bluuebunny/crossref_metadata_2025 huggingface dataset:
LEITURA EM LÍNGUA ESPANHOLA X CONHECIMENTO IMPLÍCITO E EXPLÍCITO: UM ESTUDO QUANTI-QUALITATIVO EM EXAMES EXTERNOS
Authors: Moraes Gisele Benck de , Duarte Filho Paulo Fernando Marques
Published: January 2025

RESUMO Este artigo tem como objetivo geral verificar quais tipos de conhecimentos são requeridos em questões de compreensão de texto em língua espanhola: implícito ou explícito, em provas de exames externos. Para a fundamentação teórica foram utilizados estudos de DeKeyser (1995, 2003), Ellis e He (1999), Ellis et al. (2009), Williams (2009) e Mitchell, Myles e Marsden (2013), entre outros. Com base nesses estudos, partimos da hipótese de que há diferenças sobre os mecanismos utilizados e requeridos em questões que exigem conhecimento implícito e explícito para a aprendizagem de leitura em língua estrangeira, tanto para uma análise da natureza do conhecimento quanto às características da instrução e suas implicações no processo de aquisição. Assim, foram analisadas, em uma abordagem quanti-qualitativa, questões referentes a dois textos informativos em espanhol, de circulação mundial, e os resultados apontam que os estudantes se saíram melhores em respostas às questões que exigiam conhecimento implícito, referentes especificamente à compreensão textual.
ONOMATOPEIAS E EFEITOS SONOROS NÃO LITERAIS NA LEGENDAGEM PARA SURDOS E ENSURDECIDOS: UMA PESQUISA DE RECEPÇÃO
Authors: Silva Manoela Cristina da
Published: January 2025

RESUMO Neste artigo, relatamos os resultados de uma pesquisa de recepção cujo principal objetivo foi investigar a preferência de surdos e ensurdecidos quanto à utilização de onomatopeias e/ou descrições na tradução de efeitos sonoros, especialmente daqueles não encontrados no mundo real. Dezesseis voluntários assistiram a um curta-metragem legendado e responderam perguntas a respeito das estratégias tradutórias utilizadas. Concluímos que a estratégia preferida tanto por surdos quanto ensurdecidos foi a da associação de onomatopeias a descrições, uma vez que essa prática permitiria maior dramaticidade e imersão e contribuiria para ampliação de vocabulário e conhecimento da cultura ouvinte. Contudo, surdos preferiram o uso do presente simples para as descrições, enquanto ensurdecidos optaram pelo gerúndio. Por fim, ambos os grupos destacaram a importância do símbolo musical para a tradução de músicas.
Nuclear Medicine in Brazilian Health System
Authors: Pozzo Lorena , Oliveira Mércia Liane de , Menezes Mário Olímpio de , Toscas Fotini Santos
Published: January 2025

Abstract Nuclear Medicine plays an important role in the management of patients with chronic diseases, especially oncological and cardiovascular conditions. In this study, an analysis of the evolution of this field in Brazil was conducted within the framework of the Unified Health System. Retrospective analyses from 2015 to 2021 of public data were performed. Although Brazil has a considerable number of facilities, their geographical distribution is uneven. The same disparity is observed in relation to units that produce and distribute radiopharmaceuticals, limiting access for the Brazilian population, particularly to those with a half-life of less than two hours. There is a noticeable high technological dependence on foreign companies, with little or no domestic production, contributing to a deficit in the trade balance. Despite the increasing demands due to factors such as population aging and epidemiological changes, the area did not expand. It is crucial to implement social and economic policies to reduce vulnerabilities in the public healthcare system, ensure its sustainability, and promote equal and universal access to Nuclear Medicine.
Social and environmental determination of health in sugarcane producing territories in Pernambuco
Authors: Domingues Renata Cordeiro , Gurgel Aline do Monte , Santos Romário Correia dos , Lima Fernanda Lowenstein Monteiro de Araújo , Santos Carla Caroline Silva dos , Santos Mariana Olívia Santana dos , Gurgel Idê Gomes Dantas
Published: January 2025

Abstract The study analyzed the socio-environmental determination of health in five sugarcane-producing municipalities in Pernambuco. This participatory, qualitative research was conducted from January to August 2022. Workshops were held in the participating communities to build the Participatory Rural Diagnosis of protective and destructive processes of global, community, and individual socio-environmental health dimensions. The communities pointed to social inequalities, productive deregulation, environmental degradation, labor exploitation, violence, and illness as the main processes affecting the territories. Despite this, protective processes were related to the social function of land and the right to agrarian reform, family farming, solidarity and community organization ties, and individual and family self-care practices. The diagnosis points to the need to build public policies for equity, protection, and reparation of the eco-social health of territories affected by sugarcane cultivation, burdened with intense use of pesticides and burning and over-exploited labor, among other socio-environmental problems.
The politicisation of vaccines and its influence on Brazilian caregivers’ opinions on childhood routine vaccination
Authors: Matos Camila Carvalho de Souza Amorim , Avelino-Silva Vivian I. , Couto Marcia Thereza
Published: January 2025

Abstract Progressive declines in vaccination coverage have been recorded in Brazil in recent years. The COVID-19 pandemic has introduced even more challenges to this scenario. Considering the pandemic as an event, the scope of this article was to analyze the politicization of vaccines from the perspective of caregivers of young children. This qualitative research was conducted in two Brazilian state capitals, namely São Luís (Maranhão) and Florianópolis (Santa Catarina). The study included families with children up to 6 years of age who were fully or partially vaccinated, as well as children who had never been vaccinated. Snowball sampling was used and in-depth interviews were conducted between March 2021 and April 2022. Forty-eight caregivers, most of them mothers, were interviewed. The study revealed that, regardless of their previous stance regarding vaccines, the health-political event of the COVID-19 pandemic shook beliefs and attitudes about childhood vaccination. The results also showed that the pandemic led to delays in routine childhood immunization and caused caregivers to seek private health services. Finally, the results reveal the politicization of vaccines as a new phenomenon to be addressed in the Brazilian context.
Perfil epidemiológico da mortalidade em crianças indígenas menores de cinco anos no Brasil: uma revisão integrativa da literatura
Authors: Silva Greiciane Amorim da , Silva Ilce Ferreira da , Borges Maria Fernanda de Sousa Oliveira
Published: January 2025

Resumo O objetivo é identificar, por meio de uma revisão integrativa, o perfil epidemiológico da mortalidade em crianças indígenas brasileiras menores de cinco anos. Foram incluídos artigos que avaliaram a mortalidade de crianças indígenas brasileiras menores de um e/ou cinco anos, entre 2000-2020, em português, inglês e/ou espanhol, nas bases LILACS, SciELO e MEDLINE. Das 3.229 publicações encontradas, 22 foram inseridas na revisão. A mortalidade infantil variou de 15,2/1.000 NV (1995-1999) para a etnia Kayabí a 307,7/1.000 NV (2000) para a etnia Hupdäh. Entre os estudos que avaliaram a mortalidade infantil pelos componentes etários, destaca-se o período pós-neonatal, com proporções que variaram de 15,2% (1990-1994), para crianças indígenas do Paraná, a 83,3% (2007-2008) para a etnia Guarani. A principal causa de mortalidade foram as doenças respiratórias, variando de 17,1% (2010) a 75% (2007-2008) entre a etnia Guarani. Crianças indígenas brasileiras menores de um ano apresentaram taxas de mortalidade elevadas, quando comparadas às crianças não-indígenas, para todas as etnias e regiões do país. Entre os componentes de TMI, observou-se elevado número de óbitos no período pós-neonatal, tendo como principal causas de óbito as doenças do aparelho respiratório.
Epidemiological profile of mortality in indigenous children under five years of age in Brazil: an integrative literature review
Authors: Silva Greiciane Amorim da , Silva Ilce Ferreira da , Borges Maria Fernanda de Sousa Oliveira
Published: January 2025

Abstract The aim is to identify the epidemiological profile of mortality among Brazilian indigenous children under five years of age, through an integrative review. Articles that evaluated the mortality of indigenous Brazilian children under one and/or five years of age, from 2000 to 2020, in Portuguese, English, and/or Spanish, in the LILACS, SciELO, and MEDLINE databases were included. Of the 3,229 publications found, 22 were included in the review. Infant mortality ranged from 15.2/1,000 live births (LB) (1995-1999) for the Kayabí ethnic group to 307.7/1,000 LB (2000) for the Hupdäh ethnic group. Among the studies that evaluated infant mortality by age components, the post-neonatal period stands out, with proportions that varied from 15.2% (1990-1994), for indigenous children from Paraná, to 83.3% (2007- 2008) for the Guarani ethnic group. The main cause of mortality was respiratory diseases, ranging from 17.1% (2010) to 75% (2007-2008) among the Guarani ethnic group. Brazilian indigenous children under one year of age experienced high mortality rates, when compared to non-indigenous children, for all ethnicities and regions of the country. Among the IMT components, a high number of deaths were observed in the post-neonatal period, with respiratory system diseases representing the main causes of death.
Characterization of pharmaceutical services in the prison system: cross-sectional study
Authors: Ferreira Michele Berger , Schwarzbold Pauline , Longo Samantha Lopes de Moraes , Dotta Renata Maria , Possuelo Lia Gonçalves , Heineck Isabela
Published: January 2025

Abstract This study aimed to characterize pharmaceutical services (PS) in the prison system of Rio Grande do Sul in terms of organization and infrastructure in the context of primary health care. This is a descriptive study, with a cross-sectional design carried out between August and September 2022. Data collection was carried out remotely, using a questionnaire prepared and adapted based on the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM - Brazilian National Survey on Access, Use and Promotion of Rational Use of Medications in Brazil). A total of 51 prison units participated in the survey. There is no specific area for the pharmacy in most prison units, with only one place for storing medications. There are no standard operating procedures for PS activities in 78.4% of prison units. In 9.8% of prison units, the presence of a pharmacist was mentioned. No medication storage conditions are monitored in 31.4% of sites. Medication fractionation was reported by 78.4% of prison units. Medications are dispensed in 3.9% of prison units. The PS overview in the prison context reveals important weaknesses and the need to adapt to current regulations.
Women and traditional knowledge in health care: understanding traditional healing practices in Brazil
Authors: Mussoi Milena Regina , Giordani Rubia Carla Formighieri , Hoffmann-Horochovski Marisete , Silva Cristiane Rocha
Published: January 2025

Abstract Several international agreements acknowledge public participation, equity, and democracy as necessary conditions to achieve Health Promotion. For this purpose, if we accept the validity of distinct systems of knowledge, we realize the relevance of an approach to healthcare based on a pluralist epistemology, which sustains the legitimacy of traditional knowledge in its own processes of production, transmission, and application. In this study, we aim to investigate the notions and understandings of traditional healing practices in a city near Curitiba, in Southern Brazil. A qualitative sociological approach was adopted, incorporating semi-structured interviews, participant observation, and Discourse Analysis of female practitioners. In addition, we want to understand the social function of these practices in contrast with biomedicine-based operations of Health Care Networks in the Brazilian Unified Health System (SUS). We observed that the role of women is central in these practices, who are responsible for their application and transmission. And the knowledge developed through these healing practices engenders a particular view about family and society. Therefore, these women are empowered by increasing their symbolic capital through their knowledge of health care.
Impacto do modelo ECHO® no acompanhamento de pessoas com diagnóstico de diabetes mellitus: revisão de escopo
Authors: Souza Isla Evellen Santos , Silva Marcela Santos da , Araújo Cindy Kemille Andrade de , Ferreira Beatriz Carvalho , Cardoso Alice , Silva Glebson Moura , Otero Liudmila Miyar
Published: January 2025

Resumo A presente revisão teve como objetivo identificar o impacto do modelo ECHO® no acompanhamento de pessoas com diagnóstico de diabetes mellitus. O trabalho foi desenvolvido de acordo com as recomendações do Joanna Briggs Institute e do Checklist PRISMA-ScR, cujas buscas foram realizadas nas bases de dados Cochrane Library, Embase, Biblioteca Virtual em Saúde, PubMed/MEDLINE, Scopus e Web of Science, por meio de estratégias compostas pelos descritores “Diabetes mellitus”, “Diabete Melito”, “Diabetes”, “Diabetes Melito”, “model ECHO”, “Project ECHO” e “Extension for Community Healthcare Outcomes”. A seleção dos estudos contou com dois revisores trabalhando de forma independente através do software de gestão Rayyan-Intelligent Systematic Review. Dos 151 trabalhos identificados, nove foram selecionados. Um estudo foi identificado na literatura cinzenta. Os dez estudos incluídos foram publicados em inglês, entre os anos de 2012 a 2022. Observou-se melhorias no conhecimento e na autoconfiança dos profissionais, além de diminuição da hemoglobina glicada, redução de hospitalizações e de gastos com internações das pessoas com diabetes. Conclui-se que este trabalho expõe um impacto positivo do Modelo ECHO® no acompanhamento de pessoas com diabetes mellitus, principalmente em comunidades de maior vulnerabilidade.
Do Brazilian Olympic athletes live longer than the general population? A retrospective cohort study
Authors: Soloaga Aline Ortega , Cruz Arthur Duarte Fantesia Costa , Spreafico Elen Viviani Pereira , Spreafico Marcos Vinícius Pereira , Reis Cássio Pinho dos , Boullosa Daniel , Coelho-Ravagnani Christianne de Faria
Published: January 2025

Abstract We investigated if Brazilian Olympic athletes live longer than the general population, and if there are differences between the types of sport. This is a retrospective cohort study with secondary data analysis. Data from Brazilian athletes of both sexes were included, from the 7th edition (1920) to the 25th edition (1992) of the Modern Olympic Games. Details of sex, date of birth, date of death, and sport competed were recorded when available. Comparisons were made between athletes vs. age-matched controls from the general population; and between sport types (strength/power [SP] vs. endurance/mixed [EM]). Brazilian Olympic athletes live approx. 8 years longer than expected for the age matched general population. However, there were no differences in lifespan between SP (68.8 years) vs. EM (68.9 years) athletes (p>0.05). Brazilian Olympic athletes live longer than expected for the general population. However, there are no differences between athletes from different sport types.
Fatores associados à notificação de violência entre adolescentes brasileiros, uma análise do SINAN
Authors: Malta Deborah Carvalho , Bernal Regina Tomie Ivata , Vasconcelos Nádia Machado de , Silva Isabela Cristina Vieira , Prates Maria Luiza Sady , Pinto Isabella Vitral , Lima Cheila Marina de
Published: January 2025

Resumo O objetivo do estudo é analisar a evolução da notificação das violências praticadas contra os adolescentes entre 2015 e 2022, bem como a associação entre as características da vítima, da agressão e dos agressores da violência contra adolescentes em 2022. Para isso, utilizaram-se os dados do Sistema de Informação de Agravos de Notificação (SINAN). Foram notificadas cerca de 400.000 violências contra adolescentes. Houve aumento de notificações, exceto nos anos da pandemia (2020 e 2021). As vítimas mais frequentes foram as meninas; o principal local de ocorrência foi a residência; a violência física foi o tipo mais comum. A análise de correspondência mostrou associação entre vítimas do sexo feminino, residência como local de ocorrência, violência psicológica e ameaça; entre as vítimas do sexo masculino, violência em via pública, praticada por desconhecidos, utilização de objetos cortantes. O SINAN torna-se um instrumento vital por permitir visibilidade ao tema. A prevenção da violência juvenil requer uma abordagem intersetorial.
Factors associated with the notification of violence among Brazilian adolescents: an analysis of SINAN
Authors: Malta Deborah Carvalho , Bernal Regina Tomie Ivata , Vasconcelos Nádia Machado de , Silva Isabela Cristina Vieira , Prates Maria Luiza Sady , Pinto Isabella Vitral , Lima Cheila Marina de
Published: January 2025

Abstract This study aims to analyze the trend of the notified violence committed against adolescents from 2015 to 2022 and the association between the victim’s characteristics, abuse, and the perpetrators of violence against adolescents in 2022. It used data from the Notifiable Diseases Information System (SINAN). Around 400,000 cases of violence against adolescents were reported. The notifications have been on the rise, except in pandemic years (2020 and 2021). The most frequent victims were girls, the principal place of occurrence was at home, and physical violence was the most common type. Correspondence analysis showed an association between female victims, home as a place of occurrence, psychological violence and threat among male victims, violence on public roads committed by strangers, and use of sharp objects. SINAN becomes a vital instrument for allowing visibility to the topic. Preventing youth violence requires an intersectoral approach.
An SPSS and CNN modelling based quality assessment using ceramic materials and membrane filtration techniques
Authors: Mullainathan Suganthi , Natarajan Ramesh
Published: January 2025

ABSTRACT This study investigates the treatment of Sago Wastewater (SW) using natural materials and α-Al2O3 ceramic membranes for filtration. SW samples were collected from influent and effluent of sago industries in Salem and Namakkal districts, Tamil Nadu, as well as from nearby open wells and bore wells. The physico-chemical parameters, including pH, color, turbidity, TSS, TDS, TS, DO, COD, and BOD, were analyzed. High levels of BOD (1800–1550 mg/L) and COD (3400–4150 mg/L) were observed, reflecting the high organic content of the effluents. Post-filtration, pH values ranged from 6.9 to 7.3, with BOD and COD levels within permissible limits set by TNPCB. Toxic substances were reduced by 52% to 96%. Statistical analysis using multiple linear regression showed an R2 of 0.98 in the predicted phase and 0.9 in the treatment phase, while CNN analysis yielded an R2 of 0.99 with an MSE of 5.9 after 2000 epochs. The filtration process significantly reduces toxins, making the treated water suitable for irrigation purposes.
Numerical simulation of the stress response of a natural gas pipe with the flowmeter under varying clamping force
Authors: Bu Qing-Chao , Li Jian , Sun Xin-Rui , Zhang Yu , Wang Zi-Jian , Lin Jun-Zhe
Published: January 2025

ABSTRACT The clamping method of flowmeters in natural gas pipe has a significant impact on improving the calibrated speed and operational efficiency. In this study, a finite element model of the automatic flowmeter clamping device is established, which includes flowmeter, flange plate, screw nut, and DN300 pipe. The stress distribution and variation of the device are investigated for the effects of different external clamping forces and different natural gas pressures. The results indicate that the flowmeter clamping device designed can achieve effective clamping of the flowmeter. Moreover, the overall stress levels are below the material’s allowable stress, which indicates that the mechanical structure is reasonable. In the flowmeter clamping device, the high-stress areas are concentrated on the surface of the flowmeter and the arcuate region at the base of flange plate. When the external clamping force increases from 8 MPa to 12 MPa, the maximum stress of the flowmeter increases by 30 MPa, meanwhile the maximum stress on the flange plate increases only by 15 MPa. When the natural gas pressure increases from 4 MPa to 12 MPa, the maximum stress in the pipe cross-section rises from 25 MPa to 82 MPa.
Demonstração de métodos de cálculo para o dimensionamento da equipe de enfermagem em terapia intensiva
Authors: Batassini Érica , Oliveira João Lucas Campos de , Beghetto Mariur Gomes
Published: January 2025

Objetivo: demonstrar o dimensionamento do pessoal de enfermagem em terapia intensiva estimado por dois cálculos, utilizando o Nursing Activities Score como um dos seus componentes centrais. Método: estudo descritivo, retrospectivo, que compilou as pontuações do Nursing Activities Score de pacientes de cinco Unidades de Terapia Intensiva de um hospital do sul do Brasil. Dois cálculos foram empregados para dimensionar o quadro de enfermagem. Além de outros componentes, o cálculo I converteu o escore do Nursing Activities Score em minutos e horas; e o cálculo II utilizou este escore sobre um denominador correspondente a um profissional de enfermagem/dia, tendo em vista duas modalidades de turnos de trabalho. Em ambas as equações, respeitou-se a proporção de 52% de enfermeiros. Resultados: nas 9.610 avaliações, a média do Nursing Activities Score foi de 85,9% (80,8% a 96,4%). Enquanto o cálculo I estimou 164 profissionais, o cálculo II projetou 176 e 140 trabalhadores para cinco e quatro turnos, respectivamente. A diferença de enfermeiros entre métodos chegou a 18 profissionais. Conclusão: a escolha do cálculo e o número de turnos de trabalho interferem substancialmente na estimativa de pessoal de enfermagem intensivista. Isso pode fundamentar revisão metodológica na normatização do dimensionamento de enfermagem desta área.
Percepciones de enfermeros hondureños sobre la calidad de la atención al paciente con accidente cerebrovascular: estudio cualitativo
Authors: Figueroa Sandra Patricia Nájera , Martinez Oscar Fidel Antunez , Morales Perla Simons
Published: January 2025

Objetivo: explorar las percepciones de los enfermeros sobre la calidad de la atención a pacientes con accidente cerebrovascular en un hospital público del norte de Honduras. Método: se realizó un estudio fenomenológico descriptivo. La recolección de datos se realizó a través de entrevistas en profundidad a 20 enfermeros generales de los servicios de emergencia y clínica médica del Hospital General de Atlántida. El análisis de los datos se realizó mediante la técnica temática. Resultados: a partir de la investigación surgieron tres temas principales y 10 subtemas que ilustraron la calidad de la atención a los pacientes con ACV en un hospital general de Honduras. El hallazgo apunta al tema “resultados negativos con respecto al tamaño de la estructura de las unidades de atención al paciente”, lo que significa que hay problemas para mejorar o mantener la calidad de la atención médica. Por otro lado, se obtuvieron “resultados positivos con respecto al proceso de enfermería”, definido como placentero y útil para el cuidado del paciente con ACV, como cuidados éticos y humanizados y actividades para promover el autocuidado del paciente con la participación de los familiares. Conclusión: los resultados indican que los enfermeros hondureños no cuentan con formación de posgrado calificada en cuidados críticos, lo cual es una limitación que compromete la calidad de la atención. Por lo tanto, se recomienda contar con estructuras organizativas claras y una mejor gestión de los recursos, lo que, en definitiva, puede aumentar la satisfacción de los usuarios y reducir el tiempo de estancia hospitalaria.
Honduran nurses’ perceptions among the quality of care for stroke patients: a qualitative study
Authors: Figueroa Sandra Patricia Nájera , Martinez Oscar Fidel Antunez , Morales Perla Simons
Published: January 2025

Objective: to explore the nurses’ perceptions among the quality of care to stroke patients in a public hospital in Northern Honduras. Method: a descriptive phenomenological study was carried out. The data collection was conducted by means of depth- interviews to 20 general nurses from the emergency and clinical medicine departments from the Atlántida General Hospital. Data analysis was by thematic technique. Results: the research found three key themes, and 10 subthemes, which illustrated the quality of stroke patients care in a general hospital from Honduras. The finding points up the theme “negative outcomes regarding the structure dimension of the patient care units”, which means the failure to improve or maintain the quality of healthcare. Likewise, “positive outcomes regarding the nursing process”, defined as pleasant and helpful among the care of stroke patients, such as ethical and humanized caring, and activities on promoting patient self-care with involvement of the relatives. Conclusion: the results indicate that Honduran nurses do not have qualified graduate training in critical care, which is a limitation that compromises the quality of care. Therefore, it is recommended to have clear organization structures and better resources managing, consequently, it may increase user satisfaction, as well as reducing hospital stays.
Prevalence and clinical profile of hepatitis C virus infections in multitransfused thalassemic patients in the capital twin cities of Pakistan
Authors: Piracha Z. Z. , Saeed U. , Uppal R. , Uppal M. R. , Khan A. Ahmad , Abdullah M. , Mari K. , Basra A. , Gilani S. S. , Tariq M. N. , Ozsahin D. U. , Uzun B. , Ozsahin I.
Published: January 2025

Abstract Hepatitis C virus (HCV) presents a significant global health concern, affecting 3.3% of the world's population. The primary mode of HCV transmission is through blood and blood products. Patients with beta thalassemia, who rely on lifelong blood transfusions, are particularly vulnerable to HCV infections. This study aimed to assess the prevalence of hepatitis C virus infections among multitransfused thalassemic patients in the twin cities of Pakistan's capital. The clinical research, involving the enrollment of 262 multitransfused beta thalassemic patients residing in the capital twin cities of Pakistan. The investigation encompassed the evaluation of hepatitis C virus presence, alanine aminotransferase (ALT) levels, serum creatinine, hepatomegaly, splenomegaly, and the occurrence of splenectomy. The overall prevalence of Hepatitis C virus infections was notably high at 55.73%. This was particularly pronounced among patients aged 20 years and older, with a 100% infection rate. In HCV-positive thalassemic patients, the average ALT level was observed to be 98 U/L, while average creatinine values stood at 0.39 mg/dL. Additionally, hepatomegaly was prevalent in 82.20% of HCV-positive thalassemic patients, featuring an average liver size increase of 4.33 cm. Splenomegaly was evident in 67.12% of HCV-positive thalassemic patients, with an average spleen size augmentation of 4.46 cm. Splenectomy was identified in 15.75% of cases. The incidence of HCV infections in the thalassemic population of Pakistan is alarmingly high. Furthermore, the risk of contracting HCV infections escalates with the advancing age of thalassemic patients. Elevated ALT levels and hepatomegaly were pervasive among the majority of HCV-positive thalassemic patients. Consequently, there is a compelling need for rigorous screening of blood products prior to transfusion to mitigate the future burden of HCV in Pakistan.
A variant W chromosome in Centromochlus heckelii (Siluriformes, Auchenipteridae) and the role of repeated DNA in its heteromorphism
Authors: Haerter Chrystian Aparecido Grillo , Viana Patrik Ferreira , Takagui Fábio Hiroshi , Tonello Sandro , Margarido Vladimir Pavan , Blanco Daniel Rodrigues , Traldi Josiane Baccarin , Lui Roberto Laridondo , Feldberg Eliana
Published: January 2025

Abstract Centromochlus heckelii has the lowest diploid chromosome number (2n = 46) and the only described heteromorphic sex chromosome system in Auchenipteridae. This study presents a population of C. heckelii from the Central Amazon basin with subtle variations in the karyotype composition and a variant W chromosome with distinct morphology and increased C-positive heterochromatin content. In this population, the W chromosome is subtelocentric, whereas the only previous study on C. heckelii reported a metacentric W chromosome. Constitutive heterochromatin (CH) and accumulation of microsatellite motifs have significantly contributed to this W chromosome enlargement. Notably, this population exhibits numerous interstitial telomeric sites (ITSs). Some of these ITSs might represent genuine chromosomal fusion points due to the reduced 2n; however, additional mechanisms, such as chromosomal inversions, translocations, transpositions, or association with satellite DNA, are likely responsible for this unusual pattern. The 18S rDNA sites were found in both the Z and W chromosomes of all individuals. However, two individuals exhibited an additional 18S rDNA site in a single homologous of the chromosome pair 20, characterizing an intrapopulation polymorphism. The 5S rDNA sites were found in two chromosome pairs, distinguishing this population from other Centromochlinae species and further supporting it as one of the most efficient cytotaxonomic markers within the subfamily.
Evolution of access to prenatal care in Pernambuco: maternal schooling as a marker of health inequities
Authors: Lins Daniella Oliveira Albuquerque , Silva Maria Tatiane Alves da , Maia Lívia Teixeira de Souza
Published: January 2025

Abstract Objectives: to analyze the evolution and inequalities in prenatal care consultations in Pernambuco, according to maternal education level. Methods: this is an ecological study of pregnant women who attended seven or more prenatal consultations and resided in Pernambuco between 2011 and 2020, stratified by maternal education level and year of birth. Data were obtained from the Live Birth Information System. Temporal trend analysis was performed using the joinpoint regression method, and patterns of inequality were assessed through absolute measures (difference, ratio), relative measures (concentration index - CIX), and Equiplot-type graphs. Results: a rising trend in access to seven or more prenatal consultations among women in Pernambuco was observed between 2011 and 2020 (+3.6; p<0.001). Among women with no formal education, prenatal coverage was 47.85%, while for those with more than 12 years of education, it reached 78.15%. The Concentration Index (CIX=0.0979; p<0.001) suggests that 9.79% of prenatal access is concentrated among women with higher education levels. Conclusions: despite the expansion of prenatal care in Pernambuco, access remains unequal among women with different levels of education, highlighting maternal education as a marker of health inequities. Strategies need to be adopted to ensure greater equity in prenatal care for more vulnerable pregnant women.
“O dendê era um sonho”: agricultores familiares e rupturas com as agroindústrias de dendê no Pará, Amazônia
Authors: Guimarães Jamilly Brito , Mota Dalva Maria da , Moreira Éberton da Costa , Schmitz Heribert
Published: January 2025

Resumo A integração de agricultores familiares a agroindústrias para a produção de uma commodity, especialmente voltada para o agrocombustível, é uma experiência recente na Amazônia brasileira. Não obstante um conjunto de políticas públicas de suporte para à produção com inclusão social, a iniciativa arrefece após uma década e agricultores familiares desistem dos contratos. O objetivo do artigo é analisar as razões que culminaram na decisão de ruptura contratual com as agroindústrias e a reconfiguração das estratégias de reprodução social dos agricultores familiares, que conduz a novas experiências. A pesquisa ocorreu em cinco municípios do Nordeste Paraense, principal região produtora de dendê do Brasil. Foram realizados 15 estudos de caso com observações diretas e entrevistas a agricultores, técnicos e sindicalistas. Os resultados mostram que as decisões das famílias no processo de se integrar, romper contratos e buscar novos rumos objetivam, para a maioria, a coesão do grupo doméstico na condição camponesa. Para a minoria, entretanto, significou a finalização do vínculo com a terra e da condição camponesa.
New records for Erythrodiplax fulva (Libellulidae: Odonata) from Brazil
Authors: del Palacio Alejandro , Ferreira Victor Rennan Santos , Batista Joana Darc , Juen Leandro
Published: January 2025

ABSTRACT The genus Erythrodiplax is the most species-rich libellulid in the Neotropics. Erythrodiplax fulva is one of the less known species of this genus, with its larva currently unknown and conservation status undefined. It was described based on specimens from Venezuela and later recorded from Guiana and French Guiana. We record the species from Brazil for the first time, comment on the importance of the distributional expansion range of E. fulva and point out the main differences between similar species.
Self-care conditioning factors in women and men with urinary incontinence and Human T-Lymphotropic Virus Type 1
Authors: Paranhos Rayssa Fagundes Batista , Amaral Juliana Bezerra do , David Rose Ana Rios , Sousa Anderson Reis de , Escobar Oscar Javier Vergara , Santos Tatiane Assone dos , Santos Jeferson Moreira dos , Fernandes Rafael Costa
Published: January 2025

ABSTRACT Objective: To analyze self-care conditioning factors in women and men with urinary incontinence symptoms living with the Human T-Lymphotropic Virus Type 1. Method: Qualitative study, based on the pragmatic phase of Praxis Model for Technology Development. Twelve women and five adult men living with Human T-Lymphotropic Virus Type 1, residing in Bahia, Brazil, participated in the study. A structured instrument and focus group were applied to collect data. The empirical material was subjected to Thematic Content Analysis, using the software WebQDA and the Self-Care/Self-Care Deficit Theory was used. Results: Facilitating conditioning factors were used by women and men as strategies for performing self-care, and hindering conditioning factors prevented or disturbed, but opened paths to direct the nurse's performance to address self-care deficits. Conclusion: Self-care requirements were impacted by the hindering conditioning factors; the facilitating ones allowed self-care, providing technology in nursing/health.
Prenatal tests in Brazil: prevalence and associated factors according to the Brazilian National Health Survey
Authors: Freitas Francisca Maria da Silva , Correia Rita Da Graça Carvalhal Frazão , Biazus-Dalcin Camila , Jorge Herla Maria Furtado , Aquino Priscila de Souza , Oliveira Bruno Luciano Carneiro Alves de
Published: January 2025

ABSTRACT Objective: To analyze the prevalence of prenatal tests of pregnant women and factors associated with variation in this prevalence in the years of the Brazilian National Health Survey 2013 and 2019. Method: A cross-sectional study, carried out with women who underwent prenatal care, interviewed in the Brazilian National Health Survey 2013 (n = 1,851) and 2019 (n = 2,729). Results: The most prevalent tests were urine and blood, and the least prevalent were syphilis and HIV. During the period, the number of tests for syphilis (15.2; 95% CI: 11.0; 22.0) and HIV (4.3; 95% CI: 4.3; 8.0) increased, but the number of tests for the others decreased. The prevalence of tests for the four tests increased and reached 69.9% (95% CI: 67.0; 72.8) in 2019 compared to 60% (95% CI: 56.1; 63.9) in 2013. Conclusion: There was a greater number of prenatal tests performed, specifically for syphilis and HIV, rather than a reduction in the number of blood and urine tests. Despite the increase in access to all tests for the most vulnerable groups and locations in the country, prevalence in these groups is still low.
The school environment in the experience of children with special health needs: a qualitative study
Authors: Andreato Álida Maria de Oliveira , Neves Eliane Tatsch , Santos Maiara Rodrigues dos , Marcheti Maria Angélica , Misko Maira Deguer
Published: January 2025

ABSTRACT Objective: To understand the experience of children with special health needs at school. Method: Qualitative research using Symbolic Interactionism as a theoretical framework and assumptions of Grounded Theory as a methodological framework. Data collected in a pediatric outpatient clinic of a teaching hospital in an inland city of the state of São Paulo. The following collection strategies were used: participant observation, drawing, and semi-structured interviews. Twenty-two school-age children with special health needs participated in the research, all of whom attended school. Results: Three categories were constructed representing the experience of children with special health needs at school: Experiencing the school environment, Identifying obstacles, and Finding ways to move forward despite the illness. These children’s experiences at school allowed us to understand their difficulties, their need for adaptation and their actions in the face of the process related to their development. Conclusion: The need for acceptance, safety, and trust in the school environment and in the people who make it up was identified, which are fundamental factors for the children to be able to continue their development and learning, despite the illness.
O ambiente escolar na experiência de crianças com necessidades de saúde especiais: um estudo qualitativo
Authors: Andreato Álida Maria de Oliveira , Neves Eliane Tatsch , Santos Maiara Rodrigues dos , Marcheti Maria Angélica , Misko Maira Deguer
Published: January 2025

RESUMO Objetivo: Compreender a vivência das crianças com necessidades de saúde especiais na escola. Método: Pesquisa qualitativa que empregou Interacionismo Simbólico como referencial teórico e pressupostos da Teoria Fundamentada nos Dados como referencial metodológico. Dados coletados em um ambulatório pediátrico de instituição hospitalar de ensino no interior do estado de São Paulo. Como estratégias de coleta utilizaram-se: observação participante, desenho e entrevista semiestruturada. Participaram da pesquisa 22 crianças com necessidades de saúde especiais em idade escolar, todas frequentando a escola. Resultados: Foram construídas três categorias que representam a vivência da criança com necessidades de saúde especiais na escola: Vivenciando o ambiente escolar, Identificando obstáculos e Encontrando caminhos para prosseguir apesar da doença. As vivências dessas crianças na escola permitiram compreender suas dificuldades, sua necessidade de adaptação e suas ações frente ao processo relacionado a seu desenvolvimento. Conclusão: Identificou-se a necessidade de acolhimento, segurança e confiança no ambiente escolar e nas pessoas que o compõem, que são fatores fundamentais para que a criança possa seguir seu desenvolvimento e aprendizagem, apesar da doença.
Concurrent validity of a new screening test to evaluate the information processing speed
Authors: Zavala Camila Fernanda Cabrera , Porta Oscar Agustín , Martín Alén , Valderrama Edison Vega , Lis María del Rosario , Pachacama Wilson Gualotuña , Soto Diana
Published: January 2025

ABSTRACT Information processing speed (IPS) evaluates the time at which a person reacts to a stimulus. The Wechsler for Adults-III (WAIS-III) includes this domain in the digit symbol test (DS-T). Objective: The aim of this study was to validate a new screening test that could measure the IPS in association with the individual’s age and scholarship. Methods: A new instrument to measure the IPS was constructed, automatic cashier test (AC-T), and for its validation, the DS-T was also carried out. Results: The media of time use in the ACT was 12.3 s; the media of hits in the DS-T was 38.8, with a p<0.0001 and R2: 0.40. Conclusion: P-value showed a linear association between the two tests, but the R2 results showed a low association between these. In the same way, the correlation between both tests is promising, since it shows that both are tests that measure the IPS in a different way with different constructs such as the verbal fluency test that is also used to evaluate IPS. On the other hand, both tests exposed that the scholarship positively influences the IPS.
Being an older adult with post-COVID-19 syndrome: a qualitative study
Authors: Castro Polyanna Freitas Albuquerque , Dias Rosilda Silva , Silva Líscia Divana Carvalho , Silva Andrea Cristina Oliveira , Sousa Santana de Maria Alves de , Borba Anna Karla de Oliveira Tito
Published: January 2025

Abstract Objective to understand the meanings of the experience of Being an older adult with COVID-related complications. Method A qualitative, phenomenological study was conducted at the Post-COVID-19 Municipal Reference Center in the city of São Luís, Maranhão, Brazil, between May and July 2022. Interviews of 10 older adults were carried out. The theoretical-philosophical framework used was that of Martin Heidegger, and the Heideggerian hermeneutic circle supported the analysis and interpretation of the phenomenon. Results Six meaning units were identified. The impacts on physical and mental health, and on functioning , forced older individuals into a new context, a new Dasein (form of Being), being-in-the-world and being-with others. Resigned to the facticity of existence, a Dasein thrown into a world without choices, led the older adults to experience the body becoming ill due to COVID-19, facing the existential anguish caused by the pain and suffering of their clinical condition, insecurity and fear for the future and for the lives of their loved ones. Conclusion Older adults who experienced the circumstances of illness were permeated by negative feelings of insecurity, frustration, sadness, anguish and loneliness that deprived them of their well-being, resulting in impaired quality of life.
Factors associated with acute kidney injury in older adults with COVID-19 during the pre-vaccination period: a cohort study
Authors: Maciel Camilla de Godoy , Cavalcanti Belvania Ramos Ventura da Silva , Ferreira Aline Bezerra , Vasconcelos Eliane Maria Ribeiro de , Borba Anna Karla de Oliveira Tito
Published: January 2025

Abstract Objective acute kidney injury occurred in 36.3% of the older adult with COVID-19, 45.5% were men, and most were aged ≥70 years. Overall, 61.2% of patients required hemodialysis, 70.2% did not recover renal function and 63.3% died. On multivariate analysis, acute kidney injury was associated with chronic kidney disease in the conservative stage [OR 8.59 (1.33-55.32), p=0.024], admission to an intensive care unit [OR 3.71 (1.10-12.53), p=0.034] and use of vasoactive drugs [OR 7.07 (2.41-20.79), p<0.001]. Method acute kidney injury occurred in 36.3% of the older adult with COVID-19, 45.5% were men, and most were aged ≥70 years. Overall, 61.2% of patients required hemodialysis, 70.2% did not recover renal function and 63.3% died. On multivariate analysis, acute kidney injury was associated with chronic kidney disease in the conservative stage [OR 8.59 (1.33-55.32), p=0.024], admission to an intensive care unit [OR 3.71 (1.10-12.53), p=0.034] and use of vasoactive drugs [OR 7.07 (2.41-20.79), p<0.001]. Results acute kidney injury occurred in 36.3% of the older adult with COVID-19, 45.5% were men, and most were aged ≥70 years. Overall, 61.2% of patients required hemodialysis, 70.2% did not recover renal function and 63.3% died. On multivariate analysis, acute kidney injury was associated with chronic kidney disease in the conservative stage [OR 8.59 (1.33-55.32), p=0.024], admission to an intensive care unit [OR 3.71 (1.10-12.53), p=0.034] and use of vasoactive drugs [OR 7.07 (2.41-20.79), p<0.001]. Conclusion the identification of the variables involved in this process and implementation of strategies are essential to optimize timely diagnosis and treatment measures to help prevent the occurrence of renal dysfunction and its potential complications.
A Flexible UHF RFID Respiratory Sensor
Authors: Araujo Jéssyca I. L. , Serres Georgina K. F. , Genovesi Simone , Santos Danilo F. S. , Serres Alexandre J. R.
Published: January 2025

Abstract In this study, we developed a Radio Frequency Identification (RFID) sensor to monitor respiratory rates. The sensor utilizes a passive RFID tag enhanced with a metamaterial-inspired structure to boost its maximum gain value. This gain increased from -0.39 dBi to 0.57 dBi. Monitoring of the respiratory rate was conducted by analyzing variations in the Received Signal Strength Indicator (RSSI), which were influenced by respiratory movements. The RSSI data collected from the RFID tag readings were processed using the Daubechies wavelet of order 5 (db5) with three levels of signal decomposition, resulting in signals with reduced noise. These measurements were particularly effective when the participant was at rest, with the RFID tag positioned over the abdomen. The maximum reading range obtained was 1.04 m. The respiratory rates derived from the RSSI variations were validated against a vital signals monitor, confirming that they fell within the expected frequency variation range of the multiparameter monitor.
Trepadeiras do Estado do Rio de Janeiro, Brasil
Authors: Ribas Leonor de Andrade , Barros Ana Angélica Monteiro de , Machado Davi Nepomuceno da Silva , Caires Letícia Rocha , Damasceno Deyvison Bernardo Marinho , Araujo Dorothy Sue Dunn de
Published: January 2025

RESUMO O estudo apresenta a lista de trepadeiras, Angiospermas e Samambaias, ocorrentes no Estado do Rio de Janeiro, Brasil. Foram catalogadas 1175 espécies correspondentes a 262 gêneros e 65 famílias. Um total de 78 espécies se encontra categorizada como ameaçada de extinção, sendo 41 em perigo, 23 vulneráveis e 14 criticamente em perigo. Destas, Passiflora farneyi e Stigmaphyllon affine tiveram sua distribuição ampliada com base em expedições de campo. Adenocalymma ubatubense, Amphilophium scabriusculum e Lophopterys floribunda são novas ocorrências. Amphilophium scabriusculum foi recoletado após o ano de 1874 e Disciphania ernstii após 1892. Bronwenia peckoltii foi recoletada em 2024, totalizando apenas quatro coletas em todo Brasil, sendo três no Estado do Rio de Janeiro. Os municípios de Nova Friburgo, Paraty, Niterói, Itatiaia e Rio de Janeiro concentram o maior número de coletas de trepadeiras. Este panorama do Estado reflete os municípios nos quais os inventários florísticos incluíram esta forma de vida, contudo está subestimado devido a lacunas de amostragem e a ausência de estudos com objeto principal a pesquisa das plantas trepadeiras.
Efeitos da expansão rápida de maxila nos limiares auditivos e funcionamento da orelha média
Authors: Moraes Cassiele Fontoura , Gomes Erissandra , Helena Rebeca Cardona Santa , Sleifer Pricila
Published: January 2025

RESUMO Objetivo Verificar se a expansão rápida de maxila (ERM) causa efeitos no funcionamento da orelha média e nos gaps aéreo-ósseos em crianças e adolescentes. Método Ensaio clínico de braço único, com coleta de dados em quatro momentos: antes de iniciar a ERM (T0), ao finalizar a ERM (T1), três meses após finalizar a ERM (T2) e seis meses após realizar a ERM (T3). A avaliação audiológica, realizada nos quatro momentos, foi composta pela meatoscopia, audiometria tonal liminar e vocal, timpanometria e pesquisa dos reflexos acústicos. Resultados 18 crianças e adolescentes atenderam os critérios de elegibilidade. Houve redução dos gaps aéreo-ósseos e melhora no funcionamento da orelha média, ao longo do acompanhamento, entre T0, T1, T2 e T3. Três meses após a finalização da ERM, em T2, todos os pacientes apresentaram curvas timpanométricas tipo A e seis meses após a ERM, em T3, houve ausência de gap aéreo-ósseo e reflexos acústicos ipsilaterais e contralaterais presentes em toda a amostra. Conclusão Verificou-se na amostra estudada que a ERM promoveu gradativa redução dos gaps aéreo-ósseos e adequado funcionamento de orelha média em crianças e adolescentes com atresia transversal de maxila.