bluuebunny/crossref_metadata_2025 huggingface dataset:
Cropping pattern classification using artificial neural networks and evapotranspiration estimation in the Eastern Mediterranean region of Turkey
Authors: ALSENJAR Omar , ÇETİN Mahmut , AKSU Hakan , AKGÜL Mehmet Ali , GOLPİNAR Muhammet Said
Published: March 2023

Determination of cropping pattern is a very important factor in quantifying irrigation water requirements at a catchment scale. In this regard, remote sensing is a robust tool for generating spatial-temporal variation of crops. This study focuses on crop classification by using remotely sensed data coupled with ground truth data. Therefore, this study aimed at both classifying each crop type and calculating crop evapotranspiration (ETc) based on reference evapotranspiration (ETo) by using the Penman-Monteith evapotranspiration model and crop coefficient (Kc). ETo was estimated by using data from two meteorological stations located in the study area. To this end, this study was conducted in Akarsu Irrigation District (≈95 km2), a sub-catchment in the Lower Seyhan Plain (LSP), in the 2021 hydrological year. Ground truth data were collected in the two growing seasons. The ENVI program was used to classify crop types from Sentinel 2A-2B satellite images with 10-m by 10-m spatial resolution. Image analysis results demonstrated that bare soil and citrus made up more than half of the area in the winter season, while corn and citrus were preponderant in summer. In addition, the total reference evapotranspiration and crop evapotranspiration were about 1308 mm and 890 mm, respectively in the 2021 water year. ETc values for second crop soybean, first crop corn, wheat, and citrus showed agreement with previous studies of direct methods of evapotranspiration in the Cukurova region. Furthermore, research findings led us to conclude that using remotely sensed satellite data in cropping pattern determination is promising in identifying the crops grown in large agricultural lands. Moreover, remote sensing images can be used to classify accurately crops in the winter and summer seasons, and this study has expanded the application value of remotely sensed data in large-scale irrigation schemes.
RESVECH 2.0: adaptação transcultural para o Brasil, confiabilidade e validade para avaliação de úlceras venosas
Authors: Menegon Marina Rosa , Malaquias Suelen Gomes , Silva Joana Aragão da , Oliveira Beatriz Guitton Renaud Baptista de , Medrano Juan Carlos Restrepo , Verdú-Soriano José , Bachion Maria Márcia
Published: March 2023

RESUMO Objetivos: adaptar transculturalmente a escala Resultados en la valoración y evolución de la cicatrización de las heridas - RESVECH 2.0 para o português do Brasil; estimar sua consistência interna, validade de construto e de critério para utilização em úlceras venosas. Métodos: estudo metodológico, baseado em diretrizes internacionais para estudos dessa natureza. Realizou-se avaliação das feridas por meio da RESVECH 2.0 e da Pressure Ulcer Scale of Healing 3.0 (PUSH). Empregou-se análise descritiva, análise fatorial confirmatória, alfa de Cronbach e correlação de Spearman (p<0,05). Resultados: participaram 12 enfermeiros e 77 pessoas com 153 úlceras venosas. A tradução foi bem-sucedida, o modelo fatorial proposto foi validado, obteve-se alfa de Cronbach = 0,832 (IC95%=0,780-0,880) e coeficiente de correlação (RESVECH 2.0 e PUSH 3.0) = 0,74. Conclusões: a adaptação da RESVECH 2.0 para o português do Brasil é robusta. A confiabilidade e validade evidenciam compatibilidade para utilização no país e avaliação de úlceras venosas.
Prevalence of characteristics associated with sarcopenia in elders: a cross-sectional study
Authors: Sousa Caroline Ribeiro de , Coutinho Janaína Fonseca Victor , Marques Marília Braga , Barbosa Rachel Gabriel Bastos , Roriz Filho Jarbas de Sá , Soares Edson Silva , Nogueira Charlys Barbosa , Souza Rodrigo Lopes de Paula
Published: March 2023

ABSTRACT Objectives: to identify the prevalence and characteristics associated with sarcopenia in elders in Primary Health Care Units. Methods: cross-sectional study with 384 elders. To evaluate sarcopenia, we measured: strength and muscle mass, and physical performance. The elderly were classified as having: probable sarcopenia; sarcopenia; or severe sarcopenia. The chi-squared test and the multinomial logistic regression method were used. Results: the prevalence of probable sarcopenia was 25.52%; of sarcopenia, 11.98%; and of severe sarcopenia, 9.90%. Probable sarcopenia is 1.75 times more prevalent in men; osteoporosis is 2.16 times more prevalent in people with severe sarcopenia; polypharmacy is 1.57 times more likely in individuals with probable sarcopenia; and calf circumference below 31 cm is 2.24 times more likely in patients with sarcopenia and 2.19 times more likely in patients with severe sarcopenia. Conclusions: the highest prevalence was of probable sarcopenia, and the characteristics associated with sarcopenia were sex, osteoporosis, polypharmacy, overweight, obesity, and calf circumference.
Perfil de um projeto de educação em saúde de enfermagem na rede social Instagram
Authors: Faustino Gabriella Picoli dos Santos , Silva Matheus Oliveira da , Almeida Filho Antonio José de , Ferreira Márcia de Assunção
Published: March 2023

RESUMO Objetivos: caracterizar o perfil de um projeto de educação em saúde e suas contribuições à difusão de informação na rede social Instagram. Métodos: pesquisa exploratória e descritiva sobre um perfil do Instagram denominado “@resenhadasaude”;. Coleta de dados: de 23 de julho de 2020 a 21 de abril de 2021. Geraram-se métricas de interação sobre 36 postagens. Aplicou-se análise estatística simples e percentual. Resultados: são 1.016 seguidores no Brasil, com crescimento de 206,02%. Maior público é adolescente, jovem e feminino, com diferença entre os gêneros de 41,8%. O maior interesse foi sobre a covid-19, saúde sexual e drogas. Equívocos de conhecimento dos seguidores reforçam a necessidade de difusão de informações de qualidade. Conclusões: as métricas do Instagram apontam a validação do projeto em termos de interesse do público, majoritariamente de adolescentes e jovens. O Instagram mostrou-se potente para fins educativos e difusão de informação, bem como campo autônomo para a enfermagem.
Adaptation and validation of an adult patient classification instrument with emphasis on the family dimension
Authors: Dini Ariane Polidoro , Okabe Jamilly dos Santos , Kalvan Stephanie Ziare , Simplicio Carla , Gasparino Renata Cristina
Published: March 2023

ABSTRACT Objectives: to adapt and validate an instrument for classifying adult patients that emphasizes the family support network in the demand for nursing care. Methods: methodological study, carried out in three phases: adaptation of an instrument considering the reality of adult patients; content validation with seven experts and assessment of measurement properties (construct validity and internal consistency) with 781 hospitalized patients. Results: in content validation, the indicators reached the values established for the Content Validity Index (0.85-1.00). In the confirmatory factor analysis, the 11 indicators were distributed in three domains and presented average variance extracted and factor loading greater than 0.5. Composite reliability was greater than 0.7. Conclusions: the present study adapted and made available, with evidence of validity and reliability, an instrument for classifying adult patients that considers the family support network in the demand for nursing care.
Endoscopic Mini or Less Open Sublay Repair (E/MILOS) na correção das hérnias ventrais: uma alternativa técnica minimamente invasiva
Authors: DE-CARVALHO JOÃO PAULO VENANCIO , PIVETTA LUCA GIOVANNI ANTONIO , AMARAL PEDRO HENRIQUE DE FREITAS , DIAS EDUARDO RULLO MARANHÃO , MACRET JESSICA ZILBERMAN , RIBEIRO HAMILTON BRASIL , FRANCIS MAURICE YOUSSEF , ANTUNES PEDRO DE SOUZA LUCARELLI , REINPOLD WOLFGANG , ROLL SERGIO
Published: March 2023

RESUMO O tratamento cirúrgico ideal para correção das hérnias ventrais ainda é motivo de grande discussão1. O fechamento do defeito associado a utilização de telas para reforço da parede abdominal são passos fundamentais da terapia cirúrgica, podendo ser realizados tanto pela via aberta quanto pelas técnicas minimamente invasivas2. A via aberta apresenta maiores taxas de infecção de sítio cirúrgico, enquanto o reparo laparoscópico IPOM (intraperitoneal onlay mesh) acarreta um risco aumentado de lesões intestinais, aderências e obstruções intestinais, além de requerer uso de telas de dupla face e dispositivos de fixação que encarecem o procedimento e não raro aumentam a dor no pós-operatório3-5. A técnica eTEP (extended/enhanced view totally extraperitoneal), tem ganhado importância, mostrando-se uma boa opção para a correção das hérnias ventrais também2. A fim de se evitar as desvantagens das técnicas abertas e laparoscópicas “clássicas” o conceito MILOS (Endoscopically Assisted Mini or Less Open Sublay Repair), desenvolvido por W. Reinpold et al. em 2009, 3 anos antes do advento do eTEP, possibilita ao cirurgião o uso de telas de grandes dimensões no plano retromuscular através de uma pequena incisão na pele e dissecção laparoscópica deste espaço, conforme modificação realizada em 2016, evitando a colocação de uma tela no espaço intraperitoneal6-7. Esta nova técnica passou a se chamar EMILOS (Endoscopic Mini or Less Open Sublay Repair)8 Este artigo tem como objetivo relatar nossa experiência inicial no emprego da técnica E-MILOS no Brasil, na Santa Casa de Misericórdia de São Paulo.
Endoscopic Mini-or Less-Open Sublay Operation (E/MILOS) in ventral hernia repair: a minimally invasive alternative technique
Authors: DE-CARVALHO JOÃO PAULO VENANCIO , PIVETTA LUCA GIOVANNI ANTONIO , AMARAL PEDRO HENRIQUE DE FREITAS , DIAS EDUARDO RULLO MARANHÃO , MACRET JESSICA ZILBERMAN , RIBEIRO HAMILTON BRASIL , FRANCIS MAURICE YOUSSEF , ANTUNES PEDRO DE SOUZA LUCARELLI , REINPOLD WOLFGANG , ROLL SERGIO
Published: March 2023

ABSTRACT The ideal ventral hernia surgical repair is still in discussion1. The defect closure with a mesh-based repair is the base of surgical repair, in open or minimally invasive techniques2. The open methods lead to a higher surgical site infections incidence, meanwhile, the laparoscopic IPOM (intraperitoneal onlay mesh) increases the risk of intestinal lesions, adhesions, and bowel obstruction, in addition to requiring double mesh and fixation products which increase its costs and could worsen the post-operative pain3-5. The eTEP (extended/enhanced view totally intraperitoneal) technique has also arisen as a good option for this hernia repair. To avoid the disadvantages found in classic open and laparoscopic techniques, the MILOS (Endoscopically Assisted Mini or Less Open Sublay Repair) concept, created by W. Reinpold et al. in 2009, 3 years after eTEP conceptualization, allows the usage of bigger meshes through a small skin incision and laparoscopic retro-rectus space dissection, as the 2016 modification, avoiding an intraperitoneal mesh placement6,7. This new technique has been called E-MILOS (Endoscopic Mini or Less Open Sublay Repair)8. The aim of this paper is to report the E-MILOS techniques primary experience Brazil, in Santa Casa de Misericórdia de São Paulo.
Análise de eficácia e segurança do tratamento conservador do trauma abdominal contuso em crianças: estudo retrospectivo. Tratamento conservador de trauma abdominal contuso em crianças
Authors: CUNHA SARAH CRESTIAN , DE-OLIVEIRA FILHO ANTONIO GONÇALVES , MIRANDA MARCIO LOPES , SILVA MARCIA ALESSANDRA CAVALARO PEREIRA-DA , PEGOLO PATRÍCIA TRABALLI DE CARVALHO , LOPES LUIZ ROBERTO , BUSTORFF-SILVA JOAQUIM MURRAY
Published: March 2023

RESUMO Introdução: no Brasil, o trauma é responsável por 40% dos óbitos na faixa etária entre 5 e 9 anos, e 18% entre 1 e 4 anos, e o sangramento é a principal causa de prevenção morte na criança traumatizada. O manejo conservador de trauma abdominal contuso com lesão de órgãos sólidos - iniciado na década de 60 - é a tendência mundial atual, com estudos mostrando taxas de sobrevivência acima de 90%. O objetivo do presente trabalho foi avaliar a eficácia e segurança do tratamento conservador em crianças com trauma abdominal contuso tratado no Hospital das Clínicas da Universidade de Campinas, nos últimos cinco anos. Métodos: análise retrospectiva de prontuários de pacientes classificados por níveis de gravidade da lesão, em 27 crianças. Resultados: apenas uma criança foi submetida a cirurgia por falha inicial do tratamento conservador (instabilidade hemodinâmica persistente), resultando em uma taxa de sucesso global de 96% do tratamento conservador inicial. Outras cinco crianças (22%) desenvolveram complicações tardias que exigiram cirurgias eletivas: lesão na bexiga, dois casos de coleção perirenal infectada (secundária à lesão de sistema de coleta renal), um pseudocisto pancreático e um cisto esplênico. Resolução da complicação foi atingida em todas as crianças, com preservação anatômica e funcional do órgão afetado. Não houve mortes nesta série. Conclusão: a abordagem inicial conservadora no tratamento de trauma abdominal contundente foi eficaz e segura com alta resolução e baixa taxa de complicações levando a uma alta taxa de preservação dos órgãos afetados. Nível de evidência III - estudo prognóstico e terapêutico.
Analysis of the efficacy and safety of conservative treatment of blunt abdominal trauma in children: retrospective study. Conservative treatment of blunt abdominal trauma in children
Authors: CUNHA SARAH CRESTIAN , DE-OLIVEIRA FILHO ANTONIO GONÇALVES , MIRANDA MARCIO LOPES , SILVA MARCIA ALESSANDRA CAVALARO PEREIRA-DA , PEGOLO PATRÍCIA TRABALLI DE CARVALHO , LOPES LUIZ ROBERTO , BUSTORFF-SILVA JOAQUIM MURRAY
Published: March 2023

ABSTRACT Introduction: in Brazil, trauma is responsible for 40% of deaths in the age group between 5 and 9 years old, and 18% between 1 and 4 years, and bleeding is the leading cause of preventable death in the traumatized child. Conservative management of blunt abdominal trauma with solid organs injury - started in the 60s - is the current world trend, with studies showing survival rates above 90%. The objective was to assess the efficacy and safety of conservative treatment in children with blunt abdominal trauma treated at the Clinical Hospital of the University of Campinas, in the last five years. Methods: retrospective analysis of medical records of patients classified by levels of injury severity, in 27 children. Results: only one child underwent surgery for initial failure of conservative treatment (persistent hemodynamic instability), resulting in a 96% overall success rate of the conservative treatment. Five other children (22%) developed late complications that required elective surgery: a bladder injury, two cases of infected perirenal collections (secondary to injury of renal collecting system), a pancreatic pseudocyst and a splenic cyst. Resolution of the complications was attained in all children, with anatomical and functional preservation of the affected organ. There were no deaths in this series. Conclusion: the conservative initial approach in the treatment of blunt abdominal trauma was effective and safe with high resolution and low rate of complications leading to a high preservation rate of the affected organs. Level of evidence III - prognostic and therapeutic study.
Estudo de coorte retrospectivo para avaliação de fatores de risco para desenvolvimento de lesão endometrial em pacientes com câncer da mama em uso de tamoxifeno
Authors: VIZZOTTO JR ALVO ORLANDO , NICOLAU SERGIO MANCINI , LOPES GUILHERME MUNHOZ , CASTELO FILHO ADAUTO
Published: March 2023

RESUMO Introdução: o câncer da mama é o câncer de maior incidência no sexo feminino no Brasil, representando 29,7% de todos os cânceres. Mais de dois terços das mulheres com câncer da mama apresentam expressão para receptores hormonais, estando, nestes casos, indicada a terapia hormonal com tamoxifeno, que pode representar fator de risco para o desenvolvimento do câncer do endométrio (risco relativo quatro vezes maior). Objetivo: este trabalho teve como objetivo avaliar a associação entre o uso de tamoxifeno e o desenvolvimento de distúrbios endometriais bem como eventuais outros fatores associados. Pacientes e método: Estudo de coorte retrospectivo de 364 pacientes com câncer da mama, das quais 286 utilizaram tamoxifeno e 78 não utilizaram esta hormonioterapia. Resultados: pacientes que usaram tamoxifeno tiveram um seguimento médio de 51,42 meses, semelhante àquelas sem terapia hormonal (p=0,081). Um total de 21 (7,3%) mulheres que usaram tamofixeno e nenhuma mulher sem terapia hormonal apresentaram alterações endometriais durante o seguimento (p=0,01). Nas 270 mulheres que tinham informação sobre obesidade, esta se associou significantemente com o desenvolvimento de alterações endometriais (p=0,008). A associação entre tamofixeno e alterações endometriais permaneceu significante (p=0,039) após ajustar para interação com obesidade. Conclusão: o uso de tamoxifeno no tratamento do câncer da mama esteve associado ao maior risco para desenvolvimento de alterações endometriais especialmente quando associado à obesidade.
Risk factors for the development of endometrial lesions in breast cancer patients using tamoxyphen: a retrospective cohort study
Authors: VIZZOTTO JR ALVO ORLANDO , NICOLAU SERGIO MANCINI , LOPES GUILHERME MUNHOZ , CASTELO FILHO ADAUTO
Published: March 2023

ABSTRACT Introduction: breast cancer is the cancer with the highest incidence in women in Brazil, representing 29.7% of all cancers. More than two thirds of women with breast cancer show expression for hormone receptors, and in these cases, hormone therapy with tamoxifen is indicated, which may represent a risk factor for the development of endometrial cancer (four-fold greater relative risk). Objective: this study aimed to evaluate the association of tamoxifen and the development of endometrial disturbances and to assess possible other associated risk factors. Patients and method: a total of 364 breast cancer patients were evaluated, 286 who used tamoxifen and 78 who did not use this hormone therapy. Results: patients who used tamoxifen had a mean follow-up time of 51.42 months similar to those without hormone therapy (p=0.081). A total of 21 (7.3%) women who used tamofixen and no cases among women without hormone therapy presented endometrial changes during follow-up (p=0.01). Despite information regarding obesity was available for only 270 women, obesity was also significantly associated with the development of endometrial changes (p=0.008). Conclusion: furthermore, the association between tamofixen and endometrial changes remained significant (p=0.039) after adjusting for obesity.
Hernioplastia inguinal pré-peritoneal transabdominal bilateral e varicocelectomia laparoscópica bilateral na mesma intervenção: um estudo de viabilidade
Authors: BELKOVSKY MIKHAEL , SARMENTO EDGAR OLIVEIRA , NOVAES LUIS FELIPE COUTO , PASSEROTTI CARLO CAMARGO , PONTES JUNIOR JOSÉ , MAXIMIANO LINDA FERREIRA , OTOCH JOSÉ PINHATA , DA-CRUZ JOSE ARNALDO SHIOMI
Published: March 2023

RESUMO Introdução: hérnia inguinal e varicocele são doenças comuns na população masculina. O advento da laparoscopia traz a oportunidade de tratá-las simultaneamente, pelo mesmo acesso. Entretanto, existem divergências sobre os riscos para a perfusão testicular de múltiplos procedimentos na região inguinal. Neste estudo, avaliamos a viabilidade de procedimentos laparoscópicos simultâneos estudando resultados clínicos e cirúrgicos de pacientes submetidos à hernioplastia inguinal bilateral pela técnica transabdominal préperitoneal (TAPP) com e sem varicocelectomia laparoscópica bilateral (VLB) concomitante. Métodos: uma amostra de 20 pacientes do Hospital Universitário da USP-SP com hérnia inguinal indireta e varicocele com indicação de correção cirúrgica foi selecionada. Os pacientes foram randomizados em dois grupos, sendo 10 submetidos à TAPP (Grupo I) e 10 submetidos à TAPP e VLB simultâneas (Grupo II). O tempo operatório total, complicações e dor pós-operatória foram coletados e analisados. Resultados: não houve diferença estatística entre os grupos com relação ao tempo operatório total e à dor pós-operatória. Apenas uma complicação (hematoma do cordão espermático) foi observada no Grupo I e não foram observadas complicações no Grupo II. Conclusões: no mesmo procedimento, submeter pacientes à TAPP e à VLB no mesmo procedimento se mostrou eficaz e seguro, o que fornece embasamento para a realização de estudos em maiores escalas.
Interdisciplinarity in HIV prevention research: the experience of the PrEP1519 study protocol among adolescent MSM and TGW in Brazil
Authors: Dourado Ines , Magno Laio , Greco Dirceu Bartolomeu , Zucchi Eliana Miura , Ferraz Dulce , Westin Mateus Rodrigues , Grangeiro Alexandre
Published: March 2023

At the end of 2017, Brazil adopted HIV pre-exposure prophylaxis (PrEP) as part of a combination prevention strategy for the most at-risk populations. However, Brazil does not have specific guidelines for PrEP use among adolescents aged < 18 years. Therefore, researchers from different health disciplines conducted PrEP1519, the first PrEP demonstration cohort study, ongoing in three Brazilian cities - Salvador, Belo Horizonte, and São Paulo - among adolescent men who have sex with men and transgender women, aged 15-19 years. This study aims to evaluate the effectiveness of PrEP in real-world settings. Quantitative and qualitative methods were integrated to obtain data on PrEP acceptability, uptake, use, and adherence. Moreover, comprehensive services and friendly environments were implemented in the PrEP1519 clinics. This study aims to describe the collaborative efforts of interdisciplinary practices in the development of the PrEP1519 study. The articulation of researchers from different institutions and areas is challenging; but it also allows for a broader outlook on questions regarding the direction of the research, while enriching the decisions needed to be taken during the interactions and negotiations among the different individuals, including the youth team and participants. Furthermore, it reflects on the communication process between cultures and languages considering the trans-epistemic arena of knowledge production about HIV, sexually transmitted infections, PrEP, and other combination prevention strategies for adolescents.
Factors associated to HIV prevalence among adolescent men who have sex with men in Salvador, Bahia State, Brazil: baseline data from the PrEP1519 cohort
Authors: Magno Laio , Medeiros Danielle Souto de , Soares Fabiane , Grangeiro Alexandre , Caires Priscila , Fonseca Thaís , Westin Mateus Rodrigues , Dourado Ines
Published: March 2023

Adolescent men who have sex with men (AMSM) are at a heightened vulnerability for human immunodeficiency virus (HIV). This study aimed to estimate the prevalence of HIV and associated individual, social, and programmatic factors among AMSM in Salvador, Bahia State, Brazil. This is a cross-sectional study which analyzed baseline data from the PrEP1519 cohort in Salvador. Descriptive, bivariate, and multivariate analyses were conducted using the dimensions of vulnerability to HIV as hierarchical levels of analysis. Logistic regression models were used to estimate the odds ratios (OR) of the association between predictor variables and HIV infection. The prevalence of HIV infection among the 288 AMSM recruited to the project was 5.9% (95%CI: 3.7-9.3). Adjusted analysis showed a statistically significant association between self-identifying as a sex worker (OR = 3.74, 95%CI: 1.03-13.60) and HIV infection. Other associations with borderline statistical significance were the use of application programs to find sexual partners (OR = 3.30, 95%CI: 0.98-11.04), low schooling level (OR = 3.59, 95%CI: 0.96-13.41), failing to be hired or being dismissed from a job because of sexual orientation (OR = 2.88, 95%CI: 0.89-9.28), and not using health services as a usual source of care (OR = 3.14, 95%CI: 0.97-10.17). We found a high HIV prevalence among AMSM in Salvador. Furthermore, our study found that individual, social, and programmatic factors were associated with HIV infection among these AMSM. We recommend intensifying HIV combined-prevention activities for AMSM.
The social construction of the PrEP1519 study: conditions of possibility for advances in HIV/AIDS prevention
Authors: Barros Sandra Garrido de , Brasil Sandra Assis , Rossi Thais Regis Aranha
Published: March 2023

This paper analyzed the genesis of the PrEP1519 study and feasibility conditions for its construction. A qualitative-approach study was conducted using the Bourdieusian sociology framework to reconstruct the dynamics of the social environment where PrEP1519 emerged during 2015-2018. A document analysis and ten in-depth interviews were carried out to analyze the trajectory of the project. Pre-exposure prophylaxis (PrEP) was introduced in Brazil as a public policy in 2017. The lack of scientific evidence available among the adolescent population led to the development of a demonstrative cohort study, associated with an intervention, aimed at combining the prevention and treatment of sexually transmitted infections at three sites in Brazil. PrEP1519 sought to generate evidence for global use and to help the Brazilian Ministry of Health apply PrEP among adolescents. The articulation of bureaucratic, scientific, and activist stakeholders enabled this study. The feasibility conditions for developing PrEP1519 included a favorable relationship of national organizations with international organizations, the favorable approach that public administrators had at the time towards new technologies and prevention strategies, the researchers’ previous experience in studies with the target population or with PrEP, articulation efforts with social movements, civil society organizations, and other public agencies, and the integration between scientific institutions, which allowed using international resources and developing a response to the problem. Completing this study at a moment when conservatism advances in Brazil demands that the scientific community and activists closely monitor and take stances on PrEP to ensure its availability for adolescents as a public policy.
ARTICLE - EVALUATION AS A RESEARCH PROCESS. REFLECTIONS FROM RESEARCH ON SCIENCE EDUCATION IN EARLY CHILDHOOD EDUCATION
Authors: LICHENE CLAUDIA
Published: March 2023

ABSTRACT Some documents (Proposal for Key principles of a Quality Framework for Early Childhood Education and Care, 2014, Italian National Guidelines for the Curriculum, 2012) establish the importance of formative evaluation as a research and innovation process. Through the observation and analysis of educational documents, the educational evaluation allows teachers to evaluate their academic proposal and improve it to promote learning. To develop this topic, we will refer to research on science education in Early Childhood Education. This research uses the theoretical contribution of Dewey (1933;1938), Vygotsky (1930; 1934), Wood, Bruner, and Ross (1976), and the psychoanalysis regarding the psychic processes as the basis for curiosity and experience of Susan Isaacs (1930; 1933) at the Malting House. The main objective of the research is to highlight the conditions (space, material, adult approach) which best promote children's scientific investigation. The 'promoting from within' (Bondioli, 2008; Bondioli, Savio, 2009; Bondioli, 2015)approach is a valuable reference for designing and setting up adult interventions to promote the development of a scientific attitude. We collected the data through videotapes and observation protocols, creating two analysis grids: one related to the epistemic conduct of the children and the other concerning the strategies and functions of the adult. The first analysis highlighted some interesting suggestions regarding the educational context conditions (adult intervention strategy, material, space). Some situations would best promote the development of a scientific attitude and critical thinking, considered an active investigative attitude to build knowledge and scientific understanding, both independent and shared (Andersson, Gullberg, 2014; Onida, Salvadori, 2020). Data gathering and categorization allowed us to create two evaluation charts: one to analyze the children's scientific behaviors, and the other to explain the adult's functions and strategies. In conclusion, the investigative approach of the research allowed us to formulate two hypotheses (Lumbelli, 1980) that should be further analyzed. 1) Children and their creativity are not too influenced if the adult intervenes through an internal approach. Furthermore, scientific attitudes are developed if the teacher suggests a discussion and confrontation within the group. 2). If the adult does not interfere or they do it imposing a specific direction, the investigative attitude is not encouraged.
THE EDUCATIONAL ENVIRONMENT THROUGH THE LENSES OF A PEER MENTORING GROUP FOR MEDICAL STUDENTS
Authors: CRUZ BRUNA CAROLINA PEREIRA , COSTA LÍDIA DUARTE , CAVALCANTI ANA CAROLINA DAMASCENO , GONÇALVES FERNANDA DOMINIQUE DE SOUZA , FARIA MANUELLA COSTA DE MELO , OLIVEIRA GRAZIELLA LAGE
Published: March 2023

ABSTRACT: The perception of the learning process is shaped by individual experiences and related to the academic environment. This article aimed to evaluate the perception of the educational environment of medical students linked to the peer-mentoring group GEDAAM (Study Group on Didactics Applied to Medical Learning) at the Federal University of Minas Gerais. The data come from a cross-sectional study with 129 members of GEDAAM. The Dundee Ready Education Environment Measure (DREEM) scale was used to assess the perception of the educational environment. Descriptive and comparative analyses were performed (Chi-square test). For almost all assessed domains, the students' perception was more positive than negative (Global score = 108.41). The longer the length of stay at GEDAAM, the worse the Global perception of the educational environment. It is suggested that participating in GEDAAM contributes to a more critical view of the medical teaching environment.
Treatment technologies for soybean seeds: Dose effectiveness, mechanical damage and seed coating
Authors: Reis Leandro Vilela , Carvalho Everson Reis , Reis Venicius Urbano Vilela , Nardelli Amanda Carvalho Penido , Andrade Dayliane Bernardes de , Oliveira Junior Adhemar
Published: March 2023

ABSTRACT Seed treatment is an important procedure in soybean cultivation and is currently performed in two ways: industrial seed treatment (IST), performed by the seed companies industry, and OnFarm treatment, performedby the producer. The objective of this research was to compare the influence of industrial and OnFarm soybean seed treatment technologies, including the machines and processes, on the occurrence of mechanical damage and the functional quality of treatment. Soybean seeds were subjected to phytosanitary treatments with different processes and machines: (1) industrial treatment with a batch process; (2) industrial treatment with a continuous flow process, (3) OnFarm continuous flow treatment with dosage distribution via fixed-volume doser and seed mixing via worm screw; and (4) controlrepresented by untreated seeds. The occurrence of mechanical damage was evaluated by the sodium hypochlorite test. The functional quality of the treatments was analyzed by seed coating, determined by means of digital image processing; particle detachment (dust-off); and dose effectiveness of thiamethoxam, determined by high-performance liquid chromatography (HPLC). The treatment of soybean seeds in batch or continuous flow industrial systems ensures better seed coating, greater dose effectiveness, less particle detachment and a lower occurrence of mechanical damage compared to OnFarm application technology. The digital processing of high-resolution images is efficient for quantifying the coating of soybean seeds by phytosanitary products. Seed coating is directly related to dose effectiveness.
Lesiones cutáneas asociadas con el uso de respiradores N95 en profesionales de la salud de Brasil durante 2020
Authors: Gir Elucir , Silva Ana Cristina de Oliveira e , Caetano Karlla Antonieta Amorim , Menegueti Mayra Gonçalves , Brandão Maria Girlane Sousa Albuquerque , Lam Simon Ching , Reis Renata Karina , Toffano Silmara Elaine Malagutti , Pereira-Ávila Fernanda Maria Vieira , Rabeh Soraia Assad Nasbine
Published: March 2023

Objetivo: investigar la prevalencia de lesiones cutáneas y factores asociados con el uso de respiradores N95 en profesionales de la salud de Brasil. Método: estudio transversal realizado con 11.368 profesionales de la salud en el que se empleó un método de muestreo dirigido por encuestados adaptado para entornos en línea. Se ejecutaron análisis univariados y multivariados para investigar la asociación entre la variable “lesiones cutáneas por utilizar respiradores N95” y sexo, categoría profesional, lugar de trabajo, capacitación, diagnóstico de COVID-19 y disponibilidad de suficiente provisión de Equipo de Protección Personal de buena calidad. Resultados: la prevalencia de lesiones cutáneas fue del 61,8%. Las mujeres fueron 1,203 veces (IC 95%: 1,154-1,255) más propensas a desarrollar lesiones que los hombres. La probabilidad de lesiones cutáneas en psicólogos (RP=0,805; IC 95%: 0,678-0,956) y dentistas (RP=0,884; IC 95%: 0,788-0,992) fue menor en comparación con la encontrada en los profesionales de Enfermería. Los profesionales con diagnóstico positivo de COVID-19 y que trabajan en la Unidad de Cuidados Intensivos son más propensos a sufrir lesiones cutáneas (RP=1,074; IC 95%: 1,042-1,107); (RP=1,203; IC 95%: 1,168-1,241), respectivamente, Conclusión: la prevalencia de lesiones cutáneas causadas por utilizar respiradores N95 fue del 61,8% y estuvo asociada al sexo femenino, a la categoría profesional, al lugar de trabajo, a la capacitación, a diagnóstico de COVID-19 y a la disponibilidad de suficiente provisión de Equipo de Protección Personal de buena calidad.
Skin lesions associated with the use of N95 respirators among health professionals in Brazil in 2020
Authors: Gir Elucir , Silva Ana Cristina de Oliveira e , Caetano Karlla Antonieta Amorim , Menegueti Mayra Gonçalves , Brandão Maria Girlane Sousa Albuquerque , Lam Simon Ching , Reis Renata Karina , Toffano Silmara Elaine Malagutti , Pereira-Ávila Fernanda Maria Vieira , Rabeh Soraia Assad Nasbine
Published: March 2023

Objective: to investigate the prevalence of skin lesions and factors associated with the use of N95 respirators among health professionals in Brazil. Method: cross-sectional study conducted with 11,368 health professionals using a respondent-driven sampling method adapted for online environments. Univariate and multivariate analyses were performed to investigate the association between the “skin lesions with the use of N95 respirators” variable and gender, professional category, workplace, training, COVID-19 diagnosis, and availability of sufficient and high-quality Personal Protective Equipment. Results: the prevalence of skin lesions was 61.8%. Women were 1.203 times (95% CI: 1.154-1.255) more likely to develop a lesion than men. The chances of skin lesions in psychologists (PR=0.805; 95% CI: 0.678-0.956) and dentists (PR=0.884; 95% CI: 0.788-0.992), were lower when compared to Nursing professionals. Professionals with a positive COVID-19 diagnosis and working in the Intensive Care Unit have an increased chance of presenting skin lesions (PR=1.074; 95% CI: 1.042-1.107); (PR=1.203; 95% CI: 1.168-1.241), respectively. Conclusion: the prevalence of skin lesions caused by the use of N95 respirators was 61.8% and was associated with female gender, professional category, workplace, training, COVID-19 diagnosis, and availability of sufficient and highquality Personal Protective Equipment.
Teaching and learning strategies in Home Enteral Nutritional Therapy: Knowledge gains perceived by caregivers
Authors: Afonso Maria Gabriela , Arroyo Luiz Henrique , Gastaldi Amanda Adabo , Assalin Ana Carolina Belmonte , Yamamura Mellina , Girão Fernanda Berchelli
Published: March 2023

Abstract Objective: to evaluate how different educational strategies contribute to knowledge gains perceived by caregivers of people using Enteral Nutritional Therapy. Method: a quasi-experimental study conducted in two stages: the first one included an interactive lecture class (LC) and the second was carried out in two groups: in-situ simulated skills training (ST) and reading of an educational booklet (EB). The caregivers answered a self-administered questionnaire to assess knowledge before and after the interventions; for the analysis, a generalized linear model with Poisson distribution was proposed and the comparisons were carried out using orthogonal contrasts. Results: the participants were 30 caregivers; evidence of a difference in knowledge between the t1and t0 moments is evidenced. The analysis of the final comparison about the knowledge gain between the EB and ST groups, according to Student’s t, evidenced an estimated difference of -1,33, with 95% CI (-4.98; 2.31) and p-value=0.46. Conclusion: knowledge was further increased between the t1 and t0 moments, when compared to the t2 and t1 moments in both groups. When compared, we cannot conclude that one of the groups changed more than the other in relation to moment t0 and t2; thus, the study evidenced the knowledge gain after all the educational strategies in both groups.
Estratégias de ensino e aprendizagem na Terapia Enteral domiciliar: ganhos de conhecimentos percebidos por cuidadores
Authors: Afonso Maria Gabriela , Arroyo Luiz Henrique , Gastaldi Amanda Adabo , Assalin Ana Carolina Belmonte , Yamamura Mellina , Girão Fernanda Berchelli
Published: March 2023

Resumo Objetivo: avaliar como diferentes estratégias educativas contribuem para ganhos de conhecimento percebidos por cuidadores de pessoas em uso da Terapia Nutricional Enteral. Método: estudo quase-experimental realizado em duas etapas; a primeira contemplou uma aula expositiva dialogada (AE) e a segunda aconteceu em dois grupos: treino de habilidades (TH) simulado in situ e leitura da cartilha educativa (CE). Os cuidadores responderam um questionário autoaplicável para avaliação de conhecimentos em pré e pós-intervenções; para a análise foi proposto um modelo linear generalizado com distribuição Poisson e as comparações foram realizadas por contrastes ortogonais. Resultados: participaram 30 cuidadores, observou-se evidência de diferença de conhecimento entre os tempos t1 e t0. A análise da comparação final sobre o aumento do conhecimento entre os grupos CE e TH, por teste t-Student, evidenciou uma diferença estimada de -1,33, com IC 95% (-4,98; 2,31) e valor de p de 0,46. Conclusão: ocorreu uma maior elevação de conhecimento entre os tempos t1 e t0, quando comparada os tempos t2 e t1 em ambos os grupos. Quando comparados, não podemos concluir que um dos grupos mudou mais que o outro em relação aos tempos t0 e t2; assim, o estudo evidenciou o ganho de conhecimento após todas as estratégias educativas nos dois grupos.
Evaluación de la dilatación cervical en simuladores comparada con una herramienta visual: estudio aleatorizado
Authors: Araújo Natalucia Matos , Ochiai Angela Meguni , Camargo Joyce da Costa Silveira de , Ussame Edson Yassushi , Osava Ruth Hitomi , Silva Lucia Cristina Florentino Pereira da
Published: March 2023

Objetivo: comprobar la tasa de evaluación correcta mediante la comparación visual directa de las medidas de dilatación cervical en modelos de cuello uterino de consistencia dura. Método: estudio aleatorizado abierto con 63 estudiantes de obstetricia a los que se les asignó usar o no la comparación visual directa con una guía de dilatación. Los estudiantes estimaron de forma ciega la dilatación cervical en simuladores con diferentes dilataciones. El resultado primario fue la tasa de evaluación correcta. Resultados: los estudiantes realizaron 441 pruebas. Se observó una mayor tasa de evaluación correcta en el grupo experimental que en el grupo control (47,3% versus 27,2%; p < 0,001; Odds Ratio = 2,41; intervalo de confianza del 95% = 1,62-3, 58). Conclusión: la comparación visual directa aumentó la precisión de la evaluación de la dilatación cervical en modelos de simulación de cuello, lo que podría ser beneficioso en el entrenamiento de laboratorio. Registro Brasileño de Ensayos Clínicos n.º U1111-1210-2389.
Tecnologías de la información como apoyo organizacional para luchar contra el COVID-19: el discurso de los enfermeros
Authors: Guedes Haline Costa dos Santos , Silva Júnior José Nildo de Barros , Januário Dilyane Cabral , Trigueiro Débora Raquel Soares Guedes , Leadebal Oriana Deyze Correia Paiva , Barrêto Anne Jaquelyne Roque
Published: March 2023

Resumen Objetivo: analizar el discurso de los enfermeros sobre el potencial que tienen las tecnologías de la información como apoyo organizacional a las acciones en la lucha contra el COVID-19 en la Atención Primaria de Salud. Método: estudio cualitativo y exploratorio, realizado en unidades de la Estrategia Salud de la Familia, en la ciudad de João Pessoa, Paraíba, Brasil. La recolección de datos se realizó de septiembre a noviembre de 2021 con 26 enfermeros seleccionados mediante la técnica de bola de nieve, utilizando un formulario de entrevista semiestructurada. El material empírico fue organizado en el software Atlas.ti 9 y se basó en el aporte teórico-metodológico del Análisis del Discurso de la escuela francesa. Resultados: se observaron tres bloques discursivos: innovación desde las redes sociales; acciones de educación para la salud; resolutividad en las acciones organizacionales, que muestran la importancia de las aplicaciones WhatsApp®, Instagram® y Facebook® como recursos estratégicos, que colaboran en el área de Atención Primaria de Salud con la organización de las acciones de salud contra el COVID-19 que llevan a cabo los enfermeros. Conclusión: las unidades de salud tienen potencial para fortalecer la atención a través de dispositivos organizacionales digitales, pero necesitan apoyo político que invierta en la estructura y en estrategias para mejorar la organización de las acciones de salud.
Tecnologias da informação como apoio organizacional das ações de enfrentamento da COVID-19: discurso de enfermeiros
Authors: Guedes Haline Costa dos Santos , Silva Júnior José Nildo de Barros , Januário Dilyane Cabral , Trigueiro Débora Raquel Soares Guedes , Leadebal Oriana Deyze Correia Paiva , Barrêto Anne Jaquelyne Roque
Published: March 2023

Resumo Objetivo: analisar o discurso de enfermeiros acerca das potencialidades na utilização das tecnologias da informação como apoio organizacional das ações de enfrentamento da COVID-19 na Atenção Primária à Saúde. Método: estudo qualitativo e exploratório, realizado nas unidades da Estratégia Saúde da Família, na cidade de João Pessoa, Paraíba, Brasil. A coleta de dados foi realizada de setembro a novembro de 2021 com 26 enfermeiros selecionados por meio da snowball technique, utilizando-se de roteiro de entrevista semiestruturado. O material empírico foi organizado no software Atlas.ti 9 e fundamentado com base no aporte teórico-metodológico da Análise do Discurso de linha francesa. Resultados: evidenciaram-se três blocos discursivos: inovação a partir das mídias sociais; ações de educação em saúde; resolutividade nas ações organizacionais, apresentando a relevância dos aplicativos WhatsApp®, Instagram® e Facebook® como recursos estratégicos, de forma a colaborar para a área de Atenção Primária à Saúde com a organização das ações de saúde frente à COVID-19 por enfermeiros. Conclusão: as unidades de saúde possuem potencial para fortalecer a assistência por meio dos dispositivos organizacionais digitais, no entanto, necessitam de apoio político que invista na estrutura e em estratégias para potencializar a organização das ações de saúde.
Cultura de seguridad del paciente en la práctica clínica de enfermería
Authors: Brás Cláudia Patrícia da Costa , Ferreira Manuela Maria Conceição , Figueiredo Maria do Céu Aguiar Barbieri de , Duarte João Carvalho
Published: March 2023

Resumen Objetivo: evaluar las características psicométricas de la Hospital Survey on Patient Safety Culture, caracterizar la cultura de seguridad del paciente y evaluar la influencia de variables sociodemográficas y profesionales en las dimensiones de la cultura de seguridad. Método: estudio metodológico, observacional, analítico, transversal, realizado con 360 enfermeros, utilizando el cuestionario Hospital Survey on Patient Safety Culture. Los datos fueron sometidos a análisis descriptivo e inferencial y estudios de confiabilidad y validez. Resultados: los enfermeros tienen en promedio 42 años de edad, 19 años de experiencia profesional y la mayoría es de sexo femenino. Se obtuvo buena consistencia interna (alfa de Cronbach - 0,83) e índices aceptables de bondad de ajuste del modelo. El trabajo en equipo dentro de las unidades, las expectativas del supervisor, el feedback y la comunicación del error fueron las dimensiones que presentaron puntajes superiores al 60%. La respuesta al error no punitiva, la frecuencia de notificación, el apoyo a la seguridad por parte de los gestores, la dotación de personal, presentaron puntajes por debajo del 40%. Estas dimensiones son influenciadas por la edad, la educación y la experiencia profesional. Conclusión: las propiedades psicométricas del cuestionario certifican su calidad. El trabajo en equipo puede considerarse un factor que potencia la cultura de seguridad. La evaluación de la cultura de seguridad permitió identificar las dimensiones que tenían problemas y poder planificar futuras intervenciones.
Patient safety culture in nurses’ clinical practice
Authors: Brás Cláudia Patrícia da Costa , Ferreira Manuela Maria Conceição , Figueiredo Maria do Céu Aguiar Barbieri de , Duarte João Carvalho
Published: March 2023

Abstract Objective: to assess the psychometric characteristics of the Hospital Survey on Patient Safety Culture, to characterize the patient safety culture, and to assess the influence of the sociodemographic and professional variables on the safety culture dimensions. Method: a methodological, observational, analytical and cross-sectional study conducted with 360 nurses in which the Hospital Survey on Patient Safety Culture questionnaire was used. The data were submitted to descriptive and inferential analysis, as well as to feasibility and validity studies. Results: the nurses’ mean age is 42 years old, their mean time of professional experience is 19 years, and they are mostly female. Good internal consistency was obtained (Cronbach’s alpha: 0.83), as well as acceptable model fit quality indices. Teamwork within units, Supervisor expectations and Feedback and communication about errors were the dimensions that obtained scores above 60%. Non-punitive response to error, Frequency of events reported, Support for patient safety and Staffing presented scores below 40%. These dimensions are influenced by age, schooling level and professional experience. Conclusion: the psychometric properties of the questionnaire certify its good quality. Teamwork can be considered as an enhancing factor for the safety culture. Assessing the safety culture allowed identifying problematic dimensions, thus enabling planning of future interventions.