bluuebunny/crossref_metadata_2025 huggingface dataset:
Breastfeeding in the first six months of life for babies seen by Lactation Consulting
Authors: Moraes Bruna Alibio , Strada Juliana Karine Rodrigues , Gasparin Vanessa Aparecida , Espirito-Santo Lilian Cordova do , Gouveia Helga Geremias , Gonçalves Annelise de Carvalho
Published: April 2021

Objective: to identify breastfeeding patterns, survival of exclusive breastfeeding and factors associated with its interruption, in the first six months of life of babies seen by Lactation Consulting. Method: a prospective cohort, with 231 mother-babies in a Baby-Friendly Hospital. An initial questionnaire was applied after 24 hours of birth, after consulting, as well as a follow-up questionnaire, applied by telephone at 15, 30, 60, 120 and 180 days, with sociodemographic and obstetric variables, maternal habits, father’s schooling, birth data and baby feeding. Survival Analysis was carried out. Results: at 180 days of age, exclusive breastfeeding was 12.7% and the probability was 19.6% in the analysis of the survival curve. The factors associated with its interruption were smoking during pregnancy (HR 1.66; CI 1.05 - 2.61), age ≥ 35 years old (HR 1.73; CI 1.03 - 2.90), difficulty in breastfeeding after hospital discharge (HR 2.09; CI 1.29 - 3.41), search for professional assistance (HR 2.45; CI 1.69 - 3.54) and use of a pacifier (HR 1.76; IC 1.21 - 2.58). Conclusion: lactation consultancy contributed to the improvement of the exclusive breastfeeding rates, although there are opportunities for advances.
Academic motivation scale - reliability and validity evidence among undergraduate nursing students
Authors: Souza Geisa Colebrusco de , Meireles Everson , Mira Vera Lúcia , Leite Maria Madalena Januário
Published: April 2021

Objective: to assess the evidence of validity and reliability of the academic motivation scale (AMS) based on the internal structure. Method: this is a methodological study with 205 undergraduate nursing students. Dimensionality/internal structure of the AMS was assessed using factor analysis in the context of exploratory structural equation modeling (ESEM) and reliability of the factors was assessed by Cronbach’s alpha (α) coefficient and composite reliability (CR) coefficient. Results: acceptable fit indexes were obtained (CFI = 0.92; RMSEA = 0.07; SRMR = 0.06) for a three-dimensional model: intrinsic motivation (10 items; α = 0.84; CR = 0.86); extrinsic motivation (8 items; α = 0.84; CR = 0.90); and demotivation (4 items; α = 0.84; CR = 0.88). A significant correlational pattern was found for the motivation continuum. Conclusion: the dimensionality analysis for the AMS presented a model with three factors: intrinsic motivation, extrinsic motivation and demotivation, and was considered a reduced alternative to the original version of seven factors. This study helped assess the validity of the measurement instrument and its theory refinement; further studies should be conducted to assess its invariance property.
Overview of the actions to combat bacterial resistance in large hospitals
Authors: Mello Mariana Sanches de , Oliveira Adriana Cristina
Published: April 2021

Objective: to analyze, in the clinical practice of large hospitals, how the adoption of measures to prevent and control the spread of bacterial resistance has occurred, and to propose a score for the institutions’ adherence. Method: a cross-sectional study carried out in 30 large hospitals of Minas Gerais, from February 2018 to April 2019, after approval by the Ethics and Research Committee. Interviews were conducted with hospital managers, with Hospital Infection Control Services coordinators, and with the care coordinators of the Inpatient Units and Intensive Care Center. In addition, observations were made of the adoption of preventive measures by the multidisciplinary team in the care units. Results: in the 30 participating hospitals, 93.3% (N=28) had protocols for prophylactic antibiotics, and 86.7% (N=26) performed their audit, 86.7% (N=26) for therapeutic antibiotics and 83.3% (N=25) their audit; 93.3% (N=56) used gloves and cloaks for patients in contact precautions, and 78.3% (N=47) of the professionals were unaware of or answered incompletely on the five moments for hand hygiene. In the score to identify the adoption of measures to control bacterial resistance, 83.3% (N=25) of the hospitals were classified as partially compliant, 13.3% (N=04) as deficient, and 3.4% (N=01) as non-adoption. Conclusion: it was found that the recommended measures to contain bacterial resistance are not consolidated in the clinical practice of the hospitals.
Analysis of the factors related to academic disapproval in the education of nurses: A mixed-method study
Authors: Oliveira-Silva George , Aredes Natália Del’ Angelo , Galdino-Júnior Hélio
Published: April 2021

Objective: to evaluate the frequency and factors associated to disapproval among nursing students. Method: a descriptive and cross-sectional study, outlined by the convergent mixed method. A total of 88 nursing students of a Brazilian public university took part. The Reduced Academic Experiences Questionnaire was used for evaluating academic adaptation. The association of the variables in the study with disapproval was verified by bivariate analysis. Results: the frequency of disapprovals in the sample was 68.2%, recurrences in the same discipline in 39.8%, with the associated factors: age over or equal to 22 years old (p=0.015), family income below 2 minimum wages (p=0.019) and lag in the curricular flow (p<0.001). Disciplines with higher frequencies of disapprovals are of the basic area, taught in the first two years of the course and common to the health courses. Students without disapprovals had better perception of physical and psychological well-being (p=0.002), good interpersonal relationships (p=0.017) and more assertive study behaviors (p=0.005). Personal, study-related and institutional issues were motivating. Conclusion: the results reveal a high rate of disapproval, especially in the basic area. An association was found between disapprovals and mental health for nursing students during their education process, and difficulties were pointed out that can culminate with the disapproval rate in the curricular flow.
The use of antimicrobial-impregnated fabrics in health services: an integrative review
Authors: Schneider Guilherme , Bim Felipe Lazarini , Sousa Álvaro Francisco Lopes de , Watanabe Evandro , Andrade Denise de , Fronteira Inês
Published: April 2021

Objective: to analyze evidence concerning the feasibility of antimicrobial-impregnated fabrics in preventing and controlling microbial transmission in health services. Method: an integrative review using the following databases: MEDLINE (via PubMed), Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, and Latin American and Caribbean Health Sciences Literature (LILACS), regardless of language and date of publication. Seven studies were included in the analysis to verify the types of fabrics and substances used to impregnate the fabrics, applicability in health services, and decrease in microbial load. Results: silver nanoparticles and copper oxide are the main antimicrobial substances used to impregnate the fabrics. The patients’ use of these fabrics, such as in bed and bath linens and clothing, was more effective in reducing antimicrobial load than in health workers’ uniforms. Conclusion: the use of these antimicrobial-impregnated textiles, especially by patients, is a viable alternative to prevent and control microbial transmission in health services. Implementing these fabrics in health workers’ uniforms requires further studies, however, to verify its effectiveness in decreasing microbial load in clinical practice.
Follow-up care for premature children: the repercussions of the COVID-19 pandemic
Authors: Silva Rosane Meire Munhak da , Pancieri Letícia , Zilly Adriana , Spohr Fabiana Aparecida , Fonseca Luciana Mara Monti , Mello Débora Falleiros de
Published: April 2021

Objective: to analyze elements of the follow-up care provided to premature children amidst the COVID-19 pandemic. Method: qualitative study from the perspective of philosophical hermeneutics, interpreting experiences with childcare provided at home. Twelve mothers and 14 children aged two years old were interviewed online via a text messaging application. Data were analyzed by interpreting meanings. Results: weaknesses stood out in the follow-up care provided to children such as gaps of communication, lack of guidance and delayed immunizations, while care intended to meet health demands was interrupted. Vulnerability aspects affecting child development included: social isolation measures that impeded the children from socializing with their peers, increased screen time, the manifestation of demanding behaviors and irritation and the mothers experiencing an overload of responsibilities. The elements that strengthened maternal care included the mothers being attentive to contagion, enjoying greater experience and satisfaction with the maternal role, spending more time with their children, and recognizing respiratory signs and symptoms, especially fever. Conclusion: follow-up care provided to children in stressful situations implies implementing practices that support the wellbeing of children and families, decreasing the likelihood of children being exposed to development deficits, and detecting signs and symptoms timely. The use of nursing call centers can break the invisibility of longitudinal needs and promote health education actions at home.
Absence of symbolic and sustainable aspects in recommendations for healthy eating: a qualitative analysis of food-based dietary guidelines
Authors: FABRI Rafaela Karen , MARTINELLI Suellen Secchi , PERITO Maria Angela , FANTINI Andrea , CAVALLI Suzi Barletto
Published: April 2021

ABSTRACT Objective Was analyzed the contents of the main messages of food-based dietary guidelines to promote healthy eating, identifying nutritional, symbolic, and sustainable recommendations. Methods Food-based dietary guidelines from 90 different countries were analyzed. These guidelines were selected from the United Nations Food and Agriculture Organization database. For data extraction, all messages were exported to the Nvivo software and, after repeated readings, were grouped into predefined categories and corresponding dimensions based on the literature. The categories were created according to the mixed model, that is, they were created before data analysis was performed, but modified if necessary. Results Was identified 1,982 messages grouped into the following dimensions: nutritional (n=73.9%); sustainable (3.2%); symbolic (3.3%), and others (19.7%). All food-based dietary guidelines addressed nutritional aspects, and the most frequent recommendation was regarding the consumption of fats, followed by the consumption of salt and vegetables and fruits, cited by at least 75 food-based dietary guidelines. Less than half (n=40) of the food-based dietary guidelines addressed sustainable or symbolic aspects of food and 13 of the food-based dietary guidelines addressed both aspects. However, these messages represented only 6.5% of the total messages in the documents. Conclusions The recommendations for healthy eating in the food-based dietary guidelines are incipient in terms of sustainable and symbolic issues. Recommendations for adopting healthy diets need to consider the completeness of the food and its various combinations, dietary patterns, and the factors associated with their consumption, as well as the individual’s relations with food, environment, and society.
Planning the use of helicopters for supply distribution in response operations to sudden disasters
Authors: Xavier Iran Rosa , Bandeira Renata Albergaria de Mello , Silva Leandro de Oliveira , Bandeira Adriano de Paula Fontainhas , Campos Vânia Barcellos Gouvêa
Published: April 2021

abstract: In disasters, when affected areas are remote or difficult to access, or when other ways of transport are not available, helicopters become the most appropriate vehicles to reach the victims, specialy in cases of floods, landslides and earthquakes. However, the planning of air transport operations in the context of a disaster response is of great complexity, so that operational research has significant application and potential contribution to the area. In this context, we propose a procedure that aims to optimize the use of helicopters in response operations to small and medium-scale disasters. The proposed procedure seeks to minimize the total time of operation and the mobilization of air resources during the last mile delivery in relief operations. The proposed procedure is applied on a post-disaster scenario, taking as basis the real characteristics of the response operation to the floods, occurred in 2011, in the mountain region of the state of Rio de Janeiro, Brazil. This paper highlights a methodological protocol for review and stratification of the journals for study and a proposal of this work with viable processes to aid decision-making in the process of distribution of the humanitarian supply chain using helicopters.
Soursop production under supplementary irrigation and mulching in the semiarid region of Brazil
Authors: Cavalcante Lourival F. , Silva-Matos Raíssa R. S. , Souto Antônio G. de L. , Lima Neto Antonio J. de , Nunes Járisson C. , Mesquita Francisco de O.
Published: April 2021

ABSTRACT Irregular rainfall in the semiarid region of Brazil and in the world exerts a limiting action on agricultural production, in general, including fruit species. Under these conditions, irrigation is the input that keeps the production system both economically and socially viable. This study was carried out from 2012 to 2014, in the municipality of Remígio, Paraíba State, Brazil, aiming at evaluating the production of ‘Morada’ soursop cultivated under rainfed and irrigated conditions, in soil with and without mulch, in two harvests. The treatments were distributed in randomized block design with three replicates in a 2 × 3 × 2 factorial scheme, corresponding to non-irrigated plants (0 mm water depth) and plants irrigated weekly (17.2 mm water depth) in soil without mulching, with cover crop residues, and with a sisal bagasse mulch in the 2012/2013 and 2013/2014 crop years. In the soil without mulching, irrigation increased yield from 5.3 to 34.7 t ha-1 in the first harvest and from 9.4 to 57.7 t ha-1 in the second harvest. The association between irrigation and mulch with sisal residue promoted the highest yield. The use of mulch of sisal residue increased the number and mean mass of fruits, production per plant and yield of ‘Morada’ soursop compared to the soil without mulch and covered by crop residues.
Socio-environmental vulnerability in the São Paulo Macro-metropolis’ three main metropolitan regions: a socio-environmental indicators analysis indicators analysis
Authors: Alves Humberto Prates da Fonseca
Published: April 2021

Abstract In this article, the concept of socio-environmental vulnerability is empirically operationalized, with the objective of analyzing situations of socio-environmental vulnerability on intra-urban scale, in a group of 62 municipalities in the three main metropolitan regions of the Macro-metropolis of São Paulo State. The methodology associates two concepts from the recent literature on vulnerability - one social and the other physical-environmental - through an index that integrates socio-demographic indicators from the 2010 Demographic Census with cartographies of areas susceptible to floods and landslides. The results show that 1.8 million people live in areas with high socio-environmental vulnerability that have significantly worse socioeconomic conditions than areas with low and moderate vulnerability, especially regarding the differences in sewage coverage, in the surroundings of households and in the population living in substandard settlements (slums).
IMPACT OF COVID-19 IN PATIENTS WITH CANCER: A SCOPING REVIEW
Authors: Silva Tâmara Taynah Medeiros da , Araújo Naryllenne Maciel de , Sarmento Sabrina Daiane Gurgel , Castro Grayce Louyse Tinoco de , Dantas Daniele Vieira , Dantas Rodrigo Assis Neves
Published: April 2021

ABSTRACT Objective: to map the knowledge about SARS-CoV-2 infection in patients with cancer in terms of clinical manifestations, treatment, and prognosis. Method: a scoping review based on the Joanna Briggs Institute theoretical framework, registered in the Open Science Framework (osf.io/64ems/). A search was carried out in nine databases and virtual libraries in June and July 2020. Results: twenty-five articles were selected that answered the guiding question, demonstrating that the neoplasm most affected by the infection was the lung, and the main clinical manifestations were fever, cough, dyspnea, diarrhea, and fatigue. Regarding treatment, antivirals and antibiotics were the most mentioned. All articles cite the vulnerability of patients with cancer diagnosed with COVID-19, with a mortality rate of 21-30% in most articles and a prognosis for progression to severe forms of the disease. Still, most patients were cured, although in severe cases they worsened, compared to the general population. Conclusion: this study demonstrated insecurity in disease treatment due to the variety of medications used and the uncertainty about whether to continue neoplastic treatment during this period.
Tradução e adaptação transcultural do Short Portable Mental Status Questionnaire (SPMSQ) de Pfeiffer para pessoas idosas brasileiras
Authors: Teigão Fernanda Cury Martins , Moser Auristela Duarte de Lima , Jerez-Roig Javier
Published: April 2021

Resumo Objetivo Adaptar culturalmente o Short Portable Mental Status Questionnaire (SPMSQ) de Pfeiffer para uso no Brasil. Métodos O processo envolveu as seguintes fases: tradução inicial; síntese das traduções; retrotradução; revisão por um comitê de especialistas com experts da área para analisar a validade aparente e de conteúdo, contemplando as equivalências semântica, idiomática, cultural, conceitual e clareza e, por fim, um pré-teste com a população alvo. Resultados Na tradução inicial e na retrotradução ocorreram discordâncias entre os tradutores, em 19 e 7 itens respectivamente, que posteriormente foram discutidos e conciliados pelo comitê. O comitê de especialistas sugeriu modificações desde o layout até adequações de termos técnicos para facilitar a aplicabilidade dos profissionais e para tornar o instrumento final mais claro e compreensível para a população-alvo. No pré-teste, 36,6% dos avaliados demonstraram dificuldades no entendimento de um item do questionário; o item foi substituído, a escala foi reaplicada obtendo 100% de compreensão. Conclusão O estudo demonstrou que a versão brasileira do SPMSQ estabelecida como Breve Escala de Capacidade Cognitiva apresentou-se transculturalmente adaptada, com seus itens considerados claros e compreensíveis pelos especialistas e pela população-alvo. O instrumento adaptado contribui por se tratar de uma ferramenta breve de avaliação disponível para rastrear a capacidade cognitiva dos idosos. É recomendado a análise das propriedades psicométricas, estabelecendo o grau de validade e confiabilidade, o qual já está em desenvolvimento pelos autores deste estudo.
Adaptações e repercussões nas vivências em escola de ensino híbrido durante a pandemia por Sars-CoV-2
Authors: Silva Francisco Theogenes Macêdo , Kubrusly Marcos , Peixoto Junior Arnaldo Aires , Vieira Larissa Xavier Santiago da Silva , Augusto Kristopherson Lustosa
Published: April 2021

Abstract: Introduction: The pandemic caused by the SARS-CoV-2 virus has accelerated an educational revolution, with implications for health care and medical education, generating some insecurities and uncertainties. The article reports the experience of Centro Universitário Christus (Unichristus) about the changes that occurred in the practical scenarios of clinical experiences during the first semester of 2020, marked by social distancing. Experience Report: The services at Clínica Escola de Saúde (CES) were suspended and the associated hospitals stopped receiving students, making the experience of real-life scenarios unfeasible, resulting in the beginning of a project characterized by care of patients with coronavirus infection through telemedicine. The face-to-face nursing team’s participation occurred concomitantly, while students attending the eighth semester of the medical course were present at the consultation through screen sharing using the Google Meet ® program. After the consultation was concluded, there was a discussion about the case and other relevant aspects, similarly to what would happen with a face-to-face experience. In parallel with the project, students also attended lectures that addressed aspects of the disease from primary to tertiary level of health care. Discussion: Patients received care and students were taught through a flexible, innovative, accessible and safe media, following a worldwide trend, generating opportunities for professional development and innovations in medical education. The experience with telemedicine can be complemented by e-learning, allowing the development of a new hybrid teaching model. Conclusion: The current circumstances may result in some educational loss, such as the impossibility to perform physical examinations and to interact better with the health care team and patients; however the technological resources can result in opportunities for changes, improvement and development of teaching methodologies, in line with the current generation of digital natives.
Percepção de pacientes sobre a comunicação de médicos clínicos e cirurgiões em hospital universitário
Authors: Perez Milena Regina Dos Santos , Oliveira Mirele Cristine Santos de , Ortiz Danielle Bispo Vieira , Peña Stela Souza , Job Jose Roberto Pretel Pereira , Gianini Reinaldo José
Published: April 2021

Abstract: Introduction: The way information is transmitted is of crucial importance in the doctor-patient relationship, as good communication reduces complaints about inadequate practices and patient concerns and improves treatment adherence and health recovery. However, patient dissatisfaction on this subject is not unusual. Objectives: The objective of this work was to evaluate the perception of patients admitted to a Hospital Complex about the communication of clinical doctors and surgeons during the hospitalization period. Method: Cross-sectional, descriptive, analytical inquiry study, with the application of a questionnaire with questions about physicians’ general communication. The instrument was built by the researchers and was answered by 120 adult patients. The sample was defined by convenience and stratified by medical and surgical clinic. Frequency and statistical analyses were performed on the obtained results. Results: Of 120 patients, 53.33%(n=64) were admitted to the Surgical Clinic and 46.67%(n=56) to the Medical Clinic. Of this total, 57.5%(n=69) had high school to college/university education. Patients reported more negative than positive responses to the following questions: information about the side effects of medications (66%), advice on post-surgical procedures (68.75%) and information on health promotion and prevention in the hospital environment (63.33%). The surgical clinic had significantly lower proportions of positive responses for: The doctor said their name (p <0.01; crude OR: 0.33; 95% CI 0.15-0.76); The patient was informed about how their treatment would be conducted (p=0.02; crude OR: 0.38; 95% CI 0.17-0.87); and the patient was informed about the need to undergo tests (p=0.02; crude OR 0.40; 95% CI 0.18-0.90), which remained significant after adjustment for certain confounding factors. There were no significant differences regarding the other questions. When analyzing the question: “What grade would you give to the doctor’s general communication?” a significantly higher value (p=0.007) was given to the Medical Clinic (average 4.46±0.76) when compared to the Surgical Clinic (average 4±1.19). Conclusion: The doctor-patient communication showed significant deficits. Therefore, it is necessary for medical schools to offer students the development of this competence. Additionally, for an adequate generalization of the obtained results, new studies need to be carried out at different levels of medical care.
Patient’s perception of the communication of clinical doctors and surgeons in a university hospital
Authors: Perez Milena Regina Dos Santos , Oliveira Mirele Cristine Santos de , Ortiz Danielle Bispo Vieira , Peña Stela Souza , Job Jose Roberto Pretel Pereira , Gianini Reinaldo José
Published: April 2021

Abstract: Introduction: The way information is transmitted is of crucial importance in the doctor-patient relationship, as good communication reduces complaints about inadequate practices and patient concerns and improves treatment adherence and health recovery. However, patient dissatisfaction on this subject is not unusual. Objectives: The objective of this work was to evaluate the perception of patients admitted to a Hospital Complex about the communication of clinical doctors and surgeons during the hospitalization period. Method: Cross-sectional, descriptive, analytical inquiry study, with the application of a questionnaire with questions about physicians’ general communication. The instrument was built by the researchers and was answered by 120 adult patients. The sample was defined by convenience and stratified by medical and surgical clinic. Frequency and statistical analyses were performed on the obtained results. Results: Of 120 patients, 53.33%(n=64) were admitted to the Surgical Clinic and 46.67%(n=56) to the Medical Clinic. Of this total, 57.5%(n=69) had high school to college/university education. Patients reported more negative than positive responses to the following questions: information about the side effects of medications (66%), advice on post-surgical procedures (68.75%) and information on health promotion and prevention in the hospital environment (63.33%). The surgical clinic had significantly lower proportions of positive responses for: The doctor said their name (p <0.01; crude OR: 0.33; 95% CI 0.15-0.76); The patient was informed about how their treatment would be conducted (p=0.02; crude OR: 0.38; 95% CI 0.17-0.87); and the patient was informed about the need to undergo tests (p=0.02; crude OR 0.40; 95% CI 0.18-0.90), which remained significant after adjustment for certain confounding factors. There were no significant differences regarding the other questions. When analyzing the question: “What grade would you give to the doctor’s general communication?” a significantly higher value (p=0.007) was given to the Medical Clinic (average 4.46±0.76) when compared to the Surgical Clinic (average 4±1.19). Conclusion: The doctor-patient communication showed significant deficits. Therefore, it is necessary for medical schools to offer students the development of this competence. Additionally, for an adequate generalization of the obtained results, new studies need to be carried out at different levels of medical care.
Instruments to assess children’s language and speech translated and adapted into Brazilian Portuguese: an integrative literature review
Authors: Silva Letícia Cristina , Lamônica Dionísia Aparecida Cusin , Hage Simone Rocha de Vasconcellos
Published: April 2021

ABSTRACT Purpose: to analyze the content and translation guidelines of instruments meant to assess language, speech sound production, and communicative skills of children, adapted to Brazilian Portuguese. Methods: a search was conducted in national and international databases to select articles on the assessment of language, speech, and communicative skills in children, considering the descriptors “translation”, “adaptation”, “cultural adaptation”, “cross-cultural adaptation”, “language”, “speech”, and “pragmatic”. The search was conducted in the SciELO, Virtual Health Library, PubMed/MEDLINE, and Latin American and Caribbean Health Sciences Literature. Results: eight assessment instruments compatible with the inclusion criteria were found. Conclusion: of the instruments found, four approached specific investigations, such as syntax, narrative, pragmatic skills, and speech sound organization, while the other four had a more encompassing profile, verifying form, content, and/or use (pragmatics). Concerning the guidelines, the most recurrent stages between the translation proposals were translation, conciliation of the previous stage or synthesis version, back-translation, reviewing committee, pretest, and final version. The conceptual, item and operational equivalences were frequently cited for verification.
Pedagogical performance in the preschool teaching of students with Autism Spectrum Disorder
Authors: Rocha Eduardo Pimentel da , Ferreira-Vasques Amanda Tragueta , Lamônica Dionísia Aparecida Cusin
Published: April 2021

ABSTRACT Purpose: to describe the panorama of the pedagogical context in the preschool teaching of students with Autism Spectrum Disorder (ASD), in a municipality in the state of São Paulo, Brazil. Methods: 32 teachers, including early childhood education (ECE), special education (SE), and specialized educational assistance (SEA), participated answering a questionnaire about their performance with autistic students. A descriptive qualitative analysis of the data was performed. Results: the average age of the teachers was 40.6 years old, with an undergraduate degree in Teaching, Pedagogy, Special Education, and/or Visual Arts, of which 84.4% were postgraduate. 87.4% knew ASD characteristics; 80%, SEA, 66.7%, SE, 57.1% of ECE teachers had receive the medical report. 78.1% reported difficulties in socialization, communication, behavior, learning; 15.6%, aggressive behavior / irritation; 12.5%, difficulties in attention / concentration; 6.2%, motor coordination difficulties in their autistic students. 62.5% considered that their autistic students had the potential to follow mainstream education; 68.8% received guidance from team professionals; 78.1% participated in courses/lectures on the theme; 28.1% considered they were able to teach autistic children; 78.1% stated that adjustments in the teaching structure were necessary. Conclusion: the scenario of the pedagogical context in the preschool teaching of students with ASD, in the studied municipality, needs reflections. Information on ASD characteristics, training courses, knowledge on individual follow-ups, so that teachers are prepared to promote effective teaching and learning, are needed.
Vocabulary performance of students with and without difficulties learning to read and write
Authors: Silva Cláudia da , Alves Patrícia do Valle
Published: April 2021

ABSTRACT Purpose: to compare vocabulary performances and verify the lexical competence of students with and without difficulties learning to read and write. Methods: 93 first-grade students were divided into Group I (50 students without difficulties) and Group II (43 students with difficulties learning to read and write). They were administered the Child Language Test focusing on vocabulary. The analysis considered aspects of usual word designation, non-designation, and substitution process. The data analysis was conducted with the Mann-Whitney test, with a p-value ≤ 0.05. Results: there were significant performances in the comparison between the groups in all the conceptual fields analyzed. There was no significance for either group regarding the conceptual fields of Foods, Furniture and Appliances, Places, and Professions in non-designation; regarding Means of Transportation in substitution processes; regarding Toys and Musical Instruments in both non-designation and substitution processes. Group I had higher means than Group II in usual word designation, and lower ones in non-designation and substitution processes. Conclusion: students with difficulties learning to read and write had greater difficulties in usual word designation, as well as higher error indexes in substitution processes and non-designation, which reveals a deficient vocabulary concerning lexical access in comparison with students without difficulties.
International Classification of Functioning, Disability, and Health in adult and older users of audiology services
Authors: Souza Valquíria Conceição , Lemos Stela Maris Aguiar
Published: April 2021

ABSTRACT Purpose: to describe aspects of functioning and disability related to hearing and sociodemographic factors of audiology service users. Methods: an exploratory study with a probabilistic sample comprising 152 participants who answered a socioeconomic and assistance questionnaire. The functioning and disability were analyzed by means of the International Classification of Functioning, Disability, and Health. Descriptive data analyses were conducted. Results: most users of the Hearing Health Care Service considered they had mild (41.2%) or moderate (34.2%) disability in b1560 Auditory perception, and mild (36%) and moderate (35.1%) disability in b230 Hearing Functions. In Activities and Participation, the users of the Hearing Health Care Service obtained better results in d330 Speaking (83.3%), d315 Communicating with and receiving nonverbal messages (65.8%), and d760 Family relationships (65.1%). The hearing aid was a facilitator in these subjects’ social interaction with the environment. Most of those attending the Audiology Outpatient Center did not have disabilities or difficulties in the activities and participation, and the environment was a facilitator. Conclusion: most of the participants attending the Hearing Health Care Service had a disability in auditory perception and hearing functions. However, such a disability was not a limiting factor in the performance of most of the activities and participations assessed.
Self-regulation for learning intervention in reading comprehension: an integrative review
Authors: FERRAZ Adriana Satico , SANTOS Acácia Aparecida Angeli dos
Published: April 2021

Abstract This integrative review aimed to investigate the structure of successful interventions in the development of self-regulation for learning to optimize reading comprehension of Basic Education students. The search for articles was carried out in five databases, and by the method of searching for quotes. Of the 137 items retrieved, 13 were eligible. The samples of the reported interventions were composed of students from the 3rdto 6thgrade, from American, German, and Slovenian schools. The interventions were of an instructional type, focusing on developing self-regulatory strategies to develop reading comprehension. The studies indicated that participation in the interventions increased the students' performance in this cognitive-linguistic skill. It is assumed that this review can assist psychologists and educators in preparing, applying, and monitoring the results of intervention programs to develop students' self-regulation in carrying out tasks that involve reading comprehension.
(In)Eficiência Educacional sob a Perspectiva dos Gastos Públicos Desagregados
Authors: Bernardo Joyce Santana , Almeida Fernanda Maria de , Nascimento Ana Carolina Campana
Published: April 2021

Resumo: Para verificar a eficiência dos municípios brasileiros na aplicação dos recursos públicos desagregados na qualidade da educação pública, de 2009 a 2013, utilizou-se o método de Análise de Fronteira Estocástica, conforme Battese e Coelli (1995). Os resultados apontaram que aspectos sociais (gastos com saúde e infraestrutura) não foram propulsores da eficiência, apesar da maior destinação de recursos por parte dos mais eficientes. Dos gastos públicos educacionais desagregados, foram positivos os com infraestrutura, serviços terceirizados por pessoas jurídicas e com outras despesas. Ainda, os municípios mais eficientes foram os com menos alunos em sala de aula e, principalmente, com 90% dos alunos matriculados na série coerente à idade.
Dominação e Resistência na Escolarização Cristianizada na Amazônia
Authors: Câncio Raimundo Nonato de Pádua , Araújo Sônia Maria da Silva
Published: April 2021

Resumo: O objetivo deste estudo é demonstrar como a escolarização cristianizada, mobilizada por missionários norte-americanos, foi apropriada pelos indígenas Waiwai da Aldeia Mapuera, estado do Pará, Amazônia brasileira. Metodologicamente, trata-se de um estudo de caso do tipo etnográfico realizado no Território Indígena Nhamundá-Mapuera/PA com professores e sujeitos indígenas. No plano teórico, a análise dos dados se inspira na teoria decolonial. Os resultados mostram que os Waiwai não aceitaram passivamente o processo imposto, não obstante compreenderem a escolarização como um valor irremediável. Práticas de dominação e resistência, contraditoriamente, foram sendo estabelecidas e hoje atuam como instrumental de sobrevivência.
Formadores de Profesores Memorables: perspectiva de docentes noveles
Authors: Gajardo-Asbún Karen Paulina , Turra-Díaz Omar , Aravena-Ramirez Lorenzo
Published: April 2021

Resumen: La investigación que aquí se presenta tiene por objetivo reconocer los componentes característicos con que son significados los académicos formadores de profesores considerados memorables, desde la perspectiva de profesores noveles de Pedagogía en Educación General Básica y Pedagogía en Historia y Geografía que cursaron estudios en universidades de la macrozona centro sur de Chile. A partir de un estudio cualitativo de corte interpretativo, se obtuvo resultados que evidencian la configuración de cuatro categorías de análisis, las cuales exponen diversas características que revelan la importancia del rol del formador y su impacto en el profesorado.
Living well with kidney disease by patient and care-partner empowerment: kidney health for everyone everywhere
Authors: Kalantar-Zadeh Kamyar , Li Philip Kam-Tao , Tantisattamo Ekamol , Kumaraswami Latha , Liakopoulos Vassilios , Lui Siu-Fai , Ulasi Ifeoma , Andreoli Sharon , Balducci Alessandro , Dupuis Sophie , Harris Tess , Hradsky Anne , Knight Richard , Kumar Sajay , Ng Maggie , Poidevin Alice , Saadi Gamal , Tong Allison
Published: April 2021

Abstract Living with chronic kidney disease (CKD) is associated with hardships for patients and their care-partners. Empowering patients and their care-partners, including family members or friends involved in their care, may help minimize burden and consequences of CKD-related symptoms to enable life participation. There is a need to broaden the focus on living well with kidney disease and re-engagement in life, including emphasis on patients being in control. The World Kidney Day (WKD) Joint Steering Committee has declared 2021 the year of “Living Well with Kidney Disease” in an effort to increase education and awareness on the important goal of patient empowerment and life participation. This calls for the development and implementation of validated patient-reported outcome measures to assess and address areas of life participation in routine care. It could be supported by regulatory agencies as a metric for quality care or to support labelling claims for medicines and devices. Funding agencies could establish targeted calls for research that address the priorities of patients. Patients with kidney disease and their care-partners should feel supported to live well through concerted efforts by kidney care communities including during pandemics. In the overall wellness program for kidney disease patients, the need for prevention should be reiterated. Early detection with prolonged course of wellness despite kidney disease, after effective secondary and tertiary prevention programs, should be promoted. WKD 2021 continues to call for increased awareness of the importance of preventive measures throughout populations, professionals, and policy makers, applicable to both developed and developing countries.
Processo de Enfermagem como potencializador da prática da acupuntura
Authors: Bousfield Ana Paula Senna , Padilha Maria Itayra , Bellaguarda Maria Lígia dos Reis , Costa Roberta
Published: April 2021

Resumo Objetivo Analisar a utilização do Processo de Enfermagem na prática da acupuntura, no período de 1997 a 2015. Método Qualitativo, com abordagem Histórico-Social, por meio da história oral temática aplicada a 20 enfermeiras especialistas em acupuntura, fundamentado na Sociologia das Profissões, de Eliot Freidson. Da análise temática, construíram-se duas categorias: Processo de Enfermagem como organizador da prática da acupuntura; e Desconhecimento da importância do Processo de Enfermagem na prática da acupuntura. Resultados A aplicação do Processo de Enfermagem na consulta de enfermagem, com foco na prática da acupuntura como cuidado e tratamento, possibilita uma atuação diferenciada, maior compreensão e reconhecimento diagnóstico, escolha mais adequada de técnicas favoráveis à qualidade e o bem-estar dos usuários, além de consolidar a sua utilização como prática especializada. Considerações finais O Processo de Enfermagem possibilita um avanço tecnológico aplicado na consulta de enfermagem, ao se implementar a acupuntura como tratamento e reabilitação, colaborando na evolução e prognóstico no atendimento, e uma estratégia facilitadora para a enfermeira acupunturista junto ao cliente.
Germination of tucumã (Astrocaryum aculeatum G. Mey.) as a function of thermal pretreatment and stratification temperature
Authors: Ferreira Sidney Alberto do Nascimento , Lins Neto Nelson Felipe de Albuquerque , Gentil Daniel Felipe de Oliveira
Published: April 2021

Abstract: Germination of tucumã (Astrocaryum aculeatum G. Mey.) seeds is slow and although the removal of the endocarp favors the speed of the process, the time is still considered long. Thus, this study aimed to investigate the effects of different pretreatment and stratification temperatures on the germination of tucumã seeds. Two experiments were set up. The first experiment was conducted using a completely randomized design in a factorial scheme and seedling emergence was evaluated as a function of the pretreatment of diaspores at different temperatures (27, 30, 35, and 40 °C) during different periods (20, 40, and 60 days). The second experiment was also conducted in a completely randomized design and seed germination was evaluated as a function of seed stratification at constant (25, 30, 35, and 40 °C) and alternating temperatures (26 - 30, 26 - 35, and 26 - 40 °C). Germination decreased progressively in all tested periods as the pretreatment temperature increased. Seed stratification at different constant and alternating temperatures showed different results. The pretreatment of diaspores at different temperatures for different periods was not effective in overcoming the dormancy of tucumã seeds. Seed stratification at alternating temperatures, with the highest thermal amplitude (26 - 40 °C), favored the overcoming of dormancy and the germination of tucumã seeds.
Atenção à pessoa com deficiência: composição das equipes e distribuição geográfica do componente especializado em reabilitação
Authors: Santos Mônica Farina Neves , Friche Amélia Augusta Lima , Lemos Stela Maris Aguiar
Published: April 2021

RESUMO Objetivo analisar a composição das equipes e a distribuição geográfica dos serviços e profissionais da Rede de Cuidados à Pessoa com Deficiência (RCPD). Método estudo observacional-analítico-transversal, desenvolvido por meio de dados secundários do componente especializado em reabilitação, com amostra de 3.271 profissionais. Resultados a metade dos serviços está em três regiões ampliadas; há maior representação de Serviços Especializados em Reabilitação da Deficiência Intelectual (SERDI), serviços privados e fisioterapeutas; observou-se que a maioria dos serviços possui equipes completas e que a maior parte não cumpre carga horária mínima estabelecida pela política nacional; as regiões ampliadas Jequitinhonha, Norte e a modalidade Centros Especializados em Reabilitação (CER) apresentaram maiores médias de profissionais e carga horária; houve associação estatisticamente significante entre equipe completa e serviços privados. Conclusão os resultados podem contribuir no desenvolvimento de estratégias que minimizem as disparidades encontradas na distribuição geográfica, nas modalidades de reabilitação e nos investimentos para rede pública.
Atendimento vocal à pessoa trans: uma apresentação do Protocolo de Atendimento Vocal do Ambulatório Trans e do Programa de Redesignação Vocal Trans (PRV-Trans)
Authors: Dornelas Rodrigo , Silva Kelly da , Pellicani Ariane Damasceno
Published: April 2021

RESUMO Objetivo Apresentar o Protocolo de Atendimento Vocal do Ambulatório Trans (PAV-trans) e o Programa de Redesignação Vocal (PRV-trans) para pessoas trans. Método O protocolo é composto pelas seguintes etapas: 1) encaminhamento do usuário; 2) avaliação fonoaudiológica, aplicação de protocolos de autopercepção, encaminhamento para avaliação otorrinolaringológica e definição da conduta: terapia individualizada (fonte sonora) ou PRV-trans para filtro vocal; 3) PRV-trans, contendo 12 parâmetros vocais a serem trabalhados mensalmente de forma individual e em grupo com os usuários; 4) Após finalizado o PRV-Trans, o usuário é encaminhado para reavaliação fonoaudiológica e otorrinolaringológica, no qual será observado se o objetivo da redesignação vocal foi alcançado. Resultados O PRV-Trans é um programa que visa o desenvolvimento de um trabalho de filtro vocal para a população trans, que seja flexível e que contemple as queixas dessa população, no qual apresenta dificuldades de acesso ao serviço de saúde. Conclusão O PAV-trans e o PRV-trans são ferramentas que podem subsidiar o atendimento fonoaudiológico às pessoas trans no Brasil, traçando mecanismos que possibilitem maior segurança às pessoas trans em busca de uma passabilidade social por meio da voz, minimizando a transfobia, estabelecendo um conforto e a satisfação social.
Fatores associados às queixas vocais autorreferidas por agentes comunitários de saúde
Authors: Murta Júlia de Almeida Nunes , Barbosa Mariane Silveira , Caldeira Antônio Prates , Barbosa-Medeiros Mirna Rossi , Rossi-Barbosa Luiza Augusta Rosa
Published: April 2021

RESUMO Objetivo Verificar a prevalência das queixas vocais e a associação com os fatores sociodemográficos, econômicos, ocupacionais e comportamentais entre a população de Agentes Comunitários de Saúde (ACS). Método Trata-se de um estudo transversal e analítico, realizado no município de Montes Claros, MG, no qual participaram 674 ACS. Para os aspectos sobre o uso da voz foi aplicado o Índice de Triagem de Distúrbio de Voz (ITDV) e os demais dados contemplavam as condições sociodemográficas, econômicas, ocupacionais e comportamentais. Realizou-se a análise bivariada, pelo teste do qui-quadrado de Pearson, e a regressão múltipla de Poisson com variância robusta para verificar a associação entre as variáveis. Resultados Houve alta prevalência de queixas vocais, sendo as mais citadas: garganta seca, pigarro, cansaço ao falar e rouquidão. Verificou-se associação significativa entre: sexo feminino, falta de sono reparador, uso de bebidas alcóolicas, autoavaliação da saúde regular a muito ruim e ansiedade. Conclusão Houve uma porcentagem significativa de queixas vocais e os fatores associados encontrados nortearão ações de promoção da saúde vocal e geral.
O DISPOSITIVO MORALITÚRGICO EM UMA ESCOLA PÚBLICA BRASILEIRA
Authors: Horn Graciela Bernardi , Loguercio Rochele de Quadros
Published: April 2021

RESUMO A articulação observada entre vários elementos (sons, coisas, palavras, ações) em uma escola pública localizada no sul do Brasil foi o que vimos operando em jogos de saber/poder como uma malha curricular. Essa malha é composta por minuciosas, exegéticas e heterogêneas técnicas que, com valores morais cristãos, fabrica e dá visibilidade a um determinado modo de existência escolar cristã engendrada por procedimento pedagógico-litúrgico. Com o conceito de dispositivo de Foucault, procuramos ensaiar um exercício filosófico criador, produzindo um novo conceito, o dispositivo moralitúrgico, como ferramenta analítica. O movimento moral e litúrgico da pedagogia desse dispositivo convoca os indivíduos a, em atitude ascética, examinarem-se e corrigirem-se.