bluuebunny/crossref_metadata_2025 huggingface dataset:
Ensayo clínico aleatorizado cruzado de una intervención basada en mindfulness con enfermeros líderes: estudio piloto
Authors: Santos Teresa Maria dos , Balsanelli Alexandre Pazetto , Souza Káren Mendes Jorge de
Published: March 2024

Objetivo: analizar los efectos de una intervención basada en mindfulness sobre la inteligencia emocional y la resiliencia de enfermeros líderes. Método: estudio piloto de un ensayo clínico aleatorizado cruzado. Muestra (n=32) aleatorizada en el grupo A (n=18) y grupo B (n=14), se los evaluó en el pretest, postest y seguimiento. Los resultados fueron evaluados mediante la Medida de Inteligencia Emocional, el Cuestionario de Resiliencia de Connor-Davidson y el Cuestionario Mindfulness de Cinco Facetas, y analizados por el Generalized Linear Mixed Models . Resultados: fueron evaluadas 32 enfermeras con una edad promedio de 42,6 años. Los análisis mostraron interacciones significativas de los efectos de los factores grupo vs. momento en los puntajes de las habilidades de automotivación (p=0,005), sociabilidad (p<0,001), autocontrol (p=0,013) y total (p=0,002) de inteligencia emocional; de las facetas observar (p=0,042), describir (p=0,008), no juzgar (p<0,001), actuar con conciencia (p=0,004) y total (p<0,001) de mindfulness. Postest: hubo un aumento estadísticamente significativo de las habilidades de sociabilidad (p=0,009) y autocontrol (p=0,015) de inteligencia emocional; de las facetas no juzgar (p=0,022) y total (p=0,002) de mindfulness . Seguimiento: se observó un aumento significativo en las facetas no juzgar (p=0,024) y total (p=0,026) de mindfulness . La variable resiliencia no presentó significación estadística en el factor grupo vs. momento en el postest y seguimiento. Conclusión: la intervención basada en mindfulness utilizada demostró ser eficaz para aumentar la inteligencia emocional y las habilidades de mindfulness disposicional de los enfermeros líderes. Registro Brasileño de Ensayos Clínicos (RBR-3c62gy), registrado el 4 de marzo de 2020, actualizado el 16 de septiembre de 2022.
Randomized crossover clinical trial of a Mindfulness-based intervention for nurse leaders: A pilot study
Authors: Santos Teresa Maria dos , Balsanelli Alexandre Pazetto , Souza Káren Mendes Jorge de
Published: March 2024

Objective: to analyze the effects of a Mindfulness-based intervention on nurse leaders’ emotional intelligence and resilience. Method: a pilot study of a randomized crossover clinical trial. The sample (n=32) was randomized into Group A (n=18) and Group B (n=14) and evaluated at the pre-test, post-test and follow-up moments. The outcomes were assessed using the Emotional Intelligence Measure, the Connor-Davidson Resilience Questionnaire and the Five Facet Mindfulness Questionnaire, and analyzed using Generalized Linear Mixed Models. Results: a total of 32 nurses with a mean age of 42.6 years old were evaluated. The analyses showed significant interactions between the effects of the group x moment factors on the Self-motivation (p=0.005), Sociability (p<0.001), Self-control (p=0.013), and Total (p=0.002) emotional intelligence skill scores; as well as on the Observe (p=0.042), Describe (p=0.008), Non-judgment (p<0.001), Act with awareness (p=0.004) and Total (p<0.001) mindfulness facets. Post-test: there was a statistically significant increase in the Sociability (p=0.009) and Self-control (p=0.015) emotional intelligence skills; as well as in the Non-judgment (p=0.022) and Total (p=0.002) mindfulness facets. Follow-up: a significant increase was observed in the Non-judgment (p=0.024) and Total (p=0.026) mindfulness facets. The “resilience” variable did not present statistical significance in the “group x moment” factor, both in the post-test and during follow-up. Conclusion: the Mindfulness-based intervention used proved to be effective in increasing nurse leaders’ emotional intelligence and dispositional mindfulness skills. Brazilian Registry of Clinical Trials (RBR-3c62gy), registered on March 4 th , 2020, updated on September 16 th , 2022.
Evidence of validity of the Smoking Cessation Counseling scale - Brazilian version
Authors: Porreca Juliana Maria Ruoco Zambardi , Newhouse Robin Purdy , Santos Vinicius Batista , Lopes Juliana de Lima , Barros Alba Lúcia Bottura Leite de
Published: March 2024

Objective: to evaluate the evidence of validity of the internal structure and reliability of the Brazilian version of the Smoking Cessation Counseling instrument Method: psychometric study of confirmatory factor analysis and reliability carried out on 250 nurses in clinical practice. For the analysis of the convergent validity of the factor model, Average Variance Extracted values were calculated, and discriminant analysis was carried out using the Fornell-Larcker criterion. Reliability was examined using Cronbach’s alpha coefficient and composite reliability Results: it was necessary to exclude seven items from the Advanced Counseling domain and one item from the Basic Counseling domain in order to properly obtain the Average Variance Extracted values and the Fornell-Larcker criterion. The composite reliability ranged from 0.76 to 0.86 and the overall Cronbach`s alpha coefficient was 0.86, ranging from 0.53 to 0.84 depending on the domain assessed. The final version of the instrument was made up of 16 items divided into 4 domains Conclusion: the Brazilian version of Smoking Cessation Counseling obtained adequate psychometric evidence of validity and reliability. Further studies are needed to refine the instrument.
Evidências de validade da escala Smoking Cessation Counseling - versão brasileira
Authors: Porreca Juliana Maria Ruoco Zambardi , Newhouse Robin Purdy , Santos Vinicius Batista , Lopes Juliana de Lima , Barros Alba Lúcia Bottura Leite de
Published: March 2024

Objetivo: avaliar as evidências de validade da estrutura interna e da confibialidade da versão brasileira do instrumento Smoking Cessation Counseling Método: estudo psicométrico de análise fatorial confirmatória e de confiabilidade realizado em 250 enfermeiras da prática clínica. Para a análise da validade convergente do modelo fatorial foram calculados valores de Average Variance Extracted , a análise discriminante foi realizada pelo critério de Fornell-Larcker. A confiabilidade foi examinada pelo coeficiente de alfa de Cronbach e pela confiabilidade composta Resultados: foi necessária a exclusão de sete itens do domínio de Aconselhamento avançado e um item do domínio Aconselhamento básico para obtenção adequada dos valores de Average Variance Extracted e do critério de Fornell-Larcker. A confiabilidade composta variou de 0,76 a 0,86 e o coeficiente de alfa de Cronbach global alcançado foi de 0,86, variando de 0,53 a 0,84 a depender do domínio avaliado. Obteve-se a versão final do instrumento composto de 16 itens distribuídos em quatro domínios Conclusão: a versão brasileira da Smoking Cessation Counseling obteve adequadas evidências psicométricas de validade e de confiabilidade. Estudos posteriores serão necessários para o refinamento do instrumento.
Avaliação psicométrica do Functional Health Pattern Assessment Screening Tool – Versão Brasileira Modificada
Authors: Butcher Rita de Cassia Gengo e Silva , Guandalini Lidia Santiago , de Barros Alba Lucia Bottura Leite , Damiani Bruna Bronhara , Jones Dorothy Anne
Published: March 2024

Objetivo: testar a estrutura fatorial, a confiabilidade e a validade convergente do Functional Health Pattern Assessment Screening Tool – Versão Brasileira Modificada. Método: avaliação psicométrica do Functional Health Pattern Assessment Screening Tool – Versão Brasileira Modificada. Setecentos e dezessete participantes responderam os itens do instrumento de coleta de dados composto por duas partes. A Parte I incluiu um questionário estruturado contendo dados sociodemográficos e a percepção e satisfação dos participantes com seu estado de saúde atual. A Parte II consistiu no instrumento testado. A estrutura interna foi avaliada por meio de Análise Fatorial Confirmatória. A validade convergente foi avaliada pela correlação dos escores do instrumento com os índices correspondentes à autopercepção e à satisfação com o estado de saúde atual. A confiabilidade foi avaliada pelo alfa de Cronbach. Resultados: a Análise Fatorial Confirmatória confirmou uma solução de três fatores. As cargas fatoriais foram significativas e variaram de 0,16 a 0,75; os índices de ajuste sugeriram ajuste moderado do modelo. A consistência interna dos três componentes variou entre 0,779 e 0,919. Conclusión: os achados sugerem que o instrumento é válido e confiável para ser utilizado na população brasileira, embora seja recomendada cautela na interpretação dos resultados devido ao ajuste moderado do modelo.
Actitudes y percepciones sobre edadismo entre los estudiantes de enfermería: una revisión de alcance
Authors: Fhon Jack Roberto Silva , Alves Natalia , Santos Neto Alexandre Pereira dos , Djinan Alice Regina Felipe Silva , Laurenti Anaclara Viggiano , Lima Eveline Fontes Costa
Published: March 2024

Objetivo: mapear el conocimiento científico sobre las actitudes y percepciones de los estudiantes de enfermería respecto al edadismo. Método: La pregunta del estudio fue: ¿Qué evidencia científica está disponible sobre las actitudes y percepciones de los estudiantes de enfermería respecto al edadismo? La búsqueda se realizó en 12 bases de datos utilizando la aplicación Rayyan y la Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews . Los estudios fueron seleccionados por dos revisores mediante una herramienta de extracción de datos. Resultados: de los 4.595 artículos, se seleccionaron 46 publicados entre 1984 y 2022, siendo el método cuantitativo el más utilizado. La herramienta más utilizada fue el Kogan’s Attitudes Toward Old People Scale . Se identificaron actitudes y percepciones positivas, negativas, mixtas, neutras y no concluyentes. Conclusión: las actitudes y percepciones sobre la discriminación por edad son diversas y no concluyentes. Se recomiendan futuros estudios de intervención para detectar cambios en el comportamiento de los estudiantes de enfermería ante el edadismo.
Attitudes and perceptions about ageism among nursing students: a scoping review
Authors: Fhon Jack Roberto Silva , Alves Natalia , Santos Neto Alexandre Pereira dos , Djinan Alice Regina Felipe Silva , Laurenti Anaclara Viggiano , Lima Eveline Fontes Costa
Published: March 2024

Objective: to map scientific knowledge on nursing students’ attitudes and perceptions regarding ageism. Method: scoping review according to the recommendations of the Joanna Briggs Institute. The study question was: What are scientific evidence available on the attitudes and perceptions of nursing students regarding ageism? The search was conducted in 12 databases using the Rayyan application and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The studies were selected by two reviewers using a data extraction tool. Results: of the 4,595 files, 46 that were published between 1984 and 2022 were selected, and the quantitative method was the most used. The most commonly used instrument was the Kogan’s Attitudes Toward Old People Scale. Positive, negative, mixed, neutral, and inconclusive attitudes and perceptions were identified. Conclusion: attitudes and perceptions about ageism are diverse and not conclusive. Future intervention studies are recommended to detect changes in the behavior of nursing students in the face of ageism.
Team climate and job satisfaction in a mobile emergency service: a multilevel study
Authors: Carmo Hercules de Oliveira , Peduzzi Marina , Tronchin Daisy Maria Rizatto
Published: March 2024

Objective: to investigate the relationship between team climate and job satisfaction among professionals working in mobile pre-hospital care. Method: this is a quantitative, correlational study carried out in a mobile pre-hospital care service in the São Paulo Metropolitan Region. The participants were 95 professionals, allocated to 40 teams, who answered three questionnaires: sociodemographic/labor data, Team Climate Scale and S20/23 Job Satisfaction Scale. Descriptive statistics and multilevel linear models were used for the analysis, including moderation effects. The Backward method was used to ascertain the order of significance. Results: in the models, the relationships between satisfaction with hierarchical relationships and the factor “support for new ideas” moderated for men and “task orientation” for women were significant. For satisfaction with the physical environment, “working hours” and “participation in the team” were significant and, for intrinsic satisfaction, the regime, working hours and the factors “team objectives”, “participation in the team” and “support for new ideas” remained significant, as did the moderation effect between length of service, “participation in the team” and “support for new ideas”. Conclusion: team climate is influenced by job satisfaction in a heterogeneous way and the moderating effect of this relationship is associated with gender and length of service.
Clima em equipe e satisfação no trabalho em um serviço de atendimento móvel de urgência: estudo multinível
Authors: Carmo Hercules de Oliveira , Peduzzi Marina , Tronchin Daisy Maria Rizatto
Published: March 2024

Objetivo: examinar a relação entre clima em equipe e satisfação no trabalho de profissionais atuantes em atendimento pré-hospitalar móvel. Método: estudo quantitativo, correlacional, realizado em um serviço de atendimento pré-hospitalar móvel da Região Metropolitana de São Paulo. Participaram 95 profissionais, alocados em 40 equipes, os quais responderam a três questionários: dados sociodemográficos/laborais, Escalas de Clima na Equipe e de Satisfação no Trabalho S20/23. Para a análise, foram usados a estatística descritiva e os modelos lineares multiníveis, incluindo efeitos de moderação. Empregou-se o método Backward para averiguar a ordem de significância. Resultados: nos modelos, foram significantes as relações entre satisfação com relações hierárquicas e fator “apoio para novas ideias” moderado ao gênero homem e “orientação para as tarefas” às mulheres. Para satisfação com ambiente físico, foram significantes “jornada de trabalho” e “participação na equipe” e, para satisfação intrínseca, permaneceram significantes o regime, a jornada e os fatores “objetivos da equipe”, “participação na equipe” e “apoio para ideias novas”, e efeito de moderação entre tempo de atuação, “participação na equipe” e “apoio para ideias novas”. Conclusão: clima em equipe é influenciado pela satisfação no trabalho de modo heterogêneo e o efeito moderador dessa relação associa-se ao gênero e ao tempo de atuação no serviço.
Impacto de la metodología de problematización en el conocimiento de estudiantes de enfermería y medicina sobre hipodermoclisis: estudio cuasiexperimental
Authors: Coutinho Juliana de Souza Lima , Mendonça Érica Toledo de , Braga Luciene Muniz , Salgado Patrícia de Oliveira , Ercole Flavia Falci , Toledo Luana Vieira
Published: March 2024

Objetivo: analizar el impacto de la metodología de problematización en el conocimiento de estudiantes de enfermería y medicina sobre hipodermoclisis. Método: estudio cuasiexperimental realizado con 22 estudiantes de enfermería y medicina de una institución pública de educación superior brasileña. Los estudiantes participaron de la intervención educativa utilizando la metodología de problematización basada en el Arco de Maguerez. Se utilizó un cuestionario previamente validado para determinar el nivel de conocimiento de los estudiantes sobre la hipodermoclisis. Este instrumento se aplicó antes y después de la intervención educativa. Los resultados se compararon mediante la prueba de McNemar y la prueba t de Student para muestras pareadas. Resultados: al comparar las respuestas correctas antes y después de la intervención, se observó un aumento significativo en el 75% de las preguntas (p<0,05), que incluye aspectos teóricos y prácticos de la hipodermoclisis. El puntaje promedio en la autoevaluación de los estudiantes con respecto a su capacidad para explicar (0,9 versus 5,9 puntos) y realizar hipodermoclisis (1,9 versus 5,0) fue significativamente mayor después de aplicar la metodología de problematización (p<0,001). Conclusión: la metodología de problematización tuvo impacto positivo en el conocimiento de los estudiantes sobre la hipodermoclisis. El número de respuestas correctas luego de la intervención educativa fue mayor que en la evaluación inicial. La metodología de problematización puede incorporarse al proceso de enseñanza-aprendizaje de estudiantes de enfermería y medicina para enseñar procedimientos como la hipodermoclisis.
Problematization methodology’s impact on nursing and medical students’ knowledge about hypodermoclysis: quasi-experimental study
Authors: Coutinho Juliana de Souza Lima , Mendonça Érica Toledo de , Braga Luciene Muniz , Salgado Patrícia de Oliveira , Ercole Flavia Falci , Toledo Luana Vieira
Published: March 2024

Objective: to analyze the problematization methodology impact on the knowledge of nursing and medical students about hypodermoclysis. Method: quasi-experimental study conducted with 22 undergraduate nursing and medical students from a public Brazilian higher education institution. The students participated in the educational intervention using the problematization methodology based on the Arch of Maguerez. A previously validated questionnaire was used to determin’ the students’ knowledge level about hypodermoclysis. This instrument was applied before and after the educational intervention. The results were compared by McNemar’s test and Student’s t test for paired samples. Results: when comparing the correct answers before and after the intervention, there was a significant increase in 75% of the questions (p<0.05), including theoretical and practical aspects of hypodermoclysis. The mean score on students’ self-assessment of the ability to explain (0.9 versus 5.9 points) and perform hypodermoclysis (1.9 versus 5.0) was significantly higher after applying the problematization methodology (p<0.001). Conclusion: the problematization methodology had a positive impact on the students’ knowledge about hypodermoclysis. The number of correct answers after the educational intervention was higher than the initial assessment. The problematization methodology can be incorporated into the teaching-learning process of nursing and medical students for teaching procedures such as hypodermoclysis.
Impacto da metodologia de problematização no conhecimento de estudantes de enfermagem e medicina sobre hipodermóclise: estudo quase experimental
Authors: Coutinho Juliana de Souza Lima , Mendonça Érica Toledo de , Braga Luciene Muniz , Salgado Patrícia de Oliveira , Ercole Flavia Falci , Toledo Luana Vieira
Published: March 2024

Objetivo: analisar o impacto da metodologia de problematização no conhecimento de estudantes de enfermagem e medicina sobre hipodermóclise. Método: estudo quase-experimental realizado com 22 estudantes de graduação em enfermagem e medicina de uma instituição pública de ensino superior brasileira. Os alunos participaram da intervenção educacional usando a metodologia de problematização baseada no Arco de Maguerez. Um questionário previamente validado foi usado para determinar o nível de conhecimento dos alunos sobre hipodermóclise. Esse instrumento foi aplicado antes e depois da intervenção educacional. Os resultados foram comparados pelo teste de McNemar e pelo teste t de Student para amostras pareadas. Resultados: ao comparar as respostas corretas antes e depois da intervenção, houve um aumento significativo em 75% das questões (p<0,05), incluindo aspectos teóricos e práticos da hipodermóclise. A pontuação média na autoavaliação dos alunos quanto à capacidade de explicar (0,9 versus 5,9 pontos) e realizar a hipodermóclise (1,9 versus 5,0) foi significativamente maior após a aplicação da metodologia de problematização (p<0,001). Conclusão: a metodologia de problematização teve um impacto positivo no conhecimento dos alunos sobre hipodermóclise. O número de respostas corretas após a intervenção educacional foi maior do que na avaliação inicial. A metodologia de problematização pode ser incorporada ao processo de ensino-aprendizagem de estudantes de enfermagem e medicina para o ensino de procedimentos como a hipodermóclise.
Repercussões da movimentação de pacientes sobre o contexto de prática: perspectivas da equipe de enfermagem
Authors: Campos Mariana Santos de , Cucolo Danielle Fabiana , Perroca Marcia Galan
Published: March 2024

Objetivo: examinar o olhar da equipe de enfermagem quanto às repercussões da movimentação de pacientes (admissões, transferências e altas) na organização do trabalho e na entrega do cuidado. Método: estudo qualitativo utilizando técnica de grupo focal conduzido junto a vinte e três profissionais sendo doze enfermeiros, oito técnicos e três auxiliares de enfermagem lotados em três unidades de internação de um hospital de ensino do interior de São Paulo. Ocorreram quatro encontros, entre novembro de 2021 e março de 2022. Os relatos foram analisados na modalidade temática com o auxílio do software MAXQDA. Resultados: emergiram duas categorias temáticas: a influência de fatores estruturais e da organização do trabalho na movimentação intra-hospitalar de pacientes; e a movimentação de pacientes demanda tempo, gera sobrecarga de trabalho e interfere na entrega do cuidado. Conclusão: o volume de movimentações de pacientes associado às demandas imprevistas, complexidade assistencial e insuficiência de pessoal e de recursos repercutem negativamente na entrega do cuidar com riscos clínicos e sobrecarga laboral. Os achados possibilitam aprimorar a regulação das entradas e saídas de pacientes nas unidades, organização do trabalho e gestão do cuidado evitando-se riscos clínicos, atrasos, omissões e sobrecarga laboral.
Dung beetles in South American pasturelands
Authors: Maldaner Maria Eduarda , Costa-Silva Vinícius da , Vaz-de-Mello Fernando Z.
Published: March 2024

Abstract Pasturelands are characterized as grasslands utilized for cattle raising and consist of natural or exotic vegetation, predominantly grasses. In the context of sustainable production, the biodiversity of insects within grazing environments holds significant value. Dung beetles play a crucial role in sustaining pasturelands as the burial of feces by these beetles fosters ecological services indispensable for maintaining a robust and healthy environment. Given that different dung beetle species contribute to distinct environmental benefits, a comprehensive understanding of the species present in pasturelands, their origins, and the ecological services they provide is imperative. This study endeavors to compile comprehensive information on dung beetle species native to South America, emphasizing taxonomic precision and a confirmed affinity for cattle dung. Our findings are derived from a synthesis of literature and observational data, incorporating location information obtained from taxonomic revisions and specimen labels of specimens housed at CEMT. In South America, a total of 57 dung beetle species are documented that inhabit grazing areas and actively feed on cattle manure. These areas span diverse biomes encompassing native and/or introduced grasslands, which may include deforested sections within forest biomes such as Chaco, Pantanal, Cerrado, Caatinga, Pampa, Atlantic Forest, Amazon Forest, Paramo, Puna, Llanos, and Patagonia. The preponderance of species identified fall within the paracoprid category, recognized as particularly vital for the sustainability of pasturelands. Despite their acknowledged importance, a noticeable knowledge gap impedes the effective conservation of these species. This gap is a focal point of discussion in this study, addressing the challenges and opportunities for enhancing conservation efforts. The species documented in this research exhibit notable economic and environmental relevance in the context of sustainable livestock production, emphasizing the urgency and significance of initiatives that prioritize their conservation.
Wischnewsky spots in cases of fatal hypothermia in cattle
Authors: Souza Larissa L. , Guizelini Carolina C. , Almeida Bruno A. , Silva Thaísa X. , Lima Acauane S. , Carvalho Vitor F. , Driemeier David , Lemos Ricardo Antônio A.
Published: March 2024

ABSTRACT: Wischnewsky spots (WS) are hemorrhagic, non-erosive, and non-ulcerative lesions that affect the gastric mucosa. They are considered common in the stomachs of humans who have died from hypothermia and are rarely described in other animal species. This study describes the occurrence of WS in cattle that had died of hypothermia in two cities in the state of Mato Grosso do Sul. Two properties were visited, and three cattle were necropsied by the team from the Pathological Anatomy Laboratory of the Federal University of Mato Grosso do Sul (LAP-UFMS). The epidemiological conditions and clinical signs of the cattle examined on both properties were similar. The deaths occurred on days when there was a sudden drop in environmental temperature, with continuous rain for more than 24 hours. During the visits, the most affected live cattle were found in sternal decubitus, with their heads resting on their flanks, or laterally in a comatose state, with nystagmus and a rectal temperature below 32°C. Macroscopically, there were multifocal to coalescent red and black areas on the mucosal surface of the abomasums of the three cattle necropsied, mainly at the apex of the folds, oval or punctate in shape, measuring 0.1 to 1.0cm in diameter. Microscopically, these dark areas corresponded to areas of rarefaction of the mucosal epithelial cells associated with hemorrhage and the frequent deposition of golden-brown pigment (hematin) in the extracellular medium. The diagnosis of hypothermia in cattle was based on epidemiology, clinical-pathological examination, and the exclusion of differential diagnoses. The lesions found in the abomasum of cattle that had died from hypothermia were compatible with WS, highlighting the importance of recognizing them in cases of cattle deaths in which this condition is suspected.
Impacto da COVID-19 nas PMEs no Brasil e drivers de percepção gerencial: um novo modelo neural baseado em funções de utilidade ponderadas pela entropia
Authors: Barbosa Luiz Gustavo Medeiros , Wanke Peter Fernandes , Antunes Jorge Junio Moreira , Rocha Saulo Barroso
Published: March 2024

Resumo Partindo dos resultados inconclusivos da escassa literatura sobre o impacto do COVID-19 nas pequenas e médias empresas (PMEs), este artigo propõe um novo modelo de avaliação para abordar esse problema por meio de percepções gerenciais. Para atingir esse objetivo, mais de 6.000 PMEs responderam doze rodadas de pesquisas de 2020 a 2021, durante a pandemia, permitindo assim acompanhar a evolução do impacto percebido da pandemia nas pequenas e médias empresas. Uma nova abordagem de função de utilidade ponderada pela entropia é proposta aqui, seguida por regressão de rede neural para mapear quais variáveis relacionadas aos negócios das PMEs impulsionam mais a utilidade percebida de cada critério de negócios durante a pandemia. Primeiro, os pesos dos critérios relacionados aos negócios foram calculados usando a análise de proporção de avaliação de peso passo a passo (SWARA), classificando sua importância relativa - ou percepções - com base nas classificações de entropia de informações derivadas de dados coletados. As medições de entropia de transferência também ajudaram a revelar as relações de causa e efeito entre os critérios. Em segundo lugar, as funções de utilidade comercial para cada critério foram calculadas usando a Avaliação Proporcional Complexa com base nos pesos SWARA. Terceiro, regressões de redes neurais foram usadas para explicar as percepções gerenciais sobre cada critério de negócios durante a pandemia à luz de cada variável de negócios. Nossos resultados, esperados e inesperados, sugerem que as PMEs mais resilientes no Brasil são aquelas com 5 a 10 anos de idade operando nos setores de serviços e construção. Além disso, o sucesso do empréstimo é o segundo critério de maior impacto, impactando profundamente a continuidade dos níveis de atividade econômica; e não é afetado por nenhum outro critério de negócio. Implicações para formuladores de políticas e ações governamentais são destacadas.
Impact of COVID-19 on SMEs in Brazil and managerial perception drivers: a novel neural model based on entropy-weighted utility functions
Authors: Barbosa Luiz Gustavo Medeiros , Wanke Peter Fernandes , Antunes Jorge Junio Moreira , Rocha Saulo Barroso
Published: March 2024

Abstract Departing from the inconclusive results of the scant literature on the COVID-19 impact on Small and Medium Enterprises (SMEs), this paper proposes a novel evaluation model for addressing this issue through managerial perceptions. Over 6000 SMEs responded to twelve rounds of surveys from 2020 to 2021 during the pandemic, allowing to track the evolution over time of the perceived impact of the pandemic on small businesses. A novel entropy-weighted utility function approach is proposed here, followed by artificial neural network regression to map the variables related to the SME’s businesses that most foster the perceived utility of each business criterion during the pandemic. First, weights of business-related criteria were computed using Stepwise Weight Assessment Ratio Analysis (SWARA), sorting their relative importance - or perceptions - based on information entropy ranks derived from questionnaires collected. Transfer entropy measurements also helped in unveiling the hidden cause-effect relationships among criteria. Second, business utility functions for each criterion were computed using Complex Proportional Assessment based on SWARA weights. Third, neural network regressions were used to explain the managerial perceptions on each business criterion during the pandemic, considering each business variable. Our expected and unexpected results suggest that more resilient SMEs in Brazil are 5-10 years old and operating in the services and construction sectors. Moreover, loan success is the second most impactful criterion, deeply impacting the continuity of economic activity levels, and it is not impacted by any other business criteria. Implications for policymakers and governmental actions are highlighted.
Estrutura do conselho de administração como mecanismo para atingir a Agenda 2030 na América Latina
Authors: Pinheiro Alan Bandeira , Ribeiro Cintia de Melo de Albuquerque , Bizerra André Luiz Villagelim
Published: March 2024

Resumo Este estudo tem por objetivo investigar o efeito da estrutura do conselho no engajamento das empresas com os Objetivos do Desenvolvimento Sustentável (ODS). Foram analisadas as características do conselho de administração relacionadas a tamanho, independência e diversidade, bem como a divulgação dos 17 ODS de 371 empresas sediadas na América Latina no período de 2016 a 2020. Os dados foram analisados mediante regressão de dados em painel com efeitos fixos e regressão de dados em painel pelo método logit. Os achados da pesquisa mostraram que o tamanho e a independência do conselho têm um efeito positivo na divulgação dos ODS. Os resultados dialogam com a Teoria dos Altos Escalões, na medida em que ela preconiza que as escolhas e o posicionamento estratégico da empresa são feitos pela alta administração, ou seja, os membros do conselho de administração. A pesquisa amplia a explicação dessa teoria, confirmando que a alta administração é determinante para o posicionamento estratégico em questões ambientais e sociais. Gestores e acionistas devem compreender que determinados fatores, como a formação de um comitê de responsabilidade social e a elaboração de relatório de sustentabilidade, também podem contribuir para a Agenda 2030. No nível governamental, os resultados são úteis a formuladores de políticas públicas, já que eles podem incentivar a criação de normas para divulgação voluntária de informações ambientais e sociais.
Water regimes on the morphophysiological and biochemical responses of Croton blanchetianus (Euphorbiaceae)
Authors: Sousa Josiani F. de , Andrade Marcelo da S. , Morais Marciana B. de , Arruda Maria V. de M. , Souza Matheus H. de A. , Costa Neto João B. , Pereira Kleane T. O. , Alburquerque Cynthia C. de
Published: March 2024

ABSTRACT Plant species occurring in the Caatinga biome, when subjected to different water fluctuations, may have their morphophysiological and metabolic performance altered. Depending on the level of stress, the production of quality seedlings is affected. Therefore, the objective of this study was to evaluate the responses to different water availability levels in the morphophysiological and biochemical development of Croton blanchetianus Baill. The experiment was carried out in a greenhouse, evaluating four water regimes: 25%, 50%, 75% and 100% of pot capacity, and conducted in a randomized block design, with a total 5 blocks. The variables analyzed were: branch height and branch diameter; leaf area, number of leaves, root volume; root dry mass, shoot dry mass, total dry mass and root/shoot ratio; relative water content, proline, total soluble proteins, malondialdehyde, hydrogen peroxide, and photo synthetic pigments (chlorophyll ɑ, chlorophyll b, and carotenoids). The species Croton blanchetianus Baill. shows drought tolerance mechanisms, demonstrated by the reductions of growth, leaf area, dry mass of seedlings and photo synthetic pigments. It adjusts osmotically with increments in the production of proline, which acts in osmoprotection when there is water deficit, and in the production of proteins under the lower and higher water regime. The species has full development of seedlings under water regimes between 75% and 80% and adapts to different water fluctuations.
Partial correlations between production traits and grain protein in wheat
Authors: Trivisiol Vinicius S. , Cargnelutti Filho Alberto , Facco Giovani , Loro Murilo V.
Published: March 2024

ABSTRACT The objective of this study was to check whether there are linear relations between production traits and grain protein in early-, medium- and late-cycle wheat. Data from 204 competition trials of wheat genotypes conducted in the states of Rio Grande do Sul and Paraná were used, 78 trials with early-cycle, 34 with medium -cycle and 92 with late-cycle genotypes. The trials were conducted in a randomized block design, with 149 early-cycle, 95 medium-cycle and 193 late-cycle genotypes being evaluated from 2015 to 2019. Three production traits (grain yield, in kg ha-1, thousand-grain weight, in g, and hectoliter weight, in kg hL-1) and grain protein, in %, were evaluated. Scatter plots were created and the partial correlation coefficients between these four traits were calculated, based on 4330, 2497 and 4714 observations, referring to the early, medium and late cycles, respectively. There are linear relations between production traits and grain protein in early-, medium- and late-cycle wheat. Early- and late-cycle wheat genotypes show a negative correlation between grain yield and grain protein. Medium-cycle wheat genotypes show no correlation between grain yield and grain protein. Selection of wheat genotypes with higher grain yield and hectoliter weight can be carried out indirectly by means of thousand-grain weight.
EL FUTURO DE LA ESCUELA DESDE LA PERSPECTIVA DE LOS JÓVENES DE AMÉRICA LATINA
Authors: Plá Sebastián , Muñoz-Becerra Nimbe , Eugenio-Pérez Amauri
Published: March 2024

RESUMEN En el presente artículo se analizan las concepciones del futuro de la escuela en jóvenes de Educación Media Superior o Educación Secundaria en América Latina. Se identifica la paradoja entre un fatalismo tecnológico que avanza como camino único hacia una escuela totalmente automatizada pero que, desde la perspectiva de los estudiantes, promete anhelados procesos de escolarización individualizados, capaces de responder a las necesidades socioemocionales e intereses de cada educando en su infinita particularidad. Esta escuela del futuro sería muy eficiente gracias a la mediación tecnológica de los procesos de aprendizaje y de las relaciones pedagógicas. La investigación se desarrolló de manera virtual en México, Costa Rica y Uruguay. Es un estudio cualitativo, colaborativo e interpretativo.
HOT VERSUS COLD SNARE FOR COLORECTAL POLYPECTOMIES SIZED UP TO 10MM: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED TRIALS
Authors: CAVASSOLA Paulo Ricardo Pavanatto , MOURA Diogo Turiani Hourneaux de , HIRSCH Bruno Salomão , LANDIM Davi Lucena , BERNARDO Wanderley Marques , MOURA Eduardo Guimarães Hourneaux de
Published: March 2024

ABSTRACT Background: Colorectal cancer is the third most common cancer, and prevention relies on screening programs with resection complete resection of neoplastic lesions. Objective: We aimed to evaluate the best snare polypectomy technique for colorectal lesions up to 10 mm, focusing on complete resection rate, and adverse events. Methods: A comprehensive search using electronic databases was conducted to identify randomized controlled trials comparing hot versus cold snare resection for polyps sized up to 10 mm, and following PRISMA guidelines, a meta-analysis was performed. Outcomes included complete resection rate, en bloc resection rate, polypectomy, procedure times, immediate, delayed bleeding, and perforation. Results: Nineteen RCTs involving 8720 patients and 17588 polyps were included. Hot snare polypectomy showed a higher complete resection rate (RD, 0.02; 95%CI [+0.00,0.04]; P=0.03; I 2=63%), but also a higher rate of delayed bleeding (RD 0.00; 95%CI [0.00, 0.01]; P=0.01; I 2=0%), and severe delayed bleeding (RD 0.00; 95%CI [0.00, 0.00]; P=0.04; I 2=0%). Cold Snare was associated with shorter polypectomy time (MD -46.89 seconds; 95%CI [-62.99, -30.79]; P<0.00001; I 2=90%) and shorter total colonoscopy time (MD -7.17 minutes; 95%CI [-9.10, -5.25]; P<0.00001; I 2=41%). No significant differences were observed in en bloc resection rate or immediate bleeding. Conclusion: Hot snare polypectomy presents a slightly higher complete resection rate, but, as it is associated with a longer procedure time and a higher rate of delayed bleeding compared to Cold Snare, it cannot be recommended as the gold standard approach. Individual analysis and personal experience should be considered when selecting the best approach.
VIDEOFLUOROSCOPIC EVALUATION OF THE IMPACT OF CAPSULE SIZE AND SUBJECT’S AGE AND GENDER ON CAPSULE SWALLOWING
Authors: GUTIERRES Laís Flavia de Souza , MONTALDI Marina Rodrigues , NASCIMENTO Weslania Viviane , DANTAS Roberto Oliveira
Published: March 2024

ABSTRACT Background: People recurrently have difficulties swallowing solid medications, which can be associated with the size of the medication and the age and gender of individuals. Objective: To evaluate the impact of capsule size and adults’ age and gender on oral and pharyngeal capsule transit during capsule swallows. Methods: Videofluoroscopy was used to measure capsule oral and pharyngeal transit during swallows in 49 healthy individuals (17 men and 32 women), with a mean age of 46 years (ranging from 23 to 88 years). Smaller capsules were filled with 0.50 mL of barium sulfate, and larger capsules were filled with 0.95 mL of barium sulfate; the volume of liquid ingested with the capsules was also quantified in each ingestion. The measurements included the oral preparation time, oral transit time, swallowing reaction time, time to laryngeal vestibule closure, laryngeal vestibule closure duration, pharyngeal transit time, and upper esophageal sphincter opening duration. Results: The capsule size did not influence either the oral or pharyngeal transit time. Increased liquid volume was ingested with larger capsules and by people older than 40 years. The oral transit time was shorter in older adults (60-88 years), and the time to laryngeal vestibule closure was longer in women. Conclusion: The size of large capsules did not make a difference in oral or pharyngeal transit when compared with smaller capsules. The capsule size and the participant’s age influenced the volume of liquid ingested - larger capsules and older individuals required a larger volume. The capsule oral transit was faster in individuals older than 60 years.
STRUCTURAL EVALUATION OF INFLAMMATORY BOWEL DISEASE COMPREHENSIVE CARE UNITS IN BRAZIL
Authors: QUARESMA Abel Botelho , GUEDES Ludmila Resende , BARROS Jaqueline Ribeiro de , BAIMA Júlio Pinheiro , IMBRIZI Marcello , ZERÔNCIO Marco Antônio , KOTZE Paulo Gustavo , FLORES Cristina
Published: March 2024

ABSTRACT Background: The most efficient way to prevent complications from inflammatory bowel disease (IBD) is to provide patients with optimized care. Nonetheless, in Brazil, there is no validated methodology for evaluating health services recognized as comprehensive care units (CCU), making it difficult to assess the quality of care provided. Objective: To understand the current scenario, map the distribution of centers and identify strengths and weaknesses, considering local and regional characteristics. Methods: The study was carried out in three phases. Initially, the Brazilian Organization for Crohn’s disease and colitis (GEDIIB) developed 22 questions to characterize CCU in Brazil. In the second phase, all GEDIIB members were invited to respond to the survey with the 11 questions considered most relevant. In the last phase, an interim analysis of the results was performed, using the IBM SPSS Statistics v 29.0.1.0 software. Descriptive statistics were used to characterize the center’s profile. The chi-square test was used to compare categorical variables. Results: There were 53 responses from public centers (11 excluded). Most centers were concentrated in the Southeastern (n=22/52.4%) and only 1 (2.4%) in the Northern region of Brazil. Thirty-nine centers (92.9%) perform endoscopic procedures, but only 9 (21.4%) have access to enteroscopy and/or small bowel capsule endoscopy. Thirty-three centers (78.6%) offer infusion therapy locally, 26 (61.9%) maintain IBD patient records, 13 (31.0%) reported having an IBD nurse, 34 (81.0%) have specific evidence-based protocols and only 7 (16.7%) have a patient satisfaction methodology. In the private scenario there were 56 responses (10 excluded). There is also a concentration in the Southeastern and Southern regions. Thirty-nine centers (84.8%) have access to endoscopic procedures and 19 perform enteroscopy and/or small bowel capsule endoscopy, more than what is observed in the public environment. Infusion therapy is available in 24 centers (52.2%). Thirty-nine centers (84.8%) maintain a specific IBD patient database, 17 (37%) have an IBD nurse, 36 (78.3%) have specific evidence-based protocols, and 22 (47. 8%) apply a patient satisfaction methodology. Conclusion: IBD CCU in Brazil were mainly located in the Southeastern and Southern regions of the country. Most centers have dedicated multidisciplinary teams and IBD specialists. There is still a current need to improve the proportion of IBD nurses in IBD care in Brazil.
Between the search for assistance and its realization: the peregrination of pregnant and postpartum women with Maternal Near Miss
Authors: Brilhante Aline , Colares Monalisa , Branco July Grassiely de Oliveira , Almeida Rosa Lívia de , Alves Silvio , Bonvini Ottorino
Published: March 2024

Abstract This mixed-method and sequential exploratory study aims to identify patterns related to the trajectory of pregnant and puerperal women who evolved to risk situations, from arrival in a first care service to admission to a tertiary maternity hospital. The quantitative phase analyzed 1,703 medical records and hospitalization records of women assisted in three tertiary maternity hospitals in the Metropolitan Region of Fortaleza, Ceará, from 2010 to 2019. The qualitative phase was conducted from January to September 2020 with 14 women survivors of Maternal Near Miss (MNM), using Schütze’s Autobiographical Narrative Interview. The findings reveal how delays related to professionals and the health system contributed to the pilgrimage of pregnant and postpartum women and, consequently, to the MNM cases. The peregrination of these women is associated with problems in the structures of the Care Network and the services. Thus, it becomes necessary to use tools to monitor the quality of the service provided by health professionals and to provide well-established care processes, physical structures, and the healthcare networks that support the follow-up of these processes.
Patents, access, and local production of medicines: reflections from experiences in the SUS
Authors: Fernandes Daniela Rangel Affonso , Gadelha Carlos Augusto Grabois , Maldonado Jose Manuel Santos de Varge
Published: March 2024

Abstract This article aims to contribute to the literature and to the national and global debate on overcoming the polarization related to the legal and administrative aspect of the innovation process, seeking to focus on patents as a conditioning factor of the technological trajectories that enable learning in the productive scope. It was based on a theoretical and political framework related to innovation and access to medicines, especially regarding Intellectual Property rights, and on a critical-reflexive analysis of Intellectual Property instruments used in Productive Development Partnerships (PDP), developed by a public national institute for synthetic drug technology. The results demonstrate the importance of making patent rights compatible with the construction of technological and innovation capacities in the country, which are linked to universal access, especially when they involve products that are intended to treat serious, technologically complex and high-cost diseases. In conclusion, to overcome technological dependence and expand access to medicines in Brazil, the State must seek a balance between public and private interests in the healthcare area, articulate the existing legal instruments and align its health, industry, ST&I and intellectual property policies.
Patentes, acesso e produção local de medicamentos: reflexões a partir de experiências no SUS
Authors: Fernandes Daniela Rangel Affonso , Gadelha Carlos Augusto Grabois , Maldonado Jose Manuel Santos de Varge
Published: March 2024

Resumo Este artigo procurou contribuir para a literatura e para o debate nacional e global sobre a superação de uma polarização relacionada ao aspecto jurídico e administrativo do processo de inovação, procurando se concentrar nas patentes como um fator condicionante das trajetórias tecnológicas que viabilizam o aprendizado em âmbito produtivo. Baseou-se em um arcabouço teórico e político relacionado à inovação e ao acesso a medicamentos, especialmente quanto aos direitos de Propriedade Intelectual, e na análise crítico-reflexiva de instrumentos de Propriedade Intelectual utilizados em Parcerias para o Desenvolvimento Produtivo (PDP), desenvolvidas por um instituto de tecnologia em fármacos sintéticos, público e nacional. Os resultados demonstram a relevância da compatibilização dos direitos de patentes com a construção de uma capacidade tecnológica e de inovação no país, vinculada ao acesso universal, especialmente quando envolverem produtos que se destinam ao tratamento de doenças graves, de alta complexidade tecnológica e de alto custo. Conclui-se que, para superação da dependência tecnológica e ampliação do acesso a medicamentos no Brasil, o Estado deve buscar o equilíbrio entre os interesses públicos e privados na área da saúde, a articulação entre os instrumentos jurídicos legais existentes e o alinhamento entre suas políticas de saúde, industriais, de CT&I e Propriedade intelectual.