bluuebunny/crossref_metadata_2025 huggingface dataset:
Distribution of Ambystoma altamirani (Caudata: Ambystomatidae) in relation to biotic and abiotic factors in its habitat
Authors: Vargas-Gómez Ana Citlali , Chaparro-Herrera Diego de Jesús
Published: December 2024

Introduction: The mountain stream axolotl (Ambystoma altamirani) is an endemic amphibian of Mexico cataloged as a priority species for conservation with a very restricted distribution in the Sierra de las Cruces. Anthropogenic activities currently endanger it. Objective: To determine the habitat factors most associated with its presence to propose conservation strategies. Methods: Four sites in Villa del Carbon, State of Mexico, were sampled monthly for one year (September 2022 to August 2023) with the presence and absence of A. altamirani. Environmental, physicochemical, bacteriological, physicochemical, and biotic parameters of the water were randomly analyzed. Results: A total of 1 186 organisms were censused, and it was determined with a CCA that the variables most related to the populations were solar radiation, total coliforms, percentage of oxygen saturation, UV radiation, fecal coliforms, and temperature. It was observed that the habitat is not being adequately conserved. The populations studied showed a decline during the study. The sites with the highest population abundance showed an increase in the presence of adults, mainly females. It is essential to focus conservation actions on this umbrella species and maintain the variables mentioned above with little disturbance to allow the prevalence of the species. Conclusion: This information can be useful in developing conservation actions for the habitat, which it shares with other endemic and endangered amphibians. 1) It is urgent to protect this species due to the fragility of its populations and rapid decline; 2) It is necessary to propose conservation strategies that are adapted to the localities studied and 3) This will help to prioritize the protection of microendemic species in local environments.
Packed bed Column Adsorption of Iron in effluent from Itakpe Iron Ore Mining Company using Palm Kernel Shell as Adsorbent
Authors:   Department of Agricultural and Bio-Environmental Engineering, Kogi State Polytechnic, Itakpe Campus, Kogi State, Nigeria., Ogbaje Hope , Onoja Samuel Baba ,   Department of Agricultural and Environmental Engineering, Joseph Sarwuan Tarka University, Makurdi, Nigeria., Nwakonobi Theresa Ukamaka ,   Department of Agricultural and Environmental Engineering, Joseph Sarwuan Tarka University, Makurdi, Nigeria., Udochukwu Martins Okechukwu ,   Department of Agricultural and Environmental Engineering, Joseph Sarwuan Tarka University, Makurdi, Nigeria.
Published: December 2024

This work involved evaluation of palm kernel shell activated carbon (PKSAC) as adsorbent for removal of iron from water through column studies. PKS was collected, washed, sundried and carbonized at 500 0C for 3 hours after which it was crushed, then activated with 3.0M of KOH and heated using a burner for 30 mins., then packed and stored for the experiment after cooling. The activated carbon prepared from the PKS was characterized. Column studies were carried out on the adsorption of Fe from wastewater from Itakpe Iron Ore Company using PKS adsorbent under conditions such as bed height and flow rate. Experimental data were fitted to kinetic models in order to estimate the carbon adsorption capacity and establish the breakthrough profile. Results showed that optimum adsorption capacity was found at lower flow rate of 20 ml/min, and 12 cm bed height. The appropriate service times to breakthrough were 195 – 210 mins. The sorption capacity by the column was 32.49 mg/g. Yoon–Nelson, Thomas and Bohart-Adams models were used in predicting the behaviour of the breakthrough curve. For the Yoon-Nelson model, the kYN values and τ value, more so, the R2 values (0.88 – 0.96) specify that the model can be used to describe the metals – PKSAC sorption system. The Thomas and Bohart-Adams model were also suitable for the description of the sorption column with high R2 values. This study showed that activated carbon prepared from palm kernel shell is suitable for the adsorption of Fe ions and as such could be used as a cost-effective adsorbent in the treatment of polluted water.
Twierdzenie Gödla a filozofia umysłu. W sprawie pewnej dwuznaczności argumentu Lucasa
Authors: Tomaszewska Anna
Published: December 2024

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Antynomia Russella i twierdzenie Gödla jako logika absolutnego
Authors: Rojek Paweł
Published: December 2024

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O dwóch aksjomatach teorii zbiorów w kontekście sporu o hipotezę continuum
Authors: Załuski Wojciech
Published: December 2024

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OPTIMIZATION OF DATA SEARCH AND ANALYSIS IN INSTITUTIONAL SCIENTIFIC WEB PLATFORMS
Authors: Olshevska O. , Volkova A. , Karatanas O. , Kondratenko V.
Published: December 2024

Abstract: The article examines the relevance of the development of digitized resources of higher education institutions (HEIs) in the context of modern trends of European integration and globalization of science. Emphasis is placed on the creation of an institutional international scientific web resource, which is important for the consolidation of scientific knowledge, promotion of international cooperation and increasing the competitiveness of institutions on the world stage. The advantages of using such resources are highlighted, in particular, ensuring open access to scientific data, increasing the visibility of research, supporting the training of young scientists and observing scientific ethics. The challenges faced by higher education institutions are also outlined, in particular, the lack of a centralized system of access to scientific information. The article proposes innovative solutions that contribute to the integration of the latest technologies, optimization of data search and analysis, as well as strengthening of international cooperation in the scientific field.
A Faculty Workshop on Developing Students as Discipline-Situated Researchers
Authors:   Trinity Western University, Badke William , Kreiter Elizabeth ,   Trinity Western University, Zhang Qinqin ,   Trinity Western University
Published: December 2024

The reference librarians of Trinity Western University have a strong mission-driven commitment to teach information literacy, but there is a significant contrast between the amount of instruction they can provide and the demanding task of developing all students as skilled researchers. The growing teach-the-teacher model suggested an option to enlist faculty in providing a larger portion of information literacy instruction themselves. With strong support from academic administration, three librarians devised an initial faculty workshop as part of the university’s faculty professional development series, followed by four detailed weekly sessions. They based their activities on several factors: first, faculty members would need to be invited into a shared concern about student research; second, the librarians would not call for significant disruption of current curricula and teaching practices; and third, the workshops would focus on one basic idea—turning the assigned research project into a vehicle for developing students as researchers—rather than overwhelming faculty with multiple options. Faculty responded positively to the workshop series, and there are initial signs that faculty members are embracing the promoted concepts.
Novel Ex-PRO score for predicting arterial events in patients with extrasystoles
Authors: Germanova O. A. , Shchukin Yu. V. , Syunyakov T. S.
Published: December 2024

Aim. To create a score for predicting arterial events (myocardial infarctions, strokes, ischemic events in other arterial systems) in patients with extrasystole.

Material and methods. The study included 740 patients (634 — the main group, 106 — control). The main group had 700 or more premature beats per day, and the control group had <700 premature beats. The main group was divided into two subgroups depending on the phase of the biomechanical cardiac cycle in which the ventricular systole of the extrasystolic contraction occurred — before (I — n=192) or after (II — n=442) the peak E on echocardiography. Standard laboratory (including blood lipid profile, coagulation test) and clinical investigations were performed. The prospective study was conducted for 1 year from the first visit moment. There were following endpoints: arterial events (myocardial infarction, stroke, ischemic events in other arterial systems).

Results. At the first visit, the groups of patients were equivalent in comorbidities, prior events, data from additional research methods. However, a significantly higher prevalence of ischemic events within 1 year was revealed in subgroup II. The creation of an original Ex- PRO score for predicting long-term complications with premature beats ≥700 or more per day made it possible to predict ischemic events in this category of patients (prediction accuracy 87,1%).

Conclusion. Extrasystole is an additional factor in the development of arterial events in various arterial systems. Ex- PRO includes the following parameters: type IIIB plaque according to extracranial Doppler ultrasound, extrasystole up to the peak transmitral flow ≥700 per day, hemodynamically insignificant carotid bifurcation stenosis according to extracranial Doppler ultrasound, female sex, impaired left ventricular local contractility, hemodynamically insignificant lower limb artery stenosis.
Dynamics and structure of mortality from chronic coronary artery disease among men and women in the Russian Federation in 2014-2023
Authors: Shepel R. N. , Samorodskaya I. V. , Kakorina E. P. , Drapkina O. M.
Published: December 2024

Aim. To assess the dynamics of non-standardized (NSMR) and standardized mortality rates (SMR) of chronic coronary artery disease (CAD), the contribution to all-cause mortality, as well as the dynamics and structure of chronic CAD among men and women in the Russian Federation in 2014-2023.

Material and methods. Rosstat data on mortality in one-year age groups of patients for 2014-2023 in accordance with the Rosstat Brief Nomenclature of Death Causes. The calculations were performed using the program (certificate of state registration of the computer program dated September 30, 2016, № 201666114). The European standard (European Standard Population, 1976) was used to calculate the SMR.

Results. A decrease in the SMR from chronic CAD was found in both women (2014 — 147,6 per 100 thousand population, 2023 — 126 per 100 thousand population) and men (2014 — 275 per 100 thousand population, 2023 — 221 per 100 thousand population). The NCMR differences in men and women did not exceed 5%, while the SMR from chronic CAD differed by almost 2 times due to the age disproportion (in age ≥80 years in women, there were 60% of deaths from chronic CAD, while in men — 23,6%). The proportion of chronic CAD in all-cause mortality in men was 23,9%, while in women — 23,4%. The highest values of SMR were recorded from "I25.1 Atherosclerotic heart disease" (the proportion in the chronic CAD structure in 2014 in women — 64,5%, in men — 56,8%; in 2023 — 60,4% and 51,4%, respectively). In both men and women, the SMR and the proportion of "I25.2-6,8 Other forms of chronic CAD" in the structure of SMR from chronic CAD increased (in 2014 in women — 21,5%, in men — 29,3%, in 2023 — 37% and 46%, respectively). The SMR from I25.0 and I25.9 significantly decreased, amounting to <4% in the structure of chronic CAD in both men and women in 2023.

Conclusion. The obtained results indicate problems with defining individual forms of chronic CAD as the underlying cause of death, which complicates understanding the death causes. It is necessary to consider creating uniform guidelines for the Russian Federation, where the classification of chronic CAD according to ICD-10 would be adapted to the clinical terminology and the most probable clinical variants, as well as the main principles of morphological classification. Typification of coding approaches will serve to improve the quality of analysis of chronic CAD mortality statistics data and subsequent adoption of targeted management decisions.
Experiências de enfermeiros no cuidado de pessoas em sofrimento psíquico hospitalizadas por comorbidades clínicas
Authors: Piton Gabriella Paulão Previato , Weber Aldair , Garcia Ana Paula Rigon Francischetti , Toledo Vanessa Pellegrino
Published: December 2024

RESUMO Objetivos: compreender as experiências dos enfermeiros no cuidado da pessoa em sofrimento psíquico hospitalizada por comorbidades clínicas em Unidades de Internação não psiquiátricas. Métodos: estudo qualitativo, orientado pela fenomenologia social de Alfred Schutz. Realizaram-se 16 entrevistas fenomenológicas. O conteúdo foi analisado e discutido com base na literatura, por meio da composição de três categorias de análise. Resultados: surgiram três categorias no estudo: Desafios no cuidado enfrentados pelos enfermeiros; A ação fragmentada do cuidado; e O cuidado ideal. Desvelou-se a desarticulação da clínica, conforme descrito pelos enfermeiros, evidenciando o cuidado como uma ação afastada da integralidade da pessoa. A atuação dos enfermeiros é guiada predominantemente pelo referencial biomédico, desconsiderando a valorização da subjetividade. Considerações Finais: observou-se que o enfermeiro atribui a responsabilidade do cuidado do paciente a fatores externos ao seu mundo vida, quando, na verdade, esses aspectos deveriam ser componentes que o auxiliassem na construção de um cuidado integral.
Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion
Authors: Castro Nádile Juliane Costa de , Wai Ezequiel Sakew Wai , Paes Fernanda Teixeira , Lima Nyvia Cristina dos Santos
Published: December 2024

ABSTRACT Objectives: to analyze the possibilities and potential of training indigenous nurses, given the Brazilian Health System (SUS), understanding the relationships between education and health. Methods: theoretical-reflective study, based on scientific literature, aligned with the experience, critical thinking of its authors and the Sustainable Development Goals in Brazil. Results: this text articulates three axes: Potential for including indigenous students in nursing training; Paths to achieving equity through inclusion and retention policies for indigenous students at different levels; and Implications of this for the SUS and global health. Final Considerations: indigenous students, beneficiaries of affirmative actions, face challenges of inclusion and retention in public universities that directly impact their academic training. Added to this are the difficulties identified in basic education, professor training and implementation of permanence policies, with consequences for services and training at other levels.
Repercussions of the pandemic on tuberculosis control actions from the perspective of health professionals
Authors: Souza Sabrina da Silva de , Gonzales Roxana Isabel Cardozo , Sthal Hellen Cristina , Silva Daiane Cardoso da , Barbosa Marcela Flavia Lopes , Conceição Tatiana
Published: December 2024

ABSTRACT Objectives: to analyze the repercussions of the COVID-19 pandemic on tuberculosis control actions from the perspective of primary health care professionals. Methods: this descriptive study with a qualitative approach was conducted from November 2022 to April 2023, using semi-structured interviews with 11 key informant professionals from primary health care units in a Brazilian capital. Data were organized using Atlas.ti 22.0 software and subjected to thematic-categorical content analysis. Results: the pandemic scenario caused alterations in the work process, necessitating abrupt adaptations, and led to detrimental impacts on the health of professionals and tuberculosis control actions, which were reduced or discontinued. Final Considerations: there was evident unpreparedness and a lack of resources from various governmental levels and health services to handle the public health emergency situation without severe harm to the provision of essential services.
Computed tomography-guided percutaneous biopsy of subcentimeter lung noduless
Authors: Teixeira Penélope Sánchez , Bitencourt Almir Galvão Vieira , Gross Jefferson Luiz , Chojniak Rubens , Damião Soraia Quaranta , Barbosa Paula Nicole Vieira Pinto
Published: December 2024

Abstract Objective: To assess the diagnostic success rate and complications of computed tomography (CT)-guided percutaneous biopsy in pulmonary nodules < 10 mm in diameter. Materials and Methods: This was a retrospective, single-center study involving the review of medical records, images, and chest CT reports related to 115 patients who underwent percutaneous CT-guided biopsy of < 10 mm pulmonary nodules between July 2015 and January 2019. Results: Nodule diameter on the longest axis ranged from 4 mm to 9 mm, with a mean size of 7.7 mm. The mean age of the patients at the time of the procedure was 61 years, and 54.7% were women. Of the 115 nodules evaluated, 77 (67.0%) were solid and 55 (47.8%) were located in the lower lobes. The mean distance traversed by the needle in the lung parenchyma was 20 mm (range, 0-70 mm), and, in most cases, the biopsy was not performed with the patient in the biopsy-side-down lateral position. The diagnostic success rate was 93.0%. The most common complications were alveolar hemorrhage (in 36.5% of cases) and pneumothorax (in 24.3%). Conclusion: The data suggest that CT-guided percutaneous biopsy of < 10 mm pulmonary nodules has a high diagnostic success rate and an acceptable rate of complications.
Production of nine potato cultivars treated with pyraclostrobin and submitted to different fertilization levels
Authors: Galvino-Costa Suellen Bárbara Ferreira , Figueira Antonia Dos Reis , Rabelo Filho Francisco de Assis Câmara , Pádua Joaquim Gonçalves de , Silveira Antonia Thalyta Lopes
Published: December 2024

ABSTRACT Treatments with pyraclostrobin, a fungicide from the strobilurin chemical group, have induced physiological effects in several plants, which may influence their productivity. In this study, two experiments were carried out to study the effect of a commercial product containing pyraclostrobin + metiram on productivity and virus dissemination in potato cultivars. The first experiment was carried out in Maria da Fé-MG, applying different combinations of the product via furrow at planting and via foliar application, in post-emergence, using the cultivar Cupido and two fertilizer levels: 2,500 kg/ha and 3,500 kg/ha of NPK in the formulation 4:14:8. In the second experiment, eight French potato cultivars were tested in São Gonçalo do Sapucaí-MG, with applications of the fungicide via furrow and via foliar application. An interaction between the fertilizers and cultivars with the types of fungicide treatments used was observed. There was a significant increase of 13.6% in the production of the treated potato cv. Cupido, when the fungicide was applied in the furrow and the NPK level was 2,500 kg/ha. The production of all eight cultivars tested was higher in the treated plots, and the greatest productivity gain was 28% in cv. Eole. In both experiments, pyraclostrobin did not affect the spread of the virus in the field. This study showed that pyraclostrobin has the potential to increase potato productivity and reduce fertilizer use. However, the best treatment and the best fertilizer level should be determined for each cultivar, since the cultivars used responded differently to the same treatments.
Diamino fluoreto de prata usado no tratamento das lesões de cárie: realmente um empecilho estético sob a ótica dos pais?
Authors: Viganó Maria Eduarda Franco , Ferreira Fernanda Rosche , Antonio Luciana Pion , Mattos-Silveira Juliana , Imparato Jose Carlos Pettorossi , Braga Mariana Minatel
Published: December 2024

Resumo Introdução: O diamino fluoreto de prata (DFP) é uma opção no controle de lesões de cárie em crianças, mas alega-se não ser aceita pelos responsáveis por causar o escurecimento das lesões. Objetivo: Avaliar a percepção dos responsáveis quanto à saúde e estética dos dentes de crianças submetidas ao tratamento de lesões de cárie não francamente cavitadas utilizando DFP em comparação a tratamento não diretamente associado à pigmentação. Método: Após seis meses do tratamento, os responsáveis de crianças envolvidas em três estudos clínicos randomizados (ECR) sobre a eficácia do DFP responderam a um questionário validado para avaliar a percepção da estética e da saúde dos dentes das crianças. Modelos multinível de regressão de Poisson foram utilizados para testar a associação entre a percepção negativa dos responsáveis e o tratamento utilizando DFP. Então, o risco relativo (RR) (intervalo de confiança de 95% — IC95%) foi calculado. Resultados: Foram incluídos 308 responsáveis. Não se associou o tratamento com a percepção negativa dos responsáveis com relação à estética (RR=0,86; IC95% 0,45–1,62) nem à saúde (RR=0,91; IC95% 0,59–1,44) dos dentes de seus filhos. Conclusão: O uso do DFP em lesões não francamente cavitadas não leva à percepção negativa dos responsáveis quanto à saúde e estética dos dentes de seus filhos.
Polypharmacy characteristics of 2,819 Brazilians aged 55 years or more — the role of socioeconomic disadvantage and health indicators
Authors: Sgnaolin Vanessa , Nogueira Eduardo Lopes , Engroff Paula , Gomes Irenio , Cataldo Neto Alfredo
Published: December 2024

Abstract Background: The aging process in low- and middle-income countries has accelerated. The increasing use of medicines is a global phenomenon, and middle-aged (45–64 yr) and older (65+ yr) individuals are the most extensive users of multiple medications. Objective: To evaluate the prevalence of polypharmacy and verify its association with sociodemographic and lifestyle factors and clinical predictors in a sample of middle-aged and older Brazilians, in the context of a predominantly disadvantaged population. Method: Cross-sectional population study with individuals aged 55 to 103 years. A total of 2,819 respondents registered in the Family Health Strategy of Porto Alegre, Brazil, were interviewed at home between 2013–2015. Results: The prevalence of polypharmacy was 35.7%, including 28.1% in the middle-aged (55–59 yr) group. After adjustment for sociodemographic and health variables, a strong association with polypharmacy was found in the groups: women, individuals aged 75–79 years, 1–3 years of education, ex-smokers, poor or very poor self-perceived health, chronic conditions (cardiovascular) and depression symptoms. Conclusion: The prevalence of polypharmacy is high and begins early. The studied population presented characteristics of low levels of income and education, making it extremely vulnerable to the effects of polypharmacy, and demonstrated a strong association with the presence of chronic diseases and depression.
Prática insuficiente de atividades físicas em universitários do estado da Bahia
Authors: dos Santos Danilo França Conceição , Silva Emanuele dos Santos , Ferreira Mariana da Silva , Gordia Alex Pinheiro , de Quadros Teresa Maria Bianchini , de Sousa Thiago Ferreira
Published: December 2024

Resumo Introdução: Estudos têm demonstrado que o baixo nível de atividade física tem sido recorrente em universitários. Objetivo: O objetivo foi analisar a prevalência e os fatores associados à prática insuficiente de atividades físicas em universitários do estado da Bahia. Método: Realizou-se um estudo transversal, em 2019, em instituições de ensino superior federais. O desfecho foi a prática insuficiente de atividades físicas. As variáveis independentes foram as características sociodemográficas, de vínculo com a universidade, comportamentais e autoavaliação do estresse. A associação foi estimada pelas razões de prevalência (RP). O nível de significância adotado foi de 5%. Resultados: Participaram do estudo 1.506 universitários. A prevalência de prática insuficiente de atividades físicas foi de 27,3%. Maiores prevalências de prática insuficiente foram encontradas para os estudantes com consumo irregular de frutas (RP=1,23; IC95% 1,01–1,50). Pertencer às classes econômicas D e E (RP=0,51; IC95% 0,29–0,88) e ter ingressado na universidade há 3 anos (RP=0,65; IC95% 0,49–0,86) foram fatores de proteção à prática insuficiente. Conclusão: A prevalência de prática insuficiente atingiu aproximadamente 3 em cada 10 universitários, com maior ocorrência em universitários com alimentação irregular de frutas e menor ocorrência naqueles de menores classes sociais.
Prevalência de transtorno mental comum e fatores relacionados ao ambiente universitário
Authors: Trajano Soraya da Silva , Abdon Ana Paula Vasconcellos , Medeiros Natasha Teixeira , Holanda Gabriela Pessoa Marinho , Martins Luiza Valeska de Mesquita , Melo Naiana Anchieta Mendes , Godinho Carla Christina Pereira da Silva , Bezerra IIana Nogueira , Catrib Ana Maria Fontenelle
Published: December 2024

Resumo Introdução: Experiências de crise vivenciadas pelos jovens universitários podem desencadear sofrimento psíquico, como o Transtorno Mental Comum (TMC). Objetivo: Avaliar a prevalência do Transtorno Mental Comum (TMC) e de fatores relacionados aos estudantes universitários de cursos de graduação da área da saúde e ao ambiente universitário de uma instituição privada da cidade de Fortaleza, Ceará. Método: Estudo transversal, com 512 universitários (≥18 anos) de cursos da saúde, desenvolvido em 2017. Aplicaram-se o Self-Report Questionnaire, o Instrumento de Avaliação da Promoção da Saúde na Universidade — IAPSU (Assessment Tool for Health Promotion at the University) e o Questionário Internacional de Atividade Física, seguido da avaliação antropométrica (peso e altura). Utilizou-se a análise bivariada e multivariada, tendo como desfecho a suspeita de TMC, pelo programa SPSS. Resultados: A prevalência de TMC nos universitários foi de 33,2% (n=170), associada na análise multivariada a sexo feminino (OR ajustado=2,540; p=0,000), primeiro ano de graduação (OR ajustado=1,565; p=0,032), sensação de mal-estar subjetivo na universidade (OR ajustado=2,321; p=0,016), situações de violência na universidade (OR ajustado=2,010; p=0,002) e sedentarismo (OR ajustado=1,968; p=0,001). Conclusões: O TMC ocorreu em mais de um terço dos universitários dos cursos da área da saúde, sendo relacionado ao sexo feminino, ao sedentarismo e a fatores relacionados ao ambiente universitário, contribuindo para fomentar ações educativas para redução e controle do TMC na universidade.
Associação entre Indicadores Antropométricos e Hipertensão Arterial em Mulheres Brasileiras Atendidas pela Estratégia de Saúde da Família
Authors: Neves Felipe Silva , Silva Laryssa Guarnieri da , Campos Angélica Atala Lombelo , Duque Kristiane de Castro Dias , Machado Maria Lúcia Salim Miranda , Silva Gulnar Azevedo e , Bustamante-Teixeira Maria Teresa
Published: December 2024

Resumo Introdução O presente estudo é uma resposta à crescente demanda de indicadores antropométricos acerca da associação entre obesidade e fatores de risco cardiometabólico. Objetivo Comparar a associação de quatro indicadores antropométricos, especificamente o Perímetro da Cintura (PC), o Índice de Massa Corporal (IMC), a Razão Cintura/Estatura (RCE) e o Índice de Conicidade (ICC), com a ocorrência de hipertensão arterial em mulheres. Método Este é um estudo transversal conduzido em 2010-2012 em duas Unidades de Atenção Primária à Saúde. Foram selecionadas 1.570 participantes adultas (20-59 anos), aferindo a pressão arterial e obtendo as medidas antropométricas conforme o protocolo padrão. Em seguida, curvas ROC foram construídas para os indicadores antropométricos, os pontos de corte foram estabelecidos por meio do índice de Youden e, para verificar a magnitude das associações, foi utilizada a análise multivariada de regressão logística. Resultados Foi observado que as mulheres com hipertensão (26,6%) eram mais velhas e exibiam valores maiores de PC, IMC, RCE e ICC. As áreas sob as curvas do PC (0,69), do IMC (0,71) e da RCE (0,70) não diferiram entre si, porém foram significativamente maiores que a do ICC (0,62), estando o IMC mais associado à hipertensão arterial, seguido pelo PC, pela RCE e, por último, pelo ICC. Conclusão Os indicadores antropométricos aqui analisados podem ser úteis na triagem de mulheres com hipertensão arterial, por serem de baixo custo e fácil aplicação.
Qualidade de vida entre idosos: associação com características demográficas, comportamentais e estado de saúde
Authors: Acacio Evelyn Opuszka , Legey Ângela Luiza Cunha , Höfelmann Doroteia Aparecida
Published: December 2024

Resumo Introdução A população idosa vem aumentando no Brasil devido ao aumento da expectativa de vida e à diminuição da taxa de fecundidade. Objetivo Analisar a qualidade de vida (QV) e a associação com fatores demográficos, socioeconômicos, comportamentais, relacionados ao estado de saúde e autopercepção de saúde entre idosos da área de abrangência de uma Unidade de Saúde de Colombo/PR. Método A QV foi investigada por meio da Escala de Autorrelato da QV (CASP-16). A associação entre o desfecho e as variáveis foi testada empregando modelos de equações de estimativas generalizadas, com cálculo de coeficientes (betas) e intervalos de confiança de 95% (IC95%). Resultados Participaram do estudo 198 idosos, 54% do sexo feminino, idade entre 65 e 90 anos. O escore médio de QV foi de 31,9 (IC95% 30,7; 33,1). Após análises ajustadas, a QV foi maior entre idosos: viúvos (3,68; IC95% 1,16;6,21), que referiram praticar atividade física (3,48; IC95% 1,51;5,46); por outro lado, foi menor entre os não participantes de atividades externas (-3,76; IC95% -5,82;-1,70), que relataram dificuldade em realizar atividades básicas da vida diária (-7,45; IC95% -10,64;-4,25), e com autoavaliação ruim da saúde (-4,32; IC95% -7,48;-1,15). Conclusão As características ligadas ao envelhecimento ativo foram determinantes da QV entre os idosos avaliados.
Communities structure and plant diversity in endangered canga (ironstone) vegetation: a reference ecosystem in the Brazilian semiarid region
Authors: Carmo Flávio Fonseca do , Campos Iara Christina de , Carmo Felipe Fonseca do , Kamino Luciana Hiromi Yoshino
Published: December 2024

Abstract Compared with other hyperdiverse rocky ecosystems of eastern Brazil, canga vegetation, also known as campo rupestre ferruginoso, represents one of the least studied ecosystems but support a high proportion of rare and endemic plants. Large-scale iron mining is the primary cause of the loss and degradation of cangas. Therefore, there is a need to acquire knowledge about campo rupestre ferruginoso, both to support conservation planning and to provide information that can be used in ecological restoration models. In this study, we investigated the structure, diversity, and floristic composition of campo rupestre ferruginoso communities in four canga outcrops in a semiarid region and compared the values with those from existing studies on campo rupestre in eastern Brazil. A total of 5,724 individuals were sampled, and these individuals were distributed among 74 taxa, 54 genera, and 29 botanical families. We found that the plant communities in the cangas of the Vale do Rio Peixe Bravo are characterized by a unique set of functional groups, including a high proportion of succulents and poikilohydric plants, constituting an assemblage of specialized species. Considering the high degree of threat due to large-scale mining projects, our study revealed that the four cangas are in an excellent state of conservation, and we propose that they be considered reference ecosystems for future restoration projects.
O futuro de uma ficção: considerações sobre a questão temporal no sonhar na psicanálise lacaniana
Authors: Prudente Sérgio Eduardo Lima , Estevão Ivan Ramos , Ferreira Patrícia do Prado
Published: December 2024

Resumo: Partindo da pesquisa multicêntrica - USP, UFRGS, UFMG - sobre os sonhos na pandemia, o presente artigo objetiva apresentar aspectos sobre a questão temporal no sonhar, a partir da psicanálise lacaniana. Para isto, parte-se do pressuposto presente na obra “Sonhos do Terceiro Reich”, de Charlotte Beradt, de que existiria uma ficção que fala da realidade, no sonhar das pessoas nos momentos que precederam a ascensão do nazismo. Segue-se a linha de interrogar qual futuro pode-se entender a partir dos sonhos e qual a potência desse futuro em tempos de pandemia.
Prevalence of HIV infection among transgender women and travestis in Brazil: data from the TransOdara study
Authors: Dourado Inês , Magno Laio , Leite Beo Oliveira , Bastos Francisco Inácio , Mota Jurema Corrêa da , Veras Maria Amélia de Sousa Mascena , Castejon Marcia Jorge
Published: December 2024

ABSTRACT Objective The aim of this study was to investigate the prevalence of human immunodeficiency virus (HIV) infection among transgender women and travestis and to analyze factors associated with HIV infection in Brazil. Methods TransOdara was a cross-sectional study on sexually transmitted infections among transgender women and travestis in five Brazilian cities between 2019 and 2021. Self-identified transgender women and travestis aged ≥18 years were recruited using respondent-driven sampling, completed an interviewer-led questionnaire, and provided samples to detect HIV. The outcome was the result of the rapid antigen testing for HIV. Adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI) were obtained using Poisson regression with robust variance. Results Overall, this population was found to be especially vulnerable, with high levels of unstable housing and engagement in informal work. They usually resort to transactional sex as their main working activity. Half of them earned less than the Brazilian minimum wage, which characterizes a poor population living in dire conditions. The overall HIV prevalence was 34.40%. In the final model, the variables associated with the HIV prevalence were as follows: to be 31 years old or older, not studying at the moment they were interviewed, to be unemployed, and engaged in lifetime transactional sex. Conclusion We found disproportionately high HIV prevalence among transgender women and travestis, compared with a low prevalence among respective segments of Brazil’s general population, which highlights the context of vulnerability in this population. The data point to the urgency for intensification and expansion of access to HIV prevention and strategies to stop discrimination in health care (among other services and contexts) and provide comprehensive services for this population.
Somatic complaints in adolescence
Authors: Schoen Teresa Helena
Published: December 2024

Abstract Objective The objective of this study was to identify the prevalence of somatic complaints in adolescents from São Paulo and to verify the correlation with other emotional problems. Method The study consisted of databases obtained from different surveys carried out from 2004 to 2019, comprising 2,228 Youth Self Report protocols (inventory for tracking behavioral and emotional problems), completed by adolescents aged 11 to 18 years. The focus was on the “Somatic Complaints” syndrome scale. Results It was observed that more girls and High School students check-marked items related to somatic symptoms. There was a correlation between somatic complaints and internalizing behaviors and time of survey completion (newer protocols had more complaints marked than older protocols). Conclusion Physical symptoms should not be ignored when detecting mental health problems. The uniqueness of adolescence requires attention to both physical and mental health.
Incidence of pressure injuries in critically ill patients with and without covid-19: study of Cohort
Authors: Buffon Marina Raffin , Severo Isis Marques , Azzolin Karina de Oliveira , Lucena Amália de Fátima
Published: December 2024

ABSTRACT Objective: To compare the incidence, characteristics, and risk factors of pressure injuries among critically ill patients with and without Covid-19 in an intensive care unit. Method: Retrospective cohort study in an intensive care unit by collecting data from electronic medical records of patients admitted in 2021. Sample of 302 patients, 151 with Covid-19 and 151 without Covid-19. Poisson’s regression with robust variance and p < 0.05 as a significant value was used to analyze the data. Results: The incidence of pressure injuries in patients with Covid-19 was 60.3% and in those without Covid-19 were 35.8%. Stage 2 and the sacral region were predominant in both groups and patients with Covid-19 developed lesions earlier compared to those without Covid-19. An increase in pressure injuries was observed in patients with chronic diseases, on mechanical ventilation and in the prone position The clinical variables associated were “obesity,” “Braden ≤ 12,” and “sedation time.” Conclusion: The incidence of pressure injuries was higher in patients with Covid-19.The variables “obesity,” “Braden ≤ 12,” and “sedation time” were associated with pressure injuries, regardless of whether the patient had Covid-19 or not, corroborating risk factors for pressure injuries.
Teaching the history of nursing: an overview of Brazilian public universities
Authors: Dutra Herica Silva , Nascimento Amanda Maria Machado Dutra , Militão Camila Silva Torres , Paula Diana Albuquerque Alvim de , Carvalho Natália Ana de , Pittella Camila Quinetti Paes
Published: December 2024

ABSTRACT Objective: To describe the teaching of the History of Nursing in the curricular structures of Undergraduate Nursing Courses at Brazilian public universities. Method: A documentary, descriptive study with a qualitative approach carried out between February 2021 and August 2023. The sample included the curricula of active face-to-face undergraduate courses at public educational institutions (n=136) identified on the e-MEC platform. The content of the syllabuses was organized into a textual corpus and content analysis was carried out with the support of the IRaMuTeQ software. Results: 99 syllabuses were identified among the 136 courses. A total of 100 (73.5%) courses have a specific subject dedicated to the History of Nursing. Five classes emerged which addressed the historical evolution of nursing in Brazil and worldwide, the creation of nursing schools, the division of labor, dimensions of care, and legal aspects of the profession. Conclusion: The teaching of the History of Nursing is described in the curricular structures by aspects that make it possible to learn about the historical achievements and current challenges of nursing.
Influence of soil organic matter on okra mineral nutrition and yield1
Authors: Figueiredo Glauber Fernandes Vieira de , Dantas Jussara Silva , Mesquita Evandro Franklin de , Pereira Rennan Fernandes , Melo Dalila Regina Mota de , Nogueira Virgínia de Fátima Bezerra , Sousa Caio da Silva , Diniz José Paulo Costa
Published: December 2024

ABSTRACT Low soil organic matter contents may harm several crops, including okra. However, the incorporation of organic materials has proven effective in increasing the availability of nutrients for plants, among other benefits. This study aimed to evaluate the mineral nutrition and yield of okra after supplying organic material (dry cattle manure) to the soil. Five soil organic matter levels (1.2, 2.0, 2.8, 3.6 and 4.4 %), provided by the addition of cattle manure, were assessed under field conditions in two crop cycles, using randomized blocks, in a 5 × 2 factorial design, with four replications. The leaf contents of N, P, K, Ca, Mg, S, B, Fe, Zn, Cu and Mn and fruit yield were analyzed. The increase in soil organic matter increased the macro and micronutrient contents in the okra leaves; however, excessive levels of soil organic matter reduced the concentrations of N, P, Ca, Mg, S, B, Fe, Mn and Cu, with variations between the crop cycles. Furthermore, the mineral nutrition and plant yield parameters were higher in the second cultivation cycle, when compared to the first one. Fruit yield peaked at 24.9 t ha-1 with 3.8 % of soil organic matter. Therefore, this concentration is recommended to achieve a high okra yield.
Moral competence in students from three areas of knowledge
Authors: Lopes Leda Maria Borba Torchetto , Arantes Beatriz Marcomini , Bataglia Patrícia Unger Raphael , Guirro Úrsula Bueno do Prado
Published: December 2024

Abstract Moral competence is the capacity to make moral decisions or judgments and to act in accordance with them. The aim of this study was to measure and compare such competence among law, civil engineering and medical students at Universidade Federal do Paraná. All students enrolled in these courses were invited to take the moral competence test, resulting in 946 valid responses. Medical students had a C-score of 11.4; civil engineering students, 15.9; and law students, 14. There was no increase in moral competence over the successive academic terms, nor according to age and gender, except in medicine, where scores were higher among female students. Although moral competence was lower among medical students, all scores were low and did not increase throughout the courses, suggesting that undergraduate education did not positively influence this competence. Finally, it was concluded that teaching strategies should be included in future educational planning.
Cuidados paliativos perinatales: reflexiones en torno a una clínica ambulatoria
Authors: Beltrão Julianna Rodrigues , Franco Andreia Christine Bonotto Farias , Monteiro Larissa Madruga , Percegona Janaína Ferreira
Published: December 2024

Resumen Este estudio describe el perfil de la población atendida por un servicio de cuidados paliativos pediátricos y perinatales en una clínica ambulatoria para mujeres embarazadas, en un hospital de referencia en Curitiba/PR. Se trata de un estudio retrospectivo, transversal y descriptivo, basado en las historias clínicas de pacientes atendidas entre septiembre del 2020 y marzo del 2022. Los datos se analizaron utilizando estadística descriptiva. El servicio recibió 130 derivaciones, y 115 mujeres embarazadas tuvieron al menos una consulta con el equipo de cuidados paliativos pediátricos y perinatales. La edad media de las Pacientes fue de 30 años (±7,2). En cuanto a la clasificación de la enfermedad, la mayoría se refiere al pronóstico incierto debido a alteraciones neurológicas (22%), seguido de síndromes cromosómicos (18%). Ante ello, el 15% de las mujeres embarazadas y sus familias aceptaron limitar el soporte vital y el 31% de los bebés fallecieron. Conocer esta información permite orientar mejor las acciones y, en consecuencia, ofrecer un mejor apoyo a las familias de fetos con malformaciones.
Innovation and ethics: animal experimentation in rabies diagnosis
Authors: Moraes Gabriela Chueiri de , Silva Tatiana Tavares da
Published: December 2024

Abstract Interdisciplinary approaches are emphasized in health communities, addressing the (re)emergence of various infectious diseases stemming from the human-animal-environment interface. An example is rabies, a serious zoonotic disease considered endemic in Brazil and globally neglected. Both epidemiological surveillance and confirmation of this disease rely on laboratory diagnosis, typically involving intracerebral inoculation of the suspected sample into mice, despite the availability of alternatives such as validated molecular techniques, recognized by the World Health Organization. This paper discusses the ethical implications of (not) adopting these methods, assuming that all animals should be respected and understood as unique individuals in their perception of the world rather than research subjects. This corroborates the need for new perspectives that redefine relationships between humans and non-human animals, which is key to introducing systemic, ethical-political changes aimed at ending animal instrumentalization, including within scientific contexts.
Innovación y ética: la experimentación animal en el diagnóstico de la rabia
Authors: Moraes Gabriela Chueiri de , Silva Tatiana Tavares da
Published: December 2024

Resumen En las comunidades sanitarias se está haciendo hincapié en los enfoques interdisciplinarios, considerando la (re)aparición de diversas enfermedades infecciosas que emanan de la interfaz hombre-animal-medio ambiente. La rabia, una zoonosis grave, considerada endémica en Brasil y desatendida en todo el mundo, es un ejemplo. Tanto la vigilancia epidemiológica como la confirmación de esta enfermedad dependen del diagnóstico de laboratorio, realizado mediante inoculación intracerebral de la muestra sospechosa en ratones, aunque existen alternativas, como las técnicas moleculares, validadas y reconocidas por la Organización Mundial de la Salud. En este artículo se discuten las implicaciones éticas de (no) adoptar estos métodos, partiendo de la premisa de que todos los animales deben ser respetados y entendidos como sujetos singulares en su percepción del mundo, no como objetos de investigación. Esto corrobora la necesidad de nuevas perspectivas que resignifiquen la relación entre los seres humanos y los animales no humanos, lo cual es primordial para establecer cambios sistémicos, de carácter ético-político, destinados a poner fin a la instrumentalización de los animales, incluso en el contexto científico.
Desarrollo de valores médicos en la formación en metodologías activas
Authors: Barbosa Tatiane Muniz , Merigo Eduarda Ferreira , Silva Mateus Henrique , Lima Paola de
Published: December 2024

Resumen Dada la expansión de la educación médica en Brasil en paralelo con la actualización de los Lineamientos Curriculares Nacionales (2001, 2014 y 2022), es esencial reflexionar sobre el proceso de enseñanza- aprendizaje de la ética y la bioética. Este estudio correlaciona los valores morales desarrollados durante la formación médica con su aplicación en las pasantías obligatorias en medicina en el sur de Brasil. Se realizó una investigación cualitativa a 72 estudiantes de las clases de internado, y la recolección de datos consistió en la aplicación individual de un cuestionario. A partir del análisis de contenido, los resultados indican que los valores morales aprendidos durante la formación y los valores practicados y considerados esenciales en el internado fueron el respeto, la responsabilidad, la paciencia y la humildad; además, las discusiones y el aprendizaje sobre estos valores morales/ sociales ocurrieron con mayor frecuencia cuando se adoptaron estrategias educativas características de las metodologías activas.
Perfil epidemiológico de pacientes transplantados renais portadores de nefrite lúpica
Authors: Pachi Beatriz Curto , Bialecki Laura Marcon Bischoff , Borba Luísa Rigon , Bischoff Helena Marcon , Garcia Valter Duro , Meinerz Gisele , Keitel Elizete
Published: December 2024

Resumo Introdução A nefrite lúpica (NL) afeta até 50% dos pacientes com lúpus eritematoso sistêmico (LES) e pode levar à falência renal e necessidade de transplante renal (TR). Os resultados em comparação à TR por outras causas são controversos, e visamos avaliar evolução clínica, complicações e sobrevida de pacientes com NL submetidos a TR. Metodologia Coorte retrospectiva de 99 TR por NL de 1977 a 2023 em um único centro, divididos em dois grupos conforme o período de imunossupressão: G1 (antes de 2009) e G2 (a partir de 2009). As características clínicas, demográficas e evolução clínica foram comparadas. Resultados Pacientes eram na maioria brancos (65,9%), sexo feminino (86,9%), no primeiro TR (83,8%). A idade mediana foi 20,0 (11,5–25,0) anos no diagnóstico de LES e 30,0 (23,0–40,0) anos no TR. Biópsia do enxerto renal foi indicada para 46% dos pacientes, com rejeição em 23% e recorrência de NL em 5%. Avaliando os dois períodos distintos de imunossupressão padrão, não houve diferença na mediana de taxa de filtração glomerular e de proteinúria em 1 ano e em 5 anos, nem da sobrevida em 5 anos. Em todo o acompanhamento, 37,4% dos pacientes perderam o enxerto e 13% morreram com enxerto funcionante. Nenhuma perda foi atribuída à recorrência de NL. Conclusão TR é um tratamento bem-sucedido na NL, com taxas de sobrevida do enxerto semelhantes às de transplantes por outras causas. A recorrência de NL não esteve associada à perda do enxerto renal.