bluuebunny/crossref_metadata_2025 huggingface dataset:
Which scale is best to assess the risk of upper gastrointestinal bleeding in patients with stable coronary artery disease in the Russian population?
Authors: Shakhmatova O. O. , Komarov A. L. , Ergasheva U. P. , Korobkova V. V. , Minushkina L. O. , Brazhnik V. A. , Zateyshchikov D. A. , Yarovaya E. B. , Panchenko E. P.
Published: May 2024

Aim. To evaluate and compare the prognostic value of various scales on the risk of upper gastrointestinal bleeding (GIB) in patients with stable coronary artery disease (CAD) in the Russian population.

Material and methods. The study included patients with stable CAD — participants of the REGATTA-1 prospective single-center registry. The number of points was assessed according to the reference score of the 2015 European Society of Cardiology (ESC), PRECISE-DAPT, ABC-HBR and REACH scores, as well as two Russian scores — the REGATTA score and the ORACUL score, originally developed for patients with acute coronary syndrome (ACS).

Results. A total of 623 patients were included (median age 60 [53, 68] years; men — 78,7%). Over 2,5 [1,1-14,7]-year follow-up, the incidence of major and clinically significant GIBs was 1,9 cases/100 people/year. There were following score with sufficient predictive value: REGATTA — Area Under the Receiver Operating Characteristic Curve (ROC AUC) 0,865, p<0,0001, F1 measure 0,4; ESC 2015 — ROC AUC 0,791, p<0,0001, F1 measure 0,243; PRECISE-DAPT — ROC AUC 0,713, p=0,001, F1 measure 0,397, and ABC HBR — ROC AUC 0,743, p<0,01, F1 measure 0,432. The REGATTA score is characterized by the greatest predictive significance (p<0,05 for all pairwise comparisons). The original ORACUL scale (ROC AUC 0,507, p=0,9, F1 measure 0,150) and the REACH scale (ROC AUC 0,572, p=0,164, F1 0,177) did not significantly predict the GIB risk. The identified patterns maintained when analyzed with binary values "high risk/no high risk" for each of the scales. Modified ORACUL scale for stable coronary artery disease after recalibration using binary analysis was not inferior to the ESC 2015, PRECISE-DAPT and ABC-HBR scales (ROC AUC — 0,645 (p=0,002)).

Conclusion. The universal PRECISE-DAPT and ABC-HBR scales can be used to assess the GIB risk of along with the 2015 ESC score in patients with stable coronary artery disease. The Russian REGATTA score has the best predictive ability, but its limitation is the lack of external validation. Modification and recalibration of the ORACUL scale significantly increases its predictive value in patients with stable coronary artery disease.
The problem of excess sugar consumption: culinary and medical aspects
Authors: Eliashevich S. O. , Orekhova A. V. , Kontsevaya A. V. , Drapkina O. M.
Published: May 2024

This narrative review was prepared by a working group based on actual data at the international and Russian level. The review examines data on the frequency of added sugar consumption in Russia, as well as the changes in prevalence of non-communicable diseases, including obesity and type 2 diabetes, caused by excessive consumption of foods high in simple carbohydrates.
Heat shock proteins as potential biomarkers of heart failure
Authors: Timofeev Yu. S. , Afaunova A. A. , Metelskaya V. A. , Ivanova A. A. , Dzhioeva O. N. , Drapkina O. M.
Published: May 2024

The number of patients with heart failure (HF) has increased markedly over the past decades and continues to increase. During pathological cardiac remodeling in HF, vicious cycles of cellular stress are triggered. This review is devoted to a group of heat shock proteins (HSPs) stimulated by cellular stress, which make it possible to consider them as potential cardiovascular biomarkers, including for HF. The review presents the features of the most studied low-molecular-weight and high-molecular-weight HSPs, which can complement the range of non-invasive laboratory diagnostics and clinical data required when making a diagnosis. This will also help assessing the prognosis and choosing therapeutic strategy aimed at improving the patient's quality of life and reducing cardiovascular events in HF.

The review aim is to analyze publications on biochemical studies of HSPs as diagnostic markers in HF patients.
Anxiety-depressive disorders in patients with coronary artery disease with borderline coronary artery stenosis and visceral obesity
Authors: Yakhontov D. A. , Ostanina Yu. O. , Dunicheva O. V. , Tsibina T. G. , Kokoulina N. A. , Lukinov V. L.
Published: May 2024

Aim. To assess the prevalence of anxiety-depressive disorders in pa­tients with coronary artery disease (CAD) with borderline coronary artery (CA) stenosis and visceral obesity.

Material and methods. The study involved 201 patients with stable CAD with class I-III angina pectoris with borderline (50-70%) coronary stenosis. The first group consisted of patients with stable borderline CAD with increased epicardial fat thickness (EFT) — 57 (28,4%) people, the second group — patients without increased EFT — 144 (71,6%) people. Blood biochemical tests, levels of inflammatory markers (high-sensitivity C-reactive protein, interleukin (IL)-1, IL-6, IL-8, IL-10, tumor necrosis factor alpha, N-terminal pro-brain natriuretic peptide) were assessed. Cardiac ultrasound was used to determine EFT. All patients underwent coronary angiography. Levels of anxiety and depression were assessed using the Hospital Anxiety and Depression Scale (HADS).

Results. The average EFT in group 1 was 6,00 [5,00; 6,50] mm, in group 2 — 3,00 [2,30; 4,00] mm (p<0,001). In group 1 patients, hypertension (p<0,001), coronary artery disease (p<0,001) in general and myocardial infarction (p=0,003) in particular debuted at a younger age. The groups did not differ significantly in the incidence of obesity, type 2 diabetes, functional class of angina, or the intake rate of all 4 main drug groups. Patients with increased EFT were more likely to have elevated levels of N-terminal pro-brain natriuretic peptide (p=0,002), high-sensitivity C-reactive protein (p=0,027), as well as higher values (p=0,005) and a higher frequency of increasing (p<0,001) the antiinflammatory cytokine IL-10. When analyzing the anxiety-depressive profile, the sum of depression scores and the incidence of subclinical depression were significantly (p<0,001) higher in the group of patients with increased EFT.

Conclusion. Patients with stable CAD with borderline coronary artery stenosis and increased EFT, which is a marker of visceral obesity, are characterized by an earlier age of manifestation of hypertension and coronary artery disease, the presence of a pro-inflammatory phenotype and a higher level of subclinical depression.
Sixteen-year incidence changes of four main disease classes in the North Caucasus
Authors: Mamedov M. N. , Mammaev S. N. , Umetov M. A. , Toguzova Z. A. , Didigova R. T. , Kechedzhieva S. G.
Published: May 2024

Aim. To assess the changes of four main disease classes in the North Caucasus Federal District from 2005 to 2021.

Material and methods. The incidence changes of cardiovascular diseases (CVDs), neoplasms, respiratory and endocrine diseases, as well as nutritional and metabolic disorders are analyzed. The disease incidence was assessed as registration of newly diagnosed diseases per 1 thousand people according to official data from Rosstat published in 2022.

Results. In the North Caucasus region over the past 16 years, an increase in incidence rates has been observed for the main disease classes. The first place is occupied by CVDs, the number of which increased in 2021 compared to 2005 by 80%. The incidence of respiratory increased by 40%, while cancer by 20%. At the same time, the incidence of endocrine diseases, as well as nutritional and metabolic disorders decreased by 18%. In general, similar morbidity dynamics are observed for the first three disease groups. At the same time, in 2021, only for CVDs, the average incidence rates in the Russian Federation and the North Caucasian Federal District turned out to be comparable, and for cancer, respiratory, metabolic disorders and endocrine diseases in the North Caucasus Federal District, the incidence rates were lower compared to the Russian Federation as a whole. In some regions, both general trends and variability in the incidence of individual noncommunicable diseases are observed.

Conclusion. The data obtained indicate that over a 16-year period, the incidence of CVDs, respiratory and cancer diseases has increased in the North Caucasus Federal District. This once again emphasizes the need for effective medical examination of the adult population and the implementation of primary prevention at the population level and among high-risk individuals.
Regional variability of male and female mortality from three types of coronary artery disease: comparison of two periods 2017-2019 and 2020-2022
Authors: Samorodskaya I. V. , Klyuchnikov I. V. , Shepel R. N. , Kakorina E. P. , Drapkina O. M.
Published: May 2024

Aim. To assess regional variability of standardized mortality rates (SMRs) for men and women from three types of coronary artery disease (CAD) for 2 periods (2017-2019 and 2020-2022).

Material and methods. Rosstat data on the average annual population and the number of deaths in one-year age groups for 82 constituent Russian entities were used. SMRs was calculated using software (state registration number 216661114) and the European Standard Population by the direct standardization per 100 thousand population. The average regional SMRs were calculated for 2017-2019 and 2020­2022 as follows: (I21-I22) myocardial infarction (MI); (I20, I24.1-9) other acute coronary artery disease types; (I25.0-9) chronic coronary syndromes; all 3 groups of CAD.

Results. We found that the regional average CAD SMR among men (343,0±98,3 and 364,2±105,7 per 100 thousand population) is >2 times than among women (163,3±55,7 and 179, 5±61,2 per 100 thousand population), but men and women did not differ in the average regional proportion of CAD in the structure of all-cause mortality. In 5 regions, a simultaneous decrease in SMR from three CAD types and their total indicator was registered in both men and women; in 8, an increase in SMR was registered for each of the three forms and their sum, and in the remaining regions, multidirectional dynamics were noted. The coefficient of variation of regional MI SMR changes for men was 830%, for women — 322%; for other acute CAD — 7145% and 2523%, respectively. In general, the increase in CAD SMR occurred mainly due to an increase in SMR from chronic CAD against the background of a decrease in MI SMR. The proportion of chronic CAD in the structure of all CAD types is higher in women (80,1±11,9 and 82,9±10,3%) than in men (75,5±14 and 77,6±13%). The proportion of MI among men is 14,8±6,1 and 13,5±6,6%, among women — 7,1±10,9 and 6,2±8,7%.

Conclusion. The pronounced variability of regional SMRs and their changes over time, differences in mortality structure between men and women indicate a number of unresolved statistical issues related to determining the initial cause of death from CAD and its individual types, including with multimorbid pathology.
Technology for nursing care in a Maternal Intensive Care Unit: a methodological study
Authors: Sá Fabíola Nunes de , Carneiro Jéssica Lourenço , Gomes Linicarla Fabiole de Souza , Caetano Joselany Afio , Pinheiro Ana Karina Bezerra , Damasceno Ana Kelve de Castro
Published: May 2024

ABSTRACT Objectives: to develop and validate a nursing care plan in a Maternal Intensive Care Unit. Methods: a methodological study, developed in stages: integrative review; Nursing History construction; care plan restructuring; appearance and content validity by judges. Results: the history was organized into sections: Identification; Basic Human Needs; Physical Examination; and Assessment of Basic Human Needs. A care plan was restructured with 34 diagnoses, organized according to basic human needs. A satisfactory level of appearance validity of the history and care plan was obtained (Concordance Index varying between 86.3 and 100 for both instruments), and content validity with average indexes of 90.8 and 92.8, respectively. Thirty-four diagnoses, their interventions and nursing actions were consolidated. Conclusions: the instruments were considered relevant and pertinent in terms of appearance and content, and their use in the institution under study as well as in other similar services may be recommended.
Avaliação de tecnologia educacional de fisiologia da lactação por estudantes da saúde
Authors: Cherubim Daiani Oliveira , Ribeiro Polyana de Lima , Langendorf Tassiane Ferreira , Paula Cristiane Cardoso de , Padoin Stela Maris de Mello
Published: May 2024

RESUMO Objetivos: avaliar a adequação, facilitadores e barreiras para o uso de um videoclipe para aprendizagem da fisiologia da lactação por estudantes da saúde. Métodos: estudo transversal com coleta de dados online em uma instituição de ensino superior, utilizando o Instrumento de Avaliação de Tecnologia Assistiva e questões abertas. A amostra incluiu 88 estudantes. Resultados: o videoclipe foi avaliado como adequado em todos os atributos. Facilitadores identificados incluíram atratividade, musicalidade e praticidade de acesso. Barreiras apontadas foram a velocidade da música e a necessidade de conhecimento prévio. O videoclipe obteve média adequada para interatividade (1,71), objetivo (1,77), relevância (1,64) e clareza (1,77). A média global dos atributos foi 1,72. Conclusões: o videoclipe pode ser utilizado como estratégia de aprendizagem que potencializa o ensino híbrido na formação, com potencial para contribuir com a promoção e apoio ao aleitamento materno. No entanto, algumas barreiras destacam a necessidade de conhecimento prévio para a compreensão total do conteúdo.
Nursing care protocol for critical users with tracheostomy under mechanical ventilation
Authors: Lima Fernando Conceição de , Neves Wagner Felipe dos Santos , Dias André Lucas de Lima , Mendes Clarissa Porfírio , Simor Alzinei , Pimentel Ingrid Magali de Souza , Sonobe Helena Megumi , Santana Mary Elizabeth de
Published: May 2024

ABSTRACT Objectives: to develop and assess a nursing care protocol for critically ill users with tracheostomy under mechanical ventilation. Methods: a methodological study, developed through two phases, guided by the 5W2H management tool: I) target audience characterization and II) technology development. Results: thirty-four nursing professionals participated in this study, who presented educational demands in relation to care for critical users with tracheostomy, with an emphasis on standardizing care through a protocol and carrying out continuing education. Final Considerations: the creation and validity of new technologies aimed at this purpose enhanced the participation of nursing professionals and their empowerment in the health institution’s microsectoral actions and in macrosectoral actions, highlighting the need for public policies that guarantee the conduct of a line of care for users with tracheostomy.
Fall Tailoring Interventions for Patient Safety Brazil Program: an evaluability study in a teaching hospital
Authors: Medeiros Adeli Regina Prizybicien de , Gonçalves Luciana Schleder
Published: May 2024

ABSTRACT Objectives: to present the theoretical model, logic model, and the analysis and judgment matrix of the Fall TIPS Brazil Program. Methods: a qualitative, participatory research approach, in the form of an evaluability study, encompassing the phases (1) problem analysis; (2) program design, development, and adaptation to the Brazilian context; (3) program dissemination. Data were collected through document analysis and workshops. Results: through document analysis, workshops with stakeholders from the participating institution, and validation with key informants, it was possible to identify the program’s objectives, expected outcomes, and the target audience. This allowed the construction of theoretical and logic models and, through evaluative questions, the identification of indicators for the evaluation of the Fall TIPS Brazil Program. Final Considerations: this study has provided insights into the Fall TIPS program, the topic of hospital fall prevention, and the proposed models and indicators can be employed in the implementation and future evaluative processes of the program.
Radiological presentation of active pulmonary tuberculosis in kidney transplant recipients: a retrospective study of four cases and a review of the literature
Authors: Oliveira Virgilio de Araujo , Almeida Ricardo Augusto Monteiro de Barros , Cavalcante Ricardo de Souza , Andrade Luis Gustavo Modelli de , Ribeiro Sergio Marrone
Published: May 2024

Abstract Although kidney transplantation is the best therapeutic option for patients with chronic kidney disease, the immunosuppression required greatly increases susceptibility to infections that are responsible for high post-transplant mortality. Pulmonary tuberculosis (TB) represents a major cause of such infections, and its early diagnosis is therefore quite important. In view of that, we researched the manifestations of active pulmonary TB in kidney transplant recipients, through chest X-ray and computed tomography (CT), as well as determining the number of cases of active pulmonary TB occurring over a 3.5-year period at our institution. We identified four cases of active pulmonary TB in kidney transplant recipients. The CT scans provided information complementary to the chest X-ray findings in all four of those cases. We compared our CT findings with those reported in the literature. We analyzed our experience in conjunction with an extensive review of the literature that was nevertheless limited because few studies have been carried out in lowand middle-income countries, where the incidence of TB is higher.
Achados de imagem da periartrite cálcica aguda, com ênfase na ressonância magnética: ensaio iconográfico
Authors: Almeida Letícia Bianco Gomes de , Martins Marcelo Mantiolhe , Marcos Vinícius Neves
Published: May 2024

Resumo A periartrite cálcica aguda (PCA) é uma inflamação periarticular aguda associada a depósitos justa-articulares de hidroxiapatita e outros cristais básicos de fosfato de cálcio. Os pacientes apresentam início súbito de dor, edema localizado, eritema, sensibilidade e redução da amplitude de movimentos. A familiaridade com as manifestações clínicas e radiológicas da PCA facilita o diagnóstico e permite diferenciá-la de outras entidades, em particular, com doenças infecciosas ou inflamatórias, como artrite séptica e gota, reduzindo procedimentos diagnósticos e terapêuticos desnecessários. O objetivo deste ensaio iconográfico é ilustrar os achados de imagem de PCA em algumas articulações, com ênfase na ressonância magnética.
Imaging findings of acute calcific periarthritis, with emphasis on magnetic resonance imaging: pictorial essay
Authors: Almeida Letícia Bianco Gomes de , Martins Marcelo Mantiolhe , Marcos Vinícius Neves
Published: May 2024

Abstract Acute calcific periarthritis (ACP) is defined as periarticular inflammation associated with intra-articular deposits of hydroxyapatite and other basic calcium phosphate crystals. Patients with ACP present with a sudden onset of pain, together with localized swelling, as well as erythema, tenderness, and reduced range of motion. Familiarity with the clinical and radiological manifestations of ACP aids in the diagnosis and helps differentiate it from other conditions, particularly infectious or inflammatory pathologies such as septic arthritis and gout, thereby reducing the number of unnecessary diagnostic and therapeutic procedures. The objective of this pictorial essay is to illustrate the imaging findings of ACP in various joints, with an emphasis on the findings obtained by magnetic resonance imaging.
Epidemiological profile of patients undergoing non-operative management of solid organ injury and associated factors with mortality
Authors: SARQUIS LUCAS MANSANO , COLLAÇO IWAN AUGUSTO , TODERKE EDIMAR LEANDRO , FONTES HECTOR SBARAINI , NASSIF ANDRÉ THA , FREITAS ALEXANDRE COUTINHO TEIXEIRA DE
Published: May 2024

ABSTRACT Introduction: Trauma primarily affects the economically active population, causing social and economic impact. The non-operative management of solid organ injuries aims to preserve organ function, reducing the morbidity and mortality associated with surgical interventions. The aim of study was to demonstrate the epidemiological profile of patients undergoing non-operative management in a trauma hospital and to evaluate factors associated with mortality in these patients. Methods: This is a historical cohort of patients undergoing non-operative management for solid organ injuries at a Brazilian trauma reference hospital between 2018 and 2022. Included were patients with blunt and penetrating trauma, analyzing epidemiological characteristics, blood transfusion, and association with the need for surgical intervention. Results: A total of 365 patients were included in the study. Three hundred and forty-three patients were discharged (93.97%), and the success rate of non-operative treatment was 84.6%. There was an association between mortality and the following associated injuries: hemothorax, sternal fracture, aortic dissection, and traumatic brain injury. There was an association between the need for transfusion and surgical intervention. Thirty-eight patients required some form of surgical intervention. Conclusion: The profile of patients undergoing non-operative treatment consists of young men who are victims of blunt trauma. Non-operative treatment is safe and has a high success rate.
Atenção à pessoa com anemia falciforme no contexto da Estratégia Saúde da Família: a ótica dos profissionais
Authors: Leal André Luiz Ramos , de Almeida Lima Cássio , Mangueira Sabrina Aparecida de Lima , Falci Denise Mourão , Canôas Silvia Swain
Published: May 2024

Resumo Introdução: Na atenção à pessoa com anemia falciforme, é imprescindível um cuidado compartilhado e coordenado pela Atenção Primária à Saúde. Os profissionais de saúde da família devem se comprometer com a assistência, sendo necessária uma articulada rede de atenção à saúde. Este estudo teve por objetivo compreender as visões de profissionais de saúde da família acerca da atenção à saúde da pessoa com anemia falciforme. Método: Pesquisa qualitativa, realizada em Diamantina, estado de Minas Gerais, Brasil, com enfermeiros e médicos da Estratégia Saúde da Família (ESF). Conduziram-se entrevistas semiestruturadas com 15 profissionais — sendo, depois, submetidas à análise temática de conteúdo. Resultados: Emergiram duas categorias temáticas: "assistência à pessoa com anemia falciforme: fragilidades no contexto da Estratégia Saúde da Família" e "referência e contrarreferência na atenção: uma rede fragmentada". Revelaram-se desafios a serem superados: o acompanhamento sistemático mostrou-se incipiente, atribuiu-se a responsabilidade pelo cuidado principalmente ao serviço do hemocentro e o sistema de referência e contrarreferência apresentou fragmentação. Conclusões: No cenário da ESF, a assistência requer avanços para que seja de melhor qualidade, com efetiva atuação da equipe e rede de atenção bem estruturada.
Dietary total antioxidant capacity, cardiovascular risk, and anthropometric obesity indices in hemodialysis patients: A case-control study
Authors: Özkalaycı Rüveyda Esra , Çoban Şermin , Rakıcıoğlu Neslişah
Published: May 2024

ABSTRACT Objective: Oxidative stress is triggered by malnutrition and antioxidant losses due to dialysis in hemodialysis patients and thus, oxidative stress increases the risk of mortality in patients with cardiovascular disease and obesity. The study aims to determine differences in cardiovascular risk scores and obesity indices between hemodialysis and control groups and to examine the relationship between the tertiles of dietary total antioxidant capacity with cardiovascular risk, and obesity in hemodialysis and control groups. Methods: This is a cross-sectional case-control study involving hemodialysis patients (n=46) and healthy individuals (n=46). Participants’ general characteristics were obtained via a questionnaire, and the Framingham Risk Score was calculated. The dietary total antioxidant capacity was calculated using two methods based on a seven-day food record. Obesity indices, such as Basal Metabolism Index and Body Shape Index, were calculated using anthropometric measurements. Results: The mean age of the participants was 51.1±10.4 years. In the hemodialysis group, obesity indices including body weight, Basal Metabolism Index, waist circumference, fat mass index, and fat-free mass index were lower, while Framingham Risk Score values were higher than the control group (p<0.05). Energy-adjusted dietary total antioksidant capacity values were lower in hemodialysis group, and most patients were in the low tertiles of Trolox equivalent antioxidant capacity, total radical-trapping antioxidant parameter, ferric reducing-antioxidant power and vitamin C equivalent antioxidant capacity (p<0.05). Conclusion: Providing hemodialysis patients with a healthy diet can increase the dietary total antioxidant capacity, and potentially reduce cardiovascular risk, and obesity indices.
Anthropometric profile and body composition of children and adolescents with cerebral palsy on enteral diet
Authors: Schmitz Érica Patrícia Cunha Rosa , Antunes Margarida Maria de Castro , Brandt Kátia Galeão
Published: May 2024

ABSTRACT Objective To investigate the anthropometric variables and body composition of children and adolescents with cerebral palsy based on the type of enteral diet received. Methods A case-series study involving 38 individuals with spastic quadriparetic cerebral palsy, aged four to 18 years, fed only by the enteral route, followed up at a Reference Hospital in the city of Recife (PE), Brazil. One group received an exclusively industrialized enteral diet, while the other received a mixed diet (industrialized and homemade). Weight, stature, arm circumference, and arm muscle area were measured. Body composition was assessed using bioelectrical impedance analysis. Results There was no significant difference between the groups receiving industrialized and mixed diets, with a high stature deficit frequency (63.6% versus 68.7%; p=0.743), excess fat mass (93.3% versus 58.3%; p=0.060), and fat free mass deficit (73.3% versus 66.7%; p=1.000) observed in both groups. Regarding the nutritional composition of the enteral diet, 54.5% and 53.8% of the individuals in the industrialized and mixed diet groups, respectively, received an industrialized enteral diet with a hypercaloric, hyperlipidic, and hypoproteic nutritional composition. Conclusion It was concluded that there was no difference in anthropometric parameters and body composition based on the type of diet received. It should be considered that the nutritional composition of the most commonly used industrialized diet among the individuals in this study may have influenced the unfavorable outcomes, such as the high frequency of low muscle mass and excess fat mass. This highlights the need for the formulation and availability of an enteral diet that meets the nutritional needs of this population.
Findings of evaluative research on the Brazilian Food and Nutritional Security System: A scoping review from 2006 to 2022
Authors: Machado Mick Lennon , Gabriel Cristine Garcia , Vasconcelos Francisco de Assis Guedes de
Published: May 2024

ABSTRACT Objective This study analyzes the results of evaluative research on the Brazilian Food and Nutritional Security System. Method Was conducted a scoping review by collecting information from four bibliographic databases: Scientific Electronic Library Online (SciELO), Latin American and Caribbean Literature in Health Sciences (LILACS), National Library of Medicine (MEDLINE/PubMed), and Web of Science. Three researchers systematically selected the studies and extracted data. The researchers categorized the studies included according to an evaluative approach to the topics of financing, social participation, decentralization and government management, and monitoring and evaluation. Results Were found 1,987 references, 17 of which were selected for analysis. It is presented the evaluation of the System and of its public policy as a developing field permeated by different types of research and methods and which needs to be better qualified in relation to its theoretical and methodological approaches. The results and recommendations of the studies analyzed point out important elements to guide decision-making in relation to the System and its public policy. Conclusion In view of the recent weakening of the governance structure of this public policy at a national level, this study contributes to the debate on food and nutritional security and its reintegration into the Brazilian governmental agenda.
Valores pessoais, justiça organizacional e comportamento contraproducente: conexões, reflexões e agenda de pesquisa
Authors: TORRES THAÍS PINTO DA ROCHA , PAIVA KELY CÉSAR MARTINS DE , BARBOSA MILKA ALVES CORREIA
Published: May 2024

Resumo A partir da reflexão sobre os temas “valores pessoais”, “justiça organizacional” e “comportamento contraproducente”, percebeu-se que os valores pessoais norteiam os comportamentos dos indivíduos no ambiente organizacional, conforme as prioridades axiológicas, as quais influenciam a percepção de justiça organizacional, cuja ausência ou fragilidade pode levar os indivíduos a se comportarem de forma contraproducente. Diante disso, este ensaio objetiva apresentar um modelo teórico-relacional integrando tais construtos. Foram delineadas hipóteses que sustentam o referido modelo e uma robusta agenda para futuras investigações, incluindo possibilidades metodológicas.
O agro é masculino: discriminação profissional de mulheres no agronegócio
Authors: ARANTES CÁSSIA DA SILVA CASTRO , LEMOS ANA HELOÍSA DA COSTA , MEDINA GABRIEL DA SILVA , CRUZ JOSÉ ELENILSON
Published: May 2024

Resumo Vários estudos demonstram a existência de desigualdade de gênero no mercado de trabalho. A constatação dessas assimetrias motivou o presente estudo a identificar de que forma vem ocorrendo o processo de inserção profissional de egressos de Ciências Agrárias e Tecnologia em Agronegócio formados em instituições de ensino públicas de Goiás e se, nesse processo, há desigualdades relacionadas a gênero. Para alcançar o objetivo, foi realizado um levantamento que resultou em 593 questionários respondidos por egressos(as) dos cursos mencionados, no período de agosto de 2021 a janeiro de 2022. Os dados obtidos foram analisados por meio de estatística descritiva e regressão logística. Os principais resultados indicam as seguintes desigualdades de gênero na inserção profissional dos egressos: mulheres são maioria entre os desempregados; enfrentam maior dificuldade para encontrar trabalho na área de formação; a ascensão profissional feminina não tem ocorrido na mesma proporção comparativamente à masculina; mulheres recebem salários inferiores, ainda que exerçam as mesmas funções. As conclusões da pesquisa apontam a existência de desigualdade de gênero no contexto do trabalho no agronegócio e evidenciam a precária inserção profissional das mulheres neste setor.
Mulheres na política brasileira: inserção e capital político de deputadas federais
Authors: TEIXEIRA MARCELLA BARBOSA MIRANDA , MOTA-SANTOS CAROLINA MARIA
Published: May 2024

Resumo Este trabalho tem como objetivo verificar os fatores que influenciam e dificultam a inserção das mulheres na política brasileira. Com base no referencial teórico que tratou da inserção na política e do capital político, realizou-se um estudo qualitativo descritivo. A coleta de dados deu-se por meio de entrevistas semiestruturadas, com a análise temática como técnica de análise de dados. As entrevistas foram realizadas com oito deputadas federais no Brasil, eleitas em 2018. Os resultados apontaram diferença entre inserção e permanência das mulheres na política. Verificou-se que as cotas são essenciais, não só para a participação das mulheres, mas para que elas não tenham dificuldades e barreiras na filiação aos partidos. Por fim, observou-se que o capital familiar é uma das principais formas de acesso à política por parte das mulheres entrevistadas, atuando como um passaporte para o seu ingresso na política.
Strategies for legitimizing negative events: Mining dam collapse and disclosure
Authors: Amorim Fernando , Souza Maria Tereza Saraiva de
Published: May 2024

Abstract This research aimed to analyze the legitimation strategies used in environmental disclosure to neutralize negative events, such as environmental accidents, and to help identify and conceptualize the legitimation strategies related to negative events and environmental accidents used in sustainability reports. The article questions the reliability of sustainability reports produced by a benchmark company in a polluting and impact-generating sector, finding that they can be strategically manipulated to serve the interests of legitimizing and repairing the company's image rather than providing clear and objective information. The article examines the image repair mechanisms used by Samarco Mineração in its sustainability reports following the Mariana environmental disaster, with the aim of legitimizing one of the largest mining companies in the country at the time of the accident, the consequences of which are still being felt years after its occurrence. The research adopted the interpretivist paradigm, with a qualitative approach and textual content analysis of sustainability reports and reports from the relevant government agency, using the documentary research technique. It was found that the environmental disclosure published in sustainability reports is rhetorically manipulated with a massive amount of positive information, which overshadows and diverts the reader's attention from negative information and neutralizes it with defensive and mitigating arguments, thus showing that its content is not committed to the impartial disclosure of information.
Estratégias de legitimação de eventos negativos: rompimento de barragem de mineração e disclosure
Authors: Amorim Fernando , Souza Maria Tereza Saraiva de
Published: May 2024

Resumo Esta pesquisa teve como objetivo analisar as estratégias de legitimação utilizadas no disclosure ambiental que visa neutralizar eventos negativos, tal como acidentes ambientais, contribuindo para identificar e conceitualizar as estratégias de legitimação relativas a eventos negativos e acidentes ambientais utilizadas em relatórios de sustentabilidade. O artigo questiona a confiabilidade dos relatórios de sustentabilidade elaborados por uma empresa referência num setor que é poluidor e gerador de impactos, constatando que esses podem ser manipulados estrategicamente de modo a servir mais aos interesses de legitimação e reparação de imagem de companhias, do que à divulgação clara e objetiva de informações. O artigo explora os mecanismos de reparação de imagem utilizados pela Samarco Mineração nos relatórios de sustentabilidade após a ocorrência do desastre ambiental de Mariana, visando a legitimação de uma das maiores mineradoras do país à época do acidente, e cujas consequências ainda se estendem anos após a sua ocorrência. Na pesquisa, adotou-se o paradigma interpretativista, com abordagem qualitativa e análise de conteúdo textual dos relatórios de sustentabilidade e dos laudos de órgão governamental competente, mediante a técnica de pesquisa documental. Verificou-se que o disclosure ambiental publicado nos relatórios de sustentabilidade é manipulado retoricamente com quantidade massiva de informações positivas, que ofuscam e desviam a atenção do leitor de informações de natureza negativa e as neutralizam com argumentação defensiva e atenuante, evidenciando assim que seu conteúdo não está comprometido com a divulgação imparcial de informações.
The influences of institutional actors on the adoption of accounting standards for the public sector in Portugal
Authors: Robalo Rui Manuel da Costa , Matos Ana Rita Ribeiro de
Published: May 2024

ABSTRACT This study analyzes how different institutional actors influenced the adoption of accounting standards based on the IPSAS in Portugal. There is a need to understand how social structures of signification, legitimation, and domination are activated by different institutional actors in the process of adopting accounting standards, particularly in a context of financial crisis. The study of the Portuguese case is particularly relevant due to the fact that the process of adopting new accounting standards based on the IPSAS took place in the context of a financial crisis related to the sovereign debt problem. Knowledge of the process of adopting accounting standards based on the IPSAS in Portugal can be useful for current and future agents of accounting changes in other countries. This research adopted a retrospective case study methodology, supported by documentary sources and semi-structured interviews as data collection and evidence generation methods. The main contribution of this study is to show the relevance of the balanced use of different social structures (signification, legitimation, and domination) in accounting change processes, as well as to show the strengthening of the power of institutional actors at the economic and political level vis-à-vis other institutional actors in contexts of financial crisis.
On the edge: The impacts of cash flow at risk on the shareholders’ equity of public companies in Brazil
Authors: Salotti Bruno Meirelles , Carvalho João Vinícius de França
Published: May 2024

Abstract The objective of this article was to measure the cash flow at risk (CFaR) of non-financial companies in the Brazilian capital market and compare it to shareholders’ equity in order to assess the risk of insolvency. Unlike banks and insurance companies, which have strong capital requirements, the current regulation of non-financial institutions in Brazil does not provide for the calculation or maintenance of a minimum shareholders’ equity. This study fills a gap in the literature by relating CFaR to the shareholders’ equity of entities, providing a measure of insolvency risk. Monitoring insolvency risk (i.e., the possibility of negative shareholders’ equity) is critical for any entity, regardless of its industry, market, or size. The results of the CFaR measurement show that companies in different sectors can be exposed to insufficient resources in the event of operational problems. It is hoped that this will help regulators in different sectors to assess minimum capital requirements. CFaR was measured using Ebit and Ebitda (quarterly and annual). The panel consisted of 186 companies listed on the B³ between 2010 and 2022, totaling 4,897 company-quarters. The companies were divided into eight subgroups based on their characteristics. The results showed that non-financial listed companies in the Brazilian market may be undercapitalized, as 18% of the 169 entities that currently have positive shareholders’ equity would become negative at a 1% risk level. CFaRs were also re-estimated during the pandemic and did not show a clear pattern compared to other periods.
No limite: impactos do fluxo de caixa em risco sobre o patrimônio líquido de empresas de capital aberto no Brasil
Authors: Salotti Bruno Meirelles , Carvalho João Vinícius de França
Published: May 2024

Resumo O objetivo deste artigo foi mensurar o fluxo de caixa sob risco (CFaR) de companhias não financeiras do mercado de capitais brasileiro e compará-lo ao patrimônio líquido, avaliando o risco de insolvência. Diferentemente de bancos e seguradoras, que possuem fortes exigências de capital, a regulação atual de instituições não financeiras no Brasil não prevê o cálculo nem a manutenção de um patrimônio líquido mínimo. Este estudo preenche uma lacuna da literatura ao relacionar o CFaR com o Patrimônio Líquido das entidades, fornecendo uma medida de risco de insolvência. Monitorar o risco de insolvência (i.e., possibilidade de o patrimônio líquido tornar-se negativo) é vital para qualquer entidade, independentemente do setor de atuação, mercado ou porte. Os resultados da mensuração do CFaR mostram que empresas de diversos setores econômicos podem estar expostas à insuficiência de recursos em caso de problemas operacionais. Espera-se fornecer subsídios a órgãos reguladores de diversos setores, para avaliarem as exigências de capital mínimo. O CFaR foi medido utilizando o Ebit e o Ebitda (trimestrais e anuais). O painel foi composto por 186 empresas listadas na B³, entre 2010-2022, totalizando 4.897 empresas-trimestres. Segregaram-se as empresas em oito subgrupos, baseados em suas características. Como resultado, descobriu-se que as companhias abertas não financeiras do mercado brasileiro podem estar com baixa capitalização, pois 18% das 169 entidades que atualmente possuem patrimônio líquido positivo passariam a tê-lo negativo ao nível de risco de 1%. Também foram reestimados os CFaR durante a pandemia, não apresentando padrão distinto em relação aos demais períodos.
Influência do padrão postural segundo o método Godelieve Denys-Struyf na dor e na depressão pós-parto no puerpério imediato
Authors: Jesus Caroline Rodrigues de , Ferreira Elizabeth Alves Gonçalves , Silveira Leda Tomiko Yamada da , Lunardi Adriana Claudia , Oliveira Cláudia de
Published: May 2024

RESUMO | O objetivo deste estudo foi avaliar a relação entre o padrão postural, de acordo com o método Godelieve Denys-Struyf (GDS), a depressão pós-parto e a dor em mulheres no puerpério imediato. Foi realizado um estudo transversal com 29 mulheres no período de 1 a 3 dias após o parto. A depressão foi avaliada por meio da Escala de Depressão Pós-parto de Edimburgo (EPDS) e a dor pela Escala Visual Numérica de dor (0=ausência de dor, 10=pior dor possível). O padrão postural foi categorizado de acordo com o plano do desvio da postura: axial (posturas ântero-medial, póstero-medial, ântero-posterior e póstero-anterior), relacional (posturas ântero-lateral e póstero-lateral) ou misto, considerando membros superiores e inferiores. Como resultados, as mulheres, entre 19 e 41 anos de idade, apresentaram índice de massa corporal entre 21,4 e 43,8 kg/m 2 . A pontuação na EPDS variou de 10 a 26 pontos. 52% das mulheres relataram sentir dor, porém a pontuação na escala de dor foi similar nos três grupos de padrão postural (p=0,77) e não houve correlação com a pontuação na EPDS (p=0,88). Os padrões posturais apresentados foram: misto (45%), relacional (38%) e axial (17%). A pontuação da EPDS foi maior para o grupo de padrão postural relacional, em comparação com o axial (20,45±1,63 vs 15,00±3,24; p=0,01). Como conclusão, o padrão postural misto foi o mais frequente entre as mulheres. O grupo com padrão postural relacional (posturas ântero-lateral e póstero-lateral) apresentou maior pontuação na EPDS que o axial. Não houve associação entre o padrão postural e a pontuação na escala de dor ou entre a dor e a depressão.
FormAção-Continuada de Professores(as) que Ensinam Matemática: uma análise da Rede Sociotécnica Agenciada por humanos e não humanos
Authors: Almeida Diego Góes , Santana Flávia Cristina de Macêdo
Published: May 2024

Resumo Este artigo analisa como humanos e não humanos agenciam a rede sociotécnica em um contexto de formAção-continuada de professores que ensinam Matemática com a utilização de tecnologias digitais na modalidade remota. Toma-se como referência a Teoria Ator-Rede (TAR) desenvolvida por Bruno Latour, entre outros pesquisadores que se apoiaram na teoria, com o intuito de apresentar um olhar voltado para as práticas cotidianas envolvendo natureza e sociedade. Dispõe-se de uma abordagem inspirada nos pressupostos teórico-metodológico da TAR, operacionalizada por meio da observação das associações constituídas entre humanos e não humanos em um curso de extensão promovido pelo Grupo Colaborativo Matemática e Educação (GCMEduc). Os encontros ocorreram remotamente e foram transmitidos e gravados com os recursos da plataforma Google Meet. Para a análise dos dados, considera-se a rede como uma ferramenta metodológica, utilizada para mapear as associações entre os actantes. Tomou-se como referência os princípios do agnosticismo, da simetria generalizada e da associação livre para descrever as práticas durante a construção do conceito matemático. Os resultados apontam que associações estabelecidas entre participantes e a representação de massas de modelar, entre participantes e representação de pedras de mesmo material, entre participantes e representação de caixas de papelão, bem como entre participantes e representação de recipiente com uma fração de água, agenciaram a construção do conceito de volume, tomando como aliados outros conceitos interligados, como a capacidade, a massa e a densidade. Essas associações entre humanos e não humanos contribuíram para que a rede sociotécnica fosse performada.
Os Desafios e as Potencialidades da Institucionalização da Etnomatemática nos Cursos de Licenciatura em Matemática: o que nos dizem os projetos pedagógicos dos cursos
Authors: Silva Daniel Fernandes da , Oliveira Cristiane Coppe de
Published: May 2024

Resumo Este trabalho, cuja temática aborda a Etnomatemática na Formação Inicial de Professores de Matemática, é parte da tese de doutorado intitulada A Etnomatemática na formação de professores de Matemática: desafios e potencialidades e tem como objetivo analisar os desafios e as potencialidades em relação à institucionalização dessa perspectiva em Educação Matemática nos cursos formativos. Para tanto, foi delimitado as Licenciatura em Matemática públicas do estado do Rio Grande do Sul, sendo analisados 18 Projetos Pedagógicos dos Cursos (PPC) de sete Instituições de Ensino Superior (IES). Tendo como suporte metodológico a Análise de Conteúdo (AC), na perspectiva de Laurence Bardin, analisou-se, não desconsiderando a totalidade do documento, o perfil do egresso e os componentes curriculares, visando entender não somente a presença ou ausência da Etnomatemática nos cursos, mas, também, se são consideradas no processo formativo características condizentes com as propostas etnomatemáticas para o futuro professor. Os resultados apontam que existem potencialidades na implementação do Programa Etnomatemática nos cursos de graduação, mas, ao mesmo tempo, os desafios surgem como barreiras a serem superadas para que a abrangência da proposta seja, de fato, desenvolvida e os objetivos alcançados.
A Etnomodelagem nas Cantorias de Repente do Cariri Cearense
Authors: Alves Maria Rosângela dos Santos , Gonçalves Paulo Gonçalo Farias , Pereira Wanderley de Oliveira
Published: May 2024

Resumo A Educação é um processo de transmissão da cultura. Haja vista a necessidade de recorte do que será priorizado no rol de conhecimentos e práticas difundidas no âmbito escolar, em algumas situações, essa seletividade acaba excluindo e marginalizando partes importantes da cultura de grupos socioculturais. Nesse contexto, a Etnomodelagem se coloca enquanto uma das tendências que estuda essas relações entre Matemática acadêmica e conhecimentos etnomatemáticos, podendo ser um possível caminho para o contexto escolar. Partindo da necessidade de resgate e valorização da diversidade cultural no contexto da sala de aula, a presente pesquisa tem como objetivo identificar conhecimentos (etno)matemáticos associados à cultura de cantadores repentistas do Cariri cearense, à luz da Etnomodelagem. A pesquisa foi realizada no município de Abaiara-CE e teve como sujeitos dois cantadores repentistas residentes no município. Sendo do tipo etnográfica e descritiva, essa pesquisa utilizou como instrumento de coleta de dados a entrevista semiestruturada e, para analisá-los, a Análise de Conteúdo. Sob o aporte da Etnomodelagem, os etnomodelos identificados estão relacionados ao conteúdo matemático de sequências, que está presente nas diferentes modalidades da cantoria de repente como na sextilha e nos motes em sete e dez. Portanto, podemos perceber que há uma alternativa acerca dos conhecimentos desvendados dessa prática cultural do repente como uma forma de inserção para o contexto educativo, o que seria uma possibilidade para abrir espaços para a diversidade cultural.