bluuebunny/crossref_metadata_2025 huggingface dataset:
Judicialização da saúde: uma análise de indicadores e dados oficiais sobre medicamentos
Authors: Bernardinis Nádia , Gubert Vanessa Terezinha , Ferreira Cristiane Munaretto , Barreto Jorge Otávio Maia
Published: July 2024

RESUMO Objetivos: analisar as demandas judiciais por medicamentos em Campo Grande, Brasil, entre julho de 2018 e junho de 2020. Métodos: foram analisadas as 4 dimensões do Manual de Indicadores de Avaliação e Monitoramento de Demandas Judiciais de Medicamentos. Resultados: 676 processos judiciais foram identificados, correspondendo a 1006 solicitações para 284 diferentes medicamentos. Em 92,74% dos processos o acesso aos medicamentos foi concedido, sendo 88,80% em caráter de urgência. O tempo mediano entre a decisão e entrega do medicamento foi 146 dias. O custo médio mensal de aquisição dos medicamentos foi R$ 2.183,68 reais. Dentre os medicamentos identificados, 90,22% tinham pelo menos uma alternativa terapêutica disponível no sistema público de saúde. Conclusões: a caracterização e análise das demandas judiciais relacionadas a medicamentos pode apoiar as discussões sobre atualização das listas de medicamentos e protocolos clínicos, a organização dos serviços de saúde, a alocação de recursos e as ações para reduzir a judicialização.
Tendência da taxa de cesariana no Brasil por grupo de classificação de Robson, 2014-2020
Authors: Pereira Virginia Barbosa , Reis Síntia Nascimento dos , Araújo Fernanda Gontijo , Amorim Torcata , Martins Eunice Francisca , Felisbino-Mendes Mariana Santos
Published: July 2024

RESUMO Objetivos: avaliar a tendência de cesáreas, no período de 2014 a 2020, nos setores público e privado segundo a Classificação de Robson. Métodos: estudo de série temporal da proporção de mulheres que tiveram cesáreas entre 2014 e 2020, considerando a classificação de Robson e o tipo de serviço. Para análise de tendência, utilizou-se a regressão de Prais-Winsten. Resultados: observaram-se maiores proporções de cesáreas em todos os grupos de Robson no setor privado em relação ao público, mesmo com tendência de redução no privado e aumento no público. Também foram registradas elevadas proporções de cesáreas em grupos favoráveis ao parto normal (Robson 1, 4 e 5). Conclusões: apesar da tendência de redução das cesáreas no setor privado, houve tendência crescente no público e elevada proporção de cesáreas em mulheres com condições favoráveis ao parto normal. Ressalta-se a necessidade de monitorar esses indicadores para avaliar e propor intervenções para a redução de cesáreas desnecessárias.
Estratégias de adaptação no preparo para o parto no contexto de pandemia: Teoria de Roy
Authors: Pickler Letícia , Lima Margarete Maria de , Roque Ariane Thaise Frello , Wilhelm Laís Antunes , Curcio Felice , Guarda Dionara , Costa Roberta , Alves Isadora Ferrante Boscoli de Oliveira
Published: July 2024

RESUMO Objetivos: conhecer o processo de adaptação ao parto durante a pandemia de covid-19, a partir da perspectiva de um grupo de gestantes. Métodos: realizou-se um estudo qualitativo, descritivo-exploratório com 23 mulheres. Os dados foram coletados entre outubro e dezembro de 2021, através de documentação e entrevistas semiestruturadas, analisados conforme a metodologia de Minayo e o Modelo de Adaptação de Roy. Resultados: identificaram-se diversos tipos de estímulos - focais, contextuais e residuais - que influenciaram a preparação para o parto. O grupo online mostrou-se essencial para facilitar a adaptação das gestantes, oferecendo um suporte significativo e gerando um feedback positivo para o preparo para o parto. Considerações Finais: identificou-se a importância de grupos de gestantes como estratégia para melhorar a adaptação ao parto, destacando a eficácia deste suporte tanto entre profissionais e participantes quanto entre as gestantes, fortalecendo a rede de apoio e a preparação para o parto durante um período desafiador como uma pandemia.
Educational technology for multidisciplinary training for managing waiting lists for elective patients
Authors: Lisbôa Rosa Ladi , Furtado Kaihara de Freitas , Rosa Vitória Silva da , Evangelista Caroline Schacker , Paz Adriana Aparecida
Published: July 2024

ABSTRACT Objectives: to construct and assess an educational technology for managing patient waiting lists for multidisciplinary training. Methods: study supported by Instructional Design - ADDIE model, whose stages of construction of educational technology were developed in the form of a multi-professional training course. Its respective content assessment was carried out by a committee of experts from 2021 to 2022. The analysis occurred based on the proportion of content adequacy with 95% Confidence Interval. Results: seventeen products were created as educational technology learning objects: five storyboards; four videos; three comic books; two pedagogical action plans; a mind map; and a YouTube® playlist. Nine experts assessed content adequacy, which reached 0.89. Conclusions: this educational technology contributes to the performance of professionals who manage waiting lists by reducing inequalities, alleviating differences, in addition to promoting equity in care and good health for patients in the Brazilian Health System.
Contribution of informal caregivers to self-care in individuals with heart failure
Authors: Sousa Mailson Marques de , Nepomuceno Adriana Meira Tiburtino , Feitosa Rayana Pereira , Loureiro Lara de Sá Neves , Silva Renan Alves , Fernandes Maria das Graças Melo , Oliveira Simone Helena dos Santos
Published: July 2024

ABSTRACT Objectives: to evaluate the contribution of informal caregivers to the self-care of individuals with heart failure. Methods: a cross-sectional study was conducted with 87 caregivers from March to October 2022 in the city of João Pessoa/PB. The caregivers’ contribution was assessed using the Caregiver Contribution to Self-Care of Heart Failure Index instrument. Scores ≥ 70 points indicate adequate contribution. Data were analyzed using descriptive statistics and Spearman’s correlation. Results: the sample consisted of 81.6% female caregivers. Median scores obtained for the self-care contribution scales were: 63.3 for maintenance; 55.5 for management; and 66.6 for confidence. Caregivers never or rarely recommended monitoring body weight, regular physical exercise, extra use of diuretics, and fluid restriction. Conclusions: informal caregivers showed inadequate contribution in the areas of maintenance, management, and confidence in self-care of individuals with heart failure.
Men’s perception of paternal parenthood and the promotion of child development
Authors: Aquino Gustavo Selenko de , Moura Sarah de Almeida Rocha , Lima Junior Ailton de , Cordeiro Samara Macedo , Vicente Jéssica Batistela , Mazza Verônica de Azevedo
Published: July 2024

ABSTRACT Objectives: to comprehend men’s perception of paternal parenthood while caring for infants to promote child development. Methods: this qualitative study adopts an exploratory approach and was conducted with undergraduate and graduate students, faculty, and staff who are fathers of infants up to 6 months old from a higher education institution, excluding fathers from mononuclear families. Data collection occurred through semi-structured interviews and was analyzed using thematic categorical analysis. Results: fifteen men participated in the study. From the analysis, two empirical categories emerged: “Perception of being a father: challenges and novelties” and “Promotion of child development: actions carried out by fathers”. Fathers revealed feeling unprepared, the need for emotional support, and recognized activities aimed at their children’s development. Final Considerations: the relevance of the paternal figure for child development is highlighted, as well as the need for public policies to encourage paternal parenthood.
Telenfermagem no pós-operatório: revisão de escopo
Authors: Gimenez Viviane Cristina de Albuquerque , Almeida Graziela Maria Ferraz de , Cyrino Claudia Maria Silva , Lemos Cassiane de Santana , Favoretto Carolina , Avila Marla Andreia Garcia de
Published: July 2024

RESUMO Objetivos: mapear as evidências disponíveis sobre a utilização da telenfermagem no pós-operatório e seu impacto nos desfechos de pacientes. Métodos: revisão de escopo, conduzida de acordo com o modelo JBI e o checklist PRISMA-ScR. A busca foi realizada nas bases de dados CINAHL, Embase, LILACS, PubMed, Web of Science, SciELO, Scopus e Cochrane Library. Resultados: foram incluídos 12 estudos, publicados no período de 2011 a 2023, dos quais 66,6% foram em países desenvolvidos. Dos desfechos positivos, destacam-se melhora nos níveis de incapacidade, autonomia e qualidade de vida, menor taxa de complicações pós-operatórias, dor e redução de custos. O monitoramento por telefone foi a modalidade mais utilizada com escassez de produções no contexto pediátrico e no Brasil. Conclusões: dos estudos, 11 (91,6%) identificaram pelo menos um desfecho positivo no uso da telenfermagem e nenhum apresentou aspectos negativos no pós-operatório. A atuação do enfermeiro na saúde digital necessita de novos estudos.
Organização dos sistemas locais de saúde em municípios rurais remotos brasileiros no enfrentamento da pandemia de COVID-19
Authors: Martinelli Nereide Lucia , Schenkman Simone , Duarte Elisete , Martins Cleide Lavieri , Barbalho Renata Elisie , Fausto Márcia Cristina Rodrigues , Bousquat Aylene Emilia Moraes
Published: July 2024

Resumo: Na pandemia de COVID-19, as populações que vivem mais afastadas dos centros urbanos enfrentaram imensas dificuldades no acesso aos serviços de saúde. O objetivo deste estudo é analisar como os municípios rurais remotos brasileiros enfrentaram a pandemia de COVID-19, tendo como base sua resposta política, estrutural e organizativa ao acesso à saúde. Trata-se de estudo qualitativo de casos múltiplos com a análise de conteúdo temática e dedutiva de 51 entrevistas conduzidas com gestores e profissionais de saúde em 16 municípios rurais remotos dos estados de Rondônia, Mato Grosso, Tocantins, Piauí, Minas Gerais e Amazonas. Com dinâmicas socioespaciais próprias, grandes distâncias até os centros de referência, os municípios rurais remotos responderam às demandas da pandemia, mas não tiveram suas necessidades atendidas oportunamente. Preservaram a comunicação com a população, reorganizaram o sistema local centrado na atenção primária à saúde (APS), alteraram o funcionamento das unidades de saúde, ultrapassando os limites de suas atribuições para prestar o cuidado necessário e aguardar o encaminhamento aos demais níveis de complexidade. Enfrentaram a escassez de serviços, as lacunas assistenciais da rede regional e o transporte sanitário inadequado. A pandemia reiterou as dificuldades da APS em coordenar o cuidado e expôs os vazios assistenciais nas regiões de referência. A provisão equitativa e resolutiva do sistema local de saúde nos municípios rurais remotos implica na articulação interfederativa à formulação e implementação de políticas públicas de modo a assegurar o direito à saúde.
Advancements of agriculture 4.0 in mechanized sugarcane harvesting: a review
Authors: Ferraz Neto Americo , Santos Jenyffer da Silva Gomes , Rossetto Raffaella , Biagi João Domingos , Albiero Daniel
Published: July 2024

ABSTRACT: This study reviewed the advancements of Agriculture 4.0 in mechanized sugarcane harvesting, analyzing the efficiency of the mechanized harvesting system and evaluating the impact of the harvesting, loading, and transportation process costs. The mechanized sugarcane harvesting system in the 2020/21 harvest reached 91.6% or approximately 588 Mg in Brazil. As this activity demands a high amount of capital - assets, labor, inputs - the cost of the harvesting, loading, and transporting process represents 40% of the sugarcane production cost. The continuous delivery of raw material to the industrial processing unit is essential to ensure stability and maximum yield for obtaining sugar and ethanol, especially in an environment with geographical dispersion of harvesting fronts and agronomic factors linked to crop management. Therefore, tools that enable real-time equipment tracking benefit process management. Digital agriculture, defined as the application of technologies that seek to add intelligence and process automation, allows for improved agricultural management of farms, making it possible to reach new productivity levels in the field. The data generated through digital agriculture allows for the creation of models to construct scenarios that improve decision-making, both in terms of operational strategies - distribution of resources by harvesting front - and long-term strategies - the adoption of new technologies in the process.
Desenvolvimento e Propriedades Psicométricas Iniciais da Escala de Incapacitação Funcional por Enxaqueca
Authors: Sá Lucas Guimarães Cardoso de , Sousa Márcio André Pereira de , Serejo Milena Seli Furtado , Serejo Filho Carlos Armando Alves , Duarte Laura Andrelynne Durans
Published: July 2024

Resumo O objetivo deste estudo foi desenvolver um instrumento capaz de medir o nível de incapacitação funcional causado por enxaqueca. Na primeira etapa, a partir de análise da literatura e entrevistas com oito pessoas diagnosticadas com enxaqueca, foram construídos 54 itens que descrevem prejuízos no funcionamento dos indivíduos quando passam por uma crise de enxaqueca. As análises semântica e de conteúdo resultaram na exclusão de 14 itens. Na segunda etapa, participaram 354 enxaquecosos. Foram investigadas a estrutura interna por análises fatoriais exploratórias, a fidedignidade por ômega de Mcdonald e estabelecida normatização inicial por percentis. O instrumento, nomeado como Escala de Incapacitação Funcional por Enxaqueca, ficou composto por 20 itens, divididos em três fatores: Limitação de atividades (9 itens, ω = 0,90), Impacto emocional (6 itens, ω = 0,87) e Impacto cognitivo (5 itens, ω = 0,90). Os resultados, ainda que iniciais, indicam que o instrumento é promissor no rastreio de sinais de incapacitação causada pela enxaqueca.
Aplicabilidad del Modelo de Sistemas de Neuman a la práctica de enfermería gerontológica: revisión de alcance
Authors: Oliveira Samara Gonçalves de , Caldas Célia Pereira , Nicoli Esther Mourão , Silva Frances Valéria Costa e , Cardoso Rosane Barreto , Lopes Fernanda Maria do Vale Martins
Published: July 2024

Objetivo: mapear producciones científicas sobre la aplicación del Modelo de Sistemas de Neuman a la práctica de enfermería para la atención de la salud del adulto mayor. Método: revisión de alcance, basada en la metodología propuesta por el Joanna Briggs Institute . Se consultaron siete bases de datos electrónicas. Se consideraron los siguientes criterios de elegibilidad: Población - adultos mayores; Concepto - aplicación del Modelo de Sistemas de Neuman a la práctica de enfermería; y Contexto de la investigación - servicios de salud. Resultados: la muestra estuvo compuesta por 14 estudios. Los datos se analizaron y resumieron en dos categorías: implementación del Modelo de Sistemas de Neuman en ambientes hospitalarios, institucionales y ambulatorios y uso del Modelo de Sistemas de Neuman en el ambiente comunitario y el domiciliario. Conclusión: la aplicación del enfoque sistémico de Neuman a la práctica de enfermería gerontológica, en diferentes escenarios de atención, resultó prometedora, al considerar al adulto mayor como individuo integral y con múltiples dimensiones. Se comprobó que esa perspectiva cuenta con adaptabilidad y eficacia para satisfacer las diferentes necesidades de los adultos mayores, y que mejora la calidad de vida en la vejez.
Aplicabilidade do Modelo de Sistemas de Neuman à prática de enfermagem gerontológica: revisão de escopo
Authors: Oliveira Samara Gonçalves de , Caldas Célia Pereira , Nicoli Esther Mourão , Silva Frances Valéria Costa e , Cardoso Rosane Barreto , Lopes Fernanda Maria do Vale Martins
Published: July 2024

Objetivo: mapear as produções científicas sobre a aplicação do Modelo de Sistemas de Neuman à prática de enfermagem voltada para a atenção à saúde de idosos. Método: revisão de escopo, baseada na metodologia proposta pelo Joanna Briggs Institute . Foram consultadas sete bases de dados eletrônicas. Quanto aos critérios de elegibilidade, consideraram-se: População - idosos; Conceito - aplicação do Modelo de Sistemas de Neuman na prática de enfermagem; e Contexto da pesquisa - serviços de saúde. Resultados: 14 estudos compuseram a amostra. Os dados foram analisados e sumarizados em duas categorias: implementação do Modelo de Sistemas de Neuman em ambientes hospitalares, institucionais e ambulatoriais e utilização do Modelo de Sistemas de Neuman em ambientes comunitário e domiciliar. Conclusão: A aplicação da abordagem de sistemas de Neuman à prática de enfermagem gerontológica, em diversos cenários de cuidado revelou-se promissora, ao considerar os idosos como indivíduos abrangentes e de múltiplas dimensões. Essa perspectiva demonstrou adaptabilidade e eficácia para atender às diversas necessidades dos idosos, resultando em uma melhoria em sua qualidade de vida na velhice.
Factors associated with workaholism in nurses’ mental health: integrative review
Authors: Barbosa Nanielle Silva , Lira Jefferson Abraão Caetano , Ribeiro Amanda Alves de Alencar , Rocha Eukália Pereira da , Galdino Maria José Quina , Fernandes Márcia Astrês
Published: July 2024

Objective: to synthesize the main scientific evidence available on the factors associated with workaholism in nurses’ mental health. Method: this is an integrative review carried out in seven databases. The sample consisted of 11 studies. The Level of Evidence classification followed the model described by Melnyk and Fineout-Overholt. Methodological quality was assessed using the Checklist for Analytical Cross-Sectional Studies. Data analysis and synthesis were carried out in a qualitative and descriptive manner, respectively. Results: the factors associated with workaholism were burnout, stress, anxiety, depression, sleep-related problems, low ability to concentrate and negative incidents at work, which affected the mental health of nurses. Conclusion: the synthesis revealed that workaholism was related to perceived stress at work, emotional exhaustion, depersonalization and anxious and depressive symptoms, which resulted in low professional effectiveness and poor sleep quality among workaholic professionals.
FUNPRESP: a privatização da previdência social dos servidores públicos federais
Authors: Peres Viviane Aparecida Pereira
Published: July 2024

Resumo: O presente artigo tem por objetivo investigar as consequências da criação Fundação de Previdência Complementar do Serviço Público Federal (FUNPRESP) desde a Lei nº 12.618/2012 e as modificações com a EC nº 103/2019 (contrarreforma da previdência social) aos servidores(as) públicos do executivo federal. Tais medidas impulsionaram a lógica de privatização da previdência social dos(as) servidores(as) públicos. Com base em informações dos investimentos financeiros das contribuições dos(as) trabalhadores(as) do executivo federal, os recursos do Estado e os atos normativos implementados, esse texto demonstra os riscos, inseguranças de um sistema de previdência social com regime de capitalização individual. Conclui-se que o estabelecimento da FUNPRESP expressa mais uma medida com a perspectiva de privatização da previdência social no Brasil, retirada de direitos dos(as) trabalhadores(as) e, sobretudo, demonstra os interesses do Estado e do capital financeiro de expropriação do fundo público como estratégia do capitalismo em profunda crise.
Safe care mobile application for surgical patients: development, content validation, and usability validation
Authors: Silva Liliane de Lourdes Teixeira , Lima Rafael Corbelli de , Silva Rone Ilideo da , Poveda Vanessa de Brito
Published: July 2024

ABSTRACT Objective: To describe the development, content validation, and usability of an application to orient surgical patients and ensure their safety. Method: Methodological study, carried out between July and August 2023, developed in three stages: (1) selection of relevant content based on a review of scientific literature; (2) development of the application; and (3) validation of the content and usability of the software, evaluated using two validated instruments, which were sent to eight nurse judges from the states of São Paulo, Minas Gerais, and Santa Catarina, and eight professional information technology judges from Minas Gerais. Results: The contents of the “Minha Cirurgia” application included information based on relevant scientific literature regarding patient safety, preoperative guidelines, timing of surgery, and post-surgical care. Its content was classified as “superior” and its usability was classified as “the best possible” by the judges. Conclusion: The application was approved by nurses and IT professionals regarding its content and usability. It will be available for free download in the Play Store. The tool is expected to be useful in the education of surgical patients, allowing them to acquire knowledge that supports them in the search for safe care.
Cross-cultural adaptation of the CALCULATE instrument into Brazilian Portuguese: pressure injury in intensive care
Authors: Velozo Bruna Cristina , Olivatto Emanuelli Giglioli , Vocci Marcelli Cristine , Bomfim Ana Carolina Rodrigues , Castro Meire Cristina Novelli e , Abbade Luciana Patricia Fernandes
Published: July 2024

ABSTRACT Objective: To perform the cross-cultural adaptation of CALCULATE for Brazilian Portuguese. Method: A methodological study conducted from January to December 2021, divided into six stages: translation, synthesis, back-translation, expert committee with the application of the content validity index, pre-testing in 40 adult patients, and submission to the authors. The study took place in the intensive care units of a public tertiary teaching hospital in the interior of the state of São Paulo, Brazil. The original CALCULATE has eight risk assessment items and is stratified with a score of 0-3 (high risk) and 4-8 (very high risk). Results: After expert evaluation, the final content validity was 0.9. They suggested words and phrases that should undergo changes regarding textual equivalences, as well as definitions of acronyms and terminologies. In the pre-test, the items were assessed as suitable for understanding; only one item required additional explanation for adequacy. Conclusion: The cross-cultural adaptation of CALCULATE for Brazilian Portuguese was successfully performed, revealing a good content validity index, confirming the relevance and appropriateness of its items. CALCULATE is suitable for use in intensive care units and research and teaching centers.
DE VOLTA A BARRINGTON MOORE JR.: A CRIATIVIDADE DA SOCIOLOGIA HISTÓRICA EM TRÊS ATOS
Authors: Helayel Karim , Botelho André
Published: July 2024

Resumo Neste artigo, recuperamos a perspectiva sociológica histórico-comparada de Barrington Moore Jr. através de dois de seus trabalhos: o famoso As origens sociais da ditadura e da democracia e Injustiça, identificando as diferenças mais marcantes no que se refere às suas abordagens. Se, no primeiro, o ponto de partida são as singularidades para a construção de proposições teóricas mais gerais, o segundo é um trabalho que parte de um debate teórico marcado por uma maior abstração para, em um segundo momento, aterrissar em um tipo de análise teórica de médio alcance, atento à dimensão da ação coletiva. Ainda procuramos pensar, em um terceiro ato, o modo pelo qual os livros que são frutos das teses de doutorado de Elisa Reis, Otávio Velho e Werneck Vianna formalizam sociologicamente fecundo diálogo com a perspectiva de Barrington Moore Jr. para pensar o processo de modernização no Brasil.
I IDENTIFY AS AUTISTIC AND AM PART OF THE COMMUNITY OF INDIVIDUALS WITHIN THE SPECTRUM: A SOCIO-ANTHROPOLOGICAL ANALYSIS OF AN ACTIVIST IN THE NEURODIVERSITY MOVEMENT IN BOGOTÁ
Authors: Montero-Martínez Juan
Published: July 2024

Abstract This study reports the reflections of Andrea Quintero, the mother of a young man with autism who identifies as autistic. This person intends to promote the neurodiversity movement, which struggles for the recognition of autism as a human divergence. A socio-anthropological analysis based on post-structuralism, sociology, and ethnographic studies on autism spectrum will show the intermediate zones of neurodivergent activism, in which negotiation and dispute points occur between some autistic subjects, specialists, and parent organizations. In turn, this research describes Andrea Quintero’s criticisms of the division between adaptable and unadaptable in our time.
IMMANENT CRITIQUE (EN)COUNTERS TRANSCENDENT CRITIQUE AND VICE-VERSA: ADORNO’S DIALECTICAL LITERARY CRITICISM
Authors: Kurkdjian Anouch Neves de Oliveira
Published: July 2024

Abstract This study addresses Theodor W. Adorno’s dialectical literary criticism and shows how it arises from the critique of an alternative model of literary (and cultural) criticism, closer to the critique of ideology in its more traditional sense in texts from the 1930s written by two other authors affiliated with the Institute for Social Research in Frankfurt, Herbert Marcuse and Leo Löwenthal. In addition to describing Adorno’s view of these two ways of approaching literary objects and calling attention to their yields and limitations, this study emphasizes how Adorno’s criticism dialectically conducts the immanent critique of artistic forms to its opposite extreme, reaching, by a deep dive into the particular of the works, their most general meaning. This enables the author to overcome a certain impasse that is configured in the dichotomy between internalist and externalist criticism of literary works, insofar as his model of literary criticism considers the contradictory character of art in modern capitalist society: neither mere ideology that simply restores domination nor a sphere preserved from social contradictions, but a sphere that, in its relative autonomy, comprises a social truth.
A dúvida como tradição: uma poética da desconfiança na obra de Ana Martins Marques
Authors: Mostazo João
Published: July 2024

Resumo Este artigo baseia-se em uma reflexão sobre a relação entre a poesia brasileira do pós-guerra e a concepção de poeta encontrada na obra do autor austríaco Rainer Maria Rilke para sugerir como, especialmente no caso da poesia de Carlos Drummond de Andrade, há no Brasil uma tradição moderna antirrilkeana, a qual pensamos como constituída das ideias de suspeita, dúvida e desconfiança. Em seguida, detemo-nos sobre a obra da poeta mineira contemporânea Ana Martins Marques, procurando mostrar como a sua poesia se insere também nessa tradição, particularmente no que se refere à dúvida quanto à capacidade de a poesia nomear o mundo.
Aspectos da matriz de identidade nas entrevistas iniciais do psicodrama
Authors: Trindade Alcione Melo
Published: July 2024

RESUMO O objetivo desta pesquisa foi identificar aspectos da matriz de identidade durante entrevistas iniciais que antecedem o processo psicoterápico. A metodologia foi qualitativa, abordando estudo de caso de uma ex-cliente. Optou-se por uma análise à luz da teoria socionômica, teoria dos clusters e perspectiva interseccional. A entrevistada era originária de família na qual experimentou violências, negligências e omissões na infância, situação que cristalizou um modo de ser “briguenta”, que se irradiava para outros papéis sociais. Apresentou queixas de conflitos com o esposo, presença de processos transferenciais complementares, com agudo sofrimento psicológico e busca por soluções não realistas. Destaca-se aspectos do primeiro e do segundo universo da matriz de identidade e é constatada a potência das entrevistas iniciais para o psicodrama.
Formação ética de graduandos/as em Pedagogia em tempos de "ideologia de gênero": um estudo transversal utilizando o Defining Issues Test-2 (DIT-2)
Authors: Silva Matheus Estevão Ferreira da , Morais Alessandra de , Brabo Tânia Suely Antonelli Marcelino
Published: July 2024

RESUMO Neste artigo, resultado de uma pesquisa que se ateve à dimensão ética do trabalho do/a pedagogo/a com os temas de gênero e sexualidades na escola, objetiva-se analisar a formação ética, do ponto de vista do desenvolvimento moral, de graduandos/as em Pedagogia de uma universidade pública paulista. A amostra foi composta de 165 sujeitos matriculados nos anos inicial e final do curso que ambientou a pesquisa. Para a mensuração de sua formação ética, recorreram-se às abordagens kohlberguiana e neokohlberguiana do desenvolvimento moral e utilizou-se o Defining Issues Test 2 (DIT-2). Os resultados demonstraram que a formação ética dos/as graduandos/as se mantém estagnada e, até mesmo, indica certa regressão ao longo do curso. Além disso, o baixo desempenho dos/as participantes esteve fortemente relacionado com seu vínculo religioso, inferindo-se que o vínculo e a formação religiosa podem deslegitimar e coibir sua formação ética.
O lugar da política educacional na formação continuada de professores das redes municipais de Belo Horizonte e São Paulo
Authors: Silva Deise Rosalio , Martins Juliana Faltz
Published: July 2024

RESUMO Este artigo versa sobre o lugar da política educacional na formação continuada dos professores das redes municipais de Belo Horizonte e São Paulo, buscando analisar o caráter com que a temática aparece nos momentos de formação coletiva. Inscreve-se em uma abordagem qualitativa, de natureza bibliográfico-documental, que contempla a revisão da literatura, o levantamento e a análise da legislação, os dados sobre as temáticas trabalhadas nas propostas formativas nos últimos cinco anos e como elas expressam o lugar destinado aos professores no âmbito das políticas educacionais. Os resultados apontam a fragilidade do debate sobre política educacional no âmbito da formação continuada de ambas as cidades e demonstram que o espaço destinado aos professores é limitado, em geral, reduzido à capacitação para a execução de propostas, impactando a potencial participação docente na formulação de políticas educacionais.
Access to education promoting sustainable mobility in cities
Authors: Molinari Alana Tamara Gonçalves , Bernardinis Márcia de Andrade Pereira
Published: July 2024

ABSTRACT It is through education that the human being develops, leaves the state of alienation, and becomes capable of self-reflection. Despite being a right guaranteed by the Brazilian 1988 Constitution, accessibility to education still faces great challenges. Therefore, it is the object of study of this article, which relied on data from the Sustainable Development Index of Cities (IDSC-BR), focusing on Sustainable Development Goal 4 on quality education, in association with the Access to Opportunities Project, focused on access on foot, emphasizing the Early Childhood, Elementary and High School service in 15 Brazilian capitals. Thus, this research shows that inequality of access, according to income and color/race, was higher in Belém, Campo Grande and Porto Alegre. The capital Belém presented the worst indexes in the analysis.
A PhD dissertation in education written by artificial intelligence?
Authors: Lopes Carlos , Forgas Rubén Comas , Cerdà-Navarr Antoni
Published: July 2024

ABSTRACT This paper analyses data and perceptions of graduate students in Education on the partial production of an article, a master's thesis and a PhD dissertation written by artificial intelligence (AI). The motivation for the study occurs due to the rise of AI for text generation, examining the trends and implications of algorithmic writing usage by graduate students. We analyzed data originating from 123 questionnaires, and primarily, the contents of 17 interviews conducted in 2021. Some conclusions were that 88.6% of the graduate students are unfamiliar with AI use for text production, though the aggregated frequency demonstrates a tendency to use it by 84.5% and the interviews, carried out in safeguarded conditions, by 70.6%; the admission of use varied among categories in the individual and in context scopes; "AI and human hybrid" and "standard" type texts emerge from content analysis; a notion of plagiarism by AI appears; moral and ethical issues come up both as conditions and as an opposition to the use of AI in written production.
BACTERIAL PROFILE IN SPONDYLODISCITIS: COMPARING BIOPSY, BLOOD CULTURE AND UROCULTURE
Authors: VIEIRA MORGANA MARQUES MELLO , NAVARRO FERNANDA ANDREA MINUTTI , NAKAO RODRIGO YUITI , RODRIGUES LUIZ CLAUDIO LACERDA
Published: July 2024

ABSTRACT Objective: To evaluate and correlate the bacterial profile identified in blood cultures, urine cultures and vertebral biopsies in patients at Hospital Santa Marcelina in São Paulo - SP. Methods: Cross-sectional study of 20 patients affected by spondylodiscitis. Blood culture, urine culture, and spinal biopsy results were evaluated, in addition to sex and age. Results: The sample consisted of 20 patients, between 32 and 79 years old, predominantly male, diagnosed with spondylodiscitis. Most blood culture and urine culture results were negative, 80% and 65%, respectively. Among the spinal biopsy samples, 60% identified pathogens. When correlating the samples, 50% of the blood culture and biopsy cases presented the same result; however, between urine culture and biopsy, none identified the same germ between the samples. Conclusion: It is concluded that results from blood cultures, urine cultures, and spinal biopsies may frequently differ, making biopsy essential in diagnosing and treating spondylodiscitis. Level of Evidence IV; Cross-Sectional Study.
Spatial variation in abiotic conditions and fish diversity in coastal lagoons, Southern Brazil
Authors: Artioli Luiz Guilherme Schultz , Fialho Clarice Benhardt
Published: July 2024

Abstract Aim To compare abiotic variables and fish assemblage descriptors (species composition, richness, dominance and diversity) among coastal lagoons of the Tramandaí river system, southern Brazil. Methods Water and fish samples were taken monthly from April 2009 to March 2010 in the littoral zone of six coastal lagoons, three located at the north and three at the south of the Tramandai estuary. Thirteen environmental variables were measured. The fish assemblage samples were sampled with gillnets. We used multivariate analyses to investigate spatial variation in abiotic conditions and fish diversity. Results The samples at northern lagoons (Itapeva, Quadros and Malvas) were related to greater values of the turbidity and biochemical oxygen demand, while the southern lagoons (Fortaleza, Rondinha and Barros) were related to greater values of hardness, total dissolved solids, transparency, conductivity and salinity. The fish assemblages were similar in species composition. The species richness was higher in the southern lagoons when considering the same number of specimens. In the northern lagoons the assemblages were numerically dominated by Psalidodon aff. fasciatus and Loricariichthys anus and less diverse, while in southern lagoons were more equitable and diverse. Conclusions We concluded that the coastal lakes studied differ in the patterns of variation in abiotic parameters and this reflect in the water quality. Fish richness and species composition are similar, a likely result of the common and recent biogeographic origin of these lagoons. Fish assemblages in large and turbid lagoons present more dominance while the fish assemblages in small and clear lagoons are more diverse. These results may be useful for coastal management that prioritizes fish stocks or for proposing models of fish assemblages in subtropical coastal lagoons.
APLICABILIDADE DA BIOMECÂNICA NO PROCESSO DE ENSINO E APRENDIZAGEM NA EDUCAÇÃO FÍSICA ESCOLAR
Authors: Sousa Davi Oliveira , Soares Junior Nivaldo , Garcês Luka Martins , Mendes Letícia Padilha , Pires Flávio de Oliveira
Published: July 2024

Introdução: o conhecimento dos conceitos biomecânicos básicos são essenciais para o professor de Educação Física, assim como para outros profissionais que trabalham com o movimento humano. Tal importância é refletida na presença da Biomecânica como componente dos currículos dos cursos de Licenciatura em Educação Física. Objetivo: identificar a aplicabilidade e importância da Biomecânica na prática pedagógica da disciplina de Educação Física na Educação Básica e sua importância na formação de professores da área. Métodos: estudo qualitativo com elaboração de revisão bibliográfica narrativa por meio de pesquisa por referenciais teóricos que tratam da aplicabilidade da Biomecânica na Educação Física Escolar e/ou sua importância como disciplina acadêmica nos cursos de Licenciatura em Educação Física. Resultados: após a leitura dos resumos, foram selecionados 51 referenciais teóricos encontrados a partir das buscas pelas palavras-chave, sendo: 2 teses de doutorado, 1 dissertação de mestrado, 2 livros e 46 artigos científicos, sendo referenciais teóricos das línguas portuguesa e inglesa. Após leitura integral, foram excluídos 23 artigos e 1 livro por entender que eles não possuíam relação específica com o tema proposto. Destes, foram incluídos 28 referenciais teóricos encontrados nas bases de dados pesquisadas. Conclusões: a utilização da Biomecânica nas aulas de Educação Física mostra-se uma ferramenta eficaz para a aplicação dos conhecimentos e novos processos de intervenção do professor, como novas experiências com os conteúdos da Educação Física Escolar para os alunos, contribuindo para um aprendizado mais ampliado em diferentes dimensões.
PRMT4 Reduced Erastin-Induced Ferroptosis in Nasopharyngeal Carcinoma Cisplatin-Resistant Cells by Nrf2/GPX4 Pathway
Authors: Pu Xiaoping , Wu Hong , Liu Xiaoyan , Yang Fang
Published: July 2024

Nasopharyngeal carcinoma (NPC) is one of the common malignant tumors in clinic. In the current study, we aim to investigate the effects of PRMT4 on erastin-induced ferroptosis in NPC by cisplatin resistant. PRMT4 expression in patients with NPC by cisplatin was upregulated. PRMT4 upregulation promoted cell growth of erastin-induced ferroptosis in NPC cisplatin-resistant cells. PRMT4 downregulation reduced cell growth of erastin-induced ferroptosis in NPC cisplatin-resistant cells. PRMT4 promoted tumor volume in mice model of erastin-induced NPC by cisplatin. PRMT4 upregulation reduced erastin-induced ferroptosis in NPC cisplatin-resistant cells by mitochondrial damage. PRMT4 upregulation induced Nrf2 protein expression in model of erastin-induced NPC by cisplatin. Nrf2 reduced the effects of si-PRMT4 on cell growth of erastin-induced ferroptosis in NPC cisplatin-resistant cells. Nrf2 inhibitor reduced the effects of PRMT4 on cell growth of erastin-induced ferroptosis in NPC cisplatin-resistant cells. Nrf2 reduced the effects of si-PRMT4 on erastin-induced ferroptosis in NPC cisplatin-resistant cells by mitochondrial damage. PRMT4 protein interlinked with Nrf2 protein to decrease Nrf2 ubiquitination. Methylation increased PRMT4 DNA stability. Collectively, our data reveal that PRMT4 reduced erastin-induced ferroptosis in NPC cisplatin-resistant cells by Nrf2/GPX4 pathway, suggesting that targeting PRMT4 may present as a potential strategy against the development of NPC.
How do urban designs shape residential neighbourhood walkability? Evidence from metropolitan Lagos
Authors: Aliu Ibrahim Rotimi
Published: July 2024

Scholars and professionals in the built environment have long realised that the urban built environment’s designs impact significantly on urban residents’ well-being. In spite of this, little is known about how urban design elements at street and community levels shape neighbourhood walkability in the global south cities. Using Walk Score and urban neighbourhood design element rating scale, this study therefore assessed the impacts of urban design features at street and community levels on walkability of 40 residential neighbourhoods in metropolitan Lagos, Nigeria. Results showed that Lagos residential neighbourhoods displayed averagely low levels of walkability. Majority of the city residential neighbourhoods are unwalkable. The highly walkable neighbourhoods are in the high residential density areas, while the poorly walkable neighbourhoods are in the medium and low residential density areas. Analysis also showed that while many micro-scale and macro-scale urban design elements differentially impacted walkability in Lagos, neighbourhood walkability was majorly shaped by seven urban design elements. Consequently, the study recommended that in order to increase neighbourhood walkability in Lagos, the urban elements at street and community levels should be improved. The implications of the study for urban planning, physical activity and urban housing were well enunciated.
Single-Ancestry versus Multi-Ancestry Polygenic Risk Scores for CKD in Black American Populations
Authors: Jones Alana C. , Patki Amit , Srinivasasainagendra Vinodh , Tiwari Hemant K. , Armstrong Nicole D. , Chaudhary Ninad S. , Limdi Nita A. , Hidalgo Bertha A. , Davis Brittney , Cimino James J. , Khan Atlas , Kiryluk Krzysztof , Lange Leslie A. , Lange Ethan M. , Arnett Donna K. , Young Bessie A. , Diamantidis Clarissa J. , Franceschini Nora , Wassertheil-Smoller Sylvia , Rich Stephen S. , Rotter Jerome I. , Mychaleckyj Josyf C. , Kramer Holly J. , Chen Yii-Der I. , Psaty Bruce M. , Brody Jennifer A. , de Boer Ian H. , Bansal Nisha , Bis Joshua C. , Irvin Marguerite R.
Published: July 2024

Key Points

The predictive performance of an African ancestry–specific polygenic risk score (PRS) was comparable to a European ancestry–derived PRS for kidney traits.

However, multi-ancestry PRSs outperform single-ancestry PRSs in Black American populations.

Predictive accuracy of PRSs for CKD was improved with the use of race-free eGFR.

Background

CKD is a risk factor of cardiovascular disease and early death. Recently, polygenic risk scores (PRSs) have been developed to quantify risk for CKD. However, African ancestry populations are underrepresented in both CKD genetic studies and PRS development overall. Moreover, European ancestry–derived PRSs demonstrate diminished predictive performance in African ancestry populations.

Methods

This study aimed to develop a PRS for CKD in Black American populations. We obtained score weights from a meta-analysis of genome-wide association studies for eGFR in the Million Veteran Program and Reasons for Geographic and Racial Differences in Stroke Study to develop an eGFR PRS. We optimized the PRS risk model in a cohort of participants from the Hypertension Genetic Epidemiology Network. Validation was performed in subsets of Black participants of the Trans-Omics in Precision Medicine Consortium and Genetics of Hypertension Associated Treatment Study.

Results

The prevalence of CKD—defined as stage 3 or higher—was associated with the PRS as a continuous predictor (odds ratio [95% confidence interval]: 1.35 [1.08 to 1.68]) and in a threshold-dependent manner. Furthermore, including APOL1 risk status—a putative variant for CKD with higher prevalence among those of sub-Saharan African descent—improved the score's accuracy. PRS associations were robust to sensitivity analyses accounting for traditional CKD risk factors, as well as CKD classification based on prior eGFR equations. Compared with previously published PRS, the predictive performance of our PRS was comparable with a European ancestry–derived PRS for kidney traits. However, single-ancestry PRSs were less predictive than multi-ancestry–derived PRSs.

Conclusions

In this study, we developed a PRS that was significantly associated with CKD with improved predictive accuracy when including APOL1 risk status. However, PRS generated from multi-ancestry populations outperformed single-ancestry PRS in our study.
Nicely Wrapped – Gifts as a New Perspective on Global Urbanism?
Authors: Diesch Alissa
Published: July 2024

A review of The Gift: Stories of Generosity and Violence in Architecture. Exhibition curated by Damjan Kokalevski and Łukasz Stanek at the Architekturmuseum der TUM (Pinakothek der Moderne), from February 29 to September 8, 2024. The thought provoking, enjoyable exhibition features four examples of architectural gifts and the relation to their urban context in globally different situations. The notion of architecture as a gift is an inspiring concept, contributing to the discourse about complex power games, the symbolic meaning of monuments, and the agency of architecture.
Balance-Sheet Netting in U.S. Treasury Markets and Central Clearing
Authors: Bowman David , Huh Yesol , Infante Sebastian
Published: July 2024

In this paper, we provide a comprehensive investigation of the potential for expanded central clearing to reduce the costs of the supplementary leverage ratio (SLR) on Treasury market intermediation in both cash and repo markets. Combining a detailed analysis of the rules involved in calculating the SLR with a unique set of regulatory data, we conclude that expanding central clearing would have relatively limited effects on the level of SLRs. We do find intermediaries’ increase their balance sheet netting when their regulatory balance sheet costs are higher. Our data permits us to establish a number of empirical facts related to the noncentrally cleared bilateral (NCCB) repo segment, and to repo activity overall, at the bank holding company level. We find that sizeable amounts of bilaterally-cleared activity would not be nettable even if centrally cleared. We also find that a significant portion of activity is already nettable outside of central clearing because dealers are structuring their NCCB trades to net. While expanded central clearing could have other benefits, such as imposing a more uniform margin regime on Treasury market intermediation, the scope of its effects on reducing balance sheet costs associated with the leverage ratio is limited.
History of the dental forceps
Authors: Forrai Judit , Spielman Andrew I.
Published: July 2024

The practice of removing painful and damaged teeth from the mouth has roots in ancient times, yet only a handful of archaeological findings offer glimpses into early dental techniques. Across centuries, extraction tools underwent refinement, culminating in modern dentistry's specialized and efficient instruments.
Mdluli Backstories and Biographies: Shaka Zulu and the Persistence of amálala Identities
Authors: Kelly Jill E.
Published: July 2024

The multiple accounts of Nomsimekwana Mdluli of Mkhambathini from the nineteenth and twentieth centuries provide an opportunity to examine how a small polity in central Natal confronted the position of King Shaka Zulu in accounts of their past. Nomsimekwana kaMcoseli experienced the centralisation of polities east of the Drakensberg Mountains in the late eighteenth and early nineteenth centuries that disturbed life at Mkhambathini, near the confluence of the Msunduze and Mngeni rivers. Forced to pledge their allegiance to other polities or come under attack, Mcoseli, his heir Nomsimekwana, and their followers affiliated themselves first with the Ngwane, later the Mkhize, then the Zulu, and eventually the British. Their associations waned and shifted as the threats changed - armies, hunger, marauders cast as amazimu, and Boer settlers - before Nomsimekwana Mdluli finally returned home to re-establish a chiefdom from the remnants who survived the transformation of the region. I flesh out the biographies and backstories of those involved in the creation and afterlives of these oral accounts of the Mdluli past. These accounts stress marginality and the impact of state consolidation on an amalala polity of Natal, as well as the persistence of amalala identities into the mid-twentieth century. Isifinyezo