bluuebunny/crossref_metadata_2025 huggingface dataset:
Subchondral raft construction with locking plates for the treatment of Schatzker type II fractures
Authors: Kayali Cemil , Citak Caner , Altay Taskin , Kement Zafer
Published: January 2023

ABSTRACT OBJECTIVES: To evaluate the functional and radiological results of Schatzker type II fractures treated via subchondral raft screws combined with locking plates. METHODS: Twenty-four individuals were enrolled in this study between 2010 and 2014. The depressed joint line was elevated and the defect was filled with allograft. Next, two or three subchondral screws were placed in combination with a locking plate. At the last follow-up, clinical and radiological data were recorded. RESULTS: The mean follow-up period was 21.4 months (12-39). The mean Knee Society Score (KSS) and Rasmussen clinical scores were 91.5 (range, 77-100) and 16.75 (range, 14-18), respectively. The mean Rasmussen radiological score was 27.9 (range, 24-30) during the follow-up. There was no statistically significant difference between injured and non-injured sides with respect to the mechanical axis, the proximal medial tibial angle, and tibial slope. In addition, arthritis showed no difference on the non-injured side, although follow-up was short. CONCLUSIONS: The periarticular raft construction combined with the locking plate helps surgeon to maintain the anatomic line of the joint and the mechanical axis obtained during the surgery. Secondary arthritis seems to be major complication after fractures of the tibial plateau, although the functional results were satisfactory. Level of Evidence IV, Case Series.
Judicialização do direito à saúde com foco em doenças tropicais negligenciadas: dimensões e desafios no Estado do Piauí, Nordeste do Brasil, 2000-2020
Authors: Andrade Nayla Rochele Nogueira de , Nunes Carlos Francisco Oliveira , Ferreira Anderson Fuentes , Araújo Carmem E. Leitão , Albuquerque Felipe Braga , Silva José Alexandre Menezes da , Araújo Filho Francisco José de , Freire Patrícia de Sá , Ramos Jr. Alberto Novaes
Published: January 2023

Resumo O objetivo deste artigo é analisar a magnitude e o perfil das demandas judiciais por bens e serviços de saúde pública, verificando também a presença de demandas judiciais para doenças tropicais negligenciadas (DTNs) no Estado do Piauí entre 2000-2020. Estudo transversal descritivo a partir de bases de dados do Tribunal de Justiça do Piauí acerca de processos judiciais demandando bens e serviços de saúde à administração pública direta. Foram identificados inicialmente um total de 6.658 processos judiciais. Após análise de elegibilidade, 1.384 processos (20,8%) foram analisados, verificando-se aumento da demanda a partir de 2017. Ressalta-se as características: origem na capital Teresina (614; 44,4%), 40 a 59 anos de idade (372; 26,9%), sexo feminino (761; 55,0%), agricultores (123; 8,9%), assistência jurídica pública (1.063; 76,8%), julgados procedentes (594; 42,9%). Cinco (5; 0,4%) demandas judiciais para DTNs, uma leishmaniose visceral solicitando transporte, procedente; quatro para hanseníase (dois medicamentos, um concedido, outro extinto sem resolução do mérito, uma consulta e um exame, ambos concedidos). A judicialização do direito à saúde é expressiva e crescente no estado do Piauí. A baixa demanda relacionada a DTNs pode traduzir limitação de acesso não apenas à saúde, mas ao Poder Judiciário.
Discriminação percebida por adultos mais velhos no uso de serviços de saúde: uma revisão integrativa
Authors: Braga Luciana de Souza , Vaz Camila Teixeira , Silva Danielle Nunes Moura , Machado Elaine Leandro , Friche Amélia Augusta de Lima
Published: January 2023

Resumo Este trabalho analisa as evidências atuais sobre a discriminação percebida por adultos mais velhos (> 50 anos) no uso de serviços de saúde e identifica os fatores associados a essa experiência. Trata-se de uma revisão integrativa da literatura, realizada a partir de pesquisa nos sítios eletrônicos Biblioteca Virtual de Saúde, CINAHL, Medline, Scopus e Web of Science, em junho de 2021. Foram utilizados os descritores: discriminação social ou ageismo; pessoa de meia-idade ou idoso de 80 anos ou mais ou idoso; e serviço de saúde ou serviço de saúde para idosos, incluindo sinônimos, nos idiomas português, inglês e espanhol. A estratégia de busca identificou 1.165 artigos; 19 cumpriram os critérios de elegibilidade e inclusão. O acervo inclui estudos quantitativos e qualitativos publicados entre 2002 e 2021; cerca de 60% realizados nos Estados Unidos e Austrália. A prevalência de discriminação no uso de serviços de saúde variou de 2% a 42%. O relato de práticas discriminatórias se mostrou associado a características étnico-raciais, sexo, idade, orientação sexual, aparência física e classe social. Ao dar visibilidade ao tema, este trabalho visa estimular a definição de formas concretas de enfrentamento à discriminação e interromper a perpetração de iniquidades no âmbito da atenção à saúde.
Estratégias para abordar a Judicialização da Saúde no Brasil: uma síntese de evidências
Authors: Floriano Fabiana Raynal , Boeira Laura , Biella Carla de Agostino , Pereira Viviane Cássia , Carvalho Marcel , Barreto Jorge Otávio Maia , Oliveira Sandra Maria do Valle Leone de
Published: January 2023

Resumo A fim de identificar e discutir opções informadas por evidências para abordar a judicialização da saúde no Brasil, utilizou-se as Ferramentas SUPPORT (Supporting Policy Relevant Reviews and Trials). A busca foi realizada nas bases PubMed; Health Systems Evidence; Campbell Collaboration; Cochrane Library; Rx for Change Database e PDQ-Evidence. A seleção e avaliação da qualidade metodológica foi feita por dois revisores independentes. Os resultados foram apresentados numa síntese narrativa. Dezenove revisões sistemáticas apontam quatro opções: 1) Serviço de respostas rápidas; 2) Programa de educação permanente; 3) Serviço de mediação entre as partes envolvidas; e 4) Adoção de ferramenta online (baseada em computador) de suporte à decisão e de intervenções mediadas por pacientes. Conclusões: Apresentamos e caracterizamos quatro opções que podem ser consideradas para abordar a judicialização da saúde. A implementação dessas opções deve garantir a participação de diferentes atores, refletindo sobre variados contextos. Recursos humanos e financeiros, capacitação das equipes, são os principais pontos críticos.
Burnout syndrome in higher education health professionals working in indigenous health in Brazil
Authors: Ferraz Joselly Aparecida da Cruz , Zanin Luciane , Oliveira Arlete Maria Gomes , Flório Flávia Martão
Published: January 2023

Abstract The aim of this study was to investigate the prevalence of burnout syndrome in higher education health professionals working in indigenous health in Brazil, and to identify associated factors. This is an observational, analytical, and cross-sectional study. Data collection was based on the application of a questionnaire (personal profile and MBI-HSS) and included 513 professionals. The prevalence of burnout was 65%. Greater likelihood of emotional exhaustion was observed among younger professionals, who had worked in indigenous health for longer time, in the care function and with lower level of tranquility when working during the pandemic. Lower likelihood of having low personal accomplishment at work was observed among older professionals, professionals who had worked in indigenous health for shorter time, who worked in clinical care during the pandemic and those with lower level of tranquility when working during the pandemic. Greater likelihood of depersonalization was found among married professionals, who worked in clinical care during the pandemic and those with lower level of tranquility when working during the pandemic. This study contributes with an important assessment of the existence of BS predictors in health professionals working in indigenous health.
Análise de casos de feminicídio em Campinas, SP, Brasil, entre 2018 e 2019 por meio do modelo ecológico da violência
Authors: Caicedo-Roa Mônica , Cordeiro Ricardo Carlos
Published: January 2023

Resumo A violência letal contra a mulher é um fenômeno complexo e multidimensional no qual interseccionam e confluem um amplo número de fatores para que aconteça um feminicídio em um momento e lugar específico. Identificaram-se os principais fatores que contribuíram na ocorrência de feminicídios na cidade de Campinas no período de janeiro de 2018 a dezembro de 2019. Foram feitas entrevistas com membros da família, amigos, vizinhos, testemunhas e agentes de saúde sobre 24 casos de feminicídio utilizando a técnica da autópsia verbal. As autópsias foram complementadas, quando possível, com informações veiculadas na mídia e informes de autópsia clínica. Para o processo de análise de dados, foram realizadas narrativas dos casos resgatando os aspectos mais importantes das autópsias verbais e organizando os fatores encontrados nos quatro níveis do modelo ecológico da violência utilizado pela Organização Mundial da Saúde: individual, relacional, comunitário e social. Estruturou-se a análise em categorias seguindo uma abordagem dedutiva. Partindo de casos particulares delimitados no tempo (2018 e 2019) e no espaço (a cidade de Campinas), espera-se compreender o fenômeno da violência letal contra as mulheres em sua dimensão mais ampla.
Knowledge of women who have sex with women about Sexually Transmitted Infections and AIDS
Authors: Parenti Ana Beatriz Henrique , Ignácio Mariana Alice de Oliveira , Buesso Thayná Santos , Almeida Margareth Aparecida Santini de , Parada Cristina Maria Garcia de Lima , Duarte Marli Teresinha Cassamassimo
Published: January 2023

Abstract This article aims to study the knowledge of women who have sex with women about Sexually Transmitted Infections and AIDS. Cross-sectional study of 260 women, 81 women who either have sex with women or with men and women (WSW) and 179 women who have sex exclusively with men (WSM). Data were collected in 2019/2020 by means of a form and validated instruments. To study the association between sexual partnership and level of knowledge about Sexually Transmitted Infections and AIDS, multiple Cox regression models were adjusted, producing significant associations of p<0,05. The median percentage of correct answers was lower among WSW when compared to WSM [68% (18-96) vs 75% (14-96); p=0.023]. Having sex with woman [PR=2.36 (1.07-5.21); p=0.033] and less than 11 years of schooling [PR=2.64 (1.12-6.21); p=0.026] were independently associated with low knowledge. WSW had a lower level of knowledge about Sexually Transmitted Infections and AIDS than WSM, and lower education was independently associated with this finding.
Mortalidade de imigrantes bolivianos em São Paulo, Brasil: análise de causas evitáveis
Authors: Silveira Rubens Carvalho , Alencar Gizelton Pereira , Silva Zilda Pereira da
Published: January 2023

Resumo Objetivou-se analisar a mortalidade dos imigrantes bolivianos residentes no município de São Paulo comparada à dos brasileiros, com ênfase na análise das mortes evitáveis. Estudo descritivo dos óbitos do município de São Paulo entre 2007 e 2018 registrados no Sistema de Informações sobre Mortalidade. Foram analisados os óbitos de pessoas de 5 a 74 anos, conforme a lista de causas de mortes evitáveis por intervenções do Sistema Único de Saúde, segundo grupos e sexo; o teste de qui-quadrado foi utilizado na comparação das nacionalidades. A tendência temporal foi avaliada pela regressão de Prais-Winsten. Houve 1.123 óbitos de bolivianos e 883.116 de brasileiros, com predomínio de óbitos masculinos, com idade média ao morrer menor (-13,6 anos) para bolivianos. A proporção de óbitos por causas evitáveis foi semelhante entre bolivianos (71,0%) e brasileiros (72,8%) e a tendência não apresentou variação anual proporcional significante para ambas as nacionalidades. Para bolivianos, houve maior frequência de causas externas (27,6%) e de causas reduzíveis por ações de promoção, prevenção, controle e atenção às doenças infecciosas (20,8%). Os bolivianos exibiram mortalidade mais jovem, sem redução na proporção de causas evitáveis, o que pode indicar acesso desigual aos serviços de saúde.
Self-care from the perspective by female sex workers to prevent and face the SARS-CoV-2 pandemic
Authors: Couto Pablo Luiz Santos , Rodrigues Vanda Palmarella , Boery Rita Narriman Silva de Oliveira , Correia Andresa Teixeira Santos , Vilela Alba Benemérita Alves
Published: January 2023

Abstract The objective was to identify the meanings attributed to self-care and its relationship with the actions taken by female sex workers in preventing and coping with COVID-19. Qualitative study supported by the Self-Care Nursing theory. An in-depth interview was carried out with 30 female sex workers from the Alto Sertão Produtivo Baiano. The IRAMUTEQ software was used to analyze the speeches, with the Descending Hierarchical Classification dendrogram. Four classes were observed, revealing the meanings attributed to self-care: the idea that self-care promotes quality of life and well-being; money as a facilitating instrument for self-care actions, both in preventing COVID-19 and in coping with difficulties; in addition to the notion that self-care contributes to the care of those around them. It is concluded that the female sex workers demonstrated to understand the concept of self-care in association with the notion of precaution, while prevention is carried out through the recommendations made by competent bodies. Furthermore, a self-care deficit was noticed due to the conditions present in the sexual service and the difficulties imposed by the pandemic.
Análise da formação em Programas de Residência Multiprofissional em Saúde no Brasil: perspectiva dos egressos
Authors: Flor Taiana Brito Menêzes , Miranda Nirond Moura , Sette-de-Souza Pedro Henrique , Noro Luiz Roberto Augusto
Published: January 2023

Resumo Objetivou-se analisar a formação em Programas de Residência Multiprofissional em Atenção Básica (PRMAB) no Brasil a partir dos egressos de 20 Programas no período de 2015 a 2019. Trata-se de um estudo transversal que analisou as dimensões Abordagem Pedagógica (AP) e Cenários de Educação em Serviço (CES) com escala do tipo Likert. Participaram do estudo 365 egressos de programas instalados em 12 estados da federação. Na dimensão AP (α de Cronbach=0,94) destacaram-se os critérios sobre a concepção ampliada do cuidado e formação pautada em cuidado integral (P50=10), enquanto os com pior desempenho se relacionavam à preceptoria (P50=7). Quanto aos CES (α de Cronbach=0,90), foram reveladas potencialidades para as atividades educativas em grupo (P50=9) e fragilidades para critérios relativos à suficiência de espaço físico nas unidades de saúde (P50=6), participação dos residentes em Conselhos (P50=6) e articulação com Programas de Residência Médica (P50=5). A formação nos PRMAB mostra-se sintonizada com os atuais paradigmas da atenção à saúde, com ênfase na integralidade e prevenção. Contudo, os Programas carecem de investimento na formação de preceptores e melhoria de fragilidades no âmbito dos cenários de prática.
Analysis of professional training in Multiprofessional Health Residency Programs in Brazil from the perspective of residents
Authors: Flor Taiana Brito Menêzes , Miranda Nirond Moura , Sette-de-Souza Pedro Henrique , Noro Luiz Roberto Augusto
Published: January 2023

Abstract The aim of this study was to analyze professional training in multiprofessional health residency programs (MHRPs) in primary care from the perspective of residents from 20 programs who had completed residency in the period 2015-2019. We undertook a cross-sectional study analyzing criteria in the dimensions Pedagogical Approach and In-Service Education Settings responded using a 10-point Likert scale. The study sample consisted of 365 graduates from MHRPs in 12 Brazilian states. The highest-scoring criteria in the dimension Pedagogical Approach (Cronbach’s α=0.94) were broad concept of care and professional training oriented towards comprehensive care (P50=10). The lowest scoring criteria were those involving preceptorship (P50=7). With regard to the In-Service Education Settings dimension (Cronbach’s α=0.90), the main strength was group educational activities (P50=9) and the main weaknesses were adequacy of the physical structure of health facilities (P50=6), participation of residents in local health committees (P50=6), and coordination with medical residency programs (P50=5). The findings show that professional training in MHRPs is aligned with the principles and guidelines underpinning Brazil’s public health system, with emphasis on comprehensiveness and prevention. However, efforts are needed to improve preceptor training and address weaknesses in practice settings.
Central Executive and Target Selection in Visual Working Memory
Authors: Liedtke Francéia Veiga , Sbicigo Juliana Burges , França Laura Tamborindeguy , Tonial Ana Luiza , Nobre Alexandre de Pontes , Salles Jerusa Fumagalli de
Published: January 2023

Abstract The goal of this study was to investigate if the selection of external information for storage in visual working memory requires control by the central executive when the categorization of targets is guided by instructions. The design was experimental 3 (concurrent task) x 2 (instruction). Forty-eight university students saw eight colored shapes, four of them surrounded by square outlines. Memory was assessed using a recognition task. Targets varied with instructions: targets were presented within squares in the first block and outside squares in the second block. There were three concurrent tasks: no task, articulatory suppression, and backward counting. Performance was measured by hits, false alarms, corrected recognition, and sensitivity (A’), compared using within-subject ANOVAs. Results showed a main effect only for concurrent task, with lower performance in the backward counting condition for all measures. These results suggest that the central executive does not control the perceptual filter, corroborating earlier results.
Preliminary results of a cognitive-behavioral life skills program for adolescents
Authors: Neufeld Carmem Beatriz , Peron Suzana , Brust-Renck Priscila Goergen
Published: January 2023

Abstract The aim of this study was to evaluate the effect of the Life Skills Promotion Program in Adolescents (PRHAVIDA-Adolescents) on the development of a repertoire of life skills based on the cognitive-behavioral approach. A study was carried out with 78 adolescents (M = 12.47 years; SD = 0.69) to compare the results of the Social Skills Inventory for Adolescents (IHSA-Del-Prette) before and after the intervention. Differences were found between pre- and post-test considering the frequency of emission of skills for girls in the subscales self-control, assertiveness, affective approach, and social development; boys showed differences in the subscales empathy, self-control, assertiveness, affective approach, and social development. Thus, it is considered that PRHAVIDA-Adolescents is an effective program that has demonstrated that it is capable of developing several relevant skills for both sexes at a satisfactory level. Its contents proved to be comprehensive, consisting of a viable alternative for health promotion for adolescents within the cognitive-behavioral approach.
Poetas, costureiras, tecelãs: a importância dos saberes de pouca importância
Authors: Leone Luciana di
Published: January 2023

Resumo A partir da análise de alguns textos que recuperam a questão da experiência dos operários da tecelagem e de outros trabalhos de costura - sendo eles um poema “inexistente”, um poema anônimo, o poema “Mulher proletária”, de Jorge de Lima, o livro Diario de uma costureira proletária, de Victoria Guerrero Peirano, e a série “Fontes de renda”, de Lu Menezes - este artigo pretende observar a importância do dispositivo poético e dos saberes particulares dos trabalhadores da costura como ferramentas epistemológica e política. Ambas as práticas/saberes permitem pensar em relação ao mundo do trabalho, a afetividade e a formação das subjetividades, juntando tempos e circunstância heterogêneas e longínquas, tornando elementos considerados “sem importância” da “maior importância” para a consciência política.
Qualificação da superfície de tanques de bioprocessamento asséptico AISI 316L utilizando medidas eletroquímicas in situ
Authors: Guilherme Luís Henrique , Fugivara Cecílio Sadao , Benedetti Assis Vicente
Published: January 2023

RESUMO Avaliou-se o grau de passivação da superfície de tanques de bioprocessamento em aço AISI 316L com polimento mecânico e rugosidade média de 0,8 μm. Os tanques foram inspecionados após a sua construção e em diferentes condições de superfície: (i) após 12 meses em operação industrial, (ii) com a adesão de biofilme, (iii) após o tratamento de passivação química. O aparelho PassivityScan foi utilizado nas inspeções in situ do grau de passivação aplicando as técnicas de potencial de circuito aberto e polarização potenciodinâmica cíclica. Os resultados indicaram que a superfície interna polida do tanque como fabricado gerou um grau de passivação relativamente baixo (Eprot–Ecorr<150 mV) e elevada cinética de corrosão. Após 12 meses de operação reduziu-se o grau de passivação da superfície e consequentemente sua durabilidade. Notou-se um agravamento com a presença de biofilme, dado que a superfície não possuía mais a capacidade de repassivação. É importante ressaltar que o tratamento de passivação química elevou o grau de passivação para 520 mV(Ag|AgCl|KCl 3 mol/L), reduzindo a densidade de corrente de passivação de 20 para 0,7 μA cm–2. Conclui-se que um tanque passivado quimicamente apresenta melhor confiabilidade operacional, e que o tratamento de passivação a cada 12 meses restaura as propriedades de resistência da superfície.
Avaliação da influência da oxidação do cobre no processo de soldagem por ultrassom em componentes da indústria automotiva
Authors: Costa Neto Luiz Pereira da , Silva Junior Moisés Euclides da , Silva Gabriel Lucas Cordeiro de Lima , Wanderley Cleiton de Souza , Santos Diego Borges , Araujo Filho Oscar Olimpio de
Published: January 2023

RESUMO Este trabalho tem como objetivo entender a influência da oxidação nos fios de cobre e seus impactos em materiais soldados através do processo ultrassônico em componentes automotivos. 42 (quarenta e duas) amostras de cobre foram extraídas e subdividas em 7 (sete) grupos com 6 (seis) amostras cada um para o experimento, onde o primeiro grupo contou com amostras sem oxidação e o último grupo conta com amostras que foram envelhecidas em 360 dias. Estas amostras foram soldadas através do processo ultrassom com parâmetros que garantiram os requisitos mínimos de soldabilidade, critérios visuais e a união completa dos filamentos de cobre na junta. Após isso, os materiais soldados foram submetidos a validação da soldagem através da medição da força de tração de cisalhamento para garantir os requisitos mínimos exigidos por norma interna do setor automotivo. As amostras sem oxidação atenderam aos parâmetros de engenharia e resultaram nos maiores valores de força de tração de cisalhamento. Nas amostras com presença de oxidação, o aumento da energia de soldagem proporcionou a redução da força de cisalhamento dos 6 (seis) grupos, apresentando 1 amostra que ficou abaixo do parâmetro mínimo estabelecido para força de cisalhamento.
Communication in health and inter-professional collaboration in the care for children with chronic conditions
Authors: Schimith Maria Denise , Cezar-Vaz Marta Regina , Xavier Daiani Modernel , Cardoso Letícia Silveira
Published: January 2023

Objective: to understand how health communication in the care of children with chronic conditions interferes with inter-professional collaboration. Method: a multicentric qualitative research. Data collection, carried out through interviews and observation, occurred from October 2017 to February 2018. For data organization, the NVivo software, version 12, was used. These data were analyzed from a dialectical perspective. Results: a total of 79 professionals were interviewed, including physicians and nurses in the Family Health Strategy. Essential markers for inter-professionality stand out, such as multi-institutional communication; the historical and political context of the municipalities; the bond between staff and families with children with chronic conditions; and active and purposeful communication. Conclusion: inter-professional collaboration is strengthened when the therapeutic plan of the child with a chronic condition is coordinated by the Family Health Strategy, plus the intention of communicating with the secondary sector. It is considered that the research included important issues, contributing to planning the work process in the Family Health Strategy.
Women and leprosy: interferences and experiences
Authors: Gonçalves Marcela , Santos Karen da Silva , Silva Simone Santana da , Marcussi Thalita Caroline Cardoso , Carvalho Kisa Valladão , Fortuna Cinira Magali
Published: January 2023

Objective: to know the interferences of leprosy in women's lives and how they reinvent themselves in coping with the disease. Method: a descriptive study with a qualitative approach. The theoretical-methodological framework adopts an approximation to the cartographic method and some concepts of schizoanalysis, which were used to analyze the data. The tools used to produce the data were the interview and the logbook. The interviews were conducted from July to November 2019, at the participants' homes. Results: the group consisted of nine women. To display the data, we were inspired by Deleuze's ideas about difference and repetition. The results were organized in three thematic axes that address the lives of these women affected by leprosy, which accompany concerns, anxieties and worries about the effects of the disease. The transformations in the female body, the financial maintenance itself due to the comorbidities caused by leprosy and its difficulties in guaranteeing rights are elements strongly pointed out by women. Conclusion: there is overlap and interference of the female condition in a patriarchal society that still accompanies it. We bet on the strength of becoming-a-woman and the need to consider them in their singularities and in their context for producing care permeated by meetings of the affirmation of the power of life.
Monitoring of high-risk children in health services: A geospatial mixed-methods study
Authors: Shibukawa Bianca Machado Cruz , Uema Roberta Tognollo Borota , Oliveira Natan Nascimento de , Oliveira Rosana Rosseto de , Santos José Luis Guedes dos , Higarashi Ieda Harumi
Published: January 2023

Abstract Objective: to analyze adherence, non-adherence and abandonment of the monitoring of children referred to the high-risk reference centers of Rede Mãe Paranaense. Method: a parallel and convergent mixed-methods study, in which both approaches have the same weight. The study loci were two high-risk outpatient services from the South of the country. In the quantitative part, 3,107 medical charts of high-risk children were analyzed and the spatial distribution was performed. In the qualitative part, interviews were conducted with 29 health professionals, in addition to 34 family members, and content analysis was performed. Two databases were produced, which were analyzed separately and eventually integrated. Results: the rates regarding adherence to monitoring are decreasing, mainly in the municipalities that are far away from the high-risk outpatient services, and the non-adherence and abandonment rates are increasing. In the reports by the representatives and the manager, a failure was observed between the transportation offer and the active search flow of the absent patients, which contributes to the increase in the non-adherence and abandonment rates and to the consequent decrease in adherence. Conclusion: in high-risk children, adherence is decreasing and the non-adherence and abandonment rates increased.
Avaliação de usabilidade de aplicativo móvel para pacientes com cateter central de inserção periférica
Authors: Mota Aline Nair Biaggio , Turrini Ruth Natalia Teresa
Published: January 2023

Resumo Objetivo: avaliar a usabilidade do aplicativo Meu PICC para o acompanhamento extra-hospitalar de pacientes em uso de cateter central de inserção periférica por meio do instrumento validado System Usability Scale. Método: estudo transversal que aplicou o System Usability Scale a 30 pacientes em uso de cateter central de inserção periférica, dez enfermeiros e oito profissionais de tecnologia da informação para avaliar a usabilidade do aplicativo. Resultados: observou-se diferença estatística entre idade e usabilidade (p=0,006), bem como correlação negativa entre o tempo de utilização do aplicativo e usabilidade (p=0,002). Pela classificação adjetiva do System Usability Scale, 40,0% dos pacientes consideraram o aplicativo como o melhor imaginável e 33,3% como excelente. Com relação aos enfermeiros, 70,0% consideraram o aplicativo como o melhor imaginável e 20,0% como excelente; dos profissionais de tecnologia da informação, 50,0% consideraram o aplicativo como o melhor imaginável e 50,0% excelente. Conclusão: a avaliação de usabilidade mostrou que pacientes, enfermeiros e profissionais de TIC consideraram o aplicativo útil para o acompanhamento de pacientes em uso de PICC e o avaliaram como adequado, atribuindo-lhe a qualificação de melhor imaginável ou excelente. Estes resultados corroboram para o uso do aplicativo Meu PICC no acompanhamento de pacientes em uso extra-hospitalar de PICC.
Teoría de Mediano Alcance del Patrón de Respiración Ineficiente en niños con cardiopatías congénitas
Authors: Souza Nayana Maria Gomes de , Silva Viviane Martins da , Lopes Marcos Venícios Oliveira
Published: January 2023

Resumen Objetivo: desarrollar y evaluar una teoría de mediano alcance para el Diagnóstico de Enfermería “Patrón de Respiración Ineficiente” en niños con cardiopatías congénitas. Método: estudio metodológico desarrollado en dos etapas: 1) Desarrollo de una teoría de mediano alcance para el Patrón de Respiración Ineficiente en niños con cardiopatías congénitas a partir del análisis de la taxonomía NANDA-Internacional, del Modelo de Adaptación de Callista Roy y de una revisión de la literatura; y 2) Evaluación de la teoría de mediano alcance desarrollada por medio de una evaluación de un panel de expertos. Resultados: después de tres evaluaciones a cargo del panel, la versión final de la teoría de mediano alcance derivó en cuatro metaparadigmas, dos conceptos clave, dos pictogramas, dos propuestas y una descripción de las interrelaciones entre los conceptos clave del Patrón de Respiración Ineficiente en niños con cardiopatías congénitas y evidencia para la práctica de Enfermería. Conclusión: la teoría de mediano alcance desarrollada y evaluada por expertos identificó estímulos y comportamientos que pueden ayudar a los enfermeros a identificar los motivos por los cuales se diagnostica el Patrón de Respiración Ineficiente y cómo se manifiesta en niños con cardiopatías congénitas, mejorando así la comprensión de las relaciones entre las causas y su temporalidad.
Teoria de Médio Alcance do Padrão Respiratório Ineficaz em Crianças com Cardiopatia Congênita
Authors: Souza Nayana Maria Gomes de , Silva Viviane Martins da , Lopes Marcos Venícios Oliveira
Published: January 2023

Resumo Objetivo: desenvolver e avaliar uma teoria de médio alcance para o Diagnóstico de Enfermagem de Padrão Respiratório Ineficaz em crianças com cardiopatia congênita. Método: um estudo metodológico realizado em duas etapas: 1) desenvolvimento de uma teoria de médio alcance para padrão respiratório ineficaz em crianças com doenças cardíacas congênitas a partir da análise da taxonomia NANDA-Internacional, modelo de adaptação de Callista Roy e uma revisão da literatura; e 2) avaliação da teoria de médio alcance desenvolvida por meio da avaliação de painéis de especialistas. Resultados: após três avaliações de painéis, a versão final da teoria de médio alcance resultou em quatro metaparadigmas, dois conceitos-chave, dois diagramas pictóricos, duas propostas e uma descrição das inter-relações entre os conceitos-chave do Padrão Respiratório Ineficaz em crianças com cardiopatias congênitas e evidências para a prática de Enfermagem. Conclusão: a teoria do médio alcance desenvolvida e avaliada por especialistas identificou estímulos e comportamentos que podem auxiliar os enfermeiros na identificação das razões pelas quais o Padrão Respiratório Ineficaz é diagnosticado e como ele se manifesta em crianças com cardiopatia congênita, aumentando a compreensão das relações entre as causas e sua temporalidade.
Repercussões da pandemia da COVID-19 para pessoas com autismo e aos seus familiares: revisão de escopo
Authors: Teixeira Olga Feitosa Braga , Xavier Samyra Paula Lustoza , Félix Nuno Damácio de Carvalho , Silva José Wagner Martins da , Abreu Rogéria Mônica Seixas Xavier de , Miranda Karla Corrêa Lima
Published: January 2023

Resumo Objetivo: mapear as evidências científicas disponíveis sobre as repercussões da pandemia da COVID-19 para as pessoas com Transtorno do Espectro Autista e seus familiares. Método: revisão de escopo realizada nas bases de dados: MEDLINE, CINAHL, SciELO, SCOPUS, EMBASE, Wiley Online Library, nos meses de agosto/setembro de 2021. O protocolo desta revisão foi registrado em Open Science Framework sob o DOI 10.17605/OSF.IO/JYTVD. Os dados foram analisados e sintetizados de forma narrativa. Resultados: 46 publicações identificadas sinalizam que o período pandêmico trouxe inúmeras repercussões para a população com autismo e seus familiares ao vivenciarem sérias dificuldades nas mudanças ou irregularidades das rotinas programadas; limitação no acesso à educação, às terapias e apoio social. Conclusão: as evidências sugerem que a pandemia da COVID-19 exacerbou as desigualdades já vivenciadas por pessoas com autismo e seus familiares, com consequências negativas nos aspectos emocionais, psicológicos, comportamentais e sociais, interferindo na qualidade de vida e saúde mental desta população. Estudos futuros sobre indivíduos com autismo e suas famílias durante períodos de crise de saúde coletiva são de fundamental importância para o planejamento de intervenções psiquiátricas, psicossociais e educacionais.
Effectiveness of auriculotherapy on stress reduction in health workers: a controlled randomized clinical trial
Authors: Damasceno Kairo Silvestre Meneses , Oliveira Gerfson Moreira , Beltrame Mônica , Coelho Julita Maria Freitas , Pimentel Rodrigo Fernandes Weyll , Merces Magno Conceição das
Published: January 2023

Abstract Objective: to assess the effectiveness of auriculotherapy in reducing occupational stress among Family Health Strategy workers during the COVID-19 pandemic. Method: a controlled randomized clinical trial divided into two groups, namely: auriculotherapy for stress group and placebo group. The Shapiro-Wilk test was used to assess data normality. The ANOVA test for repeated measures and the Tukey post-hoc test were applied to the group with normal samples. In turn, the Friedman and Durbin-Conover tests were employed in the group with non-normal distribution. Cohen’s d index was calculated for the therapy effect size. A 95% significance level and p<0.05 were considered. Results: the auriculotherapy group presented 16.3% and 23.7% reductions in occupational stress after the third and sixth auriculotherapy sessions, with Cohen’s d indices of 1.12 (large effect) and 1.82 (very large effect), respectively. Conclusion: auriculotherapy proved to be effective in reducing occupational stress among Family Health Strategy workers during the COVID-19 pandemic. It is suggested that new studies are developed both during and after the pandemic in order to improve health workers’ Quality of Life. ReBEC registration: RBR - 38hjyt3.
Evaluation of an educational intervention (edworkcases) involving clinical cases and Nursing students: a cross-sectional observational study
Authors: Guzmán-Almagro María Isabel , Oter-Quintana Cristina , Martín-Salinas Carmen Clara , Cid-Galán María Luisa , Carrillo-Camacho Elena , Navarta-Sánchez María Victoria , Castedo-Martínez Oscar , Alcolea-Cosín María Teresa , Fonseca Luciana Mara Monti , Parro-Moreno Ana Isabel
Published: January 2023

Abstract Objective: to evaluate the impact of the (edworkcases) educational intervention on students’ evaluation outcomes in their clinical practices, their attitudes towards Nursing diagnoses, and their satisfaction. Method: this study used a cross-sectional observational design. The participants were 69 third-year Nursing students from a public university in Madrid, Spain. The data analysed in the study were the grades obtained by students for their clinical practices, as well as pre-post intervention scores on the Positions on Nursing Diagnosis Scale and a satisfaction survey. A means comparison by participation in the project (yes/no) was carried out using Student’s t-test. A means comparison by professor was conducted using Kruskal-Wallis tests. Results: participation rate: 72.4%; 92% of the participants were women; median age = 21 years old. Statistically significant differences were found between participants and non-participants in terms of mean score in the Overall Evaluation and in the Case Study Evaluation, with higher scores found among the group of participants. The mean score for attitudes towards Nursing diagnoses was 99.9 (SD=2.8) before the intervention and 111.1 (SD=2.9) after the intervention [95% CI: 3.3-19.2]. Conclusion: the use of (edworkcases) as part of the practical training was considered satisfactory, enabling theory and practice to be combined and improving students’ attitudes towards Nursing diagnoses.
Diversity of entomopathogenic fungi from soils of eucalyptus and soybean crops and natural forest areas
Authors: Domingues Maurício Magalhães , Santos Paula Leite dos , Gêa Bianca Cristina Costa , Carvalho Vanessa Rafaela de , Zanuncio José Cola , Serrão José Eduardo , Zanetti Ronald , Wilcken Carlos Frederico
Published: January 2023

Abstract Soils present high fungal diversity, including entomopathogenic species. These fungi are used in pest control, providing easy production, multiplication, application, and dispersion in the field. The objective of the present study was to evaluate entomopathogenic fungal diversity in soils from eucalyptus and soybean crops and natural forest areas. These fungi were isolated using the “Bait Method” with Tenebrio molitor (Linnaeus, 1758) (Coleoptera: Tenebrionidae) larvae from 10 soil samples per area, collected at 10 cm deep in a zig-zag pattern. The isolated entomopathogenic fungi were cultivated in Petri dishes using PDA medium and their mycelia separated after seven days of incubation in a BOD-type chamber. Species of Aspergillus, Beauveria, Cordyceps, Fusarium, Metarhizium, Penicillium and Purpureocillium were identified. The “Bait Method” with T. molitor larvae is efficient to isolate entomopathogenic fungi with higher diversity from soils of the natural forest than the cultivated area.
Neuroprotective potential of lignan-rich fraction of Piper cubeba L. by improving antioxidant capacity in the rat's brain
Authors: Dwita L. P. , Iwo M. I. , Mauludin R. , Elfahmi
Published: January 2023

Abstract Piper cubeba contains various types of lignans. These compounds have been found to have potential pharmacological activities, one being a neuroprotector through an antioxidant mechanism, especially in the brain. This study examined the antioxidant activity of the lignan-rich fraction of P. cubeba (LF) in rat brains. The rats were given LF (200 and 400 mg/kg), Vitamin C (200 mg/kg), and a carrier as the control group for one-week p.o. The following day, rat brains were collected for antioxidant tests, including examining lipid peroxide inhibition, superoxide dismutase and catalase activity, and determination of nitric oxide (NO) concentration. The phytochemical compounds were analyzed with thin-layer chromatography (TLC), ultra-high performance liquid chromatography-tandem mass spectrometry (UPLC-MS), and gas chromatography-mass spectrometry (GC-MS). Test results show that the LF of both doses of 200 and 400 mg/kg could significantly increase antioxidant activity in the brain by inhibiting lipid peroxidation. LF could also increase catalase, despite the decrease in superoxide dismutase activity. Reduction in NO only occurred in the LF-200 group, while LF-400 showed insignificant results compared to the control group. In conclusion, LF showed potential as an antioxidant in the brain and could be beneficial for treating neurological diseases.
D-dimer and HbA1c levels findings in COVID-19 Iraqi patients
Authors: Al-Jubury K. S. , K O. Abdulmunem , Alshareef D. K. J. , Al-Jubury M. , Jameel M. I.
Published: January 2023

Abstract On March 11, 2020, the World Health Organization (WHO) declared a new coronavirus infection caused by the SARS-CoV-2 virus as a pandemic, making it the 11th pandemic of the 20th and 21st centuries. This study investigated the clinical and laboratory results (D-dimer, conventional coagulation, and HbA1c biomarker concentrations) of 150 patients (75 male and 75 female) with confirmed COVID-19 pneumonia and 50 controls (25 male and 25 female). For disease diagnosis, all COVID-19 patients were given a Real-Time Reverse Transcription Polymerase Chain Reaction Assay (RT-PCR). The findings revealed that D-dimer and HbA1c levels in COVID-19 patients were significantly higher (P 0.001) at the time of admission; In COVID-19 patients, there was also a strong correlation between D-dimer levels and HbA1c levels (P 0.001). In conclusion, COVID-19 patients are more likely to have a poor prognosis if their D-dimer and HbA1c levels remain uncontrolled over a lengthy period. To lower the likelihood of a bad prognosis in COVID-19, patients with higher levels of D-dimer and HbA1c should be continuously monitored.
Fire effects on Atlantic Forest sites from a composition, structure and functional perspective
Authors: Carvalho L. Z. G. , Massi K. G. , Coutinho M. P. , Magalhães V. D.
Published: January 2023

Abstract Recently, some portions of the Atlantic Forest biome have been suffering an increase in forest fires, possibly changing its vegetation cover, composition, structure and functioning. Understanding these changes is critical to evaluate the present and future response of tropical forests to fire. Thus, the purpose of our study was to evaluate how diversity, structure and functioning of tree communities differed between burned and unburned sites. Two unburned and two burned forest patches were selected for floristic and phytosociological surveys. Then, we calculated species richness, Shannon diversity index, tree density and basal area, Importance Value Index for trees in each site and we assessed community weighted mean of six functional traits (maximum tree height, wood density, leaf length, leaf deciduousness, shade tolerance and dispersal mode). Diversity, species richness, tree density and basal area were similar between sites. We found changes in floristic composition, but did not verified variations in functional traits. Results indicate that recovery may be fast and that pioneer and early secondary species are occupying post burned sites (nine years old). One-time anthropogenic, superficial and low intensity fires might disrupt advanced stages of succession and start again the dynamics of species substitution.
Conditioning of desert sandy soil and investigation of the ameliorative effects of poultry manure and bentonite treatment rate on plant growth
Authors: Younas T. , Cabello G. G. C. , Taype M. A. , Cardenas J. A. L. , Trujillo P. D. C. , Salas-Contreras W. H. , Yaulilahua-Huacho R. , Areche F. O. , Rodriguez A. R. , Cruz Nieto D. D. , Chirre E. T. C. , Gondal A. H.
Published: January 2023

Abstract Soil is the base of any ecosystem since it conserves nutrients and water for plant roots including agriculture and plantations. In dry and semi-arid places across the world, including the UAE, sandy soils are common. Their fertility is extremely low, and production is hampered by a number of agronomic challenges. Soil conditioner sources like bentonite and chicken manure might be used to improve the poor sandy soil attributes and hence boost soil productivity. From November 2019 to March 2020, an experiment was conducted to investigate the growth rates of Bougainvillea following bentonite and chicken manure amendments to sandy soil taken from Lehbab, Dubai. Bougainvillea was evaluated for its plant height (cm), max length of primary branch (cm), the number of leaves per plant, number of secondary branches, shoot weight (g), root length (cm), root weight (g), root/shoot ratio, chlorophyll contents, and chlorophyll a* and b*. In this experiment, a complete randomized design (CRD) with five treatments was used (10 replications per treatment). According to the findings, bentonite and chicken manure additions considerably influence the productive properties of sandy soil, as indicated by Bougainvillea growth. Additionally, the research suggests that Bougainvillea may be efficiently planted with 10% bentonite and 15% chicken manure applied to sandy soil, resulting in the healthiest plants compared to other amendments.
Evaluation of the antibacterial activity of trans-anethole against Enterococcus cloacae and Enterococcus faecalis strains of food origin
Authors: Medeiros M. A. A. , Alves M. S. , Santos B. , Silva E. V. A. , Araújo F. S. M. , Bezerra M. M. S. L. , Silva P. O. A. , Rêgo V. G. S. , Pessôa H. L. F. , Oliveira Filho A. A.
Published: January 2023

Abstract The present study sought to evaluate the antibacterial activity of trans-anethole against food-borne strains of Enterobacter cloacae and Enterococcus faecalis. The study was performed using Minimum Inhibitory Concentration (MIC), and Minimum Bactericidal Concentration (MBC) methods, in addition, disc diffusion technique was used to evaluate the association of trans-anethole with synthetic antimicrobials. Minimum Inhibitory Concentration for Adherence (MICA) testing was also performed. The results revealed that trans-anethole presents no antibacterial activity at any of the concentrations used against the E. cloacae strains tested. However, trans-anethole presented antibacterial effect against five of the six E. faecalis bacterial strains tested, with MIC values ranging from 500 μg/mL to 1000 μg/mL. Further, when analyzing the MBC results against E. faecalis, it was observed that the compound presented values ranging from 500 μg/mL to 1000 μg/mL. As for the associations, it was observed that trans-anethole when combined with the antimicrobials ampicillin, gentamicin, ciprofloxacin, and ceftriaxone presented synergistic effect against most strains of E. faecalis. However, both trans-anethole and the control chlorhexidine (0.12%) presented no antibiofilm effects against strains of E. faecalis. In short, trans-anethole presented potential antibacterial against E. faecalis strains of food origin, and may upon further study, it may be used alone or in association with synthetic antimicrobials to combat infections caused by this bacterium.
Development of processed low-sodium Maasdam cheese
Authors: Melo L.R.B. , Torres F.R. , Guimarães J.T. , Cortez M.A.S.
Published: January 2023

ABSTRACT The article assesses the effect of different potassium emulsifying salts concentrations on physicochemical, colorimetric, and texture characteristics of processed cheese manufactured using Maasdam. Except for pH, physicochemical parameters remained unchanged, but the gradual substitution of sodium emulsifying salts with potassium-based salts influenced color and texture. Treatments with at least 50% potassium salts showed a reduction of at least 30% of sodium. The sodium decrease allows the product's classification as processed cheese with low-sodium content (<140mg per 56.7g serving). The data obtained present substantial information that can help the dairy industries develop newly reduced-sodium products.