bluuebunny/crossref_metadata_2025 huggingface dataset:
Extension needs of vegetable growers
Authors: Deshmukh K.K. , Deshmukh A. N. , Mokhale S. U. , Deshmukh S.A. , Chopkar P. A.
Published: April 2022

The present study on “Extension Needs of Vegetable Growers” was conducted in the year 2021-2021 in Akola district of Maharashtra state. The exploratory research design of social research was used. In all, 120 respondents were selected by random sampling method. The data were collected by personally interviewing the respondents with the help of structured interview schedule. The data collected were carefully examined, classified, quantified and tabulated. Frequencies, mean, standard deviation, spearman rank correlation and multiple linear regression were employed for interpreting the results. The findings of the present study revealed that, nearly half of the respondents 55.83 per cent belonged to middle age group, i.e. between 36 to 54 years. High proportion of the respondents 46.66 per cent were educated upto secondary school category (10th standard). Nearly half 42.50 per cent of the respondents had medium family size category (5-6 members). Most of the respondents 52.50 per cent had annual income between Rs. 1,00,000/- to 2,00,000/-. High proportion of the respondents 40.83 per cent possessed small category of land holding (1.01 to 2.00 ha). Nearly half 74.16 per cent of the respondents had 0.40 to 1.60 ha area under vegetables. Nearly three fourth 63.33 per cent of the respondents had 11 to 27 years of experience in vegetable cultivation. nearly half of the respondents 50.00 per cent belonged to medium category of social participation. Majority 54.16 per cent of the respondents had medium source of information. Over half 57.50 per cent of the respondents had medium level of innovativeness. Nearly three fourth 80.00 per cent of the respondents had medium category of risk orientation.In case of extension needs of respondents, majority of the respondents 66.67 per cent most needed information about export facilities provided by government and 62.50 per cent information about phyto sanitary measures. High proportion of the respondent 30.83 per cent had daily contact with Gram Sevak among formal agencies, followed by 40.00 per cent progressive farmers among informal agencies, whereas 60.83 per cent of respondents had daily contact with television among mass media. The majority of respondents 60.00 per cent prefer farm as suitable place of contact. Higher number 41.66 per cent of the respondents prefer farm and home visit as best extension method. The 40.83 per cent of the respondents believed that, gender of extension agent doesn’t matter. Majority of the respondents 70.00 per cent had medium extension needs i.e. between 33.34 to 66.66 per cent. Important constraints faced by the respondents were price fluctuation 80.00 per cent followed by 70.00 per cent had problem about electricity, whereas 66.66 per cent 64.16 per cent and 60.83 per cent of respondents faced problems regarding fertigation, exploitation by middle men and lack of market knowledge, respectively and these were ranked as I, II, III, IV and V, respectively.
GENITAL WARTS INCIDENCE IN SAINT-PETERBURG, LENINGRADSKAYA REGION, KARELIYA REPUBLIC IN 2004–2013
Authors: Stebelko O. Yu. , Gayvoronskaya O. V. , Kasatkin E. V. , Katkyavichene E. V. , Egorova Yu. S.
Published: April 2022

Abstract. In 2012, information on vaccination against human papillomavirus infection was included in the form of state statistics number 5 «Information on vaccinations» in according to the Order of Rosstat number 645. In the world practice, as one of the early performance criteria of effectiveness of immunization against human papilloma virus is  morbidity rate by anogenital warts. The aim of this study was to investigate the regional characteristics of distribution of anogenital (venereal) warts before and in the initial periods of vaccination against human papillomavirus infection in three regions of the North-West Federal Regions — Saint Petersburg, Leningrad Oblast, Republic of Karelia. The period of retrospective epidemiological analysis was 10 years. There were significant differences in the levels and trends, morbidity by anogenital warts in general population and by gender. Moreover, different patterns of the frequency of disease among household contacts were revealed. In all three areas persons of 18–29 years old were identified as the risk group. The importance of determining the characteristics of epidemic processes for specified nosology in each territory has been demonstrated.
Genetic adhesion profiles and adhesive variability of uropathogenic Escherichia coli strains
Authors: Kuznetsova M. V. , Gizatullina J. S.
Published: April 2022

Our study was aimed at investigating prevalence of adhesion genetic determinants among uropathogenic E. coli strains and assessing their correlation with level of specific and non-specific adhesion. E. coli bacterial cultures (n = 33) isolated from patients with urinary tract infection were examined. A phylogenetic group of strains was detected by using Clermont quadriplex-PCR method. Detection of fimbrial and afimbrial adhesin genes was carried out with end-point PCR. Level of erythrocyte-specific, non-specific hydrophobic and hydrophilic adhesion as well as biofilm formation were estimated by using standard methods. Adhesin genes were detected with the following frequencies: fimH — 75.76%, flu — 66.67%, iha — 39.40%, papC — 33.33%. Each of the genes sfaDE, upaG, afa/draBC and yqi was found with frequency 18.18%, whereas eaeA was not detected. Seven strains (21.21%) carried solely fimbrial adhesin genes, three strains (9.09%) — afimbrial adhesin genes, and twenty-one strains (63.64%) had genes of both adhesin types. Twenty-three individual adhesion genotypes were found among thirty-three UPEC strains. A combination of at least four genes were detected in 45.45% strains, among which 60% belonged to phylogroup B2. Odds ratio for adhesin gene prevalence in B2 group was calculated. It was shown that in B2 group yqi and sfaDE genes were detected by 14-fold more frequently (OR = 14.286) than in other phylogroups, and flu gene was observed at 10-fold higher rate (OR = 10.000). No correlation between such genes and level of adhesion to erythrocytes was found, whereas fimH+, papC+ and upaG+ strains had higher level of non-specific hydrophilic adhesion. It was shown that fimbrial adhesins accounted for bacterial adhesion and biofilm formation stronger than afimbrial ones. Thicker biofilm tended to form on latex catheter surface for strains with positive genetic profile for adhesin gene carriers.
Decisões do Supremo Tribunal Federal no início da pandemia de Covid-19: impactos no federalismo brasileiro?
Authors: Fernandes Fernando Manuel Bessa , Ouverney Assis Luiz Mafort
Published: April 2022

RESUMO No contexto pandêmico atual, o Supremo Tribunal Federal (STF) é um rico campo de pesquisa para o entendimento de como disputas político-ideológicas se entrelaçam com questões burocrático-administrativas. Segundo autores, o STF tende a emitir decisões mais favoráveis para a União/governo federal do que para os estados e/ou municípios em casos de disputas e litígios interfederativos. Os objetivos deste artigo foram analisar e refletir sobre o impacto decisório do STF nas ações governamentais, no âmbito do debate das relações interfederativas, considerando o atual contexto e verificando se a pandemia modifica a tendência de favorecimento da União/governo federal. Levantaram-se 33 decisões colegiadas utilizando-se as palavra-chave “coronavírus” e “covid-19”; e como marco cronológico, o primeiro semestre de 2020. Para a análise, construiu-se uma tipologia: ‘Regulação e Gestão Territorial’, ‘Políticas e Serviços de Saúde’, ‘Emprego e Renda’, ‘Finanças Públicas’ e ‘Outros’. Em um contexto marcado por tensões e omissões, reforçou-se a atuação do STF na resolução de conflitos de competência interfederativa, sugerindo uma inversão da tendência centralista na jurisprudência brasileira. Por outro lado, é possível questionar até que ponto tal situação poderá significar um reforço de protagonismo dos entes subnacionais e, portanto, do federalismo no Brasil.
Os governos estaduais no enfrentamento da Covid-19: um novo protagonismo no federalismo brasileiro?
Authors: Carvalho André Luís Bonifácio de , Rocha Edjavane , Sampaio Roberta Fonseca , Ouverney Assis Luiz Mafort
Published: April 2022

RESUMO A Constituição de 1988 estabeleceu um modelo de federalismo cooperativo buscando criar bases institucionais para articular de maneira funcional a atuação da União, dos estados e dos municípios, em especial, em conjunturas críticas que exigem uma resposta a partir da expressiva mobilização de recursos, atores e instituições O objetivo deste artigo foi apresentar uma análise da evolução das ações desenvolvidas pelos governadores de 11 estados brasileiros no enfrentamento da pandemia da Covid-19, procurando identificar a tendência de suas ações ante as pressões geradas na dinâmica das relações intergovernamentais. Foram analisados 701 decretos publicados no período de fevereiro a outubro de 2020, considerado a primeira onda da pandemia, organizados e analisados a partir de três eixos: medidas de aprimoramento das políticas e serviços de saúde; políticas de proteção do emprego e renda; medidas administrativas e de regulação social e gestão territorial. Os resultados mostram a existência de um protagonismo dos governadores diante da descoordenação do governo federal com destaque para o exercício de competências constitucionais por meio de medidas de cooperação horizontal, prática de aprendizagem regional e associativa e organização de medidas de intervenção social que tiveram papel importante no combate a pandemia.
Quando não é possível deixar de informar: o processo de trabalho de jornalistas durante a pandemia da Covid-19
Authors: Tabai Beatriz Joia , Santos Taylon Batista dos , Coqueiro Jandesson Mendes
Published: April 2022

RESUMO Trata-se de um estudo de abordagem qualitativa com o objetivo de analisar, a partir do referencial teórico da Análise Institucional Socioanalítica, o discurso dos jornalistas sobre o seu processo de trabalho durante a pandemia da Covid-19. A partir da entrevista projetiva com dez jornalistas, foram apontados que o medo da infecção por Covid-19, a diminuição salarial e a violência se configuraram atravessamentos em seus processos de trabalho. Com isso, os jornalistas buscavam linhas de fuga, como, por exemplo, a meditação e a leitura de obras literárias para enfretamento dos problemas existentes no trabalho. Além disso, os sujeitos afirmaram que o aprendizado com uso de novas tecnologias e o sentimento de estar realizando um trabalho importante se apresentavam como questões que potencializavam o seu labor. Dessa forma, faz-se necessário o fortalecimento de políticas públicas de proteção aos jornalistas, no sentido de valorização da profissão, combate à violência e aumento da qualidade de vida desses profissionais. Deve- se, principalmente, utilizar essa discussão como pauta política de intervenção nos próprios trabalhadores jornalistas, com busca ao enfretamento dos atravessamentos e transformação, uma vez que seus efeitos negativos são complexos, inclusive no que diz respeito à saúde desses indivíduos.
When one cannot stop reporting: journalists’ work process during the Covid-19 pandemic
Authors: Tabai Beatriz Joia , Santos Taylon Batista dos , Coqueiro Jandesson Mendes
Published: April 2022

ABSTRACT This is a study with a qualitative approach with the objective of analyzing, based on the theoretical framework of Institutional Socioanalytical Analysis, the journalists’ discourse about their work process during the Covid-19 pandemic. From the projective interview with ten journalists, it was pointed out that the fear of infection by Covid-19, the decrease in wages, and violence were configured as crossings in their work processes. As a result, journalists sought lines of flight, such as, for example, meditation and reading of literary works to face the existing problems at work. In addition, the subjects stated that learning with the use of new technologies and the feeling of doing important work presented themselves as issues that potentiated their work. Thus, it is necessary to strengthen public policies to protect journalists, in the sense of valuing the profession, combating violence, and increasing the quality of life of these professionals. Mainly, this discussion should be used as a political agenda for intervention in the journalistic workers themselves, with a view to coping with the crossings and transformation, since its negative effects are complex, including with regard to the health of these individuals.
O primeiro Curso Aberto, On-line e Massivo (Mooc) sobre Covid-19 e iniquidades no Brasil: potências da saúde coletiva no enfrentamento da infodemia e das fake news
Authors: Oliveira Daniel Canavese de , Gerhardt Tatiana Engel
Published: April 2022

RESUMO A pandemia do novo coronavírus emergiu em momento de avanço do neoliberalismo, com o agravamento das desigualdades sociais, os poucos investimentos para a ciência, a expansão do negacionismo científico e a intensa produção de informações falsas (fake news). Os Cursos On-line Abertos e Massivos (Mooc) têm sido utilizados como estratégia para a difusão científica e o enfrentamento da infodemia, pois ampliam o acesso à informação e atingem um maior público. O objetivo do artigo foi apresentar a idealização, a concepção e o desenvolvimento do primeiro Mooc no campo da saúde coletiva sobre a Covid- 19 e iniquidades em saúde. Trata-se de um estudo descritivo sobre a ferramenta de ensino a distância. Durante os 12 meses de oferta, foram registradas 5.721 inscrições e 3.433 cursistas concluintes, com uma taxa de conclusão de 60%. O Mooc atuou de modo exitoso em um front de batalha de desentendimento, da infodemia e do embaralhamento de mentiras. Além disso, consolidou uma avaliação positiva de insti- tuições, que passam por grave crise de confiança. Destaca-se a propriedade de difusão científica massiva e combate às fake news sobre a Covid-19 do primeiro curso Mooc do gênero no País.
Longitudinal link of the Family Health Strategy at the frontline of the Covid-19 pandemic
Authors: Frota Amanda Cavalcante , Barreto Ivana Cristina de Holanda Cunha , Carvalho André Luís Bonifácio de , Ouverney Assis Luiz Mafort , Andrade Luiz Odorico Monteiro de , Machado Nádia Maria da Silva
Published: April 2022

ABSTRACT This paper analyzes the Family Health Strategy (ESF) work process in the Covid-19 pan- demic per the PHC longitudinal linkage attribute. This cross-sectional, descriptive, and analytical study collected primary data from a national electronic survey carried out from September to December 2020. Ceará and Paraíba, States of the Northeastern region with more than 84% ESF coverage, were included in this excerpt. The participation of female workers (962) prevailed, with Community Health Workers (ACS, 29%) and nurses (26.61%), women (81.19%), 18-39 years of age (61.85%), statutory public servants (48,75%), active in urban territories (58.63%). Approximately 92.54% of the participants worked in the period, with only 4.70% working remotely. A total of 51.53% stated that they were ‘carrying out routine activities, as before’, and 31.42% revealed they were ‘prioritizing activities related to Covid-19’. New SUS Card registrations were made according to 67.94% of the participants. The research confirms that the ESF is a very frequent gateway, if not the main one, for Covid-19 cases and that its effectiveness for the care of the registered users is weakened although it meets the dimensions of its attribute.
Práticas Integrativas e Complementares ofertadas pela enfermagem na Atenção Primária à Saúde
Authors: Pereira Erika Cardozo , Souza Geisa Colebrusco de , Schveitzer Mariana Cabral
Published: April 2022

RESUMO Os objetivos do estudo foram mapear e analisar a oferta das Práticas Integrativas e Complementares (Pics) na atenção primária pela enfermagem no município de São Paulo e a interferência da pandemia da Covid-19 na oferta dessas práticas. Estudo descritivo de série temporal, realizado com dados secundá- rios a partir do banco de dados oficiais do Departamento de Informática do Sistema Único de Saúde no período entre 2018 e 2020. Os resultados demonstram que as Pics ofertadas pela enfermagem totalizaram 10.933 procedimentos em 2018, 24.684 em 2019 e 12.651 em 2020. Entre os anos de 2018 e 2019, houve um aumento de 120% na oferta, tendência interrompida em 2020 em decorrência da pandemia da Covid-19. A oferta dessas práticas pela enfermagem é uma forma de atendimento com vistas ao cuidado integral e apreensão ampliada do processo saúde-doença. Contudo, apesar do grande potencial para adoção dessa abordagem no cuidado, a categoria tem demonstrado percentuais pouco representativos do total ofertado no município analisado.
Complementary and Alternative Medicine offered by nurses in Primary Health Care
Authors: Pereira Erika Cardozo , Souza Geisa Colebrusco de , Schveitzer Mariana Cabral
Published: April 2022

ABSTRACT The aim of this study was to assess and analyze the provision of Complementary and Alternative Medicine in primary health care by nurses in the city of São Paulo, and the impact of the Covid-19 pan- demic on this provision. This was a descriptive time series study conducted with secondary data from the official database of the Informatics Department of the Unified Health System for the period from 2018 to 2020. The results showed that complementary therapies provided by nurses totaled 10,933 procedures in 2018, 24,684 in 2019, and 12,651 in 2020. Between 2018 and 2019, there was a 120% increase in provision, a trend that was interrupted in 2020 due to the Covid-19 pandemic. The provision of these therapies by nurses is a form of holistic care and expanded understanding of the health and disease process. However, despite the great potential for the application of this approach to health care, this category accounts for a small percentage of total services in the community studied.
Perspectiva do paciente sobre a assistência à saúde no contexto da Covid-19
Authors: Rodrigues Juliana Loureiro da Silva Queiroz , Villar Vanessa Cristina Felippe Lopes , Duarte Sabrina da Costa Machado , Corrêa Claudia Dolores Trierweiler Sampaio de Oliveira , Reis Erika Cardoso dos , Janotti Letícia
Published: April 2022

RESUMO Trata-se de um estudo transversal, descritivo e analítico com abordagem qualitativa, que ob- jetivou discutir a perspectiva do paciente sobre a assistência à saúde para Covid-19 no estado do Rio de Janeiro. Participaram 160 pacientes com sintomas e/ou diagnóstico de Covid-19 que procuram assistência à saúde no estado. Os dados foram coletados por meio de um questionário eletrônico autoaplicável no período de julho a outubro de 2020, sendo a amostra caracterizada com auxílio do software SPSS versão 26; e os dados referentes à perspectiva dos pacientes sobre a assistência à saúde, submetidos à análise temática de conteúdo. Dentre os resultados, emergiram três categorias: Satisfação do paciente sobre a assistência à saúde; Perspectivas do paciente diante das condutas e práticas clínicas no atendimento à saúde; Sentimentos expressados pelo paciente ante o atendimento à saúde, sintomas e diagnóstico para a Covid-19. Destacou-se a ausência de apoio e suporte emocional para o paciente, além de déficits dos recursos humanos, materiais e estrutura, interferindo no gerenciamento do cuidado de saúde. Considera- se que compreender a perspectiva dos pacientes atendidos nos serviços de saúde poderá contribuir para a melhoria da qualidade do atendimento nos serviços de saúde.
Adesão ao isolamento social na pandemia de Covid-19 entre professores da educação básica de Minas Gerais, Brasil
Authors: Lima Cássio de Almeida , Lima Celina Aparecida Gonçalves , Oliveira Ana Júlia Soares , Silva Priscylla Guimarães , Freitas Wesley Miranda Lourenço de , Haikal Desirée Sant’Ana , Silva Rosângela Ramos Veloso , Silveira Marise Fagundes
Published: April 2022

RESUMO Este estudo teve por objetivo estimar a prevalência da adesão ao isolamento social e verificar os fatores associados, durante a pandemia de Covid-19, entre professores de Minas Gerais, Brasil. Trata- se de um estudo transversal realizado com uma amostra de 15.641 docentes. Aplicou-se um formulário digital para a coleta dos dados. Foram conduzidas análises descritivas das variáveis, que incluíram adesão ao isolamento social, características sociodemográficas, fatores ocupacionais e condições de saúde au- torrelatadas. Utilizou-se o modelo de regressão de Poisson com variância robusta e se estimaram Razões de Prevalências (RP) com intervalos de 95% de confiança. A prevalência de adesão ao isolamento social foi estimada em 79,8%, cujos fatores associados foram: sexo feminino; faixa etária igual ou superior a 60 anos; viver com o(a) cônjuge; maior carga horária de trabalho; dificuldades no sono; sentimento de tristeza; além de patologias como hipertensão arterial sistêmica, diabetes mellitus, obesidade e doenças respiratórias. Evidenciou-se expressiva prevalência de adesão às medidas de isolamento social entre os docentes, e que a adesão está associada a características sociodemográficas, fatores ocupacionais e condições de saúde dos profissionais da educação.
Prácticas de salud/salud mental y producción de cuidado durante la pandemia de Covid-19
Authors: Bang Claudia , Lazarte Viviana , Chaves Federico Agustin , Casal Mariana
Published: April 2022

RESUMEN El presente escrito se vincula a dos proyectos institucionales de investigación científica, en los que se ha propuesto indagar sobre prácticas de cuidado en salud mental durante la pandemia de Covid-19. El objetivo de este trabajo es describir y analizar prácticas de salud/salud mental centradas en el sostenimiento del vínculo en la atención y el fortalecimiento de redes productoras de cuidados en contexto de pandemia, desarrolladas en el Área Metropolitana de Buenos Aires, Argentina. Se trata de un estudio exploratorio y descriptivo que utiliza técnicas cualitativas para la recolección y análisis de datos. A partir de la reconstrucción de cuatro breves relatos vivenciales de nuestra propia práctica profesional, se abordan diversos núcleos temáticos de caracterización y análisis de la experiencia. Se concluye que estas prácticas recuperan la perspectiva de cuidados en salud/salud mental a través de la humanización del vínculo y la inclusión de la dimensión afectiva en la atención. Se trata de prácticas que, desde territo- rios institucionales muy diversos y por medio de dispositivos flexibles y creativos, han logrado sostener procesos participativos, afianzar abordajes interdisciplinarios y fortalecer las redes comunitarias de cuidados en un contexto de excepcionalidad y alta complejidad.
Covid-19: repercussões na saúde mental de estudantes do ensino superior
Authors: Oliveira Eliany Nazaré , Vasconcelos Maristela Inês Osawa , Almeida Paulo César , Pereira Paulo Jorge de Almeida , Linhares Maria Socorro Carneiro , Ximenes Neto Francisco Rosemiro Guimarães , Aragão Joyce Mazza Nunes
Published: April 2022

RESUMO Este artigo teve como objetivo avaliar as repercussões da Covid-19 e do isolamento social na saúde mental de estudantes do ensino superior no Ceará, Brasil. A amostra foi composta por 3.691 alunos do ensino superior participando de aulas on-line no período de junho a setembro de 2020, que responderam a dois instrumentos: um questionário sociodemográfico e situacional referente à pandemia/isolamento social e o Inventário de Saúde Mental. Os resultados mostraram que 21,2% dos alunos tiveram suas atividades canceladas, sem expectativa de retorno. A maioria, 77,2%, relatou preocupação com a morte de parentes e conhecidos pela Covid-19. O estado geral de saúde mental médio, medido pelo inventário, foi de 48,8. Esse resultado sugere que os alunos tiveram sua saúde mental afetada pelas condições impostas pela pandemia. Assim, as instituições de ensino devem promover estratégias para proteger a saúde mental da comunidade estudantil.
Vacina contra Covid-19: arena da disputa federativa brasileira
Authors: Fleury Sonia , Fava Virgínia Maria Dalfior
Published: April 2022

RESUMO Este ensaio teve como objetivo demonstrar como a questão da vacina, no contexto atual da pandemia de Covid-19, transformou-se em centro de disputa política nacional no Brasil, o que levou o federalismo de cooperação a transformar-se em um federalismo de confrontação. Essa disputa provocou uma tragédia sanitária que colapsou os sistemas públicos e privados de saúde. Embora o País tenha um programa nacional de imunização com uma trajetória consolidada, associado a um sistema de vigilância epidemiológica bem estruturado, isso não foi capaz de evitar o atraso na imunização da população e os problemas na distribuição de doses da vacina, o que contribuiu para recrudescimento da pandemia. A análise do discurso do Presidente Bolsonaro em relação à pandemia, às medidas preventivas e à vacinação contra a Covid-19 mostra que ele privilegiou as interações que se estabeleceram com seus seguidores, buscando deslegitimar a oposição e minar as instituições democráticas. As consequências para o federa- lismo foram demolidoras em relação aos antigos mecanismos de coordenação federativa, mas também inovadoras por propiciar o fortalecimento de mecanismos de coordenação horizontal. O debate sobre o combate à pandemia, portanto, tornou a vacina a principal arena política de disputa por poder.
Hesitação e recusa vacinal em países com sistemas universais de saúde: uma revisão integrativa sobre seus efeitos
Authors: Nobre Roberta , Guerra Lúcia Dias da Silva , Carnut Leonardo
Published: April 2022

RESUMO O número de indivíduos que recusam ou hesitam a vacinação vem crescendo nos últimos anos em diversos países, e isso tem sido notado com a diminuição da cobertura vacinal. Diante desse cenário, faz-se necessário conhecer quais os efeitos que esses fenômenos têm trazido para os sistemas universais de saúde. O estudo objetivou revisar os efeitos da recusa/hesitação vacinal para a população de países com sistemas universais de saúde, na produção científica da área da saúde. Realizou-se uma revisão integrativa nas bases de dados Lilacs, SciELO, PubMed/Medline, Scopus e Embase. Identificou-se o total de 318 publicações, realizou-se revisão sistematizada e ordenada, permanecendo para leitura completa 12 artigos científicos. Verificaram-se sete categorias de abordagem do tema: 1) políticas públicas para imunização da população; 2) fatores da hesitação da vacinação contra gripe; 3) hesitação entre profissionais de saúde; 4) fatores importantes para a decisão dos pais de vacinarem; 5) segurança das vacinas; 6) determinantes sociais, demográficos e econômicos para hesitação/recusa; e 7) projeção de cobertura vacinal para o futuro e política de vacinação. Os artigos científicos estudados permitiram entender como se dá a recusa e a hesitação vacinal em diferentes cenários, os seus efeitos e como esses motivos estão interligados entre si.
Desigualdades da oferta hospitalar no contexto da pandemia da Covid-19 no Brasil: uma revisão integrativa
Authors: Santos Priscilla Paiva Gê Vilella dos , Oliveira Ricardo Antunes Dantas de , Albuquerque Mariana Vercesi de
Published: April 2022

RESUMO A pandemia da Covid-19 gera preocupações quanto à capacidade de resposta e resiliência dos sistemas de saúde. No Brasil, diversos estudos analisaram essa questão a partir da oferta de serviços e recursos de saúde para atender os casos de Sars-CoV-2. Este estudo objetivou compreender e analisar as desigualdades da oferta hospitalar do sistema de saúde brasileiro para atender os casos graves da Covid-19. Realizou-se revisão integrativa da literatura, no período de março a dezembro de 2020, funda- mentalmente na área da saúde coletiva, com foco na distribuição regional e na relação público-privada da oferta hospitalar. As bases utilizadas foram BVS e SciELO, além de fontes institucionais. No total, 42 estudos foram analisados a partir da categoria de espaço geográfico, visto pelas desigualdades socioes- paciais, e de sistema de proteção social em saúde, por meio das relações público-privadas. Apontam-se expressivas desigualdades nos arranjos público-privados e na distribuição regional da oferta dos recursos analisados nas mais diversas escalas espaciais. As desigualdades são significativas inclusive em regiões privilegiadas por recursos hospitalares. A segmentação e a interdependência na oferta entre os setores público e privado impõem sérias limitações para o enfrentamento da Covid-19 no Brasil e aprofundam as desigualdades em saúde do País.
Open Science, open access: literature review of the scientific communication about Covid-19 on the SciELO platform (2020)
Authors: Stueber Ketlen , Silveira Filipe Xerxeneski da , Teixeira Maria do Rocio Fontoura
Published: April 2022

ABSTRACT From the perspective of Open Science by means of open access, the study analyzes the scientific communication about Covid-19, made available by the SciELO platform, until February 19, 2021. With a qualitative approach, content analysis is used for data collection and interpretation. The research is divided into two steps: the first presents the general results on publications, the journals that mostly disseminated the studies, the types of scientific communication used, the citation indexes, and the distribution of articles by thematic areas. The second step shows the aspects listed above and presents a ranking of the 50 most accessed and cited articles. Conclusions show that SciELO made 3,165 publica- tions available, of which 2,042 are scientific articles. The 30 most productive journals are responsible for 43% of the publications. 2,296 documents are from the Health Sciences area and have been identified on 52 different topics related to Covid-19. Among the 42 most accessed and cited studies, three main axes were found: 1) Scientific protagonism: the contribution of science in the fight against Covid-19 - public actions and policies; 2) Protocols and diagnostics for health professionals and spaces; 3) Social, political, and economic issues in the pandemic.
Community Health Workers in the Covid-19 pandemic: scoping review
Authors: Méllo Lívia Milena Barbosa de Deus e , Santos Romário Correia dos , Albuquerque Paulette Cavalcanti de
Published: April 2022

ABSTRACT This paper aimed to systematize and analyze the literature that addresses the role of Community Health Workers (CHWs) in addressing the Covid-19 pandemic. This scoping review was conducted in the Embase, Lilacs, SciELO, Medline, and Cochrane Virtual Libraries databases. It includes publications from January to December 2020, and the selected studies were submitted to analysis, considering the following categories: practices, training, working conditions, and legitimacy. Twenty-nine studies were included in the review whose CHW performance backdrops were African, South American, North American, Asian, and European countries. The results revealed diversified approaches to practice in the countries studied that involve care, surveillance, health communication, education, administrative, intersectoral articula- tion, and social mobilization actions. The training received does not seem to correspond to the list of practices and expected impact of the CHWs. Working conditions remain substandard, with some extra incentives offered in different backdrops. The recognition and legitimacy before the health authorities reveal the dispute over the direction of health care models and the scope of social protection systems in different countries.
Information and Communication Network on the Exposure of Workers to Sars-CoV-2 in Brazil
Authors: Nunes Camila Henriques , Cavalcante Ana Luiza Michel , Campos Augusto de Souza , Cozendey-Silva Eliana Napoleão , Mattos Rita de Cássia Oliveira da Costa , Moura-Correa Maria Juliana , Teixeira Liliane Reis
Published: April 2022

ABSTRACT The purpose of this experience report was to present the partial results, potentials, and reflections on the implementation of the Information and Communication Network on the Exposure of Workers to Sars-CoV-2 in Brazil. This Information and Communication Network seeks to contribute to the production and dissemination of information on combating the pandemic, disseminating health prevention norms and guidelines for workers who are performing on-site activities in various productive branches during the pandemic. Simultaneously, the Network developed instruments to record the exposure situation of these workers, due to the interinstitutional action of the teaching and research units, services, and the representation of organized civil society. The integrated information and communication actions aim to articulate knowledge, practices and public policies with the objective of strengthening the National Policy for Workers’ Health and actions aimed at promoting health in populations exposed occupationally and environmentally to Sars-CoV-2.
“Na companhia de um homossexual”: trabalho e direito em corpo queer
Authors: Nicoli Pedro Augusto Gravatá
Published: April 2022

Resumo: Elias foi indenizado judicialmente porque um supervisor tirou uma foto dele “na companhia de um homossexual” e divulgou-a entre os colegas, que o ridicularizaram e humilharam no local de trabalho. Diana também foi indenizada por ter sido moralmente assediada pelo encarregado de seu setor, por ser lésbica. “Como ela queria ser homem”, segundo ele, lhe atribuiu o trabalho mais pesado. Além disso, Elias e Diana sofreram acidentes de trabalho: ele caindo de moto, ela contaminando-se com amônia. O artigo parte do exame documental de dois casos judiciais para, em uma perspectiva queer, discutir a centralidade do corpo e a produção da normalidade no trabalho. Explora o acoplamento dos círculos normativos laborais e de gênero e sexualidade e, a partir daí, tenta compreender como o direito do trabalho se envolve na constituição da precariedade queer, como parte da disciplina jurídica de corpos.
O queer e a aids na exposição Queermuseu
Authors: Alves Ricardo Henrique Ayres
Published: April 2022

Resumo: Este artigo aborda a manifestação do queer e da aids na exposição Queermuseu: Cartografias da diferença na arte brasileira. Com curadoria de Gaudêncio Fidelis, a mostra, inaugurada e censurada no ano de 2017, é contextualizada a partir de seu encerramento prematuro e também das críticas que recebeu por sua abordagem frágil da diferença. A partir das considerações de autores como David Getsy (2016), Douglas Crimp (2004), Guacira Louro (2001) e Larissa Pelúcio (2014), a relação entre o queer e a enfermidade foi investigada nos textos do catálogo da Mostra, utilizando como método a análise de conteúdo. Tal estudo permitiu perceber que a abordagem do tema na exposição foi superficial, sem apresentar um debate teórico satisfatório ou mesmo um conceito sólido sobre o queer, sendo um dos principais indícios dessa fragilidade a ignorância sobre a sua relação com a crise da aids.
Accumulated cognitive impairment, frailty, burden, and perceived stress and the risk of hospitalization and mortality in older caregivers
Authors: Bregola Allan Gustavo , Ottaviani Ana Carolina , Luchesi Bruna Moretti , Pavarini Sofia Cristina Iost
Published: April 2022

ABSTRACT. Combination of cognitive impairment, frailty, perceived stress, and excessive burden poses a risk to the health of caregivers. Objectives: This study aimed to investigate the influence of the combination of these conditions on the occurrence of hospitalizations and deaths among older caregivers in a 4-year follow-up period. Methods: This is a longitudinal study in the communities with 351 older caregivers who underwent gerontological and geriatric evaluations in 2014 and completed cognitive (Mini-Mental State Examination), physical frailty (Cardiovascular Health Study criteria), perceived stress (Perceived Stress Scale), and care burden (Zarit Burden Interview) assessments. In 2018, data on hospitalization and mortality were collected. Results: As a result, 32 (12.6%) caregivers had deceased. Among the 228 survived caregivers who were reevaluated, 24% reported using hospital services in the previous year. Mean length of hospital stay was 3 days (range: 1–22 days). Hospitalization was associated with cognitive impairment co-occurring with frailty (p=0.05), stress (p=0.03), burden (p=0.01), and frailty co-occurring with stress (p=0.04). Considering singular effects, the mortality rate (33.3%) was higher among frail caregivers, followed by those with cognitive impairment (23.1%) and a high level of perceived stress (20.4%). Considering accumulative conditions, mortality rate (43.8%) was higher among frail older caregivers with cognitive impairment, followed by those with a high level of perceived stress and cognitive impairment (32.4%). Conclusions: The investigation of accumulated effects is important to the identification of potentially vulnerable older caregivers as well as the management and monitoring of the care, health, and independence of those who provide care for other older adults.
Influence of COVID-19 quarantine on the health of adults with mild cognitive impairment
Authors: Garavito Laura Natalia Calceto , Santos Jasmín Bonilla , Hernández Alfredis González , Cala-Martínez Dorian Yisela , Morales Duván Fernando Gómez
Published: April 2022

ABSTRACT. COVID-19 is an infectious disease declared by the World Health Organization as a public health emergency of international concern. Objective: The objective of this article was to determine the physical, psychological, and social health conditions and mood of COVID-19 quarantine in adults with mild cognitive impairment. Methods: The sample consisted of 129 participants, most of them were healthy, but some have mild cognitive impairment. The data were collected with a questionnaire and the Yesavage Geriatric Depression Scale applied through phone calls from April to June 2020. Results: Statistically significant differences were found in the changes in sleep habits of the healthy participants (p=0.018). Intragroup comparisons of the Yesavage Geriatric Depression Scale in healthy participants were significant (p=0.010) and at the intergroup level before and after quarantine showed significant differences in pretest scores (p=0.003). Conclusions: Social isolation had a negative psychological effect on sleep habits, depressed mood, and physical health, mainly in healthy participants.
Random number generation and the ability of mentally reconstructing context in patients with organic amnesia
Authors: Sousa Nariana Mattos Figueiredo , Tudesco Ivanda de Souza Silva , Bolognani Silvia Adriana Prado , Batistela Silmara , Bueno Orlando Francisco Amodeo
Published: April 2022

ABSTRACT. Studies investigating amnesic patients have shown the involvement of the medial temporal lobe during working memory (WM) tasks, especially when multiple items or features have to be associated. However, so far, no study has examined the relationship between episodic memory and WM components in patients with amnesia for comprehensive neuropsychological evaluation. Objective: The objective of this study was to investigate whether the null retention relates to deficits in the episodic buffer (EB) or the central executive (CE) components of WM. Methods: This study included 15 amnesic patients with mixed etiologies and 13 matched healthy controls. These 15 amnesic patients with mixed etiologies were divided into two subgroups: NUL subgroup (n=7) patients whose raw score was 0 (zero) on the Logical Memory delayed recall test and MOR subgroup (n=8) patients who recalled at least 1 item. The EB was assessed by complex span tasks, and the CE was assessed by random number generation (RNG) test. Results: EB tasks were impaired in both subgroups compared with controls. RNG was impaired in NUL (p=0.03), but not in MOR (p=0.99), subgroup. Conclusions: CE impairment hampers the retrieval mode action, preventing it from initiating the mental reconstruction of the context in which the to-be-remembered information was presented minutes ago.
Prevalence of cognitive impairment in HIV patients: vertical and horizontal transmission
Authors: Gascón Maria Rita Polo , Terra Cauê Peter da Cruz , Guerra Hestela de Lima , Gualqui Carolina Fernandes , Lucia Mara Cristina Souza De , Benute Glaucia Rosana Guerra , Fonseca Luiz Augusto Marcondes , Casseb Jorge , Vidal Jose Ernesto , Oliveira Augusto César Penalva de
Published: April 2022

ABSTRACT. Antiretroviral treatment has significantly increased the survival of patients infected with HIV-1. However, with increased survival, cognitive changes associated with HIV are frequently observed in this population. The clinical manifestations of HIV changes can vary as a result of several aspects, including the virus transmission route. Several studies have pointed out premature neurological changes in vertically infected patients, while the manifestation of cognitive damage in adults may take a longer time. Objective: The aim of this study was to verify the prevalence of cognitive changes in patients with HIV via vertical transmission after the highly active antiretroviral therapy and the cognitive performance of these patients compared to a group of sexually infected patients. Methods: A total of 48 patients were evaluated, 25 with vertical transmission and 23 with sexual transmission, between May 2013 and February 2015 at the Institute of infectology Emilio Ribas. Neuropsychological tests were applied to assess cognitive performance, scales to assess symptoms of anxiety and depression, and sociodemographic questionnaire. Results: The results demonstrate that the frequency of cognitive impairment in vertically transmitted patients was higher than in sexually transmitted patients. Conclusions: These findings suggest that the deleterious effects of the HIV virus on the development of the central nervous system reverberate more strongly than in patients who acquire it after adulthood.
Working memory and arithmetic impairments in children with FMR1 premutation and gray zone alleles
Authors: Martins Aline Aparecida Silva , Paiva Giulia Moreira , Matosinho Carolina Guimarães Ramos , Coser Elisângela Monteiro , Fonseca Pablo Augusto de Souza , Haase Vitor Geraldi , Carvalho Maria Raquel Santos
Published: April 2022

ABSTRACT. Expansive mutations in familial mental retardation 1 (FMR1) gene have been associated with different phenotypes. Full mutations are associated with intellectual disability and autism spectrum disorder; premutations are associated with math learning difficulties and working memory impairments. In gray zone, neuropsychological development has not yet been described. Objectives: This study aimed to describe the frequency of FMR1 premutation and gray zone alleles in a school population sample representing a broad spectrum of variation in math achievement and detail school achievement and cognitive performance in the children identified with FMR1 premutation or gray zone alleles. Methods: We described a two-phase study. In the first phase, 2,195 school-age children were screened for math achievement. In the second phase, 378 children with normal intelligence were neuropsychologically assessed and genotyped for FMR1. Of these, 121 children (61 girls) performed below percentile 25 in mathematics (MD group) and 257 children (146 girls) performed above percentile 25 (control group). Results: Four pupils presented expanded alleles, one premutation and three gray zone alleles. The girl with the premutation and one boy with a gray zone allele presented impairments in working memory and arithmetic performance below percentile 6, compatible with the diagnosis of developmental dyscalculia. These children’s difficulties were not associated with inaccuracy of nonsymbolic number representations or literacy impairments. Dyscalculia in these children seems to be associated mainly with working memory impairments. Conclusions: FMR1 expansions in the gray zone may contribute to dyscalculia in otherwise healthy and normally intelligent children.
Association between cognitive performance and sarcopenic obesity in older adults with Alzheimer’s disease
Authors: Cavazzotto Timothy Gustavo , Campos Caroline do Valle de , Mazur Caryna Eurich , Silva Danilo Fernandes da , Valério Juliana Maria Silva , Vieira Edgar Ramos , Silva Weber Claudio Francisco Nunes da , Bonini Juliana Sartori
Published: April 2022

ABSTRACT. Sarcopenic obesity (SO), the co-occurrence of sarcopenia and obesity, is associated with functional loss, frailty, and incapacity in older adults. Recently, SO was associated with reduced cognitive performance in adults. However, no SO studies have been done with older adults with Alzheimer’s disease (AD). Objective: The objective of this study was to verify the occurrence of SO and associated factors in 43 older adults with AD. Methods: We applied the Mini-Mental State Examination (MMSE) and Clinical Dementia Rating (CDR). SO was verified by using dual-emission X-ray absorptiometry. Results: We found five women with SO. Women had higher body fat and lower muscle mass compared with men. There was a significant relationship between body fat and cognitive performance only in men (r=0.65; p<0.01) adjusted by age and education. Men with obesity and aged >75 years had better cognitive performance compared with non-obese men aged <75 years (p=0.010) and women with obesity aged >75 years (p=0.033). Conclusions: Women with AD had higher body fat and lower muscle mass than men. SO occurs in older women with AD. Men with higher body fat showed better cognitive performance, independent of age and education.
The impacts of visual Art Therapy for elderly with Neurocognitive disorder: a systematic review
Authors: Souza Leonardo Brynne Ramos de , Gomes Yasmin Cabral , Moraes Márcia Goretti Guimarães de
Published: April 2022

ABSTRACT. Aging is characterized by a reduction in physical, cognitive, and emotional functions, allowing multiple losses in the quality of life of the elderly. As a clinical situation that has a common association with pathological aging, neurocognitive disorder, previously named dementia, has become epidemiologically more relevant over the years. Thus, art therapy has recently emerged as an alternative technique for approaching these individuals, with the aim of improving cognitive, emotional, and quality of life aspects. Objective: The objective of this study was to analyze the effects of the application of art therapy based on visual creative processes on cognitive, emotional, and quality of life aspects in elderly people with neurocognitive disorder. Methods: This was a systematic review, carried out using CAPES, PubMed, SciELO, Bireme, PEDro, LILACS, and Scorpus databases between December 2020 and April 2021. Controlled and uncontrolled clinical trials were included in English, Spanish, French, and Portuguese, published between 1970 and 2021, with a focus on modalities of visual art production. The articles included at the end of the selection process were evaluated methodologically by the PEDro Scale of clinical trials. Results: A total of 14 articles were obtained at the end of the selection. Of note, 13 articles had a statistically significant outcome (p≤0.005) for quality of life, cognitive, and emotional functions after intervention with art therapy, being the most used interventions, such as drawing, paintings, and sculptures. Conclusions: The results show significant impacts after the application of art therapy in its visual modality. However, studies with greater methodological rigor are needed to strengthen the evidence presented.