bluuebunny/crossref_metadata_2025 huggingface dataset:
Challenges and opportunities for participation in extracurricular school futsal: perceptions of high school girls
Authors: Oliveira Flavia Volta Cortes de , Ricci Christiano Streb , Marques Renato Francisco Rodrigues
Published: July 2022

Abstract The participation of women in men preserve sports, such as futsal, is permeated by struggles for spaces and legitimacy, including in the school context. For boys, moving is valued, whereas girls are taught to be quieter, making it difficult to access certain sports activities. This study aimed to analyze the challenges and opportunities for women participation in extracurricular school futsal, from the perspective of high school students from a private school. Data were obtained with semi-structured interviews and analyzed based on the Grounded Theory. The school’s initiative to offer the opportunity for practice, the students’ heterodox attitudes, the support of parents, and feeling of belonging to the group, make it possible for girls to play a legitimate role in futsal at this school.
Os jesuítas e os descaminhos de uma missão
Authors: Faria Marcos Roberto de
Published: July 2022

Resumo O artigo investiga a ocorrência de uma crise ligada à ação dos jesuítas da Província do Brasil, no final do século XVI e início do XVII. Tal crise se deu entre os membros da Companhia e é exposta, neste manuscrito, nas críticas dirigidas aos superiores e nas denúncias de comportamentos desviantes, feitas pelos próprios padres que atuavam na missão do Brasil. Os descaminhos da missão se aprofundaram na medida em que alguns membros da Companhia feriram os votos religiosos e praticavam violências, sobretudo no trato com os índios nas aldeias. Para verificar esses descaminhos, fez-se uso de uma documentação muito pouco explorada e, em grande parte, inédita para o público brasileiro, pesquisada no Archivum Romanum Societatis Iesu (ARSI), em Roma.
Association between autism spectrum disorder and peripartum events: a case–control study
Authors: Silva Victor Bruno da , Maia Fernanda Alves , Oliveira Ana Júlia Soares , Cezar Ionara Aparecida Mendes , Bandeira Laura Vicuna Santos , Oliveira Steffany Lara Nunes , Rezende Luiz Fernando de , Saeger Vanessa Souza De Araújo , Silveira Marise Fagundes
Published: July 2022

Abstract Objective: To assess the association between peripartum events and autism spectrum disorder (ASD) development in children and adolescents. Methods: The current research is a case–control study in northern Minas Gerais state, Brazil. The inclusion criteria in the case group included individuals whose medical records reported an autistic disorder diagnosis, individuals had this diagnosis further confirmed by Northern Minas Autistic Support Association and specialized clinics, and their mothers had to answer positively to the question: “Was your child diagnosed with autism spectrum disorder?” in the data collection instrument. Thus, the case group included 253 mothers of children/adolescents of 2–15 years old diagnosed with autism. The inclusion criteria in the control group included 852 individuals belonging to the same age group and enrolled in the same schools as the case group. A semi-structured questionnaire was applied for mothers of children/adolescents, and the multiple logistic regression model was adopted for data analysis. Gross and adjusted Odds Ratios (ORa) were used to estimate the magnitude of the associations. Results: Autistic disorder was associated with the presence of meconium in amniotic fluid (AF) (ORa 1.67; 95% confidence interval [95%CI] 1.06–2.65) and cesarean delivery type (ORa 1.65; 95%CI 1.17–2.32). Emergency cesarean section increased autistic disorder development likelihood (ORa 2.38; 95%CI 1.61–3.51). Children and adolescents with ASD were more likely to have been exposed to two or more unfavorable peripartum events and obstetric complications than control groups (ORa 1.59; 95%CI 1.01–2.51). Conclusions: Meconium stained amniotic fluid, delivery by cesarean, and two or more unfavorable peripartum events are variables that should be considered in studies about ASD etiology.
Suicide risk in high school students: who are the most vulnerable groups?
Authors: Silva Laura Silva da , Silva Priscila Arruda da , Demenech Lauro Miranda , Vieira Maria Eduarda Centena Duarte , Silva Lucas Neiva , Dumith Samuel Carvalho
Published: July 2022

ABSTRACT Objective: To investigate the prevalence and factors associated with suicide risk among high school students from a federal educational institution in Rio Grande do Sul (IFRS). Methods: This is a cross-sectional study based on a census of students (n=510) enrolled in IFRS, campus Rio Grande, in the second half of 2019. Data were collected through a self-administered questionnaire. Suicide risk was measured with the instrument Mini-International Neuropsychiatric Interview, and data were analyzed using Poisson regression with robust variance adjustment. Results: The prevalence of high suicide risk was 17.3% (95% confidence interval — 95%CI 14.0–20.0), with the following independent associated factors: female gender, higher socioeconomic status, alcohol consumption, less social support, attempt to lose weight, self-harm behavior, and increased risk of depression, anxiety, and stress. Conclusions: One in six students showed a high suicide risk. The identification of factors associated with the outcome is useful for detecting the most severe cases and referring them to specialized care.
Corpo da criança, corpo do adulto: um olhar sobre as revisões diagnósticas que compõem fronteiras entre pessoas trans
Authors: Favero Sofia , Machado Paula Sandrine , Freitas Rafaela Vasconcelos
Published: July 2022

Resumo A categoria “criança trans” passou a aparecer com mais recorrência em manuais diagnósticos ao longo dos últimos oito anos. Embora a transexualidade antes fosse entendida como uma questão geral, possível de ser encontrada em diferentes etapas da vida, essa identidade passou a ser descrita enquanto um gênero específico para meninos e meninas. Assim, a transexualidade “na” infância converteu-se em uma transexualidade “da” infância, deslocamento responsável por produzir efeitos expressivos. Ao passo que a criança trans era registrada na literatura médica como um sujeito que demandava tratamentos em saúde mental, esse movimento fez com que fossem fabricadas determinadas fronteiras entre infância e adultez. A proposta deste artigo é perseguir alguns caminhos que demonstram como a estratificação etária da transexualidade recorreu a um engessamento do gênero.
Qualidade de vida relacionada à saúde de profissionais de enfermagem na Bahia na pandemia da COVID-19
Authors: Rocha Maria Adriana Mota , Carvalho Fernando Martins , Lins-Kusterer Liliane Elze Falcão
Published: July 2022

RESUMO Objetivo Identificar fatores associados à qualidade de vida relacionada à saúde de profissionais de enfermagem da Bahia durante a pandemia da COVID-19. Método Estudo transversal, amostragem tipo snowball com 113 enfermeiras(os) e técnicas(os) de enfermagem. De setembro/2020 a maio/2021, num formulário eletrônico, coletaram-se informações sociodemográficas, ocupacionais, epidemiológicas e de qualidade de vida, avaliada pelo questionário WHOQOL-BREF nos seus domínios Físico, Psicológico, Relações sociais e Meio ambiente. Utilizou-se regressão linear múltipla para identificar fatores associados à variação dos domínios do WHOQOL-BREF. Resultados Baixos escores de qualidade de vida associaram-se significantemente a várias características dos profissionais: ser caso suspeito de COVID-19, no domínio Físico; ficar sem exercer a profissão por causa da COVID-19, nos domínios Físico e Psicológico; trabalhar exclusivamente em instituições privadas, no domínio Relações sociais; ter mais idade, no domínio Relações sociais; e não receber apoio social de outras pessoas, nos domínios Físico, Psicológico, Relações sociais e Meio Ambiente. Conclusão e implicações para a prática Ter mais idade, vínculo exclusivo com instituição privada, ser caso suspeito de COVID-19, ficar sem exercer a profissão por causa da COVID-19 e não receber apoio social associaram-se à baixa qualidade de vida de profissionais de enfermagem durante a pandemia.
O Kasper está morto? Domesticação e doutrinação do Kaspertheater durante o Nacional-Socialismo
Authors: Alcure Adriana Schneider
Published: July 2022

RESUMO O texto apresenta resultados preliminares de pesquisa sobre as estratégias empregadas na apropriação do Kaspertheater para fins de propaganda no Nacional-Socialismo. Essa forma popular de teatro de bonecos alemã foi adaptada para peças de ideologia nazista, apresentadas em diversos circuitos, incluindo fronts de guerra. O artigo situa as relações entre arte e política nesse contexto e discute as ambiguidades dos usos da comicidade atrelados a programas de extrema-direita. Traz, como contraponto, encenações contemporâneas do Kaspertheater. Investiga as relações entre a cultura popular e a legitimação de projetos de identidade nacional, com o intuito de contribuir para esse debate no Brasil.
Corpo Brincante: a presença travesti nas performances dos quilombos de Reisado
Authors: Oliveira Junior Ribamar José de
Published: July 2022

RESUMO Este artigo analisa a performance dos quilombos de Reisado a partir da presença travesti na cultura popular de Juazeiro do Norte, região do Cariri, interior do Ceará. No objetivo de refletir sobre a performance e suas formas animadas, considera-se uma das passagens da cartografia que segue em curso pelas dissidências sexuais e de gênero nos Reisados cearenses, em que se acompanhou o quilombo do grupo Sagrada Família entre a performance de gênero e a animação da brincadeira. Por meio da rota de uma das primeiras Mestras travestis, aponta-se o encantravar do corpo brincante como caminho para, nas espirais do tempo brincado, louvar o corpo travesti.
Imagens como Aparição do Corpo: o jogo amoroso de Ilka Schönbein
Authors: D’Abronzo Thais Helena
Published: July 2022

RESUMO O artigo apresenta aspectos da trajetória de Ilka Schönbein, marionetista e dançarina alemã, em especial seu jogo com a marionete e a singularidade com que suas imagens, por meio de sua dança, desafiam o corpo. Para tanto, convidam-se as ideias de jogo e movimentos transgressivos da erótica de Bataille e de Didi-Huberman. Com eles e com Ilka, desenvolve-se uma trajetória na qual imagem e corpo se confundem e, nesse encontro, as imagens se abrem para as aparições do corpo em processos vitais e funestos, que abalam as representações acostumadas das figuras humanas. Conclui-se que as imagens vivas e inquietantes de Ilka Schönbein conduzem a atenção para outras realidades do corpo, abrindo espaços para as aparições da morte, do parto e da fusão dos corpos, num movimento de metamorfose para além do humano.
Docile Object and Proposing Object: a study on the qualities of the object and its possibilities in the creative process in Performing Arts
Authors: Costa Rossana Della , Rossini Elcio
Published: July 2022

ABSTRACT This article develops, identifies and presents two qualities to think about the objects used in creation processes in Performing Arts, in which we investigate body-object relations. We present the objects as docile or proposing and discuss their respective characteristics. Our methodology involved the selection and analysis of contemporary works in which we could examine principles relating to the physical characteristics of materials as well as the approaches adopted by the body in its relation to the object. This article is inspired by the Foucauldian notion of displacement applied to the consideration of other ways of thinking about the object beyond the so-called theater of objects or the understanding of the object as a scenic prop. In conclusion, we argue that recognizing these qualities of the object can contribute to expand the uses of the object in creation processes, including the production of specific objects for the Performing Arts.
ASCITIC AND SERUM LEVELS OF TUMOR BIOMARKERS (CA 72-4, CA 19-9, CEA AND CA 125) IN DISCRIMINATION OF CAUSE OF ASCITES: A PROSPECTIVE STUDY
Authors: JAIN Tanvi , RAM Sant , KUMAR Hemanth , SAROCH Atul , SHARMA Vishal , SINGH Harjeet
Published: July 2022

ABSTRACT Background: The role of ascitic and serum levels of various tumour biomarkers in the discrimination of cause of ascites is not well established. Objective: To evaluate the role of serum and ascitic levels of tumor biomarkers (CA 72-4, CA 19-9, CEA and CA 125) in discrimination of cause of ascites. Methods: A prospective study was conducted in consecutive patients presenting with ascites. Serum and ascitic levels of CA 19-9, CA 125, CA 72-4 and carcinoembryonic antigen (CEA) were determined at the presentation. The patients with cirrhotic ascites, tuberculous peritonitis (TBP) and peritoneal carcinomatosis (PC) were eventually included in analysis. Results: Of the 93 patients (58 males, mean age 47 years) included, the underlying cause was cirrhosis in 31, PC in 42 and peritoneal tuberculosis in 20. The best cutoff for discriminating benign and malignant ascites for serum CEA, CA 19-9 and CA 72-4 were 6.7 ng/mL, 108 IU/mL and 8.9 IU/mL, respectively. The best cutoff for discriminating benign and malignant ascites for ascitic CA 125, CEA, CA 19-9 and CA 72-4 were 623 IU/mL, 8.7 ng/mL, 33.2 IU/mL and 7 IU/mL, respectively. Conclusion: The performance of single biomarker for the prediction of underlying PC is low but a combination of serum CA 19-9 and CA 72-4 best predicted the presence of peritoneal carcinomatosis.
ROLE OF CHANGE IN THE LEVELS OF INFLAMMATORY MARKERS POST DRAINAGE IN PREDICTING OUTCOME IN ACUTE CHOLANGITIS
Authors: JAIN Abhinav , JENA Anuraag , GAUTAM Vikas , SAMANTA Jayanta , SHARMA Vishal , MANDAVDHARE Harshal S
Published: July 2022

ABSTRACT Background: Acute cholangitis (AC) is a gastro-intestinal emergency associated with significant mortality. Role of change in the levels of inflammatory markers post drainage in predicting outcome in acute cholangitis is uncertain. Objective: To evaluate the predictive value of changes in C-reactive protein (CRP) and procalcitonin levels after biliary drainage in relation to outcomes (survival or mortality) at 1 month. Methods A prospective observational study of consecutive adults presenting with AC was performed. At admission and at 48 hours post biliary drainage, procalcitonin and CRP were sent. Results: Between August 2020 till December 2020 we recruited 72 consecutive patients of AC. The median age of the patients was 55 years (range 43-62 years) and 42 (58.33%) were females. Although the delta change in serum procalcitonin (P value<0.001) and CRP (P value<0.001) was significant, it had no bearing on the outcome. Altered sensorium and INR were independently associated with mortality at 1 month. The 30-day mortality prediction of day 0 procalcitonin was measured by receiver operating characteristic analysis which resulted in an area under the curve of 0.697 with a 95% confidence interval (95%CI) of 0.545-0.849. The optimal cut-off of procalcitonin would be 0.57ng/mL with a sensitivity and specificity of 80% and 60% respectively to predict mortality. Conclusion: Change in serum procalcitonin and CRP levels at 48 hours post drainage although significant, had no impact on the outcome of acute cholangitis.
GASTROINTESTINAL MOTILITY IN ELDERLY PATIENTS WITH WELL-CONTROLLED TYPE 2 DIABETES MELLITUS
Authors: SENA Erika M A B , SILVA Dianna V L , AMÉRICO Madileine F , NASCIMENTO Jhony W G , MIRANDA José R A , CORÁ Luciana A
Published: July 2022

ABSTRACT Background: Gastrointestinal (GI) motility disorders in type 2 diabetes mellitus (T2DM) are common. However, the endpoints in well-controlled T2DM in elderly patients are barely understood. Objective: To evaluate GI transit and gastric myoelectric activity in elderly patients with T2DM who were undergoing treatment with metformin and to compare them with non-diabetic healthy controls. Methods: A total of thirty participants were enrolled in this study: young non-diabetic (n=10), elderly non-diabetic controls (n=10), and patients with T2DM managed with metformin (n=10). After fasting overnight, the participants ingested a standard meal and magnetic markers for non-invasive monitoring of GI transit and gastric contractility using the alternating current biosusceptometry and electrogastrography techniques. Results: Mean gastric emptying time, mean colon arrival time, and mean intestinal transit time were determined. There were no significant differences between the groups and in the parameters evaluated (P>0.05). The frequency and amplitude of gastric myoelectric activity were not different between groups; however, abnormal rhythmic index and the half-bandwidth were slightly higher for both elderly diabetic and non-diabetic groups compared with the young adults (P<0.01 and P<0.05, respectively). Conclusion: Our study showed unaltered gastric emptying and intestinal transit in T2DM patients with good glycemic control, and suggest changes in the gastric electrical activity can be a part of aging.
CLINICAL SPECTRUM OF FUNCTIONAL CONSTIPATION AND BOWEL-HABIT PATTERNS OF SCHOOLCHILDREN RECRUITED FROM TWO ELEMENTARY SCHOOLS AND A SPECIALIZED OUTPATIENT CLINIC
Authors: SILVA Lorena Bellan Domiciano da , DIAS Francine Canovas , MELLI Ligia Cristina Fonseca Lahoz , TAHAN Soraia , MORAIS Mauro Batista de
Published: July 2022

ABSTRACT Background: Early diagnosis of functional constipation is important for reducing its negative consequences on the health of children and adolescents. Objective: To describe the clinical spectrum of functional constipation and bowel habit patterns in schoolchildren recruited from two primary schools and patients from a pediatric gastroenterology outpatient clinic. Methods: This cross-sectional study included 452 students from two elementary schools in the city of Osasco and 81 patients with functional constipation seen in an outpatient clinic specializing in pediatric gastroenterology. All children were aged between 6 and 12 years. The Rome IV criteria (two features for more than 1 month) and the Bristol scale were used. Results: The prevalence of functional constipation among the elementary school students was 22.3% (n=101). Among the 351 students who did not have functional constipation, 182 (51.9%) had one of the clinical manifestations of the Rome IV criteria. Bristol stool scale types 1 and 2 were observed in 14 (8.3%) of the 169 students without any clinical manifestation of the Rome IV criteria and in 28 (15.4%) of the 182 students who presented one of the Rome IV criteria for functional constipation (P=0.060). A comparison of the clinical manifestations of children with functional constipation identified at school in relation to those seen at the specialized clinic showed the following differences: fewer than two bowel movements per week (21.8% and 54.3%; P<0.001, respectively), one or more episodes of fecal incontinence per week (14.8% and 53.1%; P<0.001), and retentive posturing (70.3% and 40.7%, P<0.001). Only 18 (17.8%) of the 101 students identified at the schools with functional constipation had received any treatment for this disease in the previous 2 months. Conclusion: As expected, the frequency of more severe clinical manifestations was higher in children seen at specialized clinics. Only a small proportion of the children identified with functional constipation at primary schools had undergone any form of treatment in the previous 2 months. More than half of the children without functional constipation in elementary schools reported one of the Rome IV clinical manifestations. Finally, functional constipation has a broad clinical spectrum and also requires attention for the prevention and the management of its early clinical manifestations.
COST EFFECTIVENESS OF USING TERLIPRESSIN TO TREAT HEPATORENAL SYNDROME
Authors: FERREIRA Luciana Marcondes , TERRABUIO Débora Raquel , FERREIRA Caroline Marcondes , MAZO Daniel Ferraz de Campos , HADDAD Luciana Bertocco de Paiva
Published: July 2022

ABSTRACT Background Hepatorenal syndrome (HRS) is the most severe form of acute kidney injury in patients with advanced cirrhosis, and it is associated with high mortality. It is usually diagnosed according to criteria defined by the International Ascites Club. Currently, the most frequently indicated pharmacological therapy for the treatment of HRS is a combination of splanchnic vasoconstrictors (terlipressin or norepinephrine) in combination with albumin. With the progressive increase in healthcare spending, it is important to conduct a cost-effectiveness analysis of pharmacological treatment in patients who are diagnosed with HRS. Objective: To perform a cost-effectiveness assessment for the use of terlipressin in combination with albumin to treat HRS in patients with cirrhosis. Methods: Economic evaluation of cost-effectiveness based on secondary data from studies showed the efficacy of terlipressin therapy compared with norepinephrine combined with albumin or albumin alone. The cost-effectiveness analysis was calculated using an incremental cost-effectiveness ratio (ICER), and a sensitivity analysis was developed by varying the values of therapies and probabilities. The Brazilian real was the currency used in the analysis, and the results were converted to US dollars. Results: After selection, eligibility, and evaluation of the quality of publications, the results demonstrated that administration of terlipressin or norepinephrine in combination with albumin in patients diagnosed with HRS type 1 was efficacious. The cost of treatment with terlipressin in combination with albumin was USD $1,644.06, administration of albumin alone was USD $912.02, and norepinephrine plus albumin was USD $2,310.78. Considering that the combination therapies demonstrated effectiveness, the incremental cost of terlipressin and norepinephrine in combination with albumin was USD $666.73, and an effectiveness of 0.570 was found for terlipressin in combination with albumin and 0.200 for norepinephrine in combination with albumin. The incremental effectiveness was 0.370, and the ICER was USD $1,801.97. Thus, the parameters of increasing cost per therapy and ICER indicated that the combined therapy of terlipressin plus albumin was cost effective compared to albumin alone or norepinephrine plus albumin in a public single-payer healthcare system. Conclusion: A cost-effectiveness analysis showed that terlipressin in combination with albumin when administered concomitantly to patients who were diagnosed with type 1 HRS is cost-effective compared to norepinephrine in combination with albumin administered in a controlled environment.
PRE-OPERATIVE SCREENING OF HELICOBACTER PYLORI IN BARIATRIC PATIENTS: IS HISTOPATHOLOGICAL ANALYSIS NECESSARY?
Authors: VALADARES Erick Coelho , GESTIC Martinho Antonio , UTRINI Murillo Pimentel , CHAIM Felipe David Mendonça , CHAIM Elinton Adami , CAZZO Everton
Published: July 2022

ABSTRACT Background: Helicobacter pylori infection has been reported to lead to post-operative complications after bariatric surgery (BS), especially marginal ulcers. The optimal method for pre-operative screening is yet to be determined. Objective: To analyze the diagnostic accuracy of the endoscopic urease test for the detection of H. pylori in individuals undergoing BS and the main endoscopic and histological changes within this population. Methods: A cross-sectional study was carried out based on a database from medical records of 232 individuals who underwent BS between 2016 and 2019 at a tertiary university hospital. Clinical, anthropometric, and endoscopic data were analyzed. The gold-standard method considered to calculate diagnostic accuracy variables was histopathological examination through hematoxylin-eosin/Giemsa stains. Results: 87.5% of the participants were female; mean age was 38.5±9.5 years and average body mass index was 37.6±3.8 kg/m2. The commonest endoscopic finding was gastritis (50.9%) with a predominance of the mild erosive form (25%). Upon histological examination, 59.1% of the participants had confirmed H. pylori infection. H. pylori infection was associated with higher frequencies of endoscopic duodenitis (23.4% vs 12.6%; P=0.04), histological chronic gastritis (100% vs 56.8%; P<0.0001) and histological acute gastritis (58.4% vs 2.1%; P<0.0001). The urease test had a sensitivity of 79.6% and a specificity of 97.9%, leading to an overall accuracy of 87.1%. Conclusion The endoscopic urease test is highly accurate for pre-operative screening of H. pylori infection in individuals who undergo BS. H. pylori infection was significantly associated with endoscopic (duodenitis) and histopathological (chronic and active gastritis) changes.
IMPAIRED QUALITY OF LIFE IN CHAGAS ACALASIA PATIENTS AND ASSOCIATED CLINICAL FACTORS
Authors: ROSA-E-SILVA Lucilene , PONTES Rose Meire Albuquerque , VENDRAME Grazieli Lopes Matta e , XAVIER Felipe Augusto Linhares , KRELING Gabriel Afonso Dutra , BELLINATI Philipe Quagliato
Published: July 2022

ABSTRACT Background: No study has focused on Health-Related Quality of Life (HRQoL) for Chagas Achalasia patients. Objective: To compare HRQoL between Chagas Achalasia patients and the general population; and to correlate HRQoL with clinical factors that can affect it. Methods: Sixty Chagas Achalasia patients and 50 controls were evaluated. All patients underwent esophageal manometry for the diagnosis of achalasia and esophagogram to determine the grade of megaesophagus. Three questionnaires were used: 1) clinical: the following data were collected: demographic, medical history, body mass index, occurrence of six esophageal symptoms (Esophageal Symptom Score: number of symptoms reported by patients), duration of dysphagia; 2) socio-economic-cultural status evaluation: patients and controls answered seven questions about their socio-economic-cultural conditions; 3) HRQoL: the validated Brazilian-Portuguese version of the Short-form Health Survey (SF-36) questionnaire (license QM020039) was used. It measures health in eight domains: 3a) four physical: physical functioning, role limitations relating to physical health, bodily pain, and general health perception; 3b) four mental: vitality, social functioning, role limitations relating to emotional health, and mental health. These domains can be summarized into Physical and Mental Summary scores. We analyzed correlations between SF-36 Physical/Mental Summary Component scores and the following clinical factors: Esophageal Symptom Score, duration of dysphagia, body mass index, grades of megaesophagus (defined by the esophagogram) and presence/absence of megacolon (defined by opaque enema). Results: Patients and controls had similar age, gender, medical history, and socio-economic-cultural lifestyles (P>0.05). All patients had dysphagia and megaesophagus. SF-36 scores were significantly lower in Chagas Achalasia patients than controls for all eight domains (physicals: P<0.002; mentals: P<0.0027). The Physical and Mental Summary Component scores were also lower in Chagas Achalasia patients than controls (P<0.0062). For patients, the Physical Summary score was negatively correlated to Esophageal Symptom Score (P=0.0011) and positively correlated to body mass index (P=0.02). No other correlations were found. Conclusion: Chagas Achalasia patients have an impaired HRQoL in all physical and mental domains. Patients reporting more symptoms had worse physical domains. Patients with higher body mass index had better physical domains.
O cuidado da população LGBT na perspectiva de profissionais da Atenção Primária à Saúde
Authors: Costa-Val Alexandre , Manganelli Mariana de Sousa , Moraes Vitor Miguel Fernandes de , Cano-Prais Hugo Alejandro , Ribeiro Gustavo Meirelles
Published: July 2022

Resumo As pessoas LGBT se deparam com dificuldades e barreiras que prejudicam o acesso aos serviços de saúde. A falta de preparo e de sensibilidade dos profissionais, nesse contexto, são alguns dos elementos que reiteram as iniquidades em saúde e a vulnerabilidade desses corpos. Para conhecer esse fenômeno, entrevistamos 15 trabalhadores da Atenção Primária à Saúde e analisamos suas falas seguindo a perspectiva da análise do discurso foucaultiana. Os resultados evidenciaram que, apesar de os profissionais conhecerem a temática, eles usam estratégias discursivas que velam seus preconceitos e resistências, dificultando o reconhecimento das possibilidades de agência na transformação dessa realidade. A mobilização de categorias relativas às identidades e aos direitos sexuais em seus discursos indica deslocamentos no regime de sexualidade contemporâneo que devem ser considerados em intervenções de educação em saúde. A implicação de cada um na materialização das diferenças que marcam o campo sexual se demonstrou, nesse sentido, fundamental para discussão de formas de cuidado que sejam verdadeiramente acolhedoras e que não reforcem as desigualdades dos corpos que desafiam o binarismo e a heteronormatividade social.
O bebê com zika e o pai (d)eficiente
Authors: Pereira Tatiane Guimarães , Reis Alberto Olavo Advíncula
Published: July 2022

Resumo Introdução: O aspecto subjetivo se revela no cuidado que o sujeito oferece e permite ressignificar sua subjetividade, atribuindo sentidos às experiências vividas no contexto inserido. Assim, familiares e profissionais criam manejos de cuidado aos bebês de acordo com suas necessidades, neste caso, bebês acometidos pelo vírus Zika. Objetivo: analisar a dimensão subjetiva implicada nos cuidados ofertados por pais homens aos bebês com síndrome congênita do Zika (SCZv). Método: Trata-se de pesquisa qualitativa com pais e profissionais de um serviço aos bebês com SCZv. Foram realizadas entrevistas individuais, grupos focais e a observação participante. Resultados: Em cenário de protagonismo materno, a presença paterna é quase ausente na maioria das famílias, mas quando há, os pais se mostram bastante atuantes no cuidado. Tais ações paternas são moldadas pela lógica masculina, como o apoio emocional dirigido à mulher, mas a não expressão das próprias emoções, além de atividades predominantes fora do lar. Na perspectiva paterna, é importante considerarmos o movimento tautológico de todos os lados possíveis promotores do afastamento dos pais - ora eles mesmos, ora a mãe, ora o serviço de saúde - para assim permitir o desfocar dos pré-conceitos e possibilitar a reflexão conjunta das inúmeras formas de exercitar a paternidade.
A oferta pública de medicamentos para aids e o papel de Farmanguinhos
Authors: Lago Regina Ferro do , Sousa Ana Cristina Augusto de
Published: July 2022

Resumo Este artigo descreve e analisa a participação do Instituto de Tecnologia em Fármacos (Farmanguinhos) na produção local de medicamentos antirretrovirais no Brasil. São também apresentadas as mudanças no padrão de provimento, a situação das parcerias para o desenvolvimento produtivo e a posição dos produtores nacionais para esses medicamentos. As estratégias metodológicas foram revisão bibliográfica, análise de documentos oficiais e dados fornecidos por Farmanguinhos e pelo Departamento de Condições Crônicas e Infecções Sexualmente Transmissíveis do Ministério da Saúde, via Lei de Acesso à Informação. Este artigo mostra que o estabelecimento das parcerias abriu novas perspectivas para o desenvolvimento da política de oferta pública de antirretrovirais para as pessoas vivendo com HIV, por contribuir para a sustentabilidade das despesas financeiras do Ministério da Saúde com medicamentos. Farmanguinhos é o laboratório público que fornece mais quantidades e recebe os maiores valores provenientes do fornecimento desses produtos ao Ministério da Saúde. Embora os medicamentos importados preponderem largamente em quantidade e valores pagos pelo Ministério da Saúde, Farmanguinhos permanece sendo um provedor fundamental na produção local de antirretrovirais. Apesar dos problemas verificados nas Parcerias, os ganhos nas competências tecnológicas na produção de antirretrovirais podem ampliar o horizonte tecnológico e produtivo do laboratório.
Percepção de farmacêuticos na implantação do Cuidado Farmacêutico na Atenção Básica
Authors: D’Andréa Renato Dias , Wagner Gabriela Arantes , Schveitzer Mariana Cabral
Published: July 2022

Resumo O artigo descreve a percepção de 10 farmacêuticos da Atenção Básica (AB) de uma região do município de São Paulo que participaram do processo de implantação do Cuidado Farmacêutico. A partir de uma pesquisa qualitativa com grupos focais e abordagem descritiva, os conteúdos foram analisados utilizando-se a Análise de Conteúdo. Das 52 unidades de registro organizadas em 10 categorias, resultaram três sínteses sobre o processo de implantação do CF. Nesse contexto, foi possível descrever o papel do farmacêutico na AB após a implantação dos serviços clínicos, de modo a identificar suas percepções, dificuldades e avanços. Os resultados demonstraram aspectos positivos, além da necessidade de uma mudança gradual no perfil e nas competências dos farmacêuticos para o desenvolvimento de serviços clínicos, ultrapassando os limites da categoria e dependendo do trabalho em equipe realizado na AB. Logo, os resultados promovem os diferentes papéis dos atores envolvidos nesta prática (usuários, equipe de saúde, gestores e farmacêuticos) e valorizam novas formas de cuidado no SUS.
Solidarity economy and mental health in Brazil: producing culture for autonomy
Authors: Veronese Marília Veríssimo , Salvagni Julice
Published: July 2022

Abstract This text approaches the articulation between solidarity economy practices and the production of citizenship and autonomy among individuals in psychosocial suffering, through an artistic/cultural production. The confluence between public mental healthcare and associated work as an alternative to labor insertion for people suffering from mental disease is, although still challenging, very important in Brazil. We analyze two consolidated experiences, each extending over a period of two decades: The Suburban Madness group in the city of Rio de Janeiro, and GeraçãoPOA in Porto Alegre, both Brazilian capitals of the states of Rio de Janeiro and Rio Grande do Sul, respectively. The relevance of this research lies in showing the fruitful intersections between social movements, public health care, and arts, especially now that Brazil is facing a period of authoritarianism, which places at risk the democratic achievements of both public policies and social movements.
As políticas públicas de saúde e a fragmentação do corpo feminino em útero e peito
Authors: Machado Jacqueline Simone de Almeida , Penna Cláudia Maria de Mattos
Published: July 2022

Resumo Estudo qualitativo com abordagem de História Oral Temática, com o objetivo de compreender a atenção à saúde da mulher na visão de mulheres sem filhos, considerando as políticas públicas em saúde. Utilizou-se a técnica de snowball para definição das 19 mulheres participantes, sem filhos, idade entre 18 e 90 anos, que conheçam ou utilizem políticas públicas de saúde. As narrativas foram recolhidas por meio de entrevistas, com um roteiro semiestruturado, e submetidas ao método de análise de narrativas. Dentre os achados, encontram-se os discursos e as representações da maternidade, produzidos e veiculados nas políticas públicas de saúde, nas quais estão implícitas as características biológicas femininas na fragmentação do corpo feminino em útero e peito. Destaca-se ainda a percepção das mulheres sem filhos de que os programas e políticas de saúde, ao se concentrarem nos aspectos reprodutivos, reafirmam o ideal feminino de mulher-mãe, negligenciando outros aspectos e desconsiderando a mulher que escolhe a não maternidade. As representações do feminino concentram-se no corpo, alvo do poder, vinculando a condição de ser mulher à maternidade, baseado num determinismo biológico. Faz-se necessário reelaborar essas políticas, considerando as transformações no papel feminino e a liberdade de escolha da mulher na contemporaneidade.
Caracterização de atores e práticas de Redução de Danos na região Sul do país
Authors: Raupp Luciane , Amorim Lucas de , Pacheco Juliana Corrêa , Lomonaco Daniel , Lopes Fábio , Schneider Daniela Ribeiro
Published: July 2022

Resumo O uso de conceitos e práticas de Redução de Danos (RD) na atenção às pessoas que usam drogas foi iniciado no Brasil nos anos 1990, como resposta preventiva à propagação do HIV/aids. Ao longo dos anos, ganhou espaço em outros campos de ação, como a saúde mental e a proteção social. Em 2019, com as mudanças no governo federal, esta prática foi retirada da definição da política sobre drogas. Com foco nos reflexos dessas mudanças, este estudo visou caracterizar quem atua e quais ações são desenvolvidas junto às pessoas que usam drogas, sob a perspectiva da RD, em municípios da região Sul do Brasil (RS, SC e PR). Trata-se de um estudo exploratório descritivo e transversal, que usou um questionário virtual composto por questões abertas, fechadas e métodos mistos de análise de dados. Os participantes foram recrutados por meio do método Snowball Sampling, de forma virtual, alcançando 72 questionários validados. Foi desenvolvida uma análise exploratória dos dados quantitativos. Para as respostas qualitativas foi usada a Análise Textual Discursiva e o software NVivo (versão 12). Os resultados demonstraram o perfil dos profissionais; mudanças ao longo dos anos e a necessidade de ampliar investimentos em pesquisas sobre RD.
Contribuições da racionalidade sensível de Maffesoli aos fundamentos das práticas territoriais e comunitárias na interface saúde/assistência social
Authors: Moreira Adriana Belmonte
Published: July 2022

Resumo Michel Maffesoli é mundialmente conhecido como pensador da pós-modernidade, do tribalismo como uma nova forma de socialidade e da razão sensível, no contexto do que caracteriza como uma mudança epistêmica ou paradigmática emergente. Apesar de não refletir sobre o tema das práticas assistenciais, ao trazer uma leitura sociológica que destaca o doméstico, o localismo e o tribalismo, e fazer referências à saúde pela perspectiva da potência pessoal e social, neste ensaio argumenta-se que as ideias-força extraídas de seu pensamento podem oferecer contribuições aos fundamentos epistemológicos, ético-políticos e teórico-metodológicos das ações de profissionais que trabalham na interface saúde/assistência social e que atuam no espaço-tempo da vida cotidiana em um dado território. Pois, ao apresentar um logos que valida uma razão afetiva e que toma os locais de vida cotidiana como espaço-tempo de vinculações e desenvolvimento de potencialidades, um ethos ecosófico de respeito às pessoas, à natureza e à diversidade das formas e modos de vida, seu pensamento pode ainda oferecer um quadro dos lugares de habitar pessoal e do conviver coletivamente, que podem vir a ser cenários de práticas assistenciais interdisciplinares e interprofissionais (praxis) afinadas a uma racionalidade sensível, orientada pela e para a potencialização da vida.
Black Lives Matters to Architecture: A View from Europe
Authors: James-Chakraborty Kathleen
Published: July 2022

Black Lives Matters began in the United States, where it has included the dismantlement of commemorations of the Confederacy, a breakaway state established to preserve slavery. In Europe it has sparked discussions of local monuments as well as drawn unprecedented attention to the way in which the slave trade and enslaved labour funded the construction of cities and country estates. This now needs to be acknowledged in public space. The challenge presents an appropriate moment to remember the ties that bind commemorative structures on both sides of the Atlantic and the impact that tributes to European nationalism have had on diverse strands of modern American architecture. These connections provide a back story for the newly discovered relevance, and at time effectiveness, of representational sculpture, which they integrated into built forms that appeared to embed regimes of all stripes in their local landscapes. Abstract counter-monuments often proved effective in addressing the Holocaust. Substituting the human figure for the shards of a shattered past that have long been juxtaposed in German memoryscapes with visions of a utopian future, may possibly provide a means of acknowledging the pain that runs through the cities that many of us inhabit. This in turn may prove to be an important step on the way to building the more equitable future for which we attempt to prepare the way as we work to decolonize our curricula.
Licensing and anaphora in Tenyidie
Authors: Murphy Andrew , Meyase Savio
Published: July 2022

Tenyidie shows a typologically unusual pattern of φ-covarying agreement with anaphors, but not other arguments. We argue that this apparent agreement actually reveals the nature of anaphoric binding in the language, which involves an Agree relation between the anaphor and its antecedent mediated by a licensing head. The features on this mediating head are realized overtly in Tenyidie. This is not genuine φ-agreement, but rather a morphological reflex of the binding relation itself. We provide supporting evidence from a range of constructions and also show how this analysis accounts for restrictions on anaphora in double object constructions. Tenyidie therefore suggests that there is a close link between binding and Agree.
THE DOCTRINE OF PRECEDENT IN SOUTH AFRICA
Authors: George Devenish
Published: July 2022

A certain degree of ambivalence and inconsistency is inherent in the nature and operation of the doctrine of precedent, which is an intrinsic part of our common law and in terms of the Constitution continues in force in our new jurisprudential dispensation. We have inherited it from English law and it continues to operate, although there is nothing in the Supreme Court Act to indicate explicitly that judges are bound to follow precedents. Nor is there anything expressly to this effect in the Constitution. This article endeavours to demonstrate, by examining the relevant case law, exactly how in the new dispensation, members of the judiciary observe the staredecisis rule. They do so because firstly, it has over the years, become customary to do so, and secondly, at present, it has certain important advantages for our jurisprudence.
CRIMINALISATION OF THE VIOLATION OF A GRAVE AND THE VIOLATION OF A DEAD BODY
Authors: Andrew Christison  , Shannon Hoctor
Published: July 2022

The history and functioning of the common law crimes of violating a grave and violating a dead body are discussed in the context of their continued role in modern South African society. It is submitted that these crimes remain both useful and a significant indicator of the boni mores, and indeed that the rationale for their continued existence has been bolstered by the infusion of constitutional values intocriminal law jurisprudence.
A CRITICAL REVIEW OF THE EXTENT TO WHICH THE HIV/AIDS AND HUMAN RIGHTS INTERNATIONAL GUIDELINES HAVE BEEN IMPLEMENTED IN THE SOUTHERN AFRICAN DEVELOPMENT COMMUNITY*
Authors: Ann Strode  , Brenda Grant
Published: July 2022

2006 was the tenth anniversary of the development of the International Guidelines on HIV/AIDS and Human Rights and to celebrate this occasion the AIDS and Rights Alliance of Southern Africa (ARASA) commissioned research into the extent to which these Guidelines have been used and implemented in the Southern African Development Community (SADC) region. This article examines the findings of this research on the three guidance points related to developing a legal and policy framework. It finds that although reforms are taking place within the SADC region and many are aimed at ensuring that responses to HIV are based on human rights, there is an uneven approach, with a number of countries failing to meet the basic requirements described in the Guidelines. There are also a number of regional human rights issues that need to be addressed as a matter of urgency. These include the continued testing and exclusion of HIV-positive recruits from the military, the criminalisation of same-sex relationships and the lack of legal protection for women.
ALUTA CONTINUA, OR CLOSING THE GENERATION GAP: SECTION 197 OF THE LRA AND ITS APPLICATION TO OUTSOURCING*
Authors: Craig Bosch
Published: July 2022

There has recently been a fair amount of debate around whether section 197 of the Labour Relations Act applies to so-called ‘second generation’ business transfers. The Labour Court has held that it can, provided the relevant business is transferred as a going concern. This article analyses and considers the correctness and desirability of that decision in light of the relevant statutory provisions, the proper approach to interpreting the provisions of the LRA, the practical consequences of the decision, the criticism that has been levelled at the decision and comparative law.
FAMILY CONFERENCING
Authors: Dirk J Louw  , Arda Spijker
Published: July 2022

The notion of propagating children’s rights and developing the aspirations of youth has developed internationally since the 1960s (United Nations Declaration of the Rights of the Child 1959). Although it is difficult to give a precise definition of the term “children’s rights”, there is a general acceptance of the idea that children have rights, which can be concluded from the fact that 192 countries have ratified the United Nations Convention on the Rights of the Child (1989) (hereinafter “the Children’s Convention”, ratified by South Africa on 16 June 1995). Section 28 of the Constitution of the Republic of South Africa Act, 1996 gives effect to the acceptance of the idea that children have rights by providing a list of nine specific rights for children. In addition, children are also entitled to all other rights in the Bill of Rights that are applicable to them, with the exception of the right to vote in section 19(3), which explicitly refers to “every adult citizen” (Bekink and Brand “Constitutional Protection of Children” in Davel (ed) Introduction to Child Law in South Africa (2000) 178). Moreover, section 28(2) of the Constitution provides that “a child’s best interests are of paramount importance in every matter concerning the child”.  Article 3(1) of the Children’s Convention and article 4(1) of the AfricanCharter on the Rights and Welfare of the Child (1990) (hereinafter “the African Charter”, ratified by South Africa on 7 January 2000), both recognise that the “best interests of a child” shall be “a” or “the” primary consideration in all actions concerning children. The Children’s Act 38 of 2005 (hereinafter “the Children’s Act”), which has not come into operation yet, also refers in sections 2(b)(iv) (Objects of Act), 6, 7 and 9 to the “best interests of the child standard”. Thus every decision which may impact on the child must be guided by the “child’s best interests”. The duty to secure this right lies with the legislature and the implementation lies mainly with the courts. However, the Children’s Act also provides for alternative mechanisms, thereby improving the right of children to participate in decisions affecting them. This paper focuses on one alternative, namely family conferencing. Some aspects of the Children’s Act and the Child Justice Bill will be discussed (par 2) and then the focus will shift to family conferencing: What is it about (par 3)? Will it suit the South African context (par 4)? How should it be applied (par 5)?
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Authors: Gummies GoKeto
Published: July 2022

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Published: July 2022

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Authors: Neri Daniele
Published: July 2022

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Authors: Skincare Advanced Anti Aging Cream Nordic
Published: July 2022

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