bluuebunny/crossref_metadata_2025 huggingface dataset:
Coeficientes de incidência e mortalidade em crianças e a relação com a renda familiar
Authors: Silva Bianca Chel da , Uehara Silvia Carla Silva André
Published: October 2024

Objetivo: analisar os coeficientes de incidência e mortalidade por COVID-19 em crianças e sua relação com a renda familiar. Métodos: trata-se de um estudo ecológico, considerando os casos e desfechos da COVID-19 em crianças de até 11 anos, 11 meses e 29 dias. Os dados foram coletados do Sistema Estadual de Análise de Dados e do Instituto Brasileiro de Geografia e Estatística e analisados por meio do Índice de Moran Global Bivariado e modelo de regressão joinpoint, baseado na regressão de Poisson. Resultados: foram registrados 88.913 casos da COVID-19 em crianças e 335 óbitos no período analisado. Verificou-se uma correlação espacial negativa fraca em relação ao coeficiente de incidência da COVID-19 entre crianças e taxa de famílias com rendimento de até meio salário mínimo per capita, bem como em famílias com rendimento acima de dois salários mínimos per capita. Conclusão: os aglomerados com maiores coeficientes de incidência foram encontrados em regiões favorecidas, enquanto o coeficiente mortalidade foi maior em regiões desfavorecidas e vulneráveis. Contribuições para a prática: esses resultados contribuem para uma prática de enfermagem e saúde mais equitativa e focada na realidade dos diferentes contextos sociais e econômicos enfrentados pelas famílias nas diferentes regiões.
Distribuição e autocorrelação espacial dos autotestes de HIV
Authors: Vieira Juliane Petenuci , Piran Camila Moraes Garollo , Oliveira Natan Nascimento de , Furtado Marcela Demitto , Oliveira Rosana Rosseto de , Higarashi Ieda Harumi
Published: October 2024

Objetivo: analisar a distribuição e autocorrelação espacial das taxas de autoteste de HIV. Métodos: estudo ecológico, referente aos autotestes de HIV distribuídos. Os registros foram obtidos a partir de dados secundários do Sistema de Controle Logístico de Medicamentos. Utilizou-se o coeficiente de autocorrelação de Moran para análise estatística da dependência espacial. Resultados: foram analisados 622.822 registros de autoteste de HIV disponibilizados no Brasil, apresentando autocorrelação espacial positiva com o Índice de Moran Global de 0,199 (p=0,046) no período. Ocorreu um aumento das taxas de autoteste de HIV ao longo dos anos, sendo que as maiores taxas estiveram concentradas nas regiões Sul e Norte do Brasil, com maior concentração de distribuição na faixa etária entre 25 e 29 anos. Conclusão: mesmo diante do aumento das taxas de autoteste de HIV, ainda há importantes disparidades entre os estados, sinalizando que estratégias para distribuição do autoteste de HIV e utilização são necessárias no país. Contribuições para prática: este trabalho contribui para fomentar o aprimoramento de estratégias e a (re)formulação de novas políticas de saúde voltadas à expansão do diagnóstico de indivíduos que têm HIV e não sabem.
Vygintas Bronius Pšibilskis - 65 Years Anniversary
Authors: Bložė Mintautas
Published: October 2024

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Ar už politikos mokslo ir ideologijos galima rasti determinizmo ir laisvės antinomiją?
Authors: Jokubaitis Alvydas
Published: October 2024

The aim of the article is the attempt to prove that in empirical political scien­ce and political ideologies there is no Kantian antinomy of determinism and freedom. The analysis is based on Kant’s conception of transcendental ideas. His understanding of ideas shows why political science cannot be called empirical. Politics is unimaginable without reasons ability to transcend the world of sense and to think in terms of principles that are independent of it. Political judgements correspond to the requirements of reflexive judgement and not to those of determining judgement. Because of the reflexive nature of political judgement, antinomy is solved to the benefit of freedom. Free choice is the basis of science and ideology.
Annual Training Program in Radiological Protection in a Radiotherapy Service – A Case Study
Authors: Saraiva de Mello Diego , Ribeiro Gerusa
Published: October 2024

The safety and radiological protection in radiotherapy services are essential to ensure the safe use of ionizing radiation for the benefit of patients and involved professionals. Evaluative research on multidisciplinary teams regarding annual training in radiological protection in radiotherapy is scarce. It is crucial to understand how professionals from each area assess the acquired knowledge and apply theoretical precepts in the radiotherapy service. This study aimed to analyze the annual radiological protection training offered in a radiotherapy service, and as specific objectives, to map the knowledge of professionals from each area regarding radiological protection applied during training. This is a qualitative research of the case study type. Data collection occurred through semi-structured interviews, simple observation, and documentary analysis, organized in the ATLAS.ti software version 24. The results indicate significant challenges, including the lack of understanding of basic principles by professionals, the absence of integration between the team and supervisors, and the lack of clear definition of the training format in current regulations. The results were categorized into: professionals' knowledge of radiological protection; training weaknesses; training strengths; suggestions for training delivery methods and topics in radiological protection. More effective educational strategies, along with precise guidance on the training format, emerge as promising solutions to overcome these challenges.
Neuroimaging the biomechanics of designer drugs
Authors: A Broderick Patricia , H. Jacoby Jacob
Published: October 2024

Designer drugs are “legal highs” that empower euphoria, concomitantly with intense behavioral aggression and yet, these “designers” escape, for the most part, a global Controlled Substance designation. The issue is that these designer drugs may well factor into the realm of “dangerous” but the specific molecular moiety that is responsible for the danger actually cannot be readily detected by current assays. One designer “benzohigh” is the triazolobenzodiazepine, adinazolam, Deracyn® and the World Health Organization (WHO) has placed adinazolam on surveillance or a “watch” status before their further recommendation. Adinazolam enjoys a lucrative recreational market that is not at all pharmaceutical as the molecule has no known medical use. It’s curious then, that adinazolam reached its status as a designer drug despite its sagacious beginnings as duly rooted in its medical indication to treat both anxiety and depression.
Los Los personajes infantiles en Silvina Ocampo y su escritura desestabilizadora
Authors: Lima de Paula Raquel
Published: October 2024

En este artículo expongo las circunstancias y elementos narrativos que han llamado la atención de la comunidad lectora frente a la cuentística de Silvina Ocampo, especialmente cuando aparecen los personajes infantiles. Demuestro que su fuerza narrativa viene de lo inesperado, de lo inusual, de las voces periféricas e improbables, que cuando se expresan, exponiendo lo que sienten, son capaces de explosionar toda cronología, toda lógica. Refuerzo, a través de los cuentos analizados, que la escrita transgresora se revela por la estructura que corrompe normas, lenguaje, convenciones, cuerpo, como revelan las dos colectáneas de cuentos publicadas, recientemente, en Brasil. Pretendo con este texto colaborar con aquellos estudios y críticas que colocan la obra de Silvina Ocampo en evidencia, esparcir mi entusiasmo, motivar nuevas prácticas lectoras.
Tiszazugi mikroregionális régészeti topográfiai kutatások: célok, módszertani alapok és az első év eredményei
Authors: Mesterházy Gábor , Füzesi András
Published: October 2024

Absztrakt

A Tiszazugi Mikroregionális Kutatási Program 2023-ban indult a Magyar Nemzeti Múzeum – Nemzeti Régészeti Intézetében, hogy visszatérve a klasszikus terepbejárás-alapú topográfiához, elemezze a hosszú távú településhálózati változásokat a neolitikumtól a kora újkorig. A program első évében a terepbejárási módszertan, leletfeldolgozási keretrendszerek, adatelemzés és adatmegjelenítés kérdéseinek újragondolását és optimalizálását tűztük ki célul. A leletfeldolgozás során különös hangsúlyt helyeztünk a leletanyag kronológiai bizonytalanságainak megismerésére. Kutatási mintaterületként Öcsöd-Kováshalom lelőhelyet és térségét választottuk, ahol a 2023-as terepbejárások során közel 11 500 leletet gyűjtöttünk.
Pemanfaatan Gerbang Pembayaran Nasional (GPN) untuk Memaksimalkan Penarikan Pajak Penghasilan (PPH) dalam Transaksi E-Commerce
Authors: Nopita Ita , Adinugraha Hendri Hermawan
Published: October 2024

Kemajuan dan pertumbuhan teknologi yang sangat pesat, khususnya peralatan elektronik dan komputerisasi, termasuk yang digunakan sebagai alat untuk transaksi elektronik, merupakan salah satu aspek penting dari revolusi industri 4.0. Dalam era globalisasi ini, kemajuan teknologi membawa kemudahan, tetapi bukannya tanpa bahaya, kerugian, dan keterbatasan. Ini memiliki masalah dengan pajak selain berurusan dengan masalah kejahatan dunia maya. Karena kemajuan bisnis yang cepat tidak selalu diikuti dengan kemajuan hukum yang setara, pemerintah menghadapi kesulitan unik dalam menangani masalah pajak, khususnya pajak penghasilan dari e-commerce. Pemerintah Indonesia menciptakan Gerbang Pembayaran Nasional (GPN) melalui Peraturan Bank Indonesia No. 19/PBI/2017 untuk memungkinkan switching dan interoperabilitas (mutually interoperable) untuk semua transaksi domestik atau pembayaran local. Teknik pengumpulan data yang digunakan dalam penelitian ini yaitu Library research dengan memahami dan menganalisa permasalahan dengan beberapa jurnal, buku, dan majalah sebagai referensi yang digunakan. Penelitian ini menyimpulkan bahwa tanpa adanya kerjasama atau modifikasi peraturan lain, penggunaan GPN sebagai alat untuk mengoptimalkan pemungutan PPh tidak akan berhasil. Sejalan dengan itu, Pemerintah Republik Indonesia melalui Kementerian Keuangan harus menerbitkan peraturan mengenai proses dan tata cara pemotongan pajak atas transaksi e-commerce pihak ketiga. Pelaku bisnis, yang bisa membuktikan keakuratan data penjual, dan warga negara Indonesia.
The Dynamics of the Cooperation Between Sea Shepherd Conservation Society and Mexico (Operation Milagro)
Authors: Prakoso Septyanto Galan , Sulistiobudi Arif , Mulyo Muhammad Arif , Putra Ferdian Ahya Al
Published: October 2024

The rapid stream of globalization is giving a wider range of international public relations spheres. As the effects of globalization are the birth of local and international NGOs its activism is shaped from various perspectives. One of the INGOs is Sea Shepherd run based on the idea of environmentalism, especially focused on marine life protection but often accused of being violent and its movement labeled as eco-terrorism. We are using the case of Operation Milagro (2015-2018) between Sea Shepherd and the Mexican government that cooperated. This journal aims to analyze the relationship between two actors including the mechanism of cooperation in Operation Milagro to prevent the extinction of Vaquita Porpoise and the other endangered species in the Cortez Sea, Gulf of California. This article uses relative deprivation theory and transnationalism concepts to gain a new understanding of the analyzed data. We argue that the cooperation of both actors in Operation Milagro is creating a new stage of understanding between both sides through its deprivation of the Sea Shepherd and the cooperation between Mexico and Sea Shepherd. From the point of view of Sea Shepherd, it became a useful tool to reconstruct a new identity as not only an altruistic NGO but also a cooperative nonstate actor. On the other hand, Mexico provided the navy and federal police to facilitate the Sea Shepherd to reach its goal. The author uses some methods such as literature study by collecting data and facts from books, online sites, online journals, and online news. This article also provides some critiques of a problem that came from the effect of cooperation between two actors.
The Abstention of Urban Students Preference in Indonesian Election 2024
Authors: Fernando Henky , Larasati Yuniar Galuh , Abdullah Irwan , Saka Putri Ananda , Hendri Muhammad , Morin Leanne
Published: October 2024

This study aims to identify the potential and preferences for abstention by urban students as young voters in the 2024 elections in Indonesia. This context tends to be ignored in previous studies that discuss the phenomenon of abstention in general elections. In addition to responding to the shortcomings of previous studies, this study also focuses on the characteristics and preferences underlying urban students as young voters choose to abstain in the 2024 general election in Indonesia. The findings in this study show that the age characteristics of urban students in the Yogyakarta area tend to choose to abstain from voting and appear in the productive age range of around 20 years from 27 provinces of origin. In addition to appearing with such complex characteristics, the behaviors of urban students who tend to abstain are also influenced by the dominant political preferences of their social structure, access to information, and their perceptions of the ongoing democratic system in the 2024 general elections in Indonesia. From these findings, it can be reflected that the abstention of urban students as young voters is not only temporal but also a rational choice of the regulatory system and the democratic process in such a complex general election.
Gender Strategies of Motivation in Reproduction
Authors:   Ural Federal University, Polykova I. G. , Akramova G. R. ,   Bukhara State University
Published: October 2024

The 20th century was a time of radical social change. The possibility of paid female labor, the destruction of traditional systems of kinship and marriage relations, the invention of female contraceptives - all these factors contributed to the secession and independence of women. The development of assisted reproductive technologies helped humanity acquire not only negative but also positive birth control. Reproduction appeared to be separated from sex and sexuality acquired an independent value. This led to a reevaluation not only of premarital and extramarital relationships, but also of the relationship within marriage. Marriage was no longer a prerequisite for reproduction. The birth and upbringing of children no longer necessitates marriage either to provide for them or to avoid moral judgment. The purpose of this article is to highlight the specific features of male and female motivation in reproduction that have evolved evolutionarily and that have arisen under new circumstances.
Religious Conversion as a Reality of the Modern Social Universe
Authors:   Center for the Study of Religions LLP, Sinyakov O. V.
Published: October 2024

The scientific article presents the results of the anthropological study of religious conversion in the forecast on the religious scene in contemporary Kazakhstani society. Existing Western, Russian and Kazakh methods of studying religious conversion in the universum realities of modernity are reviewed. The analysis of samples of religious conversion allowed us to analyze the basic trends of conversion in Kazakhstani society with elaboration of the author's original attitudes. Destructive forms of religious conversion are investigated, proposals orienting citizens to peaceful resolution of conflicts are drawn up. The article is aimed at religious scholars, theologians, students, civil servants focused on involvement in the study of this phenomenon.
COMPREENDENDO O “PUNITIVISMO” DESDE UM ESPAÇO PROFISSIONAL: OS AGENTES DE SEGURANÇA SOCIOEDUCATIVA NO RIO DE JANEIRO
Authors: Cadorel Louise
Published: October 2024

Resumo: Este estudo propõe explorar como o pertencimento a um grupo profissional molda a relação de agentes socioeducativos do Rio de Janeiro com a política, influenciado pelos valores e visões de mundo construídos tanto na vida pessoal quanto no trabalho. Este texto analisa o ethos profissional dos agentes, destacando sua valorização do mérito individual e crítica moral de comportamentos considerados negativos. Seu engajamento político se reflete nas suas tomadas de posições sobre adolescentes privados de liberdade e a política socioeducativa. Apesar de uma certa ascensão social, os agentes mantêm laços com suas origens, gerando sentimentos de injustiça e insegurança.
UHPLC-Q-Orbitrap-HRMS-based untargeted metabolomics reveal metabolites change in Justicia gendarussa and its antioxidant capacity at different doses of nitrogen fertilizer
Authors: Maulana F. , Batubara I. , Trivadila  , Nurcholis W.
Published: October 2024

Abstract This study delves into the antioxidant potential of Justicia gendarussa, commonly known as gendarussa, and its response to varying doses of nitrogen fertilizer. Gendarussa exhibits the potential for antioxidant activity. The diverse ecological conditions in which it thrives may influence its biological activity and lead to inconsistent production of secondary metabolites. Nitrogen, a pivotal factor in secondary metabolite production in plants, has become a focal point of this research. This research aims to determine the optimal nitrogen fertilizer dose on gendarussa antioxidant capacity and metabolites using a metabolomics approach. Employing a randomized block design for cultivation, the investigation revealed that a maximum harvest weight of 10.9 g/aerial parts of the plant was achieved with 270 kg/ha of nitrogen fertilizer. This study explored the DPPH, ABTS, FRAP, and CUPRAC assays of antioxidant effect, and found insignificant differences between the various nitrogen treatments. UHPLCQ-Orbitrap HRMS was employed to identify 30 metabolites in positive and 18 in negative ionization modes. Gendarusin A, a major metabolite in gendarussa, is identified in both positive and negative ionization. PCA and heatmap analysis successfully categorized these metabolites in the aerial parts of gendarussa at different nitrogen fertilizer dosages. Based on the metabolomics approach, variations in nitrogen fertilizer made metabolites at doses of 90 kg/ha had higher relative concentrations of metabolites compared to doses of 180 kg/ha and 270 kg/ha. So, 90 kg/ha are the optimal nitrogen fertilizer dose for cultivation and utilization strategies.
Analysis of the chemical and biological characteristics and their relationship with the yield of radish (Raphanus sativus L.) nourished with compost based on plant residues
Authors: Cruz Nieto D. D. , Natividad Huasupoma D. E. , Romero Menacho J. U. , Aponte Guevara C. L. , Nunja García J. V. , Saucedo López M. C. , Castañeda Chirre E. T. , Caira Mamani C. M. , Castro Bartolomé H. J. , Morales Alberto M. N. , Vargas Godoy V. C. , More López J. M. , Lacherre Rodriguez G. P.
Published: October 2024

Abstract The increase in fertilizer prices was 20% after the pandemic, which increased the cost of crop production in Peru. For this reason, research was conducted on the analysis of the chemical and biological characteristics and their relationship with the yield of radish nourished with compost based on plant residues. The objective was to analyze the chemical and biological characteristics and their relationship with the yield of radish nourished with vegetable waste-based compost. It is based on the methodology applied with an experimental approach; therefore, the statistical model of the Completely Randomized Block Design was used, which consisted of 3 blocks and 5 treatments that were T1 with 0, T2 with 4, T3 with 6, T4 with 8 and T5 with 10 t/ha of compost based on vegetable residues, and the doses were applied 14 days after sowing. Physical characteristics (total plant length, plant weight, bulb equatorial diameter and marketable yield), nutrient concentrations (nitrogen, potassium, phosphorus, calcium, magnesium, sulfur, molybdenum, iron, manganese, copper, zinc, boron, chlorides and sodium) in leaves and stomata density were evaluated. The results determined that T5 stood out in total plant length with 28.07 cm, plant weight with 75 g, bulb equatorial diameter with 4.52 cm and commercial yield with 22.53 t/ha. In the total contribution of nitrogen in relation to yield with 300.44 kg/ha. Profitability with 186.8%. Quantification of stomata per treatment with 598 stomata/mm2 and concentration of nutrients in leaves at T3 with nitrogen, potassium, phosphorus and magnesium. It concludes that T5, which has an adequate concentration of nutrients in leaves such as magnesium, manganese, zinc and stomata density of 598 stomata/mm2 influenced optimal biochemical reactions that resulted in the highest yield with 22.53 t/ha, differing by 31.38% in relation to T1.
Increased growth and yield of green lettuce (Lactuca Sativa L.) using inorganic fertiliser types
Authors: Nurhayati D. R. , Aplanaidu S. D. , Wibowo E. , Avisema S.
Published: October 2024

Abstract Green lettuce (Lactuca sativa L.) is a popular leafy vegetable grown and consumed worldwide for its crisp texture and nutritional value. This study investigates the impact of different inorganic fertilizers on the growth and productivity of green lettuce, with the aim of determining the most effective fertilizers for producing vibrant green lettuce. The research was carried out at the Jaya Wijaya Research Centre, Faculty of Agriculture, Slamet Riyadi University, employing a randomized design with a single factor: the type of inorganic fertilizer. The experimental treatments included Nutrimax, NPK 25.7.7, and a control group, each replicated four times. Lettuce plants treated with Nutrimax exhibited superior performance across various metrics, including plant height (32.63 cm), leaf color intensity (3.25), leaf count (13.5 leaves), fresh weight (94.75 grams), and dry weight (5.33 grams). Statistical analysis using Analysis of Variance, followed by the Least Significant Difference test at a significance level of 5%, revealed a significant influence of fertilizer treatment on the growth and yield of green lettuce plants. The type of fertilizer applied significantly affected the growth and yield of green lettuce cultivated using a floating hydroponic system. The number of leaves on the plant directly impacted the fresh weight of the leafy vegetables. These findings can serve as a valuable guide for optimizing green lettuce cultivation practices to achieve maximum yields.
The effect of addition of calcium mineral in feed containing fishery wastes on egg production and hatching performance of Mojosari ducks
Authors: Ahmad S. N. , Tresia G. E. , Rohaeni E. S. , Bakrie B. , Firison J. , Lase J. A. , Wardi  , Misbah A. , Handiwirawan E. , Purba M.
Published: October 2024

Abstract Calcium (Ca) is an essential mineral for eggshell formation and muscle contraction, and a lack of it can result in poor egg quality and decreased egg output in laying ducks. This study aims to see how feeding the mineral Ca in a ration containing Shrimp head meal and Bilis fish head affects the laying performance and quality of hatching eggs in Mojosari ducks. A total of 105 female and 15 male Mojosari ducks, aged 78 weeks, were raised for three months and randomly divided into 15 flocks (each flock containing seven females and one male duck). There were three kinds of treatment, namely P0 (control, without mineral), P1 (ratio of Shrimp head meal and Bilis fish head 2:1 + 1% mineral), and P2 ((ratio of Shrimp head meal and Bilis fish head 1:2 + 1% mineral). The findings revealed that adding mineral Ca to feed, including Shrimp head meal and Bilis fish head, had no significant influence (P>0.05) on laying Mojosari duck performance in terms of feed intake, egg production, egg weight, egg quality, ducklings produced, and income over feed cost (IOFC). Furthermore, Ca addition in the ration did not result in substantial increases (P>0.05) in fertility, hatchability, or egg size characteristics. Based on the findings of this study, feeding ducks with shrimp head meal and Bilis fish head can be used as an alternate calcium-free feed formulation.
Differentiation between wild type and heterozygous albino ball pythons (Python regius) by PCR and qPCR
Authors: Kokiattrakool W. , Saengcharatuaong N. , Luapan J. , Sroykham W. , Kumsiri R. , Kanchanaphum P.
Published: October 2024

Abstract Python regius or ball pythons are the famous exotic pets because of their beautiful color and pattern. The albino ball python is one type of ball python, but it is very difficult to determine the difference of phenotype between wildtype and heterozygous genotype of albino (het albino). In this study, PCR and qPCR can distinguish between wildtype and het albino. The PCR product size of wildtype and het albino was 415 bp, but the intensity of PCR product of wildtype was more intense than that of het albinos. No PCR amplicon was found in albinos and the Ct value of wildtype was lower than Ct of het albinos. The molecular detection technique, especially PCR and qPCR, can determine the difference between wildtype and het albinos of ball pythons.
Urgent endovascular treatment of juxtarenal aneurysm using a parallel grafts technique
Authors: Oliveira Fábio Augusto Cypreste , Coelho Bruno Campos , Balestra Marina , Oliveira Juliana Caetano Barreto Cypreste , Amorelli Maria Cunha Ribeiro , Heckmann Davi Douglas , Amorelli Carlos Eduardo de Sousa , Campedelli Fábio Lemos
Published: October 2024

Abstract Abdominal aortic aneurysms can constitute a therapeutic challenge in several anatomical scenarios, making endovascular treatment more complex. A juxtarenal abdominal aortic aneurysm (JR-AAA) is defined by the absence of a proximal landing zone in the infrarenal segment and, therefore, techniques must be used to obtain an adequate neck for fixing the endoprostheses without provoking occlusion of renal arteries and visceral branches. The parallel grafts technique, physician-modified stent-graft, industry customized endoprostheses, and off-the-shelf branched endoprosthesis are techniques used in abdominal aneurysms with inadequate proximal neck, but each technique has its indications, limitations, and risks. In this therapeutic challenge, we present a case of urgent endovascular treatment of a JR-AAA using a parallel grafts technique, with good medium-term results, and discuss the therapeutic options.
Association between sleep quality indicators and consumption of ultra-processed foods in adolescents
Authors: Cassemiro Juliana Maria Batista Ferreira Medeiros , Vicente Cynthia Dantas , Resende Cristina Maria Mendes , Santos Marcos André Moura dos
Published: October 2024

ABSTRACT Objective To investigate the association between sleep quality indicators and the consumption of ultra-processed foods in adolescents. Methods An integrative review was carried out, based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria. The search strategy was carried out using the descriptors “adolescent”, “ultra-processed foods” and “sleep” in the MedLine, SciELO, Scopus, Lilacs and PubMed databases, considering original studies on the investigation topic published in English, Portuguese and Spanish, without any date restriction. Methodological quality was assessed using the Checklist for Analytical Cross-Sectional Studies of the Joanna Briggs Institute. Initially, 79 articles were found. After reviewing the titles and abstracts, 17 papers were selected. Following a complete review the exclusion criteria were applied. Only 09 articles met the eligibility criteria. Results Three studies described associations between greater consumption of ultra-processed foods and shorter sleep duration in adolescents; one study showed an association between the consumption of ultra-processed foods and poor sleep quality in adolescents; one study described the association of greater chances of insomnia with greater consumption of ultra-processed foods. Four studies did not report significant results regarding the main question of our survey. Conclusion An association was identified between the consumption of ultra-processed foods and adolescent changes in the quality and duration of sleep, as well as in the ability to fall asleep and maintain continuous sleep.
Has the pandemic affected academic personnel’s nutrition habits in Türkiye?
Authors: Istek Nilgun , Yildiz Elif , Kadagan Ozgecan , Turkkan Alparslan , Guldas Metin , Gurbuz Ozan
Published: October 2024

ABSTRACT Objective Analyze the impact of the pandemic period on the healthy living, nutrition and anxiety states of university academic personnel. Methods Cross-sectional study with a probabilistic sample of 507 academic personnel from Bursa Uludag University, Bursa, Türkiye. Changes in consumption amounts of food and beverages and lifestyle were determined through a prepared questionnaire, and anxiety states were determined through the Beck Anxiety Inventory. Statistical analyses of the study were performed with IBM®SPSS® 23.0 program. The Pearson Chi-square test, Yates correction, and Fisher’s exact test were used to compare variables. Results During the pandemic, the rate of eating and the use of additional vitamins and minerals were significantly higher in women (p=0.03, p<0.001, respectively). In the pandemic period, male participants consumed more fish than women (p=0.037), and women consumed more coffee than men during this period (p=0.004). Compared to the pre-pandemic period, those who regularly eat breakfast have increased, while those who regularly eat lunch and dinner have decreased. It was determined that as the BAI score increased, the sleep duration gradually decreased (p=0.001), and the consumption of canned food and the use of takeaway food increased (p=0.011, p=0.001, respectively). It was stated that the weight of the participants increased, except for those with minimal anxiety. Conclusion It was found that most of the participants tended to consume more food during the pandemic period. It was observed that the rate of those who gained weight during the pandemic was higher. Despite this, it has been determined that healthier choices are made as the consumption of some food increases. The level of anxiety was found to be more positive than in some similar studies. Education level may have a partial effect on choosing healthy food and coping with anxiety.
Sarcopenia in dialysis centers in Brazil: a survey study about assessment and management
Authors: Duarte Marvery Peterson , Almeida Lucas Silva , Böhlke Maristela , Lima Ricardo Moreno , Nóbrega Otávio Toledo , Ribeiro Heitor Siqueira
Published: October 2024

ABSTRACT Objective To identify the Brazilian dialysis centers that assess sarcopenia in their clinical routine and how it is diagnosed and managed. Methods This is a web-based survey study, structured with quali-quantitative questions about how sarcopenia is routinely assessed in dialysis centers. Centers officially registered at the Brazilian Society of Nephrology website were contacted through e-mail and/or telephone. The survey included questions about the dialysis staff, instruments, methods, and criteria for diagnosing sarcopenia, and how it was managed if diagnosed. Results Sixty-two dialysis centers responded to the survey and 23 (37%) assessed sarcopenia as a clinical routine. Of these, 13 had an exercise professional (57%), and all had a dietitian. The main consensus adopted to diagnose sarcopenia was the revised European Working Group on Sarcopenia in Older People (EWGSOP2; n=10, 44%). The assessment frequency was mainly six-monthly and quarterly (n=8, 35% both). The most common methods to assess sarcopenia traits were handgrip strength (n=16, 70%) for physical function and bioimpedance analysis (n=15, 65%) for muscle mass. Centers with an exercise professional had a higher chance of assessing sarcopenia (OR=4.23, 95% CI: 1.37 to 13.07). Changes in the dietary plan (n=20, 87%) and prescription of resistance and combined exercises (n=8, 35% both) were the most adopted intervention strategies. Conclusion The assessment of sarcopenia and its traits in Brazilian dialysis centers as a clinical routine was low. The most used definition guideline was the EWGSOP2, while the most used assessments were handgrip strength and bioimpedance analysis.
Fatores associados à autopercepção positiva de saúde bucal em gestantes e puérperas
Authors: Mameluque Soraya , Mameluque Felipe , Ferreira Paulo Henrique da Cruz , Rodrigues Ana Iza Saraiva , Soares Wellington Danilo , Mendes Danilo Cangussu , Trezena Samuel
Published: October 2024

Resumo Objetivos: avaliar os fatores associados à autopercepção positiva de saúde bucal em gestantes e puérperas atendidas em uma maternidade referência no norte de Minas Gerais, Brasil. Métodos: estudo transversal realizado com mulheres atendidas em um projeto de extensão. A amostra foi composta de mulheres avaliadas no período de 2012 a 2022 que passaram por critérios de inclusão e exclusão. A variável desfecho foi a autopercepção em saúde bucal, que foi dicotomizada após as opções de respostas das participantes. As análises foram realizadas pelo programa SPSS 20.0. Resultados: participaram 711 mulheres, sendo que a autopercepção positiva de saúde bucal foi presente em 50,2%. Os fatores associados foram mulheres sem companheiro (RP=1,07; IC95%=1,00-1,14; p=0,042), que foram ao dentista durante a gestação (RP=1,12; IC95%=1,05-1,19; p<0,001), que escovavam os dentes três vezes ou mais ao dia (RP=1,08; IC95%=1,01-1,15; p=0,028), com ausência de cárie dentária (RP=1,10; IC95%=1,03-1,18; p=0,005) e que não perceberam alterações bucais durante o período gestacional (RP=1,16; IC95%=1,09-1,24; p<0,001). Conclusões: autopercepção positiva de saúde bucal foi associada com melhores hábitos de higiene bucal e consultas com o dentista durante o período gestacional.
Factors associated with positive self-perception of oral health in pregnant and postpartum women
Authors: Mameluque Soraya , Mameluque Felipe , Ferreira Paulo Henrique da Cruz , Rodrigues Ana Iza Saraiva , Soares Wellington Danilo , Mendes Danilo Cangussu , Trezena Samuel
Published: October 2024

Abstract Objectives: to evaluate the associated factors with positive self-perception of oral health in pregnant and postpartum women treated at a reference maternity hospital in the north of Minas Gerais, Brazil. Methods: cross-sectional study with women assisted in an extension project. The sample consisted of women evaluated in the period from 2012 to 2022 who passedthe inclusion and exclusion criteria. The outcome variable was self-perception of oral health, which was dichotomized after the participants’ response options. The analyses were performed using the SPSS 20.0 software. Results: a total of 711 women participated. The positive self-perception of oral health was present in 50.2% of the sample. The associated factors were women without a partner (PR=1.07; CI95%=1.00-1.14; p=0.042), who went to the dentist during pregnancy (PR=1,12; CI95%=1.05-1.19; p<0.001), who brushed their teeth three times or more a day (PR=1.08; CI95%=1.01-1.15; p=0.028), with no dental caries (PR=1.10; CI95%=1.03-1.18; p=0.005) and who did not notice oral changes during the gestational period (RP=1.16; CI95%=1.09-1.24; p<0.001). Conclusions: positive self-perception of oral health was associated with better oral hygiene habits and visits to the dentist during the gestational period.
Vertical posture and perineal tears in humanized childbirths
Authors: Cavallari-Drey Yazmín Estefanía , Ortiz-Llorens Manuel
Published: October 2024

Abstract Objectives: to determine the association between vertical childbirth posture and grade II or higher perineal tears in women attended under a humanized model. Methods: 715 clinical records of humanized deliveries attended between 2016 and 2022 in Viña del Mar, Chile, were studied using bivariate analysis and binary logistic regression. Results: 64.1% of the women presented perineal lesions, mainly low grade (51.2%). Second degree tears or more represented 12.2% (mostly grade II), with very few grade III tears (0.7%) and zero grade IV tears. Vertical postures, compared to horizontal ones, were significantly associated with the presence of grade II tears or more (p=0.02), even after adjusting for maternal and neonatal variables (OR=2.31, CI95%=1.11-4.81). Of the latter, parity and size of the newborn were the factors most associated with this type of injury. Conclusion: humanized childbirths in general present less frequency and severity of perineal injuries than what is reported in traditional care; however, upright postures, compared to horizontal ones, were significantly associated with the presence of grade II or higher tears.
Control prenatal usando un enfoque mixto durante la pandemia COVID-19: un estudio de satisfacción de pacientes en un hospital terciario en Perú
Authors: Novoa Rommy Helena , Huang-Yang Xin , Gayoso-Liviac Alonso , Meza-Santibañez Luis , Bazo-Alvarez Juan Carlos , Torres-Osorio Juan , Rodríguez-Hilario Noe , Ventura Walter
Published: October 2024

Resumen Objetivos: evaluar la satisfacción de las pacientes con la atención prenatal mixta durante la pandemia de COVID-19 en un hospital terciario de Lima, Perú. Métodos: realizamos una evaluación transversal de la satisfacción en pacientes que recibieron atención prenatal mixta, que incluyó consultas presenciales y virtuales. Se incluyeron todas las mujeres que dieron su consentimiento por escrito entre junio y julio de 2021. Se aplico la escala Short Assessment of Patient Satisfaction (SAPS), que evaluó siete dimensiones de satisfacción: acceso e instalaciones, efectividad, información, habilidades técnicas, participación. relación y satisfacción general. Resultados: la satisfacción global con la atención prenatal mixta fue de 3,28±0,71. La puntuación media del SAPS fue 33,88 (DE = 5,56). En total, 144 pacientes (65%) prefirieron la atención prenatal mixta. La edad materna promedio de las 221 gestantes incluidas fue de 30 años y la edad gestacional promedio en la primera consulta fue de 24 semanas. En total, el 88,2% de los pacientes realizaron hasta 6 consultas entre virtuales y presenciales. Los pacientes sin seguro de salud tuvieron menores índices de satisfacción en comparación con las mujeres embarazadas con seguro de salud público (p=0,026). Conclusiones: Las mujeres que recibieron atención prenatal mixta durante la pandemia de COVID-19 reportaron un alto nivel de satisfacción. En general, las mujeres embarazadas recomendarían atención prenatal mixta.
Prenatal care using a mixed approach during the COVID-19 pandemic: patients’ satisfaction study in a tertiary hospital in Peru
Authors: Novoa Rommy Helena , Huang-Yang Xin , Gayoso-Liviac Alonso , Meza-Santibañez Luis , Bazo-Alvarez Juan Carlos , Torres-Osorio Juan , Rodríguez-Hilario Noe , Ventura Walter
Published: October 2024

Abstract Objectives: to evaluate patients’ satisfaction of mixed prenatal care during the COVID-19 pandemic in a tertiary hospital in Lima, Peru. Methods: we conducted a cross-sectional evaluation of satisfaction in patients receiving mixed prenatal care that includes in-person and virtual visits. All women who gave a written consent between June and July 2021 were included. The survey was based on the Short Assessment of Patient Satisfaction (SAPS) scale which evaluated seven dimensions of satisfaction: access and facilities, effectiveness, information, technical skills, participation, relationship, and general satisfaction. Results: the overall satisfaction on mixed prenatal care was 3.28 ± 0.71. The mean SAPS score was 33.88 (SD = 5.56). In total, 144 patients (65%) preferred the mixed prenatal care. The mean maternal age of 221 included pregnant women was 30 years and the mean gestational age at the first appointment was 24 weeks. Overall, 88.2% of patients had up to 6 visits among virtual and in-person. Patients with non-health insurance had lower rates of satisfaction when compared with pregnant women with national health insurance (p=0.026). Conclusions: women receiving the mixed prenatal care during the COVID-19 pandemic reported a high level of satisfaction. In general, pregnant women would recommend mixed prenatal care.
Qualidade ou quantidade? O impacto no custo de capital próprio
Authors: Telles Samantha Valentim , Moreira Jeice Catrine Cordeiro
Published: October 2024

RESUMO Este estudo teve como objetivo investigar o impacto simultâneo da qualidade e da quantidade de informações sobre o custo de capital próprio das empresas brasileiras listadas na B3 de 2011 a 2021. Também avaliamos qual dos dois, qualidade ou quantidade, tem um impacto maior sobre o custo de capital próprio. A qualidade contábil e o volume de informações são fatores-chave para determinar o custo de capital próprio de uma empresa. Embora vários estudos tenham explorado a relação entre essas variáveis, poucos as examinaram simultaneamente, e não conseguimos encontrar nenhum que se concentrasse nesses aspectos no mercado brasileiro. Nossos resultados sugerem que as empresas devem priorizar o aprimoramento da qualidade das informações que divulgam aos investidores em vez de simplesmente divulgar mais informações. Os órgãos normativos têm uma justificativa para fornecer orientações adicionais sobre a melhoria da divulgação de informações. Um mercado melhor informado facilita a tomada de decisões e reduz a assimetria de informações. Nossos resultados contradizem estudos anteriores que encontraram uma relação positiva entre a quantidade de informações e o custo de capital próprio, sugerindo que pesquisas futuras sobre o volume de informações também devem considerar a qualidade dessas informações. Usamos uma amostra de 1.347 observações empresa-ano e empregamos várias metodologias para avaliar os níveis de qualidade contábil e volume de informações. Nosso estudo controlou o tamanho da empresa, a alavancagem, o índice market-to-book, o beta, o crescimento, a internacionalização e o impacto da COVID-19 para aumentar a robustez de nossos resultados. Para garantir a validade de nossos achados, realizamos testes adicionais usando métodos alternativos para medir a qualidade e a quantidade, e os resultados foram consistentes com nossos achados originais. Constatamos que a qualidade das informações financeiras afeta o custo de capital próprio, enquanto o volume não. Nossos resultados ressaltam a importância de melhorar a qualidade das informações e apoiam as exigências regulatórias para uma divulgação mais relevante e compreensível.
Religiosity and alcohol use in adolescents with orofacial cleft: correlational study
Authors: Celestino Lázaro Clarindo , Fukushiro Ana Paula , Cintra Flávia Maria Ravagnani Neves , Bom Gesiane Cristina , Matiole Claudia Regina , Trettene Armando dos Santos
Published: October 2024

ABSTRACT Objective: To evaluate the correlation between religiosity and alcohol use among adolescents with orofacial clefts. Methods: Cross-sectional study, developed in a Brazilian public and tertiary hospital, between December 2021 and March 2022. Data collection was hybrid, and three instruments were used: Sociodemographic Questionnaire, Durel Religiosity Scale, and the Alcohol Use Disorders Identification Test. For statistical analysis, the following tests were used: χ2, Fisher’s Exact, Mann-Whitney and Spearman’s Correlation Coefficient, in addition to analyses of linear correlation strength and bivariate logistic regression. The significance level adopted for all tests was 5% (p≤0.05). Results: 370 adolescents participated, with a mean age of 15.2 years (±1.8). Among them, 23 (5.4%) used alcohol riskly or harmfully, being more frequent among male adolescents (p=0.001), those of mixed race (p=0.046), attending high school (p=0.011), with no religion (p<0.001), or who did not attend religious services (p<0.001). Levels of organizational, non-organizational and intrinsic religiosity were significantly lower among adolescents with risky or harmful alcohol use (p=0.005; p<0.001 and p=0.002, respectively). There was a moderate correlation between risky or harmful alcohol use and non-organizational (r=0.31; p=0.002) and intrinsic (r=0.36; p<0.001) religiosity. Male adolescents (p<0.001; OR=6.58), closest in age to 18 years (p<0.001; OR=1.37), and non-practitioners of religion (p<0.001; OR=6. 48) presented higher odds of risky or harmful alcohol use. Conclusions: Adolescents with higher levels of organizational and intrinsic religiosity used less alcohol, while males, closest in age to 18 years, and non-practitioners of religion presented higher odds of using alcohol riskly or harmfully.
Promoting health literacy by using the Health Literacy Universal Precautions Toolkits: A reflection study
Authors: Brevidelli Maria Meimei , Moura Veronica Paula Torel de , De Domenico Edvane Birelo Lopes
Published: October 2024

Abstract Objectives To describe the Health Literacy Universal Precautions Toolkits document and reflect on its applicability in promoting health literacy in different contexts. Method This is a reflection that synthesizes the dimensions and action strategies, as well as presents a summary of the implications for clinical practice. Results The toolkits are organized into five dimensions: preparation for improvement, verbal communication, written communication, self-management and empowerment, and support systems. Each dimension is subdivided into 21 tools, accompanied by their respective action strategies. Studies on the applicability of these toolkits in clinical practice indicate a preference for more concise and easy-to-use instruments, and also reveal that implementing changes took more time than originally anticipated. Identified limitations include the need for planning, reorganization of the physical environment, adjustment of service flow, and training of the staff in communication skills. Final considerations and implications for practice The value of this framework lies in the collection of evidence-based recommendations that can be used to promote effective interactions with health care users.
Promoção do letramento em saúde segundo os Health Literacy Universal Precautions Toolkits: Um estudo de reflexão
Authors: Brevidelli Maria Meimei , Moura Veronica Paula Torel de , De Domenico Edvane Birelo Lopes
Published: October 2024

Resumo Objetivos Descrever os Health Literacy Universal Precautions Toolkits e refletir sobre sua aplicabilidade para promover o letramento em saúde em diferentes contextos. Método Trata-se de uma reflexão que sintetiza as dimensões e estratégias de ação, além de apresentar uma síntese das implicações para a prática clínica. Resultados Os kits estão organizados em cinco dimensões: preparação para melhorias, comunicação verbal, comunicação escrita, autogerenciamento e empoderamento, e sistemas de suporte. Cada dimensão é subdividida em 21 ferramentas, acompanhadas de suas respectivas estratégias de ação. Estudos sobre a aplicabilidade desses kits na prática clínica indicam uma preferência por instrumentos mais concisos e de fácil utilização, além de apontarem que a implementação de mudanças demandou mais tempo do que o inicialmente previsto. Entre as limitações identificadas estão a necessidade de planejamento, reorganização da estrutura física do ambiente, ajuste no fluxo de atendimento, e capacitação da equipe em habilidades de comunicação. Considerações finais e implicações para prática Destaca-se que o valor desse referencial reside na reunião de recomendações baseadas em evidências científicas, que podem ser utilizadas para promover interações eficazes com os usuários dos serviços de saúde.