bluuebunny/crossref_metadata_2025 huggingface dataset:
Características e estratégias de aconselhamento para atividade física utilizadas por profissionais da atenção primária à saúde
Authors: Moraes Sheylane de Queiroz , Paiva Neto Francisco Timbó de , Loch Mathias Roberto , Fermino Rogério César , Rech Cassiano Ricardo
Published: January 2024

Resumo O estudo buscou descrever as características e estratégias de aconselhamento para atividade física utilizadas por profissionais da atenção primária à saúde (APS). Foi realizada uma pesquisa com 587 profissionais de saúde (85,4% mulheres) que atuam na APS de Florianópolis, no estado de Santa Catarina, Sul do Brasil. Foram considerados os aconselhamentos efetuados nos últimos 12 meses, avaliando-se aspectos operacionais relacionados às práticas e estratégias utilizadas. A frequência de orientação de atividade física foi de 86,2% (IC95% = 83,2-88,8%). O aconselhamento se caracterizou como uma prática breve, realizada em consultas individuais, voltadas para adultos e idosos e pessoas com morbidades. A estratégia mais utilizada foi orientar usuários a participarem de grupos de atividade física no Centro de Saúde (89,5%), e em relação ao método 5As, dar algum “conselho” foi a estratégia mais utilizada (99,0%), e a menos utilizada foi seguir estratégias (22,6%). Aconselhamento para atividade física tem sido baseado em uma prática breve, realizada em consultas individuais e focada em pessoas com morbidades e em adultos e idosos. As estratégias utilizadas parecem não abranger o cuidado integral dos usuários aconselhados.
Characteristics and counseling strategies for physical activity used by primary health care professionals
Authors: Moraes Sheylane de Queiroz , Paiva Neto Francisco Timbó de , Loch Mathias Roberto , Fermino Rogério César , Rech Cassiano Ricardo
Published: January 2024

Abstract This study aim to describe the characteristics and strategies of counseling for physical activity used by Primary Health Care (PHC) professionals. A survey was carried out with 587 (85.4% women) health professionals who work in PHC in Florianopolis, in the state of Santa Catarina, southern Brazil. Counseling carried out in the last 12 months was considered. Operational aspects related to counseling practices and strategies used for counseling were evaluated. The frequency of physical activity guidance was 86.2% (95%CI = 83.2-88.8%). Counseling was characterized as a brief practice, carried out in individual consultations, aimed at adults and the older adults and people with morbidities. The most used strategy was to guide users to participate in physical activity groups at the Health Center (89.5%) and in relation to the 5As method, giving some “advice” was the most used strategy (99.0%) and the least used. used was to follow strategies (22.6%). Counseling for physical activity has been based on a brief practice, carried out in individual consultations and focused on people with morbidities and on adults and the elderly. The strategies used do not seem to cover the full care of the advised users.
Tendências na qualidade da atenção à saúde da criança na primeira semana de vida na Atenção Primária no Brasil
Authors: Flores-Quispe María del Pilar , Duro Suele Manjourany Silva , Facchini Luiz Augusto , Barros Nicole Borba Rios , Tomasi Elaine
Published: January 2024

Resumo O objetivo deste estudo foi avaliar a tendência temporal da qualidade da atenção à saúde da criança na consulta da primeira semana de vida no nível da Atenção Primária à Saúde, segundo características dos municípios, do processo de trabalho das equipes e das usuárias responsáveis pelas crianças. Foram realizadas análises transversais com dados dos três ciclos do Programa Nacional de Melhoria do Acesso e da Qualidade (PMAQ) (2012, 2014 e 2018). Usuárias adultas com filhos de até dois anos foram entrevistadas. O desfecho foi a “boa qualidade da atenção à saúde na primeira semana de vida”. Foram realizadas análises descritivas e de tendência temporal por meio de regressão de mínimos quadrados ponderados por variância. A frequência de boa qualidade na consulta da primeira semana de vida foi 47,9% (IC95% 46,6-49,3) em 2012, 52,5% (IC95% 51,3-53,7) em 2014 e 53,3% (IC95% 52,2-54,4) em 2018, com um aumento anual de 0,73 ponto percentual (p<0,001). O aumento anual foi maior na região Nordeste (2,06 pp) e com IDH muito baixo/baixo (1,48 pp) e com 100% de cobertura de ESF (0,98 pp). Ao longo dos três ciclos do PMAQ-AB houve uma evolução favorável na frequência da boa qualidade na atenção à saúde na primeira semana de vida.
Factors associated with interprofessional collaboration in Primary Health Care: a multilevel analysis
Authors: Vasconcelos Jader , Probst Livia Fernandes , Silva Jaqueline Alcântara Marcelino da , Costa Marcelo Viana da , Higashijima Marcia Naomi Santos , Santos Mara Lisiane de Moraes dos , Souza Albert Schiaveto de , Carli Alessandro Diogo De
Published: January 2024

Abstract Working with an interprofessional focus is increasingly necessary, in view of the growing complexity of the population’s health needs. This study aims to assess interprofessional collaboration and the teamwork climate in primary health care (PHC) and determine whether there is a relationship between these two variables. The AITCS-II instrument was used to measure interprofessional collaboration, while to diagnose teamwork climate, the ECTE instrument was used, a version adapted to the SUS context of the Teamwork Climate Inventory instrument. These two instruments were applied online together with a questionnaire for the sociodemographic characterization of the 544 participants, who belonged to 97 Family Health Strategy (FHS) teams in a Brazilian municipality. The obtained data were submitted to a multilevel analysis. A positive correlation was observed between interprofessional collaboration and three of the four teamwork climate factors. The better the work climate, the better the interprofessional collaboration in the corresponding team, and this characteristic stands out in relation to other individual analyzed characteristics.
Manutenção dos serviços de média e alta complexidade em contexto de alta transição de usuários: um estudo ecológico de séries temporais no Estado do Rio de Janeiro, Brasil
Authors: Nunes Paula de Castro , Bellas Hugo , Paulino Érica Tex , Ramos André , Jatobá Alessandro
Published: January 2024

Resumo O estudo explora as históricas disparidades regionais na distribuição da rede de média e alta complexidade e os limites impostos para a o remanejamento dos tetos de financiamento entre o município do Rio de Janeiro e municípios limítrofes da Região Metropolitana 1. Foi realizado um estudo ecológico com dados referentes à cidade do Rio de Janeiro, escolhido por ter uma grande rede de assistência e limites com territórios vulneráveis e carentes de serviços de saúde, caracterizando um lócus representativo das situações enfrentadas em todo o país. Foi observado um decréscimo dos valores brutos das cotas programadas em todos os municípios do Rio de Janeiro a partir de 2016. A tendência temporal das cotas programadas se manteve estacionária para todos os municípios da Região Metropolitana 1, mesmo com aumentos significativos nas cotas para municípios limítrofes. A resultante sobrecarga no aporte local de recursos impede o aumento da capacidade para antecipar flutuações de demanda, tanto conhecidas quanto inesperadas, comprometendo a responsividade do sistema de saúde no que respeita seu funcionamento regular, bem como a capacidade de ajuste para lidar com eventos extraordinários, características essenciais da resiliência.
Maintenance of medium- and high-complexity health services in the context of high patient transition: a time series ecological study of the state of Rio de Janeiro, Brazil
Authors: Nunes Paula de Castro , Bellas Hugo , Paulino Érica Tex , Ramos André , Jatobá Alessandro
Published: January 2024

Abstract The study addresses the historical disparities in the distribution of the medium- and high-complexity health network and the limits to budget adjustments between the municipality of Rio de Janeiro and its neighboring municipalities of the Metropolitan region 1. An ecological study was conducted with data related to the municipality of Rio de Janeiro, chosen because it has a large assistance network, while located on the borders of vulnerable and underprivileged areas, characterizing a locus that is representative of the situations faced throughout the country. A decrease in the gross values of the programmed quotas in all municipalities of Rio de Janeiro was observed from 2016 onwards. The temporal trend of the programmed quotas remained stable for all municipalities in the Metropolitan Region 1, even with significant increases in the accomplished quotas for neighboring municipalities. The resulting overload in local expenditure prevents the increase of capacity to anticipate fluctuations in demand, both known and unexpected ones, compromising the responsiveness of the health system regarding its regular operation, as well as the ability to adjust to cope with extraordinary events, essential characteristics of resilience.
Near miss neonatal in the capital of the Brazilian Midwest: a case-control study
Authors: Modes Priscilla Shirley Siniak dos Anjos , Gaíva Maria Aparecida Munhoz , Andrade Amanda Cristina de Souza , Fujimori Elizabeth
Published: January 2024

Abstract We aimed to analyze factors associated with neonatal near-miss in Cuiabá, State of Mato Grosso, Brazil by performing a case-control study of live births in a capital city of central-western Brazil from January 2015 to December 2018 that included 931 cases and 1,862 controls. Data were obtained from the Live Births Information System and the Mortality Information System and variables were organized according to the hierarchical model. Association was analyzed by logistic regression with a 5% significance level. Data were expressed as crude and adjusted odds ratio (OR) and respective confidence intervals (95%CI). The following factors were associated with neonatal near miss: mothers with two (OR = 1.63; 95%CI: 1.01-2.63) or three or more previous pregnancies (OR=1.87; 95%CI: 1.09-3.21), without any live children (OR = 2.57; 95%CI: 1.56-4.24 ) or one live child at birth (OR = 1.53; 95%CI: 1.04-2.26), multiple pregnancy (OR = 4.57; 95%CI: 2.95-7.07), fewer than six prenatal consultations (OR = 2.20; 95%CI: 1.77-2.72), whose deliveries took place in public/university hospitals (OR = 2.25; 95%CI: 1.60-3.15) or philanthropic hospitals (OR = 1.62; 95%CI: 1.16-2.26), with non-cephalic presentation (OR = 2.71 95%CI: 1.87-3.94) and uninduced labor (OR = 1.47; 95%CI: 1.18-1.84).
Variabilidade de preços de aquisição de medicamentos do grupo 1B do Componente Especializado da Assistência Farmacêutica
Authors: Rossignoli Paula , Pontarolo Roberto , Fernandez-Llimos Fernando
Published: January 2024

Resumo No Sistema Único de Saúde os medicamentos do grupo 1 do Componente Especializado da Assistência Farmacêutica (CEAF) são financiados pela União e adquiridos de forma centralizada (grupo 1A) ou por cada Unidade Federativa (UF) (grupo 1B). Diferentemente de outros países onde se negocia um preço fixo a ser praticado no sistema público, no Brasil as aquisições são realizadas por licitação, o que pode levar a diferentes preços. Para permitir a comparação de preços, foi pactuada a obrigatoriedade de registro das aquisições públicas no Banco de Preços em Saúde (BPS). O estudo teve como objetivo analisar a variabilidade dos preços de medicamentos do grupo 1B adquiridos pelas UF do Brasil em 2021. Foram obtidas as aquisições de medicamentos do grupo 1B realizadas pelas Secretarias de Estado das 27 UF por consulta ao BPS excluindo-se os medicamentos sem preço de ressarcimento estabelecido em dezembro/2021. Foi obtido do Sistema de Informações Ambulatoriais o ressarcimento para cada UF. Verificou-se grande variabilidade dos preços de aquisição para cada medicamento entre as UF e dentro da mesma UF. O estudo demonstrou potencial iniquidade de acesso ao CEAF, privilegiando com menores preços UF mais favorecidas (maior população e riqueza).
Produção de procedimentos pelo SAMU 192 no Brasil: performance, benchmarking e desafios
Authors: Malvestio Marisa Aparecida Amaro , Sousa Regina Márcia Cardoso de
Published: January 2024

Resumo O objetivo deste artigo é descrever e analisar a produção de procedimentos realizados pelas centrais de regulação e recursos móveis do SAMU 192 entre 2015 e 2019, segundo frequência, indicadores de base populacional e produtividade diária, estabelecendo um indicador de performance. Estudo censitário, observacional e descritivo, realizado com dados de produção, extraídos do Sistema de Informações Ambulatoriais, complementados com dados do Instituto Brasileiro de Geografia e Estatística e do Ministério da Saúde. Os 116,8 milhões de procedimentos analisados decorrem de 28,5% de aumento no período enquanto a população coberta e os recursos móveis cresceram 9,7% e 14,4% respectivamente. Cada mil habitantes cobertos geraram 109,8 chamadas, resultando em 24,0 envios de recursos móveis anuais. Diariamente, unidades de suporte básico realizaram 3,3 atendimentos e 0,5 transporte, enquanto o suporte avançado realizou 2,7 atendimentos e 0,9 transporte. A produção de procedimentos excedeu o crescimento de população coberta, com variações entre estados, alta produção em áreas populosas, forte presença do suporte básico e elevação dos transportes, todavia a produtividade nacional mostrou-se inferior a internacional.
Recursos da União para as práticas corporais e atividades físicas no SUS: análise do ciclo governamental 2019-2022
Authors: Carvalho Fabio Fortunato Brasil de , Loch Mathias Roberto , Sposito Letícia Aparecida Calderão , Andrade Douglas Roque , Vieira Leonardo Araújo
Published: January 2024

Resumo Por meio de pesquisa quantitativa de caráter exploratório, o presente estudo teve o objetivo de analisar o orçamento e o financiamento federal de programas e ações de promoção das práticas corporais e atividades físicas no Sistema Único de Saúde (SUS) de 2019 a 2022 (Programa Academia da Saúde e o Incentivo Federal de Custeio da Atividade Física na Atenção Primária). Foram analisados e calculados os valores per capita, pela população coberta pela atenção primária e por participante de programas públicos. Os recursos efetivamente pagos foram de 3,31% a 15,06% menores dos que os aprovados no orçamento (nominal), e também foram identificados os baixos valores (máximos) anuais, independentemente se nominal ou deflacionado per capita (R$ 0,21 a 0,30) por população coberta pela atenção primária (R$ 0,25 a 0,40) e por participante (R$ 10,61 a 14,61). Concluiu-se que o baixo investimento na promoção das práticas corporais e atividades físicas diminui o acesso e não contribui para o pleno funcionamento do SUS ao impedir ou dificultar a ampliação de possibilidades do cuidado integral em saúde.
The Role of Socioeconomic and Health Services Organizational Factors on Infection Control Structure Score, Brazil
Authors: Fonseca Emilio Prado da , Cruz Alex Junio Silva , Pereira-Junior Edmilson Antônio , Palmier Andréa Clemente , Abreu Mauro Henrique Nogueira Guimarães
Published: January 2024

Abstract This study aimed to analyze possible associations between the Infection Control Structure Score (ICSS), health services, and social characteristics of the municipalities in Brazil. Secondary data from the third cycle 2017-2018 of the Brazilian National Program for Improving Primary Care Access and Quality (PMAQ) was analyzed. Six independent variables - FIRJAN Index of Municipal Development, number of inhabitants, number of family health teams receiving a financial incentive from the federal government, healthcare expenditure per capita, and number of Oral Health Teams modalities 1 and 2 - were included to assess their influence on ICSS, measured for each Brazilian town. Data analysis used the Classification and Regression Tree model performed with IBM SPSS 25. A total of 4,900 municipalities were included, and the mean ICSS was 0.905 (±0.092). A positive relationship was observed between healthcare expenditure per capita, municipal development, and the outcome. Conversely, towns with a higher number of family health teams receiving a financial incentive from the federal government showed lower mean ICSS. The findings suggest that inequalities in the infection control structures exist within the country, and they were related to the health services and social characteristics of the municipalities.
O uso de Tecnologias de Informação e Comunicação em Saúde na Atenção Primária à Saúde no Brasil, de 2014 a 2018
Authors: Bender Janaína Duarte , Facchini Luiz Augusto , Lapão Luís Miguel Velez , Tomasi Elaine , Thumé Elaine
Published: January 2024

Resumo As Tecnologias da Informação e Comunicação em Saúde permitem o armazenamento e processamento de dados digitais, acesso a informações e comunicações à distância. O objetivo deste artigo foi descrever a utilização destas tecnologias para o apoio à prática clínica e educação permanente pelas equipes de saúde da atenção primária à saúde do Brasil no período de 2014 a 2018, no âmbito do Programa de Melhoria do Acesso e da Qualidade na Atenção Básica, segundo características do contexto geopolítico. É um estudo transversal que analisou os dados coletados junto às equipes das Unidades Básicas de Saúde. Foi observada uma crescente utilização pelas equipes dos recursos da Telessaúde, Rede Universitária de Telemedicina e Universidade Aberta do Sistema Único de Saúde para auxílio à prática clínica e educação permanente em saúde. Nas regiões Norte e Nordeste o uso destas tecnologias dobrou, do ciclo II ao ciclo III. A necessidade de investimentos em infraestrutura, recursos humanos na Atenção Primária à Saúde, qualificação e formação profissional é um caminho para o fortalecimento do Sistema Único de Saúde e sua Rede de Atenção em Saúde, contribuindo para um fluxo de atendimento contínuo, com qualidade e acesso universal.
The use of Information and Communication Technologies in Primary Health Care in Brazil - the period of 2014 to 2018
Authors: Bender Janaína Duarte , Facchini Luiz Augusto , Lapão Luís Miguel Velez , Tomasi Elaine , Thumé Elaine
Published: January 2024

Abstract Information and Communication Technologies in Health allow the storage and processing of digital data, access to information and remote communications. The objective of this article was to describe the use of these Technologies to support clinical practice and continuing education by primary health care teams in Brazil the period of 2014 to 2018, within the scope of the Access and Quality Improvement Program Basic, according to characteristics of the geopolitical context. It’s a cross-sectional study that analyzed the data collected from the teams of the Basic Health Units. A growing use by the teams of Telehealth resources, the Telemedicine University Network and the Open University of the Unified Health System was observed to aid clinical practice and permanent health education. In the North and Northeast regions, the use of these Technologies doubled, from cycle II to cycle III. The need for investments in infrastructure, human resources in Primary Health Care, qualification and professional training is a way to strengthen the Unified Health System and its Health Care Network, contributing to a continuous flow of care, with quality and access universal.
Spatial analysis of hospital-related mortality due to COVID-19 among children and adolescents in Brazil
Authors: Costa Silmery da Silva Brito , Branco Maria dos Remédios Freitas Carvalho , Pereira Andressa Rocha , Costa Elisa Miranda , Araújo Mayra Sharlenne Moraes , Oliveira Daniel Cavalcante de , Oliveira Bruno Luciano Carneiro Alves de , Rangel Maurício Eduardo Salgado , Tonello Aline Sampieri , Lopes Denise Ailine Monteiro , Pinheiro Vanessa Vieira , Câmara Ana Patricia Barros , Santos Alcione Miranda dos , Vasconcelos Vitor Vieira
Published: January 2024

Abstract The objective was to perform a spatial analysis of the hospital mortality rate (HMR) due to severe acute respiratory syndrome (SARS) attributed to COVID-19 among children and adolescents in Brazil from 2020 to 2021. A cluster method was used to group federal units (FUs) based on HMR. In 2020, clusters with high HMRs were formed by north/northeast FUs. In 2021, there was a reduction in HMR. Clusters with higher rates remained in the N/NE region. Regional differences were observed in the HMR. The findings may reflect social inequalities and access to hospital care, especially in the under 1-year-old age group due to the severity of the disease in this group.
Prevalência e fatores associados à violência contra as mulheres rurais: um estudo transversal, Pesquisa Nacional de Saúde, 2019
Authors: Stochero Luciane , Pinto Liana Wernersbach
Published: January 2024

Resumo Este estudo transversal objetivou estimar a prevalência e os fatores associados à violência contra as mulheres rurais e descrever os casos positivos segundo autoria, local e frequência, com dados da Pesquisa Nacional de Saúde (2019). Calcularam-se as prevalências brutas e ajustadas de violência contra as mulheres rurais de todo o Brasil nos últimos 12 meses, segundo perfil demográfico, apoio e saúde por meio da regressão de Poisson. A violência psicológica foi de 18%, a física, de 4,4% e a sexual, de 1,5%. Os principais autores eram pessoas conhecidas, a maior parte dos casos ocorreu na residência e as agressões eram recorrentes. As maiores prevalências: mulheres adultas jovens (24,2%), solteiras e divorciadas (20% cada), com ensino fundamental completo ao superior incompleto (22%),, percepções de saúde muito ruim (34%), ruim (30%) e aquelas com problema de saúde mental (30%). Após o ajuste, permaneceram no modelo as de 30-39 anos e de 40 a 49 anos, casadas, com estado de saúde muito ruim, ruim e regular e com problema de saúde mental. Aponta-se para a alta prevalência de violência contra as mulheres rurais.
Concrete survivors: the herpetofauna of an urban green area over 100 years of increasing urbanization
Authors: Souza Eletra de , Lima-Santos Jade , Marques Otavio Augusto Vuolo , Hingst-Zaher Erika
Published: January 2024

Abstract Low biodiversity in urban areas is associated with habitat loss. However, the effects of urbanization on biodiversity should also consider the historical background of land-use, explored herein. Our goal was to evaluate changes in the assemblage of reptiles in an urban habitat over 100 years, aiming to identify which ecological attributes allowed the persistence of species that can be found in the area today. We accessed historical records in scientific collections and carried out fieldwork to access reptile assemblage in an urban green area, in São Paulo, Brazil. Considering land-use changes in the area, we defined three-time intervals between 1901 and 2020. We established species richness for each time interval, categorizing them into three ecological attributes: habitat preference, substrate use, and food habits. We recorded 27 reptile species from 1901 until 2020, 14 resulting from historical data, eight from both historical and fieldwork, and five species exclusively in fieldwork. Amphibians were also sampled during fieldwork, but not used in historical comparison. Reptile’s species richness decreased 59% regardless of ecological attributes, and snakes were the group with most species’ loss. Fossorial reptiles were the least affected group. We concluded that habitat loss culminated in a species richness decline, and the reptiles that remain until today were likely present since the fragment isolation. Ecological attributes of the remaining taxa include species that use terrestrial substrates and feed on prey commonly found in urban environments.
Advancing in the neuroleadership field: a systematic and integrative review
Authors: Guarnier Kelly , Chimenti Paula
Published: January 2024

Abstract Scholars and managers have long discussed the best profile for successful leadership, which can influence employee performance and organizational growth. Despite leadership being the focus of many studies and continuous training, what explains leaders’ effectiveness within institutions and companies remains unclear. To better understand this phenomenon, we perform a comprehensive review of empirical studies and theoretical essays (N = 93) exploring the application of neuroscience in an organization’s practices and leaders’ development. We conducted a systematic review using these references and built narrative arguments organizing understudied areas and defining a process to classify and integrate trends. The study is different from previous research in identifying groups of research areas such as the biological, brain, psychological, management, emotional, and cognitive approaches, as well as research topics such as culture, decision-making, engagement, ethics, and human development. Moreover, we suggest a theoretical framework comprising those approaches and the main research topics to stimulate the move of the field forward. The article contributes to the literature by organizing the state of the art of research and presenting neuroleadership as a construct. We conclude with suggestions for future research that we hope will address existing gaps and contribute to building relevant theories and policy recommendations.
O silêncio, o silenciamento e o silêncio cúmplice como mecanismos de perpetuação do racismo nas organizações
Authors: Menezes Mário , Mendes Luciano
Published: January 2024

Resumo O presente ensaio tem como objetivo interpretar os processos de silêncio, silenciamento e silêncio cúmplice como fatores que contribuem para a perpetuação do racismo, das desigualdades e exclusões que ocorrem nas organizações. Por meio de referenciais teóricos sobre silêncio, silenciamento e silêncio cúmplice, pretende-se apresentar uma forma complementar de se demonstrar como os ecos de processos históricos de racismo contra pessoas negras podem ainda ser responsáveis pela estruturação de práticas nas organizações. Adicionalmente, busca-se indicar como os estudos sobre silêncio, silenciamento e silêncio cúmplice podem oferecer alternativas de práxis para administradores e acadêmicos de estudos organizacionais, visando à mudança de práticas estruturais, de modo a quebrar o ciclo de racismo estrutural nas organizações.
Maria Ester de Freitas beyond pioneerism: critique and “Brasilidade” in organization studies
Authors: Cavalcanti Maria Fernanda Rios , Silva Andre Luis
Published: January 2024

Abstract Our objective is to investigate and highlight the contributions of Maria Ester de Freitas to the development of the Brazilian field of Management and Organization Studies (MOS). Ester wrote pioneering work in the development of impacting themes in this field - such as organizational culture, intercultural management, diversity, and moral harassment. This Global South scholar’s approach to such themes was shaped by a peculiar criticism that found an echo amongst Brazilian scholars and practitioners. Ester knew how to produce and reproduce complex and often controversial topics courageously, with intellectual refinement and an impressive cultural repertoire embedded in elements of “Brasilidade.” Ester’s main concern was to think about the human condition in organizations and, therefore, to promote the social responsibility of organizations, a concern that continues to demand urgent reflection. Hence, this research question is: in addition to being a pioneer in developing such themes in the Global South, which elements keep Ester’s work relevant today for organization studies in general? We conclude that Ester’s relevance extrapolates the relevance of the topics she addressed, as her academic style is marked by correlating criticism and manifestations of “Brasilidade”. This correlation appears in a kind of “Becoming-Ester” throughout her texts and speeches, an investigative and provocative posture that invites us to reflect and broaden our horizons when approaching our local realities. Finally, we show that the content and style of Ester’s legacy instigates alternative ways to critically reflect on the human condition in organizations through unconventional and unprejudiced eyes, thus, fostering new approaches to imagining and creating more socially responsible organizations.
WHEN DOES CHARM TURN SOUR IN EARLY CAREER WORKING RELATIONSHIPS? THE RELATIONSHIP BETWEEN NARCISSISM AND LEADER-MEMBER AND MEMBER-MEMBER EXCHANGE
Authors: Schyns Birgit , Gauglitz Iris K. , Veestraeten Marlies , Nestler Steffen , Bonnefous Annabel-Mauve
Published: January 2024

Abstract Internships offer the opportunity for students in higher education to have their first work experience and start building professional relationships. However, the ways in which these experiences and relationships unfold may differ significantly. In this study, we connect the dark side of personality to vocational behavior by examining the role of narcissism in early-career relationship building at work. Although narcissists often make a good first impression as being charming and extravert, this positive impression likely changes and turns negative after a period of time. While this effect has been shown in groups settings, it has yet to be replicated in a real organizational setting. We propose and test a three-way interaction model using data from interns who were rated in terms of their relationship qualities by their supervisor (Leader-Member Exchange, LMX) and their colleagues (Member-Member Exchange, MMX). Our results indicated no effect for the duration of the work relationship but an effect for groups size. Specifically, narcissistic interns working in smaller work groups were rated lower in LMX and MMX than those working in larger groups. These results have implications for future research on narcissism and the use of other ratings in organizational settings. They also have implications for the practice of hiring interns as members of staff.
Tendência e distribuição espacial da hepatite B em gestantes no Brasil
Authors: Albuquerque Ingrid de Campos , Soeiro Vanessa Moreira da Silva , Lima Rafael de Abreu , Ferreira Adalgiza de Souza Paiva
Published: January 2024

Resumo Objetivos: analisar a tendência e distribuição espacial da hepatite B em gestantes no Brasil. Métodos: estudo ecológico a partir de todos os casos notificados de hepatite B em gestantes pelo Sistema de Informação de Agravos de Notificação – Sinan entre 2009 e 2018. Foram calculadas as taxas de detecção do vírus da hepatite B (HBV) em todos os municípios. A análise espacial foi realizada por meio do Índice Global de Moran para os dados globais e os indicadores locais de associação espacial (Lisa) para os 5.570 municípios. Para análise de tendências por Estado, utilizou-se o modelo de regressão linear generalizada de Prais-Winsten. Resultados: foram notificadas 15.253 gestantes com HBV. Observou-se altas taxas de detecção nos municípios de São Miguel da Boa Vista-SC (68,96/1000 Nascidos vivos (NV)), Araguaiana-MT (68,18/1000 NV), Reserva do Cabaçal-MT(80,00/1.000 NV), São Geraldo da Piedade-MG (75/1000 NV), Porto Mauá-RS (111,11/1000 NV), nos respectivos biênios. Moran (I) (I=0,056) apresentou associação espacial positiva. No Lisa observou-se 78 municípios inserido no cluster alto-alto, sendo 51,28%na região Sul e 48 no cluster baixo-baixo com 72,91% no Sudeste. Verificou-se tendência crescente no Maranhão (p=0,004) e Pernambuco (p=0,007) e diminuição no Mato Grosso (p=0,012), Paraná (p=0,031) e Santa Catarina (p=0,008). Conclusão: Observou-se a detecção de hepatite B em gestantes na maioria dos municípios brasileiros, com tendência crescente em dois estados e diminuição em outros três.
Cystic fibrosis: when neonatal screening is unsatisfactory for early diagnosis
Authors: Godoy Carolina , Radel Igor , Mota Laís Ribeiro , Santos Marília Augusta , Terse Regina , Souza Edna Lúcia
Published: January 2024

Abstract Introduction: cystic fibrosis newborn screening must enable its earlier diagnosis, which may enhance outcomes. This study was a series case of delayed-diagnosis children submitted to cystic fibrosis newborn screening. Description: fourteen children were included; eight (57.1%) were due to false-negative screening, while six (42.9%) were due to processing errors. Two samples collected after 30 days of life were incorrectly classified as negative, and four infants with a positive test could not be located due to screening processing errors. Cystic fibrosis diagnosis was confirmed at a median (IQR) age of 5.3 (4.2-7.4) months. Poor nutritional status was the most prevalent clinical sign at diagnosis, being present in 78.6% of infants. The mean (SD) weight-for-length and length-for-age Z-scores were -3.46 (0.84) and -3.99 (1.16), respectively. Half of the children had Pseudo-Bartter syndrome, and 42.9% had breathing difficulties. Twelve children (85.7%) required hospitalization, with a median (IQR) length of stay of 17.0 (11.5-26.5) days. Discussion: newborn screening had some faults, from incorrect collections to inefficient active search. Early identification of these children in which screening was unsatisfactory is essential, emphasizing the importance and efforts to not miss them. In the case of a failed test, healthcare professionals must be prepared to recognize the main symptoms and signs of the disease.
Therapeutic potential of hesperidin methyl chalcone in the experimental treatment of cutaneous leishmaniasis
Authors: BRASIL Anny Maíza Vargas , LOPES João Roberto de Figueiredo , CHAGAS Ana Flávia da Silva , FRANCO Antonia Maria Ramos
Published: January 2024

ABSTRACT Drug repositioning seeks to discover new applications for a drug that has already been approved in the market, resulting in faster and lower cost solutions, generally used for diseases that receive little investment, such as cutaneous leishmaniasis. In this context, hesperidin, commercially approved as Daflon®, is a flavonoid that belongs to the chalcones group, a class that has antileishmanial potential. The present study evaluated the in vitro and in vivo antileishmanial activity of commercial hesperidin. Hesperidin (9 to 0.56 mg mL-1) was tested against promastigote and amastigote forms of four dermotropic species of Leishmania, namely L. (L.) amazonensis, L. (V.) guyanensis, L. (V.) braziliensis and L. (V.) naiffi. For the in vivo tests, hamsters were infected in the snout and the lesions were treated with intralesional hesperidin. The treatment effectiveness was assessed by measuring the total volume of the lesion on the snout and determining the parasitic load. The in vitro results showed moderate toxicity in murine macrophages, with higher efficacy in L. (L.) amazonensis when compared to the other species tested. The in vivo results showed that hesperidin was able to gradually reduce the size of lesions by L. (L.) amazonensis, although it did not induce clinical and parasitological cure. Thus, hesperidin showed potential in in vitro tests against L. (L.) amazonensis and further studies with new formulations and experimental treatment schemes should be carried out.
Dung beetle (Coleoptera: Scarabaeinae) attraction to woodcreeper (Aves: Dendrocolaptidae) dropping in the central Amazon
Authors: SALOMÃO Renato Portela , VAZ-DE-MELLO Fernando , CUPELLO Mario Jardim , CASSIANO Liara de Azevedo
Published: January 2024

ABSTRACT Bird droppings are an unusual food resource for coprophagous insects and used mostly by opportunistic decomposers. Among them, dung beetles feed mainly on dung, although the species differ in their trophic plasticity. Here we report a record of a dung beetle, Canthidium cf. gracilipes, reaching and manipulating the dropping of a passeriform bird, Dendrocincla fuliginosa (Dendrocolaptidae). The behavior was observed in an urban forest fragment located in the Amazonian city of Manaus, Brazil. Two hours after the bird defecated, the dung beetle reached the dropping and started manipulating them with its fore- and hindlegs. It did not eat the dung, though. For a clear understanding of the relationships between bird droppings and Amazonian dung beetles, it will be important to perform standardized experiments with a wide variety of native dung and carrion types.
Multilevel mixed-effect models to predict wood volume in a hyperdiverse Amazon forest
Authors: CYSNEIROS Vinicius Costa , PELISSARI Allan Libanio , NASCIMENTO Rodrigo Geroni Mendes , MACHADO Sebastião Amaral
Published: January 2024

ABSTRACT Accurate wood volume predictions are critical in hyperdiverse forests because each species has specific size and shape traits. Although generic models at a multispecies level were widely used in Amazonian managed forests, they are subject to more significant bias due to interspecific variability. We used an extensive database of wood volume collected in managed forests to test the hypothesis that generic models violate the independence assumption due to that predictions vary with species-specific size. Our hypothesis was proved as residuals of the generic model were conditioned to species and specific size. The multilevel models were more accurate both in fitting and validation procedures, and accounted for variance derived from species and specific size, providing a more reliable prediction. However, we found that the size-specific models have a similar predictive ability to species-specific models for new predictions. This implies more practical estimates in hyperdiverse forests where fitting species-specific models can be complex. The findings are crucial for sustainable forest management as they allow for more reliable wood volume estimates, leading to less financial uncertainty and preventing damage to forest stocks through under or over-exploitation.
Avaliação da qualidade de aplicativos móveis sobre o manejo da hemorragia pós-parto
Authors: Silva Érika Maria Alves da , Oliveira Sheyla Costa de , Alves Danielle Santos
Published: January 2024

RESUMO Objetivo: Avaliar a qualidade dos aplicativos móveis sobre o manejo da hemorragia pós-parto disponíveis nas lojas digitais dos principais sistemas operacionais. Método: Estudo descritivo de avaliação, realizado de janeiro a fevereiro de 2023 nas lojas digitais App Store® e Google Play Store®. Foi utilizada a Mobile Application Rating Scale para avaliação da qualidade (engajamento, funcionalidade, estética, informação e qualidade subjetiva). A extração e a avaliação das informações sobre hemorragia pós-parto foram realizadas a partir de um quadro com informações baseadas em documentos oficiais, contendo a classificação, prevenção, diagnóstico e tratamento. Resultados: Sete aplicativos foram incluídos; desses, três estavam em inglês, seis tinham sistema operacional Android. A média de qualidade foi de 3,88. As maiores médias foram da funcionalidade, alcançando 5,0 (n = 6), e as menores foram de engajamento, menos que 3,0 (n = 4). A maioria dos aplicativos apresentou menos de 50% das informações sobre o manejo de hemorragia pós-parto. Conclusão: Os aplicativos avaliados alcançaram média de qualidade aceitável e, conforme os protocolos vigentes das organizações de saúde, não continham as informações necessárias para o manejo completo da hemorragia pós-parto.
SCHOOL DROPOUT OR EXPULSION: WHY DO STUDENT-MOTHERS LEAVE SCHOOL?
Authors: Ratusniak Célia , Silva Carla Clauber da
Published: January 2024

ABSTRACT This article problematizes the judicialization effects of dropout in the lives of student-mothers cited in legal proceedings for intellectual abandonment, filed in a region in the south of Paraná, in 2018. It uses Foucauldian studies of gender and race inequality as a theoretical contribution. The data sources are the School Evasion Questionnaire and data from school transcripts and enrollments, undertaking an intersectional analysis of the social markers of race and gender. The results found indicate a course of failures and dropouts prior to motherhood and the judicialization of school dropout, hiding a long process of school failure, which resulted in expulsion. Judicial processes reinforce the displacement of biopolicies for pregnant students and those with children, producing gender and racial inequality in the school space, and highlight the fragility of public policies that guarantee, in fact, the right to education for students-mothers.
Influence of risedronate on orthodontic tooth movement in rodents: a systematic review and case report
Authors: MIRANDA Roberta Magalhães , FERNANDES Juliana Lourdes , SANTOS Mariana de Souza , JÁCOME-SANTOS Humberto , MILAGRES Roselaine Moreira Coelho , PRETTI Henrique , ABREU Lucas Guimarães , MACARI Soraia
Published: January 2024

ABSTRACT Introduction: Bisphosphonates have an inhibitory impact on osteoclastic activity, reducing bone resorption. However, the influence of risedronate on tooth movement is not well-defined. Objective: This systematic review assessed the effect of risedronate intake on orthodontic tooth movement. A case report was also provided. Methods: Two independent reviewers searched six databases (PubMed, Web of Science, Ovid, Lilacs, Scopus, and Open Grey). The searches were carried out in April/2020, and an update was set in place in June/2023. Therefore, the searches considered a timeline from the databases’ inception date until June/2023, with no publication date and/or language restrictions. The clinical question focused on evaluating the orthodontic tooth movement and relapse movement (Outcome) in animals (Population) exposed to risedronate (Exposure), compared to control groups (Comparison). The Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines were applied, and the protocol was registered in PROSPERO (CRD42020168581). The risk of bias was determined using the Systematic Review Centre for Laboratory Animal Experimentation protocol (SYRCLE). Results: Two studies in rats and one in guinea pigs were included in the systematic review. The studies reported a decrease in orthodontic tooth movement, a reduction in the relapse movement, and a reduced number of positive tartrate-resistant acid phosphatase (TRAP) cells, with a significantly reduced number of bone gaps after the administration of risedronate in rats. A case report illustrated the effects of risedronate administration in one patient. Conclusion: Based on the systematic review, risedronate seems to impair orthodontic tooth movement and relapse due to a decrease in bone resorption cells.
Laryngeal cancer mortality and burden attributable to occupational risks in Brazil: 2019 Global Burden of Disease
Authors: Viana Luciana de Paula , Bustamante-Teixeira Maria Teresa , Malta Deborah Carvalho , Girardi Flavia Araújo , Nogueira Mário Círio , Passos Valéria Maria de Azeredo , Guerra Maximiliano Ribeiro
Published: January 2024

Abstract Objective: to describe mortality and disability-adjusted life years (DALYs) due to laryngeal cancer attributable to occupational and behavioral risk factors in Brazil. Methods: this is an ecological study with data from the 2019 Global Burden of Disease. Mortality and DALY rates for laryngeal cancer attributable to occupational (sulfuric acid and asbestos) and behavioral (tobacco and alcohol) risks were obtained from 1990 and 2019. Results: in 2019, the mortality rate from laryngeal cancer attributable to occupational hazards (sulfuric acid and asbestos) totaled 0.28 (95%UI: 0.17; 0.43) and 0.03 (95%UI: 0.02; 0.04), whereas and DALY rates, 7.33 (95%UI: 4.28; 11.44) and 0.64 (95%UI: 0.35; 0.03) in men and women in Brazil, respectively. Sulfuric acid configured the main occupational risk for the disease. The rates attributable to tobacco (mortality: −45.83%; DALYs: −47.36%) and occupational hazards (mortality: −23.20%; DALYs: −26.31%) decreased in Brazil but increased in some Northern and Northeastern states. Conclusion: laryngeal cancer mortality and burden attributable to occupational factors decreased in the period (although less than that for smoking), reinforcing the importance of actions to reduce the impact of occupational risks, such as the regulatory measures applied to tobacco.
Telework and health in the context of the COVID-19 pandemic
Authors: Bridi Maria Aparecida , Tropia Patricia Vieira , Vazquez Bárbara Vallejos
Published: January 2024

Abstract Introduction: with the COVID-19 pandemic and the social distancing policy, almost 9 million workers had their professional activities transferred to the home environment, called “remote work,” “home office,” or “telework.” This context worked as a laboratory in which companies could experiment with teleworking. Objective: to analyze the unprecedented telework growth and the teleworkers' profile, highlighting the impacts and consequences for the workers' health. Methods: analysis of relevant bibliography, exploration of secondary data from empirical research on objective and subjective teleworking conditions, publications in the media about telework in the pandemic and post-pandemic context, and analysis of remote work ads. Results: due to the way remote work occurred during the pandemic, in addition to its consequences for health, and living and working conditions, new challenges were raised for the working class. Among them: how to ensure adequate environmental and ergonomic working conditions and how to guarantee the limit of working hours, and the delimitation of working time, in view of the tendency for telework to be maintained in the post-pandemic period. Conclusion: the analysis revealed impacts on workers’ health that bring new challenges to the working class. Such impacts, among other reasons, are due to extended working hours, ergonomic conditions at home, and pressure to meet goals.
Challenges to comprehensive health care and emancipation of enslaved workers
Authors: Leão Luís Henrique da Costa
Published: January 2024

Abstract Introduction: contemporary forms of slave labour have different impacts on occupational health, requiring new and emancipatory care practices. Objective: to analyze the theoretical and practical dimensions of the health-disease-care process and workers’ emancipation in a context of enslavement. Methods: this essay problematizes theoretical and conceptual aspects of the health-work-slavery relationship, emphasizing the importance of broadening the concept of worker beyond wage-earning relations. Results: the article presents a critical review of Brazilian experiences in supporting the emancipation of enslaved workers and a critical reading of the ‘National Flow of Assistance to Victims of Slave Labor,’ highlighting the pressing challenge of developing new health care routes and the role of the Brazilian Unified Health System (SUS) and of the workers’ health, especially for post-rescue moments, to overcome the risk of re-enslavement and reduce social vulnerabilities. Conclusion: the continuous struggle to expand and strengthen emancipatory strategies requires the leadership and organisation of workers, connecting unions, social, gender and racial struggles as struggles for freedom and dignity. Fights for health that promote the construction of territories free from slave labor, containing a set of actions to ensure basic conditions for a dignified life and the exercise of freedom.
Work-Related Voice Disorder: a look at the past, present, and future
Authors: Masson Maria Lúcia Vaz , Ferreira Léslie Piccolotto , Maeno Maria
Published: January 2024

Abstract Introduction: Work-Related Voice Disorder (WRVD) is a highly prevalent condition, especially among teachers. In 2018, the Brazilian Ministry of Health (BMH) issued the WRVD Protocol to its identification and reporting as a means to subsidize health surveillance actions. Objective: to summarize the history, debate outcomes, challenges, and reflections about WRVD in Brazil. Methods: theoretical essay based on a literature review, documents, and records of social actors’ involvement in the WRVD recognition process. Results: WRVD recognition followed a cumbersome trajectory comprising three phases: Protocol design and initial WRVD recognition; Improvement of exchanges with international communities; WRVD classification as a work-related disease (WRD), decision that was later repealed and then repristinated. Conclusion: WRVD recognition process unfolded into a “sociopolitical imbroglio,” prompting initiatives by the Legislative Branch and the Brazilian National Health Council, and its recognition by the Bahia and Espirito Santo states. Challenges arose following changes in work, implementation of healthcare paths, and professional training for managing WRVD.