bluuebunny/crossref_metadata_2025 huggingface dataset:
Myopic Maculopathy Stabilization in a Child with Progressive Complicated Myopia and Underlying Connective Tissue Dysplasia via Optical Therapy with HAL Spectacle Lenses Inducing Retinal Peripheral Defocus: Clinical Case
Authors: Kondratova Svetlana E.
Published: September 2024

Background. Myopia is a serious medical and social problem specifically due to the high risk of such complications as cataracts, myopic maculopathy, glaucoma, and retinal detachment. Children with connective tissue dysplasia (CTD) syndrome are most subjected to myopia. Prevention of myopia progression in children remains the only effective way to prevent myopic maculopathy. Significant progress in this field has been achieved via optical technologies developed on the basis of peripheral defocus theory. Clinical case description. Patient, 10 years old, with CTD, mild myopia of both eyes with rapid progression, myopic maculopathy, grade 1. Ophthalmic status: spheroequivalent refraction — right eye (–)1.5 diopters / left eye (–)1.75 diopters; vision acuity with monocular correction — 1.0. Fundoscopy: optic disc is pale pink, with clear borders, arteries and veins are well-proportioned, their courses and calibers are intact; choriocapillary layer attenuation in the macular and paramacular zones, “parquet fundus”; areas of pigment redistribution on peripheral retina; no atrophic foci detected; anterior-posterior axis of the right and left eyes — 26.2 and 26.3 mm, respectively. Optical coherence tomography (OCT) has revealed retinal thinning in the upper and nasal sectors in the right eye during the first assessment. The left eye has demonstrated losses of retinal thickness within the middle parafoveal zone and significant thinning in the upper segment. Optical therapy with HAL spectacle lenses (inducing volumetric myopic peripheral defocus) was assigned to control myopia to slow down the pathological axial growth of the child's eyes and to stabilize refraction. 4 months of wearing glasses with HAL lenses has led to the stabilization of dystrophic changes in retina, signs of improvement in several sectors by were observed on OCT. No negative changes were revealed in all parafoveal segments of the left eye. The child was recommended to continue wearing glasses with HAL lenses with dynamic follow-up every 3 months. Conclusion. CTD in children is associated with high risk of complications in case of myopia progression, moreover, retinal pathology can occur even with mild myopia. Optical therapy with HAL spectacle lenses is effective and safe first treatment of choice in the control of myopia in children with CTD, and opens new opportunities in prevention of progressive myopia disabling complications in children, whose treatment results were not previously sufficient.
Congenital Duplication of Small Intestine: Clinical Case
Authors: Zastelo Elena S. , Fedulova Elvira N. , Gagarina Anna I. , Skochilova Tatyana V. , Khavkin Anatoly I.
Published: September 2024

Background. Congenital duplication of small intestine is a complex disease in terms of early diagnosis due to the absence of specific clinical manifestations. Screening methods do not always help to reveal the lesion localization. Only special methods, such as contrastenhanced fluoroscopy, computed and magnetic resonance imaging, allow us to diagnosis gastrointestinal tract (GIT) malformation more precisely. Moreover, the lack of sufficient awareness about this pathology among primary care physicians also postpones diagnosis and, therefore, the timely correction of this congenital GIT malformation. Thus, our clinical case should help primary care physicians to increase alertness on congenital bowel anomaly. Clinical case description. This clinical case demonstrates that intestinal abnormality was suspected in utero at the first trimester of pregnancy according to ultrasound examination. Intestinal colics can be considered as the first clinical non-specific manifestation of congenital anomaly of small intestine in a child under the age of 1 year. Constipation, abdominal pain, and occasional pyretic fever were observed from the age of 2. Intestinal ultrasound has revealed changes, and radiological and magnetic resonance methods confirmed the presence of small intestine malformation. Conclusion. Screening ultrasound of an intrauterine child in the first trimester of pregnancy could force pediatricians to search congenital GIT anomalies despite its non-specific clinical signs. Imaging methods revealed the defect localization, while surgical intervention recovered it. It has prevented any possible complications and improved the patient’s quality of life.
Análise de perfis de vínculos organizacionais entre servidores públicos
Authors: Rangel Sara Barbosa , Rowe Diva Ester Okazaki
Published: September 2024

Resumo Este artigo tem como objetivo delinear os perfis de comprometimento e entrincheiramento organizacional de servidores públicos da Receita Federal do Brasil, comparando as variáveis sociodemográficas e ocupacionais nos perfis identificados. Para tanto, foi realizada uma pesquisa quantitativa, descritiva e com corte transversal. Os dados foram coletados via survey online, e participaram 1.126 servidores. Para o estudo dos dados, utilizou-se a técnica de análise de perfis latentes. Como resultado, foram identificados quatro perfis de vínculos organizacionais: i) moderadamente vinculado; ii) baixo vínculo, predominantemente descomprometido; iii) baixo vínculo; iv) vinculado, predominantemente comprometido. A maior parte dos participantes pertence aos perfis com níveis moderados e altos de comprometimento afetivo. Menor tempo de serviço e menos idade predisseram perfis de baixo vínculo, enquanto ocupantes de cargo de chefia estiveram associados aos perfis com maiores níveis de comprometimento e de ajustamento à posição social (dimensão do entrincheiramento). A identificação dessas diferenças nos perfis é uma contribuição relevante para uma gestão de pessoas e de vínculos mais personalizada e focada.
Herbicides affect the carpogenic development and management of Sclerotinia sclerotiorum
Authors: Paduan Fernanda Neves , Osipe Petrus Barros , Sauer Aline Vanessa , Canteri Marcelo Giovanetti
Published: September 2024

ABSTRACT Sclerotia of Sclerotinia sclerotiorum, a fungal pathogen of soybean, may be affected by herbicides used in the pre-planting management or even in post-emergence applications. The objective of the present study was to verify the action of the herbicides glyphosate, glufosinate ammonium and dicamba on mycelial growth and carpogenic germination of sclerotia and Sclerotinia sclerotiorum. The PDA culture medium was supplemented with concentrations of 10, 100, 1000 and 10000 ppm herbicides, receiving inoculation of fungal mycelium in Petri dishes. The diameter of the mycelium growth was measured daily. The carpogenic germination of sclerotia was analyzed with the deposition of ten sclerotia on the ground surface which was sterilized, arranged in plastic boxes and sprayed with solutions at concentrations of 1, 10, 100, 1000 and 10000 ppm herbicides. Evaluations were carried out at 30, 40 and 50 days after incubation by counting the number of stipes and apothecia. Glufosinate ammonium caused the greatest mycelial growth inhibition on S. sclerotiorum, which was above 40% even at the lowest concentration. The speed of mycelial growth was also lower from 10 ppm glufosinate. While for the control sample there was differentiation of stipes into apothecia, sclerotia treated with the herbicides showed a high number of stipes and a low number of apothecia. Changes in morphology, such as deformation on the edges of the apothecia disks, changes in coloration and stunted aspect, were also observed in sclerotia treated with herbicides. The herbicides glyphosate, glufosinate ammonium and dicamba alter the development of S. sclerotiorum sclerotia and may have an inhibitory action on the fungus.
Assessment of tooth discoloration induced by root canal filling materials in pediatric dentistry
Authors: Gonçalves Fabiana Vitória Ananias , Guedes Orlando Aguirre , Kachiyama Sávio Akio , Flauzino Larissa Pinzan , Silva Júnior Aurélio Rosa da , Aranha Andreza Maria Fábio
Published: September 2024

Abstract This study investigated the potential for tooth discoloration of root canal filling pastes used in pediatric dentistry. Sixty bovine incisors were sectioned 2 mm apical to the cementoenamel junction and allocated into 6 groups (n = 10) according to the type of filling material used: G1- Zinc oxide-eugenol sealer; G2- Zinc oxide-eugenol and iodoform paste; G3- Calcium hydroxide (CH) and zinc oxide paste; G4- CH, zinc oxide, and iodoform paste; G5- CH and iodoform paste; and G6- Control. Polyethylene glycol 400 was used as a vehicle for CH-containing pastes. Color measurements were taken at specific intervals: preceding endodontic treatment (T0) and at successive points of 1 month (T1), 2 months (T2), 3 months (T3), and 1 year (T4) after the placement of the filling material. The color change (∆E) was calculated using the CIELab formula. Statistical analysis was performed using ANOVA, followed by Tukey's post hoc test (α = 5%). Significant differences were observed among the filling materials and time intervals (p <0.001). All groups exhibited color changes over time, except G1 and G5, which showed color changes only after 1 year. G1 and G2 demonstrated the highest ∆E values, with a statistically significant difference observed only at T2 when compared to G3 (p = 0.008). Root canal filling materials used in primary teeth have the potential to induce tooth discoloration.
Masking discolored substrates with resin composites: effect of layering strategies
Authors: Soares Pablo Machado , Chiapinotto Gratcheva Falcão , DDS Atais Bacchi , Pereira Gabriel Kalil Rocha
Published: September 2024

Abstract This study aimed to evaluate the masking ability of different resin composite (RC) layering techniques over discolored substrates. Layering strategies were tested (n=10), using different RCs: flowable opaque, white dentin, A1 dentin, A1 body, and A1 enamel (Filtek Z350XT; 3M ESPE). Bilayer and trilayer RC combinations resulted in final thicknesses of 1 mm, 1.5 mm, and 2 mm. Substrates tested were: A1 (reference), A3, A4, B3, C2, and C4 (Filtek Z350XT Dentin; 3M ESPE). Color differences (∆E00) were measured for the RC layers over discolored substrates with the CIEDE2000 formula. The results were compared statistically (One-way ANOVA) and descriptively (acceptability=1.77 and perceptibility=0.81 thresholds). The layering strategy influenced the ∆E00 of RCs over all substrates (P<0.001). The 1 mm bilayer group combining 0.5 mm of dentin and 0.5 mm of enamel led to ∆E00 below AT for substrates A3 and B3; the 1.5 mm bilayer group combining A1 dentin (1 mm) and enamel (0.5 mm) provided ∆E00 below AT for substrates A3, A4, and C2 and ∆E00 below PT for B3; for substrate C4, the 2 mm trilayer group combining flowable opaque (0.2 mm), A1 dentin (1.3 mm) and enamel (0.5 mm) provided ∆E00 below PT, and the 1.5 mm trilayer groups (flowable opaque + 0.8 mm dentin or body + enamel) led to ∆E00 below AT. Resin Composites were effective in masking discolored substrates. The most adequate layering strategy depended on substrate shade.
Biosecurity practices associated with bovine viral diarrhea virus infection in dairy herds in Brazil
Authors: Ferreira Janaína Santos , Baccili Camila Costa , Nemoto Beatriz Santos , Vieira Fabiano Koerich , Sviercoski Leonardo Moreira , Ienk Tanaane , Pagno Jefferson Tramontini , Gomes Viviani
Published: September 2024

ABSTRACT: This study determined the association between biosecurity practices and the status of bovine viral diarrhea virus (BVDV) in dairy production systems. Approximately 280 herds were screened for BVDV virus detection. Following the screening, 68 herds were selected to identify individual BVDV PI animals using an ear notch biopsy and ELISA-antigen. All offspring of the last generation were tested, and the maternal lineage of positive cases was examined. A questionnaire on BVDV biological risk assessment was completed. A multiple correspondence analysis (MCA) was conducted to determine the association between herds with or without BVDV circulation and biosecurity practices. The MCA revealed that farms with virus circulation lacked knowledge about the disease and wrongly perceived their herds as protected, while farms without virus circulation were aware of the disease but considered their herds unprotected. Vaccination practices differed between positive and negative herds, with positive herds using vaccines only for reproductive diseases and negative herds vaccinating for respiratory and reproductive issues. Biosecurity practices such as frequent visitation, contact between animals of different ages, and annual introduction of new animals were linked to viral circulation, while virus-free herds implemented measures like controlled visitation, no contact between different age groups, and quarantine. Lastly, herds with virus circulation acquired pregnant females without prior testing. This study emphasized the crucial role of biosecurity practices in controlling BVDV in dairy herds. It highlighted the sharper risk perception and better application of biosecurity practices in negative herds compared to BVDV-positive herds.
Adaptability and stability of maize hybrids using the Eberhart and Russell and AMMI models in subtropical environments
Authors: Rosa Guilherme Bergeijer da , Follmann Diego Nicolau , Pereira Anderson Crestani , Bolzan Felipe Tascheto , Marchioro Volmir Sérgio , Maldaner Ivan Carlos
Published: September 2024

ABSTRACT Brazil boasts a vast variety of environmental conditions conducive to maize cultivation. Given the various maize hybrids available in the Brazilian market, properly selecting and positioning different genetic materials are critical for successful grain production. Thus, this study aimed to determine the adaptability and stability of different maize hybrids, comparing the Eberhart and Russell and AMMI models, to guide the positioning of these maize hybrids in subtropical regions. A randomized block experimental design with six hybrids and three replicates was used. The experimental environments were defined by combinations of factors such as location, sowing time, fungicide management and irrigation, resulting in 12 distinct environments. Notably, the two models largely agree. For instance, the AG 9025 PRO3 hybrid showed a high yield during early sowing under favorable conditions, whereas the AS 1730 PRO3 and DKB 230 PRO3 hybrids had good yields even under unfavorable conditions. The main limitation of the Eberhart and Russell model is its limited ability to interpret stability, classifying hybrids only as having high or low predictability, limiting the detailed interpretation of stability. Conversely, the AMMI model offers a more detailed analysis of stability, allowing the interpretation of hybrid stability within a broader set and presenting information graphically, which facilitates understanding and enables a more comprehensive and accurate analysis for the appropriate positioning of maize hybrids.
Understanding maize genotype behavior under stunt complex pressure
Authors: Dudek Giandrei , Molin Leonardo Mateus Dal , Missio Vivian Carré , Luchese Augusto Vaghetti , Missio Robson Fernando
Published: September 2024

ABSTRACT The stunt complex, transmitted by Dalbulus maidis, has become one of the main maize diseases in recent years in Brazil and Latin America. Genetic resistance is one of the best ways to control and prevent plant diseases due to its efficiency, low environmental impact, and reduced need for phytosanitary products. We sought to identify maize genotypes tolerant to the stunt complex and quantify the levels of damage caused by the disease in commercial hybrids and native varieties. A two-year field experiment was conducted to evaluate the maize stunting. We used an augmented block design with 60 genotypes and 3 test hybrids, arranged in 4 blocks. We assessed the incidence and severity of stunting between stages R2 and R3. We evaluated the agronomic characteristics of the different genotypes to compare them with the effects caused by the stunt complex and each genotype’s tolerance. We found more than 1,000 kg ha-1 of losses for commercial and native hybrids due to the stunt complex. Regression and multivariate analyses showed results that prove the effect of the maize stunt complex in reducing productivity, which allowed the classification of the evaluated genotypes into tolerance and resistance levels. The genotypes GNZ 7788 VIP3, Sempre 10A40 VIP3, DKB 360 PRO3, FS 575 PWU, NK Defender VIP3, and MG 540 PWU proved to be the best genotypes to serve as resistance sources to the stunt complex. The results emphasized the importance of genetic improvement in adding resistance/tolerance traits to breeding programs and increasing maize productivity and global sustainability.
Impacto da pandemia de COVID-19 na incidência de violência sexual domiciliar contra crianças e adolescentes no Brasil
Authors: Oliveira Marizângela Lissandra de , Nunes Renata Adele de Lima , Oliveira Fernando Virgílio Albuquerque de , Vale Cecília Regina Sousa do , Gomes Loyane Ellen Silva , Sena Francisco Thiago Carneiro , Beserra Mabell Kallyne Melo , Macena Raimunda Hermelinda Maia
Published: September 2024

Resumo O objetivo do artigo é identificar o impacto da pandemia de COVID-19 na incidência de violência sexual de crianças e adolescentes no ambiente domiciliar no Brasil. Estudo ecológico de série temporal utilizando regressão joinpoint a partir de dados do Sistema de Informação de Agravos de Notificação, período 2009-2021. Analisaram-se frequência relativa e taxas brutas de incidência de violência sexual ocorrida na residência contra a população de 0 a 19 anos, estimando-se variação percentual anual (APC) e variação percentual anual média (AAPC), com intervalo de confiança de 95%. A frequência relativa do agravo obteve maiores valores em 2020 (69,8%) e 2021 (71,7%), com aumento de 3,1% (p = 0,001) em 2017-2021. As meninas foram mais atingidas, com elevação das taxas em 2009-2012 (APC = 44,4; p = 0,010) e 2015-2019 (APC = 16,6; p = 0,017), porém queda em 2019-2021 (APC = -17,7; p = 0,042). Todas as faixas etárias apresentaram aumento significativo até 2019, e redução após esse ano para 5-9 anos (APC = -18,6; p = 0,016), 10-14 anos (APC = -14,1; p = 0,040) e 15-19 anos (APC = -18,4; p = 0,021). A redução nas taxas de incidência desse tipo de violência pode ter sofrido influência do contexto de isolamento social na pandemia de COVID-19, que levou à subnotificação dos casos.
The Medicines Center and pharmaceutical care during the civil-military dictatorship (1970-1974)
Authors: Santana Matheus S.
Published: September 2024

Abstract The present article analyzes the formation of the first pharmaceutical care policies implemented by the Brazilian Federal Government between 1968 and 1974, during the civil-military dictatorship. It examines a set of measures adopted by the Costa e Silva and Médici governments to contain a continuous rise in the prices of raw materials and pharmaceutical specialties, with this context being essential to the creation of the Medicines Center (CEME) in 1971. The core argument of the article is that CEME represented, at the federal level, the consolidation of a policy carried out at the National Institute of Social Security (Instituto Nacional da Previdência Social - INPS) between 1968 and 1970, based on the production of inputs and medicines in public laboratories. Ended in 1970, this policy was resumed the following year with broad participation of military personnel and laboratories of the Armed Forces. The originality of this article lies in its explanation of how such support influenced the establishment of CEME in its early years. Until 1974, military members were the majority in the Board of Directors of CEME, with some of the agency’s early missions being the supplier for Civil-Social Actions of the Armed Forces.
The CEP-Conep System in 2020: confronting COVID-19, challenges and lessons learned
Authors: Vidotti Carlos Cezar Flores , Esher Ângela , Osorio-de-Castro Claudia Garcia Serpa
Published: September 2024

Abstract This paper presents the structuring dimensions of the CEP-Conep System in order to understand the actions promoted by the National Research Ethics Commission in response to demands for the processing and ethical analysis of research protocols related to COVID-19 in 2020. Based on CEP-Conep System public documents, an assessment of legislation, from 1988 to 2020, and its extension in terms of the number of Committees, users, and protocols, from 2012 to 2020 was presented. The minutes of Conep’s Ordinary Meetings (RO), for 2020, of a confidential nature, were analyzed, to verify adaptations to the pandemic. At the end of 2020, the System had 844 Committees, 854,741 users, and 701,791 analyzed protocols. The Commission centralized the analysis of COVID-19 protocols, in January 2020, and promoted three decentralizations, as more knowledge was generated, with vaccine protocols for COVID-19 remaining centralized. The history of the CEP-Conep System provided ballast for the adoption of management, educational and communication measures that accelerated the approval of protocols and made the process transparent. The absence of indicators made it impossible to evaluate the performance in 2020, which was apparently satisfactory.
Ditadura, Saúde e Propaganda: O Programa Nacional de Imunização (PNI) e a campanha midiática de vacinação obrigatória
Authors: Carvalho Keila Auxiliadora
Published: September 2024

Resumo Este artigo analisa os filmes produzidos e veiculados, entre 1976 e 1978, pela Agência Nacional e pela Assessoria de Relações Públicas (ARP) para a campanha de divulgação da vacinação obrigatória que foi instituída pelo Plano Nacional de Imunizações (PNI), criado em 1975, e regulamentado pelo Decreto nº 78.231, de 12 de agosto de 1976. O objetivo é compreender a narrativa construída através de imagens e discursos visando tornar a vacina uma prática culturalmente aceita. Para isso, recorre-se à legislação que versa sobre o tema no período analisado, qual seja na ditadura civil-militar. O regime ditatorial é abordado a partir dos aspectos conceituais que orientam as análises sobre a apropriação das campanhas de saúde como propaganda e dos investimentos em um modelo de saúde privada e curativista. Conclui-se, assim, que a iniciativa de criação do PNI trata-se de um hiato nesse processo de privatização da saúde, já que não é uma ação orientada pela responsabilidade da ditadura para com a saúde da população, mas sim, uma ação que envolveu a gerência de múltiplos atores do campo da saúde, e que foi encampada pelo regime por se tratar de um processo diretamente atrelado a interesses ligados ao projeto de modernização conservadora do país.
Entre invisibilidade e resistência: saúde e demografia indígenas durante a ditadura militar brasileira
Authors: Brito Carolina Arouca Gomes de , Guimarães Bruno Nogueira
Published: September 2024

Resumo Este artigo tem por objetivo sistematizar e analisar em perspectiva histórica as discussões que permearam o tema da saúde indígena em interface com a demografia dessas populações, partindo da dimensão política que a quantificação dos povos indígenas assumiu durante a ditadura militar no Brasil. Abrangendo um extenso período que se estende do estabelecimento do Serviço de Proteção aos Índios em 1910 até o fim dos anos 1980, busca-se oferecer uma visão ampliada sobre o tema. O foco da análise recai especialmente nos anos 1970, destacando os atores envolvidos neste debate: lideranças indígenas, indigenistas, acadêmicos, profissionais de saúde e missionários.
Evaluation of the structure of primary maternal and infant healthcare in the state of Roraima, the North region of Brazil, and Brazil, 2012-2017
Authors: Gondim Daniele Alves Damaceno , Campos Mônica Rodrigues , Castanheira Débora
Published: September 2024

Abstract Primary healthcare is the main gateway and priority for healthcare management in Brazil. However, there are significant challenges in the quality of care, particularly for those most vulnerable, especially maternal and infant healthcare. This fact is exacerbated by regional inequalities, which have historically left the North and Northeast regions at a relative disadvantage. The study involves an analysis of the resources available for maternal and infant healthcare in the state of Roraima, the North region, and Brazil as a whole in 2012, 2014, and 2017, using data from Module I of the National Program for the Improvement of Access and Quality of Primary Care (PMAQ-AB). There was a significant improvement in physical infrastructure indicators (e.g., ventilation and air conditioning) as well as improvement in the distribution of supplies and equipment needed for maternal and infant care between 2014 and 2017. However, the availability of medicines and the number of human resources and hours worked diminished. The study offers a crucial longitudinal analysis, comparing the situation in Roraima and Brazil, whose findings could contribute to the development of programs and public policymaking for reproductive rights and maternal and infant health.
Underreporting of violence against women: an analysis of two data sources
Authors: Vasconcelos Nádia Machado de , Bernal Regina Tomie Ivata , Souza Juliana Bottoni de , Bordoni Polyanna Helena Coelho , Stein Caroline , Coll Carolina de Vargas Nunes , Murray Joseph , Malta Deborah Carvalho
Published: September 2024

Abstract This article aims to estimate the underreporting of violence against women (VAW) in the Notifiable Diseases Information System (SINAN), based on data from the National Survey of Health (NSH), in Brazil and subnational units (SU). This work was an ecological study using SINAN and NSH, both from 2019. In SINAN, reports of sexual, physical, and psychological VAW, aged 18 years or older, were selected. In the NSH, women of the same age group who reported psychological, physical, or sexual violence, and who had sought health care due to consequences of the violence were selected. SINAN underreporting was calculated in reference to the NSH’s estimated population, for Brazil and each SU. Underreporting of VAW in Brazil was 98.5%, 75.9%, and 89.4% for psychological, physical, and sexual violence, respectively. The North and Northeast states presented the lowest reporting rates among the states. VAW in Brazil is highly underreported by the health sector, showing the need for adequate training of health professionals to recognize situations of violence and raise awareness of the importance of reporting.
Comunicação em casos de near miss materno: uma análise a partir de Habermas
Authors: Brilhante Aline Veras Moraes , Branco July Grassiely de Oliveira , Colares Monalisa Silva Fontenele , Sampaio Luciana Andrade da Mota
Published: September 2024

Resumo O estudo buscou compreender a rede de significados construídos intersubjetivamente por mulheres sobreviventes ao near miss materno sobre os lapsos na assistência à gestação, ao parto e ao nascimento, partindo da teoria da comunicação de Habermas. Optou-se pela metodologia qualitativa, com participação de 14 mulheres sobreviventes ao near miss materno por meio da entrevista narrativa autobiográfica proposta por Schutze, partindo da teoria do agir comunicativo de Jurgen Habermas. A partir da análise, emergiram duas categorias: “escuta seletiva, embates e negligência” e “culpabilização da paciente e a comunicação violenta”. As narrativas descortinam que a relação interpessoal não foi dialógica, e sim pautada em um saber superior em contraposição ao reconhecimento do outro, refletindo nos profissionais uma postura autoritária, não reflexiva e sem a autocrítica ou liberdade crítica genuína, com importantes repercussões na atenção ao usuário. A primazia da racionalidade estratégica e a defesa de um êxito técnico verticalizado contribuíram para importantes lapsos de comunicação na assistência a mulheres que evoluíram para near miss materno.
Development and validation of a questionnaire (QSPC-Q) for assessment of quality and strengthening of primary care in Brazil
Authors: Sales Mozart Júlio Tabosa , Goes Paulo Sávio Angeiras de , Carvalho Aline Priscila Rego de , Silva Caio Cesar Arruda da , Silva Junior José Roberto da , Abreu Amanda Carolina Félix Cavalcanti de , Pazos Carolina Thaiza Costa , Vidal Suely Arruda
Published: September 2024

Abstract The performance evaluation of services through instruments is relevant, as it can support thoughts, actions and political approaches to meet a social need. The objective of the article was to develop and validate the Quality and Strengthening of Primary Care Questionnaire (QSPC-Q) for professionals and users based on Starfield attributes and Donabedian pillars. A mixed sequential study was performed to develop the QSPC-Q. The test was applied to 149 doctors and 795 users of basic health units. Psychometric properties was assessed by testing internal consistency using Cronbach’s alpha and exploratory factor analysis. Reproducibility od scale was assessed using intraclass cognitive and test-retest correlation. The final version of the follow-up consisted of 45 items aimed at physicians (Cronbach’s alpha = 0.921) and 33 at users (Cronbach’s alpha = 0.86); the intraclass respiratory capacity was 0.88. An exploratory factor analysis identified 13 factors associated with the pattern components. A short version with 29 items for professionals was also elaborated. Professional QSPC-Q (short and braided versions) and user QSPC-Q were valid.
Evolution of food deserts and food swamps in a Brazilian metropolis between 2008 and 2020
Authors: Honório Olivia Souza , Mendes Larissa Loures , Moreira Caroline Camila , Araújo Melissa Luciana de , Pessoa Milene Cristine
Published: September 2024

Abstract The aim of the current ecological study is to assess the evolution of food deserts and food swamps in the metropolitan city of Belo Horizonte between 2008 and 2020. Food deserts were determined based on the density of healthy establishments per 10,000 inhabitants, whereas food swamps were set based on the density of ultra-processed food procurement establishments per 10,000 inhabitants. The rate of census tracts classified as food deserts has decreased between 2008 and 2020, whereas that of census tracts classified as food swamps has increased within this same period. Furthermore, despite the reduced number of food deserts, these areas have increased in census tracts living under lower socioeconomic vulnerability condition. Food swamps recorded sharp increase in census tracts living under higher vulnerability condition. The population living in the herein investigated city has been increasingly exposed to an unhealthy community food environment over 12 years. Monitoring changes in community food environment is key strategy to enable tracking the effectiveness and efficiency of actions taken in food environments to ensure the human right to adequate food.
Consumption of food markers of a healthy diet according to racial groups of women in Brazil
Authors: Neta Joana Furtado de Figueiredo , Gomes Samara Calixto , Oliveira Bruno Luciano Carneiro Alves de , Henrique Thayná de Lima Sousa , Freitas Roberto Wagner Júnior Freire de , Guedes Nirla Gomes , Pinheiro Ana Karina Bezerra , Damasceno Marta Maria Coelho
Published: September 2024

Abstract This article aims to analyze the consumption of healthy food consumption markers, according to racial groups of Brazilian women interviewed in the 2019 National Health Survey (NHS). This work was a cross-sectional study with data from 45,148 white and black women, aged ≥ 20 years. The variables used were the consumption of fruits, vegetables and legumes, beans, and fish. The association between color/race and the dietary intake indicators was tested using crude Poisson regression and adjusted to estimate prevalence ratios and 95% confidence intervals (95%CI). The prevalence of the consumption of fruits and vegetables was statistically higher among white women, while fish and beans was higher among black women. After adjusting for socioeconomic and demographic variables, it was found that black women remained only less likely to consume fruit (PR = 0.91; 95% CI: 0.88-0.95) and only more likely to consume beans (PR = 1.07; 95% CI: 1.04-1.10) than whites. There were racial inequalities for the consumption of healthy foods among Brazilian women, indicating that color/race defined a dietary pattern for black women that put them in vulnerable conditions in terms of fruit consumption.
Doutorado Profissional em Atenção Primária em Saúde (DPAPS): o início de um legado para o SUS carioca
Authors: Pinto Luiz Felipe , Soranz Daniel
Published: September 2024

Resumo Desde 2009, a Secretaria Municipal de Saúde do Rio de Janeiro (SMS-RJ) fomentou a criação do mestrado em atenção primária à saúde na Escola Nacional de Saúde Pública/Fiocruz (ENSP/Fiocruz). Essa proposta, na década seguinte, se tornou uma das principais linhas do programa de pós-graduação stricto sensu profissional da instituição, culminando com a aprovação pela CAPES da primeira turma de doutorado profissional na história da Fiocruz-RJ ofertada em 2024. A turma é formada por alunos da atenção primária à saúde (APS) do SUS carioca e por servidores da Fiocruz na área de ciência, tecnologia & inovação. No que se refere ao perfil dos alunos da APS destacam-se as mulheres (61,5%), a graduação em medicina (53,8%), o tempo médio de 15 anos de formado, 10 anos de atuação na APS, egressos de curso de residência médica ou multiprofissional (69,2%) e do mestrado em atenção primária da ENSP/Fiocruz ou UFRJ (84,6%). A SMS-RJ deixa assim, um legado para a Saúde Pública brasileira como protagonista no fomento aos programas de formação profissional stricto sensu da Fiocruz-RJ, inovando nos trabalhos de final de curso, resgatando a presença dos médicos nas turmas e trazendo para o debate do SUS carioca, as contribuições do SNS português, fonte de inspiração para a reforma da APS empreendida no Rio de Janeiro.
When the only solution is death: suicide among male and female workers in Brazil
Authors: Palma Tarciso de Figueiredo , Teixeira Jules Ramon Brito , Bandini Marcia Cristina das Dores , Lucca Sergio Roberto de , Araújo Tânia Maria de
Published: September 2024

Abstract An ecological study that assessed the frequency of suicides in Brazil in the 14-65 age group, with data reported on the MIS. Objectives: to describe the time-trend of suicides during the period 2010-19, and evaluate the socio-occupational profile of occurrences, exploring aspects connecting suicide and work. We analyzed the percentage distribution, proportional percentage variation (PPV) estimates, and mortality rates (MRs), with population data from IBGE, RAIS, and occupation surveys. Between 2010-19, suicides showed a sustained upward trend (global PPV = 60.1%) which was higher in men (PPV = 62.8%) than women (PPV = 51.4%). The MR was 8.1 suicides/100,000 people of a working age. The risk of suicide was 3.5 times higher in men than women. In 2019, the MR among self-declared indigenous people (19.5/100,000) and agricultural workers (21.7/100,000) is highlighted. Hanging was the most commonly used method (71.4%). The evolution of suicide and accentuated vulnerability in the self-declared indigenous population and agricultural workers is of great concern. The expansion of affected occupations is also highlighted, indicating its dissemination and relevance for attention to characteristics of surveillance work and the control of suicide.
Análise da Interação entre o Vento Solar e a Magnetosfera da Terra e seus Efeitos em Impulsos Súbitos
Authors: Piassi Amanda Resende , Chagas Laysa Cristina Araújo Resende , Denardini Clezio Marcos , Honda Rogério Hisashi , Tavares Felipe Oliveira , Degeroni Vinicius , Ferreira Karen Júlia Coldebella
Published: September 2024

O Sol emite continuamente um plasma conhecido como vento solar, que se propaga pelo espaço interplanetário. Esse plasma interage com o campo magnético da Terra (CMT), formando a magnetosfera, uma região onde diferentes tipos de plasma e correntes coexistem. Quando ocorre uma variação da pressão do vento solar, há uma compressão ou descompressão da magnetosfera, provocando alterações na corrente de Chapman-Ferraro na magnetopausa. Essas alterações geram um campo magnético que é percebido quase instantaneamente por magnetômetros instalados em satélites ou em observatórios terrestres através de um aumento repentino na componente H do campo geomagnético, denominado Impulso Súbito (SI, do inglês “Sudden Impulse”). Os SI, quando medidos em solo, apresentam morfologias e amplitudes diferentes, uma vez que também sofrem influência das correntes ionosféricas locais. Desta forma, o presente artigo revisa as principais teorias sobre o acoplamento vento solar-magnetosfera, considerando modelos e dados experimentais. Explora-se ainda a diversidade na morfologia dos SI medidos em solo. Os resultados obtidos destacam que, embora as bases físicas do acoplamento entre o vento solar e a magnetosfera estejam bem estabelecidas teórica e experimentalmente, alguns pontos continuam em discussão, tais como a influência da Anomalia Magnética da América do Sul nos SI.
Uma revisão sistemática da literatura sobre o ensino de Computação Quântica
Authors: Frare Vitória Luiza Fernandes , Araujo Ives Solano , Veit Eliane Angela
Published: September 2024

Este trabalho apresenta uma revisão sistemática da literatura sobre o ensino de Computação Quântica (CQ) de 2010 a 2023, com artigos indexados nas bases Scopus, Web of Science e Scielo. Foram selecionados 50 artigos dos 283 inicialmente encontrados. Nosso estudo oferece um panorama dessas publicações, identificando a natureza dos trabalhos, o nível de ensino, o objetivo central, a metodologia utilizada, as justificativas para o ensino de CQ, as ferramentas e recursos empregados, os principais conteúdos ensinados e os resultados e recomendações. Dentre os resultados, destaca-se que a maioria dos estudos foca no nível de graduação e são propostas, com poucas pesquisas empíricas e relatos de experiência. Identificamos uma carência de referenciais teórico-metodológicos e uma lacuna na formação de professores, com apenas um estudo neste tema. A introdução da CQ é frequentemente feita através da programação quântica, aproveitando ferramentas para a construção de circuitos quânticos, valorizados pela indústria. Os desafios incluem falta de clareza nos objetivos educacionais e métodos de ensino. Recomendações incluem a integração de tópicos quânticos desde níveis introdutórios, continuidade na pesquisa, desenvolvimento de materiais educativos e parcerias com a indústria. O interesse no ensino de CQ é impulsionado pelo potencial de impacto das tecnologias quânticas na economia global.
RESISTÊNCIA ANTIMICROBIANA DE AMOSTRAS DE ESCHERICHIA COLI ISOLADAS DE FEZES DE LEITÕES COM DIARRÉIA
Authors: Baccaro M.R. , Moreno A.M. , Corrêa A. , Ferreira A.J.P. , Calderaro F.F.
Published: September 2024

RESUMO Escherichia coli é um importante agente causador de enterite em leitões, sendo a infecção de difícil controle devido a elevada capacidade deste agente em desenvolver e disseminar mecanismos de resistência aos antimicrobianos utilizados para o tratamento da doença. Estabeleceu-se o perfil de resistência de 600 amostras de E.coli isoladas de fezes de 100 leitões lactentes com diarréia e procedeu-se a determinação da concentração inibitória mínima para os seguintes antimicrobianos: ampicilina, ceftiofur, estreptomicina, kanamicina, oxitetraciclina, cloranfenicol, flumequina, penicilina, sulfadiazina-trimetoprima, gentamicina, neomicina, enrofloxacina, norfloxacina. Os resultados obtidos mostraram a ocorrência freqüente de resistência múltipla aos principais antimicrobianos utilizados na terapia da diarréia em leitões lactentes.
SELETIVIDADE DE THIAMETHOXAM SOBRE A ENTOMOFAUNA DE HIMENÓPTEROS PARASITÓIDES (INSECTA, HYMENOPTERA) NA CULTURA DO FEIJÃO (PHASEOLUS VULGARIS L.) EM RIBEIRÃO PRETO, SP
Authors: Perioto N.W. , Lara R.I.R. , Santos J.C.C. , Selegatto A. , Luciano E.S.
Published: September 2024

RESUMO Avaliou-se o efeito dos inseticidas (doses em g i.a./ha): thiamethoxam 350 FS (105) + thiamethoxam 250 WG (37,5) 21 dias após a emergência (d.a.e.), thiamethoxam 350 FS (105) + thiamethoxam 250 WG (37,5) 14 e 28 d.a.e., thiamethoxam 350 FS (105) + profenofos 500 (300) 14 e 28 d.a.e. e methamidophos 60 CS (60) 7, 14, 21 e 28 d.a.e. sobre a fauna de himenópteros parasitóides na cultura de feijão, em Ribeirão Preto, SP. Utilizou-se o delineamento estatístico de blocos ao acaso, com cinco tratamentos e cinco repetições. As coletas foram realizadas no período de 27/11/ 2001 a 3/1/2002 por meio de 75 armadilhas de Moericke. Os dados foram analisados através do teste F e Tukey (5%) e a % de eficiência calculada pela fórmula de Abbott. Segundo este estudo o thiamethoxam mostrou-se seletivo à população de himenópteros parasitóides e o seu uso é uma alternativa para o controle de pragas do feijoeiro.
NOVO HOSPEDEIRO E HABITAT PARA O PARASITÓIDE SPALANGIA DROSOPHILAE ASHMEAD (HYMENOPTERA: PTEROMALIDAE) NO BRASIL
Authors: Marchiori C.H. , Barbosa R.M. , Silva Filho O.M. , Fortes F.C.A , Gonçalves P.L.P. , Brunes R.R. , Laurindo J.F. , Borges R.F.
Published: September 2024

RESUMO Este trabalho relata a ocorrência do parasitóide Spalangia drosophilae Ashmead (Hymenoptera: Pteromalidae) coletados em pupas de Peckia chrysostoma (Wiedemann) (Diptera: Sarcophagidae) utilizando armadilhas contendo como isca fezes humanas em área de mata no Parque da Serra de Caldas Novas, Goiás, no período de agosto a novembro de 2003. Foram coletados 21 espécimes do parasitóides S. drosophilae em 97 pupas de P. chrysostoma. A prevalência de parasitismo obtida foi de 21,6%.
Ballet Clássico e Teoria Winnicottiana: Aprendizagem da Dança Clássica e Amadurecimento Emocional em Winnicott
Authors: Dutra Raphael Edson , Sei Maíra Bonafé
Published: September 2024

Resumo: Objetivou-se criar um diálogo entre a teoria do amadurecimento emocional de Winnicott e a dança clássica (ballet) com o intuito de aproximar os conceitos winnicottianos de integração, personalização e realização aos degraus trilhados na educação artística clássica de bailarinas(os). Partiu-se de um estudo qualitativo, embasado na psicanálise, empreendido por meio de entrevistas com dezesseis professores de ballet clássico com formação mista. Produziu-se uma interseção entre os dois campos de saber, de um lado, o desenvolvimento do self no caminho da dependência à independência e, do outro, a experiência das bailarinas na dinâmica maturacional técnica e artística exigida no ballet.
Jouissance and Passage to Civil Life: The Case of a Former FARC-EP Combatant
Authors: Gallego John James Gómez , Arias Ana Lucía Arango
Published: September 2024

Abstract: We present some research findings on the subjective responses around the jouissance, before the semblances offered by the Other, in the case of a former FARC-EP combatant. The purpose was to locate the significant coordinates that determine their position of jouissance with respect to their choice to sign the Peace Agreement with the Colombian State. As a finding, this step was possible when re-encountering the master signifiers that give consistency to his illusion of being something for the Other, maintaining a certain share of drive satisfaction, structural, beyond the phenomenology of the war scenario.
QUESTÃO FUNDIÁRIA E OS TERRITÓRIOS QUILOMBOLAS DO LESTE MARAJOARA: O RETRATO DE UMA AMAZÔNIA COLONIZADA PELO BRASIL
Authors: Lopes Marcelo Rodrigues , Dias Odenira Correa
Published: September 2024

Objetiva-se neste artigo conhecer as perspectivas contemporâneas de epistemologias raciais e os projetos de desenvolvimento fiscal ao Leste Marajoara para se analisar os conflitos fundiários na região. As ferramentas metodológicas mobilizadas foram uma pesquisa bibliográfica, aliada a um trabalho de campo imersivo, composta por observação participante, questionários socioeconômicos e entrevistas semiestruturadas. Posteriormente, as informações obtidas em campo foram comprovadas por meio da transcrição das entrevistas registradas, bem como a tabulação de dados dos questionários socioeconômicos. Diante dos territórios das comunidades quilombolas do Leste marajoara, depreende-se que o Estado continua a subalternizar e inferiorizar a vida desses sujeitos, pois ao passo que não construiu ações que acelerem as demarcações dos territórios, era como um comerciante “vendendo” a região para latifúndios que iriam investir suas commodities nessas terras. O avanço abrangeu os latifúndios de arrozais aliados à construção da rodovia PA-154 para escoamento da produção na região vem aprofundando os conflitos e a violência que se sobrepõem sobre as comunidades, conformando um cenário de guerra. Os discursos e as mobilizações locais vistas pelos moradores “tradicionais” de Vila União/Campina nos denotam para práticas de resistência diante do horizonte da morte imposto a partir da construção da rodovia PA-154, bem como do monocultivo de abacaxi e o avanço dos arrozais.
Massacres enquanto signos de poder: a governança criminal por Los Zetas em Tamaulipas, México
Authors: De Oliveira Araujo Pedro Ivo
Published: September 2024

O processo de governança criminal do México tem sua origem no desenvolvimento dos primeiros grupos armados nos anos 1980, chamados comumente como cartéis. Após a dissolução do Cartel de Guadalajara, ao final dos anos 1990, o território mexicano tornou-se marcado pela atuação de múltiplas organizações criminosas, como Los Zetas. Tendo seu ápice nos anos 2010, foi caracterizado pela sua atividade ilegal marcada pela violência. Dessa forma, o artigo se propõe a analisar a atuação realizada por Los Zetas na entidade federativa de Tamaulipas, através da perspectiva da governança criminal, utilizando como base os massacres de San Fernando, ocorridos, respectivamente, em 2010 e 2011, que vitimou quase 200 indivíduos ao todo, e lançou luz sobre o debate da capacidade de governança dos cartéis no México.