bluuebunny/crossref_metadata_2025 huggingface dataset:
Analysis of compliance to antiretroviral treatment among patients with HIV/AIDS
Authors: Souza Hélia Carla de , Mota Márcio Rabelo , Alves Amanda Ribeiro , Lima Filipe Dinato , Chaves Sandro Nobre , Dantas Renata Aparecida Elias , Abdelmur Samuel Barbosa Mezavila , Mota Ana Paula Vaz da Silva
Published: September 2019

ABSTRACT Objective: To analyze the compliance to antiretroviral therapy among HIV/AIDS patients. Method: 99 HIV-positive volunteers undergoing treatment responded to a semi-structured sociodemographic interview and to a questionnaire that assessed compliance to antiretroviral treatment. Results: In the sample analyzed, 52.5% of the volunteers presented good/adequate treatment compliance, while 33.3% presented low/insufficient compliance. There was no significant difference between men and women in the questionnaire score, nor between groups with different levels of education. Conclusion: The main items of the questionnaire that contributed to good/adequate compliance were: positive impact of treatment on health and quality of life, few side effects after initiation of therapy, and positive self-evaluation of participants regarding their compliance to antiretroviral therapy. The main barriers detected for compliance to antiretroviral therapy were the lack of knowledge about current medications and the lack of information on antiretroviral therapy drugs.
Clinical and epidemiological features of tuberculosis in children and adolescents
Authors: Sousa George Jó Bezerra , Silva Julio Cesar de Oliveira , Queiroz Talita Vaz de , Bravo Lia Guedes , Brito Gizelly Castelo Branco , Pereira Aline de Souza , Pereira Maria Lúcia Duarte , Santos Luciana Kelly Ximenes dos
Published: September 2019

ABSTRACT Objective: To analyze the clinical and epidemiological features of tuberculosis in children and adolescents in an infectious diseases reference hospital. Method: A documental and retrospective study was carried out with 88 medical files in an infectious diseases reference hospital in the state of Ceará. Data were analyzed by univariate, bivariate and multivariate approaches. Results: It was found that, depending on the tuberculosis type, its manifestations may vary. The logistic regression model considered only pulmonary tuberculosis due to a number of observations and included female sex (95% CI: 1.4-16.3), weight loss (95% CI: 1.8-26.3), bacilloscopic screening (95% CI: 1.5-16.6) and sputum collected (95% CI: 1.4-19.4) as possible predictors. Conclusions: Children and adolescents present different manifestations of the disease depending on the tuberculosis type that affects them. Knowing the most common features of each condition could enhance early diagnosis and, consequently, result in adequate treatment and care.
Counseling practices in Sexually Transmitted Infections/AIDS: the female health professionals’ perspective
Authors: Silva Yugo Torquato da , Silva Luciano Bairros da , Ferreira Sonia Maria Soares
Published: September 2019

ABSTRACT Objective: to analyze the health professionals’ perception about counseling in a Centro de Testagem e Aconselhamento em Infecções Sexualmente Transmissíveis (Center for Testing and Counseling in Sexually Transmitted Infections (STIs) and AIDS) in Maceió, Alagoas. Method: it is a qualitative research, with theoretical framework of the Discursive Practices and Production of Senses in the daily life carried out with the participation of 6 counselors. For research material production, the ‘Conversation Round’ technique and the semi-structured script were used. For material treatment the Discourse Analysis method was used, resulting in the production of analysis categories and Dialogic Maps. Results: in the current policies and actions of STI/AIDS, there is centralization in the procedures of anti-HIV testing and displacement of the professional counselor, undoing the testing and counseling. Final considerations: the study indicates the need to overcome the instrumental and prescriptive models of counseling to produce a dialogical process of care and co-responsibility.
Care sharing for people with HIV/AIDS: a look targeted at young adults
Authors: Coelho Bruna , Meirelles Betina Hörner Schlindwein
Published: September 2019

ABSTRACT Objective: To understand the care sharing for people living with HIV/AIDS, especially young adults, as well as the structuring of the line of care in the capital of Santa Catarina. Method: Qualitative research, anchored by theory based on data collected in the Health Care Network of Florianópolis, totaling 19 participants distributed between two sample groups. The data collection and analysis were concomitant, with comparative analysis method. Results: The municipality has been transitioning in the health care model for people with HIV/AIDS, especially young adults, whose care is shared within the Health Care Network. Final considerations: In the municipality, there is the inclusion of management of HIV in primary health care services along with the establishment of a more resolutive care model. Thus, the care of this population is shared in different points of the health care network.
Tuberculosis: health care and surveillance in prisons
Authors: Allgayer Manuela Filter , Ely Karine Zenatti , Freitas Graziela Hamann de , Valim Andréia Rosane de Moura , Gonzales Roxana Isabel Cardozo , Krug Suzane Beatriz Frantz , Possuelo Lia Gonçalves
Published: September 2019

ABSTRACT Objective: To identify tuberculosis-related health care and surveillance actions in Prison Health Units. Method: Cross-sectional study, of quantitative, exploratory and descriptive character. We visited 13 Teams of Prison Health, and nurses and technicians were interviewed regarding epidemiological surveillance instruments, physical structure and materials. Results: Search for respiratory symptoms in admission was reported by 6 (46.2%) of the teams, and the smear microscopy was the most requested test. The Logbook of Respiratory Symptoms and the Logbook for Monitoring Tuberculosis Cases were used in 7 (53.8%) institutions. Two of them (15.4%) had a location for sputum collection and 1 (7.7%) had a radiographer. The Directly Observed Therapy was reported in 7 (53.8%) units. Conclusion: Health care actions related to the search for respiratory symptoms and Directly Observed Therapy should be expanded, as well as surveillance actions and recording in official documents of the National Tuberculosis Control Program.
Sociodemographic and health profile of TB/HIV co-infection in Brazil: a systematic review
Authors: Bastos Shyrlaine Honda , Taminato Mônica , Fernandes Hugo , Figueiredo Tânia Maria Ribeiro Monteiro de , Nichiata Lúcia Yasuko Izumi , Hino Paula
Published: September 2019

ABSTRACT Objective: to ascertain the epidemiological profile of TB/HIV co-infection in Brazilian scenarios. Method: this is a systematic review conducted via electronic search in databases PubMed, EMBASE, LILACS and SciELO, having as inclusion criterion articles based on the Brazilian scenario of TB/HIV co-infection. Results: of the total 174 studies, 15 were selected, revealing the epidemiological profile of the co-infection in different scenarios: male, economically active age, low education level, brown/black ethnicity, low income, heterosexual, pulmonary clinical form, alcoholism and Directly Observed Therapy. Conclusion: the sociodemographic and epidemiological profile of people with TB/HIV co-infection has an expected occurrence pattern, which corroborates articles found in the literature, either at national level or by grouping the studies according to region or state.
Dynamics of the social network of young female transsexuals that live and deal with HIV/AIDS
Authors: Abreu Paula Daniella de , Araújo Ednaldo Cavalcante de , Vasconcelos Eliane Maria Ribeiro de , Ramos Vânia Pinheiro , Moura Jefferson Wildes da Silva , Santos Zailde Carvalho dos , Santos Claudia Benedita dos
Published: September 2019

ABSTRACT Objective: to analyze the social network of young female transsexuals who live with HIV/AIDS. Method: descriptive and exploratory study of qualitative approach, based on the Social Network Theory, developed in a Brazilian reference hospital for HIV/AIDS, with six transsexual women. Individual interviews were recorded and transcribed, and the data were subjected to analysis of similarities through the software program IRaMuTeQ. Results: the categories observed were: 1) dynamics of primary social network and social challenges; 2) dynamics of secondary social network and the institutional prejudice. Final considerations: the dynamics of the social network is based on the lack of support of primary and secondary networks, and the containment process limits the reach of quality of life and social emancipation. To deal with this theme will provide the visibility of young female transsexuals in confronting vulnerabilities and guaranteeing human rights.
Tuberculosis: knowledge among nursing undergraduate students
Authors: Carvalho Cleina de Fátima , Ponce Maria Amélia Zanon , Silva-Sobrinho Reinaldo Antonio da , Mendez Roberto Della Rosa , Santos Mariana Alvina dos , Santos Edirlei Machado dos , Wysocki Anneliese Domingues
Published: September 2019

ABSTRACT Objective: To analyze the knowledge about tuberculosis among nursing undergraduate students of a Federal Higher Education Institution. Method: Descriptive cross-sectional study, with quantitative approach. Data were collected through a questionnaire based on the WHO’s guide to developing evaluation instruments on knowledge, attitudes and practices related to TB. Students were classified as “with knowledge” and “with little knowledge” based on the mean percentage of correct responses to the variables analyzed. Descriptive statistics techniques were used. Results: 60 nursing students were interviewed. “with little knowledge” was observed among students who were studying at the university for less time and who had no previous contact with the subject, and “with knowledge” was observed among those whose knowledge about tuberculosis was acquired in the health services. Conclusion: Knowledge gaps among undergraduate nursing students were identified, suggesting the need to rethink teaching-learning strategies on the subject.
Depression, self-concept, future expectations and hope of people with HIV
Authors: Patrício Anna Cláudia Freire de Araújo , Silva Ingrid Bergmam do Nascimento , Ferreira Milenna Azevedo Minhaqui , Rodrigues Brenda Feitosa Lopes , Silva Rôseane Ferreira da , Nascimento João Agnaldo do , Silva Richardson Augusto Rosendo da
Published: September 2019

ABSTRACT Objective: To analyze conditions of depression, self-concept, future expectations and hope in people with HIV/AIDS. Method: Cross-sectional survey of 108 individuals living with HIV/AIDS, carried out in a reference hospital for the treatment of infectious diseases in Northeast Brazil. The following instruments were employed: sociodemographic data, and questionnaires for ascertaining participants’ emotions, including scales for self-concept, hope, depression (HAMD-D), and future expectations. Descriptive statistics using the following tests were performed: Mann–Whitney, Kruskal–Wallis, chi-square, and t-test—considered significant when p ≤ 0.05. Results: 31.5% presented mild depression and 21.3% presented moderate depression; 63% reported difficulty in obtaining decent employment; 52.8% considered life a failure; 52.8% felt worthless. Fear, guilt and loneliness influenced self-concept (p ≤ 0.05). Loneliness influenced hope (p ≤ 0.05). Conclusion: It is necessary to raise the attention of nursing professionals and healthcare managers to the importance of providing health services that consider the mental health of people with HIV/AIDS, contributing to treatment adherence and well-being.
Development and evaluation of an application for syphilis control
Authors: Sales Rafaela Oliveira de , Dilts Lucas Michael , Silva Raimunda Magalhães da , Brasil Christina Cesar Praça , Vasconcelos Filho José Eurico de
Published: September 2019

ABSTRACT Objective: to develop and evaluate an application for syphilis control in pregnant women. Method: methodological research developed between March and November of 2016 in two phases: bibliographic survey of the years 2012 to 2016 in the databases PubMed, CAPES and Scopus and application development. Eight users participated in the usability test and five doctors and five nurses working in prenatal care participated in the evaluation. Results: the application contains informative video, information about the disease, map of health clinics, agenda function and anonymous notification. The evaluation of the objective, function and relevance was considered adequate with value higher than 0.80 in all items of the Content Validity Index. Final considerations: the application makes easier the routine of health services in the context of health promotion, in the convocation and treatment of pregnant women and their partners.
Microdatasus: pacote para download e pré-processamento de microdados do Departamento de Informática do SUS (DATASUS)
Authors: Saldanha Raphael de Freitas , Bastos Ronaldo Rocha , Barcellos Christovam
Published: September 2019

O objetivo do estudo foi desenvolver um algoritmo capaz de realizar o download e o pré-processamento de microdados fornecidos pelo Departamento de Informática do SUS (DATASUS) para diversos sistemas de informações em saúde para a linguagem de programação estatística R. O pacote desenvolvido permite o download e o pré-processamento de dados de diversos sistemas de informação em saúde, com a inclusão da rotulagem dos campos categóricos nos arquivos. A função de download foi capaz de acessar diretamente e reduzir o volume de trabalho para a seleção de arquivos e variáveis de microdados junto ao DATASUS. Já a função de pré-processamento foi capaz de efetuar a codificação automática de diversos campos categóricos. Dessa forma, a utilização desse pacote possibilita um fluxo de trabalho contínuo no mesmo programa, no qual esse algoritmo permite o download e o pré-processamento, e outros pacotes do R permitem a análise de dados dos sistemas de informação em saúde do Sistema Único de Saúde (SUS).
Experiencias de mujeres sobrevivientes a morbilidad materna extrema en México, un estudio cualitativo desde el modelo de las tres demoras
Authors: Rangel-Flores Yesica Yolanda , Hernández-Ibarra Luis Eduardo , Martínez-Ledezma Alexia Guadalupe , García-Rangel Minerva
Published: September 2019

Resumen: El objetivo fue analizar las experiencias de sobrevivientes de morbilidad materna extrema, para desde el enfoque de las tres demoras, identificar los determinantes que obstaculizan este proceso en el estado de San Luis Potosí, México. Durante 2016-2017, se realizó un estudio cualitativo con 27 mujeres que vivieron un evento de este tipo entre 2014 y 2016 en hospitales públicos. Las informantes fueron seleccionadas mediante muestreo teórico y entrevistadas en sus domicilios. El análisis de datos se realizó desde la propuesta de teoría fundamentada de Strauss & Corbin, las categorías asociadas con la primera demora fueron: (1) oportunidades pérdidas para la identificación de morbilidad materna extrema, (2) temor de comunicar el malestar frente a la descalificación, (3) entre el miedo y la fe en que algo superior resolverá, (4) desarrollo de la percepción del riesgo obstétrico. Con la segunda demora: (1) falta de ordenamiento urbano para el traslado, (2) ausencia de regulación de costos del traslado, (3) falta de claridad sobre los itinerarios y rutas críticas para acceder a la atención, (4) coordinación institucional para el traslado oportuno; y finalmente con la tercera: (1) rechazo institucional, (2) deficiencias de infraestructura, personal y equipo, y (3) entre la experiencia y la falta de ella del personal de salud. Las experiencias compartidas evidencian retos en materia de política pública y trabajo intersectorial para mejorar los resultados en materia de morbilidad materna extrema.
Diet Quality Index associated with Digital Food Guide: update and validation
Authors: Caivano Simone , Colugnati Fernando Antonio Basile , Domene Semíramis Martins Álvares
Published: September 2019

Monitoring and assessing dietary intake may favor the promotion of healthy choices and the indexes that assess the quality of the diet contribute to this purpose. The Diet Quality Index associated with the Digital Food Guide (DQI-DFG) was developed from guidelines of the School of Public Health at Harvard University, adjusted for the Brazilian food habits. Based on new studies on prevention of chronic non-communicable diseases, the objective of this study was to improve and validate the DQI-DFG for a second version. The following psychometric properties were used: (a) content validation: consensus on healthy eating and DQI among experts; (b) construct validation: enhancement of a reference diet to determine recommended serving sizes and consumption ranges; correlation between each group score and energy value; comparative analyses between menu assessment by experts and DQI-DGF results to confirm the score criterion; (c) reliability: agreement between the result shown by the evaluators and the result presented by DQI-DFG; correlation between each food group score and total DQI score to understand the relationship between these variables. The energetic values do not influence the DQI score. There is a high correlation between the score attributed by experts and the result of DQI-DFG (r = 0.78 until r = 0.97). The Index components have a balanced score of influence in its final result (r = 0.49 until r = 0.10). Consensus result performed among experts legitimates the concepts that justify DQI-DFG. There was an agreement between menu quality evaluation by experts and the results shown by DQI-DFG.
Which antiretroviral regimen is associated with higher adherence in Brazil? A comparison of single, multi, and dolutegravir-based regimens
Authors: Cardoso Tarsilla Spezialli , Costa Juliana de Oliveira , Reis Edna Afonso , Silveira Micheline Rosa , Bonolo Palmira de Fátima , Santos Simone Furtado dos , Ceccato Maria das Graças Braga
Published: September 2019

Abstract: We evaluated adherence to highly active antiretroviral therapy (HAART) and its associated factors according to the type of regimen in patients initiating treatment in Belo Horizonte, Minas Gerais State, Brazil. We measured adherence using the eight items Morisky Therapeutic Adhesion Scale (MMAS-8) and compared the use of “backbone” tenofovir/lamivudine plus efavirenz one tablet once-daily (STR) or dolutegravir in multi-tablet once-daily (MTR-DTG), or other multi-tablet regimens (MTR-other). We conducted a multivariate logistic regression analysis to address factors associated with adherence. A total of 393 patients were included, 254 used STR, 106 MTR-DTG, and 33 MTR-other. The overall adhesion rate was 44.8% (95%CI: 39.4; 50.1), 50% for MTR-DTG, 43.3% for STR and 39.4% for MTR-other. Multivariate analysis showed a higher chance of adherence among patients using MTR-DTG, those who received and understood counseling about their treatment and with a higher quality of life. Prior use of illicit drugs in the lifetime was associated with poorer adherence. Overall adherence was low, highlighting the need for strategies focusing on counseling about medicines and substance use. Pill burden was not an issue for patients using MTR-DTG once-daily, who achieved better results.
PET-Saúde/GraduaSUS na visão de atores do serviço e do ensino: contribuições, limites e sugestões
Authors: Magnago Carinne , França Tania , Belisário Soraya Almeida , Santos Maria Ruth dos
Published: September 2019

RESUMO Este manuscrito apresenta os resultados de um survey on-line conduzido com os coordenadores de projetos e de grupos da última edição do Programa de Educação pelo Trabalho para a Saúde (PET-Saúde/GraduaSUS), que buscou identificar os resultados alcançados e apontar os limites e as contribuições dessa edição na produção de mudanças. O survey foi realizado em março e abril de 2018, com 445 coordenadores, cujos dados quantitativos foram tratados estatisticamente; e os qualitativos, por análise de conteúdo, dando origem a quatro categorias: As repercussões positivas do PET-Saúde/GraduaSUS; Os aspectos negativos do PET-Saúde/GraduaSUS; A coordenação dos projetos pelo serviço de saúde: ponto controverso; e Sugestões de mudanças. Constatou-se que o PET-Saúde/GraduaSUS contribuiu para o desenvolvimento profissional, ampliação e diversificação dos cenários de aprendizagem, fortalecimento da atenção primária e da educação interprofissional nos currículos e beneficiou a comunidade local. Os principais aspectos positivos da edição foram a coordenação de projeto pelo serviço de saúde e os relatos de experiências na Comunidade de Práticas; já a composição numérica e uniprofissional dos grupos foi apontada como aspecto negativo.
Implantação da acreditação pedagógica de cursos lato sensu em Saúde Pública no Brasil: desafios e perspectivas
Authors: Matos Catharina , Pinto Isabela Cardoso de Matos , Nunes Tania Celeste de Matos
Published: September 2019

RESUMO O objetivo do artigo foi analisar a implantação da acreditação pedagógica no Brasil, no período de 2014 a 2018. Realizou-se análise documental para produção dos dados, a partir dos relatórios elaborados no período, buscando identificar os principais problemas referentes a essa implantação na dimensão da gestão mais ampla e quanto aos processos de acreditação. Os resultados apontaram problemas de várias ordens e efeitos positivos para o processo, para os atores institucionais e para o Sistema Único de Saúde (SUS). Os resultados mostram que há problemas de ordem gerencial, pedagógica e de infraestrutura, entretanto as acreditações produziram efeitos positivos para as escolas, para os trabalhadores e para o SUS.
A interface entre o PET-Saúde/Interprofissionalidade e a Política Nacional de Educação Permanente em Saúde
Authors: Almeida Rodrigo Guimarães dos Santos , Teston Elen Ferraz , Medeiros Arthur de Almeida
Published: September 2019

RESUMO Este ensaio teve como objetivo refletir sobre as contribuições da edição mais recente do Programa de Educação pelo Trabalho para a Saúde - PET-Saúde/Interprofissionalidade para a implementação da Política Nacional de Educação Permanente em Saúde (PNEPS) no âmbito do Sistema Único de Saúde. Nesse contexto, resgata-se a contemporaneidade da formação em saúde, a Educação Interprofissional e o processo formativo, e a execução do PET-Saúde/Interprofissionalidade como potencializador da prática colaborativa na atenção primária. Ressalta-se que, diante dos inúmeros desafios vivenciados pelos serviços de saúde para responder às demandas populacionais variadas e influenciadas pela transição demográfica e epidemiológica, entende-se como necessário ensaiar reflexões sobre a interprofissionalidade e suas contribuições para a implementação da PNEPS. Acredita-se que este material possa subsidiar a discussão e atuação profissional na elaboração e realização de intervenções interprofissionais apropriadas para as diferentes demandas em saúde.
As mídias e as plataformas digitais no campo da Educação Permanente em Saúde: debates e propostas
Authors: França Tania , Rabello Elaine Teixeira , Magnago Carinne
Published: September 2019

RESUMO Este ensaio buscou debater a relevância das mídias e das plataformas digitais como ferramentas para o desenvolvimento e gestão de ações de Educação Permanente em Saúde. Defende-se que as mídias sociais e as plataformas digitais são uma chave para a gestão da educação e do trabalho em saúde se (e somente se) considerados e respeitados os usos tácitos daquelas já existentes e utilizadas pela comunidade de usuários, gestores e trabalhadores. Inicialmente, discute-se o já estabelecido reconhecimento das tecnologias de informação e comunicação como elemento importante para a educação na saúde, a despeito das dificuldades de sua utilização crítica nos cenários. Em seguida, a partir da perspectiva dos estudos digitais, introduzem-se algumas noções correntes sobre redes sociais, cyber e digital, fenômenos que vão além da adoção de certos dispositivos e tecnologias como mediadores, reconhecendo-os como elemento central de diversos grupos e atividades humanas na cultura contemporânea. Por fim, sugere-se a ampliação da proposta de adoção dessas tecnologias para uma de reconhecimento das plataformas e das mídias digitais e seu uso corrente como ferramentas estratégicas para a gestão da educação e do trabalho na saúde.
Educação Permanente em Saúde na formação da Rede Brasileira de Escolas de Saúde Pública
Authors: Souza Rosa Maria Pinheiro , Costa Patrícia Pol
Published: September 2019

RESUMO O presente artigo traz o relato da concepção e implementação de cursos de especialização em saúde pública em dez instituições públicas formadoras que integram a Rede Brasileira de Escolas de Saúde Pública (RedEscola). A iniciativa, inovadora pela metodologia educacional proposta, baseou-se nos princípios e diretrizes da Educação Permanente em Saúde, tendo a valorização do trabalho como eixo pedagógico, a atuação no território e o uso de metodologias ativas no processo ensino-aprendizagem.
Processo decisório no Poder Executivo: uma análise da Camex no presidencialismo de coalizão
Authors: Santos Leonardo Gill Correia , Steiner Andrea Quirino
Published: September 2019

Resumo Introdução: Quem ganha mais em política de comércio exterior? Este estudo observa o processo decisório da Câmara de Comércio Exterior (Camex) no âmbito do presidencialismo de coalizão brasileiro. Ministros de Estado com preferências distintas são constrangidos a tomar decisões sobre propostas de políticas de comércio exterior. Nossa hipótese principal estabelece que, quanto maior a distância ideológica entre o partido de um ministro do partido do Presidente, menor será a chance de êxito desse ministro na Camex. Materiais e Métodos: A partir da análise de conteúdo das atas das reuniões do Conselho de Ministros da Camex entre 2001 e 2010, levantamos 292 propostas de defesa comercial e alterações tarifárias submetidas por ministros à Camex. Utilizamos, então, técnicas de regressão logística e de regressão logística para eventos raros (ReLogit) afim de verificar se a distância ideológica importa para a probabilidade de êxito dos ministros. Resultados: Apesar de algumas ressalvas metodológicas, nossos resultados permitem confirmar a hipótese do estudo, com impacto negativo e significativo da distância ideológica sobre o êxito dos ministros. Os modelos de regressão devem considerar oposições pontuais de membros da Camex sobre algumas propostas dos ministros no Conselho. Discussão: Verifica-se, portanto, que a Camex pode ser considerada uma instância de controle institucionalizado do presidente sobre o gabinete, para além dos controles já usualmente exercidos.
Bronchial carcinoid tumors: second primary neoplasms and outcomes of surgical treatment
Authors: Gross Jefferson Luiz , Vega Marcel Adalid Tapia , Frenhi Guilherme Strambi , Torres Silvio Melo , Campos Antonio Hugo José Froes Marques , Pinto Clovis Antonio Lopes , Costa Felipe D’Almeida , Haddad Fabio José
Published: September 2019

ABSTRACT Objective: To analyze determinants of prognosis in patients with bronchial carcinoid tumors treated surgically and the potential concomitance of such tumors with second primary neoplasms. Methods: This was a retrospective analysis of 51 bronchial carcinoid tumors treated surgically between 2007 and 2016. Disease-free survival (DFS) was calculated by the Kaplan-Meier method, and determinants of prognosis were evaluated. Primary neoplasms that were concomitant with the bronchial carcinoid tumors were identified by reviewing patient charts. Results: The median age was 51.2 years, 58.8% of the patients were female, and 52.9% were asymptomatic. The most common histology was typical carcinoid (in 80.4%). Five-year DFS was 89.8%. Ki-67 expression was determined in 27 patients, and five-year DFS was better among the patients in whom Ki-67 expression was ≤ 5% than among those in whom it was > 5% (100% vs. 47.6%; p = 0.01). Concomitant primary neoplasms were observed in 14 (27.4%) of the 51 cases. Among the concomitant primary neoplasms that were malignant, the most common was lung adenocarcinoma, which was observed in 3 cases. Concomitant primary neoplasms were more common in patients who were asymptomatic and in those with small tumors. Conclusions: Surgical resection is the mainstay treatment of bronchopulmonary carcinoid tumors and confers a good prognosis. Bronchial carcinoid tumors are likely to be accompanied by second primary neoplasms.
Segurança e tolerabilidade de Nintedanibe em pacientes com fibrose pulmonar idiopática no Brasil
Authors: Pereira Carlos Alberto de Castro , Baddini-Martinez José Antonio , Baldi Bruno Guedes , Jezler Sérgio Fernandes de Oliveira , Rubin Adalberto Sperb , Alves Rogerio Lopes Rufino , Zonzin Gilmar Alves , Quaresma Manuel , Trampisch Matthias , Rabahi Marcelo Fouad
Published: September 2019

RESUMO Objetivo Ensaios clínicos mostraram que 150 mg de Nintedanibe duas vezes ao dia reduzem a progressão da doença em pacientes com Fibrose Pulmonar Idiopática (FPI), com um perfil de efeitos adversos que é controlável para a maioria dos pacientes. Antes da aprovação do Nintedanibe como tratamento para a FPI no Brasil, um Programa de Acesso Expandido (PEA) foi iniciado para fornecer acesso precoce ao tratamento e avaliar a segurança e a tolerância do Nintedanibe para este grupo de pacientes. Métodos Foram elegíveis para participar da PEA pacientes com diagnóstico de FPI nos últimos 5 anos, com capacidade vital forçada (CVF) ≥ 50% do previsto e capacidade de difusão dos pulmões para monóxido de carbono (DLco) 30%-79% do previsto. Os pacientes receberam Nintedanibe 150 mg, 2 vezes ao dia (bid). As avaliações de segurança incluíram eventos adversos que levaram à suspensão permanente do Nintedanibe e eventos adversos graves. Resultados O PEA envolveu 57 pacientes em 8 centros. A maioria dos pacientes era do sexo masculino (77,2%) e brancos (87,7%). No início do estudo, a média de idade foi de 70,7 (7,5) anos e a CVF foi de 70,7 (12,5%) do previsto. A média de exposição ao Nintedanibe foi de 14,4 (6,2) meses; a exposição máxima foi de 22,0 meses. Os eventos adversos frequentemente relatados pelo pesquisador como relacionados ao tratamento com Nintedanibe foram diarreia (45 pacientes, 78,9%) e náusea (25 pacientes, 43,9%). Os eventos adversos levaram à suspensão permanente do Nintedanibe em 16 pacientes (28,1%) que passaram por um evento adverso grave. Conclusões No PEA brasileiro, o Nintedanibe apresentou um perfil aceitável de segurança e tolerância em pacientes com FPI, condizendo com dados de ensaios clínicos.
Comparison on cognitive performance among schoolchildren born prematurely according to the presence of intracranial hemorrhage in the neonatal period
Authors: Martino Marcia Salim de , Alves Leandro Lopes Fernandes , Ortiz Sobrinho Cristina , Barbosa Adauto Dutra Moraes
Published: September 2019

Abstract Objectives: to compare the cognitive performance of schoolchildren born prematurely according to the presence of intracranial hemorrhage (ICH) during the neonatal period. Methods: a cross-sectional cohort study of schoolchildren between the ages of 6-8 years old, born prematurely with or without a history of neonatal ICH. Between January and December 2015, some children were followed up at the outpatient clinic of a tertiary hospital and underwent a cognitive evaluation by using the Wechsler Intelligence Scale for Children, Third Edition (WISC-III) and they were divided into two groups: those with no history of ICH (control group) and those with ICH (case group), confirmed by a transfontanelar ultrasound in the prenatal period. Results: 39 schoolchildren were included, 21 cases and 18 controls. There was no difference in gestational age or chronological age at evaluation between the groups. Also there was no significant difference in subtest scores between the groups. Conclusions: WISC-III evaluated the cognitive performance in children, born preterm, aged 6-8 years old, and had neonatal ICH did not differ from those of their peers without a history of ICH. These findings suggest that, in preterm infants, a neonatal diagnosis of ICH may not be associated with cognitive performance at school age and this should be investigated through a longitudinal study.
Influence in the reproductive planning and the women's satisfaction with the discovery of being pregnant in the quality of prenatal care in Brazil
Authors: Santos José Marcos de Jesus , Matos Thais Santos de , Mendes Rosemar Barbosa , Freitas Carla Kalline Alves Cartaxo , Leite Adriana Moraes , Rodrigues Iellen Dantas Campos Verdes
Published: September 2019

Abstract Objectives: to analyze the influence on reproductive planning and the women's satisfaction with the discovery of being pregnant in prenatal care characteristics. Methods: a cross-sectional and quantitative study was carried out between March and July 2018 at a low-risk maternity hospital in the Brazilian Northeast region. A total of 652 puerperal women were evaluated in an interview and by their prenatal care card. The Chi-square test and the Odds Ratio were used for statistical analysis. Results: the pregnancy planning was reported by 42% (n=274), and the women's satisfaction of being pregnant was 64.1% (n=418) of the interviewees. Reproductive planning was associated with early initiation of prenatal care (OR=2.48, CI95%=1.61-3.82) and the women received information about the referral maternity for childbirth (OR=1.44, CI95%=1.05-1.99). The women's satisfaction with their pregnancy was also associated with early initiation of prenatal care (OR=2.18; CI95%=1.47-3.25). It should be noted that the performance of six or more prenatal care consultations was less frequent among pregnant women who had not planned their pregnancy (OR=0.43, CI95%=0.27-0.66) and they felt unsatisfied with the discovery of being pregnant (OR=0.56; CI95%=0.37-0.84). Conclusions: Pregnancy planning and women's satisfaction with the discovery of being pregnant favors the performance of prenatal care with better indicators.
Comprehension on doula's work at a maternity in Jequitinhonha Valley - MG
Authors: Lima Patrícia de Oliveira , Pinheiro Marcos Luciano Pimenta , Miranda João Luiz de , Guedes Helisamara Mota , Almeida Herlon Fernandes de
Published: September 2019

Abstract Objectives: to analyze the understanding of puerperae, doulas and the care team about the presence of a doula during the pregnant women's parturition process. Methods: this is a qualitative study, using semi-structured interviews as a data collection instrument. The saturation criterion was used to limit the sample and proceed to the Content Analysis. Results: 19 participants were interviewed, 10 were the health team, 5 were doulas and 4 were puerperae. After the analysis, three categories were identified: the doula's presence during the pregnant women's labor and their meaning, the doula's follow up during the pregnant women's labor and its improvements, the influence of doulagem in the academic formation. The presence of doulas brought to the parturient security, support, humanization and follow-up on childbirth process. The team brought comfort and tranquility.The doulas scored benefits for academic training. Conclusions: it was possible to recognize doula as part of the humanized care, to provide subsidies for a reflection of her work, and to reveal the influence of the practice of doulagem for academic formation of doulas at university.
Full term newborns in non-nutritive suction evaluationand their relation on feeding performance
Authors: Alves Yasmin Vieira Teixeira , Santos Jéssica Caroline de Jesus , Barreto Ikaro Daniel de Carvalho , Fujinaga Cristina Ide , Medeiros Andréa Monteiro Correia
Published: September 2019

Abstract Objectives: To investigate full term newborns suction pattern in non-nutritive suction and their feeding performance. Methods: An analytical descriptive study was carried out from November 2016 to March 2017, with 50 dyads mothers/newborns through the non-nutritive suction evaluation and a direct observation on the newborn's performance on feeding. The data were distributed through simple and relative frequencies (percentages) when categorical or by mean, maximum, minimum and the standard deviation when is continuous, discrete or ordinal. To evaluate the mean differences, the Student's t test was used with significance level of 5%. Results: There were significant differences among the newborn's mandible movement (“newborn's mouth slightly open” p=0,005), suction (“cheek strain during feeding” p<0,001) and dyad mother and newborn positioning (“breasts supported with fingers on the areola” p=0,041 and baby's neck or trunk turned” p=0,041). Conclusions: Newborns that presented changes in their mandible movement on the Non-Nutritive Suction (NNS) also presented difficulties in feeding. The newborn's knowledge on suction pattern through the NNS has proven to be an important strategy that may help identify possible difficulties during feeding.
Human papillomavirus and risk factors for cervical adenocarcinoma in the state of Pernambuco, Brazil
Authors: Costa Telma Maria Lubambo , Heráclio Sandra , Amorim Melania Maria Ramos , Souza Paulo Roberto Eleutério , Lubambo Natália , Souza Gustavo Fonseca de Albuquerque , Souza Alex Sandro Rolland
Published: September 2019

Abstract Objectives: to determine the incidence of the main high oncogenic risk types of the human papillomavirus (HPV) ( 16, 18, 31 and 33) and the risk factors for cervical adenocarcinoma. Methods: a case-control study was carried out with 324 women (69 with adenocarcinoma and 260 healthy controls) between 2001 and 2014. Information on risk factors associated with adenocarcinomawere collected and the detection performed on HPVby using Polymerase Chain Reaction (PCR) method. Results: adenocarcinoma was associated with age ≥40 years old (OR=2.95; 95%CI=1.13-7.71), ≤3 years of schooling (OR=2.34; 95%CI=1.02-5.37), presence of HPV (OR=6.75; 95%CI=2.41-18.91),women in menopausal status (OR=4.76; 95%CI:1.70-13.31) black race (OR=6.71; 95%CI= 2.11-21.32) and never had undergone cervical cancer screening (OR=9.92; 95%CI:2.41-40.81). Andamong the HPV types detected, HPV 18 was observed to be strongly associated with adenocarcinoma of the cervix (OR=99.1; 95%CI=12.96-757.78). Conclusions: the factors associated with cervical adenocarcinoma were ≥40 years old, ≤3 years of schooling, black race, menopausal status, never had undergone cervical cancer screening and the presence of HPV.
Prevalence and factors associated with excess weight in adolescents in a low-income neighborhood - Northeast, Brazil
Authors: Barbosa Lizelda Maria de Araújo , Arruda Ilma Kruze Grande de , Canuto Raquel , Lira Pedro Israel Cabral de , Monteiro Jailma Santos , Freitas Déborah Lemos , Paula Weslla Karla Albuquerque Silva de , Batista Filho Malaquias
Published: September 2019

Abstract Objectives: to study the prevalence of excess weight and associated factors among adolescents from a low-income neighborhood located in the city of Recife, Pernambuco. Methods: cross-sectional study, in which behavioral, socioeconomic and demographic information was collected from June to December 2014. Excess weight was calculated based on body mass index for age and the cut-off points, by the World Health Organization (2007). To analyze associations between predictor variables and the outcome, multivariate data analysis was performed following the Poisson Regression (Prevalence Ratio - PR) with their respective 95% confidence intervals (95%CI). Results: twenty-five adolescents participated in the study, with a prevalence of 36.4% of excess weight: 20.4% overweight (95%CI=15.1-25.7) and 16.0% obesity (95%CI= 11.2-20.8), predominantly in female gender (42.5%; p=0.031). The outcome was associated with internet access (PR=1.20; 95%CI=1.01-1.43), the number of people in the family (PR= 1.12; 95%CI=1.01-1.28) and screen time (PR=1.13; 95%CI=1.01-1.27), but only in male gender. Conclusions: the prevalence found was higher than that of other national researches, especially for the female gender. In the male gender, not having internet access, a lesser number of family members and a longer screen time proved to be factors associated with being excess weight.
Low birth weight and the delay on the eruption of deciduous teething in children
Authors: Castro Cristiane Ribeiro da Silva , Cabral Maria Beatriz Barreto de Sousa , Mota Eduardo Luiz Andrade , Cangussu Maria Cristina Teixeira , Vianna Maria Isabel Pereira
Published: September 2019

Abstract Objectives: To analyze the association between low birth weight (LBW) and the occurrence of the delay on the eruption of deciduous teething (DEDT) in children from 04 to 30 months, living in Salvador, Bahia. Methods: A cross-sectional study involved 520 children at four to thirty months of age, from public, private and philanthropic daycares from two districts in Salvador. A descriptive analysis and unconditional logistic regression were done to estimate the odds ratios (ORs), using the Confidence Interval of 95% as a criterion for accepting associations. Poisson regression was used as an analytical strategy to obtain the prevalence ratio. Results: the prevalence of the delay on the eruption was 10.29%. There was a positive association between LBW and occurrence of DEDT among children with less than 24 months, both in the unadjusted model (PR=2.07, 95%CI= 0.96 4.44) as in the adjusted (adjusted PR=2, 27, 95%CI= 1.02 5.07). Conclusions: the variables of development and nutritional at birth and during the early life may be important predictors of the chronology of eruption. Further investigations should be carried out towards the adequate evaluation of the LBW role in the occurrence of the delay on the eruption.
Os mercados da ovinocultura na pecuária familiar: proposições analíticas da Nova Sociologia Econômica
Authors: Maciel Rodrigo Gisler , Becker Cláudio , Neske Márcio Zamboni
Published: September 2019

Resumo Ao revisitar os aportes teóricos da nova sociologia econômica e suas principais contribuições ao estudo dos mercados, buscou-se refletir sobre formas alternativas de compreender a natureza e o funcionamento dos mercados da ovinocultura na pecuária familiar do Rio Grande do Sul, território historicamente atrelado à criação da espécie ovina. Dessa forma, discorreu-se no estilo de um ensaio teórico sobre as principais perspectivas teórico-metodológicas utilizadas atualmente no estudo dos mercados da ovinocultura, suas contribuições e limitações e, de forma complementar, são apresentadas proposições para o estudo dos mercados da ovinocultura na pecuária familiar a partir das recomendações encontradas na abordagem da nova sociologia econômica. Considerações são tecidas em relação ao potencial desta abordagem no que diz respeito à elaboração de uma tipologia para aqueles mercados, contemplando o entendimento do processo de construção social dos mesmos.
Incentivos competitivos e cooperativos em relações diádicas: um estudo de caso na cadeia de uvas orgânicas
Authors: Cislaghi Tatiane Pellin , Wegner Douglas , Vieira Luciana Marques , Fernandes Elieti Biques
Published: September 2019

Resumo Sistemas de incentivos têm como objetivo motivar e direcionar o comportamento dos participantes de relacionamentos interorganizacionais. Incentivos cooperativos baseiam-se no compartilhamento de benefícios e ganhos gerados na relação, enquanto os competitivos referem-se a recompensar os fornecedores com base em seu desempenho em relação a outros fornecedores. Tomando como base a lente teórica da Visão Relacional, o estudo teve como objetivo analisar como incentivos competitivos e cooperativos originários da empresa compradora influenciam os resultados econômicos de seus fornecedores. Uma pesquisa qualitativa foi realizada por meio de um estudo de caso, cuja unidade de análise foi a relação diádica em uma cadeia de suprimentos de produtos orgânicos. Os resultados demonstraram que a empresa compradora utiliza incentivos competitivos quando busca estimular os fornecedores a adotar comportamentos para evitar punições, especialmente em relação às atividades produtivas; já os incentivos cooperativos são utilizados para promover a troca de informações, transferência de conhecimentos e relações baseadas na confiança. Como contribuição teórica identificou-se que, no contexto da produção orgânica, além dos incentivos competitivos e cooperativos, as relações entre fornecedores e compradores são fortemente influenciadas por fatores externos, como os padrões das certificadoras e regulamentações internacionais.
A justiça ecológica em processos de reconfiguração do rural: estudo de casos de neorrurais no estado de São Paulo
Authors: Retière Morgane , Marques Paulo Eduardo Moruzzi
Published: September 2019

Resumo Este artigo aborda a renovação das relações entre o urbano e o rural a partir de referências a uma justiça ecológica. Nossa análise, fundada sobre a teoria das justificações, considera as ações coletivas, os conflitos e as inovações em torno de três casos de retorno à terra: o bairro rural Demétria, a Cooperativa de Agricultores Familiares Agroecológicos (Cooperacra) e o assentamento Milton Santos, todos no estado de São Paulo. O desejo de residir em meio rural ou de desenvolver uma atividade agrícola orgânica favorece um novo olhar sobre a ruralidade e sobre o papel da agricultura, associado ao debate sobre o desenvolvimento sustentável. A teoria das justificações nos leva a identificar os princípios de justiça mobilizados por nossos interlocutores com vistas a legitimar suas ações. Como hipótese, admitimos a emergência de uma ordem ecológica de justiça, com contornos por vezes pouco definidos e, assim, permeável a outros conjuntos de pontos normativos para edificar um mundo justo. Nesta ótica, torna-se pertinente situar os argumentos de nossos interlocutores em relação a estas diferentes ordens de justiça, o que permite distinguir o caso do bairro Demétria daqueles da Cooperacra e do assentamento Milton Santos.
A desvalorização cambial e a exportação de produtos florestais madeireiros
Authors: Hersen Amarildo , Hoeflich Vitor Afonso , Lima Jandir Ferrera de
Published: September 2019

Resumo O objetivo deste artigo é analisar o comportamento das exportações de produtos madeireiros do setor florestal após a desvalorização cambial, a partir de 2012. O método de avaliação de impacto foi o de diferença em diferenças (DD). Os resultados apontam que, apesar de as exportações representarem, em média, volume menor que a comercialização doméstica, elas tiveram variação absoluta mais expressiva com a desvalorização da moeda brasileira, a partir de 2012. A expressiva queda do real frente ao dólar possibilitou uma trajetória do volume de produtos madeireiros exportados mais positiva que na hipótese de sua inexistência. Contudo, políticas públicas de inclusão do pequeno produtor e empresários do setor madeireiro poderiam ter possibilitado resultados ainda mais satisfatórios, além de se tratar de políticas de emprego e renda.
Meio século de interpretações sobre o rural brasileiro (1968-2018)
Authors: Navarro Zander
Published: September 2019

Resumo o presente artigo discute as principais narrativas intelectuais e acadêmicas que analisaram “o rural brasileiro” pelos ângulos disciplinares das Ciências Sociais, nos últimos 50 anos. O artigo identifica a existência de temas originais, alguns duradouros, em função da história social do País, reconhecendo a partir da década de 1970 um período aproximado de 20-25 anos que representa a fase mais profícua de tais estudos. Conclui que no presente século tem ocorrido um arrefecimento de interesse nos estudos rurais, especialmente na Sociologia e na Antropologia, e uma crescente hegemonia de enfoques da Economia Rural de tradição neoclássica.