bluuebunny/crossref_metadata_2025 huggingface dataset:
Cytokine profile in pregnant women with asymptomatic bacteriuria
Authors:   Shupyk National Healthcare University of Ukraine, Kyiv, Staselovych L.Y. , Zhaloba H.M. ,   Shupyk National Healthcare University of Ukraine, Kyiv
Published: July 2023

Purpose - to determine the informativeness of the cytokine profile in biological environments (blood and urine) of pregnant women with asymptomatic bacteriuria (AB). Materials and methods. 96 pregnant women were examined, in whom AB was detected during bacteriological examination of urine. The Group I (main) - 59 pregnant women with detected AB at a concentration of bacteria ≥10⁵ CFU/ml («expressed» bacteriuria), the Group II (comparison) - 37 pregnant women with AB at a concentration of ≤104 CFU/ml («moderate» bacteriuria), the control group - 32 pregnant women with an unchanged state of the urinary tract, vaginal environment, without obstetric and extragenital pathology. A study of the levels of tumor necrosis factor α (TNFα) and interferon γ (IFNγ), mainly produced by type 1 T-helpers, as well as interleukin 4 (IL-4), produced by type 2 T-helpers, was carried out in peripheral blood and urine. Statistical processing of research results was carried out using standard Microsoft Excel 5.0 and Statistica 6.0 programs. Results. The average values of TNFα in blood serum in pregnant women with AB of the Groups I and II did not have significant differences and amounted to 42.1±7.59 pg/ml and 45.19±11.6 pg/ml, respectively (p>0.05), however, this indicator in female patients, control group was probably lower than in pregnant women with bacteriuria and amounted to 0.61±0.05 pg/ml (р<0.01). The concentration of IFNγ in the blood serum of pregnant women of the control group was 52.9±12.4 pg/ml, but in the blood serum of pregnant women from the Group II, a significant decrease in the concentration of IFNγ was established - 6.33±0.03 pg/ml, and in the pregnant women of the Group I IFNγ in the serum was determined in a higher concentration compared to the Group II - 35.17±4.5 pg/ml (р<0.05), but was significantly lower compared to the control group (52.9±12.4 pg/ml) (p<0.05). The maximum values of IL-4 in the serum did not exceed 350 pg/ml, the results obtained on average were 213.7±56.1 pg/ml in the Group I and 139.6±25.2 pg/ml in the Group II, respectively, which is likely distinguished them from control group and was 98.7±14.9 pg/ml (p<0.05). Conclusions. The obtained results convincingly indicate the rather high informativeness of changes in the content of cytokines - TNFα, IL-4 and IFNγ in bioenvironments for determining the course of the inflammatory process of the urinary tract in pregnant women, improving the prevention system and improving the health of future mothers and their babies. The research was conducted according to principles of Helsinki Declaration. Protocol of research was proved by local ethical committee, mentioned in institution’s work. A informed consent was collected in order to carry out the research. No conflict of interests was declared by the authors.
Clinical characteristics of pregnant women with an allogeneic fetus
Authors:   Shupyk National Healthcare University of Ukraine, Kyiv, Yesyp N.V.
Published: July 2023

The development of assisted reproductive technologies (ART) today allows many women to overcome biological barriers to motherhood. However, the use of such relatively new areas as oocyte donation and surrogacy, which result in the formation of an allogeneic fetus, is associated not only with legal but also with medical problems. Purpose - to analyze the clinical characteristics of pregnant women with an allogeneic fetus and pregnant women who were involved in ART programs with their own oocytes. Materials and methods. 120 pregnant women were examined, who were divided into the following groups: the Group I - 40 pregnant women who were involved in ART programs using foreign oocytes with the formation of an allogeneic fetus and whose management is planned to be carried out according to an improved algorithm; the Group II - 40 pregnant women who were involved in ART programs using foreign oocytes with the formation of an allogeneic fetus and whose management is planned to be carried out according to the generally accepted algorithm; the Group III - 40 pregnant women who underwent ART using the woman's own oocytes. The features of reproductive and somatic history, as well as social and demographic factors of the patient’s lives, were established. Results. Among pregnant women with an allogeneic fetus, a significantly higher proportion of women with pelvic inflammatory disease, bacterial vaginosis, cervical pathology, as well as patients with a history of surgical termination of pregnancy at the woman’s request were recorded. At the same time, the rates of registration of late menarche, endometriosis, polycystic ovary syndrome, early spontaneous abortions, as well as the following extragenital pathology: chronic arterial hypertension, diseases of the urinary system, and diabetes mellitus were significantly lower in patients of the Groups I and of the Groups II. The following social and demographic features of patients with an allogeneic fetus were noted: a smaller proportion of women with higher education, as well as those who live in their own home and are in a registered marriage compared to the control group. Conclusions. Registration of higher levels of a number of gynecological complications in pregnant women with an allogeneic fetus, as well as unfavorable social and demographic factors, requires the development of an improved management algorithm for such women, taking into account these features, which can help to reduce the rates of various obstetric and perinatal complications. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the author.
Health status of newborns from mothers with HCV infection
Authors:   Shupyk National Healthcare University of Ukraine, Kyiv, Zapopadna Yu.M.
Published: July 2023

Purpose - to study the health status of newborns from mothers with viral hepatitis С (HCV infection). Materials and methods. A prospective clinical and statistical analysis of the health status of 40 newborns born to mothers with HCV infection (the main group - MG) and 50 newborns born to healthy women (the control group - CG) was performed. The statistical processing of the study results was carried out using standard software Microsoft Excel 5.0 and Statistica 8.0. Results. In children of MG compared to children of CG had a lower Apgar score at birth (p<0.001). An Apgar score ˂7 points in 15.0% (6/40) of newborns of MG (F=4.61; p=0.032) was diagnosed, which was significantly higher than in newborns of CG - 4.0% (2/50), (р<0.001). The frequency of conjugated jaundice in newborns of CG was 4.0% (2/50), while in children of MG it was 17.5% (7/40) (χ2=7.97; p=0.005). Correlation analysis revealed that the Apgar score has medium strength positive correlations with body length (τ=0.266; p<0.001), and the development of conjugated jaundice in newborns has medium negative correlations with these physical parameters at birth as body weight (τ=-0.302; p<0.001) and body length (τ=-0.306; p<0.001), as well as with Apgar score (τ=-0.302; p<0.001) and gestational age at birth (τ=-0.249; p<0.001). Conclusions. The condition of newborns from women with HCV infection is characterized by lower parameters of physical development and a decrease in Apgar score, increased frequency of development of conjugation jaundice. Physical and clinical parameters of newborns from mothers with HCV infection were related to pathological conditions during pregnancy and delivery. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the author.
Herbicide Resistance Management in Rice: Annual Field Survey of California Rice Weeds Helps Establish a Weed Management Decision Framework
Authors: Becerra-Alvarez Aaron , Godar Amar S. , Ceseski Alex R. , Al-Khatib Kassim
Published: July 2023

The article presents an annual field survey by the University of California as a manner of herbicide resistance management for California rice growers. Submitted weed seed samples are tested against registered herbicides which achieved no control that field season. All labelled herbicide
modes of action for each specific weed species were tested and applied according to their respective labels. Analyses of these experiments and survey data from 2015 to 2021 provide an active weed management decision-making framework for growers and a comprehensive overview of herbicide weed
management in California rice.
Asymmetric Impact of Geopolitical Risk and Economic Policy Uncertainty on Russian Ruble Exchange Rate
Authors:   Ural Federal University named after the first President of Russia B.N. Yeltsin, Gainetdinova Anna A.
Published: July 2023

The Russian economy has encountered substantial exchange rate volatility due to many endogenous and exogenous shocks, including the global financial crisis, sanctions, and the COVID-19 pandemic. These exogenous shocks tend to increase economic policy uncertainty, eventually leading to exchange rate fluctuations. In addition, the Russian economy is highly exposed to geopolitical risks, which also reflected in the dynamics of the exchange rate. The hypothesis of the study is that the response of the exchange rate to the positive and negative shocks in geopolitical risk and economic policy uncertainty may be asymmetric because of the expectations of economic agents. Thus, the objective of this study is to assess the asymmetric impact of geopolitical risk and economic policy uncertainty on the Russian exchange rate. As a preliminary analysis, the time series were tested for unit root and cointegration. I apply linear and non-linear autoregressive and distributed lag models (ARDL) that estimate asymmetric impact and provide results in the short and long term. The results of econometric analysis show that geopolitical risk and economic policy uncertainty affect the exchange rate asymmetrically in the short term, while their impact on the exchange rate is symmetric in the long term. In the short term, the exchange rate is more sensitive to negative shocks of geopolitical risk and economic policy uncertainty as compared to positive ones. At the same time, the negative impact of geopolitical risk is smoothed out in the long term. The theoretical significance of the study lies in expanding the standard model of fundamental factors affecting the dynamics of the exchange rate by examining nexus between "unobservable" factors and the exchange rate. The findings make it possible to improve the predictability of the exchange rate, providing valuable policy implications for investors and policy-makers.
Special Economic Zones of Russia: Forecasting Decisions of Potential Residents and Resident Generation Process Modeling
Authors:   Siberian Federal University, Plesovskikh Alexander E.
Published: July 2023

Modern studies widely discuss the role of special economic zones in stimulating the economic growth and development of Russia, generating the necessary investment flows and increasing the country's innovative potential by expanding production in high-tech sectors of the economy with high added value. The purpose of the study is to model the process of generating residents and to determine quantitative factors that have a statistically significant effect on the average annual growth rate of companies participating in special economic zones in the Russian Federation. The paper describes modern approaches to predicting the choice of potential residents to start doing business in the territory of the SEZ using classification approaches (Support Vector Machines, Decision Trees, Random Forest, Naive Bayes, K-Nearest Neighbor, Gradient Boosting) and regression approaches (logistic regression). A modern classification algorithm was applied in practice - Histogram-based Gradient Boosting Classification Tree, which is stable for analyzing large data with missing variable values and does not require preliminary sample transformation. The paper confirms the hypothesis that there is a positive relationship between the location of the organization and its financial result forming by the end of the year. On average, in the sample, resident companies located near the centers of the constituent entities of the Russian Federation are more successful in terms of generated revenue. The hypothesis that there is a strong relationship between indicators of spatial differentiation of the regions of the Russian Federation and indicators characterizing the process of generating residents and private investment has not been fully confirmed. From a practical point of view, the results of the study could be applied by both resident organizations, potential residents, and SEZ management companies. The theoretical significance of the study lies in the specification of the proposed binary choice model for potential residents, which can be expanded and generalized in future works. At present, there are all the necessary prerequisites for creating conditions for the development of industry, high-tech sectors of the economy and the production of high value-added products in order to increase the stability of the Russian economy.
A metafísica dos costumes como um sistema de deveres: a distinção entre direito e ética em Thomasius e Kant
Authors: Trevisan Diego Kosbiau
Published: July 2023

Resumo: O presente artigo apresenta uma breve contribuição ao estudo das fontes históricas da filosofia prática de Kant, discutindo o projeto kantiano de uma metafísica dos costumes enquanto uma doutrina dos deveres. à luz do direito natural alemão dos séculos 17 e 18. Em um primeiro momento. é exposta a distinção de Christian Thomasius entre obrigação interna e obrigação externa. como base para a diferenciação entre deveres jurídicos e deveres éticos. Na sequência. a oposição kantiana entre uma doutrina do direito e uma doutrina da virtude é discutida. sob o pano de fundo da recepção de Thomasius, por parte de Alexander Baumgarten e Gottfried Achenwall.
La temporalidad de la imagen y su función crítica
Authors: Dahbar María Victoria
Published: July 2023

Resumen: Imagen se dice de muchas maneras. Ante la equivocidad podríamos desbrozar su camino analítico, reponer su tránsito histórico, claudicar. Este texto encuentra alternativa en cambio en una reflexión sobre la imagen atenta a su dimensión temporal. Por eso echa mano de dos aportes nodales: la noción benjaminiana de imagen dialéctica, y el vínculo entre imagen y emociones trabajado contemporáneamente por la teoría queer. La noción de imagen dialéctica habilita, incluso más allá de su autor, otro vínculo entre imagen e historia, que permite entenderla no sólo como fenómeno lingüístico, sino en su dimensión visual y audiovisual. La teoría queer en su giro afectivo ha presentado una posible vinculación entre imágenes y afectos que permite la composición de un archivo efímero que desclasifica nuestras categorías temporales (CVETKOVICH, 2018) y la pregunta ética sobre nuestras respuestas primarias ante la imagen (BUTLER, 2010). El recorrido por ambas nociones aborda, en definitiva, la temporalidad de las imágenes en su potencia crítica, aquella vieja insistencia por pensar en imágenes que contengan su propia destrucción.
Virtue: Catholic Humanism in the Consilium de Emendanda Ecclesia
Authors: Yin Ming
Published: July 2023

Abstract: How to view the reform of the Catholic Church in the sixteenth century and its relationship with virtue as an important issue in studying humanist philosophy. Humanists emphasize that virtue education is the foundation for cultivating personality and believe restoring the virtues of the church is the “cure” for the ills of the early modern church. Consilium de emendanda ecclesia (1537) is the Catholic humanists’ practice of virtue. This is reflected in proposals to strengthen educational norms and socio-moral disciplines and emphasize perfecting clerical virtue as the driving force for reform. In addition, under the guidance of virtue ethics, virtue politics becomes the guiding ideology of those humanists’ political practice, where they recognize the Pope´s authority and the one of the Church, associating virtue with the legitimacy of power. The virtue philosophy in Consilium forms the ideological foundation for the Reformation of the Catholic Church. The ancient Chinese scholar Dong Zhongshu (179-104 B.C.) practiced a similar politics of virtue. In Luxuriant Gems of the Spring and Autumn, he combined the legitimacy of rule with virtue based on the kings’ divine right, thus perpetuating the Confucian concept of the “sage”. Both Catholic humanists and Dong emphasized the importance of the rulers’ virtue as agents of God.
G. Canguilhem lector de politzer: respecto del problema de la acción, de la filosofía práctica y de la psicología como ciencia concreta
Authors: Bilbao Alejandro , Jofré Daniel
Published: July 2023

Resumen: El presente articulo analiza las repercusiones del pensamiento de G. Politzer en la filosofía de la vida elaborada por G. Canguilhem. Durante los primeros treinta años del siglo XX, los textos de Politzer brindan un material importante para la construcción de la filosofía que Canguilhem construye a propósito de la individualidad humana y su autonomía. La lectura de Politzer constituye para Canguilhem, un motivo de inspiración de sus propuestas axiológicas, morales y políticas. Asociando las ideas de la psicología concreta que encumbra la existencia del hombre-actor, Canguilhem concilia dos series de argumentos: a). la filosofía de la vida no puede prescindir de un planteamiento relativo a la acción humana; b). la presencia de la acción humana se torna indisociable de los supuestos que debaten su existencia entre la singularidad de sus producciones, y la aprehensión que de ella puede realizarse por medio de los universales que son propuestos por la ciencia.
Liberdade contextualizada e sentidos normativos em Foucault
Authors: Carvalho Bruno Sciberras de
Published: July 2023

Resumo: A questão da liberdade em Foucault torna-se problematizada, quando relacionada com os impedimentos, previstos pelo autor, para os sujeitos se situarem fora das redes de poder. Todavia, Foucault também destaca potencialidades de resistências e uma noção de liberdade envolvida pelas circunstâncias históricas, o que sugere questões normativas originais. De modo a analisar a tensão entre dominação e liberdade em sua obra, e o que se reflete normativamente, notam-se duas direções principais: a ideia de liberdade como algo inerente às relações de poder e como fundamento do exercício crítico do conhecimento. Busca-se argumentar que a valorização de dimensões de liberdade, elaborada por Foucault, gera implicações singulares de avaliação das condições sociais, embasadas em uma temperança normativa.
URGENCY HOSPITALIZATIONS FOR INGUINAL HERNIA IN BRAZIL FROM 2010 TO 2019: MORTALITY AND COSTS IN THE PUBLIC HEALTH SYSTEM
Authors: Amaral Danilo Oliveira , Silva Jonatan Eduardo , Silva Lenise Moreira da , Carnesi Frank Luiz Pereira , Penhavel Felix André Sanches , Melo Renato Miranda de
Published: July 2023

ABSTRACT BACKGROUND: It is known that elective inguinal hernioplasties are safe procedures, but in an emergency setting, they have higher rates of complications and hospital costs. Despite this, quantitative studies on the subject in Brazil are still scarce. AIMS: To evaluate the trend in hospitalization rates, hospital mortality, and costs for inguinal hernia in an emergency, regarding gender and age group. METHODS: This is a time series study with data from the Unified Health System (SUS), at the national level, from 2010 to 2019. RESULTS: The overall hospitalization rate (p=0.007; b<0,02) in all age groups (p<0.005; b<0) in both genders indicated a decreasing trend. The general mortality rate in both genders and in most age groups showed an increasing trend (p<0.005), as well as the cost of hospitalization in all age groups of both genders. CONCLUSIONS: Urgent hospitalization rates for inguinal hernia in Brazil have shown a steady or decreasing trend; however, hospital mortality and costs per hospitalization have demonstrated an increasing trend in recent years.
Teacher Training for Prevention and Management of School Bullying Situations: A Systematic Literature Review
Authors: Panosso Mariana Gomide , Kienen Nádia , Brino Rachel de Faria
Published: July 2023

Abstract This article presents a systematic review of empirical studies on teacher training in school bullying through goal analysis, research design, participants, dependent and independent variables, taught content and skills, training results, and research limitations. Ten databases were consulted, with 12 articles being selected. Although the studies involve teachers as participants, teacher training in bullying has not yet been the subject of study itself, as only four of the analyzed studies evaluated the effect of training in relation to the teacher. The lack of a detailed description of training contents, study procedures and lack of baseline and follow-up were important limitations. Possibilities for future research are discussed.
Treinamento de Professores para Prevenção e Manejo de Situações de Bullying Escolar: Uma Revisão Sistemática de Literatura
Authors: Panosso Mariana Gomide , Kienen Nádia , Brino Rachel de Faria
Published: July 2023

Resumo Este artigo apresenta uma revisão sistemática de estudos empíricos sobre treinamento de professores em bullying escolar por meio da análise de objetivos, delineamento da pesquisa, participantes, variáveis dependentes e independentes, conteúdos e habilidades ensinadas, resultados do treinamento e limitações das pesquisas. Foram consultadas 10 bases de dados, sendo selecionados 12 artigos. Apesar dos estudos envolverem professores como participantes, a capacitação docente em bullying ainda não tem sido objeto de estudo em si, pois apenas quatro das pesquisas analisadas avaliaram o efeito do treinamento em relação ao professor. A falta de descrição detalhada dos conteúdos das capacitações, dos procedimentos dos estudos e a ausência de linha de base e de follow up foram limitações importantes encontradas. Discutem-se possibilidades para pesquisas futuras.
A hipótese da equidade inversa na implementação do NASF-AB em municípios do Sul do Brasil
Authors: Augusto Nathalia Assis , Fernandes Bruna de Oliveira , Crochemore-Silva Inácio , Loch Mathias Roberto
Published: July 2023

Resumo O objetivo foi verificar a evolução da implementação do Núcleo Ampliado de Saúde da Família e Atenção Básica (NASF-AB) nos municípios da região Sul do Brasil, de 2008 a 2019, sob à luz da hipótese da equidade inversa. Estudo ecológico considerando 1.188 municípios do Sul do Brasil. As análises foram separadas por estado, com os municípios divididos em quartis de Índice de Desenvolvimento Humano Municipal - Renda. Foi calculado o percentual acumulativo de implementação do NASF-AB no período e a desigualdade entre Q1 (mais rico) e Q4 (mais pobre) verificada por medidas de desigualdade absoluta e relativa. No Paraná o Q1 apresentou maior cobertura do NASF-AB do que o Q4 e, apesar da desigualdade ter reduzido ao final do período, ainda estava bem demarcada, seguindo padrão “top inequality”. Em Santa Catarina ocorreu o que prevê a hipótese, com aumento das desigualdades no início e posterior redução quando já existia NASF-AB em cerca de 90% dos municípios do Q1, caracterizando “botton inequality”. No Rio Grande do Sul a hipótese foi refutada ao observar, a partir de 2014, maior implementação no Q4 em relação ao Q1.
The inverse equity hypothesis in the implementation of NASF-AB in municipalities of Southern Brazil
Authors: Augusto Nathalia Assis , Fernandes Bruna de Oliveira , Crochemore-Silva Inácio , Loch Mathias Roberto
Published: July 2023

Abstract The present study aimed to analyze the evolution of the implementation of Family Health and Primary Health Care Expanded Support Centers (NASF-AB, in Portuguese) in the municipalities of Southern Brazil, from 2008 to 2019, in light of the inverse equity hypothesis. This was an ecological study, considering 1,188 municipalities of Southern Brazil. The analyses were separated by state, with municipalities divided into quartiles of Municipal Human Development Index - Income (MHDI-Income). Our study calculated the cumulative percentage of the implementation of NASF-AB within the given period and the inequality between Q1 (richest) and Q4 (poorest), assessed by the absolute and relative inequality measures. In Paraná, Q1 presented a higher coverage of NASF-AB than did Q4, and, although the inequality had decreased at the end of the period, it was still quite distinct, according to the “top inequality” pattern. In Santa Catarina, the predictions of the hypothesis were confirmed, with inequalities found in the beginning of the period and a near 90% decline once NASF-AB had been implemented in the municipalities of Q1, characterizing the “bottom inequality” pattern. In Rio Grande do Sul, the hypothesis was refuted observing that since 2014 there was a greater implementation in Q4 as compared to Q1 was observed.
Sintomas depressivos, ansiedade e os sintomas estressantes durante a gravidez afetam o ganho de peso gestacional?
Authors: Souza Larissa Nogueira Silva , Confortin Susana Cararo , Aristizábal Liliana Yanet Gómez , Chagas Deysianne Costa das , Vieira Ana Cleide , Simões Vanda Maria Ferreira , Alves Maria Teresa Seabra Soares de Britto e
Published: July 2023

Resumo O objetivo deste artigo é estimar os efeitos dos sintomas de transtornos mentais na gravidez (sintomas depressivos, ansiedade e estresse) no ganho de peso gestacional. Estudo longitudinal, realizado com dados da Coorte de nascimento BRISA, iniciada em 2010 em São Luís, Maranhão. O ganho de peso gestacional foi classificado de acordo com Institute of Medicine. A variável independente foi um construto (variável latente) nomeado de sintomas de transtornos mentais, englobando as variáveis sintomas depressivos, a ansiedade e os sintomas estressantes (todas de forma contínua). Utilizou-se modelagem de equações estruturais, a fim de investigar a associação entre a saúde mental e ganho de peso. Em relação a associação entre sintomas de transtornos mentais e ganho de peso na gestação, não se encontrou efeito total (CP=0,043; p=0,377). Em relação aos efeitos indiretos, também não se encontrou efeito através dos comportamentos de risco (CP=0,03; p=0,368) e através da atividade física (CP=0,00; p=0,974). Finalmente os dados não evidenciaram efeito direto dos sintomas de transtornos mentais durante a gravidez como o ganho de peso gestacional (CP=0,050; p=0,404). O ganho de peso gestacional não apresentou efeito direto, indireto e total nos sintomas de transtornos mentais de gestantes.
Efeitos e desempenho produtivo da agricultura urbana na saúde coletiva e ambiental na cidade do Rio de Janeiro, Brasil
Authors: Camelo Raphaela Soares da Silva , Hüther Cristina Moll , Pereira Carlos Rodrigues , Oliveira Elton de , Machado Thelma de Barros
Published: July 2023

Resumo A agricultura urbana pode auxiliar na promoção de indicadores importantes, como melhoria da saúde ambiental e da segurança alimentar e redução da desigualdade social. Nesse sentido, o presente trabalho teve como objetivo ajudar na compreensão da situação atual da agricultura urbana na cidade do Rio de Janeiro, com enfoque no Programa Hortas Cariocas (PHC). Para tanto, foram realizadas duas abordagens. Uma qualitativa, em que o método exploratório descritivo foi aplicado para reconhecer e analisar os impactos causados pelo programa nas comunidades envolvidas. E outra quantitativa, por meio de análise envoltória de dados (DEA), para avaliar e entender o desempenho produtivo do programa entre os anos de 2007 e 2019. O desempenho do programa apresentou dois picos, em 2012 com 80,21% e em 2016 com 100,00% de índice eficiência produtiva. O comportamento do desempenho anual pôde ser explicado pelos acréscimos no número de pessoas envolvidas diretamente (nº de hortelões) e na área ocupada (nº de canteiros), por refletirem o caráter socioambiental do PHC.
Effects and productive performance of urban agriculture on collective and environmental health in the city of Rio de Janeiro, Brazil
Authors: Camelo Raphaela Soares da Silva , Hüther Cristina Moll , Pereira Carlos Rodrigues , Oliveira Elton de , Machado Thelma de Barros
Published: July 2023

Abstract Urban agriculture may help promote key indicators, such as improvement of environmental health and food security and reduction of social inequality. The present article aims to help understand the current situation of urban agriculture in the city of Rio de Janeiro by focusing on the Hortas Cariocas Program (HCP). To this end, two approaches were adopted. The first one was qualitative and based on a descriptive exploratory method that was used to survey and analyze the impacts caused by the program on the communities involved. The second one was quantitative and based on data envelopment analysis (DEA), which was used to assess and understand the program’s productive performance from 2007 to 2019. The program’s performance showed two peaks, one in 2012 with 80.21% and the other one in 2016 with 100.00% of the productive performance score. The behavior of the annual performance scores can be explained by the increases in the number of people who got directly involved (number of producers) and in the occupied area (number of seedbeds), as they reflect the socio-environmental character of the HCP.
Genealogia da Prevenção Quaternária: entre o uso da Medicina Baseada em Evidências e a reformulação do cuidado na Atenção Primária à Saúde
Authors: Andrade Henrique Sater de , Carvalho Sergio Resende
Published: July 2023

Resumo Realizamos uma análise genealógica da Prevenção Quaternária, instrumento da Atenção Primária à Saúde de enfrentamento à medicalização e a iatrogenia, a partir de seus enunciados e de entrevistas com seus formuladores. Identificamos que a ferramenta tem sido tanto apresentada como uma reformulação do cuidado e da relação médico-paciente, como também reduzida ao cálculo do risco-benefício por meio da aplicação atualizada de evidências científicas. Analisamos os paradoxos da Medicina Baseada em Evidências e problematizamos sua relação com a Prevenção Quaternária e a Atenção Primária à Saúde. Por fim, sugerimos questionar a verdade das evidências para o desenvolvimento de outros paradigmas de saúde.
Factors associated with worsening in the self-rated health status of Brazilian women who lived with dependent elderly people during the first wave of COVID-19
Authors: Romero Dalia Elena , Maia Leo , Muzy Jessica , Andrade Nathália , Souza Junior Paulo Roberto Borges de
Published: July 2023

Abstract The objective is to analyze the factors associated with the worsening of the self-rated health (SRH) of Brazilian women who live with elderly people with functional dependence (EFD) during the first wave of COVID-19. ConVid - Behavior Research was used as a data source. For the analysis, the group of women who lived with EFD was compared with those who lived with the elderly without any dependence. Hierarchical prevalence ratio (PR) models were estimated to test the associations between sociodemographic characteristics, changes in income, routine activities and health in the pandemic, with the outcome of worsening SRH. This worsening was more frequent in the group of women living with EFD. After adjusting for hierarchical factors, being black (PR=0.76; 95%CI 0.60-0.96) and having a per capita income lower than minimum wage (PR=0.78; 95%CI 0.64- 0.96) were shown to be protective factors for SRH worsening among EFD co-residents. Indisposition, emergence/worsening of back problems, affected sleep, poor SRH, feeling loneliness and difficulty in carrying out routine activities during the pandemic were positively associated factors. The study demonstrates that living with EFD was associated with a worsening in the health status of Brazilian women during the pandemic, especially among those of higher social status.
Saúde digital e a plataformização do Estado brasileiro
Authors: Rachid Raquel , Fornazin Marcelo , Castro Leonardo , Gonçalves Luis Henrique , Penteado Bruno Elias
Published: July 2023

Resumo A implementação da saúde digital constitui um enorme desafio para a Saúde Coletiva, sendo urgente abrir o debate sobre os impactos mais imediatos das tecnologias digitais nas políticas de saúde. A saúde digital compreende a incorporação de novas tecnologias e potencialmente reconfigura relação entre Estado e sociedade, em um processo denominado plataformização - de gestão dos serviços de saúde por meio da interpretação de grandes volumes de dados. Este trabalho traça um panorama histórico sobre as políticas brasileiras de informação e analisa a saúde digital como um caso de plataformização do Estado Brasileiro. Para tanto, analisa a estratégia brasileira de saúde digital partir de três dimensões: a concentração de dados, os usuários-consumidores e a privatização das infraestruturas públicas. Por fim, busca tornar nítida a tendência global a favor de uma inovação que escamoteia a expectativa pela digitalização como dinamizadora da reprodução capitalista.
Prevalência de ingestão hídrica e fatores associados entre idosos não institucionalizados do Sul do Brasil
Authors: Souza Carolina Corrêa de , Fernandes Mayra Pacheco , Bertoldi Andréa Dâmaso , Demarco Flávio Fernando , Gonzalez Maria Cristina , Bielemann Renata Moraes
Published: July 2023

Resumo O objetivo deste estudo foi descrever a prevalência de idosos com uma ingestão adequada de água e seus fatores associados. Estudo transversal de base populacional realizado em 2014 com idosos (≥ 60 anos) participantes do estudo “COMO VAI?”. Investigou-se o número de copos de água ingeridos/dia pelos entrevistados, considerando-se adequada a ingestão de pelo menos oito copos/dia. As variáveis independentes foram características sociodemográficas, comportamentais e de saúde. A regressão de Poisson foi utilizada para a investigação das associações. Foram entrevistados 1.451 idosos, sendo observado que uma baixa percentagem, 12,6% (IC95% 10,8; 14,7) referiu consumo adequado de água. Maior percentagem de consumo adequado de água foi observada nos idosos mais jovens, com excesso de peso, que apresentaram cinco ou mais doenças e que eram mais dependentes quanto à capacidade funcional. A tendência decrescente de ingestão de água em relação à idade torna essencial o desenvolvimento de ações voltadas para essa população de maior risco acerca da importância de uma ingestão hídrica adequada e das possíveis consequências do seu consumo inadequado.
Morbidades autorreferidas e estilos de vida em trabalhadores agrícolas e não agrícolas no Brasil: uma análise comparativa entre 2013 e 2019
Authors: Nogueira Fernanda de Albuquerque Melo , Damacena Giseli Nogueira , Souza Júnior Paulo Roberto Borges de , Szcwarcwald Celia Landmann
Published: July 2023

Resumo Investigaram-se diferenças no padrão de adoecimento e estilos de vida entre trabalhadores agrícolas e não agrícolas em 2013 e 2019, com os dados da Pesquisa Nacional de Saúde (PNS). Calcularam-se as prevalências e seus IC de 95% para morbidades autorreferidas, autoavaliação de saúde (AAS) não boa, limitação das atividades habituais por DCNT, número de DCNT, depressão maior ou menor e estilos de vida. Utilizou-se o modelo de Poisson para cálculo das razões de prevalências brutas e ajustadas por sexo e idade. Consideraram-se as ponderações amostrais e o efeito do conglomerado em 2013 e 2019. Avaliaram-se 33.215 trabalhadores não agrícolas e 3.796 agrícolas em 2013. Em 2019, foram 47.849 trabalhadores não agrícolas e 4.751 agrícolas. Os trabalhadores agrícolas estão mais propensos a AAS não boa, problemas crônicos na coluna, excesso de atividade física no trabalho, tabagismo e menor consumo de frutas, legumes e verduras (FLV). Enquanto os trabalhadores não agrícolas apresentaram maiores prevalências de asma/bronquite, depressão, diabetes, e consumo de doces e refrigerantes. Ações diferenciadas de prevenção e manejo de DCNT para os dois grupos de trabalhadores devem ser priorizadas.
The association between multiple cardiovascular risk factors and overweight in Brazilian adolescents: an analysis based on the grade of membership
Authors: Silva Thales Philipe Rodrigues da , Matozinhos Fernanda Penido , Guedes Gilvan Ramalho , Gratão Lucia Helena Almeida , Silva Ariene do Carmo , Vilela Luisa Arantes , Oliveira Tatiana Resende Prado Rangel de , Grillo Cristiane de Freitas Cunha , Mendes Larissa Loures
Published: July 2023

Abstract The aim of the current research is to analyze the coexistence of modifiable risk behaviors for cardiovascular disease (CVD) in 12-to-17-year-old adolescents living in Brazil and their influence on overweight. National, cross-sectional, school-based epidemiological study focused on estimating the prevalence of cardiovascular risk factors and metabolic syndrome in 12 to 17 year old adolescents enrolled in public and private schools in Brazilian counties accounting for more than 100 thousand inhabitants. The grade of membership method was used to identify the coexistence of risk factors among adolescents. The analytical sample comprised 71,552 adolescents. According to the two herein generated profiles, adolescents classified under Profile 2 have shown behaviors such as smoking, alcohol consumption and diet rich in Ultra-processed food intake ≥ 80% of the percentage of total caloric value. In addition, adolescents presenting CVD risk profile have shown increased likelihood of being overweight. The study has found coexistence of risk factors for CVD in Brazilian adolescents, with emphasis on tobacco smoking and alcoholic beverage intake. In addition, it heads towards the analysis of the association between CVD risk factors and health outcomes, such as overweight.
Aproximação à intimidade masculina no âmbito da saúde sexual: uma reflexão sobre práticas metodológicas no processo de investigação
Authors: Tereso Alexandra
Published: July 2023

Resumo Na opção por procedimentos pouco padronizados de recolha de informação, a análise critica dos métodos de pesquisa tendo em conta as particularidades do objeto de estudo é fundamental para o desenvolvimento de um processo de investigação rigoroso e produtivo. Este artigo pretende apresentar uma reflexão em torno das opções e das práticas metodológicas na aproximação à intimidade masculina, englobando as representações sociais dos homens sobre saúde e doença sexual, as suas experiências e a utilização dos cuidados de saúde. Recorrendo aos contributos de vários autores, destaca-se a investigação qualitativa como opção metodológica, a entrevista como técnica de recolha de dados, a seleção e o acesso aos participantes. Na abordagem acerca da entrevista incluem-se as possibilidades e dificuldades decorrentes da interação entre o investigador e os participantes, os desafios relativos às especificidades dos entrevistados e as implicações da identidade do investigador.
Novos desafios na avaliação de tecnologias em saúde (ATS): o caso Zolgensma
Authors: Guimarães Reinaldo
Published: July 2023

Resumo As doenças raras ou órfãs entraram de modo importante nos negócios da indústria farmacêutica. Por outro lado, o impacto das novas tecnologias derivadas da pesquisa genômica vêm tendo presença crescente nessa indústria, com novos medicamentos sendo lançados no mercado a preços não sustentáveis para sistemas de saúde e pacientes. Essa dupla tendência coloca desafios importantes e crescentes para as políticas públicas de avaliação e incorporação de tecnologias, cujo racional hegemônico está lastreado em análise de custo-benefício entre terapias. Os preços muito altos desses medicamentos exigem revisitar esse racional e a recente tratativa entre o Ministério da Saúde e a Novartis relativa a um possível acordo de compartilhamento de risco para a incorporação do medicamento Zolgensma é uma oportunidade para essa revisita.
KNEE OSTEOARTHRITIS AND AGING: EVALUATION OF THE DIFFERENT MUSCLES OF THIGH
Authors: Jasinevicius Isabela Oliveira , Aily Jéssica Bianca , Maciel Jamilly Gomes , Nogueira-Barbosa Marcello Henrique , Mattiello Stela Marcia , Mattiello-Sverzut Ana Claudia
Published: July 2023

ABSTRACT Introduction: Osteoarthritis (OA) is a chronic inflammatory degenerative disease, characterized by progressive degeneration of the articular cartilage, affecting mostly the knee joint. The elderly population is the most affected, intensifying the aging process. The concentration of intramuscular adipose tissue in the thigh muscles and knee OA at different ages remains under investigation. Objective: Investigate the cross-sectional area of thigh muscles at different ages with the relationship of the presence of intramuscular fat and knee OA. Methods: 80 participants were paired into 4 groups: Young Osteoarthritis Group and Old Osteoarthritis Group, both sedentary with knee OA diagnosis II or III; Healthy Young Group and Healthy Old Group, both healthy and sedentary. The groups were paired according to gender and body mass index, submitted to physiotherapeutic evaluation, WOMAC questionnaire, knee X-ray and thigh CT scans. Morphometric analysis was performed manually with ITK-SNAP software (version 3.6), by a single evaluator. Statistical analysis used the one-way ANOVA test followed by Bonferroni post-hoc for dependent variables (p≤0.05). Results: Comparison of the cross-sectional area of the rectus femoris, vastus lateralis, semitendinosus, sartorius and gracilis muscles between the groups indicated no significant differences (p>0.05). The study of attenuation for muscle adipose tissue indicated no significant difference in the values of between the OA-Young and Aged-S groups for all the muscles evaluated. Conclusion: Young individuals with knee OA present muscle morphological characteristics similar to those found during the aging process, characterizing early aging of the thigh muscles. Level of Evidence III; Retrospective cross-sectional and observational study.
OSTEOARTRITE DE JOELHO E ENVELHECIMENTO: INVESTIGAÇÃO DE DIFERENTES MÚSCULOS DA COXA
Authors: Jasinevicius Isabela Oliveira , Aily Jéssica Bianca , Maciel Jamilly Gomes , Nogueira-Barbosa Marcello Henrique , Mattiello Stela Marcia , Mattiello-Sverzut Ana Claudia
Published: July 2023

RESUMO Introdução: A osteoartrite (OA) é uma doença inflamatória crônico-degenerativa, caracterizada pela degeneração progressiva da cartilagem articular, acometendo em maior parte a articulação do joelho. A população idosa é a mais atingida, intensificando o processo de envelhecimento. A concentração de tecido adiposo intramuscular nos músculos da coxa e a OA de joelho em diferentes idades permanece em investigação. Objetivo: Investigar a área de secção transversa dos músculos da coxa em diferentes idades com a relação da presença de gordura intramuscular e OA de joelho. Métodos: 80 participantes foram pareados em 4 grupos: Grupo Osteoartrite Jovem e Grupo Osteoartrite Idoso, ambos sedentários com diagnóstico de OA de joelho II ou III; Grupo Jovem Saudável e Grupo Idoso Saudável, ambos saudáveis e sedentários. Os grupos foram pareados de acordo com sexo e índice de massa corporal, submetidos à avaliação fisioterapêutica, questionário WOMAC, exames de raio-x dos joelhos e tomografia computadorizada da coxa. A análise morfométrica foi realizada manualmente com software ITK-SNAP (versão 3.6), por um único avaliador. Análise estatística utilizou o teste ANOVA one-way seguido pelo post-hoc de Bonferroni, para variáveis dependentes (p≤0,05). Resultados: A comparação da área de secção transversa dos músculos reto femoral, vasto lateral, semitendinoso, sartório e grácil, entre os grupos, não indicou diferenças significativas (p>0,05). O estudo da atenuação para o tecido adiposo muscular não indicou diferença significativa nos valores de entre os grupos OA-Jovem e Idoso-S para todos os músculos avaliados. Conclusão: Indivíduos jovens com OA de joelho apresentam características morfológicas musculares semelhantes às encontradas durante o processo de envelhecimento, caracterizando um envelhecimento precoce dos músculos da coxa.Nível de Evidência III; Estudo retrospectivo transversal e observacional.
STRENGTH AND ENDURANCE TRAINING IN CYTOKINE AND BODY COMPOSITION OF PEOPLE WITH HIV/AIDS
Authors: P. Barros Gustavo Willames , C. Carvalho Paulo Roberto , Santos Heleodório Honorato Dos , B. de Lorena Virginia Maria , A. de Oliveira Bruna Fernanda , Santos José Cristiano Faustino dos , Leandro Magno Petrônio Galvão , Araújo Paulo Sergio R. de
Published: July 2023

ABSTRACT Introduction: HIV/AIDS is considered one of the great cases of public health, but it is seen that patients who use antiretroviral therapy (ART) and practice strength training promote a promotion of their health. Objectives: Assess the impact of strength and resistance training on cytokines and body composition in people living with HIV/AIDS. Methods: Randomized clinical trial, the sample consisted of 12 patients, 7 from the Strength Group (GF) and 5 from Group 2, Muscular Resistance (MGR). We compared the levels of IL-2, IL-4, IL-6, IL-10 and TNF-α cytokines and body composition in the first and last sessions. The patients completed 36 strength and resistance training sessions over 12 weeks. Results: After 36 sessions of GRM resistance training, there was a significant increase from 4,734 pg/mL to 5,050 pg/mL of IL-10 (p=0.002). Regarding the GFR, no significant results were found. For body composition, there were significant differences in GFR due to the increase in lean mass of the arms from 6,441g to 7,014g (p=0.04), legs from 16,379g to 17,281g (p=0.02) and whole body of 45,640g to 47,343g (p=0.01). In G2 there was a significant decrease in the percentage of fat in the arms from 23,160% to 20,750% (p = 0.04). To assess quality of life, the WHOQOL-HIV-Bref questionnaire was used, where significant improvement was found in all domains, except for the level of independence domain. Conclusion: We conclude that muscular resistance training is effective in increasing IL-10 and decreasing the percentage of fat in the arms, whereas strength training increases lean mass in arms, legs, and the whole body. Level of Evidence I; Randomized Clinical Trial.
EFFECTS OF PHYSICAL EXERCISE ON MOOD AND SLEEP QUALITY OF COLLEGE STUDENTS UNDER THE COVID-19 EPIDEMIC
Authors: Han Lisen
Published: July 2023

ABSTRACT Introduction: The management of university campuses in the context of COVID-19 makes the mental health of college students draw much attention. Objective: To explore the effects of physical exercise under COVID-19 on sleep quality and mood of college students. Methods: 1983 college students from The Civil Aviation University of China were selected, and their physical exercise state, sleep quality, and emotional state were measured by a questionnaire. Results: Physical exercise has a significant positive effect on college students’ mood and sleep quality, and sleep quality has a considerable impact on their mood. There is no gender difference in mood and sleep quality. The amount of physical exercise has a significant difference in sleep quality and mood. Compared with the students who do a lot of physical exercises, those who do a lot of physical exercises have higher sleep quality and more vital stronger emotional control ability. Conclusion: This study can provide a reference for universities to carry out mental health education during the particular period of epidemic prevention and control. Level of evidence II; Diagnostic Studies—Investigating a Diagnostic Test.