bluuebunny/crossref_metadata_2025 huggingface dataset:
Participation and diversity - the inclusive and multiepistemic construction of Global Health
Authors: Furtado Juarez Pereira , Comparato Bruno Konder , Reis Ademar Arthur Chioro dos , Nakano Anderson Kazuo , Souza Luciana Rosa de
Published: October 2022

Abstract The shaping of a new field to encompass health formulations and practices on a planetary scale must consider the multiple agents and territories involved and their differences and inequalities. The inclusion of different social segments in the decision-making processes and theoretical elaboration of Global Health, through participation, is presented as a strategic and necessary condition for facing transnational issues. This participation ensures political and epistemic diversity in establishing a global health committed to Global Health equity. The Latin American tradition that articulates research and action and the proposal for the Knowledge Meeting can contribute to participatory processes of constituting the field of Global Health in its practical and theoretical aspects.
Solidariedade pandêmica: respostas da sociedade diante da insuficiência estatal
Authors: Petra Priscila Cardia , Bueno Flávia Thedim Costa , Chagas Claudia Lopes Rodrigues , Lage Leandro dos Reis , Palácios Marisa
Published: October 2022

Resumo A pandemia de COVID-19 chegou ao Brasil em um contexto de crises política e econômica que aprofundaram desigualdades e vulnerabilidades já existentes. Ações de apoio ao outro foram empreendidas por pessoas e organizações no sentido de mitigar os efeitos da pandemia. Foram realizadas 34 entrevistas entre outubro e novembro de 2020 com a finalidade de identificar as ações de apoio efetivadas para ajudar o outro, analisando-as em termos de solidariedade (pandêmica). Solidariedade e individualismo apareceram com frequência nas entrevistas como qualificadores das ações. Além disso, foram identificados três núcleos em que essas ações foram operadas: a família, o condomínio e a comunidade. A família foi citada como forma de suporte mútuo fundamentado pelo parentesco. Já as ações do condomínio se subdividiram entre as ações para dentro dos muros (de suporte mútuo entre semelhantes) e para fora dos muros (que revelam a diferenciação entre o condomínio e locais mais pobres). A comunidade se mostra como uma forma mais potente de ação, com experiências de autogestão, apoio mútuo e vulnerabilidade compartilhada. Nesse sentido, os resultados nos animam a compreender a solidariedade como método transformador da sociedade, independentemente da presença do Estado.
Prevalência do não recebimento de visita domiciliar pelo Agente Comunitário de Saúde no Brasil e fatores associados
Authors: Kessler Marciane , Thumé Elaine , Facchini Luiz Augusto , Tomasi Elaine
Published: October 2022

Resumo O objetivo do artigo é identificar a prevalência de não recebimento de visita domiciliar por Agente Comunitário de Saúde (ACS) e os fatores associados. Trata-se de um estudo transversal realizado com 38.865 equipes e 140.444 usuários em todo o território nacional, que participaram da avaliação externa do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica em 2017/2018. A associação de não recebimento de visita domiciliar por ACS e características dos municípios, equipes e indivíduos foi estimada pela razão de prevalência e intervalos de confiança de 95%. A prevalência de não recebimento de visita domiciliar pelo ACS foi de 18,6% e os principais motivos foram: ACS não realiza visita na casa, desconhecimento da existência de ACS no bairro ou unidade, e não tem ninguém em casa para atendê-lo. A probabilidade de receber visita domiciliar foi maior em regiões mais pobres como o Nordeste, em municípios com menor porte populacional, entre usuários com maior idade e menor renda, com condições crônicas de saúde ou que possuem alguém com dificuldade de locomoção no domicílio. Os resultados evidenciam a necessidade de aumento da cobertura de ACS no país, considerando que sua visita domiciliar promove equidade em saúde.
As ciências sociais e humanas e a pandemia de COVID-19
Authors: Nunes Everardo Duarte
Published: October 2022

Resumo O artigo aborda os desafios enfrentados pelas ciências sociais e humanas na epidemia/pandemia de COVID-19. Esta revisão se refere somente a alguns aspectos, aproximando-se do chamado paradigma indiciário de Ginsburg ao enunciar que “a realidade é opaca, existem zonas privilegiadas - sinais, indícios - que permitem decifrá-la”. De um modo geral, as pesquisas em ciências sociais e humanas voltadas para a crise sanitária são de fundamental importância - primeira afirmação: tanto no período de disseminação da doença como na pós-pandemia; segunda afirmação: a epidemia não se restringe a um evento viral.
Estudo da impermeabilização do gesso de revestimento através da síntese do compósito hidrofóbico de gesso/silicone
Authors: Silva Thainá Kelly dos Santos , Ferraz Andréa de Vasconcelos , Anjos Débora Santos Carvalho dos
Published: October 2022

RESUMO O gesso tem conquistado, ao longo do tempo, cada vez mais espaço na área da construção civil. Apesar dos avanços obtidos no emprego do gesso, este material ainda apresenta limitações, dentre elas a absorção de água devido ao seu caráter hidrofílico, o que limita a sua aplicação em ambientes externos. Com o propósito de reduzir a absorção de água, ampliando a sua aplicação em revestimentos externos, este trabalho visa a incorporação do polímero silicone (caráter hidrofóbico) a matriz gesso. Diante disso, sintetizou-se o compósito gesso-silicone, conforme a norma NBR 12128 (2016). Utilizou-se uma razão água/gesso de 0,7 e variou-se os seguintes parâmetros, a partir de um planejamento fatorial 22: (1) teor de silicone: (−) 1% e (+) 5% (silicone/gesso) e (2) teor de clorofórmio: (−) 0% e (+) 12%. Os materiais obtidos foram caracterizados por microscopia eletrônica de varredura (MEV), espectroscopia de absorção na região do infravermelho (FTIR), difração de raios X (DRX), análises térmicas e Raman. Determinou-se também a resistência mecânica a compressão, o tempo de impermeabilização e o tempo de pega. Percebeu-se que a incorporação do silicone conferiu ao gesso uma redução na absorção de água e um retardamento no tempo de pega. Notou-se que ao adicionar o silicone ao gesso, não houve mudança na resistência à compressão, porém ao adicionar silicone com clorofórmio ocorreu uma redução em 1MPa comparado com a matriz gesso. O compósito gesso-silicone possui potencial aplicação em revestimentos, visto promover uma redução na absorção da água.
Influência da temperatura ambiente no comportamento mecânico do PLA utilizado em manufatura aditiva
Authors: Lima Luís Fernando de , Marques Vinicius Abrão da Silva , Shimano Marcos Massao
Published: October 2022

RESUMO Os polímeros utilizados para impressão 3D do tipo FFF apresentam uma sensibilidade muito grande às variações de temperatura, que vai desde o processo de fabricação até o uso do produto final. Essa é uma característica importante para o processo de impressão, porém, pode representar um fator limitante para sua utilização em ambientes com grandes variações de temperatura. Portanto, o presente trabalho teve como objetivo analisar o comportamento mecânico de corpos de provas de PLA (ácido polilático) fabricados por impressão 3D utilizando a tecnologia FFF (Fabricação por Filamento Fundido) e submetido às temperaturas de 5°C, 25°C e 45°C. Foram realizados testes de tração e flexão em três pontos em corpos de prova fabricados em três orientações diferentes (flat, on-edge e upright). Foi utilizado um equipamento constituído por uma câmara térmica e um sistema de controle de temperatura anexado a uma Máquina Universal de Ensaios. Os corpos de prova foram distribuídos em grupos experimentais de 5 unidades cada. Todos os parâmetros de impressão foram iguais para todos os grupos. O PLA à 5°C apresentou um aumento significativo do módulo de elasticidade e limite de escoamento, gerando um comportamento mais frágil. À 25°C, o comportamento mecânico foi semelhante à literatura. Por fim, à 45°C, foi observado uma queda na resistência e um aumento acentuado da plasticidade do PLA, devido à proximidade da temperatura de transição vítrea. Os corpos de prova impressos nas orientações flat e on-edge apresentaram desempenho mecânico similar, enquanto os corpos de prova impressos na orientação upright apresentaram os menores valores das propriedades mecânicas analisadas.
Marine and coastal biodiversity studies, 60 years of research funding from FAPESP, what we have learned and future challenges
Authors: Marques Antonio C. , Migotto Alvaro E. , Kitahara Marcelo V. , Dias Gustavo Muniz , Costa Tânia Marcia , Oliveira Mariana C.
Published: October 2022

Abstract In this study we survey and analyze 300 projects related to marine biodiversity funded by FAPESP from 1972 to 2021, of which 46 were nested in the BIOTA Program. From a unique project in the 1970’s, the number gradually increased until 2009, when BIOTA promoted a call on marine biodiversity, which led to a boost in the number of funded projects in the subsequent years. The geographical range of the projects expanded over the years and, from studies based on the coast of São Paulo State, the focus gradually shifted to broader areas of the Brazilian coast, then to other areas of the Atlantic, and eventually became global. The majority of projects focused on coastal benthic organisms living on hard-bottom. In terms of taxa, six groups accounted for about 60% of the projects (viz. Crustacea, Actinopterygii, Mollusca, Chondrichthyes, Cnidaria, and Rhodophyta), but it is observed an increase in the number of groups studied over the decades. The 300 projects refer to a set of 82 different topics, of which the top five are taxonomy, phylogeny, community, “omics”, and pollution. The analyses show a long-standing effort in marine biodiversity surveys, with ongoing updated approaches regarding scope and methods. Research on strategic areas is discussed, including deep-sea and marine microbiota. Climate change and the increasing pressure of human activity on the ocean, including pollution, acidification and invasive species, are among the main challenges for the future. Projects producing and using basic research data in an integrative and transdisciplinary way offer multiple perspectives in understanding changes in ecosystem functioning and, consequently, are essential to support public policies for the conservation and sustainable use of marine biodiversity at different scales. UNESCO’s Decade of Ocean (starting 2021) is a window of opportunity to strengthen marine research, to promote national and international collaboration, to build up networks involving the public and private sector, but particularly to draw society’s attention to the importance of knowing marine environments and using ocean resources in a sustainable way. The advancement of ocean literacy is one of the main legacies for future generations promoted by integrated research programs such as BIOTA-FAPESP.
The contribution of the BIOTA/FAPESP Program to the advancement of the knowledge on terrestrial invertebrates
Authors: Noll Fernando B. , Barbosa Marina F. de C. , Santos Eduardo F. , Castilho Raphael de C. , Lamas Carlos J.E. , Freitas André V.L. , de Moraes Gilberto J.
Published: October 2022

Abstract The variability of the organisms living in a given area constitute what is referred to as biodiversity, one of nature’s fundamental properties, responsible for the balance and stability of ecosystems. The loss of biodiversity has been of great concern to scientists, especially because of the role played by human activities in this regard, able to lead to irreversible circumstances. The São Paulo Research Foundation (Fundação de Amparo à Pesquisa do Estado de São Paulo, FAPESP) plays a major role in supporting research efforts in the most diverse branches of science. In the late 1990´s, FAPESP launched a major program to promote research on biodiversity, named BIOTA/FAPESP. So far, this program has financed the conduction of 26 projects, involving research activities in most of Brazil, while focusing mainly the State of São Paulo. These projects have generated about 1140 publications in peer-reviewed journals of high standard, providing relevant information, including the original description of 1187 species and 76 genera, the complementary description of 350 species, as well as a number of inventory works, biological studies, etc. The program has also been instrumental in the establishment or adequacy of research facilities and training of new taxonomists. Most extensively studied groups of terrestrial invertebrates include Insecta of the orders Hymenoptera, Lepidoptera and Diptera, and Arachnida of the subclasses Araneae and Acari. Distinct projects have also contributed to the detection of organisms potentially useful as biological control agents and in the determination of maps of major interest for the establishment of public policies. In the future, priority groups for study should include the Annelida and the Nematoda, for the potential both have as beneficial organisms, or for the potential some Nematoda have as organisms harmful to plants and animals.
Ocular echobiometry and relationship with cranial and body morphometric parameters in Shih Tzu dogs
Authors: Santos M.A.P. , Zacarias Junior A. , Porto E.P. , Oliveira M.L.R.
Published: October 2022

ABSTRACT The purpose of this paper is to determine the ocular echobiometry and investigate its correlation with cranial and body morphometric parameters in 50 adult Shih Tzu dogs. The echobiometric measurements of the anterior chamber (AC), vitreous chamber (VC), lens axial thickness (LTA), transverse lens thickness (LTT), and axial length of the eyeball (ALE) were obtained by two-dimensional ultrasonography. Morphometric measurements of bizygomatic distance (BDIST), frontal-occipital distance (FOD), withers height (WH), thoracic circumference (TC), and body length (BL) were also obtained. The mean of the AC depth was 2.83±0.50mm, the VC was 9.18±0.54mm, the LTA was 6.42±0.32mm and the LTT was 9.17±1.18mm, while the mean of the ALE was 18.82±0.66mm. There was no correlation between ocular echobiometric variables and cranial and body morphometric variables in adult dogs of the Shih Tzu breed, as well as no significant difference of these variables when considering gender and age of the dogs (p ≥ 0.05).
Efficiency of the anaerobic baffled reactor followed by anaerobic filter in the removal of nutrients and pathogenic organisms in fish processing effluents
Authors: Sousa S.R. , Rodrigues L.S. , Sampaio R.R. , Dutra J.C.F. , Silva I.J.
Published: October 2022

ABSTRACT The aquaculture showed high growth along with the increase in the consumption of animal protein from this sector. The processing industries facilitate the preparation of fish for the consumer; however, they generate large volumes of effluents with a high polluting potential. Environmental legislation establishes norms for the release of effluents, making it necessary to implement treatment systems to reduce the pollutants generated. The objective of this work was to evaluate the performance of a compartmentalized anaerobic reactor (ABR) followed by an anaerobic filter (AF) treating fish processing effluent. The work was carried out in a slaughterhouse that had an effluent treatment station consisting of a static sieve, grease box, ABR reactor and anaerobic filter. Monitoring consisted of physical-chemical and biological analyzes of samples collected from the influent and effluents from each stage of treatment. The parameters evaluated were ammonia, nitrite, nitrate, NTK, phosphate and coliforms. The average results of the removal efficiency of these parameters, respectively, for the ABR reactor were 5, 40, 69, -19, -25 and 83%, and for the AF -0.5, 73, 53, 10, -17 and -17%. The system composed by the ABR reactor followed by the Anaerobic Filter showed high removal of nitrite, nitrate, and coliforms.
External macroscopic anatomy of the Bradypus variegatus heart
Authors: Albuquerque P.V. , Mesquita E.P. , Alcântara S.F. , Miranda M.E.L.C. , Andrade G.P. , Amorim Júnior A.A. , Amorim M.J.A.A.L.
Published: October 2022

ABSTRACT The sloth is known for its slow movements and arboreal habits. Most parts of its anatomy need yet to be unveiled, in order to understand the peculiarities that justify its behavior. In this sense, an investigation of the external characteristics of the heart of the three-toed sloth, Bradypus variegatus, was carried out to indicate the shape, the faces, the dimensions, the topography, and the coating of this organ. For this purpose, fifteen corpses destined for dissection and four healthy specimens were used to carry out thorax digital x-ray. Based on the obtained results, it was noticed that the heart of the species in question presents conical shape, situated obliquely in the mediastinum, is displaced to the left and has latero-lateral slight flattening. Among the animals, discrepancies were found in the organ skeletopy, which presents the tapered apex and the base, in which the large vessels can be observed, whose arrangements also proved to be variables. The heart presents faces (right and left), margins (cranial and caudal) and is surrounded by the pericardium, which gives off two ligaments, sternopericardial and phrenico pericardial. Its size is proportional to the age and length of the individual, with measurements, in general, slightly larger in males.
Identification of the tributary branches of the hepatic portal vein in the common sloth, Bradypus variegatus Schinz, 1825 (Pilosa: Bradypodidae)
Authors: Nascimento N.E.O. , Amorim M.J.A.A.L. , Albuquerque P.V. , Miranda M.E.L.C. , Alcântara S.F. , Andrade G.P. , Mesquita E.P. , Bittencourt T.Q.M. , Amorim Júnior A.A.
Published: October 2022

ABSTRACT Bradypus variegatus, the common sloth, belongs to the Bradypodidae family, being considered a biological model to be applied in multidisciplinary research. This study was developed with the aim of being applied to clinical medicine and to the adequate management of the common sloth. Ten sloths were utilized, obtained post-natural death. The animals were fixed and to obtain the results, they were submitted to the dissection technique. For 80% of the animals, the portal vein originated from five tributaries, which were: the resulting vein from the anastomosis of the cardia vein, fundic vein, and the pyloric branches; the mesenteric trunk; the vein formed by the confluence of the stomach body branches and the cranial portion of the cavity of the cardia; the pyloric vein and splenic vein. While in 20% of the animals, the portal vein was comprised of six tributaries, because the fundic vein and cardia vein form two direct anastomoses, arriving at the portal vein two tributary vessels. This pattern differs in number and arrangement of branches when compared to the main domestic species. Therefore, the hepatic portal system is responsible for the drainage of the stomach, spleen, pancreas and intestines.
CYTOKININ AND FLASK SEALING AFFECT SHOOT PROLIFERATION AND In Vitro DEVELOPMENT OF Jacaranda cuspidifolia MART. MICROCUTTINGS
Authors: Ferreira Deise Kelle Barbosa , Dias Lana Laene Lima , Silva Lázara Aline Simões , Netto Antônio Paulino da Costa , Kuster Vinícius Coelho , Rocha Diego Ismael
Published: October 2022

ABSTRACT Plant growth regulators (PGRs) and types of flasks sealing that allow gas exchange can favor the development of in vitro plant propagation systems. The objective of the present study was to evaluate the eff ects of cytokinin supplementation on the induction of shoot proliferation and the influence of gas exchange on the in vitro development of Jacaranda cuspidifolia Mart microcuttings. Nodal segments were cultured in medium supplemented with diff erent concentrations (0.25; 0.5; 1.0 and 2.0 mg L-1) of 6-benzyladenine (BA). In the control treatment, there was no addition of PGRs. After 30 days of culture, the microcuttings were isolated and transferred to a rooting medium supplemented with 1.0 mg L-1 indole-3-butyric acid. At this stage, the culture fl asks were sealed with rigid polypropylene lids with a porous membrane (1 M; 21 μL L-1 s-1 CO2) or with no membrane (0 M; 14 μL L-1 s-1 CO2). Cytokinin supplementation induced the activation of axillary buds of J. cuspidifolia. The highest numbers of shoots were observed in explants cultivated in the presence of 0.5–1.0 mg L-1 BA. The microcuttings kept in flasks with a higher level of gas exchange (1M) had a higher percentage of rooting and greater root and shoot lengths. Microscopic analysis showed a greater differentiation of leaf tissues in plants kept in flasks with a higher level of gas exchange (1M). These plants also showed greater mesophyll thickness and, consequently, greater leaf blade thickness. The results provide new information for establishing an efficient in vitro propagation system for J. cuspidifolia.
A mídia e o medo do crime no Distrito Federal
Authors: Costa Arthur Trindade M , Durante Marcelo Ottoni
Published: October 2022

O objetivo deste artigo é examinar a influência da mídia na percepção do medo do crime entre moradores do Distrito Federal brasileiro. O estudo explora a influência das características da audiência na relação entre a mídia e o medo do crime. Também analisamos o impacto de diferentes tipos de mídia (TV, jornais e redes sociais) sobre o medo do crime. Os resultados mostram que a influência da mídia sobre o medo do crime depende do tipo de mídia, devido às diferenças em seu conteúdo e às características da audiência.
Entropias burocráticas no processo de recrutamento e seleção e sua influência na gestão de carreiras do setor público em Moçambique
Authors: Santos Júnior João Samuel dos , Januário Francisco Maria , Molide Abacar
Published: October 2022

Este artigo explora a visão dos servidores públicos moçambicanos sobre as entropias burocráticas no processo de recrutamento e seleção e sua influência na gestão de carreiras. A investigação envolveu 20 participantes e foram administradas entrevistas semiestruturadas. O método grounded theory foi utilizado para analisar as narrativas recolhidas. Os achados obtidos colocam em evidência a ocorrência de quatro entropias burocráticas, nomeadamente: fragilidades da gestão de recursos humanos, ineficiência das práticas de gestão de carreiras, patronagem no recrutamento e decisões centralizadas. Contudo, as visões expressas pelos entrevistados são consensuais que as entropias burocráticas afetam, negativamente, a gestão de carreiras.
Evaluation of the knowledge of dental trauma in academic students of pedagogy and physical education courses
Authors: SILVA Jéssica Giovani da , NEVES Érika Campos , SANTOS Sabrina Martins dos , MIOTTO Maria Helena Monteiro de Barros
Published: October 2022

Abstract Introduction Dental trauma is considered a public health problem, being the second most prominent dental emergency, whose greatest occurrence is in schools, assigning teachers the responsibility of administering first aid. Objective To evaluate the knowledge of dental trauma among final-year’s students of pedagogy and physical education courses at the Federal University of Espírito Santo. Material and method A cross-sectional descriptive study was applied. A total of 106 questionnaires were answered by 55 students from the physical education course and 51, from the pedagogy course; comprised of socio-demographic data and knowledge of dental injuries. Statistical analysis was done using the statistical package SPSS 20. Result 98.1% of the interviewees had no training on trauma, 92.5% considered themselves incapable of providing help when facing trauma, but considered the ability important (55.7%). When asked about tooth avulsion, most of them answered that they would not reimplant the tooth, were not aware of the appropriate time window to do so, or how the storage/transportation of the dental element was to be done. Conclusion These future teachers showed unpreparedness and deficient knowledge regarding trauma treatment procedures, favoring unfavorable prognoses which would negatively impact the quality of life of the victims in terms of aesthetic, functional and psychological aspects. Therefore, the need for dental trauma education during their professional training is evident.
Patient Safety Incidents and the second victim phenomenon among nursing students
Authors: Tavares Ana Paula Mousinho , Barlem Jamila Geri Tomaschewski , Pereira Rocha Laurelize , Oliveira Aline Cristina Calçada de , Avelino Fernanda Valéria Silva Dantas , Paloski Gabriela do Rosário
Published: October 2022

ABSTRACT Objective: To map the factors involved in incidents that harm patient safety and contribute to the second victim phenomenon among nursing students. Method: Qualitative, exploratory-descriptive study addressing 23 nursing students attending a Federal University in the South of Brazil. The interviews were analyzed using text and discoursive analysis. The Iramuteq software supported the processing of texts. Results: Communication failures within the health staff, a lack of protocols and equipment that prioritize patient safety, and factors related to the teaching-learning process favor the occurrence of patient safety incidents and the second victim phenomenon among nursing students. Conclusion: Addressing the topic concerning patient safety in nursing programs can promote the patient safety culture by encouraging reporting and admitting the possibility of errors and learning from them, strategies that can mitigate second victim effects.
Incidentes de segurança do paciente e o fenômeno da segunda vítima entre estudantes de enfermagem
Authors: Tavares Ana Paula Mousinho , Barlem Jamila Geri Tomaschewski , Pereira Rocha Laurelize , Oliveira Aline Cristina Calçada de , Avelino Fernanda Valéria Silva Dantas , Paloski Gabriela do Rosário
Published: October 2022

RESUMO Objetivo: mapear os fatores envolvidos em incidentes que fragilizam a segurança dos pacientes e que colaboram para o fenômeno da segunda vítima entre os estudantes de enfermagem. Método: estudo de abordagem qualitativa, de caráter exploratório-descritivo, realizado com 23 estudantes de enfermagem de uma Universidade Federal do Sul do Brasil. As entrevistas foram analisadas através da análise textual discursiva. O software Iramuteq auxiliou no processamento dos textos. Resultado: falhas na comunicação entre a equipe de saúde, ausência de protocolos e de equipamentos que priorizem a segurança do paciente e os fatores relacionados ao processo de ensino-aprendizagem favorecem a ocorrência de incidentes de segurança do paciente e corroboram para o fenômeno da segunda vítima entre estudantes de enfermagem. Conclusão a incorporação da temática sobre segurança do paciente no curso de enfermagem pode auxiliar o desenvolvimento de uma cultura de segurança do paciente, ao incentivar a cultura do relato, admitir a possibilidade do erro e o aprendizado a partir dele, estratégias que podem propiciar na mitigação dos efeitos da segunda vítima.
El papel de la evaluación en la enfermería de práctica avanzada gerontológica basada en competencias
Authors: Ferretti-Rebustini Renata Eloah de Lucena , Souza-Talarico Juliana Nery de , Fhon Jack Roberto Silva , Greenberg Sherry A.
Published: October 2022

RESUMEN El envejecimiento de la población es un desafío a los sistemas de salud y requiere que los profesionales de enfermería en gerontología de práctica avanzada (EGPA) aborden los requisitos específicos y complejos del cuidado de los adultos mayores. La EGPA pone en ejecución prácticas basadas en evidencia dirigidas a pacientes y familiares para la promoción y protección de la salud, prevención de enfermedades, así como su recuperación y rehabilitación. En la gerontología de práctica avanzada basada en competencias, la evaluación integral es esencial para la puesta en práctica de un plan de cuidados. En este ensayo teórico reflexionamos sobre el papel de la evaluación en la enfermería en gerontología de práctica avanzada basada en competencias. Desde nuestro punto de vista, la valoración gerontológica hacia una práctica excelente debe ser integral, multidimensional, interdisciplinar y planificada. La EGPA debe abarcar competencias efectivas en habilidades clínicas y prácticas del cuidado; alfabetización en salud; cuidado colaborativo; gestión de sistemas para la continuidad del cuidado; ética, defensa y agencia moral; y la práctica a través de la investigación basada en la evidencia. Los modelos gerontológicos de cuidado y las competencias de la EGPA sirven como marco de su práctica, mientras que la evaluación es fundamental para un cuidado accesible a los adultos mayores.
Aspectos relacionados ao letramento em saúde, autocuidado e adesão ao tratamento de pessoas vivendo com HIV
Authors: Silva Mônica Alice Santos da , Lima Morgana Cristina Leôncio de , Dourado Cynthia Angélica Ramos Oliveira , Andrade Maria Sandra
Published: October 2022

RESUMO Objetivo: verificar a relação entre letramento em saúde, adesão à terapia antirretroviral e autocuidado de pessoas vivendo com HIV. Método: trata-se de estudo transversal, desenvolvido entre janeiro e julho de 2019, por meio de escalas validadas sobre letramento em saúde (SAHLPA), adesão (CEAT-HIV) e autocuidado (EACAC). Resultados: participaram do estudo 303 pessoas cadastradas em três serviços de atendimento ambulatorial-HIV, apresentando grau satisfatório de letramento (52,5%), ótimo nível de autocuidado (62,9%) e adesão estrita à terapia antirretroviral (57,1%). Os não letrados apresentaram adesão medicamentosa insuficiente, quando comparados com os letrados (RP = 1,17). A adesão estrita foi significativa para o autocuidado (p-valor < 0,001). Uma maior relação de risco para o não letramento esteve associada ao sexo feminino, pessoas com ensino fundamental, que recebem benefícios, com renda de até um salário mínimo, não ter hábito de buscar informações em saúde e maior tempo de uso da TARV. Conclusão identificou-se relação entre o letramento e a adesão insuficiente. O risco para adesão medicamentosa insuficiente aumenta à medida que o autocuidado diminui. Medidas sociais redutoras de iniquidades podem contribuir para melhoria da assistência a pessoas que vivem com HIV.
VIOLÊNCIA INSTITUCIONAL HOSPITALAR NA PRÁTICA DE CUIDADO À CRIANÇA: ANÁLISE DO DISCURSO NA PERSPECTIVA FOUCAULTIANA
Authors: Santos Ana Carla Petersen de Oliveira , Camargo Climene Laura de , Vargas Mara Ambrosina de Oliveira , Araújo Cristina Nunes Vitor de , Conceição Marimeire Moraes da , Zilli Francielly
Published: October 2022

RESUMO Objetivo: interpretar discursos de profissionais de saúde e de acompanhantes acerca da violência institucional hospitalar nas práticas de cuidado à criança, fundamentado na concepção foucaultiana de disciplina. Método: pesquisa qualitativa descritiva exploratória tendo como campo de estudo uma unidade pediátrica de um hospital universitário em Salvador/Bahia. Participaram do estudo 10 acompanhantes de crianças hospitalizadas e 39 profissionais de saúde. A coleta de dados ocorreu de novembro de 2018 a outubro de 2019 utilizando-se a entrevista semiestruturada. Na interpretação dos dados, foi empregada a análise do discurso à luz do pensamento foucaultiano. Resultados: a violência institucional nas práticas de cuidado é compreendida pelo dispositivo disciplinar, tendo como elementos: controle do tempo e separação espacial; controle dos corpos; normas e adestramento; e o exame minucioso. Estando o cuidado balizado por tais elementos, foram identificadas situações de omissão de cuidados, desrespeito à autonomia, privacidade, falta de escuta, falta de atenção, danos físicos, privações e múltiplas manipulações do corpo infantil, resultando em violações na dignidade humana destes indivíduos. Conclusão: é necessário que profissionais, usuários e gestores e a comunidade acadêmica proponham uma mudança nos modos de atenção à criança hospitalizada, fortalecendo a difusão e debate dos direitos humanos nos serviços de saúde que atendem crianças e suas famílias.
Intersectional Discrimination Index: Initial stages of cross-cultural adaptation to Brazilian Portuguese
Authors: Pereira Natália Peixoto , Bastos João Luiz , Lisboa Carolina Saraiva de Macedo
Published: October 2022

ABSTRACT Objective: To perform the cross-cultural adaptation of Intersectional Discrimination Index (InDI) into Brazilian Portuguese. InDI assesses the health impacts of intersectional experiences with anticipated (InDI-A), day-to-day (InDI-D), and major (InDI-M) discrimination. Methods: The following steps were taken: (1) independent translations; (2) synthesis of translations; (3) evaluation by an expert committee; (4) analysis by members of the target population; (5) back translation; and (6) pre-test. Based on the evaluation by the expert committee, the content validity coefficient (CVC) was calculated for each item and for the entire instrument. CVC helped identify which items needed adjustments according to the criteria of language clarity, theoretical relevance, and practical relevance. Results: Of the 31 items, 24 were considered adequate and seven required further language adjustments. CVC values were satisfactory for clarity (CVCt=0.86), practical relevance (CVCt=0.87), and theoretical pertinence (CVCt=0.87); a good level of understanding was reported by the target population (mean=4.44; standard deviation=1.36). The average response time was 15.5 minutes, and no additional difficulties in interpreting the items were reported. The back-translated InDI was approved by the original authors of the instrument. Conclusion: The initial stages of the cross-cultural adaptation process showed that the use of InDI looks promising in Brazil. Further studies still need to examine the psychometric properties of the instrument to confirm the positive results of our work, as well as its usefulness for assessing the health impacts of intersectional experiences with discrimination.
Systematic Review Support software system: web-based solution for managing duplicates and screening eligible studies
Authors: Escaldelai Fernanda Martins Dias , Escaldelai Leandro , Bergamaschi Denise Pimentel
Published: October 2022

ABSTRACT Objective: To describe the main functions of the “Systematic Review Support” web-based system for removing duplicate articles and aiding eligibility analysis during the process of conducting systematic review studies. Methods: The system was developed based on the incremental build model using the Agile methodology. The software is proprietary source code and was published on a proprietary platform. The architecture of the production environment allows the infrastructure used to increase or decrease according to demand. The system functions are presented with insertion of screenshots of the interfaces of the version for personal computers during the simulation of a systematic review. Results: After importing the files containing the abstracts retrieved from the Pubmed, Embase, and Web of Science databases, the system identifies and removes duplicates for later reading and analysis of title and abstract, a stage which can be performed by one or more reviewers independently. After unblinding of reviewers, the decisions on the eligibility of the studies are compared automatically to help the researchers reach a consensus on any disagreements. Results can be filtered and a PDF produced containing the eligible studies. Conclusion: Version 1.0 of the system is available on the web (sysrev.azurewebsites.net) to assist researchers in the initial stages of systematic reviews.
Perfil dos trabalhadores da Atenção Primária à Saúde e proteção de riscos ocupacionais na pandemia da Covid-19 no Brasil
Authors: Marinho Maristela Rodrigues , Silva Neto Priscila Kelly , Mata Luciana Regina Ferreira da , Cunha Inara Pereira da , Pessalacia Juliana Dias Reis
Published: October 2022

Resumo Este artigo teve como objetivo caracterizar o perfil dos trabalhadores da Atenção Primária à Saúde e analisar as medidas de proteção de riscos ocupacionais em dois estados brasileiros durante a pandemia da Covid-19. Trata-se de estudo quantitativo do tipo survey, com amostra aleatória de 259 profissionais de saúde da Atenção Primária dos estados de Mato Grosso do Sul e São Paulo no período inicial da pandemia. A maioria dos participantes era do sexo feminino (85,3%), profissionais de enfermagem (40,6%) com idade média de 39,1 anos (dp ± 9,5) e do estado de São Paulo (73%). Utilizaram-se análise descritiva e teste exato de Fisher. Quanto às medidas de proteção de risco ocupacional no trabalho, verificou-se que a imunização antecipada contra influenza teve maior frequência no Mato Grosso do Sul (93,8%), porém 47,7% não tiveram acesso aos testes de Covid-19 neste estado e 24,3% em São Paulo. Os profissionais de nível superior tiveram mais acesso à máscara N95/PFF2 (10,2%) em comparação aos auxiliares e técnicos, com 6,5% e 7,8%, respectivamente. Observaram-se possíveis diferenças nas gestões municipais dos respectivos estados, que parecem não ofertar o acesso equânime de profissionais da Atenção Primária à Saúde a proteção, imunizantes e testes para detecção de SARS-CoV-2.
Trophic ecology and resource partitioning of Haemulidae species along the Northeastern Brazilian continental shelf
Authors: Limeira Ádamo Gabriel Cavalcanti , Frédou Thierry , Soares Andrey Paulo Cavalcanti , Lira Alex Souza , Le Loc´h François , Viana Girlene Fábia Segundo , Rosa-Filho José Souto , Munaron Jean Marie , Lucena-Frédou Flávia
Published: October 2022

Abstract In the Southeastern Tropical Atlantic, Haemulidae family play an important role both environmentally, acting as a link between lower and higher trophic levels, and socioeconomically, being widely caught by artisanal fleets. This study aimed to describe the trophic ecology of three grunt species (Haemulon aurolineatum, H. plumierii and H. squamipinna) considering spatial, temporal and ontogenetic aspects, integrating stomach content and stable isotopes analysis. Sampling occurred in 26 stations along the Northeast of Brazil (04°– 09°S), in August 2015 and April 2017, using bottom trawling net. There was greater feeding intensity at night, at latitudes below 08°S and in the inner continental shelf. Higher values of δ¹⁵N were reported for H. aurolineatum and H. plumierii collected near coastline. The isotopic niche breadth indicated that H. aurolineatum has a narrower diet thanH. plumierii. For the three species, the trophic level ranged between three and four. Considering stomach content and isotopic niche, diet was similar comparing species. This trophic ecology pattern reveals a likewise use of the habitat, which may be essential for identifying priority areas for conservation on an ecosystem basis, especially in rich reef zones that are subject to several increasing pressures, such as those in Northeast Brazil.
Fish biodiversity of a tropical estuary under severe anthropic pressure (Doce River, Brazil)
Authors: Rodrigues Vitor L. A. , Guabiroba Helder C. , Vilar Ciro C. , Andrades Ryan , Villela Alexandre , Hostim-Silva Maurício , Joyeux Jean-Christophe
Published: October 2022

Abstract The Doce River has undergone severe changes over the last centuries (e.g., flow regulation, pollution, habitat and species loss). Here, we present the first comprehensive fish biodiversity assessment of the Doce River estuary and a summary of the main impacts and their drivers for the whole river since the early 18th century. Carangiformes, Siluriformes and Eupercaria incertae sedis were the most representative orders for the 115 species recorded. Most species are native (87.8%), euryhaline/peripheral (80%) and zoobenthivorous (33.9%). Threatened (Paragenidens grandoculis, Genidens barbus, and Lutjanus cyanopterus) and near threatened (Cynoscion acoupa, Dormitator maculatus, Lutjanus jocu, Lutjanus synagris, and Mugil liza) species are peripheral. Thirteen species are exotic at the country (Butis koilomatodon, Coptodon rendalli, and Oreochromis niloticus) or the basin level (e.g., Pygocentrus nattereri and Salminus brasiliensis). The catfish Cathorops cf. arenatus is reported for the first time on the eastern coast of Brazil and Paragenidens grandoculis, considered extinct in the Doce River, was discovered in the estuary.
Prediction of the natural distribution and conservation of Urena lobata L. in Brazil
Authors: Gomes Lucinete Miranda , Bezerra Caroline de Souza , Aguiar Ananda Virginia de , Wrege Marcos Silveira , Lopes Maria Teresa Gomes
Published: October 2022

ABSTRACT Urena lobata L. is a commercial species used for fiber extraction in the Brazilian states of Amazonas and Pará that presents relevant socioeconomic importance for the Amazon region. Despite its importance and wide distribution throughout Brazil, there are no data on the species response to global climate change. This study aimed to present the potential geographical distribution of U. lobata in the current period (2009-2019) and predict areas of climatic suitability for its occurrence in two future scenarios (RCP 4.5 and RCP 8.5), at two time intervals (2020-2050 and 2051-2070), in the face of global climate change. A total of 19 bioclimatic variables were obtained from the WorldClim database and four algorithms (Climate Space Model, Envelope Score, Niche Mosaic and Environmental Distance), from which the Envelope Score was the most representative model for the species to verify its occurrence along the Brazilian phytogeographic domains (Amazon, Caatinga, Cerrado, Pantanal, Atlantic Forest and Pampa). Vulnerability was observed for the species, since there were losses of favorable areas in the Amazon, Pantanal, Atlantic Forest, Cerrado and Caatinga, becoming practically extinct in the worst scenario (RCP 8.5), in the year 2070. However, for this same scenario and year, there was a significant area increase in the Pampa.
Row spacing and seed physiological quality of Crotalaria species
Authors: Silva Bruna Neves Pereira da , Masetto Tathiana Elisa , Garcia Rodrigo Arroyo , Toledo Mariana Zampar
Published: October 2022

ABSTRACT Crotalaria crops have important uses, such as in green manuring, nematode control, biological nitrogen fixation and sugarcane reform in Savanna areas. Due to its strategic importance, knowledge about crotalaria seed production technology is a relevant factor to ensure the availability of high physiological quality seeds. This study aimed to assess the effect of two row spacings (20 and 40 cm) on the germination and vigor of Crotalaria ochroleuca and Crotalaria spectabilis seeds produced in two crop seasons (2018 and 2019). The experimental design was randomized blocks, with four replications, in a 2 x 2 factorial scheme (spacing x crop season), for each species. The climatic conditions during seed production significantly infuenced the physiological quality of the crotalaria seeds. The 2018 harvest, with more abundant rainfall and milder temperatures during flowering, provided more vigorous seeds for both species. The 20 cm spacing was more efficient to produce C. ochroleuca seeds with high physiological performance. Notwithstanding, C. spectabilis seeds showed a higher physiological quality when produced under 40 cm spacing than when produced under denser cultivation.
Weed diversity as affected by tillage and ammonium glufosinate herbicide
Authors: Alridiwirsah  , Tampubolon Koko , Mustamu Novilda Elizabeth , Mujiyo  , Mohammad Mehdizadeh
Published: October 2022

ABSTRACT Farmers in Indonesia generally spray herbicides to control weeds and use tillage during the early stages of crop cultivation; consequently, these activities affect the weed composition and diversity. This study aimed to evaluate the dominance and diversity index of weeds and obtain abundance correlations according to the soil chemical characteristics, as well as the effect of the ammonium glufosinate herbicide, in different tillage systems. A non-factorial randomized block design was used, consisting of no-tillage (NT), 1-time tillage (T1) and 2-times tillage (T2), with three replications. The Cyperus rotundus and Ageratum conyzoides weed species were dominant in the tillages. The diversity indices were 2.261, 2.196 and 2.234 (moderate/stable condition), respectively for the NT, T1 and T2. For T2, there were increases of 2.82-folds, 41 populations and 2.43-folds, respectively for A. conyzoides, Cynodon dactylon and Euphorbia heterophylla, when compared to NT, while a decrease was observed in grasses for T1 and T2 (50.71 and 26.05 %, respectively). Moreover, there was a positive and significant correlation for E. heterophylla according to the soil cation exchange capacity (0.727). In contrast, four new weed species (Glyceria maxima, Leersia oryzoides, Scoparia dulcis and Anthoxanthum oculatum) were found due to the ammonium glufosinate application, in the different tillage systems.
Rituximab therapy for childhood onset idiopathic nephrotic syndrome: experience of a Portuguese tertiary center
Authors: Gomes Rita , Mosca Sara , Bastos-Gomes Mariana , Correia-Costa Liane , Rocha Liliana , Teixeira Ana , Costa Teresa , Sameiro-Faria Maria , Matos Paula , Mota Conceição
Published: October 2022

ABSTRACT Introduction: Rituximab (RTX) is a therapeutic option in pediatric difficult-to-treat idiopathic nephrotic syndrome (NS). We aimed to assess the efficacy and safety of RTX use in these patients. Method: A retrospective study of all patients with idiopathic NS treated with RTX was conducted in a pediatric nephrology division of a tertiary hospital. Demographic, anthropometric, clinical and analytical data were collected prior to treatment and at 6, 12, and 24 months. Results: Sixteen patients were included (11 males), with a median (25th–75th percentile, P25–P75) age at diagnosis of 2 (2.0–2.8) years. Fifteen were steroid-sensitive and 1 was steroid-resistant and sensitive to cyclosporine. The median age at administration of RTX was 10 (6.3–14.0) years. Throughout a median follow-up time of 2.5 (1.0–3.0) years, 6 (37.5%) patients achieved partial remission and 7 (43.8%) had no relapses and were not taking any immunosuppressants at the 24-month follow-up visit. Regarding complications, 1 patient presented persistent hypogammaglobulinemia. Compared with the 12-month period before RTX, there was a decrease in the median number of relapses at 6 and 12 months [3 (3.0–4.0) vs 0 (0–0.8) and 0.50 (0–1.0), respectively; p = 0.001] and in the daily steroids dose (mg/kg/day) at 6, 12, and 24 months [0.29 (0.15–0.67)vs [0.10 (0.07–0.13); p = 0.001], [0.12 (0.05–0.22); p = 0.005] and [0.07(0.04–0.18); p = 0.021]], respectively. There was also a reduction in the median BMI z score at 24 months [2.11 (0.45–3.70) vs. 2.93 (2.01–3.98); p = 0.049]. Conclusion: Our results confirm the efficacy and safety of RTX use in pediatric idiopathic NS and highlight its’ potential cardiometabolic benefits.
Experiência de profissionais e residentes atuantes no centro obstétrico acerca da utilização do plano de parto
Authors: Boff Nathalia Kaspary , Sehnem Graciela Dutra , Barros Amanda Peres Zubiaurre de , Cogo Silvana Bastos , Wilhelm Laís Antunes , Pilger Carolina Heleonora
Published: October 2022

Resumo Objetivo conhecer a experiência de profissionais e residentes atuantes no centro obstétrico acerca da utilização do plano de parto. Método pesquisa qualitativa, desenvolvida com sete profissionais e cinco residentes atuantes em um centro obstétrico de um hospital de ensino localizado no sul do Brasil. A coleta de dados ocorreu por meio de um questionário semiestruturado, no período de novembro a dezembro de 2020. Os dados obtidos foram submetidos à análise temática de conteúdo. Resultados a carência de conhecimento ou de atualização surgiu como um dos motivos para a não utilização do plano de parto, além do dimensionamento inadequado para atender às demandas do serviço. Entre as possibilidades para a utilização do plano de parto, têm-se a elaboração durante as consultas de pré-natal e a atuação de uma equipe multiprofissional. Conclusão e Implicações para a Prática a busca pelo conhecimento é a chave principal para aumentar a viabilização e, consequentemente, a utilização desse documento durante o pré-natal e trabalho de parto. O conhecimento acerca da utilização do plano e parto promove condições para o exercício da autonomia e protagonismo da mulher durante o trabalho de parto, parto e nascimento.