Resumo Background: O mundo mudou após o ano de 2020 devido à pandemia provocada pelo vírus SARS-COV-2, que originou inúmeros desafios na saúde. Mundialmente foram implementadas medidas de contenção. Isto alterou o quotidiano das crianças/adolescentes que ficaram privados da convivência com os seus pares, da aprendizagem em regime presencial e da sensação de segurança (Rao e Fischer, 2021). É na interação entre as crianças e o ambiente que se processa o desenvolvimento de competências, assim, é pertinente questionar se as alterações vivenciadas tiveram consequências ao nível do desenvolvimento infantil. Métodos: Foi conduzida uma pesquisa em três passos, de acordo com o Joanna Briggs Institute (Peters et al., 2020). 1) Foi conduzida uma pesquisa na MEDLINE e na CINAHL, seguida de uma análise das palavras do título, abstract e palavras indexadas; 2) As palavras-chave e os termos indexados foram pesquisados em todas as bases de dados incluídas; 3) Foram pesquisadas as referências bibliográficas de todos os artigos incluídos. Resultados: Durante a pesquisa efectuada foram encontrados um total de 455 artigos, excluíndo duplicados. Após a leitura do título foram excluídos 420 resultados por não se enquadrarem no estudo, obtendo 35. Destes, posteriormente à leitura do resumo, foram excluídos 20 resultados, deixando 15 artigos para serem avaliados integralmente. Destes 11 foram incluídos no estudo, e após análise da lista de referências e recomendações dos peritos, foram incluídos 2 novos estudos, perfazendo um total de 13 estudos incluídos. Conclusão: Deverão ser conduzidos novos estudos no futuro por forma a lidar com os desafios a nível do desenvolvimento e que intervenções podem promover o desenvolvimento infantil. Devem ser implementados planos de saúde com as crianças/adolescentes e os seus cuidadores, guiando-os na promoção do desenvolvimento infantil numa óptica de parceria de cuidados com a equipa multidisciplinar.

Abstract Background:The world has changed due to the pandemic SARS-COV-2, which led to multiple challenges. Containment measures have been implemented worldwide. This changed the daily lives of children who remained deprived of living with their peers, face-to-face learning, and a sense of security (Rao & Fischer, 2021). It is in the interaction between children and the environment that the development of skills takes place, so it is pertinent to question whether the changes experienced had consequences in child development. Methods: A three-step search strategy was conducted, according to the Joanna Briggs Institute (Peters et al., 2020). 1) A search of MEDLINE and CINAHL was undertaken, followed by an analysis of the words contained in the title, abstract and the index terms; 2) The keywords and index terms were searched across all the included databases; 3) Search of the reference lists of all the included articles. Findings: During the search performed, a total of 455 articles were found, excluding duplicates. After reading the title, 420 results were excluded because they did not fit the study, obtaining 35. Of these, after reading the abstract, 20 results were excluded, leaving 15 articles to be fully evaluated. Of these 11 were included in the study, and after reviewing the list of references and experts' recommendations, 2 new studies were included, making a total of 13 included studies. Conclusion: As implications for research, studies should be carried out that deal with the new challenges at the level of development and which interventions can promote child development. Health care plans should be built and implemented in partnership with the child/adolescent and their caregivers, to guide them in promoting child development, working in an integrated manner in the multidisciplinary team.

Resumo A psoríase é uma doença sistémica que envolve frequentemente a pele, o couro cabeludo e as unhas. Em alguns casos, as alterações ungueais podem ser a única manifestação naapresentação. Os autores relatam o caso clínico de um rapazde 10 anos com envolvimento ungueal como principal manifestação. O rapaz foi inicialmentetratadocom antifúngicos, mas o aparecimento de lesões cutâneas permitiu o diagnóstico e tratamento adequados. O diagnóstico diferencial com onicomicose pode ser difícil, uma vez que as alterações a nível ungueal se sobrepõem. As hipóteses terapêuticas na psoríase podem ser divididas em agentes tópicos na doença ligeira a moderada, agentes sistémicos na doença moderada a grave e agentes biológicos na doença grave ou refratária. Este caso clínico revisita o diagnóstico e tratamento de uma doença conhecida com uma apresentação menos comum.

Abstract Psoriasis is a systemic disease that commonly affects the skin, scalp, and nails. Occasionally, nail psoriasis may be the only manifestation at the time of clinical presentation. The authors present the case of a 10-year-old boy with nail involvement as the main featureat presentation, initially treated with antifungal agents. The emergence of skin lesions allowedthe diagnosis of nail psoriasis and appropriatetreatment. Differential diagnosis with onychomycosis canbe difficult due to overlapping clinical features of the nails. Therapeutic options for psoriasis includetopical agents formoderate to mild disease, systemic agents formoderate to severe disease, and biologic agents forsevere or refractory disease. This case reviews the diagnosis and treatment of a well-known conditionwith a less common presentation.

Abstract: This manuscript analyzes the representations of migration in digital news media, during the first six months of the COVID-19 pandemic in Chile. In total, 311 news from three digital news portals were analyzed, which differed in their editorial lines and were among the most consulted in Chile: El Mostrador, Cooperativa and EMOL. A mixed study (quantitative and qualitative) was carried out, through a lexicometric analysis, which allows analyzing large corpus of data. The results indicate the existence of six vocabulary classes (clusters), which reflect different ways in which the migratory phenomenon was represented during the COVID-19 pandemic. Our main results are discussed in terms of the contents in the different vocabulary classes, and in dialogue with other national and international studies. Beyond the situation of the pandemic, the exposed results open an invitation to advance in the understanding of migration representation in crisis contexts.

Resumen: El presente manuscrito analiza las representaciones de la migración en medios de noticias digitales, durante los primeros seis meses de la pandemia del COVID-19 en Chile. En total, se analizaron 311 noticias provenientes de tres portales digitales, con diferentes líneas editoriales y que se encontraban entre los más consultados en Chile: El Mostrador, Cooperativa y EMOL. Se realizó un estudio mixto (cuantitativo y cualitativo), mediante un análisis lexicométrico, el cual permite analizar grandes corpus de datos. Los resultados indican la existencia de seis clases (clusters) de vocabulario, las cuales reflejan distintas formas en que el fenómeno migratorio fue representado durante la pandemia del COVID-19. Los resultados principales son discutidos en términos de los contenidos en las distintas clases de vocabulario, y en diálogo con otros estudios nacionales e internacionales.

Abstract: The main aim of this work is to understand the experiences of racism among the Haitian migrant community in Chile, from an intersectional perspective. We focus on their oppressive experiences, as well as their resistance to these experiences. We carried out a qualitative study with 16 Haitian people (10 men and 6 women), between 21 and 44 years old, living in Santiago de Chile, with whom we conducted a total of 29 semi-structured in-depth interviews. We carried out a thematic content analysis from an intersectional perspective. Our results show that our participants have experienced structural racism, overt prejudice and internalized racism. Skin colour appears as the most important racial marker, and is articulated with their nationalities, migrant status and/or sex-gender. Also, we account for the phenomenon of sexualized racialization towards Haitian men. Finally, we describe resistances, some of which show a knowledge about the positive socio-historical positions of Haitian individuals. Thus, we investigate resistant and incipient social identities configured around skin colour and Haitian nationality. As suggestions for future research, we believe it is relevant to extend the study of racism in Chile from the field of international migration, taking into account the racialized structures within which racism is exercised towards migrants, as well as towards indigenous people, Afro-Chileans or dark-skinned mestizo Chileans. With this work, we seek to highlight the presence and consequences of racism in Chile and promote the integral integration of the Haitian community.

Resumen: El objetivo de este trabajo es conocer las experiencias de racismo del colectivo migrante haitiano en Chile desde una perspectiva interseccional. Atendemos a sus experiencias opresivas y también a sus resistencias frente a estas experiencias. Realizamos un estudio cualitativo con 16 personas haitianas (10 hombres y 6 mujeres) de entre 21 y 44 años, residentes en Santiago de Chile, con las cuales efectuamos 29 entrevistas semiestructuradas en profundidad. Como método de análisis de información, realizamos un análisis de contenido temático desde un enfoque interseccional. Identificamos racismo estructural, prejuicios manifiestos y racismo internalizado en la experiencia de los y las participantes. El color de piel se presenta como el marcador racial más importante y se encuentra articulado con la nacionalidad, la condición de migrante y/o el sexo-género. También, damos cuenta del fenómeno de racialización sexualizada hacia los hombres haitianos. Las diversas resistencias de los y las participantes hacia el racismo, muestran un reconocimiento positivo de las posiciones sociohistóricas de las personas haitianas. De este modo, pesquisamos identidades sociales resistentes e incipientes configuradas en torno al color de piel y la nacionalidad haitiana. Para líneas de investigación futura, creemos relevante extender el estudio del racismo en Chile desde el campo de la migración internacional, para atender a las estructuras racializadas desde las cuales se ejerce racismo hacia personas de pueblos originarios, afrochilenos y/o mestizos chilenos de piel oscura. Con este trabajo buscamos contribuir a visibilizar la presencia y consecuencias del racismo en Chile, y a promover la integración integral de la comunidad haitiana.

Abstract: Why do people justify intergroup violence between police and protesters in social protests? This article examines attitudes towards violence perpetrated by police officers against protesters and violence carried out by protesters against police officers in the context of the post-social outbreak of October 18, 2019 in Chile. We evaluate the role played by the perception of injustice in procedures and treatment of police officers towards protesters, the evaluation of the legitimacy of police officers and group identification with protesters and police officers in predicting the justification of violence towards the police and towards protesters. We present the results of an online non-probabilistic survey on legitimacy and police violence carried out among adults in Chile during January 2021 (n = 2,594). Through a path analysis, we found that the perception of injustice in the procedures through which the police treat protesters is a key factor in predicting the perception of legitimacy of the police. Furthermore, by reducing the legitimacy of the police, the perception of injustice in the procedures and the treatment translates into lower levels of justification of police violence and to greater levels of justification of protestors’ violence. The article finishes by highlighting the importance of considering the perceptions of injustice in procedures and treatment of police officers in order to reduce the conflict between police officers and protesters in Chile.

Resumen: ¿Por qué justifican las personas la violencia intergrupal ejercida entre la policía y manifestantes en protestas sociales? En este artículo se examinan las actitudes hacia la violencia perpetrada en Chile por Carabineros contra manifestantes y la violencia ejercida por manifestantes contra Carabineros en el marco del contexto post estallido social del 18 de octubre de 2019. Se evalúa el papel que juegan la percepción de injusticia en los procedimientos y el trato de Carabineros hacia manifestantes, la evaluación de la legitimidad de Carabineros y la identificación grupal con manifestantes y Carabineros en predecir la justificación de la violencia hacia Carabineros y hacia manifestantes. Se presentan los resultados de una encuesta no-probabilística online sobre legitimidad y violencia policial realizada a adultos en Chile durante enero de 2021 (n = 2.594). A través de un análisis de sendero, se encontró que la percepción de injusticia en los procedimientos de trato de Carabineros hacia los manifestantes es un factor clave al predecir la percepción de legitimidad de esa institución. Es más, al reducir la legitimidad de Carabineros, la percepción de injusticia en los procedimientos y el trato se traducen en una menor justificación de la violencia de Carabineros y una mayor justificación de la violencia de manifestantes. El artículo termina destacando la importancia de considerar las percepciones de injusticia en los procedimientos y el trato de Carabineros para lograr reducir el conflicto entre estos y los manifestantes en protestas en Chile.

Volatile Organic Compounds (VOCs) are air pollutants emitted from different sources, mainly by industries and motor vehicles. The evaluation of the emission of these compounds into the atmosphere should be done systematically and with a varied class of compounds. The large number of data generated during the monitoring of these VOCs requires the use of multivariate data tools to interpret the results. In this sense, this work aimed to monitor 10 aromatic VOCs present in the atmosphere of the largest cities in the Norte Fluminense (Campos dos Goytacazes) and Noroeste Fluminense (Itaperuna) regions. The VOCs were actively sampled and analyzed by gas chromatography with mass spectrometry detection after thermal desorption. After treatment of analytical results, it was observed that in both cities there is influence of vehicular emissions. In the city of Itaperuna, due to the relief and lower dispersion of contaminants, there is a higher occurrence of photochemical reactions. The exploratory analysis of the data allowed identifying the variables that were more significant and correlating these variables with the main sources of emission of the compounds. This is the first study of VOCs evaluation in Campos dos Goytacazes and Itaperuna, demonstrating the relevance of this research for understanding the behavior of VOCs in these cities, which have different reliefs and high traffic of cars and trucks in the studied sites.

ABSTRACT Objective: To evaluate and compare antibiotic prescriptions for endodontic infections of last-year undergraduate Dentistry students and dental surgeons from Brazil. Material and Methods: A questionnaire comprised of 15 questions was applied, including a series of hypothetical clinical cases through multiple choice questions. The survey respondents had the option to respond in favor or against the prescription of antimicrobials in each case. Afterwards, the commented answer keys of all topics contained in the survey form were released for educational purpose. Results: A total of 42 undergraduates and 115 dental surgeons answered the survey. Regarding the questions about antimicrobial prescriptions, 91.3% of the professional dentists and 69.8% of the dentistry students indicated that they prescribe antibiotics for a limited number of patients. However, when they responded about drug recommendations, most professionals (76.5%) and students (76.7%) chose to recommend antimicrobials without any clinical recommendation. Conclusion: In the groups herein evaluated, many antibiotic prescriptions could have been avoided. The rational use of these drugs is still a conduct that needs further disclosure and commitment among prescribers.

Resumo O nemátode das lesões radiculares, Pratylenchus penetrans, é um dos fitoparasitas mais destrutivo, responsável por perdas a nível mundial num significativo número de plantas hospedeiras. O controlo químico destes organismos baseia-se em fumigantes e não fumigantes, que providenciam uma protecção sistémica. Tais métodos de controlo são dispendiosos e prejudiciais quer para o ambiente quer para os humanos. Os compostos produzidos naturalmente pelas plantas poderão desempenhar um papel importante no controlo de nemátodes. A actividade nematicida de 8 compostos que ocorrem naturalmente em plantas, de duas classes de compostos, foi avaliada a 2 mg/mL durante 24 h. Os ensaios foram efectuados segundo a metodologia de contacto directo usualmente empregue. P. penetrans revelou-se extremamente insensível aos compostos testados com valores de mortalidade compreendidos entre 1.0 e 5.8%. No nosso conhecimento, a actividade nematicida de 4 compostos fenólicos (catequina, ácido cafeico, ácido gálico e ácido gentísico) foi testada pela primeira vez em P. penetrans.

Abstract The root lesion nematode, Pratylenchus penetrans, is one of the most harmful plant parasites, responsible for worldwide productivity losses in a significant number of plant hosts. Generally, chemical control relies on synthetic compounds used through fumigation or direct contact, which offers a systemic protection. These control methods are costly and hazardous to the environment and to humans. Phytochemicals may play an important role in nematode control. The nematicidal activity of eight compounds that occur naturaly in plants, from two classes of compounds, was assessed at 2 mg/mL, for 24 h. Bioassays were performed following the standard direct contact methodology. P. penetrans was remarkably tolerant to the tested compounds, with mortality range between 1.0 and 5.8 %. To the best of our knowledge, the nematicidal activity of 4 phenolic compounds (catechin, caffeic acid, gallic acid and gentisic acid) was evaluated for the first time for P. penetrans.

Resumen El trabajo presentado se centra en las construcciones identitarias de inmigrantes haitianos en Chile. Es un estudio cualitativo, a partir de entrevistas semiestructuradas en profundidad, que incluye el análisis de contenido temático e interseccional, para comprender las construcciones identitarias de los participantes en sus trayectorias migratorias desde Haití a Chile. Se presentan resultados asociados a las experiencias laborales y sociales de los participantes, junto a los órdenes étnico- racial y de sexo-género, incorporando los ejes de diferencia de religión, nacionalidad, clase social y estatus. Se concluye que la articulación de dimensiones de opresión en Chile configura una identidad de trabajador-migrante-haitiano posicionada como otredad radical, y se informan incipientes cambios en las identidades sexo-género, que emergen desde posiciones sociales subalternas y como estrategias de adaptación en un contexto adverso.

Abstract The work presented focuses on the identity constructions of Haitian immigrants in Chile. We conducted a qualitative study based on in-depth semi-structured interviews that includes analyzing thematic and intersectional content to understand the identity constructions of the participants in their migratory trajectories from Haiti to Chile. We present results associated with work and social experiences of the participants, along with sex-gender and ethnic-racial orders, incorporating emergent differences axes, such as religion, nationality, social class, and immigrant status. We found that the articulation of dimensions of oppression in Chile configures an identity of worker- migrant-Haitian positioned as radical otherness, and incipient changes in sex-gender identities are reported, emerging from subalternate social positions and as adaptation strategies in an adverse context.

Abstract Introduction: The coronavirus-19 pandemic threatens the lives of all people, but results in higher mortality rates for patients with end-stage kidney disease (ESKD) including those on peritoneal dialysis (PD). Telemedicine was the main alternative to reduce exposure to the virus, but it was introduced in the Brazil without proper training. Objective: To investigate the impact of telemedicine on metabolic control, peritonitis rates, and hospitalization in PD patients during the pandemic. Methods: This was a retrospective multicenter cohort study. We included all adult patients on chronic PD from 9 clinics selected by convenience during the pandemic. The outcomes of interest were measured and compared between before and after switching to telemedicine using repeated measure analysis and multilevel Poisson regression. Results: The study included 747 patients with a mean age of 59.7±16.6 years, of whom 53.7% were male and 40.8% had diabetes. Biochemical parameters including hemoglobin, potassium, phosphate, calcium, and urea serum levels did not change significantly after transition to telemedicine. There was no association between telemedicine and peritonitis rates. In contrast, hospitalization rates increased significantly in the telemedicine period. The incidence rate ratio (IRR) for hospitalization in the telemedicine period was 1.54 (95%CI 1.10-2.17; p 0.012) and 1.57 (95%CI 1.12-2.21; p 0.009) in the mixed-effects Poisson regression before and after adjustment for the presence of confounders. Admissions for hypervolemia and infections not related to PD doubled after transition to telemedicine. Conclusion: The implementation of telemedicine without proper training may lead to an increase in adverse events in PD patients.

Resumo Introdução: A pandemia do coronavírus-19 ameaça a vida de todas as pessoas, mas resulta em uma alta taxa de mortalidade em pacientes com doença renal em estágio terminal (DRET), incluindo aqueles em diálise peritoneal (DP). A telemedicina foi a principal alternativa para reduzir a exposição ao vírus, mas foi introduzida no Brasil sem treinamento adequado. Objetivo: Investigar o impacto da telemedicina no controle metabólico, taxas de peritonite e hospitalização em pacientes em DP na pandemia. Métodos: Estudo de coorte multicêntrico retrospectivo. Incluímos todos os pacientes adultos em DP crônica de 9 clínicas selecionadas por conveniência durante a pandemia. Desfechos de interesse foram medidos e comparados entre antes e depois da mudança para telemedicina usando análise de medidas repetidas e regressão multinível de Poisson. Resultados: Incluiu-se 747 pacientes com idade média de 59,7±16,6 anos, sendo 53,7% homens e 40,8% diabéticos. Parâmetros bioquímicos, incluindo níveis séricos de hemoglobina, potássio, fosfato, cálcio e ureia não mudaram significativamente após transição para telemedicina. Não houve associação entre telemedicina e taxas de peritonite. Em contraste, taxas de hospitalização aumentaram significativamente no período de telemedicina. A razão de taxas de incidência (RTI) para internação no período de telemedicina foi 1,54 (IC95% 1,10-2,17; p 0,012) e 1,57 (IC95% 1,12-2,21; p 0,009) na regressão multinível de Poisson antes e após ajuste para presença de fatores de confusão. As internações por hipervolemia e infecções não relacionadas à DP dobraram após transição para telemedicina. Conclusão: A implementação da telemedicina sem treinamento adequado pode levar ao aumento de eventos adversos em pacientes em DP.

Abstract Stress and burnout are global epidemics that may cause negative consequences for workers and organizations. Social workers of residential child care are especially at risk, due to the inherent characteristics of their work. Subsequently, this study aimed to analyse these professional’s stress, cognitive appraisal, and burnout. The sample included 92 social workers (90.2% female and 9.8% male) with ages between 25 and 64 years old (M = 38.08; SD = 7.91). The evaluation protocol included a sociodemographic questionnaire, the Stress Questionnaire for Health Professionals, the Primary and Secondary Cognitive Appraisal Scale, and the Shirom-Melamed Burnout Measure. Results indicated that 58% of professionals assumed high levels of general stress, and that physical fatigue and cognitive weariness were the burnout dimensions with higher values. The combination of sociodemographic variables, stress factors and cognitive appraisal were important to explain the burnout experience and can contribute to design interventions directed to these professionals.

Résumé Le stress et l’épuisement professionnel sont des épidémies mondiales qui peuvent avoir des conséquences négatives pour les travailleurs et les organisations. Les travailleurs du domaine social des Maisons d’accueil résidentiel sont à risque en raison des caractéristiques inhérentes à leur travail. Par la suite, cette étude visait à analyser le stress, l’évaluation cognitive et l’épuisement professionnel chez ces professionnels. L’échantillon comprenait 92 travailleurs sociaux (90,2% de femmes et 9,8% d’hommes) du nord du Portugal, âgés de 25 à 64 ans (M = 38,08 ; SD = 7,91). Le protocole d’évaluation comprenait un questionnaire sociodémographique, le Health Professional Stress Questionnaire, l’échelle d’évaluation cognitive et la Shirom-Melamed Burnout Measure. Les résultats ont indiqué que 58% des participants avaient un niveau global de stress élevé, les dimensions de la fatigue physique et de la fatigue cognitive étant les plus élevées dans l’épuisement professionnel. La combinaison de facteurs sociodémographiques, de stress et de processus d’évaluation cognitive était importante pour expliquer l’épuisement professionnel et peut contribuer à la formulation d’interventions destinées à ces professionnels.

Resumen Estrés y burnout son epidemias globales que pueden tener consecuencias negativas para los trabajadores y las organizaciones. Los técnicos sociales de casas de acogida están especialmente en riesgo, debido a las características inherentes a su trabajo. Por consiguiente, este estudio tuvo como objetivo analizar el estrés, la evaluación cognitiva y el burnout de estos profesionales. La muestra incluyó a 92 trabajadores sociales (90,2% mujeres y 9,8% hombres) con edades entre 25 y 64 años (M = 38,08; DE = 7,91). El protocolo de evaluación incluyó un cuestionario sociodemográfico, el Stress Questionnaire for Health Professionals, el Primary and Secondary Cognitive Appraisal Scale, y el Shirom-Melamed Burnout Measure. Los resultados indicaron que 58% de los profesionales presentan niveles altos de estrés global, y que la fatiga física y el cansancio cognitivo fueron las dimensiones del burnout con valores más altos. La combinación de variables sociodemográficas, factores de estrés y evaluación cognitiva fueron importantes para explicar la experiencia del burnout, y pueden contribuir a diseñar intervenciones dirigidas a estos profesionales.

Resumo O estresse e o burnout são epidemias globais que podem causar consequências negativas para os trabalhadores e as organizações. Os trabalhadores da área social das Casas de Acolhimento Residencial estão em risco devido às características inerentes ao seu trabalho. Subsequentemente, este estudo pretendeu analisar o estresse, a avaliação cognitiva e o burnout nestes profissionais. A amostra incluiu 92 técnicos sociais (90.2% mulheres e 9.8% homens) do norte de Portugal, com idades entre 25 e 64 anos (M = 38.08; DP = 7.91). O protocolo de avaliação incluiu um questionário sociodemográfico, o Questionário de Stress nos Profissionais de Saúde, a Escala de Avaliação Cognitiva e a Medida de “Burnout” de Shirom-Melamed. Os resultados indicaram que 58% dos participantes apresentam nível global de estresse elevado, sendo as dimensões de fadiga física e fadiga cognitiva as mais elevadas no burnout. A conjugação de fatores sociodemográficos, o estresse e os processos de avaliação cognitiva foram importantes para explicar o burnout e podem contribuir para formular intervenções dirigidas a estes profissionais.

Resumo O presente artigo analisa a sexualidade de mulheres em um presídio misto brasileiro, abordando os fatores sociais e subjetivos que atravessam a realidade vivenciada. Foram realizadas seis entrevistas semiestruturadas com reclusas. A partir das narrativas, os dados foram organizados a partir dos seguintes eixos temáticos: as violências múltiplas nos relacionamentos afetivo-sexuais; o abandono, a repressão e o fortalecimento dos relacionamentos na prisão; as visitas íntimas; a repressão das necessidades sexuais. Os resultados evidenciaram a ênfase na dimensão afetiva da sexualidade pelas participantes e violências múltiplas em suas vidas. As visitas íntimas, embora previstas legalmente, evidenciam restrições para que sejam realizadas. A forma como vivenciam a sexualidade no cárcere reflete a desigualdade de gênero, a situação desumana e as violências de gênero e estatal na prisão. Em suma, demonstrou-se a primazia da vigilância e os obstáculos para o exercício da sexualidade na instituição prisional, desvelando as relações de poder neste contexto.

Abstract This article analyzes women’s sexuality in a Brazilian mixed prison, approaching the social and subjective factors that goes through the reality experienced. Six semi-structured interviews were performed with imprisoned women. From the narratives, the data was organized from the following thematic axes: multiple violence in affective-sexual relationships; abandonment, repression and strengthening of relationships in prison; intimate visits; repression of sexual needs. The results evidenced the emphasis in the affective dimension of sexuality by the participants and multiple violence in their lives. The intimate visits, even if legally expected, have restrictions to be effectively performed. The way women experience sexuality in prison reflects the gender inequality, inhuman situation, gender and state violence in prison. In sum, it was demonstrated the primacy of surveillance and the difficulties to guarantee sexual rights in the prison institution, revealing the power relations in this context.

Resumo A Lei 16/2007 representou um marco na luta pelos direitos sexuais e reprodutivos das cidadãs portuguesas, instituindo a possibilidade da exclusão da ilicitude para as interrupções voluntárias da gestação, realizadas até a décima semana, por solicitação das mulheres. Através de uma pesquisa descritivo-analítica, objetivou-se conhecer a opinião das cidadãs e de investigadoras (atuantes na causa), frente a esse processo e às transformações que dele decorreram, com ênfase no contexto atual. Entre março e setembro de 2020 foram realizadas 12 entrevistas, divididas em duas etapas. Ao serem precedidas as técnicas da Análise de Discurso, chegou-se à existência de alguns pontos frágeis, como a incerteza sobre o acesso, a presença de julgamentos e as limitações interpostas pela objeção da consciência, que refletem as necessidades de ampliação das semanas gestacionais permitidas para a interrupção. Houve um reconhecimento quanto à segurança nos procedimentos, na liberdade das mulheres diante das suas escolhas, na maior abertura para o diálogo, fato este que contribuiu conjuntamente com o reforço no planejamento familiar. Para além dessas construções, novas demandas foram situadas.

Abstract Law 16/2007 represented a milestone in the quest for sexual and reproductive rights of Portuguese citizens, instituting the possibility of excluding all illegality for voluntary termination of pregnancy, performed until the 10th week, at the request of the women involved. Using a descriptive-analytical research, the objective was to establish the opinion of citizens and researchers (active in the cause), in the course of this process and the transformations that resulted from it, with emphasis on the current context. Between March and September, 12 interviews were conducted, divided into two stages. When the Discourse Analysis techniques were analyzed, there were some weak points, such as the uncertainty about access, the presence of judgments and the limitations interposed by the conscientious objectors, which reflect the need to expand the allowed gestational period for termination. There was recognition of security in procedures, women’s freedom in their choices, greater openness to dialogue, a fact that contributed jointly with the strengthening of family planning. In addition to these constructions, new demands were configured.

Resumo A Lei 16/2007 representou um marco na luta pelos direitos sexuais e reprodutivos das cidadãs portuguesas, instituindo a possibilidade da exclusão da ilicitude para as interrupções voluntárias da gestação, realizadas até a décima semana, por solicitação das mulheres. Através de uma pesquisa descritivo-analítica, objetivou-se conhecer a opinião das cidadãs e de investigadoras (atuantes na causa), frente a esse processo e às transformações que dele decorreram, com ênfase no contexto atual. Entre março e setembro de 2020 foram realizadas 12 entrevistas, divididas em duas etapas. Ao serem precedidas as técnicas da Análise de Discurso, chegou-se à existência de alguns pontos frágeis, como a incerteza sobre o acesso, a presença de julgamentos e as limitações interpostas pela objeção da consciência, que refletem as necessidades de ampliação das semanas gestacionais permitidas para a interrupção. Houve um reconhecimento quanto à segurança nos procedimentos, na liberdade das mulheres diante das suas escolhas, na maior abertura para o diálogo, fato este que contribuiu conjuntamente com o reforço no planejamento familiar. Para além dessas construções, novas demandas foram situadas.

Abstract Law 16/2007 represented a milestone in the quest for sexual and reproductive rights of Portuguese citizens, instituting the possibility of excluding all illegality for voluntary termination of pregnancy, performed until the 10th week, at the request of the women involved. Using a descriptive-analytical research, the objective was to establish the opinion of citizens and researchers (active in the cause), in the course of this process and the transformations that resulted from it, with emphasis on the current context. Between March and September, 12 interviews were conducted, divided into two stages. When the Discourse Analysis techniques were analyzed, there were some weak points, such as the uncertainty about access, the presence of judgments and the limitations interposed by the conscientious objectors, which reflect the need to expand the allowed gestational period for termination. There was recognition of security in procedures, women’s freedom in their choices, greater openness to dialogue, a fact that contributed jointly with the strengthening of family planning. In addition to these constructions, new demands were configured.

SUMMARY OBJECTIVE: The NELSON study demonstrated a positive association between computed tomography scanning and reduced mortality associated with lung cancer. The COPD-LUCSS-DLCO is a tool designed to improve screening selection criteria of lung cancer for chronic obstructive pulmonary disease patients. The aim of this study was to examine and compare the discriminating value of both scores in a community-based cohort of chronic obstructive pulmonary disease patients. METHODS: A retrospective study of chronic obstructive pulmonary disease patients followed in pulmonology consultation for a period of 10 years (2009–2019) was conducted. The NELSON criteria and COPD-LUCSS-DLCO score were calculated for each patient at the time of the study inclusion. The lung cancer incidence was calculated for each of the subgroups during the follow-up period. RESULTS: A total of 103 patients were included in the study (mean age 64.7±9.2 years, 88.3% male). Applying the COPD-LUCSS-DLCO score, high-risk patients have a 5.9-fold greater risk of developing lung cancer versus the low risk. In contrast, there was no significant association between NELSON selection criteria and lung cancer incidence. The area under the curve was 0.69 for COPD-LUCSS-DLCO and 0.59 for NELSON criteria. Comparing test results showed no differences. CONCLUSIONS: The use of the COPD-LUCSS-DLCO score in clinical practice can help to detect chronic obstructive pulmonary disease patients in greater risk of developing lung cancer with better performance than NELSON criteria. Therefore, models that include a risk biomarker strategy can improve selection criteria and consequently can enhance a better lung cancer prediction.