Pesquisa | SciELO

Fonseca, Emílio Prado da Melo, Lair Bianchi de Pereira, Antônio Carlos Mendes, Karine Laura Cortellazzi Verdi, Márcia Regina Dal Medico Meneghim, Marcelo de Castro

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Data de publicação: 2023-10-09

Resumo: En Pt

Objective: To associate abandonment of tuberculosis treatment with the variables of access to health services in the state of São Paulo was estimated. Methods: was an epidemiological observational study with data to individuals diagnosed with tuberculosis, residing in the state of São Paulo in the period 2012 to 2017. Generalized Estimating Equations models were used to analyze the relationships between independent variables and noncompliance with tuberculosis treatment over time. Results: A prevalence of over 12% of noncompliance with tuberculosis treatment was identified. Individuals residing in medium and large-sized municipalities had, 2.64 (95% CI: 2.15-3;24) and 4.48 (CI 95%: 4.62-5.55) times more risk, respectively, of abandoning TB treatment when compared with those living in small cities (p<0.05). Moreover, presence of Psychosocial Care Centers did not contribute to the reduction of treatment abandonment [1.20 (1.03-1.40) p<0.05]. Conclusions: Was an association between municipal size and abandonment of tuberculosis treatment.

Introdução: Estimou-se a associação entre o abandono do tratamento da tuberculose com variáveis de acesso ao serviço de saúde no estado de São Paulo. Métodos: Trata-se de um estudo epidemiológico ecológico com fonte de dados secundários de indivíduos diagnosticados com tuberculose, no período de janeiro/2012 a dezembro/2017 residentes no estado de São Paulo. A variável desfecho é o abandono do tratamento da tuberculose. Foram efetuadas análises e considerada a distribuição de Poisson, estimados os riscos relativos brutos e ajustados, dispostas em dois blocos de variáveis considerando nível de significância de 5%. Resultados: Identificou-se uma prevalência superior a 12% no abandono do tratamento da TB no estado de São Paulo no período estudado. Indivíduos residentes em municípios de médio e grande porte têm, respectivamente, 2,64 (IC95%: 2,15-3,24) e 4,48 (IC95%: 4,62-5,55) vezes mais risco de abandonar o tratamento da TB quando comparados ao que vivem em municípios pequeno porte (p<0,05), bem como, municípios com a presença do CAPS não contribuíram para a diminuição do abandono [1,20 (1,03-1,40) p<0,05]. Conclusão: houve associação entre o porte municipal e o abandono do tratamento de Tuberculose.

https://doi.org/10.1590/SciELOPreprints.7106

Estimation of repeatability and genotypic superiority of elephant grass half-sib families for energy purposes using mixed models
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Vidal, Ana Kesia Faria

; Daher, Rogério Figueiredo

; Ambrósio, Moises

; Santana, Josefa Grasiela Silva

; Freitas, Rafael Souza

; Gravina, Geraldo de Amaral

; Rodrigues, Erina Vitório

; Stida, Wanessa Francesconi

; Souza, Alexandre Gomes de

; Leite, Cleudiane Lopes

; Farias, João Esdras Calaça

; Rangel, Leandro Heitor

; Pereira, Antônio Vander

Scientia Agricola

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2023, Volume 80 elocation e20220103

Resumo: En | Texto: En | PDF: En

ABSTRACT The mixed-model methodology is an alternative to select genotypes for traits highly influenced by the environment. In addition, this method allows FOR estimating the repeatability coefficient and predicting the number of assessments needed for a selection process to increase reliability. This study aimed to determine the minimum number of evaluations necessary for a reliable selection process and to estimate the variance components used for predicting genetic gains between and within half-sib families of elephant grass ( Cenchrus purpureus (Schumach.) Morrone ) using the mixed-model methodology. Half-sib families were generated using genotypes from the Active Germplasm Bank of Elephant Grass. The experiment was performed in a randomized block design with nine half-sib families, three replicates, and eight plants per plot. We evaluated 216 genotypes (individual plants) of elephant grass. The deviance analysis was carried out, genetic parameters were estimated, gains between and within families were predicted, and repeatability coefficients were obtained using Selegen software. There was genetic variability for selection within the families evaluated. The reliability values found above 60 % for plant height and number of tillers and above 80 % for dry matter yield suggest that only two evaluations are required to select superior genotypes with outstanding reliability. Sixteen genotypes were identified and selected for their productive potential, which can be used as parents in elephant grass breeding programs for bioenergy production.

https://doi.org/10.1590/1678-992x-2022-0103

Immunothrombosis and COVID-19 ‒ a nested post-hoc analysis from a 3186 patient cohort in a Latin American public reference hospital
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Lima, Clarice Antunes de

; Gonçalves, Fabio Augusto Rodrigues

; Besen, Bruno Adler Maccagnan Pinheiro

; Pereira, Antônio José Rodrigues

; Perazzio, Sandro Félix

; Trindade, Evelinda Marramon

; Fonseca, Luiz Augusto Marcondes

; Sumita, Nairo Massakazu

; Pinto, Vanusa Barbosa

; Duarte, Alberto José da Silva

; Manin, Carolina Broco

; Lichtenstein, Arnaldo

Clinics

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2023, Volume 78 elocation 100178

Resumo: En | Texto: En | PDF: En

Abstract Objective COVID-19 is associated with an elevated risk of thromboembolism and excess mortality. Difficulties with best anticoagulation practices and their implementation motivated the current analysis of COVID-19 patients who developed Venous Thromboembolism (VTE). Method This is a post-hoc analysis of a COVID-19 cohort, described in an economic study already published. The authors analyzed a subset of patients with confirmed VTE. We described the characteristics of the cohort, such as demographics, clinical status, and laboratory results. We tested differences amid two subgroups of patients, those with VTE or not, with the competitive risk Fine and Gray model. Results Out of 3186 adult patients with COVID-19, 245 (7.7%) were diagnosed with VTE, 174 (5.4%) of them during admission to the hospital. Four (2.3% of these 174) did not receive prophylactic anticoagulation and 19 (11%) discontinued anticoagulation for at least 3 days, resulting in 170 analyzed. During the first week of hospitalization, the laboratory most altered results were C-reactive protein and D-dimer. Patients with VTE were more critical, had a higher mortality rate, worse SOFA score, and, on average, 50% longer hospital stay. Conclusion Proven VTE incidence in this severe COVID-19 cohort was 7.7%, despite 87% of them complying completely with VTE prophylaxis. The clinician must be aware of the diagnosis of VTE in COVID-19, even in patients receiving proper prophylaxis.

https://doi.org/10.1016/j.clinsp.2023.100178

Leishmanicidal and Antimicrobial Activities of 4-Quinolone Alkaloids from Stems of the Medicinal Plant Waltheria indica (Malvaceae) and Their Chemotaxonomic Significance
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Silva, Raquel M.

; Domingos, Levy T. S.

; Castro, Gabriellen M. M. de

; Laport, Marinella S.

; Ferreira-Pereira, Antônio

; Lima, Murilo M. C.

; Cotinguiba, Fernando

Journal of the Brazilian Chemical Society

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Nov 2022, Volume 33 Nº 11 Páginas 1291 - 1298

Resumo: En | Texto: En | PDF: En

A chemical investigation of the stem of Waltheria indica (Malvaceae) yielded twelve 4-quinolone alkaloids, which were primarily waltheriones. These were waltherione A (1), waltherione B (2), waltherione C (3), waltherione G (4), waltherione H (5), waltherione J (6), waltherione L (7), waltherione P (8), chamaedrone (9), 8-deoxy-antidesmone (10), antidesmone (11), and the previously unreported alkaloid N-methoxy-waltherione A (12). These alkaloids belong to an unusual class of 4-quinolones and therefore, have chemosystematic significance for distinguishing the Waltheria and Melochia genera from the rest of the Malvaceae family. The ability of the alkaloid isolates to reverse the phenotypic expression of fluconazole-resistance was tested by using a mutant strain of Saccharomyces cerevisiae that expressed a Candida albicans transporter. Of the isolates tested, waltherione G afforded a positive result. Leishmanicidal activity and bactericidal tests were also performed using the isolated alkaloids, which showed promising results.

https://doi.org/10.21577/0103-5053.20220060

Species composition, diversity and coverage pattern of associated communities of mosses-lichens along a pedoenvironmental gradient in Maritime Antarctica
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SCHMITZ, DANIELA

; VILLA, PEDRO MANUEL

; MICHEL, ROBERTO F.M.

; PUTZKE, JAIR

; PEREIRA, ANTÔNIO B.

; SCHAEFER, CARLOS ERNESTO G.R.

Anais da Academia Brasileira de Ciências

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2022, Volume 94 Supl. 1 elocation e20200094

Resumo: En | Texto: En | PDF: En

Abstract Maritime Antarctica is one of the major terrestrial ecosystems dominated by lichens and mosses, which represent important ecological indicators. Thus, we aimed to evaluate the changes in associated communities of mosses-lichens diversity and coverage along a pedoenvironmental gradient on Half Moon Island, Maritime Antarctica. We focused on how patterns in associated communities of mosses-lichens species diversity (richness, species composition and beta diversity) and coverage are associated with soil properties using plant inventory data from 174 plots across 14 contrasting pedoenvironments. The results clearly show marked differences in soil properties along the pedoenvironmental gradient, which determine variations in species composition, richness and coverage. We presumed that these variations are common in Maritime Antarctica owing to varying periglacial processes, weathering degree, parent material and biological influence (especially by penguins and other birds). The community species richness and coverage along the pedoenvironmental gradient differ, nevertheless share common species present in most pedoenvironments, despite differences in coverage. We assume that most of the pedoenvironments are habitats to rare species that occur only under specific soil conditions, additionally promotes high β-diversity between pedoenvironments and low species similarity.

https://doi.org/10.1590/0001-3765202120200094 10 downloads

Endophytic fungi from an overlooked plant species: A case study in Kelissa brasiliensis (Baker) Ravenna
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Andrade, Guilherme Afonso Kessler de

; Bezerra, Jadson Diogo Pereira

; Vargas, Maria Victória Magalhães de

; Bernardes, Bruna Mota

; Goulart, Sara Navarrete Bohi

; Alves, Rodrigo Paidano

; Küster, Mariele Cristine Tesche

; Pereira, Antônio Batista

; Victoria, Filipe de Carvalho

Acta Botanica Brasilica

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2022, Volume 36 elocation e2020abb0426

Resumo: En | Texto: En | PDF: En

ABSTRACT Studies involving endophytic fungi isolated from endemic plants and their antibacterial potential are largely unknown in the Pampa biome. In this study, we identified endophytic fungi isolated from Kelissa brasiliensis (Iridaceae), an endemic species of the Brazilian Pampa, and assessed their antibacterial activity. Endophytic fungi were first grouped based on macro-and micro-morphology, and one representative of each morphospecies was analyzed using sequences from the internal transcribed spacer (ITS) rDNA region. We then tested the fungal extracts against laboratory isolates of Staphylococcus aureus and Escherichia coli for antibacterial activity. A total of 30 endophytes were isolated from the tissues of K. brasiliensis, with the majority from the leaves. Endophytes were then grouped into seven morphospecies based on their morphological features and one representative from each was selected for phylogenetic analysis. The inference from the ITS rDNA sequences identified the endophytes of the seven selected morphospecies as belonging to six taxonomic groups: Colletotrichum (two), Diaporthe (one), Epicoccum (one), Fusarium (one), and Pestalotiopsis (one). The endophyte extracts revealed better results against E. coli than S. aureus, although the extracts from Colletotrichum and Pestalotiopsis sp. were statistically similar to the control antibiotic. Our study is a basis for endophytic fungi studies in Pampa.

https://doi.org/10.1590/0102-33062020abb0426

Anti-Leishmania amazonensis activity of the marine sponge Dercitus (Stoeba) latex (Porifera) from São Pedro and São Paulo Archipelago, Pernambuco, Brazil
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BARRETO, ANNA L.S.

; ALONSO, ARIADNE N.

; MORAES, DANIEL C. DE

; CURVELO, JOSÉ A.R.

; MIRANDA, KILDARE

; PORTELA, MARISTELA B.

; FERREIRA-PEREIRA, ANTÔNIO

; SOUTO-PADRÓN, THAIS

; SOARES, ROSANGELA MARIA DE A.

Anais da Academia Brasileira de Ciências

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2022, Volume 94 Nº 3 elocation e20211090

Resumo: En | Texto: En | PDF: En

Abstract The search for new therapeutic strategies for leishmaniasis treatment is essential due to the side effects of available drugs and the increasing incidence of resistance to them. Marine sponges use chemical compounds as a defense mechanism, and several of them present interesting pharmacological properties. The aim of this study was to evaluate the in vitro activity of the aqueous extract of the marine sponge Dercitus (Stoeba) latex against Leishmania amazonensis. MIC and toxicity against mammal cells were evaluated through broth microdilution assays. Transmission electron microscopy analysis was performed to assess possible effects on L. amazonensis ultrastructure. Arginase and proteolytic activities were measured by spectrometric methodologies. The extract of Dercitus (Stoeba) latex displayed antileishmanial activity and moderate toxicity against peritonial macrophages. Ultrastructural changes were observed after the growth of L. amazonensis promastigotes in the presence of the extract at 150 µg.ml-1 (IC50), mainly on acidocalcysomes. The extract was able to inhibit the activity of arginase and serine proteases. This study shows that Dercitus (Stoeba) latex aqueous extract may be a novel potential source of protozoa protease inhibitors and drugs that are less toxic to be used in the treatment of L. amazonensis infections.

https://doi.org/10.1590/0001-3765202220211090

Resolutividade da atenção básica em saúde bucal em municípios do estado da Paraíba, Brasil
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Santiago, Carmellyo Pires Leite

; Cavalcante, Denise de Fátima Barros

; Ambrosano, Glaucia Maria Bovi

; Pereira, Antônio Carlos

; Lucena, Edson Hilan Gomes de

; Cavalcanti, Yuri Wanderley

; Padilha, Wilton Wilney Nascimento

Ciência & Saúde Coletiva

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2021, Volume 26 Supl. 2 Páginas 3589 - 3597

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo Analisou-se a resolutividade da atenção básica em saúde bucal nos municípios do estado da Paraíba, Brasil. Trata-se de um estudo transversal de abordagem indutiva, com procedimento comparativo e técnica de documentação indireta. O indicador de resolutividade (IR) constituiu da razão entre o número de tratamentos concluídos e primeiras consultas odontológicas programáticas dos municípios paraibanos (n = 223) entre 2011 e 2014, utilizando dados coletados da plataforma Datasus/TABNET. Foram consideradas variáveis explicativas: cobertura de primeira consulta odontoló gica programática (CPCOP), cobertura de equipes de atenção básica (CEAB), cobertura de equi pes de saúde bucal (CESB), cobertura de equipes de saúde da família (CESF), percentual de exodontia (PE), Produto Interno Bruto (PIB), Índice de Desenvolvimento Humano Municipal (IDHM) e coeficiente de Gini (CG). Os dados foram analisados por estatística descritiva e regressão múltipla binomial negativa (α = 0,05). As medianas do IR em 2011, 2012, 2013 e 2014 foram, respectivamente, 20,4, 17,5, 15,2 e 15,7. Houve associação positiva do IR com CPCOP (RP = 1,14; IC = 1,02-1,28), CEAB (RP = 1,02; IC = 1,01-1,03), e negativa com ano (RP = 0,83; IC = 0,74-0,94). A resolutividade em saúde bucal na atenção básica é influenciada por fatores relacionados à cobertura.

Abstract Oral health resolvability in primary care of municipalities in the State of Paraíba, Brazil, was analyzed, and a cross-sectional study was conducted, using an inductive approach, comparative procedure and indirect documentation. The Resolvability Indicator (RI) consisted of the ratio between the number of Completed Treatments and First Programmatic Dental Consultations in municipalities in Paraíba (n = 223), between 2011 and 2014, by using data collected from the DATASUS/TABNET platform. The following explanatory variables were considered: Coverage of First Programmatic Dental Consultation (CFPDC), Coverage of Primary Care Teams (CPCT), Coverage of Oral Health Teams (COHT), Coverage of Family Health Teams (CFHT), Percentage of Tooth Extraction (PTE), Gross Domestic Product (GDP), Municipal Human Development Index (MHDI) and Gini Coefficient (GC). Descriptive statistics and negative binomial multiple regression were performed (α = 0.05). The median RI in 2011, 2012, 2013 and 2014 was, respectively, 20.4, 17.5, 15.2 and 15.7. There was a positive association between RI and CFPDC (PR = 1.14, CI = 1.02-1.28), CPCT (PR = 1.02, CI = 1.01-1.03), in addition to a negative association. between RI and year (PR = 0.83; IC = 0.74-0.94). The resolvability of oral health in primary care is influenced by coverage-related factors.

https://doi.org/10.1590/1413-81232021269.2.23272019

Resolutividade da atenção básica em saúde bucal em municípios do estado da Paraíba, Brasil
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Santiago, Carmellyo Pires Leite

; Cavalcante, Denise de Fátima Barros

; Ambrosano, Glaucia Maria Bovi

; Pereira, Antônio Carlos

; Lucena, Edson Hilan Gomes de

; Cavalcanti, Yuri Wanderley

; Padilha, Wilton Wilney Nascimento

Ciência & Saúde Coletiva

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2021, Volume 26 Supl. 2 Páginas 3589 - 3597

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232021269.2.23272019 152 downloads

10.

Use and misuse of biomarkers and the role of D-dimer and C-reactive protein in the management of COVID-19: A post-hoc analysis of a prospective cohort study
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Gonçalves, Fabio Augusto Rodrigues

; Besen, Bruno Adler Maccagnan Pinheiro

; Lima, Clarice Antunes de

; Corá, Aline Pivetta

; Pereira, Antônio José Rodrigues

; Perazzio, Sandro Félix

; Gouvea, Christiane Pereira

; Fonseca, Luiz Augusto Marcondes

; Trindade, Evelinda Marramon

; Sumita, Nairo Massakazu

; Duarte, Alberto José da Silva

; Lichtenstein, Arnaldo

; Bonfa, Eloisa

; Utiyama, Edivaldo M.

; Segurado, Aluisio C.

; Perondi, Beatriz

; Miethke-Morais, Anna

; Montal, Amanda C.

; Harima, Leila

; Fusco, Solange R. G.

; Silva, Marjorie F.

; Rocha, Marcelo C.

; Marcilio, Izabel

; Rios, Izabel Cristina

; Kawano, Fabiane Yumi Ogihara

; Jesus, Maria Amélia de

; Kallas, Ésper George

; Carmo, Carolina

; Tanaka, Clarice

; Souza, Heraldo Possolo de

; Marchini, Julio F. M.

; Carvalho, Carlos

; Ferreira, Juliana C.

; Levin, Anna Sara Shafferman

; Oliveira, Maura Salaroli

; Guimarães, Thaís

; Lázari, Carolina dos Santos

; Sabino, Ester

; Magri, Marcello M. C.

; Barros-Filho, Tarcisio E. P.

; Francisco, Maria Cristina Peres Braido

; Costa, Silvia F.

Clinics

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2021, Volume 76 elocation e3547

Resumo: En | Texto: En | PDF: En

OBJECTIVE: Coronavirus disease 2019 (COVID-19) is associated with high mortality among hospitalized patients and incurs high costs. Severe acute respiratory syndrome coronavirus 2 infection can trigger both inflammatory and thrombotic processes, and these complications can lead to a poorer prognosis. This study aimed to evaluate the association and temporal trends of D-dimer and C-reactive protein (CRP) levels with the incidence of venous thromboembolism (VTE), hospital mortality, and costs among inpatients with COVID-19. METHODS: Data were extracted from electronic patient records and laboratory databases. Crude and adjusted associations for age, sex, number of comorbidities, Sequential Organ Failure Assessment score at admission, and D-dimer or CRP logistic regression models were used to evaluate associations. RESULTS: Between March and June 2020, COVID-19 was documented in 3,254 inpatients. The D-dimer level ≥4,000 ng/mL fibrinogen equivalent unit (FEU) mortality odds ratio (OR) was 4.48 (adjusted OR: 1.97). The CRP level ≥220 mg/dL OR for death was 7.73 (adjusted OR: 3.93). The D-dimer level ≥4,000 ng/mL FEU VTE OR was 3.96 (adjusted OR: 3.26). The CRP level ≥220 mg/dL OR for VTE was 2.71 (adjusted OR: 1.92). All these analyses were statistically significant (p<0.001). Stratified hospital costs demonstrated a dose-response pattern. Adjusted D-dimer and CRP levels were associated with higher mortality and doubled hospital costs. In the first week, elevated D-dimer levels predicted VTE occurrence and systemic inflammatory harm, while CRP was a hospital mortality predictor. CONCLUSION: D-dimer and CRP levels were associated with higher hospital mortality and a higher incidence of VTE. D-dimer was more strongly associated with VTE, although its discriminative ability was poor, while CRP was a stronger predictor of hospital mortality. Their use outside the usual indications should not be modified and should be discouraged.

https://doi.org/10.6061/clinics/2021/e3547

11.

Relationship between social capital and the experience of dental carie: systematic review and meta-analysis
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DAMASCENO, Aline Amaro

; PEREIRA, Antônio Carlos

; SOUZA, Andreza Maria Luzia Baldo de

; GUERRA, Luciane Miranda

; CAVALCANTE, Denise de Fatima Barros

; GONDINHO, Brunna Verna Castro

; BULGARELI, Jaqueline Vilela

RGO - Revista Gaúcha de Odontologia

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2021, Volume 69 elocation e2021012

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo A compreensão do o padrão de comportamento dos indivíduos no nível individual e coletivo frente às suas condições de saúde bucal é de importância inequívoca para prevenção e controle da cárie dentária. Nesta perspectiva o objetivo deste estudo foi buscar evidências da relação entre o capital social e a experiência de cárie. Métodos Utilizando como método revisão sistemática com meta-análise, foram pesquisados artigos nas bases de dados PubMed, ISI Web of Knowledge, LILACS, IBECS, BBO, SciELO, The Cochrane Library e MEDLINE. Estudos com humanos, de todas as idades e línguas, publicados até julho de 2019, que relacionaram o capital social com a experiência de cárie, foram incluídos nesta revisão. Resultados Foram identificados 1163 artigos, que passaram por avaliação sob critérios de inclusão e exclusão, restando 5 artigos selecionados para compor a amostra do estudo, sendo apenas 3 incluídos na meta-análise. Na análise final o p-valor foi significativo (<0,001), mostrando que tanto a coesão social como o empoderamento de vizinhança estão associados com a experiência de cárie. No modelo randômico foi constatado que o indivíduo tem 2,39 chances de não ter a doença cárie. Os resultados do estudo reforçam a importância do capital social comunitário na experiência de cárie dos indivíduos. Conclusão O alto nível de capital social comunitário tem relação direta com menores índices de experiência de cárie nos indivíduos.

ABSTRACT Objective Understanding the individual and collective behavior of individuals about their oral health conditions is important to prevent and control of dental caries. This study aimed to seek evidence of the relationship between social capital and caries experience. Methods Using a systematic review with meta-analysis, we searched articles in PubMed, ISI Web of Knowledge, LILACS, IBECS, BBO, SCIELO, The Cochrane Library and MEDLINE databases. Studies with humans, of all ages and languages, published until July 2019, which related social capital to the caries experience, were included in this review. Results We identified 1163 articles evaluated considering inclusion and exclusion criteria, leaving 5 articles selected to compose the study sample, and only 3 included in the meta-analysis. In the final analysis p value was significant (p <0.001), showing that both social cohesion and neighborhood empowerment are associated with the caries experience. In the random model, the individual has 2.39 chances of not having the caries disease. The results reinforce the importance of community social capital in the caries experience of individuals. Conclusions The high level of community social capital is directly related to lower caries experience rates.

https://doi.org/10.1590/1981-86372021001220190056 258 downloads

12.

Monitoring of oral health teams after National Primary Care Policy 2017
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Lucena, Edson Hilan Gomes de

; Lucena, Carolina Dantas Rocha Xavier de

; Alemán, Josiane Aparecida de Souza

; Pucca Júnior, Gilberto Alfredo

; Pereira, Antônio Carlos

; Cavalcanti, Yuri Wanderley

Revista de Saúde Pública

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2020, Volume 54 elocation 99

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO OBJETIVO Realizar um monitoramento do quantitativo de equipes de saúde bucal implantadas na Estratégia Saúde da Família após a Política Nacional de Atenção Básica 2017. METODOLOGIA Estudo de natureza quantitativa, descritiva e analítica que utilizou os dados dos relatórios públicos do histórico de cobertura de saúde bucal disponível na plataforma e-Gestor da Atenção Básica do Ministério da Saúde de todos os municípios brasileiros (5.570). A sobrevida dos municípios que não reduziram o quantitativo de equipes de saúde bucal foi analisada segundo a região do país, índice de desenvolvimento humano, índice de desigualdade de Gini e porte populacional. A regressão de Cox foi utilizada para analisar os fatores associados à diminuição do número de equipes implantadas após 1, 3, 6, 9, 12, 15, 18 e 21 meses da publicação da portaria da política nacional de 2017, considerando-se a hazard ratio (HR) e p < 0,05. RESULTADOS Após 21 meses de publicação da política, 6,7% dos municípios brasileiros reduziram a quantidade de equipes de saúde bucal. Essa redução foi maior nas regiões Sul (6,7%) e Nordeste (4,8%), nos municípios com índice de desenvolvimento humano mais alto, ou seja, maior ou igual a 0,7 (5,6%), mais desiguais quanto à distribuição de renda (índice de Gini > 0,62) e de maior porte populacional (mais de 100.000 habitantes). Municípios das regiões Nordeste (HR = 1,220) e Sul (HR = 1,771) apresentaram maior chance de redução do número de equipes comparados aos da região Norte. Municípios mais desiguais (HR = 6,405) e com maior porte populacional (HR = 4,273) também apresentaram maior chance de reduzir a cobertura de equipes de saúde bucal. CONCLUSÃO Os municípios que reduziram a quantidade de equipes de saúde bucal na Estratégia Saúde da Família são das regiões Sul e Nordeste, com maior desigualdade social e maior porte populacional. Esse cenário pode impactar significativamente o acesso da população aos serviços de saúde bucal do Sistema Único de Saúde, principalmente entre os que mais necessitam.

ABSTRACT OBJECTIVE To monitor the number of oral health teams implemented in the Family Health Strategy after National Primary Care Policy 2017. METHODS This is a study of quantitative, descriptive and analytical nature that used the data from the public reports of the history of oral health coverage available in the e-Manager platform of Primary Care of the Ministry of Health of all Brazilian municipalities (5,570). The survival rate of the municipalities that did not reduce the number of oral health teams was analyzed according to the region of the country, human development index, Gini inequality index and population size. Cox regression was used to analyze the factors associated with the decrease in the number of teams implanted after 1, 3, 6, 9, 12, 15, 18 and 21 months of publication of the 2017 national policy ordinance, considering the hazard ratio (HR) and p < 0.05. RESULTS After 21 months of publication of the policy, 6.7% of Brazilian municipalities reduced the number of oral health teams. This reduction was higher in the South (6.7%) and Northeast (4.8%), in municipalities with the highest human development index, i.e., greater than or equal to 0.7 (5.6%), more unequal in terms of income distribution (Gini index > 0.62) and larger population size (more than 100,000 inhabitants). Municipalities in the Northeast (HR = 1.220) and South (HR = 1.771) regions had a higher chance of reducing the number of teams compared with those in the North region. More unequal municipalities (HR = 6.405) and with larger population size (HR = 4.273) were also more likely to reduce the coverage of oral health teams. CONCLUSION The municipalities that reduced the number of oral health teams in the Family Health Strategy are from the South and Northeast regions, with greater social inequality and larger population size. This scenario can significantly affect the population’s access to dental health services in the Unified Health System, especially among those in need.

https://doi.org/10.11606/s1518-8787.2020054002075

13.

Monitoring of oral health teams after National Primary Care Policy 2017
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Lucena, Edson Hilan Gomes de

; Lucena, Carolina Dantas Rocha Xavier de

; Alemán, Josiane Aparecida de Souza

; Pucca Júnior, Gilberto Alfredo

; Pereira, Antônio Carlos

; Cavalcanti, Yuri Wanderley

Revista de Saúde Pública

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2020, Volume 54 elocation 99

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.11606/s1518-8787.2020054002075 361 downloads

14.

Dental caries experience and associated factors in 12-year-old-children: a population based-study
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BRITO, Arella Cristina Muniz

; BEZERRA, Isis Morais

; CAVALCANTE, Denise de Fátima Barros

; PEREIRA, Antônio Carlos

; VIEIRA, Vladen

; MONTEZUMA, Maria Fernanda

; LUCENA, Edson Hilan Gomes de

; CAVALCANTI, Yuri Wanderley

; ALMEIDA, Leopoldina de Fátima Dantas de

Brazilian Oral Research

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2020, Volume 34 elocation e010

Resumo: En | Texto: En | PDF: En

Abstract Relevant public policies in oral health have been implemented in Brazil since 2004. Changes in the epidemiological status of dental caries are expected, mainly in the child population. This study aimed to assess the dental caries experience and associated factors among 12-year-old children in the state of São Paulo, Brazil. A cross-sectional population-based study was conducted with data obtained from 415 cities, including a total of 26,325 schoolchildren who were included by the double-stage cluster technique, by lot and by systematic sampling. The statistical model included data from the São Paulo Oral Health Survey (SBSP 2015), the Human Development Index (HDI) and the Social Vulnerability Index (SVI). A theoretical-conceptual model categorized the variables into three blocks, namely, contextual (HDI, SVI, region of residence and fluoridation of water), individual (sex and ethnicity) and periodontal conditions (gingival bleeding, dental calculus and the presence of periodontal pockets), for association with the experience of caries (DMFT). Statistically significant associations were verified by hierarchical multivariate logistic (L) and Poisson (P) regression analyses (p < 0.05). The results showed that 57.7% of 12-year-old children had caries experience. Factors that determined a greater prevalence of dental caries in both models were nonwhite ethnicity (ORL = 1.113, ORP = 1.154) and the presence of gingival bleeding (ORL = 1.204, ORP = 1.255). Male children (ORL = 0.920 ORP = 0.859) and higher HDI (ORL = 0.022), ORP = 0.040) were associated with a lower prevalence of dental caries experience. Water fluoridation was associated with a lower DMFT index (ORP = 0.766). Dental caries experience is still associated with social inequalities at different levels. Policymakers should direct interventions towards reducing inequalities and the prevalence of dental caries among 12-year-old children.

https://doi.org/10.1590/1807-3107bor-2020.vol34.0010 1635 downloads

15.

Sensory quality of Coffea arabica L. genotypes influenced by postharvest processing
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Barbosa, Ivan de Paiva

; Oliveira, Antonio Carlos Baião de

; Rosado, Renato Domiciano Silva

; Sakiyama, Ney Sussumu

; Cruz, Cosme Damião

; Pereira, Antônio Alves

Crop Breeding and Applied Biotechnology

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Dez 2019, Volume 19 Nº 4 Páginas 428 - 435

Resumo: En | Texto: En | PDF: En

Abstract The specialty coffee market has grown significantly in the past decades and has several cultivars with productive potential. The objective of this study was to evaluate the sensory profile of the beverage produced from Coffea arabica L. genotypes based on postharvest processing and to identify cultivars with the greatest genetic potential for coffee cultivation in the city of Araponga, Minas Gerais, Brazil. The experiment was a randomized complete block design with two replicates and 11 genotypes with different levels of resistance to rust. The sensory profile demonstrated an interaction between the genotype and the processing technique. Five of the genotypes presented total scores above 85 points according to the SCAA protocol. Moreover, two of these genotypes yielded heightened sensory notes after undergoing dry processing. The selection of coffee genotypes should consider the level of technology involved in the drying of the coffee beans, which preserves the potential quality of the beverage.

https://doi.org/10.1590/1984-70332019v19n4a60 907 downloads

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