Pesquisa | SciELO

Resumen: La ingesta excesiva de sodio es uno de los principales problemas de salud pública en todo el mundo, y la identificación de las fuentes alimentarias y tendencias temporales en su consumo son esenciales para desarrollar políticas efectivas de reducción de sodio. Este estudio tiene como objetivo actualizar las estimaciones de la ingesta de sodio y sus fuentes alimentarias en Brasil según el sistema de clasificación NOVA. Los registros de compras de alimentos en el período de 7 días de familias de las Encuestas de Presupuestos Familiares de Brasil de 2002-2003, 2008-2009 y 2017-2018 se convirtieron en nutrientes utilizando tablas de composición de alimentos. La disponibilidad media se estimó en 2.000kcal/día. El promedio diario de sodio disponible para el consumo en los hogares brasileños aumentó de 3,9 a 4,7g por 2.000kcal, entre 2002-2003 y 2017-2018, más del doble de los niveles de ingesta recomendados de este nutriente. Entre 2002-2003 y 2017-2018, los ingredientes culinarios procesados, incluida la sal de mesa, representaron la mayor fuente de sodio, aunque su participación en el sodio dietético se redujo en un 17% (del 66,6% al 55%), mientras que el porcentaje de sodio dietético de los alimentos procesados aumentó un 20,3% y de los alimentos ultraprocesados aumentó un 47,6% (11,3% a 13,6% y 17% a 25,1%, respectivamente). En conclusión, la disponibilidad total de sodio en los hogares sigue siendo alta y ha aumentado a lo largo del tiempo en Brasil, pero la proporción de diferentes fuentes dietéticas de sodio ha cambiado gradualmente.

Abstract: Excessive sodium intake is a major global public health issue and the identification of dietary sources and temporal trends in its consumption are a key to effective sodium reduction policies. This study aims to update estimates of sodium intake and its dietary sources in Brazil according to the NOVA food classification system. Records of 7-day food purchases of households from the Brazilian Household Budgets Survey of 2002-2003, 2008-2009, and 2017-2018 were converted into nutrients using food composition tables and the mean availability was estimated per 2,000kcal/day. Mean daily sodium available for consumption in Brazilian households has increased from 3.9 to 4.7g per 2,000kcal, from 2002-2003 to 2017-2018, over twice the recommended levels of sodium intake. From 2002-2003 to 2017-2018, the processed culinary ingredients, including table salt, represented the largest dietary source of sodium, although their participation in dietary sodium was reduced by 17% (66.6% to 55%), while the percentage of dietary sodium from processed foods increased by 20.3% and from ultra-processed foods increased by 47.6% (11.3% to 13.6% and 17% to 25.1%, respectively). In conclusion, the total household sodium availability remains high and has increased over time in Brazil, yet the participation of different dietary sources of sodium have gradually changed.

Resumo: A ingestão excessiva de sódio é um dos principais problemas de saúde pública em todo o mundo e a identificação de fontes alimentares e tendências temporais no seu consumo são fundamentais para a elaboração de políticas eficazes de redução de sódio. Este estudo tem como objetivo atualizar as estimativas de ingestão de sódio e suas fontes alimentares no Brasil de acordo com o sistema de classificação NOVA. Os registros de compras de alimentos no período de 7 dias de famílias das Pesquisas de Orçamentos Familiares de 2002-2003, 2008-2009 e 2017-2018 foram convertidos em nutrientes utilizando tabelas de composição de alimentos. A disponibilidade média foi estimada em 2.000kcal/dia. A média diária de sódio disponível para consumo nos domicílios brasileiros aumentou de 3,9 para 4,7g por 2.000kcal, de 2002-2003 a 2017-2018, mais do que o dobro dos níveis recomendados de ingestão desse nutriente. De 2002-2003 a 2017-2018, os ingredientes culinários processados, incluindo o sal de cozinha, representaram a maior fonte de sódio, embora a sua participação no sódio dietético tenha sido reduzida em 17% (de 66,6% para 55%), enquanto a porcentagem de sódio dietético dos alimentos processados aumentou 20,3% e dos alimentos ultraprocessados aumentou 47,6% (11,3% para 13,6% e 17% para 25,1%, respectivamente). Concluindo, a disponibilidade total de sódio nos domicílios permanece alta e tem aumentado ao longo do tempo no Brasil, mas a participação de diferentes fontes dietéticas de sódio mudou gradualmente.

https://doi.org/10.1590/0102-311xen073823

Itinerários terapêuticos no cuidado em saúde em comunidades quilombolas
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Gomes, Rafael Fernandes

; Oliveira, Pâmela Scarlatt Durães

; Silva, Maria Luiza Oliveira

; Miranda, Sérgio Vinícius Cardoso de

; Sampaio, Cristina Andrade

Ciência & Saúde Coletiva

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2024, Volume 29 Nº 3 elocation e01602023

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

Abstract This article aimed to map therapeutic itineraries in health care within rural Quilombola communities in the north of Minas Gerais, Brazil. This is a section of a qualitative research conducted in six visited communities. The data was collected through 18 individual interviews, analyzed using the theoretical-methodological framework of Therapeutic Itineraries, and organized into three empirical themes. The narratives allowed for understanding the paths taken in health care by the Quilombola population, identifying the components of the popular subsystem (natural resources, the use of teas and home remedies), the family subsystem (transmission of knowledge and cultural heritage of care), and the professional subsystem (hospital level, medical care, primary and specialized attention). The difficulties of access are not only due to geographical distances, but also broader aspects of social determination, such as institutional racism, low availability of services, the need for payment for transportation and medical procedures. In this sense, it is necessary to have an approach and interventions from public policies to address ethnic-racial, economic, and access inequalities in health care services.

Resumo Este artigo teve como objetivo mapear os itinerários terapêuticos no cuidado em saúde em comunidades quilombolas rurais no norte de Minas Gerais, Brasil. Trata-se de um recorte de uma pesquisa qualitativa realizada em seis comunidades visitadas. Os dados foram produzidos por meio de 18 entrevistas individuais, analisados pelo referencial teórico-metodológico dos itinerários terapêuticos e organizados em três temas empíricos. As narrativas permitiram a compreensão dos percursos trilhados no cuidado em saúde pela população quilombola, a identificação dos componentes do subsistema popular (recursos naturais, o uso de chás e remédios caseiros), do subsistema familiar (transmissão de conhecimentos e herança cultural de cuidados), e do subsistema profissional (nível hospitalar, cuidados médicos, atenção primária e especializada). As dificuldades de acesso não decorrem apenas das distâncias geográficas, envolvem aspectos mais amplos da determinação social, como o racismo institucional, a baixa oferta de serviços, a necessidade de pagamento para deslocamentos e procedimentos médicos. Nesse sentido, fazem-se necessárias uma abordagem e intervenções das políticas públicas frente às desigualdades étnico-raciais, econômicas e de acesso aos serviços de cuidado em saúde.

https://doi.org/10.1590/1413-81232024293.01602023

Knowledge and attitudes of rural healthcare providers regarding domestic violence against women: a systematic review
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Nascimento, Cláudio Tarso de Jesus Santos

; Vidigal, Maria Tereza Campos

; Oliveira, Vinícius Henrique Ferreira Pereira de

; Franco, Raquel Porto Alegre Valente

; Vieira, Walbert Andrade

; de-Jesus-Soares, Adriana

; Lima, Rafael Rodrigues

; Franco, Ademir

; Paranhos, Luiz Renato

Sao Paulo Medical Journal

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2024, Volume 142 Nº 3 elocation e2022682

Resumo: En | Texto: En | PDF: En

ABSTRACT BACKGROUND: Specific types of violence such as intimate partner sexual violence and intimate partner homicide occur more frequently in rural areas. OBJECTIVE: This study aimed to systematically review the literature on the knowledge and attitudes of rural healthcare providers regarding cases of domestic violence against women. DESIGN AND SETTING: Systematic review developed at Universidade Federal de Uberlândia. METHODS: We conducted an electronic search of six databases, which only included observational studies, regardless of the year, language, or country of publication, except for studies that used secondary data and were exclusively qualitative. Two reviewers performed the selection, data extraction, and risk of bias assessment using a specific Joanna Briggs Institute tool. RESULTS: Six studies met the inclusion criteria. All the studies had a low risk of bias. Approximately 38% of these professionals identified injuries caused by violence in patients. When asked about knowing the correct attitude to take in cases of confirmed violence, between 12% and 64% of rural healthcare providers answered positively; most of them would refer to specialized institutions and promote victim empowerment and counseling. The number of professionals with an educational background in the field ranged from 16% to 98%. CONCLUSIONS: The evident disparity across studies shows that some professionals have suboptimal knowledge and require training to adopt the correct attitude when identifying female victims of domestic violence in clinical practice. SYSTEMATIC REVIEW REGISTRATION: This systematic review was registered in the Open Science Framework Database under the registration http://doi.org/10.17605/OSF.IO/B7Q6S.

https://doi.org/10.1590/1516-3180.2022.0682.r1.180723

PROPUESTA METODOLÓGICA PARA EL DISEÑO Y ANÁLISIS DE UN MONOCASCO FORMULA STUDENT
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Contreras Urgilés, Rafael Wilmer

; Jaramillo Andrade, Carlos Ayrton

; Pizarro Barrera, Erick Josué

Ingenius. Revista de Ciencia y Tecnología

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Dez 2023, Nº 30 Páginas 42 - 53

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen En el presente documento se realiza la explicación de la metodología utilizada para el diseño de un monocasco Formula Student basado en el reglamento del año 2020. Los valores obtenidos del modelado mediante software CAD (diseño asistido por computador) y el análisis por MEF (método de elementos finitos) sirven de base para este estudio. Los valores de masa, centro de gravedad y la geometría son los seleccionados, ya que aportan una mayor información, lo que ayuda a determinar puntos de optimización en el proceso de diseño. En el análisis MEF se determina los esfuerzos admisibles por el monocasco y que se encuentran dentro de los parámetros de seguridad, siendo el factor de seguridad mínimo admisible de 1,1. Del modelo obtenido se desarrolla dos laminados CFRP (laminado de fibra de carbono y resina epoxi) de los cuales el primero da un resultado de peso simulado de 38 kg, y la segunda configuración de laminado un resultado de 20 kg. Se somete el modelo con menor peso al análisis de esfuerzos, los resultados obtenidos son superiores a un chasis tubular, se toma como referencia un modelo monoplaza eléctrico del 2017.

Abstract This document explains the methodology used for the design of a Formula Student monocoque based on the 2020 regulations, the values obtained from the modelling using CAD (Computer Aided Design) software and the FEM (Finite Element Method) analysis serve as the basis for this study, the values of mass, centre of gravity and geometry are selected as they provide more information which helps to determine optimisation points in the design process. The FEM analysis determines the stresses that are admissible for the monocoque and that are within the safety parameters, with a minimum admissible safety factor of 1.1. From the model obtained, two CFRP laminates (Carbon Fibre and Epoxy Resin Laminate) are developed, of which the first gives a simulated weight result of 38kg, and the second laminate configuration a result of 20kg. The model with the lowest weight is subjected to stress analysis, the results obtained are superior to a tubular chassis, a 2017 electric singleseater model is taken as a reference.

https://doi.org/10.17163/ings.n30.2023.04

Posicionamento do Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia sobre o Uso do Strain Miocárdico na Rotina do Cardiologista – 2023
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Almeida, André Luiz Cerqueira

; Melo, Marcelo Dantas Tavares de

; Bihan, David Costa de Souza Le

; Vieira, Marcelo Luiz Campos

; Pena, José Luiz Barros

; Del Castillo, José Maria

; Abensur, Henry

; Hortegal, Renato de Aguiar

; Otto, Maria Estefania Bosco

; Piveta, Rafael Bonafim

; Dantas, Maria Rosa

; Assef, Jorge Eduardo

; Beck, Adenalva Lima de Souza

; Santo, Thais Harada Campos Espirito

; Silva, Tonnison de Oliveira

; Salemi, Vera Maria Cury

; Rocon, Camila

; Lima, Márcio Silva Miguel

; Barberato, Silvio Henrique

; Rodrigues, Ana Clara

; Rabschkowisky, Arnaldo

; Frota, Daniela do Carmo Rassi

; Gripp, Eliza de Almeida

; Barretto, Rodrigo Bellio de Mattos

; Silva, Sandra Marques e

; Cauduro, Sanderson Antonio

; Pinheiro, Aurélio Carvalho

; Araujo, Salustiano Pereira de

; Tressino, Cintia Galhardo

; Silva, Carlos Eduardo Suaide

; Monaco, Claudia Gianini

; Paiva, Marcelo Goulart

; Fisher, Cláudio Henrique

; Alves, Marco Stephan Lofrano

; Grau, Cláudia R. Pinheiro de Castro

; Santos, Maria Veronica Camara dos

; Guimarães, Isabel Cristina Britto

; Morhy, Samira Saady

; Leal, Gabriela Nunes

; Soares, Andressa Mussi

; Cruz, Cecilia Beatriz Bittencourt Viana

; Guimarães Filho, Fabio Villaça

; Assunção, Bruna Morhy Borges Leal

; Fernandes, Rafael Modesto

; Saraiva, Roberto Magalhães

; Tsutsui, Jeane Mike

; Soares, Fábio Luis de Jesus

; Falcão, Sandra Nívea dos Reis Saraiva

; Hotta, Viviane Tiemi

; Armstrong, Anderson da Costa

; Hygidio, Daniel de Andrade

; Miglioranza, Marcelo Haertel

; Camarozano, Ana Cristina

; Lopes, Marly Maria Uellendahl

; Cerci, Rodrigo Julio

; Siqueira, Maria Eduarda Menezes de

; Torreão, Jorge Andion

; Rochitte, Carlos Eduardo

; Felix, Alex

Arquivos Brasileiros de Cardiologia

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Dez 2023, Volume 120 Nº 12 elocation e20230646

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

https://doi.org/10.36660/abc.20230646

Pericapsular Nerve Group (PENG) block versus fascia iliaca compartment (FI) block for hip surgery: a systematic review and meta-analysis of randomized controlled trials
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Andrade, Priscila P.

; Lombardi, Rafael A.

; Marques, Isabela R.

; Braga, Anna Carla Di Napoli Andrade e

; Isaias, Beatrice R.S.

; Heiser, Nicholas E.

Brazilian Journal of Anesthesiology

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Dez 2023, Volume 73 Nº 6 Páginas 794 - 809

Resumo: En | Texto: En | PDF: En

Abstract Background: This study compares Fascia Iliaca compartment (FI) block and Pericapsular Nerve Group (PENG) block for hip surgery. Methods: Pubmed, Embase and Cochrane were systematically searched in April 2022. Inclusion criteria were: Randomized Controlled Trials (RCTs); comparing PENG block versus FI block for hip surgery; patients over 18 years of age; and reporting outcomes immediately postoperative. We excluded studies with overlapped populations and without a head-to-head comparison of the PENG block vs. FI block. Mean-Difference (MD) with 95% Confidence Intervals (CI) were pooled. Trial Sequential Analyses (TSA) were performed to assess inconsistency. Quality assessment and risk of bias were performed according to Cochrane recommendations. Results: Eight RCTs comprising 384 patients were included, of whom 196 (51%) underwent PENG block. After hip surgery, PENG block reduced static pain score at 12h post-surgery (MD = 0.61 mm; 95% CI 1.12 to -0.09; p = 0.02) and cumulative postoperative oral morphine consumption in the first 24h (MD = -6.93 mg; 95% CI -13.60 to -0.25; p = 0.04) compared with the FI group. However, no differences were found between the two techniques regarding dynamic and static pain scores at 6 h or 24 h post-surgery, or in the time to the first analgesic rescue after surgery. Conclusion: The findings suggest that PENG block reduced opioid consumption in the first 24 h after surgery and reduced pain scores at rest at 12 h post-surgery. Further research is needed to fully understand the effects of the PENG block and its potential benefits compared to FI block. PROSPERO registration: CRD42022339628 PROSPERO registration: https://www.crd.york.ac.uk/prospero/display_record.php? RecordID=339628

https://doi.org/10.1016/j.bjane.2023.07.007

Food and nutrition public establishments: assessment of the food environment
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Jardim, Mariana Zogbi

; Mendes, Larissa Loures

; Cordeiro, Nayhanne Gomes

; Claro, Rafael Moreira

; Pessoa, Milene Cristine

; Andrade, Amanda Cristina de Souza

; Costa, Bruna Vieira de Lima

Ciência & Saúde Coletiva

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Nov 2023, Volume 28 Nº 11 Páginas 3311 - 3320

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

Abstract This article aims to assess the community food environment around areas with and without Food and Nutrition Public Establishments (FNPE). Cross-sectional study carried out in Belo Horizonte, Brazil. The unit of analysis was the buffer (500m) around the FNPE and the census tracts without FNPE. The investigated establishments should market food for consumption at home and be located within the buffer of the areas with and without FNPE. Data collection performed by direct observation (active search) in August to October 2019. Data collected were location and type of commercial establishments, the density of the establishments was calculated. Descriptive analysis, spatial distribution (Kernel estimator) and Nearest Neighbor analysis were performed. Of the evaluated establishments, 60.5% were in the areas without FNPE and 39.6% in the areas with FNPE, showing a random distribution pattern. Of these, 24.2% were convenience stores and bakeries, 21.0% butcher stores, and 19.0% street markets. Seven FNPE were close to commercial establishments. There were fewer establishments around the FNPE, with convenience stores and bakeries predominating.

Resumo O objetivo deste artigo é avaliar o ambiente alimentar comunitário de áreas com e sem estabelecimentos públicos de segurança alimentar e nutricional (EPSAN). Estudo transversal realizado em Belo Horizonte, Brasil. Unidade de análise foi o buffer (500m) no entorno dos EPSAN e dos setores censitários sem EPSAN. Os estabelecimentos investigados deveriam comercializar alimentos para consumo no domicílio e localizar-se dentro do buffer das áreas com e sem EPSAN. Coleta de dados realizada por observação direta (busca ativa) de agosto a outubro de 2019. Os dados coletados foram localização e tipo dos estabelecimentos comerciais, e também foi calculada a densidade dos estabelecimentos. Foram feitas análise descritiva, distribuição espacial (estimador de Kernel) e análise do vizinho mais próximo. Dos estabelecimentos avaliados, 60,5% estavam nas áreas sem EPSAN, e 39,6% nas áreas com EPSAN, apresentando padrão de distribuição aleatório. Desses, 24,2% eram lojas de conveniência e padarias, 21,0% açougues e 19,0% feiras-livres. Sete EPSAN encontravam-se próximos aos estabelecimentos comerciais. Havia menor número de estabelecimentos no entorno dos EPSAN, com predominância de lojas de conveniência e padaria.

https://doi.org/10.1590/1413-812320232811.17002022

El Emprendimiento Social en los Ecosistemas Económicos de América Latina. Alternativa en Tiempos de Crisis Global
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GUILARTE-BARINAGA., Elizabeth

; LÓPEZ-PÉREZ., María Victoria

; BATISTA-MATAMOROS., Carlos Rafael

; ANDRADE-MOLINA., Cindy Dayana

Economía y Negocios

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Jun 2023, Volume 14 Nº 1 Páginas 56 - 68

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract: Through a bibliometric analysis and multivariate statistical analysis techniques, the theoretical structure of social entrepreneurship was analyzed through the exploration and determination of the relationship between the dimensions and variables that make up this construct. The research allowed determining the relationships between four dimensions with their corresponding variables: social, governmental, strategic promotion of social entrepreneurship and social research device. It was found that, in the countries with better development in the field of social entrepreneurship, there was a balance between its theoretical and practical development. Social research devices were highlighted to provide a theoretical basis and use the information and knowledge management framework. It was also revealed that the most developed economies, paradoxically, are those that show the best theoretical and practical indicators of social entrepreneurship, in contrast to developing countries, where the solution to social problems accumulated for centuries, in a sustainable way, is more imperative. On the other hand, social entrepreneurship can contribute to the Sustainable Development Goals in countries with weaker economies, but its promotion must be planned and applied with a practical approach, based on economic-commercial development that supports the romantic or political ideal.

Resumen: Mediante un análisis bibliométrico y técnicas de análisis estadístico multivariado se analizó la estructura teórica del emprendimiento social a través de la exploración y determinación de la relación entre las dimensiones y variables que componen este constructo. La investigación permitió determinar las relaciones entre cuatro dimensiones con sus correspondientes variables: social, gubernamental, de fomento estratégico del emprendimiento social y dispositivo de investigación social. Se constató que, en los países con mejor desarrollo en el ámbito del emprendimiento social, existía un equilibro entre su desarrollo teórico y práctico. Se destacaron los dispositivos de investigación social para proveer una base teórica y, así, poder utilizar el marco de la gestión de la información y el conocimiento. También se reveló que las economías más desarrolladas, paradójicamente, son las que muestran mejores indicadores teóricos y prácticos de emprendimiento social, en contraposición con países en vías de desarrollo en los que es más imperioso la solución (de manera sostenible) a problemas sociales acumulados por siglos. Por otra parte, el emprendimiento social puede contribuir con los Objetivos de Desarrollo Sostenible en los países con economías más débiles, pero su impulso debe planearse y aplicarse con un enfoque práctico, basado en el desarrollo económico y comercial que sustente al ideal romántico o político.

https://doi.org/10.29019/eyn.v14i1.1085

Profile of thyroidectomies in Brazil from 2010 to 2020 from a macro-regional perspective
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Braga, Joyce Pantoja

; Bentes, Lívia Guerreiro de Barros

; Lemos, Rafael Silva

; Almeida, Nyara Rodrigues Conde

; Fernandes, Manuela Rodrigues Neiva

; Andrade, Gabrielly Leite

; Araújo, Victor Matheus Mendonça de

; Santos, Deivid Ramos dos

Archives of Endocrinology and Metabolism

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Jun 2023, Volume 67 Nº 3 Páginas 372 - 377

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To describe the distribution profile of thyroidectomies in Brazil from 2010 to 2020 from a macro-regional perspective. Materials and methods: This is a retrospective, detailed and descriptive study built on secondary data obtained from the Hospital Information System of the Unified Health System (SIH/SUS). We organized the data in tables and grouped them according to the federative unit, macro-region, type of procedure, mortality rate, and year of performance. We performed statistical analysis using the χ2 test to assess the association between the variables, observing a P value of < 0.05 and a confidence interval of 95%. Results: From 2010 to 2020, 160 219 thyroidectomy surgeries were performed, of which 77 812 (48.56%) were total, 38 064 (23.76%) partial and 41 191 (25.70%) oncological.The Southeast was responsible for the largest share of procedures, with 70 745 (44.15%), followed by the Northeast with 43 887 (27.39%). In 2020, the procedure was less performed, with 9226 (5.75%) surgeries. The total mortality rate was 0.16% during the study period. Conclusion: We found that thyroidectomies are carried out mainly in the Southeastern, Northeastern, and Southern regions, and showed a downward trend in 2020, which may be related to the COVID-19 pandemic. In addition, total thyroidectomy is the most performed surgery, and the Northern region had the highest mortality rate.

https://doi.org/10.20945/2359-3997000000590

10.

Impact of COVID-19 pandemic on prostate cancer outcomes at an uro-oncology referral center
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Andrade, Guilherme Miranda

; Sesconetto, Lucas

; Silva, Rafael Benjamim Rosa da

; Santos, Gabriela Guimarães Rodrigues dos

; Kayano, Paulo Priante

; Baccaglini, Willy

; Bezerra, Murilo Borges

; Bianco, Bianca

; Lemos, Gustavo Caserta

; Carneiro, Arie

International braz j urol

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Abr 2023, Volume 49 Nº 2 Páginas 233 - 242

Resumo: En | Texto: En | PDF: En

ABSTRACT Introduction To evaluate the possible effects of the coronavirus disease 2019 (COVID-19) pandemic on the oncologic results of patients with prostate cancer regarding clinical staging, presence of adverse pathological outcomes, and perioperative complications. Materials and methods This retrospective study included patients who underwent radical prostatectomy. The time between biopsy and surgery, staging tests, final histopathological evaluation after surgery, lymphadenectomy rate, postoperative complications, and prostatic specific antigen (PSA) levels (initial and 30 days after surgery) were analyzed and compared in a group of patients before and during the pandemic period. Results We included 226 patients: 88 in the pre-pandemic period and 138 during the pandemic period. There was no statistically significant difference in mean age, body mass index, ASA, pathological locally advanced disease, the proportion of patients who underwent lymphadenectomy, and ISUP grade in the biopsy between the groups. Positive surgical margins, prostatic extracapsular extension, and PSA levels at 30 days were also similar between the groups. The mean time between medical consultation and surgery was longer in the pandemic period than in the pre-pandemic (124 vs. 107 days, p<0.001), and the mean time between biopsy and medical consultation (69.5 days vs. 114 days, p<0.001) and between biopsy and surgery (198.5 days vs. 228 days, p=0.013) was shorter during the pandemic. The incidence of severe early and late perioperative complications was similar between the periods. Conclusions There was no delay between diagnosis and treatment at our institution during the COVID-19 pandemic period. No worsening of the prostate cancer features was observed.

https://doi.org/10.1590/s1677-5538.ibju.2022.0393

11.

Urological complications of COVID-19: a systematic review
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Tristão, Luca Schiliró

; Bresler, Rafael

; Modesto, Victoria Andrade

; Fernandes, Roni de Carvalho

; Bernardo, Wanderley Marques

International braz j urol

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Fev 2023, Volume 49 Nº 1 Páginas 24 - 40

Resumo: En | Texto: En | PDF: En

ABSTRACT Purpose: COVID-19 continues to be an urgent World issue. Receptors of angiotensin converting enzyme 2 (ACE2), gateway of SARS-CoV-2, are present in the lungs, bladder, prostate, and testicles. Therefore, these organs face high risk of damage caused by the virus and this mechanism may explain non-respiratory symptoms of the disease. Materials and Methods: This systematic review, guided by the PRIMSA statement, was proposed to elucidate possible urological complications of COVID-19. Searches were carried out in Medline (PubMed), Cochrane (CENTRAL), Embase, MedRxiv and LILACS. Bias analysis was made using the specific Newcastle-Ottawa Scale for each study design. Results: Search was carried out until April 2022, and 8,477 articles were identified. Forty-nine of them were included in this systematic review. There is evidence that lower urinary tract symptoms and acute scrotum may be signs of COVID-19 in men, although in a small proportion. Also, the disease may have a transitory impact on male fertility, evidenced by several alterations in sperm counts. However, it must be clarified whether this impact is transitory, or may last for longer periods. Several patients showed reduction of total value of testosterone. Two authors linked low levels of testosterone with worse outcomes of COVID-19, suggesting that the hormone may be used as an early biomarker of the severity of the disease. Moreover, it is extremely unlikely that SARS-CoV-2 is transmitted by semen. Conclusion: This systematic review identified possible repercussions of COVID-19 in the urinary as well as in the male reproductive system.

https://doi.org/10.1590/s1677-5538.ibju.2022.0281

12.

Changes in dietary markers during the covid-19 pandemic in Brazil
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Andrade, Giovanna Calixto

; Levy, Renata Bertazzi

; Leite, Maria Alvim

; Rauber, Fernanda

; Claro, Rafael Moreira

; Coutinho, Janine Giuberti

; Mais, Laís Amaral

Revista de Saúde Pública

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2023, Volume 57 elocation 54

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

RESUMO OBJETIVO Analisar mudanças na alimentação da população brasileira e seus determinantes durante a pandemia de covid-19. MÉTODOS Foram utilizados dados de alimentação coletados pelo instituto Datafolha, em 2019 (n = 1.384), 2020 (n = 1.214) e 2021 (n = 1.459), de amostras independentes e representativas da população adulta (entre 18 e 55 anos) de todas as classes socioeconômicas e regiões geográficas do Brasil. O consumo alimentar foi aferido por meio da verificação do consumo de 22 conjuntos de alimentos no dia anterior à pesquisa. No terceiro ciclo, também foram incluídas questões sobre mudanças nos hábitos alimentares durante a pandemia. Estimou-se a prevalência de consumo dos conjuntos de alimentos em cada ciclo da pesquisa e foram utilizados testes estatísticos para comparações de proporções entre os três ciclos. RESULTADOS Observou-se, entre 2019 e 2020, aumento significativo no consumo de cereais, leite, salgadinhos de pacote ou biscoitos salgados e molhos industrializados, em contraponto à diminuição do consumo de ovos. Entre 2019 e 2021 e entre 2020 e 2021, por outro lado, houve diminuição significativa no consumo de cereais, hortaliças, frutas e sucos de fruta industrializados e aumento no consumo de refrigerante, biscoito doce, recheado ou bolinho de pacote, embutidos, molhos industrializados e refeições prontas. Quando questionados sobre as principais mudanças na compra e preparo das refeições, 46,3% dos entrevistados relataram consumir mais alimentos preparados em casa durante a pandemia. Em relação a mudanças nos hábitos alimentares, 48,6% dos entrevistados relataram alteração na alimentação durante a pandemia. Os principais motivos para tais mudanças foram maior preocupação com a saúde (39,1%) e autorrelato de diminuição da renda familiar (30,2%). CONCLUSÕES A pandemia de covid-19 teve impacto negativo na alimentação da população, e foi reportado aumento no consumo de alimentos ultraprocessados durante esse período.

ABSTRACT OBJECTIVE Evaluate changes in the Brazilian population’s diet and its determinants during the covid-19 pandemic. METHODS We used diet data collected by the Datafolha Institute in 2019 (n = 1,384), 2020 (n =1,214), and 2021 (n = 1,459) from independent and representative samples of the adult population (aged 18 to 55 years) from all socioeconomic classes and geographic regions of Brazil. Food consumption was measured by checking the consumption of 22 sets of food on the day before the survey. The third cycle also included questions about changes in eating habits during the pandemic. We estimated the prevalence of consumption of the food sets in each cycle of the survey and used statistical tests for comparisons of proportions between the three cycles. RESULTS Between 2019 and 2020, we observed a significant increase in the consumption of cereals, milk, packaged snacks or salty cookies, and industrialized sauces, as opposed to a decrease in the consumption of eggs. Between 2019 and 2021 and between 2020 and 2021, on the other hand, there was a significant decrease in the consumption of cereals, vegetables, fruits, and industrialized fruit juices and an increase in the consumption of soda, sweets, cookies, sausages, industrialized sauces, and ready meals. When asked about the main changes in the purchase and preparation of meals, 46.3% of the respondents reported consuming more food prepared at home during the pandemic. Regarding changes in eating habits, 48.6% of the respondents reported a change in their eating habits during the pandemic. The main reasons for such changes were greater concern with health (39.1%) and self-reported decreased family income (30.2%). CONCLUSIONS The covid-19 pandemic had a negative impact on the diet of the population, and increased consumption of ultra-processed foods was reported for that period.

https://doi.org/10.11606/s1518-8787.2023057004659

13.

Las Creencias de Autoeficacia y la Autorregulación del Aprendizaje en el Contexto de la Educación Inclusiva
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Rebouças Andrade, Rafael

; Zanatta, Cleia

; Gonçalves Cordeiro, Sirlei do Rocio

Revista latinoamericana de educación inclusiva

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2023, Volume 17 Nº 1 Páginas 41 - 57

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT: This paper aims to comprehend the Social Cognitive Theory contributions to the context of inclusive education in Brazil through a literature review executed in five databases: Pepsic, Redalyc, Latindex, Scielo, and Lilacs, to acknowledge the state of the art when in the context of a link between the previously mentioned concepts. The criteria for selecting the publications were: theoretical review papers or applied studies about self-regulated learning and self-efficacy through the socio-cognitive perspective published within the last five years. Nine articles resulted from the descriptors: “Self-efficacy and Inclusive Education” and two from “Self-regulation learning and Inclusive Education”. The results reveal the importance of self-regulated learning and self-efficacy for inclusive educational practice, especially regarding teaching work success. However, few publications are approaching these concepts, applying them to the inclusive education context or the student's learning.

RESUMEN: Este artículo busca comprender a partir de una revisión de la literatura realizada en cinco bases de datos: Pepsic, Redalyc, Latindex, Scielo y Lilacs, los aportes de la Teoría Social Cognitiva en el contexto de la educación inclusiva en Brasil. Los criterios de selección de las publicaciones a revisar fueron: que sean artículos científicos de revisión teórica o de estudios aplicados, publicados en los últimos cinco años en Brasil, y que abordan los conceptos Autorregulación de Aprendizaje y/o Autoeficacia en el contexto de la educación inclusiva desde la perspectiva sociocognitiva. Se encontraron nueve artículos para los descriptores “Autoeficacia y Educación Inclusiva” y dos artículos para los descriptores “Autorregulación del Aprendizaje y Educación Inclusiva”. Los resultados encontrados demuestran la importancia de la Autorregulación del Aprendizaje y la Autoeficacia para la práctica educativa inclusiva, sobre todo a lo que se refiere al éxito del trabajo docente. Sin embargo, todavía se consideran escasas las publicaciones que abordan los mencionados conceptos aplicados al contexto de la educación inclusiva relativo al aprendizaje de los estudiantes.

https://doi.org/10.4067/s0718-73782023000100041

14.

Food and nutrition public establishments: assessment of the food environment
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Jardim, Mariana Zogbi

; Mendes, Larissa Loures

; Cordeiro, Nayhanne Gomes

; Claro, Rafael Moreira

; Pessoa, Milene Cristine

; Andrade, Amanda Cristina de Souza

; Costa, Bruna Vieira de Lima

Ciência & Saúde Coletiva

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2023, Volume 28 Nº 11 Páginas 3311 - 3320

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

https://doi.org/10.1590/1413-812320232811.17002022

15.

Descripción del nivel de conocimiento de los signos y síntomas de alarma obstétrica en mujeres embarazadas
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Verduzco Dena, Sarahí Guadalupe

; García Ontiveros, Blanca Evelia

; Andrade Torres, Alejandra Guadalupe

; Haro Acosta, María Elena

; Ayala Figueroa, Rafael Iván

Ginecología y obstetricia de México

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2023, Volume 91 Nº 9 Páginas 637 - 644

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen OBJETIVO: Describir el nivel de conocimiento de los signos y síntomas de alarma obstétrica en mujeres embarazadas. MATERIALES Y MÉTODOS: Estudio de serie de casos prolectivo y descriptivo efectuado en la Unidad de Medicina Familiar 16, Instituto Mexicano del Seguro Social, Mexicali, Baja California, entre los meses de enero a junio de 2022. Variables de estudio: edad, sexo, escolaridad y nivel de conocimiento de signos y síntomas de alarma a través de una encuesta elaborada conforme a los criterios de la guía de práctica clínica. Se utilizó estadística descriptiva con el programa SPSSv24. RESULTADOS: Se estudiaron 150 pacientes embarazadas. El bajo nivel de conocimiento de los signos y síntomas de alarma se observó en 15 casos, el nivel medio en 47 casos y el nivel alto en 88 casos (58.7%). En cuanto a las características de la población, los límites de edad fueron 20 y 34 años, la escolaridad secundaria ocupó el 47.3% seguido de la preparatoria con el 35.3% y en cuanto a la ocupación el 80.7% refirió ser empleada. El 34% cursaba el primer trimestre del embarazo y el 48.7% el segundo trimestre. CONCLUSIONES: El nivel de conocimiento de las pacientes embarazadas atendidas en la unidad es alto y medio porque pueden reconocer los signos y síntomas de alarma durante el embarazo, sobre todo quienes cursan el segundo embarazo, en coincidencia con estudios nacionales e internacionales. El grupo predominante fue el de 20 a 34 años, con escolaridad media y superior.

Abstract OBJECTIVE: To describe the level of knowledge of obstetric alarm signs and symptoms in pregnant women. MATERIALS AND METHODS: Selective and descriptive case series study carried out in the Family Medicine Unit 16, Mexican Institute of Social Security, Mexicali, Baja California, between January and June 2022. Study variables: age, sex, education and level of knowledge of warning signs and symptoms through a survey prepared according to the criteria of the Clinical Practice Guide. Descriptive statistics were performed using SPSSv24. RESULTS: 150 pregnant patients were screened. A low level of knowledge of warning signs and symptoms was observed in 15 cases, a medium level in 47 cases and a high level in 88 cases (58.7%). Regarding the characteristics of the population, the age range was 20-34 years, 47.3% had secondary education, followed by high school with 35.3%, and 80.7% reported being employed. Thirty-four per cent were in the first trimester of pregnancy and 48.7 per cent in the second trimester. CONCLUSIONS: The level of knowledge of pregnant patients attending the unit is high and medium in terms of being able to recognize the warning signs and symptoms of pregnancy, particularly in the second trimester, in line with national and international studies. The predominant age group was 20-34 years, with secondary and higher education.

https://doi.org/10.24245/gom.v91i9.8534

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