We created a fast and effective thin-layer chromatography method to detect homoisoflavones in Polygonatum odoratum (Mill.) Druce (POD), demonstrating high sensitivity, specificity, and stability. Utilizing this method, we assessed the quality of 20 commercial batches of POD. Our results indicated that homoisoflavones (III, IV, and V) were present in 8 samples, absent in 7, and detected in 5. This method facilitates the effective evaluation of POD germplasm resources, laying a strong foundation for enhancing quality standards. This advancement aids in the standardization and quality control of POD, ensuring the consistency of its active ingredients and thereby supporting its therapeutic applications. thinlayer thin layer Mill. Mill (Mill. , (POD) sensitivity specificity stability 2 III, III (III IV V samples 7 5 resources standards applications (Mill (POD

RESUMO O objetivo da pesquisa foi avaliar a secagem da polpa de trapiá com a adição de aditivos de secagem, determinando a cinética de secagem e as propriedades termodinâmicas das amostras. Foram elaboradas formulações a partir da polpa e os aditivos monoglicerídeos, carboximetilcelulose - CMC e goma guar em diferentes combinações e concentrações (F1 - 0,5% de CMC e 0,5% de Monoglicerídeos; F2 - 0,5% de Goma Guar e 0,5% de Monoglicerídeos; e F3 - 0,25% de Goma Guar, 0,5% de CMC e 0,5% de Monoglicerídeos). A secagem foi realizada a 50, 60 e 70 ºC com camadas de 0,5 cm de espessura. A cinética de secagem foi determinada e diferentes modelos matemáticos foram ajustados aos dados. O modelo Midilli foi o que melhor representou a cinética de secagem, com coeficientes de determinação ≥ 0,9985. As difusividades efetivas aumentaram com o aumento da temperatura, com magnitudes da ordem de 10-10 m2 s-1. As variações de entalpia (ΔH) diminuíram com o aumento da temperatura e foram positivas. As variações de entropia (ΔS) foram negativas e inversamente proporcionais à temperatura. A variação da energia livre de Gibbs (ΔG) foi positiva e aumentou com o aumento da temperatura. amostras monoglicerídeos F1 F (F 05 0 5 Monoglicerídeos 025 25 0,25 Monoglicerídeos. . Monoglicerídeos) 50 6 7 0, espessura dados 09985 9985 0,9985 1010 10 10-1 m s1. s1 s 1. 1 s-1 ΔH (ΔH positivas ΔS (ΔS ΔG (ΔG 02 2 0,2 0998 998 0,998 101 10- s- 099 99 0,99 09 9 0,9

ABSTRACT The objective of the research was to study the drying of trapiá pulp with the addition of drying aids, determining the drying kinetics and thermodynamic properties of the samples. Formulations of the pulp was treated with the additives monoglycerides, carboxymethylcellulose - CMC and guar gum in different combinations and concentrations (F1 - 0.5% CMC and 0.5% Monoglycerides; F2 - 0.5% Guar Gum and 0.5% Monoglycerides; and F3 - 0.25% Guar Gum, 0.5% CMC and 0.5% Monoglycerides) trapiá. Drying was carried out at 50, 60 and 70 ºC with 0.5 cm thick layers. The drying kinetics were determined, and different mathematical models fitted to the data. The Midilli model best represented the drying kinetics, with determination coefficients ≥ 0.9985. The effective diffusivities increased with increase in temperature with magnitudes to the order of 10-10 m2 s-1. The enthalpy variations (ΔH) reduced with increase in temperature and were positive. The entropy variations (ΔS) were negative and inversely proportional to the temperature. The variation in Gibbs free energy (ΔG) was positive and increased with increase in temperature. aids samples monoglycerides F1 F (F 05 0 5 Monoglycerides 025 25 0.25 50 6 7 0. layers determined data 09985 9985 0.9985 1010 10 10-1 m s1. s1 s 1. 1 s-1 ΔH (ΔH ΔS (ΔS ΔG (ΔG 02 2 0.2 0998 998 0.998 101 10- s- 099 99 0.99 09 9 0.9

Abstract This paper examines a collection of 42 funerary emblems, or jeroglíficos in Spanish, crafted in honour of the Spanish Abbess Mother Jerónima de la Asunción (1555-1630), the foundress of the first female monastery in the Philippines in 1621. While the original copies of these emblems, comprising images, biblical references, and Spanish verses, have yet been discovered, detailed descriptions of each emblem provide valuable insights into the production of imagery in relation to local veneration of a potential saint. By situating these emblems within the broader context of emblematics in early modern Asia, this paper reveals their significance in various cultural events in the Spanish Philippines, including the celebrations of canonizations, royal exequies, literary competitions and other festivities. Moreover, this paper emphasizes the role of emblems as an efficient medium for cultivating devotion to Mother Jerónima not only among the Spanish devotees but potentially among non-Spanish-speaking Christians as well. In summary, this paper underscores the potential of emblematic studies in the Spanish Philippines, contrasting with their widespread use in early modern Iberian America primarily at noble exequies and as aids for catechism.

Resumen Este artículo examina una colección de 42 emblemas funerarios o jeroglíficos elaborados en honor a la abadesa española madre Jerónima de la Asunción (1555-1630), fundadora del primer monasterio femenino en Filipinas, en 1621. Aunque aún no se han descubierto las copias originales de estos emblemas, que comprenden imágenes, referencias bíblicas y versos, las descripciones detalladas de cada uno proporcionan valiosas ideas sobre la producción de imágenes en relación con la veneración local de una potencial santa. Al situar estos emblemas dentro del contexto más amplio de la emblemática en Asia, este artículo revela su importancia en varios acontecimientos culturales en las Filipinas, incluyendo las celebraciones de canonizaciones, exequias reales, certámenes literarios y otras festividades. Además, se enfatiza el papel de los emblemas como un medio eficiente para cultivar la devoción hacia la madre Jerónima no sólo entre los devotos españoles, sino también potencialmente entre los cristianos que no hablan español. En resumen, se resalta el potencial de los estudios emblemáticos en las Filipinas, en contraste con su uso generalizado en Iberoamérica, principalmente en las exequias nobles y como ayuda para el catecismo.

BACKGROUND. While a large number of cases in an HIV setting may be attributed to infections, there has also been a rise in HIV-associated malignancies such as Kaposi sarcoma and aggressive B-cell lymphoma. Good clinical outcomes have been attributed to timely clinicopathological diagnosis of these malignancies. OBJECTIVE. To describe the clinicopathological features of cases with acute abdomen secondary to AIDS-defining malignancy in the gatrointestinal tract. METHOD. This is a retrospective analysis of all cases presenting with acute abdomen and histologically diagnosed AIDS-defining malignancies of the gastrointestinal tract over a period of 8 years in our centre. Clinicopathological characteristics were retrieved from the laboratory information system. Archived haematoxylin and eosin-stained sections and immunohistochemical stains were reappraised. RESULTS. A total of 13 cases, which consisted of 5 males and 8 females, with an average age of 35 years formed the study sample. All the patients were HIV-positive on antiretroviral therapy, and presented with acute abdomen. Intraoperatively, there were five intussusceptions, three strictures, three perforated tumours and two luminal occlusions. Histopathology confirmed five cases of Kaposi sarcoma and eight cases of high-grade B-cell lymphomas. Two patients with high-grade B-cell lymphomas died after surgical intervention. CONCLUSION. Expedited histopathological assessment of bowel resection in HIV-infected patients could improve clinical outcomes with early treatment.

BACKGROUND: Limited research exists on medical students' coping and adjustment skills, especially in the South African context. Stakeholders planning medical curricula need to be aware of emotional and communication skills that allow students to cope and adjust to stress associated with transitioning to medical studies OBJECTIVE: To design a support framework to facilitate first-year undergraduate medical students' social learning and integration skills METHODS: This descriptive qualitative case study used multiple data collection methods, nominal group meetings and Delphi questionnaires to explore and understand undergraduate medical students' challenges with social learning and integration factors. These insights were then used to develop the support framework RESULTS: The support framework articulates levels of engagement and actions required to address social learning and integrated factors, namely under-preparedness, peer support, confidence, self-management, alienation and academic advice CONCLUSION: Implementing the proposed support framework on social learning and integration could facilitate the successful transition of first-year undergraduate medical students from high school to university. This framework aids students in dealing with social learning and integrated factors, such as under-preparedness, peer support, confidence, self-management and alienation as well as academic advice using contextualised and appropriate skills and tools

Abstract Introduction Adenoidectomy is one of the most common procedures performed by otolaryngologists. Traditional adenoid curettage is performed blindly, which can result in inadequate removal of the adenoid and injury to the surrounding structures. Objective To perform transnasal endoscopic examinations to assess the nasopharynx after conventional curettage adenoidectomy. Methods The present prospective study included 100 children with a mean age of 4.2 ± 3.07 years. It is composed of two steps: conventional curettage adenoidectomy by a resident trainee; and endoscopic evaluation of the nasopharynx through a 0° telescope to assess adenoidal remnants, injury to the surgical field or adjacent structures, and bleeding points. Results Adenoid remnants were observed in 42% of the cases after conventional adenoid curettage in multiple locations, such as the roof of the nasopharynx over the choana (24%), the tubal tonsil (12%), the posterior pharyngeal wall (4%), and the posterior end of the nasal septum (2%). Injury to the surgical field and adjacent structures was observed in 46% of the cases (posterior pharyngeal wall: 23%; lateral pharyngeal wall: 11%; Passavant ridge: 10%; and the Eustachian tube orifice: 2%). Endoscopic bleeding was observed in 29% of the cases; 13% of the cases were from adenoid remnants, 10%, from the mucosa, and 6%, from the pharyngeal muscles. Bleeding was mild in 19% of the cases, moderate in 9%, and severe in 1%. Conclusion Endoscopic evaluation of the nasopharynx following conventional adenoid curettage provides important data regarding adenoid remnants, injury to the surgical field or nearby structures, and bleeding points, which aids in the provision of optimal care and in the achievement of a better outcome. otolaryngologists blindly 10 42 4 2 4. 307 3 07 3.0 years steps trainee 0 points locations 24%, 24 24% , (24%) 12%, 12 12% (12%) 4%, 4% (4%) 2%. 2% . (2%) 46 23% 23 11% 11 ridge 10% orifice 2%) 29 13 mucosa 6 6% muscles 19 9 9% 1 1% outcome 30 3. (24% (12% (4% (2% (24 (12 (4 (2 (1 (

RESUMEN Introducción: Hay pocos estudios que hayan evaluado IAAS en una población con VIH, sin embargo, los estudios sugirieron que los pacientes con VIH tienen un mayor riesgo de contraer una IAAS porque tienen altas tasas de hospitalización y estancias hospitalarias más largas. Objetivo: determinar la mortalidad por Infecciones Asociadas a la atención en la Salud en Pacientes con VIH en Paraguay durante los meses de enero a diciembre del año 2018 a 2021. Metodología: Estudio observacional, descriptivo de corte transversal. La población de estudio la constituyeron las personas fallecidas con diagnóstico de infección por VIH e IAAS de ambos sexos, mayor de 18 años de edad, durante ese período. Las variables del estudio fueron demográficas, relacionadas al VIH, Carga Viral basal, Estadio de infección por VIH al momento del diagnóstico, Tiempo desde el diagnóstico de VIH hasta el óbito (meses), comorbilidades al momento del óbito, microorganismo aislado, presencia y localización de IAAS. Resultados: Fueron incluidos en el estudio 93 pacientes con IAAS, de los cuales el 34,4% (32) tuvo una edad entre 20 a 29 años, el 19,3% (18). En cuanto al tipo de población el 79.3% (73) fue población general, 77.6% (59) fue diagnosticado como sida, 68.6% (59) tenían un recuento basal de CD4 menor a 200 células/mm3. La tasa de mortalidad durante el 2020 fue 6,7%, durante el 2018 fue 6,5% y durante el 2021 fue de 6,4%. Conclusión: las personas con VIH en especial aquellas que han sido diagnosticadas en estadios avanzados de la enfermedad tienen mayor posibilidad de desarrollar IAAS y estar relacionadas a la mortalidad. Esto se debe a la presencia de múltiples infecciones oportunistas y comorbilidades que favorece el alto número de internaciones y las estancias mas prolongadas.

ABSTRACT Introduction: Few studies have evaluated HAIs in an HIV population; however, studies have suggested that patients with HIV are at a higher risk of contracting HAI because they have high rates of hospitalization and longer hospital stays. Objective: To determine mortality due to Infections Associated with Health Care in Patients with HIV in Paraguay from January to December 2018 to 2021. Methodology: This was an observational, descriptive, and cross-sectional study. The study population consisted of people over 18 years of age who died with a diagnosis of HIV infection and IAAS of both sexes during that period. The study variables were demographic, HIV-related, Baseline Viral Load, Stage of HIV infection at the time of diagnosis, Time from HIV diagnosis to death (in months), comorbidities at the time of death, microorganism isolation, presence, and location. of IAAS. Results: 93 patients with IAAS were included in the study, of which 34.4% (32) were between 20 and 29 years of age and 19.3% (18). Regarding the type of population, 79.3% (73) were in the general population, 77.6% (59) were diagnosed with AIDS, and 68.6% (59) had a baseline CD4 count of less than 200 cells/mm3. The mortality rate in 2020 was 6.7%, during 2018 it was 6.5% and in 2021 it and 6.4%. Conclusion: People with HIV, especially those who have been diagnosed in advanced stages of the disease, are more likely to develop HAIs and are related to mortality. This is due to the presence of multiple opportunistic infections and comorbidities that favor a high number of hospitalizations and longer hospital stays.

Abstract A minor murdered his parents and siblings in Elche (Spain) in February 2022. This case has offered the possibility of analysing this type of crime, which is so rarely studied in Spain. In a novel way the paper research analyses the social reaction to a case of parricide. For this purpose, a total of 7200 messages published in the days following the event were analysed using NVIVO 12. The measures of central tendency indicate the influence of the traditional media in defining the framing of the treatment of the case, but also the capacity of new actors to incorporate new perspectives and question the media discourse. Alongside this analysis, a qualitative analysis of the discourse conveyed in the messages has been developed. This research contributes to productively using media information to analyse various social phenomena. It also aids in understanding processes of the social construction of violence and its effects within the framework of current communication.

Resumo Em fevereiro de 2022, um menor assassinou seus pais e irmãos em Elche (Espanha). Esse caso ofereceu a possibilidade de analisar esse tipo de crime, que é tão raramente estudado na Espanha. Nesta pesquisa, é analisada, de forma inovadora, a reação social a um caso de parricídio. Para isso, usando o NVIVO 12, foi analisado um total de 7 200 mensagens publicadas nos dias seguintes ao ocorrido. As medidas de tendência central indicam a influência da mídia tradicional na definição do enquadramento do tratamento do caso, além da capacidade dos novos atores de incorporar novas perspectivas e questionar o discurso da mídia. Juntamente com essa análise, foi desenvolvida uma análise qualitativa do discurso veiculado nas mensagens. Esta pesquisa contribui para aproveitar as informações provenientes da mídia para analisar diferentes fenômenos sociais e compreender os processos de construção social da violência e seus efeitos no âmbito da comunicação atual.

Resumen En febrero de 2022, un menor asesinó a sus padres y hermanos en Elche (España). Este caso ha ofrecido la posibilidad de analizar este tipo de delitos, tan escasamente estudiados en España. La presente investigación analiza, de una forma novedosa, la reacción social ante un caso de parricidio. Para ello, mediante el uso de NVIVO 12, han sido analizados un total de 7200 mensajes publicados en los días posteriores al hecho. Las medidas de tendencia central señalan la influencia de los medios de comunicación tradicionales para definir el encuadre del tratamiento del caso, pero también la capacidad de nuevos actores para incorporar nuevas perspectivas y cuestionar el discurso de los medios. Junto con este análisis se ha desarrollado un análisis cualitativo del discurso emitido en los mensajes. Esta investigación contribuye a aprovechar la información procedente de los medios de comunicación para analizar diversos fenómenos sociales y comprender los procesos de construcción social de la violencia y sus efectos en el marco de la comunicación actual.

Resumo O corpus é composto por uma compilação de histórias sobre a experiência de ser homossexual e conviver com o vírus da imunodeficiência humana (HIV), composta por uma série de entrevistas em profundidade, registros etnográficos situados e conversas informais realizadas durante o ano de 2022 com um homem homossexual que vive com HIV em Puebla, México —e que se chama Patricio—. São analisadas algumas das intersecções semiótico-materiais através das quais se configuram as suas experiências e são destacadas certas figuras imaginárias, os afetos em que se enquadram os seus modos de interação, alguns percursos do seu quotidiano e as suas possibilidades de contenção face às práticas discriminatórias. e cenários estigmatizantes. Em três momentos, são expostas algumas das formas como, entre as formas de corporificação de uma doença e as formas de corporificação da homossexualidade, essas dimensões parecem ser sustentadas pela marca cultural –sempre histórica, sempre política– da vergonha e orgulho.

Resumen El corpus se constituye con un compilado de relatos sobre la experiencia de ser homosexual y vivir con el virus de inmunodeficiencia humana (VIH) conformado a partir de una serie de entrevistas a profundidad, registros etnográficos situados y conversaciones informales realizadas en el transcurso del año de 2022 a un hombre homosexual que vive con VIH en Puebla, México —y a quien se nombra Patricio—. Se analizan algunos de los cruces semiótico-materiales mediante los cuales se configuran sus vivencias y se destacan ciertas figuras imaginarias, los afectos en que se enmarcan sus modos de interacción, algunas travesías de su vida cotidiana y sus posibilidades de contención frente a prácticas discriminatorias y escenarios estigmatizantes. En tres momentos, se exponen algunos de los modos en que, entre las formas de encarnar una enfermedad y los modos en que se corporeiza la homosexualidad, estas dimensiones parecen sostenerse en la marca cultural —siempre histórica, siempre política— de la vergüenza y el orgullo.

Abstract The corpus is made up of a compilation of stories about the experience of being homosexual and living with the human immunodeficiency virus (HIV) made up of a series of in-depth interviews, situated ethnographic records and informal conversations carried out during the year 2022 with a man homosexual who lives with HIV in Puebla, Mexico — and who is named Patricio—. Some of the semiotic-material intersections through which his experiences are configured are analyzed. In addition, certain imaginary figures are highlighted, the affects in which his modes of interaction are framed, some journeys of his daily life and his possibilities of containment in the face of discriminatory practices and stigmatizing scenarios. In three moments, some of the ways in which, between the ways of embodying an illness and the ways in which homosexuality is embodied, are exposed, these dimensions seem to be sustained by the cultural mark —always historical, always political— of shame and pride.

SIGNIFICANCE: A paper recently published in AIDS and Behavior on 20 February 2024, authored by Trickey et al.¹, argues that drought potentially increases HIV (Human Immunodeficiency Virus) transmission in sub-Saharan Africa. They established a positive correlation between drought, poverty, sexual behaviour, and HIV contraction. The study's methodology is problematic, and does not consider key confounding factors, utilises data which is subject to biases, and utilises inappropriate means to define drought. We do not dispute the possibility that links exist between these variables, but assert that the data and methods used in this study are insufficient to support such a claim.

Resumo Parte da poesia de Abigael Bohórquez (1936-1995) pode ser lida como poesia de testemunho homossexual. Especificamente, sua última coletânea de poemas, seu testamento poético, Poesida (1996), permite essa leitura, pois esse documento cruel, mas solidário, busca envergonhar o discurso heteronormativo, aquele que reagiu condenando as práticas homossexuais no auge da pandemia Hiv/Aids nas décadas de 1980 e 1990 do século XX. A Poesida será estudada a partir da poética da deturpação, como proposta de análise para a resistência dissidente à normalização discursiva que a coletânea de poemas oferece, tanto no confronto da tradição literária, quanto no espaço poético e na autobiografia referências. Bohórquez constrói um mural, um testemunho, uma série de canções e retratos para não esquecer, dignificar e resistir à vergonha com que tentaram classificar aqueles que morreram com o peso do estigma e da culpa.

Resumen Parte de la poesía de Abigael Bohórquez (1936-1995) puede leerse como poesía de testimonio homosexual. Específicamente, su último poemario y testamento poético, Poesida(1996), avala esa lectura, puesto que se trata de un documento cruel pero solidario que busca poner la vergüenza del lado del discurso heteronormativo, aquel que reaccionó condenando las prácticas homosexuales en el apogeo de la pandemia de VIH/sida entre los años ochenta y noventa del siglo XX. Se estudiará Poesida desde la propuesta de una “poética del tergiversar”, con el objetivo de analizar las resistencias disidentes que ofrece el poemario a la normalización discursiva tanto en la confrontación con la tradición literaria, como en el espacio poético y en las referencias autobiográficas. Bohórquez construye un mural, un testimonio, una serie de cantos y retratos para no olvidar, para dignificar y resistir la vergüenza con la que se trató de encasillar a quienes murieron con el peso del estigma y de la culpa.

Abstract Part of the poetry of Abigael Bohórquez (1936-1995) can be read as poetry of homosexual testimony. Specifically, his last collection of poems, his poetic testament, Poesida (1996), allows for this reading, since this cruel but supportive document seeks to put shame on the side of the heteronormative discourse, the one that reacted by condemning homosexual practices at the height of the Hiv/Aids pandemic in the 1980s & 1990s of the 20th century. Poesida will be studied from the poetics of misrepresentation, as a proposal for analysis for the dissident resistance to the discursive normalization that the collection of poems offers, both in the confrontation of the literary tradition, as well as in the poetic space and in the autobiographical references. Bohórquez builds a mural, a testimony, a series of songs and portraits so as not to forget, dignify and resist the shame with which they tried to classify those who died with the weight of stigma and guilt.

BACKGROUND. In the absence of more recent national data on underlying causes of death in South Africa (SA), we examined mortality trends from 2010 to 2022 among members of a large private medical scheme. This analysis sheds light on the health profile of this specific demographic. OBJECTIVE. To investigate trends in Discovery Health Medical Scheme (DHMS) members' death rates and underlying cause of death patterns between 2010 and 2022. METHODS. All-cause deaths were compared across years accounting for demographic changes, by analysing age- and sex-standardised rates using 2019 age and sex population weightings. We used underlying cause-of-death data from death notifications. RESULTS. The 2019 age- and sex-standardised death rate was lower than the 2010 rate by 10%, with a steady decline experienced between 2010 and 2019. We have seen reduced age- and sex-standardised death rates from HIV/AIDS during this period, and despite the high prevalence, reduced age- and sex-standardised death rates from non-communicable diseases. Malignant neoplasms and cardiovascular disease have been and remained the two leading causes of death for Discovery Health Medical Scheme (DHMS) clients between 2012 and 2022. Age- and sex-standardised death rates, however, reached historic high levels during the first 2 years of the COVID-19 pandemic in SA. In 2020, overall age- and sex-standardised death rates for DHMS members increased to 542 deaths per 100 000 life years, which was higher than pre-pandemic levels. Age- and sex-standardised death rates went on to reach their highest level in the history of the scheme in 2021, at 767 deaths per 100 000 life years. Age- and sex-standardised death rates, however, had returned to near 2019 (pre-pandemic) levels by 2022, at 477 deaths per 100 000 life years. Males experienced a higher increase in age-standardised death rates during 2020 and remained at an increased risk of death in 2022 compared with pre-pandemic levels. When COVID-19 -related deaths are excluded, the age-standardised rates for both females and males in 2022 was lower than observed in the pre-pandemic years. While the low mortality experience could be related to competing causes and mortality displacement, further analysis over a longer period is needed to confirm this. CONCLUSION. DHMS experienced the highest level of age- and sex-standardised death rates during 2020 and 2021, the initial 2 years of the COVID-19 pandemic. Most of this increase was explained by COVID-19 deaths.

Abstract This article analyzes practices of care and the HIV diagnosis disclosure process to children and adolescents living with HIV/AIDS. A case study was conducted in an outpatient clinic located in a public hospital in Rio de Janeiro through participant observation, semi-structured interviews with health professionals, and the consultation of documents produced by the professionals. The analysis, based on the sociology of Simmel and Goffman, points to the revelation of the diagnosis as a hallmark that accompanies all the care established with users and sheds light on issues such as secrecy, stigma and the possible understandings about the health condition established. As a result, institutionalized relationships contribute to a progressive contact with the condition of bearing a stigma and enable phases of a patient’s life protected by information to exist. HIVAIDS AIDS HIV/AIDS observation semistructured semi structured professionals analysis Goffman secrecy result patients patient s exist

Resumo O artigo analisa as práticas de cuidado e o processo de revelação do diagnóstico a crianças e adolescentes vivendo com HIV/Aids. Foi realizado um estudo de caso em um ambulatório localizado em um hospital público do Rio de Janeiro (RJ), através de observação participante, entrevistas semiestruturadas com profissionais de saúde e consulta a documentos produzidos pelos profissionais. A análise, baseada na sociologia de Simmel e Goffman, aponta a revelação do diagnóstico como uma marca que acompanha todo o cuidado estabelecido com os usuários e dá luz a questões como o segredo, o estigma e as possíveis compreensões acerca da condição de saúde estabelecidas. Com isso, as relações institucionalizadas contribuem para um progressivo contato com a condição de portador de um estigma e fazem existir fases de uma carreira de doente protegido pela informação. HIVAids HIV Aids HIV/Aids RJ, RJ , (RJ) participante análise Goffman segredo estabelecidas isso informação (RJ

Abstract This study investigated access to health care among female prisoners in the state of Ceará, Brazil, and screened for common mental disorders. We conducted an analytical cross-sectional study in the only female prison in the state. Ninety detainees participated in the study. All participants were either pregnant or postpartum women or had one or more of the following health problems: hypertension, diabetes mellitus, tuberculosis, syphilis, hepatitis B, HIV/AIDS. The data were collected using a structured questionnaire. The findings reveal that access to health care was limited, violating the fundamental rights of the prisoners. Screening for diseases on admission to prison was limited, especially among non-pregnant women. Differences in health care were found between health conditions, with priority being given to pregnant and postpartum women. Most of the inmates (68.24%) were found to be at risk for common mental disorders (SRQ score > 7). A positive correlation was found between age and mental health problems (p = 0.0002). Despite legislation guaranteeing access to health care in prisons, the prison system is unprepared to meet the health needs of female prisoners with comorbidities and pregnant and puerperal women. Ceará Brazil crosssectional cross sectional hypertension mellitus tuberculosis syphilis B HIVAIDS HIV AIDS HIV/AIDS questionnaire limited nonpregnant non conditions 68.24% 6824 68 24 (68.24% SRQ 7. 7 . 7) p 0.0002. 00002 0.0002 0 0002 0.0002) prisons 68.24 682 6 2 (68.24 0000 0.000 000 68.2 (68.2 0.00 00 68. (68. 0.0 (68 0. (6 (

Resumo O estudo analisa o acesso ao cuidado em saúde de mulheres encarceradas no estado do Ceará, rastreando transtornos mentais comuns. Estudo analítico, transversal, de natureza quantitativa, desenvolvido na única penitenciária feminina do Ceará. Participaram 90 detentas, todas com alguma das seguintes questões de saúde: gestantes, puérperas, portadoras de hipertensão arterial sistêmica, diabetes mellitus, tuberculose, sífilis, hepatite B ou HIV/Aids. Os dados foram coletados por entrevista estruturada. Evidenciou-se acesso limitado à atenção à saúde das detentas, violando direitos básicos sob tutela do Estado. Foram constatadas limitações de exames de rastreamento de doenças nas presidiárias na ocasião de seu acesso ao cárcere, principalmente as que não se encontravam grávidas no momento do encarceramento. Houve diferenças entre as distintas condições de saúde analisadas, com prioridade da atenção às gestantes e puérperas. Entre as detentas, 68,24% apresentavam risco de transtornos mentais comuns (SRQ > 7). Houve correlação positiva entre idade e saúde mental (p = 0,0002). Embora exista legislação pertinente de garantia de acesso à saúde no cárcere, o sistema prisional está despreparado para atender às necessidades de portadoras de comorbidades, gestantes e puérperas. Ceará analítico transversal quantitativa 9 detentas puérperas sistêmica mellitus tuberculose sífilis HIVAids HIV Aids HIV/Aids estruturada Evidenciouse Evidenciou Estado cárcere encarceramento analisadas 6824 68 24 68,24 SRQ 7. 7 . 7) p 0,0002. 00002 0,0002 0 0002 0,0002) comorbidades 682 6 2 68,2 0000 0,000 000 68, 0,00 00 0,0 0,

ABSTRACT This study was aimed at understanding the social representations of young people living with HIV. This is a qualitative study, based on the Social Representations Theory, carried out with 16 young people in outpatient follow-up. Data were collected between May and October 2022, through semi-structured interviews. For data processing, the lexical analysis technique was used, operationalized with the aid of the IRAMUTEQ software. The representation strongly associated with the diagnosis of HIV is related to lack of knowledge, prejudice and acceptance, also presenting positive elements such as a new beginning. Classes: Positive diagnosis for HIV: the new ‘me’; HIV in the face of ignorance and stigma; and Interpersonal relationships: dialogue, acceptance and respect necessary for young people. It was understood that the social representations of young people with HIV reflect their condition in society. The data show that there are different ways of experiencing HIV, often represented by fragility, resignation, and other times by strengthening. In order to minimize the vulnerability of young people to exposure to HIV and the risks of living with stigma and social prejudice, it is necessary to adopt strategies to raise awareness about the disease and to expand the dissemination of public policies that cover this topic.

RESUMO O objetivo deste estudo foi compreender as representações sociais de jovens que vivem com o HIV. Estudo qualitativo, ancorado na Teoria das Representações Sociais, realizado com 16 jovens em acompanhamento ambulatorial. Os dados foram coletados entre maio e outubro de 2022, por meio de entrevista semiestruturada. Para o tratamento dos dados, empregou-se a técnica de análise lexical, operacionalizada com o auxílio do software Iramuteq. A representação fortemente associada ao diagnóstico de HIV está relacionada ao desconhecimento, preconceito e aceitação, apresentando, também, elementos positivos como recomeço. Classes: Diagnóstico positivo para o HIV: o ‘eu’ de agora; HIV em face do desconhecimento e do estigma; e Relações interpessoais: diálogo, acolhimento e respeito necessários aos jovens. Compreendeu-se que as representações sociais dos jovens com HIV refletem a sua condição na sociedade. Os dados deste estudo mostram que existem formas distintas de vivenciar o HIV, muitas vezes representadas pela fragilidade, pela resignação, e outras, pelo fortalecimento. A fim de minimizar a vulnerabilidade do jovem à exposição ao HIV e aos riscos de conviver com o estigma e preconceito social, fazem-se necessárias a adoção de estratégias de conscientização da sociedade sobre a doença e a ampliação da divulgação de políticas públicas que abarcam essa temática.