Abstract While early studies on electoral strategies argue that Brazilian system encourages “personal vote” and the creation of geographically located electoral strongholds, latest studies show that the most effective electoral strategy is vote dispersion. According to the contextual perspective, people vote for candidates whose political messages they have access to and who correspond to the demands of the places where they live. Based on the construction of a database regarding the legislative elections from 2010 to 2018 we seek to interpret the results found using this perspective. Starting from the hypothesis of a vote ruled by the way information is diffused in space, we find that most candidates have their strongest vote in their municipality’s electoral domicile, that those with only municipal experience show a voting pattern consistent with the “friends and neighbors” effect, and that there is a party coordination in the formation of candidate lists.Keywords: localism; electoral concentration; electoral strategies; electoral behaviour; electoral geography. personal strongholds dispersion perspective live 201 space municipalitys municipality s domicile friends neighbors effect lists.Keywords listsKeywords lists Keywords localism concentration behaviour geography 20 2

Resumen Mientras que los primeros estudios sobre estrategias electorales sostenían que el sistema adoptado en Brasil fomenta el “voto personal” y la creación de bastiones electorales geográficamente localizados, estudios más recientes demuestran que la estrategia electoral más eficaz es la dispersión de los votos. Según la perspectiva contextual, las personas votan a candidatos a cuyos mensajes políticos tienen acceso y que corresponden a las exigencias de los lugares donde viven. A partir de la construcción de una base de datos sobre las elecciones legislativas de 2010 a 2018, tratamos de interpretar los resultados encontrados desde esta perspectiva. Partiendo de la hipótesis de que el voto se rige por la forma en que se difunde la información en el espacio, comprobamos que la mayoría de los candidatos obtienen el mayor número de votos en su domicilio electoral declarado, que los que sólo tienen experiencia municipal muestran un patrón de voto coherente con el efecto “amigos y vecinos” y que existe una coordinación partidista en la formación de las listas. personal localizados contextual viven 201 2018 espacio declarado amigos vecinos listas 20 2

Résumé Alors que les premières études sur les stratégies électorales soutiennent que le système adopté au Brésil encourage le “vote personnel” et la création de bastions électoraux géographiquement localisés, des études plus récentes montrent que la stratégie électorale la plus efficace est la dispersion des votes. Selon la perspective contextuelle, les électeurs votent pour les candidats dont ils ont accès aux messages politiques et qui correspondent aux demandes des lieux où ils vivent. En construisant une base de données sur les élections législatives de 2010 à 2018, nous cherchons à interpréter les résultats trouvés en utilisant cette perspective. Partant de l’hypothèse d’un vote régi par la manière dont les informations sont diffusées dans l’espace, nous constatons que la plupart des candidats obtiennent leur plus grand nombre de votes dans leur domicile électoral déclaré, que ceux ayant seulement une expérience municipale présentent un schéma de vote cohérent avec l’effet “amis et voisins” et qu’il existe une coordination partisane dans la formation des listes. personnel localisés contextuelle vivent 201 2018 lhypothèse l hypothèse dun d lespace, lespace espace, espace l’espace déclaré leffet effet amis voisins quil qu il listes 20 2

Resumo Enquanto os primeiros estudos sobre estratégias eleitorais argumentam que o sistema adotado no Brasil incentiva o “voto pessoal” e a criação de redutos eleitorais geograficamente localizados, estudos mais recentes demonstram que a estratégia eleitoral mais efetiva é a dispersão dos votos. Segundo a perspectiva contextual, as pessoas votam nos candidatos a cujas mensagens políticas têm acesso e que correspondem às demandas dos lugares onde vivem. A partir da construção de um banco de dados sobre as eleições legislativas de 2010 a 2018, buscamos interpretar os resultados encontrados utilizando essa perspectiva. Partindo da hipótese de uma votação regida pela forma como as informações são difundidas no espaço, encontramos que a maioria dos candidatos tem sua maior votação no seu domicílio eleitoral declarado, que os com apenas experiência municipal apresentam um padrão de votação condizente com o efeito de “amigos e vizinhos” e que existe uma coordenação partidária na formação das listas. voto pessoal localizados votos contextual vivem 201 2018 espaço declarado amigos vizinhos listas 20 2

The present work reports the in situ fabrication of Ag nanoparticles (AgNPs) in polystyrene-b-poly(2-vinylpyridine) (PS-b-P2VP) over pre-patterned hydrophobic stripes on a hydrophilic glass surface. Microcontact printing (μCP) using octadecyltrichlorosilane (OTS) as “ink” was used to obtain these chemically modified substrates. A comparison of the results of the PS-b-P2VP self-assembly over a bare glass substrate and a pre-patterned glass substrate demonstrated the influence of the pattern on the film morphology. Polymeric films of Ag+ and PS-b-P2VP were prepared on a pre-patterned substrate and heated at 150 °C to enable the self-reconstruction of the polymeric matrix and the in situ formation of AgNPs (average particle size of approximately 100 nm). The AgNP/PS-b-P2VP thin films were characterized using UV-Vis spectroscopy and atomic force microscopy. The results demonstrate that the concentration of the solutions of Ag+/PS-b-P2VP used to prepare the films strongly influences the morphologies and dispersion of AgNPs. Moreover, the surface-enhanced Raman spectroscopy (SERS) activity of the fabricated polymer nanocomposites using Nile Blue as a molecular probe shows the importance of the chemical modification of the substrate in the enhancement of the SERS signal. (AgNPs polystyrenebpoly2vinylpyridine polystyrenebpolyvinylpyridine polystyrene b poly 2 vinylpyridine polystyrene-b-poly(2-vinylpyridine PSbP2VP PSbPVP PS P2VP P VP (PS-b-P2VP prepatterned pre patterned surface μCP (μCP OTS (OTS ink “ink substrates selfassembly self assembly morphology 15 C selfreconstruction reconstruction average 10 nm. nm . nm) AgNP/PSbP2VP AgNPPSbP2VP AgNPPSbPVP AgNP/PS AgNP UVVis UV Vis microscopy Ag+/PSbP2VP AgPSbP2VP AgPSbPVP Ag+/PS Moreover surfaceenhanced enhanced (SERS signal polystyrenebpoly PSbP PVP 1 AgNPPSbP AgNPPS AgPSbP AgPS

RESUMO Objetivo: Avaliar a sazonalidade da bronquiolite aguda no Brasil durante a temporada 2020–2022 e compará-la com a das temporadas anteriores. Métodos: Os dados de incidência de internações por bronquiolite aguda em lactentes <1 ano de idade foram obtidos do Departamento de Informática da base de dados da Saúde Pública Brasileira para o período entre 2016 e 2022. Esses dados também foram analisados por macrorregiões do Brasil (Norte, Nordeste, Sudeste, Sul e Centro-Oeste). Para descrever características sazonais e de tendência ao longo do tempo, utilizamos o Modelo de Médias Móveis Integradas Autorregressivas Sazonais. Resultados: Em comparação com o período pré-COVID-19, a incidência de hospitalizações relacionadas com bronquiolite aguda diminuiu 97% durante as intervenções não farmacológicas (março de 2020 – agosto de 2021), mas aumentou 95% após a flexibilização das intervenções não farmacológicas (setembro de 2021 – dezembro de 2022), resultando no aumento geral de 16%. Durante o período pré-COVID-19, as hospitalizações por bronquiolite aguda seguiram um padrão sazonal, que foi interrompido em 2020–2021, mas recuperaram-se em 2022, com um pico ocorrido em maio, aproximadamente 4% superior ao pico pré-COVID-19. Conclusões: Este estudo ressalta a influência significativa das intervenções contra a COVID-19 nas hospitalizações por bronquiolite aguda no Brasil. A restauração de um padrão sazonal em 2022 sublinha a interação entre as medidas de saúde pública e a dinâmica das doenças respiratórias em crianças pequenas. Objetivo 20202022 2020–202 comparála compará la anteriores Métodos 1 < 201 Norte, Norte (Norte Nordeste Sudeste CentroOeste. CentroOeste Centro Oeste . Centro-Oeste) tempo Sazonais Resultados préCOVID19, préCOVID19 préCOVID pré COVID 19, 19 pré-COVID-19 97 março 202 2021, , 2021) 95 setembro 2022) 16 16% 20202021 2020–2021 recuperaramse recuperaram se maio 4 préCOVID19. 19. Conclusões COVID19 COVID-1 pequenas 2020202 2020–20 20 Centro-Oeste préCOVID1 pré-COVID-1 9 COVID1 COVID- 202020 2020–2 2 pré-COVID- 20202 2020– pré-COVID

ABSTRACT Objective: To evaluate the seasonality of acute bronchiolitis in Brazil during the 2020–2022 season and compare it with the previous seasons. Methods: Data from the incidence of hospitalizations due to acute bronchiolitis in infants <1 year of age were obtained from the Department of Informatics of the Brazilian Public Health database for the period between 2016 and 2022. These data were also analyzed by macro-regions of Brazil (North, Northeast, Southeast, South, and Midwest). To describe seasonal and trend characteristics over time, we used the Seasonal Autoregressive Integrated Moving Averages Model. Results: Compared to the pre-COVID-19 period, the incidence of hospitalizations related to acute bronchiolitis decreased by 97% during non-pharmacological interventions (March 2020 – August 2021) but increased by 95% after non-pharmacological interventions relaxation (September 2021 – December 2022), resulting in a 16% overall increase. During the pre-COVID-19 period, hospitalizations for acute bronchiolitis followed a seasonal pattern, which was disrupted in 2020–2021 but recovered in 2022, with a peak occurring in May, approximately 4% higher than the pre-COVID-19 peak. Conclusions: This study underscores the significant influence of COVID-19 interventions on acute bronchiolitis hospitalizations in Brazil. The restoration of a seasonal pattern in 2022 highlights the interplay between public health measures and respiratory illness dynamics in young children. Objective 20202022 2020–202 seasons Methods 1 < 201 macroregions macro regions North, North (North Northeast Southeast South Midwest. Midwest . Midwest) time Model Results preCOVID19 preCOVID pre COVID 19 pre-COVID-1 97 nonpharmacological non pharmacological March 202 95 September , 2022) 16 increase 20202021 May 4 Conclusions COVID19 COVID-1 children 2020202 2020–20 20 preCOVID1 pre-COVID- 9 COVID1 COVID- 202020 2020–2 2 pre-COVID 20202 2020–

The ability to argue is essential for the education of students, as it is fundamental to the presentation of ideas on a given topic. Several methods have been proposed in studies that support the development of argumentation in different teaching contexts, such as the heuristic diagram. It allows the organization and recording of activities that enable critical reflection through the analysis of the language used to express ideas. In this perspective, the diagrams produced for solving problems in an experimental chemistry subject offered in an undergraduate chemistry course were analyzed. Toulmin’s argument pattern was used as a basis to identify the structure of the arguments produced, and then, the quality of the arguments was evaluated. The results of the analysis showed a principle of progress in the argumentative capacity of undergraduates with the development of activities, verified by the presence of elements in students’ texts that, when present, validate an argument. Thus, the results can contribute to other researches in the field of chemical education by favoring a teaching process that considers the development of initial argumentative ability in the formation of students. students topic contexts diagram perspective analyzed Toulmins Toulmin s then evaluated present Thus

ABSTRACT Purpose: This study aimed to examine the prevalence of myopic eyes over 11 years (2008-2018) in a private clinic and a public assistance service. Methods: We retrospectively evaluated 6332 individuals (12,664 eyes) between 5 and 25 years old, seen at a private clinic-CEMO (2,663 individuals) and a public service-HOIP (3,669 individuals) from 2008 to 2018. We evaluated the prevalence of myopic eyes (EE ≤-0.50) and high myopic eyes (EE ≤-6.00). Results: Sex and services did not show statistical differences. The variation in the prevalence of myopic and high myopic eyes showed a random pattern during the study period (this prevalence could not be increased). Prevalences ranged from 20.7% (in 2017) to 32.4% (in 2015) for myopic eyes and from 1.6% (in 2009 and 2016) to 3.3% (in 2015) for eyes with high myopia. The prevalence of myopia showed a statistically significant increase based on the age group. Conclusion: The prevalence of myopic eyes did not increase in our study. The mean prevalence of myopic eyes was similar in the private clinic and public service. Purpose 1 20082018 2018 (2008-2018 service Methods 633 12,664 12664 12 664 (12,66 2 old clinicCEMO CEMO 2,663 2663 663 (2,66 serviceHOIP HOIP 3,669 3669 3 669 (3,66 200 EE ≤0.50 050 ≤ 0.50 0 50 ≤-0.50 ≤6.00. 600 6.00 . 6 00 ≤-6.00) Results differences this increased. increased increased) 207 20 7 20.7 2017 324 32 4 32.4 2015 16 1.6 2016 33 3.3 group Conclusion 2008201 201 (2008-201 63 12,66 1266 66 (12,6 2,66 266 (2,6 3,66 366 (3,6 ≤0.5 05 0.5 ≤-0.5 ≤6.00 60 6.0 ≤-6.00 20. 32. 1. 3. 200820 (2008-20 12,6 126 (12, 2,6 26 (2, 3,6 36 (3, ≤0. 0. ≤-0. ≤6.0 6. ≤-6.0 20082 (2008-2 12, (12 2, (2 3, (3 ≤0 ≤-0 ≤6. ≤-6. (2008- (1 ( ≤- ≤6 ≤-6 (2008 (200 (20

Abstract The growing use of contemporary models for predicting carbonation fronts, such as artificial neural networks, requires greater rigor in terms of database completeness. Treating carbonation depth databases as time series is a favorable alternative for quality assurance. Therefore, the aim of this article is to identify the best technique for imputing missing data in time series of carbonation depths of concrete with different compositions. The database used was information collected from concretes subjected to natural carbonation over 20 years of exposure belonging to the GEDur/UFG. Ten imputation techniques were tried, such as foward fill, moving average, interpolation and Kalman filter. All the techniques and analyses were implemented using the Python programming language in an integrated development environment. Based on the performance metrics and visual analysis, it was found that monotonic cubic spline interpolation captured the pattern of the carbonation depth curve as a function of time with greater precision and accuracy, achieving a performance index of 0.998 and RMSE between 0.106 mm and 0.863 mm depending on the concrete sample. fronts networks completeness assurance Therefore compositions 2 GEDurUFG GEDur UFG GEDur/UFG tried fill average filter environment analysis accuracy 0998 0 998 0.99 0106 106 0.10 0863 863 0.86 sample 099 99 0.9 010 10 0.1 086 86 0.8 09 9 0. 01 1 08 8

Resumo O crescente uso de modelos contemporâneos de previsão de frentes de carbonatação, como redes neurais artificiais, exige maior rigor sobre a completude dos bancos de dados. Tratar os bancos de dados de profundidades de carbonatação como séries temporais é uma alternativa favorável à garantia da qualidade. Dessa forma, este artigo tem o objetivo de identificar a melhor técnica de imputação de dados ausentes em séries temporais de profundidades de carbonatação de concretos com diferentes composições. Como banco de dados foram utilizadas as informações coletadas de concretos submetidos à carbonatação natural ao longo de 20 anos de exposição pertencentes ao grupo GEDur/UFG. Foram experimentadas dez técnicas de imputação entre as quais destacam-se, foward fill, média móvel, interpolação e filtro de Kalman. Todas as técnicas e análises foram implementadas utilizando linguagem de programação em python dentro de um ambiente de desenvolvimento integrado. Com base nas métricas de desempenho e análise visual, constatou-se que a interpolação spline monotônica cúbica capturou o padrão da curva de profundidade de carbonatação em função do tempo com maior precisão e acurácia, alcançando índice de desempenho de 0,998 e RMSE entre 0,106mm e 0,863mm dependendo da amostra de concreto. artificiais qualidade forma composições 2 GEDurUFG GEDur UFG GEDur/UFG destacamse, destacamse destacam se, se destacam-se fill móvel Kalman integrado visual constatouse constatou acurácia 0998 0 998 0,99 0106mm mm 106mm 0863mm 863mm concreto 099 99 0,9 09 9 0,

Resumen Introducción. La erosión acelerada del suelo es una de las principales causas de la degradación del suelo, que se ve reforzada por las actividades humanas que reducen la cobertura del suelo y aumentan su densidad. Metodologia: Por lo tanto, el objetivo de este estudio es cuantificar y comparar las pérdidas de suelo por erosión, entre áreas con agricultura convencional y vegetación natural en el sitio Potós ubicado en la zona rural del municipio de Ubajara, Ceará, Brasil. Resultados. Para monitorear la erosión, se instalan nueve pines de erosión en cada tratamiento, distribuidos en forma triangular, en el sentido de la pendiente, entre las hileras de plantas. El monitoreo se realizará mensualmente durante los años 2020 y 2021. Las pérdidas mensuales varían entre 0 y 948,73 Mg ha-1 mes, siendo las mayores en los meses más lluviosos, registrándose las mayores pérdidas en el año de mayor precipitación total acumulada.

Abstract Introduction. Accelerated soil erosion is one of the major causes of land degradation, which is exacerbated by human activities that reduce soil cover and increase its density. Objective. This study aimed to quantify and compare the levels of soil erosion between areas with conventional agriculture and natural vegetation at the Potós site located in the rural area of the municipality of Ubajara, Ceará, Brazil. Methodology. To monitor erosion, nine erosion pins were installed in each treatment area, arranged in a triangular mesh pattern, in the direction of the slope and between the rows of plants. Monitoring will occur monthly during 2020 and 2021. Results. Monthly losses range from 0 to 948.73 Mg ha-1 month, with the highest losses occurring in the driest months. The greatest losses were recorded in the year with the highest total accumulated precipitation.

Resumo Introdução: A erosão acelerada do solo é uma das principais causas de sua degradação, sendo esta potencializada por atividades antrópicas que reduzem a cobertura do solo e aumentam sua densidade. Objetivo: Ante isso, com o presente estudo objetivou-se quantificar e comparar as perdas de solos por erosão, entre áreas com agricultura convencional e vegetação natural no sítio Potós localizado na zona rural do município de Ubajara, Ceará, Brasil. Metodologia: Para monitorar a erosão foram instalados nove pinos de erosão em cada tratamento, distribuídos em malha triangular, no sentido do declive e entre as fileiras de plantas. O monitoramento ocorreu mensalmente durante os anos de 2020 e 2021. Resultados: As perdas de solos mensais variaram entre 0 e 948,73 Mg ha-1 por mês e foram maiores nos meses mais chuvosos, sendo as maiores perdas registradas no ano com maior precipitação total acumulada.

Resumen La bacteria Escherichia coli causa la colibacilosis en animales de granja que actúan como reservorios de cepas patógenas. La resistencia antimicrobiana de E. coli productor de betalactamasas de espectro extendido [BLEE] es un grave problema de salud pública y se puede atribuir a factores relacionados con el consumo de alimentos y el contacto con animales domésticos. El objetivo de este estudio fue determinar la presencia y patrones de resistencia antimicrobiana de E. coli BLEE aislado en muestras fecales provenientes de bovinos productores de leche de la provincia de Pichincha. Se analizaron un total 182 muestras de heces de bovinos: 112 muestras de bovinos faenados en el Camal Metropolitano de la provincia de Pichincha y 70 muestras de la colección de la Unidad de Investigación de Enfermedades Transmitidas por Alimentos y Resistencias a los Antimicrobianos [UNIETAR], se realizó el aislamiento de E. coli BLEE, la identificación bioquímica y pruebas de resistencia a los principales antibióticos utilizados. Se logró identificar 93 muestras positivas a E. coli BLEE (51 %), el análisis fenotípico reveló que los antibióticos amoxicilina más ácido clavulánico, cefepime, ceftazidima, ciprofloxacina, amikacina y tetraciclina presentaron porcentajes de resistencia mayores al 80 %. Además, se observó una baja resistencia a la nitrofurantoína, cefoxitin y ertapenem, mientras que ningún aislado fue resistente a la tigeciclina. El 100 % de los aislados presentaron fenotipos de multirresistencia y el patrón más frecuente estuvo compuesto por 7 familias de antibióticos. En conclusión, estos resultados sugieren que E. coli originaria de bovinos lecheros podría ser un reservorio de genes BLEE.

Abstract Escherichia coli causes colibacillosis in farm animals that act as reservoirs for pathogenic strains. Antimicrobial resistance of E. coli producing Extended Spectrum Beta-lactamases [ESBL] is a serious public health problem that can be attributed to factors related to food consumption and contact with domestic animals. This study aimed to determine the presence and patterns of antimicrobial resistance of ESBL E. coli isolated from fecal samples from dairy cattle in the Pichincha province. A total of 182 bovine feces samples were analyzed, 112 samples from cattle slaughtered at the official slaughterhouse in Quito-Pichincha province, and 70 samples from the collection of the Foodborne Diseases and Antimicrobial Resistance Research Unit [UNIETAR]. The isolation of ESBL E. coli, biochemical identification, and resistance tests using the main antibiotics were carried out at UNIETAR. It was possible to identify 93 positive samples for ESBL E. coli (51%), phenotypic analysis revealed that antibiotics such as amoxicillin plus clavulanic acid, cefepime, ceftazidime, ciprofloxacin, amikacin, tetracycline, presented resistance higher than 80%. Furthermore, low resistance to nitrofurantoin, cefoxitin, and ertapenem was observed, while no isolate was resistant to tigecycline. One hundred percent of the isolates presented multi-resistance phenotypes, with the most frequent pattern being composed of 7 families of antibiotics. In conclusion, these results suggest that E. coli from dairy cattle origin could be an important reservoir of ESBL genes.

Abstract Introduction: The use of arthropods in ecological studies in the tropical dry forest (TDF) of Colombia focused mainly on spiders, butterflies, ants, and dung beetles; therefore, it is necessary to understand the seasonal dynamics of the other groups such as Geadephaga in this ecosystem. Objective: To evaluate the spatio-temporal variations and the effect of environmental conditions on the diversity of the Geadephaga communities in two TDF fragments in the Colombian Caribbean. Methods: This study was conducted during four sampling events between February and June 2018, each lasting four days, and four nights. Four sampling stations were selected in each locality (Reserva Campesina La Montaña = RCM and Reserva La Flecha = RLF), separated 350 m one from another, with square plots of 50 × 50 m. A light trap was installed in the center of each square, while pitfall traps were installed in the four vertices, and manual capture, beating sheets and leaf litter sieve were carried out. Results: A total of 348 Carabidae and 114 of Cicindelidae were captured. In both fragments, the richness and abundance presented the lowest values in dry season, while the highest values were observed during the rainy season. Tetracha affinis (Dejean, 1825) was the most abundant species in RCM during rainy season. Conclusions: The richness variation and abundance of Geadephaga corresponds to a seasonal pattern at both locations. A high dissimilarity between the communities of Geadephaga from the two fragments was found, despite having similar environmental conditions.

Resumen Introducción: El uso de artrópodos en estudios ecológicos en el bosque seco tropical (Bs-T) de Colombia se centra mayormente en arañas, mariposas, hormigas y escarabajos coprófagos; por lo tanto, es necesario comprender como es la dinámica estacional de otros grupos como Geadephaga en este ecosistema. Objetivo: Evaluar la variación espacio-temporal y el efecto de las condiciones ambientales sobre la diversidad de las comunidades de Geadephaga en dos fragmentos de Bs-T en el Caribe colombiano. Métodos: El estudio se llevó a cabo en cuatro eventos de muestreo entre febrero y junio de 2018; cada uno con una duración de cuatro días y cuatro noches. En cada localidad (Reserva Campesina La Montaña = RCM y Reserva La Flecha = RLF), se marcaron cuatro estaciones distanciadas 350 m, con parcelas de 50×50 m. En el centro de cada parcela se instaló una trampa de luz, mientras que en los cuatro vértices se instalaron trampas de caída, y se realizó captura manual, cernido de hojarasca y perturbación de follaje. Resultados: Se capturó un total de 348 ejemplares de Carabidae y 114 de Cicindelidae. La riqueza y la abundancia presentaron los valores más bajos durante el período seco, mientras que los mayores valores se observaron durante el período de lluvias, en ambos fragmentos. Tetracha affinis (Dejean, 1825) fue la especie más abundante en la RCM durante el período lluvioso. Conclusiones: La variación de la riqueza y abundancia de Geadephaga responde a un patrón estacional en ambos fragmentos. Se encontró una amplia disimilitud entre las comunidades de Geadephaga de ambos fragmentos, pese a tener condiciones ambientales parecidas.

Abstract Introduction: The nursing process is the method that allows us to administer care to people with chronic diseases through the disease stages, that is, assessment, diagnostic reasoning, nursing care plan and evaluation. Objective: Evaluate a nursing care plan for an older adult with type 2 diabetes mellitus and osteoporosis with a focus on therapeutic health education. Methodology: Observational, descriptive, and longitudinal clinical case study of a 63-year-old patient with diabetes mellitus and osteoporosis; the Marjory Gordon instrument was used for assessment, and standardized language was used for diagnostic reasoning, planning, execution and evaluation. Under bioethical principles, this is a minimal risk research, and the privacy and data of the elderly are protected. Results: Alteration was found in the pattern of perception/maintenance of health, nutritional/metabolic, exercise activity and coping with stress; with the establishment of activities to control glucose, priority was given to prescribed diet, exercise, adherence to treatment and coping with stress. Acceptance of the disease, learning to take capillary glucose and glycemic control was achieved, as well as adherence to the prescribed diet and exercise. Conclusions: Therapeutic health education achieved adherence to pharmacological and non-pharmacological treatment, as well as the acceptance of the health status, which allows acquiring self-control of the disease. Continuous and long-term follow-up is important due to the pathological progress, age and general deterioration of the patient.

Abstrato Introdução. O processo de enfermagem é o método que nos permite administrar a assistência a pessoas com doenças crônicas por meio dos estágios da doença, ou seja, avaliação, raciocínio diagnóstico, plano de assistência de enfermagem e avaliação. Objetivo: Avaliar um plano de cuidados de enfermagem para um adulto mais velho com diabetes mellitus tipo 2 e osteoporose com foco na educação terapêutica em saúde. Metodologia: Estudo de caso clínico observacional, descritivo e longitudinal de uma paciente de 63 anos com diabetes mellitus e osteoporose; para a avaliação foi utilizado o instrumento Marjory Gordon para raciocínio diagnóstico, planejamento, execução e avaliação, para raciocínio diagnóstico, planejamento, execução e avaliação, foi utilizada a linguagem padronizada. De acordo com os princípios bioéticos, essa é uma pesquisa de risco mínimo, e a privacidade e os dados dos idosos são protegidos. Resultados: Foi encontrada alteração no padrão de percepção/manutenção da saúde, nutricional/metabólico, atividade física e enfrentamento do estresse; com o estabelecimento de atividades para controlar a glicose, a prioridade foi dada à dieta prescrita, aos exercícios, à adesão ao tratamento e ao enfrentamento do estresse. Houve aceitação da doença, aprendizado da medição da glicose capilar e controle glicêmico, além de adesão à dieta e aos exercícios prescritos. Conclusões: A educação terapêutica em saúde conseguiu a adesão ao tratamento farmacológico e não farmacológico, bem como a aceitação do estado de saúde, que permite adquirir o autocontrolo da doença, sendo importante a monitorização contínua e a longo prazo da evolução patológica, da idade e da deterioração geral do paciente.

Resumen Introducción: El proceso de enfermería es el método que nos permite administrar los cuidados a personas con enfermedades crónicas a través de sus etapas: valoración, razonamiento diagnóstico, plan de cuidados de enfermería y evaluación. Objetivo: Evaluar un plan de cuidados de enfermería a una adulta mayor con diabetes mellitus tipo 2 y osteoporosis con enfoque a la educación para la salud terapéutica. Metodología: Estudio de caso clínico, observacional, descriptivo y longitudinal, a paciente de 63 años con diabetes mellitus y osteoporosis; para la valoración se empleó el instrumento de Marjory Gordon, para el razonamiento diagnóstico, planeación, ejecución y evaluación se utilizó el lenguaje estandarizado de enfermería. Bajo los principios bioéticos es una investigación de riesgo mínimo, se protege la privacidad y datos del adulto mayor. Resultados: Se encontró alteración en el patrón percepción / mantenimiento de la salud, nutricional / metabólico, actividad ejercicio y afrontamiento del estrés; estableciendo actividades para el control de su glucosa, se priorizó en dieta prescrita, ejercicio, adherencia al tratamiento y afrontamiento al estrés. Se logró aceptación de la enfermedad, aprendizaje de toma de glucosa capilar y control glucémico, además del apego a dieta y ejercicio prescrito. Conclusiones: La educación para la salud terapéutica logró el apego al tratamiento farmacológico y no farmacológico, así como la aceptación del estado de salud le permite adquirir el autocontrol de su enfermedad, es importante el seguimiento continuo y a largo plazo por el avance patológico, edad y deterioro general de la paciente.

Resumen A partir de un estudio sociodemográfico, se describe la disolución conyugal por divorcio y separación, en familias de la región fronteriza del norte de México. Se proporciona una visión general acerca del nivel de frecuencia de la inestabilidad conyugal a nivel regional y algunas de las diferencias entre las entidades federativas que la componen. Se utiliza la Encuesta Nacional de la Dinámica Demográfica (Enadid) de 2018 y otras fuentes de información secundaria. El análisis se basa en los indicadores obtenidos de las disoluciones de la primera unión conyugal de mujeres alguna vez unidas, mediante el uso de la técnica de tablas de vida y los modelos de regresión logística. Entre otros resultados, se encontró que la región norteña tiene uno de los niveles más altos de disolución conyugal en el país, pero con interesantes diferencias que destacan entre los estados del noroeste y el noreste, generando un patrón dual en la región.

Abstract This is a descriptive socio-demographic study of the marital dissolution by divorce and separation in the northern border region of Mexico. The objective is to provide a general view of the level of this type of dissolutions in the region and some of its differences among the federal entities that form it. For this purpose, we use information from the National Survey of the Demographic Dynamics 2018 (ENADID) and secondary sources of information. The analysis is based on the indicators about the dissolution of the first conjugal union of ever-married women that were calculated through the life table technique and logistic regression models. The results evidence that the northern region has one of the highest levels of marital dissolution in the country, but with interesting differences between the states located in the northwest and the northeast generating a dual pattern in the region.

Abstract Hailey-Hailey disease is a rare genodermatosis described in 1939, with an autosomal dominant inheritance pattern, characterized by compromised adhesion between epidermal keratinocytes. It has an estimated prevalence of 1/50,000, with no gender or race predilection. It results from a heterozygous mutation in the ATP2C1 gene, which encodes the transmembrane protein hSPA1C, present in all tissues, with preferential expression in keratinocytes. Mutations in the ATP2C1 gene cause changes in the synthesis of junctional proteins, leading to acantholysis. It usually begins in adulthood, with isolated cases at the extremes of life. It manifests as vesico-bullous lesions mainly in the flexural areas, which develop into erosions and crusts. Chronic lesions may form vegetative or verrucous plaques. Pruritus, a burning feeling and pain are common. It evolves with periods of remission and exacerbation, generally triggered by humidity, friction, heat, trauma and secondary infections. The diagnosis is based on clinical and histopathological criteria: marked suprabasal acantholysis, loosely joined keratinocytes, giving the appearance of a “dilapidated brick wall”, with a few dyskeratotic cells. The acantholysis affects the epidermis and spares the adnexal epithelia, which helps in the differential diagnosis with pemphigus vulgaris. Direct immunofluorescence is negative. The main differential diagnoses are Darier disease, pemphigus vegetans, intertrigo, contact dermatitis, and inverse psoriasis. There is no cure and the treatment is challenging, including measures to control heat, sweat and friction, topical medications (corticosteroids, calcineurin inhibitors, antibiotics), systemic medications (antibiotics, corticosteroids, immunosuppressants, retinoids and immunobiologicals) and procedures such as botulinum toxin, laser and surgery. There is a lack of controlled clinical trials to support the choice of the best treatment. HaileyHailey Hailey 1939 pattern keratinocytes 150000 1 50 000 1/50,000 predilection ATPC ATP C ATP2C hSPA1C hSPAC hSPA tissues proteins adulthood life vesicobullous vesico bullous areas crusts plaques Pruritus common exacerbation humidity friction heat infections criteria dilapidated wall, wall , wall” cells epithelia vulgaris negative vegetans intertrigo dermatitis psoriasis challenging corticosteroids (corticosteroids inhibitors antibiotics, antibiotics antibiotics) (antibiotics immunosuppressants immunobiologicals toxin surgery 193 15000 5 00 1/50,00 19 1500 0 1/50,0 150 1/50, 15 1/50 1/5 1/

Abstract Violence against indigenous peoples has notably increased in recent years, and its news has been consequent on the violence faced by defenders of their rights. This article aims to explain this pattern of violence, demonstrating how legal uncertainty within the demarcation process encourages indigenous people and landowners to go to war. Through the study of the case of the Xukuru People of Ororubá, we describe two major violent events to demonstrate the set of threats, murders, autonomous retaking of demarcated territory, and institutional violence incidents by the police, Federal Public Prosecutor's Office and FUNAI. We rationalize these facts in a game theory matrix to demonstrate that the legal insecurity of the territory under demarcation leads both sides, as rational actors, to act and use all available resources to defeat the opponent, generating a suboptimal balance. This result leads to two outspreads. First, Brazil's failure to comply with the obligation to provide domestic legal effects allows the courts to adopt a legal thesis that conditions the effectiveness of territorial rights to Funai's budget. Second, an informal institutional arrangement translated into the permanence of the territory with non-indigenous people's rule. It was identified by the set of sanctions that the literature called the enemy's logic, composed of the criminalization of indigenous leaders and human rights defenders, as well as the distortion of purpose in the performance of public bodies. Therefore, this work contributes to the literature of Indigenous Law, Constitutional Law, and International Human Rights Law by offering a causal link between state omission and physical and institutional violence. years war Ororubá threats murders police Prosecutors Prosecutor s FUNAI sides actors opponent balance outspreads First Brazils Brazil Funais Funai budget Second nonindigenous non rule enemys enemy logic bodies Therefore

Resumo A violência contra povos indígenas e seus membros aumentou de maneira notável nos últimos anos, cujas notícias têm sido acompanhadas pela violência enfrentada por defensores de seus direitos. O objetivo deste artigo é oferecer uma explicação para este padrão de violência, demonstrando como a insegurança jurídica dentro do processo demarcatório incentiva povos indígenas e proprietários a entrar em guerra. Através do estudo do caso do Povo Xukuru do Ororubá, descrevemos dois grandes eventos de violência enfrentados para demonstrar o conjunto de ameaças, assassinatos, retomadas autônomas de território demarcado e violência institucional exercida pelas polícias, Ministério Público Federal e Funai. Racionalizamos esses fatos numa matriz de teoria dos jogos para demonstrar que a indefinição da situação do território em demarcação leva ambos os lados, como atores racionais, a agir ao invés de se omitir, utilizando todos os recursos disponíveis para derrotar o oponente e gerando um equilíbrio subótimo. Este resultado leva a dois grandes desdobramentos. Primeiro, o descumprimento pelo Brasil da obrigação de prover dispositivos de direito interno a permitir com que os tribunais adotem tese jurídica que condiciona a eficácia dos direitos territoriais ao orçamento da Funai. Segundo, a existência de um arranjo institucional informal traduzido na permanência do território com os não-indígenas e identificado pela existência de sanções que a literatura denomina como lógica do inimigo, composta pela criminalização de lideranças indígenas e defensores de direitos humanos, assim como pelo desvirtuamento de finalidade na atuação de órgãos públicos. Desta feita, este trabalho contribui para a literatura do Direito Indigenista, Direito Constitucional e Direito Internacional dos Direitos Humanos ao oferecer um nexo de causalidade entre a omissão do estado e a violência física e institucional. anos guerra Ororubá ameaças assassinatos polícias Funai lados racionais omitir subótimo desdobramentos Primeiro Segundo nãoindígenas não inimigo humanos públicos feita Indigenista

Abstract Renal involvement is one of the most severe morbidities of Fabry disease (FD), a multisystemic lysosomal storage disease with an X-linked inheritance pattern. It results from pathogenic variants in the GLA gene (Xq22.2), which encodes the production of alpha-galactosidase A (α-Gal), responsible for glycosphingolipid metabolism. Insufficient activity of this lysosomal enzyme generates deposits of unprocessed intermediate substrates, especially globotriaosylceramide (Gb3) and derivatives, triggering cellular injury and subsequently, multiple organ dysfunction, including chronic nephropathy. Kidney injury in FD is classically attributed to Gb3 deposits in renal cells, with podocytes being the main target of the pathological process, in which structural and functional alterations are established early and severely. This configures a typical hereditary metabolic podocytopathy, whose clinical manifestations are proteinuria and progressive renal failure. Although late clinical outcomes and morphological changes are well established in this nephropathy, the molecular mechanisms that trigger and accelerate podocyte injury have not yet been fully elucidated. Podocytes are highly specialized and differentiated cells that cover the outer surface of glomerular capillaries, playing a crucial role in preserving the structure and function of the glomerular filtration barrier. They are frequent targets of injury in many nephropathies. Furthermore, dysfunction and depletion of glomerular podocytes are essential events implicated in the pathogenesis of chronic kidney disease progression. We will review the biology of podocytes and their crucial role in regulating the glomerular filtration barrier, analyzing the main pathogenic pathways involved in podocyte injury, especially related to FD nephropathy. FD, , (FD) Xlinked X linked pattern Xq22.2, Xq222 Xq Xq22.2 Xq22 2 (Xq22.2) alphagalactosidase alpha galactosidase αGal, αGal α Gal (α-Gal) metabolism substrates Gb (Gb3 derivatives subsequently nephropathy process severely podocytopathy failure elucidated capillaries barrier nephropathies Furthermore progression (FD Xq22. Xq2 (Xq22.2 (α-Gal (Gb (Xq22. (Xq22 (Xq2 (Xq

Resumo O acometimento renal é uma das mais severas morbidades da doença de Fabry (DF), enfermidade multissistêmica de depósito lisossômico com padrão de herança ligada ao cromossomo X, decorrente de variantes patogênicas do gene GLA (Xq22.2), que codifica a produção de alfa-galactosidase A (α-Gal), responsável pelo metabolismo de glicoesfingolipídeos. A atividade insuficiente dessa enzima lisossômica gera depósitos de substratos intermediários não processados, especialmente do globotriaosilceramida (Gb3) e derivados, desencadeando injúria celular e, posteriormente, disfunção de múltiplos órgãos, incluindo a nefropatia crônica. A lesão renal na DF é classicamente atribuída aos depósitos de Gb3 nas células renais, sendo os podócitos o alvo principal do processo patológico, nos quais as alterações estruturais e funcionais são instaladas de forma precoce e severa, configurando uma podocitopatia metabólica hereditária típica, cujas manifestações clínicas são proteinúria e falência renal progressiva. Embora os desfechos clínicos tardios e as alterações morfológicas estejam bem estabelecidos nessa nefropatia, os mecanismos moleculares que deflagram e aceleram a injúria podocitária ainda não estão completamente elucidados. Podócitos são células altamente especializadas e diferenciadas que revestem a superfície externa dos capilares glomerulares, desempenhando papel essencial na preservação da estrutura e função da barreira de filtração glomerular, sendo alvos frequentes de injúria em muitas nefropatias. A disfunção e depleção dos podócitos glomerulares são, além disso, eventos cruciais implicados na patogênese da progressão da doença renal crônica. Revisaremos a biologia dos podócitos e seu papel na regulação da barreira de filtração glomerular, analisando as principais vias patogênicas envolvidas na lesão podocitária, especialmente relacionadas à nefropatia da DF. DF, , (DF) X Xq22.2, Xq222 Xq Xq22.2 Xq22 2 (Xq22.2) alfagalactosidase alfa galactosidase αGal, αGal α Gal (α-Gal) glicoesfingolipídeos processados Gb (Gb3 derivados posteriormente órgãos crônica renais patológico severa típica progressiva elucidados glomerular nefropatias disso (DF Xq22. Xq2 (Xq22.2 (α-Gal (Gb (Xq22. (Xq22 (Xq2 (Xq

RESUMO Introdução: Doenças pulmonares são comuns em pacientes com doença renal em estágio terminal (DRET), dificultando o diagnóstico diferencial com COVID-19. Este estudo descreve achados de tomografia computadorizada de tórax (TC) em pacientes com DRET em terapia renal substitutiva (TRS) hospitalizados com suspeita de COVID-19. Métodos: Indivíduos maiores de 18 anos com DRET, encaminhados ao pronto-socorro com suspeita de COVID-19 foram incluídos. Dados clínicos e epidemiológicos foram extraídos de registros eletrônicos de saúde. A TC foi classificada como típica, indeterminada, atípica, negativa. Comparamos achados tomográficos de pacientes com COVID-19 positivos e negativos. Resultados: Recrutamos 109 pacientes (62,3% COVID-19-positivos) entre março e dezembro de 2020, idade média de 60 ± 12,5 anos, 43% mulheres. A etiologia mais comum da DRET foi diabetes. Tempo médio em diálise foi 36 meses, intervalo interquartil = 12–84. A lesão pulmonar mais comum foi opacidades em vidro fosco. O padrão típico de TC foi mais comum em pacientes com COVID-19 (40 (61%) vs. 0 (0%) em pacientes sem COVID-19, p < 0,001). Sensibilidade 60,61% (40/66), especificidade 100% (40/40). Valores preditivos positivos e negativos foram 100% e 62,3%, respectivamente. Padrão atípico de TC foi mais frequente em pacientes COVID-19-negativos (9 (14%) vs. 24 (56%) em COVID-19-positivos, p < 0,001), enquanto padrão indeterminado foi semelhante em ambos os grupos (13 (20%) vs. 6 (14%), p = 0,606), e padrão negativo foi mais comum em pacientes COVID-19-negativos (4 (6%) vs. 12 (28%), p = 0,002). Conclusões: Em pacientes com DRET em TRS hospitalizados, um padrão atípico de TC de tórax não pode excluir adequadamente o diagnóstico de COVID-19. Introdução , (DRET) COVID19. COVID19 COVID 19. 19 (TC (TRS Métodos 1 prontosocorro pronto socorro COVID-1 incluídos saúde típica indeterminada atípica negativa Resultados 10 62,3% 623 62 3 (62,3 COVID19positivos COVIDpositivos COVID-19-positivos 2020 125 5 12, 43 mulheres diabetes meses 1284 84 12–84 fosco 40 61% 61 (61% vs 0% (0% COVID19, 19, 0,001. 0001 0,001 . 001 0,001) 6061 60,61 40/66, 4066 40/66 66 (40/66) 100 40/40. 4040 40/40 (40/40) respectivamente COVID19negativos COVIDnegativos 9 ( 14% 14 (14% 2 56% 56 (56% COVID19positivos, positivos, 0,001, 13 (1 20% 20 (20% 14%, 0,606, 0606 0,606 606 0,606) 4 6% (6% 28%, 28 28% (28%) 0,002. 0002 0,002 002 0,002) Conclusões (DRET COVID1 COVID- 62,3 (62, 202 128 8 12–8 (61 (0 000 0,00 00 60,6 406 40/6 (40/66 404 40/4 (40/40 (14 (56 (20 060 0,60 (6 (28% 62, (62 12– 0,0 60, 40/ (40/6 (40/4 (5 (2 06 0,6 (28 0, (40/

ABSTRACT Introduction: Lung diseases are common in patients with end stage kidney disease (ESKD), making differential diagnosis with COVID-19 a challenge. This study describes pulmonary chest tomography (CT) findings in hospitalized ESKD patients on renal replacement therapy (RRT) with clinical suspicion of COVID-19. Methods: ESKD individuals referred to emergency department older than 18 years with clinical suspicion of COVID-19 were recruited. Epidemiological baseline clinical information was extracted from electronic health records. Pulmonary CT was classified as typical, indeterminate, atypical or negative. We then compared the CT findings of positive and negative COVID-19 patients. Results: We recruited 109 patients (62.3% COVID-19-positive) between March and December 2020, mean age 60 ± 12.5 years, 43% female. The most common etiology of ESKD was diabetes. Median time on dialysis was 36 months, interquartile range = 12–84. The most common pulmonary lesion on CT was ground glass opacities. Typical CT pattern was more common in COVID-19 patients (40 (61%) vs 0 (0%) in non-COVID-19 patients, p < 0.001). Sensitivity was 60.61% (40/66) and specificity was 100% (40/40). Positive predictive value and negative predictive value were 100% and 62.3%, respectively. Atypical CT pattern was more frequent in COVID-19-negative patients (9 (14%) vs 24 (56%) in COVID-19-positive, p < 0.001), while the indeterminate pattern was similar in both groups (13 (20%) vs 6 (14%), p = 0.606), and negative pattern was more common in COVID-19-negative patients (4 (6%) vs 12 (28%), p = 0.002). Conclusions: In hospitalized ESKD patients on RRT, atypical chest CT pattern cannot adequately rule out the diagnosis of COVID-19. Introduction ESKD, , (ESKD) COVID19 COVID 19 COVID-1 challenge (CT RRT (RRT COVID19. 19. Methods 1 records typical Results 10 62.3% 623 62 3 (62.3 COVID19positive COVIDpositive COVID-19-positive 2020 125 5 12. 43 female diabetes months 1284 84 12–84 opacities 40 61% 61 (61% 0% (0% nonCOVID19 nonCOVID non non-COVID-1 0.001. 0001 0.001 . 001 0.001) 6061 60.61 40/66 4066 66 (40/66 100 40/40. 4040 40/40 (40/40) respectively COVID19negative COVIDnegative 9 ( 14% 14 (14% 2 56% 56 (56% COVID19positive, positive, 0.001, 13 (1 20% 20 (20% 14%, 0.606, 0606 0.606 606 0.606) 4 6% (6% 28%, 28 28% (28%) 0.002. 0002 0.002 002 0.002) Conclusions (ESKD COVID1 COVID- 62.3 (62. 202 128 8 12–8 (61 (0 nonCOVID1 non-COVID- 000 0.00 00 60.6 40/6 406 (40/6 404 40/4 (40/40 (14 (56 (20 060 0.60 (6 (28% 62. (62 12– non-COVID 0.0 60. 40/ (40/ (40/4 (5 (2 06 0.6 (28 0.