ABSTRACT Whey is a residue from the cheese industry whose use as a raw material in human food formulations has been studied, mainly due to its nutritional composition and the negative impact it has on the environment when discarded. The objective of the present investigation was to obtain a dairy dessert from whey proteins. The numerical optimization method was used through an I-Optimal response surface. The selected factors were: protein (cottage cheese), xanthan gum, starch and system water, the variations were subject to the maximum allowable of these components for the mixture. The variables appearance, texture, general acceptance and stability. The sensory characterization of the dessert was carried out with five tasters from the Science Department of the Food Industry Research Institute, who generated the descriptors using the controlled association method. The selected formulation presented a protein content (cottage cheese) of 33.21%; 0.158% xanthan gum, 4.43 starch, 46% water and 16.2% sugar. The sensory evaluation allowed to establish the descriptors, color, homogeneity, strawberry smell, milky note in the smell, strawberry flavor, milky flavor, sweet flavor, acid flavor, consistency and creaminess. The overall impression for the quality turned out to be excellent.

RESUMEN El lactosuero es un residuo de la industria quesera cuyo aprovechamiento como materia prima en formulaciones alimentarias para humanos ha sido estudiado, principalmente por su composición nutricional y por el impacto negativo que tiene sobre el medio ambiente cuando se desecha. El objetivo de la presente investigación fue obtener un postre lácteo a partir de proteínas del lactosuero. Se utilizó el método de optimización numérica a través de una superficie respuesta I-Óptimo. Los factores seleccionados fueron: proteína (requesón), goma xantana, almidón y agua del sistema, las variaciones estuvieron sujetas al máximo permisible de estos componentes para la mezcla. Se evaluaron las variables: apariencia, textura, aceptación general y estabilidad. La caracterización sensorial del postre se realizó con cinco catadores de la Dirección de Ciencias del Instituto de Investigaciones para la Industria Alimenticia, quienes generaron los descriptores mediante el método de asociación controlada. La formulación seleccionada presentó un contenido de proteína (requesón) de 33,21 %; 0,158 % de goma xantana, 4,43 de almidón, 46 % de agua y 16,2 % de azúcar. La evaluación sensorial permitió establecer los descriptores, color, homogeneidad, olor a fresa, nota láctea en el olor, sabor a fresa, sabor lácteo, sabor dulce, sabor ácido, consistencia y cremosidad. La impresión general para la calidad resultó ser excelente.

ABSTRACT Introduction: The superiority of the functional results of robot-assisted radical prostatectomyis still controversial. Despite this, it is known that minimally invasive surgery obtains better results when analyzing blood loss, blood transfusion and length of stay, for example. Several studies have analyzed the impact of the resident physician's involvement on the results of urological surgeries. The simple learning curve for robot-assisted radical prostate surgery is estimated to be around 10 to 12 cases. Learning curve data for robotic surgeons is heterogeneous, making it difficult to analyze. Rare studies compare the results of a radical prostatectomy of an inexperienced surgeon starting his training in open surgery, with the results of the same surgeon, a few years later, starting training in robotic surgery. Objective: to analyze the results of open radical prostatectomy surgeries (ORP) performed by urology residents, comparing them to the results of robot-assisted radical prostatectomy (RARP), performed by these same surgeons, after completing their training in urology. Materials and methods: a retrospective analysis of the cases of only 3 surgeons was performed. 50 patients underwent ORP (group A). The surgeons who operated on the ORP patients were in the 3rd and final year of the urology residency program and beginners in ORP surgery, but with at least 4 years of experience in open surgery. The same surgeons, already trained urologists, began their training in robotic surgery and performed 56 RARP surgeries (group B). For the comparative analysis, data were collected on age, number of lymph nodes removed, surgery time, hospitalization time, drain volume, drain permanence time, indwelling bladdercateter (IBC) permanence time, positive surgical margin, biochemical recurrence, risk classification (ISUP), intra and postoperative complications, urinary incontinence (UI) and erectile dysfunction (ED). The console used was the Da Vinci Si, from Intuitive®. For statistical analysis, the Shapiro-Wilk test verified that the data did not follow normality, the Levene test guaranteed homogeneity, and the Mann-Whitney test performed the comparative analysis of the quantitative data. For the analysis of qualitative data, the Chi-square test was used for nominal variables and the Mann-Whitney U test for ordinal variables. Additionally, the Friedman test analyzed whether there was an improvement in the perception of UI or ED over the months, for each group individually (without comparing them), and the post-hoc Durbin-Conover test, for the results with statistically significant difference. We used a p-value < 0.05, and the Jamovi® program (Version 2.0). Results: there was no statistically significant difference between the groups for age, number of lymph nodes removed, positive surgical margin, biochemical recurrence, risk classification and urinary incontinence. Additionally, we observed that the surgical time was longer in group B. On the other hand, the length of stay, drain volume, drain time, IBC time, complication rate and levels of erectile dysfunction in the third and sixth months were higher in group A, when compared to group B. We also observed that there was no evolutionary improvement in ED over the months in both groups, and that there was a perception of improvement in UI from the 1st to the 3rd month in group A, and from the 1st to the 6th month, and from the 3rd to the 12th month, in group B. Conclusion: the learning curve of RARP is equivalent to the curve of ORP. In general, the results for the robotic group were better, however, the functional results were similar between the groups, with a slight tendency of advantage for the robotic arm. Introduction robotassisted robot assisted controversial this loss stay example physicians physician s 1 heterogeneous later Objective (ORP residents RARP, , (RARP) methods 5 A. A . A) rd urologists B B) age removed volume (IBC margin recurrence ISUP, ISUP (ISUP) complications (UI ED. (ED) Si Intuitive Intuitive® ShapiroWilk Shapiro Wilk normality homogeneity MannWhitney Mann Whitney Chisquare Chi square Additionally without them, them) posthoc post hoc DurbinConover Durbin Conover pvalue p value 005 0 05 0.05 Jamovi Version 2.0. 20 2.0 2 2.0) Results hand st th Conclusion general however arm (RARP (ISUP (ED 00 0.0 2. 0.

ABSTRACT Objective: To evaluate the level of COVID-19 risk perception (PCR-CV19) by returning to in-person classes and to analyze this perception with sociodemographic and health variables associated with such disease. Materials and methods: A cross-sectional and prospective study. The questionnaire was adapted to assess the PCR-CV19 among 532 university students. Moreover, an association analysis of the four dimensions of the PCR-CV19 (cognitive vulnerability, emotional vulnerability, risky-protective behaviors and severity) and the perception index was performed with sociodemographic and health variables. The following statistical methods were used: one-way analysis of variance (ANOVA), Shapiro-Wilk test for normality, Levene’s test for homogeneity of variances and Tukey’s honest significant difference or Games-Howell post hoc tests. These analyses were performed using the Jamovi statistical software, version 1.2.2. Results: A moderate level of PCR-CV19 was found, where the most relevant dimensions were risky-protective behaviors and severity. In addition, there was an association between the dimensions PCR-CV19 and perception index with the variables age, gender, alcohol consumption, physical and mental health indicators (anxiety and depression), and experiences with COVID-19. Cognitive vulnerability and emotional vulnerability were the most sensitive dimensions in the evaluation of the PCR-CV19. Conclusions: We continue to face constant risk conditions, thus making it necessary to maintain a surveillance scheme of the PCR-CV19 experienced by the population. In university students, cognitive vulnerability and emotional vulnerability were the most sensitive dimensions in the evaluation of PCR-CV19 and experiences with COVID-19 (illness or death). The fact that university students do not feel vulnerable and/or do not perceive the severity associated with COVID-19 transmission may affect their self-care behaviors. These results have key implications for public health; therefore, an intersectoral approach is required to have relevant information in order to face future pandemics.

RESUMEN Objetivo: Evaluar el nivel de percepción de riesgo de contagio de la COVID-19 frente al retorno a las clases presenciales y analizar esta percepción con variables sociodemográficas y de salud asociadas a esta enfermedad. Materiales y métodos: Estudio transversal y prospectivo. Se adaptó el cuestionario para evaluar la percepción de riesgo de contagio de la COVID-19 (PCR-CV19) en 532 universitarios. Además, se realizó un análisis de asociación de las cuatro dimensiones del PCR-CV19 (vulnerabilidad cognitiva, vulnerabilidad emocional, conductas de riesgo-protección y gravedad) y el índice de percepción con variables sociodemográficas y de salud. Se utilizaron técnicas estadísticas: análisis de varianza (ANOVA) de una vía (OneWay ANOVA), previa verificación de la prueba de normalidad Shapiro-Wilk y la prueba de Levene para la homogeneidad y la prueba post-hoc de Tukey o Ganes-Howell. Estos análisis se realizaron en el programa estadístico JAMOVI, versión 1.2.2. Resultados: Se evidenció un nivel moderado de percepción de riesgo de contagio, en donde las dimensiones de las conductas de riesgo-protección y gravedad se identificaron como las más relevantes; asimismo, se encontró asociación entre las dimensiones del PCR-CV19 y el índice de percepción con las variables edad, género, consumo de alcohol e indicadores de salud física y mental (ansiedad y depresión) y las experiencias vividas con la enfermedad de la COVID-19. Los aspectos de vulnerabilidad cognitiva y emocional fueron las dimensiones más sensibles en la evaluación de la percepción. Conclusiones: Seguimos enfrentando condiciones de riesgo que surgen de manera constante, lo que hace necesario mantener un esquema de vigilancia de la percepción de riesgo que experimenta la población. En los universitarios, los aspectos de vulnerabilidad cognitiva y emocional fueron las dimensiones más sensibles en la evaluación de la percepción del riesgo y las experiencias vividas con la COVID-19 (enfermedad o muerte). El hecho de que los universitarios no se sientan vulnerables y/o no perciban la gravedad asociada al contagio puede afectar sus conductas de autocuidado. Estos resultados tienen implicaciones claves para la salud pública, por lo que se requiere un abordaje intersectorial, con el objetivo de contar con información relevante para enfrentar futuras pandemias.

ABSTRACT OBJECTIVE Analyze the impact of the state research-action project on immunization indicators (vaccination coverage – VC, homogeneity of vaccination coverage – HVC, dropout rate – DR, and risk rating) before and after the intervention in municipalities and priority Regional Health Administrations/Regional Health Superintendencies (RHA/RHS). METHODS The state research-action project was a before-after community clinical trial conducted in 212 municipalities belonging to eight RHA/RHS in the state of Minas Gerais, Brazil. The study sample comprised RHA/RHS with a decreasing trend for routine vaccination coverage in children under one year from 2015 to 2020. This study used secondary VC and DR data from 10 immunobiologicals recommended for children younger than two years from January to December 2021 (pre-intervention period, prior to the state research-action project) and from January to December 2022 (post-intervention period). The categorical variables were presented in proportions, and initially, a comparison was made between those of DR, HVC, and the risk rating for the transmission of vaccine-preventable diseases, according to the two periods (2021 and 2022), using the McNemar test. RESULTS All immunization indicators increased after conducting the research-action project. In 2021, 80.66% of the state’s municipalities had a risk rating for the transmission of vaccine-preventable diseases as “high and very high.” In 2022, the value reduced to 68.40%. CONCLUSIONS Risk rating for the transmission of vaccine-preventable diseases is an important mechanism to assist managers in defining priorities. The state research-action project used a method that enabled the construction and execution of unique action plans for each municipality, directing the improvement of immunization indicators in the state. researchaction research HVC AdministrationsRegional Administrations RHA/RHS. RHARHS . RHA RHS (RHA/RHS) beforeafter 21 Gerais Brazil 201 2020 1 202 preintervention pre period postintervention post period. period) proportions initially vaccinepreventable vaccine preventable (202 , 2022) test 8066 80 66 80.66 states s high high. 6840 68 40 68.40% priorities municipality (RHA/RHS 2 20 (20 806 8 6 80.6 684 4 68.40 (2 80. 68.4 ( 68.

RESUMO OBJETIVO Analisar o impacto do projeto estadual de pesquisa-ação nos indicadores de imunização (coberturas vacinais – CV, homogeneidade de cobertura vacinal – HCV, taxa de abandono – TA e classificação de risco) antes e após a intervenção em municípios e Gerências Regionais de Saúde/Superintendências Regionais de Saúde (GRS/SRS) prioritários. MÉTODOS O projeto estadual de pesquisa-ação foi um ensaio clínico comunitário, do tipo antes-depois, realizado em 212 municípios pertencentes a oito GRS/SRS do estado de Minas Gerais, Brasil. Compuseram a amostra do estudo as SRS/GRS com tendência decrescente para a cobertura vacinal de rotina em crianças menores de 1 ano, no período de 2015 a 2020. Neste estudo, foram utilizados dados secundários de CV e TA de 10 imunobiológicos recomendados para crianças menores de 2 anos, no período de janeiro a dezembro de 2021 (período pré-intervenção, anterior ao projeto estadual de pesquisa-ação) e de janeiro a dezembro de 2022 (período pós-intervenção). As variáveis categóricas foram apresentadas em proporções e, inicialmente, realizou-se a comparação entre as de TA, HCV e a classificação de risco para a transmissão de doenças imunopreveníveis, segundo os dois períodos (2021 e 2022), utilizando-se o teste McNemar. RESULTADOS Observou-se um aumento de todos os indicadores de imunização após a realização do projeto de pesquisa-ação. No ano de 2021, 80,66% dos municípios do estado tiveram a classificação de risco para transmissão de doenças imunopreveníveis como “alto e muito alto risco”. Em 2022, o valor foi reduzido para 68,40%. CONCLUSÕES A classificação de risco para transmissão de doenças imunopreveníveis é um mecanismo importante para auxiliar os gestores na definição de prioridades. O projeto estadual de pesquisa-ação empregou um método que possibilitou a construção e a execução de planos de ação singulares a cada município, direcionando a melhoria dos indicadores de imunização no estado. pesquisaação pesquisa coberturas SaúdeSuperintendências Superintendências GRSSRS GRS SRS (GRS/SRS prioritários comunitário antesdepois, antesdepois depois, depois antes-depois 21 Gerais Brasil SRSGRS 201 2020 anos 202 préintervenção, préintervenção pré intervenção, pré-intervenção pósintervenção. pósintervenção pós . pós-intervenção) inicialmente realizouse realizou se (202 , 2022) utilizandose utilizando McNemar Observouse Observou pesquisaação. ação. 8066 80 66 80,66 risco. risco” 6840 68 40 68,40% prioridades município 20 pós-intervenção (20 806 8 6 80,6 684 4 68,40 (2 80, 68,4 ( 68,

Abstract The authors aim to study Religiosity/Spirituality (R/S) and Quality of Life (QoL) in patients with Crohn's disease and their correlation with the disease phenotypes. Methods Prospective cross-sectional cohort study with 151 consecutive patients enrolled from March 2021 to October 2021 at the Colorectal IBD Outpatient of Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). Sociodemographic, Religiosity/Spirituality (Duke University Religion Index - Durel) questionnaires and QoL (Inflammatory Bowel Disease Questionnaire - Short IBDQ-S) were applied. When necessary, qualitative variables were evaluated using the chi-square or Fisher's exact test. The Mann-Whitney and Kruskall-Wallis tests were used to analyze quantitative variables and compare more than two groups, both non-parametric statistical techniques. Results The most frequent location was Ileocolonic followed by Ileal and colonic (41.1 %, 27.2 %, and 25.2 %); only 6.6 % of subjects had a perianal presentation. Inflammatory, stenosing, and penetrating behaviors showed 36.4 %, 19.1 %, and 44.4 % respectively. The majority of the population is Catholic, Evangelical, or Spiritualist (92.4 %). QoL score showed no significant difference in the phenotypes. The scores for DUREL domains were 61.4 % for organizational religiosity, 75 % for non-organizational religiosity, 98.6 %, 93.6 % and 89.3 % for intrinsic spirituality, with high results in all disease phenotypes. Conclusions The studied population presented homogeneous sociodemographic results and high religious and spiritual activity. R/S in a positive context were not associated with better QoL or phenotype. R/S is present in the patients’ lives and could be seen as an important tool for adherence to treatment and the professional relationship between doctor and patient. The homogeneity of the sample difficult for an appropriate evaluation, which leads us to suggest new studies with more heterogeneous groups. ReligiositySpirituality Religiosity Spirituality RS R S (R/S (QoL Crohns Crohn s phenotypes crosssectional cross sectional 15 202 HCFMUSP. HCFMUSP . (HCFMUSP) Sociodemographic Duke Durel Inflammatory IBDQS IBDQ IBDQ-S applied necessary chisquare chi square Fishers Fisher test MannWhitney Mann Whitney KruskallWallis Kruskall Wallis groups nonparametric non parametric techniques 41.1 411 41 1 (41. 272 27 2 27. 252 25 25. %) 66 6 6. presentation stenosing 364 36 4 36. 191 19 19. 444 44 44. respectively Catholic Evangelical 92.4 924 92 (92. %. 614 61 61. religiosity 7 nonorganizational 986 98 98. 936 93 93. 893 89 3 89. spirituality activity phenotype patient evaluation 20 (HCFMUSP 41. (41 92. 9 (92 8 (4 (9 (

Abstract The seed, the main commercialized non-timber forest product of the Brazil nut tree, still lacks information about its physical characteristics for the promotion of its germination, optimization of post-harvest processes, and industrial processing. Showed that, although each Brazil nut matrix produces fruits and seeds with homogeneous shape and weight, the batches of fruits and seeds from each matrix differ from one another. The PCA showed that most of the variables analyzed interacted with the three geometric dimensions of the seeds, allowing for differentiation between matrices and establishing criteria for seed size classes. To design or use mechanical equipment for the industrial processing of seeds, segregation of matrices with seeds that have similar physical characteristics is essential to the development and/or use of the equipment. The study reveals that each Brazil nut matrix produces fruits and seeds with consistent shape and weight. Despite the within-matrix homogeneity, distinct differences were observed between batches of seeds from each matrix. This suggests that environmental factors or genetic variations might influence the physical characteristics of Brazil nut seeds. nontimber non timber tree germination postharvest post harvest processes weight another classes andor withinmatrix within homogeneity

RESUMO OBJETIVO Analisar o impacto do projeto estadual de pesquisa-ação nos indicadores de imunização (coberturas vacinais – CV, homogeneidade de cobertura vacinal – HCV, taxa de abandono – TA e classificação de risco) antes e após a intervenção em municípios e Gerências Regionais de Saúde/Superintendências Regionais de Saúde (GRS/SRS) prioritários. MÉTODOS O projeto estadual de pesquisa-ação foi um ensaio clínico comunitário, do tipo antes-depois, realizado em 212 municípios pertencentes a oito GRS/SRS do estado de Minas Gerais, Brasil. Compuseram a amostra do estudo as SRS/GRS com tendência decrescente para a cobertura vacinal de rotina em crianças menores de 1 ano, no período de 2015 a 2020. Neste estudo, foram utilizados dados secundários de CV e TA de 10 imunobiológicos recomendados para crianças menores de 2 anos, no período de janeiro a dezembro de 2021 (período pré-intervenção, anterior ao projeto estadual de pesquisa-ação) e de janeiro a dezembro de 2022 (período pós-intervenção). As variáveis categóricas foram apresentadas em proporções e, inicialmente, realizou-se a comparação entre as de TA, HCV e a classificação de risco para a transmissão de doenças imunopreveníveis, segundo os dois períodos (2021 e 2022), utilizando-se o teste McNemar. RESULTADOS Observou-se um aumento de todos os indicadores de imunização após a realização do projeto de pesquisa-ação. No ano de 2021, 80,66% dos municípios do estado tiveram a classificação de risco para transmissão de doenças imunopreveníveis como “alto e muito alto risco”. Em 2022, o valor foi reduzido para 68,40%. CONCLUSÕES A classificação de risco para transmissão de doenças imunopreveníveis é um mecanismo importante para auxiliar os gestores na definição de prioridades. O projeto estadual de pesquisa-ação empregou um método que possibilitou a construção e a execução de planos de ação singulares a cada município, direcionando a melhoria dos indicadores de imunização no estado.

ABSTRACT OBJECTIVE Analyze the impact of the state research-action project on immunization indicators (vaccination coverage – VC, homogeneity of vaccination coverage – HVC, dropout rate – DR, and risk rating) before and after the intervention in municipalities and priority Regional Health Administrations/Regional Health Superintendencies (RHA/RHS). METHODS The state research-action project was a before-after community clinical trial conducted in 212 municipalities belonging to eight RHA/RHS in the state of Minas Gerais, Brazil. The study sample comprised RHA/RHS with a decreasing trend for routine vaccination coverage in children under one year from 2015 to 2020. This study used secondary VC and DR data from 10 immunobiologicals recommended for children younger than two years from January to December 2021 (pre-intervention period, prior to the state research-action project) and from January to December 2022 (post-intervention period). The categorical variables were presented in proportions, and initially, a comparison was made between those of DR, HVC, and the risk rating for the transmission of vaccine-preventable diseases, according to the two periods (2021 and 2022), using the McNemar test. RESULTS All immunization indicators increased after conducting the research-action project. In 2021, 80.66% of the state’s municipalities had a risk rating for the transmission of vaccine-preventable diseases as “high and very high.” In 2022, the value reduced to 68.40%. CONCLUSIONS Risk rating for the transmission of vaccine-preventable diseases is an important mechanism to assist managers in defining priorities. The state research-action project used a method that enabled the construction and execution of unique action plans for each municipality, directing the improvement of immunization indicators in the state.

Abstract Given the scarcity of water resources for agricultural use, it is necessary to promote the use of wastewater for agriculture. The towns of Capulálpam de Méndez and Ixtlán de Juárez in the State of Oaxaca have anaerobic wastewater treatment plants (WWTP). The morphological growth, biomass production and N and P content were evaluated in two forage species -Chenopodium quinoa Willd and Zea mays- irrigated with treated wastewater (TWW). A complete randomized design (CRD) was established in each municipality, given the homogeneity of the soil, using a 2 x 2 factorial arrangement, i.e., two forage crops (Quinoa and corn) and two types of irrigation (fresh water and treated wastewater), with 4 replicates per treatment. Analyses of variance and Tukey mean tests (P≤0.05) were performed for the studied variables. In the soils, the pH level was "moderately acid" to "neutral" (5.1 to 7.3); the EC indicated "negligible effects of salinity"; organic matter was found at intervals of "medium to high", and the texture was sandy clay loam in Ixtlán and clay loam in Capulálpam. Growth variables (plant height, stem diameter, and number of leaves) and biomass were significantly higher in plants irrigated with treated wastewater in both forage crops. Nitrogen and phosphorus contents were significantly higher in quinoa and corn plants receiving TWW. TWW could be an alternative that would help reduce the use of chemical fertilizers, as it is an important source of nutrients in forage crops.

Resumen Ante la escasez del recurso hídrico para el uso agrícola, es necesario promover el uso del agua residual para la agricultura. En las localidades Capulálpam de Méndez e Ixtlán de Juárez, Estado de Oaxaca cuentan con plantas de tratamiento de aguas residuales (PTAR) de tipo anaerobio. Se evaluó el crecimiento morfológico, producción de biomasa y contenido de N y P en dos especies forrajeras: Chenopodium quinoa Willd y Zea mays, regados con agua residual tratada (ART). Se estableció un diseño completo aleatorio (DCA) en cada municipio, dada la homogeneidad del suelo. Con arreglo factorial 2 x 2, esto es, dos cultivos forrajeros (Quinoa y maíz), y dos tipos de riego (agua dulce y agua residual tratada), con 4 repeticiones por tratamiento. Se realizaron análisis de varianza y pruebas de media Tukey (P≤0.05) de las variables estudiadas. En los suelos el nivel de pH fue “moderadamente acido” a “neutro” (5.1 a 7.3); la CE indicó “Efectos despreciables de la salinidad”; Materia orgánica en intervalos de “medio a alto”; y Textura Franco arcilloso arenoso en Ixtlán y Franco arcilloso en Capulálpam. Las variables de crecimiento (altura de planta, diámetro de tallo y número de hojas) y biomasa fueron significativamente mayores en plantas regadas con agua residual tratada en ambos cultivos forrajeros. El contenido de nitrógeno y fósforo fue significativamente mayor en plantas de quinoa y maíz que recibieron ART. El ART podría ser una alternativa que ayude a disminuir el uso de fertilizantes químicos, al ser una fuente importante de nutrimentos en los cultivos forrajeros.

Resumen El VIH es una enfermedad crónica que afecta a los receptores CD4 del sistema inmunológico. El Tratamiento Antirretroviral (TARV) es vital para disminuir la carga viral, pero su éxito depende del grado de adherencia al mismo. El objetivo de este estudio fue revisar los factores asociados a la eficacia de las intervenciones psicológicas para incrementar la adherencia al TARV y agregar los hallazgos en estimaciones cuantitativas de su impacto en la adherencia. La revisión de la literatura fue realizada desde agosto de 2017 hasta abril de 2020 en PubMed, EBSCO y Springer Link, utilizando los siguientes criterios de elección de los estudios: (1) que estuvieran publicados en revistas indexadas con revisión por pares, (2) que fueran experimentales o cuasiexperimentales, (3) que emplearan técnicas para el incremento de la adherencia, (4) que estuvieran publicados en español o inglés, (5) que reportaran los estadísticos necesarios para el cálculo del tamaño de efecto. De los 15 estudios seleccionados (. total = 1669), se obtuvieron 38 tamaños del efecto. El cálculo de los tamaños de efecto individuales y global se realizó usando el programa Comprehensive Meta-Analysis (Biostat, 2011, v. 2.2.064). Todos los tamaños de efecto fueron calculados usando la diferencia estandarizada de medias y un modelo de efectos aleatorios. El tamaño de efecto global fue moderado (. = 0.56, . = 38, IC95 % = 0.39 - 0.72, . < .001), mostrando que las intervenciones fueron significativamente superiores al grupo de comparación. Debido a la alta heterogeneidad de los estudios (I. = 82.25), se analizaron 12 variables moderadoras, de las cuales 11 fueron significativas (. < .005). Los resultados del análisis de variables moderadoras indican un mayor efecto en el incremento de la adherencia al TARV en intervenciones con marcos teóricos basados en el apoyo social por pares y con metodologías adaptables a la vivencia cotidiana de la persona.

Abstract HIV is a chronic disease that affects the CD4 receptors of the immune system, so it is necessary for people with the virus to be under Antiretroviral Treatment (ART) to reduce the viral load in the body. The success of ART is related to adherence to treatment, understood as: the intake of antiretroviral drugs, follow-up of medical controls and implementation of healthy lifestyles. There are personal, social and health systems problems that prevent people from adhering to ART in an adequate way. This situation has become a public health problem because inappropriate taking of drugs often leads to drug resistance. In this way, it is necessary to implement effective psychological interventions aimed at increasing adherence to ART, to contribute to a better use of antiretrovirals and to the improvement of the quality of life of people with HIV. Accordingly, the objective was to review the factors associated with the efficacy of psychological interventions, to increase adherence to ART and to aggregate the findings in quantitative estimates of its impact on adherence. For this purpose, meta-analysis was used as a research technique that allows a quantitative analysis of results by calculating specific statistics. The literature search and review were carried out from August 2017 to May 2019 in the PubMed, Academic Search Complete (EBSCO Host) and Springer Link databases, for the identification of experimental studies that met the eligibility criteria (studies published in peer-reviewed indexed journals, experimental or quasi-experimental research, using techniques to increase adherence, published in Spanish and English and reporting the necessary statistics for effect size calculation). Of the 15 studies (total n = 1669) selected, 38 effect sizes were obtained. The calculation of the individual and global effect size was performed using the Comprehensive Meta-Analysis software (Biostat, 2011, v. 2.2.064). All the effect sizes were calculated using the standardized mean difference and a random effects model. To find out if individual effect sizes were homogeneous and therefore represent a similar measure of treatment efficacy, the Cochran Q homogeneity test was applied; based on this, the I. was calculated. Also, it was performed a publication bias calculation, the objective of which was to estimate the number of non-significant effect sizes that are required for a reduction of the global effect size to a smaller and non-significant one. The overall effect size was moderate (. = 0.56, . = 38, 95 % CI = 0.39 - 0.72, . < .001) and presented high heterogeneity (I. = 82.25). Twelve moderator variables were analyzed (year of publication, percentage of men, average age, measurement time, number of sessions / interactions, duration of sessions, total duration of intervention, economic remuneration for intervention, place where the intervention was carried out, type of intervention, intervention modality and adherence measurement), of which 11 were significant (all but intervention modality: individual vs. group therapy). The results suggest that the success of an intervention proposal to improve adherence to ART will be related to its ability to consider the components of the environment and the social situation in which the person with HIV develops, as well as their intrinsic characteristics in interaction with their context. Likewise, it is necessary to consider that the presence of adherence barriers should be treated specifically in young people and adults, as well as in men and women. Finally, it is more important to establish interventions aimed not only to increase adherence, but maintaining it, which is why it is considered necessary to propose studies aimed at maintaining adherence, as well as offering practical tools for people to make better decisions about their health.

Resumen Se presentan resultados de una investigación empírica sobre problemas comportamentales en niños y niñas escolarizados entre 6 y 11 años. El objetivo principal es describir, desde la perspectiva epidemiológica, los problemas comportamentales de una muestra clínica (N = 395; edad: . = 7.92 y DE = 1.75) y de una muestra no clínica (N = 363; edad: . = 8.78 años y DE = 1.73). Son objetivos específicos el analizar las diferencias por sexo y variables sociodemográficas en ambos contextos: clínico y no clínico. No se efectuó un estudio comparativo entre ambas muestras. Se administró el formulario Child Behaviour Checklist (CBCL) y una encuesta sociodemográfica a los adultos responsables. El análisis cuantitativo se efectuó mediante estudios de frecuencia, distribución y asociaciones entre variables con el objetivo de describir a ambas muestras desde el punto de vista de los resultados del CBCL y de las variables sociodemográficas. Se estudiaron asociaciones entre los valores de las escalas de síndromes del CBCL y las variables sociodemográficas mediante el análisis de la varianza (ANOVA). Se obtuvieron asociaciones estadísticamente significativas entre la presencia de problemas comportamentales y las condiciones socioeconómicas de la familia: a mayor vulnerabilidad socioeconómica y educativa, mayor deterioro en la salud mental infantil. Este estudio se encontró con la dificultad de las restricciones sanitarias por la pandemia de COVID-19 para continuar el trabajo de campo. Interesa replicar el estudio y considerar el impacto de la pandemia y el presunto deterioro de las variables sociodemográficas. Se debe priorizar la continuidad de una indagación sostenida para un seguimiento de la salud mental infantil.

Abstract This article shows the results of an empirical research study on behavioral and emotional problems in schoolchildren between 6 and 11 years old. From an epidemiological perspective the goal is to describe the behavioral problems of a clinical sample (N= 395, age: . = 7.92 y SD = 1.75) and a non-clinical sample (N = 363, age: M = 8.78 años y DE = 1.73). The specific objectives are to analyze the differences by sex and possible sociodemographic variables in both clinical and non-clinical contexts. A comparative study between both samples is not carried out. We administered the Child Behavior Checklist (CBCL) and a sociodemographic survey to the responsible adults. The quantitative analysis was carried out through studies of frequency, distribution and associations among variables in order to describe both samples from the point of view of the CBCL results and of the sociodemographic variables. In order to identify the possible sociodemographic conditioning factors in the childhood and youth psychopathology, we studied the associations among the CBCL syndrome scale scores and the different sociodemographic variables through the analysis of variance (ANOVA). The results of the clinical sample show mental health deterioration in boys and girls compared to previous studies. The increase of the internalizing and externalizing syndrome scores is significant. The prejudices and gender stereotypes constitute obstacles to gain access to mental health services in childhood, especially for girls whose psychological conditions may often go unnoticed. In the non-clinical sample, the gender distribution is even and the total average of average scores is lower compared to studies performed in other populations in previous years. In both samples we observe a significant relation between the psychological and behavioral problems and the socio-economic conditions of the family. The higher the educational and socio-economic vulnerability, the higher the deterioration of the children’s mental health. The simultaneous study from the epidemiological perspective in both samples is necessary to detect psychopathological problems in childhood. This study encountered some limitations: the difficulty to continue the field work due to sanitary restrictions because of the COVID-19 pandemic. We want to replicate the study in both samples considering the impact of the pandemic and the alleged deterioration of the sociodemographic variables and family conditions. Another limitation has been the socio-economic homogeneity of the clinical sample. It would be useful in the future to include clinical samples that belong to other socioeconomic sectors who receive mental health care from private medical insurances or medical insurances run by labor unions. The shortage of epidemiological studies on emotional and behavioral problems in children and the lack of research work on the right to receive mental health care in childhood, indicate the absence of this topic in the political agenda. This deficit prevents the implementation of efficient programs to prevent and early detect mental health problems in children, to extend clinical care proposals in the community and to train professionals so that the programs can have an accurate impact on the population. It is a priority to continue the sustained inquiry in both populations in order to ensure the follow-up of the mental health conditions. Also, it would be useful to extend and deepen the analysis incorporating the examination of other family problems such as violence situations, consumption of psychoactive drugs, suicides and other loss situation.

ABSTRACT The study aimed to analyze the patterns of friendship groups among Argentinian young adults in terms of structure, homogeneity and certain social and individual characteristics, and its relation with psychological well-being and social and emotional loneliness. The research is quantitative, descriptive, non-experimental and cross-sectional with a múltiple holistic case design. The sample comprises 6 friendship groups of young adults (5 female and 1 male) with a mean age of 24.73 (SD = 2.44, Min = 20, Max = 30). The results show structural differences between groups around the figure of authority position or hub, and an average tendency towards homogeneity that implies differences between the groups related to the number of members. Psychological well-being show high levels and loneliness low levels; while both variables are associate with group characteristics such as homogeneity and the number of members. The group organization forms are differentiate by social and individual characteristics such as marital status, family occupation, residence and social class. Positive feelings are associate with membership and not with positional differences.

RESUMEN El estudio tuvo como objetivo analizar los patrones de amistad de los grupos de amigos/as de adultos jóvenes de Argentina, teniendo en cuenta la estructura, la homogeneidad y ciertas características sociales e individuales, así como su relación con el bienestar psicológico y la soledad social y emocional. La investigación es cuantitativo, descriptivo, no experimental y transversal con diseño de caso múltiple holístico. La muestra estuvo compuesta por 6 grupos de amigos/as de adultos jóvenes (5 femeninos y 1 masculino) con una media de edad de 24.73 (DE = 2.44, Mín = 20, Máx = 30). Los resultados dan cuenta de diferencias estructurales de los grupos en función de la figura de autoridad o de conector y una tendencia promedio hacia la homogeneidad, que contempla diferencias entre los grupos en asociación con la cantidad de integrantes. Los niveles de bienestar psicológico han sido altos, y los de soledad, bajos; mientras que ambas variables se asocian con aspectos grupales como la homogeneidad y la cantidad de integrantes. Las formas de organización grupal se diferencian en función de características sociales e individuales como el estado civil, la ocupación familiar, la residencia y la clase social. Las sensaciones positivas se asocian a la pertenencia y no a diferencias posicionales.

Abstract Objectives: To correlate the absences of patients of the USF Ramada to the appointments scheduled in 2019 and their associated medical costs. Study: Retrospective observational. Location: USF Ramada. Population: USF Ramada scheduled medical appointments in 2019. Methods: The sample was calculated from the number of vacancies for medical appointments scheduled in 2019 at the USF Ramada. A sample of 1,000 consultations was randomly selected. The data were analyzed by descriptive tests, binomial tests to correlate the biosocial variables with the number of absences and the assigned appointment duration, and a bi-varied analysis and variances analysis to establish homogeneity between the groups of patients evaluated per doctor. The medical cost of patients' absences was calculated. Results: One hundred and twenty-eight absences (12.8%) were assessed. The average age was 45.09 years (SD=21.6), 57% of whom were female patients. There was no statistically significant difference between the two genders for the number of absences (p=0.133) or for the lost appointment duration (p=0.500). The average number of absences for each doctor was 13.2% (SD=3.89). The total loss of appointment time was 2,440 minutes, which on average corresponds to 271.11 minutes (SD=18.87) per doctor and 19.06 minutes (SD=5.67) per appointment. Homogeneity was established between each doctor’s group of patients who were absent for sex (p=0.471), age (p=0.778), and appointment duration (p=0.609). The calculated medical cost of patients’ absences was 770.2 euros. Conclusions: It was estimated for 2019 at USF Ramada an avoidable cost between 18,418.82 e 32,169.42 euros for patients' absences from scheduled appointments.

Resumo Objetivos: Correlacionar as faltas dos utentes da USF Ramada às consultas médicas programadas no ano de 2019 e o custo associado. Tipo de estudo: Observacional retrospetivo. Local: USF Ramada. População: Consultas médicas programadas da USF Ramada em 2019. Métodos: A amostra foi calculada a partir do total de vagas para consultas médicas programadas em 2019 da USF Ramada. Uma amostra de 1.000 consultas foi selecionada de forma aleatória simples. Foi realizada uma análise descritiva dos dados, um teste binomial para correlacionar as variáveis biossociais com o número de faltas e tempo de consulta atribuído e uma análise bivariada e das variâncias para estabelecer a homogeneidade entre os grupos de utentes de cada médico. Foi calculado o custo médico das faltas. Resultados: Encontraram-se 128 faltas (12,8%). A média de idades foi de 45,09 anos (DP=21,6), sendo 57% por utentes do sexo feminino. Não se verificou diferença estatisticamente significativa entre os dois sexos para o número de faltas (p=0,133) ou para o tempo de consulta perdido (p=0,500). A média de faltas para cada médico foi de 13,2% (DP=3,89). O tempo total de consulta perdido foi de 2.440 minutos, o que em média corresponde a 271,11 minutos (DP=18,87) por médico e a 19,06 minutos (DP=5,67) por consulta. Foi estabelecida a homogeneidade entre os grupos de doentes faltosos de cada médico para o sexo (p=0,471), idade (p=0,778) e tempo de consulta perdido (p=0,609). O custo médico calculado das faltas dos utentes foi de 770,20 euros. Conclusões: Estimou-se, para o ano de 2019 na USF Ramada, um custo médico evitável entre 18.418,82 e 32.169,42 euros por faltas dos utentes a consultas programadas.

Resumen En el cultivo de fresa la reproducción por estolones es la más utilizada debido a su bajo costo, a la cantidad y homogeneidad de las plantas hijas. Aunque, tiene la capacidad de producir estolones naturalmente, se pueden exponer a períodos de vernalización para aumentar el rendimiento y calidad del material de siembra. Esta investigación tuvo como objetivo determinar la producción de estolones y plantas hijas de las variedades Albión, Festival y Oso Grande expuestas a cuatro temperaturas de vernalización en condiciones de invernadero, en Heredia, Costa Rica, entre setiembre 2018 y febrero 2019. Se cuantificó el número y longitud de estolones; así como, la cantidad de plantas hijas por estolón, de 50 plantas por variedad, expuestas a 0, 250, 500 y 750 h frío a 6 °C. Las tres variables presentaron diferencias estadísticamente significativas con respecto al testigo. Las plantas de todas las variedades produjeron mayor cantidad de estolones al ser vernalizadas. Festival obtuvo el mayor número de plantas por estolón con 250 h frío (5) y Oso Grande con 500 h frío presentó la mayor longitud de estolón, 143 cm. Se concluyó que existe efecto de la vernalización sobre la producción de estolones y plantas hijas según la variedad.

Abstract In strawberry cultivation, reproduction by stolons is the most used due to its low cost, the quantity and homogeneity of the daughter plants. Although it has the ability to produce stolons naturally, they can be exposed to vernalization periods to increase the yield and quality of planting material. This research aimed to determine the production of stolons and daughter plants of the varieties Albión, Festival and Oso Grande exposed to four vernalization temperatures under greenhouse conditions, in Heredia, Costa Rica, between September 2018 and February 2019. The following were quantified: the number and length of stolons; as well as the number of daughter plants per stolon, of 50 plants per variety, exposed to 0, 250, 500 and 750 cold hours at 6 °C. The three variables showed statistically significant differences with respect to the control. Plants of all varieties produced more stolons when vernalized. Festival obtained the highest number of plants per stolon with 250 cold hours (5) and Oso Grande with 500 cold hours had the longest stolon length, 143 cm. It was concluded that there is an effect of vernalization on the production of stolons and daughter plants depending on the variety.

ABSTRACT Purpose to validate the CAP questionnaire in populations of pregnant women exposed to pesticides in the State of Paraná. Methods 382 pregnant women participated in the study, divided into two groups: Exposed to Pesticides (n = 320) and Not Exposed (n = 62). The validation process involved the validity of content, criteria and construct. The research stages were developed between August / 2018 to December / 2019 in the western and central-western regions of Paraná. Results the instrument demonstrated an acceptable agreement on the content validity through the evaluation of judges; the criterion validity through the established criterion showed no association; in the analysis of construct validity using the technique of known groups, it demonstrated homogeneity in the variables age, nationality and family income. Conclusion the developed analysis indicated that the psychometric properties of the validation of the Brazilian version of the scale are consistent and adequate, which allows the recommendation of the application of the instrument in a national context. Paraná 38 study groups n 320 62. 62 . 62) 201 centralwestern central judges association age income adequate context 3 32 6 20 2

RESUMO Objetivo validar o questionário CAP em populações de gestantes expostas aos agrotóxicos no Estado do Paraná. Método participaram do estudo 382 gestantes, divididas em dois grupos: Expostas a Agrotóxicos (n=320) e Não Expostas (n=62). O processo de validação envolveu a validade de conteúdo, critério e constructo. As etapas da pesquisa foram desenvolvidas entre agosto/2018 a dezembro/2019 na região oeste e centro-oeste do Paraná. Resultados o instrumento demonstrou concordância aceitável na Validade de conteúdo por meio da avaliação de juízes; a Validade de critério por meio do critério estabelecido não apresentou associação; na análise da Validade de construto pela técnica de grupos conhecidos, demonstrou homogeneidade nas variáveis idade, nacionalidade e renda familiar. Conclusão a análise desenvolvida indicou que as propriedades psicométricas da validação da versão brasileira da escala são consistentes e adequadas, o que permite a recomendação da aplicação do instrumento em contexto nacional. Paraná 38 n=320 n320 n 320 (n=320 n=62. n62 n=62 . 62 (n=62) constructo agosto2018 agosto 2018 agosto/201 dezembro2019 dezembro 2019 dezembro/201 centrooeste centro juízes associação conhecidos idade familiar adequadas nacional 3 n=32 n32 32 (n=32 n6 n=6 6 (n=62 agosto201 201 agosto/20 dezembro201 dezembro/20 n=3 n3 (n=3 n= (n=6 agosto20 20 agosto/2 dezembro20 dezembro/2 (n= agosto2 2 agosto/ dezembro2 dezembro/ (n

Abstract In Mozambique, in the Upper Zambézia region, the crop is very much produced. As, although emerging, it has been gaining expression in detriment of other cash crops such as cotton and tobacco, becoming the main cash crop. It is practiced by more than 11.000 producers. The aim of this research was to examine how the soy crop developed in family farming in the district of Gúruè, in Upper Zambézia. The central question of the research was to know how was the process of promoting the cultivation of soy, in family farming, in the District of Gúruè, in Upper Zambézia? In the methodology, the mixed method was used, that is, a qualitative study through interviews and a quantitative study through the Survey a 131 producers. For analysis and interpretation of quantitative data, the SPSS statistical package was used. This model allowed this analysis to be carried out using simple and multiple regressions to verify the relationship between the variables. The results showed that the majority of soybean crop producers in Upper Zambézia, they are low and medium/low technology producers, because they manually carry out all field operations and do not use: inoculant, improved seed, fertilizers and phytopharmaceuticals. They have had low yields. The producers who use fertilizers and improved seeds, they have had good yields. The commercialization process of soy beans is done networks of buyers, verifying great homogeneity of prices, what is believed to be a concerted. In the 2018 to 2019 agricultural campaign, two companies were more involved in the process, generating a price increase of 9,5%. Mozambique region produced As emerging tobacco 11000 11 000 11.00 Gúruè methodology used 13 data variables mediumlow medium inoculant seed phytopharmaceuticals yields seeds buyers prices concerted 201 campaign 95 9 5 9,5% 1100 1 00 11.0 20 9,5 110 0 11. 2 9,

Resumo Em Moçambique, na região da alta Zambézia, a cultura da soja é muito produzida. Pois, embora emergente, vem ganhando expressão em detrimento de outras culturas de rendimento como é o caso do algodão e tabaco, passando a ser a principal cultura de rendimento. Ela é praticada por mais de 11.000 produtores. O objectivo desta pesquisa consistiu em examinar a forma como a cultura da soja se desenvolveu na agricultura familiar no distrito de Gúruè, na Alta Zambézia. A pergunta central da pesquisa foi saber como foi o processo de fomento da cultura da soja, na agricultura familiar, no Distrito de Gúruè, na Alta Zambézia? Na metodologia utilizou-se o método misto, isto é um estudo qualitativo através das entrevistas e um estudo quantitativo através do Inquérito a 131 produtores. Para análise e interpretação dos dados quantitativos usou-se o pacote estatístico SPSS. Este modelo permitiu fazer esta análise por meio de regressões simples e múltiplas para verificar a relação entre as variáveis. Os resultados mostraram que a maioria dos produtores da cultura da soja na alta Zambézia, são de tecnologia baixa e media/baixa por realizarem, manualmente, todas as operações de campo; e, por não usarem: inoculante, semente melhorada, fertilizantes e fitofarmacos. Estes têm tido rendimentos baixos. Os produtores que usam fertilizantes e semente melhorada têm tido bons rendimentos. O processo de comercialização dos grãos da soja é feito em redes de compradores, verificando-se grande homogeneidade de preços o que se acredita que é feita uma concertação. Na campanha agricola de 2018 para 2019 houve duas empresas mais envolvidas no processo, gerando uma subida de preço de 9,5%. Moçambique Zambézia produzida Pois emergente tabaco 11000 11 000 11.00 Gúruè utilizouse utilizou misto 13 usouse usou SPSS variáveis mediabaixa media realizarem manualmente campo usarem inoculante fitofarmacos baixos compradores verificandose verificando concertação 201 95 9 5 9,5% 1100 1 00 11.0 20 9,5 110 0 11. 2 9,