Abstract This study aimed to identify fusarioid fungi in the soils of sustainably managed agricultural areas and a fragment of the Brazilian Caatinga, both in a semi-arid region of Brazil. We provide a survey of peer-reviewed papers reporting the substrates, hosts, and geographic regions in Brazil in which the identified species were of agricultural interest. Soil samples were collected in July 2019, February 2020, and July 2020 from different agroecosystems and a fragment of the Brazilian Caatinga in rural Triunfo, Brazil. Fusarioid fungi were obtained by serial dilution of soil and colony purification using single-conidial culturing. Maximum likelihood evaluation (ML) based on sequences from the tef1-α gene was used to identify fusarioid fungi. The distribution of these species in other agroecosystems and the natural environment in Brazil was assessed by an extensive search of the literature available in public databases. Fusarium annulatum, F. verticillioides, F. lacertarum, and Neocosmospora vasinfecta were identified. These species are distributed throughout Brazil and are registered as plant pathogens, mainly in areas with conventional agriculture. These data reinforce the importance of sustainable soil management in agricultural areas and expand our knowledge of the behavior of these microorganisms in environments without human interference. semiarid semi arid peerreviewed peer reviewed substrates hosts interest 2019 202 Triunfo singleconidial single conidial culturing ML (ML tef1α tefα tef1 α tef databases annulatum F verticillioides lacertarum pathogens agriculture interference 201 20 2

ABSTRACT Dengue is a disease with a high-impact on public health worldwide. Many researches have focused on the cell receptors involved in its pathogenesis. The role of soluble isoforms of DC-SIGN (Dendritic Cell-Specific ICAM-3 Grabbing Non-integrin) receptor in the process of Dengue Virus (DENV) infection is not well understood. This work proposes to evaluate changes in the infection process of Immature Dendritic Cells (iDCs) by DENV in the presence of DC-SIGN recombinant soluble isoforms 8, 10, and 12. The recombinant isoforms were built by heterologous expression, the DENV-2 was multiplied in the Aedes albopictus C6/36 cells and quantified in BHK-21 cells, and the iDCs were produced from the THP-1 strain. Infection assays were performed in the presence of iDCs, DENV-2, and isoforms 8, 10, and 12 separately at 25, 50 and 100 ng/mL. The final viral load was estimated by qPCR and statistical analysis was performed by Kruskal-Wallis and ANOVA tests. The iDC profile was confirmed by increasing expression of CD11c, CD86, and CD209 surface markers and maintaining CD14 expression. Infection assays demonstrated a 23-fold increase in DENV viral load in the presence of isoforms 8 and 10 at 100 ng/mL compared to the viral control (p < 0.05), while isoform 12 did not alter the viral load. It was possible to conclude that at 100 ng/mL isoforms (8 and 10) can interact with DENV, increasing viral infection, and potentially acting as opsonins. highimpact high impact worldwide pathogenesis DCSIGN DC SIGN CellSpecific Cell Specific ICAM3 ICAM 3 ICAM- Nonintegrin Non integrin Non-integrin (DENV understood (iDCs DENV2 2 DENV- C636 C C6 36 C6/3 BHK21 BHK 21 BHK-2 THP1 THP 1 THP- strain DENV2, 2, 25 5 ngmL ng mL KruskalWallis Kruskal Wallis tests CD11c CDc CD c CD86 CD20 CD1 23fold fold 23 p 0.05, 005 0.05 , 0 05 0.05) ( opsonins C63 C6/ BHK2 BHK- CD8 CD2 00 0.0 0.

ABSTRACT Brazilian Soil Classification System (SiBCS) adopts a hierarchical approach to classify soils using specific diagnostic attributes. Organossolos (Histosols) class is differentiated according to its genesis, especially because the parent material is organic, thus requiring diagnostic attributes that describe the unique properties of soil organic matter (SOM). This study aimed to propose the use of labile organic carbon and the C and N contents of humic fractions and their ratios for the family and series levels of the Brazilian Soil Classification System for Organossolos in high mountainous regions. Quantitative chemical fractionation of SOM was performed to obtain the humic fractions and determine the labile oxidizable carbon in 16 Organossolos profiles from Itatiaia National Park, RJ. Carbon and nitrogen contents of the humic acid, fulvic acid, and humin fractions were obtained, as well as the percentages of these fractions in relation to the total carbon and nitrogen in the soil. Carbon and nitrogen ratios were calculated for each fraction. Results showed little variation in the levels of labile organic carbon between the profiles but a large variation in total carbon and nitrogen levels, especially in the Organossolo Fólico Hêmico lítico profile. The ratios between the carbon and nitrogen of humic acids and fulvic acids (means of HAC/FAC = 1.61 and AHN/FACN = 1.05), carbon and nitrogen of the alkaline extract and humin (means of AEC/HUMC = 0.71 and AEN/HUMN = 0.38), carbon and nitrogen of the alkaline extract, and total carbon and total nitrogen (means of AEC/TC = 0.28 and AEN/TN = 0.19) were effective in determining the humification level of the profiles. This study proposes that the attributes evaluated, especially the ratio between the carbon of the alkaline extract of the humic substances (carbon of the fulvic acid fraction + carbon of the humic acid fraction) and the total soil carbon, as well as the ratio between the C and N of the humin fraction, should be used to define lower categorical levels of Organossolos. This new approach could facilitate the classification of these soils and contribute to a better understanding of the composition of Organossolos in Brazil. SiBCS (SiBCS Histosols (Histosols genesis SOM. . (SOM) regions 1 Park RJ obtained profile means HACFAC HAC FAC 161 61 1.6 AHNFACN AHN FACN 1.05, 105 1.05 , 05 1.05) AECHUMC AEC HUMC 071 0 71 0.7 AENHUMN AEN HUMN 0.38, 038 0.38 38 0.38) AECTC TC 028 28 0.2 AENTN TN 0.19 019 19 evaluated Brazil (SOM 6 1. 10 1.0 07 7 0. 03 0.3 3 02 2 0.1 01

Objetivo: desarrollar y validar el contenido de un serious game sobre el manejo seguro de medicamentos intravenosos en pediatría. Método: estudio metodológico para el desarrollo y validación de contenido de una tecnología educativa. Los casos y desafíos del serious game se basaron en una revisión de la literatura y fueron validados por 11 enfermeros con formación y experiencia en el área. Se adoptaron índices de validez de contenido y concordancia para el análisis de concordancia y consistencia interna (mínimo de 0,8). Resultados: el contenido se basa en los principales antibióticos utilizados en el manejo clínico de infecciones en niños hospitalizados y en la seguridad del paciente. Se obtuvo una concordancia absoluta en 60 de los 61 ítems evaluados, y el mínimo obtenido fue de 0,82 en el índice de validación de contenido y 0,80 en concordancia. Los expertos sugirieron ajustes en la formulación de respuestas de un caso específico y se implementaron para mejorar la calidad del contenido de la tecnología. Conclusión: el contenido del serious game Nurseped fue validado por enfermeros expertos en salud infantil en cuanto a casos clínicos, enunciados de preguntas y respuestas de opción múltiple, además del feedback que presenta al usuario una respuesta basada en evidencia tras acertar o fallar en el desafío. Objetivo pediatría Método educativa 1 área 0,8. 08 0,8 . 0 8 0,8) Resultados paciente 6 evaluados 082 82 080 80 Conclusión clínicos múltiple desafío 0,

Objective: to develop and validate the content of a serious game on the safe management of intravenous medications in pediatrics. Method: methodological study for the development and content validation of an educational technology. The cases and challenges of the serious game were developed based on a literature review and validated by 11 nurses with training and experience in the area. Content validity and agreement indices were adopted to analyze agreement and internal consistency (minimum of 0.8). Results: the content is based on the main antibiotics used in the clinical management of infections in hospitalized children and patient safety. Absolute agreement was obtained in 60 of the 61 items evaluated, and the minimum obtained was 0.82 in the content validation index and 0.80 in agreement. Adjustments were suggested by experts in the response statement for a specific case and implemented to improve the quality of the technology content. Conclusion: the content of the serious game Nurseped was validated by nurse experts in child health regarding clinical cases, question statements and multiple-choice answers, in addition to feedback that presents the user with an evidence-based answer after getting the challenge right or wrong. Objective pediatrics Method 1 area 0.8. 08 0.8 . 0 8 0.8) Results safety 6 evaluated 082 82 080 80 Conclusion multiplechoice multiple choice answers evidencebased evidence wrong 0.

Objetivo: desenvolver e validar o conteúdo de um serious game sobre o manejo seguro de medicamentos endovenosos em pediatria. Método: estudo metodológico para o desenvolvimento e validação de conteúdo de uma tecnologia educacional. Os casos e desafios do serious game foram desenvolvidos com base em revisão da literatura e validados por 11 enfermeiros com formação e atuação na área. Adotou-se os índices de validade de conteúdo e concordância, para análise de concordância e consistência interna (mínimo de 0,8). Resultados: o conteúdo é baseado nos principais antibióticos utilizados no manejo clínico de infecções em crianças hospitalizadas e na segurança do paciente. Obteve-se concordância absoluta em 60 dos 61 itens avaliados, o mínimo obtido foi 0,82 no índice de validação de conteúdo e 0,80 na concordância. Ajustes foram sugeridos pelos experts no enunciado de respostas de um caso específico e implementados para o aprimoramento da qualidade do conteúdo da tecnologia. Conclusão: o conteúdo do serious game Nurseped foi validado por enfermeiros experts em saúde da criança quanto aos casos clínicos, aos enunciados das perguntas e às respostas de múltipla escolha, além do feedback que apresenta ao usuário uma resposta baseada em evidências após o acerto ou erro do desafio. Objetivo pediatria Método educacional 1 área Adotouse Adotou se 0,8. 08 0,8 . 0 8 0,8) Resultados paciente Obtevese Obteve 6 avaliados 082 82 080 80 Conclusão clínicos escolha desafio 0,

RESUMO JUSTIFICATIVA E OBJETIVOS: A dor é um sintoma predominante no pós-operatório e é esperada em qualquer serviço cirúrgico, sendo considerada um problema mundial. Portanto, o objetivo deste estudo foi descrever e analisar seus aspectos epidemiológicos, intensidade e preditores, tendo em vista um melhor manejo e previsibilidade. MÉTODOS: Estudo observacional quantitativo, retrospectivo e transversal, realizado em um hospital terciário no município de Londrina-PR, em que foram analisados prontuários de pacientes pós-cirúrgicos que responderam às escalas de dor durante permanência na sala de recuperação pós-anestésica. RESULTADOS: Esta pesquisa constatou que o sexo feminino possui maior tendência em ter dor pós-operatória e que pacientes mais jovens são os mais suscetíveis, apesar de não apresentarem grande significância. A dor leve predominou com taxas superiores a 60%, sendo que bloqueios espinhais e procedimentos ginecológicos/obstétricos foram os mais prevalentes, em contraste com a dor intensa, que obteve maiores percentuais quando realizadas anestesia geral e cirurgias ortopédicas. Além disso, obteve-se uma equação preditora de dores intensas no pós-operatório imediato, baseada no tipo de anestesia e na idade do paciente. CONCLUSÃO: A dor pós-operatória de menor intensidade foi mais prevalente que as outras intensidades, sendo a anestesia empregada e o tipo de cirurgia possíveis fatores preditores, mesmo que o prenúncio de sua severidade fosse baseado na idade e no método anestésico. OBJETIVOS pósoperatório pós operatório cirúrgico mundial Portanto epidemiológicos preditores previsibilidade MÉTODOS quantitativo transversal LondrinaPR, LondrinaPR Londrina PR, PR Londrina-PR póscirúrgicos cirúrgicos pósanestésica. pósanestésica anestésica. anestésica pós-anestésica RESULTADOS pósoperatória operatória suscetíveis significância 60 60% ginecológicosobstétricos ginecológicos obstétricos prevalentes intensa ortopédicas disso obtevese se imediato paciente CONCLUSÃO intensidades anestésico 6

ABSTRACT BACKGROUND AND OBJECTIVES: Pain is a predominant symptom in the postoperative period and expected in any surgical service, being considered as a worldwide problem. Therefore, the aim of this study was to describe and analyze its epidemiological aspects, intensity, and predictors, for better management and predictability. METHODS: This is a quantitative, retrospective and cross-sectional observational study, carried out in a tertiary hospital at Londrina-PR, in which medical records of post-surgical patients who responded to pain scales during their stay in the post-anesthetic recovery room were analyzed. RESULTS: This study found that females are more likely to have postoperative pain and that younger patients are more susceptible, although not significantly. Mild pain predominated at rates greater than 60%, in which spinal blocks and gynecological/obstetric procedures were the most prevalent, in contrast to severe pain, which obtained higher percentages when general anesthesia and orthopedic surgeries were performed. In addition, an equation for predicting severe pain in the immediate postoperative period was obtained, based on the chosen anesthesia and the patient’s age. CONCLUSION: Less intense postoperative pain was more prevalent than other intensities, with anesthesia and the type of surgery being possible predictive factors, even if the harbinger of its severity was based on age and the anesthetic method. OBJECTIVES service problem Therefore aspects intensity predictors predictability METHODS quantitative crosssectional cross sectional LondrinaPR, LondrinaPR Londrina PR, PR Londrina-PR postsurgical post postanesthetic analyzed RESULTS susceptible significantly 60 60% gynecologicalobstetric gynecological obstetric performed addition patient s CONCLUSION intensities factors method 6

ABSTRACT For decades, information and communication technologies (ICTs) have been incorporated into innovations and promoting great transformations in the world economy. This work analyzes the intersectoral relations between industrial activities, ICT and services in the main economies of the world to understand the role that ICT plays in the economy, the relationship between companies and the changes that occurred in 2000, 2007 and 2014. We use the analysis of two indicators: (i) value added, to evaluate the dimension of said activities and (ii) total density, to evaluate the links between them. The results show that, in more advanced economies, the indicators between ICTs and other activities are denser and are directly related to the development of more sophisticated services, located in the stages of the value chains that generate a larger share of the value added. decades (ICTs economy 2000 200 2014 i (i added ii (ii density them 20 201 2

The goals of this article are twofold: assessing GraphoGame Brasil’s usability and analyzing the reading experiences proposed by the application in a series of lessons based on phonics instruction. Results show that, in terms of usability, the application presupposes a user who is familiar with technology; in some cases, children needed the help of an adult to navigate the app because the initial images and animations did not provide enough information for them to use it independently. When it comes to the reading experience proposed, it is clear from the first lessons that the app mostly emphasizes repetition of sounds and identification of phonemes-graphemes without much context. This strategy can also be verified in the app’s other exercises.

Los objetivos de este artículo son dos: evaluar la usabilidad de GraphoGame Brasil y analizar las experiencias de lectura propuestas por la aplicación en una serie de lecciones basadas en la enseñanza de la fonética. Los resultados muestran que, en términos de usabilidad, la aplicación presupone un usuario familiarizado con la tecnología; en algunos casos, los niños necesitaban la ayuda de un adulto para navegar por la aplicación porque las imágenes y animaciones iniciales no proporcionaban suficiente información para que pudieran usarla de forma independiente. En cuanto a la experiencia de lectura propuesta, desde las primeras lecciones queda claro que la aplicación enfatiza principalmente la repetición de sonidos y la identificación de fonemas-grafemas sin mucho contexto. Esta estrategia también se puede verificar en los otros ejercicios de la aplicación.

Os objetivos deste artigo são duplos: avaliar a usabilidade do GraphoGame Brasil e analisar as experiências de leitura propostas pelo aplicativo em uma série de aulas baseadas na instrução fonética. Os resultados mostram que, em termos de usabilidade, o aplicativo pressupõe um usuário familiarizado com a tecnologia; em alguns casos, as crianças precisaram da ajuda de um adulto para navegar no aplicativo, pois as imagens e animações iniciais não forneciam informações suficientes para que pudessem utilizá-lo de forma independente. No que diz respeito à experiência de leitura proposta, fica claro desde as primeiras aulas que o aplicativo enfatiza principalmente a repetição de sons e a identificação de fonemas-grafemas sem muito contexto. Essa estratégia também pode ser verificada nos demais exercícios do app.

ABSTRACT Two new Penicillium species are reported from soil of an agroforestry system and an Atlantic Rainforest fragment in Pernambuco, Northeast Brazil. Using a polyphasic approach, combining partial β-tubulin (BenA), calmodulin (CaM), internal transcribed spacer (ITS), and RNA polymerase II second largest subunit (RPB2) gene sequences and morphological characters, Penicillium gercinae sp. nov. (section Ramigena, series Georgiensia), and Penicillium stangiae sp. nov. (section Lanata-Divaricata, series Dalearum) are described. Descriptions based on morphological features are provided. Penicillium gercinae is phylogenetically closely related to P. georgiense; however, P. gercinae does not grow on Czapek yeast extract (CYA) and has monoverticillate and biverticillate conidiophores. Penicillium stangiae is phylogenetically closely related to P. penarojense and P. vanderhammenii. As diagnostic features, P. stangiae had slower growth on CYA (28-30 mm in 7 days) and on DG18 (6-7 mm in 7 days) and lacked the production of acid on creatine agar. This research contributes to the expansion of knowledge on the taxonomy and diversity of Penicillium species in Brazil.

RESUMO A resistência do solo à penetração (RP) é um atributo físico utilizado para quantificar a compactação do solo e a população amostral influenciar na média representativa, induzindo erros. O objetivo do trabalho foi avaliar a RP em Latossolo Vermelho distrófico sob mata nativa e eucalipto. Foram realizadas amostras ao acaso em grupo de 2, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 e 100 a cada 0,10 m do solo até a camada de 0,6 m. Foram calculados os valores médios da RP, o intervalo de confiança e a exatidão da estimativa (D), a 0,05 de significância. Nas condições de estudo foi possível observar que a população apresenta alta confiabilidade, com erros abaixo de 10% e que na área cultivada o número de amostras necessários para avaliação da RP é maior que para o solo sob mata.

ABSTRACT Soil resistance to penetration (RP) is a physical attribute used to quantify soil compaction and the influence of the average representative sample population, causing errors. The objective of this work was to evaluate the RP in distrófico red Latosol under native forest and eucalyptus. Random samples were conducted in groups of 2, 5, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 and 100 every 0.10 m from the ground up to 0.6 m layer. Average values were calculated from the RP, the confidence interval and the accuracy of the estimate (D), the significance of 0.05. Under the conditions of study it was possible to observe that the population has high reliability, with errors below 10% and that in cultivated area the number of samples needed for evaluation of the RP is greater than to the ground under the Woods.

RESUMO Nos últimos anos, um volume crescente de evidências indica que os microrganismos estão envolvidos na manutenção da saúde humana e também estão relacionados a várias doenças, tanto intestinais quanto extraintestinais. Alterações na microbiota intestinal parecem ser um elemento chave na patogênese de doenças hepáticas e gastrointestinais, incluindo doença hepática gordurosa não-alcoólica, doença hepática alcoólica, cirrose hepática, doenças inflamatórias intestinais, síndrome do intestino irritável e diarreia associada ao Clostridium difficile. Em 2019, a Sociedade Brasileira de Hepatologia (SBH) em colaboração com o Núcleo Brasileiro para Estudo do Helicobacter pylori e Microbiota (NBEHPM) e a Federação Brasileira de Gastroenterologia (FBG) realizaram um encontro exclusivamente voltado para a discussão sobre microbiota e uso de prebióticos, probióticos e simbióticos em doenças hepáticas e gastrointestinais. Este texto resume os principais pontos discutidos durante o evento, e tem a intenção de fornecer informações práticas sobre o assunto, abordando as descobertas mais recentes e indicando áreas para estudos futuros.

ABSTRACT Over the last years, there is growing evidence that microorganisms are involved in the maintenance of our health and are related to various diseases, both intestinal and extraintestinal. Changes in the gut microbiota appears to be a key element in the pathogenesis of hepatic and gastrointestinal disorders, including non-alcoholic fatty liver disease, alcoholic liver disease, liver cirrhosis, inflammatory bowel disease, irritable bowel syndrome, and Clostridium difficile - associated diarrhea. In 2019, the Brazilian Society of Hepatology (SBH) in cooperation with the Brazilian Nucleus for the Study of Helicobacter Pylori and Microbiota (NBEHPM), and Brazilian Federation of Gastroenterology (FBG) sponsored a joint meeting on gut microbiota and the use of prebiotics, probiotics, and synbiotics in gastrointestinal and liver diseases. This paper summarizes the proceedings of the aforementioned meeting. It is intended to provide practical information about this topic, addressing the latest discoveries and indicating areas for future studies.

ABSTRACT During SARS-CoV-2 (severe acute respiratory syndrome coronavirus-2) pandemic, the etiologic agent of COVID-19, several studies described the involvement of other tissues besides the respiratory tract, such as the gastrointestinal tract. Angiotensin-converting enzyme-2, the functional virus host cell receptor expressed by organs and tissues, seems to have an important role in the pathophysiology and presentation of this disease. In pancreas, this receptor is expressed in both exocrine glands and islets, being a potential target for the virus and subsequent pancreatic injury. There are few articles reporting pancreatic injury in COVID-19 patients but most of them do not report acute pancreatitis. Diagnosing acute pancreatitis secondary to SARS-CoV-2 infection is challenging due to the need to rule out other etiologies as well the notable heterogeneous presentations. Herein we report the case of a patient with COVID-19 who developed severe acute pancreatitis.

ABSTRACT Jatobá (Hymenaea sp.) is an arboreal legume native to the Brazilian Savannah (Cerrado) and its fruit has a high functional potential, but the jatobá-da-mata specie has been poorly explored. This study evaluated the nutritional profile, bioactive compounds and antioxidant capacity of jatobá-da-mata byproducts: pulp flour, fibrous pulp residue and sap. Jatobá fruits were pulped to obtain pulp flour and fibrous pulp residue, and the jatobá tree’s sap was obtained in a typical extraction location in the Cerrado (Brazilian Savannah). Fibrous pulp residue and pulp flour had high protein (11 and 12 g/100 g) and dietary fiber (49 and 44 g/100 g) content, respectively, and the fibrous residue showed the highest total and insoluble fibers, ash and vitamin C content. Regarding polyphenols, the fibrous residue showed a high concentration (775 mg GAE/100 g); an intermediate value in pulp flour (462 mg GAE/100 g); and considerable content in sap(181 mg GAE/100 g). Jatobá residue and pulp flour are suitable ingredients for the formulation of functional foods, and the sap is a promising non-caloric product with potential health benefits.

RESUMEN Jatobá (Hymenaea sp.) es una leguminosa arbórea originaria de la sabana brasileña y su fruto tiene un alto potencial funcional, pero la especie jatobá-da-mata ha sido poco explorada. El objetivo del estudio fue evaluar el perfil nutricional, compuestos bioactivos y capacidad antioxidante de subproductos del jatobá-da-mata: harina de la pulpa, residuo fibroso de la pulpa y la savia. Los frutos fueron despulpados para obtener la harina juntamente con el residuo fibroso de la pulpa, y la savia de la planta fue obtenida en un lugar exclusivo de extracción en el Cerrado (Sábana brasileña). El residuo fibroso y la harina de la pulpa contienen un alto contenido de proteína (11 y 12 g/100 g) y de fibra dietética (49 y 44 g/100 g), respectivamente, y el residuo fibroso mostró el mayor contenido de fibras totales y insolubles, cenizas y vitamina C. En cuanto a los polifenoles, el residuo fibroso presentó alta concentración (775 mg AGE/100 g); la harina de la pulpa, un valor intermedio (462 mg AGE/100 g); y la savia, un contenido considerable (181 mg AGE/100 g). El residuo fibroso y la harina de la pulpa son ingredientes adecuados en la formulación de alimentos funcionales, y la savia es un producto no calórico prometedor con potenciales beneficios a la salud.

RESUMO Objetivo: Analisar a adesão de pacientes com HIV/AIDS à terapia antirretroviral. Método: 99 voluntários portadores do vírus HIV sob tratamento foram submetidos à entrevista social e demográfica semiestruturada e ao questionário para avaliação da adesão ao tratamento antirretroviral. Resultados: Na amostra analisada, 52,5% dos voluntários apresentaram boa/adequada adesão ao tratamento, enquanto 33,3% apresentaram baixa/insuficiente. Não houve diferença significativa entre homens e mulheres na pontuação do questionário, nem entre os diferentes graus de instrução. Conclusão: Os principais itens do questionário que contribuíram para aderência boa/adequada foram o impacto positivo do tratamento na saúde e na qualidade de vida, os poucos efeitos colaterais com o início da terapia e a autoavaliação positiva dos participantes quanto à própria adesão à terapia antirretroviral. As principais barreiras detectadas para a baixa/insuficiente adesão à terapia antirretroviral foram o desconhecimento sobre as medicações em uso e o relato de escassez de informação sobre os medicamentos da terapia antirretroviral.

ABSTRACT Objective: To analyze the compliance to antiretroviral therapy among HIV/AIDS patients. Method: 99 HIV-positive volunteers undergoing treatment responded to a semi-structured sociodemographic interview and to a questionnaire that assessed compliance to antiretroviral treatment. Results: In the sample analyzed, 52.5% of the volunteers presented good/adequate treatment compliance, while 33.3% presented low/insufficient compliance. There was no significant difference between men and women in the questionnaire score, nor between groups with different levels of education. Conclusion: The main items of the questionnaire that contributed to good/adequate compliance were: positive impact of treatment on health and quality of life, few side effects after initiation of therapy, and positive self-evaluation of participants regarding their compliance to antiretroviral therapy. The main barriers detected for compliance to antiretroviral therapy were the lack of knowledge about current medications and the lack of information on antiretroviral therapy drugs.

RESUMEN Objetivo: analizar la adhesión de pacientes con VIH/SIDA a la terapia antirretroviral. Método: 99 voluntarios portadores del virus VIH en tratamiento se sometieron a entrevista social y demográfica semiestructurada y al cuestionario de evaluación de la adhesión al tratamiento antirretroviral. Resultados: en la muestra analizada, el 52,5% de los voluntarios presentaba buena/adecuada adhesión al tratamiento, mientras que el 33,3%, baja/insuficiente. No había diferencia significativa entre hombres y mujeres en la puntuación del cuestionario, ni entre los diferentes grados de instrucción. Conclusión: Los puntos principales del cuestionario que contribuyeron a la adherencia buena/adecuada fueron: impacto positivo del tratamiento de la salud y la calidad de vida, pocos efectos colaterales al principio de la terapia y una autoevaluación positiva de los participantes relativa a la propia adhesión a la terapia antirretroviral. Las principales barreras detectadas para la baja/insuficiente adhesión a la terapia antirretroviral fueron el desconocimiento sobre los remedios en uso y la escasez de información sobre los medicamentos de la terapia antirretroviral.

ABSTRACT Objective: To analyze the compliance to antiretroviral therapy among HIV/AIDS patients. Method: 99 HIV-positive volunteers undergoing treatment responded to a semi-structured sociodemographic interview and to a questionnaire that assessed compliance to antiretroviral treatment. Results: In the sample analyzed, 52.5% of the volunteers presented good/adequate treatment compliance, while 33.3% presented low/insufficient compliance. There was no significant difference between men and women in the questionnaire score, nor between groups with different levels of education. Conclusion: The main items of the questionnaire that contributed to good/adequate compliance were: positive impact of treatment on health and quality of life, few side effects after initiation of therapy, and positive self-evaluation of participants regarding their compliance to antiretroviral therapy. The main barriers detected for compliance to antiretroviral therapy were the lack of knowledge about current medications and the lack of information on antiretroviral therapy drugs.

RESUMEN Objetivo: analizar la adhesión de pacientes con VIH/SIDA a la terapia antirretroviral. Método: 99 voluntarios portadores del virus VIH en tratamiento se sometieron a entrevista social y demográfica semiestructurada y al cuestionario de evaluación de la adhesión al tratamiento antirretroviral. Resultados: en la muestra analizada, el 52,5% de los voluntarios presentaba buena/adecuada adhesión al tratamiento, mientras que el 33,3%, baja/insuficiente. No había diferencia significativa entre hombres y mujeres en la puntuación del cuestionario, ni entre los diferentes grados de instrucción. Conclusión: Los puntos principales del cuestionario que contribuyeron a la adherencia buena/adecuada fueron: impacto positivo del tratamiento de la salud y la calidad de vida, pocos efectos colaterales al principio de la terapia y una autoevaluación positiva de los participantes relativa a la propia adhesión a la terapia antirretroviral. Las principales barreras detectadas para la baja/insuficiente adhesión a la terapia antirretroviral fueron el desconocimiento sobre los remedios en uso y la escasez de información sobre los medicamentos de la terapia antirretroviral.

RESUMO Objetivo: Analisar a adesão de pacientes com HIV/AIDS à terapia antirretroviral. Método: 99 voluntários portadores do vírus HIV sob tratamento foram submetidos à entrevista social e demográfica semiestruturada e ao questionário para avaliação da adesão ao tratamento antirretroviral. Resultados: Na amostra analisada, 52,5% dos voluntários apresentaram boa/adequada adesão ao tratamento, enquanto 33,3% apresentaram baixa/insuficiente. Não houve diferença significativa entre homens e mulheres na pontuação do questionário, nem entre os diferentes graus de instrução. Conclusão: Os principais itens do questionário que contribuíram para aderência boa/adequada foram o impacto positivo do tratamento na saúde e na qualidade de vida, os poucos efeitos colaterais com o início da terapia e a autoavaliação positiva dos participantes quanto à própria adesão à terapia antirretroviral. As principais barreiras detectadas para a baixa/insuficiente adesão à terapia antirretroviral foram o desconhecimento sobre as medicações em uso e o relato de escassez de informação sobre os medicamentos da terapia antirretroviral.