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Pandemia de COVID-19: notificaciones de hepatitis e implicaciones para su erradicación en Brasil y Perú
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Tereza-de-Almeida, Rita

; Saldarriaga-Sandoval, Lilia Jannet

; Itsuko-Ciosak, Sueli

Revista Médica Electrónica

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2024, Volume 46 elocation e5555

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Introduction: Chronic hepatitis B and C infections are important causes of hepatocellular carcinoma in the world. Certainly, in the Americas region, measurement of progress toward the hepatitis B treatment goal is limited by the absence of data on the proportion of people eligible for treatment and the absence of a functional cure. Objective: To analyze notifications of hepatitis B and C in Brazil and hepatitis B in Peru, in the first year of the COVID-19 pandemic, and its implications for eradicating hepatitis by 2030. Methods: Descriptive, retrospective and quantitative epidemiological study. Results: 187 hepatitis B and 712 hepatitis C cases were notified in Brazil in 2019 and 93 hepatitis B and 323 hepatitis C cases in 2020, with a reduction in notifications for hepatitis B of 50.2% and for hepatitis C of 54.6%. In Peru, in 2019, 1,559 cases of hepatitis B were reported and 758 in 2020, with a reduction of 51.3% in hepatitis B notifications. Conclusion: The decrease in notifications of hepatitis B was very significant in both countries and may have implications for epidemiological indicators of viral hepatitis, in the face of investment needs to build resilient health in response to emergencies, which corroborates the health actions to eradicate hepatitis by 2030.

RESUMEN Introducción: Las infecciones crónicas por hepatitis B y hepatitis C son causas importantes de carcinoma hepatocelular en el mundo. Propiamente, en la región de las Américas, la medición del progreso hacia la meta de tratamiento de la hepatitis B está limitada por la ausencia de datos sobre la proporción de personas elegibles para el tratamiento y la ausencia de una cura funcional. Objetivo: Analizar notificaciones de hepatitis B y C en Brasil y hepatitis B en Perú, en el primer año de la pandemia de COVID-19, y sus implicaciones para erradicar la hepatitis de cara al 2030. Métodos: Estudio epidemiológico descriptivo, retrospectivo y cuantitativo. Resultados: En Brasil, en 2019, se notificaron 187 casos de hepatitis B y 712 de hepatitis C; y 93 hepatitis B y 323 hepatitis C en 2020, con reducción de notificaciones para hepatitis B del 50,2 % y para hepatitis C del 54,6 %. En Perú, en 2019, se notificaron 1559 hepatitis B, y en 2020 758 casos, con reducción de notificaciones de hepatitis B del 51,3 %. Conclusiones: La disminución en notificaciones de hepatitis B fue muy significativa en ambos países y puede tener implicaciones para indicadores epidemiológicos de hepatitis virales, frente a necesidades de inversión para construir una salud resiliente en respuesta a emergencias, lo que corrobora las acciones de salud para erradicar la hepatitis de cara al 2030.

Association of nutritional status with urinary iodine deficiency in Brazilian pregant women
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Silva, Thaís Cristina Serra da

; Viola, Poliana Cristina de Almeida Fonseca

; França, Ana Karina Teixeira de Cunha

; Frota, Maria Tereza Borges Araújo

; Calado, Isabela Leal

; Padilha, Luana Lopes

; Carvalho, Wyllyane Rayana Chaves

; Viana, Kátia Danielle Araújo Lourenço

; Conceição, Sueli Ismael Oliveira da

; Cantanhede, Nayra Anielly Cabral

; Franceschini, Sylvia do Carmo Castro

; Carvalho, Carolina Abreu de

Revista Brasileira de Saúde Materno Infantil

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2024, Volume 24 elocation e20240080

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivos: investigar a associação do estado nutricional com deficiência de iodo urinário em gestantes atendidas em Unidades Básicas de Saúde do município de São Luís - MA. Métodos: estudo transversal, realizado com 261 gestantes. Foram coletadas amostras de urina para análise de determinação do iodo urinário, considerou-se deficiência o valor <150 µg/L e adequado, valor ≥150 µg/L. Foram aferidas as medidas de peso e altura no momento da coleta e investigação do peso pré-gestacional para cálculo do IMC. As variáveis contínuas foram expressas em média, desvio padrão, mediana, percentil 25 e 75 e as categóricas em frequência simples e relativa e em percentual. Análises multivariadas investigaram associação entre IMC pré-gestacional e atual e UIC (Concentração urinária de iodo). Resultados: a média do IMC pré-gestacional foi 24,3 ± 4,5 kg/m2 e do IMC atual 27,2 ± 6,5 kg/m2. A mediana de concentração de iodo urinário foi de 181,3 µ/L (113,2-271,7) e 40,6% da amostra possuía deficiência de iodo. O aumento no IMC pré-gestacional e atual foi associado à redução da prevalência de deficiência de iodo em gestantes (RP = 0,94; (IC95% = 0,88; 0,99) e RP = 0,95; (IC95% = 0,88 - 0,99), respectivamente). Conclusão: o IMC elevado está positivamente associado à UIC e proporciona redução na prevalência de deficiência de iodo em gestantes. Objetivos MA Métodos transversal 26 considerouse considerou se 150 <15 µgL µg L adequado ≥15 prégestacional pré gestacional padrão 2 7 percentual Concentração . iodo) Resultados 243 24 3 24, 45 4 5 4, kgm2 kgm kg m2 m kg/m 272 27 27, 65 6 6, 1813 181 181, µL µ 113,2271,7 11322717 113,2 271,7 113 271 (113,2-271,7 406 40 40,6 0,94 094 0 94 IC95% IC95 IC (IC95 088 88 0,99 099 99 0,95 095 95 0,8 0,99, , respectivamente. respectivamente respectivamente) Conclusão 15 <1 ≥1 18 2271 113,2271, 1132271 1132 113, 2717 271, 11 (113,2-271, 40, 0,9 09 9 IC9 (IC9 08 8 0, 1 < ≥ 227 113,2271 113227 (113,2-271 (IC 22 113,227 11322 (113,2-27 113,22 (113,2-2 (113,2- (113,2 (113, (113 (11 (1 (

Abstract Objectives: to investigate the association of nutritional status with urinary iodine deficiency in pregnant women attending the Basic Health Units in the city of São Luís - Maranhão. Methods: cross-sectional study carried out with 261 pregnant women. Urine samples were collected for analysis of determination of urinary iodine. Iodine deficiency was considered as <150 µg/L and adequate as ≥150 µg/L. Weight and height measurements were taken at the time of collection and investigation of pre-pregnancy weight calculate BMI). Continuous variables were presented as mean, standard deviation, median, 25th and 75th percentiles, and categorical variables as simple and relative frequencies and percentages. Multivariate analyses investigate the association between pre-pregnancy and current BMI and UIC (urinary iodine concentration). Results: the mean pre-pregnancy BMI was 24.3 ± 4.5 kg/m2, and the current BMI was 27.2 ± 6.5 kg/m2. The median UIC was 181.3 µg/L (113.2-271.7), and 40.6% of the sample showed iodine deficiency. The increase in pre-pregnancy and current BMI was associated with a reduction in the prevalence of iodine deficiency in pregnant women (PR = 0.94; (CI95% = 0.88; 0.99) and PR = 0.95; (CI95% = 0.88 - 0.99), respectively). Conclusion: high BMI is positively associated with UIC and provides a reduction in iodine deficiency prevalence in pregnant women. Objectives Maranhão Methods crosssectional cross sectional 26 150 <15 µgL µg L ≥15 prepregnancy pre pregnancy BMI. . BMI) deviation th percentiles percentages concentration. concentration concentration) Results 243 24 3 24. 45 4 5 4. kgm2 kgm kg m2 m kg/m2 272 27 2 27. 65 6 6. 1813 181 181. 113.2271.7, 11322717 113.2 271.7 , 113 271 7 (113.2-271.7) 406 40 40.6 0.94 094 0 94 CI95% CI95 CI (CI95 088 88 0.99 099 99 0.95 095 95 0.8 0.99, respectively. respectively respectively) Conclusion 15 <1 ≥1 kg/m 18 2271 113.2271.7 1132271 1132 113. 2717 271. 11 (113.2-271.7 40. 0.9 09 9 CI9 (CI9 08 8 0. 1 < ≥ 227 113.2271. 113227 (113.2-271. (CI 22 113.2271 11322 (113.2-271 113.227 (113.2-27 113.22 (113.2-2 (113.2- (113.2 (113. (113 (11 (1 (

https://doi.org/10.1590/1806-9304202400000080-en

The Yacon FOS-rich syrup: Characterization, formulation into a coating with prebiotic potential, and application on minimally processed melon FOSrich FOS rich syrup Characterization potential
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Silva, Débora Samara Oliveira e

; Gomes, Maria Irisdara Almeida

; Sampaio, Lorena Maria Freire

; Dionísio, Ana Paula

; Mattos, Adriano Lincoln Albuquerque

; Cunha, Aline Gonzaga

; Oliveira, Luciana Siqueira

; Gallão, Maria Izabel

; Fonteles, Thatyane Vidal

; Rodrigues, Sueli

; Miranda, Maria Raquel Alcântara de

Brazilian Journal of Food Technology

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2024, Volume 27 elocation e2023153

Abstract: En | Text: En | PDF: En

Abstract This research aimed to characterize the syrup from Yacon (Smallanthus sonchifolius (Poepp.) H. Rob.) roots as a rich source of prebiotic fructooligosaccharide (FOS) and, thus, to formulate and characterize a gelatin-based coating enriched with Yacon syrup and to apply this coating on minimally processed melons. Then, the minimally processed melons were stored for 6 days at 10 °C and they were evaluated regarding their storage potential through quality, sensory and microbiological attributes, and bioavailability of FOS. Yacon syrup presents 17.22% of FOS, high antioxidant ferric reducing oxidant power (FRAP) and 2,2'-azino-bis (3-ethylbenzothiazoline-6-sulfonic acid (ABTS) activities, 60.88% of sugars, 66.25% of carbohydrates, 2,148.1 µg kg−1 of chlorogenic acid, and 13,897.2 µg gallic acid kg−1 of phenolic contents. The incorporation of 10% Yacon syrup in the gelatin matrix increased coating thickness, accentuated the yellow color, increased the hydrophilic character, and lowered moisture. Yacon syrup-enriched gelatin matrix coating preserved the postharvest quality of minimally processed melon for 5 days at 10 °C with increased functional properties due to FOS bioavailability and higher total phenolic and carotenoid contents. Smallanthus Poepp. Poepp (Poepp. H Rob. Rob (FOS thus gelatinbased based Then 1 C attributes 1722 17 22 17.22 FRAP (FRAP 2,2azinobis 22azinobis azinobis 2,2 azino bis 2 3ethylbenzothiazoline6sulfonic ethylbenzothiazolinesulfonic 3 ethylbenzothiazoline sulfonic ABTS (ABTS activities 6088 60 88 60.88 sugars 6625 66 25 66.25 carbohydrates 21481 148 2,148. kg1 kg kg− 138972 13 897 13,897. contents thickness color character moisture syrupenriched (Poepp 172 17.2 2azinobis 2, 608 8 60.8 662 66.2 2148 14 2,148 13897 89 13,897 17. 60. 66. 214 2,14 1389 13,89 21 2,1 138 13,8 13,

https://doi.org/10.1590/1981-6723.15323

A partilha do sensível em contextos de exclusão: reflexões sobre a escrita afrofeminina na contemporaneidade exclusão
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de Oliveira, Valdício Almeida

; Mineiro, Imara Bemfica

Estudos de Literatura Brasileira Contemporânea

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2024, N. 72 elocation e7210

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo O artigo propõe-se a refletir sobre a escrita afrofeminina com base na noção de partilha do sensível (Rancière, 1995; 2005) e avaliar seu papel como arte simbólica de resistência em contextos marcados pela colonialidade (Quijano, 2005; Lugones, 2008; Mignolo, 2017) e suas teias de hierarquias e exclusões (Grosfoguel, 2009). Lançamos mão do diálogo com autoras como Lélia Gonzalez (1982), Glória Anzaldúa (2000), Vera Soares (2000), Conceição Evaristo (2005), Angela Davis (2016), Patricia Hill Collins (2016), Grada Kilomba (2019) e Sueli Carneiro (2019), a fim de responder a seguinte questão: de que forma a escrita afrofeminina incide sobre a partilha do sensível e qual o potencial insurgente dessa incisão? Para isso, após uma introdução sobre a relações entre escrita e política propostas no conceito de partilha do sensível, organizamos a discussão em torno de cinco temas: 1. Colonialidade, hétero-hierarquia e interseccionalidade; 2. Sonhar a diferença; 3. Escrita e insurgência; 4. Incisões na partilha; e 5. Habitar as ausências. Ao final das reflexões desenvolvidas, consideramos que tal potencial descanse sobre o caráter imperativo e definitivo de reconfiguração que a escrita afrofeminina provoca na dimensão sensível da comunidade. propõese propõe se Rancière, Rancière (Rancière 1995 2005 Quijano, Quijano (Quijano Lugones 2008 Mignolo 2017 Grosfoguel, Grosfoguel (Grosfoguel 2009. 2009 . 2009) 1982, 1982 , (1982) 2000, 2000 (2000) 2005, (2005) 2016, 2016 (2016) 2019 (2019 2019, questão incisão isso temas 1 Colonialidade héterohierarquia hétero hierarquia interseccionalidade 2 diferença 3 insurgência 4 5 ausências desenvolvidas comunidade 199 200 201 198 (1982 (2000 (2005 (2016 (201 19 20 (198 (200 (20 (19 (2 (1 (

Abstract The article aims to reflect on Afro-feminine writing based on the notion of the distribution of the sensible (Rancière, 1995; 2005) and to evaluate its role as a symbolic art of resistance in contexts marked by coloniality (Quijano, 2005; Lugones, 2008; Mignolo, 2017) and their interlacement of hierarchies and exclusions (Grosfoguel, 2009). We engage in dialogue with authors such as Lélia Gonzalez (1982), Glória Anzaldúa (2000), Vera Soares (2000), Conceição Evaristo (2005), Angela Davis (2016), Patricia Hill Collins (2016), Grada Kilomba (2019) and Sueli Carneiro (2019) to answer the following question: how does Afro-feminine writing affect the distribution of the sensible, and what is the insurgent potential of this incision? For this, after an introduction on the relationship between writing and politics proposed in the concept of distribution of the sensible, we organize the discussion around five themes: 1. Coloniality, hetero-hierarchy and intersectionality; 2. Dreaming about the difference; 3. Writing and insurgency; 4. Incisions in sharing; and 5. Inhabiting absences. At the end of the developed reflections, we consider that this potential rests on the imperative and definitive character of reconfiguration that Afro-feminine writing provokes in the sensitive dimension of the community. Afrofeminine Afro feminine Rancière, Rancière (Rancière 1995 2005 Quijano, Quijano (Quijano Lugones 2008 Mignolo 2017 Grosfoguel, Grosfoguel (Grosfoguel 2009. 2009 . 2009) 1982, 1982 , (1982) 2000, 2000 (2000) 2005, (2005) 2016, 2016 (2016) 2019 (2019 question incision themes 1 Coloniality heterohierarchy hetero hierarchy intersectionality 2 difference 3 insurgency 4 sharing 5 absences reflections community 199 200 201 198 (1982 (2000 (2005 (2016 (201 19 20 (198 (200 (20 (19 (2 (1 (

Resumen Este artículo se propone reflexionar sobre la escritura afrofemenina a partir de la noción de reparto de lo sensible (Rancière, 1995; 2005) y evaluar su papel como arte simbólica de resistencia en contextos marcados por la colonialidad (Quijano, 2005; Lugones, 2008; Mignolo, 2017) y sus redes de jerarquías y exclusiones (Grosfoguel, 2009). Trabamos el diálogo con autoras como Lélia Gonzalez (1982), Glória Anzaldúa (2000), Vera Soares (2000), Conceição Evaristo (2005), Angela Davis (2016), Patricia Hill Collins (2016), Grada Kilomba (2019) y Sueli Carneiro (2019), con el objetivo de contestar la siguiente pregunta: ¿de qué manera la escritura afrofemenina incide en el reparto de lo sensible y cuál es el potencial insurgente de esa incisión? Para eso, luego de una introducción sobre las relaciones entre escritura y política propuestas en el concepto de reparto de lo sensible, organizamos la discusión en torno a cinco temas: 1. Colonialidad, hetero-jerarquía e interseccionalidad; 2. Soñar la diferencia; 3. Escritura e insurgencia; 4. Incisiones en el reparto de lo sensible; y 5. Habitar las ausencias. Al final de las reflexiones desarrolladas, consideramos que dicho potencial reside en el carácter imperativo y definitivo de reconfiguración que la escritura afrofemenina provoca en la dimensión sensible de la comunidad. Rancière, Rancière (Rancière 1995 2005 Quijano, Quijano (Quijano Lugones 2008 Mignolo 2017 Grosfoguel, Grosfoguel (Grosfoguel 2009. 2009 . 2009) 1982, 1982 , (1982) 2000, 2000 (2000) 2005, (2005) 2016, 2016 (2016) 2019 (2019 2019, pregunta incisión eso temas 1 Colonialidad heterojerarquía hetero jerarquía interseccionalidad 2 diferencia 3 insurgencia 4 5 ausencias desarrolladas comunidad 199 200 201 198 (1982 (2000 (2005 (2016 (201 19 20 (198 (200 (20 (19 (2 (1 (

https://doi.org/10.1590/2316-40187210

Stigma experienced by men diagnosed with COVID-19
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Sousa, Anderson Reis de

; Cerqueira, Sheila Santa Barbara

; Santana, Thiago da Silva

; Suto, Cleuma Sueli Santos

; Almeida, Eric Santos

; Brito, Luana Santana

; Casado, Elena

; Carvalho, Evanilda Souza de Santana

Revista Brasileira de Enfermagem

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2022, Volume 75 Suppl. 1 elocation e20210038

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo: analisar as características do estigma percebidas na experiência de homens que vivenciaram a COVID-19. Método: estudo qualitativo, que envolveu homens residentes no Brasil diagnosticados com COVID-19, os quais responderam a questões semiestruturadas em formulário online. Os dados foram submetidos à análise temática e lexical, interpretados à luz da teoria do estigma. Resultados: participaram 92 homens, adultos, cisgêneros, heterossexuais, de raça/cor parda, pertencentes à classe média, residentes na área urbana, com nível superior. As características do estigma evidenciadas foram aocorrência de afastamento, percepção do tratamento descortês, aplicação de rótulos e discriminação advindas de colegas de trabalho, familiares, vizinhos e até mesmo profissionais de saúde, com consequências para a dimensão psicoemocional. Considerações finais: discriminação e exclusão derivada do estigma surpreenderam homens marcados por privilégios de classe e gênero, pouco habituados a serem rebaixados nas interações, quando comparado a outros grupos.

ABSTRACT Objective: to analyze the stigma characteristics perceived in the experience of men who had COVID-19. Method: this qualitative study involved men living in Brazil, diagnosed with COVID-19, who answered semi-structured questions in an online form. Data were subjected to thematic and lexical analysis, interpreted in the light of the stigma theory. Results: 92 men, adults, cisgender, heterosexual, of mixed race/color, belonging to middle class, living in the urban area, with higher education participated. The stigma characteristics evidenced were the occurrence of leave, perception of impolite treatment, use of labels and discrimination by co-workers, family members, neighbors and even healthcare professionals, with consequences for the psycho-emotional dimension. Final considerations: discrimination and exclusion derived from stigma surprised men marked by class and gender privileges, little used to being downgraded in interactions when compared to other groups.

RESUMEN Objetivo: analizar las características del estigma percibido en la experiencia de hombres que experimentaron COVID-19. Método: estudio cualitativo con hombres residentes en Brasil diagnosticados de COVID-19, quienes respondieron preguntas semiestructuradas en forma online. Los datos fueron sometidos a un análisis temático y léxico, interpretados a la luz de la teoría del estigma. Resultados: participaron 92 hombres, adultos, cisgénero, heterosexuales, de raza/color morena, pertenecientes a la clase media, residentes en el área urbana, con educación superior. Las características del estigma evidenciadas fueron la ocurrencia de bajas, percepción de trato descortés, aplicación de etiquetas y discriminación derivada de compañeros de trabajo, familiares, vecinos e incluso profesionales de la salud, con consecuencias para la dimensión psicoemocional. Consideraciones finales: la discriminación y la exclusión derivada del estigma sorprendió a los hombres marcados por privilegios de clase y género, poco acostumbrados a ser degradados en las interacciones, en comparación con otros grupos.

https://doi.org/10.1590/0034-7167-2021-0038 1 downloads

Self-handicapping strategies in educational context: construction and validation of the Brazilian Self-Handicapping Strategies Scale (EEAPREJ)
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Boruchovitch, Evely

; Rufini, Sueli Edi

; Ganda, Danielle Ribeiro

; Miranda, Lucia Cerqueira

; Almeida, Leandro Silva de

Psicologia: Reflexão e Crítica

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2022, Volume 35 elocation 8

Abstract: En | Text: En | PDF: En

Abstract Self-handicapping strategies refer to the set of choices and attitudes adopted to minimize blame for failure and increase the value of success in achievement situations. This paper aims to describe the stages of construction and the psychometric analysis of a scale to measure the self-handicapping strategies of university students. In study 1, the major steps for the construction of the scales and initial results are reported. The internal consistency indices were acceptable and the principal component analysis revealed factors with little explanation of data variance. In study 2, data from a sample of 834 students from several undergraduate courses of different Brazilian universities were subjected to exploratory factor analysis using the minimum rank factor analysis (MRFA) method and the matrix of polychoric correlations. The parallel analysis criterion for factor retention indicated the one-factor solution as the best fit to data. The importance of having a valid and reliable measure to assess self-handicapping strategies in educational contexts and the promising use of the scale in actions to improve learning in higher education are discussed.

https://doi.org/10.1186/s41155-022-00210-6

Condicionantes de gênero na produção de demandas de mulheres de meia-idade
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Rodrigues, Larissa Silva de Abreu

; Coelho, Edméia de Almeida Cardoso

; Aparício, Elena Casado

; Almeida, Mariza Silva

; Suto, Cleuma Sueli Santos

; Evangelista, Railene Pires

Acta Paulista de Enfermagem

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2022, Volume 35 elocation eAPE039012434

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo Objetivo Analisar condicionantes de gênero presentes em demandas de saúde de mulheres de meia-idade oriundas do seu cotidiano. Métodos Estudo de abordagem qualitativa do tipo Pesquisa Convergente Assistencial. A pesquisa foi realizada com dois grupos de participantes: mulheres de meia-idade e profissionais da saúde. No total, participaram 13 mulheres de meia-idade e 18 profissionais de saúde. A produção do material empírico se deu por meio de oficinas de reflexão e entrevistas nos meses de maio e junho de 2017. A análise dos dados foi realizada por meio da técnica de análise de discurso. Resultados Os resultados conformaram duas categorias empíricas em que convergem a posição dos dois grupos de participantes: Atributos de gênero definindo demandas emocionais na meia-idade e o corpo como instrumento do fazer e demandante de cuidado na meia-idade. As experiências de vida relatadas são marcadas por trabalho doméstico e cuidado da família e expressam sobrecargas emocionais e físicas acumuladas ao longo dos anos. Profissionais de saúde revelam escuta sensível às demandas das mulheres, contudo questões estruturais, ligadas à organização da atenção dificultam práticas mais resolutivas. Conclusão Os resultados revelaram que o cotidiano de mulheres de meia idade define demandas para o cuidado vinculadas a atributos de gênero, incorporados ao cotidiano de modo naturalizado. Sem responsabilidades compartilhadas no ambiente familiar, há sobrecarga física e emocional que suscitam cuidados. Os serviços de saúde reconhecem, mas há somente ações pontuais para demandas de ordem biológica e nenhuma proposta sistematizada para um trabalho com mulheres que abram caminhos ao empoderamento.

Abstract Objective To analyze gender conditions present in middle-aged women’s health demands from their daily lives. Methods This is a study with a qualitative approach of the Convergent Care Research type. The survey was conducted with two groups of participants: middle-aged women and health professionals. In total, 13 middle-aged women and 18 health professionals participated. The production of empirical material took place through reflection workshops and interviews in May and June 2017. Data analysis was performed using the discourse analysis technique. Results The results formed two empirical categories in which the position of the two groups of participants converge: Gender attributes defining emotional demands in middle age; The body as an instrument of doing and demanding care in middle age. The reported life experiences are marked by housework and family care and express emotional and physical burdens accumulated over the years. Health professionals reveal sensitive listening to women’s demands; however, structural issues related to the organization of care hinder more resolving practices. Conclusion The results revealed that the daily life of middle-aged women defines demands for care linked to gender attributes, incorporated into daily life in a naturalized way. Without shared responsibilities in the family environment, there is a physical and emotional burden that prompts care. The health services recognize this, but there are only punctual actions for demands of a biological order and no systematic proposal for working with women that open paths to empowerment.

Resumen Objetivo Analizar condicionantes de género presentes en demandas de salud de mujeres de mediana edad originarias de su cotidiano. Métodos Estudio de abordaje cualitativo del tipo Investigación Convergente Asistencial. La investigación se realizó con dos grupos de participantes: mujeres de mediana edad y profesionales de la salud. En la totalidad, participaron 13 mujeres de mediana edad y 18 profesionales de salud. La producción del material empírico se realizó a través de talleres de reflexión y encuestas en los meses de mayo y de junio de 2017. El análisis de los datos se realizó por medio de la técnica de análisis de discurso. Resultados Los resultados conformaron dos categorías empíricas en las que convergen la posición de los dos grupos de participantes: Atributos de género definiendo demandas emocionales en la mediana edad y el cuerpo como instrumento del quehacer y que demandan cuidado en la mediana edad. Las experiencias de vida relatadas están marcadas por el trabajo doméstico y el cuidado con la familia y expresan sobrecargas emocionales y físicas acumuladas a lo largo de los años. Profesionales de la salud revelan una escucha sensible a las demandas de las mujeres, sin embargo, cuestiones estructurales, relacionadas con la organización de la atención dificultan las prácticas más resolutivas. Conclusión Los resultados revelaron que el cotidiano de mujeres de mediana edad definen demandas con el cuidado vinculadas a atributos de género, incorporados al cotidiano de modo naturalizado. Sin responsabilidades compartidas en el ambiente familiar, hay una sobrecarga física y emocional que suscitan cuidados. Los servicios de salud reconocen, pero existen solamente acciones puntuales para demandas de orden biológico y ninguna propuesta sistematizada para un trabajo con mujeres que abran caminos hacia el empoderamiento.

https://doi.org/10.37689/acta-ape/2022ao0124

Salmonella enterica serotypes from human and nonhuman sources in Sao Paulo State, Brazil, 2004-2020
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Fernandes, Sueli Aparecida

; Tavechio, Ana Terezinha

; Ghilardi, Ângela Cristina Rodrigues

; Almeida, Elisabete Aparecida de

; Silva, Josefa Maria Lopes da

; Camargo, Carlos Henrique

; Tiba-Casas, Monique Ribeiro

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e66

Abstract: En | Text: En | PDF: En

ABSTRACT Salmonellosis ranks among the most frequently reported zoonosis worldwide and is often associated with foodborne outbreaks. Since the 1950s, the distribution of Salmonella serotypes in Sao Paulo State, Brazil, has been documented and periodically reported. In this study, we updated the data on the distribution of Salmonella serotypes received in our reference laboratory, isolated from human infections and nonhuman sources, from 2004 to 2020. In that period, a total of 9,014 Salmonella isolates were analyzed, of which 3,553 (39.4%) were recovered from human samples, mainly of stool (65%) and blood (25.6%), and 5,461 (60.6%) were isolated from nonhuman origins, such as animals (47.2%), food (27.7%) and animal environments (18.6%). In human isolates, a total of 104 serotypes were identified and the most frequent ones were Enteritidis, Typhimurium, S . I. 4,[5],12:i:-, Dublin and Typhi. A consistent reduction of the Enteritidis proportion was observed over the years. Among the 156 serotypes identified in isolates with nonhuman origins, Enteritidis, Mbandaka, Typhimurium, Agona and Anatum were ranked as the top five Salmonella serotypes; in more recent years, S . Heidelberg has increased in frequency. Although with different proportions, the top 10 prevalent serotypes were identified in both human and nonhuman origins, underscoring the role of animals, food products and environment as reservoirs of Salmonella with potential to cause human salmonellosis.

https://doi.org/10.1590/s1678-9946202264066

Clinical performance of resin composite restorations placed by dental students: a retrospective, cross-sectional, and observational study
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Santos, Daiane Cristina Mendonça dos

; Besegato, João Felipe

; Zaniboni, Joissi Ferrari

; Ramos, Solange de Paula

; Cardoso, Sueli de Almeida

; Hoeppner, Márcio Grama

Brazilian Journal of Oral Sciences

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2022, Volume 21 elocation e225991

Abstract: En | Text: En | PDF: En

Aim A retrospective, cross-sectional study was carried out to evaluate the performance of resin composite restorations placed by undergraduate dental students with 1 to 15 years of placement based on dental records. Methods Four calibrated operators evaluated 498 restorations (anterior and posterior) of 120 patients according to Ryge’s validated criteria (USPHS). Results The criteria that showed the smallest changes between the types of failures were color matching, marginal discoloration and surface texture. Regarding the longevity, the surface texture showed an increase in the frequency of failures from the second time interval (3.1 to 6 years). Higher prevalence of failure was found in class II and III restorations, with secondary caries being the main reason. No significant differences were found for anatomic form, marginal adaptation, and color matching. Class V restorations showed a higher fracture rate with total displacement of the restoration, with no increase in the frequency of fracture over time. Conclusion High rate of restoration failure was observed, possibly due to the lack of experience and skills of the students. This outcome highlight the need for continuous revision and improvements of teaching practice regarding the development of clinical competences and skills by dental students.

https://doi.org/10.20396/bjos.v21i00.8665991

10.

Effects of magnesium sulphate on the onset time of rocuronium at different doses: a randomized clinical trial
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Almeida, Carlos Eduardo David de

; Carvalho, Lidia Raquel de

; Andrade, Carla Vasconcelos Caspar

; Nascimento Jr, Paulo do

; Barros, Guilherme Antonio Moreira de

; Modolo, Norma Sueli Pinheiro

Brazilian Journal of Anesthesiology

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oct 2021, Volume 71 N. 5 Pages 482 - 488

Abstract: En | Text: En | PDF: En

Abstract Background and aims: Rocuronium may provide excellent onset time, but high doses are required for effective action. Several strategies have managed to shorten rocuronium onset time, including the use of Magnesium Sulphate (MgSO4). Methods: One hundred and eighty patients were randomized into six groups according to rocuronium dose received (0.3, 0.6 or 1.2 mg.kg-1) and the administration of saline or MgSO4 (60 mg.kg-1). Correlations between tissue perfusion and rocuronium onset time was determined by variations in perfusion index. Results: Median (quartiles) rocuronium onset times were 85.5 (74.0–92.0); 76.0 (52.0–87.0) and 50.0 (41.0–59.5) seconds for 0.3, 0.6 mg.kg-1 and 1.2 mg.kg-1 doses, respectively. MgSO4 decreased rocuronium onset at doses of 0.3 mg.kg-1 (60.0 [48.0–74.3] seconds) and 0.6 mg.kg-1 (44.0 [39.0–49.0] seconds) but not at 1.2 mg.kg-1 (38.0 [33.5–56.3] seconds) (p< 0.001). Perfusion index variations in groups that received MgSO4 were greater than in controls. A negative correlation between shorten onset and increased perfusion index was observed in rocuronium doses of 0.3 mg.kg-1 (r = -0.50; p < 0.001) and 0.6 mg.kg-1 (r = -0.424; p< 0.001), but not for 1.2 mg.kg-1 dose (r = -0.25; p = 0.07). Conclusion: MgSO4 reduces rocuronium onset time at doses of 0.3 mg.kg-1 and 0.6 mg.kg-1 being that the latter has a similar effect when compared to the dose of 1.2 mg.kg-1, with or without the use of MgSO4.

https://doi.org/10.1016/j.bjane.2021.07.023 259 downloads

11.

Sexualidade vivida por mulheres de diferentes gerações e soropositivas para o HIV
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Suto, Cleuma Sueli Santos

; Coelho, Edméia de Almeida Cardoso

; Paiva, Mirian Santos

; Porcino, Carle

; Barros, Andiara Rodrigues

; Cajuhi, Angela de Souza

; Silva, Dejeane de Oliveira

Acta Paulista de Enfermagem

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2021, Volume 34 elocation eAPE02734

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo Objetivo Analisar as representações sociais de mulheres de diferentes gerações e que vivem com HIV sobre sua sexualidade. Métodos Pesquisa de abordagem qualitativa, com referencial teórico-metodológico baseado na Teoria das Representações Sociais, desenvolvida em um serviço de atenção especializada, no Estado da Bahia, região Nordeste do Brasil, com 39 mulheres. As entrevistas foram processadas pelo software Iramuteq, o qual gerou a Análise Fatorial de Correspondência e Classificação Hierárquica Descendente. Resultados As representações revelaram (im)possibilidades que permeiam a intimidade afetivossexual entre as mulheres de meia-idade; a busca por novas estratégias para vivenciar a sexualidade para mulheres com idade de 30-44 anos; a reafirmação do medo das idosas em revelar o diagnóstico; e, perpassando todas as gerações, a manutenção do tratamento como demonstração de afeto ao parceiro. Conclusão O recorte geracional revelou aspectos distintos das representações sociais sobre a vivência da sexualidade. Ratifica-se a necessidade de novos estudos sobre a temática.

Abstract Objective To analyze women’s social representations of different generations that live with HIV about their sexuality. Methods Qualitative research with theoretical and methodological framework based on Social Representations theory carried out in a specialized attention service, in Bahia state, northeast Brazilian region, with 39 women. We processed the interviews with the Iramuteq software, which generated the Correspondence Factorial Analysis and the Descending Hierarchical Classification. Results The representations revealed (im)possibilities that pervade the sexual and affective intimacy between middle-aged women, the search for new strategies to experience sexuality for women of 30-44 years; the reaffirmation of fear of older women in revealing the diagnosis; and, through all generations, the treatment maintenance as a demonstration of affection to the partner. Conclusion The generational cutout revealed distinct aspects of social representations about sexuality experience. We highlight the necessity of new studies about the theme.

Resumen Objetivo Analizar las representaciones sociales de mujeres de diferentes generaciones que viven con el VIH sobre su sexualidad. Métodos Estudio de enfoque cualitativo, con marco referencial teórico-metodológico basado en la teoría de las representaciones sociales, llevado a cabo en un servicio de atención especializada en el estado de Bahia, región Nordeste de Brasil, con 39 mujeres. Las encuestas fueron procesadas por el software Iramuteq, que generó el análisis factorial de correspondencia y la clasificación jerárquica descendiente. Resultados Las representaciones revelan (im)posibilidades que se impregnan en la intimidad afectiva-sexual de las mujeres de mediana edad, en la búsqueda de nuevas estrategias para vivir la sexualidad en mujeres entre 30 y 44 años, en la reafirmación del miedo de las mujeres mayores a revelar el diagnóstico y en mantener el tratamiento como demostración de afecto al compañero, que abarca a todas las generaciones. Conclusión El recorte generacional reveló distintos aspectos de las representaciones sociales sobre la vivencia de la sexualidad. Se confirma la necesidad de nuevos estudios sobre esta temática.

https://doi.org/10.37689/acta-ape/2021ao02734 1 downloads

12.

COVID-19: The question of genetic diversity and therapeutic intervention approaches
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Figueiredo, David Livingstone Alves

; Ximenez, João Paulo Bianchi

; Seiva, Fábio Rodrigues Ferreira

; Panis, Carolina

; Bezerra, Rafael dos Santos

; Ferrasa, Adriano

; Cecchini, Alessandra Lourenço

; Medeiros, Alexandra Ivo de

; Almeida, Ana Marisa Fusco

; Ramão, Anelisa

; Boldt, Angelica Beate Winter

; Moya, Carla Fredrichsen

; Chin, Chung Man

; Paula, Daniel de

; Rech, Daniel

; Gradia, Daniela Fiori

; Malheiros, Danielle

; Venturini, Danielle

; Tavares, Eliandro Reis

; Carraro, Emerson

; Ribeiro, Enilze Maria de Souza Fonseca

; Pereira, Evani Marques

; Tuon, Felipe Francisco

; Follador, Franciele Aní Caovilla

; Fernandes, Glaura Scantamburlo Alves

; Volpato, Hélito

; Cólus, Ilce Mara de Syllos

; Oliveira, Jaqueline Carvalho de

; Rodrigues, Jean Henrique da Silva

; Santos, Jean Leandro dos

; Visentainer, Jeane Eliete Laguila

; Brandi, Juliana Cristina

; Serpeloni, Juliana Mara

; Bonini, Juliana Sartori

; Oliveira, Karen Brajão de

; Fiorentin, Karine

; Lucio, Léia Carolina

; Faccin-Galhardi, Ligia Carla

; Ferreto, Lirane Elize Defante

; Lioni, Lucy Megumi Yamauchi

; Consolaro, Marcia Edilaine Lopes

; Vicari, Marcelo Ricardo

; Arbex, Marcos Abdo

; Pileggi, Marcos

; Watanabe, Maria Angelica Ehara

; Costa, Maria Antônia Ramos

; Giannini, Maria José S. Mendes

; Amarante, Marla Karine

; Khalil, Najeh Maissar

; Lima Neto, Quirino Alves de

; Herai, Roberto H.

; Guembarovski, Roberta Losi

; Shinsato, Rogério N.

; Mainardes, Rubiana Mara

; Giuliatti, Silvana

; Yamada-Ogatta, Sueli Fumie

; Gerber, Viviane Knuppel de Quadros

; Pavanelli, Wander Rogério

; Silva, Weber Claudio da

; Petzl-Erler, Maria Luiza

; Valente, Valeria

; Soares, Christiane Pienna

; Cavalli, Luciane Regina

; Silva Jr, Wilson Araujo

Genetics and Molecular Biology

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2021, Volume 44 N. 1 elocation e20200452

Abstract: En | Text: En | PDF: En

Abstract Coronavirus disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus type 2 (SARS-CoV-2), is the largest pandemic in modern history with very high infection rates and considerable mortality. The disease, which emerged in China’s Wuhan province, had its first reported case on December 29, 2019, and spread rapidly worldwide. On March 11, 2020, the World Health Organization (WHO) declared the COVID-19 outbreak a pandemic and global health emergency. Since the outbreak, efforts to develop COVID-19 vaccines, engineer new drugs, and evaluate existing ones for drug repurposing have been intensively undertaken to find ways to control this pandemic. COVID-19 therapeutic strategies aim to impair molecular pathways involved in the virus entrance and replication or interfere in the patients’ overreaction and immunopathology. Moreover, nanotechnology could be an approach to boost the activity of new drugs. Several COVID-19 vaccine candidates have received emergency-use or full authorization in one or more countries, and others are being developed and tested. This review assesses the different strategies currently proposed to control COVID-19 and the issues or limitations imposed on some approaches by the human and viral genetic variability.

https://doi.org/10.1590/1678-4685-gmb-2020-0452

13.

Treatment of agrammatism in oral and written production in patients with Broca’s aphasia The use of implicit and explicit learning
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Silagi, Marcela Lima

; Ferreira, Olavo Panseri

; Almeida, Isabel Junqueira de

; Simões, Janaina de Souza

; Zampieri, Sueli Aparecida

; Santana, Beatriz Raz Franco de

; Mansur, Letícia Lessa

Dementia & Neuropsychologia

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jun 2020, Volume 14 N. 2 Pages 103 - 109

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo. Várias abordagens terapêuticas para a reabilitação do agramatismo utilizam métodos implícitos e explícitos de aprendizado. Objetivo: Verificar o efeito dos métodos adaptados Mapping Therapy e ORLA (aprendizagem explícita versus implícita) na produção oral e escrita de discurso em pacientes agramáticos com afasia de Broca. Métodos: Seis indivíduos foram submetidos aos tratamentos Mapping Therapy e ORLA. Amostras das produções oral e escrita na tarefa de descrição da prancha foram comparadas antes e após o tratamento. Resultados: No método Mapping Therapy, os pacientes apresentaram melhor desempenho após o tratamento nas seguintes variáveis relacionadas à produção escrita: número de palavras, substantivos, verbos, palavras de classe fechada e número de frases completas. Em relação à emissão oral, os pacientes mantiveram desempenho semelhante pré e pós processo terapêutico. No método ORLA, os pacientes apresentaram diferença significativa antes e após o processo terapêutico nas variáveis relacionadas à produção oral, com aumento no número de palavras, número de verbos e velocidade de fala. Não houve diferença no desempenho pré e pós tratamento na produção escrita. Conclusão: Tanto a aprendizagem implícita como a explícita têm o potencial de serem usadas no tratamento do agramatismo. A Mapping Therapy foi mais eficaz no tratamento do agramatismo na produção escrita, enquanto o ORLA foi mais eficaz para o agramatismo na produção oral.

Abstract. Several approaches to the rehabilitation of agrammatism use implicit and explicit learning methods. Objective: To verify the effect of adapted Mapping Therapy and ORLA methods (explicit versus implicit learning) on the oral and written production in spontaneous language among agrammatic patients with Broca’s aphasia. Methods: Six individuals were submitted to Mapping Therapy and ORLA (Oral Reading for Language in Aphasia) treatments. Samples of oral and written production from a picture description task were compared pre and post-treatment. Results: In Mapping Therapy, the patients presented better performance after the training for the variables related to written production: number of words, nouns, verbs, closed-class words, and number of complete sentences. Regarding oral output, the patients had similar performance before and after the therapeutic process. In ORLA, the patients presented a significant difference before and after the therapeutic process in the variables related to oral production, increasing the number of words, number of verbs, and speech rate. There was no difference in pre and post-treatment performance in written production. Conclusion: Both implicit and explicit learning can be used in the treatment of agrammatism. Mapping Therapy was more effective for the treatment of agrammatism in written production, while ORLA was more effective for the agrammatism in oral production.

https://doi.org/10.1590/1980-57642020dn14-020002 2095 downloads

14.

Colonization profile and duration by multi-resistant organisms in a prospective cohort of newborns after hospital discharge
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Sakai, Andressa Midori

; Iensue, Thayla Nadrielly Aparecida Nicolino

; Pereira, Kauana Olanda

; Silva, Renata Lima da

; Pegoraro, Leila Garcia de Oliveira

; Salvador, Marta Silva de Almeida

; Rodrigues, Renne

; Capobiango, Jaqueline Dario

; Souza, Nathália Aparecida Andrade de

; Pelisson, Marsileni

; Vespero, Eliana Carolina

; Yamauchi, Lucy Megumi

; Perugini, Marcia Regina Eches

; Yamada-Ogatta, Sueli Fumie

; Rossetto, Edilaine Giovanini

; Kerbauy, Gilselena

Revista do Instituto de Medicina Tropical de São Paulo

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2020, Volume 62 elocation e22

Abstract: En | Text: En | PDF: En

ABSTRACT The aim of this study was to determine the spontaneous decolonization period and characteristics in a prospective cohort of newborns colonized by multidrug-resistant organisms, after their discharge from the neonatal intensive care unit. Multidrug resistance is defined as bacterial non-susceptibility to ≥ 1 agent of ≥ 3 antimicrobial categories. In total, 618 newborns were included in the study, of which 173 (28.0%) presented a positive culture for multidrug-resistant microorganisms, and of these, 52 (30.1%) were followed up in this study. The most frequent intrinsic factors were be born by cesarean section (86.5%), prematurity (84.6%), and very low birth weight (76.9%). The extrinsic factors were having remained hospitalized for an average of 27 days, during which 67.3% were submitted to invasive procedures and 88.5% received antimicrobials. The intrinsic and extrinsic factors of newborns were not associated to a decolonization period longer or shorter than 3 months, which was the average period of decolonization found in the present study. From the totality of colonization cultures sampled at hospital discharge, the Gram-negative Extended Spectrum β-lactamase producing bacteria were the most common, with 28.9% of babies colonized by Klebsiella spp. The median period of decolonization by multidrug-resistant microorganisms in the newborns population after hospital discharge was 3 months, but was highly dependent on the microbial species, and this period was not associated to any intrinsic and extrinsic factors of the newborn.

https://doi.org/10.1590/s1678-9946202062022 899 downloads

15.

ESPAÇOS INSTITUCIONAIS DE SAÚDE COMO “NÃO LUGAR” DE TRAVESTIS NAS REPRESENTAÇÕES SOCIAIS DE ENFERMEIRAS
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Oliveira, Ester Mascarenhas

; Oliveira, Jeane Freitas

; Suto, Cleuma Sueli Santos

; Porcino, Carle

; Almeida, Sara Peixoto

; Oliveira, Daiane Santos

Revista Baiana de Enfermagem

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2020, Volume 34 elocation e35603

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

Objective to discuss the invisibility of the transvestite person in health institutions based on the social representations of nurses. Method qualitative research with a theoretical-methodological approach of social representations that conducted a semi-structured interview with 20 nurses registered in postgraduate courses at a public university. The collected information was processed through the Iramuteq software, which generated the Hierarchical Descending Classification with five classes. Results in the representational content, the invisibility of transvestites is implicated in the way health professionals perceive the need/possibility of occupation of these spaces, especially those who offer primary care. Conclusion the social representations of the surveyed nurses revealed meanings for invisibility, exclusion, difficulties in care and care dispensation for transvestites in health institutions. The invisibility identified in the nurses’ representations occurs by the way health professionals perceive the need/possibility to occupy these spaces.

Objetivo discutir la invisibilidad de la persona travesti en las instituciones de salud sobre la base de las representaciones sociales de las enfermeras. Método investigación cualitativa con un enfoque teórico-metodológico de las representaciones sociales que realizó una entrevista semiestructurada con 20 enfermeras matriculados en cursos de postgrado en una universidad pública. La información recopilada se procesó a través del software Iramuteq, que generó la Clasificación Jerárquica Descendente con cinco clases. Resultados se identificó, en el contenido representativo, que la invisibilidad de los travestis está implicada en la forma en que las profesionales de la salud perciben la necesidad/posibilidad de ocupación de estos espacios, especialmente aquellos que ofrecen atención primaria. Conclusión las representaciones sociales de las enfermeras investigadas revelaron significados para la invisibilidad, exclusión, dificultades en la atención y dispensación de cuidados para travestis en instituciones de salud. La invisibilidad identificada en las representaciones de las enfermeras se produce por la forma en que las profesionales de la salud perciben la necesidad/posibilidad de ocupar estos espacios.

Objetivo discutir a invisibilidade da pessoa travesti em instituições de saúde com base nas representações sociais de enfermeiras. Método pesquisa qualitativa com abordagem téorica-metodológica das representações sociais que realizou entrevista semiestruturada com 20 enfermeiras matriculadas em cursos de pós-graduação de uma universidade pública. As informações coletadas foram processadas por meio do software Iramuteq, que gerou a Classificação Descendente Hierárquica com cinco classes. Resultados identificou-se, no conteúdo representacional, que a invisibilidade das travestis está implicada no modo como profissionais de saúde percebem a necessidade/possibilidade de ocupação desses espaços, principalmente aqueles que ofertam atenção básica. Conclusão as representações sociais das enfermeiras investigadas revelaram sentidos para a invisibilidade, exclusão, dificuldades no atendimento e dispensa de cuidados às travestis em instituições de saúde. A invisibilidade identificada nas representações das enfermeiras ocorre pelo modo como profissionais de saúde percebem a necessidade/possibilidade de ocupar esses espaços.

https://doi.org/10.18471/rbe.v34.35603 257 downloads

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