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Safety of two-dose schedule of COVID-19 adsorbed inactivated vaccine (CoronaVac; Sinovac/Butantan) and heterologous additional doses of mRNA BNT162b2 (Pfizer/BioNTech) in immunocompromised and immunocompetent individuals
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Miyaji, Karina Takesaki

; Ibrahim, Karim Yaqub

; Infante, Vanessa

; Moreira, Raquel Megale

; Santos, Carolina Ferreira dos Belizário, Juliana de Cássia Pinto, Maria Isabel de Moraes Marinho, Ana Karolina Barreto Berselli Pereira, Juliana Marquezi Mello, Liliane Saraiva de Silva, Vitor Gabriel Lopes da Sato, Paula Keiko Strabelli, Tânia Mara Varejão Ragiotto, Lucas Pacheco, Pedro Henrique Theotonio de Mesquita Braga, Patricia Emilia Loch, Ana Paula Precioso, Alexander Roberto Sartori, Ana Marli Christovam França, João Ítalo Lima, Marcos Alves de Ando, Mauricio Cesar Sampaio Rodrigues, Camila Cristina Martini Song, Alice Tung Wan Lara, Amanda Nazareth Belizário, Ana Cristina Lima, Anna Helena Simões Bortulucci de Zanetti, Ariane Cristina Barboza Paulo, Audrey Rose da Silveira Amancio de Rosa, Barbara Miranda dos Santos Moraes, Bruna Del Guerra de Carvalho Oliveira, Bruna Ribeiro de Picone, Camila de Melo Aranda, Carolina Sanches Troli, Carolinne Paioli Kokron, Cristina M. Terrabuio, Debora Raquel Benedita Abdala, Edson David Neto, Elias Nakanishi, Érika Yoshie Shimoda Lima, Fabiana Mascarenhas Souza Firmino, Fabio Batista Santos, Fernanda Barone Alves dos Bacal, Fernando Fatobene, Giancarlo Santana, Jaqueline Oliveira Kalil, Jorge Barbosa, Julia Gonçalves, Leandro Peres Otuyama, Leonardo Jun Pierrotti, Ligia Camera Compte, Livia Caroline Mariano Marinho, Livia Chaer, Livia Netto Seguro, Luis Fernando Azevedo, Luiz Sergio Ueda, Márcia Aiko Terreri, Maria Teresa Barros, Myrthes Anna Maragna Toledo Grecco, Octávio Sejas, Odeli Nicole Encinas Musqueira, Priscila Tavares Ito, Raquel Keiko de Luca Teixeira, Samia Silveira Souza Fidalgo, Serafim Costa, Silvia Figueiredo Campos, Silvia Vidal Fernandes, Tamiris Hinsching Rocha, Vanderson Geraldo Coelho, Vivian Caso

Revista do Instituto de Medicina Tropical de São Paulo

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2025, Volume 67 elocation e2

Abstract: En | Text: En | PDF: En

ABSTRACT Immunocompromised individuals were considered high-risk for severe disease due to SARS COV-2 infection. This study aimed to describe the safety of two doses of COVID-19 adsorbed inactivated vaccine (CoronaVac; Sinovac/Butantan), followed by additional doses of mRNA BNT162b2 (Pfizer/BioNTech) in immunocompromised (IC) adults, compared to immunocompetent/healthy (H) individuals. This phase 4, multicenter, open label study included solid organ transplant and hematopoietic stem cell transplant recipients, cancer patients and people with inborn errors of immunity with defects in antibody production, rheumatic, end-stage chronic kidney or liver disease, who were enrolled in the IC group. Participants received two doses of CoronaVac and additional doses of mRNA BNT162b2. Adverse reactions (AR) data were collected within seven days after each vaccination. Serious adverse events and of special interest (AESI) were monitored throughout the study. We included 241 immunocompromised and 100 immunocompetent subjects. Arthralgia, fatigue, myalgia, and nausea were more frequent in the IC group after CoronaVac. Following the first additional dose of mRNA BNT162, pain, induration, and tenderness at injection site, fatigue and myalgia were more frequent in the H group. A heart transplant recipient had a graft rejection temporally associated with the second CoronaVac dose, but there was no literature evidence of causal association. Four cases of AESI were considered related to the vaccine: three erythema multiforme after CoronaVac, all in IC participants, and one paresthesia after mRNA, in a H participant. Our findings were comparable to other studies that evaluated the safety of COVID-19 vaccines in different immunocompromised populations. Both vaccines were safe for immunocompromised participants.

https://doi.org/10.1590/s1678-9946202567002

Consensus of the Brazilian Association of Hematology, Hemotherapy and Cellular Therapy (ABHH) and the Brazilian Ministry of Health - General management of blood and blood products on the tests necessary for the release of exceptional medicines for sickle cell disease Hematology ABHH (ABHH
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Lobo, Clarisse

; Araújo, Aderson Antunes, Alexandre de Albuquerque Pinto, Ana Cristina Silva Godinho, Ariadne Carvalho Pires, Cassia Silvestre Mariano Matheus, Cinthia Cristina Albuquerque, Xerez de Neves, Daniele Campos Fontes Moreno, Fábio de Lima Baldanzi, Giorgio Siufi, Grazziella Curado Miranda, Heloisa Helena Pereira Hankins, Jane Aragão, Joice Braga, Josefina Aparecida Pellegrini Martins, Juliana Touguinha Neves Souza, Luciana Campos Costa Machado de Figueiredo, Maria Stella Oliveira, Mirella Rodrigues Cardoso, Patricia Santos Resende Pinto, Patricia Costa Alves Moura, Patricia Gomes Cançado, Rodolfo Delfini Araujo, Paulo Ivo Cortez de Saad, Sara Olalla Loggetto, Sandra Regina Fonseca, Teresa Cristina Cardoso

Hematology, Transfusion and Cell Therapy

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mar 2024, Volume 46 N. 1 Pages 67 - 71

Abstract: En | Text: En | PDF: En

Abstract To date, hydroxyurea is the only effective and safe drug that significantly reduces morbidity and mortality of individuals with Sickle cell disease. Twenty years of real-life experience has demonstrated that hydroxyurea reduces pain attacks, vaso-occlusive events, including acute chest syndrome, the number and duration of hospitalizations and the need for transfusion. The therapeutic success of hydroxyurea is directly linked to access to the drug, the dose used and adherence to treatment which, in part, is correlated to the availability of hydroxyurea. This consensus aims to reduce the number of mandatory exams needed to access the drug, prioritizing the requesting physician's report, without affecting patient safety. date disease reallife real life attacks vasoocclusive vaso occlusive events syndrome transfusion which part physicians physician s report safety

https://doi.org/10.1016/j.htct.2024.01.001

Clínicas Populares de Saúde a partir da perspectiva de empresários e de representantes da classe médica
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Sousa, Marina do Nascimento

; Oliveira, Bruno Luciano Carneiro Alves de

; Alves, Maria Teresa Seabra Soares de Britto e

; Andrietta, Lucas Salvador

; Carvalho, Ruth Helena de Souza Britto Ferreira de

Saúde e Sociedade

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2024, Volume 33 N. 2 elocation e230426pt

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

Resumo Este artigo pretende compreender a perspectiva de empresários de Clínicas Populares de Saúde (CPS) e representantes da classe médica sobre serviços ofertados pelo setor; impactos decorrentes da pandemia covid-19; e futuro do mercado de trabalho médico. Trata-se de pesquisa qualitativa, da área de saúde coletiva, com enfoque nas representações sociais. Foram realizadas entrevistas semiestruturadas, entre março e julho de 2021, com quatro empresários locais e três representantes de classe médica de uma cidade da região Nordeste do Brasil. As CPS ofertam serviços assistenciais restritos a consultas e exames e com estratégias de lógica financeirizada; se apresentam como “alternativa” ao SUS, uma suposta “lacuna” entre planos de saúde privados e serviços públicos, e como “novo” trabalho médico. As empresas ofertam consultas com especialistas a preços “populares” e sem fila de espera. A assistência prestada é restrita e os profissionais não têm garantia de direitos trabalhistas. Para os entrevistados, o acesso à saúde representa acessibilidade geográfica e temporal de serviço a preço reduzido. O direito universal à saúde e princípios do SUS são confrontados com a defesa da autonomia dos clientes e dos profissionais visando suas necessidades: saúde e trabalho.

Abstract The objective is to understand the perspective of entrepreneurs from Popular Health Clinics (PHC) and representatives of the medical profession on services offered by the sector; impacts resulting from the COVID-19 pandemic; and future of the medical job market. This is a qualitative research, in the area of collective health, focused on social representations. Semi-structured interviews were carried out, from March to July 2021, with four local entrepreneurs and three representatives of the medical profession from a municipality in the Northeast region of Brazil. PHC offer assistance services restricted to consultations and exams and with financialized logic strategies. The PHC are presented as an “alternative” to the SUS, a supposed “gap” between private health plans and public services, and as a “new” medical work. Companies offer consultations with specialists at “popular” prices and without a waiting list. The assistance provided is restricted and professionals have no guarantee of labor rights. For those interviewed, access to healthcare represents geographic and temporal accessibility of services at a reduced price. The universal right to health and SUS principles are confronted with the defense of the autonomy of clients and professionals targeting their needs: health and work.

https://doi.org/10.1590/s0104-12902024230426pt

QUALIDADE DA OFERTA EDUCACIONAL E DESIGUALDADES DE APRENDIZADO NO ENSINO FUNDAMENTAL BRASILEIRO
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XAVIER, FLAVIA PEREIRA

; ALVES, MARIA TERESA GONZAGA

; PETRUS, JOYCE SOARES RODRIGUES

Educação em Revista

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2024, Volume 40 elocation e47486

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

RESUMO: Nas últimas décadas, a preocupação com a qualidade educacional foi mais evidenciada, na agenda pública brasileira, do que as ações centradas no combate às desigualdades, em função do amplo uso do Índice de Desenvolvimento da Educação Básica - Ideb. Contudo, estudos apontam que a qualidade não tem sido acompanhada de equidade, ferindo princípios constitucionais. Nessa esteira, investigamos a relação entre indicadores de oferta educacional e medidas de qualidade e equidade de aprendizado no ensino fundamental. Utilizando dados das escolas públicas brasileiras, provenientes do Censo Escolar e do Saeb, dados demográficos e de investimentos, provenientes do IBGE e do Siope, observamos que os indicadores da oferta educacional se associam mais à qualidade do que à equidade e que municípios maiores, em termos populacionais, tendem a apresentar qualidade com menos equidade. É possível observar um padrão Norte/Sul do país. Situações de mais equidade são vistas em estados do Norte e do Nordeste. Do lado oposto, situações de mais qualidade são encontradas em estados do Sul e do Sudeste. Situações de mais qualidade com equidade são raras nos municípios brasileiros, mas foram encontradas em maior proporção, no Ceará. Conclui-se que políticas específicas e mais objetivas são necessárias para a garantia de uma educação de qualidade com equidade. Esta garantia é um direito de todos e recebe ainda mais relevância no cenário pós-pandemia de covid-19, em que as lacunas de aprendizagens e o acirramento das desigualdades educacionais têm se revelado cada vez mais profundas. RESUMO décadas evidenciada brasileira Ideb Contudo constitucionais esteira fundamental brasileiras Saeb investimentos Siope maiores populacionais NorteSul país Nordeste oposto Sudeste brasileiros proporção Ceará Concluise Conclui póspandemia pós pandemia covid19, covid19 covid 19, 19 covid-19 profundas covid1 1 covid-1 covid-

ABSTRACT: In the last decades, there was a more significant concern with educational quality than towards actions to combat inequality in the public Brazilian agenda due to the broad use of Ideb (Basic Education Development Index). However, studies have pointed out that equity did not follow quality, hindering constitutional principles. In this sense, we investigate the relationship between the educational provision indicators and the measure of learning quality and equity in elementary and middle school. Using data from Brazilian public schools retrieved from School Census, Saeb (Basic Education Evaluation System), demographic, investment data from IBGE (Brazilian Institute of Geography and Statistics) and Siope (Information System on Public Budgets in Education), we could observe that the indicators of educational provision are more closely connected to quality than equity and that more populated cities tend to have quality with less equity. We note a North/South pattern in the country, with more equitable situations in the North and Northeast states, while higher quality situations are observed in the South and Southeast states. Situations portraying more quality with equity are rare in Brazilian cities but were proportionally higher in Ceará. The results indicate that more objective and specific policies are needed to guarantee a quality education with equity. This guarantee is a right for all and is even more relevant in a post-pandemic scenario marked by more profound learning gaps and educational inequalities. ABSTRACT decades Basic Index. Index . Index) However principles sense school Census System, , System) demographic Statistics Information Education, Education) NorthSouth country states Ceará postpandemic post pandemic inequalities

RESUMEN: En las últimas décadas, la preocupación por la calidad de la educación fue más evidente en la agenda pública brasileña que los esfuerzos enfocados en combatir las desigualdades, debido al uso generalizado del Índice de Desarrollo de la Educación Básica - Ideb. Sin embargo, estudios indican que la calidad no ha ido acompañada de equidad, violando principios constitucionales. En el contexto, investigamos la relación entre los indicadores de provisión educativa y las medidas de calidad y equidad del aprendizaje en la educación primaria. Utilizando datos de escuelas públicas brasileñas, del Censo Escolar y del Saeb (Sistema Nacional de Evaluación de la Educación Básica), datos demográficos y de inversiones, del IBGE (Instituto Brasileño de Geografía y Estadística) y del Siope (Sistema de Información sobre Presupuestos Públicos en Educación ), observamos que los indicadores de oferta educativa están más asociados a la calidad que a la equidad y que los municipios más grandes tienden a presentar calidad con menor equidad. Es posible observar un patrón Norte/Sur en el país. Se observan situaciones más equitativas en los estados del Norte y del Nordeste. Por otro lado, las situaciones de mejor calidad se encontrarán en los estados del Sur y del Sureste. Más situaciones de calidad con equidad son raras en los municipios brasileños, pero fueron encontradas en mayor proporción en el estado de Ceará. Concluimos que son necesarias políticas específicas y más objetivas para garantizar una educación de calidad con equidad. Esta garantía es un derecho de todos y es aún más relevante en el escenario pospandemia del COVID-19, en el que los huecos de aprendizaje y el aumento de las desigualdades educativas se han hecho más evidentes. RESUMEN décadas Ideb embargo constitucionales contexto primaria brasileñas Sistema Básica, , Básica) inversiones Instituto Estadística ) NorteSur país Nordeste lado Sureste brasileños Ceará COVID19, COVID19 COVID 19, 19 COVID-19 evidentes COVID1 1 COVID-1 COVID-

https://doi.org/10.1590/0102-469847486

RBEP: 80 anos de contribuição para a educação pública e democrática, a produção científica independente e o impacto social da pesquisa educacional RBEP 8 democrática
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Silva, Josiane Cristina da Costa

; Moraes, Louise

; Felício, Marco Castilho

; Alves, Maria Teresa Gonzaga

; Arrial, Roberto Ternes

; Mateus, Roshni Mariana de

Revista Brasileira de Estudos Pedagógicos

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2024, Volume 105 elocation e6071

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.24109/2176-6681.rbep.105.6071

Clínicas Populares de Saúde a partir da perspectiva de empresários e de representantes da classe médica
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Sousa, Marina do Nascimento

; Oliveira, Bruno Luciano Carneiro Alves de

; Alves, Maria Teresa Seabra Soares de Britto e

; Andrietta, Lucas Salvador

; Carvalho, Ruth Helena de Souza Britto Ferreira de

Saúde e Sociedade

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2024, Volume 33 N. 2 elocation e230426pt

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

https://doi.org/10.1590/s0104-12902024230426pt

Distribution pattern in the rupiculous genus Orthophytum (Bromelioideae/Bromeliaceae) reveals high microendemicity in different types of rocky outcrops Bromelioideae/Bromeliaceae BromelioideaeBromeliaceae Bromelioideae Bromeliaceae (Bromelioideae/Bromeliaceae
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COSTA, SWAMI L.

; LOUZADA, RAFAEL B.

; NEPOMUCENO, SILMARA CECÍLIA

; ALVES, JOILSON V.

; BURIL, MARIA TERESA

Anais da Academia Brasileira de Ciências

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2024, Volume 96 N. 2 elocation e20230007

Abstract: En | Text: En | PDF: En

Abstract This study aimed to recognize the biogeographic patterns, richness, and diversity levels of the Brazilian endemic genus Orthophytum and identify their biotic components through a parsimony analysis of endemicity (PAE), to better understand the evolutionary history of this group and develop strategies for the conservation of its species. We prepared a database for the 54 currently known species of Orthophytum, including their geographical locations as obtained from digital databases of the principal herbaria of Brazil, Europe, and the USA. A parsimony analysis of endemicity (PAE) was used to delimit the areas of endemism based on two grids’ sizes (1º x 1º and 2º × 2º). The majority rule consensus tree resulting from the PAE indicated three areas of endemism with high bootstrap, diversity, and richness indices: the northern portion of the Espinhaço Range, the southern portion of the Espinhaço Range, and the central portion of the Atlantic Forest. The recognition of those distribution patterns reveals a high number of microendemic species, which is discussed here. PAE, , 5 Brazil Europe USA (PAE grids º 2º. . 2º) bootstrap indices Range Forest here

https://doi.org/10.1590/0001-3765202420230007

Selection methods to optimize the gain and genetic diversity in Pinus caribaea var. caribaea var
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Zulian, Daniele Fernanda

; Souza, Bruno Marchetti de Gonzalez, Darlin Cambuim, Jose Silva, Alexandre Marques da Alves, Patrícia Ferreira Lopes, Maria Teresa Gomes Moraes, Mario Luiz Teixeira de Aguiar, Ananda Virginia de

Crop Breeding and Applied Biotechnology

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2024, Volume 24 N. 3 elocation e47742436

Abstract: En | Text: En | PDF: En

Abstract We estimated genetic parameters of two Pinus caribaea var. caribaea progeny tests based on growth traits aiming at the identification of the best selection strategy. This study was conducted in two progeny tests located in Selvíria (MS), Brazil. Tests were set up in block design, one with 76 progenies (area 1) and the other with 99 progenies (area 2). Genetic parameters were estimated using the SELEGEN software through REML/BLUP method. To estimate the genetic gain through selection, four selection methods and ten selection intensities were tested. The intensity of selection that maximizes genetic gain and genetic diversity was calculated by the optimization point. Significant variation was observed between and with progeny for all traits in area 2 and only within plots for height in area 1. Higher values of heritability were observed in area 1. Considering the optimization of selection, the best selection method for both areas was the individual. var strategy MS, MS , (MS) Brazil design 7 1 9 2. . 2) REMLBLUP REML BLUP tested point individual (MS

https://doi.org/10.1590/1984-70332024v24n3a31

Uma medida do nível socioeconômico das escolas brasileiras utilizando indicadores primários e secundários
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Soares, José Francisco

; Alves, Maria Teresa Gonzaga

Opinião Pública

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sep 2023, Volume 29 N. 3 Pages 575 - 605

Este artigo apresenta uma medida do nível socioeconômico (NSE) de quase todas as escolas brasileiras. Indicadores primários – calculados com dados de questionários respondidos pelos estudantes nas avaliações educacionais – e indicadores secundários – que caracterizam o contexto social das escolas – foram agregados em uma escala de NSE por meio de um modelo da Teoria de Resposta ao Item. O NSE foi calculado para mais de 180 mil escolas. A metodologia deu visibilidade às escolas pequenas ou de áreas remotas que, até então, eram invisíveis para as políticas públicas, uma vez que elas não participam das avaliações educacionais. A relação entre resultados educacionais e o NSE representa as desigualdades do país. O NSE das escolas tem utilidade para a pesquisa acadêmica e potencial para contribuir com o aperfeiçoamento das políticas públicas que visam a reduzir as desigualdades educacionais. (NSE brasileiras Item 18 então país 1

Abstract The article presents a measure of socioeconomic status (SES) for nearly all Brazilian schools. Primary indicators – calculated with data from questionnaires answered by students in educational assessments – and secondary indicators – which characterize the schools' social contexts – were aggregated into an SES scale through an Item Response Theory model. The SES was calculated for more than 180,000 schools. The methodology gave visibility to small schools or ones in remote areas that, until now were invisible to public policies since they had not participated in educational assessments. The relationship between educational outcomes and SES represents the inequalities in the country. The schools' SES are useful for academic research, and can help improve public policies aimed at reducing educational inequalities. (SES model 180000 180 000 180,00 that country research 18000 18 00 180,0 1800 1 0 180,

Resumen El artículo presenta una medida del nivel socioeconómico (NSE) para casi todas las escuelas brasileñas. Indicadores primarios – calculados con los datos de los cuestionarios respondidos por los alumnos en las evaluaciones educativas – e indicadores secundarios – que caracterizan el contexto social de los centros escolares – se agregaron en una escala de NSE mediante un modelo de la Teoría de Respuesta al Ítem. El NSE se calculó para más de 180.000 centros escolares. La metodología dio visibilidad a escuelas pequeñas o de zonas remotas que, hasta entonces, eran invisibles para las políticas públicas, ya que no participaban en las evaluaciones educativas. La relación entre los resultados educativos y el NSE representa las desigualdades del país. El NSE de las escuelas es útil para la investigación académica y tiene el potencial de contribuir a la mejora de las políticas públicas destinadas a reducir las desigualdades educativas. (NSE brasileñas Ítem 180000 180 000 180.00 entonces país 18000 18 00 180.0 1800 1 0 180.

Résumé L'article présente une mesure du niveau socio-économique (NSE) pour presque toutes les écoles brésiliennes. Des indicateurs primaires – calculés à partir de données provenant de questionnaires auxquels les élèves ont répondu dans le cadre d'évaluations éducatives – et des indicateurs secondaires – qui caractérisent le contexte social des écoles – ont été agrégés sur une échelle de NSE au moyen d'un modèle de théorie de la réponse aux items. Le NSE a été calculé pour plus de 180.000 écoles. La méthodologie a donné une visibilité aux petites écoles ou à celles situées dans des zones reculées qui, jusqu'alors, étaient invisibles pour les politiques publiques, puisqu'elles ne participent pas aux évaluations éducatives. La relation entre les résultats scolaires et les NSE représente les inégalités du pays. Les NSE des écoles est utile pour la recherche académique et peut contribuer à l'amélioration des politiques visant à réduire les inégalités éducatives. Larticle L article socioéconomique socio économique (NSE brésiliennes dévaluations d dun un items 180000 180 000 180.00 jusqualors, jusqualors jusqu alors, alors jusqu'alors publiques puisquelles puisqu elles pays lamélioration l amélioration 18000 18 00 180.0 1800 1 0 180.

https://doi.org/10.1590/1807-01912023293575

10.

[SciELO Preprints] - QUALITY OF THE EDUCATIONAL SUPPLY AND LEARNING INEQUALITIES IN BRAZILIAN ELEMENTARY EDUCATION
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Xavier, Flavia Pereira Alves, Maria Teresa Gonzaga Petrus, Joyce Soares Rodrigues

Journal Metrics
- Sobre o periódico
- SciELO Analytics

Publication date: 2023-07-20

Abstract: En Es Pt

In recent decades, concern with educational quality was more evident on the Brazilian public agenda than efforts focused on combating inequalities, due to the widespread use of the Basic Education Development Index - Ideb. However, studies indicate that quality has not been accompanied by equity, violating constitutional principles. In the context, we investigated the relationship between indicators of educational provision and measures of quality and equity of learning in Elementaryeducation. Using data from Brazilian public schools, from the Censo Escolar (School Census) and Saeb (National Basic Education Assessment System), demographic and investment data, from IBGE(Brazilian Institute of Geography and Statistics) and Siope (Information System on Public Budgets in Education), we observe that educational offer indicators are more associated with quality than with equity and that larger municipalities tend to present quality with less equity. It is possible to observe a North/South pattern in the country. More equitable situations are seen in the North and Northeast states. On the otherhand, the best quality situations will be found in the South and Southeast states. More quality situations with equity are rare in Brazilian municipalities, but were found in greater proportion in Ceará state. We concluded that specific and more objective policies are necessary to guarantee a quality education with equity. This guarantee is everyone's right and is even more relevant in the post-COVID-19 pandemic scenario, in which learning gaps and increased educational inequalities have become more evident.

En las últimas décadas, la preocupación por la calidad de la educación fue más evidente en la agenda pública brasileña que los esfuerzos enfocados en combatir las desigualdades, debido al uso generalizado del Índice de Desarrollo de la Educación Básica - Ideb. Sin embargo, estudios indican que la calidad no ha ido acompañada de equidad, violando principios constitucionales. En el contexto, investigamos la relación entre los indicadores de provisión educativa y las medidas de calidad y equidad del aprendizaje en la educación primaria. Utilizando datos de escuelas públicas brasileñas, del Censo Escolar y Saeb (Sistema Nacional de Evaluación de la Educación Básica), datos demográficos y de inversión, del IBGE (Instituto Brasileño de Geografía y Estadística) y Siope (Sistema de Información sobre Presupuestos Públicos en Educación ), observamos que los indicadores de oferta educativa están más asociados a la calidad que a la equidad y que los municipios más grandes tienden a presentar calidad con menor equidad. Es posible observar un patrón Norte/Sur en el país. Se observan situaciones más equitativas en los estados del Norte y del Nordeste. Por otro lado, las situaciones de mejor calidad se encontrarán en los estados del Sur y Sureste. Más situaciones de calidad con equidad son raras en los municipios brasileños, pero fueron encontradas en mayor proporción en el estado de Ceará. Concluimos que son necesarias políticas específicas y más objetivas para garantizar una educación de calidad con equidad. Esta garantía es un derecho de todos y es aún más relevante en el escenario pospandemia del COVID-19, en el que las brechas de aprendizaje y el aumento de las desigualdades educativas se han hecho más evidentes.

Nas últimas décadas, a preocupação com a qualidade educacional foi mais evidenciada, na agenda pública brasileira, do que as ações centradas no combate às desigualdades, em função do amplo uso do Índice de Desenvolvimento da Educação Básica - Ideb. Contudo, estudos apontam que a qualidade não tem sido acompanhada de equidade, ferindo princípios constitucionais. Nesta esteira, investigamos a relação entre indicadores de oferta educacional e medidas de qualidade e equidade de aprendizado no ensino fundamental. Utilizando dados das escolas públicas brasileiras, provenientes do Censo Escolar e Saeb, dados demográficos e de investimentos, provenientes do IBGE e Siope, observamos que os indicadores da oferta educacional associam-se mais à qualidade do que à equidade e que municípios maiores, em termos e população, tendem a apresentar qualidade com menos equidade. É possível observar um padrão Norte/Sul do país. Situações de mais equidade, são vistas em estados do Norte e Nordeste. De lado oposto, situações de mais qualidade são encontradas em estados do Sul eSudeste. Situações de mais qualidade com equidade são raras nos municípios brasileiros, mas foram encontradas em maior proporção, no Ceará. Conclui-se que políticas específicas e mais objetivas são necessárias para a garantia de uma educação de qualidade com equidade. Esta garantia é um direito de todos e recebe ainda mais relevância no cenário pós pandemia por COVID-19, em que as lacunas de aprendizagens e o acirramento das desigualdades educacionais têm se revelado cada vez mais profundas.

https://doi.org/10.1590/SciELOPreprints.6436

11.

Sintomas depressivos, ansiedade e os sintomas estressantes durante a gravidez afetam o ganho de peso gestacional?
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Souza, Larissa Nogueira Silva

; Confortin, Susana Cararo

; Aristizábal, Liliana Yanet Gómez

; Chagas, Deysianne Costa das

; Vieira, Ana Cleide

; Simões, Vanda Maria Ferreira

; Alves, Maria Teresa Seabra Soares de Britto e

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jul 2023, Volume 28 N. 7 Pages 2087 - 2097

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

Resumo O objetivo deste artigo é estimar os efeitos dos sintomas de transtornos mentais na gravidez (sintomas depressivos, ansiedade e estresse) no ganho de peso gestacional. Estudo longitudinal, realizado com dados da Coorte de nascimento BRISA, iniciada em 2010 em São Luís, Maranhão. O ganho de peso gestacional foi classificado de acordo com Institute of Medicine. A variável independente foi um construto (variável latente) nomeado de sintomas de transtornos mentais, englobando as variáveis sintomas depressivos, a ansiedade e os sintomas estressantes (todas de forma contínua). Utilizou-se modelagem de equações estruturais, a fim de investigar a associação entre a saúde mental e ganho de peso. Em relação a associação entre sintomas de transtornos mentais e ganho de peso na gestação, não se encontrou efeito total (CP=0,043; p=0,377). Em relação aos efeitos indiretos, também não se encontrou efeito através dos comportamentos de risco (CP=0,03; p=0,368) e através da atividade física (CP=0,00; p=0,974). Finalmente os dados não evidenciaram efeito direto dos sintomas de transtornos mentais durante a gravidez como o ganho de peso gestacional (CP=0,050; p=0,404). O ganho de peso gestacional não apresentou efeito direto, indireto e total nos sintomas de transtornos mentais de gestantes.

Abstract The scope of this article is to estimate the effects of symptoms of mental disorders during pregnancy (depressive symptoms, anxiety and stress) on gestational weight gain (kg). It is a longitudinal study, carried out with data from the BRISA Birth Cohort, which was launched in 2010 in São Luís, Maranhão. Gestational weight gain was classified according to the Institute of Medicine. The independent variable was a construct (latent variable) referred to as symptoms of mental disorders, made up of the depressive symptoms, anxiety and stressful symptoms variables (all on an ongoing basis). Structural equation modeling was used to investigate the association between mental health and weight gain. Regarding the association between symptoms of mental disorders and weight gain during pregnancy, no total effect was found (PC=0.043; p=0.377). Regarding indirect effects, no effect was found either through risk behaviors (PC=0.03; p=0.368) or through physical activity (PC=0.00; p=0.974). Finally, the data did not show a direct effect of symptoms of mental disorders during pregnancy such as gestational weight gain (PC=0.050; p=0.404). Gestational weight gain had no direct, indirect or total effect on symptoms of mental disorders in pregnant women.

https://doi.org/10.1590/1413-81232023287.10532022

12.

Sintomas depressivos, ansiedade e os sintomas estressantes durante a gravidez afetam o ganho de peso gestacional?
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Souza, Larissa Nogueira Silva

; Confortin, Susana Cararo

; Aristizábal, Liliana Yanet Gómez

; Chagas, Deysianne Costa das

; Vieira, Ana Cleide

; Simões, Vanda Maria Ferreira

; Alves, Maria Teresa Seabra Soares de Britto e

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jul 2023, Volume 28 N. 7 Pages 2087 - 2097

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

https://doi.org/10.1590/1413-81232023287.10532022

13.

Development and validation of the clinical report form for nodular thyroid pathologies
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Neto, Vanessa

; Esteves-Ferreira, Sara

; Inácio, Isabel

; Alves, Márcia

; Dantas, Rosa

; Azevedo, Teresa

; Guimarães, Joana

; Herdeiro, Maria Teresa

; Nunes, Alexandra

Archives of Endocrinology and Metabolism

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feb 2023, Volume 67 N. 1 Pages 136 - 142

Abstract: En | Text: En | PDF: En

Abstract Objectives: The aim of this study is to develop and validate a novel clinical report form in the format of a structured interview to enable the characterization of the Portuguese population of the Baixo Vouga region with different subtypes of nodular thyroid pathologies (NTyPs). Materials and methods: A structured interview was developed and to the best of our knowledge, this is the first structured interview built and validated for that purpose in Portugal. Results: This structured interview enables the identification of possible correlations between each subtype of nodular lesions and sociodemographic data, consumption habits and lifestyle, endocrine history, and family predisposition. Conclusion: The novel structured interview will simultaneously, enable a detailed characterization of the group of patients with nodular thyroid lesions and will support future metabolomic studies. Objectives NTyPs. NTyPs . (NTyPs) methods knowledge Portugal Results data lifestyle history predisposition Conclusion simultaneously studies (NTyPs

https://doi.org/10.20945/2359-3997000000534

14.

Processo de trabalho em Clínicas Populares de Saúde na perspectiva de médicos
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Campos, Douglas Moraes

; Carvalho, Ruth Helena de Souza Britto Ferreira de

; Goldenzweig, Roman Eduardo

; Pereira, Joelmara Furtado dos Santos

; Alves, Maria Teresa Seabra Soares de Britto e

Interface - Comunicação, Saúde, Educação

Journal Metrics
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2023, Volume 27 elocation e220330

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

El objetivo de este estudio fue comprender la perspectiva de médicos sobre el proceso de trabajo en Clínicas Populares de Salud. Para ello, realizamos una investigación cualitativa en la que fueron entrevistados ocho jóvenes médicos especialistas que actúan en esas empresas en São Luís, Maranhão. Identificamos condiciones precarias de trabajo, pero con poca resistencia por parte de los médicos, considerando que esas empresas son consideradas como espacios de proyección en el mercado de trabajo local. Debido a las limitaciones del modelo asistencial del tipo queja-conducta, los entrevistados ponen en acción una red informal y los usuarios de las Clínicas Populares de Salud son derivados para el Sistema Brasileño de Salud (SUS). De tal forma, el proceso de trabajo del médico es desafiado por ese modelo asistencial fragmentado, lo que borra los límites de las interfaces público-privado a medida que se naturaliza una doble puerta de entrada al SUS. ello Luís Maranhão local quejaconducta, quejaconducta queja conducta, conducta queja-conducta SUS . (SUS) forma fragmentado públicoprivado público privado (SUS

O objetivo deste estudo foi compreender a perspectiva de médicos acerca do processo de trabalho em Clínicas Populares de Saúde. Para isso, realizamos uma pesquisa qualitativa na qual foram entrevistados oito jovens médicos especialistas que atuam nessas empresas em São Luís, Maranhão. Identificamos condições precarizadas de trabalho, mas com pouca resistência por parte dos médicos, considerando que essas empresas são encaradas como espaços de projeção no mercado de trabalho local. Devido às limitações do modelo assistencial do tipo queixa-conduta, os entrevistados acionam uma rede informal e os usuários das Clínicas Populares de Saúde são encaminhados para o Sistema Único de Saúde (SUS). Assim, o processo de trabalho do médico é desafiado por esse modelo assistencial fragmentado, o que faz borrar os limites nas interfaces público-privado na medida em que uma dupla porta de entrada para o SUS é naturalizada. isso Luís Maranhão local queixaconduta, queixaconduta queixa conduta, conduta queixa-conduta SUS. . (SUS) Assim fragmentado públicoprivado público privado naturalizada (SUS

The objective of the study was to understand the perspective of doctors regarding the work process in Low-cost Health Clinics. To this end, we conducted qualitative research interviewing 8 young specialist doctors who work in these business firms in São Luís, Maranhão. We identified precarious working conditions, although presenting little resistance from the doctors, considering that these businesses are seen as spaces of projection in the local job market. Due to the limitations of the complaint-driven model of care, the interviewees activate an informal network, and the users of the Low-Cost Health Clinics are referred to the Brazilian National Health System (SUS). Thus, the physician’s work process is challenged by this fragmented care model, which blurs the boundaries in the public-private interfaces leading to a naturalized double gateway to the SUS. Lowcost Low cost end Luís Maranhão conditions market complaintdriven complaint driven network LowCost Cost SUS . (SUS) Thus physicians physician s publicprivate public private (SUS

https://doi.org/10.1590/interface.220330

15.

Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
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LOUREDO, Brendo Vinicius Rodrigues

; CURADO, Maria Paula

; PENAFORT, Paulo Victor Mendes

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; MESQUITA, Ricardo Alves

; PINTO-JÚNIOR, Décio dos Santos

; ABRAHÃO, Aline Corrêa

; ANDRADE, Bruno Augusto Benevenuto de

; AGOSTINI, Michelle

; MORAES, Renata Mendonça

; ANBINDER, Ana Lia

; DOURADO, Pedro Henrique Silva

; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos

; PIRES, Fábio Ramoa

; BORDIGNON, Natalia Cristina Trentin

; GONDAK, Rogério Oliveira

; DE OLIVEIRA, Marcia Gaiger

; CARRARD, Vinicius Coelho

; MARTINS, Manoela Domingues

; SOUSA-NETO, Sebastião Silvério

; ARANTES, Diego Antônio Costa

; MENDONÇA, Elismauro Francisco

; CIESLAK-SANCHES, Silvia Roberta

; ANTUNES, Daniella Moraes

; AMARAL-SILVA, Gleyson Kleber do

; MANIERI, Patricia Rubia

; RAMALHO, Luciana Maria Pedreira

; DOS SANTOS, Jean Nunes

; LEONEL, Augusto César Leal da Silva

; PEREZ, Danyel Elias da Cruz

; VERHEUL, Hannah Carmem Carlos Ribeiro Silva

; BARROSO, Keila Martha Amorim

; RODRIGUES, Flávia Luiza Santos

; GONZAGA, Amanda Katarinny Goes

; FERNANDES, Romana Renery

; DE SOUZA, Lélia Batista

; SOUZA, Lucas Lacerda de

; PONTES, Flávia Sirotheau Corrêa

; PONTES, Hélder Antônio Rebelo

; SILVA, Caroline Alfaia

; CÂMARA, Jeconias

; LIBÓRIO-KIMURA, Tatiana Nayara

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ALMEIDA, Oslei Paes de

; ROMAÑACH, Mário José

; VARGAS, Pablo Agustin

Brazilian Oral Research

Journal Metrics
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2023, Volume 37 elocation e126

Abstract: En | Text: En | PDF: En

Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0126

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