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RESUMEN Objetivo. Estimar la prevalencia del tracoma en poblaciones indígenas y no indígenas en determinadas zonas del estado de Maranhão, en el nordeste de Brasil. Métodos. Se trató de una encuesta de ámbito poblacional con muestreo probabilístico. Para el diagnóstico del tracoma, se realizó un examen ocular externo con una lupa frontal de 2,5X aumentos. Se estimó la prevalencia de la inflamación tracomatosa folicular (TF) en la población infantil de 1 a 9 años y la prevalencia de la triquiasis tracomatosa (TT) en la población de 15 años o más. Se obtuvieron las frecuencias relativas de las características sociodemográficas y ambientales. Resultados. En el estudio participaron 7 971 personas, 3 429 de poblaciones no indígenas y 4 542 de poblaciones indígenas. La prevalencia de la TF en las poblaciones no indígenas e indígenas fue de 0,1% y 2,9%, respectivamente, en tanto que la de la TT en las poblaciones indígenas fue de 0,1%. Conclusiones. La prevalencia de la TF y la TT en las dos unidades de evaluación del estado de Maranhão estuvo dentro de los límites recomendados para la eliminación del tracoma como problema de salud pública. Sin embargo, la prevalencia de la TF fue mayor en la unidad de evaluación indígena, lo que indica una mayor vulnerabilidad de esta población a la enfermedad. La prevalencia de la TF inferior al 5,0% implica una reducción de la transmisión, que puede haber sido consecuencia tanto de la mejora de las condiciones socioeconómicas como de la aplicación de la estrategia SAFE de la Organización Mundial de la Salud.

ABSTRACT Objective. To estimate the prevalence of trachoma in indigenous and non-indigenous populations in selected areas of the state of Maranhão, in northeastern Brazil. Methods. This was a population-based survey with probabilistic sampling. For the diagnosis of trachoma, external ocular examination was performed using head magnifying loupes, at 2.5X magnification. The prevalence of trachomatous inflammation – follicular (TF) in children aged 1–9 years and the prevalence of trachomatous trichiasis (TT) in the population aged ≥15 years were estimated. Relative frequencies of sociodemographic and environmental characteristics were obtained. Results. The study included 7 971 individuals, 3 429 from non-indigenous populations and 4 542 from indigenous populations. The prevalence of TF in non-indigenous and indigenous populations was 0.1% and 2.9%, respectively, and the prevalence of TT among indigenous populations was 0.1%. Conclusions. The prevalence of TF and TT in the two evaluation units in the state of Maranhão were within the limits recommended for the elimination of trachoma as a public health problem. However, the prevalence of TF was higher in the indigenous evaluation unit, indicating a greater vulnerability of this population to the disease. The prevalence of TF of below 5.0% implies a reduction in transmission, which may have resulted from improved socioeconomic conditions and/or the implementation of the World Health Organization SAFE strategy.

RESUMO Objetivo. Estimar a prevalência do tracoma em populações indígenas e não indígenas em áreas selecionadas do estado do Maranhão, na região Nordeste do Brasil. Métodos. Inquérito de base populacional com amostragem probabilística. Para o diagnóstico de tracoma, foi realizado exame ocular externo com o auxílio de lupas binoculares com ampliação de 2,5×. Foram estimadas a prevalência de inflamação tracomatosa folicular (TF) em crianças de 1 a 9 anos de idade e a prevalência de triquíase tracomatosa (TT) na população com idade ≥15 anos. Foram obtidas as frequências relativas das características sociodemográficas e ambientais. Resultados. O estudo incluiu 7 971 indivíduos (3 429 de populações não indígenas e 4 542 de populações indígenas). A prevalência de TF nas populações não indígenas e indígenas foi de 0,1% e 2,9%, respectivamente, e a prevalência de TT entre as populações indígenas foi de 0,1%. Conclusões. A prevalência de TF e TT nas duas unidades de avaliação no estado do Maranhão ficou dentro dos limites recomendados para a eliminação do tracoma como problema de saúde pública. No entanto, a prevalência de TF foi maior na unidade de avaliação indígena, indicando uma maior vulnerabilidade dessa população à doença. A prevalência de TF abaixo de 5,0% implica uma redução na transmissão, que pode ter sido resultado de melhores condições socioeconômicas e da implementação da estratégia SAFE da Organização Mundial da Saúde.

https://doi.org/10.26633/rpsp.2024.19

Use of private vaccination services by infants in Brazilian municipalities: National Vaccine Coverage Survey 2020
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Burdinski, Ediane de Fátima Mance

; Denardin, Maiara Sulzbach

; Marins, Gisele

; Otero, Sandra Duran

; França, Ana Paula

; Moraes, José Cássio de

; Luhm, Karin Regina

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231203

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

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231203.especial2.en

AVALIAÇÃO DOS NÍVEIS DE NÍQUEL NO AR E NA URINA DE MORADORES PRÓXIMOS A UMA INDÚSTRIA E DEPÓSITO DE REJEITOS SIDERÚRGICOS NO MUNICÍPIO DE VOLTA REDONDA, RJ REDONDA
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Borges, Renato Marçullo

; Soares, Ruan Victor Ferreira

; Gomes, Regina Aderne

; Moreira, Maria de Fátima Ramos

; Cassella, Ricardo J.

Química Nova

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2024, Volume 47 N. 5 elocation e-20240001

Abstract: Pt | Text: Pt | PDF: Pt

Steelmaking is an important industrial branch, but it is also associated with large emissions of pollutants into the environment, especially nickel, which is used in the manufacturing process of metallic alloys and steel. Nickel is generally associated with particulate matter and, in industrial regions, its concentration can be 14 times higher than those observed in non-industrialized regions. This study was carried out in a residential area located in the city of Volta Redonda, in the state of Rio de Janeiro, which is impacted by industrial steel activity and by a deposit of steel slag tailings. The goal of this study was to measure air contamination and its impact on the health of the population by determining Ni in the total particulate matter and in the urine of 211 residents. The results obtained showed that the average values of Ni in the atmospheric air varied in the range of 1.3-13.2 ng m-3, with a maximum value of 20 ng m-3, which is comparable to other industrialized regions. In turn, Ni concentration in the urine of the residents presented an average concentration of 3.61 μg L-1, which is higher than the values normally found in the urine of occupationally exposed persons. branch environment nickel regions 1 nonindustrialized non Redonda Janeiro tailings 21 1.313.2 13132 1.3 13.2 3 13 2 1.3-13. m3, m3 m 3, m-3 turn 361 61 3.6 L1, L1 L 1, L-1 persons 313 1.313. 1313 1. 132 13. 1.3-13 m- 36 6 3. L- 31 1.313 131 1.3-1 1.31 1.3-

https://doi.org/10.21577/0100-4042.20240001

(In)Fertility in the Down syndrome InFertility In Fertility
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Marqui, Alessandra Bernadete Trovó de

; Borges, Maria de Fátima

Revista da Associação Médica Brasileira

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2024, Volume 70 N. 9 elocation e20240537

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1806-9282.20240537

Narrow mycorrhizae and large non-mycorrhizal fungal diversity associated with roots of Cattleya milleri, an endemic and endangered orchid from a rupestrian hotspot in the “Quadrilátero Ferrífero” of Minas Gerais - Brazil nonmycorrhizal non mycorrhizal milleri Quadrilátero Ferrífero
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Pereira, Marlon Corrêa

; Cunha, Paloma Cavalcante

; Teixeira, Anita Fernanda dos Santos

; Silva, Leandro Israel da

; Valadares, Rafael Borges da Silva

; Dória, Joyce

; Costa, Paulo Henrique de Oliveira

; Moreira, Fatima Maria de Souza

Acta Botanica Brasilica

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2024, Volume 38 elocation e20230196

Abstract: En | Text: En | PDF: En

Abstract The threatened orchid Cattleya milleri is a microendemic orchid of a Brazilian savanna hotspot. As endophytes and mycorrhizae may improve its propagation and conservation, we investigated its root fungal community. Cattleya milleri roots were sampled in five natural sites and at a greenhouse. Fungal root endophytes were isolated for characterization and molecular ITS (Internal Transcribed Spacer) identification. Total DNA was extracted from endorhiza and rhizosphere for ITS amplification and sequencing. Sixteen fungal isolates were clustered in 6 Operational Taxonomic Units (OTUs) and endorhizal and rhizospheric sequences were clustered in 327 OTUs. Endorhiza presented from 25 to 89 OTUs, and rhizosphere 56 OTUs. Cluster analysis showed high divergence between natural and greenhouse fungal communities, but similarity among natural samples. From the 94 genera, 24 were annotated as endophytes, two mycorrhizas, 33 pathotrophs, 40 saprotrophs, and 17 symbiotrophs based on the FunGuild database. Endophytes of the orders Capnodiales, Hypocreales, Pleosporales, and mycorrhizae of Sebacinales occurred in all sites. The mycorrhizae Tulasnella occurred in all natural samples. The interaction with only two mycorrhizal taxa may limit C. milleri distribution. However, the recruitment of many non-mycorrhizal endophytes is essential to natural development. Pleosporales, Tulasnella, and Sebacinalles may be considered for C. milleri propagation and conservation. hotspot conservation community Internal Spacer identification sequencing OTUs (OTUs 32 2 8 5 communities samples 9 genera mycorrhizas 3 pathotrophs 4 saprotrophs 1 database Capnodiales Hypocreales Pleosporales C distribution However nonmycorrhizal non development

https://doi.org/10.1590/1677-941x-abb-2023-0196

Use of private vaccination services by infants in Brazilian municipalities: National Vaccine Coverage Survey 2020 municipalities 202 20 2
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Burdinski, Ediane de Fátima Mance

; Denardin, Maiara Sulzbach

; Marins, Gisele

; Otero, Sandra Duran

; França, Ana Paula

; Moraes, José Cássio de

; Luhm, Karin Regina

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231203

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

RESUMO Objetivo Caracterizar a utilização dos serviços privados na vacinação de lactentes e avaliar as coberturas vacinais segundo serviço utilizado. Métodos Inquérito nacional de vacinação realizado em 2020 que estimou a utilização de serviços privados de vacinação e as coberturas vacinais de lactentes residentes nas capitais dos estados, no Distrito Federal e em 12 municípios do interior. Resultados Dos 37.801 participantes, 25,1% (IC95% 23,2;27,2) utilizaram alguma vez serviços privados, com maiores proporções em capitais, cidades de maior porte e regiões Sul e Sudeste. Identificaram-se diferenças socioeconômicas e demográficas nas famílias, segundo o serviço utilizado. A cobertura para o conjunto de vacinas aplicadas até 24 meses foi de 60,3% (IC95% 58,6;62,0) no serviço público e de 59,5% (IC95% 55,9;63,0) no privado, e das vacinas em dia, de 10,3% (IC95% 9,1;11,6) e 9,4% (IC95% 7,4;11,8), respectivamente. Conclusão A utilização dos serviços privados foi frequente, com baixas coberturas para o conjunto de vacinas, independentemente do tipo de serviço utilizado, especialmente para vacinas em dia. utilizado 202 estados 1 interior 37801 37 801 37.80 participantes 251 25 25,1 IC95% IC95 IC (IC95 23,227,2 232272 23,2 27,2 23 2 27 23,2;27,2 Sudeste Identificaramse Identificaram se famílias 603 60 3 60,3 58,662,0 586620 58,6 62,0 58 6 62 0 58,6;62,0 595 59 5 59,5 55,963,0 559630 55,9 63,0 55 9 63 55,9;63,0 privado dia 103 10 10,3 9,111,6 91116 9,1 11,6 11 9,1;11,6 94 4 9,4 7,411,8, 74118 7,4 11,8 , 7 8 7,4;11,8) respectivamente frequente 20 3780 80 37.8 25, IC9 (IC9 227 23,227, 23227 232 23, 272 27, 23,2;27, 60, 662 58,662, 58662 586 58, 620 62, 58,6;62, 59, 963 55,963, 55963 559 55, 630 63, 55,9;63, 10, 111 9,111, 9111 91 9, 116 11, 9,1;11, 411 7,411,8 7411 74 7, 118 7,4;11,8 378 37. (IC 22 23,227 2322 23,2;27 66 58,662 5866 58,6;62 96 55,963 5596 55,9;63 9,111 911 9,1;11 41 7,411, 741 7,4;11, 23,22 23,2;2 58,66 58,6;6 55,96 55,9;6 9,11 9,1;1 7,411 7,4;11 23,2; 58,6; 55,9; 9,1; 7,41 7,4;1 7,4;

ABSTRACT Objective To characterize the use of private services in infant vaccination and assess vaccination coverage according to the service used. Methods : This was a national vaccination survey conducted in 2020 that estimated the use of private vaccination services and vaccination coverage among infants residing in state capitals and 12 inland municipalities. Results : Of the 37,801 participants, 25.1% (95%CI 23.2;27.2) used private services at least once, with higher proportions in capitals, larger cities and in the South and Southeast regions. Socioeconomic and demographic differences were identified among families, based on the service used. The coverage for the set of vaccines administered up to 24 months was 60.3% (95%CI 58.6;62.0) in the public service and 59.5% (95%CI 55.9;63.0) in private services, and up-to-date vaccines, 10.3% (95%CI 9.1;11.6) and 9.4% (95%CI 7.4;11.8), respectively. Conclusion The use of private services was frequent, with low coverage for the set of vaccines, regardless of the type of service used, especially for up-to-date vaccines. 202 1 municipalities 37801 37 801 37,80 participants 251 25 25.1 95%CI 95CI CI 95 23.227.2 232272 23.2 27.2 23 2 27 23.2;27.2 once regions families 603 60 3 60.3 58.662.0 586620 58.6 62.0 58 6 62 0 58.6;62.0 595 59 5 59.5 55.963.0 559630 55.9 63.0 55 9 63 55.9;63.0 uptodate date 103 10 10.3 9.111.6 91116 9.1 11.6 11 9.1;11.6 94 4 9.4 7.411.8, 74118 7.4 11.8 , 7 8 7.4;11.8) respectively frequent 20 3780 80 37,8 25. 227 23.227. 23227 232 23. 272 27. 23.2;27. 60. 662 58.662. 58662 586 58. 620 62. 58.6;62. 59. 963 55.963. 55963 559 55. 630 63. 55.9;63. 10. 111 9.111. 9111 91 9. 116 11. 9.1;11. 411 7.411.8 7411 74 7. 118 7.4;11.8 378 37, 22 23.227 2322 23.2;27 66 58.662 5866 58.6;62 96 55.963 5596 55.9;63 9.111 911 9.1;11 41 7.411. 741 7.4;11. 23.22 23.2;2 58.66 58.6;6 55.96 55.9;6 9.11 9.1;1 7.411 7.4;11 23.2; 58.6; 55.9; 9.1; 7.41 7.4;1 7.4;

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231203.especial2.en

Case Report of Xanthogranulomatous Pyelonephritis: A Rare Diagnostic in Pediatric Aged Patients
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Gonçalves, Carolina Ferreira

; Fernandes, Carolina Freitas

; Pilar, Carla

; Alves, Fátima

; Borges, Maria João

Portuguese Journal of Nephrology & Hypertension

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mar 2023, Volume 37 N. 1 Pages 31 - 35

Abstract: En | Text: En | PDF: En

ABSTRACT Xanthogranulomatous pyelonephritis is an unusual variant of chronic pyelonephritis in which there is massive destruction of the renal parenchyma by granulomatous tissue. The pathophysiological mechanism is not yet fully understood, and the diagnosis is challenging. This is a rare and sporadic diagnosis in the pediatric population. Here, we report a case of a 2-year-old girl with a one-year history of urinary tract infections and recurrent cloudy urine with traces of sand. Several urinalyses demonstrated pyuria without bacteria growth, and she was admitted to the pediatric nephrology unit. Imaging tests were performed and a xanthogranulomatous pyelonephritis was diagnosed. After confirmation of functional exclusion of the right kidney, a successful right nephrectomy was performed, and the histology confirmed the diagnosis. This case highlights the importance of complementary tests, in a child with signs and symptoms of urinary tract dysfunction, to exclude any pathology requiring therapeutic intervention.

https://doi.org/10.32932/pjnh.2023.02.226

IMPACTO-MR: um estudo brasileiro de plataforma nacional para avaliar infecções e multirresistência em unidades de terapia intensiva IMPACTOMR IMPACTO MR IMPACTO-MR
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Tomazini, Bruno M

; Nassar Jr, Antonio Paulo

; Lisboa, Thiago Costa

; Azevedo, Luciano César Pontes de

; Veiga, Viviane Cordeiro

; Catarino, Daniela Ghidetti Mangas

; Fogazzi, Debora Vacaro

; Arns, Beatriz

; Piastrelli, Filipe Teixeira

; Dietrich, Camila

; Negrelli, Karina Leal

; Jesuíno, Isabella de Andrade

; Reis, Luiz Fernando Lima

; Mattos, Renata Rodrigues de

; Pinheiro, Carla Cristina Gomes

; Luz, Mariane Nascimento

; Spadoni, Clayse Carla da Silva

; Moro, Elisângela Emilene

; Bueno, Flávia Regina

; Sampaio, Camila Santana Justo Cintra

; Silva, Débora Patrício

; Baldassare, Franca Pellison

; Silva, Ana Cecilia Alcantara

; Veiga, Thabata

; Barbante, Leticia

; Lambauer, Marianne

; Campos, Viviane Bezerra

; Santos, Elton

; Santos, Renato Hideo Nakawaga

; Laranjeiras, Ligia Nasi

; Valeis, Nanci

; Santucci, Eliana

; Miranda, Tamiris Abait

; Patrocínio, Ana Cristina Lagoeiro do

; Carvalho, Andréa de

; Sousa, Eduvirgens Maria Couto de

; Sousa, Ancelmo Honorato Ferraz de

; Malheiro, Daniel Tavares

; Bezerra, Isabella Lott

; Rodrigues, Mirian Batista

; Malicia, Julliana Chicuta

; Silva, Sabrina Souza da

; Gimenes, Bruna dos Passos

; Sesin, Guilhermo Prates

; Zavascki, Alexandre Prehn

; Sganzerla, Daniel

; Medeiros, Gregory Saraiva

; Santos, Rosa da Rosa Minho dos

; Silva, Fernanda Kelly Romeiro

; Cheno, Maysa Yukari

; Abrahão, Carolinne Ferreira

; Oliveira Junior, Haliton Alves de

; Rocha, Leonardo Lima

; Nunes Neto, Pedro Aniceto

; Pereira, Valéria Chagas

; Paciência, Luis Eduardo Miranda

; Bueno, Elaine Silva

; Caser, Eliana Bernadete

; Ribeiro, Larissa Zuqui

; Fernandes, Caio Cesar Ferreira

; Garcia, Juliana Mazzei

; Silva, Vanildes de Fátima Fernandes

; Santos, Alisson Junior dos

; Machado, Flávia Ribeiro

; Souza, Maria Aparecida de

; Ferronato, Bianca Ramos

; Urbano, Hugo Corrêa de Andrade

; Moreira, Danielle Conceição Aparecida

; Souza-Dantas, Vicente Cés de

; Duarte, Diego Meireles

; Coelho, Juliana

; Figueiredo, Rodrigo Cruvinel

; Foreque, Fernanda

; Romano, Thiago Gomes

; Cubos, Daniel

; Spirale, Vladimir Miguel

; Nogueira, Roberta Schiavon

; Maia, Israel Silva

; Zandonai, Cassio Luis

; Lovato, Wilson José

; Cerantola, Rodrigo Barbosa

; Toledo, Tatiana Gozzi Pancev

; Tomba, Pablo Oscar

; Almeida, Joyce Ramos de

; Sanches, Luciana Coelho

; Pierini, Leticia

; Cunha, Mariana

; Sousa, Michelle Tereza

; Azevedo, Bruna

; Dal-Pizzol, Felipe

; Damasio, Danusa de Castro

; Bainy, Marina Peres

; Beduhn, Dagoberta Alves Vieira

; Jatobá, Joana D’Arc Vila Nova

; Moura, Maria Tereza Farias de

; Rego, Leila Rezegue de Moraes

; Silva, Adria Vanessa da

; Oliveira, Luana Pontes

; Sodré Filho, Eliene Sá

; Santos, Silvana Soares dos

; Neves, Itallo de Lima

; Leão, Vanessa Cristina de Aquino

; Paes, João Lucidio Lobato

; Silva, Marielle Cristina Mendes

; Oliveira, Cláudio Dornas de

; Santiago, Raquel Caldeira Brant

; Paranhos, Jorge Luiz da Rocha

; Wiermann, Iany Grinezia da Silva

; Pedroso, Durval Ferreira Fonseca

; Sawada, Priscilla Yoshiko

; Prestes, Rejane Martins

; Nascimento, Glícia Cardoso

; Grion, Cintia Magalhães Carvalho

; Carrilho, Claudia Maria Dantas de Maio

; Dantas, Roberta Lacerda Almeida de Miranda

; Silva, Eliane Pereira

; Silva, Antônio Carlos da

; Oliveira, Sheila Mara Bezerra de

; Golin, Nicole Alberti

; Tregnago, Rogerio

; Lima, Valéria Paes

; Silva, Kamilla Grasielle Nunes da

; Boschi, Emerson

; Buffon, Viviane

; Machado, André Sant’Ana

; Capeletti, Leticia

; Foernges, Rafael Botelho

; Carvalho, Andréia Schubert de

; Oliveira Junior, Lúcio Couto de

; Oliveira, Daniela Cunha de

; Silva, Everton Macêdo

; Ribeiro, Julival

; Pereira, Francielle Constantino

; Salgado, Fernanda Borges

; Deutschendorf, Caroline

; Silva, Cristofer Farias da

; Gobatto, Andre Luiz Nunes

; Oliveira, Carolaine Bomfim de

; Dracoulakis, Marianna Deway Andrade

; Alvaia, Natália Oliveira Santos

; Souza, Roberta Machado de

; Araújo, Larissa Liz Cardoso de

; Melo, Rodrigo Morel Vieira de

; Passos, Luiz Carlos Santana

; Vidal, Claudia Fernanda de Lacerda

; Rodrigues, Fernanda Lopes de Albuquerque

; Kurtz, Pedro

; Shinotsuka, Cássia Righy

; Tavares, Maria Brandão

; Santana, Igor das Virgens

; Gavinho, Luciana Macedo da Silva

; Nascimento, Alaís Brito

; Pereira, Adriano J

; Cavalcanti, Alexandre Biasi

Revista Brasileira de Terapia Intensiva

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dec 2022, Volume 34 N. 4 Pages 418 - 425

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

RESUMO Objetivo: Descrever o IMPACTO-MR, um estudo brasileiro de plataforma nacional em unidades de terapia intensiva focado no impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Métodos: Descrevemos a plataforma IMPACTO-MR, seu desenvolvimento, critérios para seleção das unidades de terapia intensiva, caracterização da coleta de dados, objetivos e projetos de pesquisa futuros a serem realizados na plataforma. Resultados: Os dados principais foram coletados por meio do Epimed Monitor System® e consistiram em dados demográficos, dados de comorbidades, estado funcional, escores clínicos, diagnóstico de internação e diagnósticos secundários, dados laboratoriais, clínicos e microbiológicos e suporte de órgãos durante a internação na unidade de terapia intensiva, entre outros. De outubro de 2019 a dezembro de 2020, 33.983 pacientes de 51 unidades de terapia intensiva foram incluídos no banco de dados principal. Conclusão: A plataforma IMPACTO-MR é um banco de dados clínico brasileiro de unidades de terapia intensiva focado na pesquisa do impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Essa plataforma fornece dados para o desenvolvimento e pesquisa de unidades de terapia intensiva individuais e ensaios clínicos observacionais e prospectivos multicêntricos. Objetivo IMPACTOMR, IMPACTOMR IMPACTO MR, MR saúde Métodos Resultados System demográficos comorbidades funcional secundários laboratoriais outros 201 2020 33983 33 983 33.98 5 principal Conclusão multicêntricos 20 202 3398 3 98 33.9 2 339 9 33.

ABSTRACT Objective: To describe the IMPACTO-MR, a Brazilian nationwide intensive care unit platform study focused on the impact of health care-associated infections due to multidrug-resistant bacteria. Methods: We described the IMPACTO-MR platform, its development, criteria for intensive care unit selection, characterization of core data collection, objectives, and future research projects to be held within the platform. Results: The core data were collected using the Epimed Monitor System® and consisted of demographic data, comorbidity data, functional status, clinical scores, admission diagnosis and secondary diagnoses, laboratory, clinical, and microbiological data, and organ support during intensive care unit stay, among others. From October 2019 to December 2020, 33,983 patients from 51 intensive care units were included in the core database. Conclusion: The IMPACTO-MR platform is a nationwide Brazilian intensive care unit clinical database focused on researching the impact of health care-associated infections due to multidrug-resistant bacteria. This platform provides data for individual intensive care unit development and research and multicenter observational and prospective trials. Objective IMPACTOMR, IMPACTOMR IMPACTO MR, MR careassociated associated multidrugresistant multidrug resistant bacteria Methods selection collection objectives Results System status scores diagnoses laboratory stay others 201 2020 33983 33 983 33,98 5 Conclusion trials 20 202 3398 3 98 33,9 2 339 9 33,

https://doi.org/10.5935/0103-507x.20220209-pt

Correlation between natural and artificial aging in particleboards
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Silva, Marcio Rogério da

; Almeida, Tiago Hendrigo de

; Almeida, João Paulo Boff

; Nascimento, Maria Fátima do

; Almeida, Diego Henrique de

; Aquino, Vinicius Borges de Moura

; Christoforo, André Luis

; Lahr, Francisco Antonio Rocco

Ambiente Construído

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jun 2022, Volume 22 N. 2 Pages 233 - 245

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

Resumo O principal objetivo deste trabalho foi estabelecer uma correlação entre o envelhecimento natural com o envelhecimento artificial em painéis aglomerados de média densidade produzidos com resina de poliuretano de mamona e Pinus sp. Para tal correlação, foram utilizados os parâmetros climatológicos da cidade de São Carlos, estado de São Paulo, Brasil. A correlação estabelecida foi que 20 ciclos seriam proporcionais à mesma degradação de dois meses de exposição ao envelhecimento natural. A relação entre as propriedades físicas e mecânicas com os efeitos proporcionados pelo número de meses (M) sobre o envelhecimento natural com número de ciclos (Nc) sobre o envelhecimento artificial foi obtida com modelos de regressão polinomial cúbica. Em geral, para propriedades físicas, 20 Nc representa de 7 a 8 meses e para propriedades mecânicas, de 11 a 12 meses, com exceção da tração perpendicular, de 8 meses de envelhecimento natural. As equações que melhor representam a relação entre Nc e M foram o inchamento em espessura às 2h e a absorção de água às 2h e 24h, com R² acima de 93%.

Abstract The main objective of this work was to establish a correlation between natural aging with artificial aging in medium density particleboards produced with polyurethane resin of castor oil and Pinus sp. For such correlation, climatological parameters at São Carlos city, São Paulo state Brazil were used. The established correlation was that 20 cycles would be proportional to the same degradation of two months of exposure under natural aging. The relation between physical and mechanical properties with the effects provided by number of months (M) on the natural aging with number of cycles (Nc) on the artificial aging was obtained with cubical polynomial regression models. In general, for physical properties, 20 Nc represents 7 to 8 months and for mechanical properties, 11 to 12 months, with exception to internal bonding, with 8 months of natural aging. The equations which best represent the relation between Nc and M were thickness swelling at 2h and water absorption at 2 h and 24 h, with R² above 93%.

https://doi.org/10.1590/s1678-86212022000200604

10.

Hospitalization, mortality and public healthcare expenditure in Brazil during the COVID-19 crisis: vulnerabilities in the spotlight
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Nascimento, Israel Júnior Borges do

; Oliveira, Ana Luíza Matos de

; Diniz, Paulo Henrique Costa

; Leite, Maria de Fatima

; Oliveira, Graziella Lage

Sao Paulo Medical Journal

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feb 2022, Volume 140 N. 2 Pages 290 - 296

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Multiple opinion-based communications have highlighted the actions of the Brazilian government during the pandemic. Nevertheless, none have appraised public data to identify factors associated with worsening of the healthcare system. OBJECTIVE: To analyze and collate data from public health and treasury information systems in order to understand the escalating process of weakening of Brazilian healthcare and welfare since the beginning of the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic. DESIGN AND SETTING: Secondary data study conducted using multiple public databases administered by the Brazilian federal government. METHODS: We processed information from multiple national databases and appraised health and economic-related data. RESULTS: Based on our analyses, there were substantial reductions in inpatient hospital admissions and in the numbers of patients seeking primary care services, along with a decrease in immunization coverage. Moreover, we observed a considerable decline in government transfers to hospital services (reduction of 82.0%) and a diminution of public outlays in several healthcare-related subfunctions (“hospital and outpatient care”, “primary care”, “prophylactic and therapeutic support” and “epidemiological surveillance”). We observed an increase in the overall mortality rate over the period analyzed, especially regarding all group-based diseases. Notably, there were remarkable differences among geographic, racial, gender and other parameters, thus revealing the impact of vulnerabilities on COVID-19 outcomes. CONCLUSION: This assessment of documentation of public expenditure and the shrinkage of investment in sensitive areas of the healthcare system in Brazil emphasized areas that still require collective attention in order to guarantee national welfare.

https://doi.org/10.1590/1516-3180.2021.0496.23072021

11.

Violence against nursing workers: repercussions on patient access and safety
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Busnello, Grasiele Fatima

; Trindade, Letícia de Lima

; Pai, Daiane Dal

; Beck, Carmem Lúcia Colomé

; Ribeiro, Olga Maria Pimenta Lopes

; Borges, Elisabete Maria das Neves

; Schoeninger, Maiara Daís

Revista Brasileira de Enfermagem

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2022, Volume 75 N. 4 elocation e20210765

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

RESUMO Objetivos: analisar as repercussões da violência contra o profissional de enfermagem no acesso e na segurança dos pacientes da Estratégia Saúde da Família. Métodos: estudo misto, com 169 profissionais de enfermagem. Utilizamos questionário sociolaboral, Survey Questionnaire Workplace Violence in the Health Sector, instrumento de segurança do paciente e entrevistas. Resultados: agressão verbal teve relação entre apoio (p=0,048), respeito (p=0,021), horas de cuidado (p=0,047) e condutas de segurança do paciente (p=0,033) entre os profissionais. Sofrer assédio moral relacionou-se ao medo de questionar quando algo está incorreto (p=0,010) e à falta de apoio da gestão (p=0,016). Vítimas de violência física consideraram que seus erros podem ser usados contra elas. Os dados mistos convergem e confirmam que a violência repercute nas condutas profissionais e coloca em risco atributos da Atenção Primária à Saúde. Conclusões: a violência repercute no comportamento do trabalhador, interfere no cuidado realizado, fragiliza o acesso e a segurança dos pacientes.

ABSTRACT Objectives: to analyze the repercussions of violence against nursing professionals, in the access and safety of patients in Family Health Strategy. Methods: a mixed study, with 169 nursing professionals. We used a socio-labor questionnaire, Survey Questionnaire Workplace Violence in the Health Sector, a patient safety instrument and interviews. Results: verbal aggression was related to support (p=0.048), respect (p=0.021), hours of care (p=0.047) and patient safety behaviors (p=0.033) among professionals. Suffering from bullying was related to fear of questioning when something is wrong (p=0.010) and lack of support from management (p=0.016). Victims of physical violence felt that their mistakes could be used against them. Mixed data converge and confirm that violence affects professional behavior and puts Primary Health Care attributes at risk. Conclusions: violence affects workers’ behavior, interferes with the care provided, weakens the access and safety of patients.

REUMEN Objetivos: analizar las repercusiones de la violencia contra el profesional de enfermería en el acceso y seguridad de los pacientes en la Estrategia Salud de la Familia. Métodos: estudio mixto, con 169 profesionales de enfermería. Se utilizó un cuestionario sociolaboral, Survey Questionnaire Workplace Violence in the Health Sector, instrumento de seguridad del paciente y entrevistas. Resultados: la agresión verbal se relacionó con conductas de apoyo (p=0,048), respeto (p=0,021), horas de atención (p=0,047) y seguridad del paciente (p=0,033) entre los profesionales. Sufrir bullying se relacionó con el miedo a ser cuestionado cuando algo anda mal (p=0,010) y la falta de apoyo por parte de la dirección (p=0,016). Las víctimas de violencia física sintieron que sus errores podrían usarse en su contra. Datos mixtos convergen y confirman que la violencia afecta el comportamiento profesional y pone en riesgo atributos de la Atención Primaria de Salud. Conclusiones: la violencia afecta el comportamiento del trabajador, interfiere en la atención brindada, debilita el acceso y la seguridad de los pacientes.

https://doi.org/10.1590/0034-7167-2021-0765

12.

Masking Level Difference: avaliação da confiabilidade teste-reteste em estudantes universitárias normo-ouvintes
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Frota, Silvana Maria Monte Coelho

; Leite Filho, Carlos Alberto

; Bruno, Carolina Salomone

; Carvalho, Lanna Borges

; Riegel, Natalia Almeida

; Souza, Sascha Ariel da Silva Rodrigues de

; Branco-Barreiro, Fátima Cristina Alves

CoDAS

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2022, Volume 34 N. 3 elocation e20200207

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

RESUMO Objetivo Verificar a confiabilidade teste-reteste do Masking Level Difference em estudantes universitárias normo-ouvintes. Método Estudo prospectivo descritivo com 78 adultos jovens do gênero feminino sem queixas auditivas, submetidas à versão, em compact disc, do Masking Level Difference da Auditec of Saint Louis. O Masking Level Difference foi determinado por meio da diferença entre as relações sinal-ruído nos limiares auditivos encontrados nas condições antifásica e homofásica. O teste foi aplicado pelo mesmo examinador em dois momentos (teste e reteste) com intervalo de sete a 14 dias entre eles. A análise estatística inferencial incluiu comparação das situações teste e reteste por meio do teste t de Student para amostras pareadas, cálculo do coeficiente de correlação intraclasse e dos intervalos de confiança de 95% para as relações sinal/ruído nos limiares auditivos nas condições antifásica e homofásica e para o cálculo do Masking Level Difference. Resultados A média da relação sinal-ruído no limiar auditivo na condição homofásica foi -12,59 dB e -12,46 dB nas situações teste e reteste, respectivamente, e -21,54 dB e -21,08 dB na condição antifásica. A média do Masking Level Difference foi 8,95 dB no teste e 8,74 dB no reteste. Os coeficientes de correlação intraclasse obtidos foram 0,436, 0,625 e 0,577 para as condições homofásica, antifásica e Masking Level Difference, respectivamente. Conclusão O teste Masking Level Difference mostrou grau moderado de confiabilidade teste-reteste em estudantes universitárias normo-ouvintes.

ABSTRACT Purpose To verify the test-retest reliability of the Masking Level Difference in normal hearing female university students. Methods Prospective descriptive study with 78 young female adults without hearing complaints, submitted to the compact disc version of the Masking Level Difference by Auditec of Saint Louis. The threshold was determined by the difference between signal-to-noise ratios at hearing thresholds found in the antiphasic and homophasic conditions. The test was applied by the same examiner in two moments (test and retest) with an interval of seven to 14 days between them. Inferential statistical analysis included comparison of test and retest situations using Student's t test for paired samples, calculation of the intraclass correlation coefficient and calculation of 95% confidence intervals for signal-to-noise ratios at hearing thresholds found in the antiphasic and homophasic conditions and for masking level difference. Results The average signal-to-noise ratio at hearing threshold in the homophasic condition was -12.59 dB and -12.46 dB in the Test and Retest situations, respectively, and -21.54 dB and -21.08 dB in the antiphasic condition. The average value in the final Masking Level Difference result was 8.95 dB in the Test and 8.74 dB in the Retest. Intraclass correlation coefficient values obtained were 0.436, 0.625 and 0.577 for homophasic, antiphasic and Masking Level Difference conditions, respectively. Conclusion The Masking Level Difference showed moderate test-retest reliability in normal hearing adults female university students.

https://doi.org/10.1590/2317-1782/20212020207

13.

Assédio moral entre trabalhadores brasileiros da atenção primária e hospitalar em saúde
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Trindade, Letícia de Lima

; Schoeninger, Maiara Daís

; Borges, Elisabete Maria das Neves

; Bordignon, Maiara

; Bauermann, Kaciane Boff

; Busnello, Grasiele Fátima

; Pai, Daiane Dal

Acta Paulista de Enfermagem

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2022, Volume 35 elocation eAPE039015134

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

Resumo Objetivo Analisar a ocorrência e os fatores relacionados ao assédio moral no local de trabalho entre trabalhadores de saúde brasileiros. Métodos Estudo transversal com 647 profissionais de saúde atuantes em serviços de Atenção Primária e Hospitalar da Região Sul do Brasil. Foram utilizados um questionário sociolaboral e o Questionário Workplace Violence in the Health Sector. O modelo de regressão de Poisson identificou os fatores relacionados ao fenômeno no local de trabalho. Resultados Dos profissionais, 22,41% relataram terem sido vítimas do incidente nos últimos 12 meses. Os fatores relacionados ao assédio moral foram: ser enfermeiro(a) (Razão de Prevalência (RP) = 2,77; IC95% 1,63 a 4,70) ou auxiliar de enfermagem (RP = 2,73; IC95% 1,61 a 4,61), possuir doença crônica (RP = 1,43; IC 95% 1,07 a 1,93), percepções negativas em relação ao reconhecimento no trabalho (RP = 1,52; IC 95% 1,07 a 2,17), relações interpessoais laborais avaliadas como indiferentes (RP = 2,16; IC 95% 1,55 a 3,01), horas de sono (RP = 0,89; IC95% 0,80 a 0,99) e demonstrar maior preocupação com a violência (RP = 1,76; IC95% 1,10 a 2,82). Conclusão O assédio moral no local de trabalho foi influenciado por fatores laborais, questões de saúde e percepções individuais sobre o trabalho e a violência.

Abstract Objective To analyze the occurrence and factors related to workplace bullying among Brazilian health workers. Methods This is a cross-sectional study with 647 health professionals working in primary health care and hospital services in southern Brazil. A socio-occupational questionnaire and the Workplace Violence in the Health Sector Questionnaire were used. The Poisson regression model identified factors related to the phenomenon in the workplace. Results Of the professionals, 22.41% reported having been incident victims in the last 12 months. Factors related to bullying were: being a nurse (Prevalence Ratio (PR)=2.77; 95%CI 1.63 to 4.70) or nursing assistant (PR=2.73; 95%CI 1.61 to 4.61); having a chronic disease (PR=1.43; 95% CI 1.07 to 1.93); negative perceptions regarding recognition at work (PR=1.52; 95% CI 1.07 to 2.17); interpersonal relationships at work assessed as indifferent (PR=2.16; 95% CI 1.55 to 3.01); sleeping hours (PR=0.89; 95%CI 0.80 to 0.99); and demonstrating greater concern with violence (PR=1.76; 95%CI 1.10 to 2.82). Conclusion Workplace moral harassment was influenced by work factors, health issues and individual perceptions about work and violence.

Resumen Objetivo Analizar la incidencia y los factores relacionados con el acoso moral en el trabajo entre trabajadores de la salud brasileños. Métodos Estudio transversal con 647 profesionales de la salud que trabajan en servicios de atención primaria y hospitalaria de la región sur de Brasil. Se utilizó un cuestionario sociolaboral y el cuestionario Workplace Violence in the Health Sector. Mediante el modelo de regresión de Poisson, se identificaron factores relacionados con el fenómeno en el lugar de trabajo. Resultados De todos los profesionales, el 22,41 % relató haber sido víctima del incidente en los últimos 12 meses. Los factores relacionados con el acoso moral fueron: ser enfermero(a) (Razón de Prevalencia (RP) = 2,77; IC 95 % 1,63 a 4,70) o auxiliar de enfermería (RP = 2,73; IC 95 % 1,61 a 4,61), tener enfermedad crónica (RP = 1,43; IC 95 % 1,07 a 1,93), percepciones negativas con relación al reconocimiento en el trabajo (RP = 1,52; IC 95 % 1,07 a 2,17), relaciones interpersonales laborales evaluadas como indiferentes (RP = 2,16; IC 95 % 1,55 a 3,01), horas de sueño (RP = 0,89; IC 95 % 0,80 a 0,99) y demostrar mayor preocupación con la violencia (RP = 1,76; IC 95 % 1,10 a 2,82). Conclusión El acoso moral en el trabajo estuvo influenciado por factores laborales, cuestiones de salud y percepciones individuales sobre el trabajo y la violencia.

https://doi.org/10.37689/acta-ape/2022ao015134

14.

RELATIONSHIP BETWEEN THE ACTORS AND THE ENVIRONMENT: AN ANALYSIS OF POSITIVE AND NEGATIVE FEELINGS ABOUT AN ENTREPRENEURIAL ECOSYSTEM
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Fialho, Camila Borges

; Costa, Vânia Medianeira Flores

; Nunes, Andrieli de Fatima Paz

; Castro, Beatriz Leite Gustmann de

; Rodrigues, Maria Carolina Martins

Revista de Administração da UFSM

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2022, Volume 15 N. 1 Pages 15 - 36

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

RESUMO Objetivo: Analisar os sentimentos positivos e negativos em relação aos domínios de um ecossistema empreendedor. Desing/Metodologia/ Abordagem: O presente trabalho caracteriza-se, como exploratório e descritivo, em relação aos procedimentos como uma pesquisa de campo, e finalmente, em relação à abordagem, como qualitativo. Resultados: A maioria dos sentimentos sobre o ecossistema empreendedor relatados na pesquisa ainda são negativos (30 sentimentos). Todavia, existem percepções positivas (14 sentimentos) acerca do arranjo. Em síntese, o domínio Recursos Humanos apresentou a maioria dos sentimentos, negativos e positivos. Isso pode ser expresso pela relevância das pessoas, os atores e os empreendedores do ecossistema, pois são os agentes de transformação das ações. No que tange aos aspectos negativos, os domínios Políticas Públicas e Cultura também receberam vários apontamentos, principalmente no sentido da busca por incentivos e políticas para a disseminação do empreendedorismo no ecossistema. Implicações práticas e sociais: Acredita-se na sua relevância teórica e prática, guiando os empreendedores para outras especificidades do ecossistema empreendedor. Originalidade: Apresenta um caráter de ineditismo no tocante a sua realização no ambiente escolhido, pois outros estudos envolvendo esta temática e o arranjo local ainda não foram realizados. Além disso, em uma busca por estudos semelhantes desenvolvidos no Brasil, foram encontrados poucos trabalhos no tocante a temática do ecossistema empreendedor (Capes, 2020) o que sinaliza possibilidade de exploração.

ABSTRACT Objective of the study To analyse the positive and negative feelings regarding the domains of an entrepreneurial ecosystem. Design/methodology/approach The present work is characterized as exploratory and descriptive in relation to the procedures as field research, and the approach is qualitative. Findings Most of the feelings regarding the entrepreneurial ecosystem in the study are negative (30 feelings). However, there are positive perceptions (14 feelings) about the arrangement. This can be seen through the importance of the people, actors and entrepreneurs in the ecosystem, as they act as agents in transforming actions. Concerning the negative aspects, the Public Policy and Culture domains also contain several indicators, mainly for the search for incentives and policies to disseminate entrepreneurship in the ecosystem. Practical & Social implications of the Study This work sought to collaborate with studies in the field of entrepreneurship, specifically, in the domains of the ecosystem. Its strength lies in its theoretical and practical relevance, guiding entrepreneurs towards other specific aspects of the entrepreneurial ecosystem. Originality The study is original due to the environment in which it was conducted, unlike other studies on this theme, and the local arrangement had not yet been considered. Furthermore, regarding similar studies conducted in Brazil, few studies were found approaching this theme of the entrepreneurial ecosystem (Capes, 2020), which indicates the possibility of exploring this theme.

https://doi.org/10.5902/1983465966335

15.

Physico-Chemical Characterization of Tropical Wood Species for Use and Production of Grilling Planks
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Guedes, Ulysses Harley

; Nascimento, Maria Fátima do

; Silva, Diogo Aparecido Lopes

; Christoforo, André Luis

; Lahr, Francisco Antonio Rocco

; Panzera, Tulio Hallak

; Aquino, Vinicius Borges de Moura

; Saraiva, Raísse Layane de Paula

Materials Research

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2022, Volume 25 elocation e20210206

Abstract: En | Text: En | PDF: En

Abstract The objective of this research is to evaluate the possibility of use of tropical hardwood species (Amburana cearensis and Cedrella fissilis) for grilling plank production. Physical, chemical and organoleptic properties were evaluated and compared with properties of a well-used wood specie for grilling plank across Europe and USA, Western Red Cedar (Thuja plicata). For chemical analysis, three techniques were used: hydro distillation, soxhlet and head space. Normality test and analysis of variance (ANOVA) were used for the comparison between Thuja plicata and tropical hardwoods. The results of organoleptic, chemical and statistical analysis demonstrated the possibility of use of Amburana cearensis and Cedrella fissilis on grilling plank production, with no volatile compound present in these species being toxic, low apparent density and Nerolidol presence, chemical compound used as flavoring agent, enabling their use as grilling planks.

https://doi.org/10.1590/1980-5373-mr-2021-0206 33 downloads

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