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Abstract Objective: To describe study protocol and initial results of research project COVID-Inconfidentes. Method: This paper described the methodological procedures adopted and the prevalence of the SARS-CoV-2 infection in the population. A household survey was conducted between October and December 2020, in two historic cities of Brazil's mining region. Anti-SARS-CoV-2 antibody was detected using the Wondfo® rapid test. The face-to face interview consisted of administration of a questionnaire containing registration data, sociodemographic and economic variables, living habits, general health condition, mental health, sleep habits, and eating and nutrition. Results: We evaluated 1,762 residents, of which 764 (43.4 %) were in Mariana and 998 (56.6 %) in Ouro Preto. For both cities, 51.9 % of the interviewees were female, with a predominance of the age range 35 to 59 years old (47.2 %). The prevalence of the SARS-CoV-2 infection was 5.5 % in both cities, 6.2 % in Ouro Preto, and 4.7 % in Mariana (p-value > 0.05). Conclusion: The study was effective to estimate the seroprevalence of infection by the virus and its findings will enable further analyses of the health conditions of the population related to social isolation and the risk of infection with SARS-CoV-2.

Resumen Describir el protocolo de estudio y los resultados iniciales del proyecto de investigación COVID Inconfidentes. Método: Este artículo describe los procedimientos metodológicos adoptados y la prevalencia de la infección por SARS-CoV-2 en la población. Se realizó una encuesta domiciliaria entre octubre y diciembre de 2020, en dos ciudades históricas de la región minera de Brasil. El anticuerpo anti-SARS-CoV-2 se detectó mediante la prueba rápida Wondfo®. La entrevista cara a cara consistió en la administración de un cuestionario que contenía datos de registro, variables sociodemográficas y económicas, hábitos de vida, estado general de salud, salud mental, hábitos de sueño, alimentación y nutrición. Resultados: Se evaluaron 1.762 habitantes, de los cuales 764 (43,4 %) estaban en Mariana y 998 (56,6 %) en Ouro Preto. Para ambas ciudades, el 51,9 % de los entrevistados eran del sexo femenino, con predominio del rango de edad de 35 a 59 años (47,2 %). La prevalencia de la infección por SARS-CoV-2 fue del 5,5 % en ambos municipios, del 6,2 % en Ouro Preto y del 4,7 % en Mariana (p > 0,05). Conclusión: El estudio fue efectivo para estimar la seroprevalencia de infección por el virus y sus hallazgos permitirán analizar más las condiciones de salud de la población relacionadas con el aislamiento social y el riesgo de infección por SARS-CoV-2.

https://doi.org/10.15517/psm.v21i1.53127

Do Bolsa Família ao Auxílio Brasil: desafios e alcances a partir de uma pesquisa avaliativa baseada na teoria do programa Brasil
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Costa, Delaine Martins

; Magalhães, Rosana

; Cardoso, Maria Lúcia de Macedo

Cadernos de Saúde Pública

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2023, Volume 39 N. 7 elocation e00207922

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

Resumen: La reciente pandemia de COVID-19 llevó a muchos países a adoptar políticas de emergencia de transferencias monetarias como una forma de contener la crisis económica y humanitaria. Dichas iniciativas se desarrollaron en un contexto de profundización de las desigualdades de género, raciales, étnicas y de clase como resultado de las medidas de aislamiento físico y social. El artículo analiza, a partir de un estudio exploratorio y de la llamada evaluación basada en la teoría del programa, los supuestos teóricos de los programas Bolsa Familia (2003), Ayuda de Emergencia (2020) y Ayuda Brasil (2021), y sus respectivas dinámicas de implementación. Dado que los programas de transferencias monetarias ocupan un lugar central en la agenda pública contemporánea, se concluye que la valoración de los límites y avances, tanto en su concepción teórica como en relación con los mecanismos desencadenados en cada contexto, ayuda a revelar evidencias sobre su efectividad para enfrentar las desigualdades duraderas y las que surgen en escenarios de emergencia sanitaria. Resumen COVID19 COVID 19 COVID-1 humanitaria género raciales social analiza programa 2003, 2003 , (2003) 2020 (2020 2021, 2021 (2021) implementación contemporánea avances sanitaria COVID1 1 COVID- 200 (2003 202 (202 (2021 20 (200 (20 2 (2 (

Resumo: A recente pandemia de COVID-19 levou muitos países a adotarem políticas emergenciais de transferência de renda como forma de conter a crise econômica e humanitária. Tais iniciativas foram desenvolvidas em um contexto de agudização das desigualdades de gênero, raça, etnia e classe em decorrência de medidas de isolamento físico e social. O artigo analisa, a partir de um estudo exploratório e da chamada avaliação baseada na teoria do programa, as premissas teóricas dos programas Bolsa Família (2003), Auxílio Emergencial (2020) e Auxílio Brasil (2021) e suas respectivas dinâmicas de implementação. Na medida em que os programas de transferência de renda ocupam lugar central na agenda pública contemporânea, conclui-se que a avaliação de limites e avanços, tanto em sua concepção teórica como em relação aos mecanismos disparados em cada contexto, contribui para revelar evidências sobre sua efetividade no enfrentamento das desigualdades duráveis e daquelas que surgem em cenários de emergência sanitária. Resumo COVID19 COVID 19 COVID-1 humanitária gênero raça social analisa programa 2003, 2003 , (2003) 2020 (2020 2021 (2021 implementação contemporânea concluise conclui se avanços sanitária COVID1 1 COVID- 200 (2003 202 (202 20 (200 (20 2 (2 (

Abstract: The recent COVID-19 pandemic has led many countries to adopt emergency cash transfer policies as a way to contain the economic and humanitarian crisis. Such initiatives were developed in a context of exacerbated gender, race, ethnicity and class inequalities resulting from physical and social distancing measures. The article analyzes, by means of an exploratory study and the so-called theory-driven evaluation of the program, the theoretical premises of the Brazilian Income Transfer Program (2003), Brazilian Emergency Assistance (2020) and Brazil Assistance (2021) programs, and their corresponding implementation dynamics. As cash transfer programs are given centrality in the contemporary public agenda, the conclusion is that evaluating their limits and advances - as to theoretical conception and mechanisms triggered in each context - contributes to trace evidence about their effectiveness in addressing long-term inequalities and those inequalities that arise in health emergency contexts. Abstract COVID19 COVID 19 COVID-1 crisis gender race measures analyzes socalled so called theorydriven theory driven program 2003, 2003 , (2003) 2020 (2020 2021 (2021 dynamics agenda longterm long term contexts COVID1 1 COVID- 200 (2003 202 (202 20 (200 (20 2 (2 (

https://doi.org/10.1590/0102-311xpt207922

Lições de tempos urgentes: a experiência da atenção à saúde Yanomami ontem e hoje urgentes
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Lobo, Maria Stella de Castro

; Cardoso, Maria Lúcia de Macedo

Cadernos de Saúde Pública

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2023, Volume 39 N. 4 elocation e00065623

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.1590/0102-311xpt065623

Do Bolsa Família ao Auxílio Brasil: desafios e alcances a partir de uma pesquisa avaliativa baseada na teoria do programa
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Costa, Delaine Martins

; Magalhães, Rosana

; Cardoso, Maria Lúcia de Macedo

Cadernos de Saúde Pública

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2023, Volume 39 N. 7 elocation e00207922

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

https://doi.org/10.1590/0102-311xpt207922

Lições de tempos urgentes: a experiência da atenção à saúde Yanomami ontem e hoje
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Lobo, Maria Stella de Castro

; Cardoso, Maria Lúcia de Macedo

Cadernos de Saúde Pública

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2023, Volume 39 N. 4 elocation e00065623

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

https://doi.org/10.1590/0102-311xpt065623

[SciELO Preprints] - COVID-Inconfidentes - SARS-CoV-2 seroprevalence in two Brazilian urban areas during the pandemic first wave: study protocol and initial results
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Meireles, Adriana Lucia Lourenção, Luciano Garcia Menezes Junior, Luiz Antônio Alves de Coletro, Hillary Nascimento Justiniano, Irene Carolina Sousa Moura, Samara Silva de Diniz, Amanda Popolino Sabião, Thaís da Silva Rocha, Ana Maria Sampaio Batista, Aline Priscila Lage, Nara Nunes Simões, Bárbara dos Santos Santos, Carolina Ali Mendonça, Raquel de Deus Andrade, Amanda Cristina de Souza Barbosa, Keila Furbino Masioli, Cássio Zumerle Carraro, Júlia Cristina Cardoso Menezes, Mariana Carvalho de Nascimento, Renata Cristina Rezende Macedo Roever, Leonardo Caiaffa, Waleska Teixeira Machado-Coelho, George Luiz Lins

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Publication date: 2021-07-29

Abstract: En

Background: A population study is an important tool that can be used to understand the actual epidemiological scenario of the Covid-19 in different territories, identify its magnitude, understand its transmission dynamics, and its demographic, geographical, and social distribution. Objective: The aim of this study was to determine the prevalence and dynamics of SARS-CoV-2 infection in the population of two Brazilian cities during the pandemic first wave and subsequent socioeconomic and health effects. Materials & methods: This paper described the methodological procedures adopted and the prevalence of the SARS-CoV-2 infection in the population. A household survey was conducted between October and December 2020, in two historic cities of Brazil's mining region. Anti-SARS-CoV-2 antibody was detected using the Wondfo® rapid test. The face-to-face interview consisted of administration of a questionnaire containing registration data, sociodemographic and economic variables, living habits, general health condition, mental health, sleep habits, and eating and nutrition. Results: We evaluated 1,762 residents, of which 764 (43.4%) were in Mariana and 998 (56.6%) in Ouro Preto. For both cities, 51.9% of the interviewees were female, with a predominance of the age range 35 to 59 years old (47.2%). The prevalence of the SARS-CoV-2 infection was 5.5% in all cities, 6.2% in Ouro Preto, and 4.7% in Mariana. The prevalence was similar between cities (P>0.05). Conclusion: The study was effective in verifying the seroprevalence of infection by the virus and its findings will enable further analyses of the health conditions of the population related to social isolation and the risk of infection with SARS-CoV-2.

https://doi.org/10.1590/SciELOPreprints.2720

Effectiveness and safety of first-generation protease inhibitors in real-world patients with hepatitis C virus genotype 1 infection in Brazil: a multicenter study
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Callefi, Luciana Azevedo

; Villela-Nogueira, Cristiane Alves

; de Barros Tenore, Simone

; Carnaúba-Júnior, Dimas

; Coelho, Henrique Sérgio Moraes

; Pinto, Paulo de Tarso A.

; Nabuco, Letícia Cancella

; Pessoa, Mário Guimarães

; Ferraz, Maria Lucia Cardoso Gomes

; Ferreira, Paulo Roberto Abrão

; de Lourdes Candolo Martinelli, Ana

; Chachá, Silvana Gama Florencio

; de Souza Paiva Ferreira, Adalgisa

; de Macedo Bisio, Alessandra Porto

; Brandão-Mello, Carlos Eduardo

; Álvares-Da-Silva, Mário Reis

; Reuter, Tânia

; Ivantes, Claudia Alexandra Pontes

; de Mello Perez, Renata

; Mendes-Correa, Maria Cássia Jacintho

Clinics

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jun 2017, Volume 72 N. 6 Pages 378 - 385

Abstract: En | Text: En | PDF: En

OBJECTIVE: To evaluate the effectiveness and safety of first-generation protease inhibitors for the treatment of genotype 1 hepatitis C virus-infected patients at Brazilian reference centers. METHODS: This multicenter cross-sectional study included hepatitis C virus genotype 1 monoinfected patients treated with Peg-interferon, ribavirin, and either boceprevir (n=158) or telaprevir (n=557) between July 2013 and April 2014 at 15 reference centers in Brazil. Demographic, clinical, virological, and adverse events data were collected during treatment and follow-up. RESULTS: Of the 715 patients, 59% had cirrhosis and 67.1% were treatment-experienced. Based on intention-to-treat analysis, the overall sustained viral response was 56.6%, with similar effectiveness in both groups (51.9% for boceprevir and 58% for telaprevir, p=0.190). Serious adverse events occurred in 44.2% of patients, and six deaths (0.8%) were recorded. Cirrhotic patients had lower sustained viral response rates than non-cirrhotic patients (46.9% vs. 70.6%, p<0.001) and a higher incidence of serious adverse events (50.7% vs. 34.8%, p<0.001). Multivariate analysis revealed that sustained viral response was associated with the absence of cirrhosis, viral recurrence after previous treatment, pretreatment platelet count greater than 100,000/mm3, and achievement of a rapid viral response. Female gender, age>65 years, diagnosis of cirrhosis, and abnormal hemoglobin levels/platelet counts prior to treatment were associated with serious adverse events. CONCLUSION: Although serious adverse events rates were higher in this infected population, sustained viral response rates were similar to those reported for other patient cohorts.

https://doi.org/10.6061/clinics/2017(06)08 869 downloads

A Política Nacional de Educação Permanente em Saúde nas Escolas de Saúde Pública: reflexões a partir da prática
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Cardoso, Maria Lúcia de Macedo

; Costa, Patricia Pol

; Costa, Delaine Martins

; Xavier, Caco

; Souza, Rosa Maria Pinheiro

Ciência & Saúde Coletiva

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may 2017, Volume 22 N. 5 Pages 1489 - 1500

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

Resumo O estudo teve como objetivo analisar aspectos da implementação da Política Nacional de Educação Permanente em Saúde, do Ministério da Saúde, tendo como referência as experiências das Escolas de Saúde Pública. A partir de uma análise das bases conceituais e organizacionais da política, foram realizadas cinco oficinas em escolas situadas em diferentes regiões do país. Os pressupostos metodológicos se orientaram por uma abordagem reflexiva, pautada no diálogo entre a equipe de pesquisa e os participantes das escolas, que partiu da identificação e dos significados das experiências em educação permanente em saúde (EPS), vivenciadas nessas instituições. O estudo aponta que os princípios e valores da EPS foram apropriados nessas escolas e se encontram presentes como prática pedagógica não apenas em instâncias evidentemente educativas, como processos formativos, mas na própria gestão e ações de desenvolvimento institucional, bem como na sua atuação política. Ressalta-se o importante papel desempenhado por essas escolas como coindutoras da política de Educação Permanente em Saúde no país e sua capacidade de mobilização de diferentes agentes sociais.

Abstract This study aimed to analyze aspects of the implementation of the National Permanent Health Education Policy of the Brazilian Ministry of Health, based on the experiences of Public Health Schools. Five workshops were held in schools located in different regions of the country, taking into account an analysis of the conceptual and organizational basis of the policy. The methodological premises hinged on a reflexivist approach based on a dialogue between the research team and school participants, which built on the identification and meaning of the experiences of these institution in permanent health education (PHE). This study shows that the principles and values of the PHE were adequate in these schools and employed as pedagogical practice, not only in clearly educational situations, as formative processes, but also in the very institutional development management and actions, as well as in their political action. The important role of these schools as co-fosterers of PHE in the country and their capacity of mobilizing different social agents should be emphasized.

https://doi.org/10.1590/1413-81232017225.33222016 14511 downloads

A Política Nacional de Educação Permanente em Saúde nas Escolas de Saúde Pública: reflexões a partir da prática
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Cardoso, Maria Lúcia de Macedo

; Costa, Patricia Pol

; Costa, Delaine Martins

; Xavier, Caco

; Souza, Rosa Maria Pinheiro

Ciência & Saúde Coletiva

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may 2017, Volume 22 N. 5 Pages 1489 - 1500

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

https://doi.org/10.1590/1413-81232017225.33222016 1135 downloads

10.

O que a perspectiva antropológica tem a dizer sobre a avaliação de projetos sociais apoiados pela cooperação internacional?
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Cardoso, Maria Lúcia de Macedo

; Costa, Delaine Martins

Horizontes Antropológicos

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jun 2014, Volume 20 N. 41 Pages 117 - 140

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

O artigo propõe refletir sobre a avaliação de projetos sociais apoiados por agências da cooperação internacional, a partir da perspectiva da antropologia. Situa a cooperação internacional no marco do discurso do desenvolvimento construído no pós-guerra e discute o lugar ocupado pela avaliação nessa arena. Analisa, então, a experiência da avaliação a partir da antropologia seguindo dois eixos: os limites dos padrões institucionalizados pela cooperação internacional baseado no marco lógico para a compreensão do contexto e da mudança social, considerando que os projetos buscam intervir em relações sociais estabelecidas no processo de globalização; e as possibilidades abertas pelo trabalho de campo na avaliação, como espaço de diálogo e ressignificação dos sentidos de mudança social. Ao final, faz uma reflexão sobre a atuação profissional de antropólogos, reafirmando o lugar da etnografia e da teoria como base de formação.

The present study proposes a reflection, from the viewpoint of Anthropology, on the evaluation of social projects supported by international cooperation agencies. It situates international cooperation in the context of the discourse of development built on post-World War II period, and discusses the role played by projects evaluation in this area. The study then analyses the experience of evaluation, from the standpoint of Anthropology, following two strategies: the limits of the institutionalized patters by international cooperation based on logical frameworks to comprehend the context and social change, considering that the projects aim to intervene in social relationships established in the process of globalization; and the possibilities opened by fieldwork in evaluation as a space for dialog and for imparting new meaning to social change. Last, the study ponders on professional performance of Anthropologists, reaffirming the place of ethnography and theory as the base of the discipline.

https://doi.org/10.1590/S0104-71832014000100005 4868 downloads

11.

Aspects of verbal communication between nurses and visually impaired people
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Costa, Kátia Nêyla de Freitas Macêdo

; Pagliuca, Lorita Marlena Freitag

; Almeida, Paulo César de

; Cardoso, Maria Vera Lúcia Moreira Leitão

; Rebouças, Cristiana Brasil de Almeida

Rev Rene

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jun 2009, Volume 10 N. 2 Pages 29 - 36

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

The communication process consists of verbal and non-verbal forms. The aims of the study were to analyze verbal communication between nurses and blind diabetic patients using Roman Jakobson’s theory and to draw the sender’s profile in view of the conative, emotive, referential functions, contact and code. It was a quantitative survey carried out in 2005. The participants were blind people, companions and nurses. The data collection included five nursing consultations, which were recorded. The scenes were analyzed every 15 seconds and from those resulted 1131 verbal interactions. The nurse was the sender in 57.8% and the blind person in 20% of the interactions. In the vocative interactions, the action mode prevailed (66.2%). Information contents mainly referred to orientations (85.4%), using hearing (53%), and using sight (40.6%). Communication about personal matters prevailed among blind senders (42%), and communication about treatment among nurses (59.8%). The emotive functions were: solidarity, satisfaction, tranquility and empathy. Nurses need to develop verbal communication abilities.

El proceso de la comunicación consiste en formas verbal y no verbal. Los objetivos fueron analizar la comunicación verbal entre enfermeros, pacientes ciegos diabéticos usando la teoría de Roman Jakobson; describir el perfil del emisor desde el punto de vista conativo, emotivo, referencial, contacto y código. Estudio cuantitativo realizado en el 2005. Participaron personas ciegas, acompañantes y enfermeros. Los datos recogidos incluyeron cinco consultas de enfermería, las cuales fueron grabadas. Las acciones fueron analizadas a cada quince segundos, lo que resultó en 1.131 interacciones verbales. Los enfermeros fueron emisores en el 57,8% y el paciente ciego en el 20% de las interacciones. En las interacciones vocativas, prevaleció el modo de acción (el 66,2%). Informaciones conteniendo principalmente orientaciones (el 85,4%), usando la audición (el 53%) y usando signo (el 40,6%). Comunicación sobre los problemas personales prevaleció cuando el ciego era emisor (el 42%); sobre tratamiento, cuando eran los enfermeros (el 59,8%). Las funciones emotivas fueron: solidaridad, satisfacción, tranquilidad y empatía. Se concluye que los enfermeros necesitan desarrollar habilidades de comunicación verbal.

O processo de comunicação consiste de forma verbal e não verbal. Os objetivos foram analisar a comunicação verbal entre enfermeiros, pacientes cegos diabéticos usando a teoria de Roman Jakobson; descrever o perfil do emissor nas visões conativa, emotiva, referencial, contato e código. Estudo quantitativo realizado em 2005. Participaram pessoas cegas, acompanhantes e enfermeiros. A coleta de dados incluiu cinco consultas de enfermagem, as quais foram gravadas. As cenas foram analisadas a cada quinze segundos que resultou em 1.131 interações verbais. Os enfermeiros foram emissores em 57,8% e o paciente cego em 20% das interações. Nas interações vocativas, o modo ação prevaleceu (66,2%). Informações contendo principalmente orientações (85,4%), usando audição (53%) e usando signo (40,6%). Comunicação sobre problemas pessoais prevaleceu quando o cego era emissor (42%), sobre tratamento, quando eram os enfermeiros (59,8%). As funções emotivas foram: solidariedade, satisfação, tranqüilidade e empatia. Conclui-se que os enfermeiros precisam desenvolver habilidades de comunicação verbal.

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