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RESUMO: A placenta, apesar de ser um órgão temporário, é imprescindível para o desenvolvimento e sobrevivência do concepto. Durante a gestação, desempenha funções essenciais, como nutrição, proteção, circulação, excreção e secreção. Estudos em humanos já detalham medidas placentárias associando-as a desfechos perinatais e a doenças na vida adulta. No entanto, em cadelas, esses estudos ainda são limitados. Portanto, este trabalho tem como objetivo revisar e unificar os principais estudos já publicados sobre a avaliação da placenta de cadelas. Embora diversas formas de avaliação placentária tenham sido descritas, mais estudos sobre este tema, sejam eles macroscópicos ou microscópicos, são necessários para otimizar e priorizar a pesquisa clínica imediata e a longo prazo sobre a condição da placenta e a sua influência sobre os neonatos caninos. RESUMO temporário concepto gestação essenciais nutrição proteção circulação secreção associandoas associando as adulta entanto cadelas limitados Portanto descritas tema microscópicos caninos

ABSTRACT: The placenta, despite being a temporary organ, is essential for the development and survival of the conceptus. During pregnancy, it performs essential functions, such as nutrition, protection, circulation, excretion, and secretion. Studies in humans already detail placental measurements, associating them with perinatal outcomes and diseases in adult life. However, in dogs, these studies are still limited. Therefore, this research aimed to review and unify the main studies already published on the evaluation of the placenta in bitches. Although, several forms of placental assessment have been described, more studies on this topic, whether macroscopic or microscopic, are needed to optimize and prioritize immediate and long-term clinical research into the condition of the placenta and its influence on canine neonates. ABSTRACT organ conceptus pregnancy functions nutrition protection circulation excretion secretion measurements life However dogs limited Therefore bitches Although described topic microscopic longterm long term neonates

https://doi.org/10.1590/0103-8478cr20240298

Correlation between motor symptoms, cognitive function, and optical coherence tomography findings in Parkinson’s disease symptoms function Parkinsons Parkinson s
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Cunha, Leonardo Provetti

; Martins, Pedro Nascimento

; Martins, Luiza Cunha

; Almada, Fernanda Mara do Nascimento

; Shigaeff, Nádia

; Araújo, Daniel Oliveira de

; Mello, Luiz Guilherme Marchesi

; Monteiro, Mário Luiz Ribeiro

; Snyder, Peter J.

; Vale, Thiago Cardoso

Arquivos Brasileiros de Oftalmologia

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2025, Volume 88 N. 3 elocation e2024-0049

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: This study aimed to evaluate the total macular thickness as well as the thickness of the inner and outer retinal layers in patients with Parkinson’s disease. It also aimed to verify the correlation of these parameters with motor symptoms and cognitive function. Methods: A total of 46 eyes of 23 patients with Parkinson’s disease and 40 eyes of 20 healthy controls were included in the study. The patients’ cognitive, functional, and nonmotor symptoms were evaluated using the Katz Index of Independence and Pfeffer’s Activities of Daily Living, Mini-Mental State Examination, Frontal Assessment Battery, Schwab and England Staging Scales, and Movement Disorders Society Nonmotor Symptoms Scale. The macular thickness measurements obtained via total, inner, and outer optical coherence tomography were recorded. Furthermore, the correlation of the parameters of optical coherence tomography with cognitive, functional, and nonmotor symptoms was assessed. Results: The scores of the Katz Index of Independence and Pfeffer’s Activities of Daily Living as well as the Movement Disorders Society Nonmotor Symptoms Scale were significantly lower in patients with Parkinson’s disease than in healthy controls. Moreover, the former had greater total macular thickness. The temporal and inferior outer sectors were significantly greater for the ganglion cell complex thickness in patients. A significant correlation was observed between the total macular thickness and the Movement Disorder Society-Unified Parkinson’s Disease Rating Scale, Parte III (MDS-UPDRS-III) values. Contrarily, there was a negative correlation between the outer macular thickness and the MDS-UPDRS-III values. Meanwhile, the total macular thickness and ganglion cell complex thickness were significantly correlated with the scores of the Mini-Mental State Examination, Schwab and England Staging Scale, Frontal Assessment Battery, and Katz Index of Independence and Pfeffer’s Activities of Daily Living. In addition, the Schwab and England scale was correlated with the outer macular thickness. Conclusion: The total and inner macular thicknesses at the temporal and inferior outer sectors were greater in patients with Parkinson’s disease than in the control group. These findings indicate that macular thickness may be greater in those with Parkinson’s disease, particularly when associated with mild motor symptoms. In addition, the parameters of the total, inner, and outer optical coherence tomography were significantly associated with motor and nonmotor symptoms as well as cognitive function impairment. Purpose Parkinsons Parkinson s Methods 4 2 functional Pfeffers Pfeffer MiniMental Mini Mental Examination Battery Scales recorded Furthermore assessed Results Moreover SocietyUnified Unified MDSUPDRSIII MDS UPDRS (MDS-UPDRS-III values Contrarily Meanwhile addition Conclusion group impairment

https://doi.org/10.5935/0004-2749.2024-0049

A Dupla Transparência nas Apresentações de Si de Iniciativas Brasileiras de Vigilância Civil Sobre Transparência Pública
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Silva, Daniel Reis

; Melo, Fernanda Shelda de Andrade

Comunicação e Sociedade

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dec 2024, Volume 46 elocation e024019

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

Abstract This article reflects on Brazilian civil monitoring initiatives that address public transparency, situating them within the broader phenomenon of civil monitoring that has emerged in recent decades and its implications for the media system. Descriptively, it analyses how these initiatives, discursively anchored in defence of the public interest and the demand for transparency, disclose (or do not) their own formative and operational elements, a hypothesis referred to as “dual transparency”. To this end, the article provides a theoretical overview of public transparency within democratic systems, with a particular focus on the Brazilian context. It explores civil monitoring and the challenges faced by initiatives in establishing legitimacy, as well as their interactions with the media system. It then analyses six contemporary Brazilian initiatives on the subject, based on a review of their websites for discourses on four categories: (a) origin, (b) team, (c) funding, and (d) partnerships. The article reveals that these initiatives apply the concept of “dual transparency” inadequately and inconsistently, reflecting their inherent monitoring nature. Specifically, they often fail to disclose information about their sources of funding and expenditures, resulting in opaque systems where private interests may be concealed.

Resumo O artigo reflete sobre iniciativas de vigilância civil brasileiras que versam sobre a transparência pública, entendendo-as como parte de um fenômeno de democracia monitória conformado nas últimas décadas com implicações para o sistema político e midiático. De caráter descritivo, desenvolve uma análise acerca de como essas iniciativas, ancoradas discursivamente na defesa do interesse público e na cobrança por transparência, dão (ou não) visibilidade para os seus próprios elementos formativos e operacionais, em uma hipótese nomeada de “dupla transparência”. Para tanto, o artigo desenvolve uma recuperação teórica sobre a transparência pública no sistema democrático e no caso brasileiro, aborda a democracia monitória e a vigilância civil, pensando nos desafios das iniciativas na construção de sua legitimidade, assim como suas interfaces com o sistema midiático. Em seguida, são analisadas seis iniciativas brasileiras contemporâneas sobre o tema, a partir de uma busca em seus websites acerca de discursos sobre quatro categorias: (a) origem, (b) equipe, (c) financiamento, e (d) parcerias. Como resultado, o artigo constata que as iniciativas em questão aplicam de forma deficitária e variada, de acordo com sua própria natureza de monitoramento, a ideia de “dupla transparência”, falhando, especialmente, em apresentar informações sobre suas fontes de financiamento e gastos, construindo sistemas opacos nos quais interesses privados podem ser escondidos.

https://doi.org/10.17231/comsoc.46(2024).5692

Effects of postharvest treatments based on calcium and silicon in hydro-cooling on the basic quality attributes of ʹBingʹ sweet cherries (Prunus avium L.) during storage
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Maya-Meraz, Irma Ofelia

; Díaz-Calzadillas, Manuel Francisco

; Ruiz-Cisneros, María Fernanda

; Ornelas-Paz, José de Jesús

; Rios-Velasco, Claudio

; Berlanga-Reyes, David I.

; Pérez-Corral, Daniel A.

; Alonso-Villegas, Rodrigo

Revista de la Facultad de Ciencias Agrarias. Universidad Nacional de Cuyo

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dec 2024, Volume 56 N. 2 Pages 114 - 125

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

Resumen Se ha demostrado que los tratamientos con Ca2+ y Si2+ confieren resistencia al estrés biótico y abiótico en muchas frutas. En cerezas dulces, el Ca2+ mejora la extensión de la vida útil durante el almacenamiento, pero solo se ha utilizado CaCl2. Por otro lado, existe escasa información sobre el CaCO3 como fuente de Ca2+, que ha mostrado un aumento de la firmeza en bayas. En este estudio, se evaluaron diferentes tratamientos a base de Ca2+ (CaCl2 y CaCO3) + Si2+ (SiO2) solos y combinados por inmersión en hidro-enfriamiento (0°C) sobre características fisicoquímicas en cerezas dulces ʹBingʹ (Prunus avium L.) durante el almacenamiento a baja temperatura (4°C). Los resultados demuestran que los tratamientos solos o combinados (Ca2+ y Si2+) en hidro-enfriamiento afectaron significativamente al color de la piel y pulpa de las cerezas dulces. Se aumentó la cromaticidad (C*) en los frutos tratados, indicando un color rojo intenso, especialmente en aquellas cerezas tratadas con CaCl2. Además, la firmeza aumentó durante el almacenamiento en los tratamientos con Ca2+, mientras que el tratamiento con SiO2 incrementó la acumulación de sólidos solubles totales (SST). Por lo tanto, los tratamientos combinados de Ca2+ y Si2+ con hidro-enfriamiento podrían ser una estrategia poscosecha prometedora para mantener las características fisi coquímicas deseables en cerezas dulces durante el almacenamiento a baja temperatura.

Abstract Ca2+ and Si2+ treatments confer resistance to biotic and abiotic stresses in many fruits. In sweet cherries, Ca2+ improves shelf life extension during storage, but only CaCl2 is used. On the other hand, there is scarce information on CaCO3 as a source of Ca2+, which has shown increased firmness in berries. This study evaluated different treatments based on Ca2+ (CaCl2 and CaCO3) + Si2+ (SiO2) alone and combined with immersion in hydro-cooling (0°C) on physicochemical characteristics of ʹBingʹ sweet cherries (Prunus avium L.) during storage at low temperature (4°C). Results demonstrate that alone or combined treatments (Ca2+ and Si2+) with hydro-cooling significantly affected skin and flesh color of sweet cherries. Chromaticity (C*) was increased in treated fruits, indicating an intense red color, especially in those cherries treated with CaCl2. Furthermore, firmness was increased during storage in treatments with Ca2+, while SiO2 treatment increased total soluble solids (TSS). Therefore, combined treatments of Ca2+ and Si2+ with hydro-cooling might be a promising postharvest strategy to maintain desirable physicochemical characteristics in sweet cherries during low-temperature storage.

Endometriose: pequenos avanços, grandes mudanças
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Reis, José

; Costa, Ana Rosa

; Silva, Daniel Pereira da

; Faustino, Fátima

; Águas, Fernanda

; Ferreira, Hélder

; Carvalho, Maria João

; Xavier, Pedro

Acta Obstétrica e Ginecológica Portuguesa

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sep 2024, Volume 18 N. 3 Pages 224 - 238

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

Abstract Endometriosis is a chronic disease, characterized by the presence of endometrium outside the uterine cavity, which affects around 10% of women of reproductive age. Symptoms vary widely and can be absent or severe, debilitating and highly restrictive of quality of life. Pain, in different forms, intensities and associations, is the most striking symptom. The endometriosis is often associated with infertility and other comorbidities that represent additional risks for patients. Diagnosing is a major challenge. It is often delayed, for reasons rooted in the unspecific nosology of the disease, which is confused with common conditions. Another major challenge is treatment, since it is a chronic, multifaceted disease, sometimes with systemic repercussions, for which it is essential to find a personalized response. This review highlights the most recent aspects of pathogenesis and treatment options, particularly the new pharmacological options with GnRH antagonists, reserving surgery for specific situations. New molecular agents are being developed for the diagnosis and potential treatment of this disease. The configuration of clinical guidelines for optimizing the fertility potential of these patients remains to be defined.

Resumo A endometriose é uma doença crónica, caracterizada pela presença de endométrio fora da cavidade uterina, que afeta cerca de 10% das mulheres em idade reprodutiva. A sua expressão sintomática é muito variada, pode estar ausente ou ser grave, debilitante e altamente condicionante da qualidade de vida. A dor, com matizes e associações diversas, é o sintoma mais marcante. Associa-se com frequência a infertilidade e outras comorbilidades que representam riscos adicionais para as doentes. O diagnóstico da endometriose é um grande desafio. O atraso é frequente, por razões que radicam na nosologia pouco especifica da doença, que se confunde com situações comuns. Outro grande desafio é o tratamento, uma vez que é uma doença crónica, multifacetada, por vezes com repercussão sistémica, para a qual é indispensável encontrar uma resposta personalizada. Esta revisão destaca os aspetos mais recentes da patogénese e opções do tratamento, nomeadamente as novas opções farmacológicas com antagonistas da GnRH, reservando a cirurgia para situações específicas. Estão em desenvolvimento novos agentes moleculares para o diagnóstico e potencial tratamento desta doença. A configuração de orientações clínicas para a otimização do potencial de fertilidade dessas doentes continua por definir.

https://doi.org/10.69729/aogp.v18i3a07

Low-dose oral minoxidil for persistent chemotherapy and radiotherapy-induced alopecia in a pediatric female patient Lowdose Low dose radiotherapyinduced radiotherapy induced
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Melo, Raíssa Rodriguez

; Almeida, Rita Fernanda Cortez de

; Lemes, Luciana Rodino

; Frattini Junior, Sidney

; Ramos, Paulo Müller

; Melo, Daniel Fernandes

Anais Brasileiros de Dermatologia

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aug 2024, Volume 99 N. 4 Pages 635 - 637

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.abd.2023.07.010

Adaptación transcultural y validación de la versión mexicana del cuestionario DASH en individuos sanos y pacientes con trastornos neurogénicos del miembro superior
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Guadarrama-Ortiz, Parménides

; Lule-Castillo, Susana P.

; Capi-Casillas, Deyanira

; Román-Villagómez, Alondra

; Prieto-Rivera, Ángel D.

; Ruiz-Rivero, César O.

; Peña-Bartolone, Jesús D.

; Cruz-Zarrabal, Raymundo

; Vásquez-Núñez, Rocío

; Montes de Oca-Vargas, Ingrid

; Garibay-Gracián, André

; Revilla-López, Daniel G.

; López-de la Cruz, Ricardo

; Sánchez-Mawcinitt, M. Fernanda

; Choreño-Parra, José A.

Cirugía y cirujanos

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jun 2024, Volume 92 N. 3 Pages 369 - 378

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

Abstract Objective: To conduct a cultural adaptation and validation of the DASH questionnaire to evaluate the perspective of patients with neurogenic disorders of the upper extremity regarding the impact on their quality of life. Method: We performed an adaptation of the Spanish version of the DASH questionnaire to the Mexican vocabulary and applied it to 478 volunteers. Ceiling effect, floor effect, item-total correlation, descriptive statistics of items and total score, internal consistency, precision, cross-sectional and longitudinal validity were estimated by comparing healthy controls and affected individuals with different disability levels. Results: Our DASH questionnaire version was equivalent to those previously approved and showed homogeneity of the items with respect to the total value of the questionnaire (Cronbach’s alpha > 0.96). In addition, it showed an accuracy of 7.25 points and the cross-sectional and longitudinal validity was documented with significant differences between groups and subgroups with distinct disability levels. Conclusions: The DASH questionnaire can be used with a high level of confidence in the Mexican population.

Resumen Objetivo: Realizar la adaptación cultural y validación del cuestionario DASH para conocer la perspectiva de pacientes con trastornos neurogénicos del miembro superior respecto al impacto en su calidad de vida. Método: Se realizó una adaptación al vocabulario mexicano de la versión española del cuestionario DASH y se aplicó en 478 voluntarios. Se estimaron el efecto techo, el efecto suelo, la correlación ítem-total, las medidas de tendencia central de ítems y el puntaje total, la consistencia interna, la precisión y la validez transversal y longitudinal mediante la comparación de individuos sanos y enfermos con diferente nivel de discapacidad. Resultados: Nuestra versión del cuestionario DASH resultó equivalente a las previamente aprobadas y mostró homogeneidad de los ítems respecto al valor total del cuestionario (alfa de Cronbach > 0.96). Además, tuvo una precisión de 7.25 puntos y se documentó la validez transversal y longitudinal con diferencias significativas entre grupos y subgrupos con diferente nivel de discapacidad. Conclusiones: El cuestionario DASH puede ser empleado con un nivel de confianza alto en la población mexicana.

https://doi.org/10.24875/ciru.22000510

Sentido de la experiencia de las pacientes con cáncer de mama en una clínica universitaria en Bogotá, Colombia: estudio cualitativo
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Olivero Luna, Jhonatan Daniel

; Ramírez Flórez, María Claudia

; Rozo Agudelo, Nicolás

; Rincón López, Juliana Vanesa

; Castro Muñoz, John Alexander

; Luna, María Fernanda

Revista Colombiana de Obstetricia y Ginecología

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jun 2024, Volume 75 N. 2 elocation 4167

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

ABSTRACT Objectives: To understand the meaning of the experiences of breast cancer patients undergoing diagnostic and treatment processes. Material and methods: A descriptive qualitative study based on the hermeneutic-interpretative scientific paradigm and grounded in a phenomenological epistemological framework. The study included women aged 18 years or older diagnosed with breast cancer and treated at a university clinic in Bogotá, who were given a semi-structured interview. Procedure: Semi-structured interviews were conducted based on pre-established categories. Aspects evaluated: Knowledge about current breast cancer screening and detection patterns, current utilization patterns of healthcare services, and perceived healthcare needs. Results: Regarding Current knowledge patterns on breast cancer screening and detection, patients demonstrated limited awareness. Concerning Current utilization patterns of healthcare services, there were noted dissatisfactions with the administrative process. Regarding Perceived healthcare needs, a feeling of abandonment was identified, stemming from a lack of continuity in the care process. Additionally, two emergent categories were identified: trust in the healthcare system and predisposition to feelings of guilt due to a lack of knowledge about the disease. Conclusions: A comprehensive care process is needed that addresses the real medical needs of patients, beyond administrative concerns, and is focused on the quality of the doctor-patient relationship across the entire multidisciplinary team.

RESUMEN Objetivos: Comprender el sentido de las experiencias de las pacientes con cáncer de mama que asisten a los procesos de diagnóstico y tratamiento. Materiales y métodos: Estudio descriptivo cualitativo desde el paradigma científico hermenéutico-interpretativo, a partir de la base epistemológica fenomenológica. Incluyó mujeres de 18 años o más con diagnóstico de cáncer de mama, atendidas en una clínica universitaria en Bogotá, a quienes se les realizó una entrevista semiestructurada. Procedimiento: entrevistas semiestructuradas a partir de categorías preestablecidas. Aspectos evaluados: conocimiento sobre los patrones actuales de tamización y detección del cáncer de mama, patrones actuales de utilización de la atención médica y las necesidades sanitarias percibidas. Resultados: Con respecto a los Patrones actuales de conocimiento de tamización y detección del cáncer de mama, las pacientes evidenciaron contar con poco conocimiento. Acerca de los Patrones actuales de utilización de la atención médica, se evidenciaron inconformidades con el proceso administrativo. En cuanto a las necesidades sanitarias percibidas, se encontró un sentimiento de abandono generado por la falta de continuidad del proceso de atención. Adicionalmente, se encontraron como categorías emergentes: La confianza en el sistema de atención y La predisposición por sentimientos de culpa ante el desconocimiento de la patología. Conclusiones: Se requiere un proceso de atención general que responda a las necesidades médicas reales de las pacientes, más allá de lo administrativo, enfocado en la calidad de la relación médico-paciente de todo el equipo multidisciplinario.

https://doi.org/10.18597/rcog.4167

Motivos de deserción en estudiantes de nutrición de una universidad pública
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Patiño Corona, Rosa Idzel

; Álvarez-Mancilla, Edgar Eduardo

; Vega Velazquez, Daniel Osmar

; AltamiranoMartínez, Martha Betzaida

; Cordero Muñoz, Aida Yanet

; Bernal Orozco, María Fernanda

; Rodríguez Rocha, Norma Patricia

; Macedo Ojeda, Gabriela

Academo (Asunción)

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apr 2024, Volume 11 N. 1 Pages 17 - 28

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

RESUMEN El objetivo de este artículo es identificar la prevalencia de deserción en los alumnos de la Licenciatura en Nutrición (LN) de una universidad pública de México, las causas relacionadas con la deserción y agruparlas de acuerdo a sus características. Se realizó un estudio descriptivo en dos fases, en la fase 1 se identificaron los datos históricos de deserción del programa educativo. En la fase 2, se aplicó una encuesta de construcción propia con preguntas abiertas y cerradas, de la cual se obtuvo la respuesta de 75 estudiantes desertores. La encuesta incluyó un análisis dicotómico (sí, no) de 18 factores asociados a la deserción escolar, totalizando 22 al incorporar los aspectos cualitativos obtenidos de la opción de respuesta "otros"; estos factores se agruparon en seis categorías. Se encontró una tasa de deserción escolar del 18% para el plan de estudios actual y el intermedio y hasta el 33% en el primer plan de estudios. De los desertores detectados, el 58.6% lo hizo en el primer año de estudios. El 66% de los desertores reprobaron al menos una unidad de aprendizaje y tienen una calificación promedio de 72.71, por debajo de la media general de la LN del centro universitario (91.8). De los desertores, el 49.3% identificó el cambio de carrera como su motivo de abandono, este factor forma parte de la categoría de "causas vocacionales" que ocupó el primer lugar con el 72%, seguido de "aspectos personales" con el 49.3% incluyendo 3 casos de maternidad; y en tercer lugar la categoría de "aspectos económicos" (26.7%). El principal motivo de deserción de los alumnos de la LN son los aspectos vocacionales relacionados con la búsqueda de otra carrera.

ABSTRACT The objective of this article is to identify the prevalence of dropout in students from the bachelor's degree in nutrition (LN) at a public university in Mexico, the causes related to dropout, and group them according to their characteristics. A descriptive study was carried out in two phases; in phase 1, the historical data on attrition from the educational program were identified. In phase 2, we applied a self-constructed survey with open and closed questions and obtained a response from 75 dropout students. The survey included a dichotomous analysis (yes, no) of 18 factors associated with school dropout, totaling 22 when incorporating the qualitative aspects obtained from the "other" response option; these factors were grouped into six categories. A dropout rate of 18 % was found for the current and intermediate curriculum and up to 33 % in the first curriculum. Of the dropouts detected, 58.6 % came to pass in the first year of studies. The 66 % of the dropouts have failed at least one subject; their average grade is 72.71, below the general average from the LN of the university center (91.8). Of the dropouts, 49.3 % identified career change as their reason for dropping out, which is part of the category of "vocational causes" that ranked first with 72 %, followed by "personal aspects" with 49.3 % including 3 cases of maternity; and in third place the category of "economic aspects" (26.7 %). The main reason for dropout among LN students is vocational aspects related to the search for another career.

https://doi.org/10.30545/academo.2024.ene-abr.3

10.

Trastornos Psiquiátricos en Gestantes Hospitalizadas en el Servicio de Alto Riesgo Obstétrico de la Clínica Universitaria Bolivariana de Medellín (Colombia) Durante los Años 2013 a 2017
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Constaín, Gustavo A.

; Ocampo Saldarriaga, María Victoria

; Franco Vásque, José Gabriel

; Naranjo, Luisa Fernanda

; Restrepo Conde, Cristóbal

; Estrada Muñoz, Daniel

; López, Laura Chaverra

; Buriticá González, Jerónimo

Revista Colombiana de Psiquiatría

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mar 2024, Volume 53 N. 1 Pages 17 - 25

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

RESUMEN Objetivos: Determinar los diagnósticos psiquiátricos y describir características clínicas, el riesgo biopsicosocial y los tratamientos de las pacientes hospitalizadas en el servicio de alto riesgo obstétrico para las que se realizó una interconsulta con psiquiatría. Métodos: Estudio observacional descriptivo en el que se incluyó a las pacientes del servicio de alto riesgo obstétrico de una institución de alta complejidad de Medellín para las que se interconsultó por psiquiatría de enlace entre 2013 y 2017. Las principales variables de interés fueron los diagnósticos y tratamientos tanto psiquiátricos como gineco obstétricos, además de los factores de riesgo obstétricos y psicosociales. Resultados: Se cribaron en total 361 historias clínicas, y 248 pacientes cumplían los criterios de inclusión. El diagnóstico psiquiátrico principal más prevalente fue trastorno depresivo mayor (29%), seguido por el trastorno de adaptación (21,8%) y los trastornos de ansiedad (12,5%); los fármacos más prescritos por psiquiatría fueron antidepresivos ISRS (24,2%), trazodona (6,8%) y benzodiacepinas (5,2%). El diagnóstico obstétrico principal más común fue el parto espontáneo (46,4%) y los diagnósticos obstétricos secundarios que predominaron fueron trastorno hipertensivo asociado con el embarazo (10,4%), diabetes gestacional (9,2%) y abortos recurrentes (6,4%). El 71,8% de las pacientes tenían un riesgo biopsicosocial alto. Conclusiones: Los principales diagnósticos psiquiátricos fueron trastorno depresivo mayor, trastorno de adaptación y trastornos de ansiedad, lo que implica la importancia del oportuno reconocimiento en la evaluación prenatal de los síntomas de estas entidades, conjuntamente con los factores de riesgo obstétrico y social. La intervención psiquiátrica es necesaria considerando las implicaciones negativas que tiene el alto riesgo tanto para la madre como paraelniño.

ABSTRACT Objective To determine the psychiatric diagnoses and treatments of patients admitted to the high-risk obstetric service who underwent a consultation with a liaison psychiatrist. Methods: A descriptive observational study that included pregnant women from the high-risk obstetric service of a highly specialised clinic in Medellín, who had a liaison psychiatry consultation between 2013 and 2017. The main variables of interest were psychiatric and obstetric diagnoses and treatments, in addition to biopsychosocial risk factors. Results: A total of 361 medical records were screened, with 248 patients meeting the inclusion criteria. The main prevailing psychiatric diagnosis was major depressive disorder (29%), followed by adaptive disorder (21.8%) and anxiety disorders (12.5%). The pharmacologic treatments most used by the psychiatry service were SSRI antidepressants (24.2%), trazodone (6.8%) and benzodiazepines (5.2%). The most common primary obstetric diagnosis was spontaneous delivery (46.4%), and the predominant secondary obstetric diagnoses were hypertensive disorder associated with pregnancy (10.4%), gestational diabetes (9.2%) and recurrent abortions (6.4%). Overall, 71.8% of the patients had a high biopsychosocial risk. Conclusions: The studied population's primary psychiatric disorders were major depressive disorder, adjustment disorder and anxiety disorders, which implies the importance of timely recognition of the symptoms of these perinatal mental pathologies, together with obstetric and social risks, in the prenatal consultation. Psychiatric intervention should be encouraged considering the negative implications of high biopsychosocial risk in both mothers and children.

https://doi.org/10.1016/j.rcp.2022.01.004

11.

Evolución espacio-temporal de las unidades de ordenamiento ambiental (ZPB, ZPAES) y el refugio de vida silvestre de Los Pantanos de Villa, Perú (1987-2022)
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Fabian Tolentino, Elveis Daniel

; Torres Cordero, Nina Aleli

; Bardales Martínez, María Fernanda

; Naquiche Yesquen, Dagnert Luis

; Ramirez Huaroto, Dámaso Wilfredo

Revista Kawsaypacha: Sociedad y Medio Ambiente

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jan 2024, N. 13 elocation A-009

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

ABSTRACT Coastal wetlands adjacent to urban areas, such as the Pantanos de Villa in the city of Lima, Peru, are subject to constant changes in land use due to anthropogenic interaction. This has led to the reduction of dense vegetation areas, giving way to built-up areas. Therefore, this article addresses the issue of the physical changes experienced in urban areas adjacent to the wetland, such as the environmental management units, in this case the Zone of Protection of Outcrop and Surface Runoff (ZPAES), and the Zone of Landscape Protection of Edge (ZPB), as well as the Pantanos de Villa Wildlife Refuge (RVSPV), as a result of rapid urban expansion. Therefore, the objective of this research is to analyze the spatial and temporal evolution of the Pantanos de Villa environment and urbanization within the Environmental Management Units ZPB, ZPAES, and RVSPV. To achieve this, the Google Earth Engine (GEE) platform was used, and satellite images from Landsat 5 TM and Sentinel 2 MSI sensors were processed. These images were worked on in the GEE interface and analyzed using spectral indices, NDVI and NDBI, through map algebra codes and pixel masking. For cartographic representation, a Geographic Information System (GIS) was used. The results show a 291.12% increase in built-up area and a 26% reduction in vegetated area over the last 35 years, for the Environmental Management Units ZPB and ZPAES, and the RVSPV. The identified reduction is directly related to unplanned expansion of urban areas and anthropogenic activities.

RESUMEN Los humedales costeros adyacentes a zonas urbanas, como los Pantanos de Villa en la ciudad de Lima, Perú, están sujetos a cambios constantes en el uso del suelo debido a la interacción antropogénica. Esto ha llevado a la reducción de áreas de vegetación densa, dando paso a zonas edificadas. Por esta razón, el presente artículo aborda la problemática de los cambios físicos experimentados en las zonas urbanas adyacentes al humedal, como las unidades de ordenamiento ambiental, en este caso la Zona de Protección de Afloramiento y Escorrentía Superficial (ZPAES y la Zona de Protección Paisajística de Borde (ZPB), así como el Refugio de Vida Silvestre Pantanos de Villa (RVSPV), como consecuencia de la rápida expansión urbana. Por ello, el objetivo de esta investigación es analizar la evolución espacial y temporal del entorno de los Pantanos de Villa y la urbanización dentro de las Unidades de Ordenamiento Ambiental ZPB, ZPAES y el RVSPV. Para ello, se utilizó la plataforma de Google Earth Engine (GEE) y se procesaron imágenes satelitales de los sensores Landsat 5 TM y Sentinel 2 MSI. Estas imágenes se trabajaron en la interfaz de GEE y se analizaron utilizando índices espectrales, NDVI y NDBI, mediante códigos de álgebra de mapas y el enmascaramiento de píxeles. Para la representación cartográfica, se empleó un Sistema de Información Geográfica (SIG). Los resultados muestran un aumento del 291.12% en la superficie edificada y una reducción del 26% en la superficie vegetal en los últimos 35 años, para las Unidades de Ordenamiento Ambiental ZPB y ZPAES, y el RVSPV. La reducción identificada se relaciona directamente con la expansión no planificada de la superficie urbana y las actividades antropogénicas.

https://doi.org/10.18800/kawsaypacha.202401.a009

12.

Gasto catastrófico em crianças com deficiência visual: estudo transversal com cuidadores no Rio de Janeiro, Brasil
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Barros, Letícia Baptista de Paula

; Zin, Andrea

; Moreira, Martha Cristina Nunes

; Santos, Marisa da Silva

; Costa, Ana Carolina Carioca da

; Campos, Daniel de Souza

; Neves, Luiza M.

; Haefeli, Lorena

; Entringer, Aline Piovezan

; Moreira, Maria Elisabeth Lopes

; Rebelo, Fernanda

; Vasconcelos, Zilton Farias Meira de

; Pinto, Márcia

Cadernos de Saúde Pública

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2024, Volume 40 N. 9 elocation e00167723

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

Resumo: O cuidado de um filho com deficiência visual pode vir a afetar a renda do cuidador e, por sua vez, a renda da família. Sob essa realidade, há de se considerar o gasto catastrófico consequente do aumento de despesas e da redução de renda, seja pelo desemprego, pela redução do número de horas trabalhadas ou pela dificuldade de (re)inserção no mercado de trabalho. Perante esse cenário, o objetivo principal deste estudo foi estimar o gasto catastrófico atribuído ao cuidador de crianças cegas ou com baixa visão em centros de referência em educação para cegos, oftalmologia e saúde infantil localizados no Município do Rio de Janeiro, Brasil, identificando quais fatores estão associados a uma maior ou menor prevalência desse gasto. Observou-se que 53,3% dos cuidados de crianças com cegueira comprometem 40% ou mais da renda. Entre os cuidadores de crianças com baixa visão, o gasto catastrófico é mais ameno, comprometendo no mínimo 40% da renda para 36,8% dos cuidadores. Os fatores associados à maior prevalência de gasto catastrófico foram idade do cuidador, número de moradores na residência, maior escolaridade, menor renda domiciliar, reformas na residência, plano de saúde, aquisição de empréstimos, venda de bens, quantidade de unidades de saúde que a criança recebe tratamento e parentesco do cuidador principal. A carga que recai sobre os cuidadores de crianças com deficiência visual indica uma situação de vulnerabilidade que mostra a necessidade de acesso aos mecanismos de proteção financeira e social, por meio de políticas que sejam capazes de atender esse grupo.

Resumen: El cuidado de un niño con discapacidad visual puede impactar los ingresos del cuidador y, a su vez, de la familia. En este escenario, es necesario considerar el gasto catastrófico resultante del aumento de los gastos o la reducción de los ingresos, ya sea por desempleo, reducción del número de horas trabajadas o por la dificultad de inserción o reinserción en el mercado laboral. Ante esto, el objetivo principal de este estudio fue estimar el gasto catastrófico atribuido al cuidador de niños ciegos o con baja visión en centros de referencia en educación para ciegos, oftalmología y salud infantil, ubicados en el municipio de Río de Janeiro, Brasil, con el fin de identificar qué factores se asocian con una mayor o menor prevalencia de este gasto. Se observó que el 53,3% de los cuidados de niños con discapacidad visual comprometen más del 40% de los ingresos totales. Mientras tanto, el cuidado de niños con baja visión tiene un menor gasto catastrófico, comprometiendo menos del 40% de los ingresos según el 36,8% de los cuidadores. La mayor prevalencia de gasto catastrófico estuvo asociada a los siguientes factores: edad del cuidador, número de residentes en el hogar, mayor nivel de estudios, bajos ingresos familiares, remodelaciones en el hogar, seguro de salud, adquisición de préstamos, venta de bienes, cantidad de centros de salud en las que el niño acude al tratamiento y parentesco del cuidador principal. Los cuidadores de niños con discapacidad visual enfrentan una situación de vulnerabilidad, lo que apunta a una necesidad de acceder a acciones de protección financiera y social mediante políticas dirigidas a esta población.

Abstract: Caring for a visually impaired child can affect the caregiver’s income and, in turn, the family’s. Catastrophic spending resulting from increased expenses and reduced income must be taken into account, whether due to unemployment, a reduction in the number of hours worked or the difficulty of entering or reentering the job market. Given this scenario, the main objective of this study was to estimate the catastrophic spending attributed to the caregiver of blind or low-vision children in reference centers for education for the blind, ophthalmology and child health located in the city of Rio de Janeiro, Brazil, identifying which factors are associated with a higher or lower prevalence of this expenditure. It was found that 53.3% of care for blind children involved 40% or more of their income. Among the caregivers of children with low vision, catastrophic spending is milder, compromising at least 40% of income for 36.8% of the caregivers. The factors associated with a higher prevalence of catastrophic spending were the caregiver’s age, the number of residents in the household, higher schooling, lower household income, renovations to the home, health insurance, taking out loans, selling assets, the number of health units where the child receives treatment and the relationship of the main caregiver. The burden placed on caregivers of visually impaired children indicates a situation of vulnerability that shows the need for access to financial and social protection mechanisms, through policies that are capable of serving this group.

https://doi.org/10.1590/0102-311xpt167723

13.

Distribution of granulated fertilizers in dispensers mounted with single and double helicoidal
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Zimmermann, Gabriel Ganancini

; Jasper, Samir Paulo

; Savi, Daniel

; Moreno, Fernanda Gonçalves

Ciência Rural

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2024, Volume 54 N. 6 elocation e20220358

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

RESUMO: A alta dependência da agricultura por fertilizantes demanda um aprimoramento nos processos envolvidos, tendo como propósito a sustentabilidade ambiental e econômica. Objetivou-se comparar o desempenho de mecanismos dosadores helicoidais, com duas formulações de fertilizantes granulados em três velocidades operacionais. Na realização do experimento, utilizou-se bancada eletrônica e automatizada, com a qual se avaliou o desempenho dos mecanismos dosadores helicoidal simples e helicoidal duplo por transbordo, em um delineamento inteiramente casualizado, com duas formulações de fertilizantes NPK granulados (04-14-08 e 04-30-10), em razão de diferentes velocidades angulares (1.11, 1.94, e 2.77 m s-1). Durante os testes, coletaram-se dados de vazão que foram submetidos à estatística descritiva, histogramas de frequência e ao controle estatístico de processo. O dosador helicoidal simples, conforme o aumento da velocidade, exibiu maior homogeneidade de deposição de fertilizante granulado, com 611 falhas ha-1 em relação a 3.763 falhas ha-1 do helicoidal duplo. Apesar de que as velocidades de 7,0 e 10,0 km h-1 geraram um aumento da vazão de ambos os fertilizantes granulados, conforme esperado, o fertilizante 04-30-10 obteve a distribuição mais uniforme na menor velocidade. RESUMO envolvidos econômica Objetivouse Objetivou helicoidais operacionais experimento utilizouse utilizou automatizada transbordo casualizado 041408 04 14 08 (04-14-0 043010, 043010 30 10 , 04-30-10) 1.11, 111 1 11 (1.11 194 94 1.94 277 2 77 2.7 s1. s1 s . s-1) testes coletaramse coletaram descritiva processo velocidade granulado 61 ha1 ha ha- 3763 3 763 3.76 70 7 0 7, 100 10, h1 h h- esperado 04-30-1 04140 (04-14- 04301 1.11 (1.1 19 9 1.9 27 2. s-1 6 376 76 3.7 04-30- 0414 (04-14 0430 1.1 (1. 1. s- 37 3. 04-30 041 (04-1 043 (1 04-3 (04- ( 04- (04 (0

ABSTRACT: The high dependence of agriculture on fertilizers demands an improvement in the processes involved, with the purpose of environmental and economic sustainability. The objective was to compare the performance of helical dosing mechanisms with two formulations of granulated NPK fertilizers at three operating speeds. During the experiment, we used an electronic and automated bench to evaluate the performance of the single helical and double helical dosing mechanisms, in a completely randomized design. This bench measured the overflow of the two formulations of granulated NPK fertilizers (04-14-08 and 04-30-10) under different angular velocities (1.11; 1.94; and 2.77 m s-1). On the tests, we collected flow data and submitted them to descriptive statistics, frequency histograms, and statistical process control. The single helical feeder, as the speed increased, exhibited greater homogeneity of granulated NPK fertilizer deposition, with 611 flaws ha-1 compared to 3763 flaws ha-1 in the double screw. Although, the speeds of 7.0 and 10.0 km h-1 generated an increase in the flow of both granular fertilizers, as expected, the 04-30-10 fertilizer obtained the most uniform distribution at the lowest speed. ABSTRACT involved sustainability experiment design 041408 04 14 08 (04-14-0 043010 30 10 1.11 111 1 11 (1.11 1.94 194 94 277 2 77 2.7 s1. s1 s . s-1) tests statistics histograms control feeder increased deposition 61 ha1 ha ha- 376 screw Although 70 7 0 7. 100 10. h1 h h- expected 04-30-1 04140 (04-14- 04301 3 1.1 (1.1 1.9 19 9 27 2. s-1 6 37 04-30- 0414 (04-14 0430 1. (1. s- 04-30 041 (04-1 043 (1 04-3 (04- ( 04- (04 (0

https://doi.org/10.1590/0103-8478cr20220358

14.

Application of the ICU Mobility Scale in patients submitted to cardiac surgery
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Lima, Lara Susan Silva

; Cardoso, Rayana Antônia de Medeiros

; Santos, Natália Pereira dos

; Silva, Bianca Fernanda de Almeida

; Borges, Mayara Gabrielle Barbosa

; Borges, Daniel Lago

Fisioterapia em Movimento

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2024, Volume 37 elocation e37109

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

Resumo Introdução A mobilização precoce é uma alternativa utilizada em Unidades de Terapia Intensiva (UTIs) na tentativa de reduzir os efeitos decorrentes do imobilis-mo. A escala de mobilidade em UTIs ou Intensive Care Unit Mobility Score (IMS) é aplicada para avaliar o nível de mobilidade. Objetivo Verificar por meio da escala IMS o nível de funcionalidade de pacientes submetidos à cirurgia cardíaca internados em uma UTI. Métodos Trata-se de um estudo observacional analítico realizado em UTI com pacientes adultos submetidos à cirurgia car-díaca. Foram coletados da ficha de rotina da fisioterapia informações quanto ao uso de drogas vasoativas, nível funcional por meio da IMS, tempo de ventilação mecânica e de internação na UTI, e registrados em instrumento específico desenvolvido para o estudo. Os dados obtidos do escore da escala IMS nos dias de pós-operatório na UTI foram utilizados para classificar a mobilidade dos pacientes durante o período de internação. Utilizou-se estatística descritiva para a apresentação dos dados. Resultados Foram avaliados 69 pacientes, 43% eram do sexo masculino e todos apresentavam IMS 0 no primeiro dia de pós-operatório. A classificação na escala aumentou com o decorrer do período de internação (IMS entre 7 e 10), apesar do uso de drogas vasoativas em 54,6%. Conclusão Os pacientes submetidos à cirurgia cardíaca internados na UTI apresentaram níveis de mobilidade de moderado a alto ao longo da internação e na alta da UTI. (UTIs imobilismo. imobilismo imobilis mo. mo imobilis-mo Tratase Trata se cardíaca. car díaca. díaca car-díaca pósoperatório pós operatório Utilizouse Utilizou 6 43 pósoperatório. operatório. 10, 10 , 10) 546 54 54,6% 4 1 5 54,6 54,

Abstract Introduction Early mobilization is an alternative used in the Intensive Care Unit (ICU) to reduce the effects of immobility. The Intensive Care Unit Mobility Score (IMS) is applied to assess mobility status. Objective To determine the functional level of ICU patients submitted to cardiac surgery using the IMS scale. Methods This is an analytical observational study carried out with adult ICU patients submitted to cardiac surgery. Data on the use of vasoactive drugs, functional level through IMS, duration of mechanical ventilation and length of ICU stay were collected from the physiotherapy routine form and recorded on a specific instrument developed for the study. The data obtained from the IMS scale score on the postoperative days in the ICU were used to classify the patients' mobility during the hospitalization period. Descriptive statistics were used to present the data. Results A total of 69 patients were evaluated, 43% of whom were men, and all had an SMI of 0 on the first postoperative day. Classification on the scale increased over the course of hospitalization (IMS between 7 and 10), despite the use of vasoactive drugs in 54.6% of the individuals. Conclusion Patients submitted to cardiac surgery admitted to the ICU had moderate-to-high mobility levels throughout their stay and at discharge from the ICU. (ICU immobility status period 6 evaluated 43 men day 10, 10 , 10) 546 54 54.6 individuals moderatetohigh moderate high 4 1 5 54.

https://doi.org/10.1590/fm.2024.37109

15.

Vaccination coverage and delay in vaccination of infants born in 2017 and 2018 in municipalities in the Southern region of Brazil: National Vaccination Coverage Survey 2020
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Luhm, Karin Regina

; Boing, Antonio Fernando

; Mengue, Sotero Serrate

; Daniel, Neiva de Souza

; Mélo, Tainá Ribas

; Farion, Raquel Jaqueline

; França, Ana Paula

; Moraes, José Cássio de

; 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 e20231206

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

RESUMO Objetivo Avaliar as coberturas vacinais e o atraso nas doses de vacinas em lactentes em seis municípios da região Sul do Brasil. Metodologia Inquérito Nacional de Cobertura Vacinal 2020, com lactentes nascidos vivos em 2017 e 2018, realizado entre setembro de 2020 e março de 2022. Foram avaliadas as coberturas de doses aplicadas, doses em dia e o tempo de atraso da aplicação. Resultados Para 4.681 lactentes analisados, as coberturas para vacinas indicadas até os 24 meses foram de 68,0% (IC95% 63,9;71,8) para doses aplicadas e 3,9% (IC95% 2,7;5,7) para doses em dia. A maioria das aplicações em atraso foi ≤ 3 meses. Para alguns reforços, 25% das aplicações atrasaram ≥ 6 meses. Conclusão Além da busca de faltosos às vacinas, são necessárias estratégias para estímulo ao cumprimento do esquema de vacinação nas idades preconizadas.

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ABSTRACT Objective To evaluate vaccination coverage and delay in vaccine dose administration in infants in six municipalities in the Southern region of Brazil. Methodology National Vaccination Coverage Survey 2020, with infants born alive in 2017 and 2018, carried out from September 2020 to March 2022. Coverage of doses administered, doses administered on time and delay in dose administration were evaluated. Results For 4681 infants analyzed, coverage for vaccines recommended up to 24 months was 68.0% (95%CI 63.9;71.8%) for doses administered and 3.9% (95%CI 2.7%;5.7%) for doses administered on time. Delay time for the majority of late vaccinations was ≤ 3 months. For some boosters, 25% of vaccine administration was delayed by ≥ 6 months. Conclusion In addition to tracking vaccine defaulters, strategies are needed to encourage compliance with the vaccination schedule at the recommended ages.

https://doi.org/10.1590/s2237-96222024v33e20231206.especial2.en

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