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The corrosion resistance of Inconel 625 processed by L-DED additive manufacturing using virgin and reused powders was investigated to optimize the cost-effectiveness of the process. Samples were manufactured under a controlled argon atmosphere. Feedstock and samples were characterized by optical and scanning electron microscopy, energy-dispersive X-ray spectroscopy, and rheology analysis. Corrosion resistance was investigated by cyclic polarization and electrochemical impedance spectroscopy in NaCl 3.5% media. Rheology accused a slight decrease in powder flowability with reuse, but no further appreciable powder degradation was observed. Samples developed a dendritic microstructure with Mo- and Nb-rich Laves phase in the interdendritic region. Samples processed with reused powder were found to have a high content of oxides, which accounted for a slightly inferior impedance and reduced the charge transfer resistance by nearly 50%. Specimens had an overall similar cyclic polarization, with the specimen processed with virgin powder having a slightly superior performance, with a 60mV more noble Ecorr and higher Rp, but similar Icorr. Samples presented uniform and pitting corrosion mechanisms, with pits being preferentially located in the Mo-depleted dendritic regions. In summary, the reuse of Inconel 625 powder processed under argon-controlled conditions was not considered to be significantly detrimental to the alloy corrosion resistance. 62 LDED L DED costeffectiveness cost effectiveness process atmosphere microscopy energydispersive energy dispersive Xray X ray analysis 35 3 5 3.5 media observed Mo Nbrich Nb rich region oxides 50 50% performance mV Rp Icorr mechanisms Modepleted depleted regions summary argoncontrolled 6 3.

https://doi.org/10.1590/1980-5373-mr-2023-0578

Usefulness of prolactin levels in predicting the etiology of hyperprolactinemia in a cohort of 770 patients 77 7
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Vilar, Lucio

; Vilar, Clarice Freitas

; Lyra, Ruy

; Albuquerque, Luciano

; Garrido, Ana Carolina Thé

; Gadelha, Patrícia Sampaio

; Diniz, Erik Trovão

; Almeida, Marcos

; Cordeiro, Lucia Helena

; Carvalho, Erico Higino de

; Melo, Ana Teresa Bezerra de

; Medeiros, Karoline Matias

; Ferreira, Gabriel Rodrigues de Assis

; Mororó Neto, José Coelho

; Ximenes, Daniela Zago

; Madruga, Camila Ribeiro Coutinho

; Nunes, Rosália de Oliveira

; Sá, Yanna Queiroz Pereira de

; Naves, Luciana Ansaneli

Archives of Endocrinology and Metabolism

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2024, Volume 68 elocation e230391

Abstract: En | Text: En | PDF: En

ABSTRACT Objective Determining the etiology of hyperprolactinemia is fundamental for selecting the most appropriate treatment strategy. The aim of this study was to evaluate the usefulness and accuracy of prolactin levels in predicting the etiology of nonphysiological hyperprolactinemia. Subjects and methods In this retrospective study, we reviewed medical records of patients with nonphysiological hyperprolactinemia seen at two neuroendocrine reference centers located in Recife, Brazil, from January 2000 to December 2019. Results The study included 770 patients aged 12-73 years (65% female). The three most frequent etiologies of hyperprolactinemia were prolactinomas (n = 263; 34.2%), drug-induced hyperprolactinemia (n = 160; 20.8%), and macroprolactinemia (n = 120; 15.6%). The highest mean prolactin levels were observed in cases of prolactinomas and idiopathic hyperprolactinemia. Most patients with hyperprolactinemia due to other etiologies had prolactin levels < 100 ng/mL, but these levels were also found in 16.5% of patients with microproplactinomas and in 20% of those with idiopathic hyperprolactinemia. Likewise, prolactin levels largely overlapped among patients with microprolactinomas, macroprolactinemia, and drug-induced hyperprolactinemia. Notably, prolactin levels > 250 ng/mL enabled a clear distinction between the etiologies of macroprolactinoma and nonfunctioning pituitary adenoma. Moreover, prolactin levels > 500 ng/mL were highly suggestive of macroprolactinomas, although they were also found in very few patients (<2%) with microprolactinomas or drug-induced hyperprolactinemia. Conclusion Despite considerable overlap in prolactin levels among the different etiologies of hyperprolactinemia, values > 250 ng/mL allowed a clear distinction between macroprolactinomas and nonfunctioning pituitary adenomas. Furthermore, prolactin levels > 500 ng/mL were almost exclusively found in patients with prolactinomas. strategy Recife Brazil 200 2019 77 1273 12 73 12-7 65% 65 (65 female. female . female) n 263 34.2%, 342 34.2% , 34 2 34.2%) druginduced drug induced 160 20.8%, 208 20.8% 20 8 20.8%) 120 15.6%. 156 15.6% 15 6 15.6%) 10 ngmL ng mL 165 16 5 16.5 Likewise Notably 25 adenoma Moreover 50 <2% (<2% adenomas Furthermore 201 7 127 1 12- (6 26 34.2 3 20.8 15.6 16. <2 (<2 ( 34. 20. 15. (<

https://doi.org/10.20945/2359-4292-2023-0391

Technologies on Behalf of the Dentistry Dissemination in Pandemic Times: An Interinstitutional Experience Times
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Santana, Lucas Alves da Mota

; Santos, Marcos Antônio Lima dos

; Pinho, John Nadson Andrade

; Sousa-e-Silva, Nelmara

; Ayres, Lucas Celestino Guerzet

; Sabey, Mark Jon Santana

; Barbosa, Breno Ferreira

; Lima, Gustavo Danilo Nascimento

; Couto, Graziane Ribeiro

; Menezes, Liciane dos Santos

; Takeshita, Wilton Mitsunari

; Souza, Liane Maciel de Almeida

; Trento, Cleverson Luciano

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2023, Volume 23 elocation e210204

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/pboci.2023.003

CONSTRUÇÃO E VALIDAÇÃO DE TECNOLOGIA EDUCACIONAL PARA PREVENÇÃO DO HIV/AIDS EM MULHERES PRIVADAS DE LIBERDADE HIVAIDS HIV AIDS
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Borges, Alana Vanessa Sousa Santos

; Matos, Marcos André de

; Souza, José Henrique Barbosa de

; Freire, Ketllen Raiara Ferreira Santos

; Sousa, Fabiana Ribeiro de

; Florentino, Victor de Jesus

Cogitare Enfermagem

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2023, Volume 28 elocation e84636

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

RESUMEN Objetivo: describir el proceso de elaboración y validación de tecnología educativa para la prevención del Virus de Inmunodeficiencia Humana en población femenina privada de libertad. Método: estudio metodológico realizado en un complejo penitenciario del Centro-Oeste de Brasil, de enero a julio de 2019, utilizando una escala Likert de cuatro puntos. Los datos se analizaron con las pruebas alfa de Cronbach y KAPPA. Se consideró un Índice de Validez del Contenido mínimo de 0,80 para la validación y un acuerdo mínimo del 75%. Resultados: los ítems del material fueron pertinentes con la obtención del Índice de Validez de Conocimiento total de (IVCt=0,87) para especialistas e (IVCt=0,95) para mujeres. Los expertos evaluaron el folleto, calificándolo de “superior” (media del 91%). Hubo adecuaciones, alcanzando, al final, índice de concordancia superior a 88,7%. Conclusión: esta tecnología representa un avance para la sanidad pública, ya que utiliza medidas e instrumentos fiables y apropiados para el público objetivo. Objetivo libertad Método CentroOeste Centro Oeste Brasil 2019 puntos KAPPA 080 0 80 0,8 75 75% Resultados IVCt=0,87 IVCt087 IVCt 87 (IVCt=0,87 IVCt=0,95 IVCt095 95 (IVCt=0,95 mujeres folleto “superior media 91%. 91 91% . 91%) adecuaciones alcanzando final 887 88 7 88,7% Conclusión pública objetivo 201 08 8 0, IVCt=0,8 IVCt08 (IVCt=0,8 IVCt=0,9 IVCt09 9 (IVCt=0,9 88,7 20 IVCt=0, IVCt0 (IVCt=0, 88, 2 IVCt=0 (IVCt=0 IVCt= (IVCt= (IVCt

RESUMO: Objetivo: descrever o processo de elaboração e validação de tecnologia educacional para prevenção do Vírus da Imunodeficiência Humana em população feminina privada de liberdade. Método: estudo metodológico realizado em um complexo prisional no Centro Oeste do Brasil, de janeiro a julho de 2019, utilizando escala Likert de quatro pontos. Os dados foram analisados com testes Alfa de Cronbach e KAPPA. Considerou-se o Índice de Validade de Conteúdo mínimo de 0,80 para validação e concordância mínima de 75%. Resultados: os itens do material foram pertinentes com obtenção do Índice de Validade de Conteúdo total de (IVCt=0,87) para especialistas e (IVCt=0,95) para mulheres. Os especialistas avaliaram a cartilha, classificando-a com grau de recomendação “superior” (média de 91%). Houve adequações, alcançando, ao final, índice de concordância superior a 88,7%. Conclusão: acredita-se que essa tecnologia represente um avanço para a Saúde Pública, já que utilizou medidas e instrumentos confiáveis e apropriados para o público-alvo. RESUMO Objetivo liberdade Método Brasil 2019 pontos KAPPA Considerouse Considerou se 080 0 80 0,8 75 75% Resultados IVCt=0,87 IVCt087 IVCt 87 (IVCt=0,87 IVCt=0,95 IVCt095 95 (IVCt=0,95 mulheres cartilha classificandoa classificando “superior média 91%. 91 91% . 91%) adequações alcançando final 887 88 7 88,7% Conclusão acreditase acredita Pública públicoalvo. públicoalvo público alvo. alvo público-alvo 201 08 8 0, IVCt=0,8 IVCt08 (IVCt=0,8 IVCt=0,9 IVCt09 9 (IVCt=0,9 88,7 20 IVCt=0, IVCt0 (IVCt=0, 88, 2 IVCt=0 (IVCt=0 IVCt= (IVCt= (IVCt

ABSTRACT Objective: to describe the process of elaboration and validation of educational technology for prevention of Human Immunodeficiency Virus in female population deprived of freedom. Method: methodological study conducted in a prison complex in the Midwest of Brazil, from January to July 2019, using a four-point Likert scale. Data were analyzed with Cronbach’s Alpha and KAPPA tests. A minimum Content Validity Index of 0.80 was considered for validation and minimum 75% agreement. Results: The items of the material were relevant with a total Content Validity Index of (CVI t=0.87) for specialists and (CVI t=0.95) for women. The specialists evaluated the booklet, classifying it with a “superior” degree of recommendation (average of 91%). There were adjustments, reaching, in the end, a concordance index higher than 88.7%. Conclusion: we believe that this technology represents an advance for Public Health, since it used reliable and appropriate measures and instruments for the target audience. Objective freedom Method Brazil 2019 fourpoint four point scale Cronbachs Cronbach s tests 080 0 80 0.8 75 agreement Results CVI t=0.87 t087 t 87 t=0.95 t095 95 women booklet superior “superior average 91%. 91 91% . 91%) adjustments reaching end 887 88 7 88.7% Conclusion Health audience 201 08 8 0. t=0.8 t08 t=0.9 t09 9 88.7 20 t=0. t0 88. 2 t=0 t=

https://doi.org/10.1590/ce.v28i0.84636

Doxorubicin cardiotoxicity and Camellia sinensis cardioprotection determined by speckle-tracking echocardiography speckletracking speckle tracking
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Barreto, Maira Souza Oliveira

; Carvalho, Juliana Lott

; Melo, Marcos Barrouin

; Michel, Ana Flávia Ribeiro Machado

; Ferreira, Marina Guimarães

; Muzzi, Ruthnéa Aparecida Lázaro

; Goes, Alfredo Miranda de

; Melo, Marilia Martins

Brazilian Journal of Pharmaceutical Sciences

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2023, Volume 59 elocation e23063

Abstract: En | Text: En | PDF: En

Abstract Doxorubicin (Dox) is a medication used in the treatment of cancerous tumors and hematologic malignancies with potentially serious side effects, including the risk of cardiotoxicity. Flavonoids are plant metabolites with antioxidant properties and can be extracted from Camellia sinensis (CS). The aim of this study is to evaluate the possible cardioprotective effect of CS against injuries induced by Dox in rats. A total of 32 animals were distributed into four groups: (1) control - intraperitoneal injection (I.P.) of 0.5 mL saline weekly and 1.0 mL water by gavage daily; (2) CS - 0.5 mL saline I.P. weekly and 200 mg/kg CS by gavage daily; (3) Dox - 5.0 mg/kg Dox I.P. weekly and 1.0 mL water by gavage daily; and (4) Dox+CS -5.0 mg/kg Dox I.P. weekly and 200 mg/kg CS by gavage daily. Clinical examinations, blood profiles, electrocardiograms, echocardiograms, and histological analyses of hearts were performed over 25 days. The animals in the Dox group showed changes in body weight and in erythrogram, leukogram, electrocardiography, and echocardiography readings. However, animals from the dox+CS group had significantly less change in body weight, improved cardiac function, and showed more preserved cardiac tissue. This study demonstrated that CS prevents dox-induced cardiotoxicity, despite enhancing the cytotoxic effect on blood cells. (Dox effects cardiotoxicity CS. . (CS) rats 3 groups 1 (1 IP I P (I.P. 05 0 5 0. 10 1. daily 2 (2 I.P 20 mgkg mg kg (3 50 5. 4 (4 DoxCS -5. examinations profiles electrocardiograms echocardiograms days erythrogram leukogram electrocardiography readings However doxCS dox function tissue doxinduced cells (CS ( (I.P -5

https://doi.org/10.1590/s2175-97902023e23063

Botanical structure of two urbansecondary forest and associations with meliponiculture in eastern Amazon
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Souza, Rogério Ribeiro de

; Valente, Amanda Alves

; Suetmisu, Chieno

; Ferreira, Marcos Gonçalves

; Vieira, Ima Célia Guimarães

Acta Botanica Brasilica

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2023, Volume 37 elocation e20230150

Abstract: En | Text: En | PDF: En

Abstract The structure of urban secondary forests and their potential for meliponiculture in the eastern Amazon was studied in the municipality of Belterra, Pará. The sampling was carried out in 25 plots of 40 m2 in two areas (0.1 ha) of secondary forests (SF), in which three classes of DBH values were considered (C1:1 cm ≤ DBH ≤ 5 cm; C2: 5 cm < DBH ≤ 10 cm and C3: DBH ≥ 10 cm). a total of 230 individuals were registered in SF I, comprising 66 species and 27 botanical families and 185 individuals in SF II, comprising 43 species distributed in 24 botanical families. The highest richness and abundance were verified for C1, followed by C2 in both areas. In SF I, the basal area values (G=1.509) were higher than in SF II, while the total volume (V=20.21) was higher than SF I, the mean height for C3 was higher in SF II, and C1 and C2 were higher in SF I. The Shannon-Wiener diversity index was higher in SF I (H = 3.722) than in SF II (H=3.197). It was observed that 75% species have bee pollination systems (mellitophilous flora) and are thus considered sources of honey resources. Belterra Pará 2 4 m 0.1 01 0 1 (0. ha SF, , (SF) C11 C (C1: cm. . cm) 23 6 18 G=1.509 G1509 G 509 (G=1.509 V=20.21 V2021 V 20 21 (V=20.21 ShannonWiener Shannon Wiener H 3.722 3722 3 722 H=3.197. H3197 H=3.197 197 (H=3.197) 75 mellitophilous flora resources 0. (0 (SF (C1 G=1.50 G150 50 (G=1.50 V=20.2 V202 (V=20.2 3.72 372 72 H319 H=3.19 19 (H=3.197 7 ( (C G=1.5 G15 (G=1.5 V=20. V20 (V=20. 3.7 37 H31 H=3.1 (H=3.19 G=1. G1 (G=1. V=20 V2 (V=20 3. H3 H=3. (H=3.1 G=1 (G=1 V=2 (V=2 H=3 (H=3. G= (G= V= (V= H= (H=3 (G (V (H=

https://doi.org/10.1590/1677-941x-abb-2023-0150

Overview of Q fever in Brazil: an underestimated zoonosis Brazil
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França, Danilo Alves de

; Mioni, Mateus de Souza Ribeiro

; Fernandes, Jorlan

; Lemos, Elba Regina Sampaio de

; Duré, Ana Íris de Lima

; Silva, Marcos Vinicius Ferreira

; Langoni, Helio

; Megid, Jane

Revista do Instituto de Medicina Tropical de São Paulo

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2023, Volume 65 elocation e39

Abstract: En | Text: En | PDF: En

ABSTRACT This review aims to provide current information about Q fever, elucidating the etiological, epidemiological, pathogenic, clinical, diagnostic, therapeutic, and prophylactic aspects of the disease for the medical community. We discuss the main forms of presentation of the agent, its ability to persist in the body, the infinite possibilities of susceptible hosts, the main known forms of transmission, its importance in populations at occupational risk, and the role of arthropods in the natural history of the disease. Focusing on Brazil, we present the cases already described and studies developed since its first report, and how there is still much to unravel. We are aware of the possibilities of the persistence of the agent and the development of severe clinical pictures and the specific treatments currently instituted. We also wish to raise awareness about the future, the new genotypes that are emerging, the need to study the effects of vaccines, and the impact of Q fever on the population. Q fever is a poorly understood disease in Latin America, and recent studies, especially in Brazil, have revealed the importance of developing new studies. etiological epidemiological pathogenic diagnostic therapeutic community body hosts transmission risk Brazil report unravel instituted future emerging vaccines population America

https://doi.org/10.1590/s1678-9946202365039

InsulinAPP application protocol for the inpatient management of type 2 diabetes on a hospitalist-managed ward: a retrospective study
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Toyoshima, Marcos Tadashi Kakitani

; Brandes, Pedro Henrique Ribeiro

; Lauterbach, Gerhard da Paz

; Moraes, Jéssica Ribeiro Andrade

; Paiva, Edison Ferreira de

; Umpierrez, Guillermo E.

; Nery, Marcia

; Kondo, Rodrigo Hidd

Archives of Endocrinology and Metabolism

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aug 2022, Volume 66 N. 4 Pages 498 - 505

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: We assessed metrics related to inpatient glycemic control using InsulinAPP, an application available for free in Brazil, on the hospitalist-managed ward of our hospital. Subjects and methods: We performed a retrospective study of patients with type 2 diabetes (T2D) admitted from November 2018 to October 2019. InsulinAPP recommends NPH and regular insulins three times a day, in bolus-correction or basal-bolus schemes. Parameters that included BG within range of 70-180 mg/dL, insulin treatment regimen and frequency of hypoglycemia were evaluated. Results: A total of 147 T2D individuals (23% medicine and 77% surgery) were included (mean age 62.3 ± 12.7 years, HbA1c: 8.3 ± 3.0%). The initial insulin regimen was 50% bolus-correction, 47% basal-bolus and 3% with sliding scale insulin. During hospitalization, 71% patients required a bolus-basal regimen. In the first 10 days of the protocol, 71% BG measurements were between 70-180 mg/dL and 26% patients experienced one or more episodes of hypoglycemia < 70 mg/dL, and 5% with BG < 54 mg/dL. Conclusion: The results of this retrospective study indicate the InsulinAPP application using human insulin formulations was effective and safe for the management of hyperglycemia on a hospitalist-managed ward, with more than 70% BG measurements within the therapeutic range and a low rate of hypoglycemia.

https://doi.org/10.20945/2359-3997000000496

10.

O Compromisso Social da Psicologia e a Possibilidade de uma Profissão Abrangente
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Bock, Ana Mercês Bahia

; Rosa, Elisa Zaneratto

; Amaral, Marcos Martins

; Ferreira, Marcos Ribeiro

; Gonçalves, Maria da Graça Marchina

Psicologia: Ciência e Profissão

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2022, Volume 42 N. spe elocation e262989

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

Resumo As origens da Psicologia brasileira se relacionam ao projeto de modernização do país, com que ela contribuiu por meio de uma concepção universal de sujeito e de processos de classificação e categorização, pouco atentos às necessidades da realidade social. No processo de redemocratização do país, condições históricas possibilitaram uma ruptura com essa perspectiva, operada pelo Projeto do Compromisso Social. Este texto apresenta uma reflexão sobre o caminho de construção dessa ruptura e de um projeto ético-político comprometido com a realidade brasileira. Analisa o percurso impulsionado na virada do século XX para o século XXI por meio da atuação de entidades da profissão, notadamente os Conselhos de Psicologia, em articulação com importantes mudanças na atuação das psicólogas. Tal percurso permitiu uma revisão crítica da Psicologia, sendo apresentado em cinco eixos: produção de sujeitos democráticos e defesa da democracia; construção de resistência à alienação e combate ao pensamento colonizado; perspectiva de serviços profissionais comprometidos com a garantia de direitos; aprimoramento da qualidade da prática profissional das psicólogas; e expansão das fronteiras da psicologia. Em cada um, são apresentadas ações, estratégias e projetos que levaram à ampliação e ao reconhecimento social da Psicologia, organizada, democrática, ousada e acessivelmente à maioria da população. Ao mesmo tempo, apresenta desafios para a continuidade desse projeto na realidade atual, apostando que, com 60 anos de regulamentação, a Psicologia é capaz de enfrentar novas questões que se colocam no país por meio da atuação das profissionais que levam adiante o projeto de compromisso social.

Abstract Psychology in Brazil is born alongside the country’s modernization project, to which the science contributed by establishing a universal conceptualization of the individual and classification and categorization processes, hardly attentive to social reality. The historical conditions set forth by the country’s re-democratization allowed a breaking from this perspective, operated by the Social Commitment Project. This paper reflects on the paths that led to this transformation and the ensuing ethical-political project committed to Brazil’s reality. It analyzes the trajectory started in the turn of 20th to the 21st century, led by professional entities, namely the Psychology Councils, along with important changes in the psychologist’s work. Such trajectory allowed for a critical review of Psychology in five axes: 1) production of democratic individuals and the defense of democracy; 2) construction of resistance against alienation and the fight against a colonized thought; 3) perspectives of professional services committed to ensuring rights; 4) enhanced quality of the psychologist’s professional practice; 5) the broadening of the scope of psychology. For each axis, the text presents actions, strategies, and projects that led to the organized and democratic growth and social acknowledgment of Psychology, becoming accessible to most of the population. But it also points out the challenges for this project’s current continuity, believing that with 60 years of regulation, Psychology is capable of facing new issues arising in the country by means of professionals who carry on the social commitment project.

Resumen Los orígenes de la Psicología brasileña están relacionados con el proyecto de modernización del país al que contribuyó a través de una concepción universal del sujeto y de procesos de clasificación y categorización poco atentos a las necesidades de la realidad social. En el proceso de redemocratización del país, las condiciones históricas permitieron romper con esta perspectiva, operada por el Proyecto de Compromiso Social. Este texto presenta una reflexión sobre el camino de construcción de esa ruptura y de un proyecto ético-político comprometido con la realidad brasileña. Se analiza la ruta promovida en la transición del siglo XX al siglo XXI, por medio de la acción de entidades de la profesión, en particular los Consejos de Psicología, en articulación con cambios importantes en la actuación de las psicólogas. Este camino permitió una revisión crítica de la Psicología y se presenta en cinco ejes: producción de sujetos democráticos y defensa de la democracia; construcción de resistencia a la alienación y combate al pensamiento colonizado; perspectiva de servicios profesionales comprometidos con la garantía de derechos; mejora de la calidad de la práctica profesional de las psicólogas; y ampliación de las fronteras de la psicología. El texto plantea desafíos para la continuidad de este proyecto en la realidad actual, apostando que con 60 años de regulación la Psicología esté en condiciones de hacer frente a las nuevas cuestiones que se presentan en el país gracias al trabajo de las profesionales que llevan adelante el proyecto de compromiso social.

https://doi.org/10.1590/1982-3703003262989

11.

Efectos del juguete terapéutico instructivo en la terapia intravenosa en niños hospitalizados
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Pereira Coelho, Hercules

; dos Santos Dias de Souza, Gilberto

; da Silva Freitas, Victor Hamilton

; Alves dos Santos, Isabelly Rayane

; de Alencar Ribeiro, Chesla

; Ferreira de Lima Silva, João Marcos

; Dimas de Oliveira, Joseph

; Araujo Gonçalves, Gleice Adriana

; Ribeiro de Castro, Ana Paula

Revista Cubana de Enfermería

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jun 2021, Volume 37 N. 2 elocation e3743

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

ABSTRACT Introduction: The instructive therapeutic toy can reveal the needs implicit to the patient and help them understand the methodologies, diagnoses and therapies to which they will be subjected, which promotes his peace of mind, safety and agreement with treatment, in addition to providing better interaction with healthcare professionals. Objective: To analyze the effects of using the instructive therapeutic toy in the preparation of the hospitalized child prior to performing intravenous therapy. Methods: Quasiexperimental study with a quantitative approach, carried out in a public pediatric hospital in Juazeiro do Norte City, Ceará, Brazil. The study population consisted of 31 preschool and school-age children. Data collection was carried out from July to September 2019, through observation, and the analysis was carried out by means of the Statistical Package for the Social Sciences program, using t-test and McNemar’s test. Results: There was a statistically significant reduction in all the variables that indicate the child´s lower acceptance of intravenous therapy, with the exception of the variable they collaborate passively. However, there was a statistically significant increase in some variables that indicate the child’s greater acceptance of intravenous therapy. Conclusion: The instructive therapeutic toy is established as a fundamental technological tool for promoting responsibility, autonomy and co-responsibility of health care, valuating the subject/user as a singular human being, and the deconstruction of dehumanized health practices, especially in pediatric nursing.

RESUMEN Introducción: El juguete terapéutico instructivo puede revelar las necesidades implícitas al paciente y ayudarle a comprender las metodologías, diagnósticos y terapias a las que será sometido, lo que promueve su tranquilidad, seguridad y acuerdo con el tratamiento, además de proporcionar una mejor interacción con los profesionales de la salud. Objetivo: Analizar los efectos del uso del juguete terapéutico instructivo en la preparación del niño hospitalizado para realizar la terapia intravenosa. Métodos: Estudio cuasi-experimental de enfoque cuantitativo, realizado en un hospital pediátrico público de la ciudad de Juazeiro do Norte- Ceará, Brasil. La población de estudio fue compuesta por 31 niños en edad preescolar y escolar. La recolección de datos se realizó de julio a septiembre de 2019, a través de la observación, y el análisis se realizó a través del programa Statistical Package for the Social Sciences, por medio de la Prueba t y McNemar. Resultados: Hubo una reducción estadísticamente significativa de todas las variables que indican una menor aceptación del niño a la terapia intravenosa, con la excepción de la variable colabora pasivamente. Si bien hubo un aumento estadísticamente significativo en algunas variables que indican una mayor aceptación del niño a la terapia intravenosa. Conclusión: El juguete terapéutico instructivo se establece como una herramienta tecnológica fundamental para la promoción de la responsabilidad, la autonomía y la corresponsabilidad del cuidado de la salud, valoración del sujeto/usuario como un ser humano singular, y la deconstrucción de prácticas de salud deshumanizadas, especialmente en enfermería pediátrica.

12.

Aspectos psicossociais e percepção de impacto da saúde bucal na qualidade de vida em adultos do Sul do Brasil
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Ferreira, Denise Carvalho

; Gonçalves, Tonantzin Ribeiro

; Celeste, Roger Keller

; Olinto, Maria Teresa Anselmo

; Pattussi, Marcos Pascoal

Revista Brasileira de Epidemiologia

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2020, Volume 23 elocation e200049

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

RESUMO: Introdução: A pesquisa objetivou investigar a associação entre os aspectos psicossociais e o impacto das condições bucais sobre a qualidade de vida de adultos, escopo ainda pouco explorado em pesquisas nacionais. Método: Um estudo transversal de base populacional foi realizado com 1.100 adultos de 20 anos de idade ou mais, em uma cidade de médio porte do Rio Grande do Sul. O desfecho foi avaliado por meio do Oral Health Impact Profile (OHIP-14) enquanto as exposições incluíram medidas de apoio social, resiliência, senso de coerência, espiritualidade, qualidade de vida e estresse. Foram calculadas as razões de chances brutas e ajustadas, bem como seus intervalos de confiança de 95% utilizando-se regressão logística ordinal. Resultados: Após o ajuste para variáveis demográficas, socioeconômicas e comportamentais, indivíduos com baixo apoio social, baixo senso de coerência, baixa qualidade de vida e alto nível de estresse possuíam respectivamente 2,16; 2,90; 2,94; 1,50 vezes mais chance de relatar um pior impacto da condição na qualidade de vida quando comparados aos indivíduos com estas características favoráveis. Conclusões: Os achados sugerem que os aspectos psicossociais podem influenciar a avaliação que as pessoas fazem do impacto da condição bucal sobre a qualidade de vida. É importante que políticas, programas e serviços de saúde reconheçam a relação mútua entre os indicadores de saúde bucal e os aspectos psicossociais de adultos.

ABSTRACT: Introduction: This research aimed to investigate the association between psychosocial aspects and the impact of oral health on quality of life among adults. Method: This population-based cross-sectional study was conducted with 1,100 adults aged 20 years or older from a medium-sized city in Rio Grande do Sul, Southern Brazil. The outcome was Oral Health Impact Profile (OHIP-14) in three categories: better (OHIP=0: 50% of lower scores), moderate (OHIP 1-12.6: 25% of intermediate scores), and worse (OHIP≥12.7: 25% of higher scores). The exposures included measurements of social support, resilience, sense of coherence, spirituality, quality of life, and stress. We calculated crude and adjusted odds ratios and their respective 95% confidence intervals using ordinal logistic regression. Results: After adjustment for demographic, socioeconomic, and behavioral variables, individuals with low social support, low sense of coherence, low quality of life, and high level of stress were, respectively, 2.16, 2.90, 2.94, and 1.50 times more likely to report a worse impact of oral health on quality of life than those with favorable characteristics. Conclusions: The findings suggest that psychosocial aspects can influence the perceived impact of oral health on quality of life. Health policies, programs, and services must recognize the mutual relationship between oral health indicators and psychosocial aspects among adults.

https://doi.org/10.1590/1980-549720200049

13.

Aspectos psicossociais e percepção de impacto da saúde bucal na qualidade de vida em adultos do Sul do Brasil
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Ferreira, Denise Carvalho

; Gonçalves, Tonantzin Ribeiro

; Celeste, Roger Keller

; Olinto, Maria Teresa Anselmo

; Pattussi, Marcos Pascoal

Revista Brasileira de Epidemiologia

Journal Metrics
- Sobre o periódico
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2020, Volume 23 elocation e200049

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

https://doi.org/10.1590/1980-549720200049 1033 downloads

14.

Characterization of neuropsychomotor and language development of children receiving care from groups at an extended Family Health Care Center: an interprofessional approach
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Mélo, Tainá Ribas

; Lucchesi, Vanessa de Oliveira

; Ribeiro Junior, Evaldo José Ferreira

; Signorelli, Marcos Claudio

Revista CEFAC

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2020, Volume 22 N. 3 elocation e14919

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

RESUMO Objetivo: caracterizar o desenvolvimento neuropsicomotor e de linguagem de crianças encaminhadas para fonoaudiologia e fisioterapia do Núcleo Ampliado de Saúde da Família (NASF) de Paranaguá-PR, Brasil. Métodos: 36 crianças de 3-13 (7,9±2,3) anos foram avaliadas por meio de anamnese, avaliação fonológica por meio do álbum seriado e escala de desenvolvimento motor (EDM), e analisados pelo teste de correlação de Pearson bi-caudal. Resultados: 69% não apresentavam diagnóstico clínico inicial, com encaminhamentos (83%) feitos pela escola, por suspeitas de dificuldades na linguagem (92%), as quais foram confirmadas, sendo evidenciados risco e atrasos psicomotores em 69% da amostra, com 78% das crianças com dificuldade de aprendizado e com idade motora geral média 16 meses inferior à idade cronológica. As áreas psicomotoras com piores escores para idade motora e quociente motor foram: organização temporal, esquema corporal e organização espacial. As dificuldades escolares foram relacionadas a atrasos na idade motora (p=0,03), com a classificação do perfil psicomotor pela EDM (p=0,01), com quociente motor geral (p=0,04) e com diagnóstico psicomotor (p=0,001). Conclusão: Conclui-se que existe uma demanda de crianças em risco e atrasos psicomotores, na maioria identificadas com atraso de linguagem, que apresentam, também, dificuldades em outras áreas, ratificando a necessidade de ações multi e interdisciplinares de profissionais de saúde, sendo, o NASF, uma opção para promoção de acompanhamento e intervenção.

ABSTRACT Purpose: to characterize the language and neuropsychomotor development of children referred for speech-language-hearing and physical therapy at an Extended Family Health Care Center (NASF) in Paranaguá, Paraná, Brazil. Methods: 36 children aged 3 to 13 (7.9 ± 2.3) years were assessed through anamnesis, speech-language-hearing assessment with a flipchart, and motor development scale (MDS). The analysis was made with the two-tailed Pearson correlation test. Results: 69% had no initial clinical diagnosis; 83% were referred by their school, due to suspected language difficulties (92%), which were confirmed. Children both at risk and with psychomotor delays represented 69% of the sample; 78% of the children had learning difficulties and overall motor age 16 months below their chronological age, on average. The psychomotor areas with the worst scores for motor age and motor quotient were temporal organization, body scheme, and spatial organization. School difficulties were related to delays in motor age (p = 0.03), MDS psychomotor profile classification (p = 0.01), overall motor quotient (p = 0.04), and psychomotor diagnosis (p = 0.001). Conclusion: it is concluded that children both at risk and with psychomotor delays pose a great demand. Most of them present language delays, and have difficulties in other areas as well, confirming the need for health professionals’ multi- and interdisciplinary actions. NASF is an option for promoting follow-up and intervention.

https://doi.org/10.1590/1982-0216/202022314919 2957 downloads

15.

Social identity of transgender persons: concept analysis and proposition of nursing diagnoses
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Silva, Nathália Leal

; Lopes, Rafael Oliveira Pitta

; Bitencourt, Graziele Ribeiro

; Bossato, Hércules Rigoni

; Brandão, Marcos Antônio Gomes

; Ferreira, Márcia Assunção

Revista Brasileira de Enfermagem

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2020, Volume 73 elocation e20200070

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

RESUMO Objetivo: Analisar o conceito de identidade social da pessoa transgênero e elaborar um diagnóstico de enfermagem relacionado à identidade social da pessoa transgênero. Métodos: Análise de conceito segundo modelo de Walker e Avant. Realizou-se uma revisão de escopo com busca em oito bases de dados, um portal e dois sistemas de informação, em junho e julho de 2019. Analisaram-se artigos, teses e dissertações, nos idiomas português, inglês e espanhol, sem recorte temporal. Resultados: Das 6.847 produções, 10 foram incluídas, e o conceito de identidade social foi descrito em 4 delas. Identificaram-se os atributos críticos, antecedentes e consequentes para a identidade social da pessoa transgênero, e a análise do conceito fundamentou a proposição do diagnóstico: Disposição para a identidade social melhorada da pessoa transgênero. Conclusão: A identidade social estabelece relação com a saúde, e diagnóstico de enfermagem proposto fortalece o sentido de pertença das pessoas transgênero, potencializando seus direitos como cidadãos.

ABSTRACT Objective: To analyze the concept of social identity of transgender persons and develop nursing diagnoses related to it. Methods: A concept analysis according to the Walker and Avant model. A scope review was carried out with a search of eight databases, a portal and two information systems, during June and July 2019. Articles, theses, and dissertations were analyzed in Portuguese, English, and Spanish, with no time frame definition. Results: Of the 6.847 productions, 10 were included, and the concept of social identity was described in 4 of them. Critical, prior, and consequential attributes for the social identity of transgender persons were identified, and the analysis of the concept substantiated the proposal of the diagnosis: Willingness to improve the social identity of the transgender person. Conclusion: Social identity establishes a relationship with health, and the proposed nursing diagnosis strengthens the sense of belonging of transgender people, enhancing their rights as citizens.

RESUMEN Objetivo: Analizar el concepto de identidad social de la persona transgénero y elaborar un diagnóstico de enfermería relacionado a la identidad social de la persona transgénero. Métodos: Análisis de concepto según modelo de Walker y Avant. Se realizó una revisión de campo con búsqueda en ocho bases de datos, un portal y dos sistemas de información, en junio y julio de 2019. Se analizaron artículos, tesis y disertaciones, en los idiomas portugués, inglés y español, sin recorte temporal. Resultados: De las 6.847 producciones, 10 han sido incluidas, y el concepto de identidad social ha sido descripto en 4 de ellas. Se identificaron los atributos críticos, antecedentes y consecuentes para la identidad social de la persona transgénero, y el análisis del concepto fundamentó la proposición del diagnóstico: Disposición para la identidad social mejorada de la persona transgénero. Conclusión: La identidad social establece relación con la salud, y diagnóstico de enfermería propuesto fortalece el sentido de pertenezca de las personas transgénero, potenciando sus derechos como ciudadanos.

https://doi.org/10.1590/0034-7167-2020-0070 1168 downloads

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