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Investigating the resistance of common bean germplasm to Colletotrichum lindemuthianum and its implications for breeding
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Barcelos, Quélen de Lima

; Ishikawa, Francine Hiromi

; Costa, Larissa Carvalho

; Pádua, Paula Furtado de

; Abreu, Ângela de Fátima Barbosa

; Ramalho, Magno Antonio Patto

; Santos, João Bosco dos

; Souza, Elaine de

Crop Breeding and Applied Biotechnology

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2024, Volume 24 N. 4 elocation e499324412

Abstract: En | Text: En | PDF: En

Abstract Common bean breeding obtained cultivars with high yield and resistance to diseases. We evaluated anthracnose resistance of genotypes from breeding programs where selection was made mainly to increase grain yield. A germplasm collection of 845 lines were assessed with four of the most frequent Colletotrichum lindemuthianum races found in Brazil (65, 73, 81 and 89). In addition to high reaction variability, we identified 633 lines resistant to at least one race. Most resistant lines have a Carioca grain type. The virulence indexes ranged from 51.7% to 63.2% (races 81 and 73) and resistance indexes ranged from 0% (susceptible) to 100% (resistant). This study presents complete characterization about resistance to anthracnose of a wide collection, provides information about cultivars that can be directly introduced in current breeding programs and shows that breeding focused on increasing grain yield has also been successful in selecting resistant genotypes to anthracnose disease. diseases 84 65, 65 (65 73 8 89. 89 . 89) variability 63 race type 517 51 7 51.7 632 2 63.2 0 susceptible (susceptible 100 resistant. (resistant) disease 6 (6 5 51. 63. 10 (resistant ( 1

https://doi.org/10.1590/1984-70332024v24n4a49

Inovação na prática da Enfermagem em saúde comunitária brasileira durante a pandemia: uma revisão rápida pandemia
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Zanchetta, Margareth Santos

; Paula, Clarissa Moura de

; Moraes, Katarinne Lima

; Santos, Walterlânia Silva

; Linhares, Francisca Márcia Pereira

; Oliveira, Lizete Malagoni de Almeida Cavalcante

; Brasil, Virginia Visconde

; Viduedo, Alecssandra de Fatima Silva

Escola Anna Nery

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2024, Volume 28 elocation e20240011

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

Resumo Objetivo descrever as inovações introduzidas na Enfermagem em saúde comunitária brasileira durante a pandemia da COVID-19. Método revisão rápida de literatura com marco conceitual da inovação nas organizações e ideias subjacentes à investigação apreciativa. As bases de dados limitaram-se ao Google Scholar (Inglês) e SciELO (Português) (Novembro a Dezembro de 2022). Foram identificados 52 artigos em Português, sendo que 11 responderam aos critérios de elegibilidade. Resultados a maioria (n=10; 91%) abordou o fator “descoberta”, destacando as condições favoráveis à inovação. Sobre “imaginar o que poderia ser” (n=6; 55%) projetaram a inovação como uma prática permanente. Em relação ao “co-construir a condição ideal” 55% (n=6), reportaram inovação como ação conjunta e na prática. Em relação à “sustentação da inovação”, apenas cinco intervenções (45%) indicaram caminhos para a continuidade. Conclusões e implicações para a prática: a conexão entre atenção primária à saúde, academia, e organizações produziu soluções simples para situações desconhecidas, complexas e imprevisíveis. Entretanto a ideia de inovação como algo sem precedente, outrora não testada e estruturalmente revolucionária, não foi identificada extensivamente por esta revisão rápida, em razão da fragilidade conceitual e teórica das intervenções e dos projetos reportados. COVID19. COVID19 COVID 19. 19 COVID-19 apreciativa limitaramse limitaram se Inglês (Inglês Português (Português Novembro 2022. 2022 . 2022) 5 1 elegibilidade n=10 n10 n 10 (n=10 91% 91 descoberta, descoberta , “descoberta” imaginar ser n=6 n6 6 (n=6 55 permanente coconstruir co construir ideal n=6, (n=6) sustentação inovação, inovação” 45% 45 (45% continuidade academia desconhecidas imprevisíveis precedente revolucionária reportados COVID1 COVID-1 202 n=1 n1 (n=1 9 “descoberta n= (n= 4 (45 COVID- 20 (n (4 2 (

Abstract Objective to describe the innovations introduced in Brazilian community health nursing during the COVID-19 pandemic. Method rapid literature review with a conceptual framework of innovation in organizations and ideas underlying the method of appreciative inquiry. The databases were limited to Google Scholar (English) and SciELO (Portuguese) (November–December 2022). A total of 52 articles were identified in Portuguese, 11 of which met the eligibility criteria. Results the majority (n=10; 91%) addressed the “discovery” factor, highlighting the favorable conditions for innovation. Contents about “imagining what could be” (n=6; 55%) projected innovation as a permanent practice. In relation to “co-constructing the ideal condition” 55% (n=6), innovation was reported as a joint action and in practice. Regarding the “sustainability of innovation,” only five interventions (45%) indicated paths for continuity. Conclusions and implication to the practice the connection between primary health care, academia, and organizations produced simple solutions to unknown, complex, and unpredictable situations. However, the idea of innovation as something unprecedented, untested, and structurally revolutionary, was not extensively identified by this rapid review, due to the conceptual and theoretical fragility of the interventions and projects reported. COVID19 COVID 19 COVID-1 pandemic inquiry English (English Portuguese (Portuguese November–December NovemberDecember November December 2022. 2022 . 2022) 5 1 criteria n=10 n10 n 10 (n=10 91% 91 discovery “discovery factor imagining be n=6 n6 6 (n=6 55 coconstructing co constructing condition n=6, , (n=6) sustainability innovation, 45% 45 (45% continuity care academia unknown complex situations However unprecedented untested revolutionary COVID1 COVID- 202 n=1 n1 (n=1 9 n= (n= 4 (45 20 (n (4 2 (

Resumen Objetivo describir las innovaciones introducidas en Enfermería en salud comunitaria brasileña durante la pandemia de COVID-19. Método revisión rápida de literatura con marco conceptual de la innovación en las organizaciones e ideas subyacentes a la investigación apreciativa Las bases de datos se limitaron a Google Scholar (Inglés) y SciELO (Portugués) (Noviembre a Diciembre de 2022) Se identificaron 52 artículos en Portugués, de los cuales 11 cumplieron con los criterios de elegibilidade. Resultados la mayoría (n=10; 91%) abordó el factor descubrimiento, destacando las condiciones favorables a la innovación. Sobre “imaginar lo que podría ser” (n=6; 55%) proyectaron la innovación como una práctica permanente En relación al “co-construir la condición ideal” 55% (n=6), se reportó la innovación como acción conjunta y en la práctica. En relación a la “sustentación de la innovación”, solo 5 intervenciones (45%) indicaron caminos para la continuidad. Conclusión e implicaciones para la práctica: la conexión entre atención primaria de salud, academia y organizaciones produjo soluciones simples para situaciones desconocidas, complejas e imprevisibles. Sin embargo, la idea de innovación como algo sin precedentes, no probado y estructuralmente revolucionario, no fue identificada extensivamente por esta revisión rápida, debido a la fragilidad conceptual y teórica de las intervenciones y proyectos reportados. COVID19. COVID19 COVID 19. 19 COVID-19 Inglés (Inglés Portugués (Portugués Noviembre 2022 1 elegibilidade n=10 n10 n 10 (n=10 91% 91 descubrimiento imaginar ser n=6 n6 6 (n=6 55 coconstruir co construir ideal n=6, , (n=6) sustentación innovación, innovación” 45% 45 (45% continuidad desconocidas imprevisibles embargo precedentes revolucionario reportados COVID1 COVID-1 202 n=1 n1 (n=1 9 n= (n= 4 (45 COVID- 20 (n (4 2 (

https://doi.org/10.1590/2177-9465-ean-2024-0011pt

HPLC-MS/MS method for determination of betamethasone in human plasma with application to a dichorionic twin pregnancy pharmacokinetic and placental transfers studies HPLCMS/MS HPLCMSMS HPLC MS/MS MS HPLCMS MSMS
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Rodrigues, Grazielle de Fátima Pinto

; Benzi, Jhohann Richard de Lima

; Marques, Maria Paula

; Moisés, Elaine Christine Dantas

; Lanchote, Vera Lucia

; Marcolin, Alessandra Cristina

Brazilian Journal of Pharmaceutical Sciences

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2023, Volume 59 elocation e20314

Abstract: En | Text: En | PDF: En

Abstract Betamethasone (BET) is a synthetic glucocorticoid recommended for pregnant women at imminent risk of preterm birth before 34 weeks to reduce neonatal complications. There are different techniques to describe BET plasma quantification. However, none quantified the plasmatic concentration of BET in dichorionic (DC) twin pregnancies using LC-MS. Our objectives were to develop and validate a method for quantifying BET by LC-MS for pharmacokinetic (PK) and placental transfer studies in DC twin pregnancies. Blood samples were collected after intramuscular administration of a single BET dose containing 6 mg disodium phosphate + 6 mg acetate. BET was determined in plasma by liquid-liquid extraction. The method showed linearity in the range of 2-250 ng/mL, as well as precision and accuracy with a coefficient of variation and relative standard errors ≤ 15%. Additionally, the method presented selectivity and did not present matrix or carry-over effect. Stability tests also presented coefficient of variation and relative standard errors ≤ 15%. This is the first study which describe maternal and fetal plasma concentrations of BET in a DC twin pregnancy. The BET PK parameters were AUC0-∞, CL/F, Vd/F, Cmax, Tmax of 292.20 h*ng/mL, 39.08 L/h, 278.72 L, 25.55 ng/mL and 0.58 h, respectively. The placental transfer ratios of umbilical vein/maternal vein and intervillous space/maternal vein were 0.14 and 0.19 and 0.40 and 0.27 for both twins, respectively. However, a clinical study with more subjects is imperative to confirm this higher concentration of BET in the intervillous space. (BET 3 complications quantification However (DC LCMS. LCMS LC MS. MS (PK acetate liquidliquid liquid extraction 2250 2 250 2-25 ngmL ng mL 15 15% Additionally carryover carry over effect pregnancy AUC0∞, AUC0 AUC ∞, AUC0-∞ CLF CL F CL/F VdF Vd Vd/F Cmax 29220 292 20 292.2 hngmL h h*ng/mL 3908 39 08 39.0 Lh L L/h 27872 278 72 278.7 2555 25 55 25.5 058 0 58 0.5 respectively veinmaternal spacematernal space 014 14 0.1 019 19 040 40 0.4 027 27 0.2 twins 225 2-2 1 AUC0∞ ∞ AUC0- 2922 29 292. 390 39. 2787 7 278. 255 5 25. 05 0. 01 04 4 02 22 2-

https://doi.org/10.1590/s2175-97902023e20314

Exercise Testing, Family History, and Subclinical Atherosclerosis Markers for Cardiovascular Risk Reclassification in Middle-Aged Women
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Coutinho, Ricardo Quental

; Montarroyos, Ulisses Ramos

; Barros, Isly Maria Lucena de

; Guimarães, Maria José Bezerra

; Leão, Ana Paula Dornelas

; Costa, Laura Olinda Bregieiro Fernandes

; Medeiros, Ana Kelley de Lima

; Monteiro, Maria de Fátima

; Ferreira, Moacir de Novaes Lima

; Chalela, William Azem

; Pedrosa, Rodrigo Pinto

International Journal of Cardiovascular Sciences

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aug 2021, Volume 34 N. 4 Pages 383 - 392

Abstract: En | Text: En | PDF: En

Abstract Background Cardiovascular diseases are the main cause of death in women and the accuracy of currently available risk scores is questionable. Objective To reclassify the risk estimated by the Framingham Risk Score (FRS) in asymptomatic middle-aged women by incorporating family history, exercise testing variables, and subclinical atherosclerosis markers. Methods This cross-sectional study included 509 women (age range, 46-65 years) without cardiovascular symptoms. Those at low or intermediate risk by the FRS were reclassified to a higher level considering premature family history of acute myocardial infarction and/or sudden death; four variables from exercise testing; and two variables related to subclinical atherosclerosis markers. The homogeneity of these variables according to the FRS was verified by Pearson chi-square test (p<0.05). Results According to the FRS, 80.2%, 6.2%, and 13.6% of the women were classified as low (<5%), intermediate (5-10%), and high (>10%) risks, respectively. The intermediate-risk stratum showed the highest increase (from 6.2% to 33.3%) with addition of family history; followed by addition of chronotropic index <80% (to 24.2%); functional capacity <85% (22.2%), coronary calcium score >0 (20.6%); decreased one-minute heart rate recovery ≤12 bpm (15.2%); carotid intima-media thickness >1 mm and/or carotid plaque (13.8%) and ST-segment depression (9.0%). The high-risk stratum increased to 14.4% with the addition of reduced heart rate recovery and to 17.1% with the coronary calcium score. Conclusion Incorporation of premature family history of cardiovascular events, exercise testing abnormal parameters, and subclinical atherosclerosis markers into the FRS led to risk reclassification in 3.0-29.7% of asymptomatic middle-aged women, mainly by an increase from low to intermediate risk.

https://doi.org/10.36660/ijcs.20200414 3 downloads

Professional competencies to promote health in nursing and physical education undergraduate courses
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Xavier, Samyra Paula Lustoza

; Machado, Lucas Dias Soares

; Moreira, Maria Rosilene Cândido

; Martins, Álissan Karine Lima

; Machado, Maria de Fátima Antero Sousa

Revista Brasileira de Enfermagem

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2021, Volume 74 N. 2 elocation e20200617

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

RESUMO Objetivos: reconhecer as competências para promoção da saúde e sua magnitude de expressão no ensino de graduação em saúde, a partir dos projetos pedagógicos dos cursos e da perspectiva docente. Métodos: pesquisa com abordagem mista, realizada em uma universidade pública, cuja coleta deu-se a partir dos projetos pedagógicos dos cursos de Enfermagem e Educação Física; entrevista e aplicação de uma matriz de Competências em Promoção da Saúde com 31 docentes dos respectivos cursos, analisados à luz do Competencies Health Promotion. Resultados: todas as competências investigadas foram reconhecidas nos currículos e nos relatos dos docentes de Enfermagem, no entanto, na Educação Física, o domínio possibilidade de mudanças não foi identificado no projeto pedagógico, embora os docentes do curso a considerem uma competência de extrema importância, com moda de 4,5. Considerações Finais: o processo formativo nos cursos estudados tem favorecido o desenvolvimento de competências para promoção da saúde.

ABSTRACT Objectives: to recognize the competencies for health promotion and their magnitude of expression in undergraduate health education based on the analysis of the pedagogical projects of the courses and from the teaching perspective. Methods: research with a mixed approach, carried out at a public university. The data collected from the pedagogical projects of the Nursing and Physical Education courses and through interviews and application of a matrix of Competencies in Health Promotion with 31 professors of the referred courses were analyzed in the light of Competencies Health Promotion. Results: all competencies investigated were recognized in the curricula and reports of nursing professors, but the possibility of changes was not identified in the pedagogical project of Physical Education, although this competency was recognized as extremely important by the professors, with a mode of 4.5. Final Considerations: the training process in the courses studied has favored the development of skills for health promotion.

RESUMEN Objetivos: reconocer las competencias para promoción de salud y su magnitud de expresión en la enseñanza de carreras de salud en base al análisis de proyectos pedagógicos de los cursos y la perspectiva docente. Métodos: investigación de abordaje mixto realizada en una universidad pública. Datos recolectados de proyectos pedagógicos de las carreras de Enfermería y Educación Física, y mediante entrevistas y aplicación de una matriz de Competencias en Promoción de Salud con 31 docentes de dichos cursos; analizados utilizando el Competencies Health Promotion. Resultados: todas las competencias investigadas fueron reconocidas en los programas y las narraciones de los docentes de Enfermería. El dominio “posibilidad de cambios” no fue identificado en el proyecto pedagógico de Educación Física, aunque la competencia fue reconocida como extremadamente importante por los docentes, con moda de 4,5. Consideraciones Finales: el proceso formativo en las carreras estudiadas ha favorecido el desarrollo de competencias para promoción de la salud.

https://doi.org/10.1590/0034-7167-2020-0617 228 downloads

Criteria to evaluate the quality of alginate wound dressings
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Garcia, Taysa de Fátima

; Silva, Paula Gracielle Alves

; Barcelos, Bárbara Jacome

; Miranda, Maria das Graças Rodrigues de

; Alonso, Claudiomiro da Silva

; Abreu, Mery Natali Silva

; Borges, Eline Lima

Revista Brasileira de Enfermagem

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2021, Volume 74 N. 4 elocation e20201091

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

RESUMO Objetivos: validar um instrumento com critérios para avaliação da qualidade de coberturas de alginato de cálcio para tratamento de ferida cutânea. Métodos: estudo metodológico, desenvolvido em duas etapas: elaboração de critérios para avaliação da qualidade da cobertura de alginato baseando-se na literatura; validação desses critérios por grupo de juízes em dois momentos. Osdados foram analisados por estatística descritiva, medidas de tendência central e Índice de Validação de Conteúdo. Resultados: selecionaram-se 7 artigos que respaldaram a elaboração de 7 critérios e 11 resultados esperados. O Índice de Validação de Conteúdo foi 0,98 na etapa 1 e 0,93 na etapa 2. Após ajustes, foram validados 8 critérios e 13 resultados esperados. Considerações Finais: o estudo permitiu validar critérios para avaliação da qualidade das coberturas de alginato de cálcio, direcionando a escolha dos enfermeiros com maior autonomia e assertividade.

ABSTRACT Objectives: to validate an instrument with criteria to evaluate the quality of calcium alginate wound dressings to treat skin injuries. Methods: methodological study, developed in two stages: the elaboration of criteria to evaluate the quality of the alginate wound dressing based on literature; validation of these criteria by a group of evaluators in two moments. Data was analyzed using descriptive statistics, central tendency measures and the Content Validity Index. Results: seven articles were selected, leading to the elaboration of 7 criteria and 11 expected results. The Content Validity Index was 0.98 in stage 1 and 0.93 in stage 2. After adjustments, 8 criteria were validated, and 13 results were expected. Final Considerations: the study allowed the validation of criteria to evaluate the quality of calcium alginate wound dressings, helping the nurses to choose with more autonomy and assertiveness.

RESUMEN Objetivos: validar un instrumento con criterios para evaluación de la calidad de coberturas de alginato de calcio para tratamiento de herida cutánea. Métodos: estudio metodológico, desarrollado en dos etapas: elaboración de criterios para evaluación de la calidad de la cobertura de alginato basándose en la literatura; validación de esos criterios por grupo de jueces en dos momentos. Los datos fueron analizados por estadística descriptiva, medidas de tendencia central e Índice de Validez de Contenido. Resultados: seleccionaron 7 artículos que respaldaron la elaboración de 7 criterios y 11 resultados esperados. El Índice de Validez de Contenido fue 0,98 en la etapa 1 y 0,93 en la etapa 2. Después de ajustes, fueron validados 8 criterios y 13 resultados esperados. Consideraciones Finales: el estudio permitió validar criterios para evaluación de la calidad de las coberturas de alginato de calcio, encaminando la elección de los enfermeros con mayor autonomía y asertividad.

https://doi.org/10.1590/0034-7167-2020-1091 257 downloads

Serological evidence of Toxoplasma gondii occurrence in naturally infected sheep in the Teresina microregion, Piauí, Brazil
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Feitosa, Lauro César Soares

; Celestino, Andressa de Carvalho Teixeira Lima

; Ferreira, Siluana Benvindo

; Cardoso, Janaina de Fátima Saraiva

; Tenório, Taciana Galba da Silva

; Paula, Ney Rômulo de Oliveira

; Mineiro, Ana Lys Bezerra Barradas

Arquivos do Instituto Biológico

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2021, Volume 88 elocation e00152020

Abstract: En | Text: En | PDF: En

ABSTRACT Toxoplasmosis is a zoonosis of reproductive nature that is transmitted to humans mainly by ingestion of undercooked meat or drinking oocyte-contaminated water. The slaughter of small ruminants in clandestine slaughterhouses and the presence of companion animals in these locations may be epidemiologically important for the dissemination of the disease. The objective of the present study was to determine toxoplasmosis prevalence by researching anti- Toxoplasma gondii antibodies in meat sheep herds from farms in Teresina microregion, Piauí, Brazil. A total of 450 blood samples were collected from sheep of both sexes, belonging to 28 herds from the 14 municipalities that comprise the microregion. The samples were analyzed by the enzyme-linked immunosorbent assay (ELISA), and the presence of anti-T. gondii antibodies was observed in 62% (279/450) of the animals in all the municipalities and on at least one farm in each municipality. The high occurrence of positive animals is an indication of reproductive problems in these herds, characterizing a problem for both sheep rearing and public health.

https://doi.org/10.1590/1808-1657000152020 1 downloads

Differences in children and adolescents with SARS-CoV-2 infection: a cohort study in a Brazilian tertiary referral hospital
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Marques, Heloisa Helena de Sousa

; Pereira, Maria Fernanda Badue

; Santos, Angélica Carreira dos

; Fink, Thais Toledo

; Paula, Camila Sanson Yoshino de

; Litvinov, Nadia

; Schvartsman, Claudio

; Delgado, Artur Figueiredo

; Gibelli, Maria Augusta Bento Cicaroni

; Carvalho, Werther Brunow de

; Odone Filho, Vicente

; Tannuri, Uenis

; Carneiro-Sampaio, Magda

; Grisi, Sandra

; Duarte, Alberto José da Silva

; Antonangelo, Leila

; Francisco, Rossana Pucineli Vieira

; Okay, Thelma Suely

; Batisttella, Linamara Rizzo

; Carvalho, Carlos Roberto Ribeiro de

; Brentani, Alexandra Valéria Maria

; Silva, Clovis Artur

; Eisencraft, Adriana Pasmanik

; Rossi Junior, Alfio

; Fante, Alice Lima

; Cora, Aline Pivetta

; Reis, Amelia Gorete A. de Costa

; Ferrer, Ana Paula Scoleze

; Andrade, Anarella Penha Meirelles de

; Watanabe, Andreia

; Gonçalves, Angelina Maria Freire

; Waetge, Aurora Rosaria Pagliara

; Silva, Camila Altenfelder

; Ceneviva, Carina

; Lazari, Carolina dos Santos

; Abellan, Deipara Monteiro

; Santos, Emilly Henrique dos

; Sabino, Ester Cerdeira

; Bianchini, Fabíola Roberta Marim

; Alcantara, Flávio Ferraz de Paes

; Ramos, Gabriel Frizzo

; Leal, Gabriela Nunes

; Rodriguez, Isadora Souza

; Pinho, João Renato Rebello

; Carneiro, Jorge David Avaizoglou

; Paz, Jose Albino

; Ferreira, Juliana Carvalho

; Ferranti, Juliana Ferreira

; Ferreira, Juliana de Oliveira Achili

; Framil, Juliana Valéria de Souza

; Silva, Katia Regina da

; Kanunfre, Kelly Aparecida

; Bastos, Karina Lucio de Medeiros

; Galleti, Karine Vusberg

; Cristofani, Lilian Maria

; Suzuki, Lisa

; Campos, Lucia Maria Arruda

; Perondi, Maria Beatriz de Moliterno

; Diniz, Maria de Fatima Rodrigues

; Fonseca, Maria Fernanda Mota

; Cordon, Mariana Nutti de Almeida

; Pissolato, Mariana

; Peres, Marina Silva

; Garanito, Marlene Pereira

; Imamura, Marta

; Dorna, Mayra de Barros

; Luglio, Michele

; Rocha, Mussya Cisotto

; Aikawa, Nadia Emi

; Degaspare, Natalia Viu

; Sakita, Neusa Keico

; Udsen, Nicole Lee

; Scudeller, Paula Gobi

; Gaiolla, Paula Vieira de Vincenzi

; Severini, Rafael da Silva Giannasi

; Rodrigues, Regina Maria

; Toma, Ricardo Katsuya

; Paula, Ricardo Iunis Citrangulo de

; Palmeira, Patricia

; Forsait, Silvana

; Farhat, Sylvia Costa Lima

; Sakano, Tânia Miyuki Shimoda

; Koch, Vera Hermina Kalika

; Cobello Junior, Vilson

Clinics

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2021, Volume 76 elocation e3488

Abstract: En | Text: En | PDF: En

OBJECTIVES: To compare demographic/clinical/laboratory/treatments and outcomes among children and adolescents with laboratory-confirmed coronavirus disease 2019 (COVID-19). METHODS: This was a cross-sectional study that included patients diagnosed with pediatric COVID-19 (aged <18 years) between April 11, 2020 and April 22, 2021. During this period, 102/5,951 (1.7%) of all admissions occurred in neonates, children, and adolescents. Furthermore, 3,962 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection samples were processed in patients aged <18 years, and laboratory-confirmed COVID-19 occurred in 155 (4%) inpatients and outpatients. Six/155 pediatric patients were excluded from the study. Therefore, the final group included 149 children and adolescents (n=97 inpatients and 52 outpatients) with positive SARS-CoV-2 results. RESULTS: The frequencies of sore throat, anosmia, dysgeusia, headache, myalgia, nausea, lymphopenia, pre-existing chronic conditions, immunosuppressive conditions, and autoimmune diseases were significantly reduced in children and adolescents (p<0.05). Likewise, the frequencies of enoxaparin use (p=0.037), current immunosuppressant use (p=0.008), vasoactive agents (p=0.045), arterial hypotension (p<0.001), and shock (p=0.024) were significantly lower in children than in adolescents. Logistic regression analysis showed that adolescents with laboratory-confirmed COVID-19 had increased odds ratios (ORs) for sore throat (OR 13.054; 95% confidence interval [CI] 2.750-61.977; p=0.001), nausea (OR 8.875; 95% CI 1.660-47.446; p=0.011), and lymphopenia (OR 3.575; 95% CI 1.355-9.430; p=0.010), but also had less hospitalizations (OR 0.355; 95% CI 0.138-0.916; p=0.032). The additional logistic regression analysis on patients with preexisting chronic conditions (n=108) showed that death as an outcome was significantly associated with pediatric severe acute respiratory syndrome (SARS) (OR 22.300; 95% CI 2.341-212.421; p=0.007) and multisystem inflammatory syndrome in children (MIS-C) (OR 11.261; 95% CI 1.189-106. 581; p=0.035). CONCLUSIONS: Half of the laboratory-confirmed COVID-19 cases occurred in adolescents. Individuals belonging to this age group had an acute systemic involvement of SARS-CoV-2 infection. Pediatric SARS and MIS-C were the most important factors associated with the mortality rate in pediatric chronic conditions with COVID-19.

https://doi.org/10.6061/clinics/2021/e3488

Trabalho em equipes multiprofissionais na atenção primária no Ceará: porosidade entre avanços e desafios
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Machado, Maria de Fátima Antero Sousa

; Xavier, Samyra Paula Lustoza

; Rodrigues, Andreza de Lima

; Lima, Thiago Fernandes

; Silva, Lielma Carla Chagas da

; Moita, Marina Pereira

; Dias, Maria Socorro de Araújo

Saúde em Debate

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2021, Volume 45 N. 131 Pages 987 - 997

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

RESUMO Com o objetivo de analisar a atuação das equipes multiprofissionais conformadas nos Núcleos Ampliados de Apoio à Família e Atenção Básica, frente às dimensões clínico-assistencial e técnico-pedagógica no contexto da Atenção Primária à Saúde no Brasil, delineou-se estudo multicêntrico, de natureza qualitativa, realizado no período de 2018 a 2020, em três municípios no estado do Ceará. A coleta de dados ocorreu através de observação e grupo focal com as equipes multiprofissionais. Os registros das observações e dos discursos dos grupos focais foram tabulados no software Interface de R pour L Analyses Multidimensionnelles de Textes L de Questionnaires (IRAMUTEQ®). Na Classificação Hierárquica Descendente, obteve-se um aproveitamento de 75,46% do corpus textual, formando cinco classes, cujos vocábulos têm associação estatisticamente relevante (p<0,0001). Os resultados evidenciam avanços na atuação das equipes multiprofissionais na produção do cuidado integral dos indivíduos e coletivos, a partir de ações de planejamento e tomada de decisões partilhadas com vistas à melhoria da qualidade de vida destes. Outrossim, identifica-se uma ênfase na dimensão clínico- -assistencial do cuidado, o que torna a dimensão técnico-pedagógica um desafio. Contudo, reconhece-se o potencial indutor da atuação das equipes para um trabalho colaborativo e orientado pela interprofissionalidade, corroborando o fortalecimento da Atenção Primária à Saúde.

ABSTRACT In order to analyze the performance of the multiprofessional teamwork at the Family Primary Health Care Expanded Support Centers, regarding the clinical-assistance and technical-pedagogical dimensions in Brazilian Primary Health Care, a multicentered study was outlined. This study is qualitative and descriptive in nature, and it was carried out between 2018 and 2020 in three northeast Brazilian towns. Data were collected through observation and focus groups with multiprofessional teams which worked in Primary Health Care. Observations were made during the baseline phase, follow-ups one and two. Documentation of observations and focal group’s speech were tabulated using the Interface de R pour L Analyses Multidimensionnelles de Textes L de Questionnaires (IRAMUTEQ®) software. 106 text units were identified in the Descending Hierarchical Classification, with 807 follow-ups, 28.304 occurrences, 1.809 active forms with average frequency ≥3:737, chi2≥57,64, and 75.46% use of textual statistics, which formed five classes of statistically relevant words (p<0,0001). The results show advances in the work done by the multiprofessional teams on the production of comprehensive care of both individuals and collectivity, due to action plans and collaborative decision seeking improvements in the quality of life of individuals and collectivity. It is also possible to identify emphasis on the clinical-assistance dimension of care and that makes the technical-pedagogical dimension a challenge. However, we highlight the teams’ collaborative driving force that was guided by the interprofessionality, corroborating, thus, the strengthening of Primary Health Care.

https://doi.org/10.1590/0103-1104202113104

10.

Trabalho em equipes multiprofissionais na atenção primária no Ceará: porosidade entre avanços e desafios
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Machado, Maria de Fátima Antero Sousa

; Xavier, Samyra Paula Lustoza

; Rodrigues, Andreza de Lima

; Lima, Thiago Fernandes

; Silva, Lielma Carla Chagas da

; Moita, Marina Pereira

; Dias, Maria Socorro de Araújo

Saúde em Debate

Journal Metrics
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2021, Volume 45 N. 131 Pages 987 - 997

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

https://doi.org/10.1590/0103-1104202113104 1 downloads

11.

Fatores presentes na satisfação dos usuários na Atenção Básica
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Vieira, Neiva Francenely Cunha

; Machado, Maria de Fátima Antero Sousa

; Nogueira, Paula Sacha Frota

; Lopes, Karolina de Sousa

; Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Morais, Ana Patrícia Pereira

; Campelo, Isabella Lima Barbosa

; Guimarães, José Maria Ximenes

; Nuto, Sharmênia de Araújo Soares

; Freitas, Roberto Wagner Júnior Freire de

Interface - Comunicação, Saúde, Educação

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2021, Volume 25 elocation e200516

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

Trata-se de uma revisão integrativa de 11 artigos científicos selecionados sobre satisfação dos usuários, por meio dos dados do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB), publicados no período de 2012 a 2018. O material textual foi processado pelo software IRaMuTeQ®. A análise textual produziu sete classes que geraram três categorias: Organização e coordenação do cuidado – equipe de apoio matricial, procedente das classes 5, 6 e 1; Satisfação do usuário – marcação de consulta e atendimento das classes 2 e 7; Indicadores socioeconômicos e diferenças regionais das classes 3 e 4. Os fatores presentes na satisfação dos usuários foram acessibilidade, continuidade do cuidado, longitudinalidade, integralidade e resolubilidade, considerados atributos importantes na reorientação da organização dos serviços e das práticas dos profissionais.

Integrative literature review of user satisfaction based on data from the National Program for Improving Primary Care Access and Quality (PMAQ-AB) involving 11 articles published between 2012 and 2018. A text analysis was performed using the software IRaMuTeQ®, resulting in seven classes and three categories: care organization and coordination – matrix support team from classes 5, 6 and 1; user satisfaction – appointment scheduling and treatment from classes 2 and 7; socioeconomic indicators and regional differences from 3 and 4. The factors influencing user satisfaction were accessibility, continuity of care, longitudinality, comprehensiveness, and resolvability. These are important attributes in the reorientation of the organization of care services and professional practices.

Estudio de revisión integradora de 11 artículos científicos seleccionados sobre satisfacción de los usuarios, a partir de los datos del Programa Nacional de Mejora del Acceso y de la Calidad de la Atención Básica (PMAQ-AB, por sus siglas en portugués), publicados en el período de 2012 y 2018. El material textual se procesó por medio del software IRAMUTEQ®. El análisis textual produjo siete clases que generó tres categorías: Organización y coordinación del cuidado – equipo de apoyo matricial procedente de las clases 5, 6 y 1; Satisfacción del usuario – programación de consulta y atención, de las clases 2 y 7; Indicadores socioeconómicos y diferencias regionales de las clases 3 y 4. Los factores presentes en la satisfacción de los usuarios fueron accesibilidad, continuidad del cuidado, longitudinalidad, integralidad y capacidad de resolución. Estos son atributos importantes en la reorientación de la organización de los servicios y de las prácticas de los profesionales.

https://doi.org/10.1590/interface.200516

12.

Fatores presentes na satisfação dos usuários na Atenção Básica
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Vieira, Neiva Francenely Cunha

; Machado, Maria de Fátima Antero Sousa

; Nogueira, Paula Sacha Frota

; Lopes, Karolina de Sousa

; Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Morais, Ana Patrícia Pereira

; Campelo, Isabella Lima Barbosa

; Guimarães, José Maria Ximenes

; Nuto, Sharmênia de Araújo Soares

; Freitas, Roberto Wagner Júnior Freire de

Interface - Comunicação, Saúde, Educação

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2021, Volume 25 elocation e200516

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

https://doi.org/10.1590/interface.200516 1927 downloads

13.

Consumer behavior of organic and functional foods in Brazil
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MARTINS, Adalgisa Paula de Oliveira

; BEZERRA, Maria de Fátima

; MARQUES JÚNIOR, Sérgio

; BRITO, André Fonseca

; ANDRADE NETO, Júlio César de

; GALVÃO JÚNIOR, José Geraldo Bezerra

; LIMA JÚNIOR, Dorgival Morais de

; RANGEL, Adriano Henrique do Nascimento

Food Science and Technology

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jun 2020, Volume 40 N. 2 Pages 469 - 475

Abstract: En | Text: En | PDF: En

Abstract The objective of this study was to correlate the gender and behavior of consumers of organic foods enriched with functional properties. The study was carried out by investigating the profile of organic and functional food consumers through the application of a questionnaire. A total of 1230 responses (of the questionnaire) were collected from people from all Brazilian states through social networks and e-mails following the snowball technique during the months of February and March 2017. The results showed that women expressed greater interest in consuming organic foods enriched with functional properties compared to men. Men and women agree that organic food are produced in a sustainable. Their high price, difficult access, irregular supply and availability in few establishments were highlighted as the main limiting factors for not consuming organic food, while an increased motivation (of consumption) was related to the awareness that organic foods are healthier and can improve quality of life. Fruits and vegetables are the most consumed organic foods among men and women, however women consume more functional foods than men. Thus, there are few differences in behavior and eating habits of organic foods between men and women.

https://doi.org/10.1590/fst.03519 1395 downloads

14.

Infrastructure and work process in primary health care: PMAQ in Ceará
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Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Morais, Ana Patrícia Pereira

; Guimarães, José Maria Ximenes

; Campelo, Isabella Lima Barbosa

; Vieira, Neiva Francenely Cunha

; Machado, Maria de Fátima Antero Sousa

; Nogueira, Paula Sacha Frota

; Nuto, Sharmênia de Araújo Soares

; Freitas, Roberto Wagner Júnior Freire de

Revista de Saúde Pública

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2020, Volume 54 elocation 62

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

RESUMO OBJETIVO Analisar a qualidade da infraestrutura e do processo de trabalho da Estratégia Saúde da Família nos municípios do Ceará entre 2012 e 2014. MÉTODOS Estudo transversal, utilizando dados secundários da avaliação externa do 1º (2012) e 2º (2014) ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica no Ceará. Vinte indicadores compostos foram utilizados para averiguar a qualidade da infraestrutura e do processo de trabalho. RESULTADOS Dados de 183 (99,4%) dos 184 municípios foram avaliados nos dois ciclos. Avaliaram-se 1.441 equipes para infraestrutura e 800 equipes para processo de trabalho. Dentre os 20 indicadores compostos avaliados, houve melhoria em 18, porém de forma não homogênea, variando de 0,0 a 413,5%. Observou-se que quanto menor o valor inicial do indicador, maior a variação na qualidade entre 2012 e 2014. Os indicadores da infraestrutura e do processo de trabalho foram influenciados pela região de saúde e porte populacional do município, sendo mais evidente a influência nas variáveis de processo de trabalho. CONCLUSÕES Identificou-se que melhorias da qualidade referentes à infraestrutura e ao processo de trabalho ocorreram no período de implantação do programa no estado do Ceará de forma equitativa, sendo influenciadas pelo porte populacional e pela região, demonstrando a influência do contexto na implementação de políticas públicas dessa natureza.

ABSTRACT OBJECTIVE To analyze the quality of the infrastructure and work process of the Family Health Strategy in the municipalities of Ceará between 2012 and 2014. METHODS Cross-sectional study, using secondary data from the external evaluation of the 1st (2012) and 2nd (2014) cycle of the National Program for Improvement of Access and Quality of Primary Care in Ceará. A total of 20 composite indicators were used to verify the quality of infrastructure and work process. RESULTS Data from 183 (99.4%) of the 184 municipalities of Ceará were collected in both cycles. A total of 1,441 teams were evaluated for the infrastructure and 800 for the work process. Among the 20 composite indicators evaluated, 18 presented an improvement, but in a non-homogeneous way, ranging between 0.0 and 413.5%. We observed that the lower the initial value of the indicator, the greater the variation in quality between 2012 and 2014. The indicators of infrastructure and work process were influenced by the regional health system and population size of the municipality, being more evident the influence on the variables of the work process. CONCLUSIONS We identified that quality improvements related to infrastructure and work process occurred in the period of implementation of the program in the state of Ceará in an equitable manner, being influenced by population size and regional health system, showing the influence of the context in the implementation of public policies of this nature.

https://doi.org/10.11606/s1518-8787.2020054001878

15.

Infrastructure and work process in primary health care: PMAQ in Ceará
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Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Morais, Ana Patrícia Pereira

; Guimarães, José Maria Ximenes

; Campelo, Isabella Lima Barbosa

; Vieira, Neiva Francenely Cunha

; Machado, Maria de Fátima Antero Sousa

; Nogueira, Paula Sacha Frota

; Nuto, Sharmênia de Araújo Soares

; Freitas, Roberto Wagner Júnior Freire de

Revista de Saúde Pública

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2020, Volume 54 elocation 62

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

https://doi.org/10.11606/s1518-8787.2020054001878 1187 downloads

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