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au:Ribeiro, Ana Freitas

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Rheological and mechanical properties of self-compacting mortars with granitic rock powder and manufactured sand selfcompacting self compacting
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Siqueira, Thaís Pinto Lôbo

; Conceição, Ana Lucia Santana Freitas

; Dias, Cleber Marcos Ribeiro

; Ribeiro, Daniel Veras

Ambiente Construído

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dec 2024, Volume 24 elocation e133547

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

Resumo O presente estudo avaliou a incorporação de finos de rocha granítica (GRP) e areia artificial (MS) em argamassas auto-adensáveis (SCM), visando adequação das características reológicas. Foram analisadas SCMs com relações água/cimento de 0,42, 0,46 e 0,63, teores de GRP de 17%, 20% e 40%, respetivamente, e substituição volumétrica de 50% da areia natural por MS. Para avaliar o desempenho das SCMs, foram realizados ensaios de mini V-Funnel e mini Slump, além da caraterização físico-mecânica. A distância de separação interpartículas e a espessura máxima da pasta também foram analisadas e concluiu-se que o teor de GRP é o parâmetro de maior influência no consumo de superplastificante e no tempo de escoamento das misturas. Com a incorporação de GRP, a viscosidade da argamassa foi ajustada sem a necessidade de adição de agentes modificadores de viscosidade, aumentando o tempo de escoamento, enquanto a substituição parcial de NS por MS resultou numa diminuição deste parâmetro. Além disso, a incorporação simultânea de GRP e MS aumentou a densidade das misturas, promovendo aumento da resistência à compressão em até 29% e da resistência à tração na flexão em até 19%, apesar da redução de cerca de 40% do volume de cimento. (GRP (MS autoadensáveis auto adensáveis SCM, SCM , (SCM) reológicas águacimento água cimento 042 0 42 0,42 046 46 0,4 063 63 0,63 17 17% 20 40 respetivamente 50 VFunnel V Funnel Slump físicomecânica. físicomecânica físico mecânica. mecânica físico-mecânica concluiuse concluiu se misturas disso 29 19 19% (SCM 04 4 0, 06 6 0,6 1 2 5

Abstract The study assessed the use of granitic rock powder (GRP) and manufactured sand (MS) in self-compacting mortars (SCM) to achieve desired rheological properties. Different water/cement ratios of 0.42, 0.46, and 0.63 were used with partial replacement of cement volume by GRP at levels of 17%, 20%, and 40%. Additionally, a volumetric replacement of 50% natural sand with MS was studied. The performance of SCMs was evaluated using mini V-Funnel and mini Slump Tests, as well as physical-mechanical characterization. It was found that GRP content significantly influenced superplasticizer consumption and flow time without requiring additional viscosity modifiers while incorporating MS decreased flow time parameter. Furthermore, simultaneous incorporation of GRP and MS increased mixture density by up to 14% improved compressive strength by up to 29%, and flexural tensile strength by up to19%. (GRP (MS selfcompacting self compacting SCM (SCM properties watercement water 042 0 42 0.42 046 46 0.46 063 63 0.6 17 17% 20 20% 40 40% Additionally 50 studied VFunnel V Funnel Tests physicalmechanical physical mechanical characterization parameter Furthermore 14 29 29% to19 to19% 04 4 0.4 06 6 0. 1 2 5 to1

https://doi.org/10.1590/s1678-86212024000100755

Biological, social, and healthcare factors for death due to influenza A(H1N1) during the 2009 epidemic in Brazil
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Braga, Jose Ueleres

; Ribeiro, Ana Freitas

Revista de Saúde Pública

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2024, Volume 58 elocation 32

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE To identify risk factors for death from influenza A(H1N1), including the effectiveness of the vaccine against influenza A(H1N1) concerning mortality. METHODS A case-control of incident cases of influenza A(H1N1) reported in the epidemiological information systems of the states of São Paulo, Paraná, Pará, Amazonas, and Rio Grande do Sul was conducted. RESULTS 305 participants were included, 70 of them cases and 235 controls, distributed as follows: Amazonas, 9 cases/10 controls; Pará, 22 cases/77 controls, São Paulo, 19 cases/49 controls; Paraná, 10 cases/54 controls; Rio Grande do Sul, 10 cases/45 controls. These participants had a mean age of 30 years, with 33 years among cases and 25 years among controls. There was a predominance of females both among the cases and controls. Biological (age), pre-existing diseases (congestive heart failure, respiratory disease, and diabetes mellitus), and care factors (ICU admission) associated with death from influenza A(H1N1) were identified. CONCLUSION The risk factors identified in this investigation not only allowed subsidizing the elaboration of clinical conducts but also indicate important aspects for facing “new” influenza epidemics that are likely to occur in our country.

https://doi.org/10.11606/s1518-8787.2024058005855

Vaccine coverage by social strata in state capitals in the Brazilian Midwest region: a household survey of children born in 2017 and 2018
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Lima, Jaqueline Costa

; Garcia, Érica Marvila

; Oliveira, Sandra Maria do Valle Leone de

; Araújo, Wildo Navegantes de

; Lopes, Emmanuela Maria de Freitas

; Teles, Sheila Araújo

; Caetano, Karlla Antonieta Amorim

; Teixeira, Ana Izabel Passarela

; Alves, Bárbara Manuella Cardoso Sodré

; França, Ana Paula

; Moraes, José Cássio de

; Domingues, Carla Magda Allan Santos

; 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 e20231308

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

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231308.especial2.en

Excessive daytime sleepiness in nursing technicians: association with sleep quality and memory technicians
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Silva, Renato Canevari Dutra da

; Ribeiro, Ana Clara Barros

; Alves, Maryanna Freitas

; Silva, Gilson Gonçalves

; Camargo Júnior, Elton Brás

Revista Brasileira de Enfermagem

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2024, Volume 77 N. 3 elocation e20230332

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

RESUMO Objetivo: investigar a prevalência de sonolência diurna excessiva entre técnicos de enfermagem e a associação com a qualidade do sono e memória. Métodos: estudo transversal, inferencial, realizado em uma unidade hospitalar no estado de Goiás entre dezembro de 2020 e janeiro de 2021. As avaliações foram realizadas por meio da Epworth Sleepiness Scale, do Pittsburgh Sleep Quality Index e da Prospective and Retrospective Memory Questionnaire, instrumentos validados para o contexto brasileiro. Foram realizadas análises de regressão logística bivariada e multivariada. Resultados: a amostra composta por 189 técnicos de enfermagem com prevalência de 40,9% de sonolência diurna excessiva. Em modelos multivariados, a sonolência diurna excessiva não associou com a qualidade do sono, no entanto houve associação significativa com falhas de memória geral. Conclusões: os resultados do estudo demonstram elevada ocorrência de sonolência diurna excessiva, associação com falhas de memória geral e a necessidade de intervenções psicossociais para técnicos de enfermagem. Objetivo Métodos transversal inferencial 202 2021 Scale Questionnaire brasileiro multivariada Resultados 18 409 40 9 40,9 multivariados Conclusões 20 1 4 40, 2

ABSTRACT Objective: to investigate excessive daytime sleepiness prevalence among nursing technicians and the association with sleep quality and memory. Methods: a cross-sectional, inferential study, carried out in a hospital unit in the state of Goiás between December 2020 and January 2021. Assessments were carried out using the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index and the Prospective and Retrospective Memory Questionnaire, instruments validated for the Brazilian context. Bivariate and multivariate logistic regression analyzes were performed. Results: the sample consisted of 189 nursing technicians with a 40.9% excessive daytime sleepiness prevalence. In multivariate models, excessive daytime sleepiness was not associated with sleep quality, however there was a significant association with overall memory failures. Conclusions: study results demonstrate a high excessive daytime sleepiness occurrence, an association with overall memory failures and the need for psychosocial interventions for nursing technicians. Objective Methods crosssectional, crosssectional cross sectional, sectional cross-sectional 202 2021 Scale Questionnaire context performed Results 18 409 40 9 40.9 models Conclusions occurrence 20 1 4 40. 2

RESUMEN Objetivo: investigar la prevalencia de somnolencia diurna excesiva entre técnicos de enfermería y la asociación con la calidad del sueño y la memoria. Métodos: estudio transversal, inferencial, realizado en una unidad hospitalaria del estado de Goiás entre diciembre de 2020 y enero de 2021. Las evaluaciones se realizaron mediante la Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index y Prospective and Retrospective Memory Questionnaire, instrumentos validados para el contexto brasileño. Se realizaron análisis de regresión logística bivariados y multivariados. Resultados: la muestra estuvo compuesta por 189 técnicos de enfermería con una prevalencia de 40,9% de somnolencia diurna excesiva. En modelos multivariados, la somnolencia diurna excesiva no se asoció con la calidad del sueño, sin embargo, hubo una asociación significativa con fallas generales de memoria. Conclusiones: los resultados del estudio demuestran una alta ocurrencia de somnolencia diurna excesiva, asociación con fallas de memoria general y la necesidad de intervenciones psicosociales para los técnicos de enfermería. Objetivo Métodos transversal inferencial 202 2021 Scale Questionnaire brasileño multivariados Resultados 18 409 40 9 40,9 embargo Conclusiones 20 1 4 40, 2

https://doi.org/10.1590/0034-7167-2023-0332

Biological, social, and healthcare factors for death due to influenza A(H1N1) during the 2009 epidemic in Brazil Biological social AH1N1 AHN A H1N1 H N A(H1N1 200 AH AH1N HN H1N A(H1N 20 2
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Braga, Jose Ueleres

; Ribeiro, Ana Freitas

Revista de Saúde Pública

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2024, Volume 58 elocation 32

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2024058005855

Deficiência de Testosterona em Homens Hipertensos: Prevalência e Fatores Associados Hipertensos
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Negretto, Leandra Analia Freitas

; Rassi, Nelson

; Soares, Leonardo Ribeiro

; Saraiva, Amanda Bueno Carvalho

; Teixeira, Maria Emília Figueiredo

; Santos, Luciana da Ressurreição

; Souza, Ana Luiza Lima

; Jardim, Paulo Cesar B. Veiga

; Barroso de Souza, Weimar Kunz Sebba

; Jardim, Thiago de Souza Veiga

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 3 elocation e20230138

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

Resumo Fundamento: A deficiência de testosterona (DT) é uma condição prevalente em nosso meio e ainda muito negligenciada. A hipertensão arterial (HA) é um de seus possíveis fatores associados. Objetivos: Determinar a prevalência de DT em uma população masculina hipertensa e os fatores associados à sua ocorrência, como idade, tempo de diagnóstico de HA, número de classes de anti-hipertensivos, índice de massa corporal (IMC), diabetes, dislipidemia, doença renal crônica (DRC), sintomas positivos de DT (questionário ADAM positivo) e uso de espironolactona. Métodos: Estudo transversal com aplicação do questionário ADAM, e avaliação de dados bioquímicos, clínicos e antropométricos. Os pacientes foram estratificados em grupos de DT e testosterona normal. As variáveis categóricas foram comparadas pelo teste do qui-quadrado e as variáveis contínuas pelo teste de Mann-Witney; as variáveis com significância (p<0,05) foram submetidas à regressão linear multivariada. Resultados: A prevalência de DT foi de 26,8%. Houve associação entre DT e IMC (p=0,0007), mas não houve com idade (p=0,0520), tempo de diagnóstico de HA (p=0,1418), número de classes de anti-hipertensivos (p=0,0732), diabetes (p=0,1112); dislipidemia (p=0,3888); presença de DRC (p=0,3321); uso de espironolactona (p=0,3546) e questionário ADAM positivo (p=0,2483). Conclusões: A prevalência de DT foi alta e houve associação positiva com IMC. A testosterona total (TT) declinou 8,44 ng/dL com o aumento de 1 kg/m2 no IMC e caiu 3,79 ng/dL com o avanço em um ano na idade. Fundamento (DT negligenciada (HA Objetivos ocorrência antihipertensivos, antihipertensivos anti hipertensivos, hipertensivos IMC, , (IMC) DRC, (DRC) Métodos bioquímicos antropométricos normal quiquadrado qui quadrado MannWitney Mann Witney Mann-Witney p<0,05 p005 p 0 05 (p<0,05 multivariada Resultados 268 26 8 26,8% p=0,0007, p00007 p=0,0007 0007 (p=0,0007) p=0,0520, p00520 p=0,0520 0520 (p=0,0520) p=0,1418, p01418 p=0,1418 1418 (p=0,1418) p=0,0732, p00732 p=0,0732 0732 (p=0,0732) p=0,1112 p01112 1112 (p=0,1112) p=0,3888 p03888 3888 (p=0,3888) p=0,3321 p03321 3321 (p=0,3321) p=0,3546 p03546 3546 (p=0,3546 p=0,2483. p02483 p=0,2483 . 2483 (p=0,2483) Conclusões TT (TT 844 44 8,4 ngdL ng dL kgm2 kgm kg m2 m kg/m 379 3 79 3,7 (IMC (DRC p<0,0 p00 (p<0,0 2 26,8 p0000 p=0,000 000 (p=0,0007 p0052 p=0,052 052 (p=0,0520 p0141 p=0,141 141 (p=0,1418 p0073 p=0,073 073 (p=0,0732 p=0,111 p0111 111 (p=0,1112 p=0,388 p0388 388 (p=0,3888 p=0,332 p0332 332 (p=0,3321 p=0,354 p0354 354 (p=0,354 p0248 p=0,248 248 (p=0,2483 84 4 8, 37 7 3, p<0, p0 (p<0, 26, p000 p=0,00 00 (p=0,000 p=0,05 (p=0,052 p014 p=0,14 14 (p=0,141 p007 p=0,07 07 (p=0,073 p=0,11 p011 11 (p=0,111 p=0,38 p038 38 (p=0,388 p=0,33 p033 33 (p=0,332 p=0,35 p035 35 (p=0,35 p024 p=0,24 24 (p=0,248 p<0 (p<0 p=0,0 (p=0,00 (p=0,05 p01 p=0,1 (p=0,14 (p=0,07 (p=0,11 p=0,3 p03 (p=0,38 (p=0,33 (p=0,3 p02 p=0,2 (p=0,24 p< (p< p=0, (p=0,0 (p=0,1 (p=0, (p=0,2 (p p=0 (p=0 p= (p=

Abstract Background: Testosterone deficiency (TD) is a prevalent condition in our midst and still very neglected. Arterial hypertension (AH) is one of the possible associated factors. Objectives: To determine the prevalence of TD in a hypertensive male population and the factors associated with its occurrence, such as age, time since hypertension diagnosis, number of antihypertensive classes, body mass index (BMI), diabetes, dyslipidemia, chronic kidney disease (CKD), positive symptoms of TD (positive ADAM questionnaire) and use of spironolactone. Methods: Cross-sectional study with administration of the ADAM questionnaire, assessment of biochemical, clinical, and anthropometric data. Patients were stratified into DT and normal testosterone groups. Categorical variables were compared using the chi-squared test and continuous variables using the Mann-Witney test; variables with significance (p<0,05) were analyzed by multivariable linear regression. Results: The prevalence of TD was 26.36%. There was an association between TD and body mass index (BMI) (p=0.0007) but there was no association with age (p=0.0520), time of hypertension diagnosis (p=0.1418), number of classes of antihypertensive drugs (p=0.732), diabetes (p=0.1112); dyslipidemia (p=0.3888); CKD (p=0.3321); use of spironolactone (p=0.3546) or positive ADAM questionnaire (p=0.2483). Conclusions: TD was highly prevalent and positively associated with BMI. Total testosterone (TT) declined by 8.44ng/dL with a one unit increase in BMI and dropped by 3.79ng/dL with a one-year increase in age. Background (TD neglected AH (AH Objectives occurrence BMI, , CKD, (CKD) Methods Crosssectional Cross sectional biochemical clinical data groups chisquared chi squared MannWitney Mann Witney p<0,05 p005 p 0 05 (p<0,05 regression Results 2636 26 36 26.36% (BMI p=0.0007 p00007 0007 (p=0.0007 p=0.0520, p00520 p=0.0520 0520 (p=0.0520) p=0.1418, p01418 p=0.1418 1418 (p=0.1418) p=0.732, p0732 p=0.732 732 (p=0.732) p=0.1112 p01112 1112 (p=0.1112) p=0.3888 p03888 3888 (p=0.3888) p=0.3321 p03321 3321 (p=0.3321) p=0.3546 p03546 3546 (p=0.3546 p=0.2483. p02483 p=0.2483 . 2483 (p=0.2483) Conclusions TT (TT 844ngdL ngdL 8 44ng dL ng 379ngdL 3 79ng oneyear year (CKD p<0,0 p00 (p<0,0 263 2 26.36 p=0.000 p0000 000 (p=0.000 p0052 p=0.052 052 (p=0.0520 p0141 p=0.141 141 (p=0.1418 p073 p=0.73 73 (p=0.732 p=0.111 p0111 111 (p=0.1112 p=0.388 p0388 388 (p=0.3888 p=0.332 p0332 332 (p=0.3321 p=0.354 p0354 354 (p=0.354 p0248 p=0.248 248 (p=0.2483 p<0, p0 (p<0, 26.3 p=0.00 p000 00 (p=0.00 p=0.05 (p=0.052 p014 p=0.14 14 (p=0.141 p07 p=0.7 7 (p=0.73 p=0.11 p011 11 (p=0.111 p=0.38 p038 38 (p=0.388 p=0.33 p033 33 (p=0.332 p=0.35 p035 35 (p=0.35 p024 p=0.24 24 (p=0.248 p<0 (p<0 26. p=0.0 (p=0.0 (p=0.05 p01 p=0.1 1 (p=0.14 p=0. (p=0.7 (p=0.11 p=0.3 p03 (p=0.38 (p=0.33 (p=0.3 p02 p=0.2 (p=0.24 p< (p< (p=0. (p=0.1 p=0 (p=0.2 (p (p=0 p= (p=

https://doi.org/10.36660/abc.20230138

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

Safety of CoronaVac and ChAdOx1 vaccines against SARS-CoV-2 in patients with rheumatoid arthritis: data from the Brazilian multicentric study safer ChAdOx SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- arthritis SARS-CoV
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Cruz, Vitor Alves

; Guimarães, Camila

; Rêgo, Jozelia

; Machado, Ketty Lysie Libardi Lira

; Miyamoto, Samira Tatiyama

; Burian, Ana Paula Neves

; Dias, Laiza Hombre

; Pretti, Flavia Zon

; Batista, Danielle Cristina Filgueira Alves

; Mill, José Geraldo

; Oliveira, Yasmin Gurtler Pinheiro de

; Gadelha, Carolina Strauss Estevez

; Gouveia, Maria da Penha Gomes

; Moulin, Anna Carolina Simões

; Souza, Bárbara Oliveira

; Aguiar, Laura Gonçalves Rodrigues

; Vieira, Gabriel Smith Sobral

; Grillo, Luiza Lorenzoni

; Lima, Marina Deorce de

; Pasti, Laís Pizzol

; Surlo, Heitor Filipe

; Faé, Filipe

; Moulaz, Isac Ribeiro

; Macabú, Mariana de Oliveira

; Ribeiro, Priscila Dias Cardoso

; Magalhães, Vanessa de Oliveira

; Aguiar, Mariana Freitas de

; Biegelmeyer, Erika

; Peixoto;, Flávia Maria Matos Melo Campos

; Kayser, Cristiane

; Souza, Alexandre Wagner Silva de

; Castro, Charlles Heldan de Moura

; Ribeiro, Sandra Lúcia Euzébio

; Telles, Camila Maria Paiva França

; Bühring, Juliana

; Lima, Raquel Lima de

; Santos, Sérgio Henrique Oliveira Dos

; Dias, Samuel Elias Basualto

; Melo, Natália Seixas de

; Sanches, Rosely Holanda da Silva

; Boechat, Antonio Luiz

; Sartori, Natália Sarzi

; Hax, Vanessa

; Dória, Lucas Denardi

; Rezende, Rodrigo Poubel Vieira de

; Baptista, Katia Lino

; Fortes, Natália Rodrigues Querido

; Melo, Ana Karla Guedes de

; Melo, Tâmara Santos

; Vieira, Rejane Maria Rodrigues de Abreu

; Vieira, Adah Sophia Rodrigues

; Kakehasi, Adriana Maria

; Tavares, Anna Carolina Faria Moreira Gomes

; Landa, Aline Teixeira de

; Costa, Pollyana Vitoria Thomaz da

; Azevedo, Valderilio Feijó

; Martins-Filho, Olindo Assis

; Peruhype-Magalhães, Vanessa

; Pinheiro, Marcelo de Medeiros

; Monticielo, Odirlei André

; Reis-neto, Edgard Torres Dos

; Ferreira, Gilda Aparecida

; Souza, Viviane Angelina de

; Teixeira-Carvalho, Andréa

; Xavier, Ricardo Machado

; Sato, Emilia Inoue

; Valim, Valeria

; Pileggi, Gecilmara Salviato

; Silva, Nilzio Antonio da

Advances in Rheumatology

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2024, Volume 64 elocation 58

Abstract: En | Text: En | PDF: En

Abstract Background Patients with immune-mediated rheumatic diseases (IMRDs) have been prioritized for COVID-19 vaccination to mitigate the infection severity risks. Patients with rheumatoid arthritis (RA) are at a high risk of severe COVID-19 outcomes, especially those under immunosuppression or with associated comorbidities. However, few studies have assessed the safety of the COVID-19 vaccine in patients with RA. Objective To evaluate the safety of vaccines against SARS-CoV-2 in patients with RA. Methods This data are from the study “Safety and Efficacy on COVID-19 Vaccine in Rheumatic Diseases,” a Brazilian multicentric prospective phase IV study to evaluate COVID-19 vaccine in IMRDs in Brazil. Adverse events (AEs) in patients with RA of all centers were assessed after two doses of ChAdOx1 (Oxford/AstraZeneca) or CoronaVac (Sinovac/Butantan). Stratification of postvaccination AEs was performed using a diary, filled out daily and returned at the end of 28 days for each dose. Results A total of 188 patients with RA were include, 90% female. CoronaVac was used in 109 patients and ChAdOx1 in 79. Only mild AEs were observed, mainly after the first dose. The most common AEs after the first dose were pain at the injection (46,7%), headache (39,4%), arthralgia (39,4%), myalgia (30,5%) and fatigue (26,6%), and ChAdOx1 had a higher frequency of pain at the injection (66% vs 32 %, p < 0.001) arthralgia (62% vs 22%, p < 0.001) and myalgia (45% vs 20%, p < 0.001) compared to CoronaVac. The more common AEs after the second dose were pain at the injection (37%), arthralgia (31%), myalgia (23%), headache (21%) and fatigue (18%). Arthralgia (41,4% vs 25%, p = 0.02) and pain at injection (51,4% vs 27%, p = 0.001) were more common with ChAdOx1. No serious AEs were related. With Regard to RA activity level, no significant difference was observed between the three time periods for both COVID-19 vaccines. Conclusion In the comparison between the two immunizers in patients with RA, local reactions and musculoskeletal symptoms were more frequent with ChAdOx1 than with CoronaVac, especially after the first dose. In summary, the AE occurred mainly after the first dose, and were mild, like previous data from others immunizing agents in patients with rheumatoid arthritis. Vaccination did not worsen the degree of disease activity. immunemediated immune mediated (IMRDs COVID19 COVID 19 COVID-1 risks (RA outcomes comorbidities However SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- Safety Diseases, Diseases Brazil (AEs ChAdOx Oxford/AstraZeneca OxfordAstraZeneca Oxford AstraZeneca (Oxford/AstraZeneca Sinovac/Butantan. SinovacButantan Sinovac/Butantan . Sinovac Butantan (Sinovac/Butantan) diary 18 include 90 female 10 79 46,7%, 467 46,7% , 46 7 (46,7%) 39,4%, 394 39,4% 39 4 (39,4%) 30,5% 305 30 5 (30,5% 26,6%, 266 26,6% 26 6 (26,6%) 66% 66 (66 3 % 0.001 0001 0 001 62% 62 (62 22 22% 45% 45 (45 20 20% 37%, 37 37% (37%) 31%, 31 31% (31%) 23%, 23 23% (23%) 21% 21 (21% 18%. 18% (18%) 41,4% 414 41 (41,4 25 25% 0.02 002 02 51,4% 514 51 (51,4 27 27% related level summary COVID1 1 COVID- SARS-CoV (Sinovac/Butantan 9 46,7 (46,7% 39,4 (39,4% 30,5 (30,5 26,6 (26,6% (6 0.00 000 00 (4 (37% (31% (23% (21 (18% 41,4 (41, 0.0 51,4 (51, 46, (46,7 39, (39,4 30, (30, 26, (26,6 ( (37 (31 (23 (2 (18 41, (41 0. 51, (51 (46, (39, (30 (26, (3 (1 (5 (46 (39 (26

https://doi.org/10.1186/s42358-024-00397-5

Vaccine coverage by social strata in state capitals in the Brazilian Midwest region: a household survey of children born in 2017 and 2018 region 201 20 2
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Lima, Jaqueline Costa

; Garcia, Érica Marvila

; Oliveira, Sandra Maria do Valle Leone de

; Araújo, Wildo Navegantes de

; Lopes, Emmanuela Maria de Freitas

; Teles, Sheila Araújo

; Caetano, Karlla Antonieta Amorim

; Teixeira, Ana Izabel Passarela

; Alves, Bárbara Manuella Cardoso Sodré

; França, Ana Paula

; Moraes, José Cássio de

; Domingues, Carla Magda Allan Santos

; 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 e20231308

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

RESUMO Objetivo Analisar a cobertura vacinal completa em nascidos vivos em 2017 e 2018, nas capitais da região Centro-Oeste do Brasil, segundo estratos sociais. Métodos Inquérito domiciliar de base populacional com amostragem por conglomerados. Analisou-se a cobertura vacinal completa em crianças aos 12 e 24 meses de idade e os fatores sociodemográficos. Resultados Foram analisadas 5.715 crianças. A cobertura completa aos 12 meses de idade foi 67,9% (IC95% 65,4;70,4) e aos 24 meses de idade foi 48,2% (IC95% 45,3;51,1). A maior cobertura foi da vacina pneumococo (91,3%) e a pior da segunda dose da vacina rotavírus (74,2%). Em Campo Grande, nenhuma vacina alcançou cobertura acima de 90%, destacando-se as vacinas BCG (82,9%) e hepatite B (82,1%). Campo Grande e Brasília tiveram piores coberturas vacinais no estrato social alto (24 meses de idade). Conclusão A cobertura vacinal na região Centro-Oeste foi inferior a 80%, abaixo da meta preconizada e associada com fatores socioeconômicos. 201 2018 CentroOeste Centro Oeste Brasil sociais conglomerados Analisouse Analisou se 1 2 sociodemográficos 5715 5 715 5.71 679 67 9 67,9 IC95% IC95 IC (IC95 65,470,4 654704 65,4 70,4 65 4 70 65,4;70,4 482 48 48,2 45,351,1. 453511 45,3 51,1 . 45 3 51 45,3;51,1) 91,3% 913 91 (91,3% 74,2%. 742 74,2% 74 (74,2%) 90 90% destacandose destacando 82,9% 829 82 (82,9% 82,1%. 821 82,1% (82,1%) (2 idade. idade) 80 80% socioeconômicos 20 571 71 5.7 6 67, IC9 (IC9 470 65,470, 65470 654 65, 704 70, 7 65,4;70, 48, 351 45,351,1 45351 453 45, 511 51, 45,3;51,1 91,3 (91,3 74,2 (74,2% 82,9 8 (82,9 82,1 (82,1% ( 57 5. (IC 47 65,470 6547 65,4;70 35 45,351, 4535 45,3;51, 91, (91, 74, (74,2 82, (82, (82,1 65,47 65,4;7 45,351 45,3;51 (91 (74, (82 65,4; 45,35 45,3;5 (9 (74 (8 45,3; (7

ABSTRACT Objective To analyze full vaccination coverage in live births in 2017 and 2018 in the capitals of the Midwest region of Brazil, according to social strata. Methods Population-based household survey with cluster sampling. Full coverage in children at 12 and 24 months of age and sociodemographic factors were analyzed. Results 5,715 children were analyzed. Full coverage at 12 months of age was 67.9% (95%CI 65.4;70.4), while at 24 months it was 48.2% (95%CI 45.3;51.1). Pneumococcal vaccine had the highest vaccination coverage (91.3%), while the second dose of rotavirus vaccine had the lowest (74.2%). In Campo Grande, no vaccine reached coverage above 90%, with BCG (82.9%) and hepatitis B (82.1%) standing out. Campo Grande and Brasília had the worst vaccination coverage in the high social stratum (24 months of age). Conclusion Vaccination coverage in the Midwest was below 80%, falling short of the recommended target and associated with socioeconomic factors. 201 Brazil strata Populationbased Population based sampling 1 2 analyzed 5715 5 715 5,71 679 67 9 67.9 95%CI 95CI CI 95 65.470.4, 654704 65.4 70.4 , 65 4 70 65.4;70.4) 482 48 48.2 45.351.1. 453511 45.3 51.1 . 45 3 51 45.3;51.1) 91.3%, 913 91.3% 91 (91.3%) 74.2%. 742 74.2% 74 (74.2%) 90 90% 82.9% 829 82 (82.9% 82.1% 821 (82.1% out (2 age. age) 80 80% 20 571 71 5,7 6 67. 470 65.470.4 65470 654 65. 704 70. 7 65.4;70.4 48. 351 45.351.1 45351 453 45. 511 51. 45.3;51.1 91.3 (91.3% 74.2 (74.2% 82.9 8 (82.9 82.1 (82.1 ( 57 5, 47 65.470. 6547 65.4;70. 35 45.351. 4535 45.3;51. 91. (91.3 74. (74.2 82. (82. 65.470 65.4;70 45.351 45.3;51 (91. (74. (82 65.47 65.4;7 45.35 45.3;5 (91 (74 (8 65.4; 45.3; (9 (7

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231308.especial2.en

10.

[SciELO Preprints] - Biological, social, and healthcare factors associated with death due to influenza A(H1N1) during the 2009 epidemic in Brazil
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Braga, Jose Ueleres Ribeiro, Ana Freitas

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Publication date: 2023-09-15

Abstract: En

Background: In June 2009, the World Health Organization (WHO) raised the global alert level for the A(H1N1)pdm09 influenza pandemic and at that time sustained transmission in Brazil was established. It was urgent to carry out studies that evaluated possible risk factors for death from Influenza A(H1N1) to improve case management strategies to reduce the lethality of the disease. This study aimed to identify risk factors for death from Influenza A(H1N1), including the effectiveness of the vaccine against influenza A(H1N1) concerning mortality. Methods: A case-control of incident cases of influenza A(H1N1) reported in the Epidemiological Information Systems of the states of São Paulo, Paraná, Pará, Amazonas, and Rio Grande do Sul was conducted. Results: 305 participants were included, 70 of them cases and 235 controls, distributed as follows: Amazonas – 9 cases/10 controls, Pará – 22 cases/77 controls, São Paulo – 19 cases/49 controls, Paraná – 10 cases/54 controls, Rio Grande do Sul – 10 cases/45 controls. These participants had a mean age of 30 years, with 33 years among cases and 25 years among controls. There was a predominance of females both among cases and controls. Biological (age), pre-existing diseases (congestive heart failure, respiratory disease, and diabetes mellitus), and care factors (ICU admission) associated with death from Influenza A(H1N1) were identified. Conclusion: The risk factors identified in this investigation allowed subsidizing the elaboration of clinical conducts, but also indicate important aspects for facing “new” influenza epidemics that are likely to occur in our country.

https://doi.org/10.1590/SciELOPreprints.6696

11.

Covid-19 em pediatria: Perfil epidemiológico dos casos suspeitos
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Zacarias, Khétene Joyce de Freitas

; Figueiredo, Mirela Lopes

; Sousa, Ana Augusta Maciel de

; Prado, Patrícia Fernandes do

; Alves, Victoria Liery Ribeiro

; Souza, Yure Batista de

PsychTech & Health Journal

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sep 2023, Volume 7 N. 1 Pages 59 - 66

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

Abstract Due to the public health impact that Covid-19 has caused worldwide and reinforcing the need to develop research aimed at pediatric patients affected by Covid-19, this study aimed to identify the epidemiological profile of suspected cases of Covid-19 in children hospitalized in a university hospital in Minas Gerais. This is an epidemiological, descriptive, cross-sectional study carried out in the pediatrics department of a university hospital in Minas Gerais, Brazil. The data was collected between the period from July 2020 to December 2021. For data collection, a spreadsheet containing data related to the variables was used: sex, age, race, clinical manifestation, pre-existing condition, use of oxygen therapy, mean length of stay, and mortality rate. Data were organized into tables and analyzed based on absolute frequencies and percentages. Of the 268 children, 14 (5.22%) were diagnosed with SARS-CoV-2 virus antigens. It is possible to conclude that there was a higher prevalence of the age group 0 to 2 years (53.36%), males (57.47%), and mixed race/color (68.65%). The main clinical manifestations presented were respiratory, fever, and gastrointestinal symptoms. They had an average hospital stay of 6.5 days. It was found that 20.52% had some pre-existing condition, and 58.12% used some oxygen therapy. The production of data on Covid-19 in a hospitalized pediatric population may contribute to a better understanding of the disease and an effective and practical observation for a better understanding by health professionals, aiming at early diagnosis, adequate treatment, and knowledge of essential aspects of the disease.

Resumo Frente ao impacto na saúde pública que a Covid-19 tem causado em todo o mundo, reforçando a necessidade do desenvolvimento de pesquisas voltadas para os pacientes pediátricos afetados pela Covid-19, este estudo tem como objetivo: identificar o perfil epidemiológico dos casos suspeitos de Covid-19 de crianças internadas em um hospital universitário de Minas Gerais. Trata-se de um estudo epidemiológico, descritivo, transversal, realizado na pediatria de um hospital universitário de Minas Gerais, Brasil. Os dados foram coletados entre o período de julho de 2020 a dezembro de 2021. Para a coleta de dados consistiu nas variáveis: sexo, idade, raça, manifestação clínica, condição preexistente, uso de oxigenoterapia, tempo médio de internação e coeficiente de mortalidade. Os dados foram organizados em tabelas e analisados com base em frequências absolutas e percentuais. Dentre as 268 crianças inclusas, 14 (5.22%) foram diagnosticadas com presença de antígenos do vírus SARS-CoV-2. Os resultados permitem concluir que houve maior prevalência da faixa etária 0 a 2 anos (53.36%), do sexo masculino (57.47%) e da raça/cor parda (68.65%). As principais manifestações clínicas apresentadas foram os sintomas respiratórios, febre e sintomas gastrointestinais, apresentando uma média de internação de 6.5 dias. Verificou -se que 20.52% apresentaram alguma condição de saúde preexistente e 58.12% usaram algum tipo de oxigenoterapia. A produção de dados sobre a Covid-19 em população pediátrica hospitalizada poderá contribuir para melhor entendimento da doença, e para uma observação eficaz e melhor compreensão por parte dos profissionais de saúde, visando ao diagnóstico precoce, tratamento adequado e conhecimento de aspectos importantes da doença.

https://doi.org/10.26580/pthj.art59-2023

12.

Contributions of the institutions for the nursing professionalization: integrative review (2010-2020) in the light of freidsonian conceptions
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Maia, Natália Maria Freitas e Silva

; Silva, Francisca Aline Amaral da

; Araújo, Agostinho Antônio Cruz

; Santos, Ana Maria Ribeiro dos

; Santos, Fernanda Batista Oliveira

; Aperibense, Pacita Geovana Gama de Sousa

Revista Brasileira de Enfermagem

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2023, Volume 76 N. 1 elocation e20220153

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

RESUMO Objetivo: Analisar na literatura contribuições da Associação Brasileira de Enfermagem e dos Conselhos Federal e Regionais de Enfermagem para a profissionalização da enfermagem à luz das concepções teóricas de Eliot Freidson. Métodos: Revisão integrativa, de interesse histórico socioprofissional, realizada de junho a novembro de 2021, mediante a questão: Como as entidades de classe contribuíram para a profissionalização da enfermagem brasileira de acordo com a literatura de 2010 a 2020? Organizaram-se as evidências em quadro sinótico, que possibilitou a construção de mapa conceitual. Resultados: Nos 23 estudos selecionados, as entidades de classe apresentaram contribuições científicas, sociais e políticas, que conformam o campo profissional da enfermagem, possibilitando conhecimento/expertise, autonomia e autorregulação. Considerações finais: Os esforços dessas entidades reafirmam a enfermagem como profissão acadêmica e de consulta, capaz de exercer controle sobre a essência do trabalho da enfermagem. Elas se empenham em consolidar a enfermagem como legítimo campo profissional da saúde no Brasil.

ABSTRACT Objective: To analyze the contributions of the Brazilian Nursing Association and the Federal and Regional Nursing Councils in the literature for the professionalization of nursing in the light of Eliot Freidson’s theoretical conceptions. Methods: Integrative review of the literature, of socio-professional historical interest, carried out from June to November 2021, through the question: How did professional associations contribute to the professionalization of Brazilian nursing according to the literature from 2010 to 2020? The evidence were organized in a synoptic table, which allowed the construction of a conceptual map. Results: In the 23 selected studies, the professional associations presented scientific, social and political contributions, which shape the professional field of nursing, enabling knowledge/expertise, autonomy and self-regulation. Final considerations: The efforts of these institutions reaffirm nursing as an academic and consulting profession, capable of exerting control over the essence of nursing work. They strive to consolidate nursing as a legitimate professional field of health in Brazil.

RESUMEN Objetivo: Analizar las contribuciones de la Asociación Brasileña de Enfermería y de los Consejos Federales y Regionales de Enfermería a la profesionalización de la enfermería bajo la luz de las concepciones teóricas de Eliot Freidson Métodos: Se trata de una revisión integradora, de interés histórico socio profesional, realizada de junio a noviembre de 2021, mediante la pregunta: ¿Cómo han contribuido las entidades de clase con la profesionalización de la enfermería brasileña según la literatura de 2010 a 2020? Las pruebas se organizaron en un cuadro sinóptico que permitió construir un mapa conceptual. Resultados: En los 23 estudios seleccionados, las entidades de clase presentaron contribuciones científicas, sociales y políticas, que forman el campo profesional de la enfermería y facilitan el conocimiento, la experticia, la autonomía y la autorregulación. Consideraciones finales: Las entidades reafirman que la enfermería es una profesión académica y de consulta, capaz de ejercer el control sobre la esencia del trabajo en sí y perseveran para consolidarla como un campo profesional legítimo en el Brasil.

https://doi.org/10.1590/0034-7167-2022-0153

13.

Proficiência digital e aprendizagem da história das entidades da enfermagem brasileira na pandemia
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Maia, Natália Maria Freitas e Silva

; Araújo, Agostinho Antônio Cruz

; Santos, Ana Maria Ribeiro dos

; Santos, Fernanda Batista Oliveira

; Aperibense, Pacita Geovana Gama de Sousa

; Andrade, Elaine Maria Leite Rangel

Acta Paulista de Enfermagem

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2023, Volume 36 elocation eAPE01752

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

Resumen Objetivo Caracterizar la competencia digital y el aprendizaje de estudiantes de enfermería sobre la historia de las asociaciones profesionales en la enfermería brasileña. Métodos Estudio exploratorio descriptivo, transversal, realizado en la carrera de licenciatura en enfermería, en tres campi de una institución de enseñanza superior pública federal del nordeste brasileño. De noviembre de 2020 a mayo de 2021, se aplicó un cuestionario por Google Forms a los estudiantes de enfermería regularmente matriculados en el segundo y tercer semestre de la carrera. Se realizó un análisis estadístico descriptivo e inferencial. Resultados Participaron 56 estudiantes de enfermería, el 55,4 % estaba vinculado al campus 1; el 53,6 % del tercer semestre; el 83,9 % de sexo femenino; promedio de edad de 20,55 (+3,32) años; el 55,4 % pardo; el 94,6 % sin vínculo laboral; el 73,2 % vive con sus padres; el 92,9 % con ingresos familiares mensuales equivalentes a tres salarios mínimos. El nivel de competencia digital básica promedio fue considerado bajo. En lo que se refiere a las tecnologías digitales en la enseñanza y al aprendizaje sobre historia de las asociaciones profesionales, el 62,5 % consideró que contribuiría para el aprendizaje, más allá del aula, y facilitaría el acceso a los contenidos; el 78,6 % lo consideró importante para desarrollar el sentido crítico-reflexivo y para concientizar sobre la participación en esas asociaciones. Consideraron fundamental conocer la historia de la creación, las contribuciones, las luchas, los desafíos y las primeras directoras de la Asociación Brasileña de Enfermería, además de la creación del Consejo Federal y los Consejos Regionales de Enfermería y sus respectivas atribuciones. Conclusión Las acciones de enseñanza-aprendizaje, mediadas por tecnologías digitales, deben considerar las competencias digitales y los intereses de los estudiantes en el aprendizaje remoto sobre historia de las asociaciones profesionales de enfermería. brasileña transversal brasileño 202 2021 inferencial 5 554 55 4 55, 1 536 53 6 53, 839 83 9 83, femenino 2055 20 20,5 +3,32 332 3 32 (+3,32 años pardo 946 94 94, laboral 732 73 2 73, padres 929 92 92, mínimos bajo 625 62 62, aula contenidos 786 78 78, críticoreflexivo crítico reflexivo contribuciones luchas atribuciones enseñanzaaprendizaje, enseñanzaaprendizaje enseñanza-aprendizaje 8 205 20, +3,3 33 (+3,3 7 +3, (+3, +3 (+3 + (+ (

Resumo Objetivo Caracterizar a proficiência digital e a aprendizagem de estudantes de enfermagem sobre a história das entidades de classe da enfermagem brasileira. Métodos Estudo exploratório-descritivo, transversal, realizado no curso de bacharelado em enfermagem, de três campi de uma instituição de ensino superior pública federal do Nordeste brasileiro. Aplicou-se, de novembro de 2020 a maio de 2021, questionário, via Google Forms, aos estudantes de enfermagem regularmente matriculados no segundo e terceiro períodos do curso. Realizou-se a análise estatística descritiva e inferencial. Resultados Participaram 56 estudantes de enfermagem, sendo 55,4% vinculados ao campus 1; 53,6% cursavam o terceiro semestre; 83,9% do sexo feminino; média idade de 20,55 (+3,32) anos; 55,4% pardos; 94,6% sem vínculo empregatício; 73,2% residindo com os pais; 92,9% com renda familiar mensal equivalente a três salários-mínimos. O grau de proficiência digital básico médio foi considerado baixo. Quanto às tecnologias digitais no ensino e à aprendizagem sobre história das entidades de classe, 62,5% acreditaram que contribuiria para aprendizagem, além do espaço da sala de aula, e facilitaria o acesso aos conteúdos; e 78,6% consideraram importante para desenvolver o senso crítico-reflexivo e a conscientização sobre a participação nessas entidades. Evidenciaram fundamental conhecer história da criação, contribuições, lutas, desafios e primeiras diretoras da Associação Brasileira de Enfermagem, além da criação dos Conselhos Federal e Regionais de Enfermagem e das respectivas atribuições. Conclusão As ações de ensino-aprendizagem, mediadas por tecnologias digitais, precisam considerar as competências digitais e os interesses dos estudantes na aprendizagem remota sobre história das entidades de classe da enfermagem. brasileira exploratóriodescritivo, exploratóriodescritivo exploratório descritivo, descritivo exploratório-descritivo transversal brasileiro Aplicouse, Aplicouse Aplicou se, se Aplicou-se 202 2021 questionário Forms Realizouse Realizou inferencial 5 554 55 4 55,4 1 536 53 6 53,6 semestre 839 83 9 83,9 feminino 2055 20 20,5 +3,32 332 3 32 (+3,32 anos pardos 946 94 94,6 empregatício 732 73 2 73,2 pais 929 92 92,9 saláriosmínimos. saláriosmínimos salários mínimos. mínimos salários-mínimos baixo 625 62 62,5 aula conteúdos 786 78 78,6 críticoreflexivo crítico reflexivo contribuições lutas atribuições ensinoaprendizagem, ensinoaprendizagem ensino-aprendizagem 55, 53, 8 83, 205 20, +3,3 33 (+3,3 94, 7 73, 92, 62, 78, +3, (+3, +3 (+3 + (+ (

Abstract Objective To characterize the digital proficiency of nurse students about the history of Brazilian nursing class institutions. Methods Exploratory-descriptive, cross-sectional study carried out in the Nursing bachelor’s degree from three campuses of a federal public higher education institution in northeastern Brazil. We applied, from November 2020 to May, a questionnaire via Google Forms to nurse students regularly registered in the second and third periods of the course. We carried out statistical, descriptive, and inferential analyses. Results 56 nurse students participated in the study, of which 55.64% were from campus 1; 53.6% attended the third semester, 83.9% were female; average age of 20.55 (+3.32) years old; 55.4 were brown; 94.6% with no employment relationship; 73.2% living with their parents; 92.9% with a monthly family income of three minimum wages. We considered the average degree of basic digital proficiency low. Regarding the digital technologies in teaching and the learning about the class institutions’ history, 62.5% believed that it contributed to the learning process, besides the classroom space and it eased the access to content, and 78.6% considered it important to develop a critical-reflexive sense and the awareness about the participation of these institutions. They found it fundamental to know the creation history, contributions, struggles, challenges, and first directors of the Brazilian Nursing Association, besides the creation of the Nursing Federal and Regional Councils and the respective attributions. Conclusion The teaching-learning process mediated by digital technologies needs to consider the digital competencies and students’ interest in remote teaching about the nursing class institutions’ history. institutions Exploratorydescriptive, Exploratorydescriptive Exploratory descriptive Exploratory-descriptive crosssectional cross sectional bachelors bachelor s Brazil applied 202 May course statistical analyses 5 5564 55 64 55.64 1 536 53 6 53.6 semester 839 83 9 83.9 female 2055 20 20.5 +3.32 332 3 32 (+3.32 old 554 4 55. brown 946 94 94.6 relationship 732 73 2 73.2 parents 929 92 92.9 wages low 625 62 62.5 content 786 78 78.6 criticalreflexive critical reflexive contributions struggles challenges Association attributions teachinglearning 556 55.6 53. 8 83. 205 20. +3.3 33 (+3.3 94. 7 73. 92. 62. 78. +3. (+3. +3 (+3 + (+ (

https://doi.org/10.37689/acta-ape/2023ao01752

14.

Economic evaluations of colorectal cancer screening: A systematic review and quality assessment screening
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Ramos, Marcela Castro

; Passone, Julio Augusto de Lima

; Lopes, Ana Carolina de Freitas

; Safatle-Ribeiro, Adriana Vaz

; Ribeiro Júnior, Ulysses

; Soárez, Patrícia Coelho de

Clinics

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 78 elocation 100203

Abstract: En | Text: En | PDF: En

Abstract Colorectal Cancer (CRC) is the third most common type of cancer worldwide and ranks second in mortality. Screening programs for early detection and treatment have been implemented in several countries. Economic evaluations are an important tool to support decision-making about reimbursement and coverage decisions in health systems and, therefore, to support efficient resource allocation. The article aims to review the up-to-date evidence on economic evaluations of CRC screening strategies. MEDLINE, EMBASE, Web of Science, SCOPUS, SciELO, Lilacs, CRD databases, and lists of references were reviewed to identify relevant literature regarding full economic evaluations of CRC screening in asymptomatic average-risk individuals over 40 years old. Searches were conducted with no restriction to language, setting, or date. Qualitative syntheses described CRC screening strategies and comparators (baseline context), study designs, key parameter inputs and incremental cost-effectiveness ratios. Seventy-nine articles were included. Most of the studies were from high-income countries and a third-party payer perspective. Markov models were predominantly used, although microsimulation has been increasingly adopted in the last 15 years. The authors found 88 different screening strategies for CRC, which differed in the type of technique, the interval of screening, and the strategy, i.e., isolated or combined. The annual fecal immunochemical test was the most predominant screening strategy. All studies reported cost-effective results in their scenarios compared to no screening scenarios. One-quarter of the publications reported cost-saving results. It is still necessary to develop future economic evaluations in Low- and Middle-Income Countries (LMICs), which account for the high burden of disease. (CRC mortality decisionmaking decision making therefore allocation uptodate up date MEDLINE EMBASE Science SCOPUS SciELO Lilacs databases averagerisk average risk 4 old language setting baseline context, context , context) designs costeffectiveness cost effectiveness ratios Seventynine Seventy nine included highincome income thirdparty party perspective used 1 8 technique strategy ie i e i.e. combined costeffective effective Onequarter One quarter costsaving saving Low MiddleIncome Middle Income LMICs, LMICs (LMICs) disease i.e (LMICs

https://doi.org/10.1016/j.clinsp.2023.100203

15.

Desempenho do Escore Pediátrico de Alerta (EPA) de deterioração clínica EPA (EPA
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Oliveira, Thaiane de Lima

; Miranda, Juliana Freitas Oliveira

; Monaghan, Alan Peter

; Silva, Renata Costa

; Santana, Ana Kelly de Araujo

; Silva, Marina Vieira

; Bessa Junior, José de

; Ribeiro, Ana Paloma Martins Rocha

Acta Paulista de Enfermagem

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 36 elocation eAPE00872

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

Resumen Objetivo Evaluar la precisión, utilidad, reproducibilidad y aplicabilidad del Sistema de Alerta Precoz Infantil (SAPI) en la identificación del deterioro clínico en niños y adolescentes hospitalizados. Métodos Estudio de prueba diagnóstica, prospectiva, realizada entre octubre de 2018 y octubre de 2019, para medir la precisión diagnóstica del SAPI en una muestra de 240 niños y su reproducibilidad y aplicabilidad en una muestra de 60 niños. Los datos fueron procesados y analizados en MedCalc y VassarStats.net. Resultados En el punto de corte ≥ 3, el puntaje presentó una sensibilidad del 73,6 %, especificidad del 95,7 %, valor predictivo positivo del 83 %, valor predictivo negativo de 92,7, área bajo la curva ROC del 93,6 %, prevalencia estimada por la prueba del 19,6 %, razón de probabilidad positiva 17,1, probabilidad posprueba positiva del 77,8 %, kappa simple de 0,946. Conclusión El estudio presenta evidencias sobre la elevada precisión, utilidad y reproducibilidad del SAPI en la identificación del deterioro clínico en un escenario hospitalario pediátrico brasileño, por lo que el instrumento se consideró aplicable en el contexto de la investigación. (SAPI hospitalizados prospectiva 201 2019 24 6 VassarStatsnet VassarStats net VassarStats.net 3 736 73 73, % 957 95 7 95, 8 927 92 92,7 936 93 93, 196 19 19, 171 17 1 17,1 778 77 77, 0946 0 946 0,946 brasileño investigación 20 2 9 92, 17, 094 94 0,94 09 0,9 0,

Resumo Objetivo Avaliar a acurácia, utilidade, reprodutibilidade e aplicabilidade do Escore Pediátrico de Alerta (EPA) na identificação da deterioração clínica em crianças e adolescentes hospitalizados. Métodos Estudo de teste diagnóstico, prospectivo, realizado entre outubro/2018 a outubro/2019, para medir a acurácia diagnóstica do EPA em uma amostra de 240 crianças, e sua reprodutibilidade e aplicabilidade em uma amostra de 60 crianças. Os dados foram processados e analisados no MedCalc e VassarStats.net. Resultados No ponto de corte ≥ 3, o escore apresentou sensibilidade de 73,6%, especificidade de 95,7%, valor preditivo positivo de 83%, valor preditivo negativo de 92,7, área sob a curva ROC de 93,6%, prevalência estimada pelo teste de 19,6%, razão de probabilidade positiva 17,1, probabilidade pós-teste positivo de 77,8%, kappa simples de 0,946. Conclusão O estudo fornece evidências sobre a elevada acurácia, utilidade e reprodutibilidade do EPA na identificação da deterioração clínica em um cenário hospitalar pediátrico brasileiro, e considerou o instrumento aplicável no contexto da pesquisa. (EPA hospitalizados diagnóstico prospectivo outubro2018 outubro 2018 outubro/201 outubro2019 2019 outubro/2019 24 6 VassarStatsnet VassarStats net VassarStats.net 3 736 73 73,6% 957 95 7 95,7% 83 83% 927 92 92,7 936 93 93,6% 196 19 19,6% 171 17 1 17,1 pósteste pós 778 77 8 77,8% 0946 0 946 0,946 brasileiro pesquisa outubro201 201 outubro/20 2 73,6 9 95,7 92, 93,6 19,6 17, 77,8 094 94 0,94 outubro20 20 outubro/2 73, 95, 93, 19, 77, 09 0,9 outubro2 outubro/ 0,

Abstract Objective To assess the Pediatric Alert Score (EPA) accuracy, usefulness, reproducibility and applicability in identifying clinical deterioration in hospitalized children and adolescents. Methods This is a prospective diagnostic test study, carried out between October/2018 and October/2019, to measure EPA diagnostic accuracy in a sample of 240 children, and its reproducibility and applicability in a sample of 60 children. Data were processed and analyzed on MedCalc and VassarStats.net. Results At cut-off point ≥ 3, the score had a sensitivity of 73.6%, specificity of 95.7%, positive predictive value of 83%, negative predictive value of 92.7, area under the ROC curve of 93.6%, estimated prevalence of 19.6%, positive probability ratio of 17.1, positive post-test probability of 77.8%, simple Kappa of 0.946. Conclusion The study provides evidence on EPA high accuracy, usefulness and reproducibility in identifying clinical deterioration in a Brazilian pediatric hospital setting, and considered the instrument applicable in the context of the research. (EPA adolescents October2018 October 2018 October/201 October2019 2019 October/2019 24 6 VassarStatsnet VassarStats net VassarStats.net cutoff cut off 3 736 73 73.6% 957 95 7 95.7% 83 83% 927 92 92.7 936 93 93.6% 196 19 19.6% 171 17 1 17.1 posttest post 778 77 8 77.8% 0946 0 946 0.946 setting research October201 201 October/20 2 73.6 9 95.7 92. 93.6 19.6 17. 77.8 094 94 0.94 October20 20 October/2 73. 95. 93. 19. 77. 09 0.9 October2 October/ 0.

https://doi.org/10.37689/acta-ape/2023ao00872

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