Resumo O artigo situa a crítica racial como fundamento da crítica jurídica, tendo por lugar de análise novos cenários da educação jurídica. A primeira parte do texto posiciona os debates sobre crítica e educação jurídica e aponta para o silêncio sobre raça. Para discutir a dimensão racial de forma mais concreta, abordamos os impactos das ações afirmativas e as experiências de docentes negras na Educação Jurídica. Os quinze anos de existência da Revista Direito & Práxis acompanharam e contribuíram para os processos de ressemantização da noção de crítica jurídica impostos pelas mudanças históricas. A crítica e educação jurídicas também foram sacudidas por este contexto, e, não podem seguir inalterados diante de sujeitos racializados cuja presença desvela a branquitude do Direito e oferece novas perspectivas epistemológicas raça concreta Jurídica históricas contexto

Abstract The paper argues that critical race theory must be on the basis of Brazilian critical legal studies, ellecting the new realities of legal education as locus of analysis. The first section of the text investigates the debates on Brazilian critical legal studies and legal education to highlight the silence on race. In order to discuss the racial dimension more accurately, we discuss affirmative actions programs' impacts and the experiences of black female professors in legal education. The fifteen years of Revista Direito & Práxis' existence have followed - and deployed - the processes of resemantization of the notion of Brazilian critical legal studies, due historical changes. Legal education was also shaken by this context, and could not remain dormant before the presence of racialized subjects which reveals the whiteness of Law and offers new epistemological perspectives. analysis accurately programs Práxis changes context perspectives

Abstract The global syndemic is an issue that is gaining notoriety in the world. The syndemic is understood as the interaction between obesity, malnutrition and climate change, that is, synergy of epidemics and complex situations, which coexist in time and place and their consequences for health. However, little is known about the relationship between the global syndemic and the consumption of ultra-processed foods (UPF). In this context, the present essay aims to reflect on the relationship established between the global syndemic and the consumption of UPA. Starting with obesity, it is known that excessive consumption of UPA is one of the main causes of this chronic non-communicable disease. However, there is also a direct relationship between malnutrition and the consumption of UPA, since people who are in a situation of food insecurity choose economically accessible foods, characterizing themselves as a double burden of malnutrition. While studies on sustainable diets advance, knowledge about the association between climate change and UPA consumption is still incipient. Although studies highlight its environmental impacts in the handling and consumption of meat, in addition to the use of pesticides, it may play a secondary role. In this sense, studies are needed that evaluate the consumption of UPA and its relationship with the global syndemic, to support the formulation of public policies aimed at improving the consumption of healthy and sustainable foods for the planet.

Resumen La sindemia global es un tema que está ganando notoriedad en el mundo. La sindemia se entiende como la interacción entre la obesidad, la desnutrición y el cambio climático, es decir, sinergia de epidemias y situaciones complejas, que coexisten en tiempo y lugar y sus consecuencias para la salud. Sin embargo, poco se sabe sobre la relación entre la sindemia global y el consumo de alimentos ultraprocesados (AUP). En este contexto, el presente ensayo tiene como objetivo reflexionar acerca de la relación que se establece entre la sindemia global y el consumo de AUP. Empezando por la obesidad, se sabe que el consumo excesivo de AUP es una de las principales causas de esta enfermedad crónica no transmisible. Sin embargo, también existe una relación directa entre desnutrición y el consumo de AUP, ya que las personas que se encuentran en situación de inseguridad alimentaria eligen alimentos económicamente accesibles, caracterizándose como una doble carga de malnutrición. Mientras avanzan los estudios sobre las dietas sostenibles, el conocimiento sobre la asociación entre el cambio climático y el consumo de AUP es aún incipiente. Aunque los estudios destacan sus impactos ambientales en el manejo y consumo de carne, además del uso de pesticidas, pudiendo jugar un papel secundario. En este sentido, se necesitan estudios que evalúen el consumo de AUP y su relación con la sindemia global, para apoyar la formulación de políticas públicas encaminadas a mejorar el consumo de alimentos saludables y sostenibles para el planeta.

ABSTRACT BACKGROUND: A bibliometric analysis covering only the production of original studies or considering world production until 2022 has yet to be conducted. The creation and advancement of vaccines have also influenced research priorities, demonstrating the need for a new approach to this subject. OBJECTIVES: To analyze worldwide scientific production related to coronavirus disease 2019 (COVID-19) and the aged and to describe what has already been produced. DESIGN AND SETTING: Bibliometric analysis with a quantitative approach. METHOD: The search terms “COVID-19,” “SARS-CoV-2,” “Aged,” and “Elderly” were used to retrieve articles from the Web of Science database. A total of 684 articles were included in the analysis. Data were imported into RStudio Desktop Software and linked to R Software. The Bibliometrix R package and VOSviewer software were used for analysis. RESULTS: Most articles were published in 2020. These were produced by 4,937 authors and published in 379 journals. The keyword most used by the authors was “COVID-19.” Publications from 77 countries were obtained. China had the highest article production ranking, and Spain collaborated the most. The articles addressed the implications of the pandemic on the aged, the relationship between vaccination in the aged, and the implications for the disease itself. CONCLUSION: Further research should be conducted, mainly concerning vaccines and vaccination of the aged, owing to the need for and importance of immunization in this risk group, including assessing the long-term effects of vaccines. BACKGROUND 202 conducted priorities subject OBJECTIVES 201 COVID19 COVID 19 (COVID-19 SETTING METHOD COVID19, 19, “COVID-19, SARSCoV2, SARSCoV2 SARSCoV SARS CoV 2, 2 “SARS-CoV-2, Aged, Aged “Aged, Elderly “Elderly database 68 RESULTS 2020 4937 4 937 4,93 37 journals COVID19. 19. “COVID-19. 7 obtained ranking itself CONCLUSION group longterm long term 20 COVID1 1 (COVID-1 “COVID-19 “SARS-CoV-2 “Aged 6 493 93 4,9 3 (COVID- “COVID-1 “SARS-CoV- 49 9 4, (COVID “COVID- “SARS-CoV “COVID

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

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

RESUMO Objetivo: construir e validar o conteúdo de um Bundle para transição alimentar para prematuros internados na Unidade de Cuidados Intermediários Canguru baseada na Teoria Interativa de Amamentação. Método: Pesquisa do tipo método múltiplos realizada em cinco etapas: Revisão Sistemática; Diagnóstico Situacional; Entrevista com Enfermeiras da Unidade Canguru; Etapa Metodológica - (Construção do Bundle com aplicação da Teoria Interativa de Amamentação, Pré-teste) e por última, a validação de conteúdo com juízes expertises e enfermeiras assistenciais. A etapa metodológica, foi realizada de janeiro a julho de 2022, com enfermeiras da Unidade Canguru, de uma Maternidade pública de Fortaleza-CE, já os expertises foram convidados por e-mail, pelo método de bola de neve. A validação ocorreu mediante Índice de Validade de Conteúdo >0,80. Resultados: A construção do Bundle ocorreu partindo de 13 itens, distribuídos e organizados em grupos de idade corrigida: idade corrigida de ≤32 semanas; entre 32 a 34 semanas e ≥ 34 semanas. Na etapa de validação, os juízes, três expertises e sete enfermeiras assistenciais, julgaram adequado o Bundle, apresentando Índice de Validade de Conteúdo de 1,0. Conclusão: diante da inexistência de padronização para transição alimentar na prática clínica, existe uma dificuldade para o reconhecimento do momento ideal em realizar a transição da alimentação da sonda orogástrica para o peito materno. O Bundle de Transição Alimentar, ancorado pela Teoria Interativa de Amamentação, possibilita que o enfermeiro avalie o binômio mãe-filho, suas particularidades, tempo de ambos, protagonismo materno, envolvendo os sistemas organizacionais de proteção, promoção e apoio a amamentação. Registro Brasileiro de Ensaios Clínicos (REBEC) sob número UTN: U1111-1285-3181. Objetivo Amamentação Método etapas Sistemática Situacional Construção Préteste Pré teste Pré-teste última assistenciais metodológica 2022 FortalezaCE, FortalezaCE Fortaleza CE, CE Fortaleza-CE email, email mail, mail e-mail neve 080 0 80 >0,80 Resultados 1 itens ≤3 3 10 1,0 Conclusão clínica materno Alimentar mãefilho, mãefilho mãe filho, filho mãe-filho particularidades ambos proteção amamentação REBEC (REBEC UTN U111112853181. U111112853181 U U1111 1285 3181. 3181 U1111-1285-3181 202 08 8 >0,8 ≤ 1, U11111285318 U111 128 318 U1111-1285-318 20 >0, U1111128531 U11 12 31 U1111-1285-31 2 >0 U111112853 U1 U1111-1285-3 > U11111285 U1111-1285- U1111128 U1111-1285 U111112 U1111-128 U11111 U1111-12 U1111-1 U1111-

ABSTRACT Objective: to construct and validate the content of a bundle for nutrition transition for premature newborns admitted to a Kangaroo Intermediate Care Unit based on Interactive Theory of Breastfeeding. Method: this is a multiple method research, carried out in five steps: systematic review; situational diagnosis; interview with Kangaroo Unit nurses; methodological step - (bundle construction with Interactive Theory of Breastfeeding application, pre-test); and content validity with expert judges and clinical nurses. The methodological step was carried out from January to July 2022 with Kangaroo Unit nurses of a public maternity hospital in Fortaleza-CE. Experts were invited by email using the snowball method. Validity occurred using a Content Validity Index >0.80. Results: the bundle was constructed using 13 items, distributed and organized into corrected age groups: corrected age of ≤32 weeks; from 32 to 34 weeks; and ≥ 34 weeks. In the validity step, the judges, three experts and seven clinical nurses, judged the bundle to be adequate, presenting a Content Validity Index of 1.0. Conclusion: given the lack of standardization for feeding transition in clinical practice, there is difficulty in recognizing the ideal moment to transition from orogastric tube feeding to mothers’ breast. The food transition bundle, anchored by the Interactive Theory of Breastfeeding, allows nurses to assess the mother-child dyad, their particularities, time for both, maternal role, involving organizational systems to protect, promote and support breastfeeding. Brazilian Clinical Trials Registry (REBEC) under UTN number: U1111-1285-3181. Objective Method research steps review diagnosis application pretest pre test pre-test) 202 FortalezaCE. FortalezaCE Fortaleza CE. CE Fortaleza-CE 080 0 80 >0.80 Results 1 items groups ≤3 weeks 3 adequate 10 1.0 Conclusion practice mothers breast motherchild mother child dyad particularities both role protect breastfeeding REBEC (REBEC number U111112853181. U111112853181 U U1111 1285 3181. 3181 U1111-1285-3181 pre-test 20 08 8 >0.8 ≤ 1. U11111285318 U111 128 318 U1111-1285-318 2 >0. U1111128531 U11 12 31 U1111-1285-31 >0 U111112853 U1 U1111-1285-3 > U11111285 U1111-1285- U1111128 U1111-1285 U111112 U1111-128 U11111 U1111-12 U1111-1 U1111-

RESUMEN Objetivo: construir y validar el contenido de un bundle de transición dietética para bebés prematuros admitidos en la Unidad de Cuidados Intermedios Canguro basado en la Teoría de la Lactancia Materna Interactiva. Métodos: se trata de una investigación de métodos múltiples realizada en cinco steps: revisión sistemática; diagnóstico situacional; entrevista con enfermeras de la Unidad Canguro; etapa metodológica - (construcción de bundle con aplicación de la Teoría de Lactancia Interactiva, pretest); y validez de contenido con jueces expertos y enfermeras clínicas. La etapa metodológica se realizó de enero a julio de 2022 con enfermeras de la Unidad Canguro de una maternidad pública de Fortaleza-CE. Se invitó a los expertos por correo electrónico utilizando el método de bola de nieve. La validación se produjo mediante el índice de validez de contenido >0,80. Resultados: el bundle se construyó utilizando 13 ítems, distribuidos y organizados en grupos de edad corregidos: edad corregida de ≤32 weeks; entre 32 a 34 semanas y ≥ 34 semanas. En la etapa de validez, los jueces, tres expertos y siete enfermeras clínicas, juzgaron adecuado el bundle, presentando un Índice de Validez de Contenido de 1,0. Conclusión: dada la falta de estandarización para la transición alimentaria en la práctica clínica, existe dificultad en reconocer el momento ideal para la transición de la alimentación por sonda orogástrica al pecho materno. El bundle de transición alimentaria, anclado en la Teoría Interactiva de la Lactancia Materna, permite a las enfermeras evaluar el binomio madre-hijo, sus particularidades, el tiempo de ambos, el rol materno, involucrando los sistemas organizacionales de protección, promoción y apoyo a la lactancia materna. Registro Brasileño de Ensayos Clínicos (REBEC) con el número UTN: U1111-1285-3181. Objetivo Métodos steps sistemática situacional construcción pretest pretest) clínicas 202 FortalezaCE. FortalezaCE Fortaleza CE. CE Fortaleza-CE nieve 080 0 80 >0,80 Resultados 1 ítems corregidos ≤3 weeks 3 10 1,0 Conclusión clínica materno madrehijo, madrehijo madre hijo, hijo madre-hijo particularidades ambos protección materna REBEC (REBEC UTN U111112853181. U111112853181 U U1111 1285 3181. 3181 U1111-1285-3181 20 08 8 >0,8 ≤ 1, U11111285318 U111 128 318 U1111-1285-318 2 >0, U1111128531 U11 12 31 U1111-1285-31 >0 U111112853 U1 U1111-1285-3 > U11111285 U1111-1285- U1111128 U1111-1285 U111112 U1111-128 U11111 U1111-12 U1111-1 U1111-

ABSTRACT Inactivated COVID-19 vaccines data in immunocompromised individuals are scarce. This trial assessed the immunogenicity of two CoronaVac doses and additional BNT162b2 mRNA vaccine doses in immunocompromised (IC) and immunocompetent (H) individuals. Adults with solid organ transplant (SOT), hematopoietic stem cell transplant, cancer, inborn immunity errors or rheumatic diseases were included in the IC group. Immunocompetent adults were used as control group for comparison. Participants received two CoronaVac doses within a 28-day interval. IC received two additional BNT162b2 doses and H received a third BNT162b2 dose (booster). Blood samples were collected at baseline, 28 days after each dose, pre-booster and at the trial end. We used three serological tests to detect antibodies to SARS-CoV-2 nucleocapsid (N), trimeric spike (S), and receptor binding domain (RBD). Outcomes included seroconversion rates (SCR), geometric mean titers (GMT) and GMT ratio (GMTR). A total of 241 IC and 100 H adults participated in the study. After two CoronaVac doses, IC had lower SCR than H: anti-N, 33.3% vs 79%; anti-S, 33.8% vs 86%, and anti-RBD, 48.5% vs 85%, respectively. IC also showed lower GMT than H: anti-N, 2.3 vs 15.1; anti-S, 58.8 vs 213.2 BAU/mL; and anti-RBD, 22.4 vs 168.0 U/mL, respectively. After the 3rd and 4th BNT162b2 doses, IC had significant anti-S and anti-RBD seroconversion, but still lower than H after the 3rd dose. After boosting, GMT increased in IC, but remained lower than in the H group. CoronaVac two-dose schedule immunogenicity was lower in IC than in H. BNT162b2 heterologous booster enhanced immune response in both groups. COVID19 COVID 19 COVID-1 scarce BNTb BNT b BNT162b (IC (H SOT, SOT , (SOT) cancer comparison 28day day interval booster. . (booster) baseline 2 prebooster pre end SARSCoV2 SARSCoV SARS CoV SARS-CoV- N, N (N) S, S (S) RBD. RBD (RBD) SCR, (SCR) (GMT GMTR. GMTR (GMTR) 24 10 study antiN, antiN anti anti-N 333 33 3 33.3 79% 79 antiS, antiS 338 8 33.8 86 86% antiRBD, antiRBD RBD, 485 48 5 48.5 85 85% respectively 23 2. 15.1 151 15 1 588 58 58. 2132 213 213. BAU/mL BAUmL BAU mL 224 22 4 22. 1680 168 0 168. UmL U U/mL rd th boosting twodose groups COVID1 COVID- (SOT (booster SARS-CoV (N (S (RBD (SCR (GMTR 33. 7 48. 15. 21 16

Resumo Objetivo Analisar as evidências disponíveis sobre a transição alimentar de sonda orogástrica para aleitamento materno diretamente na mama com prematuros internados em unidades hospitalares. Métodos Revisão sistemática da literatura com busca nas bases de dados PubMed/MEDLINE, Web of Science, EMBASE, Scopus, Cochrane CENTRAL, CINAHL, com os critérios de inclusão: estudos experimentais, sem restrição temporal e nos idiomas português, espanhol e inglês. A avaliação metodológica foi realizada por meio das ferramentas Grading of Recommendations Assessment, Development and Evaluation (GRADE) e Revised Cochrane risk-of-bias tool for randomized trials (RoB 2.0) e consistiu em duas etapas: qualidade metodológica e o risco de viés dos estudos. Resultados Foram identificados 10 artigos, todos ensaios clínicos randomizados. As técnicas utilizadas na transição da dieta dos prematuros encontradas foram: sonda-dedo e seringa, copo e sonda-dedo, copo e mamadeira, colher e sucção não-nutritiva, sucção não-nutritiva, sucção não-nutritiva e estimulação oral, comportamento dos prematuros, cheiro do leite materno. Conclusão As técnicas evidenciadas permitiram a transição da dieta, em um período mais curto, reduzindo o tempo de internação, aumentando o ganho de peso e se mostraram seguras, desde que o prematuro tenha maturidade para ser realizada. Contudo, a mamadeira foi desaconselhada, pela ocorrência de episódios de dessaturação, aumento da frequência cardíaca e confusão de bico. hospitalares PubMedMEDLINE PubMed MEDLINE PubMed/MEDLINE Science EMBASE Scopus CENTRAL CINAHL inclusão experimentais português inglês Assessment GRADE (GRADE riskofbias risk bias RoB 2.0 20 2 0 etapas 1 artigos randomizados foram sondadedo dedo seringa sondadedo, dedo, nãonutritiva, nãonutritiva não nutritiva, nutritiva oral curto internação seguras Contudo desaconselhada dessaturação bico 2.

Abstract Objective To analyze the available evidence on the transition from orogastric tube feeding to breastfeeding directly from the breast with premature infants admitted to hospital units. Methods Systematic literature review with search in the following databases: PubMed/MEDLINE, Web of Science, EMBASE, Scopus, Cochrane CENTRAL, CINAHL, with the inclusion criteria: experimental studies, without temporal restrictions and in Portuguese, Spanish and English. The methodological assessment was carried out using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) and Revised Cochrane risk-of-bias tool for randomized trials (RoB 2.0) tools and consisted of two stages: methodological quality and the risk of bias of the studies. Results 10 papers were identified, all randomized clinical trials. The techniques used in transitioning the premature babies’ diet were: finger tube and syringe, cup and finger tube, cup and bottle, spoon and non-nutritive sucking, non-nutritive sucking, non-nutritive sucking and oral stimulation, behavior of premature babies, and smell of breast milk. Conclusion The demonstrated techniques allowed the transition of the diet in a shorter period, reducing the length of hospital stay, increasing weight gain 1and proved to be safe, as long as the premature baby is mature enough to undergo the procedure. However, bottle feeding was not recommended due to the occurrence of episodes of desaturation, increased heart rate and nipple confusion. Systematic review registration number: CRD42021240725 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240725) units databases PubMedMEDLINE PubMed MEDLINE PubMed/MEDLINE Science EMBASE Scopus CENTRAL CINAHL criteria studies Portuguese English Assessment GRADE (GRADE riskofbias RoB 2.0 20 2 0 stages 1 identified babies syringe nonnutritive non nutritive stimulation milk period stay safe procedure However desaturation confusion number CRD CRD4202124072 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=240725 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID240725 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID https //www.crd.york.ac.uk/prospero/display_record.php RecordID=240725 www crd york ac uk prospero display record php RecordID 240725 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240725 2. CRD420212407 phpRecordID https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=24072 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID24072 wwwcrdyorkacukprosperodisplayrecordphp RecordID240725 RecordID=24072 24072 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=24072 CRD42021240 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=2407 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID2407 RecordID24072 RecordID=2407 2407 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=2407 CRD4202124 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=240 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID240 RecordID2407 RecordID=240 240 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240 CRD420212 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=24 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID24 RecordID240 RecordID=24 24 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=24 CRD42021 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=2 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID2 RecordID24 RecordID=2 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=2 CRD4202 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID= RecordID2 RecordID= (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID= CRD420 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID CRD42 CRD4

Resumen Objetivo Analizar las evidencias disponibles sobre la transición alimentaria de sonda orogástrica a lactancia materna directamente de la mama con prematuros internados en unidades hospitalarias. Métodos Revisión sistemática de la literatura con búsqueda en las bases de datos PubMed/MEDLINE, Web of Science, EMBASE, Scopus, Cochrane CENTRAL, CINAHL, con los siguientes criterios de inclusión: estudios experimentales, sin restricción temporal y en idioma portugués, español e inglés. La evaluación metodológica se realizó por medio de las herramientas Grading of Recommendations Assessment, Development and Evaluation (GRADE) y Revised Cochrane risk-of-bias tool for randomized trials (RoB 2.0) y consistió en dos etapas: calidad metodológica y riesgo de sesgo de los estudios. Resultados Se identificaron 10 artículos, todos ensayos clínicos aleatorizados. Las técnicas utilizadas para la transición de la dieta de prematuros fueron: dedo-jeringa y jeringa, vaso y dedo-jeringa, vaso y mamadera, cuchara y succión no nutritiva, succión no nutritiva, succión no nutritiva y estimulación oral, comportamiento de los prematuros, olor de la leche materna. Conclusión Las técnicas observadas permitieron realizar la transición de la dieta en un período más corto, con reducción del tiempo de internación y mejor aumento de peso y demostraron ser seguras, siempre que el prematuro tenga madurez para realizarlas. No obstante, se desaconseja la mamadera por la presencia de episodios de desaturación, aumento de la frecuencia cardíaca y confusión tetina-pezón. Número de registro da revisão sistemática: CRD42021240725 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240725) hospitalarias PubMedMEDLINE PubMed MEDLINE PubMed/MEDLINE Science EMBASE Scopus CENTRAL CINAHL inclusión experimentales portugués inglés Assessment GRADE (GRADE riskofbias risk bias RoB 2.0 20 2 0 etapas 1 artículos aleatorizados fueron dedojeringa dedo jeringa dedojeringa, oral corto seguras realizarlas obstante desaturación tetinapezón. tetinapezón tetina pezón. pezón tetina-pezón CRD CRD4202124072 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=240725 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID240725 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID https //www.crd.york.ac.uk/prospero/display_record.php RecordID=240725 www crd york ac uk prospero display record php RecordID 240725 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240725 2. CRD420212407 phpRecordID https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=24072 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID24072 wwwcrdyorkacukprosperodisplayrecordphp RecordID240725 RecordID=24072 24072 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=24072 CRD42021240 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=2407 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID2407 RecordID24072 RecordID=2407 2407 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=2407 CRD4202124 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=240 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID240 RecordID2407 RecordID=240 240 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=240 CRD420212 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=24 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID24 RecordID240 RecordID=24 24 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=24 CRD42021 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID=2 httpswwwcrdyorkacukprosperodisplayrecordphpRecordID2 RecordID24 RecordID=2 (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=2 CRD4202 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID= RecordID2 RecordID= (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID= CRD420 https//www.crd.york.ac.uk/prospero/display_record.phpRecordID (https://www.crd.york.ac.uk/prospero/display_record.php?RecordID CRD42 CRD4

Resumo Na infância e adolescência, as miocardiopatias apresentam características próprias e são uma importante causa de insuficiência cardíaca, arritmias, morte súbita e indicação de transplante cardíaco. O diagnóstico é um desafio na prática diária devido à sua apresentação clínica variada, etiologias heterogêneas e conhecimento limitado das ferramentas de genética clínica e molecular. Entretanto, é fundamental reconhecer os diferentes fenótipos e priorizar a busca pela etiologia. Os avanços recentes na medicina de precisão tornaram o diagnóstico molecular mais acessível, permitindo individualizar condutas terapêuticas, estratificar o prognóstico e identificar indivíduos da família que estejam em risco de desenvolver doença. O objetivo desta revisão é enfatizar as particularidades das miocardiopatias na pediatria e como o enfoque individualizado influencia a terapêutica e o prognóstico do paciente. Através de uma abordagem sistematizada, o protocolo é apresentado em cinco etapas em nosso serviço. Estas etapas incluem a avaliação clínica para determinação do fenótipo morfofuncional, identificação da etiologia, classificação, estabelecimento do prognóstico e busca por terapias personalizadas. adolescência cardíaca arritmias cardíaco variada Entretanto etiologia acessível terapêuticas doença paciente sistematizada serviço morfofuncional classificação personalizadas

Abstract In childhood and adolescence, cardiomyopathies have their own characteristics and are an important cause of heart failure, arrhythmias, sudden death, and indication for heart transplantation. Diagnosis is a challenge in daily practice due to its varied clinical presentation, heterogeneous etiologies, and limited knowledge of tools related to clinical and molecular genetics. However, it is essential to recognize the different phenotypes and prioritize the search for the etiology. Recent advances in precision medicine have made molecular diagnosis accessible, which makes it possible to individualize therapeutic approaches, stratify the prognosis, and identify individuals in the family who are at risk of developing the disease. The objective of this review is to emphasize the particularities of cardiomyopathies in pediatrics and how the individualized approach impacts the therapy and prognosis of the patient. Through a systematized approach, the five-stage protocol used in our service is presented. These stages bring together clinical evaluation for determining the morphofunctional phenotype, identification of etiology, classification, establishment of prognosis, and the search for personalized therapies. adolescence failure arrhythmias death transplantation presentation etiologies genetics However etiology accessible approaches disease patient fivestage five stage presented phenotype classification therapies

Abstract Paper aims to propose the development of a Sales and Operations Planning (S&OP) diagnostic tool to assess the degree of implementation in the textile sector. Originality the delivery of a set of issues, with levels of maturity and visual management, allows for benchmarking and the identification of strengths and weaknesses, not only internally but also externally. Also, the comparison with other companies and the diagnosis of the integration of the internal sectors of a company around a shared vision of demand and delivery of goods to reduce the gaps between industrial and commercial areas. The tool developed compiles a set of questions to implement S&OP, such as integration between areas, the use of software, leftover raw materials, and finished products, the degree of assertiveness of consumer demand, and other criteria. Thus, it is possible to compare each company and make improvements. Research method the diagnostic tool was developed from proposals for other sectors, and a survey was later carried out with 16 textile companies to validate the developed tool. Eleven questions were developed with five levels of answers – from the basic to the advanced level. Main findings We created a ranking of the level of S&OP implementation in companies, contributing to the advancement of the maturity of the entire sector. The implementation in companies resulted in improved communication, reduced barriers between areas, and increased engagement of teams in the sales process and delivery of goods – factors that contribute to the success of key performance indicators (KPIs). Implications for theory and practice the initial gamble level of the production of goods following the forecast of demand in the textile companies in Brazil is, on average, 30%, which is worrying since this indicates low assertiveness. Thus, this study contributes to the evolution of the theme by structuring a diagnostic tool for managers with a deployment of more assertive strategies and communication. The analysis of theoretical work in various sectors allowed a comparison with practical results obtained in the textile sector. Furthermore, the tool serves as a guide to achieve the results demonstrated in the literature, such as increased profits and delivery accuracy, improved planning, and integration between areas, which directly lead to a more pleasant work environment. SOP S OP (S&OP sector issues management weaknesses externally Also areas software materials products criteria Thus improvements 1 communication KPIs. KPIs . (KPIs) average 30 30% Furthermore literature accuracy planning environment (KPIs 3

RESUMO Objetivos: verificar a influência do momento da leucorredução (pré ou pós-armazenamento) de hemocomponentes na evolução clínica de pacientes transfundidos na emergência. Métodos: coorte retrospectiva de pacientes com idade igual ou maior de 18 anos que receberam, no departamento de emergência, concentrado de hemácias ou plaquetas leucorreduzidas pré ou pós-armazenamento. Modelo de efeitos mistos generalizado foi aplicado nas análises. Resultados: na amostra de 373 pacientes (63,27% homens, idade média 54,83) e 643 transfusões (69,98% concentrado de hemácias) foi identificado que o momento da leucorredução influenciou o tempo de internação hospitalar dos pacientes (p<0,009), porém não foi dependente do hemocomponente transfundido (p=0,124). O momento da leucorredução não teve efeito (p>0,050) nas variáveis reação transfusional, infecção relacionada à assistência à saúde e óbito. Conclusões: pacientes que receberam na emergência hemocomponente leucorreduzido pré-armazenamento apresentaram menor tempo de internação hospitalar. Objetivos pósarmazenamento pós armazenamento pós-armazenamento Métodos 1 pósarmazenamento. armazenamento. análises Resultados 37 63,27% 6327 63 27 (63,27 homens 54,83 5483 54 83 64 69,98% 6998 69 98 (69,98 p<0,009, p0009 p p<0,009 , 0 009 (p<0,009) p=0,124. p0124 p=0,124 . 124 (p=0,124) p>0,050 p0050 050 (p>0,050 transfusional óbito Conclusões préarmazenamento 3 63,27 632 6 2 (63,2 54,8 548 5 8 69,98 699 9 (69,9 p000 p<0,00 00 (p<0,009 p012 p=0,12 12 (p=0,124 p>0,05 p005 05 (p>0,05 63,2 (63, 54, 69,9 (69, p00 p<0,0 (p<0,00 p01 p=0,1 (p=0,12 p>0,0 (p>0,0 63, (63 69, (69 p0 p<0, (p<0,0 p=0, (p=0,1 p>0, (p>0, (6 p<0 (p<0, p=0 (p=0, p>0 (p>0 ( p< (p<0 p= (p=0 p> (p> (p< (p= (p

ABSTRACT Objectives: to investigate the influence of the leukoreduction moment (preor post-storage) of blood components on the clinical outcomes of patients transfused in the emergency department. Methods: retrospective cohort study of patients aged 18 years or older who received preor post-storage leukoreduced red blood cell or platelet concentrate in the emergency department and remained in the institution for more than 24 hours. A generalized mixed-effects model was applied in the analyses. Results: in a sample of 373 patients (63.27% male, mean age 54.83) and 643 transfusions (69.98% red blood cell), it was identified that the leukoreduction moment influenced the length of hospital stay (p<0.009), but was not dependent on the transfused blood component (p=0.124). The leukoreduction moment had no effect (p>0.050) on transfusion reactions, healthcare-associated infections, or mortality. Conclusions: patients who received pre-storage leukoreduced blood components in the emergency department had a shorter length of hospital stay. Objectives poststorage post storage Methods 1 2 hours mixedeffects mixed effects analyses Results 37 63.27% 6327 63 27 (63.27 male 54.83 5483 54 83 64 69.98% 6998 69 98 (69.98 cell, , cell) p<0.009, p0009 p p<0.009 0 009 (p<0.009) p=0.124. p0124 p=0.124 . 124 (p=0.124) p>0.050 p0050 050 (p>0.050 reactions healthcareassociated healthcare associated infections mortality Conclusions prestorage pre 3 63.27 632 6 (63.2 54.8 548 5 8 69.98 699 9 (69.9 p000 p<0.00 00 (p<0.009 p012 p=0.12 12 (p=0.124 p>0.05 p005 05 (p>0.05 63.2 (63. 54. 69.9 (69. p00 p<0.0 (p<0.00 p01 p=0.1 (p=0.12 p>0.0 (p>0.0 63. (63 69. (69 p0 p<0. (p<0.0 p=0. (p=0.1 p>0. (p>0. (6 p<0 (p<0. p=0 (p=0. p>0 (p>0 ( p< (p<0 p= (p=0 p> (p> (p< (p= (p

RESUMEN Objetivos: verificar la influencia del momento de la leucorreducción (pre o post-almacenamiento) de hemocomponentes en la evolución clínica de pacientes transfundidos en la emergencia. Métodos: cohorte retrospectiva de pacientes de 18 años o más que recibieron, en el departamento de emergencia, concentrado de eritrocitos o plaquetas leucorreducidas pre o post-almacenamiento. Se aplicó un modelo de efectos mixtos generalizado en los análisis. Resultados: en la muestra de 373 pacientes (63,27% hombres, edad media 54,83) y 643 transfusiones (69,98% concentrado de eritrocitos) se identificó que el momento de la leucorreducción influyó en el tiempo de internación hospitalaria de los pacientes (p<0,009), pero no dependió del hemocomponente transfundido (p=0,124). El momento de la leucorreducción no tuvo efecto (p>0,050) en las variables de reacción transfusional, infección relacionada con la atención de la salud y óbito. Conclusiones: los pacientes que recibieron hemocomponentes leucorreducidos pre-almacenamiento en la emergencia presentaron un menor tiempo de internación hospitalaria. Objetivos postalmacenamiento post almacenamiento post-almacenamiento Métodos 1 postalmacenamiento. almacenamiento. análisis Resultados 37 63,27% 6327 63 27 (63,27 hombres 54,83 5483 54 83 64 69,98% 6998 69 98 (69,98 p<0,009, p0009 p p<0,009 , 0 009 (p<0,009) p=0,124. p0124 p=0,124 . 124 (p=0,124) p>0,050 p0050 050 (p>0,050 transfusional óbito Conclusiones prealmacenamiento 3 63,27 632 6 2 (63,2 54,8 548 5 8 69,98 699 9 (69,9 p000 p<0,00 00 (p<0,009 p012 p=0,12 12 (p=0,124 p>0,05 p005 05 (p>0,05 63,2 (63, 54, 69,9 (69, p00 p<0,0 (p<0,00 p01 p=0,1 (p=0,12 p>0,0 (p>0,0 63, (63 69, (69 p0 p<0, (p<0,0 p=0, (p=0,1 p>0, (p>0, (6 p<0 (p<0, p=0 (p=0, p>0 (p>0 ( p< (p<0 p= (p=0 p> (p> (p< (p= (p

Abstract Background: Loxoscelism refers to a set of clinical manifestations caused by the bite of spiders from the Loxosceles genus. The classic clinical symptoms are characterized by an intense inflammatory reaction at the bite site followed by local necrosis and can be classified as cutaneous loxoscelism. This cutaneous form presents difficult healing, and the proposed treatments are not specific or effective. This study aimed to evaluate the protective effect of mesenchymal stromal cells-derived secretome on dermonecrosis induced by Loxosceles intermedia spider venom in rabbits. Methods: Sixteen rabbits were distributed into four groups (n = 4). Except for group 1 (G1), which received only PBS, the other three groups (G2, G3, and G4) were initially challenged with 10 μg of L. intermedia venom, diluted in 100 μL of NaCl 0.9%, by intradermic injection in the interscapular region. Thirty minutes after the challenge all groups were treated with secretome, except for group 2. Group 1 (G1-control group) received intradermal injection (ID) of 60 μg of secretome in 0.15 M PBS; Group 2 (G2) received 0.9% NaCl via ID; Group 3 (G3) received 60 μg of secretome, via ID and Group 4 (G4), received 60 μg of secretome by intravenous route. Rabbits were evaluated daily and after 15 days were euthanized, necropsied and skin samples around the necrotic lesions were collected for histological analysis. Results: Rabbits of G1 did not present edema, erythema, hemorrhagic halo, or necrosis. In animals from G2, G3, and G4, edema appeared after 6h. However, minor edema was observed in the animals of G2 and G3. Hemorrhagic halo was observed in animals, six hours and three days after, on G2, G3, and G4. Macroscopically, in G4, only one animal out of four had a lesion that evolved into a dermonecrotic wound. No changes were observed in the skin of the animals of G1, by microscopic evaluation. All animals challenged with L. intermedia venom showed similar alterations, such as necrosis and heterophilic infiltration. However, animals from G4 showed fibroblast activation, early development of connective tissue, neovascularization, and tissue re-epithelialization, indicating a more prominent healing process. Conclusion: These results suggest that secretome from mesenchymal stromal cells cultured in a xeno-free and human component-free culture media can be promising to treat dermonecrosis caused after Loxosceles spiders bite envenoming. Background genus loxoscelism effective cellsderived derived Methods n 4. . 4) G , (G1) PBS (G2 G3 L 09 0 9 region G1control Gcontrol control (ID 6 015 0.1 0.9 (G3 (G4) route euthanized analysis Results erythema 6h h However Macroscopically wound evaluation alterations infiltration activation neovascularization reepithelialization, reepithelialization re epithelialization, epithelialization re-epithelialization process Conclusion xenofree xeno free componentfree component envenoming (G1 (G 01 0. (G4

Abstract Brazil’s public healthcare system (SUS) offers specialized oral health services to Brazilians, but the productivity of specialists, such as Pediatric Dentists, has not been characterized. Therefore, the objective of this study was to characterize the outpatient dental procedures (ODPs) carried out by Pediatric Dentists within the SUS. An epidemiological study with an ecological, longitudinal, retrospective, and quantitative approach was conducted. The ODPs carried out by Pediatric Dentists within the SUS were characterized based on type of procedure, complexity level, and circumstance (urgent or elective). Data were analyzed using a descriptive and analytical approach, considering a significance level of 5%, as well as the impact of the COVID-19 pandemic (the 2020-2022 years were not included in secondary analyses). In the last 15 years, 29,234,972 ODPs were carried out by Pediatric Dentists within the SUS. Clinical procedures were the majority (55.4%), significantly more frequent than all other types of procedures (all p <0.05). Among these, restorative and periodontal procedures were the most common (30.7% and 21.0%, respectively). From 2008 to 2019, excluding COVID-19 pandemic years, the trend over the last 15 years was constant for all types of procedures (all p >0.05). In addition, low complexity ODPs were the majority (90.1%), significantly more frequent than medium (9.7%) and high complexity procedures (0.1%) (both p <0.05). At last, most ODPs were not characterized by circumstance in the outpatient production reports (96.9%). Therefore, it was possible to conclude that Pediatric Dentists carried out diverse ODPs within the SUS over the past 15 years, although there was a dominant pattern of type and complexity. Brazils Brazil s (SUS Brazilians specialists Therefore (ODPs ecological longitudinal retrospective conducted procedure urgent elective. elective . elective) 5 5% COVID19 COVID 19 COVID-1 20202022 2020 2022 2020-202 analyses. analyses analyses) 1 29234972 29 234 972 29,234,97 55.4%, 554 55.4% , 55 4 (55.4%) <0.05. 005 <0.05 0 05 <0.05) these 30.7% 307 30 7 (30.7 210 21 21.0% respectively. respectively respectively) 200 2019 >0.05. >0.05 >0.05) addition 90.1%, 901 90.1% 90 (90.1%) 9.7% 97 9 (9.7% 0.1% 01 (0.1% both 96.9%. 969 96.9% 96 (96.9%) COVID1 COVID- 2020202 202 2020-20 2923497 2 23 29,234,9 55.4 (55.4% 00 <0.0 30.7 3 (30. 21.0 20 201 >0.0 90.1 (90.1% 9.7 (9.7 0.1 (0.1 96.9 (96.9% 202020 2020-2 292349 29,234, 55. (55.4 <0. 30. (30 21. >0. 90. (90.1 9. (9. 0. (0. 96. (96.9 20202 2020- 29234 29,234 (55. <0 (3 >0 (90. (9 (0 (96. 2923 29,23 (55 < ( > (90 (96 292 29,2 (5 29,

ABSTRACT Synthetic chemical insecticides are widely used in population control of pests. Aedes aegypti is the primary vector of dengue, Zika, chikungunya and yellow fever to humans, and has proven resistance to chemical insecticides. As an alternative vector control method, the ethanolic extract of the leaves of Piper peltatum L. (Piperaceae) showed larvicidal activity against Ae. aegypti. Despite the wide medicinal use of this plant, the biological activity of its isolated constituents remains unexplored. In this sense, we isolated, identified and evaluated the larvicidal activity of 4-nerolidylcatechol (4-NC) from P. peltatum against Ae. aegypti, Culex quinquefasciatus and Anopheles darlingi, focusing on the larvicidal, adulticidal and genotoxic potential of 4-NC on Ae. aegypti. Larvae were captured in the city of Manaus, Amazonas state, Brazil. 4-NC was isolated from the extract of the leaves of P. peltatum via silica gel chromatography. This was identified using nuclear magnetic resonance spectroscopy and tested in Artemia franciscana (6.25, 12.5, 25, 50, 100 and 200 µg/mL). In the toxicity bioassay, Ae. aegypti larvae were exposed to 30, 50, 70, 90, and 110 µg/mL of 4-NC, while Cx. quinquefasciatus and An. darlingi were exposed to 6.25, 12.5, 25, 50 and 100 µg/mL. Ae. aegypti larvae were also subjected to 40 and 60 µg/mL of 4-NC (genotoxicity bioassay), and adult females to 62.5 to 1,000 µg/mL (adulticidal bioassay). The results of the 4-NC toxicity assays showed that there was 100% mortality in larvae of Ar. franciscana at the concentration of 200 µg/mL, with an LC50 of 8.0 μg/mL. In the larvae of Ae. aegypti, mortality was 100%, with an LC50 of 62 μg/mL. In larvae of Cx. quinquefasciatus, 97% mortality occurred, with an LC50 of 52.3 μg/mL, and in An. darlingi larvae there was an 83% mortality rate, with an LC50 of 55.8 μg/mL. In adults of Ae. aegypti, however, there was no adulticidal activity. In the larvae of Ae. aegypti, the genotoxic effect of 4-NC (40 and 60 µg/mL) showed significant frequency (p < 0.05) of cellular abnormalities (micronuclei, budding and nuclear bridges) of interphasic nuclei of neuroblasts and oocytes in relation to the negative control. This result may be associated with a decrease in oviposition of females, which was observed in two generations. We can confirm that 4-NC has larvicidal activity against Ae. aegypti, Cx. quinquefasciatus and An. darlingi. Although it does not present adulticidal activity in Ae. aegypti, it reduced the oviposition of females. Therefore, 4-NC seems to be a strong candidate for the development of an alternative method for the control of these mosquitoes in the immature phase. pests dengue Zika humans L Piperaceae (Piperaceae Ae plant unexplored sense 4nerolidylcatechol nerolidylcatechol 4 4NC NC (4-NC P Manaus state Brazil chromatography 625 6 25 (6.25 125 12 5 12.5 10 20 µgmL . µg mL bioassay 30 70 90 11 4NC, NC, Cx An 6.25 genotoxicity , bioassay) 62. 1000 1 000 1,00 bioassay. Ar LC LC5 80 8 0 8. μgmL μg μg/mL 97 occurred 523 52 3 52. 83 rate 558 55 55. however (4 p 0.05 005 05 micronuclei, micronuclei (micronuclei bridges generations Therefore phase 2 (6.2 12. 7 9 6.2 00 1,0 ( 0.0 (6. 6. 1, 0. (6

Resumo Objetivo Desenvolver e validar material educativo para a construção de um plano de pós-parto pela mulher no ciclo gravídico-puerperal, com ou não profissionais da saúde. Métodos Estudo metodológico, organizado em três etapas. 1) Análise e seleção de conteúdo, elaboração teórica do projeto e adaptação na linguagem; 2) Produção do material, com elaboração do design gráfico e projeto ilustrativo; 3) Validação com sete juízes nas áreas de saúde da mulher e educação em saúde. A coleta de dados foi executada com a aplicação de um questionário de caracterização e o Suitability Assessment of Materials for evaluation of health-related information for adults (SAM). A análise se deu por estatística descritiva e Índice de Validade de Conteúdo, sendo considerados aprovados os itens que apresentassem valor igual ou superior a 0,80. Resultados O plano de cuidado intitulado “Meu plano de pós-parto” apresentou ótima aceitação e confiabilidade, evidenciado por um Índice de Validade de Conteúdo global de 0,98. As principais sugestões apresentadas foram a respeito da adaptação da escrita para uma linguagem mais simples e acessível, sendo estas aceitas pelas autoras. Os especialistas apontaram a importância e relevância do plano de pós-parto para o público-alvo. Conclusão O material demonstrou ser um instrumento válido e confiável para a utilização das mulheres durante o ciclo gravídico puerperal, favorecendo uma reflexão sobre os cuidados e preparo precoce para enfrentamento deste período. pósparto pós parto gravídicopuerperal, gravídicopuerperal puerperal gravídico-puerperal metodológico etapas 1 conteúdo 2 ilustrativo 3 healthrelated health related SAM. SAM . (SAM) 080 0 80 0,80 Meu confiabilidade 098 98 0,98 acessível autoras públicoalvo. públicoalvo público alvo. alvo público-alvo período (SAM 08 8 0,8 09 9 0,9 0,

Abstract Objective To develop and validate an educational material for the construction of a postpartum plan by women in the pregnancy-puerperal cycle, with or without health professionals. Methods Methodological study, organized in three stages. 1) Content analysis and selection, theoretical elaboration of the project and language adaptation; 2) Production of material, with preparation of graphic design and illustrative project; 3) Validation with seven judges in the areas of women’s health and health education. Data collection was carried out using a characterization questionnaire and the Suitability Assessment of Materials for evaluation of health-related information for adults (SAM). The analysis was carried out using descriptive statistics and Content Validity Index, with items that presented a value equal to or greater than 0.80 being considered approved. Results The care plan entitled “My postpartum plan” showed excellent acceptance and reliability, evidenced by an overall Content Validity Index of 0.98. The main suggestions presented were about adapting the writing to a simpler and more accessible language, which were accepted by the authors. Experts highlighted the importance and relevance of the postpartum plan for the target audience. Conclusion The material proved to be a valid and reliable instrument for use by women during the pregnancy and puerperal cycle, encouraging reflection on care and early preparation to face this period. pregnancypuerperal cycle professionals study stages 1 selection adaptation 2 3 womens s education healthrelated related SAM. SAM . (SAM) 080 0 80 0.8 approved My reliability 098 98 0.98 authors audience period (SAM 08 8 0. 09 9 0.9

Resumen Objetivo Elaborar y validar material educativo para la creación de un plan de posparto por la mujer durante el embarazo y el puerperio, con o sin profesionales de la salud. Métodos Estudio metodológico, organizado en tres etapas: 1) análisis y selección de contenido, elaboración teórica del proyecto y adaptación del lenguaje; 2) producción del material, con elaboración del diseño gráfico y proyecto ilustrativo, y 3) validación por siete jueces de áreas de la salud de la mujer y educación para la salud. La recopilación de datos se llevó a cabo mediante la aplicación de un cuestionario de caracterización y el Suitability Assessment of Materials for evaluation of health-related information for adults (SAM). El análisis se realizó con estadística descriptiva y con el Índice de Validez de Contenido, donde se consideraron aprobados los ítems que presentaron un valor igual o superior a 0,80. Resultados El plan de cuidado llamado “Mi plan de posparto” presentó una excelente aceptación y fiabilidad, demostradas con un Índice de Validez de Contenido global de 0,98. Las principales sugerencias propuestas fueron sobre adaptar la escritura a un lenguaje más simple y accesible, y las autoras las aceptaron. Los especialistas señalaron la importancia y la relevancia del plan de posparto para el público destinatario. Conclusión El material demostró ser un instrumento válido y confiable para que lo utilicen mujeres durante el embarazo y el puerperio, y así favorecer una reflexión sobre los cuidados y la preparación temprana para enfrentar este período. puerperio metodológico etapas 1 contenido 2 ilustrativo 3 healthrelated health related SAM. SAM . (SAM) 080 0 80 0,80 Mi fiabilidad 098 98 0,98 accesible aceptaron destinatario período (SAM 08 8 0,8 09 9 0,9 0,