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Abstract Introduction: Cardiovascular disease is an important cause of death among patients with chronic kidney disease (CKD). Valve calcification is a predictor of cardiovascular mortality and coronary artery disease. Objective: To assess heart valve disease frequency, associated factors, and progression in CKD patients. Methods: We conducted a retrospective study on 291 CKD patients at Hospital das Clínicas de Pernambuco. Inclusion criteria were age ≥ 18 with CKD and valve disease, while those on conservative management or with missing data were excluded. Clinical and laboratory variables were compared, and patients were categorized by dialysis duration (<5 years; 5–10 years; >10 years). Statistical tests, including chi-square, Fisher’s exact, ANOVA, and Kruskal-Wallis, were employed as needed. Simple and multivariate binary regression models were used to analyze valve disease associations with dialysis duration. Significance was defined as p < 0.05. Results: Mitral valve disease was present in 82.5% (240) of patients, followed by aortic valve disease (65.6%; 86). Over time, 106 (36.4%) patients developed valve disease. No significant association was found between aortic, pulmonary, mitral, or tricuspid valve disease and dialysis duration. Secondary hyperparathyroidism was the sole statistically significant factor for mitral valve disease in the regression model (OR 2.59 [95% CI: 1.09–6.18]; p = 0.031). Conclusion: CKD patients on renal replacement therapy exhibit a high frequency of valve disease, particularly mitral and aortic valve disease. However, no link was established between dialysis duration and valve disease occurrence or progression. Introduction CKD. . (CKD) Objective factors Methods 29 Pernambuco 1 excluded compared <5 5 (< years 510 10 5–1 >1 years. years) tests chisquare, chisquare chi square, square chi-square Fishers Fisher s exact ANOVA KruskalWallis, KruskalWallis Kruskal Wallis, Wallis Kruskal-Wallis needed 005 0 05 0.05 Results 825 82 82.5 240 (240 65.6% 656 65 6 (65.6% 86. 86 86) time 36.4% 364 36 4 (36.4% pulmonary OR 259 2 59 2.5 95% 95 [95 CI 1.09–6.18 109618 09 1.09–6.18] 0.031. 0031 0.031 031 0.031) Conclusion However (CKD ( 51 5– > 00 0.0 8 82. 24 (24 65.6 (65.6 36.4 3 (36.4 25 2. 9 [9 1.09–6.1 10961 003 0.03 03 0. (2 65. (65. 36. (36. [ 1.09–6. 1096 (65 (36 1.09–6 109 (6 (3 1.09– 1.09 1.0 1.

Resumo Introdução: Doenças cardiovasculares são uma causa significativa de morte em pacientes com Doença Renal Crônica (DRC). A calcificação valvar é preditor de mortalidade cardiovascular e doença arterial coronariana. Objetivo: Avaliar a frequência, fatores associados e progressão de valvopatias em pacientes com DRC. Métodos: Coorte retrospectiva com 291 pacientes ambulatoriais no Hospital das Clínicas de Pernambuco. Inclusão: ≥18 anos com DRC e valvopatia; exclusão: tratamento conservador ou dados incompletos. Variáveis clínicas e laboratoriais foram comparadas e categorizadas por tempo de terapia dialítica (TTD): <5 anos, 5–10 anos, >10 anos. Foram aplicados os testes Qui-quadrado, exato de Fisher, ANOVA, Kruskal-Wallis. Associação entre valvopatia e TTD foi avaliada por regressão binária. Significância foi definida como p < 0,05. Resultados: A valvopatia mitral foi encontrada em 82,5% (240) dos casos, seguida da aórtica (65,6%; 86). Houve progressão da doença valvar em 106 (36,4%) pacientes. Não houve associação entre valvopatias aórtica, pulmonar, mitral ou tricúspide e TTD. Hiperparatireoidismo secundário foi a única variável explicativa significativa na regressão para valvopatia mitral (OR 2,59 [IC95%: 1,09–6,18]; p = 0,031). Conclusão: Encontramos alta frequência de valvopatias, especialmente mitral e aórtica, aem pacientes com DRC. Não houve associação entre TTD e valvopatia. Introdução . (DRC) coronariana Objetivo Métodos 29 Pernambuco Inclusão 18 ≥1 exclusão incompletos (TTD) 5 510 10 5–1 >1 Quiquadrado, Quiquadrado Qui quadrado, quadrado Qui-quadrado Fisher ANOVA KruskalWallis. KruskalWallis Kruskal Wallis. Wallis Kruskal-Wallis binária 005 0 05 0,05 Resultados 825 82 82,5 240 (240 casos 65,6% 656 65 6 (65,6% 86. 86 86) 36,4% 364 36 4 (36,4% pulmonar OR 259 2 59 2,5 IC95% IC95 IC [IC95% 1,09–6,18 109618 1 09 1,09–6,18] 0,031. 0031 0,031 031 0,031) Conclusão (DRC ≥ (TTD 51 5– > 00 0,0 8 82, 24 (24 65,6 (65,6 36,4 3 (36,4 25 2, IC9 [IC95 1,09–6,1 10961 003 0,03 03 0, (2 65, (65, 36, (36, [IC9 1,09–6, 1096 ( (65 (36 [IC 1,09–6 109 (6 (3 1,09– 1,09 1,0 1,

https://doi.org/10.1590/2175-8239-jbn-2023-0036en

Territórios Sustentáveis e Saudáveis
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Castro, Hermano Albuquerque de

; Franco Netto, Guilherme

; Vasconcellos, Andréa Araujo de

; Cárcamo, Maria Inês Corrêa

; Lima, Francco Antonio Neri de Souza e

; Silveira, Bruna Drumond

; Castro, Adriana Miranda de

; Gallo, Edmundo

; Moratelli, Ricardo

; Domingues, Luís Carlos Soares Madeira

Saúde em Debate

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2024, Volume 48 N. spe1 elocation e2024E1AP

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

https://doi.org/10.1590/2358-28982024e1ap-p

Diretriz Brasileira de Ergometria em População Adulta – 2024 202 20 2
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Carvalho, Tales de

; Freitas, Odilon Gariglio Alvarenga de

; Chalela, William Azem

; Hossri, Carlos Alberto Cordeiro

; Milani, Mauricio

; Buglia, Susimeire

; Precoma, Dalton Bertolim

; Falcão, Andréa Maria Gomes Marinho

; Mastrocola, Luiz Eduardo

; Castro, Iran

; Albuquerque, Pedro Ferreira de

; Coutinho, Ricardo Quental

; Brito, Fabio Sandoli de

; Alves, Josmar de Castro

; Serra, Salvador Manoel

; Santos, Mauro Augusto dos

; Colombo, Clea Simone Sabino de Souza

; Stein, Ricardo

; Herdy, Artur Haddad

; Silveira, Anderson Donelli da

; Castro, Claudia Lucia Barros de

; Silva, Miguel Morita Fernandes da

; Meneghello, Romeu Sergio

; Ritt, Luiz Eduardo Fonteles

; Malafaia, Felipe Lopes

; Marinucci, Leonardo Filipe Benedeti

; Pena, José Luiz Barros

; Almeida, Antônio Eduardo Monteiro de

; Vieira, Marcelo Luiz Campos

; Stier Júnior, Arnaldo Laffitte

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 3 elocation e20240110

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

https://doi.org/10.36660/abc.20240110

Bacterial nanocellulose/calcium alginate hydrogel for the treatment of burns nanocellulosecalcium nanocellulose calcium
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Munhoz, Lauriene Luiza de Souza

; Guillens, Luiz Carlos

; Alves, Beatriz Candido

; Nascimento, Maria Gabriela Oliveira Ferreira do

; Meneguin, Andréia Bagliotti

; Carbinatto, Fernanda Mansano

; Arruda, Gabriela

; Barud, Hernane da Silva

; Aro, Andrea de

; Casagrande, Laura de Roch

; Silveira, Paulo Cesar Lock

; Andrade, Thiago Antônio Moretti

; Santos, Glaucia Maria Tech dos

; Caetano, Guilherme Ferreira

Acta Cirúrgica Brasileira

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2024, Volume 39 elocation e393324

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: Bacterial cellulose (BC) has shown high capacity for the treatment of wounds and burns, providing a moisty environment. Calcium alginate can be associated with BC to create gels that aid in wound debridement and contribute to appropriate wound healing. This study is aimed at characterizing and evaluating the use of bacterial cellulose/alginate gel in skin burns in rats. Methods: Cellulose and cellulose/alginate gels were compared regarding the capacity of liquid absorption, moisture, viscosity, and potential cytotoxicity. The 2nd degree burns were produced using an aluminum metal plate (2.0cm) at 120ºC for 20s on the back of rats. The animals were divided into non-treated, CMC(Carboxymethylcellulose), Cellulose(CMC with bacterial cellulose), and Cellulose/alginate(CMC with bacterial cellulose and alginate). The animals received topical treatment 3 times/week. Biochemical (MPO, NAG and oxidative stress), histomorphometry and immunohistochemical assays (IL-1β IL-10 and VEGF) were conducted on the 14th, 21st, 28th, and 35th days. Results: Cellulose/Alginate gel showed higher absorption capacity and viscosity compared to Cellulose gel, with no cytotoxic effects. Cellulose/alginate presented lower MPO values, a higher percentage of IL-10, with greater and balanced oxidative stress profile. Conclusions: The use of cellulose/alginate gel reduced neutrophils and macrophage activation and showed greater anti-inflammatory response, which can contribute to healing chronic wounds and burns. Purpose (BC environment cellulosealginate rats Methods moisture cytotoxicity nd 2.0cm 20cm cm 2 0cm (2.0cm ºC s nontreated, nontreated non treated, treated non-treated CMCCarboxymethylcellulose, CMCCarboxymethylcellulose CMC Carboxymethylcellulose , CMC(Carboxymethylcellulose) CelluloseCMC cellulose, cellulose) Cellulose/alginateCMC CellulosealginateCMC alginate. . alginate) timesweek times week times/week MPO, (MPO stress, stress) IL1β ILβ IL 1β β IL10 10 IL-1 VEGF 14th th 21st st 28th days Results CelluloseAlginate Alginate effects Cellulosealginate values IL10, 10, profile Conclusions antiinflammatory anti inflammatory response CMC(Carboxymethylcellulose alginateCMC IL1 1 IL-

https://doi.org/10.1590/acb393324

Justicia juvenil en una perspectiva organizacional: configuraciones de líneas de montaje
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Gonçalves, Vitor

; Silveira, Andréa Maria

; Sapori, Luís Flávio

Estudios sociológicos

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apr 2023, Volume 41 N. 121 Pages 121 - 158

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

Resumen: La investigación compara el funcionamiento de la justicia juvenil en dos jurisdicciones de Minas Gerais (Brasil): una en la capital y otra en el interior del país. Se analizaron las implicaciones de estos modelos para prácticas, decisiones de los actores, resultados de los procesos y flujos. Se combinaron audiencias, entrevistas, lectura de expedientes y análisis de los resultados de los procesos. En la capital, la justicia es casi “instantánea”. En el interior, la eficiencia se garantiza mediante acuerdos y conexiones interpersonales entre agentes. Se concluyó que ambas jurisdicciones funcionan como líneas de montaje informales. La diferencia es que, en la capital, las interacciones informales son inducidas por mecanismos institucionales, mientras que en el interior tienen un contenido eminentemente personal.

Abstract: The research compares the functioning of juvenile justice in two courts in Minas Gerais (Brazil), one in the capital and another in the interior. The implications of these two models for practices, actors’ decisions, process outcomes and flows were analyzed. Hearings, interviews, reading of the case files and analysis of the outcomes of the proceedings were combined. In the capital, justice works practically “instantaneously”. In the interior, efficiency is guaranteed by agreements and interpersonal connections between agents. Therefore, it was concluded, that both courts work as assembly lines, settled through informal ways. The difference is that, in the capital city, informal interactions are induced by institutional mechanisms, while in the interior, it has an eminently personal content.

https://doi.org/10.24201/es.2023v41n121.2131

Psychometric properties of an oral health literacy scale for people living with diabetes
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MARTINS, Andréa Maria Eleutério de Barros Lima

; SANTOS, Ana Maria Rodrigues

; ALENCAR, Gizelton Pereira

; SOUZA, João Gabriel Silva

; SOARES, Maria Alice Aguiar

; MARTINS, Maria Barros Lima

; SILVEIRA, Marise Fagundes

; MAIA, Melissa Barral

; FARIAS, Paula Karoline Soares

; FERREIRA, Raquel Conceição

; PINTO, Rodrigo Alves

; CRESPO, Thaisa Soares

; FERREIRA, Efigênia Ferreira e

Brazilian Oral Research

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2023, Volume 37 elocation e022

Abstract: En | Text: En | PDF: En

Abstract This study evaluated the construct validity of the instrument Oral Health Literacy among diabetics. A probabilistic random sample of 239 diabetics from an infinite population answered the 10 items of the questionnaire. The structural validity was assessed by confirmatory factor analysis and goodness of fit, chi-square per degrees of freedom ratio (X2/df), comparative fit index (CFI), goodness-of-fit index (GFI), and root-mean-square error of approximation (RMSEA). Internal consistency was estimated by the average variance extracted (AVE) and composite reliability (CR). The scores were dichotomized with the upper limit of the 95% confidence interval as the cutoff point. The three-dimensional model presented good quality parameters (X2 /df = 2.459; CFI = 0.988; TLI = 0.981) and poor RMSEA (0.078). Internal consistency was adequate; AVE for the Access, Understand/appraise, and Apply subscales were 0.831, 0.981, and 0.954 and the CR for these subscales were 0.893, 0.962, and 0.822, respectively. Inadequate literacy ranged from 41.8 to 48.1%. The three-dimensional model identified (access, understand/appraise, and apply) showed structural validity, good internal consistency, and understandability. 23 1 questionnaire chisquare chi square X2/df, X2df Xdf X2/df , X2 df X (X2/df) CFI, (CFI) goodnessoffit GFI, GFI (GFI) rootmeansquare root mean RMSEA. . (RMSEA) (AVE CR. (CR) 95 point threedimensional three dimensional (X 2.459 2459 2 459 0.988 0988 0 988 0.981 0981 981 0.078. 0078 0.078 078 (0.078) adequate Access Understandappraise Understand appraise Understand/appraise 0831 831 0.831 0954 954 0.95 0893 893 0.893 0962 962 0.962 0822 822 0.822 respectively 418 41 8 41. 481 48 48.1% access, access (access understandappraise understand understand/appraise apply understandability (X2/df (CFI (GFI (RMSEA (CR 9 2.45 245 45 0.98 098 98 007 0.07 07 (0.078 083 83 0.83 095 0.9 089 89 0.89 096 96 0.96 082 82 0.82 4 48.1 2.4 24 09 00 0.0 (0.07 08 0.8 0. 48. 2. (0.0 (0. (0 (

https://doi.org/10.1590/1807-3107bor-2023.vol37.0022

Development and characterization of bacterial cellulose membrane incorporated with Witch hazel extract
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Molin, Maria Luiza

; Segat, Bruna

; Garcia, Michele Cristina Formolo

; Pezzin, Ana Paula Testa

; Silveira, Márcia Luciane Lange

; Schneider, Andrea Lima dos Santos

Matéria (Rio de Janeiro)

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2023, Volume 28 N. 2 elocation e20230008

Abstract: En | Text: En | PDF: En

ABSTRACT Bacterial cellulose (BC) has stood out in the biomedical field for its biocompatibility, non-toxicity and high liquid absorption capacity. Thus, studies have been conducted aiming at the functionalization of BC with substances that add properties, such as anti-inflammatory and antimicrobial action. Hamamelis virginiana plant extract is known for its astringent, anti-inflammatory and antimicrobial properties. Thus, the present work aimed to incorporate aqueous (AE) and glycolic (GE) extracts of witch hazel in different concentrations to BC, aiming at its application as a curative. BC membranes incorporated with the extracts were characterized by thermogravimetric analysis (TGA), Fourier transforms infrared spectroscopy (FTIR), scanning electron microscopy (SEM) and antimicrobial activity. The TGA results indicated a reduction in thermal stability and the appearance of a new stage of degradation in the samples that underwent incorporation. Furthermore, the FTIR showed the presence of aromatic compounds not found in the BC, corroborating the TGA. The micrographs revealed that the incorporation of the extracts resulted in the formation of a film on the surface of the membranes, covering the nanofibers. These results show that incorporating the aqueous and glycol extracts in the BC membrane was successful. However, despite the crude extracts’ antimicrobial potential, antimicrobial activity in the functionalized BC samples was not observed. (BC biocompatibility nontoxicity non toxicity capacity Thus properties antiinflammatory anti inflammatory action astringent AE (AE GE (GE curative TGA, , (TGA) FTIR, (FTIR) SEM (SEM Furthermore nanofibers successful However potential observed (TGA (FTIR

https://doi.org/10.1590/1517-7076-rmat-2023-0008

Dificuldades no uso de medicamentos por idosos acompanhados em uma coorte do Sul do Brasil
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Guttier, Marília Cruz

; Silveira, Marysabel Pinto Telis

; Tavares, Noemia Urruth Leão

; Krause, Matheus Carrett

; Bielemann, Renata Moraes

; Gonzalez, Maria Cristina

; Tomasi, Elaine

; Demarco, Flavio Fernando

; Bertoldi, Andréa Dâmaso

Revista Brasileira de Epidemiologia

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2023, Volume 26 elocation e230020

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

RESUMO Objetivo: Este estudo visou avaliar a necessidade de ajuda dos idosos para tomar seus medicamentos, bem como as dificuldades relacionadas com a sua utilização, e a frequência de esquecimento de doses. Ainda, avaliar fatores associados à necessidade de ajuda dos idosos com os medicamentos. Métodos: Corte transversal em uma coorte de idosos (60 anos ou mais — estudo “COMO VAI?”), em que foi avaliada a necessidade de ajuda para tomar medicamentos de forma adequada e as dificuldades apresentadas na sua utilização. Utilizou-se regressão de Poisson para estimar as razões de prevalência (RP) brutas e ajustadas dos desfechos e seus intervalos de confiança de 95% (IC95%) de acordo com as características da amostra. Resultados: Participaram 1.161 idosos. A prevalência de idosos que relataram necessidade de ajuda com os medicamentos foi de 15,5% (IC95% 13,5–17,8), sendo que os mais idosos, com menor escolaridade e em pior situação econômica, em uso de quatro medicamentos ou mais e com pior autoavaliação de saúde foram os que mais necessitaram de ajuda. O uso contínuo de medicamentos foi referido por 83,0% (IC95% 80,7–85,1) e a maioria (74,9%; IC95% 72,0–77,5) nunca se esqueceu de tomar seus medicamentos. Conclusão: Observou-se a influência de determinantes sociais e econômicos e de saúde sobre a necessidade de ajuda para a utilização dos medicamentos. Estudos que estimem as dificuldades no uso de medicamentos por idosos são importantes para subsidiar políticas e práticas norteadoras de ações para melhorar a adesão e o uso racional de medicamentos. Objetivo doses Ainda Métodos 60 (6 COMO VAI, VAI , VAI?”) Utilizouse Utilizou RP (RP 95 IC95 IC amostra Resultados 1161 1 161 1.16 155 15 5 15,5 (IC95 13,5–17,8, 135178 13,5–17,8 13 17 8 13,5–17,8) econômica 830 83 0 83,0 80,7–85,1 807851 80 7 85 74,9% 749 74 9 (74,9% 72,0–77,5 720775 72 77 Conclusão Observouse Observou 6 ( VAI?” IC9 116 16 1.1 15, (IC9 13517 13,5–17, 83, 80,7–85, 80785 74,9 (74,9 72,0–77, 72077 VAI? 11 1. (IC 1351 13,5–17 80,7–85 8078 74, (74, 72,0–77 7207 135 13,5–1 80,7–8 807 (74 72,0–7 720 13,5– 80,7– (7 72,0– 13,5 80,7 72,0 13, 80, 72,

ABSTRACT Objective: This study aimed to assess the need for help by elderly people to take their medications, the difficulties related to this activity, the frequency of forgotten doses, and factors associated. Methods: Cross-sectional study conducted with a cohort of elderly people (60 years and over — “COMO VAI?” [How do you do?] study), where the need for help to properly take medication and the difficulties faced in using them were evaluated. The Poisson regression model was used to estimate the crude and adjusted prevalence ratios (PR) of the outcomes and respective 95% confidence intervals according to the characteristics of the sample. Results: In total, 1,161 elderly people were followed up. The prevalence of participants who reported requiring help with medication was 15.5% (95%CI 13.5–17.8), and the oldest subjects, with lower educational levels, in worse economic situations, on four or more medications and in bad self-rated health were the ones who needed help the most. Continuous use of medication was reported by 83.0% (95%CI 80.7–85.1) of the sample and most participants (74.9%; 95%CI 72.0–77.5) never forgot to take their medications. Conclusion: The need for help to use medications was shown to be influenced by social and economic determinants. Studies assessing the difficulties in medication use by the elderly are important to support policies and practices to improve adherence to treatment and the rational use of medications. Objective activity doses associated Methods Crosssectional Cross sectional 60 (6 COMO VAI VAI? How do? study, , study) evaluated PR (PR 95 Results total 1161 1 161 1,16 up 155 15 5 15.5 95CI CI 13.5–17.8, 135178 13.5–17.8 13 17 8 13.5–17.8) subjects levels situations selfrated self rated 830 83 0 83.0 80.7–85.1 807851 80 7 85 74.9% 749 74 9 (74.9% 72.0–77.5 720775 72 77 Conclusion determinants 6 ( 116 16 1,1 15. 13517 13.5–17. 83. 80.7–85. 80785 74.9 (74.9 72.0–77. 72077 11 1, 1351 13.5–17 80.7–85 8078 74. (74. 72.0–77 7207 135 13.5–1 80.7–8 807 (74 72.0–7 720 13.5– 80.7– (7 72.0– 13.5 80.7 72.0 13. 80. 72.

https://doi.org/10.1590/1980-549720230020.2

10.

Dificuldades no uso de medicamentos por idosos acompanhados em uma coorte do Sul do Brasil
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Guttier, Marília Cruz

; Silveira, Marysabel Pinto Telis

; Tavares, Noemia Urruth Leão

; Krause, Matheus Carrett

; Bielemann, Renata Moraes

; Gonzalez, Maria Cristina

; Tomasi, Elaine

; Demarco, Flavio Fernando

; Bertoldi, Andréa Dâmaso

Revista Brasileira de Epidemiologia

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2023, Volume 26 elocation e230020

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

https://doi.org/10.1590/1980-549720230020.2

11.

Monitoração Eletrônica de infratores em uma cultura de vigilância
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Silveira, Andréa Maria

; Souza, Rafaelle Lopes

Sociedade e Estado

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2023, Volume 38 N. 3 elocation e46667

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.1590/s0102-6992-20233803e46667

12.

Monitoração eletrônica e recidivismo criminal: uma análise da literatura
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Silveira, Andréa Maria

Sociologias

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aug 2022, Volume 24 N. 60 Pages 390 - 414

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

Resumo O uso da monitoração eletrônica (ME) pelo sistema de justiça criminal brasileiro vem se expandindo desde o final da primeira década do novo milênio e a sua aplicação está hoje presente em todos os estados da federação. Muitas polêmicas cercam a utilização da ME no Brasil e no mundo, estando no centro dos debates o seu potencial desencarcerador, o estigma que vitima as pessoas monitoradas, o direito à privacidade, e o seu papel na redução da reincidência e na reabilitação de infratores. Este artigo trata da relação entre monitoração eletrônica e reincidência criminal, apresentando os fundamentos teóricos utilizados por aqueles que defendem o potencial da ME em reduzir a reincidência e os achados de principais investigações internacionais que avaliaram a reincidência de pessoas monitoradas por meio de estudos de caso-controle publicados no período de 2001 a 2021. Os achados apontam estudos pouco abrangentes, que monitoraram o recidivismo dos participantes por tempo limitado. Os resultados são divergentes e não sustentam a afirmação genérica de que a monitoração eletrônica reduz a recidiva criminal.

Abstract The use of electronic monitoring (EM) by the Brazilian criminal justice system has been expanding since the end of the first decade of the new millennium and its application is now present in all states of the federation. There are many controversies surrounding the use of EM in Brazil and in the world, with debates focusing on its potential to decrease the number of inmates, the stigma that victimizes monitored people, the right to privacy, and its role in reducing reoffending and in the rehabilitation of offenders. This article deals with the relationship between electronic monitoring and criminal reoffending. It presents the theoretical foundations used by those who defend the potential of EM to reduce recidivism and the findings of major international investigations that assess the recidivism of people monitored through case-control studies published in the period 2001 to 2021. The findings point to little comprehensive studies, which monitored the recidivism of participants for a limited time. The results are divergent and do not support a general claim that electronic monitoring reduces criminal recidivism.

https://doi.org/10.1590/18070337-118301

13.

Uso de medicamentos com ação anticolinérgica em idosos e comparação entre escalas de risco: estudo de base populacional
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Miranda, Vanessa Iribarrem Avena

; Silveira, Marysabel Pinto Telis

; Lutz, Bárbara Heather

; Pirolli, Flávia

; Zambiasi, Lucas

; Bielemann, Renata M

; Gonzalez, Maria Cristina

; Bertoldi, Andréa Dâmaso

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

mar 2022, Volume 27 N. 3 Pages 1087 - 1095

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

Resumo O padrão de morbimortalidade tem-se modificado nos últimos anos com aumento das doenças crônicas não-transmissíveis levando a múltiplas comorbidades e ao uso de muitos medicamentos. O objetivo foi avaliar o uso de medicamentos com ação anticolinérgica por idosos. Estudo transversal de base populacional, com indivíduos de 60 anos ou mais. Foram investigados fatores socioeconômicos, problemas de saúde e utilização de medicamentos nos últimos 15 dias. Para a classificação dos medicamentos com atividade anticolinérgica foram utilizadas as escalas: Anticholinergic Drug Scale (ADS), Anticholinergic Risc Scale (ARS), Anticolinergic Cognitive Burden Scale (ACB). Entrevistados 1.451 idosos, destes, 1.305 utilizaram medicamentos, sendo que 60,7% usaram fármacos com ação anticolinérgica, sobretudo aqueles com mais de 80 anos e os menos escolarizados. No total, 5.703 medicamentos foram usados, 1.282 (22,5%) com ação anticolinérgica. Observou-se concordância kappa de 0,63 quando se avaliou as escalas de risco ACB e ADS. A prevalência de uso de fármacos com ação anticolinérgica foi alta, deve-se estar atento às consequências relativas ao seu uso, tendo em vista a tomada de decisão mais racional na prática clínica.

Abstract The pattern of morbidity and mortality has changed in recent years due to the increase in chronic noncommunicable diseases, leading to multiple comorbidities and the use of several medications. The scope of the study was to evaluate the anticholinergic drugs used by elderly people, according to risk scales. It involved a population-based cross-sectional study with elderly people. Socioeconomic factors, health problems, and medication use were investigated in the previous 15 days. The Anticholinergic Drug Scale (ADS), the Anticholinergic Risk Scale (ARS) and the Anticholinergic Cognitive Burden Scale (ACB) were used for risk classification according to anticholinergic activity of the drugs. A total of 1451 elderly people were interviewed and 1305 used medications, 60.7% of which with anticholinergic action, especially among the 80-year-old age bracket and the less educated. In total, 5703 drugs were used, 1282 (22.5%) of which with anticholinergic action. Kappa agreement of 0.63 was observed when assessing the ACB and ADS risk scales. The prevalence of the use of drugs with anticholinergic action was high, and attention should be paid to the consequences related to their use, with a view to more rational decision-making in clinical practice.

https://doi.org/10.1590/1413-81232022273.42002020

14.

[SciELO Preprints] - Validation of a reduced instrument Diabetes-21 for assessing health related quality of life among people with diabetes
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Sousa, Árlen Almeida Duarte de Brito, Ana Monique Gomes Silveira, Marise Fagundes Martins, Andréa Maria Eleutério de Barros Lima

Journal Metrics
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- SciELO Analytics

Publication date: 2022-01-17

Abstract: En Es Pt

Objective: To analyze the validity, reliability and interpretability of a reduced instrument for assessing health-related quality of life in diabetes. Methods: Crosssectional study with people with diabetes, consisting of the phases: adaptation of the Diabetes-39 instrument (5 dimensions and 39 items), pre-test, analysis of structural validity, reliability, concurrent validity and interpretability. Results: The factor structure of the final version of the reduced instrument was different from the original. There was a reduction from 39 to 21 items and a reduction from 5 to 4 dimensions. The factor loadings in the exploratory and confirmatory analyzes ranged between 0.41-0.90 and 0.51-0.89, respectively. Reliability was adequate (Cronbach's alpha=0.91; Kappa≥0.60 in all items; intraclass correlation coefficient=0.91). Conclusion: The Diabetes-21 instrument was considered valid, reliable and interpretable for assessing health-related quality of life among people with diabetes.

Objetivo: Analizar la validez, confiabilidad e interpretabilidad de instrumento reducido para evaluar la calidad de vida relacionada con la salud en diabetes. Métodos: Estudio transversal con personas con diabetes: adaptación del instrumento Diabetes-39 (5 dimensiones/39 elementos), pre-test, análisis de validez estructural, confiabilidad, validez concurrente e interpretabilidad. Resultados: La estructura factorial de la versión final del instrumento reducido presentado diferente a la original. Hubo una reducción de 39 a 21 ítems y de 5 a 4 dimensiones. Las cargas factoriales en los análisis exploratorios y confirmatorios variaron entre 0,41-0,90 y 0,51-0,89, respectivamente. La fiabilidad fue adecuada (alfa de Cronbach=0,91; Kappa≥0,60 en todos los ítems; coeficiente de correlación intraclase=0,91). Conclusión: El Diabetes-21 se consideró válido, confiable e interpretable para evaluar la calidad de vida relacionada con la salud en personas con diabetes.

Objetivo: Analisar a validade, confiabilidade e interpretabilidade de instrumento reduzido para avaliação da qualidade de vida relacionada à saúde entre pessoas com diabetes mellitus. Métodos: Estudo de validação, composto pelas fases de adaptação do instrumento Diabetes-39 (constituído por 5 dimensões e 39 itens), pré-teste, análises de validade estrutural (exploratória e confirmatória), confiabilidade, validade concorrente e interpretabilidade. Resultados: A estrutura fatorial da versão final reduzida diferiu do instrumento original. Reduziu-se os itens, de 39 para 21, e as dimensões, de 5 para 4. As cargas fatoriais, nas análises exploratória e confirmatória, variaram entre 0,41 e 0,90 e entre 0,51 e 0,89, respectivamente. A confiabilidade apresentou-se adequada (alfa de Cronbach=0,91; Kappa≥0,60 em todos os itens; coeficiente de correlação intraclasse=0,91). Conclusão: O instrumento reduzido Diabetes-21 foi considerado válido, confiável e interpretável para avaliação da qualidade de vida relacionada à saúde entre pessoas com diabetes mellitus.

https://doi.org/10.1590/S1679-49742022000100004

15.

Nursing workload associated with neonatal mortality risk: a cross-sectional study
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Silveira, Raquel Rondina Pupo da

; Serafim, Clarita Terra Rodrigues

; Castro, Meire Cristina Novelli e

; Rodrigues, Gabrielle Maria

; Corrente, José Eduardo

; Lima, Silvana Andrea Molina

Revista Brasileira de Enfermagem

Journal Metrics
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- SciELO Analytics

2022, Volume 75 N. 4 elocation e20200965

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

RESUMO Objetivos: analisar a associação entre a carga de trabalho de enfermagem e o risco de mortalidade neonatal em recém-nascidos internados em Unidade de Terapia Intensiva Neonatal. Métodos: trata-se de um estudo observacional, do tipo transversal, realizado no período de janeiro de 2019 a janeiro de 2020. Resultados: a amostra constituiu-se de 399 recém-nascidos, sendo 55,4% do sexo masculino, Nursing Activities Score médio de 67,5%, Score for Neonatal Acute Physiology Perinatal Extension médio de 17,7 e mostrou se como preditor para risco de óbito, enquanto a idade gestacional, tempo de internação e Apgar do primeiro minuto estabeleceram uma relação protetora. A correlação entre carga de trabalho e o risco de mortalidade neonatal, foi baixa (r= 0,23, p=0.0009). Conclusões: a carga de trabalho da equipe de enfermagem, mensurada pelo “Nursing Activities Score”, não está associada ao risco de mortalidade no âmbito da Unidade de Terapia Intensiva Neonatal.

ABSTRACT Objectives: to analyze the association between nursing workload and neonatal mortality risk in newborns admitted to the Neonatal Intensive Care Unit. Methods: this is an observational, cross-sectional study conducted from January 2019 to January 2020. Results: the sample consisted of 399 newborns, 55.4% male, Nursing Activities Score mean of 67.5%, and Score for Neonatal Acute Physiology Perinatal Extension mean of 17.7, revealed itself as a predictor of the risk of death, while gestational age, length of hospitalization, and the first-minute Apgar established a protective relationship. The correlation between workload and neonatal mortality was low (r= 0.23, p=0.0009). Conclusions: the workload of the nursing team is not associated with the risk of mortality in the Neonatal Intensive Care Unit, as measured by the Nursing Activities Score.

RESUMEN Objetivos: analizar la relación entre la carga de trabajo de enfermería y el riesgo de mortalidad neonatal en recién nacidos internados en Unidad de Cuidados Intensivos Neonatal. Métodos: estudio observacional, del tipo transversal, realizado en el período de enero de 2019 a enero de 2020. Resultados: la muestra se constituyó de 399 recién nacidos, siendo 55,4% del sexo masculino, Nursing Activities Score mediano de 67,5% y Score for Neonatal Acute Physiology Perinatal Extension mediano de 17,7, se mostró como pronosticador para riesgo de óbito, mientras la edad gestacional, tiempo de internación y Apgar del primero minuto establecieron una relación protectora. La correlación entre carga de trabajo y el riesgo de mortalidad neonatal fue baja (r= 0,23, p=0.0009). Conclusiones: la carga de trabajo del equipo de enfermería, mensurada por el Nursing Activities Score, no está relacionada al riesgo de mortalidad en el ámbito de la Unidad de Cuidados Intensivos Neonatal.

https://doi.org/10.1590/0034-7167-2020-0965

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