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; Pinheiro, Marcelo M. Lopes, Jennifer Ribeiro, Sandra Lúcia Euzébio Castro, Mary Vânia Marinho de Valadares, Lilian David de Azevedo Ranzolin, Aline Andrade, Nicole Pamplona Bueno de Santo, Rafaela Cavalheiro do Espírito Araújo, Nafice Costa Vieira, Cintya Martins Valim, Valéria Santos, Flavia Patricia Sena Teixeira Rocha Jr., Laurindo Ferreira da Kakehasi, Adriana Maria Reis, Ana Paula Monteiro Gomides Reis Neto, Edgard Torres dos Pileggi, Gecilmara Salviato Ferreira, Gilda Aparecida Mota, Licia Maria Henrique da Monticielo, Odirlei Xavier, Ricardo Machado

Advances in Rheumatology

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2025, Volume 65 elocation 4

Abstract: En | Text: En | PDF: En

Abstract Objectives To compare the impact of COVID-19 on the clinical status and psychological distress of patients with immune-mediated rheumatic disease (IMRD) caused by SARS-CoV-2 infection with that of noninfected IMRD controls during a 6-month follow-up period. Methods The ReumaCoV Brazil is a longitudinal study designed to follow IMRD patients for 6 months after COVID-19 (patients) compared with IMRD patients without COVID-19 (controls). Clinical data, disease activity measurements and current treatments regarding IMRD and COVID-19 outcomes were evaluated in all patients. Disease activity was assessed through validated tools at inclusion and at 3 and 6 months post-COVID-19. Fatigue, using FACIT-F (Functional Assessment of Chronic Illness Therapy) and psychological distress, using DASS 21 (Depression, Anxiety and Stress Scale - 21 Items), used to evaluated psychological distress, were evaluated at 6 months after COVID-19 in both groups. The significance level was set as p < 0.05, with a 95% confidence interval. Results A total of 601 patients were evaluated—321 patients (IMRD COVID-19 + patients) and 280 controls (IMRD COVID-19- patients)—who were predominantly female with similar median ages. Disease activity assessment over a 6-month follow-up showed no significant difference between cases and controls. Although the mean activity scores did not differ significantly, some patients reported worsened disease activity post-COVID-19, particularly in rheumatoid arthritis (RA) (32.2%) and systemic lupus erythematosus (SLE) patients (23.3%). Post-COVID-19 worsening in RA patients correlated with medical global assessment (MGA) and CDAI scores, with a moderate to large effect size. Diabetes mellitus showed a positive association (OR = 7.15), while TNF inhibitors had a protective effect (OR = 0.51). Fatigue, depression, anxiety, and stress were significantly greater in patients than in controls. Worse disease activity post-COVID-19 correlated with worse FACIT-F and DASS-21 scores in RA patients. No significant associations were found between COVID-19 outcomes and post-COVID-19 disease activity, FACIT-F or DASS-21. Conclusions Post-COVID-19 IMRD patients exhibited significant fatigue, depression, anxiety, and stress, which can be mistaken for disease activity, despite having similar disease activity scores. The variability in reports on IMRD flares and the potential triggering of SARS-CoV-2 for autoimmune manifestations underscore the need for detailed clinical assessment and a comprehensive approach to managing them.

https://doi.org/10.1186/s42358-025-00434-x

Comparative ovarian morphophysiology of Wistar rats and Zebrafish after exposure to nandrolone decanoate
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Cavalcante Filho, João Eudes Farias

; Martins, Solano Dantas

; Martins, Jonathan Elias Rodrigues

; Lobato, Jéssica Sales

; Sales, Yara Silvino

; Bittencourt, Sara Rany Alexandre

; Magalhães, Fernanda Vitória Almeida

; Menezes, Ana Ruth Reinaldo

; Oliveira, Maria Alice Felipe

; Ceccatto, Vânia Marilande

; Silva, Anderson Weiny Barbalho

; Salmito-Vanderley, Carminda Sandra Brito

; Araújo, Valdevane Rocha

Animal Reproduction

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2025, Volume 22 N. 1 elocation e20240046

Abstract: En | Text: En | PDF: En

Abstract This study aimed to compare the effects of nandrolone decanoate on the morphology and physiology of ovarian tissues in two experimental models, Zebrafish and rats, after in vitro cultivation. A total of 136 animals were used (Wistar rats, n=36, and Zebrafish, n=100). In both experiments, the animals were divided into two groups (Control and Deca) and were exposed to nandrolone decanoate for seven weeks. At the end of the administrations, the animals were euthanized, and the tissues were collected for morphological and biochemical analyses. Data were expressed as mean ± SEM. Tukey and Shapiro-Wilk tests were used. ANOVA and chi-square tests were applied for group comparisons. Differences were considered significant when P<0.05. The results showed an increase in body weight in Wistar rats, while Zebrafish body weight was decreased. In both experiments, the number of atretic follicles increased throughout the in vitro culture, from day 0 to day 7, in the Control group (CTRLr and CTRLz), while in the DECA group (DECAr and DECAz), atretic follicles were reduced from D0 to D7. The antioxidant environment, represented by increased the thiol content, which was significantly higher on day zero in CTRLz compared to CTRLr. SOD activity increased in Zebrafish (group DECAz), while CAT activity decreased in both models (group DECAr and DECAz). In conclusion, the study demonstrated similarity in ovarian physiology between the models exposed or not exposed to nandrolone decanoate, suggesting that, when convenient, researchers could consider changing the experimental model.

https://doi.org/10.1590/1984-3143-ar2024-0046

Sperm vitrification of Prochilodus brevis: influence of diluent, stored volume and supplementation with sulfated polysaccharides of Nile tilapia (Oreochromis niloticus) skin
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Almeida-Monteiro, Priscila Silva de

; Pinheiro, Romulo Roberto Ribeiro

; Oliveira-Araújo, Mayara Setúbal

; Torres, Thais Maia

; Nascimento, Renata Vieira do

; Pereira, Vanessa Alves

; Ferreira, Yasmim Maia

; Sales, Yara Silvino

; Lobato, Jéssica Sales

; Araújo, Ianna Wivianne Fernandes

; Rodrigues, José Ariévilo Gurgel

; Montenegro, Assis Rubens

; Salmito-Vanderley, Carminda Sandra Brito

Animal Reproduction

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2025, Volume 22 N. 1 elocation e20240075

Abstract: En | Text: En | PDF: En

Abstract The aim of this study was to evaluate the influence of diluent, stored volume and the cryodiluent medium supplementation with sulfated polysaccharides (SP) extracted from Nile tilapia skin on P. brevis vitrified sperm. Six pools were diluted in 5% Glucose or Powder Coconut Water (ACP-104), supplemented or not with 0.5 mg/mL of SP, and submitted to vitrification. Subsequently, they were stored in cryotubes in two volumes (60 μL and 420 μL). After 15 days, the samples were devitrified and evaluated for kinetics, membrane integrity and sperm DNA integrity. ACP-104 proved to be the best diluent for P. brevis sperm vitrification. Membrane and DNA integrity rates were higher (P < 0.05) when stored in smaller and larger volume, respectively. Additionally, the best rates (P < 0.05) of these same parameters were obtained with supplemented medium. There was interaction (P < 0.05) between diluent and stored volume, with ACP-104 exceeding 5% Glucose for motility in both volumes, while for average path speed (VAP) and membrane integrity the same happened in the larger volume. 5% Glucose had higher VAP and membrane integrity when stored in smaller volume. There was a triple interaction (P < 0.05) for DNA integrity, and better results were obtained when semen was vitrified in ACP-104 and stored in the larger volume, regardless of supplementation, which influenced only the 5% Glucose medium in the smaller volume. It was concluded that ACP-104, supplemented with SP and stored in larger volume make up the best treatment for P. brevis sperm vitrification.

https://doi.org/10.1590/1984-3143-ar2024-0075

Food insecurity and water insecurity measurement in Brazil: Sustainable Development Goals monitoring through experiential scales
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Salles-Costa, Rosana

; Cherol, Camilla Christine de Souza

; Palmeira, Poliana de Araújo

; Segall-Corrêa, Ana Maria

; Young, Sera Lewise

; Pérez-Escamilla, Rafael

; Lignani, Juliana de Bem

; Vianna, Rodrigo Pinheiro de Toledo

; Mata, Mayline Menezes da

; Medeiros, Maria Angélica Tavares de

; Pasquim, Elaine Martins

; Barbosa, Juliana Chaves

; Lima, Thainá Ferreira de

; García-Obregón, Olga Patrícia

; Gaitán-Rossi, Pablo

; Lima, Juliana Schober Gonçalves

; Grossi, Mauro Eduardo Del

; Voci, Silvia Maria

; Santos, Sandra Maria Chaves dos

; Melgar-Quiñonez, Hugo Ramiro

Cadernos de Saúde Pública

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2025, Volume 41 N. 2 elocation e00153524

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/0102-311xen153524

Leprosy elimination phase in Alagoas, 2001-2022: an ecological study
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Lima, Lucas Vinícius de

; Pavinati, Gabriel

; Silva, Rayssa Gysele Teixeira da

; Queiroz, Itanielly Gomes

; Oliveira, Gustavo Laine Araújo de

; Durães, Sandra Maria Barbosa

; López, Miguel Angel Aragón

; Alves, Kleydson Bonfim Andrade

; Beraldi-Magalhães, Francisco

; Magnabosco, Gabriela Tavares

Epidemiologia e Serviços de Saúde

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2025, Volume 34 elocation e20240255

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

Resumo Objetivo: Analisar o cenário epidemiológico e o estágio de eliminação da hanseníase nos municípios de Alagoas, no período de 2001 a 2022. Métodos: Estudo ecológico com dados de vigilância provenientes do Sistema de Informação de Agravos de Notificação; utilizaram-se taxas de detecção e prevalência da doença, bem como frequências absolutas e relativas; realizaram-se análise de tendência por regressão joinpoint, aplicação dos índices de autocorrelação espacial de Moran e classificação dos municípios com a Leprosy Elimination Monitoring Tool (LEMT), proposta pela Organização Mundial da Saúde. Resultados: Entre 2010 e 2022, houve queda anual significativa de -2,89% (intervalo de confiança de 95% [IC95%] -5,65; -0,91) da taxa de prevalência, de -4,43% (IC95% -6,56; -2,20) da taxa de detecção na população geral e de -6,03% (IC95% -10,00; -1,46) da taxa de detecção na população menor de 15 anos; visualizaram-se clusters significativos (p-valor<0,050) do tipo alto-alto nos municípios de Jacaré dos Homens, Pão de Açúcar e Carneiros; evidenciou-se, pela LEMT, que, em 2022: 7 (6,8%) municípios estavam na fase 1 - até a interrupção da transmissão, 41 (40,2%) na fase 2 - até a eliminação da doença, 27 (26,5%) na fase 3 - vigilância pós-eliminação e 27 (26,5%) na fase 4 - estado não endêmico. Conclusão: Os dados apontaram para tendências de redução da carga de hanseníase no estado, embora alguns municípios persistam com taxas elevadas; o emprego da LEMT com dados secundários deve ser cauteloso, visto que a ausência de casos não implica na eliminação da doença em cenários de subnotificação e subdiagnóstico.

Resumen Objetivo: Analizar el panorama epidemiológico y la etapa de eliminación de la lepra en los municipios de Alagoas, Brasil, durante el período 2001-2022. Métodos: Estudio ecológico basado en datos de vigilancia obtenidos del Sistema de Información de Agravios de Notificación. Se utilizaron tasas de detección y prevalencia de la enfermedad, así como frecuencias absolutas y relativas. Se realizó un análisis de tendencias mediante regresión joinpoint, se aplicaron los índices de autocorrelación espacial de Moran y se clasificaron los municipios utilizando la herramienta Leprosy Elimination Monitoring Tool (LEMT), propuesta por la Organización Mundial de la Salud. Resultados: Entre 2010 y 2022, se observó una disminución anual significativa del -2,89% (intervalo de confianza del 95% [IC95%] -5,65; -0,91) en la tasa de prevalencia, del -4,43% (IC95% -6,56; -2,20) en la tasa de detección en la población general y del -6,03% (IC95% -10,00; -1,46) en la tasa de detección en la población menor de 15 años. Se identificaron conglomerados significativos de tipo alto-alto (p-valor<0,050) en los municipios de Jacaré dos Homens, Pão de Açúcar y Carneiros. Según la clasificación de la LEMT en 2022, 7 municipios (6,8%) se encontraban en la fase 1 - hasta la interrupción de la transmisión, 41 (40,2%) en la fase 2 - hasta la eliminación de la enfermedad, 27 (26,5%) en la fase 3 - vigilancia post-eliminación, y 27 (26,5%) en la fase 4 - estado no endémico. Conclusión: Los datos indican tendencias de reducción de la carga de lepra en el estado, aunque algunos municipios aún presentan tasas elevadas. El uso de la LEMT con datos secundarios debe manejarse con cautela, ya que la ausencia de casos no implica necesariamente la eliminación de la enfermedad en contextos de subnotificación y subdiagnóstico.

Abstract Objective: To analyze the epidemiological scenario and leprosy elimination phase in the municipalities of Alagoas state, Brazil, from 2001 to 2022. Methods: This is an ecological study using surveillance data from the Notifiable Health Conditions Information System; detection and prevalence rates of the disease, along with absolute and relative frequencies, were used; temporal trends were evaluated using joinpoint regression, spatial autocorrelation was assessed with Moran’s index, and municipalities were classified according to the Leprosy Elimination Monitoring Tool (LEMT) proposed by the World Health Organization. Results: Between 2010 and 2022, there was a significant annual decrease of -2.89% (95% confidence interval [95%CI] -5.65; -0.91) in the prevalence rate, -4.43% (95%CI -6.56; -2.20) in the detection rate in the general population and -6.03% (95%CI -10.00; -1.46) in the detection rate in the population under 15 years of age; significant high-high clusters (p-value <0.050) were observed in the municipalities of Jacaré dos Homens, Pão de Açúcar and Carneiros; according to the LEMT in 2022: 7 (6.8%) municipalities were in phase 1 - up to interruption of transmission, 41 (40.2%) in phase 2 - up to disease elimination, 27 (26.5%) in phase 3 - post-elimination surveillance and 27 (26.5%) in phase 4 - non-endemic status. Conclusion: The data pointed to trends of reduction in the leprosy burden in the state, although some municipalities continue to show high rates; the use of LEMT with secondary data should be approached cautiously, as the absence of reported cases does not imply disease elimination in scenarios of underreporting and underdiagnosis.

https://doi.org/10.1590/s2237-96222024v34e20240255.en

Leprosy elimination phase in Alagoas, 2001-2022: an ecological study
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Lima, Lucas Vinícius de

; Pavinati, Gabriel

; Silva, Rayssa Gysele Teixeira da

; Queiroz, Itanielly Gomes

; Oliveira, Gustavo Laine Araújo de

; Durães, Sandra Maria Barbosa

; López, Miguel Angel Aragón

; Alves, Kleydson Bonfim Andrade

; Beraldi-Magalhães, Francisco

; Magnabosco, Gabriela Tavares

Epidemiologia e Serviços de Saúde

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2025, Volume 34 elocation e20240255

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

https://doi.org/10.1590/s2237-96222024v34e20240255.en

Consensus of the Brazilian Association of Hematology, Hemotherapy and Cellular Therapy (ABHH) and the Brazilian Ministry of Health - General management of blood and blood products on the tests necessary for the release of exceptional medicines for sickle cell disease
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Lobo, Clarisse

; Araújo, Aderson Antunes, Alexandre de Albuquerque Pinto, Ana Cristina Silva Godinho, Ariadne Carvalho Pires, Cassia Silvestre Mariano Matheus, Cinthia Cristina Albuquerque, Xerez de Neves, Daniele Campos Fontes Moreno, Fábio de Lima Baldanzi, Giorgio Siufi, Grazziella Curado Miranda, Heloisa Helena Pereira Hankins, Jane Aragão, Joice Braga, Josefina Aparecida Pellegrini Martins, Juliana Touguinha Neves Souza, Luciana Campos Costa Machado de Figueiredo, Maria Stella Oliveira, Mirella Rodrigues Cardoso, Patricia Santos Resende Pinto, Patricia Costa Alves Moura, Patricia Gomes Cançado, Rodolfo Delfini Araujo, Paulo Ivo Cortez de Saad, Sara Olalla Loggetto, Sandra Regina Fonseca, Teresa Cristina Cardoso

Hematology, Transfusion and Cell Therapy

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mar 2024, Volume 46 N. 1 Pages 67 - 71

Abstract: En | Text: En | PDF: En

Abstract To date, hydroxyurea is the only effective and safe drug that significantly reduces morbidity and mortality of individuals with Sickle cell disease. Twenty years of real-life experience has demonstrated that hydroxyurea reduces pain attacks, vaso-occlusive events, including acute chest syndrome, the number and duration of hospitalizations and the need for transfusion. The therapeutic success of hydroxyurea is directly linked to access to the drug, the dose used and adherence to treatment which, in part, is correlated to the availability of hydroxyurea. This consensus aims to reduce the number of mandatory exams needed to access the drug, prioritizing the requesting physician's report, without affecting patient safety.

https://doi.org/10.1016/j.htct.2024.01.001

TERAPIA COGNITIVO-COMPORTAMENTAL NO NORDESTE DO BRASIL: 20 ANOS DE HISTÓRIA
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Galdino, Melyssa Kellyane Cavalcanti

; Candido, Caroline da Cruz Pavan -

; Simeão, Shirley de Souza Silva

; Oliveira, Irismar Reis de

; Silva, Neuciane Gomes da

; Araújo, Neuraci Gomes de

; Nóbrega, Nielky Kalliellanya B. da

; Perez, Neuza Cristina dos Santos

; Nogueira, Juliane Matos de Moraes

; Rodrigues, Eleonardo Pereira

; Donato, Beneria Yace

; Ory, Sandra Virginia Ribeiro

; Neufeld, Carmem Beatriz

Boletim - Academia Paulista de Psicologia

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2024, Volume 44 N. 107 Pages 159 - 170

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

Resumen: Este artículo tiene como objetivo describir el desarrollo de la Terapia Cognitivo-Conductual (TCC) en la región Nordeste de Brasil a través de las percepciones y experiencias de profesionales del área. El interés por el origen y el desarrollo de la TCC en el Nordeste permite identificar las influencias sociohistóricas para el surgimiento de la TCC en el estado y se suma a un ámbito de trabajos nacionales y globales con interés en la historia de la TCC. Se realizó un levantamiento bibliográfico de publicaciones impresas y digitales, además de entrevistas a psicólogos especialistas en TCC de la región. Se destaca el papel de los profesores de instituciones de educación superior de la región en el surgimiento y desarrollo del enfoque, la relevancia de los eventos regionales para la difusión del conocimiento y la actual consolidación de la TCC como práctica clínica en el Nordeste. Se entiende que la expansión de la TCC en el entorno académico y clínico de esta región sigue los cambios que han ocurrido a nivel nacional y mundial.

Resumo Este artigo tem como propósito descrever o desenvolvimento da Terapia Cognitivo-Comportamental (TCC) na região Nordeste do Brasil através de percepções e experiências de profissionais da área. O interesse pela origem e desenvolvimento das TCCs no Nordeste possibilita identificar as influências sócio-históricas para o surgimento da TCC no estado e soma-se a um escopo de trabalhos nacionais e mundiais com interesse pela história das TCCs. Foi realizado um levantamento bibliográfico de publicações impressas e digitais, além de entrevistas com psicólogos especialistas em TCC da região. Destaca-se o papel de professores de instituições de ensino superior da região para o surgimento e desenvolvimento da abordagem, a relevância dos eventos regionais para a difusão dos conhecimentos e a atual consolidação da TCC enquanto prática clínica no Nordeste. Compreende-se que a expansão da TCC no meio acadêmico e clínico nesta região acompanha as mudanças que ocorreram no âmbito nacional e mundial.

Abstract: This article aims to identify and analyze, in historical perspective, the development of Cognitive-Behavioral Therapy (CBT) in the Northeast region of Brazil. Interest in the origin and development of CBTs in the Northeast makes it possible to identify the socio-historical influences for the onset of CBT in the state and adds to the scope of national and global works with an interest in the history of CBTs. A bibliographic survey of printed and digital publications and interviews with psychologists specialized in CBT in the region were carried out. The role of teachers of higher education institutions in the region is highlighted for the development of the approach, the relevance of regional events for the dissemination of knowledge and the current consolidation of CBT as a clinical practice in the Northeast. It is understood that the expansion of CBT in the academic and clinical environment in the Northeast of Brazil accompanies the changes that have taken place at the national and global levels.

https://doi.org/10.5935/2176-3038.20240002

10.

A TRAJETÓRIA DA MULHER PRETA NA EDUCAÇÃO: UMA REVISÃO SISTEMÁTICA
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Barros, Marcelly de Oliveira

; Araújo, Maria Gabriela do Nascimento

; Negreiros, Fauston

; Freire, Sandra Elisa de Assis

Revista Psicologia Política

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2024, Volume 24 elocation e24176

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

Resumo: O estudo trata-se de uma revisão sistemática de artigos que dialogam acerca da trajetória escolar e o papel ocupado pela mulher preta dentro do contexto educacional. As buscas pelos materiais incluíram cinco bases de dados: Scopus, PsycInfo, Web of Science, Pepsic e Lilacs entre o período de 2017 a abril de 2022. Ao total foram selecionados 24 trabalhos, sendo 16 artigos e 8 dissertações. Diante dos resultados encontrados, verificou-se que a maioria dos materiais encontrados se referem a estudos realizados nos Estados Unidos e publicados no ano de 2021. A partir das análises foi possível constatar que a mulher preta possui seu percurso educacional marcado por violências e que muitas vezes tais vítimas se distanciam do meio educacional devido a essas agressões. No entanto, há também àquelas que desenvolveram estratégias de resistência e persistem nesse caminho.

Abstract: The study is a systematic review of articles that discuss the school trajectory and the role played by black women within the educational context. The searches for materials included five databases: Scopus, PsycInfo, Web of Science, Pepsic and Lilacs in the period 2017 and April 2022. total, 24 works were selected, 16 articles and 8 dissertations. Given the results found, it was verified that most of the materials found refer to studies carried out in the United States and published in 2021. From the analyzes it was possible to verify that black women have ir educational path marked by violence and that se victims ten distance themselves from the educational environment due to these attacks. However, there are also those who have developed resistance strategies and persist in this path.

Resumen: El estudio es una revisión sistemática de artículos que discuten la trayectoria escolar y el papel desempeñado por las mujeres negras en el contexto educativo. Las búsquedas de materiales incluyeron cinco bases de datos: Scopus, PsycInfo, Web of Science, Pepsic y Lilacs en el período comprendido entre 2017 y abril de 2022. En total, se seleccionaron 24 trabajos, 16 artículos y 8 disertaciones. Ante los resultados encontrados, se verificó que la mayoría de los materiales encontrados hacen referencia a estudios realizados en Estados Unidos y publicados en 2021. A partir de los análisis fue posible verificar que la trayectoria educativa de la mujer negra está marcada por la violencia y que estas víctimas muchas veces se alejan del ambiente educativo debido a estas agresiones. Sin embargo, también hay quienes han desarrollado estrategias de resistencia y persisten en este camino.

https://doi.org/10.5935/2175-1390.v24e24176

11.

Social network for guardians of transgender children and adolescents
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Abreu, Paula Daniella de

; Valença, Ana Beatriz Marques

; Leal, Gilberto da Cruz

; Silva, Diogo Henrique Mendes da

; Palha, Pedro Fredemir

; Araújo, Ednaldo Cavalcante de

; Ballestero, Jaqueline Garcia de Almeida

; Almeida, Sandra Aparecida de

; Nogueira, Jordana de Almeida

; Monroe, Aline Aparecida

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe1 elocation e2024290

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

RESUMO Objetivo Analisar a rede social de mães, pais ou responsáveis por crianças ou adolescentes transgêneros. Métodos Trata-se de estudo qualitativo, fundamentado no referencial de rede social, com enfoque na rede primária. O estudo foi desenvolvido no Brasil por meio de entrevistas online entre agosto e outubro de 2021. Participaram 30 mães, dois pais e uma avó de crianças ou adolescentes transgêneros. Realizou-se análise de conteúdo, modalidade temática, com auxílio do software IRaMuTeQ. Resultados A temática “A família enquanto centro da rede e os desafios para o alcance da autonomia trans” emergiu a partir das análises. A família configurou-se como primeira rede, com maior responsabilização. Revelaram-se vínculos frágeis e conflituosos com familiares, amigos, colegas e vizinhos, destacando a figura do homem. Conclusão As redes apresentaram limitações no apoio e necessidade de fortalecimento, sendo a análise uma importante ferramenta na assistência, estruturação de políticas e linha de cuidado transespecífica.

RESUMEN Objetivo Analizar la red social de madres, padres o responsables de niños y adolescentes transgénero. Métodos Se trata de un estudio cualitativo, basado en el marco de referencia de la red social, con enfoque en la red primaria. El estudio se llevó a cabo en Brasil a través de entrevistas en línea entre agosto y octubre de 2021. Participaron 30 madres, dos padres y una abuela de niños, o adolescentes transgénero. Se realizó un análisis de contenido temático con la ayuda del software IRaMuTeQ. Resultados El tema “La familia como centro de la red y los desafíos para alcanzar la autonomía trans” surgió a partir de los análisis. La familia se configuró como la primera red, con una mayor responsabilidad. Se revelaron vínculos frágiles y conflictivos con familiares, amigos, colegas y vecinos, destacando la figura del hombre. Conclusión Las redes presentaron limitaciones en el apoyo y la necesidad de fortalecimiento, siendo el análisis una herramienta importante para la asistencia, la estructuración de políticas y la implementación de una línea de atención específica para personas trans.

ABSTRACT Objective To analyze the social network of mothers, fathers or guardians of transgender children or adolescents. Methods This was a qualitative study, based on the theoretical framework of social network, with a focus on the primary network. The study was conducted in Brazil through online interviews between August and October 2021. A total of 30 mothers, two fathers and one grandmother of transgender children or adolescents participated in the study. The thematic content analysis was performed using IraMuTeQ software. Results The theme “The family as the center of the network and the challenges in achieving transgender autonomy” emerged from the analyses. The family was identified as the first network, bearing the greatest responsibility. Weak and conflicted ties with relatives, friends, classmates and neighbors, highlighting the role of men. Conclusion The networks showed limitations in providing support and the need for strengthening. The analysis is an important tool for improving care, structuring policies and developing transgender-specific care pathways.

https://doi.org/10.1590/s2237-96222024v33e2024290.especial.en

12.

Hepatitis A vaccination coverage survey in 24-month-old children living in Brazilian capitals, 2020
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Moura, Winny Éveny Alves

; Caetano, Karlla Antonieta Amorim

; Lima, Juliana de Oliveira Roque e

; Campos, Lays Rosa

; Silva, Grazielle Rosa da Costa e

; Moraes, José Cássio de

; França, Ana Paula

; Domingues, Carla Magda Allan Santos

; Teixeira, Maria da Gloria Lima Cruz

; Teles, Sheila Araújo

; 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 e20231162

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

RESUMO Objetivo Estimar a cobertura vacinal da hepatite A em crianças de 24 meses e identificar fatores associados à ausência de vacinação. Métodos Inquérito em amostra estratificada por estratos socioeconômicos em capitais (2020-2022), com estimativa de cobertura e intervalos de confiança de 95% (IC95%) e análise de fatores pela razão de prevalência (RP) via regressão de Poisson. Resultados Nas 31.001 crianças, a cobertura da hepatite A foi de 88,1% (IC95% 86,8;89,2). Nos estratos socioeconômicos (A/B), a variável pais/responsáveis imigrantes foi associada à ausência de vacinação (RP = 1,91; IC95% 1,09;3,37); nos estratos C/D, crianças de cor amarela (RP = 4,69; IC95% 2,30;9,57), 4ª ordem de nascimento ou mais (RP = 1,68; IC95% 1,06;2,66), não frequentar creche/berçário (RP = 1,67; IC95% 1,24;2,24) e mãe com trabalho remunerado (RP = 1,42; IC95% 1,16;1,74) foram associadas à ausência de vacinação. Conclusão Cobertura da hepatite A abaixo da meta (95%), sugerindo-se considerar especificidades dos estratos sociais.

resumen está disponible en el texto completo

ABSTRACT Objective To estimate hepatitis A vaccination coverage in 24-month-old children and identify factors associated with non-vaccination. Methods This was a survey involving a sample stratified by socioeconomic strata in capital cities (2020-2022), with coverage estimates and 95% confidence intervals (95%CI), the factor analysis was performed using the prevalence ratio (PR) by means of Poisson regression. Results Among 31,001 children, hepatitis A coverage was 88.1% (95%CI 86.8;89.2). Regarding socioeconomic strata (A/B), the variable immigrant parents/guardians was associated with non-vaccination (PR = 1.91; 95%CI 1.09;3.37); in strata C/D, children of Asian race/skin color (PR = 4.69; 95%CI 2.30;9.57), fourth-born child or later (PR = 1.68; 95%CI 1.06;2 .66), not attending daycare/nursery (PR = 1.67; 95%CI 1.24;2.24) and mother with paid work (PR = 1.42; 95%CI 1.16;1.74) were associated with non-vaccination. Conclusion Hepatitis A coverage was below the target (95%), suggesting that specificities of social strata should be taken into consideration.

https://doi.org/10.1590/s2237-96222024v33e20231162.en

13.

Reliability of information recorded on the National Immunization Program Information System
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Moraes, José Cássio de

; França, Ana Paula

; Guibu, Ione Aquemi

; Barata, Rita Barradas

; 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

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2024, Volume 33 N. spe2 elocation e20231309

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

RESUMO Objetivo Analisar a confiabilidade dos registros no Sistema de Informação do Programa Nacional de Imunizações (SI-PNI) em uma subamostra de crianças incluídas no inquérito nacional de cobertura vacinal nas capitais brasileiras e no Distrito Federal, em 2020. Método Estudo de concordância entre registros nas cadernetas (doses e datas) e no SI-PNI para 4.050 crianças com esquema completo aos 24 meses. Resultados Foram localizados registros de 3.587 crianças no SI-PNI, havendo 11% (IC95%10,0;12,0) de perdas. A concordância total entre doses e datas nas duas fontes foi de 86% (IC95% 86,0;87,0), porém para cada dose e vacina a variação foi maior, com 32% de dados só em uma fonte. Conclusão Parte das informações não vem sendo adequadamente registrada, mas para os dados existentes nas duas fontes a discordância pode ser considerada pequena. O sub-registro de doses e crianças pode comprometer as estimativas de cobertura vacinal, alterando os dados do numerador e do denominador.

resumen está disponible en el texto completo

ABSTRACT Objective To analyze the reliability of records held on the National Immunization Program Information System (SI-PNI) in a subsample of children included in the national vaccination coverage survey in Brazilian state capitals and Federal District in 2020. Methods This was a study of agreement between data recorded on vaccination cards (doses and dates) and on the SI-PNI for 4050 children with full coverage at 24 months. Results Data on 3587 children were held on the SI-PNI, with losses of 11% (95%CI: 10;12). Total agreement between doses and dates in the two sources was 86% (95%CI: 86;87), however taking each dose and vaccine individually, variation was greater, with 32% of data in only one source. Conclusion Part of the information was not recorded, but the discrepancy can be considered small. Nonetheless, underrecording of doses and children can compromise vaccination coverage estimates, altering the numerator and denominator data.

https://doi.org/10.1590/s2237-96222024v33e20231309.especial2.en

14.

Vaccination coverage and delay in vaccination of infants born in 2017 and 2018 in municipalities in the Southern region of Brazil: National Vaccination Coverage Survey 2020
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Luhm, Karin Regina

; Boing, Antonio Fernando

; Mengue, Sotero Serrate

; Daniel, Neiva de Souza

; Mélo, Tainá Ribas

; Farion, Raquel Jaqueline

; França, Ana Paula

; Moraes, José Cássio de

; 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 e20231206

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

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.

resumen está disponible en el texto completo

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.

https://doi.org/10.1590/s2237-96222024v33e20231206.especial2.en

15.

Vaccination coverage survey by social stratum in children up to 24 months of age in Londrina, Paraná, Brazil, between 2021 and 2022
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Oliveira, Edmilson de

; Moraes, José Cássio de

; França, Ana Paula

; 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 e20231393

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

RESUMO Objetivo Analisar a cobertura vacinal segundo estrato social, em crianças até 24 meses de vida, residentes no município de Londrina (PR). Métodos Inquérito de base populacional, realizado entre em 2021 e 2022, em que se avaliou a cobertura vacinal e os aspectos sociodemográficos das mães e das famílias, através do teste qui-quadrado de Pearson. Resultados Em uma amostra de 456 crianças, a cobertura vacinal completa variou de acordo com o estrato social, sendo no estrato A de 36,0% (IC95% 26,8;57,8); no estrato B, de 59,5% (IC95% 26,1;86); no estrato C, de 66,2% (IC95% 51,7;78,1); e no estrato D, de 70,0% (IC95% 56,1;81,0). Conclusão A análise da cobertura vacinal indicou o estrato social A como o de maior risco para doenças prevenidas por vacinas.

resumen está disponible en el texto completo

ABSTRACT Objective To analyze vaccination coverage according to social strata in children up to 24 months old, living in the municipality of Londrina (PR), Brazil. Methods This was a population-based survey conducted between 2021 and 2022, in which vaccination coverage and sociodemographic aspects of mothers and families were evaluated using Pearson’s chi-square test. Results In a sample of 456 children, complete vaccination coverage varied according to social strata, being 36.0% (95%CI 26.8;57.8); in stratum A; 59.5% (95%CI 26.1;86); in stratum B; 66.2% (95%CI 51.7;78.1); in stratum C; and 70.0% (95%CI 56.1;81.0) in stratum D. Conclusion The analysis of vaccination coverage indicated that social stratum A is at highest risk for vaccine-preventable diseases.

https://doi.org/10.1590/s2237-96222024v33e20231393.especial2.en

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