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Resumo Trata-se de um artigo original que aborda a força de trabalho (FT) em saúde no Brasil, suas comorbidades e alterações da saúde mental na pandemia da COVID-19. O estudo conduzido pela Fundação Oswaldo Cruz coletou dados por meio de questionário on-line com um total de 36.612 participantes: profissionais de saúde (PS, formação de nível superior), e trabalhadores invisíveis (TI, nível técnico). A prevalência de comorbidades no Brasil foi de 26,1% e 23,9%, a maior foi hipertensão arterial (27,4% e 31,9%), seguida da obesidade (18,4% e 15,1%), doenças crônicas respiratórias (15,7% e 12,9%), diabetes mellitus (10,3% e 10,4%), e depressão/ansiedade (9,1% e 11,7%), nos PS e TI, respectivamente. A região com maior frequência foi a sudeste onde concentra-se o maior contingente de trabalhadores. A FT acometida com alta carga de doenças crônicas não transmissíveis e exposta ao SARS-CoV-2, torna-se vulnerável para o adoecimento e morte. Sintomas mentais e intenso sofrimento psíquico foram relatados. Os resultados deste estudo nos permitem estimar o impacto na saúde física e mental, e nas condições de vida e de trabalho da FT. A saúde e a vida dos trabalhadores, protagonistas no enfrentamento dos desafios da pandemia, são prioridade nas políticas públicas.

Abstract This is an original article that addresses the healthcare workforce (HW) in Brazil, as well as comorbidities and mental health changes during the COVID-19 pandemic. This study was conducted by the Oswaldo Cruz Foundation and collected data through an online questionnaires from a total of 36,612 participants, health professionals (HP, with higher education level), and invisible healthcare workers (IHW, with a technical mid-level education). The overall prevalence of comorbidities in Brazil was 26.1% and 23.9%; the highest was arterial hypertension (27.4% and 31.9%), followed by obesity (18.4% and 15.1%), chronic respiratory diseases (15.7% and 12.9%), diabetes mellitus (10.3% and 10.4%), and depression/anxiety (9.1% and 11.7%), in the HW and IHW, respectively. The region with the highest frequency was the southeast, where the largest contingent of workers is located. The HW, affected with a high burden of non-communicable chronic diseases and exposed to SARS-CoV-2, proved to be vulnerable to illness and death. Mental symptoms and intense psychological suffering have been reported. These results allow us to estimate the impacts upon physical and mental health, as well as upon living and working conditions of the HW. The health and life of workers, leading role in facing health challenges of the pandemic, are a high priority in public policies.

https://doi.org/10.1590/1413-812320232810.10192023

Comorbidades e saúde mental dos trabalhadores da saúde no Brasil. O impacto da pandemia da COVID-19
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Guimarães-Teixeira, Eleny

; Machado, Antônio Vieira

; Lopes Neto, David

; Costa, Lilian Soares da

; Garrido, Paulo Henrique Scrivano

; Aguiar Filho, Wilson

; Soares, Rayane de Souza

; Santos, Beatriz Rodrigues dos

; Cruz, Eliane Aparecida da

; Contrera, Marina Athayde

; Delgado, Pedro Gabriel Godinho

Ciência & Saúde Coletiva

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oct 2023, Volume 28 N. 10 Pages 2823 - 2832

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

https://doi.org/10.1590/1413-812320232810.10192023

HIGH-INTENSITY INTERVAL TRAINING POSES NO RISK TO HYPERTENSIVE WOMEN
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Vieira-Souza, Lucio Marques

; Aidar, Felipe José

; Mota, Márcio Getirana

; Reis, Gracielle Costa

; Lima Júnior, Cássio Murilo Almeida

; Silva, Fábio José Antônio da

; Jesus, Joseane Barbosa de

; Azevedo, David Edson Ramos de

; Marçal, Anderson Carlos

; Santos, Jymmys Lopes dos

Revista Brasileira de Medicina do Esporte

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2023, Volume 29 elocation e2021_0321

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

RESUMO Introdução: O objetivo deste estudo foi avaliar se uma única sessão de treinamento intervalado de alta intensidade (HIIT) promoveria efeito hipotensor e risco cardiovascular em mulheres hipertensas, bem como aumentar a biodisponibilidade de óxido nítrico. Métodos: A amostra foi composta por 10 mulheres hipertensas (63,7 ± 10,34 anos; 66, ± 7,67 kg e 153,7 ± 9,08 cm) e a carga de treinamento foi estabelecida em 60% da velocidade aeróbica máxima. Resultados: Observamos um efeito hipotensor muito alto entre os momentos de interação durante a intervenção (Int. Pré: 122,40 ± 18,58; Int. Pós: 143,00 ± 24,90; Int. Pós 60 min.: 121,40 ± 13,87; p < 0,001, η2P = 0,569). Nenhum risco cardiovascular foi observado durante a intervenção (DP = Int. Pré: 9138,20 ± 1805,34; Int. Pós: 14849,70 ± 3387,94; Int. Pós: 60 min.: 9615,90 ± 1124,41, p < 0,001, η2P = 0,739) e não houve aumento da biodisponibilidade de óxido nítrico. Conclusões: Em conclusão, este trabalho revela que uma sessão de HIIT é capaz de gerar efeito hipotensor sem apresentar risco cardiovascular em mulheres hipertensas. Nível de evidência I; Estudo clínico randomizado de alta qualidade com ou sem diferença estatisticamente significativa, mas com intervalos de confiança estreitos .

ABSTRACT Introduction: The aim of this study was to evaluate whether a single session of high-intensity interval training (HIIT) would promote a hypotensive effect and cardiovascular risk in hypertensive women, in addition to increasing the bioavailability of nitric oxide. Methods: The sample consisted of 10 hypertensive women (63.7 ± 10.34 years; 66 ± 7.67 kg and 153.7 ± 9.08 cm) and the training load was established at 60% of the maximum aerobic speed. Results: We observed a very high hypotensive effect between the interaction moments during the intervention (Int. Pre: 122.40 ± 18.58; Int. Post: 143.00 ± 24.90; Int. Post 60min: 121.40 ± 13.87; p<0.001, η2P = 0.569). No cardiovascular risk was observed during the intervention (DP = Int. Pre: 9138.20 ± 1805.34; Int. Post: 14849.70 ± 3387.94; Int. Post 60min: 9615.90 ± 1124.41, p< 0.001, η2P = 0.739) and there was no increase in the bioavailability of nitric oxide. Conclusion: In conclusion, this work reveals that an HIIT session is capable of generating a hypotensive effect while not posing cardiovascular risk in hypertensive women. Level of evidence I; High-quality randomized clinical trial with or without statistically significant difference, but with narrow confidence intervals .

RESUMEN Introducción: El objetivo de este estudio fue evaluar si una única sesión de entrenamiento de intervalos de alta intensidad (HIIT) podría promover un efecto hipotensor y riesgo cardiovascular en mujeres hipertensas, así como aumentar la biodisponibilidad del óxido nítrico. Métodos: La muestra fue compuesta por 10 mujeres hipertensas (63,7 ± 10,34 años; 66 ± 7,67 kg y 153,7 ± 9,08 cm) y la carga de entrenamiento se estableció en el 60% de la velocidad aeróbica máxima. Resultados: Se observó un efecto hipotensor muy elevado entre los momentos de interacción durante la intervención (Int. Pre: 122,40 ± 18,58; Int. Post: 143,00 ± 24,90; Int. Post 60 min: 121,40 ± 13,87; p <0,001, η2P = 0,569). No se observó ningún riesgo cardiovascular durante la intervención (DP = Int. Pre: 9138,20 ± 1805,34; Int. Post: 14849,70 ± 3387,94; Int. Post 60 min: 9615,90 ± 1124,41, p <0,001, η2P = 0,739) y no hubo aumento de la biodisponibilidad de óxido nítrico. Conclusiones: En conclusión, este trabajo revela que una sesión de HIIT es capaz de generar efecto hipotensor sin presentar riesgo cardiovascular en mujeres hipertensas. Nivel de evidencia I; Estudio clínico aleatorizado de alta calidad con o sin diferencia estadísticamente significativa, pero con intervalos de confianza estrechos.

https://doi.org/10.1590/1517-8692202329012021_0321

Guidelines on COVID-19 vaccination in patients with immune-mediated rheumatic diseases: a Brazilian Society of Rheumatology task force
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Tavares, Anna Carolina Faria Moreira Gomes

; Melo, Ana Karla Guedes de

; Cruz, Vítor Alves

; Souza, Viviane Angelina de

; Carvalho, Joana Starling de

; Machado, Ketty Lysie Libardi Lira

; Valadares, Lilian David de Azevedo

; Reis Neto, Edgard Torres dos

; Rezende, Rodrigo Poubel Vieira de

; Guimarães, Maria Fernanda Brandão de Resende

; Ferreira, Gilda Aparecida

; Braz, Alessandra de Sousa

; Vieira, Rejane Maria Rodrigues de Abreu

; Pinheiro, Marcelo de Medeiros

; Ribeiro, Sandra Lúcia Euzébio

; Bica, Blanca Elena Gomes Rios

; Baptista, Kátia Lino

; Costa, Izaias Pereira da

; Marques, Claudia Diniz Lopes

; Lopes, Maria Lúcia Lemos

; Martinez, José Eduardo

; Giorgi, Rina Dalva Neubarth

; Mota, Lícia Maria Henrique da

; Loures, Marcos Antônio Araújo da Rocha

; Paiva, Eduardo dos Santos

; Monticielo, Odirlei André

; Xavier, Ricardo Machado

; Kakehasi, Adriana Maria

; Pileggi, Gecilmara Cristina Salviato

Advances in Rheumatology

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2022, Volume 62 elocation 3

Abstract: En | Text: En | PDF: En

Abstract Objective: To provide guidelines on the coronavirus disease 2019 (COVID-19) vaccination in patients with immune-mediated rheumatic diseases (IMRD) to rheumatologists considering specific scenarios of the daily practice based on the shared-making decision (SMD) process. Methods: A task force was constituted by 24 rheumatologists (panel members), with clinical and research expertise in immunizations and infectious diseases in immunocompromised patients, endorsed by the Brazilian Society of Rheumatology (BSR), to develop guidelines for COVID-19 vaccination in patients with IMRD. A consensus was built through the Delphi method and involved four rounds of anonymous voting, where five options were used to determine the level of agreement (LOA), based on the Likert Scale: (1) strongly disagree; (2) disagree, (3) neither agree nor disagree (neutral); (4) agree; and (5) strongly agree. Nineteen questions were addressed and discussed via teleconference to formulate the answers. In order to identify the relevant data on COVID-19 vaccines, a search with standardized descriptors and synonyms was performed on September 10th, 2021, of the MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, and LILACS to identify studies of interest. We used the Newcastle–Ottawa Scale to assess the quality of nonrandomized studies. Results: All the nineteen questions-answers (Q&A) were approved by the BSR Task Force with more than 80% of panelists voting options 4—agree—and 5—strongly agree—, and a consensus was reached. These Guidelines were focused in SMD on the most appropriate timing for IMRD patients to get vaccinated to reach the adequate covid-19 vaccination response. Conclusion: These guidelines were developed by a BSR Task Force with a high LOA among panelists, based on the literature review of published studies and expert opinion for COVID-19 vaccination in IMRD patients. Noteworthy, in the pandemic period, up to the time of the review and the consensus process for this document, high-quality evidence was scarce. Thus, it is not a substitute for clinical judgment.

https://doi.org/10.1186/s42358-022-00234-7

UM ESTADO DO CONHECIMENTO SOBRE A ÁLGEBRA NO ENSINO ELEMENTAR ESTADUNIDENSE
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Rodriguês, Jeremias Stein

; Godoi, Anieli Joana de

; Costa, David Antonio da

Cadernos CEDES

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dec 2021, Volume 41 N. 115 Pages 197 - 214

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

RESUMO Em 1905, um estudo sobre a reestruturação do ensino elementar estadunidense é publicado na revista Educational Review, apontando a necessidade de uma álgebra neste nível escolar. Um estado do conhecimento histórico acerca desse tema na revista foi realizado, com base na perspectiva das humanidades digitais, utilizando o software IRaMuTeQ. A álgebra foi o foco na busca por publicações, a partir da seleção e da análise dos textos com o software. Observou-se um movimento a favor de um ensino centrado em equações e sistemas lineares, aplicados a problemas complexos de aritmética.

ABSTRACT In 1905, a study on the reform of the American elementary education is published in the journal Educational Review, pointing out the need for an algebra at the elementary school. A historical state of knowledge about this theme in the Educational Review was made, based in the perspective of digital humanities, using the IRaMuTeQ. Algebra was the focus in the search on the journal, from the selection and analysis of the texts with the software. A movement in favor of teaching based on equations and linear systems, applied to complex problems of arithmetic, was observed.

https://doi.org/10.1590/cc245630 178 downloads

Effect of transient obstructive cholestasis on liver histology: a cross-sectional study
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Mitsunaga, Thalita Mendes

; Jimenez, Laísa Simakawa

; Soares, Pedro França da Costa

; Gestic, Martinho Antonio

; Utrini, Murillo Pimentel

; Chaim, Felipe David Mendonça

; Callejas-Neto, Francisco

; Chaim, Elinton Adami

; Cazzo, Everton

Sao Paulo Medical Journal

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aug 2021, Volume 139 N. 4 Pages 351 - 363

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: The role of transient obstructive cholestasis on liver histology remains undetermined. OBJECTIVE: To investigate whether transient cholestasis impairs liver histology. DESIGN AND SETTING: Cross-sectional study at a public university hospital (UNICAMP), Brazil. METHODS: 169 individuals undergoing cholecystectomy, with or without cholestasis. were enrolled. Histopathological findings were correlated with clinical and biochemical characteristics. RESULTS: Biliary hepatopathy was more frequent in individuals with resolved cholestasis than in those with active obstruction or no jaundice (P < 0.01), as also were fibrosis and ductular proliferation (P = 0.02). Cholestasis was commoner in individuals with resolved obstruction than in those with no history (P < 0.01) or active cholestasis (P < 0.05). Biliary hepatopathy was associated with longer duration of cholestasis (P < 0.001) and higher bilirubin levels (P = 0.02) in individuals with active obstruction; with lower body mass index (P = 0.02) and longer cholestasis (P < 0.001) in individuals with resolved obstruction; and with longer cholestasis (P < 0.001) and longer interval between endoscopic retrograde cholangiopancreatography and surgery (P = 0.03) overall. In individuals with active obstruction, duration of cholestasis (R = 0.7; P < 0.001) and bilirubin levels (R = 0.6; P = 0.004) were independently correlated with cholestasis severity. Duration of cholestasis (R = 0.7; P < 0.001) was independently correlated with ductular proliferation severity. CONCLUSIONS: Transient cholestasis was associated with significant histopathological changes, even after its resolution. Longer duration of obstruction correlated with greater severity of histopathological changes, especially cholestasis and ductular proliferation. This emphasizes the need for early treatment of obstructive cholestasis.

https://doi.org/10.1590/1516-3180.2020.0536.r1.1502021 4 downloads

Human cornea conservation in coconut water solution
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Cid, David Antonio Camelo

; Araújo, Marília Cavalcante

; Passos, Márcia Vitorino Sampaio

; Brasil, Ivelise Regina Canito

; Nunes, José Ferreira

; Salgueiro, Cristiane Clemente de Melo

; Nogueira, Sávio Carvalho

; Costa, Dácio Carvalho

Arquivos Brasileiros de Oftalmologia

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apr 2021, Volume 84 N. 2 Pages 163 - 169

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

RESUMO Objetivos: As características físico-químicas e o baixo custo da água de coco foram fundamentais para o este estudo. Analisar o uso de solução a base de água de coco como meio de conservação de córneas humanas em banco de olhos. Métodos: Estudo experimental e controlado realizado no Banco de Olhos do Hospital Geral de Fortaleza. Utilizou-se solução à base de água de coco preparada no laboratório de Tecnologia de Sêmen de Caprinos do Departamento de Medicina Veterinária da Universidade Estadual do Ceará. Foram usadas córneas de descartes divididas em dois grupos: G1 (Conservante com água de coco) - grupo experimental e G2 (grupo Conservante com OPTISOL GS®) grupo controle, em experimentos sequenciais. A osmolaridade do G1 foi analisada sequencialmente com 275, 300, 325, 345, 365 e 400 mOsm/L. A viabilidade das córneas foram realizadas por microscopia especular e biomicroscopia nos 1º, 3º e 7º dias. Resultados: As córneas em solução de 365 e 345 mOsm/L apresentavam transparência nos 8mm centrais até o 3º dia, com edema em toda periferia, dobras centrais e edema 2+, com perda parcial do epitélio até 7º dia, sendo o de maior osmolaridade com melhor transparência durante o seguimento. Grupo com 275, 300 e 400 mOsm/L, córnea opaca, edema difuso, perda total do epitélio no 3º dia. As córneas em Optisol mantiveram seus aspectos. Conclusões: O conservante à base de água de coco manteve em parte a transparência corneana e a integridade epitelial, especialmente nos primeiros 3 dias de seguimento. A solução conservante com água de coco nas formulações utilizadas não se mostrou eficaz para o uso em banco de olhos humanos.

ABSTRACT Purpose: The aim of this study was to evaluate the physical and chemical characteristics of coconut water and to analyze the use of coconut water solution for the conservation of human corneas. Methods: This was an experimental and controlled study performed at the Eye Bank of the General Hospital of Fortaleza. The coconut water-based solution was prepared at the Goat Seed Technology Laboratory of the Department of Veterinary Medicine of the State University of Ceará. Discarded corneas from the Eye Bank were divided into two groups for sequential experiments: G1, coconut water-based solution (experimental group), and G2, conservative treatment with OPTISOL GS® (control group). The osmolality of corneas in G1 was analyzed sequentially at 275, 300, 325, 345, 365, and 400 mOsm/L. The viability of the corneas was determined by specular microscopy and biomicroscopy on the first, third, and seventh days. Results: Corneas preserved in a solution of 365 and 345 mOsm/L had a transparency of 8 mm until the third day and had diffuse edema in the periphery, central folds, and partial epithelium loss until the seventh day. The 365-mOsm/L solution was associated with the worst results during follow-up. Corneas placed in Optisol-GS retained their original aspects. Conclusions: Coconut water-based preservative partially maintained corneal transparency and epithelial integrity, especially during the first three days of follow-up. The coconut water-based solutions used were not effective for use as preservatives in a human eye bank.

https://doi.org/10.5935/0004-2749.20210027 499 downloads

El miedo en la narrativa fantástica IT: un análisis literario y cinematográfico
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Sales Araújo, Naiara

; Moraes Costa, Jose Antonio

La Palabra

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mar 2021, N. 40 elocation e104

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

Resumen El presente estudio tiene como objetivo analizar la manifestación del miedo en la narrativa fantástica, tanto en la literatura como en el cine. Los temas sobrenaturales son una constante en la prosa de ficción, proporcionando un aumento en los estudios sobre la relación entre el miedo y las narrativas fantásticas. Así, este estudio se basa en la erudición literaria de Yi-Fu Tuan (2005), Stephen King (2013), David Roas (2014), Marcel Martin (2003) y Jacques Aumont (2013). En cuanto a la metodología, se adopta un modelo de análisis de contenido con enfoque bibliográfico, exploratorio y cualitativo. La novela, como narrativa fantástica, desestabiliza nuestras fuentes de seguridad al cuestionar la validez de los sistemas y creencias creados e impuestos a la humanidad. Los resultados ilustran cómo el género fantástico se ha caracterizado por presentarnos fenómenos y situaciones que señalan una transgresión de nuestra realidad. Esta ruptura con lo real es, por tanto, un efecto fundamental de las narrativas fantásticas que también se han explorado en las narrativas cinematográficas.

Abstract The present study aims to analyze the manifestation of fear in the fantastic narrative It, in both literature and cinema. Supernatural themes are a constant in fictional prose, providing an increase in studies on the relationship between fear and fantastic narratives. As theoretical support, we build on the literary scholarship of Yi-Fu Tuan (2005), Stephen King (2013), David Roas (2014), Marcel Martin (2003) and Jacques Aumont (2013). As for methodology, a content analysis model is adopted in a bibliographic, exploratory and qualitative approach. It, A novel, as a fantastic narrative, destabilizes our sources of security by questioning the validity of the systems and beliefs created by and imposed upon on humanity. The results illustrate how the fantastic genre has been characterized as presenting us phenomena and situations that signal a transgression of our reality. This rupture with the real is, therefore, a fundamental effect of fantastic narratives which have also been explored in cinematic narratives.

Resumo O presente estudo tem como objetivo analisar a manifestação do medo na narrativa fantástica, tanto na literatura quando no cinema. Os temas sobrenaturais são uma constante na prosa de ficção, contribuindo ao acréscimo dos estudos acerca da relação entre o medo e as narrativas fantásticas. Assim, o estudo é baseado na erudição literária de Yi-Fu Tuan (2005), Stephen King (2013), David Roas (2014), Marcel Martin (2003) e Jacques Aumont (2013). No concernente à metodologia, é usado um modelo de análise de conteúdo com foco bibliográfico, exploratório e qualitativo. O romance, como narrativa fantástica, desestabiliza as nossas fontes de segurança ao questionar a validez dos sistemas e crenças criados e impostos à humanidade. Os resultados expõem como o gênero fantástico tem se caracterizado por nos apresentar fenômenos e situações que apontam uma transgressão da nossa realidade. Essa quebra com o real é, por tanto, um efeito fundamental das narrativas fantásticas, que também têm sido exploradas nas narrativas cinematográficas.

https://doi.org/10.19053/01218530.n40.2021.12534 37 downloads

10.

Implications for Clinical Practice from a Multicenter Survey of Heart Failure Management Centers
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Bocchi, Edimar Alcides

; Moreira, Henrique Turin

; Nakamuta, Juliana Sanajotti

; Simões, Marcus Vinicius

; Casas, Alberto de Almeida Las

; Costa, Altamiro Reis da

; Assis, Amberson Vieira de

; Durães, André Rodrigues

; Pereira-Barretto, Antonio Carlos

; Ravessa, Antonio Delduque de Araujo

; Macedo, Ariane Vieira Scarlatelli

; Biselli, Bruno

; Pinto, Carolina Maria Nogueira

; Filho, Conrado Roberto Hoffmann

; Costantini, Costantino Roberto

; Almeida, Dirceu Rodrigues

; Santos Jr, Edval Gomes dos

; Soliva Junior, Erwin

; Figueiredo, Estevão Lanna

; Albuquerque, Felipe Neves de

; Paulitsch, Felipe

; Neuenschwander, Fernando Carvalho

; Figueiredo Neto, José Albuquerque de

; Brito, Flavio de Souza

; Lopes, Heno Ferreira

; Villacorta, Humberto

; Souza Neto, João David de

; Sepulveda, João Mariano

; Ayoub, José Carlos Aidar

; Vilela-Martin, José F.

; Cardoso, Juliano Novaes

; Uemura, Laercio

; Moura, Lidia Zytynski

; Maia, Lilia Nigro

; Oliveira, Lucia Brandão de

; Maia, Lucimir

; Silva, Luís Beck da

; Gowdak, Luís Henrique Wolff

; Danzmann, Luiz Claudio

; Andrade, Marcus

; Braile-Sternieri, Maria Christiane Valeria Braga

; Moreira, Maria da Consolação Vieira

; França Neto, Olimpio R

; Filho, Otavio Rizzi Coelho

; Esteves, Paulo Frederico

; Raupp-da-Rosa, Priscila

; Silva, Ricardo Jorge de Queiroz e

; Mourilhe-Rocha, Ricardo

; Viégas, Ruy Felipe Melo

; Rassi, Salvador

; Mangili, Sandrigo

; Kaiser, Sergio Emanuel

; Martins, Silvia Marinho

; Kawabata, Vitor Sergio

Clinics

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2021, Volume 76 elocation e1991

Abstract: En | Text: En | PDF: En

OBJECTIVES: This observational, cross-sectional study based aimed to test whether heart failure (HF)-disease management program (DMP) components are influencing care and clinical decision-making in Brazil. METHODS: The survey respondents were cardiologists recommended by experts in the field and invited to participate in the survey via printed form or email. The survey consisted of 29 questions addressing site demographics, public versus private infrastructure, HF baseline data of patients, clinical management of HF, performance indicators, and perceptions about HF treatment. RESULTS: Data were obtained from 98 centers (58% public and 42% private practice) distributed across Brazil. Public HF-DMPs compared to private HF-DMP were associated with a higher percentage of HF-DMP-dedicated services (79% vs 24%; OR: 12, 95% CI: 94-34), multidisciplinary HF (MHF)-DMP [84% vs 65%; OR: 3; 95% CI: 1-8), HF educational programs (49% vs 18%; OR: 4; 95% CI: 1-2), written instructions before hospital discharge (83% vs 76%; OR: 1; 95% CI: 0-5), rehabilitation (69% vs 39%; OR: 3; 95% CI: 1-9), monitoring (44% vs 29%; OR: 2; 95% CI: 1-5), guideline-directed medical therapy-HF use (94% vs 85%; OR: 3; 95% CI: 0-15), and less B-type natriuretic peptide (BNP) dosage (73% vs 88%; OR: 3; 95% CI: 1-9), and key performance indicators (37% vs 60%; OR: 3; 95% CI: 1-7). In comparison to non- MHF-DMP, MHF-DMP was associated with more educational initiatives (42% vs 6%; OR: 12; 95% CI: 1-97), written instructions (83% vs 68%; OR: 2: 95% CI: 1-7), rehabilitation (69% vs 17%; OR: 11; 95% CI: 3-44), monitoring (47% vs 6%; OR: 14; 95% CI: 2-115), GDMT-HF (92% vs 83%; OR: 3; 95% CI: 0-15). In addition, there were less use of BNP as a biomarker (70% vs 84%; OR: 2; 95% CI: 1-8) and key performance indicators (35% vs 51%; OR: 2; 95% CI: 91,6) in the non-MHF group. Physicians considered changing or introducing new medications mostly when patients were hospitalized or when observing worsening disease and/or symptoms. Adherence to drug treatment and non-drug treatment factors were the greatest medical problems associated with HF treatment. CONCLUSION: HF-DMPs are highly heterogeneous. New strategies for HF care should consider the present study highlights and clinical decision-making processes to improve HF patient care.

https://doi.org/10.6061/clinics/2021/e1991 870 downloads

11.

EQUIDIFFERENÇA E PROPORÇÃO: QUAL A RELAÇÃO DESTES CONTEÚDOS COM O ENSINO DE ÁLGEBRA NA INSTRUÇÃO ELEMENTAR DO FINAL DO SÉCULO XIX E INÍCIO DO SÉCULO XX?
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Rodriguês, Jeremias Stein

; Costa, David Antonio da

História da Educação

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2021, Volume 25 elocation e102348

Resumo Este texto problematiza relações do ensino de equidifferença e proporção com outros conteúdos no ensino elementar. A partir de base teórico metodológica da história cultural foram analisados livros didáticos do final do século XIX e início do século XX e dois relatórios estadunidenses. Observou-se a relação destes conteúdos com o tema de progressões e saberes algébricos, sem que estes se estabelecessem como uma preparação para a abordagem da Álgebra no ensino secundário.

Abstract This text problematizes the relations between the teaching of equidifference and proportion with other contents of the elementary education. From the theoretical and methodological basis of cultural history, textbooks from the late 19th and early 20th centuries and two American reports were analyzed. The relation of these contents with progressions and algebraic knowledge was observed, without these being established as a preparation for the approach to Algebra in secondary education.

Resumen Este texto problematiza las relaciones entre la enseñanza de la equidifferencia y la proporción con otros contenidos en educación primaria. Com la base teórica y metodológica de la historia cultural, se analizaron libros de texto de finales del siglo XIX y principios del siglo XX y de los informes estadounidenses. Se observó la relación de estos contenidos con el tema de las progresiones y el conocimiento algebraico, sin que estos se establecen como una preparación para el enfoque de la álgebra en la educación secundaria.

Résumé Ce texte problématise la relation entre l'enseignement de l'équidiférence et la proportion avec les autres contenus de l'enseignement élémentaire. Les manuels scolaires de la fin du XIXe siècle et du début du XXe siècle, ainsi que deux rapports américains, ont été analyses d'un point de vue théorique et méthodologique de l'histoire culturelle. On peut voir la relation de ces contenus avec le thème des progressions et des connaissances algébriques, sans ces s'imposer comme une préparation pour approche l'Algèbre dans l'éducation secondaire.

https://doi.org/10.1590/2236-3459/102348 177 downloads

12.

Morphological diagnosis of Setaria labiatopapillosa in domestic bovids from Marajó Island, Brazil
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Rodrigues, Rogério Antonio Ribeiro

; Conga, David Marcial Fernandez

; Santos, Jeannie Nascimento dos

; Gonçalves, Evonnildo Costa

; Pinheiro, Raul Henrique da Silva

; Giese, Elane Guerreiro

Revista Brasileira de Parasitologia Veterinária

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2021, Volume 30 N. 3 elocation e004321

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

Resumo O gênero Setaria é mundialmente conhecido parasitando mamíferos selvagens e domésticos, sendo registradas 43 espécies, das quais cinco ocorrem no continente americano. Este estudo objetivou caracterizar a ocorrência, morfologia e morfometria de S. labiatopapillosa em B. taurus e B. bubalis na Ilha de Marajó, Brasil. Foram realizadas inspeções de carcaça de 420 bovinos em dois abatedouros no Pará. Os nematódeos foram encontrados sobre as vísceras brancas e serosa do intestino delgado, sendo limpos e conversados para análise por microscopia de luz e microscopia eletrônica de varredura. As características morfológicas e morfométricas são compatíveis com S. labiatopapillosa parasitando ambas as espécies, com prevalência de 25% (B. bubalis) e 24% (B. taurus). Informações obtidas por microscopia eletrônica de varredura foram adicionadas à descrição da espécie, além de ampliar a distribuição desse parasito no território nacional.

Abstract The genus Setaria is known worldwide for parasiting wild and domestic mammals, with 43 species registered, of which five occur in the American continent. The objective of this study was to characterize the occurrence, morphology and morphometry of S. labiatopapillosa in B. taurus and B. bubalis in Marajó Island, Brazil. Carcass inspections of 420 cattle were carried out in two slaughterhouses in Pará. The nematodes were found on the white and serous viscera of the small intestine, being cleaned and discussed for analysis by light microscopy and scanning electron microscopy. The morphological and morphometric characteristics are compatible with S. labiatopapillosa parasitizing both species, with a prevalence of 25% (B. bubalis) and 24% (B. taurus). Information obtained by scanning electron microscopy was added to the description of the species, in addition to expanding the distribution of this parasite in the national territory.

https://doi.org/10.1590/s1984-29612021055 207 downloads

13.

A formação de professores do ensino elementar segundo a Comissão dos quinze: forma escolar e os saberes para ensinar
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Rodriguês, Jeremias Stein

; Costa, David Antonio da

Educar em Revista

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2021, Volume 37 elocation e75114

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

RESUMO Ao fim do século XIX é proposto pela Comissão dos quinze uma reforma para o ensino elementar estadunidense, na qual se encontram também recomendações para a reestruturação da formação de professores naquele país. A partir da análise do relatório elaborado acerca deste tema, buscou-se caracterizar o modelo de forma escolar que se sobressai segundo a proposta, bem como identificar os saberes que deveriam servir de “ferramenta”, chamados aqui de saberes para ensinar, para os futuros professores norte-americanos. Deste modo, os conceitos de forma escolar (VINCENT; LAHIRE; THIN, 2001), saberes para ensinar (HOFSTETTER; SCHNEUWLY, 2017) e a objetivação de saberes se constituem como base teórica e metodológica neste trabalho. Por fim, foi possível observar que a proposta elaborada pela Comissão dos quinze para a formação de professores estabelece esta sobre dois eixos: teórica acadêmica e analítica prática. O primeiro eixo, ligado aos saberes das ciências, objeto do ensino, e dos saberes referentes aos processos pedagógicos, ao âmbito escolar e metodologias de ensino. Neste eixo são destacados saberes para ensinar já objetivados, adquiridos por estudos teóricos. O segundo eixo tem como foco a observação do “bom ensino” e da prática da docência, sendo em ambos momentos acompanhados pela orientação dos mais experientes. É possível inferir que tais saberes não poderiam ser transmitidos de outra forma, ressaltando assim um estágio ainda muito inicial de objetivação destes saberes.

ABSTRACT At the end of the 19th century it is proposed by the Committee of fifteen a reform to the elementary education of the United States, in which it can be seen recommendations to the modification of the teachers’ training in that country. From the analysis of the report made about the topic, we sought to characterize the model of the school form that stands out according to the proposal, as well as to identify the knowledge that should serve as a “tool”, here called knowledge for teaching, for future North American teachers. This way, the concepts of school form (VINCENT; LAHIRE; THIN, 2001), knowledge for teaching (HOFSTETTER; SCHNEUWLY, 2017) and the objectification of knowledge constitute a theoretical and methodological basis in this work. Finally, it was possible to observe that the proposal elaborated by the Committee of fifteen for the teachers’ training establishes an education in two axes: theoretical academic and analytical practical. The first axis, linked to the knowledge of the sciences, that are the object of teaching, and the knowledge referring to pedagogical processes, the school environment and teaching methodologies. In this axis, knowledge for teaching already objectified, acquired by theoretical studies, are highlighted. The second axis focuses on the observation of “good teaching” and the practice of teaching, both being accompanied by guidance from the most experienced. It is possible to infer that such knowledge could not be transmitted in any other way, thus highlighting a still very early stage of objectifying this knowledge.

https://doi.org/10.1590/0104-4060.75114 191 downloads

14.

Autopercepção negativa da saúde: prevalência e fatores associados entre idosos assistidos em centro de referência
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Carneiro, Jair Almeida

; Gomes, Caio Augusto Dias

; Durães, Weliton

; Jesus, David Rodrigues de

; Chaves, Keitlen Lara Leandro

; Lima, Cássio de Almeida

; Costa, Fernanda Marques da

; Caldeira, Antônio Prates

Ciência & Saúde Coletiva

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mar 2020, Volume 25 N. 3 Pages 909 - 918

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

Resumo A autopercepção do estado de saúde constitui relevante construto para a análise das condições de saúde da população idosa e deve ser reconhecida como instrumento norteador de ações de promoção da saúde. Objetivou-se verificar a prevalência e os fatores associados à autopercepção negativa da saúde em idosos assistidos em serviço de referência. Pesquisa transversal analítica, realizada em 2015, com amostra por conveniência. Investigou-se a associação entre autopercepção negativa da saúde e variáveis sociodemográficas e relacionadas à saúde. Para averiguar as variáveis associadas ao desfecho, processaram-se análises bivariadas, seguidas de análise múltipla por Regressão de Poisson. Foram avaliados 360 idosos. A prevalência de autopercepção negativa da saúde foi de 60,5%. No modelo final, identificaram-se os fatores associados: idade na faixa de 65 a 79 anos (RP=1; IC95%=0,648-0,974; p=0,027); fragilidade (RP=1,28; IC95%=1,07-1,54; p=0,007); sintomas depressivos (RP=1,40; IC95%=1,19-1,67; p=0,000); prestar cuidados a alguém (RP=1,49; IC95%=1,18-1,88; p=0,001). A elevada prevalência de autopercepção negativa da saúde e os fatores associados indicam a necessidade de ações efetivas de promoção da saúde e cuidados mais específicos aos idosos assistidos no centro de referência.

Abstract The negative self-perception of health is a relevant construct for the analysis of the elderly population health conditions and should be recognized as a guiding tool for health promotion actions. We aimed to verify the prevalence and the associated factors to a negative self-perception of health by elderly assisted in a reference center. This is an analytical cross-sectional study with convenience sampling conducted in 2015. The negative self-perception association with health-related sociodemographic variables was investigated. Bivariate analysis followed by multiple analysis by Poisson regression was performed to verify the variables associated with the outcome. Three hundred sixty elderly were evaluated. The negative self-perception of health prevalence was 60.5%. The following associated factors were identified in the final model: age range 65-79 years (PR=1; CI95%=0.648-0.974; p=0.027); frailty (PR=1.28; CI95%=1.07-1.54; p=0.007); depressive symptoms (PR=1.40; CI95%=1.19-1.67; p=0.000); and providing care to someone (PR=1.49; CI95%=1.18-1.88; p=0.001). The elevated prevalence of negative self-perception of health and the associated factors point to the need for effective health promotion actions and more specific care for the elderly assisted in the reference center.

https://doi.org/10.1590/1413-81232020253.16402018 1665 downloads

15.

Autopercepção negativa da saúde: prevalência e fatores associados entre idosos assistidos em centro de referência
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Carneiro, Jair Almeida

; Gomes, Caio Augusto Dias

; Durães, Weliton

; Jesus, David Rodrigues de

; Chaves, Keitlen Lara Leandro

; Lima, Cássio de Almeida

; Costa, Fernanda Marques da

; Caldeira, Antônio Prates

Ciência & Saúde Coletiva

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2020, Volume 25 N. 3 Pages 909 - 918

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

https://doi.org/10.1590/1413-81232020253.16402018

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