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ABSTRACT The present study aimed to verify whether the inclusion of other ingredients in the diet of laying hens could interfere with the traceability of bovine meat and bone meal (BMBM) in eggs through stable carbon and nitrogen isotope analysis. Two hundred and fifty-six white laying hens were used and randomly distributed into eight treatments composed of: CONTROL: control diet; GLUTEN: control diet + corn gluten; YEAST: control diet + yeast; GLUTEN + YEAST: control diet + corn gluten + yeast; BMBM: control diet + 4.5 % BMBM; BMBM + GLUTEN: control diet + corn gluten + 4.5 % BMBM; BMBM + YEAST: control diet + yeast + 4.5 % BMBM; BMBM + GLUTEN + YEAST: control diet + corn gluten + yeast + 4.5 % BMBM. The isotopic results were subjected to multivariate analysis of variance (MANOVA) and LDA multivariate linear discriminant analysis. At 28 days, the eggs of the birds given diets without the addition of BMBM differed from the CONTROL group. The yolks showed that all treatments were significantly different from the CONTROL, and at 56 days, all eggs and egg yolks were different from the CONTROL. At 28 days, albumen was significantly different for all CONTROL experimental treatments; however, at 56 days, the YEAST treatment showed no difference from the control. Thus, it was concluded that even with the addition of other ingredients, the isotope technique is still able to detect the BMBM in eggs.

https://doi.org/10.1590/1678-992x-2019-0301

Os condicionantes institucionais e sociais do recrutamento da elite política do cooperativismo agroindustrial
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Costa, Paulo Roberto Neves

; Stöberl, Paulo Roberto

Revista de Economia e Sociologia Rural

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2022, Volume 60 N. 3 elocation e232252

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

Abstract: This article analyses the recruitment process of the leaders of the political representative entity of business cooperativism, which compose what we call the cooperative elite. The object is the Union and Organization of Cooperatives of Paraná State (OCEPAR) in the last two decades. The research considered, on one hand, the institutional constraints, external and internal to this entity, and, on the other hand, the social aspects of the members of this elite. In addition to the production of analytical categories able to deal with the particularities of this elite, we used Brazilian legislation on cooperatives, some economic data, documents from OCEPAR and other cooperative entities, and interviews. We found that the institutional aspects of business cooperativism and the social characteristics of this entity’s leaders help to explain why presidents of the largest agro-industrial cooperatives occupy the majority of the OCEPAR board constituting a channel of political power between such cooperatives and the entity and the latter with the political institutions and authorities. Therefore, we verify that some institutional and social aspects strongly impact the recruitment of this cooperative elite and the constitution of the agro-industrial cooperativism as a political actor, a dimension of great relevance for addressing its economic importance.

Resumo: Este artigo analisa o processo de recrutamento dos dirigentes da entidade de representação política do cooperativismo empresarial, os quais compõem o que chamamos de elite cooperativista. O objeto é o Sindicato e Organização das Cooperativas do Estado do Paraná (OCEPAR) nas duas últimas décadas. A pesquisa considerou, de um lado, os condicionantes institucionais, externos e internos a esta entidade e, de outro, os aspectos sociais dos membros desta elite. Além da produção de categorias analíticas que deem conta das particularidades desta elite, foram utilizados a legislação brasileira relativa ao cooperativismo, dados econômicos, documentos da OCEPAR e de outras entidades do cooperativismo e entrevistas. Constatamos que os aspectos institucionais do cooperativismo empresarial e as características sociais dos dirigentes desta entidade ajudam a explicar o fato de os presidentes das maiores cooperativas agroindustriais ocuparem de forma majoritária a diretoria da OCEPAR e, assim, se constituírem enquanto um canal de poder político entre tais cooperativas e a entidade, e desta com as autoridades e instituições políticas. Portanto, verificamos que alguns aspectos institucionais e sociais impactam fortemente o recrutamento desta elite cooperativista e, assim, a constituição do cooperativismo agroindustrial enquanto ator político, dimensão de grande relevância para tratarmos da sua importância econômica.

https://doi.org/10.1590/1806-9479.2021.232252

Representações sociais de adolescentes sobre a transmissão do HIV/AIDS nas relações sexuais: vulnerabilidades e riscos
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Garcia, Esmelsy Cabrera

; Costa, Ivoneide Ribeiro

; Oliveira, Regina Celia de

; Silva, Carlos Roberto Lyra da

; Góis, Amanda Regina da Silva

; Abrão, Fátima Maria da Silva

Escola Anna Nery

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2022, Volume 26 elocation e20210083

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

RESUMEN Objetivo comprender las representaciones sociales de adolescentes acerca de las vulnerabilidades y riesgos de contraer el VIH/SIDA en relaciones sexuales. Método estudio de representaciones sociales realizado a partir de entrevistas individuales con 15 adolescentes y un grupo focal con ocho adolescentes de una escuela pública en Recife, Pernambuco, Brasil. Los datos se recolectaron entre mayo y octubre de 2016. Para el tratamiento de los datos, se utilizó la técnica de análisis de contenido temático-categórico, con la ayuda del software QSR Nvivo11. Resultados las categorías riesgos de contraer el VIH/SIDA en las relaciones sexuales; y de los riesgos de contraer el VIH/SIDA en las relaciones sexuales a las vulnerabilidades que cubren los temas de no usar condón, haber consumido alcohol y/o drogas, tener varios pares, tener dificultades para acceder a los servicios de salud y de educación sexual en las escuelas; y no tener conversaciones con los padres o miembros de la familia. Conclusión e implicaciones para la práctica se entendió que las representaciones sociales circulan en el imaginario y en el ámbito escolar, interfiriendo en la realidad de los adolescentes. Se propone priorizar políticas públicas enfocadas en las dimensiones emocionales, afectivas y sociales.

RESUMO Objetivo compreender as representações sociais de adolescentes sobre vulnerabilidades e riscos para contrair o HIV/Aids nas relações sexuais. Método estudo de representações sociais, realizado a partir de entrevistas individuais com 15 adolescentes e grupo focal com oito adolescentes de uma escola pública do Recife, Pernambuco, Brasil. Os dados foram coletados no período de maio a outubro de 2016. Para tratamento dos dados, empregou-se a técnica de análise de conteúdo temática-categorial com o auxílio do Software QSR Nvivo11. Resultados as categorias: riscos de contrair HIV/Aids nas relações sexuais; e dos riscos de contrair HIV/Aids nas relações sexuais às vulnerabilidades abrigam os temas não usar preservativo, ter usado álcool e/ou drogas, ter vários parceiros, ter dificuldades de acesso aos serviços de saúde e de educação sexual nas escolas; e não ter conversas com os pais ou familiares. Conclusão e implicações para a prática compreendeu-se que as representações sociais circulam no imaginário e no ambiente escolar, interferindo na realidade dos adolescentes. Propõe-se priorizar políticas públicas focadas nas dimensões emocionais, afetivas e sociais.

ABSTRACT Objective To understand social representations of adolescents about vulnerabilities and risks of contracting HIV/AIDS in sexual relations. Method Study of social representations, based on individual interviews with 15 adolescents and a focus group with eight adolescents from a public school in Recife, Pernambuco, Brazil. Data were collected from May to October 2016. For the processing of data, the thematic-categorial content analysis technique was used with the aid of the QSR Nvivo11 Software. Results The categories: risks of contracting HIV/AIDS in sexual relations; and from the risks of contracting HIV/AIDS in sexual relations to the vulnerabilities cover the themes of not using condoms, having used alcohol and/or drugs, having several partners, having difficulties in accessing health and sex education services in schools; and not having conversations with parents or family members. Conclusion and implications for practice it was understood that social representations circulate in the imaginary and in the school environment, interfering in the reality of adolescents. It is proposed to prioritize public policies focused on the emotional, affective and social dimensions.

https://doi.org/10.1590/2177-9465-ean-2021-0083

Characteristics volatiles of cassava flours and their relationship to parameters other, process and geographical origin: a preliminary study
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Pascoal, Diego Roberto da Cunha

; Moura, Lídia Eloy

; Silva, Jaff Ribeiro da

; Assis, Denilson de Jesus

; Costa, Samantha Serra

; Druzian, Janice Izabel

Food Science and Technology

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2022, N. ahead

Abstract: En | Text: En | PDF: En

Abstract The aim of this study was the physicochemical characterization of traditional cassava flours from Copioba Valley in Reconcavo Baiano (Northeast Brazil). Samples were collected in flour houses and analyzed by official methods of proximate composition and chromatography and spectroscopy for fatty acids and volatile compounds. Regardless of geographical origin (inside and outside the Valley) and processing type (Copioba and Common flour), there were no significant differences in water activity, ash, crude protein, starch, carbohydrates or acidity. By contrast, significant differences were observed in moisture, particle size, total lipids, palmitic acid and volatile compounds, mainly nonanal. Discriminant classification by principal component analysis according to origin and processing was obtained using this differentiation. These parameters are important for associations of reputation, authenticity and differentiation with the Protected Geographical Indication of Copioba cassava flours.

https://doi.org/10.1590/fst.80221

COVID-19 in the Perioperative Period of Cardiovascular Surgery: the Brazilian Experience
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Gomes, Walter J.

; Rocco, Isadora

; Pimentel, Wallace S.

; Pinheiro, Aislan H. B.

; Souza, Paulo M. S.

; Costa, Luiz A. A.

; Teixeira, Marjory M. P.

; Ohashi, Leonardo P.

; Bublitz, Caroline

; Begot, Isis

; Moreira, Rita Simone L

; Hossne Jr, Nelson A.

; Vargas, Guilherme F.

; Branco, João Nelson R.

; Teles, Carlos A.

; Medeiros, Eduardo A. S.

; Sáfadi, Camila

; Rampinelli, Amândio

; Moratelli Neto, Leopoldo

; Rosado, Anderson Rosa

; Mesacasa, Franciele Kuhn

; Capriata, Ismael Escobar

; Segalote, Rodrigo Coelho

; Palmieri, Deborah Louize da Rocha Vianna

; Jardim, Amanda Cristina Mendes

; Vianna, Diego Sarty

; Coutinho, Joaquim Henrique de Souza Aguiar

; Jazbik, João Carlos

; Coutinho, Henrique Madureira da Rocha

; Kikuta, Gustavo

; Almeida, Zely Sant'Anna Marotti de

; Feguri, Gibran Roder

; Lima, Paulo Ruiz Lucio de

; Franco, Anna Carolina

; Borges, Danilo de Cerqueira

; Cruz, Felipe Ramos Honorato De La

; Croti, Ulisses Alexandre

; Borim, Bruna Cury

; Marchi, Carlos Henrique De

; Goraieb, Lilian

; Postigo, Karolyne Barroca Sanches

; Jucá, Fabiano Gonçalves

; Oliveira, Fátima Rosane de Almeida

; Souza, Rafael Bezerra de

; Zilli, Alexandre Cabral

; Mas, Raul Gaston Sanchez

; Bettiati Junior, Luiz Carlos

; Tranchesi, Ricardo

; Bertini Jr, Ayrton

; Franco, Leandro Vieira

; Fernandes, Priscila

; Oliveira, Fabiana

; Moraes Jr, Roberto

; Araújo, Thiago Cavalcanti Vila Nova de

; Braga, Otávio Penna

; Pedrosa Sobrinho, Antônio Cavalcanti

; Teixeira, Roberta Tavares Barreto

; Camboim, Irla Lavor Lucena

; Gomes, Eduardo Nascimento

; Reis, Pedro Horigushi

; Garcia, Luara Piovan

; Scorsioni, Nelson Henrique Goes

; Lago, Roberto

; Guizilini, Solange

Brazilian Journal of Cardiovascular Surgery

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dec 2021, Volume 36 N. 6 Pages 725 - 735

Abstract: En | Text: En | PDF: En

Abstract Introduction: We investigated the clinical course and outcomes of patients submitted to cardiovascular surgery in Brazil and who had developed symptoms/signs of coronavirus disease 2019 (COVID-19) in the perioperative period. Methods: A retrospective multicenter study including 104 patients who were allocated in three groups according to time of positive real time reverse transcriptase-polymerase chain reaction (RT-PCR) for the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2): group 1, patients who underwent cardiac surgery > 10 days after positive RT-PCR; group 2, patients with a positive RT-PCR within 10 days before or after surgery; group 3, patients who presented positive RT-PCR > 10 days after surgery. The primary outcome was mortality and secondary outcomes were postoperative complications, intensive care unit (ICU) length of stay, and postoperative days of hospitalization. Results: The three groups were similar with respect to age, the European System of Cardiac Operative Risk Evaluation score, and comorbidities, except hypertension. Postoperative complications and death were significantly higher in groups 2 and 3 than in group 1, and no significant difference between groups 2 and 3 was seen. Group 2 showed a high prevalence of surgery performed as an urgent procedure. Although no significant differences were observed in ICU length of stay, total postoperative hospitalization time was significantly higher in group 3 than in groups 1 and 2. Conclusion: COVID-19 affecting the postoperative period of patients who underwent cardiovascular surgery is associated with a higher rate of morbidity and mortality. Delaying procedures in RT-PCR-positive patients may help reduce risks of perioperative complications and death.

https://doi.org/10.21470/1678-9741-2021-0960

[SciELO Preprints] - Eighteen years in two days: the next steps for remote consultation in Brazil
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Aita Schmitz, Carlos André Rodrigues Gonçalves, Marcelo Nunes Umpierre, Roberto Martins Costa, Manuela Harzheim, Erno Souza da Silva, Rodolfo Goulart Molina-Bastos, Cynthia Ambrosini Mendonça, Marcos Vinícius Katz, Natan

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Publication date: 2021-11-05

Abstract: Es En Pt

Este es un artículo de opinión que tiene como objetivo apoyar la discusión pospandémica de la Enfermedad causada por el Nuevo Coronavirus de 2019 (COVID-19) en cuanto a la regulación de la atención a través de recursos digitales. A través de una revisión de la literatura, se intentó conceptualizar la consulta remota y relevar tanto la evolución histórica de la apropiación tecnológica por parte de la salud como la regulación sobre el tema. Se evaluaron los textos que cubren los períodos prepandémico y pandémico en Brasil, Estados Unidos, la Unión Europea y Australia. Intentamos resaltar las principales falacias, sofismas y disensiones que orbitan el tema, así como los puntos reales donde existe la necesidad de un mayor compromiso de los tomadores de decisiones: seguridad y privacidad de los datos, paridad de reembolso y licencias interestatales. Se concluye que la apropiación tecnológica por parte de la salud ha dividido al mundo en al menos tres segmentos: los que mantenían la autonomía de profesionales y pacientes; los que retrasaron el avance tecnológico a través de la burocracia; y los que prohibieron los avances. La pandemia ha generado reasignaciones positivas entre estos grupos y es necesario perfeccionar el progreso y evitar retrocesos.

This is an opinion article that aims to support the Disease caused by the New Coronavirus of 2019 (COVID-19) post-pandemic regarding the regulation of care through digital resources. Through a literature review, an attempt was made to conceptualize remote consultation and to survey both the historical evolution of technological appropriation by health and the regulation on the subject. Texts covering the pre-pandemic and pandemic periods in Brazil, the United States, the European Union and Australia were evaluated. We tried to highlight the main fallacies, sophisms and dissensions that orbit the theme, as well as the real points where there is a need for greater commitment for decision makers: data security and privacy, reimbursement parity and interstate licensing. It is concluded that the technological appropriation by health has divided the world into at least three segments: those that maintained the autonomy of professionals and patients; those who retarded technological advancement through bureaucracy; and those who forbade advances. The pandemic has generated positive reallocations among these groups and there is a need to refine progress and avoid setbacks.

Este é um artigo de opinião que objetiva subsidiar a discussão pós-pandemia da Doença causada pelo Novo Coronavírus de 2019 (COVID-19) a respeito da regulamentação do atendimento por meio de recursos digitais. Buscou-se, por meio de revisão de literatura, conceituar a consulta remota e fazer um levantamento tanto da evolução histórica da apropriação tecnológica pela saúde como da regulamentação sobre o tema. Foram avaliados textos cobrindo os períodos pré-pandêmico e pandêmico no Brasil, Estados Unidos, União Europeia e Austrália. Procurou-se evidenciar as principais falácias, sofismas e dissensos que orbitam o tema, bem como os reais pontos onde há necessidade de maior empenho para os tomadores de decisão: segurança de dados e privacidade, paridade de reembolso e licenciamento interestadual. Conclui-se que a apropriação tecnológica pela saúde dividiu o mundo em pelo menos três segmentos: os que mantiveram a autonomia de profissionais e pacientes; os que retardaram o avanço tecnológico por meio de burocracia; e os que proibiram os avanços. A pandemia gerou realocações positivas entre esses grupos e existe a necessidade de refinar avanços e evitar retrocessos.

https://doi.org/10.1590/SciELOPreprints.3126

Morphometric Analyses of the Caroticoclinoid and Interclinoid Foramina: A Study in Brazilian Dry Skulls
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de-Oliveira, Kennedy Martinez

; de-Almeida, Valério Landim

; Benevenuto, Gabriel das Chagas

; de-Faria, Gustavo Maia

; Silva, Ana Clara Camillato e

; Costa, Thayná Cristina Ferreira

; de-Oliveira, Daniel Gonçalves

; Bueno, Leonardo Braga

; Rodrigues, Pedro Lucas

; Peixoto, Marcos Túlio Castro

; Gomes, Talita Cardoso

; Oliveira, Maísa de Fátima Satiro

; Gonçalves, Giuliano Roberto

; Grecco, Leandro Henrique

International Journal of Morphology

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oct 2021, Volume 39 N. 5 Pages 1345 - 1352

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

RESUMEN: El foramen caroticoclinoideo (FC) y el foramen interclinoideo (IC) son formaciones variables de la fosa craneal media, que resultan de osificaciones idiopáticas y posiblemente atávicas de los ligamentos caroticoclinoideo e interclinoideo, respectivamente. Estos forámenes están íntimamente asociados topográficamente en diversos grados, dependiendo de sus conformaciones, con los elementos neurovasculares de la región paraclinoidea y tienen importancia clínica y quirúrgica. Así, este estudio, realizado a partir de 38 cráneos secos pertenecientes a la colección compartida de la Universidad Federal de Juiz de Fora, campus Governador Valadares, reveló 11 cráneos (28,95 %) con una de las dos formaciones completas: el FC o el IC, y en 6 cráneos el FC se presentó uni o bilateralmente. Como resultado, el 50 % de estos cráneos presentaba el FC exclusivamente a la derecha (o el 62,5 % del total de forámenes variantes), con un diámetro transversal medio de 4,91 mm y un diámetro anteroposterior medio de 5,8 mm y un área promedio de 22,5 mm2. En cuanto a la FI, los hallazgos se presentaban en 5 cráneos con distribuciones variables entre los procesos clinoides y lateralidades. La longitud media de los puentes óseos en el FI fue de 7,7 mm. En conclusión, el conocimiento anatómico detallado de los forámenes caroticoclinoideo e interclinoideo resulta fundamental para la práctica de procedimientos neuroquirúrgicos, ya que presentan relaciones íntimas en un lugar de alta complejidad estructural.

SUMMARY: The caroticoclinoid (CF) and the interclinoid (IF) foramina are variant formations of the middle cranial fossa, which result from idiopathic and possibly atavistic ossifications of the caroticoclinoid and interclinoid ligaments, respectively. Topographically, these foramina are intimately associated, to varying degrees, depending on their conformations, with the neurovascular elements of the paraclinoid region and have important clinical and surgical significance. Thus, this study, conducted from 38 dry skulls belonging to the shared collection of the Federal University of Juiz de Fora, Governador Valadares campus, revealed 11 skulls (28.95 %) with one of the two complete formations - the caroticoclinoid or the interclinoid, and in 6 skulls the caroticoclinoid foramen occurred uni or bilaterally. As a result, 50 % of these skulls presented the CF exclusively on the right (or 62.5 % of the total number of variant foramina), with an average transverse diameter of 4.91 mm and 5.8 mm AP (anteroposterior) diameter and an average area of 22.5 mm2. Concerning the IF, the findings occurred in 5 skulls with variable distributions between the clinoid processes and lateralities. The average length of the bone bridges in the IF was 7.7 mm. In conclusion, detailed anatomical knowledge of the caroticoclinoid and the interclinoid foramina is fundamental to the practice of neurosurgical procedures, since they have intimate relationships at a location of high structural complexity.

The correct nomenclature of Zirelí sign in the propaedeutics of pityriasis versicolor (in memoriam),
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Veasey, John Verrinder

; Macedo, Priscila Marques de

; Amorim, José Roberto

; Orofino-Costa, Rosane

Anais Brasileiros de Dermatologia

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oct 2021, Volume 96 N. 5 Pages 591 - 594

Abstract: En | Text: En | PDF: En

Abstract Aiming at disclosing the semiotic method used in the diagnosis of pityriasis versicolor, the authors go through the history of the creation of Zirelí sign, describing the method, its usefulness and practicality in dermatological clinical practice, whether public or private, and to give credit to the author of this semiological maneuver, in memoriam.

https://doi.org/10.1016/j.abd.2021.04.004

Impacto da Pandemia por COVID-19 nos Procedimentos Cirúrgicos de Dispositivos Cardíacos Eletrônicos Implantáveis em um Centro de Referência Terciário
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Costa, Roberto

; Silva, Katia Regina da

; Saucedo, Sarah Caroline Martins

; Silva, Laisa Arruda

; Crevelari, Elizabeth Sartori

; Nascimento, Wagner Tadeu Jurevicius

; Silveira, Thiago Gonçalves

; Fiorelli, Alfredo

; Martinelli Filho, Martino

; Jatene, Fabio Biscegli

Arquivos Brasileiros de Cardiologia

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oct 2021, Volume 117 N. 4 Pages 765 - 769

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

https://doi.org/10.36660/abc.20201378

10.

Posicionamento Brasileiro sobre o Uso da Multimodalidade de Imagens na Cardio-Oncologia – 2021
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Melo, Marcelo Dantas Tavares de

; Paiva, Marcelo Goulart

; Santos, Maria Verônica Câmara

; Rochitte, Carlos Eduardo

; Moreira, Valéria de Melo

; Saleh, Mohamed Hassan

; Brandão, Simone Cristina Soares

; Gallafrio, Claudia Cosentino

; Goldwasser, Daniel

; Gripp, Eliza de Almeida

; Piveta, Rafael Bonafim

; Silva, Tonnison Oliveira

; Santo, Thais Harada Campos Espirito

; Ferreira, Waldinai Pereira

; Salemi, Vera Maria Cury

; Cauduro, Sanderson A.

; Barberato, Silvio Henrique

; Lopes, Heloísa M. Christovam

; Pena, José Luiz Barros

; Rached, Heron Rhydan Saad

; Miglioranza, Marcelo Haertel

; Pinheiro, Aurélio Carvalho

; Vrandecic, Bárbara Athayde Linhares Martins

; Cruz, Cecilia Beatriz Bittencourt Viana

; Nomura, César Higa

; Cerbino, Fernanda Mello Erthal

; Costa, Isabela Bispo Santos da Silva

; Coelho Filho, Otavio Rizzi

; Carneiro, Adriano Camargo de Castro

; Burgos, Ursula Maria Moreira Costa

; Fernandes, Juliano Lara

; Uellendahl, Marly

; Calado, Eveline Barros

; Senra, Tiago

; Assunção, Bruna Leal

; Freire, Claudia Maria Vilas

; Martins, Cristiane Nunes

; Sawamura, Karen Saori Shiraishi

; Brito, Márcio Miranda

; Jardim, Maria Fernanda Silva

; Bernardes, Renata Junqueira Moll

; Diógenes, Tereza Cristina

; Vieira, Lucas de Oliveira

; Mesquita, Claudio Tinoco

; Lopes, Rafael Willain

; Segundo Neto, Elry Medeiros Vieira

; Rigo, Letícia

; Marin, Valeska Leite Siqueira

; Santos, Marcelo José

; Grossman, Gabriel Blacher

; Quagliato, Priscila Cestari

; Alcantara, Monica Luiza de

; Teodoro, José Aldo Ribeiro

; Albricker, Ana Cristina Lopes

; Barros, Fanilda Souto

; Amaral, Salomon Israel do

; Porto, Carmen Lúcia Lascasas

; Barros, Marcio Vinícius Lins

; Santos, Simone Nascimento dos

; Cantisano, Armando Luís

; Petisco, Ana Cláudia Gomes Pereira

; Barbosa, José Eduardo Martins

; Veloso, Orlando Carlos Glória

; Spina, Salvador

; Pignatelli, Ricardo

; Hajjar, Ludhmilla Abrahão

; Kalil Filho, Roberto

; Lopes, Marcelo Antônio Cartaxo Queiroga

; Vieira, Marcelo Luiz Campos

; Almeida, André Luiz Cerqueira

Arquivos Brasileiros de Cardiologia

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oct 2021, Volume 117 N. 4 Pages 845 - 909

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

https://doi.org/10.36660/abc.20200266

11.

A capacidade institucional do Setor Saúde e a resposta à COVID-19 em perspectiva global
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Costa, Nilson do Rosário

; Silva, Paulo Roberto Fagundes da

; Lago, Marcos Junqueira do

; Jatobá, Alessandro

Ciência & Saúde Coletiva

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oct 2021, Volume 26 N. 10 Pages 4645 - 4654

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

Abstract This study approaches the Global Health Security Index (GHSI) according to the responses to the first cycle of the COVID-19. The GHSI ranks countries’ institutional capacity to address biological risks. We analyzed data regarding the spread of COVID-19 pandemic in 50 countries to assess the ability of GHSI to anticipate health risks. The lack of vaccination determined the spread of the COVID-19 in the first cycle of the pandemic in 2020. Country indicators are correlated and demonstrated by descriptive statistics. The clustering method groups countries by similar age composition. The main restriction that can be attributed to the GHSI concerns the preference of biomedical variables for measuring institutional capacity. Our work shows that the pandemic had a significant impact on better-prepared countries, according to the GHSI, to control the spread of diseases and offer more access to health care in 2020. This paper points out that the health sector depended on the cooperation of governments in the adoption of social distancing during the first cycle of the pandemic. The GHSI failed to consider the role of political leaders who challenge severe health risks by vetoing social distancing.

Resumo O artigo analisa o Índice da Segurança Sanitária Global (ISSG) à luz das respostas nacionais ao primeiro ciclo da pandemia da COVID-19. O ISSG classifica a capacidade dos países no enfrentamento dos riscos biológicos graves. O artigo examina os dados da pandemia de 50 países para avaliar o poder preditivo do ISSG. A ausência da vacinação determinou difusão da COVID-19 no primeiro ciclo da pandemia em 2020. Os indicadores dos países são correlacionados e demonstrados por estatística descritiva. A metodologia de aglomeração por clusters agrupa os países segundo a similaridade da composição etária. A principal restrição que pode ser atribuída ao ISSG diz respeito ao privilegiamento das variáveis biomédicas para a mensuração da capacidade institucional. O artigo evidencia que, paradoxalmente, o primeiro ciclo da pandemia teve um impacto significativo nos países teoricamente mais preparados, segundo o ISSG, para controlar a disseminação de doenças e oferecer mais acesso à assistência à saúde. O artigo assinala que durante o primeiro ciclo da pandemia, o setor saúde dependeu da cooperação dos governos na adoção do distanciamento social. O ISSG não considerou o papel das lideranças políticas que desafiam o risco sanitário severo por veto às medidas de distanciamento social.

https://doi.org/10.1590/1413-812320212610.11852021

12.

Hesitation regarding the COVID-19 vaccine among medical students in Brazil
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Chaves, Ítalo Emanoel de Sousa

; Brito, Paulo Roberto Pinheiro

; Rodrigues, João Guilherme Bentes de Araújo

; Costa, Milena Silva

; Cândido, Estelita Lima

; Moreira, Maria Rosilene Cândido

Revista da Associação Médica Brasileira

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oct 2021, Volume 67 N. 10 Pages 1397 - 1402

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: This study aims to know the main determinants of hesitation to the vaccine against COVID-19 mentioned by medical students in Brazil. METHODS: A cross-sectional study with 250 students who answered the online questionnaire between December 18, 2020 and January 8, 2021. RESULTS: Most students (84%) mentioned the intention to take anti-COVID vaccine and 14% were hesitant. Information provided by governments (59.2%), the pharmaceutical industry (54.4%), and the press (51.6%) were the items that most generated vaccine hesitation. CONCLUSION: In the context of the COVID-19, vaccine hesitation is an additional concern because adherence to vaccination is a recurring challenge. The category of contextual influences predominated among the main determinants of anti-COVID vaccine hesitation expressed by medical students in Brazil, disfavoring vaccine adherence in this public.

https://doi.org/10.1590/1806-9282.20210379

13.

Tendências de acesso e utilização dos serviços de saúde na APS entre idosos no Brasil nos anos 2008, 2013 e 2019
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Cesário, Vanovya Alves Claudino

; Santos, Marquiony Marques dos

; Mendes, Tamires Carneiro de Oliveira

; Souza Júnior, Paulo Roberto Borges de

; Lima, Kenio Costa de

Ciência & Saúde Coletiva

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sep 2021, Volume 26 N. 9 Pages 4033 - 4044

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

Abstract This paper aims to identify the conditions and trends in access and use of primary health care (PHC) services by Brazilian older adults in 2008, 2013, and 2019. We performed a cross-sectional panel study with a descriptive analysis of the percentages and confidence intervals of the variables listed, in which data on the elderly population investigated in the Health Supplement of the 2008 National Household Sample Survey (PNAD) and the 2013 and 2019 National Health Surveys (PNS) were obtained. We initially identified that, while PHC was the primary service sought for care needs, this demand tended to decline in all Brazilian regions, among older women, the 60-69 years age group, and whites. The number of households registered with the USF increased 15.2%; the search for a place, service, or health professional by 4.5%; and the population served by 31.4%. The main factors of non-attendance were not being able to get a vacancy/service ticket and doctor unavailability. A growing trend was observed among those diagnosed with Systemic Arterial Hypertension, Diabetes Mellitus, and multimorbidities among those investigated.

Resumo O artigo tem por objetivo contribuir na identificação das condições e tendências de acesso e utilização dos serviços da atenção primária em saúde (APS) pelos idosos brasileiros nos anos de 2008, 2013 e 2019. Um estudo transversal em painéis com análise descritiva dos percentuais e intervalos de confiança das variáveis elencadas, no qual foram resgatados os dados relativos à população idosa investigada no Suplemento Saúde da Pesquisa Nacional por Amostra de Domicílios (PNAD) do ano 2008 e da Pesquisa Nacional de Saúde (PNS) 2013 e 2019. Inicialmente identificou-se que, apesar da APS ter sido o principal serviço procurado mediante a necessidade de assistência, houve uma tendência de redução para esta procura em todas as regiões brasileiras, principalmente entre as mulheres idosas, na faixa etária de 60-69 anos e na população de raça/cor branca. Verificou-se um aumento de 15,2% no quantitativo de domicílios cadastrados na Unidade de Saúde da Família; 4,5% na procura por lugar, serviço ou profissional de saúde; e de 31,4% na população atendida. Os principais fatores de não atendimento foram não conseguir vaga/senha e não ter médico atendendo. E, dentre os investigados, verificou-se uma tendência de crescimento entre os que tinham o diagnóstico de hipertensão arterial sistêmica, diabetes mellitus e multimorbidades.

https://doi.org/10.1590/1413-81232021269.08962021

14.

Posicionamento sobre Hipertensão Arterial e Espiritualidade – 2021
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Nobre, Fernando

; Esporcatte, Roberto

; Brandão, Andréa Araujo

; Avezum Jr., Álvaro

; Feitosa, Audes Diógenes Magalhães

; Amodeo, Celso

; Barbosa, Eduardo Costa Duarte

; Moriguchi, Emilio Hideyuki

; Lucchese, Fernando Antônio

; Griz, Hermilo Borba

; Nicolau, José Carlos

; Magalhães, Lucélia Batista Neves Cunha

; Mota-Gomes, Marco Antônio

; Borba, Mario Henrique Elesbão de

; Pontes, Mauro Ricardo Nunes

; Jardim, Paulo César Brandão Veiga

; Spineti, Pedro Pimenta de Mello

; Mourilhe-Rocha, Ricardo

; Miranda, Roberto Dischinger

; Couceiro, Sérgio Lívio Menezes

; Barroso, Weimar Kunz Sebba

Arquivos Brasileiros de Cardiologia

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sep 2021, Volume 117 N. 3 Pages 599 - 613

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

https://doi.org/10.36660/abc.20210723

15.

Tendências de acesso e utilização dos serviços de saúde na APS entre idosos no Brasil nos anos 2008, 2013 e 2019
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Cesário, Vanovya Alves Claudino

; Santos, Marquiony Marques dos

; Mendes, Tamires Carneiro de Oliveira

; Souza Júnior, Paulo Roberto Borges de

; Lima, Kenio Costa de

Ciência & Saúde Coletiva

Journal Metrics
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sep 2021, Volume 26 N. 9 Pages 4033 - 4044

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

https://doi.org/10.1590/1413-81232021269.08962021

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