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Relações entre competências socioemocionais, adaptabilidade e autoeficácia na transição escola-trabalho
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Molina Costa, Fabíola Aparecida

; Melo-Silva, Lucy Leal

; Oliveira, José Egídio

; Lessa, João Paulo A.

Ciencias Psicológicas

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dec 2024, Volume 18 N. 2 elocation e3720

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

Resumen: El objetivo de este estudio fue investigar posibles correlaciones entre competencias socioemocionales, adaptabilidad de carrera y autoeficacia, en la transición escuela-trabajo. La muestra estuvo compuesta por 505 jóvenes participantes de un programa de aprendizaje con edades entre 14 y 24 años, siendo 39.4 % del sexo masculino (n = 199) y 60.6 % del sexo femenino (n = 306). Se utilizaron cuatro instrumentos aplicados online: Instrumento para Evaluación de Competencias Socioemocionales (SENNA 2.0), Escala de Adaptabilidad de Carrera (EAC), Escala de Autoeficacia en la Transición Escuela-Trabajo (AETBR) y Cuestionario de Identificación y Criterio de Clasificación Económica Brasil. Se realizaron análisis factoriales confirmatorios de confiabilidad y descriptivos y correlaciones r de Pearson. Los resultados indicaron correlaciones importantes entre todas las variables, excepto entre las competencias socioemocionales, amabilidad y compromiso con los otros. Los resultados de la AETT-BR y de la EAC mostraron relación entre confianza y adaptación. Los hallazgos muestran implicaciones para las prácticas e indicios para realizar nuevas investigaciones.

Resumo: O objetivo deste estudo foi investigar possíveis correlações entre competências socioemocionais, adaptabilidade de carreira e autoeficácia na transição escola-trabalho. A amostra foi composta por 505 jovens aprendizes com idades entre 14 e 24 anos, sendo 39,4 % do sexo masculino (n = 199), 60,6 % do sexo feminino (n = 306), participantes de um programa de aprendizagem. Foram utilizados quatro instrumentos aplicados online: Instrumento para Avaliação de Competências Socioemocionais (SENNA 2.0), Escala de Adaptabilidade de Carreira (EAC), Escala de Autoeficácia na Transição Escola-Trabalho (AETBR), Questionário de Identificação e Critério de Classificação Econômica Brasil. Foram realizadas análises fatoriais confirmatórias, de confiabilidade, descritivas e correlações r de Pearson. Os resultados indicam correlações importantes entre todas as variáveis, exceto entre as competências socioemocionais, amabilidade e engajamento com os outros. Os resultados da AETT-BR e da EAC mostram relação entre confiança e adaptação. Os achados mostram implicações para as práticas e pistas para novas investigações.

Abstract: The aim of this study was to investigate possible correlations between socioemotional competencies, career adaptability and self-efficacy in the school-work transition. The sample consisted of 505 young apprentices aged between 14 and 24, 39.4 % male (n = 199), 60.6 % female (n = 306), participating in an apprenticeship program. Four online instruments were used: the Socio-Emotional Skills Assessment Tool (SENNA 2.0), the Career Adaptability Scale (CAT), the Self-Efficacy Scale for the School-Work Transition (AETT-BR), the Identification Questionnaire and the Brazil Economic Classification Criterion. Confirmatory factor analysis, reliability analysis, descriptive analysis and Pearson's r correlations were carried out. The results indicate significant correlations between all the variables, except for socioemotional competencies, kindness and engagement with others. The results of the AETT-BR and CAT show a relationship between trust and adaptation. The findings show implications for practice and avenues for further research.

https://doi.org/10.22235/cp.v18i2.3720

Genotipificación y prevalencia de Staphylococcus aureus enterotoxigénico en frotis nasofaríngeos de manipuladores de alimentos
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Alarcón-Lavín, María Paula

; Chavarría-Sepúlveda, Pamela

; Cerda-Leal, Fabiola

; Valenzuela-Melgarejo, Francisco

Revista chilena de nutrición

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jun 2024, Volume 51 N. 3 Pages 193 - 197

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

Abstract Introduction: Staphylococcus aureus is a Gram-positive bacterium producing staphylococcal enterotoxins, responsible worldwide for outbreaks of staphylococcal poisoning. Objective: To determine the genotypification and prevalence of enterotoxigenic Staphylococcus aureus type B, C, D, and E in nasopharyngeal smears of food-handlers. Material and method: Nasopharyngeal samples were obtained of 100 food-handlers from food services of Chillán city, after signing informed consent, the samples were transported to 4 ° C, and then inoculated for 48 hours at 37 ° C in Baird Parker Agar plates. After the confirmatory tests of catalase and coagulase for Staphylococcus aureus, DNA extraction and subsequent molecular identification of enterotoxin type B, C, D, and E were performed by means of conventional PCR amplification. Results: The 38% of the sample was positive by Staphylococcus aureus. Of the total carriers of the bacteria, it was identified that 28.9% produced enterotoxin type B and 7.9% produced type E enterotoxin, of this 2.6% were producers of both enterotoxins. The presence of enterotoxins C and D was not detected by PCR. Conclusions: The 38% of 100 the food-handlers studied carry Staphylococcus aureus, and 36,8% of them produce enterotoxins B and E, representing 14% of the total group of study. Our observation suggests the necessity of strict protocols of food manipulation to prevent contamination of food with S. aureus.

Resumen Introducción: Staphylococcus aureus es una bacteria Gram positiva productora enterotoxinas estafilocócicas, responsables a nivel mundial de brotes por intoxicación estafilocócica. Objetivo: Determinar la genotipificación y prevalencia de Staphylococcus aureus enterotoxigénico tipo B, C, D y E en frotis nasofaríngeos de manipuladores de alimentos de Chile. Material y método: Este estudio se realizó en una muestra de 100 manipuladores de alimentos de servicios de alimentación de Chillán. Realizando en una primera etapa, previa firma de consentimiento informado, muestreo nasofaríngeo en los lugares de trabajo. Las muestras se trasladaron a 4°C, para luego ser inoculadas por 48 horas a 37 °C en placas Agar Baird Parker. Posterior a las pruebas confirmativas de catalasa y coagulasa para Staphylococcus aureus, se realizó extracción de ADN y posterior identificación molecular de enterotoxina tipo B, C, D y E, mediante la amplificación por PCR convencional. Resultados: El 38% de la muestra estaba colonizada por Staphylococcus aureus. Del total de portadores de la bacteria se identificó que el 28,9% producían la enterotoxina tipo B y el 7,9% producían la enterotoxina tipo E, de estos un 2,6% era productor de ambas enterotoxinas. No se detectó presencia de las enterotoxinas C y D. Conclusiones: El 38% de los 100 manipuladores de alimentos de servicios de alimentación estudiados es portador de Staphylococcus aureus, y 36,8% de estos producen enterotoxinas B y E, representando un 14% del grupo total de estudio.

https://doi.org/10.4067/s0717-75182024000300193

Retóricas conservadoras contrárias à regulação do ambiente alimentar escolar: a discussão do Projeto de Lei nº 4.198/2021 na Assembleia Legislativa do Rio de Janeiro
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Freitas, Veronica Tavares de

; Coutinho, Carolina de Oliveira

; Leal, Fabíola

; Barbosa, Raphael Barreto da Conceição

; Honório, Olivia Souza

; Oliveira, Ana Carolina Rocha

Saúde e Sociedade

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2024, Volume 33 N. 3 elocation e230448pt

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

Resumo Diante das evidências científicas acerca dos malefícios à saúde do consumo de alimentos ultraprocessados, a regulação dos ambientes alimentares vem sendo priorizada como forma de promover uma alimentação adequada e saudável. Nesse contexto, foi proposto o Projeto de Lei 4198/2021 na Assembleia Legislativa do Rio de Janeiro, para proibir o comércio de ultraprocessados nas escolas do estado. Na segunda sessão em plenário da proposição, houve ampla utilização de retóricas conservadoras pelos deputados contrários. Neste presente ensaio foram classificados esses posicionamentos, encontrando-se pontos comuns entre eles, à luz da análise da tramitação legislativa. Ao realizar essa categorização, foi possível identificar três bases argumentativas exploradas: a defesa da liberdade de comércio; o direito à “pátria família”, de primazia da família na educação infantojuvenil; e a responsabilização individual da obesidade. Tais retóricas foram analisadas em conjunto com suas contraposições, presentes nas conclusões da literatura especializada. Para além da pluralidade de ideias do debate legislativo, foi possível identificar como a discussão do PL 4198/21 foi permeada pela reprodução de desinformação e violência. Desse modo, o escrutínio das retóricas conservadoras utilizadas e a compreensão do contexto dessa discussão são contribuições aqui propostas para a consolidação do repertório de defesa da saúde de crianças e adolescentes.

Abstract Considering the scientific evidence regarding the harmful effects on health from consuming ultra-processed foods, the regulation on food environments has been prioritized as a way of promoting adequate and healthy eating. In this context, Bill 4198/2021 was proposed in the Legislative assembly of Rio de Janeiro, to ban the sale of ultra-processed foods in the schools in the state. In the second voting session of the proposition conservative rhetoric was widely used by the opposing congressmen. In this essay, these positions were classified, finding common points between them, considering the analysis of the legislative process. In making this categorization, it was possible to identify three argumentative bases that were explored: the defense of freedom of trade; the right to a “family autonomy,” the primacy of the family in children’s education; and individual responsibility for obesity. These rhetorics have been analyzed together with their counterpoint, in the conclusions of the specialized literature. Beyond the plurality of ideas in the legislative debate, it was possible to identify how the discussion of Bill 4198/21 was permeated by the reproduction of disinformation and violence. In this way, the scrutiny of the conservative rhetoric used and the understanding of the context of this discussion are contributions proposed here to consolidate the repertoire of defense of the health of children and adolescents.

https://doi.org/10.1590/s0104-12902024230448pt

Recommendations on cutaneous and hematological manifestations of Sjögren’s disease by the Brazilian Society of Rheumatology
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Pugliesi, Alisson

; Egypto, Danielle Christinne Soares do

; Duffles, Guilherme

; Cantali, Diego Ustárroz

; Pasoto, Sandra Gofinet

; Oliveira, Fabiola Reis

; Valim, Valeria

; Lopes, Maria Lucia Lemos

; Miyamoto, Samira Tatiyama

; Fernandes, Marilena Leal Mesquita Silvestre Fialho, Sonia Cristina de Magalhães Souza Pinheiro, Aysa César Santos, Laura Caldas dos Appenzeller, Simone Ribeiro, Sandra Lucia Euzébio Libório-Kimura, Tatiana Nayara Santos, Maria Carmen Lopes Ferreira Silva Gennari, Juliana D´Agostino Pernanbuco, Roberta Capobiano, Karina Gatz Civile, Vinicius Tassoni Pinto, Ana Carolina Pereira Nunes Rocha-Filho, César Ramos Rocha, Aline Pereira da Trevisani, Virginia Fernandes Moça

Advances in Rheumatology

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2024, Volume 64 elocation 51

Abstract: En | Text: En | PDF: En

Abstract Sjogren’s disease (SjD) is an autoimmune disease that is characterized not only by the sicca symptoms it causes but also by its systemic nature, which is capable of several and not yet fully understood extraglandular manifestations. To gain a clearer understanding of these manifestations as well as a better practical approach, a panel of experts from the Brazilian Society of Rheumatology conducted a systematic review and meta-analysis on the identification of epidemiologic and clinical features of the extraglandular manifestations present in ESSDAI (EULAR Sjogren´s syndrome disease activity index), followed by a voting panel with recommendations for clinical practice. This publication is complementary to others already published and covers cutaneous and hematological manifestations, with prevalence data generated by a meta-analysis of 13 clinical or laboratory manifestations and 6 clinical management recommendations.

https://doi.org/10.1186/s42358-024-00391-x

Retóricas conservadoras contrárias à regulação do ambiente alimentar escolar: a discussão do Projeto de Lei nº 4.198/2021 na Assembleia Legislativa do Rio de Janeiro
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Freitas, Veronica Tavares de

; Coutinho, Carolina de Oliveira

; Leal, Fabíola

; Barbosa, Raphael Barreto da Conceição

; Honório, Olivia Souza

; Oliveira, Ana Carolina Rocha

Saúde e Sociedade

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2024, Volume 33 N. 3 elocation e230448pt

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

https://doi.org/10.1590/s0104-12902024230448pt

Conductas del estilo de vida y su asociación con los síntomas de depresión en personas adultas mayores durante la pandemia por coronavirus
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DOMÍNGUEZ-CHÁVEZ, CLAUDIA JENNIFER

; CORTEZ RODRÍGUEZ, FABÍOLA

; MEDINA LEAL, ANA LOURDES

; RUIZ SALAZAR, MYRNA LUZ

Revista Salud Uninorte

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dec 2023, Volume 39 N. 3 Pages 884 - 900

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

RESUMEN Objetivo: Identificar la asociación entre las conductas del estilo de vida y síntomas de depresión en personas adultas mayores entre septiembre de 2021 y marzo de 2022 en Mexi-cali, Baja California (México). Materiales y métodos: Diseño de tipo transversal. Participaron 103 personas adultas mayores seleccionadas por un muestreo no probabilístico. Se aplicaron instrumentos para evaluar síntomas de depresión, el estado nutricional, actividad física, consumo de tabaco, consumo de alcohol y la presencia de problemas para dormir. Para el análisis de datos se empleó estadística descriptiva e inferencial. Se construyó un modelo con las conductas del estilo de vida. La investigación se desarrolló con base en la reglamentación vigente. Resultados: El 34 % presenta riesgo de desnutrición; 92.2 % tiene baja actividad física; 9.7 % consume tabaco; 15 % consume alcohol; 38.8 % reportó presentar problemas para dormir, y 31.1 % presentó síntomas de depresión. Respecto a las conductas del estilo de vida, se encontró que las personas adultas mayores con riesgo de malnutrición o malnutrición tienen 3.182 (p < .5) más riesgo de desarrollar síntomas de depresión en comparación con quienes tienen un estado de peso adecuado. Conclusiones: El riesgo de malnutrición o malnutrición, así como el resto de conductas del estilo de vida, son factores modificables que pueden ser intervenidos por los profesionales de la salud a través de intervenciones multicomponentes, en las que se sumen esfuerzos para establecer programas de atención que apoyen a mejorar la salud física y mental de las personas adultas mayores.

ABSTRACT Objetive: To identify the association between lifestyle behaviors and depressive symptoms in older adults between September 2021 and March 2022 in Mexicali, Baja California (Mexico). Materials and methods: Transversal and inferential design. One hundred three older adults were selected using a non-probability sampling. Instruments were applied to assess symptoms of depression, nutritional status, physical activity, tobacco use, alcohol use, and sleep problems. Descriptive and inferential statistics were used for data analysis. A model was built with lifestyle behaviors. The research was developed based on the regulations in force. Results: 34 % are at risk of malnutrition; 92.2 % have low physical activity; 9.7 % use tobacco; 15 % drink alcohol; 38.8 % reported having trouble sleeping, and 31.1 % identified symptoms of depression. The older adults at risk of malnutrition or malnutrition showed three times more chance (p < .5) of having depression symptoms compared with those with adequate weight status. Conclusions: It is noteworthy that these lifestyle behaviors are modifiable factors that health professionals can intervene with through multicomponent interventions and join efforts to establish care programs that support the improving mental health of older adults.

https://doi.org/10.14482/sun.39.03.345.916

Internações compulsórias e restrição da liberdade de pessoas que usam drogas
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Denadai, Mirian Cátia Vieira Basílio

; Oliveira, Edineia Figueira dos Anjos

; Garcia, Maria Lúcia Teixeira

; Leal, Fabíola Xavier

Revista Katálysis

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aug 2023, Volume 26 N. 2 Pages 278 - 286

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

Abstract This article analyzes the justifications of the Judiciary in its determinations for the compulsory hospitalization of people who use drugs, problematizing the judicialization of health, the restriction of freedom and abstinence present in judicial decisions, which express characteristics of the penal-punitive State. Documentary research involving processes of the Secretary of Health of the State of Espírito Santo forwarded by the Judiciary, with measures that impute “treatment” to drug users in a detention institution. The main results indicated that in all 54 processes biomedical thinking was present, 39 justifications manifested legal-punitive thinking; and, only 03 justifications presented the perspective of human rights. It is noticed that judicialization, based on compulsory hospitalization measures, can contribute to the process of exclusion and violation of fundamental guarantees; leading to an increase in drug use, which must be faced with public policies that rebuild social rights.

Resumo Este artigo analisa as justificativas do Poder Judiciário em suas determinações para as internações compulsórias de pessoas que usam drogas, problematizando a judicialização da saúde, a restrição de liberdade e a abstinência presentes nas decisões judiciais, que expressam características do Estado penal-punitivo. Consiste em pesquisa documental envolvendo processos da Secretaria de Saúde do Estado do Espírito Santo encaminhados pelo judiciário, com medidas que imputam “tratamento” aos usuários de drogas em instituição de internação. Os principais resultados indicaram que em todos os 54 processos estavam presentes o pensamento biomédico, 39 justificativas manifestavam o pensamento jurídico-punitivo; e, apenas três justificativas apresentavam a perspectiva de direitos humanos. Percebe-se que a judicialização, a partir das medidas de internação compulsória, pode contribuir com o processo de exclusão e de violação das garantias fundamentais; conduzindo ao aumento do uso de drogas, que deve ser enfrentado com políticas públicas que reconstruam os direitos sociais.

https://doi.org/10.1590/1982-0259.2023.e91592

AGRANULOCITOSIS SECUNDARIA A USO DE VANCOMICINA EN PEDIATRÍA. REPORTE DE CASO
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Balvanera Rodarte, Erika Alexander

; Valle Leal, Jaime Guadalupe

; Díaz Corral, Karla Fabiola

; Duarte Burboa, Marcela Alejandra

Revista Científica Ciencia Médica

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2023, Volume 26 N. 1 Pages 99 - 103

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

ABSTRACT Vancomycin is a commonly used antibiotic in hospitalized patients. Multiple adverse effects related to this drug have been described, of which agranulocytosis is a rare but potentially serious entity. This case shows a medical consequence secondary to the prolonged use of this antibiotic, generating profound neutropenia after 24 days of treatment, presenting clinically with an isolated feverish peak. It is assumed that this situation is the consequence of an inadequate immunological response of the host, for which reason the suspension of the etiological agent is the key to treatment. There are few reports of these effects in the pediatric population and should be considered a side effect that requires close monitoring to avoid clinical repercussions.

RESUMEN La vancomicina es un antibiótico de uso común en pacientes hospitalizados. Se han descrito múltiples efectos adversos relacionados a este fármaco, de los cuales la agranulocitosis es una entidad poco frecuente pero potencial mente grave. Este caso muestra una consecuencia médica secundaria al uso prolongado de este antibiótico, generando una neutropenia profunda posterior a 24 días de tratamiento, presentándose clínicamente con un pico febril aislado. Se asume que esta situación es consecuencia de una respuesta inmunológica inadecuada del huésped, por lo que la suspensión del agente etiológico es la clave del tratamiento. Existen pocos reportes de estos casos en la población pediátrica y debe considerarse un efecto secundario que requiere vigilancia estrecha para evitar repercusiones clínicas.

Recommendations for evaluation and diagnosis of extra-glandular manifestations of primary Sjögren syndrome: results of an epidemiologic systematic review/ meta-analysis and a consensus guideline from the Brazilian society of rheumatology (hepatic, gastrointestinal and pancreatic)
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Trevisani, Virginia Fernandes Moça

; Pinheiro, Aysa César

; Fialho, Sonia Cristina de Magalhães Souza

; Fernandes, Marilena Leal Mesquita Silvestre

; Pugliesi, Alisson

; Pasoto, Sandra Gofinet

; Lopes, Maria Lucia Lemos

; Guedes, Lissiane Karine Noronha

; Miyamoto, Samira Tatiyama

; Santos, Laura Caldas dos

; Appenzeller, Simone

; Fidelix, Tania

; Ribeiro, Sandra Lúcia Euzébio Brito, Danielle Christinne Soares Egypto de Libório-Kimura, Tatiana Nayara Santos, Maria Carmen Lopes Ferreira Silva Cantali, Diego Ustárroz Gennari, Juliana D.’Agostino Capobianco, Karina Gatz Civile, Vinicius Tassoni Pinto, Ana Carolina Pereira Nunes Rocha, Aline Pereira da Rocha Filho, César Ramos Oliveira, Fabiola Reis Valim, Valeria

Advances in Rheumatology

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2022, Volume 62 elocation 35

Abstract: En | Text: En | PDF: En

Abstract Sjogren's syndrome (SS) is an autoimmune disease characterized by lymphocytic infiltration of the exocrine glands and other organs, associated with sicca syndrome but also with systemic involvement with varying degrees of severity. Despite their importance, some systemic manifestations, mainly liver, gastrointestinal, and pancreatic are not routinely evaluated. To address these manifestations, the Sjögren's Syndrome Committee of the Brazilian Society of Rheumatology conducted a broad systematic review of the literature on studies investigating prevalence and diagnosis of these symptoms in Sjogren´s patients and made recommendations based on the findings. Agreement between the experts was achieved using the Delphi method. This is the second part of this guideline, providing 6 recommendations for liver, gastrointestinal, and pancreatic care of SS patients.

https://doi.org/10.1186/s42358-022-00267-y

10.

Recommendations for evaluation and diagnosis of extra-glandular manifestations of primary sjogren syndrome: results of an epidemiologic systematic review/ meta-analysis and a consensus guideline from the Brazilian Society of Rheumatology (articular, pulmonary and renal)
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Trevisani, Virginia Fernandes Moça

; Pugliesi, Alisson

; Pasoto, Sandra Gofinet

; Lopes, Maria Lucia Lemos

; Guedes, Lissiane Karine Noronha

; Miyamoto, Samira Tatiyama

; Fernandes, Marilena Leal Mesquita Silvestre

; Fialho, Sonia Cristina de Magalhães Souza

; Pinheiro, Aysa César

; Santos, Laura Caldas dos

; Appenzeller, Simone Fidelix, Tania Ribeiro, Sandra Lúcia Euzébio Brito, Danielle Christinne Soares Egypto de Libório-Kimura, Tatiana Nayara Santos, Maria Carmen Lopes Ferreira Silva Cantali, Diego Ustárroz Gennari, Juliana D’Agostino Civile, Vinicius Tassoni Pinto, Ana Carolina Pereira Nunes Rocha-Filho, César Ramos Oliveira, Fabiola Reis Rocha, Aline Pereira da Valim, Valeria

Advances in Rheumatology

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2022, Volume 62 elocation 18

Abstract: En | Text: En | PDF: En

Abstract Sjogren’s Syndrome (SS) is an autoimmune disease characterized by lymphocytic infiltration of the exocrine glands and other organs, associated with sicca syndrome but also with systemic involvement with varying degrees of severity. Despite their importance, these systemic manifestations are not routinely evaluated and there is no homogenous approach to their diagnosis or evaluation. To close this gap, a panel of experts from the Brazilian Society of Rheumatology conducted a systematic review and meta-analysis on the identification of epidemiologic and clinical features of these manifestations and made recommendations based on the findings. Agreement between the experts was achieved using the Delphi method. The first part of this guideline summarizes the most important topics, and 11 recommendations are provided for the articular, pulmonary, and renal care of SS patients.

https://doi.org/10.1186/s42358-022-00248-1

11.

Gastos com internações compulsórias por consumo de drogas no estado do Espírito Santo
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Leal, Fabiola Xavier

; Garcia, Maria Lúcia Teixeira

; Denadai, Mirian Cátia Vieira Basílio

; Campanharo, Lara da Silva

Saúde em Debate

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jun 2021, Volume 45 N. 129 Pages 378 - 392

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

RESUMO A internação compulsória pelo consumo de drogas vem sendo problematizada no campo da política de saúde mental e expressa a luta entre os princípios do Sistema Único de Saúde (SUS)/princípios da Reforma Psiquiátrica versus os interesses privados de remanicomialização. O artigo objetiva analisar os gastos com internações compulsórias por consumo de drogas realizadas pela Secretaria de Estado da Saúde do Espírito Santo (ES), entre 2014-2019, buscando identificar a sua destinação. Apresenta breves reflexões sobre o direito à saúde e a disputa pelo fundo público. Trata-se de pesquisa documental com levantamento de dados no Portal de Transparência do ES. Foram utilizadas a análise estatística descritiva e a análise de conteúdo categorial. Os dados evidenciam as disputas pelo Fundo público e que isso não é um processo evidente para a sociedade. Os embates entre Executivo e Judiciário em torno do direito de acesso ao tratamento da saúde são pontos que precisam ser problematizados.

ABSTRACT Compulsory hospitalization due to drug use has been questioned in the Mental Health Policy and expresses the struggle between the principles of Unified Health System (SUS)/Psychiatric Reform versus the private interests about remanicomialization. This paper analyses expenditures on compulsory hospitalizations due to drug use carried out by the State Health Secretariat of Espírito Santo (ES) between 2014 and 2019 and aims to identify its allocation. It outlines brief reflections on the right to health and the disputes over public funds. This is documentary research with data gathered from the ES Transparency Portal. Descriptive statistical analysis and categoric content analysis were used. The data show disputes over public funds and that this is not a transparent process to society. The struggles between the Executive and the Judiciary over the right of access to health treatment are points that must be discussed.

https://doi.org/10.1590/0103-1104202112910 1 downloads

12.

Gastos com internações compulsórias por consumo de drogas no estado do Espírito Santo
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Leal, Fabiola Xavier

; Garcia, Maria Lúcia Teixeira

; Denadai, Mirian Cátia Vieira Basílio

; Campanharo, Lara da Silva

Saúde em Debate

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jun 2021, Volume 45 N. 129 Pages 378 - 392

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

https://doi.org/10.1590/0103-1104202112910

13.

Clinical validation of nursing diagnosis Fragile Elderly Syndrome
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Oliveira, Fabiana Maria Rodrigues Lopes de

; Leal, Natalia Pessoa da Rocha

; Medeiros, Fabíola de Araújo Leite

; Oliveira, Jacira dos Santos

; Nóbrega, Maria Miriam Lima da

; Leadebal, Oriana Deyze Correia Paiva

; Fernandes, Maria das Graças Melo

Revista Brasileira de Enfermagem

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2021, Volume 74 Suppl. 2 elocation e20200628

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

RESUMO Objetivo: validar clinicamente o diagnóstico de enfermagem da NANDA-I Síndrome do Idoso Frágil em idosos hospitalizados. Método: estudo metodológico, direcionado pelo instrumento STROBE, com a participação de 40 idosos internados em um hospital-escola na Paraíba, Brasil. Adotou-se a última fase do Modelo de Validação de Diagnóstico de Enfermagem de Hoskins: validação clínica. Os dados foram coletados de agosto a dezembro de 2018 e analisados por estatística descritiva de natureza univariada, sendo aprovado pelo comitê de ética em pesquisa do referido hospital. Resultados: foram validados nove características definidoras; sete fatores de risco; seis populações em risco e duas condições associadas. Conclusão: a validação do diagnóstico de enfermagem Síndrome do Idoso Frágil em nosso contexto sociocultural foi considerada apropriada. Trata-se de uma etapa importante tanto para o desenvolvimento de um pensamento crítico que fundamenta a tomada de decisão dos enfermeiros no cuidado ao idoso frágil como para a prática profissional.

ABSTRACT Objective: to clinically validate the nursing diagnosis of NANDA-I Frail Elderly Syndrome in hospitalized elderly. Method: a methodological study, guided by the STROBE instrument, composed of 40 elderly people admitted to a teaching hospital in Paraíba, Brazil. The last phase of Hoskins’ Nursing Diagnostic Validation Model: clinical validation was adopted. Data collection took place from August to December 2018. The data were analyzed using univariate descriptive statistics. It was approved by the hospital’s ethics and research committee. Results: nine defining characteristics were validated; seven risk factors; six populations at risk and two associated conditions. Conclusion: the validation of the nursing diagnosis of the Frail Elderly Syndrome in our socio-cultural context was considered appropriate, being an important step for critical thinking that underlies the decision-making of nurses in the care of the frail elderly, as well as professional practice.

RESUMEN Objetivo: validar clínicamente el diagnóstico de enfermería del NANDA-I, Síndrome del Adulto Mayor Frágil en ancianos hospitalizados. Método: estudio metodológico, direccionado por el instrumento STROBE, compuesto por 40 ancianos internados en un hospital escuela de Paraíba, Brasil. Se adoptó la última fase del Modelo de Validación del Diagnóstico de Enfermería de Hoskins: validación clínica. La recolección de datos se llevó a cabo entre agosto y diciembre de 2018. Los datos se analizaron mediante estadística descriptiva de naturaleza univariada, aprobado por el comité de ética del referido hospital. Resultados: se validaron nueve características definitorias; siete factores de riesgo; seis poblaciones de riesgo y dos condiciones asociadas. Conclusión: la validación del diagnóstico de enfermería del Síndrome del Adulto Mayor Frágil en nuestro contexto sociocultural ha sido considerada como apropiada, tratándose de una etapa importante para el desarrollo de un pensamiento crítico que fundamenta la toma de decisiones de los enfermeros en el cuidado del adulto mayor frágil, así como también, la práctica profesional.

https://doi.org/10.1590/0034-7167-2020-0628 195 downloads

14.

Differences in children and adolescents with SARS-CoV-2 infection: a cohort study in a Brazilian tertiary referral hospital
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Marques, Heloisa Helena de Sousa

; Pereira, Maria Fernanda Badue

; Santos, Angélica Carreira dos

; Fink, Thais Toledo

; Paula, Camila Sanson Yoshino de

; Litvinov, Nadia

; Schvartsman, Claudio

; Delgado, Artur Figueiredo

; Gibelli, Maria Augusta Bento Cicaroni

; Carvalho, Werther Brunow de

; Odone Filho, Vicente

; Tannuri, Uenis

; Carneiro-Sampaio, Magda

; Grisi, Sandra

; Duarte, Alberto José da Silva

; Antonangelo, Leila

; Francisco, Rossana Pucineli Vieira

; Okay, Thelma Suely

; Batisttella, Linamara Rizzo

; Carvalho, Carlos Roberto Ribeiro de

; Brentani, Alexandra Valéria Maria

; Silva, Clovis Artur

; Eisencraft, Adriana Pasmanik Rossi Junior, Alfio Fante, Alice Lima Cora, Aline Pivetta Reis, Amelia Gorete A. de Costa Ferrer, Ana Paula Scoleze Andrade, Anarella Penha Meirelles de Watanabe, Andreia Gonçalves, Angelina Maria Freire Waetge, Aurora Rosaria Pagliara Silva, Camila Altenfelder Ceneviva, Carina Lazari, Carolina dos Santos Abellan, Deipara Monteiro Santos, Emilly Henrique dos Sabino, Ester Cerdeira Bianchini, Fabíola Roberta Marim Alcantara, Flávio Ferraz de Paes Ramos, Gabriel Frizzo Leal, Gabriela Nunes Rodriguez, Isadora Souza Pinho, João Renato Rebello Carneiro, Jorge David Avaizoglou Paz, Jose Albino Ferreira, Juliana Carvalho Ferranti, Juliana Ferreira Ferreira, Juliana de Oliveira Achili Framil, Juliana Valéria de Souza Silva, Katia Regina da Kanunfre, Kelly Aparecida Bastos, Karina Lucio de Medeiros Galleti, Karine Vusberg Cristofani, Lilian Maria Suzuki, Lisa Campos, Lucia Maria Arruda Perondi, Maria Beatriz de Moliterno Diniz, Maria de Fatima Rodrigues Fonseca, Maria Fernanda Mota Cordon, Mariana Nutti de Almeida Pissolato, Mariana Peres, Marina Silva Garanito, Marlene Pereira Imamura, Marta Dorna, Mayra de Barros Luglio, Michele Rocha, Mussya Cisotto Aikawa, Nadia Emi Degaspare, Natalia Viu Sakita, Neusa Keico Udsen, Nicole Lee Scudeller, Paula Gobi Gaiolla, Paula Vieira de Vincenzi Severini, Rafael da Silva Giannasi Rodrigues, Regina Maria Toma, Ricardo Katsuya Paula, Ricardo Iunis Citrangulo de Palmeira, Patricia Forsait, Silvana Farhat, Sylvia Costa Lima Sakano, Tânia Miyuki Shimoda Koch, Vera Hermina Kalika Cobello Junior, Vilson

Clinics

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2021, Volume 76 elocation e3488

Abstract: En | Text: En | PDF: En

OBJECTIVES: To compare demographic/clinical/laboratory/treatments and outcomes among children and adolescents with laboratory-confirmed coronavirus disease 2019 (COVID-19). METHODS: This was a cross-sectional study that included patients diagnosed with pediatric COVID-19 (aged <18 years) between April 11, 2020 and April 22, 2021. During this period, 102/5,951 (1.7%) of all admissions occurred in neonates, children, and adolescents. Furthermore, 3,962 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection samples were processed in patients aged <18 years, and laboratory-confirmed COVID-19 occurred in 155 (4%) inpatients and outpatients. Six/155 pediatric patients were excluded from the study. Therefore, the final group included 149 children and adolescents (n=97 inpatients and 52 outpatients) with positive SARS-CoV-2 results. RESULTS: The frequencies of sore throat, anosmia, dysgeusia, headache, myalgia, nausea, lymphopenia, pre-existing chronic conditions, immunosuppressive conditions, and autoimmune diseases were significantly reduced in children and adolescents (p<0.05). Likewise, the frequencies of enoxaparin use (p=0.037), current immunosuppressant use (p=0.008), vasoactive agents (p=0.045), arterial hypotension (p<0.001), and shock (p=0.024) were significantly lower in children than in adolescents. Logistic regression analysis showed that adolescents with laboratory-confirmed COVID-19 had increased odds ratios (ORs) for sore throat (OR 13.054; 95% confidence interval [CI] 2.750-61.977; p=0.001), nausea (OR 8.875; 95% CI 1.660-47.446; p=0.011), and lymphopenia (OR 3.575; 95% CI 1.355-9.430; p=0.010), but also had less hospitalizations (OR 0.355; 95% CI 0.138-0.916; p=0.032). The additional logistic regression analysis on patients with preexisting chronic conditions (n=108) showed that death as an outcome was significantly associated with pediatric severe acute respiratory syndrome (SARS) (OR 22.300; 95% CI 2.341-212.421; p=0.007) and multisystem inflammatory syndrome in children (MIS-C) (OR 11.261; 95% CI 1.189-106. 581; p=0.035). CONCLUSIONS: Half of the laboratory-confirmed COVID-19 cases occurred in adolescents. Individuals belonging to this age group had an acute systemic involvement of SARS-CoV-2 infection. Pediatric SARS and MIS-C were the most important factors associated with the mortality rate in pediatric chronic conditions with COVID-19.

https://doi.org/10.6061/clinics/2021/e3488

15.

2021 recommendations of the Brazilian Society of Rheumatology for the gynecological and obstetric care of patients with Sjogren’s syndrome
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Oliveira, Fabiola Reis

; Valim, Valeria Pasoto, Sandra Gofinet Fernandes, Marilena Leal Mesquita Silvestre Lopes, Maria Lucia Lemos Souza Fialho, Sonia Cristina de Magalhães Pinheiro, Aysa César Santos, Laura Caldas dos Appenzeller, Simone Fidelix, Tania Ribeiro, Sandra Lucia Euzébio Brito, Danielle Christinne Soares Egypto de Libório, Tatiana Santos, Maria Carmen Lopes Ferreira Silva Tanure, Leandro Gennari, Juliana DAgostino Civile, Vinicius Tassoni Pinto, Ana Carolina Pereira Nunes Rocha Filho, César Ramos Miyamoto, Samira Tatiyama Guedes, Lissiane Karine Noronha Pugliesi, Alisson Trevisani, Virginia Fernandes Moça

Advances in Rheumatology

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2021, Volume 61 elocation 54

Abstract: En | Text: En | PDF: En

Abstract Sjogren’s syndrome (SS) is an autoimmune disease characterized by lymphocytic infiltration of the exocrine glands and other organs. Women with SS often experience gynecological symptoms due to the disease and need extra care regarding their sexual activity, reproductive health and during pregnancy, conditions that are not properly conducted in the clinical practice. To cover this gap, a panel of experts from the Brazilian Society of Rheumatology conducted a systematic review and meta-analysis on the identification of symptoms, diagnosis, monitoring, prognosis, and treatment of these manifestations. A Focus Group meeting was held and included experts in the field and methodologists, based on a previously developed script, with themes related to the objective of the study. The most important topics were summarized and 11 recommendations were provided.

https://doi.org/10.1186/s42358-021-00208-1 54 downloads

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