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ABSTRACT Objective to analyze continuity of care for children and adolescents with Type 1 Diabetes Mellitus during the COVID-19 pandemic from the perspective of family caregivers and healthcare professionals. Method a descriptive and exploratory study with a qualitative approach, guided by the concept of continuity of care from the World Health Organization. It was conducted at a pediatric endocrinology outpatient clinic in the countryside of São Paulo state, involving family caregivers and professionals (physician, nutritionist, and nurse). Data collection was carried out through the application of a sociodemographic characterization tool and a semi-structured interview. The interviews were fully transcribed and analyzed through the process of inductive thematic content analysis. Results twenty-one caregivers and three healthcare professionals participated. The interview results were organized around two topics: (1) Interpersonal and longitudinal (dis)continuity, resulting in feelings of insecurity and lack of glycemic control; and (2) Management dis(continuity), with an emphasis on the lack of supplies during the pandemic period. Final considerations and implication for practice during the pandemic, the bond between children/adolescents, families, and professionals was weakened, and care demands were not always met in a timely manner, negatively impacting continuity of care.

RESUMO Objetivo analisar a continuidade do cuidado a crianças e adolescentes com Diabetes Mellitus Tipo 1 durante a pandemia de COVID-19 na perspectiva de familiares cuidadores e profissionais de saúde. Método estudo qualitativo, descritivo e exploratório, que adotou como quadro teórico o conceito de continuidade do cuidado em saúde da Organização Mundial da Saúde. Foi realizado em um ambulatório de endocrinologia pediátrica do interior do estado de São Paulo junto a familiares cuidadores e profissionais (médico, nutricionista e enfermeiro). A coleta de dados se deu mediante aplicação de instrumento de caracterização sociodemográfica e entrevista semiestruturada. As entrevistas foram analisadas segundo o processo de análise de conteúdo do tipo temática indutiva. Resultados participaram 21 familiares cuidadores e três profissionais de saúde. Os resultados das entrevistas foram organizados ao redor de dois temas: (1) Des(continuidade) interpessoal e longitudinal, repercutindo no sentimento de insegurança e no descontrole glicêmico; e (2) Des(continuidade) gerencial, com ênfase na falta de insumos durante o período pandêmico. Considerações finais e implicação para a prática durante a pandemia, o vínculo entre crianças/adolescentes, familiares e profissionais foi fragilizado, e as demandas de cuidado nem sempre foram atendidas em tempo oportuno, impactando negativamente a continuidade do cuidado.

RESUMEN Objetivo analizar la continuidad del cuidado de niños y adolescentes con Diabetes Mellitus Tipo 1 durante la pandemia de COVID-19 desde la perspectiva de familiares cuidadores y profesionales de la salud. Método estudio descriptivo y exploratorio de enfoque cualitativo, guiado por el concepto de continuidad del cuidado de la Organización Mundial de la Salud. Se realizó en una clínica ambulatoria de endocrinología pediátrica en el interior del estado de São Paulo con familiares y profesionales de dicha clínica (médico, nutricionista y enfermero). La recolección de datos se realizó mediante la aplicación de un instrumento de caracterización sociodemográfica y una entrevista semiestructurada. Las entrevistas fueron transcritas íntegramente y analizadas según el proceso de análisis de contenido de tipo temático inductivo. Resultados participaron 21 cuidadores y tres profesionales de la salud. Los resultados de las entrevistas se organizaron en torno a dos temas: (1) Dis(continuidad) interpersonal y longitudinal, que da lugar a sentimientos de inseguridad y falta de control glucémico; y (2) Dis(continuidad) gerencial - con énfasis en la falta de insumos durante el período de pandemia. Consideraciones finales e implicaciones para la práctica durante la pandemia, el vínculo entre niños/adolescentes, familiares y profesionales se vio debilitado, y las demandas de atención no siempre fueron satisfechas de manera oportuna, lo que afectó negativamente la continuidad del cuidado.

https://doi.org/10.1590/2177-9465-ean-2024-0102pt

Soil Ba, Cd, Co, Cr, Cu, Ni, Mn, Pb, and Zn contents in the Basaltic Hillsides of Santa Catarina, Brazil
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Steffens, Guilherme de Lima

; Rosini, Daniely Neckel

; Suppi, Ilana Marin

; Scopel, Elias da Silva

; Souza, Letícia Cristina de

; Almeida, Jaime Antônio de

; Miquelluti, David José

; Laus, Rogério

; Campos, Mari Lucia

Ciência Rural

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2025, Volume 55 N. 8 elocation e20240287

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

RESUMO: A região das “encostas basálticas” de Santa Catarina abrange uma área extensa no oeste do estado, composta por derrames magmáticos do grupo Serra Geral. Este estudo analisou os teores de Ba, Cd, Ni, Cu, Zn, Cr, Pb, Mn e Co nos solos dessas encostas, comparando-os com os valores de referência da legislação vigente para Santa Catarina. Com base em resultados de diversos estudos que utilizaram metodologias consistentes, foi realizada uma análise de correlação de Pearson e um dendograma hierárquico. Exceto Pb, todos os elementos-traço apresentaram teores acima dos Valores de Referência de Qualidade (VRQ). A discrepância entre os VRQs atuais e os teores naturais (background) reforçam a necessidade de atualização da Portaria IMA/SC n° 45/2021(IMA, 2021), visando à criação de VRQs específicos para as encostas basálticas de Santa Catarina.

ABSTRACT: The Basaltic Hillsides region spans a vast area in western Santa Catarina State, Brazil, consisting of magmatic flows from the Serra Geral Group. This study analyzed soil levels of Ba, Cd, Ni, Cu, Zn, Cr, Pb, Mn, and Co in these hillsides, comparing them to the reference values set by current legislation for Santa Catarina. Pearson correlation analysis and hierarchical dendrogram were conducted based on results frommultiple studies employing consistent methodologies. Nearly all trace elements showed levels above the Quality Reference Values (QRVs), except for Pb. The difference between current QRVs and natural backgroundlevelshighlights the need to update Ordinance IMA/SC n° 45/2021 to establish specific QRVs for the Basaltic Hillsides of Santa Catarina.

https://doi.org/10.1590/0103-8478cr20240287

V Brazilian Consensus on Rhinitis - 2024
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Solé, Dirceu

; Kuschnir, Fábio Chigres

; Pastorino, Antônio Carlos

; Constantino, Clóvis F.

; Galvão, Clóvis

; Silva, Débora Carla Chong e

; Baptistella, Eduardo

; Goudouris, Ekaterini Simões

; Sakano, Eulália

; Ejzenbaum, Fábio

; Matsumoto, Fausto Yoshio

; Mizoguchi, Flavio Massao

; Aarestrup, Fernando Monteiro

; Wandalsen, Gustavo F.

; Chong Neto, Herberto José

; Oliveira, João Vianney Brito de

; Lubianca Neto, José Faibes

; Rizzo, Maria Cândida V.

; Chavarria, Maria Letícia Freitas Silva

; Urrutia-Pereira, Marilyn

; Rosário Filho, Nelson Augusto

; Rubini, Norma de Paula Motta

; Mion, Olavo Piltcher, Otávio Bejzman Ramos, Regina Terse Francesco, Renata Di Roithmann, Renato Anselmo-Lima, Wilma Terezinha Romano, Fabrizio Ricci Mello Júnior, João Ferreira de

Brazilian Journal of Otorhinolaryngology

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2025, Volume 91 elocation 101500

Abstract: En | Text: En | PDF: En

Abstract Since we published the “IV Brazilian Consensus on Rhinitis”, in 2017, several advances have been achieved and have enabled a further understanding of the different aspects of “Rhinitis”. This new guideline, developed jointly by ASBAI, SBP and SBORL, represents a relevant milestone in the updated and integrated management of the different forms of the disease, and it aims to unify evidence-based approaches to improve the diagnosis and treatment of this common and often underestimated condition. The document covers a wide range of topics, including clear definitions of the different phenotypes and endotypes of rhinitis, risk factors, updated diagnostic criteria, and recommended methods for clinical and laboratory investigation. We stress the importance of detailed clinical history and objective assessment, as well as tools for control and assessing severity tools an accurate diagnostic approach to the disease. Regarding treatment, it emphasizes the treatment customization, considering the severity of symptoms, the presence of comorbidities and the impact on the patient's quality of life. We discuss different drug treatment, in addition to non-pharmacological measures, such as environmental control and specific immunotherapy; and the possible role of immunobiological agents. Furthermore, the consensus addresses issues related to patient education, prevention and management of special situations, such as rhinitis in children, in pregnant women and in the elderly. In short, the “V Brazilian Consensus on Rhinitis” represents a comprehensive and updated guide for healthcare professionals involved in the diagnosis and management of rhinitis, aiming to improve patients' quality of life through an integrated and evidence-based approach.

https://doi.org/10.1016/j.bjorl.2024.101500

Plants used by Brazilian communities of African descent for women's health
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Ramos, Letícia Francine Silva

; Sousa, Ananda Gomes de

; Amorim, Rebeca de Siqueira

; Roque, Alan de Araújo

; Carvalho, Israel Luís Diniz

; Carvalho, Ana Laura Vilela de

; Marques, Maiara Bernardes

; Santos, Milena Evangelista dos

; Costa, Moan Jéfter Fernandes

; Lima, Luiza Rayanna Amorim de

; Sette-de-Souza, Pedro Henrique

Clinics

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2025, Volume 80 elocation 100513

Abstract: En | Text: En | PDF: En

Abstract Quilombola women are primarily responsible for maintaining ethnopharmacological knowledge. Their knowledge is transmitted orally to their descendants, preserving cultural identity and ensuring the survival of Quilombola communities. Was conducting a scoping review on the use of medicinal plants by Quilombola women. Based on the PPC strategy (population, concept, and context) and the “Joanna Briggs Institute Reviewer's Manual”, this systematic scoping review sought to answer the guiding question: which medicinal plants are used for diseases that compromise women's health in Brazilian communities of African descent? The article has registered this research in the Open Science Framework available at osf.io/eb2nc, at identifier DOI https://doi.org/10.17605/OSF.IO/5N24Y. Using the search keys, 888 studies were found. After reading the titles and abstracts, 38 studies moved on to the next stage. During the reading of the texts in full, 32 were excluded for not meeting all the inclusion criteria and six studies were included in the research. In all, 44 plants, belonging to 23 families, were mentioned in the studies. The plants reported by the study have a plurality in their therapeutic use, the form of preparation, and part of the plant used. Regarding women's health, plants were recorded for sexual, menstrual, and postpartum care. The appreciation and recognition of this ancestral knowledge contribute not only to Women's health but also to strengthening the identity and rescuing the cultural roots of these communities.

https://doi.org/10.1016/j.clinsp.2024.100513

Prevalence and Risk Factors for Bruxism in Children with Congenital Zika Virus Syndrome: A Case-Control Study
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Amorim, Arine Alcoforado

; Lima, Maria Claudia de Freitas

; Silva, Paulo Goberlânio de Barros

; Cavalcante, Samara Kelly da Silva

; Carvalho, Ellaine Doris Fernandes

; Andrade, Maria Denise Fernandes Carvalho de

; Sampaio, Fernanda Araújo

; Alencar, Phillipe Nogueira Barbosa

; Souza, Maysa Luna de

; Oliveira, Letícia Tavares de

; Carvalho, Isabella Fernandes

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2025, Volume 25 elocation e240076

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To determine the prevalence of possible sleep and awake bruxism and its related risk factors in children with Congenital Zika Virus Syndrome. Material and Methods: The case group consists of 20 children with congenital Zika, age range from S to 6 years old, and the control group consists of 120 regular children of the same age group. A questionnaire was used to assess bruxism and associate possible risk factors such as medications, systemic disorders, and sleep relationships, and a validated Oral Behaviors Checklist (OBC) was applied. Absolute and percentage frequencies of each outcome variable and mean and standard deviation of each item of the OBC questionnaire were calculated, respectively, compared between case and control groups using Fisher’s exact or Pearson’s chi-square and Mann-Whitney tests. Results: Only 25% of the children with microcephaly do not present swallowing difficulty, significantly lower compared to the 95.8% of the children in the control group who do not (p<0.001). The occurrence of bruxism was significantly higher in the case group (47.4%) compared to the control group (10.2%). In addition, 89.8% of children did not grind their teeth in the control group, compared to only 52.6% in the case group. There was a statistically significant difference between the case and control group (p<0.001). Conclusion: Dysphagia, feeding routes, and reflux in children with cerebral palsy are risk factors for possible awake bruxism, and children with congenital Zika virus syndrome showed a prevalence for possible bruxism compared to regular children.

https://doi.org/10.1590/pboci.2025.018

Influence of loading mode on the response of a helical pile subjected to cyclic tensile loads in sand
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Farias, Manoel Leandro Araújo e

; Costa, Yuri Daniel Jatobá

; Queiroz, Felipy Lima de

; Costa, João Paulo da Silva

; Macêdo, Ana Letícia Feitosa de

Soils and Rocks

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2025, Volume 48 N. 2 elocation e2025006224

Abstract: En | Text: En | PDF: En

Abstract Helical piles are steel elements consisting of one or more helices placed along a central shaft and installed in the ground through rotation. This study describes a field investigation of the behavior of a helical pile prototype subjected to cyclic tensile loads in a site composed of pure sand layers. During the investigation, the helical pile prototype featured three helices and was equipped with electrical resistance strain gauges at three different sections along the shaft. Two cyclic tensile load tests were conducted during the investigation using quasi-static (low-frequency) cyclic loadings. In each test, cyclic loads were applied in four distinct stages. The maximum load reached in each stage was the same in both load tests. However, the cyclic amplitude between stages increased in one load test and kept constant in the other. A static load test was performed immediately after unloading one of the cyclic tests to evaluate the influence of the cycles on the static load capacity. The results revealed that the helix closest to the pile tip contributed the most to the total axial load capacity. Proportionally, the tip helix had the highest contribution among all the helices from the beginning of the test. The mode of load increment application influenced the pile response. Increasing cyclic loads between stages led to an increase in the proportion of the load mobilized at the tip helix and a decrease in the proportion mobilized at the upper helices.

https://doi.org/10.28927/sr.2025.006224

How does the cut-off point for grip strength affect the prevalence of sarcopenia and associated factors? Findings from the ELSI-Brazil Study
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Lima, Sara Souza

; Máximo, Roberta de Oliveira

; Luiz, Mariane Marques

; Tofani, Patrícia Silva

; Silveira, Letícia Coelho

; Souza, Thales Batista de

; Silva, Thaís Barros Pereira da

; Guandalini, Valdete Regina

; Lima-Costa, Maria Fernanda

; Oliveira, Cesar Messias de

; Alexandre, Tiago da Silva

Cadernos de Saúde Pública

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2025, Volume 41 N. 5 elocation e00155624

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

Resumo: O objetivo foi comparar a prevalência de sarcopenia e os fatores associados à definição de fraqueza muscular estabelecida com dois diferentes pontos de corte para a força de preensão palmar. Foi realizado um estudo transversal com 7.065 participantes (com 50 anos ou mais) do Estudo ELSI-Brasil. A sarcopenia foi definida pelo European Working Group on Sarcopenia en Older People (EWGSOP2), e dois pontos de corte para a força de preensão palmar para definir a fraqueza: < 27kg para homens/< 16kg para mulheres ou < 36kg para homens/< 23kg para mulheres. A prevalência dos diferentes estados de sarcopenia foi estimada, e as associações com fatores sociodemográficos, comportamentais e clínicos foram investigadas por meio de modelos de regressão multinomial. A idade média dos participantes foi de 61 anos; 51,8% eram mulheres e 41,5% estavam em risco de desnutrição. Ao adotar os pontos de corte mais elevados (< 36kg/< 23kg) para a definição de fraqueza, a prevalência de sarcopenia provável e de sarcopenia quadruplicou (40,1% versus 10,6%; 5% versus 1,4%, respectivamente) e a prevalência de sarcopenia grave dobrou (8,8% versus 3,9%). O estado nutricional foi associado ao status de sarcopenia; entretanto, os pontos de corte < 36kg/< 23kg aumentaram substancialmente a razão de risco relativo entre desnutrição e sarcopenia grave (RRR = 11,23 versus 6,45). De forma geral, os fatores associados aos estados de sarcopenia foram semelhantes, independentemente do ponto de corte adotado. Pontos de corte mais elevados para a definição de fraqueza podem ser mais adequados para a identificação da sarcopenia, permitindo intervenções precoces para evitar desfechos adversos relacionados à doença.

Abstract: This study aimed to compare the prevalence of sarcopenia and associated factors with the definition of muscle weakness established using two different cut-off points for grip strength. We carried out a cross-sectional study with 7,065 participants (aged 50 or older) from the ELSI-Brazil Study. Sarcopenia was defined by the European Working Group on Sarcopenia in Older People (EWGSOP2) and two different cut-off points for grip strength to define weakness: < 27kg for men/< 16kg for women or < 36kg for men < 23kg for women. The prevalence of different sarcopenia status was estimated, and associations with sociodemographic, behavioral, and clinical factors were investigated using multinomial regression models. The mean age of participants was 61 years; 51.8% were women and 41.5% were at risk of malnutrition. By adopting the higher cut-off points (< 36kg/< 23kg) for the definition of weakness, the prevalence of probable sarcopenia and sarcopenia quadrupled (40.1% versus 10.6%; 5% versus 1.4%, respectively) and the prevalence of severe sarcopenia doubled (8.8 versus 3.9%). Nutritional status was associated with sarcopenia status, however the cut-off points < 36/< 23kg increased substantially the relative risk ratio between malnutrition and severe sarcopenia (RRR = 11.23 versus 6.45). In general, factors associated with sarcopenia status were similar irrespective of the cut-off point adopted. Higher cut-off points for the definition of weakness may be better for identifying sarcopenia, enabling early interventions to avoid adverse outcomes related to the disease.

Resumen: El objetivo de este estudio fue comparar la prevalencia de sarcopenia y sus factores asociados con la definición de debilidad muscular establecida con dos puntos de corte diferentes para la fuerza de agarre. Se realizó un estudio transversal con 7.065 participantes (de 50 años o más) de la Encuesta ELSI-Brazil. La sarcopenia fue definida por el European Working Group on Sarcopenia en Older People (EWGSOP2), y dos puntos de corte para la fuerza de agarre para definir la debilidad: < 27kg para hombres/< 16kg para mujeres o < 36kg para hombres/< 23kg para mujeres. Se estimó el predominio de diferentes estados de sarcopenia, y se examinaron las asociaciones con factores sociodemográficos, conductuales y clínicos a partir de modelos de regresión multinomial. La edad media de los participantes fue de 61 años; el 51,8% eran mujeres; y el 41,5% estaban en riesgo de desnutrición. Al adoptar los puntos de corte más altos (< 36kg/< 23kg) para determinar la debilidad, el predominio de una posible sarcopenia y de sarcopenia se cuadruplicó (40,1% frente a 10,6%; 5% frente a 1,4%, respectivamente) y el predominio de sarcopenia grave se duplicó (8,8% frente a 3,9%). El estado nutricional se asoció con estados de sarcopenia; sin embargo, los puntos de corte < 36kg/< 23kg aumentaron sustancialmente la relación de riesgo relativo (RRR) entre la desnutrición y la sarcopenia grave (RRR = 11,23 frente a 6,45). En general, los factores asociados con estados de sarcopenia fueron similares, independientemente del punto de corte adoptado. Los puntos de corte más altos para determinar la debilidad pueden ser más apropiados en la identificación de la sarcopenia, lo que permite intervenciones tempranas con el fin de evitar resultados adversos relacionados con la enfermedad.

https://doi.org/10.1590/0102-311xen155624

How does the cut-off point for grip strength affect the prevalence of sarcopenia and associated factors? Findings from the ELSI-Brazil Study
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Lima, Sara Souza

; Máximo, Roberta de Oliveira

; Luiz, Mariane Marques

; Tofani, Patrícia Silva

; Silveira, Letícia Coelho

; Souza, Thales Batista de

; Silva, Thaís Barros Pereira da

; Guandalini, Valdete Regina

; Lima-Costa, Maria Fernanda

; Oliveira, Cesar Messias de

; Alexandre, Tiago da Silva

Cadernos de Saúde Pública

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2025, Volume 41 N. 5 elocation e00155624

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

https://doi.org/10.1590/0102-311xen155624

Reframing Botanical Blindness and Imperception Through Evolutionary Lenses
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Albuquerque, Ulysses Paulino

; Cantalice, Aníbal Silva

; Oliveira, Edwine Soares

; Santos, Francisco Igor Ribeiro

; Santos, Hermeson Carlos

; Lima, Ingrid da Silva

; Silva, João Victor Mendes

; Elias, Letícia

; Albuquerque-Silva, Marcela Maria

; Santana, Maria Vittória Alves de

; Mata, Paula Thayanne

; Santos, Rayane Karoline Silva dos

; Brito Júnior, Valdir de Moura

; Santos, Yasmim Antonino Costa

Acta Botanica Brasilica

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2025, Volume 39 elocation e20240236

Abstract: En | Text: En | PDF: En

Abstract In this opinion article, we question the tendency to treat human interactions with plants as a cognitive deficit through terms such as botanical blindness, botanical imperception, or plant awareness disparity (PAD). Rather than denying the existence of the phenomenon these terms attempt to describe, we argue that it should be interpreted as part of a broader and naturally evolved process of differential attention. We contend that naming this perceptual tendency as a distinct and pathological entity disregards the evolutionary basis of human cognition and perception. Cultural and contextual factors modulate interaction with plants, and less attention is paid to them in modern environments, reflecting sociocultural influences rather than cognitive flaws. We advocate for educational approaches that embrace human perceptual plasticity, promoting reconnection with plant diversity without invoking notions of dysfunction.

https://doi.org/10.1590/1677-941x-abb-2024-0236

10.

Brazilian growth charts for Williams–Beuren Syndrome at ages 2 to 18 years
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Strafacci, Amanda de Sousa Lima

; Bertapelli, Fabio

; Kim, Chong Ae

; Rivadeneira, Maria José

; Honjo, Rachel Sayuri

; Kulikowski, Leslie Domenici

; Ferreira, Danilo Moretti

; Batista, Letícia Cassimiro

; Lopes, Vera Lúcia Gil da Silva

; Guerra Junior, Gil

Jornal de Pediatria

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jun 2024, Volume 100 N. 3 Pages 277 - 282

Abstract: En | Text: En | PDF: En

Abstract Objective: To develop growth charts for weight-for-age, height-for-age, and body mass index (BMI)-for-age for both genders aged 2 to 18 years for Brazilian patients with Williams-Beuren Syndrome (WBS). Methods: This is a multicenter, retrospective, and longitudinal study, data were collected from the medical records of boys and girls with a confirmed diagnosis of WBS in three large university centers in the state of Sao Paulo, Brazil. Growth charts stratified by gender and age in years were developed using LMSchartmaker Pro software. The LMS (Lambda Mu Sigma) method was used to model the charts. The quality of the settings was checked by worm plots. Results: The first Brazilian growth charts for weight-for-age, height-for-age, and BMI-for-age stratified by gender were constructed for WBS patients aged 2 to 18 years. Conclusion: The growth charts developed in this study can help to guide family members and to improve the health care offered by health professionals.

https://doi.org/10.1016/j.jped.2023.11.009

11.

Significado das Experiências Emocionais de Pessoas com Diabetes Mellitus do Tipo 2
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Lima, Élida Chaves de Carvalho

; Lopes, Geysa Santos Góis

; Sousa, Francisco de Jesus Silva de

; Rolim, Isaura Letícia Tavares Palmeira

Revista Psicologia e Saúde

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jan 2024, Volume 16 elocation e16102359

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

Resumen Introducción: El diagnóstico de diabetes trastorna la vida de personas y familias. El objetivo fue comprender el significado de las experiencias emocionales de personas con diabetes mellitus tipo 2. Método: Estudio descriptivo, exploratorio, con abordaje clínico-cualitativo que incluyó 13 personas con diagnóstico de diabetes mellitus tipo 2, seleccionadas por muestreo intencional, cuyo tamaño de la muestra fue determinado por el criterio de saturación teórica de datos. Se utilizó el análisis de contenido, siguiéndose los siete pasos del método clínico-cualitativo. Resultados: Las informaciones revelaron tres categorías: (1) Sufrimiento existencial; (2) Fuerza superior para controlar la enfermedad; y (3) La enfermedad como desafío. Discusión: Al vivir con diabetes tipo 2, las personas buscan darle sentido y significado a la propia condición. La repercusión de la experiencia de vivir con diabetes tipo 2 señaló que las actitudes de las personas están relacionadas con la forma que enfrentaron y priorizaron la enfermedad en sus vidas. Conclusión: Las experiencias emocionales produjeron significados que van más allá del aspecto sintomatológico y permitieron identificar cómo estas experiencias son percibidas en las dimensiones social, afectiva y espiritual frente al grado de aceptación y convivencia con las limitaciones derivadas de la cronicidad de la enfermedad.

Resumo Introdução: O diagnóstico de diabetes desarmoniza a vida do indivíduo e da sua família. O presente estudo objetivou compreender o significado das experiências emocionais de pessoas com diabetes mellitus tipo 2. Método: Trata-se de um estudo descritivo, exploratório, com abordagem clínico-qualitativa. Participaram do estudo 13 pessoas diagnosticadas com diabetes mellitus tipo 2, que foram selecionadas por amostragem intencional, e o tamanho da amostra foi determinado pelo critério de saturação teórica dos dados. Utilizou-se a análise de conteúdo, seguindo os sete passos conforme o método clínico-qualitativo. Resultados: As informações analisadas revelaram três categorias: (1) Sofrimento existencial; (2) Força superior no controle do adoecimento; e (3) A doença como desafio. Discussão: Ao viver com diabetes tipo 2, as pessoas buscam dar sentido e significado à sua condição. A repercussão da experiência do viver com diabetes tipo 2, neste estudo, apontou que as atitudes das pessoas estão relacionadas à maneira como elas enfrentaram e priorizaram a enfermidade em suas vidas. Conclusão: As experiências emocionais produziram significados que ultrapassam o aspecto sintomatológico e permitiram identificar como essas experiências são percebidas nas dimensões social, afetiva e espiritual diante do grau de aceitação e do convívio com as limitações advindas da cronicidade da doença.

Abstract The diagnosis of diabetes disrupts the lives of individuals and their families. This study aimed to understand the meaning of emotional experiences of people with type 2 diabetes mellitus. Method: This is a descriptive, exploratory study with clinical-qualitative approach. The study population comprised 13 people diagnosed with type 2 diabetes mellitus, who were selected by intentional sampling, and the sample size was determined by the theoretical data saturation technique. Content analysis was used, following the seven steps according to the clinical-qualitative method. Results: Three categories emerged from the analyzed information: (1) Existential suffering; (2) Superior strength in controlling illness; and (3) Illness as a challenge. Discussion: When living with type 2 diabetes, people seek to give sense and meaning to their condition. The repercussion of the experience of living with type 2 diabetes, in this study, revealed that people’s attitudes are related to the way they faced and prioritized the disease in their lives. Conclusion: Emotional experiences produced meanings that surpass symptomatological aspects and enabled to identify how these experiences are perceived in social, affective and spiritual dimensions in face of the degree of acceptance and living with the limitations resulting from the chronicity of the disease.

https://doi.org/10.20435/pssa.v15i1.2359

12.

Nursing competencies in aeromedical transport in the Brazilian Air Force: a descriptive study
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Borges, Leticia Lima

; Aguiar, Beatriz Gerbassi Costa

; Haberland, Débora Fernanda

; Guimarães, Clarissa Coelho Vieira

; Lima, Rafael Abrantes de

; Souza, Bianca Beatriz Silva de

Revista da Escola de Enfermagem da USP

Journal Metrics
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2024, Volume 58 elocation e20240129

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

RESUMEN Objetivo: Analizar las habilidades de enfermería en el transporte aeromédico militar de la Fuerza Aérea Brasileña. Método: Investigación descriptiva, cualitativa, realizada en tres hospitales de la Fuerza Aérea Brasileña en Río de Janeiro, con la participación de 64 enfermeros militares. El análisis textual discursivo identificó competencias en atención a la salud, comunicación y toma de decisiones. Resultados: Después de caracterizar a los participantes, fue posible comprender la realidad vivida por los profesionales de enfermería en el transporte médico aéreo, destacando las habilidades relacionadas con el cuidado de la salud, la comunicación y la gestión, esenciales en todas las fases del transporte médico aéreo. Conclusión: Se evidenció que la enfermería asume habilidades únicas en el cuidado de los pacientes en el aire, utilizando diversos conocimientos y experiencias en la solución de los problemas encontrados en el proceso de trabajo aeromédico. También se destacó la necesidad de implementar estrategias de educación continua. Los hallazgos sirven de apoyo a profesionales y gestores para identificar lagunas en el conocimiento, desempeño y gestión de horarios profesionales en el transporte aeromédico.

RESUMO Objetivo: Analisar as competências de enfermagem no transporte aeromédico militar da Força Aérea Brasileira. Método: Pesquisa descritiva, qualitativa, realizada em três hospitais da Força Aérea Brasileira no Rio de Janeiro, envolvendo 64 militares de enfermagem. A análise textual discursiva identificou competências em atenção à saúde, comunicação e tomada de decisões. Resultados: Após a caracterização dos participantes, foi possível compreender a realidade vivenciada pelo profissional de enfermagem no transporte aeromédico, destacando as competências relacionadas à atenção à saúde, comunicação e gerenciamento, essenciais em todas as fases do transporte aeromédico. Conclusão: Evidenciou-se que a enfermagem assume competências singulares no cuidado aos pacientes aerotransportados, utilizando diversos conhecimentos e experiências na resolução de problemas encontrados no processo de trabalho aeromédico. Ressaltou-se também a necessidade de implementar estratégias de educação permanente. Os achados servem de subsídio para profissionais e gestores identificarem lacunas no conhecimento, na atuação e no gerenciamento das escalas de profissionais no transporte aeromédico.

ABSTRACT Objective: To analyze nursing skills in military aeromedical transport of the Brazilian Air Force. Method: Descriptive, qualitative research, carried out in three Brazilian Air Force hospitals in Rio de Janeiro, involving 64 military nurses. Discursive textual analysis identified competencies in healthcare, communication and decision-making. Results: After characterizing participants, it was possible to understand the reality experienced by nursing professionals in air medical transport, highlighting the skills related to healthcare, communication and management, essential in all phases of air medical transport. Conclusion: It was evident that nursing assumes unique skills in caring for airborne patients, using diverse knowledge and experiences in solving problems encountered in the aeromedical work process. The need to implement continuing education strategies was also highlighted. The findings serve as support for professionals and managers to identify gaps in knowledge, performance and management of professional schedules in aeromedical transport.

https://doi.org/10.1590/1980-220x-reeusp-2024-0129en

13.

Nurses’ perspectives on nurses’ work methods
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Ventura-Silva, João Miguel Almeida

; Martins, Maria Manuela Ferreira Pereira da Silva

; Trindade, Letícia de Lima

; Faria, Ana da Conceição Alves

; Barros, Sónia Cristina da Costa

; Mendes, Mariana

; Melo, Ricardo Manuel da Costa

; Ribeiro, Olga Maria Pimenta Lopes

Revista Brasileira de Enfermagem

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2024, Volume 77 N. 3 elocation e20230374

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

RESUMEN Objetivos: Analizar percepción de enfermeros sobre métodos de trabajo en enfermería en contexto hospitalario. Métodos: Estudio descriptivo con abordaje cualitativa, realizado en un hospital del norte de Portugal, con participación de 17 enfermeros. Como instrumento de recolecta de datos, recorrido a la entrevista semiestructurada. Datos recolectados entre mayo e junio de 2023, pasaron por análisis de contenido, con suporte del software Atlas.ti. Resultados: Emergieron tres áreas temáticas: “Métodos de trabajo de enfermeros en contexto hospitalario”, destacándose la concepción y componentes de métodos de trabajo y en uso; “Implementación de métodos de trabajo”, señalándose factores influenciadores y desafíos a la implementación; e “Impacto de métodos de trabajo de enfermeros para los pacientes, enfermeros e instituciones”. Consideraciones Finales: Los métodos de trabajo constituidos como la estructura de asistencia de enfermería. Hay factores que influencian y desafíos que se quedan a la implementación de esos métodos, produciendo impacto en pacientes, enfermeros e instituciones.

RESUMO Objetivos: Analisar a percepção dos enfermeiros sobre os métodos de trabalho em enfermagem no contexto hospitalar. Métodos: Estudo descritivo com abordagem qualitativa, realizado num hospital do norte de Portugal, com participação de 17 enfermeiros. Como instrumento de coleta de dados, recorreu se à entrevista semiestruturada. Os dados, recolhidos entre maio e junho de 2023, passaram por análise de conteúdo, com suporte do software Atlas.ti. Resultados: Emergiram três áreas temáticas: “Métodos de trabalho dos enfermeiros em contexto hospitalar”, destacando-se a concepção e componentes dos métodos de trabalho e os métodos em uso; “Implementação dos métodos de trabalho”, salientando-se fatores influenciadores e desafios à implementação; e “Impacto dos métodos de trabalho dos enfermeiros para os pacientes, enfermeiros e instituições”. Considerações Finais: Os métodos de trabalho constituem-se como a estrutura da assistência de enfermagem. Existem fatores que influenciam e desafios que se colocam à implementação desses métodos, produzindo impacto nos pacientes, enfermeiros e instituições.

ABSTRACT Objectives: To analyze nurses’ perspectives on nurses’ work methods in the hospital context. Methods: A descriptive study with a qualitative approach was conducted in a hospital in northern Portugal, involving 17 nurses. Semi-structured interviews were used for data collection. Data collected between May and June 2023 underwent content analysis, supported by Atlas.ti software. Results: Three thematic areas emerged: “Nurses’ work methods in a hospital context,” highlighting the conception and components of work methods and the methods in use; “Implementation of nurses’ work methods,” emphasizing influencing factors and challenges to implementation; and “Impact of nurses’ work methods on patients, nurses, and institutions.” Final Considerations: Nurses’ work methods constitute the structure of nursing care. Some factors influence and some challenges arise in the implementation of these methods, producing impacts on patients, nurses, and institutions.

https://doi.org/10.1590/0034-7167-2023-0374

14.

MOBILE GAME: EDUCATIONAL TECHNOLOGY FOR HOME CARE OF PATIENTS UNDERGOING LIVER TRANSPLANTATION
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Knihs, Neide da Silva

; Silva, Ariadne Matzembacher da

; Grespi, Letícia de Oliveira

; Magalhães, Aline Lima Pestana

; Paim, Sibele Maria Schuantes

; Moraes, Pedro Henrique Braga

; Martins, Marisa da Silva

; Treviso, Patricia

Texto & Contexto - Enfermagem

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2024, Volume 33 elocation e20230162

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

RESUMEN Objetivo: desarrollar y validar un juego educativo capaz de apoyar acciones de educación en salud para pacientes sometidos a trasplante de hígado. Método: estudio de un producto tecnológico, basado en el marco del Diseño Centrado en el Usuario, realizado en un hospital de referencia para trasplante hepático. Los participantes fueron pacientes sometidos a trasplante de hígado, enfermeras y profesionales de tecnologías de la información. La recolección de datos se realizó a través de entrevistas semiestructuradas y cuestionario, utilizando estándares brasileños para la evaluación de la usabilidad. El análisis de los datos ocurrió a través del análisis de contenido, basado en el modelo de cálculo de la System Usability Scale. Resultados: participaron 17 pacientes, entre ellos siete enfermeras y cuatro profesionales de tecnologías de la información. El juego se compone de cinco recorridos cuyo cuidado principal se realizará en casa. Cada camino presenta pasos a seguir con sus reglas. En cuanto a la validación, la media general fue de 1,38. La valoración de la usabilidad por parte de los pacientes tuvo una media de 80 puntos, mientras que la de los profesionales superó el 75%. Conclusión: se considera que la herramienta antes mencionada es susceptible de ser utilizada en la práctica por los usuarios. Además, esto se ajustó para satisfacer las necesidades de los pacientes sometidos a trasplante de hígado para apoyar y gestionar la atención domiciliaria.

RESUMO Objetivo: desenvolver e validar jogo educativo capaz de subsidiar ações de educação em saúde ao paciente submetido ao transplante hepático. Método: estudo de produto tecnológico, sustentado no referencial doDesign Centrado no Usuário, realizado em hospital de referência em transplante hepático. Participantes foram pacientes submetidos ao transplante hepático, enfermeiros e profissionais da tecnologia da informação. A coleta de dados ocorreu por meio de entrevista semiestruturada e questionário, utilizando as normas brasileiras para avaliação da usabilidade. A análise dos dados ocorreu por meio de análise de conteúdo, com base no modelo de cálculo para a escala de System Usability Scale. Resultados: participaram 17 pacientes, dos quais, sete enfermeiros e quatro profissionais da tecnologia da informação. O jogo é formado por cinco caminhos com os principais cuidados a serem desenvolvidos em domicílio. Cada caminho apresenta etapas a serem seguidas com suas regras. Quanto à validação, a média geral foi de 1,38. A avaliação da usabilidade pelos pacientes teve média de 80 pontos, já pelos profissionais foi acima de 75%. Conclusão: considera-se que a referida ferramenta está apta para ser usada na prática pelos usuários. Ainda, essa foi ajustada para atender às necessidades dos pacientes submetidos ao transplante hepático para apoiar e gerenciar os cuidados em domicílio.

ABSTRACT Objective: to develop and validate an educational game capable of supporting health education actions for patients undergoing liver transplantation. Method: this is a study of a technological product, based on the User-Centered Design framework, carried out in a reference hospital for liver transplantation. Participants were patients undergoing liver transplantation, nurses and information technology professionals. Data collection took place through semi-structured interviews and a questionnaire, using Brazilian standards for usability assessment. Data analysis occurred through content analysis, based on the calculation model for the System Usability Scale. Results: seventeen patients participated, including seven nurses and four information technology professionals. The game is made up of five paths with the main care to be carried out at home. Each path presents steps to be followed with its rules. As for validation, the overall mean was 1.38. Usability assessment by patients had a mean of 80 points, while by professionals it was above 75%. Conclusion: it is considered that the aforementioned tool is capable of being used in practice by users. Furthermore, this was adjusted to meet the needs of patients undergoing liver transplantation to support and manage home care.

https://doi.org/10.1590/1980-265x-tce-2023-0162en

15.

Violência sexual na universidade: relatos de representantes de associações estudantis
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Pagel, Wesley Henrique

; Lima, Letícia Silva

; Morais, Amanda Oliveira de

; Laurenti, Carolina

Interface - Comunicação, Saúde, Educação

Journal Metrics
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2024, Volume 28 elocation e230155

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

Entre acadêmicos, a violência sexual acontece geralmente nos “trotes”, eventos esportivos e confraternizações promovidas por associações estudantis. O objetivo deste estudo foi investigar como representantes de atléticas universitárias e centros acadêmicos compreendem, identificam e lidam com a violência sexual no ambiente universitário. Foram entrevistados 38 representantes dessas agremiações, que responderam a perguntas disparadoras a respeito de práticas de violência sexual na universidade. A importunação sexual física no contexto de festas foi a violência mais relatada, e o estupro, a menos mencionada. A maioria recorria aos coordenadores de curso para reportar casos de violência sexual, e poucos conheciam caminhos oficiais de denúncias e serviços especializados. Iniciativas pontuais para o enfrentamento da violência sexual foram tomadas por algumas associações estudantis. Contudo, tais estratégias poderiam ser mais efetivas se fossem amparadas e coordenadas institucionalmente por uma política universitária de combate à violência sexual e de gênero.

Entre académicos, la violencia sexual sucede por lo general en la “novatadas”, eventos deportivos y confraternizaciones promovidas por asociaciones estudiantiles. El objetivo de este estudio fue investigar cómo representantes de asociaciones deportivas y centros académicos comprenden, identifican y enfrentan la violencia sexual en el ambiente universitario. Fueron entrevistados 38 representantes de esas agremiaciones que respondieron preguntas disparadoras sobre las prácticas de violencia sexual en la universidad. La importunación sexual física en el contexto de fiestas fue la violencia más relatada y la violación la menos mencionada. La mayoría recurriría a los coordinadores de cursos para informar casos de violencia sexual y pocos conocían caminos oficiales de denuncias y servicios especializados. A pesar de algunas iniciativas puntuales, las actividades organizadas por asociaciones estudiantiles podrían ayudar a cohibir la violencia sexual en la universidad, si fueran amparadas y coordinadas institucionalmente por una política universitaria de combate a la violencia sexual y de género.

Sexual violence among students occurs generally during “pranks”, sport events and social gatherings promoted by student associations. The aim of this study was to investigate how representatives of university athletics associations and academic centers understand, identify and deal with sexual violence at university. We interviewed 38 representatives, who answered trigger questions about sexual violence at university. Physical sexual harassment at parties was the most commonly reported form of violence, while rape was the least mentioned form. Most victims resorted to course coordinators to report cases of sexual violence, with few being aware of the official reporting channels and specialized services. While there are some ad-hoc initiatives, activities organized by student associations could help to curb sexual violence if supported and institutionally coordinated via a university policy to combat sexual and gender-based violence.

https://doi.org/10.1590/interface.230155

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