Abstract The demands of high-quality zucchini fruits by the consumer market make studies regarding the improvement of cultivation systems, such as plant nutrition and salinity tolerance. Considering the demands of the consumer market for the high quality of zucchini fruits, it is necessary studies regarding the improvement of production systems for this improvement, such as nutrition and salinity tolerance to plant. Thus, this study aimed to evaluate the zucchini fruits quality characteristics, grown in soilless, under N:K ratios, and levels of electrical conductivity of the nutrient solution. The experiment was conducted in a protected environment in pots with 8.2 dm3 of volumetric capacity filled with commercial substrate. The trial design adopted was randomized blocks, with three replicates, in a 5x3 factorial scheme, with five levels of electrical conductivity (1.0; 2.0; 3.0; 4.0; and 5.0 dS m-1) and three N:K ratios (2:1; 1:1; and 1:2), both in the nutrient solution. The application of the nutrient solution was by fertigation through drip irrigation. Throughout the experiment, variables related to fruit quality and total plant biomass production were analyzed. The increase of the electrical conductivity in the nutrient solution provided an increase in the values of fruits organoleptic properties. Regarding the nutrient solution N:K ratios, the 1:2 ratio provided larger fruits and a higher percentage of water.

Abstract This study aimed to evaluate the influence of cladode pruning on apical dominance in the production and post-harvest of pitaya fruits. The experiment was carried out at the Sítio das Pitaya do Pará, which is in the city of Tomé-Açu, State of Pará, Brazil. A randomized block design (RBD) in a 3 x 2 factorial scheme was used, with four replications for each treatment. Treatments consisted of three stand positions in the field (beginning, middle, and end of row) and two pruning regimes (with and without pruning). The interaction of factors Pruning and Stand position (P*SP) inhibited sprouting, while the Pruning factor provided heavier fruits and with a better pulp/peel ratio. Thus, cladode pruning provided benefits to plant management, production parameters, and post-harvest quality.

Resumen El objetivo de este estudio fue evaluar la influencia de la poda de cladodios sobre la dominancia apical en la producción y poscosecha de frutos de pitaya. El experimento se llevó a cabo en el Sitio Pitaya do Brasil, ubicado en el municipio de Tomé-Açu, Estado de Pará, Brasil. Se utilizó un diseño de bloques al azar (RBD) en un esquema factorial 3 x 2 con cuatro repeticiones de cada tratamiento. Los tratamientos consistieron en tres posiciones de rodales en campo (inicio, medio y final de hilera) y dos tipos de poda (con y sin poda). La interacción de los factores Poda y Posición del Stand (P*SP), inhiben la brotación, mientras que el factor Poda proporciona frutos con mayor masa y mejor relación pulpa/cáscara. Así, la poda de cladodios proporcionó beneficios para el manejo de la planta, los parámetros de producción y la calidad poscosecha.

ABSTRACT Background and aims: Treatment of hepatitis C with direct antiviral agents (DAA) is associated with almost 95% of sustained virological response. However, some patients need retreatment. In Brazil, it should be done according to the Ministry of Health guidelines, frequently updated to include newly available drugs. This study aimed to conduct a national survey about the characteristics and outcomes of retreatment of hepatitis C in previously non-responders to DAAs. Patients and methods: Institutions from all over the country were invited to participate in a national registry for retreatment, including information about clinical and epidemiological characteristics of the patients, type and outcomes of retreatment regimens. Only patients previously treated with interferon-free regimens were included. Results: As previous treatments the distribution was: SOF/DCV (56%), SOF/SIM (22%), 3D (11%), SOF/LED (6%) and SOF/RBV (5%). For retreatment the most frequently used drugs were SOF/GP (46%), SOF/DCV (23%) and SOF/VEL (11%). From 159 patients retreated, 132/159 (83%) had complete information in the registry and among them only seven patients were non-responders (SVR of 94.6%). All retreatments were well tolerated, without any serious adverse events or interruptions. Conclusion: The retreatment of patients previously non-responders to DAAs was associated with high rate of SVR in this sample of Brazilian patients. This finding allows us to conclude that the retreatment options available in the public health system in Brazil are effective and safe and are an important component of the strategy of elimination of hepatitis C in our country.

Resumen El objetivo fue evaluar la correlación entre los grados-día de crecimiento (GDC), altura del dosel (AD) y índice de área foliar (IAF) para el pasto Guinea irrigado considerando la diferente combinación de las tasas de nitrógeno y boro y los ciclos de rebrote. El experimento se llevó a cabo de agosto/2017 a agosto/2018, en un experimento de campo y la región climática se clasifica como subtropical. Realizó un experimento factorial (4x3x11), con cuatro repeticiones y corrido en un diseño de bloques completamente aleatorio. Tratos: fertilización con boro: 0, 1 y 2 kg ha-1; fertilización con nitrógeno: 250, 500, 750 y 1,000 kg ha-1 distribuidos en 11 ciclos de crecimiento/corta. Hemos observado la alta correlación entre GDC y los parámetros evaluados para AD y IAF. Los resultados de nitrógeno mostraron una baja influencia en la altura del dosel y el índice de área foliar, y los resultados de boro no presentaron influencia en estos parámetros.

Abstract This study aims to evaluate the correlation among growing degree-days (GDD), canopy height (CH), and leaf area index (LAI) for Guinea grass irrigated, considering the different combinations of the nitrogen and boron rates and cycles of regrowth. The experiment was carried out from August/2017 to August/2018 in a field experiment, and the climate of the region is classified as subtropical. A randomized block design arranged in a factorial scheme (4x3x11) with four replications was used. The treatment was (i) boron fertilization: 0, 1, and 2 kg ha-1; and (ii) nitrogen fertilization: 250, 500, 750, and 1,000 kg ha-1 distributing to 11 growth/cutting cycles. We observed the high correlation between GDD and the parameters evaluated of CH and LAI. The nitrogen results showed a low influence on canopy height and the leaf area index, and boron results did not influence these parameters.

Resumo As cidades brasileiras vêm crescendo de forma desordenada e sofrendo conturbados processos antropogênicos, o que transforma de forma severa a atmosfera local, influenciando na qualidade de vida da sociedade. Esta pesquisa tem por finalidade a análise da variação de temperatura através do uso de sensoriamento remoto, buscando identificar ilhas de calor e frescor, sua origem e a variação espaço-temporal, tendo como área de estudo o município de São Paulo, uma grande cidade com densidade demográfica de 7.398,26 hab/km2 e mais de 12.000.000 de habitantes. Optou-se por utilizar de imagens do satélite Landsat 5 e da metodologia do algoritmo SEBAL para cálculo de temperatura da superfície. Os resultados encontrados evidenciam que a variação de temperatura da superfície vem sofrendo aumento com o passar dos anos, o município de São Paulo, a presença de grandes zonas industriais, o crescimento urbano desordenado, a presença de impermeabilização do solo através de revestimento asfáltico, são alguns dos fatores que contribuem para o surgimento de ilhas de calor. Também ficou evidenciada a presença de zonas de frescor, boa parte delas em áreas arborizadas, o que colabora para a redução da temperatura e melhoramento da condição de vida da população.

Abstract Brazilian cities have been growing in a disorderly manner and undergoing a disturbed anthropogenic process, which severely transforms the local atmosphere, influencing the quality of life of society. The purpose of this research is to analyze the temperature variation through the use of remote sensing, seeking to identify heat and freshness islands, their origins and the space-behavioral variation, having as study area the Municipality of São Paulo, a large city with population density of 7,398.26 inhabitants/km2 and more than 12,000,000 inhabitants. We opted to use Landsat 5 satellite images and SEBAL algorithm methodology for surface temperature calculation. The results show that the surface temperature variation has been increasing over the years, the city of São Paulo, the presence of large industrial zones, the disordered urban growth, the presence of soil sealing through asphalt coating, are some of the factors that contribute to the emergence of heat islands. It was also evidenced the presence of freshness zones, most of them in wooded areas, which contributes to reducing the temperature and improving the living conditions of the population.

RESUMO A colheita dos frutos de café verdes prejudica a qualidade final do produto, portanto devem ser separados dos frutos maduros durante o processamento. Como a proporção de frutos verdes colhidos pode ser alta, necessita-se gerar informações e tecnologias para o manejo adequado a fim de agregar valor aos grãos oriundos dessa categoria de frutos. Objetivou-se avaliar a qualidade dos grãos de café, oriundos de frutos verdes separados durante o processamento por via úmida e descascados após a imersão temporária em água. Utilizou-se o delineamento inteiramente casualizado com seis tratamentos (café cereja descascado e verde manejo tradicional secos em terreiro de concreto, verde imerso descascado e não descascados secos em terreiro de concreto e em terreiro suspenso) e quatro repetições, ao longo da safra de 2018. Após o descascamento da amostra imersa temporariamente, as frações descascadas e não descascadas foram divididas e secas em terreiro suspenso e de concreto. Avaliaram-se o rendimento do descascamento dos frutos verdes e as características físicas e sensoriais dos grãos beneficiados. O rendimento médio do descascamento foi de 62% e permitiu a segregação dos frutos verdes mais desenvolvidos, equiparando-os à qualidade física e sensorial do café cereja descascado.

ABSTRACT The harvest of green coffee fruits affects their quality; they should be separated from the ripe fruits during processing. The proportion of harvested green fruits can be high, requiring information and technologies to adequately manage and add value to coffee beans from this fruit category. The objective of this work was to evaluate the quality of coffee beans from green fruits separated during a wet processing and peeled after temporary immersion in water. A completely randomized design was used, consisting of six treatments (ripe peeled coffee fruits dried on suspended yards, non-peeled green coffee fruits under traditional dry management on a concrete yard, and peeled and non-peeled green coffee fruits temporarily immersed in water and dried on suspended and concrete yards) and four replications, in the 2018 crop season. Samples of coffee beans temporarily immersed in water were peeled and separated into peeled and non-peeled fractions and dried in suspended and concrete yards. The peeling yield of green coffee beans and the physical and sensorial characteristics of the processed coffee beans were evaluated. The mean peeling yield was 62% and allowed the separation of more developed green fruits, equating them to ripe peeled coffee beans regarding physical and sensorial quality.

Abstract Chronic hepatitis B is an important health problem that can progress to cirrhosis and complications such as hepatocellular carcinoma. There is approximately 290 million of people with chronic hepatitis B virus (HBV) infection worldwide, however only 10% of patients are currently identified.Most part of Brazil is considered of low prevalence of HBV infection but there are some regions with higher frequency of carriers. Unfortunately, many infected patients are not yet identified nor evaluated for treatment.The Brazilian Society of Infectious Diseases (SBI) and the Brazilian Society of Hepatology worked together to elaborate a guideline for diagnosis and treatment of hepatitis B. The document includes information regarding the population to be tested, diagnostic tools, indications of treatment, therapeutic schemes and also how to handle HBV infection in specific situations (pregnancy, children, immunosuppression, etc).Delta infection is also part of the guideline, since it is an important infection in some parts of the country.

Abstract Objective: To measure the influence of oral health literacy (OHL) level in the improvement of knowledge about traumatic dental injuries (TDI) after an educational intervention. Material and Methods: A total of 257 parents of children aged 0-12 years had their OHL level evaluated (BREALD-30). A leaflet with information about how to respond to TDI Emergency was developed and delivered to the parents. A questionnaire about attitudes towards TDI was administered before (TDIQ1) and after (TDIQ2) parents read the educational leaflet. The hypotheses were evaluated by non-parametric tests, correlation analysis and logistic regression. Results: The mean OHL score was 21.6. The means of correct answers in TDIQ1 were 5.5 and 5.9 (p = 0.066) and in TDIQ2 were 6.6 and 7.7 (p=0.003) between the groups with inadequate and marginal/adequate OHL, respectively. In the logistic regression, the total score of BREALD-30 and the maximum number of correct answers in TDIQ2 maintained statistical association when adjusted for schooling, gender, age of the parents, family income and the number of correct answers in the first application of the questionnaire. Conclusion: The level of OHL influenced the improvement of parents’ knowledge about emergency care in cases of TDI in children from an educational intervention using a leaflet, and this intervention was more effective for parents with adequate OHL.

RESUMO O objetivo deste estudo foi identificar o uso de dispositivos metodológicos para mudanças de comportamento e a prática de educação em saúde aos indivíduos com Diabetes Mellitus (DM). Estudo descritivo, exploratório, de abordagem transversal, desenvolvido no município de Aracaju, Sergipe, com 138 profissionais, médicos e enfermeiros da Estratégia Saúde da Família, utilizando entrevista estruturada, tendo como referencial teórico-metodológico o Modelo de Atenção à Condição Crônica. Os resultados mostraram que a maioria dos profissionais referiu desenvolver atividades de educação em saúde, sendo os temas mais referidos: alimentação saudável e exercício físico. Com relação ao uso de abordagens para mudança de comportamento dos usuários, a mais utilizada foi a entrevista motivacional, seguida do Modelo Transteórico de Mudança (MTT). Todos os profissionais que utilizam o MTT concordam com sua aplicabilidade. Conclui-se que a prática de educação em saúde para pessoas com DM é desenvolvida, enquanto o uso de dispositivos metodológicos para mudanças de comportamento ainda é subutilizado, sobretudo o Grupo Operativo.

ABSTRACT The objective of this study was to identify the use of methodological devices for behavioral changes and practice of health education for individuals with Diabetes Mellitus (DM). A descriptive, exploratory, cross-sectional study developed in the city of Aracaju, Sergipe, Brazil, with 138 professionals, doctors and nurses of the Family Health Strategy, using a structured interview, having as a theoretical-methodological reference the Model of Care to Chronic Conditions. The results showed that most of the professionals referred to developing health education activities, with the most mentioned themes being: healthy eating and physical exercise. Regarding the use of approaches to change the behavior of users, the most used was the motivational interview, followed by the Transtheoretical Model of Change (MTT). All professionals who use MTT agree with its applicability. It is concluded that the practice of health education for people with DM is developed, while the use of methodological devices for behavior changes is still underutilized, especially the Operative Group.

RESUMO O objetivo deste estudo foi identificar o uso de dispositivos metodológicos para mudanças de comportamento e a prática de educação em saúde aos indivíduos com Diabetes Mellitus (DM). Estudo descritivo, exploratório, de abordagem transversal, desenvolvido no município de Aracaju, Sergipe, com 138 profissionais, médicos e enfermeiros da Estratégia Saúde da Família, utilizando entrevista estruturada, tendo como referencial teórico-metodológico o Modelo de Atenção à Condição Crônica. Os resultados mostraram que a maioria dos profissionais referiu desenvolver atividades de educação em saúde, sendo os temas mais referidos: alimentação saudável e exercício físico. Com relação ao uso de abordagens para mudança de comportamento dos usuários, a mais utilizada foi a entrevista motivacional, seguida do Modelo Transteórico de Mudança (MTT). Todos os profissionais que utilizam o MTT concordam com sua aplicabilidade. Conclui-se que a prática de educação em saúde para pessoas com DM é desenvolvida, enquanto o uso de dispositivos metodológicos para mudanças de comportamento ainda é subutilizado, sobretudo o Grupo Operativo.

ABSTRACT The objective of this study was to identify the use of methodological devices for behavioral changes and practice of health education for individuals with Diabetes Mellitus (DM). A descriptive, exploratory, cross-sectional study developed in the city of Aracaju, Sergipe, Brazil, with 138 professionals, doctors and nurses of the Family Health Strategy, using a structured interview, having as a theoretical-methodological reference the Model of Care to Chronic Conditions. The results showed that most of the professionals referred to developing health education activities, with the most mentioned themes being: healthy eating and physical exercise. Regarding the use of approaches to change the behavior of users, the most used was the motivational interview, followed by the Transtheoretical Model of Change (MTT). All professionals who use MTT agree with its applicability. It is concluded that the practice of health education for people with DM is developed, while the use of methodological devices for behavior changes is still underutilized, especially the Operative Group.

ABSTRACT The quality of sesame (Sesamum indicum L.) seeds is directly influenced by their physical characteristics, which are seldom studied notwithstanding their extreme importance in the entire production chain. Therefore, the objective of this study was to quantify the physical properties of two types of sesame seeds, collected at three points in the plant with different maturation levels, measured with digital caliper, and to evaluate the feasibility of using a digital image to determine their physical characteristics. The seeds were initially evaluated for water content and mass of 1000 seeds, and later with the data of the characteristic dimensions A (length), B (width), and C (thickness), obtained by a caliper and digital images, we determined their sphericity, circularity, projected area, and geometric diameter. We observed that water content did not affect the physical properties of the cream (CNPA G4) and black sesame cultivars. In addition, seeds of the black cultivar presented higher results than the seeds of the cream cultivar for the mass of 1000 seeds (2.7 ± 0.08 g), sphericity (58.8 ± 0.47%), projected area (4.03 ± 0.12 mm2), and geometric diameter (1.65 ± 0.03 mm). Seed batches harvested after 70% maturation had the highest mass of 1000 seeds (2.7 ± 0.12 g). The results of the physical analyses of sesame seeds performed with caliper and digital image are equivalent, which shows that digital images can be used as tools to obtain the physical properties of seeds.

RESUMO O feijão-comum apresenta grande importância na economia brasileira e a cultura da mamona ainda é emergente no Centro-Oeste, porém com grande potencial de exploração pelos agricultores em razão das condições climáticas prevalecentes e topografia plana. Desta forma, objetivou-se neste trabalho avaliar as características agronômicas de cultivares de feijão-comum e híbridos de mamona oriundos de consórcio e monocultivo nas condições edafoclimáticas da região do Cerrado. Empregou-se o delineamento em blocos casualizados em esquema fatorial 4 x 2 + 6, com três repetições. Os tratamentos foram constituídos por quatro cultivares de feijão-comum (BRS Pérola, BRS Esteio, BRSMG Realce e BRS Pitanga) consorciadas com duas cultivares híbridas de mamona (Tamar e Ag Ima), acrescidos das respectivas cultivares em monocultivo. As cultivares de feijão-comum tiveram a altura de planta influenciada no consórcio com os híbridos de mamona, no entanto, os híbridos de mamona não tiveram suas características agronômicas influenciadas pelas cultivares de feijão-comum. O consórcio entre as cultivares de feijão-comum Esteio, Realce e Pérola e os híbridos de mamona Tamar e Ag Ima foi classificado como viável pelo índice de equivalência de área uma vez que este índice apresentou valores superiores a 1,0 para o consórcio entre estas cultivares, demonstrando que seria necessário mais de um hectare em monocultivo para produzir a mesma quantidade que um hectare em consórcio.

ABSTRACT Common bean has great importance in the Brazilian economy and castor bean is still emerging in Midwestern Brazil, but with great potential of exploitation by farmers due to the prevailing climatic conditions and flat topography. Hence, this study aimed to evaluate the agronomic characteristics of common bean cultivars and castor bean hybrids in intercropping and monocropping under the edaphoclimatic conditions of the Cerrado region. The randomized block design was used in 4 x 2 + 6 factorial scheme, with three replicates. Treatments were composed of four cultivars of common beans (BRS Pérola, BRS Esteio, BRSMG Realce and BRS Pitanga) intercropped with two castor bean hybrids (Tamar and Ag Ima), plus the respective crops in monocropping. In common bean cultivars, plant height was influenced in the intercropping with castor bean hybrids; however, agronomic characteristics of the castor bean hybrids were not influenced by common bean cultivars. The intercropping between common bean cultivars (BRS Esteio, BRSMG Realce and BRS Pitanga) and castor bean hybrids (Tamar and Ag Ima) was classified as viable by the area equivalence index, since this index presented values greater than 1.0 for the intercropping between these cultivars. This fact indicates that it would take more than one hectare in monocropping to produce the same amount than one hectare in intercropping.

ABSTRACT Objective to examine stress factors in nurses at a university hospital in Aracaju, Sergipe, Brazil. Method in this descriptive, correlational study, data were collected by interview from a sample of 101 nursing personnel, by applying a Nursing Stress Inventory, and analyzed using Student’s t-test for independent samples. The study was approved by the research ethics committee. Results 43% of the items examined were sources of occupational stress among nursing professionals, with stressful career roles being responsible for most influence on stress (54%). Work place was the only variable that displayed significant difference when associated with the factors examined. Conclusion Nursing revealed itself to be a profession with risk of occupational stress, which was influenced in various manners by the work organization and work process factors examined.

RESUMEN Objetivo analizar los factores de estrés en enfermeros de un hospital universitario de la ciudad de Aracaju, Sergipe, Brasil. Método investigación descriptiva y correlacional. La muestra se compuso de 101 profesionales de enfermería. Los datos fueron recolectados por la técnica de entrevista, con aplicación del Inventario para Estrés en Enfermeros y, posteriormente, analizados utilizando la prueba t de Student para muestras independientes. El proyecto de estudio fue aprobado por el Comité de Ética en Investigación. Resultados El 43% de los ítems analizados fue fuente de estrés ocupacional entre los profesionales de enfermería, siendo el factor papeles estresores de la carrera el responsable por mayor influencia al estrés (54%). El lugar de trabajo fue la única variable que presentó diferencia significativa cuando se asoció a los factores analizados. Conclusión la enfermería se reveló como una profesión de riesgo en cuanto al estrés ocupacional, sufriendo diversas influencias de los factores analizados, relacionados a la organización y al proceso de trabajo.

RESUMO Objetivo analisar os fatores de estresse em enfermeiros de um hospital universitário da cidade de Aracaju, Sergipe, Brasil. Método pesquisa descritiva e correlacional. A amostra foi composta por 101 profissionais de enfermagem. Os dados foram coletados pela técnica de entrevista, com aplicação do Inventário para Estresse em Enfermeiros e posteriormente analisados utilizando o teste t de Student para amostras independentes. O projeto do estudo foi aprovado por Comitê de Ética em Pesquisa. Resultados 43% dos itens analisados foram fontes de estresse ocupacional entre os profissionais de enfermagem, sendo o fator papéis estressores da carreira o responsável por maior influência ao estresse (54%). O local de trabalho foi a única variável que apresentou diferença significativa quando associada aos fatores analisados. Conclusão a enfermagem se revelou como uma profissão de risco para o estresse ocupacional, sofrendo diversas influências dos fatores analisados, relacionados à organização e ao processo de trabalho.

RESUMO A mandioca é uma cultura importante no Brasil e no Norte do país, e a podridão mole da raiz tem afetado a produção. O objetivo deste trabalho foi identificar caracteres morfoanatômicos e histoquímicos da raiz associados à resistência à podridão da raiz. Em áreas sem ocorrência da doença, nove genótipos de mandioca foram testados, quatro resistentes e cinco suscetíveis. A colheita da raiz foi realizada doze meses após o plantio e medidas de espessura do súber, súber e cortex e xilema secundário foram realizadas. Além disso, foram analisados a textura, as camadas de célula do súber, o conteúdo de lignina e os monômeros de lignina da porção súber e cortex. Ainda, testes histoquímicos e microscopia eletrônica de varredura (MEV) das raízes foram realizados. Os resultados foram submetidos à análise de variância e as médias foram comparadas pelo teste de Scott-Knott (p≤0.05). Os caracteres: espessura de súber e córtex nas porções mediana e proximal, espessura do xilema secundário nas porções mediana e apical, número de camadas de células do súber, espessura do súber e textura da raiz apresentaram diferenças entre os genótipos, mas não associadas à resistência ou suscetibilidade. Não houve diferenças para: elementos de vaso, lignina e monômeros de lignina para os testes histoquímicos com Sudan IV e Lugol. Imagens de MEV apresentaram diferenças entre os genótipos, mas não associadas à resistência ou suscetibilidade. Assim, os caracteres avaliados não podem ser usados na seleção de mandioca com resistência à podridão mole da raiz em programa de melhoramento genético.

ABSTRACT Cassava is an important culture in Brazil and in the North of the country, and soft root rot has affected root production. The aim of this work was to identify root morphoanatomic and histochemical characters associated with root rot resistance. In areas with no occurrence of the disease, nine cassava genotypes were tested, four of which were resistant, and five were susceptible to root rot. Root harvest was carried out twelve months after sowing, and thickness of suber, suber and cortex, and secondary xylem were measured. Moreover, texture, suber cell layers, lignin content, and lignin monomers content of the portion suber and cortex were analyzed. Also, histochemical tests and scanning electron microscopy (SEM) analyses of the roots were performed. Results were subjected to analysis of variance, and means were compared by the Scott-Knott test (p ≤0.05). The characters thickness of suber and cortex at proximal and medium portions, thickness of secondary xylem at medium and apical portions, number of cell layers of suber, thickness of suber, and root texture showed differences among genotypes; however, the characters could not be associated with resistance or susceptibility. There were no differences for: vessel elements, lignin and lignin monomers, and for the histochemical tests with Sudan IV and Lugol. Images of SEM showed differences among genotypes, which could not be associated with resistance or susceptibility. Thus, the characters evaluated cannot be used in selection for cassava resistance to soft root rot in genetic breeding programs.

RESUMO Objetivo: identificar os aspectos epidemiológicos dos óbitos fetais e neonatais precoces em filhos de pacientes classificadas com near miss e os fatores associados a este desfecho. Método: estudo transversal realizado com 79 mulheres identificadas com near miss e seus recém-nascidos. As variáveis foram analisadas utilizando-se o teste Exato de Fisher. Os fatores de risco foram estimados com base nas razões de chances não ajustadas e ajustadas, e por meio de análise de correspondência múltipla, com significância para p < 0,05. Resultados: as desordens hipertensivas totalizaram 40,5%; destas, 58,3% tiveram desfecho fetal e neonatal adverso. Mostraram-se significantes para o desfecho os recém-nascidos admitidos na Unidade Terapia Intensiva Neonatal (70,8%), idade gestacional < 32 semanas (41,6%), peso ao nascer < 2500 (66,7%), asfixia neonatal (50%) e desconforto respiratório precoce (72,2%). Conclusão: prematuridade, asfixia neonatal e desconforto respiratório precoce constituíram características significantes para o desfecho entre os recém-nascidos.

ABSTRACT Objective: identify the epidemiological aspects of early fetal and neonatal deaths in children of patients classified with near miss and the factors associated with this outcome. Method: a cross-sectional study of 79 women identified with near miss and their newborns. The variables were analyzed using Fisher’s exact test. Risk factors were estimated based on unadjusted and adjusted odds ratios, and by means of multiple correspondence analysis, with significance for p <0.05. Results: hypertensive disorders totaled 40.5%; Of these, 58.3% had adverse fetal and neonatal outcome. The newborns admitted to the Neonatal Intensive Care Unit proved to be significant for the outcome (70.8%), gestational age <32 weeks (41.6%), birth weight <2500 (66.7%), neonatal asphyxia (50%) and early respiratory discomfort (72.2%). Conclusion: prematurity, neonatal asphyxia, and early respiratory distress were significant characteristics for the outcome among newborns.

RESUMEN Objetivo: identificar los aspectos epidemiológicos de los óbitos fetales y neonatales precoces en hijos de pacientes clasificados con near miss y los factores asociados a este desenlace. Método: estudio transversal realizado con 79 mujeres identificadas con near miss y sus recién nacidos. Las variables fueron analizadas utilizando la prueba Exacta de Fisher. Los factores de riesgo fueron estimados con base en las razones de posibilidades no ajustadas y ajustadas, y por intermedio de análisis de correspondencia múltiple, con significación para p < 0,05. Resultados: los desórdenes hipertensivos totalizaron el 40,5%; de los cuales el 58,3% tuvieron desenlace fetal y neonatal adverso. Se han mostrado significativos para el desenlace los recién nacidos admitidos en la Unidad de Terapia Intensiva Neonatal (70,8%), edad gestacional < 32 semanas (41,6%), peso al nacer < 2500 (66,7%), asfixia neonatal (50%) y dificultad respiratoria de inicio precoz (72,2%). Conclusión: prematuridad, asfixia neonatal y dificultad respiratoria de inicio precoz constituyeron características significativas para el desenlace entre los recién nacidos.