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au:RODRIGUES, Alice Cristina

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Impacts caused by the use of screens during the COVID-19 pandemic in children and adolescents: an integrative review
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Resende, Maria Alice Aparecida

; Fonseca, Mariana Luiza da

; Freitas, Jéssica Tertuliano de

; Gesteira, Elaine Cristina Rodrigues

; Rossato, Lisabelle Mariano

Revista Paulista de Pediatria

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2024, Volume 42 elocation e2022181

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

ABSTRACT Objective: To identify the scientific evidence on the impacts caused by the use of screens during the COVID-19 pandemic in children and adolescents, raising reflections for future interventions with this public. Data source: This is an integrative literature review, conducted in the databases Medical Literature Analysis and Retrieval System Online (MEDLINE), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL), United States National Library of Medicine (PubMed), Scopus, Web of Science, and Embase, published from March 2020 to January 2022, in Portuguese, English and Spanish. Data synthesis: The search strategies allowed retrieving 418 articles, of which 218 were duplicates. The analysis of titles and abstracts resulted in the maintenance of 62 studies. Of these, 31 were excluded from the reading of the full text, since they did not clearly present the phenomenon investigated. Thirty-one were eligible, resulting in five categories: eye consequences; increased sedentary behavior and weight; change in eating habits; implications for sleep quality and impacts on mental health. Conclusions: The excessive use of screens during the pandemic led to numerous consequences for children and adolescents, with a higher incidence of visual damage, sedentary lifestyle, inadequate eating habit and increased weight gain, in addition to impaired sleep quality and mental health. This study provides subsidy for health professionals to carry out continuing education focused on this theme, and elaborate effective interventions for this public in this transition to the post-pandemic period.

RESUMO Objetivo: Identificar as evidências científicas sobre os impactos causados pelo uso de telas durante a pandemia da COVID-19 em crianças e adolescentes, almejando reflexões para futuras intervenções com esse público. Fontes de dados: Trata-se de uma revisão integrativa da literatura, realizada nas bases de dados Medical Literature Analysis and Retrieval System Online (MEDLINE), Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Cumulative Index to Nursing and Allied Health Literature (CINAHL), United States National Library of Medicine (PubMed), Scopus, Web of Science e Embase, publicados de março de 2020 a janeiro de 2022, em português, inglês e espanhol. Síntese dos dados: As estratégias de busca possibilitaram recuperar 418 artigos, sendo 218 duplicados. A análise de títulos e resumos resultou na manutenção de 62 estudos. Destes, após a leitura do texto integral foram excluídos 31, uma vez que não apresentavam com clareza o fenômeno investigado. Foram elegíveis 31 estudos, emergindo cinco categorias: consequências oculares; aumento do comportamento sedentário e do peso; alteração dos hábitos alimentares; implicações na qualidade do sono e impactos na saúde mental. Conclusões: Percebe-se que o uso telas em excesso durante a pandemia trouxe inúmeras consequências para o público infantojuvenil, com maior incidência de acometimentos visuais, sedentarismo, alimentação inadequada e, por consequência, maior ganho de peso, além de prejuízos à qualidade do sono e à saúde mental. Este estudo fornece subsídios para que os profissionais da saúde realizem educação continuada voltada para essa temática e elaborem intervenções efetivas para esse público nesta transição para o período pós-pandêmico.

https://doi.org/10.1590/1984-0462/2024/42/2022181

EFICIÊNCIA DOS FUNGOS MICORRÍZICOS ARBUSCULARES EM ARROZ (ORYZA SATIVA L.) INFECTADO COM CURVULARIA LUNATA.
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Vieira, Letycya Cristina Barbosa

; Rodrigues, Antônia Alice Costa

; Silva, Erlen Keila Cândido e

; Nobre, Camila Pinheiro

; Nascimento, Ivaneide de Oliveira

; Mochel, Gerbeli de Mattos Salgado

; Cunha, Wanderson Lima

Ciencia del suelo

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jan 2023, Volume 41 N. 1 Pages 17 - 30

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

Abstract Disease in plants as a major limiting factor in agricultural production. In rice culture, it contributes to the reduction of production and grain quality, such as glumela stain caused by Curvularia lunata. As forms of control available to this pathogen, are being of high cost to most producers. Arbuscular mycorrhizal fungi (AMF) can help as plants tolerate pathogen attacks and resistance mechanisms. Therefore, this study aimed to evaluate the control of C. lunata in the rice culture inoculated with AMF, as well as its benefits in growth and factors of production. The experiment was carried out in a greenhouse with a completely randomized experimental design considering the treatments: T1 - Witness; T2 - Rhizophagus clarus; T3 - Claroideoglomus etunicatum; T4 - Gigaspora margarita; T5 - R. clarus + C. etunicatum; T6 - C. etunicatum + G. margarita; T7 - R. clarus + G. margarita and T8 - R. clarus + C. etunicatum + G. margarita. The parameters evaluated were disease severity, height of the aerial part (HAP), dry plant shoot mass (DSPM), grain quantity (full and dry grain), panicle length and mycorrhizal colonization. The DSPM only the T2 and T5 differed from the control and presented higher averages. For the factors of production, all parameters were significant, except for full grains. The AMF present potential in the control of C. lunata, but complementary research is needed on the mechanism of action of the pathogen, AMF and the host plant.

Resumo A doença em plantas é considerada como um dos principais fatores limitantes na produção agrícola como a mancha das glumelas causada por Curvularia lunata. Na cultura do arroz, ela contribui na redução da produção e na qualidade dos grãos. As formas de controle disponíveis para esse patógeno são de alto custo para a maioria dos produtores. Os fungos micorrízicos arbusculares (FMA) podem auxiliar as plantas a tolerarem ataques de patógenos e desenvolverem mecanismos de resistência. Diante disso, este estudo objetivou avaliar o controle de C. lunata na cultura do arroz inoculado com FMA, bem como seus benefícios no crescimento e fatores de produção. O experimento foi realizado em casa de vegetação com delineamento experimental inteiramente casualizado considerando os tratamentos: T1 - Testemunha; T2 - Solo + Rhizophagus clarus; T3 - Solo + Claroideoglomus etunicatum; T4 - Solo + Gigaspora margarita; T5 - Solo + R. clarus + C. etunicatum; T6 - Solo + C. etunicatum + G. margarita; T7 - Solo + R. clarus + G. margarita e T8 - Solo + R. clarus + C. etunicatum + G. margarita. Avaliaram-se os parâmetros severidade da doença, altura da parte aérea (ALT), massa seca da parte aérea (MSPA), quantidade de grãos (cheios e chochos), comprimento de panículas e colonização micorrízica. A MSPA apenas Solo + Rhizophagus clarus e Solo + R. clarus + C. etunicatum diferiram da testemunha e apresentaram maiores médias. Nos fatores de produção, todos os parâmetros foram significativos, exceto grãos cheios. Os FMA apresentam potencial na redução dos efeitos causados por C. lunata, porém é necessita de pesquisas complementares sobre o mecanismo de ação do patógeno, FMA e da planta hospedeira.

Comparação entre as versões rápida e conteúdo-balanceada do Inventário de Avaliação Pediátrica de Incapacidade - Testagem Computadorizada Adaptativa (PEDI-CAT) em crianças com paralisia cerebral
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Moraes, Júlia Martins de

; Costa, Maria Alice Dias da

; Rodrigues, Isabella Sara de Oliveira

; Fontes, Déborah Ebert

; Camargos, Ana Cristina Resende

Fisioterapia e Pesquisa

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oct 2022, Volume 29 N. 4 Pages 421 - 428

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

ABSTRACT This study aimed to compare the speedy and content-balanced versions of the Pediatric Evaluation of Disability Inventory - Computer Adaptive Test (PEDI-CAT) in its four domains. A cross-sectional observational study was conducted with children with cerebral palsy (CP). The two versions of PEDI-CAT were administered to each child with a 7-days interval, remotely, in interview format with caregivers. Pearson’s correlation was used to evaluate the association among scaled scores in the two versions of PEDI-CAT. In total, 11 children with CP, aged 2 to 12 years, participated in the study. A strong significant association between mean values of the scaled score of the speedy and content-balanced versions in all domains (p<0.0001) was observed. Two children (18.2%) were classified differently regarding normative standard score in the Social/Cognitive domain. Both versions of PEDI-CAT showed concordant results in relation to the scaled score when applied to children with CP. However, one must cautiously interpret the normative standard score depending on the version used in the Social/Cognitive domain.

RESUMEN El objetivo de este estudio fue comparar las versiones rápida (speedy-cat) y de contenido equilibrado (content-balanced) del Pediatric Disability Assessment Inventory-Computerized Adaptive Test (PEDI-CAT) en sus cuatro dominios. Para eso, se realizó un estudio observacional transversal con niños con parálisis cerebral (PC). Las dos versiones del PEDI-CAT se aplicaron a cada niño por medio de entrevistas con los cuidadores, con un intervalo de siete días y en formato remoto. Se utilizó la correlación de Pearson para verificar la asociación entre las puntuaciones continuas de las dos versiones del PEDI-CAT. Once niños con PC, con edades comprendidas entre 2 y 12 años, participaron en el estudio. Hubo una fuerte asociación significativa entre los valores medios de la puntuación continua de la versión rápida y el contenido equilibrado en todos los dominios (p<0,0001). Dos niños (18,2%) fueron clasificados de manera diferente con relación al puntaje normativo en el dominio sociocognitivo. Las versiones del PEDI-CAT mostraron resultados concordantes en cuanto a la puntuación continua cuando se aplica a niños con PC. Sin embargo, se necesita precaución al interpretar el puntaje normativo basado en la versión utilizada en el dominio sociocognitivo.

RESUMO O objetivo deste estudo foi comparar as versões rápida e conteúdo-balanceada do Inventário de Avaliação Pediátrica de Incapacidade - Testagem Computadorizada Adaptativa (PEDI-CAT) em seus quatro domínios. Para tanto, foi realizado um estudo observacional transversal com crianças com paralisia cerebral (PC). As duas versões do PEDI-CAT foram aplicadas em cada criança com um intervalo de sete dias, no formato remoto, por meio de entrevistas com os responsáveis. Foi utilizada a correlação de Pearson para verificar a associação entre os escores contínuos das duas versões do PEDI-CAT. Participaram do estudo 11 crianças com PC, entre 2 e 12 anos de idade. Foi verificada forte associação significativa entre valores médios do escore contínuo da versão rápida e conteúdo-balanceada em todos os domínios (p<0,0001). Duas crianças (18,2%) foram classificadas de forma diferente em relação ao escore normativo no domínio social-cognitivo. As versões do PEDI-CAT mostraram resultados concordantes em relação ao escore contínuo quando aplicadas em crianças com PC. No entanto, é necessário ter cautela na interpretação do escore normativo dependendo da versão utilizada no domínio social-cognitivo.

https://doi.org/10.1590/1809-2950/22008629042022pt

Double Product and Autonomic Function as Predictors of Quality of Life in Heart Transplant Recipients: A Cross-Sectional Study
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Rodrigues Junior, Luiz Fernando

; Moreira, Beatriz Robert

; Duque, Alice Pereira

; Oliveira, Juliana Rega de

; Figueiredo, Pedro Henrique Scheidt

; Oliveira, Cláudia Rosa de

; Colafranceschi, Alexandre Siciliano

; Mediano, Mauro Felippe Felix

; Guimarães, Tereza Cristina Felippe

Brazilian Journal of Cardiovascular Surgery

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aug 2022, Volume 37 N. 4 Pages 454 - 465

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: Heart rate control by the autonomic nervous system (ANS) is impaired in heart transplant (HT) recipients, leading to increased resting heart rate, metabolic demand, and fatigue, which can impair their quality of life (QoL). In this study, we hypothesized the association of hemodynamics and autonomic function as predictors of QoL in HT recipients. Methods: This is a cross-sectional study conducted with HT recipients aged ≥ 18 years at ambulatorial accompaniment. Blood pressure was used for hemodynamics assessment, and heart rate variability (HRV) was used for ANS assessment. QoL was assessed by the 36-item Short Form Health Survey. The significance level was set as P≤0.05. Results: Twenty-two volunteers were included in the study. Systolic blood pressure (SBP) and double product (DP) were significantly negatively associated with the physical functioning domain of QoL. DP, the number of consecutive normal RR interval differences > 50 ms (NN50), and the percentage of normal RR intervals that differed by > 50 ms from the adjacent interval (PNN50) exhibited negative association with the physical role domain. NN50 and PNN50 were significantly associated with bodily pain, social functioning, and emotional role domains. SBP was negatively associated with the vitality domain. Considering general and mental health domains, no variable demonstrated significant association. DP, NN50, and PNN50 were negatively associated with the total score of QoL. Conclusion: This study demonstrated DP and HRV as predictors of QoL in HT recipients. These innovative results can become a relevant therapeutic target for improving QoL in HT recipients prior to its deterioration.

https://doi.org/10.21470/1678-9741-2021-0083

Virtual day center for people with dementia and their caregivers during the COVID-19 pandemic
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Maffioletti, Virgínia Lúcia Reis

; Baptista, Maria Alice Tourinho

; Abranches, Bethânia

; Koatz, Gabriela

; Rodrigues, Valeska Marinho

; Deslandes, Andrea

; Dourado, Marcia Cristina Nascimento

Dementia & Neuropsychologia

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dec 2021, Volume 15 N. 4 Pages 440 - 447

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

RESUMO A pandemia da COVID-19 impôs a suspensão da assistência presencial oferecida por espaços comunitários, como centros dias. Pessoas com demência (PcD) e seus familiares enfrentam os riscos do distanciamento social e da suspensão dos tratamentos. Objetivos: Apresentar um programa de centro dia virtual (CDV) oferecido como estratégia preventiva para reduzir os danos causados pelo isolamento social e interrupção do tratamento impostos pela pandemia. Métodos: Relato de experiência, descrevendo a viabilidade de um programa VDC, oferecido a 26 PcD e seus cuidadores, durante o primeiro ano da pandemia. O CDV realizou reuniões individuais e em grupo com PcD e seus familiares e grupos de apoio psicoeducacional para cuidadores. Resultados: A taxa de comparecimento nas atividades em grupo foi de 80% e nos grupos de cuidadores foi 68%, demonstrando uma boa interação virtual. Ao longo do ano, três PcD interromperam o atendimento por dificuldade dos cuidadores em conciliar os horários das atividades com seus compromissos profissionais e ausência de rede de apoio, outros três faleceram e dois foram institucionalizados. PcD mantiveram-se física, social e cognitivamente ativas por meio de atividades virtuais diárias. A orientação e o apoio aos cuidadores contribuíram para a organização das rotinas, a adaptação ao isolamento e manutenção do vínculo. As reuniões familiares possibilitaram mediar conflitos e ampliar a rede de apoio. Conclusões: o CDV é uma modalidade promissora para atender às necessidades e demandas de PcD e seus cuidadores. O CDV pode contribuir para a expansão dessa intervenção a indivíduos e famílias que não têm acesso ao tratamento presencial.

ABSTRACT The coronavirus disease 2019 (COVID-19) pandemic suspended face-to-face assistance offered by community spaces, such as day centers (DCs). People with dementia (PwD) and their families were faced with the risks posed by social detachment and suspension of treatments. Objective: This study aimed to present a virtual day center (VDC) program offered as a preventive strategy to reduce the damage caused by social isolation and interruption of treatment imposed by the pandemic. Methods: The experience report, describing the feasibility of a VDC program, offered to 26 PwD and their caregivers, during the first year of the pandemic. The VDC held individual and group meetings with PwD and their families and psychoeducational support groups for caregivers. Results: The attendance rate in group activities was 80%, and that in the caregiver group was 68%, showing a good virtual interaction. Throughout the year, three PwD interrupted the service due to difficulties of the caregivers to reconcile the schedules of the activities with their professional commitments and the absence of a support network, three others died, and two were institutionalized. PwD remained physically, socially, and cognitively active through daily virtual activities. Guidance and support for caregivers contributed to the organization of routines and adaptation to the isolation and maintenance of the bond. Family meetings made it possible to mediate conflicts and expand the support network. Conclusions: VDC is a promising modality to assist the needs and demands of PwD and their caregivers. VDC can contribute to the expansion of this intervention to individuals and families who do not have access to face-to-face treatment.

https://doi.org/10.1590/1980-57642021dn15-040003 1 downloads

COVID-19 diagnosis by RT-qPCR in alternative specimens
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Gonçalves, Cássia Cristina Alves

; Barroso, Shana Priscila Coutinho

; Herlinger, Alice Laschuk

; Galliez, Rafael de Mello

; de Almeida, Tailah Bernardo

; Boullosa, Lidia Theodoro

; Nascimento, Erica Ramos dos Santos

; de Almeida, Jessica M

; da Costa, Raissa Mirella dos Santos Cunha

; da Paixão, Tatiana Monteiro

; Couceiro, José Nelson dos Santos Silva

; Frauches, Thiago Silva

; de Souza Jr, Wilson Rodrigues

; Costa, Andréa Ribeiro

; Faffe, Débora Souza

; Leitão, Isabela de Carvalho

; da Silva, Bianca Ortiz

; de Lira, Guilherme Sant’Anna

; de Almeida, Isabela Labarba Carvalho

; Ferreira Jr, Orlando da Costa

; Castiñeiras, Terezinha Marta Pereira Pinto

; Mariani, Diana

; Tanuri, Amilcar

Memórias do Instituto Oswaldo Cruz

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2021, Volume 116 elocation e210085

Abstract: En | Text: En | PDF: En

BACKGROUND The high demand for adequate material for the gold standard reverse transcription real-time polymerase chain reaction (RT-qPCR)-based diagnosis imposed by the Coronavirus disease 2019 (COVID-19) pandemic, combined with the inherent contamination risks for healthcare workers during nasopharyngeal swab (NP) sample collection and the discomfort it causes patients, brought the need to identify alternative specimens suitable for the diagnosis of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). OBJECTIVES The aim of this work was to compare saliva and gingival fluid swabs to NP swabs as specimens for RT-qPCR-based SARS-CoV-2 diagnosis. METHODS We compared gingival fluid swabs (n = 158) and saliva (n = 207) to the rayon-tipped NP swabs obtained from mild-symptomatic and asymptomatic subjects as specimens for RT-qPCR for SARS-CoV-2 detection. FINDINGS When compared to NP swabs, gingival fluid swabs had a concordance rate of 15.4% among positive samples, zero among inconclusive, and 100% among negative ones. For saliva samples, the concordance rate was 67.6% among positive samples, 42.9% among inconclusive, and 96.8% among negative ones. However, the concordance rate between saliva and NP swabs was higher (96.9%) within samples with lower cycle threshold (Ct) values (Ct > 10 ≤ 25). MAIN CONCLUSIONS Our data suggests that whereas gingival fluid swabs are not substitutes for NP swabs, saliva might be considered whenever NP swabs are not available or recommended.

https://doi.org/10.1590/0074-02760210085 205 downloads

O impacto da ansiedade em informação nas Startups de Inovação
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Cavallari Filho, Roberto

; Rocha Ribeiro, Karla Cristina

; Bitencourt Jorge, Carlos Francisco

; Zanon Rodrigues, Raphael

; Balarin de Oliveira, Gabriela

; Souza Martins, Daisy

; Maranho, Beatriz Cristina

; Campagnoli Otre, Maria Alice

; Bastos de Oliveira, Bruno

Revista Cubana de Información en Ciencias de la Salud

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jun 2020, Volume 31 N. 2 elocation e1512

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

RESUMO O presente trabalho tem como objetivo identificar o impacto da informação no contexto da construção de conhecimento em trabalhadores de startups. Nesse sentido, ao observarmos o atual cenário das organizações, analisamos que a informação é capaz de modificar o comportamento dos sujeitos de diferentes maneiras. Dessa forma, ao mesmo tempo em que devemos considerar a informação como um recurso para as organizações, também é necessário compreender o seu impacto na saúde geral dos trabalhadores, que vai desde a sensação de incapacidade em absorver múltiplas informações na produção de conhecimento, entre outros problemas (doenças somáticas, síndrome de esgotamento etc.), o que interfere na saúde mental, tanto quanto à saúde física. O uso da informação provoca inúmeros desencadeamentos nas organizações, todavia, destacamos um comportamento desenvolvido pelos trabalhadores que necessita ser analisado: a ansiedade informacional. Diante desse cenário, a presente pesquisa buscou compreender o comportamento informacional dos trabalhadores do conhecimento nas startups. Para tanto, foi escolhido o método ‘estudo de caso’, aplicando-se a triangulação, ou seja, aplicando diferentes técnicas de coleta e análise de dados, tornando a pesquisa mais consistente, validando assim os dados e análises realizadas. A população da pesquisa consiste em 18 sujeitos de 4 diferentes empresas de tecnologia da informação que foram enquadradas como startups. Com as informações colhidas, foi possível construir parâmetros baseados em estratégias de Gestão de Pessoas de Ribeiro et al (2019) capazes de minimizar o impacto da ansiedade em informação nos trabalhadores dessas startups.

ABSTRACT The purpose of the study was to identify the impact of information in the context of knowledge creation among workers from startup enterprises. Based on observation of the current scenario of organizations, we analyzed the fact that information may modify the behavior of subjects in different ways. Thus, while we should consider information as a resource for organizations, we should also understand its impact on workers' general health in terms of a feeling of inability to grasp multiple information in the process of knowledge production. Among other problems, somatic diseases and the burnout syndrome interfere with mental and physical health. Given this scenario, the study aimed to understand the information behavior of knowledge workers in the new enterprises. To achieve this goal, the case study method was applied, which included the use of triangulation, i.e. different data collection and analysis techniques contributing greater consistency to the study when validating the data and the analysis performed. The study population was 18 subjects from 4 different information technology companies classified as startups. With the information collected, parameters could be constructed on the basis of the people management strategies developed by Ribeiro et al (2019), capable as they are of minimizing the impact of information anxiety among workers from these new enterprises.

RESUMEN Este documento tiene como objetivo identificar el impacto de la información en el contexto de la creación de conocimiento en los trabajadores de nuevas empresas. En este sentido, al observar el escenario actual de las organizaciones, analizamos que la información puede modificar el comportamiento de los sujetos de diferentes maneras. Por lo tanto, si bien debemos considerar la información como un recurso para las organizaciones, también es necesario comprender su impacto en la salud general de los trabajadores desde la sensación de incapacidad para absorber información múltiple en la producción de conocimiento; entre otros problemas, enfermedades somáticas, síndrome de agotamiento, etcétera, que interfieren con la salud mental y la salud física. El uso de la información causa numerosos factores desencadenantes en las organizaciones; sin embargo, destacamos un comportamiento desarrollado por los trabajadores que debe analizarse: la ansiedad informativa. Dado este escenario, la presente investigación buscó comprender el comportamiento informativo de los trabajadores del conocimiento en las nuevas empresas. Para esto, se eligió el método "estudio de caso", aplicando la triangulación, es decir, diferentes técnicas de recolección y análisis de datos, haciendo que la investigación sea más consistente, para validar los datos y el análisis realizado. La población de la investigación consistió en 18 sujetos de 4 compañías diferentes de tecnología de la información que fueron clasificadas como startups. Con la información recopilada, fue posible construir parámetros basados en las estrategias de gestión de personas de Ribeiro y otros (2019), capaces de minimizar el impacto de la ansiedad por la información en los trabajadores de estas nuevas empresas.

BANCO DE LEITE HUMANO: MULHERES COM DIFICULDADES NA LACTAÇÃO
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Ferreira, Ana Paula Matos

; Silva, Paula Cristina Alves da

; Ferreira, Adriana Gomes Nogueira

; Rodrigues, Vandilson Pinheiro

; Lima, Alice Bianca Santana

; Aroucha, Lívia Alessandra Gomes

; Gontijo, Paula Vitória Costa

Cogitare Enfermagem

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2020, Volume 25 elocation e65699

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

ABSTRACT Objective: To investigate the difficulties experienced by women who seek care at the Human Milk Bank. Method: This is a documentary, retrospective, and quantitative study with a sample of 292 forms from postpartum women who sought specialized care at the Human Milk Bank of a university hospital in Northeastern Brazil. The present study was conducted from January to August 2017. Chi-square tests and odds ratio values were used. Results: The study population consisted mainly of women with a complete higher education degree (118; 40.4%). Additionally, 198 (67.81%) of the childbirths took place in private health facilities, and 209 (71.58%) were by Cesarean section. Moreover, 118 (40.41%) mothers did not receive information on breastfeeding at any time. The most common breastfeeding difficulties were latch-on (167; 57.19%), nipple fissure (96; 32.88%), nipple confusion (69; 23.63%), maternal insecurity (65; 22.26%), and breast engorgement (61; 20.89%). Conclusion: Professional guidance on breastfeeding and proper maternal follow-up during pregnancy and postpartum result in successful breastfeeding.

RESUMEN: Objetivo: conocer las dificultades de las mujeres que procuran atención en el Banco de Leche Humana. Método: se trata de un estudio documental y retrospectivo con una muestra de 292 formularios de puérperas que se acercaron al servicio especializado del Banco de Leche Humana de un Hospital Universitario en el nordeste de Brasil. Se realizó en el período de enero a agosto de 2017. Se utilizaron pruebas de Chi-cuadrado y medidas de Odds Ratio. Resultados: la muestra estuvo compuesta por 118 (40,4%) mujeres con Enseñanza Superior Completa, 198 (67,81%) tuvieron sus partos en servicios privados de salud, 209 (71,58%) por cirugía cesárea, y 118 (40,41%) no recibieron información alguna sobre lactancia en ningún momento. Dificultades de lactancia: agarre 167 (57,19%), fisura mamilar 96 (32,88%), confusión de pezones 69 (23,63%), inseguridad materna 65 (22,26%), y congestión mamaria 61 (20,89%). Conclusión: las pautas orientadoras proporcionadas por los profesionales dirigidas a la práctica de la lactancia materna y al adecuado acompañamiento de la mujer en el período de embarazo puerperal derivan en una lactancia exitosa.

RESUMO Objetivo: conhecer as dificuldades das mulheres que procuram atendimento no Banco de Leite Humano. Método: trata-se de um estudo documental, retrospectivo, utilizando amostra de 292 formulários de puérperas que buscaram o serviço especializado do Banco de Leite Humano em Hospital Universitário no Nordeste do Brasil. Realizado de janeiro a agosto de 2017. Foram utilizados testes de Qui quadado e medidas de Odds Ratio. Resultados: amostra composta por mulheres com Ensino Superior Completo 118 (40,4%), 198 (67,81%) realizaram partos em serviço de saúde privado, por cirurgia cesariana 209 (71,58%) e 118 (40,41%) não recebeu informações sobre amamentação em nenhum momento. Dificuldades de amamentação: pega 167 (57,19%), fissura mamilar 96 (32,88%), confusão de bicos 69 (23,63%), insegurança materna 65 (22,26%) e ingurgitamento mamário 61 (20,89%). Conclusão: orientações realizadas pelos profissionais voltadas para a prática do aleitamento materno e acompanhamento adequado à mulher no período gravídico puerperal resultam no sucesso da amamentação.

https://doi.org/10.5380/ce.v25i0.65699 241 downloads

Effectiveness of day care in supporting family caregivers of people with dementia: A systematic review
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Maffioletti, Virgínia Lúcia Reis

; Baptista, Maria Alice Tourinho

; Santos, Raquel Luiza

; Rodrigues, Valeska Marinho

; Dourado, Marcia Cristina Nascimento

Dementia & Neuropsychologia

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sep 2019, Volume 13 N. 3 Pages 268 - 283

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

RESUMO O centro-dia (CD) permite uma pausa no cuidado diário como estratégia de apoio aos cuidadores familiares (CF) das pessoas com demência (PcD). Objetivo: analisar as estratégias de suporte aos CF oferecidas pelos CD, seus modelos metodológicos e teóricos, bem como os respectivos benefícios sobre sua sobrecarga, estratégias de enfrentamento e qualidade de vida. Métodos: uma revisão sistemática utilizando a metodologia Prisma foi realizada nos bancos de dados eletrônicos PubMed, PsycInfo, Scopus e SciELO em agosto, 2018. As palavras chave da pesquisa foram “centro dia”, “demência” ou doença de Alzheimer, “cuidador”, “qualidade de vida” e “adaptação psicológica”. Resultados: vinte e um estudos foram incluídos. Não foram encontrados estudos randomizados. A oferta de educação, aconselhamento e apoio, o acesso a informações sobre a estrutura e o programa do CD, a expertise dos profissionais e a qualidade da relação destes com os usuários foram aspectos ressaltados pelos cuidadores. Comparados aos programas padrão centrados na PcD, estudos descrevendo o programa integrado, focado nas atividades para PcD e CF, mostraram um aumento no sentimento de competência e autoconfiança do CF e adiamento da institucionalização. Observou-se heterogeneidade na estrutura e organização dos programas de CD, nas estratégias de intervenção e nas bases teóricas. Conclusão: programas integrados são uma abordagem promissora que atende às necessidades e demandas das PcD e seus CF de forma multidimensional.

ABSTRACT Day care (DC) provides a break in daily care as a support strategy for family caregivers (FC) of people with dementia (PwD). Objective: to analyze the support strategies used by the DC for FC, their methodological and theoretical models, as well as the respective benefits for FC burden, coping strategies and quality of life. Methods: a systematic review following the Prisma methodology was performed on PubMed, PsycInfo, Scopus and SciELO electronic databases in August, 2018. The search keywords were “day care”, “dementia” or Alzheimer disease, “caregiver”, “quality of life” and “psychological adaptation”. Results: twenty-one studies were included. No randomized controlled trials were found. The provision of education, counseling and support, access to information, the professionals' expertise and the quality of their relationship with DC users were highlighted by caregivers. Compared to standard programs centering on PwD, the integrated program focused on PwD and FC activities showed increased feelings of competence and self-confidence of FC to postpone institutionalization. Heterogeneity in the structure and organization of the DC programs, intervention strategies and theoretical basis was observed. Conclusion: Integrated programs are a promising approach that addresses the needs and demands of PwD and their FC in a multidimensional manner.

https://doi.org/10.1590/1980-57642018dn13-030003 2189 downloads

10.

Atualização das Diretrizes em Cardiogeriatria da Sociedade Brasileira de Cardiologia – 2019
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Feitosa Filho, Gilson Soares

; Peixoto, José Maria

; Pinheiro, José Elias Soares

; Afiune Neto, Abrahão

; Albuquerque, Afonso Luiz Tavares de

; Cattani, Álvaro César

; Nussbacher, Amit

; Camarano, Ana Amelia

; Sichinels, Angela Hermínia

; Sousa, Antonio Carlos Sobral

; Alencar Filho, Aristóteles Comte de

; Gravina, Claudia F.

; Sobral Filho, Dario Celestino

; Pitthan, Eduardo

; Costa, Elisa Franco de Assis

; Duarte, Elizabeth da Rosa

; Freitas, Elizabete Viana de

; Moriguchi, Emilio Hideyuki

; Mesquita, Evandro Tinoco

; Fernandes, Fábio

; Fuchs, Felipe Costa

; Feitosa, Gilson Soares

; Pierre, Humberto

; Pereira Filho, Ilnei

; Helber, Izo

; Borges, Jairo Lins

; Garcia, Jéssica Myrian de Amorim

; Souza, José Antonio Gordillo de

; Zanon, José Carlos da Costa

; Alves, Josmar de Castro

; Mohallem, Kalil Lays

; Chaves, Laura Mariana de Siqueira Mendonça

; Moura, Lídia Ana Zytynski

; Silva, Márcia Cristina Amélia da

; Toledo, Maria Alice de Vilhena

; Assunção, Maria Elisa Lucena Sales de Melo

; Wajngarten, Mauricio

; Gonçalves, Mauro José Oliveira

; Lopes, Neuza Helena Moreira

; Rodrigues, Nezilour Lobato

; Toscano, Paulo Roberto Pereira

; Rousseff, Pedro

; Maia, Ricardo Antonio Rosado

; Franken, Roberto Alexandre

; Miranda, Roberto Dischinger

; Gamarski, Roberto

; Rosa, Ronaldo Fernandes

; Santos, Silvio Carlos de Moraes

; Galera, Siulmara Cristina

; Grespan, Stela Maris da Silva

; Silva, Teresa Cristina Rogerio da

; Esteves, William Antonio de Magalhães

Arquivos Brasileiros de Cardiologia

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may 2019, Volume 112 N. 5 Pages 649 - 705

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

https://doi.org/10.5935/abc.20190086 15622 downloads

11.

Phylogenetic structure is determined by patch size in rock outcrop vegetation on an inselberg in the northern Amazon region
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VILLA, Pedro Manuel

; GASTAUER, Markus

; MARTINS, Sebastião Venâncio

; CARRIÓN, Juan Fernando

; CAMPOS, Prímula Viana

; RODRIGUES, Alice Cristina

; HERINGER, Gustavo

; MEIRA-NETO, João Augusto Alves

Acta Amazonica

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sep 2018, Volume 48 N. 3 Pages 248 - 256

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

RESUMO Ainda que os inselbergs ao redor do mundo sejam ecossistemas icônicos, pouco se sabe sobre os mecanismos subjacentes que estruturam suas comunidades vegetais, especialmente nas manchas de vegetação sobre afloramentos rochosos. Espera-se que as restrições ambientais causem agrupamento filogenético quando os nichos ecológicos são conservados dentro das linhagens evolutivas. Nós testamos se as manchas de vegetação dos afloramentos rochosos do Monumento Natural Piedra La Tortuga, no norte da região amazônica, apresentam indicadores filogenéticos de que a filtragem ambiental é o principal direcionador da estruturação da comunidade. Classificamos todas as manchas de acordo com seu tamanho como muito pequenas (<1 m2), pequenas (1-4 m2), médias (4-8 m2) e grandes (8-15 m2). Selecionamos aleatoriamente 10 manchas em cada classe de tamanho, totalizando 40 manchas cobrindo 226 m2. Todos os indivíduos encontrados nas 40 manchas foram identificados ao nível de espécie. Correlacionamos as medidas da estrutura filogenética da comunidade com o tamanho das manchas e encontramos que as espécies das manchas são restritas aos clados das monocotiledôneas, fabídeas, malvídeas e lamiídeas. Concluímos que a vegetação neste afloramento rochoso é agrupada filogeneticamente. Além disso, encontramos que o turnover filogenético entre pares de manchas aumenta com o tamanho da mancha, o que é consistente com um cenário de alto estresse ambiental nas manchas menores. São necessárias mais pesquisas para identificar espécies facilitadoras, que são fundamentais para a conservação e restauração destes ecossistemas.

ABSTRACT Although inselbergs from around the world are iconic ecosystems, little is known on the underlying mechanisms of community assembly, especially in their characteristic patchy outcrop vegetation. Environmental constraints are expected to cause phylogenetic clustering when ecological niches are conserved within evolutionary lineages. We tested whether vegetation patches from rock outcrops of the Piedra La Tortuga Natural Monument, in the northern Amazon region, are phylogenetically clustered, indicating that environmental filtering is the dominant driver of community assemblage therein. We classified all patches according to their size as very small (< 1 m2), small (1-4 m2), medium-sized (4-8 m2), and large patches (8-15 m2). From each class, we randomly selected 10 patches, totalizing 40 patches covering 226 m2. All individuals found in the 40 isolated patches were identified to the species level. We also correlated measurements of phylogenetic community structure with patch size. We found that species from patches are restricted to the clades monocots, fabids, malvids, and lamiids. We conclude that vegetation in this rock outcrop is phylogenetically clustered. Furthermore, we found that phylogenetic turnover between pairs of patches increases with patch size, which is consistent with a scenario of higher environmental stress in smaller patches. Further research is necessary to identify nurse species in inselberg vegetation, which is pivotal for conservation and restoration of this particular ecosystem.

https://doi.org/10.1590/1809-4392201704561 1369 downloads

12.

Relación especie-área y distribución de la abundancia de especies en una comunidad vegetal de un inselberg tropical: efecto del tamaño de los parches
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Villa, Pedro Manuel

; Cardinelli, Lucas de Siqueira

; Magnago, Luiz Fernando

; Heringer, Gustavo

; Venâncio Martins, Sebastião

; Viana Campos, Prímula

; Rodrigues, Alice Cristina

; Viana Neri, Andreza

; Alves Meira-Neto, João Augusto

Revista de Biología Tropical

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jun 2018, Volume 66 N. 2 Pages 937 - 951

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

Resumen Aunque los inselbergs son afloramientos rocosos icónicos con un alto valor biogeográfico, poco se conoce sobre los mecanismos responsables de la estructuración de comunidades vegetales. El objetivo de esta investigación fue evaluar cómo el tamaño de los parches de vegetación influye en la relación especie-área y distribución de la abundancia de especies de una comunidad en un inselberg del Monumento Natural “Piedra La Tortuga”, región Guayana, Venezuela. Por este motivo, se establecieron tres preguntas de investigación: ¿Cuál es el efecto del tamaño de los parches sobre la riqueza de especies? ¿Qué tipo de modelo especie-área (SAR) presenta mejor ajuste en esos parches de vegetación? ¿Cómo es la distribución de las abundancias de las especies (SADs) es inducida por el tamaño de los parches? Se realizó un muestreo aleatorio estratificado en parches que oscilaron entre 0.34 y 14.8 m2, totalizando 40 unidades muestrales (226 m2). Todos los individuos encontrados en los 40 parches fueron identificados a nivel de especie. La composición florística en las diferentes muestras estuvo representada por 19 familias, 22 géneros y 24 especies, de las cuales 50 % son endémicas de inselbergs y dos están amenazadas de extinción. Se identificaron dos grupos de tamaños de parches (grandes 8-15 m2 y pequeños ≤ 7.9 m2) en relación a la abundancia y composición de especies, con diferencias significativas entre los grupos. Las curvas de acumulación de especies para cada grupo de tamaño de parche muestran una tendencia contrastante con marcadas diferencias en la riqueza observada entre los grupos de tamaños de parches. Las curvas de los modelos SADs tuvieron un ajuste significativo de la serie geométrica en las dos categorías de parches. El modelo SAR de la función potencia presentó los mejores ajustes especie-área, donde el aumento del área de los parches explicó un 82 % de la variación en el aumento del número de especies. Los resultados de este estudio demuestran por primera vez como el tamaño de los parches de vegetación de un inselberg tropical tiene una fuerte influencia sobre la riqueza, distribución de la abundancia y composición de especies. Así mismo, se determinó que el modelo geométrico SAD presentó el mejor ajuste en la comunidad en función del tamaño de los parches como un indicador de recursos, donde la abundancia de una especie puede ser equivalente a una proporción del espacio ocupado. También se presume que los cambios de tamaño de los parches, podría estar asociado con la disponibilidad de nutrientes y agua, como ha sido demostrado en otros ambientes de tierras secas. En algunos estudios se ha argumentado que la variación en la composición de especies entre los perfiles de vegetación de inselbergs tropicales está condicionada principalmente por la estructura del hábitat y el déficit hídrico. Sin embargo, no se había discutido cómo el tamaño de los parches de vegetación tiene un efecto en la riqueza. Los análisis SADs y SAR pueden proporcionar explicaciones complementarias sobre la estructuración de comunidades vegetales en inselbergs.

Abstract Although inselbergs are iconic rock outcrops with a high biogeographic value, little is known about drivers responsible for the plant community assembly. The aim of this research was to evaluate how the patch size distribution of vegetation influences the species-area relationship and species abundance distribution of a community in an inselberg of the “Piedra La Tortuga” Natural Monument of the Guayana region, Venezuela. In this context, three research questions were established: What is the effect of patch size on species richness? What species-area model (SAR) has the best fit in those vegetation patches? How is the distribution of species abundances (SADs) induced by the patch size distribution? A stratified random sampling was performed in patches ranging from 0.34 to 14.8 m2, totaling 40 sampling units (226 m2). All individuals found in the 40 patches were identified at species level. The floristic composition in the different samples was represented by 19 families, 22 genera and 24 species, of which 50 % are endemic to inselbergs and two, are threatened of extinction. Two groups of patch sizes were identified (large 8-15 m2 and small ≤ 7.9 m2) in relation to the abundance and composition of species. The species accumulation curves for each patch size group show a contrasting tendency with marked differences in the observed richness among patch size groups. The curves of the SADs models had a significant adjustment of the geometric series in the two categories of patches. The SAR model of the power function presented the best species-area adjustments, where the increase in patch area accounted for 82 % of the variation in the increase in the number of species. The results of this study demonstrate for the first time how vegetation patches of a tropical inselberg have a strong influence on richness, abundance distribution and species composition. Likewise, it was determined that the SAD geometric model presented the best fit in the community as a function of patch size as a resource indicator, where the abundance of a species can be equivalent to a proportion of the space occupied. It is also presumed that changes in patch sizes could be associated with nutrient and water availability, as has been demonstrated in other dryland environments. In some studies it has been argued that variation in species composition among vegetation profiles of tropical inselbergs is mainly conditioned by habitat structure and water deficit. However, it had not been discussed how the size of patches of vegetation has an effect on richness. SADs and SAR analyzes can provide complementary explanations on community assembly in inselbergs. Rev. Biol. Trop. 66(2): 937-951. Epub 2018 June 01.

https://doi.org/10.15517/rbt.v66i2.33424 3968 downloads

13.

Leaf area index of potato (Solanum tuberosum L.) crop under three nitrogen fertilization treatments
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Villa, Pedro Manuel

; Sarmiento, Lina

; Rada, Fermín José

; Machado, Daniel

; Rodrigues, Alice Cristina

Agronomía Colombiana

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aug 2017, Volume 35 N. 2 Pages 171 - 175

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

RESUMEN La nutrición con nitrógeno tiene efectos considerables sobre la dinámica de crecimiento y producción del cultivo de papa, siendo el desarrollo del área foliar uno de los parámetros de crecimiento más importantes para optimizar el manejo de recursos agroecológicos. Se evaluó el efecto de la nutrición de nitrógeno sobre el índice de área foliar (IAF) a través de dos métodos durante diferentes fases fenológicas del cultivo. Se establecieron parcelas experimentales bajo un diseño de bloques al azar, con tres replicas por tratamiento de fertilización; sin nitrógeno (0-N), 133 kg N ha-1 (133-N), y 400 kg N ha-1 (400-N), utilizando la variedad Granola en la región Los Andes, Mérida, Venezuela. En las principales fases fenológicas del cultivo se midió el área foliar con un analizador de dosel. El IAF presentó diferencias significativas entre tratamientos y fases fenológicas del cultivo, excepto durante la etapa de emergencia. Los máximos valores de IAF fueron alcanzados cerca de los 55 días después de la emergencia, 400-N (1,42 0,16) > 133-N (0,92±0,21) > 0-N (0,34±0,08). Se demostró que la fertilización nitrogenada tuvo un efecto significativo sobre el desarrollo del índice de área foliar del cultivo de papa durante diferentes fases de fenológicas.

ABSTRACT Nitrogen fertilization has considerable effects on growth and yield of potato crop. Leaf expansion is one of the most important growth parameters that can be used to optimize nitrogen fertilization management in agroecological practices. We evaluated the effect of nitrogen fertilization on the leaf area index (LAI) of potato crop during different phenological stages by two different methods. Experimental plots were established in a randomized block design with the following treatments: no nitrogen supply (0-N), 133 kg N ha-1 (133-N), and 400 kg N ha-1 (400-N), using the Granola variety, at the Andes region, Merida city, Venezuela. We measured leaf area at the main phenological stages of the crop using a plant canopy analyzer. LAI showed significant differences among treatments and phenological stages, except during the emergence stage. The maximum LAI values were obtained 55 days after emergence: 400-N (1.42±0.16) > 133-N (0.92±0.21) > 0-N (0.34±0.08). Nitrogen fertilization had a significant effect on the development of LAI in potato crop along its different phenological stages.

https://doi.org/10.15446/agron.colomb.v35n2.62110 822 downloads

14.

Leptin as a predictor of metabolic syndrome in prepubertal children
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Madeira, Isabel

; Bordallo, Maria Alice

; Rodrigues, Nádia Cristina

; Carvalho, Cecilia

; Gazolla, Fernanda

; Collett-Solberg, Paulo

; Medeiros, Clarice

; Bordallo, Ana Paula

; Borges, Marcos

; Monteiro, Claudia

; Ribeiro, Rebeca

Archives of Endocrinology and Metabolism

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feb 2017, Volume 61 N. 1 Pages 7 - 13

Abstract: En | Text: En | PDF: En

ABSTRACT Objective Leptin has been suggested as a potential biomarker of cardiovascular risk. This paper aims to ascertain, based on a sample of prepubertal children, which serum leptin value best suited to identify metabolic syndrome (MS). Subjects and methods This observational, cross-sectional study recruited children from the outpatient pediatrics clinic, with the purpose of validating serum leptin level cutoffs to identify MS. All obese and overweight children who met eligibility criteria were included in the study, as was a sample of normal-weight children. The sample underwent clinical assessment and blood fasting glucose, lipid profile, insulin, and leptin were measured. Sensitivity and specificity were estimated for each leptin measurement, using MS as the outcome. These values were used to construct a receiver operating characteristic (ROC) curve. The association between MS and leptin was assessed using logistic models to predict MS. Results A total of 65 normal weight, 46 overweight, and 164 obese children were analyzed (160 boys, 115 girls; age: 93.7 ± 17.8 months). The most appropriate leptin cutoff was 13.4 ng/mL (sensitivity 67.6%; specificity 68.9%; accuracy 72.1%). The logistic model indicated that leptin levels above 13.4 ng/dL were significantly associated with MS and that, for every 1 ng/dL increase in leptin levels, the odds of MS increase by 3% (p = 0.002; OR 1.03; 95% CI 1.01-1.05). Conclusions Leptin may be a useful biomarker of cardiovascular risk in prepubertal children, with an optimal cutoff of 13.4 ng/mL. Identification of potential new risk markers for cardiovascular disease in children could contribute to the development of preventive strategies.

https://doi.org/10.1590/2359-3997000000199 1952 downloads

15.

Predictores antropogénicos y biofísicos de deforestación en la Amazonia: hacia la integración de actividades REDD+
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Villa, Pedro Manuel

; Martins, Sebastião Venâncio

; de Oliveira Neto, Silvio Nolasco

; Rodrigues, Alice Cristina

Bosque (Valdivia)

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2017, Volume 38 N. 3 Pages 433 - 446

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

The Amazon is one of the most important tropical forests in the world, providing important goods and services to society. However, these forests are threatened by land use change. Deforestation and forest degradation are the two drivers that significantly contribute to both carbon emissions to the atmosphere and loss of biodiversity. Although there are alternatives to reduce emissions from deforestation and forest degradation, there is still little research on methods for assessing and monitoring the relationship between these processes and biodiversity (REDD+), as well as the impacts generated by the socioecological system on the stability and recovery of ecosystem services. With this review, we aimed at (i) describing the relationship between biodiversity and ecosystem functioning; (ii) analyzing the possible synergistic impacts of biophysical and anthropogenic predictors of deforestation; and, consequently, (iii) proposing the integrated implementation of REDD+ strategies in the Amazon basin. To increase REDD+ efficiency in the Amazon, it is essential to simultaneously evaluate the socioecological and biophysical predictors that directly affect the current and future demands for ecosystem goods and services. Accordingly, it is important to estimate the magnitude of multifactorial effects of deforestation predictors for the integration of REDD+ actions. Such estimations should be made through the rehabilitation of degraded lands with successional and permanent agroforestry systems, as well as with the application of different restoration methods.

La Amazonia es uno de los bosques tropicales más importantes del mundo, que proporcionan importante bienes y servicios a la humanidad; sin embargo, se encuentra amenazado por los continuos cambios en el uso de la tierra. La deforestación y degradación forestal son las dos razones que contribuyen significativamente con las emisiones de carbono a la atmósfera y pérdida de la biodiversidad. Aunque existen alternativas para reducir las emisiones de carbono por deforestación y degradación forestal evitadas (REDD), aún son pocas las investigaciones sobre métodos de evaluación y monitoreo de la relación de estos procesos con la biodiversidad, así como de los impactos generados por el sistema socioecológico en la estabilidad y recuperación de servicios ecosistémicos. El objetivo de esta revisión consiste en i) describir la relación biodiversidad-función ecosistémica, para ii) analizar los posibles impactos sinérgicos de predictores biofísicos y antropogénicos de la deforestación y degradación, con la finalidad de iii) proponer la implementación integral de estrategias REDD+ en la cuenca Amazónica. Para incrementar la eficiencia REDD+ en la Amazonía, es fundamental evaluar simultáneamente los predictores antropogénicos y biofísicos que repercuten directamente sobre la demanda actual de los bienes y servicios ecosistémicos. Por este motivo, es importante describir la magnitud de los efectos multifactoriales que tienen los predictores de deforestación para la integración de actividades REDD+, a través de la rehabilitación de áreas degradadas con sistemas agroforestales sucesionales y permanentes, así como con la aplicación de diferentes métodos de restauración.

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