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au:Souza, Rafael Felipe

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Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study
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Medeiros, Ana Irene Carlos de

; Mesquita, Rafael Barreto de

; Macêdo, Felipe de Souza

; Matos, Antonio George de Calvacante

; Pereira, Eanes Delgado

Sao Paulo Medical Journal

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aug 2022, Volume 140 N. 4 Pages 553 - 558

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic has placed considerable psychological stress on frontline healthcare workers (HCWs). OBJECTIVE: To evaluate the prevalence of burnout syndrome among HCWs facing the COVID-19 outbreak. DESIGN AND SETTING: Cross-sectional study conducted in six public intensive care units (ICUs) in the city of Fortaleza, Brazil. METHODS: An online survey was conducted among HCWs to measure the three dimensions of burnout. RESULTS: A total of 62 physicians (23.4%), 65 nurses (24.5%), 58 nurse technologists (21.9%) and 80 physiotherapists (30.2%) completed the questionnaire. Nearly half of the participants (48.6%) had high levels of emotional exhaustion, and almost one-third of them (29.4%) had high levels of depersonalization. Low levels of professional efficacy were observed in 18.1% of the sample. The independent determinants of depersonalization burnout were age < 33 years (odds ratio, OR 2.03; 95% confidence interval, CI 1.15-3.56; P = 0.01) and female gender (OR 0.33; 95% CI 0.18-0.62; P = 0.01). Increased workload was associated with both depersonalization (OR 2.37; 95% CI 2.02-5.50; P = 0.04) and emotional exhaustion (OR 1.89; 95% CI 1.04-3.58; P = 0.030). CONCLUSION: The COVID-19 pandemic has had a great impact on the dimensions of depersonalization and emotional exhaustion. Consideration of these dimensions is important when designing future burnout prevention programs for frontline personnel.

https://doi.org/10.1590/1516-3180.2021.0287.r1.291021

Prevalence of burnout among healthcare workers in six public referral hospitals in northeastern Brazil during the COVID-19 pandemic: a cross-sectional study
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Medeiros, Ana Irene Carlos de

; Mesquita, Rafael Barreto de

; Macêdo, Felipe de Souza

; Matos, Antonio George de Calvacante

; Pereira, Eanes Delgado

Sao Paulo Medical Journal

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2022, N. ahead

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1516-3180.2021.0287.r1.291021

In vitro and in silico assessment of cytotoxicity and chromosome instability induced by saxitoxin in human derived neural cell line
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CONSTANTE, JULIANY S.

; KHATEEB, JULIANA E. AL

; SOUZA, ANA PAULA DE

; CONTER, FELIPE U.

; LEHMANN, MAURÍCIO

; YUNES, JOÃO S.

; DIHL, RAFAEL R.

Anais da Academia Brasileira de Ciências

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2022, Volume 94 Suppl. 4 elocation e20220029

Abstract: En | Text: En | PDF: En

Abstract In freshwater, saxitoxins (STX) are produced by different cyanobacteria genera, including Raphidiopsis. Data regarding cytogenotoxicity effects of STX on human cells are scarse, this merit further studies of its toxicology. This study assessed the cytotoxicity and the chromosome instability of STX on SHSY-5Y human cell line. The CBMN assay allows the detection of chromosome breaks and abnormal chromosomal segregation. Additionally, in silico systems biology approach, used to search for known and predicted interaction networks, was applied to study the interactions between STX and SHSY-5Y cellular components. The results of the CBMN assay demonstrated that STX concentrations of 2.5 – 10 µg/L induced cytostasis and chromosome instability in a dose-response relationship. Apoptosis was detected after exposure of SHSY-5Y cultured cells to STX concentration of 10 µg/L. The results of the systems biology analysis revealed the interaction of STX with proteins related with acetylcoline pathway, cell cycle regulation and apoptosis. Furthermore, combining the in vitro and in silico approachs, it was possible to suggest a mechanism of action of STX in SHSY-5Y cells. Overall, the data demonstrated the cytotoxicity and mutagenicity of environmentally relevant concentrations of STX. These results should be considered when setting up guidelines for monitoring STX in water supply.

https://doi.org/10.1590/0001-3765202220220029

PROCESSO TRANSEXUALIZADOR NO SUS: QUESTÕES PARA A PSICOLOGIA A PARTIR DE ITINERÁRIOS TERAPÊUTICOS E DESPATOLOGIZAÇÃO
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Cazeiro, Felipe

; Galindo, Dolores

; Souza, Leonardo Lemos de

; Guimaraes, Rafael Siqueira de

Psicologia em Estudo

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2022, Volume 27 elocation e48503

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

RESUMEN. Esta es una investigación cualitativa, descriptiva y exploratoria realizada en el tratamiento fuera del domicilio en la ciudad de Cuiabá, Brasil, que tuvo como objetivo plantear reflexiones sobre los itinerarios terapéuticos de las personas trans en la búsqueda del proceso transexual. Participaron tres hombres trans, 2 mujeres trans y 1 mujer travesti de 21 a 32 años. Los datos fueron recogidos a través de entrevistas semiestructuradas y fueron analizados mediante el Análisis de Contenido. Los resultados muestran que estas personas trans siguen caminos divergentes en busca de servicios institucionalizados o informales (redes sociales trans) para afirmar sus identidades de género. Se destacan los obstáculos relacionados con la patologización, acogida, la continuidad de la atención, la resolución y la referencia en la red de atención del Proceso Transexualizador. Se observaron puntos críticos importantes en la asistencia social, la endocrinología y la psicología, em que la peregrinación por los servicios de salud es delimitada por la constante discriminación institucional que permite comprender cómo se organiza el sistema de salud en relación con la atención de estas personas que señalan los problemas para el trabajo de la Psicología en este campo desde una perspectiva de experiencia y materialidad de género

RESUMO. Trata-se de uma pesquisa qualitativa, des critiva e exploratória, realizada no Tratamento Fora de Domicílio, na cidade de Cuiabá-MT, Brasil, que objetivou levantar reflexões sobre os itinerários terapêuticos de pessoas trans, na busca pelo Processo Transexualizador. Participaram três homens trans, duas mulheres trans e uma mulher travesti, com faixa etária de 21 a 32 anos. Os da dos foram coletados por entrevistas semiestruturadas e analisados mediante análise de conteúdo. Os resultados mostram que essas pessoas trans seguem trajetórias diver sas, procurando serviços institucionalizados ou informais (redes de socialidade trans), para a afirmação de suas identidades de gênero. Destacam-se entraves atinentes à patologização, ao acolhimento, à continuidade do cuidado, à resolutividade e à referência na rede de atenção do processo transexualizador. Observaram-se importantes pontos críticos na assistência social, endocrinológica e para a psicologia, sendo a peregrinação pelos serviços de saúde demarcada por constantes discriminações institucionais, permitindo a compreensão de como o sistema de saúde se organiza em relação ao atendimento dessas pessoas, elencando questões para o trabalho da psicologia, nesse campo, a partir de uma perspectiva da experiência e materialidade do gênero.

ABSTRACT. This qualitative, descriptive and exploratory research conducted in the Away from Home Treatment (Tratamento Fora de Domicílio [TFD]), in Cuiabá, Brazil, aimed to raise reflections on the therapeutic process itineraries of trans people in the search for the Transsexualizer Process (Processo Transexual [PT]). Three transgender men, two transgender women and one transvestite woman participated. They were aged between 21 and 32 years. Data were collected through semi-structured interviews and analyzed using Content Analysis. The results show that trans people follow different itineraries, looking for institutionalized or informal services (trans sociality networks) to affirm their gender identities. Obstacles related to pathologization, reception, continuity of care, resolution and reference in the care network of the Transsexualizer Process stand out. Important critical points were observed in social, endocrinological and psychological care. The pilgrimage by health services was marked by constant institutional discrimination, allowing for the understanding of how the health system is organized concerning the care of these people, listing issues for the work of Psychology, in this field, from a perspective of the experience and materiality of gender.

https://doi.org/10.4025/psicolestud.v27i0.48503

Cover crops and controlled-release urea decrease nitrogen mobility and improve nitrogen stock in a tropical sandy soil with cotton cultivation
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Cordeiro, Carlos Felipe dos Santos

; Rodrigues, Daniel Rodela

; Rorato, Ana Flávia de Souza

; Echer, Fábio Rafael

Revista Brasileira de Ciência do Solo

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2022, Volume 46 elocation e0210113

Abstract: En | Text: En | PDF: En

ABSTRACT Sandy soil often has low nitrogen (N) stock. Thus, crops grown in sandy soil rely on high levels of N fertilization. The use of cover crops and efficient fertilizers can increase N stock in the soil and N availability in the topsoil, and reduce overall fertilizer costs. The objective of this study was to evaluate the effects of cover crops (fallow, a single grass species (ruzigrass), two grass species (ruzigrass + millet), one grass species (millet) with legumes [lime-yellow pea (2018) and velvet bean (2019)], and a mixture of three cover crops [two grass species (ruzigrass + millet) and one legume (lime-yellow pea (2018)] and velvet bean (2019), N sources (conventional urea and controlled-release urea) and N doses (70, 100 and 130 kg ha-1) on N dynamics in an Oxisol (Latossolo) with sandy texture in Brazil cultivated with cotton. Systems with the cover crops (average) had 17 % more total N stock in the soil than fallow systems. Inorganic N increased only in systems with legumes. The systems with cover crop mixtures had 70 % more ammonium than fallow systems. Systems only with grass species had low percentages of inorganic N in relation to total N in the soil. The increase in N-fertilizer rates augmented the N stock in the soil (total and inorganic). In the first year, controlled-release urea reduced the availability of inorganic N in cotton flowering, except for the system with mixed cover crops. After the cotton harvest, areas of controlled-release urea application had 12 % more inorganic N than the areas with conventional urea. Our findings show that the combined use of cover crops with high biomass production, moderate dose of N and controlled-release N can increase the availability of inorganic nitrogen in the upper layers of the soil in tropical areas with sandy soil and this can reduce nitrogen fertilizer consumption in the medium and long term in cotton fields.

https://doi.org/10.36783/18069657rbcs20210113

Seep hunting in the Santos Basin, Southwest Atlantic: sampling strategy and employed methods of the multidisciplinary cruise BIOIL 1
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Sumida, Paulo Y. G.

; Pellizari, Vivian H.

; Lourenço, Rafael A.

; Signori, Camila N.

; Bendia, Amanda G.

; Carrerette, Orlemir

; Nakamura, Fernanda M.

; Ramos, Raissa B.

; Bergamo, Gilberto

; Souza, Bruno H. M.

; Butarelli, Ana C. A.

; Passos, Júlia G.

; Dias, Rodolfo J. S.

; Maly, Mascimiliano

; Banha, Thomás N. S.

; Güth, Arthur Z.

; Soares, Luiza F.

; Perugino, Paula D. N.

; Santos, Felipe R.

; Santana, Frederico R.

; Mahiques, Michel M. de

Ocean and Coastal Research

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2022, Volume 70 Suppl. 2 elocation e22031

Abstract: En | Text: En | PDF: En

Abstract The continental margin off the southeastern Brazilian coast is punctuated by a series of geological-geomorphological features, such as subsurface saline diapirs and pockmarks at the seafloor interface, which evidence the abundant presence of oil and gas in the region. In several of these sites, hydrocarbons can be naturally released into the water column, areas are cold seep areas. These are marked by the presence of oil- and gas-dependent ecosystems, where specific organisms are able to fix carbon from hydrocarbon chemosynthesis. In addition, light hydrocarbon fluid flow through the sediment may build up authigenic carbonates that can be further colonized by cold-water corals, generating large carbonate mounds over geological time, normally positioned at the border of these pockmark features. The present work reports on a multidisciplinary oceanographic cruise carried out in the Santos Basin, SW Atlantic, to seek, map, and collect geological, chemical, and biological data from different deep-sea habitats. The cruise occurred in November 2019 on the R/V Alpha Crucis of the Oceanographic Institute of the University of São Paulo (IOUSP). We intended to discover and detail different geomorphological features, characterize free-living and symbiotic microorganisms, determine the chemosynthetic rates in relation to heterotrophic microbial production, and characterize the fauna and study their ecological and evolutionary links within and across ocean basins. All discoveries made during the cruise and their respective results will be presented separately in several papers that comprise this special volume.

https://doi.org/10.1590/2675-2824070.22077pygs

Mantenedoras de Ensino Superior do Brasil e o Uso de Mídias Sociais: uma análise comparativa
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Souza, Alan Marcel Fernandes de

; Nascimento, Polyana Santos Fonseca

; Oliveira, Bruno Vinicius Costa

; Barbosa, Felipe Rafael dos Santos

; Monteiro, Matheus Lima

; Gouveia, Rafael Santos

RISTI - Revista Ibérica de Sistemas e Tecnologias de Informação

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dec 2021, N. 44 Pages 38 - 49

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

Resumo De um lado, o franco crescimento da internet e do acesso às mídias sociais tem mudado a forma como as pessoas interagem umas com as outras e com as empresas. De outro, existem diversas mantenedoras de ensino superior de sociedade anônima que prestam serviços educacionais para milhões de estudantes brasileiros. Este artigo objetiva definir um panorama das mídias sociais utilizadas pelas mantenedoras e estabelecer comparações entre o engajamento nas mídias sociais, o número de alunos matriculados e a lucratividade das mantenedoras pesquisadas. Foi possível concluir que as mídias sociais mais usadas são, na ordem, Facebook, LinkedIn, Youtube, Instagram e Twitter e que existe uma correspondência diretamente proporcional entre a atuação da mantenedora nas mídias sociais, a quantidade de alunos e sua lucratividade.

Abstract On the one hand, the growth of the internet and access to social media has changed the way people interact with each other and with companies. On the other hand, several maintainers of higher education provide educational services to millions of Brazilian students. This article aims to define an overview of social media used by maintainers and establish comparisons between engagement, the number of enrolled students, and profitably of the maintainers researched. It was possible to conclude that the most used social media are Facebook, LinkedIn, Youtube, Instagram, and Twitter. There is a directly proportional correspondence between the role of the maintainers on social media, the number of students and their profitability.

https://doi.org/10.17013/risti.44.38-49 23 downloads

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

; Rocco, Isadora

; Pimentel, Wallace S.

; Pinheiro, Aislan H. B.

; Souza, Paulo M. S.

; Costa, Luiz A. A.

; Teixeira, Marjory M. P.

; Ohashi, Leonardo P.

; Bublitz, Caroline

; Begot, Isis

; Moreira, Rita Simone L

; Hossne Jr, Nelson A.

; Vargas, Guilherme F.

; Branco, João Nelson R.

; Teles, Carlos A.

; Medeiros, Eduardo A. S.

; Sáfadi, Camila

; Rampinelli, Amândio

; Moratelli Neto, Leopoldo

; Rosado, Anderson Rosa

; Mesacasa, Franciele Kuhn

; Capriata, Ismael Escobar

; Segalote, Rodrigo Coelho

; Palmieri, Deborah Louize da Rocha Vianna

; Jardim, Amanda Cristina Mendes

; Vianna, Diego Sarty

; Coutinho, Joaquim Henrique de Souza Aguiar

; Jazbik, João Carlos

; Coutinho, Henrique Madureira da Rocha

; Kikuta, Gustavo

; Almeida, Zely Sant'Anna Marotti de

; Feguri, Gibran Roder

; Lima, Paulo Ruiz Lucio de

; Franco, Anna Carolina

; Borges, Danilo de Cerqueira

; Cruz, Felipe Ramos Honorato De La

; Croti, Ulisses Alexandre

; Borim, Bruna Cury

; Marchi, Carlos Henrique De

; Goraieb, Lilian

; Postigo, Karolyne Barroca Sanches

; Jucá, Fabiano Gonçalves

; Oliveira, Fátima Rosane de Almeida

; Souza, Rafael Bezerra de

; Zilli, Alexandre Cabral

; Mas, Raul Gaston Sanchez

; Bettiati Junior, Luiz Carlos

; Tranchesi, Ricardo

; Bertini Jr, Ayrton

; Franco, Leandro Vieira

; Fernandes, Priscila

; Oliveira, Fabiana

; Moraes Jr, Roberto

; Araújo, Thiago Cavalcanti Vila Nova de

; Braga, Otávio Penna

; Pedrosa Sobrinho, Antônio Cavalcanti

; Teixeira, Roberta Tavares Barreto

; Camboim, Irla Lavor Lucena

; Gomes, Eduardo Nascimento

; Reis, Pedro Horigushi

; Garcia, Luara Piovan

; Scorsioni, Nelson Henrique Goes

; Lago, Roberto

; Guizilini, Solange

Brazilian Journal of Cardiovascular Surgery

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

Abstract: En | Text: En | PDF: En

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

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

Detection of SARS-CoV-2 in Saliva by RT-LAMP During a Screening of Workers in Brazil, Including Pre-Symptomatic Carriers
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Santos, Carlos A. dos

; Oliveira, Kézia G. de

; Mendes, Geovana M

; Silva, Lívia C

; Souza Jr., Marcio N. de

; Estrela, Paulo Felipe N

; Guimarães, Rafael A

; Silveira-Lacerda, Elisângela P

; Duarte, Gabriela R. M

Journal of the Brazilian Chemical Society

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nov 2021, Volume 32 N. 11 Pages 2071 - 2077

Abstract: En | Text: En | PDF: En

The coronavirus pandemic has been causing damage to many nations, as public and private health systems deteriorate by the increasing demand. Some infected patients have culturable severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) even though not presenting any symptoms, and therefore, are probably able to transmit it. Correctly diagnosing and isolating infected patients is an important step towards preventing new infections. Current diagnostic methods rely mainly on reverse transcription quantitative polymerase chain reaction (RT-qPCR). Methods such as reverse transcription loop-mediated isothermal amplification (RT-LAMP) have risen as viable alternatives, as they are cheaper and require less infrastructure, they have the potential to be applied in low-resource scenarios and even at point-of-care. Here we report a colorimetric RT LAMP assay capable of detecting SARS-CoV-2 in ribonucleic acid (RNA) from saliva. In some cases, the test was able to detect viral RNA before symptom onset and even in a self-reported asymptomatic carrier. It had a limit of detection of 300 copies per reaction and showed a sensitivity of 80%, a specificity of 100%, a general accuracy of 99.59%, and a Cohen’s kappa of 0.887. The possibility of detecting positive cases even before the clinical manifestation shows great potential and can contribute to controlling the pandemic.

https://doi.org/10.21577/0103-5053.20210098 31 downloads

10.

Strong El Niño reduces fruit production of Brazil-nut trees in the eastern Amazon
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PASTANA, Dayane Nathália Barbosa

; MODENA, Érica de Souza

; WADT, Lúcia Helena de Oliveira

; NEVES, Ezaquiel de Souza

; MARTORANO, Lucieta Guerreiro

; LIRA-GUEDES, Ana Cláudia

; SOUZA, Rafael Lucas Figueiredo de

; COSTA, Felipe Felix

; BATISTA, Anderson Pedro Bernardina

; GUEDES, Marcelino Carneiro

Acta Amazonica

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sep 2021, Volume 51 N. 3 Pages 270 - 279

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

ABSTRACT The Brazil-nut tree (Bertholletia excelsa) is native to the Amazon rainforest, and its fruit production varies naturally with climatic conditions. Our aim was to evaluate the temporal variation in Brazil-nut production associated with climatic variables, including the strong El Niño of 2015/2016. The study was carried out in two 9-ha permanent plots in the northeastern Brazilian Amazon from 2007 to 2018: one in forest (12-year monitoring) and the other in savannah/forest transition (eight years). Overall, we monitored fruit production of 205 trees with diameter at breast height ≥ 50 cm. Annual fruit production was related to temporal series (2005-2018) of climatic data (the Oceanic Niño Index; and precipitation and air temperature from two local meteorological stations). Average fruit production per tree in 2017 was eight times lower than in 2015 and two times lower than the general average for both sites, and was significantly associated to the El Niño of 2015/2016, that increased average maximum monthly temperature and reduced the precipitation in the region, extending the dry season from three to six months. Years with higher and lower fruit production per tree coincided in both sites. Annual fruit production was significantly and negatively correlated with thermal anomalies that occurred in the third semester prior to harvest monitoring. Years with higher production were related with predominance of neutrality or the La Niña phenomenon at the global scale, and higher rainfall at the local scale. The relationship of fruit production with climate was independent of the local habitat.

RESUMO A castanheira-da-amazônia (Bertholletia excelsa) é nativa da floresta amazônica e sua produção de frutos varia naturalmente com as condições climáticas. Nosso objetivo foi avaliar a variação temporal na produção de frutos da castanheira associada a variáveis climáticas, incluindo o forte El Nino de 2015/2016. O estudo foi realizado em parcelas permanentes de 9 ha de 2007 a 2018, uma localizada em floresta (12 anos de monitoramento) e a outra em transição floresta/savana (oito anos). Em total, monitoramos 205 castanheiras com diâmetro à altura do peito ≥ 50 cm. A produção anual de frutos foi relacionada a séries temporais (2005-2018) de dados climáticos (o Índice Oceânico Niño; e a precipitação e temperatura do ar de duas estações meteorológicas locais). A produção média por castanheira em 2017 foi oito vezes menor que em 2015 e duas vezes menor que a média geral nos dois sítios, e foi significativamente associada ao El Niño de 2015/2016, que causou aumento na temperatura máxima mensal e redução na precipitação regional, prolongando a estação seca de três para seis meses. Os anos com maior e menor produção média por castanheira foram os mesmos nos dois ambientes. A produção anual de frutos foi significativa e negativamente correlacionada com as anomalias térmicas ocorridas no terceiro semestre antes da colheita. Anos de maior produção foram relacionados com predominância de neutralidade ou do fenômeno La Niña em escala global, e aumento da precipitação em nível local. A relação entre produção de frutos e clima foi independente do ambiente local.

https://doi.org/10.1590/1809-4392202003702 260 downloads

11.

[SciELO Preprints] - ENTREPRENEURSHIP IN PROFESSIONAL AND TECHNOLOGICAL EDUCATION: THE CONSTRUCTION OF AN EDUCATIONAL MATERIAL
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Teodoro, Eduani de Cássia Souza Neves, Rafael Felipe Coelho Marcusso, Marcus Fernandes

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Publication date: 2021-08-12

Abstract: Pt En Es

A criação de produtos educacionais no contexto da Educação Profissional e Tecnológica não pode ignorar as bases epistemológicas da modalidade. Também deve buscar as percepções dos alunos para localizar aspectos importantes da prática social dos temas de aprendizagem. Esse movimento possibilita a criação de propostas de intervenção contextualizadas, significativas, dotadas de potencial para impactar a realidade. No entanto, esse contato com os alunos deve ser mediado pelo olhar investigativo e atento do professor, que pode utilizar instrumentos de pesquisa para realizar essa mediação. Este artigo mostra como um estudo diagnóstico forneceu subsídios fundamentais para a construção de uma proposta de eixo conceitual, de eixo pedagógico e de eixo comunicacional de um material didático adequado para explorar o tema empreendedorismo com alunos de um curso técnico em administração. Nesse sentido, um questionário semiestruturado foi elaborado. Esse instrumento investigou o perfil socioeconômico dos alunos, a relação dos respondentes com o mundo do trabalho, com a escola, com o curso e com a prática social do empreendedorismo. A análise descritiva e de conteúdo das respostas indicou que as atividades práticas podem aumentar a motivação dos alunos para a aprendizagem de temas relacionados com o empreendedorismo, sugerindo, assim, a utilização de metodologias ativas.

The creation of educational products in the context of Professional and Technological Education cannot ignore the epistemological bases of the modality. It should also seek students' perceptions to locate important aspects of the social practice of learning themes. This movement allows the creation of contextualized, meaningful intervention proposals, with the potential to impact reality. However, this contact with students must be mediated by the investigative and attentive eye of the teacher, who can use research instruments to carry out this mediation. This article shows how a diagnostic study provided fundamental subsidies for the construction a proposal of a conceptual axis, a pedagogical axis and a communicational axis for an appropriate didactic material to explore the theme of entrepreneurship with students in a technical course in administration. In this sense, a semi-structured questionnaire was prepared. This instrument investigated the socioeconomic profile of the students, the relationship of the respondents with the world of work, with the school, with the course and with the social practice of entrepreneurship. The descriptive and content analysis of the responses indicated that practical activities can increase students' motivation to learn topics related to entrepreneurship, thus suggesting the use of active methodologies.

La creación de productos educativos en el contexto de la Educación Profesional y Tecnológica no puede desconocer las bases epistemológicas de la modalidad. También debe buscar las percepciones de los estudiantes para localizar aspectos importantes de la práctica social de los temas de aprendizaje. Este movimiento permite la creación de propuestas de intervención contextualizadas y significativas, con potencial de impactar la realidad. Sin embargo, este contacto con los estudiantes debe ser mediado por la mirada investigadora y atenta del docente, que puede utilizar instrumentos de investigación para llevar a cabo esta mediación. Este artículo muestra cómo un estudio de diagnóstico brindó subsidios fundamentales para la construcción una propuesta de eje conceptual, eje pedagógico y eje comunicacional para un material didáctico apropiado para explorar la temática del emprendimiento con estudiantes de un curso técnico en administración. En este sentido, se elaboró un cuestionario semiestructurado. Este instrumento investigó el perfil socioeconómico de los estudiantes, la relación de los encuestados con el mundo laboral, con la escuela, con el curso y con la práctica social del emprendimiento. El análisis descriptivo y de contenido de las respuestas indicó que las actividades prácticas pueden incrementar la motivación de los estudiantes para aprender temas relacionados con el emprendimiento, sugiriendo así el uso de metodologías activas.

https://doi.org/10.1590/SciELOPreprints.2779

12.

Diretrizes da Sociedade Brasileira de Cardiologia sobre Angina Instável e Infarto Agudo do Miocárdio sem Supradesnível do Segmento ST – 2021
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Nicolau, José Carlos

; Feitosa Filho, Gilson Soares

; Petriz, João Luiz

; Furtado, Remo Holanda de Mendonça

; Précoma, Dalton Bertolim

; Lemke, Walmor

; Lopes, Renato Delascio

; Timerman, Ari

; Marin Neto, José A.

; Bezerra Neto, Luiz

; Gomes, Bruno Ferraz de Oliveira

; Santos, Eduardo Cavalcanti Lapa

; Piegas, Leopoldo Soares

; Soeiro, Alexandre de Matos

; Negri, Alexandre Jorge de Andrade

; Franci, Andre

; Markman Filho, Brivaldo

; Baccaro, Bruno Mendonça

; Montenegro, Carlos Eduardo Lucena

; Rochitte, Carlos Eduardo

; Barbosa, Carlos José Dornas Gonçalves

; Virgens, Cláudio Marcelo Bittencourt das

; Stefanini, Edson

; Manenti, Euler Roberto Fernandes

; Lima, Felipe Gallego

; Monteiro Júnior, Francisco das Chagas

; Correa Filho, Harry

; Pena, Henrique Patrus Mundim

; Pinto, Ibraim Masciarelli Francisco

; Falcão, João Luiz de Alencar Araripe

; Sena, Joberto Pinheiro

; Peixoto, José Maria

; Souza, Juliana Ascenção de

; Silva, Leonardo Sara da

; Maia, Lilia Nigro

; Ohe, Louis Nakayama

; Baracioli, Luciano Moreira

; Dallan, Luís Alberto de Oliveira

; Dallan, Luis Augusto Palma

; Mattos, Luiz Alberto Piva e

; Bodanese, Luiz Carlos

; Ritt, Luiz Eduardo Fonteles

; Canesin, Manoel Fernandes

; Rivas, Marcelo Bueno da Silva

; Franken, Marcelo

; Magalhães, Marcos José Gomes

; Oliveira Júnior, Múcio Tavares de

; Filgueiras Filho, Nivaldo Menezes

; Dutra, Oscar Pereira

; Coelho, Otávio Rizzi

; Leães, Paulo Ernesto

; Rossi, Paulo Roberto Ferreira

; Soares, Paulo Rogério

; Lemos Neto, Pedro Alves

; Farsky, Pedro Silvio

; Cavalcanti, Rafael Rebêlo C.

; Alves, Renato Jorge

; Kalil, Renato Abdala Karam

; Esporcatte, Roberto

; Marino, Roberto Luiz

; Giraldez, Roberto Rocha Corrêa Veiga

; Meneghelo, Romeu Sérgio

; Lima, Ronaldo de Souza Leão

; Ramos, Rui Fernando

; Falcão, Sandra Nivea dos Reis Saraiva

; Dalçóquio, Talia Falcão

; Lemke, Viviana de Mello Guzzo

; Chalela, William Azem

; Mathias Júnior, Wilson

Arquivos Brasileiros de Cardiologia

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jul 2021, Volume 117 N. 1 Pages 181 - 264

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

https://doi.org/10.36660/abc.20210180 3052 downloads

13.

Covid-19 no nordeste do Brasil: entre o lockdown e o relaxamento das medidas de distanciamento social
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Ximenes, Ricardo Arraes de Alencar

; Albuquerque, Maria de Fatima Pessoa Militão de

; Martelli, Celina Maria Turchi

; Araújo, Thália Velho Barreto de

; Miranda Filho, Demócrito de Barros

; Souza, Wayner Vieira de

; Ichihara, Maria Yury Travassos

; Lira, Pedro Israel Cabral de

; Kerr, Ligia Regina Franco Sansigolo

; Aquino, Estela ML

; Silva, Antônio Augusto Moura da

; Almeida, Rosa Lívia Freitas de

; Kendall, Carl

; Pescarini, Julia M

; Brandão Filho, Sinval Pinto

; Almeida-Filho, Naomar

; Oliveira, Juliane Fonseca de

; Teles, Carlos

; Jorge, Daniel Cardoso Pereira

; Santana, Guilherme

; Gabrielli, Ligia

; Rodrigues, Moreno MS

; Silva, Natanael Jesus da

; Souza, Rafael Felipe da Silva

; Silva, Vivian Alessandra Ferreira da

; Barreto, Maurício Lima

Ciência & Saúde Coletiva

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apr 2021, Volume 26 N. 4 Pages 1441 - 1456

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

Abstract Even in the period when the Covid-19 pandemic was on the rise in the Northeast of Brazil, the relaxation of social distancing measures was introduced. The scope of the study is to assess, in the light of the epidemiological-sanitary situation in the region, the suitability of relaxation of social distancing measures. Based on the WHO guidelines for relaxation of social distancing, operational indicators were created and analyzed for each guideline in the context of the Northeast. To analyze the behavior of the epidemic, according to selected indicators, Joinpoint trend analysis techniques, heat maps, rate ratios and time trends between capitals and the state interior were compared. The weekly growth peak of the epidemic occurred in May-July 2020 (epidemiological weeks 19 to 31). In most capitals, there was no simultaneous downward trend in the number of cases and deaths in the 14 days prior to flexibilization. In all states the number of tests performed was insufficient. In epidemiological week 24, the state percentages of ICU/Covid-19 bed occupancy were close to or above 70%. The epidemiological situation of the nine Northeastern state capitals analyzed here did not meet criteria and parameters recommended by the World Health Organization for the relaxation of social distancing measures.

Resumo Mesmo no período em que a pandemia de Covid-19 encontrava-se em crescimento no Nordeste do Brasil, iniciou-se a adoção de medidas de flexibilização do distanciamento social. O objetivo do estudo é o de avaliar a pertinência das propostas de flexibilização, tomando-se em conta a situação da pandemia em cada local e o momento em que foram adotadas. Tendo como referência as diretrizes da OMS, foram construídos e analisados indicadores operacionais para cada diretriz, no contexto da região Nordeste. Para análise do comportamento da epidemia, conforme indicadores selecionados, foram usadas técnicas de Joinpoint Trend Analysis, mapas de calor, razão de taxas e comparação da tendência temporal entre capitais e interior dos estados. O pico do crescimento semanal ocorreu em maio-julho/2020 (semanas epidemiológicas 19 a 31). Na maioria das capitais não se observou tendência decrescente simultânea do número de casos e óbitos nos 14 dias prévios à flexibilização. Em todos os estados o quantitativo de testes realizados foi insuficiente. Na semana epidemiológica 24 os percentuais estaduais de ocupação de leitos de UTI/Covid-19 foram próximos ou superiores 70%. A situação epidemiológica das nove capitais dos estados do Nordeste, no momento em que a decisão de flexibilização foi tomada, mostra que nenhuma delas atendia aos critérios e parâmetros recomendados pela OMS.

https://doi.org/10.1590/1413-81232021264.39422020 2043 downloads

14.

Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS
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Freitas, Flavio Geraldo Rezende de

; Hammond, Naomi

; Li, Yang

; Azevedo, Luciano Cesar Pontes de

; Cavalcanti, Alexandre Biasi

; Taniguchi, Leandro

; Gobatto, André

; Japiassú, André Miguel

; Bafi, Antonio Tonete

; Mazza, Bruno Franco

; Noritomi, Danilo Teixeira

; Dal-Pizzol, Felipe

; Bozza, Fernando

; Salluh, Jorge Ibrahin Figueira

; Westphal, Glauco Adrieno

; Soares, Márcio

; Assunção, Murillo Santucci César de

; Lisboa, Thiago

; Lobo, Suzana Margarete Ajeje

; Barbosa, Achilles Rohlfs

; Ventura, Adriana Fonseca

; Souza, Ailson Faria de

; Silva, Alexandre Francisco

; Toledo, Alexandre

; Reis, Aline

; Cembranel, Allan

; Rea Neto, Alvaro

; Gut, Ana Lúcia

; Justo, Ana Patricia Pierre

; Santos, Ana Paula

; Albuquerque, André Campos D. de

; Scazufka, André

; Rodrigues, Antonio Babo

; Fernandino, Bruno Bonaccorsi

; Silva, Bruno Goncalves

; Vidal, Bruno Sarno

; Pinheiro, Bruno Valle

; Pinto, Bruno Vilela Costa

; Feijo, Carlos Augusto Ramos

; Abreu Filho, Carlos de

; Bosso, Carlos Eduardo da Costa Nunes

; Moreira, Carlos Eduardo Nassif

; Ramos, Carlos Henrique Ferreira

; Tavares, Carmen

; Arantes, Cidamaiá

; Grion, Cintia

; Mendes, Ciro Leite

; Kmohan, Claudio

; Piras, Claudio

; Castro, Cristine Pilati Pileggi

; Lins, Cyntia

; Beraldo, Daniel

; Fontes, Daniel

; Boni, Daniela

; Castiglioni, Débora

; Paisani, Denise de Moraes

; Pedroso, Durval Ferreira Fonseca

; Mattos, Ederson Roberto

; Brito Sobrinho, Edgar de

; Troncoso, Edgar M. V.

; Rodrigues Filho, Edison Moraes

; Nogueira, Eduardo Enrico Ferrari

; Ferreira, Eduardo Leme

; Pacheco, Eduardo Souza

; Jodar, Euzebio

; Ferreira, Evandro L. A.

; Araujo, Fabiana Fernandes de

; Trevisol, Fabiana Schuelter

; Amorim, Fábio Ferreira

; Giannini, Fabio Poianas

; Santos, Fabrício Primitivo Matos

; Buarque, Fátima

; Lima, Felipe Gallego

; Costa, Fernando Antonio Alvares da

; Sad, Fernando Cesar dos Anjos

; Aranha, Fernando G.

; Ganem, Fernando

; Callil, Flavio

; Costa Filho, Francisco Flávio

; Dall´Arto, Frederico Toledo Campo

; Moreno, Geovani

; Friedman, Gilberto

; Moralez, Giulliana Martines

; Silva, Guilherme Abdalla da

; Costa, Guilherme

; Cavalcanti, Guilherme Silva

; Betônico, Gustavo Navarro

; Reis, Hélder

; Araujo, Helia Beatriz N.

; Hortiz Júnior, Helio Anjos

; Guimaraes, Helio Penna

; Urbano, Hugo

; Maia, Israel

; Santiago Filho, Ivan Lopes

; Farhat Júnior, Jamil

; Alvarez, Janu Rangel

; Passos, Joel Tavares

; Paranhos, Jorge Eduardo da Rocha

; Marques, José Aurelio

; Moreira Filho, José Gonçalves

; Andrade, Jose Neto

; Sobrinho, José Onofre de C

; Bezerra, Jose Terceiro de Paiva

; Alves, Juliana Apolônio

; Ferreira, Juliana

; Gomes, Jussara

; Sato, Karina Midori

; Gerent, Karine

; Teixeira, Kathia Margarida Costa

; Conde, Katia Aparecida Pessoa

; Martins, Laércia Ferreira

; Figueirêdo, Lanese

; Rezegue, Leila

; Tcherniacovsk, Leonardo

; Ferraz, Leone Oliveira

; Cavalcante, Liane

; Rabelo, Ligia

; Miilher, Lilian

; Garcia, Lisiane

; Tannous, Luana

; Hajjar, Ludhmila Abrahão

; Paciência, Luís Eduardo Miranda

; Cruz Neto, Luiz Monteiro da

; Bley, Macia Valeria

; Sousa, Marcelo Ferreira

; Puga, Marcelo Lourencini

; Romano, Marcelo Luz Pereira

; Nobrega, Marciano

; Arbex, Marcio

; Rodrigues, Márcio Leite

; Guerreiro, Márcio Osório

; Rocha, Marcone

; Alves, Maria Angela Pangoni

; Rosa, Maria Doroti

; Dias, Mariza D’Agostino

; Martins, Miquéias

; Oliveira, Mirella de

; Moretti, Miriane Melo Silveira

; Matsui, Mirna

; Messender, Octavio

; Santarém, Orlando Luís de Andrade

; Silveira, Patricio Júnior Henrique da

; Vassallo, Paula Frizera

; Antoniazzi, Paulo

; Gottardo, Paulo César

; Correia, Paulo

; Ferreira, Paulo

; Torres, Paulo

; Silva, Pedro Gabrile M. de Barros e

; Foernges, Rafael

; Gomes, Rafael

; Moraes, Rafael

; Nonato filho, Raimundo

; Borba, Renato Luis

; Gomes, Renato V

; Cordioli, Ricardo

; Lima, Ricardo

; López, Ricardo Pérez

; Gargioni, Ricardo Rath de Oliveira

; Rosenblat, Richard

; Souza, Roberta Machado de

; Almeida, Roberto

; Narciso, Roberto Camargo

; Marco, Roberto

; waltrick, Roberto

; Biondi, Rodrigo

; Figueiredo, Rodrigo

; Dutra, Rodrigo Santana

; Batista, Roseane

; Felipe, Rouge

; Franco, Rubens Sergio da Silva

; Houly, Sandra

; Faria, Sara Socorro

; Pinto, Sergio Felix

; Luzzi, Sergio

; Sant’ana, Sergio

; Fernandes, Sergio Sonego

; Yamada, Sérgio

; Zajac, Sérgio

; Vaz, Sidiner Mesquita

; Bezerra, Silvia Aparecida Bezerra

; Farhat, Tatiana Bueno Tardivo

; Santos, Thiago Martins

; Smith, Tiago

; Silva, Ulysses V. A.

; Damasceno, Valnei Bento

; Nobre, Vandack

; Dantas, Vicente Cés de Souza

; Irineu, Vivian Menezes

; Bogado, Viviane

; Nedel, Wagner

; Campos Filho, Walther

; Dantas, Weidson

; Viana, William

; Oliveira Filho, Wilson de

; Delgadinho, Wilson Martins

; Finfer, Simon

; Machado, Flavia Ribeiro

Revista Brasileira de Terapia Intensiva

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apr 2021, Volume 33 N. 2 Pages 206 - 218

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

Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.

RESUMO Objetivo: Descrever as práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras e compará-las com as de outros países participantes do estudo Fluid-TRIPS. Métodos: Este foi um estudo observacional transversal, prospectivo e internacional, de uma amostra de conveniência de unidades de terapia intensiva de 27 países (inclusive o Brasil), com utilização da base de dados Fluid-TRIPS compilada em 2014. Descrevemos os padrões de ressuscitação volêmica utilizados no Brasil em comparação com os de outros países e identificamos os fatores associados com a escolha dos fluidos. Resultados: No dia do estudo, foram incluídos 3.214 pacientes do Brasil e 3.493 pacientes de outros países, dos quais, respectivamente, 16,1% e 26,8% (p < 0,001) receberam fluidos. A principal indicação para ressuscitação volêmica foi comprometimento da perfusão e/ou baixo débito cardíaco (Brasil 71,7% versus outros países 56,4%; p < 0,001). No Brasil, a percentagem de pacientes que receberam soluções cristaloides foi mais elevada (97,7% versus 76,8%; p < 0,001), e solução de cloreto de sódio a 0,9% foi o cristaloide mais comumente utilizado (62,5% versus 27,1%; p < 0,001). A análise multivariada sugeriu que os níveis de albumina se associaram com o uso tanto de cristaloides quanto de coloides, enquanto o tipo de prescritor dos fluidos se associou apenas com o uso de cristaloides. Conclusão: Nossos resultados sugerem que cristaloides são usados mais frequentemente do que coloides para ressuscitação no Brasil, e essa discrepância, em termos de frequências, é mais elevada do que em outros países. A solução de cloreto de sódio 0,9% foi o cristaloide mais frequentemente prescrito. Os níveis de albumina sérica e o tipo de prescritor de fluidos foram os fatores associados com a escolha de cristaloides ou coloides para a prescrição de fluidos.

https://doi.org/10.5935/0103-507x.20210028 273 downloads

15.

Covid-19 no nordeste do Brasil: entre o lockdown e o relaxamento das medidas de distanciamento social
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Ximenes, Ricardo Arraes de Alencar

; Albuquerque, Maria de Fatima Pessoa Militão de

; Martelli, Celina Maria Turchi

; Araújo, Thália Velho Barreto de

; Miranda Filho, Demócrito de Barros

; Souza, Wayner Vieira de

; Ichihara, Maria Yury Travassos

; Lira, Pedro Israel Cabral de

; Kerr, Ligia Regina Franco Sansigolo

; Aquino, Estela ML

; Silva, Antônio Augusto Moura da

; Almeida, Rosa Lívia Freitas de

; Kendall, Carl

; Pescarini, Julia M

; Brandão Filho, Sinval Pinto

; Almeida-Filho, Naomar

; Oliveira, Juliane Fonseca de

; Teles, Carlos

; Jorge, Daniel Cardoso Pereira

; Santana, Guilherme

; Gabrielli, Ligia

; Rodrigues, Moreno MS

; Silva, Natanael Jesus da

; Souza, Rafael Felipe da Silva

; Silva, Vivian Alessandra Ferreira da

; Barreto, Maurício Lima

Ciência & Saúde Coletiva

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2021, Volume 26 N. 4 Pages 1441 - 1456

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

https://doi.org/10.1590/1413-81232021264.39422020

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You can enrich your search in a very simple way. Use the search indexes combined with the connectors (AND or OR) and specify more your search.

For example, if you want to search for articles about
cases of dengue in Brasil in 2015, use:
ti:dengue and publication_year:2015 and aff_country:Brasil

See below the complete list of search indexes that can be used:

Index code	Element
ti	article title
au	author
kw	article keywords
subject	subject (title words, abstract and keywords)
ab	abstract
ta	journal short title (e.g. Cad. Saúde Pública)
journal_title	journal full title (e.g. Cadernos de Saúde Pública)
la	publication language code (e.g. pt - Portuguese, es - Spanish)
type	document type
pid	publication identifier
publication_year	publication year of publication
sponsor	sponsor
aff_country	country code of the author's affiliation
aff_institution	author affiliation institution
volume	article volume
issue	article issue
elocation	elocation
doi	DOI number
issn	journal ISSN
in	SciELO colection code (e.g. scl - Brasil, col - Colômbia)
use_license	article usage license code

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