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Abusive consumption of alcoholic beverages: results from COVITEL, the Telephone Survey of Risk and Protective Factors for Noncommunicable Chronic Diseases, 2022 and 2023
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Santos, Roberta de Oliveira

; Wehrmeister, Fernando César

; Hallal, Pedro

; Kohn, Eduardo Ribes

; Sardinha, Luciana Monteiro Vasconcelos

Revista Brasileira de Epidemiologia

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2025, Volume 28 elocation e250009

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

RESUMO Objetivo: Estimar a prevalência de consumo abusivo de bebidas alcoólicas, hábito de beber e dirigir e relato de consumo de bebidas alcoólicas, comparando os primeiros trimestres de 2022 e 2023. Métodos: Estudo transversal, de base populacional, com dados secundários obtidos do Inquérito Telefônico de Fatores de Risco para Doenças Crônicas não Transmissíveis (2022 e 2023). A amostra do estudo integrou 9 mil pessoas em cada ano coletado a partir de métodos de discagem aleatória de dígitos e Discagem Direta à Distância (DDD) em linhas de telefonia móvel e fixa. Variáveis autorreferidas para consumo abusivo de álcool, hábito de beber e dirigir e consumo de bebidas alcoólicas foram analisados. Resultados: Não houve alteração significativa na prevalência do consumo abusivo de álcool ao se comparar os primeiros trimestres de 2022 e 2023. Contudo, diferenças foram observadas no comportamento de beber e dirigir, com redução da prevalência entre indivíduos de 18 a 24 anos de idade de 9,6% (IC95% 4,4–19,8) para 2,2% (IC95% 1,4–3,6) e aumento do comportamento entre aqueles com 12 ou mais anos de estudo — de 6,9% (IC95% 5,5–8,7) para 11,9% (IC95% 10,3–13,6). Os indivíduos do sexo masculino apresentaram maiores prevalências de consumo de bebidas alcoólicas, consumo abusivo de álcool e hábito de beber e dirigir em todas as desagregações analisadas. Conclusão: a proposição de políticas públicas que inibam o acesso e o consumo de bebidas alcoólicas e os Objetivos de Desenvolvimento Sustentável devem ser tratados com prioridade no Brasil.

ABSTRACT Objective: To estimate the prevalence of abusive alcohol consumption, drinking and driving habits and reports of alcohol consumption comparing the first quarters of 2022 and 2023. Methods: A cross-sectional study, with data from the Telephone Survey of Risk Factors for Chronic Noncommunicable Diseases, 2022 and 2023. The study sample included 9 thousand people each year collected using random digit dialing and dialing methods direct distance (DDD) on mobile and fixed telephone lines. Self-reported variables for alcohol abuse, drinking and driving habits, and alcohol consumption were analyzed. Results: There was no significant change in the prevalence of alcohol abuse in the first quarters of 2022 and 2023. However, differences were observed in drinking and driving behavior, with a reduction in prevalence among those aged 18 to 24 years (9.6% (95%CI 4.4–19.8) to 2.2% (95%CI 1.4–3.6) and increased behavior among those with 12 or more years of education (from 6.9% (95%CI 5.5–8.7) to 11.9% (95%CI 10,3–13,6). Male individuals had a higher prevalence of alcohol consumption, alcohol abuse and drinking and driving habits in all analyzed breakdowns. Conclusion: The Brazilian policy to reduce the consumption of alcoholic beverages and the Sustainable Development Goals must be treated as a priority in Brazil.

https://doi.org/10.1590/1980-549720250009

Perioperative management of adult patients undergoing coronary artery bypass grafting and valve surgery: a literature review
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Vasconcelos, Nair Naiara Barros de

; Queiroz, Veronica Neves Fialho

; Souza, Guilherme Martins de

; Mangini, Sandrigo

; Silva, Fernando Morita Fernandes

; Costa, Luiz Guilherme Villares da

; Campos, Pedro Paulo Zanella do Amaral

; Steffen, Samuel Padovani

; Takaoka, Flávio

; Serpa Neto, Ary

; Pereira, Adriano José

; Barbas, Carmen Silvia Valente

; Corrêa, Thiago Domingos

; Chaves, Renato Carneiro de Freitas

einstein (São Paulo)

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2025, Volume 23 elocation eRW1353

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose of review Coronary artery bypass grafting, revascularization by percutaneous coronary intervention, and heart valve surgery are crucial therapeutic interventions for patients with various cardiovascular diseases. The objective of this literature review was to present the main evidence and practical aspects of the perioperative management of patients undergoing coronary artery bypass grafting and heart valve surgery. Recent findings Despite advancements in surgical and anesthetic techniques, coronary artery bypass grafting and heart valve surgery present significant risks for perioperative complications and death. These complications increase morbidity, mortality, and length of hospital stay. Coronary artery bypass grafting is indicated for patients with significant left main or advanced coronary artery disease. Most patients undergoing coronary artery bypass grafting with a reasonable life expectancy are advised to adopt a multiple-arterial graft strategy using two or three arterial grafts. Revascularization by percutaneous coronary intervention is frequently performed to alleviate symptoms in patients with stable angina and coronary artery stenoses causing moderate or severe ischemia. Intraoperative coagulation management should include tranexamic acid after the induction of anesthesia and protamine immediately after the termination of extracorporeal circulation. The prophylactic use of fresh-frozen plasma, desmopressin, recombinant activated factor VII, or fibrinogen to reduce bleeding is not recommended. Inhaled anesthetics have recognized cardioprotective properties; however, it is unclear whether anesthesia with a volatile agent can reduce mortality in patients undergoing elective surgery. Echocardiography plays an important role in the perioperative management of patients by defining myocardial structure, assessing intracardiac blood flow, aiding preoperative evaluation, facilitating intraoperative monitoring, and providing real-time guidance for intervention. The perioperative management of patients undergoing coronary artery bypass grafting, percutaneous coronary intervention, and heart valve surgery is highly complex and involves numerous specific conditions. Effective management requires dedicated multidisciplinary teams skilled in timely recognition, prevention, and treatment to ensure appropriate care.

https://doi.org/10.31744/einstein_journal/2025rw1353

Nursing health technologies in the prevention and control of hepatitis A: a scoping review
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Souza, Leonardo Cassimiro Fonseca e

; Gomes, Camila Stela

; Tavares, Laís Oliveira de Moraes

; Paolinelli, João Pedro Vasconcelos

; Melo, João Marcos Alves

; Oliveira, Valéria Conceição de

; Silva, Brener Santos

; Amaral, Gabriela Gonçalves

Revista da Escola de Enfermagem da USP

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2025, Volume 59 elocation e20250051

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

RESUMO Objetivo: Mapear evidências científicas sobre as tecnologias em saúde da enfermagem na prevenção e controle da Hepatite A. Método: Revisão de escopo conduzida em 2024 de acordo com as recomendações do JBI e relatada seguindo os critérios do PRISMA-ScR. Realizou-se a busca (10/06/2024) em bases de dados e literatura cinzenta. Classificaram-se as tecnologias encontradas em: leves, leve-duras e duras. Os resultados foram analisados descritivamente e sintetizados. Resultados: Foram selecionados 10 estudos, todos originados dos EUA. Dentre as tecnologias estão a vacinação; testagem sorológica; educação em saúde; lembretes em sistemas de informação em saúde; formação de peer coaching; gestão de caso; consultas; notificação de doenças e agravos; triagem clínica; e acompanhamento e rastreio. Prevaleceram as tecnologias duras. Conclusão: A Atenção Primária à Saúde destacou-se como o principal foco, abordando principalmente a vacinação e a educação em saúde. Já a Atenção Secundária e a Terciária concentraram-se na triagem clínica e na continuidade do cuidado. A concentração dos estudos de origem estadunidense reforça a percepção de insipiência literária e a possível negligência e falta de preparo técnico na prevenção e controle da Hepatite A.

ABSTRACT Objective: To map scientific evidence on nursing health technologies in the prevention and control of Hepatitis A. Method: Scoping review conducted in 2024 according to JBI recommendations and reported following PRISMA-ScR criteria. The search was carried out (10/06/2024) in databases and gray literature. The technologies found were classified as: soft, soft-hard, and hard. The results were analyzed descriptively and synthesized. Results: Ten studies were selected, all from the USA. Technologies include vaccination; serological testing; health education; reminders in health information systems; peer coaching training; case management; consultations; notification of diseases and injuries; clinical screening; and monitoring and tracking. Hard technologies prevailed. Conclusion: Primary Health Care stood out as the main focus, mainly addressing vaccination and health education. Secondary and Tertiary Care, in turn, focused on clinical screening and continuity of care. The concentration of studies of American origin reinforces the perception of literary insipience and possible negligence and lack of technical preparation in the prevention and control of Hepatitis A.

RESUMEN Objetivo: Mapear la evidencia científica sobre las tecnologías de salud de enfermería en la prevención y control de la Hepatitis A. Método: Revisión del alcance realizada en 2024 de acuerdo con las recomendaciones del JBI e informada siguiendo los criterios PRISMA-ScR. La búsqueda se realizó (06/10/2024) en bases de datos y literatura gris. Las tecnologías encontradas se clasificaron en: blanda, blanda-dura y dura. Los resultados fueron analizados descriptivamente y sintetizados. Resultados: Se seleccionaron diez estudios, todos originarios de los EE.UU. Entre las tecnologías se encuentran la vacunación; pruebas serológicas; educación para la salud; recordatorios en los sistemas de información sanitaria; formación de peer coaching; gestión de casos; consultas; notificación de enfermedades y lesiones; cribado clínico; y seguimiento y vigilancia. Las tecnologías duras prevalecieron. Conclusión: La Atención Primaria de Salud se destacó como el foco principal, abordando principalmente la vacunación y la educación para la salud. Atención Secundaria y Terciaria se centraron en el triaje clínico y la continuidad de la atención. La concentración de estudios de origen estadounidense refuerza la percepción de ineptitud literaria y posible negligencia y falta de preparación técnica en la prevención y control de la Hepatitis A.

https://doi.org/10.1590/1980-220x-reeusp-2025-0051en

Screen Time and Musculoskeletal Pain in Dental Students
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Carvalho, Manuella Vasconcelos Tavares

; Silva, Michell André Andrade da

; Barbosa, Guilherme de Melo Ribeiro Aragão

; Silva, Sérgio Soares da

; Silveira, Mariana Araújo Coutinho da

; Andrade, Pedro Rhuan Braz de

; Heimer, Mônica Vilela

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2025, Volume 25 elocation e240033

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To investigate the association between screen time and musculoskeletal pain in dentistry students at a Brazilian public university. Material and Methods: A cross-sectional study was conducted among dental students enrolled in the undergraduate program. Data collection was carried out through the application of a sociodemographic questionnaire and the Pain and Electronic Media Questionnaire involving a population group of 229 students with specific characteristics, using a convenience sampling method. Due to the pandemic, data was collected from January to December 2022 using Google Forms. Results: Most researched participants were from the 7th to the 10th period. It was possible to verify that 95.6% stated that their cell phone is the most used equipment. Furthermore, 71.6% reported using their cell phone five or more hours daily. The students also mentioned that 61.6% experienced back pain, 56.3% experienced neck pain when using a computer, 31% reported back pain, and 20.1% reported neck pain when playing electronic games. Regarding cell phone use, the locations where pain was most frequently reported were the wrists and hands (49.8%). Conclusion: The study highlights the impact of prolonged screen time on musculoskeletal pain among dental students, emphasizing the need for ergonomic interventions and educational programs to address and prevent discomfort associated with extensive use of digital devices.

https://doi.org/10.1590/pboci.2025.096

Effect of sleep duration on child development in Fortaleza, Northeastern Brazil
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Castro, Shamyr Sulyvan

; Machado, Marcia Maria Tavares

; Correia, Luciano Lima

; Farias-Antúnez, Simone

; Lima, Pedro Lucas Grangeiro de Sá Barreto

; Vasconcelos, Sophia Costa

; Altafim, Elisa Rachel Pisani

; Castro, Marcia C.

Jornal de Pediatria

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2025, Volume 101 N. 2 Pages 238 - 246

Abstract: En | Text: En | PDF: En

Abstract Objective: The present study’s objective is to assess whether sleep duration affects Early Childhood Development (ECD). A prospective cohort study was carried out with 278 mother-child dyads in the city of Fortaleza, northeastern Brazil, with data collection every 6 months. Method: The data used in this study are from the third (18 months) and fourth (24 months) survey waves. Information on sleep duration was collected using the Brief Infant Sleep Questionnaire (BISQ) and information on ECD using the Caregiver Reported Early Development Instrument (CREDI). Crude and adjusted regression models were run for each CREDI domain as an outcome with 5 % significance. Results: The authors found that after adjusting for maternal age and schooling, family income, and the presence of other children in the house, night sleep duration was associated with better ECD scores (cognitive: coef. 0.14; 95 % CI 0.04,0.24; language: coef. 0.10; 95 % CI 0.01,0.19; motor: coef. 0.10; 95 % CI 0.03,0.18; socio-emotional: coef. 0.16; 95 % CI 0.06,0.25; overall: coef. 0.14; 95 % CI 0.04,0.24), and the time awake at night associated with worse scores (cognitive: coef. -0.12; 95 % CI -0.23,0.02; motor: coef. -0.09; 95 % CI -0.17,-0.01; socio-emotional: coef. -0.11; 95 % CI -0.21,-0.01; overall: coef. -0.11; 95 % CI -0.21,-0.01). Conclusions: Nocturnal sleep duration affects ECD as expressed in all CREDI scores (cognitive, language, motor, social-emotional, and overall).

https://doi.org/10.1016/j.jped.2024.09.002

Ações educacionais da Planificação da Atenção à Saúde: percepções dos profissionais em duas Regiões de Saúde do Brasil
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Guerra, Sofia

; Marques, Pedro

; Albuquerque, Ana Coelho de

; Samico, Isabella

; Dubeux, Luciana Santos

; Felisberto, Eronildo

; Passos, Diogenes Ferreira dos

; Mendes, Marina Ferreira de Medeiros

; Vasconcelos, Camila Soares de

Cadernos de Saúde Pública

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2025, Volume 41 N. 4 elocation e00177724

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

Resumen: La Planificación de la Atención Sanitaria (PAS) tiene como objetivo apoyar a los estados y municipios en la reorganización de las redes de atención a la salud en sus territorios al ofertar un conjunto de acciones educativas mediante talleres, tutorías y cursos. Este artículo analiza las acciones educativas de la PAS en dos Regiones Sanitarias de Brasil, una en el Nordeste (región A) y otra en el Norte (región B). En el estudio participaron profesionales de la salud y tutores de PAS, con un total de 17 encuestados. Los datos se recopilaron mediante entrevistas individuales semiestructuradas, que buscaron identificar las opiniones sobre el aprendizaje, los cambios de comportamiento, las dificultades y las sugerencias de mejora. Las entrevistas fueron grabadas, transcritas y sometidas a análisis de contenido temático. Las categorías de análisis se enumeraron según el modelo integrado de evaluación de impacto de la capacitación. Los resultados indicaron, entre otros aspectos, la adquisición de conocimientos, habilidades y actitudes relacionadas con los procesos de territorialización; la clasificación del riesgo familiar; la estratificación del riesgo poblacional; el manejo de usuarios con enfermedades crónicas, embarazadas y niños menores de 2 años; la planificación, seguimiento y evaluación. Hubo cambios importantes en el comportamiento, con una mejor comunicación, colaboración y satisfacción profesional. Las principales dificultades se refirieron a la resistencia de los profesionales; a la implementación del bloque de horas; al uso y finalización de instrumentos; y al acceso a atención especializada. Las principales sugerencias fueron la continuidad de las acciones educativas presenciales con la participación de elementos que facilitan y de gestores locales; y la garantía del horario programado para la dedicación a acciones educativas.

Resumo: A Planificação da Atenção à Saúde (PAS) visa apoiar estados e municípios na reorganização das Redes de Atenção à Saúde em seus territórios, oferecendo um conjunto de ações educacionais, em forma de oficinas, tutorias e cursos. Este artigo analisa as ações educacionais da PAS em duas Regiões de Saúde do Brasil, uma no Nordeste (região A) e uma no Norte (região B). A pesquisa abrangeu profissionais de saúde e tutores da PAS, totalizando 17 entrevistados. Os dados foram coletados por meio de entrevistas individuais semiestruturadas, que buscavam compreender as opiniões sobre aprendizagem, mudanças de comportamento, dificuldades e sugestões de melhoria. As entrevistas foram gravadas, transcritas e submetidas à análise temática de conteúdo. As categorias de análise foram elencadas de acordo com o Modelo Integrado de Avaliação do Impacto do Treinamento. Os resultados indicaram a aquisição de conhecimentos, habilidades e atitudes relacionados aos processos de territorialização; classificação de risco familiar; estratificação de risco populacional; manejo de usuários com doenças crônicas, gestantes e crianças menores de dois anos; planejamento, monitoramento e avaliação; entre outros. Houve importantes mudanças de comportamento, com melhoria da comunicação, colaboração e satisfação profissional. As principais dificuldades referem-se à resistência dos profissionais; à implementação do bloco de horas; ao uso e preenchimento de instrumentos; e ao acesso à atenção especializada. As principais sugestões foram a continuidade das ações educacionais presenciais, com participação dos facilitadores e gestores locais, e a garantia do horário protegido para dedicação às ações educacionais.

Abstract: Healthcare Planning (HP) aims to support states and municipalities in the reorganization of healthcare networks in their territories, offering a set of educational actions, in the form of workshops, tutorials and courses. This article analyzes the educational actions of HP in two Health Regions of Brazil, one in the Northeast (region A) and one in the North (region B). The survey covered health professionals and HP tutors, totaling 17 interviewees. Data were collected via individual semi-structured interviews, which sought to understand opinions about learning, behavior changes, difficulties and suggestions for improvement. The interviews were recorded, transcribed and submitted to thematic content analysis. The analysis categories were listed according to the integrated training impact evaluation model. Results indicated the acquisition of knowledge, skills and attitudes related to the processes of territorialization; family risk classification; population risk stratification; management of patients with chronic diseases, pregnant women and children under two years; planning, monitoring and evaluation; among others. There were important changes in behavior, with improved communication, collaboration, and job satisfaction. The main difficulties refer to the resistance of professionals; the implementation of block scheduling; the use and responses to instruments, and access to specialized care. The main suggestions were the continuity of face-to-face educational actions with the participation of local facilitators and managers, and the guarantee of protected time dedicated to educational actions.

https://doi.org/10.1590/0102-311xpt177724

A post-pandemic snapshot of the magnitude of COVID-19 in Brazil: A countrywide study
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Kohn, Eduardo Ribes

; Bohlke, Maristela

; Almeida, Antônia

; Janelli, Leandro

; Sardinha, Luciana Monteiro Vasconcelos

; Wehrmeister, Fernando C.

; Hallal, Pedro Curi

Brazilian Journal of Infectious Diseases

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2025, Volume 29 elocation 104496

Abstract: En | Text: En | PDF: En

Abstract Objective To outline the features of COVID-19 in Brazil through a countrywide telephone survey. Methods Data from the Telephone Survey of Risk Factors for Chronic Noncommunicable Diseases During the Pandemic (Covitel), a telephone survey of individuals aged 18 years or older from all macro-regions of Brazil, were used. The questionnaire included sociodemographic characteristics and outcomes related to COVID-19 infection, severity, vaccination, and use of masks. Results Data revealed that 34.7 % (95 %CI 32.4 - 37.1) of the population had been diagnosed with COVID-19, and 10.1 % (95 %CI 7.9 - 12.7) of those required hospital admission. The prevalence of COVID-19 diagnosis increased with education level: <8 years (26.6 % [95 %CI 23.1 - 30.7]), 9-11 years (33.4 % [95 %CI 29.4 - 37.7]), and >11 years (53.2 % [95 % CI 49.7 - 56.8]). Nevertheless, the hospitalization rate of Brazilians with more than eleven years of education was lower (5.8 % [95 %CI 4.3 - 7.6]). In 2023, 92.9 % (95 %CI 90.9 - 94.4) of the Brazilian population was fully vaccinated against COVID-19, but only 37.2 % (95 %CI 33.5 - 40.9) have received the updated vaccinal scheme (two doses and two boosters). During the pandemic outbreak, 81.9 % (95 %CI 79.4 - 84.2) reported always using face masks. However, only 16.1 % (95 %CI 13.5 - 19.0) maintained this practice in 2023. Conclusion There were inequalities in COVID-19 testing in Brazil. Testing and vaccination policies implemented in the COVID-19 pandemic must be reevaluated by the Brazilian government.

https://doi.org/10.1016/j.bjid.2024.104496

Abusive consumption of alcoholic beverages: results from COVITEL, the Telephone Survey of Risk and Protective Factors for Noncommunicable Chronic Diseases, 2022 and 2023
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Santos, Roberta de Oliveira

; Wehrmeister, Fernando César

; Hallal, Pedro

; Kohn, Eduardo Ribes

; Sardinha, Luciana Monteiro Vasconcelos

Revista Brasileira de Epidemiologia

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2025, Volume 28 elocation e250009

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

https://doi.org/10.1590/1980-549720250009

Saturated hydraulic conductivity and steady-state infiltration rate database for Brazilian soils
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Ottoni, Marta Vasconcelos

; Teixeira, Wenceslau Geraldes

; Reis, Aline Mari Huf dos

; Pimentel, Letícia Guimarães

; Souza, Luciana Rodrigues

; Albuquerque, Jackson Adriano

; Melo, Valdinar Ferreira

; Cavalieri-Polizeli, Karina Maria Vieira

; Reichert, José Miguel

; Viana, João Herbert Moreira

; Fontana, Ademir

; Medrado, Lucas de Castro

; Santos, Glenio Guimarães

; Amaral, Luís Gustavo Henriques do

; Anjos, Lúcia Helena Cunha dos

; Araújo Filho, José Coelho de

; Bhering, Silvio Barge

; Brito, Gabrielle Fernandes de

; Valle, Pedro Gomes de Campos do

; Campos, Pablo Nieto

; Costa, Adriana Monteiro da

; Marques, Jean Dalmo de Oliveira

; Martins, Alba Leonor da Silva

; Nascimento, Michele Bruna de Souza do

; Noronha, Norberto Cornejo

; Oliveira, Ricardo Duarte de

; Portela, Jeane Cruz

; Serafim, Milson Evaldo

; Silva, Marlen Barros e

; Rodrigues, Sueli

; Almeida, Wilk Sampaio de

; Moraes, Margareth Lopes de

; Curi, Nilton

Revista Brasileira de Ciência do Solo

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2025, Volume 49 elocation e0240003

Abstract: En | Text: En | PDF: En

ABSTRACT Soil saturated hydraulic conductivity (Ksat) and steady-state infiltration rate (SSIR) are essential and necessary soil properties for different geoscience applications. Values of these hydraulic properties for the Brazilian territory are difficult to access and are dispersed in research efforts carried out around the country. This study developed an easy-to-manipulate, freely accessible database of soil saturated hydraulic conductivity, comprising field and laboratory analyses, and steady-state infiltration rates for Brazilian soils. This database was named Ksat-SSIR-DB. One analysis of the Ksat-SSIR-DB aimed to evaluate its coverage in Brazilian territory and in different soil groups. Average values of these hydraulic properties were also presented for textural classes, with values compared to those reported in international literature, and for other groupings, such as soil class, land use class, and porosity class. The variability of Ksat data in these groupings and in their combinations were also analyzed. The Ksat-SSIR-DB showed broad national coverage, comprising a total of 2,579 records, corresponding to 409 sampling sites, with Ksat and/or SSIR data and other associated soil information. A significant difference was observed between Ksat values for the vast majority of Brazilian clayey and very clayey soils compared to soils from the same textural groups from temperate regions. The two groupings that presented the lowest variability in terms of Ksat standard deviation values were the combination of textural classes with soil classes at the second category level of SiBCS (Brazilian Soil Classification System), and porosity classes with soil classes at the second category level of SiBCS. The Ksat-SSIR-DB has enormous potential for developing and testing Ksat pedotransfer functions in Brazilian soils, serving as a reference source for different geoenvironmental applications and, in particular, for modeling land surface processes. It is open access and can be accessed at https://www.sgb.gov.br/ksat-ssir-dbbase-de-dados-de-condutividade-hidraulica-saturada-e-de-taxa-de-infiltracao-basica-emsolos-brasileiros, which also includes the python script for data analysis.

https://doi.org/10.36783/18069657rbcs20240003

10.

Ações educacionais da Planificação da Atenção à Saúde: percepções dos profissionais em duas Regiões de Saúde do Brasil
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Guerra, Sofia

; Marques, Pedro

; Albuquerque, Ana Coelho de

; Samico, Isabella

; Dubeux, Luciana Santos

; Felisberto, Eronildo

; Passos, Diogenes Ferreira dos

; Mendes, Marina Ferreira de Medeiros

; Vasconcelos, Camila Soares de

Cadernos de Saúde Pública

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2025, Volume 41 N. 4 elocation e00177724

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

https://doi.org/10.1590/0102-311xpt177724

11.

Funções Executivas, Traços de Psicopatia e Comportamento Sexual em Adolescentes Privados de Liberdade em Rondônia
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Corrêa, Pedro Vasconcelos

; Almeida, Rosa Maria Martins de

Estudos e Pesquisas em Psicologia

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dec 2024, Volume 24 elocation e75447

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

Resumen Se evaluaron funciones ejecutivas, rasgos de psicopatía, edad de primera relación sexual y trabajo de adolescentes en conflicto con la ley. Las hipótesis fueron que existirían diferencias entre primarios y reincidentes y el papel predictivo de estas variables para el acto. El objetivo general fue evaluar estas funciones, comparar intragrupos, identificar asociaciones y predicciones para la infracción. Se evaluaron 109 adolescentes institucionalizados por hechos graves, con una edad promedio de 16,5 años. Instrumentos utilizados: Wisconsin de Clasificación de Cartas, la Escala Hare Psychopathy Checklist-Revised y protocolo neuropsicológico. El análisis de la varianza diferenció los grupos en ocho variables, presentando entre los reincidentes mayores rasgos de psicopatía y edad de la primera infracción. La edad de la primera relación sexual no diferenció los grupos, caracterizándolos como exposición temprana. Y las funciones ejecutivas explicaron 12,1% del resultado de las infracciones. Hubo asociaciones con la historia de vida en contexto de adversidades, lo que indica que el desarrollo de funciones ejecutivas puede no protegerlos de la adversidad. Una realidad que enfatiza el papel del desarrollo neurobiológico en las evaluaciones, seguimientos e intervenciones en situaciones de institucionalización de privación de libertad socioeducativa de adolescentes por actos que impliquen uso grave de violencia.

Resumo Foram avaliadas as funções executivas, traços de psicopatia, idades da primeira relação sexual e trabalho de adolescentes em conflito com a lei. As hipóteses foram que haveria diferenças entre primários e reiterantes e o papel preditor destas variáveis para o ato. O objetivo geral foi avaliar essas funções, comparar intragrupo, identificar associações e predições para a infração. Foram avaliados 109 adolescentes institucionalizados por atos graves, sendo a média de idade de 16,5 anos. Instrumentos utilizados: Wisconsin de Classificação de Cartas, a Escala Hare Psychopathy Checklist-Revised e protocolo neuropsicológico. A análise de variância diferenciou os grupos em oito variáveis, sendo que nos reiterantes houve maiores traços de psicopatia e idade da primeira infração. A idade da primeira relação sexual não diferenciou os grupos, caracterizando-os como precoce exposição. E, as funções executivas explicaram 12,1% no desfecho infração. Houve associações com a história de vida em contexto de adversidades, indicando que as funções executivas em desenvolvimento podem não protegê-los de influências negativas adversas. Realidade que acentua o papel do desenvolvimento neurobiológico nas avaliações, acompanhamentos e intervenções em situação de institucionalização de privação de liberdade socioeducativa de adolescentes por atos com grave uso de violência.

Abstract Executive functions, psychopathic traits, age of first sexual intercourse and work of adolescents in conflict with the law were evaluated. The hypotheses were that there would be differences between r first-time and repeat offenders and the predictive role of these variables for the act. The general objective was to evaluate these functions, compare intragroups, identify associations and predictions for the infraction. 109 adolescents institutionalized for serious acts were evaluated, with an average age of 16.5 years. Instruments used: Wisconsin Card Rating Scale, the Hare Psychopathy Checklist-Revised Scale, and the neuropsychological protocol. The analysis of variance differentiated the groups in eight variables, with the repeat offenders having greater traits of psychopathy and age at the first infraction. The age at first sexual intercourse did not differentiate the groups, characterizing them as early exposure. Furthermore, executive functions explained 12.1% of the infraction. There were associations with life history in context of adversity, indicating that executive functions in development could not protect them from negative adverse influences. A reality that emphasizes the role of neurobiological development in assessments, monitoring and interventions in situations of institutionalization of deprivation of socio-educational freedom of adolescents due to acts involving serious use of violence.

https://doi.org/10.12957/epp.2024.75447

12.

Hypopigmented papules in a HIV-positive patient
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Amaral, Inês P. Correia, Madalena P. Soares, Ivânia Vasconcelos, Pedro de Almeida, Luís Soares-de Filipe, Paulo

Portuguese Journal of Dermatology and Venereology

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sep 2024, Volume 82 N. 3 Pages 211 - 212

Abstract: En | Text: En | PDF: En

https://doi.org/10.24875/pjdv.23000084

13.

Crise na teoria da separação de poderes e instituições híbridas no contexto do constitucionalismo latino-americano: o papel institucional da Oficina Anticorrupção da Argentina
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GOUVÊA, CARINA BARBOSA

; BRANCO, PEDRO H. VILLAS BÔAS CASTELO

; SILVA JUNIOR, EDUARDO VASCONCELOS DA

Revista de Investigações Constitucionais

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aug 2024, Volume 11 N. 2 elocation e266

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

Abstract The constitutional transformations in Latin American constitutionalism are marked by the coexistence of hyperpresidentialist structures with the emergence of institutions responsible for developing best practices of democratic governance in a context of crisis in the separation of powers theory. Argentina’s institutional design in the fight against corruption provides a paradigmatic case in which the concentration of power in the executive branch clashes with the oversight role of the Anti-Corruption Bureau. For the analysis, the research was developed in distinct phases. In the first stage, the approach used was critical-analytical and structural, exploring the abstract-theoretical field from the comparative method. In the second stage, the empirical investigation of the Anti-Corruption Bureau was carried out, evaluating the performance of the institution in the dynamics of the Argentine political system. Finally, based on the evaluations obtained, institutional paths were indicated to restructure the Anti-Corruption Bureau in order to impact its performance and raise it to the level of a hybrid institution according to the proposed premises. Among the results achieved, we highlight that the Anti-Corruption Office, due to its structure, is not aligned with the assumptions of autonomy, independence, transparency and effectiveness of hybrid institutions, requiring reforms.

Resumo As transformações constitucionais no constitucionalismo latino-americano estão marcadas pela coexistência de estruturas hiperpresidencialistas com o surgimento de instituições responsáveis pelo desenvolvimento de melhores práticas de governança democrática em um contexto de crise na teoria da separação dos poderes. O desenho institucional da Argentina no combate à corrupção fornece um caso paradigmático no qual a concentração de poder no Executivo se choca com a atuação fiscalizadora da Oficina Anticorrupção, razão pela qual realizou-se o estudo de caso dessa interação institucional. Para tal análise, a pesquisa foi desenvolvida em fases distintas. Na primeira etapa, a abordagem utilizada foi a crítica-analítica e estrutural, explorando o campo teórico-abstrato a partir do método comparativo. Na segunda etapa, realizou-se a investigação empírica da Oficina Anticorrupção, avaliando o desempenho da instituição na dinâmica do sistema político argentino. Por fim, a partir das avaliações obtidas, indicou-se caminhos institucionais para reestruturar a Oficina Anticorrupção de modo a impactar a sua atuação e elevá-la ao patamar de instituição híbrida de acordo com as premissas propostas. Dentre os resultados alcançados, destaca-se que a Oficina Anticorrupção, por sua estrutura, não se encontra alinhada aos pressupostos de autonomia, independência, transparência e eficácia elementares às instituições híbridas, sendo necessárias reformas.

https://doi.org/10.5380/rinc.v11i2.91762

14.

Creciente amenaza de enfermedades emergentes y reemergentes: arbovirus y enfermedades transmitidas por vectores en las Américas
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Cabezas, César

; Vasconcelos, Pedro F. C.

Revista Peruana de Medicina Experimental y Salud Publica

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jan 2024, Volume 41 N. 1 Pages 4 - 6

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

https://doi.org/10.17843/rpmesp.2024.411.13805

15.

Real-time changes in rib cage expansion and use of abdominal mechanical stimulation in newborns: a quasi-experimental study
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Santos, Jaiana Xavier

; Silva, Pedro Ykaro Fialho

; Cruz, Maria Clara Lima da

; Silva, Bianca Fernandes Vasconcelos e

; Azevedo, Ingrid Guerra

; Pereira, Silvana Alves

Revista Paulista de Pediatria

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2024, Volume 42 elocation e2023032

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

ABSTRACT Objective: To assess the rib cage expansion and respiratory rate in newborns using an abdominal stabilization band. Methods: The study included 32 newborns of both genders, with gestational age between 35 and 41 weeks. The abdominal stabilization band was used for 15 minutes between the xiphoid process and the anterosuperior iliac crest, with an abdominal contention 0.5cm smaller than the abdominal circumference. The rib cage expansion was evaluated by a breathing transducer (Pneumotrace II™) three minutes before using the band, during the use (15 minutes), and ten minutes after removing the band. The Shapiro-Wilk test verified data normality, and the Wilcoxon test compared the variables considering rib cage expansion and respiratory rate. Significance was set to p<0.05. Results: There was an increase in respiratory rate when comparing before and ten minutes after removing (p=0.008) the abdominal stabilization band, as well as when comparing during its use and ten minutes after its removal (p=0.001). There was also an increase in rib cage expansion when comparing before and during the use of the abdominal stabilization band (p=0.005). Conclusions: The use of the abdominal stabilization band promoted an increase in the rib cage expansion and respiratory rate in the assessed newborns and may be a viable option to improve the respiratory kinematics of this population.

RESUMO Objetivo: Avaliar a expansibilidade torácica e a frequência respiratória em recém-nascidos que fizeram uso de uma faixa de estabilização abdominal. Métodos: O estudo incluiu 32 recém-nascidos de ambos os sexos, com idade gestacional entre 35 e 41 semanas. A faixa de estabilização abdominal foi mantida por 15 minutos entre o processo xifoide e a espinha ilíaca anterossuperior, com contenção abdominal 0,5 cm menor do que a circunferência abdominal. A expansibilidade torácica foi avaliada por um transdutor piezoelétrico (Pneumotrace II™) 3 minutos antes do uso da faixa, durante 15 minutos, e 10 minutos após sua retirada. A normalidade das variáveis foi testada pelo teste de Shapiro-Wilk e a análise comparativa da expansibilidade torácica e da frequência respiratória foi realizada por meio do teste t pareado, considerando-se p<0,05. Resultados: Houve aumento da frequência respiratória quando comparados os tempos antes do uso da faixa e 10 minutos após a retirada (p=0,008), bem como quando comparados os tempos durante o uso e 10 minutos após a retirada da faixa (p=0,001). Houve aumento da expansibilidade torácica quando comparados os tempos antes e durante o uso da faixa (p=0,005). Conclusões: O uso da faixa de estabilização abdominal conferiu aumento da expansibilidade torácica e da frequência respiratória nos recém-nascidos estudados, podendo ser uma opção viável para a melhora da cinemática respiratória dessa população.

https://doi.org/10.1590/1984-0462/2024/42/2023032

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