Resumen Introducción: Frente al COVID-19 se adoptaron medidas de restricción social que influyeron en los hábitos de vida de la población, aumentando el sedentarismo. Considerando la alta complejidad y la dedicación exigida por la carrera de Medicina, se torna relevante investigar el efecto pandémico sobre la práctica de ejercicio físico y la conducta sedentaria de estos estudiantes. Objetivos: Identificar los cambios en la actividad física y en la conducta sedentaria auto-reportados por los estudiantes de Medicina de la ciudad de Salvador, Bahía, Brasil, antes y durante el auto-confinamiento impuesto por la pandemia de COVID-19. Métodos: Estudio longitudinal, prospectivo, cuantitativo, realizado con estudiantes de medicina regularmente matriculados, mayores de 18 años. Foi aplicado um questionário virtual, estruturado, anónimo, autocompletado, contendo aspectos sociodemográficos e académicos. Além disso, foi aplicado o International Physical Activity Questionnaire (IPAQ), em sua versão curta, considerando o período antes e durante a pandemia. A través de éste, se midió el nivel de actividad física, el comportamiento sedentario y el tiempo dedicado a caminar, así como las actividades moderadas y vigorosas. Resultados: Se incluyeron 268 estudiantes de medicina, predominantemente mujeres (65,7%), blancas (50,0%) y morenas (38,8%), de 24,2 ± 5,5 años de edad, solteras (90,7%), en el ciclo clínico (59,0%), en instituciones privadas (78,4%). No se identificaron diferencias estadísticamente significativas en el nivel de actividad física y el tiempo dedicado a actividades moderadas y vigorosas. Sin embargo, hubo una reducción en el tiempo de caminata (p<0,00001) y un aumento en la conducta sedentaria (p=0,001) durante la pandemia COVID-19, siendo mayor el impacto entre las mujeres (p=0,0009). Conclusión: Las repercusiones de la pandemia COVID-19 se manifestaron en el aumento de la conducta sedentaria entre los estudiantes de medicina, especialmente entre las mujeres, además de la reducción del tiempo de actividad dedicado a caminar. Son necesarios estudios longitudinales para analizar las consecuencias a medio y largo plazo de este cambio en los hábitos de vida saludables de los estudiantes de medicina. Nivel de evidencia II; Estudio Prospectivo Comparativo. Introducción COVID19 COVID 19 COVID-1 población sedentarismo Objetivos autoreportados auto reportados Salvador Bahía Brasil autoconfinamiento confinamiento COVID19. 19. Métodos longitudinal prospectivo cuantitativo matriculados 1 virtual estruturado anónimo autocompletado académicos disso IPAQ, IPAQ , (IPAQ) curta éste caminar vigorosas Resultados 26 65,7%, 657 65,7% 65 7 (65,7%) 50,0% 500 50 0 (50,0% 38,8%, 388 38,8% 38 8 (38,8%) 242 24 2 24, 55 5 5, edad 90,7%, 907 90,7% 90 (90,7%) 59,0%, 590 59,0% 59 (59,0%) 78,4%. 784 78,4% . 78 4 (78,4%) embargo p<0,00001 p000001 p 00001 (p<0,00001 p=0,001 p0001 001 (p=0,001 COVID19, 19, p=0,0009. p00009 p=0,0009 0009 (p=0,0009) Conclusión II Comparativo COVID1 COVID- (IPAQ 65,7 6 (65,7% 50,0 (50,0 38,8 3 (38,8% 90,7 9 (90,7% 59,0 (59,0% 78,4 (78,4% p<0,0000 p00000 0000 (p<0,0000 p=0,00 p000 00 (p=0,00 p0000 p=0,000 000 (p=0,0009 65, (65,7 50, (50, 38, (38,8 90, (90,7 59, (59,0 78, (78,4 p<0,000 (p<0,000 p=0,0 p00 (p=0,0 (p=0,000 (65, (50 (38, (90, (59, (78, p<0,00 (p<0,00 p=0, p0 (p=0, (65 (5 (38 (90 (59 (78 p<0,0 (p<0,0 p=0 (p=0 (6 ( (3 (9 (7 p<0, (p<0, p= (p= p<0 (p<0 (p p< (p<

ABSTRACT Introduction: In order to face COVID-19, social restriction measures were adopted that influenced the population's living habits, increasing sedentary lifestyle. Considering the high complexity and dedication required by the Medicine course, it becomes relevant to investigate the effect of the pandemic on the practice of physical exercise and sedentary behavior of these students. Objective: Identify changes in physical activity and sedentary behavior self-reported by medical students in the city of Salvador, Bahia, before and during the self-confinement imposed by the COVID-19 pandemic. Methods: Longitudinal, prospective, quantitative study carried out with regularly enrolled medical students over 18 years of age. A virtual, structured, anonymous, self-completed questionnaire was applied, containing sociodemographic and academic aspects. In addition, the International Physical Activity Questionnaire (IPAQ) was applied in its short version, considering the period before and during the pandemic. Through this, the level of physical activity, sedentary behavior and time spent walking and performing moderate and vigorous activities were measured. Results: 268 medical students were included, predominantly women (65.7%), white (50.0%) and mixed race (38.8%), aged 24.2 ± 5.5 years, single (90.7%), attending the clinical cycle (59.0%), in private institutions (78.4%). No statistically significant differences were identified in the level of physical activity and in the time spent with moderate and vigorous activities. However, there was a reduction in walking time (p<0.00001) and an increase in sedentary behavior (p=0.001) during the COVID-19 pandemic, with the greatest impact among women (p=0.0009). Conclusion: The repercussions of the COVID-19 pandemic have been shown to increase the sedentary behavior of medical students, especially among women, and to reduce activity time spent with walking. Longitudinal studies are needed to analyze the medium and long-term consequences of this change in the healthy lifestyle habits of medical students. Level of evidence II; Comparative prospective study. Introduction COVID19, COVID19 COVID 19, 19 populations population s course Objective selfreported self reported Salvador Bahia selfconfinement confinement COVID-1 Methods 1 age virtual structured anonymous selfcompleted completed aspects addition IPAQ (IPAQ version measured Results 26 included 65.7%, 657 65.7% , 65 7 (65.7%) 50.0% 500 50 0 (50.0% 38.8%, 388 38.8% 38 8 (38.8%) 242 24 2 24. 55 5 5. 90.7%, 907 90.7% 90 (90.7%) 59.0%, 590 59.0% 59 (59.0%) 78.4%. 784 78.4% . 78 4 (78.4%) However p<0.00001 p000001 p 00001 (p<0.00001 p=0.001 p0001 001 (p=0.001 p=0.0009. p00009 p=0.0009 0009 (p=0.0009) Conclusion longterm long term II COVID1 COVID- 65.7 6 (65.7% 50.0 (50.0 38.8 3 (38.8% 90.7 9 (90.7% 59.0 (59.0% 78.4 (78.4% p<0.0000 p00000 0000 (p<0.0000 p=0.00 p000 00 (p=0.00 p0000 p=0.000 000 (p=0.0009 65. (65.7 50. (50. 38. (38.8 90. (90.7 59. (59.0 78. (78.4 p<0.000 (p<0.000 p=0.0 p00 (p=0.0 (p=0.000 (65. (50 (38. (90. (59. (78. p<0.00 (p<0.00 p=0. p0 (p=0. (65 (5 (38 (90 (59 (78 p<0.0 (p<0.0 p=0 (p=0 (6 ( (3 (9 (7 p<0. (p<0. p= (p= p<0 (p<0 (p p< (p<

RESUMO Introdução: Foram adotadas medidas de restrição social para o enfrentamento da COVID-19 que influenciaram nos hábitos de vida da população, aumentando o sedentarismo. Considerando a alta complexidade e a dedicação exigida pelo curso de Medicina, torna-se relevante investigar o efeito da pandemia na prática de exercício físico e conduta sedentária desses estudantes. Objetivos: Identificar alterações na atividade física e na conduta sedentária autorrelatadas por acadêmicos de Medicina na cidade de Salvador, Bahia, antes e durante o autoconfinamento imposto pela pandemia de COVID-19. Métodos: Estudo longitudinal, prospectivo, quantitativo, realizado com estudantes de Medicina, maiores de 18 anos, regularmente matriculados. Foi aplicado um questionário virtual, estruturado, anônimo, de autopreenchimento, contendo aspectos sociodemográficos e acadêmicos. Além disso, foi aplicado o International Physical Activity Questionnaire (IPAQ), em sua versão curta, considerando o período antes e durante a pandemia. Através deste, foram mensurados nível de atividade física, conduta sedentária e tempo de realização de caminhada, além de atividades moderadas e vigorosas. Resultados: Foram incluídos 268 estudantes de Medicina, predominantemente mulheres (65,7%), da raça branca (50,0%) e parda (38,8%), com idade de 24,2 ± 5,5 anos, solteiros (90,7%), cursando o ciclo clínico (59,0%), em instituições privadas (78,4%). Não foram identificadas diferenças estatisticamente significantes no nível de atividade física e no tempo despendido com atividades moderadas e vigorosas. Entretanto, houve redução no tempo de caminhada (p<0,00001) e aumento da conduta sedentária (p=0,001) durante a pandemia de COVID-19, sendo o impacto maior entre as mulheres (p=0,0009). Conclusão: Foram demonstradas as repercussões da pandemia de COVID-19 no aumento da conduta sedentária dos estudantes de Medicina, principalmente entre as mulheres, além da redução do tempo de atividade despendido com caminhadas. Estudos longitudinais são necessários para analisar as consequências a médio e longo prazo dessa alteração nos hábitos de vida saudáveis de estudantes de Medicina. Nível de evidência II; Estudo Prospectivo Comparativo. Introdução COVID19 COVID 19 COVID-1 população sedentarismo tornase torna se Objetivos Salvador Bahia COVID19. 19. Métodos longitudinal prospectivo quantitativo 1 anos matriculados virtual estruturado anônimo autopreenchimento disso IPAQ, IPAQ , (IPAQ) curta deste vigorosas Resultados 26 65,7%, 657 65,7% 65 7 (65,7%) 50,0% 500 50 0 (50,0% 38,8%, 388 38,8% 38 8 (38,8%) 242 24 2 24, 55 5 5, 90,7%, 907 90,7% 90 (90,7%) 59,0%, 590 59,0% 59 (59,0%) 78,4%. 784 78,4% . 78 4 (78,4%) Entretanto p<0,00001 p000001 p 00001 (p<0,00001 p=0,001 p0001 001 (p=0,001 COVID19, 19, p=0,0009. p00009 p=0,0009 0009 (p=0,0009) Conclusão caminhadas II Comparativo COVID1 COVID- (IPAQ 65,7 6 (65,7% 50,0 (50,0 38,8 3 (38,8% 90,7 9 (90,7% 59,0 (59,0% 78,4 (78,4% p<0,0000 p00000 0000 (p<0,0000 p=0,00 p000 00 (p=0,00 p0000 p=0,000 000 (p=0,0009 65, (65,7 50, (50, 38, (38,8 90, (90,7 59, (59,0 78, (78,4 p<0,000 (p<0,000 p=0,0 p00 (p=0,0 (p=0,000 (65, (50 (38, (90, (59, (78, p<0,00 (p<0,00 p=0, p0 (p=0, (65 (5 (38 (90 (59 (78 p<0,0 (p<0,0 p=0 (p=0 (6 ( (3 (9 (7 p<0, (p<0, p= (p= p<0 (p<0 (p p< (p<

Abstract Considering the institution of the Care Network for People with Disabilities (RCPD) in Brazil, this study analyzed the spatial distribution and the temporal trend of implementing specialized services that received financial support in the first eight years of this policy. We realized an ecological study based on the National Register of Health Facilities data from April/2012 to March/2020. A joinpoint regression was used for temporal trend analysis, and thematic maps were produced for spatial analysis of rehabilitation modalities and types of services. The most available services were physical and intellectual rehabilitation. The Southeast and Northeast regions had a higher concentration of specialized services. Despite the lower number of services, there was an average annual growth between 9.6% and 41.3%. This finding indicates an increase in specialized services for people with disabilities in the period analyzed, but care gaps are still being verified in the macro-regions of Brazil. RCPD (RCPD Brazil policy April2012 April 2012 April/201 March2020 March 2020 March/2020 96 9 6 9.6 413 41 3 41.3% macroregions macro April201 201 April/20 March202 202 March/202 9. 4 41.3 April20 20 April/2 March20 March/20 41. April2 2 April/ March2 March/2 March/

Resumo Considerando a instituição da Rede de Atenção à Pessoa com Deficiência (RCPD) no Brasil, o estudo analisa a distribuição espacial e a tendência temporal da implantação de serviços especializados que receberam apoio financeiro nos primeiros oito anos dessa política. Realizamos um estudo ecológico com base nos dados do Cadastro Nacional de Estabelecimentos de Saúde no período de abril/2012 a março/2020. Uma regressão joinpoint foi usada para análise de tendência temporal e mapas temáticos foram produzidos para análise espacial de modalidades de reabilitação e tipos de serviços. Os serviços mais disponíveis foram reabilitação física e intelectual. As regiões Sudeste e Nordeste apresentaram maior concentração de serviços especializados. Apesar do menor número de serviços, houve crescimento médio anual entre 9,6% e 41,3%. Esse achado indica aumento de serviços especializados para pessoas com deficiência no período analisado, mas ainda se verificam lacunas assistenciais nas macrorregiões do Brasil. RCPD (RCPD Brasil política abril2012 abril 2012 abril/201 março2020 março 2020 março/2020 intelectual 96 9 6 9,6 413 41 3 41,3% analisado abril201 201 abril/20 março202 202 março/202 9, 4 41,3 abril20 20 abril/2 março20 março/20 41, abril2 2 abril/ março2 março/2 março/

Abstract Introduction Parkinson’s disease (PD) ranks second among progressive chronic neurodegenerative diseases, with high prevalence and annual incidence. Therefore, it is necessary to update the current and developing occupational therapy options for this pathology. Objective To map the practices and approaches of occupational therapists conducted through therapeutic interventions in PD. Method Review conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist, based on the methodology of the Joanna Briggs Institute. The research question was formulated using the PCC (Patient, Concept, and Context) acronym, with primary and secondary terms consulted in the DeCS/MeSH multilingual thesaurus. Searches were conducted on five scientific databases between 2011 and 2020. Blind researchers were compared by the degree of agreement measured by Cohen’s kappa coefficient. Results The findings indicate that there are at least eight categories of practices and approaches performed by occupational therapists in PD. Most procedures are conducted at home. Research in outpatient environments is the primary setting for knowledge production in the field. Strategies focused on physical and functional behaviors are most in demand in PD, with measurable results, while occupation-based interventions show modest results. Conclusion The actions of occupational therapists in PD are highly variable, occur in different contexts, and their outcomes suggest that not all mapped options present consistent results or are not sufficiently detailed to favor a better interpretation of the findings. Parkinsons Parkinson s (PD diseases incidence Therefore pathology MetaAnalyses Meta Analyses PRISMAScR PRISMA ScR (PRISMA-ScR Checklist Institute Patient, Patient (Patient Concept Context acronym DeCSMeSH DeCS MeSH thesaurus 201 2020 Cohens Cohen coefficient home field occupationbased occupation variable contexts 20 202 2

Resumo Introdução A doença de Parkinson (DP) é a segunda no grupo das doenças neurodegenerativas crônicas progressivas, com alta prevalência e incidência anual. Portanto, faz-se necessário atualizar as opções terapêutico-ocupacionais, vigentes ou em desenvolvimento, para essa patologia. Objetivo Mapear as práticas e abordagens de terapeutas ocupacionais conduzidas por meio de intervenções terapêuticas na DP. Método Revisão conduzida em atenção ao “Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) Checklist”, baseada na metodologia do Joanna Briggs Institute. A pergunta de pesquisa foi elaborada a partir do acrônimo PCC (Paciente, Conceito e Contexto), cujos termos principais e secundários foram consultados no DeCS/MeSH. As buscas foram realizadas em cinco plataformas científicas entre 2011 e 2020. Os pesquisadores cegos foram comparados pelo grau de concordância aferido pelo coeficiente kappa de Cohen. Resultados Os achados indicam que há pelo menos oito categorias de práticas e abordagens realizadas por terapeutas ocupacionais na DP. A maioria dos procedimentos é executado no domicílio. A pesquisa em ambiente ambulatorial é o grande cenário de produção de conhecimento na área. As estratégias focadas em condutas físicas e funcionais são as mais demandadas na DP, com resultados aferíveis, ao passo que as intervenções baseadas em ocupações manifestam resultados discretos. Conclusão As atuações do terapeuta ocupacional na DP têm ampla variabilidade, ocorrem em diferentes contextos e seus desfechos sugerem que nem todas as opções mapeadas apresentam resultados consistentes ou não são suficientemente detalhadas para favorecer uma melhor interpretação dos achados. (DP progressivas anual Portanto fazse faz se terapêuticoocupacionais, terapêuticoocupacionais terapêutico ocupacionais, terapêutico-ocupacionais desenvolvimento patologia Preferred MetaAnalyses Meta Analyses PRISMAScR PRISMA ScR (PRISMA-ScR Checklist, Checklist , Checklist” Institute Paciente, Paciente (Paciente Contexto, Contexto Contexto) DeCSMeSH DeCS MeSH DeCS/MeSH 201 2020 Cohen domicílio área aferíveis discretos variabilidade 20 202 2

ABSTRACT In the Amazon region, andiroba (Carapa guianensis) oil is among the most used products by the local population due to its medicinal properties. Previously, our group described the leishmanicidal activity of three limonoid-rich fractions from andiroba oil. This work aimed to evaluate the antioxidant activity and ultrastructural changes in Leishmania amazonensis treated with these limonoid-rich fractions from andiroba oil: 6α,11β-diacetoxygedunin; 11β-hydroxygedunin; and a fraction with both 6α,11β-diacetoxygedunin +11β-hydroxygedunin. The antioxidant activity was evaluated by the DPPH method and ultrastructural changes were evaluated by transmission electron microscopy. The fraction with both 6α,11β-diacetoxygedunin + 11β-hydroxygedunin displayed the best antioxidant activity (IC50 330.35 ± 8.60 µg mL-1; p=0.0022) compared to the 6α,11β-diacetoxygedunin fraction. The three fractions induced structural changes to mitochondria and kinetoplasts of L. amazonensis, in addition to lipid bodies, vacuolization, and vesicles in the flagellar pocket, indicating that the limonoid-rich fractions from andiroba oil can induce structural damage to Leishmania. region Carapa guianensis properties Previously limonoidrich limonoid rich 6α,11βdiacetoxygedunin 6α11βdiacetoxygedunin αβdiacetoxygedunin 6α,11β diacetoxygedunin 6α 11β α β 11βhydroxygedunin βhydroxygedunin hydroxygedunin +11βhydroxygedunin. +11β hydroxygedunin. +11β-hydroxygedunin microscopy IC50 IC (IC5 33035 330 35 330.3 860 8 60 8.6 mL1 mL 1 mL-1 p=0.0022 p00022 p 0 0022 L bodies vacuolization pocket 11βdiacetoxygedunin βdiacetoxygedunin 6α11β αβ +11βhydroxygedunin IC5 (IC 3303 33 3 330. 86 6 8. mL- p=0.002 p0002 002 p=0.00 p000 00 p=0.0 p00 p=0. p0 p=0 p=

RESUMO Na região Amazônica, o óleo de andiroba (Carapa guianensis) é um dos produtos mais utilizados pela população local devido às suas propriedades medicinais. Anteriormente, nosso grupo descreveu a atividade leishmanicida de três frações do óleo de andiroba ricas em limonóides. Este trabalho objetivou avaliar a atividade antioxidante e alterações ultraestruturais em Leishmania amazonensis tratadas com essas frações ricas em limonóides do óleo de andiroba: 6α,11β-diacetoxigedunina; 11β-hidroxigedunina; e uma fração com ambas 6α,11β-diacetoxigedunina + 11β-hidroxigedunina. A atividade antioxidante foi avaliada pelo método DPPH, e alterações ultraestruturais foram avaliadas por microscopia eletrônica de transmissão. A fração com ambas 6α,11β-diacetoxigedunina + 11β-hidroxigedunina exibiu a melhor atividade antioxidante (IC50 = 330,35 ± 8,60 µg mL-1; p = 0.0022) comparado com a fração 6α,11β-diacetoxigedunina. As três frações induziram alterações estruturais nas mitocôndrias e cinetoplasto de L. amazonensis, além de corpúsculos lipídicos, vacuolizações e vesículas na bolsa flagelar, indicando que as frações ricas em limonóides do óleo de andiroba podem induzir dano estrutural a Leishmania. Amazônica Carapa guianensis medicinais Anteriormente 6α,11βdiacetoxigedunina 6α11βdiacetoxigedunina αβdiacetoxigedunina 6α,11β diacetoxigedunina 6α 11β α β 11βhidroxigedunina βhidroxigedunina hidroxigedunina 11βhidroxigedunina. hidroxigedunina. DPPH transmissão IC50 IC (IC5 33035 330 35 330,3 860 8 60 8,6 mL1 mL 1 mL-1 0.0022 00022 0 0022 6α,11βdiacetoxigedunina. diacetoxigedunina. L lipídicos flagelar 11βdiacetoxigedunina βdiacetoxigedunina 6α11β αβ IC5 (IC 3303 33 3 330, 86 6 8, mL- 0.002 0002 002 0.00 000 00 0.0 0.

Abstract Mapping the research production of a postgraduate program is essential to identify successful results and implement changes that improve its quality. This article analyzes characteristics of the dissertations defended in the inaugural specific stricto-sensu graduate program in Occupational Therapy. This is a descriptive exploratory study with a quantitative approach through the consultation of 107 dissertations from 2012 to 2019. It was found that 67.3% of the research obtained funding; the most studied topics were assessment, context and foundations (67.2%); the qualitative method predominated (57.9%) and 65.4% resulted in articles. The application of the knowledge produced in postgraduate studies in scenarios of academic training and professional practice is a challenge. quality strictosensu stricto sensu Therapy 10 201 2019 673 67 3 67.3 funding assessment 67.2% 672 2 (67.2%) 57.9% 579 57 9 (57.9% 654 65 4 65.4 articles challenge 1 20 6 67. 67.2 (67.2% 57.9 5 (57.9 65. (67.2 57. (57. (67. (57 (67 (5 (6 (

Resumo O mapeamento da produção de pesquisa de um programa de pós-graduação é fundamental para identificar resultados exitosos e implementar mudanças que aprimorem sua qualidade. Este artigo analisa características das dissertações defendidas no programa inaugural de pós-graduação strictosensu específico em Terapia Ocupacional. Trata-se de um estudo descritivo, do tipo exploratório, com abordagem quantitativa, por meio da consulta a 107 dissertações no período de 2012 a 2019. Constatou-se que 67,3% das pesquisas obtiveram financiamento; os temas mais estudados foram avaliação, contexto e fundamentos (67,2%); predominou o método qualitativo (57,9%), e 65,4% resultaram em artigos. A aplicação do conhecimento produzido na pós-graduação em cenários da formação acadêmica e da prática profissional é um desafio. pósgraduação pós graduação qualidade Ocupacional Tratase Trata se descritivo exploratório quantitativa 10 201 2019 Constatouse Constatou 673 67 3 67,3 financiamento avaliação 67,2% 672 2 (67,2%) 57,9%, 579 57,9% , 57 9 (57,9%) 654 65 4 65,4 artigos desafio 1 20 6 67, 67,2 (67,2% 57,9 5 (57,9% 65, (67,2 57, (57,9 (67, (57, (67 (57 (6 (5 (

Resumen Mapear la producción investigativa de un programa de posgrado es fundamental para identificar resultados exitosos e implementar cambios que mejoren su calidad. Este artículo analiza las características de las disertaciones defendidas en el primer programa de posgrado específico stricto sensu en Terapia Ocupacional. Tratase de un estudio exploratorio descriptivo con enfoque cuantitativo a través de la consulta de 107 disertaciones de maestría del 2012 al 2019. Se encontró que el 67,3% de las investigaciones obtuvo financiamiento; los temas más estudiados fuerón evaluación, contexto y fundamentos (67,2%); predominó el método cualitativo (57,9%) y el 65,4% resultó en artículos. La aplicación del conocimiento producido en los estudios de posgrado en escenarios de formación académica y práctica profesional es un desafío. calidad Ocupacional 10 201 2019 673 67 3 67,3 financiamiento evaluación 67,2% 672 2 (67,2%) 57,9% 579 57 9 (57,9% 654 65 4 65,4 artículos desafío 1 20 6 67, 67,2 (67,2% 57,9 5 (57,9 65, (67,2 57, (57, (67, (57 (67 (5 (6 (

Abstract Hemophagocytic lymphohistiocytosis (HLH) is a rare genetic hyperinflammatory syndrome that occurs early in life. Macrophage activation syndrome (MAS) usually refers to a secondary form of HLH associated with autoimmunity, although there are other causes of secondary HLH, such as infections and malignancy. In this article, we reviewed the concepts, epidemiology, clinical and laboratory features, diagnosis, differential diagnosis, prognosis, and treatment of HLH and MAS. We also reviewed the presence of MAS in the most common autoimmune diseases that affect children. Both are severe diseases that require prompt diagnosis and treatment to avoid morbidity and mortality. (HLH life (MAS autoimmunity malignancy article concepts epidemiology features prognosis children mortality

Abstract Objective The present study aimed to investigate FOXO3a deregulation in Uterine Smooth Muscle Tumors (USMT) and its potential association with cancer development and prognosis. Methods The authors analyzed gene and protein expression profiles of FOXO3a in 56 uterine Leiomyosarcomas (LMS), 119 leiomyomas (comprising conventional and unusual leiomyomas), and 20 Myometrium (MM) samples. The authors used techniques such as Immunohistochemistry (IHC), FISH/CISH, and qRT-PCR for the present analyses. Additionally, the authors conducted an in-silico analysis to understand the interaction network involving FOXO3a and its correlated genes. Results This investigation revealed distinct expression patterns of the FOXO3a gene and protein, including both normal and phosphorylated forms. Expression levels were notably elevated in LMS, and Unusual Leiomyomas (ULM) compared to conventional Leiomyomas (LM) and Myometrium (MM) samples. This upregulation was significantly associated with metastasis and Overall Survival (OS) in LMS patients. Intriguingly, FOXO3a deregulation did not seem to be influenced by EGF/HER-2 signaling, as there were minimal levels of EGF and VEGF expression detected, and HER-2 and EGFR were negative in the analyzed samples. In the examination of miRNAs, the authors observed upregulation of miR-96-5p and miR-155-5p, which are known negative regulators of FOXO3a, in LMS samples. Conversely, the tumor suppressor miR-let7c-5p was downregulated. Conclusions In summary, the outcomes of the present study suggest that the imbalance in FOXO3a within Uterine Smooth Muscle Tumors might arise from both protein phosphorylation and miRNA activity. FOXO3a could emerge as a promising therapeutic target for individuals with Unusual Leiomyomas and Leiomyosarcomas (ULM and LMS), offering novel directions for treatment strategies. FOXOa FOXO USMT (USMT prognosis 5 , (LMS) 11 comprising leiomyomas, leiomyomas) 2 MM (MM samples IHC, IHC (IHC) FISHCISH FISH CISH FISH/CISH qRTPCR qRT PCR analyses Additionally insilico silico genes forms ULM LM (LM OS (OS patients Intriguingly EGF/HER2 EGFHER2 EGFHER EGF/HER HER EGF/HER- signaling detected HER2 HER- miRNAs miR965p miRp miR 96 5p p miR1555p, miR1555p 155 5p, miR-155-5p Conversely miRlet7c5p miRletcp let7c let c downregulated summary activity LMS) strategies (LMS 1 (IHC 9 15 miRlet letc

Resumo Antecedentes Encefalites autoimunes (EAIs) são um grupo de doenças inflamatórias caracterizadas pela presença de anticorpos contra antígenos neuronais e gliais, que ocasionam sintomas psiquiátricos subagudos, queixas de memória e distúrbios anormais do movimento. A maioria dos pacientes é jovem, e o atraso no tratamento está associado a pior prognóstico. Objetivo Com o apoio da Academia Brasileira de Neurologia (ABN) e da Sociedade Brasileira de Neurologia Infantil (SBNI), desenvolvemos um consenso sobre o diagnóstico e o tratamento da EAIs no Brasil utilizando a metodologia Delphi. Métodos Um total de 25 especialistas, incluindo neurologistas e neurologistas infantis, foram convidados a participar. Resultados Os especialistas concordaram que os pacientes com critérios de possíveis EAIs devem ser submetidos ao rastreio de anticorpos antineuronais no soro e no líquido cefalorraquidiano (LCR) por meio das técnicas de ensaio baseado em tecidos (tissue-based assay, TBA, em inglês) e ensaio baseado em células (cell-based assay, CBA, em inglês). As crianças também devem ser submetidas ao rastreio de de anticorpo contra a glicoproteína da mielina de oligodendrócitos (anti-myelin oligodendrocyte glycoprotein, anti-MOG, em inglês). O tratamento deve ser iniciado dentro das primeiras 4 semanas dos sintomas, sendo as opções de primeira linha metilprednisolona combinada com imunoglobulina intravenosa (IGIV) ou plasmaférese. O tratamento de segunda linha inclui rituximabe e ciclofosfamida. Bortezomib e tocilizumab são opções de tratamento de terceira linha. A maioria das crises epilépticas nas EAIs são sintomáticas, e os fármacos anticrise podem ser desmamadas após a fase aguda. Em relação à encefalite antirreceptor de N-metil-D-aspartato (anti-N-methyl-D-aspartate receptor, anti-NMDAR, em inglês), os especialistas concordaram que agentes imunossupressores orais não devem ser usados. Os pacientes devem ser avaliados na fase aguda e pós-aguda mediante escalas funcionais e cognitivas, como Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Modified Rankin Scale (mRS), e Clinical Assessment Scale in Autoimmune Encephalitis (CASE). Conclusão Esta pesquisa oferece evidências tangíveis do manejo efetivo de pacientes com EAIs no sistema de saúde Brasileiro. (EAIs gliais subagudos movimento jovem prognóstico ABN (ABN SBNI, SBNI , (SBNI) Delphi 2 infantis participar LCR (LCR tissuebased tissue based assay TBA inglês cellbased cell CBA inglês. . antimyelin anti myelin glycoprotein antiMOG, antiMOG MOG, MOG anti-MOG IGIV (IGIV plasmaférese ciclofosfamida sintomáticas NmetilDaspartato N metil D aspartato antiNmethylDaspartate methyl aspartate receptor antiNMDAR, antiNMDAR NMDAR, NMDAR anti-NMDAR inglês, usados pósaguda pós cognitivas MiniMental Mini Mental MMSE, MMSE (MMSE) MoCA, MoCA (MoCA) mRS, mRS (mRS) CASE. CASE (CASE) Brasileiro (SBNI (MMSE (MoCA (mRS (CASE

Abstract Background Autoimmune encephalitis (AIE) is a group of inflammatory diseases characterized by the presence of antibodies against neuronal and glial antigens, leading to subacute psychiatric symptoms, memory complaints, and movement disorders. The patients are predominantly young, and delays in treatment are associated with worse prognosis. Objective With the support of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, ABN) and the Brazilian Society of Child Neurology (Sociedade Brasileira de Neurologia Infantil, SBNI), a consensus on the diagnosis and treatment of AIE in Brazil was developed using the Delphi method. Methods A total of 25 panelists, including adult and child neurologists, participated in the study. Results The panelists agreed that patients fulfilling criteria for possible AIE should be screened for antineuronal antibodies in the serum and cerebrospinal fluid (CSF) using the tissue-based assay (TBA) and cell-based assay (CBA) techniques. Children should also be screened for anti-myelin oligodendrocyte glucoprotein antibodies (anti-MOG). Treatment should be started within the first 4 weeks of symptoms. The first-line option is methylprednisolone plus intravenous immunoglobulin (IVIG) or plasmapheresis, the second-line includes rituximab and/or cyclophosphamide, while third-line treatment options are bortezomib and tocilizumab. Most seizures in AIE are symptomatic, and antiseizure medications may be weaned after the acute stage. In anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis, the panelists have agreed that oral immunosuppressant agents should not be used. Patients should be evaluated at the acute and postacute stages using functional and cognitive scales, such as the Mini-Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA), the Modified Rankin Scale (mRS), and the Clinical Assessment Scale in Autoimmune Encephalitis (CASE). Conclusion The present study provides tangible evidence for the effective management of AIE patients within the Brazilian healthcare system. (AIE antigens symptoms complaints disorders young prognosis Academia ABN Sociedade Infantil SBNI, SBNI , SBNI) method 2 neurologists CSF (CSF tissuebased tissue based TBA (TBA cellbased cell CBA (CBA techniques antimyelin anti myelin antiMOG. antiMOG MOG . (anti-MOG) firstline line IVIG (IVIG plasmapheresis secondline second andor cyclophosphamide thirdline third tocilizumab symptomatic stage antiNmethylDaspartate N methyl D aspartate antiNMDAR NMDAR (anti-NMDAR used scales MiniMental Mini Mental MMSE, MMSE (MMSE) MoCA, MoCA (MoCA) mRS, mRS (mRS) CASE. CASE (CASE) system (anti-MOG (MMSE (MoCA (mRS (CASE

Abstract Bladder cancer is the tenth most frequently diagnosed cancer globally. Classification of high- or low-grade tumors is based on cytological differentiation and is an important prognostic factor. LncRNAs regulate gene expression and play critical roles in the occurrence and development of cancer, however, there are few reports on their diagnostic value and co-expression levels with genes, which may be useful as specific biomarkers for prognosis and therapy in bladder cancer. Thus, we performed a marker lesion study to investigate whether gene/lncRNA expression in urothelial carcinoma tissues may be useful in differentiating low-grade and high-grade tumors. RT-qPCR was used to evaluate the expression of the JHDM1D gene and the lncRNAs CTD-2132N18.2, SBF2-AS1, RP11-977B10.2, CTD-2510F5.4, and RP11-363E7.4 in 20 histologically diagnosed high-grade and 10 low-grade tumors. A protein-to-protein interaction network between genes associated with JHDM1D gene was constructed using STRING website. The results showed a moderate (positive) correlation between CTD-2510F5.4 and CTD2132N18.2. ROC curve analyses showed that combined JHDM1D and RP11-363E7.4 predicted tumor grade with an AUC of 0.826, showing excellent accuracy. In conclusion, the results indicated that the combined expression of JHDM1D and RP11-363E7.4 may be a prognostic biomarker and a promising target for urothelial tumor therapy. globally high lowgrade low factor however coexpression co Thus genelncRNA lncRNA highgrade RTqPCR RT qPCR JHDMD JHDM D CTD2132N18.2, CTD2132N182 CTDN CTD 2132N18.2, 2132N18 2 N CTD-2132N18.2 SBF2AS1, SBF2AS1 SBFAS SBF2 AS1, AS1 SBF AS SBF2-AS1 RP11977B10.2, RP11977B102 RPB RP11 977B10.2, 977B10 RP B RP11-977B10.2 CTD2510F5.4, CTD2510F54 CTDF 2510F5.4, 2510F5 4 F RP11363E7.4 RP11363E74 RPE 363E7.4 363E7 E RP11-363E7. 1 proteintoprotein protein website positive (positive CTD2510F5.4 2510F5.4 CTD-2510F5. CTD2132N18 CTD2132N18.2 0826 0 826 0.826 accuracy conclusion 2132N182 2132N18.2 2132N1 CTD-2132N18. SBF2AS SBF2-AS RP11977B10 RP11977B10.2 RP1 977B102 977B10.2 977B1 RP11-977B10. CTD2510F5 2510F54 2510F RP11363E7 RP11363E7. 363E74 363E7. 363E RP11-363E7 CTD2510F5. 2510F5. CTD-2510F5 CTD2132N1 CTD2132N18. 082 82 0.82 2132N18. 2132N CTD-2132N18 RP11977B1 RP11977B10. 977B10. 977B RP11-977B10 CTD2510F RP11363E RP11-363E CTD-2510F CTD2132N 08 8 0.8 CTD-2132N1 RP11977B RP11-977B1 0. CTD-2132N RP11-977B

Resumo Objetivos: investigar a associação do estado nutricional com deficiência de iodo urinário em gestantes atendidas em Unidades Básicas de Saúde do município de São Luís - MA. Métodos: estudo transversal, realizado com 261 gestantes. Foram coletadas amostras de urina para análise de determinação do iodo urinário, considerou-se deficiência o valor <150 µg/L e adequado, valor ≥150 µg/L. Foram aferidas as medidas de peso e altura no momento da coleta e investigação do peso pré-gestacional para cálculo do IMC. As variáveis contínuas foram expressas em média, desvio padrão, mediana, percentil 25 e 75 e as categóricas em frequência simples e relativa e em percentual. Análises multivariadas investigaram associação entre IMC pré-gestacional e atual e UIC (Concentração urinária de iodo). Resultados: a média do IMC pré-gestacional foi 24,3 ± 4,5 kg/m2 e do IMC atual 27,2 ± 6,5 kg/m2. A mediana de concentração de iodo urinário foi de 181,3 µ/L (113,2-271,7) e 40,6% da amostra possuía deficiência de iodo. O aumento no IMC pré-gestacional e atual foi associado à redução da prevalência de deficiência de iodo em gestantes (RP = 0,94; (IC95% = 0,88; 0,99) e RP = 0,95; (IC95% = 0,88 - 0,99), respectivamente). Conclusão: o IMC elevado está positivamente associado à UIC e proporciona redução na prevalência de deficiência de iodo em gestantes. Objetivos MA Métodos transversal 26 considerouse considerou se 150 <15 µgL µg L adequado ≥15 prégestacional pré gestacional padrão 2 7 percentual Concentração . iodo) Resultados 243 24 3 24, 45 4 5 4, kgm2 kgm kg m2 m kg/m 272 27 27, 65 6 6, 1813 181 181, µL µ 113,2271,7 11322717 113,2 271,7 113 271 (113,2-271,7 406 40 40,6 0,94 094 0 94 IC95% IC95 IC (IC95 088 88 0,99 099 99 0,95 095 95 0,8 0,99, , respectivamente. respectivamente respectivamente) Conclusão 15 <1 ≥1 18 2271 113,2271, 1132271 1132 113, 2717 271, 11 (113,2-271, 40, 0,9 09 9 IC9 (IC9 08 8 0, 1 < ≥ 227 113,2271 113227 (113,2-271 (IC 22 113,227 11322 (113,2-27 113,22 (113,2-2 (113,2- (113,2 (113, (113 (11 (1 (

Abstract Objectives: to investigate the association of nutritional status with urinary iodine deficiency in pregnant women attending the Basic Health Units in the city of São Luís - Maranhão. Methods: cross-sectional study carried out with 261 pregnant women. Urine samples were collected for analysis of determination of urinary iodine. Iodine deficiency was considered as <150 µg/L and adequate as ≥150 µg/L. Weight and height measurements were taken at the time of collection and investigation of pre-pregnancy weight calculate BMI). Continuous variables were presented as mean, standard deviation, median, 25th and 75th percentiles, and categorical variables as simple and relative frequencies and percentages. Multivariate analyses investigate the association between pre-pregnancy and current BMI and UIC (urinary iodine concentration). Results: the mean pre-pregnancy BMI was 24.3 ± 4.5 kg/m2, and the current BMI was 27.2 ± 6.5 kg/m2. The median UIC was 181.3 µg/L (113.2-271.7), and 40.6% of the sample showed iodine deficiency. The increase in pre-pregnancy and current BMI was associated with a reduction in the prevalence of iodine deficiency in pregnant women (PR = 0.94; (CI95% = 0.88; 0.99) and PR = 0.95; (CI95% = 0.88 - 0.99), respectively). Conclusion: high BMI is positively associated with UIC and provides a reduction in iodine deficiency prevalence in pregnant women. Objectives Maranhão Methods crosssectional cross sectional 26 150 <15 µgL µg L ≥15 prepregnancy pre pregnancy BMI. . BMI) deviation th percentiles percentages concentration. concentration concentration) Results 243 24 3 24. 45 4 5 4. kgm2 kgm kg m2 m kg/m2 272 27 2 27. 65 6 6. 1813 181 181. 113.2271.7, 11322717 113.2 271.7 , 113 271 7 (113.2-271.7) 406 40 40.6 0.94 094 0 94 CI95% CI95 CI (CI95 088 88 0.99 099 99 0.95 095 95 0.8 0.99, respectively. respectively respectively) Conclusion 15 <1 ≥1 kg/m 18 2271 113.2271.7 1132271 1132 113. 2717 271. 11 (113.2-271.7 40. 0.9 09 9 CI9 (CI9 08 8 0. 1 < ≥ 227 113.2271. 113227 (113.2-271. (CI 22 113.2271 11322 (113.2-271 113.227 (113.2-27 113.22 (113.2-2 (113.2- (113.2 (113. (113 (11 (1 (

Resumo Considerando a instituição da Rede de Atenção à Pessoa com Deficiência (RCPD) no Brasil, o estudo analisa a distribuição espacial e a tendência temporal da implantação de serviços especializados que receberam apoio financeiro nos primeiros oito anos dessa política. Realizamos um estudo ecológico com base nos dados do Cadastro Nacional de Estabelecimentos de Saúde no período de abril/2012 a março/2020. Uma regressão joinpoint foi usada para análise de tendência temporal e mapas temáticos foram produzidos para análise espacial de modalidades de reabilitação e tipos de serviços. Os serviços mais disponíveis foram reabilitação física e intelectual. As regiões Sudeste e Nordeste apresentaram maior concentração de serviços especializados. Apesar do menor número de serviços, houve crescimento médio anual entre 9,6% e 41,3%. Esse achado indica aumento de serviços especializados para pessoas com deficiência no período analisado, mas ainda se verificam lacunas assistenciais nas macrorregiões do Brasil.

Abstract Considering the institution of the Care Network for People with Disabilities (RCPD) in Brazil, this study analyzed the spatial distribution and the temporal trend of implementing specialized services that received financial support in the first eight years of this policy. We realized an ecological study based on the National Register of Health Facilities data from April/2012 to March/2020. A joinpoint regression was used for temporal trend analysis, and thematic maps were produced for spatial analysis of rehabilitation modalities and types of services. The most available services were physical and intellectual rehabilitation. The Southeast and Northeast regions had a higher concentration of specialized services. Despite the lower number of services, there was an average annual growth between 9.6% and 41.3%. This finding indicates an increase in specialized services for people with disabilities in the period analyzed, but care gaps are still being verified in the macro-regions of Brazil.

Abstract: This paper examines the circumstances under which slavery was discussed in Portugal, upon Dom João VI’s return on April 26, 1821. By drawing on the trajectory of the enslaved Marianna, Mina, owned by Jacinto de Araujo, Dom João VI’s servant, who returned with the monarch to Portugal, I seek to understand the paths taken by captives who landed there with their masters. From Marianna’s experience I ponder why the king granted permission to masters returned from Brazil to remain with their enslaved in Portugal in contempt of the Decrees of September 19, 1761 and March 10, 1800. Furthermore, I reflect upon what the royal authorities understood about slavery and freedom in a kingdom that had just become a constitutional monarchy with an anti-slavery legislation dating back to the late 1760s. Abstract VIs VI s 26 1821 Marianna Mina Araujo servant Mariannas 19 176 10 1800 Furthermore antislavery anti 1760s 2 182 1 17 180 18

Resumo Este artigo analisa as circunstâncias em que a escravidão foi discutido em Portugal, após o regresso de D. João VI em 26 de abril de 1821. A partir da trajetória de Marianna, mina, escrava de Jacinto de Araujo, criado de D. João VI que regressou com o monarca para Portugal, procuro compreender os caminhos percorridos por cativos que ali desembarcaram em companhia de seus senhores. A experiência de Marianna é utilizada para refletir sobre o porquê de o rei ter agraciado com indultos senhores retornados do Brasil para permanecerem com seus escravizados em Portugal, à revelia dos alvarás de 19 de setembro de 1761 e de 10 de março de 1800. Ademais, reflito sobre o que as autoridades régias compreendiam a respeito da escravidão e liberdade em um reino que acabara de se tornar uma monarquia constitucional e que possuía uma legislação antiescravista desde fins da década de 1760. Portugal D 2 1821 mina Araujo 1 176 1800 Ademais 1760 182 17 180 18

Pheromones are essential for colony organization in honeybees. The pheromones 9-ODA ((E)-9-oxodec-2-enoic acid) and 9-HDA ((E)-9-hydroxydec-2-enoic acid), produced by the mandibular gland of the queen, have various functions within the colony, including inhibition of ovarian development of workers, attraction of swarms, and stabilization of the cluster group. An example of reaction of the colony to adverse conditions is absconding, which is defined as mass exit of all of the adult individuals, leaving even brood and food. In this study, the pheromones 9-ODA and 9-HDA were determined in virgin and normal mated, egg-laying European Carniolan and Africanized queens, as well as in mated queens that were in absconding colonies, using liquid chromatography with UV detection developed methodology. Absconding was induced by maintaining free-flying five-standard-Langstroth-frame colonies in a chamber artificially heated to 45 ºC. The obtained results showed that the amount of 9-ODA in Africanized queens (6.56 µg bee-1) is very low compared with European queens. However, large amounts of 9-HDA were found in the queens of absconding Africanized swarms (107.4 µg bee-1). According to our results, the quantities of 9-ODA and 9-HDA in Africanized honeybees in Brazil may be contributing to the high rates of absconding, promoting low effect of stabilizing agent, and high effect of attraction of dispersers cluster. 9ODA ODA 9 E9oxodec2enoic Eoxodecenoic E oxodec 2 enoic acid 9HDA HDA E9hydroxydec2enoic Ehydroxydecenoic hydroxydec acid, , queen workers group individuals food study egglaying egg laying methodology freeflying free flying fivestandardLangstrothframe five standard Langstroth frame 4 ºC 6.56 656 6 56 (6.5 bee1 bee 1 bee-1 However 107.4 1074 107 (107. bee1. . agent 6.5 65 5 (6. bee- 107. 10 (107 6. (6 (10 ( (1

Abstract This study aimed to evaluate the hematological and coagulation parameters according to the clinical outcomes of coronavirus disease (COVID-19). We analyzed the hematological and coagulation parameters of hospitalized patients with COVID-19 at admission, and two and three weeks during hospitalization. To assess the performance of these parameters in predicting poor outcomes, receiver operating characteristic (ROC) curves were created. We studied 128 patients with COVID-19 (59.2±17.7 years, 56% male). Non-survivors (n=54, 42%) presented significant alterations in hematological and coagulation parameters at admission, such as increased in white blood cells (WBC), neutrophil, and band cell counts, as well as elevated prothrombin time (PT), activated partial thromboplastin time, and D-dimer levels. During follow-up, the same group presented a gradual increase in D-dimer and PT levels, accompanied by a reduction in PT activity, hemoglobin, and red blood cell count (RBC). ROC curves showed that WBC, neutrophil, and band cell counts presented the best area under the curve (AUC) values with sensitivity and specificity of >70%; however, a logistic regression model combining all the parameters, except for RBC, presented an AUC of 0.89, sensitivity of 84.84%, and specificity of 77.41%. Our study shows that significant alterations in hematological and coagulation tests at admission could be useful predictors of disease severity and mortality in COVID-19. COVID19. COVID19 COVID 19 . (COVID-19) COVID-1 hospitalization (ROC created 12 59.2±17.7 592177 59 2 17 7 (59.2±17. years 56 male. male male) Nonsurvivors Non survivors n=54, n54 n 54 (n=54 42% 42 WBC , (WBC) neutrophil PT, (PT) Ddimer D dimer levels followup, followup follow up, up follow-up activity hemoglobin RBC. RBC (RBC) (AUC >70% 70 however 089 0 89 0.89 8484 84 84.84% 7741 77 41 77.41% 19. COVID1 1 (COVID-19 COVID- 59.2±17. 59217 5 (59.2±17 n=54 n5 (n=5 4 (WBC (PT (RBC >70 08 8 0.8 848 84.84 774 77.41 (COVID-1 59.2±17 5921 (59.2±1 n=5 (n= >7 0. 84.8 77.4 (COVID- 59.2±1 592 (59.2± n= (n > 84. 77. (COVID 59.2± (59.2 59.2 (59. 59. (59 (5 (

ABSTRACT Purpose To identify the reasons that lead the individual to follow or not the recommendation to use the hearing aid and its use over the years. Research strategy Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) recommendations were followed. The databases searched were: Pubmed, Pubmed Central, Scopus, Embase, Web of science and Cochrane, using the following descriptors: “Hearing Aids”, “Patient Compliance” and the Boolean indicator AND. Selection criteria primary original articles with prospective, retrospective, observational or experimental designs; that raise, report, verify or analyze the reasons for adherence or not to the use of hearing aids, regardless of being an experienced user or not; carried out with the young, adult and elderly population; with individuals with any degree, type and configuration of hearing loss; with unilateral or bilateral adaptations and in Portuguese, English and Spanish. Results 27 studies were included in the analysis. There were two distinct situations in the auditory rehabilitation process: acceptance of the indication of the use of HA and the continuity of the effective use. Thus, the aspects that positively, negatively or do not interfere in these two phases were compiled and presented. Conclusion the most relevant factors in the non-adherence to HA were: perception of low cost-benefit, lack of understanding of the real need and difficulty in accepting its use; while the ones that most impacted the continuity of use were: HA sound quality, handling difficulties and perception of little benefit. years MetaAnalyses Meta Analyses PRISMAScR PRISMA ScR (PRISMA-ScR followed Central Scopus Embase Cochrane descriptors Hearing Aids, Aids , Aids” Patient Compliance AND prospective retrospective designs raise report aids young population degree loss Portuguese Spanish 2 analysis process Thus positively presented nonadherence non costbenefit, costbenefit cost benefit, benefit cost-benefit quality

RESUMO Objetivo identificar os motivos que levam o indivíduo a seguir ou não a recomendação da necessidade do uso do aparelho de amplificação sonora individual (AASI) e a utilização desse dispositivo ao longo dos anos. Estratégia de pesquisa orientações do Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) foram seguidas. As bases de dados pesquisadas foram: Pubmed, Pubmed Central, Scopus, Embase, Web of Science e Cochrane, utilizando os seguintes descritores: “Hearing Aids”, “Patient Compliance” e o indicador booleano AND. Critérios de seleção artigos originais primários com desenhos prospectivos, retrospectivos, observacionais ou experimentais; que levantassem, relatassem, verificassem ou analisassem os motivos de adesão ou não ao uso de AASI, independentemente de ser usuário experiente ou não; realizados com a população jovem, adulta e idosa; com indivíduos com qualquer grau, tipo e configuração de perda auditiva; com adaptações unilaterais ou bilaterais e em português, inglês e espanhol. Resultados incluídos 27 estudos na análise. Verificaram-se duas situações distintas no processo de reabilitação auditiva: aceitação à indicação do uso do AASI e a continuidade do uso do dispositivo de maneira efetiva. Os aspectos que auxiliaram positivamente, negativamente ou não interferiram nessas duas fases foram compilados e apresentados. Conclusão os fatores de maior relevância para a não aquisição do AASI são: percepção de baixo custo-benefício, falta de entendimento da real necessidade e dificuldade de aceitação do uso, enquanto que os que mais impactam na continuidade do uso são: qualidade sonora do AASI, dificuldades de manuseio e percepção de pouco benefício. (AASI anos MetaAnalyses Meta Analyses PRISMAScR PRISMA ScR (PRISMA-ScR seguidas Central Scopus Embase Cochrane descritores Hearing Aids, Aids , Aids” Patient Compliance AND prospectivos retrospectivos experimentais levantassem relatassem jovem idosa grau auditiva português espanhol 2 análise Verificaramse Verificaram se efetiva positivamente apresentados são custobenefício, custobenefício custo benefício, benefício custo-benefício