Abstract Objective: To revise the impact of telehealth on the quality of life, reduction in pulmonary exacerbations, number of days using antibiotics, adherence to treatment, pulmonary function, emergency visits, hospitalizations, and the nutritional status of individuals with asthma and cystic fibrosis. Data source: Four databases were used, MEDLINE, LILACS, Web of Science and Cochrane, as well as manual searches in English, Portuguese and Spanish. Randomized clinical trials, published between January 2010 and December 2020, with participants aged 0 to 20 years, were included. Data synthesis: Seventy-one records were identified after the removal of duplicates; however, twelve trials were eligible for synthesis. Included trials utilized: mobile phone applications (n=5), web platforms (n= 4), mobile telemedicine unit (n=1), software with an electronic record (n=1), remote spirometer (n=1), and active video games platform (n=1). Three trials used two tools, including telephone calls. Among the different types of interventions, improvement in adherence, quality of life, and physiologic variables were observed for mobile application interventions and game platforms compared to usual care. Visits to the emergency department, unscheduled medical appointments, and hospitalizations were not reduced. There was considerable heterogeneity among studies. Conclusions: The findings suggest that better control of symptoms, quality of life, and adherence to treatment can be attributed to the technological interventions used. Nevertheless, further research is needed to compare telehealth with face-to-face care and to indicate the most effective tools in the routine care of children with chronic lung diseases.

RESUMO Objetivo: Revisar o impacto da telessaúde na qualidade de vida, redução das exacerbações pulmonares, número de dias em uso de antibióticos, adesão ao tratamento, função pulmonar, visitas à emergência, hospitalizações e estado nutricional de indivíduos com asma e fibrose cística. Fontes de dados: Foram utilizadas quatro base de dados, sendo, MEDLINE, LILACS, Web of Science e Cochrane, além de pesquisas manuais nos idiomas inglês, português e espanhol. Foram incluídos ensaios clínicos randomizados, publicados no período de janeiro de 2010 a dezembro de 2020, com participantes de 0 a 20 anos. Síntese dos dados: Setenta e um registros foram identificados após a remoção das duplicatas e doze estudos foram elegíveis para síntese. Os ensaios utilizaram aplicativos para celular (n=5), plataformas da web (n= 4), unidade de telemedicina móvel (n=1), software com registro eletrônico (n=1), espirômetro remoto (n=1) e plataforma ativa de videogames (n=1). Três ensaios utilizaram duas ferramentas, incluindo chamadas telefônicas. Entre os diferentes tipos de intervenções, observou-se melhora na adesão, qualidade de vida e de variáveis fisiológicas para intervenções de aplicativos móveis e plataformas de jogos em comparação com os cuidados habituais. Visitas ao pronto-socorro, consultas médicas não agendadas e internações não foram reduzidas. Houve considerável heterogeneidade entre os estudos. Conclusões: Os achados sugerem que a melhora do controle dos sintomas, da qualidade de vida e da adesão ao tratamento podem ser atribuídos às intervenções tecnológicas utilizadas. No entanto, mais pesquisas são necessárias para comparar a telessaúde com o atendimento presencial e indicar as ferramentas mais efetivas na rotina de cuidados à população infantil com doenças crônicas pulmonares.

ABSTRACT In this study, chemical changes during the development of acerola, cultivar Okinawa, were evaluated. The biochemical alterations during the development of the acerola cultivar Okinawa were evaluated, to determine the peroxidase activity (POD) and its thermal stability. Peroxidase (POD) has been considered the main enzyme responsible for the quality deterioration of fruits. Additionally, characteristics evaluated in this study can be important postharvest quality criteria for fruit processing, screening and breeding. Changes in physiological development were evaluated by the determination of moisture content, ascorbic acid, ashes, total and reducing sugars, pectin, chlorophyll a and b, amounts of anthocyanins, flavonols and total carotenoids. These biochemical determinations may serve as a basis for further improvement of techniques for predicting and modeling the optimal harvesting time. The values of chlorophylls, anthocyanins, flavonols, and carotenoids were higher in the peel rather than in the pulp (p < 0.05). Acerola presents high levels of ascorbic acid. The development of acerola (from opening of flowers to maturation of fruits) was of 25 days. The increase of the values for total and reducing sugars, anthocyanins, carotenoids, the solubilization of pectic acid and degradation of chlorophyll suggested that physiological maturation and harvest day occurred on days 19 and 23 after anthesis, respectively. The specific activity of POD was higher in the green stage. Maximum POD activity was observed at pH 6.5 and 45 ºC. Total inactivation was not achieved, suggesting the presence of isoenzymes with high thermal resistance. A loss of 50% of activity occurred after 4 minutes of treatment at 80 °C.

RESUMO Objetivo: Revisar o impacto da telessaúde na qualidade de vida, redução das exacerbações pulmonares, número de dias em uso de antibióticos, adesão ao tratamento, função pulmonar, visitas à emergência, hospitalizações e estado nutricional de indivíduos com asma e fibrose cística. Fontes de dados: Foram utilizadas quatro base de dados, sendo, MEDLINE, LILACS, Web of Science e Cochrane, além de pesquisas manuais nos idiomas inglês, português e espanhol. Foram incluídos ensaios clínicos randomizados, publicados no período de janeiro de 2010 a dezembro de 2020, com participantes de 0 a 20 anos. Síntese dos dados: Setenta e um registros foram identificados após a remoção das duplicatas e doze estudos foram elegíveis para síntese. Os ensaios utilizaram aplicativos para celular (n=5), plataformas da web (n= 4), unidade de telemedicina móvel (n=1), software com registro eletrônico (n=1), espirômetro remoto (n=1) e plataforma ativa de videogames (n=1). Três ensaios utilizaram duas ferramentas, incluindo chamadas telefônicas. Entre os diferentes tipos de intervenções, observou-se melhora na adesão, qualidade de vida e de variáveis fisiológicas para intervenções de aplicativos móveis e plataformas de jogos em comparação com os cuidados habituais. Visitas ao pronto-socorro, consultas médicas não agendadas e internações não foram reduzidas. Houve considerável heterogeneidade entre os estudos. Conclusões: Os achados sugerem que a melhora do controle dos sintomas, da qualidade de vida e da adesão ao tratamento podem ser atribuídos às intervenções tecnológicas utilizadas. No entanto, mais pesquisas são necessárias para comparar a telessaúde com o atendimento presencial e indicar as ferramentas mais efetivas na rotina de cuidados à população infantil com doenças crônicas pulmonares.

Abstract Objective: To revise the impact of telehealth on the quality of life, reduction in pulmonary exacerbations, number of days using antibiotics, adherence to treatment, pulmonary function, emergency visits, hospitalizations, and the nutritional status of individuals with asthma and cystic fibrosis. Data source: Four databases were used, MEDLINE, LILACS, Web of Science and Cochrane, as well as manual searches in English, Portuguese and Spanish. Randomized clinical trials, published between January 2010 and December 2020, with participants aged 0 to 20 years, were included. Data synthesis: Seventy-one records were identified after the removal of duplicates; however, twelve trials were eligible for synthesis. Included trials utilized: mobile phone applications (n=5), web platforms (n= 4), mobile telemedicine unit (n=1), software with an electronic record (n=1), remote spirometer (n=1), and active video games platform (n=1). Three trials used two tools, including telephone calls. Among the different types of interventions, improvement in adherence, quality of life, and physiologic variables were observed for mobile application interventions and game platforms compared to usual care. Visits to the emergency department, unscheduled medical appointments, and hospitalizations were not reduced. There was considerable heterogeneity among studies. Conclusions: The findings suggest that better control of symptoms, quality of life, and adherence to treatment can be attributed to the technological interventions used. Nevertheless, further research is needed to compare telehealth with face-to-face care and to indicate the most effective tools in the routine care of children with chronic lung diseases.

ABSTRACT. Two experiments were carried out to evaluate the effects of protease addition to the diet of broilers at a higher level (1× or 2×) than the nutritional value proposed for the enzyme. The first experiment, 1280 day-old chicks (Cobb500®) were randomly allocated (randomized block design, 2×2+1 factorial arrangement), five treatments, eight replicates containing 32 birds/replicate. Treatments consisted: control diet without protease (CD); CD + 1× nutritional value of the enzyme (CDM1); CD + 2× nutritional value of the enzyme (CDM2); CDM1 + protease; and CDM2 + protease. The experimental period was 42 days. The mean weight (AFW), feed intake (FI), weight gain (WG), feed conversion, and carcass yield were evaluated. Significant differences were observed for AFW, WG, FI, abdominal fat yield, and feet percentage in the carcass. In the second experiment, 120 Cobb500® chicks at 14 days of age were allotted in a completely randomized design, 2×2+1 factorial arrangement, five treatments, six replicates with four birds/replicate. The treatments were consistent with the first experiment. Significant improvements in the nitrogen balance were observed for the broilers that received protease. The use of the enzyme tested is recommended with the recommended nutritional matrix, improving the zootechnical indices of broilers.

Abstract Objectives: to identify variables associated with the presence of a companion in the delivery room and its association with breastfeeding (BF) in the first hour of life. Methods: cross-sectional analysis of data from a cohort study (n=344). To investigate the factors associated with the presence of a companion during childbirth and breastfeeding in the first hour; we performed Poisson regression analyses, considering p<0.05 as the level of statistical significance. Results: 93.9% of the pregnant women had a companion in the delivery room, and no association was found between socioeconomic, obstetric and neonatal characteristics of the mother-child binomial and the presence of a companion. In a univariate analysis, the absence of a companion reduced the frequency of breastfeeding in the first hour (PR=0.64; CI95%=0.42-0.96), a result that was not confirmed in the adjusted analyses (PR=0.79; CI95%=0.54-1.15). Secondly, it was identified that the five minutes Apgar score was associated with first hour breastfeeding (PR=1.27; CI95%=1.14-1.40) regardless of the other factors. Conclusions: most women in the cohort had a companion in the delivery room, with no differences according to socioeconomic, obstetric and neonatal variables. The frequency of first hour breastfeeding was high; however, it was lower in the absence of a companion but this association was not independent of other factors.

Resumo Objetivos: identificar variáveis associadas à presença de acompanhante na sala de parto e sua associação com o aleitamento materno (AM) na primeira hora de vida. Métodos: análise transversal de dados provenientes de um estudo de coorte (n=344). Para investigação dos fatores associados entre a presença de companhia durante o parto e o AM na primeira hora foram realizadas análises de regressão de Poisson, considerando p<0,05 como nível de significância estatística. Resultados: 93,9% das parturientes tiveram acompanhante na sala de parto, não sendo encontrada associação entre características socioeconômicas, obstétricas e neonatais do binômio mãe-filho e esta presença. Em análise univariada, a ausência de acompanhante reduziu a frequência de AM na primeira hora (RP=0,64; IC95%=0,42-0,96), resultado que não se confirmou nas análises ajustadas (RP=0,79; IC95%=0,54-1,15). Secundariamente, identificou-se que o Apgar no quinto minuto associou-se com AM na primeira hora (RP=1,27; IC95%=1,14-1,40) independentemente dos demais fatores. Conclusões: a maioria das mulheres da coorte contou com acompanhante na sala de parto, sem diferenças segundo variáveis socioeconômicas, obstétricas e neonatais. A frequência de AM na primeira hora também foi alta e menor na ausência de acompanhante, contudo, essa associação não se mostrou independente de outros fatores.

Aim The objective of this study was to evaluate the effect of abrasion wear on surface roughness and microhardness of different commercially available resin composites simulating pH-challenges of the oral cavity. Methods Three resin composites (RC) were used in this study: one conventional: Z250; and two bulk fill resin composites (BRC): Tetric N-Ceram (TNC) and Sonic Fill (SF). The RC was inserted in a prefabricated mold (15mm wide x 4mm thickness) in two layers, or in a single layer for BRC. Thirty samples were prepared and surface roughness (Ra) and Knoop microhardness (KHN) test were performed at three different time-points of evaluation: baseline (24h after sample preparation); partial (after pH cycling); and final (after simulated toothbrushing procedure). Two samples of each group were selected after different treatments and analyzed descriptively on a scanning electron microscopy (SEM). Data from Ra and KHN were analyzed by two-way repeated-measures ANOVA and Bonferroni’s post-hoc test with a significance level set at 5%. Results Ra increased for all groups (p<0.001), at the final time-point, Z250 and TNC groups present the highest values. Oppositely, KHN decreased for all groups (p<0.001), Z250 group showed the highest KHN values for all time-points (p<0.001). The SEM imagens showed a regular surface for samples cycled and irregular with inorganic particles exposed for samples toothbrushed. Conclusion pH-cycling and simulated toothbrushing affected the superficial properties (roughness and Knoop microhardness), as observed at SEM imagens, with irregular surface with inorganic particles exposure.

Resumo: Esta pesquisa apresenta os resultados da análise da morte de meninas nas dinâmicas da violência no Ceará a partir da narrativa de adolescentes privadas de liberdade. Tal problemática surge devido ao aumento de torturas seguidas de assassinatos de adolescentes e jovens mulheres no Ceará. Por isso, participam dessa pesquisa adolescentes privadas de liberdade, atuantes no tráfico de drogas, perfil em maior condição de vulnerabilidade a esse fenômeno. Apontamos o femigenocídio e o “decreto” enquanto dispositivos de matabilidade de adolescentes e jovens mulheres. Por fim, as narrativas das adolescentes apontaram que estas estão em uma espécie de fogo cruzado, condição que maximiza tanto a precariedade, como a vulnerabilidade. Resumo liberdade isso drogas fenômeno decreto “decreto fim cruzado precariedade

Resumen: Esta investigación presenta los resultados del análisis de la muerte de niñas en la dinámica de la violencia en Ceará, a partir de la narrativa de adolescentes privados de. Este problema surge del aumento de la tortura seguido por el asesinato de adolescentes y mujeres jóvenes en Ceará. Por ello, los adolescentes privados de libertad, activos en el narcotráfico, participan de esta investigación, perfil que es más vulnerable a este fenómeno. Señalamos el femigenocidio y el “decreto” como dispositivos para asesinar a adolescentes y mujeres jóvenes. Finalmente, las narrativas de los adolescentes indicaron que se encuentran en una especie de fuego cruzado, en una condición de mayor vulnerabilidad y precariedad en sus vidas. Resumen Ceará ello libertad narcotráfico fenómeno decreto “decreto Finalmente cruzado vidas

Abstract: This research presents the results of the analysis of the death of girls in the dynamics of violence in Ceará, based on the narrative of adolescents deprived of freedom. This problem arises from the increase in torture followed by the murder of adolescents and young women in Ceará. For this reason, adolescents deprived of liberty, active in drug trafficking, participate in this research, a profile that is more vulnerable to this phenomenon. We point to femigenocide and the “decree” as devices for killing adolescents and young women. Finally, the teenagers' narratives indicated that they are in a kind of crossfire, in a condition of greater vulnerability and precariousness in their lives. Abstract Ceará freedom reason liberty trafficking phenomenon decree “decree Finally teenagers crossfire lives

Abstract Objective: To describe the external and middle ear of goats, using computed tomography and endoscopic dissection, comparing them with the anatomy of the human ear, aiming to evaluate the viability of this animal model for training in otological endoscopic surgery. Methods: Images of the external and middle ear of goats were produced by computed tomography in the coronal and axial planes and analyzed. The radiological anatomy of the external and middle goat and human ear are described. Some measures of surgical interest were described, such as the length of the external auditory canal, external and internal cross-sectional area of the external auditory canal, middle ear depth, vertical angle of the external auditory canal, length of malleus and incus. After the tomographic study, we analyzed the importance of evaluations through the endoscopic dissection of the goat ear. Results: The bony canal is extremely tortuous and shows a bony prominence with significant elevation near the lower edge of the tympanic membrane. The middle ear has a large tympanic bulla in the hypotympanum region. The malleus is shaped similarly to that of the human, but its handle is located anterior to its head. The mastoid is not pneumatized. Compared to the human mastoid, there was a statistically significant difference in the external and internal cross-sectional area, at the depth of the middle ear, in the vertical angle of the canal and in the length of the incus. Conclusion: Goat morphometric anatomy showed that this model is suitable for surgical simulation in the initial training for endoscopic otological surgery. It is an important contribution to the development of skills to accelerate the subsequent endoscopic otological surgical training in humans, despite some differences found. Objective surgery Methods described crosssectional cross sectional incus study Results membrane region head pneumatized Conclusion humans found

ABSTRACT Objective: to verify the validation evidence of an educational booklet focused on the care of patients with vascular accesses for hemodialysis. Method: the methodological study was structured into three different aspects: content validity by expert judges based on calculation of the Content Validity Index; face evaluation by design expert judges; and pilot implementation, carried out with the target population, consisting of 30 patients in a nephrology clinic from Picos, Piauí, Brazil. Data collection took place from December 2020 to April 2021, and included a descriptive and inferential analysis of the findings. Results: the final version of the booklet had 32 pages, and its overall Content Validity Index was 0.88, thus proving its content validity and indicating clarity of the language, theoretical relevance and practical pertinence of the educational technology. The design expert judges rated the booklet as adequate or as with superior quality. The mean of the overall agreement rate by the target audience was 0.99. Conclusion: the educational booklet presented satisfactory validation evidence, based on its face and content, with good potential for use in the clinical practice.

RESUMEN Objetivo: verificar las evidencias de validez de un folleto educativo acerca de las precauciones con accesos vasculares para hemodiálisis. Método: estudio metodológico estructurado en tres vertientes: validación de contenido a cargo de jueces especialistas sobre la base de calcular el Índice de Validez de Contenido; evaluación del aspecto estético a cargo de jueces especializados en diseño; y aplicación piloto realizada con la población objetivo, compuesta por 30 pacientes de una clínica de Nefrología de Picos, Piauí, Brasil. La recolección de datos tuvo lugar entre diciembre de 2020 y abril de 2021, con análisis descriptivo e inferencial de los hallazgos. Resultados: la versión final del folleto tuvo 32 páginas, con un Índice de Validez de Contenido general de 0,88, evidenciando su validez en términos de contenido e indicando claridad en el lenguaje, relevancia teórica y pertinencia práctica de la tecnología educativa. Los jueces especializados en diseño calificaron al folleto al menos como adecuado. El valor medio del índice de concordancia total en la población objetivo fue 0,99. Conclusión: el folleto educativo demostró evidencias de validez satisfactorias, basadas en su contenido y apariencia, con potencial para ser usado en la práctica clínica.

RESUMO Objetivo: verificar as evidências de validade de uma cartilha educativa acerca dos cuidados com acessos vasculares para hemodiálise. Método: estudo metodológico estruturado em três vertentes: validação de conteúdo por juízes especialistas com base no cálculo do Índice de Validade de Conteúdo; avaliação de aparência por juízes de design; e aplicação piloto, realizada com a população-alvo, composta por 30 pacientes de uma clínica de nefrologia em Picos, Piauí, Brasil. A coleta de dados ocorreu de dezembro de 2020 a abril de 2021, com análise descritiva e inferencial dos achados. Resultados: a versão final da cartilha contou com 32 páginas, cujo Índice de Validade de Conteúdo geral mostrou-se em 0,88, evidenciando sua validade de conteúdo e sinalizando clareza na linguagem, relevância teórica e pertinência prática da tecnologia educacional. Os juízes de design avaliaram a cartilha como adequada ou superior. A média do índice de concordância total do público-alvo foi de 0,99. Conclusão: a cartilha educativa demonstrou evidências de validade satisfatórias, baseadas no conteúdo e na aparência, com potencial de utilização na prática clínica.

Abstract Dermoid cysts (DCs) and epidermoid cysts (ECs) are uncommon developmental cysts affecting the oral cavity. This study aims to evaluate patients with oral DCs and ECs and their demographic and clinicopathologic features. A retrospective descriptive cross-sectional study was performed. A total of 105,077 biopsy records of oral and maxillofacial lesions from seven Brazilian oral pathology centers were analyzed. All cases diagnosed as oral DCs and ECs were reviewed, and clinical, demographic, and histopathological data were collected. The series comprised 32 DCs (31.4%) and 70 ECs (68.6%). Most of the DCs occurred on the floor of the mouth (n = 14; 45.2%) of women (n = 17; 53.1%) with a mean age of 34.6 ± 21.6 years. All DCs were lined partially or entirely by stratified squamous epithelium (100%). Chronic inflammatory cells, melanin pigmentation, multinucleated giant cell reaction, and cholesterol clefts were observed in the fibrous capsule . Most of the ECs affected the labial mucosa (n = 20; 31.7%) of men (n = 39; 56.5%) with a mean age of 48.0±19.8 years. Microscopically, most ECs (n = 68; 97.1%) were lined entirely by stratified squamous epithelium. Two cysts (2.9%) showed areas of respiratory metaplasia. Chronic inflammatory cells, melanin pigmentation, multinucleated giant cell reaction, and cholesterol clefts were also observed in the fibrous capsule. Conservative surgical excision was the treatment of choice in all cases. Oral DCs and ECs are uncommon and often clinically misdiagnosed lesions. Clinicians should consider DCs and ECs in the differential diagnosis of soft tissue lesions in the oral cavity, mainly located on the floor of the mouth and labial mucosa.

ABSTRACT. Unpaid caregivers of people living with dementia tend to suffer mental health problems as a result of the negative effects associated with the care tasks. Thus, psychosocial interventions for this population group are necessary. iSupport is an online support program for caregivers that was created by the World Health Organization. Objective: To describe the design of a randomized clinical trial to measure the efficacy of the iSupport-Brasil version on caregivers’ mental health and well-being. Methods: The participants will be randomized into Intervention Group (IG) (n=195) and Control Group (CG) (n=195). For three months, the IG will access the iSupport-Brasil platform, the CG will enter the electronic page of the Brazilian Alzheimer’s Association, and both groups will be emailed the preliminary version of the “Guia de cuidados para a pessoa idosa” e-book (a guide to providing care to the elderly) from the Ministry of Health. The data will be collected at three moments: baseline, and three and six months after the beginning of the intervention. Results: It is expected that it will be possible to provide diverse validity evidence about iSupport-Brasil as an online and free intervention alternative, as a preventive means and as a way to promote mental health among caregivers of people living with dementia. Conclusion: Through the evaluation protocol of this randomized clinical trial on the effects of the iSupport-Brasil program, it may become a reference for countries that plan to adapt and improve the iSupport program using digital health solutions.

RESUMO. Cuidadores informais de pessoas que vivem com demência tendem a sofrer problemas de saúde mental como resultado dos efeitos negativos associados às tarefas de cuidado. Assim, intervenções psicossociais para essa população são necessárias. O iSupport é um programa de apoio online para cuidadores criado pela Organização Mundial da Saúde. Objetivo: Descrever o desenho de um ensaio clínico randomizado para medir a eficácia da versão iSupport-Brasil na saúde mental e no bem-estar de cuidadores. Métodos: Os participantes serão randomizados em Grupo Intervenção (GI) (n=195) e Grupo Controle (GC) (n=195). Durante três meses, o GI acessará a plataforma iSupport-Brasil, o CG entrará na página eletrônica da Associação Brasileira de Alzheimer e ambos os grupos receberão por e-mail a versão preliminar do e-book Guia de cuidados para a pessoa idosa, do Ministério da Saúde. Os dados serão coletados em três momentos: linha de base, três e seis meses após o início da intervenção. Resultados: Espera-se que seja possível fornecer diversas evidências sobre os efeitos do iSupport-Brasil como alternativa de intervenção online e gratuita, de forma a promover a saúde mental entre os cuidadores de pessoas que vivem com demência. Conclusão: O protocolo de avaliação deste ensaio clínico randomizado sobre os efeitos do programa iSupport-Brasil pode se tornar uma referência para os países que planejam adaptar e melhorar esta intervenção, usando soluções digitais de saúde.

Resumen Estudio histórico-social que describe el trabajo de reclutamiento, formación y supervisión de parteras y mujeres curiosas desarrollado por la Fundación Servicio Especial de Salud Pública (FSESP) en Alagoas en el período de 1960 a 1990 y analiza el saber y la práctica de estas parteras y mujeres curiosas. Se utilizaron fuentes documentales y orales, producidas en entrevistas realizadas a partir de la historia oral temática, otorgado por dos visitadores de salud, seis parteras, tres mujeres curiosas, un médico y una enfermera. Los resultados mostraron que parteras y mujeres curiosas fueron reclutadas y capacitadas por los visitadores de salud. Cuando pudieron ayudar en el parto, recibieron una bolsa con materiales y fueron acompañados por visitadores de salud o enfermeras para limpiar la bolsa y renovar las instrucciones. Se analizó la actuación de parteras/ mujeres curiosas a partir del referencial teórico de Marie Françoise Collière, revelando que brindaron cuidados basados en conocimientos y prácticas adquiridas a través de la experiencia, buscando asegurar la continuidad de la vida. Se concluyó que la FSESP era un importante servicio de salud en Alagoas por sus actividades de educación en salud, revisión, cuidado y atención a parturientas y recién nacidos, y también evidenció prácticas que han sido mejoradas a lo largo de los años.

Résumé Cette étude historique-sociale décrit le travail de recrutement, formation et contrôle de sages-femmes curieuses développée par la Fondation Service Spécial de Santé Publique (FSESP) en Algoas entre 1960 et 1990. On analyse aussi le savoir et la pratique de ces sages-femmes, en consultant des sources documentaires et orales, ainsi que des entretiens faites à deux agents de santé, six sages-femmes, trois femmes curieuses, un médecin et une infirmière. Les résultats ont montré les sages-femmes et les femmes curieuses ont été recrutées et formées par les agents de santé. Lorsqu'elles ont pu aider dans les accouchements, elles ont reçu des instruments pour participer de cet événement. Finalement, on a analysé le rôle des sages-femmes à partir des théories de Marie Françoise Collière, lesquelles théories ont permis de montrer que ces femmes ont mis en place des connaissances basées sur l'expérience afin de garantir la continuité de la vie. On conclut que la FSESP était un important service de santé en Alagoas de par ses activités d'éducation en santé, soins et attention aux parturientes et nouveaux nés, des pratiques améliorés au fil des années.

Abstract Carried out by the Fundación Servicio Especial en Salud Pública (FSESP) in Algoas between 1960 and 1990, this is a socio-historical study that describes the work of recruiting, training and supervising midwives and curious women. Both written and oral sources were used, produced in interviews from oral thematic history. The participants were two health visitors, six midwives, three curious women, a doctor, and a nurse. The results showed that the midwives and curious women were recruited and trained by the health visitors. When they could assist a birth, they received a bag with materials and were accompanied by the health visitors or nurses to clean the bags and renew the instructions. The actions of the midwives /curious women were analyzed from the referential theory of Marie Françoise Collière, which revealed that they provided care to patients based on knowledge and practices acquired through experience, seeking to secure the continuity of life. It was concluded that the FSESP was an important health service in Alagoas due to its activities in health education, revision, care and treatment of women in labor and newborns. Additionally, practices that have been improved throughout the years were found.

Resumo Estudo histórico-social que descreve o trabalho de recrutamento, treinamento e supervisão das parteiras e curiosas desenvolvido pela Fundação Serviço de Saúde Pública (FSESP) em Alagoas no recorte temporal de 1960 a 1990 e analisa o saber e o fazer destas parteiras e curiosas. Foram utilizadas fontes documentais e orais, estas produzidas em entrevistas realizadas com recurso da história oral temática, concedidas por duas visitadoras sanitárias, seis parteiras, três curiosas, um médico e uma enfermeira. Os resultados evidenciaram que as parteiras e curiosas eram recrutadas por visitadoras sanitárias para serem treinadas. Quando estavam aptas para partejar, recebiam uma bolsa com materiais e eram supervisionadas pelas visitadoras ou enfermeiras a fim de realizar a limpeza da bolsa e renovar as instruções. A atuação das parteiras/curiosas fora analisada com base no referencial teórico de Marie Françoise Collière, revelando que as mesmas prestavam cuidados a partir de saberes e fazeres adquiridos pela experiência buscando assegurar a continuidade da vida. Concluiu-se que a FSESP foi um importante serviço de saúde em Alagoas tendo em vista suas atividades de educação em saúde, reciclagem, atenção e cuidado às parturientes e recém-nascidos, além de revelar práticas que foram sendo aperfeiçoadas ao longo dos anos.

ABSTRACT Propagation of palm trees is mainly by seeds and, in general, germination is uneven and slow, caused by several factors, such as temperature and light. We aimed to evaluate the effect of different temperature conditions and light regimes in the germination of Areca vestiaria and Areca triandra seeds. Two experiments were carried. The experimental design was completely randomized with a 5 × 2 factorial (temperature × light), with four replicates per treatment for the species A. vestiaria and five replications for A. triandra, with 25 e 20 seeds, respectively. The temperatures tested were 25, 30, 35, 20-30 and 25-35 ºC and the light regimes were presence and absence of light. The germination percentage and germination speed index were evaluated. Analysis of variance was performed using the F Test, with subsequent comparison of the means using the Tukey test (α = 0.05). For both species, there were significant differences between the temperature conditions for the studied characteristics. It was concluded that temperatures of 25 ºC, 30 ºC, 25-35 ºC and 20-30 ºC are indicated for germination of seeds of the species Areca vestiaria and, 25-35 ºC for Areca triandra, being the seeds classified as neutral photoblastics.

RESUMO: O manejo nutricional do jardim clonal de cafeeiros influencia a produção e qualidade fisiológica dos propágulos vegetativos e na produção de mudas. Assim, objetivou-se analisar a produção de mudas a partir de estacas clonais retiradas de plantas matrizes de Coffea canephora cultivada com doses crescentes de nitrogênio mineral. As estacas foram retiradas de plantas matrizes de cafeeiros C. canephora var. botânica Robusta, do Programa de Melhoramento Genético da Embrapa-RO. As plantas matrizes receberam adubação nitrogenada nas doses: 0 (Controle); 50; 100; 150; 200; 250 e 300 kg de N por hectare, parceladas em quatro aplicações, durante 150 dias de crescimento das hastes ortotrópica (brotos). Os seguintes parâmetros foram avaliados: massa seca das estacas, conteúdo nutricional das estacas e a produção de mudas, com análise de crescimento, aos zero, 48, 61, 80, 101, 122, 143 e 164 dias após o estaqueamento (DAE) e a análise das características vegetativas, aos 122 DAE. A adubação nitrogenada na planta matriz resultou na variação do acúmulo de macronutrientes nas estacas, mas a ordem K > N > Ca > P > Mg > S foi mantida independente da dose de N. Além disso, foi verificado que há correlação positiva entre as doses de nitrogênio e o acúmulo de massa seca, assim como, a qualidade fisiológica das mudas.

ABSTRACT: The nutritional management of the coffee clonal garden influences the production and physiological quality and seedlings production of vegetative propagules. Thus, this study aimed to analyze the seedlings’ production from clonal cuttings taken from Coffea canephora mother plants grown with increasing nitrogen mineral doses. The cuttings were taken from C. canephora var. botany Robusta, from the Embrapa Genetic Improvement Program of Rondônia. The mother plants received nitrogen fertilizer at different doses: 0 (Control); 50; 100; 150; 200; 250 and 300 kg of N per hectare divided into 4 applications, during 150 days of orthotropic stems growth (shoots). The following parameters were evaluated: Dry mass of cuttings, nutritional content of cuttings, and seedlings production, with growth analysis at 0, 48, 61, 80, 101, 122, 143, and 164 days after staking (DAS) and analysis of vegetative characteristics at 122 DAS. The nitrogen fertilization in the mother plant resulted in the variation of macronutrient accumulation in cuttings, but the order K> N> Ca> P> Mg> S was maintained, regardless of N dose. In addition, a positive correlation between nitrogen doses and dry matter accumulation, as well as the physiological quality of seedlings was identified.

Resumo: Introdução: Uma das diretrizes da atenção básica à saúde (ABS) no Brasil é o primeiro contato da pessoa no sistema de saúde. O acesso ou a acessibilidade é um atributo essencial da APS que teve avaliação ruim em pesquisas brasileiras. O sistema de agendamento certamente influencia o acesso nas unidades de saúde, e o modelo por acesso avançado (AA) tem sido implantado no Brasil, e vem obtendo melhores resultados que modelos tradicionais de agendamento. Objetivo: Este estudo teve como objetivo compreender a percepção de profissionais que atuam em uma unidade básica de saúde de Uberlândia, em Minas Gerais - MG (Centro de Saúde Escola Jaraguá (Cejar)), sobre a implementação do AA. Método: Trata-se de um estudo qualitativo que utilizou o grupo focal e a análise de conteúdo. Resultado: Foram delimitadas as seguintes categoriais temáticas: Desafios desafios na consolidação da APS e investimento em equipes mínimas; Tensionamentos tensionamentos quanto ao aumento na demanda de atendimentos individuais e sobrecarga de trabalho; Educação educação e saúde: intersecções necessárias entre ensino, serviço, gestão e comunidade. Conclusão: O Cejar apresentou particularidades com a implementação do AA por ser uma unidade de ensino, por não ter Estratégia de Saúde da Família (ESF) consolidada e pela sobrecarga de trabalho advinda com dessa agenda, o que pode contribuir para o planejamento de outras equipes que tenham interesse pelo AA.

Abstract Introduction: One of the guidelines of Primary Health Care (PHC) in Brazil is the person’s user’s first contact with the health system. Access or accessibility is an essential attribute of PHC that has been poorly assessed in Brazilian surveys. The appointment scheduling system certainly influences access in health units, and the model for advanced access (AA) has been implemented in Brazil, and has been achievinggetting better results than traditional scheduling models. Objective: The objective of the presentthis study is to understand the perception of professionals who work in a basic health unit in Uberlândia-MG (Centro de Saúde Escola Jaraguá) about the implementation of AA. Method: It is a qualitative study that used the focus group methodology and content analysis. Result: The following thematic categories were delimited: Challenges in the consolidation of PHC and investment in minimal teams; Tensions regarding the increasedin the demand for individual careassistance and work overload; Education and health: necessary intersections between teaching, service, management and community. Conclusion: It was concluded that CEJAR presented specific characteristicsparticularities with the implementation of AA as it isfor being a teaching unit, doesfor not haveing a consolidated Family Health Strategy (FHS) and due to thefor the work overload resulting from this scheduleagenda, which can contribute to the planning of other teams that are interested in AA.