Resumen Aunque no es muy común, en los últimos 20 años se ha observado un aumento significativo en los reportes de rotura del pectoral mayor, normalmente asociado a la práctica de actividad física en la que se produce una contracción intensa y/o al uso de cargas pesadas ejerciendo resistencia sobre el mismo. el músculo. En este caso clínico tenemos un paciente de 51 años que refiere dolor en el pecho derecho y en el brazo derecho durante 3 días después de intentar arreglar el manillar de su motocicleta. Presentó asimetría de pectorales, pérdida de fuerza en miembro superior derecho, dificultad de movimiento y hematoma. La resonancia magnética demostró rotura completa de la unión miotendinosa del pectoral mayor, con tendinopatía con fisuras de inserción e intrasustancial del infraespinoso y tendinopatía con rotura parcial del tendón subescapular. Un médico ortopédico recomendó seguimiento con el uso de medicación analgésica.

Resumo Apesar de não muito frequente, nos últimos 20 anos, houve um aumento significativo dos relatos sobre rotura do peitoral maior, normalmente associadas à prática de atividade física em que ocorre contração intensa e/ou uso de cargas pesadas exercendo resistência sobre o músculo. Neste relato de caso temos um paciente de 51 anos referindo dor no tórax à direita e no braço direito há 3 dias após tentar consertar o guidão da moto. Apresentava assimetria dos peitorais, perda de força do membro superior direito, dificuldade de movimentação e hematoma. A ressonância magnética demonstrou rotura completa da junção miotendínea do peitoral maior, com tendinopatia com fissuras insercionais e intrasubstanciais infraespinhal e tendinopatia com rotura parcial do tendão subescapular. Foi indicado por médico ortopedista o acompanhamento com o uso de medicação analgésica.

Abstract Although not very common, in the last 20 years, there has been a significant increase in reports of rupture of the pectoralis major, normally associated with the practice of physical activity in which intense contraction occurs and/or the use of heavy loads exerting resistance on the muscle. In this case report we have a 51-year-old patient reporting pain in his right chest and right arm for 3 days after trying to fix his motorcycle's handlebars. He had asymmetry of the pectorals, loss of strength in the right upper limb, difficulty moving and hematoma. Magnetic resonance imaging demonstrated complete rupture of the myotendinous junction of the pectoralis major, with tendinopathy with insertional and intrasubstantial infraspinatus fissures and tendinopathy with partial rupture of the subscapularis tendon. An orthopedic doctor recommended follow-up with the use of analgesic medication.

Resumen: La sobrecarga de rol en la familia puede ser entendida como un sentimiento de incapacidad para completar las obligaciones que son responsabilidad del individuo, y esta dificultad ocurre debido a la acumulación de tareas en la familia, lo que puede causar malestar. El objetivo de este estudio fue obtener evidencias de la validez de la Escala de Sobrecarga del Rol Familiar en muestras brasileñas. Participaron en el estudio 640 trabajadores brasileños de ambos sexos. Los análisis factoriales confirmatorios mostraron que la versión brasileña se mantuvo monofactorial y con seis ítems. Los análisis multigrupo mostraron invariancia configuracional, métrica y escalar entre los grupos divididos en función del género y de la presencia o ausencia de hijos. La escala mostró correlaciones positivas con las demandas familiares percibidas y el conflicto familia-trabajo y una correlación negativa con el apoyo social percibido en la familia. Por lo tanto, se concluyó que el instrumento posee propiedades psicométricas que recomiendan su uso en futuras investigaciones.

Resumo: A sobrecarga de papeis na família pode ser compreendida como sentimento de incapacidade em concluir obrigações que são de responsabilidade do indivíduo, e essa dificuldade acontece devido ao acúmulo de tarefas na família, que podem trazer desconforto. O presente trabalho teve por objetivo obter evidências de validade da Sobrecarga de Papéis na Família em amostras brasileiras. Participaram do estudo 640 trabalhadores brasileiros, de ambos os gêneros. As análises fatoriais confirmatórias evidenciaram que a versão brasileira se manteve unifatorial e com seis itens. As análises multigrupo atestaram a invariância configural, métrica e escalar entre os grupos divididos em termos de gênero e sobre a presença ou ausência de filhos. A escala apresentou correlações positivas com demandas percebidas da família e conflito família-trabalho e correlação negativa com suporte social percebido na família. Concluiu-se, assim, que o instrumento apresentou propriedades psicométricas que recomendam seu uso em investigações futuras.

Abstract: Role overload in the family can be understood as a feeling of inability to complete duties that are the individual's responsibility, and this hardship occurs due to the accumulation of tasks in the family, which can cause discomfort. The aim of this study was to obtain valid evidence of Family Role Overload in Brazilian samples. Six hundred and forty Brazilian workers of both genders took part in the study. Confirmatory factor analyses showed that the Brazilian version remained single-factor and had six items. The multi-group analyses showed configural, metric, and scalar invariance between the groups divided in terms of gender and the existence or absence of children. The scale showed positive correlations with perceived family demands and family-work conflict and a negative correlation with perceived social support in the family. It was therefore concluded that the instrument had psychometric properties that recommend its use in future research.

Résumé Le succès ou l’échec des candidats à la réélection aux postes de maire lors des élections de 2020 a-t-il été déterminé par le contexte de la pandémie ? Pour répondre à cette question, nous avons testé l’influence des variables provenant de cinq dimensions : les caractéristiques individuelles des candidats, les facteurs politiques municipaux, les questions socio-économiques et de gouvernance, ainsi que les indicateurs contextuels de la pandémie sur les performances de ceux qui ont tenté de renouveler leur mandat. La recherche a porté sur 3032 municipalités où les maires ont participé à la course électorale. Les facteurs suivants ont eu une influence positive sur la réélection : la taille de la population, les dépenses de campagne, les dépenses de santé et d’éducation, ainsi que le recrutement de médecins pendant la pandémie. Des effets négatifs ont été observés pour la concurrence électorale et le genre du chef de l’exécutif. Nous avons conclu que les aspects qui ont réellement déterminé la réélection sont liés à la lutte contre la Covid-19, aux attributs individuels du candidat et aux caractéristiques politiques de la municipalité, et non aux facteurs épidémiologiques liés à la pandémie, tels que les cas confirmés ou même les décès. léchec l échec 202 atil t il question linfluence municipaux socioéconomiques socio économiques gouvernance mandat 303 population campagne déducation, déducation d éducation, éducation d’éducation lexécutif. lexécutif exécutif. exécutif l’exécutif Covid19, Covid19 Covid 19, 19 Covid-19 municipalité décès 20 30 Covid1 1 Covid-1 2 3 Covid-

Resumen ¿El éxito o fracaso de los candidatos que quieren ser reelegidos como alcaldes en las elecciones de 2020 fue determinado por el contexto de la pandemia? Para responder a esa pregunta, analizamos la influencia de variables de cinco dimensiones: características individuales de los postulantes, factores políticos municipales, cuestiones socioeconómicas y de gobernanza, así como indicadores contextuales de la pandemia sobre el desempeño de aquellos que intentaron renovar sus mandatos. La investigación abarcó 3032 municipios en los que los alcaldes participaron de la contienda electoral. Los siguientes factores influenciaron positivamente la reelección: tamaño de la población, gastos de campaña, en salud y educación y contratación de médicos durante la pandemia. Con efectos negativos se encontraron la competencia electoral y el género del jefe del ejecutivo. Se puede concluir que los aspectos que, de hecho, determinaron la reelección, están relacionados con el combate al Covid-19, a atributos individuales del candidato y a las características políticas del municipio y no a factores epidemiológicos ligados a la pandemia, como casos confirmados e incluso fallecimientos. El 202 pregunta dimensiones postulantes municipales gobernanza mandatos 303 reelección población campaña ejecutivo hecho Covid19, Covid19 Covid 19, 19 Covid-19 fallecimientos 20 30 Covid1 1 Covid-1 2 3 Covid-

Abstract Did the COVID-19 pandemic affect the success or failure of candidates for reelection in the 2020 municipal elections? We attempt to answer this question by tested the influence of five-dimension variables: individual candidate traits, municipal political factors, socioeconomic and governance issues, as well as contextual indicators of the pandemic on the performance of those running for a second term. The study comprehended 3,032 cities in which mayors participated in elections. The following factors positively influenced reelection: population size, campaign expenses, investments in health, education, and hiring doctors during the pandemic. Nevertheless, negative drivers included electoral competition and mayors’ gender. We conclude therefore that the determining factors of reelection are connected to COVID-19 responses, individual candidate traits, and municipal political factors, rather than epidemiological phenomena such as the number of cases or even deaths. COVID19 COVID 19 COVID-1 202 elections fivedimension five dimension variables traits issues term 3032 3 032 3,03 size expenses health education Nevertheless gender responses deaths COVID1 1 COVID- 20 303 03 3,0 2 30 0 3,

Resumo O sucesso ou o fracasso de candidatos à reeleição nas prefeituras nas eleições de 2020 foi determinado pelo contexto da pandemia? Para responder essa questão, testamos a influência de variáveis de cinco dimensões: características individuais dos postulantes, fatores políticos municipais, questões socioeconômicas e de governança, assim como indicadores contextuais da pandemia sobre o desempenho daqueles que tentaram renovar os seus mandatos. A pesquisa circunscreveu 3032 municípios em que prefeitos participaram da corrida eleitoral. Influenciaram positivamente a reeleição os seguintes fatores: tamanho da população, gastos de campanha e gastos em saúde e em educação e contratação de médicos durante a pandemia. Como efeitos negativos, foram encontrados a competição eleitoral e o gênero do chefe do executivo. Concluiu-se que os aspectos que, de fato, determinaram a reeleição estão relacionados ao enfrentamento da Covid-19, a atributos individuais do candidato e às características políticas do município, e não a fatores epidemiológicos ligados à pandemia, como casos confirmados ou mesmo óbitos. 202 questão dimensões postulantes municipais governança mandatos 303 população negativos executivo Concluiuse Concluiu se fato Covid19, Covid19 Covid 19, 19 Covid-19 município óbitos 20 30 Covid1 1 Covid-1 2 3 Covid-

Abstract A simple, rapid, precise, accurate and sustainable spectrofluorimetric method (SFM) was developed, validated and applied for the determination of 4-aminobenzoic acid and aromatic amino acids (phenylalanine, tryptophan and tyrosine). These compounds are used in biopharmaceutical formulations and therefore must be analyzed by quality control laboratories to meet the criteria established in pharmacopoeias. In general, potentiometric titration (PT) is described in the compendia as the official analytical technique. However, this method showed low sensitivity and selectivity, and moreover was performed with a non-aqueous solvent (acetic acid), which led to higher consumption of reagents and consequently to the formation of residues. Therefore, the SFM was developed in aqueous medium at pH 7.2 using phosphate buffer. It was successfully validated according to the ICH guidelines and showed good linearity range (r>0.999), specificity, accuracy and precision (within and between days) and robustness. The test results were compared between the SFM and PT using raw material samples, while according to the F- and t-tests at 95% confidence level, no statistical difference was found between the methods. simple rapid precise (SFM 4aminobenzoic aminobenzoic 4 phenylalanine, phenylalanine (phenylalanine tyrosine. tyrosine . tyrosine) pharmacopoeias general (PT technique However selectivity nonaqueous non acetic acid, , acid) residues Therefore 72 7 2 7. buffer r>0.999, r0999 r r>0.999 0 999 (r>0.999) specificity within days robustness samples F ttests t tests 95 level methods r099 r>0.99 99 (r>0.999 9 r09 r>0.9 (r>0.99 r0 r>0. (r>0.9 r>0 (r>0. r> (r>0 (r> (r

RESUMEN Objetivo: Analizar la evidencia de validez de contenido de los resultados de enfermería “Respuesta a la ventilación mecánica: Adulto” y “Respuesta al destete de la ventilación mecánica: Adulto”, para pacientes adultos con COVID-19 grave. Método: Estudio metodológico desarrollado en dos etapas: revisión bibliográfica para construir las definiciones de los indicadores y análisis de la evidencia de validez de contenido de los resultados de enfermería mediante un grupo focal. Resultados: Todas las definiciones conceptuales y operativas elaboradas para los 56 indicadores se consideraron claras y precisas. Sin embargo, se excluyeron 17 indicadores porque se consideró que no eran pertinentes. Se construyeron así las definiciones de las magnitudes para 17 indicadores del resultado de enfermería “Respuesta a la ventilación mecánica: adulto” y 22 indicadores “Respuesta al destete de la ventilación mecánica: adulto”. Conclusiones: La elaboración de definiciones y validación por expertos hace más comprensible y preciso el uso de estos resultados y sus indicadores, favoreciendo su uso en la práctica clínica y aportando mayor detalle en la valoración y registro. Objetivo Respuesta mecánica Adulto Adulto, , COVID19 COVID 19 COVID-1 grave Método etapas focal Resultados 5 precisas embargo 1 pertinentes adulto 2 adulto. . Conclusiones registro COVID1 COVID-

ABSTRACT Objective: To analyze the evidence of content validity of the Nursing Outcomes “Mechanical Ventilation Response: Adult” and “Mechanical Ventilation Weaning Response: Adult”, for patients with severe COVID-19. Method: Methodological study developed in two stages: literature review to construct the definitions of the indicators and analysis of the evidence of content validity of the nursing outcomes by a focus group. Results: All the conceptual and operational definitions developed for the 56 indicators were considered clear and precise. However, 17 indicators were excluded because they were deemed not to be relevant. The definitions of the magnitudes for 17 indicators of the Nursing Outcome “Mechanical Ventilation Response: Adult” and 22 indicators “Mechanical Ventilation Weaning Response: Adult” were thus constructed. Conclusion: The development of definitions and validation by experts makes the use of these outcomes and their indicators more understandable and precise, favoring their use in clinical practice and providing greater detail in assessment and recording. Objective Mechanical Response Adult Adult, , COVID19. COVID19 COVID 19. 19 COVID-19 Method stages group Results 5 precise However 1 relevant 2 constructed Conclusion recording COVID1 COVID-1 COVID-

RESUMO Objetivo: Analisar as evidências de validade de conteúdo dos Resultados de Enfermagem “Resposta à ventilação mecânica: adulto” e “Resposta ao Desmame da Ventilação Mecânica: adulto”, para pacientes adultos com COVID-19 grave. Método: Estudo metodológico desenvolvido em duas etapas: revisão da literatura para construção das definições dos indicadores e análise das evidências de validade de conteúdo dos resultados de enfermagem por um grupo focal. Resultados: Todas as definições conceituais e operacionais elaboradas para os 56 indicadores foram consideradas claras e precisas. Entretanto, 17 indicadores foram excluídos por serem julgados pouco relevantes. Desse modo foram construídas as definições das magnitudes para 17 indicadores do Resultados de Enfermagem “Resposta a ventilação mecânica: adulto” e de 22 indicadores “Resposta ao desmame da ventilação mecânica: adulto”. Conclusão: A elaboração das definições e a validação por especialistas tornam o uso desses Resultados e seus indicadores mais compreensível e preciso, favorecendo o uso na prática clínica, proporcionando maior detalhamento da avaliação e dos registros. Objetivo Resposta mecânica adulto Mecânica adulto, , COVID19 COVID 19 COVID-1 grave Método etapas focal 5 precisas Entretanto 1 relevantes 2 adulto. . Conclusão preciso clínica registros COVID1 COVID-

ABSTRACT Purpose To associate maternal anxiety with sociodemographic factors, breastfeeding practices, oral habits, and the child’s entry into daycare among deaf and hearing (non-deaf) mothers. Methods This retrospective comparative cross-sectional study included 116 mothers (29 deaf and 87 hearing) of children aged between two and five years. Deaf mothers belonged to a reference center in the city, while hearing mothers were contacted in public daycares where their children were enrolled. Mothers underwent interviews covering socio-economic factors and child development-related aspects. Additionally, they completed the Brazilian Beck Anxiety Inventory, adapted for both deaf and hearing individuals, serving as instruments to assess anxiety. The Kolmogorov-Smirnov normality test, Kruskal Wallis test, Mann-Whitney test, and Poisson Regression were employed for statistical analyses (p<0.05). Results Deaf mothers exhibited anxiety scores one and a half times higher than hearing mothers. Moreover, mothers of children with thumb-sucking habits showed higher anxiety scores, while mothers whose children started attending daycare as infants demonstrated lower anxiety scores compared to mothers of children without such habits and who did not attend daycare. Conclusion Deaf mothers displayed higher anxiety levels when compared to hearing mothers. Children’s behaviors, such as thumb-sucking habits, and early enrollment in daycare during the first year of life influenced maternal anxiety. practices childs s nondeaf non (non-deaf crosssectional cross sectional 11 29 (2 8 years city enrolled socioeconomic socio economic developmentrelated development related aspects Additionally Inventory individuals KolmogorovSmirnov Kolmogorov Smirnov test MannWhitney Mann Whitney p<0.05. p005 p p<0.05 . 0 05 (p<0.05) Moreover thumbsucking thumb sucking Childrens Children behaviors 1 2 ( p00 p<0.0 (p<0.05 p0 p<0. (p<0.0 p<0 (p<0. p< (p<0 (p< (p

RESUMO Objetivo Associar a ansiedade materna aos fatores sociodemográficos, pratica de aleitamento, hábitos bucais e ingresso da criança em creche entre mulheres surdas e ouvintes. Método Participaram deste estudo transversal retrospectivo comparativo, 116 mães (29 surdas e 87 ouvintes) de crianças na faixa etária entre dois e cinco anos. As mães surdas pertenciam a um centro de referência da cidade e as mães ouvintes foram contatadas em creches públicas, onde seus filhos estavam matriculados. As mães foram submetidas a entrevista sobre fatores socioeconômicos e relacionados ao desenvolvimento dos filhos, além de realizarem o preenchimento do Inventário Brasileiro de Ansiedade de Beck, nas versões para surdos e ouvintes, que foram instrumentos usados para avaliar a ansiedade. O teste de normalidade de Kolmogorov-Smirnov, os testes de Kruskal Wallis, Mann-Whitney e Regressão de Poisson foram utilizados para análises estatísticas (p &lt;0,05). Resultados Mães surdas apresentaram escore de ansiedade uma vez e meia maior que mães ouvintes. Além disso, mães de crianças com hábito de sucção de dedo apresentaram maior escore de ansiedade e mães cujos filhos começaram a frequentar a creche ainda bebês apresentaram menor escore de ansiedade, quando comparados a crianças sem o hábito e que não frequentavam a creche. Conclusão Mães surdas apresentaram maior ansiedade quando comparadas às ouvintes. Comportamento dos filhos com hábitos de sucção de dedo e o ingresso em creches no primeiro ano de vida influenciaram a ansiedade materna. sociodemográficos aleitamento comparativo 11 29 (2 8 anos públicas matriculados Beck KolmogorovSmirnov, KolmogorovSmirnov Kolmogorov Smirnov, Smirnov Kolmogorov-Smirnov Wallis MannWhitney Mann Whitney p &lt0,05. lt005 lt &lt 0,05 . 0 05 &lt;0,05) disso 1 2 ( lt0 &lt0,05 lt00 005 0,0 &lt;0,05 &lt0,0 00 0, &lt;0,0 &lt0, &lt;0, &lt0 &lt;0 &lt;

ABSTRACT BACKGROUND: Contamination of the breathing circuit and medication preparation surface of an anesthesia machine can increase the risk of cross-infection. OBJECTIVE: To evaluate the contamination of the anesthetic medication preparation surface, respiratory circuits, and devices used in general anesthesia with assisted mechanical ventilation. DESIGN AND SETTING: Cross-sectional, quantitative study conducted at the surgical center of a philanthropic hospital, of medium complexity located in the municipality of Três Lagoas, in the eastern region of the State of Mato Grosso do Sul. METHODS: Eighty-two microbiological samples were collected from the breathing circuits. After repeating the samples in different culture media, 328 analyses were performed. RESULTS: A higher occurrence of E. coli, Enterobacter spp., Pseudomonas spp., Staphylococcus aureus, and Streptococcus pneumoniae (P < 0.001) were observed. Variations were observed depending on the culture medium and sample collection site. CONCLUSION: The study findings underscore the inadequate disinfection of the inspiratory and expiratory branches, highlighting the importance of stringent cleaning and disinfection of high-touch surfaces. BACKGROUND crossinfection. crossinfection cross infection. infection cross-infection OBJECTIVE circuits ventilation SETTING Crosssectional, Crosssectional Cross sectional, sectional Cross-sectional hospital Lagoas Sul METHODS Eightytwo Eighty two media 32 performed RESULTS E coli spp spp. aureus P 0.001 0001 0 001 site CONCLUSION branches hightouch high touch surfaces 3 0.00 000 00 0.0 0.

This work aims to optimize the process of extracting pigments from the peel of Amazonian fruits (bacupari, peach palm, and tucumã) using the enzyme pectinase. First, pigment extraction was carried out using different solvents (ethanol and acetone 80%, ethanol and acetone 50%, and water), temperatures (44, 40, 35, and 26 °C), and wavelengths (400, 450, and 490 nm). In the second stage, the best parameters found in the first stage were applied in a statistic with a response surface varying time (60, 120, and 180 min) and enzyme concentration (40, 80, and 120 U). The best results for extraction for bacupari and peach palm were acetone at 50% and 45 °C and ethanol at 50% and 35 °C for tucumã. In the second stage, the optimum point found was 1.5 h and 100 U concentration, and 2.5 h and 90 U concentration resulted in better extractions for bacupari, peach palm, and tucumã. (bacupari tucumã pectinase First 80 80% 50 water, water , water) 44, 44 (44 40 2 °C, C °C) 400, 400 (400 450 49 nm. nm . nm) 60, 60 (60 18 min (40 12 U. U) 4 3 15 1 5 1. 10 25 2. 9 8 (4 6 (6 (

ABSTRACT Objective: To characterize the environmental factors of children and adolescents with Cerebral Palsy (CP) in the state of Minas Gerais (MG), Brazil. Methods: This is a cross-sectional study involving 164 caregivers of children/adolescents with CP, aged 1-14 years. The Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS) were used to classify the participants’ functioning, and environmental factors were evaluated by an on-line questionnaire that examined products and technologies, physical environment, services, and systems. A descriptive analysis was performed using percentage and frequency. Results: Most participants had bilateral CP (66.9%) and 45% of them were spastic. Levels II and V of the GMFCS and MACS were the most frequent. About half (49.4%) used anticonvulsants, 27.4% underwent botulinum toxin application, and 29% went through orthopedic surgery in the lower limbs. Among the participants, 71.3% used orthoses in the lower limbs, and 51.8% used the public health care system. Most had access to physiotherapy (91.5%), but found difficulties to access interventions with other professionals, such as psychologists (28%) and nutritionists (37.8%). The school was the most frequently adapted environment (78%), and had the highest level of structural adaptation (42.7%). Conclusions: The results of this study suggest that the barriers to access health services and barriers to the physical environment may impact participation and social inclusion. Objective (CP MG, MG , (MG) Brazil Methods crosssectional cross sectional 16 childrenadolescents 114 1 14 1-1 years (GMFCS (MACS functioning online on line technologies systems frequency Results 66.9% 669 66 9 (66.9% 45 spastic frequent 49.4% 494 49 4 (49.4% anticonvulsants 274 27 27.4 application 29 limbs 713 71 3 71.3 518 51 8 51.8 system 91.5%, 915 91.5% 91 5 (91.5%) professionals 28% 28 (28% 37.8%. 378 37.8% . 37 (37.8%) 78%, 78 78% (78%) 42.7%. 427 42.7% 42 7 (42.7%) Conclusions inclusion (MG 11 1- 66.9 6 (66.9 49.4 (49.4 2 27. 71. 51. 91.5 (91.5% (28 37.8 (37.8% (78% 42.7 (42.7% 66. (66. 49. (49. 91. (91.5 (2 37. (37.8 (78 42. (42.7 (66 (49 (91. ( (37. (7 (42. (6 (4 (91 (37 (42 (9 (3

RESUMO Objetivo: Caracterizar os fatores ambientais de crianças e adolescentes com paralisia cerebral (PC) no estado de Minas Gerais (MG), Brasil. Métodos: Trata-se de um estudo transversal envolvendo 164 cuidadores de crianças/adolescentes com PC, na faixa etária de um a 14 anos. O Sistema de Classificação da Função Motora Grossa (GMFCS) e o Sistema de Classificação da Habilidade Manual (MACS) foram utilizados para classificar a funcionalidade dos participantes e os fatores ambientais foram avaliados por um questionário on-line que abordou produtos e tecnologias, ambiente físico, serviços e sistemas. Análises descritivas foram realizadas por meio de porcentagem e frequência. Resultados: A maioria dos participantes tinha PC bilateral (66,9%) e 45% deles eram espásticos. Os níveis II e V do GMFCS e MACS foram os mais frequentes. Cerca de metade (49,4%) fazia uso de anticonvulsivantes, 27,4% realizaram aplicação de toxina botulínica e 29% cirurgia ortopédica em membros inferiores. Utilizavam órteses em membros inferiores 71,3% e eram usuários do sistema público de saúde 51,8%. A maioria tinha acesso à fisioterapia (91,5%), mas dificuldade de acesso a intervenções com outros profissionais, como psicólogos (28%) e nutricionistas (37,8%). A escola foi o ambiente mais frequentado (78%) e também mais adaptado estruturalmente (42,7%). Conclusões: Os resultados deste estudo sugerem que barreiras de acesso aos serviços de saúde e barreiras no ambiente físico podem impactar a participação e inclusão social. Objetivo (PC MG, MG , (MG) Brasil Métodos Tratase Trata se 16 criançasadolescentes 1 anos (GMFCS (MACS online on line tecnologias sistemas frequência Resultados 66,9% 669 66 9 (66,9% 45 espásticos frequentes 49,4% 494 49 4 (49,4% anticonvulsivantes 274 27 27,4 29 713 71 3 71,3 518 51 8 51,8% 91,5%, 915 91,5% 91 5 (91,5%) profissionais 28% 28 (28% 37,8%. 378 37,8% . 37 (37,8%) 78% 78 (78% 42,7%. 427 42,7% 42 7 (42,7%) Conclusões social (MG 66,9 6 (66,9 49,4 (49,4 2 27, 71, 51,8 91,5 (91,5% (28 37,8 (37,8% (78 42,7 (42,7% 66, (66, 49, (49, 51, 91, (91,5 (2 37, (37,8 (7 42, (42,7 (66 (49 (91, ( (37, (42, (6 (4 (91 (37 (42 (9 (3

ABSTRACT Hedychium coronariumJ.Koenig is a rhizomatous herbaceous species native to Asia and invasive in most states of Brazil. We aimed to evaluate the influence of H. coronariumon terrestrial herbaceous communities and natural regeneration of woody plants in a remnant of Alluvial Araucaria Forest in Curitiba - PR. The communities were sampled considering two treatments: (EC) high coverage of H. coronarium(>60%); (BC) low coverage of H. coronarium(<30%). Two communities were recorded: i) herbaceous vascular species (including subshrubs) and ii) seedlings of woody species between 15-130 cm height. In EC H. coronariumhad an average cover of 78.06%, with only five native herbaceous species and 24 native woody species. The average cover of the invasive in BC was 6.29%, with 17 native herbaceous and 37 woody native species. The most representative native herbaceous was Christella dentata(Forssk.) Brownsey & Jermy, while among the woody species Myrcia selloi(Spreng.) N.Silveira stood out for its frequency and abundance. The abundance of woody plants in the EC was approximately four times less than in the BC, showing that the high density of H. coronariumnegatively influences native plant communities. The high cover of the invasive species results in a decrease in species richness and the number of individuals in the communities, both herbaceous and woody regeneration. coronariumJKoenig coronariumJ Koenig Brazil H PR treatments (EC coronarium>60% coronarium60 coronarium >60% 60 coronarium(>60%) (BC coronarium<30%. coronarium30 <30% . 30 coronarium(<30%) recorded i including subshrubs ii 15130 15 130 15-13 height 7806 78 06 78.06% 2 629 6 29 6.29% 1 3 dentataForssk. dentataForssk dentata Forssk. Forssk dentata(Forssk. Jermy selloiSpreng. selloiSpreng selloi Spreng. Spreng selloi(Spreng. NSilveira N Silveira coronarium>60 coronarium6 >60 coronarium(>60% coronarium<30% coronarium3 <30 coronarium(<30% 1513 13 15-1 780 7 0 78.06 62 6.29 dentata(Forssk selloi(Spreng coronarium>6 >6 coronarium(>60 coronarium<30 <3 coronarium(<30 151 15- 78.0 6.2 coronarium> > coronarium(>6 coronarium<3 < coronarium(<3 78. 6. coronarium(> coronarium< coronarium(< coronarium(

RESUMO A espécie herbácea rizomatosa Hedychium coronarium J.Koenig é de origem asiática e ocorre como invasora na maioria dos estados do Brasil. O objetivo do estudo foi avaliar a influência de H. coronarium sobre as comunidades de herbáceas terrícolas e de regeneração natural de lenhosas em um remanescente de Floresta Ombrófila Mista Aluvial em Curitiba - PR. As comunidades foram amostradas considerando-se dois tratamentos: (EC) elevada cobertura de H. coronarium(>60%); (BC) baixa cobertura de H. coronarium (<30%). Foram avaliadas duas comunidades: i) espécies herbáceas (incluindo subarbustivas) e ii) plântulas de espécies lenhosas entre 15 cm - 130 cm de altura. No EC, H. coronariumapresentou cobertura média de 78,06%, sendo registradas apenas cinco espécies herbáceas nativas e 24 lenhosas nativas. No BC, a cobertura média da invasora foi de 6,29%, com registro de 17 herbáceas nativas e 37 lenhosas nativas. A herbácea nativa mais representativa foi Christella dentata(Forssk.) Brownsey & Jermy, enquanto, dentre as lenhosas, destacou-se Myrcia selloi(Spreng.) N.Silveira por sua frequência e abundância. A abundância das lenhosas no EC foi aproximadamente quatro vezes menor que no BC, mostrando que a elevada densidade de H. coronariumexerce influência negativa nas comunidades vegetais nativas. A elevada cobertura da espécie invasora resulta na redução da riqueza de espécies e do número de indivíduos nas comunidades, tanto de herbáceas quanto da regeneração de lenhosas. JKoenig J Koenig Brasil H PR considerandose considerando se tratamentos (EC coronarium>60% coronarium60 >60% 60 coronarium(>60%) BC (BC <30%. 30 <30% . (<30%) i incluindo subarbustivas ii 1 13 altura 7806 78 06 78,06% 2 629 6 29 6,29% 3 dentataForssk. dentataForssk dentata Forssk. Forssk dentata(Forssk. Jermy enquanto destacouse destacou selloiSpreng. selloiSpreng selloi Spreng. Spreng selloi(Spreng. NSilveira N Silveira coronarium>60 coronarium6 >60 coronarium(>60% <30 (<30% 780 7 0 78,06 62 6,29 dentata(Forssk selloi(Spreng coronarium>6 >6 coronarium(>60 <3 (<30 78,0 6,2 coronarium> > coronarium(>6 < (<3 78, 6, coronarium(> (< coronarium( (

ABSTRACT The sense of mastery is conceptualized as a positive aspect of care targeted at people living with dementia, a coping mechanism to reduce burden, and may represent a protective factor for caregivers’ mental and physical health. Objective: To translate and culturally adapt the Pearlin Mastery Scale for Brazil. Methods: A methodological study was conducted at the Federal University of São Carlos in which the initial translation stages were followed; synthesis; back-translation; review by the committee of judges by analyzing the Content Validity Index (CVI); and test of the pre-final version. Results: Two specialists translated the scale into Brazilian Portuguese and defined a consensus version with the researchers. Subsequently, another two specialists back-translated the consensus version, which was reviewed by three judges who are PhDs in the area, considering all scale items as very equivalent (CVI=1.0), and maintaining them in the pre-final version of the instrument. This was tested in a first group of caregivers for them to point out adjustments. The suggestions were accepted by modifying three items and, afterward, the scale was tested in a second group, which did not present difficulties answering the instrument. Conclusion: The Pearlin Mastery Scale was translated and culturally adapted for Brazil, showing equivalence. However, future psychometric analyses of the instrument are required to make it available for use in this population. dementia burden health Objective Brazil Methods followed synthesis backtranslation back back-translation CVI (CVI) prefinal pre final Results researchers Subsequently backtranslated area CVI=1.0, CVI10 CVI=1.0 , 1 0 (CVI=1.0) adjustments afterward Conclusion equivalence However population (CVI CVI1 CVI=1. (CVI=1.0 CVI=1 (CVI=1. CVI= (CVI=1 (CVI=

RESUMO O senso de domínio é conceituado como um aspecto positivo do cuidado voltado às pessoas que vivem com demência, um mecanismo de enfrentamento para reduzir a sobrecarga e que pode representar um fator protetor para a saúde mental e física do cuidador. Objetivo: Traduzir e adaptar culturalmente a Pearlin Mastery Scale para o Brasil. Métodos: Estudo metodológico conduzido na Universidade Federal de São Carlos, em que foram seguidas as etapas de tradução inicial; síntese; retrotradução; revisão pelo comitê de juízes pela análise do Índice de Validade de Conteúdo (IVC); e teste da versão pré-final. Resultados: Dois especialistas traduziram a escala para o português brasileiro e definiram uma versão consensual com os pesquisadores. Posteriormente, outros dois especialistas retrotraduziram a versão consensual, que foi revisada por três juízes doutores na área, considerando todos os itens da escala como muito equivalentes (IVC=1,0), mantendo-os na versão pré-final do instrumento. Esta foi testada em um primeiro grupo de cuidadores, a fim de se apontarem adequações. As sugestões foram acatadas mediante a modificação de três itens e, depois, a escala foi testada em um segundo grupo, o qual não apresentou dificuldades em responder ao instrumento. Conclusão: A Pearlin Mastery Scale foi traduzida e adaptada culturalmente para o Brasil, demonstrando equivalência. Entretanto, análises psicométricas futuras do instrumento são necessárias para disponibilizá-lo para uso entre essa população. demência cuidador Objetivo Brasil Métodos Carlos inicial síntese retrotradução IVC (IVC) préfinal. préfinal pré final. final Resultados pesquisadores Posteriormente área IVC=1,0, IVC10 IVC=1,0 , 1 0 (IVC=1,0) mantendoos mantendo cuidadores adequações depois Conclusão equivalência Entretanto disponibilizálo disponibilizá lo população (IVC IVC1 IVC=1, (IVC=1,0 IVC=1 (IVC=1, IVC= (IVC=1 (IVC=

Resumen: Esta investigación tuvo como objetivo discutir las representaciones de lo femenino y el sexismo en las novelas literarias y su relación con una posible idealización de las relaciones románticas. Se realizó una investigación bibliográfica discutiendo sexismo, psicología, feminismo y arte, y se analizaron una novela rusa del siglo XIX, “Anna Kariênina” (Liev Tolstói, 1877/2017), y dos novelas estadounidenses del siglo XXI, “Maravilloso desastre” (Jamie McGuire, 2011) y “Romper el círculo” (Colleen Hoover, 2016), con el fin de comparar las representaciones del femenino. Se concluyó que las características sexistas en las novelas no necesariamente refuerzan el sexismo en la idealización de relaciones románticas, pero esta posibilidad existe cuando la representación es romantizada por la novela. Además, se destacaron ventajas de la presencia de criticidad en la propria novela, ya que permite sensibilizar sobre el tema. Por ello, se reafirma la importancia de cuestionar los estándares de género, especialmente entre los medios de comunicación, dados los riesgos de las relaciones guiadas por el sexismo. Resumen románticas psicología arte XIX Anna Kariênina Liev Tolstói 1877/2017, 18772017 1877/2017 , 1877 2017 1877/2017) XXI Maravilloso desastre Jamie McGuire 2011 Romper círculo Colleen Hoover 2016, 2016 2016) Además tema ello género comunicación 1877201 1877/201 187 201 187720 1877/20 18 20 18772 1877/2 1 2 1877/

Abstract: This research aimed to discuss representations of the feminine and sexism in literary novels and their relationship with a possible idealization of romantic relationships. A bibliographical research was carried out to discuss sexism, psychology, feminism and art, and a 19th century Russian novel, “Anna Karenina” (Liev Tolstói, 1877/2017), and two 21st century North American novels, “Beautiful Disaster” (Jamie McGuire, 2011) and “It Ends With Us” (Colleen Hoover, 2016) were analyzed in order to compare female representations of the feminine. It was concluded that sexist characteristics in literary novels do not necessarily reinforce sexism in the idealization of romantic relationships, but this possibility exists when the representation is romanticized by the novel. Furthermore, advantages were highlighted in the presence of criticality in the novel itself, as it makes it possible to raise awareness about the subject. Therefore, the importance of questioning gender standards is reaffirmed, especially among the media, given the risks in relationships guided by sexism. Abstract psychology art th Anna Karenina Liev Tolstói 1877/2017, 18772017 1877/2017 , 1877 2017 1877/2017) st Beautiful Disaster Jamie McGuire 2011 Us Colleen Hoover 2016 Furthermore itself subject Therefore reaffirmed media 1877201 1877/201 187 201 187720 1877/20 18 20 18772 1877/2 1 2 1877/

Resumo: Esta pesquisa pretendeu discutir representações do feminino e o sexismo em romances literários e sua relação com uma possível idealização de relacionamentos amorosos. Foi realizada uma pesquisa bibliográfica discutindo sexismo, psicologia, feminismo e arte, e foram analisados um romance russo do século XIX, “Anna Kariênina” (Liev Tolstói, 1877/2017), e dois romances norte-americanos do século XXI: “Belo Desastre” (Jamie McGuire, 2011) e “É Assim que Acaba” (Colleen Hoover, 2016), a fim de comparar as representações do feminino. Concluiu-se que as características sexistas nos romances literários não necessariamente reforçam o sexismo na idealização de relacionamentos amorosos, porém há essa possibilidade quando a representação é romantizada pela obra. Ademais, destacaram-se vantagens na presença de criticidade no próprio romance, por possibilitar a conscientização acerca do assunto. Portanto, reafirma-se a importância de questionar os padrões de gênero, especialmente entre os meios midiáticos, haja vista os riscos em relações pautadas pelo sexismo. Resumo amorosos psicologia arte XIX Anna Kariênina Liev Tolstói 1877/2017, 18772017 1877/2017 , 1877 2017 1877/2017) norteamericanos norte americanos XXI Belo Desastre Jamie McGuire 2011 É Acaba Colleen Hoover 2016, 2016 2016) Concluiuse Concluiu se obra Ademais destacaramse destacaram assunto Portanto reafirmase reafirma gênero midiáticos 1877201 1877/201 187 201 187720 1877/20 18 20 18772 1877/2 1 2 1877/

Abstract Objective: Dentistry from the Universidade Federal de Alfenas who were enrolled in the seventh period and who took the Integrated Clinic I Discipline (ICID) in the emergency remote learning model (ERLM). Material and Methods: This is a qualitative and descriptive study. The information was collected through questionnaires applied by the Professors during the ICID. Subsequently, the professor evaluated the treatment developed in virtual form by each student regarding its logical sequence and the most appropriate treatment for each case. The results of the answers were transcribed and submitted to lexicographical textual, Descending Hierarchical Classification, and Similitude analysis in the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) program. Results: The students described the online situational treatment planning in five essential steps: adequacy of the oral environment, restorative need, prosthetic need, rehabilitation by prosthesis on the implant, and corrective orthodontic treatment. Conclusion: It was observed that the students who enrolled in ICID presented well-integrated planning during ERLM, despite the COVID-19 pandemic hindering these students' contact between theoretical teaching and the integrated practices in dentistry offered by the educational institution. Objective (ICID ERLM. ERLM . (ERLM) Methods study Subsequently case textual Classification IRAMUTEQ (IRAMUTEQ program Results steps environment need implant Conclusion wellintegrated well COVID19 COVID 19 COVID-1 institution (ERLM COVID1 1 COVID-

ABSTRACT BACKGROUND: The Positive Aspects of Caregiving (PAC) scale is used to assess psychosocial benefits provided to caregivers by the task of caring. The PAC scale consists of nine items, assessed using a five-point Likert scale, with higher values indicating greater positive perceptions and gains from the caregiving experience. OBJECTIVE: To translate and culturally adapt the PAC scale for informal Brazilian caregivers of people with dementia. DESIGN AND SETTING: A methodological study was conducted at the Federal University of São Carlos. METHODS: The following stages were carried out: Translation; Synthesis of the translations; Back-translation; Evaluation by an experts’ committee; and Pre-test. RESULTS: Two independent professionals translated the PAC scale. The consensus version was obtained by merging both translations, which were back-translated into English by a third translator. The expert committee comprised three specialists in the area and project researchers. All scale items presented a Content Validity Index of 1 (CVI = 1.0), and thus remained in the pre-final version of the instrument. The instrument was pre-tested with seven caregivers of people with dementia, the majority of whom were women (57.1%), with a degree of kinship corresponding to sons/daughters (57.1%) and an average age of 55.2 (± 4.1) years. The caregivers considered it clear and understandable and made no suggestions for changes. CONCLUSION: The PAC scale was translated and culturally adapted for use by informal caregivers of people with dementia in Brazil. However, a psychometric analysis of the instrument is necessary to provide normative data for this population group. BACKGROUND (PAC caring fivepoint five point experience OBJECTIVE SETTING Carlos METHODS out Translation translations Backtranslation Back translation Back-translation experts Pretest. Pretest Pre test. test Pre-test RESULTS backtranslated back translator researchers CVI 1.0, 10 1.0 , 0 1.0) prefinal pre final pretested tested 57.1%, 571 57.1% 57 sonsdaughters sons daughters (57.1% 552 55 2 55. ± ( 4.1 41 4 years changes CONCLUSION Brazil However group 1. 57.1 5 (57.1 4. 57. (57. (57 (5

Abstract Aspergillus species can colonize and infect immunocompetent and immunocompromised hosts. Conventional fungal identification depends on microscopic analysis and microorganism medium growth. Other diagnostic methods, non-growth dependent, to invasive fungal infections, are the biomarkers that detect circulating polysaccharides, for example, 1-3-β-d-Glucan and galactomannan. Both are polysaccharides present on the external layer of fungi cell wall and can be detected in clinical samples during the growth of the fungus in the patient. This study aimed to compare the galactomannan detection of Lateral Flow Assay and Enzyme Immunoassay methods in Bronchoalveolar Lavage Fluid. The galactomannan antigen in Bronchoalveolar Lavage Fluid was measured using Enzyme Immunoassay according to the manufacturer's instructions (PLATELIA ASPERGILLUS™ BioRad) and, using a Lateral Flow Assay according to the manufacturer's instructions (Galactomannan LFA IMMY©). The 71 samples were Bronchoalveolar Lavage Fluid of patients hospitalized at Unicamp Clinical Hospital between 2019 and 2021; of these samples 12/71 (16.9 %) resulted in positive Galactomannan-Lateral Flow Assay. In contrast, Galactomannan-Enzyme Immunoassay resulted as positive in 9/71 (12.6 %) samples, a difference that showed not significant statistically (p-value = 0.36) Comparing both assays’ results identified 8 divergences between them, about 11 % of the total sample. The Sensitivity (73.3 %), Specificity (92.35 %), Positive Predictive Value (62.85 %) and Negative Predictive Value (95.15 %) of Lateral Flow Assay were calculated using the Galactomannan Enzyme Immunoassay as standard. The Lateral Flow Assay demonstrated good results when compared with the Enzyme Immunoassay. hosts nongrowth non dependent infections example 13βdGlucan βdGlucan 1 3 β d Glucan patient manufacturers manufacturer s PLATELIA ASPERGILLUS BioRad IMMY©. IMMY IMMY© . IMMY©) 7 201 2021 1271 12 12/7 16.9 169 16 9 (16. GalactomannanLateral contrast GalactomannanEnzyme 971 9/7 12.6 126 6 (12. pvalue p value 0.36 036 0 36 assays them sample 73.3 733 73 (73. %, , 92.35 9235 92 35 (92.3 62.85 6285 62 85 (62.8 95.15 9515 95 15 (95.1 standard 20 202 127 12/ 16. (16 97 9/ 12. (12 0.3 03 73. (73 92.3 923 (92. 62.8 628 (62. 95.1 951 (95. 2 (1 0. (7 92. (92 62. (62 95. (95 ( (9 (6