Abstract In the microregion of the Canastra/MG/Brazil, with the growth and recognition of artisanal cheeses, producers have gradually inserted in the market cheeses that differ from the traditional ones. This study aimed to map, identify, and characterize the production sites of the varieties of artisanal Minas cheeses of the Canastra microregion. Data were collected from Canastra cheese producers who were producing artisanal Canastra cheeses with modifications to the original recipe, which we characterize as new varieties of artisanal Canastra cheese. Geographic coordinates and primary property data were collected. Questionnaires were applied to cheese producers through semi-structured interviews and milk samples analysed. The new varieties of cheese were described and photographed. Regarding the diversity of cheeses produced, we found that moldy cheeses were produced in Medeiros (31.25%), São Roque (43.75%), Bambuí (6.25%), Delfinópolis (6.25%) and Tapiraí (12.5%). Medeiros and São Roque also produced the cheeses “Merendeirinho” and “Canastrão”, which differ from the traditional in size. In Medeiros and São Roque, we also found seasoned Merendeirinho cheese, other seasoned cheeses, and cheeses cured in wine and coffee. And only Medeiros produced a cheese cured in beer. We found that in São Roque, Delfinópolis, and Tapiraí, the production of these cheeses is continuous. In the geographical demarcation of artisanal Canastra cheese manufacturing, the cities of São Roque and Medeiros stand out, due to the diversity of varieties of traditional cheese and the number of producers. CanastraMGBrazil MG Brazil Canastra/MG/Brazil ones map identify recipe semistructured semi structured analysed photographed 31.25%, 3125 31.25% , 31 25 (31.25%) 43.75%, 4375 43.75% 43 75 (43.75%) 6.25%, 625 6.25% 6 (6.25% 12.5%. 125 12.5% . 12 5 (12.5%) “Merendeirinho Canastrão, Canastrão “Canastrão” size coffee beer continuous manufacturing out 312 31.25 3 2 (31.25% 437 43.75 4 7 (43.75% 62 6.25 (6.25 12.5 1 (12.5% “Canastrão 31.2 (31.25 43.7 (43.75 6.2 (6.2 12. (12.5 31. (31.2 43. (43.7 6. (6. (12. (31. (43. (6 (12 (31 (43 ( (1 (3 (4

Abstract Background There are few studies related to Coronavirus Disease 2019 (COVID-19) on the prevalence and nature of pain symptoms after hospital discharge, especially in individuals who develop moderate to severe disease forms. Therefore, this study aimed to evaluate the presence of chronic pain in patients discharged after hospitalization for COVID-19, and the relationship between the presence of chronic pain and intensive care stay, demographics, and risk factors for the worst Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) outcome. Methods A cross-sectional observational study was carried out on patients with COVID-19 who recovered after hospitalization. Patients were recruited at the least 3 months after discharge and their hospital's health files were prospected. The variables evaluated were demographics, the severity of SARS-CoV-2 infection (considering the need for intensive care), and the presence of chronic pain. The results were shown in a descriptive manner, and multivariate analysis expressed as Odds Ratios (ORs) and respective Confidence Intervals (CIs) for the outcomes studied. Statistical significance was set at p < 0.05. Results Of 242 individuals included, 77 (31.8%) reported chronic pain related to COVID-19, with no correlation with the severity of infection. Female sex and obesity were associated with a higher risk for chronic pain with ORs of 2.69 (Confidence Interval [95% CI 1.4 to 5.0]) and 3.02 (95% CI 1.5 to 5.9). The limbs were the most affected areas of the body. Conclusion Chronic pain is common among COVID-19 survivors treated in hospital environments. Female sex and obesity are risk factors for its occurrence. 201 COVID19 COVID 19 (COVID-19 forms Therefore COVID19, 19, stay demographics SARSCoV2 SARSCoV SARS CoV (SARS-CoV-2 outcome crosssectional cross sectional COVID-1 hospitals s prospected SARS-CoV- considering care, , care) manner (ORs CIs (CIs studied 005 0 05 0.05 24 included 7 31.8% 318 31 8 (31.8% 269 69 2.6 95% 95 [95 14 1 4 1. 5.0 50 5 5.0] 302 02 3.0 (95 15 5.9. 59 5.9 . 9 5.9) body environments occurrence 20 COVID1 (COVID-1 (SARS-CoV- COVID- SARS-CoV 00 0.0 31.8 (31.8 26 6 2. [9 5. 30 3. (9 (COVID- (SARS-CoV 0. 31. (31. [ ( (COVID (31 (3

Abstract This study aimed to present the process to develop and validate the logical model of the Contingency Plan to face COVID-19 at the University Hospital of Brasília (HUB-UnB/Ebserh). It is part of an evaluability study, with a qualitative methodology, developed in a participatory way, with those interested in the evaluation (managers and health professionals) at the hospital and was carried out between July 2020 and February 2021. All products were validated by interested parties. The validated logical model is composed of seven components and 18 activities and 109 products. The components were ‘Management’, ‘Assistance’, ‘Workforce’, ‘Surveillance’, ‘Support and Strategic Supplies’, ‘Teaching, Research and Extension’ and ‘Communication’. The culture of health assessment is of great importance to demonstrate the effectiveness and impact of interventions and support managers in decision-making. The use of logical models allows the visualization of the rationality of the intervention, presenting its operation and the link between the causal relations and its elements. COVID19 COVID 19 COVID-1 HUBUnB/Ebserh. HUBUnBEbserh HUB UnB/Ebserh . UnB Ebserh (HUB-UnB/Ebserh) methodology way professionals 202 2021 parties 1 10 ‘Management, Management ‘Management , ‘Management’ ‘Assistance, Assistance ‘Assistance ‘Assistance’ ‘Workforce, Workforce ‘Workforce ‘Workforce’ ‘Surveillance, Surveillance ‘Surveillance ‘Surveillance’ Support Supplies, Supplies Supplies’ Teaching ‘Teaching Extension ‘Communication. Communication ‘Communication ‘Communication’ decisionmaking. decisionmaking decision making. making decision-making intervention elements COVID1 COVID- HUBUnB HUBUnB/Ebserh UnBEbserh (HUB-UnB/Ebserh 20 2

Resumo Este estudo tem como objetivo apresentar o processo de elaboração e validação do modelo lógico do plano de contingência para enfrentamento da covid-19 do Hospital Universitário de Brasília (HUB-UnB/Ebserh). É parte de um estudo de avaliabilidade, de metodologia qualitativa, desenvolvido de forma participativa, com os interessados pela avaliação (gestores e profissionais de saúde) no hospital e foi realizado entre julho 2020 e fevereiro de 2021. Todos os produtos foram validados pelos interessados. O modelo lógico validado é composto por sete componentes e 18 atividades e 109 produtos. Os componentes foram ‘Gestão’, ‘Assistência’, ‘Força de Trabalho’, ‘Vigilância’, ‘Apoio e Insumos Estratégicos’, ‘Ensino, Pesquisa e Extensão’ e ‘Comunicação’. A cultura da avaliação em saúde tem grande importância para demonstrar a efetividade e o impacto das intervenções e apoiar os gestores na tomada de decisão. O uso de modelos lógicos permite a visualização da racionalidade da intervenção, apresentando seu funcionamento e o vínculo entre as relações causais e seus elementos. covid19 covid 19 covid-1 HUBUnB/Ebserh. HUBUnBEbserh HUB UnB/Ebserh . UnB Ebserh (HUB-UnB/Ebserh) avaliabilidade qualitativa participativa 202 2021 1 10 ‘Gestão, Gestão ‘Gestão , ‘Gestão’ ‘Assistência, Assistência ‘Assistência ‘Assistência’ Força Trabalho, Trabalho Trabalho’ ‘Vigilância, Vigilância ‘Vigilância ‘Vigilância’ Apoio Estratégicos, Estratégicos Estratégicos’ Ensino ‘Ensino Extensão ‘Comunicação. Comunicação ‘Comunicação ‘Comunicação’ decisão intervenção elementos covid1 covid- HUBUnB HUBUnB/Ebserh UnBEbserh (HUB-UnB/Ebserh 20 2

ABSTRACT Despite being subject to lower AIDS-related mortality rates and having a higher life expectancy, patients with HIV are more prone to develop non-AIDS events. A low CD4+/CD8+ ratio during antiretroviral therapy identifies people with heightened immune senescence and increased risk of mortality. In clinical practice, finding determinants of a low CD4+/CD8+ ratio may be useful for identifying patients who require close monitoring due to an increased risk of comorbidities and death. We performed a prospective study on the evolution of the CD4+/CD8+ ratio in 60 patients infected with HIV (80% males), who were subjected to two different antiretroviral regimens: early and deferred therapy. The initial CD4+/CD8+ ratio was ≤1 for 70% of the patients in both groups. Older age, CD4+ cell count at inclusion, Nadir CD8+T-cell count, and Initial CD4+/CD8+ ratio ≤ 1 were risk factors for lack of ratio recovery. In the multivariate analysis, a CD4+/CD8+ ratio > 1 at the start of the treatment was found to be a determinant factor in maintaining a CD4+/CD8+ ratio > 1. The nadir CD4+T-cell count was lower in the deferred therapy group (p=0.004), and the last CD4+/CD8+ ratio ≤1 was not associated with comorbidities. Ratio recovery was not associated with the duration of HIV infection, time without therapy, or absence of AIDS incidence. A greater improvement was observed in patients treated early (p=0.003). In contrast, the slope of increase was slower in patients who deferred treatment. In conclusion, the increase in the CD4+/CD8+ ratio occurred mostly for patients undergoing early strategy treatment and its extension did not seem to be related to previous HIV-related factors. AIDSrelated expectancy nonAIDS non events CD4CD8 CDCD CD4 CD8 CD CD4+/CD8 practice death 6 80% 80 (80 males, males , males) regimens 70 groups age inclusion CD8+Tcell CD8Tcell CDTcell CD8+T T analysis CD4+Tcell CD4Tcell CD4+T p=0.004, p0004 p p=0.004 0 004 (p=0.004) infection incidence p=0.003. p0003 p=0.003 . 003 (p=0.003) contrast conclusion HIVrelated CD4CD CD4+/CD 8 (8 7 Tcell CD8T CDT CD4T p000 p=0.00 00 (p=0.004 (p=0.003 ( p00 p=0.0 (p=0.00 p0 p=0. (p=0.0 p=0 (p=0. p= (p=0 (p= (p

ABSTRACT BACKGROUND: The cause of oropharyngeal dysphagia in patients with coronavirus disease (COVID-19) can be multifactorial and may underly limitations in swallowing rehabilitation. OBJECTIVE: Analyze the factors related to dysphagia in patients with COVID-19 immediately after orotracheal extubation and the factors that influence swallowing rehabilitation. DESIGN AND SETTING: A retrospective study. METHODS: The presence of dysphagia was evaluated using the American Speech-Language Hearing Association National Outcome Measurement System (ASHA NOMS) scale and variables that influenced swallowing rehabilitation in 140 adult patients who required invasive mechanical ventilation for >48 h. RESULTS: In total, 46.43% of the patients scored 1 or 2 on the ASHA NOMS (severe dysphagia) and 39.29% scored 4 (single consistency delivered orally) or 5 (exclusive oral diet with adaptations). Both the length of mechanical ventilation and the presence of neurological disorders were associated with lower ASHA NOMS scores (odds ratio [OR]: 0.80, 95% confidence interval [CI]: 0.74–0.87 P < 0.05; and OR: 0.13, 95% CI: 0.61–0.29; P < 0.05, respectively). Age and the presence of tracheostomy were negatively associated with speech rehabilitation (OR: 0.92; 95% CI: 0.87–−0.96; OR: 0.24; 95% CI: 0.80–−0.75), and acute post-COVID-19 kidney injury requiring dialysis and lower scores on the ASHA NOMS were associated with longer time for speech therapy outcomes (β: 1.62, 95% CI, 0.70–3.17, P < 0.001; β: −1.24, 95% CI: −1.55–−0.92; P < 0.001). CONCLUSION: Prolonged orotracheal intubation and post-COVID-19 neurological alterations increase the probability of dysphagia immediately after extubation. Increased age and tracheostomy limited rehabilitation. BACKGROUND COVID19 COVID 19 (COVID-19 OBJECTIVE COVID-1 SETTING study METHODS SpeechLanguage Speech Language 14 48 >4 h RESULTS total 4643 46 43 46.43 severe 3929 39 29 39.29 single orally exclusive adaptations. adaptations . adaptations) odds OR [OR] 080 0 80 0.80 95 CI [CI] 074087 74 87 0.74–0.8 0.05 005 05 013 13 0.13 0.61–0.29 061029 61 respectively. respectively respectively) (OR 0.92 092 92 0.87–−0.96 087096 96 0.24 024 24 0.80–−0.75, 080075 0.80–−0.75 , 75 0.80–−0.75) postCOVID19 postCOVID post post-COVID-1 β (β 162 62 1.62 070317 70 3 17 0.70–3.17 0.001 0001 001 124 −1.24 −1.55–−0.92 155092 55 0.001. 0.001) CONCLUSION COVID1 (COVID-1 COVID- > 464 46.4 392 39.2 [OR 08 8 0.8 9 [CI 07408 7 0.74–0. 0.0 00 01 0.1 0.61–0.2 06102 6 0.9 09 0.87–−0.9 08709 0.2 02 08007 0.80–−0.7 postCOVID1 post-COVID- 16 1.6 07031 0.70–3.1 0.00 000 12 −1.2 −1.55–−0.9 15509 (COVID- 46. 39. 0. 0740 0.74–0 0.61–0. 0610 0.87–−0. 0870 0800 0.80–−0. post-COVID 1. 0703 0.70–3. −1. −1.55–−0. 1550 (COVID 074 0.74– 0.61–0 061 0.87–−0 087 0.80–−0 070 0.70–3 −1 −1.55–−0 155 07 0.74 0.61– 06 0.87–− 0.80–− 0.70– − −1.55–− 15 0.7 0.61 0.87– 0.80– 0.70 −1.55– 0.6 0.87 −1.55 −1.5

Abstract Soil organic matter is closely linked to the quality of Agroecosystems and directly influences the agricultural production and the environmental conditions. Understanding of soil organic matter dynamics in agroforestry systems requires studies with a temporal focus, since the changes in its chemical composition tend to follow a gradual behavior. The aim of this study was to investigate the dynamics of changes in stocks and chemical composition of soil organic matter under agroforestry, using systems in different stages of vegetation succession. The soil sampling was carried out from trenches, and litter fractions were also sampled. The samples were collected from different layers of the soil profile under the following conditions: Control; agroforestry with 1 year; agroforestry with 3 years; agroforestry with 7 years and Forest in natural regeneration. The following attributes/parameters were determined/calculated: i) C and N contents and stocks and C/N ratio; ii) C and N proportions in soil granulometric fractions and iii) kinetics of organic matter accumulation in soil with the time of systems evolution. The results showed: i) The C/N ratio tended to increase in depth but did not show a clear variation between the systems evaluated; ii) the adoption of successive agroforestry practices has the potential to increase the C and N stocks in soil; iii) the soil organic matter accumulation occurs gradually during the systems evolution and is mainly related to the particulate fraction (> 0.053 mm). conditions focus behavior succession trenches sampled Control year regeneration attributesparameters attributes parameters determined/calculated determinedcalculated determined calculated i CN ii iii showed evaluated > ( 0053 0 053 0.05 mm. mm . mm) 005 05 0.0 00 0.

Abstract Objective: To evaluate and compare the sexual function and pelvic floor muscles (PFM) function of women with endometriosis and chronic pelvic pain (CPP) with and without Myofascial Pelvic Pain Syndrome (MPPS). Methods: Cross-sectional study conducted between January 2018 and December 2020. Women with deep endometriosis underwent assessments for trigger points (TP) and PFM function using the PERFECT scale. Electromyographic activity (EMG) and sexual function through Female Sexual Function Index (FSFI) were assessed. Statistical analyses included chi-square and Mann-Whitney tests. Results: There were 46 women. 47% had increased muscle tone and 67% related TP in levator ani muscle (LAM). Weakness in PFM, with P≤2 was noted in 82% and P≥3 in only 17%. Incomplete relaxation of PFM presented in 30%. EMG results were resting 6.0, maximal voluntary isometric contraction (MVIC) 61.9 and Endurance 14.2; FSFI mean total score 24.7. We observed an association between increased muscle tone (P<.001), difficulty in relaxation (P=.019), and lower Endurance on EMG (P=.04) in women with TP in LAM. Participants with TP presented lower total FSFI score (P=.02). TP in the right OIM presented increased muscle tone (P=.01). TP in the left OIM presented lower values to function of PFM by PERFECT (P=.005), and in MVIC (P=.03) on EMG. Conclusion: Trigger points (TP) in pelvic floor muscles (PFM) and obturator internus muscle (OIM) correlates with poorer PFM and sexual function, particularly in left OIM TP cases. Endometriosis and chronic pelvic pain raise muscle tone, weaken muscles, hinder relaxation, elevate resting electrical activity, lower maximum voluntary isometric contraction, and reduce PFM endurance. Objective (PFM CPP (CPP MPPS. MPPS . (MPPS) Methods Crosssectional Cross sectional 201 2020 (TP scale (EMG (FSFI assessed chisquare chi square MannWhitney Mann Whitney tests Results 4 47 67 LAM (LAM) P2 P 2 P≤ 82 P3 3 P≥ 17 17% 30 30% 60 6 0 6.0 (MVIC 619 61 9 61. 14.2 142 14 247 24 7 24.7 P<.001, P001 P<.001 , 001 (P<.001) P=.019, P019 P=.019 019 (P=.019) P=.04 P04 04 (P=.04 P=.02. P02 P=.02 02 (P=.02) P=.01. P01 P=.01 01 (P=.01) P=.005, P005 P=.005 005 (P=.005) P=.03 P03 03 (P=.03 Conclusion (OIM cases endurance (MPPS 20 202 (LAM 8 1 6. 14. 24. P00 P<.00 00 (P<.001 (P=.019 P=.0 P0 (P=.0 (P=.02 (P=.01 P=.00 (P=.005 P<.0 (P<.00 P=. (P=. (P=.00 P<. (P<.0 P= (P= P< (P<. (P (P<

Abstract The adaptations of plants to different environments are closely related to their wood anatomical traits. This study investigated the wood anatomy of a montane forest community and compared it with anatomical data from three other areas in the Atlantic Forest biome (montane and lowland forest). Samples from 23 montane forest species were processed and analyzed according to standard wood anatomy techniques. Quantitative xylem traits were measured and conductivity parameters were calculated. Wood anatomical data for 76 species from other areas were obtained from previous studies and incorporated into the analyses. Shared wood features indicated ecological trends related to the forest formations. Species of the sampled montane forest were discriminated into groups based on their qualitative and quantitative features, especially those related to ray and xylem conduction traits. Hydraulic traits were also important for distinguishing forest communities along the altitudinal gradient. The montane forest communities had lower conductivity and higher hydraulic safety than the lowland forest community. Apart from these differences, all the studied communities are in the Atlantic Forest biome and present traits related to high hydraulic efficiency and vulnerability, as expected for this tropical region. forest. . forest) 2 techniques calculated 7 analyses formations gradient differences vulnerability region

Resumo As adaptações das plantas aos diferentes ambientes estão intimamente relacionadas aos atributos anatômicos da madeira. Este estudo investigou a anatomia da madeira de uma comunidade de floresta montana e comparou-a com dados anatômicos de outras três áreas do bioma Mata Atlântica (floresta montana e floresta de terras baixas). Amostras de 23 espécies da floresta montana foram processadas e analisadas de acordo com técnicas padrão de anatomia da madeira. Atributos quantitativos do xilema foram medidos e parâmetros de condutividade foram calculados. Dados anatômicos da madeira de 76 espécies de outras áreas foram obtidos de estudos anteriores e incorporados às análises. As características compartilhadas da madeira indicaram tendências ecológicas relacionadas às formações florestais. Espécies amostradas da floresta montana foram discriminadas em grupos com base em suas características qualitativas e quantitativas, especialmente aquelas relacionadas aos raios e a condução Atributos hidráulicos foram importantes para distinguir as comunidades florestais no gradiente altitudinal. As comunidades da floresta montana tiveram menor condutividade e maior segurança hidráulica do que a comunidade da floresta de terras baixas. Apesar dessas diferenças, todas as comunidades estudadas estão na Mata Atlântica e apresentam alta eficiência hidráulica e vulnerabilidade, como esperado para esta região tropical. comparoua comparou baixas . baixas) 2 calculados 7 análises quantitativas altitudinal diferenças vulnerabilidade tropical

ABSTRACT Background: Budd-Chiari syndrome (BCS) results from the obstruction of the hepatic venous flow, usually at the level of the hepatic vein or inferior vena cava. When left untreated, it can progress with several complications, including liver cirrhosis. Transjugular intrahepatic portosystemic shunt (TIPS) appears to be effective in a subgroup of BCS patients. Objective: To perform a systematic review and meta-analysis of TIPS effectiveness in BCS treatment, considering the survival rate, reduction in portosystemic pressure, need for liver transplantation, technical failure, and shunt dysfunction for up to 10 years of follow-up. Methods: We evaluated 17 studies published in PubMed, Science Direct, Web of Science, and SCOPUS databases, which used TIPS as a treatment for BCS, comprising 618 subjects between 18 and 78 years old. We assessed the bias risk by the NOS, NHI, and JBI scales for cohort studies, before-after studies, and case series, respectively. We conducted the meta-analyses by extracting the number of events and the total patients evaluated to perform the proportion meta-analyses using the R software (“meta” package - version 4.9-6). Results: The pooled results (95%CI) showed a 19% (25.9-12.5%) rate of portosystemic pressure reduction, 6% (1-12%) rate for the need for liver transplants despite the use of TIPS, 2% (1-6%) technical failure rate, 30% (18-46%) shunt dysfunction rate, and 88% (81-93%) for the mean frequency of patients alive between 1 and 10 years after the procedure. We stratified survival rate and found an 86% (74-93%) prevalence of living subjects during less than five years, 92% (83-97%) at five years, and a 77% frequency (68-83%) of patients alive ten years after the TIPS placement. Conclusion: TIPS is an effective treatment for BCS, providing a high 10-year frequency of living patients and a significant decrease in portosystemic pressure. The need for liver transplants after TIPS and the technical failure rate is low. Background BuddChiari Budd Chiari (BCS flow cava untreated complications cirrhosis (TIPS Objective metaanalysis meta analysis transplantation followup. followup follow up. follow-up Methods PubMed Direct databases 61 7 old NOS NHI beforeafter before series respectively metaanalyses analyses (“meta 4.96. 496 4.9 6 . 4 9 4.9-6) Results 95%CI 95CI CI 95 (95%CI 19 25.912.5% 259125 25.9 12.5% 25 12 5 (25.9-12.5% 112% 112 12% (1-12% 2 16% 16 (1-6% 30 1846% 1846 46% 46 (18-46% 88 8193% 8193 81 93% 93 (81-93% procedure 86 7493% 7493 74 (74-93% 92 8397% 8397 83 97% 97 (83-97% 77 6883% 6883 68 83% (68-83% placement Conclusion 10year year low 96 4.96 49 4. 4.9-6 912 25.912.5 25912 259 25. 125 12.5 (25.9-12.5 11 (1-12 (1-6 3 184 (18-46 8 819 (81-93 749 (74-93 839 (83-97 688 (68-83 4.9- 91 25.912. 2591 12. (25.9-12. (1-1 (1- (18-4 (81-9 (74-9 (83-9 (68-8 25.912 (25.9-12 (1 (18- (81- (74- (83- (68- 25.91 (25.9-1 ( (18 (81 (74 (83 (68 (25.9- (8 (7 (6 (25.9 (25. (25 (2

RESUMO Contexto: A síndrome de Budd-Chiari (SBC) é resultante da obstrução do fluxo venoso hepático, usualmente no nível da veia hepática ou da veia cava inferior. Quando não tratada, pode evoluir com complicações, incluindo a cirrose hepática. O tratamento com TIPS parece ser eficaz em um subgrupo de pacientes. Objetivo: Realizar uma revisão sistemática e meta-análise da eficácia do TIPS no tratamento da síndrome de Budd-Chiari, considerando sobrevida, redução de pressão portossistêmica, necessidade de transplante hepático, falha técnica e disfunção no shunt em 10 anos de seguimento. Métodos: Foram avaliados 17 estudos publicados nas bases de dados PubMed, Science direct, Web of Science e SCOPUS, que utilizaram TIPS como tratamento da SBC, correspondendo a um total de 618 pacientes, entre 18 e 78 anos. O risco de viés foi avaliado pelas escalas de NOS, NHI e JBI, para estudos de coorte, antes e depois e séries de casos, respectivamente. As meta-análises foram conduzidas, extraindo o número de eventos e o total de pacientes avaliados para realizar as meta-análises de proporções usando o software R, com o pacote “meta” (versão 4.9-6). Resultados: Os resultados agrupados (IC de 95%) foram de 19% (25,9-12,5%) para a taxa de redução da pressão portossistêmica, 6% (1-12%) para a taxa de necessidade de transplantes hepáticos a despeito do uso do TIPS, 2% (1-6%) para a taxa de falha técnica, 30% (18-46%) para a taxa de disfunção do shunt e 88% (81-93%) para a sobrevida entre 1 e 10 anos depois do procedimento. Estratificando essa sobrevida, foi detectada 86% (74-93%) no período menor do que 5 anos, 92% (83-97%) com 5 anos, e 77% (68-83%) de frequência de pacientes vivos 10 anos após a realização do TIPS. Conclusão: O TIPS é um tratamento eficaz para a SBC, proporcionando elevada sobrevida em 10 anos e uma diminuição significativa da pressão portossistêmica. A necessidade de transplantes de fígado após TIPS e a taxa de falha técnica são baixas. Contexto BuddChiari Budd Chiari SBC (SBC hepático inferior tratada complicações Objetivo metaanálise meta análise BuddChiari, Chiari, portossistêmica seguimento Métodos PubMed direct SCOPUS 61 7 NOS JBI coorte casos respectivamente metaanálises análises conduzidas R “meta versão 4.96. 496 4.9 6 . 4 9 4.9-6) Resultados IC 95% 95 19 25,912,5% 259125 25,9 12,5% 25 12 (25,9-12,5% 112% 112 12% (1-12% 2 16% 16 (1-6% 30 1846% 1846 46% 46 (18-46% 88 8193% 8193 81 93% 93 (81-93% procedimento 86 7493% 7493 74 (74-93% 92 8397% 8397 83 97% 97 (83-97% 77 6883% 6883 68 83% (68-83% Conclusão baixas 96 4.96 49 4. 4.9-6 912 25,912,5 25912 259 25, 125 12,5 (25,9-12,5 11 (1-12 (1-6 3 184 (18-46 8 819 (81-93 749 (74-93 839 (83-97 688 (68-83 4.9- 91 25,912, 2591 12, (25,9-12, (1-1 (1- (18-4 (81-9 (74-9 (83-9 (68-8 25,912 (25,9-12 (1 (18- (81- (74- (83- (68- 25,91 (25,9-1 ( (18 (81 (74 (83 (68 (25,9- (8 (7 (6 (25,9 (25, (25 (2

ABSTRACT: This research aimed to understand the challenges and possibilities of translation and storytelling in the Brazilian Sign Language (known by the acronym LIBRAS) of the stories present in the book O homem que calculava [The man who counted] by the Brazilian modernist writer Malba Tahan. This is a qualitative investigation that focused on the audiovisual translation process of the stories present in the book, on the adaptations made in its narratives, the preparation resources for the production and editing of the videos, the implementation of graphic and visual resources and, finally, its dissemination as a research product. The analyzes indicate the didactic potential that emerges in the interaction between those involved in the process of translating the stories: teachers, interpreters and students (deaf and hearing), enabling forms of artistic expression that explore the inherent visuality of sign language combined with graphic resources, taking the narratives as a central element for the creative development anchored in the teaching of Mathematics through the reading and interpretation of stories. ABSTRACT known LIBRAS counted Tahan videos finally product teachers deaf hearing, hearing , hearing)

RESUMO: Esta pesquisa teve por objetivo compreender os desafios e as possibilidades de tradução e contação em Língua Brasileira de Sinais (Libras) das histórias presentes no livro O homem que Calculava, do escritor modernista brasileiro Malba Tahan. Tratase de uma investigação qualitativa que se debruçou sobre o processo de tradução audiovisual das histórias presentes no livro, as adaptações feitas em suas narrativas, os recursos de preparação para a produção e edição dos vídeos, a implementação de recursos gráficos e visuais e, por fim, sua divulgação como produto da pesquisa. As análises indicam o potencial didático que emerge na interação entre os envolvidos no processo de tradução das histórias: professores, intérpretes e discentes (surdo e ouvinte), possibilitando formas de expressão artísticas que exploram a visualidade inerente da língua de sinais aliada a recursos gráficos, tomando as narrativas como elemento central para o desenvolvimento criativo ancorado no ensino da Matemática por meio da leitura e da interpretação de histórias. RESUMO Libras (Libras Calculava Tahan vídeos fim professores surdo ouvinte, ouvinte , ouvinte)

RESUMEN Objetivos: evaluar la tendencia de las cesáreas, en el período de 2014 a 2020, en los sectores público y privado según la Clasificación de Robson. Métodos: estudio de serie temporal de la proporción de mujeres que tuvieron cesáreas entre 2014 y 2020, considerando la clasificación de Robson y el tipo de servicio. Para el análisis de tendencia, se utilizó la regresión de Prais-Winsten. Resultados: se observaron mayores proporciones de cesáreas en todos los grupos de Robson en el sector privado en comparación con el público, incluso con una tendencia a la reducción en el privado y un aumento en el público. También se registraron proporciones elevadas de cesáreas en grupos favorables al parto normal (Robson 1, 4 y 5). Conclusiones: a pesar de la tendencia a la reducción de las cesáreas en el sector privado, hubo una tendencia creciente en el público y una elevada proporción de cesáreas en mujeres con condiciones favorables al parto normal. Se destaca la necesidad de monitorear estos indicadores para evaluar y proponer intervenciones para la reducción de cesáreas innecesarias. Objetivos 201 2020 Métodos servicio PraisWinsten. PraisWinsten Prais Winsten. Winsten Prais-Winsten Resultados 1 5. 5 . 5) Conclusiones innecesarias 20 202 2

RESUMO Objetivos: avaliar a tendência de cesáreas, no período de 2014 a 2020, nos setores público e privado segundo a Classificação de Robson. Métodos: estudo de série temporal da proporção de mulheres que tiveram cesáreas entre 2014 e 2020, considerando a classificação de Robson e o tipo de serviço. Para análise de tendência, utilizou-se a regressão de Prais-Winsten. Resultados: observaram-se maiores proporções de cesáreas em todos os grupos de Robson no setor privado em relação ao público, mesmo com tendência de redução no privado e aumento no público. Também foram registradas elevadas proporções de cesáreas em grupos favoráveis ao parto normal (Robson 1, 4 e 5). Conclusões: apesar da tendência de redução das cesáreas no setor privado, houve tendência crescente no público e elevada proporção de cesáreas em mulheres com condições favoráveis ao parto normal. Ressalta-se a necessidade de monitorar esses indicadores para avaliar e propor intervenções para a redução de cesáreas desnecessárias. Objetivos 201 2020 Métodos serviço utilizouse utilizou se PraisWinsten. PraisWinsten Prais Winsten. Winsten Prais-Winsten Resultados observaramse observaram 1 5. 5 . 5) Conclusões Ressaltase Ressalta desnecessárias 20 202 2

ABSTRACT Objectives: to evaluate the trends in cesarean sections from 2014 to 2020 across both public and private sectors, utilizing the Robson Classification. Methods: this time series study analyzed the proportion of women who underwent cesarean sections between 2014 and 2020, considering both the Robson classification and the type of healthcare service. Trend analysis was conducted using the Prais-Winsten regression. Results: higher proportions of cesarean sections were observed in all Robson groups within the private sector compared to the public sector. This was despite a decreasing trend in the private sector and an increasing trend in the public sector. Notably, elevated proportions of cesarean sections were recorded in groups that are typically favorable to normal childbirth (Robson 1, 4, and 5). Conclusions: although there was a decreasing trend in cesarean sections within the private sector, an increasing trend was observed in the public sector. Additionally, there was a high proportion of cesarean sections among women with conditions favorable to normal childbirth. It is crucial to continuously monitor these indicators to evaluate and implement interventions aimed at reducing unnecessary cesarean sections. Objectives 201 202 sectors Classification Methods service PraisWinsten Prais Winsten regression Results Notably 1 4 5. 5 . 5) Conclusions Additionally 20 2

Resumo Objetivou-se analisar os processos críticos, protetores e destrutivos do trabalho de 34 mulheres das águas nos municípios de Cabo de Santo de Agostinho e Ipojuca (PE), de fevereiro de 2021 a agosto de 2022. As etapas do processo de trabalho foram sistematizadas pelo fluxograma do trabalho e organizadas na matriz de processos críticos de Breilh. Os processos destrutivos, no domínio geral, foram: injustiça e vulnerabilização socioambiental como modelo de desenvolvimento econômico, o Complexo Industrial Portuário de Suape, o desastre-crime de petróleo ocorrido em 2019, a pandemia de COVID-19 e dificuldade de acesso às políticas públicas; no particular: jornadas e sobrecargas de trabalho, uso de equipamentos e ferramentas rudimentares e relações desiguais de gênero, classe e raça; no singular: adoecimentos físicos, mentais e mortes. Os processos protetores, no domínio geral: os objetivos de desenvolvimento sustentável, políticas públicas de saúde e assistência social; no particular: trabalho e beneficiamento em grupo, consumo para subsistência; no singular: a pesca como processo terapêutico, prazeroso e de partilha. O estudo destacou os problemas centrais das mulheres das águas e a necessidade do estabelecimento de políticas públicas voltadas ao seu cuidado. Objetivouse Objetivou se 3 PE, PE , (PE) 202 2022 Breilh geral econômico Suape desastrecrime desastre crime 2019 COVID19 COVID 19 COVID-1 particular gênero raça singular físicos mortes sustentável social grupo subsistência terapêutico partilha cuidado (PE 20 201 COVID1 1 COVID- 2

Abstract This study aims to analyze the protective and destructive critical processes of 34 water women in the municipalities of Cabo de Santo de Agostinho and Ipojuca, Pernambuco, Brazil, from February/21 to August/22. The work process stages were systematized by the work flowchart, and we employed Breilh’s critical processes matrix to organize the data. The destructive processes identified in the general domain were injustice and socio-environmental vulnerability, such as the economic development model, the Suape Industrial Port Complex, the 2019 oil spill crime disaster, the COVID-19 pandemic, and the difficult access to public policies; in the particular domain: overloads and extended working hours, use of rudimentary equipment and tools, and unequal gender, class, and race relationships; in the singular domain: physical and mental illnesses and deaths. The protective processes identified in the general domain were sustainable development objectives, public health, and social assistance policies; in the particular domain, group work and processing, consumption for subsistence; in the singular domain, fishing as a therapeutic, pleasurable, and sharing process. The study highlighted the central issues of the water women and the need to establish public policies targeting their care. 3 Ipojuca Pernambuco Brazil February21 February 21 February/2 August22 August 22 August/22 flowchart Breilhs Breilh s data socioenvironmental socio environmental vulnerability model Complex 201 disaster COVID19 COVID 19 COVID-1 pandemic hours tools gender class relationships deaths objectives health processing subsistence therapeutic pleasurable care February2 2 February/ August2 August/2 20 COVID1 1 COVID- August/