ABSTRACT This article presents the profile of graduates, the effects of training, and the professional trajectory of the Professional Master’s Course in Public Health graduates at the Aggeu Magalhaes Institute. Of the 99 invited graduates who completed the program between 2013-2020, 54 responded to a questionnaire applied through the Lime Survey software. The descriptive and cross-sectional study used absolute and relative frequency cross-tabulation variables in the analysis, with the instrument covering the following themes: identification of the graduate and program/course; professional activity before and at the end of the program and expectations; current employment status and formation effects; evaluation of the formative trajectory. Among the respondents, most are female, aged between 31-40 years, trained as nurses, self-declared as black or brown-skinned, not having a disability, predominantly residing in Pernambuco, and did not enter through a quota system. As an effect on their professional life, it was found that the program increased prestige/recognition among colleagues, qualified them for activities they were already performing and also different activities, and brought salary increases leading to changes in personal and professional lives. The results are consistent with scientific findings in the same context, and the tool developed by FIOCRUZ made it possible to understand the relationship between education and work.

RESUMO Este artigo apresenta perfil dos egressos, efeitos da formação e trajetória profissional dos concluintes do Curso de Mestrado Profissional em Saúde Pública, do Instituto Aggeu Magalhães, parte de pesquisa avaliativa em desenvolvimento. Dos 99 egressos convidados que concluíram seus cursos entre 2013-2020, 54 responderam a um questionário aplicado por meio do software Lime Survey. O estudo descritivo e transversal utilizou frequência absoluta e relativa e cruzamento de variáveis na análise, cujo instrumento constou dos temas: identificação do egresso e do programa/curso; atividade profissional antes e ao término do curso e expectativas; condição empregatícia atual e efeitos da formação; avaliação da trajetória formativa. Entre os respondentes, a maioria é do sexo feminino, com idade entre 31-40 anos, enfermeiros de formação, autodeclarados pretos ou pardos, não ser pessoa com deficiência, predominantemente residentes em Pernambuco e não ingressaram mediante cota. Como efeito na vida profissional, encontrou-se que o curso aumentou o prestígio/reconhecimento dos colegas, qualificou para atividades que já exerciam e para atividades diferentes, e trouxe ganhos de remuneração, proporcionando mudanças na vida pessoal e profissional. Os resultados estão em conformidade com achados científicos desse mesmo contexto, e a ferramenta desenvolvida pela Fiocruz permitiu conhecer a relação entre formação e trabalho.

RESUMO Este artigo apresenta perfil dos egressos, efeitos da formação e trajetória profissional dos concluintes do Curso de Mestrado Profissional em Saúde Pública, do Instituto Aggeu Magalhães, parte de pesquisa avaliativa em desenvolvimento. Dos 99 egressos convidados que concluíram seus cursos entre 2013-2020, 54 responderam a um questionário aplicado por meio do software Lime Survey. O estudo descritivo e transversal utilizou frequência absoluta e relativa e cruzamento de variáveis na análise, cujo instrumento constou dos temas: identificação do egresso e do programa/curso; atividade profissional antes e ao término do curso e expectativas; condição empregatícia atual e efeitos da formação; avaliação da trajetória formativa. Entre os respondentes, a maioria é do sexo feminino, com idade entre 31-40 anos, enfermeiros de formação, autodeclarados pretos ou pardos, não ser pessoa com deficiência, predominantemente residentes em Pernambuco e não ingressaram mediante cota. Como efeito na vida profissional, encontrou-se que o curso aumentou o prestígio/reconhecimento dos colegas, qualificou para atividades que já exerciam e para atividades diferentes, e trouxe ganhos de remuneração, proporcionando mudanças na vida pessoal e profissional. Os resultados estão em conformidade com achados científicos desse mesmo contexto, e a ferramenta desenvolvida pela Fiocruz permitiu conhecer a relação entre formação e trabalho. Pública Magalhães desenvolvimento 9 20132020, 20132020 2013 2020, 2020 2013-2020 5 Survey análise temas programa/curso programacurso programa expectativas formativa respondentes feminino 3140 31 40 31-4 anos pardos deficiência cota encontrouse encontrou se prestígioreconhecimento prestígio reconhecimento colegas diferentes remuneração contexto trabalho 2013202 201 202 2013-202 314 3 4 31- 201320 20 2013-20 20132 2 2013-2 2013-

ABSTRACT This article presents the profile of graduates, the effects of training, and the professional trajectory of the Professional Master’s Course in Public Health graduates at the Aggeu Magalhaes Institute. Of the 99 invited graduates who completed the program between 2013-2020, 54 responded to a questionnaire applied through the Lime Survey software. The descriptive and cross-sectional study used absolute and relative frequency cross-tabulation variables in the analysis, with the instrument covering the following themes: identification of the graduate and program/course; professional activity before and at the end of the program and expectations; current employment status and formation effects; evaluation of the formative trajectory. Among the respondents, most are female, aged between 31-40 years, trained as nurses, self-declared as black or brown-skinned, not having a disability, predominantly residing in Pernambuco, and did not enter through a quota system. As an effect on their professional life, it was found that the program increased prestige/recognition among colleagues, qualified them for activities they were already performing and also different activities, and brought salary increases leading to changes in personal and professional lives. The results are consistent with scientific findings in the same context, and the tool developed by FIOCRUZ made it possible to understand the relationship between education and work. training Masters Master s Institute 9 20132020, 20132020 2013 2020, 2020 2013-2020 5 software crosssectional cross sectional crosstabulation tabulation analysis themes program/course programcourse course expectations respondents female 3140 31 40 31-4 years nurses selfdeclared self declared brownskinned, brownskinned brown skinned, skinned brown-skinned disability Pernambuco system life prestigerecognition prestige recognition colleagues lives context work 2013202 201 202 2013-202 314 3 4 31- 201320 20 2013-20 20132 2 2013-2 2013-

Abstract Objectives The primary objective was to evaluate Liver-Related Events (LREs), including hepatic decompensation (ascites, hemorrhagic varices and encephalopathy) and Hepatocellular Carcinoma (HCC), as well as changes in liver stiffness during the follow-up period among patients who achieved a Sustained Virological Response (SVR) after treatment for chronic Hepatitis C Virus (HCV) infection. Methods A total of 218 patients with HCV were treated, and those who achieved an SVR were followed up for 3-years. Transient Elastography (TE) using FibroScan® was performed at various time points: before treatment, at the end of treatment, at 6-months post-treatment, at 1-year post-treatment, at 2-years post-treatment, and at 3-years post-treatment. Results At 6-months post-treatment, a Liver Stiffness Measurement (LSM) cutoff of > 19 KPa was identified, leading to a 14.5-fold increase in the hazard of negative outcomes, including decompensation and/or HCC. The analysis of relative changes in liver stiffness between pre-treatment and 6-months posttreatment revealed that a reduction in LSM of -10 % was associated with a -12 % decrease in the hazard of decompensation and/or HCC, with this trend continuing as the LSM reduction reached -40 %, resulting in a -41 % hazard of decompensation and/or HCC. Conversely, an increase in the relative change during this period, such as an LSM increase of +10 %, led to a + 14 % increase in the hazard of decompensation. In cases where this relative change in LSM was +50 %, the hazard of decompensation increased to +92. Conclusion Transient elastography using FibroScan® can be a good tool for monitoring HCV patients with SVR after treatment to predict LREs in the long term. LiverRelated Related LREs, , (LREs) ascites, ascites (ascites encephalopathy HCC (HCC) followup follow (SVR (HCV infection 21 treated 3years. 3years years 3 years. TE (TE FibroScan points 6months months 6 posttreatment, post post-treatment 1year year 1 2years 2 posttreatment. treatment. (LSM identified 14.5fold 145fold fold 14.5 5 outcomes andor or pretreatment pre 10 -1 12 40 -4 41 Conversely +1 50 +5 92 +92 term (LREs (HCC 5fold 145 14. - 4 9 +9

Abstract Objective The video otoscope has already proven to be useful for the diagnosis of several pathologies, so the objective of this study was to evaluate the diagnostic accuracy of the video otoscope in cases of tympanic membrane perforation. Methods This is a diagnostic accuracy study performed at the hearing health division of a tertiary-level referral hospital. Patients older than 8 years of age who had any symptom that could be related to perforation (otalgia, otorrhea, tinnitus, and/or hypoacusis) were invited to participate in the study. Participants were evaluated by three different diagnostic methods (otomicroscope, conventional otoscope, and video otoscope) performed by three different evaluators in a blind fashion. The microscope was considered the reference standard. Results 176 patients were evaluated, totaling 352 tympanic membranes. Twenty-seven tympanic membrane perforations were diagnosed by the microscope, a prevalence of 7.7%. The video otoscope showed a sensitivity of 85.2% (95% CI 81.5%‒88.9%), specificity of 98.1% (95% CI 96.7%‒99.5%) and accuracy of 97.1% (95% CI 95.4 %-98.8 %). The conventional otoscope showed a sensitivity of 96.3% (95% CI 94.3-98.3), specificity of 98.8% (95% CI 97.7-99.9) and accuracy of 98.6% (95% CI 97.4-99.8). The Kappa value between the microscope and the video otoscope was 0.8 and between the microscope and the conventional otoscope was 0.9. Regarding the participants' perception, 53.4% (p < 0.001) considered the video otoscope as the best method for understanding the tympanic membrane condition presented by them. Conclusions The video otoscope showed relevant sensitivity and specificity for clinical practice in the diagnosis of tympanic membrane perforation. Moreover, this is an equipment that can facilitate the patient's understanding of the otologic pathology presented by him/her. In this regard, this method may be important for better patient compliance, requiring further studies to evaluate this hypothesis. Level of evidence Is this diagnostic or monitoring test accurate? (Diagnosis)—Level 2 (Individual cross-sectional studies with consistently applied reference standard and blinding). pathologies tertiarylevel tertiary level hospital otalgia, otalgia (otalgia otorrhea tinnitus andor hypoacusis otomicroscope, otomicroscope (otomicroscope fashion 17 35 membranes Twentyseven Twenty seven 77 7 7.7% 852 85 85.2 95% 95 (95 81.5%‒88.9%, 815889 81.5%‒88.9% , 81 5 88 9 81.5%‒88.9%) 981 98 1 98.1 96.7%‒99.5% 967995 96 99 971 97 97.1 954 4 95. %98.8 988 % 98.8 %-98. %. . %) 963 3 96.3 94.398.3, 943983 94.3 98.3 94 94.3-98.3) 97.799.9 977999 97.7 99.9 97.7-99.9 986 6 98.6 97.499.8. 974998 97.4 99.8 97.4-99.8) 08 0 0. 09 0.9 participants perception 534 53 53.4 p 0.001 0001 001 them Moreover s himher him her him/her regard compliance hypothesis accurate DiagnosisLevel Diagnosis Individual crosssectional cross sectional blinding. blinding blinding) 7.7 85. (9 81588 81.5%‒88.9 98. 96.7%‒99.5 96799 97. %98. %-98 96. 398 94.398.3 94398 943 94. 983 94.3-98.3 799 97.799. 97799 977 999 99. 97.7-99. 499 97.499.8 97499 974 998 97.4-99.8 53. 0.00 000 00 7. ( 8158 81.5%‒88. 96.7%‒99. 9679 %98 %-9 39 94.398. 9439 94.3-98. 79 97.799 9779 97.7-99 49 97.499. 9749 97.4-99. 0.0 815 81.5%‒88 96.7%‒99 967 %9 %- 94.398 94.3-98 97.79 97.7-9 97.499 97.4-99 81.5%‒8 96.7%‒9 94.39 94.3-9 97.7- 97.49 97.4-9 81.5%‒ 96.7%‒ 94.3- 97.4- 81.5% 96.7% 81.5 96.7 81.

This work describes the multigram-scale synthesis of the building-block N1 (7 chloroquinolin-4-yl)ethane-1,2-diamine via sonochemistry and its use in the synthesis of seven new quinoline-thiazole hybrids endowed with interesting anticancer activity. Target compounds were planned based on the drugs chloroquine and primaquine and the desired thiazoles were obtained through the Hantzsch thiazole synthesis, without the use of catalysts, by reacting key intermediate 1-(2-((7-chloroquinolin-4-yl)amino)ethyl)thiourea, obtained in two-steps from N1 (7-chloroquinolin-4-yl)ethane-1,2-diamine, with different 2-bromoacetophenones. The novel molecules were assessed against four different leukemia cell lines (HL60, K562, KASUMI-1, and KG-1) plus normal fibroblasts (L929), using the 3-(4,5-dimethyl-2-thiazol)-2,5-diphenyl-2H-tetrazolium bromide (MTT) assay, and showed, overall, a high cytotoxic profile, but with interesting selectivity index, especially against K562 cells (1.89 to 5.50), when compared to standard doxorubicin (3.51). Docking studies suggest that all tested derivatives are able to interact with BCR-ABL1 tyrosine kinase enzyme, and, therefore, these molecules may be promising leads against chronic myeloid leukemia. multigramscale multigram scale buildingblock building block N 7 ( chloroquinolin4ylethane1,2diamine chloroquinolin4ylethane12diamine chloroquinolinylethanediamine chloroquinolin 4 yl ethane 1,2 diamine 1 2 quinolinethiazole quinoline activity catalysts 127chloroquinolin4ylaminoethylthiourea, 127chloroquinolin4ylaminoethylthiourea chloroquinolinylaminoethylthiourea amino ethyl thiourea, thiourea 1-(2-((7-chloroquinolin-4-yl)amino)ethyl)thiourea twosteps two steps 7chloroquinolin4ylethane1,2diamine, 7chloroquinolin4ylethane12diamine diamine, (7-chloroquinolin-4-yl)ethane-1,2-diamine 2bromoacetophenones. 2bromoacetophenones bromoacetophenones bromoacetophenones. 2-bromoacetophenones HL60, HL60 HL (HL60 K KASUMI1, KASUMI1 KASUMI 1, KASUMI-1 KG1 KG KG-1 L929, L929 L , (L929) 34,5dimethyl2thiazol2,5diphenyl2Htetrazolium 345dimethyl2thiazol25diphenyl2Htetrazolium dimethylthiazoldiphenylHtetrazolium 3 4,5 dimethyl thiazol 2,5 diphenyl 2H tetrazolium 5 H MTT (MTT assay showed overall profile index K56 1.89 189 89 (1.8 5.50, 550 5.50 50 5.50) 3.51. 351 3.51 . 51 (3.51) BCRABL1 BCRABL BCR ABL1 ABL BCR-ABL enzyme therefore chloroquinolin4ylethane1 2diamine ylethane 12 ylaminoethylthiourea 7chloroquinolin4ylethane1 7chloroquinolin4ylethane1,2diamine HL6 (HL6 KASUMI- KG- L92 (L929 34 5dimethyl2thiazol2 5diphenyl2Htetrazolium Htetrazolium 45 4, 25 2, K5 1.8 18 8 (1. 55 5.5 35 3.5 (3.51 chloroquinolinylethane chloroquinolin4ylethane 7chloroquinolin4ylethane (HL L9 (L92 dimethylthiazol 5dimethyl2thiazol diphenylHtetrazolium 1. (1 5. 3. (3.5 (L9 (3. (L (3

Stemodin (1) is a diterpene produced by Stemodia maritima L. (Scrophulariaceae) and shows antiviral and tumor cell proliferation inhibitory activities. Chemical modifications of 1 were performed to produce the known stemodinone (2), two new stemodinone oximes, Z (3) and E (4), and seven new oxime esters derivatives (5, 6, 7, 8, 9, 10, and 11). All derivatives were evaluated for their cytotoxic activity in HL60 (promyelocytic leukemia), SNB-19 (astrocytoma), HCT-116 (colon carcinoma), and PC3 (prostate) human cancer cell lines, and L929 (healthy murine cells). Oximes 3 and 4 showed lower cytotoxic values than 1 against all cancer cell lines tested. However, esters 9 and 10 exhibited cell growth inhibition percentages higher than 1 against PC3, SNB-19, and HCT-116 cancer cell lines, ranging from 62.96 to 94.27%. Many of these values exceed that presented by doxorubicin (66.05-86.87%). All compounds showed no cytotoxic effect on healthy cells at the tested concentration of 25 µg mL-1. (1 L Scrophulariaceae (Scrophulariaceae activities 2, 2 , (2) oximes (3 4, (4) 5, 5 (5 6 7 8 11. 11 . 11) HL HL6 promyelocytic leukemia, leukemia leukemia) SNB19 SNB 19 SNB-1 astrocytoma, astrocytoma (astrocytoma) HCT116 HCT 116 HCT-11 colon carcinoma, carcinoma carcinoma) PC prostate (prostate L92 cells. cells) However SNB19, 19, 6296 62 96 62.9 9427 94 27 94.27% 66.0586.87%. 66058687 66.05 86.87% 66 05 86 87 (66.05-86.87%) mL1. mL1 mL 1. mL-1 ( (2 (4 SNB1 SNB- (astrocytoma HCT11 HCT-1 L9 629 62. 942 94.27 0586 66.0586.87% 6605868 6605 66.0 8687 86.87 0 (66.05-86.87% mL- HCT1 HCT- 94.2 058 66.0586.87 660586 660 66. 868 86.8 (66.05-86.87 94. 66.0586.8 66058 86. (66.05-86.8 66.0586. (66.05-86. 66.0586 (66.05-86 66.058 (66.05-8 (66.05- (66.05 (66.0 (66. (66 (6

Resumo O gênero Culicoides é um diminuto diptero da família Ceratopogonidae com distribuição mundial. Devido aos seus hábitos hematófagos, as espécies desse gênero são um incômodo para os humanos e animais domésticos transmitem protozoários, vermes filariais, bem como, diversos arbovírus. A região Nordeste do Brasil é caracterizada por clima semiárido e poucos corpos d’água, o que não favorece criadouros de ceratopogonídeos. Além do fator climático, estudos sobre mosquitos picadores são escassos nesta região geográfica. O município de Pacoti, localizado na Serra de Baturité, no Ceará, é uma importante área de produção agrícola e ecoturismo; além disso, Pacoti está localizada na área de preservação ambiental. Devido à importância médica e veterinária desses maruins, foi então realizada uma pesquisa em Pacoti. Para a captura das amostras foram utilizadas armadilhas luminosas do tipo CDC em áreas florestadas is, onde as coletas foram realizadas em dois períodos: março de 2015 e agosto de 2022. Das 17 espécies encontradas nesse estudo, 12 são novos registros para o município de Pacoti, nove são novos registros para o estado do Ceará e quatro são registrados pela primeira vez para a região Nordeste. Das espécies vetoras incriminadas temos: C. paraensis, C. insignis e C. pusillus. O conhecimento da biodiversidade e a atualização da distribuição geográfica dos Culicoides poderão contribuir para medidas de controle de doenças transmitidas por vetores no Ceará. mundial hematófagos protozoários filariais como arbovírus dágua, dágua d água, água d’água ceratopogonídeos climático Baturité ecoturismo disso ambiental maruins is períodos 201 2022 1 estudo temos C paraensis pusillus 20 202 2

Abstract Culicoides is a small dipteran genus of Ceratopogonidae Family with worldwide distribution. Due to their hematophagous habits, species within this genus are a biting nuisance to humans and domestic animals. They also transmit protozoa, filarial worms, and several arboviruses. The Northeastern region of Brazil is characterized by a semi-arid climate and few bodies of water, which does not favor breeding sites for ceratopogonids. In addition to the climatic factor, studies on Biting Midges Culicoides are scarce in this geographic region. The municipality of Pacoti, located in Serra de Baturité, in Ceará, is an important area for agricultural production and ecotourism; also, Pacoti is located in an environmental protection area. Due to the medical and veterinary importance of these biting midges, a survey was conducted in Pacoti. For capture, CDC-type light traps were used near forested areas, where collections were carried out during two periods: March 2015, and August 2022. Of the 17 species found, 12 are new records for the municipality of Pacoti, nine are new records for the state of Ceará, and four are recorded for the first time for the Northeast region. Of the registered incriminated vectors, we found C. paraensis, C. insignis, and C. pusillus. The knowledge of biodiversity and geographic distribution update of Culicoides may contribute to prevention and control measures for vector-borne diseases in Ceará. habits animals protozoa worms arboviruses semiarid semi arid water ceratopogonids factor Baturité Ceará ecotourism midges capture CDCtype CDC type areas periods 2015 2022 1 vectors C paraensis insignis pusillus vectorborne vector borne 201 202 20 2

RESUMO Contexto: Este estudo teve como objetivo avaliar a frequência e a intensidade dos sintomas ansiosos e depressivos em pacientes com diagnóstico de doença hepática esteatótica associada à disfunção metabólica [do inglês: Metabolic dysfunction-associated steatotic liver disease (MASLD)]. Métodos: Trata-se de um estudo descritivo e transversal, resultante do acompanhamento de 106 pacientes do Ambulatório de Doença Hepática Esteatótica Associada à Disfunção Metabólica (A2MG700) da Disciplina de Gastroenterologia Clínica do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, Brasil, sem história de abuso de álcool, verificada pelo Alcohol Use Disorders Identification Test (AUDIT). Foram avaliados os dados sociodemográficos, Escala hospitalar de ansiedade e depressão [do inglês: Hospital Anxiety and Depression Scale (HADS)], Escala de avaliação de ansiedade de Hamilton [do inglês: Hamilton Anxiety Rating Scale (HAM-A)] e Escala de depressão de Hamilton [do inglês: Hamilton Depression Scale (HAM-D)]. Resultados: Um total 69,8% dos indivíduos eram do sexo feminino com idade média de 61 anos. A maioria dos indivíduos avaliados (71,7%) descobriu a doença por meio de exames de rotina e apresentavam diabetes mellitus tipo 2 (59,4%), dislipidemia (49,1%), hipertensão arterial (68,9%), obesidade (61,3%) e síndrome metabólica [SM (63,2%)]. A análise da escala HADS demonstrou probabilidade de ansiedade em 34% dos participantes e 33% de sintomas depressivos. A escala de intensidade de Hamilton demonstrou que 63,9% dos indivíduos apresentavam ansiedade severa e 54,3% depressão severa. Observamos também relação entre ansiedade, depressão e o sexo feminino, assim como, entre depressão e SM. Conclusão: Nossos achados demonstram a presença de ansiedade e depressão em mais de 1/3 dos indivíduos com MASLD avaliados e a maioria apresenta sintomas graves. O grupo era composto por pacientes idosos e com comorbidades, incluindo SM. Observamos correlação positiva entre ansiedade, depressão e sexo feminino, sendo significativa entre SM e depressão. Contexto inglês dysfunctionassociated dysfunction associated MASLD. . (MASLD)] Métodos Tratase Trata se transversal 10 A2MG700 AMG MG (A2MG700 HCFMUSP, HCFMUSP HC FMUSP , (HC-FMUSP) Brasil álcool AUDIT. AUDIT (AUDIT) sociodemográficos HADS, (HADS)] HAMA HAM (HAM-A) HAMD. HAMD D (HAM-D)] Resultados 698 69 8 69,8 6 anos 71,7% 717 71 7 (71,7% 59,4%, 594 59,4% 59 4 (59,4%) 49,1%, 491 49,1% 49 1 (49,1%) 68,9%, 689 68,9% 68 9 (68,9%) 61,3% 613 3 (61,3% 63,2%. 632 63,2% 63 (63,2%)] 34 33 639 63,9 543 54 54,3 Conclusão 13 1/ graves comorbidades (MASLD) A2MG70 (A2MG70 (HC-FMUSP (AUDIT (HADS) (HAM-A (HAM-D) 69, 71,7 (71,7 59,4 5 (59,4% 49,1 (49,1% 68,9 (68,9% 61,3 (61,3 63,2 (63,2%) 63, 54, (MASLD A2MG7 (A2MG7 (HADS (HAM-D 71, (71, 59, (59,4 49, (49,1 68, (68,9 61, (61, (63,2% A2MG (A2MG (71 (59, (49, (68, (61 (63,2 (7 (59 (49 (68 (6 (63, ( (5 (4 (63

ABSTRACT Background: This study aimed to assess the frequency and intensity of anxious and depressive symptoms in patients diagnosed with metabolic dysfunction-associated steatotic liver disease (MASLD). Methods: This is a descriptive and cross-sectional study, resulting from 106 patients from the Hepatology outpatient clinic at the Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, Brazil without a history of alcohol abuse, verified by the alcohol use disorders identification test (AUDIT). These were assessed using the sociodemographic data sheet, Hospital Anxiety and Depression Scale (HADS), Hamilton Anxiety Rating Scale (HAM-A), and Hamilton Depression Scale (HAM-D). Results: A total of 69.8% were women and 30.2% were men, with a mean age of 61 years. The majority (71.7%) discovered MASLD through routine exams, presenting as comorbidities: Type 2 diabetes mellitus (59.4%), Dyslipidemia (49.1%), Arterial hypertension (68.9%), Obesity (61.3%) and Metabolic syndrome [MetS (63.2%)]. The HADS scale indicates 34% probability of anxiety and 33% depressive symptoms. The Hamilton’s scales of intensity indicates 63.9% severe anxiety and 54.3% severe depression. There is also a relationship between anxiety, depression and the female gender, as well as between depression and MetS. Conclusion: The findings point to the presence of anxiety and depression in more than one third of MASLD patients, most with severe symptoms. The group is concentrated in the elderly, with many comorbidities, including MetS. There was a positive correlation between anxiety, depression and being female; also, being significant between MetS and depression. Background dysfunctionassociated dysfunction associated MASLD. . (MASLD) Methods crosssectional cross sectional 10 HCFMUSP, HCFMUSP HC FMUSP , (HC-FMUSP) abuse AUDIT. AUDIT (AUDIT) sheet HADS, (HADS) HAMA, HAMA HAM (HAM-A) HAMD. HAMD D (HAM-D) Results 698 69 8 69.8 302 30 30.2 men 6 years 71.7% 717 71 7 (71.7% exams comorbidities 59.4%, 594 59.4% 59 4 (59.4%) 49.1%, 491 49.1% 49 1 (49.1%) 68.9%, 689 68.9% 68 9 (68.9%) 61.3% 613 3 (61.3% 63.2%. 632 63.2% 63 (63.2%)] 34 33 Hamiltons s 639 63.9 543 54 54.3 gender Conclusion elderly (MASLD (HC-FMUSP (AUDIT (HADS (HAM-A (HAM-D 69. 30. 71.7 (71.7 59.4 5 (59.4% 49.1 (49.1% 68.9 (68.9% 61.3 (61.3 63.2 (63.2%) 63. 54. 71. (71. 59. (59.4 49. (49.1 68. (68.9 61. (61. (63.2% (71 (59. (49. (68. (61 (63.2 (7 (59 (49 (68 (6 (63. ( (5 (4 (63

Toads of the Rhinella genus have a pair of paratoid glands that store biological secretions of high toxicity and varied chemical composition, rich in biologically active compounds. The present work aimed to carry out the investigation of the metabolomic profile and evaluation of the biological potential of the secretion paratoid glands (PGS) from Rhinella granulosa. The paratoid secretion was collected in the Piauí state (Brazil), extracted with methanol and the extract was analyzed by ultra-performance liquid chromatography with quadrupole time-of-flight mass spectrometry. Fifty chemical constituents were identified. The extract showed cytotoxicity against tumor cell lines of the central nervous system (half maximal inhibitory concentration (IC50) = 1.9 µg mL-1) and prostate (IC50 = 1.6 µg mL-1), unsatisfactory antimicrobial potential (minimal inhibitory concentration (MIC) > 312 µg mL-1) and inhibited the enzyme acetylcholinesterase (IC50 = 5.119 mg mL-1). The results presented relevant information about the PGS and contributed to the understanding of the metabolomic and biological potential of R. granulosa. composition compounds (PGS granulosa Brazil, Brazil , (Brazil) ultraperformance ultra performance timeofflight time flight spectrometry identified half IC50 IC 19 1 9 1. mL1 mL mL-1 (IC5 16 6 mL1, minimal MIC (MIC 31 5119 5 119 5.11 mL1. . R (Brazil IC5 mL- (IC 3 511 11 5.1 51 5.

Resumo Objetiva-se identificar concepções, experiências, métodos e técnicas em Vigilância Popular da Saúde, Ambiente e Trabalho (VPSAT). Trata-se de uma revisão integrativa com os descritores: participação da comunidade, vigilância em saúde, vigilância da saúde, saúde ambiental e saúde do trabalhador, envolvendo cinco bancos de dados: Biblioteca Virtual da Saúde, EBSCOhost, Embase, Scopus e Web Of Science. A revisão selecionou 15 estudos, a partir dos critérios de inclusão: experiências de vigilância com protagonismo comunitário; e exclusão: pesquisas sem dados primários e desenvolvidas apenas pelo serviço de saúde. Identificaram-se como bases teóricas e metodológicas dos estudos a ciência cidadã, educação popular e justiça ambiental; e experiências como mapeamentos e monitoramentos participativos; métodos como pesquisa-ação, “faça você mesmo” e investigação baseada na comunidade; e técnicas como “Photovoice” e Jornal Comunitário. Destacam-se as comunidades urbanas de baixa renda, indígenas, jovens e trabalhadores como protagonistas. O reconhecimento da VPSAT como importante fonte de dados e de intervenção pelos sistemas de saúde públicos e pela academia contribui para que a vigilância em saúde seja mais dialógica e efetiva. Objetivase Objetiva se concepções Saúde VPSAT. . (VPSAT) Tratase Trata descritores comunidade trabalhador EBSCOhost Embase Science 1 inclusão comunitário exclusão Identificaramse Identificaram cidadã participativos pesquisaação, pesquisaação pesquisa ação, ação pesquisa-ação faça mesmo Photovoice “Photovoice Comunitário Destacamse Destacam renda indígenas protagonistas efetiva (VPSAT

Abstract The objective is to identify concepts, experiences, methods, and techniques in Popular Health, Environmental and Occupational Surveillance (VPSAT). This is an integrative review that used the descriptors: Community Participation, Public Health Surveillance, Environmental Health, and Occupational Health, using five databases: Virtual Health Library, EBSCOhost, Embase, Scopus and Web of Science. The review selected 15 studies, based on the inclusion criteria: surveillance experiences with community protagonism; and exclusion criteria: research without primary data and developed only by the health service. The theoretical and methodological bases of the studies were identified as citizen science, popular education, and environmental justice; experiences such as participatory mapping and monitoring; methods such as action research, ‘do-it-yourself’, and community-based research; and techniques such as “Photovoice” and Community Journal. Low-income urban communities, indigenous peoples, young individuals, and workers stand out as the protagonists. The recognition of the VPSAT as an important source of data and intervention by public health systems and academia contributes to making health surveillance more dialogic and effective. concepts VPSAT. . (VPSAT) descriptors Participation databases Library EBSCOhost Embase Science 1 criteria protagonism service science education justice monitoring ‘doityourself, doityourself ‘do it yourself , do ‘do-it-yourself’ communitybased Photovoice “Photovoice Journal Lowincome Low income communities peoples individuals protagonists effective (VPSAT ‘doityourself ‘do-it-yourself

RESUMO Este ensaio objetivou analisar como o Sistema Único de Saúde (SUS) tem lidado com o aumento da obesidade com indicação para cirurgia bariátrica no Brasil e apontar caminhos para a atenção à saúde integral dessa população. Fez-se um resgate do momento político-histórico de transformação epistemológica da obesidade e suas repercussões para indivíduos, sociedade, sistema de saúde e outros setores; expuseram-se alguns ataques sofridos pelo SUS, em especial os mais recentes, que afetam o já dificultoso acesso à cirurgia bariátrica; e refletiu-se sobre estratégias que buscam garantia da atenção à essa população e a sustentabilidade do sistema de saúde. Destacam-se os documentos produzidos pelo próprio Ministério da Saúde para a orientação do cuidado da obesidade, haja vista sua consonância com as evidências científicas mais atuais e sua utilização por outros países na construção de suas políticas. Ademais, reforça-se a importância do compartilhamento de responsabilidades entre todos os atores envolvidos; a regulamentação da publicidade voltada ao público que possui obesidade; o mandatório aumento de financiamento do SUS; e a utilização da avaliação em saúde de políticas, serviços e ações, para que se façam os ajustes necessários em tempo oportuno, garantindo uma melhor gestão do cuidado em saúde. SUS (SUS Fezse Fez políticohistórico político histórico indivíduos sociedade setores expuseramse expuseram recentes refletiuse refletiu Destacamse Destacam políticas Ademais reforçase reforça envolvidos ações oportuno

ABSTRACT This essay aims to analyze how the Unified Health System (SUS) has dealt with the increase in obesity with indication for bariatric surgery in Brazil, and to point out pathways to provide comprehensive health care for such population. There was a rescue of the political-historic moment of epistemological transformation of obesity and its repercussions for individuals, society, the health system, and other sectors; some attacks suffered by the SUS were exposed, especially the most recent ones, which affect the already difficult access to bariatric surgery; and it reflect on strategies that seek to guarantee care for that population and the sustainability of the health system. The documents produced by the Ministry of Health to guide obesity care stand out, given their consonance with the most current scientific evidence, and their use by other countries in the construction of their policies. Furthermore, it is reinforced the importance of sharing responsibilities among all the actors involved; the regulation of advertising aimed at the public with obesity; the mandatory increase in SUS funding; and the use of health evaluation of policies, services, and actions, so that the necessary adjustments are made in a timely manner and guarantee a better management of health care. (SUS Brazil politicalhistoric political historic individuals society system sectors exposed ones evidence policies Furthermore involved funding services actions

Resumo Objetiva-se identificar concepções, experiências, métodos e técnicas em Vigilância Popular da Saúde, Ambiente e Trabalho (VPSAT). Trata-se de uma revisão integrativa com os descritores: participação da comunidade, vigilância em saúde, vigilância da saúde, saúde ambiental e saúde do trabalhador, envolvendo cinco bancos de dados: Biblioteca Virtual da Saúde, EBSCOhost, Embase, Scopus e Web Of Science. A revisão selecionou 15 estudos, a partir dos critérios de inclusão: experiências de vigilância com protagonismo comunitário; e exclusão: pesquisas sem dados primários e desenvolvidas apenas pelo serviço de saúde. Identificaram-se como bases teóricas e metodológicas dos estudos a ciência cidadã, educação popular e justiça ambiental; e experiências como mapeamentos e monitoramentos participativos; métodos como pesquisa-ação, “faça você mesmo” e investigação baseada na comunidade; e técnicas como “Photovoice” e Jornal Comunitário. Destacam-se as comunidades urbanas de baixa renda, indígenas, jovens e trabalhadores como protagonistas. O reconhecimento da VPSAT como importante fonte de dados e de intervenção pelos sistemas de saúde públicos e pela academia contribui para que a vigilância em saúde seja mais dialógica e efetiva.

Abstract The objective is to identify concepts, experiences, methods, and techniques in Popular Health, Environmental and Occupational Surveillance (VPSAT). This is an integrative review that used the descriptors: Community Participation, Public Health Surveillance, Environmental Health, and Occupational Health, using five databases: Virtual Health Library, EBSCOhost, Embase, Scopus and Web of Science. The review selected 15 studies, based on the inclusion criteria: surveillance experiences with community protagonism; and exclusion criteria: research without primary data and developed only by the health service. The theoretical and methodological bases of the studies were identified as citizen science, popular education, and environmental justice; experiences such as participatory mapping and monitoring; methods such as action research, ‘do-it-yourself’, and community-based research; and techniques such as “Photovoice” and Community Journal. Low-income urban communities, indigenous peoples, young individuals, and workers stand out as the protagonists. The recognition of the VPSAT as an important source of data and intervention by public health systems and academia contributes to making health surveillance more dialogic and effective.

RESUMO Este ensaio objetivou analisar como o Sistema Único de Saúde (SUS) tem lidado com o aumento da obesidade com indicação para cirurgia bariátrica no Brasil e apontar caminhos para a atenção à saúde integral dessa população. Fez-se um resgate do momento político-histórico de transformação epistemológica da obesidade e suas repercussões para indivíduos, sociedade, sistema de saúde e outros setores; expuseram-se alguns ataques sofridos pelo SUS, em especial os mais recentes, que afetam o já dificultoso acesso à cirurgia bariátrica; e refletiu-se sobre estratégias que buscam garantia da atenção à essa população e a sustentabilidade do sistema de saúde. Destacam-se os documentos produzidos pelo próprio Ministério da Saúde para a orientação do cuidado da obesidade, haja vista sua consonância com as evidências científicas mais atuais e sua utilização por outros países na construção de suas políticas. Ademais, reforça-se a importância do compartilhamento de responsabilidades entre todos os atores envolvidos; a regulamentação da publicidade voltada ao público que possui obesidade; o mandatório aumento de financiamento do SUS; e a utilização da avaliação em saúde de políticas, serviços e ações, para que se façam os ajustes necessários em tempo oportuno, garantindo uma melhor gestão do cuidado em saúde.

ABSTRACT This essay aims to analyze how the Unified Health System (SUS) has dealt with the increase in obesity with indication for bariatric surgery in Brazil, and to point out pathways to provide comprehensive health care for such population. There was a rescue of the political-historic moment of epistemological transformation of obesity and its repercussions for individuals, society, the health system, and other sectors; some attacks suffered by the SUS were exposed, especially the most recent ones, which affect the already difficult access to bariatric surgery; and it reflect on strategies that seek to guarantee care for that population and the sustainability of the health system. The documents produced by the Ministry of Health to guide obesity care stand out, given their consonance with the most current scientific evidence, and their use by other countries in the construction of their policies. Furthermore, it is reinforced the importance of sharing responsibilities among all the actors involved; the regulation of advertising aimed at the public with obesity; the mandatory increase in SUS funding; and the use of health evaluation of policies, services, and actions, so that the necessary adjustments are made in a timely manner and guarantee a better management of health care.

Resumo Neste artigo, é apresentada a síntese de análises críticas realizadas em pesquisas coordenadas pela autora e pelo autor sobre a falta de transparência e o problema dos vieses no uso de sistemas de inteligência artificial (IA) como apoio ou para a efetiva tomada de decisão judicial, a partir do contexto brasileiro. Do ponto de vista metodológico, foram desenvolvidas pesquisas bibliográficas, documentais e empíricas nas investigações. Foram feitos exames analítico-interpretativos acerca dos materiais levantados para alicerçar as considerações. Na abordagem, foi elaborada uma breve descrição acerca do estado da arte quanto ao uso de IA pelo Judiciário nacional, seguida pelas análises sobre a opacidade dos algoritmos e os vieses cognitivos, conforme os tópicos relacionados com a incompatibilidade estrutural entre o processamento de dados pela IA e a aplicação do Direito; a incapacidade da IA realizar juízos de valor; a acentuação dos vieses cognitivos pela IA; e a falta de transparência em relação aos algoritmos e aos dados utilizados pela IA. Ao final, são apresentadas propostas para enfrentamento dos problemas com o uso de IA para a tomada de decisão judicial. artigo (IA judicial brasileiro metodológico bibliográficas investigações analíticointerpretativos analítico interpretativos considerações abordagem nacional Direito valor final

Abstract This paper presents a synthesis of critical analyses about the lack of transparency and the problem of biases in the use of artificial intelligence (AI) systems as support or for effective judicial decision making from the Brazilian context, based on researches coordinated by the authors. From the methodological point of view, bibliographic, documentary and empirical researches were developed in the investigations. Analytical-interpretative studies of the materials gathered were made in order to ground the considerations. In the approach, a brief description of the state of the art regarding the use of AI by the national judiciary was elaborated, followed by analyzes on the opacity of algorithms and cognitive biases, according to topics related to the structural incompatibility between data processing by AI and the application of Law; the inability of the AI to make value judgments; the accentuation of cognitive biases by AI; and lack of transparency in relation to the algorithms and data used by the AI. At the end, proposals are presented to face the problems related to the use of AI for judicial decision making. (AI context authors view bibliographic investigations Analyticalinterpretative Analytical interpretative considerations approach elaborated Law judgments end

Resumo Nas últimas décadas, houve progressos significativos no diagnóstico e no tratamento da distrofia muscular de Duchenne (DMD), considerada a distrofia muscular mais comum na infância. Diretrizes internacionais foram publicadas e revisadas recentemente. Um grupo de especialistas brasileiros desenvolveu um padrão de atendimento baseado em revisão de literatura, com recomendações graduadas pautadas em evidências compiladas em uma publicação dividida em duas partes. A implementação de melhores práticas de manejo ajudou a modificar a história natural desta doença crônica, progressiva, que, no passado, oferecia uma expectativa de vida muito limitada para crianças do sexo masculino. Desde a publicação desse consenso anterior, o diagnóstico, o tratamento com esteroides, a reabilitação e os cuidados sistêmicos ganharam novas possibilidades a partir da divulgação dos resultados de trabalhos originais em algumas dessas áreas. Além disso, as pesquisas e o desenvolvimento de novos fármacos estão em andamento, e algumas intervenções já foram aprovadas para uso em determinados países. Nesse contexto, identificamos a necessidade de rever as recomendações anteriores sobre o manejo dos pacientes brasileiros com DMD. Nosso objetivo principal foi elaborar uma atualização baseada em evidências sobre esses tópicos do consenso. décadas DMD, DMD , (DMD) infância recentemente literatura partes crônica progressiva que passado masculino anterior esteroides áreas disso andamento países contexto (DMD

Abstract In the last few decades, there have been considerable improvements in the diagnosis and care of Duchenne muscular dystrophy (DMD), the most common childhood muscular dystrophy. International guidelines have been published and recently reviewed. A group of Brazilian experts has developed a standard of care based on a literature review with evidence-based graded recommendations in a two-part publication. Implementing best practice management has helped change the natural history of this chronic progressive disorder, in which the life expectancy for children of the male sex in the past used to be very limited. Since the previous publication, diagnosis, steroid treatment, rehabilitation, and systemic care have gained more significant insights with new original work in certain fields. Furthermore, the development of new drugs is ongoing, and some interventions have been approved for use in certain countries. Therefore, we have identified the need to review the previous care recommendations for Brazilian patients with DMD. Our objective was to create an evidence-based document that is an update on our previous consensus on those topics. decades DMD, DMD , (DMD) reviewed evidencebased evidence twopart two part publication disorder limited treatment rehabilitation fields Furthermore ongoing countries Therefore topics (DMD