Resumen Marco contextual: La alfabetización en salud (AS) es la capacidad de una persona para obtener y traducir información con el fin de mantener y mejorar su salud. Objetivo: Caracterizar el nivel de AS de las personas ingresadas en un hospital oncológico; evaluar la fiabilidad del instrumento European Health Literacy Survey in Portuguese (HLS-EU-PT). Metodología: Estudio transversal, cuantitativo, descriptivo y metodológico. Muestra de 188 personas ingresadas en un servicio de cirugía oncológica entre mayo y septiembre de 2020, se recogieron datos mediante un formulario de caracterización sociodemográfica y de salud, y una herramienta de evaluación de AS. Resultados: El HLS-EU-PT mostró un alto nivel de consistencia interna. Todos los dominios y niveles de procesamiento del instrumento correlacionaron positivamente entre sí. Por término medio, los participantes tienen un nivel problemático de AS. Conclusión: Los resultados indican la necesidad de una mayor inversión en formación en AS. Son necesarios más estudios en esta y otras poblaciones, y en entornos sanitarios para orientar la práctica asistencial hacia una respuesta eficaz a los problemas de salud.

Abstract Background: Health literacy (HL) is the ability of an individual to obtain and translate information in order to maintain and improve their health. Objective: To characterize the level of HL of patients admitted to an oncology hospital and assess the reliability of the Portuguese version of the European Health Literacy Survey (HLS-EU-PT). Methodology: Cross-sectional, quantitative, descriptive, and methodological study. Sample of 188 patients admitted to a surgical oncology unit between May and September 2020. Data were collected through a sociodemographic and health characterization form and a HL assessment tool. Results: The HLS-EU-PT had a high level of internal consistency. All domains and information-processing levels correlated positively with each other. Participants had on average a problematic level of HL. Conclusion: The results indicate the need for greater investment in HL training. Further studies are needed in this population and in other populations and healthcare settings to provide an effective response to health problems.

Resumo Enquadramento: A literacia em saúde (LS) é a capacidade da pessoa obter e traduzir informações a fim de manter e melhorar a saúde. Objetivo: Caracterizar o nível de LS da pessoa internada num hospital oncológico; avaliar a fiabilidade do instrumento European Health Literacy Survey in Portuguese (HLS-EU-PT). Metodologia: Estudo transversal, quantitativo, descritivo e metodológico. Amostra de 188 pessoas internados num serviço de cirurgia oncológica entre maio e setembro de 2020, os dados foram colhidos através de formulário de caracterização sociodemográfica, de saúde e instrumento de avaliação da LS. Resultados: O HLS-EU-PT apresentou elevado nível de consistência interna. Todos os domínios e níveis de processamento do instrumento se correlacionam positivamente entre si. Os participantes apresentam em média um nível problemático de LS. Conclusão: Os resultados indiciam a necessidade de um maior investimento na capacitação da LS. São necessários mais estudos nesta e noutras populações e contextos de prestação de cuidados de saúde, de forma a direcionar a prática de cuidados na resposta eficaz aos problemas de saúde.

ABSTRACT In Brazil, the lima bean is the second most economically significant legume within the genus Phaseolus. Climate change, particularly water scarcity, threatens the production of this species. The application of salicylic acid has mitigated the adverse effects of stress. This study aimed to assess the impact of salicylic acid on acclimatisation to water restriction in three genotypes of Phaseolus lunatus (‘Cara Larga’, ‘Cearense’, and ‘Orelha de Vó’). A completely randomised design with a triple factorial included three broad bean genotypes, two pre-conditionings with 1.0 mM salicylic acid and without this elicitor (0.0 mM), and three levels of water availability (75, 50, and 25%), totalling 18 treatments with eight replicates. Physiological and biochemical responses were evaluated after 60 days of treatment. The responses varied among the genotypes. ‘Cara Larga’ stood out regarding osmoregulatory and antioxidant parameters compared to the other genotypes. In contrast, ‘Cearense’ showed an increase only in carbohydrates and carotenoids concentrations, while ‘Orelha de Vó’ exhibited more efficient water use and higher levels of proline under greater water restriction, concurrently with a decline in other parameters. Overall, the ‘Cara Larga’ genotype appears to be the most responsive to the modulating effects induced by acid application, especially under a water restriction of 25%. Applying, applying salicylic acid under conditions of low water availability may be a strategy for modulating the synthesis of osmoregulatory and antioxidant responses in P. lunatus. Brazil change scarcity species stress Cara Larga, Larga , ‘Cearense, Cearense ‘Cearense Orelha Vó. Vó . Vó’) preconditionings pre conditionings 10 1 0 1. 0.0 00 (0. mM, mM) 75, 75 (75 50 25%, 25 25% 25%) replicates 6 treatment contrast concentrations Overall Applying P 0. (0 7 (7 5 2 (

RESUMO No Brasil, o feijão-fava é a segunda leguminosa mais significativa economicamente dentro do gênero Phaseolus. As alterações climáticas, especialmente a escassez de água, ameaçam a produção desta espécie. Neste contexto a aplicação de ácido salicílico mitigou os efeitos adversos do estresse. Este estudo teve como objetivo avaliar o impacto do ácido salicílico na aclimatação à restrição hídrica em três genótipos de Phaseolus lunatus (‘Cara Larga’, ‘Cearense’ e ‘Orelha de Vó’). O delineamento inteiramente casualizado com fatorial triplo incluiu três genótipos de fava, dois pré-condicionamentos com ácido salicílico 1,0 mM e sem esse elicitor (0,0 mM) e três níveis de disponibilidade hídrica (75, 50 e 25%), totalizando 18 tratamentos com oito repetições. As respostas fisiológicas e bioquímicas foram avaliadas após 60 dias de tratamento. As respostas variaram entre os genótipos. ‘Cara Larga’ destacou-se nos parâmetros osmorregulatórios e antioxidantes em relação aos demais genótipos. Em contrapartida, ‘Cearense’ apresentou aumento apenas nas concentrações de carboidratos e carotenoides, enquanto ‘Orelha de Vó’ apresentou uso mais eficiente da água e maiores teores de prolina sob maior restrição hídrica, concomitantemente com declínio em outros parâmetros. No geral, o genótipo ‘Cara Larga’ parece ser o mais responsivo aos efeitos moduladores induzidos pela aplicação de ácido, especialmente sob restrição hídrica de 25%. A aplicação, a aplicação de ácido salicílico em condições de baixa disponibilidade hídrica pode ser uma estratégia para modular a síntese de respostas osmorreguladoras e antioxidantes em P. lunatus. Brasil feijãofava feijão fava climáticas espécie estresse Cara Larga, Larga , ‘Cearense Cearense Orelha Vó. Vó . Vó’) précondicionamentos pré condicionamentos 10 1 0 1, 0,0 00 (0, 75, 75 (75 5 25%, 25 25% 25%) repetições 6 tratamento destacouse destacou se contrapartida carotenoides geral P 0, (0 7 (7 2 (

Abstract The second-hand clothing market is a circular economy alternative to deal with excessive consumption and reduce the environmental impact caused by the fashion industry. In contrast to the vast research based on the US and Europe, this market is yet to be explored in Colombia, and in Latin America in general. This qualitative research explores the motivations to purchase second-hand clothes among young consumers aged between 20 and 33 years old residing in Medellín, Colombia. Autoethnography was conducted with these consumers. Next, a pre-existing scale of second-hand shopper motivations was used in in-depth interviews to narrate their significant experiences with second-hand clothing purchases. Findings presented two profiles of second-hand clothing consumers: on the one hand, consumers passionate about design and, on the other hand, conscious professionals who are characterized by driving their purchase intentions from hedonic to economic motivations. This research offers contributions for structuring value propositions that respond to the needs of second-hand clothing buyers.

Resumen El mercado de ropa de segunda es una alternativa de economía circular para hacer frente al consumo desmedido y disminuir el impacto ambiental causado por la industria de la moda. En Latinoamérica, y Colombia específicamente, este mercado está por explorarse porque los estudios alrededor del tema son limitados, en contraste de las múltiples publicaciones en Estados Unidos y Europa. Esta investigación cualitativa explora las motivaciones de los jóvenes de 20 a 33 años de la ciudad de Medellín, Colombia, frente al consumo de ropa de segunda. Se realizaron auto etnografías con estos consumidores, y luego, se utilizó una escala preexistente de motivaciones de compradores de segunda mano como instrumento en entrevistas a profundidad para narrar sus experiencias significativas con compras de segunda de vestuario. Los hallazgos presentaron dos perfiles de consumidores de ropa de segunda, los apasionados por el diseño y los profesionales conscientes, que se distinguen por movilizar sus intenciones de compra desde motivaciones hedónicas y económicas, respectivamente. Esta investigación ofrece contribuciones para la estructuración de propuestas de valor que respondan a las necesidades de estos compradores.

RESUMEN El Trastorno por Déficit de Atención con Hiperactividad (TDAH) es una condición de salud mental que dificulta la permanencia del individuo dentro del sistema educativo, teniendo en cuenta las limitaciones que esta le genera en los campos de la atención, concentración y cumplimiento de las tareas. En el ámbito universitario supondría un factor que aumenta la probabilidad de deserción escolar, por lo que debe ser abordado institucionalmente. El presente trabajo de investigación tuvo por objetivo determinar la frecuencia del Trastorno de Déficit de Atención con Hiperactividad en estudiantes de Educación Superior en una Universidad Privada de Asunción, en el año 2023. El diseño de estudio fue cuantitativo, descriptivo, de corte trasversal, aplicado a 88 estudiantes universitarios, entre los meses de abril y mayo, el muestreo fue no probabilístico por conveniencia, como instrumento se aplicó un cuestionario digital con variables sociodemográficas y el Cuestionario Auto Informado de Cribado del Trastorno por Déficit de Atención/Hiperactividad del Adulto-V1.1 (ASRS-V1.1) de la Entrevista Diagnóstica Internacional Compuesta de la OMS. Como principales resultados se evidenció que el 51.6% de la muestra son mujeres; 53.4% de procedencia Asunción y 42.1% de Central; 91% son solteros, 42% son la carrera de ingeniería y 38.6% humanidades. De acuerdo con la aplicación del Cuestionario ASRS-V1.1 el porcentaje de personas que presenta algún grado de TDAH es de 46.6%. Se concluye que el TDAH se presenta en una frecuencia cercana a la mitad de los participantes en el contexto de la Universidad, lo que es superior a lo esperado según estadísticas relacionadas al tema.

ABSTRACT Attention Deficit Hyperactivity Disorder (ADHD) is a mental health condition that hinders the permanence of the individual within the educational system, taking into account the limitations that this generates in the fields of attention, concentration and fulfillment of tasks. In the university environment it would be a factor that increases the probability of dropping out of school, so it should be addressed institutionally. The aim of this research was to determine the frequency of Attention Deficit Hyperactivity Disorder in students of Higher Education in a private university in Asuncion, in the year 2023. The study design was quantitative, descriptive, cross-sectional, applied to 88 university students, between the months of April and May, the sampling was non-probabilistic by convenience, a digital questionnaire with sociodemographic variables and the Self-Reported Adult Attention Deficit/Hyperactivity Disorder Screening Questionnaire-V1.1 (ASRS-V1.1) of the International Composite Diagnostic Interview of the WHO were applied as instruments. The main results showed that 51.6% of the sample were women; 53.4% were from Asunción and 42.1% from Central; 91% were single, 42% were engineering majors and 38.6% were humanities majors. According to the application of the ASRS-V1.1 Questionnaire, the percentage of people with some degree of ADHD is 46.6%. It is concluded that ADHD is present in a frequency close to half of the participants in the context of the University, which is higher than expected according to statistics related to the subject.

This paper seeks to bring to the debate the philosophical interrelationships between denialism and nihilism, seeking to unveil the strategies used by the “merchants of doubt” (ORESKES and CONWAY) to influence the population not to adhere to the vaccination against Covid-19, during 2021, through the use of misinformation. In this context, we adopted the Hermeneutics of Historical Consciousness as an interpretative path (RICOEUR, 2010), which enables us to understand the narrative production of intentional disinformation and its collective and social appropriation. HHC offers us an interpretative possibility of the world of the text based on the relationship with history, the past and the experience, as entities affected by the past, which we are. ). In this sense, this paper’s structure has as it starting point a brief debate that seeks to confront Nietzschean nihilism and scientific denialism, in order to confront communication and disinformation and its current dimensions, intermediated by an interpretation of fake news about vaccines that circulated in 2021 and which have President Jair Bolsonaro as a promoter. The narratives posted here for interpretation were denounced by society through the @eufiscalizo app from Fiocruz-RJ and checked through the website https://www.nujocchecagem.com.br/.

Este artículo busca traer a debate las interrelaciones filosóficas entre negacionismo y nihilismo, buscando develar las estrategias utilizadas por los “mercaderes de la duda” (ORESKES y CONWAY) para influenciar a la población a no adherirse a la vacunación contra el Covid-19 durante 2021, através del uso de desinformación. En este contexto, adoptamos la Hermenêutica da Consciência Histórica como camino interpretativo (RICOEUR, 2010), que nos permite comprender la producción narrativa de desinformación intencional y su apropiación colectiva y social. HCH nos ofrece una posibilidad interpretativa del mundo del texto a partir de la relación con la historia, el pasado y la experiencia, como seres afectados por el pasado, que somos. En ese sentido, la estructura de este artículo tiene como punto de partida un breve debate que busca confrontar el nihilismo nietzscheano y el negacionismo científico, para confrontar la comunicación y la desinformación y sus dimensiones actuales, intermediado por una interpretación de las noticias falsas sobre vacunas que circularán en 2021.que tiene al presidente Jair Bolsonaro como promotor. Las narrativas aquí publicadas para su interpretación fueron denunciadas por la sociedad a través de la aplicativo @eufiscalizo da Fiocruz-RJ e conferidas através do site https://www.nujocchecagem.com.br/.

Este artigo busca trazer ao debate as inter-relações filosóficas entre o negacionismo e o niilismo, buscando desvendar as estratégias utilizadas pelos “mercadores da dúvida” (ORESKES e CONWAY) para influenciar a população a não aderir à vacinação contra a Covid-19, durante 2021, através do uso de desinformação. Nesse contexto, adotamos a Hermenêutica da Consciência Histórica como caminho interpretativo (RICOEUR, 2010), que nos permite compreender a produção narrativa da desinformação intencional e sua apropriação coletiva e social. HCH oferece-nos uma possibilidade interpretativa do mundo do texto a partir da relação com a história, o passado e a experiência, como seres afetados pelo passado, que somos. Nesse sentido, a estrutura deste artigo tem como ponto de partida um breve debate que busca confrontar o niilismo nietzschiano e o negacionismo científico, para confrontar a comunicação e a desinformação e suas dimensões atuais, intermediados por uma interpretação das notícias falsas sobre vacinas que circularam em 2021 e que têm o presidente Jair Bolsonaro como promotor. As narrativas aqui postadas para interpretação foram denunciadas pela sociedade através do aplicativo @eufiscalizo da Fiocruz-RJ e conferidas através do site https://www.nujocchecagem.com.br/.

Resumo Objetivo: Realizar uma análise descritiva dos gastos privados diretos domiciliares em saúde e da vulnerabilidade socioeconômica associados à condição de microcefalia, uma das manifestações mais evidentes da síndrome congênita do Zika vírus (SCZ). O surto de microcefalia e outros distúrbios neurológicos em crianças menores de um ano de idade foi associado à infecção pelo vírus Zika, durante a epidemia ocorrida no período de 2015-2016 no Brasil. Método: Noventa e seis entrevistas foram realizadas em dois centros especializados de atendimento às crianças acometidas por microcefalia nas cidades do Rio de Janeiro e Fortaleza. O questionário estruturado abrangeu características sociodemográficas, gastos com desembolso direto associados com a doença e estratégias adotadas pelas famílias para lidarem com os desafios financeiros impostos pela anomalia congênita. Resultados: Os domicílios eram majoritariamente chefiados por não-brancos e pertenciam às classes C e D-E. Os gastos com medicamentos contabilizaram 78% dos gastos médicos, enquanto as despesas com transporte representaram 46% do gasto privado não-médico. A maioria dos domicílios enfrentaram endividamento e redução do consumo doméstico, inclusive de alimentos, a fim de fazer face às despesas incorridas pela doença. Conclusão: A microcefalia parece reforçar a vulnerabilidade socioeconômica das famílias, reforçando o círculo vicioso característico da abordagem conceitual da armadilha saúde-pobreza.

Abstract Objective: To carry out a descriptive analysis of direct private household health expenditures and socioeconomic vulnerability associated with the condition of Microcephaly, one of the most evidence manifestations of Congenital Zika Syndrome (CZS). The outbreak of microcephaly and other neurological disorders in children under one year of age was linked to Zika virus infection during the 2015-2016 epidemic in Brazil. Method: Ninety-six interviews were carried out in two specialized care centers for children with microcephaly in the cities of Rio de Janeiro and Fortaleza, Brazil. The structured questionnaire covered sociodemographic characteristics, out-of-pocket expenditures associated with the disease, and strategies adopted by families to deal with the financial challenges imposed by the congenital anomaly. Results: The households were mostly headed by non-whites and belonged to classes C and D-E. Expenditures on medicines accounted for 78% of medical expenses, while transportation represented 46% of private non-medical expenses. Most households faced debt and reduced domestic consumption, including food, to meet the expenses incurred by the disease. Conclusion: Microcephaly appears to reinforce the socioeconomic vulnerability of families, reinforcing the vicious circle characteristic of the health-poverty trap conceptual approach.

ABSTRACT BACKGROUND: There is a lack of studies evaluating the oral health of traditional indigenous communities in Brazil. OBJECTIVES: Thus, the objective of this study was to describe the oral health characteristics of the indigenous Fulni-ô ethnic group in Northeast Brazil. DESIGN AND SETTING: A cross-sectional observational investigation was conducted within the Project on Atherosclerosis among Indigenous Populations. METHODS: This study included participants of both sexes from the Fulni-ô ethnic group. The participants included in this investigation underwent a comprehensive oral health evaluation by a registered and experienced dentist to assess oral health and identify potentially malignant oral lesions. Participants with suspicious lesions were referred for biopsy. Shapiro-Wilk, Mann-Whitney, and Student’s t-tests were used, and measures of central tendency and dispersion were described. Statistical significance was 5%. RESULTS: A total of 104 individuals were included in this study. The prevalence of the use of tobacco derivatives was 94.0%, with similarities between sexes. The prevalence of oral changes in this study population was 84.4%. Fifty-one individuals who underwent oral reassessment were referred for oral lesion biopsy. CONCLUSIONS: This study demonstrated a high prevalence of oral alterations in the Fulni-ô population. Histopathological analyses indicated the presence of mild oral epithelial dysplasia in five cases. BACKGROUND Brazil OBJECTIVES Thus Fulniô Fulni ô SETTING crosssectional cross sectional Populations METHODS biopsy ShapiroWilk, ShapiroWilk Shapiro Wilk, Wilk Shapiro-Wilk MannWhitney, MannWhitney Mann Whitney, Whitney Mann-Whitney Students Student s ttests t tests used described 5 5% RESULTS 10 940 94 0 94.0% 844 84 4 84.4% Fiftyone Fifty one CONCLUSIONS cases 1 9 94.0 8 84.4 94. 84.

Abstract This ecological, time-trend study examined rates of homicide against women residing in Brazil, by state and race/colour, from 2016 to 2020, by performing. Multiple analysis by regression model on longitudinal data. During the study period, 20,405 homicides of women were recorded in Brazil. Standardised homicides rates were higher among black women (6.1/100,000) than among white women (3.4/100,000). From 2016 to 2020, rates decreased 25.2%, from 4.7 deaths per 100,000 women in 2016 to 3.5 in 2020, with a statistically significant downward trend among both black and white women. Statistically significant inverse relationships were found between female homicide rates and HDI, illiteracy rate and proportion of ill-defined causes. The average homicide rate decreased in 2019 and 2020, as compared with 2016. Despite the decreasing time trend in homicide rates for both black and white women, they differed substantially by race, with worse outcomes for black women. ecological timetrend Brazil racecolour race colour race/colour 201 2020 performing data period 20405 20 405 20,40 6.1/100,000 61100000 6 1 100 000 (6.1/100,000 3.4/100,000. 34100000 3.4/100,000 . 3 4 (3.4/100,000) 252 25 2 25.2% 47 7 4. 100000 100,00 35 5 3. HDI illdefined ill defined causes 202 2040 40 20,4 6.1/100,00 6110000 10 00 (6.1/100,00 3410000 3.4/100,00 (3.4/100,000 25.2 10000 100,0 204 20, 6.1/100,0 611000 0 (6.1/100,0 341000 3.4/100,0 (3.4/100,00 25. 1000 100, 6.1/100, 61100 (6.1/100, 34100 3.4/100, (3.4/100,0 6.1/100 6110 (6.1/100 3410 3.4/100 (3.4/100, 6.1/10 611 (6.1/10 341 3.4/10 (3.4/100 6.1/1 61 (6.1/1 34 3.4/1 (3.4/10 6.1/ (6.1/ 3.4/ (3.4/1 6.1 (6.1 3.4 (3.4/ 6. (6. (3.4 (6 (3. ( (3

Resumo O objetivo deste estudo é avaliar as taxas de homicídios contra mulheres residentes no Brasil, segundo unidades da federação e raça/cor, no período de 2016 a 2020. Trata-se de um estudo ecológico de tendência temporal. Foi realizada análise múltipla adotando-se modelo de regressão para dados longitudinais. No período, ocorreram no Brasil 20.405 homicídios de mulheres e as taxas padronizadas mostraram que as mulheres negras (6,1/100.000) apresentaram as maiores taxas, em comparação às brancas (3,4/100.000). O Brasil apresentou queda de 25,2% de 2016 a 2020. A taxa de homicídio variou de 4,7 mortes por 100 mil mulheres em 2016 para 3,5 em 2020, mas a tendência decrescente e estatisticamente significante foi observada nas taxas de mulheres negras e brancas. As variáveis IDH, taxa de analfabetismo e proporção de causas mal definidas apresentaram uma relação inversa e estatisticamente significante com as taxas de homicídio de mulheres. Nos anos de 2019 e 2020 houve uma diminuição da taxa média de homicídio em relação ao ano de 2016. Apesar do decrescimento na evolução temporal das taxas para negras e brancas, houve diferenças raciais importantes nos homicídios de mulheres, com piores resultados para as mulheres negras. raçacor raça cor raça/cor 201 Tratase Trata se adotandose adotando longitudinais 20405 20 405 20.40 6,1/100.000 61100000 6 1 000 (6,1/100.000 3,4/100.000. 34100000 3,4/100.000 . 3 4 (3,4/100.000) 252 25 2 25,2 47 7 4, 10 35 5 3, IDH 202 2040 40 20.4 6,1/100.00 6110000 00 (6,1/100.00 3410000 3,4/100.00 (3,4/100.000 25, 204 20. 6,1/100.0 611000 0 (6,1/100.0 341000 3,4/100.0 (3,4/100.00 6,1/100. 61100 (6,1/100. 34100 3,4/100. (3,4/100.0 6,1/100 6110 (6,1/100 3410 3,4/100 (3,4/100. 6,1/10 611 (6,1/10 341 3,4/10 (3,4/100 6,1/1 61 (6,1/1 34 3,4/1 (3,4/10 6,1/ (6,1/ 3,4/ (3,4/1 6,1 (6,1 3,4 (3,4/ 6, (6, (3,4 (6 (3, ( (3

RESUMEN Objetivo: Describir el perfil de los tutores de enseñanza-aprendizaje de los servicios de salud pública e investigar los temas de mayor interés en espacios de desarrollo de estos actores. Método: Se trata de un estudio transversal con Tutores Elegibles de Planificación de la atención en salud; con datos recopilados mediante cuestionario electrónico de preguntas cerradas sobre características sociodemográficas, formación y actuación. Se utilizó la prueba de Chi-cuadrado para comparar las proporciones según las tipologías del tutor. Resultados: Se consideraron 614 tutores que trabajaban en las cinco regiones geográficas del Brasil, la mayoría en Atención Primaria (82%), seguido de actuación estatal/regional (13%) y Atención Ambulatoria Especializada (5%). La mayoría declaró ser mujer, de piel morena, del ámbito de la enfermería, con menos de un año de actuación como tutora y sin experiencia previa como preceptora o similar. Los temas más importantes fueron las Redes de la Atención en Salud, la estratificación del riesgo de las enfermedades crónicas y el papel de la Atención Ambulatoria Especializada. Conclusión: Se identificó el predominio de ciertas características entre los tutores, distintas según los tipos de actuación. Las conclusiones pueden servir de apoyo a los gestores en el proceso de selección y desarrollo de los tutores en Planificación. Objetivo enseñanzaaprendizaje enseñanza aprendizaje actores Método sociodemográficas Chicuadrado Chi cuadrado tutor Resultados 61 Brasil 82%, 82 82% , (82%) estatalregional estatal regional 13% 13 (13% 5%. 5 5% . (5%) mujer morena enfermería similar Salud Conclusión 6 8 (82% 1 (13 (5% (82 (1 (5 (8 (

ABSTRACT Objective: To describe the profile of teaching-learning tutors in public health services and investigate which topics are of greatest interest in development spaces for these actors. Method: Cross-sectional study. Eligible tutors of Health Care Planning. Data collection using an electronic questionnaire composed of closed questions on sociodemographic characteristics, training and performance. Chi-square test used to compare proportions according to tutor typologies. Results: A total of 614 tutors worked in Brazil’s five geographic regions, the majority in primary care (82%), followed by state/regional work (13%) and specialized outpatient care (5%). The majority reported being female, of brown skin color, from the nursing field, having worked as a tutor for less than a year, and with no previous experience in preceptorship or similar. The most important topics were Health Care Networks, risk stratification for chronic conditions and the functions of specialized outpatient care. Conclusion: The predominance of certain characteristics among tutors was identified, with differences between the types of work. The findings can support managers in the process of selecting and developing tutors in Health Care Planning. Objective teachinglearning teaching learning actors Method Crosssectional Cross sectional study Planning performance Chisquare Chi square typologies Results 61 Brazils Brazil s regions 82%, 82 82% , (82%) stateregional state regional 13% 13 (13% 5%. 5 5% . (5%) female color field year similar Networks Conclusion identified 6 8 (82% 1 (13 (5% (82 (1 (5 (8 (

RESUMO Objetivo: Descrever o perfil de tutores de ensino-aprendizagem em serviços públicos de saúde e investigar quais são os temas de maior interesse em espaços de desenvolvimento desses atores. Método: Estudo transversal. Elegíveis tutores da Planificação da Atenção à Saúde. Coleta de dados por questionário eletrônico composto por questões fechadas sobre características sociodemográficas, formação e atuação. Teste Qui-quadrado utilizado para comparar proporções segundo tipologias de tutor. Resultados: Considerados 614 tutores, que atuavam nas cinco regiões geográficas brasileiras, sendo a maioria na Atenção Primária (82%), seguido por atuação estadual/regional (13%) e na Atenção Ambulatorial Especializada (5%). A maioria referiu ser mulher, de cor da pele parda, da área de enfermagem, atuação como tutor há menos de 1 ano, e sem experiência prévia em preceptoria ou similar. Temas considerados mais importantes destacam-se Redes de Atenção à Saúde, estratificação de risco de condições crônicas e funções da Atenção Ambulatorial Especializada. Conclusão: Identificou-se a predominância de algumas características entre tutores, com diferenças entre as tipologias de atuação. Os achados podem apoiar gestores no processo de seleção e desenvolvimento de tutores na Planificação. Objetivo ensinoaprendizagem ensino aprendizagem atores Método transversal Saúde sociodemográficas Quiquadrado Qui quadrado Resultados 61 brasileiras 82%, 82 82% , (82%) estadualregional estadual regional 13% 13 (13% 5%. 5 5% . (5%) mulher parda enfermagem ano similar destacamse destacam se Conclusão Identificouse Identificou 6 8 (82% (13 (5% (82 (1 (5 (8 (

ABSTRACT: Previous investigations have revealed that a functional fermented orange beverage presented in its composition different phenolic compounds, which through in silico investigation demonstrated to have biological effects of therapeutic importance as antioxidant, gastrorepair, and anti-ulcerative properties. Thus, this study confirmed in vivo, through a model of EtOH-induced gastric ulcers in rats, the beneficial properties indicated by the in silico tests. Gastric ulcer was induced by EtOH (intragastric) and was treated after 1 h with fermented orange beverage with and without Menthapiperita extract (0.5 mL/100 g w.b). Omeprazole was used as positive control. Histopathological evaluation revealed that EtOH administration resulted in the formation of gastric ulcers due to the reduction of the mucus layer, presence of hemorrhage, and infiltration of neutrophils in the stomach tissue of rats, and only treatment with omeprazole was able to reverse these changes. Additionally, EtOH administration altered the gastric juice volume and induced oxidative stress in the gastric tissue observed through the increase in lipid peroxidation (TBARS), reduction in the levels of non-protein thiols (NPSH), and alteration in the superoxide dismutase (SOD) activity. The ingestion of the fermented orange beverage increased NPSH levels and reduced changes in TBARS levels induced by ethanol. These findings suggested that the fermented orange beverage has antioxidant effects, as pointed out by in silico studies, but not gastrorepair and anti-ulcerative effects. ABSTRACT compounds antiulcerative anti ulcerative Thus vivo EtOHinduced rats tests intragastric (intragastric 0.5 05 0 5 (0. mL100 mL 100 mL/10 w.b. wb w.b . w b w.b) control layer hemorrhage Additionally TBARS, , (TBARS) nonprotein non protein NPSH, (NPSH) SOD (SOD activity ethanol studies 0. (0 mL10 10 mL/1 (TBARS (NPSH ( mL1 mL/

RESUMO: Investigações anteriores revelaram que uma bebida funcional fermentada de laranja apresentou em sua composição diferentes compostos fenólicos, que através de investigações in silico demonstraram ter efeitos biológicos de importância terapêutica como propriedades antioxidantes, gastroreparadoras e antiulcerativas. Assim, o objetivo deste estudo foi confirmar in vivo, através de um modelo de úlcera gástrica induzida por EtOH em ratos, as propriedades benéficas indicadas pelos ensaios in silico. A úlcera gástrica foi induzida por EtOH (intragástrico) e tratada após 1 h com bebida fermentada de laranja com e sem o extrato de Mentha piperita (0,5 mL/100 g peso corporal). Omeprazol foi usado como controle positivo. A avaliação histopatológica revelou que a administração de EtOH resultou na formação de úlceras gástricas decorrentes da redução da camada de muco, presença de hemorragia e infiltração de neutrófilos no tecido estomacal de ratos, sendo apenas o tratamento com omeprazol capaz de reverter essas alterações. Além disso, a administração de EtOH alterou o volume do suco gástrico e induziu estresse oxidativo no tecido estomacal observado através do aumento da peroxidação lipídica (TBARS), redução dos níveis de tióis não-proteicos (SHNP) e alteração da atividade da superóxido dismutase (SOD). A ingestão da bebida fermentada de laranja aumentou os níveis de SHNP e reduziu as alterações nos níveis de TBARS induzidos pelo EtOH. Esses achados sugerem que a bebida fermentada de laranja apresenta efeitos antioxidantes, conforme apontado por estudos in silico, mas não efeitos gastroreparadores e antiulcerativos. RESUMO fenólicos antioxidantes antiulcerativas Assim vivo ratos intragástrico (intragástrico 0,5 05 0 5 (0, mL100 mL 100 mL/10 corporal. corporal . corporal) positivo muco disso TBARS, , (TBARS) nãoproteicos proteicos (SHNP SOD. SOD (SOD) antiulcerativos 0, (0 mL10 10 mL/1 (TBARS (SOD ( mL1 mL/

Abstract The objectives were to evaluate the effects of recipient category, season and administration of a gonadorelin analogue at the time of fixed-time embryo transfer (FTET) on pregnancy per FTET at 30 and 60 days after oestrus and on pregnancy losses (PL). Recipients were randomly assigned to: treated group (n = 624), in which recipients received an intramuscular injection of 0.2 mg of gonadorelin (Fertagyl®) at FTET; or a control group (n = 687) that remained untreated. Recipients were previously treated with a synchronisation protocol based on progesterone and oestradiol. All embryos were produced in vitro. The data with binomial distribution were analysed by multivariate logistic regression, using the GLIMIX procedure of SAS. Higher P/FTET was observed at 30 days (45.8 vs. 40.0%; P = 0.03) and 60 days (43.0 vs. 37.0%; P = 0.01) in the treated group. There was a tendency toward reduced PL in the treated group (4.0 vs. 7.0%; P = 0.09). Dry cows (2.70%) and lactating cows (2.47%) had less PL (P = 0.001) compared with heifers (10.42%). In the spring/summer season the P/ FTET at 60 days was smaller (P =0.024). Greater PL tended to occur in the warmer season. Treatment with gonadorelin at the time of bovine ET increased the pregnancy per ET at days 30 and 60 and reduced PL. Additionally, dry and lactating recipient cows showed a lower PL rate compared to heifers. Furthermore, ET performed in the warmer seasons of the year resulted in a lower pregnancy rate at day 60 and greater PL. category fixedtime fixed (FTET 3 6 . (PL) n 624, 624 , 624) 02 0 2 0. Fertagyl® Fertagyl (Fertagyl® 687 untreated oestradiol vitro regression SAS PFTET 45.8 458 45 8 (45. vs 40.0% 400 40 0.03 003 03 43.0 430 43 (43. 37.0% 370 37 0.01 001 01 4.0 4 (4. 7.0% 70 7 0.09. 009 0.09 09 0.09) 2.70% 270 (2.70% 2.47% 247 47 (2.47% 0.001 0001 10.42%. 1042 10.42% 10 42 (10.42%) springsummer spring summer =0.024. 0024 =0.024 024 =0.024) Additionally Furthermore (PL 62 (Fertagyl 68 45. (45 40.0 0.0 00 43. (43 37.0 4. (4 7.0 2.70 27 (2.70 2.47 24 (2.47 0.00 000 104 10.42 1 (10.42% 002 =0.02 40. 37. ( 7. 2.7 (2.7 2.4 (2.4 10.4 (10.42 =0.0 2. (2. 10. (10.4 =0. (2 (10. =0 (10 (1

Resumo Objetivou-se avaliar os efeitos da administração de análogo da gonadorelina no momento da transferência de embrião em tempo fixo (TETF), da categoria da receptora e da estação do ano na prenhez por TETF aos 30 (P/TETF 30) e 60 (P/ TETF60) após o estro e nas perdas gestacionais (PG). As receptoras foram distribuídas aleatoriamente: grupo tratado (n = 624), onde as receptoras receberam injeção intramuscular de 0,2 mg de gonadorelina (Fertagyl®) na TETF e grupo controle (n =687) permaneceu sem tratamento. As receptoras foram previamente tratadas com protocolo de sincronização à base de progesterona e estradiol. Todos os embriões foram produzidos in vitro. Os dados foram analisados por regressão logística multivariada, utilizando o procedimento GLIMIX do SAS. Foi detectada maior P/TETF30 (45,8 vs. 40,0%; P =0,03) e P/TETF60 (43,0 vs. 37,0%; P =0,01) no grupo tratado. Houve tendência de redução da PG no grupo tratado (4,0 vs. 7,0%; P =0,09). Vacas secas (2,70%) e vacas em lactação (2,47%) apresentaram menor PG (P =0,001), em comparação com novilhas (10,42%). Na estação primavera/verão a P/TETF60 foi menor (P = 0,024). Maior PG tendeu a ocorrer na estação mais quente. O tratamento com gonadorelina no momento do TETF aumentou a prenhez por TE aos dias 30 e 60 e reduziu o PG. Vacas receptoras secas e lactantes apresentaram menor taxa de PG em comparação com novilhas. Além disso, a TE realizada nas estações mais quentes do ano resultou em menor taxa de prenhez aos 60 dias e maior PG. Objetivouse Objetivou se TETF, , (TETF) 3 P/TETF PTETF 6 P/ TETF60 . (PG) aleatoriamente n 624, 624 624) 02 0 2 0, Fertagyl® Fertagyl (Fertagyl® =687 687 estradiol vitro multivariada SAS PTETF30 TETF30 P/TETF3 45,8 458 45 8 (45, vs 40,0% 400 40 =0,03 003 03 PTETF60 P/TETF6 43,0 430 43 (43, 37,0% 370 37 =0,01 001 01 4,0 4 (4, 7,0% 70 7 =0,09. 009 =0,09 09 =0,09) 2,70% 270 (2,70% 2,47% 247 47 (2,47% =0,001, 0001 =0,001 =0,001) 10,42%. 1042 10,42% 10 42 (10,42%) primaveraverão primavera verão 0,024. 0024 0,024 024 0,024) quente disso (TETF TETF6 (PG 62 (Fertagyl =68 68 PTETF3 TETF3 45, (45 40,0 =0,0 00 PTETF6 43, (43 37,0 4, (4 7,0 2,70 27 (2,70 2,47 24 (2,47 000 =0,00 104 10,42 1 (10,42% 002 0,02 =6 40, =0, 37, ( 7, 2,7 (2,7 2,4 (2,4 10,4 (10,42 0,0 =0 2, (2, 10, (10,4 (2 (10, (10 (1

Aim To evaluate the influence of notebook computers screens and undergraduate level of dental students in the radiographic detection of carious lesions. Methods Bitewing digital radiographs were presented to 3rd and 5th year dental students in three different notebooks computers: Notebook 1 with anti-glare screen (1366×768 pixels), Notebook 2 without anti-glare screen (1366×768 pixels), and Notebook 3 with anti-glare screen (1920×1080 pixels). A reference standard based on a consensus analysis was set by three senior professors of Oral Radiology and Cariology. Sensitivity, specificity and accuracy values were measured and submitted to two-way ANOVA at a significance level of 5%. Results Notebook 2 provided significantly lower sensitivity values (Mean 56.5% ± 2.94) than notebook 3 (71.1% ± 2.82) (p = 0.002). We found no statistically significant differences between the two undergraduate years (p > 0.05). Conclusion The anti-glare screen of notebook computers screens can influence the radiographic detection of carious lesions, but the undergraduate level of dental students does not influence this diagnostic task. lesions rd th antiglare anti glare 1366×768 1366768 1366 768 (1366×76 pixels, pixels , pixels) 1920×1080 19201080 1920 1080 (1920×108 pixels. . Cariology Sensitivity twoway way 5 5% Mean 565 56 56.5 2.94 294 94 71.1% 711 71 (71.1 2.82 282 82 p 0.002. 0002 0.002 0 002 0.002) 0.05. 005 0.05 05 0.05) task 1366×76 136676 136 76 (1366×7 1920×108 1920108 192 108 (1920×10 56. 2.9 29 9 71.1 7 (71. 2.8 28 8 000 0.00 00 0.0 1366×7 13667 13 (1366× 1920×10 192010 19 10 (1920×1 2. 71. (71 0. 1366× (1366 1920×1 19201 (1920× (7 (136 1920× (1920 ( (13 (192 (1 (19

Abstract: The use of the ellipsoidal heights of a vessel for measuring the tide allows the diminution of uncertainties of sounding reduction in hydrographic surveys. In this article, the Precise Point Positioning (PPP) and Post-Processing Kinematic (PPK) methods were evaluated by comparing them with data from a tide gauge station while the boat remained moored nearby. When traversing sounding lines, the PPK solution was used as a reference to validate the PPP solution. In all, 12 different periods of surveys were analyzed, distributed throughout the year 2021, in the Guanabara and Ilha Grande Bays, in Rio de Janeiro. The results showed that in comparison with the tide station, when the vessel was moored, the PPK was able to fulfill the strictest criteria (Exclusive Order) of the IHO (International Hydrographic Organization) in 100% of the surveys, while the PPP in 50%. Regarding the use of the PPK as a reference, with the boat both moored and sailing, the PPP met these criteria in 67% for Exclusive Order, 25% for Order 1A and 8% for the 1B. Reducing the vertical uncertainties of hydrographic surveys in shallow waters is useful for all marine and coastal vertical positioning applications, such as integrating terrestrial and marine vertical references. Abstract article (PPP PostProcessing Post Processing (PPK nearby lines 1 analyzed 2021 Bays Janeiro International Organization 100 50 50% sailing 67 25 A 8 1B B applications references 202 10 5 6 2 20

ABSTRACT Introduction: Cardiac surgery is a frequent surgical procedure and may present a high risk of complications. Among the prophylactic strategies studied to decrease the rates of negative outcomes, respiratory care seems to reduce pulmonary complications. Incentive spirometry (IS) is a low-cost, respiratory exercise technique, used for the prevention and treatment of postoperative pulmonary complications (PPC). The aim of this review was to evaluate whether IS is superior to respiratory care, mobilization exercises, and noninvasive ventilation on PPC, and clinical outcomes. Methods: Systematic review. Medical Literature Analysis and Retrieval System Online (or MEDLINE®), Embase®, Cochrane Central Register of Controlled Trials (or CENTRAL), Physiotherapy Evidence Database (or PEDro), Cumulative Index of Nursing and Allied Health (or CINAHL®), Latin American and Caribbean Health Sciences Literature (or LILACS), Scientific Electronic Library Online (or SciELO), Allied, Scopus®, and OpenGrey databases, clinical trial registration sites, conferences, congresses, and symposiums were searched. Results: Twenty-one randomized trials and one quasi-randomized trial (1,677 participants) were included. For partial pressure of oxygen (PaO2), IS was inferior to respiratory care (mean difference [MD] -4.48; 95% confidence interval [CI] -8.32 to -0.63). Flow-oriented IS was inferior to respiratory care on PaO2 (MD -4.53; 95% CI -8.88 to -0.18). However, compared to respiratory care, flow-oriented IS was superior on recovery vital capacity. Conclusions: This meta-analysis revealed that IS was not superior to standard respiratory care for PPCs and clinical outcomes, therefore its use should not be widely recommended until further studies with high quality be performed to ensure this clinical guidance. Introduction outcomes (IS lowcost, lowcost low cost, cost low-cost technique PPC. PPC . (PPC) exercises Methods or MEDLINE®, MEDLINE MEDLINE® , MEDLINE®) Embase Embase® CENTRAL, CENTRAL CENTRAL) PEDro, PEDro PEDro) CINAHL®, CINAHL CINAHL® CINAHL®) LILACS, LILACS LILACS) SciELO, SciELO SciELO) Scopus Scopus® databases sites conferences congresses searched Results Twentyone Twenty quasirandomized quasi 1,677 1677 1 677 (1,67 participants included PaO2, PaO (PaO2) mean MD [MD 4.48 448 4 48 -4.48 95 [CI 8.32 832 8 32 -8.3 0.63. 063 0.63 0 63 -0.63) Floworiented Flow oriented 4.53 453 53 -4.53 8.88 888 88 -8.8 0.18. 018 0.18 18 -0.18) However floworiented flow capacity Conclusions metaanalysis meta analysis guidance (PPC 1,67 167 67 (1,6 (PaO2 4.4 44 -4.4 9 8.3 83 3 -8. 06 0.6 6 -0.63 4.5 45 5 -4.5 8.8 01 0.1 -0.18 1,6 16 (1, (PaO 4. -4. 8. -8 0. -0.6 -0.1 1, (1 -4 - -0. ( -0