ABSTRACT BACKGROUND: Specific types of violence such as intimate partner sexual violence and intimate partner homicide occur more frequently in rural areas. OBJECTIVE: This study aimed to systematically review the literature on the knowledge and attitudes of rural healthcare providers regarding cases of domestic violence against women. DESIGN AND SETTING: Systematic review developed at Universidade Federal de Uberlândia. METHODS: We conducted an electronic search of six databases, which only included observational studies, regardless of the year, language, or country of publication, except for studies that used secondary data and were exclusively qualitative. Two reviewers performed the selection, data extraction, and risk of bias assessment using a specific Joanna Briggs Institute tool. RESULTS: Six studies met the inclusion criteria. All the studies had a low risk of bias. Approximately 38% of these professionals identified injuries caused by violence in patients. When asked about knowing the correct attitude to take in cases of confirmed violence, between 12% and 64% of rural healthcare providers answered positively; most of them would refer to specialized institutions and promote victim empowerment and counseling. The number of professionals with an educational background in the field ranged from 16% to 98%. CONCLUSIONS: The evident disparity across studies shows that some professionals have suboptimal knowledge and require training to adopt the correct attitude when identifying female victims of domestic violence in clinical practice. SYSTEMATIC REVIEW REGISTRATION: This systematic review was registered in the Open Science Framework Database under the registration http://doi.org/10.17605/OSF.IO/B7Q6S. BACKGROUND areas OBJECTIVE women SETTING Uberlândia METHODS databases year language publication qualitative selection extraction tool RESULTS criteria 38 patients 12 64 positively counseling 16 98 98% CONCLUSIONS practice REGISTRATION http//doi.org/10.17605/OSF.IO/B7Q6S. httpdoiorg1017605OSFIOB7Q6S httpdoiorgOSFIOBQS http //doi.org/10.17605/OSF.IO/B7Q6S. doi org 10 17605 OSF IO B7Q6S B Q S http://doi.org/10.17605/OSF.IO/B7Q6S 3 1 6 9 http//doi.org/10.17605/OSF.IO/B7Q6S httpdoiorg OSFIOB doiorg1017605OSFIOB7Q6S doiorgOSFIOBQS //doi.org/10.17605/OSF.IO/B7Q6S 1760 BQS doiorg 176 17

ABSTRACT COVID-19 is commonly associated with high serum levels of pro-inflammatory cytokines, and the post-infection status can disturb self-tolerance and trigger autoimmune responses. We are reporting a 45-year-old male who was admitted with fatigue, jaundice, elevated liver enzymes (with cholestatic pattern), and acute kidney injury two weeks after recovering from a mild SARS-CoV-2 infection. Serologies for viral hepatitis and anti-mitochondrial antibody were negative, while anti-nuclear and anti-smooth muscle antibodies were positive. There were no signs of chronic liver disease, and a magnetic resonance cholangiography showed no dilatation of biliary ducts. Histologic evaluation of the liver evidenced numerous foci of lobular necrosis without ductopenia or portal biliary reaction. Considering the autoantibody profile and histologic changes, the medical team started oral prednisone, but there was a suboptimal biochemical response in the outpatient follow-up. Two months later, a second liver biopsy was performed and revealed non-suppurative destructive chronic cholangitis, extensive areas of confluent necrosis with hepatocytes regenerating into pseudorosettes, and numerous plasma cells. According to the Paris Criteria, the patient was then diagnosed with an autoimmune hepatitis-primary biliary cholangitis overlap syndrome (AIH-PBC-OS). After adding azathioprine and ursodeoxycholic acid to the treatment, there was a satisfactory response. This is the second worldwide report of an AIH-PBC-OS triggered by COVID-19, but the first case with a negative anti-mitochondrial antibody. In this setting, histologic evaluation of the liver by an experienced pathologist is a hallmark of achieving the diagnosis and correctly treat the patient. COVID19 COVID 19 COVID-1 proinflammatory pro inflammatory cytokines postinfection post infection selftolerance self tolerance responses 45yearold yearold 45 year old fatigue jaundice pattern, pattern , pattern) SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- antimitochondrial anti mitochondrial antinuclear nuclear antismooth smooth positive disease ducts reaction changes prednisone followup. followup follow up. up follow-up later nonsuppurative non suppurative pseudorosettes cells Criteria hepatitisprimary primary AIHPBCOS. AIHPBCOS AIH PBC OS . (AIH-PBC-OS) treatment COVID19, 19, setting COVID1 1 COVID- 4 SARS-CoV (AIH-PBC-OS

ABSTRACT: Spirorchidiasis is one of the most common diseases in green turtles. Eggs and the adult form of trematodes are mainly found in the heart, liver, lung, spleen, and gastrointestinal tract. The present study aimed to describe the pathological aspects of Spirorchiidae trematode infection in green turtles (Chelonia mydas) in the Campos Basin, Rio de Janeiro. The current study was based on the necropsy of 99 green turtles (Chelonia mydas, Chelonidae) from April to December 2021. Epidemiological data were obtained from the Aquatic Biota Monitoring Information System (SIMBA). A histopathological examination was performed at the “Setor de Anatomia Patológica” (SAP) from “Universidade Federal Rural do Rio de Janeiro” (UFRuralRJ). Tissue fragments (buccal papilla, esophagus, trachea, lung, heart, kidney, bladder, stomach, liver, spleen, intestines, gonads, adrenal, thyroid, pancreas, salt glands, muscle, and skin) were sampled for histological examination. The green turtles had lesions compatible with parasitic infection in 89% (88/99) cases. Out of 88 turtles, 87 were juveniles (99%), 75% (66/88) were females, and 25% (22/88) were males. Adult parasites and their eggs were found to cause granulomatous tissue reactions in 14% (12/88) of turtles. Egg-associated granulomatous inflammation was found in 86% (76/88) of the turtles. The organs with the highest number of egg-associated granulomas in order of occurrence were: the spleen, small intestine, adrenal gland, pancreas, and lungs. The adult trematodes were observed in histological lesions in order of occurrence, mainly in the esophagus, stomach, and small intestine. Out of the total number of turtles parasitized, 33% (29/88) of deaths occurred due to multiple causes such as fractures, interaction with fishing, predation, and fibropapillomas. The other 67% (59/88) presented multisystemic granulomatous disease caused by Spirorchiidae infection as a cause of death. Evidence is presented that spirorchidiasis is highly prevalent in young green turtles, is responsible for extensive chronic lesions, and responsible for significant debilitation and mortality. ABSTRACT heart liver lung spleen tract Chelonia mydas Basin Janeiro 9 Chelonidae 2021 SIMBA. SIMBA . (SIMBA) Setor Patológica SAP (SAP Universidade UFRuralRJ. UFRuralRJ (UFRuralRJ) buccal papilla esophagus trachea kidney bladder stomach intestines gonads thyroid pancreas glands muscle skin 89 88/99 8899 (88/99 cases 8 99%, 99% , (99%) 75 66/88 6688 66 (66/88 females 25 22/88 2288 22 (22/88 males 14 12/88 1288 12 (12/88 Eggassociated Egg associated 86 76/88 7688 76 (76/88 eggassociated egg intestine gland lungs parasitized 33 29/88 2988 29 (29/88 fractures fishing predation fibropapillomas 67 59/88 5988 59 (59/88 death mortality 202 (SIMBA (UFRuralRJ 88/9 889 (88/9 (99% 7 66/8 668 6 (66/8 2 22/8 228 (22/8 1 12/8 128 (12/8 76/8 768 (76/8 3 29/8 298 (29/8 59/8 598 5 (59/8 20 88/ (88/ (99 66/ (66/ 22/ (22/ 12/ (12/ 76/ (76/ 29/ (29/ 59/ (59/ (88 (9 (66 (22 (12 (76 (29 (59 (8 ( (6 (2 (1 (7 (5

RESUMO: A espirorquidíase é uma das doenças mais comuns em tartarugas verdes. Os ovos e a forma adulta dos trematódeos são encontrados principalmente no coração, fígado, pulmão, baço e trato gastrointestinal. O objetivo do presente estudo foi descrever os aspectos patológicos da infecção por trematódeos Spirorchiidae em tartarugas verdes (Chelonia mydas) na Bacia de Campos, Rio de Janeiro. O presente trabalho foi baseado na necropsia de 99 tartarugas verdes (Chelonia mydas, Chelonidae) no período de abril a dezembro de 2021. Os dados epidemiológicos foram obtidos do Sistema de Informação de Monitoramento da Biota Aquática (SIMBA). Realizou-se exame histopatológico no Setor de anatomia Patológica (SAP) da Universidade Federal Rural do Rio de Janeiro (UFRuralRJ). Os fragmentos de tecidos (papila bucal, esôfago, traqueia, pulmão, coração, rim, bexiga, estômago, fígado, baço, intestinos, gônadas, adrenal, tireoides, pâncreas, glândulas de sal, músculo e pele) foram coletados e fixados em formalina a 10% tamponada, processados rotineiramente para exame histológico. Em 89% (88/99) dos casos, as tartarugas-verdes apresentaram lesões compatíveis com infecção parasitária. Das 88 tartarugas, 87 eram jovens (99%), 75% (66/88) correspondiam a fêmeas, 25% (22/88) a machos. Em 14% (12/88) das tartarugas foram encontrados parasitas adultos e seus ovos causando inflamação granulomatosa. Em 86,4% (76/88) das tartarugas foram encontradas lesões granulomatosas associadas aos ovos dos trematódeos. Os órgãos com maior quantidade de granulomas associados a ovos foram: baço, intestino delgado, adrenal, pâncreas e pulmões. Trematódeos adultos foram principalmente observados nas lesões histológicas, em ordem de ocorrência, no esôfago, estômago e intestino delgado. Do total de tartarugas parasitadas, 33% (29/88) das mortes ocorreram em consequência de múltiplas causas como fraturas, interação com pesca, predação e fibropapilomas. As outras 67% (59/88) apresentaram como causa de morte a doença granulomatosa multissistêmica causada pela infecção por trematódeo da família Spirorchiidae. São apresentadas evidências de que a espiroquidiase é altamente prevalente em tartarugas verdes jovens no Rio de Janeiro, responsável por extensas lesões crônicas, quadro clínico de debilidade e mortalidade significativas. RESUMO coração fígado pulmão gastrointestinal Chelonia mydas Campos 9 Chelonidae 2021 SIMBA. SIMBA . (SIMBA) Realizouse Realizou se SAP (SAP UFRuralRJ. UFRuralRJ (UFRuralRJ) papila bucal esôfago traqueia rim bexiga intestinos gônadas adrenal tireoides sal pele 10 tamponada histológico 89 88/99 8899 (88/99 casos tartarugasverdes parasitária 8 99%, 99% , (99%) 75 66/88 6688 66 (66/88 fêmeas 25 22/88 2288 22 (22/88 machos 14 12/88 1288 12 (12/88 864 86 4 86,4 76/88 7688 76 (76/88 delgado pulmões histológicas ocorrência parasitadas 33 29/88 2988 29 (29/88 fraturas pesca fibropapilomas 67 59/88 5988 59 (59/88 crônicas significativas 202 (SIMBA (UFRuralRJ 1 88/9 889 (88/9 (99% 7 66/8 668 6 (66/8 2 22/8 228 (22/8 12/8 128 (12/8 86, 76/8 768 (76/8 3 29/8 298 (29/8 59/8 598 5 (59/8 20 88/ (88/ (99 66/ (66/ 22/ (22/ 12/ (12/ 76/ (76/ 29/ (29/ 59/ (59/ (88 (9 (66 (22 (12 (76 (29 (59 (8 ( (6 (2 (1 (7 (5

Abstract Background Obesity and overweight in childhood can increase the risk of developing cardiovascular disease throughout live. Objectives This study provides an update of a meta-analysis of randomized clinical trials (RCT) published in 2014, to assess the effects of physical activity interventions on preventing cardiovascular risk factors in childhood. Methods This update combines data from the previous search with new data obtained from June 2013 to June 2020. Searches were performed on PubMed, EMBASE and Cochrane CENTRAL. The RCTs enrolled used interventions with physical activity longer than six months in school children aged 6-12 years, and evaluated body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol (TC), triglyceride (TG), and low-density lipoprotein (LDL) and high-density lipoprotein (HDL) levels. Data analysis was performed using a random-effects model and a P value <0.05 was considered statistically significant. Results A total of 28,603 articles were retrieved, and 17 RCTs (11,952 subjects) were included. Physical activity interventions were associated with reduction in SBP [−2.11mmHg (95%CI −3.67, −0.54), I243%], DBP [−2.08mmHg (95%CI −3.68, −0,49), I265%] and TG [-0.08mmol/L (95% CI -0.13, -0.03), I20%], and increase in TC [0.17mmol/L (95%CI 0.04, 0.30), I20%]. However, the interventions were not associated with reductions in BMI [−0.03 kg/m2 (95%CI −0.17, 0.10), I20%]. Conclusion This update confirms and reinforces the beneficial effects of physical activity intervention in reducing systolic and diastolic blood pressure and TG levels.

Resumo Fundamento Insuficiência cardíaca (IC) é uma das principais causas de mortalidade e morbidade no mundo, e está associada ao alto uso de recursos e custos com saúde. No Brasil, a prevalência de IC é de aproximadamente 2 milhões de pacientes, e sua incidência é de aproximadamente 240.000 novos casos por ano. Objetivo A investigação objetivou analisar a tendência espaço-temporal da mortalidade causada por IC no Brasil, de 1996 a 2017. Métodos Este é um estudo ecológico desenvolvido com dados secundários sobre mortalidade por IC no Brasil. Durante o período, 1.242.014 casos de morte causada por IC foram analisados. A existência da autocorrelação espacial de casos foi calculada utilizando o Índice de Moran Global (IMG) e, quando significativo, o Índice de Moran Local, considerando p <0,05. O risco relativo dos grupos foi calculado. Resultados A taxa de mortalidade causada por IC foi diversificada em regiões brasileiras, com ênfase no sul, sudeste e nordeste. O IMG indicou autocorrelação espacial positiva (p=0,01) em todos os períodos. Cidades localizadas no sul, sudeste, nordeste e centro-oeste mostraram maior risco relativo para mortalidade causada por IC, e a maioria das cidades do norte foi classificada como um fator protetivo contra esta causa de morte. Conclusões O estudo demonstrou declínio nas taxas de mortalidade no território nacional. A maior concentração de taxas de mortalidade está nas regiões norte e nordeste, enfatizando as áreas prioritárias de vulnerabilidade no planejamento e estratégias de controle de serviços de saúde.

Abstract Background Heart failure (HF) is a leading cause of mortality and morbidity worldwide, and is associated with the high use of resources and healthcare costs. In Brazil, the HF prevalence is around 2 million patients, and its incidence is of approximately 240,000 new cases per year. Objective The present investigation aimed to analyze the spatiotemporal trend of mortality caused by HF in Brazil, from 1996 to 2017. Methods This is an ecological study developed with secondary data on HF mortality in Brazil. During the period, 1,242,014 cases of death caused by heart failure were analyzed. The existence of spatial autocorrelation of cases was calculated using the Global Moran Index (GMI) and, when significant, the Local Moran Index, considering p<0.05. The relative risk of the clusters was calculated. Results The mortality rate due to HF was diversified in all Brazilian regions, with an emphasis in the South, Southeast, and Northeast. The GMI indicated positive spatial autocorrelation (p=0.01) in all periods. Municipalities located in the South, Southeast, Northeast, and Midwest showed a higher Relative Risk for mortality from HF, and most municipalities in the North were classified as a protective factor against this cause of death. Conclusions The study showed a decline in mortality rates across the national territory. The highest concentration of mortality rates is in the North and Northeast regions, highlighting priority vulnerable areas in the planning and controlling strategies of health services.

RESUMO A imensa sociobiodiversidade do Cerrado brasileiro pode ser compreendida a partir dos modos de vida construídos pelo amplo leque de povos e comunidades tradicionais em suas relações com o bioma, do qual são guardiãs. Nas últimas décadas, projetos de desenvolvimento promovem ali acelerado avanço do agronegócio, expropriando terras, privatizando águas, contaminando o ambiente e ameaçando ou inviabilizando modos de vida tradicionais. Neste artigo, parte-se da percepção de mulheres de Campos Lindos/TO, sobre as consequências trazidas às suas vidas e saúde por empresas produtoras de soja. Em seguida, questiona-se a constituição do Cerrado como zona de sacrifício do desenvolvimento brasileiro, ao concentrar terras para a produção de 75% de quatro commodities agrícolas, desmatar mais de 50% da vegetação nativa, exaurir aquíferos e levar rios à morte, contaminar o ambiente com 73,5% dos agrotóxicos consumidos no País, trazendo implicações para o processo saúde-doença (como intoxicações agudas, malformações, cânceres, desnutrição, adoecimento mental) e para outros biomas do Brasil e países da América do Sul. Conclui-se perscrutando alternativas na perspectiva dos comuns, do decrescimento, dos direitos da natureza e do bem viver, instigando reflexões da saúde coletiva e da agroecologia sobre a contribuição dos saberes e fazeres tradicionais à saúde e à emancipação humana.

ABSTRACT The immense socio-biodiversity of the Brazilian Cerrado can be understood from the ways of life built by the wide range of traditional peoples and communities in their relations with the biome, of which they are guardians. In the last decades, development projects have promoted an accelerated advance in agribusiness, expropriating land, privatizing water, contaminating the environment and threatening or preventing traditional ways of life. In this essay, we start from the perception of women from Campos Lindos/TO, about the consequences brought to their lives and health by companies producing soybeans. Then we questioned the constitution of the Cerrado as a sacrifice zone for Brazilian development, by concentrating land for the production of 75% of four agricultural commodities, deforesting more than 50% of native vegetation, depleting aquifers and causing rivers to die, contaminating the environment with 73.5% of pesticides consumed in Brazil, with implications for the health-disease process (such as acute intoxications, malformations, cancers, malnutrition, mental illness) and for other biomes in Brazil and South American countries. We conclude by examining alternatives in the perspective of the common, of degrowth, of the rights of nature and of good living, instigating reflections from the Collective Health and Agroecology on the contribution of traditional knowledge and practices to health and human emancipation.

RESUMO A imensa sociobiodiversidade do Cerrado brasileiro pode ser compreendida a partir dos modos de vida construídos pelo amplo leque de povos e comunidades tradicionais em suas relações com o bioma, do qual são guardiãs. Nas últimas décadas, projetos de desenvolvimento promovem ali acelerado avanço do agronegócio, expropriando terras, privatizando águas, contaminando o ambiente e ameaçando ou inviabilizando modos de vida tradicionais. Neste artigo, parte-se da percepção de mulheres de Campos Lindos/TO, sobre as consequências trazidas às suas vidas e saúde por empresas produtoras de soja. Em seguida, questiona-se a constituição do Cerrado como zona de sacrifício do desenvolvimento brasileiro, ao concentrar terras para a produção de 75% de quatro commodities agrícolas, desmatar mais de 50% da vegetação nativa, exaurir aquíferos e levar rios à morte, contaminar o ambiente com 73,5% dos agrotóxicos consumidos no País, trazendo implicações para o processo saúde-doença (como intoxicações agudas, malformações, cânceres, desnutrição, adoecimento mental) e para outros biomas do Brasil e países da América do Sul. Conclui-se perscrutando alternativas na perspectiva dos comuns, do decrescimento, dos direitos da natureza e do bem viver, instigando reflexões da saúde coletiva e da agroecologia sobre a contribuição dos saberes e fazeres tradicionais à saúde e à emancipação humana.

ABSTRACT The immense socio-biodiversity of the Brazilian Cerrado can be understood from the ways of life built by the wide range of traditional peoples and communities in their relations with the biome, of which they are guardians. In the last decades, development projects have promoted an accelerated advance in agribusiness, expropriating land, privatizing water, contaminating the environment and threatening or preventing traditional ways of life. In this essay, we start from the perception of women from Campos Lindos/TO, about the consequences brought to their lives and health by companies producing soybeans. Then we questioned the constitution of the Cerrado as a sacrifice zone for Brazilian development, by concentrating land for the production of 75% of four agricultural commodities, deforesting more than 50% of native vegetation, depleting aquifers and causing rivers to die, contaminating the environment with 73.5% of pesticides consumed in Brazil, with implications for the health-disease process (such as acute intoxications, malformations, cancers, malnutrition, mental illness) and for other biomes in Brazil and South American countries. We conclude by examining alternatives in the perspective of the common, of degrowth, of the rights of nature and of good living, instigating reflections from the Collective Health and Agroecology on the contribution of traditional knowledge and practices to health and human emancipation.

SUMMARY: The rabbit is considered an ideal animal model for studies that describe abnormalities in the testicles due to the similar morphogenetic mechanisms of sexual development and diseases commonly found in humans. The aim of this study was to determine the male sexual differentiation of the New Zealand rabbit (Oryctolagus cuniculus) through development. The gestational age was estimated and classified as 9, 12, 14, 16, 18, 20, 23 and 28 gestational days. The morphological and sexual determination were performed by histological analysis of the reproductive tract in the embryos and fetuses (9-28 days) as well as by immunohistochemistry- Desert hedgehog-Dhh- (testis-specific protein on Y chromosome- 16, 20, 23 days and adult rabbits). Gonads were observed from the 14th day in an undifferentiated stage and with homogeneous aspect. Sexual differentiation was observed from the 16th day with presence of cells forming gonadal cords and Dhh+ cells in the gonadal parenchyma. From the 18th gestational day testicular cords were observed, which evolved into organized seminiferous tubules. The formation of the efferent ducts and ductus deferens and epididymis was observed on the 20th and 23rd days, respectively. The differentiation of the external genitalia occurred from the 23rd days from the anogenital distance and was identified to identify the penile structures. In summary, the features of the sexual differentiation were determined by observation of the Dhh+ protein in embryos from the 16th day to adulthood, and the morphological particularities observed from the 18th gestational day, determined by differentiation of the external genitalia from the 23rd day.

RESUMEN: El conejo se considera un modelo animal ideal para estudios que describen anomalías a nivel testícular debido a que presenta mecanismos morfogenéticos similares al desa- rrollo sexual y enfermedades que se encuentran comúnmente en los seres humanos. El objetivo de este estudio fue determinar la diferenciación sexual masculina del conejo de Nueva Zelanda (Oryctolagus cuniculus) a través del desarrollo. La edad gestacional se estimó y clasificó en 9, 12, 14, 16, 18, 20, 23 y 28 días gestacionales. La determinación morfológica y sexual se realizó mediante análisis histológico del tracto reproductivo en los embriones y fetos (9 - 28 días) así como mediante inmunohistoquímica -Desert hedgehog-Dhh- (proteína testicular específica en el cromosoma Y- 16, 20, 23 días y conejos adultos). Las gónadas se observaron a partir del día 14 en un estadio indiferenciado y con aspecto homogéneo. Se observó diferenciación sexual a partir del día 16 con presencia de células formadoras de cordones gonadales y células Dhh+ en el parénquima gonadal. A partir del día 18 de gestación se observaron cordones testiculares, que evolucionaron a túbulos seminíferos organizados. La formación de los conductos eferentes, deferentes y del epidídimo se observó a los 20 y 23 días, respectivamente. La diferenciación de los genitales externos ocurrió a partir del día 23 desde la distancia anogenital y se utilizó para identificar las estructuras del pene. En conclusión, las características de la diferenciación sexual se determinaron mediante la observación de la proteína Dhh en embriones desde el día 16 hasta la edad adulta, y las particularidades morfológicas observadas a partir del día 18 de gestación, determinadas por diferenciación de los genitales externos a partir del día 23.

ABSTRACT Extranodal NK/T-cell lymphoma, nasal type (ENKTL-NT) is a rare type of Non-Hodgkin’s lymphoma, which usually presents with extranodal involvement and affects the nasal/upper aerodigestive tract in the classical presentation. Herein, we report the case of a 31-year-old, previously healthy, male patient diagnosed with ENKTL-NT with the involvement of the lung parenchyma and heart. Unfortunately, due to the rapid disease progression, the diagnosis was performed only at the autopsy. The authors highlight the rare clinical presentation of this type of lymphoma, as well as the challenging anatomopathological diagnosis in necrotic samples.

Resumo Os óleos essenciais (OE) de Illicium verum e Pelargonium graveolens foram avaliados quanto à letalidade, inibição do desenvolvimento e eficácia residual contra a pulga Ctenocephalides felis felis. Sua composição química foi caracterizada por meio de cromatografia gasosa com detector de ionização de chama e espectrometria de massas. A mortalidade entre os diferentes estágios imaturos e pulgas adultas foi avaliada por meio de testes in vitro em papel filtro, contendo diferentes concentrações de OEs. A caracterização química do óleo volátil de I. verum mostrou que o E-anetol (79,96%) foi o constituinte majoritário, enquanto os principais compostos de P. graveolens foram citronelol (29,67%) e geraniol (14,85%). Foi observada atividade inseticida contra os estágios imaturos e adulto da pulga. O OE de I. verum teve atividade inseticida por aproximadamente 18 dias, enquanto o de P. graveolens durou 13 dias. A atividade pulicida de I. verum permaneceu acima de 70% até o 9º dia, enquanto a atividade de P. graveolens foi de 41,7% até o 2º dia. Os óleos essenciais, principalmente de I. verum, apresentam atividade inseticida para o controle de pulgas em diferentes estágios do ciclo de vida e têm potencial para o desenvolvimento de ectoparasiticidas (biopesticidas) de uso veterinário.

Abstract The essential oils (EOs) of Illicium verum and Pelargonium graveolens were evaluated for lethality, inhibition of development and residual efficacy against the flea Ctenocephalides felis felis. Their chemical composition was characterized by means of gas chromatography with a flame ionization and mass spectrometry detection. Mortality at different immature stages and among adult fleas was measured through in vitro filter paper tests at different concentrations of EOs. The chemical characterization of I. verum volatile oil showed that E-anethole (79.96%) was the major constituent, while the major compounds in P. graveolens were citronellol (29.67%) and geraniol (14.85%). Insecticidal activity against both immature and adult flea stages were observed. The EO of I. verum had insecticidal activity for approximately 18 days, while the EO activity of P. graveolens lasted for 13 days. The pulicidal activity of I. verum remained above 70% for up to 9 days, while the activity of P. graveolens was 41.7% for up to 2 days. Essential oils, especially that of I. verum, showed insecticidal activity for flea control at different life cycle stages and have potential for the development of ectoparasiticides (biopesticides) for veterinary use.

Resumo O objetivo deste estudo é discutir a reorganização do processo de trabalho do Agente Comunitário de Saúde (ACS) em decorrência da pandemia da Covid-19, considerando sua importância enquanto um elo de articulação entre a comunidade e os serviços de saúde. Foi realizada uma revisão de literatura nas bases de dados Biblioteca Virtual em Saúde, Scientific Electronic Library Online e Portal Brasileiro de Publicações Científicas em acesso aberto e revisão documental de notas técnicas e normativas das secretarias estaduais de saúde do Brasil. A análise baseou-se nas premissas da Atenção Primária à Saúde e nos eixos do trabalho do ACS, especialmente a competência cultural e a orientação comunitária, buscando discutir as mudanças introduzidas neste trabalho no que diz respeito aos seguintes aspectos: apoio às equipes de saúde, utilização da telessaúde e educação em saúde. Concluiu-se que a pandemia de Covid-19 demandou reorganização do processo de trabalho e dos fluxos assistenciais, e para que o ACS continue desenvolvendo suas atividades deve-se garantir condições dignas de trabalho, capacitação e educação permanente, evidenciando-se inclusive, a preocupação quanto à possível descontinuidade de outros cuidados necessários para garantir a atenção à saúde da população no território.

Abstract Abstract This study discusses the reorganization of the Community Health Workers (CHWs) work process as a result of the Covid-19 pandemic, considering its importance as a link between the community and the health services in the field of basic care. The literature review comes from the following databases: Virtual Health Library, Scientific Electronic Library Online, and the Brazilian Scientific Publications Portal databases in open access and document review of technical and normative notes from the Municipal Health Secretariats in Brazil. The analysis was based on the premises of Primary Health Care and on the axes of the CHW work, especially cultural competence and community orientation, aiming to discuss the changes introduced in this work regarding the following aspects: 1) health teams support, 2) use of telehealth, and 3) health education. This study concluded that the Covid-19 pandemic demanded reorganization of the work process and assistance flows in the field of basic care. In order for the CHW to continue developing their activities it is necessary to guarantee decent working conditions, training and continuing education, including the concern about the possible discontinuity of other care needed to ensure the population health care in the territory.

RESUMO O estado nutricional do paciente submetido ao transplante de células-tronco hematopoéticas é considerado fator de risco independente, podendo influenciar na qualidade de vida e na tolerância ao tratamento proposto. O comprometimento do estado nutricional durante o transplante de células-tronco hematopoéticas ocorre principalmente devido aos efeitos adversos decorrentes do condicionamento ao qual o paciente é submetido. Desta forma, a adequada avaliação nutricional e o acompanhamento durante o transplante de células-tronco hematopoéticas tornam-se imprescindíveis. Com o objetivo de salientar a importância do estado nutricional e da composição corporal durante o tratamento, bem como as principais características relacionadas à avaliação nutricional do paciente, o Consenso Brasileiro de Nutrição em Transplante de Células-Tronco Hematopoiéticas: Adulto foi elaborado visando uniformizar e atualizar a Terapia Nutricional nesta área. Com a participação de nutricionistas, nutrólogos e hematologistas de 15 centros brasileiros referências em transplante de células-tronco hematopoéticas

ABSTRACT The nutritional status of patients submitted to hematopoietic stem cell transplant is considered an independent risk factor, which may influence on quality of life and tolerance to the proposed treatment. The impairment of nutritional status during hematopoietic stem cell transplant occurs mainly due to the adverse effects resulting from conditioning to which the patient is subjected. Therefore, adequate nutritional evaluation and follow-up during hematopoietic stem cell transplant are essential. To emphasize the importance of nutritional status and body composition during treatment, as well as the main characteristics related to the nutritional assessment of the patient, the Brazilian Consensus on Nutrition in Hematopoietic Stem Cell Transplant: Adults was prepared, aiming to standardize and update Nutritional Therapy in this area. Dietitians, nutrition physicians and hematologists from 15 Brazilian centers thar are references in hematopoietic stem cell transplant took part.

RESUMO Em dezembro de 2019, uma série de pacientes com pneumonia grave foi identificada em Wuhan, província de Hubei, na China. Esses pacientes evoluíram para síndrome respiratória aguda grave e síndrome do desconforto respiratório agudo. Posteriormente, a COVID-19 foi atribuída a um novo betacoronavírus, o coronavírus da síndrome respiratória aguda grave 2 (SARS-CoV-2). Cerca de 20% dos pacientes com diagnóstico de COVID-19 desenvolvem formas graves da doença, incluindo insuficiência respiratória aguda hipoxêmica, síndrome respiratória aguda grave, síndrome do desconforto respiratório agudo e insuficiência renal aguda e requerem admissão em unidade de terapia intensiva. Não há nenhum ensaio clínico randomizado controlado que avalie potenciais tratamentos para pacientes com infecção confirmada pela COVID-19 no momento da publicação destas recomendações de tratamento. Dessa forma, essas recomendações são baseadas predominantemente na opinião de especialistas (grau de recomendação de nível C).

ABSTRACT In December 2019, a series of patients with severe pneumonia were identified in Wuhan, Hubei province, China, who progressed to severe acute respiratory syndrome and acute respiratory distress syndrome. Subsequently, COVID-19 was attributed to a new betacoronavirus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Approximately 20% of patients diagnosed as COVID-19 develop severe forms of the disease, including acute hypoxemic respiratory failure, severe acute respiratory syndrome, acute respiratory distress syndrome and acute renal failure and require intensive care. There is no randomized controlled clinical trial addressing potential therapies for patients with confirmed COVID-19 infection at the time of publishing these treatment recommendations. Therefore, these recommendations are based predominantly on the opinion of experts (level C of recommendation).

Resumo O objetivo deste estudo é discutir a reorganização do processo de trabalho do Agente Comunitário de Saúde (ACS) em decorrência da pandemia da Covid-19, considerando sua importância enquanto um elo de articulação entre a comunidade e os serviços de saúde. Foi realizada uma revisão de literatura nas bases de dados Biblioteca Virtual em Saúde, Scientific Electronic Library Online e Portal Brasileiro de Publicações Científicas em acesso aberto e revisão documental de notas técnicas e normativas das secretarias estaduais de saúde do Brasil. A análise baseou-se nas premissas da Atenção Primária à Saúde e nos eixos do trabalho do ACS, especialmente a competência cultural e a orientação comunitária, buscando discutir as mudanças introduzidas neste trabalho no que diz respeito aos seguintes aspectos: apoio às equipes de saúde, utilização da telessaúde e educação em saúde. Concluiu-se que a pandemia de Covid-19 demandou reorganização do processo de trabalho e dos fluxos assistenciais, e para que o ACS continue desenvolvendo suas atividades deve-se garantir condições dignas de trabalho, capacitação e educação permanente, evidenciando-se inclusive, a preocupação quanto à possível descontinuidade de outros cuidados necessários para garantir a atenção à saúde da população no território.

Abstract Abstract This study discusses the reorganization of the Community Health Workers (CHWs) work process as a result of the Covid-19 pandemic, considering its importance as a link between the community and the health services in the field of basic care. The literature review comes from the following databases: Virtual Health Library, Scientific Electronic Library Online, and the Brazilian Scientific Publications Portal databases in open access and document review of technical and normative notes from the Municipal Health Secretariats in Brazil. The analysis was based on the premises of Primary Health Care and on the axes of the CHW work, especially cultural competence and community orientation, aiming to discuss the changes introduced in this work regarding the following aspects: 1) health teams support, 2) use of telehealth, and 3) health education. This study concluded that the Covid-19 pandemic demanded reorganization of the work process and assistance flows in the field of basic care. In order for the CHW to continue developing their activities it is necessary to guarantee decent working conditions, training and continuing education, including the concern about the possible discontinuity of other care needed to ensure the population health care in the territory.