Resumo Objetivo Determinar o grau de concordância, sensibilidade e especificidade da prioridade de atendimento determinada por enfermeiros interavaliadores, a partir do uso do protocolo de acolhimento e classificação de risco em obstetrícia, em unidade de pronto atendimento obstétrico. Métodos Estudo transversal, com abordagem metodológica, realizado em uma maternidade-escola de Belo Horizonte-MG-Brasil, no período de setembro a novembro de 2020. Realizado em duas etapas: 1) Documental com avaliação dos registros de enfermeiros classificadores nos prontuários de gestantes, parturientes ou puérperas; 2) Entrevista com enfermeiros treinados e não treinados na classificação de risco. Realizou-se análise de sensibilidade, especificidade e empregou-se o coeficiente Kappa (k) para avaliar a concordância. Resultados Evidenciou-se que o grau de concordância Interavaliadores (enfermeiros treinados e não treinados) foi considerado moderado a forte (k= 0,47 e 0,77). Verificou-se tendência na subestimação das prioridades vermelha (sensibilidade de 85%; especificidade de 99%) e amarela (sensibilidade de 54%; especificidade de 85%), bem como superestimação na prioridade verde (sensibilidade de 62%; especificidade de 84%) e azul (sensibilidade de 89%, especificidade de 98%), porém sem diferenças significativas. Apesar da concordância e especificidade satisfatória, a sensibilidade foi baixa, devido aos índices de subestimação e superestimação na classificação de risco. Conclusão O protocolo é confiável para determinação da prioridade de atendimento em obstetrícia, porém houve baixa sensibilidade, diante de sua aplicação na determinação da prioridade de atendimento por enfermeiros treinados e não treinados. interavaliadores obstetrícia obstétrico transversal metodológica maternidadeescola maternidade escola HorizonteMGBrasil, HorizonteMGBrasil Horizonte MG Brasil, Brasil Horizonte-MG-Brasil 2020 etapas 1 gestantes puérperas 2 Realizouse Realizou se empregouse empregou k (k Evidenciouse Evidenciou k= 047 0 47 0,4 0,77. 077 0,77 . 77 0,77) Verificouse Verificou 85% 85 99% 99 54% 54 85%, , 85%) 62% 62 84% 84 89 89% 98%, 98 98% 98%) significativas satisfatória 202 04 4 0, 07 0,7 7 8 9 5 6 20

Abstract Objective To determine the degree of agreement, sensitivity and specificity of the priority of care determined by inter-rater nurses, based on the use of the protocol for care and risk classification in obstetrics, in an obstetric emergency unit. Method Cross-sectional study with a methodological approach, carried out in a maternity school in Belo Horizonte-MG-Brazil, from September to November 2020. It was carried out in two stages: 1) Documental with an evaluation of the records of nurse classifiers in the medical records of pregnant women, parturients or puerperal women; 2) Interviews with trained and not trained nurses in risk classification. Sensitivity and specificity were analyzed and the Kappa coefficient (k) was used to assess agreement. Results The degree of inter-rater agreement (trained and not trained nurses) was found to be moderate to strong (k= 0.47 and 0.77). There was a tendency to underestimate the red (sensitivity of 85%; specificity of 99%) and yellow priorities (sensitivity of 54%; specificity of 85%), as well as overestimate the green (sensitivity of 62%; specificity of 84%) and blue priorities (sensitivity of 89%, specificity of 98%), although there were no significant differences. Despite satisfactory agreement and specificity, sensitivity was low, due to the rates of underestimation and overestimation in risk classification. Conclusion The protocol is reliable for determining priority of care in obstetrics, but its sensitivity was low when applied to determining priority of care by trained and not trained nurses. interrater inter rater obstetrics unit Crosssectional Cross sectional approach HorizonteMGBrazil, HorizonteMGBrazil Horizonte MG Brazil, Brazil Horizonte-MG-Brazil 2020 stages 1 women 2 k (k k= 047 0 47 0.4 0.77. 077 0.77 . 77 0.77) 85% 85 99% 99 54% 54 85%, , 85%) 62% 62 84% 84 89 89% 98%, 98 98% 98%) differences 202 04 4 0. 07 0.7 7 8 9 5 6 20

Resumen Objetivo Determinar el nivel de concordancia, sensibilidad y especificidad de la prioridad de asistencia determinada por enfermeros interevaluadores, a partir del uso del protocolo de acogida y clasificación del riesgo en obstetricia, en una unidad de servicios de emergencias obstétricas. Métodos Estudio transversal con enfoque metodológico, realizado en una maternidad escuela de Belo Horizonte, Minas Gerais, Brasil, de septiembre a noviembre de 2020. Fue realizado en dos etapas: 1) documental con análisis de los registros de enfermeros clasificadores en las historias clínicas de mujeres embarazadas, parturientas o puérperas; 2) entrevista con enfermeros capacitados y no capacitados en clasificación del riesgo. Se realizó análisis de sensibilidad, especificidad y se empleó el coeficiente Kappa (k) para evaluar la concordancia. Resultados Se observó que el nivel de concordancia entre evaluadores (enfermeros capacitados y no capacitados) fue considerado de moderado a fuerte (k= 0,47 e 0,77). Se verificó una tendencia de subestimación de la prioridad roja (sensibilidad de 85 %; especificidad de 99 %) y amarilla (sensibilidad de 54 %; especificidad de 85 %), así como una sobrestimación de la prioridad verde (sensibilidad de 62 %; especificidad de 84 %) y azul (sensibilidad de 89 %, especificidad de 98 %), pero sin diferencias significativas. A pesar de que la concordancia y la especificidad fueron satisfactorias, la sensibilidad fue baja, debido a los índices de subestimación y sobrestimación en la clasificación del riesgo. Conclusión El protocolo es confiable para determinar la prioridad de asistencia en obstetricia, pero se observó baja sensibilidad al ser aplicado por enfermeros capacitados y no capacitados para determinar la prioridad de asistencia. interevaluadores obstetricia obstétricas metodológico Horizonte Gerais Brasil 2020 etapas 1 embarazadas puérperas 2 k (k k= 047 0 47 0,4 0,77. 077 0,77 . 77 0,77) 8 % 9 5 , 6 significativas satisfactorias 202 04 4 0, 07 0,7 7 20

ABSTRACT INTRODUCTION Lung cancer (LC) is a relevant public health problem in Brazil and worldwide, given its high incidence and mortality. Thus, the objective of this study is to analyze the distribution of smoking and smoking status according to sociodemographic characteristics and disparities in access, treatment, and mortality due to LC in Brazil in 2013 and 2019. METHOD Retrospective study of triangulation of national data sources: a) analysis of the distribution of smoking, based on the National Survey of Health (PNS); b) investigation of LC records via Hospital-based Cancer Registry (HCR); and c) distribution of mortality due to LC in the Mortality Information System (SIM). RESULTS There was a decrease in the percentage of people who had never smoked from 2013 (68.5%) to 2019 (60.2%) and in smoking history (pack-years). This was observed to be greater in men, people of older age groups, and those with less education. Concerning patients registered in the HCR, entry into the healthcare service occurs at the age of 50, and only 19% have never smoked. While smokers in the population are mainly Mixed-race, patients in the HCR are primarily White. As for the initial stage (I and II), it is more common in White people and people who have never smoked. The mortality rate varied from 1.00 for people with higher education to 3.36 for people without education. Furthermore, White people have a mortality rate three times higher than that of Black and mixed-race people. CONCLUSION This article highlighted relevant sociodemographic disparities in access to LC diagnosis, treatment, and mortality. Therefore, the recommendation is to strengthen the Population-Based Cancer Registry and develop and implement a nationwide LC screening strategy in Brazil since combined prevention and early diagnosis strategies work better in controlling mortality from the disease and continued investment in tobacco prevention and control policies.

RESUMO INTRODUÇÃO O câncer de pulmão (CP) é um relevante problema de saúde pública no Brasil e no mundo, dada sua alta incidência e mortalidade. Assim, objetiva-se analisar a distribuição do tabagismo e da carga tabágica segundo características sociodemográficas e disparidades no acesso, no tratamento e na mortalidade por CP no Brasil, em 2013 e 2019. MÉTODO Estudo retrospectivo de triangulação de fontes de dados de abrangência nacional: a) análise da distribuição do tabagismo, baseada na Pesquisa Nacional de Saúde (PNS); b) investigação dos registros de CP, via Registros Hospitalares de Câncer (RHC); e c) distribuição da mortalidade por CP, no Sistema de Informação sobre Mortalidade (SIM). RESULTADOS Verificou-se redução do percentual de pessoas que nunca fumaram de 2013 (68,5%) para 2019 (60,2%), assim como da carga tabágica (anos-maço). Esta foi observada maior em homens em pessoas de faixas etárias mais avançadas e de menor escolaridade. Em relação aos pacientes registrados no RHC, a entrada no serviço de saúde se dá a partir de 50 anos, e apenas 19% nunca fumaram. Ao passo que os fumantes na população são majoritariamente pardos, os pacientes no RHC são em maioria brancos. Quanto ao estadiamento inicial (I e II), é mais frequente em pessoas brancas e que nunca fumaram. A taxa de mortalidade apresentou variação de 1,00, para pessoas com ensino superior, a 3,36, entre pessoas sem instrução, assim como pessoas brancas têm uma taxa de mortalidade três vezes maior que a de pessoas negras e pardas. CONCLUSÃO Este artigo apontou relevantes disparidades sociodemográficas no acesso ao diagnóstico, tratamento e mortalidade do CP. Assim, recomenda-se: fortalecer o Registro de Câncer de Base Populacional; desenvolver e implementar estratégia de screening de CP no Brasil, uma vez que a realização de estratégias de prevenção e diagnóstico precoce combinadas funcionam melhor no controle da mortalidade pela doença; e investimento contínuo nas políticas de prevenção e controle do tabagismo.

ABSTRACT OBJECTIVE: To describe disability-related performance and inequality nationwide in Brazil, and the changes that took place between 2012 and 2019 after the introduction of Programme for Improving Primary Care Access and Quality (PMAQ). METHODS: We derived scores for disability-related care and accessibility of primary healthcare facilities from PMAQ indicators collected in round 1 (2011–2013), and round 3 (2015–2019). We assessed how scores changed after the introduction of PMAQ. We used census data on per capita income of local areas to examine the disability-specific care and accessibility scores by income group. We undertook ordinary least squares regressions to examine the association between PMAQ scores and per capita income of each local area across implementation rounds. RESULTS: Disability-related care scores were low in round 1 (18.8, 95%CI 18.3–19.3, out of a possible 100) and improved slightly by round 3 (22.5, 95%CI 22.0–23.1). Accessibility of primary healthcare facilities was also poor in round 1 (30.3, 95%CI 29.8–30.8) but doubled by round 3 (60.8, 95%CI 60.3–61.3). There were large socioeconomic inequalities in round 1, with both scores approximately twice as high in the richest compared to the poorest group. Inequalities weakened somewhat for accessibility scores by round 3. These trends were confirmed through regression analyses, controlling for other area characteristics. Disability-related and accessibility scores also varied strongly between states in both rounds. CONCLUSIONS: People with disabilities are being left behind by the Brazilian healthcare system, particularly in poor areas, which will challenge the achievement of universal health coverage.

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

RESUMO A MOS (matéria orgânica do solo) é um reservatório natural de carbono e dividida em diferentes estágios de decomposição conforme sua solubilidade e complexidade estrutural. Diante desse contexto, este trabalho teve como objetivo quantificar os teores de carbono nas frações húmicas da matéria orgânica do solo sob sistema agroflorestal em três topossequências no brejo de altitude de Pernambuco, Brasil. O estudo foi desenvolvido na fazenda Yaguara, e as áreas estudadas foram mata nativa e três topossequências de sistema agroflorestal. As amostras de solos foram coletadas em trincheiras 1,5 x 1,5 m, nas profundidades 0-20, 20-40 e 40-60 cm, com quatro replicações. As concentrações de carbono nas frações húmicas do solo diminuíram com o aumento da profundidade. A área com sistema agroflorestal teve as maiores concentrações de carbono nas frações húmicas. Os estoques das frações húmicas encontradas em área de sistema agroflorestal apresentaram maiores valores médios em área de topo 5,62, 9,72 e 22,53 Mg ha-1 em relação à mata nativa 4,84, 8,28 e 19,20 Mg ha-1, respectivamente para ácido fúlvico, ácido húmico e humina. Dentre as áreas avaliadas, o solo com sistema agroflorestal área de topo tem grande potencial para aumentar o armazenamento de carbono nas frações húmicas do solo. estrutural contexto Pernambuco Brasil Yaguara 15 1 5 1, m 020, 020 0 20, 20 0-20 2040 40 20-4 4060 60 40-6 cm replicações profundidade 562 62 5,62 972 9 72 9,7 2253 22 53 22,5 ha1 ha ha- 484 4 84 4,84 828 8 28 8,2 1920 19 19,2 ha1, fúlvico humina avaliadas 02 2 0-2 204 20- 406 6 40- 56 5,6 97 7 9, 225 22, 48 4,8 82 8, 192 19, 0- 5, 4,

ABSTRACT MOS (soil organic matter) is a natural carbon reservoir, and divided into different stages of decomposition according to its solubility and structural complexity. In view of this context, this work aimed to quantify the carbon content in the humic fractions of the soil organic matter under an agroforestry system in three toposequences in the swamp of altitude in Pernambuco, Brazil. The study was carried out on the Yaguara farm, and the studied areas were native forest and three toposequences of agroforestry system. Soil samples were collected in trenches 1.5 x 1.5 m, at depths 0-20, 20-40 and 40-60 cm, with four replications. The carbon concentrations in the humic fractions of the soil decreased with increasing depth. The area with agroforestry system had the highest concentrations of carbon in the humic fractions. The stocks of humic fractions found in the agroforestry system area showed higher average values in the top area 5.62, 9.72 and 22.53 Mg ha-1 in relation to native forest 4.84, 8.28 and 19.20 Mg ha-1, respectively for fulvic acid, humic acid and humine. Among the evaluated areas, the soil with agroforestry system top area has great potential to increase the carbon storage in the humic fractions of the soil. reservoir complexity context Pernambuco Brazil farm 15 1 5 1. m 020, 020 0 20, 20 0-20 2040 40 20-4 4060 60 40-6 cm replications depth 562 62 5.62 972 9 72 9.7 2253 22 53 22.5 ha1 ha ha- 484 4 84 4.84 828 8 28 8.2 1920 19 19.2 ha1, 1, humine 02 2 0-2 204 20- 406 6 40- 56 5.6 97 7 9. 225 22. 48 4.8 82 8. 192 19. 0- 5. 4.

RESUMO INTRODUÇÃO O câncer de pulmão (CP) é um relevante problema de saúde pública no Brasil e no mundo, dada sua alta incidência e mortalidade. Assim, objetiva-se analisar a distribuição do tabagismo e da carga tabágica segundo características sociodemográficas e disparidades no acesso, no tratamento e na mortalidade por CP no Brasil, em 2013 e 2019. MÉTODO Estudo retrospectivo de triangulação de fontes de dados de abrangência nacional: a) análise da distribuição do tabagismo, baseada na Pesquisa Nacional de Saúde (PNS); b) investigação dos registros de CP, via Registros Hospitalares de Câncer (RHC); e c) distribuição da mortalidade por CP, no Sistema de Informação sobre Mortalidade (SIM). RESULTADOS Verificou-se redução do percentual de pessoas que nunca fumaram de 2013 (68,5%) para 2019 (60,2%), assim como da carga tabágica (anos-maço). Esta foi observada maior em homens em pessoas de faixas etárias mais avançadas e de menor escolaridade. Em relação aos pacientes registrados no RHC, a entrada no serviço de saúde se dá a partir de 50 anos, e apenas 19% nunca fumaram. Ao passo que os fumantes na população são majoritariamente pardos, os pacientes no RHC são em maioria brancos. Quanto ao estadiamento inicial (I e II), é mais frequente em pessoas brancas e que nunca fumaram. A taxa de mortalidade apresentou variação de 1,00, para pessoas com ensino superior, a 3,36, entre pessoas sem instrução, assim como pessoas brancas têm uma taxa de mortalidade três vezes maior que a de pessoas negras e pardas. CONCLUSÃO Este artigo apontou relevantes disparidades sociodemográficas no acesso ao diagnóstico, tratamento e mortalidade do CP. Assim, recomenda-se: fortalecer o Registro de Câncer de Base Populacional; desenvolver e implementar estratégia de screening de CP no Brasil, uma vez que a realização de estratégias de prevenção e diagnóstico precoce combinadas funcionam melhor no controle da mortalidade pela doença; e investimento contínuo nas políticas de prevenção e controle do tabagismo. (CP mundo Assim objetivase objetiva 201 nacional PNS (PNS) b (RHC) c SIM. SIM . (SIM) Verificouse Verificou 68,5% 685 68 5 (68,5% 60,2%, 602 60,2% , 60 2 (60,2%) anosmaço. anosmaço anos maço (anos-maço) escolaridade 19 pardos brancos I II, II II) 100 1 00 1,00 superior 336 3 36 3,36 instrução pardas recomendase recomenda recomenda-se Populacional doença 20 (PNS (RHC (SIM 68,5 6 (68,5 60,2 (60,2% (anos-maço 10 0 1,0 33 3,3 68, (68, 60, (60,2 1, 3, (68 (60, (6 (60 (

ABSTRACT INTRODUCTION Lung cancer (LC) is a relevant public health problem in Brazil and worldwide, given its high incidence and mortality. Thus, the objective of this study is to analyze the distribution of smoking and smoking status according to sociodemographic characteristics and disparities in access, treatment, and mortality due to LC in Brazil in 2013 and 2019. METHOD Retrospective study of triangulation of national data sources: a) analysis of the distribution of smoking, based on the National Survey of Health (PNS); b) investigation of LC records via Hospital-based Cancer Registry (HCR); and c) distribution of mortality due to LC in the Mortality Information System (SIM). RESULTS There was a decrease in the percentage of people who had never smoked from 2013 (68.5%) to 2019 (60.2%) and in smoking history (pack-years). This was observed to be greater in men, people of older age groups, and those with less education. Concerning patients registered in the HCR, entry into the healthcare service occurs at the age of 50, and only 19% have never smoked. While smokers in the population are mainly Mixed-race, patients in the HCR are primarily White. As for the initial stage (I and II), it is more common in White people and people who have never smoked. The mortality rate varied from 1.00 for people with higher education to 3.36 for people without education. Furthermore, White people have a mortality rate three times higher than that of Black and mixed-race people. CONCLUSION This article highlighted relevant sociodemographic disparities in access to LC diagnosis, treatment, and mortality. Therefore, the recommendation is to strengthen the Population-Based Cancer Registry and develop and implement a nationwide LC screening strategy in Brazil since combined prevention and early diagnosis strategies work better in controlling mortality from the disease and continued investment in tobacco prevention and control policies. (LC worldwide Thus treatment 201 sources PNS (PNS) b Hospitalbased Hospital (HCR) c SIM. SIM . (SIM) 68.5% 685 68 5 (68.5% 60.2% 602 60 2 (60.2% packyears. packyears pack years (pack-years) men groups 50 19 Mixedrace, Mixedrace Mixed race, race Mixed-race I II, II , II) 100 1 00 1.0 336 3 36 3.3 Furthermore mixedrace mixed Therefore PopulationBased Population Based policies 20 (PNS (HCR (SIM 68.5 6 (68.5 60.2 (60.2 (pack-years 10 0 1. 33 3. 68. (68. 60. (60. (68 (60 (6 (

Abstract Objectives: There has been growing concern about the long-term effects of coronavirus disease 2019 (COVID-19) on mental health. The biological factors common to psychiatric conditions and COVID-19 are not yet fully understood. Methods: We narratively reviewed prospective longitudinal studies that measured metabolic or inflammatory markers and assessed psychiatric sequelae and cognitive impairment in individuals with COVID-19 at least 3 months after infection. A literature search identified three relevant cohort studies. Results: Overall, depressive symptomatology and cognitive deficits persisted for up to 1 year after COVID-19; depression and cognitive changes were predicted by acute inflammatory markers, and changes in these markers correlated with changes in depressive symptomatology; female sex, obesity, and the presence of inflammatory markers were associated with more severe clusters of physical and mental health status in patients’ self-perceived recovery; and plasma metabolic profiles of patients continued to differ from those of healthy controls 3 months after hospital discharge, which were associated with widespread alterations in neuroimaging, reflecting issues with white matter integrity. Conclusion: In individuals affected by COVID-19, prolonged exposure to stress and alterations in metabolic and inflammatory markers play a central role in psychiatric sequelae and cognitive deficits in the long term. Objectives longterm term 201 COVID19 COVID 19 (COVID-19 COVID-1 understood Methods infection Results Overall sex obesity selfperceived self perceived recovery discharge neuroimaging integrity Conclusion COVID19, 19, 20 COVID1 (COVID-1 COVID- 2 (COVID- (COVID

ABSTRACT OBJECTIVE: To describe disability-related performance and inequality nationwide in Brazil, and the changes that took place between 2012 and 2019 after the introduction of Programme for Improving Primary Care Access and Quality (PMAQ). METHODS: We derived scores for disability-related care and accessibility of primary healthcare facilities from PMAQ indicators collected in round 1 (2011–2013), and round 3 (2015–2019). We assessed how scores changed after the introduction of PMAQ. We used census data on per capita income of local areas to examine the disability-specific care and accessibility scores by income group. We undertook ordinary least squares regressions to examine the association between PMAQ scores and per capita income of each local area across implementation rounds. RESULTS: Disability-related care scores were low in round 1 (18.8, 95%CI 18.3–19.3, out of a possible 100) and improved slightly by round 3 (22.5, 95%CI 22.0–23.1). Accessibility of primary healthcare facilities was also poor in round 1 (30.3, 95%CI 29.8–30.8) but doubled by round 3 (60.8, 95%CI 60.3–61.3). There were large socioeconomic inequalities in round 1, with both scores approximately twice as high in the richest compared to the poorest group. Inequalities weakened somewhat for accessibility scores by round 3. These trends were confirmed through regression analyses, controlling for other area characteristics. Disability-related and accessibility scores also varied strongly between states in both rounds. CONCLUSIONS: People with disabilities are being left behind by the Brazilian healthcare system, particularly in poor areas, which will challenge the achievement of universal health coverage. OBJECTIVE disabilityrelated disability related Brazil 201 . (PMAQ) METHODS 2011–2013, 20112013 2011–2013 , 2011 2013 (2011–2013) 2015–2019. 20152019 2015–2019 2015 (2015–2019) disabilityspecific specific group rounds RESULTS Disabilityrelated Disability 18.8, 188 18 8 (18.8 95CI CI 95 183193 19 18.3–19.3 100 22.5, 225 22 5 (22.5 22.0–23.1. 220231 22.0–23.1 0 23 22.0–23.1) 30.3, 303 30 (30.3 29.8–30.8 298308 29 60.8, 608 60 (60.8 60.3–61.3. 603613 60.3–61.3 61 60.3–61.3) analyses characteristics CONCLUSIONS system coverage 20 (PMAQ 2011201 2011–201 (2011–2013 2015201 2015–201 (2015–2019 18.8 (18. 9 18319 18.3–19. 10 22.5 2 (22. 22023 22.0–23. 30.3 (30. 29.8–30. 29830 60.8 6 (60. 60361 60.3–61. 201120 2011–20 (2011–201 201520 2015–20 (2015–201 18. (18 1831 18.3–19 22. (22 2202 22.0–23 30. (30 29.8–30 2983 60. (60 6036 60.3–61 20112 2011–2 (2011–20 20152 2015–2 (2015–20 (1 183 18.3–1 (2 220 22.0–2 (3 29.8–3 298 (6 603 60.3–6 2011– (2011–2 2015– (2015–2 ( 18.3– 22.0– 29.8– 60.3– (2011– (2015– 18.3 22.0 29.8 60.3 (2011 (2015 29. (201 (20

Resumo A crescente produção de alumínio demanda crescentes volumes de resíduo da bauxita (RB) a serem estocados na região Amazônica. São milhões de toneladas de resíduo sem reaproveitamento, mas com elevado potencial para utilização na construção civil como artefatos ou insumos para concretos. Devido ao significativo consumo de agregados graúdos para concretos, tem-se a possibilidade de produção de agregado sintético (AS) de RB, contendo elevados teores do resíduo (70%, 80% e 90%), mantendo-se níveis satisfatórios de resistência. Para avaliar o novo produto, foram confeccionadas duas vigas com agregado convencional (brita) e outras duas com AS. Para a avaliação da resistência ao cisalhamento, foram feitos frisos (entalhes em angulações pré-definidas) para fixação da superfície de ruptura, visando reduzir as influências do efeito de arco na absorção do esforço cortante, induzindo a ruptura por cisalhamento na seção. Os frisos apresentaram inclinação de 30° e 45°, de acordo com os modelos de cálculo recomendados pela norma brasileira. As vigas foram submetidas a ensaios de flexão até a ruptura. Os resultados mostram que o AS apresenta potencial para uso em estruturas de concreto armado, com desempenho similar ao agregado convencional. Os resultados mostram ainda, a preponderância da tração diagonal à medida que a relação a/d aumenta, evidenciando a maior contribuição do agregado por efeito de engrenamento com o aumento da inclinação da biela. RB (RB Amazônica reaproveitamento concretos temse tem se (AS 70%, 70 (70% 80 90%, 90 90% , 90%) mantendose mantendo produto brita (brita entalhes prédefinidas pré definidas pré-definidas cortante seção 30 45 45° brasileira armado ainda ad d aumenta biela 70% 7 (70 8 9 3 4 (7 (

Abstract The increasing aluminum production demands larger volumes of bauxite residue (BR) to be stored in the Amazon region. There are millions of tons of waste without reuse but with high potential for use in civil construction as artifacts or components for concrete. Due to the significant consumption of coarse aggregates for concrete, there is the possibility of producing synthetic aggregate (SA) from bauxite residue, containing high levels of residue (70%, 80% and 90%), maintaining satisfactory levels of resistance and durability. To evaluate this new product, two beams were made with conventional aggregate (gravel) and the others with SA. For the evaluation of the shear strength, friezes were made to fix the failure surface, aiming to reduce the influences of the arch action on the shear strength, inducing the failure in the brittle section. The friezes presented inclinations of 30° or 45°, according to the calculation models of the Brazilian code for concrete structures. All beams were subjected to bending test until failure. The results showed that the SA has potential for use in reinforced concrete structures, presenting a similar performance to the conventional aggregate. The results also showed the preponderance of tensile when the a/d ratio increases, evidencing the greater contribution of the coarse aggregate with the increase of the strut inclination. BR (BR region (SA 70%, 70 (70% 80 90%, 90 90% , 90%) durability product gravel (gravel strength surface section 30 45 45° structures ad d increases inclination 70% 7 (70 8 9 3 4 (7 (

Abstract The aim of the study was to evaluate the responses of insulin-like growth factor 1 (IGF-1), C-reactive protein (CRP), IGF-1/CRP ratio, and skin temperature (Tsk) of the lower limbs (LL) of under-20 elite soccer athletes to a non-contact team sport activity circuit throughout 48h. Thirty elite soccer athletes (19.0 ± 1.0 years, 74.3 ± 7.13 kg, 10.3 ± 2.2 %F, 178.1 ± 6.6 cm, 56.3 ± 3.1 mL.kg-1.min-1) were submitted to a team sport activity circuit with intermittent exercises, jumps, direction shifts, accelerations and decelerations. Plasma concentrations of IGF-1 and CRP were evaluated pre-training session (baseline), and immediately after, and at 3, 24 and 48h following exercise. While the Tsk of the LL was evaluated at baseline, and at 24 and 48h following exercise. Plasma IGF-1 concentrations were greater immediately after, 24 and 48h after the circuit compared to 3h (p< 0.05; ES= 0.66, 0.72 and 0.70, respectively). CRP values did not change throughout the study (p> 0.05). When verifying the IGF-1/CRP ratio, the values at 3h after the activity circuit were lower than those presented in baseline, and immediately after, 24 and 48h after the exercises (p< 0.05; ES= 0.53, 0.65, 0.56 and 0.57, respectively). The hot and neutral zones increased the number of pixels at 24 and 48h after the activity circuit, while the cold zone showed an opposite behavior (p< 0.05). Changes in the values of blood biomarkers and Tsk of the LL suggest that there is possibly an active tissue repair process throughout 48h following exercise. insulinlike insulin like IGF1, IGF1 IGF , (IGF-1) Creactive C reactive CRP, (CRP) IGF1/CRP IGF1CRP IGFCRP 1/CRP ratio (Tsk (LL under20 under 20 under-2 noncontact non contact h 19.0 190 19 0 (19. 10 1. years 743 74 3 74. 713 7 13 7.1 kg 103 10. 22 2 2. F %F 1781 178 178. 66 6 6. cm 563 56 56. 31 3. mL.kg1.min1 mLkg1min1 mLkgmin mL.kg 1.min mL min mL.kg-1.min-1 jumps shifts decelerations IGF- pretraining pre training baseline (baseline) exercise p< p (p 0.05 005 05 ES 066 0.66 072 72 0.7 070 70 0.70 respectively. respectively . respectively) p> 0.05. 0.05) 053 53 0.53 065 65 0.65 056 0.5 057 57 0.57 (IGF-1 (CRP 1CRP under2 under- 19. (19 71 7. 17 5 kg1 min1 mL.kg1.min mLkg mLkg1min 1min mL.kg-1.min- (baseline 0.0 00 06 0.6 07 0. (IGF- (1 mL.kg-1.min (IGF (

RESUMO: A crescente demanda por água de coco tem ocasionado a expansão do cultivo de coqueiro-anão-verde irrigado, no entanto, o uso ineficiente da água tem contribuído com a degradação e desperdício dos recursos hídricos, tornando fundamental estudos que visem otimizar o uso da água. Objetivou-se determinar a produtividade física e a produtividade da água do coqueiro-anão-verde, nas condições climáticas de Santa Izabel do Pará, leste da Amazônia, Brasil. O experimento foi realizado no período de 2020 a 2021, em um plantio de coqueiro-anão-verde em espaçamento 7,5 m x 7,5 m em triângulo, na Fazenda Reunidas Sococo, apresentando uma área de aproximadamente 7 ha. A produtividade da água (PA) foi determinada tanto em termos de produção de frutos (PAf) como de produção de água de coco (PAac), através da relação da produtividade de frutos (biomassa do fruto e volume de água) com a evapotranspiração acumulada. O coqueiro-anão apresentou uma produção total de 105 e de 186 frutos planta-1 e de 37 e de 62 L planta-1 de água de coco nos anos de 2020 e 2021. A evapotranspiração total foi de 56,2 m³ (2020) e 53,2 m-3 (2021). A PAf foi de 1,87 frutos m-3 (2020) e 2,94 frutos m-3 (2021) e a PAac de 0,66 L m-3 (2020) e 0,98 L m-3 (2021). RESUMO coqueiroanãoverde coqueiro anão verde irrigado entanto hídricos Objetivouse Objetivou se coqueiroanãoverde, verde, Pará Amazônia Brasil 202 2021 75 5 7, triângulo Sococo ha PA (PA (PAf PAac, , (PAac) biomassa acumulada coqueiroanão 10 18 planta1 planta 1 planta- 3 6 562 56 2 56, (2020 532 53 53, m3 m- . 187 87 1,8 294 94 2,9 (2021 066 0 66 0,6 098 98 0,9 20 (PAac (202 8 1, 29 9 2, 06 0, 09 (20 (2 (

ABSTRACT: The growing demand for coconut water has led to the expansion of irrigated green dwarf coconut cultivation; however, the inefficient use of water has contributed to the degradation and waste of water resources, making fundamental studies aiming to optimize the use of water. The objective of this study was to determine the physical productivity and water productivity of green dwarf coconut palms under the climatic conditions of Santa Izabel do Pará, eastern Amazonia, Brazil. The experiment was carried out from 2020 to 2021, in a green dwarf coconut plantation spaced 7.5 m x 7.5 m in a triangle, at Fazenda Reunidas Sococo, with an area of approximately 7 ha. Water productivity (WP) was determined both in terms of fruit production (WPf) and coconut water production (WPca), through the relationship of fruit productivity (fruit biomass and water volume) with accumulated evapotranspiration. The dwarf coconut tree presented a total production of 105 and 186 fruits plant-1 and 37 and 62 L plant-1 of coconut water in the years 2020 and 2021. The largest volumes of water and the highest weights occurred during the wettest season. WPf was of 1.87 fruits m-3 (2020) and 2.94 fruits m-3 (2021) and WPca 0.66 L m-3 (2020) and 0.98 L m-3 (2021). ABSTRACT cultivation however resources Pará Amazonia Brazil 202 2021 75 5 7. triangle Sococo ha WP (WP (WPf WPca, , (WPca) volume evapotranspiration 10 18 plant1 plant 1 plant- 3 6 season 187 87 1.8 m3 m- (2020 294 2 94 2.9 (2021 066 0 66 0.6 098 98 0.9 . 20 (WPca 8 1. (202 29 9 2. 06 0. 09 (20 (2 (

ABSTRACT Inadequate management of the irrigation system has compromised yield and favoured the degradation and waste of water resources. To ensure efficient irrigation management, providing yield increases, sustainability in the use of water resources and reduction of production costs, studies about the water demand of coconut palms are needed. The objective of this study was to determine the energy partition, crop evapotranspiration (ETc), and the simple crop coefficients (Kc) of the green dwarf coconut palms in Santa Izabel do Pará, Pará, Brazil. The experiment was carried out in a coconut plantation at Reunidas Sococo Farm, with an area of approximately 7 ha in a triangular spacing of 7.5 × 7.5 m, during 2020 and 2021. The ETc was determined by the Bowen ratio method, with measurements of temperature and relative humidity at two levels above the crop canopy and reference evapotranspiration (ETo) by the FAO Penman-Monteith method, using data from the National Institute of Meteorology. The Kc was determined by the ratio between ETc and ETo. The total water demand of the coconut palm was 489 (2020) and 480 mm (2021), with a daily average of 4.21 (2020) and 4.14 mm (2021) for the dry season. The mean value of Kc was 1.06 (± 0.12). Evapotranspiration was driven mainly by energy availability, associated with a control of atmospheric demand on Kc values, suggesting a possible influence of coconut trees on Kc values even under good water availability and small variability in vegetation cover. increases costs needed partition ETc, , (ETc) (Kc Pará Brazil Farm 75 5 7. m 202 2021 method ETo (ETo PenmanMonteith Penman Monteith Meteorology 48 (2020 2021, 421 4 21 4.2 414 14 4.1 (2021 season 106 1 06 1.0 ± ( 0.12. 012 0.12 . 0 12 0.12) cover (ETc 20 (202 42 2 4. 41 10 1. 01 0.1 (20 0. (2

RESUMO Introdução: O desenvolvimento da Educação a Distância nas Instituições de Ensino Superior demanda uma série de adaptações para atender a esta modalidade educacional, que alcança também as Bibliotecas Universitárias como unidades de apoio informacional ao ensino, à pesquisa e à extensão. A EaD torna-se público-alvo dessas unidades, requerendo produtos e serviços, sobretudo tecnológicos, para apoio ao processo ensino-aprendizagem. Objetivo: Identificar ações voltadas para a disponibilização de ambientes/plataformas de serviços para a EaD em bibliotecas de instituições integrantes da Universidade Aberta do Brasil. Metodologia: O estudo é de caráter descritivo e de abordagem quali-quantitativa. As instituições foram consultadas no Sistema SisUAB e a coleta dos dados foi realizada por meio da aplicação de questionário on-line com gestores de bibliotecas destas instituições. Resultados: Constata-se que das 76 instituições respondentes, em apenas três identificaram-se ações de integração por meio de ambiente/plataforma para a EaD, sendo que o atendimento a esse público está centrado, em sua maior parte, na disponibilização de bibliotecas virtuais e em bases de dados. Destaca-se a visão dos profissionais quanto à ausência de necessidade de atendimento diferenciado para o público a distância e presencial, com a máxima de que todos os serviços estão disponíveis a todos os públicos. Conclusão: As iniciativas são poucas frente ao universo das instituições investigadas, de forma a demandar um aumento e uma efetividade de ações para mitigar essa defasagem informacional. Introdução educacional ensino extensão tornase torna se públicoalvo alvo tecnológicos ensinoaprendizagem. ensinoaprendizagem aprendizagem. aprendizagem ensino-aprendizagem Objetivo ambientesplataformas ambientes plataformas Brasil Metodologia qualiquantitativa. qualiquantitativa quali quantitativa. quantitativa quali-quantitativa online on line Resultados Constatase Constata 7 respondentes identificaramse identificaram ambienteplataforma ambiente plataforma centrado parte Destacase Destaca presencial públicos Conclusão investigadas

ABSTRACT Introduction: The development of Distance Education in Higher Education Institutions requires a series of adaptations to this educational modality, which also affects university libraries as information support units for teaching, research and extension. Distance learning becomes the target audience of these units, requiring products and services, especially technological ones, to support the teaching-learning process. Objective: To identify actions aimed at providing environments/platforms for distance learning services in libraries of institutions that are part of the Open University of Brazil. Methodology: This is a descriptive study with a qualitative and quantitative approach. The institutions were consulted through the SisUAB system, and data were collected by applying an online questionnaire with library managers of these institutions. Results: It can be seen that out of the 76 responding institutions, only three identified integration actions through an environment/platform for distance learning, and the service to this public is mostly centered on making virtual libraries and databases available. What stands out is the professionals' view that there is no need for differentiated services for distance and face-to-face audiences, with the maxim that all services are available to all audiences. Conclusion: The initiatives are few in relation to the universe of institutions investigated, so that actions to mitigate this information gap need to be increased and made more effective. Introduction modality teaching extension ones teachinglearning process Objective environmentsplatforms environments platforms Brazil Methodology approach system Results 7 environmentplatform environment platform professionals facetoface face audiences Conclusion investigated effective