Resumo Introdução Acidentes de trânsito envolvendo motocicletas representam um grave problema social, econômico e de saúde no Brasil. Objetivo Analisar a distribuição espacial e os fatores associados aos acidentes de trânsito urbanos atendidos pelo Serviço de Atendimento Móvel de Urgência (Samu) em Arapiraca, Alagoas, em 2018. Método Estudo ecológico incluindo vítimas de acidente de trânsito urbano ocorridos em Arapiraca, AL, em 2018. As variáveis sociodemográficas e clínicas foram obtidas das fichas de atendimento do SAMU. Foram calculadas as taxas de incidência (TI) por 10 mil habitantes. As unidades espaciais adotadas foram os bairros. As estatísticas de Moran global e local foram utilizadas na análise. Resultados Foram registradas 1.296 vítimas, com maior taxa de incidência no sexo masculino (TI 79,62/10 mil habitantes) e faixa etária 20-29 anos (TI 106,52/10 mil habitantes). As ocorrências envolvendo motocicletas corresponderam a 85,3%. O horário com maior frequência de acidentes foi entre 18h00min e 20h59min (RR 6,48; IC 95%: 6,48-10,36) e o dia, sábado (RR 1,62; IC 95%: 1,46-1,78). A análise espacial identificou áreas prioritárias nas rodovias (n = 172; 13,27%) e concentração em cinco bairros (n = 433; 33,41%). Conclusão A distribuição espacial foi heterogênea e os fatores associados foram sexo masculino, idade jovem, envolvendo motocicletas, horário noturno e no sábado. social Brasil Samu (Samu Arapiraca Alagoas 2018 AL SAMU TI 1 habitantes 1296 296 1.29 796210 79 62 79,62/1 2029 20 29 20-2 1065210 106 52 106,52/1 . 853 85 3 85,3% hmin h min RR 6,48 648 6 48 95% 95 6,4810,36 6481036 10,36 36 6,48-10,36 dia 1,62 162 1,461,78. 146178 1,46 1,78 46 78 1,46-1,78) n 172 13,27% 1327 13 27 433 33,41%. 3341 33,41% 33 41 33,41%) jovem 201 129 1.2 79621 7 79,62/ 202 2 20- 106521 5 106,52/ 8 85,3 6,4 64 4 9 4810 6,4810,3 648103 1036 10,3 6,48-10,3 1,6 16 461 1,461,78 14617 146 1,4 178 1,7 1,46-1,78 17 13,27 132 43 334 33,41 12 1. 7962 79,62 10652 106,52 85, 6, 481 6,4810, 64810 103 10, 6,48-10, 1, 1,461,7 1461 14 1,46-1,7 13,2 33,4 796 79,6 1065 106,5 6,4810 6481 6,48-10 1,461, 1,46-1, 13, 33, 79, 106, 6,481 6,48-1 1,461 1,46-1 6,48- 1,46-

Abstract Background Motorcycle traffic accidents represent a serious social, economic, and health problem in Brazil.Parte superior do formulário. Objective To analyze the spatial distribution and factors associated with urban traffic accidents attended by the emergency mobile care service (SAMU) in Arapiraca, Alagoas, in 2018. Method Ecological study including victims of urban traffic accidents that occurred in Arapiraca, Alagoas, in 2018. The sociodemographic and clinical variables were obtained from the SAMU care records. Incidence rates (IT) per 10,000 inhabitants were calculated. The spatial units adopted were the neighborhoods. Global and local Moran statistics were used in the analysis. Results 1,296 victims were registered, with a higher incidence rate in males (TI 79.62) and in the age group 20-29 years (TI 106.52). The occurrences involving motorcycles corresponded to 85.3%. The time with the highest accident rate was between 18h00min and 20h59min (RR 6.48; 95% CI: 6.48-10.36) and the day was Saturday (RR 1.62; 95% CI: 1.46-1, 78). The spatial analysis identified priority areas on the highways (n = 172; 13.27%) and concentration in five neighborhoods (n = 433; 33.41%). Conclusion The spatial distribution was heterogeneous, and the associated factors were male gender, young age, involving motorcycles, time between 18:00 and 20:59 on Saturdays. social economic BrazilParte Brazil Parte formulário (SAMU Arapiraca Alagoas 2018 records IT (IT 10000 10 000 10,00 calculated 1296 1 296 1,29 registered TI 79.62 7962 79 62 2029 20 29 20-2 106.52. 10652 106.52 . 106 52 106.52) 853 85 3 85.3% hmin h min RR 6.48 648 6 48 95 CI 6.4810.36 6481036 10.36 36 6.48-10.36 1.62 162 1.461, 1461 1.46 1, 46 1.46-1 78. 78 78) n 172 13.27% 1327 13 27 433 33.41%. 3341 33.41% 33 41 33.41%) heterogeneous gender 1800 18 00 18:0 2059 59 20:5 Saturdays 201 1000 10,0 129 1,2 79.6 796 7 202 2 20- 1065 106.5 5 8 85.3 6.4 64 4 9 4810 6.4810.3 648103 1036 10.3 6.48-10.3 1.6 16 461 1.461 146 1.4 1.46- 17 13.27 132 43 334 33.41 180 0 18: 205 20: 100 10, 12 79. 106. 85. 6. 481 6.4810. 64810 103 10. 6.48-10. 1. 14 13.2 33.4 6.4810 6481 6.48-10 13. 33. 6.481 6.48-1 6.48-

ABSTRACT Purpose: This study aimed to analyze the diagnostic accuracy of dynamic and static ultrasound (DSUS) in detecting vesicoureteral reflux (VUR) and renal scarring in a cohort of children with neurogenic bladder (NB). Materials and Methods: A retrospective, longitudinal, observational study was conducted using the Reporting Diagnostic Accuracy Studies guideline. The DSUS (index test) data were compared with voiding cystourethrography (VCUG) and renal scintigraphy 99mTc-dimercaptosuccinic (reference tests). Overall performance for predicting VUR and renal scarring was assessed using renal pelvic diameter (RPD)/distal ureteral diameter and renal parenchymal thinning on DSUS, respectively. Results: A total of 107 patients (66 girls, median age 9.6 years) participated. Seventeen patients (15.9%) presented VUR, eight bilateral. For overall reflux grade, the AUC was 0.624 for RPD and 0.630 for distal ureteral diameter. The diagnostic performance for detecting high-grade VUR was slightly better for DSUS parameters. The AUC was 0.666 for RPD and 0.691 for distal ureteral diameter. The cut-offs of 5 mm for RPD and 6.5 mm for distal ureteral diameter presented the best diagnostic odds ratio (DOR) to identify high-grade VUR. The increase of RPD during detrusor contractions showed an accuracy of 89.2%. The thinness of renal parenchyma presented an accuracy of 88% for renal scarring. Conclusion: DSUS predicts VUR and renal scarring in children with NB with fair to good accuracy, and all measurements exhibited a high negative predictive value (NPV). The increase in RPD during voiding or detrusor contractions proved to be the most accurate parameter for indicating the presence of VUR in this study. Purpose (DSUS (VUR NB. . (NB) Methods retrospective longitudinal guideline index test VCUG (VCUG 99mTcdimercaptosuccinic mTcdimercaptosuccinic 99mTc dimercaptosuccinic mTc reference tests. tests tests) RPD/distal RPDdistal /distal respectively Results 10 66 (6 girls 96 9 6 9. years participated 15.9% 159 15 (15.9% bilateral grade 0624 0 624 0.62 0630 630 0.63 highgrade parameters 0666 666 0.66 0691 691 0.69 cutoffs cut offs 65 6. DOR (DOR 892 89 2 89.2% 88 Conclusion NPV. NPV (NPV) (NB 1 ( 15.9 (15.9 062 62 0.6 063 63 066 069 69 8 89.2 (NPV 15. (15. 06 0. 89. (15 (1

Resumo A pesquisa tem por objetivo descrever o perfil sociodemográfico e de saúde dos profissionais de enfermagem no contexto da pandemia da COVID-19 e propõe uma análise reflexiva sobre a essencialidade da categoria frente às demandas intrínsecas dos pacientes e do sistema de saúde brasileiro, especialmente, no contexto da emergência de saúde pública deflagrada pelo avanço exponencial do vírus SARS-CoV-2. O estudo revela a relação entre as injustiças históricas e os diferentes tipos de desigualdade que afetam e causam a vulnerabilidade da profissão, com fulcro na apresentação de potenciais perspectivas decorrentes desse processo histórico e dos acontecimentos recentes. COVID19 COVID 19 COVID-1 brasileiro especialmente SARSCoV2. SARSCoV2 SARSCoV SARS CoV 2. 2 SARS-CoV-2 profissão recentes COVID1 1 COVID- SARS-CoV- SARS-CoV

Abstract The present study aims to describe the sociodemographic and health profile of nursing professionals in the context of the COVID-19 pandemic and propose a reflective analysis on the essentiality of the category facing the intrinsic demands of patients and the Brazilian health system, especially in the context of the public health emergency triggered by the exponential advance of the SARS-CoV-2 virus. This study reveals the relationship between historical injustices and the different types of inequality that impacted and caused the vulnerability of the profession, with an emphasis on the presentation of potential perspectives arising from this historical process and recent events. COVID19 COVID 19 COVID-1 system SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- virus profession events COVID1 1 COVID- SARS-CoV

Resumo A pesquisa tem por objetivo descrever o perfil sociodemográfico e de saúde dos profissionais de enfermagem no contexto da pandemia da COVID-19 e propõe uma análise reflexiva sobre a essencialidade da categoria frente às demandas intrínsecas dos pacientes e do sistema de saúde brasileiro, especialmente, no contexto da emergência de saúde pública deflagrada pelo avanço exponencial do vírus SARS-CoV-2. O estudo revela a relação entre as injustiças históricas e os diferentes tipos de desigualdade que afetam e causam a vulnerabilidade da profissão, com fulcro na apresentação de potenciais perspectivas decorrentes desse processo histórico e dos acontecimentos recentes.

Abstract The present study aims to describe the sociodemographic and health profile of nursing professionals in the context of the COVID-19 pandemic and propose a reflective analysis on the essentiality of the category facing the intrinsic demands of patients and the Brazilian health system, especially in the context of the public health emergency triggered by the exponential advance of the SARS-CoV-2 virus. This study reveals the relationship between historical injustices and the different types of inequality that impacted and caused the vulnerability of the profession, with an emphasis on the presentation of potential perspectives arising from this historical process and recent events.

SUMMARY OBJECTIVE: The aim of this study was to investigate whether the degree of urbanization influences the prevalence of chronic kidney disease in Brazilian indigenous people. METHODS: This is a cross-sectional study conducted between 2016 and 2017 in northeastern Brazil and includes individuals aged between 30 and 70 years from two specific indigenous groups who volunteered to participate in the study: the Fulni-ô people (lowest degree of urbanization) and the Truká group (greater degree of urbanization). Cultural and geographical parameters were used to characterize and measure the magnitude of urbanization. We excluded individuals with known cardiovascular disease or renal failure who required hemodialysis. Chronic kidney disease was defined as a single measurement of an estimated glomerular filtration rate <60 mL/min/1.73 m2 using the Chronic Kidney Disease Epidemiology Collaboration creatinine equation. RESULTS: A total of 184 indigenous people from the Fulni-ô group and 96 from the Truká group with a median age of 46 years (interquartile range: 15.2) were included. We found a chronic kidney disease rate of 4.3% in the total indigenous population, generally affecting an older population: 41.7% over 60 years old (p<0.001). The Truká people had a chronic kidney disease prevalence of 6.2%, with no differences in kidney dysfunction across age groups. The Fulni-ô participants had a chronic kidney disease prevalence of 3.3%, with a higher proportion of kidney dysfunction in older participants (of the six Fulni-ô indigenous people with chronic kidney disease, five were older). CONCLUSION: Our results suggest that a higher degree of urbanization seems to negatively influence the prevalence of chronic kidney disease in Brazilian indigenous people. OBJECTIVE METHODS crosssectional cross sectional 201 3 7 Fulniô Fulni ô lowest greater . hemodialysis <6 mLmin173 mLmin mL min 1 73 mL/min/1.7 m equation RESULTS 18 9 4 interquartile range 15.2 152 15 2 included 43 4.3 population 417 41 41.7 6 p<0.001. p0001 p p<0.001 0 001 (p<0.001) 62 6.2% 33 3.3% older. older) CONCLUSION 20 < mLmin17 mL/min/1. 15. 4. 41. p000 p<0.00 00 (p<0.001 6.2 3.3 mLmin1 mL/min/1 p00 p<0.0 (p<0.00 6. 3. mL/min/ p0 p<0. (p<0.0 mL/min p<0 (p<0. p< (p<0 (p< (p

RESUMEN La satisfacción laboral es multifactorial y está directamente relacionada con la calidad de los servicios de salud. El objetivo principal de este estudio fue identificar el nivel de satisfacción y el contexto de trabajo de equipos multidisciplinarios en servicios especializados de rehabilitación en el estado de Alagoas, Brasil. Se evaluó el perfil profesional y el perfil sociodemográfico, y se aplicaron la Escala de Evaluación del Contexto de Trabajo (EACT), dividida en tres dimensiones, y preguntas adaptadas de las dimensiones de satisfacción y remuneración de la metodología de encuesta de clima organizacional, Great Place to Work. Se incluyeron a 190 profesionales, de los cuales el 86,3% eran mujeres, y la edad media fue de 35,47±9,25 años. La mayoría trabajaba en la capital (60%) y el 84,7% ganaba entre R$1.000 y R$3.000. La dimensión “organización del trabajo” fue crítica. Los ítems “ritmo de trabajo”, “exigencia de resultados”, “control del rendimiento” y “tareas repetitivas” obtuvieron los peores resultados, pero el 92,7% de los participantes estaban satisfechos con su actividad profesional. La regresión logística mostró que a más años de formación y puntuaciones más bajas en las dimensiones “condiciones de trabajo” y “relación socioprofesional” se asociaban a una mayor satisfacción laboral. La satisfacción laboral fue alta, la dimensión “organización del trabajo” crítica, y casi la mitad de los participantes había pensado en dejar su carrera. salud Alagoas Brasil sociodemográfico EACT, EACT , (EACT) organizacional Work 19 profesionales 863 86 3 86,3 mujeres 3547925 35 47 9 25 35,47±9,2 60% 60 (60% 847 84 7 84,7 R1000 R 1 000 R$1.00 R3000 R$3.000 organización crítica ritmo trabajo, exigencia resultados resultados” control rendimiento tareas repetitivas 927 92 92,7 condiciones relación socioprofesional alta carrera (EACT 8 86, 354792 4 2 35,47±9, 6 (60 84, R100 00 R$1.0 R300 R$3.00 92, 35479 35,47±9 (6 R10 0 R$1. R30 R$3.0 3547 35,47± ( R1 R$1 R3 R$3. 354 35,47 R$ R$3 35,4 35,

ABSTRACT Job satisfaction is multifactorial and is directly related to the quality of health services. The main objective of this study was to characterize the level of job satisfaction and the work context of the multidisciplinary teams in specialized rehabilitation services in the state of Alagoas, Brazil. We evaluated the professional profile of participants and sociodemographic information. The Work Context Assessment Scale (WCAS) which is divided into three dimensions and questions adapted from the satisfaction and remuneration dimensions of the Great Place to Work methodology for the Organizational Climate Survey, was used. We included 190 professionals, the mean age was 35.47±9.25 and 86.3% were women. Most participants worked in the capital (60%) and 84.7% had a monthly wage ranging from R$1,000 to R$3,000. The dimension of “work organization” was crucial. The items “pace of work,” “strong demand,” “performance monitoring,” and “repetitive tasks” presented the worst results, but 92.7% are satisfied with their professional activities. The logistic regression analysis showed that more years since graduation and lower scores of Work conditions and Socio-professional relationships were associated with higher job satisfaction. Job satisfaction was found to be high, the dimension of work organization was crucial, and almost half of the participants have already thought about leaving their careers. Alagoas Brazil information WCAS (WCAS Survey used 19 professionals 3547925 35 47 9 25 35.47±9.2 863 86 3 86.3 women 60% 60 (60% 847 84 7 84.7 R1000 R 1 000 R$1,00 R3000 R$3,000 crucial pace work, strong demand, demand performance monitoring, monitoring repetitive tasks results 927 92 92.7 activities Socioprofessional Socio high careers 354792 4 2 35.47±9. 8 86. 6 (60 84. R100 00 R$1,0 R300 R$3,00 92. 35479 35.47±9 (6 R10 0 R$1, R30 R$3,0 3547 35.47± ( R1 R$1 R3 R$3, 354 35.47 R$ R$3 35.4 35.

RESUMO A satisfação no trabalho é multifatorial e está diretamente relacionada com a qualidade dos serviços de saúde. O objetivo principal deste estudo foi caracterizar o nível de satisfação e o contexto de trabalho de equipes multidisciplinares de serviços especializados em reabilitação no estado de Alagoas, Brasil. Foi avaliado o perfil profissional e sociodemográfico e foram aplicadas a escala de avaliação do contexto de trabalho (EACT), que é dividida em três dimensões, e questões adaptadas das dimensões de satisfação e remuneração da metodologia Great Place to Work da pesquisa de clima organizacional. Incluímos 190 profissionais, sendo 86,3% do sexo feminino, e a idade média foi de 35,47±9,25 anos. A maioria trabalhava na capital (60%) e 84,7% recebiam mensalmente de R$ 1.000,00 a R$ 3.000,00. A dimensão organização do trabalho foi considerada crítica. Os itens ritmo de trabalho, cobrança por resultados, fiscalização do desempenho e tarefas repetitivas tiveram os piores resultados, mas 92,7% dos participantes estavam satisfeitos com suas atividades profissionais. A regressão logística mostrou que mais anos de formado e menores pontuações nas dimensões condições de trabalho e relações socioprofissionais estão associados com maior satisfação no trabalho. A satisfação no trabalho foi alta, a dimensão organização do trabalho crítica, e quase metade dos participantes já pensaram em deixar sua carreira. saúde Alagoas Brasil EACT, EACT , (EACT) organizacional 19 profissionais 863 86 3 86,3 feminino 3547925 35 47 9 25 35,47±9,2 60% 60 (60% 847 84 7 84,7 R 100000 1 000 00 1.000,0 300000 3.000,00 crítica resultados 927 92 92,7 alta carreira (EACT 8 86, 354792 4 2 35,47±9, 6 (60 84, 10000 0 1.000, 30000 3.000,0 92, 35479 35,47±9 (6 1000 1.000 3000 3.000, 3547 35,47± ( 100 1.00 300 3.000 354 35,47 10 1.0 30 3.00 35,4 1. 3.0 35, 3.

ABSTRACT Variation in rainfall affects crops; therefore, agricultural practices become essential for forage production in semi-arid regions. This study aimed to evaluate the influence of different agricultural practices on phyllochron, structural characteristics of forage cactus and millet, and their relations with crop yield using the principal component analysis (PCA). The design was in randomized blocks, with six treatments: sole cropped cactus without straw mulching, sole cropped cactus with straw mulching, sole cropped millet without straw mulching, sole cropped millet with straw mulching, and cactus intercropping with millet, with and without straw mulching, each with four replicates. There were three cactus cycles and nine millet cycles (three cycles of cultivars BRS1501 and six of IPA Bulk-1-BF). Biometric parameters were evaluated monthly, while yield was determined after the crop harvest. Phyllochron was determined with the regression analysis. The PCA was applied to structural characteristics and yield. The systems adopted did not influence the structural characteristics of cactus and millet ( p > 0.05), except for cladode thickness, which increased with straw mulching. Phyllochron of the millet reduced when the crop was intercropped. The structural characteristics of cladode length, width, and thickness influenced crop yield, mainly in systems with straw mulching. Straw mulching and intercropping alter phyllochron of cactus and millet. The adoption of straw mulching has a more significant relationship with cactus yield, whereas biometric variables influence crop yield for millet, not the cropping system. crops therefore semiarid semi arid regions PCA. . (PCA) blocks treatments replicates BRS BRS150 Bulk1BF. Bulk1BF BulkBF Bulk 1 BF Bulk-1-BF) monthly harvest 0.05, 005 0.05 , 0 05 0.05) intercropped length width system (PCA BRS15 Bulk-1-BF 00 0.0 BRS1 0.

Abstract The pathogenesis of systemic lupus erythematosus (SLE) is complex. Few studies in Brazilian population have addressed cell phenotypes associated with immunological responses and their associations with SLE activity. The aim of this study is to investigate cell phenotypes associated to SLE diagnosis, treatment and activity. Twenty-eight SLE female patients (17 inactive, 11 active) and 10 healthy women were included in this study. Markers of natural killer (Nk), T and B cells in peripheral blood were evaluated by flow cytometry. Nkt cells were decreased only in SLE active patients. Activated CD4+, regulatory T FoxP3+ and B cells were decreased in both active and inactive SLE patients, compared to control group. The data corroborate the disruption of immune regulatory response in SLE patients and suggest phenotipic changes as possible biomarkers of SLE activity. (SLE complex activity diagnosis Twentyeight Twenty eight 17 (1 1 Nk, Nk , (Nk) cytometry CD4 CD CD4+ FoxP3 FoxP group ( (Nk

Resumo: Introdução: Apesar das facilidades proporcionadas pela internet, seu uso inadequado e excessivo pode gerar Transtorno de Uso de Internet, principalmente entre os universitários que a utilizam para entretenimento, comunicação e atividades acadêmicas, como ocorreu durante a pandemia de Covid-19, quando o ensino ficou on-line. Esse transtorno culmina em prejuízos, como a redução no desempenho estudantil e a exacerbação ou o aparecimento de doenças psiquiátricas. Objetivo: Este estudo teve como objetivo avaliar a presença do transtorno de uso de internet entre estudantes de Medicina em universidades do estado de Alagoas, Brasil. Método: Trata-se de um estudo quantitativo, transversal e analítico realizado com estudantes de Medicina de duas instituições de ensino superior do estado de Alagoas durante o primeiro ano de pandemia de Covid-19. A coleta foi feita por um instrumento on-line com uma avaliação sociodemográfica, o Teste de Dependência de Internet e as variáveis sexo, idade, período, cidade de origem e coeficiente acadêmico de rendimento. Os dados foram analisados nos programas SPSS 24 e JASP 0.14. Resultado: Participaram da pesquisa 325 estudantes, dos quais 97,2% afirmaram ter aumentado o consumo da internet durante o período da pandemia. A média de pontuação no teste foi de 32,5, no qual 80,6% apresentaram algum grau de transtorno de uso de internet, sendo 66,8% leve e 13,8% moderado. Constatou-se maior prevalência da dependência no sexo masculino, com achado entre eles de criar novas amizades pela internet, de ocultar revelar o que faz on-line e gastar mais tempo que o planejado navegando. Houve maior gravidade de compulsão nos estudantes de classes sociais mais baixas, em períodos iniciais do curso, provenientes de instituição pública, oriundos de cidades com até 50 mil habitantes e nos imigrantes. Houve uma relação negativa significativa entre menor coeficiente do último período cursado e maior nota no teste (Pearson -0,121, valor de p: 0,045). Conclusão: Os dados apontaram que os estudantes de Medicina estão propensos a desenvolver transtorno de uso de internet e que houve maior gravidade entre o sexo masculino, em classes sociais mais baixas, nos períodos iniciais do curso, nos procedentes de instituição pública, de cidades com até 50 mil habitantes e nos imigrantes. A presença do transtorno foi inversamente proporcional à performance acadêmica. Resumo Introdução entretenimento acadêmicas Covid19, Covid19 Covid 19, 19 Covid-19 online. online on line. line prejuízos psiquiátricas Objetivo Brasil Método Tratase Trata se quantitativo Covid19. 19. sociodemográfica idade rendimento 2 014 0 14 0.14 Resultado 32 972 97 97,2 5 32,5 806 80 6 80,6 668 66 8 66,8 138 13 13,8 moderado Constatouse Constatou masculino navegando baixas curso pública imigrantes Pearson 0,121, 0121 121 -0,121 p 0,045. 0045 0,045 . 045 0,045) Conclusão acadêmica Covid1 1 Covid-1 01 0.1 3 9 97, 32, 80, 66, 13, 0,121 012 12 -0,12 004 0,04 04 Covid- 0. 0,12 -0,1 00 0,0 0,1 -0, 0, -0 -

Abstract: Introduction: Although the internet provides various facilities, its inadequate and excessive use can cause Internet Addiction Disorder, especially among university students, who browse the web for entertainment, communication and academic activities, and even more so during the COVID-19 pandemic, when education switched to online. This disorder results in several detrimental consequences such as diminished student performance and aggravation or triggering of other psychiatric conditions. Objective: To evaluate the presence of Internet Addiction Disorder in medical students at the state of Alagoas, Brazil. Methods: Quantitative, cross-sectional and analytic study conducted among medical students from two universities in the state of Alagoas during the first year of the COVID-19 pandemic. The data was gathered through an online form with a social-demographic questionnaire, the Internet Addiction Test, and variables (sex, age, semester of study, city of birth, grade point average). The data was analysed in the SPSS 24 and JASP 0.14 programs. Results: The survey was applied to 325 students, 97.2% of whom affirmed to have increased their internet usage during the pandemic. The average score in the Internet Addiction Test was 32.5, with 80.6% displaying some degree of disorder, 66.8% a mild dependence, and 13.8% moderate dependence. A higher prevalence of the disorder was found among males, who were also shown to be more used to making new friendships through the internet, to hide what they are doing online, and to spend more time logged in than planned. The compulsion was more severe in lower social classes, initial semester and those who came from public university, cities with a population of less than 50.000, and immigrants. There was a negative correlation between lower final semester grades and higher grades in the Internet Addiction Test (Pearson -0,121, p-value: 0,045). Conclusions: The data of this study point to a major possibility of medical students developing Internet Addiction Disorder, with more severe dependence among those who are males, from lower social classes, in earlier periods of study, students from public universities, from cities with a population of less than 50.000 inhabitants and immigrants. The presence of Internet Addiction Disorder was inversely proportional to academic performance. Abstract Introduction facilities entertainment activities COVID19 COVID 19 COVID-1 pandemic conditions Objective Brazil Methods Quantitative crosssectional cross sectional socialdemographic demographic questionnaire sex, sex (sex age birth average. . average) 2 014 0 14 0.1 programs Results 32 972 97 97.2 5 32.5 806 80 6 80.6 668 66 8 66.8 138 13 13.8 males planned classes 50000 50 000 immigrants Pearson 0,121, 0121 121 -0,121 pvalue p value p-value 0,045. 0045 0,045 045 0,045) Conclusions 50.00 COVID1 1 COVID- 01 0. 3 9 97. 32. 80. 66. 13. 5000 00 0,121 012 12 -0,12 004 0,04 04 50.0 500 0,12 -0,1 0,0 50. 0,1 -0, 0, -0 -

Resumo Tomando a participação popular e a democracia — tanto nas esferas micro como na macrossocial — como ideal de sociedade, considera-se imprescindível a oferta de espaços para o aprendizado de “habilidades” que garantam esses processos. Partindo de uma ampla compreensão sobre educação, tomando como referência Paulo Freire, o texto propõe refletir sobre uma dimensão educativa na práxis da terapia ocupacional social. Para tanto, utiliza-se de um breve relato de experiência desenvolvida pelo núcleo METUIA/UFSCar junto a jovens de grupos populares urbanos e à equipe gestora e técnica em um Centro da Juventude na cidade de São Carlos - SP. Ao longo de um semestre, foram desenvolvidas Oficinas de Atividades, Dinâmicas e Projetos com os/as jovens e reuniões com a equipe para discutir a natureza do espaço, suas possibilidades de uso e suas regras. Os encontros com os grupos explicitaram conflitos existentes entre os/as jovens frequentadores(as) e a equipe, e a partir deles foram propostas discussões sobre estratégias de enfrentamento da situação. Defende-se o reconhecimento de um caráter educativo nas/das práticas de terapia ocupacional social à medida que se colocam, por meio da promoção do diálogo e da conscientização, ao fomento da participação social e do exercício de cidadania. sociedade considerase considera habilidades “habilidades processos educação Freire utilizase utiliza METUIAUFSCar METUIA UFSCar SP semestre Atividades osas as espaço regras frequentadoresas frequentadores frequentadores(as situação Defendese Defende nasdas das colocam conscientização cidadania

Abstract Taking popular participation and democracy—both in the micro and macro spheres—as an ideal of society, offering spaces for learning the “skills” that ensure these processes is essential. From a broad understanding of education, taking Paulo Freire as a reference, this text reflects on an educational dimension in the praxis of social occupational therapy. To this end, it relied on a brief experience report developed by the METUIA/UFSCar center with young people from urban popular groups and the management and technical team of a Youth Center in the municipality of São Carlos, state of São Paulo, Brazil. For six months, Workshops of Activities, Dynamics and Projects were developed with these young people, and meetings were conducted with this team to discuss the nature of this space, its possibilities of use, and its rules. These workshops and meetings revealed the existing conflicts between the young people and the team, and discussions about strategies to face these situations were proposed. The recognition of an educational character in/of social occupational therapy practices is advocated through the promotion of dialogue and awareness, aiming at social participation and the exercise of citizenship. democracyboth democracy both spheresas spheres society skills “skills essential education reference end METUIAUFSCar METUIA UFSCar Carlos Brazil months Activities space use rules proposed inof awareness citizenship

Resumo Objetivos: analisar a tendência temporal e a distribuição espacial da mortalidade infantil em Pernambuco no período de 2001 a 2019. Métodos: estudo ecológico envolvendo todos os óbitos em crianças menores de um ano residentes no estado. Os dados foram coletados no Sistema de Informações sobre Mortalidade e no Sistema de Informação sobre Nascidos Vivos. Foram calculados quatro coeficientes de mortalidade e a análise temporal foi realizada aplicando o modelo de regressão por pontos de inflexão dos coeficientes em diferentes níveis espaciais. Resultados: foram registrados 47.949 óbitos, dos quais 51,0% (n=24.447) ocorreram nos seis primeiros dias de vida. Foi observada tendência de declínio estatisticamente significativo em todos os coeficientes analisados (-4,5%/ano na mortalidade geral, -3,6%/ano na neonatal precoce, -1,9%/ano no componente neonatal tardio e de -6,3%/ano no componente pós-neonatal). Adicionalmente, 64,3% dos municípios (n=119) apresentaram tendência de declínio no coeficiente de mortalidade infantil geral. Menos de 50% dos municípios apresentaram tendência de redução na mortalidade neonatal precoce e neonatal tardia (41,08%; n=76 e 43,2%; n=80, respectivamente). Na mortalidade pós-neonatal, 57,3% (n=106) apresentaram tendências decrescentes. Conclusões: houve tendência temporal de declínio da mortalidade infantil geral, embora haja importante parcela de municípios com tendência estacionária, justificando a necessidade de reduzir desigualdades sociais e assimetrias geográficas. Objetivos 200 2019 Métodos estado Vivos espaciais Resultados 47949 47 949 47.94 510 51 0 51,0 n=24.447 n24447 n 24 447 (n=24.447 vida 4,5%/ano 45ano 4 5 geral 3,6%/ano 36ano 3 6 1,9%/ano 19ano 1 9 6,3%/ano 63ano pósneonatal. pósneonatal pós . pós-neonatal) Adicionalmente 643 64 64,3 n=119 n119 119 (n=119 50 41,08% 4108 41 08 (41,08% n76 76 n=7 43,2% 432 43 2 n80 80 n=80 respectivamente. respectivamente respectivamente) pósneonatal, neonatal, pós-neonatal 573 57 57,3 n=106 n106 106 (n=106 decrescentes Conclusões estacionária geográficas 20 201 4794 94 47.9 51, n=24.44 n2444 44 (n=24.44 64, n=11 n11 11 (n=11 41,08 410 (41,08 n7 7 n= 43,2 n8 8 n=8 57, n=10 n10 10 (n=10 479 47. n=24.4 n244 (n=24.4 n=1 n1 (n=1 41,0 (41,0 43, n=24. n24 (n=24. (n= 41, (41, n=24 n2 (n=24 (n (41 n=2 (n=2 (4 (

Abstract Objectives: to analyze the temporal trend and spatial distribution of infant mortality in Pernambuco from 2001 to 2019. Methods: an ecological study involving all deaths in children under one year of age living in the state. Data were collected from the Mortality Information System and the Live Birth Information System. Four mortality rates were calculated and the temporal analysis was performed by applying the regression model by inflection points of the rates at different spatial levels. Results: 47,949 deaths were recorded, of which 51.0% (n=24,447) occurred in the first six days of life. A statistically significant downward trend was observed in all the rates analyzed (-4.5%/year in overall mortality, -3.6%/year in early neonatal mortality, -1.9%/year in the late neonatal component, and -6.3%/year in the post-neonatal component). Additionally, 64.3% of the municipalities (n=119) showed a declining trend in the overall infant mortality rate. Less than 50% of the municipalities showed a downward trend in early neonatal and late neonatal mortality (41.08%; n=76 and 43.2%; n=80, respectively). In post-neonatal mortality, 57.3% (n=106) showed decreasing trends. Conclusions: there was a temporal trend of decline in overall infant mortality, although there is an important portion of municipalities with a stationary trend, justifying the need to reduce social inequalities and geographical asymmetries. Objectives 200 2019 Methods state levels Results 47949 47 949 47,94 recorded 510 51 0 51.0 n=24,447 n24447 n 24 447 (n=24,447 life 4.5%/year 45year 4 5 3.6%/year 36year 3 6 1.9%/year 19year 1 9 component 6.3%/year 63year postneonatal post component. . component) Additionally 643 64 64.3 n=119 n119 119 (n=119 rate 50 41.08% 4108 41 08 (41.08% n76 76 n=7 43.2% 432 43 2 n80 80 n=80 respectively. respectively respectively) 573 57 57.3 n=106 n106 106 (n=106 trends Conclusions asymmetries 20 201 4794 94 47,9 51. n=24,44 n2444 44 (n=24,44 64. n=11 n11 11 (n=11 41.08 410 (41.08 n7 7 n= 43.2 n8 8 n=8 57. n=10 n10 10 (n=10 479 47, n=24,4 n244 (n=24,4 n=1 n1 (n=1 41.0 (41.0 43. n=24, n24 (n=24, (n= 41. (41. n=24 n2 (n=24 (n (41 n=2 (n=2 (4 (

Resumo Este artigo estima o impacto de longo prazo de uma política de austeridade sobre as regiões brasileiras. A principal contribuição é medir esses efeitos a partir de um modelo dinâmico e inter-regional de equilíbrio geral computável, capturando os impactos indiretos em setores e regiões, somado aos efeitos diretos do corte dos gastos. Os principais resultados mostram que o ajuste fiscal atenuaria o crescimento na maioria dos estados brasileiros em 2037. Municípios localizados nas regiões mais pobres seriam relativamente mais afetados. Além disso, o ajuste teria um impacto negativo na desigualdade regional em todos os cenários, tanto a nível estadual quanto municipal.

Abstract This paper aims to estimate the long-term impacts of an austerity policy in the Brazilian regions. Our main contribution is to measure those effects using a dynamic interregional general equilibrium model, capturing the indirect impacts in sectors and regions, in addition to the direct effects of the expenditure cuts. The main results show that the fiscal adjustment would attenuate growth in most of the Brazilian states by 2037. Municipalities located in the poorest regions would be relatively more affected. Furthermore, the adjustment would have a negative impact on regional inequalities in all scenarios, both at the state and municipal levels.

Abstract BACKGROUND: Meningitis is listed as one of the diseases requiring compulsory notification in Brazil. It can affect all age groups and also has no seasonality. Cases can be recorded in all months of the year and in all states of Brazil. Despite its importance, the obligation of immediate notification may have been compromised by the coronavirus disease 2019 (COVID-19) pandemic. OBJECTIVE: To analyze the immediate impact of the COVID-19 pandemic on compulsory notifications of meningitis in Brazil and its states during the first wave of the pandemic. DESIGN AND SETTING: This was an ecological study involving all confirmed cases of meningitis in Brazil, in its regions and in its states. METHODS: Data for the months from 2015 to 2020 were obtained from the database of the Notifiable Diseases Information System (Sistema de Informação de Agravos de Notificação, SINAN), in the Department of Informatics of the National Health System (Departamento de Informática do Sistema Único de Saúde, DATASUS). The P-score was used to obtain the percentage change in the numbers of cases reported in 2020. RESULTS: A 45.7% reduction in notifications of meningitis in Brazil was observed. Regarding the regions and the states, with the exception of Roraima, all of them showed a negative P-score, with decreasing curves each month. CONCLUSION: The pandemic caused a negative impact on meningitis notifications in Brazil.

Resumo Fundamento: A pandemia da COVID-19 tem causado um impacto sobre a mortalidade por várias doenças em todo o mundo, especialmente por doenças cardiovasculares (DCVs). O Brasil é um país de dimensões continentais com diferenças significativas na estrutura de saúde entre seus estados. Objetivo: Analisar a mortalidade hospitalar por DCV no sistema público de saúde durante o primeiro ano da pandemia por COVID-19 (2020) no Brasil. Métodos: Este é um estudo ecológico analisando o número absoluto de mortes hospitalares e a taxa de mortalidade hospitalar no Brasil, suas macrorregiões, e unidades federativas. Os dados foram obtidos do Sistema de Informações Hospitalares (SIH) do Ministério da Saúde. O P-escore foi usado para analisar o excesso de mortalidade. O escore compara os eventos observados com os eventos esperados para um dado local e período. O escore-P foi corrigido por um modelo de regressão joinpoint, com um intervalo de confiança de 95% e nível de significância de 5%. Resultados: Houve 93.104 óbitos hospitalares por DCV no Brasil em 2020, o que representa 1495 menos óbitos (escore-P: -1,58) que o esperado. A região centro-oeste apresentou um escore-P positivo, com um aumento de 15,1% no número de mortes. Dez estados apresentaram um maior número de óbitos em 2020. Ainda, observou-se um excesso de 13,3% de mortalidade hospitalar no país como um todo, e um excesso de mortalidade hospitalar em todas as macrorregiões. Conclusões: Houve uma diminuição no número absoluto de óbitos hospitalares, bem como um aumento na taxa de mortalidade por DCV no Brasil em 2020, após o início da pandemia por COVID-19.

Abstract Background: The COVID-19 pandemic has had an impact on mortality from several diseases worldwide, especially cardiovascular diseases (CVD). Brazil is a continent-sized country with significant differences in the health care structure between its federative units. Objective: Analyze in-hospital mortality from CVDs in the Brazilian public health system during the first year of the COVID-19 pandemic (2020). Methods: This is an ecological study analyzing the absolute number of in-hospital deaths and the rate of in-hospital mortality in Brazil, its macro-regions, and federative units. Data were obtained from the Hospital Information System of the Brazilian Ministry of Health. To analyze excess mortality, the P-score was used. It compares the events observed with those expected for a given place and period. The P-score was corrected by the joinpoint regression model, with a 95% confidence interval and 5% significance level. Results: There were 93,104 in-hospital deaths due to CVD in Brazil in 2020, representing 1,495 fewer deaths (P score: −1.58) than expected. The central-west region had a positive P-score, with a 15.1% increase in the number of deaths. Ten federative units showed a greater number of deaths in 2020. There was also a 13.3% excess in-hospital mortality at the country level, and an excess in-hospital mortality in all macro-regions. Conclusions: There was a decrease in the absolute number of in-hospital deaths, as well as an increase in in-hospital mortality from CVD in Brazil, in 2020, after the COVID-19 pandemic onset.