Resumo Trata-se de uma pesquisa descritiva e exploratória, com abordagem qualitativa, que objetiva descrever a assistência à saúde de mulheres privadas de liberdade em um presídio do Rio Grande do Norte. Para a coleta de dados, realizada entre julho e agosto de 2023, com seis profissionais da saúde, duas estudantes de psicologia e dois policiais penais gestores que atuavam em um presídio feminino, utilizaram-se um questionário sociodemográfico e entrevista semiestruturada. O conteúdo textual decorrente das entrevistas foi submetido à análise lexicográfica com auxílio do software Iramuteq e analisado à luz de literatura pertinente. Emergiram três categorias: Perfil de saúde das mulheres privadas de liberdade; Perfil da assistência às mulheres privadas de liberdade; e A interface entre gestão e assistência à saúde de mulheres privadas de liberdade. Conclui-se que a assistência à saúde de mulheres privadas de liberdade é permeada por dificuldades, em virtude da ausência de ações de promoção e prevenção da saúde; pela carência estrutural, de recursos humanos e de insumos intramuros; e pela dificuldade de escolta e gargalos para operacionalização da Rede de Assistência à Saúde extramuros. Soma-se a isto a desarticulação entre a gestão municipal e estadual no tocante à implementação das legislações vigentes. Tratase Trata se exploratória qualitativa Norte dados 2023 feminino utilizaramse utilizaram semiestruturada pertinente categorias Concluise Conclui dificuldades estrutural intramuros extramuros Somase Soma vigentes 202 20 2

Abstract This is a descriptive and exploratory study, with a qualitative approach, which aims to describe the health care of women deprived of their liberty in a prision in Rio Grande do Norte, Brazil. A sociodemographic questionnaire and semi-structured interviews were used to collect the data, which was carried out between July and August 2023 with six health professionals, two psychology students, and two police officers working in a women’s prison. The textual content of the interviews was subjected to lexicographic analysis using Iramuteq software and analyzed in the light of the relevant literature. Three categories emerged: Health profile of women deprived of their liberty; Profile of care for women deprived of their liberty; and The interface between management and health care for women deprived of their liberty. It was concluded that the health care of women deprived of their liberty is permeated by significant challenges, including the lack of health promotion and prevention actions; the lack of structure, human resources and supplies within prisons; and the difficulty of escorts and bottlenecks in the operationalization of the Health Care Network outside prisons. Added to this is the lack of coordination between municipal and state management when it comes to implementing current legislation. study approach Norte Brazil semistructured semi structured data 202 professionals students womens s prison literature emerged challenges actions structure prisons legislation 20 2

Resumen Se trata de un estudio descriptivo y exploratorio, con abordaje cualitativo, que tiene como objetivo describir la atención a la salud de mujeres privadas de libertad en una cárcel de Rio Grande do Norte, Brasil. Se utilizó un cuestionario sociodemográfico y entrevistas semiestructuradas para recolectar datos entre julio y agosto de 2023 de seis profesionales de la salud, dos estudiantes de psicología y dos agentes de policía que trabajan en una cárcel para mujeres. El contenido textual de las entrevistas se sometió a un análisis lexicográfico con apoyo del software Iramuteq y se analizó a la luz de la bibliografía pertinente. Surgieron tres categorías: Perfil de salud de las mujeres privadas de libertad; Perfil de la atención a las mujeres privadas de libertad; y La interfaz entre la gestión y la atención a la salud de las mujeres privadas de libertad. Se concluyó que la atención a la salud de las mujeres privadas de libertad está permeada de dificultades, debido a la falta de acciones de promoción y prevención de la salud; a la falta de estructura, recursos humanos e insumos dentro de las cárceles; y a la dificultad de escoltas y cuellos de botella en la operacionalización de la Red de Atención a la Salud fuera de las cárceles. A esto se suma la falta de coordinación entre la gestión municipal y estatal a la hora de aplicar la legislación vigente. exploratorio cualitativo Norte Brasil 202 pertinente categorías dificultades estructura cárceles vigente 20 2

ABSTRACT Background: Vectorial transmission through hematophagous triatomine insects remains the primary mode of Chagas Disease contagion. These insects have become increasingly common in urban environments. Therefore, this study aimed to report an encounter of triatomines with trypanosomatid infection in a vertical residential condominium in Rio Branco, the capital of the state of Acre, in the western Brazilian Amazon. Methods: Triatomines were collected from residents and sent to the municipality's Entomological Surveillance sector. Trypanosomatid positivity was evaluated using optical microscopy, followed by species and genotype identification using molecular biology techniques. Results: Twenty-five adult triatomine specimens were collected from two of three condominium buildings invading apartments from the 2nd to 13th floors. Six specimens were identified as Rhodnius sp. and 19 as R. montenegrensis. Among these, molecular tests were conducted on seven specimens, with five testing positive for Trypanosoma cruzi, all belonging to genotype TcI. Conclusions: These findings underscore the need for further studies to better understand the invasive capacity of these insects in these environments and the mechanisms involved in this process. Background contagion Therefore Branco Acre Amazon Methods municipalitys municipality s sector microscopy techniques Results Twentyfive Twenty nd th floors sp 1 R montenegrensis cruzi TcI Conclusions process

Resumo: Objetivo Nesse estudo, determinamos se ninfas de Perlidae encontradas em folhiço retido em correnteza são morfometricamente distintas de ninfas encontradas em substratos pedregosos. Métodos Os insetos foram coletados no Parque Nacional da Serra dos Órgãos, Teresópolis, Rio de Janeiro, Brasil. Cada inseto foi medido de acordo com o comprimento dos fêmures, comprimento corporal, tamanho das tecas alares, largura da cabeça, distância entre olhos compostos e espessura do mesotórax. Os dados foram logaritmizados para minimização de efeitos de alometria do crescimento e submetidos a uma análise discriminante livre de tamanho. Por fim, realizamos análises de variância para avaliar a relação entre forma, gênero e opção de substrato das ninfas. Resultados Coletamos ao todo 562 insetos pertencentes a dois gêneros de Perlidae, Kempnyia Klapálek, 1914 e Anacroneuria Klapálek, 1909. As ninfas ocorreram majoritariamente em folhiço retido em correnteza (71.9%). Encontramos diferenças morfométricas entre gêneros e substratos. Os insetos encontrados em folhiço retido em correnteza apresentaram cabeças mais largas e fêmures anteriores mais longos do que os encontrados em pedras roladas, sugerindo maior necessidade de ancoragem em correntezas mais fortes quando no folhiço. Conclusões Este estudo mostra a relação complexa entre forma e substrato em Perlidae neotropicais. Considerando as pressões ecológicas variáveis exercidas nos insetos aquáticos por diferentes substratos, as técnicas morfométricas se mostram capazes de avaliar as relações ecológicas entre esses insetos e seu ambiente. Resumo pedregosos Órgãos Teresópolis Janeiro Brasil corporal alares cabeça mesotórax fim 56 Klapálek 191 1909 71.9%. 719 71.9% . 71 9 (71.9%) roladas neotropicais ambiente 5 19 190 71.9 7 (71.9% 1 71. (71.9 (71. (71 (7 (

Abstract: Aim In this study, we determined whether Perlidae nymphs found in leaf litter were morphometrically distinct from those found in stony substrates. Methods Specimens were collected in Parque Nacional da Serra dos Órgãos, Teresópolis, Rio de Janeiro, Brazil. Each insect was measured for femora length, body length, wingpad length, head width, compound eye distance and mesothorax thickness. Data was logarithmically transformed to avoid effects of allometric growth and subjected to a size-free discriminant analysis. Analysis of variance was made to assess the relationship between shape, genus and substrate choice. Results We collected 562 insects belonging to two genera of Perlidae, Kempnyia Klapálek, 1914 and Anacroneuria Klapálek, 1909. Most occurred primarily in leaf litter (71.9%). We found significant morphometric differences among genera and substrates. Insects occurring in leaf litter were shown to have wider heads and longer anterior femora than those found in stones, suggesting that these characteristics would be important for anchoring to the substrate and resisting stronger water currents. Conclusions This study shows the complex relationship between body shape and substrate choice in neotropical Perlidae. Considering that different substrate bear varying ecological pressures on aquatic insects, morphometrics is a capable tool for assessing ecological relationships between these insects and their environment. Abstract substrates Órgãos Teresópolis Janeiro Brazil length width thickness sizefree size free analysis 56 Klapálek 191 1909 71.9%. 719 71.9% . 71 9 (71.9%) stones currents environment 5 19 190 71.9 7 (71.9% 1 71. (71.9 (71. (71 (7 (

Abstract Leprosy is a chronic infectious disease caused by the bacilli Mycobacterium leprae and Mycobacterium lepromatosis. In addition to humans, animals such as nine-banded armadillos and red squirrels are species naturally infected. The objective of this study was to investigate the presence of M. leprae and M. lepromatosis in non-volant small mammals of the order Didelphimorphia and Rodentia through Polymerase Chain Reaction (PCR) assay. During 2015 and 2018, field expeditions were carried out in three municipalities, covering biotic elements of the Amazon and Cerrado biomes, in the Mato Grosso State, Midwest of Brazil. A specific primer for repetitive sequences of the genomic DNA of M. leprae and M. lepromatosis targeting the RLEP and RLPM gene, respectively, was used to screen for these agents. The molecular detection of M. leprae DNA in the samples was 13.8%. M. lepromatosis was not detected. The present study reports a description of M. leprae in small non-volant mammals in Brazil. humans ninebanded nine banded infected M nonvolant non volant PCR (PCR assay 201 2018 municipalities biomes State Brazil gene respectively agents 138 13 8 13.8% detected 20 1 13.8 2 13.

RESUMO Introdução: O uso de alinhadores transparentes como alternativa aos aparelhos ortodônticos fixos tem se tornado popular, devido às demandas estéticas dos pacientes adultos em busca de tratamento ortodôntico. No entanto, a falta de conhecimento dos ortodontistas sobre as consequências jurídicas de suas atividades, e a falta de evidências científicas sólidas levantam preocupações em relação à responsabilidade civil nesse tipo de tratamento. Muitas vezes, as campanhas de marketing das empresas fabricantes exageram nas promessas de resultados e desconsideram a falta de evidências científicas. O paciente, como consumidor, é protegido pelo Código de Defesa do Consumidor, e o ortodontista é considerado um fornecedor de tratamento. Portanto, ele pode ser responsabilizado por danos causados ao paciente, seja por culpa subjetiva ou objetiva. Objetivo: Identificar, por meio de uma revisão bibliográfica, as responsabilidades civis dos ortodontistas e das empresas fabricantes de alinhadores, fornecendo orientações jurídicas básicas para ajudar os profissionais a se protegerem de possíveis demandas judiciais relacionadas ao tratamento com alinhadores ortodônticos. Conclusões: O estudo destaca a importância do conhecimento de noções jurídicas em tratamentos com alinhadores ortodônticos, devendo o profissional resguardar-se juridicamente por meio de contratos individuais por escrito, prevenindo-se de assumir uma obrigação de resultado com o paciente. Além disso, em casos de demandas judiciais, é possível que as empresas fabricantes respondam solidariamente a possíveis danos reclamados pelo paciente. Introdução popular ortodôntico entanto atividades vezes paciente consumidor Consumidor Portanto objetiva Objetivo Identificar bibliográfica Conclusões resguardarse resguardar escrito prevenindose prevenindo disso

ABSTRACT Introduction: The use of clear aligners as an alternative to fixed orthodontic appliances has become popular due to the aesthetic demands of adult patients seeking orthodontic treatment. However, orthodontists’ lack of knowledge about the legal consequences of their activities, and the lack of solid scientific evidence raise concerns regarding civil liability in this type of treatment. Marketing campaigns of manufacturing companies often exaggerate promises of results, and ignore the lack of scientific evidence. Patients, as consumers, are protected by the Consumer Protection Code, whereas orthodontists are considered treatment providers. Therefore, they can be held liable for damage caused to patients, whether by subjective or objective fault. Objective: This article aims to identify the civil responsibilities of orthodontists and aligner manufacturing companies, by means of a literature review, providing basic legal guidance to help professionals protect themselves from possible lawsuits related to treatment with orthodontic aligners. Conclusions: The study highlights the importance of knowledge of legal notions in treatments with orthodontic aligners by orthodontists, who should legally safeguard themselves through individual written contracts, avoiding obligation of results. In addition, in cases of legal claims, it is possible that the manufacturing companies are jointly and severally liable for possible damages claimed by the patient. Introduction However activities results Patients consumers Code providers Therefore fault Objective review Conclusions contracts addition claims patient

Abstract This study evaluated the bioactive potential of a macro-porous chitosan scaffold incorporated with calcium hydroxide (CH-Ca) and functionalized with bioactive doses of simvastatin (SV) for bone tissue regeneration. Initially, the bioactive dose of SV in osteoblastic cells (SAOS-2) was determined. For the direct contact experiment, SAOS-2 cells were plated on scaffolds to assess cell viability and osteogenic differentiation. The second assay was performed at a distance using extracts from scaffolds incubated in culture medium to assess the effect of conditioned medium on viability and osteogenic differentiation. The initial screening showed that 1 μM SV presented the best biostimulating effects, and this dose was selected for incorporation into the CH-Ca and pure chitosan (CH) scaffolds. The cells remained viable throughout the direct contact experiment, with the greatest cell density in the CH-Ca and CH-Ca-SV scaffolds because of their higher porosity. The CH-Ca-SV scaffold showed the most intense bio-stimulating effect in assays in the presence and absence of osteogenic medium, leading to an increased deposition of mineralized matrix. There was an increase in the viability of cells exposed to the extracts for CH-Ca, CH-SV, and CH-Ca-SV during the one-day period. There was an increase in ALP activity in the CH-Ca and CH-Ca-SV; however, the CH-Ca-SV scaffold resulted in an intense increase in the deposition of mineralized nodules, approximately 56.4% at 7 days and 117% at 14 days, compared with CH (control). In conclusion, functionalization of the CH-Ca scaffold with SV promoted an increase in bioactivity, presenting a promising option for bone tissue regeneration. macroporous macro porous CHCa Ca (CH-Ca (SV regeneration Initially SAOS2 SAOS 2 (SAOS-2 determined experiment SAOS- differentiation effects (CH CHCaSV porosity bio stimulating matrix CHCa, Ca, CHSV, CHSV SV, CH-SV oneday one day period however nodules 564 56 4 56.4 117 control. control . (control) conclusion bioactivity (SAOS- 5 56. 11 (control (SAOS

RESUMO Este estudo investiga a influência das características habilitantes do controle orçamentário no capital psicológico de gestores com responsabilidade orçamentária. No contexto orçamentário, são incipientes os estudos que analisam os efeitos das características habilitantes do controle orçamentário nos estados mentais dos indivíduos no trabalho, lacuna teórica explorada na pesquisa. A pesquisa avalia os efeitos interativos e multidimensionais do controle orçamentário habilitante no capital psicológico. Avança na literatura ao indicar quais características exercem maior influência no capital psicológico e suas dimensões. Os resultados fornecem evidências dos efeitos capacitadores do controle orçamentário habilitante nas capacidades psicológicas de gestores que têm responsabilidade orçamentária, refletindo positivamente em suas crenças de autoeficácia, esperança, otimismo e resiliência para alcançar os objetivos e resultados organizacionais desejados, o que tende a impactar o desempenho dos indivíduos no trabalho, assim como da organização. Realizou-se levantamento em uma empresa de capital aberto que atua no Brasil, com abordagem quantitativa dos dados (modelagem de equações estruturais). A amostra analisada compreendeu 85 gestores de nível médio de diferentes áreas da organização. A possibilidade de ajustar relatórios orçamentários e acessar informações detalhadas sobre desvios orçamentários (capacidade de reparo), assim como de realizar gastos não previstos no orçamento e ajustar os pressupostos orçamentários originais (flexibilidade orçamentária), contribui positivamente para a promoção do capital psicológico dos gestores. Contudo, isso não ocorre com a transparência interna e a transparência global. No contexto estudado, o benefício da capacidade de reparo se dá principalmente em termos de autoeficácia, resiliência e esperança, enquanto o benefício da flexibilidade se dá, principalmente, em termos de otimismo e esperança. Esses resultados contribuem para as organizações desenharem seus sistemas de controle gerencial de modo que possam desenvolver o capital psicológico de seus colaboradores e, assim, obter os benefícios esperados desse desenvolvimento. orçamentária trabalho dimensões autoeficácia esperança desejados organização Realizouse Realizou Brasil modelagem estruturais. estruturais . estruturais) 8 reparo, , reparo) orçamentária) Contudo global estudado desenvolvimento

ABSTRACT This study investigates the influence of enabling characteristics of budgetary control on the psychological capital of managers with budgetary responsibility. Within the budgetary context, the studies that analyze the effects of enabling characteristics of budgetary control on individuals’ mental states at work are still in their infancy and that is a theoretical gap explored in this research. The research evaluates the interactive and multidimensional effects of enabling budgetary control on psychological capital. It advances the literature by indicating which characteristics exert the greatest influence on psychological capital and its dimensions. The results provide evidence of the enabling effects of enabling budgetary control on the psychological capacities of managers with budgetary responsibility, being positively reflected in their beliefs of self-efficacy, hope, optimism, and resilience for achieving their objectives and the desired organizational results, which tends to have an impact on the individuals’ as well as the organization’s performance. A survey was conducted in a publicly-traded company operating in Brazil, using a quantitative approach to the data (structural equation modeling). The sample analyzed included 85 middle-level managers from different areas of the organization. The possibility of adjusting budgetary reports and accessing detailed information on budgetary deviations (repair capacity), as well as of incurring expenses unforeseen in the budget and adjusting the original budgetary assumptions (budgetary flexibility), positively contributes to promoting managers’ psychological capital. However, this does not occur with internal transparency and global transparency. Within the context studied, the benefit of repair capacity primarily takes the form of self-efficacy, resilience, and hope, while the benefit of flexibility primarily occurs in terms of optimism and hope. These results contribute to organizations designing their management control systems so as to develop the psychological capital of their collaborators and thus obtain the benefits expected from that development. responsibility individuals dimensions selfefficacy, selfefficacy self efficacy, efficacy self-efficacy hope organization s performance publiclytraded publicly traded Brazil structural modeling. modeling . modeling) 8 middlelevel middle level capacity, , capacity) flexibility, flexibility) However studied development

Abstract This study aimed to evaluate the corneal epitheliotoxic effects of preservative-free ketorolac tromethamine 0.5% and diclofenac sodium 0.1% eye drops in rabbits. Seventeen New Zealand rabbits were randomly divided into three groups: the 0.5% ketorolac tromethamine group, the 0.1% diclofenac sodium group, and the control group (0.9% NaCl). For each rabbit, both eyes were treated three times daily according to their treatment group. The corneal epithelia were analyzed using scanning electron microscopy to observe the number of light, grey, and dark cells; the number of epithelial holes; and the loss of hexagonal shape. Both of the formulations administered caused changes in the healthy corneal epithelia of rabbits. Except for number of epithelial holes (p < 0.05), all the parameters showed a statistically significant difference between the groups. The number of dark cells was highest in the ketorolac tromethamine group (p<0.05). The number of grey cells was higher in the diclofenac sodium group than in the control group (p =0.003). A higher number of dark cells was associated with a smaller number of light cells (r =-0.577, p < 0.001). Loss of shape showed a direct correlation with the number of dark cells (r=0.524, p=0.002). Based on the results presented, it was possible to conclude that ketorolac tromethamine 0.5% was more toxic to rabbit corneal epithelium than diclofenac sodium 0.1%.

Resumo Objetivou-se avaliar os efeitos do cetorolaco de trometamina a 0,5% e do diclofenaco de sódico a 0,1% sem conservantes na córnea de coelhos. Dezessete coelhos da raça Nova Zelândia foram aleatoriamente divididos em três grupos: o grupo de 0,5% de cetorolaco de trometamina, o grupo de 0,1% de diclofenaco sódico e o grupo controle (0,9% de NaCl). Para cada coelho, os dois olhos foram tratados três vezes ao dia durante 90 dias de acordo com o grupo de tratamento. Os epitélios da córnea foram analisados usando microscopia eletrônica de varredura para observar o número de células claras, cinzas e escuras, o número de criptas e a perda do formato celular hexagonal. Ambas as formulações administradas causaram alterações no epitélio da córnea de coelhos. Com exceção da contagem de criptas (p <0,05), todos os parâmetros apresentaram diferença estatisticamente significante entre os grupos. O número de células escuras foi maior no grupo cetorolaco de trometamina (p <0,05). O número de células cinzentas foi maior no grupo diclofenaco de sódio do que no grupo controle (p=0,003). O maior número de células escuras observado foi associado ao menor número de células claras (r=-0,577, p<0,001). A perda do formato celular mostrou uma correlação direta com o número de células escuras (r=0,524, p=0,002). O cetorolaco de trometamina 0,5% foi mais tóxico para o epitélio da córnea de coelhos do que o diclofenaco de sódio a 0,1%.

Resumo O artigo tem por objetivo analisar as histórias de vida de portadores de doença de Chagas (DC), para evidenciar em suas narrativas elementos e possibilidades de enfrentamento dessa problemática. Causada pelo protozoário Trypanosoma cruzi, a DC combina condições de infecção assintomática e/ou de progressão para doença de acordo com determinantes biológicos e sociais e afeta 6 a 7 milhões de pessoas infectadas. No mundo anualmente 6 mil pessoas em consequência das complicações na fase crônica da DC. Realizamos um estudo qualitativo com uso da técnica de história de vida coletadas em entrevistas abertas, coletando um material riquíssimo para trabalhar o contexto da doença em múltiplas dimensões. Associamos uma escuta sensível com a necessidade das pessoas vivendo com a DC darem força à sua voz, valorizando sua própria história de vida, transformando-as em detendoras de sua história e de seu conhecimento. A visibilidade emergiu e prevaleceu, expondo a própria doença como tema central e dois subtemas gerais: suas percepções sobre a doença e a sua própria vida, no contexto da doença. Identificamos a necessidade de (re)pensar a problemática da doença de Chagas como algo visível e presente.

Abstract The scope of this article is to analyze the life histories of Chagas disease (CD) patients, searching for elements in their narratives that might present possibilities for coping with this problem. Caused by the protozoan Trypanosoma cruzi, Chagas disease combines conditions of infection and/or progression to disease, in accordance with biological and social determinants and affects around 6 to 7 million people infected with T. cruzi. More than 6,000 people die each year due to complications in the chronic CD phase. This is a qualitative study using the life history technique that was used in open interviews. We collected a wealth of material with which we can work on the context of the disease in multiple dimensions. We associate sensitive listening with the needs of people living with the CD to give strength to their voice, valuing their own life story, transforming them into masters of their history and knowledge. Visibility emerged and prevailed, exposing the disease itself as a central theme and two general sub-themes: their perceptions about the disease and their own life, in the context of the disease. We identified the need to (re)think the problem of Chagas disease as something visible and present.

Resumo O artigo tem por objetivo analisar as histórias de vida de portadores de doença de Chagas (DC), para evidenciar em suas narrativas elementos e possibilidades de enfrentamento dessa problemática. Causada pelo protozoário Trypanosoma cruzi, a DC combina condições de infecção assintomática e/ou de progressão para doença de acordo com determinantes biológicos e sociais e afeta 6 a 7 milhões de pessoas infectadas. No mundo anualmente 6 mil pessoas em consequência das complicações na fase crônica da DC. Realizamos um estudo qualitativo com uso da técnica de história de vida coletadas em entrevistas abertas, coletando um material riquíssimo para trabalhar o contexto da doença em múltiplas dimensões. Associamos uma escuta sensível com a necessidade das pessoas vivendo com a DC darem força à sua voz, valorizando sua própria história de vida, transformando-as em detendoras de sua história e de seu conhecimento. A visibilidade emergiu e prevaleceu, expondo a própria doença como tema central e dois subtemas gerais: suas percepções sobre a doença e a sua própria vida, no contexto da doença. Identificamos a necessidade de (re)pensar a problemática da doença de Chagas como algo visível e presente.

Abstract The scope of this article is to analyze the life histories of Chagas disease (CD) patients, searching for elements in their narratives that might present possibilities for coping with this problem. Caused by the protozoan Trypanosoma cruzi, Chagas disease combines conditions of infection and/or progression to disease, in accordance with biological and social determinants and affects around 6 to 7 million people infected with T. cruzi. More than 6,000 people die each year due to complications in the chronic CD phase. This is a qualitative study using the life history technique that was used in open interviews. We collected a wealth of material with which we can work on the context of the disease in multiple dimensions. We associate sensitive listening with the needs of people living with the CD to give strength to their voice, valuing their own life story, transforming them into masters of their history and knowledge. Visibility emerged and prevailed, exposing the disease itself as a central theme and two general sub-themes: their perceptions about the disease and their own life, in the context of the disease. We identified the need to (re)think the problem of Chagas disease as something visible and present.

SUMMARY OBJECTIVES: The aim of this study was to evaluate the epidemiology of varicose vein stripping in Brazil’s largest city, São Paulo. METHODS: Open and anonymous data regarding varicose vein surgeries between 2008 and 2018 were evaluated from the TabNet platform of the Municipal Health Secretary of São Paulo, Brazil. RESULTS: Most patients were female and adults. A total of 66,577 varicose vein surgeries were performed in public hospitals and outpatient clinics in São Paulo, with a statistically significant increase for both unilateral (p=0.003) and bilateral (p<0.001) procedures. Since 2016, unilateral procedures have been performed more frequently than bilateral procedures. Most procedures were associated with same-day (54.8%) or next-day (32%) discharge. The in-hospital mortality rate was 0.0045%. The total amount reimbursed was $20,693,437.94, corresponding to a mean value of $310.82 per procedure. CONCLUSION: Surgeries to treat chronic vein disease totaled 66,577 in 11 years, demanding $20,693,437.94 from the public health system. The majority of treated patients were female, over 40 years of age, and local residents. Procedure rates have increased over the years. The in-hospital mortality rate was very low (0.0045%).

Abstract Background: In pandemic times, social isolation is of utmost importance to minimize the spread of the SARS-Cov-2 virus. At times like these, home fitness becomes extremely necessary to avoid sedentarism and decompensation in chronic disease patients. Objectives: Evaluate the engagement of rehabilitation patients to a tele- oriented exercise program at home (TOEP). Materials and Methods: 66 of 94 patients (63.8% males; 65.5±14 years old; 5.2±2.6 months in rehabilitation) agreed to take part. Subjects were grouped in three levels of functionality to guide the exercise prescription. Weekly Training Rates (WTR) were compared using the Friedman test and corrected by Dunn's test. A multivariate logistic model was designed to determine independent predictors in program engagement. Statistical significance was determined by a p<0.05. Results: TOEP provided WTR similar to the pre-quarantine values of 2.8/week (p>0.05), and 91.8% of patients took part until the end of those 5 weeks. The presence of diabetes was a predicted factor for low engagement to TOEP with relative risk of 0.41 (CI95%: 0.25 to 0.66). Conclusion: TOEP provided satisfactory engagement in rehabilitation patients. Most of them increased WTR during quarantine. Patients with diabetes displayed lower engagement to the minimum standard frequency. Background SARSCov2 SARSCov SARS Cov 2 SARS-Cov- virus these Objectives tele TOEP. . (TOEP) Methods 6 9 63.8% 638 63 8 (63.8 males 65514 65 14 65.5±1 old 5226 5.2±2. prescription (WTR Dunns Dunn s p005 p 0 05 p<0.05 Results prequarantine pre quarantine 28week week p>0.05, p>0.05 , (p>0.05) 918 91 91.8 weeks 041 41 0.4 CI95% CI95 CI (CI95% 025 25 0.2 0.66. 066 0.66 0.66) Conclusion frequency SARS-Cov (TOEP 63.8 (63. 6551 1 65.5± 522 5.2±2 p00 p<0.0 p>0.0 (p>0.05 91. 04 4 0. CI9 (CI95 02 06 0.6 63. (63 655 65.5 52 5.2± p0 p<0. p>0. (p>0.0 (CI9 (6 65. 5.2 p<0 p>0 (p>0. (CI ( 5. p< p> (p>0 (p> (p

Resumo Introdução A construção do roteiro de entrevista é uma etapa crucial para garantir o sucesso da pesquisa. Objetivo Descrever o processo de construção, validação e adaptação de instrumento voltado à pesquisa com população jovem que vive em aglomerados subnormais. Método A partir do referencial dos determinantes sociais da saúde e da temática da juventude foram elaboradas as versões iniciais de dois roteiros de entrevista, entre outubro e dezembro de 2017, para posterior validação e aplicação: um voltado para os jovens vivendo em aglomerados subnormais e outro para os trabalhadores da atenção básica. Posteriormente, foram realizados o pré-teste e a elaboração da versão final. Resultados A validação do conteúdo foi realizada por nove especialistas. Na avaliação geral do roteiro dos trabalhadores, o quesito com pior avaliação foi a abrangência do instrumento, e, na avaliação do formulário dos jovens, a ausência de itens foi mencionada por 44,4% dos juízes. Em ambos os roteiros, a compreensibilidade, a objetividade e a pertinência foram bem avaliadas. Os roteiros pós-validação foram aplicados a três trabalhadores e três jovens. Foram identificados problemas no ordenamento das questões e no encadeamento dos assuntos. Conclusão Os roteiros finais aproximaram a entrevista de uma proposta de maior diálogo entre pesquisador e participante.

Abstract Background The preparation of an interview script is a crucial step to ensure the success of a study. Objective Describe the process of construction, validation, and adaptation of an instrument aimed at surveying young adults living in subnormal clusters. Method Based on the Social Determinants of Health and the theme of youth, initial versions of two interview scripts were prepared between October and December 2017 for later validation and application: one aimed at young adults living in subnormal clusters and another at Primary Health Care (PHC) workers. After that, pretests were performed and the final versions were produced. Results Content validation was conducted by a group of nine specialist judges. Overall, instrument comprehensiveness received the worst evaluation in the script aimed at the PHC workers, whereas lack of necessary items was pointed out by 44.4% of the judges in the script aimed at the young adults. Both scripts were well assessed regarding comprehensibility, objectivity, and pertinence. After validation, the scripts were applied to three PHC workers and three young adults living in subnormal clusters. Problems with question order and theme chaining were identified. Conclusion The final scripts approached the interview to a proposal for greater dialogue between researcher and participant.