Abstract The study analyzed the consumption of non-standard medication in the health of indigenous peoples, emphasizing the rationality of pharmacotherapy, by conducting a cross-sectional study of secondary data from 2018 and 2019 in the Minas Gerais/Espírito Santo Special Sanitary Indigenous Health Districts. These medicines were classified by Anatomical Therapeutic Chemical Classification. Non-parametric tests were applied to compare the origin of prescription and the form of acquisition, assessing access to medication. Rationality was verified through the consumption profile and the therapeutic option in the list of standardized medicines. A total of 104,928 pharmaceutical presentations were consumed, 66,967 (66%) for the alimentary tract and metabolism, 17,705 (17%) for the nervous system, and 12,961 (12%) for the cardiovascular system. With respect to medicines consumed per region, 171 (90%) out of 190 had a therapeutic option. Prescriptions were more from the SUS. Differences were found in the way the medicines were acquired. The study pointed to significant consumption of non-standard medicines, and there may be failings in therapeutic rationality. In indigenous health, ethnocultural and social issues are challenges to access to medicines with rational use.

Resumo O estudo analisou o consumo de medicamentos não padronizados na saúde indígena, enfatizando a racionalidade da farmacoterapia, por meio de um estudo transversal dos dados secundários, de 2018 e 2019, no Distrito Especial Sanitário de Saúde Indígena Minas Gerais/Espírito Santo. Esses medicamentos foram classificados pela Anatomical Therapeutic Chemical Classification. Para a comparação da origem de prescrição e da forma de aquisição, empregaram-se testes não paramétricos, avaliando o acesso a medicamentos. Verificou-se a racionalidade por meio do perfil de consumo e da opção terapêutica na lista de medicamentos padronizados. Foram consumidas 104.928 apresentações farmacêuticas, 66.967 (66%) eram para o trato alimentar e o metabolismo; 17.705 (17%) para o sistema nervoso; 12.961 (12%) para o sistema cardiovascular. Quanto aos medicamentos mais consumidos por regiões, 171 (90%) dos 190 apresentavam opção terapêutica. As prescrições foram mais provenientes do SUS. Encontraram-se diferenças na forma de aquisição dos medicamentos. O estudo apontou importante consumo de medicamentos não padronizados, podendo existir falhas na racionalidade terapêutica. Na saúde indígena, questões etnoculturais e sociais constituem desafios para o acesso aos medicamentos com uso racional.

Abstract The study analyzed the consumption of non-standard medication in the health of indigenous peoples, emphasizing the rationality of pharmacotherapy, by conducting a cross-sectional study of secondary data from 2018 and 2019 in the Minas Gerais/Espírito Santo Special Sanitary Indigenous Health Districts. These medicines were classified by Anatomical Therapeutic Chemical Classification. Non-parametric tests were applied to compare the origin of prescription and the form of acquisition, assessing access to medication. Rationality was verified through the consumption profile and the therapeutic option in the list of standardized medicines. A total of 104,928 pharmaceutical presentations were consumed, 66,967 (66%) for the alimentary tract and metabolism, 17,705 (17%) for the nervous system, and 12,961 (12%) for the cardiovascular system. With respect to medicines consumed per region, 171 (90%) out of 190 had a therapeutic option. Prescriptions were more from the SUS. Differences were found in the way the medicines were acquired. The study pointed to significant consumption of non-standard medicines, and there may be failings in therapeutic rationality. In indigenous health, ethnocultural and social issues are challenges to access to medicines with rational use.

Resumo O estudo analisou o consumo de medicamentos não padronizados na saúde indígena, enfatizando a racionalidade da farmacoterapia, por meio de um estudo transversal dos dados secundários, de 2018 e 2019, no Distrito Especial Sanitário de Saúde Indígena Minas Gerais/Espírito Santo. Esses medicamentos foram classificados pela Anatomical Therapeutic Chemical Classification. Para a comparação da origem de prescrição e da forma de aquisição, empregaram-se testes não paramétricos, avaliando o acesso a medicamentos. Verificou-se a racionalidade por meio do perfil de consumo e da opção terapêutica na lista de medicamentos padronizados. Foram consumidas 104.928 apresentações farmacêuticas, 66.967 (66%) eram para o trato alimentar e o metabolismo; 17.705 (17%) para o sistema nervoso; 12.961 (12%) para o sistema cardiovascular. Quanto aos medicamentos mais consumidos por regiões, 171 (90%) dos 190 apresentavam opção terapêutica. As prescrições foram mais provenientes do SUS. Encontraram-se diferenças na forma de aquisição dos medicamentos. O estudo apontou importante consumo de medicamentos não padronizados, podendo existir falhas na racionalidade terapêutica. Na saúde indígena, questões etnoculturais e sociais constituem desafios para o acesso aos medicamentos com uso racional.

Resumo A hipertensão na infância está aumentando com a epidemia de obesidade infantil, o que tem incentivado estudos para identificar um bom marcador antropométrico dos níveis pressóricos aumentados. O objetivo do presente estudo foi identificar o melhor preditor antropométrico de risco de hipertensão arterial em crianças entre 8 e 10 anos de idade. Foi realizada avaliação socioeconômica e aferidos pressão arterial (PA), peso, estatura, circunferência da cintura (CC) e percentual de gordura corporal (%GC). Das 445 crianças que participaram do estudo, 50,1% eram do sexo feminino. A prevalência de obesidade definida pelo índice de massa corporal (IMC) foi 14,6%. A PA aumentada foi observada em 3,4% e 2,2% das crianças, considerando as classificações pré-hipertensão e hipertensão, respectivamente. As médias dos valores pressóricos correlacionaram-se significativamente com IMC, CC, e %GC e, após o controle da estatura, as correlações que se mantiveram significativas foram entre CC e pressão arterial sistólica (PAS) e CC e pressão arterial diastólica (PAD). A variável que apresentou maior poder preditivo da ocorrência de hipertensão foi a CC. Os resultados indicam que na população estudada de crianças entre 8 e 10 anos de idade a CC é uma medida de valor superior para predizer PA aumentada.

Abstract Childhood hypertension is becoming more common with the increasing numbers of child obesity, which has encouraged new studies to identify a good anthropometric marker for high blood pressure levels. The objective this study was to identify the best anthropometric predictor of risk of hypertension in children between 8-10 years of age. The Children were evaluated for socioeconomic status and their blood pressure (BP), weight, height, waist circumference (WC) and percentage of body fat (PBF) were measured. The study included 445 children, of which 50.1% were females. The prevalence of obesity defined by body mass index (BMI) was 14.6%. Increased BP was found in 3.4% and 2.2% of the children, considering the pre-hypertension and hypertension classifications respectively. The arithmetic mean of BP value correlated significantly with BMI, WC and PBF. After height control, the correlations that were maintained significant were between WC and systolic blood pressure (SBP) and between WC and diastolic blood pressure (DBP). The variable with the highest predictive power of the occurrence of hypertension was WC. The results indicate that, in this population of children between 8 and 10 years old, WC is a measurement of higher value in predicting increased BP.

Resumo A hipertensão na infância está aumentando com a epidemia de obesidade infantil, o que tem incentivado estudos para identificar um bom marcador antropométrico dos níveis pressóricos aumentados. O objetivo do presente estudo foi identificar o melhor preditor antropométrico de risco de hipertensão arterial em crianças entre 8 e 10 anos de idade. Foi realizada avaliação socioeconômica e aferidos pressão arterial (PA), peso, estatura, circunferência da cintura (CC) e percentual de gordura corporal (%GC). Das 445 crianças que participaram do estudo, 50,1% eram do sexo feminino. A prevalência de obesidade definida pelo índice de massa corporal (IMC) foi 14,6%. A PA aumentada foi observada em 3,4% e 2,2% das crianças, considerando as classificações pré-hipertensão e hipertensão, respectivamente. As médias dos valores pressóricos correlacionaram-se significativamente com IMC, CC, e %GC e, após o controle da estatura, as correlações que se mantiveram significativas foram entre CC e pressão arterial sistólica (PAS) e CC e pressão arterial diastólica (PAD). A variável que apresentou maior poder preditivo da ocorrência de hipertensão foi a CC. Os resultados indicam que na população estudada de crianças entre 8 e 10 anos de idade a CC é uma medida de valor superior para predizer PA aumentada.

Abstract Childhood hypertension is becoming more common with the increasing numbers of child obesity, which has encouraged new studies to identify a good anthropometric marker for high blood pressure levels. The objective this study was to identify the best anthropometric predictor of risk of hypertension in children between 8-10 years of age. The Children were evaluated for socioeconomic status and their blood pressure (BP), weight, height, waist circumference (WC) and percentage of body fat (PBF) were measured. The study included 445 children, of which 50.1% were females. The prevalence of obesity defined by body mass index (BMI) was 14.6%. Increased BP was found in 3.4% and 2.2% of the children, considering the pre-hypertension and hypertension classifications respectively. The arithmetic mean of BP value correlated significantly with BMI, WC and PBF. After height control, the correlations that were maintained significant were between WC and systolic blood pressure (SBP) and between WC and diastolic blood pressure (DBP). The variable with the highest predictive power of the occurrence of hypertension was WC. The results indicate that, in this population of children between 8 and 10 years old, WC is a measurement of higher value in predicting increased BP.

Abstract The aim of the present study was to confirm the discriminant validity (obtained using traditional statistical methods) of the Early Childhood Oral Health Impact Scale (ECOHIS) between preschool children with and without caries (mean score) through an evaluation of the effect size. A systematic search of electronic databases and a manual search were performed for studies published up to December 2015 involving the use of the ECOHIS for the evaluation of the impact of dental caries on oral health–related quality of life (OHRQoL) among preschool children. Two independent raters performed the selection of the studies and data extraction. Only papers published in English and Spanish were selected. No restrictions were imposed regarding the year of publication. Twelve studies were included, and the magnitude of standardized differences between the means of the “without caries” and “with caries” groups was calculated using Cohen’s d. Most studies demonstrated a large magnitude in the difference between the groups evaluated. The estimate of the effect size confirmed the discriminant validity of the ECOHIS obtained through traditional statistics. Thus, the magnitude of the difference should be considered an important analytical tool for the confirmation of statistical findings regarding null hypotheses and demonstrates the clinical significance of these research results.

Marco contextual:los servicios de urgencia y de emergencia han representado la principal puerta de entrada al sistema de salud, lo que ha provocado una aglomeración en las unidades. Reorganizar esos servicios se ha convertido en algo fundamental para establecer criterios para que el paciente no se vea perjudicado por la espera. Objetivo: caracterizar a la población clasificada como Sistema de Triaje Manchester en un servicio de urgencia de un hospital en la ciudad de Minas Gerais (Brasil). Metodología: se realizó un estudio transversal en 500 historias clínicas de pacientes seleccionados por aleatorización sistemática. Resultados: la edad media fue de 43,85 años (dp=26,10), la mayoría (56,4 %) eran hombres y naturales del municipio de Diamantina (87,4 %). Los 34 diagramas de flujo más utilizados fueron malestar en el adulto, dolor abdominal, dolor torácico, dolor de garganta, llagas y vómitos, los cuales corresponden al 44 % de las clasificaciones. Entre los pacientes, el 50,8 % fue clasificado en verde o azul. Conclusión: la unidad se utiliza como puerta de entrada a los servicios de salud y los motivos más relevantes que hacen que la gente solicite ayuda podrían ser resueltos en el nivel primario de atención sanitaria.

Enquadramento: Os serviços de urgência e emergência têm representado a principal porta de entrada no sistema de saúde, gerando uma sobrelotação nas unidades. Reorganizar esses serviços tornou-se primordial no intuito de estabelecer critérios para que o paciente não sofra prejuízos decorrentes da espera. Objectivo: Caracterizar a população classificada em relação ao Sistema de Triagem de Manchester num serviço de urgência de uma instituição hospitalar de um município de Minas Gerais, Brasil. Metodologia: Trata-se de um estudo transversal realizado em 500 fichas de atendimento de pacientes seleccionados por aleatorização sistemática. Resultados:A média de idade foi de 43,85 anos (dp=26,10), a maioria (56,4%) do sexo masculino e natural do município de Diamantina (87,4%). Os 34 fluxogramas mais utilizados foram indisposição no adulto, dor abdominal, dor torácica, dor de garganta, feridas e vómitos e estes corresponderam a 44% das classificações. Entre os pacientes 50,8% foram classificados nas cores, verde ou azul. Conclusão: A unidade é utilizada como porta de entrada ao serviço de saúde e as queixas mais relevantes que levam as pessoas a buscar pelo atendimento poderiam ser resolvidas no nível primário de atenção à saúde.

Theoretical framework: Urgent and emergency services have represented the main gateway into the health system, leading to unit overcrowding. Rearranging these services has become paramount for establishing criteria so that patients do not suffer further harm due to waiting times. Aim: To characterize the population under analysis using the Manchester Triage System in the emergency service of a hospital from one city in the state of Minas Gerais, Brazil. Methodology: This was a cross-sectional study using a sample of 500 medical records of systematically randomized patients. Results: The mean age was 43.85 years (sd=26.10), most patients were male (56.4%) and their birth place was Diamantina (87.4%). Of the 34 flowcharts used, the most common were unwell adult, abdominal pain, chest pain, sore throat, wounds and vomiting, corresponding to 44% of the ratings. 50.8% of the patients were classified as green or blue. Conclusion: The unit is used as a gateway into the health service and the most relevant complaints for which people seek assistance could be solved at primary health care level.

Magnitude processing is one of the most central cognitive mechanisms that underlie persistent mathematics difficulties. No consensus has yet been reached about whether these difficulties can be predominantly attributed to deficits in symbolic or nonsymbolic magnitude processing. To investigate this issue, we assessed symbolic and nonsymbolic magnitude representations in children with low or typical achievement in school mathematics. Response latencies and the distance effect were comparable between groups in both symbolic and nonsymbolic tasks. The results indicated that both typical and low achievers were able to access magnitude representation via symbolic and nonsymbolic processing. However, low achievers presented higher error rates than typical achievers, especially in the nonsymbolic task. Furthermore, measures of nonsymbolic magnitude explained individual differences in school mathematics better than measures of symbolic magnitude when considering all of the children together. When examining the groups separately, symbolic magnitude representation explained differences in school mathematics in low achievers but not in typical achievers. These results suggest that symbolic magnitude is more relevant to solving arithmetic problems when mathematics achievement is particularly low. In contrast, individual differences in nonsymbolic processing appear to be related to mathematics achievement in a more general manner.

The aim of the present study was to identify risk factors for facial fractures in patients treated in the emergency department of a hospital. The medical charts of 1121 patients treated in an emergency ward over a three-year period were analyzed. The independent variables were gender, age, place of residence (urban or rural area) and type of accident. The dependent variables were fractured mandible, zygoma, maxilla, nasal bone and more than one fractured facial bone. Statistical analysis was performed using the chi-square test (a < 0.05), univariate and multivariate Poisson distributions and the logistic regression analysis (p < 0.20). Maxillofacial trauma was recorded in 790 charts (70.5%), with 393 (35.1%) charts reporting facial fractures. Motorcycle accidents were found to be the main risk factor for mandibular fractures (PR = 1.576, CI = 1.402-1.772) and simultaneous fractures of more than one facial bone (OR = 4.625, CI = 1.888-11.329) as well as the only risk factor for maxillary bone fractures (OR = 11.032, CI = 5.294-22.989). Fractures of the zygomatic and nasal bones were mainly associated with accidents involving animals (PR = 1.206, CI = 1.104-1.317) and sports (OR = 8.710, CI = 4.006-18.936), respectively. The determinant for the majority of facial fractures was motorcycle accidents, followed by accidents involving animals and sports.

A esclerose múltipla (EM) e o envelhecimento normal comprometem a substância branca hemisférica, causando déficits neuropsicológicos na função executiva, memória de trabalho (MT) e velocidade de processamento de informação (VPI). Foram investigadas as hipóteses: (a) a VPI pode constituir um fator determinante dos déficits de MT em pacientes com EM e idosos, e (b) sintomas depressivos auto-relatados podem agravar os déficits cognitivos de pacientes com EM. Participaram do estudo 31 pacientes com EM sem depressão, 36 portadores de EM deprimidos, 108 controles demograficamente comparáveis e 100 idosos da comunidade. Os grupos tiveram seus desempenhos comparados em uma escala de auto-relato para depressão e em uma bateria de testes para MT. Os resultados mostraram que o desempenho em MT depende da VPI, dos sintomas depressivos, da idade e da escolaridade dos indivíduos, variáveis que interagem de formas complexas.

Damage to the hemispheric white matter is observed both in multiple sclerosis (MS) and normal aging, causing neuropsychological deficits in tasks of executive function, working memory (WM), and speed of information processing (SPEED). In this study two main hypotheses were investigated: (a) that SPEED may constitute a determining factor of WM impairment in MS patients and in aging individuals; (b) that self-reported depressive symptoms may aggravate cognitive deficits in MS patients. The study investigated 31 elderly MS patients without depression, 36 depressed ones, 108 demographically comparable controls and 100 community recruited senior participants. Performance of the groups was compared on a self-report measure of depression and on a WM test battery. Results showed that WM performance depends on SPEED, depressive symptoms, age, and schooling - variables which interact in complex ways.

Este trabalho avaliou a influência da representação do conhecimento mediante significados e imagens no processamento dos estereótipos. Utilizando a escala de distância social de Bogardus, procurou-se determinar se a avaliação de uma categoria alvo, realizada por meio da simples apresentação do rótulo verbal da categoria, diferia de uma avaliação em que se acrescentava, durante a apresentação, uma fotografia de exemplares típicos de cada categoria. Um segundo foco de interesse procurou determinar os efeitos contextuais na avaliação dos estereótipos, no caso, a influência do tamanho da cidade de residência do participante na avaliação da distância social. Os resultados apontaram diferenças significativas na avaliação da categoria alvo quando apresentada por meio de estímulos inteiramente abstratos, se comparada com a avaliação realizada quando foram acrescentadas fotografias de exemplares do grupo alvo. Além disso, o tamanho da cidade de residência do participante influenciou o grau de distância social em relação aos membros da categoria alvo.

This article intends to evaluate the influence of two basic forms of representation of knowledge, through meanings and through images, in the process of creating stereotypes. By adopting a modified version of Bogardus's scale of distance, it seeks to determine whether the evaluation of a target category, through a simple presentation of the verbal label of it, differs from another evaluation, in which is added, during its presentation, a photograph of a typical sample of the mentioned category. A second focus of interest tries to determine the influence of contextual effects on the evaluation of stereotypes. The aspect chosen here is the influence of the size of city on the participant evaluation of social distance. The results point out a remarkable difference in the evaluation of the target category when participants were exposed to entirely abstract stimuli, compared to when photos of examples from the target group were added to it. In regard to size of city, this study concluded that it has a vivid influence on the degree of social distance of the participants in relation to members of the target category. It presents also some considerations on the utilization of semantic priming in contemporary experimental research about stereotypes.