Abstract Brazilian high school was modified having the National Common Curricular Base (BNCC) as the central axis for the curricular restructuring of each state. The research aims to analyze language comprehension in the curriculum of the state of Sergipe and reflect on possible implications for the teaching of Physical Education in high school. This is documentary-exploratory research with a qualitative approach, which works with the document of the state curriculum of Sergipe at the high school level. From the exploration of the material, the content analysis is carried out with the aid of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) software, through the treatment of data by Descending Hierarchical Classification (CHD). By lexical analysis, four classes/categories were identified (“Language and modality”, “Institutional system”, “Youth” and “Expressions and their fields”). The analyses show that, by conceptualizing the notion of language, the document approaches the historical-socio-cultural approach to language. It also approaches the objects of knowledge through language expressions (oral, written, visual, etc.) specific to each subject and which, due to a vague position regarding the notion of language, does not place PE in the language area.

Resumo O Ensino Médio Brasileiro foi modificado tendo a Base Nacional Comum Curricular (BNCC) como eixo central para a reestruturação curricular de cada Estado. A pesquisa tem por objetivo analisar a compreensão de linguagem no currículo de Sergipe e refletir possíveis implicações no ensino da Educação Física (EF) no Ensino Médio. Trata-se de pesquisa documental-exploratória de abordagem qualitativa. O estudo trabalha com o currículo Estadual de Sergipe na etapa do Ensino Médio. A partir da exploração do material procede-se com a Análise de Conteúdo com o auxílio do software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ) através do tratamento dos dados por Classificação Hierárquica Descendente (CHD). Por análise lexical, foram identificadas quatro classes/categorias (“Linguagem e modalidade”, “Sistema institucional”, “Juventude” e “Expressões e seus campos”). As análises apontam que o documento, ao conceituar a noção de linguagem, se aproxima da abordagem histórico-sócio-cultural de linguagem. Traz também os objetos de conhecimentos por expressões de linguagem (oral, escrita, visual, etc.) específicas de cada disciplina e que, por posição vaga quanto à noção de linguagem, não situa o lugar da EF na área de linguagem.

ABSTRACT Understanding organic carbon and predominant humic fractions in the soil allows contributes to soil quality management. Conventional fractionation techniques require time, excessive sampling, and high maintenance costs. In this study, predictive models for organic carbon in humic substances (HS) were evaluated using hyperspectral data as an alternative to chemical fractionation and quantification by wet digestion. Twenty-nine samples of Neossolos Flúvicos (Fluvents) - A1, and 36 samples of Cambissolos (Inceptisols) - A2 were used. The samples were also analyzed jointly, creating a third sample group - A1&A2. Untransformed spectral reflectance factors were obtained using the FieldSpec Pro FR 3 hyperspectral sensor (350–2500 nm). Pre-processing techniques were employed, including Savitzky–Golay smoothing and first- and second-order derivative analysis. After selecting variables using the Backward method, which removes spectral variables that are not statistically significant for the regression. Estimation models were built by Principal Components Regression (PCR) and Partial Least Squares Regression (PLSR). The spectral data were evaluated individually for soil classes A1 and A2, and jointly for A1&A2. The PLSR was more efficient than PCR, especially for the estimation models that used the first derivative of reflectance employing the three sample groups. For samples of A1, the best estimate was seen for humic acid (RPD = 6.09) and humin (RPD = 2.38); for A2, the best models estimated the OC in fulvic acid (RPD = 2.35) and humin (RPD = 2.51); and for the joint spectral data (A1&A2), the prediction was robust for humin only (RPD = 2.01). The most representative wavelengths were observed using the first derivative with PLSR and PCR, centred on the region between 1600 and 1800 nm. The first-derivative of reflectance calculated more-robust predictive models using PLSR than PCR. The best predictions occurred for organic carbon associated with humic acid in Neossolos Flúvicos, with fulvic acid in Cambissolos, and with humin in both soil classes.

RESUMO O objetivo deste trabalho foi avaliar os teores assimilados de elementos minerais, características de produtividade e qualidade do fruto de melão amarelo ‘Goldex’ fertirrigado com diferentes doses de nitrogênio e potássio em dois anos de cultivo na região da Chapada do Apodi-CE. O delineamento foi em blocos ao acaso em esquema fatorial 4x3 com quatro doses de nitrogênio (0%, 50%, 100%, 150% da dose recomendada) e três doses de potássio (0%, 100%, 150% da dose recomendada). Na parte aérea do melão, os maiores níveis de adubação nitrogenada (N Fert.) e potássica (K Fert.) proporcionaram um aumento do teor assimilado de nitrogênio (N) até 48 DAT e redução do teor assimilado de potássio (K) no final do ciclo (62 DAT). A produção máxima de massa seca da parte foi de 3,23 t ha−1 com uma adubação de 150 e 100 kg ha−1 de N e K, respectivamente. A produtividade de fruto comercial média obtida nos dois anos de cultivo foi 34,68 t ha−1 chegando a um valor máximo de 40,28 t ha−1 em adubação de 150 kg ha−1 de N e K. O teor de sólidos solúveis totais aumentou em função do aumento da N Fert. e K Fert. apresentando máximo valor 8,07 °Brix. Os modelos indicaram que o fator K Fert. foi determinante no aumento desta variável. Em futuros estudos é necessário aumentar as concentrações dos dois fatores a fim de otimizar a viabilidade máxima da produtividade e °Brix.

ABSTRACT The objective of this study was to evaluate the assimilated contents of mineral elements, yield characteristics and fruit quality of ‘Goldex’ yellow melon fertigated with different doses of nitrogen (N) and potassium (K) in two years of cultivation in the region of Apodi Plateau-CE. The design was randomized blocks in a 4x3 factorial scheme with four N doses (0%, 50%, 100%, 150% of the recommended dose) and three K doses (0%, 100%, 150% of the recommended dose). In the shoots of the melon plant, the highest levels of N (N Fert.) and K (K Fert.) fertilization promoted an increase in the assimilated N content up to 48 DAT and a reduction in the assimilated K content at the end of the cycle (62 DAT). The maximum shoot dry mass production was 3.23 t ha−1 with a fertilization of 150 and 100 kg ha−1 of N and K, respectively. The average marketable fruit yield obtained in the two years of cultivation was 34.68 t ha−1, reaching a maximum value of 40.28 t ha−1 under 150 kg ha−1 N and K fertilization. Total soluble solids increased as a function of the increase in N Fert. and K Fert., with a maximum value of 8.07 °Brix. The models indicated that the K Fert. factor was decisive in the increase of this variable. In future studies it is necessary to increase the concentrations of the two factors in order to optimize the maximum viability of yield and °Brix.

Abstract We record for the first time the Darwin wasp species Photocryptus nigrosignatus (Kriechbaumer, 1901) parasitizing nests of the solitary wasp Sceliphron fistularium (Dahlbom, 1843) in the Amazonas state, Brazil, and provide new distribution records for them and S. asiaticum (Linnaeus, 1758), the other species registered to Brazil. Additionally, we also report the emergence of solitary wasp Pachodynerus nasidens Latreille, 1817 (Vespidae), and parasitoid wasps Leucospis sp. (Leucospidae) and Photocryptus sp. in S. fistularium nests.

Resumen Registramos por primera vez a la avispa de Darwin Photocryptus nigrosignatus (Kriechbaumer, 1901) parasitando nidos de la avispa solitaria Sceliphron fistularium (Dahlbom, 1843) en el estado de Amazonas, Brasil, y proporcionamos nuevos registros de distribución para ellas y S. asiaticum (Linnaeus, 1758), la otra especie registrada en Brasil. Adicionalmente, también reportamos la emergencia de la avispa solitaria Pachodynerus nasidens Latreille, 1817 (Vespidae), y las avispas parasitoides Leucospis sp. (Leucospidae) y Photocryptus sp. en nidos de S. fistularium.

Abstract The objective of this study was to evaluate and financially compare the forest management system in alternates bands (MAB) and the selective management system (SS). The study was carried out at the MAGELA Project, located in the municipality of Codó, state of Maranhão, Brazil. The data was collected in six permanent plots of 50 x 200 m, located in the Annual Production Units (APU) nº 01 and 02. In the financial analysis, the net present value was used for infinite horizon (NPV), land expected value (LEV), equivalent annual value (EAV), benefit/cost ratio (BCR), internal rate of return (IRR), average production cost (APC) and an annual discount rate of 9.0%. The MAB system was more financially viable for annual discount rates below 9.9%. However, at annual discount rates equal to or greater than 12%, the SS system was economically viable.

Resumen El objetivo de este estudio fue evaluar y comparar financieramente el sistema de manejo forestal en bandas alternas (MAB) y el sistema de manejo selectivo (SS). El estudio se realizó en el Proyecto MAGELA, ubicado en el municipio de Codó, estado de Maranhão, Brasil. Recolectamos los datos en seis parcelas permanentes de 50 x 200 m, ubicadas en las Unidades de Producción Anual (APU) nº 01 y 02. En el análisis financiero, usamos el valor presente neto para horizonte infinito (VPN ), valor esperado del terreno ( LEV), valor anual equivalente (EAV), relación beneficio / costo (BCR), tasa interna de retorno (TIR), costo promedio de producción (APC) y una tasa de descuento anual del 9.0%. El sistema MAB era más viable financieramente para tipos de descuento anuales inferiores al 9,9%. Sin embargo, a tasas de descuento anuales iguales o superiores al 12%, el sistema de SS era económicamente viable.

ABSTRACT: Appropriate management of factors that influence forest development is essential to increase yield of forest plantations. The objective of this study was to evaluate the influence of water seasonality, nutritional management, and uniformity on yield of eucalyptus plantations and estimate the potential, attainable, and observed yield of adult eucalyptus stands. We evaluated Eucalyptus clonal stands in six regions of Minas Gerais State, Brazil, in a system of first and second rotation across four age classes using the twin-plots method (TP). In the study, 142 TPs were allocated alongside 142 plots in a continuous forest inventory (CFI) network of a private enterprise. The CFI received operational fertilization and additional fertilization was carried out in the TP. The trees were measured at the beginning of the experiment and at every six months to quantify the production in the wet (PW) and dry (PD) periods of the year. Uniformity of plantations was evaluated using Pvar 50 % and the optimal uniformity index. Potential, attainable, and observed yields were estimated using the average annual increase at seven years of age. The PW showed higher plant yield. There was an effect due to water availability and nutrient level on the yield of the stands. The driest semester of the year produces approximately 30 % of the current annual increase. The stands under the second rotation tend to have less uniformity than the in the first rotation. Potential yield varied depending on rainfall intensity where wetter regions had the highest yield.

ABSTRACT OBJECTIVE To analyze the time trend of monthly mortality rates from chronic respiratory diseases in Brazil from 1996 to 2017, with forecasts for 2022, besides analyzing the possibility of achieving the goal of the Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis no Brasil (Strategic Action Plan to Tackle Chronic Noncommunicable Diseases in Brazil) from 2011 to 2022. METHODS This is an ecological study that uses data from Sistema de Informações sobre Mortalidade (SIM – Mortality Information System), Sistema de Informações Demográficas e Socioeconômicas (Demographic and Socioeconomic Information System) and Pesquisa Nacional por Amostra de Domicílios Contínua (PNAD Contínua – Continuous National Household Sample Survey). We established the age range between 30 and 69 years old and the evolution of the rates over time was made by autoregressive integrated moving average models in R statistical tool. RESULTS Premature mortality rates from chronic respiratory diseases are decreasing in Brazil as a whole, mostly in state capitals. There is also a trend to reach the Ministry of Health’s goal in most of the country. For capitals that tend not to reach the goal, there is an association between mortality and social indicators, healthcare network and frequency of smoking. CONCLUSION This study intends to improve planning of the public health system for the control of chronic respiratory diseases.

RESUMO OBJETIVO Analisar a tendência temporal das taxas mensais de mortalidade por doenças respiratórias crônicas no Brasil de 1996 até 2017, com projeções para 2022, além de analisar a possibilidade de cumprimento da meta do Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis no Brasil de 2011 até 2022. MÉTODOS Trata-se de estudo ecológico que utiliza dados do Sistema de Informações sobre Mortalidade, do Sistema de Informações Demográficas e Socioeconômicas e da Pesquisa Nacional por Amostra de Domicílios Contínua. O recorte etário foi estabelecido entre 30 e 69 anos e a evolução das taxas no tempo foi feita por meio de modelos autorregressivos integrados de média móvel em plataforma estatística R. RESULTADOS As taxas de mortalidade precoce por doenças respiratórias crônicas apresentam-se decrescentes no Brasil como um todo e na maior parte das capitais, assim como, há tendência a atingir a meta do Ministério da Saúde na maior parte do país. Para capitais que tendem a não atingir a meta, verifica-se associação entre mortalidade e indicadores sociais, rede assistencial de saúde e frequência do tabagismo. CONCLUSÃO Pretende-se que o estudo possibilite um melhor planejamento do sistema público de saúde para o controle das doenças respiratórias crônicas.

RESUMO OBJETIVO Analisar a tendência temporal das taxas mensais de mortalidade por doenças respiratórias crônicas no Brasil de 1996 até 2017, com projeções para 2022, além de analisar a possibilidade de cumprimento da meta do Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis no Brasil de 2011 até 2022. MÉTODOS Trata-se de estudo ecológico que utiliza dados do Sistema de Informações sobre Mortalidade, do Sistema de Informações Demográficas e Socioeconômicas e da Pesquisa Nacional por Amostra de Domicílios Contínua. O recorte etário foi estabelecido entre 30 e 69 anos e a evolução das taxas no tempo foi feita por meio de modelos autorregressivos integrados de média móvel em plataforma estatística R. RESULTADOS As taxas de mortalidade precoce por doenças respiratórias crônicas apresentam-se decrescentes no Brasil como um todo e na maior parte das capitais, assim como, há tendência a atingir a meta do Ministério da Saúde na maior parte do país. Para capitais que tendem a não atingir a meta, verifica-se associação entre mortalidade e indicadores sociais, rede assistencial de saúde e frequência do tabagismo. CONCLUSÃO Pretende-se que o estudo possibilite um melhor planejamento do sistema público de saúde para o controle das doenças respiratórias crônicas.

ABSTRACT OBJECTIVE To analyze the time trend of monthly mortality rates from chronic respiratory diseases in Brazil from 1996 to 2017, with forecasts for 2022, besides analyzing the possibility of achieving the goal of the Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis no Brasil (Strategic Action Plan to Tackle Chronic Noncommunicable Diseases in Brazil) from 2011 to 2022. METHODS This is an ecological study that uses data from Sistema de Informações sobre Mortalidade (SIM – Mortality Information System), Sistema de Informações Demográficas e Socioeconômicas (Demographic and Socioeconomic Information System) and Pesquisa Nacional por Amostra de Domicílios Contínua (PNAD Contínua – Continuous National Household Sample Survey). We established the age range between 30 and 69 years old and the evolution of the rates over time was made by autoregressive integrated moving average models in R statistical tool. RESULTS Premature mortality rates from chronic respiratory diseases are decreasing in Brazil as a whole, mostly in state capitals. There is also a trend to reach the Ministry of Health’s goal in most of the country. For capitals that tend not to reach the goal, there is an association between mortality and social indicators, healthcare network and frequency of smoking. CONCLUSION This study intends to improve planning of the public health system for the control of chronic respiratory diseases.

Resumo A literatura tem apostado na compreensão coevolutiva entre tecnologia e educação destacando o professor como peça-chave neste processo. O objetivo do texto é problematizar a vivência pedagógica de uma professora de Educação Física da rede estadual de ensino durante a pandemia de covid-19, sob as lentes do neotecnicismo e das literacias emergentes. Adotou-se a metodologia qualitativa a partir dos estudos narrativos, dos casos pedagógicos e suas contribuições para formação docente. Como resultados percebeu-se o sentimento de incompetência para lidar com plataformas digitais, o apoio de uma rede de colaboração por pares, a urgência do “como utilizar ferramentas tecnológicas” e, em segundo plano, “o que ensinar”. Considera-se, por fim, que pensar o ensino remoto de Educação Física na pandemia é mais do que pensar em tecnologia, mas antes é refletir sobre como o professor se forma pela experiência e as possibilidades de modificação na percepção de aula de Educação Física neste contexto.

Abstract Literature has focused on the co-evolutionary understanding between technology and education, highlighting the teacher as a key player in this process. The objective of the text is to problematize the pedagogical experience of a Physical Education teacher from the state education network during the Covid-19 pandemic, under the lens of neotechnicism and emerging literacies. A qualitative methodology was adopted based on narrative studies, pedagogical cases and their contributions to teacher training. As a result, it was noticed the feeling of incompetence to deal with digital platforms, the support of a peer collaboration network, the urgency of “how to use technological tools” and, in the background, “what to teach”. Finally, it is considered that thinking about remote Physical Education teaching in the pandemic is more than thinking about technology, but rather it is reflecting on how the teacher is formed by experience and the possibilities of modifying the perception of Physical Education classes in this context.

Resumen La literatura se ha centrado en la comprensión coevolutiva entre tecnología y educación, destacando al docente como elemento clave en este proceso. Este texto tiene como objetivo problematizar la experiencia pedagógica de una profesora de Educación Física de la red estatal de educación durante la pandemia de Covid-19, bajo el lente del neotecnicismo y de las literacias emergentes. Se adoptó una metodología cualitativa basada en estudios narrativos, casos pedagógicos y sus aportes a la formación docente. Como resultado, se percibió el sentimiento de incompetencia para trabajar con plataformas digitales, el apoyo a una red de colaboración entre pares, la urgencia de saber “cómo usar las herramientas tecnológicas” y, en segundo plano, “qué enseñar”. Finalmente, se considera que pensar en la enseñanza a distancia de la Educación Física en la pandemia es más que pensar en tecnología, más bien es reflexionar sobre cómo el profesor se forma a partir de la experiencia y las posibilidades de modificar la percepción de las clases de Educación Física en este contexto.

SUMMARY: Mini-cutting is the most common commercially used clonal propagation method in Brazil. However, several environmental interferences can impact this process, hindering the production of propagules. Mini-tunnel have been used to overcome these difficulties, allowing for an increase in the productivity of mini-stumps and the rooting of mini-cuttings. This study aimed to evaluate the effect of mini-tunnel models on the mini-stump productivity of two hybrid eucalyptus clones over two seasons. The study was conducted in the seedling nursery of a forestry company located in Alto Vale do Jequitinhonha, Minas Gerais, Brazil. Three models of the mini-tunnel were used: mini-tunnel 35 cm, 55 cm, 55 cm tubular, and without cover (control) over two seasons (cold and hot). The total and effective productivity of mini-cuttings were evaluated and the levels of chlorophyll A and B, total chlorophyll, height, leaf area, and dry matter of the mini-cuttings were determined. Together, season and use of the mini-tunnel influenced the productivity of the mini-cuttings of both clones. Use of the mini-tunnel resulted in high productivity, especially in the cold period. Mini-cuttings produced during the hot season showed greater growth, dry matter, and leaf area than those collected during the cold season. The use of mini-tunnels is an effective method to increase the productivity of clonal eucalyptus mini-gardens, as shown here by its overall positive influence on mini-cuttings of both genotypes.

RESUMEN: El miniestaca es el método de propagación clonal más utilizado comercialmente en Brasil. Sin embargo, este proceso sufre varias interferencias ambientales que pueden dificultar la producción de propágulos. Los mini túneles se han utilizado para superar estas dificultades, permitiendo también un aumento de la productividad de las minicepas y el enraizamiento de las miniestacas. Este estudio tuvo como objetivo evaluar el efecto de los modelos de mini túneles sobre la productividad de minicepas de dos clones híbridos de eucalipto, en dos temporadas. El estudio se realizó en el vivero de plántulas de una empresa forestal ubicada en Alto Vale do Jequitinhonha, Minas Gerais, Brasil. Se utilizaron tres modelos de mini túneles: mini túnel de 35 cm, 55 cm, tubular de 55 cm y sin cobertura (control), en dos temporadas (frío y calor). Se evaluó la productividad total y efectiva de miniestacas y se determinaron los niveles de clorofila A y B, clorofila total, altura, área foliar y masa seca de las miniestacas. La temporada y el uso del mini túnel, en conjunto, influyeron en la productividad de las miniestacas de ambos clones. El uso del mini túnel resultó en una alta productividad, especialmente en el período frío. Las miniestacas producidos en la estación cálida mostraron mayor crecimiento, materia seca y área foliar, que los recolectados en la estación fría. El uso del mini túnel es un método eficaz para aumentar la productividad de los minihuertos clonales de eucalipto, como lo demuestra aquí su influencia positiva general sobre las miniestacas de ambos genotipos.

RESUMO Problematiza a experiência pedagógica na formação de professores em Educação Física no ensino remoto, a partir da perspectiva da professora em docência assistida. O texto se inspira nos estudos narrativos e, em postura qualitativa, se debruça sob o teor narrado pela professora em docência assistida sobre experiência no semestre de 2020.2. Em análise da experiência é problematizada a potência da escrita como uma tecnologia de expressão de dimensão recursiva na aprendizagem colaborativa e o impulso produtivo de artefatos pedagógicos digitais como sintoma de ansiedade em repor a presença. A problematização a luz de postura colaborativa de um comentador crítico aponta para crescimento de professora neófita e alunos mesmo considerando limites postos pela pandemia.

ABSTRACT This paper problematizes the pedagogical experience in the Physical Education teacher education in remote teaching from the perspective of a teacher in assisted teaching. Narrative studies inspire the text and, in a qualitative approach, focus on the content narrated by the teacher in assisted teaching about the experience in the 2020.2 term. The experience both problematizes (1) the power of writing as an expression technology with a recursive dimension in collaborative learning and (2) the productive impulse of digital pedagogical artifacts as a symptom of anxiety to restore in-person activities. The problematization by critical commentator's collaborative posture points to the growth of the neophyte teacher and students, even considering the limits imposed by the pandemic.

RESUMEN Problematiza la experiencia pedagógica de formación docente en Educación Física en la enseñanza remota de emergencia, desde la perspectiva del docente en enseñanza asistida. Se inspira en los estudios narrativos y, en un enfoque cualitativo, se centra en el contenido narrado por el docente en la enseñanza asistida sobre la experiencia en 2020.2. En el análisis de la experiencia, se problematiza el poder de la escritura como tecnología de expresión con una dimensión recursiva en el aprendizaje colaborativo y el impulso productivo de los artefactos pedagógicos digitales como síntoma de la ansiedad por restaurar la presencia. La problematización de comentarista crítico apunta al crecimiento de docentes y alumnos neófitos aún considerando los límites impuestos por la pandemia.

SUMMARY OBJECTIVE: This study aimed to assess older people’s knowledge of the purpose of drugs prescribed at medical appointments in primary care units and the possible factors related to their level of knowledge about their medications. METHODS: This was a cross-sectional study conducted in 22 basic health units in Brazil. Patients aged ≥60 years were included in this study (n=674). Knowledge of prescribed medications was assessed by comparing the responses to the questionnaire and the medication and prescription information. Multivariate analyses were conducted using the Poisson regression with robust variance. RESULTS: The mean age of the sample was 70.1 (standard deviation: ±7.1) years. Among 674 patients, 272 (40.4%) did not know the indication of at least 1 of their prescribed drugs; among them, 78 (11.6%) did not know the indication of any of their prescribed drugs. In the final multivariate analysis, polypharmacy, illiteracy, and cognitive impairment were found to be associated with misunderstanding the purpose of at least one prescribed drug. Moreover, illiteracy and cognitive impairment were associated with a greater misunderstanding of the purpose of all prescribed drugs. CONCLUSIONS: In the studied sample, patients demonstrated a high rate of misunderstanding of the purpose of prescribed drugs. Therefore, it is necessary for health services and professionals to implement strategies that increase the quality of the guidance and instructions given to older people in order to promote adherence to treatment.

Resumo A medição da pressão arterial no consultório está sujeita a erros; assim, a monitorização residencial da pressão arterial é utilizada para o monitoramento e diagnóstico da hipertensão. Descrever a viabilidade da monitorização residencial para avaliar a pressão arterial na atenção primária e comparar os valores da pressão arterial através da monitorização residencial e medida de consultório. Estudo transversal realizado com pacientes que utilizaram a monitorização residencial pela manhã e pela noite, em triplicata por sete dias consecutivos em domicílio. Foram incluídos pacientes maiores de 18 anos, com suspeita de hipertensão do avental branco, utilizando anti-hipertensivos ou intolerantes a monitorização ambulatorial. Foram excluídos pacientes que não seguiram o protocolo, aqueles que apresentavam ritmo cardíaco irregular ou mulheres grávidas. 134 pacientes participaram do estudo, 63,3% apresentaram pressão arterial alteradas em consultório e 48% pela monitorização residencial. A diferença média dos métodos foi de 10,1 mmHg para sistólica e 4,3 mmHg para diastólica. A prevalência de hipertensão do avental branco foi 19,4%. A monitorização residencial da pressão arterial no sistema de saúde brasileiro provou ser uma estratégia viável.

Abstract Blood pressure measurements taken in a clinical setting are subject to errors, therefore there are advantages to monitoring blood pressure at home, especially in in patients diagnosed with hypertension. The study describes the feasibility of home monitoring to assess blood pressure in primary care and compares blood pressure measured at home and during a medical consultation. This cross-sectional study was carried out with patients whose used home blood pressure in the morning and evening, thrice for seven consecutive day sat home. Participants included patients older than 18 years with suspected whitecoat hypertension, taking antihypertensives, or those intolerant of ambulatory blood pressure monitoring, and excluded patients who did not follow the protocol, suffered from an irregular heart rate, and pregnant women. Of the 134 patients who participated in the study, 63.3% had altered blood pressure when measured at health facilities and 48% had higher blood pressure at home. The mean difference between the methods was 10.1 mmHg for systolic and 4.3 mmHg for diastolic. The prevalence of whitecoat hypertension was 19.4%. Blood pressure monitoring at home is a practicable strategy in the Brazilian healthcare system.

ABSTRACT BACKGROUND: Physician and patient-related characteristics can influence prescription of medications to older patients within primary healthcare. Use of Brazilian criteria may indicate the real prevalence of prescription of potentially inappropriate medications to this population. OBJECTIVES: To evaluate prescription of potentially inappropriate medications to older patients within primary care and identify patient-related and prescribing physician-related factors. DESIGN AND SETTING: This cross-sectional study was conducted in 22 public primary care facilities in Brazil, among older people (≥ 60 years) who were waiting for medical consultations. METHODS: Interviews were conducted before and after the medical consultations. If the patient received a medical prescription at the consultation, all the drugs prescribed and the physician's medical council registration number were recorded. Prevalence ratios were estimated to ascertain the magnitude of prescription of potentially inappropriate medications, along with patient and physician-related factors associated with such prescription. RESULTS: In total, 417 older patients were included; 45.3% had received ≥ 1 potentially inappropriate medication, and 86.8% out of 53 physicians involved had prescribed ≥ 1 potentially inappropriate medication. The strongest patient-related factor associated with higher prevalence of prescription of potentially inappropriate medications was polypharmacy. Among physician-related factors, the number of patients attended, number of prescriptions and length of medical practice < 10 years were positively associated with prescription of potentially inappropriate medications. CONCLUSIONS: High prevalence of prescription of potentially inappropriate medications was observed. Physician-related characteristics can influence prescription of medications to older people within primary healthcare. This suggests that there is a need for interventions among all physicians, especially younger physicians.