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Resumo: O objetivo do estudo é identificar mudanças no estilo de vida e fatores sociodemográficos associados em mulheres e homens participantes da coorte Estudo Longitudinal da Saúde do Adulto (ELSA-Brasil) durante a pandemia de COVID-19. Estudo longitudinal com 3.776 (58,8 anos; DP ± 8,5) funcionários de instituições públicas de Ensino Superior no segundo acompanhamento e na onda COVID do ELSA-Brasil. Os dados foram coletados por meio de questionários estruturados. Foi realizada análise exploratória por meio de regressão logística binária e multinomial nas variáveis dependentes com duas e três categorias, respectivamente, obtendo-se estimativas brutas e ajustadas de odds ratio no SPSS 20.0, considerando um valor de p < 0,05. Houve redução da atividade física de 195,5 (DP ± 1.146,4) equivalentes metabólicos por semana nas mulheres e de 240,5 (DP ± 1.474,2) nos homens, e do tabagismo de 15,2%. Houve aumento do consumo de álcool em homens e mulheres (434,2 ± 5.144,0 e 366,1 ± 4.879,0, respectivamente), do escore de qualidade alimentar (0,8 ± 3,7, mulheres; 0,5 ± 3,7, homens), do tempo de sono (0,4 ± 1,2, mulheres; 0,5 ± 1,1, homens), do tempo de tela (1,7 ± 2,4, mulheres; 1,4 ± 2,3, homens) e do tempo sentado (1,7 ± 2,6, mulheres; 1,5 ± 2,4, homens) (horas/dia). Além disso, 18,6% aumentaram a compra de alimentos ultraprocessados e 36% aumentaram a compra de alimentos naturais. A idade e a atividade laboral contribuíram para aumentar a chance de compra de alimentos ultraprocessados, e a idade e a adesão ao distanciamento social influenciaram a mudança para um comportamento mais sedentário, enquanto a renda e o trabalho ativo favoreceram o aumento do consumo de bebidas alcoólicas. Estes fatores devem ser considerados na elaboração de políticas públicas a fim de evitar comportamentos individuais deletérios à saúde em períodos de pandemia.

Abstract: This study aimed to identify lifestyle changes and associated sociodemographic factors in women and men participating in the Brazilian Longitudinal Study for Adult Health (ELSA-Brasil) cohort during the COVID-19 pandemic. Longitudinal study with 3,776 (aged 58.8 years; SD ± 8.5) employees of public higher education institutions in the second follow-up and the wave-COVID of ELSA-Brasil. Data collected using structured questionnaires. An exploratory analysis was performed using binary and multinomial logistic regression on the dependent variables with two and three categories, respectively, by obtaining crude and adjusted odds ratio estimates in SPSS 20.0, considering a p-value < 0.05. There was a reduction in physical activity of 195.5 (SD ± 1,146.4) metabolic equivalents per week in women and 240.5 (SD ± 1,474.2) in men, and in smoking by 15.2%. There was an increase in alcohol consumption in men and women (434.2 ± 5,144.0; and 366.1 ± 4,879.0, respectively), in the food quality score (0.8 ± 3.7, women; 0.5 ± 3.7, men), sleeping time (0.4 ± 1.2, women; 0.5 ± 1.1, men), screen time (1.7 ± 2.4, women; 1.4 ± 2.3, men), and sitting time (1.7 ± 2.6, women; 1.5 ± 2.4, men) (hours/day). In total, 18.6% increased the purchase of ultra-processed foods and 36% increased the purchase of natural foods. Age and work activity contributed to increase the chance of purchasing ultra-processed foods, and age and adherence to social distancing influenced the shift to a more sedentary behavior, while income and active work favored the increase in alcoholic beverage consumption. These factors should be considered when developing public policies to avoid individual behaviors that are harmful to health during pandemics.

Resumen: El objetivo de este estudio es identificar los cambios en el estilo de vida y los factores sociodemográficos asociados en mujeres y hombres que participan en la cohorte Estudio Longitudinal de Salud del Adulto en Brasil (ELSA-Brasil) durante la pandemia de la COVID-19. Estudio longitudinal con 3.776 (58,8 años; DE ± 8,5) funcionarios en instituciones públicas de educación superior en el segundo seguimiento y en la ola COVID de ELSA-Brasil. Los datos se recopilaron de cuestionarios estructurados. El análisis exploratorio se realizó mediante regresión logística binaria y multinomial en variables dependientes con dos y tres categorías, respectivamente, en la cual se obtuvieron estimaciones brutas y ajustadas de odds ratios en SPSS 20.0, teniendo en cuenta un valor de p < 0,05. Hubo una reducción en la actividad física de 195,5 (DE ± 1.146,4) equivalentes metabólicos por semana en mujeres y de 240,5 (DE ± 1.474,2) en hombres, y del tabaquismo del 15,2%. Hubo un aumento en el consumo de alcohol en hombres y mujeres (434,2 ± 5.144,0 y 366,1 ± 4.879,0, respectivamente), en el puntaje de calidad de los alimentos (0,8 ± 3,7, mujeres; 0,5 ± 3,7, hombres), en el tiempo de sueño (0,4 ± 1,2, mujeres; 0,5 ± 1,1, hombres), en el tiempo frente a la pantalla (1,7 ± 2,4, mujeres; 1,4 ± 2,3, hombres) y en el tiempo sentado (1,7 ± 2,6, mujeres; 1,5 ± 2,4, hombres) (horas/día). Además, el 18,6% aumentó la compra de alimentos ultraprocesados y el 36% la compra de alimentos.

https://doi.org/10.1590/0102-311xen047123

Translation, cross-cultural adaptation, and validation of the Behavioral Activity Rating Scale (BARS) for the Brazilian population
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Pereira, Lucas Alves

; da Silva, Antônio Geraldo

; Hemanny, Curt

; de Jesus, Rogério

; Moromizato, Maíra

; Vieira, Túlio

; Souza, Murilo

; Lima, Manuela Garcia

; Baldaçara, Leonardo

Trends in Psychiatry and Psychotherapy

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2023, Volume 45 elocation e20210310

Abstract: En | Text: En | PDF: En

Abstract Introduction Few instruments are available in Brazil to evaluate psychomotor activity in psychiatric emergency, clinical, and research settings. This study aimed to perform a cross-cultural adaptation of the Behavioral Activity Rating Scale (BARS) into Brazilian Portuguese and assess the adapted scale’s psychometric properties. Method An expert consensus committee conducted a translation and back-translation of the original scale, resulting in the BARS-BR. Four pairs of physicians administered the BARS-BR and the Sedation-Agitation Scale (SAS) to patients in a hospital psychiatry emergency room and patients in the hospital’s psychiatric wards. The BARS-BR was compared to the SAS to assess concurrent validity and internal consistency was evaluated with the Bland-Altman technique. Results In the emergency room, the correlation coefficients between the first and second assessments were rho = 0.997 and rho = 1.0, respectively. In the hospital wards, the correlation coefficient between the pair of evaluators was rho = 0.951. There were strong correlations between the BARS-BR score of the first examiner and the SAS score of the second examiner (rho = 0.903) and between the SAS score of the first examiner and the BARS-BR score of the second examiner (rho = 0.893). Conclusion The BARS-BR showed good psychometric properties, and we recommend its use because it constitutes an easy method for assessment of changes in psychomotor activity. Further studies are suggested to evaluate adoption and comprehension of the BARS-BR scale by all classes of healthcare professionals.

https://doi.org/10.47626/2237-6089-2021-0310

Impact of socioeconomic factors on lifestyle changes among employees of public higher education institutions in ELSA-Brasil during COVID-19 pandemic
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Molina, Maria del Carmen Bisi

; Aprelini, Carla Moronari de Oliveira

; Meireles, Adriana Lúcia

; Griep, Rosane Harter

; Giatti, Luana

; Almeida, Maria da Conceição Chagas de

; Fonseca, Maria de Jesus Mendes da

; Schmidt, Maria Inês

; Barreto, Sandhi Maria

; Matos, Sheila Maria Alvim de

; Vigo, Alvaro

; Mill, José Geraldo

Cadernos de Saúde Pública

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2023, Volume 39 N. 11 elocation e00047123

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

https://doi.org/10.1590/0102-311xen047123

Variabilidade da Pressão Arterial em Única Visita e Risco Cardiovascular em Participantes do ELSA-Brasil
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Zarife, André Sant’Anna

; Fraga-Maia, Helena

; Mill, José Geraldo

; Lotufo, Paulo

; Griep, Rosane Harter

; Fonseca, Maria de Jesus Mendes da

; Brito, Luciara Leite

; Almeida, Maria da Conceição

; Aras, Roque

; Matos, Sheila Maria Alvim

Arquivos Brasileiros de Cardiologia

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oct 2022, Volume 119 N. 4 Pages 505 - 511

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Fundamento A variabilidade da pressão arterial (VPA) tem valor prognóstico para desfechos cardiovasculares fatais e não fatais. Objetivos Este estudo teve como objetivo avaliar a associação entre a VPA em uma única visita e o risco cardiovascular em participantes do Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). Métodos O presente estudo transversal foi conduzido com dados basais (2008-2010) de 14.357 participantes do ELSA-Brasil, sem história de doença cardiovascular. A VPA foi quantificada pelo coeficiente de variação de três medidas padronizadas da pressão arterial sistólica (PAS) realizadas com um oscilômetro. Medidas antropométricas e exames laboratoriais também foram realizados. O risco cardiovascular foi avaliado pelo estimador de risco de doença cardiovascular aterosclerótica (ASCVD), e se empregou a análise de regressão logística multivariada com nível de significância de 5%. Resultados Um risco cardiovascular significativamente maior foi determinado por uma VPA elevada para ambos os sexos. Uma prevalência significativamente maior de alto risco foi observada mais em homens que em mulheres em todos os quartis, com a maior diferença observada no quarto quartil de variabilidade (48,3% vs. 17,1%). Comparações entre quartis por sexo revelaram um risco significativamente mais alto para homens no terceiro (OR=1,20; IC95%: 1,02 - 1,40) e no quarto quartis OR=1,46; IC95%: 1,25 -1,71), e para mulheres no quarto quartil (OR=1,27; IC95%: 1,03 - 1,57). Conclusão Análises de dados basais de participantes do ELSA-Brasil revelaram que a variabilidade da pressão arterial se associou com risco cardiovascular aumentado, especialmente nos homens.

Abstract Background Blood pressure variability (BPV) is of prognostic value for fatal and non-fatal cardiovascular outcomes. Objective This study aimed to evaluate the association between within-visit BPV and cardiovascular risk among participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Methods The present cross-sectional study was carried out using baseline data (2008-2010) of 14,357 ELSA-Brasil participants with no prior history of cardiovascular disease. Within-visit BPV was quantified by the coefficient of variation of three standardized systolic blood pressure (SBP) measurements using an oscillometer. Anthropometric measurements and laboratory tests were also performed. Cardiovascular risk was assessed using the atherosclerotic cardiovascular disease risk estimator (ASCVD) and multivariate logistic regression analysis was employed with a significance level of 5%. Results Significantly higher cardiovascular risk was determined by increased BPV for both sexes. A significantly higher prevalence of high risk was found in men than women across all quartiles, with the highest difference observed in the fourth quartile of variability (48.3% vs. 17.1%). Comparisons among quartiles in each sex revealed a significantly higher cardiovascular risk for men in the third (OR=1.20; 95%CI: 1.02 - 1.40) and fourth quartiles (OR=1.46; 95%CI: 1.25 -1.71), and for women in the fourth quartile (OR=1.27; 95%CI: 1.03 - 1.57). Conclusion Analysis of baseline data of the ELSA-Brasil participants revealed that blood pressure variability was associated with increased cardiovascular risk, especially in men.

https://doi.org/10.36660/abc.20210804

Efeito da profundidade, estacionalidade e luminosidade no banco de sementes do solo de campo rupestre
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Veloso, Cristina Pereira de Jesus

; Figueiredo, João Carlos Gomes

; Mota, Nayara Mesquita

; Luz, Giovana Rodrigues da

; Azevedo, Islaine Franciely Pinheiro de

; Fernandes, Geraldo Wilson

; Nunes, Yule Roberta Ferreira

Ciência Florestal

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apr 2022, Volume 32 N. 2 Pages 880 - 901

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo A composição florística dos campos rupestres compreende um mosaico de espécies com adaptações distintas, exibindo alta diversidade e endemismo. Entretanto, as plantas dos campos rupestres possuem dependência às condições específicas do local e sua reprodução quase sempre é limitada, tornando difícil a regeneração natural após perturbações. O banco de sementes do solo representa um fator potencial para a regeneração deste ambiente. Objetivou-se avaliar o banco de sementes do solo de diferentes profundidades de uma área de campo rupestre, coletado em duas estações climáticas e submetido a duas condições de luminosidade. Foram coletadas amostras compostas de serapilheira e de solo (0-5 cm) em 13 parcelas de 100 m2, em uma área de campo rupestre na Serra do Cipó (Minas Gerais), nas estações seca e chuvosa. As amostras foram submetidas às condições de luminosidade pleno sol e sombreamento. No total, emergiram 185 plântulas pertencentes a 31 espécies e a nove famílias botânicas. As famílias com maior riqueza foram Cyperaceae, Poaceae e Asteraceae. Houve variação de riqueza, abundância e composição florística entre as profundidades do solo, mas não foi observada variação em relação à estacionalidade e às condições de luminosidade. As amostras de solo apresentaram valores superiores dos parâmetros avaliados em relação àquelas da serapilheira, mostrando que o banco de sementes é mais representativo no solo. Esses resultados demonstram que existe potencial de regeneração do campo rupestre por meio do banco de sementes do solo.

Abstract The floristic composition of the rupestrian grasslands comprises a mosaic of species with different adaptations exhibiting high diversity and endemism. However, the plant species from rupestrian grasslands are dependent on site-specific conditions and their reproduction is almost always limited, making natural regeneration after disturbances difficult. The soil seed bank represents a potential factor for the regeneration of this environment. The objective was to evaluate the soil seed bank of different depths of a rupestrian grassland area, collected in two climatic seasons and submitted to different light conditions. The samples composed of litter and soil (0-5 cm) were collected in 13 plots of 100 m2, in a rupestrian grassland area in Serra do Cipó (Minas Gerais state), in dry and rainy seasons. The samples were subjected to full sun and shading conditions. In total, 185 seedlings of 31 species and nine botanical families emerged. The richest families were Cyperaceae, Poaceae and Asteraceae. There was variation in richness, abundance and floristic composition among the soil strata, but no variation was observed in relation to seasonality and light conditions. The soil samples presented higher values of the evaluated parameters in relation to those ones of litter, showing that the seed bank is more representative in the soil stratum. These results demonstrate that there is potential for rupestrian grassland regenerations through the seed bank, especially the soil stratum.

https://doi.org/10.5902/1980509863100

[SciELO Preprints] - Multimorbidity and health care of community health workers in Vitória, Espírito Santo, Brazil, 2019: a cross-sectional study
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Martins, Haysla Xavier Siqueira, Jordana Herzog Oliveira, Ana Maria Abreu de Jesus, Hanna Carolina de Pereira, Taísa Sabrina Silva Sichieri, Rosely Mill, José Geraldo Molina, Maria del Carmen Bisi

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Publication date: 2022-01-19

Abstract: En Es Pt

Objective: To evaluate health conditions, health care and life habits of community health workers (CHW) in Vitória, Espírito Santo, Brazil. Methods: Cross-sectional study of baseline data from an intervention study. Biochemical, anthropometric, hemodynamic examinations were carried out and an interview was conducted between October/2018 and March/2019 in Vitória. Appropriate statistical tests, according to the sample design, were performed using SPSS software version 21.0, adopting plt;0.05. Results: Evaluated 262 CHW with a mean age of 46.1±9.3 years. High prevalence of pre-diabetes(22.9%), diabetes mellitus (17.2%), hypertension (37,0%), obesity (39.8%), hypercholesterolemia (57.3%), hypertriglyceridemia (27.1%), multimorbidity (40.8%), physical inactivity (60.9%) and use of anxiolytics/ antidepressants (22.5%). About 40% of CHW had three or more morbidities. Conclusion: High percentages of chronic diseases, multimorbidity, sedentary lifestyle and use of anxiolytics/antidepressants were observed in CHW in Vitória.

Objetivo: Evaluar condiciones de salud, cuidados de la salud y hábitos de vida de los Agentes Comunitarios de Salud (ACS) en Vitória, Espírito Santo, Brasil. Métodos: Estudio transversal de la línea de base de un estudio de intervención. Se realizaron clínicos y entrevistas entre octubre/2018 y marzo/2019 en Vitória. Se realizaron las pruebas estadísticas adecuadas utilizando el software SPSS versión 21.0, adoptando plt;0.05. Resultados: Se evaluaron 262 ACS, con una edad promedio de 46,1±9,3 años. Hubo altas prevalencias de prediabetes (22,9%), diabetes mellitus (17,2%), hipertensión arterial (37,0%), obesidad (39,8%), hipercolesterolemia (57,3%), hipertrigliceridemia (27,1%), multimorbilidad (40,8%), inactividad física (60,9%) y uso de ansiolíticos/antidepresivos (22,5%). Aproximadamente el 40% tenía tres o más enfermedades. Conclusión: Se observaron altos porcentajes de enfermedades crónicas, multimorbilidad, sedentarismo y uso de ansiolíticos/antidepresivos en los ACS de Vitória.

Objetivo: Avaliar condições de saúde, cuidados com a saúde e hábitos de vida de agentes comunitários de saúde (ACS) de Vitória, Espírito Santo, Brasil. Métodos: Estudo transversal da linha de base de um estudo de intervenção. Foram realizados exames bioquímicos, antropométricos, hemodinâmicos e entrevistas, entre outubro/2018 e março/2019, em Vitória. Testes estatísticos apropriados, conforme o delineamento da amostra, foram realizados utilizando-se o software SPSS versão 21.0, e adotando-se plt;0,05. Resultados: Foram avaliados 262 ACS com idade média de 46,1±9,3 anos. Observaram-se elevados percentuais de pré-diabetes (22,9%), diabetes mellitus (17,2%), hipertensão arterial (37,0%), obesidade (39,8%), hipercolesterolemia (57,3%), hipertrigliceridemia (27,1%), multimorbidade (40,8%), sedentarismo (60,9%) e uso de ansiolíticos/antidepressivos (22,5%). Cerca de 40% dos ACS apresentaram três ou mais morbidades. Conclusão: Foram observados elevados percentuais de doenças crônicas, multimorbidade, sedentarismo e uso de ansiolíticos/antidepressivos em ACS de Vitória

https://doi.org/10.1590/S1679-49742022000100006

Assistance to Victims of Sexual Violence in a Referral Service: A 10-Year Experience
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Jesus, Gabriel Ramalho de

; Rodrigues, Natália Pavoni

; Braga, Giordana Campos

; Abduch, Renata

; Melli, Patricia Pereira dos Santos

; Duarte, Geraldo

; Quintana, Silvana Maria

Revista Brasileira de Ginecologia e Obstetrícia

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jan 2022, Volume 44 N. 1 Pages 47 - 54

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Objetivo Avaliar a assistência prestada às mulheres vítimas de violência sexual e seu acompanhamento após o evento traumático, caracterizando o perfil sociodemográfico, antecedentes ginecológicos e circunstâncias do evento, além de relatar a aceitação e os efeitos colaterais da profilaxia para infecções sexualmente transmissíveis (ISTs) e a ocorrência de gravidez resultante da violência sexual. Métodos Estudo de coorte retrospectivo compreendendo o período entre 2007 e 2016. Foram incluídas todas as mulheres em acompanhamento médico e clínico após episódio de violência sexual. Foram excluídos registros de violência doméstica, vítimas do sexo masculino e crianças e adolescentes que relataram atividade sexual consensual. O estudo incluiu estatísticas descritivas, com frequências e percentuais. Resultados Foram revisados 867 prontuários e 444 casos de violência sexual foram incluídos. A faixa etária foi 10 a 77 anos; a maioria das vítimas se autodeclarou branca, com entre 4 e 8 anos de escolaridade, e negou ter um parceiro sexual fixo. A violência sexual ocorreu predominantemente à noite, em via pública, por um agressor desconhecido. A maioria foi atendida no serviço de referência em até 72 horas após a violência, possibilitando profilaxias preconizadas. Houve alta aceitação da terapia antirretroviral (TARV), embora metade das usuárias relatasse efeitos colaterais. A soroconversão para o vírus da imunodeficiência humana (HIV, na sigla em inglês) ou para o vírus da hepatite B (HBV, na sigla em inglês) não foi detectada entre as vítimas. Conclusão Nesta coorte, o perfil das vítimas de violência sexual foi de mulheres brancas, de baixa escolaridade, e jovens. O evento traumático ocorreu predominantemente à noite, em via pública, por um agressor desconhecido. A assistência nas primeiras 72 horas após a violência sexual permite que o serviço de saúde realize intervenções profiláticas contra ISTs e gravidez indesejada.

Abstract Objective To evaluate the assistance provided to women victims of sexual violence and their participation in the follow-up treatment after the traumatic event, presenting a sociodemographic profile, gynecological background, and circumstances of the event, and reporting the results, acceptance, and side effects of prophylaxis for sexually transmitted infections (STIs) and pregnancy. Methods A retrospective cohort study comprising the period between 2007 and 2016. All women receiving medical care and clinical follow-up after a severe episode of sexual violence were included. Records of domestic violence, male victims, children, and adolescents who reported consensual sexual activity were excluded. The present study included descriptive statistics as frequencies and percentages. Results A total of 867medical records were reviewed and 444 cases of sexual violence were included. The age of the victims ranged from10 to 77 years old, most of them selfdeclared white, with between 4 and 8 years of education, and denying having a sexual partner. Sexual violence occurred predominantly at night, on public thoroughfare, being committed by an unknown offender. Most victims were assisted at the referral service center within 72 hours after the violence, enabling the recommended prophylaxis. There was high acceptance of antiretroviral therapy (ART), although half of the users reported side effects. Seroconversion to human immunodeficiency virus (HIV) or to hepatitis B virus (HBV) was not detected in women undergoing prophylaxis. Conclusion In the present cohort, the profile of victims of sexual violence was loweducated, young, white women. The traumatic event occurred predominantly at night, on public thoroughfare, being committed by an unknown offender. Assistance within the first 72 hours after sexual violence enables the healthcare center to provide prophylactic interventions against STIs and unwanted pregnancies.

https://doi.org/10.1055/s-0041-1740474

Multimorbidade e cuidado com a saúde de agentes comunitários de saúde em Vitória, Espírito Santo, 2019: um estudo transversal
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Martins, Haysla Xavier

; Siqueira, Jordana Herzog

; Oliveira, Ana Maria Abreu de

; Jesus, Hanna Carolina de

; Pereira, Taísa Sabrina Silva

; Sichieri, Rosely

; Mill, José Geraldo

; Molina, Maria del Carmen Bisi

Epidemiologia e Serviços de Saúde

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2022, Volume 31 N. 1 elocation e2021543

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo Objetivo Avaliar condições de saúde, cuidados com a saúde e hábitos de vida de agentes comunitários de saúde (ACS) de Vitória, Espírito Santo, Brasil. Métodos Estudo transversal da linha de base de um estudo de intervenção. Foram realizados exames bioquímicos, antropométricos, hemodinâmicos e entrevistas, entre outubro de 2018 e março de 2019, em Vitória. Testes estatísticos apropriados, conforme o delineamento da amostra, foram realizados utilizando-se o software SPSS versão 21.0, e adotando-se p<0,05. Resultados Foram avaliados 262 ACS com idade média de 46,1±9,3 anos. Observaram-se elevados percentuais de pré-diabetes (22,9%), diabetes mellitus (17,2%), hipertensão arterial (37,0%), obesidade (39,8%), hipercolesterolemia (57,3%), hipertrigliceridemia (27,1%), multimorbidade (40,8%), sedentarismo (60,9%) e uso de ansiolíticos/antidepressivos (22,5%). Cerca de 40% dos ACS apresentaram três ou mais morbidades. Conclusão Foram observados elevados percentuais de doenças crônicas, multimorbidade, sedentarismo e uso de ansiolíticos/antidepressivos em ACS de Vitória.

Abstract Objective To assess health conditions, health care and lifestyle habits of community health workers (CHW) in Vitória, Espírito Santo, Brazil. Methods This was a cross-sectional study using baseline data from an intervention study. Biochemical, anthropometric and hemodynamic examinations and interviews were carried out between October 2018 and March 2019 in Vitória. Appropriate statistical tests, in accordance with the sample design, were performed using SPSS software version 21.0, adopting p<0.05. Results We assessed 262 CHWs with a mean age of 46.1±9.3 years. High prevalence of prediabetes (22.9%), diabetes mellitus (17.2%), hypertension (37.0%), obesity (39.8%), hypercholesterolemia (57.3%), hypertriglyceridemia (27.1%), multimorbidity (40.8%), physical inactivity (60.9%) and use of anxiolytics/antidepressants (22.5%) was found. Some 40% of the CHWs had three or more morbidities. Conclusion High percentages of chronic diseases, multimorbidity, sedentary lifestyle and use of anxiolytics/antidepressants were found in CHWs in Vitória.

Resumen Objetivo Evaluar condiciones de salud, cuidados de la salud y hábitos de vida de los agentes comunitarios de salud (ACS) en Vitória, Espírito Santo, Brasil. Métodos Estudio transversal de la línea de base de un estudio de intervención. Se realizaron clínicos y entrevistas entre octubre de 2018 y marzo de 2019 en Vitória. Se realizaron las pruebas estadísticas adecuadas utilizando el software SPSS versión 21.0, adoptando p<0.05. Resultados Se evaluaron 262 ACS, con una edad promedio de 46,1±9,3 años. Hubo altas prevalencias de prediabetes (22,9%), diabetes mellitus (17,2%), hipertensión arterial (37,0%), obesidad (39,8%), hipercolesterolemia (57,3%), hipertrigliceridemia (27,1%), multimorbilidad (40,8%), inactividad física (60,9%) y uso de ansiolíticos/antidepresivos (22,5%). Aproximadamente el 40% tenía tres o más enfermedades. Conclusión Se observaron altos porcentajes de enfermedades crónicas, multimorbilidad, sedentarismo y uso de ansiolíticos/antidepresivos en los ACS de Vitória.

https://doi.org/10.1590/s1679-49742022000100006

Multimorbidade e cuidado com a saúde de agentes comunitários de saúde em Vitória, Espírito Santo, 2019: um estudo transversal
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Martins, Haysla Xavier

; Siqueira, Jordana Herzog

; Oliveira, Ana Maria Abreu de

; Jesus, Hanna Carolina de

; Pereira, Taísa Sabrina Silva

; Sichieri, Rosely

; Mill, José Geraldo

; Molina, Maria del Carmen Bisi

Epidemiologia e Serviços de Saúde

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2022, Volume 31 N. 1 elocation e2021543

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

https://doi.org/10.1590/s1679-49742022000100006

10.

Iodine concentration in milk evaluated by iodized agents during milking
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CABRAL, Jakeline Fernandes

; BÁNKUTI, Ferenc Istvan

; GURGEL, Antonio Leandro Chaves

; ÍTAVO, Luís Carlos Vinhas

; SIPPERT, Micheli Regiani

; OSORIO, Jesus Alberto Cardozo

; MARCHI, Francilaine Eloise de

; LOURENÇO, Jean Carlos Steinmacher

; ALMEIDA, Kleves Vieira de

; VALLOTO, Altair Antônio

; SANTOS, Geraldo Tadeu dos

Food Science and Technology

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2022, Volume 42 elocation e41322

Abstract: En | Text: En | PDF: En

Abstract This research article describes the effect of different concentrations of iodine in the teat-dipping before milking and post-dipping solution on milk, urine, thyroid hormone, chemical composition and somatic cell count. Four multiparous cows were distributed in a 4 x 4 Latin square experimental design in a tie-stall system. The treatments were 0.5%, 1%, and 2% iodine and the control was treated with chlorhexidine. The iodine concentration of milk, food and urine was quantified. Thyroid hormones were analyzed by chemiluminescence microparticle immunoassay. Milk composition by differential absorption of infrared waves and somatic cell countby (SCC) flow cytometry. There was no significant effect of iodine concentrations in teats soaking solution before milking on urine iodine concentration and thyroid hormones (T3 and T4). Likewise, no effect of treatments was observed for the contents of protein, fat, lactose, total solids, Milk urea nitrogen and SCC. However, increasing iodine concentrations in the teat soaking solution before milking linearly increased the iodine concentration in milk. Therefore, the iodine concentration in the pre-milking and post-dipping solutions can change the iodine concentration in the milk.

https://doi.org/10.1590/fst.41322

11.

Incidence of thyroid diseases: Results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
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Benseñor, Isabela M.

; Sgarbi, José Augusto

; Janovsky, Carolina Castro Porto Silva

; Pittito, Bianca Almeida

; Diniz, Maria de Fátima Haueisen Sander

; Almeida, Maria da Conceição Chagas de

; Alvim, Sheila Maria

; Barreto, Sandhi M.

; Giatti, Luana

; Duncan, Bruce B.

; Schmidt, Maria Inês

; Fonseca, Maria de Jesus M.

; Griep, Rosane H.

; Molina, Maria del Carmen B.

; Mill, José Geraldo

; Santos, Itamar de Souza

; Goulart, Alessandra C.

; Lotufo, Paulo A.

Archives of Endocrinology and Metabolism

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aug 2021, Volume 65 N. 4 Pages 468 - 478

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To evaluate incidence of subclinical and overt hyperthyroidism and hypothyroidism. Subjects and methods: The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) is a prospective cohort study of 15,105 civil servants, examined at baseline and over a 4-year follow-up. This analysis included 9,705 participants with normal thyroid function at baseline, follow-up information about thyroid function and with no report of using drugs that may interfere in the thyroid function. Thyroid function was defined by TSH/FT4 levels or routine use of thyroid hormones/anti-thyroid medications. Annual and cumulative (over 4-year) incidence rates were presented as percentages (95% Confidence Intervals). Results: The incidence of all overt and subclinical thyroid disease was 6.7% (1.73%/year): 0.19% for overt hyperthyroidism (0.048%/year), 0.54% for subclinical hyperthyroidism (0.14%/year), 1.98% for overt hypothyroidism (0.51%/year), and 3.99% for subclinical hypothyroidism (1.03%/year). The incidence of all thyroid diseases was higher in women, when compared to men, with a low women:men ratio (1.36). For Blacks the highest incidence was for overt hyperthyroidism, while for Whites, the highest incidence was for overt hypothyroidism. However, the highest incidence of overt hyperthyroidism was detected in Asian descendants. The presence of antithyroperoxidase antibodies at baseline was associated with higher incidence of overt thyroid diseases. Conclusion: These results showed a high incidence of hypothyroidism, which is compatible with a country with a more-than-adequate iodine intake. The low women:men ratio of the incidence of thyroid dysfunction highlights the importance of the diagnosis of thyroid diseases among men in Brazil.

https://doi.org/10.20945/2359-3997000000348 273 downloads

12.

The Program for Biodiversity Research in Brazil: The role of regional networks for biodiversity knowledge, dissemination, and conservation
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ROSA, CLARISSA

; BACCARO, FABRICIO

; CRONEMBERGER, CECILIA

; HIPÓLITO, JULIANA

; BARROS, CLAUDIA FRANCA

; RODRIGUES, DOMINGOS DE JESUS

; NECKEL-OLIVEIRA, SELVINO

; OVERBECK, GERHARD E.

; DRECHSLER-SANTOS, ELISANDRO RICARDO

; ANJOS, MARCELO RODRIGUES DOS

; FERREGUETTI, ÁTILLA C.

; AKAMA, ALBERTO

; MARTINS, MARLÚCIA BONIFÁCIO

; TOMAS, WALFRIDO MORAES

; SANTOS, SANDRA APARECIDA

; FERREIRA, VANDA LÚCIA

; CUNHA, CATIA NUNES DA

; PENHA, JERRY

; PINHO, JOÃO BATISTA DE

; SALIS, SUZANA MARIA

; DORIA, CAROLINA RODRIGUES DA COSTA

; PILLAR, VALÉRIO D.

; PODGAISKI, LUCIANA R.

; MENIN, MARCELO

; BÍGIO, NARCÍSIO COSTA

; ARAGÓN, SUSAN

; MANZATTO, ANGELO GILBERTO

; VÉLEZ-MARTIN, EDUARDO

; SILVA, ANA CAROLINA BORGES LINS E

; IZZO, THIAGO JUNQUEIRA

; MORTATI, AMANDA FREDERICO

; GIACOMIN, LEANDRO LACERDA

; ALMEIDA, THAÍS ELIAS

; ANDRÉ, THIAGO

; SILVEIRA, MARIA AUREA PINHEIRO DE ALMEIDA

; SILVEIRA, ANTÔNIO LAFFAYETE PIRES DA

; MESSIAS, MARILUCE REZENDE

; MARQUES, MARCIA C.M.

; PADIAL, ANDRE ANDRIAN

; MARQUES, RENATO

; BITAR, YOUSZEF O.C.

; SILVEIRA, MARCOS

; MORATO, ELDER FERREIRA

; PAGOTTO, RUBIANI DE CÁSSIA

; STRUSSMANN, CHRISTINE

; MACHADO, RICARDO BOMFIM

; AGUIAR, LUDMILLA MOURA DE SOUZA

; FERNANDES, GERALDO WILSON

; OKI, YUMI

; NOVAIS, SAMUEL

; FERREIRA, GUILHERME BRAGA

; BARBOSA, FLÁVIA RODRIGUES

; OCHOA, ANA C.

; MANGIONE, ANTONIO M.

; GATICA, AILIN

; CARRIZO, MARÍA CELINA

; RETTA, LUCÍA MARTINEZ

; JOFRÉ, LAURA E.

; CASTILLO, LUCIANA L.

; NEME, ANDREA M.

; RUEDA, CARLA

; TOLEDO, JOSÉ JULIO DE

; GRELLE, CARLOS EDUARDO VIVEIROS

; VALE, MARIANA M.

; VIEIRA, MARCUS VINICIUS

; CERQUEIRA, RUI

; HIGASHIKAWA, EMÍLIO MANABU

; MENDONÇA, FERNANDO PEREIRA DE

; GUERREIRO, QUÊZIA LEANDRO DE MOURA

; BANHOS, AUREO

; HERO, JEAN-MARC

; KOBLITZ, RODRIGO

; COLLEVATTI, ROSANE GARCIA

; SILVEIRA, LUÍS FÁBIO

; VASCONCELOS, HERALDO L.

; VIEIRA, CECÍLIA RODRIGUES

; COLLI, GUARINO RINALDI

; CECHIN, SONIA ZANINI

; SANTOS, TIAGO GOMES DOS

; FONTANA, CARLA S.

; JARENKOW, JOÃO A.

; MALABARBA, LUIZ R.

; RUEDA, MARTA P.

; ARAUJO, PUBLIO A.

; PALOMO, LUCAS

; ITURRE, MARTA C.

; BERGALLO, HELENA GODOY

; MAGNUSSON, WILLIAM E.

Anais da Academia Brasileira de Ciências

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2021, Volume 93 N. 2 elocation e20201604

Abstract: En | Text: En | PDF: En

Abstract The Program for Biodiversity Research (PPBio) is an innovative program designed to integrate all biodiversity research stakeholders. Operating since 2004, it has installed long-term ecological research sites throughout Brazil and its logic has been applied in some other southern-hemisphere countries. The program supports all aspects of research necessary to understand biodiversity and the processes that affect it. There are presently 161 sampling sites (see some of them at Supplementary Appendix), most of which use a standardized methodology that allows comparisons across biomes and through time. To date, there are about 1200 publications associated with PPBio that cover topics ranging from natural history to genetics and species distributions. Most of the field data and metadata are available through PPBio web sites or DataONE. Metadata is available for researchers that intend to explore the different faces of Brazilian biodiversity spatio-temporal variation, as well as for managers intending to improve conservation strategies. The Program also fostered, directly and indirectly, local technical capacity building, and supported the training of hundreds of undergraduate and graduate students. The main challenge is maintaining the long-term funding necessary to understand biodiversity patterns and processes under pressure from global environmental changes.

https://doi.org/10.1590/0001-3765202120201604 1034 downloads

13.

Genetic evidence of multiple reproductive strategies in a microendemic and threatened cactus (Cactaceae: Discocactus Pfeiff) in Bahia, Brazil
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Jesus, Izabela Santos Dias de

; Conceição, Leila Patricio

; Schnadelbach, Alessandra Selbach

; Assis, José Geraldo de Aquino

; Carvalho, Maria Luiza Silveira de

Acta Botanica Brasilica

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sep 2019, Volume 33 N. 3 Pages 437 - 445

Abstract: En | Text: En | PDF: En

ABSTRACT Discocactus zehntneri subsp. petr-halfari, an endangered taxon, is represented by a single population in an anthropized area of Bahia, Brazil, where it is suffering due to extreme extractivism. Thus, information about this cactus, such as its reproductive patterns, is urgently needed to support conservation strategies. A population genetics approach was used to determine if this subspecies has a preferential pattern of reproduction. We sampled 18 individuals, both with and without connection to parental plants, from five clumps and assessed their diversity and genetic structure using five ISSR markers. The results revealed two clumps that are genetically supported by the presence of genetically equal individuals. The other three groups presented individuals that are genetically different and similar to individuals in other clumps. These findings suggest that this subspecies has sexual and clonal reproduction and that its environmental distribution might be shaped by events of dispersion. In addition, a possible hybrid origin may explain its rates of genetic diversity. Despite all these factors, this taxon is in danger and so the development of conservation strategies to preserve its population are urgently needed, including in situ and ex situ actions such as the micropropagation in vitro, living collections and cryopreservation.

https://doi.org/10.1590/0102-33062018abb0393 919 downloads

14.

Thirty-day β-hydroxy-βmethylbutyrate supplementation with a controlled diet does not alter the morphological and morphometric characteristics of the rat diaphragm muscle
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BUENO, Cleuber Rodrigo de Souza

; MARTINELLI, Bruno

; BERNARDO, Gabriele Candido

; DARÉ, Leticia Rossi

; ANDREO, Jesus Carlos

; ROSA JUNIOR, Geraldo Marco

Revista de Nutrição

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2019, Volume 32 elocation e180235

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo Avaliar a influência da suplementação de β-hidroxi-β-metilbutirato sobre as características morfológicas e morfométricas do músculo diafragma de ratos e se existe diferenças entre os sexos. Métodos Estudo experimental com 48 ratos Wistar (24 de cada sexo) divididos em 3 grupos: Grupo Controle, no qual foi ofertada dieta diária com soro fisiológico; Grupo Experimental, ofertada 0,3g/kg de β-hidroxi-β-metilbutirato e mesma quantidade de alimentos do Grupo Controle consumida no dia anterior; Grupo Experimental Ad libitum com mesma dose do suplemento, porém com alimentação Ad libitum. A análise foi feita através da histomorfometria e classificação em faixas de área das fibras musculares após 30 dias do início do experimento. Os dados foram analisados pelos testes Anova one-way e Tukey (p<0,05). Resultados Não foi observado aumento da área de secção transversal das fibras do músculo diafragma com o protocolo de suplementação utilizado e no padrão histológico em ambos os sexos. Não foram observadas mudanças significativas nas faixas de tamanho de fibras musculares nos grupos suplementados, sugerindo que não houve hipertrofia das fibras musculares. Conclusão A suplementação com β-hidroxi-β-metilbutirato não provoca alterações nas características morfológicas e morfo-métricas do músculo diafragma, independente do sexo.

ABSTRACT Objective To evaluate the β-hydroxy-βmethylbutyrate supplementation influence on the morphological and morphometric characteristics of the diaphragm muscle of rats and verify whether there are sex differences. Methods Experimental study with 48 Wistar rats (24 of each sex) divided into 3 groups: Control Group: in which a daily diet with saline solution was offered; Experimental Group: the same amount of food from the Control group consumed in the previous day and 0.3g/kg of β-hydroxy-βmethylbutyrate; Ad libitum Experimental Group: ad libitum feeding with the same dose of the supplement. The analysis consisted of histomorphometry and classification in diaphragm muscle fiber area bands. The procedures occurred 30 days after the start of the experiment. Data were analyzed using the one-way ANOVA and Tukey tests (p<0.05). Results There was no increase in the cross-sectional area of the diaphragm muscle fibers with the supplementation protocol employed and a similar histological pattern in both sexes. No significant changes were observed in muscle fiber size ranges in the supplemented groups, suggesting that there was no hypertrophy of muscle fibers. Conclusion This study suggests that β-hydroxy-βmethylbutyrate supplementation does not cause changes in the morphological and morphometric characteristics of the diaphragm muscle, regardless of sex.

https://doi.org/10.1590/1678-9865201932e180235 819 downloads

15.

Environmental advantages of the reverse logistics: a case study in the batteries collection in Brazil
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Oliveira Neto, Geraldo Cardoso de

; Ruiz, Mauro Silva

; Correia, Auro Jesus Cardoso

; Mendes, Henrique Manoel Riane

Production

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2018, Volume 28 elocation e20170098

Abstract: En | Text: En | PDF: En

Abstract Paper aims Evaluate the environmental advantages of the Reverse Logistics of Portable Batteries carried out by the Brazilian Electrical and Electronics Industry Association (ABINEE). Originality The adoption of reverse logistics of batteries contributed with the minimization of environmental impact and stimulated the manufacturers of electronics in the adhesion of sector agreement as well as strengthened the players of reverse chain. Research method A case study was developed by means of interviews and documental analysis, and for data analysis, the mass balance was carried. Main findings 4,304,465 batteries were collected, representing 176,422kg of both solid and chemical wastes, which were disposed properly, reducing the environmental impact. Implications for theory and practice The theoretical contribution consists in environmental assessment by means of mass balance of the adoption of reverse logistics of batteries, and the practical contribution consists in stimulating the electronic manufacturers to develop social license among the community, government and players of reverse chain.

https://doi.org/10.1590/0103-6513.20170098 3651 downloads

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