Resumen: Este estudio tuvo como objetivo identificar y comprender las representaciones sociales de la vejez LGBTI entre adultos en una comunidad rural costera. Hubo 31 personas, en su mayoría mujeres (65%), heterosexuales (97%), católicos (97%), pescadores (42%), con una edad promedio de 48 años. Se llevaron a cabo entrevistas semiestructuradas, analizadas con el software IRaMuTeQ, versión 0.7 alpha 2, con el método de Clasificación jerárquica descendente. Se identificaron representaciones dicotómicas sobre los constructos estudiados, que muestran signos de prejuicios sutiles dirigidos a las personas mayores de LGBTI, así como una comprensión biologizante del envejecimiento. Los resultados fueron discutidos, corroborando y / o contrastando con estudios previos. Se espera que este estudio contribuya al desarrollo de investigaciones futuras y a la creación e implementación de políticas públicas dirigidas a esta población.

Abstract: This study aimed to identify and understand the social representations of LGBTI old age among adults in a coastal rural community. There were 31 people, mostly women (65%), heterosexuals (97%), Catholics (97%), fishermen (42%), with an average age of 48 years. Semi-structured interviews were carried out, analyzed using the IRaMuTeQ software, version 0.7 alpha 2, using the Descending Hierarchical Classification method. Dichotomous representations about the studied constructs were identified, which bear signs of subtle prejudice directed at LGBTI’s elderly people, as well as a biologizing understanding of aging. The results were discussed, corroborating and / or contrasting them with previous studies. It is expected that this study will contribute to the development of future research, and to the creation and implementation of public policies aimed at this population.

Resumo: Esse estudo teve como objetivo identificar e compreender as representações sociais da velhice LGBTI entre pessoas adultas de uma comunidade rural litorânea. Contou-se com a participação de 31 pessoas, majoritariamente mulheres (65%), heterossexuais (97%), católicos (97%), pescadores (42%), com idade média de 48 anos. Realizou-se entrevistas semiestruturadas, analisadas no software IRaMuTeQ, versão 0.7 alpha 2, pelo método de Classificação Hierárquica Descendente. Identificou-se representações dicotômicas acerca dos construtos estudados, que carregam indícios de preconceito sutil direcionado a idosos LGBTI’s, bem como, uma compreensão biologizante do envelhecimento. Discutiu-se os resultados, corroborando e/ou os contrapondo com estudos anteriores. É esperado que este estudo contribua para o desenvolvimento de investigações futuras, e para a criação e implementação de políticas públicas direcionadas a essa população.

Abstract Introduction: cystic fibrosis is a disease that causes inflammation, oxidative stress and metabolic changes that lead to nutrient deficiency, such as vitamin D deficiency. On the other hand, it is suggested that vitamin D has anti-inflammatory and antioxidant actions. Objective: to evaluate the prevalence of hypovitaminosis D and the association between serum 25 hydroxyvitamin D levels with markers of oxidative stress and inflammation in patients with cystic fibrosis. Method: a cross-sectional study was carried out with 48 patients with cystic fibrosis including children, adolescents and adults in the northeast region of Brazil. Blood collection was performed for analysis of 25-hydroxyvitamin D, calcium, parathyroid hormone, inflammatory process (C-reactive protein [CRP] and alpha-1-acid glycoprotein-A1 [A1GPA]) and oxidative stress (malondialdehyde (MDA) and total antioxidant capacity [CAOT]). The statistical analysis was performed using the "Statistical Package for the Social Sciences", adopting a significance level of p < 0.05. Results: vitamin D insufficiency/deficiency was found in 64.6 % of patients. After multiple linear regression analysis, MDA showed an inverse association with blood values of 25-hydroxyvitamin D (p < 0.05) conditioned by the presence of inflammatory process markers. When only oxidative stress was evaluated, this association disappeared. Conclusion: in conclusion, there was a high prevalence of hypovitaminosis D, with 25(OH)D levels associated with greater oxidative stress when combined with inflammatory markers. Improved vitamin D levels may be an alternative to reduce the damage caused by excess oxidative stress and inflammation in CF patients.

Resumen Introducción: la fibrosis quística es una enfermedad que cursa con inflamación, estrés oxidativo y cambios metabólicos que conducen a deficiencia de nutrientes como la vitamina D. Por otro lado, se sugiere que la vitamina D tiene acción antiinflamatoria y antioxidante. Objetivo: evaluar la prevalencia de hipovitaminosis D y la asociación entre los niveles séricos de 25 hidroxivitamina D con los marcadores de estrés oxidativo e inflamación en pacientes con fibrosis quística. Método: estudio transversal realizado con 48 pacientes con fibrosis quística, niños, adolescentes y adultos, de la región nordeste de Brasil. Se realizó una extracción de sangre para el análisis de 25-hidroxivitamina D, calcio, hormona paratiroidea, proceso inflamatorio (proteína C-reactiva [PCR] y alfa-1-glucoproteína ácida-A1 [A1GPA]) y estrés oxidativo (malondialdehído [MDA] y capacidad antioxidante total [CAOT]). El análisis estadístico se realizó utilizando el "Paquete Estadístico para las Ciencias Sociales", adoptando un nivel de significancia de p < 0,05. Resultados: se encontró insuficiencia/deficiencia de vitamina D en el 64,6 % de los pacientes. Después de un análisis de regresión lineal múltiple, la MDA mostró una asociación inversa con los valores sanguíneos de 25-hidroxivitamina D (p < 0,05) condicionado a la presencia de marcadores de proceso inflamatorio; cuando solo se evalúa el estrés oxidativo, esta asociación desaparece. Conclusión: en conclusión, hubo una alta prevalencia de hipovitaminosis D, con niveles de 25(OH)D asociados a mayor estrés oxidativo cuando se combina con marcadores inflamatorios. La mejora de los niveles de vitamina D puede ser una alternativa para reducir el daño causado por el exceso de estrés oxidativo y la inflamación en pacientes con FQ.

ABSTRACT Objective: This study aimed to assess the agreement between the total energy expenditure (TEE) estimated by the activPAL® triaxial accelerometers (ACC) and the TEE measured by the doubly labeled water method (DLW), as well as to assess if these values differ between the classifications of body mass index (BMI). Materials and methods: This is a cross-sectional study. Low-income adult women (19-45y) with BMI ≥ 18.5 kg/m2 were included. Accelerometry data (activPAL®) were collected over 7 consecutive days, which were used to calculate TEE-ACC and compared with DLW data. The Bland-Altman method, concordance correlation coefficient and root mean square error were used to assess agreement between methods. Results: The sample consisted of 55 women with a mean age of 31 ± 5 years. The agreement between TEE-ACC and TEE-DLW showed a bias of -142.5 kcal (-7.1%). Among the BMI classifications, participants with normal weight show a bias of -417.1 kcal (-21.0%), participants with overweight, -87.5 kcal (-3.9%) and participants with obesity, 97.5 kcal (4.3%). Furthermore, the bias between the methods showed a significant and positive correlation with the body weight (r = 0.49; p < 0.01). Conclusion: The TEE-ACC estimates from activPAL® were reasonably accurate when compared to the TEE-DLW, especially in women with overweight and obesity, being much less accurate in individuals with normal weight.

Abstract Objective To determine the association between nutritional status according to different cutoff points for body mass index (BMI) and the occurrence of noncommunicable chronic diseases (NCD) in older people. Methods A cross-sectional study of 365 older people was conducted using a questionnaire collecting information on health variables, body weight and height measurements. The association between classification of nutritional status using BMI and occurrence of NCD was estimated by the Odds Ratio (OR) and 95% Confidence Intervals (95%CI). Results As measured by the different BMI classification criteria, nutritional status varied: for normal weight (24.9-32.3%), excess weight (57.3-73.2%) and for underweight (1.9-15.3%). According to the Lipschitz classification, underweight was associated with lower occurrence of osteoarticular diseases (OR=0.38; 95%CI: 0.15-0.93) and cardiometabolic diseases (OR=0.42; 95%CI: 0.19- 0.94); while overweight was associated with higher occurrence of cardiometabolic diseases (OR=2.26; 95%CI: 1.30-3.93). According to the World Health Organization criteria, underweight was associated with lower occurrence of cardiometabolic diseases (OR=0.09; 95%CI: 0.01-0.61), overweight with lower occurrence of neuropsychological diseases (OR=0. 47; 95%CI: 0.26-0.87), while obese status was associated with higher occurrence of osteoarticular (OR=1.95; 95%CI: 1.08-3.52) and cardiometabolic (OR=3.02; 95%CI: 1.54-5.93) diseases. According to the Pan American Health Organization criteria, underweight was associated with lower occurrence of cardiometabolic diseases (OR=0.45; 95%CI: 0.22-0.91) and obese status with higher occurrence of osteoarticular (OR=1, 91; 95%CI: 1.16-3.15), cardiometabolic (OR=2.58; 95%CI: 1.36-4.85) and respiratory (OR=1.96; 95%CI: 1.16-3.16) diseases. Conclusion The classification criteria for BMI were negatively (underweight) and positively (excess weight) associated with the occurrence of NCD, exhibiting a stronger association when the overweight classification was differentiated from the obese classification.

Resumo Objetivo Verificar a associação entre estado nutricional segundo diferentes pontos de corte para índice de massa corporal (IMC) e ocorrência de doenças crônicas não transmissíveis (DCNT) em idosos. Métodos Estudo transversal, realizado com 365 idosos de ambos os sexos, utilizando-se um questionário contendo variáveis sobre saúde e medidas de peso e estatura. A associação entre classificação do estado nutricional pelo IMC e ocorrência de DCNT foi estimada pelo Odds Ratio (OR) e Intervalos de 95% de Confiança (IC95%). Resultados A partir dos critérios de classificação do IMC, o estado nutricional variou entre: adequado (24,9%-32,3%), excesso de peso (57,3%-73,2%) e baixo peso (1,9%-15,3%). Segundo a classificação do estado nutricional por Lipschitz, o baixo peso se associou à menor ocorrência de doenças osteoarticulares (OR=0,38; IC95%:0,15-0,93) e cardiometabólicas (OR=0,42; IC95%:0,19-0,94); o sobrepeso se associou à maior ocorrência de doenças cardiometabólicas (OR=2,26; IC95%:1,30-3,93). Segundo critérios da Organização Mundial de Saúde, o baixo peso se associou à menor ocorrência de doenças cardiometabólicas (OR=0,09; IC95%:0,01-0,61), sobrepeso à menor ocorrência de doenças neuropsicológicas (OR=0,47; IC95%:0,26-0,87), obesidade à maior ocorrência de doenças osteoarticulares (OR=1,95; IC95%:1,08-3,52) e cardiometabólicas (OR=3,02; IC95%: 1,54-5,93). Pelos critérios da Organização Pan-Americana da Saúde, o baixo peso se associou à menor ocorrência de doenças cardiometabólicas (OR=0,45; IC95%:0,22-0,91), obesidade à maior ocorrência de doenças osteoarticulares (OR=1,91; IC95%:1,16-3,15), cardiometabólicas (OR=2,58; IC95%:1,36-4,85) e respiratórias (OR=1,96; IC95%:1,16-3,16). Conclusão Os critérios de classificação do IMC associaram-se negativamente (baixo peso) e positivamente (excesso de peso) à ocorrência de DCNT, verificando-se maior força na associação quando se diferenciou sobrepeso de obesidade.

Abstract Objective To investigate whether the risk of sarcopenia in older adults diagnosed with covid-19 is associated with the need for intensive care, mechanical ventilation, and mortality. Method A multicenter cohort study was conducted, including older adults (≥65 years) with laboratory-confirmed covid-19 diagnosis. Data related to sociodemographic, clinical, and nutritional characteristics were collected. The risk of sarcopenia was assessed using the Sarcopenia Risk Screening questionnaire. Outcome variables included the need for intensive care, mechanical ventilation, and mortality. Logistic regressions were performed to assess the association between clinical outcomes and the risk of sarcopenia, adjusting for the following variables: age, gender, family income, physical activity, hypertension, diabetes, cardiovascular disease, chronic obstructive pulmonary disease, and body mass index. Results The study included 264 older adults with covid-19, with an average age of 71.7 (±8.2) years. One hundred and forty-eight older adults (56.1%) were at risk of sarcopenia. Hypertension, diabetes, and cardiovascular disease were the most common comorbidities identified in older adults, at 75.4%, 45.5%, and 28.4%, respectively. The presence of sarcopenia risk in hospitalized older adults with covid-19 increased the odds of ICU admission by more than 2-fold (OR: 2.71 [1.57; 4.68], p<0.001), nearly 5-fold for mechanical ventilation (OR: 5.19 [2.75; 9.78], p<0.001), and over 3-fold for mortality (OR: 4.05 [2.05; 7.98], p<0.001). Conclusion In hospitalized older adults with covid-19, pre-existing risk of sarcopenia was a predictor of unfavorable clinical outcomes.

Resumo Objetivo Verificar se o risco de sarcopenia em pessoas idosas diagnosticadas com covid-19 associa-se com demanda por cuidados intensivos, ventilação mecânica e óbito. Método Estudo multicêntrico do tipo coorte, que incluiu pessoas idosas (≥65 anos) com diagnóstico laboratorial confirmado de covid-19. Foram coletados dados relacionados às características sociodemográficas, clínicas e nutricionais. O risco de sarcopenia foi avaliado pelo questionário Sarcopenia Risk Screening. As variáveis de desfecho foram: necessidade de terapia intensiva, ventilação mecânica e óbito. Foram realizadas regressões logísticas para verificar a associação dos desfechos clínicos e o risco de sarcopenia, com as seguintes variáveis de ajuste: idade, sexo, renda familiar, atividade física, hipertensão, diabetes, doença cardiovascular doença pulmonar obstrutiva crônica e índice de massa corporal. Resultados Foram incluídas no estudo 264 pessoas idosas com covid-19, com média de idade de 71,7 (±8,2) anos. Cento e quarenta e oito pessoas idosas (56,1%) tinham risco de sarcopenia. Hipertensão, diabetes e doença cardiovascular foram as principais comorbidades identificadas nas pessoas idosas, respectivamente, 75,4%, 45,5% e 28,4%. O risco de sarcopenia nas pessoas idosas hospitalizadas com covid-19 aumentou em mais de 2 vezes as chances de internamento na UTI (OR: 2,71 [1,57;4,68], p<0,001), em cerca de 5 vezes as chances de ventilação mecânica (OR: 5,19 [2,75;9,78], p<0,001) e em mais de 3 vezes as chances de óbito (OR: 4,05 [2,05;7,98], p<0,001). Conclusão Em pessoas idosas hospitalizadas com covid-19, a pré-existência do risco de sarcopenia foi preditor de desfechos clínicos desfavoráveis.

Abstract Background Telemedicine allows Parkinson disease (PD) patients to overcome physical barriers to access health care services and increases accessibility for people with mobility impairments. Objective To investigate the feasibility indicators of a telehealth intervention for PD patients, including patient recruitment, attendance, technical issues, satisfaction, and benefits on levels of physical activity and sleep. Methods We conducted a single-center, single-arm study of telehealth video consultations using WhatsApp (Meta Platforms, Inc., Menlo Park, CA, USA). Also, we collected the feasibility indicators as the primary endpoints. All the patients in the study were previously evaluated in person by the same team. Results Patient recruitment, attendance, and technical issues rates were 61.3%, 90.5%, and 13.3%, respectively, with good scores of patient acceptance and satisfaction with the study intervention. The telehealth intervention improved physical activity, including the number of walks for at least 10 continuous minutes (p = 0.009) and the number of moderate-intensity activities lasting at least 10 continuous minutes (p = 0.001). The Pittsburgh sleep quality index (PSQI) scores also improved for one of its components: perceived sleep duration (p < 0.001) and for total Pittsburgh score (p < 0,001). The average travel time saving was 289.6 minutes, and money-saving was R$106.67 (around USD 18; almost 10% of the current minimum wage in Brazil). Conclusions Direct-to-patient telehealth video consultations proved to be feasible and effective and had a positive impact on physical activity levels and sleep in PD patients.

Resumo Antecedentes A telemedicina permite que pacientes com doença de Parkinson (DP) superem barreiras físicas para acessar serviços de saúde e aumenta a acessibilidade para pessoas com mobilidade reduzida. Objetivo Investigar indicadores de viabilidade de uma intervenção em telessaúde para pacientes com DP, incluindo recrutamento, atendimento, aderência, problemas técnicos, satisfação e benefícios nos níveis de atividade física e sono. Métodos Foi conduzido um estudo de centro e braço únicos baseado em consultas por telessaúde com utilização do WhatsApp (Meta Platforms, Inc., Menlo Park, CA, EUA). Foram calculados indicadores de viabilidade como desfechos primários. Resultados As taxas de recrutamento, atendimento e problemas técnicos foram 61,3%, 90,5% e 13,3%, respectivamente, com bons escores de aceitação e satisfação com a intervenção. A intervenção melhorou os níveis de atividade física, incluindo o número de passos por pelo menos 10 minutos contínuos (p = 0,009) e o número de atividades intensas e moderadas com duração de pelo menos 10 minutos contínuos (p = 0,001). O Índice de Qualidade do Sono de Pittsburgh melhorou nos seguintes componentes: duração percebida do sono (p < 0,001) e escore total (p < 0,001). A média do tempo de viagem médio poupado foi de 289,6 minutos, e a economia financeira foi de R$ 106,67 reais (por volta de USD 18; quase 10% do salário mínimo atual do Brasil). Conclusões As consultas por vídeo provaram ser viáveis e efetivas, com impacto positivo nos níveis de atividade física e sono de pacientes com DP.

ABSTRACT The use of agroindustrial byproducts in cattle diets, such as castor-bean (Ricinus communis L.) meal, is a more sustainable practice because it does not compete with human food and reduces the volume of organic waste deposited in the environment. The aim of this study was to examine the effect of replacing soybean (Glycine max (L.) Merr.) meal with castor-bean meal on the intake, digestibility, feeding behavior and performance of crossbred steers supplemented while on Urochloa brizantha (Hochst. ex A. Rich.) R.D. Webster ‘Marandu’ pasture. The experiment was laid out in a randomized complete design with 40 animals, which started the experiment weighing 227.1 kg, at 10 mo of age, and were divided into four treatment groups. Castor-bean meal was added to replace soybean meal at the levels of 0, 90, 180, and 280 g kg-1 in the supplement, which was supplied at the rate of 0.4% of body weight. Total DM, pasture DM and neutral detergent fiber intakes did not change (P > 0.05) with the castor-bean levels added to the supplement. Ether extract intake and digestibility decreased linearly (P < 0.05). The animals showed no differences (P > 0.05) in production performance (average daily gain), which averaged 0.65 kg d-1. Grazing, idle, and rumination times were not influenced (P > 0.05) by the treatments. Castor-bean meal can be included up to 280 g kg-1 in the total diet without changing the performance of crossbred steers finished on tropical pasture.

Resumen Antecedentes: el número de personas mayores en el mundo está creciendo significativamente, por lo que urge la necesidad de asegurar que esta población pueda vivir una vida plena, especialmente, teniendo en cuenta el actual escenario pandémico de COVID-19. Objetivo: analizar las representaciones sociales de la vejez LGBT para los trabajadores del sexo masculino y femenino frente a la pandemia. Método: se trata de una investigación cualitativa, descriptiva y exploratoria. Participaron 10 hombres y 10 mujeres, de entre 18 y 48 años, todos profesionales del sexo. Se utilizaron cuestionarios sociodemográficos y entrevistas semiestructuradas, realizadas mediante Google Forms y posteriormente analizadas mediante el método de Clasificación Jerárquica Descendente, en el software IRaMuTeQ. Resultados: los análisis presentaron tres clases: (1) la comprensión social del tema de la vejez LGBT, (2) los estigmas sobre los géneros y las orientaciones sexuales y (3) los cambios físicos y los obstáculos que vienen con ellos. Conclusiones: las representaciones están asociadas a las dificultades que tienen las personas mayores para envejecer en sociedad, así como para debatir sobre la vejez LGBT. También existen obstáculos aún mayores para el envejecimiento de las mujeres profesionales del sexo. Así, el estudio anhela contribuir a la ampliación del conocimiento de los aspectos psicosociales de la vejez LGBT, en especial de los profesionales del sexo.

Abstract Background: The number of elderly people in the world is growing significantly, so there is an urgent need to ensure that this population can live a full life, especially taking into account the current COVID-19 pandemic scenario. Objective: To analyze the social representations of LGBT old age for male and female sex workers through the pandemic. Method: A qualitative, descriptive, and exploratory research conducted with 10 male and 10 female sex workers aged between 18 and 48. Sociodemographic questionnaires and semi-structured interviews were administered using Google Forms and then analyzed by descending hierarchical classification through the IRaMuTeQ software. Results: The analysis showed three classes: (1) «Social understanding of the topic LGBT old age,» (2) «Stigma of genders and sexual orientations,» and (3) «Physical transformations and their accompanying obstacles». Conclusions: The representations are associated with the difficulties that elderly people have with aging in society, as well as debating LGBT old age. There are also greater obstacles regarding aging of female sex workers. In this way, the study seeks to contribute to broaden the knowledge of the psychosocial aspects of LGBT aging and old age, especially those of sex workers.

RESUMO Objetivo Esta revisão de escopo teve como objetivo mapear evidências sobre a suplementação com açaí combinada com exercícios físicos em estudos experimentais em animais e / ou humanos. Métodos A busca considerou seis bases de dados eletrônicas além da triagem de referências relevantes. O processo de seleção e extração de dados foi realizado por dois autores independentes. As características do estudo, estratégias de suplementação de açaí (forma, tempo de intervenção, e quantidade ingerida) e exercícios (tipos, intensidade e duração), seus resultados foram resumidos. Resultados Um total de 342 estudos foram inicialmente alcançados e somente 11 foram elegíveis (5 com animais e 6 com humanos). Em animais, a suplementação de açaí e os exercícios indicaram benefícios na tolerância ao exercício e melhorias em vários parâmetros hemodinâmicos, bem como melhorias significativas nos marcadores hepáticos e no metabolismo da glicose. Em humanos, a suplementação de açaí indicou resultados positivos no aumento do tempo de exaustão para 90% do VO2máx e no aumento da intensidade correspondente ao limiar anaeróbio. Conclusão Concluiu-se que pesquisas futuras envolvendo animais e humanos devem examinar a suplementação de açaí e exercícios com (a) modelos de obesidade para testar o efeito da adiponectina na composição corporal por meio de parâmetros histológicos e histoquímicos (b) protocolos de dano muscular excêntrico com incorporação de variáveis de qualidade muscular para avaliação da recuperação; (c) suplementação crônica de açaí e treinamento de força; (d) comparação das diferentes formas de suplementação de açaí em protocolos de exercícios.

ABSTRACT Objective This scoping review aimed to map evidence on açai supplementation combined with exercise in animal and/or human experimental studies. Methods The search considered six electronic databases and screening of relevant references. The selection process and data extraction were performed by two independent authors. The study characteristics, and AS (e.g., form, intervention time, amount ingested) and exercise (e.g., types, intensity, and duration) strategies were summarized, as well as their reported results. Results From an initial total of 342 studies identified; 11 (5 with animal and 6 with human models) were eligible. In animals, açai supplementation and exercise led to benefits in exercise tolerance and improvements in several hemodynamic parameters, as well as significant improvements in liver markers and glucose metabolism. In humans, açai supplementation indicated positive results in increasing exhaustion time to 90% of VO2max and increasing intensity at the anaerobic threshold. Conclusion We conclude that future research involving animals and humans should examine açai supplementation and exercise with (a) obesity models to test the effect of adiponectin on body composition with analysis of histological and histochemical parameters; (b) eccentric injury protocols with the incorporation of muscle quality variables to assess recovery; (c) chronic açai supplementation and strength training; (d) comparison of different forms of açai supplementation in exercise protocols.

Abstract The study aimed to analyze the international literature on people management in tourism between the years 2016 to 2020. For this, an exploratory and descriptive research was developed based on a literature review of relevant articles published in the database of Web of Science. The research resulted in a total of 236 publications that were analyzed, treated and categorized through frequency analysis, bibliometric analysis and content analysis. As a result, it was found that studies on people management in tourism are varied, with a multiplicity of themes, authors, journals and countries that host the publications. Eleven thematic categories were identified, which permeated the different characteristics that encompass the intersection of these fields of studies. The most explored topic was Sustainable Human Resources Management, while Human Resources Management and Information Technology was the topic that showed the least signs of saturation. Finally, the study demonstrates the plurality of themes, concepts and ideas that permeate the field of people management applied to tourism, suggesting new directions and paths for future research.

Resumen El estudio tuvo como objetivo analizar la literatura internacional sobre la gestión de personas en el turismo entre los años 2016 a 2020. Para ello, se desarrolló una investigación exploratoria y descriptiva a partir de una revisión bibliográfica de artículos relevantes publicados en la base de datos Web of Science. La investigación dio como resultado un total de 236 publicaciones que se analizaron, trataron y clasificaron mediante el análisis de frecuencia, el análisis bibliométrico y el análisis de contenido. Los resultados muestran que los estudios sobre la gestión de personas en el turismo son variados, con una multiplicidad de temas, autores, periódicos y países sede de las publicaciones. Se identificaron once categorías temáticas, que impregnaron las diferentes características que engloban la intersección de estos campos de estudio. El tema más explorado fue la gestión sostenible de los recursos humanos, mientras que la Gestión de Recursos Humanos y Tecnología de la Información fue el tema que mostró menos signos de saturación. Por último, el estudio demuestra la pluralidad de temas, conceptos e ideas que permean entre el campo de la gestión de personas aplicada al turismo, sugiriendo nuevas direcciones y caminos para futuras investigaciones.

Resumo O estudo teve como objetivo analisar a literatura internacional sobre gestão de pessoas no turismo entre os anos de 2016 e 2020. Para isso, desenvolveu-se uma pesquisa exploratória e descritiva a partir de uma revisão de literatura de artigos publicados na base de dados Web of Science. A pesquisa resultou em um total de 236 publicações que foram analisadas, tratadas e categorizadas por meio de análise bibliométrica e análise de conteúdo. Como resultados, constatou-se que os estudos sobre gestão de pessoas no turismo são variados, com uma multiplicidade de temas, autores, periódicos e países sede das publicações. Onze categorias temáticas foram identificadas, que permearam as diferentes características que abarcam a interseção desses campos de estudos. O tema mais explorado foi a Gestão Sustentável de Recursos Humanos, enquanto que a Gestão de Recursos Humanos e Tecnologia da Informação foi o tema que menos apresentou sinais de saturação. Por fim, o estudo demonstra a pluralidade de temas, conceitos e ideias que perpassam o campo de gestão de pessoas aplicado ao turismo, sugerindo novos direcionamentos e caminhos para pesquisas futuras.

Resumo Trata-se de um estudo ecológico que objetivou analisar a tendência do estado nutricional de gestantes adolescentes beneficiárias do programa brasileiro de transferência condicionada de renda, Bolsa Família, no período 2008-2018. Foram avaliados dados secundários de gestantes adolescentes beneficiárias do Programa Bolsa Família no período de janeiro de 2008 a dezembro de 2018, extraídos dos relatórios públicos do Sistema de Vigilância Alimentar e Nutricional WEB. Foram consultados os relatórios de acompanhamento das condicionalidades de saúde consolidados de acesso público do Programa Bolsa Família, sempre considerando a 2ª vigência. Observou-se uma variação anual de -1,2% (IC95%: [-1,6; -0,8] p<0,01) na prevalência de baixo peso na amostra estudada. Com relação as prevalências de sobrepeso e obesidade no país, observou-se variações anuais de 2,9% (IC95%: [2,0; 3,7] p<0,01) e 7,5% (IC95%: [5,7; 9,3] p<0,01), respectivamente. Conclui-se que, no período avaliado, a prevalência de baixo peso entre as gestantes adolescentes beneficiárias do Programa Bolsa Família apresentou uma tendência decrescente, ao passo que as prevalências de sobrepeso e obesidade apresentam uma tendência crescente em todo o Brasil.

Abstract This ecological study aimed to analyze the trend of the nutritional status of pregnant adolescent beneficiaries of the Brazilian Bolsa Família conditional cash transfer program in the 2008-2018 period. We evaluated secondary data of pregnant adolescent beneficiaries of the Bolsa Família Program from January 2008 to December 2018, extracted from the public reports of the WEB Food and Nutrition Surveillance System. We accessed the monitoring reports on the consolidated public-access health conditionalities of the Bolsa Família Program, always considering the second validity. An annual variation of -1.2% (95%CI: [-1.6; -0.8] p<0.01) was observed in the prevalence of underweight in Brazil in the studied sample. The prevalence of overweight and obesity in the country had annual variations of 2.9% (95%CI: [2.0; 3.7] p<0.01) and 7.5% (95%CI: [5.7; 9.3] p<0.01), respectively. We conclude by saying, that, in the evaluated period, the prevalence of underweight among pregnant adolescent beneficiaries of the Bolsa Família Program showed a decreasing trend, while the prevalence of overweight and obesity increased throughout Brazil.

Abstract Background Resistant hypertension (RH) is manifested by the presence of blood pressure values resistant to antihypertensive therapy. RH is highly prevalent among black individuals, increasing cardiovascular risk in this population and requiring effective control of this comorbidity. Objectives To investigate the medication profile and therapeutic adherence in black people with apparent RH. Methods This is a cross-sectional study, with a convenience sample of individuals with apparent RH. Data were obtained from medical records. Therapeutic adherence was assessed using the Morisky Therapeutic Adherence Scale of 8 items (MMAS-8) and statistical analysis was performed using the SPSS, version 23. Significance was set at p <0.05. Results Of the 120 individuals, 90 (75%) were women and 72 (60%) were black. Mean SBP was 153.09 (SD 25.59) mm Hg and mean DBP, 90.82 (SD 16.91) mm Hg, with a statistical difference in relation to the target pressure for SBP. Regarding the medication profile, 79.2% of the individuals used the recommended regimen for RH (ACEI / ARB + Diuretic + CCB), with the fourth most used drug being beta-blockers. The average score in MMAS-8 was 6.62 (SD 1.38) points, with 19.2%, 50.0%, and 30.8% showing low, medium, and high adherence, respectively. Conclusions It was evidenced that two-thirds of the individuals did not have high therapeutic adherence and not all used the ideal regimen for the management of RH, nor full doses. Thus, most individuals were probably affected by pseudoresistance, which was initially diagnosed as apparent RH. (Int J Cardiovasc Sci. 2021; [online].ahead print, PP.0-0)

Abstract Background Cardiac surgery causes pathophysiological changes that favor the occurrence of pulmonary and functional complications. Objective To investigate the effects of inspiratory muscle training (IMT) with an electronic device on patients undergoing cardiac surgery. Methods A randomized controlled trial was conducted with 30 adult patients undergoing elective cardiac surgery. A control group (CG) received conventional physical therapy care, and an intervention group (IG) received IMT using the POWERbreathe K5® electronic device. Two daily sessions of physical therapy were performed at the intensive care unit and one daily session at the ward until the sixth postoperative day. The following variables were measured preoperatively and on the sixth postoperative day, in both groups: inspiratory muscle strength, dynamic inspiratory muscle strength, and peak inspiratory flow. Data distribution was evaluated by the Shapiro-Wilk test. Analysis of variance was used, and the results were considered statistically significant when p < 0.05. Results Maximal inspiratory pressure (71.7 ± 17.1 cmH2O vs 63.3 ± 21.3 cmH2O; p = 0.11], S-index (52.61 ± 18.61 vs 51.08 ± 20.71), and peak inspiratory flow [(2.94 ± 1.09 vs 2.79 ± 1.26)] were maintained in the IG but had a significant reduction in the CG. Conclusion IMT performed with an electronic device was effective at maintaining inspiratory muscle strength, dynamic inspiratory muscle strength, and peak inspiratory flow when compared to conventional physical therapy. Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0

Resumo Trata-se de um estudo ecológico que objetivou analisar a tendência do estado nutricional de gestantes adolescentes beneficiárias do programa brasileiro de transferência condicionada de renda, Bolsa Família, no período 2008-2018. Foram avaliados dados secundários de gestantes adolescentes beneficiárias do Programa Bolsa Família no período de janeiro de 2008 a dezembro de 2018, extraídos dos relatórios públicos do Sistema de Vigilância Alimentar e Nutricional WEB. Foram consultados os relatórios de acompanhamento das condicionalidades de saúde consolidados de acesso público do Programa Bolsa Família, sempre considerando a 2ª vigência. Observou-se uma variação anual de -1,2% (IC95%: [-1,6; -0,8] p<0,01) na prevalência de baixo peso na amostra estudada. Com relação as prevalências de sobrepeso e obesidade no país, observou-se variações anuais de 2,9% (IC95%: [2,0; 3,7] p<0,01) e 7,5% (IC95%: [5,7; 9,3] p<0,01), respectivamente. Conclui-se que, no período avaliado, a prevalência de baixo peso entre as gestantes adolescentes beneficiárias do Programa Bolsa Família apresentou uma tendência decrescente, ao passo que as prevalências de sobrepeso e obesidade apresentam uma tendência crescente em todo o Brasil.

Abstract This ecological study aimed to analyze the trend of the nutritional status of pregnant adolescent beneficiaries of the Brazilian Bolsa Família conditional cash transfer program in the 2008-2018 period. We evaluated secondary data of pregnant adolescent beneficiaries of the Bolsa Família Program from January 2008 to December 2018, extracted from the public reports of the WEB Food and Nutrition Surveillance System. We accessed the monitoring reports on the consolidated public-access health conditionalities of the Bolsa Família Program, always considering the second validity. An annual variation of -1.2% (95%CI: [-1.6; -0.8] p<0.01) was observed in the prevalence of underweight in Brazil in the studied sample. The prevalence of overweight and obesity in the country had annual variations of 2.9% (95%CI: [2.0; 3.7] p<0.01) and 7.5% (95%CI: [5.7; 9.3] p<0.01), respectively. We conclude by saying, that, in the evaluated period, the prevalence of underweight among pregnant adolescent beneficiaries of the Bolsa Família Program showed a decreasing trend, while the prevalence of overweight and obesity increased throughout Brazil.

Abstract Ischemia-reperfusion (I/R) plays an important role in the process of acute kidney injury (AKI) due to the generation of reactive oxygen species (ROS). Substances of natural origin have been studied in the prevention of oxidative damage related to I/R. Quercetin is a flavonoid with antioxidant potential and modulate enzymes, such the inhibition of the Rennin-Angiotensin System (RAS). The aim of this study is to evaluate the nephroprotective effect of quercetin against the I/R and analyze the inhibition of RAS. Rhesus monkey Kidney Epithelial Cells (LLC-MK2 line) were submitted to an in vitro ischemia/reperfusion model. After the reperfusion cells were treated with quercetin, the cell viability was accessed by the MTT (3-(4,5-Dimethylthiazol-2-yl)-2,5-Diphenyltetrazolium Bromide) assay. Tubular cell damage was assessed by the Kidney Injury Molecule-1 (KIM-1) measurement. Oxidative stress was evaluated through Thiobarbituric Acid Reactive Substances (TBARS) and reduced glutathione (GSH). The evaluation of cell death and the mitochondrial depolarization were analyzed by flow cytometry. Quercetin prevents cell death reducing oxidative stress and preventing mitochondrial membrane depolarization. Molecular docking showed that quercetin prevents cell damage better than losartan and lisinopril, inhibitors of RAS. Quercetin has a potential to interact with type 1 angiotensin II receptor (AT1) with greater affinity through the formation of five hydrogen bonds of strong intensity.