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ABSTRACT Background: Women living with human immunodeficiency virus (HIV) (WLWH) are more likely to be infected with the oncogenic human papillomavirus (HPV). We assessed the prevalence of high-risk (HR) (16/18/31/33/35/39/45/51/52/56/58/59/68/73/82), probable high-risk (pHR) (26/53/66), and low-risk (LR) (6/11/40/42/43/44/54/61/70) HPV types and their associated risk factors. Methods: This cross-sectional study of WLWH aged 18-64 years included one laboratory and eight HIV-specialty healthcare facilities in the pilot network. Descriptive statistics were used to assess sociodemographic and behavioral characteristics. Adjusted analyses were conducted to evaluate risk factors associated with HR and/or pHR HPV infection in WLWH. Results: From May/2021 to May/2022, 1,914 (92.5%) WLWH participated in the pilot study and had valid HPV-DNA results of self-collected vaginal samples. The median age of the participants was 45 years, 60.1% had ≥ 9 years of schooling, 80.5% were ≤ 18 years at first sexual intercourse, and 51.7% had > 4 sexual partners throughout life. The prevalence of any HPV type, HR HPV, pHR HPV, and LR HPV was 65.8%, 49.6%, 16.7%, and 40.0%, respectively. Age was inversely associated with pHR and/or HR-HPV (p < 0.001), and education level was inversely associated with HR-HPV (p = 0.003) types. Any HR or pHR was associated with being single (p = 0.029) and exchanging sex for drugs (p = 0.037). Conclusions: The prevalence of HPV, especially HR HPV, among WLWH is high in Brazil, highlighting the need for HPV screening in this population. Self-collection of vaginal samples is an important strategy for increasing testing access.

https://doi.org/10.1590/0037-8682-0277-2023

Histological and Immunohistochemical Characteristics for Hereditary Breast Cancer Risk in a Cohort of Brazilian Women
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Freitas, Renata Mendes de

; Guerra, Maximiliano Ribeiro

; Fayer, Vívian Assis

; Campos, Angélica Atala Lombelo

; Cintra, Jane Rocha Duarte

; Warren, Joan

; Ervilha, Rafaela Russi

; Paula, Camila Damasceno de

; Bustamante-Teixeira, Maria Teresa

Revista Brasileira de Ginecologia e Obstetrícia

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aug 2022, Volume 44 N. 8 Pages 761 - 770

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

Resumo Objetivo O presente estudo buscou caracterizar o perfil clínico, histológico e imunohistoquímico de mulheres com câncer de mama invasivo segundo o risco para a Síndrome de Predisposição Hereditária ao Câncer de Mama e Ovário em uma população brasileira. Métodos Trata-se de um estudo retrospectivo realizado a partir de uma coorte hospitalar composta por 522 mulheres diagnosticadas com câncer de mama entre 2014 e 2016 assistidas em um centro de referência oncológica localizado na região sudeste brasileira. Resultados Entre as 430 mulheres diagnosticadas com câncer de mama invasivo que compuseram a população de estudo, 127 (29,5%) foram classificadas como de risco aumentado para a síndrome de predisposição hereditária ao câncer de mama e ovário. Verificou-se menor nível de escolaridade nas pacientes com risco aumentado (34,6%) quando comparadas àquelas consideradas como de risco habitual (46,0%). Quanto às características do tumor, as mulheres de risco aumentado apresentaram maiores percentuais de doença diagnosticada em estádio avançado (32,3%) e com tumores > 2cm (63,0%), com prevalência aumentada para ambas as características, quando comparadas àquelas de risco habitual. Ainda nas mulheres de risco aumentado, foram encontrados maiores percentuais de GH3 (43,3%) e Ki-67 ≥ 25% (64,6%), com prevalência cerca de duas vezes maior neste grupo. A presença de tumores triplo-negativos foi observada em 25,2% nas mulheres de risco aumentado e 6,0% nas mulheres de risco habitual, com prevalência de ausência de biomarcadores 2,5 vezes maior entre as mulheres do grupo de risco aumentado. Conclusão A partir dos critérios clínicos rotineiramente utilizados no diagnóstico do câncer de mama, a prática assistencial do aconselhamento genético para as pacientes com risco aumentado de câncer de mama hereditário em contextos como o do Brasil ainda é escarça.

Abstract Objective The study aimed to characterize the clinical, histological, and immunohistochemical profile of women with invasive breast cancer, according to the risk for Hereditary Predisposition Breast and Ovarian Cancer Syndrome in a Brazilian population. Methods This is a retrospective study performed from a hospital-based cohort of 522 women, diagnosed with breast cancer treated at an oncology referral center in the Southeast region of Brazil, between 2014 and 2016. Results Among the 430 women diagnosed with invasive breast cancer who composed the study population, 127 (29.5%) were classified as at increased risk for hereditary predisposition to breast and ovarian cancer syndrome. There was a lower level of education in patients at increased risk (34.6%) when compared with those at usual risk (46.0%). Regarding tumor characteristics, women at increased risk had higher percentages of the disease diagnosed at an advanced stage (32.3%), and with tumors > 2cm (63.0%), with increased prevalence for both characteristics, when compared with those at usual risk. Furthermore, we found higher percentages of HG3 (43.3%) and Ki-67 ≥ 25% (64.6%) in women at increased risk, with prevalence being about twice as high in this group. The presence of triple-negative tumors was observed as 25.2% in women at increased risk and 6.0% in women at usual risk, with the prevalence of absence of biomarkers being 2.5 times higher among women in the increased risk group. Conclusion From the clinical criteria routinely used in the diagnosis of breast cancer, the care practice of genetic counseling for patients at increased risk of hereditary breast cancer in contexts such as Brazil is still scarce.

https://doi.org/10.1055/s-0042-1743103

Sintomas psicopatológicos e situação laboral da enfermagem do Sudeste brasileiro no contexto da COVID-19
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Alves, Jheynny Sousa

; Gonçalves, Angelica Martins de Souza

; Bittencourt, Marina Nolli

; Alves, Verônica de Medeiros

; Mendes, Darcio Tadeu

; Nóbrega, Maria do Perpétuo Socorro de Sousa

Revista Latino-Americana de Enfermagem

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2022, Volume 30 elocation e3518

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

Resumo Objetivo avaliar a relação entre sintomas psicopatológicos e a situação laboral de profissionais de enfermagem da Região Sudeste do Brasil, no contexto da pandemia da COVID-19. Método estudo observacional e transversal com coleta de dados virtual e por meio de snowball nos meses de abril a julho de 2020. Aplicou-se um questionário contendo dados sociodemográficos, laborais e a escala de avaliação de sintomas psicopatológicos (psicoticismo, obsessividade/compulsividade, somatização e ansiedade). Foram utilizadas estatísticas descritivas e inferenciais para a análise dos dados. Resultados entre os 532 participantes, verificou-se relação entre carga horária de trabalho semanal e psicoticismo. Todos os domínios da escala associaram-se ao constrangimento e/ou violência no percurso de trabalho e recebimento de suporte psicológico/emocional da instituição onde o indivíduo trabalha/estuda. Conclusão a faixa etária, carga horária elevada, violência vivenciada e falta de suporte psicológico durante a pandemia associaram-se com o aumento dos sintomas psicopatológicos entre os profissionais de enfermagem. Sugere-se a criação de diretrizes institucionais voltadas ao acolhimento e acompanhamento dessas demandas.

Abstract Objective to evaluate the relationship between psychopathological symptoms and the work situation of nursing professionals in the Southeast Region, Brazil, in the context of the COVID-19 pandemic. Method an observational and cross-sectional study with virtual and snowball data collection from April to July 2020. A questionnaire containing socio-demographic and labor data and the psychopathological symptoms assessment scale (psychoticism, obsessiveness/compulsivity, somatization, and anxiety) were applied. Descriptive and inferential statistics were used to analyze the data. Results among the 532 participants, there was a relationship between weekly workload and psychoticism. All domains of the scale were associated with embarrassment and/or violence in the course of work and receiving psychological/emotional support from the institution where the individual works/studies. Conclusion the age group, heavy workload, experienced violence and lack of psychological support during the pandemic were associated with increased psychopathological symptoms among nursing professionals. It is suggested the creation of institutional guidelines aimed at the reception and follow-up of these demands.

Resumen Objetivo evaluar la relación entre síntomas psicopatológicos y la situación laboral de profesionales de enfermería de la Región Sureste de Brasil, en el contexto de la pandemia de la COVID-19. Método estudio observacional y transversal con recolección de datos virtual y por medio de snowball en los meses de abril a julio de 2020. Se aplicó un cuestionario que contenía datos sociodemográficos, laborales y la escala de evaluación de síntomas psicopatológicos (psicoticismo, obsesión/compulsión, somatización y ansiedad). Fueron utilizadas estadísticas descriptivas y de inferencia para el análisis de los datos. Resultados entre los 532 participantes, se verificó una relación entre la carga horaria de trabajo semanal y el psicoticismo. Todos los dominios de la escala se asociaron con incomodidad y/o violencia, en el transcurso del trabajo y el recibimiento de soporte psicológico/emocional de la institución, en donde el individuo trabaja/estudia. Conclusión el intervalo etario, la carga horaria elevada, la violencia experimentada y la falta de soporte psicológico, durante la pandemia se asociaron con el aumento de los síntomas psicopatológicos entre los profesionales de enfermería. Se sugiere la creación de directrices institucionales dirigidas al acogimiento y acompañamiento de esas demandas.

https://doi.org/10.1590/1518-8345.5768.3518

Spinal anesthesia for elective cesarean section. Bupivacaine associated with different doses of fentanyl: randomized clinical trial
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Ferrarezi, Wesla Packer Pfeifer

; Braga, Angélica de Fátima de Assunção

; Ferreira, Valdir Batista

; Mendes, Sara Quinta

; Brandão, Maria José Nascimento

; Braga, Franklin Sarmento da Silva

; Carvalho, Vanessa Henriques

Brazilian Journal of Anesthesiology

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dec 2021, Volume 71 N. 6 Pages 642 - 648

Abstract: En | Text: En | PDF: En

Abstract Objective Assess patients submitted to elective cesarean section under spinal anesthesia, and the efficacy of different doses of fentanyl associated with bupivacaine. Methods The study included 124 pregnant women randomly distributed into 4 groups (n = 31) according to different doses of fentanyl (15 µg, 10 µg, 7.5 µg), Groups I, II, and III, respectively, and control group IV, associated with 0.5% hyperbaric bupivacaine (10 mg). An epidural catheter was inserted in case epidural top-up was required. We assessed the anesthetic blockage characteristics, negative maternal and neonatal outcomes, and maternal side effects. Statistical analysis was performed using Kruskal-Wallis, Fisher’s exact and chi-square tests. The level of significance was 5% (p< 0.05). Results The quality of analgesia, time for the first complaint of pain and motor block recovery time were significantly better for groups that received fentanyl in comparison to controls (p< 0.001). None of the groups had negative maternal-fetal outcomes. Nausea was significantly more frequent in patients in Groups II (10 µg) and III (7.5 µg) when compared to Groups I (15 µg) and IV (no fentanyl). Vomiting was more frequent in Group III than in Group I (p= 0.006). The incidence of pruritus was significantly higher in the groups receiving fentanyl (p= 0.012). Conclusions Among the solutions studied, the spinal anesthesia technique using 15 µg of fentanyl associated with 10 mg of hyperbaric bupivacaine provided satisfactory analgesia and very low incidence of adverse effects for patients submitted to cesarean section. Trial Registration Number UTN U1111-1199-0285. REBEC RBR-5XWT6T.

https://doi.org/10.1016/j.bjane.2021.03.030

Óleo e azeite de coco babaçu (Orbignya speciosa Mart.) como matériasprimas para produção de biodiesel
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Ferreira da Silva Neto, João

; Silva Machado, Jose

; Mendes, Fernando

; de Sousa Rios, Maria Alexsandra

; da Costa Assunção, João Carlos

; Maia da Silva, Francisco Felipe

; Mathias Macêdo, Ana Angélica

; Volken de Souza, Claucia Fernanda

Revista ION

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dec 2021, Volume 34 N. 2 Pages 95 - 104

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

Resumen El uso de fuentes de energía renovable, como los aceites vegetales, aceite de coco babasú (Orbignya speciosa Mart.) extraído industrialmente y manualmente, tiene ventajas económicas y ambientales. En este escenario, el presente trabajo presenta la producción y caracterización del aceite de coco babasú extraído industrialmente y manualmente y el biodiésel. Los biocombustibles se obtuvieron por transesterificación alcalina, utilizando hidróxido de potasio y metanol. La caracterización se realizó mediante infrarrojo con transformada de Fourier (FTIR), viscosidad cinemática, densidad, cenizas sulfatadas, índice de acidez, punto de fluidez, punto de inflamación y cromatografía de gases. Según los resultados, los espectros FTIR mostraron una absorción característica del éster, los estiramientos de enlace C=O (1704 cm-1 y 1742 cm-1) y C-O (1112 cm-1 y 1111 cm-1). Los resultados de las pruebas de viscosidad cinemática, densidad, índice de acidez, punto de fluidez y punto de inflamación se ajustaron a los límites establecidos por la ANP, Resolución nº 45/2014. La cromatografía de gases mostró el predominio de ésteres metílicos derivados de los ácidos láurico (C12:0), mirístico (C14:0) y palmítico (C16:0). Así, el aceite de coco y el aceite de coco babasú extraído industrialmente y manualmente resultaron viables para la producción de biodiésel, presentándose como una potencial materia prima para el sector de biocombustibles, dado el volumen expresivo de las plantaciones de babasú en el estado de Maranhão.

Abstract The use of renewable energy sources, such as vegetable oils like babassu coconut (Orbignya speciosa Mart.) oil extracted industrially and manually, has economic and environmental advantages. In this scenario, the present work presents the production and characterization biodiesel of babassu coconut oil extracted industrially and manually. Biofuels were obtained by alkaline transesterification, using potassium hydroxide and methanol. The characterization was performed by infrared with Fourier transform (FTIR), kinematic viscosity, density, sulphated ash, acidity index, pour point, flash point and gas chromatography. According to the results, the Fourier-transform infrared spectroscopy FTIR spectra showed characteristic absorption of esters, the C=O bond stretches (1704 cm-1 and 1742 cm-1) and C-O (1112 cm-1 and 1111 cm-1). The results of the kinematic viscosity, density, acidity index, pour point and flash point tests were in compliance with the limits established by the ANP, Resolution no. 45/2014. The gas chromatography showed the predominance of methyl esters derived from lauric (C12:0), miristic (C14:0) and palmitic (C16:0) acids. Thus, babassu coconut oil extracted industrially and manually proved to be viable for the production of biodiesel, presenting itself as a potential raw material for the biofuel sector, given the significant volume of babassu plantations in the state of Maranhão.

Resumo A utilização de fontes renováveis de energia, como os óleos vegetais, a exemplo o óleo e azeite de coco babaçu (Orbignya speciosa Mart.), apresentam vantagens econômicas e ambientais. Neste cenário, o presente trabalho apresenta a produção e caracterização do biodiesel de óleo e azeite de coco babaçu. Os biocombustíveis foram obtidos por transesterificação alcalina, utilizando-se hidróxido de potássio e metanol. A caracterização foi realizada por infravermelho com transformada de Fourier (FTIR), viscosidade cinemática, densidade, cinzas sulfatadas, índice de acidez, ponto de fluidez e ponto de fulgor e cromatografia gasosa. De acordo com os resultados, os espectros de FTIR apresentaram absorções características de ésteres, os estiramentos da ligação C=O (1704 cm-1 e 1742 cm-1) e C-O (1112 cm-1 e 1111 cm-1). Os resultados dos ensaios de viscosidade cinemática, densidade, índice de acidez, ponto de fluidez e ponto de fulgor apresentaram conformidade com os limites estabelecidos pela ANP, Resolução nº 45/2014. A cromatografia gasosa apontou a predominância de ésteres metílicos derivados dos ácidos láurico (C12:0), mirístico (C14:0) e palmítico (C16:0). Desta forma, o óleo e o aceite de coco babaçu se mostraram viáveis para a produção de biodiesel, apresentando-se como potencial matéria-prima para o setor de biocombustíveis, dado o volume expressivo das plantações de babaçuais do estado do Maranhão.

https://doi.org/10.18273/revion.v34n2-2021009 37 downloads

Masculinidade em tempos de pandemia: onde o poder encolhe, a violência se instala,
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Santos, Dherik Fraga

; Lima, Rita de Cássia Duarte

; Demarchi, Stephania Mendes

; Barbosa, Jeanine Pacheco Moreira

; Cordeiro, Marcos Vinicius da Silva

; Sipioni, Marcelo Eliseu

; Andrade, Maria Angélica Carvalho

Saúde e Sociedade

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2021, Volume 30 N. 3 elocation e200535

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

Resumo No contexto de emergência da pandemia causada pela covid-19, o objetivo deste ensaio é refletir sobre as relações homem-poder-violência a partir das concepções de Hannah Arendt, problematizando o conceito normalizado de masculinidade hegemônica e buscando compreender o aumento de violência doméstica contra a mulher. Buscamos desconstruir a ideia de que existe um único modelo de masculinidade hegemônica que propõe uma dominação global dos homens sobre as mulheres, uma vez que mulheres também apresentam aspectos de masculinidade, sendo uma construção histórico-social que se transforma continuamente. Assim, diante das reformas históricas de gênero acrescidas da instabilidade provocada pela pandemia da covid-19, observa-se o aumento da violência domiciliar como efeito da diminuição do poder patriarcal, na tentativa de estabilizar o modelo de masculinidade definido por esse poder patriarcal, ou tenta-se reconstituí-lo (ressignificá-lo) em novas configurações.

Abstract In the context of the emergence of the pandemic caused by covid-19, the objective of this essay is to reflect on the man-power-violence relationships and the resignification of men’s place, from the conceptions of Hannah Arendt, problematizing the normalized concept of hegemonic masculinity and seeking to understand the increase in domestic violence against women. Throughout this essay, we seek to deconstruct the idea that there is a single model of hegemonic masculinity that proposes a global domination of men over women, since women also present aspects of masculinity, being a historical-social construction that is constantly changing. Thus, in the face of historical gender reforms added to the instability caused by the covid-19 pandemic, there is an increase in domestic violence as an effect of the decrease in patriarchal power, in an attempt to stabilize the masculinity model defined by this patriarchal power, an attempt is made to reconstitute it (re-signify it) in new configurations.

https://doi.org/10.1590/s0104-12902021200535

Masculinidade em tempos de pandemia: onde o poder encolhe, a violência se instala,
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Santos, Dherik Fraga

; Lima, Rita de Cássia Duarte

; Demarchi, Stephania Mendes

; Barbosa, Jeanine Pacheco Moreira

; Cordeiro, Marcos Vinicius da Silva

; Sipioni, Marcelo Eliseu

; Andrade, Maria Angélica Carvalho

Saúde e Sociedade

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2021, Volume 30 N. 3 elocation e200535

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

https://doi.org/10.1590/s0104-12902021200535 594 downloads

Physical and pulmonary capacities of individuals with severe coronavirus disease after hospital discharge: A preliminary cross-sectional study based on cluster analysis
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Alonso, Angelica Castilho

; Silva-Santos, Paulo Roberto

; Quintana, Marília Simões Lopes

; Silva, Vanderlei Carneiro da

; Brech, Guilherme Carlos

; Barbosa, Lorena Gonçalves

; Pompeu, José Eduardo

; Silva, Erika Christina Gouveia e

; Silva, Elizabeth Mendes da

; Godoy, Caroline Gil de

; Greve, Julia Maria D’Andréa

Clinics

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2021, Volume 76 elocation e3540

Abstract: En | Text: En | PDF: En

OBJECTIVE: This study aimed to analyze the physical and pulmonary capacities of hospitalized patients with severe coronavirus disease and its correlation with the time of hospitalization and complications involved. METHODS: A total of 54 patients, aged ≥18 years of both sexes, were evaluated 2-4 months after hospital discharge in São Paulo, Brazil. The physical characteristics analyzed were muscle strength, balance, flexibility, and pulmonary function. The K-means cluster algorithm was used to identify patients with similar physical and pulmonary capacities, related to the time of hospitalization. RESULTS: Two clusters were derived using the K-means algorithm. Patients allocated in cluster 1 had fewer days of hospitalization, intensive care, and intubation than those in cluster 2, which reflected a better physical performance, strength, balance, and pulmonary condition, even 2-4 months after discharge. Days of hospitalization were inversely related to muscle strength, physical performance, and lung function: hand grip D (r=−0.28, p=0.04), Short Physical Performance Battery score (r=−0.28, p=0.03), and forced vital capacity (r=−0.29, p=0.03). CONCLUSION: Patients with a longer hospitalization time and complications progressed with greater loss of physical and pulmonary capacities.

https://doi.org/10.6061/clinics/2021/e3540

COVID-19: The question of genetic diversity and therapeutic intervention approaches
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Figueiredo, David Livingstone Alves

; Ximenez, João Paulo Bianchi

; Seiva, Fábio Rodrigues Ferreira

; Panis, Carolina

; Bezerra, Rafael dos Santos

; Ferrasa, Adriano

; Cecchini, Alessandra Lourenço

; Medeiros, Alexandra Ivo de

; Almeida, Ana Marisa Fusco

; Ramão, Anelisa

; Boldt, Angelica Beate Winter

; Moya, Carla Fredrichsen

; Chin, Chung Man

; Paula, Daniel de

; Rech, Daniel

; Gradia, Daniela Fiori

; Malheiros, Danielle

; Venturini, Danielle

; Tavares, Eliandro Reis

; Carraro, Emerson

; Ribeiro, Enilze Maria de Souza Fonseca

; Pereira, Evani Marques

; Tuon, Felipe Francisco

; Follador, Franciele Aní Caovilla

; Fernandes, Glaura Scantamburlo Alves

; Volpato, Hélito

; Cólus, Ilce Mara de Syllos

; Oliveira, Jaqueline Carvalho de

; Rodrigues, Jean Henrique da Silva

; Santos, Jean Leandro dos

; Visentainer, Jeane Eliete Laguila

; Brandi, Juliana Cristina

; Serpeloni, Juliana Mara

; Bonini, Juliana Sartori

; Oliveira, Karen Brajão de

; Fiorentin, Karine

; Lucio, Léia Carolina

; Faccin-Galhardi, Ligia Carla

; Ferreto, Lirane Elize Defante

; Lioni, Lucy Megumi Yamauchi

; Consolaro, Marcia Edilaine Lopes

; Vicari, Marcelo Ricardo

; Arbex, Marcos Abdo

; Pileggi, Marcos

; Watanabe, Maria Angelica Ehara

; Costa, Maria Antônia Ramos

; Giannini, Maria José S. Mendes

; Amarante, Marla Karine

; Khalil, Najeh Maissar

; Lima Neto, Quirino Alves de

; Herai, Roberto H.

; Guembarovski, Roberta Losi

; Shinsato, Rogério N.

; Mainardes, Rubiana Mara

; Giuliatti, Silvana

; Yamada-Ogatta, Sueli Fumie

; Gerber, Viviane Knuppel de Quadros

; Pavanelli, Wander Rogério

; Silva, Weber Claudio da

; Petzl-Erler, Maria Luiza

; Valente, Valeria

; Soares, Christiane Pienna

; Cavalli, Luciane Regina

; Silva Jr, Wilson Araujo

Genetics and Molecular Biology

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2021, Volume 44 N. 1 elocation e20200452

Abstract: En | Text: En | PDF: En

Abstract Coronavirus disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus type 2 (SARS-CoV-2), is the largest pandemic in modern history with very high infection rates and considerable mortality. The disease, which emerged in China’s Wuhan province, had its first reported case on December 29, 2019, and spread rapidly worldwide. On March 11, 2020, the World Health Organization (WHO) declared the COVID-19 outbreak a pandemic and global health emergency. Since the outbreak, efforts to develop COVID-19 vaccines, engineer new drugs, and evaluate existing ones for drug repurposing have been intensively undertaken to find ways to control this pandemic. COVID-19 therapeutic strategies aim to impair molecular pathways involved in the virus entrance and replication or interfere in the patients’ overreaction and immunopathology. Moreover, nanotechnology could be an approach to boost the activity of new drugs. Several COVID-19 vaccine candidates have received emergency-use or full authorization in one or more countries, and others are being developed and tested. This review assesses the different strategies currently proposed to control COVID-19 and the issues or limitations imposed on some approaches by the human and viral genetic variability.

https://doi.org/10.1590/1678-4685-gmb-2020-0452

10.

[SciELO Preprints] - SUS financing and Covid-19: history, federative participation, and responses to the pandemic
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Mendes Santos Servo, Luciana Borges dos Santos, Maria Angélica Sulpino Vieira, Fabiola Pucci de Sá e Benevides, Rodrigo

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Publication date: 2020-11-26

Abstract: En Pt

This essay discusses financial resources for Brazil’s Unified Health System (SUS) in a historical and future perspective, considering the health and economic challenges imposed by the Covid-19 pandemic. As always and more than ever, we need to discuss SUS financing. This is aggravated in intensity by the context of chronic economic recession that the country has been experiencing in 2015 and 2016, followed by  stagnation in the following years and accentuated in urgency by the recession in the second quarter of 2020 and that is expected to deepen in the coming years. The pandemic happens in a context of diminishing federal participation in SUS financing, little space for states to expand their sources of financing and several problems of coordination between federal entities. We argue that facing the pandemic necessarily involves an expansion of resources for financing SUS and it has a great dependence on the performance of the federal government. However, even with the urgency that the pandemic demanded, the new resources approved by the National Congress for public health system has been quite slow. We conclude that the prospects do not point to prioritizing the SUS and expanding its funding in the post-pandemic period.

Esse ensaio discute o financiamento do Sistema Único de Saúde (SUS) em perspectiva histórica e futura, considerando os desafios sanitários e econômicos impostos pela pandemia de Covid-19. Como sempre e mais do que nunca, precisamos discuti-lo. Essa necessidade cresce em premência a partir da recessão econômica que o país viveu em 2015 e 2016, pela estagnação da economia nos anos seguintes e pela recessão que já surge no segundo trimestre de 2020 com previsão de aprofundar-se nos próximos anos. A pandemia acontece em um contexto de redução da participação federal no financiamento, pouco espaço para estados ampliarem suas fontes de financiamento e problemas de coordenação entre os entes federativos. No caso do financiamento das ações e serviços públicos de saúde (ASPS) para enfrentamento à pandemia, argumentamos nesse texto, que ele passa necessariamente pela ampliação dos recursos alocados ao SUS, com grande dependência da atuação do governo federal. Contudo, nem com a urgência que demanda a pandemia houve rapidez na liberação e execução dos novos recursos aprovados pelo Congresso Nacional. Concluímos que as perspectivas não apontam para uma priorização do SUS e ampliação do seu financiamento no período pós-pandêmico.

https://doi.org/10.1590/SciELOPreprints.1530

11.

Adoecer como (des)construção da saúde mental pública
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Bueno, Maria Angélica

; Mendes, Jussara

; Lacomblez, Marianne

; Cunha, Liliana

Psicologia, Saúde & Doenças

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aug 2020, Volume 21 N. 2 Pages 496 - 507

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

Este estudo de natureza qualitativa se propõe a explorar a manutenção do processo de adoecimento derivada de Incapacidade Temporária ao Trabalho com participantes trabalhadores em situação de longos períodos de ausência afastamento ao trabalho (>120 dias) no Brasil e em Portugal. Constitui-se em 18 participantes na construção do método da entrevista de reconstituição biográfica cujo conteúdo foi submetido a análise temática e recurso à aplicação informática Nvivo11. A precariedade do trabalho, conflitos e pressões por produtividade levam às questões centrais de investigação quanto ao desenvolvimento de adoecimento antes e após a concessão do afastamento; narrativas da trajetória profissional enquanto processo de envelhecimento no gerenciamento da saúde e indícios de implicação institucional na saúde mental. Concluímos que normas são passíveis de renormatização mediante o gerir o trabalho com a vida, paciente na condição de ser e estar adoecido, relação entre saúde e trabalho enquanto debate e existência nas experiências de vida.

This qualitative study aims to explore the maintenance of the illness process derived from Temporary Incapacity to Work with participants working in situations of long periods of work absence (>120 days) in Brazil and in Portugal. 18 participants were enrolled in the construction of the biographical reconstitution interview method whose content was submitted to thematic analysis using Nvivo11. Precarious work and pressure for productivity lead to central research issues for the development of illness before and after work leave; narratives of the professional trajectory as a process of aging in health management and evidence of institutional involvement in mental health. We conclude that norms are subject to renormatization by managing work with life, patient on condition of being and being sick relationship between health and work as a debate and existence in life experiences.

https://doi.org/10.15309/20psd210223 657 downloads

12.

[SciELO Preprints] - MASCULINITY IN PANDEMIC TIMES: WHERE POWER DECREASES, VIOLENCE INCREASES
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Santos, Dherik Fraga Lima, Rita de Cássia Duarte Demarchi, Stephania Mendes Barbosa, Jeanine Pacheco Moreira Cordeiro, Marcos Sipioni, Marcelo Eliseu Andrade, Maria Angélica Carvalho

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Publication date: 2020-07-05

Abstract: En Pt

The emergence of the pandemic caused by COVID-19 emphatically calls for thinking about the narrowing of the man-power-violence relationship and the resignification of the place of men in sustaining reproductive life, emotional ties and care. In this context of social isolation, as an important strategy against the spread of the disease, seeking to understand the increase in domestic violence against women, the objective of this essay is to reflect on the man-power-violence relations from the concepts of Hannah Arendt, problematizing the normalized concept of hegemonic masculinity. Throughout this essay, we seek to deconstruct the idea that there is a single model of hegemonic masculinity and that it proposes a global domination of men over women, since women also present aspects of masculinity, which is a historical-social construction that is transformed continuously. Thus, in the face of historical gender reforms, and the instability caused by the pandemic of COVID-19, there is an increase in domestic violence as an effect of the decrease in patriarchal power, in an attempt to stabilize the masculinity model defined by this patriarchal power, or the attempt to reconstitute it in new configurations. In view of this reality, it is necessary, within the scope of Collective Health, to reflect on the reformulation of the National Policy for Integral Attention to Men’s Health.

A emergência da pandemia causada pela COVID-19 reclama enfaticamente pensar o estreitamento da relação homem-poder-violência e a ressignificação do lugar dos homens na sustentação da vida reprodutiva, dos laços emocionais e do cuidado. Nesse contexto de isolamento social, como importante estratégia contra a disseminação da doença, buscando compreender o aumento de violência doméstica contra a mulher, o objetivo deste ensaio é refletir sobre as relações homem-poder-violência a partir das concepções de Hannah Arendt, problematizando o conceito normalizado de masculinidade hegemônica. Ao longo deste ensaio, buscamos desconstruir a ideia de que existe um único modelo de masculinidade hegemônica e que propõe uma dominação global dos homens sobre as mulheres, uma vez que mulheres também apresentam aspectos de masculinidade, sendo uma construção histórico-social, que se transforma continuamente. Assim, diante das reformas históricas de gênero acrescidas da instabilidade provocada pela pandemia da COVID-19, observa-se o aumento da violência domiciliar como efeito da diminuição do poder patriarcal, na tentativa de estabilizar o modelo de masculinidade definido por esse poder patriarcal, ou tenta-se reconstituí-lo em novas configurações. Frente a essa realidade, faz-se necessário, no âmbito da Saúde Coletiva, refletir sobre a reformulação da Política Nacional de Atenção Integral à Saúde do Homem.

https://doi.org/10.1590/SciELOPreprints.900

13.

Financiamento do SUS e Covid-19: histórico, participações federativas e respostas à pandemia
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Servo, Luciana Mendes Santos

; Santos, Maria Angelica Borges dos

; Vieira, Fabiola Sulpino

; Benevides, Rodrigo Pucci de Sá e

Saúde em Debate

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2020, Volume 44 N. spe4 Pages 114 - 129

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

RESUMO Este ensaio discute o financiamento do Sistema Único de Saúde (SUS) em perspectiva histórica e futura, considerando os desafios sanitários e econômicos impostos pela pandemia de Covid-19. Como sempre e mais do que nunca, precisa-se discuti-lo. Essa necessidade cresce em premência a partir da recessão econômica que o País viveu em 2015 e 2016, pela estagnação da economia nos anos seguintes e pela recessão que já surge no segundo trimestre de 2020 com previsão de aprofundar-se nos próximos anos. A pandemia acontece em um contexto de redução da participação federal no financiamento, pouco espaço para estados ampliarem suas fontes de financiamento e problemas de coordenação entre os entes federativos. No caso do financiamento das Ações e Serviços Públicos de Saúde (ASPS) para enfrentamento da pandemia, argumenta-se neste texto que ele passa necessariamente pela ampliação dos recursos alocados ao SUS, com grande dependência da atuação do governo federal. Contudo, nem com a urgência que demanda a pandemia houve rapidez na liberação e execução dos novos recursos aprovados pelo Congresso Nacional. Conclui-se que as perspectivas não apontam para uma priorização do SUS nem para ampliação do seu financiamento no período pós-pandêmico.

ABSTRACT This essay discusses financial resources for Brazil’s Unified Health System (SUS) in a historical and future perspective, considering the health and economic challenges imposed by the Covid-19 pandemic. As always and more than ever, we need to discuss the SUS financing. This is aggravated in intensity by the context of the chronic economic recession which the country experienced in 2015 and 2016, followed by stagnation in the following years and accentuated in urgency by the recession in the second quarter of 2020 and that is expected to deepen in the coming years. The pandemic happens in a context of diminishing federal participation in the SUS financing, little space for states to expand their sources of financing, and several problems of coordination between federal entities. We argue that facing the pandemic necessarily involves an expansion of resources for financing the SUS and it has a great dependence on the performance of the federal government. However, even with the urgency that the pandemic demanded, the new resources approved by the National Congress for the public health system has been quite slow. We conclude that the prospects do not point to prioritizing the SUS and expanding its funding in the post-pandemic period.

https://doi.org/10.1590/0103-11042020e407 227 downloads

14.

Financiamento do SUS e Covid-19: histórico, participações federativas e respostas à pandemia
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Servo, Luciana Mendes Santos

; Santos, Maria Angelica Borges dos

; Vieira, Fabiola Sulpino

; Benevides, Rodrigo Pucci de Sá e

Saúde em Debate

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2020, Volume 44 N. spe4 Pages 114 - 129

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

https://doi.org/10.1590/0103-11042020e407

15.

Concept formation of ambience for labor and normal institutionalized delivery
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Dias, Paula Faria

; Miranda, Talita Prado Simão

; Santos, Raul de Paiva

; Paula, Elisângela Maria de

; Bem, Márcia Maria da Silva

; Mendes, Maria Angélica

Revista Brasileira de Enfermagem

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dec 2019, Volume 72 Suppl. 3 Pages 348 - 359

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

RESUMO Objetivo: elaborar o conceito ambiência para trabalho de parto e parto normal institucionalizado, identificando na literatura seus antecedentes, atributos definidores e consequentes. Método: empregou-se o método da análise crítica da literatura, correspondendo à primeira etapa da metodologia qualitativa de análise de conceito. A exploração teórica foi realizada nas bases de dados CINAHL, COCHRANE, LILACS, PsycINFO e PubMed. Resultados: elementos referentes à parturiente e à qualificação do espaço físico e social são apresentados como antecedentes. Os atributos definidores delineiam o processo de interação assistencial com o uso das Tecnologias Não Invasivas. Como consequentes, destacam-se desfecho para o parto normal, alívio e conforto da dor, satisfação e bem-estar da parturiente. Considerações finais: a análise dos antecedentes, atributos definidores e consequentes permitiu elaborar uma proposição teórica inédita desse conceito.

ABSTRACT Objective: to develop the concept ambience for labor and normal institutionalized delivery, identifying in the literature its antecedent, defining attributes and the consequent. Method: the method used was the analysis of literature, corresponding to the first stage of the qualitative method of concept analysis. The theoretical operation was performed in the databases CINAHL COCHRANE, LILACS, PsycINFO, and PubMed. Results: aspects of the parturient woman and the qualification of the physical and social space are presented as the antecedent. The defining attributes outline the assistance interaction process with Non-Invasive Technologies. As the consequent, we highlight the outcome for normal delivery, pain relief and comfort, woman satisfaction and well-being. Final considerations: the analysis of the antecedent, defining attributes and the consequent allowed the elaboration of an unprecedent theoretical proposition of this concept.

RESUMEN Objetivo: elaborar el concepto ambiencia para el trabajo de parto y el parto normal institucionalizado, identificando en la literatura sus antecedentes, sus atributos definidores y consecuentes. Método: se utilizó el método de análisis crítico de la literatura, que corresponde al primer paso de la metodología cualitativa del análisis de concepto. Se hizo una búsqueda teórica en las bases de datos CINAHL, COCHRANE, LILACS, PsycINFO y PubMed. Resultados: los elementos relativos a la parturienta y a la calificación del espacio físico y social se presentan como antecedentes. Los atributos definidores delimitan el proceso de interacción de la atención con el uso de las tecnologías no invasivas. Ya de los consecuentes, se destacan el resultado del parto normal, el alivio del dolor y comodidad, la satisfacción y el bienestar de la parturienta. Consideraciones finales: el análisis de los antecedentes, atributos definidores y consecuentes permitieron elaborar una propuesta teórica inédita de este concepto.

https://doi.org/10.1590/0034-7167-2018-0698 1874 downloads

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