Abstract The study investigates the extent to which the sources of school performance inequalities and educational expectations by race / color are the result of socioeconomic disadvantages, the heterogeneity of parenting styles or whether they result from unobservable residual factors. The analyzes use data from the Fundaj (2013) research that provides information on race, future educational aspirations, and a longitudinal evaluation of the student’s school performance. The identification strategy uses the method of propensity score matching (PSM). The results show that the educational disparities between students of the 6th grade of Recife, who declare themselves to be black or of another ethnic group, persist in terms of failure and expectation of entering higher education, even after conditioning in a broad control of observables, suggesting that the source of these disparities stem from factors not observable in the analysis. Despite the fact that families of black students are more actively involved in the school monitoring of their children than families of non-black students, this greater involvement has not been enough to neutralize educational inequalities by race/color. Black students have higher failure rates than their non-black peers and lower expectations of access to higher education by about 5 percentage points, statistically significant differences at 5%.

Resumo Esse artigo investiga em que medida as fontes de desigualdades do desempenho escolar e de expectativas educacionais por raça/cor são resultantes de desvantagens socioeconômicas, da heterogeneidade de estilos parentais ou se advêm de fatores residuais não observáveis. As análises utilizam dados da pesquisa Fundaj que disponibiliza informações relativas à raça/cor, aspirações educacionais futuras e uma avaliação longitudinal do desempenho escolar. A estratégia de identificação utiliza o método de Propensity Score Matching. Os resultados mostram que as disparidades educacionais entre estudantes do 6º ano do ensino fundamental da rede pública do Recife, que se declaram pretos ou de outra raça/cor, persistem em termos de reprovação e expectativa de ingresso ao ensino superior, mesmo após o condicionamento em um amplo controle de observáveis, sugerindo que a fonte dessas disparidades decorre de fatores não observáveis na análise. Apesar das famílias de estudantes pretos se engajarem mais ativamente no acompanhamento escolar de seus filhos do que familiares de estudantes não-pretos, esse maior envolvimento não tem sido suficiente para neutralizar as desigualdades educacionais por raça/cor. Alunos pretos possuem taxas de reprovação maiores do que seus colegas não-pretos e menores expectativas de acesso ao ensino superior em cerca de 5 pontos percentuais, diferenças estatisticamente significantes a 5%.

ABSTRACT This text discusses the place of stricto sensu graduate studies, in view of the repercussions of the denialist discourse in education and teacher training, in order to strengthen the defense of a socially referenced educational project, with an emancipatory character. We opted for a theoretical essay based on “reading evidence” (BELL, 2008). The stricto sensu postgraduate course in education, as a space for the production of knowledge, has the challenge of producing something accessible and disseminated in educational spaces and in all spheres of social life.

RESUMO Neste texto se discute o lugar da pós-graduação stricto sensu frente aos rebatimentos do discurso negacionista na educação e na formação de professores para o fortalecimento da defesa de um projeto educacional socialmente referenciado, de caráter emancipatório. Optamos por um ensaio teórico com suporte em evidências da leitura (BELL, 2008). A pós-graduação stricto sensu em educação, como espaço de produção de conhecimento, tem o desafio de produzir algo acessível e disseminado em espaços educacionais e em todas as esferas da vida social.

Resumo: Na Amazônia brasileira, os assentamentos rurais encontram-se cada vez mais isolados por grandes fazendas de produção em larga escala, comprometendo a sua sustentabilidade e o bem viver dos agricultores familiares assentados. Trabalhos foram realizados em assentamentos para mensurar a sustentabilidade. Porém, a maioria não leva em consideração a participação e a coletividade dos envolvidos. O objetivo deste trabalho foi compreender a concepção dos agricultores familiares sobre a sustentabilidade e o bem viver bem como avaliar a sustentabilidade no Projeto de Desenvolvimento Sustentável - PDS São Paulo, na Amazônia norte mato-grossense. Utilizamos oficina e o sistema de semáforo para avaliar a sustentabilidade do PDS. A avaliação da sustentabilidade do assentamento nos permitiu compreender como a sustentabilidade e o bem viver vão se construindo no processo da história do assentamento. A sustentabilidade e o bem viver são processos dialéticos, estão em construção, em movimento.

Abstract: In the Brazilian Amazon, rural settlements are increasingly isolated by large-scale production farms, compromising their sustainability and the well-being of settled family farmers. This work was carried out in settlements to measure sustainability. However, most do not take into account the participation and collectivity of those involved. In this way, we propose to evaluate, in a collective and participative way, the sustainability and well-being of the Sustainable Development Project - SDP São Paulo, Amazon in northern Mato Grosso state. We use the workshop and the traffic light system to assess the sustainability of the SDP. The assessment of the sustainability of the settlement allowed us to understand how sustainability and good living are being built in the process of the settlement's history. Sustainability and good living are dialectical processes, they are under construction, in movement.

ABSTRACT Objectives: to integrate evidence from studies on auditory perceptual and speech production effects in communication situations with face mask use. Methods: an integrative literature review, in MEDLINE, Cochrane Library and Embase databases. The guiding question was: what effects on communication (perceptual-auditory and speech production) occur with face mask use? Results: searches in electronic databases resulted in 1,478 studies and filtering resulted in 29 final studies. Conclusions: mask use has effects on communication, both in perception and speech production, factors that are also related to quality of life, stress and socio-emotional factors. These data can impact on indicators and alerts in favor of adopting strategies to manage mask use, involving speech production and perception when wearing a mask in health services.

RESUMEN Objetivos: integrar evidencias de estudios sobre efectos perceptuales auditivos y de producción del habla en situaciones de comunicación con el uso de mascarilla facial. Métodos: revisión integrativa de la literatura, en las bases de datos MEDLINE, Cochrane Library y Embase. La pregunta orientadora fue: ¿qué efectos en la comunicación (perceptivo-auditiva y producción del habla) se producen con el uso de mascarillas? Resultados: las búsquedas en bases de datos electrónicas dieron como resultado 1.478 estudios y el filtrado dio como resultado 29 estudios finales. Conclusiones: el uso de mascarillas tiene efectos en la comunicación, tanto en la percepción como en la producción del habla, factores que también se relacionan con la calidad de vida, el estrés y factores socioemocionales. Estos datos pueden impactar en indicadores y alertas a favor de la adopción de estrategias para gestionar el uso de mascarillas, involucrando la producción y percepción del habla al usar mascarilla en los servicios de salud.

RESUMO Objetivos: integrar evidências de estudos sobre efeitos perceptivos auditivos e de produção de fala em situações de comunicação com o uso de máscara facial. Métodos: revisão integrativa da literatura, nas bases MEDLINE, Cochrane Library e Embase. O questionamento direcionador foi: quais efeitos na comunicação (perceptivo-auditivos e de produção de fala) ocorrem com o uso de máscaras faciais? Resultados: as buscas nas bases de dados eletrônicas resultaram em 1.478 estudos, e a filtragem culminou em 29 estudos finais. Conclusões: o uso de máscaras traz efeitos na comunicação, tanto na percepção quanto na produção da fala, fatores ademais relacionados à qualidade de vida, estresse e socioemocionais. Esses dados podem impactar em indicadores e alertas em prol da adoção de estratégias ao manejo de uso de máscaras, envolvendo a produção e percepção de fala em ocasião de uso de máscara nos serviços de saúde.

RESUMO Este ensaio discute a perspectiva (auto)biográfica como sensibilidade analítica em pesquisas com formação docente e desenvolvimento profissional, direcionando-se, especialmente, à pesquisa com professoras/es iniciantes na carreira. O debate que levantamos, fruto das discussões em nosso grupo de pesquisa, centra-se na dimensão sensível a fim de trazer contribuições para se refletir a respeito das experiências-vividas e de suas escritas, atravessadas pelos cotidianos escolares. Nessa direção, nossa defesa parte de reconhecer narrativas (auto)biográficas e suas “escrevivências” como ferramentas potentes para a compreensão dos primeiros anos da docência e de processos de indução.

ABSTRACT This paper discusses the (auto)biographical perspective as an element of analytical sensitivity in research studies involving teacher training and professional development, focusing on research studies with beginner teachers. The debate that we have raised, based on the discussions held in our Research Group, focuses on a sensitive dimension to help us reflect on the lived experiences and their writings, crossed by the everyday school life. In this sense, we acknowledge (auto)biographical narratives and “written experiences” as powerful tools for understanding the early years of teaching and induction processes.

RESUMEN Este ensayo analiza la perspectiva (auto)biográfica como sensibilidad analítica en la investigación con formación docente y desarrollo profesional, centrándose especialmente en la investigación con docentes principiantes. El debate que hemos planteado, basado en discusiones en nuestro Grupo de Investigación, se centra en la dimensión sensible, con el fin de aportar aportes para reflexionar sobre las vivencias y sus escritos, atravesados por la cotidianidad escolar. En este sentido, nuestra defensa parte de reconocer las narrativas (auto)biográficas y sus escrevivências como poderosas herramientas para comprender los primeros años de los procesos de enseñanza e inducción.

RESUMO Objetivo: Avaliar a densidade vascular do plexo capilar superficial e profundo da retina, usando angiografia por tomografia de coerência óptica em pacientes com oclusão de ramo da veia central da retina, comparando o olho afetado com o contralateral do mesmo paciente e ambos com olhos normais. Métodos: Estudo transversal. Incluídos dezesseis pacientes com oclusão de ramo da veia central da retina sem tratamento prévio. Pacientes com exames de baixa qualidade, altas ametropias, outras patologias de retina ou coróide foram excluídos. Para comparação, trinta e um pacientes sem doença ocular foram selecionados. Todos foram submetidos a cinco exames angiografia por tomografia de coerência óptica, apenas aqueles com pelo menos dois exames de boa qualidade permaneceram no estudo. Os testes Kruskal-Wallis, Wilcoxon, e Mann-Whitney foram utilizados. Resultados: Densidades vasculares mais baixas do plexo capilar superficial e plexo capilar profundo foram observadas quando olhos com oclusão de ramo da veia central da retina foram comparados com os contralaterais: densidade total (p=0,02 para plexo capilar superficial, p=0,049 para plexo capilar profundo), densidade parafoveal (p=0,02 para plexo capilar superficial, p=0,011 para plexo capilar profundo). Comparando olhos acometidos com olhos normais, também foram observadas densidades vasculares mais baixas de plexo capilar superficial e plexo capilar profundo: densidade total (ambos com p<0,001) e densidade parafoveal (ambos com p<0,001). Quando os olhos contralaterais foram comparados aos normais, tanto a densidade total do plexo capilar superficial e plexo capilar profundo (ambos com p=0,001) quanto a densidade parafoveal (plexo capilar superficial com p=0,001, plexo capilar profundo com p<0,001) foram menores. Ao se realizar uma subanálise, minimizando o fator hipertensão arterial, esta diferença não se manteve. Conclusões: Densidades vasculares mais baixas do plexo capilar superficial e do plexo capilar profundo foram observadas em olhos com oclusão de ramo da veia central da retina. Além disso, a presença de densidades vasculares mais baixas nos olhos contralaterais mostra que já existem alterações nesses olhos antes das alterações clínicas, devido a alterações inicias da retinopatia hipertensiva.

ABSTRACT Purpose: To evaluate vascular density in superficial and deep capillary plexuses of the retina, measured using optical coherence tomography angiography in patients with branch retinal vein occlusion. Affected eyes were compared with the contralateral eye of the same patient and both were compared with normal eyes. Methods: A cross-sectional study including 16 previously untreated patients with branch retinal vein occlusion. Patients with poor quality examinations, bilateral disease, high refractive error, or any other retinal or choroidal disease were excluded. A total of 31 patients without eye disease were also selected as a comparison group. All participants underwent five optical coherence tomography angiographies, and only those with at least two good quality examinations were selected. The Kruskal-Wallis, Wilcoxon signed-rank, and Mann-Whitney U tests were used for the statistical analysis. Results: Vascular density was lower in affected eyes compared with contralateral eyes: whole density (p=0.020 for capillary plexuses superficial; p=0.049 for deep capillary plexuses) and parafoveal density (p=0.020 for capillary plexuses superficial; p=0.011 for deep capillary plexuses). Vascular density was also lower in affected eyes compared with normal eyes: whole density (p<0.001 for capillary plexuses superficial and deep) and parafoveal density (p<0.001 for capillary plexuses superficial and deep). Whole density (p=0.001 for capillary plexuses superficial and deep) and parafoveal density (p=0.001 for capillary plexuses superficial; p<0.001 for deep capillary plexuses) were both lower in the contralateral eyes compared with normal eyes. Following adjustment for arterial hypertension, this difference was no longer observed. Conclusions: Vascular density in capillary plexuses and deep capillary plexuses was lower in the eyes affected by branch retinal vein occlusion. Furthermore, the lower vascular density noted in the contralateral eyes indicates that changes most likely occurred in these eyes prior to the appearance of any clinically detectable alterations, reflecting the early signs of hypertensive retinopathy.

Resumo Esse artigo avalia o cumprimento das metas do FIES quanto ao ingresso de alunos em cursos de duas áreas prioritárias do Programa: saúde e educação/ensino. A estratégia de identificação se baseia numa mudança de regra do FIES ocorrida em 2009, que adotou uma expressiva redução na taxa de financiamento, de aproximadamente de 50%, e levou a uma homogeneização dos juros aplicados entre os cursos nas áreas de educação e ensino e os demais cursos. Estimativas de modelos logit com dados empilhados demonstram que tais mudanças levaram a um aumento na probabilidade de escolha dos cursos de saúde, na ordem de 32%, e uma redução de 46% nas chances de escolhas dos cursos de educação e ensino. Tais achados revelam que as alterações ocorridas no Programa foram eficazes para os cursos prioritários de saúde, mas geraram um desincentivo para aqueles da área de educação.

Abstract This paper evaluates the Brazilian Student Loan Fund (FIES) regarding the enrollment of students in courses of two priority areas of the Program: health and education. The identification strategy is based on a change in the FIES rule in 2009, which adopted a significant reduction in the financing rate of approximately 50% and led to a homogenization of interest rates applied between the courses in the areas of education and other courses. Pooled logit models estimates demonstrate that such changes led to an increase in the probability of choosing health courses, in the order of 32%, and a reduction of 46% in the chances of choices in education and teaching courses. These findings reveal that the changes in the Program have been effective for priority health courses but have generated a disincentive for those in the area of education.

Resumo Objetivo Análise biomecânica comparativa da resistência da fixação tibial para reconstrução ligamentar com parafuso de interferência, comparada com parafuso do tipo poste com arruela, e com fixação associada entre os métodos (fixação híbrida). Métodos Foram utilizados 54 corpos de prova (tíbia suína e tendão digital bovino), que foram divididos em 3 grupos com tipos de fixação semelhantes àqueles utilizados na reconstrução do ligamento cruzado anterior: 1) fixação com parafuso de interferência; 2) fixação com parafuso do tipo poste com arruela dentada sobre nó e fios de sutura; e 3) fixação com parafuso do tipo poste com arruela combinada com parafuso de interferência (fixação híbrida). Os testes foram realizados por meio de ensaios biomecânicos de tração tipo pull-out para determinação da rigidez e carga para falha (yield load) do sistema. Resultados O grupo com fixação híbrida apresentou maior rigidez final (59,10 ± 3,45 N/mm) do que os demais grupos (p < 0,05), e carga superior para falha (581,34 ± 33,48 N) em relação ao grupo com parafuso de interferência (p < 0,05). Conclusão A fixação híbrida apresentou vantagens biomecânicas com relação ao sistema de fixação do enxerto de flexor digital bovino em tíbia suína durante os ensaios de tração.

Abstract Objective Comparative biomechanical analysis of tibial fixation strength for ligament reconstruction with interference screw compared with screw post and washer, and compared with the associated fixation of both methods (hybrid fixation). Method A total of 54 specimens were used (porcine tibias and bovine flexor digital tendons), which were divided into three groups with fixation types similar to those used in anterior cruciate ligament (ACL) reconstruction: 1) fixation with interference screw; 2) fixation with screw post and toothed washer over knot and suture strand; and )- fixation with screw post and washer combined with interference screw (hybrid fixation). The analyses were performed through pull-out biomechanical tensile tests to determine the stiffness and load to system failure (yield load). Results The hybrid fixation group presented a significantly higher final stiffness (59.10 ± 3.45 N/mm) in comparison to the other groups (p < 0.05) and a higher yield load (581.34 ± 33.48 N) compared to the interference screw group (p < 0.05). Conclusion Hybrid fixation had biomechanical advantages over the bovine digital flexor graft fixation system in swine tibia during tensile tests.

Abstract The objective of this study was to compare the BotuCrio® extender with the Merk - egg yolk and the INRA 82 modified by the inclusion of acetamide, methyl cellulose and trehalose in substitution of glycerol for freezing equine semen. The semen was diluted after centrifugation to obtain 100 x 106 of sperm/ml in: BotuCrio® (control); Merk - egg yolk or INRA 82 modified (Experiment 1). The extended semen was packaged in 0.5 ml straws, cooled and frozen in a freezing machine. The control extender was superior in preserving the motility, VCL, VSL, VAP, LIN, STR and the BCF when compared to the Merk - egg yolk and INRA 82 modified (P < 0.05). The BotuCrio® preserved more effectively the equine sperm viability characteristics evaluated in Experiment 1 and was used as a control extender in Experiment 2 to test the effectiveness of using LDL in replacement of egg yolk. BotuCrio® was superior to preserve progressive motility, VCL, VSL, VAP, LIN, STR and the percentage of functional integrity of sperm membranes compared to BotuCrio LDL (P < 0.05). However, both extenders preserved similarly the total motility, ALH, BCF and the structural integrity of the membranes (P > 0.05). The fertility rate after AI with frozen semen in BotuCrio LDL was 37.5%.

ABSTRACT Purpose: To study the effect of penile constriction devices used on a large series of patients who presented at our emergency facility. We explored treatment options to prevent a wide range of vascular and mechanical injuries occurring due to penile entrapment. Materials and Methods: Between January 2001 and March 2016, 26 patients with penile entrapment were admitted to our facility and prospectively evaluated. Results: The time that elapsed from penile constrictor application to hospital admission varied from 10 hours to 6 weeks (mean: 22.8 hours). Non-metallic devices were used by 18 patients (66.6%) while the other nine (33.4%) had used metallic objects. Acute urinary retention was present in six (23%) patients, of whom four (66.6%) underwent percutaneous surgical cystotomy and two (33.4%) underwent simple bladder catheterization. The main reason for penile constrictor placement was erectile dysfunction, accounting for 15 (55.5%) cases. Autoerotic intention, psychiatric disorders, and sexual violence were responsible in five (18.5%), five (18.5%), and two (7.4%) cases, respectively. The mean hospital stay was 18 hours (range, 6 hours to 3 weeks). Conclusion: Penile strangulation treatment must be immediate through the extraction of the foreign body, avoiding vascular impairments that can lead to serious complications. Most patients present with low-grade injuries and use penile constrictors due to erectile dysfunction. Removal of constrictor device can be challenging. The use of specific tools for achieving penile release from constrictors is a fast, safe and effective method. Patients with urinary retention may require urinary diversion.

Abstract The treatment of patients with relapsed and/or refractory multiple myeloma has improved considerably in the last 15 years, after the introduction of proteasome inhibitors and immunomodulatory drugs. The first clinical trials with new proteasome inhibitors have produced exciting results, particularly those comparing triplet regimens with standard doublet regimens, with a gain in progression-free survival accompanied by an acceptable safety profile and either similar or better health-related quality of life. New proteasome inhibitors hold the potential to fill unmet needs in multiple myeloma management regarding improvement of clinical outcomes, including delayed progression of disease in high-risk patients. This review summarizes the main pharmacological properties and clinical outcomes of these agents, and discusses their potential to change the whole multiple myeloma therapeutic landscape.

Abstract Aim: The promulgation of the 1996 Education Guidelines and Bases Law promotes debate on the construction of National Curricular Parameters (NCPs) for Basic Education, emerging traditional disciplines and transversal themes. Considering the relevance of NCPs today, the objective of this research was to analyze NCPs related to health and to identify relationships between health and physical education in NCPs for Physical Education in Elementary and High School. Method: This is a documentary study that analyzed the respective documents. Paul Ricœur's hermeneutic approach was used for the interpretation of these documents. Discussion: In this section, it was identified that these documents recognize health as a right; present a dynamic conception of health and emphasize the importance of citizen education. However, the documents contradict each other by emphasizing a reduction of Physical Education to physical exercise, remodeling of habits, emphasized valorization of biological mechanisms, and contradictory facts to understand health dynamics. Conclusion: Finally, the conclusions emphasize the main points in each document, showing that there are advances but there are also divergences between them related to health issues and even setbacks. In addition, new investigations related to this theme are suggested.

Abstract Aim: We aim to develop this study with the main objective to discuss perceptions about body and aging from the context of the ‘Our Healthier City’ project. Method: We use the phenomenological method to develop the research. Through a strategy of the situated phenomenon, we visit the place where it is experienced. We observed the lived world of the people there and interviewed 10 project participants. Results: In this way, we perceive that the aging body is ruled by taboos and prejudices, but develops every day, weaving meanings from movement, work, family, experiences, pleasures, and displeasures, caring for oneself by the understanding that life continues after old age and that death is an irreversible phenomenon. We also understand that it is a part of the body that ages fall, wrinkles, declines as a natural process but that cannot be considered just this, meaning that the body that grows older also develops in a polysemic cultural context with different meanings since old age is understood and lived in different ways by each one. Conclusion: We identify that the area of Physical Education has an academic production in the area of aging and old age that still need to be discussed in order to broaden the eyes for these bodies, so that they can not only be understood in their physiological and their effective responses to exercise, adaptation to physical activity and the types of training programs but also as beings that produce meanings from their experiences.

RESUMO Objetivo: Identificar a frequência das doenças oculares entre os segurados com benefícios por incapacidade. Métodos: Estudo retrospectivo de 217.221 benefícios por incapacidade concedidos pelo Instituto Nacional do Seguro Social (INSS) da gerência executiva de Recife, que engloba os 14 municípios da região metropolitana, incluindo a capital, no período de 2010-2015. Os casos de doenças oculares foram avaliados quanto à frequência considerando seu grupo na CID-10. Foi feita ainda uma análise do perfil dos benefícios concedidos por estas doenças com relação à causa, idade, sexo, faixa salarial, espécie e duração do benefício. Resultados Do total dos benefícios concedidos, 5.324 foram decorrentes de doenças oftalmológicas (2,5%) e entre estes, a maioria como auxíliodoença (91,1%). Houve predomínio do sexo masculino (64,6%), faixa etária dos 20 aos 59 anos e valor de até 01 salário mínimo (61,2%). Entre as concessões de auxíliodoença a principal causa foi a catarata (24,5%), seguida pela conjuntivite (21,1%) e pterígio (8,8%). A cegueira e baixa visão foi a principal causa de auxílio-acidente e aposentadoria por invalidez. Conclusões: Os resultados destacam a magnitude do problema das doenças oculares para a Previdência Social, com graves perdas econômicas e sociais, e enfatizam a necessidade de medidas que visem sua prevenção e maior integração entre os serviços de saúde e o INSS (Instituto Nacional do Seguro Social).

ABSTRACT Purpose: To identify the frequency of ocular diseases among recipients of disability benefits in the metropolitan region of Recife, Brazil. Methods: A review was performed of 217,221 cases of disability benefits granted between 2010 and 2015 by the executive managerial department of the Brazilian National Institute of Social Security (Instituto Nacional do Seguro Social [INSS]) in Recife, which encompasses 14 municipalities of the metropolitan region, including the capital. The frequencies of the identified cases of ocular morbidity were then determined according to their group in the International Classification of Diseases, 10th Revision (ICD-10), their cause, the age, sex, and income of the recipient, and the type and duration of the benefit. Results: Of all disability benefits granted, 5,324 (2.5%) were due to ocular disease, the majority (91.1%) consisting of sick pay. Most of the beneficiaries (64.6%) were males, were 20 to 59 years of age, and 61.2% earned the minimum wage or less. The principal ocular diseases for which sick pay benefits were granted were cataract (24.5%), conjunctivitis (21.1%), and pterygium (8.8%). Blindness and low vision were the principal ocular diseases in cases of accident indemnity and disability retirement. Conclusions: The results highlight the magnitude of the problem of ocular diseases to the social security system, with serious economic and social losses, and emphasize the need for measures aimed at their prevention. Moreover, integration between the national departments of health and social security needs to be improved.