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Information technologies as organizational support for the COVID-19 coping actions: Nurses’ discourse
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Guedes, Haline Costa dos Santos

; Silva Júnior, José Nildo de Barros

; Januário, Dilyane Cabral

; Trigueiro, Débora Raquel Soares Guedes

; Leadebal, Oriana Deyze Correia Paiva

; Barrêto, Anne Jaquelyne Roque

Revista Latino-Americana de Enfermagem

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dec 2023, Volume 31 elocation e3855

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

Abstract Objective: to analyze nurses’ discourse about the potentialities in using information technologies as organizational support for the COVID-19 coping actions in Primary Health Care. Method: a qualitative and exploratory study conducted in the Family Health Strategy units from the city of João Pessoa, Paraíba, Brazil. Data collection was carried out from September to November 2021 with 26 nurses selected through the snowball technique, resorting to a semi-structured interview script. The empirical material was organized in the Atlas.ti 9 software and grounded on the theoretical-methodological contribution of Discourse Analysis, French Line. Results: three discursive blocks were evidenced: innovation based on social media; health education actions; resoluteness in organizational actions, presenting the relevance of the WhatsApp®, Instagram® and Facebook® apps as strategic resources, in order to collaborate in the Primary Health Care are with the organization of health actions against COVID-19 by nurses. Conclusion: health units have the potential to strengthen the assistance provided through digital organizational devices; however, they need political support that invests in the structure and strategies to enhance organization of the health actions.

Resumen Objetivo: analizar el discurso de los enfermeros sobre el potencial que tienen las tecnologías de la información como apoyo organizacional a las acciones en la lucha contra el COVID-19 en la Atención Primaria de Salud. Método: estudio cualitativo y exploratorio, realizado en unidades de la Estrategia Salud de la Familia, en la ciudad de João Pessoa, Paraíba, Brasil. La recolección de datos se realizó de septiembre a noviembre de 2021 con 26 enfermeros seleccionados mediante la técnica de bola de nieve, utilizando un formulario de entrevista semiestructurada. El material empírico fue organizado en el software Atlas.ti 9 y se basó en el aporte teórico-metodológico del Análisis del Discurso de la escuela francesa. Resultados: se observaron tres bloques discursivos: innovación desde las redes sociales; acciones de educación para la salud; resolutividad en las acciones organizacionales, que muestran la importancia de las aplicaciones WhatsApp®, Instagram® y Facebook® como recursos estratégicos, que colaboran en el área de Atención Primaria de Salud con la organización de las acciones de salud contra el COVID-19 que llevan a cabo los enfermeros. Conclusión: las unidades de salud tienen potencial para fortalecer la atención a través de dispositivos organizacionales digitales, pero necesitan apoyo político que invierta en la estructura y en estrategias para mejorar la organización de las acciones de salud.

Resumo Objetivo: analisar o discurso de enfermeiros acerca das potencialidades na utilização das tecnologias da informação como apoio organizacional das ações de enfrentamento da COVID-19 na Atenção Primária à Saúde. Método: estudo qualitativo e exploratório, realizado nas unidades da Estratégia Saúde da Família, na cidade de João Pessoa, Paraíba, Brasil. A coleta de dados foi realizada de setembro a novembro de 2021 com 26 enfermeiros selecionados por meio da snowball technique, utilizando-se de roteiro de entrevista semiestruturado. O material empírico foi organizado no software Atlas.ti 9 e fundamentado com base no aporte teórico-metodológico da Análise do Discurso de linha francesa. Resultados: evidenciaram-se três blocos discursivos: inovação a partir das mídias sociais; ações de educação em saúde; resolutividade nas ações organizacionais, apresentando a relevância dos aplicativos WhatsApp®, Instagram® e Facebook® como recursos estratégicos, de forma a colaborar para a área de Atenção Primária à Saúde com a organização das ações de saúde frente à COVID-19 por enfermeiros. Conclusão: as unidades de saúde possuem potencial para fortalecer a assistência por meio dos dispositivos organizacionais digitais, no entanto, necessitam de apoio político que invista na estrutura e em estratégias para potencializar a organização das ações de saúde.

https://doi.org/10.1590/1518-8345.6202.3855

Volumetric yield coefficient: the key to regulating virtual credits for Amazon wood
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ANDRADE, Kauanna Domingues Cabral de

; SANTOS, Ana Paula Ferreira dos

; EMMERT, Fabiano

; SANTOS, Joaquim dos

; LIMA, Adriano José Nogueira

; HIGUCHI, Niro

Acta Amazonica

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mar 2023, Volume 53 N. 1 Pages 1 - 8

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

ABSTRACT In Brazil, all transport and storage of native forest products and by-products must be registered within the DOF (Document of Forestry Origin) system. This computerized platform exists to support control agencies in reducing the sale of forest products obtained illegally. However, this tool still shows only modest results in fulfilling its objectives, since gaps in the system allow illegal wood to be acquired and enter the system as legal wood. The objective of this study was to test whether the volumetric yield coefficient (CRV) of a sawmill on an industrial scale corresponds to the 35% established by Brazilian legislation. The focus was directed at a loophole that allows the accumulation of virtual credits in the DOF system by turning logs into lumber. For this purpose, we estimated the sawmill’s CRV and mean percentage yield of 19 commercial species used by a timber company in the Brazilian Amazon with a sample size of 90 logs. The estimated CRV was 24.6 ± 2.4, showing 9.9% uncertainty. The mean CRV differed highly significantly (p < 0.001) from that proposed by the DOF, with a 10.35% difference. Based on these results, the difference between the observed yield and that proposed by the legislation can generate the accumulation of virtual log credits. With this accumulation, managers encounter difficulties in acquiring new logging permits and, consequently, do not meet the actual demand for logs to the sawmill’s capacity.

RESUMO No Brasil, todo transporte e armazenamento de produtos e subprodutos florestais nativos deve ser registrado no sistema DOF (Documento de Origem Florestal). Essa plataforma informatizada existe para apoiar agências de controle na redução da venda de produtos florestais obtidos ilegalmente. No entanto, essa ferramenta ainda apresenta resultados modestos no cumprimento de seus objetivos, uma vez que lacunas no sistema permitem que madeira ilegal adquira caráter legal. O objetivo desse estudo foi testar se o coeficiente de rendimento volumétrico (CRV) de uma serraria em escala empresarial corresponde aos 35% estabelecidos pela legislação brasileira. O foco foi direcionado para uma brecha que permite o acúmulo de créditos virtuais no sistema DOF, por meio da transformação de toras em material serrado. Para tanto, estimamos o CRV da serraria e os rendimentos percentuais médios de 19 espécies comercializadas por uma empresa de base florestal na Amazônia brasileira, com um esforço amostral de 90 toras. O CRV estimado foi de 24,6 ± 2,4, mostrando incerteza de 9,9%. O CRV médio diferiu altamente significativamente (p < 0,001) do proposto pelo DOF, com uma diferença de 10,35%. Com base nesses resultados, a diferença entre o rendimento observado e o proposto pela legislação pode gerar um acúmulo de créditos em toras virtuais. Com esse acúmulo, os gestores enfrentam dificuldades para adquirir novas licenças de exploração e, consequentemente, não atendem à real demanda por toras da capacidade instalada de sua serraria.

https://doi.org/10.1590/1809-4392202101602

Violência contra crianças e adolescentes: intervenções multiprofissionais da Atenção Primária à Saúde na escola
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Anunciação, Leilane Lacerda

; Carvalho, Rosely Cabral de

; Santos, José Eduardo Ferreira

; Morais, Aisiane Cedraz

; Almeida, Vivian Ranyelle Soares de

; Souza, Sinara de Lima

Saúde em Debate

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nov 2022, Volume 46 N. spe3 Pages 201 - 212

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

RESUMO Trata-se de um recorte de uma dissertação de mestrado, com objetivo de descrever o processo de construção de propostas de prevenção, enfrentamento e atenção à violência intrafamiliar e escolar contra crianças e adolescentes estudantes em um bairro periférico de um município do interior baiano. Foi realizado um estudo com abordagem qualitativa, descritiva, exploratória; por meio da pesquisa-ação. Os atores sociais da pesquisa foram a comunidade escolar, a família e profissionais de saúde. Os dados foram coletados pela observação sistemática, rodas de conversas e seminário, utilizados para diagnóstico situacional e desenvolvimento das intervenções. A interpretação dos dados foi realizada pela análise de conteúdo. As atividades desvelaram a relevância do trabalho desenvolvido em rede intersetorial e multiprofissional qualificada, resultando em: mudanças comportamentais de adolescentes na escola e família, protagonismo destes nas oficinas educativas para cultura da paz, implantação de espaço de mediação de conflitos na escola, criação de projeto de atividade física, aproximação de pais à escola e sensibilização quanto a melhores possibilidades de educação doméstica não violentas. Conclui-se que as intervenções iniciaram um movimento de mudança de práticas e de interlocução dos diversos serviços existentes no bairro, resultando em uma construção gradual de territórios de paz na escola e na comunidade.

ABSTRACT This excerpt of a master’s thesis aims to describe the construction of proposals for the prevention, combat, and attention to intrafamily and school violence against child and adolescent students in a suburban district of a municipality in the inland region of Bahia, Brazil. A qualitative, descriptive, exploratory study was conducted through action research. The social stakeholders of the research were the school community, the family, and health professionals. Data were collected by systematic observation, conversation circles, and seminars adopted for situational diagnosis and the development of interventions. Data was interpreted through content analysis. The activities revealed the relevance of the work developed in intersectoral and multidisciplinary qualified network, resulting in behavioral changes of adolescents at school and in the family, their leadership in educational workshops for a peace culture, the implementation of a conflict mediation space at school, the establishment of a physical activity project, drawing parents closer to the school, and raising the awareness toward better possibilities of non-violent domestic education. We conclude that the interventions initiated a movement of change of practices and dialogue of the several district services, resulting in a gradual construction of peace territories in the school and the community.

https://doi.org/10.1590/0103-11042022e315

Violência contra crianças e adolescentes: intervenções multiprofissionais da Atenção Primária à Saúde na escola adolescentes
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Anunciação, Leilane Lacerda

; Carvalho, Rosely Cabral de

; Santos, José Eduardo Ferreira

; Morais, Aisiane Cedraz

; Almeida, Vivian Ranyelle Soares de

; Souza, Sinara de Lima

Saúde em Debate

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nov 2022, Volume 46 N. spe3 Pages 201 - 212

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

https://doi.org/10.1590/0103-11042022e315

Effect of Kangaroo Position on microcirculation of preterm newborns: a controlled randomized clinical trial
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Miranda, Rafael Moura

; Cabral Filho, José Eulálio

; Diniz, Kaísa Trovão

; Clough, Geraldine Frances

; Alves, João Guilherme Bezerra

; Lima, Geisy Maria Souza

; Figueredo, Natália Priscila dos Santos

; França, Ariane Amarali de

; Luna, Júlia Thalita Barbosa

Jornal de Pediatria

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apr 2022, Volume 98 N. 2 Pages 196 - 203

Abstract: En | Text: En | PDF: En

Abstract Objective: The objective of this study was to evaluate the effect of Kangaroo Position (KP) in microcirculation (MC) of the flexor muscles of preterm newborns. Method: A controlled clinical trial was conducted in the city of Recife, Brazil, with 26 preterm children randomized in the Kangaroo Group (13) and in the Control Group (13). Assessments of blood flow, temperature, and tissue oxygen saturation (SO2) were made at two different times and in the biceps brachii muscle and hamstrings muscle group: before the KP and after 24 h of KP. In the Control Group, the registrations were performed at the times corresponding to those of the Kangaroo Group. The mean values among the times were analyzed by paired t-test for repeated measures. The clinical trial was recorded in Clinical Trials (NCT03611088). Results: In the Kangaroo Group there was an increase in tissue temperature and blood flow at the time evaluation periods (p < 0.05). In the control group, there was no statistical difference between the recording moments hamstring muscles group, but in the biceps brachii, there was a reduction in mean blood flow (p = 0.023). Conclusion: In conclusion, the KP has effects on the microcirculation of the flexor muscles of preterm newborns.

https://doi.org/10.1016/j.jped.2021.05.012

What do Cochrane systematic reviews say about congenital vascular anomalies and hemangiomas? A narrative review
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Guedes Neto, Henrique Jorge

; Kuramoto, Danielle Akemi Bergara

; Correia, Rebeca Mangabeira

; Santos, Brena Costa

; Borges, Amanda da Cunha

; Pereda, Mariana Raffo

; Aidar, Ana Laura e Silva

; Pereira Júnior, Francisco Amadeu

; Amaral, Fabio Cabral de Freitas

; Vasconcelos, Vladimir Tonello de

; Lustre, Wellington Gianoti

; Amorim, Jorge Eduardo de

; Flumignan, Ronald Luiz Gomes

; Nakano, Luis Carlos Uta

; Baptista-Silva, José Carlos Costa

Sao Paulo Medical Journal

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feb 2022, Volume 140 N. 2 Pages 320 - 327

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Congenital vascular anomalies and hemangiomas (CVAH) such as infantile hemangiomas, port-wine stains and brain arteriovenous malformations (AVMs) impair patients’ lives and may require treatment if complications occur. However, a great variety of treatments for those conditions exist and the best interventions remain under discussion. OBJECTIVE: To summarize Cochrane systematic review (SR) evidence on treatments for CVAH. DESIGN AND SETTING: Review of SRs conducted in the Division of Vascular and Endovascular Surgery of Universidade Federal de São Paulo, Brazil. METHODS: A broad search was conducted on March 9, 2021, in the Cochrane Database of Systematic Reviews to retrieve any Cochrane SRs that assessed treatments for CVAH. The key characteristics and results of all SRs included were summarized and discussed. RESULTS: A total of three SRs fulfilled the inclusion criteria and were presented as a qualitative synthesis. One SR reported a significant clinical reduction of skin redness by at least 20%, with more pain, among 103 participants with port-wine stains. One SR reported that propranolol improved the likelihood of clearance 13 to 16-fold among 312 children with hemangiomas. One SR reported that the relative risk of death or dependence was 2.53 times greater in the intervention arm than with conservative management, among 218 participants with brain AVMs. CONCLUSION: Cochrane reviews suggest that treatment of port-wine stains with pulsed-dye laser improves redness; propranolol remains the best option for infantile hemangiomas; and conservative management seems to be superior to surgical intervention for treating brain AVMs.

https://doi.org/10.1590/1516-3180.2021.0374.r2.15092021

Unsatisfactory completeness of nurses’ records in the medical records of users with tuberculosis
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Silva Júnior, José Nildo de Barros

; Guedes, Haline Costa dos Santos

; Januário, Dilyane Cabral

; Silva, Ana Cristina de Oliveira e

; Palha, Pedro Fredemir

; Nogueira, Matheus Figueiredo

; Barrêto, Anne Jaquelyne Roque

Revista Brasileira de Enfermagem

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2022, Volume 75 N. 3 elocation e20210316

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

RESUMO Objetivos: avaliar a completude dos registros de enfermeiros acerca da execução do processo de enfermagem no cuidado às pessoas com tuberculose na Atenção Primária. Métodos: estudo documental, retrospectivo, com 190 prontuários em Unidades de Saúde da Família de uma cidade no estado da Paraíba. Os dados foram analisados segundo estatística descritiva, Diagrama de Pareto e análise de tendência. Resultados: a média geral de incompletude dos registros foi de 53,01% (DP=26,13). Classificação de completude muito ruim relativa ao diagnóstico de enfermagem (88,9%), avaliação de enfermagem (66,8%), levantamento de dados (60,5%), enquanto as intervenções de enfermagem se classificaram como regular (11,1%). O diagnóstico de enfermagem foi a única variável com tendência de não completude decrescente. Conclusões: incompletude dos registros de enfermeiros nos prontuários dos usuários com tuberculose. Estratégias de avaliação, educação permanente e continuada são indispensáveis na qualidade da documentação dos enfermeiros, implicando diretamente a Sistematização da Assistência de Enfermagem de qualidade.

ABSTRACT Objectives: to evaluate the completeness of nurses’ records on the execution of the nursing process in assistance of tuberculosis patients at Primary Care. Methods: this was a retrospective documental study, with 190 records in Family Health Units of a city in the state of Paraíba. The data were analyzed according to descriptive statistics, Pareto Diagram, and trend analysis. Results: the overall mean incompleteness of records was 53.01% (DP=26.13). Therefore, the results presented very poor completeness classification related to nursing diagnosis (88.9%), nursing assessment (66.8%), data collection (60.5%), while nursing interventions were classified as regular (11.1%). The nursing diagnosis was the only variable with a decreasing trend of non-completeness. Conclusions: incompleteness of nurses’ records in the medical records of users with tuberculosis. Evaluation strategies, permanent and continuing education are indispensable in the quality of nurses’ documentation, directly implying the Systematization of Quality in Nursing Care.

RESUMEN Objetivos: evaluar completud de registros de enfermeros sobre la ejecución del proceso de enfermería en el cuidado a personas con tuberculosis en la Atención Primaria. Métodos: estudio documental, retrospectivo, con 190 prontuarios en Unidades de Salud de la Familia de una ciudad del estado de Paraíba. Datos analizados segundo estadística descriptiva, Diagrama de Pareto y análisis de tendencia. Resultados: mediana general de incompletud de registros fue de 53,01% (DP=26,13). Clasificación de completud muy mala relativa al diagnóstico de enfermería (88,9%), evaluación de enfermería (66,8%), levantamiento de datos (60,5%), mientras intervenciones de enfermería se clasificaron como regular (11,1%). Diagnóstico de enfermería fue la única variable con tendencia de no completud decreciente. Conclusiones: Incompletud de registros de enfermeros en los prontuarios de usuarios con tuberculosis. Estrategias de evaluación, educación permanente y continuada son indispensables en la calidad de documentación de los enfermeros, implicando directamente la Sistematización de Asistencia de Enfermería de calidad.

https://doi.org/10.1590/0034-7167-2021-0316 2 downloads

Telemonitoring of the oral health condition of people with Parkinson's disease during the Covid-19 pandemic
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SILVA, Crislayne Felix da

; OLIVEIRA, Jonatas Silva de

; SILVA, Tales Severiano da

; SILVA FILHO, Nilton José da

; MARQUES, Vittor Galdino

; TAVARES, Raíssa Barreto

; ANDRADE, Maria Eduarda Filgueira Vespasiano Borges

; LINS, Carla Cabral dos Santos Accioly

Revista de Odontologia da UNESP

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2022, Volume 51 elocation e20220003

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

Resumo Introdução Dentre a população mais atingida pela Covid-19 estão os idosos, dentre estes, existem aqueles que têm a doença de Parkinson. Com o distanciamento social devido ao coronavírus, novas estratégias e ferramentas estão sendo utilizadas para o acompanhamento em saúde. Objetivo Descrever as condições de saúde bucal, por meio do telemonitoramento, de pessoas com Parkinson em tempos de Covid-19. Material e método Trata-se de um estudo analítico, quantitativo, de corte transversal. A ferramenta utilizada foi a de videochamada. Os contatos telefônicos foram obtidos das listagens de 154 pacientes do Programa de Extensão Pró-Parkinson da Universidade Federal de Pernambuco. Foi aplicado um questionário semi-estruturado com dados sociodemográficos e práticas diárias de higienização bucal de dentes e próteses, como também se o participante teve ou não necessidade de tratamento odontológico em tempos de Covid-19. Resultado A amostra final foi composta por 64 parkinsonianos. Com relação aos cuidados com a saúde bucal, a frequência de higienização neste período foi de três vezes por dia em 48,44% dos participantes, sendo a escova dental e o creme dental os itens mais utilizados para essa tarefa. Mais da metade da amostra faziam uso de prótese dentária. Os problemas de saúde bucal, mais prevalentes durante esse período de isolamento foram: dor, ferida na boca e necessidade de extração dentária. Conclusão O telemonitoramento foi essencial, pois se tratando da saúde bucal, notou-se que existe ainda um défice muito grande desses pacientes, tanto nas práticas de higienização básicas e informação sobre saúde bucal, como nos cuidados com as próteses dentárias.

Abstract Introduction The elderly are among those most affected by Covid-19, and among them are people with Parkinson's disease. Social distancing, due to the coronavirus, has led to new strategies and tools for health monitoring. Objective To describe the oral health conditions, using telemonitoring, of people with Parkinson's disease during the Covid-19 pandemic. Material and method This is an analytical, quantitative, cross-sectional study. The tool used was the video call. The telephone contacts (n=154) were obtained from lists of patients in the Pro-Parkinson Extension Program at the Federal University of Pernambuco. A semi-structured questionnaire was used to gather sociodemographic data and daily oral hygiene practices for teeth and dentures, and whether or not the participant needed dental treatment, during the Covid-19 pandemic. Result The final sample consisted of 64 Parkinsonian patients. Regarding oral health care, the frequency of hygiene in this period was three times a day among 48.44% of participants, with toothbrush and toothpaste being the items most used for this task. More than half of the sample used dental prostheses. The most common oral health problems during this isolation period were pain, mouth sores and the need for tooth extraction. Conclusion Telemonitoring was essential because it was noted that these patients were deficient in their knowledge of basic hygiene practices and in information on oral health, as well as in the care of dental prostheses.

https://doi.org/10.1590/1807-2577.00322

O ensino da saúde coletiva no Brasil: uma revisão integrativa
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Agostinho Neto, João

; Cavalcante, Patricia Soares

; Silva Filho, José Damião da

; Santos, Francisco Diogenes dos

; Maia, Ana Maria Peixoto Cabral

; Simião, Adriana Rocha

Saúde em Debate

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2022, Volume 46 N. spe6 Pages 281 - 297

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

RESUMO O ensino da saúde coletiva no Brasil contribui para o desenvolvimento técnico-científico do campo, transcendendo a mera abordagem de programas de saúde de forma fragmentada. Assim, objetivou-se neste estudo compreender a operacionalização do ensino em saúde coletiva, na graduação e pós-graduação stricto sensu, no Brasil. Trata-se de uma revisão integrativa de literatura a partir da busca nas bases de dados PubMed, Scopus, PsycINFO, Literatura Latino-americana e do Caribe em Ciências da Saúde (Lilacs), Scientific Electronic Library Online (SciELO) e Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde (Bireme). Foram analisados 21 artigos por título, autor, ano, caracterização e/ou objetivo, metodologia e principais resultados. Conclui-se que a institucionalização de cursos de pós-graduação no campo da saúde coletiva seguiu o movimento educacional da universidade e a Reforma Sanitária Brasileira, ao passo que cursos de graduação só ocorreram na última década. O marco constitucional de 1988 define o ordenamento de recursos humanos para a formação profissional no e para o sistema de saúde no País.

ABSTRACT The teaching of public health in Brazil contributes to the technical-scientific development of the field, transcending the mere approach of health programs in a fragmented way. Thus, the objective of this study was to understand the operationalization of teaching in public health, in the stricto sensu undergraduate and graduate programs, in Brazil. This is an integrative literature review based on a search in PubMed, SCOPUS, PsycINFO, Latin American and Caribbean Health Sciences (LILACS), Scientific Electronic Library Online (SciELO) databases, and the Latin American and Caribbean Center on Health Sciences Information (BIREME). Twenty-one articles were analyzed by title, author, year, characterization and/or objective, methodology, and main results. It is concluded that the institutionalization of graduate courses in the field of public health followed the educational movement of the university and the Brazilian Health Reform, while undergraduate courses only took place in the last decade. The 1988 constitutional framework defines the ordering of human resources for professional training in and for the country’s health system.

https://doi.org/10.1590/0103-11042022e624

10.

O ensino da saúde coletiva no Brasil: uma revisão integrativa
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Agostinho Neto, João

; Cavalcante, Patricia Soares

; Silva Filho, José Damião da

; Santos, Francisco Diogenes dos

; Maia, Ana Maria Peixoto Cabral

; Simião, Adriana Rocha

Saúde em Debate

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2022, Volume 46 N. spe6 Pages 281 - 297

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

https://doi.org/10.1590/0103-11042022e624

11.

Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study
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Lima-Setta, Fernanda

; Magalhães-Barbosa, Maria Clara de

; Rodrigues-Santos, Gustavo

; Figueiredo, Elaine Augusta das Neves

; Jacques, Melissa de Lorena

; Zeitel, Raquel de Seixas

; Sapolnik, Roberto

; Borges, Cibelle Teixeira da Siva

; Lanziotti, Vanessa Soares

; Castro, Roberta Esteves Vieira de

; Bellinat, Ana Paula Novaes

; Silva, Thiago Peres da

; Oliveira, Felipe Rezende Caino de

; Reis, Bárbara Carvalho Santos dos

; Castro, Natália Almeida de Arnaldo Silva Rodriguez

; Macedo, João Henrique Garcia Cobas

; Scarlato, Ana Carolina Cabral Pinheiro

; Riveiro, Paula Marins

; Mota, Isabele Coelho Fonseca da

; Lorenzo, Vivian Botelho

; Lucena, Natalia Martins Lima de

; Azevedo, Zina Maria Almeida de

; Cunha, Antonio José L.A.

; Prata-Barbosa, Arnaldo

Jornal de Pediatria

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jun 2021, Volume 97 N. 3 Pages 354 - 361

Abstract: En | Text: En | PDF: En

Abstract Objective To describe the clinical, laboratory, and radiological characteristics, as well as the outcomes of children with MIS-C. Method Multicenter, prospective cohort study, conducted in 17 pediatric intensive care units in five states in Brazil, from March to July 2020. Patients from 1 month to 19 years who met the MIS-C diagnostic criteria were included consecutively. Results Fifty-six patients were included, with the following conditions: Kawasaki-like disease (n = 26), incomplete Kawasaki disease (n = 16), acute cardiac dysfunction (n = 10), toxic shock syndrome (n = 3), and macrophage activation syndrome (n = 1). Median age was 6.2 years (IQR 2.4−10.3), 70% were boys, 59% were non-whites, 20% had comorbidities, 48% reported a contact with COVID-19 cases, and 55% had a recent SARS-CoV-2 infection confirmed by RT-PCR and/or serology. Gastrointestinal symptoms were present in 71%, shock symptoms in 59%, and severe respiratory symptoms in less than 20%. -Dimer was increased in 80% and cardiac dysfunction markers in more than 75%. Treatment included immunoglobulin (89%); corticosteroids, antibiotics, and enoxaparin in about 50%; and oseltamivir and antifungal therapy in less than 10%. Only 11% needed invasive mechanical ventilation, with a median duration of five days (IQR 5–6.5). The median length of PICU stay was six days (IQR 5–11), and one death occurred (1.8%). Conclusions Most characteristics of the present MIS-C patients were similar to that of other cohorts. The present results may contribute to a broader understanding of SARS-CoV-2 infection in children and its short-term consequences. Long-term multidisciplinary follow-up is needed, since it is not known whether these patients will have chronic cardiac impairment or other sequelae.

https://doi.org/10.1016/j.jped.2020.10.008 281 downloads

12.

Transparency in research and publications on COVID-19
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Souza, Alex Sandro Rolland

; Fernandes, Afra Suassuna

; Vanderlei, Lygia Carmem de Moraes

; Costa, Aurélio Antônio Ribeiro da

; Ferreira, Ana Laura Carneiro Gomes

; Dubeux, Luciana Santos

; Braga, Cynthia

; Cabral Filho, José Eulálio

Revista Brasileira de Saúde Materno Infantil

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feb 2021, Volume 21 Suppl. 1 Pages 5 - 7

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

https://doi.org/10.1590/1806-9304202100s100001 657 downloads

13.

Drivers da adoção de metodologias não tradicionais: estudo de caso no mestrado-integrado de Engenharia Eletrotécnica e de Computadores na Universidade de Trás-os-Montes e Alto Douro, Portugal
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Pereira, Cleber Augusto

; Oliveira, Paulo Moura

; Reis, Manuel José Cabral dos Santos

Texto Livre

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2021, Volume 14 N. 1 elocation e26709

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

Resumo O estudo analisou diversos documentos do curso de mestrado-integrado em Engenharia Elétrica e de Computadores de uma Universidade Pública Portuguesa. Avaliou-se quais são os drivers institucionais1 potencialmente responsáveis pela adoção de novas metodologias no curso. Realizou-se um estudo de caso com abordagem qualitativa baseada em métodos mistos: análise estatística aplicada a corpus textuais e complementada por análise de conteúdo. Como resultados emergiram duas classes de análise de conteúdo: competências e conhecimentos esperados dos estudantes; e aspectos da formação em Engenharia Elétrica e do ciclo de estudos. Identificaram-se sete drivers da adoção de novas metodologias no curso, com base nas teorias da difusão da inovação e teoria institucional: formação, desenvolvimento, competência, ciclo de estudos, novo, tecnologia e UC. Cada um destes drivers possui os seus próprios outcomes (resultados), 16 no total, que apresentam os efeitos percebidos pelos docentes, avaliadores de curso e coordenadores.

Abstract The study analyzed several instruments of the master-integrated course in Electrical and Computer Engineering at a Portuguese Public University. The institutional drivers responsible for adopting new methodologies in the course were evaluated. A case study was carried out with a qualitative approach based on mixed methods: a statistical analysis applied to textual corpus and complemented by content analysis. As a result, two classes of content analysis emerged: skills and knowledge expected from students; and aspects of training in Electrical Engineering and the study cycle. Seven drivers were identified for the adoption of new methodologies in the course, based on the theories of diffusion of innovation and institutional theory: training, development, competence, study cycle, new, technology, and UC. Each of these drivers has its outcomes, 16 in total, which shows the effects perceived by the teachers, course coordinators and evaluators.

https://doi.org/10.35699/1983-3652.2021.26709

14.

Short-time effect of the kangaroo position on electromyographic activity of premature infants: a randomized clinical trial,
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Diniz, Kaísa Trovão

; Cabral Filho, José Eulálio

; Miranda, Rafael Moura

; Lima, Geisy Maria Souza

; Figueredo, Natália Priscila dos Santos

; Araújo, Kalline Fernanda Nunes de

Jornal de Pediatria

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dec 2020, Volume 96 N. 6 Pages 741 - 747

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

Resumo Objetivo: Verificar a influência de curto prazo da Posição Canguru (PC) sobre a atividade eletromiográfica de recém-nascidos prematuros. Método: Foi feito um estudo clínico em um setor da Unidade do Método Mãe Canguru (cuidado secundário e terciário) na cidade de Recife, com 44 neonatos prematuros randomizados em grupos de Intervenção (n = 21) e Controle (n = 23). A Posição Canguru foi feita por meio de uma faixa que apoia o recém-nascido de bruços contra o tórax do adulto, na posição vertical e vestido com poucas peças de roupa, mantém o contato pele a pele com a mãe. Foi usada a Eletromiografia Superficial para investigar a atividade muscular dos bíceps braquiais e músculos isquitobiais. A randomização dos grupos foi feita com o software R (versão 3.3.1)®. Os registros da eletromiografia foram feitos em três momentos: antes da PC e após uma e duas horas da Posição Canguru. No Grupo de Controle, os registros foram feitos nos momentos correspondentes àqueles do Grupo do Método Mãe Canguru. Os valores médios da atividade eletromiográfica entre esses momentos foram analisados pela análise de variância (Anova) de medidas repetidas e por um teste de Kruskal-Wallis. O ensaio clínico foi registrado no Clinical Trials (NCT02849665 – 28/07/2016). Resultados: No Grupo do Método Mãe Canguru (n = 21), houve variação dos valores da atividade eletromiográfica entre os três momentos de registro de atividade dos bíceps braquiais e dos músculos isquitobiais. No Grupo de Controle (n = 23), não houve diferença estatística entre os momentos de registro. Conclusões: A PC aumenta a atividade eletromiográfica de curto prazo dos músculos bíceps braquiais e isquitobiais.

Abstract Objective: To verify the short-term influence of the kangaroo position (KP) on the electromyography activity of preterm newborns. Method: A clinical study was conducted in a kangaroo unit sector (secondary and tertiary care) in the city of Recife, Brazil, with 44 preterm infants randomized to intervention (n = 21) and control (n = 23) groups. The KP was performed through a band that supports the newborn against the adult's thorax, in a prone and vertical position, and infants were dressed with few pieces of clothes, thus keeping skin-to-skin contact with the mother. Surface electromyography was used to investigate the muscle activity of the biceps brachii and hamstrings. The randomization of the groups was performed by the program R® (v. 3.3.1). The electromyography registrations were made at three different times: before the KP and after one and two hours of KP. In the control group, the registrations were performed at the times corresponding to those of the intervention group. The mean values of the electromyography activity among the times were analyzed by ANOVA for repeated measures and the Kruskal–Wallis test. The clinical trial was recorded in ClinicalTrials.gov (NCT02849665 - 07/28/2016). Results: In the intervention group (n = 21), there was a variation of the electromyography activity values between the three recording moments for both the biceps brachii and hamstrings. In the control group (n = 23), there was no statistical difference between the recording moments for both. Conclusions: The KP increases the short-term electromyographic activity of the biceps brachii and hamstrings.

https://doi.org/10.1016/j.jped.2019.10.003 694 downloads

15.

DISINFECTION PROTOCOL AND IN VITRO GERMINATION OF SEEDS OF Dalbergia nigra
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Santos, Maricélia Moreira dos

; Cezario, Luis Filipe Cabral

; Simões, Ingridh Medeiros

; Baptista, Julcinara Oliveira

; Araujo, Caroline Palacio de

; Mello, Tamyris de

; Mayard, Hernesise

; Gonçalves, Elzimar de Oliveira

; Fontes, Milene Miranda Praça

; Schmildt, Edilson Romais

; Lopes, José Carlos

; Caldeira, Marcos Vinicius Winckler

; Alexandre, Rodrigo Sobreira

CERNE

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jun 2020, Volume 26 N. 2 Pages 238 - 246

Abstract: En | Text: En | PDF: En

ABSTRACT The Atlantic Forest is a biome that has suffered anthropic actions, such as the extraction of hardwood, which can lead to the extinction of endemic species of great economic and ecological value, such as Dalbergia nigra. In this perspective, large-scale multiplication studies are necessary to contribute to the conservation of this species. The objective of this work was to establish a protocol for the in vitro production of axenic seedlings of D. nigra. Four experiments were performed: I. Immersion times in NaOCl. II. Disinfecting agents in seed germination of D. nigra. III. NaOCl toxicity in seeds of the model species Lactuca sativa L. IV. Culture media and glutamine in the germination and initial growth of D. nigra. All experiments were arranged in a completely randomized design. For a better disinfestation and less harmful effects to the seedlings, it is recommended that the seeds be treated with 70% alcohol (1 min) and NaOCl (14 min). NaOCl has a high phytotoxic, cytotoxic, and genotoxic effect, and its mechanism of action in the L. sativa cell cycle is clastogenic and aneugenic, suggesting the formation of abnormal seedlings in D. nigra. The WPM medium and its supplementation with glutamine (0.75 mg.L-1) are recommended.

https://doi.org/10.1590/01047760202026022714 443 downloads

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