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Resumo Objetivou-se realizar uma análise espacial da taxa de mortalidade hospitalar (TMH) por síndrome respiratória aguda grave (SRAG) atribuída à COVID-19 em crianças e adolescentes no Brasil no período de 2020 a 2021. Utilizou-se o método de cluster para agrupar as unidades federativas (UFs) com base na TMH. Em 2020, clusters com altas TMHs foram formados por UFs Norte/Nordeste. Em 2021, houve redução na TMH. Os clusters com maiores taxas permaneceram na região N/NE. Diferenças regionais foram observadas nas TMHs. Os achados podem refletir as desigualdades sociais e o acesso à atenção hospitalar, principalmente na faixa etária de menores de 1 ano pela gravidade da doença neste grupo.

Abstract The objective was to perform a spatial analysis of the hospital mortality rate (HMR) due to severe acute respiratory syndrome (SARS) attributed to COVID-19 among children and adolescents in Brazil from 2020 to 2021. A cluster method was used to group federal units (FUs) based on HMR. In 2020, clusters with high HMRs were formed by north/northeast FUs. In 2021, there was a reduction in HMR. Clusters with higher rates remained in the N/NE region. Regional differences were observed in the HMR. The findings may reflect social inequalities and access to hospital care, especially in the under 1-year-old age group due to the severity of the disease in this group.

https://doi.org/10.1590/1413-81232024291.19892022

Spatial analysis of hospital-related mortality due to COVID-19 among children and adolescents in Brazil
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Costa, Silmery da Silva Brito

; Branco, Maria dos Remédios Freitas Carvalho

; Pereira, Andressa Rocha

; Costa, Elisa Miranda

; Araújo, Mayra Sharlenne Moraes

; Oliveira, Daniel Cavalcante de

; Oliveira, Bruno Luciano Carneiro Alves de

; Rangel, Maurício Eduardo Salgado

; Tonello, Aline Sampieri

; Lopes, Denise Ailine Monteiro

; Pinheiro, Vanessa Vieira

; Câmara, Ana Patricia Barros

; Santos, Alcione Miranda dos

; Vasconcelos, Vitor Vieira

Ciência & Saúde Coletiva

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2024, Volume 29 N. 1 elocation e19892022

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

https://doi.org/10.1590/1413-81232024291.19892022

Spatial analysis of hospital-related mortality due to COVID-19 among children and adolescents in Brazil
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Costa, Silmery da Silva Brito

; Branco, Maria dos Remédios Freitas Carvalho

; Pereira, Andressa Rocha

; Costa, Elisa Miranda

; Araújo, Mayra Sharlenne Moraes

; Oliveira, Daniel Cavalcante de

; Oliveira, Bruno Luciano Carneiro Alves de

; Rangel, Maurício Eduardo Salgado

; Tonello, Aline Sampieri

; Lopes, Denise Ailine Monteiro

; Pinheiro, Vanessa Vieira

; Câmara, Ana Patricia Barros

; Santos, Alcione Miranda dos

; Vasconcelos, Vitor Vieira

Ciência & Saúde Coletiva

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2024, Volume 29 N. 1 elocation e19892022

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

https://doi.org/10.1590/1413-81232024291.19892022

Spatial analysis of hospital-related mortality due to COVID-19 among children and adolescents in Brazil
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Costa, Silmery da Silva Brito

; Branco, Maria dos Remédios Freitas Carvalho

; Pereira, Andressa Rocha

; Costa, Elisa Miranda

; Araújo, Mayra Sharlenne Moraes

; Oliveira, Daniel Cavalcante de

; Oliveira, Bruno Luciano Carneiro Alves de

; Rangel, Maurício Eduardo Salgado

; Tonello, Aline Sampieri

; Lopes, Denise Ailine Monteiro

; Pinheiro, Vanessa Vieira

; Câmara, Ana Patricia Barros

; Santos, Alcione Miranda dos

; Vasconcelos, Vitor Vieira

Ciência & Saúde Coletiva

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2024, Volume 29 N. 1 elocation e19892022

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

https://doi.org/10.1590/1413-81232024291.19892022

COVID-19 severe acute respiratory syndrome in Brazilian newborns in 2020-2021
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Pereira, Andressa Rocha

; Branco, Maria dos Remédios Freitas Carvalho

; Costa, Silmery da Silva Brito

; Lopes, Denise Ailine Monteiro

; Pinheiro, Vanessa Vieira

; Oliveira, Daniel Cavalcante de

; Pasklan, Amanda Namíbia Pereira

; Gomes, Jamesson Amaral

; Santos, Alcione Miranda dos

; Gama, Mônica Elinor Alves

Revista Brasileira de Epidemiologia

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2023, Volume 26 elocation e230012

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

RESUMO Objetivo: Descrever as características clínicas dos casos de Síndrome Respiratória Aguda Grave (SRAG) por COVID-19 em recém-nascidos (RNs) em 2020 e 2021, no Brasil, registrados no Sistema de Informação da Vigilância Epidemiológica da Gripe (SIVEP-Gripe). Métodos: As variáveis analisadas foram: sexo, raça/cor, hospitalização, internação em unidade de terapia intensiva (UTI), uso de suporte ventilatório, sinais e sintomas (febre, tosse, saturação de O2<95%, dispneia, desconforto respiratório, diarreia e vômitos), evolução (óbito ou cura), fatores de risco/comorbidades. As variáveis categóricas foram apresentadas em frequências absolutas e relativas. Resultados: Houve 1.649 registros de SRAG por COVID-19 em RNs, com predomínio de pardos nos dois anos. Os sintomas mais frequentes foram, respectivamente, em 2020 e 2021: desconforto respiratório (67,0 e 69,7%), febre (46,3 e 46,2%) e tosse (37,0 e 46,3%). Em 2020, 30,5% dos pacientes receberam suporte ventilatório invasivo, e 41,6% em 2021. Além disso, mais de 55% dos casos precisaram de internação em UTI, e acima de 16% morreram. Conclusão: Destaca-se a elevada proporção de casos que precisou de cuidados intensivos e que evoluíram para óbito.

ABSTRACT Objective: To describe the clinical characteristics of cases of COVID-19 severe acute respiratory syndrome (SARS) in Brazilian newborns (NBs) in 2020 and 2021, recorded in the Influenza Epidemiological Surveillance Information System (Sistema de Informação da Vigilância Epidemiológica da Gripe — SIVEP-Gripe). Methods: The variables analyzed were gender, race/skin color, hospitalization, intensive care unit (ICU) admission, use of ventilatory support, signs and symptoms (fever, cough, O2 saturation<95%, dyspnea, respiratory distress, diarrhea, and vomiting), progress (death or cure), risk factors/comorbidities. Categorical variables were expressed as absolute and relative frequencies. Results: We found 1,649 records of COVID-19 SARS in NBs, with a predominance of multiracial babies in both years. The most frequent symptoms in 2020 and 2021 were, respectively: respiratory distress (67.0 and 69.7%), fever (46.3 and 46.2%), and cough (37.0 and 46.3%). In 2020, 30.5% of patients received invasive ventilatory support; in 2021, this number was 41.6%. In addition, more than 55% of cases required ICU admission, and over 16% died. Conclusion: We emphasize the high proportion of cases that required intensive care and progressed to death.

https://doi.org/10.1590/1980-549720230012

COVID-19 severe acute respiratory syndrome in Brazilian newborns in 2020-2021
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Pereira, Andressa Rocha

; Branco, Maria dos Remédios Freitas Carvalho

; Costa, Silmery da Silva Brito

; Lopes, Denise Ailine Monteiro

; Pinheiro, Vanessa Vieira

; Oliveira, Daniel Cavalcante de

; Pasklan, Amanda Namíbia Pereira

; Gomes, Jamesson Amaral

; Santos, Alcione Miranda dos

; Gama, Mônica Elinor Alves

Revista Brasileira de Epidemiologia

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2023, Volume 26 elocation e230012

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

https://doi.org/10.1590/1980-549720230012

Factors associated with the time to treat breast cancer in the pandemic period: an observational study
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Silva, Denise Montenegro da

; Castro, Régia Christina Moura Barbosa

; Fernandes, Ana Fátima Carvalho

; Corpes, Erilaine de Freitas

; Santos, Cristina Poliana Rolim Saraiva dos

; Rodrigues, Andrea Bezerra

Revista Brasileira de Enfermagem

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2023, Volume 76 Suppl. 1 elocation e20220428

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

ABSTRACT Objectives: to analyze the factors associated with the time to surgical treatment for breast cancer in patients seen at a reference mastology outpatient clinic in the State of Ceará. Methods: analytical, longitudinal study with medical charts from the Mastology Outpatient Clinic of Assis Chateaubriand Maternity School. We used 140 medical charts of breast cancer patients with surgeries performed during the pandemic. Results: the study evidenced associations between schooling and shorter time to treatment in patients who underwent biopsy before the first outpatient visit (p = 0.026; OR: 0.16; CI = 0.03-0.85); in the group who had the biopsy performed by the outpatient clinic, was associated the type of tumor (p = 0.019) and neoadjuvant therapy (p = 0.000). Conclusions: the lesser educational level, tumor type, and use of neoadjuvant therapy were factors associated with the time to treatment during the pandemic period.

RESUMEN Objetivos: analizar los factores relacionados al tiempo para tratamiento quirúrgico del cáncer de mama en pacientes atendidas en ambulatorio de mastología de referencia en el estado de Ceará. Métodos: estudio analítico, longitudinal, realizado con prontuarios del Ambulatorio de Mastología de la Maternidad Escuela Assis Chateaubriand. Fueron utilizados 140 prontuarios de pacientes con cáncer de mama con cirugías realizadas durante el período pandémico. Resultados: el estudio evidenció relaciones entre la escolaridad y el menor tiempo para tratamiento en las pacientes que realizaron biopsia antes de la primera consulta ambulatoria (p = 0,026; OR: 0,16; IC = 0,03-0,85); en el grupo que realizó la biopsia por el ambulatorio, estuvieron relacionados el tipo de tumor (p = 0,019) y la neoadyuvancia (p = 0,000). Conclusiones: el menor nivel educacional, el tipo de tumor y la utilización de la neoadyuvancia fueron factores relacionados al tiempo para tratamiento durante el período pandémico.

RESUMO Objetivos: analisar os fatores associados ao tempo para tratamento cirúrgico do câncer de mama em pacientes atendidas em ambulatório de mastologia de referência no estado do Ceará. Métodos: estudo analítico, longitudinal, realizado com prontuários do Ambulatório de Mastologia da Maternidade Escola Assis Chateaubriand. Foram utilizados 140 prontuários de pacientes com câncer de mama com cirurgias realizadas durante o período pandêmico. Resultados: o estudo evidenciou associações entre a escolaridade e o menor tempo para tratamento nas pacientes que realizaram biópsia antes da primeira consulta ambulatorial (p = 0,026; OR: 0,16; IC = 0,03-0,85); no grupo que realizou a biópsia pelo ambulatório, estiveram associados o tipo de tumor (p = 0,019) e a neoadjuvância (p = 0,000). Conclusões: o menor nível educacional, o tipo de tumor e a utilização da neoadjuvância foram fatores associados ao tempo para tratamento durante o período pandêmico.

https://doi.org/10.1590/0034-7167-2022-0428

Detection of HPV DNA in vaginal samples self-collected by women living with HIV treated through the Brazilian public health system: Prevalence and analysis of risk factors
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Silveira, Mariângela Freitas da

; Buffarini, Romina

; Gaspar, Pâmela Cristina

; Machado, Hanalydia de Melo

; Bazzo, Maria Luiza

; Scherer, Aline

; Colusso, Álvaro Luis

; Travassos, Ana Gabriela Álvares

; Arakaki-Sanchez, Denise

; Baia-da-Silva, Djane Clarys

; Oliveira, Eduardo Campos de

; Zago, Isabella Ribeiro

; Moura, Marcos de Assis

; Lacerda, Marcus Vinicius Guimarães de

; Martins, Simone Murta

; Reuter, Tânia

; Pinto, Valdir Monteiro

; Perini, Waltesia

; Pereira, Gerson Fernando Mendes

; Miranda, Angélica Espinosa

Revista da Sociedade Brasileira de Medicina Tropical

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2023, Volume 56 elocation e0277-2023

Abstract: En | Text: En | PDF: En

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

[SciELO Preprints] - Economic impact of new biosafety recommendations for dental clinical practice during COVID-19 pandemic
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Cavalcanti, Yuri Wanderley Silva, Rennis Oliveira da Ferreira, Leonardo de Freitas Lucena, Edson Hilan Gomes Souza, Andreza Maria Luzia Baldo de Cavalcante, Denise de Fátima Barros Meneghim, Marcelo de Castro Pereira, Antonio Carlos

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Publication date: 2020-06-19

Abstract: En Pt

COVID-19 pandemic implied new biosafety recommendations to avoid dissemination of SARS-CoV-2 virus within healthcare centers. Changes on recommended personal protective equipment (PPE), decontamination protocols and organization of patient demand resulted may result in cost variation. Based on this, the present study aimed to evaluate the economic impact of new biosafety recommendations for oral healthcare assistance during COVID-19. An Activity Based Costing evaluation was used to calculate the acquisition of PPE and decontamination solutions recommended for dental practice during COVID-19 pandemic in Brazil. PPE and decontamination solutions quantity and frequency of use were based on the newly COVID-19 recommendations. Costs (in Brazilian Real – R$) for biosafety recommendations pre- and post-COVID-19 were outlined and calculated for each patient, service shift and year. A sensitivity analysis considered 20% to 50% variation of direct costs. Previously to COVID-19 pandemic, direct costs of biosafety recommendations consisted of R$0.84 per patient, R$6.69 per service shift and R$3,413.94 per year. Post-COVID-19 costs of biosafety recommendations resulted in R$16.01 per patient, R$128.07 per service shift, and R$32,657.96 per year. Yearly costs can vary between R$26,126.37 and R$39,189.56. The annual budget increase necessary to adopt post-COVID biosafety recommendations was R$29,244.02. Newly biosafety recommendations increased significantly the costs of oral healthcare assistance during COVID-19 pandemic. Decision making of healthcare managers must consider rational and equity allocation of financial resources.

A pandemia da COVID-19 implicou novas recomendações de biossegurança para evitar a disseminação do vírus SARS-CoV-2 nos centros de saúde. Alterações nos equipamentos de proteção individual (EPI) recomendados, protocolos de descontaminação e organização da demanda de pacientes resultaram em variações de custos. Com base nisso, o presente estudo teve como objetivo avaliar o impacto econômico de novas recomendações de biossegurança para assistência à saúde bucal durante a COVID-19. Uma avaliação do Custeio Baseado em Atividade foi usada para calcular a aquisição de EPI e soluções de descontaminação recomendadas para a prática odontológica durante a pandemia da COVID-19 no Brasil. A quantidade e a frequência de uso de EPI e das soluções de descontaminação foram baseadas nas novas recomendações da COVID-19. Os custos (em Reais Brasileiros – R$) das recomendações de biossegurança pré- e pós-COVID-19 foram delineados e calculados para cada paciente, turno de serviço e ano. Uma análise de sensibilidade considerou uma variação de 20% a 50% dos custos diretos. Anteriormente à pandemia da COVID-19, os custos diretos das recomendações de biossegurança consistiam em R$0,84 por paciente, R$6,69 por turno de serviço e R$3.413,94 por ano. Os custos pós-COVID-19 das recomendações de biossegurança resultaram em R$16,01 por paciente, R$128,07 por turno de serviço e R$32.657,96 por ano. Os custos anuais podem variar entre R$26.126,37 e R$39.189,56. O aumento do orçamento anual necessário para adotar as recomendações de biossegurança pós-COVID foi de R$29.244,02. As novas recomendações de biossegurança aumentaram significativamente os custos da assistência à saúde bucal durante a pandemia da COVID-19. A tomada de decisão dos gerentes de saúde deve considerar a alocação racional e equitativa dos recursos financeiros.

https://doi.org/10.1590/SciELOPreprints.781

10.

BRAZILIAN SOCIETY OF HEPATOLOGY UPDATED RECOMMENDATIONS FOR DIAGNOSIS AND TREATMENT OF HEPATOCELLULAR CARCINOMA
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CHAGAS, Aline Lopes

; MATTOS, Angelo Alves de

; CARRILHO, Flair José

; BITTENCOURT, Paulo Lisboa

; VEZOZZO, Denise Cerqueira Paranaguá

; HORVAT, Natally

; ROCHA, Manoel de Souza

; ALVES, Venâncio Avancini Ferreira

; CORAL, Gabriela Perdomo

; ALVARES-DA-SILVA, Mario Reis

; BARROS, Fabio Marinho do Rego

; MENEZES, Marcos Roberto

; MONSIGNORE, Lucas Moretti

; COELHO, Fabricio Ferreira

; SILVA, Renato Ferreira da

; SILVA, Rita de Cássia Martins Alves

; BOIN, Ilka de Fatima Santana Ferreira

; D`ALBUQUERQUE, Luiz Augusto Carneiro

; GARCIA, José Huygens Parente

; FELGA, Guilherme Eduardo Gonçalves

; MOREIRA, Airton Mota

; BRAGHIROLI, Maria Ignez Freitas Melro

; HOFF, Paulo Marcelo Gehm

; MELLO, Vivianne Barretto de

; DOTTORI, Mariana Fonseca

; BRANCO, Tiago Pugliese

; SCHIAVON, Leonardo de Lucca

; COSTA, Thaisa de Fátima Almeida

Arquivos de Gastroenterologia

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2020, Volume 57 Suppl. 1 Pages 1 - 20

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

RESUMO O carcinoma hepatocelular (CHC) é uma das principais causas de mortalidade relacionada a câncer no Brasil e no mundo. A Sociedade Brasileira de Hepatologia (SBH) publicou em 2015 suas primeiras recomendações sobre a abordagem do CHC. Desde então, novas evidências sobre o diagnóstico e tratamento do CHC foram relatadas na literatura médica, levando a diretoria da SBH a promover uma reunião monotemática sobre câncer primário de fígado em agosto de 2018 com o intuito de atualizar as recomendações sobre o manejo da neoplasia. Um grupo de experts foi convidado para realizar uma revisão sistemática da literatura e apresentar uma atualização baseada em evidências científicas visando que pudesse nortear a prática clínica multidisciplinar do CHC. O texto resultante foi submetido a avaliação e aprovação de todos membros da SBH através de sua homepage. O documento atual é a versão final que contêm as recomendações atualizadas e revisadas da SBH.

ABSTRACT Hepatocellular carcinoma (HCC) is one of the leading causes of cancer-related mortality worldwide. The Brazilian Society of Hepatology (SBH) published in 2015 its first recommendations about the management of HCC. Since then, new data have emerged in the literature, prompting the governing board of SBH to sponsor a single-topic meeting in August 2018 in São Paulo. All the invited experts were asked to make a systematic review of the literature reviewing the management of HCC in subjects with cirrhosis. After the meeting, all panelists gathered together for the discussion of the topics and the elaboration of updated recommendations. The text was subsequently submitted for suggestions and approval of all members of the Brazilian Society of Hepatology through its homepage. The present manuscript is the final version of the reviewed manuscript containing the recommendations of SBH.

https://doi.org/10.1590/s0004-2803.202000000-20 4088 downloads

11.

Economic Impact of New Biosafety Recommendations for Dental Clinical Practice During COVID-19 Pandemic
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Cavalcanti, Yuri Wanderley

; Silva, Rennis Oliveira da

; Ferreira, Leonardo de Freitas

; Lucena, Edson Hilan Gomes de

; Souza, Andreza Maria Luzia Baldo de

; Cavalcante, Denise de Fátima Barros

; Meneghim, Marcelo de Castro

; Pereira, Antonio Carlos

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2020, Volume 20 Suppl. 1 elocation e0133

Abstract: En | Text: En | PDF: En

Abstract COVID-19 pandemic implied new biosafety recommendations to avoid dissemination of SARS-CoV-2 virus within healthcare centers. Changes on recommended personal protective equipment (PPE), decontamination protocols and organization of patient demand resulted may result in cost variation. Based on this, the present study aimed to evaluate the economic impact of new biosafety recommendations for oral healthcare assistance during COVID-19. An Activity Based Costing evaluation was used to calculate the acquisition of PPE and decontamination solutions recommended for dental practice during COVID-19 pandemic in Brazil. PPE and decontamination solutions quantity and frequency of use were based on the newly COVID-19 recommendations. Costs (in Brazilian Real - R$) for biosafety recommendations pre- and post-COVID-19 were outlined and calculated for each patient, service shift and year. A sensitivity analysis considered 20% variation of direct costs. Previously to COVID-19 pandemic, direct costs of biosafety recommendations consisted of R$0.84 per patient, R$6.69 per service shift and R$3,413.94 per year. Post-COVID-19 costs of biosafety recommendations resulted in R$16.01 per patient, R$128.07 per service shift, and R$32,657.96 per year. Yearly costs can vary between R$26,126.37 and R$39,189.56. The annual budget increase necessary to adopt post-COVID biosafety recommendations was R$29,244.02. Newly biosafety recommendations increased significantly the costs of oral healthcare assistance during COVID-19 pandemic. Decision making of healthcare managers must consider rational and equity allocation of financial resources.

https://doi.org/10.1590/pboci.2020.143 1366 downloads

12.

Production and development of Vanillosmopsis arbórea Baker seedlings
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Marco, Cláudia Araújo

; da Silva, Toshik Iarley

; dos Santos, Tainá Macédo

; dos Santos, Hernandes Rufino

; Freitas Júnior, Silvério de Paiva

; Leite Chaves, Josyelem Tiburtino

; dos Santos, Maria Denise Rodrigues

Acta Agronómica

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jun 2019, Volume 68 N. 1 Pages 22 - 28

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

Resumen En la meseta de Araripe la intensa actividad antrópica resulta en la degradación y el riesgo de extinción de especies medicinales nativas como Vanillosmopsis arborea Baker (comúnmente llamada Candeeiro). El objetivo de esta investigación fue evaluar los principales métodos de propagación y evaluar la supervivencia de plántulas en diferentes ambientes. Se instalaron dos experimentos en la sede de IBAMA, ubicada en el Bosque Nacional de Araripe (FLONA), Crato, Estado de Ceará, Brasil. Se evaluaron el potencial de producción de plántulas y el corte de tallos y raíces, así como la adaptación de éstas a los ambientes área experimental y hábitat natural. Para la producción de plántulas, el diseño experimental fue completamente aleatorio en un esquema factorial 4 x 2 (cuatro temporadas de siembra y dos entornos distintos), con tres repeticiones y veinticinco semillas por repetición, con un total de 600 semillas. Para la evaluación del efecto del sustrato utilizado, el tipo de corte y el entorno, los tratamientos se distribuyeron en un diseño completamente al azar en un esquema factorial de 2 x 4, que correspondía a dos tipos de cortes y cuatro sustratos en dos repeticiones con 72 cortes por réplica. También se evaluaron el número de esquejes vivos con callos de esquejes con raíces, masa verde y seca de la raíz, persistencia de la hoja, altura y supervivencia de las plántulas. El desarrollo de las plántulas fue significativamente mayor en el área experimental, lo que indica que V. arborea puede ser explotarse racionalmente. La propagación por esquejes de la planta no fue exitosa, por lo que es necesario evaluar otros sistemas de multiplicación.

Abstract In the Araripe Plateau (Ceará, Brasil), there is an intense anthropic activity that results in the degradation and risk of extinction of native medicinal species such as Vanillosmopsis arborea Baker (commonly named as Candeeiro). The aim of this research was to assess the main propagation methods of this species and to evaluate the survival of the seedlings in different environments. Two experiments were installed in the headquarters house of IBAMA situated in the Araripe National Forest (FLONA), Crato, State of Ceará, Brazil. The potential of seedling production and stem and root cuttings were evaluated, as well as seedlings adaptation to both environments (experimental area and natural habitat). For seedlings production, the experimental design was completely randomized in a 4 x 2 factorial scheme (four sowing seasons and two distinct environments), with three replications and twenty-five seeds per replicate, with a total of 600 seeds. For evaluation of substrate effect, cutting type and environment, treatments were distributed in a completely randomized design, in a 2 x 4 factorial scheme, which corresponded to two types of cuttings and four substrates in two replications with 72 cuttings per replicate. The number of live cuttings with callus of rooted cuttings, root fresh mass and root dry mass, leaf persistence, height and survival of the seedlings were also evaluated. Seedlings development was significantly greater in the experimental area indicating that V. arborea is a plant that can be rationally exploited. It is recommended that for the propagation of the species, other types of propagules should be tested since there was no success with the use of root cuttings.

https://doi.org/10.15446/acag.v68n1.69031 180 downloads

13.

Práticas exitosas dos preceptores de uma residência multiprofissional: interface com a interprofissionalidade
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Arnemann, Cristiane Trivisiol

; Kruse, Maria Henriqueta Luce

; Gastaldo, Denise

; Jorge, Alan Cristian Rodrigues

; Silva, André Luis da

; Margarites, Ane Glauce Freitas

; Pires, Cassio Lamas

; Kuplich, Nádia Mora

; Santos, Maite Telles dos

; Condessa, Robledo Leal

Interface - Comunicação, Saúde, Educação

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2018, Volume 22 Suppl. 2 Pages 1635 - 1646

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

Resumo Nosso artigo, fundamentado na Pesquisa Apreciativa, apresenta e discute as melhores práticas de um grupo de preceptores de um programa de residência multiprofissional em Saúde. As melhores práticas identificadas são: a consulta multiprofissional, o acolhimento dos residentes e as ações integradas entre as diferentes ênfases da residência. Além dessas, identificaram-se as estratégias para desenvolver as práticas nos cenários de saúde que seguem os pressupostos da educação interprofissional, já que promovem a reflexão de diferentes atores do processo na construção de práticas que buscam maior atenção à saúde dos usuários do Sistema Único de Saúde (SUS).

ABSTRACT In this article, based on Appreciative Inquiry, we present and discuss the best practices of a group of preceptors from a multiprofessional health residency program in Brazil. The best practices we identified are the multiprofessional consultation, the reception given to residents, and the integrated actions among different majors of the residency. In addition, we identified their strategies to develop the practices in health settings. The practices follow the presuppositions of interprofessional education, as they promote the reflection of different actors on the construction of practices that aim at the provision of better healthcare for users of the Brazilian National Health System (SUS).

Resumen Nuestro artículo, fundamentado en la investigación apreciativa, presenta y discute las mejores prácticas de un grupo de preceptores de un Programa de Residencia Multiprofesional en Salud. las mejores prácticas identificadas son: la consulta multiprofesional, la acogida de los residentes y las acciones integradas entre los diferentes énfasis de la residencia. Además de esas, se identificaron las estrategias para desarrollar las prácticas en los escenarios de Salud que siguen los supuestos de la educación interprofesional, puesto que promueven la reflexión de diferentes actores del proceso en la construcción de prácticas que buscan una mejor atención de la salud de los usuarios del Sistema Brasileño de Salud (SUS).

https://doi.org/10.1590/1807-57622017.0841 14 downloads

14.

Práticas exitosas dos preceptores de uma residência multiprofissional: interface com a interprofissionalidade
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Arnemann, Cristiane Trivisiol

; Kruse, Maria Henriqueta Luce

; Gastaldo, Denise

; Jorge, Alan Cristian Rodrigues

; Silva, André Luis da

; Margarites, Ane Glauce Freitas

; Pires, Cassio Lamas

; Kuplich, Nádia Mora

; Santos, Maite Telles dos

; Condessa, Robledo Leal

Interface - Comunicação, Saúde, Educação

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2018, Volume 22 Suppl. 2 Pages 1635 - 1646

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

https://doi.org/10.1590/1807-57622017.0841 4741 downloads

15.

Assessment of the responsiveness of a public health service from the perspective of older adults
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Melo, Denise da Silva

; Martins, René Duarte

; Jesus, Renata Patrícia Freitas Soares de

; Samico, Isabella Chagas

; Santo, Antônio Carlos Gomes do Espírito

Revista de Saúde Pública

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2017, Volume 51 elocation 62

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

RESUMO OBJETIVO Avaliar a qualidade da atenção à saúde da população idosa usando como parâmetro a avaliação da responsividade do serviço. MÉTODOS Trata-se de um estudo descritivo, de corte transversal, realizado em uma unidade de referência do Sistema Único de Saúde em nível ambulatorial. A amostra foi probabilística composta por 385 idosos e a coleta de dados ocorreu em 2014. Foram avaliados os domínios: escolha, autonomia, confidencialidade, dignidade, comunicação, instalações físicas e atendimento rápido. Para tanto, foram utilizados o teste de correlação de Pearson e o teste de Fisher. RESULTADOS Os domínios dignidade, confidencialidade e comunicação atingiram o maior nível de responsividade adequada. Por outro lado, a liberdade de escolha e o atendimento rápido receberam as piores avaliações. A participação na tomada de decisões a respeito do tratamento foi significativamente menor entre os idosos que não frequentaram a escola. Além disso, os idosos que se autodeclararam negros receberam um atendimento de menor qualidade no que diz respeito à explicação clara e a privacidade respeitada mediante consulta, quando comparados aos usuários de outra raça. CONCLUSÕES Apesar de a maioria dos domínios estudados receberem uma avaliação positiva, evidenciou-se a necessidade de um atendimento igualitário por parte dos profissionais de saúde, independentemente de raça, nível de escolaridade ou qualquer outra característica adjetiva referente aos usuários idosos atendidos nos serviços de saúde públicos.

ABSTRACT OBJECTIVE To assess the quality of health care of older adults using as a parameter the assessment of the responsiveness of the service. METHODS This is a descriptive cross-sectional study conducted in a reference unit of the Brazilian Unified Health System at the outpatient level. The sample was probabilistic and had 385 older adults; data collection occurred in 2014. The domains assessed were: choice, autonomy, confidentiality, dignity, communication, physical facilities, and fast service. To this end, we used Pearson correlation test and Fisher’s exact test. RESULTS The domains of dignity, confidentiality, and communication reached the highest level of adequate responsiveness. On the other hand, freedom of choice and fast service received the worst assessments. Participation in decision-making regarding treatment was significantly lower among the older adults who had no education. In addition, the older adults that self-reported as black receive a lower quality of care regarding clear explanation and respected privacy in the appointment, when compared to users of any other race. CONCLUSIONS Although most domains studied have receive a positive assessment, we have found a need for an equal care by the health professionals, regardless of race, education level, or any other adjective characteristic of older adults, users of public health services.

https://doi.org/10.1590/s1518-8787.2017051006854 1834 downloads

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