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Resumo: A Estratégia de Prevenção e Atenção à Obesidade Infantil (PROTEJA) visa promover a implementação de um pacote de ações para prevenção da obesidade no Brasil. Este estudo apresenta as etapas de desenho operacional, proposta geral, avaliação e monitoramento do PROTEJA realizadas pela coordenação técnica do Ministério da Saúde. Trata-se de um estudo qualitativo baseado em análise descritiva documental. A formulação da estratégia envolveu análise de dados epidemiológicos de crianças brasileiras, análise de políticas existentes, e uma revisão da literatura científica e das recomendações O PROTEJA foi então formulado e aprovado pelo Ministério da Saúde e 1.320 municípios se comprometeram a implementar 20 ações essenciais e 5 complementares das 41 ações, incluindo algumas estruturais para melhoria dos ambientes. A estratégia é coordenada pelo Ministério da Saúde em parceria com governos subnacionais e universidades. Sua implementação conta com apoio de uma equipe em nível local, e prevê a avaliação da implementação e de impacto. As ações serão monitoradas anualmente, e os indicadores também implicarão nos incentivos financeiros. O PROTEJA é uma estratégia forte, baseada em evidências e inovadora que visa promover ambientes saudáveis nas cidades, mas sua implementação é desafiadora. Não obstante, apresenta um possível caminho para a reversão da obesidade infantil. Também pode agregar à ciência de implementação e contribuir para o desenvolvimento e aprimoramento de políticas públicas de prevenção da obesidade.

Resumen: La Estrategia Brasileña para la Prevención y Atención de la Obesidad Infantil (PROTEJA) tiene como objetivo promover la implementación de un conjunto de acciones para prevenir la obesidad en Brasil. Este estudio presenta las etapas del diseño operativo, la propuesta general, la evaluación y el seguimiento de PROTEJA realizadas por la coordinación técnica del Ministerio de Salud brasileño. Se trata de un estudio cualitativo basado en el análisis descriptivo de documentos. La formulación de la estrategia implicó el análisis de datos epidemiológicos de niños brasileños, el análisis de las políticas existentes y una revisión de la literatura científica y de las recomendaciones. PROTEJA fue entonces formulado y aprobado por el Ministerio de Salud, y 1.320 municipios se comprometieron a implementar 20 acciones esenciales y 5 complementarias de las 41 acciones, incluidas algunas estructurales para mejorar los entornos. La estrategia es coordinada por el Ministerio de Salud en colaboración con gobiernos subnacionales y universidades. Su implementación cuenta con el apoyo de un equipo a nivel local, y prevé una evaluación de la implementación y de impacto. Las acciones se monitorearán anualmente, y los indicadores también implicarán incentivos económicos. PROTEJA es una estrategia sólida, basada en evidencias e innovadora que busca promover entornos saludables en las ciudades, pero su implementación es un desafío. Sin embargo, presenta una posible vía para revertir la obesidad infantil. También puede agregar a la ciencia de implementación y contribuir al desarrollo y a la mejora de políticas públicas para prevenir la obesidad.

Abstract: The Brazilian Strategy for the Prevention and Care of Childhood Obesity (PROTEJA) aims to implement a set of actions to prevent obesity in Brazil. As such, this qualitative and descriptive documentary study presents the Strategy’s stages of the operational design, general proposal, evaluation and monitoring conducted by the Brazilian Ministry of Health’s technical coordination. After analyzing the epidemiological data on children and the existing policies aimed at obesity prevention, and reviewing the scientific literature and recommendations, PROTEJA was formulated and approved by the Brazilian Ministry of Health, and 1,320 municipalities committed to implementing 20 essential and 5 complementary actions, from 41, including some structural to improve environments. Coordinated by the Brazilian Ministry of Health in partnership with subnational governments and universities, the Strategy also relies on a local team for implementation support, as well as implementation and impact evaluations. Actions will be monitored annually, and the indicators will impact financial incentives. As a strong, evidence-based and innovative strategy aiming to promote healthy environments in cities, PROTEJA has the potential to open a path to childhood obesity reversal, as well as add to the implementation science and contribute to the development and improvement of public policies for obesity prevention; however, its implementation remains a challenge.

https://doi.org/10.1590/0102-311xen117722

Quality of child anthropometric data from SISVAN, Brazil, 2008-2017
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Silva, Natanael de Jesus

; Silva, Juliana Freitas de Mello e

; Carrilho, Thaís Rangel Bousquet

; Pinto, Elizabete de Jesus

; Andrade, Rafaella da Costa Santin de

; Silva, Sara Araújo

; Pedroso, Jéssica

; Spaniol, Ana Maria

; Bortolini, Gisele Ane

; Fagundes, Andhressa

; Nilson, Eduardo Augusto Fernandes

; Fiaccone, Rosemeire Leovigildo

; Kac, Gilberto

; Barreto, Maurício Lima

; Ribeiro-Silva, Rita de Cássia

Revista de Saúde Pública

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2023, Volume 57 elocation 62

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

RESUMO OBJETIVOS Avaliar a qualidade dos dados antropométricos de crianças registradas no Sistema de Vigilância Alimentar e Nutricional (Sisvan) no período 2008-2017. MÉTODOS Estudo descritivo sobre a qualidade dos dados antropométricos de crianças menores de 5 anos atendidas nos serviços de atenção primária do Sistema Único de Saúde, a partir das bases de dados individuais do Sisvan. A qualidade dos dados foi avaliada anualmente por meio dos indicadores: cobertura, completude, razão entre sexos, distribuição da idade, preferência por dígitos de peso e estatura, valores de escore-z implausíveis, desvio-padrão e normalidade dos escores-z. RESULTADOS No total, 73.745.023 registros e 29.852.480 crianças foram identificados. A cobertura aumentou de 17,7% em 2008 para 45,4% em 2017. A completude da data de nascimento, peso e estatura correspondeu a quase 100% para todos os anos. A razão entre sexos foi equilibrada e aproximadamente similar a razão esperada, variando entre 0,8 e 1. A distribuição da idade revelou maiores percentuais de registros entre as idades de 2 a 4 anos até meados de 2015. Uma preferência pelos dígitos terminais “zero” e “cinco” foi identificada entre os registros de peso e estatura. As porcentagens de escores-z implausíveis excederam 1% para todos os índices antropométricos, com redução dos valores a partir de 2014. Uma alta dispersão dos escores-z, incluindo desvios-padrão entre 1,2 e 1,6, foi identificada principalmente nos índices incluindo estatura e nos registros de crianças menores de 2 anos e residentes das regiões Norte, Nordeste e Centro-Oeste. A distribuição dos escores-z foi simétrica para todos os índices e platicúrtica para estatura/idade e peso/idade. CONCLUSÕES A qualidade dos dados antropométricos do Sisvan para crianças menores de 5 anos melhorou substancialmente entre 2008 e 2017. Alguns indicadores requerem atenção, sobretudo para medidas de estatura, cuja qualidade foi principalmente inferior entre os grupos mais vulneráveis a agravos nutricionais.

ABSTRACT OBJECTIVE To evaluate the quality of anthropometric data of children recorded in the Food and Nutrition Surveillance System (SISVAN) from 2008 to 2017. METHOD Descriptive study on the quality of anthropometric data of children under five years of age admitted in primary care services of the Unified Health System, from the individual databases of SISVAN. Data quality was annually assessed using the indicators: coverage, completeness, sex ratio, age distribution, weight and height digit preference, implausible z-score values, standard deviation, and normality of z-scores. RESULTS In total, 73,745,023 records and 29,852,480 children were identified. Coverage increased from 17.7% in 2008 to 45.4% in 2017. Completeness of birth date, weight, and height corresponded to almost 100% in all years. The sex ratio was balanced and approximately similar to the expected ratio, ranging from 0.8 to 1. The age distribution revealed higher percentages of registrations from the ages of two to four years until mid-2015. A preference for terminal digits “zero” and “five” was identified among weight and height records. The percentages of implausible z-scores exceeded 1% for all anthropometric indices, with values decreasing from 2014 onwards. A high dispersion of z-scores, including standard deviations between 1.2 and 1.6, was identified mainly in the indices including height and in the records of children under two years of age and residents in the North, Northeast, and Midwest regions. The distribution of z-scores was symmetric for all indices and platykurtic for height/age and weight/age. CONCLUSIONS The quality of SISVAN anthropometric data for children under five years of age has improved substantially between 2008 and 2017. Some indicators require attention, particularly for height measurements, whose quality was lower especially among groups more vulnerable to nutritional problems.

https://doi.org/10.11606/s1518-8787.2023057004655

Fortalecimento das ações de cuidado às pessoas com obesidade no contexto da pandemia de COVID-19: o caso do Brasil
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Oliveira, Thais Fonseca Veloso de

; Bortolini, Gisele Ane

; Carmo, Ariene Silva do

; Reis, Erika Cardoso dos

; Neves, Felipe Silva

; Lima, Ana Maria Cavalcante de

; Santin, Rafaella da Costa

; Silva, Sara Araújo da

; Spaniol, Ana Maria

; Marinho, Paloma Abelin Saldanha

; Bressan, Lilian Ânima

; Medeiros, Lorena Gonçalves Chaves

; Silva, Juliana Rezende Melo da

Ciência & Saúde Coletiva

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2023, Volume 28 N. 12 Pages 3673 - 3685

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

Abstract This descriptive ecological study sought to analyze the inductive role of a federal financial incentive passed on to Brazilian municipalities in 2020, during the COVID-19 pandemic, in increasing the number of individual consultations for the condition of obesity in primary health care (PHC). Secondary data obtained from the Health Information System for Primary Care and from the Food and Nutrition Surveillance System (SISVAN) were used. In 2021, 74.8% of the 5,504 municipalities that received the financial incentive, showed an increase in the number of individual obesity consultations in PHC, compared to 2020. The number of people identified with obesity and the number of individual visits for this condition were higher in 2021 than in the other years analyzed (2017 to 2020). Comparing 2021 with 2020 (year of receipt of the financial incentive), it was observed that the percentage of increase in the number of individual consultations for the condition of obesity was higher than the increase in the number of people identified with obesity in the SISVAN (77.6 % vs. 39.1%). In conclusion, federal financial incentives for municipalities, channeled to enhance care for people with obesity within the scope of PHC, are important mechanisms for inducing actions at the local level.

Resumo O presente estudo ecológico descritivo objetivou analisar o papel indutor de um incentivo financeiro federal repassado aos municípios brasileiros em 2020, em meio à pandemia de COVID-19, no aumento do número de atendimentos individuais para a condição de obesidade na atenção primária à saúde (APS). Utilizaram-se dados secundários, obtidos no Sistema de Informação em Saúde para a Atenção Básica e no Sistema de Vigilância Alimentar e Nutricional (SISVAN). Em 2021, 74,8% dos 5.504 municípios que receberam o incentivo financeiro apresentaram aumento no número de atendimentos individuais para a condição avaliada como obesidade na APS, em relação a 2020. O número de pessoas identificadas com obesidade e o número de atendimentos individuais para esta condição foram maiores em 2021 do que nos demais anos analisados (2017 a 2020). Na comparação de 2021 com 2020 (ano de recebimento do incentivo financeiro), observou-se que o percentual de aumento de atendimentos individuais foi superior ao percentual de aumento de pessoas com obesidade registradas no SISVAN (77,6% vs. 39,1%). Em conclusão, incentivos financeiros federais, canalizados para o fortalecimento do cuidado às pessoas com obesidade no âmbito da APS, figuram como importantes mecanismos de indução de ações em nível local.

https://doi.org/10.1590/1413-812320232812.19522022

Fatores sociodemográficos e clínicos associados à ansiedade em mulheres hipertensas: estudo transversal
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Silva, Tamires Cavalheiro da

; Santos, Vinicius Batista

; Cavalcante, Agueda Maria Ruiz Zimmer

; Hirano, Gisele Saraiva Bispo

; Lopes, Juliana de Lima

; Barros, Alba Lucia Bottura Leite de

Acta Paulista de Enfermagem

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2023, Volume 36 elocation eAPE02951

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

Abstract Objective To verify the prevalence of anxiety and its association with sociodemographic and clinical factors in women with hypertension. Method This is a cross-sectional study with 258 women with hypertension diagnosed for at least six months and who were treated at the hypertension outpatient clinic of a public institution dedicated to teaching, research and care in the city of São Paulo. The instrument contained sociodemographic, clinical and lifestyle data and was completed through an interview. Anxiety was assessed by the State-Trait Anxiety inventory and classified as low, moderate, high and very high. The assessment of the association between sociodemographic and clinical factors with anxiety level was performed using association tests and simple multinomial logistic regression, considering a significance level of 5%. Results It was found that 70.5% had moderate anxiety and 19.4% had high anxiety. In the simple multinomial logistic regression, it was identified that the older the age, the greater the chance of high anxiety (p=0.01; Odds Ratio =1.09), women without a partner were more likely to have high anxiety (p=0.02, Odds Ratio =3.19), and with increasing monthly family income, the chance of high anxiety was lower (p=0.04, Odds Ratio =0.99). Conclusion There was a high prevalence of moderate anxiety in the population studied and the absence of a partner was the factor that best explained the anxiety phenomenon. Nurses should propose interventions, especially for these people, in order to reduce this feeling.

Resumen Ocurrencias Verificar la prevalencia de la ansiedad y su relación con los factores sociodemográficos y clínicos en mujeres con hipertensión arterial sistémica. Métodos Estudio transversal con 258 mujeres con hipertensión arterial sistémica diagnosticadas hace seis meses por lo menos y que habían sido atendidas en consultorios externos de Hipertensión Arterial de una institución pública orientada a la educación, investigación y atención en la ciudad de São Paulo. El instrumento contenía datos sociodemográficos, clínicos y de hábitos de vida y fue completado mediante una encuesta. La ansiedad fue evaluada mediante el inventario de rasgos de ansiedad y clasificada como baja, moderada, alta o muy alta. La evaluación de la relación entre los factores sociodemográficos y clínicos con el nivel de ansiedad fue realizada con la prueba de asociación y regresión logística simple multinominal, con un nivel de significación de 5 %. Resultados Se identificó que el 70,5 % presentó ansiedad moderada y el 19,4 % alta. En la regresión logística multinomial simple se identificó que, cuanto mayor era la edad, mayor era la probabilidad de ansiedad alta (p=0,01; Odds Ratio =1,09), las mujeres sin compañero tenían mayores probabilidades de ansiedad alta (p=0,02, Odds Ratio =3,19) y con el aumento de los ingresos familiares mensuales, la probabilidad de ansiedad alta fue menor (p=0,04, Odds Ratio =0,99). Conclusión Se observó una alta prevalencia de ansiedad moderada en la población estudiada y la ausencia de compañero fue el factor que mejor explicó el fenómeno de ansiedad. Los enfermeros deben proponer intervenciones, principalmente para estas personas, con el objetivo de reducir ese sentimiento.

Resumo Objetivo Verificar a prevalência da ansiedade e sua associação com os fatores sociodemográficos e clínicos em mulheres com hipertensão arterial sistêmica. Métodos Estudo transversal com 258 mulheres com hipertensão arterial sistêmica diagnosticada há pelo menos seis meses e que eram atendidas no ambulatório de Hipertensão Arterial de uma instituição pública voltada ao ensino, pesquisa e assistência na cidade de São Paulo. O instrumento continha dados sociodemográficos, clínicos e de hábitos de vida e foi preenchido por meio de uma entrevista. A ansiedade foi avaliada pelo inventário de Ansiedade Traço e classificada em baixa, moderada, elevada e muito elevada. A avaliação da associação entre os fatores sociodemográficos e clínicos com o nível de ansiedade foi realizada pelos testes de associação e regressão logística simples multinomial, considerando o nível de significância de 5%. Resultados Identificou-se que 70,5% apresentavam ansiedade moderada e 19,4% elevada. Na regressão logística multinomial simples identificou-se que quanto maior a idade maior a chance de ansiedade elevada (p=0,01; Odds Ratio =1,09), as mulheres sem companheiro tinham maiores chances de ansiedade elevada (p=0,02, Odds Ratio =3,19) e com o aumento da renda mensal familiar menor foi a chance de ansiedade elevada (p=0,04, Odds Ratio =0,99). Conclusão Houve alta prevalência de ansiedade moderada na população estudada e a ausência de companheiro foi o fator que melhor explicou o fenômeno de ansiedade. Os enfermeiros devem propor intervenções, principalmente para estas pessoas, com o intuito de reduzir tal sentimento.

https://doi.org/10.37689/acta-ape/2023ao02951

Pitaya [Hylocereus polyrhizus (F.A.C. Weber) Britton & Rose] effect on glycemia and oxidative stress in aloxan-induced diabetic mice
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LIRA, Sandra Machado

; HOLANDA, Marcelo Oliveira

; SILVA, José Ytalo Gomes da

; MARQUES, Chayane Gomes

; COELHO, Lia Corrêa

; LIMA, Carla Laíne Silva

; COSTA, Joana Talita Galdino

; DANTAS, Juliana Barbosa

; MACIEL, Gladstone Lima

; SILVA, Gisele Silvestre da

; SANTOS, Glauber Batista Moreira

; ZOCOLO, Guilherme Julião

; DIONÍSIO, Ana Paula

; GUEDES, Maria Izabel Florindo

Food Science and Technology

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2023, Volume 43 elocation e56822

Abstract: En | Text: En | PDF: En

Abstract Pitaya is a rich source of bioactive compounds, such as polyphenols and betalains. Moreover, these compounds has been associated with reduced risk of type 2 diabetes mellitus. The aim of this study is to evaluate the effect of this fruit on glycemia and oxidative stress in aloxan-induced diabetic mice. Thus, considering that In the in vivo assays, the mice were divided into 5 groups (n = 6): (a) healthy group treated with water; (b) diabetic mice treated with metformin at 200 mg/kg body weight diluted in water; (c) untreated diabetic mice; (d) diabetic mice treated with pitaya at 200 mg/kg and (e) diabetic mice treated with pitaya at 400 mg/kg of body weight diluted in water. The results shows that pitaya was able significantly to reduce blood glucose (p < 0.05) (200 mg/kg); significantly reduce cholesterol (200 and 400 mg/kg) and significantly increase HDL-c (400 mg/kg) levels. In the oxidative stress experiment, Malondialdehyde levels in the liver were significantly reduced (p < 0.05) in the groups treated with pitaya, when compared to the other groups, suggesting lower lipid peroxidation. The consumption of pitaya reduced the blood glucose and cholesterol and increase the HDL, in addition, the lipid peroxidation - which is common in diabetic patients, was reduced.

https://doi.org/10.1590/fst.56822

Analysis of the elaboration and proposal of a Brazilian intersectoral strategy for the prevention and care of childhood obesity
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Bortolini, Gisele Ane

; Pereira, Tatiane Nunes

; Carmo, Ariene Silva do

; Martins, Ana Maria Thomaz Maya

; Silva, Jéssica Pedroso da

; Silva, Sara Araújo da

; Marinho, Paloma Abelin Saldanha

; Lima, Ana Maria Cavalcante de

; Spaniol, Ana Maria

; Claumann, Gaia Salvador

; Silveira, Jonas Augusto Cardoso da

; Silva, Juliana Rezende Melo da

Cadernos de Saúde Pública

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2023, Volume 39 N. 10 elocation e00117722

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

https://doi.org/10.1590/0102-311xen117722

Fortalecimento das ações de cuidado às pessoas com obesidade no contexto da pandemia de COVID-19: o caso do Brasil
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Oliveira, Thais Fonseca Veloso de

; Bortolini, Gisele Ane

; Carmo, Ariene Silva do

; Reis, Erika Cardoso dos

; Neves, Felipe Silva

; Lima, Ana Maria Cavalcante de

; Santin, Rafaella da Costa

; Silva, Sara Araújo da

; Spaniol, Ana Maria

; Marinho, Paloma Abelin Saldanha

; Bressan, Lilian Ânima

; Medeiros, Lorena Gonçalves Chaves

; Silva, Juliana Rezende Melo da

Ciência & Saúde Coletiva

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2023, Volume 28 N. 12 Pages 3673 - 3685

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

https://doi.org/10.1590/1413-812320232812.19522022

Sociodemographic profile and gestacional aspects of women with hiv/aids in Curitiba, Brazil
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Perotta, Mariana

; Rosa, Saulo Vinicius da

; Raymundo, Gisele Pontaroli

; Silva, Ruann Oswaldo Carvalho da

; Werneck, Renata Iani

; Orsi, Juliana Schaia Rocha

; Moysés, Samuel Jorge

Revista Gaúcha de Enfermagem

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2023, Volume 44 elocation e20220202

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

ABSTRACT Objective: To describe the sociodemographic and gestational profile of HIV-positive women in Curitiba-PR, years 2018-2020. Method: Observational, cross-sectional research, with data obtained from the Information System of Diseases of Notification of Pregnant Women. Data were analyzed for consistency exploration, description and analysis. Results: The sample consisted mostly of women aged 13-30 years, white and with incomplete elementary school. Prenatal care was performed by 93.8% of pregnant women, 66.1% of whom knew their serological status before prenatal care and 45% received notification in the first gestational trimester. Access to antiretroviral medication occurred for 82.4% of pregnant women and for 74.6% the pregnancy outcome was alive newborns. The statistical variables associated with prenatal care were pregnancy evolution, ART prophylaxis, type of delivery and ART at delivery (p<0.00). Conclusion: The pregnant women in the sample presented desired gestational indicators. The collected data allowed describing the sample's profile and evaluating the performance of the health policy for pregnant women.

RESUMEN Objetivo: Describir el perfil sociodemográfico y gestacional de mujeres VIH positivas en Curitiba-PR, años 2018-2020. Método: Investigación observacional, de corte transversal, condatos obtenidos del Sistema de Información de Enfermedades de Notificación de la mujer embarazada. Los datos fueron analizados para exploración, descripción y análisis de consistencia. Resultados: La muestra estuvo compuesta en su mayoría por mujeres de 13 a 30 años, blancas y con instrucción básica incompleta. El control prenatal fue realizado por el 93,8% de las gestantes, siendo que el 66,1% conocía su estado serológico antes Del control prenatal y el 45% recibió notificación en el 1er trimestre. El acceso a la medicación antirretroviral ocurrió para el 82,4% de las mujeres embarazadas y para el 74,6% el resultado del embarazo fue nacido vivo. Las variables asociadas estadísticamente al control prenatal fueron evolución del embarazo, profilaxis antirretroviral, tipo de parto y antirretroviral al parto (p<0,001). Conclusión: Las gestantes de la muestra presentaron indicadores gestacionales deseados. Los datos recolectados permitieron describir el perfil de la muestra y evaluar El desempeño de la política de salud de las mujeres embarazadas.

RESUMO Objetivo: Descrever o perfil sociodemográfico e gestacional de mulheres HIV positivo de Curitiba-PR, anos 2018-2020. Método: Pesquisa observacional, transversal, com dados do Sistema de Informação de Agravos de notificação das gestantes. Os dados foram analisados para exploração de consistência, descrição e análise. Resultados: Amostra perfilou-se majoritariamente por mulheres brancas na faixa etária de 13-30 anos. Pré-natal foi realizado por 93,8% das gestantes, sendo que 66,1% sabiam sua condição sorológica antes do pré-natal e 45% receberam a notificação no 1º trimestre. O acesso à medicação antirretroviral ocorreu para 82,4% das gestantes e para 74,6% o desfecho da gestação foi bebê nascido vivo. As variáveis estatisticamente associadas ao pré-natal foram evolução da gravidez, profilaxia com antirretroviral, tipo de parto e antirretroviral no parto (p<0,001). Conclusão: As gestantes da amostra apresentaram indicadores gestacionais desejados. Os dados coletados permitiram descrever o perfil da amostra e avaliar o desempenho da política de saúde para gestantes.

https://doi.org/10.1590/1983-1447.2023.20220202.en

Are Premature Birth and Low Birth Weight Associated with Delay on the Eruption of Deciduous Teeth? A Systematic Review and Meta-analysis
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Portella, Paula Dresch

; Marchetti, Gisele

; Wambier, Leticia

; Souza, Juliana Feltrin de

; Fraiz, Fabian Calixto

; Menezes, José Vitor Nogara Borges de

; Assunção, Luciana Reichert da Silva

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2023, Volume 23 elocation e220075

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To investigate whether children with premature birth (PB) and/or with low birth weight (LBW) have different tooth eruption patterns than those born at term or with normal weight. Material and Methods: Searches were performed in the PubMed, Cochrane Library, Sc1opus, Web of Science, LILACS, and BBO databases as well as the grey literature. Three independent reviewers were involved in study selection, data extraction, and bias assessment. The risk of bias was assessed using the Modified Newcastle-Ottawa Scale. Meta-analysis was conducted to compute the mean difference (MD) in mean chronological or adjusted age at the eruption of the first deciduous tooth between preterm children and those born at full term. The GRADE approach was used. Results: Among a total of 316 articles identified, 21 were eligible for inclusion and three were included in the meta-analysis. PB was associated with the delay in the first tooth deciduous eruption when chronological age was considered (MD: 1.36; 95%CI: 1.02–1.69) but not when considering adjusted age (MD: -0.30; 95%CI: -0.67–0.07). The evidence was graded as having very low quality. Conclusion: Based on a low certainty of evidence the PB is associated with the delayed eruption of the first deciduous tooth when considering chronological age but not when adjusted age is considered.

https://doi.org/10.1590/pboci.2023.079

10.

Multi-indicators of environmental pollution in the Olaria system, Cananéia, São Paulo (SP), Brazil
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Silva, Gisele Luiz da

; Chiozzini, Vitor Gonsalez

; Braga, Elisabete de Santis

; Azevedo, Juliana de Souza

Ocean and Coastal Research

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2023, Volume 71 Suppl. 1 elocation e23040

Abstract: En | Text: En | PDF: En

Abstract The assessment of water quality using multiple abiotic and biological indicators is very important for understanding anthropogenic impacts and the health of the ecosystem. The Olaria is a short river system that flows into the Cananeia estuary. This aquatic system crosses the urban center of the city of Cananeia, where it eventually receives untreated domestic wastewater. This study aims to apply multi-indicators of environmental pollution to understand the influence of the Olaria system on the Cananeia estuary. For this purpose, indicators of water quality and genotoxic and pathological responses in fish were used. Data on salinity, pH, and silicates in surface water indicate a more accentuated continental influence in the inner part of the Olaria river system. Moreover, the data recorded on the inner area of the Olaria system, which presents lower hydrodynamic characteristics and the largest urban population, indicated the presence of dissolved oxygen and nutrients (phosphate [P-PO4 -3], nitrite [N-NO2-], and ammonium [N-NH4+]) at levels that exceed the established limits for water quality by the Brazilian environmental legislation (Conselho Nacional do Meio Ambiente - CONAMA). The presence of Escherichia coli in all analyzed water samples indicates a local or point source of domestic wastewater contamination near the Olaria system. Fish species such as Centropomus undecimalis (Robalo Flexa) and Sphoeroides testudineus (Baiacu Pintado) showed toxicogenetic damage, indicating clastogenic and/or aneugenic exposure in the aquatic environment. Hepatic pathologies such as pyknosis nuclei, inflammation, hepatocyte swelling, and necrosis were found in all specimens evaluated, and C. undecimallis exhibited all these pathological changes. These results highlight the importance of biomonitoring the effects of anthropogenic disturbance on the aquatic biota that frequent the Olaria system and are dependent on the water quality.

https://doi.org/10.1590/2675-2824071.23035gls

11.

Quality of child anthropometric data from SISVAN, Brazil, 2008-2017
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Silva, Natanael de Jesus

; Silva, Juliana Freitas de Mello e

; Carrilho, Thaís Rangel Bousquet

; Pinto, Elizabete de Jesus

; Andrade, Rafaella da Costa Santin de

; Silva, Sara Araújo

; Pedroso, Jéssica

; Spaniol, Ana Maria

; Bortolini, Gisele Ane

; Fagundes, Andhressa

; Nilson, Eduardo Augusto Fernandes

; Fiaccone, Rosemeire Leovigildo

; Kac, Gilberto

; Barreto, Maurício Lima

; Ribeiro-Silva, Rita de Cássia

Revista de Saúde Pública

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2023, Volume 57 elocation 62

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

https://doi.org/10.11606/s1518-8787.2023057004655

12.

DEMANDA POR DADOS ABERTOS GOVERNAMENTAIS: UM ESTUDO COM DADOS DO MINISTÉRIO DA SAÚDE BRASILEIRO, ANTES E AO LONGO DA PANDEMIA DE COVID-19
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Craveiro, Gisele da Silva

; Albano, Cláudio Sonáglio

; Soletto, Juliana Strumiello

Cadernos Gestão Pública e Cidadania

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2023, Volume 28 elocation e88602

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

ABSTRACT Currently, governments develop several actions to promote greater openness of government data. However, for this initiative to achieve its objectives, an efficient relationship between supply and demand for data is necessary. Thus, the main objective of this work was to analyze requests for access to information from the Federal Government, focusing on the Ministry of Health, which assumed a leading role due to its performance during the COVID-19 pandemic. To meet the objectives, secondary data were used, available on the websites of government agencies. As main results, it is mentioned: identify applicants (proximity to the area); group requests into thematic areas; effective association between supply and demand for data; comparison of the demand for data, before and during the pandemic. In possession of these results, it is possible for managers of data opening processes to promote an opening that meets the desires of society.

RESUMEN Actualmente, los gobiernos desarrollan varias acciones para promover una mayor apertura de los datos gubernamentales. Sin embargo, para que esta iniciativa logre sus objetivos, es necesaria una relación eficiente entre la oferta y la demanda de datos. Así, el objetivo principal de este trabajo fue analizar las solicitudes de acceso a la información del Gobierno Federal, centrándose en la Secretaría de Salud, que asumió un rol protagónico por su actuación durante la pandemia del COVID-19. Para cumplir con los objetivos, se utilizaron datos secundarios, disponibles en los sitios web de las agencias gubernamentales. Como principales resultados se menciona: identificar a los solicitantes (proximidad al área); agrupar las solicitudes en áreas temáticas; asociación efectiva entre oferta y demanda de datos; comparación de la demanda de datos, antes y durante la pandemia. En posesión de estos resultados, es posible que los gestores de los procesos de apertura de datos promuevan una apertura que responda a los deseos de la sociedad.

RESUMO Atualmente os governos desenvolvem diversas ações visando promover maior abertura dos dados governamentais, entretanto para que essa iniciativa alcance seus objetivos é necessária uma eficiente relação entre oferta e demanda por dados. Assim, este trabalho teve como principal objetivo analisar os pedidos de acesso à informação do governo federal, com foco no Ministério da Saúde, que assumiu papel de protagonismo por causa da sua atuação por ocasião da pandemia da Covid-19. Para o atendimento aos objetivos, foram utilizados dados secundários, disponíveis nos sítios dos órgãos governamentais. Como principais resultados, citam-se: identificar os demandantes (proximidade com a área); agrupar os pedidos em áreas temáticas; efetivar associação entre oferta e demanda por dados; e comparar a demanda por dados antes e no decorrer da pandemia. De posse desses resultados, é possível aos gestores de processos de abertura de dados promoverem uma abertura que atenda aos anseios da sociedade.

https://doi.org/10.12660/cgpc.v28.88602

13.

Fatigue in amyotrophic lateral sclerosis and correlated factors
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Alencar, Mariana Asmar

; Soares, Bruna Laura

; Rangel, Marcela Ferreira de Andrade

; Abdo, Juliana Silva

; Almeida, Rayane Alves Pereira de

; Araújo, Caroline Martins de

; Souza, Leonardo Cruz de

; Gomes, Gisele de Cássia

Arquivos de Neuro-Psiquiatria

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oct 2022, Volume 80 N. 10 Pages 1045 - 1051

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

Abstract Background Amyotrophic lateral sclerosis (ALS) is a fatal neurodegenerative disease that leads to muscle weakness and paralysis. Fatigue is a disabling symptom, frequently reported in ALS, but remains under-investigated in this population. Thus, an accurate investigation of this symptom and possible associated factors in this clinical condition is needed to assist in the establishment of an adequate treatment approach. Objective To investigate the presence of fatigue in individuals with ALS and possible factors correlated with this symptom. Methods Sixty-five individuals with sporadic ALS participated in the present study. Demographic, clinical, and functional aspects were investigated. Evaluations involved the Fatigue Severity Scale (FSS), ALS Functional Scale (ALSRFS-R), and Quality of Life (QoL) questionnaire (ALSAQ-40). Descriptive and correlation analyses were performed with SPSS statistical program for Windows version 19.0 (IBM Corp., Armonk, NY, USA). Results Among the 65 individuals evaluated, 44.6% (n = 29) presented fatigue based on the FSS. The mean fatigue intensity was 5.4 ± 1.2 and only 10.4% used a specific medication for fatigue. Differences between the groups with and without fatigue were found regarding sex (p = 0.049), pain intensity (p = 0.026), functioning (p = 0.004), disease severity (p = 0.029), and QoL (p = 0.000). Fatigue was correlated with pain intensity (r = 0.425; p = 0.001), muscle strength (r = - 0.356; p = 0.004), functioning (r = - 0.363; p = 0.003), and QoL (r = 0.481; p = 0.000). No correlations were found with age, time since diagnosis, cramps, or other mobility parameters. Conclusions Fatigue is a common symptom among individuals with ALS and may be present in all stages of the disease. This symptom was correlated with worse functioning, poorer QoL, greater pain intensity, disease severity, muscle weakness, and the female sex in individuals with ALS.

Resumo Antecedentes Esclerose lateral amiotrófica (ELA) é uma doença neurodegenerativa fatal que leva à fraqueza muscular e paralisia. Fadiga é um sintoma incapacitante, frequentemente relatado na ELA, mas permanece pouco investigado nessa população. Assim, uma investigação acurada deste sintoma e dos possíveis fatores associados é necessária para auxiliar em uma abordagem terapêutica adequada. Objetivo Investigar a presença de fadiga em indivíduos com ELA e possíveis fatores correlacionados a este sintoma. Métodos Participaram 65 indivíduos com ELA esporádica. Aspectos demográficos, clínicos e funcionais foram investigados. Foram utilizadas: Escala de Severidade de Fadiga (FSS, na sigla em inglês), Escala Funcional de ELA (ALSRFS-R, na sigla em inglês) e questionário de Qualidade de Vida (QV) (ALSAQ-40, na sigla em inglês). Análises descritivas e de correlação foram realizadas no programa SPSS para Windows versão 19.0 (IBM Corp., Armonk, NY, USA). Resultados Dos 65 indivíduos avaliados, 44,6% (n = 29) apresentaram fadiga pela FSS. A intensidade da fadiga foi 5,4 ± 1,2 e apenas 10,4% usavam medicamento específico para fadiga. Diferenças entre os grupos com e sem fadiga foram encontradas em relação ao sexo (p = 0,049), intensidade da dor (p = 0,026), funcionalidade (p = 0,004), gravidade da doença (p = 0,029) e QV (p = 0,000). A fadiga foi correlacionada com a intensidade da dor (r = 0,425; p = 0,001), força muscular (r = - 0,356; p = 0,004), funcionalidade (r = - 0,363; p = 0,003) e QV (r = 0,481; p = 0,000). Não foram encontradas correlações com idade, tempo de diagnóstico, cãibras ou outros parâmetros de mobilidade. Conclusões A fadiga é um sintoma comum entre os indivíduos com ELA e pode estar presente em todos os estágios da doença. Este sintoma estava correlacionado à pior funcionalidade, pior QV, gravidade, intensidade da dor, fraqueza muscular e sexo feminino em indivíduos com ELA.

https://doi.org/10.1055/s-0042-1758563

14.

Brazilians’ level of knowledge, attitudes and practices towards COVID-19: a cross-sectional study
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Gardona, Rodrigo Galvão Bueno

; da Silva, José Vitor

; Arruda, Gisele

; Damin, Silvana

; Abdala, Edson

; Lima, Christiana Almeida Salvador

; Vasconcellos, Leonardo de Souza

; Queiroz, Wladimir

; Zandonái, Alini Cristini

; Danielsk, Ailla Mazon

; Villar de Sena, Ana Carolina

; Cattani, Álvaro Cesar

; Bringhentti, Amanda

; Denardi, Angélica

; Alérico, Ana Lígia Scotti

; Fergutz, Gabriella

; Ribas, Izabela de Oliveira

; Spricigo, Laura Maria Voss

; Gandolfo, Lara

; Correa, Liamara

; Bordignon, Jardel Cristiano

; de Oliveira, Juliana Girotto

; Stefanel, Michel Pandolfo

; Reis, Beatriz Castro

; de Campos, Vilson Geraldo

; Ortigoso, Danilo

; Figueiredo, Gerusa Maria

Sao Paulo Medical Journal

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jun 2022, Volume 140 N. 3 Pages 331 - 340

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Brazil is facing increasing cycles of numbers of infected people and deaths resulting from coronavirus disease 2019 (COVID-19). This situation involves a series of factors, including the behavior of the population, that can be decisive for controlling the disease. OBJECTIVE: To determine the knowledge, attitudes and practices of the Brazilian population regarding COVID-19. DESIGN AND SETTING: Cross-sectional survey-type study, conducted using a population sample from different Brazilian states. METHODS: A quantitative, descriptive and analytical approach was used. Sampling was done according to convenience and via snowballing. The data collection instrument was a knowledge, attitudes and practices system. RESULTS: 1,655 people from all over Brazil participated in the survey; 80% were living in the southern region and 70.15% were female. More than 90% had knowledge and good attitudes relating to the means of transmission, preventive care and symptoms associated with COVID-19, although their knowledge and attitudes were not fully reflected in daily practices, for which there was lower adherence (80%). Greater knowledge was correlated with older participants, larger number of children, female sex and marital status; better attitude, with female sex and complete higher education; and better practices, with greater age, larger number of children and female sex. CONCLUSION: A large part of the population has general knowledge about COVID-19, but not all knowledge was applied in practice. Older people, females and university graduates stood out as the best informed and most committed to controlling the disease.

https://doi.org/10.1590/1516-3180.2021.0541.23072021

15.

Prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life
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Mattiello, Rita

; Kotoski, Aline

; Ayala, Camila Ospina

; Recha, Carine Lucena

; Quiroga, Carolina Villanova

; Machado, Cátia Regina

; Roxo, Cristiano de Oliveira

; Varela, Fernanda Hammes

; Couto, Giovanna Trevisan

; Cassão, Gisele

; Lopes, Jéssica Blatt

; Gonçalves, João Ismael Budelon

; Silva, Juliana Fernandes da

; Barh, Mariana Barth de

; Rocha, Natalie Duran

; Albuquerque, Nathalia Saraiva de

; Corte, Ricardo Arlindo Dalla

; Bernardes, Rossana

; Richter, Samanta Andresa

; Rossi, Tainá

; Santos, Ina S.

Jornal de Pediatria

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feb 2022, Volume 98 N. 1 Pages 39 - 45

Abstract: En | Text: En | PDF: En

Abstract Objective: To investigate the prevalence and factors associated with no intention to exclusively breastfeed for the first 6 months of life in a sample of women in the first 24 h postpartum during the hospital stay. Methods: Cross-sectional study with data from screening phase of a birth cohort. The proportion of mothers who did not intend to breastfeed exclusively for 6 months (primary outcome) derived from a negative response to the question “Would you be willing to try to breastfeed exclusively for the first 6 months?”, in an interview conducted by previously trained interviewers. Crude and adjusted prevalence ratios (PR) with 95% confidence intervals were obtained by Poisson regression with robust variance. Results: A total of 2964 postpartum women were interviewed. The overall prevalence of mothers who did not intend to breastfeed exclusively for 6 months was 17.8% (16.4–19.1%). After adjusting for maternal age and type of pregnancy (singleton or multiple), no intention to exclusively breastfeed was higher in mothers with a monthly household income < 3 minimum wages (PR, 1.64; 1.35–1.98) and in those who intended to smoke 4–7 days/week after delivery (PR, 1.42; 1.11–1.83). The presence of significant newborn morbidity (PR, 0.32; 0.19–0.54) and intention to breastfeed up to 12 months (PR, 0.46; 0.38–0.55) had a protective effect against not intending to breastfeed exclusively for 6 months. Conclusions: Approximately 1 in every 5 mothers did not intend to breastfeed exclusively for 6 months. Strategies aimed at promoting exclusive breastfeeding should focus attention on mothers from lower economic strata and smokers.

https://doi.org/10.1016/j.jped.2021.02.006

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