ABSTRACT: In this study, we analyzed the hypothesis that the combination of Nitrospirillum amazonense strain BR11145 with biological fertilizer prepared using Microgeo® and native microbiome from location of the product application results in morphological and nutritional gains for the initial development of sugarcane plants and soil chemistry. For this purpose, pre-sprouted sugarcane seedlings were grown in a greenhouse mesocosm experiment using soil amended with nitrogen/phosphorus/potassium fertilizer. The experimental treatments consisted of: 1) biological fertilizer with the addition of N. amazonense (100 mL ha-1), 2) biological fertilizer without the addition of N. amazonense, 3) inoculation with N. amazonense at a dose of 100 mL ha-1 with 2x108 viable cell mL-1, 4) inoculation with N. amazonense at a dose of 200 mL ha-1 with 2x108 viable cell mL-1, and 5) control, without the addition of biological fertilizer and N. amazonense. The biological fertilizer was applied at dose of 300 L ha-1, which was split at planting (200 L ha-1) and in the post-emergence phase (100 L ha-1). After 164 days of planting, it was detected an increase in leaf length +3, number of green leaves, leaf area and sulfur content in the leaves of sugarcane plants that received the biological fertilizer with the addition of N. amazonense. In conclusion, the combination of N. amazonense with biological fertilizer revealed positive effects through morphological and nutritional characteristics in sugarcane plants during their early stages of development when compared to plants grown only with the inoculation of N. amazonense, biological fertilizer or mineral fertilizers, with few notable positive effects on soil chemistry.

RESUMO: Neste estudo avaliou-se a hipótese de que a combinação de Nitrospirillum amazonense estirpe BR11145 com adubo biológico preparado com base em microbioma autóctone da localidade de aplicação do produto, produzido com Microgeo®, resulta em benefícios morfológicos e nutricionais para o desenvolvimento inicial de plantas de cana-de-açúcar e para a química do solo. Para tanto, mudas pré-brotadas de cana-de-açúcar foram crescidas em mesocosmos num experimento conduzido em casa-de-vegetação com solo enriquecido com fertilizante à base de nitrogênio/fósforo/potássio. Os tratamentos avaliados foram: 1) adubo biológico acrescido de N. amazonense (100 mL ha-1), 2) adubo biológico sem o acréscimo de N. amazonense, 3) inoculação de N. amazonense na dose de 100 mL ha-1 (2x108 células viáveis por mL), 4) inoculação de N. amazonense na dose de 200 mL ha-1 (2x108 células viáveis por mL), e 5) testemunha, sem a adição de fertilizante biológico e N. amazonense. O adubo biológico foi aplicado na dose de 300 L ha-1 sendo esta parcelada no plantio (200 L ha-1) e na fase de pós-emergência (100 L ha-1). Após 164 dias do plantio constatou-se aumento no comprimento da folha +3, número de folhas verdes, área foliar e no teor de enxofre nas folhas das plantas de cana-de-açúcar que receberam o adubo biológico combinado com N. amazonense. Conclui-se que a combinação de N. amazonense com o adubo biológico produzido com Microgeo® revelou efeitos positivos por meio de caraterísticas morfológicas e nutricionais em plantas de cana-de-açúcar durante os seus estádios iniciais de desenvolvimento quando comparadas com plantas crescidas apenas com a inoculação de N. amazonense, fertilizante biológico ou fertilizantes minerais, com poucos efeitos positivos notáveis na química do solo.

Abstract Over the last three decades, stroke care has undergone significant transformations mainly driven by the introduction of reperfusion therapy and the organization of systems of care. Patients receiving treatment through a well-structured stroke service have a much higher chance of favorable outcomes, thereby decreasing both disability and mortality. In this article, we reviewed the scientific evidence for stroke reperfusion therapy, including thrombolysis and thrombectomy, and its implementation in the public health system in Brazil.

Resumo Nas últimas três décadas, o tratamento do AVC sofreu transformações significativas, impulsionadas principalmente pela introdução das terapias de reperfusão e pela organização dos serviços de AVC. Os pacientes que recebem tratamento em um serviço de AVC bem estruturado têm uma probabilidade muito maior de resultados favoráveis, diminuindo assim a incapacidade funcional e a mortalidade. Neste artigo, revisamos as evidências científicas para as terapias de reperfusão do AVC, incluindo trombólise e trombectomia e sua implementação no sistema público de saúde no Brasil.

ABSTRACT For many fish species, prolonged fasting is part of their life cycle, as there are seasonal fluctuations in the quantity and quality of food available in their natural habitat. These animals use endogenous reserves during periods of food scarcity and recover when resources become available again. We evaluated the effect of a prolonged fasting period on indicators of body reserve use, growth performance and intestinal integrity of the Amazonian serrasalmid Piaractus brachypomus. We distributed 66 juveniles (68.6 ± 2.2 g) in 11 tanks. The treatment consisted of 30 days fasting followed by 45 days refeeding and the control of 75 days normal feeding with 5 replicates (one tank with six fish). The six individuals in the 11th tank were used for baseline measurements. Blood parameters, muscle lipid concentration, hepatosomatic and mesenteric fat indices, somatic growth parameters and intestinal villi morphology were measured every 15 days. Glucose, triglycerides, cholesterol, total protein, the mesenteric fat and hepatosomatic indices, weight gain, specific growth rate, condition factor and total biomass decreased significantly during fasting compared to the control, but all except body condition recovered during refeeding. The length and perimeter of the intestinal villi was significantly lower during fasting compared to the control. The feeding protocol allowed P. brachypomus to mobilize part of their body reserves during fasting, however, in general, refeeding was sufficient to restore their body needs and growth performance compatible with that of continuously fed animals.

RESUMO Muitas espécies de peixe suportam jejum prolongado como parte do seu ciclo de vida, devido a flutuações na quantidade e qualidade de alimentos disponíveis em seu habitat natural. Esses animais utilizam reservas endógenas durante períodos de escassez de alimentos e se recuperam quando voltam a estar disponíveis. Avaliamos o efeito de jejum prolongado sobre indicadores de uso de reservas corporais, desempenho e integridade intestinal no serrasalmídeo amazônico Piaractus brachypomus. Distribuímos 66 juvenis (68,6 ± 2,2 g) em 11 tanques. O tratamento consistiu em 30 dias de jejum seguidos de 45 dias de realimentação, e o controle de 75 dias de alimentação contínua, com 5 repetições (um tanque com seis peixes). Os seis indivíduos do 11º tanque foram usados para medidas basais. Parâmetros sanguíneos, concentração de lipídios musculares, índices de gordura hepatossomática e mesentérica, parâmetros de crescimento somático e morfologia das vilosidades intestinais foram medidos a cada 15 dias. Glicose, triglicerídeos, colesterol, proteína total, índices hepatossomático e de gordura mesentérica, ganho em peso, taxa de crescimento específico, fator de condição e biomassa total diminuíram significativamente durante o jejum em comparação com o controle, mas todos, exceto a condição corporal, recuperaram-se durante a realimentação. O comprimento e o perímetro das vilosidades intestinais foram significativamente menores durante o jejum em comparação com o controle. O protocolo de alimentação permitiu que P. brachypomus mobilizasse parte de suas reservas corporais durante o jejum, porém, em geral, a realimentação foi suficiente para repor suas necessidades corporais e o desempenho compatível com o de animais alimentados continuamente.

The neoliberal economic model propagated since the 1990s in Brazil and the economic, educational and evaluation policies of public universities impacted the meaning of work, the organization of work and the mental health of university professors. The mercantilist view under the aegis of capitalism has transfigured the organization of teachers' work, making it precarious, based on individualism, competition, work overload and the subtraction of leisure time by working time. Due to Covid-19 and the need for health measures to protect life and reduce the spread of the virus, emergency work and remote teaching were imposed in higher education institutions, enhancing the reality of the precarious work of the teacher. Given this context, this theoretical essay points out some possible ways to deal with the challenges of public HEIs and aims to problematize the reality of public university teaching work before and during the Covid-19 pandemic.

El modelo económico neoliberal propagado desde la década de 1990 en Brasil y las políticas económicas, educativas y de evaluación de las universidades públicas impactaron el sentido del trabajo, la organización del trabajo y la salud mental de las(os) profesores universitarios. La visión mercantilista bajo la égida del capitalismo ha transfigurado la organización del trabajo docente, haciéndola precaria, basada en el individualismo, la competencia, la sobrecarga de trabajo y la sustracción del tiempo de ocio por el tiempo de trabajo. Debido al Covid-19 y la necesidad de medidas sanitarias para proteger la vida y reducir la propagación del virus, se impuso el trabajo de emergencia y la enseñanza a distancia en las instituciones de educación superior, realzando la realidad del trabajo precario de las(os) docentes. Ante este contexto, este ensayo teórico apunta algunas vías posibles para enfrentar los desafíos de las IES públicas y pretende problematizar la realidad del trabajo docente universitario público antes y durante la pandemia de la Covid-19.

O modelo econômico neoliberal propagado desde a década de 1990 no Brasil e as políticas econômicas, educacionais e de avaliação das universidades públicas impactaram no sentido do trabalho, na organização do trabalho e na saúde mental das(os) docentes universitários. A visão mercantilista sob a égide do capitalismo transfigurou a organização do trabalho dos professores, tornando-o precário, pautado no individualismo, na competição, na sobrecarga laboral e na subtração do tempo de lazer pelo tempo de trabalho. Devido à Covid-19 e à necessidade de medidas sanitárias para proteção da vida e diminuição da disseminação do vírus foram impostos o trabalho e o ensino remoto emergencial nas instituições de ensino superior, potencializando a realidade do trabalho precarizado do docente. Diante desse contexto, este ensaio teórico aponta alguns caminhos possíveis para lidarmos com os desafios da IES pública e tem como objetivo problematizar a realidade do trabalho docente antes e durante a pandemia da Covid-10.

ABSTRACT: Introduction: Hopelessness is characterized as the subject's negative outlook on the future. Individuals in deprivation of liberty are predisposed to suffering and loss of hope. Objective: To identify the prevalence, level of hopelessness and the correlation with depression and anxiety in women deprived of liberty. Materials and method: Quantitative and descriptive cross-sectional study, conducted in a Correctional Facility in Brazil, with 77 women by non-probability sampling. The data collection used were: a) Sociodemographic form; b) Beck Depression Inventory (BDI); c) Beck Anxiety Inventory (BAI); and d) Beck Hopelessness Inventory (BSH). Results: In the sample, 5.2% of the subjects presented hopelessness with moderate and severe levels. Higher mean scores of hopelessness were perceived in women who never studied (7.33), had no profession (5.04), no religion (7.14), and did not develop labor activities during incarceration (4.86). Higher mean scores of hopelessness were identified in women who had symptoms of depression (5.31) and anxiety (4.63). There was a positive correlation between the BHS and BDI scores. Conclusion: There was a low prevalence of hopelessness. It was associated with unfavorable socioeconomic conditions and the lack of work activities during the period of incarceration. Hopelessness correlated with depression, and people with anxiety symptoms had higher levels of hopelessness. It is suggested that hopelessness among people deprived of liberty be investigated in clinical practice and that work and educational activities be promoted during incarceration to promote hope and mental health.

RESUMEN: Introducción: La desesperanza se caracteriza como la perspectiva negativa del sujeto sobre el futuro. Las personas privadas de libertad están predispuestas al sufrimiento ya la pérdida de la esperanza. Objetivo: Identificar la prevalencia, el nivel de desesperanza y la correlación con depresión y ansiedad en mujeres privadas de libertad Materiales y método: Estudio transversal descriptivo cuantitativo realizado en un EsTablecimiento Penitenciario con 77 mujeres, muestreo no probabilístico. Se utilizaron para la recolección de datos: a) ficha sociodemográfica; b) Inventario de Depresión de Beck (BDI); c) Inventario de Ansiedad de Beck (BAI); yd) Inventario de Desesperanza de Beck (BSH) Resultados: En la muestra, el 5,2% de los sujetos entrevistados mostró desesperanza, con niveles moderados y severos. Se observaron mayores promedios de desesperanza en las mujeres que nunca estudiaron (7,33), no tenían profesión (5,04), no tenían religión (7,14) y no realizaron actividades laborales durante el período de encarcelamiento (4,86). Se identificaron mayores medias de desesperanza en mujeres que presentaban síntomas de depresión (5,31) y ansiedad (4,63). Hubo una correlación positiva entre las puntuaciones BHS y BDI. Conclusión: Hubo una baja prevalencia de desesperanza. Se asoció a condiciones socioeconómicas desfavorables y al no desarrollo de actividades laborales durante el período de encarcelamiento. La desesperanza se correlacionó con la depresión, y las personas con síntomas de ansiedad tenían niveles más altos de desesperanza. Se sugiere investigar la desesperanza entre las personas privadas de libertad en la práctica clínica y en la investigación, así como la promoción de actividades laborales y educativas durante el período de encarcelamiento para promover la esperanza y la salud mental.

RESUMO: Introdução: A desesperança é caracterizada como a perspectiva negativa do sujeito quanto ao futuro. Os indivíduos em privação de liberdade estão predispostos ao sofrimento e à perda de esperança. . Objetivo: Identificar a prevalência, o nível de desesperança e a correlação com a depressão e ansiedade em mulheres privadas de liberdade. Materiais e método Estudo quantitativo e descritivo com corte transversal, realizado em um Estabelecimento Prisional no Brasil, com 77 mulheres por amostragem não probabilística. Foram utilizados na coleta de dados: a) Formulário sociodemográfico; b) Inventário de Beck Depressão (BDI); c) Inventário de Beck Ansiedade (BAI); e d) Inventário de Beck Desesperança (BSH). Resultados: Na amostra, 5,2% dos sujeitos apresentaram desesperança com níveis moderado e grave. Maiores médias de desesperança foram percebidas em mulheres que nunca estudaram (7,33), desprovidas de profissão (5,04) bem como de religião (7,14) e que não desenvolviam atividades laborais no período do encarceramento (4,86). Maiores médias de desesperança foram identificas em mulheres que possuíam sintomas de depressão (5,31) e ansiedade (4,63). Houve correlação positiva entre o escore BHS e BDI. Conclusão: Houve baixa prevalência de desesperança. Ela esteve associada às condições socioeconômicas desfavoráveis e ao não desenvolvimento de atividades laborais no período de encarceramento. A desesperança se correlacionou à depressão, e as pessoas com sintomas de ansiedade apresentaram maiores níveis de desesperança. Sugere-se a investigação da desesperança entre as pessoas privadas de liberdade na prática clínica bem como a promoção de atividades laborais e educacionais no período de encarceramento para promover a esperança e a saúde mental

ABSTRACT Paracoccidioidomycosis (PCM) is a systemic fungal infection caused by Paracoccidioides spp. It can occur as an acute/subacute form (A/SAF), a chronic form (CF) and rarely as a mixed form combining the features of the two aforementioned forms in an immunocompromised patient. Here, we report a 56-year-old male patient with CF-PCM who presented with atypical manifestations, including the development of an initial esophageal ulcer, followed by central nervous system (CNS) lesions and cervical and abdominal lymphatic involvement concomitant with severe SARS-CoV-2 infection. He was HIV-negative and had no other signs of previous immunodeficiency. Biopsy of the ulcer confirmed its mycotic etiology. He was hospitalized for treatment of COVID-19 and required supplemental oxygen in the intensive unit. The patient recovered without the need for invasive ventilatory support. Investigation of the extent of disease during hospitalization revealed severe lymphatic involvement typical of A/SAF, although the patient`s long history of high-risk exposure to PCM, and lung involvement typical of the CF. Esophageal involvement is rare in non-immunosuppressed PCM patients. CNS involvement is also rare. We suggest that the immunological imbalance caused by the severe COVID-19 infection may have contributed to the patient developing atypical severe CF, which resembles the PCM mixed form of immunosuppressed patients. Severe COVID-19 infection is known to impair the cell-mediated immune response, including the antiviral response, through T-lymphopenia, decreased NK cell counts and T-cell exhaustion. We hypothesize that these alterations would also impair antifungal defenses. Our case highlights the potential influence of COVID-19 on the course of PCM. Fortunately, the patient was timely treated for both diseases, evolving favorably.

ABSTRACT: Many inconclusive diagnoses have been reported in studies carried out in veterinary diagnostic laboratories (VDLs). These inconclusive diagnoses are often associated with field veterinarians sending tissue samples and carcasses for histopathological examination. The use of social media in care has the potential as a tool for improvements in animal health. We evaluated the improvement in the rate of conclusive diagnoses in the VDL when using a messaging application for smartphones as a guidance tool for field veterinarians to refer animals and sample tissues for necropsy and histopathology. Veterinarians contacted the VDL team via a messaging app and forwarded videos, images, and clinical-epidemiological history. Based on this information, guidelines were created in real-time for contacting professionals about methods for collecting samples during necropsy and making diagnoses and scheduling visits to properties. The data obtained showed that smartphone messaging applications could be useful tools to expand the performance of VDLs and improve their diagnostic efficiency, especially when sending samples of animals that died is impossible due to certain sanitary conditions.

RESUMO: Muitos diagnósticos inconclusivos têm sido relatados em estudos realizados em laboratórios de diagnóstico veterinário (LDVs). Esses diagnósticos inconclusivos são frequentemente associados a veterinários de campo que enviam amostras de tecidos e carcaças para exame histopatológico. O uso das mídias sociais com cuidado tem potencial como ferramenta para melhorias na saúde animal. Avaliamos a melhora na taxa de diagnósticos conclusivos no LDV ao utilizar um aplicativo de mensagens para smartphones como ferramenta de orientação para veterinários de campo encaminharem animais e amostras de tecidos para necropsia e histopatologia. Os veterinários entraram em contato com a equipe do L por meio de um aplicativo de mensagens e encaminharam vídeos, imagens e histórico clínico-epidemiológico. Com base nessas informações, foram criadas orientações em tempo real para contato dos profissionais sobre métodos de coleta de amostras durante a necropsia e realização de diagnósticos, além do agendamento de visitas às propriedades. Os dados obtidos mostraram que os aplicativos de mensagens para smartphones podem ser ferramentas úteis para ampliar o desempenho dos VDLs e melhorar sua eficiência diagnóstica, principalmente quando o envio de amostras de animais que morreram é impossível devido a determinadas condições sanitárias.

Abstract The oil from the fruit of peach palm or Pupunha (Bactris gasipaes) is an example of a material with low-cost and good antioxidant capacity. However, Conventional methods for measuring oil content are time-consuming, labor-intensive and use toxic chemicals. In this sense, the aim of this study was evaluated fast and non-destructive spectroscopy methods, such as Near Infrared (NIR) and Time-Domain Nuclear Magnetic Resonance (TD-NMR) (CPMG and ROSE pulse sequences), to quantify the oil content in pupunha flours collected in the amazon forest. For this, 93 samples were used and the results showed three distinct levels of oil in the samples: high, medium and low oil content. Furthermore, the determination coefficient (R2) reached values of 0.92, 0.92 and 0.70 for NIR, TD-NMR (ROSE) and TD-NMR (CPMG), respectively. Therefore, the NIR and TD-NMR (ROSE) methods demonstrate a higher prediction efficiency, with the NIR achieving 100% classification of the samples.

Abstract The aim of this study is to report an original case series of synchronous jawbone diseases. Data of patients seen over 13 years were extracted from the files of three Oral Radiology and Pathology diagnostic centers in Brazil. The clinical, radiographic, and laboratory characteristics were tabulated and analyzed by the authors; the patients were described according to lesion type. Seventy-two synchronous jawbone diseases were included in this study. Florid osseous dysplasia, Gorlin-Goltz syndrome, and cherubism were the most frequent disorders reported in this case series. In addition, the posterior mandible area was the main site of manifestation. Florid osseous dysplasia and Gorlin-Goltz syndrome represented two-thirds of our samples. With the utilization of adequate demographic, clinical, and radiologic information, it is possible to diagnose most of the synchronous lesions of jawbones. Sometimes, however, we need complementary exams, such as histopathologic and biochemical analysis or dosing of calcium, phosphorus, and alkaline phosphatase.

ABSTRACT: This study evaluated the effectiveness of the essential oil of Hesperozygisringens (EOHR) for anesthesia of Colossomamacropomum by documenting hematological and blood biochemical responses after biometric handling. In Experiment 1, juveniles (14.12 ± 3.53 g) were exposed to different concentrations of EOHR: 0 (control), 75, 150, 300 and 450 µL L-1 (n=10 fish for each concentration), to determine times for induction and recovery from anesthesia, as well as its effects on ventilatory frequency (VF). Based on these results, Experiment 2 evaluated the effects of 0 (control), 75 (with induction and recovery times outside that recommended for fish anesthesia) and 150 µL L-1 EOHR (within recommended times) on hematological and biochemical variables of juveniles (20.52 ± 3.47 g) after anesthesia and after 24 h of recovery (n = 6 fish for each concentration and collection time). Survival was 100%. Induction time showed a quadratic effect of EOHR concentration. Recovery time did not differ among EOHR concentrations. Concentrations between 150 and 450 µL L-1 EOHR caused rapid induction (< 3 min) and recovery (< 5 min). EOHR concentration affected VF. The concentration of 150 µL L-1 EOHR had little influence on hematological and biochemical parameters of C. macropomum of 20 g.

RESUMO: Este estudo avaliou a eficiência do óleo essencial de Hesperozygis ringens (EOHR) para anestesia de Colossoma macropomum, documentando as respostas hematológicas e bioquímicas do sangue após o manuseio biométrico. No experimento 1, juvenis (14,12 ± 3,53 g) foram expostos a diferentes concentrações de EOHR: 0 (controle), 75, 150, 300 e 450 µL L-1 (n = 10 peixes para cada concentração), para determinar os tempos de indução e recuperação da anestesia, bem como seus efeitos na frequência ventilatória (VF). Com base nesses resultados, o experimento 2 avaliou os efeitos de 0 (controle), 75 (com tempos de indução e recuperação fora do recomendado para anestesia de peixes) e 150 µL L-1 EOHR (dentro dos tempos recomendados) sobre variáveis hematológicas e bioquímicas de juvenis (20,52 ± 3,47 g) após a anestesia e após 24h de recuperação (n = 6 peixes para cada concentração e tempo de coleta). A sobrevivência foi de 100%. O tempo de indução mostrou efeito quadrático da concentração de EOHR. O tempo de recuperação não diferiu entre as concentrações de EOHR. Concentrações entre 150 e 450 µL L-1 EOHR causaram rápida indução (< 3 min) e recuperação (< 5 min). As concentrações de EOHR afetaram a VF. A concentração de 150 µL L-1 de EOHR teve pouca influência nos parâmetros hematológicos e bioquímicos de C. macropomum de 20 g.

Abstract Price of iron ore is affected by instabilities of microeconomic balance between supply and demand. Periods of equilibrium adjustment result in huge swings, growth or global recession. They also impact the viability of mineral enterprises and generate consequences to important global economic scenarios. This research aims to evaluate the market variables capable of influencing the price of iron ore through multivariate statistical techniques. Principal component analysis and multiple linear regression, booth multivariate statistical techniques were used. The studied variables were rate export of iron ore and concentrates from Brazil, steel production from China, steel production from Japan, production from Europe, steel production from the United States, steel production from India, steel price, coal price, China’s Construction Gross Domestic Production, United States construction index, oil price and global oil production. First three components explained 89.12% of the variability of the data matrix. Multiple linear regression highlighted the significance of five variables. They are export iron ore from Brazil, steel production from China, price of coal, steel production from India and price of steel.

Abstract Inflammation and pain are consequences of injuries or diseases that affect a large number of people. This study aims to evaluate the effect of acupuncture and laserpuncture on nociception and inflammation in mice compared to the effects of morphine and dexamethasone. 140 male Swiss mice were used. Treatment with acupuncture and laserpuncture were performed at the acupoints LI11, ST36, GB34, and BL60 in mice. To evaluate the effect of acupuncture and laserpuncture on nociception, the hot plate test and intraplantar formalin injection were used. The effect of acupuncture and laserpuncture on the inflammation was evaluated through carrageenan-induced paw edema. Thermographic analysis was also applied to evaluate the anti-inflammatory effects. An antinociceptive effect (≈57%) was observed in treatments with acupuncture and laserpuncture, equivalent to the effect of morphine. Laserpuncture and acupuncture decreased paw edema by ≈25%. Acupuncture had an effect equivalent to dexamethason, basides reducing the neurogenic phase by 35% and the inflammatory phase in formalin-induced nociception by 40%, equivalent to the effects of morphine. In thermographic analysis, acupuncture, laserpuncture, morphine, and negative control had paw temperature of ≈27 °C, while formalin treatment was 31°C. Acupuncture and laserpuncture proved to be effective therapies for the treatment of inflammatory and painful processes.

Abstract Objective To map available scientific evidence about the pediatric population with spina bifida submitted to transanal irrigation to manage signs and symptoms of neurogenic bowel. Source of data This research was developed according to recommendations from the Joanna Briggs Institute Reviewers' Manual and the PRISMA Extension for Scoping Reviews. Searches were carried out in the databases: CINAHL, Medline/Pubmed, Scielo, Scopus, Web of Science, Embase, LILACS, Proquest, and the CAPES catalog of theses and dissertations. Quantitative and qualitative studies on the topic were included, as long as they dealt with this population. There was no predetermined time frame. Summary of the findings The authors found 1.020 studies, selected 130 for close reading, and included 23 in the review, all of which had been published from 1989 to 2021. The authors mapped the characteristics of the studies, including their definitions of concepts and use of scales, criteria for the indication of transanal irrigation, training to carry out the procedure, devices and solutions used, number and frequency of transanal irrigations, health care actions, time spent, associated complications, complementary exams, adherence rate, follow-up, and outcomes, focusing on the benefits for bowel management. Conclusions Despite the variability of evaluation parameters and term definitions, evidence suggests that transanal irrigation is a safe and effective method to manage fecal incontinence. Studies in the field are likely to grow, using standardized scales and longitudinal follow-ups. The authors suggest further research on transanal irrigation in the pediatric population with spina bifida in the Latin American context.

ABSTRACT Objective: To assess care transition quality and compare it with the clinical characteristics and continuity of care after hospital discharge of COVID-19 survivors. Method: This is a descriptive, observational and cross-sectional study, carried out with 300 patients with COVID-19 who were discharged from a hospital in southern Brazil. The Care Transitions Measure (CTM-15) and question guide about symptoms, difficulties and use of health services after discharge were used. Student’s t-test, Pearson and Spearman correlation were used. Results: The mean score for care transition quality was 74.2 (±18.2). Factors associated with higher quality were receiving care in intensive care (p = 0.001), using non-invasive mechanical ventilation (p = 0.05), using vasopressors (p = 0.027) and having an appointment at the hospital after discharge (p = 0.014). Positive correlated factors were length of stay (p = 0.017), and negative factors were post-discharge symptoms of fatigue (p = 0.001), weakness (p = 0.008), difficulty doing moderate activities (p = 0.003) and how difficult recovery is (p = 0.003). Conclusion: Most participants had a satisfactory perception of care transition. However, aspects such as care plans, referrals and follow-up after hospital discharge require improvements.

RESUMEN Objetivo: Evaluar la calidad de la transición asistencial y compararla con las características clínicas y de continuidad de la atención post alta hospitalaria para sobrevivientes de COVID-19. Método: Estudio descriptivo, observacional y transversal, realizado con 300 pacientes con COVID-19 que fueron dados de alta de un hospital del sur de Brasil. Se utilizó el Care Transitions Measure (CTM-15) y un guión de preguntas sobre síntomas, dificultades y uso de los servicios de salud post alta. Se utilizaron pruebas t de Student, correlación de Pearson y Spearman. Resultados: El puntaje promedio para la transición de la calidad de la atención fue 74,2 (±18,2). Los factores asociados con mayor calidad fueron recibir atención en cuidados intensivos (p = 0,001), utilizar ventilación mecánica no invasiva (p = 0,05), utilizar vasopresores (p = 0,027) y visitar el hospital después del alta (p = 0,014). Los factores correlacionados positivamente fueron el tiempo de estancia hospitalaria (p = 0,017), y los negativos, síntomas de fatiga después del alta (p = 0,001), debilidad (p = 0,008), dificultad para realizar actividades moderadas (p = 0,003) y la dificultad de la recuperación (p = 0,003). Conclusión: La mayoría de los participantes tuvo una percepción satisfactoria sobre la transición del cuidado. Sin embargo, aspectos como el plan de cuidados, las derivaciones y el seguimiento post alta hospitalaria requieren mejoras.

RESUMO Objetivo: Avaliar a qualidade da transição do cuidado e compará-la com as características clínicas e de continuidade do cuidado pós-alta hospitalar de sobreviventes de COVID-19. Método: Estudo descritivo, observacional e transversal, realizado com 300 pacientes com COVID-19 que tiveram alta de hospital do sul do Brasil. Utilizaram-se o Care Transitions Measure (CTM-15) e um roteiro de perguntas sobre sintomas, dificuldades e uso de serviços de saúde pós-alta. Utilizaram-se os testes t de Student, correlação de Pearson e Spearman. Resultados: O escore médio para a qualidade da transição do cuidado foi de 74,2 (±18,2). Fatores associados à maior qualidade foram ter atendimento em terapia intensiva (p = 0,001), usar ventilação mecânica não invasiva (p = 0,05), usar vasopressores (p = 0,027) e consultar no hospital após alta (p = 0,014). Fatores correlacionados positivos foram tempo de permanência (p = 0,017), e negativos, sintomas pós-alta de fadiga (p = 0,001), fraqueza (p = 0,008), dificuldade para fazer atividades moderadas (p = 0,003) e quão difícil é a recuperação (p = 0,003). Conclusão: A maioria dos participantes teve percepção satisfatória da transição do cuidado. Entretanto, aspectos como plano de cuidado, encaminhamentos e acompanhamento pós-alta hospitalar necessitam de melhorias.

ABSTRACT Objective: To understand the structures of social networks of interiorized Venezuelan immigrant families and the life cycle stage they are in. Methods: Qualitative multiple-case study with families from the Interiorization Program residing in the Greater Florianópolis, Brazil. Screening occurred through social networks and key informants. For data collection, the photovoice technique and semi-structured interviews were used, categorized with the help of the Atlas.ti software. Genograms and ecomaps were elaborated. Results: Of the 4 families interviewed, totaling 7 members with young children, the nuclear family was identified as the main informal support network. Formal networks included schools, churches, and civil society. Conclusion: Families rely heavily on their nuclear structure for support, with formal institutions acting as secondary resources. The predominant life cycle stage is focused on families with young children. More efforts are needed to strengthen formal support networks.

RESUMEN Objetivo: Comprender las estructuras de las redes sociales de familias inmigrantes venezolanas interiorizadas y la fase del ciclo de vida en la que se encuentran. Métodos: Estudio cualitativo de múltiples casos con familias del Programa de Interiorización residentes en la Gran Florianópolis, Brasil. La selección se realizó a través de redes sociales e informantes clave. Para la recopilación de datos, se utilizó la técnica de fotovoz y entrevistas semiestructuradas, categorizadas con la ayuda del software Atlas.ti. Se elaboraron genogramas y ecomapas. Resultados: De las 4 familias entrevistadas, totalizando 7 miembros con hijos pequeños, se identificó a la familia nuclear como principal red de apoyo informal. Las redes formales incluyeron escuelas, iglesias y sociedad civil. Conclusiones: Las familias dependen en gran medida de su estructura nuclear para el apoyo, con las instituciones formales actuando como recursos secundarios. La fase predominante del ciclo de vida se centra en familias con hijos pequeños. Se requieren más esfuerzos para fortalecer las redes de apoyo formales.

RESUMO Objetivo: Compreender as estruturas das redes sociais de famílias imigrantes venezuelanas interiorizadas e a fase do ciclo vital em que se encontram. Métodos: Estudo qualitativo de múltiplos casos com famílias do Programa de Interiorização residentes na Grande Florianópolis, Brasil. A triagem ocorreu por meio de redes sociais e informantes-chave. Para a coleta de dados, utilizou-se a técnica de photovoice e entrevistas semiestruturadas, categorizadas com a ajuda do software Atlas.ti. Foram elaborados genogramas e ecomapas. Resultados: Das 4 famílias entrevistadas, totalizando 7 membros com filhos pequenos, identificou-se a família nuclear como principal rede de apoio informal. As redes formais incluíram escolas, igrejas e sociedade civil. Considerações finais: As famílias dependem fortemente de sua estrutura nuclear para apoio, com instituições formais atuando como recursos secundários. A fase do ciclo vital predominante está focada em famílias com filhos pequenos. Mais esforços são necessários para fortalecer as redes de apoio formais.