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Resumen Introducción: existe una amplia variedad de fórmulas o preparados de nutrición enteral y fórmulas o preparados infantiles. La consulta de información relacionada debe hacerse en las herramientas propias de cada laboratorio, lo que dificulta la visión crítica y la comparativa entre las mismas. Objetivo: describir el desarrollo de NEmecum como la primera web que permite realizar una búsqueda dirigida e independiente de fórmulas de nutrición o preparados infantiles, analizar el abanico nutricional actual en España y evaluar los datos de uso de la herramienta. Métodos: se desarrolló la estructura de una base de datos que unifica los parámetros de todas las fórmulas y se analizó el abanico nutricional español. Posteriormente, se seleccionaron los principales algoritmos de búsqueda dirigida y se codificó la herramienta digital. Se llevó a cabo una intensa difusión y se evaluó el impacto obtenido. Se analizaron el perfil de usuarios y centros registrados y los datos de uso de la herramienta y se evaluó su usabilidad mediante el cuestionario System Usability Scale (SUS). Resultados: se obtuvo una web responsive de acceso gratuito (http://nemecum.com) que permite realizar búsquedas dirigidas en base a unos filtros de búsqueda preestablecidos. La herramienta permitió analizar detalladamente el abanico nutricional en España, observándose la gran variedad de fórmulas disponibles de similares características. La campaña de difusión consiguió incrementar su uso de forma exponencial y cuenta actualmente con 1.370 usuarios y 79 centros registrados. La usabilidad fue valorada como excelente. Conclusión: el desarrollo de NEmecum supone una herramienta valiosa en la búsqueda y consulta de datos de fórmulas o preparados de nutrición enteral y fórmulas o preparados infantiles.

Abstract Introduction: there is a wide variety of enteral nutrition and infant formulas preparations. When there is a need to find infomation on a product, only the infomation from industy is available. Comparison amomg products becomes then ardous. Objective: to describe the development of NEmecum as the first website that allows a directed and independent search for enteral nutrition products and infant formulas, currently available in Spain, and to evaluate the initial use of NEmecum. Methods: the structure of a database that unifies the parameters of all formulas was developed, and the nutritional composition of all formulas was analyzed. Subsequently, the main search algorithms were selected and the digital tool was codified. Intensive dissemination was performed and the impact was evaluated. The profile of users and registered centers and the use of the tool were analyzed, and its usability was evaluated using the System Usability Scale (SUS) questionnaire. Results: a free-access responsive website (http://nemecum.com) that allows searches based on pre-established search filters was obtained. This tool allows for a detailed analysis available formulas in Spain by observing a wide variety of formulas with similar characteristics. The dissemination campaign managed to increase its use exponentially, currently reaching 1,370 users and 79 registered centers. Usability was rated as excellent. Conclusion: the development of the NEmecum represents a valuable tool in the search and consultation of the characteristics of enteral nutrition formulas and infant preparations.

https://doi.org/10.20960/nh.04720

[SciELO Preprints] - Telehealth service maturity model for the Brazilian scenario (TMSMM.br)
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Pisa, Ivan Torres Tenório, Josceli Maria Sousa, Fernando Sequeira Guedes, Ana Cristina Carneiro Menezes Lopes, Paulo Roberto de Lima Messina, Luiz Ary Silva, Angélica Baptista

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Publication date: 2023-07-24

Abstract: En Es Pt

This article describes a proposed framework called Telehealth Service Maturity Model (TMSMM.br) for evaluating the current stage of telehealth centers in the Brazilian context. The steps included literature review, compilation and interpretation, data collection instrument, survey with center coordinators, model development, and evaluation process. The review resulted in 857 quality aspects for telehealth services, grouped into 12 themes with 34 topics. TMSMM.br consists of defining 3 foundational dimensions (themes, services, stages) and provides a standardized set of 200 requirements ordered across 5 thematic domains (structure, organization, user, operation and community) for 8 services (consultation, consultation, diagnosis, treatment and referral, education and training, social control and communication, healthcare network, and research, development, and innovation). TMSMM.br enables telehealth centers to identify and compare essential characteristics and their maturity stages.

Este artículo describe una propuesta de marco de referencia llamado Modelo de Madurez de Servicios de Telemedicina (TMSMM.br) para evaluar la etapa actual de los centros de telemedicina en el contexto brasileño. Las etapas incluyeron revisión de literatura, compilación e interpretación, instrumento de recolección, encuesta a coordinadores de centros, desarrollo del modelo y proceso de evaluación. La revisión resultó en 857 aspectos de calidad para servicios de telemedicina, agrupados en 12 temas con 34 tópicos. TMSMM.br consiste en la definición de 3 dimensiones estructurales (temas, servicios, etapas) y proporciona un conjunto estandarizado de 200 requisitos ordenados en 5 dominios temáticos (estructura, organización, usuario, operación y comunidad) para 8 servicios (consulta, asesoría, diagnóstico, tratamiento y remisión, educación y capacitación, control social y comunicación, red de atención de salud e investigación, desarrollo e innovación). TMSMM.br ayuda a los centros de telemedicina a identificar y comparar características esenciales y sus etapas de madurez

Este artigo descreve uma proposta de framework denominado Modelo de Maturidade de Serviços de Telessaúde (TMSMM.br) para avaliação do estágio corrente dos núcleos de telessaúde no contexto brasileiro. As etapas incluíram revisão da literatura, compilação e interpretação, instrumento de coleta, inquérito com coordenadores de núcleos, elaboração do modelo e do processo de avaliação. A revisão resultou 857 aspectos de qualidade para serviços de telessaúde, agrupados em 12 temas com 34 tópicos. TMSMM.br consiste na definição de 3 dimensões estruturantes (temas, serviços, estágios) e provê um conjunto padronizado de 200 requisitos ordenados em 5 domínios temáticos (estrutura, organização, usuário, operação e comunidade) para 8 serviços (consulta, consultoria, diagnóstico, tratamento e encaminhamento, formação e capacitação, controle social e comunicação, rede de atenção à saúde, e pesquisa, desenvolvimento e inovação). TMSMM.br colabora para que núcleos de telessaúde possam identificar e comparar características essenciais e seus estágios de maturidade.

https://doi.org/10.1590/SciELOPreprints.6416

Resolución de conflictos testamentarios por mediación y arbitraje; análisis en el derecho ecuatoriano y comparado
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Reyes Torres., Eduardo Andrés

; Pachano Zurita, Ana Cristina

Iuris Dictio

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jun 2023, N. 31 Pages 55 - 68

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

Resumen La presente investigación hace un análisis con respecto al uso de métodos alternativos de solución de conflictos aplicados en las sucesiones testadas. En principio, hay una introducción con respecto al conflicto en la sucesión y como este puede surgir dentro de un testamento. Posteriormente, hay una descripción sobre los sujetos que intervendrán dentro del conflicto, los cuales no se limitan solo a las personas inmersas dentro de este. Después, se expone brevemente sobre el testamento y su contenido para luego puntualizar en todo lo concerniente a la cláusula testamentaria y cómo debe ser establecida en el testamento. Finalmente, el artículo presenta un análisis comparativo del uso de la mediación y el arbitraje en los conflictos sucesorios testamentarios en varios países para luego establecer la posibilidad de aplicarlos en Ecuador.

Abstract The present investigation makes an analysis on the use of alternative dispute resolution, applied in testated successions. In principle, it has an introduction regarding the conflict in inheritance and how it can arise within the will. Subsequently, there is a description of the subjects that will intervene in the conflict, which are not limited only to the people immersed in it. Afterwards, it is briefly explained about the will and its content to then point out everything related to the testamentary clause and how it should be established in the will. Finally, the article presents a comparative analysis of the use of mediation and arbitration in testamentary succession disputes in various countries, and then establishes the possibility of applying them in Ecuador.

https://doi.org/10.18272/iu.i31.2857

Post-acute COVID-19 in three doses vaccinated autoimmune rheumatic diseases patients: frequency and pattern of this condition
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Silva, Clovis Artur

; Kupa, Leonard de Vinci Kanda

; Medeiros-Ribeiro, Ana Cristina

; Pasoto, Sandra Gofinet

; Saad, Carla Gonçalves Schahin

; Yuki, Emily Figueiredo Neves

; Landim, Joaquim Ivo Vasques Dantas

; Léda, Victor Hugo Ferreira e

; Correia, Luisa Sacchi de Camargo

; Sartori, Artur Fonseca

; Martins, Carolina Campagnoli Machado Freire

; Ribeiro, Carolina Torres

; Waridel, Filipe

; Martins, Victor Adriano de Oliveira

; Shinjo, Samuel Katsuyuki

; Andrade, Danieli Castro Oliveira

; Sampaio-Barros, Percival Degrava

; Borba Neto, Eduardo Ferreira

; Aikawa, Nadia Emi

; Bonfa, Eloisa

Advances in Rheumatology

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2023, Volume 63 elocation 26

Abstract: En | Text: En | PDF: En

Abstract Background Data on post-acute COVID-19 in autoimmune rheumatic diseases (ARD) are scarce, focusing on a single disease, with variable definitions of this condition and time of vaccination. The aim of this study was to evaluate the frequency and pattern of post-acute COVID-19 in vaccinated patients with ARD using established diagnosis criteria. Methods Retrospective evaluation of a prospective cohort of 108 ARD patients and 32 non-ARD controls, diagnosed with SARS-CoV-2 infection (RT-PCR/antigen test) after the third dose of the CoronaVac vaccine. Post-acute COVID-19 (≥ 4 weeks and > 12 weeks of SARS-CoV-2 symptoms) were registered according to the established international criteria. Results ARD patients and non-ARD controls, balanced for age and sex, had high and comparable frequencies of ≥ 4 weeks post-acute COVID-19 (58.3% vs. 53.1%, p = 0.6854) and > 12 weeks post-acute COVID-19 (39.8% vs. 46.9%, p = 0.5419). Regarding ≥ 4 weeks post-acute COVID-19, frequencies of ≥ 3 symptoms were similar in ARD and non-ARD controls (54% vs. 41.2%, p = 0.7886), and this was also similar in > 12 weeks post-acute COVID-19 (68.3% vs. 88.2%, p = 0.1322). Further analysis of the risk factors for ≥ 4 weeks post-acute COVID-19 in ARD patients revealed that age, sex, clinical severity of COVID-19, reinfection, and autoimmune diseases were not associated with this condition (p > 0.05). The clinical manifestations of post-acute COVID-19 were similar in both groups (p > 0.05), with fatigue and memory loss being the most frequent manifestations. Conclusion We provide novel data demonstrating that immune/inflammatory ARD disturbances after third dose vaccination do not seem to be a major determinant of post-acute COVID-19 since its pattern is very similar to that of the general population. Clinical Trials platform (NCT04754698).

https://doi.org/10.1186/s42358-023-00309-z

Mean arterial pressure and outcomes in critically ill patients: is there a difference between high and low target? patients target
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Palacios, Diana Cristina Buendía

; Silva, João André Freitas

; Sarmento, Ana Francisca Torres

; Sierra, Michael Gregorio Ortega

Revista da Associação Médica Brasileira

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2023, Volume 69 N. 6 elocation e20230162

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1806-9282.20230162

Aphis gossypii Glover, 1877 e Aphis spiraecola Patch, 1914 (Hemiptera: Aphididae) associados a Eucalyptus spp.
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Moura, Ana Cristina Torres

; França, Solange Maria de

; Breda, Mariana Oliveira

; Carvalho, Regina Célia Zonta de

; Ferraz, José Claudio Barros

; Silva, Paulo Roberto Ramalho

Ciência Florestal

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dec 2022, Volume 32 N. 4 Pages 2404 - 2418

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

Abstract The process of producing eucalyptus seedlings hosts a complex of arthropods, which can highlight sucking insects, such as aphids. The aim was to study aphids on seedlings and mini-stumps in a clonal mini-garden of eucalyptus in Brazil, through their identification, studies of population growth and host preference of these insects in different species of eucalyptus. In this study, it is registered, for the first time in Eucalyptus spp. in Brazil, the species Aphis gossypii Glover 1887 and Aphis spiraecola Patch 1914 (Hemiptera: Aphididae). Aphid colonies were observed in April and March 2018 infesting Eucalyptus pellita and Eucalyptus brassiana seedlings in the greenhouse of the Federal University of Piauí (UFPI), in Teresina, Piauí; and in a clonal mini-garden of Eucalyptus spp. from the PlantBem seedling production nursery in Monsenhor Gil, Piauí. The population growth of Aphis spiraecola was evaluated using the instantaneous growth rate (ri) in six species of eucalyptus (Eucalyptus pellita, Eucalyptus grandis, Eucalyptus brassiana, Eucalyptus urophylla, Eucalyptus tereticornis e Corymbia citriodora), as well as the aphid host preference for these species was tested through a choice test. Only in Corymbia citriodora there was no population growth of Aphis spiraecola. Aphis spiraecola showed less host preference for Corymbia citriodora, while Eucalyptus pellita and Eucalyptus urophylla were the preferred species. This is the first record of Aphis gossypii in a clonal mini-garden of eucalyptus and of Aphis spiraecola in seedlings of Eucalyptus spp. in Brazil.

Resumo No processo de produção de mudas de eucalipto ocorre um complexo de artrópodes, podendo destacar os insetos sugadores, como pulgões. Objetivou-se estudar pulgões em mudas e minicepas em minijardim clonal de eucalipto no Brasil, através de sua identificação, estudos de crescimento populacional e preferência hospedeira desses insetos em diferentes espécies de eucalipto. Neste estudo registra-se, pela primeira vez em Eucalyptus spp. no Brasil, as espécies Aphis gossypii Glover, 1887 e Aphis spiraecola Patch, 1914 (Hemiptera: Aphididae). Colônias de pulgões foram observadas em abril e março de 2018 infestando mudas de Eucalyptus pellita F. Muell e Eucalyptus brassiana S.T. Blake na casa de vegetação da Universidade Federal do Piauí (UFPI), em Teresina, Piauí; e em minijardim clonal de Eucalyptus spp. do viveiro de produção de mudas PlantBem, em Monsenhor Gil, Piauí. O crescimento populacional de Aphis spiraecola foi avaliado através da utilização da taxa instantânea de crescimento (ri) em seis espécies de eucalipto (Eucalyptus pellita, Eucalyptus grandis W.Hill ex Maiden, Eucalyptus brassiana, Eucalyptus urophylla S.T. Blake, Eucalyptus tereticornis Smith e Corymbia citriodora (Hook.) K.D. Hill & L.A.S. Johnson), assim como foi testada a preferência hospedeira do pulgão por essas espécies através de teste com chance de escolha. Apenas em Corymbia citriodora não houve crescimento populacional de A. spiraecola. Aphis spiraecola demonstrou menor preferência hospedeira por Corymbia citriodora, enquanto as espécies Eucalyptus pellita e Eucalyptus urophylla foram as preferidas. Este é o primeiro registro de Aphis gossypii em minijardim clonal de eucalipto e de Aphis spiraecola em mudas de Eucalyptus spp. no Brasil.

https://doi.org/10.5902/1980509854632

Prevalencia y factores asociados a la hiponatremia en pacientes con nutrición enteral
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Serrano-Valles, Cristina

; Gómez-Hoyos, Emilia

; Ortolá-Buigues, Ana

; Primo-Martín, David

; Jiménez-Sahagún, Rebeca

; García-Calvo, Susana

; López-Gómez, Juan José

; Delgado-García, Esther

; Torres-Torres, Beatriz

; Izaola-Jáuregui, Olatz

; Sánchez-Ibáñez, Marta

; Castro, María Ángeles

; de Luis-Román, Daniel

Nutrición Hospitalaria

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aug 2022, Volume 39 N. 4 Pages 723 - 727

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

Resumen Introducción: la hiponatremia es el trastorno electrolítico más frecuente a nivel hospitalario. En pacientes con nutrición enteral (NE) puede influir en el abordaje terapéutico, así como en la selección del preparado nutricional. Objetivos: describir la prevalencia de la hiponatremia en pacientes con NE y factores asociados. Métodos: estudio retrospectivo de 1651 pacientes no críticos con NE, valorados por el Servicio de Endocrinología y Nutrición desde enero de 2014 hasta enero de 2020. Se recogieron la edad, el sexo, el índice de masa corporal (IMC) (kg/m2), el estado nutricional mediante el cuestionario Mini Nutritional Assessment (MNA), el diagnóstico principal y la presencia de hiponatremia al inicio y durante la NE. Resultados: del total, el 53,9 % fueron hombres, con una mediana de edad de 76,8 [65,7-85,3] años. El diagnóstico principal más frecuente fue la patología neurológica (37,3 %). El 26,1 % de los pacientes presentaron hiponatremia: un 11,0 % al inicio de la NE y el 16,7% durante su administración. La hiponatremia fue más frecuente en aquellos con patología digestiva (28,7 %) e infecciosa (27,65 %). Según el MNA, hasta el 41,1 % presentaron desnutrición y la frecuencia de esta fue estadísticamente superior en los pacientes con que en aquellos sin hiponatremia (76,3 % vs. 55,8 %; p < 0,001). En el análisis multivariante, únicamente la desnutrición se asoció de manera significativa con la presencia de hiponatremia, con una OR de 2,86 [IC 95 %: 1,5-4,88]. Conclusiones: la hiponatremia se detectó en un tercio de los pacientes con NE. Su presencia fue hasta 2 veces más frecuente en los pacientes desnutridos, independientemente de la edad, el sexo, el IMC y la patología basal.

Abstract Introduction: hyponatremia is the most frequent disturbance in hospitalized patients. This situation may influence the therapeutic approach in patients with total enteral tube feeding (TEN). Objective: to study the prevalence of hyponatremia and the clinical factors that are associated with increased risk in a population with TEN. Methods: a retrospective study from January 2014 to January 2020; 1,651 non-critically ill patients receiving TEN were included who were assessed by the Department of Endocrinology and Nutrition. Data collected included sex, age, body mass index (BMI) (kg/m2), and nutritional status by Mini Nutritional Assessment (MNA); main disease diagnosis and development of hyponatremia at onset or during TEN were also included. Results: in all, 53.9 % of the total sample were males aged 76.8 [65.7-85.3] years. Neurological pathology was the most frequent primary diagnosis on admission (37.3 %). We found hyponatremia in 26.1 % —11.0 % at onset and 16.7 % during TEN—. Hyponatremia was more frequent in patients with digestive disease (28.7 %) and infectious disease (27.65 %). According to the MNA questionnaire 41.1 % were malnourished and nutritional status was worse in patients with hyponatremia (76.3 % vs. 55.8 %; p < 0.001). By multivariate analysis, malnutrition was only associated with hyponatremia status; OR, 2.86 [95 % CI: 1.5-4.88]. Conclusions: in this study, hyponatremia was detected in a third of patients. This was up to two more times as common in malnourished patients; however, age, sex, BMI, and baseline pathology were not related.

https://doi.org/10.20960/nh.03964

Conflito com a lei e sexismo: percepções de adolescentes de Sergipe (Brasil)
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Araújo Costa, Luiza Lins

; de Oliveira Ramalho Diniz, Fernanda Cristina

; Rosas Torres, Ana Raquel

; Garcia Dias, Ana Cristina

; Seixas da Rocha, Carolina

Revista Latinoamericana de Ciencias Sociales, Niñez y Juventud

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aug 2022, Volume 20 N. 2 Pages 23 - 43

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

Resumen El objetivo de este estudio es investigar cómo adolescentes, privadas de libertad, perciben la situación de conflicto con la ley y el sexismo. Participaron cuatro adolescentes que cumplían medida so-cioeducativa de privación de libertad en Sergipe (Brasil). Se realizaron entrevistas semiestructuradas, interpretadas mediante análisis de contenido temático. Surgieron dos categorías: «diferencias de género en la infracción: la transgresión como característica masculina» y «diferencias de género en la medida socioeducativa: la obediencia como característica femenina», indicando el impacto del género en la percepción de estas adolescentes. En conjunto, los resultados muestran que la atención al género y la relación entre conflicto con la ley y sexismo son aspectos fundamentales para lograr los ideales de la legislación brasileña, que es respetar las especificidades de las adolescentes en una protección integral e igualitaria.

Resumo O objetivo deste estudo é investigar como adolescentes do gênero feminino, em privação de liberdade, percebem a situação de conflito com a lei e o sexismo. Participaram quatro adolescentes que cumpriam medida socioeducativa de privação de liberdade em Sergipe (Brasil). Foram realizadas entrevistas semiestruturadas, interpretadas por meio da análise temática de conteúdo. Emergiram duas categorias: «Diferenças de gênero no ato infracional: a transgressão como característica masculina» e «Diferenças de gênero na medida socio-educativa: a obediência como característica feminina», indicando o impacto do gênero na percepção dessas adolescentes. Em conjunto, os resultados evidenciam que atentar ao recorte de gênero e às relações entre conflito com a lei e o sexismo são aspectos fundamentais para alcançar o ideário da legislação brasileira, o atendimento às especificidades das adolescentes numa proteção integral e igualitária.

Abstract This study aims to research how female adolescents who are deprived of their liberty perceive the relationship between their conflict with the law and sexism. The participants were four adolescents who were detained in a correctional facility in Sergipe (Brazil). Semi-structured interviews were conducted and these were interpreted using thematic content analysis. Two categories emerged: «Gender differences in infractions: transgression as a male characteristic» and «Gender differences in so-cioeducational scenarios: obedience as a female characteristic», highlighting the impact of gender on the perceptions of these adolescents. The results obtained through this research indicate that concentrating gender and the relationship between conflict with the law and sexism are fundamental aspects for achieving ideal legislation that respects the specific situations experienced by adolescents and provides them with integrated and equal protection.

https://doi.org/10.11600/rlcsnj.20.2.4720 42 downloads

Desafios da inovação curricular: Perspetivas de professores veteranos
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Torres, Ana Cristina

; Mouraz, Ana

; Monteiro, Angélica

Revista Portuguesa de Educação

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jun 2022, Volume 35 N. 1 Pages 405 - 427

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

RESUMO O acentuado envelhecimento docente em Portugal tem sido reconhecido como um dos obstáculos à mudança do paradigma educacional com que muitos sistemas educativos europeus estão comprometidos. As crescentes diferenças geracionais entre professores e alunos, as constantes pressões para a utilização educativa das tecnologias e a intensificação do trabalho docente têm contribuído para algum sentimento de ineficácia do trabalho curricular e um certo desencanto profissional em muitos professores. Neste contexto, o projeto REKINDLE+50 trabalhou com professores veteranos procurando potenciar a relação entre a sua agência curricular e as práticas de ensino pelo recurso a tecnologias digitais, com vista à promoção de um (re)encantamento profissional através da inovação curricular. Este texto analisa perspetivas de professores veteranos sobre os desafios da inovação curricular pelo uso de tecnologias, incluindo práticas, riscos percebidos, obstáculos e estratégias de superação que identificam na sua agência perante a inovação curricular. Assumindo uma metodologia qualitativa de cariz interpretativo, foi realizada uma análise de conteúdo aos murais em padlet e às reflexões individuais de 36 professores que participaram num curso de formação, organizado no âmbito do projeto, bem como às transcrições de três grupos de discussão focalizada. Desta análise constatou-se que a agência curricular de professores veteranos é potenciada por práticas de inovação pelas tecnologias, sobretudo quando percebem a sustentabilidade dessas práticas e os efeitos das mesmas numa participação mais ativa dos alunos nas atividades de ensino e na melhoria das suas aprendizagens.

RESUMEN El marcado envejecimiento del profesorado en Portugal ha sido reconocido como uno de los obstáculos para cambiar el paradigma educativo con el que están comprometidos muchos sistemas educativos europeos. Las crecientes diferencias generacionales entre profesores y alumnos, las constantes presiones para el uso educativo de las tecnologías y la intensificación de la labor docente han contribuido a una sensación de ineficacia del trabajo curricular y a un cierto desencanto profesional en muchos profesores. En este contexto, el proyecto REKINDLE+50 ha trabajado con profesores veteranos que buscan mejorar la relación entre su agencia curricular y sus prácticas de enseñanza mediante el uso de tecnologías digitales, con el fin de promover el (re)encanto profesional a través de la innovación curricular. Este texto analiza las perspectivas de los profesores veteranos sobre los retos de la innovación curricular mediante el uso de las tecnologías, incluyendo las prácticas, los riesgos percibidos, los obstáculos y las estrategias de superación que identifican en su agencia hacia la innovación curricular. Asumiendo una metodología cualitativa de carácter interpretativo, se realizó un análisis de contenido a los murales en padlet y a las reflexiones individuales de 36 profesores que participaron en un curso de formación, organizado dentro del proyecto, así como a las transcripciones de tres grupos focales. De este análisis se desprende que la agencia curricular de los profesores veteranos se ve reforzada por las prácticas de innovación a través de las tecnologías, especialmente cuando perciben la sostenibilidad de estas prácticas y sus efectos en una participación más activa de los alumnos en las actividades de enseñanza y en la mejora de su aprendizaje.

ABSTRACT The marked ageing of teachers in Portugal has been recognised as one of the obstacles to the change of the educational paradigm to which many European educational systems are committed. The growing generational differences between teachers and students, the constant pressures for the educational use of technologies and the intensification of the teaching work have contributed to a feeling of inefficiency of the curricular work and a certain professional disenchantment in many teachers. In this context, the REKINDLE+50 project worked with veteran teachers seeking to enhance the relationship between their curricular agency and teaching practices through the use of digital technologies, with a view to promoting professional (re)enchantment through curricular innovation. This text analyses veteran teachers’ perspectives about the challenges of curricular innovation through the use of technologies, including practices, perceived risks, obstaces and overcoming strategies that they identify in their agency towards curricular innovation. Assuming a qualitative methodology of interpretative nature, a content analysis was conducted to the murals on padlet and the individual reflections of 36 teachers who participated in a training course, organized within the project, as well as to the transcripts of three focus groups. From this analysis it was found that the curricular agency of veteran teachers is enhanced by innovation practices through technologies, especially when they perceive the sustainability of these practices and their effects on a more active participation of students in teaching activities and the improvement of their learning.

https://doi.org/10.21814/rpe.23263 53 downloads

10.

Un año de docencia online en la educación superior: valoración de docentes y alumnos
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Martín-Sabroso, Cristina

; Alonso Gonzalez, Mario

; Fernández-Carballido, Ana

; Torres-Suárez, Ana Isabel

; Fraguas-Sánchez, Ana Isabel

Revista Iberoamericana de Tecnología en Educación y Educación en Tecnología

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mar 2022, N. 32 Pages 86 - 92

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

Resumen La necesidad de transformar la docencia presencial a docencia online debido al COVID-19 supuso un reto para docentes y para alumnos. Lo inesperado de la situación hizo que rápidamente se intentaran establecer estrategias de virtualización que no en todos los casos fueron igual de eficaces. Después de un año de docencia online, es interesante analizar la valoración que tanto docentes como estudiantes realizan a todas estas estrategias y conocer su percepción ante esta situación. En este artículo se recoge la valoración de más de 50 alumnos del grado de Farmacia sobre la docencia online teórica, la docencia online práctica y la evaluación online, destacando las ventajas y limitaciones que suponen estos métodos de enseñanza. También se recoge la valoración de docentes que evalúan de forma positiva todo lo aprendido sobre TICs y nuevas plataformas pero que al igual que los alumnos piensan que el entorno no presencial supone una desventaja para la formación de los alumnos en grados con una importante carga de docencia práctica.

Abstract The COVID -19 pandemic forced to move from face-to-face teaching to completely virtual teaching, which was a great challenge for both teachers and students. The unexpectedness of the situation led to rapid attempts to establish virtualization strategies, which were not always equally effective. After one year of online teaching, it is interesting to analyze the assessment that both teachers and students make of all these strategies and their perception of this situation. This manuscript collects the analysis of more than 50 students of the Pharmacy degree on both, theoretical and practical online lessons and on online exams, highlighting their advantages and limitations. Teacher’s assessment is also included. On the one hand, teachers positively value all that they have learned about information and communication technologies (ICTs) and the developed online teaching platforms. However, they consider that a completely virtual education impairs the learning, especially in practical lessons.

https://doi.org/10.24215/18509959.32.e9

11.

Guidelines on COVID-19 vaccination in patients with immune-mediated rheumatic diseases: a Brazilian Society of Rheumatology task force
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Tavares, Anna Carolina Faria Moreira Gomes

; Melo, Ana Karla Guedes de

; Cruz, Vítor Alves

; Souza, Viviane Angelina de

; Carvalho, Joana Starling de

; Machado, Ketty Lysie Libardi Lira

; Valadares, Lilian David de Azevedo

; Reis Neto, Edgard Torres dos

; Rezende, Rodrigo Poubel Vieira de

; Guimarães, Maria Fernanda Brandão de Resende

; Ferreira, Gilda Aparecida

; Braz, Alessandra de Sousa

; Vieira, Rejane Maria Rodrigues de Abreu

; Pinheiro, Marcelo de Medeiros

; Ribeiro, Sandra Lúcia Euzébio

; Bica, Blanca Elena Gomes Rios

; Baptista, Kátia Lino

; Costa, Izaias Pereira da

; Marques, Claudia Diniz Lopes

; Lopes, Maria Lúcia Lemos

; Martinez, José Eduardo

; Giorgi, Rina Dalva Neubarth

; Mota, Lícia Maria Henrique da

; Loures, Marcos Antônio Araújo da Rocha

; Paiva, Eduardo dos Santos

; Monticielo, Odirlei André

; Xavier, Ricardo Machado

; Kakehasi, Adriana Maria

; Pileggi, Gecilmara Cristina Salviato

Advances in Rheumatology

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2022, Volume 62 elocation 3

Abstract: En | Text: En | PDF: En

Abstract Objective: To provide guidelines on the coronavirus disease 2019 (COVID-19) vaccination in patients with immune-mediated rheumatic diseases (IMRD) to rheumatologists considering specific scenarios of the daily practice based on the shared-making decision (SMD) process. Methods: A task force was constituted by 24 rheumatologists (panel members), with clinical and research expertise in immunizations and infectious diseases in immunocompromised patients, endorsed by the Brazilian Society of Rheumatology (BSR), to develop guidelines for COVID-19 vaccination in patients with IMRD. A consensus was built through the Delphi method and involved four rounds of anonymous voting, where five options were used to determine the level of agreement (LOA), based on the Likert Scale: (1) strongly disagree; (2) disagree, (3) neither agree nor disagree (neutral); (4) agree; and (5) strongly agree. Nineteen questions were addressed and discussed via teleconference to formulate the answers. In order to identify the relevant data on COVID-19 vaccines, a search with standardized descriptors and synonyms was performed on September 10th, 2021, of the MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, ClinicalTrials.gov, and LILACS to identify studies of interest. We used the Newcastle–Ottawa Scale to assess the quality of nonrandomized studies. Results: All the nineteen questions-answers (Q&A) were approved by the BSR Task Force with more than 80% of panelists voting options 4—agree—and 5—strongly agree—, and a consensus was reached. These Guidelines were focused in SMD on the most appropriate timing for IMRD patients to get vaccinated to reach the adequate covid-19 vaccination response. Conclusion: These guidelines were developed by a BSR Task Force with a high LOA among panelists, based on the literature review of published studies and expert opinion for COVID-19 vaccination in IMRD patients. Noteworthy, in the pandemic period, up to the time of the review and the consensus process for this document, high-quality evidence was scarce. Thus, it is not a substitute for clinical judgment.

https://doi.org/10.1186/s42358-022-00234-7

12.

Factors associated with hospitalizations for Covid-19 in patients with rheumatoid arthritis: data from the Reumacov Brazil registry
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Gomides, Ana Paula Monteiro

; Albuquerque, Cleandro Pires de

; Mota, Licia Maria Henrique da

; Devidé, Guilherme

; Dias, Laiza Hombre

; Duarte, Angela Luzia Branco Pinto

; Giovelli, Raquel Altoé

; Karnopp, Thais Evelyn

; Lima, Hugo Deleon de

; Marinho, Adriana

; Oliveira, Marianne Schrader de

; Omura, Felipe

; Ranzolin, Aline

; Resende, Gustavo

; Ribeiro, Francinne Machado

; Ribeiro, Sandra Lúcia Euzébio

; Sacilotto, Nathália de Carvalho

; Santos, Wander Gonzaga dos

; Shinjo, Samuel Katsuyuki

; Studart, Samia Araujo de Sousa

; Teixeira, Flávia Patricia Sena

; Yazbek, Michel Alexandre

; Ferreira, Gilda Aparecida

; Monticielo, Odirlei A.

; Paiva, Eduardo

; Pileggi, Gecilmara Cristina Salviato

; Reis Neto, Edgard Torres dos

; Pinheiro, Marcelo de Medeiros

; Marques, Claudia D. L.

Advances in Rheumatology

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2022, Volume 62 elocation 13

Abstract: En | Text: En | PDF: En

Abstract Background: Patients using immunosuppressive drugs may have unfavorable results after infections. However, there is a lack of information regarding COVID 19 in these patients, especially in patients with rheumatoid arthritis (RA). Therefore, the aim of this study was to evaluate the risk factors associated with COVID 19 hospitalizations in patients with RA. Methods: This multicenter, prospective cohort study is within the ReumaCoV Brazil registry and included 489 patients with RA. In this context, 269 patients who tested positive for COVID 19 were compared to 220 patients who tested negative for COVID 19 (control group). All patient data were collected from the Research Electronic Data Capture database. Results: The participants were predominantly female (90.6%) with a mean age of 53 ±12 years. Of the patients with COVID 19, 54 (20.1%) required hospitalization. After multiple adjustments, the final regression model showed that heart disease (OR =4.61, 95% CI 1.06–20.02. P < 0.001) and current use of glucocorticoids (OR =20.66, 95% CI 3.09–138. P < 0.002) were the risk factors associated with hospitalization. In addition, anosmia was associated with a lower chance of hospitalization (OR =0.26; 95% CI 0.10–0.67, P < 0.005). Conclusion: Our results demonstrated that heart disease and the use of glucocorticoids were associated with a higher number of hospital admissions for COVID 19 in patients with RA. Trial registration: Brazilian Registry of Clinical Trials RBR 33YTQC.

https://doi.org/10.1186/s42358-022-00244-5

13.

Neurotoxicidades apresentadas por pacientes submetidos ao transplante de células-tronco hematopoéticas: uma revisão de escopo
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Nascimento, Anália Andréia de Araújo

; Soares, Katiane Domingos

; Almeida, Maria Clara Siqueira de

; Melo, Jéssica Cristina Alves de

; Almeida, Ana Clara Paiva de

; Torres, Débora Valéria de Oliveira

; Azevedo, Isabelle Campos de

Acta Paulista de Enfermagem

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2022, Volume 35 elocation eAPE00567

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

Resumo Objetivo Mapear os tipos de neurotoxicidades apresentadas por pacientes submetidos ao Transplante de Células-Tronco Hematopoéticas. Métodos Trata-se de uma Scoping Review, orientada a partir do método proposto pelo Joanna Briggs Institute, e seguiu as recomendações do Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. A busca pelos estudos foi realizada entre os meses de julho e agosto de 2020 e ocorreu nas bases de dados e em portais de teses e dissertações nacionais e internacionais. Resultados A amostra final foi composta por 71 artigos científicos, todos na língua Inglesa. Houve destaque para o ano de 2018 com 14 (19%) publicações. Observou-se prevalência de estudos realizados nos Estados Unidos da América com 29 (40,8%). No tocante a população, todos (100%) os artigos são sobre pacientes submetidos ao transplante de células-tronco hematopoéticas que apresentaram neurotoxicidades. Acerca dos quimioterápicos utilizados no regime de condicionamento pré-transplante de células-tronco hematopoéticas sete (9,8%) utilizaram a combinação de Fludarabina e Ciclofosfamida, seguida da Ciclosporina e Tacrolimus em seis (8,4%), ciclosporina em quatro (5,6%), Fludarabina em três (4,2%). Quanto às neurotoxicidades apresentadas em pacientes submetidos ao transplante, evidenciou-se a síndrome de encefalopatia reversível posterior em 19 (26,7%) estudos. Cabe ressaltar que outros estudos identificaram essa síndrome, porém relataram sintomas diferentes. Conclusão As neurotoxicidades apresentadas por pacientes submetidos ao transplante de células-tronco hematopoéticas, são encefalopatia reversível posterior, leucoencefalopatia reversível posterior, encefalopatia de Wernicke, encefalopatia hipertensiva, encefalopatia metabólica, encefalopatia límbica, complicações hemorrágicas e convulsões.

Abstract Objective To map the types of neurotoxicity presented by patients undergoing Hematopoietic Stem Cell Transplantation. Methods This is a scoping review, guided by the method proposed by the Joanna Briggs Institute, and followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews recommendations. The search for studies was carried out between the months of July and August 2020 and took place in databases and in national and international theses and dissertations portals. Results The final sample consisted of 71 scientific articles, all in English. There was a highlight for the year 2018 with 14 (19%) publications. There was a prevalence of studies carried out in the United States of America with 29 (40.8%). Regarding the population, all (100%) articles are about patients undergoing hematopoietic stem cell transplantation who presented neurotoxicity. Regarding the chemotherapeutic agents used in the pre-transplantation regimen of hematopoietic stem cells, seven (9.8%) used the combination of Fludarabine and Cyclophosphamide, followed by Cyclosporine and Tacrolimus in six (8.4%), Cyclosporine in four (5.6%), Fludarabine in three (4.2%). As for the neurotoxicity presented in patients undergoing transplantation, the posterior reversible encephalopathy syndrome was evidenced in 19 (26.7%) studies. It should be noted that other studies have identified this syndrome, but have reported different symptoms. Conclusion The neurotoxicity presented by patients undergoing hematopoietic stem cell transplantation are posterior reversible encephalopathy, posterior reversible leukoencephalopathy, Wernicke’s encephalopathy, hypertensive encephalopathy, metabolic encephalopathy, limbic encephalopathy, hemorrhagic complications and seizures.

Resumen Objetivo Mapear los tipos de neurotoxicidades en pacientes sometidos al trasplante de células madre hematopoyéticas. Métodos Se trata de una Scoping Review, orientada a partir del método propuesto por el Joanna Briggs Institute, que siguió las recomendaciones del Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. La búsqueda de los estudios se realizó entre los meses de julio y agosto de 2020 y ocurrió en las bases de datos y en portales de tesis de doctorado y maestría nacionales e internacionales. Resultados La muestra final estuvo compuesta por 71 artículos científicos, todos en lengua inglesa. Se destacó el año 2018 con 14 publicaciones (19 %). Se observó una prevalencia de estudios realizados en Estados Unidos de América con 29 (40,8 %). En lo que se refiere a la población, todos los artículos (100 %) tratan sobre pacientes sometidos al trasplante de células madre hematopoyéticas que presentaron neurotoxicidades. Sobre los quimioterápicos utilizados en el régimen de acondicionamiento previo al trasplante de células madre hematopoyéticas, siete (9,8 %) utilizaron la combinación de Fludarabina y Ciclofosfamida, seguida de la Ciclosporina y Tacrolimus en seis (8,4 %), ciclosporina en cuatro (5,6 %), Fludarabina en tres (4,2 %). Con relación a las neurotoxicidades en pacientes sometidos al trasplante, se evidenció el síndrome de encefalopatía reversible posterior en 19 estudios (26,7 %). Cabe destacar que otros estudios identificaron ese síndrome, pero refirieron síntomas distintos. Conclusión Las neurotoxicidades presentadas por pacientes sometidos al trasplante de células madre hematopoyéticas son encefalopatía reversible posterior, leuco encefalopatía reversible posterior, encefalopatía de Wernicke, encefalopatía hipertensiva, encefalopatía metabólica, encefalopatía límbica, complicaciones hemorrágicas y convulsiones.

https://doi.org/10.37689/acta-ape/2022ar000567

14.

Characterization of primary direct-acting antiviral (DAA) drugs resistance mutations in NS5A/NS5B regions of hepatitis C virus with genotype 1a and 1b from patients with chronic hepatitis
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Santos, Ana Paula de Torres

; Silva, Vanessa Cristina Martins

; Mendes-Corrêa, Maria Cássia

; Lemos, Marcilio Figueiredo

; Malta, Fernanda de Mello

; Santana, Rúbia Anita Ferraz

; Dastoli, Gregório Tadeu Fernando

; Castro, Vanessa Fusco Duarte de

; Pinho, João Renato Rebello

; Moreira, Regina Célia

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e61

Abstract: En | Text: En | PDF: En

ABSTRACT The Hepatitis C virus (HCV) infection is a public health problem. The high level of HCV replication and its lack of post-transcriptional correction mechanisms results in the emergence of viral variants and the difficulty in determining polymorphisms and variants that contain the substitutions associated with resistance towards new antivirals. The main focus of this study was to map the NS5A and NS5B polymorphisms and resistance mutations to new antiviral drugs in HCV strains genotype 1 from patients with chronic hepatitis C infection. Serum samples were collected from patients who underwent routine viral load tests at the Instituto Adolfo Lutz, Sao Paulo city, Brazil. A total of 698 and 853 samples were used for the characterization of NS5A and NS5B regions, respectively, which comprise the HCV genotypes 1a and 1b. The prevalence of resistance mutations found in the NS5A region was 6.4%, with Y93H, L31M, Q30R, and Y93N as the main resistance-associated substitutions (RAS). No NS5B-associated RAS was observed for any of the analyzed drugs. These findings support that the RAS test should be offered to individuals with poor response to double combination regimens prior to treatment initiation, thereby assisting strain vigilance and selection of effective treatment or retreatment options using DAA regimens.

https://doi.org/10.1590/s1678-9946202264061

15.

“But she was drunk”: Sexual violence and Blaming the victim
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Linhares, Layanne Vieira

; Torres, Ana Raquel Rosas

; Diniz, Fernanda Cristina de Oliveira Ramalho

Psicología, Conocimiento y Sociedad

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2022, Volume 12 N. 1 Pages 81 - 105

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

Resumen: Varios estudios han demostrado la importancia de los valores patriarcales en la estructuración de la sociedad, especialmente en lo que respecta a la violencia sexual contra la mujer, señalando que aún se le culpa por la violencia que ha sufrido. El trabajo que aquí se presenta se enmarca en este contexto y analiza cómo se estructuran las representaciones sociales de los estudiantes universitarios sobre las mujeres víctimas de violencia sexual (Estudio 1; N = 288) y cómo la información sobre el color de piel de la víctima puede afectar el juicio que se hace sobre las mujeres víctimas de violencia sexual (estudio 2; N = 99). En conjunto, los resultados indican que se culpó a la mujer por la violencia que sufrió y esto es más evidente en la situación en la que la mujer era negra.

Abstract: Various studies have been demonstrating the importance of patriarchal values in the structuring of society, especially with regard to sexual violence against women, pointing out that women themselves are still blamed for the violence that they suffer. The work presented here falls within this context and analyzes how the social representations of university students about women victims of sexual violence are structured (Study 1; N = 288) and how information about the victim's skin color can affect the judgment that is made about women victims of sexual violence (study 2; N = 99). Together, the results indicate that the woman was blamed for the violence she suffered and this becomes more evident in the situation in which the woman was Black.

Resumo: Vários estudos têm demonstrado a importância dos valores patriarcais na estruturação da sociedade, principalmente no que se refere à violência sexual contra mulheres, apontando que ela ainda é culpabilizada pela violência por ela própria sofrida. O trabalho aqui apresentado insere-se nesse contexto e analisa como são estruturadas as representações sociais de estudantes universitários sobre mulheres vítimas de violência sexual (Estudo 1; N=288) e como a informação sobre a cor da pele da vítima pode afetar o julgamento que se faz de mulheres vítimas de violência sexual (estudo 2; N=99). Em conjunto, os resultados indicam que a mulher foi culpabilizada pela violência por ela sofrida e isso fica mais evidente na situação na qual a mulher era negra.

https://doi.org/10.26864/pcs.v12.n1.4

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