Pesquisa | SciELO

ABSTRACT BACKGROUND AND OBJECTIVES: The mechanisms underlying nociplastic pain, such as fibromyalgia (FM), are not fully understood, however, it is believed that altered sensory processing and pain modulation play prominent roles in the maintenance of nociplastic pain. The hypothesis is that changes in the primary somesthetic cortex (S1) contribute to the generalized pain character of FM. The objective of this study was to evaluate the involvement of the primary somesthetic cortex in humans with fibromyalgia, as well as to investigate possible associations between S1 changes and clinical signs and symptoms of FM. CONTENTS: For this integrative review, the following databases were used: Pubmed and Web of Science, including observational studies carried out in humans with FM. In total, 541 studies were identified and four were included. The majority of studies are case-control studies, published between 2016 and 2022. In total, data from 161 individuals were included in this review. It was identified that there are morphological changes, hyperactivation and increased functional connectivity between S1 and periaqueductal gray matter and between S1 and anterior cingulate cortex. CONCLUSION: Patients with FM present morphological changes and hyperactivation in S1, as well as increased functional connectivity between S1 and periaqueductal gray matter and S1 and limbic system. Furthermore, different bilateral somatotropic subregions (legs, chest, fingers, hands, face and back) showed reduced functional connectivity in patients with FM. These regions are often presented as “tender points” in FM.

RESUMO JUSTIFICATIVA E OBJETIVOS: Os mecanismos subjacentes à dor nociplástica, como a fibromialgia (FM), não são totalmente compreendidos, contudo acredita-se que o processamento sensorial e a modulação da dor alterados desempenham papéis proeminentes para a manutenção da dor nociplástica. Com a hipótese de que alterações no córtex somestésico primário (S1) contribuam para o caráter de dor generalizada da FM, o objetivo deste estudo foi avaliar o envolvimento do córtex somestésico primário em humanos com FM, bem como investigar possíveis associações entre alterações de S1 com sinais e sintomas clínicos da FM. CONTEÚDO: Para esta revisão integrativa, foram utilizadas as seguintes bases de dados: Pubmed e Web of Science, incluindo estudos observacionais realizados em humanos com FM. No total, 541 estudos foram identificados e quatro foram incluídos. A maioria dos estudos são do tipo caso-controle, publicados entre 2016 e 2022. Ao todo, dados de 161 indivíduos foram incluídos. Foi identificado que há alterações morfológicas, hiperativação e aumento da conectividade funcional entre S1 e substância cinzenta periaquedutal e entre S1 e córtex cingulado anterior. CONCLUSÃO: Pacientes com FM apresentam alterações morfológicas e hiperativação em S1, bem como aumento da conectividade funcional entre S1 e substância cinzenta periaquedutal e S1 e sistema límbico. Ademais, diferentes sub-regiões somatotrópicas bilaterais (pernas, tórax, dedos, mãos, face e costas) apresentaram redução da conectividade funcional em pacientes com FM. Essas regiões são frequentemente apresentadas como “tender points” na FM.

https://doi.org/10.5935/2595-0118.20240002-en

[SciELO Preprints] - Cardiovascular Statistics – Brazil 2023
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Oliveira, Gláucia Maria Moraes de Brant, Luisa Campos Caldeira Polanczyk, Carisi Anne Malta, Deborah Carvalho Biolo, Andreia Nascimento, Bruno Ramos Souza, Maria de Fatima Marinho de Lorenzo, Andrea Rocha De Fagundes Júnior, Antonio Aurélio de Paiva Schaan, Beatriz D. Silva, Christina Grüne de Souza e Castilho, Fábio Morato de Cesena, Fernando Henpin Yue Soares, Gabriel Porto Xavier Junior, Gesner Francisco Barreto-Filho, Jose Augusto Soares Passaglia, Luiz Guilherme Pinto-Filho, Marcelo Martins Machline-Carrion, M. Julia Bittencourt, Marcio Sommer Pontes Neto, Octavio M. Villela, Paolo Blanco Teixeira, Renato Azeredo Stein, Ricardo Sampaio, Roney Orismar Gaziano, Thomaz A. Perel, Pablo Roth, Gregory A. Ribeiro, Antonio Luiz Pinho

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Data de publicação: 2023-12-14

Resumo: En Pt

The publication Cardiovascular Statistics – Brazil aims to provide an annual compilation of data and research on the epidemiology of CVDs in Brazil.  The report integrates official statistics from the Brazilian Ministry of Health and other governmental entities alongside data from the GBD project, coordinated by the IHME at the University of Washington. Additionally, it incorporates data derived from various sources and scientific studies, including cohorts and registries, that relate to CVDs and their associated risk factors. This publication is intended for a wide range of individuals, including researchers, clinicians, patients, healthcare policymakers, media professionals, the general public, and other interested parties seeking extensive national data about heart disease and stroke.  Volunteer researchers from various Brazilian universities and research institutions carry out the project. The group is led by a five-member steering committee (ALPR, CAP, DCM, GMMO, and LCCB). The Brazilian Society of Cardiology fully supports this initiative, and the project receives collaborative support from the GBD Brazil Network and an International Committee (GAR, PP, and TAG) from both the IHME/University of Washington (GAR) and the World Heart Federation (PP and TAG). 

A publicação Estatística Cardiovascular – Brasil tem por objetivo fornecer uma compilação anual dos dados e das pesquisas sobre a epidemiologia das DCV no Brasil.  Este documento integra as estatísticas oficiais do Ministério da Saúde do Brasil e outras entidades governamentais ao lado de dados do projeto GBD, coordenado pelo IHME da Universidade de Washington. Além disso, incorpora dados derivados de várias fontes e estudos científicos, inclusive coortes e registros, relacionados às DCV e fatores de risco associados. Esta publicação destina-se a um público variado, incluindo pesquisadores, clínicos, pacientes, formuladores de políticas de saúde, profissionais da mídia, o público em geral e todos aqueles que buscam dados nacionais abrangentes sobre DCV e acidente vascular cerebral. Pesquisadores voluntários de várias universidades e instituições de pesquisa brasileiros realizaram este projeto. O grupo é liderado por um comitê diretivo com cinco membros (ALPR, CAP, DCM, GMMO e LCCB). A Sociedade Brasileira de Cardiologia apoia integralmente esta iniciativa e o projeto recebe colaboração da Rede GBD Brasil1 e do GBD International Committee (GAR, PP e TAG) do IHME/Universidade de Washington (GAR) e da World Heart Federation (PP e TAG). 

https://doi.org/10.1590/SciELOPreprints.7707

O Conselho Nacional de Saúde na pandemia de Covid-19: análise dos atos normativos e não normativos entre 2020 e 2022
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Costa, José Rafael Cutrim

; Alves, Sandra Mara Campos

; Delduque, Maria Célia

; Souza, Maria do Socorro de

Saúde em Debate

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Dez 2023, Volume 47 Nº 139 Páginas 830 - 843

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

ABSTRACT The present article presents the outcomes of the normative research on the combat against the COVID-19 pandemic at the National Health Council (Conselho Nacional de Saúde - CNS) from February 2020 to March 2022. This is a documental, descriptive-analytical study, with qualitative approach, using the technical analysis of content. Seventy-seven acts were issued by the CNS Collegiate, there included 63 recommendations, 6 opinions, 5 motions, 2 technical notes and 1 resolution. Most part of the documents (59%) were worked out during the first year of the pandemic. Despite the Council’s performance when combating the COVID-19, non-binding acts may be highlighted, the CNS normative production concentrating in merely guidance recommendations.

RESUMO Este artigo apresenta os resultados de pesquisa normativa sobre o enfrentamento da pandemia de Covid-19, no Conselho Nacional de Saúde (CNS), entre os meses de fevereiro de 2020 e maio de 2022. Tratou-se de estudo documental, descritivo-analítico com abordagem qualitativa, utilizando-se de técnica de análise de conteúdo. Foram identificados 77 atos expedidos pelo colegiado do CNS, sendo 63 recomendações, 6 pareceres, 5 moções, 2 notas técnicas e 1 resolução, constatando-se que a maior parte dos documentos (59%) foi elaborada no primeiro ano da pandemia. A despeito da atuação do CNS no enfrentamento da Covid-19, destaca-se o uso de atos não vinculantes, concentrando-se a produção normativa do CNS em recomendações que têm caráter meramente orientadores.

https://doi.org/10.1590/0103-1104202313908

Posicionamento do Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia sobre o Uso do Strain Miocárdico na Rotina do Cardiologista – 2023
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Almeida, André Luiz Cerqueira

; Melo, Marcelo Dantas Tavares de

; Bihan, David Costa de Souza Le

; Vieira, Marcelo Luiz Campos

; Pena, José Luiz Barros

; Del Castillo, José Maria

; Abensur, Henry

; Hortegal, Renato de Aguiar

; Otto, Maria Estefania Bosco

; Piveta, Rafael Bonafim

; Dantas, Maria Rosa

; Assef, Jorge Eduardo

; Beck, Adenalva Lima de Souza

; Santo, Thais Harada Campos Espirito

; Silva, Tonnison de Oliveira

; Salemi, Vera Maria Cury

; Rocon, Camila

; Lima, Márcio Silva Miguel

; Barberato, Silvio Henrique

; Rodrigues, Ana Clara

; Rabschkowisky, Arnaldo

; Frota, Daniela do Carmo Rassi

; Gripp, Eliza de Almeida

; Barretto, Rodrigo Bellio de Mattos

; Silva, Sandra Marques e

; Cauduro, Sanderson Antonio

; Pinheiro, Aurélio Carvalho

; Araujo, Salustiano Pereira de

; Tressino, Cintia Galhardo

; Silva, Carlos Eduardo Suaide

; Monaco, Claudia Gianini

; Paiva, Marcelo Goulart

; Fisher, Cláudio Henrique

; Alves, Marco Stephan Lofrano

; Grau, Cláudia R. Pinheiro de Castro

; Santos, Maria Veronica Camara dos

; Guimarães, Isabel Cristina Britto

; Morhy, Samira Saady

; Leal, Gabriela Nunes

; Soares, Andressa Mussi

; Cruz, Cecilia Beatriz Bittencourt Viana

; Guimarães Filho, Fabio Villaça

; Assunção, Bruna Morhy Borges Leal

; Fernandes, Rafael Modesto

; Saraiva, Roberto Magalhães

; Tsutsui, Jeane Mike

; Soares, Fábio Luis de Jesus

; Falcão, Sandra Nívea dos Reis Saraiva

; Hotta, Viviane Tiemi

; Armstrong, Anderson da Costa

; Hygidio, Daniel de Andrade

; Miglioranza, Marcelo Haertel

; Camarozano, Ana Cristina

; Lopes, Marly Maria Uellendahl

; Cerci, Rodrigo Julio

; Siqueira, Maria Eduarda Menezes de

; Torreão, Jorge Andion

; Rochitte, Carlos Eduardo

; Felix, Alex

Arquivos Brasileiros de Cardiologia

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Dez 2023, Volume 120 Nº 12 elocation e20230646

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

https://doi.org/10.36660/abc.20230646

O Conselho Nacional de Saúde na pandemia de Covid-19: análise dos atos normativos e não normativos entre 2020 e 2022
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Costa, José Rafael Cutrim

; Alves, Sandra Mara Campos

; Delduque, Maria Célia

; Souza, Maria do Socorro de

Saúde em Debate

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Out 2023, Volume 47 Nº 139 Páginas 830 - 843

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

https://doi.org/10.1590/0103-1104202313908

Reduction of antimicrobial treatment time in intensive care units in Fortaleza, Brazil
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Almeida-Bastos, Angelina

; Figueiredo-Chaves, Elana

; Almeida-Bastos, Maria Luiza

; Suellen-Pereira, Bruna

; de Souza-Cavalcante, Márcio

; Lopes-Campos-e Reis, Henry Pablo

; Martins-de Alcântara Neto, José

; Cavalcante-de Andrade, Cinthya

Ars Pharmaceutica (Internet)

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Set 2023, Volume 64 Nº 3 Páginas 243 - 255

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract Objective: To evaluate the application of the Antimicrobial (ATM) treatment time reduction strategy in Intensive Care Units (ICU) in an Antimicrobial Stewardship Program (ASP). Method: This is a descriptive and cross-sectional study, carried out in two ICU of a university hospital in Fortaleza, Brazil, from January/2017 to January/2019. Adult patients were included, accompanied by a pharmacist, and using ATM, in which the treatment time reduction strategy was applied. The evaluation of the strategy was made through the difference between the predicted time established at the beginning of the treatment and the effective days of use of each ATM. Results: Of the 100 patients included, 51.0 % were male and 64.0 % were elderly. The respiratory system was the most frequently affected by the infections (37.4 %) and the most prevalent classes of ATM were carbapenems (23.0 %) and glycopeptides (20.1 %). There was a decrease from 831 unnecessary days of antimicrobial therapy and from an average of 13.7 to 8.9 days of treatment. The greatest reductions in days were observed for meropenem, with 202 days reduced. The study also allowed the identification of associations between the reduction > 8 days of treatment and the variables length of stay > 22 days and patients in exclusive palliative care, and associations between hospital discharge and reductions of up to 7 days of therapy. Conclusions: The data obtained suggest that the presence of an ASP influences the practices of ATM use and its treatment time and emphasize the role of pharmaceutical professionals in these programs.

Resumen Objetivo: Evaluar la aplicación de la estrategia reducción del tiempo de tratamiento Antimicrobiano (ATM) en Unidades de Cuidados Intensivos (UCI) en un Programa Stewardship de Antimicrobiano (ASP). Método: Este es un estudio descriptivo y transversal, realizado en dos UCI de un hospital universitario de Fortaleza, Brasil, de enero/2017 a enero/2019. Se incluyeron pacientes adultos, acompañados por un farmacéutico y utilizando ATM, en los que se aplicó la estrategia de reducción del tiempo de tratamiento. La evaluación de la estrategia se realizó a través de la diferencia entre el tiempo previsto establecido al inicio del tratamiento y los días efectivos de uso de cada ATM. Resultados: De los 100 pacientes incluidos, 51,0 % eran del sexo masculino y 64,0 % ancianos. El sistema respiratorio fue el más frecuentemente afectado (37,4 %) y las clases de ATM más prevalentes fueron los carbapenémicos (23,0 %) y los glicopéptidos (20,1 %). Hubo una disminución de 831 días innecesarios de terapia antimicrobiana y de un promedio de 13,7 a 8,9 días de tratamiento. Las mayores reducciones en días se observaron para meropenem, con 202 días reducidos. El estudio también permitió identificar asociaciones entre la reducción > 8 días de tratamiento y las variables estancia > 22 días y pacientes en cuidados paliativos exclusivos; y asociaciones entre alta hospitalaria y reducciones de hasta 7 días de terapia. Conclusiones: Los datos obtenidos sugieren que la presencia de un ASP influye en las prácticas de uso de ATM y su tiempo de tratamiento y enfatizan el papel de los profesionales farmacéuticos en estos programas.

https://doi.org/10.30827/ars.v64i3.27830

Mortalidad de pacientes internados por pie diabético en un hospital de Costa Rica (2017-2019)
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Rojas-Bonilla, José María

; Camacho-Álvarez, Yeimi

; Campos-Zamora, Kattia

; Román-González, Tania

; Alvarado-Prado, Rebeca

; Romero-Zúñiga, Juan José

Horizonte sanitario

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Ago 2023, Volume 22 Nº 2 Páginas 227 - 237

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract Objective: To identify clinical and sociodemographic factors associated with mortality in patients hospitalized for diabetic foot, in the Diabetic Foot Unit of the San Juan de Dios Hospital in Costa Rica, from 2017 to 2019. Materials and methods: A retrospective cohort study with 238 patients, followed from hospitalization until death or until December 31, 2021, still alive. A descriptive analysis is made of the sociodemographic, clinical, and cause of death variables. A Cox proportional hazards model is run for all causes of death, and another exclusively for death from cardiovascular causes. Survival times are analyzed using Kaplan-Meier curves, with the log-rank test for comparison. Results: Most of the deceased were men, did not have a partner, lived in urban or predominantly urban areas, were 15 years or older, diabetic, hypertensive, with peripheral arterial disease, anemia, inadequate glycosylated hemoglobin, and obesity. The mortality rate was 23,53%, and cardiovascular disease was the main cause of death (35,70%). The variables associated with all-cause mortality, adjusted for age and sex were: absence of a partner (HR: 13,09; 95% CI: 4,04-42,31), obesity (HR: 2,89; 95% CI %: 1,59-5,27), peripheral arterial disease (HR: 2,26; CI 95%: 1,25-4,09), years of evolution of diabetes mellitus ≥ 15 years (HR: 1,99; CI 95 %: 1,04-3,82). In turn, for cardiovascular mortality were: obesity (HR: 6,42; 95% CI: 2,07-19,87), peripheral arterial disease (HR: 3,88; 95% CI: 1,39-10,79) and heart disease (HR: 4,11; 95% CI: 1,62-10,46). Conclusions: Evolution of diabetes mellitus greater than or equal to 15 years, not having a partner, obesity and peripheral arterial disease were associated with all-cause mortality. Regarding death from cardiovascular disease, the associated variables were obesity, peripheral arterial disease, and heart disease.

Resumen Objetivo: Identificar factores clínicos y sociodemográficos asociados a la mortalidad en los pacientes internados por pie diabético, en la Unidad de Pie Diabético del Hospital San Juan de Dios de Costa Rica, del año 2017 al 2019. Materiales y métodos: Estudio de cohorte retrospectivo con 238 pacientes, seguidos desde su internamiento hasta la muerte o al 31 de diciembre del 2021 aún vivos. Análisis descriptivo a variables sociodemográficas, clínicas y causas de muerte. Modelo de riesgos proporcionales de Cox para todas las causas de muerte, y otro exclusivo para muerte por causa cardiovascular. Tiempos de supervivencia se analizan por curvas de Kaplan-Meier, con la prueba de log-Rank para comparar curvas. Resultados: Mayoría de los fallecidos eran hombres, no contaban con pareja, residían en zona urbana o predominantemente urbana, de 15 años o más de ser diabéticos, hipertensos, con enfermedad arterial periférica, anemia, hemoglobina glicosilada inadecuada y obesidad. La tasa de mortalidad fue 23,53%, y la principal causa de muerte fue la enfermedad cardiovascular (35,70 %). Las variables asociadas con mortalidad por todas las causas, ajustadas por edad y sexo fueron: ausencia de pareja (HR: 13,09; IC 95 %: 4,04-42,31), obesidad (HR: 2,89; IC 95 %: 1,59-5,27), enfermedad arterial periférica (HR: 2,26; IC 95 %: 1,25-4,09), años de evolución de la diabetes mellitus ≥ 15 años (HR: 1,99; IC 95 %: 1,04-3,82). A su vez, para mortalidad cardiovascular fueron: obesidad (HR: 6,42; IC 95 %: 2,07-19,87), enfermedad arterial periférica (HR: 3,88; IC 95 %: 1,39-10,79) y cardiopatía (HR: 4,11; IC 95 %: 1,62-10,46). Conclusiones: Años de evolución de la diabetes mellitus mayor o igual a 15 años, no contar con pareja; la obesidad y enfermedad arterial periférica se asoció a mortalidad por todas las causas. Respecto a muerte por enfermedad cardiovascular, las variables asociadas fueron obesidad, enfermedad arterial periférica y cardiopatía.

https://doi.org/10.19136/hs.a22n2.5293

As ninfas dos mares de cá: a ninfa pagã e seu exílio nos trópicos cá
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Campos, Daniela Queiroz

Revista do Instituto de Estudos Brasileiros

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Ago 2023, Nº 85 Páginas 150 - 170

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO O presente artigo tem como mote as chamadas ninfas na arte brasileira do século XIX. Para cumprir tal desígnio, parte-se das premissas teóricas de dois historiadores da arte, Aby Warburg e Georges Didi-Huberman. Foram, então, abordadas quatro personagens outrora literárias que se transformaram em personagens pictóricas pelos pincéis de renomados artistas brasileiros: Lindoia, Moema, Iracema e Marabá. Nas telas de José Maria de Medeiros, Victor Meirelles, Antônio Parreiras e Rodolfo Amoedo, buscamos encontrar a ninfa pagã em seu exílio nos trópicos. XIX desígnio partese parte DidiHuberman. DidiHuberman Didi Huberman. Huberman Didi-Huberman Foram então brasileiros Lindoia Moema Marabá Medeiros Meirelles Amoedo trópicos

ABSTRACT The motto of this article is the so-called nymphs in Brazilian art of the 19th century. To fulfill this purpose, it departs from the theoretical premises of two art historians, Aby Warburg and Georges Didi-Huberman. Four formerly literary characters were then approached who were transformed into pictorial characters by the brushes of renowned Brazilian artists, namely: Lindoia, Moema, Iracema and Marabá. On the canvases of José Maria de Medeiros, Victor Meirelles, Antônio Parreiras and Rodolfo Amoedo, we seek to find the pagan nymph in her exile in the tropics. socalled so called th century purpose historians DidiHuberman. DidiHuberman Didi Huberman. Huberman Didi-Huberman artists namely Lindoia Moema Marabá Medeiros Meirelles Amoedo tropics

https://doi.org/10.11606/issn.2316-901x.v1i85p150-170

El sentido de pertenencia y el compromiso estudiantil en el contexto de educación superior a distancia con mediación virtual
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González-Campos, José Alejandro

; Agredo-Morales, Jobana Fayine

; Campo Sánchez, María Daniela

; Hernández, María Paula

; Oviedo Tovar, Nubia Liliana

Revista Educación

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Jun 2023, Volume 47 Nº 1 Páginas 59 - 78

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Los avances tecnológicos y el contexto de pandemia han posicionado a la mediación virtual como una potente alternativa para el tránsito y proyección de las instituciones de educación superior y su adaptabilidad a las nuevas demandas, contextos y cambios. La implementación de la mediación virtual a distancia como consecuencia de la pandemia por Covid-19 ha impactado en el sentido de pertenencia y el compromiso estudiantil en la educación superior con modalidad presencial; sin embargo, surge la pregunta de cómo se consolida el comportamiento de estas variables en instituciones de educación superior en las cuales la mediación virtual a distancia siempre ha sido su sello metodológico. Con el objetivo de establecer el perfil del estudiantado de la Universidad Nacional Abierta y a Distancia (UNAD) en estos contextos y el análisis e interacción de las variables de compromiso estudiantil y sentido de pertenencia, en este orden de ideas y de manera aleatoria, se toma una muestra de 312 estudiantes de la universidad anteriormente mencionada. Este estudio se desarrolla desde un paradigma positivista, con un nivel de profundización descriptivo-inferencial, con registro prospectivo, transversal y no experimental. Se hizo uso de 2 instrumentos para la recolección de información, el primero centrado en la medición del grado y la orientación del compromiso estudiantil y el segundo identifica factores determinantes en el sentido de pertenencia. Finalmente, se concluye que existe una diferencia tangible entre el perfil del estudiante de educación a distancia al ponerlo en comparación con el estudiante de educación presencial; por otra parte, se recomienda ahondar en investigaciones centradas en los procesos de sentido de pertenencia y de compromiso estudiantil, más aún en la Educación Superior a distancia, la cual no ha sido lo suficientemente explorada.

Abstract Both technological advances and the context of the pandemic have positioned virtual mediation as a strong alternative for the transit and projection of higher education institutions and their adaptability to new demands, contexts, and changes. The implementation of remote virtual mediation as a consequence of the Covid-19 pandemic has impacted the sense of belonging and student commitment in higher education with face-to-face modality. However, the question arises as to how the behavior of these variables is consolidated in higher education institutions in which remote virtual mediation has always been their methodological hallmark. Seeking to establish the profile of the students of the National Open and Distance University (UNAD) in these contexts and to analyze the interaction of the variables of student commitment and sense of belonging, in this order of ideas and in a random manner, the investigators took a sample of 312 students from the aforementioned university. In this way, the study was developed from a positivist paradigm, with a descriptive-inferential level of depth, with a prospective, cross-sectional and non-experimental record. In addition, the authors used 2 instruments for data collection. The first one was focused on the measurement of the degree and the orientation of the student commitment, while the second one identified determinant factors in the sense of belonging. Finally, the investigators concluded that there is a tangible difference between the profile of the distance education student and that of face-to-face education. Likewise, it is recommended to delve into research focused on the processes of a sense of belonging and student commitment, even more so in distance Higher Education, which has not been sufficiently explored.

https://doi.org/10.15517/revedu.v47i1.51663

10.

La rehabilitación respiratoria infantil a la luz de la investigación cualitativa: Aquello que los números no pueden mostrar
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Rodríguez-Núftez, Iván

; Monsalve-Campos, Katherine

; Bretti, María José

; Otzen, Tamara

; Zenteno, Daniel

Andes pediatrica

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Jun 2023, Volume 94 Nº 3 Páginas 392 - 400

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen: Diversos estudios han respaldado el efecto positivo de la rehabilitación respiratoria (RR) en niños, niñas y adolescentes (NNA) con enfermedades respiratorias crónicas (ERC), sin embargo, los aspectos cualitativos vinculados con las experiencias y percepciones acerca de la RR han sido escasamente estudiados. Objetivo: analizar la evidencia cualitativa respecto a las percepciones y experiencias de pacientes, familias y profesionales vinculados con la RR de NNA con ERC. Material y Método: Revisión de estudios cualitativos en 5 bases de datos. Se utilizaron términos MeSH y términos libres en idioma inglés agrupados en tres dimensiones: pacientes, intervención y diseño de investigación. Los sujetos de estudio debían ser pacientes, sus familias, profesores o equipos de salud tratante. No se establecieron restricciones respecto al idioma o año de publicación. La estrategia de búsqueda se configuró de la siguiente forma: ((Fibrosis quística) OR (Asma) OR (Enfermedades neuromusculares)) AND ((Rehabilitación respiratoria) OR (Ejercicio)) AND ((Investigación cualitativa) OR (Fenomenología) OR (Teoría fundamentada) OR (Etnografía)). Dos autores independientes analizaron títulos atingentes, resúmenes y los textos extensos. Finalmente se realizó una descripción cualitativa de los resultados. Resultados: Se seleccionaron 21 estudios cualitativos, todos en pacientes, familiares, profesores o profesionales tratantes de pacientes con fibrosis quística (FQ), asma o enfermedades neuromusculares (ENM). La percepción de beneficios, la influencia de los padres, el entretenimiento de los protocolos y el tiempo que demanda la realización de actividad física fueron categorías identificadas en los tres grupos. Aspectos como la percepción de seguridad en recintos escolares y el estrés parental fueron categorías específicas, destacadas en el contexto del asma y la FQ respectivamente. Conclusión: Diversos factores generales y específicos de naturaleza cualitativa influencian la experiencia de NNA con ERC durante la RR. Futuros estudios realizados en nuestro contexto cultural deben ser realizados para confirmar estos resultados.

Abstract: Several studies have supported the positive effect of respiratory rehabilitation (RR) in children and adolescents (CRA) with chronic respiratory diseases (CRD); however, qualitative aspects related to the experiences and perceptions about RR have been scarcely studied. Objective: to analyze the qualitative evidence regarding the perceptions and experiences of patients, families and professionals related to the RR of children and adolescents with CKD. Methods: Review of qualitative studies in 5 databases. We used MeSH terms and free English-language terms grouped into three dimensions: patients, intervention, and research design. The study subjects had to be patients, their families, teachers or treating health teams. No restrictions were placed on language or year of publication. The search strategy was configured as follows: ((Cystic fibrosis) OR (Asthma) OR (Neuromuscular diseases)) AND ((Respiratory rehabilitation) OR (Exercise)) AND ((Qualitative research) OR (Phenomenology) OR (Grounded theory) OR (Ethnography)). Two independent authors analyzed atingent titles, abstracts and long texts. Finally, a qualitative description of the results was made. Results: Twenty-one qualitative studies were selected, all on patients, family members, teachers or professionals treating patients with cystic fibrosis (CF), asthma or neuromuscular diseases (NMD). Perception of benefits, parental influence, enjoyment of the protocols, and time required to engage in physical activity were categories identified in all three groups. Aspects such as perceived safety on school grounds and parental stress were specific categories, highlighted in the context of asthma and CF respectively. Conclusion: Several general and specific factors of a qualitative nature influence the experience of children with CRD during RR. Future studies conducted in our cultural context should be conducted to confirm these results.

https://doi.org/10.32641/andespediatr.v94i3.4494

11.

Resultados de la encuesta sobre unidades asistenciales y atención a trastornos de la conducta alimentaria en España. Grupo de trabajo sobre trastornos de la conducta alimentaria de SENPE
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Matía-Martín, Pilar

; Castro-Alija, María José

; Loria-Kohen, Viviana

; Campos-del Portillo, Rocío

; Palma-Milla, Samara

; Valero-Pérez, Marlhyn

; Martínez-Olmos, Miguel Ángel

; Moríes-Álvarez, María Teresa

; García-Torres, Francisca

; Carrillo-Lozano, Elena

; Plaza-Blázquez, Pilar

; Pita-Gutiérrez, Francisco

; Gómez-Candela, Carmen

Nutrición Hospitalaria

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Fev 2023, Volume 40 Nº 1 Páginas 213 - 221

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen Introducción: los trastornos de la conducta alimentaria (TCA) suponen un reto terapéutico. Objetivo: describir la asistencia a los TCA desde la perspectiva de las unidades de Nutrición Clínica y Dietética (UNCyD) en relación con los recursos humanos y asistenciales, las actividades realizadas y la satisfacción con la atención en España; recoger demandas de los profesionales para mejorar la asistencia. Métodos: estudio transversal y observacional a partir de un cuestionario remitido online a socios de la Sociedad Española de Nutrición Clínica y Metabolismo (SENPE) y al Área de Nutrición de la Sociedad Española de Endocrinología y Nutrición (SEEN). Los datos se analizaron según las camas de los hospitales encuestados (< 500/≥ 500). Resultados: 23 respuestas de 8 comunidades autónomas. En el 87 % de las UNCyD se prestaba atención a los TCA; el 65,2 % contaban con un proceso específico; el 91,3 % colaboraban con Psiquiatría; el 34,8 % tenían área propia de hospitalización; el 56,5 % disponían de hospital de día pero participaban en él el 21,7 %; el 39,1 % tenían consulta monográfica; se realizaba educación nutricional en el 87 %, sobre todo por enfermería; se prescribían frecuentemente dietas individualizadas y suplementos orales en el 39,1 y el 56,5 %, respectivamente; solo los hospitales más grandes participaban en investigación sobre TCA (62,5 %); y el 21,7 % colaboraban con asociaciones de pacientes. Los hospitales con ≥ 500 camas disponían de más recursos y estaban más satisfechos. Los profesionales demandaban recursos y procesos consensuados con Psiquiatría. Conclusiones: los recursos y las prácticas asistenciales son dispares en las UNCyD encuestadas, así como la colaboración multidisciplinar. La evidencia recogida permite diseñar estrategias de mejora en este ámbito.

Abstract Introduction: eating disorders (EDs) entail a therapeutic challenge. Objective: to describe ED care from the perspective of Nutrition Units (NU) in relation to human and care resources, the activities carried out, and satisfaction with care in Spain; to collect demands from professionals to improve assistance. Methods: a cross-sectional, observational study based on a questionnaire sent online to members of the Spanish Society of Clinical Nutrition and Metabolism (SENPE) and to the Nutrition Area of the Spanish Society of Endocrinology and Nutrition (SEEN). The data were analyzed according to number of beds of the hospitals surveyed (< 500/≥ 500). Results: 23 responses from 8 autonomous communities. In 87 % of NUs care was given to eating disorders; 65.2 % had a specific process; 91.3 % collaborated with Psychiatry; 34.8 % had their own hospitalization area; 56.5 % had a day hospital, but 21.7 % participated in it; 39.1 % had a monographic consultation office; nutritional education was carried out in 87 %, especially by nursing; individualized diets and oral supplements were frequently prescribed in 39.1 % and 56.5 %, respectively; only the largest hospitals participated in research on EDs (62.5 %), and 21.7 % collaborated with patient associations. Hospitals with ≥ 500 beds had more resources and were more satisfied. Professionals demanded resources and processes agreed with Psychiatry. Conclusions: resources and care practices are uneven in the NUs surveyed, as well as multidisciplinary collaboration. The collected evidence allows us to design improvement strategies in this area.

https://doi.org/10.20960/nh.04500

12.

Are parental physical activity and social support associated with adolescents’ meeting physical activity recommendations?
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Camargo, Edina Maria de

; López-Gil, José Francisco

; Piola, Thiago Silva

; Mota, Jorge

; Campos, Wagner de

Revista de Saúde Pública

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2023, Volume 57 elocation 30

Resumo: En | Texto: En | PDF: En

ABSTRACT OBJECTIVE To verify whether parental physical activity and social support are associated with adolescents meeting physical activity recommendations. METHODS This is a cross-sectional study that selected 1,390 adolescents (59.6% girls) from Curitiba, Paraná, Brazil. The IPAQ (International Physical Activity Questionnaire), QAFA (Physical Activity Questionnaire for Adolescents), and ASAFA (Social Support for Physical Activity Practice in Adolescents) questionnaires were applied. Binary logistic regression was used to test the relationship among the study variables. RESULTS For boys, having parents who “always attend” (OR = 1.96; 95%CI: 1.16–3.32) and having parents or legal guardians who meet the PA recommendations (OR = 2.78; 95%CI: 1.76–4.38) were associated with meeting the PA recommendations. Odds were greater after adjusting for socioeconomic status (OR = 3.47; 95%CI: 1.73–6.96) and schooling level (OR = 4.20; 95%CI: 1.96–9.02). For girls, those with parents or legal guardians who “sometimes encourage them” (OR = 0.61; 95%CI: 0.37–0.98) had lower odds of meeting PA recommendations. These odds were higher after adjusting for socioeconomic status (OR = 2.11; 95%CI: 1.36–3.29) and schooling level (OR = 4.30; 95%CI: 2.41–7.69). CONCLUSIONS Boys and girls were more likely to meet PA recommendations daily by having parents who meet PA recommendations than by receiving parental social support. These results could help establish future interventions aimed at modifying behaviors related to PA in adolescents.

https://doi.org/10.11606/s1518-8787.2023057004362

13.

Biometriy of Seeds of Tabebuia aurea (Silva Manso) Benth. & Hook. f. ex. S. Moore and Seedling Growth After Different Periods of Water Immersion
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Almeida, Romário de Sousa

; Moura, Luzia Batista

; Araújo, Maria Pereira de

; Gomes, Azenate Campos

; Medeiros, José George Ferreira

; Dornelas, Carina Seixas Maia

; Lacerda, Alecksandra Vieira de

Brazilian Archives of Biology and Technology

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2023, Volume 66 elocation e23220697

Resumo: En | Texto: En | PDF: En

Abstract This study aimed to determine the biometric characteristics of seeds of Tabebuia aurea and evaluate the effect of different periods of water immersion on the initial growth of seedlings. For this, the following dimensions were analyzed: length, width, and thickness of seeds with lateral wings and embryo. The moisture content, weight of a thousand seeds, and the number of seeds per kilogram were determined. The seeds were subjected to 11 treatments, as follow: control (no immersion in water; 0 hours) and periods of water immersion for 6, 12, 18, 24, 30, 36, 42, 48, 54, and 60 hours, with four replications of 25 seeds in each treatment. The aerial part and seedling root lengths were analyzed 30 days after sowing. The water content was 9.81% and the weight of a thousand seeds was 130.260 g, corresponding to about 7,677 seeds/kg. The seeds with lateral wings had mean length, width, and thickness of 5.252, 1.226, and 0.147 cm, respectively. For the embryo, these dimensions corresponded to 1.355, 0.805, and 0.103 cm. Regarding the aerial part and root length of T. aurea seedlings, immersion for 48 hours is recommended because this treatment had the best results.

https://doi.org/10.1590/1678-4324-2023220697

14.

Non-destructive determination of the oil content in peach palm (Bactris gasipaes) flour using NMR and NIR spectroscopies
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SANTOS, Yves José de Souza

; CAMPOS, Natalia Alves

; BICCA, Gerson Balbueno

; SORA, Gisele Teixeira de Souza

; POLESI, Luis Fernando

; ALBERTE, Tania Maria

; SANTOS, Poliana M.

; GARCIA, Rodrigo Henrique dos Santos

; COLNAGO, Luiz Alberto

; OLIVEIRA-FOLADOR, Gabrieli

Food Science and Technology

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2023, Volume 43 elocation e112322

Resumo: En | Texto: En | PDF: En

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.

https://doi.org/10.1590/fst.112322

15.

Are parental physical activity and social support associated with adolescents’ meeting physical activity recommendations?
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Camargo, Edina Maria de

; López-Gil, José Francisco

; Piola, Thiago Silva

; Mota, Jorge

; Campos, Wagner de

Revista de Saúde Pública

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2023, Volume 57 elocation 30

Resumo: En | Texto: En | PDF: En

https://doi.org/10.11606/s1518-8787.2023057004362

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