Abstract Objective: To analyze the epidemiological and clinical profile of patients with developmental disabilities followed in a university clinic in Brazil. Methods: Descriptive, retrospective study, based on medical records. Children aged zero to 18 years with developmental problems, firstly evaluated between 2009 and 2018, were included. Patients with missing data or out of the age and time period established were excluded. There were nine losses and 374 patients constituted the final sample. Linear regression models were performed. Results: The mean age at the first assessment was 52.2±39.7 months and the age when the parents perceived the symptoms was 20.9±23.8 months. The most common impairment was motor associated with language delay (28.3%). The interval between the parents’ perception and the first consultation was associated with the mothers’ education and number of pregnancies. The age at first assessment was associated with the disability type. The number of pregnancies was associated with the child's age when the parents noticed the symptoms and at the first consultation. Conclusions: Parents’ recognition of the symptoms occurred early, however, there was a delay until the arrival at the clinic. Higher maternal education was associated with a shorter gap between perception of the developmental disability and consultation. A greater number of pregnancies was associated with a later perception of the developmental delay by the parents as well as a delay in the assessment and a wider interval between them. Motor problems were the most common in younger children, and language complaints in older ones.

Resumo Objetivo: Estabelecer o perfil clínico-epidemiológico de pacientes com alterações do desenvolvimento acompanhados em uma clínica universitária brasileira. Métodos: Estudo descritivo, retrospectivo, baseado em prontuários. Foram incluídas crianças de zero a 18 anos com alterações do desenvolvimento, primeiramente avaliadas entre 2009 e 2018. Foram excluídos pacientes com dados ausentes ou fora da idade e do período estabelecidos. Houve nove perdas, e 374 pacientes constituíram a amostra final. Modelos de regressão linear foram executados. Resultados: A média de idade na primeira avaliação foi de 52,2±39,7 meses, e a média de idade quando os pais perceberam os sintomas foi de 20,9±23,8 meses. O comprometimento mais comum foi o motor associado ao da linguagem (28,3%). O intervalo entre a percepção dos pais e a primeira consulta esteve associado à escolaridade materna e ao número de gestações. A idade da primeira avaliação foi relacionada ao tipo de comprometimento. O número de gestações foi associado à idade da criança quando os pais notaram os sintomas e na primeira consulta. Conclusões: O reconhecimento dos sintomas pelos pais foi pontual, porém houve demora até a chegada à clínica. Maior escolaridade materna foi associada a menor defasagem entre a percepção da deficiência e a consulta. Maior número de gestações foi associado a uma percepção tardia dos pais com relação aos sintomas e ao atraso na primeira avaliação, bem como ao maior intervalo entre elas. Os sintomas motores foram os mais comuns nas crianças mais novas, e as queixas de linguagem nas mais velhas.

Abstract Objectives To report a case series of Intraoperative Blood Salvage (IOS) in surgeries during the treatment for Slipped Capital Femoral Epiphysis (SCFE) with controlled dislocation of the hip, identifying its efficacy, complications, and the profile of patients with SCFE. Methods Descriptive study reporting a case series, comprising patients seen between January 2016 and March 2018, diagnosed with SCFE, and treated with controlled surgical dislocation of the hip using IOS. Results Sample comprised of 15 patients, with a mean age of 13.1 years. The most affected side was the left with 8 cases. None of the patients required allogeneic blood in the postoperative period. Mean pre- and postoperative hemoglobin were 13.2 and 11.2 g.dL-1, respectively, and mean hemoglobin difference was 1.8 g.dL-1. Mean pre- and postoperative hematocrit were 39.13% and 33.20%, respectively, and mean hematocrit difference was 5.52%. No intraoperative complications were observed. One patient presented vomiting and another one, wound infection in the postoperative period. Conclusion IOS was an alternative blood salvage approach and prevented allogeneic blood transfusion, enabling reduction of potential complications.

Abstract The role of women in the fisheries sector is largely underestimated and underreported. Although women are a fundamental part of the seafood supply chain in Brazil, fisheries management is gender-biased; sectoral programs and policies fail to recognize, support, and guarantee fisherwomen legal and labor rights. Brazilian fisherwomen have been very active in claiming their rights and recognition in the fisheries sector; however, public policies are lagging, and so are the studies that subsidize them. Within the UN Decade of Ocean Science for Sustainable Development and 2030 Agenda, it is critical to analyze the interactions between SDG 14 (Life below water) and SDG 5 (Gender equality) to discuss the gender dimensions underpinning fisheries (un)sustainability. We performed a systematic literature review and bibliometric analysis of gender-oriented studies in marine fisheries in Brazil. We identified 19 studies, published up to December 2020, focused on artisanal fisheries. The publications show that women are present in fisheries and are fundamental subjects to maintaining the activity and continuity of this livelihood. However, fisherwomen remain invisible. Their work is underreported, underpaid, and undervalued, which jeopardizes the sustainability of artisanal marine fisheries. Considering the knowledge gaps to be addressed during the Ocean Decade, we recommend that researchers and politicians work to: make "hidden workforce" of women visible, embrace interdisciplinarity, set research priorities, fill the data gap, and subsidize public policies. During the next few years, it is critical to enable and settle monitoring and assessment programs that provide open access to data, information, and technologies for the predictability, the sustainable harvesting of the ocean, and the correct design of gender-sensitive fisheries and aquaculture policies.

JUSTIFICATIVA E OBJETIVOS: Avaliar a fidelidade da ecografia para prever a profundidade dos espaços intratecais lombares e epidurais, a fim de limitar o número de tentativas de punção. MÉTODO: 31 pacientes (25 homens e seis mulheres), ASA I ou II participaram deste estudo. A imagem devolvida pelo ultrassom da espinha lombar foi executada no interespaço vertebral L3-L4 em plano transversal. Em seguida, um anestesista não previamente informado executou a anestesia espinal através do ponto previsto como alvo. A distância entre a pele e a parte anterior do flavum ligamentum que é supostamente o limite inferior da profundidade intratecal, ou uma aproximação da profundidade do espaço epidural (ED-US), foi medida por ultrassom sendo comparada com a distância entre a pele e a parte anterior do espaço do flavum ligamentum na agulha (ED-N). RESULTADOS: Os ED-US e os ED-N foram, respectivamente, de 5,15 ± 0,95 cm e de 5,14 ± 0.97 cm; essas distâncias não eram significativamente diferentes (p > 0,0001). A correlação significativa r = 0,982 [CI 95% 0,963-0,992, p > 0,0001] foi observada entre as medidas de ED-US e de ED-N. A análise Bland-Altman mostra uma precisão de 0,18 cm, com limites tolerados de -0,14 cm a -0,58 cm. CONCLUSÕES: Este estudo corrobora a utilidade da ultrassonografia em plano transversal que permite identificar as estruturas anatômicas axiais, podendo fornecer aos médicos informações eficientes para a execução da anestesia espinal.

BACKGROUND AND OBJECTIVES: To assess the accuracy of the ultrasound (US) to predict the depth to reach lumbar intrathecal and epidural spaces in order to decrease the number of puncture attempts. METHODS: Thirty-one patients (25 males and 6 females), ASA I or II participated in this study. The transversal ultrasound image of the lumbar spine was obtained at the level of the L3-L4 space. An anesthesiologist without prior information performed the spinal anesthesia through the predicted target area. The distance between the skin and the anterior portion of the flavum ligamentum which is supposedly the bottom limit of the intrathecal depth or an approximation of the depth of the epidural space (ED-US) was measured by ultrasound and it was compared with the distance between the skin and the anterior portion of the flavum ligamentum on the needle (ED-N). RESULTS: ED-US and ED-N were respectively 5.15 ± 0.95 cm and 5.14 ± 0.97 cm; these distances were not significantly different (p > 0.0001). A significant correlation r = 0.982 [95% CI 0.963-0.992, p > 0.0001] was observed between the ED-US and ED-N measurements. Bland-Altman analysis showed an accuracy of 0.18 cm; tolerated variations ranged from -0.14 cm to -0.58 cm. CONCLUSIONS: This study supports the idea that the US transversal plane allows the identification of axial anatomical structures and provides physicians with efficient information to perform spinal anesthesia.

JUSTIFICATIVA Y OBJETIVOS: Evaluar la fidelidad de la ecografía para prever la profundidad de los espacios intratecales lumbares y epidurales, con el fin de limitar el número de intentos de punción. MÉTODO: Treinta y un (31) pacientes (25 hombres y seis mujeres), ASA I o II participaron en el estudio. La imagen devuelta por el ultrasonido de la espina lumbar fue ejecutada en el interespacio vertebral L3-L4 en plano transversal. Inmediatamente un anestesiólogo no previamente informado ejecutó la anestesia espinal a través del punto previsto como diana. La distancia entre la piel y la parte anterior del flavum ligamentum que supuestamente es el límite inferior de la profundidad intratecal, o una aproximación de la profundidad del espacio epidural (ED-US), se midió por ultrasonido siendo comparada con la distancia entre la piel y la parte anterior del espacio del flavum ligamentum en la aguja (ED-N). RESULTADOS: Los ED-US y los ED-N fueron respectivamente de 5,15 ± 0,95 cm y de 5,14 ± 0.97 cm. Esas distancias no eran significativamente diferentes (p > 0,0001). La correlación significativa r = 0,982 [CI95% 0,963-0,992, p > 0,0001] fue observada entre las medidas de ED-US y de ED-N. El análisis Bland-Altman muestra una precisión de 0,18 cm, con límites tolerados de -0,14 cm a -0,58 cm. CONCLUSIONES: Este estudio corrobora la utilidad del ultrasonido en el plano transversal permitiendo identificar las estructuras anatómicas axiales, y pudiendo suministrar a los médicos informaciones eficientes para la ejecución de la anestesia espinal.

Discutir a promoção de saúde no contexto da qualidade de vida dos indivíduos/coletividade e no meio acadêmico é uma articulação política, teórica e metodológica, portanto esta pesquisa teve por objetivo analisar a produção científica sobre promoção da saúde registrada na Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes). Foi realizada uma revisão sistemática no banco de teses da Capes e analisados 678 trabalhos registrados entre 2000 e 2004 e identificadas as categorias curso, ano, região brasileira, área de conhecimento e resumo (tipo de estudo e coleta de dados). Constatou-se a predominância do curso de mestrado acadêmico com 531 (78,2%) pesquisas; entre os anos em que foram desenvolvidas as pesquisas sobre promoção da saúde, prevaleceu o ano de 2003, com 189 (27,8%) estudos, e entre as regiões brasileiras destacou-se a região Sudeste com 411 (60,5%) trabalhos. Na categoria área de conhecimento, preponderou a Saúde Coletiva com 138 (16%) pesquisas. No resumo do qual foi extraído o tipo de estudo, destacou-se a pesquisa qualitativa com 200 (29,4%) trabalhos. Conclui-se, portanto, que a produção científica na temática de promoção de saúde encontra-se progredindo, pois, no Brasil, a Política Nacional de Promoção de Saúde regularizou-se em 2004, sendo assim uma área em evidência para atuação interdisciplinar e descoberta de novas práticas e ações em saúde.

Discussing Health Promotion in the context of the quality of life of individuals / community and in the academic environment is a political, theoretical and methodological articulation. Therefore, this study aimed to examine the scientific production on Health Promotion registered in Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES - Coordination of Higher Education Personnel Qualification). A systematic review into the/ CAPES thesis collection was performed and 678 works registered between 2000 and 2004 were analyzed. The following categories were identified: course, year, Brazilian region, area of knowledge and summary (type of study and data collection). The predominance of the master's academic program was verified, with 531 (78.2%) research studies; among the years in which research into Health Promotion was carried out, the year of 2003 prevailed, with 189 (27.8%) studies; and among the Brazilian regions, the Southeast region had an outstanding participation, with 411 (60.5%) works. In the category area of knowledge, Public Health predominated, with 138 (16%) studies. In the summary, from which the type of study was extracted, qualitative research prevailed, with 200 (29.4%) works. It is concluded that the scientific production in the theme of Health Promotion is progressing because, in Brazil, the National Policy for Health Promotion was regulated in 2004; therefore, it is an adequate area for interdisciplinary work and discovery of new health practices and actions.

Discutir a promoção de saúde no contexto da qualidade de vida dos indivíduos/coletividade e no meio acadêmico é uma articulação política, teórica e metodológica, portanto esta pesquisa teve por objetivo analisar a produção científica sobre promoção da saúde registrada na Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes). Foi realizada uma revisão sistemática no banco de teses da Capes e analisados 678 trabalhos registrados entre 2000 e 2004 e identificadas as categorias curso, ano, região brasileira, área de conhecimento e resumo (tipo de estudo e coleta de dados). Constatou-se a predominância do curso de mestrado acadêmico com 531 (78,2%) pesquisas; entre os anos em que foram desenvolvidas as pesquisas sobre promoção da saúde, prevaleceu o ano de 2003, com 189 (27,8%) estudos, e entre as regiões brasileiras destacou-se a região Sudeste com 411 (60,5%) trabalhos. Na categoria área de conhecimento, preponderou a Saúde Coletiva com 138 (16%) pesquisas. No resumo do qual foi extraído o tipo de estudo, destacou-se a pesquisa qualitativa com 200 (29,4%) trabalhos. Conclui-se, portanto, que a produção científica na temática de promoção de saúde encontra-se progredindo, pois, no Brasil, a Política Nacional de Promoção de Saúde regularizou-se em 2004, sendo assim uma área em evidência para atuação interdisciplinar e descoberta de novas práticas e ações em saúde.

Discussing Health Promotion in the context of the quality of life of individuals / community and in the academic environment is a political, theoretical and methodological articulation. Therefore, this study aimed to examine the scientific production on Health Promotion registered in Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES - Coordination of Higher Education Personnel Qualification). A systematic review into the/ CAPES thesis collection was performed and 678 works registered between 2000 and 2004 were analyzed. The following categories were identified: course, year, Brazilian region, area of knowledge and summary (type of study and data collection). The predominance of the master's academic program was verified, with 531 (78.2%) research studies; among the years in which research into Health Promotion was carried out, the year of 2003 prevailed, with 189 (27.8%) studies; and among the Brazilian regions, the Southeast region had an outstanding participation, with 411 (60.5%) works. In the category area of knowledge, Public Health predominated, with 138 (16%) studies. In the summary, from which the type of study was extracted, qualitative research prevailed, with 200 (29.4%) works. It is concluded that the scientific production in the theme of Health Promotion is progressing because, in Brazil, the National Policy for Health Promotion was regulated in 2004; therefore, it is an adequate area for interdisciplinary work and discovery of new health practices and actions.