ABSTRACT The global reemergence of measles in 2018–2019 reinforces the relevance of high-coverage immunization to maintain the disease elimination. During an outbreak in the Sao Paulo State in 2019, several measles cases were reported in individuals who were adequately vaccinated according to the current immunization schedule recommends. This study aimed to assess measles IgG antibody seropositivity and titers in previously vaccinated adults. A cross-sectional study was conducted at CRIE-HC-FMUSP (Sao Paulo, Brazil) in 2019. It included healthy adults who had received two or more Measles-Mumps-Rubella vaccines (MMR) and excluded individuals with immunocompromising conditions. Measles IgG antibodies were measured and compared by ELISA (Euroimmun®) and chemiluminescence (LIASON®). The association of seropositivity and titers with variables of interest (age, sex, profession, previous measles, number of measles-containing vaccine doses, interval between MMR doses, and time elapsed since the last MMR dose) was analyzed. A total of 162 participants were evaluated, predominantly young (median age 30 years), women (69.8%) and healthcare professionals (61.7%). The median interval between MMR doses was 13.2 years, and the median time since the last dose was 10.4 years. The seropositivity rate was 32.7% by ELISA and 75.3% by CLIA, and a strong positive correlation was found between the tests. Multivariate analyses revealed that age and time since the last dose were independently associated with positivity. Despite being a single-center evaluation, our results suggest that measles seropositivity may be lower than expected in adequately immunized adults. Seropositivity was higher among older individuals and those with a shorter time since the last MMR vaccine dose.

ABSTRACT Purpose: To determine normal corneal tomographic parameters in children and adolescents without corneal disease or atopy diagnosis. Methods: This descriptive cross-sectional study evaluated patients aged 8-16 years who underwent a complete slit-lamp biomicroscopic examination and tomographic corneal evaluation by a dual Scheimpflug analyzer, excluding those with ocular disease (including allergic conjunctivitis) or a positive prick test for systemic atopies. Results: A total of 170 patients were evaluated, and 34 patients (68 eyes) were analyzed once the exclusion criteria were applied. The sample’s mean age was 10.76 ± 2.31 years; with 19 (55.9%) men and 15 (44.1%) women. The mean keratometry in the flat meridian (Kflat), steep meridian (Ksteep), and maximum (Kmax) were 42.37 ± 1.63D, 43.53 ± 1.65D, and 43.90 ± 1.73D, respectively. The mean values for corneal asphericity (ε2) and thinnest point were 0.28 ± 0.11 and 550.20 ± 37.90 μm, respectively. The inferior-superior asymmetry ratio (I-S) and coma were 0.74 ±0.59D and 0.28 ± 0.12D, respectively. Conclusion: The knowledge of normal corneal tomographic parameters and their variation in children and adolescents without corneal disease or atopy may be useful for diagnosing keratoconus and initiating early disease treatment.

RESUMO Objetivo: Identificar parâmetros tomográficos de normalidade em córneas de crianças e adolescentes sem a presença de atopias sistêmicas e alergias oculares. Métodos: Este estudo descritivo transversal avaliou pacientes com idade entre 8 e 16 anos que foram submetidos a exame biomicroscópico completo por lâmpada de fenda e avaliação tomográfica da córnea por tomógrafo dual Scheimpflug, excluindo pacientes com doença ocular (incluindo conjuntivite alérgica) ou prick test positivo para atopias sistêmicas. Resultados: Cento e setenta pacientes foram avaliados e após cumpridos os critérios de exclusão, 34 (68 olhos) foram analisados. A média etária da amostra foi 10,76 ± 2,31 anos; 19 (55,9%) eram meninos e 15 (44,1%) meninas. A média da ceratometria em dioptrias (D) no meridiano mais plano (Kflat), mais curvo (Ksteep) e máxima (Kmax) foram 42,37 ± 1,63D, 43,53 ± 1,65D e 43,90 ± 1,73D, respectivamente. Os valores médios da asfericidade corneana (ε2) e do ponto mais fino da córnea foram 0,28 ± 0,11 e 550,20 ± 37,90 micras (μm). A assimetria corneana inferior-superior (I-S) e coma foi em média 0,74 ± 0,59D e 0,28 ± 0,12D, respectivamente. Conclusão: O conhecimento dos valores médios e sua variação de parâmetros tomográficos da córnea em crianças e adolescentes sem atopias sistêmicas ou alergias oculares pode ser útil para o diagnóstico precoce do ceratocone e o seu tratamento em estágio inicial.

RESUMO O artigo busca verificar como a teoria de gêneros discursivos contemporâneos se comporta na análise de epístolas paulinas. Concebe-se o gênero carta em seu propósito comunicativo original, limitado a emissor e receptores, enquanto a epístola se refere à carta lida longe do contexto original, como literatura. O corpus da pesquisa, composto por I e II Coríntios, epístolas aceitas como de autoria de Paulo, é escolhido por estar voltado ao mesmo público, possibilitando a comparação de aspectos de contexto de produção nos escritos do apóstolo ao longo do tempo. São resultados de pesquisa: as cartas, ao se tornarem epístolas, com número de leitores ampliado, assumem novos sentidos; o gênero epístola, apesar das muitas modificações sofridas, mantém-se reconhecível pelo leitor atual devido à sua macroestrutura; o papel social e o propósito de comunicação do emissor resultam na alternância do uso de linguagem formal e informal e de variação de pessoas do discurso. paulinas Concebese Concebe original receptores literatura pesquisa Coríntios Paulo público tempo cartas ampliado sentidos sofridas mantémse mantém macroestrutura discurso

ABSTRACT The article aims to examine the behavior of contemporary speech genre theory in the analysis of Pauline epistles. The genre of letters is conceived within its original communicative purpose, limited to sender and receivers, whereas the epistle refers to the letter read outside of its original context, considered as literature. The research corpus is composed of the Corinthian epistles of the New Testament, which are accepted as authored by the Apostle Paul. They are selected due to their shared audience, enabling a comparison of production context aspects in the apostle’s writings over time. Research findings include: letters that acquire new meanings, when transformed into epistles with a broader readership; the epistle genre, despite undergoing significant modifications, remains recognizable to present-day readers due to its macrostructure; the social role and communicative intent of the sender that result in alternating usage of formal and informal language, as well as variations in discourse person. purpose receivers literature Testament Paul audience apostles apostle s time include meanings readership modifications presentday present day macrostructure language person

ABSTRACT Climatic factors can decisively influence the growth and productivity of agricultural crops. For unconventional vegetables, such as the Amazon chicory, the influence of sunlight on growing cycle is unknown. The aim of this study was to evaluate the influence of shading levels on the productive performance of Amazon chicory. The authors used a randomized block design, with four treatments and five replicates. The treatments were black polypropylene screens, 30, 50 and 70% shading, and cultivation at full sunlight. Vegetative development and production traits were evaluated. Correlation and principal components analysis (PCA) were performed with the aid of the computer program R. No significant difference between the shading levels for the evaluated traits was noticed. Nevertheless, the cultivation at full sunlight allowed an increase in production, compared to the 70% shading screen. A strong positive correlation between productivity, leaf fresh mass and amount of water in the shoot area was verified, with a coefficient equal to 1. Only the leaf area characteristic was poorly correlated with other traits (angle >90º). Therefore, we suggest growing the Amazon chicory both at full sunlight and under 70% shading.

RESUMO Fatores climáticos podem influenciar de modo decisivo no crescimento e produtividade de culturas agrícolas. Para hortaliças não convencionais, como a chicória da Amazônia, é desconhecido a influência da luz solar em seu ciclo de cultivo. O objetivo deste trabalho foi avaliar a influência de níveis de sombreamento no desempenho produtivo de chicória da Amazônia. Para isso, adotou-se o delineamento em blocos ao acaso, com quatro tratamentos e cinco repetições. Os tratamentos foram telas de polipropileno preta, com 30, 50 e 70% de sombreamento e cultivo a pleno sol. Avaliou-se características de desenvolvimento vegetativo e de produção. Realizou-se a análise de correlação e de componentes principais (PCA), no programa computacional R. Não houve diferença significativa entre os níveis de sombreamento para as características avaliadas. Apesar disso, o cultivo a pleno sol possibilitou incremento na produção, em comparação à tela de 70% de sombreamento. Houve forte correlação positiva entre a produtividade, massa fresca das folhas e quantidade de água da parte aérea, com coeficiente igual a 1. Apenas as características de área foliar foram pouco correlacionadas com as demais (ângulo >90º). Logo, pode ser indicado que a chicória da Amazônia seja cultivada tanto a pleno sol como em 70% de sombreamento.

ABSTRACT Brazil experienced one of the fastest increasing numbers of coronavirus disease (COVID-19) cases worldwide. The Sao Paulo State (SPS) reported a high incidence, particularly in Sao Paulo municipality. This study aimed to identify clusters of incidence and mortality of hospitalized patients with severe acute respiratory syndrome for COVID-19 in the SPS, in 2020–2021, and describe the origin flow pattern of the cases. Cases and mortality risk area clusters were identified through different analyses (spatial clusters, spatio-temporal clusters, and spatial variation in temporal trends) by weighting areas. Ripley’s K12-function verified the spatial dependence between the cases and infrastructure. There were 517,935 reported cases, with 152,128 cases resulting in death. Of the 470,441 patients hospitalized and residing in the SPS, 357,526 remained in the original municipality, while 112,915 did not. Cases and death clusters were identified in the Sao Paulo metropolitan region (SPMR) and Baixada Santista region in the first study period, and in the SPMR and the Campinas, Sao Jose do Rio Preto, Barretos, and Sorocaba municipalities during the second period. We highlight the priority areas for control and surveillance actions for COVID-19, which could lead to better outcomes in future outbreaks.

Abstract Objective To analyze the correlation between quality of care transition at hospital discharge of children and satisfaction with nursing care. Methods This is quantitative, cross-sectional research carried out in 2019 in southern Brazil. Parents of 305 children who were discharged from hospital to home were included. In addition to participant characterization, the Care Transitions Measure (CTM-15 Brazil) and Patient Satisfaction Instrument were used to collect data. Spearman’s correlation test was applied. A significance level of 5% was considered (p<0.05). Results The final mean of the Care Transitions Measure was 87.9 (0-100 points), characterizing quality of care transition as satisfactory. All Patient Satisfaction Instrument items had a mean greater than 3.0 points, indicating a high degree of satisfaction. The correlation between quality of care transition and patient satisfaction was of low magnitude. Conclusion Quality of care transition and patient satisfaction with nursing care showed significant values. A weak correlation was found between them, which suggests that quality of care transition assessment is influenced by several factors.

Resumen Objetivo Analizar la correlación entre la calidad de la transición del cuidado en el alta hospitalaria de niños y la satisfacción con los cuidados de enfermería. Métodos Estudio cuantitativo, transversal, realizado en 2019 en el sur de Brasil. Se incluyeron los adultos responsables de 305 niños que recibieron el alta del hospital a su domicilio. Además de la caracterización de los participantes, se utilizaron los instrumentos Care Transitions Measure (CTM-15 Brasil) e Instrumento de Satisfacción del Paciente para recopilación de datos. Se aplicó la prueba de correlación de Spearman. Se consideró un nivel de significación de 5 % (p<0,05). Resultados El promedio final del Care Transitions Measure fue 87,9 (0-100 puntos), que caracterizó la calidad de la transición del cuidado como satisfactoria. Todos los ítems del Instrumento de Satisfacción del Paciente presentaron un promedio superior a 3,0 puntos, lo que indica un alto nivel de satisfacción. La correlación entre la calidad de la transición del cuidado y la satisfacción de los pacientes fue de escasa magnitud. Conclusión La calidad de la transición del cuidado y la satisfacción del paciente con los cuidados de enfermería presentaron valores significativos. Se verificó una escasa correlación entre estas variables, lo que sugiere que la evaluación de la calidad de la transición del cuidado esté influenciada por múltiples factores.

Resumo Objetivo Analisar a correlação entre qualidade da transição do cuidado na alta hospitalar de crianças e a satisfação com os cuidados de enfermagem. Método Pesquisa quantitativa, transversal, realizada em 2019, no sul do Brasil. Foram incluídos os responsáveis por 305 crianças que tiveram alta do hospital para o domicílio. Além da caracterização dos participantes, foram utilizados os instrumentos Care Transitions Measure (CTM-15 Brasil) e Instrumento de Satisfação do Paciente para coleta de dados. Foi aplicado o teste de Correlação de Spearman. Considerou-se nível de significância de 5% (p<0,05). Resultados A média final do Care Transitions Measure foi de 87,9 (0-100 pontos), caracterizando a qualidade da transição do cuidado como satisfatória. Todos os itens do Instrumento de Satisfação do Paciente apresentaram média superior a 3,0 pontos, indicando alto grau de satisfação. A correlação entre qualidade da transição do cuidado e satisfação dos pacientes foi de fraca magnitude. Conclusão A qualidade da transição do cuidado e a satisfação do paciente com os cuidados de enfermagem apresentaram valores significativos. Foi verificada fraca correlação entre elas, o que sugere que a avaliação da qualidade da transição do cuidado seja influenciada por múltiplos fatores.

ABSTRACT Objectives: to analyze the quality of child and adolescent care transitions from hospital to home, considering the presence of chronic disease. Methods: quantitative, cross-sectional study, carried out from February to September 2019 in two hospitals in the south of Brazil. We used an instrument to characterize participants and the Care Transitions Measure (CTM-15) for the legal tutors of children and adolescents that were discharged from the institutions. Results: the general mean of the quality of transition of care was 87.9 (SD=13.4), in a scale from 0 to100). We found a significant difference in the quality of transition of care when comparing patients with and without chronic disease (90.0 and 84.3; p=0.001). Conclusions: we found the quality of the transition of care to be satisfactory, with better results for patients with chronic disease. This can help understand the most impactful aspects in the transition of care, especially in regard to children health.

RESUMEN Objetivos: analizar calidad de la transición del cuidado de niños y adolescentes desde el hospital al domicilio considerando la presencia de enfermedad crónica. Métodos: estudio cuantitativo, transversal, realizado de febrero a septiembre de 2019 en dos hospitales del Sur brasileño. Aplicados instrumento de caracterización y Care Transitions Measure (CTM-15) a responsables legales de niños y adolescentes que tuvieron alta de las instituciones. Resultados: la mediana general de la calidad de la transición del cuidado fue de 87,9 (DP=13,4) en escala de 0 a 100 puntos. Verificada diferencia en la calidad de la transición del cuidado entre pacientes con y sin enfermedad crónica (90,0 y 84,3; p=0,001). Conclusiones: la calidad de la transición del cuidado fue considerada satisfactoria, siendo mejor evaluada en casos de pacientes con enfermedad crónica, lo que puede dirigir la comprensión de aspectos influyentes en la transición del cuidado, sobretodo en lo que respecta a la salud infantil.

RESUMO Objetivos: analisar a qualidade da transição do cuidado de crianças e adolescentes do hospital para o domicílio considerando a presença de doença crônica. Métodos: estudo quantitativo, transversal, realizado de fevereiro a setembro de 2019 em dois hospitais no Sul do Brasil. Foram aplicados instrumento de caracterização e o Care Transitions Measure (CTM-15) a responsáveis legais de crianças e adolescentes que tiveram alta das instituições. Resultados: a média geral da qualidade da transição do cuidado foi de 87,9 (DP=13,4) em escala de 0 a 100 pontos. Foi verificada diferença na qualidade da transição do cuidado entre pacientes com e sem doença crônica (90,0 e 84,3; p=0,001). Conclusões: a qualidade da transição do cuidado foi considerada satisfatória, sendo mais bem avaliada nos casos de pacientes com doença crônica, o que pode orientar a compreensão de aspectos influentes na transição do cuidado, sobretudo no tocante à saúde da criança.

ABSTRACT The growth of human consumption has caused countless inconveniences to the environment, including the inappropriate disposal of inorganic materials with a long useful life. The incorporation of potential residues in the manufacture of wood-based particleboards presents itself as an alternative to this problem. This research by objective to evaluate the effects of replacing partial of wood particles of expanded polystyrene particles bonded with mammon bean polyurethane. Wood particles (50% pine + 50% Eucalyptus) were replaced by 25 and 50% (by mass) of expanded polystyrene particles in order to improve the physical and mechanical properties of panels manufactured with 5% polyurethane adhesive based on mammon oil. Composites manufactured with 50% of polystyrene particles resulted in the best values of the evaluated physical and mechanical properties (ABNT NBR 14810 and EN 312), designating credibility to the production of panels with the partial replacement of wood particles by polystyrene particles.

RESUMO O crescimento do consumo humano tem causado inúmeros transtornos para o meio ambiente, inclusive pelo descarte inapropriado de materiais inorgânicos de longa vida útil. A incorporação de potenciais resíduos na fabricação de painéis aglomerados à base de madeira se apresenta como uma alternativa a essa problemática. Esta pesquisa teve por objetivo avaliar os efeitos da substituição parcial de partículas de madeira por partículas de poliestireno expandido aglutinados com poliuretano de mamona. As partículas de madeira (50% de Pinus + 50% de Eucalipto) foram substituídas por 25 e por 50% (em massa) de partículas de poliestireno expandido visando aprimorar as propriedades físicas e mecânicas de painéis fabricados com 5% de adesivo poliuretano à base de óleo de mamona. Os compósitos fabricados com 50% de partículas de poliestireno resultaram nos melhores valores das propriedades físicas e mecânicas avaliadas (ABNT NBR 14810 e EN 312), designando credibilidade à produção de painéis com a substituição parcial de partículas de madeira por partículas de poliestireno.

Abstract The objective of this study was to identify cowpea genotypes that fulfill the criteria of high grain yield, adaptability, and stability in the Mato Grosso do Sul (MS) region. Yield data from Value for Cultivation and Use (VCU) trials conducted in the municipalities of Dourados and Aquidauana/MS from March to August 2017 and 2018 were used, totaling four environments. A randomized block design with 14 treatments and four repetitions was adopted. Yield was evaluated by weighing the grains from the usable plot and converting the values to kilogram per hectare. After the analysis of variance, the interaction between genotypes and environments was evaluated by the methodologies of adaptability-stability analysis of Eberhart and Russell, Lin and Binns modified by Carneiro and GGE-Biplot. The genotypes Pingo-de-ouro 1-5-7, Pingo-de-ouro 1-5-5 and Bico-de-ouro 1-5-24 are stable, adaptable and productive for the state according to the complementary use of the methods.

ABSTRACT Pecan crops has been expanding in recent years, mainly in southern Brazil. Genotypes that compose Brazilian orchards come from the USA and from selections of plants made by Brazilian producers. This study aimed to characterize with microsatellite markers pecan cultivars registered for cultivation in Brazil, including some selections made in the country. It is important to know the genetic variability of the pecan tree, as it facilitates the identification of possible phytotechnical deficiencies due to the genetic similarity between the plants, in addition to helping in the conservation of the species, among other. Thirty-four, out of forty collected accessions, were genotyped with 11 selected SSR (Simple Sequence Repeats) loci. Twenty-four polymorphic alleles were identified. The genetic similarity matrix, based on the Jaccard coefficient, ranged from 0.125 to 1.0; general mean of similarity was 0.46. The cluster analysis, which was carried out by the Unweighted Pair Group Method with Arithmetic Mean (UPGMA), classified pecan accessions into four main groups. Results showed that there is high genetic variability in germplasm evaluated, although some accessions may be duplicates.

Abstract Background: In Brazil, entomological surveillance of Chagas disease (ChD) is based on community participation, which notifies the presence of vectors inside their homes. Thus, the sustainability of this control measure depends on the knowledge of the population about the vectors. Objective: To evaluate the knowledge of schoolchildren about ChD in the municipalities of Itatiaiuçu (active surveillance) and Sabará (inactive surveillance). Method: A semi-structured questionnaire was given to students enrolled in two high schools in Sabará (rural and urban) and one in Itatiaiuçu (urban). Results: In general, students living in Sabará demonstrated only limited knowledge about vectors, pathogens, transmission, and disease (with no significant differences between the schools in urban and rural areas). Similarly, the schoolchildren in Itatiaiuçu, despite living in an area of active surveillance, also did not have a fully satisfactory knowledge of ChD. Conclusions: The results emphasize the lack of information about ChD, both in relation to academic knowledge and the education campaigns established by the program. Improvements in educational interventions to raise community awareness and promote knowledge about ChD are necessary and vital for maintaining vigilance against ChD over space and time.

Resumo Introdução: No Brasil, a vigilância entomológica da doença de Chagas (DCh) é respaldada na participação comunitária, que notifica a presença dos vetores nas habitações. Assim, a sustentabilidade desta medida de controle depende do conhecimento da população sobre os vetores. Objetivo: Avaliar o conhecimento de escolares sobre a doença de Chagas nos municípios mineiros de Itatiaiuçu (vigilância ativa) e Sabará (vigilância inativa). Método: Questionário semiestruturado foi aplicado para alunos matriculados no ensino médio em duas escolas de Sabará (rural e urbana) e uma em Itatiaiuçu (urbana). Resultados: Em geral, os alunos residentes em Sabará demonstraram conhecimento limitado acerca dos vetores, patógeno, transmissão e doença (sem diferenças relevantes quanto à localização entre área urbana e rural), quando comparados aos residentes em Itatiaiuçu, que apesar de ter uma vigilância mais atuante, também não apresentaram conhecimento totalmente satisfatório. Conclusões: Os resultados enfatizam a carência de informações sobre a DCh tanto em relação ao conhecimento acadêmico quanto às campanhas de educação firmadas pelo programa. Ações educativas para sensibilizar a comunidade e promover o conhecimento sobre esta doença mostram-se necessárias e fundamentais para a manutenção da vigilância ao longo do tempo e espaço.

ABSTRACT This study aimed to determine the underlying factors influencing street food vendors’ implementation of food safety behaviours related to food handling. A questionnaire based on the Theory of Planned Behaviour was applied to 303 street food vendors in Southern Brazil. Open-ended questions identified that consequences related to consumers were important factors influencing street food vendors’ food safety behaviour. Also, water supply and lack of water were identified, respectively, as possible facilitators and barriers to carry out food safety behaviours such as handwashing and cleaning the shelf used to prepare food. Optimistic bias was identified and the majority of street food vendors gave positive results related to perceived behavioural control, subjective norm, attitude and behavioural intention. Improvements are needed in government regulation, infrastructure and food safety training for this sector, with measures that reflect and are adapted to the street food environment.

RESUMEN Este estudio tuvo como objetivo determinar los factores subyacentes que influyen en la implementación del comportamiento de seguridad de los alimentos en la manipulación de alimentos por vendedores ambulantes de alimentos. Se aplicó un cuestionario basado en la Teoría del Comportamiento Planificado a 303 vendedores ambulantes de alimentos en el sur de Brasil. Las preguntas abiertas identificaron que las consecuencias relacionadas con los consumidores eran factores importantes que influían en el comportamiento de seguridad de los alimentos por parte de los vendedores ambulantes de alimentos. También se identificaron el suministro de agua y la falta de agua, respectivamente, como posibles facilitadores y barreras para realizar comportamientos de seguridad de los alimentos como lavarse las manos y limpiar la mesa de trabajo que utilizan para preparar los alimentos. Se identificó sesgo optimista y la mayoría de los vendedores ambulantes de alimentos dieron resultados positivos relacionados con el control conductual percibido, la norma subjetiva, la actitud y la intención de comportamiento. Se necesitan mejoras en la regulación gubernamental, la infraestructura y la capacitación en seguridad de los alimentos para el sector, con medidas que reflejen y se adapten al entorno de la comida callejera.

RESUMO Objetivo: Analisar que fatores podem estar associados à qualidade da transição do cuidado do hospital para o domicílio de crianças com doenças crônicas. Método: Estudo transversal, quantitativo, realizado em dois hospitais do Sul do Brasil, de fevereiro a setembro de 2019. Participaram 167 familiares de crianças com doença crônica. A coleta de dados ocorreu por meio de um instrumento sócio-demográfico e da da versão brasileira do Care Transitions Measure (CTM-15). Resultados: A pontuação média para a qualidade da transição de cuidados foi de 90,1 (dp = 19,5) (0–100). O Fator 1, “Preparação para o autogerenciamento”, foi o fator com maior média autopercebida, 92,3 (dp = 11,6), enquanto o Fator 4, “Plano de cuidado”, teve a menor média, 86,3 (dp = 21,3). A qualidade da transição de cuidado foi maior para os pacientes residentes em municípios que não pertenciam à mesma região de saúde dos hospitais. Conclusão: A qualidade da transição do cuidado de criança com doenças crônicas, percebida pelos familiares, no processo de alta hospitalar para o domicílio, foi considerada alta. Morar em outra região de saúde que não aquela do hospital associou-se a uma melhor percepção da qualidade da transição do cuidado.

Abstract Objective: To analyze which factors may be associated with the quality-of-care transition of children with chronic diseases from the hospital to their home. Method: A cross-sectional, quantitative study, carried out in two hospitals in Southern Brazil, from February to September 2019. Participants included 167 family members of children with chronic disease. Data collection took place through a demographic questionnaire, and the use of the Brazilian version of the Care Transitions Measure (CTM-15). Results: The average score for the quality of care transition was 90.1 (sd = 19.5) (0–100). Factor 1, “Health management preparation”, was the one with the highest self-perceived average, 92.3 (sd = 11.6), while Factor 4, “Care plan”, had the lowest average, 86.3 (sd = 21.3). The quality of care transition was higher for patients living in municipalities belonging to health regions other than the hospital’s. Conclusion: The quality of care transition for children with chronic diseases, perceived by the children’s family members, in the discharge process from the hospital to home, was considered high. Living in a health region other than the hospital’s region was associated with better perception of the quality of care transition.

RESUMEN Objetivo: Analizar qué factores pueden estar asociados a la transición de la calidad del cuidado de niños con enfermedades crónicas del hospital para el domicilio. Método: Estudio transversal, cuantitativo, realizado en dos hospitales del Sur de Brasil, de febrero a septiembre de 2019. Participaron 167 familiares de niños con enfermedad crónica. La recolección de datos ocurrió a través de un cuestionario demográfico y de la utilización de la versión brasileña del Care Transitions Measure (CTM-15). Resultados: La puntuación promedia para la calidad de la transición de cuidados fue de 90,1 (dp = 19,5) (0–100). El Factor 1, “Preparación del manejo de la salud”, fue el factor con promedio auto percibido más alto, 92,3 (dp = 11,6), mientras el Factor 4, “Plan de cuidado”, tuvo el promedio más bajo, 86,3 (dp = 21,3). La calidad de transición de cuidados fue más alta para los pacientes que viven en municipios ubicados en regiones de salud que no la del hospital. Conclusión: La calidad de la transición del cuidado al niño con enfermedades crónicas, percibida por sus familiares en el proceso de alta hospitalaria al domicilio, fue considerada alta. Vivir en otra región de salud que no aquella del hospital tuvo relación con una mejor percepción de la calidad de la transición de cuidados.

Resumo A qualidade do porta-enxerto de nogueira-pecã com segurança genética, fitossanitária e com bom desenvolvimento vegetativo é de suma importância para o sucesso na formação do pomar. O porta-enxerto com vigoroso sistema radicular influencia no crescimento da muda. O objetivo deste trabalho foi avaliar o crescimento do porta-enxerto em função da poda de raiz e de diferentes recipientes para a produção de muda de nogueira-pecã em sistema orgânico. O experimento foi conduzido com o porta-enxerto da cultivar Barton, na área experimental da Embrapa Clima Temperado, Estação Experimental Cascata, nos anos de 2018, 2019 e 2020. Os porta-enxertos foram avaliadas em sacos plásticos, tubetes e diretamente no solo, associado ao manejo da poda de raiz. Avaliaram-se, após 280 e 480 dias do transplante: altura da parte área, comprimento do sistema radicular primário e secundário, diâmetro de caule, área foliar e massa seca da parte aérea e do sistema radicular, e secundárias, e o Índice de qualidade de mudas de Dickson. Verificou-se que o uso do saco plástico para a produção de porta-enxertos de nogueira-pecã enovela as raízes no final do recipiente. Os recipientes e a poda de raiz não afetam o diâmetro do caule, característica importante para a execução da enxertia. Os porta-enxertos de nogueira-pecã com sistema radicular não podado e cultivado em saco plástico desenvolvem maior raiz principal e parte aérea. A poda do sistema radicular da nogueira-pecã, em recipientes e no solo, promove o aumento do número de raízes principais, mas diminui o comprimento das raízes das mudas.

Abstract Quality pecan rootstocks that ensure genetic and phytosanitary safety, besides having good vegetative development, are extremely important to implant a successful orchard. Rootstocks with vigorous radicular systems affect plant growth. This study aimed at evaluating rootstock growth as the result of root pruning and the use of different containers to grow pecan rootstocks in an organic system. The experiment was conducted with “Barton” rootstocks in the experimental area at the Embrapa Clima Temperado in Pelotas, RS, Brazil, in 2018, 2019 and 2020. Rootstocks were evaluated in plastic bags and tubes and in the soil, associated with root pruning. Evaluation 280 and 480 days after transplant comprised the following: height of the aerial part, length of primary and secondary radicular systems, stem diameter, leaf area, dry mass of the aerial part, dry mass of the radicular system, dry mass of secondary roots and the Dickson Quality Index. The use of plastic bags to produce pecan rootstocks was found to coil roots at the bottom of the container. Neither containers nor root pruning affected stem diameter, an important parameter to carry out grafting. Pecan rootstocks with a non-pruned radicular system grown in plastic bags developed large main root and aerial part. Pruning of pecan radicular systems in containers and in the soil leads to increase in the number of main roots but decreases root length.

Abstract Objective To evaluate the impact of the Covid-19 pandemic on depressive symptoms and suicide risk among patients receiving treatment at a Public Health Psychosocial Addiction Care Center (CAPS AD III) in Porto Alegre, Brazil. Methods Questions from the Coronavirus Health Impact Survey (CRISIS) translated into Brazilian Portuguese were used to evaluate 70 patients’ perceptions of and behaviors during the Covid-19 pandemic. Validated Brazilian versions of the Patient Health Questionnaire (PHQ-9) and the General Anxiety Disorder-7 (GAD-7) were used to evaluate the severity of depressive symptoms, suicide risk, and anxiety symptoms. A multiple logistic regression model was used to evaluate predictors of suicide risk in the sample. Results Around 70% of patients reported moderate depressive symptoms and 30% reported severe depressive symptoms, 17% of patients reported having thoughts of suicide or death on more than half of days and 10% reported having them daily. The logistic regression model identified history of alcohol use as the main predictor of suicide risk in (OR 13.0, p = 0.03). Conclusions Individuals with a history of alcohol consumption had significantly higher suicide risk scores at a psychosocial public health care center in Brazil during the Covid-19 pandemic. This result may be important for devising better strategies and interventions to support this specific population profile.