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ABSTRACT Objective: To evaluate the occurrence of adverse events in the postoperative period of cardiac surgery in a pediatric intensive care unit and to find any patient characteristics that can predict such events. Methods: This was a historical cohort study of patients recovering in the pediatric intensive care unit for the first 7 days after cardiac surgery between April and December 2019, by reviewing the medical records. The following were reviewed: demographic, clinical, and laboratory characteristics; patient severity scores; and selected adverse events, grouped into device-related, surgical, and nonsurgical. Results: A total of 238 medical records were included. At least one adverse event occurred in 110 postoperative patients (46.2%). The total number of adverse events was 193 (81%). Vascular catheters were the most common cause, followed by cardiac arrest, bleeding, and surgical reexploration. In the univariate analysis, the vasoactive-inotropic score (VIS), Risk Adjustment in Congenital Heart Surgery (RACHS-1) score, age, Pediatric Index of Mortality (PIM-2), cardiopulmonary bypass and aortic clamping duration were significantly associated with adverse events. In the multivariate analysis, VIS ≥ 20 (OR 2.90; p = 0.004) and RACHS-1 ≥ 3 (OR 2.11; p = 0.019) were significant predictors, while age and delayed sternal closure showed only trends toward significance. To predict the occurrence of adverse events from VIS and RACHS-1, the area under the curve was 0.73 (95%CI 0.66 - 0.79). Conclusion: Adverse events were quite frequent in children after cardiac surgery, especially those related to devices. The VIS and RACHS-1, used together, predicted the occurrence of adverse events well in this pediatric sample.

RESUMO Objetivo: Avaliar a ocorrência de eventos adversos em pós-operatório cardíaco em uma unidade de terapia intensiva pediátrica e estabelecer eventuais associações das características dos pacientes e a possibilidade de predizer tais eventos. Métodos: Coorte histórica de 7 dias de pós-operatório cardíaco, de abril a dezembro de 2019, por revisão de prontuários de pacientes com recuperação em unidade de terapia intensiva pediátrica. Foram revisados: características demográficas e clínico-laboratoriais, escores de gravidade dos pacientes e eventos adversos selecionados agrupados em: relacionados a dispositivos, a aspectos cirúrgicos e a aspectos não cirúrgicos. Resultados: Foram incluídos 238 prontuários. Ocorreu pelo menos um evento adverso em 110 pós-operatórios (46,2 %). O número total de eventos adversos foi 193 (81%), sendo mais frequente a complicação com cateteres vasculares, seguida de parada cardíaca, sangramento e reexploração cirúrgica. Na análise univariada, escore vasoativo-inotrópico (VIS- vasoactive-inotropic score), Risk Adjustment in Congenital Heart Surgery (RACHS-1) score, idade, Pediatric Index of Mortality (PIM-2), tempo de circulação extracorpórea e de clampeamento aórtico foram estatisticamente significantes com eventos adversos. Na análise multivariável, VIS ≥ 20 (OR 2,90; p = 0,004) e RACHS-1 ≥ 3 (OR 2,11; p = 0,019) mostraram-se relevantes e com significância estatística, enquanto idade e fechamento tardio do esterno possuíam apenas tendência a essa associação. Considerando a previsão de ocorrência de eventos adversos a partir dos valores de escore vasoativo-inotrópico e de RACHS-1, a área sob a curva mostrou valor de 0,73 (IC95% 0,66 - 0,79). Conclusão: A frequência de eventos adversos foi expressiva e aqueles relacionados a dispositivos foram os mais frequentes. O VIS e o RACHS-1, utilizados em conjunto, foram capazes de predizer a ocorrência de eventos adversos nesta amostra pediátrica.

https://doi.org/10.5935/2965-2774.20230215-en

The influence of latitude and sky conditions on daylight harvesting inbuildings
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Fonseca, Raphaela Walger da

; Pereira, Fernando Oscar Ruttkay

; Queiroz, Elaine Aparecida

; Stockhausenn, Beatriz

Ambiente Construído

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dec 2023, Volume 23 N. 4 Pages 63 - 81

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

Abstract The potential of daylight harvesting is related to the building location. However, climatic zonings adopted by energy efficiency programs focus only on the thermal performance, neglecting important variables of the buildings’ luminous performance. This paper aims to investigate the relationship between the angle of solar incidence, the annual occurrence of clear sky, and the annual lighting energy consumption when daylight harvesting is practiced. The lighting consumption of a square floor space, orientated in the cardinal directions, was simulated for 20 Brazilian cities. The frequency of the 15 CIE sky types was determined for each city using weather files and the angle of solar incidence was calculated for each hour of the year. The analysis comprised graphical exploration, Pearson's correlation, and multiple regression. The sensitivity of the consumption to the other two variables could be perceived in the hourly but not the annual analysis. The correlation between annual consumption and latitude was more robust for the intertropical range, with increased consumption moving south, and varied significantly for each orientation. It was concluded that, although relevant, the variables are not representative of variations in annual lighting consumption for application in climate zoning.

O aproveitamento da luz natural está relacionado à localização do edifício. Tadavia, os zoneamentos climáticos dos programas de eficiência energética focam no desempenho térmico, negligenciando importantes variáveis do desempenho luminoso das edificações. Este trabalho objetivou investigar a relação entre o ângulo de incidência solar, a ocorrência anual de céu claro e o consumo anual de iluminação, considerando o aproveitamento da luz natural. Simulou-se o consumo de iluminação de um ambiente quadrado, orientado aos pontos cardeais, para 20 cidades brasileiras. Determinou-se a frequência dos 15 tipos de céu CIE para cada cidade, usando-se arquivos climáticos, e calculou-se o ângulo de incidência solar para cada hora do ano. A análise compreendeu exploração gráfica, correlação de Pearson e regressão múltipla. A sensibilidade do consumo às outras duas variáveis pode ser percebida na análise horária, mas não na anual. A correlação entre consumo anual e latitude foi mais robusta para a faixa intertropical, com o consumo aumentando para o sul, e variando significativamente para cada orientação. Concluiu-se que, embora relevantes, as variáveis não são representativas das variações de consumo anual de iluminação para aplicação em zoneamentos climáticos.

https://doi.org/10.1590/s1678-86212023000400691

Emotional, hyperactivity and inattention problems in adolescents with immunocompromising chronic diseases during the COVID-19 pandemic
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Campos, Reinan T.

; Lindoso, Livia

; Sousa, Renan A. de

; Helito, Alberto C.

; Ihara, Bianca P.

; Strabelli, Claudia A.A.

; Paradelas, Levi M.V.

; Carneiro, Beatriz O.L.

; Cardoso, Maria Paula R.

; Souza, Jean Paulo V. de

; Freire, Marianna R. de M.

; Astley, Camilla

; Laurentino, Moisés F.

; Buscatti, Izabel M.

; Kozu, Katia

; Aikawa, Nadia E.

; Sallum, Adriana M.E.

; Ferreira, Juliana CO.

; Simon, Juliana R.

; Viana, Vivianne S.L.

; Queiroz, Ligia B.

; Gualano, Bruno

; Roschel, Hamilton

; Pereira, Rosa Maria R.

; Toma, Ricardo K.

; Watanabe, Andréia

; Grangeiro, Patricia M.

; Casella, Caio B.

; Farhat, Sylvia C.

; Polanczyk, Guilherme V.

; Campos, Lucia Maria A.

; Silva, Clovis A.

Clinics

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2023, Volume 78 elocation 100167

Abstract: En | Text: En | PDF: En

Abstract Objective: To assess factors associated with emotional changes and Hyperactivity/Inattention (HI) motivated by COVID-19 quarantine in adolescents with immunocompromising diseases. Methods: A cross-sectional study included 343 adolescents with immunocompromising diseases and 108 healthy adolescents. Online questionnaires were answered including socio-demographic data and self-rated healthcare routine during COVID-19 quarantine and validated surveys: Strengths and Difficulties Questionnaire (SDQ), Pittsburgh Sleep Quality Index (PSQI), Pediatric Quality of Life Inventory 4.0 (PedsQL4.0). Results: The frequencies of abnormal emotional SDQ scores from adolescents with chronic diseases were similar to those of healthy subjects (110/343 [32%] vs. 38/108 [35%], p = 0.548), as well as abnormal hyperactivity/inattention SDQ scores (79/343 [23%] vs. 29/108 [27%], p = 0.417). Logistic regression analysis of independent variables associated with abnormal emotional scores from adolescents with chronic diseases showed: female sex (Odds Ratio [OR = 3.76]; 95% Confidence Interval (95% CI) 2.00–7.05; p < 0.001), poor sleep quality (OR = 2.05; 95% CI 1.08–3.88; p = 0.028) and intrafamilial violence during pandemic (OR = 2.17; 95% CI 1.12–4.19; p = 0.021) as independently associated with abnormal emotional scores, whereas total PedsQL score was inversely associated with abnormal emotional scores (OR = 0.95; 95% CI 0.93–0.96; p < 0.0001). Logistic regression analysis associated with abnormal HI scores from patients evidenced that total PedsQL score (OR = 0.97; 95% CI 0.95–0.99; p = 0.010], changes in medical appointments during the pandemic (OR = 0.39; 95% CI 0.19–0.79; p = 0.021), and reliable COVID-19 information (OR = 0.35; 95% CI 0.16–0.77; p = 0.026) remained inversely associated with abnormal HI scores. Conclusion: The present study showed emotional and HI disturbances in adolescents with chronic immunosuppressive diseases during the COVID-19 pandemic. It reinforces the need to promptly implement a longitudinal program to protect the mental health of adolescents with and without chronic illnesses during future pandemics.

https://doi.org/10.1016/j.clinsp.2023.100167

Prediction and reasons for COVID-19 second dose vaccine hesitation: a cross-sectional study in a municipality of Brazil
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Sartorão-Filho, Carlos Izaias

; Zoqui, Mariana Costa

; Duarte, Douglas Otomo

; Ribeiro, Edy Alyson

; Bisetto, Vinicius César Queiroz

; Cachoni, Lara Escobar Gavião

; Sartorão, Ana Luísa Varrone

; Terribile, Diogo Coutinho

; Mello, Beatriz Balsimelli de

; Sartorão-Neto, Carlos Izaias

; Mello, Roberto de

Sao Paulo Medical Journal

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2023, Volume 141 N. 3 elocation e202295

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Hesitation and refusal to take a second dose of the vaccine for coronavirus disease 19 (COVID-19) are prevalent. OBJECTIVES: We aimed to identify predictive factors for hesitation or refusal and describe groups with higher rates of vaccine hesitancy. DESIGN AND SETTING: A cross-sectional study in Assis City, Brazil. METHODS: The study included adults who passed the due date for taking the COVID-19 second dose vaccine. Participants were recruited in December 2021 using a mobile-based text message. Sociodemographic and clinical data and reasons for hesitance were collected. The outcome was the attitude towards completing the recommended second dose of the vaccine. Bivariate and multivariate Poisson analyses were performed to determine the adjusted predictors. RESULTS: Participants between 30–44 years of age had a 2.41 times higher prevalence of hesitation than those aged 18–29 years. In addition, people who had adverse events or previously had COVID-19 had 4.7 and 5.4 times higher prevalences of hesitation, respectively (P value < 0.05). CONCLUSION: We found a significant group of adults aged between 30–44 years who refused the second dose of the COVID-19 vaccine. Furthermore, those who reported adverse effects after the first dose and those who had COVID-19 previously were a significant group for refusal.

https://doi.org/10.1590/1516-3180.2022.0095.r1.06072022

Diversity and conservation of fishes from karstic areas of the Jandaíra Formation in the Brazilian semiarid
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Abrantes, Yuri Gomes

; Bennemann, Ana Beatriz Alves

; Lustosa-Costa, Silvia Yasmin

; Bento, Diego de Medeiros

; Ramos, Telton Pedro Anselmo

; Lima, Sergio Maia Queiroz

Papéis Avulsos de Zoologia

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2023, Volume 63 elocation e202363011

Abstract: En | Text: En | PDF: En

Abstract Few studies have focused on non-troglomorphic fishes occurring in Brazilian caves, especially those in the Caatinga region. The present study is the first survey of fishes from karstic areas of the Jandaíra Formation in Rio Grande do Norte State, northeastern Brazil. This region is characterized by a high concentration of caves and a rich subterranean biodiversity, especially of troglobitic invertebrates, but remains considered a gap on the knowledge of the subterranean ichthyofauna in Brazil. Four field expeditions were carried out covering two dry and two rainy seasons, in 2018 and 2019, in 23 localities in small river basins along the western part of the Jandaíra Formation. A total of 829 fish specimens, none of them troglomorphic, was captured and identified as belonging to 25 species of 12 families and five orders. Amongst them, four species are endemic of the Mid-Northeastern Caatinga ecoregion, and two non-native species were recorded. Habitats were classified into three categories: superficial, associated to cave, and cave. Although no troglomorphic fish species was found in this study, we recorded 64.1% of the Apodi-Mossoró river ichthyofauna occurring in caves or associated to caves, corroborating the hypothesis that part of the ichthyofauna exploits these environments as a refuge during the dry season. In addition, we suggest conservation policies for the maintenance of subterranean and aquatic semiarid ecosystems in the Jandaira formation, which is currently under threat due to anthropogenic activities, such as mining and deforestation.

https://doi.org/10.11606/1807-0205/2023.63.011

Transsexuality and health demands: representations of nursing students
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Queiroz, Ana Beatriz Azevedo

; Castro, Alison Malheiros de

; Carvalho, Ana Luiza de Oliveira

; Pinto, Carina Bulcão

; Bezerra, Juliana da Fonsêca

; Gonçalves, Diana da Silva

; Santos, Gabriela Silva dos

; Santos, Hannah de Melo dos

Revista Gaúcha de Enfermagem

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2023, Volume 44 elocation e20220046

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

ABSTRACT Objective: To analyze the social representations of nursing students about transsexuality and the health demands of transsexual people. Methods: Qualitative, descriptive research with undergraduate nursing students from a public university in Rio de Janeiro/Brazil. The data came from a semi-structured interview and lexical analysis using Alceste 2012 software. Results: Transsexuality was represented as a transgression, with the transsexual person being objectified as unnatural because they do not identify with their biological sex. Hormone therapy and sex reassignment surgeries were understood as the main demands, being anchored in a pathologizing and medicalizing health sphere. However, the theme is not addressed during graduation, generating unpreparedness for professional life. Final considerations: The need to update the academic curriculum, as well as the way of thinking about the care of transsexual people, is essential and urgent for an integral and equitable care.

RESUMEN Objetivo: Analizar las representaciones sociales de estudiantes de enfermería sobre la transexualidad y las demandas de salud de las personas transexuales. Métodos: Investigación cualitativa, descriptiva con estudiantes de graduación en enfermería de una universidad pública de Río de Janeiro/Brasil. Los datos provinieron de una entrevista semiestructurada y análisis léxico utilizando el software Alceste 2012. Resultados: La transexualidad fue representada como una transgresión, siendo objetivada la persona transexual como antinatural porque no se identifica con su sexo biológico. La terapia hormonal y las cirugías de reasignación de sexo fueron entendidas como las principales demandas, ancladas en un ámbito patologizante. ymedicalizando la salud. Sin embargo, el tema no es abordado durante la graduación, generando despreparación para la vida profesional. Consideraciones finales: La necesidad de actualizar el currículo académico, así como la forma de pensar la atención a las personas transexuales, es fundamental y urgente para una atención integral y equitativa.

RESUMO Objetivo: Analisar as representações sociais dos graduandos de enfermagem acerca da transexualidade e as demandas de saúde das pessoas transexuais. Métodos: Pesquisa qualitativa, descritiva, com 28 graduandos em enfermagem de uma universidade pública do Rio de Janeiro/Brasil. Realizou-se uma entrevista semiestruturada, no período de novembro de 2017 a março de 2018, e análise tipo lexical com auxílio do software Alceste 2012. Resultados: A transexualidade foi representada como uma transgressão, sendo a pessoa transexual objetivada como antinatural por não se identificar com seu sexo biológico. Terapia hormonal e cirurgias de redesignação sexual foram entendidas como as principais demandas, sendo ancoradas numa esfera patologizante e medicalizadora da saúde. A temática não é abordada durante a graduação, gerando despreparo para vida profissional. Considerações finais: Faz-se necessário ampliar as discussões sobre gênero na academia, tendo como propósito a transposição do imperativo da heteronormatividade, para que futuros enfermeiros estejam aparelhados para fornecer um cuidado integral e equânime.

https://doi.org/10.1590/1983-1447.2023.20220046.en

Identity dimension of rural women and the sexual and reproductive health
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Paula, Michelle Barbosa Moratório de

; Queiroz, Ana Beatriz Azevedo

; Souza, Ívis Emília de Oliveira

; Salimena, Anna Maria de Oliveira

; Parmejiani, Helen Petean

; Carvalho, Ana Luiza de Oliveira

Revista Brasileira de Enfermagem

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2023, Volume 76 N. 3 elocation e20220298

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

ABSTRACT Objectives: to analyze the social representations of rural women about being a woman in the rural context and its implications for sexual and reproductive health. Methods: this is a descriptive qualitative study with data triangulation, based on the Theory of Social Representations, developed with 31 women who live in the rural context of Minas Gerais (MG/BR). An in-depth interview with a semi-structured script was conducted. A lexical analysis was performed with the help of the ALCESTE 2012 software. Results: the family relationship, especially the couple’s, demonstrated subjectivities and was permeated by violence and normalized sexual practice. The imagery dimension of the ideal family seems to be responsible for exerting domination over rural women. Final Considerations: rural women are subject to the norms and prescriptions of a patriarchal society. It is urgent to increase attention to sexual and reproductive health in an egalitarian and liberating way in order to minimize the consequences of machismo and conservatism.

RESUMEN Objetivos: analizar las representaciones sociales de las mujeres rurales sobre ser mujer en el contexto rural y sus implicaciones para la salud sexual y reproductiva. Métodos: estudio cualitativo descriptivo con triangulación de datos, basado en la Teoría de las Representaciones Sociales, desarrollado con 31 mujeres que viven en el contexto rural de Minas Gerais (MG/BR). Se realizó una entrevista en profundidad con guión semiestructurado. Se realizó un análisis léxico con la ayuda del software ALCESTE 2012. Resultados: la relación familiar, especialmente de pareja, demostró subjetividades y estuvo permeada por la violencia y la práctica sexual normalizada. La dimensión imaginaria de la familia ideal parece ser la responsable de ejercer la dominación sobre las mujeres rurales. Consideraciones Finales: la mujer rural está sujeta a las normas y prescripciones de una sociedad patriarcal. Es urgente aumentar la atención a la salud sexual y reproductiva de manera igualitaria y liberadora para minimizar las consecuencias del machismo y el conservadurismo.

RESUMO Objetivos: analisar as representações sociais de mulheres rurais sobre ser mulher no contexto rural e suas implicações na saúde sexual e saúde reprodutiva. Métodos: trata-se de um estudo descritivo, com triangulação dos dados, abordagem qualitativa, fundamentado na Teoria das Representações Sociais, realizado com 31 mulheres que vivem no contexto rural em Minas Gerais (MG/BR). Realizou-se entrevista em profundidade com roteiro semiestruturado. A análise foi do tipo lexical com auxílio do software Alceste 2012. Resultados: foram evidenciadas as subjetividades do relacionamento familiar, em especial do casal, sendo permeado pela violência e pela prática sexual normatizada. A dimensão imagética da família ideal parece ser responsável por exercer a dominação da mulher rural. Considerações Finais: a mulher rural encontra-se submetida às normas e prescrições de uma sociedade patriarcal. Faz-se urgente ampliar a atenção sobre a saúde sexual e saúde reprodutiva de forma igualitária e libertadora, no sentido de minimizar as consequências do machismo e do conservadorismo.

https://doi.org/10.1590/0034-7167-2022-0298

Comparison of three intraoperative analgesic strategies in laparoscopic bariatric surgery: a retrospective study of immediate postoperative outcomes
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Silva, Leopoldo Muniz da

; Ho, Anthony M.H.

; Oliveira, Daniel Rodrigues de

; Abib, Arthur de Campos Vieira

; Silveira, Saullo Queiroz

; Aranha, Anna Beatriz

; André, Vitor Oliveira

; Pinto, Patrícia Rennó

; Nersessian, Rafael Souza Fava

; Mizubuti, Glenio B.

Brazilian Journal of Anesthesiology

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oct 2022, Volume 72 N. 5 Pages 560 - 566

Abstract: En | Text: En | PDF: En

Abstract Introduction and objectives Multimodal Analgesia (MMA) has shown promising results in postoperative outcomes across a broad spectrum of surgeries, including bariatric surgery. We compared the analgesic effect immediately after Laparoscopic Bariatric Surgery (LBS) of the combined effect of MMA and methadone against two techniques that were based mainly on the use of high-potency medium-acting opioids. Methods Two hundred seventy-one patients were retrospectively reviewed. The primary outcome was postoperative pain score > 3/10 measured by the Verbal Numeric Scale (VNS) during the Postanesthetic Care Unit (PACU) stay. The three protocols of intraoperative analgesia were: (P1) sufentanil at anesthetic induction followed by remifentanil infusion; (P2) sufentanil at induction followed by dexmedetomidine infusion; and (P3) remifentanil at induction followed by MMA including dexmedetomidine, magnesium, lidocaine, and methadone. Only P1 and P2 patients received morphine toward the end of surgery. Poisson regression was used to adjust confounding factors and calculate Prevalence Ratio (PR). Results Postoperative VNS > 3 was recorded in 135 (49.81%) patients, of which 93 (68.89%) were subjected to P1, 25 (18.56%) to P2, and 17 (12.59%) to P3. In the final adjusted model, both anesthetic techniques (P3) (PR = 0.10; 95% CI [0.03-0.28]), and (P2) (PR = 0.42%; 95% CI [0.20-0.90]) were associated with lower occurrence of VNS > 3, whereas age range 20-29 was associated to higher occurrence of VNS > 3 (PR = 3.21; 95% CI [1.22-8.44]) in PACU. Postoperative Nausea and Vomiting (PONV) was distributed as follows: (P1) 20.3%, (P2) 31.25% and (P3) 6.77%; (P3 < P1, P2; p< 0.05). Intraoperative hypotension occurred more often in P3 (39%) compared to P2 (20.31%) and P1 (17.46%) (p< 0.05). Conclusion MMA + methadone was associated with higher incidence of intraoperative hypotension and lower incidence of moderate/severe pain in PACU after LBS.

https://doi.org/10.1016/j.bjane.2021.06.006

Brazilians’ level of knowledge, attitudes and practices towards COVID-19: a cross-sectional study
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Gardona, Rodrigo Galvão Bueno

; da Silva, José Vitor

; Arruda, Gisele

; Damin, Silvana

; Abdala, Edson

; Lima, Christiana Almeida Salvador

; Vasconcellos, Leonardo de Souza

; Queiroz, Wladimir

; Zandonái, Alini Cristini

; Danielsk, Ailla Mazon

; Villar de Sena, Ana Carolina

; Cattani, Álvaro Cesar

; Bringhentti, Amanda

; Denardi, Angélica

; Alérico, Ana Lígia Scotti

; Fergutz, Gabriella

; Ribas, Izabela de Oliveira

; Spricigo, Laura Maria Voss

; Gandolfo, Lara

; Correa, Liamara

; Bordignon, Jardel Cristiano

; de Oliveira, Juliana Girotto

; Stefanel, Michel Pandolfo

; Reis, Beatriz Castro

; de Campos, Vilson Geraldo

; Ortigoso, Danilo

; Figueiredo, Gerusa Maria

Sao Paulo Medical Journal

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jun 2022, Volume 140 N. 3 Pages 331 - 340

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Brazil is facing increasing cycles of numbers of infected people and deaths resulting from coronavirus disease 2019 (COVID-19). This situation involves a series of factors, including the behavior of the population, that can be decisive for controlling the disease. OBJECTIVE: To determine the knowledge, attitudes and practices of the Brazilian population regarding COVID-19. DESIGN AND SETTING: Cross-sectional survey-type study, conducted using a population sample from different Brazilian states. METHODS: A quantitative, descriptive and analytical approach was used. Sampling was done according to convenience and via snowballing. The data collection instrument was a knowledge, attitudes and practices system. RESULTS: 1,655 people from all over Brazil participated in the survey; 80% were living in the southern region and 70.15% were female. More than 90% had knowledge and good attitudes relating to the means of transmission, preventive care and symptoms associated with COVID-19, although their knowledge and attitudes were not fully reflected in daily practices, for which there was lower adherence (80%). Greater knowledge was correlated with older participants, larger number of children, female sex and marital status; better attitude, with female sex and complete higher education; and better practices, with greater age, larger number of children and female sex. CONCLUSION: A large part of the population has general knowledge about COVID-19, but not all knowledge was applied in practice. Older people, females and university graduates stood out as the best informed and most committed to controlling the disease.

https://doi.org/10.1590/1516-3180.2021.0541.23072021

10.

Cochlear implant complications in a low-income area of Brazil
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Castro, Gabriel Reis

; Santiago, Hágada Cristine Coelho

; Aguiar, Rosauro Rodrigues de

; Almeida, Ana Beatriz Gouveia de

; Oliveira, Leonardo Santana Ramos

; Gurgel, Ricardo Queiroz

Revista da Associação Médica Brasileira

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may 2022, Volume 68 N. 5 Pages 568 - 573

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: The primary objective was to analyze and report on the complications that occurred in the cochlear implant surgeries performed at a large philanthropic teaching hospital located in a low-income area of Brazil. METHODS: A historical cohort study that analyzed surgical records of 432 patients of all age groups and both genders who received unilateral cochlear implant in a tertiary referral center that serves only Brazil's Public Health Care System patients, from February 2009 to December 2017. RESULTS: A total of 67 (15.5%) complications occurred in the cochlear implant surgeries, with 21 (5.4%) major complications. Minor complications occurred in 50 (12%) cases. The most frequent major complication was receiver-stimulator displacement (four cases). There were three cases of hardware failure. Only one case of meningitis and one case of facial nerve paralysis (grade VI in House-Brackmann scale) were found. Six patients needed to be explanted due to a major complication. The relative risk of major complications in the population aged 60 years and older was 4.41 (1.53–12.72; 95% confidence interval [CI]). CONCLUSIONS: Elderly patients suffered more complications than younger patients. receiver-stimulator displacement and dizziness were the most frequent complications (major and minor, respectively). The overall complication rates were comparable to those in the literature. Age as an isolated risk factor for complications in cochlear implant surgery is a path to be explored in future observations.

https://doi.org/10.1590/1806-9282.20210924

11.

Home care for children with gastrostomy
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Ribeiro, Ana Paula Lopes Pinheiro

; Moraes, Juliana Rezende Montenegro Medeiros de

; Queiroz, Ana Beatriz Azevedo

; Góes, Fernanda Garcia Bezerra

; Silva, Liliane Faria da

; Souza, Tania Vignuda de

Revista Brasileira de Enfermagem

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2022, Volume 75 elocation e20200699

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

RESUMO Objetivos: descrever as práticas de cuidados domiciliares realizados por familiares para manutenção da vida de criança com gastrostomia. Métodos: pesquisa qualitativa, método Criativo Sensível, com a dinâmica de Criatividade e Sensibilidade Corpo Saber. Participaram dez familiares cuidadores de criança com gastrostomia. Foi cenário o ambulatório de um hospital federal do Rio de Janeiro. Empregou-se a análise lexical usando-se o software IRaMuTeQ®. Resultados: analisou-se o Tema 1, denominado “O cuidado para manutenção da vida realizado pelos familiares de crianças com gastrostomia no domicílio”, englobando três classes: “A rotina de cuidados com a sonda de gastrostomia no domicílio”; “O cuidado com a gastrostomia/estoma” e “A rotina de cuidados referentes à alimentação e medicação em criança com gastrostomia no domicílio”. Considerações Finais: os familiares cuidadores utilizaram estratégias para manutenção do dispositivo e adquiriram novos aprendizados do campo e competência da enfermagem quanto aos cuidados com o estoma, administração da alimentação, medicação e seringa.

ABSTRACT Objectives: to describe home care practices performed by family members for maintaining the life of children with gastrostomy. Methods: qualitative research using the Sensitive Creative method, with the Criatividade e Sensibilidade Corpo Saber [Corpo Saber Creativity and Sensitivity] dynamics. The participation included ten family caregivers of children with gastrostomy. The outpatient clinic of a federal hospital in Rio de Janeiro was the setting. Lexical analysis was used through the IRaMuTeQ® software. Results: Theme 1, entitled “The care for maintaining life performed by family members of children with gastrostomy at home”, was analyzed, comprising three classes: “The gastrostomy tube home care routine”; “The care with the gastrostomy/stoma”; and “Food and medication home care routine of children with gastrostomy”. Final Considerations: family caregivers used strategies to maintain the device and acquired new knowledge in this field, and in nursing competence, regarding stoma care, food administration, medication, and syringes.

RESUMEN Objetivos: describir prácticas de cuidados domiciliarios realizados por familiares para manutención de la vida del niño con gastrostomía. Métodos: investigación cualitativa, método Creativo Sensible, con la dinámica de Creatividad y Sensibilidad Cuerpo Saber. Participaron diez cuidadores de niño con gastrostomía. En el ambulatorio de un hospital federal de Rio de Janeiro. Empleado el análisis léxico usándose el software IRaMuTeQ®. Resultados: analizado el Tema 1, denominado “El cuidado para manutención de la vida, realizado por los familiares de niños con gastrostomía, en domicilio”, englobando tres clases: “La rutina de cuidados domiciliarios con la sonda de gastrostomía”; “El cuidado del niño con gastrostomía/estoma” y “La rutina de cuidados domiciliarios con la alimentación y medicación en niño con gastrostomía”. Consideraciones Finales: los cuidadores utilizaron estrategias para manutención del dispositivo y adquirieron nuevas aprendizajes del campo y competencia de la enfermería cuanto a cuidados con el estoma, administración de la alimentación, medicación y seringa.

https://doi.org/10.1590/0034-7167-2020-0699 210 downloads

12.

Imagens e representações sociais: a fotolinguagem e photovoice na produção de dados sobre fenômenos de saúde
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Gomes, Nathália Nunes

; Silva, Julyana Gall da

; Queiroz, Ana Beatriz Azevedo

; Ferreira, Márcia de Assunção

; Apostolidis, Thémis

; Silva, Rafael Celestino da

Escola Anna Nery

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2022, Volume 26 elocation e20210291

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

RESUMO Objetivo refletir sobre o uso de fotos na apreensão das representações sociais de fenômenos na área da saúde, a partir da aplicação da técnica da fotolinguagem e do método photovoice. Método estudo teórico-reflexivo desenvolvido em duas etapas: de análise da literatura; e análise reflexiva sobre a técnica e o método aplicados, pautados nas representações sociais. Desenvolvimento a análise apontou que as fotos possibilitam captar a zona muda das representações, a dimensão dos afetos, dos símbolos e são parte da estratégia de triangulação metodológica para entendimento das múltiplas dimensões que concorrem para a organização do campo da representação social de fenômenos da área da saúde. Conclusão e implicações para a prática as fotos potencializam a apreensão da dimensão figurativa da representação, essencial na compreensão da elaboração do pensamento social. O uso da fotolinguagem e do photovoice na prática operacional de pesquisa contribui para o avanço do conhecimento nos estudos de representações sociais na área da saúde.

ABSTRACT Objective to reflect on the use of photographs in the apprehension of social representations of phenomena in health care by applying the photolanguage technique and the photovoice method. Method a reflective and theoretical study developed in two stages: literature analysis; and reflective analysis on the technique and method applied, based on social representations. Development the analysis pointed out that photographs make it possible to capture the silent zone of representations and the dimension of affections, symbols, as well as that they are part of the methodological triangulation strategy to understand the multiple dimensions that contribute to the organization of the field of social representation of phenomena in health care. Conclusion and implications for the practice photographs enhance apprehension of the figurative dimension of the representation, essential in understanding the elaboration of social thinking. The use of photolanguage and photovoice in the research operational practice contributes to the advancement of knowledge in studies of social representations in health care.

RESUMEN Objetivo Reflexionar sobre el uso de fotografías en la aprehensión de representaciones sociales de fenómenos en el área de la salud, desde la perspectiva de la aplicación de la técnica del fotolenguaje y del método de la fotovoz. Método Estudio teórico-reflexivo desarrollado en dos etapas: análisis de la literatura; y análisis reflexivo sobre la técnica y el método aplicados, basado en las representaciones sociales. Desarrollo El análisis señaló que las fotografías permiten captar la zona muda de las representaciones, la dimensión de los afectos, de los símbolos y forman parte de la estrategia de triangulación metodológica para comprender las múltiples dimensiones que contribuyen a la organización del campo de la representación social de fenómenos en el área de la salud. Conclusión e implicaciones en la práctica Las fotografías intensifican la aprehensión de la dimensión figurativa de la representación, fundamental para comprender la elaboración del pensamiento social. El uso del fotolenguaje y de la fotovoz en la práctica operativa de la investigación contribuye al avance del conocimiento en los estudios de las representaciones sociales en el área de la salud.

https://doi.org/10.1590/2177-9465-ean-2021-0291 84 downloads

13.

COVID-19 pandemic and nursing week: analysis from software Iramuteq
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Soares, Samira Silva Santos

; Souza, Norma Valéria Dantas de Oliveira

; Carvalho, Eloá Carneiro

; Queiroz, Ana Beatriz Azevedo

; Costa, Carolina Cabral Pereira da

; Souto, Jaqueline da Silva Soares

Revista Brasileira de Enfermagem

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2022, Volume 75 Suppl. 1 elocation e20200690

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

RESUMO Objetivo: analisar os temas das publicações do sítio eletrônico do Conselho Federal de Enfermagem (Cofen) durante o período que compreende a Semana de Enfermagem 2020. Método: pesquisa documental, qualitativa, cujas fontes de dados foram publicações do sítio eletrônico do Cofen durante o período de 12 a 20 de maio de 2020. O corpus textual foi submetido ao software IRAMUTEQ®, os dados processados por meio da Classificação Hierárquica Descendente e analisados sob o referencial do materialismo histórico. Resultados: foram analisadas 30 publicações, dando origem a cinco classes. Considerações finais: os temas publicados no período investigado apontavam o luto vivenciado pela categoria, em virtude da morte de seus integrantes, e o enfrentamento por melhores condições de trabalho. A superação da pandemia envolve o reconhecimento da ciência e do Sistema Único de Saúde, a proteção à saúde dos trabalhadores de enfermagem e o combate à desinformação e às fake news.

ABSTRACT Objective: to analyze the themes of publications on the Federal Council of Nursing (Cofen) website during Nursing Week 2020. Method: documentary, qualitative research, whose data sources were publications on the Cofen website from May 12 to 20, 2020. Data were processed by software IRAMUTEQ®, through the Descending Hierarchical Classification and analyzed under the historical materialism framework. Results: thirty publications were analyzed, giving rise to five classes. Final considerations: the themes published in the period investigated pointed to the grief experienced by the category, due to the death of its members, and the fight for better working conditions. Overcoming the pandemic involves recognizing science and the Unified Health System, protecting nursing workers’ health and fighting misinformation and fake news.

RESUMEN Objetivo: analizar los temas de las publicaciones en el sitio web del Consejo Federal de Enfermería (Cofen) durante la Semana de Enfermería 2020. Método: investigación documental, cualitativa, cuyas fuentes fueron de datos fueron publicaciones en el sitio web del Consejo Federal de Enfermería durante el período del 12 al 20 de mayo de 2020. El corpus textual fue sometido al software IRAMUTEQ®, los datos procesados a través de la Clasificación Jerárquica Descendente y analizados en el marco del materialismo histórico. Resultados: se analizaron 30 publicaciones, dando lugar a cinco clases Consideraciones finales: los temas publicados en el periodo investigado apuntaban al duelo vivido por la categoría, por la muerte de sus integrantes, y el por Consejo Federal de Enfermería apuntaron al dolor que vive la categoría, por la muerte de sus integrantes, y el enfrentamiento por mejores condiciones laborales. Superar la pandemia implica reconocer la ciencia y el Sistema Único de Salud, proteger la salud de los trabajadores de enfermería y combatir la desinformación y las noticias falsas.

https://doi.org/10.1590/0034-7167-2020-0690 238 downloads

14.

Teaching Iramuteq for use in qualitative research according to YouTube videos: an exploratory-descriptive study
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Soares, Samira Silva Santos

; Costa, Carolina Cabral Pereira da

; Carvalho, Eloá Carneiro

; Queiroz, Ana Beatriz Azevedo

; Peres, Patrícia Lima Pereira

; Souza, Norma Valéria Dantas de Oliveira

Revista da Escola de Enfermagem da USP

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2022, Volume 56 elocation e20210396

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

RESUMO Objetivos: identificar os conteúdos e características dos vídeos postados na rede social YouTube que tratam do uso do software Iramuteq como ferramenta para auxiliar as pesquisas qualitativas e discutir a contribuição desta rede social para a difusão do conhecimento, especialmente no contexto da pandemia de COVID-19. Método: estudo exploratório-descritivo de abordagem qualitativa, realizado com vídeos do YouTube, coletados em junho de 2021 e submetidos à análise temática. Resultados: foram identificados 43 vídeos sobre a temática pesquisada, sendo a maioria (69,76%) publicado no período de 2020–2021. Quanto ao conteúdo, identificaram-se cinco categorias. Conclusão: os vídeos explanam sobre a instalação do Iramuteq, o preparo do corpus textual, os erros identificados por usuários do software e métodos para corrigi-los, as análises lexicais desenvolvidas pelo programa e como utilizá-lo. O conteúdo é apresentado de forma teórica e prática por meio da apresentação da interface do software. Assim, observa-se a contribuição do YouTube para o desenvolvimento do ensino e difusão do conhecimento, tanto por constituir-se como uma fonte para pesquisa como também por suscitar diálogos entre pesquisadores, especialmente em um contexto de pandemia.

Abstract Objectives: to identify the contents and characteristics of videos posted on YouTube that deal with Iramuteq software use as a tool to assist qualitative research and discuss the contribution of this social network to dissemination of knowledge, especially in the context of the COVID-19 pandemic. Method: this is an exploratory-descriptive study with a qualitative approach, carried out with YouTube videos, collected in June 2021 and subjected to thematic analysis. Results: a total of 43 videos on the researched topic were identified, with the majority (69.76%) published from 2020–2021. As for content, five categories were identified. Conclusion: the videos explain about Iramuteq installation, the textual corpus preparation, the errors identified by users and methods to correct them, the lexical analysis developed by the program and how to use it. The content is presented in a theoretical and practical way through the software interface presentation. Thus, YouTube’s contribution to developing teaching and disseminating knowledge is observed, both because it constitutes itself as a source for research and because it fosters dialogues between researchers, especially in a pandemic context.

RESUMEN Objetivos: identificar los contenidos y características de los videos publicados en la red social YouTube que abordan el uso del software Iramuteq como herramienta para ayudar a la investigación cualitativa y discutir la contribución de esta red social a la difusión del conocimiento, especialmente en el contexto de la pandemia de COVID-19. Método: estudio exploratorio-descriptivo con abordaje cualitativo, realizado con videos de YouTube, recolectados en junio de 2021 y sometidos a análisis temático. Resultados: se identificaron 43 videos sobre el tema investigado, la mayoría (69,76%) publicados en el período 2020-2021. En cuanto al contenido, se identificaron cinco categorías. Conclusión: los videos explican sobre la instalación de Iramuteq, la preparación del corpus textual, los errores identificados por los usuarios del software y los métodos para corregirlos, el análisis léxico desarrollado por el programa y cómo utilizarlo. El contenido se presenta de forma teórica y práctica a través de la presentación de la interfaz del software. Así, se observa la contribución de YouTube al desarrollo de la docencia y la difusión del conocimiento, tanto porque se constituye como fuente de investigación como porque provoca diálogos entre investigadores, especialmente en un contexto pandémico.

https://doi.org/10.1590/1980-220x-reeusp-2021-0396

15.

Social support networks for women in situation of intimate partner violence
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Santos, Clenilda Aparecida dos

; Moura, Maria Aparecida Vasconcelos

; Souza, Ivis Emília de Oliveira

; Queiroz, Ana Beatriz Azevedo

; Souza, Maria Helena do Nascimento

; Penna, Lucia Helena Garcia

; Figueiredo, Edilene Macedo Cordeiro

; Gonçalves, Diana da Silva

Revista Brasileira de Enfermagem

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2022, Volume 75 elocation e20210830

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

RESUMO Objetivos: analisar as possibilidades de suporte que a rede de apoio social oferece às mulheres em situação de violência por parceiro íntimo. Métodos: pesquisa qualitativa, ancorada no referencial de rede social de Sanicola. Participaram 21 mulheres atendidas em um serviço especializado de assistência social de Porto Velho-Rondônia, Brasil, que responderam à entrevista semiestruturada. Resultados: a análise dos mapas de redes mostrou que a rede de apoio social secundária mobilizada teve um caráter central na vida da mulher em situação de violência. Essas mulheres buscaram a rede secundária de terceiro setor, as igrejas, das quais receberam suporte emocional-afetivo e espiritual. Considerações Finais: a compreensão da configuração da rede social e do tipo de apoio ofertado pode contribuir para a melhoria do cuidado à mulher e fortalecimento dos laços interpessoais e institucionais que auxiliam na busca do rompimento da situação de violência.

ABSTRACT Objectives: to analyze the possibilities of support that the social support network offers to women in situations of intimate partner violence. Methods: qualitative research anchored in Sanicola’s social network framework. A total of 21 women attended at a specialized social assistance service in Porto Velho-Rondônia, Brazil, participated in a semi-structured interview. Results: the analysis of network maps showed that the secondary social support network mobilized had a central character in the lives of women in situations of violence. These women sought the third sector’s secondary network, the churches, from which they received emotional-affective and spiritual support. Final Considerations: understanding the social network setting and the type of support offered can contribute to improving care for women and strengthening interpersonal and institutional ties that help in the search for breaking the situation of violence.

RESUMEN Objetivos: analizar las posibilidades de apoyo que ofrece la red de apoyo social a las mujeres en situación de violencia de pareja. Métodos: investigación cualitativa, anclada en el marco de la red social de Sanicola. Participaron 21 mujeres atendidas en un servicio de asistencia social especializado en Porto Velho-Rondônia, Brasil, que respondieron a una entrevista semiestructurada. Resultados: el análisis de los mapas de redes mostró que la red de apoyo social secundaria movilizada tuvo un carácter central en la vida de las mujeres en situación de violencia. Estas mujeres buscaron la red secundaria del tercer sector, las iglesias, de donde recibieron apoyo emocional-afectivo y espiritual. Consideraciones Finales: comprender la configuración de la red social y el tipo de apoyo ofrecido puede contribuir para la mejora de la atención a la mujer y el fortalecimiento de lazos interpersonales e institucionales que ayuden en la búsqueda de ruptura de la situación de violencia.

https://doi.org/10.1590/0034-7167-2021-0830

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