Gravidez na adolescência e o acesso às Tecnologias de Informação e Comunicação na Amazônia

Objetivo: Analisar a associação entre o acesso à informação, através da posse de computador com Internet nos domicílios e a gravidez na adolescência, tomando por referência os municípios da Amazônia legal brasileira em relação ao Brasil. Métodos: Estudo ecológico, baseado em dados obtidos do Censo Demográfico de pessoas e domicílios, realizado no Brasil no ano de 2010, pelo Instituto Brasileiro de Geografia e Estatística. Resultados: Para os municípios da Amazônia legal brasileira com os menores percentuais de domicílios com posse de computador com Internet ( 4,49%), a probabilidade de apresentar os maiores percentuais de gravidez na adolescência (≥ 9,39%) é de 0,723 enquanto para os demais municípios do Brasil é de 0,23. O fenômeno da gravidez na adolescência apresentou associação com espaço de referência (Brasil, Amazônia) e com a posse de computador com Internet nos domicílios. Conclusões: Os municípios da Amazônia legal brasileira apresentam elevados índices de ocorrência da gravidez na adolescência em relação aos demais municípios do Brasil. A ocorrência desse fenômeno, associada com a baixa infraestrutura de acesso à Internet, revela as desiguais condições que gestores e profissionais de saúde podem encontrar para executar projetos que utilizem as Tecnologias de Informação e Comunicação.Objectives: To analyze the association between access to information, measured by the possession of a computer with Internet connection in households, and teenage pregnancy, taking as reference the municipalities of the Brazilian Legal Amazon compared to the rest of Brazil. Methods: Ecological study based on data collected from the Demographic Census of persons and households, carried out in Brazil in 2010, by the Instituto Brasileiro de Geografia e Estatística (Brazilian Institute of Geography and Statistics). Results: For the municipalities of the Brazilian Legal Amazon with the lowest percentages of households with computer with Internet access ( 4.49%), the probability of presenting the highest percentages of teenage pregnancy (≥ 9.39%) is 0.723, while for the others municipalities of Brazil, this probability is 0.23. The phenomenon of teenage pregnancy presented association with the space of reference (Brazil, Amazon) and with the ownership of computer with Internet access in the households. Conclusions: The municipalities of the Brazilian Legal Amazon present high rates of teenage pregnancy compared to the others municipalities of Brazil. Associated to the poor infrastructure of Internet access, the occurrence of this phenomenon reveals the unequal conditions that managers and health professionals can find to execute projects that rely on Information and Communications Technologies

Cada coisa em seu lugar: ensaio de interpretação do discurso de um museu de história

O Museu Histórico Nacional, situado no Rio de Janeiro, foi criado em 1922, como parte das comemorações do Centenário da Independência do Brasil. Ao longo dos seguintes 38 anos, foi dirigido por Gustavo Barroso. Este intelectual, figura bastante típica da “república das letras” brasileira, imprimiu no MHN uma forte marca pessoal, cristalizada no discurso conservador expresso pelas exposições. Baseado nas formulações teóricas de Carlo Ginzburg, conforme apresentadas em um artigo intitulado “Sinais - raízes de um paradigma indiciário”, bem como em diversos textos que abordam museus como discursos, o autor analisa a exposição do MHN nos anos 30, 40 e 50. Apoiando-se também na produção científica dos conservadores, publicada em livros e na revista institucional, os “Anais do Museu Histórico Nacional”, procura ver o circuito como representação das posições ocupadas pelos “agentes ativos da história” - aristocracia, funcionários públicos civis e militares, dentre outras categorias - em relação a uma categoria não claramente definida, o “povo”, que foi representada através da ausência

Os museus históricos e pedagógicos do estado de São Paulo

This paper analyzes the creation of the Historical and Pedagogical Museums network in the State of São Paulo between 1956 and 1973, mainly taking into consideration the concept for creation, the program, and the role of the museum in society. This work covers a period until the end of the 1990's, when the curators of the museums, which belonged to the State until that time, was transferred to the municipalities by means of a "municipalization" process coordinated by the Department of Museums and Archives of the State Department of Cultural Affairs (DEMA-SEC). It also shows that the implementation of this museums network - among other initiatives in the fields of education and of culture - addressed earlier needs of asserting an identity, emphasizing through projects of this type the hegemonic character of the State. This allowed to align the initiative of creating the museums with others actions carried out by the State before, and also enabled that this topic was take out from its long isolation from the study of State history. It also considers the web of relationships existing among the various sectors with which museums were connected, such as education, culture, and the São Paulo Historical and Geographical Institute, the Government, and Society. The implementation of Historical and Pedagogical Museums by means of State action, through its Departments of Education (from 1956 to 1968) and Cultural Affairs (from 1968 to 1998) was one of the ways through which the Government orientated its activities during those years in the fields of history, education and culture. The central thesis is that the implementation of these museums has fully addressed the aspirations of society at the time, while, at the same time, underscoring the logic behind the ideation that has oriented the characteristic mode of operation of museums during the years in which their curatorship was exercised by the Government, and proposes to consider them as a paradigm for "historical museums of the State of São Paulo".Este estudo analisa a criação da rede de museus históricos e pedagógicos do estado de São Paulo entre os anos de 1956 e 1973, sobretudo quanto ao conceito de criação, de programa e de função de museu na sociedade. Tal análise estende-se ao final da década de 1990, quando a tutela dos museus, até então estadual, é transferida às cidades por meio do processo de municipalização, coordenado pelo Departamento de Museus e Arquivos, da Secretaria de Estado da Cultura (Dema-SEC). Em meio a outras iniciativas nos campos da educação e da cultura, aborda a correspondência existente entre a implantação da rede desses museus e antigas necessidades de afirmação identitária, ao evidenciar, por meio de projetos desta natureza, o caráter hegemônico do Estado e sua atuação em campos como o da história, o da educação e o da cultura. Isso permitiu alinhar a iniciativa de criação dos museus a outras anteriormente promovidas pelo estado de São Paulo e possibilitar que o tema escapasse de um prolongado isolamento no estudo da história paulista. Trata, também, da trama de relações existentes entre diversos setores ligados aos museus - educação, cultura, Instituto Histórico e Geográfico de São Paulo (IHGSP), poder público e sociedade. A hipótese central é de que a implantação desses museus correspondeu plenamente às aspirações da sociedade de uma época, ao mesmo tempo em que evidencia a lógica da ideação que determinou o modo característico de atuação dos museus nos anos em que estiveram sob a tutela do governo estadual, propondo, assim, entendê-los como paradigma de "museu histórico do estado de São Paulo"

May Measurement Month 2018: a pragmatic global screening campaign to raise awareness of blood pressure by the International Society of Hypertension

Aims Raised blood pressure (BP) is the biggest contributor to mortality and disease burden worldwide and fewer than half of those with hypertension are aware of it. May Measurement Month (MMM) is a global campaign set up in 2017, to raise awareness of high BP and as a pragmatic solution to a lack of formal screening worldwide. The 2018 campaign was expanded, aiming to include more participants and countries. Methods and results Eighty-nine countries participated in MMM 2018. Volunteers (≥18 years) were recruited through opportunistic sampling at a variety of screening sites. Each participant had three BP measurements and completed a questionnaire on demographic, lifestyle, and environmental factors. Hypertension was defined as a systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, or taking antihypertensive medication. In total, 74.9% of screenees provided three BP readings. Multiple imputation using chained equations was used to impute missing readings. 1 504 963 individuals (mean age 45.3 years; 52.4% female) were screened. After multiple imputation, 502 079 (33.4%) individuals had hypertension, of whom 59.5% were aware of their diagnosis and 55.3% were taking antihypertensive medication. Of those on medication, 60.0% were controlled and of all hypertensives, 33.2% were controlled. We detected 224 285 individuals with untreated hypertension and 111 214 individuals with inadequately treated (systolic BP ≥ 140 mmHg or diastolic BP ≥ 90 mmHg) hypertension. Conclusion May Measurement Month expanded significantly compared with 2017, including more participants in more countries. The campaign identified over 335 000 adults with untreated or inadequately treated hypertension. In the absence of systematic screening programmes, MMM was effective at raising awareness at least among these individuals at risk

Pervasive gaps in Amazonian ecological research

Biodiversity loss is one of the main challenges of our time,1,2 and attempts to address it require a clear un derstanding of how ecological communities respond to environmental change across time and space.3,4 While the increasing availability of global databases on ecological communities has advanced our knowledge of biodiversity sensitivity to environmental changes,5–7 vast areas of the tropics remain understudied.8–11 In the American tropics, Amazonia stands out as the world’s most diverse rainforest and the primary source of Neotropical biodiversity,12 but it remains among the least known forests in America and is often underrepre sented in biodiversity databases.13–15 To worsen this situation, human-induced modifications16,17 may elim inate pieces of the Amazon’s biodiversity puzzle before we can use them to understand how ecological com munities are responding. To increase generalization and applicability of biodiversity knowledge,18,19 it is thus crucial to reduce biases in ecological research, particularly in regions projected to face the most pronounced environmental changes. We integrate ecological community metadata of 7,694 sampling sites for multiple or ganism groups in a machine learning model framework to map the research probability across the Brazilian Amazonia, while identifying the region’s vulnerability to environmental change. 15%–18% of the most ne glected areas in ecological research are expected to experience severe climate or land use changes by 2050. This means that unless we take immediate action, we will not be able to establish their current status, much less monitor how it is changing and what is being lostinfo:eu-repo/semantics/publishedVersio