Screening for Chronic Kidney Disease in Relatives of Hemodialysis Patients

Objective: To estimate the prevalence and socioeconomic characteristics of Chronic Kidney Disease (CKD) in first and second-degree relatives of patients on hemodialysis Method: A questionnaire was applied on socioeconomic conditions, lifestyle, and personal pathological background. The formula of CKD-EPI and/or proteinuria greater than or equal to 1+ was used to characterize CKD. Analysis using the logistic regression model. Results: 408 individuals were evaluated and 12% had CKD. 6.61% had a glomerular filtration rate (GFR) ≤ 60 mL / min / 1.73 m2 and 5.39% proteinuria in the urine. The variables associated with the presence of CKD were age (OR = 1,60; 95% IC = 1,31-1,96), PAS (OR: 1,69; 95% IC: 1,24-2,28), PAD (OR: 1,52; 95% IC: 1,18- 1,96) and blood glucose (OR: 2,03; 95% IC: 1,38-2,99). Conclusion: It is necessary to implement routines for systematic evaluation that prevent or delay the loss of renal function, in addition to measures that improve the pre-dialysis clinical conditions of this population. Keywords: Chronic kidney disease, Family, Glomerular filtration rate. DOI: 10.7176/RHSS/11-10-06 Publication date:May 31st 202

APICULTURA E RESPONSABILIDADE SOCIAL: DESAFIOS DA PRODUÇÃO E DIFICULDADES EM ADOTAR PRÁTICAS SOCIAL E AMBIENTALMENTE RESPONSÁVEIS

RESUMOO artigo objetiva identificar a percepção e as dificuldades que os produtores têm em adotar práticas mais responsáveis social e ambientalmente. Utilizou-se de método qualitativo, com entrevista semiestruturada com cinco das seis pessoas que participam da Associação de Apicultores. Nesse sentido, a pesquisa utilizou a análise categorial temática, com o desmembramento em categorias conforme os temas que emergem do texto identificando o que eles têm em comum, dividida em quatro categorias temáticas: 3.1 - Perfil dos entrevistados; 3.2 - Determinação da criação de abelhas e da produção do mel; 3.3 - Conhecimento da atividade e importância da associação; 3.4 - Comercialização e responsabilidade social e ambiental. A responsabilidade social em relação ao mel foi evidenciada como um diferencial no produto concentrado nas preocupações com o meio ambiente, influenciando as tomadas de decisões dos apicultores em seus negócios, bem como no comprometimento para a melhoria da qualidade de vida e bem-estar social. Os resultados da pesquisa também demonstraram que a apicultura é uma atividade lucrativa. No entanto, se percebeu que, em decorrência dos associados não estarem bem organizados, têm dificuldades em comercializar seus produtos

Práticas Educomunicativas

Esta publicação pretende divulgar as práticas educomunicativas realizadas em diferentes regiões do país e que estão sendo implantadas por nossos associados. O e-book Práticas Educomunicativas, que visa oferecer um material de uso prático que possa servir de apoio pedagógico em diferentes contextos, escolar ou de ações junto a instituições, apresenta 20 artigos de profissionais e pesquisadores que implementam ações que inter-relacionam comunicação e educação no contexto da educação apontando as experiências e processos de educomunicação e valorizando desta forma, o trabalho realizado por cada educomunicador oferecendo, ao leitor, um material de uso prático que possa servir de apoio pedagógico em diferentes contextos

ATLANTIC EPIPHYTES: a data set of vascular and non-vascular epiphyte plants and lichens from the Atlantic Forest

Epiphytes are hyper-diverse and one of the frequently undervalued life forms in plant surveys and biodiversity inventories. Epiphytes of the Atlantic Forest, one of the most endangered ecosystems in the world, have high endemism and radiated recently in the Pliocene. We aimed to (1) compile an extensive Atlantic Forest data set on vascular, non-vascular plants (including hemiepiphytes), and lichen epiphyte species occurrence and abundance; (2) describe the epiphyte distribution in the Atlantic Forest, in order to indicate future sampling efforts. Our work presents the first epiphyte data set with information on abundance and occurrence of epiphyte phorophyte species. All data compiled here come from three main sources provided by the authors: published sources (comprising peer-reviewed articles, books, and theses), unpublished data, and herbarium data. We compiled a data set composed of 2,095 species, from 89,270 holo/hemiepiphyte records, in the Atlantic Forest of Brazil, Argentina, Paraguay, and Uruguay, recorded from 1824 to early 2018. Most of the records were from qualitative data (occurrence only, 88%), well distributed throughout the Atlantic Forest. For quantitative records, the most common sampling method was individual trees (71%), followed by plot sampling (19%), and transect sampling (10%). Angiosperms (81%) were the most frequently registered group, and Bromeliaceae and Orchidaceae were the families with the greatest number of records (27,272 and 21,945, respectively). Ferns and Lycophytes presented fewer records than Angiosperms, and Polypodiaceae were the most recorded family, and more concentrated in the Southern and Southeastern regions. Data on non-vascular plants and lichens were scarce, with a few disjunct records concentrated in the Northeastern region of the Atlantic Forest. For all non-vascular plant records, Lejeuneaceae, a family of liverworts, was the most recorded family. We hope that our effort to organize scattered epiphyte data help advance the knowledge of epiphyte ecology, as well as our understanding of macroecological and biogeographical patterns in the Atlantic Forest. No copyright restrictions are associated with the data set. Please cite this Ecology Data Paper if the data are used in publication and teaching events. © 2019 The Authors. Ecology © 2019 The Ecological Society of Americ

Vigilância em saúde e o câncer do colo de útero : um estudo em São Jose de Ribamar - MA, no período 2007 a 2008

Tese (doutorado)—Universidade de Brasília, Faculdade de Ciências da Saúde, Programa de Pós-Graduação em Ciências da Saúde, 2010.Este estudo transversal teve o objetivo de coletar, por meio da aplicacao de questionarios, informaçoes sobre a vigilancia em saude de cancer de colo de utero, sua incidencia e os fatores de risco, condicionantes e/ou determinantes do processo saude-doenca (idade, estado civil, grupo etnico, renda, ocupação, escolaridade, historia familiar de cancer, consumo de alcool e de tabaco, uso de contraceptivo oral, numero de parceiros, idade do primeiro intercurso sexual, etc), assim como de acessibilidade, diagnostico e tratamento na rede de servicos de saude. A amostra consistiu de 536 mulheres de 25 a 59 anos de idade, residentes na localidade do Jardim Tropical, no municipio de São Jose de Ribamar-MA. Para identificarmos quais os fatores estudados que estavam associados com o cancer de colo de utero ou com o aumento da mortalidade por este tipo de cancer, foi utilizado o modelo de regressão logistica. Tambem foram estimados os odds ratios (OR) e seus intervalos respectivos de confianca de 95%. Apos analise dos dados, foi constatado que grande parte da amostra se mostrava na faixa etaria de maior incidencia do cancer de colo uterino (45,5%), apresentava uma situação conjugal instavel, nivel educacional minimo (78,7%), baixa renda (58,3%), consumiam bebidas alcoolicas (56,4%), tinham, no momento, ou ja tiveram antes, habito do tabagismo (57,0%), e apresentou um limitado conhecimento sobre a prevenção do cancer do colo do utero, os fatores de risco, o processo de desenvolvimento da doenca e a periodicidade de realização do exame preventivo. Alem disso, foi verificada a ausencia de um servico de vigilancia em saude estruturado e de uma rede de atencão oncologica organizada por niveis de atenção na localidade estudada. Assim, são necessarias mais pesquisas na busca da construção de um modelo preditor para a doenca cancer do colo do utero que considere a importancia da vigilancia em saude no rastreamento, no acesso aos servicos de saude, no diagnostico precoce, no inicio imediato do tratamento, segundo o protocolo clinico-cirurgico sua incidencia, e o estadio da enfermidade, alem dos cuidados paliativos. _________________________________________________________________________________ ABSTRACTThe purpose of this cross-sectional study was to investigate the importance of health vigilance in the prevention of cervical cancer through the application of questionnaires about the incidence and risk factors, with significance or not, of this disease (including gender, age, marital status, ethnic group, income, occupation, educational attainment, family history of cancer, consumption of alcohol and tobacco, use of oral contraceptives, age of first sexual intercourse, etc.), as well as the accessibility, diagnosis and treatment provided by health services. The sample consisted of 536 women between 25 and 59 years old living in Jardim Tropical, a locality of the municipality of São José de Ribamar, Maranhão, Brazil. To identify which risk factors were associated with cervical cancer or with an increase in the mortality rate of this kind of cancer, a logistic regression model was used. The odds ratios (OR) and their respective 95% confidence intervals were also calculated. The majority of the sample was at the age of highest incidence of cervical cancer (45.5%), had an unstable conjugal situation, minimal educational level (78.7%), low income (58.3%), consumed alcoholic beverages (56.4%), had a history of smoking (57.0%), and possessed limited knowledge about the prevention of cervical cancer, the risk factors, the development of the disease and the recommended frequency of preventive exams. Moreover, the lack of a structured hierarchical service for health vigilance and oncological screening in the area was observed. Therefore, more research is necessary to construct a predictive model for cervical cancer that considers the importance of vigilance in obtaining access to health services, in the screening and precocious diagnosis of cervical cancer, in the initiation of the treatment according to the surgical and clinical protocols of this pathology, and in the further stages of the disease, beyond palliative care

The best internal structure of the Diabetes Quality of Life Measure (DQOL) in Brazilian patients

Abstract Background Diabetes Mellitus (DM) is considered a chronic disease with numerous secondary complications that negatively affect the quality of life of patients. However, the specific, known and validated instruments for Brazilian Portuguese are too extensive, which often makes their use infeasible. Objective To validate the internal structure of the Brazilian version of the Diabetes Quality of Life (DQOL) measure. Methodology Patients with DM type 1 or 2, between the ages of 18 and 76, were evaluated between April 2022 and May 2022. The survey was conducted online using the Google Forms platform. The original DQOL contains 46 multiple-choice questions organized into four domains. For structural validity, confirmatory factor analysis (CFA) was performed using RStudio software (Boston, MA, USA) with the packages lavaan and semPlot. Results A total of 354 subjects were evaluated. The 3-domain, 24-item version of the DQOL was the most adequate, with acceptable values for all fit indices (chi-square/GL  0.90, and RMSEA and SRMR < 0.08). Conclusion The structure with three domains and 24 items is the most appropriate based on factor analysis. The Brazilian version of the DQOL with a structure of 3 domains and 24 items has adequate measurement properties that support its use in the clinical and scientific context in patients with DM

Regulation of even-aged forest with constraint of age classes per compartment

The objective of this study was to present the formulation of alternative models of regulation of the forest, with the inclusion of environmental and social characteristics for the management of the landscape. The models were constructed for a model farm, with an area of active planting of 3491 ha, divided into 135 management units. The regulation models were formulated as type I model, including integrity constraints for the management units. We use meta-heuristic genetic algorithm for solving the models. The alternative proposals were formulated: (i) the formulation of a classical model of regulation, (ii) application of adjacency constraints, and (iii) the restriction of age classes per compartment. The models were evaluated economically by the net present value (NPV) and environmentally by the Crop Area Index (CAI). The application of the technique of genetic algorithm is efficient for solving the constructed models with socio-economic and environmental constraints. The imposition of restrictions adjacency reduced overall NPV by about 8%, and the restriction of age classes per compartment was equal to 5% when this was required in seventh year. The imposition of adjacent and compartment restrictions showed an improvement in environmental quality of the regulatory model demonstrated by the CAI