Logistic Regression: Risk Question for Disabled People

All over the world, since ancient times, disabled people have always had worse health, education, economical participation, and higher poverty rate compared to non-disabled people. For disabled people to achieve better and more lasting prospects, these people must be empowered and seek to eliminate barriers that prevent them from participating and being included in the community, having access to quality education, finding decent work, and having their voices heard. In statistical terms, a useful alternative that can serve as support and monitoring of public policies in this area is to propose, for continuous use, the risk index called risk index for disabled people (long-term physical, hearing, intellectual, or sensory), which consists of evaluating which factors are associated with this risk, as well its intensity and direction of each of these factors, generating a final score that can be ordered or classified, according to non-disabled person probability became disabled person. In the Brazilian case, we propose the use of binary and ordinal logistic regression techniques to select the most significant factors using criteria such as AIC and BIC and calculate the risk probability for different disabilities (visual, hearing, physical, and intellectual) for the dataset. Sample composed of 20,800,804 respondents to the 2010 IBGE Census Complete Questionnaire

Variability among Animals and Incubation Protocols for Ruminant In Situ Degradation Studies with Tropical Feeds

Simple Summary The knowledge on the nutritive value of feeds is essential to feed animals with adequate diets and to optimize production with minimal environment impact. In situ degradation is an important tool for nutritionists because it is a reliable, cheap, and fast way to assess information on feed digestion in ruminants. However, the lack of standards procedures for in situ trials with cattle in the tropics may compromise the reliability of information obtained from those studies. Thus, we aimed to generate useful information for animal scientists on how to perform that kind of study using adequate and minimal resources yet keeping accuracy to interpret feed characteristics. Our findings indicated an important variation among animals on the estimates of the rumen degradation rate of feeds, and taking into account that variation can allow for a more adequate comparison among feeds. On the other hand, we also found that an in situ trial cannot be performed using fewer than three animals, otherwise the risk of obtained biased and imprecise information increases. Minimum sets of incubation times were defined and evaluated. They can be used to decrease the costs and the labor when tropical feeds are evaluated through in situ trials with cattle. Our objectives were to evaluate the variability among animals regarding to the degradation rate of the potentially degradable fraction of dry matter, crude protein, and neutral detergent fiber, as well as to establish the minimum number of animals and provide a standardized design of sampling times for in situ ruminal degradation assays of tropical feeds with cattle. Seven feeds were evaluated, four concentrates and three forages. The incubations were performed using five rumen-cannulated Nellore heifers (328 +/- 9.8 kg of body weight). The complete sets of incubation sampling times encompassed 16 time points for forage samples (0-240 h) and 13 time points for concentrate samples (0-144 h). The profiles were adjusted using both fixed and mixed model approaches. When the variation among animals on the degradation rate was considered using the mixed model approach, the precision of the adjusted degradation profiles was increased. Moreover, the utilization of a low number of animals increases the probability to obtain biased estimates of degradation rate and increased random variances. A minimum of three animals is recommended for in situ trials with cattle. Minimum designs of sampling times regarding number and position of incubation times were proposed, discussed, and recommended to assess the dynamics of tropical feed degradation

Contribuições da pedagogia freireana para o ensino da fenomenologia em enfermagem: relato de experiência

Objetivo: Relatar a experiência de aprendizagem discente na disciplina “Fenomenologia, Formação e Pesquisa”, e analisar o planejamento pedagógico de sua problematização no processo de construção do conhecimento, em programa stricto sensu em Enfermagem e Saúde.Método: Relato descritivo-analítico do plano de ensino ofertado com enquadramento teórico dos dados sob a perspectiva freireana.Resultados: A disciplina foi ofertada a seis discentes na modalidade remota e organizada em três unidades: a primeira composta por cinco encontros síncronos e um assíncrono; a segunda por três encontros síncronos e a terceira com sete síncronos e um assíncrono. Destacaram-se como metodologias aplicadas: aula expositiva de convidados externos,sala de aula invertida e mapa conceitual. Foram abordadas as linhas de pensamento husserliana e heideggeriana.Conclusão: A construção do conhecimento da fenomenologia por pós-graduandos ocorreu de acordo com a estrutura pedagógica de Freire, tendo como destaque, o constructo da problematização. Palavras-chave: Filosofia em enfermagem. Hermenêutica. Educação de pós-graduação em enfermagem

Yield, chemical composition, and efficiency of use of nitrogen by Marandu grass

The objective of this study was to evaluate the effect of five nitrogen doses on the productive and quality characteristics and the use efficiency of Brachiaria brizantha cv. Marandu grass. The treatments consisted of four doses of nitrogen (0, 60, 120, 180 and 240 kg ha-1), distributed through a completely randomized design with four replicates. Samples of the material were collected to analyze productivity variables, concentrations of neutral detergent fiber, crude protein and neutral detergent insoluble nitrogen, and in vitro dry matter digestibility. The nitrogen use efficiency, recovery of the applied nitrogen (RAN) and agronomic efficiency of the applied nitrogen (AE) were calculated. Dry mass production increased by 1,624.67 (kg/ha) as the nitrogen doses were increased. The doses of nitrogen affected the concentrations of neutral detergent fiber (from 294.6 to 381.4 g.kg-1, in the leaf), crude protein (from 86.1 to 99.6 g.kg-1, in the leaf) and neutral detergent insoluble protein (from 402.9 to 396.2 g.kg-1 CP, in the leaf). Nitrogen use efficiency increased, whereas RAN and AE were not affected by the nitrogen doses. Nitrogen fertilization promotes improvement in productivity and chemical composition of Marandu grass, also improving the efficiency with which the grass utilizes the nitrogen

A ESPECIFICIDADE DA ATUAÇÃO DO PSICÓLOGO NO HOSPITAL: UMA LEITURA PSICANALÍTICA

This article discusses the role of the psychologist who has psychoanalysis as his theoretical reference in the hospital institution, highlights the vision of the body for Medicine and psychoanalysis, as well as the possibilities and work impasses that the professional faces in the hospital. In the 19th century, the hospital became the center of the entire health network, with excellence in medical practices. The hospital psychologist appears in this context with the objective of working on the subjectivity of patients, as well as their families and the professionals who work there, analyzing the aspects involved in the pathologies of the patients. We verified that when using the psychoanalytic theory, the psychologist will come across a different view from that used by doctors, that is, the psychoanalyst's focus is the subjectivity of each subject, having as object of study and intervention the symbolic body of the patient, making their relevant professional performance in the hospital institution.Este artículo discute el desempeño del psicólogo que tiene el psicoanálisis como su referencia teórica en la institución hospitalaria, destaca la visión corporal para la medicina y el psicoanálisis, así como las posibilidades e impasses de trabajo que el profesional tiene en el hospital. En el siglo 19, el hospital se convirtió en el centro de toda la red de salud, que tiene excelencia en las prácticas médicas. La psicóloga hospitalaria surge en este contexto con el objetivo de trabajar la subjetividad de los pacientes, así como de sus familiares y de los profesionales que allí trabajan, analizando los aspectos que intervienen en las patologías de los pacientes. Comprobamos que al utilizar la teoría psicoanalítica, el psicólogo se enfrentará a una visión diferente a la empleada por los médicos, es decir, el enfoque del psicoanalista es la subjetividad de cada sujeto, teniendo como objeto de estudio e intervención el cuerpo simbólico del paciente, haciendo relevante su desempeño profesional en la institución hospitalaria.Este artigo aborda a atuação do psicólogo que tem a psicanálise como sua referência teórica na instituição hospitalar, destaca a visão de corpo para a Medicina e para a psicanálise, bem como as possibilidades e os impasses de trabalho que o profissional se depara no hospital. No século XIX, o hospital passou a ser o centro de toda a rede de saúde, detém a excelência nas práticas médicas. O psicólogo hospitalar surge nesse contexto com o objetivo de trabalhar a subjetividade dos pacientes, como de suas famílias e os profissionais que ali atuam, analisando os aspectos envolvidos nas patologias dos pacientes. Verificamos que ao utilizar a teoria psicanalítica, o psicólogo se deparará com uma visão diferente da empregada pelos médicos, ou seja, o foco do psicanalista é a subjetividade de cada sujeito, tendo como objeto de estudo e intervenção o corpo simbólico do paciente, tornando a sua atuação profissional relevante na instituição hospitalar

"WE EVEN FORGET THAT WE'RE NURSES": IDENTITY PERSPECTIVES OF NURSES IN PSYCHOSOCIAL CARE CENTERS

Objective: To analyze the interface between the nurse's professional identity and her work process in mental health.Method: An exploratory, qualitative study was conducted in six Psychosocial Care Centers in Salvador - Brazil. The data was collected between June and August 2022 through interviews with ten nurses and was subjected to thematic analysis.Results: the thematic analysis resulted in one category: Identity conflicts and ambiguities, with the themes "Core know-how and the identity of the 'traditional nurse'" and "Field know-how and the vagueness of identity contours".Conclusion: The results point to the need for more in-depth research into the nurse's know-how, which includes the fulfillment of her private activities that are congruent with the production of care in the field of psychosocial care

Conflitos étnicos e “Promessas de um Novo Mundo”

O presente artigo tem por objetivo percorrer o processo de formação das identidades étnicas, ancorando-se nos aspectos teóricos desenvolvidos por pensadores contemporâneos na obra Teorias da Etnicidade para, a partir das principais características deste processo, analisar como os aspectos definidores das identidades étnicas se fazem presentes no conflito israelenses x palestinos, retratado no documentário “Promessas de um Novo Mundo” (Promises, 2001). A temática central do documentário é a proposta de encontro entre crianças israelenses e palestinas no atual território de Israel, com o intuito de perceber como se relacionam entre si e com os “outros”, na tentativa de estabelecer, a partir deste encontro de alteridades, relações pacíficas entre elas

Assistência pré-natal na prevenção da sífilis congênita: uma revisão integrativa

The aim was to discuss the factors that make it difficult to prevent Congenital Syphilis during the period of prenatal care. This is an integrative literature review, carried out from data collection, through a bibliographic survey. From the search, articles were selected from the databases LILACS, BDENF, Coleciona SUS, SES-SP, CVSP - Brazil. The search resulted in 36 articles, after reading the abstracts, 6 articles were selected for this review. The articles were categorized into factors that make it difficult to prevent Congenital Syphilis during prenatal care, year of publication and journal. From this study, it was possible to identify the main weaknesses in relation to the diagnosis and early treatment of syphilis during prenatal care. It is concluded that for the eradication of Congenital Syphilis it is necessary to have adequate assistance, which includes an active search for pregnant women, prenatal counseling, request and performance of exams in a timely manner, adequate treatment and trained professionals to meet the needs of patients. population demand.Objetivou-se discutir os fatores que dificultam a prevenção da Sífilis Congênita durante o período da assistência pré-natal. Trata-se de uma revisão integrativa de literatura, realizada a partir de coleta de dados, por meio de levantamento bibliográfico. A partir da busca foram selecionados artigos das bases de dados LILACS, BDENF, Coleciona SUS, SES-SP, CVSP - Brasil. A busca resultou em 36 artigos, após a leitura dos resumos, foram selecionados 6 artigos para esta revisão.  Os artigos foram categorizados em fatores que dificultam a prevenção da Sífilis Congênita durante o pré-natal, ano de publicação e revista. A partir deste estudo foi possível identificar as principais fragilidades em relação ao diagnóstico e tratamento precoce da sífilis durante o pré-natal. Conclui-se que para a erradicação da Sífilis Congênita é necessário que haja uma assistência adequada, o que inclui uma busca ativa das gestantes, aconselhamento no pré-natal, solicitação e realização de exames em tempo oportuno, tratamento adequado e profissionais capacitados para atender a demanda da população

Assistência pré-natal na prevenção da sífilis congênita: uma revisão integrativa

The aim was to discuss the factors that make it difficult to prevent Congenital Syphilis during the period of prenatal care. This is an integrative literature review, carried out from data collection, through a bibliographic survey. From the search, articles were selected from the databases LILACS, BDENF, Coleciona SUS, SES-SP, CVSP - Brazil. The search resulted in 36 articles, after reading the abstracts, 6 articles were selected for this review. The articles were categorized into factors that make it difficult to prevent Congenital Syphilis during prenatal care, year of publication and journal. From this study, it was possible to identify the main weaknesses in relation to the diagnosis and early treatment of syphilis during prenatal care. It is concluded that for the eradication of Congenital Syphilis it is necessary to have adequate assistance, which includes an active search for pregnant women, prenatal counseling, request and performance of exams in a timely manner, adequate treatment and trained professionals to meet the needs of patients. population demand.Objetivou-se discutir os fatores que dificultam a prevenção da Sífilis Congênita durante o período da assistência pré-natal. Trata-se de uma revisão integrativa de literatura, realizada a partir de coleta de dados, por meio de levantamento bibliográfico. A partir da busca foram selecionados artigos das bases de dados LILACS, BDENF, Coleciona SUS, SES-SP, CVSP - Brasil. A busca resultou em 36 artigos, após a leitura dos resumos, foram selecionados 6 artigos para esta revisão.  Os artigos foram categorizados em fatores que dificultam a prevenção da Sífilis Congênita durante o pré-natal, ano de publicação e revista. A partir deste estudo foi possível identificar as principais fragilidades em relação ao diagnóstico e tratamento precoce da sífilis durante o pré-natal. Conclui-se que para a erradicação da Sífilis Congênita é necessário que haja uma assistência adequada, o que inclui uma busca ativa das gestantes, aconselhamento no pré-natal, solicitação e realização de exames em tempo oportuno, tratamento adequado e profissionais capacitados para atender a demanda da população