Construção e avaliação de banco de questões sobre sexualidade / Building and evaluating a bank of questions about sexuality

Objetivo: descrever a construção e avaliação de instrumento de avaliação de aprendizagem sobre sexualidade. Método: estudo metodológico, realizado com especialistas que avaliaram banco de questões quanto aos critérios de pertinência, clareza, unicidade, complexidade, repetição ou semelhança entre as questões e ambiguidade de resposta. Na análise dos critérios pertinência, clareza, unicidade adotou-se o percentual de concordância entre os especialistas para considerar a afirmativa adequada. Para os demais critérios, adotou-se a aceitação da maioria dos especialistas. Pesquisa aprovada por Comitê de Ética em Pesquisa. Resultados: participaram seis especialistas, do sexo feminino, enfermeiras, com tempo médio de experiência na área de saúde da mulher/ reprodutiva de sete anos. Após a avaliação, o banco foi constituído por 30 afirmativas, categorizadas em 21 afirmativas verdadeiras e nove falsas e organizadas nos níveis de baixa, média e alta complexidade. Conclusão: o banco de questões constitui um instrumento válido, que pode avaliar a informação obtida sobre sexualidade

Characterization and selection of torch ginger for cut flower

Torch ginger, Etlingera elatior, is among the most cultivated tropical flower of its genus. Its great acceptability in the market led researchers to improve production characteristics and to adapt it for commercialization. This study aimed to characterize 10 genotypes of torch ginger in order to select and recommend them as cut flower. The experiment ran from Jan 2014 to Dec 2016 in Paulista, Brazil and nine agro-morphological characteristics were evaluated to build a grading system that determined their suitability for cut flower. The IAC 26 and IAC 34 genotypes were classified as poorly suitable, for they presented fresh mass exceeding 237 g. They also presented less than 19 flower stems per clump and only one month with ≥1 floral stem produced in 2015. The genotypes IAC 1, IAC 2, IAC 3, IAC 11, IAC 13 and the cultivar IAC Prumirim were classified as suitable, although they obtained intermediate scores for most of the evaluated criteria. The genotype IAC 41 and the cultivar IAC Camburi were classified as very suitable for cut flower, beginning of flowering period at 12 months, produce 33.25 and 41.20 flower stem per clump, respectively, and present seven months with production of more than one floral stem per clump in 2016, achieving maximum scores from most of the evaluated characteristics

Questionário sobre vacinação: conhecendo a memória dos estudantes / Vaccination questionnaire: knowing the student’s memory

O presente estudo teve por objetivo, construir uma ferramenta capaz de conhecer a memória dos estudantes de medicina sobre seu perfil vacinal. Foi elaborado um questionário com possibilidade de resposta ‘sim’, ‘não’ e ‘não sei’ para cada vacina e aplicado aos estudantes de medicina de uma IES de Juiz de Fora – MG, sem consulta ao cartão vacinal. O questionário aplicado forneceu dados relevantes da memória dos discentes sobre a temática e demonstrou melhora do nível de conhecimento deles sobre o conhecimento das vacinas com o avanço dos períodos, sugerindo uma construção deste saber pelos discentes, mas também apontou as fragilidades do processo demonstrando a efetividade do questionário aplicado em sua proposta avaliativa

Assistência de enfermagem ao curativo à vácuo de uma paciente com Erisipela Bolhosa: relato de experiência / Nursing assistance to the vacuum dressing of a patient with Erysipelas Bolhosa: experience report

A erisipela é uma infecção cutânea aguda, é uma patologia frequente na prática clínica, com incidência de 10 a 100 casos por 100.000 habitantes/ano, sendo mais prevalente no sexo feminino e afeta adultos entre os 40 e 60 anos, com predomínio nos membros inferiores, o quadro clínico da erisipela tem o inicio súbito de febre, placa eritematosa, edematosa, quente e dolorosa, com limites bem definidos é geralmente localizados em membro inferior. O artigo trata-se de um estudo descritivo tipo relato de experiência, onde uma paciente internada em um hospital particular devido erisipela bulhosa, e foi submetida a curativo a vácuo, porém ainda estava com sangramento e esfacelo, com isto solicitado curativo a vácuo. Portanto, conclui-se que  a experiência vivenciada foi de grande valia e proveitoso, para as discentes, no que se refere o aprofundamento da prática eficiente do curativo a vácuo quando comparado aos tratamentos convencionais, pode-se concluir que os curativos com pressão negativa têm recomendações bem estabelecidas para o tratamento de feridas com características variadas, sendo que podem apresentar redução no tempo de cicatrização de feridas, maior conforto para o paciente e raras complicações.  

Endothelial biomarkers in critically-ill COVID-19 patients: potential predictors of the need for dialysis

Introduction: To evaluate the function of vascular biomarkers to predict need for hemodialysis in critically-ill patients with COVID-19. Methods: This is a prospective study with 58 critically-ill patients due to COVID-19 infection. Laboratory tests in general and vascular biomarkers, such as VCAM-1, Syndecan-1, Angiopoietin-1 and Angiopoeitin-2 were quantified on intensive care unit (ICU) admission. Results: There was a 40% death rate. VCAM and Ang-2/Ang-1 ratio on ICU admission were associated with need for hemodialysis. Vascular biomarkers (VCAM-1, Syndecan-1, angiopoetin-2/ anogiopoetin-1 ratio) were predictors of death and their cut-off values were useful to stratify patients with a worse prognosis. In the multivariate cox regression analysis with adjusted models, VCAM-1 [O.R. 1.13 (C.I. 95%: 1.01 - 1.27); p= 0.034] and Ang-2/Ang-1 ratio [O.R. 4.87 (C.I.95%: 1.732 - 13.719); p= 0.003] were associated with need for dialysis. Conclusion: Vascular biomarkers, mostly VCAM-1 and Ang-2/Ang-1 ratio, showed better efficiency to predict need for hemodialysis in critically-ill COVID-19 patients

High anti-SARS-CoV-2 antibody seroconversion rates before the second wave in Manaus, Brazil, and the protective effect of social behaviour measures: results from the prospective DETECTCoV-19 cohort

Background: The city of Manaus, Brazil, has seen two collapses of the health system due to the COVID-19 pandemic. We report anti-SARS-CoV-2 nucleocapsid IgG antibody seroconversion rates and associated risk factors in Manaus residents before the second wave of the epidemic in Brazil. Methods: A convenience sample of adult (aged ≥18 years) residents of Manaus was recruited through online and university website advertising into the DETECTCoV-19 study cohort. The current analysis of seroconversion included a subgroup of DETECTCoV-19 participants who had at least two serum sample collections separated by at least 4 weeks between Aug 19 and Oct 2, 2020 (visit 1), and Oct 19 and Nov 27, 2020 (visit 2). Those who reported (or had no data on) having a COVID-19 diagnosis before visit 1, and who were positive for anti-SARS-CoV-2 nucleocapsid IgG antibodies at visit 1 were excluded. Using an in-house ELISA, the reactivity index (RI; calculated as the optical density ratio of the sample to the negative control) for serum anti-SARS-CoV-2 nucleocapsid IgG antibodies was measured at both visits. We calculated the incidence of seroconversion (defined as RI values ≤1·5 at visit 1 and ≥1·5 at visit 2, and a ratio >2 between the visit 2 and visit 1 RI values) during the study period, as well as incidence rate ratios (IRRs) through cluster-corrected and adjusted Poisson regression models to analyse associations between seroconversion and variables related to sociodemographic characteristics, health access, comorbidities, COVID-19 exposure, protective behaviours, and symptoms. Findings: 2496 DETECTCoV-19 cohort participants returned for a follow-up visit between Oct 19 and Nov 27, 2020, of whom 204 reported having COVID-19 before the first visit and 24 had no data regarding previous disease status. 559 participants were seropositive for anti-SARS-CoV-2 nucleocapsid IgG antibodies at baseline. Of the remaining 1709 participants who were seronegative at baseline, 71 did not meet the criteria for seroconversion and were excluded from the analyses. Among the remaining 1638 participants who were seronegative at baseline, 214 showed seroconversion at visit 2. The seroconversion incidence was 13·06% (95% CI 11·52–14·79) overall and 6·78% (5·61–8·10) for symptomatic seroconversion, over a median follow-up period of 57 days (IQR 54–61). 48·1% of seroconversion events were estimated to be asymptomatic. The sample had higher proportions of affluent and higher-educated people than those reported for the Manaus city population. In the fully adjusted and corrected model, risk factors for seroconversion before visit 2 were having a COVID-19 case in the household (IRR 1·49 [95% CI 1·21–1·83]), not wearing a mask during contact with a person with COVID-19 (1·25 [1·09–1·45]), relaxation of physical distancing (1·31 [1·05–1·64]), and having flu-like symptoms (1·79 [1·23–2·59]) or a COVID-19 diagnosis (3·57 [2·27–5·63]) between the first and second visits, whereas working remotely was associated with lower incidence (0·74 [0·56–0·97]). Interpretation: An intense infection transmission period preceded the second wave of COVID-19 in Manaus. Several modifiable behaviours increased the risk of seroconversion, including non-compliance with non-pharmaceutical interventions measures such as not wearing a mask during contact, relaxation of protective measures, and non-remote working. Increased testing in high-transmission areas is needed to provide timely information about ongoing transmission and aid appropriate implementation of transmission mitigation measures. Funding: Ministry of Education, Brazil; Fundação de Amparo à Pesquisa do Estado do Amazonas; Pan American Health Organization (PAHO)/WHO.World Health OrganizationRevisión por pare

Inclusão escolar de alunos portadores de Transtorno do Espectro Autista na educação infantil: uma revisão sistemática: School inclusion of students with Autistic Spectrum Disorder in early childhood education: a systematic review

Este artigo debate o problema da inclusão escolar de crianças com transtorno do espectro autista (TEA). Para estabelecer o debate, foi feito um levantamento bibliográfico e referencial para uma revisão sistemática do tema. O objetivo é clarificar os conceitos de inclusão escolar e TEA para debater como é feito o processo educacional de crianças com TEA. Sendo assim, a partir da pesquisa científica de descritores como “inclusão escolar”, “transtorno do espectro autista”, foi observado, pelos diversos autores trabalhados, que ainda há muito o que se debater e trabalhar para que ocorra a inclusão escolar de crianças com TEA. Apesar das muitas tentativas, erros e acertos, o tema ainda é pouco trabalhado e divulgado, visto que há poucos profissionais capacitados na área

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

Educomunicação, Transformação Social e Desenvolvimento Sustentável

Esta publicação apresenta os principais trabalhos dos GTs do II Congresso Internacional de Comunicação e Educação nos temas Transformação social, com os artigos que abordam principalmente Educomunicação e/ou Mídia-Educação, no contexto de políticas de diversidade, inclusão e equidade; e, em Desenvolvimento Sustentável os artigos que abordam os avanços da relação comunicação/educação no contexto da educação ambiental e desenvolvimento sustentável