The impact of the Social Inclusion Program of the University of São Paulo on the access of public school students to free public higher education

Analisa o impacto do Programa de Inclusão Social da Universidade de São Paulo (Inclusp) no acesso de estudantes de escola pública ao ensino superior público gratuito. Os dados foram coletados priorizando-se informações sobre renda, cor e outros aspectos de interesse relacionados aos candidatos oriundos de escola pública, em diferentes etapas do vestibular. Como resultado, foi observada a contribuição significativa do sistema de pontuação acrescida para o ingresso de estudantes de escola pública nos cursos de graduação da USP. Todavia, a contínua e intensa diminuição do percentual desses estudantes no vestibular tem contribuído para a diminuição do impacto das políticas de inclusão social implementadas, indicando a necessidade de maior aproximação entre a Universidade e as escolas públicas, bem como a ampliação das ações de inclusão social em desenvolvimento, visando reverter essa tendência

Predictive score for clinical complications during intra-hospital transports of infants treated in a neonatal unit

OBJECTIVE: To develop and validate a predictive score for clinical complications during intra-hospital transport of infants treated in neonatal units. METHODS: This was a cross-sectional study nested in a prospective cohort of infants transported within a public university hospital from January 2001 to December 2008. Transports during even (n=301) and odd (n = 394) years were compared to develop and validate a predictive score. The points attributed to each score variable were derived from multiple logistic regression analysis. The predictive performance and the score calibration were analyzed by a receiver operating characteristic (ROC) curve and Hosmer-Lemeshow test, respectively. RESULTS: Infants with a mean gestational age of 35 + 4 weeks and a birth weight of 2457 + 841 g were studied. In the derivation cohort, clinical complications occurred in 74 (24.6%) transports. Logistic regression analysis identified five variables associated with these complications and assigned corresponding point values: gestation at birth [34 weeks (2 pts)]; pre-transport temperature [37°C(3pts); 36.3-37.0°C (2 pts)]; underlying pathological condition [CNS malformation (4 pts); other (2 pts)]; transport destination [surgery (5 pts); magnetic resonance or computed tomography imaging (3 pts); other (2 pts)]; and pre-transport respiratory support [mechanical ventilation (8 pts); supplemental oxygen (7 pts); no oxygen (2 pts)]. For the derivation and validation cohorts, the areas under the ROC curve were 0.770 and 0.712, respectively. Expected and observed frequencies of complications were similar between the two cohorts. CONCLUSION: The predictive score developed and validated in this study presented adequate discriminative power and calibration. This score can help identify infants at risk of clinical complications during intra-hospital transports.Federal University of São Paulo Neonatal Division of Medicine Department of PediatricsUNIFESP, Neonatal Division of Medicine Department of PediatricsSciEL

DABCO-customized nanoemulsions: characterization, cell viability and genotoxicity in retinal pigmented epithelium and microglia cells

Quaternary derivatives of 1,4-diazabicyclo[2.2.2]octane (DABCO) and of quinuclidine surfactants were used to develop oil-in-water nanoemulsions with the purpose of selecting the best long-term stable nanoemulsion for the ocular administration of triamcinolone acetonide (TA). The combination of the best physicochemical properties (i.e., mean droplet size, polydispersity index, zeta potential, osmolality, viscoelastic properties, surface tension) was considered, together with the cell viability assays in ARPE-19 and HMC3 cell lines. Surfactants with cationic properties have been used to tailor the nanoemulsions surface for site-specific delivery of drugs to the ocular structure for the delivery of TA. They are tailored for the eye because they have cationic properties that interact with the anionic surface of the eye.Portuguese Science and Technology Foundation (FCT) from the Ministry of Science and Technology (MCTES), European Social Fund (FSE) of the EU, for the scholarship SFRH/BD/130555/2017 granted to A. R. Fernandes, and for the projects UIDB/04469/2020 (CEB strategic fund) and UIDB/04033/2020 (CITAB), co-funded by European Funds (PRODER/COMPETE) and FEDER, under the Partnership Agreement PT2020info:eu-repo/semantics/publishedVersio

Meios de acesso à literatura para pessoas com cegueira: Braille ou Áudio-livro?

Access to literature for blind people has been going primarily through the braille system. Due to the advancement and popularization of technology, there has been an increased demand for literature in audio in our country. Thus, the study emerged from questioning of how access to literature for blind people has been occurring, and to analyze the implications of using these means of access for blind people. The data collection instrument consisted of a semi structured interview script, which was applied to five blind people. These, in turn, were recorded and transcribed, with the data grouped by thematic blocks in tables and graphs for qualitative and quantitative analysis. The results indicated that older subjects do not give preference to any of the means, because according to them, both have their advantages and disadvantages. The younger subjects demonstrated preference for the audio and braille. We con­clude that both means of access studied haveits positive and negative implications, such that blind people tend to opt for both, but nevertheless, in terms of preference, braille prevails dramatically. We conclude that both means of access have studied its positive and negative implications, such that blind people tend to opt for both, but nevertheless, in terms of preference, braille prevails dramatically.O acesso à literatura por pessoas cegas vem acontecendo, prioritariamente, através do sistema braille. Devido ao avanço e a popularização da tecnologia, tem ocorrido uma procura maior pela literatura em áudio em nosso país. Dessa forma, o estudo surgiu do questionamento de como o acesso à literatura por pessoas cegas vem ocorrendo, tendo como objetivo analisar as implicações do uso desses meios de acesso por pessoas cegas. O instrumento de coleta de dados consistiu em um roteiro de entrevista semiestruturado, que foi aplicado a cinco pessoas cegas. Estas, por sua vez, foram gravadas e transcritas, com os dados agrupados por blocos temáticos, em tabelas e gráficos, para análise qualitativa e quantitativa. Os resultados indicaram que os sujeitos mais velhos, não dão preferência por nenhum dos meios, pois de acordo com os mesmos, ambos têm suas vantagens e desvantagens. Já os sujeitos mais jovens, revelaram preferência pelo áudio e pelo braille. Conclui-se que, ambos os meios de acesso estudados possuem suas implicações positivas e negativas, de tal forma que as pessoas cegas tendem a optar por ambos, mas apesar disso, em termos de preferência, o braille prevalece drasticamente

Meios de acesso à literatura para pessoas com cegueira: Braille ou Áudio-livro?

O acesso à literatura por pessoas cegas vem acontecendo, prioritariamente, através do sistema braille. Devido ao avanço e a popularização da tecnologia, tem ocorrido uma procura maior pela literatura em áudio em nosso país. Dessa forma, o estudo surgiu do questionamento de como o acesso à literatura por pessoas cegas vem ocorrendo, tendo como objetivo analisar as implicações do uso desses meios de acesso por pessoas cegas. O instrumento de coleta de dados consistiu em um roteiro de entrevista semiestruturado, que foi aplicado a cinco pessoas cegas. Estas, por sua vez, foram gravadas e transcritas, com os dados agrupados por blocos temáticos, em tabelas e gráficos, para análise qualitativa e quantitativa. Os resultados indicaram que os sujeitos mais velhos, não dão preferência por nenhum dos meios, pois de acordo com os mesmos, ambos têm suas vantagens e desvantagens. Já os sujeitos mais jovens, revelaram preferência pelo áudio e pelo braille. Conclui-se que, ambos os meios de acesso estudados possuem suas implicações positivas e negativas, de tal forma que as pessoas cegas tendem a optar por ambos, mas apesar disso, em termos de preferência, o braille prevalece drasticamente

Imbalance of naive and memory T lymphocytes with sustained high cellular activation during the first year of life from uninfected children born to HIV-1-infected mothers on HAART

The immune consequences of in utero HIV exposure to uninfected children whose mothers were submitted to highly active antiretroviral therapy (HAART) during gestation are not well defined. We evaluated 45 HIV-exposed uninfected (ENI) neonates and 45 healthy unexposed control (CT) neonates. All HIV-infected mothers received HAART during pregnancy, and the viral load at delivery was <50 copies/mL for 56.8%. Twenty-three ENI neonates were further evaluated after 12 months and compared to 23 unexposed healthy age-matched infants. Immunophenotyping was performed by flow cytometry in cord and peripheral blood. Cord blood lymphocyte numbers did not differ between groups. However, ENI neonates had a lower percentage of naive T cells than CT neonates (CD4+, 76.6 vs 83.1%, P < 0.001; CD8+, 70.9 vs 79.6%, P = 0.003) and higher percentages of central memory T cells than CT neonates (CD4+, 13.9 vs 8.7%, P < 0.001; CD8+, 8.6 vs 4.8%, P = 0.001). CD38 mean fluorescence intensity of T cells was higher in ENI neonates (CD4+, 62.2 vs 52.1, P = 0.007; CD8+, 47.7 vs 35.3, P < 0.001). At 12 months, ENI infants still had higher mean fluorescence intensity of CD38 on T cells (CD4+, 34.2 vs 23.3, P < 0.001; CD8+, 26.8 vs 19.4, P = 0.035). Despite effective maternal virologic control at delivery, HIV-exposed uninfected children were born with lower levels of naive T cells. Immune activation was present at birth and remained until at least 12 months of age, suggesting that in utero exposure to HIV causes subtle immune abnormalities.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Universidade Federal de São Paulo (UNIFESP) Disciplina de Infectologia PediátricaUniversidade Federal de São Paulo (UNIFESP) Departamento de Pediatria Disciplina de Pediatria NeonatalUniversidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Departamento de MedicinaUniversidade de São Paulo Instituto de Medicina Tropical de São Paulo Laboratório de VirologiaUNIFESP, Disciplina de Infectologia PediátricaUNIFESP, Depto. de Pediatria Disciplina de Pediatria NeonatalUNIFESP, EPM, Depto. de MedicinaFAPESP: 01/11011-6SciEL

Efeito do silicato de cálcio e da autoclavagem na supressividade e na conducividade de dois solos à Rhizoctonia solani

The effect of calcium silicate slag and soil sterilization on the natural suppressiveness of a Typic Acrustox (clay Dark Red Latosol – LEa) and the natural conduciveness of an Oxic Haplustoll (TRe) to Rhizoctonia solani were studied under greenhouse conditions. The experimental design was a three-replicate completely randomized one, with 2 x 3 x 2 factorial combination of the following treatments: two soil kinds (LEa and TRe, collected at 0-20 cm layer); three treatments with and without soil sterilization, calcium silicate slag and nontreated control; and uninfested and infested with R. solani. Each soil material was infested previously with 800 mg of the inoculum per kg soil. Application of silicate was done mixing 0,63 g of this product with 1 kg each soil material and incubated for 30 days. The application of silicate increased the exchangeable Ca2+ and bases amount in both soils. The decrease in the aluminum saturation level from 70 to 19% and the increase in base saturation from 9 to 21% altered significantly the natural suppressiveness of LEa to R. solani. Application of silicate to the TRe had no effect on its conduciveness, for its natural eutrophic character, which is benefic to R. solani development. Sterilization by autoclavation did not influence disease development on bean by R. solani. This suggests that possibly other abiotic factors were responsible for either suppressiveness or conduciveness of these soils.Objetivou-se verificar o efeito da aplicação de silicato de cálcio e da esterilização na supressividade natural de um Latossolo Vermelho-Escuro (LEa) álico textura muito argilosa e na conducividade natural de uma Terra Roxa Estruturada eutrófica (TRe) ao fungo Rhizoctonia solani, em condições de casa de vegetação. Utilizou-se o delineamento inteiramente casualizado em esquema fatorial 2 x 3 x 2. Os fatores foram: duas classes de solo (LEa e TRe - 0-20 cm); três tratamentos (esterilização ou não por autoclavagem, aplicação de silicato e testemunha) e infestação ou não com R. solani, com três repetições e 16 plântulas de feijoeiro por parcela. A aplicação de silicato foi feita incorporando 0,63 g do produto em 1 kg de cada material de solo, seguido de incubação por 30 dias. Para promover a infestação artificial, foram colocados 800 mg de inóculo em 1 kg de cada material de solo. O silicato de cálcio aumentou os teores de Ca trocável e a soma de bases nos dois solos. Um decréscimo na saturação por Al de 70 para 19% e um aumento na saturação por bases de 9 para 21% alteraram significativamente a supressividade natural do LEa à R. solani. Com relação à TRe, a aplicação de silicato não teve nenhum efeito na sua conducividade, dado ao seu natural caráter eutrófico, o qual já é favorável ao desenvolvimento deste fungo. A esterilização não influiu no desenvolvimento de R. solani, o que sugere que os fatores abióticos foram os responsáveis pela supressividade ou conducividade desses solos

Factors Associated With Red Blood Cell Transfusions In Very-low-birth-weight Preterm Infants In Brazilian Neonatal Units

Background: Preterm infants in neonatal intensive care units frequently receive red blood cells (RBC) transfusions due to the anemia of prematurity. A number of variables related to gestational age, severity of illness and transfusion practices adopted in the neonatal unit where the neonate was born may contribute to the prescription of RBC transfusions. This study aimed to analyse the frequency and factors associated with RBC transfusions in very-low-birth-weight preterm infants. Methods: A prospective cohort of 4283 preterm infants (gestational age: 29.9 +/- 2.9 weeks; birth weight: 1084 +/- 275 g) carried out at 16 university hospitals in Brazil between January 2009 and December 2011 was analysed. Factors associated with RBC transfusions were evaluated using univariate and multiple logistic regression analysis. Results: A total of 2208 (51.6 %) infants received RBC transfusions (variation per neonatal unit: 34.1 % to 66.4 %). RBC transfusions were significantly associated with gestational age (OR: -1.098; 95% CI: -1.12 to -1.04), SNAPPE II score (1.01; 1.00-1.02), apnea (1.69; 1.34-2.14), pulmonary hemorrhage (2.65; 1.74-4.031), need for oxygen at 28 days of life (1.56; 1.17-2.08), clinical sepsis (3.22; 2.55-4.05), necrotising enterocolitis (3.80; 2.26-6.41), grades III/IV intraventricular hemorrhage (1.64; 1.05-2.58), mechanical ventilation (2.27; 1.74-2.97), use of umbilical catheter (1.86; 1.35-2.57), parenteral nutrition (2.06; 1.27-3.33), > 60 days of hospitalization (5.29; 4.02-6.95) and the neonatal unit where the neonate was born. Conclusions: The frequency of RBC transfusions varied among neonatal intensive care units. Even after adjusting for adverse health conditions and therapeutic interventions, the neonatal unit continued to influence transfusion practices in very-low birth-weight infants.1

Transmission of signals using white LEDs for VLC applications

In this paper an integrated wavelength optical filter and photodetector for Visible Light Communication (VLC) is used. The proposed application uses indoor warm light lamps lighting using ultra-bright white LEDs pulsed at frequencies higher than the ones perceived by the human eye. The system was analyzed using two different types the white LEDs, namely, phosphor and trichromatic based LEDs. The signals were transmitted into free space and the generated photocurrent was measured by the pin-pin photodetector based on a-SiC:H/a-Si:H. This device operates in the visible spectrum, allowing thus the detection of the pulsed white light emitted by the LEDs. However, as it also works as a visible optical filter with controlled wavelength sensitivity through the use of adequate optical biasing light, it is able to detect different wavelengths. This feature allows the detection of the individual components of the tri-chromatic white LED, which enlarges the amount of information transmitted by this type of white LED, when compared to the phosphor based LED. A capacitive optoelectronic model supports the experimental results and the physical operation of the device. A numerical simulation is presented.info:eu-repo/semantics/publishedVersio

TransOdara study: the challenge of integrating methods, settings and procedures during the COVID-19 pandemic in Brazil.

OBJECTIVE: Sexually transmitted infections (STIs) disproportionately affect transgender women and travestis (TGW), who often lack access to healthcare due to stigma and discrimination. We describe the approach and methodology of a study investigating the prevalence of syphilis, HIV, hepatitis A, B, and C, Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT), and human papillomavirus (HPV) among TGW, as well as their knowledge and perceptions regarding syphilis, to better inform policies to curb STIs among this vulnerable population. METHODS: TransOdara was a multicentric, cross-sectional study conducted among TGW in five capital cities from major Brazilian regions between December 2019 and July 2021. Self-identified transgender women and travestis aged >18 years were recruited using respondent-driven sampling after a qualitative formative phase, completed an interviewer-led questionnaire, were offered a physical examination, and were also asked to provide samples from multiple sites to detect various STIs, starting vaccination and treatment when indicated. RESULTS: A total of 1,317 participants were recruited from the five study locations: Campo Grande (n=181, 13.7%), Manaus (n=340, 25.8%), Porto Alegre (n=192, 14.6%), Salvador (n=201, 15.3%), and São Paulo (n=403, 30.6%). The recruitment period varied at each study location due to logistic constraints imposed by the COVID-19 pandemic. CONCLUSION: Despite the enormous challenges posed by the co-occurrence of the COVID-19 pandemic and field work targeting a vulnerable, elusive, and scattered population, the TransOdara project has been effectively implemented. Caveats did not preclude 1,300 TGW from being interviewed and tested, amid a significant epidemic that disrupted health services and research projects in Brazil and worldwide