Evaluación de un programa psicoeducativo de transición para la parentalidad

Este estudo teve por objetivo avaliar um programa longitudinal de apoio à transição para a parentalidade por meio da avaliação de necessidades e de processo. Um casal participou de uma intervenção longitudinal, com nove visitas domiciliares, focadas no desenvolvimento de habilidades parentais e empoderamento da dupla. As interações pais-bebê e reações do casal à intervenção foram gravadas em vídeo e posteriormente registradas no Protocolo de Avaliação de Processo. A análise dos dados evidencia que o casal sentiu-se satisfeito com o programa e fez uso das informações e estratégias recebidas, com impacto positivo nas dimensões da conjugalidade, com melhor comunicação e solução de problemas interpessoais e da parentalidade, com a construção de conhecimentos sobre o desenvolvimento do bebê, mudanças em crenças sobre práticas educativas parentais violentas, responsividade na relação com o bebê e menor estresse parental. São recomendadas replicações deste estudo em amostras maiores e avaliação de follow-up.This paper describes a needs assessment and a process evaluation of a longitudinal support program to first-time parents. A couple participated in a longitudinal intervention, with nine home visits, focused on the development of parental skills and couple empowerment. The baby-parents interaction and the couple's reactions to the intervention were video recorded and afterwards registered into the Process Evaluation Protocol. Data analysis showed that the couple felt satisfied with the program and used the information and strategies received, with a positive impact on the dimensions of conjugality, better communication and interpersonal problem solving and parenthood, development of knowledge on the infant's development, change in beliefs related to violent parental educational practices and responsiveness in the relationship between the baby and the parents, besides lower parental stress. Replications of this study in bigger samples with follow-up evaluations are recommended.La finalidad de este artículo fue evaluar un programa longitudinal de apoyo a la transición hacia la parentalidad mediante la evaluación de necesidades y proceso. Una pareja participó en una intervención longitudinal que constituye una serie de nueve visitas domiciliares, focalizadas en el desarrollo de habilidades parentales y empoderamiento de la pareja. Las interacciones padres-bebé y las reacciones de la pareja a la intervención fueron grabadas en video y posteriormente registradas en el protocolo de evaluación de proceso. El análisis de los datos demostró satisfacción de la pareja con el programa y la utilización de las informaciones y estrategias recibidas, con impacto positivo en las dimensiones de la conyugalidad, con mejor comunicación y solución de problemas interpersonales; y de la parentalidad, con la construcción de conocimientos sobre el desarrollo del bebé, cambios en creencias sobre las prácticas educativas parentales violentas, sensibilidad en la relación con el bebé y menor estrese parental. Se recomienda que el estudio sea reaplicado en muestras con más participantes y con evaluaciones de seguimiento

Programa de habilidades interpersonales y derechos sexuales y reproductivos para adolescentes : un relato de experiencia

Este artigo relata a experiência de aplicação de um programa de promoção de habilidades interpessoais e direitos sexuais e reprodutivos para adolescentes. Participaram 93 adolescentes, de ambos os sexos, estudantes de uma escola pública. A intervenção foi do tipo prevenção universal conduzida na escola, em 15 sessões semanais, agrupadas em três módulos: (I) identidade e resiliência, (II) habilidades sociais e manejo das emoções e (III) sexualidade, gênero e direitos sexuais e reprodutivos. Os resultados apontaram a adequação do uso de procedimentos vivenciais e de seu embasamento na cultura adolescente e a necessidade de alterar a ordem das sessões em versões futuras dessa intervenção. São discutidas direções para o replanejamento do programa.This paper describes the experience of applying a program of interpersonal skills and sexual and reproductive rights for adolescents. The participants were 93 adolescents, male and female, students in a public school. The intervention was universal prevention type and it was implemented at school in 15 weekly sessions organized in three thematic blocks: (I) identity and resilience; (II) social skills and emotions management; and (III) sexuality, gender and sexual and reproductive rights. The results showed the adequacy of using experienced procedures, their basis in adolescent culture the need for changing the sessions order in future versions of this program. Directions for the program redesign are discussed.Este artículo relata la experiencia de aplicación de un programa de promoción de habilidades interpersonales y derechos sexuales y reproductivos para adolescentes. Participaron 93 adolescentes, de ambos sexos, estudiantes de una escuela pública. La intervención fue del tipo prevención universal y fue conducida en la escuela, en 15 sesiones, semanales, agrupadas en tres módulos: (I) identidad y resiliencia, (II) habilidades sociales y manejo de las emociones y (III) sexualidad, género y derechos sexuales y reproductivos. Los resultados señalaron la adecuación del uso de procedimientos vivenciales y de su embasamiento en la cultura adolescente y la necesidad de alterar el orden de las sesiones en versiones futuras de esa intervención. Son discutidas direcciones para el replaneamiento del programa

Wearbility Analysis of Knited Fabrics Produced with Colored Organic Cotton, Bamboo Rayon, Corn, Recycled Pet/Cotton and Recycled Pet/Polyester

Abstract This work presents a comparative study of the characteristics of knit fabrics, produced from: colored organic cotton, bamboo rayon, corn, recycled PET/cotton and recycled PET/polyester, used (JIS L 1018 -02), moisture absorption (JIS 1907 -02) and dimensional alteration (NBR 10320 -88).The experimental results show that, for all the analyzed characteristics, the raw materials selected to the achievement of this work are adequate to the clothing manufacturing

Modulation of Human Colostrum Phagocyte Activity by the Glycine-Adsorbed Polyethylene Glycol Microspheres

Colostrum is a secretion that contains immunologically active components, including immunocompetent cells and glycine, which has anti-inflammatory, immunomodulatory, and cytoprotective effects. The aim of this study was to evaluate the adsorption of glycine onto polyethylene glycol (PEG) microspheres and to verify the immunomodulatory effect of this nanomaterial on human colostrum phagocytes. The PEG microspheres were evaluated by fluorescence microscopy. The effects of PEG microspheres with adsorbed glycine on viability, superoxide release, phagocytosis, microbicidal activity, and intracellular calcium release of mononuclear (MN) and polymorphonuclear (PMN) colostrum phagocytes were determined. Fluorescence microscopy analyses revealed that glycine was able to be adsorbed to the PEG microspheres. The PMN phagocytes exposed to glycine-PEG microspheres showed the highest superoxide levels. The phagocytes (both MN and PMN) displayed increased microbicidal activity and intracellular calcium release in the presence of PEG microspheres with adsorbed glycine. These data suggest that the adsorption of PEG microspheres with adsorbed glycine was able to stimulate the colostrum phagocytes. This material may represent a possible alternative therapy for future clinical applications on patients with gastrointestinal infections

Sexual and reproductive rights at school : qualitative evaluation of a pilot study

Este artigo descreve a avaliação de um programa preventivo para adolescentes, professores e familiares, focado em direitos sexuais e reprodutivos, resiliência e habilidades sociais assertivas. Foram conduzidas dez sessões psicoeducacionais com os adolescentes (N = 54), três oficinas com os docentes (N = 11) e duas visitas domiciliares às famílias (N = 7). Os resultados, avaliados por medidas qualitativas de autorrelato, mostram que os familiares buscaram serviços da comunidade recomendados na intervenção, os docentes relataram disposição para atuar no fortalecimento da rede social dos adolescentes e estes relataram melhoria na qualidade da comunicação com os pais, prática de sexo seguro e tolerância à diversidade. São discutidas as limitações e possibilidades de intervenções ecológicas e uma agenda de pesquisa na área.This paper describes the evaluation of a preventive program for adolescents, teachers and family members, focused on sexual and reproductive rights, resilience and assertive social skills. Ten psychoeducational sessions were conducted with adolescents (N = 54), three workshops with teachers (N = 11) and two home visits to the families (N = 7). The results, evaluated by self report qualitative measures, pointed that families searched community services recommended during the intervention, teachers demonstrated sensitiveness to strengthening the adolescents' social support network, and adolescents reported improvement related to quality of adolescents-parents communication, safe sex practice and tolerance toward the human diversity. Possibilities and limits of ecological interventions are discussed, as a research agenda in this field as well

Direitos Sexuais e Reprodutivos na Escola:: Avaliação Qualitativa de um Estudo Piloto

This paper describes the evaluation of a preventive program for adolescents, teachers and family members, focused on sexual and reproductive rights, resilience and assertive social skills. Ten psychoeducational sessions were conducted with adolescents (N = 54), three workshops with teachers (N = 11) and two home visits to the families (N = 7). The results, evaluated by self report qualitative measures, pointed that families searched community services recommended during the intervention, teachers demonstrated sensitiveness to strengthening the adolescents’ social support network, and adolescents reported improvement related to quality of adolescents-parents communication, safe sex practice and tolerance toward the human diversity. Possibilities and limits of ecological interventions are discussed, as a research agenda in this field as well.Este artigo descreve a avaliação de um programa preventivo para adolescentes, professores e familiares, focado em direitos sexuais e reprodutivos, resiliência e habilidades sociais assertivas. Foram conduzidas dez sessões psicoeducacionais com os adolescentes (N = 54), três oficinas com os docentes (N = 11) e duas visitas domiciliares às famílias (N = 7). Os resultados, avaliados por medidas qualitativas de autorelato, mostram que os familiares buscaram serviços da comunidade recomendados na intervenção, os docentes relataram disposição para atuar no fortalecimento da rede social dos adolescentes e estes relataram melhoria na qualidade da comunicação com os pais, prática de sexo seguro e tolerância à diversidade. São discutidas as limitações e possibilidades de intervenções ecológicas e uma agenda de pesquisa na área. &nbsp

Transfusion practices in brazilian Intensive Care Units (pelo FUNDO-AMIB)

BACKGROUND AND OBJECTIVES: Anemia of critical illness is a multifactorial condition caused by blood loss, frequent phlebotomies and inadequate production of red blood cells (RBC). Controversy surrounds the most appropriate hemoglobin concentration trigger for transfusion of RBC. We aimed to evaluate transfusion practices in Brazilian ICUs. METHODS: A prospective study throughout a 2-week period in 19 Brazilian ICUs. Hemoglobin (Hb) level, transfusion rate, organ dysfunction assessment and 28-day mortality were evaluated. Primary indication for transfusion and pretransfusion hemoglobin level were collected for each transfusion. RESULTS: Two hundred thirty-one patients with an ICU length of stay longer than 48h were included. An Hb level lower than 10 g/dL was found in 33% on admission in the ICU. A total of 348 RBC units were transfused in 86 patients (36.5%). The mean pretransfusion hemoglobin level was 7.7 ± 1.1 g/dL. Transfused-patients had significantly higher SOFA score (7.9 ± 4.6 vs 5.6 ± 3.8, p < 0.05, respectively), days on mechanical ventilation (10.7 ± 8.2 vs 7.2 ± 6.4, p < 0.05) and days on vasoactive drugs (6.7 ± 6.4 vs 4.2 ± 4.0, p < 0.05) than non-transfused patients despite similar APACHE II scores (15.2 ± 8.1 vs 14.2 ± 8.1, NS). Transfused patients had higher mortality rate (43.5%) than non-transfused patients (36.3%) (RR 0.60-1.15, NS). Only one patient (0.28%) had febrile non-hemolytic transfusion and urticarial reactions. CONCLUSIONS: Anemia is common in critically ill patients.It seems from the present study that transfusion practices in Brazil have had a more restrictive approach with a lower limit transfusion trigger.JUSTIFICATIVA E OBJETIVOS: A anemia é uma condição comum em pacientes graves. A transfusão de hemoderivados aumenta de forma significativa o risco de transmissão de agentes infecciosos e afeta o perfil imunológico. O objetivo deste estudo foi avaliar a incidência de anemia e a prática de transfusão de hemácias em UTI brasileiras. MÉTODO: Estudo prospectivo, multicêntrico, realizado em 19 UTI em um período de duas semanas. A presença de anemia, as indicações e a utilização de concentrados de hemácias, foram avaliadas diariamente. As complicações que ocorreram durante a internação na UTI e após a transfusão da primeira unidade de concentrado de hemácias foram registradas. RESULTADOS: Um total de 33% apresentava anemia na admissão na UTI e esta proporção aumentou para 55% no final de sete dias de internação. Um total de 348 unidades de concentrado de hemácias foi transfundido em 86 pacientes (36,5%). A média de suas unidades por paciente foi 4,1 ± 3,3 U. O nível de hemoglobina limiar para a transfusão de CH foi 7,7 ± 1,1 g/dL. Pacientes transfundidos tinham mais disfunções orgânicas avaliadas pelo escore SOFA (7,9 ± 4,6 versus 5,6 ± 3,8, transfundidos versus não transfundidos, p < 0,05). As taxas de mortalidade foram 43,5% e 36,3% em pacientes transfundidos e não transfundidos, respectivamente (RR 0,61-11,7, NS). Pacientes transfundidos tiveram número maior de complicações (1,58 ± 0,66 versus 1,33 ± 0,49, p = 0,0001). CONCLUSÕES: A anemia é comum em UTI brasileiras. O limiar transfusional de hemoglobina foi menor do que o observado em outros paises.Faculdade de Medicina de São José do Rio PretoUniversidade de São PauloUFRGS Departamento de Medicina Interna HC de Porto AlegreUniversidade Paris VIUFRJ CTI dos Hospitais Cardiotrauma Ipanema e São LucasAMIBUniversidade Estadual de LondrinaUFRGS FAMED HCPAFaculdade de Medicina de CatanduvaUNIFESP-EPMFundação Padre Albino UTI do Complexo HospitalarUniversidade Federal de São Paulo (UNIFESP) Disciplina de Anestesiologia, Dor e Terapia Intensiva Setor de TerapiaSanta Casa de Misericórdia de São PauloHospital Unimed de LimeiraUTI do Hospital Regional de AssisAMIB Departamento de MedicinaAmerican CollegeFundação Getúlio VargasHospital Pró CardíacoUNIRIOFGVHospital Santa Helena de GoiâniaHospital evangélico de Cachoeiro de Itapemirim Unidade coronarianaSBNHospital Evangélico Cachoeiro de Itapemirim UTI Adulto e CoronarianaUFRJUFRN Hospital Onofre Lopes UTIHospital Novo AtibaiaUNIFESP, EPMUNIFESP, Disciplina de Anestesiologia, Dor e Terapia Intensiva Setor de TerapiaSciEL

Diagnosis, Prognosis and Treatment of Canine Cutaneous and Subcutaneous Mast Cell Tumors

Mast cell tumors (MCTs) are hematopoietic neoplasms composed of mast cells. It is highly common in dogs and is extremely important in the veterinary oncology field. It represents the third most common tumor subtype, and is the most common malignant skin tumor in dogs, corresponding to 11% of skin cancer cases. The objective of this critical review was to present the report of the 2nd Consensus meeting on the Diagnosis, Prognosis, and Treatment of Canine Cutaneous and Subcutaneous Mast Cell Tumors, which was organized by the Brazilian Association of Veterinary Oncology (ABROVET) in August 2021. The most recent information on cutaneous and subcutaneous mast cell tumors in dogs is presented and discussed

Viral genetic clustering and transmission dynamics of the 2022 mpox outbreak in Portugal

Pathogen genome sequencing during epidemics enhances our ability to identify and understand suspected clusters and investigate their relationships. Here, we combine genomic and epidemiological data of the 2022 mpox outbreak to better understand early viral spread, diversification and transmission dynamics. By sequencing 52% of the confirmed cases in Portugal, we identified the mpox virus sublineages with the highest impact on case numbers and fitted them into a global context, finding evidence that several international sublineages probably emerged or spread early in Portugal. We estimated a 62% infection reporting rate and that 1.3% of the population of men who have sex with men in Portugal were infected. We infer the critical role played by sexual networks and superspreader gatherings, such as sauna attendance, in the dissemination of mpox virus. Overall, our findings highlight genomic epidemiology as a tool for the real-time monitoring and control of mpox epidemics, and can guide future vaccine policy in a highly susceptible population.info:eu-repo/semantics/publishedVersio

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