ECONOMIA E GESTÃO PÚBLICA

Economics and Public Management are of great relevance to the analysis of government policies and their effectiveness in allocating resources for the well-being of society. The intersection between economic principles and public management practices provides crucial insights for optimizing the use of public resources and achieving social objectives. The aim of this study is to investigate how economic concepts can be applied to public management. This is a qualitative bibliographical study and its objectives are exploratory, using the IBGE and Google Scholar databases. The results reveal the interconnection between economics and public management, showing how economic choices directly affect the efficiency of government programs. It identifies areas in which the allocation of resources can be optimized and more effective policies can be implemented to achieve the defined social objectives. As such, the study highlights the importance of an evidence-based approach in the formulation and implementation of public policies. The integration of economics and public management offers a comprehensive framework for making informed decisions aimed at maximizing benefits for society. Continuous dialog between these disciplines is essential to deal effectively with the constantly evolving challenges facing public administration.A Economia e a Gestão Pública são de grande relevância para a análise das políticas governamentais e sua eficácia na alocação de recursos em prol do bem-estar da sociedade. A intersecção entre princípios econômicos e práticas de gestão pública fornece insights cruciais para otimizar a utilização dos recursos públicos e atingir objetivos sociais. O objetivo deste estudo é investigar como os conceitos econômicos podem ser aplicados à gestão pública. Trata-se de uma pesquisa bibliográfica do tipo qualitativa, quanto aos  objetivos será do tipo exploratória, através das bases de dados IBGE e google acadêmico. Os resultados revelam a interligação entre a economia e a gestão pública, evidenciando como as escolhas econômicas afetam diretamente a eficiência dos programas governamentais. Identificam-se áreas em que a alocação de recursos pode ser otimizada e políticas mais eficazes podem ser implementadas para alcançar os objetivos sociais definidos. Sendo assim, o estudo ressalta a importância de uma abordagem baseada em evidências na formulação e implementação de políticas públicas. A integração entre a economia e a gestão pública oferece um quadro abrangente para a tomada de decisões informadas, visando a maximização dos benefícios para a sociedade. O contínuo diálogo entre essas disciplinas é essencial para lidar eficazmente com os desafios em constante evolução que a administração pública enfrenta

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

Updated cardiovascular prevention guideline of the Brazilian Society of Cardiology: 2019

Sem informação113478788

Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial

Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt

Physical and chemical characteristics of milk from goats supplemented with different levels of total digestible nutrients in the dry period

 We evaluated the physical and chemical characteristics of raw milk from goats supplemented with levels of Total Digestible Nutrients (TDN) in the dry period. Samples from 20 goats were divided into 4 groups, 3 groups received 400g concentrate per animal with different levels of TDN (65, 75 and 85%), and the control group (without concentrate). Four samples of milk were used for each animal, in four sampling periods, which were subjected to physical and chemical analysis. There was no significant difference between the treatments for the parameters of acidity and fat. The diet without concentrate presented higher value for the cryoscopic index. Mean values of the four treatments were within the range set by the Brazilian legislation for all parameters evaluated. The use of concentrate, containing 85% TDN in goat supplementation, was favored the physical and chemical characteristics of the milk during the dry period.

Effect of the T6 Heat Treatment on Microhardness of a Directionally Solidified Aluminum-Based 319 Alloy

Aluminum alloys of the ANSI series 319 present Si and Cu as the main alloying elements and the mechanical strength of these alloys can be improved by the precipitation of the metastable Al2Cu phase during the ageing heat treatment. In this paper, the Al-5.5wt.%Si-3wt.%Cu alloy was elaborated and solidified in a water-cooled horizontal directional solidification device. The as-cast ingot was subjected to the precipitation hardening heat treatment (T6 heat treatment), which consisted of: solution for 5 h at 490°C±2°C, followed by quenching in water at 60°C±2°C and ageing for 3 h at 155°C±2°C, and cooling-air. Secondary dendrite arm spacing (λ2) measurements were carried out before and after T6 heat treatment. The mechanical strength of the alloy was investigated by the microhardness test. It has been found that the heat treatment did not influence the λ2 values, however, highest HV values have been observed for the heat-treated samples.FAPESPA - Fundação Amazônia de Amparo a Estudos e PesquisasMAGNO, I. A. B.; SOUZA, F. V. A.; BARROS, A. S.;NASCIMENTO, J. M.; ROCHA, O. F. L. Universidade Federa do Par

Feeding sunflower cake from biodiesel production to Santa Ines lambs: Physicochemical composition, fatty acid profile and sensory attributes of meat.

The aim of this study was to determine the effect of the inclusion of sunflower cake in the diets of lambs on meat quality. Forty male, uncastrated Santa Ines lambs with an initial average body weight of 20.9 ± 0.41 kg were used in a completely randomized design with four treatments. The lambs were fed 500 g/kg hay and 500 g/kg concentrate (corn, soybean meal, urea, ammonium sulfate and sunflower cake) in their diet, and the experimental treatments were 0, 10, 20, and 30% sunflower cake inclusion (DM basis). The inclusion of sunflower cake in the diet did not affect (P > 0.05) the content of ash and protein, overall acceptance, or sensory aroma of the lamb meat. Total lipids and moisture content of the longissimus lumborum muscle increased linearly (P ≤ 0.05) with sunflower cake inclusion. The C16:0, ΣSFA, ΣMUFA:ΣSFA ratio, Δ-9 desaturase enzyme and atherogenicity index in the longissimus lumborum muscle decreased linearly (P ≤ 0.05) with sunflower cake inclusion in lamb diets, whereas a linear increase occurred (P ≤ 0.05) in C12:0, C18:0, ΣMUFA, ΣPUFA, ΣPUFA:ΣSFA and ΣPUFA:ΣMUFA ratios, Σn-6, Σn-3, desirable fatty acids, h:H index, elongase activity, and flavor, tenderness and juiciness sensory qualities in lamb meat. Among the panelists, the highest preference (35.9%) was for meat with 30% sunflower cake inclusion in the diet. Sunflower cake up to 30% of total DM can be included in the diet of Santa Ines lambs, because lipid nutritional quality and the sensory qualities of the lamb meat increase, in addition to improvement in nutraceutical compounds, such as the CLA content, and in the AI, PUFA:SFA and PUFA:MUFA ratios, desirable fatty acids content and h:H ratio, which are beneficial to the health of consumers

Ingredient proportions and chemical composition of experimental diets.

<p>Ingredient proportions and chemical composition of experimental diets.</p

Dietary fatty acid (g/100 g FAME) composition of experimental sunflower cake.

<p>Dietary fatty acid (g/100 g FAME) composition of experimental sunflower cake.</p