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Considering the educational services, the Brazilian Navy education aims to comply with continuous and progressive process of education, with own characteristics, which are constantly updated and improved based on some principles, such as guarantee of quality standard, continuous and progressive professionalisation, and integral and continuous evaluation. Therefore, this study aimed to assess the service quality of the training course at the Santa Catarina School of Sailor Apprentices, according to the students' perception. For this evaluation, the HEdPERF scale was used. Data collection was performed by using printed questionnaires and the sample consisted of 178 students enrolled in the sailor training course who voluntarily participated in the study. The instrument for data collection was validated by confirmatory component analysis by using the SmartPLS 3 software. Descriptive statistics and regression analysis were performed to assess the data with SPSS software. As a result, the study revealed that the respondents perceived the dimension "academic aspects" as having the highest quality, whereas the dimension "non-academic aspects" was perceived as having the lowest quality. Regression analysis showed that variables such as total monthly family income, education level and main motivation to enter the armed forces have a statistically significant relationship with certain items of the HEdPERF scale, which was adapted to the present study.

This study sought to identify relationships between the characteristics of students and their perceptions of the quality of tourism, hospitality and leisure courses provided by the Federal Institute of Santa Catarina (FISC) at the Florianopolis-Mainland campus by using the SERVQUAL scale. The study's methodological approach is classified as a quantitative, descriptive survey in which regression analysis was used to assess relationships between the respondents' characteristics (independent variables) and perceived quality (dependent variables). The resulting data indicated that the respondents' characteristics are more related to the perceived quality than to their expectation of it. Still, it was also observed that the perceived quality was statistically significantly related to age, including the variables 'do not know/do not want to take another course at FISC' and 'intend to start a business'. These results will allow the managers to design strategies for maximisation of the quality of services on the basis of knowing that students who 'do not know/do not want to take another course at FISC', 'choose the course in the field in which they already work' and 'choose the course intending to open a business' have expectations and perceptions of the courses.

Purpose: This study aims to propose an integrated model involving concepts of sustainability and social innovation (SI) in higher education institutions (HEIs). Design/methodology/approach: Based on a literature review, the authors were able to systematize sustainability and SI knowledge, in an integrated manner. Hence, the authors sought to develop a theoretical model that would integrate categories, indicators and sub-indicators, to review initiatives in HEIs in the sustainability and SI domains. The results indicated four major categories: mission, vision and values; curriculum; campus; and healthy environment. The integrated model was applied and validated in a Brazilian educational group, using the main corporate reports as data sources. Findings: For the educational group analyzed in this study, the themes of sustainability and SI are explicitly and implicitly expressed in the mission, vision and values category. In the curriculum category, these themes are presented through the contents of cross-disciplines in all undergraduate courses, and also through outreach activities, integrating sustainability and SI in a theoretical and/or practical way. Regarding the campus category, the mention is explicit and the HEI works with initiatives aimed at achieving a "green" campus. In the healthy environment category, the educational group studied gives priority to the establishment of a safe and healthy work environment, focusing on labor rights and relations with society. Originality/value: This work contributes to the advancement of research on the promotion of sustainability and SI in HEIs, proposing an innovative integrated model of analysis for the topics covered.

Purpose: The COVID-19 pandemic has created a significant disruption in the educational systems worldwide. Some institutions opted for emergency remote education due to the need to cancel in-person activities. The aims of this paper were to evaluate the use of asynchronous methodology in health sciences education, determine whether asynchronous methodology was sacrificing overall student satisfaction, and investigate whether satisfaction improved as the program develops. Design/methodology/approach: Initially, there was phase 1 that corresponded to four weeks of activities. Each professor produced a video lesson, and after each video lesson, a weekly educational activity was made available. Next, phase 2 was implemented using the same methodology, however lasting six weeks. Three questionnaires were developed, and a Likert scale was administered to verify the students' level of satisfaction. Data were analyzed using frequency distributions, mean values, standard deviation and confidence interval. The normality of the sum data (total of the questionnaires) was tested using the Kolmogorov-Smirnov test. Findings: Although the students pointed out that the asynchronous methodology facilitated access to the content and considered this methodology satisfactory, they expressed a reduced level of satisfaction regarding emergency remote education in general when data from the first weeks were compared to those of the previous weeks. It is clear that students became increasingly discouraged and tired over time, which motivated the institution to shift into a combination of synchronous and asynchronous methodology to improve student learning. Originality/value: Teaching in the field of health care encompasses difficult competencies that sometimes are impossible to be learned remotely, so there is a need to examine and evaluate properly the remote education in this area. With careful planning, educational institutions can evaluate their experiences during the pandemic, allowing those involved to highlight strengths and identify weaknesses to better prepare for future needs to improve remote education.

Purpose: Higher education institutions (HEIs) are increasingly aware of their role in developing and implementing a sustainable paradigm, with the potential to accelerate progress toward sustainable development (SD). Therefore, this study aims to investigate the environmental, social and governance (ESG) and sustainable development goals (SDGs) practices of the University of Southern Santa Catarina (UNISUL) and, based on this analysis, indicate how HEIs in general can contribute to the promotion of these concepts. Design/methodology/approach: The study was based on the authors' experiences and participant observations made during the establishment of sustainability practices at UNISUL. Additional data collected from documentary research and literature review were analyzed qualitatively. Findings: The results show that sustainability is present in UNISUL's educational and management processes as actions related to all SDGs and, thus, to all ESG dimensions. On the other hand, it was noted that many actions identified in the literature are not present, with governance being the dimension with fewer practices, thus indicating possibilities for improvement. In this way, new practices were suggested. Originality/value: New actions linked to SDGs and ESG at UNISUL were identified that can be adopted by other HEIs.

This study evaluated how the process of teaching scientific methodology occurs in technical courses in integrated high schools. The qualitative case study was conducted through documentary analysis (based on regulations and pedagogical projects) and semi-structured interviews with teachers (n=7), coordinators (n=3), and students (n=16) of the integrated technical courses in Agriculture, Computer Science for the Internet, and Environmental Studies. The teachers and coordinators have academic backgrounds and an undergraduate degree in their specific areas, and all have a master's or doctorate degree. The students were enrolled in the 2nd or 3rd grade of high school and have already taken the methodology course. The research included an analysis of the pedagogical projects of technical courses and teaching plans of participating teachers. The interview data were analyzed using Bardin's content analysis technique. The results of the study showed that the scientific methodology teacher in high school is still in training. The students recognized the importance of gaining knowledge of scientific research for their academic and professional education, but reported difficulties in achieving it. Teachers also recognized these difficulties and use various teaching strategies to make student learning and productivity more flexible.

Studies in the field of science education have discussed using historical approaches. Although previous studies have shown the potential advantages to addressing national sciences in the classroom in countries underrepresented in the history of science, there are still few initiatives in this direction. Thus, this paper aims to explore a historical case study related to teaching Brazilian national science in a high school classroom to contribute to this line of research and evaluate how classroom dialogue and production relate to specific aspects of the historical case. The present study uses an adapted action research methodology with historical research conducted in an integrated manner with the case study in the classroom. The results showed that this adapted methodology could relate content to students' contexts by leading them to engage and identify with the historical case and the activity itself. Critical comments on this methodology are also presented. Using Brazilian science as the historical case study revealed some themes partially related to the Brazilian context. However, science content was more relevant to the students' context. Finally, some directions for future research are proposed, both for studies using the methodology presented and research on using the history of national sciences in countries underrepresented in the hegemonic history of science.

The purpose of this research was to determine the relevance of the media in the prevention, education and contextual management of COVID-19. Methodology: descriptive non-experimental transectional research. An international survey validated by experts was applied, surveying 1082 people during a month. The countries with the highest participation were Peru, Colombia, Mexico, the United States and Russia. The data was processed using SPSS version 25. 64.7% of the respondents affirmed that the means were decisive in preventing the pandemic; 59.1% recognized the importance of the media for awareness and prevention of the pandemic, and 64% valued the importance of the media for the contextual management of the pandemic; demonstrating a significant relationship between the variables. Contributions: the need for strategic, prudent, ethical and socially responsible communication that benefits citizens in a pandemic situation is highlighted.

Since the Community of Portuguese Speaking Nations (CPLP) was created in 1996, environmental education (EE) has gained recognition for enhancing multilateral cooperation on environmental protection and sustainability promotion. Conducted online in 2020 in all member states during the COVID-19 pandemic, this second Environmental Education Survey of CPLP explores the conditions and approaches of EE within the overall setting of the 2030 UN Agenda, taking the concepts of Canaparo's geo-epistemology and Öhman and Östman's selective traditions as the underlying framework of analysis. The survey received 196 valid responses from EE Experts and Promoters who hold positions in various institutional backgrounds. Addressing the current state of EE in all nine countries, a picture emerges of significant and ecologically prudent human intervention based on fact-based, normative, and pluralist EE approaches. Most encouraging is the overall finding that EE is vibrant, relevant for sustainable transformation, young people focussed, and in good heart.

Purpose: The purpose of this paper aims to discuss the outreach strategies of higher education institutions (HEIs) to promote the inclusion of refugees, focusing on two case studies of programs in southern Brazil. Design/methodology/approach: This paper analyzes two outreach programs of Brazilian universities: the Welcome Program for Immigrants (Programa Acolhida ao Imigrante) of the University of South Santa Catarina, a private higher education institution and the Support Center for Immigrants and Refugees (Núcleo de Apoio ao Imigrantes e Refugiados), sponsored by the Federal University of Santa Catarina, a public university. The activities of the two institutions were compared with the targets of the sustainable development goals to discuss the outreach strategies of HEIs aimed at promoting the inclusion of refugees, through descriptive research, with a qualitative approach based on documentary and bibliographic research. Findings: The results show that academic participation in research and outreach programs provides refugees with an education but also represents a social contribution far beyond qualifications and technical training, by mitigating local and global problems. The practice of inclusive education allows a reduction in historically existing inequalities. The findings of this study indicate that the results are much more effective when universities, government and society work together to reduce inequalities. Originality/value: This study addressed how universities can and should ensure life quality (SDG 3), including an equitable education and fostering lifelong learning opportunities for everybody (SDG 4) and gender equality (SDG 5), to reduce unemployment (SDG 8) and inequalities among people (SDG 10), through outreach projects.

Purpose: This study aims to discuss the influences of green innovation processes on sustainable development and proposes a research model linking green absorptive capacity, green dynamic capabilities and green service innovation with the aim of clarifying how these interactions operate within universities. Design/methodology/approach: Supported by a survey of sustainability researchers in Brazilian universities, a mediation-moderation analysis and partial least squares structural equation modelling approach is used to examine the influence of green absorptive capacity and green dynamic capabilities on green service innovation. Findings: This study reinforces that greening processes and products are relevant to an organization and provide information on the mechanisms for achieving greater sustainable performance. Research limitations/implications: Considering one of the dimensions of administrative science as being university management, this study provides information on the mechanisms to achieve better sustainable development in universities. Practical implications: This study contributes to the debate by adding the perception of university managers and provides guidance on new forms of management, which allows them to face changes while minimizing the disruption to the formation of organizational knowledge. Social implications: Universities are becoming increasingly active in promoting societal changes toward sustainable development. It is intended that the results of this research contribute to future research and act as a reference for researchers, professionals and policymakers. Originality/value: The concept of green absorption capacity in universities is relatively new and has not yet been investigated completely with respect to its association with university management and organizational structures.

Purpose: This paper aim to propose a methodological mapping approach for the evaluation of dissertations and theses of graduate programs in the area of environmental sciences in Brazil in relation to the UN sustainable development goals (SDGs). Design/methodology/approach: The research is characterized as exploratory with qualitative/quantitative approach. The proposed model was developed as a computational algorithm with a pilot being adopted as a professional master in national network for teaching in environmental sciences (ProfCiAmb) comprising associated courses from nine Brazilian public universities. 230 dissertations completed between 2018 and 2020 were analyzed. Findings: A total of 266 correlations were identified between the texts and descriptors of each SDG. Correlation values between 0.100 (minimum value -- Vmin) and 0.464 (maximum value -- Vmax) were observed. SDG 4 -- Quality Education (Vmax = 0.399) and SDG 6 -- Drinking Water and Sanitation (Vmax = 0.464) were those with the highest correlation values, followed by SDG 3 -- Health and Well-Being (Vmax = 0.299) and SDG 17 -- Partnerships and Means of Implementation (Vmax = 0.249). Practical implications: The construction of the computational algorithm provided consistent quantitative analyses with potential to contribute to the improvement of the multidimensional evaluation of graduate studies, as well as to support public policies related to teaching and research and strategic planning of the programs. Originality/value: The relevance of this study lies in the creation of a model that involves the creation of metrics and tools regarding the impact of graduate studies on society.

Besides being a country with high inequality, Brazil faces an alarming sociohistorical moment in which the coronavirus disease 2019 (COVID-19) pandemic is exacerbating a disastrous political situation that promotes polarization and social division. The context of this situation is described here through a critical lens, as a justification for conceiving a counter-hegemonic proposal based on different views that share the perspective of Global South epistemologies. Santos' (in Santos (ed) "Epistemologias do Sul," Coimbra, Edições Almedina, 2009) fundamental principle is that there is no global social justice without global cognitive justice, which is represented by the concept of ecology of knowledge. In a recent publication, Santos ("A cruel pedagogia do vírus," Coimbra, Edições Almedina.Santos, 2020) demonstrates that the negative effects of the pandemic on the planet and humanity were exacerbated by the planetary dimensions that capitalism has taken on. The author states that the current health crisis is connected to the ecological crisis, since both are manifestations of this model of society, which is based on the unlimited exploitation of natural resources. Building on these ideas, we envisage a science education that fights for the preservation of the planet, is critical of the capitalist model of society, and values the knowledge of the Global South.

Science educators are increasingly using a historical approach to pedagogy as a way to enable students to understand the process of the construction of science in a more contextualized manner. Considering the meaning of context in a broader sense, this article has two objectives. First, it aims to explore how physics lessons using a Cultural History of Science approach allowed the development of activities that encouraged students to have discussions about science where their own socio-cultural context was considered, referring to Brazilian scientific production. Second, the article to investigate which understandings about scientific practices could be developed by students from in-class discussions inspired by the Cultural History of Science approach focusing on a historical and students' own social contexts. The historical episode selected to be introduced in their physics lessons was the development of the Leiden jar in Europe, in the eighteenth century, focusing on the quotidian practices and habits that enabled the construction and use of this artifact. The lessons developed from the Cultural History approach seemed to allow the students to understand that science was developed by many different social actors, in sites that exceed the laboratory and by actions performed in various dimensions. The findings suggest that this approach in science teaching can be a strategy to historically contextualize the development of science while allowing students to reflect about the scientific production in their social context.

Purpose: Visual acuity plays a role in mediating neurological development in infants by enabling the differentiation of shapes and discriminating objects. Given the rapid structural development of the brain in the first days of life, this aspect is particularly significant for preterm infants, who typically experience this developmental phase while hospitalized in the neonatal intensive care unit (NICU). Therefore, this study aimed to assess visual acuity thresholds in preterm infants during hospitalization and to evaluate possible correlations between visual acuity and clinical parameters. Methods: A cross-sectional study was conducted in an NICU in Northeast Brazil. The visual acuity thresholds were tested using the Teller Acuity Cards II, comprised of 17 gray cards, with one 4 mm diameter peephole at the center and presented with about 35% reflectance. Preterm infants were positioned supine, at 30° elevation on the laps of their caregivers. The evaluator presented both sides of the cards and observed the eye fixation and reactions on both sides. Results: A total of 42 preterm infants with corrected gestational age between 30 to 36 weeks and 6 days were included. Visual acuity ranged from 0.23 to 0.64 cycle per degree. The mean visual acuity threshold was 0.32 cycles per degree for preterm infants at around 32 weeks of corrected gestational age. The visual acuity was not correlated with gestational age (p = 0.18), and neither were birth weight (p = 0.83) or duration of respiratory support (p = 0.98). However, days of phototherapy were inversely correlated with visual acuity (p = 0.04). Conclusions: Despite the challenges of hospitalization, it was possible to carry out a psychophysical test to assess visual acuity in preterm infants. The visual acuity showed no correlation with clinical parameters such as gestational age, birth weight, and duration of respiratory support. However, there was an inverse correlation between the number of days in phototherapy and visual acuity. Understanding the visual acuity levels in preterm infants during their NICU stay can contribute to tailoring interventions and care strategies that specifically address their visual developmental needs. This knowledge may guide healthcare professionals in optimizing the NICU environment to provide appropriate visual stimuli that support neurological development. [ABSTRACT FROM AUTHOR]

Copyright of Environmental & Social Management Journal / Revista de Gestão Social e Ambiental is the property of Environmental & Social Management Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Nile tilapia is the main farmed fish in Brazilian aquaculture. Streptococcus agalactiae (GBS) is responsible for high mortality rates in fish farms. Genetic improvement is considered an effective alternative for producing resistant animals in aquaculture. The objective of this study was to estimate genetic parameters for resistance to GBS infection in a breeding population of Nile tilapia from Brazil, based on disease challenge using a circulating serotype (Ib and STNT). Furthermore, genetic correlations between resistance to GBS and average daily gain (ADG) were estimated to determine whether these traits can be included in selective breeding programs. Survival (SS) and time until death (TD) were the evaluated traits. The survival of the most resistant families was approximately 30%, indicating high phenotypic variation in resistance to the infection. Low to moderate heritability values for resistance traits in the Nile tilapia population were estimated, ranging from 0.14 to 0.27. Heritability for ADG was moderate to high (0.40) based on a growth trial involving 43 families (735 animals). Phenotypic correlations between the resistance traits (SS and TD) and ADG were positive and low, ranging from 0.09 to 0.18, whereas genetic correlations were close to zero. Phenotypic and genetic correlations between SS and TD were considered high and positive, ranging from 0.38 to 0.72. The results suggest that selection for resistance against GBS does not negatively affect juvenile weight gain in Nile tilapia. [ABSTRACT FROM AUTHOR]

Objective: To describe the frequency and types of congenital anomalies and associated risk factors in Brazilian women with type 2 diabetes. Methods: In this retrospective cohort study between 2005 and 2021, we included all pregnant participants with type 2 diabetes from the two major public hospitals in southern Brazil. We collected data from the electronic hospital records. Congenital anomalies were classified by the 10th revised International Classification of Diseases, Q chapter, enhanced by the EUROCAT registry classification, and categorized by type and gravity. We used multiple Poisson regression with robust estimates to estimate risks. Results: Among 648 participants, we excluded 19, and 62 were lost to follow-up; therefore, we included 567 participants. Overt diabetes arose in 191 participants (33.7%, 95% CI 30.0% – 38.0%). Less than 20% of the participants supplemented folate. Congenital anomalies occurred in 78 neonates (13.8%, CI 11.0 − 16.9%), 73 babies (93.6%) presented major anomalies, and 20 (10.5%) cases occurred in participants with overt diabetes. Cardiac anomalies were the most frequent (43 isolated and 12 combined). Pre-eclampsia was associated with an increased risk in the analyses including all women (adjusted RR 1.87 (95% CI 1.23–2.85), p = 0.003), but not in analyses including only women with an HbA1c measured up to the 14th gestational age. HbA1c, either measured at any time in pregnancy (adjusted RR 1.21 (95% CI 1.10–1.33), p < 0.001) or up to the first 14 weeks (adjusted RR 1.22, 95% CI 1.10–1.35, p < 0.001) was the only sustained risk factor. Risk factors such as maternal age, obesity, diabetes diagnosis, or use of antidiabetic medications were not associated with congenital anomalies. Conclusion: We found a high frequency of congenital anomalies associated with poor maternal glycemic control and revealed an almost universal lack of preconception care. An urgent call to action is mandatory for the reversal of this gray scenario. [ABSTRACT FROM AUTHOR]

Introduction: Currently, 21 million people live with the disease, mostly in low to middle-income countries. We aimed to assess the survival of patients with schizophrenia using clozapine compared with non-clozapine atypical antipsychotics provided by the Brazilian National Health System using realworld data. Materials and methods: This is an open retrospective cohort study of patients diagnosed with schizophrenia to whom atypical antipsychotics were dispensed by the Brazilian National Health System between 2000 and 2015, based on deterministic-probabilistic pairing of administrative data records. The Kaplan-Meier method was used to estimate the cumulative probability of survival and the Cox proportional hazards model was adjusted to assess the risk factors for survival via the hazard ratio (HR). Result: Participants were 375,352 adults with schizophrenia, with an overall survival rate of 76.0% (95%CI 75.0-76.0) at the end of the cohort. Multivariate analysis indicated a greater risk of death for men (HR=1.30; 95%CI 1.27-1.32), older adults (HR=17.05; 95%CI 16.52-17.60), and in the Southeast region of Brazil (HR=1.20; 95%CI 1.17-1.23). Patients who used non-clozapine atypical antipsychotics had a 21% greater risk of death when compared to those taking clozapine (HR=1.21; 95%CI 1.14-1.29). Additionally, a history of hospitalization for pneumonia (HR=2.17; 95%CI 2.11-2.23) was the main clinical variable associated with increased risk of death, followed by hospitalization for lung cancer (HR=1.82; 95%CI 1.58-2.08), cardiovascular diseases (HR=1.44; 95%CI 1.40-1.49) and any type of neoplasia (HR=1.29; 95%CI 1.19-1.40). Discussion: This is the first published Brazilian cohort study that evaluated survival in people with schizophrenia, highlighting the impact of atypical antipsychotics. In this real-world analysis, the use of clozapine had a protective effect on survival when compared to olanzapine, risperidone, quetiapine, and ziprasidone. [ABSTRACT FROM AUTHOR]

Introduction: In highly multiracial populations with inadequate newborn screening, knowledge of the various phenotypic presentations of Cystic Fibrosis (CF) can help reach an early diagnosis. This study aims to describe phenotypes and genotypes at the time of CF diagnosis in a state in the Northeast Region of Brazil. Methods: Retrospective cross-sectional study. Clinical data were extracted from the medical records of CF patients. Clinical, laboratory, and genotypic characteristics were described for patients admitted to a tertiary referral center between 2007 and 2021. Results: Fifty-eight (58) patients were included in the study, 53.5% of whom were diagnosed through clinical suspicion. The median age at diagnosis was 4.7 months (IQR: 1.5–14.8 months). Five patients had false-negative results in the newborn screening. Faltering growth was the most frequent clinical manifestation. Bronchiectasis and a history of pneumonia predominated in those older than ten, while thinness, underweight, and electrolyte imbalances were more frequent in children under two. Sequencing of the CFTR gene identified 27 genotypes, with at least one class I–III variant in all patients, and nine variants that are rare, previously undescribed, or have uncertain significance (619delA, T12991, K162Q, 3195del6, 1678del > T, 124del123bp, 3121–3113 A > T). The most frequent alleles were p.Phe508del, p.Gly542*, p.Arg334Trp, and p.Ser549Arg. Conclusions: Malnutrition and electrolyte imbalances were the most frequent phenotypes for children < 2 years and were associated with genotypes including 2 class I–III variants. Rare and previously undescribed variants were identified. The p.Gly542*, p.Arg334Trp, and p.Ser549Arg alleles were among the most frequent variants in this population. [ABSTRACT FROM AUTHOR]

Agroforestry systems such as Taungya are sustainable alternatives for the recovery of degraded areas and profitability with commercial plantations, providing improvements in soil physical, chemical, and biological properties. In this context, African mahogany (Khaya ivorensis A. Chev) emerges as an important forest species in Brazil, with the potential for intercropping. The objective of this study was to evaluate the growth and economic return from the Taungya system compared to K. ivorensis monoculture in a degraded area in the humid tropics. Three planting systems were studied: T1, monoculture (K. ivorensis); T2, K. ivorensis + 1st cycle with Zea mays + 2nd cycle with Manihot esculenta; T3, K. ivorensis + 1st cycle with Vigna unguiculata + 2nd cycle with Zea mays. The survival, growth, and relative increments in plant height and stem diameter were determined for the three management systems. Productivity of the agricultural crops was quantified, and bacteriological analyses of the soil and economic systems were performed. The Taungya system with bean and corn crops provided greater growth of K. ivorensis, in addition to a greater density of total bacteria in the soil and provided a higher level of soil conditioning. In these systems, the cultivation and sale of agricultural crops can amortize the total cost of planting and maintenance of plantations with forest species, especially if family labor is considered. However, the completion of additional agricultural cycles may further amortize these investments. [ABSTRACT FROM AUTHOR]

different populations have different averages of life-space assessment scores and defining cutoff values of clinical significance by each population should take into consideration. Different cutoffs to define restricted life space have been reported. The most common is a score of 60 points. There are other cutoffs derived from receiver operating characteristic (ROC) analysis and used to classify older adults according to their ability in activities of daily living (ADLs) (52.3 points) or instrumental activities of daily living (IADLs) (56 points); other cutoffs are specialized for people with cognitive impairment (26.75 points) or people with spinal cord injury who need mobility aids (78.5 points). The aims were to identify cutoff points of Life Space Assessment (LSA) in older adults in different sites and to determine the relationship of the cutoff scores with mobility disability and depression. The study population was composed of community-dwelling adults aged 65–74 years who were not institutionalized. An ROC analysis was constructed, and the area under the curve (AUC) was calculated to identify the optimal cutoff that discriminates life-space restriction for each city. Logistic regressions were executed by site to comprehend the association among restricted LSA and mobility disability and depression. In total, 1890 participants were included in the analyses (52.38% women, 37.19% mobility disability and 21.32% had depression). Canada cities had the highest cutoff, while Tirana and Natal had the lowest cutoff (< 50). Kingston was the site with the highest association between life-space restriction and mobility disability (OR 5.4, 95% CI 2.9–10). Saint-Hyacinthe, Tirana, and Manizales had significant associations between depression and restricted life space (OR 3.25, 95% CI 1.53–6.89, OR 3.14, 95% CI 1.88–5.24, and OR 3.99, 95% CI 2.28–6.98, respectively). Different cutoffs to define restricted life-space have been identified in elderly people at different sites. The analysis of the relationship between the restricted life space and personal characteristics like depression and mobility disability supported these findings. The groupings produced by the cutoff points for each site showed notable variations. These findings emphasize the importance of population-based cutoffs to improve the general applicability of LSM criteria and take into consideration the importance of site-specific approaches. [ABSTRACT FROM AUTHOR]

Neotropical primates rarely exhibit active tuberculosis. A brown howler monkey was found injured in an urban area. Histopathology revealed granulomatous inflammation in the lungs, lymph nodes, and liver. Immunohistochemistry and molecular analysis confirmed the presence of Mycobacterium tuberculosis complex. The findings highlight the importance of TB surveillance in nonhuman primates. [ABSTRACT FROM AUTHOR]

Introduction and Objective: Prenatal suspicion of disorders/differences of sex development (DSDs) is a relatively new phenomenon. The aim of this study was to review the prenatal findings of DSD cases postnatally diagnosed in our tertiary referral center. Methods: We evaluated 57 DSD cases with sex ambiguity who had undergone prenatal ultrasound with phenotypic sex assessment and/or cell-free fetal DNA (cffDNA) for genotypic sex assessment. Results: Prenatal cffDNA had been performed in 32 cases, being positive (suggestive of male genotypic sex) in 26 and negative (suggestive of female genotypic sex) in 6. Five with cffDNA negative had a prenatal ultrasound indicating female external genitalia, in turn, in those with cffDNA positive, only two had a prenatal ultrasound indicating male external genitalia. Our postnatal data showed that when external genitalia were female or poorly virilized, prenatal ultrasound indicated female sex, but in cases of higher degree of virilization, ultrasound showed similar rates of male, female, or undetermined sex. Regarding the karyotype, our data showed those with XY karyotype had positive cffDNA, those with XX karyotype had negative cffDNA, and all five with sex chromosome anomalies had positive cffDNA because they were 45,X/46,XY. We suggested an algorithm to investigate these cases during gestation, including evaluation of uterus, fetal growth, and malformations. Conclusion: We suggest that the parents should be counseled prenatally by a dedicated multidisciplinary team with experience in DSD management and evaluated as soon as possible after birth. [ABSTRACT FROM AUTHOR]

Strategic Networks (SNs) have emerged as a prevalent organizational form that offers synergistic benefits to participating firms. Despite their potential, SNs often experience member firms' departure, raising concerns about their long-term viability. This study explores the factors that influence firms' decisions to exit SNs by examining the interplay between network maturity, member firms' satisfaction, and their individual characteristics. Using data from 338 Brazilian firms involved in SNs, a cluster analysis was employed to identify distinct groups of firms based on shared attributes. The findings revealed a significant association between higher perceived maturity, greater satisfaction with SNs, and lower likelihood of departure. These results suggest that network leaders should prioritize cultivating a mature and satisfying SN environment to mitigate member exits. By identifying the critical distinctions between the remaining and departing firms, this study provides valuable insights for network managers seeking to strengthen the longevity and stability of their strategic partnerships. [ABSTRACT FROM AUTHOR]

Conservation units are strategic territories that have a high demand for public use, as they protect attractions of great scenic beauty, geodiversity sites, and numerous leisure areas. However, when carried out in an intensive and disorderly manner, tourist activity in these areas tends to catalyze environmental degradation, triggering, for example, water erosion processes caused by intensive soil trampling on the trails. In this sense, the aim of this study was to determine the soil's physicochemical characteristics, and to spatiotemporally monitor the microtopography of those areas degraded by erosion along two trails on Serra da Bocaina National Park coast of the Paraty Municipality. The findings verified that intensive trampling, the values of some soil physicochemical characteristics, and the specific meteorological conditions of the coastal region of this protected area were factors that contributed significantly to the evolution of erosion features monitored on these trails. Finally, strategies for appropriate management and recovery actions for these degraded areas are proposed in order to not only stop the erosive processes and re-establish the local ecosystem balance, but also avoid accidents involving the numerous tourists who visit the coastal region. [ABSTRACT FROM AUTHOR]

Brazil stands out among coffee-growing countries worldwide. The use of precision agriculture to monitor coffee plants after transplantation has become an important step in the coffee production chain. The objective of this study was to assess how coffee plants respond after transplanting seedlings grown in different containers, based on multispectral images acquired by Unmanned Aerial Vehicles (UAV). The study was conducted in Santo Antônio do Amparo, Minas Gerais, Brazil. The coffee plants were imaged by UAV, and their height, crown diameter, and chlorophyll content were measured in the field. The vegetation indices were compared to the field measurements through graphical and correlation analysis. According to the results, no significant differences were found between the studied variables. However, the area transplanted with seedlings grown in perforated bags showed a lower percentage of mortality than the treatment with root trainers (6.4% vs. 11.7%). Additionally, the vegetation indices, including normalized difference red-edge, normalized difference vegetation index, and canopy planar area calculated by vectorization (cm2), were strongly correlated with biophysical parameters. Linear models were successfully developed to predict biophysical parameters, such as the leaf area index. Moreover, UAV proved to be an effective tool for monitoring coffee using this approach. [ABSTRACT FROM AUTHOR]

Copyright of Arquivos de Ciências da Saúde da UNIPAR is the property of Associacao Paranaense de Ensino e Cultura and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Purpose: This paper aims to analyze strategies that promote sustainability in higher education institutions (HEIs), focusing on the case study of a federal institute of higher education in Brazil. Design/methodology/approach: The research was based on a scientific literature review on sustainability in HEIs, to identify the recurrent actions for sustainability in these institutions; and a case study of a federal institute of higher education in Brazil, to illustrate how these actions are being implemented by HEIs. Findings: Concerns about sustainability, prompted by the Brazilian federal legislature, led federal HEI to change its internal processes, infrastructure and organizational culture toward sustainability. Practical implications: The findings presented in this study, more specifically the sustainability plan of the Federal Institute for Education, Science and Technology of Santa Catarina, aligned with the recommendations proposed, can be used and replicated in other HEIs. Originality/value: Scientific literature about organizational changes led by sustainability concerns, in HEIs specifically, still needs more attention in the academia. By addressing the case of a Brazilian public institution of higher education, this paper contributes to the literature on sustainability in higher education by reporting the process of implementation of a sustainability plan.

The pandemic caused millions of deaths around the world and forced governments to take drastic measures to reduce the spread of Coronavirus. Understanding the impact of social distancing measures on urban mobility and the number of COVID-19 cases allows governments to change public policies according to the evolution of the pandemic and plan ahead. Given the increasing rates of vaccination worldwide, immunization data may also represent an important predictor of COVID-19 cases. This study investigates the impact of urban mobility and vaccination upon COVID-19 cases in Belo Horizonte, Brazil using Prophet and ARIMA models to predict future outcomes. The developed models generated projections fairly close to real numbers, and some inferences were drawn through experimentation. Brazil became the epicenter of the COVID-19 epidemic shortly after the first case was officially registered on February 25th, 2020. In response, several municipalities adopted lockdown (total or partial) measures to minimize the risk of new infections. Here, we propose prediction models which take into account mobility and vaccination data to predict new COVID-19 cases. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study is to investigate the mediating effect of learning orientation on the market orientation and business performance of industrial Small and Medium Enterprises (SMEs) in the metal-mechanic and wine sectors in southern Brazil, an emerging economy country. Design/methodology/approach: Survey data were collected from 309 Brazilian managers of SMEs in the metal-mechanic and wine sectors. The study analyzed overall model fit and causal relationships by confirmatory factor analysis and structural equation modeling. Findings: The survey results show that there is a positive and significant relationship between the variables market orientation, learning orientation and business performance in the investigated sectors. Learning orientation mediates the relationship between market orientation and business performance. Practical implications: This article provides insight to guide industrial managers of Brazilian SMEs in the metal-mechanic and wine sectors in a prosperous region with a thriving economy. The mediating effect of learning orientation can help managers in their commitment to learning, market vision and open-mindedness in teams that work with multiple orientations. Originality/value: Few studies focus on analyzing the mediating effect of learning orientation in industrial SMEs in the metal-mechanic and wine sectors. This article differs from others due to the relationships between the constructs, LO mediation over MO and BP, relevance of the investigated sectors for the region and multiple guidelines for managers of the investigated SMEs. Previous studies are scarce on the indirect effect of LO on MO and BP in developing countries. [ABSTRACT FROM AUTHOR]

Background: The Vieira's titi monkey (Plecturocebus vieirai) was recently described and characterized as endemic to Brazil. According to the IUCN red list, this species is classified as critically endangered (CR). At the date of the publication of this manuscript, there are no published data on the health aspects of this species. Methods: For this study, the necropsy, and histopathological data of the mortality of P. vieirai at Sorocaba Zoo (São Paulo, Brazil) were collected and analyzed. Results: Causes of death diagnosed included disorders of the urinary, gastrointestinal, immune, and circulatory systems. Conclusions: This study provides information regarding the pathological conditions of P. vieirai and points to urinary and gastrointestinal diseases as the main causes of death in this species at Sorocaba Zoo. These results can help veterinarians who have this species under their care diagnose and deal with it more quickly, increasing the probability of survival. [ABSTRACT FROM AUTHOR]

Background/objectives: The primary aim of this study was to evaluate the prevalence of autoimmune diseases (AIDs) and its associated factors in an admixed Brazilian population of patients with type 1 diabetes (T1D). The secondary one was to determine the relationship between AIDs and the occurrence of diabetes-related chronic complications (DRCC). Methods: This cross-sectional, nationwide survey was conducted in 13 public clinics in 11 Brazilian cities. Overall, 1,760 patients were included; 967 females (55.9%), 932 (54%) Caucasians, aged 29.9 ± 11.9 years, age at diagnosis 14.8 ± 8.9 years, diabetes duration 15.5 ± 9.3 years and 12.2 ± 3.8 years of school attendance. AIDs were retrieved from medical records or self-report and stratified as follows: absence of AIDs, only autoimmune thyroid disease (AITD), and other AIDs including the combination with AITD (hyper or hypothyroidism). Results: The prevalence of AIDs was 19.5% being AITDs (16.1%), the most frequently found. A higher prevalence of hypertension, dyslipidemia and overweight or obesity was found in patients who had exclusively AITDs. A higher prevalence of diabetic retinopathy (DR) was observed in patients with AITDs and patients with other AIDs in combination with AITDs. Chronic kidney disease (CKD) was more prevalent in patients with only AITDs. Lower levels of HbA1C, were observed in patients with isolated AITDs or with other AIDs, regardless of the presence of AITD. Hierarchical multivariate analysis, showed that AIDs were associated with female gender, older age, and longer diabetes duration, self-reported color-race (White and Brown), geographic region (Brazilian North/Northeast region) and higher anti-TPO levels (≥ 35 UI/ml). Conclusions: In conclusion, Brazilian patients with T1D, belonging to a highly ethnically admixed population, had an important prevalence of AIDs, mostly AITDs, that was associated with female gender, self-reported color-race, older age and longer diabetes duration. Moreover, these patients also had a higher prevalence of DRCC. Even though we highlight the importance of investigating the presence of AIDs at diagnosis and at regular intervals, it is unclear whether screening and early detection of additional AIDs may improve the clinical outcomes in individuals with T1D. Future prospective studies are necessary to establish the interplay between T1D, AIDs and DRCC. [ABSTRACT FROM AUTHOR]

The herbicide tembotrione is effective against grassy weeds constituting an important tool in sorghum crops. However, in Brazil, this herbicide is only registered for corn. This study aimed to evaluate the selectiveness of tembotrione combined with atrazine at different doses and developmental stages of grain sorghum. Two experiments were conducted in Rio Verde and Montividiu, state of Goiás, Brazil, in 2018. A randomized block design with four replications, in a 3x2+1+1 factorial arrangement, tested three developmental stages (V3, V5 and V7), two doses of tembotrione (37.8 and 75.6 g ha-1) combined with the herbicide atrazine (1,000 g ha-1), an additional treatment only with atrazine at V3 and a control, free of herbicide. Evident phytotoxicity was observed with the combination of tembotrione and atrazine at V3 and V5 stages. Symptoms included reductions in plant height, sorghum stem diameter, panicle length, and cumulative dry mass of sorghum plant shoots. However, there was no influence on thousand grains mass, regardless of application stages. Tembotrione at 37.8 g ha-1 combined with atrazine at 1,000 g ha-1 was selective for grain sorghum when applied at V7, without affecting grain yield. [ABSTRACT FROM AUTHOR]

Using wood for power generation necessitates a more efficient production chain in the various steps: harvesting, forwarding, storage, chipping, transport, and conversion systems. In this context, the moisture content (MC) of wood can impact the harvesting operation, the volume to be chipped, the transportation of raw materials, the storage time, and other factors, thereby influencing the economic aspects of the chain. The primary objective of this study is to investigate the influence of wood moisture content on the yield and costs of different forest operation chains for power generation in São Paulo State, Brazil. Our findings reveal that harvesting and forest transport are the primary cost components (over 80%) in the supply chains under study. We observed a difference of up to 17.6% in the unit cost of the energy generated among the studied supply chains. In economic and sustainable terms, our results suggest that logs should be stored in the field for three to four months and the transport distance to the power plant should not exceed 100 km. [ABSTRACT FROM AUTHOR]

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The aim of the study was to evaluate characteristics and changes over a decade in dietary carbohydrate and lipid quality according to socio‐demographic variables. Data was obtained from two Brazilian National Dietary Surveys 2008–2009 (n = 34 003) and 2017–2018 (n = 46 164) examining a nationwide representative sample of individuals ≥10 years old. Food intake was assessed by means of two non‐consecutive diet records (2008–2009) and 24 h diet recalls (2017–2018). Carbohydrate Quality Index is a score ranging from 4 to 20 calculated from fibre intake, global dietary glycaemic index, solid/total carbohydrate (CHO) and whole grains/total grains CHO. Lipid Quality Index was estimated by dividing the sum of the dietary content of monounsaturated and polyunsaturated fatty acids by the sum of saturated and trans fatty acids. Indices were categorised into five categories (1 for lowest and 5 for highest quality). Socio‐demographic variables were sex, age, income, urban/rural area and place of food consumption. The estimates (95% CI) were generated separately for each survey and then compared to identify changes in time. Our main findings refer to changes in diet quality according to income. At the lowest income level, the proportions of individuals in the best carbohydrate and lipid quality categories reduced from 26.9% to 20.6% and from 30.0% to 24.9%, respectively. Alternatively, at the highest income level, these proportions increased from 22.9% to 26.6% and from 11.9% to 15.7%, respectively. Furthermore, the quality of lipids improved in women and among individuals reporting some away‐from‐home food consumption, while the quality of carbohydrates was reduced among adolescents and in rural areas. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic has reached alarming levels in Brazil. In Rio de Janeiro city, it arrived in a scenario in which Primary Health Care (PHC) was being dismantled in the midst of a political crisis, which had major impact on the most vulnerable territories. This study examined how favelas and PHC teams organised community-based action and occupy the vacuum left by the lack of public policies. The results form part of the multi-centre qualitative study “Strategies for approaching subjective and social aspects of Primary Care in the pandemic context”, using public guidance documents and 36 in-depth interviews of PHC workers and users, which were categorised into interpretive grids. Co-management initiatives by PHC workers and users were found to have arisen out of organised groups and social activism, to face the pandemic, independently of regulations from the Municipal Health Department and other government bodies. PHC figured as the only public facility in highly vulnerable territories, where armed violence was ongoing even during the pandemic. [ABSTRACT FROM AUTHOR]

A multiproxy approach involving grain size, geophysical (resistivity, magnetic susceptibility, and P-wave velocity), mineralogical (XRD), and geochemical (elemental, stable isotopes) data has been applied to core SP9 (128 cm long) to reconstruct natural and anthropogenic changes since ≈1850 AD (anno domine) (dating by 210Pb and 127Cs methods) in a distal region of Sepetiba Bay (SB), Rio de Janeiro State (SE Brazil). The analyzed core is a fine-grained sedimentary sequence (except its upper 20 cm). It comprises detrital particles derived from felsic and intermediate source rocks, as suggested by the fields defined by the biplot Zr vs TiO2 and the Al2O3/TiO2 ratios. Despite the increase in particle size at the top of the core, there was a progressive increase in the organic matter and potentially toxic elements (PTEs) contents and nutrients such as N and P. The geophysical data allowed us to identify the presence of subsurface (biogenic) gas, which suggests the occurrence of eutrophication processes in the study area despite its location in the outer region of the bay. Core SP9 records cyclical changes over the last ≈170 years in the mineralogical and elemental composition of the sediments and type of organic matter supplied to the bottom. These changes are associated with phases of more significant oceanic influence, salinity variations in the study area, and greater or lesser oxygen depletion in the sediment. These changes may have resulted from climatic oscillations or variations in the configuration and extension of the Ponta da Pombeba spit. The extent of this structure and the anthropic activities have contributed to the contamination of this area since 1975 AD. However, statistical analyses (Pearson correlations and principal components analysis) suggest that the transport and accumulation of PTEs (mainly Cd and Zn) did not strictly follow the general pattern of sedimentary dynamics prevailing in the studied area. Results indicate that this area became strongly polluted by Cd and Zn and with high ecological risk due to dredging and spoil disposal activities at sites close to the study area. It is noted that the environmental degradation reached higher levels here than in areas close to the primary source of the metals, the disabled Ingá Mercantil Company, in Madeira Island. This work demonstrates the temporal effect of dredge disposal activities in a distal region of Sepetiba Bay for the first time. It is a strong indicator that dredged spoil areas must be selected carefully, since healthy areas can become degraded due to the dumping of polluted waste. [ABSTRACT FROM AUTHOR]

Escherichia coli is a major player in foodborne illnesses, capable of forming biofilms on dairy facilities, leading to milk contamination. Thus, we examined the capacity of E. coli strains from raw milk bulk tanks to form biofilms on surfaces made of polystyrene, stainless steel, and silicone; the potential links between biofilm formation with genes responsible for fimbriae and virulence factors of extra-intestinal E. coli (ExPEC); and the susceptibility of biofilm-forming isolates to iodine and chlorhexidine digluconate. Out of 149 E. coli strains, 42.28% (63/149) formed biofilm on polystyrene, 56.38% (84/149) on silicone, and 21.48% (32/149) on stainless steel. The frequency of genes was: fimH (100%), hlyA (5.4%), irp2 (2.7%), sitA (10.7%), ompT (43.6%), and traT (98%). No biofilm developed when disinfectants were used prior to biofilm formation. However, iodine and chlorhexidine digluconate allowed 25.40% (16/63) of isolates displaying growth after a mature biofilm was formed. The presence of biofilm on different surfaces emphasizes the vital need for thorough equipment cleaning, both in farms and in industrial dairy settings. Rapid disinfection is crucial, given the reduced susceptibility of potentially pathogenic E. coli after biofilm maturity. [ABSTRACT FROM AUTHOR]

Seeking a historical-philosophical approach to science teaching, narrative texts have been used as pedagogical tools to improve the learning experience of students. A review of the literature of different types of narrative texts and their different rates of effectiveness in science education is presented. This study was developed using the so-called Historical Narrative as a tool to introduce science content from a historical-philosophical approach, aiming to discuss science as a human construction. This project was carried out in a 9th grade Physics class in K-12 school, in Rio de Janeiro, Brazil. The steps involved in constructing a Historical Narrative based on the controversy over animal electrical fluid between Luigi Galvani and Alessandro Volta is reported herein. Finally, qualitative research results of the activities inspired by this Historical Narrative are presented with the purpose of answering the research question: to what extent do Historical Narratives support and enhance discussions about the Nature of Science (NOS), through teaching the scientific content in a historical-philosophical approach with 9th grade students? The results indicate that Historical Narrative, based on historical episodes, is a good "door opener" to teach scientific content in a historical-philosophical approach, introducing discussions about the Nature of Science without neglecting the scientific content or simplifying the discussions about the NOS.

Fossils from the Araripe Basin (northeastern Brazil) are known for their remarkable preservation of vertebrates and invertebrates, even including soft tissues. They occur in carbonate concretions within organic carbon‐rich strata assigned to the Romualdo Formation. Here we present integrated stable isotope, elemental and microfossil records from the Sítio Sobradinho outcrop, Araripe Basin, northeastern Brazil. Our results imply that black shales hosting fossil‐bearing carbonate concretions within the lower Romualdo Formation were deposited during Oceanic Anoxic Event (OAE) 1b (Kilian sub‐event). Our high‐resolution multi‐proxy approach allows identifying four phases of environmental evolution. After a pre‐event phase, an early phase (onset of the negative carbon isotope excursion—nCIE) of water column stratification and reduced oxygenation likely preconditioned the system for organic carbon burial and preservation. A second phase (peak nCIE) was characterized by an intensified hydrological cycle and continental runoff, as well as increased influx of terrestrial organic matter. High input of continent‐derived nutrients might have enhanced biological productivity in the epicontinental sea, ultimately leading to increased organic carbon fluxes and burial, as well as carbonate dissolution at the seafloor. All together, these paleoenvironmental conditions resulted in expansion of an oxygen minimum zone (OMZ), favoring taphonomic processes that led to the excellent preservation of diverse macro‐ and microfossils. The nCIE recovery phase was characterized by reduced nutrient supply and organic carbon burial. Organic carbon sequestration in such paleoenvironments likely contributed to the recovery (increase) of stable carbon isotope (δ13C) records in the deep ocean during the Kilian sub‐event of OAE 1b. Plain Language Summary: Fossils, such as fishes and pterosaurs, from the Araripe Basin (northeastern Brazil) are known for their remarkable preservation, even including soft tissues. We used geochemical proxies and paleontological data to show that this remarkable preservation occurred during an interval of the Cretaceous characterized by reduced oxygen content in ocean waters, worldwide known as Oceanic Anoxic Event 1b, at about 113 million years ago. Our results suggest that a zone of minimum oxygenation expanded in the shallow sea of the Araripe Basin, preconditioning the system for organic carbon burial and preservation. Additionally, wetter climate conditions under a greenhouse climate state increased riverine input of nutrients and carbon to the "Araripe Sea." In a broader sense, our results suggest that shallow seas were fundamental in sequestering carbon during warmer‐than‐modern climate states. Key Points: New late Aptian‐early Albian multi‐proxy records from Araripe Basin, South AmericaEpicontinental seas were efficient in sequestering light carbon during in warm climatesOceanic Anoxic Event 1b favored phosphatization and bottom‐water taphonomic processes in Araripe Basin [ABSTRACT FROM AUTHOR]

There are many factors associated with functioning and disability in older adults and these relationships are not clear. To explore the factors associated with functional capacity of older adults using the framework of the International Classification of Functioning, Disability, and Health (ICF). This is a cross-sectional study with a dataset from a survey of 1 377 community-dwelling older adults (≥ 65 years) in a middle-income country. Three functional outcomes were selected to represent the functioning domains: 1) muscle strength for body function; 2) walking speed for activity; and 3) advanced activities of daily living (ADL) for participation. Demographic, clinical, and social information was selected to represent the domains of health conditions and contextual factors (i.e. personal and environmental factors). Multivariate models tested the impact of these factors on each outcome. Depressive symptoms, age, and physical activity were associated with the three outcomes. Muscle strength was also associated with urinary incontinence, visual deficits, female sex, and employment. Walking speed was also associated with urinary incontinence, obesity, fractures due to falls, female sex, health professionals' visits, and walking aid devices. Advanced ADL were also associated with stroke, visual deficits, education, employment, health perception, social support, and walking aid devices. Functional capacity of older adults is associated with some non-modifiable factors, such as age and sex. The modifiable factors must be addressed by health professionals and policymakers in the geriatric area, especially depression, obesity, physical inactivity, and social support. [ABSTRACT FROM AUTHOR]

To identify the prevalence of geographic tongue in patients >18 years. A systematic literature review was performed in search of population‐based observational studies. Searches were performed using five main databases: Embase, LILACS, PubMed, Scopus and Web of Science; and three gray literature sources: Google Scholar, ProQuest, and OpenGrey. In addition, a manual search in the reference list and consultation with experts on the topic studied were performed. Methodological quality was assessed using the Joanna Briggs Institute's checklist for prevalence studies. Ratio meta‐analyses were performed using JAMOVI. Initially, 3046 studies were identified. After a two‐phase selection, 11 studies were included for quantitative synthesis. Two studies were classified as of low methodological quality, five studies as of moderate quality, and four as of high quality. Two types of prevalence were analyzed: by period and point. Three studies were included in the period prevalence meta‐analysis, and the prevalence was 3% (Confidence interval [CI]: 0.4%–5.5%, n = 9813). Eight studies were included in the point‐prevalence meta‐analysis, and the prevalence was 3% (CI: −0.2% to 5.5%, n = 10,967). Although there are phases of exacerbation and remission in geographic tongue, prevalence and period prevalence were similar. Approximately one in 30 adults has a geographic tongue. [ABSTRACT FROM AUTHOR]

AIM: The aim of this study is to evaluate highly touched clinical surfaces using visual inspection methods and adenosine triphosphate by bioluminescence to identify soiling in intensive care units. METHOD: Descriptive, cross-sectional study carried out in three intensive care units located in Belo Horizonte, MG, Brazil. Data collection included 142 assessments of environmental surfaces. For data analysis, the Pareto diagram and descriptive statistics were used through measures of central tendency. RESULTS: The visual inspection identified dirtiness in the infusion pump, alcohol dispenser, and telephone. The surface that showed a high level of contamination by organic matter identified by the adenosine triphosphate bioluminescence test was the telephone, with a median of 1012 RLU/cm2 (±348.8). CONCLUSION: The surface evaluation methods used in the intensive care units made it possible to identify dirt on surfaces highly touched by hands, reinforcing the need for investments in training and audits in the process of cleaning and disinfecting surfaces. [ABSTRACT FROM AUTHOR]