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Brazil's National Forest Inventory (IFN), coordinated by the Brazilian Forest Service (SFB), provides essential data on the country's forest resources. The availability of IFN data, collected over more than a decade, through the National Forest Information System (SNIF), promotes transparency and facilitates access to comprehensive information about Brazilian forests. This detailed survey covers biophysical, botanical and socio-environmental aspects, as well as interviews about the use of forest resources.

ABSTRACT Objective The aim of this study was to investigate the prevalence of human immunodeficiency virus (HIV) infection among transgender women and travestis and to analyze factors associated with HIV infection in Brazil. Methods TransOdara was a cross-sectional study on sexually transmitted infections among transgender women and travestis in five Brazilian cities between 2019 and 2021. Self-identified transgender women and travestis aged ≥18 years were recruited using respondent-driven sampling, completed an interviewer-led questionnaire, and provided samples to detect HIV. The outcome was the result of the rapid antigen testing for HIV. Adjusted prevalence ratios (aPR) and 95% confidence intervals (95% CI) were obtained using Poisson regression with robust variance. Results Overall, this population was found to be especially vulnerable, with high levels of unstable housing and engagement in informal work. They usually resort to transactional sex as their main working activity. Half of them earned less than the Brazilian minimum wage, which characterizes a poor population living in dire conditions. The overall HIV prevalence was 34.40%. In the final model, the variables associated with the HIV prevalence were as follows: to be 31 years old or older, not studying at the moment they were interviewed, to be unemployed, and engaged in lifetime transactional sex. Conclusion We found disproportionately high HIV prevalence among transgender women and travestis, compared with a low prevalence among respective segments of Brazil’s general population, which highlights the context of vulnerability in this population. The data point to the urgency for intensification and expansion of access to HIV prevention and strategies to stop discrimination in health care (among other services and contexts) and provide comprehensive services for this population.

Background Scientific investigations utilizing the questionnaire methodology for data acquisition mandate a rigorous validation process for their research instruments. This imperative arises from the need to mitigate biases and uphold impartiality in the derived results. Regrettably, a lack of awareness persists among researchers regarding this pivotal requirement within the methodological framework. Although comprehensive validation typically unfolds across multiple stages, the present study is dedicated exclusively to the structural validation phase. Methods A questionnaire with 18 closed questions (observable variables) was administered across 12 units in different regions of Brazil. Data were classified according to a Likert scale, which ranges from 1 to 5, representing the participants’ degree of agreement in relation to 8 characteristics proposed for the model (latent variables). The research involved 75 participants who answered the research instrument between March and August 2023. To define the structure of the model, the data were subjected to an exploratory factor analysis, with the support of the Factor Analysis software. Results Findings suggested a structure was organized into two factors, called internal and external factors, according to the degree of governability that the SPH has in relation to the proposed items. Conclusion The validation evidence indicates a structure composed of two factors for the better organization of the items of a strategy development model in Schools of Public Health, in Brazil.

To assist decision making regarding the National Equine Health Program in the state of Paraná, a study was conducted to estimate the prevalence of infected farms and seropositive animals for Equine Infectious Anemia (EIA) and also identify possible risk factors for the disease. The state was divided into three regions, within which about 300 farms were randomly selected. On the selected farms, a minimum number of animals aged 6 months or older were examined to characterize them as infected or free of EIA. In the sampled farms, an epidemiological questionnaire was applied to investigate possible associations between the disease and its characteristics, including sanitary practices and livestock management. The test used was the Agar Gel Immunodiffusion Test. A total of 2818 equids from 889 farms were tested. In the state, the prevalence of infected farms was 1.55% [0.92; 3.00] and the prevalence of seropositive animals was 0.55% [0.27; 1.00]. Introduction of equids showed an association with EIA (OR=5.5 [1.9; 15.9]). Paraná equine owners should be alerted to the need to observe health precautions regarding EIA when introducing animals to their herd. In 2018, the sensitivity of the Surveillance System for EIA in Paraná was only 1.36%, probably insufficient to change the endemic balance of the disease, therefore, needs to be re-evaluated involving in the process all public and private agents interested in the subject.

Introduction: Chemicals have a relatively low prevalence among the causes of burns. However, they are important because most accidents occur in the scope of work and in an economically active population. The objective is to perform an analysis of the profile of patients hospitalized for chemical burns in a Burn Unit. Methods: Retrospective analysis of patients hospitalized in the Burn Unit of the State Hospital of Bauru, Bauru, SP, Brazil, between 2008 and 2018. Multiple variables were analyzed, such as age, gender, chemical agent, place where the accident occurred, need for ICU stay and days of hospitalization. Results: In total, 40 (1.7%) patients were hospitalized due to chemical burn. The mean age was 35 years, with predominance of males, with 30 (75%) individuals. The main site of trauma was in the workplace, in 20 cases (50%). Based accidents were responsible for 20 (50%) admissions. The mean burned body surface was 7.5%. Eye burn occurred in 11 (27.5%) patients. Intensive care bed was required for 10 (25%) cases. When comparing accidents between acid iced substances and bases, we noted a difference in the number of ICU patients, with eight patients in lesions involving bases and two with acids (p=0.04). Conclusion: The sample and results presented in this article are similar to the world literature on the subject. We evidenced the importance of this burn in the work environment and the involvement of individuals of active age, as well as the greater severity of accidents with chemical substance.

Brazil stands out at the global level for having implemented several policies intending to promote agroecology as a productive paradigm for small-holder farmers. However, the impacts of this process of institutionalization of agroecology still lack research and debates that evaluate the effectiveness of these policies. In this paper, we assess and discuss the impacts of a policy specifically focused on education in agroecology, the support to the establishment of Centers for the Study of Agroecology and Organic Production (NEAs) in higher education institutions throughout Brazil. NEAs bring together teachers, researchers, and students who engage in teaching, research, and extension activities in partnerships with peasant farmers, their organizations, and rural extension workers. The hypothesis that guides our analysis is that this support to establish NEAs allowed redistribution of symbolic power in the universities where they were established, supporting agroecology to gain greater legitimacy inside and outside the university field. Based on an in-depth study of four NEAs, the NEAs are evaluated from the perspective of social fields in dispute. Our findings suggest that the State support to university groups dedicated to the promotion of agroecology has allowed the construction of what we have named agroecological spaces, which symbolically dispute the dominant paradigms in educational institutions, supporting the constitution of agroecological territories.

Abstract Objective: to analyze the trend of incompleteness of the maternal schooling and race/skin color variables held on the Brazilian Live Birth Information System (SINASC) between 2012 and 2020. Methods: this was an ecological time series study of the incompleteness of maternal schooling and race/skin color data for Brazil, its regions and Federative Units, by means of joinpoint regression and calculation of annual percentage change (APC) and average annual percentage change. Results: a total of 26,112,301 births were registered in Brazil in the period; incompleteness of maternal schooling data decreased for Brazil (APC = -8.1%) and the Southeast (APC = -19.5%) and Midwest (APC = -17.6%) regions; as for race/skin color, there was a downward trend for Brazil (APC = -8.2%) and all regions, except the Northeast region, while nine Federative Units and the Federal District showed a stationary trend. Conclusion: there was an improvement in filling out these variables on the SINASC, but with regional disparities, mainly for race/skin color.

The present study has tested the Shelter-Quality Protocol (SQ) and its applicability in nine long-term dog shelters in the Curitiba metropolitan area, State of Paran , southern Brazil. Welfare indicators were scored on three different levels including shelter, pen and dogs. Data were qualitatively analyzed, presenting an average of 66.67 ( 27.63) allocated dogs per shelter, receiving only dry food, with meal frequencies varying from once (44.4%), twice a day (33.3%), and ad libitum (22.2%). Water was available ad libitum in 98.5% of pens and was clean in (89.5%) of shelters. Most of the shelters grouped the dogs by size. Animals were kept indoors (41.0%) or entirely outdoors with only close movable shelters (41.3%), from which 78.5% had materials that could hurt the animals. None of the dogs were panting, crowding, or had any stereotypy behavior. No cough, swelling, and ectoparasites were observed. Animals were in satisfactory body-score condition and clean; no lameness was observed. In the human-animal relationship test, 15.3% of animals showed fearful and aggressive reactions. Hence, the level of shelter-quality was feasible and provided relevant information about the Brazilian dog shelter welfare. However, it is important in future studies to include and adopt additional indicators to gather other relevant aspects of dogs’ welfare, such as health management, environmental enrichment, dogs’ socialization, people involved in the chain, rate of adoption, and turnover of dogs.

This article critiques the Mental Health Policy in Brazil with emphasis on the history of struggle for the right of people who have mental disorders and against violence in psychiatric institutions. The article is divided twofold; firstly, addressing exclusion, violence and exercise of citizenship, highlighting the Psychiatric Reform Movement in Brazil from 1970; secondly, contextualising the Ximenes Case with the hospital-centred model in Brazil, bringing information about the National Inspection Report in Psychiatric Hospitals. The legal framework against torture about the deprivation of liberty of people considered ‘mentally ill’ and the social division between desirable and undesirable as a characteristic of this reality. It contextualises the Mental Health Policy and the ongoing counter-reform in the Brazilian Scenario by presenting an item about the Bolsonaro Government and the attacks on Brazilian Mental Health Policy. It is pointed out in the final considerations that torture materialises in the counter-reform underway through the ‘New Mental Health Policy of Brazil’, which masks a new form of torture and suffering exposed by the structuring inequalities of capitalist society. As for the processes of resistance, the fundamental defense of community and participatory policies is pointed out in the face of challenges and complaints against human rights in institutions and logic in the Brazilian government.

Abstract This study estimated the risk of chronic exposure of the Brazilian population to pesticide residues by eating table tomatoes. This risk was evaluated taking into consideration 46 pesticides that were quantified in tomato samples by the Programa de Análise de Resíduos de Agrotóxicos em Alimentos (PARA) from 2013-2015. To identify those who were most susceptible to this risk, estimates were made considering the following population variables: gender (male and female); stage of life (adolescence, adult and old age); and place of residence (Brazilian zones and regions). The estimated daily intake (EDI) and the percentage of acceptable daily intake (%ADI) were determined to estimate the risk of chronic exposure. A risk of chronic exposure was considered when the %ADI was greater than 100%. The exposure of the total Brazilian population, men, women, adolescents, adults, the elderly, residents in urban and rural areas, and those living in the north, northeast, midwest, southeast and south regions to pesticides through the ingestion of tomatoes was safe because all the calculated %ADI were less than 100%. Thus, the Brazilian population was not exposed to chronic dietary risk when consuming tomatoes contaminated with pesticides.

Abstract The election of Donald Trump brought disarray to the climate change regime. The changes in what was up to then a promoter of the liberal international order (LIO) exacerbated existing tensions while creating new ones. This paper investigates how that challenge impacted the behaviours of Brazil, China and the European Union (EU) by comparatively analysing their dissimilar positions with respect to three indicators before and after Trump’s coming into power. These indicators are individual pledges and climate-related policies; approaches to climate finance; and the principle of common but differentiated responsibilities and respective capabilities (CBDR-RC). The analysis first shows how the US started eroding the broader LIO and the climate change regime to then delve into the behaviours of the three respective key players concerning climate talks. I sustain that the EU, despite its inner divisions, is already counteracting Washington, whereas China is combining a pro-status quo position based on a rhetorical condemnation of the United States. Brazil, in turn, had a transition towards a climate-sceptic government, shifting from being a cooperative actor to abdicating hosting the COP25.

ABSTRACT Objectives: to review the state of the art on Advanced Nursing Practices. Methods: a scoping review of existing publications up to 2020, in the PubMed/MEDLINE, SciELO, LILACS, BDENF, Web of Science and Scopus databases, identified by descriptors “Prática Avançada de Enfermagem” or “Advanced Practice Nursing”. A total of 184 documents were selected. The characterization of this study was carried out, followed by the construction of an overview of different regions of the world. Results: studies showed an increasing trend in the last decade, being present in all continents, although 43.5% correspond to opinion articles, comments, editorials and event reports. Even with similar aspects, the justifications for Advanced Nursing Practices reflect specific regional needs. Final Considerations: the studies still lack methodological variety and emphasis on the specificities of countries and their health systems, in addition to greater detail on labor regulation, professional training and the impacts of these practices in nursing.

This study aimed at analysing the potential effects of the COVID-19 pandemic on the time series and spatial patterns of live births in the state of Pernambuco, Brazil, from 2010 to 2021. This is an ecological study that applied intervention analysis in time series, with the goal to identify how projected data behaved in relation to observed data in the months December 2020 to November 2021, i.e. months representing conceptions from March2020 to April 2021. For the state of Pernambuco, a discrepancy up to +5.7% was found between the observed and projected data, while the respective difference for the São Francisco mesoregion showed the opposite trend with maximum discrepancy of –9%. The results did not indicate a clear change in the number of live births but supported the expected continuation of the downward trend of the previous years. Considering the importance of the number of live births in the context of demography, economy and public health, monitoring must be maintained to analyse the possible future impact of the COVID-19 pandemic on live birth projections.

Objective: Completing 15 years of Transformative Consumer Research in 2020, this article aims to present an overview of the Brazilian scientific production about how the fat body was approached from this research perspective in this period between 2005 and 2019. Method: To analyze the national scientific production of the fat body in TCR studies from 2005 to 2019, an integrative literature review was carried out according the review steps indicated by Cooper (1984). Thus, a search for the terms "Transformative Research", "Transformative Consumer Research" and "TCR" was carried out in the annals of the main administration events; national journals registered in the SPELL database with Qualis/CAPES 2013-2016 ratings in the strata from B5 to A2 in the area of Administration; and the Brazilian Digital Library of Theses and Dissertations (BDTD). Findings: The results point to a significant growth of publications in TCR in the years 2018 and 2019 but indicate the need to study other groups of vulnerable consumers, in addition to those with some disability, such as consumers of the fat body archetype. Originality: The present study has merit since the results are important to broaden the discussion about the fat body within the theme of consumption, allowing to give visibility to this debate and bringing the theme to the knowledge of managers and market professionals who can contribute to expanding access to consumption by this public; in addition to, specifically, contributing to the propagation of studies from the perspective of transformative research and social marketing, encouraging new researchers and new studies within the aforementioned scopes.

This article presents partial results of a research on the musicians’ job market during the Covid-19 pandemic. The research was based on a simple and multiple regression analysis and performed with data collected through an online questionnaire (RedCap). It was possible to identify and compare demographic and socioeconomic features of musicians from the larger regions of Brazil. This method allowed us to examine the relationship between loss of income and musicians’ demographic, socioeconomic, academic level, and employment features. Results show that musicians who faced the greatest income reduction were among the self-identified as blacks, those with lower academic level (less years of study), the younger ones who did not have formal employment before the pandemic. Male musicians, who are largely the main family providers, are also among those who experienced more income loss when compared with the female share of the sample, who, in turn, have higher academic level.

Marianne Rodrigues Fernandes,1,2 Juliana Carla Gomes Rodrigues,1 Olalla Maroñas,3 Ana Latorre-Pellicer,3,4 Raquel Cruz,5 João Farias Guerreiro,6 Rommel Mario Rodriguez Burbano,1,2 Paulo Pimentel de Assumpção,1 Andrea Ribeiro-dos-Santos,1,6 Sidney Emanuel Batista dos Santos,1,6 Angel Carracedo,3,5,7 Ney Pereira Carneiro dos Santos1 1Núcleo de Pesquisas em Oncologia, Universidade Federal do Pará, Belém, Pará, Brazil; 2Departamento de ensino e pesquisa, Hospital Ophir Loyola, Belém, Pará, Brazil; 3Grupo de Medicina Xenómica, Centro Nacional de Genotipado (CEGEN-PRB3), Universidade de Santiago de Compostela, Santiago de Compostela, España; 4Unidad de Genética Clínica y Genómica Funcional, Departamento de Farmacología-Fisiología, Escuela de Medicina, Universidad de Zaragoza, IIS-Aragón, E-50009 Zaragoza, España; 5Centro de Investigación Biomédica en Enfermedades Raras (CIBERER), Grupo de Medicina Genómica, CIMUS, Universidad de Santiago de Compostela, Santiago de Compostela, España; 6Laboratório de Genética Humana e Médica, Universidade Federal do Pará, Belém, Pará, Brazil; 7Fundación Pública de Medicina Xenómica, Instituto de Investigación Sanitaria de Santiago de Compostela (FIDIS), Universidade de Santiago de Compostela, Santiago de Compostela, EspañaCorrespondence: Ney Pereira Carneiro dos SantosHospital Universitário João de Barros Barreto, Núcleo de Pesquisa em Oncologia, 2º Floor of the Unidade de Alta Complexidade em Oncologia. Av. Mundurucus, 4487, Guamá, Belém 66073-005, PA, BrazilTel +55 (91) 99113-9221Email npcsantos.ufpa@gmail.comIntroduction: The genetic admixture of the Brazilian population has considerable relevance to the implementation of the principles of pharmacogenomics (PGx), as it may compromise the extrapolation of data obtained in more homogeneous world populations.Purpose: This study aims to investigate a panel of 117 polymorphisms in 35 pharmacogenes, which contains label recommendations or clinical evidence by international drug regulatory agencies, in Amazonian Native American populations, and compare the results obtained with continental population data from the 1000 Genomes Project Consortium.Patients and Methods: The study population is composed of 109 Native American individuals from three Brazilian Amazon groups. The genotyping of the PGx polymorphisms was performed by allelic discrimination using TaqMan® OpenArray Genotyping with a panel of 120 customized assays on the QuantStudio™ 12K Flex Real-Time PCR System.Results: Statistical differences within the Native American populations were observed regarding both genotypes and phenotypes of some genes of the CYP family. The discriminant analysis of principal components (DAPCs) between the NAM group and the continental populations of the 1000 Genomes Project resulted in the clustering of the three Native American populations. Additionally, in general, the NAM group was determined to be closely situated between East Asia, America, and South Asia groups, which enabled us to infer a genetic similarity between these populations. The DAPC analysis further demonstrated that eight polymorphisms and six polymorphisms were more relevant in differentiating the NAM from the continental populations and the NAM populations among themselves, respectively.Conclusion: Some investigated polymorphisms show differences among world populations, particularly with populations of European origin, for whom precision medicine protocols are primarily designed. The accumulated knowledge regarding these variations may assist in the design of specific protocols for Native American populations and populations admixed with them.Keywords: Native Americans, pharmacogenomics, polymorphisms, population, genetic admixture, Brazil

Abstract How do Brazil’s defence documents incorporate natural resources and critical infrastructure as political and strategic components of the national energy security framework? After presenting the contemporary international landscape on the subject, which is marked by rising powers and geopolitics, the paper explains the theory and the conceptual foundations that support the claim of a securitization movement on natural resources and critical infrastructure that relates to energy security in response to the absence of existential threats to Brazil. Following this effort, the text reflects upon and analyses how the matter has developed from 2005 to 2016 in Brazilian defence policies and in national defence strategies. By applying securitization theory to the case study, the final remarks imply the need for a reflection on the importance of incorporating the geopolitics of natural resources and critical infrastructure related to energy security in defence thinking.

This is an ecological study analysing spatial patterns of the total mortality over the first 24 hours of life and that due to preventable causes using data from the mortality information system (SIM) and live birth information system (SINASC) based on the municipalities of Pernambuco State, Brazil. The total mortality rates over the first 24 hours and that due to preventable causes were calculated for each municipality for the decades of 2000 to 2009 and for 2010 to 2019 to enable a comparison of the spatial patterns with spatial scan statistic used to identify clusters. Over the first 24 hours of life, a total of 13,571 deaths were reported, out of which 10,476 (77.2%) were preventable. The total mortality rate over the first 24 hours of life decreased from 5.5 in the 2000- 2009 period to 3.7 per 1000 live births in the following decade: a reduction of 32.7%, while the mortality rate due to preventable causes decreased from 4.4 to 2.8 per 1000 live births, a reduction of 36.7%. In the first decade, spatial exploratory analysis found three mortality rate clusters encompassing 56 municipalities over the first 24 hours of life. With respect to preventable causes over the first 24 hours of life, two mortality rate clusters were identified encompassing 41 municipalities. Risk areas for mortality over the first 24 hours of life were detected through spatial scan statistic. This method, directed towards uncovering the geographical distribution of deaths of very premature infants, can act as a tool for identifying priority areas to guide healthcare interventions.

The present study assesses the diversity and seasonal variation of parasites in Oreochromis niloticus (Nile tilapia) cultivated in excavated tanks in the Federal District, Brazil. A total of 120 specimens of O. niloticus were collected in 12 monthly collections. Water quality parameters were checked at all tanks. The animals, sacrificed by immersion into anesthetic solution, had the gills scraped, in which the mucus was analyzed under an optical microscope. Parasitological examination showed Trichodina sp., Epistylis sp., Ichthyophthirius multifiliis, and Monogenea helminths in the fish gills. We found statistically significant differences between Monogenea parasites collected in the fall and winter and between I. multifiliis protozoans collected in fall-winter and winter-summer periods. Except for Epistylis sp., all parasites showed abundance peaks in O. niloticus specimens collected during the winter, which may characterize the seasonality of these parasites in the Federal District region. Monogenea helminths were the most prevalent among the parasites found, with the highest prevalence during the fall. The mean abundance of parasites was similar between the fall and winter. However, the abundance of monogenetic trematodes was higher between the winter and summer. I. multifiliis showed significant variation between fall-winter and winter-summer periods.

Objective: To analyze the relationship between the 17 Sustainable Development Goals (SDGs) and eco-innovation, in the perception of 1,262 Brazilian respondents. Method: The methodology used was quantitative and descriptive research through confirmatory factor analysis and multiple linear regression. Main results: The results highlight that all SDGs influence eco-innovation. However, the most relevant relationship occurred between the variables of Sustainable Development Goals 17 (Partnerships to achieve the goal) and eco-innovation. Relevance/originality: The research's originality lies in providing an analysis framework, statistically validated (observable variables and constructs). Thus, the Framework proposed in the research can be replicated in different regional, national, and international contexts. Theoretical/methodological contributions: Theoretical contributions are linked to the development of the scale to measure the 17 SDGs, based on environmental, social, and economic precepts. Social/management contributions: The managerial and social contributions of the survey allow managers and related professionals to become aware of the importance of the SDGs, helping them with strategies for sustainable development. In addition to information for socio-environmental actions of public policies at regional and national levels, to support cities and regions in complying with the 2030 Agenda. [ABSTRACT FROM AUTHOR]

This work presents the preliminary results of an experimental investigation focused on the magnetic orientation of natural sisal fibers embedded in a cementitious matrix. The objective of this research is to evaluate the effect of magnetic orientation of sisal fibers on the mechanical behavior of thin cementitious plates tested under flexion. In the first phase, the work addresses the development of a coating which is applied to short sisal fibers in order to provide their magnetic alignment. The second phase is focused on the methodology employed for the magnetic orientation of the reinforcement. The final phase involves the mechanical characterization and image analysis (radiography and calculation of the fiber orientation factor) of the cementitious composites. The results indicated that the magnetic alignment of sisal fibers in cementitious matrix is possible and contributes to the composite flexural performance. [ABSTRACT FROM AUTHOR]

In this article the authors aim to highlight the importance of judicial records as privileged sources for the making of historical narratives concerning 19th century Brazil. Without access to criminal and civil records, available in numerous archives scattered in the country, a handful of researches –from the onset of academic thesis and dissertations, groundbreaking works in the 1980s, until innovative oeuvreswritten in the last years and decades –would have never been possible.

Due to its low share of energy-related emissions, energy systems models have overlooked the implications of technological transition in the agricultural sector and its interaction in the wider energy system. This paper explores the role of agriculture intensification by using a novel agricultural-based energy systems model. The aim is to explore the future role of Brazil’s agriculture and its dynamics with other energy sectors under two carbon constraint scenarios. The main focus has been to study resource competition between sugarcane and natural gas at a country level. Results show that in order to meet the future food and bioenergy demand, the agricultural sector would start intensifying by 2030, improving productivity at the expense of higher energy demand, however, land-related emissions would be minimised due to freed-up pasture land and reduction in deforestation rates. Additionally, the development of balanced bioenergy and natural gas markets may help limit the sugarcane expansion rates, preserving up to 12.6 million hectares of forest land, with significant emissions benefits.

The paper presents an innovative application to identify areas vulnerable to coronavirus disease 2019 (COVID-19) considering a combination of spatial analysis and a multi-criteria learning approach. We applied this methodology in the state of Pernambuco, Brazil identifying vulnerable areas by considering a set of determinants and risk factors for COVID-19, including demographic, economic and spatial characteristics and the number of human COVID-19 infections. Examining possible patterns over a set number of days taking the number of cases recorded, we arrived at a set of compatible decision rules to explain the relation between risk factors and COVID-19 cases. The results reveal why certain municipalities are critically vulnerable to COVID-19 highlighting locations for which knowledge can be gained about environmental factors.

Abstract INTRODUCTION: To better understand trends in the main cause of death in Brazil, we sought to analyze the burden of cardiovascular risk factors (RF) and cardiovascular diseases (CVD) attributable to specific RFs in Brazil from 1990 to 2019, using the estimates from the GBD 2019 study. METHODS: To estimate RF exposure, the Summary Exposure Value (SEV) was used, whereas for disease burden attributed to RF, mortality and disability-adjusted life-years (DALY) due to CVD were used. For comparisons over time and between states, we compared age-standardized rates. The sociodemographic index (SDI) was used as a marker of socioeconomic conditions. RESULTS: In 2019, 83% of CVD mortality in Brazil was attributable to RF. For SEV, there was a reduction in smoking and environmental RF, but an increase in metabolic RF. High systolic blood pressure and dietary risks continue to be the main RF for CVD mortality and DALY. While there was a decline in age-standardized mortality rates attributable to the evaluated RF, there was also a stability or increase in crude mortality rates, with the exception of smoking. It is important to highlight the increase in the risk of death attributable to a high body mass index. Regarding the analysis per state, SEVs and mortality attributable to RF were higher in those states with lower SDIs. CONCLUSIONS: Despite the reduction in CVD mortality and DALY rates attributable to RF, the stability or increase in crude rates attributable to metabolic RFs is worrisome, requiring investments and a renewal of health policies.

Through the presented article we seek to analyze the way Indigenous Peoples insert themselves in the context of the new Latin American constitutionalism, with a special focus on the aspect of the legal pluralism and on the way the Indigenous Peoples act towards the Judiciary. For that, the paradigmatic cases of the Ecuadorian, Bolivian and also the Brazilian constitutions are analyzed. From there, we go to the concrete cases, where factual situations are verified, at least in theory, where the natives had an active participation in the judiciary criminal process in Brazil. The main goal of this article is to scrutinize how those cases configure what denominates as legal pluralism and in what standards the Brazil differentiates from the other Latin American countries on the legal custody of the indigenous rights and the recognition and respect of "the other", here understood as a native.

Trypanosoma cruzi requires a triatomine insect vector for its life cycle, which can be complex in different enzootic scenarios, one of which is the unique transmission network in the Atlantic Forest of south-eastern Brazil. In Espírito Santo (ES) State, highly infected Triatoma vitticeps are frequently reported invading domiciles. However, triatomines were not found colonizing residences and mammals in the surrounding areas did not present T. cruzi infection. To date, the biotic and abiotic variables that modulate T. vitticeps occurrence and T. cruzi infection in ES State are still unknown. The aim of this study was to identify the environmental variables that modulate their occurrence. Local thematic maps were generated for two response variables: T. vitticeps occurrence and T. cruzi infection. The following explanatory variables were tested: climate (temperature, relative air humidity and rainfall), altitude elevation, mammalian species richness as well as soil and vegetation types. Spatiotemporal distribution patterns and correlation levels between response and explanatory variables were assessed through spatial statistics and map algebra modelling. The central and southern mesoregions presented higher T. vitticeps and T. cruzi distributions and can be considered transmission hotspots. The explanatory variables that can explain these phenomena were relative air humidity, average temperature, soil type, altitude elevation and mammalian species richness. Algebra map modelling demonstrated that central and southern mesoregions presented the environmental conditions needed for T. vitticeps occurrence and T. cruzi infection. The consideration of environmental variables is essential for understanding the T. cruzi transmission cycle. Cartographic and statistical methodologies used in parasitology have been demonstrated to be reliable and enlightening tools that should be incorporated routinely to expand the understanding of vector-borne parasite transmission.

Micro and Small Enterprises have assumed an important strategic role for the economic and social development of Brazil, representing about 99% of all business establishments and contributing to the generation of 55.3% of all formal jobs in the country. However, these ventures have faced a series of restrictions on entrepreneurial activity, such as low government support, high taxes, and excessive bureaucracy. In this adverse context, innovation assumes a significant mediation role for increasing business performance and, consequently, maintaining the permanence of these ventures in the market. Accordingly, the present investigation aimed to identify the degree of innovation, the main obstacles and facilitators of innovation, as well as the types of innovation prevalent in Brazilian Micro and Small Enterprises through a systematic literature review. The literature review included 21 articles extracted from the Web of Science, Scopus, Scielo, and Spell databases. In general, the analyzed literature points out that innovation in these ventures is the result of simple actions, such as imitation and the acquisition of technology from third parties, and that the degree of innovation is low, prevailing in the types of innovation in Products and Marketing. The main barriers highlighted were related to the lack of resources, precarious managerial and commercial capacities, and shortages of qualified labor, while the factors that facilitate innovation are related to the support of government programs and the organization of Micro and Small Enterprises in productive arrangements. [ABSTRACT FROM AUTHOR]

Researching education policy and/or education policies is not an easy task, mainly because of the multiplicity of disciplines necessary for its/their study. This paper proposes to offer some elements of analysis of research trends in education policy in the last decades in Brazil. For that, the field of education policy, the dialogue between different disciplines, the different approaches, themes and contexts of production will be discussed.

Avian borreliosis is a tick-borne acute septicemic disease that affects a variety of avian species and is caused by the bacterium Borrelia anserina. The present study aimed to establish the infection dynamics of B. anserina in experimentally infected Gallus gallus to determine its impact on the health and weight gain of the animals. Forty G. gallus were divided into four groups. Group 1 (G1) included 10 animals inoculated intramuscularly (IM) with 250?L of blood serum containing 3.7x106 spirochetes per milliliter. Group 2 (G2) included 10 animals inoculated IM with 250?L of saline 0.9%. Group 3 (G3) included 10 animals infested with four Argas miniatus nymphs (3rd instar) infected with B. anserina strain PL. Group 4 (G4) included 10 animals infested with four A. miniatus nymphs (3rd instar) free of infection by B. anserina. The number of spirochetes in the blood was directly proportional to the appearance of clinical signs and symptoms. This is the first study showing the experimental clinical evolution of the B. anserina PL strain in G. gallus. Additionally, the first assessments of spirochetaemia are presented, based on the direct count of bacteria in the serum by a Neubauer chamber, during the infection.

The number of homicides in Brazil has reached record numbers, and when the race/colour of the victims is considered-an extreme inequality is evident- with a particularly high number of deaths in black and brown populations. The goal of this work was to analyse homicide rates of black people in Brazil from the years 2000 to 2016, using generalized additive regression models, with a geo-spatial component. The statistics were applied to understand the social reasons for homicide risks in the black population in Brazil’s 26 states and Federal District with reference to the human development index and its components (education, longevity and income) as well as social inequality indices (Gini and Theil). This socioecological, epidemiological study to estimate the risk of homicide in the black population with a time series component, shows that this risk has increased linearly over time. Less longevity and low income correlated with a greater risk of homicide-while the Gini and Theil indices showed that in places where there are greater inequalities, there is also a higher risk of homicide in both black and non-black populations. The results - regarding the possibility of relating social indicators to homicide risk in the regional units under study, would support implementation of interventional public policy measures.

Due to the rapid and unrestrained growth of urbanization worldwide since the second half of the twentieth century, the global community is confronted with a broad spectrum of challenges. In response, the request for more sustainable cities developed in recent decades. Urban agenda setting, like the foundation of the UN-Habitat, emerged subsequently in the public policy process to countervail the negative impacts of the progress, especially in developing countries. The article wants to provide the reader with a brief introduction to global urban agendas in general and the New Urban Agenda (NUA) in specific, especially how they approach urban challenges. The analysis offers an overview of the context of the implementation of urban agendas and definitions of sustainability in its setting. Furthermore, it is examined, how non-binding doctrinaire documents like the NUA should be implemented on the regional and national levels. The challenges in implementing these urban agendas, the definition of sustainable urban agendas, and common international challenges are deconstructed and compared with the guiding principles of the NUA. The research question highlights potential approaches, how to improve the implementation of these agendas, and contributes to reducing the research gap of the global south in this regard. Therefore, as a case study, a closer look at the exemplary situation of the developing country Brazil, the local urban evolution, planning policies, and the local challenges are undertaken. To conclude, the challenges of the new urban era identified will be briefly reflected and possible pathways through alternative mechanisms, recommended by the NUA and other international guidelines, pointed out to foster implementation to the detriment of traditional local hard policy mechanisms.

Visceral Leishmaniasis (VL) is a neglected disease with increasing incidence in Brazil, particularly in the North-eastern. The aim of this study was to analyze the spatial and spatiotemporal dynamics of VL in an endemic region of North-eastern Brazil, between 2009 and 2017. Using spatial analysis techniques, an ecological and time series study was made regarding VL cases in Sergipe filed as notifiable disease events. With data from the Brazilian Institute of Geography and Statistics (Instituto Brasileiro de Geografia e Estatística, IBGE), a digital population and cartographic baseline was established. Segmented linear regression was used to examine the temporal trends. The statistical analysis methods of Global and Local Moran’ I, local Bayesian empirical methodology and spatial-temporal scanning were used to produce thematic maps. High instances were found among adults, males, urban residents, non-Whites and persons with low levels of education. A decrease in the recovery rate and an increase in the proportion of urban cases and lethality was found. A heterogeneous VL distribution with spatiotemporal agglomeration on the seaside of the state was seen in Sergipe. To better manage the disease, new research is encouraged together with development of public health strategies. Further, improving health care networks, especially primary care, is suggested as this approach has a key role in health promotion, prevention and monitoring of the most prevalent diseases.

This is an analysis of the risk of schistosomiasis transmission in the city of Recife in the Northeast of Brazil based on the number of schistosomiasis cases (Schistosoma mansoni) registered for the period 2007-2017 together with data resulting from active search of breeding sites of the Biomphalaria snail intermediate host. The analyses were performed using Kernel Density Estimation (KDE), SaTScan and Map Algebra methodology using human socio-demographic data and biotic and abiotic data from the snail breeding sites. Investigating 44 breeding sites resulted in a total of 3.800 snails, 31.8% of which were positive for S. mansoni DNA. These data were considered in relation to total of 652 schistosomiasis cases. The KDE showed two high-risk and two medium-risk clusters, while three significant clusters were identified by SaTScan. Combining these data with the Map Algebra methodology showed that all high-risk neighbourhoods had breeding sites with snails positive for S. mansoni. It was concluded that schistosomiasis transmission cannot be controlled without basic sanitation and sewage management in the presence of Biomphalaria snails. The technique of Map Algebra was found to be fundamental for the analysis and demonstration of areas with a high probability of schistosomiasis transmission.

Neglected tropical diseases characterized by skin lesions are highly endemic in the state of Mato Grosso, Brazil. We analyzed the spatial distribution of leprosy and Cutaneous Leishmaniasis (CL) and identified the degree of overlap in their distribution. All new cases of leprosy and CL reported between 2008 and 2017 through the national reporting system were included in the study. Scan statistics together with univariate Global and Local Moran’s I were employed to identify clusters and spatial autocorrelation for each disease, with the spatial correlation between leprosy and CL measured by bivariate Global and Local Moran’s I. Finally, we evaluated the demographic characteristics of the patients. The number of leprosy (N = 28,204) and CL (N = 24,771) cases in Mato Grosso and the highly smoothed detection coefficients indicated hyperendemicity and spatial distribution heterogeneity. Scan statistics demonstrated overlap of high-risk clusters for leprosy (RR = 2.0; P

Care for people diagnosed with schizophrenia and delusional disorders involves many challenges, especially in territorial contexts of pronounced social vulnerability. In Rio de Janeiro, the two decades after the passing of Federal Law 10,216 on Psychiatric Reform in 2001 have been characterized by the transition from a hospital-centered model to one based on community services. Taking the case of a community in Rio de Janeiro, data was extracted from the medical records of 94 patients diagnosed with schizophrenia, schizotypal disorders, and delusional disorders (ICD-10 codes F20 to F29) in five public health services. Covering the period from 2003 to 2016, indicators of the quality of treatment provided were analyzed. As a result of this transition, psychiatric hospitals have all but emptied and a low number of currently untreated patients can be observed. In addition, crisis care and long-term hospitalizations have been replaced by territorial care, and clinical comorbidities are monitored and treated at Family Health Units. [ABSTRACT FROM AUTHOR]

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Neospora caninum is a protozoan that causes reproductive disorders in herbivores. Domestic and wild dogs have been considered its definitive hosts, and when these animals are affected, they may suffer from a neuromuscular disease. Recently, this infection has also gained significance in small ruminants. Although neosporosis is already a proven cause of mortality in lambs and congenital infection can occur, this parasite has only recently been considered a cause of abortion in these animals. The aim of this study was to detect anti-N. caninum antibodies in slaughtered sheep. Serum samples (n = 100) collected in a slaughterhouse located in the municipality of Palmeira dos Índios (09°24’26” S and 36°37’39” W), state of Alagoas, northeastern Brazil, were used in this study. Anti-N. caninum antibodies were detected by means of the Immunofluorescence Antibody Test (IFAT). The cut-off point was set at 50 and samples were titrated up to 800. Anti-N. caninum antibodies were detected in 13% (13/100) of the tested samples, 7.69% of which came from male sheep (1/13) and 92.31% (12/13) from females. Titers ranged from 50 to 800, with the majority of animals (46.15%; 6/13) presenting the maximum one (i.e., 800). Data herein reported demonstrated the circulation of N. caninum parasites among sheep in the study area. These findings are pivotal to improve the knowledge about the dynamics of this pathogen in an ovine population. Therefore, it is crucial to adopt sanitary measures to prevent infection by this parasite and thus reduce its economic impact on ovine production.

Human Immunodeficiency Virus (HIV) infection still represents an important public health problem, because it involves clinical, epidemiological, social, economic and political issues. We analyzed the temporal and spatial pattern of the HIV incidence in an area of social inequality in northeast Brazil and its association with socioeconomic indicators. An ecological study was carried out with a focus on all HIV cases reported in Alagoas State, Northeast Brazil from 2007 to 2016 using its 102 municipalities as the units of our analysis. Data from the Brazilian information systems were used. Georeferenced data were analyzed using TerraView 4.2.2 software, QGis 2.18.2 and GeoDa 1.14.0. Time trend analyses were performed by the Joinpoint Regression software and the spatial analyses included the empirical Bayesian model and Moran autocorrelation. Spatial regression was used to determine the influence of space on HIV incidence rate and socioeconomic inequalities. There was an increasing trend of HIV rates, especially in the municipalities of the interior. Significant spatial correlations were observed with the formation of clusters with emphasis on the coast of the state and in tourist regions. Spatial regression explained 46% of the dependent variable. The HIV incidence rate was positively influenced by rate of primary health care units (P=0.00), and negatively by Gini index (P=0.00) and proportion of heads of household without or low education (P=0.02). We conclude that the relationship found between indicators of better socioeconomic conditions and HIV infection suggests unequal access to the diagnosis of infection. Prevention and control strategies can be established according to each epidemiological reality.

As of 16 May 2020, the number of confirmed cases and deaths in Brazil due to COVID-19 hit 233,142 and 15,633, respectively, making the country one of the most affected by the pandemic. The State of São Paulo (SSP) hosts the largest number of confirmed cases in Brazil, with over 60,000 cases to date. Here we investigate the spatial distribution and spreading patterns of COVID-19 in the SSP by mapping the spatial autocorrelation and the clustering patterns of the virus in relation to the population density and the number of hospital beds. Clustering analysis indicated that São Paulo City is a significant hotspot for both the confirmed cases and deaths, whereas other cities across the state were less affected. Bivariate Moran’s I showed a low relationship between the number of deaths and population density, whereas the number of hospital beds was less related, implying that the fatality depends substantially on the actual patients’ conditions. Multivariate Local Geary showed a positive relationship between the number of deaths and population density, with two cities near São Paulo City being negatively related; the relationship between the number of deaths and hospital beds availability in the São Paulo Metropolitan Area was basically positive. Social isolation measures throughout the State of São Paulo have been gradually increasing since early March, an action that helped to slow down the emergence of the new confirmed cases, highlighting the importance of the safe-distancing measures in mitigating the local transmission within and between cities in the state.

As technology continues to evolve at an exponentially increasing pace, it transforms our lives and societies, thus shaping our perceptions of reality with high speed and impacting the relationship between the individual and the society, including businesses and, as a result, the legal system. The young area of law is trying to explore the effects of new technologies in our relationships with it, as well as identify the best use of new technologies to reduce the gap among new technology, new societal behaviors and various legal systems. The purpose of this paper is to examine the current uses of wearable technologies in Brazil and the legal issues emerging from the various uses of these technologies and their impact on personality rights. So, to what extent do the Brazilian users of emerging technologies appreciate the terms and conditions agreed by themselves and their impact on personality rights? The authors used empirical quantitative data from a cross-section of Brazilian users to explore the level of awareness in regards to the terms and conditions associated with the use of emerging technologies and the impact on their personality rights. The authors found that the large majority of these users of technology are unaware of the adverse impact of the agreed terms and conditions on their personality rights. Furthermore, they are also unaware of the basics of how the technology operates and therefore are unable to enforce their rights. The research is based on data collected by using only one survey with a sample of 500 students from three universities in three Brazilian States with an age range between 18 and 40 years old. This paper extends the previous research on the impact of emerging technologies on personality rights and demonstrates with empirical data that there is a serious risk of erosion of such rights. Furthermore, this research provides a unique insight into the users of emerging technologies in the emerging Brazilian market and the impact on the Brazilian legal system.

In Brazil’s post-neoliberal government, social policies became the bedrock for a new political economy predicated on poverty alleviation via market inclusion. This article draws from long-term ethnographical research conducted among beneficiaries of Minha Casa Minha Vida—Brazil’s largest housing policy. I am interested in the myriad ways policy designs and its contentious operation symbiotically reshape sociability and kin among first-time homeowners. I take a closer look at how ideas and configurations of the family travel across intimate and public domains—from communitarian politics to household economies—and are anxiously negotiated, becoming the indexer of experiential moral systems of care. Transitioning across multi-scalar instances of everyday sociality, I interrogate how such economies conflate with the infrastructures and pervasive imaginaries of the house in the local machineries of the policy.

In the final decades of the nineteenth century, immigrants from Italy arrived at southern Brazil in search of new perspectives of life. Among culinary traditions brought by them are ways of baking, since bread is a culturally important food in the ways of life of this and other ethnic groups. Considering this context, present article proposes to register traditional processes of baking in São Gotardo, Caxias do Sul, Brazil, where Italian-descendants still use clay oven and non-industrial yeasts. It’s important to consider that São Gotardo is located in the tourist region of the Serra Gaucha, and gastronomic offer can turn out to be a differential in the dispute to attract tourists to this place. Methodology was supported by participant observation, with interview, photographic record and notes in research diary, as well as baking workshops for demonstration and registration of recipes and bread preparation techniques, attended by four old women from the community who still produce the yeast itself, for use in domestic baking. As a result, it is possible to note that there is permanence of traditions associated with the eating habits of Italian-Brazilian families of São Gotardo, through making of bread with potato and apple yeast, and the rituals that surround it. In this way, it is understood that the material and symbolic patrimony present in bread can constitute a product of tourist consumption based on the local gastronomic identity.