The COVID-19 pandemic has had a negative impact on socioeconomic and public health conditions of the population.
To measure the temporal evolution of COVID-19 cases in cities near the countryside ...outside metropolitan areas of northeastern Brazil and the impact of the primary care organization in its containment.
This is a time-series study, based on the first three months of COVID-19 incidence in northeastern Brazil. Secondary data were used, the outcome was number of COVID-19 cases. Independent variables were time, coverage and quality score of basic health services, and demographic, socioeconomic and social isolation variables. Generalizable Linear Models with first order autoregression were applied.
COVID-19 spreads heterogeneously in cities near the countryside of Northeastern Brazilian cities, showing associations with the city size, socioeconomic and organizational indicators of services. The Family Health Strategy seems to mitigate the speed of progression and burden of the disease, in addition to measures such as social isolation and closure of commercial activities.
The spread of COVID-19 reveals multiple related factors, which require coordinated intersectoral actions in order to mitigate its problems, especially in biologically and socially vulnerable populations.
This study estimated the biopsychosocial factors related to active physical behavior in the Brazilian population with and without chronic non-transmissible disease (NCD). Cross-sectional study of the ...National Health Survey (NHS) in Brazil, with 60,202 individuals in 2013. Participants were randomly selected by complex sampling. The outcome was physically active behavior measured by performing a minimum of 150 min of physical exercise per week. The independent variables were social and psychological characteristics, lifestyle and health. Cox regression was applied to estimate the prevalence ratio (PR). There are 29,666 (48.3%; 95% CI 47.0-50.0) participants reported having NCD. Not being a smoker or alcoholic, living in an urban area (PR = 1.44; CI95% 1.23-1.68/PR = 1.38; CI95% 1.08-1.75), having informal social support (PR = 1.26; CI95% 1.10-1.44/PR = 1.19; CI95% 1.05-1.34), A social class (PR = 0.43; CI95% 0.25-0.73/PR = 0.46; CI95% 0.26-0.80), high schooling (PR = 0.34; CI95% 0.23-0.51/PR = 0.33; CI95% 0.24-0.46) as well as paid work (PR = 0.87; CI95% 0.78-0.96/PR = 0.89; CI95% 0.79-0.99) are more associated with active lifestyle in both groups. However, only in the group without NCD, the male sex (PR = 1.42; CI95% 1.28-1.57), no having some disability (PR = 1.31; CI95% 1.03-1.66) and having private health insurance (PR = 1.26; CI95% 1.13-1.41) were more associated with active behavior, while in the group with NCD, being elderly (PR = 1.22; CI95% 1.05-1.42), not be white (PR = 0.85; CI95% 0.77-0.95) and not having restful sleep (PR = 1.23; CI95% 1.08-1.40) are associated with active lifestyle. People with and without NCD in Brazil have very close active behavior, however, some biopsychosocial factors such as: sex, age, lifestyle, socioeconomic level are unevenly associated with the active lifestyle in the groups. Thus, therapeutic or preventive proposals as well as public policies for health promotion must observe these distinctions when elaborating their actions.
Several factors affect sexual function, including cancer development and treatment. This study summarized the risk of women with cancer of developing sexual dysfunctions.
This systematic review was ...conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched the EMBASE, PubMed, LILACS, SciELO, CINAHL, Scopus, and Web of Science databases using the descriptors cancer, neoplasms, sexual dysfunction, sexual function, and women. The Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies assessed the quality of studies.
Sixteen studies were included in this review. Women with cancer presented sexual dysfunctions in 14 out of 16 included studies. The incidence of sexual dysfunctions ranged from 30% to 80%, while the risk of developing sexual dysfunction increased 2.7- and 3.5-fold in women with cervical and breast cancer, respectively.
Different cancer treatments increase the risk of developing sexual dysfunction in women, especially desire, arousal, and orgasm, leading to biopsychosocial changes in the health of this population.
Background SARS-CoV-2 causes the new coronavirus disease (COVID-19) and it is weakening all health systems. Therefore, the most vulnerable populations are exposed to harmful consequences, such as ...illness and death. Thus, this study aims to estimate the temporal effect of COVID-19 dissemination on social indicators of the Northeastern region of Brazil. Methods An ecological time-series study was developed with the following: diagnosed cases of COVID-19 in the largest inland cities of Northeast Brazil, Human Development Index (HDI), poverty incidence, and Gini coefficient. Cities with high HDI, poverty rate, and Gini presented a larger number of patients. Results It was observed by evaluating case trends that COVID-19 spreads unevenly in inland cities of the Northeastern region of Brazil. Conclusions In this sense, we emphasize that regional health managers should support small cities with vulnerable population and social assistance.
Road transport is one of the main contributors to increasing greenhouse gas (GHG) emissions, consequently aggravating global warming, but it is also one of the sectors that most suffer from climate ...change, which causes extreme weather events. Thus, strategies, also called adaptation measures, have been discussed to minimize the impacts of climate change on transport systems and their infrastructure; however, a knowledge gap is evident in the literature. Therefore, this article develops a systematic review with a bibliometric approach, still scarce in the literature, in renowned databases, focusing on studies developed on adaptation measures for road infrastructure. The results show that, since the development of the Fifth Assessment Report (AR5) of the Intergovernmental Panel on Climate Change (IPCC), an increasing amount of studies on the theme have been published in recognized journals such as Science of the Total Environment, Energy and Buildings and Urban Climate, analyzing climate threats such as intense precipitations and high temperatures that have led to biophysical impacts such as flooding and urban heat island. In addition, for each type of adverse weather condition, many impacts on road infrastructure can be listed, as well as ways to detect these impacts, and adaptation measures that can be used to minimize these problems.
This study aimed to verify the prevalence of low social support (LSS) and associated factors in women submitted to breast cancer (BC) treatment. A cross-sectional study was carried out with 101 ...female residents of the municipality of Natal (Northeast Brazil), diagnosed with BC and submitted to oncological treatment. Data collection took place between July/2015 and May/2016 from medical records and individuals' interviews, and from the Medical Outcome Study-Social Support Survey. Descriptive, bivariate and multivariate statistics were carried out through Poisson's regression with robust variance and significance level 0.05. Prevalence of LSS in women with BC was 22.8% with confidence interval 14.6-39.94. Type of access to public services (p < .03), prevalence ratio (PR) 1.84 and negative self-rated health (p < .001), PR 4.47 were associated with LSS. These results were obtained after adjustments by the variables age and presence of chronic diseases. The associations established herein could have been mostly related to fragilities of the Brazilian health system, and can contribute to the planning of actions directed to the studied population.
This research aims to design an implementation framework for Lean 4.0. First, we identify the synergy elements, barriers, critical success factors, and benefits of integrating Lean manufacturing (LM) ...practices and Industry 4.0 (I4.0) technologies. Second, we develop a Lean 4.0 framework proposal based on these results. Third, we refine and validate this framework based on lean practitioners’ participation from companies pursuing I4.0 initiatives. In last, we apply the Lean 4.0 framework in a sugar company. We perform a multi-method study employing a scoping review, a systematic literature review, one-to-one interviews, vignette cases with an expert panel, validation of the framework by practitioners, and implementation in an industrial company. We reveal 15 synergy elements based on ten I4.0 technologies and nine LM practices. Further, eight barriers, eight critical success factors, and four clusters based on 22 benefits are identified. Our findings support the proposition of a Lean 4.0 implementation framework and contribute to operations management research theory and practice. Our research addresses the gap regarding an in-depth theoretical study linking LM and I4.0 conjointly with an empirically validated artefact, aiming to integrate their best benefits synergistically. Besides that, our article uses a multi-method approach to building a system-oriented Lean 4.0 implementation framework based on General Systems Theory, containing clear guidelines for framework design and a plan-do-check-act cycle orientation.
Biogeographical regions (bioregions) reveal how different sets of species are spatially grouped and therefore are important units for conservation, historical biogeography, ecology, and evolution. ...Several methods have been developed to identify bioregions based on species distribution data rather than expert opinion. One approach successfully applies network theory to simplify and highlight the underlying structure in species distributions. However, this method lacks tools for simple and efficient analysis. Here, we present Infomap Bioregions, an interactive web application that inputs species distribution data and generates bioregion maps. Species distributions may be provided as georeferenced point occurrences or range maps, and can be of local, regional, or global scale. The application uses a novel adaptive resolution method to make best use of often incomplete species distribution data. The results can be downloaded as vector graphics, shapefiles, or in table format. We validate the tool by processing large data sets of publicly available species distribution data of the world's amphibians using species ranges, and mammals using point occurrences. We then calculate the fit between the inferred bioregions and WWF ecoregions. As examples of applications, researchers can reconstruct ancestral ranges in historical biogeography or identify indicator species for targeted conservation.
We report for the first time the snake
Thamnodynastes almae
Franco & Ferreira, 2002 in Piauí, northeastern Brazil. Our record is based on two specimens and comprises the 17th known locality for the ...species. The new record represents the northernmost and westernmost locality, at the limit between the Caatinga and the Maranhão Babaçu Forest ecoregions, and extends this species' geographic distribution 495 km from Milagres, state of Ceará. Updated distribution maps and images of preserved specimens are provided.
Abstract To investigate the biomechanical factors associated with patellofemoral pain in children and adolescents. A cross-sectional, population-based study conducted in Brazil from 2019 to 2023, ...involving students from public schools. Adjusted prevalence ratios and their respective 95% confidence intervals for the outcome in relation to independent variables were calculated for association analysis, adopting a significance level of 5%. Out of the total of 283 students, 152 were female and 182 were aged between 16 and 18 years old. A positive association was observed between the presence of patellofemoral pain and a poor movement quality in both lower limbs (right side: p = 0.04 and left side: p = 0.04) as well as with dynamic valgus of the left lower limb ( p < 0.01). Patellofemoral pain in children and adolescents is associated with poor movement quality in the lower limbs and dynamic valgus of the left lower limb. Actions targeting these biomechanical factors may be crucial for early diagnosis and clinical treatment of this disfunction.
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