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Resumo Introdução: Fatores socioeconômicos e demográficos dos municípios podem afetar os serviços da atenção primária, influenciando na satisfação dos usuários. Objetivo: Verificar a relação entre a satisfação do usuário com a atenção primária e as condições socioeconômicas e demográficas dos municípios brasileiros. Método: Estudo transversal baseado nas entrevistas de usuários das equipes de atenção básica participantes do 2º Ciclo do Programa Nacional de Melhoria do Acesso e da Qualidade da Atenção Básica, realizado em 2013 e 2014. A análise da satisfação do usuário considerou questões organizacionais e aspectos assistenciais. A avaliação foi distribuída em seis estratos municipais, considerando fatores socioeconômicos e demográficos. Realizou-se análise de variância objetivando comparar as médias de satisfação dos usuários entre os estratos. Resultados: Usuários de municípios com pior condição socioeconômica e população menor que 10 mil habitantes apresentaram maior satisfação que a média em relação à maioria dos aspectos organizacionais. Nas questões assistenciais, participantes de municípios com melhor condição socioeconômica ou com população maior que 500 mil habitantes se mostraram mais satisfeitos em relação ao cuidado do diabetes e da hipertensão arterial. Conclusões: A satisfação dos usuários é maior nas questões organizacionais do que nas subdimensões assistenciais, ensejando a necessidade de investimento para melhorar a prestação do cuidado.

Background Technological devices can support nursing home employees; however, their perspective is not sufficiently studied. Our aims were thus to (a) examine affinity for technology and technology interaction and related sociodemographic confounders, as well as (b) detect possible requirements and boundary conditions relevant for the development and implementation of assistive technologies among nursing home employees. Methods We conducted an online survey between May and July of 2022 among 200 nursing home employees in Germany. The survey included two questionnaires, that is, Affinity for Technology Interaction (ATI) and Affinity for Technology—Electronic Devices (TA-EG; subscales TA-EG-Enthusiasm, TA-EG-Competence, TA-EG-Positive Consequences, and TA-EG-Negative Consequences), as well as sociodemographic variables, that is, age, gender, professional groups, education/graduation level. We carried out factorial variance and multiple regression analyses. Results There were differences between age groups in ATI (lower score with increasing age) and between gender, age, and professional group in TA-EG (lower score for females, participants with higher ages, and nursing home managers). Predictors of ATI were age and professional group, predictors of TA-EG, TA-EG-Enthusiasm, and TA-EG-Competence were gender, age, and professional group. Predictors of TA-EG-Positive Consequences were education and professional group. Conclusions We observed rather high affinity for technology and technology interaction values overall, and particularly for nursing home employees compared to managers. Significant predictors for technology affinity and interaction may have important implications, for example the perspectives of nursing home employees and managers should be considered separately in the technological design, development, and implementation process. Furthermore, an open dialogue between all stakeholders should be encouraged to increase the probability of actual technology use.

Objective The term consumer health technologies we use in this paper refers to fitness and health apps, wearables and other self-tracking devices that collect health-related data. Our paper aims to bridge the gap between the growing literature base of sociological research and ethical reflection on the (non-intended) effects of consumer health technology use on the psycho-social level, such as stress, responsibilization or a loss of intuitive sense for signs of health or illness. Special consideration should be given to vulnerable individuals, as the positive and negative effects of consumer health technology use may be unequally distributed. This perspective may help to guide policymaking and the responsible development of consumer health technologies. Methods Using a narrative review approach, we refer to empirical and theoretical studies dealing with user types and effects related to the use of consumer health technologies. We provide an overview of consumer health technology user typologies and evidence of the unintended psycho-social effects of consumer health technology use. On this basis, we propose a user typology that may serve as a future tool for ethical reflection on negative side effects. Results Evidence of the potential negative side effects of consumer health technology use, as presented in the literature, is inconclusive due to the high diversity of consumer health technology users and the way they use consumer health technologies. Our proposed user typology aims to more comprehensively document the diversity of users by incorporating the way in which users identify with and use their self-tracked data, attitudes towards the new technology and social interactions via consumer health technologies, and the purpose and self-determinedness of consumer health technology use. Conclusions More systematic and quantitative empirical research on the effects of consumer health technology use in diverse settings and with diverse user types is necessary to inform public health policy. In addition to evidence-based certification of medical consumer health technologies, more practical and flexible ways to protect users from side effects may have to be developed and adopted, especially regarding the increasing number of non-medical consumer health technologies.

In den Bürgerwissenschaften, auch bekannt unter dem englischen Begriff Citizen Science, existiert eine Vielzahl an Forschungsansätzen und Methoden. Während diese in vielen wissenschaftlichen Disziplinen gut etabliert sind, finden sich augenscheinlich relativ wenige davon in der medizinischen und Gesundheitsforschung. Allerdings zeigt ein Blick in die Praxis, dass bürgerwissenschaftliche Ansätze in der Medizin und Gesundheitsforschung durchaus praktiziert werden, jedoch häufig unter anderen Namen. Der Artikel bietet aus interdisziplinärer Perspektive einen (selektiven) Überblick über Begriffe, reflektiert diese und die dahinterstehenden Methoden und diskutiert sie vergleichend. Im Fokus steht dabei der Grad der Beteiligung der Bürger*innen bzw. Patient*innen an wissenschaftlicher Forschung.

Ornithonyssus bursa (Berlese, 1888), also known as the tropical fowl mite, is a blood-feeding ectoparasite of domestic and wild birds. It is considered a serious pest to poultry in warm and tropical climates and has been reported to attack humans, causing gamasoidosis. Avian-mite dermatitis may be difficult to recognize and misdiagnosed as bites from other arthropods. The present report describes two cases of human dermatitis linked to O. bursa infestation. Both cases occurred in an apartment in a residential area in Oeiras, Portugal, where two members of the same family presented with pruritic erythematous skin eruptions disseminated over their body over a period of 4 months. The lesions were located mostly in the pelvic, gluteal, coccygeal, and perineal regions, and also on the neck, wrists and torso. On inspecting the mattresses and the covers of the bedrooms, three mites ~1 mm long by 0.5 mm wide were found. The three specimens were identified as O. bursa. Investigations tracing back the source of infestation, revealed that the mites were carried over from chickens raised 45 km away (Sesimbra, Setúbal) that, after being slaughtered for consumption, had been transported by car to the apartment in Oeiras. The chickens were farmed in an open backyard henhouse that allowed free access to several species of wild birds, including pigeons (Columba livia), turtle doves (Streptopelia decaocto), and sparrows (Passer domesticus). Recent reports suggest that O. bursa may be established in Mediterranean countries, increasing the risk of gamasoidosis. This is the first record linking O. bursa infestation of chickens with human dermatitis in continental Portugal. More research is needed to assess the extent of poultry infestation and evaluate the possible implications for the poultry industry, as well as for human health in Portugal.

The authors present the case of a 27-year-old patient who suffered from spontaneous bleeding during infancy and from a severe and central venous thrombosis in adult years. The patient underwent a thorough laboratory work-up on both occasions and was diagnosed with hypofibrinogenaemia as well as protein S deficiency, 2 diseases that contrast in their intrinsic bleeding/thrombotic risk. The patient´s high-risk pregnancy was carried out up to a successful full-term eutocic delivery which required fibrinogen concentrate to reduce life-threatening bleeding. The patient´s child was also diagnosed with hypofibrinogenaemia, later on confirmed with the pathogenic mutation Fibrinogen Marseilles II. This case was used to conduct a literature review of congenital fibrinogen disorders, rare entities that require more awareness for early diagnosis and accurate management.

Objetivo: Caracterizar os hábitos de lazer dos praticantes de musculação do Laboratório do Exercício da Universidade Estadual de Montes Claros - Unimontes. Material e métodos: Estudo descritivo, transversal e possui natureza exploratória. A amostra foi composta por 99 indivíduos praticantes de musculação sendo 33 do sexo masculino e 66 do sexo feminino, com idades entre 20 aos 48 anos com mais de seis meses de treino (não atletas), realizada em um único estágio (academia). Para a coleta de dados, utilizou-se um questionário autoaplicável com variáveis relativas à hábitos de lazer. Analisados através da estatística descritiva, utilizando os programas Excel e Statical Package for Social Science (SPSS), versão 18.0. Resultados e discussão: Participaram da pesquisa 99 alunos, 33,3% do sexo masculino e 66 66,6% do sexo feminino. Aproximadamente 50% dos participantes apresentaram renda de até dois mil reais, e 80,8% deles relataram ainda estar estudando. Os jovens praticantes de musculação frequentadores da academia têm o lazer lúdico como preferência. Quanto aos tipos de lazer em relação a residência dos investigados, foi constatado que quem mora em quitinete praticam o lazer lúdico e quem reside em casa ou apartamento próprio preferem o lazer hedônico. Conclusão: os resultados evidenciaram que os hábitos de lazer nos praticantes de musculação possuem o lazer lúdico com maior escore. ABSTRACT Adult leisure habits of bodybuilding practitioners Objective: To characterize the recreation habits of bodybuilders of the Exercise Laboratory of the State University of Montes Claros - Unimontes. Material and methods: This is a descriptive, transversal study and exploratory nature. The sample consisted of 99 bodybuilders, 33 males and 66 females, aged 20 to 48 years with more than six months of training (non-athletes), performed in a single stage (gym). For the data collection, a self-administered questionnaire was used with variables related to recreation habits. Analyzed through the descriptive statistics, using the programs Excel and Statical Package for Social Science (SPSS), version 18.0. Results and discussion: 99 students participated in the study, 33.3% males and 66 (66.6%) females. Approximately 50% of the participants presented income of up to two thousand reais, and 80.8% of them reported they were still studying. The young bodybuilders attending the gym have playful recreation as their preference. Regarding the types of recreation in relation to the residence of the investigated, it was found that those who live in kitnet practice play recreation and those who live in their own house or apartment prefer hedonic receation. Conclusion: the results evidenced that the recreation habits in the bodybuilders have the recreational leisure with higher score.

O artigo parte de pesquisa para elaboração de metodologia que auxilie na identificação e representação gráfica de imagens urbanas sob luz natural. Tem como objetivo mostrar métodos e ensaios elaborados no Centro da Cidade do Rio de Janeiro, destacando limites inerentes à complexidade da atividade e a importância da percepção visual como balizadora dos julgamentos ao longo do processo.Instrumentos acessíveis ao estudante de arquitetura e ao arquiteto e urbanista, empregados regularmente no levantamento de informações sobre o contexto ambiental urbano, visando o projeto, foram utilizados. O roteiro metodológico dos ensaios seguiu os seguintes passos: I. visitas à área de estudo com registros preliminares; II. identificação de variações da iluminação natural no que diz respeito à trajetória solar e condições de nebulosidade; III. levantamento de aspectos históricos e culturais do lugar; IV. elaboração de dados primários – fotografias e desenhos, in loco; V. elaboração de dados secundários e representativos – paletas de cores. VI. análise dos resultados.No artigo são discriminados os grupos de elementos considerados representativos na apreensão visual do lugar estudado – edificações, mercadorias e pessoas; os fundamentos e métodos associados à suas representações gráficas; resultados parciais de alguns ensaios e destaques relativos a recursos e instrumentos. PALAVRAS-CHAVE: cor na cidade; percepção visual da cor sob luz natural; cores do Saara – RJ.

The United Nations Convention on the Rights of Persons with Disabilities (CRPD) is an international treaty that aims to promote, protect and ensure the rights of persons with disabilities so that they can fully participate in society and enjoy the same freedoms and opportunities as others. It provides an important framework for the inclusion of persons with disabilities with the help of Assistive Technologies (AT). This paper assesses and compares the implementation of the CRPD with regards to the availability of AT in four countries (Germany, Hungary, Portugal and Sweden), which to some extent represent different European regions. The paper is based on a review of relevant academic literature, the DOTCOM database and regulatory documents as well as on five validation interviews with national experts. In the countries studied, anti-discriminatory and other legislation is included at the highest level of the legal framework and contains detailed rules on definitions, remedies and legal procedures. There are specific prohibitions in several fields, such as employment, housing, and healthcare. Nonetheless, there are still cases of non-compliance with the CRPD and of laws and regulations which discriminate against persons with a disability. Additionally, there are great variations between countries. As very positive examples of favourable regulatory frameworks for furthering inclusion with the help of ATs do exist, there may be benefit in raising awareness of such examples to support other countries in developing their own measures.

Against the background of recent international regulation, the role of assistive technologies in the fields of independent living, education, and employment is analyzed in this article to propose a future strategy for a socio-technical perspective on their further development processes. Based on qualitative expert interviews at the European level, the role and scope of ATs in these fields are described for three types of disabilities: visual impairment, hearing impairment, and autism spectrum disorder. The findings show that digitalization processes entail major opportunities and challenges for ATs in all three fields and that further measures are needed to bring technical opportunities to their full potential in adverse social contexts. Regarding future technology development, the authors propose a development strategy focusing strongly on the social context of the devices. Only in this manner, relevant “unintended consequences”, as well as social or ethical concerns, can be identified and addressed.

PURPOSE: To evaluate the prognostic factors for patients with local or locally advanced prostate cancer treated with external beam radiotherapy (RT) and high dose rate brachytherapy (HDR) according to the RTOG-ASTRO Phoenix Consensus Conference. MATERIALS AND METHODS: The charts of 209 patients treated between 1997 and 2005 with localized RT and HDR as a boost at the Department of Radiation Oncology, AC Camargo Hospital, Sao Paulo, Brazil were reviewed. Clinical and treatment parameters i.e.: patient's age, Gleason score, clinical stage, initial PSA (iPSA), risk group (RG) for biochemical failure, doses of RT and HDR were evaluated. Median age and median follow-up time were 68 and 5.3 years, respectively. Median RT and HDR doses were 45 Gy and 20 Gy. RESULTS: Disease specific survival (DSS) at 3.3 year was 94.2%. Regarding RG, for the LR (low risk), IR (intermediate risk) and HR (high risk), the DSS rates at 3.3 years were 91.5%, 90.2% and 88.5%, respectively. On univariate analysis prognostic factors related to DSS were RG (p = 0.040), Gleason score ≤ 6 ng/mL (p = 0.002), total dose of HDR ≥ 20 Gy (p < 0.001) On multivariate analysis the only statistical significant predictive factor for biochemical control (bNED) was the RG, p < 0.001 (CI - 1.147-3.561). CONCLUSIONS: Although the radiation dose administered to the prostate is an important factor related to bNED, this could not be established with statistical significance in this group of patients. To date , in our own experience, HDR associated to RT could be considered a successful approach in the treatment of prostate cancer.

OBJETIVOS: determinar a prevalência de sobrepeso e obesidade entre pré-escolares de duas escolas particulares em Recife. MÉTODOS: realizou-se um estudo de corte transversal com 230 pré-escolares matriculados em duas escolas particulares de Recife, no ano de 2000. Foram classificadas como portadoras de sobrepeso as crianças com índice peso/estatura entre +1 a +2 escores z e, como obesas, aquelas com peso/estatura acima de +2 escores z. RESULTADOS: as prevalências de sobrepeso e obesidade foram de 22,6% e 11,3%, respectivamente. Entre as crianças do sexo feminino, a prevalência de sobrepeso foi de 27,0% e a de obesidade foi de 9,8%. No sexo masculino, a prevalência de sobrepeso foi de 17,6% e a de obesidade foi de 13,0%. CONCLUSÕES: as prevalências de sobrepeso e obesidade foram elevadas nesse grupo de pré-escolares, provenientes em sua maioria de famílias de classe socioeconômica média e alta. O pediatra deve estar atento para a crescente prevalência da obesidade infantil, a fim de atuar na prevenção, diagnóstico e tratamento dessa condição.OBJECTIVES: to determine overweight and obesity prevalence of preschool children in two private schools in Recife. METHODS: cross-sectional study of 230 preschool children enrolled in two private schools in Recife, in 2000. Overweight was defined as weight-for-height between +1 and +2 z scores, and obesity as weight-for-height above +2 z scores. RESULTS: prevalence rates were 22,6% for overweight and 11,3% for obesity. Among female children, overweight prevalence was 27,0% and obesity prevalence was 9,8%. Among males, overweight prevalence was 17,6% and obesity prevalence was 13,0%. CONCLUSIONS: overweight and obesity prevalence were high among preschool children from high income families. Pediatricians must be aware of the increasing prevalence of childhood obesity to be able to prevent, diagnose and treat this condition.

OBJETIVOS: determinar a prevalência de sobrepeso e obesidade em adolescentes de uma escola pública de Recife, Pernambuco, Brasil. MÉTODOS: realizou-se um estudo de corte transversal com 211 adolescentes de uma escola pública de Recife, no ano de 2000. Sobrepeso foi definido como Índice de Massa Corporal igual ou superior ao percentil 85 e inferior ao percentil 95, para idade e sexo. Obesidade foi definida como Índice de Massa Corporal igual ou superior ao percentil 95. RESULTADOS: as prevalências de sobrepeso e obesidade foram de 6,2% e 5,7%, respectivamente. Não houve diferença estatisticamente significante nas prevalências de sobrepeso e obesidade entre os sexos. A prevalência de sobrepeso no sexo masculino foi de 6,6% e, no feminino, 5,6% (p = 0,99). A prevalência de obesidade foi de 6,7% no sexo feminino e de 4,9% no sexo masculino (p = 0,79). CONCLUSÕES: as prevalências de sobrepeso e obesidade entre os adolescentes estudados não alcançaram a magnitude observada nos países desenvolvidos. Contudo, devem ser valorizadas, devido ao risco de obesidade persistente na idade adulta e às diversas condições mórbidas associadas à obesidade.OBJECTIVES: to determine the prevalence of overweight and obesity in students from a public school in Recife, Pernambuco, Brazil. METHODS: a cross sectional study was performed with 211 adolescents from a public school in Recife, in 2000. Overweight was defined as a Body Mass Index equal or above the 85th percentile and below the 95th percentile. Obesity was defined as a Body Mass Index equal or above the 95th percentile. RESULTS: an overweight prevalence of 6,2% and an obesity prevalence of 5,7% were found. There was not a statistically significant difference in overweight and obesity prevalences between males and females. Overweight prevalence was 6,6% in the male sex and 5,6%, in females (p = 0,99). Obesity prevalence was 6,7% in female adolescents and 4,9% in males. CONCLUSIONS: the overweight and obesity prevalences found in this study did not reach the magnitude observed in developed countries, but they deserve attention because of the risk of persistent obesity in adulthood and its association with several morbid conditions.