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Abstract Background Cardiac anomalies are the most prevalent congenital malformations among live births in the world. In Brazil, it is estimated that nearly 25,757 new cases occur each year, and the Southeast region presents the highest prevalence, with 10 new cases/1,000 live births. Objective The aim of this study is to evaluate the epidemiology of congenital heart disease (CHD) in the state of São Paulo. Methods This is a cross-sectional and time-series observational study with data from the Brazilian Information System on Live Births. Heart-related cardiac malformation cases — International Classification of Diseases (ICD) 10th revision Q20.0 to Q24.9 — were selected from January 2010 to December 2018, in the state of São Paulo, Brazil. This study analyzed rates of malformations per year and investigated associated factors, using single and multiple logistic regression models. The significance level adopted in this study was 5%. Results The highest cardiac malformation rate was in the São Paulo metropolitan region (2.84:1000), while the lowest was found in the region of Franca (0.3:1000). The most frequent defect was interatrial communication (38.2%). The main associated factors observed in this study were prematurity of 22 to 27 weeks (OR=4,401 95% CI: 3,796-5,104) — CI: Confidence Interval; OR: Odds ratio —, mother's age between 35 and 49 years of age (OR=1,602 95% CI: 1,525-1,682), yellow race (OR=1,481 95% CI: 1,235-1,775), triple or more pregnancy (OR=1,438 95% CI: 1,004-2,060), and history of a dead child (OR=1,213 95% CI: 1,152-1,277). Conclusion The main factors associated with this outcome, which are part of the obstetric history of mothers, should be addressed and considered when pregnancy is a planned event.
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RESUMO: Os objetivos deste estudo foram analisar a atitude e a autoeficácia de professores de Educação física (EF) portugueses, determinar a relação entre as atitudes e a autoeficácia dos professores de EF em relação à inclusão de alunos com deficiência e avaliar o efeito das variáveis independentes (género, tempo de serviço docente, formação complementar em EF Inclusiva e docência ao aluno com deficiência nas aulas de EF e no Desporto Escolar) sobre as dimensões das atitudes e nas dimensões da autoeficácia. Participaram do estudo 115 professores de EF portugueses. Para analisar as atitudes, foram utilizadas a versão portuguesa do Multidimentional Attitudes toward Inclusive Education e a versão portuguesa do Self-Efficacy Scale for Physical Education Teacher Education Majors towards Children with Disabilities. Os resultados indicaram que, de uma forma geral, os professores de EF revelam atitudes mais positivas na dimensão comportamental e são mais confantes para ensinar alunos com deficiência intelectual. Identificaram-se relações positivas entre as diferentes dimensões das atitudes e da autoeficácia. Na análise comparativa das atitudes e da autoeficácia, observaram-se diferenças estatisticamente significativas nas dimensões cognitiva e de deficiência intelectual na variável "formação complementar em EF Inclusiva" e nas dimensões deficiência intelectual e visual na variável "Docência a alunos com deficiência". De um modo geral, os participantes reportaram atitudes positivas e são confantes em relação à inclusão de alunos com deficiência. A investigação futura deverá comparar as atitudes e a autoeficácia antes e após um programa prático de intervenção ao nível da EF inclusiva.
ABSTRACT: The objectives of this study were to analyze the attitude and self-efficacy of Portuguese Physical Education (PE) teachers, to determine the relationship between PE teachers' attitudes and self-efficacy regarding the inclusion of students with disabilities, and to evaluate the effect of independent variables (gender, length of teaching service, additional training in Inclusive PE and teaching students with disabilities in PE classes and School Sports) on the dimensions of attitudes and in the dimensions of self-efficacy. One hundred and fifteen Portuguese PE teachers participated in the study. To analyze the attitudes, the Portuguese version of the Multidimensional Attitudes to Inclusive Education was used, and the Portuguese version of the Self-Efficacy Scale for Physical Education Teacher Education Majors towards Children with Disabilities was used. The results indicated that, in general, PE teachers show more positive attitudes in the behavioral dimension and are more confident in teaching students with intellectual disabilities. Positive relationships were identified between the different dimensions of attitudes and self-efficacy. In the comparative analysis of attitudes and self-efficacy, statistically, differences were observed in the cognitive and intellectual disability dimensions in the variable "additional training in inclusive PE" and the intellectual and visual disability dimensions in the variable "Teaching students with disabilities". Overall, participants reported positive attitudes and are confident about the inclusion of students with disabilities in PE classes. Future research should compare attitudes and self-efficacy before and after a practical intervention program at the level of inclusive PE.
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Trata a proposta de um estudo qualitativo do sistema de produção e reprodução de saúde, privilegiando o componente organização tecnológica do trabalho, com o objetivo de compreender o conteúdo metafórico e nexos referentes ao significado da morte, presente na rede de relações que se estabelece no trabalho, na especificidade da assistência aos indivíduos com AIDS e acometidos de tuberculose. Diante da certeza incerta da morte, agem e reagem os sujeitos envolvidos, sujeitos clientes e sujeitos trabalhadores, buscando adequação ao enfrentamento humano de viver e estar doente, processando a morte por meio da condição biossocial de AIDS...
It is about the study proposal quality of production and reproduction health system, giving privilege to work technologycal organizational component, with the purpose of understanding the metaphorical content and branches, referring to the meaning of death, present in work relationships network, in how specific the support to individuals with AIDS and tuberculosis in. Facing the uncertain certainty of death, the agents which are involved - client agents and worker agents - searching for an adequacy to human fight in order to live and having sick, processing deatd through AIDS biosocial condition...
La propuesta trata del estudio cualitativo del sistema de producción y reproducción de la salud, privilegiando el componente de la organizción tecnológica del trabajo, com el objetivo de comprender el contenido metafórico y relaciones referentes a la significativa muerte, presentes em la red de relaciones que se estabelecen em el trabajo, em lo específico de la asistencia a los individuos com SIDA y atacados de tuberculosis. Delante de la certeza incierta de la muerte, proceden y reaccionan los sujetos envueltos, sujetos clientes y trabajadores, buscando adecuarse al enfrentamiento humano de vivir y estar enfermo, procesando la muerte por medio de la condición biosocial del SIDA...