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- ItemConcepção sobre deficiência entre profissionais de centros especializados em reabilitação do estado do Espírito Santo(Universidade Federal do Espírito Santo, 2024-05-24) Zuqui, Aline Cáus; Sarti, Thiago Dias ; https://orcid.org/0000-0002-1545-6276; http://lattes.cnpq.br/7489127535403969; https://orcid.org/0000-0003-2668-2452; http://lattes.cnpq.br/8146546682587271; Leite, Lúcia Pereira ; https://orcid.org/0000-0003-2401-926X; http://lattes.cnpq.br/3855053449114282; Sime, Mariana Midori; https://orcid.org/0000-0001-6589-9692; http://lattes.cnpq.br/1317884299993069; Poton, Wanêssa Lacerda; https://orcid.org/0000-0001-5849-0653; http://lattes.cnpq.br/1999728449252485; Andrade, Maria Angélica Carvalho; https://orcid.org/0000-0002-3690-6416; http://lattes.cnpq.br/5427520110626795The International Classification of Functioning, Disability and Health (ICF) revolutionizes the understanding of functioning and disability by emphasizing the interaction between health problems and contextual factors. However, historically, different concepts of disability have spread in society and influence how people with disabilities are viewed and treated. The metaphysical (religious) conception considers that the causes of disability are related to supernatural forces, divine punishment, or protection. The biological conception is based on the biomedical model of health and understands disability from the perspective of active pathology, injury, or functional impairment, which cause a negative experience. The social model views disability as a condition of human difference and considers it a mismatch between the body and the environment, seeing it as a societal rather than an individual issue. With the establishment of the Care Network for Persons with Disabilities in the Brasilian Public Health System, the Specialized Rehabilitation Centers (CER) have become specific points of attention for the health care of people with disabilities. Currently, the state of Espírito Santo (Brazil) has six accredited CERs, and it is expected that the professionals in these services understand disability from the biopsychosocial model of the ICF, promoting inclusion and participation of this population in life processes. Thus, the general objective of this study is to understand how professionals in the CERs of the state of Espírito Santo conceive disability. The specific objectives were to describe the different conceptions of disability among professionals working in rehabilitation; relate the conceptions of disability of professionals working in rehabilitation to their professional profiles; outline the profile of professionals working in the CERs of the state of Espírito Santo; and perform a psychometric analysis of the Escala Intercultural de Concepções de Deficiência - EICD (Intercultural Scale of Conceptions of Disability) for use in the Specialized Rehabilitation Centers. A cross sectional, exploratory, quantitative study was conducted with professionals from CERs in the state of Espírito Santo. The research instrument was sent via the online platform Google Forms and consisted of sociodemographic questions, professional profile, academic background, type of professional activity in the CER, and the EICD. Eighty-six professionals participated in the study, 61 females and 25 males, with an average age of 39.9 years. Most participants tend to agree with the social and biological conceptions of disability and disagree with the religious conception. The alignment with the social conception of disability is an advancement, yet the biological conception remains prevalent, highlighting a difficulty in overcoming the biomedical model. Although the majority of professionals disagree with the metaphysical conception, 1/3 of the participants tend to agree with it. Comparison analyses showed that male participants tended to disagree with the metaphysical conception, while female participants disagreed. CERs in rural areas tended to disagree with the metaphysical conception, while in the metropolitan region there was disagreement. Rehabilitation professionals disagreed with the metaphysical conception, whereas other professionals tended to disagree. The EICD proved to be a reliable instrument for measuring disability conceptions among CER workers. The results prompt a reflection on how these conceptions can affect practices that do not prioritize individuals' potential, reinforcing an understanding of disability as an individual issue
- ItemNotificações da COVID-19 no Espírito Santo : entre matérias jornalísticas e dados oficiais(Universidade Federal do Espírito Santo, 2024-04-05) Novais, Paulo Vinicius Cordeiro; Laranjeira, Álvaro Nunes ; https://orcid.org/0000-0002-7849-398X; http://lattes.cnpq.br/6011128297358005; Santos Neto, Edson Theodoro dos ; https://orcid.org/0000-0002-7351-7719; http://lattes.cnpq.br/5430137427291413; https://orcid.org/0009-0001-5471-1129 ; http://lattes.cnpq.br/3162587208548225; Oliveira, Adauto Emmerich ; https://orcid.org/0000-0002-9679-8592; http://lattes.cnpq.br/1534956621971641; Antunes, Michele Nacif ; https://orcid.org/0000-0001-8500-8930; http://lattes.cnpq.br/3609074191115313The media plays a crucial role in setting the public agenda by highlighting and prioritizing certain issues. In the realm of digital media, the speed of information dissemination and the nearly infinite possibilities of reaching individuals make it a powerful tool, especially during times of social upheaval like a pandemic. This study aimed to analyze journalistic communication through the flow of news articles and its relationship with the epidemiology of COVID-19 cases in Espírito Santo, Brazil, from 2020 to 2021.To gather news articles, a robotic capture system, SIGCOVID-19, was employed, resulting in a total of 13,121 articles. After applying inclusion and exclusion criteria, 783 articles remained and were entered into Research Electronic Data Capture (REDCap) using a pre-existing protocol. The number of new COVID-19 cases obtained, 633,014, was organized by epidemiological week and subsequently calculated for relative frequency, Spearman's correlation, and Pearson's chi-square test. While the year 2021 in isolation showed a moderate inverse correlation (p-value > 0.01), no significant correlation was observed between new COVID-19 cases and news coverage in the two years of study, contradicting previous studies on seasonal epidemic diseases. Regarding editorial characteristics, significant differences were observed in the variables Format - Opinion Space (p-value = 0.042), Editorial Elements - Infographic (p-value = 0.041, with a reduction from 6.3% to 3%), Cited Source - Health Professional (p-value = 0.004 and a reduction from 16.9% to 11%), and Editorial Elements - Audio (p-value = 0.004, with an increase from 1.2% to 4%). There was a predominance of citations from Official/Government sources (86.2% of citations in the 2020-2021 biennium), followed by citations from Health Professionals (14.7% of citations). Despite the media's potential to instigate social change by setting the agenda for public discussion, the increase in the number of cases does not appear to have been a primary criterion for the production of news articles on the subject. The frequent emergence of other keywords such as "death," "obituary," and "mortality" raises questions about the newsworthiness criteria actually used in covering the COVID-19 pandemic in Espírito Santo
- ItemEfeito da Atenção Primária à Saúde na Associação entre Multimorbidade e Utilização dos Serviços de Emergência(Universidade Federal do Espírito Santo, 2024-04-26) Lamonato, Larissa Carolina Xavier Lacerda; Sarti, Thiago Dias; https://orcid.org/0000-0002-1545-6276; http://lattes.cnpq.br/7489127535403969; Almeida, Ana Paula Santana Coelho; https://orcid.org/0000-0001-5808-5818; http://lattes.cnpq.br/2570855705420190; https://orcid.org/0000-0002-0139-5193; http://lattes.cnpq.br/4193698743184247; Facchini, Luiz Augusto; https://orcid.org/0000-0002-5746-5170; http://lattes.cnpq.br/5795415938371676; Fontenelle, Leonardo Ferreira; https://orcid.org/0000-0003-4064-433X; http://lattes.cnpq.br/9234772336296638This study aimed to investigate the effect of Primary Health Care (PHC) on the association between multimorbidity and emergency service utilization among adults in Brazil. It is a cross-sectional study, based on national household data from the National Health Survey conducted in 2019. The study tapped into Poisson regression to assess emergency service utilization among individuals with multimorbidity. Additionally, it has implemented the evaluation of the interaction of variables such as Family Health coverage and orientation towards PHC in these associations. Regarding the main variables of the scope analyzed in this study, the prevalence of multimorbidity found was 31.2% (95%CI 30.9-31.5), Family Health coverage was 71.8% (95%CI 71.4-72.0), and low orientation of services towards PHC was 70% (95%CI 69.1-70.9). The outcome adopted here, which is the use of emergency services, had a prevalence of 2.0% (95%CI 1.9-2.0). Analyzing the prevalence of emergency service utilization among individuals with and without multimorbidity, it was observed that the prevalence was twice as high among those with multimorbidity (3.1; 95%CI 2.9-3.3) compared to those without this condition (1.4; 95%CI 1.3-1.5). However, it was observed that individuals with multimorbidity and Family Health coverage had a 20% lower prevalence of emergency service utilization than those with multimorbidity and without Family Health coverage (PR: 0.8; 95%CI 0.6-0.9). The association between emergency service utilization and the presence of multimorbidity was not modified by the assessment of the service as highly oriented towards PHC (p = 0.956). The study showed that PHC had a positive effect on the association between multimorbidity and emergency service utilization. However, the challenge imposed by multimorbidity on the healthcare system is evident. Therefore, further research on this topic is suggested to understand the impact of PHC on health outcomes in individuals with multimorbidity.
- ItemA Qualidade De Vida Nos Portadores De Diabetes Mellitus Do Tipo 2.(Universidade Federal do Espírito Santo, 2024-02-29) Mansur, Angelita Da Silva; Oliveira, Elizabete Regina Araújo de; https://orcid.org/0000-0002-6616-4273; http://lattes.cnpq.br/4671078095444887; Miotto, Maria Helena Monteiro de Barros; https://orcid.org/0000-0002-3227-7608; http://lattes.cnpq.br/4289442514763843; https://orcid.org/0000-0001-7484-8600; http://lattes.cnpq.br/1775022119700897; Calmon, Marcela Vieira; https://orcid.org/0000-0001-5936-7534; http://lattes.cnpq.br/8715667294079962; Lima, Rita de Cassia Duarte; https://orcid.org/0000-0002-5931-398X; http://lattes.cnpq.br/2384472795664270Diabetes mellitus is characterized as a public health problem due to the increasing of its incidence and prevalence. As it is a progressive disease, those affected tend to deteriorate their health over time, leading to the development of complications caused by poor glycemic control. This study aimed to assess the health-related quality of life, overall and considering its physical and mental components, and the possible associations with sociodemographic and clinical information of type 2 diabetes mellitus patients from a University Hospital in a southeastern capital of Brazil. This is an observational, cross-sectional analytical study. Data were collected from 300 patients through interviews that gathered sociodemographic and clinical information. The SF36 questionnaire was used to assess health-related quality of life, which is a generic instrument composed of 11 questions and 36 items, divided into eight domains. Analyses were performed using the T-test and multivariate logistic regression models, considering a confidence level of 95%. The scores obtained for the SF-36 domains showed that patients had a high score for quality of life associated with Social Aspects and a lower score for the Physical Functioning domain, indicating that patients' physical limitations negatively impact their quality of life. In the analysis of the relationship between the variables and SF-36 domains, for most of the variables, the difference between the means of the categories was statistically significant for the domains of Functional Capacity and Pain. Logistic regression results indicated that age, education level, and physical activity were variables that influenced the likelihood of obtaining better physical and mental quality of life. Additionally, in relation to physical quality of life, marital status was statistically significant. Identifying factors associated with the quality of life of patients with diabetes mellitus contributes to understanding the implications of the disease and may help bridge the gap between diagnosis and treatment adherence.
- ItemModulação autonômica do ritmo cardíaco em profissionais da segurança pública e sua interação com o estresse psicossocial(Universidade Federal do Espírito Santo, 2024-05-08) Pestana, Andressa Braz Carlini; Abreu, Luiz Carlos de; https://orcid.org/0000-0002-7618-2109; http://lattes.cnpq.br/6796970691432850; https://orcid.org/0000-0002-0031-3731; http://lattes.cnpq.br/5433642968185260; Leitão, Francisco Naildo Cardoso; https://orcid.org/0000-0001-7743-2512; http://lattes.cnpq.br/6042531738477010; Raimundo, Rodrigo Daminello; https://orcid.org/0000-0002-3043-0728; http://lattes.cnpq.br/8068391785334566Introduction: the work of the military police is extremely important in the context of public security, however this activity presents numerous daily challenges that have repercussions on the physical and mental health of these professionals and in the different spheres of personal and family life. A simple and non-invasive measure such as heart rate variability (HRV) is capable of analyzing the modulation of the autonomic nervous system and may suggest a malfunction of the physiological system, with HRV being a sensitive and early indicator of health impairment. Objective: to analyze the autonomic modulation of heart rate in professionals who perform military public functions in the state of Espírito Santo. Method: cross-sectional study in which 71 participants over 18 years of age who worked in a public military role in the state of Espírito Santo were evaluated from August to November 2022. Weight, height, body composition and HRV were collected, followed by modulation analysis, autonomous through Kubios® software. For this analysis, heart rate was recorded beat by beat with individuals in the supine position for 25 minutes using a heart rate monitor. HRV indices were calculated using linear methods in the time and frequency domains, and by non-linear methods. The data were analyzed by comparing men and women, age groups 25 to 34 years and 35 to 54 years and BMI groups considered adequate (18.5 to 24.9 kg/m2), overweight (25.0 to 29.9 kg/m2 ) and obesity (> 30.0 kg/m2 ). Results: statistically significant differences were observed in the following variables between men and women SDNN (p=0.006), RMSSD (p=0.028), SD1 (p=0.001) and SD2 (p=0.017). Between the different BMI ranges SNS (p=0.031), Average RR (p=0.012) and Average HR (p=0.025) and in the different age groups PNS (p=0.007), SI (p=0.0034), SDNN (p=0.004), RMSSD (p=0.0013), SD1 (p=0.0013) and SD2 (p=0.0093). These variables were effective and sensitive in identifying differences in cardiac autonomic modulation between men and women. Frequency domain components (VLF, LF and HF) did not show significant differences. Conclusion: women had greater vagal tone and global HRV compared to men. Individuals classified as obese had greater sympathetic activity and individuals between 35 - 54 years of age had lower vagal tone and lower global HRV.