Pesquisa do Observa Infância mostra que pouco mais de 30% das mães se informa sobre amamentação na internet

Levantamento do Comitê Gestor da Internet no Brasil realizado no final de 2023 indica que 84% da população do país tem acesso à internet. Mesmo diante desse número, apenas 34,5% das mães de crianças menores de cinco anos acessam a rede para se informar sobre amamentação, informa o Estudo Nacional de Alimentação e Nutrição Infantil de 2019 (ENANI-19), cuja base de dados foi disponibilizada em junho.

Processo de ensino e aprendizagem no período de suspensão das aulas presenciais em virtude da pandemia de COVID-19: estudo com professores / Teaching and learning process in the suspension period of classes in virtue of the COVID-19 pandemy: study with teachers / Proceso de enseñanza y aprendizaje durante el período de suspensión de clases presencial por la pandemia del COVID-19: estudio con docentes

Introdução: Sabe-se que durante o período da pandemia do COVID-19, escolas e professores precisaram adaptar-se com alternativas para dar continuidade às aulas. Objetivo: Investigar estratégias e recursos pedagógicos de aprendizagem adotados por professores da rede pública e/ou privada de ensino, do interior de um estado brasileiro, durante o período de suspensão das aulas presenciais, em virtude da Pandemia de Covid-19 e seus efeitos para estudantes com e sem dificuldades de aprendizagem. Método: Aplicação de questionário on-line utilizando a ferramenta Google Forms para 37 professores atuantes do 1° ao 5° ano da rede pública e/ou privada no interior do estado, que tenham trabalhado remotamente durante a Pandemia no período de suspensão das aulas presenciais. Esse material continha questões de múltipla escolha e dissertativas e averiguava a forma de trabalho durante este período, as estratégias e os recursos adotados. Resultados: Os resultados mostraram que as estratégias mais utilizadas pelos professores foram uso de materiais impressos. Os professores relataram as dificuldades e os desafios em adotar o ensino remoto, referentes à desigualdade social dos alunos, a dificuldade de adaptação dos professores a esta forma de ensino e ao empenho restrito das famílias no processo de aprendizagem. Conclusão: foi possível verificar como ocorreu o processo de adaptação ao ensino remoto pelos professores. Verifica-se a necessidade de explorar o trabalho conjunto com a Fonoaudiologia, visando minimizar as dificuldades apresentadas pelos estudantes, o que auxiliaria no processo de ensino e aprendizagem dos alunos que, posteriormente, poderiam vir a ser futuros pacientes do setor de Fonoaudiologia. (AU)

Introduction: it is known that during the period of the COVID-19 pandemic, schools and teachers needed to adapt with alternatives to continue classes. Purpose: Investigate pedagogical learning strategies and resources adopted by teachers from public and/or private schools in the interior of a Brazilian state during the period of suspension of face-to-face classes, due to the Covid-19 Pandemic and its effects on students with and without learning difficulties. Method: This research included the application of an online questionnaire through Google Forms to 37 active teachers from the 1st to the 5th year of the public and/or private network at Brasilian state who have worked remotely during the Pandemic during the suspension period of in-person classes. This material contained multiple choice questions and essays, referring to the way of working during this period, strategies and resources adopted. Results: The results showed that the most used strategies by teachers were the use of printed materials. Teachers reported the difficulties and challenges in adopting remote teaching, referring to the social inequality of students, the limited commitment of families in the learning process and the difficulty of teachers to adapt to this form of teaching. Conclusion: Among 37 teachers who joined the study, it was possible to verify how the process of adaptation to remote teaching took place. There is a need to explore the joint work with Speech Therapy, aiming to minimize the difficulties presented by students. Such clarifications would help in the teaching and learning process of students who could later become future patients in the Speech Therapy sector. (AU)

Introducción: se sabe que durante el período de la pandemia del COVID-19, las escuelas y los docentes requirieron adaptarse con alternativas para continuar las clases. Objetivos: Investigar estrategias y recursos pedagógicos de aprendizaje adoptados por profesores de escuelas públicas y/o privadas del interior de un estado brasileño durante el período de suspensión de clases presenciales, debido a la Pandemia Covid-19 y sus efectos en estudiantes con y sin dificultades de aprendizaje. Método: Esta investigación implicó la aplicación de un cuestionario en línea a través de Formularios de Google a 37 docentes que laboran del 1° al 5° año de la red pública y/o privada del interior del estado, que habían trabajado de manera remota durante la Pandemia en el período de suspensión de clases presenciales. Este material contenía preguntas de selección múltiple y desarrollo, referentes a la forma de trabajar durante este período, las estrategias y los recursos adoptados. Resultados: Los resultados mostraron que las estrategias más utilizadas por los docentes fue el uso de materiales impresos. Los docentes relataron las dificultades y desafíos en la adopción de la enseñanza a distancia, refiriéndose a la desigualdad social de los estudiantes, el compromiso restringido de las familias en el proceso de aprendizaje y la dificultad de adaptación de los docentes a esta forma de enseñanza. Conclusión: Entre 37 docentes que se sumaron al estudio, fue posible verificar cómo ocurrió el proceso de adaptación a la enseñanza a distancia. Existe la necesidad de explorar el trabajo conjunto con la Logopedia, con el objetivo de minimizar las dificultades presentadas por los estudiantes. Tales aclaraciones ayudarían en el proceso de enseñanza y aprendizaje de los estudiantes que luego podrían convertirse en futuros pacientes del sector de Logopedia. (AU)

Socioeconomic differences in digital inequality among Chinese older adults: Results from a nationally representative sample.

The current study seeks to investigate digital inequality among older adults in China, specifically examining two socially defined age groups: young-old adults (aged 60-74) and old-old adults (aged 75+). Descriptive statistics and multiple regression were used to examine the prevalence of and identify the factors associated with Internet access, usage (frequency and breadth containing 11 activities), skills, and social support. The study used data from the 2018 China Longitudinal Ageing Social Survey (CLASS) which consisted of 11,419 respondents aged 60 years and older. We found that 40.22% of older adults had access to the Internet, and 18.27% used it regularly. Socioeconomic factors played a crucial role in determining Internet access and usage, with young-old adults with higher education using the Internet more frequently, deliberately, and competently. Those with higher economic status had greater social support to use it, and the old-old adults with higher socioeconomic status were more likely to have Internet access. This study has implications for prioritizing targeted policies and interventions aimed at supporting socioeconomically disadvantaged older adults and ensuring equal opportunities for all to access and benefit from the digital world.

Compliance with web content accessibility guidelines in ophthalmology social media posts.

This is a cross-sectional exploratory analysis of publicly available Internet data to examine compliance to web content accessibility guidelines (WCAG) on patient education social media posts in ophthalmology. WCAG ensures web content accessibility for those with disabilities (including visual impairment). A total of 100 social media posts were sampled from ten ophthalmology patient education social media pages and ten non-ophthalmology (cardiopulmonary) pages as the comparison group. Three independent graders evaluated the selected posts based on the WCAG 2 checklist by WebAIM, a non-profit affiliated with Utah State University, after its adaptation for social media posts. Validated accessibility standard labels: "0" for not meeting any standards, "1" or "A" for meeting bare minimum accessibility requirements, "2" or "AA" for meeting legal accessibility requirements, or "3" or "AAA" for exceeding accessibility requirements. There was not enough evidence to detect a difference in WCAG scores between ophthalmology and non-ophthalmology posts (p = 0.80). Forty-nine percent of scores for ophthalmology social media posts showed no compliance with any WCAG. The most common reasons that ophthalmology posts failed to meet criteria were due to color and contrast issues (39%). Most ophthalmology social media posts had low WCAG scores, indicating poor compliance to WCAG. Because social media is highly visual, reduced compliance to WCAG may create barriers for low vision individuals to successfully access patient education social media content.

Food consumption and remote working conditions among Brazilian Primary Schools teachers during the COVID-19 pandemic / Consumo de alimentos y condiciones de trabajo remoto en maestros brasileños de básica durante la pandemia de COVID-19

Introduction: Teaching work, which is characterized by being exhausting, with a significant workload, with synchronous and/or asynchronous remote classes. Objective: To describe associations between the working conditions of school teachers at home and their food consumption during the suspension of face-to-face classes. Materials and methods: Cross-sectional study using a self-administered online questionnaire with 15,372 working teachers from Minas Gerais, Brazil. The dependent variables analyzed were the consumption of healthy and unhealthy foods. Independent variables included sociodemographic factors, remote work conditions, understanding of online technologies, computer access, and quality of Internet connection. The Poisson model with robust variance was used to determine the association between working conditions and food consumption. Results: In the analysis of the adjusted multivariate model, there was a significant association between eating habits and the following variables: gender, age, working hours (per week), feelings regarding teachers' work during the pandemic, working hours during the pandemic and quality work internet connection. Our data shows that teachers' remote working conditions are associated with worse food consumption. They also showed that working hours equal to or greater than 40 hours per week, feelings of dissatisfaction with working conditions during the pandemic, increased working hours during the pandemic and poor quality of internet connection were variables correlated with the consumption of unhealthy foods. Conclusions: Remote working conditions during the pandemic influenced primary school teachers' food choices. More studies are needed to delve deeper into issues related to teachers' working conditions and the implications for food choices(AU)

Introducción: La labor docente se caracteriza por ser agotadora, con una importante carga horaria, con clases remotas síncronas y/o asíncronas. Objetivo: Describir la asociación existente entre las condiciones del trabajo remoto de los docentes de la educación básica y el consumo de sus alimentos durante el período de suspensión de las clases presenciales. Métodos: Es un estudio transversal mediante cuestionario en línea autoadministrado con 15.372 docentes activos en Minas Gerais, Brasil. Las variables dependientes analizadas fueron el consumo de los alimentos saludables y de los no saludables. Las variables independientes incluyeron los factores sociodemográficos, las condiciones del trabajo remoto, la comprensión de las tecnologías en línea, el acceso a las computadoras así como la calidad de la conexión a la Internet. Se utilizó el modelo de Poisson con variación robusta para determinar la asociación entre las condiciones del trabajo y el consumo de los alimentos. Resultados: En el análisis del modelo multivariado ajustado hubo una asociación significativa entre los hábitos alimentarios y las siguientes variables: el género, la edad, la jornada laboral semanal, el sentimiento sobre el trabajo durante la pandemia, la jornada laboral durante la pandemia y la calidad de la conexión a la internet. Nuestros datos demuestran que las condiciones del trabajo remoto de los docentes están asociadas con un empeoramiento en el consumo de los alimentos. También mostraron que la jornada laboral igual o superior a unas 40 horas semanales, los sentimientos de insatisfacción con las condiciones laborales, el aumento de la jornada laboral y la mala calidad de la conexión a la Internet durante la pandemia fueron variables correlacionadas con el consumo de alimentos no saludables. Conclusiones: Las condiciones del trabajo remoto durante la pandemia influyeron en las elecciones alimentarias de los docentes de la educación básica. Se necesitan más estudios para profundizar en los aspectos relacionados con las condiciones laborales de los docentes y sus implicaciones en la elección de sus alimentos(AU)

Gestações e nascimentos em tempos de COVID-19 / Embarazos y nacimientos en tiempos de COVID-19 / Pregnancies and births in times of COVID-19

Resumo Objetivo Identificar o perfil de nascimentos das gestações de mulheres com acesso à internet que cursaram com a infecção pelo SARS-CoV-2 e seus desfechos. Métodos Estudo transversal integrado a uma coorte prospectiva, com coleta entre agosto de 2021 e fevereiro de 2022, baseado nas respostas de 304 mulheres que tiveram gestações e/ou partos durante o período pandêmico. Resultados Do total, 25,7% das entrevistadas tiveram COVID-19, com predomínio de diagnósticos no terceiro trimestre. Queixas de anosmia, fadiga e cefaleia prevaleceram como relacionados à infecção. As variáveis: utilizar o Sistema Único de Saúde para atendimento (p = 0,084); diabetes gestacional (p = 0,141); baixo peso de nascimento (p = 0,117); necessidade de internação em unidade neonatal (p = 0,120) foram inseridas no modelo de regressão por terem valores de p inferiores a 0,20. A variável referente ao tipo de parto (p=1,000) foi inserida no modelo por se tratar de uma variável de interesse e com descrição de relevância na literatura. A prematuridade foi a única variável que apresentou associação estatística com a infecção pelo SARS-CoV-2 durante a gestação (p = 0,008) na análise bivariada, explicando o desfecho da infecção na gestação (<0,001), comprovado no modelo de Regressão Robusta de Poisson. Conclusão Observou-se alta prevalência de COVID-19 na amostra, com variação de sintomas e predomínio de partos operatórios. No entanto, a infecção pelo SARS-CoV-2 explicou apenas a maior ocorrência de nascimentos prematuros.

Resumen Objetivo Identificar el perfil de nacimientos de los embarazos de mujeres con acceso a internet que lo cursaron con la infección por SARS-CoV-2 y sus desenlaces. Métodos Estudio transversal integrado a una cohorte prospectiva, con recopilación entre agosto de 2021 y febrero de 2022, basado en las respuestas de 304 mujeres que tuvieron embarazos o partos durante el período pandémico. Resultados Del total, el 25,7 % de las entrevistadas tuvieron COVID-19, con predominio de diagnósticos en el tercer trimestre. Prevalecieron quejas de anosmia, fatiga y cefalea como relacionadas a la infección. Las variables utilización del Sistema Único de Salud para atención (p = 0,084), diabetes gestacional (p = 0,141), bajo peso de nacimiento (p = 0,117), necesidad de internación en unidad neonatal (p = 0,120) se introdujeron en el modelo de regresión por tener valores de p inferiores a 0,20. Se introdujo la variable relacionada al tipo de parto (p = 1,000) en el modelo por tratarse de una variable de interés y con descripción de relevancia en la literatura. La prematuridad fue la única variable que presentó asociación estadística con la infección por SARS-CoV-2 durante el embarazo (p = 0,008) en el análisis bivariado, lo que explica el desenlace de la infección en el embarazo (>0,001), comprobado en el modelo de regresión robusta de Poisson. Conclusión Se observó alta prevalencia de COVID-19 en la muestra, con variación de síntomas y predominio de partos operatorios. Sin embargo, la infección por SARS-CoV-2 explicó solamente la mayor incidencia de nacimientos prematuros.

Abstract Objective Identify the profile of births of pregnancies of women with internet access who were infected with SARS-CoV-2 and their outcomes. Methods Cross-sectional study integrated into a prospective cohort, with collection between August 2021 and February 2022, based on the responses of 304 women who had pregnancies and/or deliveries during the pandemic period. Results Of the total, 25.7% of the interviewees had COVID-19, with a predominance of diagnoses in the third quarter. Complaints of anosmia, fatigue and headache prevailed as related to the infection. The variables using the Unified Health System for care (p = 0.084); gestational diabetes (p = 0.141); low birth weight (p = 0.117); need for admission to a neonatal unit (p = 0.120) were included in the regression model because they had p values lower than 0.20. The variable referring to the type of delivery (p=1.000) was inserted in the model because it is a variable of interest and with a description of relevance in the literature. Prematurity was the only variable that was statistically associated with SARS-CoV-2 infection during pregnancy (p = 0.008) in the bivariate analysis, explaining the outcome of infection during pregnancy (<0.001), confirmed in the Poisson Robust Regression model. Conclusion There was a high prevalence of COVID-19 in the sample, with varying symptoms and a predominance of operative deliveries. However, SARS-CoV-2 infection only explained the higher occurrence of premature births.

Neguentropia Algorítmica e a Gestão Digital do Gozo / Algorithmic Negentropy and the Digital Management of Jouissance / La Negentropia Algorítmica y la Gestión Digital del Goce

O algoritmo digital permitiu o manejo de dados dos usuários da web pelos conglomerados informacionais. De forma discreta e personalizada, a nova forma de governamentalidade coleta, organiza, permuta e devolve os dados ao próprio indivíduo na forma de mais informações. Cada vez mais, esbarra na dimensão singular, tocando o campo do gozo via proliferação de objetos a que, na teoria lacaniana dos discursos, assume a dupla função de perda e de incessante tentativa de suplementação de gozo. Com o incremento informacional, o objeto chega ao ápice social e o digital alcança patamar discursivo. Inserindo-se no mesmo nicho do saber, a informação digital se aproveita da divisão subjetiva, deixando pouco espaço para que o sujeito possa lidar com a entropia de seu gozo via desejo. Se a neguentropia é o atributo do saber que limita a dispersão de gozo, na informação tratada e retornada algoritmicamente tal processo sofre uma aceleração, agindo diretamente sobre a economia dos afetos. Com prejuízo para o sujeito, resta uma experiência de gozo cada vez mais direta, crua, menos mediatizada pelo saber e pelo Outro.

The digital algorithm has allowed the management of data from web users by informational conglomerates. In a discreet and personalized way, the new form of governmentality collects, organizes, exchanges and returns data to the individual in the form of more information. More and more, it comes up against the singular dimension, touching the field of jouissance via the proliferation of objects a which, in the Lacanian theory of discourses, assumes the double function of loss and an incessant attempt to supplement jouissance. With the increase in information, the object reaches the social apex and the digital reaches a discursive level. Inserting itself in the same niche of know [savoir], digital information takes advantage of the subjective division, leaving little space for the subject to deal with the entropy of his jouissance via desire. If negentropy is the attribute of savoir that limits the dispersion of jouissance, in the information processed and returned algorithmically this process is accelerated, acting directly on the economy of affections. To the detriment of the subject, what remains is an experience of jouissance that is increasingly direct, raw, less mediated by savoir and the Other.

El algoritmo digital permitió la gestión de datos de los usuarios de la web por parte de conglomerados informativos. De forma discreta y personalizada, la nueva forma de gubernamentalidad recolecta, organiza, intercambia y devuelve datos al individuo en forma de más información. Cada vez más, choca con la dimensión singular, tocando el campo del goce a través de la proliferación de objetos a que, en la teoría lacaniana de los discursos, asume la doble función de pérdida y de intento incesante de complementar el goce. Con el aumento de la información, el objeto alcanza el ápice social y lo digital alcanza un nivel discursivo. Insertándose en el mismo nicho del conocimiento, la información digital aprovecha la división subjetiva, dejando poco espacio para que el sujeto gestione la entropía de su goce vía deseo. Si la negentropía es el atributo del saber que limita la dispersión del goce, en la información procesada y devuelta algorítmicamente, este proceso se acelera, actuando directamente sobre la economía de los afectos. En detrimento del sujeto, lo que queda es una experiencia de goce cada vez más directa, cruda, menos mediatizada por el saber y el Otro.

Cambio de la atención psicológica presencial a modalidad remota: facilitadores y obstáculos en la pandemia de COVID-19 / Changing face-to-face psychological care to remote mode: facilitators and obstacles in the COVID-19 pandemic / Mudança do atendimento psicológico presencial para modalidade remota: facilitadores e dificultadores na pandemia de COVID-19

Objetivo: verificar asociaciones entre variables sociodemográficas y factores que facilitan y dificultan la transición de la atención psicológica presencial a la modalidad remota en el primer año de la pandemia de COVID-19. Método: se trata de un estudio analítico, cuantitativo y de corte transversal. Después de la aprobación del Comité de Ética en Investigación, la recolección de datos se realizó mediante la aplicación de un formulario en línea que consta de 55 preguntas. Los datos fueron analizados utilizando técnicas de estadística descriptiva e inferencial. Resultados: la muestra de conveniencia estuvo compuesta por 385 psicólogos brasileños, en su mayoría mujeres (67,01%), jóvenes profesionales con hasta cinco años de actuación después de la graduación (44,16%) y predominio de actividades en la clínica privada. Se encontró que el tiempo de formación entre cinco y 10 años se asoció con una mayor percepción de dificultades y que la experiencia previa con la atención a distancia facilitó la adaptación en la transición de una modalidad a otra. Conclusión: considerando que la teleasistencia puede ser una poderosa herramienta en el escenario de la salud, se sugiere que los temas de la teleasistencia sean incluidos en la agenda de investigación y los contenidos programáticos en los currículos de los cursos de formación en salud.

Objective: to verify associations between sociodemographic variables and factors that facilitate and hinder the transition from face-to-face psychological care to remote mode in the first year of the COVID-19 pandemic. Method: this is an analytical, quantitative, cross-sectional study. After approval by the Research Ethics Committee, data collection was performed by applying an online form consisting of 55 questions. Data were analyzed using descriptive and inferential statistics techniques. Results: the intentional sampling consisted of a total of 385 Brazilian psychologists, mostly women (67.01%), young professionals with up to five years of graduation (44.16%) most of activities in the private clinic. It was found that training time between five and 10 years was associated with a greater perception of difficulties and that previous experience with remote care facilitated adaptation in the transition from one modality to another. Conclusion: considering that call center can be a powerful tool in the health scenario, it is suggested the inclusion of remote care issues in the research agenda and syllabus in the curricula of health training courses.

Objetivo: verificar associações entre variáveis sociodemográficas e fatores facilitadores e dificultadores da transição do atendimento psicológico presencial para a modalidade remota no primeiro ano da pandemia de COVID-19. Método: trata-se de um estudo analítico, quantitativo, de corte transversal. Após aprovação do Comitê de Ética em Pesquisa, a coleta foi realizada mediante aplicação de um formulário online composto por 55 questões. Os dados foram analisados por meio de técnicas de estatística descritiva e inferencial. Resultados: a amostra de conveniência foi composta por 385 psicólogos brasileiros, majoritariamente mulheres (67,01%), jovens profissionais com até cinco anos de ofício após a graduação (44,16%) e com predomínio de atividades na clínica privada. Constatou-se que o tempo de formação entre cinco e 10 anos foi associado com uma maior percepção de dificuldades e que a experiência prévia com atendimento remoto foi facilitadora da adaptação na transição de uma modalidade à outra. Conclusão: considerando que o teleatendimento pode ser uma ferramenta potente no cenário da saúde, sugere-se a inclusão das questões do atendimento remoto na agenda de pesquisa e conteúdos programáticos das grades curriculares dos cursos de formação em saúde.

Inclusion4EU: Co-Designing a Framework for Inclusive Software Design and Development.

Digital technology is now pervasive, however, not all groups have uniformly benefitted from technological changes and some groups have been left behind or digitally excluded. Comprehensive data from the 2017 Current Population Survey shows that older people and persons with disabilities still lag behind in computer and internet access. Furthermore unique ethical, privacy and safety implications exist for the use of technology for older persons and people with disabilities and careful reflection is required to incorporate these aspects, which are not always part of a traditional software lifecycle. In this paper we present the Inclusion4EU project that aims to co-design a new framework, guidelines and checklists for inclusive software design and development with end-users from excluded categories, academics with expertise in human-computer interaction and industry practitioners from software engineering.

The Digital Divide in Brazil and Barriers to Telehealth and Equal Digital Health Care: Analysis of Internet Access Using Publicly Available Data.

BACKGROUND: The COVID-19 pandemic has increased the use of digital solutions in medical care, especially for patients in remote areas and those requiring regular medical care. However, internet access is essential for the implementation of digital health care. The digital divide is the unequal distribution of access to digital technology, and the first level digital divide encompasses structural barriers. Brazil, a country with economic inequality and uneven population distribution, faces challenges in achieving internet access for all. OBJECTIVE: This study aims to provide a comprehensive overview of the first-level digital divide in Brazil, estimate the relationship between variables, and identify the challenges and opportunities for digital health care implementation. METHODS: Data were retrieved from the Brazilian Institute of Geography and Statistics National Continuous House survey database, including demographic, health, and internet-related variables. Statistical analysis included 2-tailed t tests, chi-square, and multivariate logistic regression to assess associations between variables. RESULTS: Our analysis included 279,382 interviews throughout Brazil. The sample included more houses from the northeast (n=99,553) and fewer houses from the central west (n=30,804). A total of 223,386 (80.13%) of the interviewed population used the internet, with urban areas having higher internet access (187,671/212,109, 88.48%) than rural areas (35,715/67,077, 53.24%). Among the internet users, those interviewed who lived in urban houses, were women, were younger, and had higher income had a statistically higher prevalence (P<.001). Cell phones were the most common device used to access the internet (141,874/143,836, 98.63%). Reasons for not using the internet included lack of interest, knowledge, availability, and cost, with regional variations. The prevalence of internet access also varied among races, with 84,747 of 98,968 (85.63%) White respondents having access, compared to 22,234 of 28,272 (78.64%) Black respondents, 113,518 of 148,191 (76.6%) multiracial respondents, and 2887 of 3755 (76.88%) other respondents. In the southeast, central west, and south regions, the numbers of people with internet access were 49,790 of 56,298 (88.44%), 27,209 of 30,782 (88.39%), and 27,035 of 31,226 (86.58%), respectively, and in the north and northeast, 45,038 of 61,404 (73.35%) and 74,314 of 99,476 (74.7%). The income of internet users was twice the income of internet nonusers. Among those with diabetes-related limitations in daily activities, 945 of 2377 (39.75%) did not have internet access, and among those with daily activity restrictions, 1381 of 3644 (37.89%) did not have access. In a multivariate logistic regression analysis, women (odds ratio [OR] 1.147, 95% CI 0.118-0.156; P<.001), urban households (OR 6.743, 95% CI 1.888-1.929; P<.001), and those earning more than the minimum wage (OR 2.087, 95% CI 0.716-0.756; P<.01) had a positive association with internet access. CONCLUSIONS: Brazil's diverse regions have different demographic distributions, house characteristics, and internet access levels, requiring targeted measures to address the first-level digital divide in rural areas and reduce inequalities in digital health solutions. Older people, poor, and rural populations face the greatest challenges in the first level digital divide in Brazil, highlighting the need to tackle the digital divide in order to promote equitable access to digital health care.

Nutrição em rede: um relato de experiência de lives produzidas por um Grupo de Educação Tutorial durante a pandemia de covid-19 / Network nutrition: an experience report of lives produced by a Tutorial Education Group during the covid-19 pandemic / Nutrición en red: un relato de experiencia de directos producidos por un Grupo de Educación Tutorial durante la pandemia del covid-19

Devido às complexidades do período de pandemia de covid-19, houve um aumento do acesso às redes sociais para a busca de informações científicas. Este trabalho visa apresentar as adaptações de uma atividade de ensino, através de relato de experiência, promovido pelo Grupo de Educação Tutorial (GET) do Curso de Nutrição da Universidade Federal de Juiz de Fora (UFJF). Foram ciclos de palestras com atualizações científicas e vivência prática, utilizando a rede social Instagram em formato de lives, sendo o conteúdo transmitido como entrevista, em dois blocos, totalizando seis lives com aproximadamente 55 minutos cada. O público interagiu com o palestrante, ao expressar opinião e encaminhar dúvidas através do recurso de comentários. Houve sucesso na participação dos alunos, fato confirmado pelo número de visualizações, uma vez que o total foi superior quando comparado às edições presenciais. A internet viabilizou encontros de pessoas, mesmo distantes, possibilitando o acesso a profissionais de outras cidades e transmitindo informações através da rede social

Due to the complexities of the covid-19 pandemic period, there has been an increase in access to social net-works to search for scientific information. This work aims to present the adaptations of a teaching activity, through an experience report, promoted by the Tutorial Education Group, of the Nutrition Course from the Federal University of Juiz de Fora. There were lecture cycles with scientific updates and practical experience, using the social network Instagram in the format of lives, with the content being transmitted as an interview, in two blocks, totaling six lives with approximately 55 minutes each. The audience interacted with the speaker, expressing their opinion and doubts through the comment section. There was success in student participation, which can be confirmed by the number of online views, since this was higher when compared to the face-to-face editions. The internet made it possible for people to meet, even if they were far away, allowing access to professionals from other cities and transmitting information through the social network

Debido a las complejidades del período de la pandemia de covid-19, se ha incrementado el acceso a las redes sociales para buscar información científica. Este trabajo tiene como objetivo presentar las adaptaciones de una actividad docente, a través de un relato de experiencia, promovida por el Grupo de Educación Tutorial (GET) del Curso de Nutrición de la Universidad Federal de Juiz de Fora. Se realizaron ciclos de conferencias con actualización científica y experiencia práctica, utilizando la red social Instagram en formato de directos, siendo el contenido transmitido como entrevista, en dos bloques que suman seis directos con aproximada-mente 55 minutos cada una. El público interactuó con el ponente, expresando su opinión y dudas a través de la función de comentarios. Hubo éxito en la participación de los estudiantes, lo que se puede confirmar con el número de visualizaciones en línea, ya que fue mayor en comparación con las ediciones presenciales. Internet hizo posible que las personas se encontraran, aunque estuvieran lejos, permitiendo el acceso a profesionales de otras ciudades y transmitiendo información a través de la red social

Implementation of a Web-Based Communication System for Primary Care Providers and Cancer Specialists.

Healthcare providers have reported challenges with coordinating care for patients with cancer. Digital technology tools have brought new possibilities for improving care coordination. A web- and text-based asynchronous system (eOncoNote) was implemented in Ottawa, Canada for cancer specialists and primary care providers (PCPs). This study aimed to examine PCPs' experiences of implementing eOncoNote and how access to the system influenced communication between PCPs and cancer specialists. As part of a larger study, we collected and analyzed system usage data and administered an end-of-discussion survey to understand the perceived value of using eOncoNote. eOncoNote data were analyzed for 76 shared patients (33 patients receiving treatment and 43 patients in the survivorship phase). Thirty-nine percent of the PCPs responded to the cancer specialist's initial eOncoNote message and nearly all of those sent only one message. Forty-five percent of the PCPs completed the survey. Most PCPs reported no additional benefits of using eOncoNote and emphasized the need for electronic medical record (EMR) integration. Over half of the PCPs indicated that eOncoNote could be a helpful service if they had questions about a patient. Future research should examine opportunities for EMR integration and whether additional interventions could support communication between PCPs and cancer specialists.

Digital economy development and the urban-rural income gap: Evidence from Chinese cities.

The growth of the digital economy has created new forms of inequality of opportunity. This paper studies whether the development of the digital economy expands the income gap between urban and rural areas from theoretical and empirical. The research based on the panel data of 202 cities from 2011 to 2019 in China shows that: (1) Although the digital economy can promote the improvement of both urban and rural absolute income levels, it has a greater positive impact on urban residents' income levels than on rural residents', resulting in a widening of the urban-rural income gap. (2) The analysis of the action mechanism reveals that employment in the information service industry and the depth of digital finance use are two crucial mechanisms for the digital economy to widen the income gap between urban and rural areas. (3) The spatial Durbin model(SDM) and the spatial error model(SEM) based on three spatial weight matrices show that the impact of the digital economy on the urban-rural income gap is also characterized by spatial spillover, and the development of the digital economy will also have a negative impact on the urban-rural income gap in neighboring regions as well. (4) The main conclusions still hold after the robustness of quasi-natural experiments based on the strategy of "Broadband China" and the selection of historical data as instrumental variables. This research is helpful to understand the effects, mechanisms and spatial characteristics of digital economy on urban-rural income gap.