Research ethics and Indigenous Peoples: Repercussions of returning Yanomami blood samples.

This work presents the case of the Yanomami indigenous people from Brazil that were the object of US ethnography initiated in the 1960s. The research brought harmful repercussions to the life of the Indigenous people of Brazil for several decades, and it took more than 40 years until the beginning of a process of reparation involving the Brazilian government and American universities. Objective: to discuss the meaning of the return of Yanomami blood samples, as well as contributions from the epistemologies of traditional Indigenous knowledge to the debate about research ethics and the structuring of means for the social control of researchers and the protection of participants in scientific studies, having as an example the Yanomami indigenous people from Brazil, subjected to noxious ethnography in the 1960s and the 1970s. This work used data reports recorded in secondary sources. In this article we argue that Bioethics needs to further diversify its epistemological foundations and to consider epistemologies and cosmologies beyond the frontiers of Western science, as the case of the abusive research involving the Yanomami indigenous people in Brazil reveals. We argue that traditional knowledge, such as those of indigenous and quilombolas, with their epistemologies and cosmologies, are fundamental for the election of less colonized and more efficient principles of research ethics, regarding the protection of the participants' rights in scientific studies. Traditional indigenous populations can teach us a great deal about doing research.

Past climate changes, population dynamics and the origin of Bison in Europe.

BACKGROUND: Climatic and environmental fluctuations as well as anthropogenic pressure have led to the extinction of much of Europe's megafauna. The European bison or wisent (Bison bonasus), one of the last wild European large mammals, narrowly escaped extinction at the onset of the 20th century owing to hunting and habitat fragmentation. Little is known, however, about its origin, evolutionary history and population dynamics during the Pleistocene. RESULTS: Through ancient DNA analysis we show that the emblematic European bison has experienced several waves of population expansion, contraction, and extinction during the last 50,000 years in Europe, culminating in a major reduction of genetic diversity during the Holocene. Fifty-seven complete and partial ancient mitogenomes from throughout Europe, the Caucasus, and Siberia reveal that three populations of wisent (Bison bonasus) and steppe bison (B. priscus) alternately occupied Western Europe, correlating with climate-induced environmental changes. The Late Pleistocene European steppe bison originated from northern Eurasia, whereas the modern wisent population emerged from a refuge in the southern Caucasus after the last glacial maximum. A population overlap during a transition period is reflected in ca. 36,000-year-old paintings in the French Chauvet cave. Bayesian analyses of these complete ancient mitogenomes yielded new dates of the various branching events during the evolution of Bison and its radiation with Bos, which lead us to propose that the genetic affiliation between the wisent and cattle mitogenomes result from incomplete lineage sorting rather than post-speciation gene flow. CONCLUSION: The paleogenetic analysis of bison remains from the last 50,000 years reveals the influence of climate changes on the dynamics of the various bison populations in Europe, only one of which survived into the Holocene, where it experienced severe reductions in its genetic diversity. The time depth and geographical scope of this study enables us to propose temperate Western Europe as a suitable biotope for the wisent compatible with its reintroduction.

Genome-wide assessment of the population structure and genetic diversity of four Portuguese native sheep breeds.

As the effects of global warming become increasingly complex and difficult to manage, the conservation and sustainable use of locally adapted sheep breeds are gaining ground. Portuguese native sheep breeds are important reservoirs of genetic diversity, highly adapted to harsh environments and reared in low input production systems. Genomic data that would describe the breeds in detail and accelerate the selection of more resilient animals to be able to cope with climatic challenges are still lacking. Here, we sequenced the genomes of 37 animals from four Portuguese native sheep breeds (Campaniça, Bordaleira Serra da Estrela, Merino Branco and Merino Preto) and 19 crossbred sheep to make inferences on their genomic diversity and population structure. Mean genomic diversities were very similar across these breeds (.30 ≤ Ho ≤ .34; .30 ≤ He ≤ .35; 1.7 × 10-3 ≤ π ≤ 3.1 × 10-3) and the levels of inbreeding were negligible (.005 ≤ FIS ≤ .038). The Principal Components, Bayesian clustering and Treemix analyses split the Portuguese breeds in two main groups which are consistent with historical records: one comprising Campaniça and Serra da Estrela together with other European and transboundary dairy breeds; and another of the well-differentiated multi-purpose Merino and Merino-related breeds. Runs of homozygosity analyses yielded 1,690 ROH segments covering an average of 2.27 Gb across the genome in all individuals. The overall genome covered by ROH segments varied from 27,75 Mb in Serra da Estrela to 61,29 Mb in Campaniça. The phylogenetic analysis of sheep mitogenomes grouped the Portuguese native breeds within sub-haplogroup B1a along with two animals of the Akkaraman breed from Turkey. This result provides additional support to a direct influence of Southwest Asian sheep in local breeds from the Iberian Peninsula. Our study is a first step pertaining to the genomic characterization of Portuguese sheep breeds and the results emphasize the potential of genomic data as a valid tool to guide conservation efforts in locally adapted sheep breeds. In addition, the genomic data we generated can be used to identify markers for breed assignment and traceability of certified breed-products.

Iron age genomic data from Althiburos - Tunisia renew the debate on the origins of African taurine cattle.

The Maghreb is a key region for understanding the dynamics of cattle dispersal and admixture with local aurochs following their earliest domestication in the Fertile Crescent more than 10,000 years ago. Here, we present data on autosomal genomes and mitogenomes obtained for four archaeological specimens of Iron Age (∼2,800 cal BP-2,000 cal BP) domestic cattle from the Eastern Maghreb, i.e. Althiburos (El Kef, Tunisia). D-loop sequences were obtained for an additional eight cattle specimens from this site. Maternal lineages were assigned to the elusive R and ubiquitous African-T1 haplogroups found in two and ten Althiburos specimens, respectively. Our results can be explained by post-domestication hybridization of Althiburos cattle with local aurochs. However, we cannot rule out an independent domestication in North Africa considering the shared ancestry of Althiburos cattle with the pre-domestic Moroccan aurochs and present-day African taurine cattle.

Resilience and livestock adaptations to demographic growth and technological change: A diachronic perspective from the Late Bronze Age to Late Antiquity in NE Iberia.

There are strong interactions between an economic system and its ecological context. In this sense, livestock have been an integral part of human economies since the Neolithic, contributing significantly to the creation and maintenance of agricultural anthropized landscapes. For this reason, in the frame of the ERC-StG project 'ZooMWest' we collected and analyzed thousands of zooarchaeological data from NE Iberia. By considering these data in comparison with ecological indicators (archaeobotanical remains) and archaeological evidence (settlement characteristics and their distribution) this paper seeks to characterize changes in animal production and the relationship between people, livestock, and their environment. These methods allow for an investigation of the topic at different scales (site, zone, territory) with a broad diachronic perspective, and for consideration of orography and cultural traditions alongside climatic factors. Through this integration of various streams of evidence, we aim to better understand the structure of ancient economic systems and the way they conditioned human decision-making on animal production. Results show a shifting relationship with the territory between the Bronze Age and Late Antiquity, in which market requirements and an economic model with a higher degree of integration increasingly influenced husbandry strategies. These processes are reflected in changes in land use and forms of territorial occupation, although along different rhythms and trajectories.

New trajectories or accelerating change? Zooarchaeological evidence for Roman transformation of animal husbandry in Northern Italy.

Throughout the Western provinces of the Roman Empire, greater economic and political connectivity had a major impact on agricultural production, which grew in scale and specialisation after integration with the Roman state. However, uniquely in Western Europe, farming strategies in Italy began to evolve centuries before the Roman conquest, and many 'Roman' patterns associated with livestock size and the relative proportions of different taxa first emerged during the early and middle centuries of the first millennium BC. These changes imply a significant reorganisation of production strategies well before Roman hegemony, even in relatively marginal areas of Italy. Zooarchaeological studies have documented further significant changes to livestock production in Roman times, but the relationship between these developments and earlier trends remains unclear. Through analysis of zooarchaeological data for species representation and livestock biometry from lowland northern Italy (Po-Friulian Plain), this study investigates animal exploitation between the Bronze Age and Late Antiquity in order to characterise the influence of Roman political and economic organisation on animal husbandry. Results demonstrated subregional variation in species representation, and different trajectories in the biometric evolution of cattle, sheep and goats, compared to pigs. Initial steps established in the Iron Age towards a more complex and dynamic livestock economy were accelerated and further reconfigured in Roman times, facilitated by Roman economic organisation and the specialised and large-scale production systems within it. Zooarchaeological trends continued to progress over the Roman period, until further changes at the very end of the chronology considered here-around the sixth century AD-suggest another wave of change. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s12520-020-01251-7.

Genealogical discontinuities among Etruscan, Medieval, and contemporary Tuscans.

The available mitochondrial DNA (mtDNA) data do not point to clear genetic relationships between current Tuscans and the Bronze-Age inhabitants of Tuscany, the Etruscans. To understand how and when such a genetic discontinuity may have arisen, we extracted and typed the mtDNAs of 27 medieval Tuscans from an initial sample of 61, spanning a period between the 10th and 15th century AD. We then tested by serial coalescent simulation various models describing the genealogical relationships among past and current inhabitants of Tuscany, the latter including three samples (from Murlo, Volterra, and Casentino) that were recently claimed to be of Etruscan descent. Etruscans and medieval Tuscans share three mitochondrial haplotypes but fall in distinct branches of the mitochondrial genealogy in the only model that proved compatible with the data. Under that model, contemporary people of Tuscany show clear genetic relationships with Medieval people, but not with the Etruscans, along the female lines. No evidence of excess mutation was found in the Etruscan DNAs by a Bayesian test, and so there is no reason to suspect that these results are biased by systematic contamination of the ancient sequences or laboratory artefacts. Extensive demographic changes before AD 1000 are thus the simplest explanation for the differences between the contemporary and the Bronze-Age mtDNAs of Tuscany. Accordingly, genealogical continuity between ancient and modern populations of the same area does not seem a safe general assumption, but rather a hypothesis that, when possible, should be tested using ancient DNA analysis.

Ancient DNA shows domestic horses were introduced in the southern Caucasus and Anatolia during the Bronze Age.

Despite the important roles that horses have played in human history, particularly in the spread of languages and cultures, and correspondingly intensive research on this topic, the origin of domestic horses remains elusive. Several domestication centers have been hypothesized, but most of these have been invalidated through recent paleogenetic studies. Anatolia is a region with an extended history of horse exploitation that has been considered a candidate for the origins of domestic horses but has never been subject to detailed investigation. Our paleogenetic study of pre- and protohistoric horses in Anatolia and the Caucasus, based on a diachronic sample from the early Neolithic to the Iron Age (~8000 to ~1000 BCE) that encompasses the presumed transition from wild to domestic horses (4000 to 3000 BCE), shows the rapid and large-scale introduction of domestic horses at the end of the third millennium BCE. Thus, our results argue strongly against autochthonous independent domestication of horses in Anatolia.

Evaluation of micro-level managementof older person carein primary healthcenters in a health region in the Federal District of Brazil. / Avaliação da microgestão em Unidades Básicas de Saúde em ações para idosos em uma região de saúde do Distrito Federal, Brasil.

Primary health centers (PHCs) should consider the demographic and epidemiological profile of the health region to respond to population aging and structure service delivery around networks based on macro and micro-level management to ensure the provision of comprehensive services. A normative evaluation of micro-level management in four PHCs in a health region in the Federal District of Brazil was conducted to inform the development of recommendations for enhancing the delivery of comprehensive and integrated long-term care for older persons. A management evaluation matrix was used where management stages were classified as advanced, intermediate and incipient. The findings show that none of the PHCs were at the advanced stage, three were at the intermediate stage, and one at the incipient stage. The lowest scores were obtained for the subdimensions care model (which was shown to be predominantly traditional) and humanization (fragmentation of care). Lack of infrastructure and staff absenteeism were shown to be constraining factors, while effective communication with local administrators was as facilitating factor. Improvements need to be made in micro-level management to enhance the delivery of comprehensive and timely care to older persons in this health region.

As Unidades Básicas de Saúde (UBS) devem considerar o perfil demográfico e epidemiológico de sua região de saúde para se adequar ao envelhecimento populacional e se estruturar em redes, cujas bases estão na macro e microgestão, com vistas à integralidade da atenção. Foi conduzida avaliação normativa da microgestão de quatro UBS de uma Região de Saúde do Distrito Federal (DF) para posterior proposta de melhorias para ações voltadas a idosos. Utilizou-se matriz de avaliação da gestão, cuja classificação resultou em: avançada, intermediária e incipiente. Os resultados mostraram que nenhuma UBS está em estágio Avançado, três em Intermediário e uma Incipiente. Menores pontuações foram quanto ao Modelo de Atenção (maiormente tradicional) e à Humanização (com fragmentação do cuidado). Estrutura física deficitária e absenteísmo de profissionais foram dificultadores. Comunicação efetiva com gestão local foram identificadas como facilitadores. As UBS necessitam de avanços na microgestão para a qualificação do cuidado ofertado, principalmente quanto à implementação de modelo de atenção cuja integralidade seja atingida, de modo a ser garantido acesso oportuno e resolutivo para a população idosa nesta região de saúde.

COVID-19 e as catadoras de materiais recicláveis: precarização da vida e saúde frente ao medo da fome ou o risco do contágio / COVID-19 and waste pickers: precariousness of life and health in the face of fear of hunger or the risk of contagion

Este artigo aborda as experiências das catadoras de materiais recicláveis diante das implicações provocadas pela pandemia da COVID-19 em uma associação no Distrito Federal (DF). O objetivo principal foi compreender a situação de vida precária das mulheres catadoras inseridas em uma desigualdade sistêmica e institucional do capitalismo. Para tanto, foi realizada uma etnografia que combinou técnicas de observação, interação e escuta (conversas informais e entrevistas semiestruturadas). Através disso, permitiu-se o acompanhamento do cotidiano de vida dessas mulheres, desde a instauração de uma das maiores crises sanitária da humanidade até o período do retorno às atividades laborais. Os resultados revelaram que as catadoras estão inseridas na lógica de precarização da vida sendo que as condições foram agravadas com a chegada do novo coronavírus quando aumentou a vulnerabilidade relacionada ao vínculo de trabalho informal, a insalubridade e os riscos à saúde inerentes à ocupação e às dificuldades de acesso aos serviços de saúde e assistência social. O contexto mostra uma lida complexa relacionada ao medo do desemprego, às dificuldades e às barreiras do ingresso no mercado de trabalho e de manutenção da própria subsistência. Sobretudo, isso agravou-se de forma mais intensa diante da ausência de políticas e programas voltados para elas: o Estado fez pouco para a redução dos impactos da pandemia em suas vidas. Assim, a crise sanitária instaurada refletiu a fragilidade delas em face ao ciclo da reciclagem. Este fato demonstra a necessidade urgente de ações governamentais que abarquem esse grupo social tanto no momento da pandemia quanto pós-pandemia da COVID-19, visando superar a invisibilidade social

This article addresses the experiences of women waste pickers in the face of the implications caused by the COVID-19 pandemic in an association in the Distrito Federal (DF). The main objective was to understand the precarious life situation of women waste pickers inserted in a systemic and institutional inequality of capitalism. For that, an ethnography was carried out that combined observation and listening techniques (informal conversations and semi-structured interviews). Through this, it was possible to monitor the daily life of these women, from the onset of one of the greatest health crises in humanity until the period of return to work activities. The results revealed that the waste pickers are inserted in the logic of precariousness of life, and the conditions were aggravated with the arrival of the new coronavirus when the vulnerability related to the informal work bond, the unhealthy conditions and health risks inherent to the occupation and the difficulties increased. access to health and social assistance services. The context shows a complex deal related to the fear of unemployment, the difficulties and barriers to entering the labor market and maintaining one's livelihood. Above all, it worsened more intensely in the face of the absence of policies and programs aimed at them, the State did little to reduce the impacts of the pandemic on their lives. Thus, the established health crisis reflected their fragility in the face of the recycling cycle. This fact demonstrates the urgent need for government actions to embrace this social group, both during the pandemic and post-pandemic of COVID-19, aiming to overcome social invisibility

Taming the late Quaternary phylogeography of the Eurasiatic wild ass through ancient and modern DNA.

Taxonomic over-splitting of extinct or endangered taxa, due to an incomplete knowledge of both skeletal morphological variability and the geographical ranges of past populations, continues to confuse the link between isolated extant populations and their ancestors. This is particularly problematic with the genus Equus. To more reliably determine the evolution and phylogeographic history of the endangered Asiatic wild ass, we studied the genetic diversity and inter-relationships of both extinct and extant populations over the last 100,000 years, including samples throughout its previous range from Western Europe to Southwest and East Asia. Using 229 bp of the mitochondrial hypervariable region, an approach which allowed the inclusion of information from extremely poorly preserved ancient samples, we classify all non-African wild asses into eleven clades that show a clear phylogeographic structure revealing their phylogenetic history. This study places the extinct European wild ass, E. hydruntinus, the phylogeny of which has been debated since the end of the 19th century, into its phylogenetic context within the Asiatic wild asses and reveals recent mitochondrial introgression between populations currently regarded as separate species. The phylogeographic organization of clades resulting from these efforts can be used not only to improve future taxonomic determination of a poorly characterized group of equids, but also to identify historic ranges, interbreeding events between various populations, and the impact of ancient climatic changes. In addition, appropriately placing extant relict populations into a broader phylogeographic and genetic context can better inform ongoing conservation strategies for this highly-endangered species.

Dyslexia and developmental language disorder: cognitive-linguistic differences in reading / Dislexia e transtorno do desenvolvimento da linguagem: diferenças cognitivo-linguísticas na leitura / Dislexia y trastorno del desarrollo del lenguaje: diferencias cognitivo-lingüísticas en lectura

Reading comprehension is a product of the performance of both decoding ability and language comprehension. The difficulty in reading comprehension may be due to a deficit in any of these skills. The study aimed to verify the underlying reading skills in two clinical groups, Developmental Dyslexia (DD) and Developmental Language Disorder (DLD), seeking their similarities and differences. The sample included children from the early years of schooling. Both groups were assessed for reading comprehension skills, word reading speed, phonological processing and comprehension, and language production. The comparison between the two groups showed that the groups were similar in phonological skills but differed in oral language comprehension and production skills. In this ability, the DD group had a higher performance compared to the DLD group. The study concluded that different forms of intervention are necessary to supply the specific weaknesses of each group.

A compreensão da leitura é produto do desempenho das habilidades de decodificação e compreensão da linguagem. A dificuldade de compreensão da leitura pode ser a consequência de um déficit em qualquer uma dessas habilidades. O objetivo do estudo foi verificar as habilidades subjacentes de leitura em dois grupos clínicos, dislexia do desenvolvimento (DD) e transtorno do desenvolvimento da linguagem (TDL), buscando suas similaridades e diferenças. A amostra foi de crianças nos anos iniciais da escolarização. Avaliaram-se os grupos em compreensão leitora, velocidade de leitura de palavras, processamento fonológico e compreensão e produção de linguagem. Os resultados das comparações entre os dois grupos mostraram que eles foram similares nas habilidades fonológicas, mas diferiram nas habilidades de compreensão e produção da linguagem oral. Nesta habilidade, o grupo DD obteve maior desempenho quando comparado ao grupo TDL. Concluiu-se que diferentes formas de intervenção são necessárias para suprir as fragilidades específicas de cada grupo.

La comprensión lectora es un producto del desempeño de la capacidad de decodificación y la comprensión del lenguaje. La dificultad en la comprensión lectora puede ser la consecuencia de un déficit en cualquiera de estas habilidades. El objetivo del estudio fue verificar las habilidades de lectura subyacentes en dos grupos clínicos, dislexia del desarrollo (DD) y trastorno del desarrollo del lenguaje (TDL), buscando sus similitudes y diferencias. La muestra fueron niños de los primeros años de escolaridad. Los grupos fueron evaluados en comprensión lectora, velocidad de lectura de palabras, procesamiento fonológico, comprensión y producción del lenguaje. Los resultados de la comparación entre los dos grupos mostraron que los grupos eran similares en habilidades fonológicas, pero diferían en las habilidades de comprensión y producción del lenguaje oral. En esta capacidad, el grupo DD tuvo un mayor rendimiento en comparación con el TDL. Se concluyó que son necesarias diferentes formas de intervención para suplir las debilidades específicas de cada grupo.

A New High-Throughput Approach to Genotype Ancient Human Gastrointestinal Parasites.

Human gastrointestinal parasites are good indicators for hygienic conditions and health status of past and present individuals and communities. While microscopic analysis of eggs in sediments of archeological sites often allows their taxonomic identification, this method is rarely effective at the species level, and requires both the survival of intact eggs and their proper identification. Genotyping via PCR-based approaches has the potential to achieve a precise species-level taxonomic determination. However, so far it has mostly been applied to individual eggs isolated from archeological samples. To increase the throughput and taxonomic accuracy, as well as reduce costs of genotyping methods, we adapted a PCR-based approach coupled with next-generation sequencing to perform precise taxonomic identification of parasitic helminths directly from archeological sediments. Our study of twenty-five 100 to 7,200 year-old archeological samples proved this to be a powerful, reliable and efficient approach for species determination even in the absence of preserved eggs, either as a stand-alone method or as a complement to microscopic studies.

[The Sanumá-Yanomami medical system and indigenous peoples' health policy in Brazil]. / O sistema médico Sanumá-Yanomami e sua interação com as práticas biomédicas de atenção à saúde.

The purpose of this study is to discuss how the Sanumá indigenous people, a subgroup of the Yanomami linguistic family, located in northern Roraima State, Brazil, interacts with and relates to the public policy for indigenous people's health. Missionaries and Brazilian government and non-governmental organization employees are the agents with whom the Sanumá had to deal during the implementation of a healthcare policy. The ethnography of this interrelationship, permeated by moments of epidemic outbreaks, clashes, and attempts at collaboration, raises questions on the implementation of health services in indigenous territories.

[Women's experiences and care practices in the cancer treatment process]. / Vivências e práticas de cuidado de mulheres em processo de tratamento de câncer.

This article seeks to understand the viewpoint of cancer patients about the disease process and the therapeutic procedures that they experience. Cancer treatments provoke a series of physical and emotional consequences in patients. Thus, patients undergo a restructuring of life and establish mechanisms to "take care of themselves." The methodology used was an ethnographic approach through interviews, field notes and participant observation. The ethnographic approach revealed how these women being given conventional treatment in a given hospital create shared care technologies based on sociability.

Todos os testes de compreensão leitora avaliam o mesmo construto? / Do all reading comprehension tests evaluate the same construct?

Há uma tendência em considerar os testes de compreensão de texto como se todos estivessem medindo o mesmo construto. O objetivo do estudo é discutir, através de evidências de estudos empíricos, a suposição assumida de que diferentes tipos de testes de compreensão de texto medem diferentes habilidades subjacentes. Primeiramente, foi abordado o ponto de vista teórico. Posteriormente, as evidências empíricas de estudos internacionais, mostrando que existem variações nas contribuições das habilidades básicas (como a decodificação de palavra) e daquelas relacionadas à compreensão linguística, nos diferentes testes de compreensão de texto: Cloze, reconto, múltipla escolha e perguntas abertas. Em seguida, a conclusão de que deve haver cautela nas escolhas dos testes de compreensão de texto, tendo em mente exatamente o que se deseja avaliar.

There is a tendency to consider text comprehension tests as if they are all measuring the same construct. The aim of the study is to discuss, through evidence from empirical studies, the assumed assumption that different types of text comprehension tests measure different underlying abilities. Firstly, it was approached from a theoretical point of view. The empirical evidence of international studies shows that there are variations in the contributions of basic skills (such as word decoding) and those related to linguistic comprehension, in the different tests of text comprehension: Cloze, recto, multiple choice and open questions. Then conclude that there should be caution in the choices of text comprehension tests, keeping in mind exactly what one wishes to evaluate.

Papel do vocabulário para as habilidades de compreensão leitora / Role of vocabulary for reading comprehension skills / Papel del vocabulario para las habilidades de comprensión lectora

O presente estudo explorou a relação da medida de vocabulário da Escala WISC-III com as habilidades de precisão de leitura de palavras e de compreensão de texto, com 174 crianças, matriculadas no 3º e 4º anos do ensino fundamental. Identificou-se evidência de predição do vocabulário na compreensão de texto, mesmo depois do controle da precisão de leitura de palavras, da consciência fonológica e morfológica, e da memória de curto prazo. O mesmo não foi encontrado para a leitura de palavras. Os resultados indicam que o vocabulário medido pelo teste do WISC-III se relaciona com as habilidades de leitura, mas tem papel preditivo apenas na compreensão de texto. Esses achados são discutidos à luz da teoria do Modelo Simples de Leitura e da Hipótese Qualidade Lexical. (AU)

The present study explored the relationship of the WISC-III Vocabulary measure with the skills of word reading and reading comprehension in 174 children enrolled in the 3rd and 4th grades of Elementary School. Evidence of prediction of vocabulary in reading comprehension was identified, even after controlling for word reading, phonological awareness, short-term memory, and morphological awareness. The same was not found for the skill of word reading. The results indicate that the WISC-III vocabulary relates to reading skills, but has a predictive role only in text comprehension. These findings are discussed in light of the Simple Reading Model theory and the Lexical Quality Hypothesis. (AU)

En el presente estudio fue analizada la relación de la medida de vocabulario de la Escala WISC-III con las habilidades de comprensión de lectura y de texto, participando 174 niños, matriculados en 3º y 4º año de Enseñanza Primaria. Se encontraron evidencias de predicción de vocabulario en la comprensión de texto, inclusive después de controlar otras variables como precisión lectora de palabras, conciencia fonológica, memoria de corto plazo y conciencia morfológica. La misma evidencia no fue encontrada en la lectura de palabras. Los resultados indican que el vocabulario medido por el WISC-III se relaciona con las habilidades de lectura, pero tiene un papel predictivo sólo en la comprensión de texto. Estos hallazgos son discutidos a la luz de la teoría del Modelo de Lectura Simple y la Hipótesis Calidad Léxica. (AU)

Desenvolvimento de tecnologia dura para tratamento do pé diabético: um estudo de caso na perspectiva da saúde coletiva / Development of hard technology for the treatment of diabetic foot: a case study from the perspective of public health

RESUMO Este é um estudo de caso que objetivou analisar, na perspectiva da saúde coletiva, o processo de desenvolvimento do equipamento médico para o tratamento do pé diabético realizado pela parceria entre o Ministério da Saúde (MS) e a Universidade de Brasília (UnB) no período de dezembro de 2016 a janeiro de 2019. A análise observou o comportamento do grupo de pesquisa responsável pela produção da tecnologia dura mediante as dificuldades em transformar a pesquisa em um produto com viés mercadológico capaz de ser assimilado na cobertura do Sistema Único de Saúde (SUS), concomitantemente à participação da saúde coletiva na superação de alguns entraves. Utilizou-se como estudo de caso a parceria entre o MS e a UnB apoiado no modelo de investigação qualitativa com ênfase em processos metodológicos de tipologia mista, mas com prioridade aos métodos de observação participante cuja unidade de análise está vinculada à saúde coletiva. Os resultados observados evidenciaram que a contribuição da saúde coletiva na produção da tecnologia dura minimizou lacunas para a provável transformação da ideia em produto assimilável pelo SUS. A participação da saúde coletiva diminuiu os espaços entre as áreas do conhecimento envolvidas, aproximando a universidade da iniciativa privada e dos órgãos reguladores.

ABSTRACT This is a case study that is aimed at analyzing, from the perspective of public health, the process of development of medical equipment for the treatment of diabetic foot performed by the partnership between the Ministry of Health (MS) and the University of Brasilia (UnB) from December 2016 to January 2019. The analysis observed the behavior of the research group responsible for the production of hard technology in the face of the difficulties in transforming the research into a product with market potential that can be assimilated into the coverage of the Brazilian Unified Health System (SUS), concomitantly with the participation of public health in overcoming some barriers. The partnership between MS and UnB was used as a case study, supported in the qualitative research model with emphasis on methodological processes of mixed typology, but prioritizing participatory observation methods whose unit of analysis is linked to public health. The results showed that the contribution of public health on the production of hard technology minimized gaps for the probable transformation of the idea into a product assimilated by SUS. The participation of public health narrowed the gaps between the areas of knowledge involved, bringing the university closer to a private initiative and regulating institutions.

Avaliação da microgestão em Unidades Básicas de Saúde em ações para idosos em uma região de saúde do Distrito Federal, Brasil / Evaluation of micro-level managementof older person carein primary healthcenters in a health region in the Federal District of Brazil

Resumo As Unidades Básicas de Saúde (UBS) devem considerar o perfil demográfico e epidemiológico de sua região de saúde para se adequar ao envelhecimento populacional e se estruturar em redes, cujas bases estão na macro e microgestão, com vistas à integralidade da atenção. Foi conduzida avaliação normativa da microgestão de quatro UBS de uma Região de Saúde do Distrito Federal (DF) para posterior proposta de melhorias para ações voltadas a idosos. Utilizou-se matriz de avaliação da gestão, cuja classificação resultou em: avançada, intermediária e incipiente. Os resultados mostraram que nenhuma UBS está em estágio Avançado, três em Intermediário e uma Incipiente. Menores pontuações foram quanto ao Modelo de Atenção (maiormente tradicional) e à Humanização (com fragmentação do cuidado). Estrutura física deficitária e absenteísmo de profissionais foram dificultadores. Comunicação efetiva com gestão local foram identificadas como facilitadores. As UBS necessitam de avanços na microgestão para a qualificação do cuidado ofertado, principalmente quanto à implementação de modelo de atenção cuja integralidade seja atingida, de modo a ser garantido acesso oportuno e resolutivo para a população idosa nesta região de saúde.

Abstract Primary health centers (PHCs) should consider the demographic and epidemiological profile of the health region to respond to population aging and structure service delivery around networks based on macro and micro-level management to ensure the provision of comprehensive services. A normative evaluation of micro-level management in four PHCs in a health region in the Federal District of Brazil was conducted to inform the development of recommendations for enhancing the delivery of comprehensive and integrated long-term care for older persons. A management evaluation matrix was used where management stages were classified as advanced, intermediate and incipient. The findings show that none of the PHCs were at the advanced stage, three were at the intermediate stage, and one at the incipient stage. The lowest scores were obtained for the subdimensions care model (which was shown to be predominantly traditional) and humanization (fragmentation of care). Lack of infrastructure and staff absenteeism were shown to be constraining factors, while effective communication with local administrators was as facilitating factor. Improvements need to be made in micro-level management to enhance the delivery of comprehensive and timely care to older persons in this health region.

O aborto e uma história de vida: Cuidar de si, filhos e parceiros em circulação / Abortion and a life story: Taking care of yourself, children and partners in circulation / El aborto y una historia de vida: cuidarse de sí, hijos y parejas en circulación

Resumo Este artigo pretende discutir, a partir de um relato biográfico, a prática de aborto em contexto popular enquanto estratégia de cuidar de si. Para tanto, analisa a história de vida de Helena, uma mulher de camada popular, marcada pela violência de gênero e a desigualdade social. Trata das leituras e das práticas de eventos da vida sexual e reprodutiva como "regra", "fazer descer", "abortar", "ter filhos" e "ter companheiro", com o intuito de compreender o manejo empreendido entre códigos hegemônicos, usos cotidianos e modos de sobrevivência da solidão e da violência.

Abstract This article discusses the practice of abortion in a popular context as a strategy of caring for oneself, by analyzing the life story of Helena, a working class woman whose trajectory is marked by gender violence and social inequality. It deals with the understanding and practices of sexual and reproductive life events, such as "menses", "provoking menstruation", "abortion", "having children" and "having a partner", in order to understand the management undertaken at the intersection of hegemonic codes, daily practices, and modes of surviving solitude and violence.

Resumen Este artículo pretender discutir, a partir de una biografía, la práctica del aborto en un contexto popular como uno de los modos de una cuidarse a sí misma. Por eso, analiza la historia de vida de Helena, una mujer de estrato popular, marcada por la violencia de género y por la desigualdad social. Por eso, son abordadas las interpretaciones de eventos de la vida sexual y reproductiva como la "regla", "hacer bajar la menstruación", "abortar", "tener hijos" y "estar en pareja", para comprender el manejo de códigos sociales hegemónicos, sus usos cotidianos y modos de sobrevivencia a la solitud y a la violencia.