ABSTRACT
Introduction@#In the realm of education and professional licensure, the assessment of individuals’ competencies is pivotal in determining eligibility for entry into various fields of practice. Medical school assessments encompass cognitive and non-cognitive measures. The Philippines’ Physician Licensure Examination (PLE) relies solely on cognitive assessment. This study explored the predictive power of cognitive assessment in the passing the Physician Licensure Examinations.@*Methods@#A case-control study design was done. Cognitive examination grade was defined as the average cumulative grade of written examinations in specific subjects, while the dependent variable was PLE scores.@*Results@#The study revealed a positive association between failing written examinations and failing the Physician Licensure Examination. In all subjects, there is an observed association, but only Pharmacology reached statistical significance (OR: 2.30 CI:1.01,5.24). For the remaining subjects, although there is an association, it did not reach statistical significance (Biochemistry OR:1.42, CI: 0.43, 4.72; Medicine 3 OR:1.56, CI: 0.81, 3.0; Surgery 3 OR:1.28 CI: 0.63, 2.58). There was no association seen between failing the written examination and failing the PLE in Obstetrics (OR:0.98 CI: 0.47, 2.03). Furthermore, there was a weak positive correlation (0.18-0.31) between written examination grades and corresponding board exam subject grades for all subjects, highlighting the importance of cognitive assessments in predicting success. The research also found a statistically significant difference in PLE grades between those who failed the written examinations and those who passed.@*Conclusion@#These findings emphasized the crucial role of cognitive assessments in predicting success in the PLE and its associated board subjects. The study underscored the need for medical institutions to focus on strengthening cognitive competencies and to align the content and rigor of written examinations with the PLE. Addressing these issues would better prepare students for the licensure examination and enhance the quality of healthcare professionals entering the workforce. The results may contribute to the ongoing discussion on the effectiveness of assessment methods in medical education and licensure examinations.
Subject(s)
AssociationABSTRACT
@#Although melanoma only accounts for 1% of skin cancers, it is responsible for most skin cancer deaths. Glioblastoma multiforme, a high-grade astrocytoma, is the most aggressive and devastating primary brain tumor. These two diseases remain to be the biggest therapeutic challenge in both specialties of dermatology and neuro-oncology. A 53-year-old Filipino male who presented with a 2-year history of generalized dark brown and black patches on the body developed weakness and numbness of the left extremities. Biopsy and immunohistochemical staining of the skin revealed nodular melanoma with adjacent regressing melanoma. Biopsy of the intracranial mass showed glioblastoma multiforme. One month after the partial excision of the intracranial mass, the patient expired due to brain herniation. Nodular melanoma and glioblastoma multiforme may occur concomitantly in a patient. A review of the literature suggests a shared genetic predisposition. Its existence carries a poor prognosis and requires early detection to start aggressive treatment.
Subject(s)
Melanoma , Glioma , Glioblastoma , AssociationABSTRACT
Student protagonism is paramount in the knowledge construction process. In this paper, we discuss a didactic-pedagogical resource called licentîa hypomnema (LH), inspired in portfolios and learning diaries in which student-teachers record their understandings and reflections regarding pedagogical topics learned at University in a meta-learning process on learning about teaching. The initial context of the research was a Psychological Development and Teaching course, offered in the Teacher Education program at Universidade de Brasília (UnB). Two of the authors, then Literacy and Languages Teaching students, produced their LH and peer assessed each other during the course. In their annotations, the student-authors recorded two pedagogical situations related to the use of LH in their own teaching practices, causing an impact on their formative path. These materials consist of the data for analysis and discussion. Moreover, we discuss possible uses of reflexive writing in teacher education and other learning contexts. Producing a LH supports knowledge production and allows students to connect theory and practice, which consequently influences the student's teaching practice. Since LH is a didactic-pedagogical resource and not a close-ended tool, both the context and individuals who use it should be considered.(AU)
O protagonismo de estudantes tem grande importância no processo de construção do conhecimento. Neste artigo, discutimos um recurso didático-pedagógico chamado licentîa hypomnema (LH), inspirado em portfólios e diários de aprendizagem, isto é, estudantes de licenciatura escrevem suas compreensões e reflexões acerca de assuntos pedagógicos vistos na universidade em um processo de meta-aprendizagem sobre aprender a ensinar. O contexto inicial da pesquisa foi um curso de Desenvolvimento Psicológico e Ensino, ministrado em cursos de Licenciatura da Universidade de Brasília (UnB). Duas das autoras eram estudantes do curso de Letras, elas produziram seus LH, realizando avaliação por pares entre si durante o curso. As estudantes-autoras trouxeram em seus registros duas situações pedagógicas relacionadas ao uso desse recurso em suas próprias práticas de ensino que causaram um impacto em suas trajetórias formativas. São esses relatos que compõem os dados para análise e discussão. Além disso, procuramos discutir possíveis desdobramentos para o uso do recurso da escrita reflexiva na formação docente e em outros contextos de aprendizagem. A produção do LH fornece suporte para a produção de conhecimento e permite ao aluno conectar teoria e prática, o que, consequentemente, reverbera na prática de ensino do aluno. O LH é um recurso didático-pedagógico e não uma ferramenta fechada, portanto, tanto o contexto quanto as pessoas que o utilizam devem ser considerados.(AU)
El protagonismo de los estudiantes tiene gran importancia en el proceso de construcción del conocimiento. En este trabajo, discutimos un recurso didáctico-pedagógico llamado licentîa hypomnema (LH), que se inspira en diarios de aprendizaje, es decir, estudiantes de profesorado escriben sus comprensiones y reflexiones sobre temas pedagógicos aprendidos en la universidad, produciendo un proceso de meta-aprendizaje sobre aprender a enseñar. El contexto inicial de la investigación fue un curso de Desarrollo Psicológico y Enseñanza, impartido en el programa de Formación de Profesores de la Universidade de Brasília (UnB). Dos de las autoras eran alumnas de la carrera de Letras que produjeron sus LH y realizaron una evaluación por pares mutua durante el curso. Las estudiantes autoras plantearon en su LH dos situaciones pedagógicas relacionadas con el uso de este recurso en sus propias prácticas de enseñanza, causando un impacto en su trayectoria formativa. Estos materiales constituyen los datos para el análisis y la discusión en esta investigación. Buscamos discutir posibles desdoblamientos para el uso del recurso de la escritura reflexiva en la formación docente y en otros contextos de aprendizaje. La producción de este recurso da soporte a la producción de conocimiento y permite al estudiante conectar teoría y práctica, lo que consecuentemente repercute en su práctica docente. El LH es un recurso didáctico-pedagógico y no una herramienta cerrada, por lo tanto, se debe considerar tanto el contexto como las personas que lo utilizan.(AU)
Subject(s)
Humans , Male , Female , Diary , Faculty , Handwriting , Organizational Objectives , Aptitude , Psychology , Psychology, Educational , Psychology, Social , Reading , Remedial Teaching , Association , Self Care , Social Change , Social Responsibility , Social Sciences , Speech , Awareness , Thinking , Writing , Activities of Daily Living , Power, Psychological , Mental Competency , Models, Educational , Cognition , Problem-Based Learning , Conditioning, Psychological , Neurobehavioral Manifestations , Behavioral Disciplines and Activities , Creativity , Cultural Evolution , Culture , Personal Autonomy , Decision Making , Interdisciplinary Communication , Comprehension , Educational Measurement , Educational Status , Abstracting and Indexing , Methodology as a Subject , Planning , Existentialism , Knowledge Discovery , Teach-Back Communication , Mindfulness , Mentoring , Self-Directed Learning as Topic , Memory and Learning Tests , Self-Management , Freedom , Self-Testing , Social Interaction , Individuality , Inservice Training , Intelligence , Knowledge of Results, Psychological , Language Arts , Leadership , Learning Disabilities , Life Change Events , Memory , Mental ProcessesABSTRACT
Este trabalho teve como objetivo analisar a relação entre arte e vida segundo Vigotski. Para isso, foi realizada uma análise conceitual dos capítulos 1, 7, 9, 10 e 11 da Psicologia da Arte, do capítulo 13 da Psicologia Pedagógica e do texto O significado histórico da crise da Psicologia: Uma investigação metodológica. A pesquisa conceitual consiste na análise semântica dos principais conceitos de uma teoria com o intuito de elucidar seus sentidos ocultos ou confusos e desvendar possíveis contradições e ambiguidades no quadro teórico. Podemos observar que a arte é um fenômeno dialético tanto em sua criação como em seus efeitos. A influência da vida, isto é, da realidade sócio-histórica, na criação artística é indireta, pois ela é sempre mediada pelo psiquismo particular do artista. Já o efeito da arte sobre a vida possibilita que o ser humano se conscientize de sua realidade social e se engaje para mudá-la. A arte é, portanto, transformadora, pois reorganiza o psiquismo e possibilita uma mudança nas condições materiais dos seres humanos.(AU)
This study aims to analyze the relationship between art and life according to Vygotsky. Therefore, a conceptual analysis of chapters 1, 7, 9, 10, and 11 of Psychology of Art, chapter 13 of Educational Psychology and the text The Historical meaning of the Crisis of Psychology: A Methodological Investigation was carried out. Conceptual research consists of the semantic analysis of the main concepts of a theory to elucidate its hidden or confused meanings and to reveal possible contradictions and ambiguities in the theoretical framework. Results show that art is a dialectical phenomenon both in its creation and its effects. The influence of life, that is, of socio-historical reality, on artistic creation is indirect since it is always mediated by the artist's particular psyche. The effect of art on life, on the other hand, allows human beings to become aware of their social reality and engage to change it. Art is, therefore, transformative, as it reorganizes the psyche and enables a change in the material conditions of human beings.(AU)
Este proyecto tuve como objetivo analizar la relación entre el arte y la vida, según Vigotski. Para esto, fue realizado un análisis de los capítulos 1, 7, 9, 10 y 11 de Psicología del arte, del capítulo 13 de Psicología Pedagógica y del texto Él significado histórico de la crisis de la Psicología: una investigación metodológica. La pesquisa conceptual consiste en la analice semántica de los conceptos de una teoría, para aclarar sus significados ocultos o confusos y desvendar contradicciones y ambigüedades em el cuadro teórico. Pudimos observar que, el arte es un fenómeno dialéctico en su creación tanto como en sus efectos. La influencia de la vida, esto es, de la realidad socio-histórica, en la creación artística es indirecta, pues es mediada por el psiquismo particular de lo artista. Así, el efecto del arte sobre la vida habilita que lo ser humano adquiera conciencia de su realidad social y que se comprometa a cambiarla. El arte, consiguientemente, transformadora, pues reorganiza lo psiquismo y habilita un cambio en las condiciones materiales de los seres humanos.(AU)
Subject(s)
Humans , Male , Female , Art , Psychology , Life , Social Representation , Paint , Perception , Personality , Personality Development , Philosophy , Architecture , Pleasure-Pain Principle , Politics , Psychology, Social , Psychomotor Agitation , Rejection, Psychology , Religion , Association , Research , Role , Sensation , Social Environment , Spiritualism , Thinking , Transference, Psychology , Unconscious, Psychology , Behavior , Humans , Symbolism , Adaptation, Psychological , Attitude , Catharsis , Comment , Mental Competency , Cognition , Communism , Conflict, Psychological , Congresses as Topic , Expressed Emotion , Self Psychology , Psychotherapeutic Processes , Drawing , Creativity , Cues , Culture , Dancing , Capitalism , Human Characteristics , Abreaction , Drama , Drive , Education , Emotions , Esthetics , Existentialism , Cultural Competency , Resilience, Psychological , Poetry , Pleasure , Social Norms , Science in the Arts , Freedom , Dialectical Behavior Therapy , Egocentrism , Group Processes , History , Individuality , Intelligence , Interpersonal Relations , Literature , Methods , Anthropology , Models, Theoretical , Morale , Motion Pictures , Motivation , MusicABSTRACT
Introduction: Echinoids (sea urchins) provide shelter for a variety of facultative or obligatory ectosymbionts. Objective: To evaluate the hypothesis that decapods and fishes prefer to associate with echinoid individuals and species that have longer spines. Methods: We visually studied the frequency of decapod crustaceans and fishes associated with echinoids in shallow water (< 4 m) and deeper water (5-20 m) at Los Cabos, Baja California Sur, Mexico, during 1-6 January 2019. Results: We inspected 1 058 echinoids of six species. Five decapod species associated with three species of echinoids. When compared with other echinoid species, in shallow water, decapods associated 5.1 times more often with the longest-spined echinoid Diadema mexicanum (7.0 times more decapods per individual D. mexicanum); in deeper water, association frequency was similar for all echinoid species. Fourteen fish species associated with four echinoid species. In shallow water, fishes associated 2.6 times more with D. mexicanum (4.5 times more fishes per individual). There was no preferred echinoid species in deeper water. Longer-spined D. mexicanum had more decapods and fishes. Associations were more frequent in shallow water. Multiple individuals and species of decapods and fish often associated together with a single D. mexicanum. The decapod that presumably is Tuleariocaris holthuisi showed a possible obligatory association with one of the equinoids (D. mexicanum); the other decapods and all fish species are facultative associates. Conclusion: Our results support the hypothesis that decapods and fishes associate most frequently with echinoids with the longest spines, presumably to reduce the risk of predation.
Introducción: Los equinoideos (erizos de mar) brindan refugio a una variedad de ectosimbiontes facultativos u obligatorios. Objetivo: Evaluar la hipótesis de que los decápodos y los peces prefieren asociarse con individuos y especies de equinoideos con espinas más largas. Métodos: Estudiamos visualmente la frecuencia de crustáceos decápodos y peces asociados con equinoideos en aguas poco profundas (< 4 m) y aguas más profundas (5-20 m) en Los Cabos, Baja California Sur, México, del 1-6 de enero 2019. Resultados: Examinamos 1 058 equinoideos de seis especies. Cinco especies de decápodos se asociaron con tres especies de equinoideos. Al comparar con otras especies de equinoideos, en aguas poco profundas, los decápodos se asociaron 5.1 veces más frecuentemente con la especie de equinoideo de espinas más largas, Diadema mexicanum (7.0 veces más decápodos por individuo en D. mexicanum); en aguas más profundas, la frecuencia fue similar para todas las especies de equinoideos. Catorce especies de peces se asociaron con 4 especies de equinoideos. En aguas poco profundas, los peces se asociaron 2.6 veces más con D. mexicanum (4.5 veces más peces por individuo). No hubo preferencia por una especie de equinoideo en aguas más profundas. Individuos de D. mexicanum con espinas largas tuvieron más asociación con decápodos y peces. Las asociaciones se dieron con mayor frecuencia en aguas poco profundas. Múltiples individuos y especies de decápodos y peces a menudo se asociaron con un solo D. mexicanum. Un decápodo que presumiblemente es Tuleariocaris holthuisi mostró una posible asociación obligatoria con uno de los equinoideos (D. mexicanum); las otras especies de decápodos y todas las especies de peces presentaron asociaciones facultativas. Conclusión: Nuestros resultados apoyan la hipótesis de que los decápodos y los peces se asociaron con mayor frecuencia con los equinoideos con las espinas más largas, presumiblemente para reducir el riesgo de depredación.
Subject(s)
Animals , Association , Sea Urchins/growth & development , Decapoda/growth & development , Fishes , United States , Coastal Streams , EcologyABSTRACT
Objetivos: determinar la proporción de parto vaginal exitoso en mujeres con cesárea previa, describir las complicaciones maternas y perinatales, y realizar una aproximación a los factores asociados al parto vaginal. Materiales y métodos: estudio de corte transversal descriptivo. Se incluyeron mujeres con antecedente de un parto por cesárea, con edad gestacional mayor a 24 semanas y fetos únicos vivos que tuvieron prueba de parto vaginal, atendidas en una institución pública de alta complejidad en 2019. Se excluyeron aquellas pacientes con antecedente de más de una cesárea o miomectomía. Muestreo consecutivo. Se midieron variables sociodemográficas, obstétricas, vía del parto y complicaciones maternas y perinatales. Se hace análisis descriptivo y un análisis exploratorio multivariado de los factores asociados al parto vaginal exitoso. Resultados: de 286 gestantes incluidas, el porcentaje de éxito de parto vaginal fue del 74,5 %. Se identificaron complicaciones maternas en el 3,2 % de los partos vaginales y en el 6,8 % de las cesáreas. El 1,3 % de los recién nacidos tuvo alguna complicación. Hubo 2 muertes perinatales. Se encontró asociación entre parto vaginal exitoso y tener antecedente de parto vaginal (OR: 2,7; IC 95 %: 1,15-6,29); puntaje de Bishop mayor de 6 (OR: 2,2; IC 95 %: 1,03-4,56); inicio de trabajo de parto espontáneo (OR: 4,5; IC 95 %: 2,07-9,6); y edad materna menor de 30 años (OR: 2,28; IC 95 %: 1,2-4,2). Conclusiones: el parto vaginal es una opción segura para considerar en pacientes con cesárea anterior, especialmente si inician trabajo de parto espontáneo o han tenido un parto vaginal previamente. Se requieren cohortes prospectivas para confirmar estos hallazgos.
Objectives: To determine the proportion of successful vaginal deliveries in women with prior cesarean section; to describe maternal and perinatal complications; and to examine the factors associated with vaginal delivery. Materials and methods: Descriptive cross-sectional study of women with a history of cesarean delivery, gestational age of more than 24 weeks, singleton live fetuses, with prior vaginal delivery who received care in a high complexity public institution in 2019. Patients with a history of more than one cesarean section or myomectomy were excluded. Consecutive sampling was used. Sociodemographic and obstetric variables, delivery route and maternal and perinatal complications were measured. A descriptive analysis as well as a multivariate exploratory analysis of the factors associated with successful vaginal delivery were carried out. Results: Among 286 pregnant women included, the percentage of successful vaginal deliveries was 74.5 %. Maternal complications were identified in 3.2 % of vaginal delivery cases and in 6.8 % of cesarean births. Complications occurred in 1.3 % of all live neonates; there were 2 perinatal deaths. An association was found between successful vaginal delivery and a history of prior vaginal delivery (OR: 2.7; 95 % CI: 1.15-6.29); a Bishop score greater than 6 (OR: 2.2; 95 % CI: 1.03-4.56); spontaneous labor initiation (OR: 4.5; IC 95 % CI: 2.07-9.6); and maternal age under 30 years (OR:2.28; 95 % CI: 1.2-4.2). Conclusions: Vaginal delivery is a safe option to consider in patients with prior cesarean section, in particular in cases of spontaneous labor initiation or prior vaginal delivery. Prospective cohorts are needed in order to confirm these findings.
Subject(s)
Humans , Female , Pregnancy , Uterine Rupture , Vaginal Birth after Cesarean , Pregnancy Complications , Association , Labor, Obstetric , Cesarean Section , Perinatal Care , Pregnant WomenSubject(s)
Humans , General Surgery , Research Groups , Association , Science, Technology and Society , HistoryABSTRACT
Objetivo: Mapear as evidências científicas sobre os fatores associados ao comportamento suicida de estudantes da pós-graduação stricto sensu. Métodos: Trata-se de uma revisão de escopo sistematizada pelas diretrizes do Joanna Briggs Institutee realizada nos repositórios SCOPUS, LILACS, PubMed/Medline, CINAHL, Web of Science, PsycInfo, OATD e BDTD-CAPES. Foram selecionados e analisados materiais bibliográficos que apresentaram fatores associados ao comportamento suicida para estudantes da pós-graduação stricto sensu. Resultados: Sete materiais bibliográficos atenderam aos critérios de elegibilidade desta revisão. A maioria abordou fatores de risco para comportamentos suicidas, com ênfase insuficiente em fatores protetivos. Conclusão: Foram identificados como fatores associados ao comportamento suicida na pós-graduação variáveis de saúde, psicológicas, sociodemográficas, relacionais e do contexto acadêmico. Essa revisão destaca a incipiência da produção científica nesse campo de saber e a necessidade de se dar maior ênfase e visibilidade a essa problemática. Descritores: Suicídio. Ideação suicida. Fatores de risco. Associação. Educação de pós-graduação.
Objective: To map the diverse scientific evidence about the factors associated with suicidal behavior in strictosensugraduate students. Methods: This is a scoping review systematized according to the Joanna Briggs Instituteguidelines and conducted in the SCOPUS, LILACS, PubMed/Medline, CINAHL, Web of Science, PsycInfo, OATD and BDTD-CAPES repositories. The bibliographic materials selected and analyzed were those that presented factors associated with suicidal behavior for strictosensugraduate students. Results: Seven bibliographic materials met the eligibility criteria of this review. Most of them addressed risk factors for suicidal behaviors, with insufficient emphasis on protective factors. Conclusion: Variables related to health, as well as psychological, sociodemographic, relational and of the academic context, were identified as factors associated with suicidal behavior in the academic context. This review highlights the incipience of the scientific production in theknowledge field and the need to confer greater emphasis and visibility to this problem. Descriptors: Suicide. Suicidal ideation. Risk factors. Association. Education, Graduate.
Subject(s)
Association , Suicide , Risk Factors , Education, Graduate , Suicidal IdeationABSTRACT
Objetivo: avaliar a associação entre os níveis de priorização para admissão na Unidade de Terapia Intensiva (UTI) e o prognóstico dos pacientes. Material e Método: estudo longitudinal retrospectivo que incluiu adultos internados na UTI de hospital universitário, ano de 2020. As variáveis, coletadas nos prontuários e banco de dados eletrônicos do hospital contemplam: identificação, data de entrada no hospital e de admissão na UTI, diagnósticos, antecedentes, data de alta, desfecho, cálculo do Simplified Acute Physiology Score 3 (SAPS 3) e nível de priorização da admissão. Resultados: o estudo avaliou 274 pacientes. As patologias respiratórias totalizaram 41,25% das admissões, sendo COVID-19 o diagnóstico mais frequente (65 casos confirmados e 2 suspeitos). Dentre as comorbidades, destacam-se hipertensão arterial sistêmica (64,32%), diabetes mellitus (25,82%) e tabagismo (18,78%). O SAPS 3 médio foi de 59,29 pontos, representando uma probabilidade de óbito de 39,00%. A respeito dos níveis de priorizações, 174 (63,50%) pacientes foram classificados como prioridade 1 (P1); 94 (34,31%) pacientes como prioridade 2 (P2); e 6 (2,19%) pacientes como prioridade 3 (P3). Comparando os grupos P1 e P2, a probabilidade de óbito foi, respectivamente, 51,95% e 13,75%. E o número de óbitos observado foi de 90 (60,81%) no grupo P1 e 19 no grupo P2 (25,30%; p<0,001)). Conclusão: os pacientes classificados como P1 foram mais frequentes na amostra de estudo. A classificação de prioridades identificou os pacientes mais graves e com maior taxa de mortalidade na primeira categoria, apesar de não haver diferença na idade, comorbidade e fragilidade.
Objective: to assess the association between levels of prioritization for admission to intensive care unit (ICU) and patients' prognosis. Material and Method: longitudinal retrospective study that included adult patients admitted to the ICU of a University Hospital during 2020. The data were collected from paper and electronic medical records, including identification, date of admission to the hospital, date of admission to ICU, diagnosis, medical history, date of hospital discharge, outcome, the Simplified Acute Physiology Score 3 (SAPS-3) and prioritization level. Results: the study evaluated 274 patients during 2020. Respiratory diseases represented 41.25% of admissions, COVID-19 being the most frequent diagnosis (totaling 65 confirmed and 2 suspected cases). Among the comorbidities, the following were highlighted: arterial hypertension (64.32%), diabetes mellitus (25.82%), and smoking (18.78%). The mean SAPS 3 score was 59.29 points, representing a probability of death of 39.00%. About prioritization levels, 174 (63.50%) patients were categorized as Priority 1 (P1); 94 (34.31%) patients as Priority 2 (P2) and 6 (2.19%) patients as Priority 3 (P3), which was not considered due to insufficient sample for testing. Comparing groups P1 and P2, the probability of death of each category was, respectively, 51.95% and 13.75%. During the study period, the number of deaths in each category was 90 (60.81%) for P1 and 19 (25.30%; p<0,001) for P2. Conclusion: the prioritization classification identified patients with more severity and with greater mortality rates in category P1 of prioritization to ICU admission, even though there was no difference on age, comorbidity and frailty.
Subject(s)
Patients , Prognosis , Association , Tobacco Use Disorder , Medical Records , Disease , Diabetes Mellitus , Diagnosis , Hospitals , Hospitals, University , Hypertension , Intensive Care UnitsABSTRACT
RESUMEN Este artículo define una serie de argumentos que sustentan el vínculo estrecho entre las concepciones de paz y desarrollo, en procura de proyectar posibilidades de mayores impactos para el bienestar y la evolución humana. En el recorrido se dota a cada una de las nociones de diversos contenidos, dimensiones, atributos, dispositivos y propósitos con el fin de romper con su concepción unidimensional y dar paso a su constitución múltiple y compleja, para posteriormente definir puntos de encuentro, asocio, combinación y trabajo sinérgico entre las nociones en estudio que conlleven al reconocimiento de las paces y desarrollos circulando en una órbita más amplia. En el recorrido se reivindica las paces y desarrollos no solo como conceptos o nociones ideales, sino también como procesos, experiencias, dinámicas y acontecimientos múltiples que es necesario comprender en red. Para lograr tal reto se requirió realizar un análisis crítico de distintas revistas electrónicas, libros y declaraciones de las Naciones Unidas sobre desarrollo y paz con el fin de poder abrir el debate en lógicas de simbiosis, sinergias, complementariedades y contribuciones mutuales.
ABSTRACT This article defines a series of arguments that support the close link between the conceptions of peace and development, in an attempt to project possibilities of greater impacts on human well-being and evolution. In the journey, each of the notions is endowed with various contents, dimensions, attributes, devices, and purposes, in order to break with its one-dimensional conception and give way to its multiple and complex constitution, to later define meeting points, association, combination, and synergistic work between the notions under study that lead to the recognition of peace and developments circulating in a wider orbit. In the tour, peace and development are vindicated, not only as ideal concepts or notions, but also as processes, experiences, dynamics, and multiple events that must be understood online. To achieve this challenge, it was necessary to carry out a critical analysis of different electronic journals, books, and United Nations declarations on development and peace in order to open the debate on the logic of symbiosis, synergies, complementarities, and mutual contributions.
Subject(s)
Humans , Ecosystem , Association , Object AttachmentABSTRACT
Resumo O artigo analisa fatores associados à descontinuidade do orçamento participativo (OP) em municípios brasileiros acima de 50 mil habitantes no período entre 2000 e 2016. A pesquisa foi analisada pela estimação de modelos econométricos com foco em variáveis explicativas políticas e pela propensão do ambiente local à participação. Os resultados indicam que a descontinuidade está associada positivamente com a troca do partido do prefeito municipal entre as eleições, a despeito da ideologia do partido; positivamente com a troca da ideologia do partido do prefeito, com a entrada de partidos de esquerda; negativamente com a entrada de partidos com outras ideologias; e positivamente com a troca entre partidos de esquerda. A descontinuidade não apresentou efeito com a troca entre partidos com outras ideologias. Os resultados indicam fatores locais e contextuais explicativos para a descontinuidade do OP, permitindo direcionar desenho de políticas públicas participativas e levantando reflexividade sobre mecanismos que devem ser adotados localmente para que não ocorra a descontinuidade, além de contribuir para a literatura ao demonstrar a associação entre a descontinuidade com a troca de partidos da esquerda, o que pode suscitar pesquisas futuras, dado que o resultado não era esperado.
Resumen El artículo analizó factores asociados a la discontinuidad del presupuesto participativo (PP) en municipios brasileños con más de 50.000 habitantes, en el período 2000-2016. La discontinuidad se analizó mediante la estimación de modelos econométricos con enfoque en variables políticas explicativas y la propensión del entorno local a participar. Los resultados indican que la discontinuidad se asocia: (i) positivamente con el cambio de partido del alcalde entre elecciones, independientemente de la ideología del partido; (ii) positivamente con el cambio de ideología del partido de la alcaldía, con la entrada de partidos de izquierda; (iii) negativamente con la entrada de partidos con otras ideologías; (iv) positivamente con el intercambio entre partidos de izquierda. La discontinuidad no tuvo efecto con el intercambio entre partidos con otras ideologías. Los resultados contribuyen al señalar factores locales y contextuales que explican la discontinuidad del PP, permitiendo orientar el diseño de políticas públicas participativas y planteando la reflexión sobre los mecanismos que deben ser adoptados localmente para que no ocurra la discontinuidad. También contribuye a la literatura al demostrar la asociación entre la discontinuidad y el intercambio de partidos de izquierda, lo que puede impulsar futuras investigaciones, dado que el resultado no era el esperado.
Abstract The article analyzes the factors associated with the discontinuation of participatory budgeting (PB) in Brazilian municipalities with more than 50,000 inhabitants between 2000 and 2016. We used econometric models to estimate PB's discontinuation based on political explanatory variables and people's local participation. The results indicate that discontinuation is associated: (i) positively with the election of a different local government, regardless of the winning party's ideology; (ii) positively with the election of a local government with a left-wing ideology'; (iii) negatively with the election of a non-left-wing local government; (iv) positively with the election of a left-wing local government replacing another left-wing government. Changes in local government where other non-left-wing parties replace non-left-wing parties had no significant effect on discontinuation. The results contribute to our knowledge by showing the local and contextual factors that explain the discontinuation of participatory budgeting; this should help guide the design of participatory public policies and allow practitioners to reflect on the mechanisms that could be adopted locally to avoid discontinuation. The article also contributes to the literature by demonstrating the association between discontinuation and changes in left-wing local governments, which may prompt future research, given the unexpected result.
Subject(s)
Public Policy , Association , BudgetsABSTRACT
Hereditary angioedema (HAE) is a rare autosomal dominant disorder, Allergic bronchopulmonary aspergillosis (ABPA) is a lung disease involving hypersensitivity to the fungi Aspergillus fumigatus which occur in susceptible patient with asthma or cystic fibrosis, also considered a rare disease. We report a case of HAE and ABPA in a single patient. HAE diagnosis was confirmed: C4 = 3 mg/dL, C1INH < 2.8 mg/dL - nephelometry. Former lung function showed elevation RV and RV/FVC, suggesting small airways lung disease. Positive skin prick test to Aspergillus fumigatus (03 mm); total serum IgE level 3,100 IU/mL (nephelometry - BNII Siemens), eosinophilia 11% (528/mm3) and specific A. fumigatus IgG antibodies 6,8 mgA/L (FEIA - fluorenzymeimmunoassay - ThermoFisher) and Chest CT showed mucoid impaction of the bronchi, consistent to current ABPA. Controlling ABPA could prevent and reduce angioedema attacks, and lung structural damage. Early diagnosis and treatment of both diseases should be emphasized to reduce mortality and morbidity
Angioedema hereditário (AEH) é uma doença autossômica dominante; aspergilose broncopulmonar alérgica (ABPA) é uma doença de hipersensibilidade pulmonar relacionada ao esporo de Aspergillus fumigatus, mais suscetível em pacientes com asma e fibrose cística, ambas são consideradas doenças raras. Apresentamos um caso de AEH e ABPA em um paciente. O diagnóstico de AEH foi confirmado com exames laboratoriais: C4 = 3 mg/dL, C1INH < 2,8 mg/dL - nefelometria. Prova de função pulmonar evidenciou aumento de VR e VR/CVF, sugerindo doenças de pequenas vias aéreas. Teste de puntura positivo para A. fumigatus (03 mm); IgE total = 3.100 IU/mL (nefelometria - BNII Siemens), eosinofilia 11% (528/mm3) e IgG específica para A. fumigatus 6,8 mgA/L (FEIA - ThermoFisher), TC de tórax evidenciou impactação mucoide, consistente com ABPA. Controlar ABPA pode prevenir e reduzir as crises de angioedema e os danos ao tecido pulmonar. O diagnóstico precoce de ambas as doenças deve ser enfatizado para reduzir a morbimortalidade.
Subject(s)
Humans , Male , Child , Aspergillosis, Allergic Bronchopulmonary , Angioedemas, Hereditary , Patients , Association , Asthma , Therapeutics , Immunoglobulin E , Rare Diseases , Early Diagnosis , Diagnosis , EosinophiliaABSTRACT
Objetivou-se verificar como tem sido estratificada a variável raça/cor em estudos brasileiros que tiveram a atividade física (AF) como variável dependente e a associação entre a raça/cor com a atividade física no tempo livre (AFTL). Foram encontrados 20 estudos e nove formas de estratificação, sendo a mais comum: branco, pardo, preto. A ria "branco" esteve em todos os estudos. Doze trabalhos analisaram a relação da raça/cor com a AFTL e cinco destes observaram alguma associação, variando conforme faixa etária. Conclui-se que a raça/cor tem sido investigada de maneira diversa, que menos da metade dos estudos observaram alguma relação com a AFTL e que nos estudos que observaram associação, a direção foi diferente, dependendo da faixa etária (AU).
The objective was to verify how the race/color variable has been stratified in Brazilian studies that had physical activity (PA) as a dependent variable and the association between race/color with leisure-time physical activity (LTPA). In the 20 studies found, nine forms of stratification were observed, the most used being: white, brown, black. The "white" category was included in all studies. Twelve studies analyzed the relationship of race/color with LTPA and five of these observed some association, varying according to age group. Conclude that race/color was investigated in different ways, that less than half of the studies observed some relationship with LTPA and that in studies that observed an association, the direction of this was different depending on the age group (AU).
El objetivo fue verificar cómo se estratificó la variable raza/color en estudios brasileños con la actividad física (AF) como variable dependiente y la asociación entre raza/color con la actividad física en el tiempo libre (AFTL). Fueron encontrados 20 estudios y observadas nueve formas de estratificación, siendo las más utilizadas: blanco, marrón, negro. La categoría "blanca" estaba en todos los estudios. Doce artículos analizaron la relación de raza/color con AFTL y cinco de ellos observaron alguna asociación, cambiando según la edad. Concluye que la raza/color fue investigado de diferentes formas, que menos de la mitad de los estudios observaron alguna relación con la AFTL y los estudios que observaron una asociación, la dirección de esta fue diferente según el grupo de edad (AU).
Subject(s)
Humans , Association , Exercise , Epidemiologic Studies , Racial Groups , Brazil/epidemiology , Leisure ActivitiesABSTRACT
Resumen El método de referencia para el estudio bioquímico de la esclerosis múltiple (EM) es el isoelectroenfoque (IEE) y la evaluación de las cadenas livianas libres (CLL) podría brindar una información adicional de relevancia. Por lo tanto, se propone evaluar la presencia de las CLL y la aplicabilidad de los estados de polimerización en el estudio de la EM. Se puso a punto un método compuesto por una separación electroforética en gel de poliacrilamida al 12,5% con posterior electrotransferencia (PAGE-WB) y se realizó la evaluación de 121 pacientes con sospecha de EM en simultáneo al IEE. Los patrones de PAGE-WB relacionados con la EM fueron el aumento de la concentración de monómeros Kappa o dímeros Lambda en líquido cefalorraquídeo (LCR) en comparación con el suero. Este método tuvo una muy alta significación de asociación con el IEE (p<0,0001) con sensibilidad del 95%, especificidad del 90%, VPP 83% y VPN 97%. La síntesis intratecal de CLL quedó evidenciada por el aumento de intensidad del monómero Kappa y/o el dímero Lambda observado en LCR. La técnica de PAGE-WB para CLL demostró ser un método alternativo para detectar la síntesis intratecal en pacientes con sospecha de EM.
Abstract The reference method for the biochemical study of multiple sclerosis (MS) is isoelectric focusing (IEF) and the evaluation of free light chains (FLC) could provide additional information of relevance. Therefore, it is proposed here to evaluate the presence of FLC and the applicability of the polymerisation states in the study of MS. A method consisting of a 12.5% polyacrylamide gel electrophoretic separation with a subsequent electrotransfer (PAGE-WB) was developed and the evaluation of 121 patients with suspected MS was carried out simultaneously with the IEF. MS-related PAGE-WB patterns were the increase in the concentration of Kappa monomers or Lambda dimers in CSF compared to serum. This method had a very high significance of association with the IEF (p<0.0001) with 95% sensitivity, 90% specificity, 83% PPV and 97% NPV. Intrathecal synthesis of FLC was evidenced by the increased intensity of the Kappa monomers and/or Lambda dimers observed in CSF. The PAGE-WB technique for FLC proved to be an alternative method to detect intrathecal synthesis in patients with suspected MS.
Resumo O método de referência para o estudo bioquímico da esclerose múltipla (EM) é a focalização isoelétrica (IEE) e a avaliação de cadeias leves livres (CLL) poderiam fornecer informações adicionais de relevância. Assim, propõe-se avaliar a presença das CLL e a aplicabilidade dos estados de polimerização no estudo de EM. Foi desenvolvido um método que consiste na separação eletroforética em gel de poliacrilamida a 12,5% com posterior eletrotranferência (PAGE-WB) e a avaliação de 121 pacientes com suspeita de EM foi realizada paralelamente à IEE. Os padrões de PAGE-WB relacionados com a EM foram o aumento na concentração de monômeros Kappa ou dímeros Lambda em líquido cefalorraquidiano (LCR) em comparação com o soro. Este método teve uma associação de significância muito alta com o IEE (p<0,0001) com sensibilidade de 95%, especificidade de 90%, VPP 83% e VPN 97%. A síntese intratecal de CLL foi evidenciada pelo aumento de intensidade do monômero Kappa e/ou dímero Lambda observado em LCR. A técnica PAGE-WB para CLL mostrou-se um método alternativo para detectar a síntese intratecal em pacientes com suspeita de EM.
Subject(s)
Oligoclonal Bands , Multiple Sclerosis , Reference Standards , Referral and Consultation , Association , Cerebrospinal Fluid , Sensitivity and Specificity , Serum , Polymerization , Isoelectric FocusingABSTRACT
Foi realizada uma revisão de literatura narrativa, sobre a associação de enxerto de gordura e transplante de cabelos com a técnica FUE (Follicular Unit Extraction) em cicatrizes do couro cabeludo. Os dados foram coletados a partir de estudos encontrados nas bases Medline, Lilacs e IBECS. Foram citados registros bibliográficos de vários autores que pesquisaram as células mesenquimais do tecido gorduroso, com descrição das técnicas utilizadas. A conclusão foi de que a técnica de transplante capilar em duas etapas, com transplante prévio de gordura é eficaz, segundo os artigos revisados.
We developed a narrative literature review on the association of fat grafting and hair transplantation using the Follicular Unit Extraction (FUE) technique in scalp scars. Data were collected from studies found in Medline, Lilacs, and IBECS databases. Bibliographical records of several authors who researched mesenchymal cells in adipose tissue were cited, describing the techniques used. The conclusion was that the two-stage hair transplantation technique, with previous fat transplantation, is effective, according to the reviewed articles.
Subject(s)
Humans , Association , Adipose Tissue/transplantation , Cicatrix , Hair/transplantation , Scalp/surgeryABSTRACT
Background Viral hepatitis C is a significant public health challenge. The disease may remain clinically silent in both acute and chronic forms, and chronic infections may progress to advanced disease such as cirrhosis and hepatocellular carcinoma, requiring costly treatment, compromising the patient's quality of life and even leading to death. For this reason, it is one of the most frequent indications for liver transplantation. Although treatment with direct-acting antivirals represents remarkable progress, many patients are still infected and even those who cleared the viral infection must be followed due to their previous hepatic lesions, especially regarding the disturbances of lobular architecture and the sanguineal and lymphatic vessels. Objective To assess immunohistochemical aspects of lymphatic sprouts and mature lymphatic vascularity with histological variables of liver injury attributable to hepatitis C virus (HCV) and fatty disease. Methods The present study included 72 liver biopsies of cases with chronic hepatitis C. Morphologic changes reflecting "staging" and "activity" were analyzed. Immunohistochemical reactions were performed with monoclonal antibody D2-40 anti-podoplanin. Major histological variables were also semiquantified so as to enable the search for possible associations among histological and Immunohistochemical criteria, as well as with genotypes 1 and 3 of HCV. Results Histological findings showed that the different degrees of strutural changes were well represented in this casuistic. Intralobular/parenchymal necro-inflammatory activity was predominantly mild to moderate. Most cases did not show major evidences of fatty disease, which was found significantly higher in cases infected with HCV genotype 3. The amount of portal lymphatic sprouts increased along with the progression of structural changes, maximal at cirrhosis. Portal lymphatic sprouts as well as portal mature lymphatic vessels also showed an increase parallel to the increase in the degree of portal/septal inflammatory infiltrate. In the present study, no significant association was found between the proportion of portal lymphatic sprouts or portal mature lymphatic vessels and the degree of periportal/periseptal activity. No significant relations were detected between lymphatic sprouts/mature vessels and periportal or parenchymal inflammatory activity, nor with infections due to HCV genotype 1 or 3. Conclusion Visualization and semiquantitation of sprouts and mature lymphatic vessels were clearly yielded by Immunohistochemical staining with monoclonal antibody D2-40. The amount of lymphatics was increased along fibrogenic process, significantly related to progression of liver disease and maximal at cirrhosis. No significant relations were detected with necro-inflammatory activity at interface or in the parenchyma.
Subject(s)
Antiviral Agents , Association , Antibodies, MonoclonalABSTRACT
Introducción: los grupos sanguíneos ABO han sido utilizados como marcadores de desenlace en diferentes enfermedades, otorgando al grupo O un factor protector y al A uno de riesgo. Durante el brote de SARS CoV-1 se planteó la posible relación entre riesgo de infección y tipo sanguíneo; se presume que en la pandemia por COVID-19 exista una relación entre determinados desenlaces y los grupos ABO. Objetivo: determinar la asociación entre los diferentes grupos sanguíneos y los desenlaces de mortalidad, ingreso a cuidados intensivos y requerimiento de intubación orotraqueal (IOT) en población con infección por COVID-19. Materiales y métodos: revisión sistemática y metanálisis entre enero 2020 y marzo 2021 en las bases de datos MEDLINE, EMBASE, SCOPUS, Latindex y LILACS, identificando los desenlaces mencionados en pacientes con COVID-19. Resultados: se incluyeron 16 estudios, la mayoría retrospectivos multicéntricos. Se evidenció que pacientes con grupo sanguíneo A tienen mayor riesgo de mortalidad (OR 1.08 ;1.01-0.17), frente al ingreso a UCI no hubo diferencia estadística significativa entre los grupos sanguíneos. Se encontró que el AB representa un factor de riesgo para intubación orotraqueal (OR 1.42 IC95% 1.02-1.96), en tanto que el A demostró proteger contra este desenlace (OR 0.84 IC95%0.73-0.97). Conclusiones: hay evidencia sobre la relación entre el grupo sanguíneo y los desenlaces, asociada con la infección por SARS-CoV-2. Se requieren estudios prospectivos que evalúen grupo sanguíneo, RH y desenlaces específicos.
Introduction: ABO blood groups have been used as outcome markers in various diseases, conferring group O a protective factor and group A a risk factor. During the SARS CoV-1 outbreak, it was suggested that blood type appeared to have a relationship with the risk of infection; it is believed that in the COVID-19 pandemic, ABO blood types, are relevant for certain outcomes. Objective: to determine the association between blood types and death, admission to intensive care and risk of intubation among COVID-19 patients. Materials and methods: a systematic review and meta-analysis from MEDIA, EMBASSY, SCOPUS, Latindex and LILACS databases, identifying the abovementioned outcomes among COVID 19 patients, conducted between January 2020 and March 2021. Results: 16 studies were included, most of them retrospective multicenter studies. It was evidenced that patients with blood group A have a higher mortality risk (OR 1.08:1.01-0.17). There was no statistically significant difference between blood groups for ICU admission. AB was found to be a risk factor for intubation (OR 1.42: CI95% 1.02 -1.96), while type A had a protective effect against this outcome (OR 0.84: CI95% 0.73 -0.97). Conclusions: there is evidence on a relationship between blood groups and outcomes in SARS CoV-2 infection. Prospective studies evaluating ABO and Rh(D) blood types and specific outcomes, are required.
Subject(s)
SARS-CoV-2 , COVID-19/complications , Association , Blood Group Antigens , Intensive Care UnitsABSTRACT
El objetivo de este estudio es determinar la relación entre las habilidades psicolingüísticas y el rendimiento escolar. El presente estudio es de tipo cuantitativo, con alcance descriptivo correlacional, de tipo transversal no experimental. La muestra estuvo compuesta por 35 estudiantes de 4° año básico de un colegio particular subvencionado de la ciudad de Chillán, Chile. La recolección de datos se obtuvo mediante la aplicación del Test de Illinois de Aptitudes Psicolingüísticas (ITPA) y el promedio final de las asignaturas de Lenguaje, Matemáticas, Ciencias Sociales e Historia y Geografía. Dentro de los resultados se pudo determinar la existencia de una correlación positiva, de fuerza relativamente moderada y estadísticamente significativa entre la Integración Visual y el promedio en la asignatura de Ciencias y el Rendimiento Académico Total, así como la Asociación Auditiva y el promedio en la asignatura de Ciencias y la Expresión Verbal con el promedio en la asignatura de Lenguaje. Por medio de la presente investigación se concluye que se logra establecer una relación parcial entre las Habilidades Psicolingüísticas y el Rendimiento Académico
The objective of this study is to determine the relationship between psycholinguistic skills and school performance. The present study is quantitative, with a correlational descriptive scope, of a non-experimental cross-sectional design. The sample consisted of 35 students in the 4th grade, of a non-experimental cross-sectional design. The sample consisted of 35 students in the 4th year of a private subsidized school in the city of Chillán, Chile. Data collection was obtained through the application of the Illinois Test of Psycholinguistic Aptitudes (ITPA) and the final average of the subjects of Language, Mathematics, Social Sciences, and History and Geography. Within the results, it was possible to determine the existence of a positive correlation, of relatively moderate strength and statistically significant between Visual Integration and the average in the Science subject and the Total Academic Performance, as well as the Auditory Association and the average in the subject. of Sciences and Verbal Expression with the average in the Language course. Using the present investigation, it is concluded that it is possible to establish a partial relationship between Psycholinguistic Skills and Academic Performance
Subject(s)
Humans , Psycholinguistics , Association , Academic Performance , Aptitude , Schools , Social Sciences , Data Collection , Geography , History , Language , MathematicsABSTRACT
A falta de segurança alimentar e nutricional (SAN) consiste em um fenômeno multifatorial, que pode afetar o estado nutricional do indivíduo por ela acometido de diversas maneiras e em qualquer faixa etária. A falta de SAN pode desencadear tanto desnutrição, como obesidade e assim favorecer o aumento da prevalência de doenças crônicas não transmissíveis, o que diminui a qualidade de vida e se constitui um importante problema de saúde pública. Objetivo: Analisar e comparar a força da associação dos fatores socioeconômicos e demográficos à segurança alimentar e nutricional (SAN) no Brasil e áreas geográficas selecionadas. Metodologia: Trata-se de um estudo ecológico, transversal e analítico, que utilizou como base os microdados da Pesquisa de Orçamento Familiar (POF/IBGE), realizada nos anos de 2017-2018, envolvendo 757 famílias residentes no município de São Paulo (MSP), 3.406 famílias do estado de São Paulo (ESP) e 49.365 famílias do Brasil. Utilizou-se a técnica de regressão logística multinomial, do tipo ordinal, para o processamento do modelo de associação entre o nível de SAN (nSAN) e as variáveis demográficas, socioeconômicas e clínicas, utilizando o módulo survey do Stata versão 14. Adotouse o nível de significância estatística de 5% e o odds ratio proporcional para descrever as associações. Resultados: A grande maioria dos indivíduos de referência dos domicílios componentes da amostra é do sexo masculino, adulta, com obesidade, sem seguro saúde e que não fazem nenhum tipo de dieta, variando as características de raça/cor e escolaridade entre as três localidades analisadas. Para as três localidades estudadas, encontrou-se proporções elevadas da população com segurança alimentar e nutricional garantida (acima de 59%). As associações encontradas demonstraram que as famílias com pessoas de referência do sexo feminino apresentam maior chance de piora do nSAN, bem como aquelas com menores níveis de saneamento básico e estratos de renda mais pobres, para os quais a chance de piora do nSAN em relação aos estratos de renda mais ricos se eleva em até 12 vezes. Ser de raça branca foi fator protetor à IAN, bem como ter idade mais avançada e mais anos de escolaridade. Conclusão: As características sociodemográficas sexo, raçacor, idade e escolaridade, e socioeconômicas, renda e presença de saneamento básico, apresentam importante associação ao nível de SAN das famílias, quando este é analisado por meio da Escala Brasileira de Insegurança Alimentar (EBIA). Entretanto, faz-se necessária a construção de um instrumento que avalie todas as dimensões da SAN
Lack of food and nutrition security (FNS) is a multifactorial phenomenon, which can impact the nutritional status of individual affected by it in different ways and in any age group. The lack of FNS can trigger both malnutrition and obesity and thus favor the prevalence increase of chronic non-communicable diseases, which reduces lifes quality and constitutes an important public health problem. Objective: To analyze and compare the strength of association of socioeconomic and demographic factors with FNS in Brazil and selected geographical areas. Methodology: Ecological, crosssectional, and analytical study, which used the microdata of the Research as a basis Family Budget (POF / IBGE), carried out in 2017-2018, involving 757 families residing in São Paulo city (SPC), 3,406 families from São Paulo state (SPS) and 49,365 families from Brazil. Multinomial logistic regression technique, of the ordinal type, was used to process the association model between the FNS level (FNSl) and the demographic, socioeconomic and clinical variables, using the survey module of Stata version 14. It was adopted statistical significance of 5% and proportional odds ratio to describe the associations. Results: Most reference individuals in the sample's households are male, adult, obese, without health insurance and who do not follow any type of diet, varying the characteristics of race / color and education between the three locations analyzed. For the three locations studied, high proportions of the population were found with guaranteed FNS (above 59%). Associations found showed that families headed by female individuals are more likely to worsen FNSl, as well as those with lower levels of basic sanitation and poorer income strata, for which the chance of worsening FNSl in relation to strata wealthier income rises to 12 times. Being white was a protective factor for food insecurity, as well as being older and with more years of schooling. Conclusion: Sociodemographic characteristics of sex, race-color, age and education, and socioeconomic, income and presence of basic sanitation, present important association at the FNSl of families, when this is analyzed through the Brazilian Food Insecurity Scale (EBIA). However, it is necessary to build an instrument that assesses all dimensions of the FNS