Perfil medicamentoso e frequência de polifarmácia em idosos de uma Unidade Básica de Saúde / Drug profile and frequency of polypharmacy in elderly people in a Primary Care Unit / Perfil farmacológico y frecuencia de polifarmacia en ancianos en una Unidad Básica de Salud

Objetivo: identificar o perfil medicamentoso e a frequência de polifarmácia em idosos cadastrados e que fazem acompanhamento em uma unidade básica de saúde. Método: estudo observacional e retrospectivo, realizado em uma unidade básica de saúde de um município do Triângulo Mineiro, Minas Gerais. Foi realizada amostragem aleatória e estratificada para coleta de dados de prontuários físicos e eletrônicos de idosos atendidos nos anos de 2019 e 2020, analisados por meio de estatística descritiva. Resultados: entre 448 prontuários foram analisados, porém somente 208 (46,4%) foram válidos. Os medicamentos mais prescritos foram losartana (n=72; 34,6%), sinvastatina (n=60; 28,8%) e metformina (n=51; 24,5%). Observou-se 24,0% de frequência de polifarmácia (n=51), maior frequência de mulheres (n=42; 30,2%) e com significativa associação com diabetes mellitus (p=0,034). Conclusão: a polifarmárcia foi detectada, mais presente nas mulheres, sendo que medicamentos mais utilizados foram relacionados à hipertensão arterial, dislipidemias e diabetes mellitus. Destaca-se a incompletude de informações nos prontuários analisados(AU)

Objective: to identify the medication profile and frequency of polypharmacy in registered elderly people who are followed up at a primary care unit. Method: observational and retrospective study, carried out in a primary care unit in a municipality in Triângulo Mineiro, Minas Gerais. Random and stratified sampling was carried out to collect data from the physical and electronic medical records of the elderly assisted in the years 2019 and 2020, analyzed using descriptive statistics. Results: among 448 medical records analyzed, 208 (46.4%) were considered valid for inclusion in the study. The most prescribed drugs were losartan (n=72; 34.6%), simvastatin (n=60; 28.8%) and metformin (n=51; 24.5%). There was a 24.0% frequency of polypharmacy (n=51), a higher frequency of wome (n=42; 30.2%) and with a significant association with diabetes mellitus (p=0.034). Conclusion: polypharmacy was detected, more present in women, and the most used drugs were related to arterial hypertension, dyslipidemia and diabetes mellitus. The incompleteness of information in the analyzed medical records stands out. Descriptors: Health of the Elderly; Aged; Primary Health Care; Polypharmacy(AU)

Objetivo: identificar el perfil farmacológico y frecuencia de polifarmacia en ancianos registrados en seguimiento en una unidad básica de salud. Método: estudio observacional y retrospectivo, realizado en una unidad básica de salud de un municipio del Triângulo Mineiro, Minas Gerais. Se realizó un muestreo aleatorio y estratificado para recolectar datos de las historias clínicas físicas y electrónicas de los ancianos atendidos en los años 2019 y 2020, analizados mediante estadística descriptiva. Resultados: de 448 historias clínicas analizadas, 208 (46,4%) fueron consideradas válidas para su inclusión en el estudio. Los fármacos más prescritos fueron Losartán (n=72; 34,6%), Simvastatina (n=60; 28,8%) y Metformina (n=51; 24,5%). La frecuencia de polifarmacia estuvo en el 24,0% (n=51), mayor frecuencia de mujeres (n=42; 30,2%) y con asociación significativa con diabetes mellitus (p=0,034). Conclusión: se detectó la polifarmacia, más presente en las mujeres; los fármacos más utilizados estuvieron relacionados con hipertensión arterial, dislipidemia y diabetes mellitus. Se destaca la incompletitud de la información en las historias clínicas analizadas(AU)

Voice Handicap Index: Cut-Off Points for Screening European Portuguese With Voice Disorders.

OBJECTIVES: To determine cut-off values of the Voice Handicap Index (VHI) and the shortened version (VHI-10) for European Portuguese (EP) with voice disorders. In addition, to analyze the discriminatory power of individual items of the VHI-10 and the ability to detect differences in various Ear Nose and Throat (ENT) diagnoses. STUDY DESIGN: Cross-sectional cohort study. METHODS: All participants completed the EP VHI and a 4-point self-assessment of voice disorder severity. The case group (subjects with voice disorders) underwent assessment through strobovideolaryngoscopy examinations by ENT surgeons and perceptual analyses by speech-language pathologists (SLPs). In contrast, the control group was evaluated solely by SLPs. Data were analyzed using a receiver-operating characteristic curve to determine the accuracy and cut-off values of the VHI and VHI-10. RESULTS: The study involved a sample of 350 adults (171 cases and 179 controls), predominantly women aged 18-88 years. The area under curve (AUC) for VHI and VHI-10 was 0.997 [95% confidence interval (CI): 0.992-1] and 0.998 [95% CI: 0.995-0.999], respectively. Optimal cut-off values were identified as 13.5 for VHI (0.994 sensitivity and 0.989 specificity) and 5.5 for VHI-10 (0.977 sensitivity and 0.955 specificity). Each individual item within the VHI-10 significantly contributed to the overall assessment, exhibiting varying discriminatory power ranging from excellent (AUC = 0.937) to poor (AUC = 0.637). Significant differences were found in the case group between neurogenic disorders and healthy larynx (P = 0.014), structural and physiologic minor laryngeal abnormalities (P = 0.006), and inflammatory disorders (P = 0.043). CONCLUSIONS: The VHI and the VHI-10 exhibited accurate screening properties for predicting EP speakers with voice disorders.

Perfil sociodemográfico e fragilidade de prontuários de idosos atendidos em uma unidade básica de saúde / Sociodemographic profile and fragility of medical records of elderly people treated at a basic health unit / Perfil sociodemográfico y fragilidad de los prontuarios de ancianos en una unidad básica de salud

Objetivo: identificar o perfil sociodemográfico de idosos de uma Unidade Básica de Saúde e detectar o provimento de informações nos prontuários da unidade. Métodos: Estudo quantitativo, descritivo, retrospectivo, realizado em uma Unidade Básica de Saúde de um município do Triângulo Sul de Minas Gerais. A coleta de dados ocorreu de abril a agosto de 2021, após amostragem probabilista com prontuários físicos e eletrônicos de idosos atendidos em 2019/2020. Foi utilizado instrumento validado por juízes contendo variáveis sociodemográficas e realizado análise descritiva. Resultados: A amostra foi composta por 448 prontuários, predominaram mulheres, brancas, aposentadas, casadas/com companheiro(a), com ensino fundamental incompleto, que não faziam uso de bebida alcoólica e não fumantes. Na maioria destas variáveis, havia ausência de informações nos prontuários. Conclusões: A falta de dados chama a atenção ao reconhecer fragilidades no provimento de informações de saúde da população nos prontuários desta unidade.

Objective: to identify the sociodemographic profile of the elderly in a Basic Health Unit and detect the provision of information in the unit's medical records. Methods: Quantitative, descriptive, retrospective study, carried out in a Basic Health Unit in a municipality in the Southern Triangle of Minas Gerais. Data collection took place from April to August 2021, after probabilistic sampling with physical and electronic medical records of elderly people assisted in 2019/2020. An instrument validated by judges containing sociodemographic variables was used and a descriptive analysis was performed. Results: The sample consisted of 448 medical records, predominantly women, white, retired, married/with a partner, with incomplete primary education, who did not use alcohol and non-smokers. In most of these variables, there was no information in the medical records. Conclusions: The lack of data draws attention when recognizing weaknesses in the provision of health information to the population in the medical records of this unit.

Objetivo: identificar el perfil sociodemográfico de los ancianos en una Unidad Básica de Salud y detectar la provisión de información en los prontuarios de la unidad. Métodos: Estudio cuantitativo, descriptivo, retrospectivo, realizado en una Unidad Básica de Salud de un municipio del Triángulo Sur de Minas Gerais. La recolección de datos ocurrió de abril a agosto de 2021, después de un muestreo probabilístico con prontuario físico y electrónico de ancianos atendidos en 2019/2020. Se utilizó un instrumento validado por jueces que contiene variables sociodemográficas y se realizó un análisis descriptivo. Resultados: La muestra estuvo constituida por 448 historias clínicas, predominantemente mujeres, blancas, jubiladas, casadas/con pareja, con instrucción primaria incompleta, que no consumieran alcohol y no fumadoras. En la mayoría de estas variables no había información en las historias clínicas. Conclusiones: Llama la atención la falta de datos al reconocer debilidades en la provisión de información de salud a la población en las historias clínicas de esta unidad.

Meat Quality of Nellore Young Bulls-Effects of Different Days on Feed and Zilpaterol Hydrochloride Supplementation.

Ninety-six Nellore young bulls were fed (90 or 117 day) diets containing ZH (8.33 mg/kg) for 0, 20, 30, or 40 days to evaluate the effects of days on feed (DOF) and length of zilpaterol hydrochloride (ZH) supplementation on meat quality. At the end of feeding period, animals were slaughtered, and samples of the Longissimus muscle were collected to evaluate the chemical composition, fatty acid profile, color stability, shear force, and sensory profile. DOF did not affect chemical composition, shear force, sensory tenderness, and most of fatty acids; however, animals fed for 90 d had lower redness (p < 0.01), sustained juiciness (p < 0.01), and more flavor (p = 0.03) than those fed for 117 d. The ZH supplementation decreased lipid content and redness (p < 0.01), initial and sustained tenderness (p < 0.01), initial and sustained juiciness (p < 0.01), but increased protein (p < 0.01) and shear force (p < 0.01) as compared to non-supplemented animals. The ZH supplementation increased total PUFA, c9,c12-18:2, and 20:4-n6, and decreased c9-20:1 (p < 0.05). Feeding ZH impairs meat quality attributes of Nellore young bulls, regardless of duration of supplementation, while DOF has a small effect on meat quality properties.

Effects of the Duration of Zilpaterol Hydrochloride Supplementation and Days on Feed on Performance, Carcass Traits and Saleable Meat Yield of Nellore Bulls.

This study evaluated the effects of the duration of ZH supplementation and days on feed (DOF) on performance, carcass characteristics, and saleable meat yield of Nellore young bulls. The fixed effects included the duration (0, 20, 30, or 40 d before slaughter plus a 3 d ZH withdrawal period-8.33 mg of ZH/kg of DM) and DOF (90 and 117 d). Feed efficiency (G:F) linearly increased when the duration of ZH supplementation increased (p < 0.01). Nellore bulls fed ZH had greater HCW (p < 0.01), dressing percentage (p < 0.01) and Longissimus muscle area (LMA) (p < 0.01), but less 12th-rib fat (p = 0.04) than the control group. The hot carcass weight (HCW) (p < 0.01), and dressing percentage increased linearly (p < 0.01) with the increase of duration of ZH supplementation. The HCW, ossification, and 12th-rib fat increased with DOF (p < 0.01). The ZH supplemented group had most of the individual cuts of hindquarters and total saleable meat increased compared with the control. Zilpaterol hydrochloride was effective in improving hot carcass weight, hindquarter, and saleable meat yields of Nellore bulls when fed for at least 20 d before slaughter, independently of days on feed.

My pussy é o poder: Representação feminina através do funk: identidade, feminismo e indústria cultural / My pussy is power: Female representation through the funk: identity, feminism and cultural Psicol industry

Reconhecendo a importância do funk enquanto gênero musical para a cultura brasileira e o papel das mulheres no interior do movimento, este trabalho pretende analisar as relações entre funk e feminismo. A partir da análise da relação entre funk, gênero e erotismo, entre outras categorias, esta dissertação busca demonstrar as brechas e resistências presentes nos discursos das funkeiras. Outra proposta deste estudo é, através da trajetória da cantora Valesca Popozuda, apontar as transformações em seu discurso e sua relação com os diversos ativismos, bem como com o próprio feminismo. O texto discute também as críticas feitas às funkeiras por parte de setores do movimento feminista, buscando compreender as raízes destas críticas e dialogar com as questões propostas, bem como com a relação entre funk, feminismo e indústria cultural...

Recognizing the importance of funk as a musical genre to the Brazilian culture and the role of women within the movement, this study aims to examine the relationship between feminism and funk. From the analysis of the relationship between funk, gender, and eroticism, among other categories, this paper seeks to demonstrate the gaps and strengths of the discourse of the funkeiras. Another purpose of this study is, through the trajectory of the singer Valesca Popozuda, to expose the transformations in her discourse and how they related to various forms of activism, as well as with feminism itself. The text also discusses the criticism directed at funkeiras by sectors of the feminist movement in order to understand its roots, as they speak to the questions proposed, as well as the relationship between funk, feminism and culture industry...