Supply and demand in the physician workforce: an integrative review.

The medical profession faces multiple challenges worldwide in the 21st century. This integrative review of the literature published between 2014 to 2018 on supply and demand in the health care labor market was based on a search of the SciELO, Biblioteca Virtual em Saúde (Virtual Health Library), and MEDLINE databases, in addition to specific periodicals in the area of Health Economics. The final sample included 21 studies, 13 of which were related to workforce supply and 8 to demand. Physicians reported that work satisfaction was an important factor in accepting a job offer, including being close to their family, working with colleagues in the same specialty, and the possibility of career advancement. For health system users, a fundamental question is how to resolve the unequal distribution of physicians.

A profissão médica se defronta globalmente com múltiplos desafios no século XXI, entre os quais podem-se destacar o crescimento populacional e a inovação tecnológica e a sua implementação na medicina. Este artigo buscou identificar na literatura científica aspectos relevantes acerca do mundo do trabalho para a profissão médica. Trata-se de uma revisão integrativa, que considerou as publicações do quinquênio de 2014 a 2018. A seleção dos artigos para o presente estudo foi realizada nas bases de dados Scientific Electronic Library Online, Biblioteca Virtual em Saúde, Medical Literature Analysis and Retrieval System Online, além de periódicos específicos da área de economia e saúde. Como resultado desta revisão, foram selecionados 21 artigos, sendo identificados 13 com temáticas referentes à oferta da força de trabalho médico e 8 com temáticas referentes à demanda da força de trabalho, de acordo com a classificação que emergiu pelos critérios adotados. Para os profissionais médicos, um aspecto que surge durante a decisão de escolher uma vaga é a satisfação pessoal no emprego, no sentido de estar perto da família, trabalhar com colegas da mesma especialidade e poder avançar na profissão. Já com relação à demanda da força de trabalho, ou seja, para quem busca os serviços de tais profissionais, uma questão fundamental é como resolver problemas de escassez de profissionais médicos que estão relacionados a uma distribuição desigual em determinados locais.

Road to perdition? The effect of illicit drug use on labour market outcomes of prime-age men in Mexico.

This research addresses the impact of illicit drug use on labour market outcomes of men in Mexico. We leverage statistical information from three waves of a comparable national survey and make use of the Lewbel's heteroskedasticity-based instrumental variable strategy to deal with the endogeneity of the drug consumption. Our results suggests that drug consumption has fairly negative effects in the Mexican context: it reduces employment, occupational attainment and formality and raises unemployment of local males. These effects seem larger than those estimated for high-income economies.

Bioprocess of Gibberellic Acid by Fusarium fujikuroi: The Challenge of Regulation, Raw Materials, and Product Yields.

Gibberellic acid (GA3) is a tetracyclic diterpenoid carboxylic acid synthesized by the secondary metabolism of Fusarium fujikuroi. This phytohormone is widely studied due to the advantages it offers as a plant growth regulator, such as growth stimulation, senescence delay, flowering induction, increased fruit size, and defense against abiotic or biotic stress, which improve the quality and yield of crops. Therefore, GA3 has been considered as an innovative strategy to improve agricultural production. However, the yields obtained at large scale are insufficient for the current market demand. This low productivity is attributed to the lack of adequate parameters to optimize the fermentation process, as well as the complexity of its regulation. Therefore, this article describes the latest advances for potentializing the GA3 production process, including an analysis of its origins from crops, the benefits of its application, the related biosynthetic metabolism, the maximum yields achieved from production processes, and their association with genetic engineering techniques for GA3 producers. This work provides a new perspective on the critical points of the production process, in order to overcome the limits surrounding this modern line of bioengineering.

Analysis, modelling, and financial perspectives of reverse mortgage implementation in Colombia.

Purpose: Increased life expectancy in recent years, together with the downward trend in fertility rates, will accelerate the aging of the Latin American population (Flamini and et al., 2018) [1]. This demographic change represents a problem for pension systems as the economic capacity to finance the retirement of the population could be insufficient in the future. This creates a favorable scenario for new financial products, including reverse mortgages. This study determines, from the supply approach, the potential of reverse mortgages in the main cities of Colombia as a complement to the financing of old age according to the guidelines of Benavides et al. (Benavides Franco et al., Jan. 2021) [2]. Methodology: The following variables were used: housing prices, interest rates, mortality rates, and the consumer price index. The econometric testing simulates the possible paths of these variables, estimates the probability of occurrence of the paths, and calculates the expected losses of bidding banks. Findings: The results show that reverse mortgages are a good complement to Colombia's pension system and confirm the feasibility of implementation at city level. It is recommended that the State stimulate the growth of this market and improve the corresponding regulatory framework. Originality: This study confirms the hypothesis that the reverse mortgages are a good complement to the pension system with city-level data. Specifically, it uses housing prices and mortality records from the main cities of the country (Bogotá, Cali, and Medellín) to capture their idiosyncrasies.

La agregación de valor en organizaciones de agricultura familiar en Nariño, Colombia / Adding value in family farming organizations in Nariño, Colombia

RESUMEN La agricultura familiar es considerada como un modelo productivo potencial, ya que desde la organización asociativa se contribuye con volúmenes de producción y de abastecimiento de alimentos; sin embargo, estas entidades enfrentan retos relacionados con una mejor inserción en los circuitos de mercado, por lo cual, buscan estrategias para diferenciarse. El objetivo de este estudio es identificar los factores que determinan la agregación de valor de los productos agrícolas comercializados por organizaciones de agricultura familiar, en el Departamento de Nariño, Colombia. A través del método de estudio de caso fue seleccionada una muestra de 150 organizaciones agrícolas familiares y el análisis de la información, se realizó mediante un modelo Probit. El 64 % de las entidades realizan actividades de valor agregado, las variables significativas (P< 0,05) fueron el nivel de ingresos y con signo negativo, la pérdida de producto, la producción promedio y los kilogramos vendidos. Además, las organizaciones con mayores ingresos tienen más probabilidad de dar valor agregado a los productos; en contraste, menor producción y pérdidas del producto, ocasionan que disminuya dicha probabilidad. Se requiere la implementación de políticas que favorezcan la agregación de valor de los productos agroalimentarios, para lograr una mejor comercialización de los productos, menor pérdida de alimentos y mayor ingreso.

ABSTRACT Family farming is considered a potential productive model since the associative organization contributes to production volumes and food supply. However, these organizations face challenges related to a better insertion in the market circuits, for which they seek strategies to differentiate themselves. This study aims to identify the factors that determine the added value of agricultural products marketed by family farming organizations in the Department of Nariño, Colombia. Through the case study method, a sample of 150 family farm organizations was selected, and the information was analyzed using a Probit model. 64 % of the organizations carry out value-added activities; the significant variables (P< 0.05) were the income level and, with a negative sign, the loss of product, the average production, and the kilograms sold. In addition, higher-income organizations are more likely to add value to products; in contrast, lower production and product losses cause this probability to decrease. Implementing policies that favor adding value to agri-food products is required to achieve better commercialization of the products, less food loss, and higher income.

Flowers vs. Devils: plants used against witchcraft in the urbanized Sonora Market, Mexico City / Flores vs Demonios: plantas usadas contra la brujería en el urbanizado Mercado de Sonora, Ciudad de México

Mexican markets embody cultural diversity and offer a wide range of products, serving as hubs for local exchange.In our study at Mexico City's Sonora Market, the country's prominent medicinal market, we explored the use of plant remedies against witchcraft in an urban environment. Through interviews with plant vendors and extensive data collection, we identified 21 plant species from 16 botanical families renowned for their effectiveness in combating sorcery, attracting good luck, and promoting success. Additionally, we documented 14 ailments associated with envy and negative emotions. These remedies involved practices and applications such as cleansings, decoctions, baths, and incense burning, aimed at alleviating afflictions and fostering positive outcomes. Notably, the Sonora Market continues to uphold the tradition of using plant remedies against witchcraft, even in the bustling setting of one of the world's largest cities. This highlights the enduring significance of these practices within Mexican society

Los mercados mexicanos encarnan diversidad cultural y ofrecen numerosos productos, sirviendo como centros de intercambio local. En nuestro estudio en el Mercado de Sonora en la Ciudad de México, el sitio de plantas medicinales más relevante del país, exploramos el uso de plantas contra la brujería en un entorno urbano. A través de entrevistas con locatarios, identificamos 21 especies de plantas pertenecientes a 16 familias botánicas usadas en la lucha contra la brujería, atrayendo buena suerte y promoviendo el éxito. Además, documentamos 14 enfermedades asociadas con la envidia y emociones negativas. Los remedios involucraban prácticas y aplicaciones como limpias, decocciones, baños, incienso, con el objetivo de aliviar dolencias y fomentar resultados positivos. En el Mercado deSonora persiste la tradición de utilizar plantas contra la brujería, incluso en el marco de una de las mayores ciudades del mundo, resaltando la importancia de estas prácticas dentro de la sociedad mexicana.

Chilean Market Protein Shakes Composition.

Understanding the nutritional content of protein supplements is crucial for optimal nutritional planning among athletes and other people. Distribution of macronutrients and aminograms in the main products available in the national Chilean market remains unknown. A descriptive cross-sectional study was conducted to identify the main protein supplements available in the Chilean market. Information on macronutrients and aminograms from the nutritional labels of each product was extracted. The analysis considered the content per portion and per 100 g. Cluster analysis models and graphical representations were explored. Eighty protein shakes were assessed in the Santiago de Chile market. The median protein dosage was 32 g (range from 25 to 52), and the median energy value stood at 390 kcal (range from 312 to 514). The median protein content per 100 g of product was found to be 75 g (range from 42.5 to 97.2). The combined median concentration of amino acids was 4749.75 mg. Among these, the essential amino acid L-Tryptophan exhibited the lowest concentration at 1591.50 mg, while the conditional amino acid L-Glutamine had the highest median concentration at 17,336 mg. There was a significant prevalence of animal-derived products, placing specific emphasis on protein supplements that feature elevated levels of the amino acids L-Glutamine and L-Leucine.

[Men working through mobile applications in Brazil: Reflections from occupational health]. / Hombres que trabajan a través de aplicaciones móviles en Brasil: reflexiones desde la salud ocupacional.

Work through mobile applications emerged as an alternative for many Brazilian men during the economic crisis and rising unemployment. However, these workers operate informally, without a formal employment relationship, leading to labor precariousness and a lack of workers' rights. Using a theoretical-reflexive, this study analyzes the intersection between occupational health, the platformization of work, and the specific challenges faced by male delivery app workers, especially during the COVID-19 pandemic. Reflective categories are divided into two thematic sections: "Labor insertion through mobile applications in Brazil and the algorithmic work model" and "men, health, and motorcycles: occupational health and male behavior in app-based delivery work." The study examines the expansion of this type of work in the Brazilian socio-economic context, the lack of security and labor protection for these workers, as well as the risks faced, particularly during the pandemic, within a male-centric culture.

El trabajo a través de aplicaciones móviles surgió como una alternativa para muchos hombres brasileños durante la crisis económica y el aumento del desempleo. Sin embargo, estos trabajadores operan de manera informal, sin relación laboral, lo que genera precariedad laboral y falta de derechos laborales. Desde un abordaje teórico-reflexivo, este artículo analiza la intersección entre la salud ocupacional, la plataformización del trabajo y los desafíos específicos que enfrentan los hombres repartidores de aplicaciones, especialmente durante la pandemia de covid-19. Las categorías reflexivas se dividieron en dos secciones temáticas: "La inserción laboral a través de aplicaciones móviles en Brasil y el modelo de trabajo mediante algoritmos" y "hombres, salud y motocicletas: la salud ocupacional y el comportamiento masculino en el trabajo a través de aplicaciones de entrega". Se examina la expansión de este tipo de trabajo en el contexto socioeconómico brasileño, la falta de seguridad y protección laboral para estos trabajadores, así como los riesgos enfrentados, especialmente durante la pandemia, en el marco de una cultura masculina.

La dinámica del comercio ilegal de armas de fuego en Lima, Perú / The dynamics of the illegal firearms trade in Lima, Peru / A dinâmica do comércio ilegal de armas de fogo em Lima, Peru

El comercio ilegal de armas de fuego representa un problema significativo para mantener el orden y la seguridad del país, pues conlleva la adquisición de armas y municiones sin cumplir la normatividad y las regulaciones proporcionadas por el Estado, desviando la utilización de dichos equipos hacia la delincuencia. La investigación tiene como propósito analizar la dinámica del comercio ilegal de armas de fuego en Lima, Perú, mediante una metodología cualitativa y de diseño fenomenológico hermenéutico. La muestra incluye veinte funcionarios de la Policía Nacional del Perú (PNP) y la Superintendencia Nacional de Control de Servicios de Seguridad, Armas, Municiones y Explosivos de Uso Civil (Sucamec). La información se recolectó por medio de entrevistas semiestructuradas. El estudio concluye que el comercio ilegal de armas de fuego se estructura en tres fases clave: la primera fase determinada por la filtración o desvío de armas del mercado legal al ilegal, debido a la falta de control y fiscalización por las autoridades pertinentes. La segunda fase implica la creación de un mercado ilegal en espacios itinerantes, donde participan diversos actores, como intermediarios y compradores. La tercera y última fase comprende la consumación del delito, incluye la entrega del arma y el pago bajo estrictas medidas de seguridad para asegurar la impunidad de los involucrados.

The illegal trade in firearms represents a significant problem for the maintenance of order and security in the country, as it leads to the acquisition of arms and ammunition without complying with the norms and regulations provided by the State, diverting the use of such equipment towards crime. The purpose of this research is to analyse the dynamics of the illegal firearms trade in Lima, Peru, using a qualitative methodology and a hermeneutic phenomenological design. The sample includes twenty officers from the Peruvian National Police (PNP) and the National Superintendence for the Control of Security Services, firearms, Ammunition and Explosives for Civilian Use (Sucamec). The information was collected through semi-structured interviews. The study concludes that the illegal firearms trade is structured in three key phases: the first phase determined by the leakage or diversion of arms from the legal to the illegal market, due to the lack of control and oversight by the relevant authorities. The second phase involves the creation of an illegal market in itinerant spaces, where various actors, such as intermediaries and buyers, participate. The third and final phase involves the consummation of the crime, including the delivery of the weapon and payment under strict security measures to ensure the impunity of those involved.

O comércio ilegal de armas de fogo representa um problema significativo para a manutenção da ordem e da segurança no país, pois leva à aquisição de armas e munições sem o cumprimento das normas e regulamentos fornecidos pelo Estado, desviando o uso desses equipamentos para o crime. O objetivo desta pesquisa é analisar a dinâmica do comércio ilegal de armas de fogo em Lima, Peru, usando uma metodologia qualitativa e um desenho fenomenológico hermenêutico. A amostra inclui vinte policiais da Polícia Nacional do Peru (PNP) e da Superintendência Nacional de Controle de Serviços de Segurança, Armas, Munições e Explosivos para Uso Civil (Sucamec). As informações foram coletadas por meio de entrevistas semiestruturadas. O estudo conclui que o comércio ilegal de armas de fogo está estruturado em três fases principais: a primeira fase é determinada pelo vazamento ou desvio de armas do mercado legal para o ilegal, devido à falta de controle e fiscalização por parte das autoridades competentes. A segunda fase envolve a criação de um mercado ilegal em espaços itinerantes, onde vários atores, como intermediários e compradores, participam. A terceira e última fase envolve a consumação do crime, incluindo a entrega da arma e o pagamento sob rigorosas medidas de segurança para garantir a impunidade dos envolvidos.

Wildlife as Food and Medicine in Brazil: A Neglected Zoonotic Risk?

The practice of consuming wild fauna in Brazil is both culturally and socioeconomically questionable. Wild animals and their byproducts are sought for nutritional, medicinal, and/or supernatural reasons, with some taxa (e.g., songbirds) being kept as pets. This practice is concentrated in traditional and rural communities, as well as the rural exodus populations in large urban centers, maintained both by cultural preferences and for their role in food safety in part of the rural exodus community. A total of 564 taxa are known to be sold in wet markets in Brazil, with birds, fish, and mammals being the most commonly listed. There is great zoonotic outbreak potential in this consumption chain given the diversity of species involved (with several listed being known reservoirs of zoonotic pathogens), invasion of wild environments for hunting, unsanitary processing of carcasses, and consumption of most/all biotopes of the animal, as well as the creation of favorable conditions to cross-species pathogen transmission. Given its socioeconomic situation and the global trends in disease emergence, there is a risk of the future emergence of a Public Health Emergency of International Concern in Brazil through wildlife consumption.

Perfil profissional dos egressos do curso de Odontologia de uma universidade do interior da Bahia / Perfil profesional de los egresados de la carrera de Odontología en una universidad del interior de Bahía / Professional profile of the dentistry school graduates from a university in the interior of the state of Bahia

O objetivo desse estudo foi conhecer o perfil profissional dos egressos do Curso de Odontologia da Universidade Estadual do Sudoeste da Bahia e o grau de satisfação em relação ao âmbito de trabalho. Foi realizado um estudo quali-quantitativo e transversal por meio de questionário onlineautoaplicável enviado por meio das redes sociais para os cirurgiões-dentistas que colaram grau entre 2009 e 2020. Os dados obtidos foram tabulados em planilha Excel e submetidos à análise descritiva e ao teste Qui-quadrado de Pearson com nível de significância de 5%. Quando a frequência esperada foi menor que cinco (n<5), utilizou-se o teste exato de Fisher. Para a questão discursiva foi utilizada a técnica de análise de conteúdo proposta por Bardin. Dos 383 egressos, 124 (32%) participaram da pesquisa. Observou-se que 74,2% são do sexo feminino e 44,6% realizaram especialização. A maioria (84,6%) se inseriu no mercado de trabalho em até um mês após a formatura e atuavam como profissional liberal (30,2%). Houve diferença significativa quando associadas as variáveis satisfação com a profissão e valorização financeira. A insegurança em atuar na profissão foi relacionada a não ter mais a supervisão do docente. Ademais, foram apontadas pouca exploração nos conteúdos de gestão e empreendedorismo durante a graduação. Conclui-se que os egressos conseguiram uma rápida inserção no mercado de trabalho após a colação de grau e que um elevado percentual dos cirurgiões-dentistas se sente satisfeito com a profissão (AU).

El objetivo de este estudio fue comprender el perfil profesional de los egresados de la Carrera de Odontología de la Universidad Estadual del Suroeste de Bahía y el grado de satisfacción en relación al ámbito de trabajo. Se realizóun estudio cuali-cuantitativo y transversal mediante un cuestionario en línea autoadministrado enviado a través de redes sociales a cirujanos dentistas egresados entre 2009 y 2020. Los datos obtenidos fueron tabulados en una hoja de cálculo Excel y sometidos a análisis descriptivo y prueba de Pearson. chi-cuadrado con un nivel de significancia del 5%. Cuando la frecuencia esperada fue menor de cinco (n<5), se utilizó la prueba exacta de Fisher. Para la pregunta discursiva se utilizó la técnica de análisis de contenido propuesta por Bardin. De los 383 graduados, 124 (32%) participaron de la investigación. Se observó que el 74,2% son mujeres y el 44,6% completó la especialización. La mayoría (84,6%) ingresó al mercado laboral dentro del mes posterior a su graduación y trabajó como profesionales independientes (30,2%). Hubo diferencia significativa cuando se asociaron las variables satisfacción con la profesión y apreciación financiera. La inseguridad en el trabajo en la profesión estaba relacionada con la falta de supervisión docente. Además, se destacó poca exploración de contenidos de gestión y emprendimiento durante la graduación. Se concluye que los egresados lograron insertarse rápidamente al mercado laboral luego de graduarse y que un alto porcentaje de los cirujanos dentistas se sienten satisfechos con su profesión (AU).

The objective of this study was to review the profile of the Dentistry School graduates from a State University in Southwest Bahia and the degree of satisfaction in relation to their work. A qualitative-quantitative and cross-sectional study was carried out using an online self-administered questionnaire forwarded through the social networks WhatsApp and Instagram to dental surgeons who graduated between 2009 and 2020. The data obtained were tabulated in an Excel spreadsheet and subjected to descriptive analysis and Pearson's Chi-square test with a significance level of 5%. For the open-ended question, the content analysis technique proposed by Bardin was used. Out of the 383 graduates, 124 (32%) participated in the survey. The majority (84.6%) entered the job market within one month after graduation and had been working as independent professionals (30.2%). There was a significant difference with regard to job satisfaction and financial appreciation. The insecurity in the professional endeavor was associated with the fact that a teacher's guidance was no more available. Furthermore, little exploration of management and entrepreneurship matters had been addressed during the graduation course. It is concluded that graduates were able to quickly enter the job market after graduating and that extracurricular activities are crucial in guiding their future profession and in contributing to professional qualification (AU).

Analysis of ingredient list and nutrient composition of plant-based burgers available in the global market.

The nutrient composition of plant-based burgers is a key factor when making their purchase/consumption decision to maintain a balanced diet. For this reason, ingredient list and nutritional information of burgers launched in the global market were retrieved from their labels. Products were classified based on the technology development, market position and region of the manufacturer. From the ingredient analysis, we observed a high heterogeneity in the ingredients used, a predominance of soy and wheat as main sources of proteins, and the increasing use of new protein sources (e.g. peas, other types of beans and pseudo-cereals). Oil was the most cited ingredient followed by salt. Nutritional composition varied mainly depending on the region with no clear pattern among countries. To less extent, technology development resulted in traditional products with lower amounts of protein and higher amounts of carbohydrates. Vegan and vegetarian products showed limited differences due to the high intra-heterogenicity.

Price setting in the Brazilian private health insurance sector.

Brazil's private health insurance market is the second largest in the world, behind only the United States, making it a valuable source of real-world evidence. This paper documents how physicians' inpatient reimbursement fees vary in the country and explores the relationship between these fees and the market share of health providers and health insurance companies. We implement a fixed-effects panel regression and take advantage of an unprecedented database that contains national administrative records of inpatient procedures paid by health insurance companies in 2016. We find a positive correlation between reimbursement for ICU procedures and provider market share. Conversely, we observe a negative correlation with insurers' market share. Additionally, we document substantial variation in procedure prices, both across and within Brazilian states, and observe that more competitive markets in Brazil tend to have higher population and GDP levels. Overall, our research enhances our understanding of the price setting dynamics of physician reimbursement fees in the context of a developing country. The insights gained from this study can assist policymakers in formulating appropriate regulations to ensure appropriate access to healthcare services.

The Impact of Cultural Health Capital on Market Choice Along the Texas-Mexico Border.

Transnational cultural health capital (CHC) includes individual resources such as skills and behaviors patients use to manage healthcare exclusion and negotiate care. This study examines the impact of CHC on decisions by Hispanic people who live in El Paso, Texas, to utilize one or more markets for healthcare. We expand on the current literature and present novel findings by quantifying several aspects of CHC that may contribute to cross-border health-seeking behaviors in this vulnerable group which tends to suffer various health disparities and limited access to health insurance. Results support the hypotheses related to how the various cultural, social, and economic resources that comprise CHC affect market choices. This research has significant implications for understanding how border residents may mitigate a lack of accessibility and affordability for healthcare, developing transnational health policy, and aiding healthcare providers to understand their patients' choice(s) of healthcare markets.

Technological Trends Involving Probiotics in the Treatment of Diabetic Neuropathy: A Patent Review (2009-2022).

BACKGROUND: Diabetic neuropathy (DN) causes neuropathic pain, and current treatments are unsatisfactory. Recently studies have demonstrated an assertive correlation between gut microbiota and pain modulation. OBJECTIVE: Considering the emerging search for new therapies for the control of DN and the growing commercial interest in the probiotics market, this study aimed to provide patents on the use of probiotics in the control of DN. METHODS: This is a patent prospection performed in the Espacenet Patent database, using the association of keywords and IPC related to probiotics in medical preparations and foods, from 2009 to December 2022. RESULTS: Results have shown that in 2020, there was a boom in patent filing in the area. Asian countries accounted for more than 50% of all 48 inventions (n = 48), with Japan as the only applicant in 2021. Products being developed in recent years point to effects that may represent an advancement in DN treatment, such as reduced concentration of pro-inflammatory mediators, metabolites and neurotransmitters release, and hypoglycemic potential. All effects were more related to the Lactobacillus and Bifidobacterium genera, associated with more than one property mentioned. CONCLUSION: The mechanisms attributed to the microorganisms suggest the therapeutic potential of probiotics in the non-pharmacological treatment of pain. New applications for probiotics have resulted from great research interest by academia, but also reflect commercial interests despite the paucity of clinical trials. Thus, the present work supports the evolution of research to explore the benefits of probiotics and their clinical use in DN.

Desafíos de la interacción social de la persona con autismo en el mercado laboral

Los individuos diagnosticados con Trastorno del Espectro Autista (TEA) tienen dificultades conductuales y de interacción social como características típicas de su síndrome. Quienes necesitan ayuda y logran ingresar al mercado laboral, experimentan varios obstáculos como desventaja en los procesos de selección, sufrimiento de estigma y prejuicio, insuficiencia de las estructuras ambientales y de comunicación. Esta revisión de alcance buscó explorar los aspectos sociales presentes en la realidad de las personas con TEA en el mercado de trabajo, en un intento de identificar las dificultades inherentes a los diversos niveles, así como las medidas de apoyo tomadas. Se localizaron y analizaron 36 artículos de las bases de datos Scopus, Web of Science, PsycINFO, SciELO y PePSIC, ninguno de estos escritos en América Latina. Los resultados apuntan a la falta de conocimiento en un nivel satisfactorio sobre los TEA por parte de las organizaciones, directivos y colaboradores, con el fin de prevenir la discriminación, adecuar las condiciones de trabajo y promover la realización profesional de esta población con justicia y dignidad.

Indivíduos com diagnóstico de Transtorno do Espectro Autista (TEA) possuem dificuldades comportamentais e de interação social como características típicas de sua síndrome. Para aqueles que exigem apoio e conseguem se inserir no mercado de trabalho, diversos entraves são vivenciados, incluindo prejuízos nos processos seletivos, sofrimento de estigma e preconceito, inadequação de estruturas ambientais e de comunicação. Esta revisão do tipo scoping buscou explorar os aspectos sociais presentes na realidade de indivíduos com TEA inseridos no mercado de trabalho, na tentativa de identificar quais as dificuldades inerentes nos diversos níveis, bem como quais medidas de apoio realizadas. Foram localizados e analisados 36 artigos a partir das bases Scopus, Web of Science, PsycINFO, SciELO e PePSIC, sendo que nenhum foi elaborado na América Latina. Os resultados apontam para a falta de conhecimento em nível satisfatório sobre o TEA por parte das organizações, gestores e colegas de trabalho, de forma a prevenir a discriminação, a adequar as condições laborais e promover a realização profissional dessa população com justiça e dignidade.

Individuals diagnosed with autism spectrum disorder (ASD) have behavioral and social interaction difficulties as typical characteristics of their syndrome. For those who require support and are able to enter the job market, several obstacles are experienced, including losses in selection processes, suffering from stigma and prejudice, and inadequacy of environmental and communication structures. This scoping review sought to explore the social aspects present in the reality of individuals with ASD inserted in the job market, in an attempt to identify the inherent difficulties at the various levels, as well as what support measures were taken. Thirty-six articles were located and analyzed from the Scopus, Web of Science, PsycINFO, SciELO and PePSIC databases, none of which were written in Latin America. Results point to the lack of knowledge at a satisfactory level about ASD on the part of organizations, managers, and co-workers, in order to prevent discrimination, adapt working conditions, and promote the professional fulfillment of this population with justice and dignity.

Reflexos da pandemia de covid-19 na venda de alimentos em feiras livres no Maciço de Baturité-CE / Reflections of the COVID-19 pandemic on food sales in farmer's markets in Maciço de Baturité-CE

RESUMO A pandemia de covid-19 trouxe inúmeras mudanças aos territórios sustentáveis e saudáveis, implicando a necessidade de reorganização de estruturas sociais e de saúde. Objetivou-se compreender a dinâmica das feiras livres de vendas de alimentos no período pós-pandêmico de covid-19 em cidades do Maciço de Baturité, no Ceará, e avaliar as estratégias sanitárias e/ou de biossegurança utilizadas no enfrentamento da covid-19 por feirantes e consumidores. Realizou-se um estudo qualitativo entre outubro de 2021 e janeiro de 2023, em cinco cidades do Ceará. Em uma primeira etapa, foi realizada a observação das condições sanitárias e de biossegurança nas feiras livres, mediante um instrumento estruturado em quatro categorias. Em seguida, consumidores e feirantes foram entrevistados para o aprofundamento de discussões sobre os reflexos da pandemia sobre as feiras. Avaliaram-se as feiras de cinco cidades e entrevistaram-se 44 pessoas. Quatro cidades mostraram-se com condições sanitárias precárias e comprometimento da biossegurança e comercialização de alimentos. Feirantes e consumidores tiveram uma baixa percepção de risco sobre a covid-19 e levantaram a necessidade da perpetuação das feiras livres para a qualidade de vida e economia da região. As feiras livres são territórios sociais e econômicos sustentáveis, que ainda carecem de atenção por gestores e profissionais de saúde.

ABSTRACT The COVID-19 pandemic has brought countless changes to sustainable and healthy territories, implying the need to reorganize social and health structures. The aim was to understand the dynamics of open-air food sales markets in the post-COVID-19 pandemic period in cities in the Maciço de Baturité, in Ceará, Brazil, and to evaluate the health and/or biosafety strategies used by marketers and consumers to deal with covid-19. A qualitative study was carried out between October 2021 and January 2023, in five cities in the state of Ceará. In the first stage, the sanitary and biosafety conditions at the street markets were observed using an instrument structured into four categories. Then, consumers and stallholders were interviewed to deepen discussions about the impact of the pandemic on the markets. We evaluated fairs in five cities and interviewed 44 people. Four cities were found to have precarious sanitary conditions and compromised biosafety in the sale of food. Marketers and consumers had a low-risk perception regarding COVID-19 and raised the need to perpetuate open-air markets for the region's quality of life and economy. Free markets are sustainable social and economic territories, which still require attention from managers and health professionals.

Hombres que trabajan a través de aplicaciones móviles en Brasil: reflexiones desde la salud ocupacional / Men working through mobile applications in Brazil: Reflections from occupational health

RESUMEN El trabajo a través de aplicaciones móviles surgió como una alternativa para muchos hombres brasileños durante la crisis económica y el aumento del desempleo. Sin embargo, estos trabajadores operan de manera informal, sin relación laboral, lo que genera precariedad laboral y falta de derechos laborales. Desde un abordaje teórico-reflexivo, este artículo analiza la intersección entre la salud ocupacional, la plataformización del trabajo y los desafíos específicos que enfrentan los hombres repartidores de aplicaciones, especialmente durante la pandemia de covid-19. Las categorías reflexivas se dividieron en dos secciones temáticas: "La inserción laboral a través de aplicaciones móviles en Brasil y el modelo de trabajo mediante algoritmos" y "hombres, salud y motocicletas: la salud ocupacional y el comportamiento masculino en el trabajo a través de aplicaciones de entrega". Se examina la expansión de este tipo de trabajo en el contexto socioeconómico brasileño, la falta de seguridad y protección laboral para estos trabajadores, así como los riesgos enfrentados, especialmente durante la pandemia, en el marco de una cultura masculina.

ABSTRACT Work through mobile applications emerged as an alternative for many Brazilian men during the economic crisis and rising unemployment. However, these workers operate informally, without a formal employment relationship, leading to labor precariousness and a lack of workers' rights. Using a theoretical-reflexive, this study analyzes the intersection between occupational health, the platformization of work, and the specific challenges faced by male delivery app workers, especially during the COVID-19 pandemic. Reflective categories are divided into two thematic sections: "Labor insertion through mobile applications in Brazil and the algorithmic work model" and "men, health, and motorcycles: occupational health and male behavior in app-based delivery work." The study examines the expansion of this type of work in the Brazilian socio-economic context, the lack of security and labor protection for these workers, as well as the risks faced, particularly during the pandemic, within a male-centric culture.

Perfil de Egresos de Psicología de una Universidad del Interior Cearense / Perfil de egressos de psicologia de uma universidade do interior cearense / Profile of psychology graduates from a university in the countryside of the state of ceará

RESUMO O objetivo deste estudo foi analisar o perfil dos egressos do curso de Psicologia da Universidade Federal do Ceará, campus Sobral. Realizou-se um levantamento por meio de questionário autoaplicável (n = 157). A maioria dos participantes era do gênero feminino e tinha entre 20 e 30 anos. Os dados foram analisados com o programa IBM SPSS (versão 22). Foram produzidas estatísticas descritivas. Dentre os achados, viu-se que a maioria dos egressos nascera e residia na macrorregião de Sobral/Ibiapaba. Grande parte dos egressos trabalhava como psicólogo e a clínica foi a área de atuação mais citada. A principal dificuldade para a inserção no mercado de trabalho foi a reduzida experiência profissional. Depreende-se que a interiorização das universidades está relacionada à inclusão social ao possibilitar o acesso à educação e a fixação de profissionais no interior dos estados.

RESUMEN El propósito de la presente investigación fue examinar el perfil de los egresados de la carrera de Psicología en la Universidad Federal de Ceará, ubicada en el campus de Sobral. Para ello, se efectuó una recolección de datos mediante un cuestionario autoadministrado, el cual fue completado por un total de 157 participantes. La mayoría de estos eran mujeres, con edades comprendidas entre los 20 y 30 años. El análisis de los datos recabados se llevó a cabo utilizando el software IBM SPSS, versión 22, generando estadísticas descriptivas. Entre los hallazgos, la mayoría de los egresados son originarios y residentes de la macrorregión de Sobral/Ibiapaba. Se observó que un número considerable de los graduados se desempeña profesionalmente como psicólogos, siendo la práctica clínica el ámbito más frecuentemente señalado de actuación. Uno de los principales obstáculos identificados para la inserción en el mercado laboral fue la limitada experiencia profesional de los egresados. A partir de estos resultados, se infiere que la descentralización de las universidades cumple un papel fundamental en la inclusión social, al facilitar el acceso a la educación superior y promover la retención de profesionales en las áreas más alejadas de los centros urbanos.

ABSTRACT The purpose of this study was to examine the demographic and professional characteristics of Psychology graduates from the Federal University of Ceará's Sobral campus. Conducted via a self-administered questionnaire with 157 respondents, the survey found that a predominant number of participants were female, aged 20 to 30 years. Data analysis was performed using IBM SPSS software (version 22), generating descriptive statistics. Results indicated that most graduates originated from and resided within the Sobral/Ibiapaba macro-region, with a significant number employed as psychologists, particularly in clinical practice. The primary barrier to job market entry identified was limited professional experience. This study suggests that the decentralization of higher education contributes to social inclusion, promoting both access to education and the retention of professionals in less urbanized areas.