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Introduction: The female sex has been systematically identified as one of the predictors of poor quality of life in patients with cirrhosis. However, the relationship between quality of life and sexual function in women with cirrhosis has not been widely studied. Aim: To determine the relationship between quality of life and sexual function in women with cirrhosis. Materials and methods: A cross-sectional observational study. Female patients aged 18 to 69 years were included. The SF-36-V2 survey assessed health-related quality of life, and the IFSF-6 evaluated sexual function. Univariate and multivariate linear regression was used to identify the relationship between quality of life and sexual function. Statistical significance was set at a p-value < 0.05. Results: 36 patients were available for analysis. The average age was 61 years. In the SF36-V2 survey, the physical component summary mean was 58, and the mental component summary mean was 56. The IFSF-6 had an average of 10. Sexual dysfunction occurred in 80% of patients. The IFSF-6 score was positively related to health-related quality of life. Factors associated with the deterioration of sexual function were age and menopause. The Child-Pugh score and body mass index were the main determinants of health-related quality of life. Conclusions: Sexual function could be a determinant of quality of life in women with cirrhosis.

Introducción: El sexo femenino se ha identificado de forma sistemática como uno de los predictores de mala calidad de vida en pacientes con cirrosis. Sin embargo, la relación de la calidad de vida con la función sexual en mujeres con cirrosis no ha sido ampliamente estudiada. Objetivo: Determinar la relación entre la calidad de vida y la función sexual de mujeres con cirrosis. Métodos: Estudio observacional de tipo transversal. Se incluyó a pacientes femeninas de 18 a 69 años. Se utilizó la encuesta SF-36-V2 para evaluar la calidad de vida relacionada con la salud y la IFSF-6 para valorar la función sexual. Para identificar la relación entre calidad de vida y función sexual se utilizó una relación lineal uni- y multivariante. La significación estadística se fijó con un valor p < 0,05. Resultados: 36 pacientes estuvieron disponibles para el análisis. La media de edad fue de 61 años. En la encuesta SF36-V2, la media del resumen del componente físico fue de 58 y la media del resumen del componente mental fue de 56. El IFSF-6 tuvo una media de 10. La disfunción sexual se presentó en un 80% de las pacientes. El puntaje IFSF-6 se relacionó de forma positiva con la calidad de vida relacionada con la salud. Los factores relacionados con deterioro de la función sexual son la edad y la menopausia. La escala Child-Pugh y el índice de masa corporal se identificaron como los principales determinantes de la calidad de vida relacionada con la salud. Conclusiones: La función sexual podría ser un determinante de calidad de vida de las mujeres con cirrosis.

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Some epidemiologic studies conducted in developing countries demonstrated a high incidence of enteroparasites, Ascaris sp. being the most prevalent. Therefore, the use of sewage sludge in agriculture may pose risks to human health. In order to protect public health, a Brazilian regulation has established standards regarding its use in rural areas. The objective of this study was to quantify Ascaris sp. and other helminth eggs in sewage sludge from five wastewater treatment plants from a dense metropolitan region, and also to check compliance with the law. The analysis was carried according to USEPA 2003 . A rich parasitological fauna was found, with a prevalence of the eggs of Ascaris sp. (9.55%). The samples analyzed presented a large variety of helminth eggs, and Ascaris sp. proved to be the most prevalent which put in evidence that its application poses public health concerns.

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Ciência com Consciência enfrenta o duplo desafio: apontar problemas éticos e morais da ciência contemporânea, cujos múltiplos e prodigiosos poderes de manipulação, nascidos das tecnociências, têm imposto ao cientista, ao cidadão e à humanidade inteira o problema do controle político das descobertas científicas e a necessidade epistemológica de um novo paradigma que rompa os limites do determinismo e da simplificação, e incorpore o acaso, a probabilidade e a incerteza como parâmetros necessários à compreensão da realidade

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No quinto semestre do curso de graduação em enfermagem é desenvolvida a disciplina de Didática Aplicada ao Cuidado. Esta disciplina desenvolve vários conteúdos teórico-práticos, dentre eles o de estratégias de ensino. Diante deste tema e do projeto político pedagógico do curso, propusemos uma articulação interdisciplinar, e optamos por relatar nossa vivência com o teatro de fantoches na promoção à saúde bucal de crianças de uma creche na Zona Leste de São Paulo. Com esse relato, evidenciamos que os conteúdos teóricos desenvolvidos na Disciplina de Didática Aplicada ao Cuidado são fundamentais para a prática da Educação em Saúde.

The Didactics Applied to Care discipline is developed in the fifth semester of the nursing graduation course. It develops several theoretical-practical contents, among them, the teaching strategy. Our objective is to report the experience with the use of puppet theater to promote the oral health of children in a day nursery in the São Paulo East Zone. With this report we make it clear that the theoretical contents developed by the Didactics Applied to Care Discipline are essential to the practice of Health Education. The discipline allows us to develop multiple activities in the role of educator and in health promotion.

En el quinto semestre del curso de graduación en enfermería es desarrollada la disciplina de Didáctica Aplicada al Cuidado. Esta desarrolla varios contenidos teórico-prácticos entre ellos el de estrategia de enseñanza. El objetivo es relatar la vivencia de la utilización del teatro de títeres en la promoción de la salud bucal de niños de una guardería en la Zona Este de San Pablo. Con este relato evidenciamos que los contenidos teóricos desarrollados en la Disciplina de Didáctica Aplicada al Cuidado son fundamentales para la práctica de la Educación en Salud. La disciplina nos permite desarrollar múltiples actividades en el papel de educador y en la promoción de la salud.

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The Didactics Applied to Care discipline is developed in the fifth semester of the nursing graduation course. It develops several theoretical-practical contents, among them, the teaching strategy. Our objective is to report the experience with the use of puppet theater to promote the oral health of children in a day nursery in the São Paulo East Zone. With this report we make it clear that the theoretical contents developed by the Didactics Applied to Care Discipline are essential to the practice of Health Education. The discipline allows us to develop multiple activities in the role of educator and in health promotion.

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