RESUMO -Este trabalho teve como objetivo avaliar os parâmetros químicos e físico-químicos como aporte ao desenvolvimento do processo para a conservação da polpa de cupuaçu por métodos combinados, como opção aos métodos onerosos (ex.: congelamento), como alternativa para redução de perdas pós-colheita da polpa do cupuaçu junto a pequenos e médios produtores. Foram selecionados os seguintes obstáculos: ajuste da Aw da polpa para 0,97 e 0,95, utilizando sacarose em concentrações de 22,5% e 34% em relação ao peso da polpa, ajuste do pH para 3,0, adição de benzoato de sódio em concentrações a 500 ppm, dióxido de enxofre (SO 2 ) a 400 ppm e branqueamento a 90ºC/2 minutos. Os resultados indicaram que os obstáculos selecionados se mostraram adequados para garantir a estabilidade microbiológica e físico-química da polpa num período de 20 dias. Termos para indexação: Processamento, métodos combinados, cupuaçu. PRESERVATION OF CUPUAÇU PULP [Theobroma grandiflorum (Willd. Ex Spreng.)Schum] BY COMBINED METHODSABSTRACT -This work had the objetive of evaluate chemical and physico-chemical standards as a support in the development of the preservation process of cupuaçu pulp by combined methods as an alternative to costly technics (ex.: freezing), reducing post-harvests lost of cupuaçu pulp for small and medium farmers. The following obstacles were chosen: water activity adjustment for values of Aw 0,97 and Aw 0,95 by addition of sucrose (22,5% and 34%, respectively); slow reduction of pH to 3,0; addition of sodium benzoate (500ppm); addition of sulfite dioxide (400ppm) and the use of branching (T = 90ºC/2min). The results indicated that the selected obstacles were suitable to guarantee the microbiological and physico-chemical stability of the pulp during 20 days of storage.

Objective: To verify the association between social determinants of health and the vulnerability of adolescents to Sexually Transmitted Infections (STIs). Method: Cross-sectional study, performed with 287 students aged 11 to 17 years, in the outskirts of Fortaleza, Ceará, Brazil, from August do September 2016. Two instruments were used, one destined to social determinants of health and another to investigating the vulnerability to STIs. The magnitude of associations was expressed through odds ratio and interval of confidence, considering a 5% significance level. This research was approved by the Research Ethics Committee of the Federal University of Ceará. Results: 212 (73.9%) adolescents were considered more vulnerable, with a score ≥ 4. The intermediate social determinant “housing (home ownership)” obtained significant association with with the vulnerability to STIs (p of 0.022; CI 1.1 to 3.3; OR 1.9). Conclusion: The intermediate social determinant “type of housing” influences the vulnerability to STAs.

Objective: To analyze the association between vulnerabilities to Sexually Transmitted Infections (STIs/HIV/AIDS) of adolescents in poverty and their level of resilience. Method: Cross-sectional study with 287 students between 11 and 17 years old in a school in the outskirts of Fortaleza-Ce. The study was conducted from August to October 2016. Three instruments related to characterization, vulnerability to STIs/HIV/AIDS and resilience were used. The association between the instruments was calculated using the Mann-Whitney and Kruskal-Wallis tests. Association between vulnerability to STIs/HIV/AIDS and resilience was assessed through the Spearman’s correlation coefficient. Statistical significance was set at p<0.05. Results: There was a significant association between the factors “housing” (p=0.022), “family income” (p=0.037) and vulnerability to STIs/HIV/AIDS. Adolescents whose father has completed high school (p=0.043) have moderately high resilience. Conclusion: Adolescents with low socioeconomic status and who live on less than a minimum wage tends to be more susceptible to vulnerabilities to STIs/HIV/AIDS and to have low resilience.

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The photoprotective and antimutagenic activity of opened and closed basidiocarps of Agaricus subrufescens (=A. blazei; =A. brasiliensis) obtained by different extraction methods were evaluated on Aspergillus nidulans conidia submitted to ultraviolet (UV) light. The aqueous extracts were obtained by three extraction methods: maceration, infusion, and decoction, at two different extraction times. The extracts of A. subrufescens did not present toxicity for A. nidulans conidia. A suspension of A. nidulans conidia was submitted to extracts before and after the exposure to UV light. All basidiocarp extracts, regardless of the extraction method or development stage, protected A. nidulans conidia against the damaging effects of the mutagenic agent. The antimutagenic and photoprotective activity was strengthened with extracts obtained by 168-h maceration, followed by 24-h maceration and 60-min infusion and, at last, by 30-min infusion. Although the extracts presented protector effect as well as recoverer effect to the action of UV light, the preventive effect was more evident. Differences in the biological activity in function of the different development stages were detected with greater antimutagenic and photoprotective activity for the opened basidiocarps. However, the extraction method is the most important factor to be considered when compared to the basidiocarp development stage to obtain better antimutagenic and photoprotective activity of A. subrufescens basidiocarps.

SUMMARY OBJECTIVE To analyze the scientific evidence on the disclosure of the diagnostic of adolescents infected by HIV/AIDS in the South American context. DATABASE Systematic literature review using the PubMed, Cinahal, Embase, Cochrane, BVS, and Global Health databases and the descriptors: adolescent and HIV and family and Argentina or Bolivia or Brasil or Chile or Colombia or Ecuador or French Guiana or Paraguay or Peru or Uruguay or Venezuela. DATA SYNTHESIS Brasil was the country highlighted. It was verified that parents have a direct and indirect influence over the adolescents’ life, especially regarding behaviors and health care. Dialog among family members can reduce adolescents’ vulnerability to HIV and encourage diagnostic disclosure. CONCLUSION It is necessary to amplify research involving adolescents with HIV/AIDS and their parents/caregivers and family members to improve care and reduce the cases of the disease. It is suggested that policies of prevention and treatment should involve families, caregivers, partners, and the community.

RESUMO Objetivo refletir sobre as dimensões do ser humano e o cuidado de enfermagem no contexto pandêmico da Covid-19. Método trata-se de um estudo reflexivo, em que foram discutidas as dimensões corpórea (Homo somaticus), de vida humana (Homo vivens), conhecer (Homo sapiens), vontade (Homo volens), linguagem (Homo loquens), social (Homo socialis), do trabalho (Homo faber), jogo e divertimento (Homo ludens) e o cuidado de enfermagem no contexto pandêmico da Covid-19. Resultados as dimensões estão sendo influenciadas pelo contexto pandêmico do novo coronavírus, sendo necessárias intervenções de enfermagem humanizadoras como o manejo clínico e terapêutico transpessoal, suporte ao corpo físico em adoecimento, garantia de uma linguagem que possibilite o autocuidado e apoio psicológico, atitude de escuta aberta, incentivo às práticas de jogos para passar o tempo e métodos de relaxamento, meditação e imaginação guiada, entre outras. O ato de refletir sobre as dimensões cria novas possibilidades de sinalizar pontos de intercessão para a compreensão da nova realidade vivenciada pelo homem. Conclusão e implicações para a prática ao refletir sobre as dimensões do homem à luz da antropologia com o embasamento teórico dos Modelos de cuidados da Nursing Interventions Classification (NIC), geram-se possibilidades de estabelecer um cuidado holístico no contexto da pandemia pelo novo coronavírus.

Introduction: Social determinants are understood as the conditions in which people are born, grow, live, work and age, reflecting positively or negatively in their lives. This is seen mainly in adolescents, leaving them susceptible to risks and vulnerabilities that are associated with social inequities, The study of them allows us to identify the influence of these determinants in adolescence. This study aimed to analyze the Social Determinants of Health: Risks and Vulnerabilities in Adolescence through established categories. Methods:Critical analysis about the social determinants of health and the risks and vulnerabilities in adolescence. There was division into two categories: Risk and Vulnerability in Adolescence and Social Determinants of Health in Adolescence, which identified their most relevant aspects. Results:The abuse of alcohol and drugs, labor exploitation, violence, unplanned pregnancy and infection by STD/HIV/AIDS were the main risks and vulnerabilities found in adolescence, and those were influenced by social determinants of health. Conclusion:Health inequities are complex issues that permeate many aspects, both individually and collectively. Although there are policies for the care of adolescent health, there is the need for effective strategies or new empathic and active policies to minimize damages and to provide quality of life as well as the reduction of health inequities.