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RESEARCH
Nursing diagnoses in intensive care: cross-mapping and NANDA-I taxonomy
Revista Brasileira de Enfermagem. 2016;69(2):307-315
01-01-2016
Abstract
RESEARCHNursing diagnoses in intensive care: cross-mapping and NANDA-I taxonomy
Revista Brasileira de Enfermagem. 2016;69(2):307-315
01-01-2016DOI 10.1590/0034-7167.2016690214i
Views0See moreABSTRACT
Objective:
to identify nursing diagnoses in intensive care unit (ICU) patients by means of a cross-mapping of terms contained in nursing records with the NANDA-I taxonomy.
Method:
an exploratory, descriptive study with a retrospective analysis of nursing records in 256 medical records of patients that were hospitalized in the general ICU of a hospital in the western border of the state of Rio Grande do Sul. Terms indicating conditions demanding nursing interventions were collected from the records; cross-mapping of these terms with the NANDA-I taxonomy diagnoses was performed and confirmed in a nursing focus group. Data were analyzed through descriptive statistics.
Results:
a total of 832 terms and expressions referring to 52 different diagnoses in 9 of the 13 domains of the NANDA-I taxonomy were identified.
Conclusion:
the present study enabled the identification of nursing diagnoses in patients hospitalized in ICUs, affecting care management, the training process of experts in the area, and information systems.
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RESEARCH
Social network of adolescents under probation from the perspective of public health
Revista Brasileira de Enfermagem. 2016;69(2):298-306
01-01-2016
Abstract
RESEARCHSocial network of adolescents under probation from the perspective of public health
Revista Brasileira de Enfermagem. 2016;69(2):298-306
01-01-2016DOI 10.1590/0034-7167.2016690213i
Views0See moreABSTRACT
Objective:
to analyze the meaning of the social networks of adolescents who are under probation and to identify the essential components of these networks.
Method:
an exploratory study with a qualitative approach. Twenty-six teenagers, aged 13 to 18, participated in the study. For data gathering, the authors chose semi-structured interviews and network maps. Results: it became evident that social networks are essential for adolescents, with the family in a central position – especially the mothers – as well as the Centro de Referência Especializadode Assistência Social (Center for Specialized Reference of Social Assistance – CREAS) for social promotion and construction of new life projects, away from juvenile offending. However, adolescents reported no ties to health workers.
Conclusion:
the authors observed the need for nurses, as workers in primary health care, to practice in a way that is intersectoral and interdisciplinary, with the aim of strengthening the social networks of adolescents at conflict with the law.
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RESEARCH
Direct cost of dressings for pressure ulcers in hospitalized patients
Revista Brasileira de Enfermagem. 2016;69(2):290-297
01-01-2016
Abstract
RESEARCHDirect cost of dressings for pressure ulcers in hospitalized patients
Revista Brasileira de Enfermagem. 2016;69(2):290-297
01-01-2016DOI 10.1590/0034-7167.2016690212i
Views0ABSTRACT
Objective:
to identify the average direct cost (ADC) on the direct labor (DL) for nurses and the consumption of materials and solutions used in performing dressings for pressure ulcers (PU) in hospitalized patients.
Methods:
case study, exploratory and descriptive case conducted in a teaching hospital. For six months, 228 dressings were performed for the treatment of PU patients. We calculated the cost by multiplying the time spent by nurses by the DL unit cost, adding to the cost of materials and solutions consumed.
Results:
the dressings ADC of PU corresponds to US$ 19.18 (PUs-category I); US$ 6.50 (PUs-category II); US$ 12.34 (PUs-category III); US$ 5.84 (PUs-category IV); US$ 9.52 (PUs-unclassifiable) and US$ 3.76 (PU suspected deep tissue injury).
Conclusion:
the methodology used can be reproduced in different hospital settings for the development of other studies to expand and complement the knowledge gained.
Keywords:Costs and Cost AnalysisNursing Administration ResearchNursing CareNursing Service, HospitalPressure UlcerSee more -
RESEARCH
Humanization knowledge of undergraduate nursing students
Revista Brasileira de Enfermagem. 2016;69(2):282-289
01-01-2016
Abstract
RESEARCHHumanization knowledge of undergraduate nursing students
Revista Brasileira de Enfermagem. 2016;69(2):282-289
01-01-2016DOI 10.1590/0034-7167.2016690211i
Views0See moreABSTRACT
Objective:
identify the senses and practices representative of humanization in the training of undergraduate nursing students.
Method:
a qualitative study, supported on the national policy of humanization and the concept of social representation. An interview was conducted with 40 undergraduate nursing students from a public institution. ALCESTE software was used for lexical content analysis.
Results:
the sense of humanization is built on the practice and disciplines of social and human sciences. The coordination between theory and practice is representative of humanization, but does not take place in learning experiences. The professor’s participation and teamwork are elements that influence humanization.
Conclusion:
humanization should be reinforced in the training of undergraduate nursing students, using learning-teaching strategies and experiences that make sense to students, including alliances between theory and practice, learning and service, research and care.
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RESEARCH
Prevention of vertical mother-to-child transmission of HIV: care and adhesion provided by couples
Revista Brasileira de Enfermagem. 2016;69(2):275-281
01-01-2016
Abstract
RESEARCHPrevention of vertical mother-to-child transmission of HIV: care and adhesion provided by couples
Revista Brasileira de Enfermagem. 2016;69(2):275-281
01-01-2016DOI 10.1590/0034-7167.2016690210i
Views0ABSTRACT
Objective:
to unveil the existential movement of a couple when performing vertical HIV transmission prophylaxis.
Method:
qualitative research, using Martin Heidegger’s phenomenological approach. A phenomenological interview was conducted with 14 participants between December/2011 and February/2012 in the outpatient facilities of an university hospital, Brazil. A comprehensive and interpretative heideggerian analysis was developed.
Results:
the couple understands that they have followed the guidance of the health professionals as indicated. By not being able to breastfeed, the woman did not fail to be a mother, but it was also not a complete experience. The senses of the occupation of the couple-being unfolded to the prophylactic treatment and facticity due to the fact of not breastfeeding.
Conclusion:
we indicate the need to rethink care, proposing a working relationship that transcends the impersonal that dictates about what the couple must deal with, enabling their active participation in care decisions and actions.
Keywords:Child HealthNursingPrenatal CareQualitative ResearchVertical Transmission of Infectious DiseaseSee more -
RESEARCH
Attitudes and pleasure/suffering in mental health work
Revista Brasileira de Enfermagem. 2016;69(2):266-274
01-01-2016
Abstract
RESEARCHAttitudes and pleasure/suffering in mental health work
Revista Brasileira de Enfermagem. 2016;69(2):266-274
01-01-2016DOI 10.1590/0034-7167.2016690209i
Views0See moreABSTRACT
Objective:
to investigate the existence of a relationship between attitudinal profiles and the pleasure/suffering dynamic in workers of Mental Health Services.
Method:
a quantitative, descriptive-analytical, correlational and cross-sectional study conducted in 2014. We used three instruments: characterization questionnaire, Opinions on Mental Illness Scale and Pleasure and Suffering Indicators at Work Scale, answered by 80 workers of the Network for Psychosocial Care of Alfenas, state of Minas Gerais, Brazil.
Results:
Authoritarianism proved to be the predominant profile. As for the pleasure/suffering at work, Gratification was considered adequate, and indicators such as Freedom, Wear and Insecurity were considered moderate critical. There were positive correlations between the most favorable attitudes and pleasure indicators at work. The values of both scales showed a relationship with socio-demographic and professional variables.
Conclusion:
the less favorable attitudes are prevalent and, in spite of suffering being present, these professionals feel gratified about their work.
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RESEARCH
Overweight in young adult students: the vulnerability of a distorted self-perception of body image
Revista Brasileira de Enfermagem. 2016;69(2):258-265
01-01-2016
Abstract
RESEARCHOverweight in young adult students: the vulnerability of a distorted self-perception of body image
Revista Brasileira de Enfermagem. 2016;69(2):258-265
01-01-2016DOI 10.1590/0034-7167.2016690208i
Views0See moreABSTRACT
Objective:
To analyze overweight in young adult students from the individual dimension of vulnerability, especially its interpersonal and subjective markers.
Method:
An analytical quantitative study was performed with 560 young adults from 26 schools in a capital city in Northeastern Brazil. After obtaining data to administer specific questionnaires, logistic regression was used to identify markers of individual vulnerability.
Results:
In the bivariate analysis, overweight showed a statistically significant association with self-perception of health, satisfaction with body image and self-perception of overweight, the latter remaining in the final regression model.
Conclusion:
It can be mainly concluded that self-perception of overweight is distorted when compared to one’s actual body weight and, for this reason, young adults are vulnerable to dysfunctional health states. However, it was confirmed that this health condition must be understood in an individual and contextual perspective.
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RESEARCH
Pressure ulcer healing with Plenusdermax® Calendula officinalis L. extract
Revista Brasileira de Enfermagem. 2016;69(2):250-257
01-01-2016
Abstract
RESEARCHPressure ulcer healing with Plenusdermax® Calendula officinalis L. extract
Revista Brasileira de Enfermagem. 2016;69(2):250-257
01-01-2016DOI 10.1590/0034-7167.2016690207i
Views0See moreABSTRACT
Objective:
to evaluate the therapeutic benefits of the bioactive extracts of Plenusdermax®Calendula officinalis for pressure ulcer healing.
Method:
an observational cohort study, including 41 patients with a diagnosis of pressure ulcer that was stable in size for more than three months. Patients were evaluated every two weeks, over 30 weeks, for: reduction of the wound area, infection control, types of tissue and exudate, and ulcer microbiology.
Results:
the proportions of patients who were completely healed after 15 and 30 weeks of treatment were 63% and 88%, respectively, and the mean healing time was 12.5±7.8 weeks. No adverse events were observed during treatment.
Conclusion:
the results of the study indicate that bioactive C. officinalis Plenusdermax® is a safe treatment that promotes healing of pressure ulcers.
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ORIGINAL ARTICLE
Religious/spiritual coping and spiritual distress in people with cancer
- Gabriela Cruz Noronha Silva
, - Dáfili Cristina dos Reis ,
- Talita Prado Simão Miranda ,
- Ruan Nilton Rodrigues Melo ,
- Mariana Aparecida Pereira Coutinho , [ … ],
- Érika de Cássia Lopes Chaves
10-21-2019
Abstract
ORIGINAL ARTICLEReligious/spiritual coping and spiritual distress in people with cancer
Revista Brasileira de Enfermagem. 2019;72(6):1534-1540
10-21-2019DOI 10.1590/0034-7167-2018-0585
- Gabriela Cruz Noronha Silva ,
- Dáfili Cristina dos Reis ,
- Talita Prado Simão Miranda ,
- Ruan Nilton Rodrigues Melo ,
- Mariana Aparecida Pereira Coutinho ,
- Gabriela dos Santos Paschoal ,
- Érika de Cássia Lopes Chaves
Views0See moreABSTRACT
Objective:
To investigate the relation between the presence of spiritual distress and use of RSC and sociodemographic, clinical and religious/spiritual variables in people with cancer.
Method:
Cross-sectional study conducted in an association for support to people with cancer. The data obtained with the tools were analyzed using the Spearman‘s correlation coefficient and the Mann-Whitney Test.
Results:
129 volunteers participated in the study, of which 57% showed moderate spiritual distress, 96% used medium and high positive religious/spiritual coping. Spiritual distress showed positive correlation with negative religious/spiritual coping (P<0.001) and inverse correlation with age (p 0.002). The use of positive religious coping was statistically significant in people who have religious practices (p 0.001).
Conclusão:
Spiritual distress is a phenomenon that is present in the lives of people with cancer and has significant relation with the use, in a negative manner, of religion/spirituality as a way of coping with the disease.
- Gabriela Cruz Noronha Silva
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ORIGINAL ARTICLE
Social incentives for adherence to tuberculosis treatment
- Giovanna Mariah Orlandi ,
- Érica Gomes Pereira ,
- Rosângela Elaine Minéo Biagolini ,
- Francisco Oscar de Siqueira França ,
- Maria Rita Bertolozzi
09-16-2019
Abstract
ORIGINAL ARTICLESocial incentives for adherence to tuberculosis treatment
Revista Brasileira de Enfermagem. 2019;72(5):1182-1188
09-16-2019DOI 10.1590/0034-7167-2017-0654
- Giovanna Mariah Orlandi ,
- Érica Gomes Pereira ,
- Rosângela Elaine Minéo Biagolini ,
- Francisco Oscar de Siqueira França ,
- Maria Rita Bertolozzi
Views0See moreABSTRACT
Objective:
To analyze the influence of social incentives for adherence to tuberculosis (TB) treatment.
Method:
Qualitative study, in which 26 primary health care professionals of São Paulo were interviewed in 2015.Their testimonies were submitted to the speech analysis technique. The theoretical reference was the social determination of the health-disease process. Ethical procedures were observed.
Results:
TB is related to precarious living conditions. Incentives such as the basic food basket and transportation stipends are relevant for patients’ adherence to treatment, as well as to the create bonds between the patient and the health team.
Final considerations:
The incentives strengthened adherence to TB treatment. However, interventions in the context of public measures must transcend the remedial dimension and be guided towards the transformation of the TB situation, which means supporting processes that modify living conditions.
- Giovanna Mariah Orlandi
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ORIGINAL ARTICLE
Homeless population: characterization and contextualization by census research
- Anai Adario Hungaro ,
- Aroldo Gavioli ,
- Rosangela Christóphoro ,
- Sônia Regina Marangoni ,
- Renan Filipe Altrão , [ … ],
- Magda Lúcia Félix de Oliveira
07-01-2020
Abstract
ORIGINAL ARTICLEHomeless population: characterization and contextualization by census research
Revista Brasileira de Enfermagem. 2020;73(5):e20190236
07-01-2020DOI 10.1590/0034-7167-2019-0236
- Anai Adario Hungaro ,
- Aroldo Gavioli ,
- Rosangela Christóphoro ,
- Sônia Regina Marangoni ,
- Renan Filipe Altrão ,
- Ana Lúcia Rodrigues ,
- Magda Lúcia Félix de Oliveira
Views0See moreABSTRACT
Objectives:
to analyze characteristics of homeless people and factors associated with living on the streets.
Methods:
a census-type sectional survey carried out between 2015 and 2018, in the municipality of Maringá-Paraná. A total of 701 homeless answered a structured questionnaire with sociodemographic data, living conditions, and drug use. We used Pearson’s correlation test for the association analysis of the variables at a 95% confidence level.
Results:
men (90.7%) the average age of 37.7 years had been homeless for an average of 5.39 years. Most had little education (54.2%), and homelessness was due to drug use (47.2%) and family disagreements (38.9%).
Conclusions:
drug use and family disagreements were the main reasons for homelessness. Time on the street, gender, and drugs were associated with a negative correlation to be homeless; and age, mean daily income, the number of daily meals, having been in prison, and having an income source were associated with positive correlation.
- Anai Adario Hungaro
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REFLECTION
Florence Nightingale’s theory and her contributions to holistic critical thinking in nursing
- Fernando Riegel ,
- Maria da Graça Oliveira Crossetti ,
- Jussara Gue Martini ,
- Andrea Aparecida Gonçalves Nes
05-03-2021
Abstract
REFLECTIONFlorence Nightingale’s theory and her contributions to holistic critical thinking in nursing
Revista Brasileira de Enfermagem. 2021;74(2):e20200139
05-03-2021DOI 10.1590/0034-7167-2020-0139
- Fernando Riegel ,
- Maria da Graça Oliveira Crossetti ,
- Jussara Gue Martini ,
- Andrea Aparecida Gonçalves Nes
Views0See moreABSTRACT
Objective:
to reflect on Florence Nightingale’s legacy and describe her contributions to critical holistic thinking in nursing.
Methods:
this is a theoretical reflection, for which scientific productions on Florence Nightingale’s environmental theory, as published in national and international journals, were based.
Results:
Florence Nightingale’s philosophy and teachings emphasize that the nurse must use her brain, heart and hands to create healing environments to care for the patient’s body, mind and spirit. Nursing, since the time of Nightingale, has been building the holistic paradigm, in all schools of thought, with a view to a humanistic approach to the human being in their indivisible relationship with the environment.
Final considerations:
Florence’s contributions to holistic critical thinking in nursing are evident, constituting nurses’ differential in clinical practice.
- Fernando Riegel
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REVIEW
Barriers to Pre-Exposure Prophylaxis (PrEP) use for HIV: an integrative review
- Marcela Antonini ,
- Ingred Evangelista da Silva ,
- Henrique Ciabotti Elias ,
- Larissa Gerin ,
- Aliete Cunha Oliveira , [ … ],
- Renata Karina Reis
06-26-2023
Abstract
REVIEWBarriers to Pre-Exposure Prophylaxis (PrEP) use for HIV: an integrative review
Revista Brasileira de Enfermagem. 2023;76(3):e20210963
06-26-2023DOI 10.1590/0034-7167-2021-0963
- Marcela Antonini ,
- Ingred Evangelista da Silva ,
- Henrique Ciabotti Elias ,
- Larissa Gerin ,
- Aliete Cunha Oliveira ,
- Renata Karina Reis
Views0ABSTRACT
Objectives:
to identify and synthesize scientific evidence on the barriers and difficulties for Pre-exposure Prophylaxis (PrEP) use and compliance for HIV.
Methods:
an integrative literature review, using the MEDLINE/PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Academic Search Premier and Scopus (Elsevier) databases.
Results:
all (100%) the articles included identified that PrEP users experience some type of structural barrier related to health services such as long distance from the units, suboptimal logistics for taking pills and professional resistance to prescribing PrEP. Furthermore, 63.21% identified social barriers, such as stigma about sexuality and HIV, in addition to individual barriers such as alcohol use, adverse effects, and concerns about long-term toxicity.
Conclusions:
the barriers to PrEP use are multifactorial. Effective interventions are needed to support PrEP users in accessing, complying with, and retaining health services.
Keywords:Access to Health ServicesAnti-HIV AgentsPre-Exposure ProphylaxisPrevention and ControlSexual HealthSee more
- Marcela Antonini
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Fear of childbirth in time of the new coronavirus pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200551
11-13-2020
Abstract
Fear of childbirth in time of the new coronavirus pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200551
11-13-2020DOI 10.1590/0034-7167-2020-0551
Views0See moreABSTRACT
Objective:
Reflect on how the new coronavirus pandemic triggered or accentuated the fear of childbirth in pregnant women and affected childbirth care practices.
Methods:
Reflective analysis of women’s pregnancy and childbirth experiences during the current pandemic, supported by the latest scientific evidence and recommendations on the topic.
Results:
Pregnancy and childbirth are life-changing events for women, but during the new coronavirus pandemic, fear and uncertainty have taken on an unprecedented dimension in the negative way that many pregnant women have anticipated and experienced childbirth.
Final considerations:
The current period has accentuated a chronic problem: a paternalistic system of health institutions in the approach to childbirth, dense with additional levels of fear in pregnant women. In this context, addressing the fear of childbirth means not giving up the promotion of safe and positive birth experiences for women.
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EXPERIENCE REPORT
Brazilian Nursing Process Research Network contributions for assistance in the COVID-19 pandemic
- Alba Lúcia Bottura Leite de Barros ,
- Viviane Martins da Silva ,
- Rosimere Ferreira Santana ,
- Agueda Maria Ruiz Zimmer Cavalcante ,
- Allyne Fortes Vitor , [ … ],
- Vinicius Batista Santos
10-26-2020
Abstract
EXPERIENCE REPORTBrazilian Nursing Process Research Network contributions for assistance in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200798
10-26-2020DOI 10.1590/0034-7167-2020-0798
- Alba Lúcia Bottura Leite de Barros ,
- Viviane Martins da Silva ,
- Rosimere Ferreira Santana ,
- Agueda Maria Ruiz Zimmer Cavalcante ,
- Allyne Fortes Vitor ,
- Amália de Fatima Lucena ,
- Anamaria Alves Napoleão ,
- Camila Takao Lopes ,
- Cândida Caniçali Primo ,
- Elenice Valentim Carmona ,
- Erika Christiane Marocco Duran ,
- Howard Karl Butcher ,
- Juliana de Lima Lopes ,
- Leidy Johanna Rueda Díaz ,
- Marcia Regina Cubas ,
- Marcos Antônio Gomes Brandão ,
- Marcos Venícios de Oliveira Lopes ,
- Maria Miriam Lima da Nóbrega ,
- Miriam de Abreu Almeida ,
- Priscilla Alfradique de Souza ,
- Rita de Cassia Gengo e Silva Butcher ,
- Rodrigo Jensen ,
- Rudval Souza da Silva ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tania Couto Machado Chianca ,
- Vinicius Batista Santos
Views0ABSTRACT
Objective:
to describe the theoretical construction process of nursing process support documents in COVID-19 care scenarios.
Methods:
an experience report of the joint activity of the Brazilian Nursing Process Research Network (Rede de Pesquisa em Processo de Enfermagem) composed of Higher Education and Health Institution researchers in Brazil.
Results:
five instruments were organized collectively, involving the elements of nursing practice (nursing diagnoses, outcomes and interventions) in assistance for community; for patients (with suspected or mild, moderate, and critical COVID-19 and residents in Nursing Homes); for nursing workers’ health support, also subsidizing registration and documentation during the COVID-19 pandemic.
Final considerations:
valuing the phenomena manifested by families/communities, patients and health professionals is essential for early detection, intervention, and prevention of diseases.
Keywords:Coronavirus InfectionsDelivery of Health CareNursing DiagnosisNursing ProcessStandardized Nursing TerminologySee more - Alba Lúcia Bottura Leite de Barros
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Domestic violence against women amidst the pandemic: coping strategies disseminated by digital media
- Lucimara Fabiana Fornari ,
- Rafaela Gessner Lourenço ,
- Rebeca Nunes Guedes de Oliveira ,
- Danyelle Leonette Araújo dos Santos ,
- Mariana Sbeghen Menegatti , [ … ],
- Rosa Maria Godoy Serpa da Fonseca
01-29-2021
Abstract
Domestic violence against women amidst the pandemic: coping strategies disseminated by digital media
Revista Brasileira de Enfermagem. 2021;74:e20200631
01-29-2021DOI 10.1590/0034-7167-2020-0631
- Lucimara Fabiana Fornari ,
- Rafaela Gessner Lourenço ,
- Rebeca Nunes Guedes de Oliveira ,
- Danyelle Leonette Araújo dos Santos ,
- Mariana Sbeghen Menegatti ,
- Rosa Maria Godoy Serpa da Fonseca
Views0See moreABSTRACT
Objective:
to know the strategies to cope with domestic violence against women disseminated by digital media at the beginning of the COVID-19 pandemic.
Methods:
a documentary study with a qualitative approach. The search took place from March 11 to April 30, 2020, from four sources: newspapers and online portals, social network, official government pages and third sector portals. Thematic content analysis of the findings was performed.
Results:
seventy-seven strategies were identified in the journalistic press, 93 in the social network, 45 in government portals and 40 in third sector organizations. From analysis, three empirical categories emerged: Strategies for communication with women; Strategies adopted by customer service; Strategies to inform the population.
Final considerations:
most of strategies were adaptations of existing services, centered on the reporting of violence by women
- Lucimara Fabiana Fornari
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