Life Habits Research Articles

Dimensions of cognitive reserve and their predictive power of cognitive performance and decline in the elderly.

The relative importance of different components of cognitive reserve (CR), as well as their differences by gender, are poorly established. To explore several dimensions of CR, their differences by gender, and their effects on cognitive performance and trajectory in a cohort of older people without relevant psychiatric, neurologic, or systemic conditions. Twenty-one variables related to the education, occupation, social activities, and life habits of 1,093 home-dwelling and cognitively healthy individuals, between 68 and 86 years old, were explored using factorial analyses to delineate several dimensions of CR. These dimensions were contrasted with baseline cognitive performance, follow-up over 5 years of participants' cognitive trajectory, conversion to mild cognitive impairment (MCI), and brain volumes using regression and growth curve models, controlling for gender, age, marital status, number of medications, trait anxiety, depression, and ApoE genotype. Five highly intercorrelated dimensions of CR were identified, with some differences in their structure and effects based on gender. Three of them, education/occupation, midlife cognitive activities, and leisure activities, were significantly associated with late-life cognitive performance, accounting for more than 20% of its variance. The education/occupation had positive effect on the rate of cognitive decline during the 5-year follow up in individuals with final diagnosis of MCI but showed a reduced risk for MCI in men. None of these dimensions showed significant relationships with gray or white matter volumes. Proxy markers of CR can be represented by five interrelated dimensions. Education/occupation, midlife cognitive activities, and leisure activities are associated with better cognitive performance in old age and provide a buffer against cognitive impairment. Education/occupation may delay the clinical onset of MCI and is also associated with the rate of change in cognitive performance.

Possible fungus-eating cucujiformian beetle larvae with setiferous processes from Cretaceous and Miocene ambers

Beetle larvae represent important components of the modern-day fauna. This should have been the case in the past as well. Yet, fossil beetle larvae are rare, or at least are rare in the literature, as identifying a beetle larva to a narrower taxonomic group is very challenging. This is even more complicated if prominent features have evolved convergently in several lineages. Yet, even in such cases, an ecological interpretation of the fossils is possible if the convergent character is coupled to a specific life habit. For example, different, not closely related, beetle larvae that possess setiferous processes. We here report on three beetle larvae, one from Miocene Mexican and two from Cretaceous Kachin amber, Myanmar. These larvae possess setiferous processes, most similar to the processes of modern representatives of Cucujiformia, especially of the groups Endomychidae, Erotylidae, Cerylonidae and Coccinellidae. Considering the shape of the entire habitus, we see the most similarities between the new larvae and the modern larvae of Endomychidae. However, the new larvae and the larvae of modern representatives differ in certain aspects, most prominently in the body size. The fossils are smaller than their extant counterparts with setiferous processes. Hence the fossils could represent larvae of Endomychidae, but the case remains unclear. Despite this uncertainty, we suggest a lifestyle of the fossil larvae as fungus-eaters on rotting wood. This lifestyle is not only known from extant larvae of Endomychidae, but also from other larvae with similar processes.

Solutions for sustainable development of inbound tourism in Khanh Hoa Province after Covid-19

Sustainable tourism development is a top concern in all countries in the world, especially developing countries like Vietnam. Issues of environmental pollution, changes in habits in life and consumption, conflicts of economic interests between parties, a decrease in the number and quality of tourists after the Covid-19 pandemic, and many other problems are other potentially emerging. Khanh Hoa province is a tourist center in the South Central region and the Central Highlands. An interesting stop for inbound tourists when coming to Vietnam. In addition to the achievements, the inbound travel business in Khanh Hoa province has been revealing many factors that lack sustainability in terms of environment, economy, culture, and society. Therefore, to sustainably develop inbound travel tourism in Khanh Hoa province. The author used the research method of secondary documents, and analyzed the current situation of inbound tourism development in Khanh Hoa in recent years, thereby giving urgent solutions: Focusing on re-developing the inbound tourist market, assessing re-evaluate tourism resources in order to build suitable tourism products, have sales promotion strategies, apply information technology, increase investment in human resource development, raise people’s and inbound travel community’s awareness.

The Study on the Strategy for Education Management Innovation in Primary and Middle Schools under the Background of Informatization

Since entering the 21st century, the rapid development and wide application of information technology have changed people's habits of life and cognitive habits, and China's "2010-2020 Education Informatization Planning Outline" has made it clear that "information technology has a revolutionary impact on the development of education", which means that informatization also puts forward new requirements for the innovation of education management in primary and secondary schools. This means that information technology also puts forward new requirements for the innovation of education management. As an important stage of compulsory education, primary and secondary schools are developing towards informatization, technologization and diversification.

Dyadic analysis of illness perceptions among individuals with stroke and their caregivers: effects on activity engagement in community living

Purpose To explore the relationship between activity engagement and dyadic illness perceptions of community-dwelling individuals with stroke and their caregivers. Methods We performed a secondary analysis on a cross-sectional study encompassing eight rehabilitation settings. Participants were recruited from June to December 2019 via the distribution of flyers, use of admission databases, and direct onsite interactions. Activity engagement of individuals with stroke was measured by the Assessment of Life Habits. Dyadic illness perceptions were measured using the Stroke-Specific Illness Perceptions Questionnaire-Revised. Results Data from 202 dyads of individuals with stroke (mean age 61.3 ± 8.3 years; 76.7% male; stroke duration 314.3 ± 170.5 days), and caregivers (mean age 52.6 ± 11.6 years; 73.3% female) were analyzed. Results show that individuals with stroke who shared similar optimistic illness perceptions with their caregivers concerning the consequences of stroke had a higher level of activity engagement (ΔR 2 = .020, F(2,193) = 5.42, p = .005). Gender differences were found in the dyadic illness perception components concerning acute/chronic and cyclical timeline (ΔR 2 = .017, F(2,191) = 4.72, p = .01; ΔR 2 = .02, F(2,190) = 3.45, p = .034) and illness coherence (ΔR 2 = .012, F(2,191) = 3.42, p = .035). Conclusions Illness perceptions and post-stroke activity engagement with gender differences should be considered at a dyadic level, as the individuals with stroke and their caregivers influence each other’s beliefs.

The Mediating Effects of Social Networks and Wisdom on the Relationship between Lifestyle Habits and Healthy Aging in Older Adults with Chronic Diseases.

The purpose of this study was to analyze the mediating effects of social networks and wisdom on the relationship between lifestyle habits and healthy aging in older adults with chronic diseases. Participants were 120 community-dwelling older adults aged 65 and older with at least one chronic disease. Data were collected from elderly people by visiting nursing care worker training centers, senior centers, social gatherings, and home welfare centers in D, G, and S cities, with a questionnaire of lifestyle habits, social networks, wisdom and healthy aging, and general characteristics. There were differences in the degree of healthy aging according to age (F = 3.76, p = 0.026), spousal relationship (t = 3.11, p = 0.002), education (F = 9.08, p < 0.001), number of diseases (F = 8.65, p < 0.001), and economic level (t = -2.45, p = 0.016). The most common diseases among the subjects were hypertension, hyperlipidemia, joint diseases and diabetes mellitus. Social networks (β = 0.46, p < 0.001) and wisdom (β = 0.55, p < 0.001) had partial mediating effects (z = 4.15, p < 0.001; z = 5.11, p < 0.001) on the relationship between subjects' lifestyle habits and healthy aging. To increase the degree of healthy aging of subjects, it is necessary to establish a mediating intervention program that manages to have good lifestyle habits in daily life, increase social networks, and become wise.

Konsep Moral dalam Perspektif Masyarakat Islam dan Kristen di Desa Simundol Kecamatan Dolog Sigompulon Kabupaten Padang Lawas Utara

This research is entitled the concept of morals in the perspective of Muslim and Christian communities in Simundol Village, Dolok Sigompulon District, North Padang Lawas Regency. This is field research with the background of an understanding that morality is a tool possessed by humans to regulate the order of life in the world, both in dealing with fellow human beings, other creatures, and His divine nature. Here it can be seen in terms of moral relations in which every human being should be based on three things, namely logic, morals, and aesthetics. This research uses the type of research conducted by researchers is qualitative research with an anthropological approach. This research was conducted in Simundol Village, Dolog Sigompulon District, North Padang Lawas Regency, North Sumatra Province. In this case researchers classify sources into two categories, namely primary sources and secondary sources and researchers collect data by means of observation, interviews and documentation. The results of this study are that morals are habits in everyday life which are the benchmark for the good and bad of one's actions. the views of the Islamic and Christian communities towards an act or action will be said to be moral if it is in accordance with the customs that apply in society and one of the goals is to help build morals, especially as a form of moral development in the Simundol Village community.

Health Promotion in Preschool Children.

The key for individuals to live in health and well-being is the development of healthy living habits. In order for a healthy life habit to be formed, the relevant behaviors must be acquired in the preschool period. This study aimed to promote health knowledge among children attending preschool through health education. The study was designed using the qualitative case study design. The Personal Information Form and Health Hunter Children Follow Health Interview Form were used as data collection tools in the study. Health education activities were implemented in order to improve children's knowledge about health. Activities consisted of physical activity, personal hygiene, injury prevention, sleeping habits, healthy nutrition, healthy life, and paramedic and treatment services categories. Activities were applied to children twice a week for eight weeks. As a result of the study, an improvement was observed in children's knowledge about health. The answers given by the children before and after the Health Education Activities were collected in the categories of nutrition, safe life, illness status, well-being, hygiene, environmental health, and sports.

Evaluation of daily and social participation of children with Cerebral Palsy across different age groups with a focus on the ‘F′-words: Function, family, fitness, fun, friends and future

BackgroundThe impact of disability differs across cultures. This study aimed to determine the predictors of participation in children with cerebral palsy (CP) in Turkey, based on the six F-words. MethodsCross-sectional study exploring participation profiles of 450 children with CP, aged between 2 and 18 years. Pediatric Evaluation of Disability Inventory (PEDI) evaluated functional skills, and Assessment of Life Habits (LIFE-H) version 3.0 assessed daily and social participation. Hierarchical linear regression models were done to determine the predictors of participation in daily activities (PDA) and social roles (PSR) in three age groups (2–4, 5–13 and 14–18 years) based on the 6 F-words (mobility of PEDI for ‘fitness’; four classification systems and self-care of PEDI for ‘functioning’; social functions of PEDI for ‘friends’; demographic information by parents for ‘family’; the recreation of LIFE-H for ‘fun’; and different stages of development for ‘future’). ResultsThe most important predictors for total PDA by age group were: self-care (p = 0.012) of PEDI in 2–4 y; self-care (p = 0.001) and mobility (p = 0.005) of PEDI in 5–13 y; GMFCS (p = 0.006) and mobility (p = 0.002) of PEDI in 14–18 y. Significant predictors for PSR differed by age group: self-care (p = 0.001) of PEDI in 2–4 y; self-care (p = 0.023) and mobility (p = 0.006) of PEDI in 5–13 y; and GMFCS (p = 0.004) and MACS (p = 0.003) in 14–18 y. ConclusionsSix F-words of function and fitness focussed on self-care in younger children with an increasing emphasis on mobility and ability levels according to age. Therefore, rehabilitation for different aspects of the functional levels is needed to improve participation in life across the six F-words framework; plus take into consideration context, age-differences, family’s expectations, life requirements, environmental needs, and cultural differences.

Eksplorasi Etnomatematika Terhadap Pola Gambar Bidang Permainan Tradisional Engklek Pada Anak

Culture is actually the habit or way of life of a group of people in a community that continues for generations, while mathematics is a science of logical assessment of the form, order, magnitude, and concepts related to each other. Ethnomatematika is a link or uniting between culture and mathematics learning, where a cultural result can be a source of mathematics learning in schools. With engklek games that are still very popular among children in East Aralle Village, this can be one of the sources of learning mathematics, especially in the pattern of drawing this field of play. This field research conducted by interview, observation, and documentation method aims to describe the results of ethnomatematic exploration on the drawing pattern of the field of play engklek. The results showed that in the drawing pattern of the field of play engklek in East Aralle Village contains mathematical elements, including the concept of flat build and nets - cube nets

Saúde mental e atividade física no tempo de lazer em docentes de uma instituição de ensino superior

Sedentary behavior, associated with little Physical Activity (PA) and inadequate habits, has contributed to the development of health problems in workers in developed and developing countries. Thus, the work environment seems to be an important space for the incorporation of appropriate health behaviors. This is a cross-sectional, exploratory and descriptive epidemiological study. The objective was to analyze the association of Leisure Time Physical Activity (LTPA) with Common Mental Disorders (CMD) and stress stages, considering issues related to work, sociodemographic, psychosocial characteristics and life habits of teachers from a public university in Bahia. The chi-square test was used to analyze the association between the study variables, CMD, stress and LPA considering the associations statistically significant when p-value ≤ 0.05. The results found regarding the prevalence of CMD was 20.4 for the population investigated. The presence of stress was positive for 24.0%. When categorized by phase, 3.6% were in the alert phase of stress; 24% in the resistance phase and 3.0% in exhaustion. The main results found in this study establish relationships with teaching work, stress, CMD, leisure and physical activities, demonstrating an association between these objects and the perception of health and quality of life of the teaching worker. Thus, it is important to develop policies to encourage the practice of PA within the workspaces of teachers, which can contribute to greater adherence to the practice and substantial improvement in the overall quality of life, in the physical and psychological domains and to reduce the symptoms of CMD and stress in this population.

Tradisi Seribu Bubur Di Masjid Raya Al-Mashun Kota Medan

The purpose of this study is to learn more about the "Tradition of a Thousand Porridge at the Al-Mashun Grand Mosque, Medan City," which is seen from a cultural perspective and focuses on local cuisine customs during the Makmun Al-Rasyid Perkasa Alamsyah Sultanate. The major goal of this essay is to demonstrate how the social life of the Malay community at Masjidi Raya Al-Mashun Medan is significantly influenced by regional cuisine. The three stages of the research procedures, or data collection techniques, are interview, observation, and documentation. The findings of this research are available in several ways regarding Sultan Makmun Al-Rasyid Perkasa Alamsyah in terms of the porridge tradition at the Al-Mashun Grand Mosque in Medan. Sultan is said to be a leader in his time for the former Malay community in the city of Medan. The Sultan in his time also had such great attention to the mosque building of this time. One of the mosques that has been successfully established is the Al-Mashun Grand Mosque in Medan, which is now the building still standing strong todat, and there are also several other mosques. The conclusion form this study can be drawn, that the traditional food traditions of these communities are closely related to their habits in everday life.

EFFECT OF BRIGHT LIGHT ON THE COGNITIVE AND OCCUPATIONAL PERFORMANCE OF ELDERLY PEOPLE UNDERGOING HEMODIALYSIS: INITIAL DATA FROM CLINICAL TRIAL

INTRODUCTION: Chronic kidney disease (CKD) has no expectation of cure, therefore, the treatment is based on maintaining the chronic state of the disease, through renal replacement therapies, such as hemodialysis or kidney transplant. The CKD can compromise occupational performance, since the beginning of hemodialysis, adaptation to new life habits is required. OBJECTIVE: To analyze the effects of bright light on occupational performance of elderly people with end-stage renal disease (ESRD) on hemodialysis in the state of Ceará, aiming at its impact on the quality of life of these patients. METHOD: Randomized, placebo-controlled clinical trial with and qualitative-quantitative approach, with the use of bright light or placebo light in their homes for 30 minutes, for 4 weeks in the afternoon. From this perspective, the evaluation instruments were used before and after the light: The Dynamic Lowenstein Occupational Therapy Cognitive Assessment – for Geriatric Population (DLOTCA-G) adapted version for the Portuguese language. The sample consisted of 26 elderly people on dialysis, and the collection period comprised the months of August 2022 to May 2023. RESULTS: They were 69% (18/26) male and between 60 and 94 years old. The analysis of the impacts of such equipment on these individuals' memory, mental operations and visual-motor skills revealed that the bright light group had better results than the placebo group (linear regression, p&lt;0.001). CONCLUSIONS: Bright light exposure therapy proved to be very beneficial, especially for the memory and mediation of these elderly people, thus reflecting on the improvement of their quality of life.

Prenatal maternal stress during the COVID-19 pandemic and birth outcomes: Is the newborn spared?

The COVID-19 pandemic has generated numerous stressors among the general population, but more specifically in pregnant women because of disruptions in prenatal care and delivery conditions. Studies suggest that prenatal maternal stress increased during the pandemic (Berthelot et al., 2020; Perzow et al., 2021; Tomfohr-Madsen et al., 2021). Considering what is known about the fetal programming potential of prenatal maternal stress, several researchers, early in the pandemic, raised concerns over the significant negative consequences that the pandemic context could have on birth outcomes. Studies comparing birth outcomes during versus before the pandemic suggest a marginal increase in birthweight and a significant decrease in preterm birth (Yang et al., 2022), but individual variations in prenatal maternal stress during the pandemic have received less attention. The objective of the present study is to examine the association between prenatal maternal stress during the COVID-19 pandemic and birth outcomes. During pregnancy, 195 expecting mothers reported on their general and pandemic-related stress. When their child was 6 months old, mothers completed a questionnaire collecting information on birth outcomes (gestational age, birthweight, head circumference and Apgar scores). Hierarchical linear regressions show that none of the maternal prenatal stress variables significantly predicted variations in birth outcomes. Potential pandemic-related protective factors (e.g., changes in life and hygiene habits, rest imposed by lockdowns) and the need to offer support to pregnant women are discussed.

Differential effect of dehydration on the voluntary activity of a diurnal toad

Anuran amphibians' ability to maintain their activity at high temperatures or low humidity depends on their capacity to face dehydration, especially when they display diurnal and terrestrial life habits. Melanophryniscus rubriventris is a diurnal and terrestrial toad from humid Yungas Andean forests that breeds in temporary ponds. It is exposed to the recurrent risk of dehydration because of pond desiccations during the breeding season. Here, we study how M. rubriventris males behaviorally respond to dehydration by measuring their voluntary activity under an ex-situ experiment. Toads with different hydration levels were exposed to a circular track for voluntary activity measurements. Dehydrated males of M. rubriventris toads did not adopt a water-conserving posture staying active during the test and increasing walking under severe dehydration. Certain tolerance to dehydration would allow performing daily activities under challenging diurnal conditions. The increased walking under severe dehydration suggests water or shelter-seeking behavior that would be crucial for diurnal and terrestrial toads to overcome the unpredictable hydric environment during the breeding season.

Effect of maternal food habits in periconceptional life with the occurrence of birth defects

Background: Maternal periconceptional period can be defined as the critical window surrounding the period of conception. The periconceptional period consists of preconception, conception, implantation, placentation and embryo or organogenesis stages, and specific cellular events that occur during the distinct stages of embryogenesis. On the other hand, birth defects are structural changes present at birth that can affect almost any part of the body. They may affect how the body looks, works, or both. This study aimed to find maternal food habits in periconceptional life with the occurrence of birth defects. Methods: This case-control study was conducted in both the Pediatric Surgery and Medicine Department of Dhaka Shishu (children) Hospital, Dhaka, Bangladesh during the period from January 2012 to December 2013. In total 280 ‘0-364 days old infants’ were included as the study subjects and divided into two equal groups in number, cases having a structural birth defect and controls without any birth defect. A pretested questionnaire was introduced after getting informed written consent from the mothers. Data were analyzed by statistical package for the social sciences (SPSS) 16.0 version, by univariate, bivariate and multivariate analyses and were presented by tables and graphs. Results: In this study, most of the defects were distributed to the gastrointestinal system (18%), genito urinary system (16%), CVS (14%), NTD (13%), defect of the face (13%) and skull (11%). The isolated defect was in 80% of patients, multiple defects in 17% of patients and 3% syndromes were present. In this study, mothers ‘who took no meat/week’, ‘who took no fish/week’, ‘who took no egg/week’, ‘who took no milk/week’, experienced BD more and the difference was statistically significant (p&lt;0.05) between the groups. However, mothers who took vegetables less than once/week experienced BD more frequently, but the difference between the groups was not statistically significant (p&gt;0.05). Conclusions: In maternal food habits; less intake of meat, fish, milk and egg is significantly correlated with the occurrence of birth defects but there is not any significant correlation with vegetable intake.

Obrzędy budują nawyki - zachowania żywieniowe studentek na kierunkach pedagogiki na tle międzykulturowym

Diet is one of the crucial factors in human development. Dietry habits navigate the physical, mental growth and state since the early childhood as a consequence of cultural and religious customs. The aim of the research was to learn about dietry habits as well as the factors impacting dietry choices of Early Childhood Education students and Nursery students at the Department of Pedagogy in University of Kazimierz Wielki in Bydgoszcz, Poland. The study was based on the questionnaire named „Individual dietry habits”, created for the purpose of this particular research and given to the students during the academic year 2022. 67 respondents were 19-21 years old and represented 2 pegagogy fields: Early Childhood Education (77,6%) and Nursery (22,4%). The study has proved that knowlege about healthy eating patterns does not always mirror factual dietry habits in life. The need to promote healthy dietry habits would be a concern in the modern busy world with particular focus on the teachers who play a role model part in the life of children. Key words: eating habits, healthy lifestyle, diet, teacher, caregiver.

Association between Depressive Symptoms and Adherence to the Mediterranean Diet in Nursing Students.

With university admission, there are major changes in students' daily habits that can lead to mental health problems. In this respect, adherence to a healthy diet, such as the Mediterranean diet (MD), can be very beneficial. The present study examines the associations between adherence to the MD and mental health among Spanish nursing students (n = 289). Sociodemographic data and life habits were collected electronically using a self-administered questionnaire. The participants also completed the Mediterranean Diet Adherence Screener (MEDAS-14) and the Goldberg Anxiety and Depression Scale (GADS). The percentage of anxiety and depression symptoms was high: 45.3% (n = 131) and 46.4% (n = 134), respectively. Only 35.6% reported good adherence to the MD (score ≥ 9). The statistical analysis showed poor adherence to the MD to be significantly and positively associated with depressive symptoms (p = 0.013) and the total score on the GADS (p = 0.039). A multivariable regression model analysis identified the depression subscale score as a predictor variable, with a mean risk of low adherence to the MD being 0.803 times (95%CI: 0.666-0.968, p = 0.021) among participants with greater depressive symptoms. These results support the implementation of prevention programs in universities focused on health and mental health issues.

The Applied Media Aesthetics to Visual Communication Design Works Based on Augmented Reality

This study aims to reveal the influence of humanism and socio-cultural aspects on aesthetic and technical policies in the works of visual communication designs based on augmented reality in the Pokemon Go Game and Digital Maps (Google Map). Methods of observation and analysis of descriptions are used to dissect various information on material objects. Based on the results of the study, it was concluded that human habits in everyday life have a significant influence on artistic decisions and the design of augmented reality-based user interfaces. This shows that aspects of applied media (light, color, time, motion, sound) are important elements that must be considered in most visual communication design works based on augmented reality. These various technical and artistic decisions were made to bridge the interactivity role between works and users (humans) so that they function optimally. Based on this, the design of augmented reality-based designs needs to consider universal human preferences, characteristics, culture, habits, tastes, and ergonomic aspects.

Impact of the new corona virus (SARS-CoV-2) pandemic on climateric women’s health: websurvey

The COVID-19 pandemic has impacted society: causing the collapse of health systems around the world, and also had a significant impact on the economy, personal care, mental health and the quality of life of the population. Few studies have been done about pandemic and the climacteric population, and the impact on quality of life and health. Our objective was to Investigate changes in the health and health care of climacteric women residing in Brazil during the pandemic period. Cross-sectional study with climacteric women aged between 40 and 70 years, residing in Brazil. The evaluation was carried out using a Google Docs electronic form with questions related to sociodemographic, clinical, gynecological data, treatments, access to health services and consultations, as well as changes in behavior. The Menopause Rating Scale - MRS was applied to assess climacteric symptoms, validated for Portuguese. Results: 419 women answered the questionnaire. More than 45% were between 51 and 60 years of age, 56.6% being married and residing in Brazilian capitals. 60% of participants reported weight gain during the pandemic. 50.8% of participants reported a decrease in the weekly practice of physical activity More than 80% reported worsening mental health during this period, and 66.1% had a change in their sleep pattern. More than half reported having difficulty accessing gynecological consultations. Women living in capital cities reported a greater increase in alcohol consumption (p=0.002). Food intake increased for 54.9%; the category of civil servant was associated with a significant increase in consumption in relation to other professions (p=0.038). Women whose family incomes changed during the pandemic had a higher prevalence of weight gain (p=0.033) and also had a higher occurrence of changes in sleep quality (72.6% vs. 61.5%; p=0.018). Women with a high school education had a higher occurrence of alterations in personal and health care outcomes (p<0.001). Conclusion: We observed an important reduction in the health care of climacteric women during the pandemic period. Changes in life habits, such as increased food consumption and reduced physical activity, were quite prevalent. There was a deterioration in mental health, with a high prevalence of anxiety symptoms and changes in sleep quality. Despite the attenuation of the pandemic, attention should be given to the health care of this population, as the changes may have repercussions for many years.