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This study delves into the global evolution of 43 Sustainable Development Goals (SDG) indicators, spanning 7 major health themes across 185 countries to evaluate the potential progress loss due to the COVID-19 pandemic. Both the cross-country and temporal variability of the dataset are employed to estimate an empirical model based on an extended version of the Preston curve, which links well-being to income levels and other key socioeconomic health determinants. The approach reveals significant global evolution trends operating in each SDG indicator assessed. We extrapolate the model yearly between 2020 and 2030 using the IMF’s pre-COVID-19 economic growth projections to show how each country in the dataset are expected to evolve in these health topics throughout the decade, assuming no other external shocks. The results of this baseline scenario are contrasted with a post-COVID-19 scenario, where most of the pandemic costs were already known. The study reveals that economic growth losses are, on average, estimated as 42% and 28% for low- and lower middle-income countries, and of 15% and 7% in high- and upper middle-income countries, respectively, according to the IMF’s projections. These disproportional figures are shown to exacerbate global health inequalities revealed by the curves. The expected progress loss in infectious diseases in low-income countries, for instance, is an average of 34%, against a mean of 6% in high-income countries. The theme of Infectious diseases is followed by injuries and violence; maternal and reproductive health; health systems coverage; and neonatal and infant health as those with worse performance. Low-income countries can expect an average progress loss of 16% across all health indicators assessed, whereas in high-income countries the estimated loss is as low as 3%. The disparity across countries is even more pronounced, with cases where the estimated progress loss is as high as nine times worse than the average loss of 8%. Conversely, countries with greater fiscal capacity are likely to fare much better under the circumstances, despite their worse death count, in many cases. Overall, these findings support the critical importance of integrating the fight against inequalities into the global development agendas.

Created in Germany by Joseph Pilates in the 1920s, the Pilates Method (PM) uses exercises aiming to improve physical health and mental balance. The present work objective was to verify, through a systematic literature review without delineating languages and dates, the influence of PM on the quality of life (QoL) of its practitioners. Medline, Embase, Web of Science, Scopus, and Google Scholar databases were consulted. The articles were independently selected by two researchers, who also conducted the risk of bias assessment of the included articles. Were identified 2489 articles on the databases, of which 30 were included in the study synthesis. The practice of PM improves the QoL of its practitioners, providing enhanced functional capacity, pain relief, and improvement of emotional aspects in individuals of both sexes, different age groups, and different clinical contexts.

Cold extrusion is known as a metal forming process and used due to its dimensional precision. However, the process definition is obtained by empirical methods where experiments are performed previously and based on a “trial and error” method. To reduce costs, companies have been looking for the support of numerical simulation softwares with metal forming application. This study describes the investigation of the effect of different levels for prestressing of cold extrusion gear tool by using the software Simufact Forming. The dimensional deviations of the gear tooth were obtained from two numerical simulations and compared. The application of shrink rings for the prestressing of tooling was evaluated using two different methods to compare their efficiency. The first one is using conventional shrink rings with tool steel, while the second is the stripwinding concept developed by the company STRECON. To produce spur gears, the low carbon steel SAE 10B22 was used.

The preliminary assessments of the impact of the COVID-19 pandemic have recently rekindled worries about the feasibility of the Sustainable Development Goals (SDGs). Notwithstanding the concern voiced by key academic and political actors, the actual evidence on the current gaps and distance from the goals is still very much unknown. This study estimates the global evolution curves for each health-related SDGs indicator in the World Health Organization’s SDGs platform. These curves synthesize the transnational trends at play in the evolution of each health-related topic, offering an average global counterfactual to compare with the actual information for each country. The empirical investigation focuses on the American continent, highlighting the health gaps before the COVID-19 outbreak in 33 countries of the region. The study also extrapolates these trends to predict the evolution of the health-related SDGs in each of these countries over the next decade using as the baseline scenario the International Monetary Fund’s economic forecasts. The results show a widening gap in the region, associated with the differential economic capacity of these countries. Some bottlenecks are shared by most countries in the continent, especially in the themes of violence and infectious diseases. The latter is likely to improve faster than other health themes in the next decade, whereas improvements in the theme non-communicable diseases can be more challenging. The findings provide much needed comparative evidence to guide the countries in the region to set priorities and concentrate efforts to accelerate progress in the health-related SDGs.

Background: Brazil must make progress toward eliminating tuberculosis as a public health problem and achieving the goal of reducing treatment interruption to below 5%. Improving adherence requires a thorough understanding of the factors that influence this outcome. Objectives: To identify epidemiological, socioeconomic, and health service-related factors associated with tuberculosis treatment interruption in Brazilian municipalities from 2018 to 2022. Methods: This ecological study utilized secondary data from all Brazilian municipalities. Independent variables were organized into three blocks: epidemiological, health service coverage, and socioeconomic. A zero-inflated beta regression model was employed to analyze both the proportion and zero-inflated components. Results: The mean treatment interruption rate was 8.1%. Interruption was associated with the proportion of laboratory-confirmed cases, Family Health Strategy coverage, and the proportion of the population residing in rural areas. Tuberculosis incidence, sputum smear microscopy, molecular rapid tests, contact investigation, directly observed therapy, AIDS detection rate, Gini index, household crowding, and illiteracy were associated with treatment adherence. In the zero-inflated component, directly observed therapy, consultations per inhabitant, illiteracy, and the proportion of the population residing in rural areas increased the probability of a zero-interruption rate, whereas TB incidence, AIDS detection, municipal population, and household crowding decreased that probability. Conclusions: Tuberculosis treatment interruption in Brazil is shaped by socioeconomic, epidemiological, and health service factors, highlighting the need for integrated strategies that combine social protection with strengthened primary care to improve adherence and progress toward elimination goals.

The extended scope and complexity of the United Nations 2030 agenda entail important challenges for the operationalization of the health-related sustainable development goal (SDG) indicators. Divergences in concepts, agendas and implementation strategies among institutions have fostered the parallel development of alternative and concurrent indicators. We aim to determine the convergences and divergences between five key institutions: the Global Burden of Disease Study (GBD), the Pan American Health Organization, the Sustainable Development Solutions Network, the World Bank and the World Health Organization (WHO). Of the 104 health-related indicators listed by these five institutions, 60 are consistent with official Inter-agency and Expert Group SDG indicators. Our analysis considers the indicators included, and the themes these indicators cover, in each institution list and each institution online platform. We quantified convergence in indicators between the institutions themselves, but also between the institutions and the official Inter-agency and Expert Group. Our results indicate important divergences; only 22 of the 60 indicators are included in the lists of all five institutions. The level of adoption of the official metrics varies from 40.5% (15/(47-10)) for the GBD to 86.2% (25/(29-0)) for the World Bank. WHO, the official curator of the Inter-agency and Expert Group SDG indicators, is only convergent with the official metrics by 72.1% (31/(45-2)). Our analysis, and the resulting awareness of the differences, potentialities and limitations of indicators and platforms, provides important contributions to enable the achievement of the health-related SDGs and deliver the promise of the 2030 agenda.

Abstract This article has two integrated objectives: (i) to identify the representation of health in the 2030 Agenda from health-related indicators implemented by international and national institutions; and (ii) to compare the potential of platforms for monitoring Brazilian health commitments in the SDGs. It is argued that there are still important controversies brought about by the greater complexity of the 2030 Agenda, particularly in the operationalization of health-related indicators, whose determinants permeate many other objectives and goals. Finally, even though the picture of the country currently available on national and international platforms is already broad, improvements are required for more effective monitoring and evaluation of Brazilian commitments in the SDGs, with greater disaggregation and stratification of indicators in the population. Resumo O presente artigo tem dois objetivos integrados: (i) identificar a representação da saúde na Agenda 2030, a partir dos indicadores relacionados à saúde operacionalizados por instituições internacionais e nacionais; e (ii) comparar as potencialidades das plataformas para o monitoramento dos compromissos de saúde brasileiros nos ODS. Argumenta-se que ainda existem controvérsias importantes trazidas pela maior complexidade da Agenda 2030, em particular na operacionalização dos indicadores relacionados à saúde, cujos determinantes perpassam muitos outros objetivos e metas. O monitoramento e avaliação mais efetivos dos compromissos brasileiros nos ODS requer melhoria, com maior desagregação e estratificação dos indicadores na população, ainda que o retrato do país hoje disponibilizado nas diversas plataformas nacionais e internacionais já seja amplo.

This article has two integrated objectives: (i) to identify the representation of health in the 2030 Agenda from health-related indicators implemented by international and national institutions; and (ii) to compare the potential of platforms for monitoring Brazilian health commitments in the SDGs. It is argued that there are still important controversies brought about by the greater complexity of the 2030 Agenda, particularly in the operationalization of health-related indicators, whose determinants permeate many other objectives and goals. Finally, even though the picture of the country currently available on national and international platforms is already broad, improvements are required for more effective monitoring and evaluation of Brazilian commitments in the SDGs, with greater disaggregation and stratification of indicators in the population.This article has two integrated objectives: (i) to identify the representation of health in the 2030 Agenda from health-related indicators implemented by international and national institutions; and (ii) to compare the potential of platforms for monitoring Brazilian health commitments in the SDGs. It is argued that there are still important controversies brought about by the greater complexity of the 2030 Agenda, particularly in the operationalization of health-related indicators, whose determinants permeate many other objectives and goals. Finally, even though the picture of the country currently available on national and international platforms is already broad, improvements are required for more effective monitoring and evaluation of Brazilian commitments in the SDGs, with greater disaggregation and stratification of indicators in the population.

Resumo: O presente artigo confere destaque às bibliotecas públicas e busca apreender as distintas relações instituídas por determinada comunidade com seus espaços, serviços e coleções, considerando as noções de subalternidade e representação formuladas por autores e autoras ligados(as) aos chamados estudos subalternos. Nesse sentido, investiga as dinâmicas de representação de públicos e indivíduos subalternizados no contexto da Biblioteca Pública Municipal Ataliba Lago, situada na cidade de Divinópolis, Minas Gerais. Para tanto, a discussão teórica recupera as proposições do Manifesto da UNESCO/IFLA sobre Bibliotecas Públicas e coloca em debate a dimensão democrática que deve amparar as ações e funções dessa tipologia de unidade biblioteconômica. Em termos metodológicos, trata-se de pesquisa qualitativa centrada em revisão de literatura e operacionalizada a partir de estudo de caso. A coleta dos dados se deu por meio de pesquisa documental e entrevistas semiestruturadas realizadas com servidores e gestores ligados à Biblioteca Pública Municipal Ataliba Lago tendo por foco avaliar se, em sua dimensão representacional, essa instituição fala “por” ou “sobre” certos públicos subalternizados, tal como questionado por Gayatri Chakravorty Spivak em Pode o subalterno falar?. Demonstra-se nos resultados que a “Ataliba Lago” tem privilegiado a manutenção de marcadores estruturais de subalternização e a produção de um discurso hegemônico em torno do tema “representação” e das políticas de democratização da cultura, da biblioteca e da leitura, atendendo de forma distinta diferentes grupos populacionais da cidade, o que pôde ser facilmente percebido a partir da abordagem do conceito de segregação socioespacial como fator de subalternização. Abstract: This article highlights public libraries and seeks to apprehend the different relationships established by a given community with their spaces, services and collections, considering the indications of subalternity and representation formulated by authors linked to so-called subaltern studies. Thereby, it investigates the dynamics of representation of subalternized groups or individuals in the context of the Biblioteca Pública Municipal Ataliba Lago, located in the city of Divinópolis, Minas Gerais State. Therefore, the theoretical discussion recovers the propositions of the IFLA/UNESCO Public Library Manifesto and discusses the democratic dimension that must sustain the actions and functions of this library type. In methodological terms, this is a qualitative research centered on literature review and operationalized from a case-study. Data collection occurred through documentary research and semi-structured interviews with workers and managers linked to the Biblioteca Pública Municipal Ataliba Lago with the focus on evaluating whether, in its representational dimension, this institution speaks \"by\" or \"about\" certain subalternized audiences, as questioned by Gayatri Chakravorty Spivak in Can the subaltern speak? It is demonstrated in the results that \"Ataliba Lago\" has privileged the maintenance of structural markers of subalternization and the production of a hegemonic discourse around the theme \"representation\" and the policies of democratization of culture, library and reading, serving differently distinct population groups of the city, which can be easily perceived from the approach of the concept of sociospatial segregation as a factor of subalternization.

The preliminary assessments of the impact of the COVID-19 pandemic have recently rekindled worries about the feasibility of the Sustainable Development Goals (SDGs). Notwithstanding the concern voiced by key academic and political actors, the actual evidence on the current gaps and distance from the goals is still very much unknown. This study estimates the global evolution curves for each health-related SDGs indicator in the World Health Organization’s SDGs platform. These curves synthesize the transnational trends at play in the evolution of each health-related topic, offering an average global counterfactual to compare with the actual information for each country. The empirical investigation focuses on the American continent, highlighting the health gaps before the COVID-19 outbreak in 33 countries of the region. The study also extrapolates these trends to predict the evolution of the health-related SDGs in each of these countries over the next decade using as the baseline scenario the International Monetary Fund’s economic forecasts. The results show a widening gap in the region, associated with the differential economic capacity of these countries. Some bottlenecks are shared by most countries in the continent, especially in the themes of violence and infectious diseases. The latter is likely to improve faster than other health themes in the next decade, whereas improvements in the theme non-communicable diseases can be more challenging. The findings provide much needed comparative evidence to guide the countries in the region to set priorities and concentrate efforts to accelerate progress in the health-related SDGs.