Pesquisa | SciELO

Resumo O estudo investiga a associação entre o contexto escolar e a ocorrência de múltiplos parceiros entre adolescentes, considerando as variáveis individuais. Estudo transversal com análise multinível, realizado no período de fevereiro a junho de 2018 com estudantes de 14 a 19 anos. A variável desfecho (múltiplos parceiros sexuais) foi coletada com base no questionário Youth Risk Behavior Survey (YRBS). As variáveis do contexto escolar foram tempo na escola (escola regular vs escola integral/semi-integral) e índice de vulnerabilidade social (IVS) do bairro onde a escola está localizada. De 2.500 participantes, 1.044 foram analisados por serem sexualmente ativos. A maioria dos adolescentes (63,89%) teve dois ou mais parceiros. Estudantes de escola regular (mínimo de 4h diárias) tiveram mais chances (OR 1.47, IC 1.10-1.97) de terem múltiplos parceiros sexuais quando comparados àqueles de escola integral/semi-integral (mínimo de 7h diárias). Porém, não houve associação em relação ao IVS dos bairros das escolas (OR 1.18, IC 0.82-1.70). Maior tempo na escola esteve associado a menor chance de múltiplos parceiros sexuais, enquanto estudar em escolas localizadas em bairro de alta vulnerabilidade não esteve associado à ocorrência de múltiplos parceiros sexuais entre adolescentes.

Abstract The objective was to investigate the association between the school context and the occurrence of multiple partners among adolescents, considering individual variables (age, gender, Bolsa Família, LGB, early sexual initiation and use of alcohol or drugs in the last sex). Cross-sectional study with multilevel analysis carried out in 2018 with adolescent students from Olinda, Brazil. The variable (multiple partners) was collected based on the ‘Youth Risk Behavior Survey’ questionnaire. School context variables were time in school (regular school vs. full/semi-full school) and the Social Vulnerability Index of the school district. Of 2,500 participants, 1,044 were analyzed for being sexually active and most had two or more partners (63.89%). Regular school students were more likely (OR 1.47, CI 1.10-1.97) to have multiple sexual partners compared to those in full-day schools/half-day schools. However, no association was found in relation to the SVI of the schools’ neighborhoods (OR 1.18, IC 0.82-1.70). More time spent at school was associated with fewer chances of multiple sexual partners, while studying in schools located in highly vulnerable neighborhoods was not associated with the occurrence of multiple sexual partners among adolescents.

https://doi.org/10.1590/1413-81232024295.00992023

Rheological parameters of mixed Brazilian Cerrado fruits sugar-free preserves: the effect of body agents
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FARIAS, TAÍSA R.T.

; SCHIASSI, MARIA CECÍLIA E.V.

; PEREIRA, PATRÍCIA A.P.

; SOUZA, VANESSA R. DE

; LAGO, AMANDA M.T.

; BORGES, SORAIA V.

; QUEIROZ, FABIANA

Anais da Academia Brasileira de Ciências

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2023, Volume 95 Nº 1 elocation e20201338

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study was to evaluate the effect of the bodying agents (erythritol, sorbitol, xylitol, and polydextrose) and their mixtures on the preparation of mixed Brazilian Cerrado fruit preserves (marolo, soursop, and sweet passion fruit). Mixture design was used for product optimization and the preserves were evaluated by texture profile, stress relaxation test, and uniaxial compression test. The research data were analyzed using regression equations on SAS software. The results indicated that the rheological parameters were affected by the body agents. Erythritol should not be used as an isolated component because it provoked changes in the properties of the final product (harder and brittle preserves); xylitol and sorbitol made preserves more elastic, cohesive, and more fragile; and polydextrose showed a synergistic effect with erythritol for rupture deformation and lesser effects for hardness, adhesiveness, and gumminess.

https://doi.org/10.1590/0001-3765202320201338

Impact of the lactate dehydrogenase in association with the International Staging System prognostic score in multiple myeloma patients treated in real life
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Lopes, Maricy Almeida Viol Ferreira

; Higashi, Fabiana

; Crusoe, Edvan de Queiroz

; Peres, Ana Lucia Miguel

; Cury, Priscilla

; Hungria, Vania Tietsche de Moraes

Hematology, Transfusion and Cell Therapy

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2023, Volume 45 Nº 2 Páginas 259 - 265

Resumo: En | Texto: En | PDF: En

Abstract Introduction Multiple myeloma is characterized by proliferation of clonal plasma cells. The identification of prognostics factors to identify patient's risk is important. Among the studied factors, it was identified of relevant importance the lactic dehydrogenase. Objectives To evaluate the impact of the value of DHL in combination with the score ISS in the medium patients overall survival (OS). Methods It is a retrospective cohort with 252 patients with MM recently-diagnosed that attendance in the institution of the study. Results To evaluate the association between DHL and ISS, we found 6 new groups to be analyzed: ISS I and normal DHL with medium overall survival not reached, and with DHL loud with medium OS of 69,8 months, ISS II and normal DHL with medium overall survival of 78,8 months and with DHL loud with medium OS of 73,9 months, ISS III and normal DHL with medium overall survival of 46,7 months and with DHL loud with medium OS of 45,5 months. Conclusion Through the association of ISS I and normal DHL, ISS III and high DHL and others combinations, we build a new score with superior impact prognostic in our population treated in real life.

https://doi.org/10.1016/j.htct.2022.07.005

Outbreak caused by the SARS-CoV-2 Omicron variant in the psychiatric ward of a general hospital in Brazil
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Vanni, Tazio

; Menezes, Moema Silva

; Sudbrack, Letícia Olivier

; Futiwaki, Fabiana

; Bezerra, Linda Stéphany

; Cabral Filho, Sergio

; Oliveira Neto, Edinan

; Cortez, Paulo Giovanni Pinheiro

; Costa, Fabiano José Queiroz

; Vieira, Lucas Luiz

; Roll, Mariana Matos

; Araújo, Wildo Navegantes de

; Almiron, Maria

; Siqueira, André Machado de

; Ribeiro, Liliana Moscoso

; Ribeiro, Julival Fagundes

Revista da Sociedade Brasileira de Medicina Tropical

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2022, Volume 55 elocation e0177-2022

Resumo: En | Texto: En | PDF: En

ABSTRACT Background: An outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Omicron variant was detected in the psychiatric ward of a general hospital in Brasília, Brazil. Methods: We report the investigation, clinical outcomes, viral sequencing, and control measures applied to outbreak containment. Results: The overall attack rate was 95% (23/24) in a period of 13 days. Among the cases, 78% (18/23) were vaccinated and 17% (4/23) required intensive care. The Omicron variant was isolated from the 19 sequenced samples. Conclusions: The findings highlight the potential harm that highly transmissible variants may generate among hospitalized populations, particularly those with comorbidities.

https://doi.org/10.1590/0037-8682-0177-2022

Ultrasonographic evaluation of cecal appendix diameter in pediatric population
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Queiroz, Marcos Roberto Gomes de

; Francisco Neto, Miguel José

; Rahal Junior, Antonio

; Jabour, Victor Arantes

; Andrade, Guilherme Neves Lourenço

; Silva, Paulo Savoia Dias da

; Garcia, Rodrigo Gobbo

; Pereira, Marcelo dos Santos

; Santos, Marina Ramos

; Luna, Pedro Andrade Alencar

; Sameshima, Yoshino Tamaki

; Gual, Fabiana

; Dutra, Marcelo Guimarães

; Germino, Beatriz Placca

; Alves, Isabella Ferreira

einstein (São Paulo)

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2022, Volume 20 elocation eAO6935

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective To stratify ultrasound samples in a pediatric population undergoing evaluation for acute appendicitis to examine the variability in cecal appendix diameter, in different age groups, and to determine whether there is a prevalent value for each age group. Methods A retrospective cross-sectional study with 196 children aged 0 to 15 years. Data were extracted from reports of ultrasound examinations carried out between 2008 and 2015. Children with sonographic diagnosis of appendicitis or other signs of periappendiceal inflammation were excluded. Results The evaluation of the anteroposterior measurement of the cecal appendix revealed a mean diameter of 4.14mm (standard deviation: 0.93mm; 95%CI: 3.86-4.14). Cecal appendix diameter did not differ significant between age groups. Conclusion Evaluation of the anteroposterior diameter of the cecal appendix in centimeters in a sample of 196 children aged 0 to15 years revealed a mean diameter of 4.14mm (standard deviation, 0.93mm. There were no significant differences in cecal appendix diameter following stratification by age. Results indicate a single value can be adopted for mean cecal appendix diameter in pediatric populations.

https://doi.org/10.31744/einstein_journal/2022ao6935

Correlatos de atividade física e comportamento sedentário em crianças pré-escolares sul-americanas: revisão de escopo
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Wanderley Júnior, Rildo de Souza

; Queiroz, Daniel da Rocha

; Guerra, Paulo Henrique

; Martins, Clarice Lucena

; Hardman, Carla Menêses

; Umpierre, Daniel

; da Silva, Larissa Rosa

; Souza Filho, Anastácio Neco de

; Azevedo Cavalcante, Fabiana Vieira Santos

; Sandreschi, Paula Fabricio

; Barros, Mauro Virgílio Gomes de

Revista Panamericana de Salud Pública

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2022, Volume 46 elocation e64

Resumo: Pt En Es | Texto: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo. Sintetizar os achados sobre correlatos da atividade física (AF) e do comportamento sedentário (CS) em crianças sul-americanas. Método. Realizou-se uma busca dos artigos no período de 24 de junho até 27 de outubro de 2020, nas bases de dados LILACS, PubMed, SciELO, Scopus e Web of Science. Para ampliar a busca, foram examinadas as referências dos artigos de revisão identificados e realizada uma consulta a um painel de especialistas. Foram incluídos estudos com delineamentos observacional e de intervenção com foco em crianças sul-americanas de zero a 5 anos de idade. Resultados. Dos 3 111 artigos inicialmente identificados, 18 foram elegíveis: 14 com delineamento observacional, 12 realizados no Brasil e 17 conduzidos com pré-escolares (3 a 5 anos de idade). Além do Brasil, os únicos países representados foram o Chile e o Equador. A AF e o CS foram medidos por acelerômetros em sete estudos, porém houve alta variabilidade nos instrumentos e pontos de corte usados. Embora as crianças tenham sido consideradas fisicamente ativas em 12 estudos, seis estudos mostraram que elas despendiam muito tempo em CS. Os domínios de influência mais avaliados foram o individual (14 estudos) e o interpessoal (11 estudos), seguidos pelo ambiental (oito estudos) e o político (um estudo). As intervenções no contexto escolar (quatro estudos) aumentaram os níveis de AF e diminuíram o tempo em CS. Entretanto, as evidências dos estudos transversais e de intervenção apresentaram alto risco de viés. Conclusão. Diante das lacunas identificadas, recomendam-se estudos com delineamentos robustos que incluam mais países sul-americanos, com foco em bebês e crianças com menos de 3 anos de idade e que investiguem correlatos dos domínios ambiental e político.

ABSTRACT Objective. To synthesize the findings on correlates of physical activity (PA) and sedentary behavior (SB) in South American children. Method. A search was carried out from June 24 to October 27, 2020, in the LILACS, PubMed, SciELO, Scopus and Web of Science databases. To broaden the search, the references of identified review articles were examined, and a panel of experts was surveyed. Observational and interventional studies conducted with South-American children from zero to 5 years of age were included. Results. Of 3 111 articles initially identified, 18 were eligible: 14 observational studies, 12 studies conducted in Brazil, and 17 studies investigating preschool children (3 to 5 years of age). In addition to Brazil, only Chile and Ecuador were represented. PA and SB were measured by accelerometers in seven studies; however, high variability was observed in the instruments and cut-off points used. Although children were classified as physically active in 12 studies, six studies showed that they spent considerable time in SB. Most studies assessed the individual (14 studies) and interpersonal (11 studies) domains, followed by the environmental (eight studies) and political (one study) domains. Interventions in the school context (four studies) increased PA levels and reduced the time spent in SB. However, the evidence from cross-sectional and interventional studies presented a high risk of bias. Conclusions. Given the knowledge gap identified in this review, studies with robust designs, covering additional South American countries are warranted, focusing on infants and children under 3 years of age and investigating correlates in the environmental and political domains.

RESUMEN Objetivo. Resumir los hallazgos sobre la correlación entre actividad física (AF) y comportamiento sedentario (CS) en la población infantil en América del Sur. Método. Se realizó una búsqueda de los artículos publicados entre el 24 de junio y el 27 de octubre del 2020 en las bases de datos LILACS, PubMed, SciELO, Scopus y Web of Science. Para ampliar la búsqueda, se examinaron las referencias de los artículos de revisión encontrados y se consultó con un panel de expertos. Se incluyeron estudios observacionales y de intervención centrados en población infantil de 0 a 5 años de edad en América del Sur. Resultados. De los 3 111 artículos encontrados inicialmente, 18 cumplieron con los criterios establecidos: 14 tenían un diseño observacional, 12 se llevaron a cabo en Brasil y 17 se realizaron con niños y niñas en edad preescolar (de 3 a 5 años). Además de Brasil, los únicos países representados fueron Chile y Ecuador. La AF y el CS se midieron con acelerómetros en 7 estudios, pero se observó una alta variabilidad en los instrumentos y los puntos de corte utilizados. Aunque se consideró que niños y niñas eran físicamente activos en 12 estudios, 6 estudios revelaron que pasaban mucho tiempo en CS. Los ámbitos de influencia más evaluados fueron el individual (14 estudios) y el interpersonal (11 estudios), seguidos del ambiental (8 estudios) y el político (1 estudio). Las intervenciones en el contexto escolar (4 estudios) aumentaron los niveles de AF y disminuyeron el tiempo en CS. Sin embargo, la evidencia de los estudios transversales y de intervención presentó un alto riesgo de sesgo. Conclusiones. En vista de las lagunas detectadas, se recomienda que se realicen estudios con diseño robusto que incluyan más países sudamericanos, se centren en bebés y menores de 3 años e investiguen correlaciones en los ámbitos político y ambiental.

https://doi.org/10.26633/rpsp.2022.64

Repercussões da infodemia associada ao COVID-19 na saúde mental do idoso no Brasil
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Bezerra Cavalcante, Ricardo

; da Costa Carbogim, Fabio

; Fávero Bulgarelli, Alexandre

; Mello dos Santos, Camila

; Queiroz Ribeiro, Andréia

; Carvalho Pinto, Ione

; Machado Zacharias, Fabiana Costa

; Aparecida Fabriz, Luciana

; Moura de Oliveira, Deíse

; Toledo de Mendonça, Erica

; Ricardo Moreira, Tiago

; Miranda Machado, Richardson

; Ribeiro Bitencourt, Graziele

; Alfradique de Souza, Priscilla

; Fereira Santana, Rosimere

; Cabreira Panitz Cruz, Gylce Eloisa

; Rezende Freitas, Eduarda

; Salmazo da Silva, Henrique

; Viana Cruz, Fabiana

; Silva Fhon, Jack Roberto

; Shizuê Kitamura, Elisa

; Gonçalves Leite, Isabel Cristina

; Rodrigues Braz, Patricia

; Consolação dos Santos, Regina

; Prado Rocha, Flávia

; Aparecida Silva, Eveline

; Barreiros Tavares, Thais

; Duarte Martins, Jerusa Gonçalves

; Alves de Araújo Püschel, Vilanice

Revista Cubana de Información en Ciencias de la Salud

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2022, Volume 33 elocation e1871

Resumo: Pt En Es | Texto: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO: O fenômeno denominado infodemia refere-se ao aumento do volume informacional sobre um tema em específico, que se multiplica rapidamente em um curto período de tempo, e tem-se destacado frente ao contexto da crise sanitária desencadeada pela pandemia de COVID-19. O excesso de informações pode suscitar sentimentos de medo, ansiedade, estresse e outras condições de sofrimento mental. O estudo tem como objetivo descrever o perfil de exposição a informações sobre COVID-19 e suas repercussões na saúde mental de idosos brasileiros. Trata-se de um estudo transversal realizado com 1924 idosos brasileiros. Coletaram-se dados por meio de web-based survey enviada aos idosos por redes sociais e e-mail, no período de julho a outubro de 2020. Os resultados da análise descritiva dos dados demonstram que a maioria dos idosos apresentou idade entre 60 e 69 anos (69,02%), é do sexo feminino (71,26%), casados (53,79%) e de cor branca (75,57%). Cerca de 21,67% (n = 417) concluíram a graduação, 19,75% (380) concluíram especialização e 16,63% (320) concluíram mestrado ou doutorado. Foram reportados como fontes frequentes de exposição às notícias ou informações sobre a COVID-19, a televisão 862 (44,80%) e as redes sociais 651 (33,84%). Os participantes assinalaram que a televisão (46,47%; n = 872), as redes sociais (30,81%; n = 575) e o rádio (14,48%; 251) os afetavam psicológica e/ou fisicamente. Receber notícias falsas sobre a COVID-19 pela televisão (n = 482; 19,8%) e pelas redes sociais (n = 415; 21,5%) repercutiu, principalmente, estresse e medo. As informações disseminadas contribuem para conscientização, mas, também, afetam física e/ou psicologicamente muitos idosos, principalmente gerando medo e estresse.

ABSTRACT The phenomenon called infodemia refers to the increase in the volume of information on a specific topic, which multiplies rapidly in a short period of time, and has stood out in the context of the health crisis triggered by the COVID-19 pandemic. Too much information can trigger feelings of fear, anxiety, stress, and other conditions of mental distress. The study aims to describe the profile of exposure to information about COVID-19 and its repercussions on the mental health of elderly Brazilians. This is a cross-sectional study carried out with 1924 elderly Brazilians. Data were collected through a web-based survey sent to the elderly via social networks and email, from July to October 2020. The results of the descriptive analysis of the data show that most of the elderly were aged between 60 and 69 years (69.02%), female (71.26%), married (53.79%) and white (75.57%). About 21.67% (n = 417) concluded their graduation, 19.75% (380) concluded their specialization and 16.63% (320) concluded their master's or doctoral degrees. Television 862 (44.80%) and social networks 651 (33.84%) were reported as frequent sources of exposure to news or information about COVID-19. Participants indicated that television (46.47%; n = 872), social networks (30.81%; n = 575) and radio (14.48%; 251) affected them psychologically and/or physically. Receiving fake news about COVID-19 on television (n = 482; 19.8%) and on social media (n = 415; 21.5%) mainly resulted in stress and fear. The disseminated information contributes to awareness, but also affects physically and/or psychologically many elderly people, mainly generating fear and stress.

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Association between disease activity and quality of life among patients with rheumatoid arthritis
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Costa, Rômulo Lopes da

; Freitas Netto, Felício de

; Lima, Diogo von Gaevernitz

; Mansani, Fabiana Postiglione

; Schafranski, Marcelo Derbli

; Zardo, Bruno Queiroz

; Toledo Júnior, Alceu de Oliveira

; Calixto, Lorena de Freitas

; Vellosa, José Carlos Rebuglio

; Montes, Elisangela Gueiber

Brazilian Journal of Pharmaceutical Sciences

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2022, Volume 58 elocation e20626

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study is the association between the scores of disease activity, functional capacity and quality of life among patients diagnosed with rheumatoid arthritis, under clinical treatment at the Regional University Hospital of Campos Gerais - Wallace Thadeu de Mello and Silva. The sample was composed by volunteer patients, who freely underwent 3 research questionnaires. With the results of the survey, the disease activity score was correlated to the functional capacity and the quality-of-life scores. A mean of 3.87 and 1.2 was observed for the disease activity and the functional capacity scores, respectively, yet not achieving a correlation between those two variables. A strong correlation between the disease activity and the “functional capacity”, “general health status” and “mental health” domains was found. The lowest average observed corresponded to “physical limitation”, from the quality-of-life questionnaire. There was no statistically significant correlation between disease activity and functional capacity, although disease activity seems to affect the mental health, general health status and functional capacity of patients.

https://doi.org/10.1590/s2175-97902022e20626

Optimization of texture profile analysis parameters for commercial guava preserve
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Vieira, Mariele Antunes

; Schiass, Maria Cecília Evangelista Vasconcelos

; Dias, Ana Clara Costa

; Curi, Paula Nogueira

; Pereira, Patrícia Aparecida Pimenta

; Carneiro, João De Deus Souza

; Borges, Soraia Vilela

; Queiroz, Fabiana

Revista Ceres

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Dez 2021, Volume 68 Nº 6 Páginas 530 - 538

Resumo: En | Texto: En | PDF: En

ABSTRACT Motivated by the lack of studies that standardize and optimize the parameters of texture tests, this study aimed to determine the operating conditions for TPA to maximize the discrimination among samples of fruit preserves. The texture of the commercial guava preserves was evaluated using a texturometer. The Design Central Composite Rotational (DCCR) method was applied with four independent variables: speed test, sample volume, time between compression cycles and compression percentage. Only the compression percentage and test speed were significantly influenced by the texture parameters evaluated. The optimum operating region of TPA to better discriminate differences in texture parameters depended on the variable to be optimized, and for adhesiveness a compression of 75% and a compression speed of 0.23 mm·s are recommended. To detect differences among the samples for the parameters of cohesiveness, gumminess and resilience, the use of 15% compression and 2.59 mm·s speed is suggested. In both cases, one must employ the shortest time between two cycles and use a smaller sample size to save both the time of analysis and of the sample, respectively. For the parameters of hardness, elasticity and chewiness, optimal regions were not identified.

https://doi.org/10.1590/0034-737x202168060004

10.

The influence of sensory attributes on overall liking by a gamma regression model: an analysis of Cerrado mixed fruits jams
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PEREIRA, Patrícia Aparecida Pimenta

; SOUZA, Vanessa Rios de

; SCHIASSI, Maria Cecília Evangelista Vasconcelos

; DIAS, Ana Clara Costa

; QUEIROZ, Fabiana

; PINHEIRO, Ana Carla Marques

; BORGES, Soraia Vilela

; CIRILLO, Marcelo Ângelo

Food Science and Technology

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Set 2021, Volume 41 Nº 3 Páginas 702 - 707

Resumo: En | Texto: En | PDF: En

Abstract Factors that influence the acceptability and preferences of consumers have been perceived as sensory attributes, such as color, appearance, flavor, and texture. Understanding which attributes are most important for overall liking would be helpful to establish meaningful criteria for product grading. Thus, in addition to the overall chemical and sensory qualities, it is important to appreciate which sensory attributes make a product pleasant or unpleasant to a consumer. In this context, the aim of this study was to evaluate the sensory attribute that contributes most to the overall liking by a gamma regression model using different formulations of mixed fruit jams made with Brazilian Cerrado fruits. Based on the proposed model, we concluded that appearance was the most important predictor of the overall liking of the assessors.

https://doi.org/10.1590/fst.17920 135 downloads

11.

Radiation therapy with elective lymph node irradiation for breast cancer: dosimetric study and impact on cardiovascular risk and second neoplasms
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Machado, Adriana Aranha Pereira

; Maia, Polyana Mendes

; Tannous, Cassio de Queiroz

; Pellizzon, Antônio Cássio Assis

; Makdissi, Fabiana Baroni

; Fogaroli, Ricardo César

; Chen, Michael Jenwei

; Silva, Maria Letícia Gobo

; Castro, Douglas Guedes de

; Gondim, Guilherme Rocha Melo

Revista da Associação Médica Brasileira

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Ago 2021, Volume 67 Nº 8 Páginas 1118 - 1123

Resumo: En | Texto: En | PDF: En

SUMMARY OBJECTIVE: The aim of this study was to perform dosimetric analysis of radiotherapy (RT) plans with or without elective nodal irradiation (ENI) and estimate whether the increase in mean doses (MDs) in the heart and lungs with ENI may lead to late side effects that may surpass the benefits of treatment. METHODS: The dosimetric analysis of 30 treatment plans was done with or without ENI. The planning and dose-volume histograms were analyzed, and the impact on the mortality of cardiovascular and lung cancer was estimated based on the correlation of the dosimetric data with data from population studies. RESULTS: RT with ENI increased the doses in the lungs and heterogeneity in the plans compared to breast-exclusive RT. When the increase in MDs is correlated with the increase of late side-effect risks, the most important effect of ENI is the increased risk of lung cancer, especially in patients who smoke (average increase in absolute risk=1.38%). The increase in the absolute risk of cardiovascular diseases was below 0.1% in the all the situations analyzed. CONCLUSIONS: ENI increases the heterogeneity and the doses at the lungs. When recommending ENI, the risks and benefits must be taken into account, considering the oncology factors and the plan of each patient. Special attention must be given to patients who smoke as ENI may lead to a significant increase in MD in the lung and the increased risk of radiation-induced lung cancer may surpass the benefits from this treatment.

https://doi.org/10.1590/1806-9282.20210453 104 downloads

12.

Procura por serviços ou profissionais de saúde entre adolescentes: um estudo multinível
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Peixoto, Alisse Maria Chaves de Lima

; Melo, Thaise Queiroz de

; Ferraz, Livia Almeida Amaral

; Santos, Carolina da Franca Bandeira Ferreira

; Godoy, Fabiana de

; Valença, Paula Andréa de Melo

; Menezes, Valdenice Aparecida de

; Colares, Viviane

Ciência & Saúde Coletiva

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Jul 2021, Volume 26 Nº 7 Páginas 2819 - 2827

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo O objetivo deste estudo foi analisar a procura por serviços ou profissionais de saúde pelos adolescentes com determinantes individuais e com variáveis contextuais, modalidade de ensino da escola e Índice de Vulnerabilidade Social. Os dados foram coletados no período de março a junho de 2018, em escolas públicas estaduais de Olinda, Pernambuco, através de um questionário estruturado com questões do Youth Risk Behavior Survey (YRBS) e da Pesquisa Nacional de Saúde do Escolar (PeNSE). Dentre os 2.454 adolescentes, a proporção daqueles que procuram por um serviço de saúde foi maior: no sexo feminino; em adolescentes cujas as mães tivessem escolaridade mínima de nove anos; naqueles fisicamente ativos; e cujos responsáveis não recebiam Bolsa Família. Observou-se que as variáveis contextuais não influenciaram a procura por serviços de saúde entre os adolescentes. No terceiro modelo da análise multinível, que analisou as variáveis individuais, observou-se que apenas o sexo feminino (OR=1,80), ter mãe com escolaridade maior ou igual a nove anos de estudo (OR=1,30), não receber Bolsa Família (OR=1,23) e ser ativo fisicamente (OR=1,32) foram associados a uma maior procura por serviços ou profissionais de saúde.

Abstract This study aimed to analyze the demand for health services or professionals by adolescents with individual determinants and contextual variables (school teaching modality and Social Vulnerability Index). Data were collected from March to June 2018, in state public schools in Olinda, Pernambuco, Brazil, through a structured questionnaire with questions from the Youth Risk Behavior Survey (YRBS) and the National School Health Survey (PeNSE). Among the 2,454 adolescents, the proportion of those looking for a health service was higher among women; in adolescents whose mothers had a minimum of nine schooling years; in the physically active; and whose parents did not receive a family aid (Bolsa Família). We observed that the contextual variables did not influence the demand for health services among adolescents. In the third model of the multilevel analysis, which analyzed the individual variables, we observed that only females (OR=1,80), having a mother with schooling greater than or equal to 9 years of study (OR=1,30), not receiving Bolsa Família (OR=1,23), and physically active (OR=1,32) were associated with an increased demand for health services or professionals.

https://doi.org/10.1590/1413-81232021267.08582021 233 downloads

13.

Reflexões sobre o brincar como promotor do desenvolvimento integral da criança com transtorno do Espectro Autista
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Queiroz, Francisca Francisete de Sousa Nunes

; Brasil, Christina César Praça

; Brasileiro, Fabiana Neiva Veloso

; Gabler, Felícia

; Lima, Erick Tomé de

; Filho, José Eurico de Vasconcelos

New Trends in Qualitative Research

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Jun 2021, Volume 8 Páginas 295 - 303

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo: Introdução: O ato de brincar perpassa os diferentes níveis de desenvolvimento da criança, sendo fundamental para o bem-estar social, emocional, cognitivo e físico. Crianças com Transtorno do Espectro Autista - TEA podem apresentar dificuldades em diversas áreas do desenvolvimento. É importante que profissionais da saúde, familiares, cuidadores e educadores reflitam sobre o papel do brincar na mediação das relações e das trocas, que favorecem o desenvolvimento dessas crianças. Objetivo: Identificar estudos que propiciem reflexões sobre a relevância do brincar para a promoção do desenvolvimento integral de crianças com TEA. Método: Realizou-se uma revisão integrativa, de fevereiro de 2019 a outubro de 2020, nas principais bases de dados da saúde. O material selecionado foi analisado qualitativamente, com base nos objetivos e resultados dos estudos, fazendo-se emergir duas temáticas. Resultados: As temáticas “reflexões teóricas sobre o brincar” e o “ato de brincar no contexto do desenvolvimento da criança com TEA” trouxeram reflexões sobre a importância do brincar, a partir de diferentes perspectivas teóricas, atestando que o ato de brincar é essencial para o desenvolvimento da criança com TEA. Isto contempla várias possibilidades de interação com pessoas e realidades. Conclusões: A partir das evidências apresentadas na literatura, o ato de brincar deve ser incentivado no contexto de vida pessoal e terapêutico de crianças com TEA, oferecendo aos profissionais da saúde e aos familiares alternativas de estimulação global dessa população, além de favorecer o desenvolvimento das habilidades de comunicação, interação social e motora.

Abstract: Introduction: The act of playing permeates the different levels of the child´s development, and is fundamental for social, emotional, cognitive and physical well- being. Children with Autistic Spectrum Disorder - ASD may experience difficulties in several areas of the development. It is important that health professionals, family members, caregivers and educators reflect on the role of playing in mediating relationships and exchanges, which favours the development of these children. Objective: Identify studies that provide reflections on the relevance of playing for the promotion of integral development of children with ASD. Method: An integrative review was carried out, from February 2019 to October 2020, in the main health databases. The selected material was qualitatively analysed, based on the objectives and results, making two themes emerge. Results: The themes "theoretical reflections on playing" and "the act of playing in the context of the ASD children´s development" brought reflections on the importance of playing, from different theoretical perspectives, attesting that the act of playing is essential for the development of children with ASD. This contemplates a large number of possibilities for interaction with people and realities. Conclusions: Based on the evidence presented in the literature, the act of playing should be encouraged in the context of the personal and therapeutic life of children with ASD, offering health professionals and family members alternatives for global stimulation of this population, in addition to favouring the development of children´s communication, social and motor interaction skills.

https://doi.org/10.36367/ntqr.8.2021.295-303 70 downloads

14.

Helicobacter spp. and gastric lesions association in minipigs
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Silveira, Renato Luiz

; Cruz, Ana Claudia de Menezes

; Leandro, Hassan Jerdy

; Petronilha, Mariah Bianchi Reis Gusmão

; Rodrigues, Rachel Bittencourt Ribeiro

; Silva, Maria Aparecida da

; Medina, Raphael Mansur

; Knackfuss, Fabiana Batalha

; Carvalho, Eulógio Carlos Queiroz de

Ciência Rural

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2021, Volume 51 Nº 3 elocation e20200385

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO: Por sua semelhança com a da espécie humana, a úlcera gástrica nos suínos tem despertado muito interesse. Sabe-se que o Helicobacter spp. está relacionado à ocorrência dessas úlceras, apresentando alta prevalência. Este estudo teve como objetivo associar as lesões gástricas, de ocorrência natural em miniporcos, à presença, ou não, de Helicobacter spp., por meio do teste ultra-rápido da urease e da análise imunohistoquímica, reafirmando a enfermidade em suínos como modelo biomédico natural para os casos em humanos. Para este fim, foram utilizados histossetes de tecido gástrico de 40 minipigs obtidos no Laboratório de Morfologia e Patologia Animal (LMPA) da Universidade Estadual do Norte Fluminense (UENF). Em relação ao teste ultra-rápido da urease, nenhum animal foi positivo em todas as regiões, entretanto, 18 foram positivos em pelo menos uma: seis foram positivos na região aglandular, oito na região do antro, 13 na região das glândulas cárdicas e um na região das glândulas fúndicas. Em relação à análise imuno-histoquímica, somente um animal foi positivo em todas as regiões e 32 animais foram positivos em pelo menos uma: quatro foram positivos na região aglandular, 10 na região do antro, 23 na região das glândulas cárdicas e três na região das glândulas fúndicas. As lesões gástricas demonstraram estreita relação com o Helicobacter spp. em miniporcos, enriquecendo a lista de patologias de animais de laboratório. A imunomarcação da bactéria não associada à lesão, em certas regiões gástricas, demonstra seu caráter saprofítico e oportunista.

ABSTRACT: Due to their similarity to humans, studies regarding gastric ulcers in pigs have become of great interest. It is known that Helicobacter spp. is related to the occurrence of these ulcers, as they possess a high prevalence in pigs. This study aimed to associate gastric lesions findings naturally occurring in minipigs related to or not related to the presence of Helicobacter spp., through the ultra-rapid urease test and immunohistochemical analysis, reaffirming the disease in swine as a natural biomedical model for human cases. For this, samples of formalin-fixed paraffin-embedded gastric tissues from 40 minipigs were obtained at the Laboratório de Morfologia e Patologia Animal (LMPA) in the Universidade Estadual do Norte Fluminense (UENF). Regarding the ultra-rapid urease test, no animal was positive in all regions. However, 18 were positive in at least one: six (15%) were positive in the aglandular region, eight (20%) in the antrum region, 13 (32.5%) in the region of the cardiac gland, and one (2.5%) in the region of the fundic gland. Regarding immunohistochemical analysis, only one animal was positive in all regions, and 32 animals were positive in at least one: four (10%) were positive in the aglandular region, 10 (25%) in the antrum region, 23 (57.5%) in the region of the cardiac gland, and three (7.5%) in the region of the fundic gland. The gastric lesion findings showed a close relationship with Helicobacter spp., enriching the laboratory animal pathologies list. The immunostaining of the bacteria not associated with gastric lesions in certain regions demonstrated the saprophytic and opportunisitic nature of Helicobacter.

https://doi.org/10.1590/0103-8478cr20200385 624 downloads

15.

Lessons learned from a home-based exercise program for adolescents with pre-existing chronic diseases during the COVID-19 quarantine in Brazil
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Marques, Isabela Gouveia

; Astley, Camilla

; Sieczkowska, Sofia Mendes

; Iraha, Amanda Yuri

; Franco, Tathiane Christine

; Smaira, Fabiana Infante

; Mazzolani, Bruna Caruso

; Miranda, Luana Cristina do Amaral

; Ihara, Bianca Pires

; Pereira, Rosa Maria R.

; Queiroz, Ligia Bruni

; Silva, Clovis Artur

; Gualano, Bruno

Clinics

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2021, Volume 76 elocation e2655

Resumo: En | Texto: En | PDF: En

https://doi.org/10.6061/clinics/2021/e2655 256 downloads

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