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Abstract Objectives: To determinate the otoprotective efficacy of melatonin.in experimental models of rodents through a systematic review of the literature. Methods: Altogether, 154 articles were found in four databases. The PICOS strategy (Population, Intervention, Comparison, and Outcome) was used to define the eligibility criteria. Studies that met the inclusion criteria for the second step were included in a qualitative synthesis. Each study type was analyzed with the CAMARADES quality of assessment’s checklist and the SYRCLE RoBS risk of bias. Results: Seven articles were selected, and four were included in the meta-analysis. It was possible to obtain seven outcomes according to the standard auditory frequencies presented among the studies, considering a minimum of three standard frequencies. The outcomes analyzed were for the frequencies of 1500, 2000, 3000, 4000, 5000, 6000, and 8000 Hz. Conclusion: Melatonin can provide protection against the ototoxic effects of cisplatin and aminoglycosides at 5000 Hz, 6000 Hz, and 8000 Hz, thereby minimizing the reduction in Otoacustic Emissions (OAE) amplitude. The same effect was not observed in the lower frequencies. Despite the limited number of studies that were evaluated, the results appeared consistent in higher frequencies. However, the methodology of the available studies did not meet the necessary methodological rigor that promotes the safe replicability of these studies.

https://doi.org/10.1016/j.bjorl.2023.101288

Reabilitação física/funcional no Brasil: análise espaço-temporal da oferta no Sistema Único de Saúde
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Gomes, Suzy Maria

; Miranda, Gabriella Morais Duarte

; Sousa, Fabiana de Oliveira Silva

; Nascimento, Cynthia Maria Barboza do

; Lima, Maria Luiza Lopes Timóteo de

; Silva, Vanessa de Lima

; Vilela, Mirella Bezerra Rodrigues

Ciência & Saúde Coletiva

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feb 2023, Volume 28 N. 2 Pages 373 - 383

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract The complex epidemiological profile of Brazil, the aging population and the proportion of individuals with disabilities have led to a substantial increase in the demand for rehabilitation. The spatiotemporal distribution of the offer of physiotherapy, speech therapy and occupational therapy in the Brazilian public healthcare system from 2007 to 2019 was analyzed for the five macro-regions of the country. Data from the National Register of Health Establishments and census estimates from the Brazilian Institute of Geography and Statistics were used. Indicators of the offer of professionals in these fields services and relative changes in the offer were calculated. The spatial distribution of the relative change in the offer was also determined. A regression model with inflection points was adopted for the analysis of the temporal trend. A growing temporal trend was found in the offer of the three professionals in Brazil as a whole and in all regions of the country, but with a slowdown in growth. Differences were observed in the offer among the regions of the country, revealing healthcare inequality that needs to be overcome. The present findings can assist in planning to expand access to rehabilitation services in the country.

Resumo O complexo perfil epidemiológico do país, o envelhecimento populacional e a proporção de pessoas com deficiência apontam para o aumento substancial da demanda por reabilitação. Nesse contexto, foi analisada a distribuição espaço-temporal da oferta de profissionais de fisioterapia, fonoaudiologia e terapia ocupacional no Sistema Único de Saúde (SUS) de 2007 a 2019 nas cinco regiões do Brasil. Foram utilizados dados do Cadastro Nacional de Estabelecimentos em Saúde, as estimativas censitárias do Instituto Brasileiro de Geografia e Estatística e calculados os indicadores da oferta potencial de profissionais e sua evolução relativa. Foi realizada a distribuição espacial da evolução relativa da oferta potencial de profissionais. Para a análise da tendência temporal, adotou-se o modelo de regressão por pontos de inflexão. Houve tendência temporal crescente na oferta potencial das três categorias profissionais no Brasil e em todas as regiões, mas com uma desaceleração do crescimento. Observaram-se diferenciais entre as profissões e as regiões do país, representando um quadro de desigualdade de oferta que precisa ser superado. Resultados que podem subsidiar o controle social e o planejamento nacional para a ampliação do acesso aos serviços de reabilitação

https://doi.org/10.1590/1413-81232023282.09112022

Reabilitação física/funcional no Brasil: análise espaço-temporal da oferta no Sistema Único de Saúde
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Gomes, Suzy Maria

; Miranda, Gabriella Morais Duarte

; Sousa, Fabiana de Oliveira Silva

; Nascimento, Cynthia Maria Barboza do

; Lima, Maria Luiza Lopes Timóteo de

; Silva, Vanessa de Lima

; Vilela, Mirella Bezerra Rodrigues

Ciência & Saúde Coletiva

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2023, Volume 28 N. 2 Pages 373 - 383

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

https://doi.org/10.1590/1413-81232023282.09112022

Triagem auditiva com o aplicativo para dispositivos móveis uHear™: reprodutibilidade dos resultados utilizando dois diferentes modos de resposta
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Cunha, Marta Luiza Santana da

; Lopes, Márcia da Silva

; Meira, Tatiane Costa

; Corona, Ana Paula

CoDAS

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2023, Volume 35 N. 2 elocation e20210143

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Purpose Estimate the reproducibility of hearing screening results using the uHear™ smartphone-based app in two response modes: self-test response and test-operator. Methods Reliability study conducted with 65 individuals aged ≥18 years assisted at the Speech-language and Hearing Therapy clinic of a public higher-education institution. Hearing screening was conducted by a single researcher using the uHear app and earbud headphones in a soundproof booth. Participants responded to sound stimuli in both self-test response mode and test-operator mode. The order in which these two uHear test modes were applied was altered according to the entrance of each participant in the study. The correspondence between the hearing thresholds obtained from each response mode was analyzed and their Intraclass Correlation Coefficient (ICC) was estimated. Results A correspondence of ±5 dBHL >75% was observed between these hearing thresholds. The ICC values showed excellent agreement between the two response modes at all frequencies >40 dBHL tested. Conclusion The two hearing screening response modes using the uHear app presented high reproducibility, suggesting that the test-operator mode is a viable alternative when the self-test response mode is not recommended.

RESUMO Objetivo Estimar a reprodutibilidade dos resultados da triagem auditiva com o aplicativo uHear, utilizando dois diferentes modos de resposta, o modo autoaplicado e o modo com intermediação do pesquisador. Método Estudo de confiabilidade realizado com 65 indivíduos, maiores de 18 anos, que compareceram à clínica escola de Fonoaudiologia de uma instituição pública de ensino superior. A triagem auditiva foi realizada com o aplicativo uHear, em cabina acústica, utilizando fone intra-auricular e conduzida sempre pelo mesmo pesquisador. Os participantes responderam ao estímulo sonoro de maneira autoaplicada e com intermediação do pesquisador. A ordem de realização dos dois modos de resposta ao aplicativo uHear foi alternada de acordo com a entrada do participante no estudo. Foi analisada a correspondência entre os limiares auditivos obtidos com os dois modos de resposta, bem como estimado o Coeficiente de Correlação Intraclasse (ICC). Resultados Verificou-se uma correspondência de ± 5 dBNA superior a 75% entre os limiares auditivos obtidos nos dois modos de resposta. O ICC revelou concordância excelente entre os dois modos de resposta, em todas as frequências testadas, para intensidades superiores a 40 dBNA. Conclusão Os dois modos de resposta à triagem auditiva com o aplicativo uHear apresentam elevada reprodutibilidade, o que permite indicar o modo de resposta com intermediação do pesquisador como uma alternativa viável quando o modo autoaplicado não for recomendado.

https://doi.org/10.1590/2317-1782/20232021143pt

Síndrome da fragilidade e qualidade de vida em pessoas idosas hospitalizadas
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Alves, Eduarda Cordeiro

; Araújo-Monteiro, Gleicy Karine Nascimento de

; Oliveira, Luiza Maria de

; Brandão, Bárbara Maria Lopes da Silva

; Souto, Rafaella Queiroga

Revista Brasileira de Geriatria e Gerontologia

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2023, Volume 26 elocation e230106

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Objective to analyze the relationship between frailty syndrome and quality of life in hospitalized older adults. Methods a quantitative cross-sectional study of 323 older individuals was carried out at university hospitals of Paraíba from August 2019 to July 2020. Data were analyzed by SPSS, version 26.0, using Pearson´s chi-square, Spearman´s correlation and multiple logistic regression for sociodemographic, frailty and quality of life variables. Results regarding participant profile, 60.7% were women, 49.2% aged 60-69 years, 51% had a partner, 67.8% were literate, 89.2% lived with at least 1 other person, 78.3% were not working, and 57.9% received ≤ 1 minimum wage. Frailty syndrome was significantly associated with gender, age, literacy, work status, income, and quality of life. Quality of life was statistically significantly associated with only gender and work status. Results showed that illiteracy, not working and low quality of life increased the probability of frailty syndrome by 3.04 (95%CI; 1.70–5.4), 4.51 (95%CI; 2.39–8.49), and 3.81 (95%CI; 2.22–6.53), respectively; while not working increased the probability of low quality of life.by 2.61 (95%CI;1,45–4,73). Conclusions frailty syndrome was associated with low quality of life in the hospitalized older adults, indicating the need for measures by hospital managers to improve care beyond the clinical conditions addressed in routine practice.

Resumo Objetivo analisar a relação entre a síndrome de fragilidade e qualidade de vida em pessoas idosas hospitalizadas. Métodos estudo de abordagem quantitativa e corte transversal, desenvolvido com uma amostra de 323 pessoas idosas assistidas em hospitais universitários da Paraíba, durante agosto de 2019 a julho de 2020. Os dados foram tabulados no SPSS, versão 26.0, mediante teste qui-quadrado de Pearson, teste de correlação de Spearman e regressão logística múltipla entre variáveis sociodemográficas, de fragilidade e qualidade de vida. Resultados dos participantes, 60,7% eram mulheres, 49,2% tinham idade entre 60 e 69 anos, 51% tinham cônjuge, 67,8%, sabiam ler e escrever, 89,2% moravam com pelo menos uma pessoa, 78,3% não exercia atividade laboral e 57,9% recebiam até um salário mínimo. A síndrome de fragilidade foi significativa com gênero, idade, letramento, atividade laboral, renda e qualidade de vida. Já a qualidade de vida foi estatisticamente significativa com gênero e atividade laboral, somente. Foi visto que não saber ler, não exercer atividade laboral e ter baixa qualidade de vida aumentava em 3,04 (IC95%; 1,70–5,44), 4,51 (IC95%; 2,39–8,49) e 3,81 (IC95%; 2,22–6,53), a probabilidade de ter síndrome da fragilidade, respectivamente; enquanto que não exercer atividade remunerada acrescia em 2,61 (IC95%; 1,45-4,73) a probabilidade de ter baixa qualidade de vida. Conclusões a síndrome da fragilidade está associada a uma redução na qualidade de vida de pessoas hospitalizadas, o que sinaliza propostas de melhorias para gestores hospitalares no que tange a assistência além das condições clínicas já estudadas no cotidiano laboral.

https://doi.org/10.1590/1981-22562023026.230106.pt

Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
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LOUREDO, Brendo Vinicius Rodrigues

; CURADO, Maria Paula

; PENAFORT, Paulo Victor Mendes

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; MESQUITA, Ricardo Alves

; PINTO-JÚNIOR, Décio dos Santos

; ABRAHÃO, Aline Corrêa

; ANDRADE, Bruno Augusto Benevenuto de

; AGOSTINI, Michelle

; MORAES, Renata Mendonça

; ANBINDER, Ana Lia

; DOURADO, Pedro Henrique Silva

; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos

; PIRES, Fábio Ramoa

; BORDIGNON, Natalia Cristina Trentin

; GONDAK, Rogério Oliveira

; DE OLIVEIRA, Marcia Gaiger

; CARRARD, Vinicius Coelho

; MARTINS, Manoela Domingues

; SOUSA-NETO, Sebastião Silvério

; ARANTES, Diego Antônio Costa

; MENDONÇA, Elismauro Francisco

; CIESLAK-SANCHES, Silvia Roberta

; ANTUNES, Daniella Moraes

; AMARAL-SILVA, Gleyson Kleber do

; MANIERI, Patricia Rubia

; RAMALHO, Luciana Maria Pedreira

; DOS SANTOS, Jean Nunes

; LEONEL, Augusto César Leal da Silva

; PEREZ, Danyel Elias da Cruz

; VERHEUL, Hannah Carmem Carlos Ribeiro Silva

; BARROSO, Keila Martha Amorim

; RODRIGUES, Flávia Luiza Santos

; GONZAGA, Amanda Katarinny Goes

; FERNANDES, Romana Renery

; DE SOUZA, Lélia Batista

; SOUZA, Lucas Lacerda de

; PONTES, Flávia Sirotheau Corrêa

; PONTES, Hélder Antônio Rebelo

; SILVA, Caroline Alfaia

; CÂMARA, Jeconias

; LIBÓRIO-KIMURA, Tatiana Nayara

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ALMEIDA, Oslei Paes de

; ROMAÑACH, Mário José

; VARGAS, Pablo Agustin

Brazilian Oral Research

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2023, Volume 37 elocation e126

Abstract: En | Text: En | PDF: En

Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0126

Efficacy of iSupport-Brasil for unpaid caregivers of people living with dementia: protocol for a randomized and controlled clinical trial
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Gratão, Aline Cristina Martins

; Cardoso, Anabel Machado

; Ottaviani, Ana Carolina

; Campos, Camila Rafael Ferreira

; Oliveira, Déborah Cristina de

; Monteiro, Diana Quirino

; Barham, Elizabeth Joan

; Orlandi, Fabiana de Souza

; Barbosa, Gustavo Carrijo

; Cruz, Keila Cristianne Trindade da

; Corrêa, Larissa

; Rocha, Luana Aparecida da

; Alves, Ludmyla Caroline de Souza

; Maciel, Luiza Barros

; Nico, Lucélia Silva

; Hoffmann, Maria Cristina Corrêa Lopes

; Pavarini, Sofia Cristina Iost

Dementia & Neuropsychologia

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2023, Volume 17 elocation e20230040

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT. Unpaid caregivers of people living with dementia tend to suffer mental health problems as a result of the negative effects associated with the care tasks. Thus, psychosocial interventions for this population group are necessary. iSupport is an online support program for caregivers that was created by the World Health Organization. Objective: To describe the design of a randomized clinical trial to measure the efficacy of the iSupport-Brasil version on caregivers’ mental health and well-being. Methods: The participants will be randomized into Intervention Group (IG) (n=195) and Control Group (CG) (n=195). For three months, the IG will access the iSupport-Brasil platform, the CG will enter the electronic page of the Brazilian Alzheimer’s Association, and both groups will be emailed the preliminary version of the “Guia de cuidados para a pessoa idosa” e-book (a guide to providing care to the elderly) from the Ministry of Health. The data will be collected at three moments: baseline, and three and six months after the beginning of the intervention. Results: It is expected that it will be possible to provide diverse validity evidence about iSupport-Brasil as an online and free intervention alternative, as a preventive means and as a way to promote mental health among caregivers of people living with dementia. Conclusion: Through the evaluation protocol of this randomized clinical trial on the effects of the iSupport-Brasil program, it may become a reference for countries that plan to adapt and improve the iSupport program using digital health solutions.

RESUMO. Cuidadores informais de pessoas que vivem com demência tendem a sofrer problemas de saúde mental como resultado dos efeitos negativos associados às tarefas de cuidado. Assim, intervenções psicossociais para essa população são necessárias. O iSupport é um programa de apoio online para cuidadores criado pela Organização Mundial da Saúde. Objetivo: Descrever o desenho de um ensaio clínico randomizado para medir a eficácia da versão iSupport-Brasil na saúde mental e no bem-estar de cuidadores. Métodos: Os participantes serão randomizados em Grupo Intervenção (GI) (n=195) e Grupo Controle (GC) (n=195). Durante três meses, o GI acessará a plataforma iSupport-Brasil, o CG entrará na página eletrônica da Associação Brasileira de Alzheimer e ambos os grupos receberão por e-mail a versão preliminar do e-book Guia de cuidados para a pessoa idosa, do Ministério da Saúde. Os dados serão coletados em três momentos: linha de base, três e seis meses após o início da intervenção. Resultados: Espera-se que seja possível fornecer diversas evidências sobre os efeitos do iSupport-Brasil como alternativa de intervenção online e gratuita, de forma a promover a saúde mental entre os cuidadores de pessoas que vivem com demência. Conclusão: O protocolo de avaliação deste ensaio clínico randomizado sobre os efeitos do programa iSupport-Brasil pode se tornar uma referência para os países que planejam adaptar e melhorar esta intervenção, usando soluções digitais de saúde.

https://doi.org/10.1590/1980-5764-dn-2023-0040

Fractal analysis is a useful tool for evaluating prostate tissue remodeling caused by ethanol consumption and androgen therapy
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Lima, Bruna Jardim Pereira

; Oliveira, Gabriel Rodrigues Leal de

; Sousa, Thainá Cavalleri

; Aquino, Ariana Musa de

; Hinokuma, Karianne Delalibera

; Ricardo, Maria Luiza Silva

; Scarano, Wellerson Rodrigo

; Castilho, Anthony César de Souza

; Pacagnelli, Francis Lopes

; Martinez, Francisco Eduardo

; Mendes, Leonardo de Oliveira

Animal Reproduction

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2023, Volume 20 N. 3 elocation e20230072

Abstract: En | Text: En | PDF: En

Abstract Alcohol has been widely consumed for centuries and is linked to the aggravation of diseases. Several studies have shown that excessive consumption of ethanol results in morphophysiological changes in the male reproductive system. One of the effects of ethanol is the decrease in testosterone concentration and hormonal therapies are an alternative to minimize the changes resulting from chronic alcoholism. Qualitative studies were commonly carried out to evaluate the male histopathological alterations resulting from ethanol consumption, being necessary quantitative and non-subjective techniques. This study analyzes the importance of fractal analysis as a useful tool to identify and quantify tissue remodeling in rats submitted to ethanol consumption and hormone therapy with testosterone. Prostate of animals submitted to chronic ethanol consumption showed tissue disorganization, which was confirmed by an increasing of fractal dimension. Regarding the prostatic stroma, collagen fractal dimension and quantification revealed lower values in animals that were only submitted to androgen therapy. Thus, we can conclude that the fractal analysis was a useful tool to quantify tissue changes caused by ethanol consumption and androgen therapy. diseases system alcoholism nonsubjective non subjective techniques disorganization stroma Thus

https://doi.org/10.1590/1984-3143-ar2023-0072

Selection of Myrciaria dubia clones under conditions of the savanna/ forest transition of Roraima through multivariate analysis
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Sakazaki, Roberto Tadashi

; Chagas, Edvan Alves

; Abanto-Rodríguez, Carlos

; Cardoso Chagas, Pollyana

; Rocha de Araujo, Maria da Conceição

; Lopes Monteiro Neto, João Luiz

; Grigio, Maria Luiza

; Carvalho Zborowski, Luiz Guilherme

; da Silva Siqueira, Raphael Henrique

; Erazo Amaya, Jorge Zamir

Agronomía Colombiana

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apr 2022, Volume 40 N. 1 Pages 3 - 11

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

ABSTRACT Camu-camu (Myrciaria dubia), a fruit from the Amazon region, has received attention due to its high content of antioxidant compounds such as ascorbic acid and polyphenols. This study's objective was to select camu-camu clones according to their morphological characteristic using multivariate analyses. We evaluated 56 camu-camu clones distributed in three blocks with two plants per experimental plot. The variables measured were plant height (H), number of basal branches (NBB), number of terminal buds (NTB), basal stem diameter (BSD), chlorophylls a (Chl a) and b (Chl b), and total chlorophyll (Chl a + b). Principal component (PCA) and multivariate clustering analyses were performed using the average linkage mean and Mahalanobis distance algorithms. After 24 months, results showed that the characteristic that least contributed to clone selection was NBB. The plant height (H), number of terminal buds (NTB), basal stem diameter (BSD), chlorophylls a (Chl a) and b (Chl b), and total chlorophyll (Chl a + b) had the most positive contribution towards the initial selection of camu-camu clones at two years of age. The 22 camu-camu clones showed the highest rate of vegetative development or vegetative quality index (VQI) in the transitional savanna/forest area of the northern Amazon, Brazil, after two years of transplanting.

RESUMEN El camu-camu (Myrciaria dubia) es una fruta de la región amazónica que ha recibido atención debido a su alto contenido de compuestos antioxidantes, como el ácido ascórbico y los polifenoles. El objetivo del estudio fue seleccionar clones de camu-camu según sus características morfológicas mediante análisis multivariados. Se evaluaron 56 clones de camu-camu distribuidos en tres bloques con dos plantas por parcela experimental. Las variables medidas fueron altura de la planta (H), número de ramas basales (NRB), número de brotes terminales (NBT), diámetro basal del tallo (DT), clorofila a (Chl a) y b (Chl b) y clorofila total (Chl a + b). Los análisis de agrupamiento de componentes principales (PCA) y multivariados se realizaron utilizando la media de enlace y los algoritmos de distancia de Mahalanobis. Después de 24 meses, los resultados mostraron que la característica que menos contribuyó a la selección del clon fue el NRB. La altura de la planta, número de ramas basales (NRB), diámetro basal del tallo (DBT), clorofila a (Chl a) y b (Chl b) y clorofila total (Chl a + b) tuvieron la contribución más positiva hacia la selección inicial de clones de camu-camu a los dos anos de edad. Veintidós clones de camu-camu presentaron la mayor tasa de desarrollo vegetativo o índice de calidad de la vegetación (ICV) en la sabana de transición/área forestal del norte del Amazonas, Brasil, después de dos anos de trasplante.

https://doi.org/10.15446/agron.colomb.v40n1.100319 33 downloads

10.

Floristic and Structure of Woody Vegetation in a Caatinga Area Between 2015 and 2019, in ASSÚ/RN
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Costa, Emanoelle Josephine Pereira

; Holanda, Alan Cauê

; Costa, Malcon Prado

; Câmara, Yasmim Borges

; Lopes-Nunes, Ana Luiza da Silva

Floresta e Ambiente

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2022, Volume 29 N. 4 elocation e20210001

Abstract: En | Text: En | PDF: En

Abstract To characterize the floristic composition and horizontal structure of the National Forest of Açú from 2015 to 2019, 20 permanent plots of 400 m² were allocated, and all woody individuals with a diameter at breast height (CBH) ≥ 2 cm were measured on both occasions. Between 2015 and 2019, there was an increase in floristic richness from 23 to 34 species, especially Cenostigma pyramidale and Handroanthus impetiginosus due to their high phytosociological values. Although an 8.7% reduction in the number of individuals in the 4.4 cm class center was observed between the respective years, there was a volumetric increase of 4.85 m³ ha-1, that is 1.21 m³ ha-1 year-1. Changes in floristic composition, diameter distribution, and volumetry reflect the development of vegetation and part of its dynamics; indicating its state of conservation and, consequently, the achievement of the conservation objectives proposed by the Unit.

https://doi.org/10.1590/2179-8087-floram-2021-0001

11.

Posicionamento Brasileiro sobre o Uso da Multimodalidade de Imagens na Cardio-Oncologia – 2021
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Melo, Marcelo Dantas Tavares de

; Paiva, Marcelo Goulart

; Santos, Maria Verônica Câmara

; Rochitte, Carlos Eduardo

; Moreira, Valéria de Melo

; Saleh, Mohamed Hassan

; Brandão, Simone Cristina Soares

; Gallafrio, Claudia Cosentino

; Goldwasser, Daniel

; Gripp, Eliza de Almeida

; Piveta, Rafael Bonafim

; Silva, Tonnison Oliveira

; Santo, Thais Harada Campos Espirito

; Ferreira, Waldinai Pereira

; Salemi, Vera Maria Cury

; Cauduro, Sanderson A.

; Barberato, Silvio Henrique

; Lopes, Heloísa M. Christovam

; Pena, José Luiz Barros

; Rached, Heron Rhydan Saad

; Miglioranza, Marcelo Haertel

; Pinheiro, Aurélio Carvalho

; Vrandecic, Bárbara Athayde Linhares Martins

; Cruz, Cecilia Beatriz Bittencourt Viana

; Nomura, César Higa

; Cerbino, Fernanda Mello Erthal

; Costa, Isabela Bispo Santos da Silva

; Coelho Filho, Otavio Rizzi

; Carneiro, Adriano Camargo de Castro

; Burgos, Ursula Maria Moreira Costa

; Fernandes, Juliano Lara

; Uellendahl, Marly

; Calado, Eveline Barros

; Senra, Tiago

; Assunção, Bruna Leal

; Freire, Claudia Maria Vilas

; Martins, Cristiane Nunes

; Sawamura, Karen Saori Shiraishi

; Brito, Márcio Miranda

; Jardim, Maria Fernanda Silva

; Bernardes, Renata Junqueira Moll

; Diógenes, Tereza Cristina

; Vieira, Lucas de Oliveira

; Mesquita, Claudio Tinoco

; Lopes, Rafael Willain

; Segundo Neto, Elry Medeiros Vieira

; Rigo, Letícia

; Marin, Valeska Leite Siqueira

; Santos, Marcelo José

; Grossman, Gabriel Blacher

; Quagliato, Priscila Cestari

; Alcantara, Monica Luiza de

; Teodoro, José Aldo Ribeiro

; Albricker, Ana Cristina Lopes

; Barros, Fanilda Souto

; Amaral, Salomon Israel do

; Porto, Carmen Lúcia Lascasas

; Barros, Marcio Vinícius Lins

; Santos, Simone Nascimento dos

; Cantisano, Armando Luís

; Petisco, Ana Cláudia Gomes Pereira

; Barbosa, José Eduardo Martins

; Veloso, Orlando Carlos Glória

; Spina, Salvador

; Pignatelli, Ricardo

; Hajjar, Ludhmilla Abrahão

; Kalil Filho, Roberto

; Lopes, Marcelo Antônio Cartaxo Queiroga

; Vieira, Marcelo Luiz Campos

; Almeida, André Luiz Cerqueira

Arquivos Brasileiros de Cardiologia

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oct 2021, Volume 117 N. 4 Pages 845 - 909

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36660/abc.20200266 103 downloads

12.

The quandary of diagnosing mathematical difficulties in a generally low performing population
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Gomides, Mariuche Rodrigues de Almeida

; Starling-Alves, Isabella

; Paiva, Giulia Moreira

; Caldeira, Leidiane da Silva

; Aichinger, Ana Luíza Pedrosa Neves

; Carvalho, Maria Raquel Santos

; Bahnmueller, Julia

; Moeller, Korbinian

; Lopes-Silva, Júlia Beatriz

; Haase, Vitor Geraldi

Dementia & Neuropsychologia

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apr 2021, Volume 15 N. 2 Pages 267 - 274

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO. O desempenho em matemática dos estudantes brasileiros mostra-se consistentemente abaixo da média mundial em estudos internacionais como o PISA. Objetivo: No presente artigo, argumenta-se que um baixo desempenho geral na matemática, a exemplo dos estudantes brasileiros, pode interferir no diagnóstico de discalculia do desenvolvimento quando um critério puramente psicométrico é usado para estabelecer um ponto de corte arbitrário (por exemplo, desempenho<percentil 10), o que pode resultar em falsos diagnósticos. Métodos: Para tanto, investigou-se o desempenho de 706 estudantes brasileiros do 3º ao 5º ano escolar em operações aritméticas básicas de adição, subtração e multiplicação. Resultados: De forma consistente com os resultados do PISA, as crianças apresentaram dificuldades em todas as operações aritméticas investigadas. Mesmo após cinco anos de escolarização formal, menos da metade dos estudantes do 5º ano foi capaz de completar a tarefa envolvendo cálculos simples de adição, subtração ou multiplicação. Conclusões: Dessa forma, os resultados reforçam o argumento de que o uso exclusivo de um critério psicométrico pode não ser apropriado para o diagnóstico de discalculia no contexto de uma população com desempenho geral baixo, como no caso crianças brasileiras da presente amostra. Quando a maioria das crianças tem um desempenho aquém do esperado, torna-se difícil distinguir o desenvolvimento numérico atípico do típico. Portanto, outras abordagens diagnósticas, como Resposta à Intervenção, podem ser mais adequadas em tal contexto.

ABSTRACT. Brazilian students’ mathematical achievement was repeatedly observed to fall below average levels of mathematical attainment in international studies such as PISA. Objective: In this article, we argue that this general low level of mathematical attainment may interfere with the diagnosis of developmental dyscalculia when a psychometric criterion is used establishing an arbitrary cut-off (e.g., performance<percentile 10) may result in misleading diagnoses. Methods: Therefore, the present study evaluated the performance of 706 Brazilian school children from 3rd to 5th grades on basic arithmetic operations addition, subtraction, and multiplication. Results: In line with PISA results, children presented difficulties in all arithmetic operations investigated. Even after five years of formal schooling, less than half of 5th graders performed perfectly on simple addition, subtraction, or multiplication problems. Conclusions: As such, these data substantiate the argument that the sole use of a psychometric criterion might not be sensible to diagnose dyscalculia in the context of a generally low performing population, such as Brazilian children of our sample. When the majority of children perform poorly on the task at hand, it is hard to distinguish atypical from typical numerical development. As such, other diagnostic approaches, such as Response to Intervention, might be more suitable in such a context.

https://doi.org/10.1590/1980-57642021dn15-020015 211 downloads

13.

Brazilian recommendations for the use of nonsteroidal anti-inflammatory drugs in patients with axial spondyloarthritis
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Lage, Ricardo da Cruz

; Marques, Claudia Diniz Lopes

; Oliveira, Thauana Luiza

; Resende, Gustavo Gomes

; Kohem, Charles Lubianca

; Saad, Carla Gonçalves

; Ximenes, Antônio Carlos

; Gonçalves, Célio Roberto

; Bianchi, Washington Alves

; Meirelles, Eduardo de Souza

; Keiserman, Mauro Waldemar

; Chiereghin, Adriano

; Campanholo, Cristiano Barbosa

; Lyrio, André Marun

; Schainberg, Cláudia Goldenstein

; Pieruccetti, Lenise Brandao

; Yazbek, Michel Alexandre

; Palominos, Penelope Esther

; Goncalves, Rafaela Silva Guimarães

; Assad, Rodrigo Luppino

; Bonfiglioli, Rubens

; Lima, Sônia Maria Alvarenga Anti Loduca

; Carneiro, Sueli

; Azevedo, Valderílio Feijó

; Albuquerque, Cleandro Pires

; Bernardo, Wanderley Marques

; Sampaio-Barros, Percival Degrava

; Pinheiro, Marcelo de Medeiros

Advances in Rheumatology

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2021, Volume 61 elocation 4

Abstract: En | Text: En | PDF: En

Abstract Spondyloarthritis (SpA) is a group of chronic inflammatory systemic diseases characterized by axial and/or peripheral joints inflammation, as well as extra-articular manifestations. Over some decades, nonsteroidal anti-inflammatory drugs (NSAIDs) have been the basis for the pharmacological treatment of patients with axial spondyloarthritis (axSpA). However, the emergence of the immunobiologic agents brought up the discussion about the role of NSAIDs in the management of these patients. The objective of this guideline is to provide recommendations for the use of NSAIDs for the treatment of axSpA. A panel of experts from the Brazilian Society of Rheumatology conducted a systematic review and meta-analysis of randomized clinical trials for 15 predefined questions. The Grading of Recommendations, Assessment, Development and Evaluation methodology to assess the quality of evidence and formulate recommendations were used, and at least 70% agreement of the voting panel was needed. Fourteen recommendations for the use of NSAIDs in the treatment of patients with axSpA were elaborated. The purpose of these recommendations is to support clinicians’ decision making, without taking out his/her autonomy when prescribing for an individual patient.

https://doi.org/10.1186/s42358-020-00160-6 505 downloads

14.

Activities of speech-language-hearing therapists in the Extended Family Health and Primary Care Center from the perspective of team cooperation
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Medeiros, Yuri Patrick Oliveira de

; Sousa, Fabiana de Oliveira Silva

; Lima, Maria Luiza Lopes Timóteo de

; Nascimento, Cynthia Maria Barboza do

Revista CEFAC

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2021, Volume 23 N. 2 elocation e7220

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: descrever as atividades do fonoaudiólogo do Núcleo Ampliado de Saúde da Família e Atenção Primária na perspectiva do apoio matricial. Métodos: trata-se de um estudo exploratório com abordagem quantitativa e qualitativa. Participaram da pesquisa 4 fonoaudiólogas e 3 residentes fonoaudiólogas que desenvolviam suas práticas no NASF-AP de Vitoria de Santo Antão. A coleta de dados foi realizada em dois momentos: No primeiro foi realizada análise do instrumento de registro de atividades dos fonoaudiólogos do NASF - AP; no segundo momento foram realizadas entrevistas com estes profissionais, com o intuito de compreender o processo de trabalho do fonoaudiólogo inserido na APS, no que diz respeito ao matriciamento. Resultados: foi possível observar que os fonoaudiólogos apresentam adequada compreensão sobre o conceito de apoio matricial e amplo escopo de atividades realizadas, com predomínio de atendimentos individuais (27%) e atividades coletivas compartilhadas (18%). A necessidade de fortalecer a formação dos profissionais para atuar na atenção básica e o pouco conhecimento das equipes e população sobre atuação do fonoaudiólogo são os principais desafios relatados pelos entrevistados. Para melhorar a atuação das equipes, foi sugerido mais educação permanente e participação da gestão na mediação dos conflitos interpessoais. Conclusão: mesmo existindo dificuldades relacionadas à formação acadêmica e ao processo de trabalho, o fonoaudiólogo inserido no NASF-AP tem realizado atividades na perspectiva do apoio matricial e colaborado para integralidade e resolutividade do cuidado.

ABSTRACT Purpose: to describe the activities of speech-language-hearing therapists in the Extended Family Health and Primary Care Center from the perspective of team cooperation. Methods: an exploratory study with a quantitative and qualitative approach. The participants in the research were 4 speech-language-hearing therapists and 3 speech-language-hearing residents who were developing their practices in the Extended Family Health and Primary Care Center of Vitória de Santo Antão, PE, Brazil. The data were collected at two moments: The first one involved the analysis of the instrument where the activities of the speech-language-hearing therapists in the Extended Family Health and Primary Care Center were registered; in the second one, these professionals were interviewed to understand their work process in PHC, in relation to team cooperation. Results: the speech-language-hearing therapists presented an adequate understanding of the concept of team cooperation and the broad range of activities carried out, predominantly individual attention (27%) and shared group activities (18%). The need to strengthen their professional training to work with primary care and the little knowledge of the teams and population about the work of the speech-language-hearing therapists are the main challenges reported by the interviewees. To improve the work of the teams, they suggested more continuing education opportunities and more participation of the administrators in interpersonal conflict mediation. Conclusion: despite the difficulties related to professional education and the work process, the speech-language-hearing therapists in the Extended Family Health and Primary Care Center have been performing activities from the perspective of team cooperation, collaborating to the comprehensiveness and solvability of care.

https://doi.org/10.1590/1982-0216/20212327220 662 downloads

15.

Analysis of the implementation of Hearing Conservation Programs
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Pimenta, Alcineide da Silva

; Silva, Vanessa Maria da

; Teixeira, Cleide Fernandes

; Nascimento, Cynthia Maria Barboza do

; Muniz, Lílian Ferreira

; Lopes, Adalva Virgínia Couto

; Gomes, Suzy Maria

; Lima, Maria Luiza Lopes Timóteo de

Revista CEFAC

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2021, Volume 23 N. 1 elocation e7620

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: avaliar a implantação do programa de conservação auditiva em duas empresas de grande porte. Métodos: trata-se de uma pesquisa avaliativa de análise de implantação do tipo 1b. O estudo foi conduzido em três etapas, sendo: determinação do grau de implantação do Programa de Conservação Auditiva das empresas avaliadas; análise dos contextos políticos e estruturais das empresas avaliadas; e, por fim, uma análise da influência dos contextos políticos e estruturais no grau de implantação nas empresas avaliadas. Foram realizadas as seguintes análises para coleta dos dados: entrevistas, análise documental e observacional. Resultados: o Programa de Conservação Auditiva na 'empresa A' foi classificado como ‘implantado’ (91,1%) e na 'empresa B' como ‘parcialmente implantado’ (62,7%). O contexto de implantação da 'empresa A' se apresentou favorável à implantação do programa. Já na 'empresa B' o contexto foi considerado desfavorável, tendo categorias não favoráveis. Foi possível relacionar, também, que as características do contexto de implantação influenciaram positiva ou negativamente na implantação do programa. Conclusão: houve resultados satisfatórios quanto à implantação do Programa de Conservação Auditiva em ambas as empresas avaliadas.

ABSTRACT Purpose: to assess the implementation of hearing conservation programs in two large companies. Methods: an evaluative research that analyzed a type 1b implementation. The study was conducted in three stages, namely: establishing the company’s degree of implementation, analyzing the companies’ policies and structures, and lastly, analyzing the influence of the companies’ policies and structures on their degree of implementation. The following analyses were conducted to collect data: interviews, document analysis, and observation. Results: the hearing conservation program in Company A was classified as implemented (91.1%), while in Company B, it was partially implemented (62.7%). The context in Company A was favorable to implementing the program, whereas in Company B, the context was considered unfavorable, due to disadvantageous categories. Also, the characteristics of the implementation context influenced the placement of the program either positively or negatively. Conclusion: there were satisfactory results regarding the implementation of the hearing conservation program in both companies assessed.

https://doi.org/10.1590/1982-0216/20212317620 481 downloads

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