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Billeteras móviles, medio de pago alternativo para minoristas en pandemia
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Mendoza Rejas, Janet Natalia

; Huaman, Roberto de la Cruz

; Canchari Vásquez, Uldarico

; Motta Dueñas, José Abel

Revista Investigación y Negocios

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oct 2023, Volume 16 N. 28 Pages 14 - 21

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

Abstract Covid 19 forced a move to virtuality, acquiring a relevant role the use of virtual media such as digital wallets, to avoid interruptions in the economic exchange. The objective was to determine the impact of the inclusion of the use of mobile wallets as a means of payment, from the perspective of business owners of formal retail businesses in the province of Ica, during the year 2021. A sample of 385 entrepreneurs applied a questionnaire elaborated on some of the factors that measure the level of technology adoption. 64.9% of retail entrepreneurs had a positive attitude towards the use of mobile wallets, 57% are satisfied with their use, and recognize that it is an efficient and effective system. Mobile wallets are currently the alternative to advance towards global financial inclusion, where low-income people, located in underdeveloped areas, can opt to carry out their economic transactions.

Resumen El Covid 19 obligó un traslado a la virtualidad adquiriendo un papel relevante el uso de medios virtuales como las billeteras digitales, para evitar interrupciones en el intercambio económico. Se planteó como objetivo, determinar el impacto de la inclusión del uso de las billeteras móviles como medios de pago, desde la perspectiva de empresarios dueños de negocios minoristas formales de la provincia de Ica, durante el año 2021. Una muestra de 385 empresarios aplicó un cuestionario elaborado sobre algunos de los factores que miden el nivel de adopción a la tecnología. El 64,9 % de los empresarios minoristas presentaron una actitud positiva frente al uso de las billeteras móviles, el 57 % se considera satisfecho con su uso, reconoce que se trata de un sistema eficiente y eficaz. Las billeteras móviles son actualmente la alternativa para avanzar hacia la inclusión financiera global, donde personas de bajos ingresos, ubicadas en zonas poco desarrolladas, pueden optar para realizar sus transacciones económicas.

https://doi.org/10.38147/invneg.v16i28.162

MRI is a Reliable Method for Measurement of Critical Shoulder Angle and Acromial Index
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Schiefer, Márcio

; Naliato, Erika

; Oliveira, Roberto

; Carmo, Leonardo Tadeu do

; Fontenelle, César Rubens da Costa

; Motta Filho, Geraldo da Rocha

Revista Brasileira de Ortopedia

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sep 2023, Volume 58 N. 5 Pages 719 - 726

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

Abstract Objective The objectives of this study are to compare absolute values of acromial index (AI) and critical shoulder angle (CSA) obtained in both radiographs and magnetic resonance image (MRI) of the shoulder; and to compare the interobserver and intra-observer agreement for AI and CSA values measured in these image modalities. Methods Patients who had medical indication of investigating shoulders conditions through radiographs and MRI were included. Images were taken to two fellowship-trained shoulder surgeons, which conducted measurements of AI and CSA in radiographs and in MRI. Twelve weeks after the first evaluation, a second evaluation was conducted. Inter- and intra-observer reliability was presented as an Intraclass Correlation Coefficient (ICC) and agreement was classified according to Landis & Koch criteria. The differences between two measurements were evaluated using Bland-Altman plots. Results 134 shoulders in 124 subjects were included. Mean intra-observer ICC for CSA in X-rays and in MRI were 0.936 and 0.940, respectively; for AI, 0.908 and 0.022. Mean inter-observer ICC for CSA were 0.892 and 0.752 in X-rays and MRI respectively; for AI, ICC values were 0.849 and 0.685. All individual analysis reached statistical power (p< 0.001). Mean difference for AI values measured in X-rays and in MRI was 0.01 and 0.03 for observers 1 and 2, respectively. Mean difference for CSA values obtained in X-rays and MRI was 0.16 and 0.58 for observers 1 and 2, respectively. Conclusion Both MRI and X-rays provided high intra- and interobserver agreement for measurement of AI and CSA. Absolute values found for AI and CSA were highly correlated in both image modalities. These findings suggest that MRI is a suitable method to measure AI and CSA. Level of Evidence II, Diagnostic Study.

Resumo Objetivo Os objetivos deste estudo foram comparar os valores absolutos do índice acromial (IA) e do ângulo crítico do ombro (ACO) obtidos em radiografias e ressonâncias magnéticas (RM) do ombro e comparar a concordância interobservador e intraobservador dos valores de IA e ACO medidos nessas modalidades de imagem. Métodos Pacientes com indicação médica de investigação de doenças dos ombros por meio de radiografias e RM foram incluídos no estudo. As imagens foram levadas para dois cirurgiões de ombro treinados que realizaram medidas de IA e ACO em radiografias e RM. Doze semanas após a primeira avaliação, uma segunda avaliação foi realizada. A confiabilidade inter e intraobservador foi apresentada como coeficiente de correlação intraclasse (CCI) e a concordância foi classificada segundo os critérios de Landis e Koch. As diferenças entre duas medidas foram avaliadas por meio de gráficos de Bland-Altman. Resultados Cento e trinta e quatro ombros de 124 indivíduos foram incluídos no estudo. O CCI intraobservador médio para ACO em radiografias e RM foi 0,936 e 0,940, respectivamente; para IA, foi 0,908 e 0,022. O CCI interobservador médio para ACO foi 0,892 e 0,752 em radiografias e RM, respectivamente; para IA, os valores de CCI foram 0,849 e 0,685. Todas as análises individuais apresentaram poder estatístico (p < 0,001). A diferença média dos valores de IA em radiografias e RM foi 0,01 e 0,03 para os observadores 1 e 2, respectivamente. A diferença média dos valores de ACO em radiografias e RM foi 0,16 e 0,58 para os observadores 1 e 2, respectivamente. Conclusão Tanto a RM quanto as radiografias tiveram alta concordância intra e interobservador para medida de IA e ACO. Os valores absolutos de IA e ACO foram altamente correlacionados em ambas as modalidades de imagem. Esses achados sugerem que a RM é um método adequado para determinação de IA e ACO. Nível de Evidência II, Estudo Diagnóstico.

https://doi.org/10.1055/s-0043-1776136

Clinical profile and severity predictors of coronavirus disease 19 infection in a reference center from southern Brazil: a cross-sectional study
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Tonietto, Roberto Guidotti

; Bortolini, Giordana Carrer

; Figueiró, Guilherme Luis

; Raupp, Igor Salvaro

; Côcco, Maria Luísa Cancian

; Coser, Thiane Barbieri Silva

; Lima, Letícia Kortz Motta

; Fighera, Tayane Muniz

Revista da Associação Médica Brasileira

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2023, Volume 69 N. 4 elocation e20221271

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVES: The coronavirus disease pandemic has become a major global health crisis since 2019. Recent data show the association of diabetes, hypertension, and obesity with poor related outcomes in coronavirus disease infection. This descriptive study aimed to identify the clinical and laboratory parameters in patients with acute respiratory syndrome and confirmed severe acute respiratory syndrome coronavirus 2 infection. METHODS: In this cross-sectional study, we analyzed data of 409 patients admitted to a referral hospital in Rio Grande do Sul, Brazil, with coronavirus disease infection confirmed by reverse transcription polymerase chain reaction. Clinical, laboratory, and imaging data were collected retrospectively from electronic medical records using a template with the variables of interest. RESULTS: The average age was 64 years (52–73), and the body mass index was 27 kg/m² (22.1–31.2). Hypertension, diabetes, and obesity were observed in 58, 33, and 32% of the patients, respectively. Patients admitted to an intensive care unit were older [66 years (53–74) vs. 59 years (42.2–71.7)], with significantly higher impairment on chest computed tomography [75% (50–75) vs. 50% (25–60)] and received higher doses of corticosteroid therapy [39.4 mg (14.3–70.3) vs. 6 mg (6–14.7)]. Hematological parameters were lower in critically ill patients, with greater differences observed on the fifth day of hospitalization [hemoglobin 11.5 g/dL (9.5–13.1) vs. 12.8 g/dL (11.5–14.2), platelets 235,000 μL (143,000–357,000) vs. 270,000 μL (192,000–377,000), and lymphocytes 900 μL (555–1,500) vs. 1,629 μL (1,141–2,329)]. C-reactive protein levels and kidney function were also worse in intensive care unit patients. The mortality rate was significantly higher in the intensive care unit compared to the basic care unit (62.8 vs. 12.2%). CONCLUSION: Our findings suggest that metabolic and cardiovascular comorbidities, as well as abnormal hematological parameters, are common findings among patients with severe respiratory syndrome related to coronavirus disease.

https://doi.org/10.1590/1806-9282.20221271

Saprochaete clavata invasive infection: characterization, antifungal susceptibility, and biofilm evaluation of a rare yeast isolated in Brazil
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Kraft, Letícia

; Ribeiro, Victoria Stadler Tasca

; Petroski, Luiz Pedro

; Herai, Roberto Hirochi

; Peronni, Kamila Chagas

; Figueiredo, David Livingstone Alves

; Motta, Fábio Araujo

; Tuon, Felipe Francisco

Revista do Instituto de Medicina Tropical de São Paulo

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2023, Volume 65 elocation e12

Abstract: En | Text: En | PDF: En

ABSTRACT Rare emerging pathogens such as Saprochaete clavata are associated with invasive fungal diseases, high morbidity, mortality, rapidly fatal infections, and outbreaks. However, little is known about S. clavata infections, epidemiology, risk factors, treatment, biofilms, and disease outcomes. The objective of this study was to describe a new case of severe S. clavata infection in a patient diagnosed at a referral children’s hospital in Brazil, including antifungal minimal inhibitory concentration, S. clavata biofilm characterization, and molecular characterization. The S. clavata isolated from an immunocompromised 11-year-old male patient was characterized using MALDI-TOF, Gram staining, scanning electron microscopy (SEM), and next generation sequencing (NGS) of genomic DNA. Biofilm production was also evaluated in parallel with determining minimal inhibitory concentration (MIC) and biofilm sensitivity to antifungal treatment. We observed small to medium, whitish, farinose, dry, filamentous margin colonies, yeast-like cells with bacillary features, and biofilm formation. The MALDI-TOF system yielded a score of ≥ 2,000, while NGS confirmed S. clavata presence at the nucleotide level. The MIC values (in mg L-1) for tested drugs were as follows: fluconazole = 2, voriconazole ≤ 2, caspofungin ≥ 8, micafungin = 2, amphotericin B = 4, flucytosine ≤ 1, and anidulafungin = 1. Amphotericin B can be active against S. clavata biofilm and the fungus can be susceptible to new azoles. These findings were helpful for understanding the development of novel treatments for S. clavata-induced disease, including combined therapy for biofilm-associated infections.

https://doi.org/10.1590/s1678-9946202365012

Qualidade de Vida Relacionada à Saúde e Desfechos em Longo Prazo após COVID-19 Sintomática Leve: Protocolo do Estudo Pós-COVID Brasil 2
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Rover, Marciane Maria

; Trott, Geraldine

; Scolari, Fernando Luís

; Silva, Mariana Motta Dias da

; Souza, Denise de

; Santos, Rosa da Rosa Minho dos

; Dagnino, Ana Paula Aquistapase

; Mesquita Neto, Juliana de

; Estivalete, Gabriel Pozza

; Kozesinski-Nakatani, Amanda Christina

; Marcolino, Milena Soriano

; Barreto, Bruna Brandão

; Schvartzman, Paulo Roberto

; Antonio, Ana Carolina Peçanha

; Robinson, Caroline Cabral

; Falavigna, Maicon

; Biolo, Andreia

; Polanczyk, Carisi Anne

; Rosa, Regis Goulart

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 9 elocation e20220835

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

Abstract Background The long-term effects of mild COVID-19 on physical, cognitive, and mental health are not yet well understood. Objective The purpose of this paper is to describe the protocol for the ongoing “Post-COVID Brazil” study 2, which aims to evaluate the factors associated with health-related quality of life and long-term cardiovascular and non-cardiovascular outcomes one year after a mild episode of symptomatic COVID-19. Methods The “Post-COVID Brazil” study 2 is a prospective multicenter study that plans to enroll 1047 patients (NCT05197647). Centralized, structured telephone interviews are conducted at 1, 3, 6, 9, and 12 months after COVID-19 diagnosis. The primary outcome is the health-related quality-of-life utility score, assessed using the EuroQol-5D-3L (EQ-5D-3L) questionnaire at 12 months. Secondary endpoints include the EQ-5D-3L at 3, 6, and 9 months, as well as all-cause mortality, major cardiovascular events, hospitalization, return to work or education, persistent symptoms, new disabilities in instrumental activities of daily living, cognitive impairment, anxiety, depression, and post-traumatic stress symptoms at 3, 6, 9, and 12 months after SARS-CoV-2 infection. A p-value < 0.05 will be considered statistically significant for all analyses. Results The primary endpoint will be presented as the overall frequency of the EQ-5D-3L domains 12 months after SARS-CoV-2 infection. Main analysis will explore the association of independent variables with the study outcomes. Conclusion The “Post-COVID Brazil” study 2 aims to clarify the impact of long COVID on the quality of life and cardiovascular and non-cardiovascular outcomes of Brazilian patients who have had mild COVID-19.

Resumo Fundamento Os efeitos em longo prazo da COVID-19 leve sobre a saúde física, mental e cognitiva ainda não são bem conhecidos. Objetivo Este artigo visa descrever o protocolo para o estudo em andamento Pós-COVID Brasil 2, o qual tem como objetivo avaliar os fatores associados à qualidade de vida associada à saúde e desfechos cardiovasculares e não cardiovasculares de longo prazo um ano após um episódio de COVID-19 sintomática leve. Métodos O estudo “Pós-COVID Brasil 2” é um estudo multicêntrico prospectivo que pretende incluir 1047 pacientes (NCT05197647). Entrevistas estruturas, centralizadas são conduzidas em um mês, e aos três, seis, nove e 12 meses após o diagnóstico de COVID-19. O desfecho primário é o escore de utilidade da qualidade de vida relacionada à saúde, avaliado usando o questionário EuroQol-5D-3L (EQ-5D-3L) aos 12 meses. Desfechos secundários incluem o EQ-5D-3L aos três, seis e nove meses, mortalidade por todas as causas, eventos cardiovasculares maiores, hospitalização, retorno ao trabalho ou à escola, sintomas persistentes, novas incapacidades em atividades instrumentais diárias, déficit cognitivo, ansiedade, depressão, e sintomas de transtorno do estresse pós-traumático as três, seis, nove e doze meses após a infecção pelo SARS-CoV-2. Um valor de p<0,05 será considerado estatisticamente significativo para as análises. Resultados O desfecho primário será apresentado como frequência dos domínios do EQ-5D-3L doze meses após a infecção por SARS-CoV-2. A análise principal explorará a associação das variáveis independentes com os desfechos do estudo. Conclusão O estudo “Pós-COVID Brasil 2” tem como objetivo elucidar o impacto da COVID longa sobre a qualidade de vida e desfechos cardiovasculares e não cardiovasculares de brasileiros pacientes que apresentaram COVID-19 leve.

https://doi.org/10.36660/abc.20220835

Qualidade de Vida em Longo Prazo e Desfechos após Internação por COVID-19 no Brasil: Protocolo do Estudo Pós-COVID Brasil 1
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Trott, Geraldine

; Scolari, Fernando Luis

; Rover, Marciane Maria

; Silva, Mariana Motta Dias da

; Souza, Denise de

; Santos, Rosa da Rosa Minho dos

; Schardosim, Raíne Fogliati de Carli

; Rech, Gabriela Soares

; Mesquita Neto, Juliana de

; Estivalete, Gabriel Pozza

; Freitas, Hellen Jordan Martins

; Itaqui, Carolina Rothmann

; Kozesinski-Nakatani, Amanda Christina

; Biolo, Andreia

; Marcolino, Milena Soriano

; Barreto, Bruna Brandão

; Schvartzman, Paulo Roberto

; Antonio, Ana Carolina Peçanha

; Robinson, Caroline Cabral

; Falavigna, Maicon

; Polanczyk, Carisi Anne

; Rosa, Regis Goulart

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 11 elocation e20230378

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

Abstract Background The long-term impact of hospitalization for COVID-19 on patients’ physical, mental, and cognitive health still needs further assessment. Objectives This study aims to evaluate factors associated with quality of life and cardiovascular and non-cardiovascular outcomes 12 months after hospitalization for COVID-19. Methods This prospective multicenter study intends to enroll 611 patients hospitalized due to COVID-19 (NCT05165979). Centralized telephone interviews are scheduled to occur at three, six, nine, and 12 months after hospital discharge. The primary endpoint is defined as the health-related quality-of-life utility score assessed by the EuroQol-5D-3L (EQ-5D-3L) questionnaire at 12 months. Secondary endpoints are defined as the EQ-5D-3L at three, six and nine months, return to work or education, persistent symptoms, new disabilities in instrumental activities of daily living, cognitive impairment, anxiety, depression, and post-traumatic stress symptoms, major cardiovascular events, rehospitalization, as well as all-cause mortality at 3, 6, 9, and 12 months after SARS-CoV-2 infection. A p-value <0.05 will be assumed as statistically significant for all analyses. Results The primary endpoint will be presented as the frequency of the EQ-5D-3L score 12 months after COVID-19 hospitalization. A sub-analysis to identify possible associations of independent variables with study outcomes will be presented. Conclusions This study will determine the impact of COVID-19 on the quality of life and cardiovascular and non-cardiovascular outcomes of hospitalized patients 12 months after discharge providing insights to the public health system in Brazil.

Resumo Fundamento O impacto em longo prazo da hospitalização por COVID-19 sobre a saúde física, mental e cognitiva dos pacientes requer mais investigação. Objetivos Este artigo visa avaliar os fatores associados com a qualidade de vida e desfechos cardiovasculares e não cardiovasculares 12 meses após a internação hospitalar por COVID-19. Métodos Este estudo multicêntrico prospectivo pretende incluir 611 pacientes internados por COVID-19 (NCT05165979). Entrevistas telefônicas centralizadas estão programadas para ocorrer em três, seis, nove e 12 meses após a alta hospitalar. O desfecho primário é definido como o escore de utilidade de qualidade de vida relacionada à saúde avaliada pelo questionário EuroQol-5D-3L (EQ-5D-3L) aos 12 meses. Desfechos secundários são definidos como o EQ-5D-3L aos três, seis e nove meses, retorno ao trabalho ou à escola, sintomas persistentes, novas incapacidades em atividades instrumentais diárias, déficit cognitivo, ansiedade, depressão, e sintomas de transtorno do estresse pós-traumático, eventos cardiovasculares maiores, reinternação, e mortalidade por todas as causas aos três, seis, nove e 12 meses após a infecção pelo SARS-CoV-2. Um valor de p<0,05 será considerado estatisticamente significativo para as análises. Resultados O desfecho primário será apresentado como frequência do escore EQ-5D-3L 12 meses após a internação por COVID-19. Uma subanálise para identificar possíveis associações das variáveis independentes com desfechos do estudo será apresentada. Conclusão Este estudo determinará o impacto da COVID-19 sobre a qualidade de vida e de desfechos cardiovasculares e não cardiovasculares de pacientes internados 12 meses após a alta, e fornecerá novas informações ao sistema público de saúde no Brasil.

https://doi.org/10.36660/abc.20230378

EBUS-TBNA versus mediastinoscopy for mediastinal staging of lung cancer: a cost-minimization analysis
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Motta, João Pedro Steinhauser

; Silva, José Roberto Lapa e

; Szklo, Amir

; Steffen, Ricardo E.

Jornal Brasileiro de Pneumologia

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2022, Volume 48 N. 4 elocation e20220103

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

RESUMO Objetivo: Avaliar as diferenças de custo entre EBUS-TBNA e mediastinoscopia no estadiamento mediastinal do câncer de pulmão não pequenas células (CPNPC). Métodos: Estudo de avaliação econômica com análise de custo-minimização. Utilizamos um software de análise de decisão para a construção de um modelo de árvore de decisão para comparar os custos à jusante da mediastinoscopia, de EBUS-TBNA sem confirmação cirúrgica de resultados negativos e de EBUS-TBNA com confirmação cirúrgica de resultados negativos no estadiamento mediastinal do CPNPC. O estudo foi realizado sob a perspectiva do sistema público de saúde brasileiro. Foram considerados apenas os custos médicos diretos. Os resultados são apresentados em moeda brasileira (reais; R$) e em dólares internacionais (I$). Resultados: Na análise de caso base, a avaliação inicial com EBUS-TBNA sem confirmação cirúrgica de resultados negativos foi a estratégia menos dispendiosa (R$ 1.254/I$ 2.961) em comparação com a mediastinoscopia (R$ 3.255/I$ 7.688) e EBUS-TBNA com confirmação cirúrgica de resultados negativos (R$ 3.688/I$ 8.711). As análises de sensibilidade também mostraram que EBUS-TBNA sem confirmação cirúrgica de resultados negativos foi a estratégia menos dispendiosa. A mediastinoscopia se tornaria a estratégia menos dispendiosa se os custos com insumos hospitalares para a realização de EBUS-TBNA aumentassem mais de 300%. EBUS-TBNA com confirmação cirúrgica de resultados negativos, em comparação com a mediastinoscopia, será menos dispendiosa se a prevalência de metástase linfonodal mediastinal for ≥ 38%. Conclusões: Este estudo demonstrou que EBUS-TBNA é a estratégia menos dispendiosa para o estadiamento mediastinal invasivo do CPNPC no sistema público de saúde brasileiro.

ABSTRACT Objective: To assess cost differences between EBUS-TBNA and mediastinoscopy for mediastinal staging of non-small cell lung cancer (NSCLC). Methods: This was an economic evaluation study with a cost-minimization analysis. We used a decision analysis software program to construct a decision tree model to compare the downstream costs of mediastinoscopy, EBUS-TBNA without surgical confirmation of negative results, and EBUS-TBNA with surgical confirmation of negative results for the mediastinal staging of NSCLC. The study was conducted from the perspective of the Brazilian public health care system. Only direct medical costs were considered. Results are shown in Brazilian currency (Real; R$) and in International Dollars (I$). Results: For the base-case analysis, initial evaluation with EBUS-TBNA without surgical confirmation of negative results was found to be the least costly strategy (R$1,254/I$2,961) in comparison with mediastinoscopy (R$3,255/I$7,688) and EBUS-TBNA with surgical confirmation of negative results (R$3,688/I$8,711). The sensitivity analyses also showed that EBUS-TBNA without surgical confirmation of negative results was the least costly strategy. Mediastinoscopy would become the least costly strategy if the costs for hospital supplies for EBUS-TBNA increased by more than 300%. EBUS-TBNA with surgical confirmation of negative results, in comparison with mediastinoscopy, will be less costly if the prevalence of mediastinal lymph node metastasis is ≥ 38%. Conclusions: This study has demonstrated that EBUS-TBNA is the least costly strategy for invasive mediastinal staging of NSCLC in the Brazilian public health care system.

https://doi.org/10.36416/1806-3756/e20220103

Avaliação de integração tecnológica de planos de ensino de professores de Biologia em formação com o uso de modelo CTPC
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Souza, André Henrique Silva

; Salvador, Daniel Fábio

; Luz, Mauricio Roberto Motta Pinto da

Ciência & Educação (Bauru)

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2022, Volume 28 elocation e22047

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

Resumo: Em uma disciplina on-line que usou como referencial o Conhecimento Tecnológico Pedagógico do Conteúdo do professor (CTPC, em inglês, TPACK), licenciandos criaram planos de ensino com integração de tecnologias. Os planos foram avaliados por meio de uma rubrica de mensuração de integração tecnológica e os resultados mostram que os estudantes conseguiram satisfatoriamente integrar tecnologias nos planos de ensino, com pontuação próxima do escore médio encontrado em outros estudos. Foram investigadas as características dos estudantes, que poderiam afetar a boa integração de tecnologias nos planos de ensino. Houve diferença significativa (p<0,05) apenas na comparação dos escores de integração tecnológica dos participantes com ou sem outra graduação. Conclui-se que a disciplina embasada pelo referencial CTPC foi a principal influência para o bom desempenho dos professores em formação desse estudo, ao integrar tecnologias em planos de ensino para aulas de biologia e ciências.

Abstract: Through an initial training course for biology teachers offered online and based on the theoretical framework of the Teacher's Content Pedagogical Technological Knowledge (TPACK), the undergraduates created teaching plans with the integration of technologies and were then evaluated according to a rubric for the measurement of technological integration. The results show that students were able to satisfactorily integrate technologies into teaching plans with scores close to the average score found in other studies. We sought to understand which characteristics of students might affect the good integration of technologies in teaching plans. There was a significant difference (p<0.05) only in the comparison of the technological integration scores, for participants with or without another degree. It is concluded that the subject based on the TPACK framework was the main influence for the good performance of the teachers in training in this study when integrating technologies in teaching plans for biology and science classes.

https://doi.org/10.1590/1516-731320220047

Characterization and genetic diversity in Paspalum notatum Flügge accessions: Morphological and geographical distance
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Steiner, Marcelo Gomes

; Weiler, Roberto Luis

; Brunes, André Pich

; Mills, Annamaria

; Dall’Agnol, Miguel

; Nabinger, Carlos

; Motta, Eder Alexandre Minski da

; Silveira, Diógenes Cecchin

; Sampaio, Rodrigo

; Tessis, Gabriel

Revista Brasileira de Zootecnia

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2022, Volume 51 elocation e20220015

Abstract: En | Text: En | PDF: En

ABSTRACT The objective of this work was to describe morphology and grouping of Paspalum notatum accessions, based on multicategorical data which discards the redundant variables for quantification of genetic diversity. We also tested the hypothesis that geographical distance was correlated with morphological divergence. In our study, multivariate analyzes successfully demonstrated the geographic and morphological variability of the P. notatum accessions characterized. Many of these evaluated accessions can be included in future genetic improvement programs. Based on two methodologies for discarding variables, it was possible to identify the potentially important morphological characteristics from genetic diversity studies and characterize new accessions aimed at improving forage and seed production. The methodologies used to discard variables are biometric tools that can be used successfully in future plant breeding programs, especially when a large number of traits and accessions are being evaluated. Although significant, geographic distance had a low association with morphological traits. This indicated the need to use other characteristics, such as forage and seed yield, in addition to molecular analysis. Our analyzes showed genetic variability in P. notatum for all the characteristics studied.

https://doi.org/10.37496/rbz5120220015

10.

The experience of families in face of the finiteness of their children in the process of adopting palliative care
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Neis, Miriam

; Issi, Helena Becker

; Motta, Maria da Graça Corso da

; Rocha, Cristianne Maria Famer

; Carvalho, Paulo Roberto Antonacci

Revista Gaúcha de Enfermagem

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2022, Volume 43 elocation e20220174

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

ABSTRACT Objective: To reveal the experience of family members after learning their child would adopt palliative care. Method: Phenomenological research on Heidegger’s perspective. The participants were eleven family members of children who were recommended palliative care in the Pediatric Intensive Care Unit from a university hospital in southern Brazil. The statements were obtained in a semi-structured interview, from January to November/2017, and submitted to Heidegger’s theoretical-philosophical analysis. Research approved by the institution’s Ethical Committee. Results: The communication of palliative care triggers the perception of the child’s existencial facticity in the Family, revealing reactions explained in the thematic dimensions: “Coping with the finiteness of the child when confronted with the proposal of adopting palliative care” and “The need for compassionate and attentive care”. Final considerations: Phenomenology allows us to understand the parent's existential purpose. An understanding perspective can help interdisciplinary teams to communicate the adoption of palliative care in a sensitive and ethical way, focusing on the best interest of the child.

RESUMEN Objetivo: Revelar la experiencia de familiares después de descubrir que sus niños serían sometidos a paliativos del niño. Método: Investigación fenomenológica em la perspectiva de Heidegger. Participaron once familiares de niños internados en Unidad de Cuidados Intensivos Pediátricos de hospital universitario del sur de Brasil con indicación de cuidados paliativos. Los discursos fueron obtenidos en entrevista semiestructurada, de enero a noviembre/2017, y sometidos al análisis teórico-filosófico Heideggeriano. Investigación aprobada por el Comité de Ética de la institución. Resultados: La comunicación de cuidados paliativos dispara la percepción de la facticidad existencial del niño en la Familia, revelando reacciones explicadas en las dimensiones temáticas: Enfrentando la finitud del niño frente a propuesta de cuidados paliativos y La necesidad de cuidado compasivo y solícito. Consideraciones finales: La fenomenología permite comprender el propósito existencial de los padres. La perspectiva integral puede ayudar el equipo a comunicar la adopción de cuidados paliativos, de una manera sensible y ética, centrándose en el interés superior del niño.

RESUMO Objetivo: Desvelar a vivência de familiares após notícia da adoção de cuidados paliativos para a criança. Método: Pesquisa fenomenológica na perspectiva de Heidegger. Participaram onze familiares de crianças na Unidade de Terapia Intensiva Pediátrica de hospital universitário do sul do Brasil com indicação de cuidados paliativos. Os depoimentos foram obtidos em entrevista semi-estruturada, de janeiro a novembro/2017, submetidos à análise teórico-filosófica de Heidegger. Pesquisa aprovada pelo Comitê de Ética da instituição. Resultados: A comunicação de cuidados paliativos desencadeia no familiar a percepção da facticidade existencial da criança, descortinando reações explicitadas nas dimensões temáticas: Enfrentando a finitude da criança diante da proposta de cuidados paliativos e Necessidade de cuidado compassivo e solícito. Considerações finais: A fenomenologia permitiu compreender o familiar em seu propósito existencial. A perspectiva compreensiva pode auxiliar a equipe interdisciplinar na comunicação da decisão de cuidados paliativos, de modo sensível e ético, focalizando o melhor interesse da criança.

https://doi.org/10.1590/1983-1447.2022.20220174.en

11.

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 2): UPDATE ON TREATMENT
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BARCHI, Leandro Cardoso

; RAMOS, Marcus Fernando Kodama Pertille

; DIAS, André Roncon

; FORONES, Nora Manoukian

; CARVALHO, Marineide Prudêncio de

; CASTRO, Osvaldo Antonio Prado

; KASSAB, Paulo

; COSTA-JÚNIOR, Wilson Luiz da

; WESTON, Antônio Carlos

; ZILBERSTEIN, Bruno

; Ferraz, Álvaro Antônio Bandeira

; ZeideCharruf, Amir

; Brandalise, André

; Silva, André Maciel da

; Alves, Barlon

; Marins, Carlos Augusto Martinez

; Malheiros, Carlos Alberto

; Leite, Celso Vieira

; Bresciani, Claudio José Caldas

; Szor, Daniel

; Mucerino, Donato Roberto

; Wohnrath, Durval R.

; JirjossIlias, Elias

; Martins Filho, Euclides Dias

; PinatelLopasso, Fabio

; Coimbra, Felipe José Fernandez

; Felippe, Fernando E. Cruz

; Tomasisch, Flávio Daniel Saavedra

; Takeda, Flavio Roberto

; Ishak, Geraldo

; Laporte, Gustavo Andreazza

; Silva, Herbeth José Toledo

; Cecconello, Ivan

; Rodrigues, Joaquim José Gama

; Grande, José Carlos Del

; Lourenço, Laércio Gomes

; Motta, Leonardo Milhomem da

; Ferraz, Leonardo Rocha

; Moreira, Luis Fernando

; Lopes, Luis Roberto

; Toneto, Marcelo Garcia

; Mester, Marcelo

; Rodrigues, Marco Antônio Gonçalves

; Franciss, Maurice Youssef

; AdamiAndreollo, Nelson

; Corletta, Oly Campos

; Yagi, Osmar Kenji

; Malafaia, Osvaldo

; Assumpção, Paulo Pimentel

; Savassi-Rocha, Paulo Roberto

; Colleoni Neto, Ramiro

; Oliveira, Rodrigo Jose de

; AissarSallun, Rubens Antonio

; Weschenfelder, Rui

; Oliveira, Saint Clair Vieira de

; Abreu, Thiago Boechat de

; Castria, Tiago Biachi de

; Ribeiro Junior, Ulysses

; Barra, Williams

; Freitas Júnior, Wilson Rodrigues de

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2021, Volume 34 N. 1 elocation e1563

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

RESUMO Racional: O II Consenso Brasileiro de Câncer Gástrico da Associação Brasileira de Câncer Gástrico ABCG (Parte 1) foi recentemente publicado. Nesta ocasião inúmeros especialistas que atuam no tratamento desta doença expressaram suas opiniões diante declarações apresentadas. Objetivo: Apresentar as Diretrizes da ABCG (Parte 2) quanto às indicações de tratamento cirúrgico, técnicas operatórias, extensão de ressecção e terapia combinada. Métodos: Para formulação destas diretrizes os autores realizaram extensa e atual revisão referente a cada declaração presente no II Consenso, utilizando as bases Medline/PubMed, Cochrane Library e SciELO, inicialmente com os seguintes descritores: câncer gástrico, gastrectomia, linfadenectomia, terapia combinada. Ainda, cada declaração foi classificada de acordo com o nível de evidência e grau de recomendação. Resultados: Das 43 declarações presentes neste estudo, 11 (25,6%) foram classificadas com nível de evidência A, 20 (46,5%) B e 12 (27,9%) C. Quanto ao grau de recomendação, 18 (41,9%) declarações obtiveram grau de recomendação 1, 14 (32,6%) 2a, 10 (23,3%) 2b e um (2,3%) 3. Conclusão: O complemento das diretrizes aqui presentes possibilita que cirurgiões e oncologistas que atuam no combate ao câncer gástrico possam oferecer o melhor tratamento possível, de acordo com as condições locais disponíveis.

ABSTRACT Background : The II Brazilian Consensus on Gastric Cancer of the Brazilian Gastric Cancer Association BGCA (Part 1) was recently published. On this occasion, countless specialists working in the treatment of this disease expressed their opinion in the face of the statements presented. Aim : To present the BGCA Guidelines (Part 2) regarding indications for surgical treatment, operative techniques, extension of resection and multimodal treatment. Methods: To formulate these guidelines, the authors carried out an extensive and current review regarding each declaration present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases initially with the following descriptors: gastric cancer, gastrectomy, lymphadenectomy, multimodal treatment. In addition, each statement was classified according to the level of evidence and degree of recommendation. Results : Of the 43 statements present in this study, 11 (25,6%) were classified with level of evidence A, 20 (46,5%) B and 12 (27,9%) C. Regarding the degree of recommendation, 18 (41,9%) statements obtained grade of recommendation 1, 14 (32,6%) 2a, 10 (23,3%) 2b e one (2,3%) 3. Conclusion : The guidelines complement of the guidelines presented here allows surgeons and oncologists who work to combat gastric cancer to offer the best possible treatment, according to the local conditions available.

https://doi.org/10.1590/0102-672020210001e1563 768 downloads

12.

The coffee leaf miner, Leucoptera coffeella (Lepidoptera: Lyonetiidae): identification of the larval instars and description of male and female genitalia
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Motta, Isabela O.

; Dantas, Juliana

; Vidal, Leonardo

; Bílio, João

; Pujol-Luz, José Roberto

; Albuquerque, Érika V. S.

Revista Brasileira de Entomologia

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2021, Volume 65 N. 3 elocation e20200122

Abstract: En | Text: En | PDF: En

ABSTRACT The coffee leaf miner Leucoptera coffeella (Guérin-Mèneville & Perrottet) is a key pest in coffee producing countries. During their development, the larvae feed on the palisade parenchyma of the leaves, forming mines and necrotic areas. As a result, the photosynthetic area of the plant decreases, affecting coffee production. Despite the severity of the damage caused by coffee leaf miner (CLM), morphological aspects of the larval development and the adult genitalia remain unknown. This work presents the first morphological description of the four larval instars and the adult genitalia of L. coffeella. In each larval instar, we measured the Mean ± SD (mm) of the cephalic capsules (1st 0,14±0,03; 2nd 0,25±0,04; 3rd 0,32±0,03; 4th 0,42±0,03) and observed the following morphological details: primary setae, prolegs, crochets and ecdysial line of the cephalic capsule. In the adults, we show how to differentiate adult sexing and observed the sexual structures present in both genitalia: male - bulbus ejaculatorius, valva, gnathos and aedeagus, and female - ovipositor, sclerite and corpus bursae.

https://doi.org/10.1590/1806-9665-rbent-2020-0122 133 downloads

13.

Response of Bahiagrass hybrids to nitrogen fertilization or mixture with legumes
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Motta, Eder Alexandre Minski da

; Graminho, Larissa Arnhold

; Dall’Agnol, Miguel

; Pötter, Luciana

; Nabinger, Carlos

; Souza, Cleber Henrique Lopes de

; Krycki, Karine Cristina

; Santos, Tamyris Nunes dos

; Weiler, Roberto Luis

; Ávila, Mariana Rockenbach de

Revista Brasileira de Zootecnia

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2021, Volume 50 elocation e20210015

Abstract: En | Text: En | PDF: En

ABSTRACT The objective of this work was to determine Paspalum notatum genotypes appropriate for the establishment of mixtures with temperate legumes and compare the productivity of mixtures with mineral-fertilized systems along two years. Four hybrids of P. notatum, ecotype Bagual and cv. Pensacola, were either subjected to mixtures with white clover (Trifolium repens) and birdsfoot trefoil (Lotus corniculatus) or fertilized with 0, 60, 120, 240, and 480 kg N ha−1 year−1. P. notatum leaf blades and stems and herbage accumulation denoted a management × year interaction. Herbage accumulation varied between the mixtures and fertilized systems in first year, while in the second year, herbage accumulation of mixed systems employing the B26, B43, C22, C9, and Bagual genotypes were similar to that of systems fertilized with 120 and 240 kg N ha−1. Hybrids B26 and C9 and ecotype Bagual, once made available to producers, could be indicated for mixtures with temperate legumes because they are superior to cv. Pensacola. Herbage accumulation in mixtures involving white clover plus birdsfoot trefoil and P. notatum genotypes is similar to that of mineral nitrogen-fertilized systems with 240 kg N ha−1, emphasizing the viability of mixed between these species.

https://doi.org/10.37496/rbz5020210015 106 downloads

14.

Multivariate analysis reveals genetic diversity in Paspalum notatum Flügge
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Machado, Juliana Medianeira

; Motta, Eder Alexandre Minski da

; Barbosa, Marlon Risso

; Weiler, Roberto Luis

; Simioni, Carine

; Silveira, Diógenes Cecchin

; Mills, Annamaria

; Pereira, Emerson André

; Dall’Agnol, Miguel

Revista Brasileira de Zootecnia

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2021, Volume 50 elocation e20200252

Abstract: En | Text: En | PDF: En

ABSTRACT The objective of this study was to evaluate 94 Paspalum notatum genotypes over two growing seasons to estimate genetic dissimilarity through agronomic traits and the distance between genotypes. This information is used to create an ideotype from the best averages obtained for the set of characteristics evaluated. Seven apomitic, three sexual, and 81 hybrid genotypes were compared with native genotypes “André da Rocha”, “Bagual”, and cultivar “Pensacola” as controls. There is genetic variability in P. notatum for the studied characteristics, and distinct genotypes with superior characteristics can be used in new combinations between apomictic and sexual plants to obtain hybrids. The characters with the greatest relative contribution to the dissimilarity between the genotypes were tiller density, stem dry mass, and leaf dry mass yield. Thus, these characteristics are suitable criteria to infer genetic distance studies in P. notatum . The selection index based on the ideotype is an auxiliary tool in the breeding process. The ideotype must be based on characteristics of interest according to the objective of the breeding program, as well as on the breeder’s prior knowledge in relation to culture.

https://doi.org/10.37496/rbz5020200252

15.

Comparative Study between Scales: Subjective Elbow Value and Patient-rated Tennis Elbow Evaluation Applied to Patients Affected by Lateral Epicondylitis
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Ikemoto, Roberto Yukio

; Almeida, Luiz Henrique Oliveira

; Motta, Giovanna Galvão Braga

; Kim, Alexandre Se Moo

; Lial, Carlos Vitor Nunes

; Claros, Johny James

Revista Brasileira de Ortopedia

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oct 2020, Volume 55 N. 5 Pages 564 - 569

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

Resumo Objetivo Avaliar se a aplicação das escalas subjective elbow value (SEV) e Patient-rated Tennis Elbow Evaluation (PRTEE) apresentam resultados similares na avaliação de pacientes com epicondilite lateral do cotovelo. Métodos Trinta e sete indivíduos com diagnostic de epicondilite lateral do cotovelo foram avaliados no ambulatório de cirurgia do ombro e cotovelo do nosso hospital. O diagnóstico foi realizado com a história clínica da patologia, exame físico, raio-x, e ultrassonográfia. Foram utilizadas as escalas SEV e PRTEE, e os resultados foram comparados estatisticamente, usando-se como nível de significância 5% (p ≥ 0,05). Resultados Encontramos uma relação estatisticamente significante entre os valores obtidos pelas escalas SEV e PRTEE quando aplicadas no grupo de pacientes portadores de epicondilite lateral (p= 0,017). Conclusão Subjective elbow value apresentou resultados similares ao PRTEE na avaliação de pacientes com diagnóstico de epicondilite lateral do cotovelo.

Abstract Objective To verify if the subjective elbow value (SEV) scale presents similar results to those of the Patient-rated Tennis Elbow Evaluation (PRTEE) scale in the evaluation of patients with lateral elbow epicondylitis (LEE). Methods Thirty-seven patients were diagnosed with LEE in the outpatient service of our hospital through clinical history, physical examination, X-ray, and ultrasonography. The SEV and PRTEE scales were used and their results were compared using a significance level ≥ 5% (p ≥0.05). Results A statistically significant relationship was found between the values of SEV and PRTEE in the group of patients studied (p= 0.017). Conclusion Subjective elbow value presented similar results to PRTEE in the evaluation of patients with diagnosis of LEE.

https://doi.org/10.1055/s-0039-3402465 1142 downloads

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