Pesquisa | SciELO

ABSTRACT Objective: To study associations between polymorphisms in the angiotensin converting enzyme (ACE I/D), actinin 3 (ACTN3 R577X) and paraoxonase 1 (PON1 T(-107)C) genes and chronic diseases (diabetes and hypertension) in women. Materials and methods: Genomic DNA was extracted from saliva samples of 78 women between 18 and 59 years old used for genetic polymorphism screening. Biochemical data were collected from the medical records in Basic Health Units from Southern Brazil. Questionnaires about food consumption, physical activity level and socioeconomic status were applied. Results: The XX genotype of ACTN3 was associated with low HDL levels and high triglycerides, total cholesterol and glucose levels. Additionally, high triglycerides and LDL levels were observed in carriers of the TT genotype of PON1, and lower total cholesterol levels were associated to the CC genotype. As expected, women with diabetes/hypertense had increased body weight, BMI (p = 0.02), waist circumference (p = 0.01), body fat percentage, blood pressure (p = 0.02), cholesterol, triglycerides (p = 0.02), and blood glucose (p = 0.01), when compared to the control group. Conclusion: Both ACTN3 R577X and PON1 T(-107)C polymorphisms are associated with nutritional status and blood glucose and lipid levels in women with diabetes/hypertense. These results contribute to genetic knowledge about predisposition to obesity-related diseases.

https://doi.org/10.20945/2359-4292-2021-0204

Limitations of using the DATASUS database as a primary source of data in surgical research: a scoping review
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VIANA, SOFIA WAGEMAKER

; FALEIRO, MATHEUS DANIEL

; MENDES, ANNA LUIZA FONTES

; TORQUATO, AMANDA CIPRIANO

; TAVARES, CLARA PEREIRA OLIVEIRA

; FERES, BRENDA

; FERNANDEZ, MIGUEL GODEIRO

; SOBREIRA, ITALLO ROMERO MARQUES

; AQUINO, CAROLINE MARQUES DE

; ABIB, SIMONE DE CAMPOS VIEIRA

; BOTELHO, FABIO

Revista do Colégio Brasileiro de Cirurgiões

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2023, Volume 50 elocation e20233545

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

ABSTRACT Objective: DATASUS is the Brazilian Public Unified Health System (SUS) department responsible for providing health data that are used as a primary source of data in several studies on surgery and surgical specialties although its main limitations have not been previously reviewed. The objective of this work is to synthesize information from studies on surgery that used DATASUS systems as a data source and to identify the main gaps in this platform. Methods: a scoping review was conducted according to the PRISMA-ScR method to identify papers on surgery, and other surgical specialties, that used the DATASUS platform as a primary data source. No restrictions were imposed regarding the type of study or year of publication. Grounded Theory was used to analyze the content of the articles. Results: 248 works were initially analyzed and 47 were included in the final analysis of this study. The original articles included were published between 2009 and 2022 and the majority (12.76%, n=6) were published in the Journal of the Brazilian College of Surgeons. Retrospective studies (40.43%, n=19) were the most common type of study found. Content analysis of the articles identified four predominant domains in the scientific literature about the limitations of using DATASUS in surgical research: lack of data, reliability, precision and data integration. Conclusion: the information systems available in DATASUS are the largest source of information about the SUS, but the scientific literature on the quality of data available in these systems remains scarce and studies aimed at measuring this metric are necessary.

RESUMO Objetivo: o DATASUS é o departamento do SUS responsável por disponibilizar dados de saúde que são empregados como fonte primária de dados em diversos estudos sobre cirurgia e especialidades cirúrgicas, embora principais limitações não tenham sido revisadas anteriormente. O objetivo deste trabalho é sintetizar as informações de estudos sobre cirurgia que utilizaram sistemas do DATASUS como fonte de dados, identificando as principais lacunas. Métodos: uma revisão de escopo foi conduzida de acordo com o método PRISMA-ScR para a identificação de trabalhos sobre cirurgia, e outras especialidade cirúrgicas, que utilizaram a plataforma DATASUS como fonte primária de dados. Nenhuma restrição foi imposta em relação ao tipo de estudo ou ano de publicação. A Teoria Fundamentada em Dados foi utilizada para a análise do conteúdo dos artigos. Resultados: 248 trabalhos foram inicialmente analisados e 47 foram incluídos na análise final deste estudo. Os artigos originais incluídos foram publicados entre 2009 e 2022, maioria (12,76%, n=6) foi publicada na Revista do Colégio Brasileiro de Cirurgiões. Estudos retrospectivos (40,43%, n=19) foram o tipo de estudo mais comum encontrado. A análise dos artigos identificou quatro domínios predominantes na literatura científica acerca das limitações do uso de DATASUS em pesquisas em cirurgia: falta de dados, confiabilidade, precisão e integralização dos dados. Conclusão: os sistemas de informação dispostos no DATASUS constituem a maior fonte de informações sobre o SUS, porém a literatura científica sobre a qualidade dos dados dispostos nestes sistemas permanece escassa e trabalhos direcionados a mensurar essa métrica são necessários.

https://doi.org/10.1590/0100-6991e-20233545-en

Sleep parameters in patients with chronic hypersensitivity pneumonitis: a case-control study
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Martins, Rafaela Boaventura

; Bittencourt, Lia Rita Azeredo

; Botelho, André Bezerra

; Resende, Ana Carolina Lima

; Gomes, Paula Silva

; Tufik, Sergio

; Matias, Simone Lobo Krupok

; Soares, Maria Raquel

; Pereira, Carlos Alberto de Castro

Jornal Brasileiro de Pneumologia

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2023, Volume 49 Nº 5 elocation e20230036

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

ABSTRACT Objective: To compare patients with chronic hypersensitivity pneumonitis (cHP) and controls with normal spirometry in terms of their sleep characteristics, as well as to establish the prevalence of obstructive sleep apnea (OSA) and nocturnal hypoxemia. Secondary objectives were to identify factors associated with OSA and nocturnal hypoxemia; to correlate nocturnal hypoxemia with the apnea-hypopnea index (AHI) and lung function, as well as with resting SpO2, awake SpO2, and SpO2 during exercise; and to evaluate the discriminatory power of sleep questionnaires to predict OSA. Methods: A total of 40 patients with cHP (cases) were matched for sex, age, and BMI with 80 controls, the ratio of controls to cases therefore being = 2:1. The STOP-Bang questionnaire, the Epworth Sleepiness Scale (ESS), the Pittsburgh Sleep Quality Index, the Berlin questionnaire and the Neck circumference, obesity, Snoring, Age, and Sex (NoSAS) score were applied to all cases, and both groups underwent full-night polysomnography. Results: The patients with cHP had longer sleep latency, lower sleep efficiency, a lower AHI, a lower respiratory disturbance index, fewer central apneas, fewer mixed apneas, and fewer hypopneas than did the controls. The patients with cHP had significantly lower nocturnal SpO2 values, the percentage of total sleep time spent below an SpO2 of 90% being higher than in controls (median = 4.2; IQR, 0.4-32.1 vs. median = 1.0; IQR, 0.1-5.8; p = 0.01). There were no significant differences between cases with and without OSA regarding the STOP-Bang questionnaire, NoSAS, and ESS scores. Conclusions: The prevalence of OSA in cHP patients (cases) was high, although not higher than that in controls with normal spirometry. In addition, cases had more hypoxemia during sleep than did controls. Our results suggest that sleep questionnaires do not have sufficient discriminatory power to identify OSA in cHP patients.

RESUMO Objetivo: Comparar pacientes com pneumonite de hipersensibilidade crônica (PHc) e controles com espirometria normal quanto às características do sono, bem como estabelecer a prevalência de apneia obstrutiva do sono (AOS) e hipoxemia noturna. Os objetivos secundários foram identificar fatores associados à AOS e hipoxemia noturna; correlacionar a hipoxemia noturna com o índice de apneias e hipopneias (IAH), função pulmonar, SpO2 em repouso, SpO2 em vigília e SpO2 durante o exercício; e avaliar o poder discriminatório de questionários do sono para predizer AOS. Métodos: Um total de 40 pacientes com PHc (casos) foram emparelhados por sexo, idade e IMC com 80 controles (2:1). O questionário STOP-Bang, a Escala de Sonolência de Epworth (ESE), o Índice de Qualidade do Sono de Pittsburgh, o questionário de Berlim e o escore Neck circumference, obesity, Snoring, Age, and Sex (NoSAS, circunferência do pescoço, obesidade, ronco, idade e sexo) foram aplicados a todos os casos, e ambos os grupos foram submetidos a polissonografia de noite inteira. Resultados: Os pacientes com PHc apresentaram maior latência do sono, menor eficiência do sono, menor IAH, menor índice de distúrbio respiratório, menos apneias centrais, menos apneias mistas e menos hipopneias do que os controles. Os pacientes com PHc apresentaram SpO2 noturna significativamente menor; a porcentagem do tempo total de sono com SpO2 < 90% foi maior que nos controles (mediana = 4,2; IIQ: 0,4-32,1 vs. mediana = 1,0; IIQ: 0,1-5,8; p = 0,01). Não houve diferenças significativas entre os casos com e sem AOS quanto à pontuação no questionário STOP-Bang, no NoSAS e na ESE. Conclusões: A prevalência de AOS em pacientes com PHc (casos) foi alta, embora não tenha sido maior que a observada em controles com espirometria normal. Além disso, os casos apresentaram mais hipoxemia durante o sono do que os controles. Nossos resultados sugerem que os questionários do sono não têm poder discriminatório suficiente para identificar AOS em pacientes com PHc.

https://doi.org/10.36416/1806-3756/e20230036

Interaction between the impact of the Coronavirus disease 2019 pandemic and demographic characteristics on sexual/erectile dysfunction in Latin America: cross-sectional study
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Pérez, Constanza Alvear

; Michelutti, Luciana de Barros Cavalcanti

; Palharini, Maria Volpato

; Teixeira, Luisa Pasqualotto

; Silva, Valeria Regina

; Teixeira, Lucas Emmanuel Pedro de Paiva

; Silva, Silvia Lanziotti Azevedo da

; Botelho, Simone

International braz j urol

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Jun 2022, Volume 48 Nº 3 Páginas 512 - 547

Resumo: En | Texto: En | PDF: En

ABSTRACT Aim: Our objective was to investigate whether there is an interaction between the COVID-19 pandemic, demographic characteristics and erectile/sexual (E/S) function in individuals from Latin America. Materials and Methods: Cross-sectional study which included Latin American individuals over 18 years old, recruited through social media and interviewed between July and August 2020 by online surveys (Google Forms) in Portuguese and Spanish languages. The E/S function was evaluated through the following questionnaires: Simplified International Index of Erectile Function (IIEF-5) and Female Sexual Function Index (FSFI); while post-traumatic stress disorder (PTSD) triggered by the COVID-19 pandemic was assessed through the Impact of Event Scale Revised (IES-R). The data was analyzed by T Student, bivariate and multivariate logistic regression, with significance determined by the Wald test (p<0.05), using the R software v4.0. Results: Out of the 2016 individuals that responded to the survey, 1986 were included and 743 of them presented E/S dysfunction. PTSD occurrence was greater among people with E/S dysfunction when compared to those without E/S dysfunction, in the total score (males: IES-R=26.54[±19.17] and females: IES-R=35.92[±19.25]) and also in the three domains. It was found that those who do not live with a partner were 74% more likely to have E/S dysfunction, but living with a partner during the pandemic had a greater impact on E/S function. Conclusion: A negative interaction between the impact of the COVID-19 pandemic and erectile/sexual function of the Latin American population was observed, with greater implications among the individuals who live with their partners.

https://doi.org/10.1590/s1677-5538.ibju.2021.0764

Can Supervised Pelvic Floor Muscle Training Through Gametherapy Relieve Urinary Incontinence Symptoms in Climacteric Women? A Feasibility Study
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Nagib, Anita Bellotto Leme

; Silva, Valeria Regina

; Martinho, Natalia Miguel

; Marques, Andrea

; Riccetto, Cassio

; Botelho, Simone

Revista Brasileira de Ginecologia e Obstetrícia

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Jul 2021, Volume 43 Nº 7 Páginas 535 - 544

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

Resumo Objetivo Investigar a viabilidade do treinamento dos músculos do assoalho pélvico (TMAP) por meio de gameterapia no alívio de sintomas urinários em mulheres climatéricas com incontinência urinária (IU) de esforço ou mista. Métodos Ensaio clínico randomizado, dividido em dois grupos: Gameterapia (G_Game) e Controle (G_Controle). Ambos os grupos receberam recomendações sobre TMAP não supervisionado, e G_Gametambém recebeu TMAP supervisionado por meio de gameterapia. Após 5 semanas consecutivas, a viabilidade foi investigada considerando a aderência das participantes, sintomas urinários (avaliados pelo questionário International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form [ICIQ-UI-SF]) e função do assoalho pélvico (esquema PERFECT: power, endurance, repetition, fast). Os testes exatos de Fisher, Kruskal-Wallis, sinal de Wilcoxon pareado e Mann-Whitney U foram usados pela análise de intenção de tratar, usando o software STATA 15.1 (StataCorp, College Station, TX, EUA). Resultados O presente estudo incluiu 20 mulheres por grupo e observou uma maior adesão no G_Game. Na análise intragrupo, foi observada diminuição no escore do ICIQUI- SF emambos os grupos (de 14,0 para 10,0; de 13,5 para 0), associada ao aumento da resistência (de 2,5 para 3,5; de 2,5 para 4,0) em G_Control e G_Game, respectivamente. Além disso, houve um aumento concomitante no power (de 2,0 para 3,0), repetition (de 3,0 para 5,0) e fast (de 10,0 para 10,0) dosmúsculos do assoalho pélvico (MAPs) no G_Game. Na análise intergrupos, foi observada redução da IU (p<0,001; r=0,8), assim como do power (p=0,027; r=0,2) e da endurance (p=0,033; r=0,3) dos MAPs no G_Game. Conclusão A viabilidade do TMAP supervisionado por meio de gameterapia foi identificada pela observação da aderência das participantes, pelo alívio dos sintomas urinários e pela melhora da função dos MAPs.

Abstract Objective To investigate the feasibility of pelvic floor muscle training (PFMT) through gametherapy for relieving urinary symptoms of climacteric women with stress ormixed urinary incontinence (UI). Methods Randomized clinical trial, divided into two groups: Gametherapy (G_Game) and Control (G_Control). Both groups received recommendations about unsupervised PFMT, and G_Game also received supervised PFMT through gametherapy. After 5 consecutive weeks, the feasibility was investigated considering participant adherence, urinary symptoms (evaluated by the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form [ICIQ-UI-SF] questionnaire), and pelvic floor function (PERFECT Scheme: power, endurance, repetition and fast). The Fisher exact, Kruskal-Wallis, Wilcoxon sign paired, and Mann-Whitney U tests were used by intention-to-treat analysis, using STATA 15.1 (StataCorp, College Station, TX, USA) software. Results The present study included 20 women per group and observed a higher adherence in G_Game. In the intragroup analysis, a decrease in the ICIQ-UI-SF score was observed in both groups (14.0 to 10.0; 13.5 to 0), associated with increased endurance (2.5 to 3.5; 2.5 to 4.0) in G_Control and G_Game, respectively. Moreover, there was a concomitant increase in pelvic floor muscles (PFMs) power (2.0 to 3.0), repetition (3.0 to 5.0), and fast (10.0 to 10.0) in G_Game. In the intergroup analysis, a reduction of UI was observed (p<0.001; r=0.8), as well an increase in PFM power (p=0.027, r=0.2) and endurance (p=0.033; r=0.3) in G_Game. Conclusion The feasibility of supervised PFMT through gametherapy was identified by observing participant adherence, relief of urinary symptoms, and improvement in PFM function.

https://doi.org/10.1055/s-0041-1733979 99 downloads

The Brazilian version of the Health-Related Quality of Life Questionnaire for Nausea and Vomiting of Pregnancy: translation, cross-cultural adaptation and reliability – an observational cross-sectional study
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Piccini, Adriana

; Tulha, Amanda

; Silva, Sílvia Lanziotti Azevedo da

; Michelutti, Luciana de Barros Cavalcanti

; Carvalho, Leonardo César

; Botelho, Simone

Sao Paulo Medical Journal

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Abr 2021, Volume 139 Nº 2 Páginas 147 - 155

Resumo: En | Texto: En | PDF: En

ABSTRACT BACKGROUND: The Health-Related Quality of Life Questionnaire for Nausea and Vomiting of Pregnancy (NVPQOL) is a validated questionnaire assessing quality of life among pregnant women with nausea and vomiting. OBJECTIVE: To translate, cross-culturally adapt and evaluate the reliability of the NVPQOL. DESIGN AND SETTING: Observational cross-sectional study developed in a public university in Brazil. METHODS: The translation, synthesis of translations, back-translation, expert committee, pre-testing and validation were carried out, resulting in a Portuguese-language version. The internal consistency, intra-rater and test-retest reliability and correlation between the total score of the Portuguese-language version of the NVPQOL and the domains of the World Health Organization Quality of Life-bref questionnaire were considered in the data analysis. RESULTS: The instrument went through the process with testing on 104 pregnant women. Strong internal consistency (Cronbach's α: 0.95), strong intra-rater and test-retest reliability (P < 0.0; intraclass correlation coefficient: 0.89; confidence interval: 0.791-0.945) and strong correlation between the total score of the Portuguese-language version of the NVPQOL and the physical health domain of the World Health Organization Quality of Life-bref questionnaire (P < 0.01; R = −0.8) were observed. CONCLUSION: The NVPQOL was translated, cross-culturally adapted and validated for the Portuguese language with satisfactory psychometric properties for assessing quality of life, especially in relation to physical health, among pregnant women with symptoms of nausea and vomiting in the first trimester of pregnancy.

https://doi.org/10.1590/1516-3180.2020.0430.r1.08122020 359 downloads

Pediatric patients with COVID-19 admitted to intensive care units in Brazil: a prospective multicenter study,
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Prata-Barbosa, Arnaldo

; Lima-Setta, Fernanda

; Santos, Gustavo Rodrigues dos

; Lanziotti, Vanessa Soares

; Castro, Roberta Esteves Vieira de

; Souza, Daniela Carla de

; Raymundo, Carlos Eduardo

; Oliveira, Felipe Rezende Caino de

; Lima, Lucio Flavio Peixoto de

; Tonial, Cristian Tedesco

; Colleti Jr., José

; Bellinat, Ana Paula Novaes

; Lorenzo, Vivian Botelho

; Zeitel, Raquel de Seixas

; Pulcheri, Lucas

; Costa, Fernanda Ciuffo Monte da

; La Torre, Fabíola Peixoto Ferreira

; Figueiredo, Elaine Augusta das Neves

; Silva, Thiago Peres da

; Riveiro, Paula Marins

; Mota, Isabele Coelho Fonseca da

; Brandão, Igor Bromonschenkel

; Azevedo, Zina Maria Almeida de

; Gregory, Simone Camera

; Boedo, Fernanda Raquel Oliveira

; Carvalho, Rosana Novais de

; Castro, Natália Almeida de Arnaldo Silva Rodriguez

; Genu, Daniel Hilário Santos

; Foronda, Flavia Andrea Krepel

; Cunha, Antonio José Ledo A.

; Magalhães-Barbosa, Maria Clara de

Jornal de Pediatria

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Dez 2020, Volume 96 Nº 5 Páginas 582 - 592

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

Resumo Objetivo: Descrever as características clínicas de crianças e adolescentes internados em unidade de terapia intensiva com COVID-19 confirmada. Método: Estudo prospectivo, multicêntrico, observacional, em 19 unidades de terapia intensiva pediátrica. Foram incluídos pacientes entre um mês e 19 anos, admitidos consecutivamente (março a maio de 2020). As características demográficas, clínico-epidemiológicas, o tratamento e os resultados foram coletados. Os subgrupos foram comparados de acordo com as comorbidades, idade < 1 ano e necessidade de ventilação mecânica invasiva. Um modelo de regressão logística multivariável foi utilizado para preditores de gravidade. Resultados: Setenta e nove pacientes foram incluídos (10 com síndrome inflamatória multi-ssistêmica). Mediana de idade, quatro anos; 54% eram do sexo masculino (síndrome inflamatória multissistêmica, 80%); 41% tinham comorbidades (síndrome inflamatória multissistêmica, 20%). Febre (76%), tosse (51%) e taquipneia (50%) foram comuns nos dois grupos. Sintomas graves egastrointestinais e marcadores inflamatórios mais elevados foram mais frequentes na presença de síndrome inflamatória multissistêmica. Infiltrados intersticiais pulmonares foram comuns em ambos os grupos, mas o derrame pleural foi mais prevalente no grupo com síndrome inflamatória multissistêmica (43% vs. 14%). A ventilação mecânica invasiva foi utilizada em 18% (mediana 7,5 dias); antibióticos, oseltamivir e corticosteroides foram utilizados em 76%, 43% e 23%, respectivamente, mas não a hidroxicloroquina. A mediana do tempo de permanência na unidade de terapia intensiva pediátrica foi de 5 dias; duas mortes ocorreram (3%) no grupo não- síndrome inflamatória multissistêmica. Os pacientes com comorbidades eram mais velhos, e as comorbidades foram independentemente associadas à necessidade de ventilação mecânica invasiva(OR 5,5; IC95%, 1,43-21,12; P 0,01). Conclusões: Nas unidades de terapia intensiva pediátrica brasileiras, a COVID-19 apresentou baixa mortalidade, a idade inferior a um ano não foi associada a um pior prognóstico, os pacientes com síndrome inflamatória multissistêmica apresentaram sintomas mais graves, biomarcadores inflamatórios mais elevados e uma grande predominância no sexo masculino, mas apenas a presença de comorbidades e doenças crônicas foi um preditor independente de gravidade.

Abstract Objective: To describe the clinical characteristics of children and adolescents admitted to intensive care with confirmed COVID-19. Method: Prospective, multicenter, observational study, in 19 pediatric intensive care units. Patients aged 1 month to 19 years admitted consecutively (March-May 2020) were included. Demographic, clinical-epidemiological features, treatment, and outcomes were collected. Subgroups were compared according to comorbidities, age < 1 year, and need for invasive mechanical ventilation. A multivariable logistic regression model was used for predictors of severity. Results: Seventy-nine patients were included (ten with multisystemic inflammatory syndrome). Median age 4 years; 54% male (multisystemic inflammatory syndrome, 80%); 41% had comorbidities (multisystemic inflammatory syndrome, 20%). Fever (76%), cough (51%), and tachypnea (50%) were common in both groups. Severe symptoms, gastrointestinal symptoms, and higher inflammatory markers were more frequent in multisystemic inflammatory syndrome. Interstitial lung infiltrates were common in both groups, but pleural effusion was more prevalent in the multisystemic inflammatory syndrome group (43% vs. 14%). Invasive mechanical ventilation was used in 18% (median 7.5 days); antibiotics, oseltamivir, and corticosteroids were used in 76%, 43%, and 23%, respectively, but not hydroxychloroquine. The median pediatric intensive care unit length-of-stay was five days; there were two deaths (3%) in the non- multisystemic inflammatory syndrome group. Patients with comorbidities were older and comorbidities were independently associated with the need for invasive mechanical ventilation (OR 5.5; 95% CI, 1.43-21.12; p = 0.01). Conclusions: In Brazilian pediatric intensive care units, COVID-19 had low mortality, age less than 1 year was not associated with a worse prognosis, and patients with multisystemic inflammatory syndrome had more severe symptoms, higher inflammatory biomarkers, and a greater predominance of males, but only comorbidities and chronic diseases were independent predictors of severity.

https://doi.org/10.1016/j.jped.2020.07.002 2718 downloads

Fe de errores a «Creación de un Currículo de Competencias en Cariología para Estudiantes de Pregrado de Odontología en Chile»
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Giacaman, Rodrigo A.

; Aranguiz, Vicente

; Botelho, Juliana

; Bustos, Ivonne P.

; Cabello, Rodrigo

; Candiales, Yuliana

; Carrizo, Ana María

; Carvajal, Claudia

; Castro, Ramiro

; Castro, René

; Díaz, Jaime

; Díaz-Yokens, Marco

; Díaz-Dosque, Mario

; Diaz-Garrido, Natalia

; Durán, Gerardo

; Faleiros, Simone

; Flores, Mario

; Fonseca, Juan

; Fontana, Margherita

; Gajardo, Manuel

; Gómez, Marianela

; Gonzalez-Cabezas, Carlos

; González, Sergio

; Irribarra, Roberto

; Jara, Gisela

; León, Soraya

; Marró, María Loreto

; Mautz, Claudia

; Mustakis, Alexandra

; Onetto, Juan Eduardo

; Ortiz, María Eugenia

; Pérez, Darwin

; Pérez, Vidal

; Ramírez, Valeria

; Rodríguez, Gonzalo

; Rojas, Valeria

; Ruiz, Begoña

; Silva, Alfredo

; Urzúa, Iván

; Valle, Carolina del

; Zaror, Carlos

; Moncada, Gustavo

Revista clínica de periodoncia, implantología y rehabilitación oral

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Ago 2018, Volume 11 Nº 2 Páginas 129 - 129

Resumo: Es | Texto: Es | PDF: Es

447 downloads

Creación de un Currículo de Competencias en Cariología para Estudiantes de Pregrado de Odontología en Chile.
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Giacaman, Rodrigo A.

; Aranguiz, Vicente

; Botelho, Juliana

; Bustos, Ivonne P.

; Cabello, Rodrigo

; Candiales, Yuliana

; Carrizo, Ana María

; Carvajal, Claudia

; Castro, Ramiro

; Castro, René

; Díaz, Jaime

; Díaz-Yokens, Marco

; Díaz-Dosque, Mario

; Diaz-Garrido, Natalia

; Durán, Gerardo

; Faleiros, Simone

; Flores, Mario

; Fonseca, Juan

; Fontana, Margherita

; Gajardo, Manuel

; Gómez, Marianela

; Gonzalez-Cabezas, Carlos

; González, Sergio

; Irribarra, Roberto

; Jara, Gisela

; León, Soraya

; Marró, María Loreto

; Mautz, Claudia

; Mustakis, Alexandra

; Onetto, Juan Eduardo

; Ortiz, María Eugenia

; Pérez, Darwin

; Pérez, Vidal

; Ramírez, Valeria

; Rodríguez, Gonzalo

; Rojas, Valeria

; Ruiz, Begoña

; Silva, Alfredo

; Urzúa, Iván

; Valle, Carolina del

; Zaror, Carlos

; Moncada, Gustavo

Revista clínica de periodoncia, implantología y rehabilitación oral

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Abr 2018, Volume 11 Nº 1 Páginas 58 - 68

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

ABSTRACT: Objective: Development of a minimum set of competencies in Cariology that every dentist graduated from a Dental School in Chile must have. Methodology: Starting from a meeting of scholars from the Universities of Talca and Chile (year 2011), an initial proposal for a curriculum was developed, based on the domains proposed by the European Cariology Curriculum (Schulte, et al, 2011). During 2016, this proposal was discussed through online dialogues and working groups, with the participation of 95.2% of the Chilean dental schools, which resulted in an intermediate document. This document was analyzed, discussed and refined during the Workshop for the Development of a Curriculum of Minimum Competencies in Cariology for Chilean Dental Schools (May 22, 2017, Talca, organized by the Universities of Talca and Chile) with the attendance of representatives from 95.2% of the Chilean dental schools, the Chilean Ministry of Health, Chilean College od Dentists and with the assistance of the professors of Cariology Margherita Fontana and Carlos González-Cabezas (University of Michigan, Ann Arbor, USA). Each working group revised the document and provided feedback, which was incorporated in the final document by an advisory committee, elected on the day of the workshop, including the authors of the present article. Results: The Cariology Curriculum was organized in 5 Domains: 1. Basic knowledge; 2. Risk assessment, caries diagnosis and caries lesion detection; 3. Decision-making and non-operative preventive treatment; 4. Decision making and operative treatment; and 5. Evidence-based, clinical and public health practice. Operational definitions, main competencies and sub-competencies for each domain were agreed. Sub-competencies were classified into three levels: A: Be competent in; B: Have knowledge about, and C: Be familiar with. The final document was sent to all the participants of the workshop for dissemination in each of the institutions involved. Conclusions: The development of the Competency-based Curriculum in Cariology for undergraduate dental students at Chilean universities was achieved through consensus.

RESUMEN: Objetivo: Creación de un currículo de competencias mínimas en Cariología, para la formación de los Cirujano-Dentistas egresados de las escuelas de Odontología de Chile. Metodologías: A partir de una reunión de académicos de las Universidades de Talca y de Chile (año 2011), se elaboró una propuesta de currículo inicial, basado en los dominios propuestos por la Unión Europea (Schulte AG y cols). Durante el año 2016, dicha propuesta fue analizada mediante diálogos digitales y grupos de trabajo, con la participación del 96% de las Escuelas de Odontología existentes en el país, que concluyeron en un documento intermedio. Este documento fue analizado, discutido y perfeccionado durante el Taller para el Desarrollo de un Currículo de Competencias Mínimas en Cariología para las Escuelas de Odontología Chilenas (22/Mayo/2017, Talca, organizado por la Universidad de Talca y la Universidad de Chile) con la asistencia de representantes del 96% de las escuelas dentales chilenas, Ministerio de Salud de Chile, Colegio de Cirujano-Dentistas de Chile y con la asesoría de los profesores de Cariología Dres. Margherita Fontana y Carlos González-Cabezas (Universidad de Michigan, Ann Arbor, EEUU). Cada grupo de trabajo revisó el documento y envió nuevos comentarios, los que fueron incorporados en el documento final por una comisión asesora. Resultados: El documento del Currículo en Cariología se organizó en 5 Dominios: 1. Conocimientos base; 2. Determinación de Riesgo, diagnóstico de caries y detección de lesiones de caries; 3. Toma de decisiones y manejo preventivo no operatorio; 4. Toma de decisiones y manejo operatorio y 5. Cariología basada en la evidencia, en la práctica clínica y de salud pública. Se consensuaron las definiciones operacionales, las competencias principales y las sub-competencias para cada uno de los dominios. Las sub-competencias fueron clasificadas en tres niveles: A: Ser competente en; B: Tener conocimientos sobre y C: Estar familiarizado con. El documento final fue enviado a todos los participantes del taller para su aprobación y difusión en cada una de las instituciones involucradas. Conclusiones: Se logró, por medio de consenso, la construcción del Currículo de Competencias mínimas en Cariología para estudiantes de pregrado de Odontología en las universidades chilenas.

2004 downloads

10.

Sarcoidosis: when the initial manifestations are musculoskeletal symptoms
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Reis, Lara Marinho

; Duarte, Márcio Luís

; Alvarenga, Simone Botelho

; Prado, José Luiz Masson de Almeida

; Scoppetta, Luiz Carlos Donoso

Radiologia Brasileira

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Abr 2018, Volume 51 Nº 2 Páginas 132 - 133

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

https://doi.org/10.1590/0100-3984.2015.0158 3423 downloads

11.

USE OF USLE/ GIS TECHNOLOGY FOR IDENTIFYING CRITERIA FOR MONITORING SOIL EROSION LOSSES IN AGRICULTURAL AREAS
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Botelho, Thiago H. A.

; Jácomo, Simone de A.

; Almeida, Rherison T. S.

; Griebeler, Nori P.

Engenharia Agrícola

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Jan 2018, Volume 38 Nº 1 Páginas 13 - 21

Resumo: En | Texto: En | PDF: En

ABSTRACT The assessment of land use and occupation is essential for predicting soil loss due to water erosion. The objective of this study was to determine criteria for monitoring soil loss in agricultural areas using the Universal Soil Loss Equation (USLE). Soil loss data were intersected with USLE factors and slope using geoprocessing techniques for the Samambaia River watershed, located in Cristalina, Goiás state, Brazil. A slope of 3% to 8% was found in approximately 50% of the study area. However, mean soil losses <10 t ha-1 year-1 were observed in slopes ≤ 3%, where the mean soil length (L) and slope steepness (S) were ≤2 and 0.2, respectively. The intersection of soil loss data with USLE factors was useful for identifying criteria for monitoring soil loss. The mean topographic factor (LS) in non-irrigated crops, pasture, and silviculture was 0.4 ± 0.4, 0.4 ± 0.7, and 2.2 ± 2.6, respectively. Therefore, LS values adequately indicated the type of land use and occupation considering that only silviculture could maintain soil losses below the tolerable limit of 10 t ha-1 year-1 for an LS mean of 2.2.

https://doi.org/10.1590/1809-4430-eng.agric.v38n1p13-21/2018 1163 downloads

12.

Análise intra e interavaliadores da projeção do centro de massa do corpo obtido por fotogrametria
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Alves, Ricardo da Silva

; Pereira, Isabela Carvalho

; Iunes, Denise Hollanda

; Rocha, Carmélia Bomfim Jacó

; Botelho, Simone

; Carvalho, Leonardo César

Fisioterapia e Pesquisa

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Dez 2017, Volume 24 Nº 4 Páginas 349 - 355

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

RESUMO Para o ótimo controle postural, o centro de massa (COM) do corpo é uma variável que se projeta verticalmente entre os pés, dentro de uma base de suporte. Este estudo teve por objetivo avaliar a confiabilidade inter e intra-avaliadores da projeção do COM na base de sustentação, mensurada com auxílio do Software de Avaliação Postural (SAPO). Cinquenta e sete voluntárias foram avaliadas e todas foram submetidas ao registro fotográfico nas vistas anterior, lateral direita e esquerda, no mesmo instante temporal. As imagens foram entregues a dois examinadores, os quais utilizaram o SAPO. Para a análise estatística, foi utilizado o coeficiente de correlação intraclasse (ICC) e, para estimar a mínima mudança detectável (MMD), foi utilizado o erro padrão (EP). Os resultados demonstraram excelentes níveis de confiabilidade interexaminador e intraexaminador para assimetrias nos planos frontal, sagital e para a projeção do centro de gravidade no plano frontal e lateral (ICC>0,90; 95%IC>0,95; MDD entre 2,16 - 4,87). Os resultados do estudo demonstraram que a análise do COM obtida por meio do SAPO apresentou boa confiabilidade nas análises inter e intra-avaliadores.

ABSTRACT For optimal postural control, the center of mass (COM) of the body is a variable that is projected vertically between the legs, over a support base. This study had as aim assessing the inter- and intra-rater reliability of the projection of the COM over the support base, measured with the aid of the Postural Evaluation Software (SAPO). Fifty-seven volunteers were evaluated and all were subjected to photographic records taken from the anterior, left and right lateral views, at the same time. The pictures were handed over to two raters, who then used SAPO to analyze them. For the statistical analysis, the intra-class correlation coefficient (ICC) was used, and to estimate the minimum detectable change (MDC), the standard error (SE) was used. The results showed excellent levels of inter and intra-rater reliability for asymmetries in the frontal and sagittal planes, and for the projection of the center of gravity in the frontal and lateral planes (ICC>0.90; 95%CI>0.95; MDC between 2.16 - 4.87). The results of the study showed that the analysis of the COM obtained with SAPO had good inter- and intra-rater reliability.

RESUMEN Para el óptimo control postural, el centro de masa (COM) del cuerpo es una variable que se proyecta verticalmente entre los pies, dentro de una base de soporte. Este estudio tuvo por objetivo evaluar la confiabilidad inter e intraevaluadores de la proyección del COM en la base de sostenimiento, medida con apoyo del Software de Evaluación Postural (SAPO). Se evaluaron cincuenta y siete voluntarias y todas han sido sometidas al registro fotográfico en las vistas anterior, lateral derecha e izquierda, en el mismo instante temporal. Las imágenes han sido entregadas a dos examinadores, que utilizaron SAPO. Para el análisis estadístico, se utilizó el coeficiente de correlación intraclase (ICC) y, para estimar el mínimo cambio detectable (MMD), se utilizó el error estándar (EP). Los resultados demostraron excelentes niveles de confiabilidad interexaminador e intraexaminador para asimetrías en los planos frontal y sagital y para la proyección del centro de gravedad en el plano frontal y lateral (ICC>0.90, 95% IC>0.95, MDD entre 2.16 - 4.87). Los resultados del estudio demostraron que el análisis del COM obtenido a través de SAPO presentó buena confiabilidad en los análisis inter e intraevaluadores.

https://doi.org/10.1590/1809-2950/15819124042017 1919 downloads

13.

Giant cyamella: a rare sesamoid bone
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Duarte, Márcio Luís

; Silva, André de Queiroz Pereira

; Alvarenga, Simone Botelho

; Prado, José Luiz Masson de Almeida

; Scoppetta, Luiz Carlos Donoso

Radiologia Brasileira

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Ago 2017, Volume 50 Nº 4 Páginas 270 - 271

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

https://doi.org/10.1590/0100-3984.2015.0240 4121 downloads

14.

Lower extremity reconstruction: epidemiology, management and outcomes of patients of the Federal District North Wing Regional Hospital
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MACEDO, JEFFERSON LESSA SOARES

; ROSA, SIMONE CORRÊA

; BOTELHO, DANIEL LOBO

; SANTOS, CLENDES PEREIRA DOS

; QUEIROZ, MURILO NEVES DE

; GOMES, TABATHA GONÇALVES ANDRADE CASTELO BRANCO

Revista do Colégio Brasileiro de Cirurgiões

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Fev 2017, Volume 44 Nº 1 Páginas 9 - 16

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

RESUMO Objetivo: avaliar o tratamento de feridas traumáticas complexas de membros inferiores analisando suas características, tipos, condutas e evolução, com ênfase no tratamento cirúrgico. Métodos: estudo prospectivo de pacientes tratados pela Cirurgia Plástica em um hospital regional do Distrito Federal no período de um ano. Os dados foram coletados através de avaliações seriadas e registro de contatos telefônicos. Resultados: foram estudados 40 pacientes com média de idade de 25,6 anos, predominantemente homens (62,5%). As feridas do terço distal do membro inferior foram mais frequentes (37,5%). 55% apresentavam exposições óssea ou tendinosa e 35%, fraturas expostas do membro inferior. O tratamento foi enxerto de pele (57,5%), retalho fascio-cutâneo local (15%), retalho muscular (12,5%), retalho fascio-cutâneo de perna cruzada, retalho sural reverso (12,5%) e retalho microcirúrgico (2,5%). A avaliação em curto prazo evidenciou que 35 pacientes tiveram resultado excelente ou bom (87,5%), quatro tiveram resultado regular (10%), e um teve resultado insatisfatório (2,5%). Em longo prazo, dos 18 pacientes que responderam ao questionário, dez deambularam, mesmo que com apoio, no primeiro trimestre após a cirurgia (55,6%). Conclusâo: nosso estudo mostrou que o perfil dos pacientes com trauma de membros inferiores que necessitaram de reconstrução cirúrgica foi representado por homens jovens, envolvidos em acidentes motociclísticos, durante situação de lazer, sendo o terço distal da perna a região mais acometida. A enxertia foi a técnica mais utilizada para reconstrução e a avaliação funcional pós-operatória demonstrou que, apesar de lesões complexas, a maioria dos pacientes evoluiu com processo de cicatrização favorável e sucesso na evolução funcional.

ABSTRACT Objective: to evaluate the management of lower limbs complex traumatic injuries by analyzing their characteristics, types, conduct and evolution, with emphasis on surgical treatment. Methods: we conducted a prospective study of patients treated by Plastic Surgery at a regional hospital of the Federal District during a one-year period. We collected data through serial evaluations and telephone contact records. Results: we studied 40 patients, with a mean age of 25.6 years, predominantly male (62.5%). The most frequent wounds were of the distal third of the lower limb (37.5%). Bone or tendon exposures occurred in 55% had and there was a 35% rate of exposed lower limb fractures. The treatments employed were skin grafting (57.5%), local fasciocutaneous flap (15%), muscle flap (12.5%), cross-leg fasciocutaneous flap, reverse sural flap (12.5%) and microsurgical flap (2.5%). Short-term evaluation showed that 35 patients had excellent or good results (87.5%), four had a regular result (10%), and one had an unsatisfactory result (2.5%). In the long term, of the 18 patients who answered the questionnaire, ten resumed walking, even with support, in the first three months after surgery (55.6%). Conclusion: young men involved in motorcycle accidents during leisure time represented the profile of patients with lower limb trauma requiring surgical reconstruction; the distal third of the leg was the most affected region. Grafting was the most used technique for reconstruction and postoperative functional evaluation showed that, despite complex lesions, most patients evolved with a favorable healing process and successful functional evolution.

https://doi.org/10.1590/0100-69912017001003 7095 downloads

15.

Training through gametherapy promotes coactivation of the pelvic floor and abdominal muscles in young women, nulliparous and continents
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Silva, Valeria Regina

; Riccetto, Cássio

; Martinho, Natalia Miguel

; Marques, Joseane

; Carvalho, Leonardo Cesar

; Botelho, Simone

International braz j urol

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Ago 2016, Volume 42 Nº 4 Páginas 779 - 786

Resumo: En | Texto: En | PDF: En

ABSTRACT Introduction and objectives: Several studies have been investigated co-activation can enhance the effectveness of PFM training protocols allowing preventive and therapeutic goals in pelvic floor dysfunctions. The objective of the present study was to investigate if an abdominal-pelvic protocol of training (APT) using gametherapy would allow co-activation of PFM and transversus abdominis/oblique internal (TrA/OI) muscles. Patients and methods: Twenty-five nulliparous, continent, young females, with median age 24.76 (±3.76) years were evaluated using digital palpation (DP) of PFM and surface electromyography of PFM and TrA/OI simultaneously, during maximal voluntary contraction (MVC), alternating PFM and TrA/OI contraction requests. All women participated on a supervised program of APT using gametherapy, that included exercises of pelvic mobilization associated to contraction of TrA/OI muscles oriented by virtual games, for 30 minutes, three times a week, in a total of 10 sessions. Electromyographic data were processed and analyzed by ANOVA - analysis of variance. Results: When MVC of TrA/OI was solicited, it was observed simultaneous increase of electromyographic activity of PFM (p=0.001) following ATP. However, EMG activity did not change significantly during MVC of PFM. Conclusion: Training using gametherapy allowed better co-activation of pelvic floor muscles in response to contraction of TrA, in young nulliparous and continent women.

https://doi.org/10.1590/S1677-5538.IBJU.2014.0580 2132 downloads

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