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Resumen Introducción: el progreso en los tratamientos para el lupus eritematoso sistémico (LES) resultó en una disminución de la mortalidad; sin embargo, la enfermedad cardiovascular y las complicaciones infecciosas aún son las principales causas de muerte. La evidencia apoya la participación del sistema inmunológico en la generación de la placa aterosclerótica, así como su conexión con las enfermedades autoinmunes. Objetivos: describir la frecuencia de eventos cardiovasculares (ECV) en el Registro de Lupus Eritematoso Sistémico de la Sociedad Argentina de Reumatología (RELESSAR) transversal, así como sus principales factores de riesgo asociados. Materiales y métodos: estudio descriptivo y transversal para el cual se tomaron los pacientes ingresados en el registro RELESSAR transversal. Se describieron las variables sociodemográficas y clínicas, las comorbilidades, score de actividad y daño. ECV se definió como la presencia de al menos una de las siguientes patologías: enfermedad arterial periférica, cardiopatía isquémica o accidente cerebrovascular. El evento clasificado para el análisis fue aquel posterior al diagnóstico del LES. Se conformaron dos grupos macheados por edad y sexo 1:2. Resultados: 1515 pacientes mayores de 18 años participaron del registro. Se describieron 80 pacientes con ECV (5,3%). En este análisis se incluyeron 240 pacientes conformando dos grupos. La edad media fue de 47,8 (14,4) y 47,6 (14,2) en el grupo con y sin ECV respectivamente. Los pacientes con ECV tuvieron mayor duración del LES en meses, mayor índice de Charlson, mayor SLICC (Systemic Lupus International Collaborating Clinics/American College of Rheumatology), mayor frecuencia de manifestaciones neurológicas, síndrome antifosfolípido, hospitalizaciones y uso de ciclofosfamida. Las únicas variables asociadas en el análisis multivariado fueron el índice de Charlson (p=0,004) y el SLICC (p<0,001). Conclusiones: los ECV influyen significativamente en nuestros pacientes, y se asocian a mayor posibilidad de daño irreversible y comorbilidades.

Abstract Introduction: progress in treatments for systemic lupus erythematosus (SLE) has resulted in a decrease in mortality; however, cardiovascular and infectious diseases remain the leading causes of death. Evidence supports the involvement of the immune system in the generation of atherosclerotic plaque, as well as its connection to autoimmune diseases. Objectives: to describe the frequency of cardiovascular disease (CVD) in the cross-sectional RELESSAR registry, as well as its associated variables. Materials and methods: a descriptive and cross-sectional study was performed using patients admitted to the cross-sectional RELESSAR registry. Sociodemographic variables, clinical variables, comorbidities, activity and damage scores were described. CVD was defined as at least one of the following: peripheral arterial disease, ischemic heart disease, or cerebrovascular accident. All patients with at least one CVD were included in our analysis (heart attack, central nervous system vascular disease, and peripheral arteries atherosclerotic disease). The event classified for the analysis was that after the diagnosis of SLE. SLE diagnosis was previous to CVD. Two groups matched by age and sex, 1:2 were formed. Results: a total of 1515 patients older than 18 years participated in the registry. Eighty patients with CVD (5.3%) were described in the registry. Two-hundred and forty patients were included, according to two groups. The mean age was 47.8 (SD 14.4) and 47.6 (SD 14.2) in patients with and without CVD, respectively. Patients with CVD had a longer duration of SLE in months, a higher Charlson index, a higher SLICC, increased frequency of neurological manifestations, antiphospholipid syndrome, hospitalizations, and use of cyclophosphamide. The associated variables in the multivariate were the Charlson Index (p=0.004) and the SLICC (p<0.001). Conclusions: CVDs have a significant influence on our patients, being associated with a greater possibility of damage and comorbidities.

https://doi.org/10.47196/rar.v34i2.747

Lupus en Argentina. .
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Quintana, Rosana

; García, Lucila

; Gobbi, Carla

; Alba, Paula

; Roverano, Susana

; Álvarez, Analia Patricia

; Graf, César Enrique

; Pisoni, Cecilia

; Spindler, Alberto

; Gómez, Catalina

; Figueredo, Heber Matías

; Papasidero, Silvia

; Paniego, Raúl

; de la Vega, María Celina

; Civit, Emma

; González Lucero, Luciana

; Martire, María Victoria

; Aguila Maldonado, Rodrigo

; Gordon, Sergio

; Micelli, Marina

; Nieto, Romina

; Rausch, Gretel

; Gongora, Vanina

; Damico, Agustina

; Rodríguez Gil, Gustavo

; Dubinsky, Diana

; Orden, Alberto

; Zacariaz, Johana

; Romero, Julia

; Pera, Mariana

; Goñi, Mario

; Rillo, Oscar

; Báez, Roberto

; Arturi, Valeria

; González, Andrea

; Vivero, Florencia

; Bedoya, María Eugenia

; Shmid, María Marcela

; Caputo, Víctor

; Larroude, Maria Silvia

; Domínguez, Nadia

; Gómez, Graciela Noemí

; Rodríguez, Graciela Nora

; Marín, Josefina

; Collado, Victoria

; Jorfen, Marisa

; Bedran, Zaida

; Curti, Ana

; Gazzoni, María Victoria

; Sarano, Judith

; Zelaya, Marcos

; Sacnun, Mónica

; Finucci Curi, Pablo

; Rojas Tessel, Romina

; Arias Saavedra, Maira

; Sattler, María Emilia

; Machado Escobar, Maximiliano Augusto

; Astesana, Pablo

; Paris, Úrsula

; Virasoro, Belén María

; Santa Cruz, María Julia

; Allievi, Alberto

; Vandale, Juan Manuel

; Hojberg, Noelia Giselle

; Pons-Estel, Bernardo

; Pons-Estel, Guillermo

; García, Mercedes Argentina

Revista argentina de reumatología

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Mar 2022, Volumen 33 Nº 1 Paginas 14 - 25

Resumen: Es En | Texto: Es En | PDF: Es | PDF: En

resumen está disponible en el texto completo

Abstract Introduction: lupus is a complex disease and often difficult to approach. Achieving remission is one of the objectives, incorporating therapeutic options. Objectives: to describe the characteristics of the patients and the use of belimumab, according to the status of the disease. Materials and methods: cross-sectional study. Patients of the RELESSAR registry. Stratification: Remission: SLEDAI=0 and without corticosteroids. Low disease activity SLEDAI> 0 and ≤4 and without corticosteroids and non-optimal control: SLEDAI> 4 and any dose of corticosteroids. Results: a total of 1,277 patients were included, 23.4% in remission, 12.6% in low disease activity and 63.8% in non-optimal control. The last group was younger and had a shorter duration of the disease. They had higher activity and chronicity indices and greater use of immunosuppressants. Only 22.3% of the patients with potential criteria for the use of belimumab (activity disease despite standard treatment) were receiving it. The variables associated with hospitalizations were: corticosteroids, cyclophosphamide and higher SLICC. Those associated with severe infection: mycophenolate mofetil, azathioprine, corticosteroids, and higher SLICC. Conclusions: the complexity of the management of these patients is reflected, visualizing structural aspects such as inequality. The use of belimumab could be beneficial in selected patients.

https://doi.org/10.47196/rar.v33i1.602 101 descargas

Trasplante cardíaco en miocardiopatía chagásica: 23 años de experiencia en un centro de referencia
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CELLA FIGUEREDO, ROSARIO DELLA

; RENEDO, MARÍA F.

; ABSI, DANIEL O.

; GIORDANINO, ELIÁN F.

; AMERI, ALDANA S.

; FAVALORO, LILIANA E.

; MADSEN, ELIZABETH

; VIGLIANO, CARLOS A.

; FAVALORO, ROBERTO R.

; BERTOLOTTI, ALEJANDRO M.

Revista argentina de cardiología

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Mar 2022, Volumen 90 Nº 1 Paginas 50 - 56

Resumen: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT Background: Chagas disease affects about 6 million people in Latin America, and 25 to 35% progress to Chagas cardiomyopathy (ChCM). Heart transplantation (HTx) is a therapeutic option in advanced stages. Objectives: The aim of this study is to compare survival of patients with HTx due to ChCM versus those transplanted for other etiologies and to analyze the incidence of Chagas disease reactivation (Ra) and its impact on survival in this group of patients. Methods: Patients undergoing HTx between August 1998 and March 2021 were retrospectively evaluated. Survival was analyzed using Kaplan-Meier curves and the log-rank test. The diagnosis of Ra was performed by molecular methods, Strout’s test in peripheral blood, myocardial tissue or skin tissue. Results: Of 606 patients with Htx, 39(6,4%) presented ChCM. Median follow up was 4.4 years (interquartile range 1.2-8.6). Median age of the subgroup with ChCM was 51 years (IQR 45-60) and 28 were men (72%). Reactivation was documented in 38.5% of the patients. Survival at 1, 5 and 10 years in HTx recipients due to ChCM and Ra versus no Ra was 85%, 76% and 61% versus 72%, 55% and 44%, respectively (p = 0.3). Survival at 1, 5 and 10 years in HTx recipients due to ChCM versus HTx for other causes was 79%, 65% and 50% versus 79%, 62% and 47%, respectively (p = 0.5). Conclusion: In our series we did not find statistically significant differences in survival of heart transplant recipients due to ChCM versus those transplanted due to other reasons. Survival in patients with Chagas disease reactivation and those without reactivation was also similar.

RESUMEN Introducción: La enfermedad de Chagas afecta aproximadamente a 6 millones de personas en América Latina. El 25 a 35% evoluciona hacia la Miocardiopatía Chagásica (MCh). Una opción terapéutica en sus estadios avanzados es el trasplante cardíaco (TxC). Objetivos: Comparar la supervivencia de pacientes con TxC por MCh frente a otras etiologías. Analizar la incidencia de la reactivación (Ra) de enfermedad de Chagas y su impacto en la supervivencia en este subgrupo de pacientes. Material y métodos: Se evaluaron retrospectivamente pacientes con TxC entre agosto 1998 y marzo 2021. Se analizó la supervivencia mediante curvas de Kaplan-Meier y log rank test. El diagnóstico de Ra se realizó mediante métodos moleculares, prueba de Strout en sangre periférica, tejido miocárdico y/o cutáneo. Resultados: De 606 pacientes con TxC, 39 (6,4%) presentaban MCh. Seguimiento medio 4,4 años (Rango Intercuartilo 1,2-8,6). Edad subgrupo MCh 51 años (RIC 45-60). Hombres 28 (72%). Se documentó Ra en el 38,5% de los pacientes. Supervivencia a 1, 5 y 10 años en TxC por MCh con Ra versus no Ra: 85%, 76% y 61% versus 72%, 55% y 44% (p = 0,3). Supervivencia a 1, 5 y 10 años en TxC por MCh versus TxC por otras causas: 79%, 65% y 50% versus 79%, 62% y 47% (p = 0,5). Conclusión: En nuestra serie no se encontró diferencia estadísticamente significativa en la supervivencia de los pacientes trasplantados cardíacos por MCh en comparación con aquellos trasplantados por otras causas; así como tampoco entre los pacientes que reactivaron la enfermedad de Chagas y los que no lo hicieron.

https://doi.org/10.7775/rac.v90.i1.20472 8 descargas

Utilidad del antígeno prostático específico total y del índice de antígeno prostático específico libre para detectar cáncer de próstata en el paciente asintomático
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Rivera-Sánchez, Roberto

; Parra-Méndez, Carlos

; Medeiros Figueredo, Romina

; Caballero-Jurado, María Luisa

; Flores-Paz, Rocío

Acta bioquímica clínica latinoamericana

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Ene 2022, Volumen 56 Nº 1 Paginas 11 - 15

Resumen: Pt Es En | Texto: Pt Es En | PDF: Pt | PDF: Es | PDF: En

Resumo O antígeno prostático específico (PSA) em circulação é ligado à alfa-1-quimotripsina e a uma pequena fração circula livremente (PSAl). A utilidade clínica do PSA total (PSAt) e do índice de PSAl livre para o rastreamento do câncer de próstata em pacientes assintomáticos foi avaliada. PSAt, PSAl e o índice de PSAl foram quantificados em 364 pacientes estratificados por faixa etária. A frequência de valores anormais de PSAt foi de 8,79% (32/364). O grupo de 50-59 anos apresentou a maior incidência de resultados anormais (19/32). Não houve diferença estatisticamente significativa entre o PSAt e o índice PSAl (p<0,05). O índice PSAl pode potencializar o valor do PSAt para determinar a presença ou ausência de câncer de próstata. Um índice superior a 0,24 ng/mL pode ajudar a evitar ou adiar a indicação de biópsia, principalmente quando os valores de PSAt estão entre 4 e 10 ng/mL.

Resumen El antígeno prostático específico (PSA) en circulación se encuentra ligado a la alfa-1-quimiotripsina y una pequeña fracción circula de manera libre (PSAl). Se valoró la utilidad clínica del PSA total (PSAt) y el índice de PSA libre para la detección de cáncer prostático en pacientes asintomáticos. Se cuantificó el PSAt, el PSAl y el índice de PSAl en 364 pacientes estratificados por grupo de edad. La frecuencia de valores anormales de PSAt fue del 8,79% (32/364). El grupo de 50-59 años presentó la mayor incidencia de resultados anormales (19/32). No hubo diferencia estadísticamente significativa entre PSAt y el índice de PSAl (p<0,05). El índice PSAl puede potencializar el valor del PSAt para determinar la presencia o ausencia de cáncer prostático. Un índice superior a 0,24 ng/mL puede ayudar a evitar o posponer la indicación de biopsia, principalmente cuando los valores de PSAt están entre 4 y 10 ng/mL.

Abstract Circulating prostate-specific antigen (PSA) is bound to alpha-1-chymotrypsin and a small fraction is free (PSAl). The clinical utility of the total PSA (PSAt) and the PSAl index for prostate cancer screening in asymptomatic patients was assessed. PSAt, PSAl and the PSAl index were quantified in 364 patients stratified by age group. The frequency of abnormal PSAt values was 8.79% (32/364). The 50-59 year-old group presented the highest incidence of abnormal results (19/32). There was no statistically significant difference between PSAt and the PSAl index (p<0.05). The PSAl index can potentiate the PSAt value to determine the presence or absence of prostate cancer. An index greater than 0.24 ng/mL can help to avoid or postpone the indication for a biopsy, especially when the PSAt values are between 4 and 10 ng/mL.

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Salivary metabolomic profile in adolescents with juvenile systemic lupus erythematosus
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BRAGARD, Loreley Carlos Agostinho

; SETE, Manuela Rubim Camara

; FREITAS-FERNANDES, Liana Bastos

; SZTAJNBOK, Flavio Roberto

; FIGUEREDO, Carlos Marcelo

; VALENTE, Ana Paula

; FIDALGO, Tatiana Kelly da Silva

; SILVA, Fernanda de Brito

Brazilian Oral Research

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2022, Volumen 36 elocation e0128

Resumen: En | Texto: En | PDF: En

Abstract The aim of this study was to characterize the salivary metabolomic profile in adolescents with juvenile systemic lupus erythematosus (jSLE). A total of 24 adolescents with jSLE (15.92 ± 2.06 years) and 12 systemically healthy controls (15.25 ± 2.7 years) were included in the study. Participants underwent rheumatologic testing and periodontal examination, with the recording of plaque index (PI), probing depth (PD), clinical attachment level (CAL), and bleeding on probing index (BPI). Unstimulated whole saliva was collected from both groups and stored at -80 ºC. The salivary proton nuclear magnetic resonance (1H-NMR) spectra were acquired in a spectrometer operating at 500 MHz. Partial least squared discriminant analysis (PLS-DA) and orthogonal PLS-DA (O-PLS-DA) were used for statistical analysis. Mean CAL and PI were significantly increased in the group with jSLE (p < 0.01). Patients with jSLE presented a significantly different salivary metabolic profile (accuracy = 0.54; R2 = 0.86; Q2 = -0.293), significantly higher salivary levels of N-acetyl sugars, and significantly reduced levels of phenylalanine, glycine, taurine, hydroxybutyrate, and valerate compared with healthy controls (p < 0.05). It is suggested that the salivary metabolomic profile analyzed by 1H NMR in patients with jSLE presents a different fingerprint that the systemically healthy subjects. Integrating the variation of metabolites with the identification of the metabolic pathways involved seems to provide a better understanding of the influence of systemic disease on salivary metabolites.

https://doi.org/10.1590/1807-3107bor-2022.vol36.0128

Sitio web Raudol Ruíz aguilera: legado para la educación física cubana
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Vera Orihuela, Roberto Alexis

; Juanes Giraud, Blas Yoel

; Carmenate Figueredo, Yorisel Oriana

Conrado

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Oct 2021, Volumen 17 Nº 82 Paginas 484 - 488

Resumen: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT Throughout the different eras, physical activity has played an important role in people's lives. This has resulted in an evolution of the goals and objectives of Physical Education. Numerous personalities have been dedicated to the study of human movement in Cuba and the world.It is the objective of this research to assess the professional career of Raudol Ruiz Aguilera in Physical Education and Sport who tirelessly kept contributing to institutions with which he had the opportunity to collaborate; its design of the Higher Institute of Physical Education,the concept of preparation of specialists with high scientific rigor based on equal demands on teachers, the respectful and familiar identification with their students, as well as the development of will and values, undoubtedly generated an unprecedented academic environment within the Cuban Higher Education system.

RESUMEN A través de las diferentes épocas la actividad física ha tenido una función importante para la vida de las personas. Esto ha resultado en una evolución de las metas y objetivos de la Educación Física. Numerosas han sido las personalidades que se han dedicado al estudio del movimiento humano en Cuba y el mundo. Es objetivo de esta investigación valorar la trayectoria profesional de Raudol Ruiz Aguilera en la Educación Física y el Deporte quien incansablemente se mantuvo aportando a instituciones con las que tuvo la oportunidad de colaborar; su diseño del Instituto Superior de Educación Física, el concepto de preparación de especialistas con elevado rigor científico a partir de igual exigencia a los profesores, la respetuosa y familiar identificación con sus alumnos, así como el desarrollo de la voluntad y los valores, generaron sin lugar a duda un ambiente académico sin precedentes dentro del sistema de Educación Superior cubano.

Factors associated with psychic symptomatology in diabetics during the COVID-19 pandemic
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Souza, Gustavo Fonseca de Albuquerque

; Praciano, Gabriella de Almeida Figueredo

; Ferreira Neto, Otávio da Cunha

; Paiva, Maria Carolina

; Jesus, Renata Patrícia Freitas Soares de

; Cordeiro, Ana Lorena Nascimento

; Souza, Gabriela Albuquerque

; Silva Junior, José Roberto

; Souza, Alex Sandro Rolland

Revista Brasileira de Saúde Materno Infantil

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Feb 2021, Volumen 21 Supl. 1 Paginas 177 - 186

Resumen: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo Objetivos: determinar a frequência e os fatores associados aos sinais e sintomas de estresse, ansiedade e depressão grave/extremos em pacientes diabéticos durante a pandemia pela COVID-19. Métodos: realizou-se estudo de corte transversal em abril/maio de 2020 que incluiu 162 indivíduos com diabetes mellitus e maiores de 18 anos. Aplicou-se um questionário online divulgado nas mídias sociais, sendo composto por características biológicas, sociodemográ-ficas, clínicas e a Escala de Estresse, Ansiedade e Depressão (DASS-21). Para análise estatística foi aplicado modelo de regressão logística multivariado com nível de significância de 5%. Resultados: encontrou-se frequência de 37,7%, 43,3% e 45,1% para qualquer sinal e sintoma de estresse, ansiedade e depressão, respectivamente. Os fatores associados a sinais e sintomas psíquicos graves/extremos foram: não ter religião (estresse, ansiedade e depressão); estar na graduação (estresse e ansiedade);antecedente de ansiedade e/ou depressão (ansiedade e depressão); não realizar ou ter diminuído exercícios físicos, iniciado, aumentado ou mantido medicações para dormir (estresse); história de contato com caso suspeito da COVID-19; ausência ou diminuição de lazer (ansiedade) e sexo feminino, ausência de companheiro, diminuição da renda familiar e do trabalho ou estudo (depressão). Conclusão: a frequência de transtornos psíquicos foi maior que a descrita na literatura em pacientes diabéticos, sendo associada a fatores biológicos, sociodemográficos, clínicos e aspectos relacionados à COVID-19 durante a pandemia.

Abstract Objectives: to determine the frequency and factors associated with severe / extreme signs and symptoms of stress, anxiety and depression in diabetic patients during the COVID-19 pandemic. Methods: cross-sectional study conducted in April /May 2020, which included 162 individuals with diabetes mellitus and over 18 years old. An online questionnaire was applied on social networks, composed of biological, sociodemographic, clinical characteristics and the Stress, Anxiety and Depression Scale (DASS-21). For statistical analysis, a multivariate logistic regression model was applied with a 5% significance level. Results: frequency of 37.7%, 43.3% and 45.1% were found for some symptom of stress, anxiety and depression, respectively. The factors associated with sign and symptoms of severe / extreme psychic disorders were: not having religion (stress, anxiety and depression); be at graduation (stress and anxiety); history of anxiety and depression (anxiety and depression); not practicing or decreasing physical exercises and starting, increased or continue taking sleeping medications (stress); history of contact with a suspected case of COVID-19, absence or decreased leisure (anxiety); female gender, absence of a partner, decreased family income and work or study (depression). Conclusion: the frequency of psychological disorders was higher than described in the literature on diabetic patients, being associated with biological, sociodemographic, clinical factors and aspects related to COVID-19 during the pandemic

https://doi.org/10.1590/1806-9304202100s100009 1905 descargas

Factors associated with stress, anxiety, and depression during social distancing in Brazil
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Souza, Alex Sandro Rolland

; Souza, Gustavo Fonseca Albuquerque

; Souza, Gabriela Albuquerque

; Cordeiro, Ana Lorena Nascimento

; Praciano, Gabriella Almeida Figueredo

; Alves, Adricia Cristine de Souza

; Santos, Alan Chaves dos

; Silva Junior, José Roberto

; Souza, Manuela Barbosa Rodrigues

Revista de Saúde Pública

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2021, Volumen 55 elocation 5

Resumen: En | Texto: En | PDF: En

ABSTRACT OBJECTIVE To estimate the prevalence of clinical signs and symptoms of severe/extreme stress, anxiety, and depression, as well as their associated factors, among Brazilians during social distancing. METHODS This is a cross-sectional study conducted in April/May 2020 with 3,200 Brazilians over 18 years old. Respondents’ sociodemographic and clinical data were collected using an online questionnaire, which also included the 21-item Depression, Anxiety and Stress Scale (DASS-21) to assess emotional symptoms. Unadjusted and adjusted prevalence ratios and their respective 95% confidence intervals were estimated using Poisson regression models with robust variance. RESULTS Our results show the prevalence of severe/extreme stress was 21.5%, anxiety 19.4%, and depression 21.5%. In the final model, sociodemographic, clinical, and Covid-19-related factors were associated with severe/extreme stress, anxiety, and depression in Brazilians during social distancing due to the Covid-19 pandemic. We found the main factors associated with severe/extreme depression to be young women, brown, single, not religious, sedentary, presenting reduced leisure activities, history of anxiety and depression, increased medication use, and Covid-19 symptoms. CONCLUSION This study may help develop and systematically plan measures aimed to prevent, early identify, and properly manage clinical signs and symptoms of stress, anxiety, and depression during the Covid-19 pandemic.

https://doi.org/10.11606/s1518-8787.2021055003152

Factors associated with stress, anxiety, and depression during social distancing in Brazil
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Souza, Alex Sandro Rolland

; Souza, Gustavo Fonseca Albuquerque

; Souza, Gabriela Albuquerque

; Cordeiro, Ana Lorena Nascimento

; Praciano, Gabriella Almeida Figueredo

; Alves, Adricia Cristine de Souza

; Santos, Alan Chaves dos

; Silva Junior, José Roberto

; Souza, Manuela Barbosa Rodrigues

Revista de Saúde Pública

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2021, Volumen 55 elocation 5

Resumen: En | Texto: En | PDF: En

https://doi.org/10.11606/s1518-8787.2021055003152 836 descargas

10.

El cooperativismo: algunos apuntes sobre la responsabilidad social y el manejo de residuos sólidos
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Jiménez Guethón, Reynaldo Miguel

; Figueredo Hernández, José Antonio

; Almaguer Guerrero, Marcelino Roberto

Revista Estudios del Desarrollo Social: Cuba y América Latina

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Dic 2020, Volumen 8 Nº 3 elocation 4

Resumen: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT This paper aims to present the relationship and benefits that can exist between cooperativism, social responsibility and solid waste management, as a necessary alliance for the better functioning of cooperatives and environmental care. The concept of social responsibility is not utopian, but necessary in a modern and inclusive society. It is used by large global food companies to have an image of respect for the community and concern for the environment, often materialized in charitable foundations. However, these same companies are responsible for the management of many of the solid wastes that are dumped in the streets and communities on a daily basis, so social commitment is questionable.

RESUMEN Este trabajo tiene como objetivo presentar la relación y los beneficios que pueden existir entre cooperativismo, responsabilidad social y manejo de residuos sólidos, como una alianza necesaria para el mejor funcionamiento de las cooperativas y el cuidado del medioambiente. El concepto de responsabilidad social no es utópico, sino necesario en una sociedad moderna e inclusiva. Es usado por las grandes empresas globales de alimentación para tener una imagen respetuosa con la comunidad y de preocupación por el medioambiente, muchas veces materializada en fundaciones benéficas. No obstante, estas mismas empresas son responsables del manejo de muchos de los residuos sólidos que diariamente se vierten en calles y comunidades, por lo que el compromiso social es cuestionable.

11.

Caracterización del comportamiento académico en estudiantes de medicina frente a la pesquisa de la COVID-19
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Proenza Fernández., Leidys

; Gallardo Sánchez., Yurieth

; Figueredo Remón., Roberto José

Multimed

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Jun 2020, Volumen 24 Nº 3 Paginas 599 - 615

Resumen: Pt En Es | Texto: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Introdução: a pesquisa ativa do COVID-19 por estudantes de medicina, permite a detecção de casos suspeitos e positivos da doença e aprimora as habilidades da área de Medicina Comunitária. Objetivo: determinar o comportamento acadêmico frente à pesquisa ativa nos estudantes do segundo ano da carreira de Medicina pertencentes ao município de Manzanillo, bem como as habilidades práticas adquiridas que justificam o conteúdo fornecido pela disciplina de Medicina Comunitária; no período de 17 de março a 15 de maio de 2020. Método: estudo observacional-descritivo-transversal. O universo foi composto por 170 estudantes, distribuídos nas cinco áreas de saúde do município. Foram estudadas variáveis como: áreas de saúde do território, sexo, avaliação de atividades, formas de aquisição de conhecimentos e habilidades adquiridas. Os dados foram processados de acordo com a estatística descritiva. Resultados: todos os alunos designados pelo corpo docente foram incorporados à pesquisa, os do sexo feminino predominaram com 85,3% e a avaliação de excelente nas atividades realizadas em 88,8%. A formação ministrada pelos professores do segundo ano foi a principal forma de aquisição de conhecimento com 98,8%. Eles alcançaram e consolidaram as habilidades propostas pela disciplina de Medicina Comunitária. Conclusões: houve um maior número de estudantes participantes da pesquisa na Policlínica Francisca Rivera Arocha University. O sexo feminino predominou com excelentes avaliações nas atividades realizadas. A principal forma de aquisição de conhecimento foi por meio da formação liderada pelo grupo de professores do segundo ano da carreira em Medicina e eles conseguiram adquirir e consolidar as habilidades propostas pela disciplina de Medicina Comunitária.

ABSTRACT Introduction: the active research of the COVID-19 by medical students, allows the detection of suspicious and positive cases of the disease and enhances the skills of the Community Medicine subject. Objective: to determine the academic behavior against the active research in the second year students of the Medicine career belonging to the Manzanillo municipality, as well as the acquired practical skills that justify the contents provided by the Community Medicine subject; in the period from March 17 to May 15, 2020. Method: an observational-descriptive-cross-sectional study was carried out. The universe made up of 170 students, distributed in the five health areas of the municipality. Variables such as: health areas of the territory, sex, evaluation of activities, ways of acquiring knowledge and acquired skills were studied. The data was processed according to descriptive statistics. Results: all the students designated by the faculty were incorporated into the research, the female ones predominated with 85.3% and the evaluation of excellent in the activities carried out in 88.8%. The training given by second year teachers was the main way of acquiring knowledge with 98.8%. They achieved and consolidated the skills proposed by the Community Medicine subject. Conclusions: there was a greater number of students participating in the research at the Francisca Rivera Arocha University Polyclinic. Females predominated with excellent evaluations in the activities carried out. The main way of acquiring knowledge was through training led by the group of teachers of the second year of the Medicine career and they managed to acquire and consolidate the skills proposed by the Community Medicine subject.

RESUMEN Introducción: la pesquisa activa de la COVID-19 por estudiantes de medicina, permite la detección de casos sospechosos y positivos de la enfermedad y potencian las habilidades de la asignatura Medicina Comunitaria. Objetivo: determinar el comportamiento académico frente a la pesquisa activa en los estudiantes de segundo año de la carrera Medicina pertenecientes al municipio Manzanillo, así como las habilidades prácticas adquiridas que justifican los contenidos proporcionados por la asignatura Medicina Comunitaria; en el período del 17 de marzo al 15 de mayo del 2020. Método: se realizó estudio observacional-descriptivo-transversal. El universo constituido por 170 estudiantes, distribuidos en las cinco áreas de salud del municipio. Se estudiaron variables como: áreas de salud del territorio, sexo, evaluación de las actividades, vías de adquisición de conocimientos y habilidades adquiridas. Los datos fueron procesados según la estadística descriptiva. Resultados: la totalidad de los estudiantes designados por la facultad fueron incorporados a la pesquisa, predominó las femeninas con el 85,3% y evaluación de excelente en las actividades realizadas en el 88,8%. La capacitación impartida por profesores del segundo año fue la vía principal de adquisición de conocimientos con 98,8%. Consiguieron y consolidaron las habilidades propuestas por la asignatura Medicina Comunitaria. Conclusiones: existió mayor cantidad de estudiantes participando en la pesquisa en la Policlínica Universitaria Francisca Rivera Arocha. Predominaron las féminas con evaluaciones de excelente en las actividades realizadas. La vía principal de adquisición de los conocimientos fue mediante la capacitación dirigida por el colectivo de profesores del segundo año de la carrera de Medicina y lograron adquirir y consolidar las habilidades propuestas por la asignatura Medicina Comunitaria.

12.

Evaluación de indicadores métricos de la Revista Médica Electrónica a través de Google Académico.
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Gallardo Sánchez, Yurieth

; Fonseca Arias, Madelín

; Saborit Corría, Elizabeth

; Pérez Atencio, María Esther

; Figueredo Remón, Roberto José

Revista Médica Electrónica

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Feb 2020, Volumen 42 Nº 1 Paginas 1632 - 1641

Resumen: En Es | Texto: En Es | PDF: En | PDF: Es

SUMMARY Introduction: the dynamic growth of information and communications technologies has enabled bibliometrics to experience an upward development in the analysis of serial publications. Objective: to evaluate the metric indicators of the Electronic Medical Journal through Google Scholar. Material and methods: descriptive bibliometric study of the scientific articles of the Electronic Medical Journal recovered through the Google Academic database with initial measures in 2013 and final in 2017; using the Publish or Perish software version 6.27. The confidentiality of the data obtained in it was declared and that in turn these will not be used for profit. Results: 715 scientific articles were published with 889 citations made; the average of 177.80; 1.24 and 347.16 citations per year, articles and author respectively. The Scientometric Indexes that the publication has correspond to an index h of 12, an index g of 17, an index hI, norm of 6 and index hI, annual of 1.20. Three articles were highlighted that were the points in obtaining satisfactory bibliometric indexes. Conclusions: the Electronic Medical Journal showed bibliometric indicators of visibility and productivity of scientific value through quality in published manuscripts.

RESUMEN Introducción: el crecimiento dinámico de las tecnologías de la información y las comunicaciones ha posibilitado que la bibliometría experimente un desarrollo ascendente en el análisis de las publicaciones seriadas. Objetivo: evaluar los indicadores métricos de la Revista Médica Electrónica a través de Google Académico. Materiales y métodos: estudio bibliométrico descriptivo de los artículos científicos de la Revista Médica Electrónica recuperados mediante la base de datos Google Académico con medidas iniciales en el año 2013 y finales en el 2017; haciendo uso del software Publish or Perish versión 6.27. Se declaró la confidencialidad de los datos obtenidos en el mismo y que a su vez estos no serán utilizados con fines de lucro. Resultados: se publicaron 715 artículos científicos con 889 citaciones realizadas; el promedio de 177,80; 1,24 y 347,16 citas por año, artículos y autor respectivamente. Los índices cienciométricos que posee la publicación corresponden a un índice h de 12, un índice g de 17, un índice hI, norm de 6 y índice hI, anual de 1,20. Se destacaron tres artículos que fueron los puntearon en la obtención de satisfactorios índices bibliométricos. Conclusiones: la Revista Médica Electrónica mostró indicadores bibliométricos de visibilidad y productividad de valor científico a través de la calidad en los manuscritos publicados.

13.

Juegos para el desarrollo cognitivo desde la clase de Educación Física
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Vera Orihuela, Roberto Alexis

; Carmenate Figueredo, Yorisel Oriana

; Toledo Sánchez, Marisol

Conrado

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Dic 2019, Volumen 15 Nº 69 Paginas 192 - 200

Resumen: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT The research is based on integrative pre-sports games for the cognitive development of the 6th grade students in the Physical Education classes of the Antonio Maceo Grajales Primary School, with the aim of designing games to solve the difficulties they present in the subjects Spanish, Mathematics and History, looking for measurable instruments and analysis in order to recognize the merit and achieve the proposed, weakness to which the research problem responds. A non-experimental, descriptive, trans sectional study was carried out in which it was intended to describe how to achieve the inter material relationship in these classes. The sample was 81 students, 4 teachers and 7 experienced specialists. From the characteristics of the classes in the degree, some conceptions of games and motivation, it was took into account the need for integral multilateral development of the personality, as well as the analysis of the program and the methodological orientations. The percentage analysis allowed the processing of the results, which were validated according to the criteria of specialists as useful and necessary tool for the teachers who teach the degree.

RESUMEN La investigación se sustenta en juegos pre-deportivos integradores para el desarrollo cognitivo de los alumnos de 6to grado en las clases de Educación Física de la Escuela Primaria Antonio Maceo Grajales, con el objetivo de diseñar juegos para solucionar las dificultades que estos presentan en las asignaturas Español, Matemáticas e Historia, buscando instrumentos medibles y de análisis con la finalidad de reconocer el mérito y lograr lo propuesto, debilidad a lo cual responde el problema de investigación. Se realiza un estudio no experimental transceccional descriptivo donde se pretendió describir cómo lograr la relación intermateria en estas clases. La muestra fue de 81 alumnos, 4 profesores y 7 especialistas de experiencia. Se parte de las características de las clases en el grado, algunas concepciones de juegos y motivación, se tiene en cuenta la necesidad de desarrollo multilateral integral de la personalidad, así como el análisis del programa y las orientaciones metodológicas. El análisis porcentual permite el procesamiento de los resultados, los cuales quedaron validados según criterio de especialistas como una herramienta útil y necesaria para los docentes que imparten el grado.

14.

Effects of physiological stage and season on infrared thermograms of different body areas of dairy cows raised under tropical conditions
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- Dimensions
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Deak, Fernanda Luiza Guinossi Barbosa

; Chacur, Marcelo George Mungai

; Souza, Camila Dutra de

; Andrade, Isamara Batata

; Cornacini, Gabriela Figueredo

; Garcia, Alexandre Rossetto

; Gabriel Filho, Luís Roberto Almeida

Animal Reproduction

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Jun 2019, Volumen 16 Nº 2 Paginas 311 - 316

Resumen: En | Texto: En | PDF: En

Abstract The objective of this study was to investigate the influence of season and pregnancy stage on the temperature of various body areas of Holstein cows using digital infrared thermography, an effective and non-invasive technique. The temperature was recorded at several areas of the body surface to determine the most reliable body area for measurement of rectal temperature in pregnant and non-pregnant animals. Holstein cows (n = 24) were divided into groups according to their physiological stage. The experimental period was 365 days, containing a dry (April-September) and rainy (October-March) season, with parameters measured every 28 days. Thermographic data for different body areas, rectal thermometry, ultrasonography, and climatic data were collected between 7:00 and 9:00. Thermogram-recorded temperatures significantly differed (P < 0.05) between seasons and reproductive phases. Moreover, significant differences were noted between the temperatures of the flank, lateral udder, and perineal areas across seasons (P < 0.05). The udder, perineal, and rectal temperatures differed according to the reproductive phase (P < 0.05). Significant correlations (P < 0.01) were observed between reproductive phases and rectal, ocular globe, snout, flank, and perineum temperature. The body areas examined by thermographic imaging presented different temperatures, exhibiting physiological variation. Season and physiological stage influenced the temperature of body areas of milk cows.

https://doi.org/10.21451/1984-3143-ar2017-0023 447 descargas

15.

Associação entre Força Muscular Relativa e Indicadores de Obesidade em Professores Universitários
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Aires Ferreira, Sandra

; de Castro Teixeira, Denilson

; Cavazzotto, Timothy Gustavo

; de Moura Cavalhaes, Mayla Fernanda

; Figueredo Diesel, Denis Antônio

; Cordeiro de Souza, William

; Queiroga, Marcos Roberto

Ciencia & trabajo

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Abr 2018, Volumen 20 Nº 61 Paginas 31 - 35

Resumen: En Pt | Texto: En Pt | PDF: En | PDF: Pt

Abstract: The aim of the study was to verify the association between relative muscular strength and indicators of obesity in university professors. 71 teachers (37 men and 34 women) were submitted to measurement of waist circumference (WC) and the handgrip test. Based on body mass (BM) and height was calculated Body Mass Index (BMI). Relative muscle strength (% FM) was determined by ratio of the averaged val ues of right and left handgrip by MC. Based on the values of the % FM, the sample was stratified into tertiles according to gender for comparison of MC, BMI and WC using the Kruskal-Wallis test; to identify the difference between two groups was used the Mann- Whitney test and for correlation was used the Spearman coefficient. Men of the 3rd tertile showed lower values significantly on indicators of obesity when compared to the 1st and 2nd tertile. There was no difference for women in obesity indicators, although the values found were lower with increasing level strength. The inverse correlations were observed for MC, BMI and WC in both genders. The performance of strength palmar prehension suggests higher importance in the pre vention of obesity between men than women professors.

Resumo: O objetivo do estudo foi verificar a associação entre a força muscular relativa e os indicadores de obesidade em professores universitários. 71 docentes (37 homens e 34 mulheres) foram submetidos à medida da circunferência da cintura (CC) e ao teste de preensão manual. A partir da massa corporal (MC) e da estatura calculou-se o Índice de Massa Corporal (IMC). A força muscular relativa (% FM) foi determi nada mediante razão dos valores da média de preensão manual direita e esquerda pela MC. Com base nos valores de % FM a amostra foi estratificada em tercis de acordo com o gênero para efeito de comparação da MC, IMC e CC utilizando o teste de Kruskal Wallis. Para identificar a diferença entre dois grupos utilizou-se a Mann- Whitney e para correlação usou-se o coeficiente de Spearman. Os homens do 3° tercil apresentaram valores significativamente menores nos indicadores de obesidade quando comparados ao 1° e 2° tercil. Não houve diferença significativa para as mulheres nos indicadores de obesidade embora os valores encontrados tenham sido menores com o aumento do nível de força. Foram observadas correlações inversas para MC, IMC e CC em ambos os gêneros. O desempenho de força muscular palmar sugere maior importância na prevenção de obesidade entre os professores do que entre as professoras.

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