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au:CARMONA, MARIA JOSE

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Factors related to academic performance in medical students
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Guerrero-López, José Benjamín

; Monterrosas, Ana María

; Reyes-Carmona, Carlos

; Arrioja Guerrero, Araceli

; Navarrete-Martínez, Andrea

; Flores Morones, Felipe

; Flores-Ramos, Mónica

; Hernández-Ruiz, Héctor Fernando

Salud mental

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aug 2023, Volume 46 N. 4 Pages 193 - 200

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

Resumen Introducción El desempeño académico de los estudiantes de medicina puede verse influenciado por varios factores, entre ellos los relacionados con la salud mental y las relaciones familiares. Objetivo Examinar los factores que afectan el desempeño académico en estudiantes de medicina, considerando específicamente los posibles diagnósticos de depresión. Método Se realizó una encuesta entre 747 estudiantes de cuarto año de la carrera de medicina. La encuesta incluyó preguntas sobre variables sociodemográficas, salud mental y bienestar. Se utilizó el Cuestionario de Salud del Paciente (PHQ), que comprende secciones sobre depresión, ansiedad, pánico, hábitos alimentarios, consumo de alcohol y la Escala de Percepción del Estrés. El desempeño académico se evaluó con base en el promedio de calificaciones (GPA) de los estudiantes. Se emplearon estadísticas descriptivas, coeficientes de correlación de Pearson y un modelo de regresión lineal para el análisis de datos. Resultados El estudio reveló varias variables significativamente asociadas con el GPA. Se encontró que la edad (r = -.388), la situación financiera (r = .241), las relaciones con los convivientes (r = .165) y las relaciones con los compañeros (r = .217) tenían correlación con el rendimiento académico. Además, se encontró que repetir un curso estaba significativamente asociado con el GPA de una persona (r = .518) incluso después de controlar la depresión. Discusión y conclusión Los hallazgos indican que una salud mental sólida, una situación financiera favorable y relaciones interpersonales positivas son cruciales para lograr un desempeño académico óptimo en los estudiantes de medicina. Estos resultados enfatizan la necesidad de abordar los problemas de salud mental, promover un entorno social de apoyo y brindar asistencia financiera para mejorar los resultados educativos de los estudiantes de medicina.

Abstract Introduction Academic performance in medical students can be influenced by several factors, including those related to mental health and family relationships. Objective To examine the factors affecting academic performance in medical students, specifically considering potential diagnoses of depression. Method A survey was conducted among 747 fourth-year medical students. The survey included questions on sociodemographic variables, mental health, and well-being. The Patient Health Questionnaire (PHQ) was utilized, encompassing sections on depression, anxiety, panic, eating habits, alcohol consumption, and the Stress Perception Scale. Academic performance was assessed based on students' Grade Point Average (GPA). Descriptive statistics, Pearson correlation coefficients, and a linear regression model were employed for data analysis. Results The study revealed several variables significantly associated with GPA. Age (r = -.388), financial situation (r = .241), relationships with cohabitants (r = .165), and relationships with peers (r = .217) were found to have a correlation with academic performance. Additionally, repeating a course was found to be significantly associated with a person's GPA (r = .518) even after controlling for depression. Discussion and conclusion The findings indicate that robust mental health, a favorable financial situation, and positive interpersonal relationships are crucial for achieving optimal academic performance in medical students. These results emphasize the need to address mental health concerns, promote a supportive social environment, and provide financial assistance to enhance the educational outcomes of medical students.

https://doi.org/10.17711/sm.0185-3325.2023.024

Growth phenotypes of very low birth weight infants for prediction of neonatal outcomes from a Brazilian cohort: comparison with INTERGROWTH
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Cardoso, Viviane Cunha

; Grandi, Carlos

; Silveira, Rita C.

; Duarte, José Luiz Bandeira

; Viana, Maria Cândida Ferrarez Bouzada

; Ferreira, Daniela Marques de Lima Mota

; Alves Junior, José Mariano Sales

; Embrizi, Laís Furlan

; Gimenes, Carolina Boschi

; Mello e Silva, Nathalia Moura de

; Melo, Fernanda Pegoraro de Godoi

; Venzon, Paulyne Stadler

; Gomez, Dafne Barcala

; Vale, Marynéa Silva do

; Bentlin, Maria Regina

; Barros, Marina Carvalho de Moraes

; Bigélli, Laura Emilia Monteiro

; Diniz, Edna Maria de Albuquerque

; Luz, Jorge Hecker

; Marba, Sérgio Tadeu Martins

; Almeida, João Henrique Carvalho Leme de

; Aragon, Davi Casale

; Carmona, Fabio

Jornal de Pediatria

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jan 2023, Volume 99 N. 1 Pages 86 - 93

Abstract: En | Text: En | PDF: En

Abstract Objective: To assess the predictive value of selected growth phenotypes for neonatal morbidity and mortality in preterm infants < 30 weeks and to compare them with INTERGROWTH-21st (IG21). Methods: Retrospective analysis of data from the Brazilian Neonatal Research Network (BNRN) database for very low birth weight (VLBW) at 20 public tertiary-care university hospitals. Outcome: the composite neonatal morbidity and mortality (CNMM) consisted of in-hospital death, oxygen use at 36 weeks, intraventricular hemorrhage grade 3 or 4, and Bell stage 2 or 3 necrotizing enterocolitis. Selected growth phenotypes: small-for-gestational-age (SGA) defined as being < 3rd (SGA3) or 10th (SGA10) percentiles of BW, and large-for-gestational-age (LGA) as being > 97th percentile of BW. Stunting as being < 3rd percentile of the length and wasting as being < 3rd percentile of BMI. Single and multiple log-binomial regression models were fitted to estimate the relative risks of CNMM, comparing them to IG21. Results: 4,072 infants were included. The adjusted relative risks of CNMM associated with selected growth phenotypes were (BNRN/IG21): 1.45 (0.92–2.31)/1.60 (1.27–2.02) for SGA; 0.90 (0.55–1.47)/1.05 (0.55–1.99) for LGA; 1.65 (1.08–2.51)/1.58 (1.28–1.96) for stunting; and 1.48 (1.02–2.17) for wasting. Agreement between the two references was variable. The growth phenotypes had good specificity (>95%) and positive predictive value (70-90%), with poor sensitivity and low negative predictive value. Conclusion: The BNRN phenotypes at birth differed markedly from the IG21 standard and showed poor accuracy in predicting adverse neonatal outcomes.

https://doi.org/10.1016/j.jped.2022.07.007

Resultados materno y perinatal de pacientes con diagnóstico prenatal de gastrosquisis en un centro de Medellín
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Mejía-Carmona, María A.

; Campo-Campo, María N.

; Sanín-Blair, José E.

; Gutiérrez-Marín, Jorge H.

; García-Posada, Raúl

; Arrieta-Gil, Diógenes A.

; Cuesta-Castro, Diana P.

Revista chilena de obstetricia y ginecología

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2023, Volume 88 N. 1 Pages 9 - 15

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

Resumen Objetivo: Describir los resultados maternos y perinatales de pacientes con diagnóstico prenatal de gastrosquisis atendidos en un centro de referencia obstétrica de Medellín. Método: Estudio observacional, descriptivo y retrospectivo, llevado a cabo en la Clínica Universitaria Bolivariana en fetos con diagnóstico prenatal de gastrosquisis desde el 1 de enero de 2010 hasta el 31 de julio de 2021. Resultados: Se identificaron 54 gestantes con diagnóstico prenatal de gastrosquisis. En el 63% era su primer embarazo y el 27,8% eran adolescentes. La duración promedio de la gestación fue de 35 semanas y 6 días. La cesárea fue la vía más común (98,1%) y la indicación más frecuente fue sufrimiento de asa 66,7%. El 55,6% de los neonatos requirieron más de una intervención quirúrgica para el cierre de la pared abdominal. Las complicaciones más frecuentes fueron anemia (66,7%) e íleo posoperatorio (72,2%). La mortalidad fue del 13%. Conclusiones: Se evidencian algunas características similares a las reportadas en otras series. La mayor presentación fue en primer embarazo, la causa de finalización de la gestación fue sufrimiento de asas (demostrando la importancia del seguimiento ecográfico), y las complicaciones más frecuentes fueron anemia e íleo posoperatorio presentados por la prematuridad. La mortalidad comparada con la de otras instituciones locales fue menor.

Abstract Objective: To describe the outcomes of maternal and perinatal in patients diagnosed with prenatal gastroschisis that received medical care at an obstetric reference center in Medellin. Method: Observational, descriptive and retrospective study in fetuses with a prenatal diagnosis of gastroschisis performed in the Clínica Universitaria Bolivariana between January 1st 2010 and July 31st 2021. Results: Were included 54 pregnant women with prenatal diagnosis of gastroschisis. The 63% were their first pregnancy and 27,8% were adolescents. The average duration of gestation was 35 weeks and 6 days. Cesarean section was the most common way of delivery (98,1%) and the most frequent indication was suffering from loop (66,7%). The 55,6% of neonates required more than one surgical intervention for closure of the abdominal wall. The most frequent complications were anemia (66,7%) and postoperative ileus (72,2%). A mortality of 13% was presented. Conclusions: Some characteristics like reported in other series are evident. The greatest presentation was in the first pregnancy, the cause of termination of pregnancy was suffering from loops (demonstrating the importance of ultrasound monitoring) and the most frequent complications were anemia and postoperative ileus presented by prematurity. Mortality, compared to other local institutions, was lower.

https://doi.org/10.24875/rechog.22000096

Registration of clinical trials in anesthesiology: promoting transparency in clinical research
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Schmidt, André P.

; Carmona, Maria José C.

Brazilian Journal of Anesthesiology

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dec 2022, Volume 72 N. 6 Pages 685 - 687

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.bjane.2022.09.002

Openreuma Consensus on the role of nursing in the care of patients with rheumatoid arthritis and diffuse interstitial lung disease
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Cano García, Laura

; García de Yébenes, María Jesús

; Mena Vázquez, Natalia

; Martín Martín, José Mª

; Domínguez Quesada, Carmen

; García-Díaz, Silvia

; Rodríguez Vargas, Ana Isabel

; de la Torre-Aboki, Jenny

; Jiménez Núñez, Francisco

; Espíldora Hernández, Francisco

; León Mateos, Leticia

; Vázquez Lojo, Ana

; Marcos Pérez, Elena

; Castiblanco, Laura

; Carmona, Loreto

Investigación y Educación en Enfermería

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dec 2022, Volume 40 N. 3 elocation e17

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

Resumen Objetivo. Desarrollar recomendaciones prácticas, basadas en la mejor evidencia y experiencia disponible, sobre el manejo de enfermería de los pacientes con artritis reumatoide (AR) y enfermedad pulmonar intersticial (EPI). Métodos. Se utilizó la metodología de consenso en la que un panel de expertos (formado por enfermeras de reumatología, reumatólogos, una psicóloga, una fisioterapeuta y una paciente) definió el ámbito, los usuarios, los temas sobre los que explorar la evidencia y sobre los que emitir recomendaciones. Tres preguntas PICO evaluaron la eficacia y seguridad de la rehabilitación pulmonar y las medidas no farmacológicas para el tratamiento de la tos crónica y el reflujo gastroesofágico mediante la búsqueda de revisiones sistemáticas, excluyendo aquellas cuya calidad era baja, muy baja o críticamente baja, según la herramienta AMSTAR-2. Posteriormente, se hizo una reunión para la formulación de recomendaciones que se presentaron con un resumen de la evidencia a la encuesta Delphi. Resultados. Con los resultados de las revisiones se establecieron 15 recomendaciones cuyo grado de acuerdo osciló entre el 77% y el 100% en la una encuesta Delphi. Tres recomendaciones fueron rechazadas en la segunda ronda: una por la evidencia disponible y los dos restantes se basaron en la opinión de expertos. Las 12 recomendaciones restantes aprobadas se referían a la evaluación del paciente (n=4), a la educación del paciente (n=4) y a la gestión del riesgo (n=4). Conclusión. El conocimiento del consenso Openreuma por parte de enfermería y la aplicación sus 12 recomendaciones basadas en la mejor evidencia y experiencia puede mejorar el seguimiento y el pronóstico de los pacientes con AR que presentan EPI.

Abstract Objective. To develop practical recommendations, based on the best available evidence and experience, on the nursing management of patients with rheumatoid arthritis (RA) and interstitial lung disease (ILD). Methods. The usual consensus methodology was used, with a nominal group, systematic reviews (SRs), and Delphi survey. The expert panel, consisting of rheumatology nurses, rheumatologists, a psychologist, a physiotherapist, and a patient, defined the scope, the users, the topics on which to explore the evidence and on which to issue recommendations. Results. Three PICO questions evaluated the efficacy and safety of pulmonary rehabilitation and non-pharmacological measures for the treatment of chronic cough and gastroesophageal reflux by means of SR of the literature. With the results of the reviews, 15 recommendations were established for which the degree of agreement was obtained with a Delphi survey. Three recommendations were rejected in the second round. The 12 recommendations were in patient assessment (n=4); patient education (n=4); and risk management (n=4). Only one recommendation was based on available evidence, while the remaining were based on expert opinion. The degree of agreement ranged from 77% to 100%. Conclusion. This document presents a series of recommendations with the aim of improving the prognosis and quality of life of patients with RA-ILD. Nursing knowledge and implementation of these recommendations can improve the follow-up and prognosis of patients with RA who present with ILD.

Resumo Objetivo. Desenvolver recomendações práticas, baseadas na melhor evidência e experiência disponíveis, sobre o manejo de enfermagem de pacientes com artrite reumatoide (AR) e doença pulmonar intersticial (DPI). Métodos. Foi utilizada a metodologia de consenso, com grupo nominal, revisões sistemáticas e levantamento Delphi. O painel de especialistas, formado por enfermeiros reumatologistas, reumatologistas, psicólogo, fisioterapeuta e paciente, definiu o escopo, os usuários, os tópicos sobre os quais explorar as evidências e sobre os quais emitir recomendações. Três questões do PICO avaliaram a eficácia e segurança da reabilitação pulmonar e medidas não farmacológicas para o tratamento da tosse crônica e refluxo gastroesofágico por meio de RS. Aqueles cuja qualidade era baixa, muito baixa ou criticamente baixa, de acordo com a ferramenta AMSTAR-2, foram excluídos. Posteriormente, realizou-se uma reunião para formular recomendações que foram apresentadas com um resumo das evidências ao inquérito Delphi. Resultados. Com os resultados das revisões, foram estabelecidas 15 recomendações cujo grau de concordância entre 77% e 100% foi obtido com uma pesquisa Delphi. Três recomendações foram rejeitadas na segunda rodada. As 12 recomendações referiam-se à avaliação do paciente (n=4); à educação do paciente (n=4); e ao gerenciamento de risco (n=4). Apenas uma recomendação foi baseada nas evidências disponíveis, enquanto as demais foram baseadas na opinião de especialistas. Conclusão. Este documento apresenta uma série de recomendações com o objetivo de melhorar o prognóstico e a qualidade de vida dos pacientes com AR-ILD. O conhecimento da enfermagem e a aplicação dessas recomendações podem melhorar o acompanhamento e o prognóstico de pacientes com AR com DPI.

https://doi.org/10.17533/udea.iee.v41n1e03

La sustentabilidad desde la percepción de estudiantes: caso Preparatoria 47 de Texca, Guerrero
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Brito Carmona, Rosa María

; Rodríguez Alviso, Columba

; Aparicio López, José Luis

; Beltrán Rosas, Juana

RIDE. Revista Iberoamericana para la Investigación y el Desarrollo Educativo

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dec 2022, Volume 13 N. 25 elocation e012

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

Resumen El objetivo de esta investigación fue evaluar la percepción de la sustentabilidad en estudiantes de una preparatoria ubicada en Texca, Guerrero. La metodología fue cuantitativa; se empleó la técnica de la encuesta mediante la opción de respuesta en escala de Likert a 79 participantes (34 hombres y 45 mujeres). El alcance fue exploratorio por ser un fenómeno poco estudiado. Los hallazgos más destacados muestran que, en la dimensión ambiental, 71 % de los estudiantes tiene conocimientos y actitudes favorables hacia el cuidado del medio ambiente; en la social, 72 % está muy satisfecho con el desempeño de sus docentes y las condiciones de equipamiento de las instalaciones escolares, aun y cuando consideran que se requieren mejores condiciones físicas para la realización de sus actividades; en el área económica, 61 % está de acuerdo con el pago de los aranceles institucionales, pero les gustaría saber cómo y en qué se invierten los recursos cobrados. Este estudio concluye con el reconocimiento de una adecuada percepción de los temas ambientales y de la sustentabilidad por parte de los docentes y estudiantes del nivel medio en una comunidad rural; sin embargo, también se reconoce que es necesario continuar con el desarrollo de procesos de capacitación con los docentes.

Abstract The objective of this research was to evaluate the perception of sustainability in students of a high school located in Texca, Guerrero. The methodology was quantitative; the survey technique was used using the Likert scale response option for 79 participants (34 men and 45 women). The scope was exploratory because it is a little studied phenomenon. The most outstanding findings show that, in the environmental dimension, 71 % of the students have favorable knowledge and attitudes towards environment care; in the social, 72 % are very satisfied with the performance of their teachers and the equipment conditions of the school facilities, even though they consider that better physical conditions are required to carry out their activities; in the economic area, 61 % agree with the payment of institutional fees, but would like to know how the collected resources are invested. This study concludes with the recognition of an adequate perception of environmental issues and sustainability by teachers and students at the middle school level in a rural community; however, it is also recognized that it is necessary to continue developing training processes with teachers.

Resumo O objetivo desta pesquisa foi avaliar a percepção de sustentabilidade em alunos de uma escola secundária localizada em Texca, Guerrero. A metodologia foi quantitativa; A técnica de pesquisa foi utilizada por meio da opção de resposta da escala Likert para 79 participantes (34 homens e 45 mulheres). O escopo foi exploratório por se tratar de um fenômeno pouco estudado. Os achados mais destacados mostram que, na dimensão ambiental, 71% dos alunos possuem conhecimentos e atitudes favoráveis ao cuidado com o meio ambiente; no social, 72% estão muito satisfeitos com o desempenho de seus professores e com as condições de equipamentos das instalações escolares, mesmo quando consideram que são necessárias melhores condições físicas para realizar suas atividades; Na área econômica, 61% concordam com o pagamento de taxas institucionais, mas gostariam de saber como e em que são investidos os recursos arrecadados. Este estudo conclui com o reconhecimento de uma percepção adequada das questões ambientais e de sustentabilidade por professores e alunos do ensino médio em uma comunidade rural; no entanto, reconhece-se também que é necessário continuar a desenvolver processos de formação de professores.

https://doi.org/10.23913/ride.v13i25.1253

Sustentabilidad en educación básica: caso Escuela Secundaria General de Las Vigas, Guerrero
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Gutiérrez Villalobos, Marcela Alejandra

; Bedolla Solano, Ramón

; Brito Carmona, Rosa María

; Sampedro Rosas, María Laura

; Bedolla Solano, Juan José

; Sánchez Adame, Oscar

RIDE. Revista Iberoamericana para la Investigación y el Desarrollo Educativo

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dec 2022, Volume 13 N. 25 elocation e025

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

Resumen El presente trabajo de investigación se llevó a cabo en el año 2020, durante la pandemia, con una muestra por conveniencia, y tuvo como objetivo evaluar el nivel de sustentabilidad de una escuela secundaria general ubicada en Las Vigas, Guerrero, México. El estudio se dividió en tres partes. La primera consistió en el análisis del grado de vinculación del Plan de Estudios de Educación Básica 2011 de la Secretaría de Educación Pública con la sustentabilidad; la segunda, se aplicó una encuesta a docentes y estudiantes para identificar conocimientos ambientales, y la tercera, se relaciona con la aplicación de una auditoría ambiental enfocada a identificar los principales problemas y necesidades de la escuela. Los resultados demostraron una escasa vinculación del Plan de estudios 2011 con la dimensión ambiental, una vinculación parcial con lo social y una vinculación fuerte con la dimensión económica. En la encuesta, los estudiantes mostraron mayor conocimiento ambiental que los docentes, pero, aun así, se identificó un bajo nivel de compromiso generalizado con el uso racional de recursos naturales. La auditoría ambiental evidenció problemas en la disposición de agua de la llave, baños en malas condiciones, carencia de instalaciones de drenaje, cableado eléctrico escaso y muy pocas acciones de manejo de residuos sólidos urbanos. Por todo lo anterior, se llegó a la conclusión de que la escuela se encuentra en un nivel bajo de cumplimiento con la sustentabilidad.

Abstract The present research was conducted in 2020, during the pandemic, with a convenience sample, and its objective was to evaluate the level of sustainability of a general secondary school located in Las Vigas, Guerrero, Mexico. The study was divided into three parts. The first consisted of an analysis of the degree of linkage of the basic education curriculum (2011) in Mexico with sustainability; the second, a survey of teachers and students; and the third, the application of an environmental audit focused on identifying the main problems and needs of the school. The results showed a scarce linkage of the curriculum with the environmental dimension, a partial linkage with the social dimension and a strong linkage with the economic dimension. In the survey, students showed greater environmental knowledge than teachers, but even so, a low level of generalized commitment to the rational use of natural resources was identified. The environmental audit revealed problems in the disposal of tap water, bathrooms in poor condition, lack of drainage facilities, scarce electrical wiring and very few actions for the management of urban solid waste. For all the above, it was concluded that the school is in a low level of compliance with sustainability.

Resumo A presente investigação foi realizada em 2020, durante a pandemia, com uma amostra de conveniência, e visava avaliar o nível de sustentabilidade de uma escola secundária geral localizada em Las Vigas, Guerrero, México. O estudo foi dividido em três partes. A primeira consistiu numa análise do grau a que o currículo da educação básica mexicana (2011) está ligado à sustentabilidade; a segunda consistiu num inquérito a professores e alunos; e a terceira consistiu numa auditoria ambiental destinada a identificar os principais problemas e necessidades da escola. Os resultados mostraram uma fraca ligação do currículo com a dimensão ambiental, uma ligação parcial com a dimensão social e uma forte ligação com a dimensão económica. No inquérito, os estudantes mostraram maiores conhecimentos ambientais do que os professores, mas mesmo assim, foi identificado um baixo nível generalizado de empenho na utilização racional dos recursos naturais. A auditoria ambiental revelou problemas na eliminação de água da torneira, sanitários em más condições, falta de instalações de drenagem, escassos cabos eléctricos e muito poucas acções para a gestão de resíduos sólidos urbanos. Por tudo isto, concluiu-se que a escola está a um baixo nível de conformidade com a sustentabilidade.

https://doi.org/10.23913/ride.v13i25.1275

Use of software to guide the management of intraoperative hemodynamic instability
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Salgado-Filho, Marcello Fonseca

; Sachetto, Rafael

; Carmona, Maria José Carvalho

Brazilian Journal of Anesthesiology

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jun 2022, Volume 72 N. 3 Pages 418 - 419

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.bjane.2021.06.028

Two years of the COVID-19 pandemic: an anesthesiology perspective
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Schmidt, André P.

; Módolo, Norma S.P.

; de Amorim, Célio G.

; Simões, Cláudia M.

; Kraychete, Durval C.

; Joaquim, Eduardo H.G.

; Lineburger, Eric B.

; Papa, Fábio V.

; Fernandes, Fátima C.

; Mendes, Florentino F.

; Guimarães, Gabriel M.N.

; Barros, Guilherme A.M.

; Silva-Jr, João M.

; Lima, Laís H. Navarro e

; Azi, Liana M.T.A.

; Carvalho, Lorena I.M.

; Stefani, Luciana C.

; Garcia, Luis V.

; Carmona, Maria José C.

; Salgado Filho, Marcello F.

; Nascimento Junior, Paulo do

; Alves, Rodrigo L.

; Carvalho, Vanessa H.

; Quintão, Vinicius C.

; Carmona, Maria José C.

Brazilian Journal of Anesthesiology

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apr 2022, Volume 72 N. 2 Pages 165 - 168

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.bjane.2022.02.004

10.

Emergence delirium in children: a Brazilian survey
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Quintão, Vinícius Caldeira

; Sales, Charlize Kessin de Oliveira

; Herrera, Estefania Morales

; Ellerkmann, Richard K

; Rosen, H. David

; Carmona, Maria José Carvalho

Brazilian Journal of Anesthesiology

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apr 2022, Volume 72 N. 2 Pages 207 - 212

Abstract: En | Text: En | PDF: En

Abstract Background: Pediatric emergence delirium is characterized by a disturbance of a child’s awareness during the early postoperative period that manifests as disorientation, altered attention and perception. The incidence of emergence delirium varies between 18% and 80% depending on risk factors and how it is measured. Reports from Canada, Germany, Italy, United Kingdom, and France demonstrated a wide range of preventive measures and definitions, indicating that there is a lack of clarity regarding emergence delirium. We aimed to assess the practices and beliefs among Brazilian anesthesiologists regarding emergence delirium. Methods: A web-based survey was developed using REDCap®. A link and QR Code were sent by email to all Brazilian anesthesiologists associated with the Brazilian Society of Anesthesiology (SBA). Results: We collected 671 completed questionnaires. The majority of respondents (97%) considered emergence delirium a relevant adverse event. Thirty-two percent of respondents reported routinely administrating medication to prevent emergence delirium, with clonidine (16%) and propofol (15%) being the most commonly prescribed medications. More than 70% of respondents reported a high level of patient and parent anxiety, a previous history of emergence delirium, and untreated pain as risk factors for emergence delirium. Regarding treatment, thirty-five percent of respondents reported using propofol, followed by midazolam (26%). Conclusion: Although most respondents considered emergence delirium a relevant adverse event, only one-third of them routinely applied preventive measures. Clonidine and propofol were the first choices for pharmacological prevention. For treatment, propofol and midazolam were the most commonly prescribed medications.

https://doi.org/10.1016/j.bjane.2020.12.029

11.

Efecto de Morus alba en el contenido de flavonoides y perfil bromatológico de leche caprina
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García-Valadez, Julio César

; Carmona-Hernández, Oscar

; Bulbarela-Sampieri, Carmen

; López-Del-Castillo-Lozano, Micloth

; Aguirre Martínez, Ana María

; Lozada-García, José Armando

Agronomía Mesoamericana

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apr 2022, Volume 33 N. 1 elocation 46905

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

Resumen Introducción. La morera (Morus alba), planta originaria de China, se utiliza como forraje en algunas granjas. Su alto contenido de proteína estimula la producción de leche en el ganado; sin embargo, se desconoce si sus flavonoides pueden ser incorporados en la leche caprina. Objetivo. Evaluar el efecto de una dieta enriquecida con morera, sobre la concentración de flavonoides y parámetros bromatológicos de leche de cabras alpinas estabuladas. Materiales y métodos. El experimento se realizó en el año 2019, con cabras de una granja particular ubicada en Veracruz, México. Se formaron dos grupos (A con el tratamiento y B control) con cinco cabras de raza alpina cada uno, de características similares (alimentación estabulada, tres partos, sin mastitis, ordeño manual matutino y vespertino). El grupo A recibió forraje sin morera antes y después del tratamiento (días 1-10 y 21-31, respectivamente), y una dieta de forraje modificada con morera (días 11-20, tratamiento); el grupo B se alimentó con forraje sin morera los 31 días de experimentación. Además, se analizó el contenido de flavonoides en la morera y cada tres días en muestras de leche, además de los bromatológicos de contenido de proteína, grasa, lactosa, sólidos no grasos y densidad. Resultados. Durante la dieta modificada con morera, la concentración de flavonoides alcanzó un máximo de 53,45 mg mL-1 EQ en el grupo A al día 20, descendió de forma paulatina durante el periodo posterior al tratamiento; además, mantuvo un 20 % más de flavonoides que el grupo control. Se observó también un incremento significativo del contenido de proteína en el grupo A, sin diferencia significativa en los demás parámetros bromatológicos de la leche entre los dos grupos. Conclusión. Las dietas modificadas con morera favorecieron la incorporación de flavonoides y el incremento de proteína en la leche de cabra, sin modificar los demás parámetros bromatológicos.

Abstract Introduction. Mulberry (Morus alba), a plant native to China, is used as a fodder on some farms. Its high protein content stimulates milk production in cattle; however, it is not known whether its flavonoids can be incorporated into goat milk. Objective. To evaluate the effect of a diet enriched with mulberry-enriched, on flavonoids concentration and bromatological parameters of milk from stabled alpine goats. Materials and methods. The experiment was carried out in 2019, with goats from a particular farm located in Veracruz, Mexico. Two groups were formed (A with the treatment and B control) with five Alpine breed goats each, with similar characteristics (stall feeding, three calving, without mastitis, morning and evening hand milking). Group A received forage without mulberry before and after treatment (days 1-10 and 21-31, respectively), and a modified forage diet with mulberry (days 11-20; group B was fed forage without mulberry on all 31 days of experimentation. Additionally, the flavonoid content in mulberry and every three days in milk samples were analyzed, in addition to the bromatological content of protein, fat, lactose, non-fat solids, and density. Results. During the mulberry-modified diet, the flavonoid concentration reached a maximum of 53.45 mg mL-1 EQ in group A at day 20, it decreased gradually during the post-treatment period; however, it maintained 20 % more flavonoids than the control group. A significant increase in protein content was also observed in group A, with no significant difference in the other bromatological parameters of the milk between the two groups. Conclusions. The diets modified with mulberry favored the incorporation of flavonoids and the increase of protein in goat milk, without modifying the other bromatological parameters.

https://doi.org/10.15517/am.v33i1.46905

12.

Assessment of a digital game as a neuropsychological test for postoperative cognitive dysfunction
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Lucatelli, André

; Goulart, Ananaira Alves

; Silveira, Paulo Sergio Panse

; Siqueira, José de Oliveira

; Carmona, Maria José Carvalho

; Pereira, Valéria Fontenelle Angelim

; Valentin, Livia Stocco Sanches

; Vieira, Joaquim Edson

Brazilian Journal of Anesthesiology

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feb 2022, Volume 72 N. 1 Pages 7 - 12

Abstract: En | Text: En | PDF: En

Abstract Objective: Postoperative cognitive dysfunction may result from worsening in a condition of previous impairment. It causes greater difficulty in recovery, longer hospital stays, and consequent delay in returning to work activities. Digital games have a potential neuromodulatory and rehabilitation effect. In this study, a digital game was used as a neuropsychological test to assess postoperative cognitive dysfunction, with preoperative patient performance as control. Methods: It was a non-controlled study, with patients selected among candidates for elective non-cardiac surgery, evaluated in the preand postoperative periods. The digital game used has six phases developed to evaluate selective attention, alternating attention, visuoperception, inhibitory control, short-term memory, and long-term memory. The digital game takes about 25 minutes. Scores are the sum of correct answers in each cognitive domain. Statistical analysis compared these cognitive functions preand post-surgery using a generalized linear mixed model (ANCOVA). Results: Sixty patients were evaluated, 40% male and 60% female, with a mean age of 52.7 ± 13.5 years. Except for visuoperception, a reduction in post-surgery scores was found in all phases of the digital game. Conclusion: The digital game was able to detect decline in several cognitive functions postoperatively. As its completion is faster than in conventional tests on paper, this digital game may be a potentially recommended tool for assessing patients, especially the elderly and in the early postoperative period.

https://doi.org/10.1016/j.bjane.2021.06.025

13.

On the shoulders of giants
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Carmona, Maria José Carvalho

Brazilian Journal of Anesthesiology

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feb 2022, Volume 72 N. 1 Pages 1 - 3

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.bjane.2021.11.002

14.

Perioperative cognitive evaluation and training: the use of digital games for assessment and prevention of cognitive decline after major non-cardiac surgery
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Schmidt, André P.

; Carmona, Maria José C.

Brazilian Journal of Anesthesiology

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feb 2022, Volume 72 N. 1 Pages 4 - 6

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.bjane.2021.11.001

15.

Comparison of digital games as a cognitive function assessment tool for current standardized neuropsychological tests
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Goulart, Ananaira Alves

; Lucatelli, André

; Silveira, Paulo Sergio Panse

; Siqueira, José de Oliveira

; Pereira, Valéria Fontanelle Angelim

; Carmona, Maria José Carvalho

; Valentin, Livia Stocco Sanches

; Vieira, Joaquim Edson

Brazilian Journal of Anesthesiology

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feb 2022, Volume 72 N. 1 Pages 13 - 20

Abstract: En | Text: En | PDF: En

Abstract Objective: Cognitive dysfunction may occur postoperatively. Fast and efficient assessment of Postoperative Cognitive Dysfunction (POCD) can minimize loss of quality of life, and therefore, a study comparing a digital game with standard neuropsychological tests to assess executive, mnemonic, and attention functions to evaluate POCD seems to be relevant both for research and clinical practice. Methods: A battery of standardized tests and a digital game (MentalPlus®) were administered to 60 patients at the Central Institute of Hospital das Clínicas in São Paulo (36 women and 24 men), with ages between 29 and 82 years, preand post-surgery performed under anesthesia. Correlation and linear regression model were used to compare the scores obtained from the standardized tests to the scores of the six executive and cognitive functions evaluated by the game (shortand long-term memory, selective and alternating attention, inhibitory control, and visual perception). Results: After correlation analysis, a statistically significant result was found mainly for the correlation between the scores from the phase of the digital game assessing the visuoperception function and the scores from the A and B cards of the Stroop Test (p < 0.001, r = 0.99 and r = 0.64, respectively), and the scores from TMTA (p = 0.0046, r = 0.51). We also found a moderate correlation between the phase of the game assessing short-memory function and VVLT (p < 0.001, r = 0.41). No statistically significant correlations were found for the other functions assessed. Conclusion: The digital game provided scores in agreement with standardized tests for evaluating visual perception and possibly short-term memory cognitive functions. Further studies are necessary to verify the correlation of other phases of the digital game with standardized tests assessing cognitive functions.

https://doi.org/10.1016/j.bjane.2021.06.027

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