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ABSTRACT Objective: To determine the prevalence and factors associated with the physical rehabilitation of critically ill children in Brazilian pediatric intensive care units. Methods: A 2-day, cross-sectional, multicenter point prevalence study comprising 27 pediatric intensive care units (out of 738) was conducted in Brazil in April and June 2019. This Brazilian study was part of a large multinational study called Prevalence of Acute Rehabilitation for Kids in the PICU (PARK-PICU). The primary outcome was the prevalence of mobility provided by physical therapy or occupational therapy. Clinical data on patient mobility, potential mobility safety events, and mobilization barriers were prospectively collected in patients admitted for ≥ 72 hours. Results: Children under the age of 3 years comprised 68% of the patient population. The prevalence of therapist-provided mobility was 74%, or 277 out of the 375 patient-days. Out-of-bed mobility was most positively associated with family presence (adjusted odds ratios 3.31;95%CI 1.70 - 6.43) and most negatively associated with arterial lines (adjusted odds ratios 0.16; 95%CI 0.05 - 0.57). Barriers to mobilization were reported on 27% of patient-days, the most common being lack of physician order (n = 18). Potential safety events occurred in 3% of all mobilization events. Conclusion: Therapist-provided mobility in Brazilian pediatric intensive care units is frequent. Family presence was high and positively associated with out-of-bed mobility. The presence of physiotherapists 24 hours a day in Brazilian pediatric intensive care units may have a substantial impact on the mobilization of critically ill children.

RESUMO Objetivo: Determinar a prevalência e os fatores associados à reabilitação física de crianças em estado grave em unidades de terapia intensiva pediátrica brasileiras. Métodos: Realizou-se um estudo de prevalência pontual multicêntrico, transversal, de 2 dias, abrangendo 27 unidades de terapia intensiva pediátrica (do total de 738) no Brasil em abril e junho de 2019. Este estudo brasileiro fez parte de um grande estudo multinacional chamado Prevalence of Acute Rehabilitation for Kids in the PICU (PARK-PICU). O desfecho primário foi a prevalência de mobilidade proporcionada pela fisioterapia ou pela terapia ocupacional. Foram coletados prospectivamente dados clínicos sobre a mobilidade do paciente, possíveis eventos de segurança de mobilidade e barreiras de mobilização em pacientes admitidos por ≥ 72 horas. Resultados: As crianças com idade inferior a 3 anos eram 68% da população de pacientes. A prevalência de mobilidade fornecida pelo terapeuta foi de 74%, ou 277 dos 375 pacientes-dia. A mobilidade para fora do leito foi mais positivamente associada à presença de familiares (razão de chance ajustada de 3,31; IC95% 1,70 - 6,43) e mais negativamente associada às linhas arteriais (razão de chance ajustada de 0,16; IC95% 0,05 - 0,57). Foram relatadas barreiras à mobilização em 27% dos pacientes-dia, sendo a mais comum a falta de prescrição médica (n = 18). Registaram-se eventuais eventos de segurança em 3% de todos os eventos de mobilização. Conclusão: A mobilidade proporcionada pelo terapeuta nas unidades de terapia intensiva pediátrica brasileiras é frequente. A presença de familiares foi alta e positivamente associada à mobilidade para fora do leito. A presença de fisioterapeutas 24 horas por dia nas unidades de terapia intensiva pediátrica brasileiras pode exercer papel importante na mobilização de crianças em estado grave.

https://doi.org/10.5935/2965-2774.20230388-en

Saúde mental de agentes comunitários de saúde no contexto da COVID-19
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Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Farias, Sidney Feitoza

; Forte, Franklin Delano Soares

; Costa, Milena Silva

; Guimarães, José Maria Ximenes

; Morais, Ana Patrícia Pereira

; Oliveira, André Luiz Sá de

; Silva Júnior, Fernando José Guedes da

; Nascimento, Elaine Ferreira do

; Vasconcelos, Maristela Inês Osawa

; Dias, Maria Socorro de Araújo

; Oliveira, Felipe Proenço de

; Machado, Maria de Fátima Antero Sousa

; Castro, Marcia C.

; Yousafzai, Aisha Khizar

Ciência & Saúde Coletiva

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2023, Volume 28 N. 8 Pages 2363 - 2376

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

Resumo O objetivo deste estudo foi analisar os fatores relacionados à saúde mental dos agentes comunitários de saúde (ACS) no contexto da COVID-19. Participaram 1.935 ACS de quatro capitais nordestinas e de quatro cidades do interior do Ceará. Foram coletados dados sociodemográficos e profissiográficos; SRQ-20; WHOQOL-Bref; exposição à violência; Escala de Autoeficácia Geral (EAEG); Escala Multidimensional de Suporte Social Percebido (MSPSS); informações relacionadas à COVID-19 e Escala de Ansiedade para Coronavírus (EAC). 40,5% exibiram SRQ > 7, sinalizando altos níveis de transtornos mentais comuns (TMC)/problemas de saúde mental. Utilizou-se a regressão linear múltiplas (backward). Observou-se que o aumento de risco de TCM foi influenciado pelos seguintes fatores: exposição à violência; EAC; não saber se teve COVID-19; desconhecer as variáveis que diminuíam o risco; os domínios físico e psicológico do WHOQOL-Bref; não ter aumento da jornada de trabalho; e não ter tido COVID-19. Os dados revelam a dinâmica multidimensional da saúde mental e ajudam a compreender a relação entre violência comunitária, COVID-19, qualidade de vida, idade e tempo de atuação na ESF com a saúde mental dos ACS.

Abstract This study aimed to analyze the factors related to the mental health of Community Health Workers (ACS) in the COVID-19 context. A total of 1,935 ACS from four Northeastern capitals and four cities in the inland region of Ceará participated. The following data were collected: sociodemographic; professional; SRQ-20; WHOQOL-Bref, exposure to violence, General Self-Efficacy Scale (EAEG), Multidimensional Scale of Perceived Social Support (MSPSS), COVID-19-related information, and the coronavirus anxiety scale (EAC). Approximately 40.5% had SRQ > 7, signaling high levels of Common Mental Disorders (CMD)/mental health issues. We adopted the Multiple linear (backward) regression. We observed that the increased risk of CMD was influenced by exposure to violence, EAC, not knowing they had COVID-19, not knowing the variables that reduced the risk, the physical and psychological domains of the WHOQOL-Bref, not having increased working hours, and not having had COVID-19. The data reveal the multidimensional dynamics of mental health and help understand the relationship between community violence, COVID-19, quality of life, age, and ESF working time with the mental health of ACS.

https://doi.org/10.1590/1413-81232023288.06462023

Saúde mental de agentes comunitários de saúde no contexto da COVID-19
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Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Farias, Sidney Feitoza

; Forte, Franklin Delano Soares

; Costa, Milena Silva

; Guimarães, José Maria Ximenes

; Morais, Ana Patrícia Pereira

; Oliveira, André Luiz Sá de

; Silva Júnior, Fernando José Guedes da

; Nascimento, Elaine Ferreira do

; Vasconcelos, Maristela Inês Osawa

; Dias, Maria Socorro de Araújo

; Oliveira, Felipe Proenço de

; Machado, Maria de Fátima Antero Sousa

; Castro, Marcia C.

; Yousafzai, Aisha Khizar

Ciência & Saúde Coletiva

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2023, Volume 28 N. 8 Pages 2363 - 2376

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

https://doi.org/10.1590/1413-81232023288.06462023

Physical activity levels and mental illness risk in elderly women during COVID-19
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Encarnação, Samuel Gonçalves Almeida da

; Moreira, Osvaldo Costa

; Pinto, Beatriz Woyames Ferreira de Castro

; Miranda, Cíntia Neves de

; Araújo, Daniele Pereira da Silva

; Pereira, Felipe Soares Tomaz

; Fazolo, Sthéfany Lemos

; Carneiro-Júnior, Miguel Araujo

Motricidade

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dec 2022, Volume 18 N. 2 Pages 225 - 229

Abstract: En | Text: En | PDF: En

ABSTRACT This research aimed to verify the effect of the COVID-19 pandemic on mental illness risk (MIR) and confirm the association of PA levels with MIR in elderly women during the COVID-19 pandemic. This experimental longitudinal study involved 44 elderly women aged 67.3± 5.3 years. The SRQ-20 and IPAQ were applied from February 2020 to February 2021, prior to the onset and during the pandemic. Significant increase (242%) of positive responses to MIR between the two periods (p= 0.002, February: 7 vs August: 17, (χ2 (1)= 8.51; p= 0.003, RR= 3.02). Regarding PA levels, there was a significant increase (566%) with a large effect size (ES) in the number of elderly women with low PA levels, from 3 in February to 20 in August, p= 0.0001, V= 1. There was a significant reduction (450%) with high ES of 18 elderly women with high levels of PA from February to 4 in August, p= 0.0001, V= 1. An inverse correlation was identified, with moderate ES between the levels of MIR and PA during the pandemic, r= -0.40, R2= 0.16. The COVID-19 pandemic caused an increase in the MIR of elderly women with a moderate inverse association with PA levels during the COVID-19 pandemic.

https://doi.org/10.6063/motricidade.27174

Proportional vascularization along the fallopian tubes and ovarian fimbria: assessment by confocal microtomography
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Castro, Pedro Teixeira

; Aranda, Osvaldo Luiz

; Marchiori, Edson

; Araújo, Luiz Felipe Bittencourt de

; Alves, Haimon Diniz Lopes

; Lopes, Ricardo Tadeu

; Werner, Heron

; Araujo Júnior, Edward

Radiologia Brasileira

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jun 2020, Volume 53 N. 3 Pages 161 - 166

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

Resumo Objetivo: Avaliar e reconstruir imagens tridimensionais da vascularização ao longo da trompa de Falópio (TF) e sua relação com o ovário e fímbria do ovário, além de quantificar os vasos sanguíneos ao longo da TF de acordo com seus segmentos anatômicos usando microtomografia confocal (micro-TC). Materiais e Métodos: Nove espécimes (seis com TFs e três com TFs e ovários) foram fixados em solução de formol a 10% por mais de 24 h à temperatura ambiente. A coloração com iodo foi realizada usando solução de Lugol a 10% durante 24 h. Todos os espécimes foram avaliados usando micro-TC. Uma análise morfométrica foi realizada nas imagens reconstruídas para quantificar a distribuição vascular ao longo da TF. Resultados: A densidade dos vasos sanguíneos nas fímbrias foi significativamente aumentada em comparação ao segmento ístmico da TF (p < 0,05). A fímbria ovariana foi claramente identificada, demonstrando importante relação entre esses vasos e as fímbrias da TF. Conclusão: Acreditamos que as fímbrias apresentam vascularização aumentada e desproporcional em comparação com os demais segmentos da TF e que a fímbria ovariana desempenha importante papel nessa diferença.

Abstract Objective: To evaluate and reconstruct three-dimensional images of vascularization along the fallopian tube (FT), as well as to determine its relationship with the ovary and ovarian fimbria, and to quantify the blood vessels along the FT according to its anatomical segments, using confocal microtomography (micro-CT). Materials and Methods: Nine specimens (six FTs and three FTs with ovaries) were fixed in a solution of 10% formalin for > 24 h at room temperature. Iodine staining was performed by soaking the specimens in 10% Lugol’s solution for 24 h. All specimens were evaluated using micro-CT. A morphometric analysis was performed on the reconstructed images to quantify the vascular distribution along the FT. Results: In the FTs evaluated, the density of blood vessels was significantly greater in the fimbrial segments than in the isthmic segments (p < 0.05). The ovarian fimbria was clearly identified, demonstrating the important relationship between these vessels and the FT fimbriae. Conclusion: We believe that the vascularization in the fimbriae is greater than and disproportional that in the other segments of FT, and that the ovarian fimbria plays an important role in the development of that difference.

https://doi.org/10.1590/0100-3984.2019.0080 722 downloads

Bourdieu meets Pachukanis
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Castro, Felipe Araújo

Revista Direito e Práxis

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mar 2020, Volume 11 N. 1 Pages 117 - 144

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

Resumo A partir do resgate dos diálogos imaginados por Burawoy entre os marxismos e Bourdieu, sobretudo o capítulo dedicado a própria obra marxiana, o objetivo do presente trabalho é sugerir uma conversação adicional entre o sociólogo francês e o jurista soviético Pachukanis, demonstrando como muitas das intuições apresentadas em A força do direito foram antecipadas pelo autor de A teoria geral do Direito e marxismo. Conclui-se pela complementariedade dos marcos teóricos como possibilidade de investigação empírica no campo jurídico.

Abstract Following the model developed by Michael Burawoy in Bourdieu meets Marxism, the purpose of this paper is to suggest an additional dialogue between the French sociologist and the Soviet jurist Pachukanis. Our intention is to demonstrate that many of the intuitions presented in The Force of Law were actually anticipated by the author of General Theory of Law and Marxism. We argue that these theoretical frameworks are not only complementarity bur also offers fruitful possibilities for empirical investigation in the legal field.

https://doi.org/10.1590/2179-8966/2019/38793 883 downloads

Seroprevalence of ovine brucellosis in the microregion of Teresina, Piauí, Brazil
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Teixeira, Letícia Soares de Araújo

; Batista, Joilson Ferreira

; Silva, Pedro Henrique Fonseca

; Cordeiro, Maria Luiza Lima

; Amorim, Raissa Costa

; Silva, Louis Henrique Miyauchi

; Damasceno, Tuanny Creusa Medeiros

; Oliveira, Marlene Sipaúba de

; Soares, Francisco Felipe Ferreira

; Braga, Clarissa de Castro

; Cardoso, Janaína de Fátima Saraiva

; Mineiro, Ana Lys Bezerra Barradas

; Paula, Ney Rômulo de Oliveira

Arquivos do Instituto Biológico

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2020, Volume 87 elocation e0642019

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

RESUMO: Dentre as enfermidades que acometem o sistema reprodutivo dos animais domésticos, a brucelose na espécie ovina tem se destacado por gerar prejuízos econômicos significativos à ovinocultura. Dessa forma, apresenta-se como uma ameaça ao crescimento e à produtividade dos rebanhos ovinos. Diante de tal problemática, objetivou-se, por meio desta pesquisa, identificar a prevalência de brucelose ovina em rebanhos pertencentes a municípios da microrregião de Teresina, Piauí, por meio dos testes sorológicos, imunodifusão em gel de ágar (IDGA) e ensaio imunoenzimático (ELISA) indireto. Quatorze municípios foram incluídos na pesquisa. Para sua execução, colheram-se, por punção venosa da jugular, amostras sanguíneas de 521 animais púberes. Após colheita, as amostras foram submetidas às técnicas sorológicas, IDGA e ELISA indireto, para a detecção de anticorpos anti-B. ovis. Das 521 amostras submetidas ao teste de IDGA, 23 (4,41%) foram sororreagentes e 498 (95,58%) negativas. Quanto ao teste ELISA indireto, obtiveram-se 24 (4,61%) amostras suspeitas e 497 (95,39%) amostras negativas, não havendo animais reagentes neste teste, apenas suspeitos. A soroprevalência da brucelose ovina na microrregião homogênea de Teresina, Piauí, foi de 4,41%. Assim, foi possível identificar ovinos com sorologia reagente à infecção por B. ovis, presente em municípios do estado do Piauí. Além disso, a IDGA mostrou-se mais sensível em detectar animais que tiveram contato com o agente etiológico da doença.

ABSTRACT: Among the diseases that affect the reproductive system of domestic animals, brucellosis in the sheep species is important because it generates significant economic losses to sheep rearing. Thus, it is a threat to the growth and productivity of sheep herds. In the face of this problem, the objective of the present research was to identify the prevalence of ovine brucellosis in herds in municipalities of the Teresina, Piauí, Brazil microregion by using the agar gel immunodiffusion assay (AGID) and indirect enzyme-linked immunosorbent assay (ELISA) serological tests. Fourteen municipalities were included in the research. Blood samples were collected from 521 pubescent animals by puncturing the jugular vein. After collection, the samples were submitted to the serological techniques, AGID and indirect ELISA, to detect anti B. ovis antibody. Of the 521 samples submitted to the AGIDtest, 23 (4.41%) were sera reagent and 498 (95.58%) negative. The indirect ELISA tests, 24 (4.61%) suspect samples and 497 (95.39%) negative samples were obtained, and there were no reagent animals in this test, only suspect. The seroprevalence of ovine brucellosis in the Teresina, Piauí microregion was 4.41%. Thus, it is possible to identify sheep with reagent serology to infection by B. ovis, that is present in municipalities in the state of Piauí, Brazil. Furthermore, AGIDwas shown to be more sensitive in detecting animals that had had contact with the etiological agent of the disease.

https://doi.org/10.1590/1808-1657000642019 529 downloads

Insect (Hexapoda) diversity in the oceanic archipelago of Fernando de Noronha, Brazil: updated taxonomic checklist and new records
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Rafael, José Albertino

; Limeira-de-Oliveira, Francisco

; Hutchings, Roger William

; Miranda, Gil Felipe Gonçalves

; Silva Neto, Alberto Moreira da

; Somavilla, Alexandre

; Camargo, Alexssandro

; Asenjo, Angélico

; Pinto, Ângelo Parise

; Bello, Ayr de Moura

; Dalmorra, Camila

; Mello-Patiu, Cátia Antunes de

; Carvalho, Claudio José Barros de

; Takiya, Daniela Maeda

; Parizotto, Daniele Regina

; Marques, Dayse Willkenia Almeida

; Cavalheiro, Denis de Oliveira

; Mendes, Diego Matheus de Mello

; Zeppelini, Douglas

; Carneiro, Eduardo

; Lima, Élison Fabrício Bezerra

; Lima, Estevam Cipriano Araújo de

; Godoi, Fabio Siqueira Pitaluga de

; Pessoa, Felipe Arley Costa

; Vaz-de-Mello, Fernando Zagury

; Sosa-Duque, Francisco José

; Flores, Heloísa Fernandes

; Fernandes, Itanna Oliveira

; Silva-Júnior, José Osvaldo

; Gomes, Lucas Roberto Pereira

; Monné, Marcela Laura

; Castro, Marcelo Cutrim Moreira de

; Silva, Marcelo Peixoto Gomes da

; Couri, Márcia Souto

; Gottschalk, Marco Silva

; Soares, Matheus Mickael Mota

; Monné, Miguel Angel

; Rafael, Miriam Silva

; Casagrande, Mirna Martins

; Mielke, Olaf Hermann Hendrik

; Grossi, Paschoal Coelho

; Pinto, Paula Jéssica Costa

; Bartholomay, Pedro Reck

; Sobral, Rafael

; Heleodoro, Raphael Aquino

; Machado, Renato José Pires

; Corrêa, Robson Crepes

; Hutchings, Rosa Sá Gomes

; Ale-Rocha, Rosaly

; Santos, Sandra Duque dos

; Lima, Sheila Pereira de

; Mahlmann, Thiago

; Silva, Vera Cristina

; Fernandes, Daniell Rodrigo Rodrigues

Revista Brasileira de Entomologia

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2020, Volume 64 N. 3 elocation e20200052

Abstract: En | Text: En | PDF: En

ABSTRACT Hexapods, commonly known as insects, are a neglected taxonomic group in the Fernando de Noronha archipelago, with unanswered questions about their species richness and the ecological processes in which they are involved (e.g., colonization, introduction, establishment, and extinction). Herein, we provide an updated Hexapod checklist with current nomenclatural combinations. The entomofauna of the Fernando de Noronha archipelago is currently composed of 453 species in 21 orders. The orders, and their respective number of species, are: Blattaria (9), Coleoptera (118), Collembola (29), Dermaptera (3), Diplura (1), Diptera (134), Embioptera (1), Hemiptera (29), Hymenoptera (59), Isoptera (2), Lepidoptera (25), Mantodea (1), Neuroptera (3), Odonata (5), Orthoptera (11), Phasmatodea (1), Phthiraptera (6), Psocoptera (3), Siphonaptera (1), Thysanoptera (10), and Zygentoma (2). The archipelago has 263 new taxon records (family + genera + species). Thirty-eight species (3.39%) were described from local specimens and most of them are likely endemic species. This study more than doubles our knowledge (from the previous 190 records) of the entomofauna in this large Brazilian archipelago. This study also provides a baseline for studies on its conservation status and for implementing future environmental management programs.

https://doi.org/10.1590/1806-9665-rbent-2020-0052 2462 downloads

Association between matrix metalloproteinase-9 gene polymorphism and breast cancer in Brazilian women
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Oliveira, Victor Alves de

; Chagas, Diego Cipriano

; Amorim, Jefferson Rodrigues

; Pereira, Renato de Oliveira

; Nogueira, Thais Alves

; Borges, Victória Maria Luz

; Campos-Verde, Larysse Maira

; Martins, Luana Mota

; Rodrigues, Gilmara Peres

; Nery Júnior, Elmo de Jesus

; Sampaio, Fabiane Araújo

; Lopes-Costa, Pedro Vitor

; Sousa, João Marcelo de Castro e

; Silva, Vladmir Costa

; Silva, Felipe Cavalcanti Carneiro da

; Silva, Benedito Borges da

Clinics

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2020, Volume 75 elocation e1762

Abstract: En | Text: En | PDF: En

OBJECTIVE: This study aimed to determine the relationship between rs17576 (MMP-9) polymorphism and increased cancer risk in a Brazilian breast cancer cohort. METHODS: This study included 141 women (71 breast cancer patients and 70 controls without breast cancer) who donated 3 mL of their peripheral blood for genomic DNA extraction. This DNA was then genotyped using a real-time polymerase chain reaction. RESULTS: The AG (rs17576) genotype was identified in 26 (18.43%) participants in the case group and in 22 (15.60%) participants in the control group (p=0.274), while the GG genotype was identified in ten (7.09%) participants in the case group and in one (0.70%) participant in the control group (p<0.003 - OR (95% CI) 13.13 (1.73, 593.08). No significant difference in the incidence rates was observed for AG or GG rs17576 genotypes in premenopausal women, p=0.813 and p=0.556, respectively. However, in postmenopausal women, the AG genotype was shown to occur in 14 (22.5%) participants in the case group and in 4 (6.45%) participants in the control (p<0.043), while GG genotype occurred in eight (12.90%) of the individuals in the case group and in none of the individuals in the control group (p<0.006). CONCLUSION: In this study, the MMP-9 rs17576 GG polymorphic variant was shown to be significantly associated with breast cancer risk in premenopausal women, while the AG and GG genotypes were associated with increased cancer risk in postmenopausal women.

https://doi.org/10.6061/clinics/2020/e1762 183 downloads

10.

O brasileiro é, antes de tudo, um autoritário
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Castro, Felipe Araújo

Revista Brasileira de Ciências Sociais

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2020, Volume 35 N. 103 elocation e3510314

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.1590/3510314/2020 1592 downloads

11.

Predictive Factors of Death after Surgery for Treatment of Proximal Femoral Fracture
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Antunes Filho, Jurandir

; Silva, Armando D’Lucca de Castro e

; Mendes Junior, Adriano Fernando

; Pereira, Felipe Jader Coelho

; Oppe, Igor Gerdi

; Loures, Elmano de Araújo

Revista Brasileira de Ortopedia

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jul 2019, Volume 54 N. 4 Pages 402 - 407

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

Resumo Objetivo Avaliar fatores preditivos de morte em pacientes de idade igual ou superior a 70 anos com fratura proximal do fêmur submetidos a tratamento cirúrgico. Métodos Análise de prontuários médicos criando-se uma coorte retrospectiva com seguimento de 6meses. Foramanalisados 124 prontuários após aplicação dos critérios de inclusão e exclusão. Todos os pacientes foram tratados por um único cirurgião ortopédico em condições de uniformidade. Resultados Taxa de mortalidade de 34.7%, sendo o perfil mais comum de paciente o indivíduo do gênero feminino, com 85 anos e ao menos 1 comorbidade. Os pacientes com idade superior a 85 anos, internação hospitalar por mais de 7 dias, ao menos 1 comorbidade presente e internação em centro de terapia intensiva (CTI) apresentaram maior risco de óbito (respectivamente 2; 2,5; 4 e 4 vezes maior). Conclusão Em relação ao desfecho óbito, apesar de não encontramos diferença estatisticamente significativa no que se refere à topografia da lesão e como essas se comportamnomomento em que coexistemjunto a internação em CTI, acreditamos na necessidade de maiores investigações sob essa ótica na população com o perfil estudado.

Abstract Objective To evaluate predictive factors of death in patients aged ≥ 70 years old with proximal femoral fracture (PFF) submitted to surgical treatment. Methods An analysis of medical records by creating a retrospective cohort with a 6- month follow-up. A total of 124 charts were analyzed after applying the inclusion and exclusion criteria. All of the patients were treated by a single orthopedic surgeon under uniform conditions. Results The mortality rate was of 34.7%, and the most common profile was female, 85 years old, and with at least 1 comorbidity. Patients > 85 years old, hospitalized for > 7 days, with at least 1 comorbidity, and staying at the intensive care unit (ICU) had a higher risk of death (2, 2.5, 4, and 4 times higher, respectively). Conclusion Regarding the death outcome, although we did not find a statistically significant difference in the topography of the lesion and in its behavior in its coexistence with ICU hospitalization, we believe that further investigations under this perspective are required in a population with the studied profile.

https://doi.org/10.1055/s-0039-1692179 853 downloads

12.

Aristocracia judicial brasileira: privilégios, habitus e cumplicidade estrutural
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Ramos, Marcelo Maciel

; Castro, Felipe Araújo

Revista Direito GV

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2019, Volume 15 N. 2 elocation e1918

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

Resumo Inserido no campo da sociologia das elites, procura-se compreender como e por que a magistratura no Brasil reproduz em suas estruturas uma dinâmica aristocrática e elitista que parece ser incompatível com os discursos que compõem suas próprias justificativas teóricas e com os princípios democráticos que regem suas funções. Os magistrados se estabelecem como um grupo especial que reserva para si um espaço sociopolítico exclusivo por meio de uma série de características e disposições que compõe seu habitus específico, o que produz reflexos no campo jurídico em que atuam. A magistratura distingue-se das outras carreiras do funcionalismo público e, radicalmente, da maioria da população. Para compreender esse cenário, este artigo propõe um exame das contradições presentes na estruturação do Judiciário, notadamente, na permanência de privilégios adquiridos em âmbito histórico, em seu modelo de recrutamento e progressão e nos altos salários pagos aos magistrados brasileiros. Considerando essas distorções, conclui-se que o compartilhamento de espaços de socialização exclusivos entre a elite jurídica e as elites política e econômica distancia-os drasticamente da população e influi de modo decisivo na produção de uma prática judicial que tende a conservar as relações de poder como estabelecidas.

Abstract In the field of sociology of elites, the aim here is to understand how and why the judicial system in Brazil reproduces aristocratic and elitist features in its structures, which seem incompatible with the discourses that compose their own theoretical justifications and with the democratic principles governing their functions. Magistrates in Brazil have established themselves as a special group that holds an exclusive socio-political space through a series of characteristics and dispositions that compose their specific habitus, which produces reflexes in the legal field in which they act. They distinguish themselves from others that have careers in public offices, and radically from ordinary citizens. In order to understand this scenario, this article proposes a critical analysis of the structural contradictions of the judicial system, especially of the historic perpetuation of privileges, the dynamics of its career admission and progression, and the high salaries paid to magistrates. Considering those distortions, the consequence is that judges, by sharing an exclusive space of socialization with the economic and politic elites, are radically casted apart from the rest of the people, allowing a judicial practice that tends to preserve the established relations of power.

https://doi.org/10.1590/2317-6172201918 4180 downloads

13.

Nível Socioeconômico e Autopercepção como Parceiro Romântico no Ambiente Universitário
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Mafra, Anthonieta Looman

; Castro, Felipe Nalon

; Lopes, Fívia de Araújo

Trends in Psychology

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oct 2018, Volume 26 N. 4 Pages 2147 - 2156

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

Resumo De acordo com a perspectiva da Psicologia Evolucionista, existem diferentes padrões de preferência sexual para homens e mulheres. Sabe-se que essas preferências são moduladas pela autopercepção dos indivíduos e que o contexto, por sua vez, pode afetar a mesma. O presente trabalho buscou verificar se o contexto econômico, indicado pelo poder aquisitivo, afeta a autopercepção como parceiro romântico. Para isso, 316 universitários responderam um questionário indicando sua classificação socioeconômica e autopercepção como parceiro romântico. Os resultados indicaram que a autopercepção da condição financeira diferiu de acordo com o nível socioeconômico. Contudo, diferença com relação à percepção da atratividade geral foi maior em homens de classe A comparado a mulheres da mesma classe, enquanto que para a característica determinado/trabalhador houve diferença entre sexos, na qual mulheres avaliaram-se melhor que homens. Os resultados dão suporte à Teoria do Pluralismo Estratégico ao indicar que o ambiente pode influenciar o processo de seleção de parceiros por aumentar a atratividade geral percebida de homens de maior nível socioeconômico em relação aos outros grupos da amostra. Além disso, os resultados sugerem a desigualdade entre os sexos na autopercepção como parceiro romântico.

Abstract From an Evolutionary Psychology perspective, men and women exhibit different sexual preferences. These preferences are modulated by the self-perception of individuals, which may also be affected by context. The present study sought to determine whether economic context, as indicated by purchasing power, affects self-perception as a romantic partner. To that end, 316 university students completed a questionnaire containing questions on socioeconomic status and self-perception as a romantic partner. The results indicated that self-perceived financial situation differed according to socioeconomic level. However, the difference in perceived general attractiveness was higher in class A men than in women from the same economic class, while for the determined/hardworking trait, there was a difference between sexes, in which women perceived that they were better than men. The results support the theory of strategic pluralism, showing that the environment can influence the partner selection process by increasing the general attractiveness perceived by men in the highest economic class (A) compared to the other groups in the sample. Moreover, the results suggest inequality between the sexes in terms of self-perception as a romantic partner.

Resumen De acuerdo con la perspectiva de la Psicología Evolutiva, hay diferentes estándares de preferencias sexuales para hombres y mujeres. Se sabe que estas preferencias son moduladas por la autopercepción de la persona y el contexto, a su vez, puede afectar a la autopercepción. Este estudio buscó determinar si el contexto económico, indicado por el poder adquisitivo afecta a la autopercepción como pareja romántica. Para tal, 316 estudiantes respondieron a un cuestionario indicando su clasificación socioeconómica y la autopercepción como pareja romántica. Los resultados indicaron que la autopercepción de la condición financiera difiere según el nivel socioeconómico. Sin embargo, las diferencias en cuanto a la percepción del atractivo general fue mayor en hombres de classe A en comparación con las mujeres de la misma clase, mientras que para la característica determinado/trabajador hubo diferencias entre los sexos, en la que mujeres calificaron a sí mismas mejor que los hombres. Los resultados dan soporte a la Teoría del Pluralismo Estratégico al indicar que el ambiente puede influenciar el proceso de selección de parejas por aumentar el atractivo general percibido de hombres de mayor nivel socioeconómico en relación a los otros grupos de la muestra. Además, los resultados sugieren la desigualdad entre los sexos en la autopercepción como pareja romántica.

https://doi.org/10.9788/tp2018.4-16pt 2171 downloads

14.

Effectiveness of first-wave protease inhibitors in hepatitis C virus genotype 1 infection: a multicenter study in Brazil
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Lobato, Cirley Maria de Oliveira

; Balassiano, Natalia

; Hyppolito, Elodie Bomfim

; Sanchez-Lermen, Rafaela Liz Pellegrim

; Signorelli, Izabelle Venturini

; Nicacio, Miguel Yasuo Tomita

; Firmino Filho, Alberto Pereira

; Andrade, Thais Guaraná de

; Lima, José Milton de Castro

; Arruda, Talita Amorim de

; Coutinho, Fernanda Schwanz

; Araujo, Everton Felipe do Vale

; Esmeraldo, Ticiana Mota

; Cortez, Erlon

; Capeli, Rafaela Lorenzon Aragão

; Matos, Melquior Brunno Mateus de

; Pessoa, Francisco Sérgio Rangel

; Oliveira, Hélder Cássio de

; Arruda, Érico Antônio Gomes de

; Gonçalves, Patrícia Lofêgo

; Araújo Filho, Antônio Haroldo

; Esberard, Eliane Bordalo Cathalá

; Souto, Francisco José Dutra

Revista da Sociedade Brasileira de Medicina Tropical

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feb 2018, Volume 51 N. 1 Pages 14 - 20

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION: In 2013, combination therapy using peginterferon, ribavirin, and boceprevir or telaprevir was introduced to treat hepatitis C virus genotype 1 infection in Brazil. The effectiveness of this therapy in four Brazilian regions was evaluated. METHODS: Clinical and virological data were obtained from patients of public health institutions in five cities, including sustained virological response (SVR) and side effects. Patients with advanced fibrosis (F3/4), moderate fibrosis (F2) for > 3 years, or extra-hepatic manifestations were treated according to Ministry of Health protocol. Treatment effectiveness was verified by using bivariate and multivariate analysis; p-values of < 0.05 were considered significant. RESULTS: Of 275 patients (64.7% men; average age, 57 years old), most (61.8%) were treatment-experienced; 53.9% had subgenotype 1a infection, 85.1% had advanced fibrosis, and 85.5% were treated with telaprevir. SVR was observed in 54.2%. Rapid virological response (RVR) was observed in 54.6% of patients (data available for 251 patients). Overall, 87.5% reported side effects and 42.5% did not complete treatment. Skin rash, severe infection, and death occurred in 17.8%, 2.5%, and death in 1.4% of cases, respectively. SVR was associated with treatment completion, RVR, and anemia. CONCLUSIONS: The effectiveness of hepatitis C virus triple therapy was lower than that reported in phase III clinical trials, possibly owing to the prioritized treatment of patients with advanced liver fibrosis. The high frequency of side effects and treatment interruptions observed supported the decision of the Brazilian authorities to suspend its use when safer and more effective drugs became available in 2015.

https://doi.org/10.1590/0037-8682-0279-2017 1312 downloads

15.

Preditores de mortalidade em pacientes submetidos à nefrectomia por carcinoma de células renais não metastático em um centro de referência no Nordeste Brasileiro
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Gurgel, Marcus Vinicius Silva Araújo

; Alves Júnior, Josualdo

; Vieira, Guilherme Bruno Fontes

; Sales, Felipe de Castro Dantas

; Lima, Marcos Venício Alves

Revista do Colégio Brasileiro de Cirurgiões

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jun 2017, Volume 44 N. 3 Pages 257 - 262

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

RESUMO Objetivo: identificar fatores prognósticos envolvidos no carcinoma de células renais não metastático. Métodos: estudo tipo coorte retrospectivo, utilizando dados obtidos em revisão de prontuários de pacientes portadores de carcinoma de células renais, submetidos à nefrectomia radical ou parcial, no Instituto do Câncer do Ceará. Resultados: foram estudados 117 pacientes com média de idade de 59,14 anos e mediana de 59 anos. Não houve predominância de sexo, o rim direito foi o mais acometido (64%) e o tipo histopatológico mais comum foi o carcinoma de células claras (77%). Predominou o estádio pT1 e o grau GII. Das variáveis analisadas, apenas o estadiamento patológico (pT) e o acometimento linfonodal revelaram-se preditoras de sobrevida global. Conclusão: o estadiamento patológico (pT) e o acometimento de linfonodos regionais são fatores prognósticos importantes em pacientes portadores de carcinoma de células renais não metastáticos submetidos a nefrectomia.

ABSTRACT Objective: to identify predictors of mortality in patients submitted to nephrectomy for non-metastatic renal cancer. Methods: we conducted a retrospective cohort study based on the records of patients with renal cancer submitted to radical or partial nephrectomy at the Ceará Cancer Institute. Results: we studied 117 patients, with mean and median age of 59.14 and 59 years, respectively. The male gender was slightly predominant. The right kidney was most frequently affected (64%). The most common histopathological diagnosis was clear-cell carcinoma (77%). Stage pT1 and Fuhrman grade II were predominant. The only predictive variables of overall survival were pathological stage (pT) and lymph node involvement. Conclusion: pathological stage (pT) and lymph node involvement are important prognostic factors in patients undergoing nephrectomy for non-metastatic renal cancer.

https://doi.org/10.1590/0100-69912017003006 4696 downloads

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