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Analysis of risk factors associated with cerebral angiography headache
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Madeira, Tiago

; Correa, Amanda Viguini Tolentino

; Abranches, Gabriela de Paula

; Masruha, Marcelo Rodrigues

Arquivos de Neuro-Psiquiatria

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apr 2023, Volume 81 N. 4 Pages 334 - 339

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

Abstract Background Despite previous studies indicating a moderate/high incidence of angiography headache (AH), there is still limited data about the risk factors associated with its occurrence. Objective The present study aimed to assess the associations among demographic, clinical, and technical characteristics of cerebral digital subtraction angiography (DSA) and the occurrence of AH. Methods Cross-sectional analytical observational study with a sample comprised of individuals with a recommendation for elective DSA. Clinical interviews were conducted to assess the occurrence of AH, using a standardized questionnaire. Results Among 114 subjects, the mean age was 52.8 (±13.8) years old, 75.4% (86/114) were women, 29.8% (34/114) had a history of migraines, and 10.5% (12/114) had chronic headaches. The overall frequency of AH was 45.6% (52/114). Of those, 88.4% (46/52) underwent 3D angiography, 7.7% (4/52) underwent aortography, and 1.9% (1/52) underwent both procedures. There was a statistically significant association between AH and previous history of migraine (odds ratio [OR]: 4.9; 95% confidence interval [CI] 1.62–14.7; p = 0.005) and 3D angiography (OR 6.62; 95%CI: 2.04–21.5; p = 0.002). Conclusions 3D angiography is strongly associated with the occurrence of AH, which has never been reported before. The association between a previous history of migraine and AH confirms the results of previous studies.

Resumo Antecedentes Apesar de estudos prévios indicarem uma incidência moderada/alta de cefaleia da angiografia (CA), os dados sobre os fatores de risco associados à sua ocorrência ainda são relativamente escassos. Objetivo O presente estudo teve como objetivo avaliar as associações entre as características demográficas, clínicas e técnicas da angiografia cerebral por subtração digital (ACSD) e a ocorrência de CA. Métodos Estudo observacional analítico transversal com uma amostra composta por indivíduos com indicação de ACSD em caráter eletivo. Entrevistas clínicas foram realizadas utilizando um questionário padronizado para acessar a ocorrência de CA. Resultados Entre os 114 indivíduos, a idade média foi de 52,8 (±13,8) anos, 75,4% (86/114) eram mulheres, 29,8% (34/114) tinham histórico de enxaqueca e 10,5% (12/114) tinham cefaleia crônica. A frequência geral de CA foi de 45,6% (52/114). Desses, 88,4% (46/52) foram submetidos à angiografia 3D, 7,7% (4/52), à aortografia e 1,9% (1/52), aos dois procedimentos. Houve associação estatisticamente significativa entre CA e histórico prévio de enxaqueca (odds ratio [OR] 4,9; intervalo de confiança [IC] 95%: 1,62–14,7; p = 0,005) e angiografia 3D (OR 6,62; IC95%: 2,04–21,5; p = 0,002). Conclusões A angiografia 3D está fortemente associada à ocorrência de CA, o que é inédito na literatura. A associação entre um histórico de enxaqueca e a CA confirma os resultados de estudos anteriores.

https://doi.org/10.1055/s-0043-1768157

Occult hepatitis B virus infection in patients with chronic liver disease of different etiology in a Brazilian referral center: comparison of two different hepatitis B virus deoxyribonucleic acid amplification protocols: a cross-sectional study
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Faria, Alessandra Coutinho de

; Correa, Bernardo Henrique Mendes

; Faria, Luciana Costa

; Vidigal, Paula Vieira Teixeira

; Xavier, Marcelo Antônio Pascoal

; Ferrari, Teresa Cristina Abreu

Sao Paulo Medical Journal

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2023, Volume 141 N. 3 elocation e2022147

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Occult hepatitis B virus infection (OBI) is defined as the presence of hepatitis B virus (HBV) deoxyribonucleic acid (DNA) in the liver of individuals with undetectable hepatitis B virus surface antigen (HBsAg) in the serum. The actual prevalence of OBI and its clinical relevance are not yet fully understood. OBJECTIVE: To evaluate the prevalence of HBV DNA in liver biopsies of HBsAg-negative patients with chronic liver disease of different etiologies in a referral center in Brazil and compare two different HBV DNA amplification protocols to detect HBV. DESIGN AND SETTING: This cross-sectional observational study was conducted at the Liver Outpatient Clinic, Hospital das Clínicas, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil, between January 2016 and December 2019. METHODS: HBV DNA was investigated in 104 liver biopsy samples from individuals with chronic liver disease of different etiologies, in whom HBsAg was undetectable in serum by nested-polymerase chain reaction (nested-PCR), using two different protocols. RESULTS: OBI, diagnosed by detecting HBV DNA using both protocols, was detected in 6.7% of the 104 individuals investigated. Both protocols showed a good reliability. CONCLUSION: In addition to the differences in the prevalence of HBV infection in different regions, variations in the polymerase chain reaction technique used for HBV DNA amplification may be responsible for the large variations in the prevalence of OBI identified in different studies. There is a need for better standardization of the diagnostic methods used to diagnose this entity.

https://doi.org/10.1590/1516-3180.2022.0147.r1.12072022

The SISBIOTA-Diptera Brazilian Network: A long-term survey of Diptera from unexplored Brazilian Western Arc of Amazon, Cerrado, and Pantanal
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Lamas, Carlos José Einicker

; Fachin, Diego Aguilar

; Falaschi, Rafaela Lopes

; Alcantara, Daniel Máximo Correa de

; Ale-Rocha, Rosaly

; Amorim, Dalton de Souza

; Araújo, Maíra Xavier

; Ascendino, Sharlene

; Baldassio, Letícia

; Bellodi, Carolina Ferraz

; Bravo, Freddy

; Calhau, Julia

; Capellari, Renato Soares

; Carmo-Neto, Antonio Marcelino do

; Cegolin, Bianca Melo

; Couri, Márcia Souto

; Carvalho, Claudio José Barros de

; Dios, Rodrigo de Vilhena Perez

; Falcon, Aida Vanessa Gomez

; Fusari, Livia Maria

; Garcia, Carolina de Almeida

; Gil-Azevedo, Leonardo Henrique

; Gomes, Marina Morim

; Graciolli, Gustavo

; Gudin, Filipe Macedo

; Henriques, Augusto Loureiro

; Krolow, Tiago Kütter

; Mendes, Luanna Layla

; Limeira-de-Oliveira, Francisco

; Maia, Valéria Cid

; Marinoni, Luciane

; Mello, Ramon Luciano

; Mello-Patiu, Cátia Antunes de

; Morales, Mírian Nunes

; Oliveira, Sarah Siqueira

; Patiu, Claudemir

; Proença, Barbara

; Pujol-Luz, Cristiane Vieira de Assis

; Pujol-Luz, José Roberto

; Rafael, José Albertino

; Riccardi, Paula Raile

; Rodrigues, João Paulo Vinicios

; Roque, Fabio de Oliveira

; Sallum, Maria Anice Mureb

; Santis, Marcelo Domingos de

; Santos, Charles Morphy Dias dos

; Santos, Josenilson Rodrigues dos

; Savaris, Marcoandre

; Shimabukuro, Paloma Helena Fernandes

; Silva, Vera Cristina

; Schelesky-Prado, Daniel de Castro

; Silva-Neto, Alberto Moreira da

; Camargo, Alexssandro

; Sousa, Viviane Rodrigues de

; Urso-Guimarães, Maria Virginia

; Wiedenbrug, Sofia

; Yamaguchi, Carolina

; Nihei, Silvio Shigueo

Revista Brasileira de Entomologia

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2023, Volume 67 N. 4 elocation e20230051

Abstract: En | Text: En | PDF: En

ABSTRACT The SISBIOTA-BRASIL was a three-year multimillion-dollar research program of the Brazilian government to document plants and animals in endangered/understudied areas and biomes in Brazil. Distributional patterns and the historical events that generated them are extensively unknown regarding Brazilian fauna and flora. This deficiency hinders the development of conservation policies and the understanding of evolutionary processes. Conservation decisions depend on precise knowledge of the taxonomy and geographic distribution of species. Given such a premise, we proposed to research the diversity of Diptera of the Brazilian western arc of Amazon, Cerrado, and Pantanal in the states of Mato Grosso, Mato Grosso do Sul, and Rondônia. Three important biomes of the South American continent characterize these Brazilian states: Amazon forest, Cerrado (Brazilian Savannah), and Pantanal. Besides their ecological relevance, these biomes historically lack intensive entomological surveys. Therefore, they are much underrepresented in the Brazilian natural history collections and in the scientific literature, which is further aggravated by the fact that these areas are being exponentially and rapidly converted to commercial lands. Our project involved over 90 collaborators from 24 different Brazilian institutions and one from Colombia among researchers, postdocs, graduate and undergraduate students, and technicians. We processed and analyzed nearly 300,000 specimens from ~60 families of Diptera collected with a large variety of methods in the sampled areas. Here, we provide a detailed overview of the genera and species diversity of 41 families treated. Our results point to a total of 2,130 species and 514 genera compiled and identified for the three states altogether, with an increase of 41% and 29% in the numbers of species and genera known for the three states combined, respectively. Overall, the 10 most species-rich families were Tachinidae, Cecidomyiidae, Tabanidae, Psychodidae, Sarcophagidae, Stratiomyidae, Bombyliidae, Syrphidae, Tephritidae, and Asilidae. The 10 most diverse in the number of genera were Tachinidae, Stratiomyidae, Asilidae, Mycetophilidae, Syrphidae, Tabanidae, Muscidae, Dolichopodidae, Sarcophagidae, and Chloropidae. So far, 111 scientific papers were published regarding taxonomic, phylogenetic, and biogeographical aspects of the studied families, with the description of 101 new species and three new genera. We expect that additional publications will result from this investigation because several specimens are now curated and being researched by specialists.

https://doi.org/10.1590/1806-9665-rbent-2023-0051

Magnetic resonance imaging findings in patients with polymyalgia rheumatica
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Leão, Renata Vidal

; Calich, Ana Luisa Garcia

; Calich, Isidio

; Rodrigues, Marcelo Bordalo

; Helito, Paulo Victor Partezani

; Amaral, Denise Tokechi

; Pereira, Renata Fernandes Batista

; Correa, Marcos Felippe de Paula

Radiologia Brasileira

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nov 2022, Volume 55 N. 6 Pages 346 - 352

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

Resumo Objetivo: Descrever os achados de ressonância magnética (RM) mais prevalentes em pacientes com diagnóstico clínico de polimialgia reumática (PMR). Materiais e Métodos: Dezesseis pacientes com PMR não tratada, classificados pelos critérios do American College of Rheumatology, foram submetidos a RM do ombro e/ou quadril, segundo suas queixas clínicas. Seis pacientes também foram submetidos a RM da coluna. Resultados: Foram avaliados 24 ombros, identificando-se bursite subacromial-subdeltoide em 21 (87,5%), sinovite glenoumeral em 17 (70,8%) e distensão líquida da bainha do tendão da cabeça longa do bíceps em 15 (62,5%). Peritendinite e edema capsular foram observados em 21 (87,5%) e 17 (70,8%) ombros, respectivamente. Dezessete quadris foram analisados, identificando-se sinovite em 12 (70,6%), bursite trocantérica em 11 (64,7%), peritendinite em 17 (100%) e edema capsular em 14 (82,4%). Os seis pacientes que realizaram RM da coluna apresentavam bursite interespinhosa. Conclusão: Bursite subacromial-subdeltoide, sinovite glenoumeral e do quadril são achados de imagem prevalentes em pacientes com PMR. Além disso, achados como peritendinite e edema capsular tiveram alta prevalência nesses pacientes. Estudos de caso- controle devem ser realizados para validar esses dados e estabelecer o real impacto desses achados no diagnóstico de PMR.

Abstract Objective: To describe the prevalence of magnetic resonance imaging (MRI) findings in patients with the clinical diagnosis of polymyalgia rheumatica (PMR). Materials and Methods: Sixteen consecutive patients with untreated PMR, meeting the American College of Rheumatology criteria, underwent MRI examinations of the shoulder(s), hip(s), or both, depending on clinical complaints. Six patients also underwent MRI of the spine. Results: We evaluated 24 shoulders, among which we identified subacromial-subdeltoid bursitis in 21 (87.5%), glenohumeral joint effusion in 17 (70.8%), and fluid distention of the long head of the biceps tendon sheath in 15 (62.5%). Peritendinitis and capsular edema were observed in 21 (87.5%) and 17 (70.8%) shoulders, respectively. We also evaluated 17 hips, identifying hip joint effusion in 12 (70.6%), trochanteric bursitis in 11 (64.7%), peritendinitis in 17 (100%), and capsular edema in 14 (82.4%). All six of the patients who underwent MRI of the spine were found to have interspinous bursitis. Conclusion: Subacromial-subdeltoid bursitis, glenohumeral joint effusion, and hip joint effusion are common findings in patients with PMR. In addition, such patients appear to be highly susceptible to peritendinitis and capsular edema. There is a need for case-control studies to validate our data and to determine the real impact that these findings have on the diagnosis of PMR by MRI.

https://doi.org/10.1590/0100-3984.2021.0151

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Faria, Alessandra Coutinho de

; Correa, Bernardo Henrique Mendes

; Faria, Luciana Costa

; Vidigal, Paula Vieira Teixeira

; Xavier, Marcelo Antônio Pascoal

; Ferrari, Teresa Cristina Abreu

Sao Paulo Medical Journal

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2022, N. ahead

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1516-3180.2022.0147.r1.12072022

Nutritional and functional compounds in dahlia flowers and roots
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Costa, Paula Aparecida

; Souza, Douglas Correa de

; Ossani, Paulo César

; Mendes, Marcelo Henrique Avelar

; Silva, Maria Ligia de Souza

; Carvalho, Elisângela Elena Nunes

; Resende, Luciane Vilela

Brazilian Journal of Food Technology

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2022, Volume 25 elocation e2022029

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

Abstract The use of unconventional edible plants in human food has grown more widespread in recent years, driven mainly by gourmet dishes. Evidence of the food properties of these species is still scarce. Aiming to obtain more in-depth knowledge of dahlia plants, this study aimed to evaluate the nutritional, bioactive, and antinutritional properties of the edible parts of purple dahlia (tuberous root and flower) to elucidate their value and safety as foods. The percent composition, caloric value, pH, Total Soluble Solids (TSS), Total Titratable Acidity (TTA), ratio of TSS to TTA, anthocyanins, carotenoids, vitamin C, total phenolics, tannins, nitrates, and minerals of the roots and flowers were analyzed. The inulin content in the root and the color of the flower were also evaluated. The results were reported as mean and standard deviation, and exploratory factor analysis was performed. Both parts of the dahlia had constituents that contribute to a good diet at concentrations like those in conventional vegetables, whereas the antinutritional components were also compatible with those of commonly consumed foods, with acceptable dietary values. Thus, it is evident that purple dahlia flowers and roots have potential for use in human food and can be considered good options to improve and diversify a healthy diet.

Resumo A utilização de plantas alimentícias não convencionais na alimentação humana tem crescido nos últimos anos, impulsionada principalmente pelos pratos gourmet. Entretanto, estudos comprovando as propriedades alimentícias destas espécies ainda são incipientes. Sendo assim, objetivou-se com este trabalho avaliar as propriedades nutricionais, bioativas e antinutricionais das partes comestíveis da dália roxa (raiz tuberosa e flor), para elucidar seu potencial e a segurança no seu consumo. Foram, dessa forma, analisados: composição centesimal, valor calórico, pH, sólidos solúveis totais, acidez total titulável, ratio, antocianinas, carotenoides, vitamina C, fenólicos totais, taninos, nitratos e minerais para a raiz e a flor, além da avaliação do teor de inulina na raiz. Os resultados foram analisados pelas médias e desvio padrão, e foi realizada a análise fatorial exploratória. Ambas as partes avaliadas possuem constituintes requeridos para uma boa alimentação em concentrações semelhantes às das hortaliças convencionais, enquanto os componentes antinutricionais também são compatíveis aos de alimentos comumente consumidos, com valores aceitáveis na alimentação. Desse modo, é evidenciado que flor e raiz de dália roxa apresentam potencial para uso na alimentação humana, podendo ser consideradas como boas opções para incrementar e diversificar uma dieta saudável.

https://doi.org/10.1590/1981-6723.02922

Persistent symptoms and decreased health-related quality of life after symptomatic pediatric COVID-19: A prospective study in a Latin American tertiary hospital
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Fink, Thais T.

; Marques, Heloisa H.S.

; Gualano, Bruno

; Lindoso, Livia

; Bain, Vera

; Astley, Camilla

; Martins, Fernanda

; Matheus, Denise

; Matsuo, Olivia M.

; Suguita, Priscila

; Trindade, Vitor

; Paula, Camila S.Y.

; Farhat, Sylvia C.L.

; Palmeira, Patricia

; Leal, Gabriela N.

; Suzuki, Lisa

; Odone Filho, Vicente

; Carneiro-Sampaio, Magda

; Duarte, Alberto José S.

; Antonangelo, Leila

; Batisttella, Linamara R.

; Polanczyk, Guilherme V.

; Pereira, Rosa Maria R.

; Carvalho, Carlos Roberto R.

; Buchpiguel, Carlos A.

; Latronico, Ana Claudia

; Seelaender, Marilia

; Silva, Clovis Artur

; Pereira, Maria Fernanda B.

; Sallum, Adriana M. E.

; Brentani, Alexandra V. M.

; Neto, Álvaro José S.

; Ihara, Amanda

; Santos, Andrea R.

; Canton, Ana Pinheiro M.

; Watanabe, Andreia

; Santos, Angélica C. dos

; Pastorino, Antonio C.

; Franco, Bernadette D. G. M.

; Caruzo, Bruna

; Ceneviva, Carina

; Martins, Carolina C. M. F.

; Prado, Danilo

; Abellan, Deipara M.

; Benatti, Fabiana B.

; Smaria, Fabiana

; Gonçalves, Fernanda T.

; Penteado, Fernando D.

; Castro, Gabriela S. F. de

; Gonçalves, Guilherme S.

; Roschel, Hamilton

; Disi, Ilana R.

; Marques, Isabela G.

; Castro, Inar A.

; Buscatti, Izabel M.

; Faiad, Jaline Z.

; Fiamoncini, Jarlei

; Rodrigues, Joaquim C.

; Carneiro, Jorge D. A.

; Paz, Jose A.

; Ferreira, Juliana C.

; Ferreira, Juliana C. O.

; Silva, Katia R.

; Bastos, Karina L. M.

; Kozu, Katia

; Cristofani, Lilian M.

; Souza, Lucas V. B.

; Campos, Lucia M. A.

; Silva Filho, Luiz Vicente R. F.

; Sapienza, Marcelo T.

; Lima, Marcos S.

; Garanito, Marlene P.

; Santos, Márcia F. A.

; Dorna, Mayra B.

; Aikawa, Nadia E.

; Litvinov, Nadia

; Sakita, Neusa K.

; Gaiolla, Paula V. V.

; Pasqualucci, Paula

; Toma, Ricardo K.

; Correa-Silva, Simone

; Sieczkowska, Sofia M.

; Imamura, Marta

; Forsait, Silvana

; Santos, Vera A.

; Zheng, Yingying

Clinics

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2021, Volume 76 elocation e3511

Abstract: En | Text: En | PDF: En

OBJECTIVES: To prospectively evaluate demographic, anthropometric and health-related quality of life (HRQoL) in pediatric patients with laboratory-confirmed coronavirus disease 2019 (COVID-19) METHODS: This was a longitudinal observational study of surviving pediatric post-COVID-19 patients (n=53) and pediatric subjects without laboratory-confirmed COVID-19 included as controls (n=52) was performed. RESULTS: The median duration between COVID-19 diagnosis (n=53) and follow-up was 4.4 months (0.8-10.7). Twenty-three of 53 (43%) patients reported at least one persistent symptom at the longitudinal follow-up visit and 12/53 (23%) had long COVID-19, with at least one symptom lasting for >12 weeks. The most frequently reported symptoms at the longitudinal follow-up visit were headache (19%), severe recurrent headache (9%), tiredness (9%), dyspnea (8%), and concentration difficulty (4%). At the longitudinal follow-up visit, the frequencies of anemia (11% versus 0%, p=0.030), lymphopenia (42% versus 18%, p=0.020), C-reactive protein level of >30 mg/L (35% versus 0%, p=0.0001), and D-dimer level of >1000 ng/mL (43% versus 6%, p=0.0004) significantly reduced compared with baseline values. Chest X-ray abnormalities (11% versus 2%, p=0.178) and cardiac alterations on echocardiogram (33% versus 22%, p=0.462) were similar at both visits. Comparison of characteristic data between patients with COVID-19 at the longitudinal follow-up visit and controls showed similar age (p=0.962), proportion of male sex (p=0.907), ethnicity (p=0.566), family minimum monthly wage (p=0.664), body mass index (p=0.601), and pediatric pre-existing chronic conditions (p=1.000). The Pediatric Quality of Live Inventory 4.0 scores, median physical score (69 [0-100] versus 81 [34-100], p=0.012), and school score (60 [15-100] versus 70 [15-95], p=0.028) were significantly lower in pediatric patients with COVID-19 at the longitudinal follow-up visit than in controls. CONCLUSIONS: Pediatric patients with COVID-19 showed a longitudinal impact on HRQoL parameters, particularly in physical/school domains, reinforcing the need for a prospective multidisciplinary approach for these patients. These data highlight the importance of closer monitoring of children and adolescents by the clinical team after COVID-19.

https://doi.org/10.6061/clinics/2021/e3511

Posicionamento para Ressuscitação Cardiopulmonar de Pacientes com Diagnóstico ou Suspeita de COVID-19 – 2020
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Guimarães, Hélio Penna

; Timerman, Sérgio

; Rodrigues, Roseny dos Reis

; Corrêa, Thiago Domingos

; Schubert, Daniel Ujakow Correa

; Freitas, Ana Paula

; Rea Neto, Álvaro

; Polastri, Thatiane Facholi

; Vane, Matheus Fachini

; Couto, Thomaz Bittencourt

; Brandão, Antonio Carlos Aguiar

; Giannetti, Natali Schiavo

; Timerman, Thiago

; Hajjar, Ludhmila Abrahão

; Bacal, Fernando

; Lopes, Marcelo Antônio Cartaxo Queiroga

Arquivos Brasileiros de Cardiologia

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jun 2020, Volume 114 N. 6 Pages 1078 - 1087

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

Resumo A atenção ao paciente vítima de parada cardiorrespiratória no contexto da pandemia da Doença por Coronavírus 2019 (COVID-19) possui particularidades que devem ser ressaltadas. As seguintes recomendações da Associação Brasileira de Medicina de Emergência (ABRAMEDE), Sociedade Brasileira de Cardiologia (SBC), Associação de Medicina Intensiva Brasileira (AMIB) e Sociedade Brasileira de Anestesiologia (SBA), representantes oficiais de especialidades afiliadas à Associação Médica Brasileira (AMB), têm por objetivo orientar as diversas equipes assistentes, em uma situação de poucas evidências sólidas, maximizando a proteção das equipes e dos pacientes. É fundamental a paramentação completa com Equipamentos de Proteção Individual para aerossóis durante o atendimento de parada cardiorrespiratória. Também se faz imperativo que se considerem e tratem as potenciais causas nesses pacientes, principalmente hipóxia e arritmias de correntes de QT longo ou miocardite. A instalação de via aérea invasiva avançada deve ser obtida precocemente, e o uso de filtros HEPA na interface com a bolsa-válvula é obrigatório. Situações de ocorrência de parada cardiorrespiratória durante a ventilação mecânica e em posição pronada demandam peculiaridades de ajustes do ventilador e posicionamento de compressões torácicas distintas do padrão de ressuscitação cardiopulmonar. Dadas essas particularidades logísticas, o atendimento segue de acordo com os protocolos e diretrizes nacionais e internacionais do International Liaison Committee on Resuscitation (ILCOR) de 2015, das diretrizes da American Heart Association (AHA) de 2019 e da Atualização da Diretriz de Ressuscitação Cardiopulmonar e Cuidados de Emergência da Sociedade Brasileira de Cardiologia de 2019.

Abstract Care for patients with cardiac arrest in the context of the coronavirus disease 2019 (COVID-19) pandemic has several unique aspects that warrant particular attention. This joint position statement by the Brazilian Association of Emergency Medicine (ABRAMEDE), Brazilian Society of Cardiology (SBC), Brazilian Association of Intensive Care Medicine (AMIB), and Brazilian Society of Anesthesiology (SBA), all official societies representing the corresponding medical specialties affiliated with the Brazilian Medical Association (AMB), provides recommendations to guide health care workers in the current context of limited robust evidence, aiming to maximize the protection of staff and patients alike. It is essential that full aerosol precautions, which include wearing appropriate personal protective equipment, be followed during resuscitation. It is also imperative that potential causes of cardiac arrest of particular interest in this patient population, especially hypoxia, cardiac arrhythmias associated with QT prolongation, and myocarditis, be considered and addressed. An advanced invasive airway device should be placed early. Use of HEPA filters at the bag-valve interface is mandatory. Management of cardiac arrest occurring during mechanical ventilation or during prone positioning demands particular ventilator settings and rescuer positioning for chest compressions which deviate from standard cardiopulmonary resuscitation techniques. Apart from these logistical issues, care should otherwise follow national and international protocols and guidelines, namely the 2015 International Liaison Committee on Resuscitation (ILCOR) and 2019 American Heart Association (AHA) guidelines and the 2019 Update to the Brazilian Society of Cardiology Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Guideline.

https://doi.org/10.36660/abc.20200548 7623 downloads

Transcatheter Aortic Valve Replacement: The Experience of One Brazilian Health Care Center
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Azevedo, Fabiula Schwartz

; Correa, Marcelo Goulart

; Paula, Débora Holanda Gonçalves

; Felix, Alex dos Santos

; Belém, Luciano Herman Juaçaba

; Mendes, Ana Paula Chedid

; Silva, Valeria Gonçalves

; Marques, Bruno Miranda

; Monteiro, Andrey José de Oliveira

; Weksler, Clara

; Colafranceschi, Alexandre Siciliano

; Kasal, Daniel Arthur Barata

Brazilian Journal of Cardiovascular Surgery

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feb 2018, Volume 33 N. 1 Pages 1 - 7

Abstract: En | Text: En | PDF: En

Abstract Objective: Transcatheter aortic valve replacement has been an alternative to invasive treatment for symptomatic severe aortic stenosis in high risk patients. The primary endpoint was 30-day and 1-year mortality from any cause. Secondary endpoints were to compare the clinical and echocardiographic variation pre-and post- transcatheter aortic valve replacement, and the occurrence of complications throughout a 4-year follow-up period. Methods: This prospective cohort, nestled to a multicenter study (Registro Brasileiro de Implante de Bioprótese por Cateter), describes the experience of a public tertiary center in transcatheter aortic valve replacement. All patients who underwent this procedure between October 2011 and February 2016 were included. Results: Fifty-eight patients underwent transcatheter aortic valve replacement. The 30-day all-cause mortality was 5.2% (n=3) and after 1 year was 17.2% (n=10). A significant improvement in New York Heart Association functional classification was observed when comparing pre-and post- transcatheter aortic valve replacement (III or IV 84.4% versus 5.8%; P<0.001). A decline in peak was observed (P<0.001) and mean (P<0.001) systolic transaortic gradient. The results of peak and mean post-implant transaortic gradient were sustained after one year (P=0.29 and P=0.36, respectively). Left ventricular ejection fraction did not change significantly during follow-up (P=0.41). The most frequent complications were bleeding (28.9%), the need for permanent pacemaker (27.6%) and acute renal injury (20.6%). Conclusion: Mortality and complications in this study were consistent with worldwide experience. Transcatheter aortic valve replacement had positive clinical and hemodynamic results, when comparing pre-and post-procedure, and the hemodynamic profile of the prosthesis was sustained throughout follow-up.

https://doi.org/10.21470/1678-9741-2017-0117 912 downloads

10.

Hypercalcemia and acute renal insufficiency following use of a veterinary supplement
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Ronsoni, Marcelo Fernando

; Santos, Heloisa de Cassia dos

; Colombo, Bruno da Silveira

; Correa, Carina Gabriela

; Moritz, Ana Paula Gomes

; Coral, Marisa Helena Cesar

; Sande-Lee, Simone Van de

; Hohl, Alexandre

Brazilian Journal of Nephrology

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dec 2017, Volume 39 N. 4 Pages 467 - 469

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

Resumo Um paciente de 24 anos do sexo masculino, previamente hígido, apresentou-se com uma história de dois meses de dor epigástrica, náuseas, vômitos, fadiga e mal-estar. Ele relatava abuso de diferentes substâncias, incluindo um composto vitamínico veterinário injetável contendo altas doses de vitamina A, D e E, e um veículo oleoso que induz edema local com aumento de volume muscular. A creatinina sérica estava 3,1 mg/dL, alanina transaminase 160 mg/dL, aspartato transaminase 11 mg/dL, testosterona total 23 ng/dL, 25-OH-vitamina D > 150 ng/mL (toxicidade > 100), 1,25-OH-vitamina D 80 pg/mL, vitamina A 0,7 mg/dL, paratormônio < 3 pg/mL, cálcio total 13,6 mg/dL, cálcio urinário de 24h 635 mg/24h (VR 42-353). Uma ultrassonografia do trato urinário demonstrou sinais de nefropatia parenquimatosa. O diagnóstico foi hipercalcemia e insuficiência renal aguda secundária a intoxicação por vitamina D. Ele foi tratado inicialmente com hidratação intravenosa, furosemida e prednisona. No quinto dia de hospitalização uma dose de pamidronato dissódico foi adicionada. O paciente evoluiu com normalização do cálcio sérico e da função renal. Trinta dias depois ele apresentou testes clínicos e laboratoriais normais, exceto a 25-OH-vitamina D que estava persistentemente elevada (107 ng/mL), já que ela pode demorar vários meses para normalizar. Este relato de caso é um alerta aos riscos relacionados ao uso de substâncias veterinárias para fins estéticos.

Abstract A previously healthy 24 yo male presented with a two-month history of epigastric pain, nausea, vomiting, fatigue and malaise. He reported abuse of different substances, including an injectable veterinary vitamin compound, which contains high doses of vitamin A, D and E, and an oily vehicle that induces local edema and enhances muscle volume. Serum creatinine was 3.1 mg/dL, alanine transaminase 160 mg/dL, aspartate transaminase 11 mg/dL, total testosterone 23 ng/dL, 25-OH-vitamin D >150 ng/mL (toxicity >100), 1,25-OH-vitamin D 80 pg/mL, vitamin A 0.7 mg/dL, parathormone <3 pg/mL, total calcium 13.6 mg/dL, 24-hour urinary calcium 635 mg/24h (RV 42-353). A urinary tract ultrasound demonstrated signs of parenchymal nephropathy. The diagnosis was hypercalcemia and acute renal failure secondary to vitamin D intoxication. He was initially treated with intravenous hydration, furosemide and prednisone. On the fifth day of hospitalization a dose of pamidronate disodium was added. The patient evolved with serum calcium and renal function normalization. Thirty days later he presented normal clinical and laboratory tests, except 25-OH-vitamin D that was persistently increased (107 ng/mL), as it may take several months to normalize. This case report is a warning of the risks related to the use of veterinary substances for aesthetics purposes.

https://doi.org/10.5935/0101-2800.20170082 3251 downloads

11.

Avaliação dos resultados do uso do hialuronato de sódio intra-articular no pós-operatório da artroscopia do joelho
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Pereira Junior, Ayrton de Paula

; Fasolin, Ricardo Pozzi

; Sossa, Felipe Ayusso Correa

; Lira Neto, Ozorio de Almeida

; Navarro, Marcelo Schmidt

; Milani, Antonio

Revista Brasileira de Ortopedia

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jan 2014, Volume 49 N. 1 Pages 37 - 43

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

Objetivo: Avaliar a eficácia do uso do ácido hialurônico no pós-operatório de artroscopia de joelho Métodos: Foram avaliados 49 pacientes submetidos ao procedimento artroscópico associado ao uso do ácido hialurônico intra-articular (Grupo I) e 49 pacientes submetidos ao procedimento artroscópico sem uso do ácido hialurônico (Grupo II). Os pacientes foram avaliados com base na Escala Visual Analógica de dor (EVA), analgesia domiciliar, amplitude do movimento do joelho com goniômetro e no questionário Lysholm. Resultados: Não ocorreram efeitos adversos significativos em nenhum dos dois grupos. Conclusão: O uso do ácido hialurônico no pós-operatório de artroscopia de joelho é justificado por levar a uma diminuição da dor na fase inicial e possibilitar uma recuperação mais rápida do paciente.

Objective: to evaluate the efficacy of hyaluronic acid in the post-operative of knee arthroscopy. Methods: we have evaluated 49 patients undergoing arthroscopic procedure with the use of intra-articular hyaluronic acid (Group 1) and 49 patients undergoing arthroscopic procedure without the use of hyaluronic acid (Group 2). Patients were evaluated based on the Visual Analogue Scale, household analgesia, assessment of the Range of Motion with a goniometer, and the Lysholm questionnaire. Results: there were no substantial adverse effects on either group. Conclusion: the use of hyaluronic acid in the post-operative of knee arthroscopy is justified due/because it leads to a decrease in pain in the early stage, enabling faster recovery of the patient.

https://doi.org/10.1016/j.rbo.2012.12.002 4934 downloads

12.

Promoção da aquisição de produtos da agricultura familiar para a alimentação escolar em Territórios da Cidadania de Minas Gerais e Espírito Santo
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Bezerra, Olívia Maria de Paula Alves

; Bonomo, Élido

; Silva, Camilo Adalton Mariano da

; Correa, Margareth da Silva

; Souza, Anelise Andrade de

; Santos, Peterson Cleber Teixeira dos

; Silva, Maria Luiza da

; Almeida, Marcelo Rodrigues de

; Carvalho, Karla Patrício

; Marques, Luciana Araújo

; Souza, Débora Maria Soares de

Revista de Nutrição

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jun 2013, Volume 26 N. 3 Pages 335 - 342

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

OBJETIVO: Contribuir para a promoção da aquisição de produtos da agricultura familiar para a alimentação escolar em Territórios da Cidadania do País. MÉTODOS: Foi realizado um estudo de intervenção com abordagem de articulação de redes intersetoriais presenciais, desenvolvidas a partir da atuação de equipes compostas por nutricionista, educador popular e engenheiro agrônomo ou técnico agrícola, que visitaram, por pelo menos dois momentos, todos os municípios pertencentes aos Territórios da Cidadania, visando articular redes intersetoriais presenciais capazes de desencadear processos locais de mobilização, organização e apoderamento de diferentes atores para a aquisição de produtos da agricultura familiar para a alimentação escolar nos municípios que compõem os referidos territórios. RESULTADOS: Os resultados mais expressivos foram: 14% dos municípios visitados apresentaram melhora na organização da agricultura familiar; 14% dos gestores passaram a apoiar o processo de aquisição de alimentos segundo a Lei nº 11.947/2009, e 27% dos municípios que não possuíam nutricionista contrataram o profissional. Não foram considerados satisfatórios os resultados obtidos para situação do Conselho de Alimentação Escolar. CONCLUSÃO: As ações desenvolvidas foram capazes de contribuir positivamente para o avanço da implementação da Lei Federal nº 11.947/2009 nos Territórios de Cidadania abordados.

OBJECTIVE: This study hopes to promote the acquisition of family farm products for school meals in Brazil's Territories of Citizenship. METHODS: This intervention study coordinated intersectoral networks face-to-face. The networks consisted of teams composed of a dietician, popular educator, and agronomist or agronomy technician. These teams visited all municipalities within the Citizenship Territories at least twice to coordinate the said networks, capable of promoting local mobilization processes, organization, and empowerment of different actors to acquire family farm products for school meals in the said municipalities. RESULTS: The most expressive results were: 14% of the municipalities improved the family farm organization; 14% of the managers began to support the food acquisition process according to Law nº 11.947/2009; and 27% of the municipalities without a dietician hired one. The results were not considered satisfactory by the School Food Council. CONCLUSION: The actions were capable of promoting the implementation of the Federal Law Lei Federal nº 11.947/2009 in the study Territories of Citizenship.

3772 downloads Cited 2 times in SciELO

13.

Uvb surface albedo measurements using biometers
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Correa, Marcelo de Paula

; Ceballos, Juan Carlos

Revista Brasileira de Geofísica

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dec 2008, Volume 26 N. 4 Pages 411 - 416

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

Este trabalho apresenta medidas de albedo UVB realizadas sobre diferentes tipos de superfície e condições atmosfericas. Tais resultados fornecem uma contribuição a trabalhos prévios, tais como Blumthaler & Ambach (1988) amplamente utilizado em modelos de transferência radiativa. Para tanto, um albedômetro foi construido a partir de dois biômetros Solarlight UVB501 e as medidas foram realizadas sobre as seguintes superfícies: grama verde e amarelada, areia, madeira (natural epintada), formica e metal. Ao contrário de outras publicações sobre o assunto, a influência de nuvens e a resposta do sensor as variações de temperatura foram discutidas com maior profundidade. Verificou-se, que as nuvens não exercem influência significativa sobre a determinação do albedo, enquanto o uso de sensores termo regulados e imprescindível para a obtenção de medidas precisas. Além disso, o trabalho demonstra a necessidade da realização de estudos que detalhem as superfícies estudadas de maneira mais aprofundada.

This work describes ultraviolet-B albedo measurements performed over several surfaces and different atmospheric conditions. These results provide a complement to previous studies as Blumthaler & Ambach (1988), widely used as albedo reference for the main UV radiative transfer models. A custom-built albedometer composed of apair of Solarlight UVB501 biometer was used to measure the albedo over the following surfaces: green and yellowish grass, sand, wood (natural and painted), formica (synthetic plate), and iron. Influence of clouds and the sensor's response to temperature variations are also discussed. Presence of clouds on surface albedo measurement seems negligible, but athermo-regulated instrument is indispensable to an accurate analysis. Comparison with previous works shows the need for studies on the detailed characterization of the type of surface.

5778 downloads Cited 2 times in SciELO

14.

CONDIÇÕES SÓCIO-AMBIENTAIS DE MIGRANTES MINEIROS EM PIRACICABA, SP, BRASIL
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Branco do Nascimento, Ana Paula

; Correa Alves, Marcelo

; Guerra Molina, Silvia Maria

Interciencia

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sep 2005, Volume 30 N. 9 Pages 64 - 78

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

Entre las más importantes estrategias de sobrevivencia de los seres humanos se encuentra la migración. Ésta permitió al hombre ocupar nuevos ambientes, en busca de condiciones de vida mejores que las alcanzadas en su lugar de origen. En un trabajo anterior fue identificado en Piracicaba, Estado de São Paulo, Brasil, un gran contingente de inmigrantes provenientes del municipio de Nuevo Cruzeiro, Estado de Minas Gerais. En el presente trabajo se investigó si las familias que migraron de Nuevo Cruzeiro hacia Piracicaba están alcanzando condiciones de vida similares o mejores a las de los pobladores de la localidad de origen, lo que justificaría el desplazamiento. Se constató, por los indicadores estudiados, que hay mejores condiciones de vida entre los habitantes del municipio de Piracicaba en lo que se refiere a infraestrutura habitacional, renta familiar y escolaridad materna.

Migration is one of the most important strategies of survival mankind. It has allowed man to occupy new environments and find better living conditions than the original ones. A previous report identified in Piracicaba, State of São Paulo, Brazil, a large contingent of migrants originating at the Municipality of Novo Cruzeiro, State of Minas Gerais. The present study explores whether migrant families from Cruzeiro to Piracicaba have now reached similar or better living conditions as those of the inhabitants of the former location, justifying the their moving. Evidence has shown that migrant families from Novo Cruzeiro to Piracicaba have reached similar or better living conditions than those families who remained home (Novo Cruzeiro-MG), which justify moving from one state to another. Socio-environmental indicators showed that living conditions improved among the Piracicaba inhabitants as to housing, family income and maternal school attendance.

Nos seres humanos, entre as mais importantes estratégias de sobrevivência, encontra-se a migração. Esta permitiu ao homem ocupar novos ambientes, em busca de condições de vida melhores que as possíveis em seu local de origem. Em trabalho anterior foi identificado em Piracicaba, SP, grande contingente de migrantes originados do município de Novo Cruzeiro, MG. No presente trabalho foi investigado se as famílias que migraram de Novo Cruzeiro MG para Piracicaba, SP estão obtendo condições de vida similares ou superiores às dos moradores do local de origem, o que justificaria o deslocamento. Constatou-se pelos indicadores estudados, que há melhores condições de vida entre os habitantes do município de Piracicaba no que se refere à infra-estrutura habitacional, à melhor renda familiar e à maior escolaridade materna.

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