Results: 56
#1
au:COSTA, ROGERIO SANTOS DA
Filters
Order by
Page
of 4
Next
1.
[SciELO Preprints] - Brazilian Guidelines for In-office and Out-of-office Blood Pressure Measurement – 2023
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Feitosa, Audes Diógenes de Magalhães
Barroso, Weimar Kunz Sebba
Mion Júnior, Décio
Nobre, Fernando
Mota-Gomes, Marco Antonio
Jardim, Paulo Cesar Brandão Veiga
Amodeo, Celso
Camargo, Adriana
Alessi, Alexandre
Sousa, Ana Luiza Lima
Brandão, Andréa Araujo
Pio-Abreu, Andrea
Sposito, Andrei Carvalho
Pierin, Angela Maria Geraldo
Paiva, Annelise Machado Gomes de
Spinelli, Antonio Carlos de Souza
Machado, Carlos Alberto
Poli-de-Figueiredo, Carlos Eduardo
Rodrigues, Cibele Isaac Saad
Forjaz, Cláudia Lúcia de Moraes
Sampaio, Diogo Pereira Santos
Barbosa, Eduardo Costa Duarte
Freitas, Elizabete Viana de
Cestário , Elizabeth do Espírito Santo
Muxfeldt, Elizabeth Silaid
Lima Júnior, Emilton
Campana, Erika Maria Gonçalves
Feitosa, Fabiana Gomes Aragão Magalhães
Consolim-Colombo, Fernanda Marciano
Almeida, Fernando Antônio de
Silva, Giovanio Vieira da
Moreno Júnior, Heitor
Finimundi, Helius Carlos
Guimarães, Isabel Cristina Britto
Gemelli, João Roberto
Barreto Filho, José Augusto Soares
Vilela-Martin, José Fernando
Ribeiro, José Marcio
Yugar-Toledo, Juan Carlos
Magalhães, Lucélia Batista Neves Cunha
Drager, Luciano Ferreira
Bortolotto, Luiz Aparecido
Alves, Marco Antonio de Melo
Malachias, Marcus Vinícius Bolívar
Neves, Mario Fritsch Toros
Santos, Mayara Cedrim
Dinamarco, Nelson
Moreira Filho, Osni
Passarelli Júnior, Oswaldo
Valverde de Oliveira Vitorino, Priscila Valverde de Oliveira
Miranda, Roberto Dischinger
Bezerra, Rodrigo
Pedrosa, Rodrigo Pinto
Paula, Rogério Baumgratz de
Okawa, Rogério Toshiro Passos
Póvoa, Rui Manuel dos Santos
Fuchs, Sandra C.
Inuzuka, Sayuri
Ferreira-Filho, Sebastião R.
Paffer Fillho, Silvio Hock de
Jardim, Thiago de Souza Veiga
Guimarães Neto, Vanildo da Silva
Koch, Vera Hermina
Gusmão, Waléria Dantas Pereira
Oigman, Wille
Nadruz, Wilson
Hypertension is one of the primary modifiable risk factors for morbidity and mortality worldwide, being a major risk factor for coronary artery disease, stroke, and kidney failure. Furthermore, it is highly prevalent, affecting more than one-third of the global population.
Blood pressure measurement is a MANDATORY procedure in any medical care setting and is carried out by various healthcare professionals. However, it is still commonly performed without the necessary technical care. Since the diagnosis relies on blood pressure measurement, it is clear how important it is to handle the techniques, methods, and equipment used in its execution with care.
It should be emphasized that once the diagnosis is made, all short-term, medium-term, and long-term investigations and treatments are based on the results of blood pressure measurement. Therefore, improper techniques and/or equipment can lead to incorrect diagnoses, either underestimating or overestimating values, resulting in inappropriate actions and significant health and economic losses for individuals and nations.
Once the correct diagnosis is made, as knowledge of the importance of proper treatment advances, with the adoption of more detailed normal values and careful treatment objectives towards achieving stricter blood pressure goals, the importance of precision in blood pressure measurement is also reinforced.
Blood pressure measurement (described below) is usually performed using the traditional method, the so-called casual or office measurement. Over time, alternatives have been added to it, through the use of semi-automatic or automatic devices by the patients themselves, in waiting rooms or outside the office, in their own homes, or in public spaces. A step further was taken with the use of semi-automatic devices equipped with memory that allow sequential measurements outside the office (ABPM; or HBPM) and other automatic devices that allow programmed measurements over longer periods (HBPM).
Some aspects of blood pressure measurement can interfere with obtaining reliable results and, consequently, cause harm in decision-making. These include the importance of using average values, the variation in blood pressure during the day, and short-term variability. These aspects have encouraged the performance of a greater number of measurements in various situations, and different guidelines have advocated the use of equipment that promotes these actions. Devices that perform HBPM or ABPM, which, in addition to allowing greater precision, when used together, detect white coat hypertension (WCH), masked hypertension (MH), sleep blood pressure alterations, and resistant hypertension (RHT) (defined in Chapter 2 of this guideline), are gaining more and more importance.
Taking these details into account, we must emphasize that information related to diagnosis, classification, and goal setting is still based on office blood pressure measurement, and for this reason, all attention must be given to the proper execution of this procedure.
La hipertensión arterial (HTA) es uno de los principales factores de riesgo modificables para la morbilidad y mortalidad en todo el mundo, siendo uno de los mayores factores de riesgo para la enfermedad de las arterias coronarias, el accidente cerebrovascular (ACV) y la insuficiencia renal. Además, es altamente prevalente y afecta a más de un tercio de la población mundial.
La medición de la presión arterial (PA) es un procedimiento OBLIGATORIO en cualquier atención médica o realizado por diferentes profesionales de la salud. Sin embargo, todavía se realiza comúnmente sin los cuidados técnicos necesarios. Dado que el diagnóstico se basa en la medición de la PA, es claro el cuidado que debe haber con las técnicas, los métodos y los equipos utilizados en su realización.
Debemos enfatizar que una vez realizado el diagnóstico, todas las investigaciones y tratamientos a corto, mediano y largo plazo se basan en los resultados de la medición de la PA. Por lo tanto, las técnicas y/o equipos inadecuados pueden llevar a diagnósticos incorrectos, subestimando o sobreestimando valores y resultando en conductas inadecuadas y pérdidas significativas para la salud y la economía de las personas y las naciones.
Una vez realizado el diagnóstico correcto, a medida que avanza el conocimiento sobre la importancia del tratamiento adecuado, con la adopción de valores de normalidad más detallados y objetivos de tratamiento más cuidadosos hacia metas de PA más estrictas, también se refuerza la importancia de la precisión en la medición de la PA.
La medición de la PA (descrita a continuación) generalmente se realiza mediante el método tradicional, la llamada medición casual o de consultorio. Con el tiempo, se han agregado alternativas a través del uso de dispositivos semiautomáticos o automáticos por parte del propio paciente, en salas de espera o fuera del consultorio, en su propia residencia o en espacios públicos. Se dio un paso más con el uso de dispositivos semiautomáticos equipados con memoria que permiten mediciones secuenciales fuera del consultorio (AMPA; o MRPA) y otros automáticos que permiten mediciones programadas durante períodos más largos (MAPA).
Algunos aspectos en la medición de la PA pueden interferir en la obtención de resultados confiables y, en consecuencia, causar daños en las decisiones a tomar. Estos incluyen la importancia de usar valores promedio, la variación de la PA durante el día y la variabilidad a corto plazo. Estos aspectos han alentado la realización de un mayor número de mediciones en diversas situaciones, y diferentes pautas han abogado por el uso de equipos que promuevan estas acciones. Los dispositivos que realizan MRPA o MAPA, que además de permitir una mayor precisión, cuando se usan juntos, detectan la hipertensión de bata blanca (HBB), la hipertensión enmascarada (HM), las alteraciones de la PA durante el sueño y la hipertensión resistente (HR) (definida en el Capítulo 2 de esta guía), están ganando cada vez más importancia.
Teniendo en cuenta estos detalles, debemos enfatizar que la información relacionada con el diagnóstico, la clasificación y el establecimiento de objetivos todavía se basa en la medición de la presión arterial en el consultorio, y por esta razón, se debe prestar toda la atención a la ejecución adecuada de este procedimiento.
A hipertensão arterial (HA) é um dos principais fatores de risco modificáveis para morbidade e mortalidade em todo o mundo, sendo um dos maiores fatores de risco para doença arterial coronária, acidente vascular cerebral (AVC) e insuficiência renal. Além disso, é altamente prevalente e atinge mais de um terço da população mundial.
A medida da PA é procedimento OBRIGATÓRIO em qualquer atendimento médico ou realizado por diferentes profissionais de saúde. Contudo, ainda é comumente realizada sem os cuidados técnicos necessários. Como o diagnóstico se baseia na medida da PA, fica claro o cuidado que deve haver com as técnicas, os métodos e os equipamentos utilizados na sua realização.
Deve-se reforçar que, feito o diagnóstico, toda a investigação e os tratamentos de curto, médio e longo prazos são feitos com base nos resultados da medida da PA. Assim, técnicas e/ou equipamentos inadequados podem levar a diagnósticos incorretos, tanto subestimando quanto superestimando valores e levando a condutas inadequadas e grandes prejuízos à saúde e à economia das pessoas e das nações.
Uma vez feito o diagnóstico correto, na medida em que avança o conhecimento da importância do tratamento adequado, com a adoção de valores de normalidade mais detalhados e com objetivos de tratamento mais cuidadosos no sentido do alcance de metas de PA mais rigorosas, fica também reforçada a importância da precisão na medida da PA.
A medida da PA (descrita a seguir) é habitualmente feita pelo método tradicional, a assim chamada medida casual ou de consultório. Ao longo do tempo, foram agregadas alternativas a ela, mediante o uso de equipamentos semiautomáticos ou automáticos pelo próprio paciente, nas salas de espera ou fora do consultório, em sua própria residência ou em espaços públicos. Um passo adiante foi dado com o uso de equipamentos semiautomáticos providos de memória que permitem medidas sequenciais fora do consultório (AMPA; ou MRPA) e outros automáticos que permitem medidas programadas por períodos mais prolongados (MAPA).
Alguns aspectos na medida da PA podem interferir na obtenção de resultados fidedignos e, consequentemente, causar prejuízo nas condutas a serem tomadas. Entre eles, estão: a importância de serem utilizados valores médios, a variação da PA durante o dia e a variabilidade a curto prazo. Esses aspectos têm estimulado a realização de maior número de medidas em diversas situações, e as diferentes diretrizes têm preconizado o uso de equipamentos que favoreçam essas ações. Ganham cada vez mais espaço os equipamentos que realizam MRPA ou MAPA, que, além de permitirem maior precisão, se empregados em conjunto, detectam a HA do avental branco (HAB), HA mascarada (HM), alterações da PA no sono e HA resistente (HAR) (definidos no Capítulo 2 desta diretriz).
Resguardados esses detalhes, devemos ressaltar que as informações relacionadas a diagnóstico, classificação e estabelecimento de metas ainda são baseadas na medida da PA de consultório e, por esse motivo, toda a atenção deve ser dada à realização desse procedimento.
2.
Na esteira de produção da política ambiental: faces da seletividade estatal no processo legislativo subnacional brasileiro
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Abstract: In this article we analyze state selectivity in environmental agenda setting and legislative process in the State of Paraná, over the course of two four-year legislative sessions, between 2007 and 2014. On the basis of a qualitative-quantitative approach, we investigated the characteristics and proceedings of 180 environmental bills. The analysis looked at the party of the proponent, its ideological identification and the role of the executive branch in the legislative process. The findings indicate that, despite the executive’s strong ability to influence the legislature, the latter assumes greater autonomy in its agenda and imposes defeats on the former, depending on the power relations and environmental issues at stake. The little attention given to the legislative process has obscured its critical and strategic position in the selectivity of environmental policy. The legislature plays an important role in legitimizing the executive’s actions while barring projects and extinguishing laws that threaten hegemonic economic sectors.
Resumen: En este artículo, analizamos la selectividad estatal en la fijación de la agenda y en el proceso legislativo de los proyectos de ley ambientales en dos legislaturas del estado de Paraná, entre 2007 y 2014. Con base cualitativa y cuantitativa, investigamos las características y el procesamiento de 180 proyectos de ley ambientales, considerando el partido político proponente, el espectro ideológico y el rol del Poder Ejecutivo. Los hallazgos indican que, a pesar de la fuerte capacidad de influencia del Poder Ejecutivo sobre el Legislativo, este último asume mayor autonomía en su agenda e impone derrotas al primero, dependiendo del equilibrio de fuerzas y de los temas ambientales en juego. La poca atención prestada al proceso legislativo contribuye a ocultar su posición crítica y estratégica en la selectividad de la política ambiental. El Poder Legislativo juega un papel importante en la legitimación de las acciones del Ejecutivo, al tiempo que bloquea proyectos y extingue leyes que amenazan a los sectores económicos hegemónicos.
Resumo: Neste artigo analisamos a seletividade estatal na formação da agenda e no processo legislativo de projetos de lei ambientais em duas legislaturas do estado do Paraná, entre 2007 e 2014. Com base quali-quantitativa, investigamos as características e a tramitação de 180 projetos ambientais considerando o partido proponente, o espectro ideológico e o papel do Poder Executivo. Os achados apontam que, apesar da forte capacidade de influência do Executivo sob o Legislativo, este assume maior autonomia na sua agenda e impõe derrotas àquele, conforme as relações de forças e os temas ambientais em jogo. A pouca atenção dada ao processo legislativo tem obscurecido a sua posição crítica e estratégica na seletividade da política ambiental. O Legislativo tem um papel importante na legitimação das ações do Executivo, ao mesmo tempo em que barra projetos e extingue leis que ameacem setores econômicos hegemônicos.
3.
Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
LOUREDO, Brendo Vinicius Rodrigues
; CURADO, Maria Paula
; PENAFORT, Paulo Victor Mendes
; DE ARRUDA, José Alcides Almeida
; ABREU, Lucas Guimarães
; MESQUITA, Ricardo Alves
; PINTO-JÚNIOR, Décio dos Santos
; ABRAHÃO, Aline Corrêa
; ANDRADE, Bruno Augusto Benevenuto de
; AGOSTINI, Michelle
; MORAES, Renata Mendonça
; ANBINDER, Ana Lia
; DOURADO, Pedro Henrique Silva
; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos
; PIRES, Fábio Ramoa
; BORDIGNON, Natalia Cristina Trentin
; GONDAK, Rogério Oliveira
; DE OLIVEIRA, Marcia Gaiger
; CARRARD, Vinicius Coelho
; MARTINS, Manoela Domingues
; SOUSA-NETO, Sebastião Silvério
; ARANTES, Diego Antônio Costa
; MENDONÇA, Elismauro Francisco
; CIESLAK-SANCHES, Silvia Roberta
; ANTUNES, Daniella Moraes
; AMARAL-SILVA, Gleyson Kleber do
; MANIERI, Patricia Rubia
; RAMALHO, Luciana Maria Pedreira
; DOS SANTOS, Jean Nunes
; LEONEL, Augusto César Leal da Silva
; PEREZ, Danyel Elias da Cruz
; VERHEUL, Hannah Carmem Carlos Ribeiro Silva
; BARROSO, Keila Martha Amorim
; RODRIGUES, Flávia Luiza Santos
; GONZAGA, Amanda Katarinny Goes
; FERNANDES, Romana Renery
; DE SOUZA, Lélia Batista
; SOUZA, Lucas Lacerda de
; PONTES, Flávia Sirotheau Corrêa
; PONTES, Hélder Antônio Rebelo
; SILVA, Caroline Alfaia
; CÂMARA, Jeconias
; LIBÓRIO-KIMURA, Tatiana Nayara
; SANTOS-SILVA, Alan Roger
; LOPES, Márcio Ajudarte
; ALMEIDA, Oslei Paes de
; ROMAÑACH, Mário José
; VARGAS, Pablo Agustin
.
Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System.
4.
Propagation of two epiphytic Cactaceae for relocation to an urban protected area of the Atlantic Forest in São Paulo, Brazil
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Tamaki, Vívian
; Santos Junior, Nelson Augusto dos
; Costa, Janaina Pinheiro
; Baptista, Waldyr
; Shidomi, Yoshito
; Suzuki, Rogério Mamoru
.
Abstract The relocation of epiphytes contributes to biodiversity conservation. In this sense, studies that aim to promote the success of the process are necessary. Therefore, the objective of this work was to analyze the effects of initial fresh mass and fertilization on the propagation of two species of Rhipsalis, thus ensuring their success after relocation to a protected area. Therefore, fertilized and unfertilized plants of Rhipsalis puniceodiscus and Rhipsalis trigona initially with one or two cladodes were propagated in a greenhouse for 25 months. After relocation to a forest area, their survival was monitored for 16 months. Survival percentage, shoot length and root length were analyzed every four months. Fresh mass, dry mass and photosynthetic pigment were analyzed before relocating to a native forest. During the protected propagation stage, for both species, individuals presenting more branches and those that were fertilized exhibited more intense overall development. The propagation of R. puniceodiscus and R. trigona in a greenhouse with two cladodes is better than with one cladode. In general, R. puniceodiscus displayed better development under controlled conditions than R. trigona. Propagation using fertilization increased fresh mass and favors growth and survival rate of R. puniceodiscus and R. trigona. It is possible to relocate both species to a preserved area of the Atlantic Forest, but R. trigona presented more potential.
Resumo A realocação de epífitas contribui para a conservação da biodiversidade. Neste sentido, estudos que visem promover o sucesso do processo são necessários. Diante disso, o objetivo deste trabalho foi analisar os efeitos da massa fresca inicial e da fertilização na propagação de duas espécies de Rhipsalis, garantindo assim o seu sucesso após a realocação para uma Unidade de Conservação. Para tanto, plantas fertilizadas e não fertilizadas de Rhipsalis puniceodiscus e Rhipsalis trigona inicialmente com um ou dois cladódios foram propagadas em casa de vegetação por 25 meses. Após a mudança para uma área de floresta, sua sobrevivência foi monitorada por 16 meses. A porcentagem de sobrevivência, comprimento da parte aérea e comprimento da raiz foram analisados a cada quatro meses. Massa fresca, massa seca e pigmento fotossintético foram analisados antes de realocar para uma floresta nativa. Na fase de propagação protegida, para ambas as espécies, os indivíduos com mais ramos e os que foram fecundados exibiram um desenvolvimento global mais intenso. A propagação de R. puniceodiscus e R. trigona em casa de vegetação com dois cladódios é melhor do que com apenas um cladódio. Em geral, R. puniceodiscus apresentou melhor desenvolvimento em condições controladas do que R. trigona. A propagação com fertilização aumenta a massa fresca e favorece o crescimento e a taxa de sobrevivência de R. puniceodiscus e R. trigona. É possível realocar ambas as espécies para uma área preservada da Floresta Atlântica, porém R. trigona se apresentou mais promissora no processo.
5.
Shelter preference and variation in the daily activity pattern of the ornamental shrimp Neocaridina davidi (Caridea: Atyidae)
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Carvalho-Batista, Abner
; Nogueira, Caio Santos
; Costa, Rogerio Caetano
; Pantaleão, João Alberto Farinelli
.
Abstract Neocaridina davidi (Bouvier, 1904) is a shrimp commonly used in aquaculture throughout the world. It is an exotic species in several places. We investigated the preference of N. davidi for four types of shelter (rock, Vesicularia sp., Egeria sp., and wood) and its nictemeral activity variation. Individuals were divided into three experimental groups: males, non-ovigerous females, and ovigerous females. They were placed in tanks with the four shelter types and observed every 3 hours for 72 hours. Neocaridina davidi presented cryptic behavior with 82.1 ± 8.69% of individuals sheltering per observation. Sheltering was higher during the daytime (88.8 ±5.54%) than at nighttime (75.4 ± 5.53%). Vesicularia sp. was the most used shelter followed by wood. The least used shelter type was a rock. Swimming and walking were more frequently observed at nighttime, especially for ovigerous females. We have demonstrated the importance of providing shelter for the maintenance of N. davidi in tanks as well as its higher activity at nighttime.
6.
IMPACTO-MR: um estudo brasileiro de plataforma nacional para avaliar infecções e multirresistência em unidades de terapia intensiva
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Tomazini, Bruno M
; Nassar Jr, Antonio Paulo
; Lisboa, Thiago Costa
; Azevedo, Luciano César Pontes de
; Veiga, Viviane Cordeiro
; Catarino, Daniela Ghidetti Mangas
; Fogazzi, Debora Vacaro
; Arns, Beatriz
; Piastrelli, Filipe Teixeira
; Dietrich, Camila
; Negrelli, Karina Leal
; Jesuíno, Isabella de Andrade
; Reis, Luiz Fernando Lima
; Mattos, Renata Rodrigues de
; Pinheiro, Carla Cristina Gomes
; Luz, Mariane Nascimento
; Spadoni, Clayse Carla da Silva
; Moro, Elisângela Emilene
; Bueno, Flávia Regina
; Sampaio, Camila Santana Justo Cintra
; Silva, Débora Patrício
; Baldassare, Franca Pellison
; Silva, Ana Cecilia Alcantara
; Veiga, Thabata
; Barbante, Leticia
; Lambauer, Marianne
; Campos, Viviane Bezerra
; Santos, Elton
; Santos, Renato Hideo Nakawaga
; Laranjeiras, Ligia Nasi
; Valeis, Nanci
; Santucci, Eliana
; Miranda, Tamiris Abait
; Patrocínio, Ana Cristina Lagoeiro do
; Carvalho, Andréa de
; Sousa, Eduvirgens Maria Couto de
; Sousa, Ancelmo Honorato Ferraz de
; Malheiro, Daniel Tavares
; Bezerra, Isabella Lott
; Rodrigues, Mirian Batista
; Malicia, Julliana Chicuta
; Silva, Sabrina Souza da
; Gimenes, Bruna dos Passos
; Sesin, Guilhermo Prates
; Zavascki, Alexandre Prehn
; Sganzerla, Daniel
; Medeiros, Gregory Saraiva
; Santos, Rosa da Rosa Minho dos
; Silva, Fernanda Kelly Romeiro
; Cheno, Maysa Yukari
; Abrahão, Carolinne Ferreira
; Oliveira Junior, Haliton Alves de
; Rocha, Leonardo Lima
; Nunes Neto, Pedro Aniceto
; Pereira, Valéria Chagas
; Paciência, Luis Eduardo Miranda
; Bueno, Elaine Silva
; Caser, Eliana Bernadete
; Ribeiro, Larissa Zuqui
; Fernandes, Caio Cesar Ferreira
; Garcia, Juliana Mazzei
; Silva, Vanildes de Fátima Fernandes
; Santos, Alisson Junior dos
; Machado, Flávia Ribeiro
; Souza, Maria Aparecida de
; Ferronato, Bianca Ramos
; Urbano, Hugo Corrêa de Andrade
; Moreira, Danielle Conceição Aparecida
; Souza-Dantas, Vicente Cés de
; Duarte, Diego Meireles
; Coelho, Juliana
; Figueiredo, Rodrigo Cruvinel
; Foreque, Fernanda
; Romano, Thiago Gomes
; Cubos, Daniel
; Spirale, Vladimir Miguel
; Nogueira, Roberta Schiavon
; Maia, Israel Silva
; Zandonai, Cassio Luis
; Lovato, Wilson José
; Cerantola, Rodrigo Barbosa
; Toledo, Tatiana Gozzi Pancev
; Tomba, Pablo Oscar
; Almeida, Joyce Ramos de
; Sanches, Luciana Coelho
; Pierini, Leticia
; Cunha, Mariana
; Sousa, Michelle Tereza
; Azevedo, Bruna
; Dal-Pizzol, Felipe
; Damasio, Danusa de Castro
; Bainy, Marina Peres
; Beduhn, Dagoberta Alves Vieira
; Jatobá, Joana D’Arc Vila Nova
; Moura, Maria Tereza Farias de
; Rego, Leila Rezegue de Moraes
; Silva, Adria Vanessa da
; Oliveira, Luana Pontes
; Sodré Filho, Eliene Sá
; Santos, Silvana Soares dos
; Neves, Itallo de Lima
; Leão, Vanessa Cristina de Aquino
; Paes, João Lucidio Lobato
; Silva, Marielle Cristina Mendes
; Oliveira, Cláudio Dornas de
; Santiago, Raquel Caldeira Brant
; Paranhos, Jorge Luiz da Rocha
; Wiermann, Iany Grinezia da Silva
; Pedroso, Durval Ferreira Fonseca
; Sawada, Priscilla Yoshiko
; Prestes, Rejane Martins
; Nascimento, Glícia Cardoso
; Grion, Cintia Magalhães Carvalho
; Carrilho, Claudia Maria Dantas de Maio
; Dantas, Roberta Lacerda Almeida de Miranda
; Silva, Eliane Pereira
; Silva, Antônio Carlos da
; Oliveira, Sheila Mara Bezerra de
; Golin, Nicole Alberti
; Tregnago, Rogerio
; Lima, Valéria Paes
; Silva, Kamilla Grasielle Nunes da
; Boschi, Emerson
; Buffon, Viviane
; Machado, André Sant’Ana
; Capeletti, Leticia
; Foernges, Rafael Botelho
; Carvalho, Andréia Schubert de
; Oliveira Junior, Lúcio Couto de
; Oliveira, Daniela Cunha de
; Silva, Everton Macêdo
; Ribeiro, Julival
; Pereira, Francielle Constantino
; Salgado, Fernanda Borges
; Deutschendorf, Caroline
; Silva, Cristofer Farias da
; Gobatto, Andre Luiz Nunes
; Oliveira, Carolaine Bomfim de
; Dracoulakis, Marianna Deway Andrade
; Alvaia, Natália Oliveira Santos
; Souza, Roberta Machado de
; Araújo, Larissa Liz Cardoso de
; Melo, Rodrigo Morel Vieira de
; Passos, Luiz Carlos Santana
; Vidal, Claudia Fernanda de Lacerda
; Rodrigues, Fernanda Lopes de Albuquerque
; Kurtz, Pedro
; Shinotsuka, Cássia Righy
; Tavares, Maria Brandão
; Santana, Igor das Virgens
; Gavinho, Luciana Macedo da Silva
; Nascimento, Alaís Brito
; Pereira, Adriano J
; Cavalcanti, Alexandre Biasi
.
ABSTRACT Objective: To describe the IMPACTO-MR, a Brazilian nationwide intensive care unit platform study focused on the impact of health care-associated infections due to multidrug-resistant bacteria. Methods: We described the IMPACTO-MR platform, its development, criteria for intensive care unit selection, characterization of core data collection, objectives, and future research projects to be held within the platform. Results: The core data were collected using the Epimed Monitor System® and consisted of demographic data, comorbidity data, functional status, clinical scores, admission diagnosis and secondary diagnoses, laboratory, clinical, and microbiological data, and organ support during intensive care unit stay, among others. From October 2019 to December 2020, 33,983 patients from 51 intensive care units were included in the core database. Conclusion: The IMPACTO-MR platform is a nationwide Brazilian intensive care unit clinical database focused on researching the impact of health care-associated infections due to multidrug-resistant bacteria. This platform provides data for individual intensive care unit development and research and multicenter observational and prospective trials.
RESUMO Objetivo: Descrever o IMPACTO-MR, um estudo brasileiro de plataforma nacional em unidades de terapia intensiva focado no impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Métodos: Descrevemos a plataforma IMPACTO-MR, seu desenvolvimento, critérios para seleção das unidades de terapia intensiva, caracterização da coleta de dados, objetivos e projetos de pesquisa futuros a serem realizados na plataforma. Resultados: Os dados principais foram coletados por meio do Epimed Monitor System® e consistiram em dados demográficos, dados de comorbidades, estado funcional, escores clínicos, diagnóstico de internação e diagnósticos secundários, dados laboratoriais, clínicos e microbiológicos e suporte de órgãos durante a internação na unidade de terapia intensiva, entre outros. De outubro de 2019 a dezembro de 2020, 33.983 pacientes de 51 unidades de terapia intensiva foram incluídos no banco de dados principal. Conclusão: A plataforma IMPACTO-MR é um banco de dados clínico brasileiro de unidades de terapia intensiva focado na pesquisa do impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Essa plataforma fornece dados para o desenvolvimento e pesquisa de unidades de terapia intensiva individuais e ensaios clínicos observacionais e prospectivos multicêntricos.
7.
[SciELO Preprints] - Simultaneous relocation strategy of bromeliads as epiphytes or terricolous in the Montane Dense Ombrophilous Forest of Parque Estadual da Cantareira, São Paulo State, Brazil
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Nievola, Catarina Carvalho
Kanashiro, Shoey
Tamaki, Vivian
Guardia, Marina Crestana
Suzuki, Rogério Mamoru
Costa, Janaina Pinheiro
Baptista, Waldyr
Cachenco, Mônica Valéria
Shidomi, Yoshito
Santos Junior, Nelson Augusto dos
Plant relocation resulting from vegetation removal is an important conservation strategy. This work aimed to investigate the simultaneous relocation of the bromeliads Aechmea distichantha Lem. and Wittrockia cyathiformis (Vell.) Leme in epiphytic and terricolous form. These bromeliads were rescued from deforested areas due to the construction of a highway. Both were fixed onto tree trunks or pitchforks or in the soil in a Montane Dense Ombrophilous Forest area of Parque da Estadual Cantareira, São Paulo State, Brazil. After one year A. distichantha maintained 100% survival rate, when transplanted in terricolous and 83.33 % in epiphytic form, while W. cyathiformis was 60% for both relocation forms. We concluded that both bromeliad species could be simultaneously relocated as epiphytes or terricolous. Direct relocation to the ground guarantees practicality, as it is difficult to find trees with forks located at small heights from the ground in which the manual fixing of the plant could be done without equipment.
A realocação de plantas resultante da remoção da vegetação é uma importante estratégia de conservação. Este trabalho objetivou investigar a realocação simultânea das bromélias Aechmea distichantha Lem. e Wittrockia cyathiformis nbsp;(Vell.) Leme na forma epífita e terrícola, resgatadas de áreas desmatadas devido à construção de uma rodovia. Ambas foram fixadas em troncos de árvores ou forquilhas ou transplantadas para o solo em uma área de Floresta Ombrófila Densa Montana do Parque Estadual da Cantareira, Estado de São Paulo, Brasil. Após um ano, A. distichantha manteve 100% de sobrevida, quando transplantada na forma terrícola e 83,33% na forma epífita, enquanto W. cyathiformis foi de 60% para ambas as formas de realocação. Concluímos que ambas as espécies de bromélias podem ser realocadas simultaneamente como epífitas ou terrícolas. A realocação direta ao solo garante praticidade, pois é difícil encontrar árvores com forquilhas localizadas a pequenas alturas do solo em que a fixação manual da planta possa ser feita sem equipamentos.
8.
In search of disambiguation: development of eye drop bottle sleeves to aid in identification and survey among possible users. A cross-sectional study
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Costa, Ana Luiza Fontes de Azevedo
; Martins, Thiago Gonçalves dos Santos
; Santos, Vagner Rogério dos
; Schor, Paulo
.
BACKGROUND: Considerable numbers of individuals present low vision, blindness, illiteracy and other conditions that could possibly impair their identification of medications, such as eye drops. Through helping these individuals to identify their eye drops, they can achieve greater autonomy. Misidentification can be avoided through use of multisensory sleeves that can be adapted to most eye drop bottles. Correct use of eye drops is important for preventing progression of diseases like glaucoma that could potentially lead to blindness. OBJECTIVE: To develop bottle sleeves to aid in identification of eye drops and then interview a group of possible users to evaluate the acceptance of the solution. DESIGN AND SETTING: Cross-sectional survey performed at an ophthalmological clinic in São Paulo (SP), Brazil. METHODS: We describe the development of multisensory sleeves to assist in identification of eye drops. To assess the acceptance of this solution, we interviewed 18 patients who were currently using three or more types of eye drops. RESULTS: We developed four prototypes for eye drop bottle sleeves and conducted an acceptance test on them. Most of the patients who answered the survey about the sleeves were elderly. Most (95%) reported believing that the sleeves would help reduce the risk of mixing up eye drops with other medications that also dispense drops. They also believed that these would increase their autonomy in using eye drops. CONCLUSION: The solution presented was well accepted and may help increase safety in using eye drops through preventing misidentification.
9.
Orchidists’ profile, management and perception of the main pests in orchid cultivation
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Silva, Ana Catia Santos da
; Carvalho, Carlos Alfredo Lopes de
; Machado, Cerilene Santiago
; Costa, João Albany
; Almeida, Rebeca Santisma de Jesus
; Santos, Jiclecia Almeida dos
; Alves, Rogério Marcos de Oliveira
; Sodré, Geni da Silva
.
ABSTRACT This study investigated the profile of orchidists, their cultivation practices, and their knowledge about pests in orchid cultivation in the state of Bahia. There were applied 74 questionnaires to producers (amateurs and commercials) in 23 municipalities. The data were submitted to univariate statistics using the chi-square test, the Mann–Whitney U-test and the Kruskal–Wallis H-test. The survey shows that orchid cultivation is mostly practiced by women (67.6%) and those with higher education (48.7%). Most respondents were amateurs (87.8%). Insects (39.9%) and diseases (32.5%) were the main organisms associated with phytosanitary problems. The presence of insects was reported to occur mainly in the leaves (47%), mainly mealybugs (46.3%). Correspondence was significant between commercial and amateur groups according to the pairwise Mann–Whitney U-test(1) = 370.04 and p < 0.01. The Kruskal–Wallis H-test(27) = 924.78 and p < 0.01 discriminated categories between the groups. Despite the growing interest in orchid cultivation in the state of Bahia, most orchidists are amateurs. The study warns about the risk of pest dispersion between crops since exchanging plants and purchasing specimens in open markets are common practices.
10.
Simultaneous relocation strategy of bromeliads as epiphytes or terricolous in the Montane Dense Ombrophilous Forest of Parque Estadual da Cantareira, São Paulo State, Brazil.
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Nievola, Catarina Carvalho
; Kanashiro, Shoey
; Tamaki, Vivian
; Guardia, Marina Crestana
; Suzuki, Rogério Mamoru
; Costa, Janaina Pinheiro
; Baptista, Waldyr
; Cachenco, Mônica Valéria
; Shidomi, Yoshito
; Santos Junior, Nelson Augusto dos
.
RESUMO A realocação de plantas resultante da remoção da vegetação é uma importante estratégia de conservação. Este trabalho objetivou investigar a realocação simultânea das bromélias Aechmea distichantha Lem. e Wittrockia cyathiformis (Vell.) Leme na forma epífita e terrícola, resgatadas de áreas desmatadas devido à construção de uma rodovia. Ambas foram fixadas em troncos de árvores ou forquilhas ou transplantadas para o solo em uma área de Floresta Ombrófila Densa Montana do Parque Estadual da Cantareira, Estado de São Paulo, Brasil. Após um ano, A. distichantha manteve 100% de sobrevida, quando transplantada na forma terrícola e 83,33% na forma epífita, enquanto W. cyathiformis foi de 60% para ambas as formas de realocação. Concluímos que ambas as espécies de bromélias podem ser realocadas simultaneamente como epífitas ou terrícolas. A realocação direta ao solo garante praticidade, pois é difícil encontrar árvores com forquilhas localizadas a pequenas alturas do solo em que a fixação manual da planta possa ser feita sem equipamentos.
ABSTRACT Plant relocation resulting from vegetation removal is an important conservation strategy. This work aimed to investigate the simultaneous relocation of the bromeliads Aechmea distichantha Lem. and Wittrockia cyathiformis (Vell.) Leme in epiphytic and terricolous form. These bromeliads were rescued from deforested areas due to the construction of a highway. Both were fixed onto tree trunks or pitchforks or in the soil in a Montane Dense Ombrophilous Forest area of Parque da Estadual Cantareira, São Paulo State, Brazil. After one year A. distichantha maintained 100% survival rate, when transplanted in terricolous and 83.33 % in epiphytic form, while W. cyathiformis was 60% for both relocation forms. We concluded that both bromeliad species could be simultaneously relocated as epiphytes or terricolous. Direct relocation to the ground guarantees practicality, as it is difficult to find trees with forks located at small heights from the ground in which the manual fixing of the plant could be done without equipment.
11.
The impact of healthcare-associated infections on COVID-19 mortality: a cohort study from a Brazilian public hospital
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Provenzano, Bruna Cuoco
; Bartholo, Thiago
; Ribeiro-Alves, Marcelo
; Santos, Ana Paula Gomes dos
; Mafort, Thiago Thomaz
; Castro, Marcos Cesar Santos de
; Oliveira, Jose Gustavo Pugliese de
; Bruno, Leonardo Palermo
; Lopes, Agnaldo José
; Costa, Claudia Henrique da
; Rufino, Rogerio
.
SUMMARY OBJECTIVE: This study aims to analyze the risk factors for in-hospital mortality in a cohort of patients admitted to a newly adapted intensive care unit in a public hospital in Rio de Janeiro. METHODS: This was an observational, retrospective, and descriptive study. Data were obtained from electronic medical records. Coronavirus disease 2019 (COVID-19) was diagnosed by detecting viral ribonucleic acid using reverse transcription polymerase chain reaction. Factors associated with the risk/protection from death were determined using the odds ratio and adjusted odds ratio. RESULTS: Fifty-one patients were admitted to the hospital. The median age of the patients was 63 years, 60% were male patients, and 54% were white patients. Sixty-seven percent of the patients were diagnosed with COVID-19. Sepsis at admission increased the chance of in-hospital death by 21 times (adjusted odds ratio=21.06 [0.79–555.2]; p=0.06). The strongest risk factor for death was the development of septic shock during hospitalization (adjusted odds ratio=98.56 [2.75–352.5]; p=0.01), and one in four patients had multidrug-resistant bacteria. Mechanical ventilation, vasopressors, neuromuscular blockers, and sedatives were also the risk factors for in-hospital mortality. The in-hospital mortality rate was 41%, and the mortality rate of patients on mechanical ventilation was 60%. The diagnosis of COVID-19 was not statistically related to the adverse outcomes. CONCLUSIONS: In this cohort, the strongest risk factor for in-hospital death was the development of nosocomial septic shock. Healthcare-associated infections have a significant impact on mortality rates. Therefore, to have a better outcome, it is important to consider not only the availability of beds but also the way healthcare is delivered.
https://doi.org/10.1590/1806-9282.20210433
102 downloads
12.
Crescimento de Syagrus romanzoffiana (Cham.) Glassman após resgate e realocação em unidade de conservação urbana
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Guardia, Marina Crestana
; Kanashiro, Shoey
; Tamaki, Vívian
; Nievola, Catarina Carvalho
; Suzuki, Rogério Mamoru
; Costa, Janaina Pinheiro
; Baptista, Waldyr
; Shidomi, Yoshito
; Cachenco, Mônica Valéria
; Santos Junior, Nelson Augusto dos
.
RESUMO A Mata Atlântica é um bioma constantemente ameaçado por perturbações antrópicas. A supressão da vegetação por obras rodoviárias ressalta a necessidade de projetos de conservação das espécies que nela ocorrem. O sucesso do resgate e realocação de plantas, como a palmeira Syagrus romanzoffiana pode contribuir para a conservação dessas espécies. O objetivo deste trabalho foi estudar o crescimento de mudas de S. romanzoffiana resgatadas de áreas de supressão da obra do Rodoanel Mário Covas - Trecho Norte e transplantadas em áreas naturais do Parque Estadual da Cantareira, São Paulo -SP. Foram obtidas medidas de altura, diâmetro do coleto, número de folhas e volume do torrão das mudas. O transplante foi realizado em três condições de luminosidade depois de separadas em três classes de volume de torrão e três classes de diâmetro do coleto. Foram avaliadas a porcentagem de sobrevivência, incremento em altura, diâmetro do coleto, número de folhas e pigmentos fotossintéticos após 4, 8 e 12 meses. O delineamento experimental foi inteiramente casualizado em esquema fatorial 3 x 3 x 3 (luminosidade x diâmetros do coleto x volumes do torrão) com três repetições de cinco plantas cada. Os dados obtidos foram submetidos à análise de variância e as médias comparadas entre si através do teste de Tukey (5%). A sobrevivência foi superior a 80% em todos os ambientes. Houve maior crescimento, principalmente quanto ao diâmetro do coleto, na clareira pequena. A quantificação de clorofila a, b e carotenoides mostrou maior teor para as plantas mantidas no sombreamento. Quanto à razão clorofila a/b, os resultados evidenciaram maiores valores nas plantas mantidas no sombreamento, com valores crescentes até os 12 meses. Pode-se concluir que S. romanzoffiana apresenta pouca restrição quanto ao ambiente de realocação, porém, com preferência às clareiras pequenas, sendo dispensável que sejam realocadas com torrão de porte grande.
ABSTRACT The Atlantic Forest is a biome constantly threatened by human disturbances. The suppression of vegetation by road works highlights the need for conservation projects for the species that occur there. The success of rescuing and relocating plants, such as the Syagrus romanzoffiana palm, can contribute to the conservation of these species. The objective of this work was to study the growth of S. romanzoffiana seedlings rescued from areas of suppression of the “Rodoanel Mário Covas” - North Section - and transplanted in natural areas of the Cantareira State Park, São Paulo, SP state. Measurements of height, stem diameter, number of leaves and clod volume of seedlings were obtained. The transplant was carried out in three light conditions after being separated into three clod volume classes and three crown diameter classes and observed for one year. The percentage of survival increase in height, crown diameter, number of leaves and photosynthetic pigments were evaluated. The experimental design was completely randomized in a 3 x 3 x 3 factorial scheme (luminosity x crown diameters x clod volumes) with three replications of five plants each. The data obtained were subjected to analysis of variance and the means compared to each other using the Tukey test (5%). Survival was over 80% in all environments. There was greater growth, mainly regarding the stem diameter, in the small clearing. The quantification of chlorophyll a, b and carotenoids, showed higher pigments content for plants kept in the shade. As for the chlorophyll a/b ratio, the results showed a greater relationship in plants kept in shade, with increasing values up to 12 months. It can then be concluded that S. romanzoffiana has little restriction on the relocation environment, but with preference for small clearings, and it is unnecessary that they are relocated with large clod.
https://doi.org/10.5902/1980509841654
151 downloads
13.
Diretrizes Brasileiras de Hipertensão Arterial – 2020
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Barroso, Weimar Kunz Sebba
; Rodrigues, Cibele Isaac Saad
; Bortolotto, Luiz Aparecido
; Mota-Gomes, Marco Antônio
; Brandão, Andréa Araujo
; Feitosa, Audes Diógenes de Magalhães
; Machado, Carlos Alberto
; Poli-de-Figueiredo, Carlos Eduardo
; Amodeo, Celso
; Mion Júnior, Décio
; Barbosa, Eduardo Costa Duarte
; Nobre, Fernando
; Guimarães, Isabel Cristina Britto
; Vilela-Martin, José Fernando
; Yugar-Toledo, Juan Carlos
; Magalhães, Maria Eliane Campos
; Neves, Mário Fritsch Toros
; Jardim, Paulo César Brandão Veiga
; Miranda, Roberto Dischinger
; Póvoa, Rui Manuel dos Santos
; Fuchs, Sandra C
; Alessi, Alexandre
; Lucena, Alexandre Jorge Gomes de
; Avezum, Alvaro
; Sousa, Ana Luiza Lima
; Pio-Abreu, Andrea
; Sposito, Andrei Carvalho
; Pierin, Angela Maria Geraldo
; Paiva, Annelise Machado Gomes de
; Spinelli, Antonio Carlos de Souza
; Nogueira, Armando da Rocha
; Dinamarco, Nelson
; Eibel, Bruna
; Forjaz, Cláudia Lúcia de Moraes
; Zanini, Claudia Regina de Oliveira
; Souza, Cristiane Bueno de
; Souza, Dilma do Socorro Moraes de
; Nilson, Eduardo Augusto Fernandes
; Costa, Elisa Franco de Assis
; Freitas, Elizabete Viana de
; Duarte, Elizabeth da Rosa
; Muxfeldt, Elizabeth Silaid
; Lima Júnior, Emilton
; Campana, Erika Maria Gonçalves
; Cesarino, Evandro José
; Marques, Fabiana
; Argenta, Fábio
; Consolim-Colombo, Fernanda Marciano
; Baptista, Fernanda Spadotto
; Almeida, Fernando Antonio de
; Borelli, Flávio Antonio de Oliveira
; Fuchs, Flávio Danni
; Plavnik, Frida Liane
; Salles, Gil Fernando
; Feitosa, Gilson Soares
; Silva, Giovanio Vieira da
; Guerra, Grazia Maria
; Moreno Júnior, Heitor
; Finimundi, Helius Carlos
; Back, Isabela de Carlos
; Oliveira Filho, João Bosco de
; Gemelli, João Roberto
; Mill, José Geraldo
; Ribeiro, José Marcio
; Lotaif, Leda A. Daud
; Costa, Lilian Soares da
; Magalhães, Lucélia Batista Neves Cunha
; Drager, Luciano Ferreira
; Martin, Luis Cuadrado
; Scala, Luiz César Nazário
; Almeida, Madson Q.
; Gowdak, Marcia Maria Godoy
; Klein, Marcia Regina Simas Torres
; Malachias, Marcus Vinícius Bolívar
; Kuschnir, Maria Cristina Caetano
; Pinheiro, Maria Eliete
; Borba, Mario Henrique Elesbão de
; Moreira Filho, Osni
; Passarelli Júnior, Oswaldo
; Coelho, Otavio Rizzi
; Vitorino, Priscila Valverde de Oliveira
; Ribeiro Junior, Renault Mattos
; Esporcatte, Roberto
; Franco, Roberto
; Pedrosa, Rodrigo
; Mulinari, Rogerio Andrade
; Paula, Rogério Baumgratz de
; Okawa, Rogério Toshiro Passos
; Rosa, Ronaldo Fernandes
; Amaral, Sandra Lia do
; Ferreira-Filho, Sebastião R.
; Kaiser, Sergio Emanuel
; Jardim, Thiago de Souza Veiga
; Guimarães, Vanildo
; Koch, Vera H.
; Oigman, Wille
; Nadruz, Wilson
.
https://doi.org/10.36660/abc.20201238
10948 downloads
14.
COVID-19 e Injúria Miocárdica em UTI Brasileira: Alta Incidência e Maior Risco de Mortalidade Intra-Hospitalar
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Nascimento, Jorge Henrique Paiter
; Costa, Rafael Lessa da
; Simvoulidis, Luiz Fernando Nogueira
; Pinho, João Carlos de
; Pereira, Roberta Santos
; Porto, Andrea Dornelles
; Silva, Eduardo Costa de Freiras
; Oliveira, Liszt Palmeira
; Ramos, Max Rogerio Freitas
; Oliveira, Gláucia Maria Moraes de
.
Resumo Fundamentos A incidência de injúria miocárdica (IM) em pacientes com COVID-19 no Brasil é pouco conhecida e o impacto prognóstico da IM, mal elucidado. Objetivos Descrever a incidência de IM em pacientes com COVID-19 em unidade de terapia intensiva (UTI) e identificar variáveis associadas à sua ocorrência. O objetivo secundário foi avaliar a troponina I ultrassensível (US) como preditor de mortalidade intra-hospitalar. Métodos Estudo observacional, retrospectivo, entre março e abril de 2020, com casos confirmados de COVID-19 internados em UTI. Variáveis numéricas foram comparadas com teste t de Student ou U de Mann-Whitney, sendo o teste X2 empregado para as categóricas. Realizou-se análise multivariada com as variáveis associadas à IM e p<0,2 objetivando determinar preditores de IM. Curva ROC foi empregada para determinar o valor da troponina capaz de predizer maior mortalidade intra-hospitalar. Funções de sobrevida foram estimadas pelo método de Kaplan-Meier a partir do ponto de corte apontado pela curva ROC. Resultados Este estudo avaliou 61 pacientes (63,9% do sexo masculino, média de idade de 66,1±15,5 anos). A IM esteve presente em 36% dos casos. Hipertensão arterial sistêmica (HAS) [RC 1,198; IC95%: 2,246-37,665] e índice de massa corporal (IMC) [RC 1,143; IC95%: 1,013-1,289] foram preditores independentes de risco. Troponina I US >48,3 ng/ml, valor determinado pela curva ROC, prediz maior mortalidade intra-hospitalar [AUC 0,786; p<0,05]. A sobrevida no grupo com troponina I US >48,3 ng/ml foi inferior à do grupo com valores ≤48,3 ng/dl [20,3 x 43,5 dias, respectivamente; p<0,05]. Conclusão Observou-se alta incidência de IM na COVID-19 grave com impacto em maior mortalidade intra-hospitalar. HAS e IMC foram preditores independentes de risco de sua ocorrência. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0)
Abstract Background The incidence of myocardial injury (MI) in patients with COVID-19 in Brazil and the prognostic impact of MI have not been elucidated. Objectives To describe the incidence of MI in patients with COVID-19 in the intensive care unit (ICU) and to identify variables associated with its occurrence. The secondary objective was to assess high-sensitivity troponin I as a predictor of in-hospital mortality. Methods Retrospective, observational study conducted between March and April 2020 with cases of confirmed COVID-19 admitted to the ICU. Numerical variables were compared by using Student t test or Mann-Whitney U test. The chi-square test was used for categorical variables. Multivariate analysis was performed with variables associated with MI and p<0.2 to determine predictors of MI. The ROC curve was used to determine the troponin value capable of predicting higher in-hospital mortality. Survival functions were estimated by use of the Kaplan-Meier method from the cut-off point indicated in the ROC curve. Results This study assessed 61 patients (63.9% of the male sex, mean age of 66.1±15.5 years). Myocardial injury was present in 36% of the patients. Systemic arterial hypertension (HAS) [OR 1.198; 95%CI: 2.246-37.665] and body mass index (BMI) [OR 1.143; 95%CI: 1.013-1.289] were independent risk predictors. High-sensitivity troponin I >48.3 ng/mL, which was determined in the ROC curve, predicts higher in-hospital mortality [AUC 0.786; p<0.05]. Survival in the group with high-sensitivity troponin I >48.3 ng/mL was lower than that in the group with values ≤48.3 ng/dL [20.3 x 43.5 days, respectively; p<0.05]. Conclusion There was a high incidence of MI in severe COVID-19 with impact on higher in-hospital mortality. The independent risk predictors of MI were SAH and BMI. (Arq Bras Cardiol. 2020; [online].ahead print, PP.0-0)
https://doi.org/10.36660/abc.20200671
2589 downloads
15.
Exome sequencing and targeted gene panels: a simulated comparison of diagnostic yield using data from 158 patients with rare diseases
Facebook Twitter
Facebook Twitter
- Other social networks
- Google+
- StambleUpon
- CiteULike
- Mendeley
- Other networks
- Metrics
Quaio, Caio Robledo D’Angioli Costa
; Obando, María José Rivadeneira
; Perazzio, Sandro Felix
; Dutra, Aurelio Pimenta
; Chung, Christine Hsiaoyun
; Moreira, Caroline Monaco
; Novo Filho, Gil Monteiro
; Sacramento-Bobotis, Patricia Rossi
; Penna, Michele Groenner
; Souza, Rafaela Rogerio Floriano de
; Cintra, Vivian Pedigone
; Carnavalli, Juliana Emilia Prior
; Silva, Rafael Alves da
; Santos, Monize Nakamoto Provisor
; Paixão, Daniele
; Baratela, Wagner Antonio da Rosa
; Olivati, Caroline
; Spolador, Gustavo Marquezani
; Pintao, Maria Carolina
; Fornari, Alexandre Ricardo dos Santos
; Burger, Matheus
; Ramalho, Rodrigo Fernandes
; Pereira, Otavio Jose Eulalio
; Ferreira, Elisa Napolitano e
; Mitne-Neto, Miguel
; Kim, Chong Ae
.
Abstract Next-generation sequencing (NGS) has altered clinical genetic testing by widening the access to molecular diagnosis of genetically determined rare diseases. However, physicians may face difficulties selecting the best diagnostic approach. Our goal is to estimate the rate of possible molecular diagnoses missed by different targeted gene panels using data from a cohort of patients with rare genetic diseases diagnosed with exome sequencing (ES). For this purpose, we simulated a comparison between different targeted gene panels and ES: the list of genes harboring clinically relevant variants from 158 patients was used to estimate the theoretical rate of diagnoses missed by NGS panels from 53 different NGS panels from eight different laboratories. Panels presented a mean rate of missed diagnoses of 64% (range 14%-100%) compared to ES, representing an average predicted sensitivity of 36%. Metabolic abnormalities represented the group with highest mean of missed diagnoses (86%), while seizure represented the group with lowest mean (46%). Focused gene panels are restricted in covering select sets of genes implicated in specific diseases and they may miss molecular diagnoses of rare diseases compared to ES. However, their role in genetic diagnosis remains important especially for well-known genetic diseases with established genetic locus heterogeneity.
https://doi.org/10.1590/1678-4685-gmb-2021-0061
205 downloads
Showing
itens per page
Page
of 4
Next
Statistics of
Send result
Sem resultados
No documents were found for your search
Glossary and search help
You can enrich your search in a very simple way. Use the search indexes combined with the connectors (AND or OR) and specify more your search.
For example, if you want to search for articles about
cases of dengue in Brasil in 2015, use:ti:dengue and publication_year:2015 and aff_country:Brasil
See below the complete list of search indexes that can be used:
Index code | Element |
---|---|
ti | article title |
au | author |
kw | article keywords |
subject | subject (title words, abstract and keywords) |
ab | abstract |
ta | journal short title (e.g. Cad. Saúde Pública) |
journal_title | journal full title (e.g. Cadernos de Saúde Pública) |
la | publication language code (e.g. pt - Portuguese, es - Spanish) |
type | document type |
pid | publication identifier |
publication_year | publication year of publication |
sponsor | sponsor |
aff_country | country code of the author's affiliation |
aff_institution | author affiliation institution |
volume | article volume |
issue | article issue |
elocation | elocation |
doi | DOI number |
issn | journal ISSN |
in | SciELO colection code (e.g. scl - Brasil, col - Colômbia) |
use_license | article usage license code |