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[SciELO Preprints] - INEQUITIES IN SECONDARY CARE IN ORAL HEALTH FOR SPECIAL NEEDS PATIENTS IN BRAZIL
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Gonzalez, Estéfany Figueiredo Probst, Livia Fernandes Simião , Vinicius de Moraes De-Carli , Alessandro Diogo Pinto, Rafaela da Silveira

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Publication date: 2023-06-16

Abstract: En Pt

This study examined individual and contextual factors that impact the attainment of objectives set by the Ministry of Health for Special Needs Patients Dentistry (OPNE) in Brazilian Centers for Dental Specialties (CEO). Secondary data from DATASUS and the CEO Access and Quality Improvement Program (PMAQ-CEO) were utilized, encompassing 1013 facilities. Statistical analysis employed Poisson regression and multilevel analysis, with a 95% confidence interval (CI). The findings revealed that CEOs, on average, achieved goals for basic OPNE procedures for six months each year. The Municipal Human Development Index (IDHM) and CEO type exerted an influence on goal attainment, with CEO types II and III displaying a greater likelihood of achieving the goals. The Southeast and South regions exhibited lower chances of achieving the objectives. The scarcity of specialized professionals remains a challenge in the treatment of patients with special needs. In conclusion, in Brazil, CEO type and IDHM are associated with improved CEO performance in attaining goals for the OPNE specialty.

Este estudo analisou variáveis individuais e contextuais que influenciam o cumprimento de metas estabelecidas pelo Ministério da Saúde para a Odontologia para Pacientes com Necessidades Especiais (OPNE) em Centros de Especialidades Odontológicas (CEO) brasileiros. Foram utilizados dados secundários do DATASUS e do Programa de Melhoria do Acesso e da Qualidade dos CEO (PMAQ-CEO), referentes a 1013 estabelecimentos. Realizou-se regressão de Poisson e análise multinível, com intervalo de confiança (IC) de 95%. Os resultados indicaram que os CEO alcançaram as metas para procedimentos básicos em OPNE em média seis meses por ano. O Índice de Desenvolvimento Humano Municipal (IDHM) e o tipo de CEO influenciaram o cumprimento das metas, com os CEO tipo II e III tendo mais chances de atingi-las. A escassez de profissionais especialistas ainda é um desafio para o atendimento aos pacientes com necessidades especiais. Conclui-se que, no Brasil, o tipo de CEO e o IDHM estão relacionados ao melhor desempenho dos CEO no cumprimento das metas para a especialidade de OPNE.

https://doi.org/10.1590/SciELOPreprints.6241

Coping strategies for chronically ill children and adolescents facing the COVID-19 pandemic
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Custódio, Lívia Lopes

; Costa, Débora Cristina Couto Oliveira

; Menezes, Cláudia Patrícia da Silva Ribeiro

; Figueiredo, Sarah Vieira

; Maia, Julyana Almeida

; Jorge, Maria Salete Bessa

; Chaves, Edna Maria Campelo

; Gomes, Ilvana Lima Verde

Revista Brasileira de Enfermagem

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2023, Volume 76 Suppl. 2 elocation e20230045

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

RESUMEN Objetivo: comprender las experiencias y estrategias de afrontamiento de niños y adolescentes con enfermedades crónicas durante la pandemia de COVID-19. Métodos: estudio descriptivo, de enfoque cualitativo, realizado con seis niños y adolescentes en la recepción de un ambulatorio de un hospital pediátrico del estado de Ceará. La recolección de datos se realizó de abril a septiembre de 2021, mediante dibujo-cuento, analizados a la luz del criterio de Coutinho. Resultados: surgieron dos categorías temáticas: Situaciones que viven niños y adolescentes en tiempos de COVID-19; Estrategias de afrontamiento de niños y adolescentes en su proceso de enfermedad crónica durante la pandemia de COVID-19. Consideraciones finales: comprender las experiencias y estrategias de afrontamiento de niños y adolescentes con enfermedades crónicas demostró la expresión de la imaginación creativa, incorporado por componentes subjetivos, que pone de manifiesto una aproximación con la realidad percibida e interpretada en un contexto de pandemia de COVID-19.

ABSTRACT Objective: to understand the experiences and coping strategies of children and adolescents with chronic illnesses during the COVID-19 pandemic. Methods: a descriptive study, with a qualitative approach, carried out with six children and adolescents at the reception of an outpatient clinic of a pediatric hospital in the state of Ceará. Data collection took place from April to September 2021, using story-drawing, analyzed in light of Coutinho’s criteria. Results: two thematic categories emerged: Situations experienced by children and adolescents in times of COVID-19; Coping strategies for children and adolescents in their chronic illness process during the COVID-19 pandemic. Final considerations: understanding the experiences and coping strategies of children and adolescents with chronic illness demonstrated the expression of creative imagination, incorporated by subjective components, which brings to light an approximation with the reality perceived and interpreted in a context of the COVID-19 pandemic.

RESUMO Objetivo: compreender as vivências e estratégias de enfrentamento das crianças e adolescentes com doenças crônicas durante a pandemia de COVID-19. Métodos: estudo descritivo, de abordagem qualitativa, realizado com seis crianças e adolescentes em acompanhamento ambulatorial de um hospital pediátrico do estado do Ceará. A coleta de dados foi realizada de abril a setembro de 2021, utilizando-se desenho-estória, analisada à luz dos critérios de Coutinho. Resultados: emergiram duas categorias temáticas: Situações vivenciadas por crianças e adolescentes em tempos de COVID-19; Estratégias de enfrentamento de crianças e adolescentes em seu processo de adoecimento crônico durante a pandemia de COVID-19. Considerações finais: a compreensão das vivências e estratégias de enfrentamento das crianças e adolescentes com adoecimento crônico demonstrou a expressão da imaginação criadora, incorporada por componentes subjetivos, que traz à tona aproximação com a realidade percebida e interpretada em um contexto de pandemia pela COVID-19.

https://doi.org/10.1590/0034-7167-2023-0045

The association among the consumption of ultra-processed food and body image, nutritional status and physical activity of pregnant women at the primary health care
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Rodrigues, Carolina Amaral Oliveira

; Leão, Giselle Mara Mendes Silva

; Andrade, Ruth Emanuele Silva

; Freire, Rafael Silveira

; Crivellenti, Lívia Castro

; Silveira, Marise Fagundes

; Silva, Rosângela Ramos Veloso

; Brito, Maria Fernanda Santos Figueiredo

; Pinho, Lucinéia de

Revista Brasileira de Saúde Materno Infantil

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2023, Volume 23 elocation e20220362

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

Abstract Objectives: to analyze the consumption of ultra-processed food and its association with body image, physical activity, nutritional status and self-assessment on food of pregnant women enrolled in the Primary Health Care. Methods: this is a cross-sectional study carried out with pregnant women enrolled in the Family Health Strategy in the city of Montes Claros, Minas Gerais. Data were collected through a questionnaire. The dependent variable was the consumption of ultra-processed food, and the independent ones addressed body appearance, physical activity, nutritional status, self-assessment on food and food consumption. Descriptive analysis was carried out and for association of analysis, the linear regression model was used with crude and adjusted associations. Results: 1,185 pregnant women participated in the study. Caloric intake from ultra-processed food represented 32.0% of these women’s daily diet. There was an association between consumption of ultra-processed food and physical activity (β=-0.08; p<0.01), pre-gestional nutritional status (β=-0,12; p<0.01) and body image (β =0.08; p=0.01). Conclusion: the pregnant women presented high consumption of ultra-processed food. Having a negative body image, the lowest level of physical activity, and high pre-gestational nutritional status are conditions that influenced the consumption of these food.

Resumo Objetivos: analisar o consumo de alimentos ultraprocessados e sua associação com imagem corporal, atividade física, estado nutricional e autoavaliação alimentar de gestantes cadastradas na Atenção Primária à Saúde. Métodos: trata-se de um estudo transversal, realizado com gestantes cadastradas na Estratégia Saúde da Família do município de Montes Claros, Minas Gerais. Os dados foram coletados por meio de um questionário. A variável dependente foi consumo de alimentos ultraprocessados, e as independentes abordaram aspecto corporal, atividade física, estado nutricional, autoavaliação alimentar e consumo alimentar. Realizou-se análise descritiva e para análise de associação, utilizou-se o modelo de regressão linear com associações brutas e ajustadas. Resultados: participaram do estudo 1.185 gestantes. O consumo calórico proveniente dos ultraprocessados representou 32,0% da dieta diária dessas mulheres. Verificou-se associação entre consumo de ultraprocessados com atividade física (β=-0,08; p<0,01), estado nutricional pré-gestacional (β=-0,12; p<0,01) e imagem corporal (β=0,08; p=0,01). Conclusão: as gestantes apresentaram alto consumo de alimentos ultraprocessados. Ter imagem corporal negativa, menor nível de atividade física, estado nutricional pré-gestacional elevado são condições que influenciaram o consumo desses alimentos.

https://doi.org/10.1590/1806-9304202300000362-en

Anatomical description of the ventral and dorsal cervical rootlets in rats: A microsurgical study
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Santos, Deivid Ramos dos

; Araújo, Nayara Pontes de

; Teixeira, Renan Kleber Costa

; Bentes, Lívia Guerreiro de Barros

; Giubilei, Dante Bernardes

; Chaves, Rosa Helena de Figueiredo

; Gonçalves, Arnaldo Algaranhar

; Yasojima, Edson Yuzur

; Barros, Rui Sergio Monteiro de

Acta Cirúrgica Brasileira

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2022, Volume 37 N. 3 elocation e370307

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: To describe the anatomical aspects of the cervical rootlets and to quantify the number of rootlets that compose C1 to T1. Methods: Twenty male rats were used in this study. The dorsal rootlets from C1 to T1 were analyzed. To study the ventral rootlets, the posterior root avulsion was performed using a microhook, allowing exposure of the ventral roots through manipulation of the denticulate ligament and arachnoid mater. The parameters analyzed were the number of ventral and dorsal rootlets by side and level. Results: The formation of the respective spinal nerve was observed in the spinal roots the union of the ventral and dorsal roots. In four animals the C1 spinal root had no dorsal and/or ventral contribution. There is no normal pattern of numerical normality of the dorsal and ventral rootlets. The average number of fascicles per root was 4.08, with a slight superiority on the left side. There was a slight superiority of the dorsal rootlets compared to the ventral rootlets. Conclusions: This investigation was the first to study cervical rootlets in rats. In 20% of the sample studied, the dorsal root of C1 was absent mainly on the left side. There is a nonlinear numerical increase from C1 to T1 in the rootlets. There is a numerical predominance of cervical fascicles on the left side, confronting several studies related to the functional predominance of right laterality, requiring new studies that correlate these variables.

https://doi.org/10.1590/acb370307

Mother’s education and family relations protect children from dental caries experience: a salutogenic approach
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PAULA, Janice Simpson de

; RODRIGUES, Priscila Almeida

; MATTOS, Flávio Freitas

; ABREU, Mauro Henrique Nogueira Guimarães de

; CHALUB, Loliza Luiz Figueiredo Houri

; ZINA, Lívia Guimarães

Brazilian Oral Research

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2022, Volume 36 elocation e111

Abstract: En | Text: En | PDF: En

Abstract The objective of this study was to identify dental caries-protective factors among 5-year-old children using the salutogenic theory. A cross-sectional study was conducted in a small-sized municipality in the Southeast region of Brazil, with a representative sample of 247 children registered in preschool and their respective mothers. The data were collected through questionnaires administered to the mothers about the socioeconomic, behavioral, and biological aspects of the mother and children. Additionally, the collections included validated instruments concerning psychosocial aspects, such as a sense of coherence, resilience, family cohesion and religiosity, and intraoral examinations of the children through the decayed-missing-filled primary teeth (dmft) index. All examinations were performed by a trained and calibrated examiner. The non-adjusted and adjusted odds ratios (OR) and their respective confidence intervals (CI) were estimated using multiple logistic regression with a hierarchical model. Among the examined children, 41.7% were caries-free. In the final model, the chances of the absence of dental caries experience (dmft = 0) were greater in children with mothers who had higher education levels (> 8 years of study) (OR = 2.55 [95%CIi:1.42–4.59]) and those who lived in an environment of high family cohesion (OR = 3.66 [95%CI: 1.19–11.29]). The results indicated that mothers’ level of education and family relationships are protective factors against dental caries in 5-year-old children, which overlapped with behavioral and biological factors.

https://doi.org/10.1590/1807-3107bor-2022.vol36.0111

Heterogeneous Photocatalysis with Niobium Doped-Titanium Substrates Treated by Plasma Electrolytic Oxidation
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Orsetti, Fábio R.

; Gonçalves, Thaís M.

; Sottovia, Lívia

; Figueiredo, Elaine B.

; Ferrari, Ana M.

; Rangel, Elidiane C.

; Cruz, Nilson C.

Materials Research

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2022, Volume 25 elocation e20220391

Abstract: En | Text: En | PDF: En

Plasma Electrolytic Oxidation (PEO) was employed for the generation of porous niobium-containing surfaces with enhanced photocatalytic activity. Pulses of 500 and 600 V, with a repetition rate of 60 Hz, were applied to titanium disks immersed in niobium-containing electrolytic solutions. The treatment time ranged from 180 to 600 s, and the surface morphology was analyzed by scanning electron microscopy, while X-ray diffraction was employed in the evaluation of crystallographic structure. The optical gap of the samples was determined from UV-Vis reflection spectra, and an automated goniometer was used for contact angle and surface energy measurements. More than 35% of Nb has been incorporated into the samples. Under certain conditions, the treatments resulted in a reduction of the optical gap from 3.18 to 2.63 eV as compared to as-received samples. Photocatalytic degradation rates of methylene blue as high as 70% have been reached after 120 minutes under irradiation with UV-Vis light.

https://doi.org/10.1590/1980-5373-mr-2022-0391

Good practices with injectables: digital technology for nursing education to control infections
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Roseira, Camila Eugenia

; Fittipaldi, Thais Roberto Magalhães

; Costa, Lívia Cristina Scalon da

; Silva, Darlyani Mariano da

; Dias, Ana Angélica Lima

; Figueiredo, Rosely Moralez de

Revista Brasileira de Enfermagem

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2022, Volume 75 N. 6 elocation e20210716

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

RESUMO Objetivos: construir, validar, implementar e avaliar uma estratégia educativa para profissionais e estudantes de Enfermagem visando às boas práticas na administração de medicações injetáveis. Métodos: estudo metodológico para o desenvolvimento de um curso aberto, sem tutoria, em ambiente virtual de aprendizagem sobre boas práticas com medicações injetáveis. Resultados: dez avaliadoras validaram o material educativo que embasou o curso “Boas Práticas com Injetáveis: ações para o controle de infecção” quanto a objetivos, estrutura e relevância para o e-book e podcast. A avaliação pela população-alvo (17 sujeitos) sugere que ele é relevante e motivador, contudo o fórum pode ser a ferramenta menos atrativa, devendo-se realizar outros estudos para identificar sua efetividade enquanto ferramenta para retenção de conteúdo em cursos abertos. Conclusões: o curso aberto e sem tutoria para estudantes e profissionais de enfermagem, com material educativo validado para esse fim, pode ser utilizado para educação em enfermagem, em ambientes formais ou informais.

ABSTRACT Objectives: to build, validate, implement, and evaluate an educational strategy for nursing professionals and students aiming at good practices in administrating injectable medications. Methods: methodological study for the development of an open course, without tutoring, in a virtual learning environment about good practices with injectable medications. Results: ten evaluators validated the educational material that supported the course “Good Practices with Injectables: actions for infection control” regarding objectives, structure, and relevance for the e-book and podcast. The evaluation by the target population (17 individuals) suggests that it is relevant and motivating. However, the forum may be the least attractive tool, and other studies should be conducted to identify its effectiveness as a tool for content retention in open courses. Conclusions: the course is open and has no mentoring for students and nursing professionals with validated educational material for this purpose may be used for nursing education in formal or informal settings.

RESUMEN Objetivos: construir, validar, implementar y evaluar estrategia educativa para profesionales y estudiantes de Enfermería visando a buenas prácticas en la administración de medicamentos inyectables. Métodos: estudio metodológico para el desarrollo de curso abierto, sin tutoría, en ambiente virtual de aprendizaje sobre buenas prácticas con medicamentos inyectables. Resultados: diez evaluadoras validaron el material educativo que basó el curso “Buenas Prácticas con Inyectables: acciones para el control de infección” cuanto a objetivos, estructura y relevancia para el e-book y podcast. La evaluación por la población-objeto (17 sujetos) sugiere que él es relevante y motivador, pero el foro puede ser la herramienta menos atractiva, debiéndose realizar otros estudios para identificar su efectividad mientras herramienta para retención de contenido en cursos abiertos. Conclusiones: el curso abierto y sin tutoría para estudiantes y profesionales de enfermería, con material educativo validado para ese fin, puede ser utilizado para educación en enfermería, en ambientes formales o informales.

https://doi.org/10.1590/0034-7167-2021-0716

Quality of the diet of pregnant women in the scope of Primary Health Care
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LEÃO, Giselle Mara Mendes Silva

; CRIVELLENTI, Lívia Castro

; BRITO, Maria Fernanda Santos Figueiredo

; SILVEIRA, Marise Fagundes

; PINHO, Lucinéia de

Revista de Nutrição

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2022, Volume 35 elocation e210256

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

RESUMO Objetivo Avaliar a qualidade da dieta das gestantes acompanhadas pelas equipes da Estratégia da Saúde da Familia e fatores associados. Métodos Trata-se de um estudo tranversal de base populacional, realizado com 1244 gestantes entre 2018 e 2019. O Índice de Qualidade da Dieta Adaptado para Gestantes foi utilizado para mensurar a qualidade da dieta adotada pelas gestantes e associá-la a fatores de risco (sociodemográficos, obstétricos, clínicos, comportamentais, estado nutricional) durante a gravidez. Utilizou-se um modelo hierárquico composto por três blocos. Aplicou-se a regressão logística multinomial. Resultados Observou-se que a média geral do Índice de Qualidade da Dieta foi de 72,75 pontos, sendo que a média do 1º tercil foi de 56,06 pontos; a média do 2º tercil foi de 73,71 pontos e que a do 3º tercil foi de 88,51 pontos. A dieta de pior qualidade esteve relacionada a gestantes com menor escolaridade (OR=2,36; 95% IC=1,39-4,01), sedentárias (OR=1,37 95% IC=1,17-2,61), que apresentavam autopercepção negativa da alimentação (OR=2,00; 95% IC=1,45-2,76) e que faziam de três a cinco refeições ao dia (OR=1,83; 95% IC=1,26-2,77) e menos de três (OR=2,64 ; 95% IC=1,13-6,18). Conclusão O presente estudo identificou que gestantes com menor escolaridade, sedentárias e com características nutricionais inadequadas apresentaram dieta de pior qualidade.

ABSTRACT Objective To evaluate the quality of the diet of the pregnant women monitored by the Family Health Strategy teams and associated factors. Methods This is a population-based cross-sectional study, carried out with 1244 pregnant women between 2018 and 2019. The Diet Quality Index Adapted for Pregnant Women was used to measure the quality of the diet and associate it with risk factors (sociodemographic, obstetric, clinical, behavioral, nutritional status) during the pregnancy. A hierarchical model composed of three blocks was used. A multinomial logistic regression was applied. Results The general average of this Diet Quality Index was 72.75 points, the average of the 1st tercile was 56.06 points, the average of the 2nd tercile was 73.71 points and the average of the 3rd was 88.51 points. The worst diet quality was related to pregnant women with lower education (OR=2.36; 95% CI=1.39-4.01), sedentary women (OR=1.37; 95% CI=1.17-2, 61), those who had a negative self-perception of food (OR=2.00; 95% CI=1.45-2.76) and who had 3 to 5 meals a day (OR=1.83; 95% CI=1.26-2.77), and less than 3 (OR=2.64; 95% CI=1.13-6.18). Conclusion The present study identified that pregnant women with less education, sedentary, and with inadequate nutritional characteristics presented worse diet qualities.

https://doi.org/10.1590/1678-9865202235e210256

Off-label drug use in an adult intensive care unit of a Brazilian hospital
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Chaves, Elana Figueiredo

; Alcântara Neto, José Martins de

; Moreira, Lívia Maria Porto

; Medeiros, Pedro Henrique Quintela Soares de

; Firmino, Paulo Andrei Milen

; Abreu, Gabriela Araújo de

; Bastos, Angelina Almeida

; Peixoto Junior, Arnaldo Aires

; Guedes, Marjorie Moreira

Brazilian Journal of Pharmaceutical Sciences

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2022, Volume 58 elocation e20238

Abstract: En | Text: En | PDF: En

Abstract The objective of this study was to determine the prevalence and describe the factors associated with off-label drug use in an adult intensive care unit (ICU) of a Brazilian hospital. An analytical, cross-sectional, prospective study was conducted in the adult ICU population from March 2018 to May 2018. Off-label use of medication was classified by indication, dosage, route of administration, type and volume of diluent, and duration of administration. Most patients were female (57.89%), non-elderly (56.14%), and had a mean age of 54.44 ± 17.15 years. The prevalence of off-label drug use was 70.31%, but was not associated with the clinical severity of the patients. A statistically significant association was observed between label use of drugs and prescribing potentially inappropriate medicines (PIM). The most common reasons for off-label drug use were therapeutic indication (19.58%) and volume of diluent (23.30%). Drug administration by enteral tubes accounted for the largest number of off-label uses due to route of administration (90.85%). There was a higher prevalence of off-label use of systemic antimicrobials (14.44%) and norepinephrine (9.28%). Our study provided a broad characterization of off-label drug use in an adult ICU and showed why it is important for health professionals to evaluate the specific risks and benefits of this practice.

https://doi.org/10.1590/s2175-97902022e20238

10.

Atualização de Tópicos Emergentes da Diretriz Brasileira de Insuficiência Cardíaca – 2021
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Marcondes-Braga, Fabiana G.

; Moura, Lídia Ana Zytynski

; Issa, Victor Sarli

; Vieira, Jefferson Luis

; Rohde, Luis Eduardo

; Simões, Marcus Vinícius

; Fernandes-Silva, Miguel Morita

; Rassi, Salvador

; Alves, Silvia Marinho Martins

; Albuquerque, Denilson Campos de

; Almeida, Dirceu Rodrigues de

; Bocchi, Edimar Alcides

; Ramires, Felix José Alvarez

; Bacal, Fernando

; Rossi Neto, João Manoel

; Danzmann, Luiz Claudio

; Montera, Marcelo Westerlund

; Oliveira Junior, Mucio Tavares de

; Clausell, Nadine

; Silvestre, Odilson Marcos

; Bestetti, Reinaldo Bulgarelli

; Bernadez-Pereira, Sabrina

; Freitas Jr, Aguinaldo F.

; Biolo, Andréia

; Barretto, Antonio Carlos Pereira

; Jorge, Antônio José Lagoeiro

; Biselli, Bruno

; Montenegro, Carlos Eduardo Lucena

; Santos Júnior, Edval Gomes dos

; Figueiredo, Estêvão Lanna

; Fernandes, Fábio

; Silveira, Fabio Serra

; Atik, Fernando Antibas

; Brito, Flávio de Souza

; Souza, Germano Emílio Conceição

; Ribeiro, Gustavo Calado de Aguiar

; Villacorta, Humberto

; Souza Neto, João David de

; Goldraich, Livia Adams

; Beck-da-Silva, Luís

; Canesin, Manoel Fernandes

; Bittencourt, Marcelo Imbroinise

; Bonatto, Marcely Gimenes

; Moreira, Maria da Consolação Vieira

; Avila, Mônica Samuel

; Coelho Filho, Otavio Rizzi

; Schwartzmann, Pedro Vellosa

; Mourilhe-Rocha, Ricardo

; Mangini, Sandrigo

; Ferreira, Silvia Moreira Ayub

; Figueiredo Neto, José Albuquerque de

; Mesquita, Evandro Tinoco

Arquivos Brasileiros de Cardiologia

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jun 2021, Volume 116 N. 6 Pages 1174 - 1212

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

https://doi.org/10.36660/abc.20210367 3168 downloads

11.

Multivariate analysis of nutritional parameters required for the submerged cultivation of three coprinaceous fungi for biosurfactant production
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Martins, Roberta Castro

; Bravo, Claudia Eugênia Castro

; Vilela, Leonardo de Figueiredo

; Costa, Lívia Martinez Abreu Soares

; Dias, Eustáquio Souza

Ciência e Agrotecnologia

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2021, Volume 45 elocation e022220

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

RESUMO Biosurfactantes, são emulsificantes naturais de hidrocarbonetos que diminuem a tensão superficial e têm alta capacidade de emulsionamento. Os biossurfactantes são produzidos pelo metabolismo de microrganismos e apresentam vantagens sobre o uso de surfactantes químicos, principalmente por sua baixa toxicidade e alta biodegradabilidade. A biorremediação é uma opção para a transformação de vários compostos contaminantes no solo e na água, sendo que os fungos são agentes transformadores eficazes, dada a sua capacidade de degradar uma ampla diversidade de substâncias orgânicas. Assim, considerando o potencial dos fungos na produção de biossurfactantes e a importância desses compostos para vários processos industriais, o objetivo deste trabalho foi verificar o efeito e as interações das concentrações de diferentes nutrientes na produção de biossurfactantes, utilizando três fungos coprináceos isolados do substrato pós-cultivo de cogumelos (spent mushroom substrate - SMS) resultante do processo de cultivo de cogumelos comestíveis. Os isolados fúngicos filamentosos codificados FS-4.1, FS-4.2 e FS-4.3 demonstraram potencial de produção de biossurfactantes, evidenciado pelo índice emulsificante no meio de fermentação. No entanto a produção biosurfactante foi máxima no isolado FS-4.1, produzindo um índice de emulsificante de 73,45%. Para otimizar o processo de produção biosurfactante FS-4.1 o óleo de milho, o glicerol e o extrato de levedura devem estar ausentes do meio de fermentação (para eliminar os efeitos negativos no processo) e aumentar as quantidades de glicose e óleo de soja.

ABSTRACT Biosurfactants are natural hydrocarbon surfactant compounds that decrease surface tension and have a high emulsifying capacity. Biosurfactants are produced through microbial metabolic processes and have several advantages over chemical surfactants, including low toxicity and high biodegradability. Bioremediation offers the possibility of eliminating or transforming various contaminant compounds present in soil and water. Fungi are effective transforming agents due to their ability to degrade a diverse variety of organic substances. Thus, considering the potential of fungi to produce biosurfactants and the importance of these compounds for various industrial processes, the objective of this work was to verify the effects and interactions of different concentrations of various nutrients on biosurfactant production in three coprinaceous fungi isolates. These isolates were obtained from spent mushroom substrate (SMS) produced during the edible mushroom growth process. All three fungal isolates, termed FS-4.1, FS-4.2, and FS-4.3, were potential sources for biosurfactant production, as evidenced by the emulsifier index of the fermentation medium. However, biosurfactant production was maximum in isolate FS-4.1, yielding an emulsifier index of 73.45%. To optimize the FS-4.1 biosurfactant production process, corn oil, glycerol, and yeast extract must be absent from the fermentation medium (to minimize negative effects on the process) and increase the amounts of glucose and soy oil.

https://doi.org/10.1590/1413-7054202145022220 590 downloads

12.

Fibrin biopolymer sealant and aquatic exercise association for calcaneal tendon repair
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Hidd, Silvia Maria Cardoso Magalhães

; Tim, Carla Roberta

; Dutra Jr, Eneas de Freitas

; Maia Filho, Antônio Luiz Martins

; Assis, Lívia

; Ferreira Jr, Rui Seabra

; Barraviera, Benedito

; Silva, José Figueiredo

; Amaral, Marcello Magri

Acta Cirúrgica Brasileira

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2021, Volume 36 N. 4 elocation e360407

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose The aim of this work was to analyze the effect of fibrin biopolymer sealant (FS) associated or not to aquatic exercise (AE) on the calcaneal tendon repair. Methods Forty-four female Wistar rats were randomly divided into four experimental groups: Lesion control (L), Lesion and FS (LS), Lesion and AE (LE) and Lesion and FS associated to AE (LSE). The edema volume (EV), collagen ratio, and histopathological analysis were evaluated after 7, 14, and 21 days of partial tendon transection. Results The EV was statistically reduced for all treatment groups after 7 and 21 days when compared to L group. The LS and LSE had the highest EV reduction after 21 days of treatment. The FS group didn’t induce tissue necrosis or infections on the histopathological analysis. It was observed tenocytes proliferation, granulation tissue and collagen formation in the tendon partial transection area in the FS group. The LSE demonstrated higher amount of granulation tissue and increased the collagen deposition at the injury site. Conclusions Our data suggests that the therapeutic potential of the association of heterologous fibrin biopolymer sealant with aquatic exercise program should be further explored as it may stimulate the regeneration phase and optimize calcaneal tendon recovery.

https://doi.org/10.1590/acb360407 263 downloads

13.

The use of gloves by the nursing team in a hospital environment
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Rio, Caroline do

; Roseira, Camila Eugenia

; Perinoti, Lívia Cristina Scalon da Costa

; Figueiredo, Rosely Moralez de

Revista Brasileira de Enfermagem

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2021, Volume 74 N. 2 elocation e20200972

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

RESUMO Objetivos: verificar a taxa de conformidade do uso de luvas pela equipe de enfermagem em ambiente hospitalar. Métodos: estudo descritivo, realizado em hospital do interior do estado de São Paulo, Brasil, entre agosto e outubro de 2019, por meio da observação da equipe de enfermagem na realização de 396 procedimentos. Todos os aspectos éticos foram contemplados. Resultados: foram observados 32 diferentes tipos de procedimentos. A taxa de conformidade ao uso de luvas ocorreu somente em uma observação (0,25%). Excluindo-se a higienização das mãos, essa taxa foi de 60,1% (238). Em outras 158 (39,9%) oportunidades, a utilização incorreta variou entre reutilização (18,43%), utilização sem necessidade (8,33%) e não utilização quando necessário (13,13%). As mãos foram higienizadas previamente ao uso de luvas em 1,76% das observações e em 4,54% imediatamente após sua retirada. Conclusões: foram identificadas não conformidades no uso de luvas na observação da execução de procedimentos realizados pela equipe de enfermagem.

ABSTRACT Objectives: to verify the compliance rate of the use of gloves by the nursing team in a hospital environment. Methods: a descriptive study, carried out in a hospital in the state of Sao Paulo, Brazil, between August and October 2019, through the observation of the nursing team in carrying out a total of 396 procedures. All ethical aspects were considered. Results: 32 different types of procedures were observed. The compliance rate with the use of gloves occurred only in one observation (0.25%). Excluding hand hygiene, it was 60.1% (238). In other 158 (39.9%) opportunities, incorrect use varied between reuse (18.43%), unnecessary use (8.33%) and non-use when necessary (13.13%). Hands were cleaned before using gloves in 1.76% of the observations and in 4.54% immediately after their removal. Conclusions: non-conformities were identified in the use of gloves when observing the performance of procedures by the nursing team.

RESUMEN Objetivos: comprobar la tasa de conformidad del uso de guantes por el equipo de enfermería en el entorno hospitalario. Métodos: se trata de un estudio descriptivo, realizado en un hospital del interior del estado de São Paulo, Brasil, entre agosto y octubre de 2019, mediante observación del equipo de enfermería en la realización de 396 procedimientos. Se contemplaron todos los aspectos éticos. Resultados: se observaron 32 tipos diferentes de procedimientos. Hubo conformidad en el uso de guantes solamente en una observación (0,25%). Excluyendo la higiene de las manos, la tasa fue del 60,1% (238). En 158 (39,9%) oportunidades, el uso incorrecto osciló entre la reutilización (18,43%), el uso sin necesidad (8,33%) y la no utilización cuando era necesario (13,13%). Las manos se higienizaron antes del uso de los guantes en el 1,76% de las observaciones y en el 4,54%, inmediatamente después de su retirada. Conclusiones: se identificaron no conformidades en la utilización de guantes durante la observación de la ejecución de procedimientos realizados por el equipo de enfermería.

https://doi.org/10.1590/0034-7167-2020-0972 306 downloads

14.

Hepatitis B virus genotypes prevalence in patients from hepatology services in Ceará, Brazil
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Cruz, José Napoleão Monte Da

; Villar, Lívia Melo

; Mello, Francisco Campello Do Amaral

; Lampe, Elisabeth

; Hyppolito, Elodie Bomfim

; Lima, José Milton De Castro

; Hyppolito, Silvia Bomfim

; Pires Neto, Roberto Da Justa

; Nicolete, Larissa Deadame De Figueiredo

; Coelho, Ivo Castelo Branco

Revista da Sociedade Brasileira de Medicina Tropical

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2021, Volume 54 elocation e0807-2020

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION: Hepatitis B virus (HBV) infection is a public health problem; therefore, we aimed to report HBV genotypes in Ceará, Brazil. METHODS: A total of 103 HBsAg-positive samples were subjected to HBV genotyping and subgenotyping. RESULTS: The following genetic compositions of samples were found: F-54% (F2-83.33%), A-40% (A1-65%), D-6%, C2-1%, E-1%, and G-1%. CONCLUSIONS: Some genotypes are only prevalent in certain parts of the world; however, the State of Ceará is a hub for migration and has one of the most important liver transplantation centers in Brazil, which can explain the prevalence of the F genotype.

https://doi.org/10.1590/0037-8682-0807-2020 59 downloads

15.

Estratégias de gerenciamento na Atenção Primária à Saúde em territórios de vulnerabilidade social expostos à violência
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Nonato, Lívia Oliveira Fernandes

; Peres, Aida Maris

; Khalaf, Daiana Kloh

; Souza, Marli Aparecida Rocha de

; Figueiredo, Karla Crozeta

; Lapierre, Judith

Revista da Escola de Enfermagem da USP

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2020, Volume 54 elocation e03608

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

RESUMO Objetivo Identificar estratégias de gerenciamento utilizadas pelas equipes de Estratégia Saúde da Família de uma Unidade Básica de Saúde na organização do trabalho em território de vulnerabilidade social exposto à violência. Método Estudo de caso único de abordagem qualitativa, em uma unidade de saúde da família localizada na região Sul do Brasil. Coleta de dados por entrevistas individuais com 27 profissionais de saúde de agosto a setembro de 2017 e grupo focal com 18 participantes em abril de 2018. Organização e processamento dos dados com suporte do software IRAMUTEQ e, posteriormente, técnica de análise de conteúdo. Resultados As cinco classes caracterizaram estratégias utilizadas pelos profissionais ao atendimento à população considerando sua vivência frente a situações de violência. No grupo focal, foi elaborada e validada uma diretriz para nortear o gerenciamento e organização do trabalho nesses serviços. Conclusão Foi evidenciado que mesmo sem apoio de políticas públicas específicas a essas situações, os profissionais desenvolvem estratégias que incluem o fortalecimento da equipe como forma de proteção coletiva, acolhimento focado no atendimento integral e vínculo. A população é aliada ao facilitar o acesso ao atendimento de vulneráveis e alerta os profissionais das situações críticas no território.

ABSTRACT Objective To identify management strategies used by the Family Health Strategy teams of a Basic Health Unit in organizing work in socially vulnerable territories exposed to violence. Method A single case study with a qualitative approach in a family health unit located in the southern region of Brazil. Data collection was conducted through individual interviews with 27 health professionals from August to September 2017 and a focus group with 18 participants in April 2018. Data organization and processing was performed with the support of the IRAMUTEQ software program and subsequently the content analysis technique. Results The five classes characterized strategies used by professionals to provide care to the population considering their experience in facing violent situations. A guideline was developed and validated in the focus group to guide the management and organization of work in these services. Conclusion It was evidenced that professionals develop strategies which include strengthening the team as a form of collective protection, welcoming focused on comprehensive care and bonding, even without the support of specific public policies for these situations. The population is allied to facilitate access to care for vulnerable people and alerts professionals to critical situations in the territory.

RESUMEN Objetivo Identificar estrategias de gerenciamiento utilizadas por los equipos de Estrategia de Salud de la Familia de una Unidad Básica de Salud en la organización do trabajo en territorio de vulnerabilidad social expuesto a la violencia. Método Estudio de caso único de abordaje cualitativa, en una unidad de salud de la familia localizada en la región Sur de Brasil. Colecta de dados a través de entrevistas individuales con 27 profesionales de salud de agosto a septiembre de 2017 y grupo focal con 18 participantes en abril de 2018. Organización y procesamiento de los dados con suporte del software IRAMUTEQ y, posteriormente, técnica de análisis de contenido. Resultados Las cinco clases caracterizaran estrategias utilizadas pelos profesionales al atendimiento a la populación considerando su vivencia frente a situaciones de violencia. En el grupo focal, fue elaborada y validada una directriz para nortear el gerenciamiento y la organización del trabajo en eses servicios. Conclusión Fue evidenciado que mismo sin apoyo de políticas públicas específicas a esas situaciones, los profesionales desenvuelven estrategias que incluyen el fortalecimiento de lo equipo como forma de protección colectiva, acogimiento condensado en el atendimiento integral y vínculo. La populación es aliada al facilitar el acceso al atendimiento de vulnerables y alerta a los profesionales sobre situaciones críticas en el territorio.

https://doi.org/10.1590/s1980-220x2018054903608 1291 downloads

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