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Evidências epidemiológicas crescentes sugerem uma relação bidirecional entre a doença hepática gordurosa não alcoólica (DHGNA) e o diabetes tipo 2 e que a DHGNA pode preceder e/ou promover o desenvolvimento de diabetes. O objetivo deste estudo foi investigar se a esteatose hepática está associada à incidência de diabetes no Estudo Longitudinal de Saúde do Adulto (ELSA-Brasil). O ELSA-Brasil é um estudo de coorte ocupacional com servidores públicos ativos ou aposentados, com idades entre 35 e 74 anos, de seis capitais do Brasil. Foram excluídos os participantes com diabetes no início do estudo, aqueles que relataram consumo excessivo de álcool ou com falta de informações sobre covariáveis relevantes e indivíduos com hepatite ou cirrose autorreferida. No total, 8.166 indivíduos participaram e o tempo médio de seguimento foi de 3,8 anos. O modelo de regressão proporcional de Cox foi utilizado para estimar a razão de risco (HR) ajustada para as associações. A ultrassonografia abdominal foi utilizada para detectar esteatose hepática. No período de seguimento, a incidência cumulativa de diabetes foi de 5,25% em todo o grupo de participantes e de 7,83% e 3,88% nos grupos com e sem esteatose hepática, respectivamente (p < 0,001). Em comparação com aqueles sem esteatose, os indivíduos com esteatose hepática apresentaram um risco elevado de desenvolver diabetes (HR = 1,31; IC95%: 1,09-1,56) após o ajuste para potenciais fatores de confusão, incluindo o índice de massa corporal (IMC). A esteatose hepática foi um preditor independente de diabetes incidente no ELSA-Brasil. Os médicos devem incentivar mudanças no estilo de vida e a triagem para diabetes para pacientes com fígado gorduroso.

La creciente evidencia epidemiológica sugiere una relación bidireccional entre la enfermedad del hígado graso no alcohólica (EHGNA) y la diabetes tipo 2 y que la EHGNA puede preceder y/o desarrollar la diabetes. El objetivo de este estudio fue investigar si la esteatosis hepática está asociada con la incidencia de diabetes en el Estudio Longitudinal de Salud del Adulto (ELSA-Brasil). ELSA-Brasil es un estudio de cohorte ocupacional, realizado con funcionarios públicos activos o jubilados, con edades entre 35 y 74 años, de seis capitales en Brasil. Se excluyeron a los participantes con diabetes al inicio del estudio, aquellos que informaron consumir excesivamente alcohol o que carecían de información sobre las covariables relevantes, y los individuos con hepatitis o cirrosis autorreportada. En total participaron 8.166 sujetos, y el tiempo medio de seguimiento fue de 3,8 años. Se utilizó el modelo de regresión proporcional de Cox para estimar la razón de riesgo ajustada (HR) en las asociaciones. Se realizó ecografía abdominal para detectar esteatosis hepática. En el periodo de seguimiento, el grupo de participantes tuvo incidencia acumulada de diabetes del 5,25%, y en los grupos con y sin esteatosis hepática fueron del 7,83% y el 3,88%, respectivamente (p < 0,001). Los individuos con enfermedad de hígado graso tuvieron mayor riesgo de desarrollar diabetes (HR = 1,31; IC95%: 1,09-1,56) después de ajustar los posibles factores de confusión, incluido el índice de masa corporal (IMC), en comparación con aquellos sin esteatosis. La esteatosis hepática fue un predictor independiente de diabetes incidente en ELSA-Brasil. Los médicos deben alentar cambios en el estilo de vida y la detección de diabetes a los pacientes con hígado graso.

Increasing epidemiological evidence suggests a bidirectional relationship between non-alcoholic fatty liver disease (NAFLD) and type 2 diabetes, and that NAFLD may precede and/or promote the development of diabetes. This study aimed to investigate whether liver steatosis is associated with the incidence of diabetes in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The ELSA-Brasil is an occupational cohort study of active or retired civil servants, aged 35-74 years, in six capital cities in Brazil. We excluded participants with diabetes at baseline, those who reported excessive alcohol consumption or with missing information on relevant covariates, and those with self-referred hepatitis or cirrhosis. In total, 8,166 individuals participated, and the mean duration of follow-up was 3.8 years. The Cox proportional regression model was used to estimate the adjusted hazard ratio (HR) for the associations. Abdominal ultrasonography was used to detect liver steatosis. In the follow-up period, the cumulative incidence of diabetes was 5.25% in the whole sample, 7.83% and 3.88% in the groups with and without hepatic steatosis, respectively (p < 0.001). Compared to those without steatosis, individuals with hepatic steatosis had an increased risk of developing diabetes (HR = 1.31; 95%CI: 1.09-1.56) after adjustment for potential confounders, including body mass index (BMI). Hepatic steatosis was an independent predictor of incident diabetes in the ELSA-Brasil cohort study. Physicians should encourage changes in lifestyle and screen for diabetes in patients with fatty liver.

https://doi.org/10.1590/0102-311xen090522

Liver steatosis as a predictor of incident diabetes in adults: a prospective evaluation in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
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Faria, Luciana Costa

; Diniz, Maria de Fátima Haueisen Sander

; Giatti, Luana

; Schmidt, Maria Inês

; Goulart, Alessandra Carvalho

; Duncan, Bruce Bartholow

; Barreto, Sandhi Maria

Cadernos de Saúde Pública

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2023, Volume 39 N. 3 elocation e00090522

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

https://doi.org/10.1590/0102-311xen090522

Posicionamento sobre Doença Isquêmica do Coração – A Mulher no Centro do Cuidado – 2023
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Oliveira, Gláucia Maria Moraes de

; Almeida, Maria Cristina Costa de

; Rassi, Daniela do Carmo

; Bragança, Érika Olivier Vilela

; Moura, Lidia Zytynski

; Arrais, Magaly

; Campos, Milena dos Santos Barros

; Lemke, Viviana Guzzo

; Avila, Walkiria Samuel

; Lucena, Alexandre Jorge Gomes de

; Almeida, André Luiz Cerqueira de

; Brandão, Andréa Araujo

; Ferreira, Andrea Dumsch de Aragon

; Biolo, Andreia

; Macedo, Ariane Vieira Scarlatelli

; Falcão, Breno de Alencar Araripe

; Polanczyk, Carisi Anne

; Lantieri, Carla Janice Baister

; Marques-Santos, Celi

; Freire, Claudia Maria Vilas

; Pellegrini, Denise

; Alexandre, Elizabeth Regina Giunco

; Braga, Fabiana Goulart Marcondes

; Oliveira, Fabiana Michelle Feitosa de

; Cintra, Fatima Dumas

; Costa, Isabela Bispo Santos da Silva

; Silva, José Sérgio Nascimento

; Carreira, Lara Terra F.

; Magalhães, Lucelia Batista Neves Cunha

; Matos, Luciana Diniz Nagem Janot de

; Assad, Marcelo Heitor Vieira

; Barbosa, Marcia M.

; Silva, Marconi Gomes da

; Rivera, Maria Alayde Mendonça

; Izar, Maria Cristina de Oliveira

; Costa, Maria Elizabeth Navegantes Caetano

; Paiva, Maria Sanali Moura de Oliveira

; Castro, Marildes Luiza de

; Uellendahl, Marly

; Oliveira Junior, Mucio Tavares de

; Souza, Olga Ferreira de

; Costa, Ricardo Alves da

; Coutinho, Ricardo Quental

; Silva, Sheyla Cristina Tonheiro Ferro da

; Martins, Sílvia Marinho

; Brandão, Simone Cristina Soares

; Buglia, Susimeire

; Barbosa, Tatiana Maia Jorge de Ulhôa

; Nascimento, Thais Aguiar do

; Vieira, Thais

; Campagnucci, Valquíria Pelisser

; Chagas, Antonio Carlos Palandri

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 7 elocation e20230303

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

https://doi.org/10.36660/abc.20230303

Epidemiologia crítica latino-americana em carta ao Senhor Futuro. Um outro mundo ainda é possível? latinoamericana latino americana Futuro possível
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Souza, Helton Saragor de

; Queiróz, Maria de Fátima Ferreira

; Goulart, Patrícia Martins

Cadernos de Saúde Pública

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2023, Volume 39 N. 2 elocation e00011323

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.1590/0102-311xpt011323

Posicionamento sobre a Saúde Cardiovascular nas Mulheres – 2022
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Oliveira, Glaucia Maria Moraes de

; Almeida, Maria Cristina Costa de

; Marques-Santos, Celi

; Costa, Maria Elizabeth Navegantes Caetano

; Carvalho, Regina Coeli Marques de

; Freire, Cláudia Maria Vilas

; Magalhães, Lucelia Batista Neves Cunha

; Hajjar, Ludhmila Abrahão

; Rivera, Maria Alayde Mendonça

; Castro, Marildes Luiza de

; Avila, Walkiria Samuel

; Lucena, Alexandre Jorge Gomes de

; Brandão, Andréa Araujo

; Macedo, Ariane Vieira Scarlatelli

; Lantieri, Carla Janice Baister

; Polanczyk, Carisi Anne

; Albuquerque, Carlos Japhet da Matta

; Born, Daniel

; Falcheto, Eduardo Belisário

; Bragança, Érika Olivier Vilela

; Braga, Fabiana Goulart Marcondes

; Colombo, Fernanda M. Consolim

; Jatene, Ieda Biscegli

; Costa, Isabela Bispo Santos da Silva

; Rivera, Ivan Romero

; Scholz, Jaqueline Ribeiro

; Melo Filho, José Xavier de

; Santos, Magaly Arrais dos

; Izar, Maria Cristina de Oliveira

; Azevedo, Maria Fátima

; Moura, Maria Sanali

; Campos, Milena dos Santos Barros

; Souza, Olga Ferreira de

; Medeiros, Orlando Otávio de

; Silva, Sheyla Cristina Tonheiro Ferro da

; Rizk, Stéphanie Itala

; Rodrigues, Thais de Carvalho Vieira

; Salim, Thaís Rocha

; Lemke, Viviana de Mello Guzzo

Arquivos Brasileiros de Cardiologia

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nov 2022, Volume 119 N. 5 Pages 815 - 882

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

https://doi.org/10.36660/abc.20220734

Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-Brasil
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Santos, Laura Luiza Menezes

; Diniz, Maria de Fátima Haueisen Sander

; Goulart, Alessandra Carvalho

; Barreto, Sandhi Maria

; Figueiredo, Roberta Carvalho

Sao Paulo Medical Journal

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feb 2022, Volume 140 N. 2 Pages 213 - 221

Abstract: En | Text: En | PDF: En

Abstract BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) has become a public health problem worldwide. Neck circumference (NC) is a simple anthropometric adiposity parameter that has been correlated with cardiometabolic disorders like NAFLD. OBJECTIVES: To investigate the association between NC and NAFLD, considering their obesity-modifying effect, among participants from the Longitudinal Study of Adult Health (ELSA-Brasil) baseline study. DESIGN AND SETTINGS: Cross-sectional study at the ELSA-Brasil centers of six public research institutions. METHODS: This analysis was conducted on 5,187 women and 4,270 men of mean age 51.8 (± 9.2) years. Anthropometric indexes (NC, waist circumference [WC] and body mass index [BMI]), biochemical and clinical parameters (diabetes, hypertension and dyslipidemia) and hepatic ultrasound were measured. The association between NC and NAFLD was estimated using multinomial logistic regression, considering potential confounding effects (age, WC, diabetes, hypertension and dyslipidemia). Effect modification was investigated by including the interaction term NC x BMI in the final model. RESULTS: The frequency of NAFLD and mean value of NC were 33.6% and 33.9 (± 2.5) cm in women, and 45.8% and 39.4 (± 2.8) cm in men, respectively. Even after all adjustments, larger NC was associated with a greater chance of moderate/severe NAFLD (1.16; 95% confidence interval [CI] for women; 1.05, 95% CI for men; P < 0.001). Presence of multiplicative interaction between NC and BMI (P < 0.001) was also observed. CONCLUSION: NC was positively associated with NAFLD in both sexes, regardless of traditional adiposity indexes such as BMI and WC. The magnitude of the association was more pronounced among women.

https://doi.org/10.1590/1516-3180.2021.0095.r2.22062021

Horticultural performance of ‘Fuji Suprema’ and ‘Maxi Gala’ apple trees trained at Tall Spindle and Bi-Axis systems grafted on different rootstocks in Southern Brazil
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Rufato, Leo

; Woitexen, Juliana Fátima Welter

; Luz, Alberto Ramos

; Silva, Pricila Santos da

; Macedo, Tiago Afonso de

; Pereira, Marilia Feliciano Goulart

; Ferreira, Augusto Schütz

; Kretzschmar, Aike Anneliese

Ciência Rural

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2022, Volume 52 N. 10 elocation e20210419

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

RESUMO: A utilização de novos porta-enxertos e diferentes sistemas de condução tem sido estudado para aumentar a produtividade, qualidade dos frutos e reduzir custos. Outro fator importante é a validação de estudos em condições de replantio, devido à crescente limitação de novas áreas para o plantio comercial de pomares de macieiras no Brasil. O presente estudo teve como objetivo avaliar o comportamento de macieiras ‘Fuji Suprema’ e ‘Maxi Gala’ em dois sistemas de condução enxertados sobre dois porta-enxertos. O estudo ocorreu durante as safras 2016/17, 2017/18 e 2018/19, em um pomar localizado no sul do Brasil, em área previamente cultivada com macieiras. Utilizou-se delineamento de blocos casualizados, consistindo em um fatorial 2x2, sendo Tall Spindle e Bi-Axis como sistemas de condução e ‘M.9’ e ‘G.213’ como porta-enxertos das cultivares Fuji Suprema e Maxi Gala. Foram avaliadas variáveis para determinar o comportamento vegetativo, bem como as características de produtividade e qualidade dos frutos. Observou-se que ‘G.213’ promoveu maior vigor para ambas cultivares, assim como o sistema de condução Bi-Axis na cultivar Maxi Gala. O maior rendimento foi observado nas macieiras conduzidas em Tall Spindle e enxertadas sobre ‘G.213’ em ambas cultivares. As mudanças mais significativas na qualidade dos frutos ocorreram nas macieiras conduzidas em Bi-Axis, apresentando maior intensidade de coloração vermelha, assim como na macieira ‘Maxi Gala’ enxertada sobre ‘G.213’.

ABSTRACT: The use of new rootstocks combined with different training systems have been studied to increase productivity, fruit quality, and reduce costs. Another important factor is the validation of studies under replanting conditions, due to the growing limitation of new areas for planting commercial apple orchards in Brazil. The present study aimed to evaluate the behavior of ‘Fuji Suprema’ and ‘Maxi Gala’ apple trees in two training systems grafted on two rootstocks. The study occurred during the seasons 2016/17, 2017/18 and 2018/19, in an orchard located in southern Brazil in an area previously cultivated with apple trees. A randomized block design consisting of a 2x2 factorial was used, with Tall Spindle and Bi-Axis as the training system and ‘M.9’ and ‘G.213’ as rootstocks of Fuji Suprema and Maxi Gala cultivars. Variables were evaluated to determine tree vigor, as well as yield and fruit quality characteristics. It was observed that ‘G.213’ promoted higher vigor for both cultivars as well as the Bi-Axis training system in the Maxi Gala cultivar. The highest yield was observed in Tall Spindle as well as the rootstock ‘G.213’ in both cultivars. The most significant changes on fruit quality occurred in the Bi-Axis training system, presenting higher intensity of red color as well as ‘Maxi Gala’ grafted on ‘G.213’ rootstock.

https://doi.org/10.1590/0103-8478cr20210419

Incidence of TPOAb over a 4-year follow-up period: results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
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Benseñor, Isabela M.

; Janovsky, Carolina Castro Porto Silva

; Goulart, Alessandra C.

; Santos, Itamar de Souza

; Diniz, Maria de Fátima Haueisen Sander

; Almeida-Pititto, Bianca de

; Sgarbi, José Augusto

; Lotufo, Paulo A.

Archives of Endocrinology and Metabolism

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dec 2021, Volume 65 N. 6 Pages 832 - 840

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: Although some previous data have suggested a high iodine intake in Brazil, the prevalence of antithyroperoxidase antibodies (TPOAb) in the country is compatible with rates from countries with adequate iodine intake. This observation emphasizes the importance of knowing the incidence of TPOAb in Brazil. Materials and methods: This prospective analysis included euthyroid participants with negative TPOAb at baseline and a thyroid function assessment at a 4-year follow-up. TPOAb was measured by electrochemiluminescence and considered positive when titers were ≥34 IU/mL. TSH and free T4 (FT4) levels were determined by a third-generation immunoenzymatic assay. The incidence of TPOAb is expressed in percentage per year or as a cumulative incidence within the 4-year follow-up period. Results: Of 8,922 euthyroid participants (mean age 51.1 years; 50.9% women) with a negative TPOAb test at baseline, 130 presented incident TPOAb at the 4-year follow-up, yielding an annual incidence of TPOAb of 0.38%/year (95% confidence interval [95% CI], 0.37-0.39%/year) and a cumulative incidence over 4 years of 1.46% (95% CI, 1.21-1.71%). In men, the annual incidence was 0.32% (95% CI, 0.31-0.33%), and the cumulative incidence over 4 years was 1.23% (95% CI, 0.90-1.56%). In women, the annual incidence was 0.43%/year (95% CI, 0.42-0.44%/year) and the cumulative incidence over 4 years was 1.67% (95% CI, 1.30-2.04%). The only factor associated with incident TPOAb was the occurrence of thyroid diseases at follow-up. No differences in TPOAb incidence were detected across ELSA-Brasil research centers. Conclusion: Based on the results of this study, the incidence of TPOAb per year and at a 4-year follow-up period are compatible with those of a country with adequate iodine intake.

https://doi.org/10.20945/2359-3997000000422 2 downloads

10.

Incidence of thyroid diseases: Results from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
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Benseñor, Isabela M.

; Sgarbi, José Augusto

; Janovsky, Carolina Castro Porto Silva

; Pittito, Bianca Almeida

; Diniz, Maria de Fátima Haueisen Sander

; Almeida, Maria da Conceição Chagas de

; Alvim, Sheila Maria

; Barreto, Sandhi M.

; Giatti, Luana

; Duncan, Bruce B.

; Schmidt, Maria Inês

; Fonseca, Maria de Jesus M.

; Griep, Rosane H.

; Molina, Maria del Carmen B.

; Mill, José Geraldo

; Santos, Itamar de Souza

; Goulart, Alessandra C.

; Lotufo, Paulo A.

Archives of Endocrinology and Metabolism

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aug 2021, Volume 65 N. 4 Pages 468 - 478

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To evaluate incidence of subclinical and overt hyperthyroidism and hypothyroidism. Subjects and methods: The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) is a prospective cohort study of 15,105 civil servants, examined at baseline and over a 4-year follow-up. This analysis included 9,705 participants with normal thyroid function at baseline, follow-up information about thyroid function and with no report of using drugs that may interfere in the thyroid function. Thyroid function was defined by TSH/FT4 levels or routine use of thyroid hormones/anti-thyroid medications. Annual and cumulative (over 4-year) incidence rates were presented as percentages (95% Confidence Intervals). Results: The incidence of all overt and subclinical thyroid disease was 6.7% (1.73%/year): 0.19% for overt hyperthyroidism (0.048%/year), 0.54% for subclinical hyperthyroidism (0.14%/year), 1.98% for overt hypothyroidism (0.51%/year), and 3.99% for subclinical hypothyroidism (1.03%/year). The incidence of all thyroid diseases was higher in women, when compared to men, with a low women:men ratio (1.36). For Blacks the highest incidence was for overt hyperthyroidism, while for Whites, the highest incidence was for overt hypothyroidism. However, the highest incidence of overt hyperthyroidism was detected in Asian descendants. The presence of antithyroperoxidase antibodies at baseline was associated with higher incidence of overt thyroid diseases. Conclusion: These results showed a high incidence of hypothyroidism, which is compatible with a country with a more-than-adequate iodine intake. The low women:men ratio of the incidence of thyroid dysfunction highlights the importance of the diagnosis of thyroid diseases among men in Brazil.

https://doi.org/10.20945/2359-3997000000348 273 downloads

11.

Psicologia, psicanálise e educação: contrastes culturais e acadêmicos entre Brasil e Angola
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Gomes, Maria de Fátima Cardoso

; Goulart, Maria Inês Mafra

; Pereira, Marcelo Ricardo

Psicologia Escolar e Educacional

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dec 2018, Volume 22 N. 3 Pages 457 - 466

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

Resumo Este artigo apresenta uma pesquisa realizada pela Faculdade de Educação da Universidade Federal de Minas Gerais (UFMG), Brasil e o Instituto Superior de Ciências da Educação da Universidade 11 de Novembro (UON), Angola. Procurou-se responder a questões: “quem pesquisa o quê” e “para quê”, no campo da psicologia educacional. A metodologia proporcionou imersão nas duas realidades por meio de missões de estudo e trabalho onde professores e estudantes da UFMG estiveram na UON em Angola e professores e estudantes daquela universidade estiveram na UFMG, Brasil. Valeu-se de princípios etnográficos em Grupos Operativos. Os resultados nos levaram a: compreender a realidade social de Cabinda em contraste com a realidade brasileira; construir uma nova identidade para o profissional de psicologia do ISCED-UON; implantar o Laboratório de Psicologia, Psicanálise e Educação (LPPE) e a Linha de Pesquisa, como uma possível resposta às demandas de produção de conhecimento da realidade de Cabinda/Angola.

Abstract This article presents a research carried out by the Faculty of Education of the Federal University of Minas Gerais (UFMG), Brazil and the Higher Institute of Education Sciences of the University 11 de Novembro (UON), Angola. We tried to answer questions: "who searches for what" and "for what", in the field of educational psychology. The methodology provided immersion in both realities through study and work assignments where UFMG professors and students were at UON in Angola and professors and students from that university were at UFMG, Brazil. He relied on ethnographic principles in Operational Groups. The results led us to: understand the social reality of Cabinda in contrast to the Brazilian reality; to construct a new identity for the ISCED-UON psychology professional; to implant the Laboratory of Psychology, Psychoanalysis and Education (LPPE) and the Research Line, as a possible answer to the demands of production of knowledge of the reality of Cabinda / Angola.

Resumen En este artículo se presenta una investigación realizada por la Facultad de Educación de la Universidad Federal de Minas Gerais (UFMG), Brasil y el Instituto Superior de Ciencias de la Educación de la Universidad 11 de Noviembre (UON), Angola. Se buscó contestar a cuestiones: “quién investiga que” y “para qué”, en el campo de la psicología educacional. La metodología proporcionó inmersión en las dos realidades por intermedio de misiones de estudio y trabajo en que profesores y estudiantes de la UFMG estuvieron en la UON en Angola y profesores y estudiantes de aquella universidad estuvieron en la UFMG, Brasil. Se usó de principios etnográficos en Grupos Operativos. Los resultados nos llevaron a: comprender la realidad social de Cabinda en contraste con la realidad brasileña; construir una nueva identidad para el profesional de psicología del ISCED-UON; implantar el Laboratorio de Psicología, Psicoanálisis y Educación (LPPE) yla Línea de Investigación, como una posible respuesta a las demandas de producción de conocimiento de la realidad de Cabinda/Angola.

https://doi.org/10.1590/2175-35392018032948 1334 downloads

12.

Signet Ring Cell Carcinoma, Ileal Crohn Disease or Both: A Case of Diagnostic Challenge
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Carvalho, Joana R.

; Tavares, Joana

; Goulart, Inês

; Santos, Paula Moura dos

; Vitorino, Emília

; Ferreira, Cristina

; Serejo, Fátima

; Velosa, José

GE-Portuguese Journal of Gastroenterology

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feb 2018, Volume 25 N. 1 Pages 47 - 51

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

O carcinoma de células em anel de sinete é uma forma rara de adenocarcinoma que afeta predominantemente o estômago. A forma primária do íleon é muito rara e apresenta mau prognóstico. Apresentamos um caso de doença de Crohn do íleon cuja forma de apresentação cursou com quadro oclusivo associado a adenocarcinoma de células em anel de sinete do íleon. A doente apresentava história prévia de diarreia crónica e tinha história familiar de doença inflamatória. Foi submetida a ressecção cirúrgica e os achados histopatológicos revelaram a presença de aspetos compatíveis com doença de Crohn do íleon e adenocarcinoma de células em anel de sinete. Foi proposta uma associação com esta forma rara de tumor e inflamação de longa duração, contudo, não existem recomendações estabelecidas de vigilância de neoplasia na doença inflamatória intestinal com atingimento ileal.

Signet ring cell carcinoma is a rare form of adenocarcinoma that predominantly affects the stomach. Signet ring cell carcinoma originated from the ileum is extremely rare and the prognosis is poor. We present a case of small bowel obstruction with features suggesting Crohn disease of the ileum. The symptoms were chronic diarrhea and abdominal pain with a family history of inflammatory bowel disease. The patient underwent surgery and histopathology revealed both aspects of signet ring cell carcinoma and Crohn disease of the ileum. An association between long-standing inflammation and the development of this subtype of tumor has been proposed but there are no established surveillance guidelines for small bowel neoplasm in inflammatory bowel disease.

https://doi.org/10.1159/000479590 641 downloads

13.

Effects of the photobiomodulation using different energy densities on the periodontal tissues under orthodontic force in rats with type 2 diabetes mellitus
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GOMES, Mônica Fernandes

; GOULART, Maria da Graças Vilela

; GIANNASI, Lilian Chrystiane

; HIRAOKA, Cybelle Mori

; MELO, Gabriela de Fátima Santana

; ZANGARO, Renato Amaro

; NÓBREGA, Celestino José Prudente

; SALGADO, Miguel Angel Castillo

Brazilian Oral Research

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2018, Volume 32 elocation e61

Abstract: En | Text: En | PDF: En

Abstract To evaluate the impact of the GaAlAs diode laser with energy densities of 160 J/cm2, 320 J/cm2, and 640 J/cm2 on the periodontal tissues under continuous orthodontic force application and on the rate of orthodontic tooth movement in rats with type-2 diabetes mellitus. The intensity of primary alveolar bone formation was also investigated through the immune-positive osteocytes for OPN antibody. Forty adult male Wistar rats were divided into eight groups of 5 rats: normoglycemic (N), 160 J-laser-normoglycemic (160 J-LN), 320 J-laser-normoglycemic (320 J-LN), 640 J-laser-normoglycemic (640 J-LN), diabetic (D), 160 J-laser-diabetic (160 J-LD), 320 J-laser-diabetic (320 J-LD), and 640 J-laser-diabetic (640 J-LD) rats. Diabetes mellitus was induced by a single intravenous injection of 40 mg/kg monohydrated-alloxan. An orthodontic force magnitude of 20cN was applied. The laser parameters were continuous emission of 780-nm wavelength, output power of 20mW, and fiber probe with a spot size of 0.04 cm in diameter. Radiographic, histomorphological, and immunohistochemical analysis were performed after a period of 21 days. The photobiomodulation using the energy density of 640 J/cm2 strongly stimulated the alveolar bone formation and contributed the reorganization of the soft periodontal tissues, followed by the 320 J/cm2. Extensive alveolar bone loss, intense infiltration of inflammatory cells, and degradation of the PDJ tissue were mainly found in the D and 160 J-LD groups. The rate of orthodontic tooth movement was represented by the interdental distance between the cementoenamel junctions of the right mandibular first and second molars . This distance was larger in the diabetic groups (D: 39.98±1.97, 160 J-LD: 34.84±6.01, 320 J-LD: 29.82±1.73, and 640 J-LD: 35.47±4.56) than in the normoglycemic groups (N: 21.13±1.19; 160 J-LN: 22.69±0.72, 320 J-LN: 22.28±0.78, and 640 J-LN: 24.56±2.11). The number of osteopontin-positive osteocytes was significantly greater in the 640 J-LD (14.72 ± 0.82; p < 0.01) and 640 J-LN (13.62 ± 1.33; p < 0.05) groups than with D (9.82 ± 1.17) and 160 J-LD (9.77 ± 1.10) groups. Therefore, the energy density of 640 J/cm2 provided the best maintenance and integrity of the periodontal tissue microarchitecture under continuous orthodontic force when compared with the other dosages, mainly in the uncontrolled diabetic rats. The interdental distance was greater in the D and 160 J-LD groups due to presence of severe periodontitis caused by diabetes plus the mechanical stress generated by continuous orthodontic forces, implying, thus, an insufficient biostimulatory effect for the dosage of 160 J/cm2.

https://doi.org/10.1590/1807-3107bor-2018.vol32.0061 1475 downloads

14.

FUNGOS ECTOMICORRÍZICOS NA PRODUÇÃO DE MUDAS DE Eucalyptus grandis W. Hill ex. Maiden EM NEOSSOLO QUARTZARÊNICO
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Souza, Eduardo Lorensi de

; Antoniolli, Zaida Inês

; Machado, Rafael Goulart

; Pazzini, Daniel Eckhardt

; Dahmer, Sabrina Fátima

; Redin, Marciel

; Ramires, Maiara Figueiredo

Ciência Florestal

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jun 2017, Volume 27 N. 2 Pages 471 - 484

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

RESUMO No estado do Rio Grande do Sul, os reflorestamentos de eucalipto encontram-se, geralmente, em solos de baixa fertilidade natural, favorecendo a associação ectomicorrízica. Neste trabalho, avaliou-se o efeito da inoculação dos isolados de fungos ectomicorrízicos UFSC-Pt116, UFSC-Pt188 e UFSC-SA9, sobre plantas de Eucalyptus grandis, em Neossolo Quartzarênico. As avaliações foram realizadas aos 30, 45, 60, 75 e 90 dias após semeadura. Plantas inoculadas com os isolados UFSC-Pt116, UFSC-Pt188 e UFSC-SA9 alcançaram maior altura, diâmetro do caule, massa seca da parte aérea e volume de raízes em relação ao controle. Plantas inoculadas com o isolado de fungo ectomicorrízico UFSC-Pt188 apresentaram maior teor de fósforo e potássio na parte aérea que as plantas não inoculadas. A inoculação com o isolado fúngico ectomicorrízico UFSC-Pt116 promoveu maior altura e massa seca da parte aérea. Para os teores de nitrogênio e potássio, e para massa seca de raízes não foram observadas diferenças significativas entre os tratamentos. A inoculação com os fungos ectomicorrízicos UFSC-Pt116, UFSC-SA9 e UFSC-Pt188 isoladamente, promoveram maior altura, diâmetro de caule, acúmulo de massa seca da parte aérea e volume de raízes das plantas de Eucalyptus grandis.

ABSTRACT In Rio Grande do Sul state, the eucalyptus planted forests are cultivated in low fertility soils, which contribute to ectomycorrhizal association. This study evaluated the effect of ectomycorrhizal isolates UFSC-Pt116, UFSC-Pt188 and UFSC-SA9 inoculation, individually and in combination, with Eucalyptus grandis in Quartzarenic Neosols. Evaluations were performed at 30, 45, 60, 75 and 90 days after sowing. Plants inoculated with isolates UFSC-Pt116, UFSC-Pt188 and UFSC-SA9 showed highest height, stem diameter, dry mass of shoot and root volume than the control. Plants inoculated with the ectomycorrhizal fungus isolate UFSC-Pt188 showed highest content of phosphorus and potassium in shoots than non-inoculated plants. Inoculation individual ectomycorrhizal isolate UFSC-Pt116 promoted the highest height and shoot dry mass. For nitrogen and potassium, and root biomass have not showed significant differences between treatments. Then inoculation with ectomycorrhizal UFSC-Pt116, UFSC-Pt188 and UFSC-SA9 alone promoted highest height, stem diameter, dry mass of shoot and plant root volume of Eucalyptus grandis.

https://doi.org/10.5902/1980509827729 910 downloads

15.

Doença cerebrovascular no Brasil de 1990 a 2015: Global Burden of Disease 2015
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Lotufo, Paulo Andrade

; Goulart, Alessandra Carvalho

; Passos, Valéria Maria de Azeredo

; Satake, Fabio Mitsuhiro

; Souza, Maria de Fátima Marinho de

; França, Elizabeth Barbosa

; Ribeiro, Antônio Luiz Pinho

; Bensenõr, Isabela Judith Martins

Revista Brasileira de Epidemiologia

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may 2017, Volume 20 Suppl. 1 Pages 129 - 141

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

RESUMO: Objetivo: Verificar as tendências temporais das taxas de mortalidade, dos anos de vida perdidos (years of life lost - YLL) e dos anos de vida perdidos devido à incapacidade (years lost due to disability - YLD) motivadas pela doença cerebrovascular no Brasil entre 1990 e 2015. Métodos: Utilizou-se as informações do Global Burden of Diseases 2015 (GBD 2015) para analisar a magnitude e as tendências das taxas de mortalidade e dos anos de vida ajustados por incapacidade (DALY - disability-adjusted life years) nas 27 unidades da Federação, entre 1990 e 2015, pela doença cerebrovascular (CID-10: I-60-69). Os estados brasileiros foram analisados pelo índice de desenvolvimento social (IDS), composto por renda per capita, proporção de escolaridade formal aos 15 anos e taxa de fecundidade. Resultados: Apesar do aumento do número absoluto de mortes pela doença cerebrovascular, a proporção de mortes abaixo dos 70 anos de idade reduziu pela metade entre 1990 e 2015. A aceleração da queda foi maior entre as mulheres, e mais acentuada no período de 1990 e 2005 do que de 2005 a 2015. O risco de morte reduziu-se à metade em todo o país; porém, os estados no tercil inferior tiveram reduções menos expressivas para homens e mulheres (respectivamente, -1,23 e -1,84% ao ano), comparados aos no tercil médio (-1,94 e -2,22%) e no tercil superior (-2,85 e -2,82%). Os anos perdidos por incapacidade também apresentam redução entre os estados, mas de forma menos expressiva. Conclusão: Apesar da redução das taxas ajustadas por idade em todo o país, a doença cerebrovascular ainda apresenta alta carga de doença, principalmente nos estados com menor desenvolvimento socioeconômico.

ABSTRACT: Objective: To verify the time trends of mortality rates, years of lost life (YLL), and years lived with disability (YLD) caused by cerebrovascular disease in Brazil between 1990 and 2015. Methods: The estimates from the Global Burden of Diseases 2015 were used to analyze the magnitude and trends of mortality rates and disability-adjusted life years (DALY) for cerebrovascular disease (ICD-10: I-60-69) in the 27 units of the Federation between 1990 and 2015. The states were analyzed by the social development index (SDI), based on average income per person, educational attainment at 15 years- old and total fertility rate. Results: Despite the increase in the absolute number of deaths due to cerebrovascular disease, the proportion of deaths below 70 years of age has been halved between 1990 and 2015. The acceleration of the reduction was higher among women; and increased from 1990 to 2005, when compared to the period from 2005 to 2015. The risk of death has been halved across the country, but states in the lower SDI tertile had less significant reductions (-1.23 and -1.84% a year) compared to the middle tertile (-1.94 and - 2.22%) and the upper tertile (-2.85 and -2.82%) for men and women, respectively. The years lived with disability also presented a reduction among states, but less expressively. Conclusion: Despite the reduction of age-adjusted mortality rates throughout the country, cerebrovascular disease still presents a high disease burden, especially in states with lower socioeconomic development.

https://doi.org/10.1590/1980-5497201700050011 954 downloads

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