Abstract Pituitary apoplexy refers to a rare clinical syndrome consisting of signs and symptoms that occur due to rapid expansion of the contents of the sella turcica. It can occur spontaneously or associated with pituitary tumors. It can have a broad clinical spectrum, but usually presents with severe headache, visual impairment and hypopituitarism. Sudden onset of symptoms associated to imagiologic confirmation makes the diagnosis. Surgical treatment is advised when there is important compression of the optic tract. We present a case report and a review of the literature on pituitary apoplexy in pregnancy. The cases were reviewed to obtain information on maternal characteristics, clinical presentation, diagnostic studies, therapeutic modalities and maternal and fetal outcomes. Our review found 36 cases of pituitary apoplexy in pregnancy. Most of the cases occurred in the second trimester of pregnancy and headache was the most frequent symptom at presentation. Surgical therapy was required in more than half of the patients. In what respect maternal and fetal outcomes, there were 3 cases of preterm delivery and one case of maternal death. Our clinical case and literature review reinforces the importance of an early diagnosis to avoid potential adverse consequences.

Abstract Introduction: Reading is a highly refined skill that encompasses two main components: decoding graphic symbols and understanding the written message. These aspects generally develop together, but reading comprehension is a much more complex process, sustained not only by the identification of written words and vocabulary but also by language systems, such as syntax and general knowledge. Although there is a well-established technique for performing the Phoniatric assessment, there is no common use of tests that assess reading comprehension or the association of this information with other assessment data. Objective: The objective of this study is, in the context of the Phoniatric consultation, to evaluate the reading and retelling in children with relevant reading difficulties and to correlate the decoding and comprehension problems with the alterations observed in auditory and visual perceptual tests, pointing out the evidence that best contributed to the differential diagnosis of these subjects. Methods: Starting from a population of 301 children enrolled in the 4th and 5th grades of elementary school, 13 children with evident reading and writing difficulties were evaluated regarding the reading and retelling tasks and separated into groups according to the problem of decoding, fluency, and comprehension. Reading performance was correlated with the performance in visual and auditory perceptual tests and based on the similarity analysis, the tests considered to be the most relevant in the diagnosis process of these children were identified. Result: The results suggest that the tasks: naming of figures, repetition of numbers in reverse order, figure copying, syllabic synthesis, phonemic synthesis, rhyme, and phonemic manipulation altogether contribute to diagnosis and multidisciplinary intervention aspects. Conclusion: Some tasks are more relevant to the diagnostic process of children with complaints of learning difficulties in reading.

Abstract Aim In the present study, the structure of the benthic invertebrates in ponds in the presence and absence of Nile tilapia was evaluated. Methods The benthic macroinvertebrates and physicochemical parameters were analyzed for a period of eight weeks, every 15 days, in two ponds (one with fish and the other without fish). Benthic invertebrates were sampled with artificial substrate samplers, made with cheap and common materials, like expanded clay, loofah leaves and gravel. Results With the exception of turbidity, the other physical and chemical variables of water quality were within the ideal limits for tilapia farming. Despite that, there was a significant difference for all physical-chemical parameters monitored, and the average turbidity was much higher in pond with fish. The use of artificial substrate samplers for biomonitoring was effective in the colonization of several taxa in a short period of time (15 days). For benthic community metrics, organism richness, diversity and evenness were significantly higher in the pond without fish. On the other hand, the dominance of Chironomidae and the abundance of Glossiphonidae were much higher in the pond with fish. For Chironomidae, this family was dominant in both treatments, but reached a higher frequency in the pond with fish (98.49%) than in pond without fish (92.87%). The presence of sensitive families, like Leptoceridae (Order Trichoptera), was higher in the pond with no fish, as well as the metric of Ephemeroptera, Plecoptera and Trichoptera families (% EPT). Conclusions The presence of fish altered the macrobenthic community, since metrics of richness and diversity presented lower values in pond with fish.

Resumo Objetivo No presente estudo, avaliou-se a estrutura de invertebrados bentônicos em viveiros escavados na presença e ausência de tilápia do Nilo. Métodos Os macroinvertebrados bentônicos e os parâmetros físico-químicos foram analisados por um período de oito semanas, a cada 15 dias, em dois viveiros (um com peixes e outro sem peixes). Os invertebrados bentônicos foram coletados com amostradores de substrato artificial, feitos com materiais baratos e comuns, tais como argila expandida, folhas de taboa e brita. Resultados Com exceção da turbidez, as demais variáveis físicas e químicas da qualidade da água estiveram dentro dos limites ideais para o cultivo de tilápia. Apesar disso, houve diferença significativa para todos os parâmetros físico-químicos monitorados, sendo que a turbidez média foi bem maior no tanque com peixes. Para as métricas dos macroinvertebrados bentônicos, riqueza, diversidade e uniformidade de organismos foram significativamente maiores no tanque sem peixes. Por outro lado, a dominância de Chironomidae e a abundância de Glossiphonidae foram muito maiores no tanque com peixes. Para Chironomidae, esta família foi dominante em ambos os tratamentos, mas atingiu maior frequência no viveiro com peixes (98,49%) do que no viveiro sem peixes (92,87%). A presença de famílias sensíveis, como Leptoceridae (Ordem Trichoptera), foi maior no viveiro sem peixes, assim como a métrica das famílias Ephemeroptera, Plecoptera e Trichoptera (% EPT). Conclusões O uso de amostradores de substrato artificial para biomonitoramento mostrou-se eficaz na colonização de diversos táxons em um curto período de tempo (15 dias). Por fim, a presença de peixes alterou a comunidade macrobentônica, já que as métricas de riqueza e diversidade apresentaram valores mais baixos no viveiro escavado com peixes.

Abstract The approach on the best strategy to diagnose and manage patients in shock disease (CD) quickly and efficiently is dynamic, it depends on the characteristics of the patient, the available technology, the scientific evidence always in evolution; All of this leads to considerable variation in daily practice. The objective of this proposal is to present an algorithm based on clinical criteria and optimizing the available tools, achieving a simple, fast diagnostic process with the main objective of being useful to the patient.

Resumo A abordagem sobre a melhor estratégia para diagnosticar e manejar pacientes em choque (PC) de forma rápida e eficiente é dinâmica, depende das características do paciente, da tecnologia disponível, das evidências científicas sempre em evolução; tudo isso leva a uma variação considerável na prática diária. O objetivo desta proposta é apresentar um algoritmo baseado em critérios clínicos e otimizando as ferramentas disponíveis, alcançando um processo diagnóstico simples e rápido com o objetivo principal de ser útil para o manejo do paciente.

Resumen El abordaje sobre la mejor estrategia para diagnosticar y manejar pacientes en estado de choque (EC) de forma rápida y eficiente es dinámico, depende de las características propias del paciente, de la tecnología disponible y la evidencia científica siempre en evolución; todo esto lleva a que exista considerable variación en la práctica diaria. El objetivo de esta propuesta es dar a conocer un algoritmo basado en criterios clínicos, optimizando las herramientas disponibles y logrando un proceso diagnóstico sencillo y rápido con el principal objetivo de ser útil para el manejo del paciente.

Summary Background and aims : Zephyranthes brachyandra belongs to a tribe of ornamental Amaryllidaceae native of South America, whose genera circumscription and phylogenetic relationships are still unclear. Cytologically, Z. brachyandra is a tetraploid whose chromosomes are of similar size and morphology, hindering the identification of its 2n = 24 chromosomes. The aim of this study was to investigate the stability of the many CMA+ and DAPI+ bands and the occurrence of B chromosomes by a cytomolecular approach. M&M : For this investigation we conducted a cytomolecular analysis with CMA/DAPI staining and fluorescence in situ hybridization with 5S and 35S rDNA probes, and the TTTAGGG telomeric probe. Results : In the present work, a cytomolecular analysis of Z. brachyandra, revealed a large and variable number of CMA+ and DAPI+ heterochromatic bands and 5S and 35S rDNA sites, and a regular distribution of the TTTAGGG telomeric sequences. In addition, one individual was monotrisomic with 2n = 24, and another one had a B chromosome. Both numerical and structural chromosome alterations were clearly characterized by CMA/DAPI bands and rDNA sites. Conclusions : Comparing the present data with the cytological data for other species of Zephyranthes, it becomes clear that a cytomolecular approach is fundamental to the understanding of the chromosome variation and cytotaxonomy of the group.

Resumen Introducción y objetivos : Zephyranthes brachyandra pertenece a una tribu de Amaryllidaceae ornamentales nativa de América del Sur, cuya circunscripción de géneros y relaciones filogenéticas aún no están claras. Citológicamente, Z. brachyandra es un tetraploide cuyos cromosomas son de tamaño y morfología similar, lo que dificulta la identificación de sus 2n = 24 cromosomas. El objetivo de este estudio fue investigar la estabilidad de las numerosas bandas CMA+ y DAPI+ y la aparición de cromosomas B mediante un enfoque citomolecular. M&M : Para esta investigación realizamos un análisis citomolecular con tinción CMA/ DAPI e hibridación fluorescente in situ con sondas de ADNr 5S y 35S, y la sonda telomérica TTTAGGG. Resultados : En el presente trabajo se realizaron varios análisis citomoleculares de Z. brachyandra, que revelaron un número alto y variable de bandas heterocromáticas CMA+ y DAPI+ y de sitios de ADNr 5S y 35S, además de una distribución típica de las secuencias teloméricas TTTAGGG. Además, un individuo era monotrisómico con 2n = 24 y otro tenía un cromosoma B. Las alteraciones cromosómicas tanto numéricas como estructurales se caracterizaron claramente por bandas CMA / DAPI y sitios de ADNr. Conclusión : Al comparar los datos actuales con la literatura citológica de otras especies del género Zephyranthes, queda claro que un enfoque citomolecular es fundamental para la comprensión de la variación cromosómica y la citotaxonomía del grupo.

RESUMO Esta pesquisa analisou a exposição de mulheres em situação de prostituição no centro de São Paulo à covid-19. Este estudo transversal contou com amostra de conveniência selecionada em maio de 2021. Entrevistou-se 219 mulheres majoritariamente negras, de meia idade, pobres e com comorbidades. Dentre essas mulheres, 61 tiveram sintomas de covid-19, 23 com teste positivo,7 foram internadas e 4 relataram complicações pós-covid-19. Somente 26 (30,2%) haviam sido vacinadas. Além das desigualdades de gênero, raça e classe, essas mulheres são expostas a um maior risco de contraírem covid-19, devido às condições de trabalho e por apresentarem doença grave relacionada à idade e falta de vacinação.

ABSTRACT This study analyzed the exposure of women engaged in prostitution in downtown São Paulo to COVID-19. This cross-sectional study had a convenience sample selected in May 2021. We interviewed 219, mostly black, middle-aged, poor women with comorbidities. Among them, 61 had shown COVID-19 symptoms, 23, tested positive for the disease, seven underwent hospitalization, and four reported post-COVID-19 complications. Only 26 (30.2%) had been vaccinated. In addition to gender, race, and class inequalities, these women suffer both from a higher risk of contracting COVID-19 due to their working conditions and from the subsequent worsening of that disease due to age and lack of vaccination.

RESUMO Esta pesquisa analisou a exposição de mulheres em situação de prostituição no centro de São Paulo à covid-19. Este estudo transversal contou com amostra de conveniência selecionada em maio de 2021. Entrevistou-se 219 mulheres majoritariamente negras, de meia idade, pobres e com comorbidades. Dentre essas mulheres, 61 tiveram sintomas de covid-19, 23 com teste positivo,7 foram internadas e 4 relataram complicações pós-covid-19. Somente 26 (30,2%) haviam sido vacinadas. Além das desigualdades de gênero, raça e classe, essas mulheres são expostas a um maior risco de contraírem covid-19, devido às condições de trabalho e por apresentarem doença grave relacionada à idade e falta de vacinação.

ABSTRACT This study analyzed the exposure of women engaged in prostitution in downtown São Paulo to COVID-19. This cross-sectional study had a convenience sample selected in May 2021. We interviewed 219, mostly black, middle-aged, poor women with comorbidities. Among them, 61 had shown COVID-19 symptoms, 23, tested positive for the disease, seven underwent hospitalization, and four reported post-COVID-19 complications. Only 26 (30.2%) had been vaccinated. In addition to gender, race, and class inequalities, these women suffer both from a higher risk of contracting COVID-19 due to their working conditions and from the subsequent worsening of that disease due to age and lack of vaccination.

Abstract The need for companies to seek new techniques that generate productivity gains made them carry out the mapping of their processes using Business Process Management (BPM). Well-mapped processes make it possible to identify repetitive tasks, which can be automated using Robotic Process Automation (RPA), where a computer program mimics the actions of an employee. Furthermore, recent advances in Artificial Intelligence have brought new possibilities to RPA. The systematic review developed aims to raise information on Robotic Process Automation (RPA) integrated with Artificial Intelligence (AI) for autonomously automating work processes.

RESUMO Tetrastichus howardi (Olliff, 1893) (Hymenoptera: Eulophidae) é um parasitoide adulto de lepidópteros-praga, e a idade do hospedeiro exerce forte infuência sobre sua reprodução. Objetivou-se avaliar as características biológicas de T. howardi criado em pupas de Chrysodeixis includens (Walker, [1858]) (Lepidoptera: Noctuidae) de diferentes idades. Para tanto, pupas com 24, 48, 72, 96, 120, 144 ou 168 horas de idade foram expostas ao parasitismo. O delineamento experimental foi inteiramente casualizado, com sete tratamentos (idade de pupa) e 10 repetições, sendo que cada repetição foi constituída por cinco pupas individualizadas com uma fêmea do parasitoide nas respectivas idades. Tetrastichus howardi parasitou e emergiu em pupas de todas as idades avaliadas. A duração do ciclo (ovo-adulto) em dias, número de parasitoides emergidos por pupa (progênie), progênie por fêmea, razão sexual do parasitoide e longevidade de adultos foram semelhantes. Este é o primeiro registro de T. howardi se reproduzindo em pupas de C. includens em condições de laboratório. O maior parasitismo e desenvolvimento de T. howardi foi obtido em pupas de C. includens com 24 a 96 horas, sendo essa faixa etária favorável para a criação desse parasitoide em condições de laboratório.

ABSTRACT Tetrastichus howardi (Olliff, 1893) (Hymenoptera: Eulophidae) is an adult parasitoid of lepidopteran pests, and the age of the host has a strong influence on its reproduction. This study aimed to evaluate the biological characteristics of T. howardi reared on different aged pupae of Chrysodeixis includens (Walker, [1858]) (Lepidoptera: Noctuidae). For that, pupae with 24, 48, 72, 96, 120, 144 or 168 h of age were exposed to parasitism. The experimental design was completely randomized, with seven treatments (pupal age) and ten replications, with each replication consisting of five pupae individualized with one female parasitoid at the respective ages. Tetrastichus howardi parasitized and emerged in pupae of all the evaluated ages. The duration of the cycle (egg-adult) in days, number of parasitoids that emerged per pupa (progeny), progeny per female, sex ratio of the parasitoid and longevity of adults were similar. This is the first record of T. howardi reproducing in C. includens pupae under laboratory conditions. The highest parasitism and development of T. howardi was obtained in 24-to 96-hour-old pupae of C. includens, indicating that this age range is more favorable to rear this parasitoid under laboratory conditions.

ABSTRACT Objective To build and validate an educational video about the immersion bath of the newborn. Method Methodological research, of technological production, developed in the phases: pre-production, production and post-production in the period from December 2020 to February 2022, validated by nurse practitioners, professionals in the area of social communication, nursing team, puerperal women and family members. The Content Validity Index was used to assess consistency and Cronbrach's Alpha reliability. Results The video is eight minutes and 34 seconds long and was organized into before, during and after the shower. The script/script and storyboard were evaluated regarding the objective, content, relevance, environment, verbal language and inclusion of topics and the video regarding functionality, usability, efficiency, audiovisual technique, environment and procedure, all of which achieved indices equal to or greater than 0,80. Conclusion The video has technological potential to be used during health education actions and in continuing education practices.

RESUMEN Objetivo Construir y validar un video educativo sobre el baño de inmersión del recién nacido. Método Pesquisa metodológica, de produção tecnológica, desenvolvida nas fases: pré-produção, produção e pós-produção no período de diciembre de 2020 a febrero de 2022, validado por enfermeiros doutores, profissionais da area da comunicação social, equipe de enfermagem, puérperas and familiares. Utilizou-se o Índice de Validade de Conteúdo para avaliar concordância e Alfa de Cronbrach a confiabilidade. Resultados El video tiene una duración de ocho minutos y 34 segundos y está organizado en antes, durante y después de la ducha. El guion/guion y storyboard fueron evaluados en cuanto al objetivo, contenido, pertinencia, entorno, lenguaje verbal e inclusión de temas y el video en cuanto a funcionalidad, usabilidad, eficiencia, técnica audiovisual, entorno y procedimiento, todos los cuales alcanzaron índices iguales o superiores de 0,80. Conclusión O vídeo que presenta potencial tecnológico para ser utilizado durante acciones de educación en salud y prácticas de educación permanente.

RESUMO Objetivo Construir e validar um vídeo educativo sobre o banho de imersão do recém-nascido. Método Pesquisa metodológica, de produção tecnológica, desenvolvida nas fases: pré-produção, produção e pós-produção no período de dezembro de 2020 a fevereiro de 2022, validado por enfermeiros doutores,profissionais da área da comunicação social, equipe de enfermagem, puérperas e familiares. Utilizou-se o Índice de Validade de Conteúdo para avaliar concordância entre juízes e público-alvo e Alfa de Cronbrach a confiabilidade dos itens. Resultados O vídeo tem oito minutos e 34 segundos e foi organizado emantes, durante e após o banho. Roteiro/script e storyboard avaliados quanto ao objetivo, conteúdo, relevância, ambiente, linguagem verbal e inclusão de tópicos e vídeo quanto a funcionalidade, usabilidade, eficiência, técnica audiovisual, ambiente e procedimento, todos alcançaram índices iguais ou maiores a 0,80. Conclusão O vídeo apresenta potencial tecnológico para ser utilizado durante ações de educação emsaúde e práticas de educação permanente.

ABSTRACT Introduction: The educational promotion on healthy eating habits and the practice of physical activity in university students constitutes an effective strategy for the prevention of chronic non-communicable diseases. For this, it is necessary to specify specific educational requirements for this population sector. Objective: To characterize the nutritional status, the distribution of food events and physical activity in the students of the Faculty of Applied Sciences of the University of Camagüey. Method: Descriptive correlational cross-sectional study, in a sample of 67 students, during 2019. Statistical data processing was performed with the Statgraphics Centurion XVI software, version 16.2.04. A Multivariate Analysis allowed determining the strength of association between the variables studied: Sex, Academic year, Body mass index (BMI), Distribution of eating events, Physical activity index and Time sitting. Results: 76.12 % of the evaluated students presented a healthy weight, of them, only 23.88 % referred to carrying out programmed physical activity in their free time, for 150 minutes per week. Conclusions: The university students studied presented a healthy nutritional state, characterized by omitting food events, mainly breakfast. The levels of physical activity programmed in free time are low, regardless of the fact that the majority presented levels of physical activity between medium and high.

RESUMEN Introducción: La promoción educativa sobre hábitos alimentarios saludables y práctica de actividad física en estudiantes universitarios constituye una estrategia eficaz de prevención de enfermedades crónicas no transmisibles. Para ello se necesita precisar requerimientos educativos específicos de este sector poblacional. Objetivo: Caracterizar el estado nutricional, la distribución de eventos alimentarios y la actividad física en los estudiantes de la Facultad de Ciencias Aplicadas de la Universidad de Camagüey. Método: Estudio descriptivo de corte transversal correlacional, en una muestra de 67 estudiantes durante 2019. El procesamiento estadístico de datos se realizó con el software Statgraphics Centurion XVI, versión 16.2.04. Un Análisis Multivariado permitió determinar la fuerza de asociación entre las variables estudiadas: Sexo, Año académico, Índice de masa corporal (IMC), Distribución de eventos alimentarios, Índice de actividad física y Tiempo sentado. Resultados: El 76,12 % de los estudiantes evaluados presentó peso saludable, de ellos, solo el 23,88 % refirió realizar actividad física programada en su tiempo libre, durante 150 minutos semanales. Conclusiones: Los universitarios estudiados presentaron un estado nutricional saludable, caracterizándose por omitir eventos alimentarios, principalmente el desayuno. Los niveles de actividad física programada en el tiempo libre son bajos, independientemente de que la mayoría presentaron niveles de actividad física entre media y alta.

Resumen Objetivos: La etiología de la disgenesia gonadal y el síndrome ovotesticular se desconoce en la mayoría de los casos. Para realizar la caracterización citogenética y molecular de un grupo de pacientes con síndrome ovotesticular y disgenesia gonadal completa a partir de muestras de sangre periférica y tejido gonadal. Material y métodos: Se incluyeron un total de 6 pacientes, 3 con diagnóstico de síndrome ovotesticular 46, XX, uno diagnosticado con 46, XY síndrome ovotesticular; uno con sospecha de disgenesia gonadal 46, XX y otro con disgenesia gonadal completa 46, XY. Resultados: Todos los pacientes fueron evaluados con cariotipo, hibridación in situ fluorescente (FISH) para SRY, amplificación de sonda dependiente de ligación múltiple (MLPA) e hibridación genómica comparativa (aCGH) en muestras de sangre periférica. En los casos con tejido gonadal disponible, los niveles de expresión genética de SOX3, SRY y SOX9 se determinaron mediante PCR en tiempo real e inmunofluorescencia. Se descartaron reordenamientos relacionados con el gen SRY. No se detectaron deleciones/duplicaciones o variaciones en el número de copias (NVC) como etiología del trastorno del desarrollo sexual en ninguno de los pacientes estudiados. En un caso de síndrome ovotesticular 46, XX, el cariotipo gonadal era diferente del cariotipo en sangre periférica. Se observó expresión aberrante de SOX3 y SOX9 en tejido gonadal de un caso con síndrome ovotesticular 46, XX. Conclusiones: Se documentaron niveles más bajos de expresión de SRY y SOX9 en comparación con los niveles en líneas celulares humanas de testículo embrionario y Sertoli en el tejido gonadal de un caso con síndrome ovotesticular 46, XY. Los estudios citogenéticos y moleculares de las gónadas como complemento del estudio de sangre periférica tienen el potencial de enriquecer la comprensión de los trastornos del desarrollo sexual en pacientes que son XX o XY en sangre periférica.

Abstract Objectives: The etiology of gonadal dysgenesis and ovotesticular syndrome is unknown in a majority of cases. The aim of the study was to perform cytogenetic and molecular characterization of a group of patients with ovotesticular syndrome and complete gonadal dysgenesis from peripheral blood and gonadal tissue samples. Materials and methods: A total of 6 patients were included, 3 with diagnosis of 46,XX ovotesticular syndrome, one diagnosed with 46,XY ovotesticular syndrome; one with suspected 46,XX gonadal dysgenesis, and one with 46,XY complete gonadal dysgenesis. Results: All patients were evaluated with karyotype, fluorescent in situ hybridization (FISH) for SRY, multiplex ligation-dependent probe amplification (MLPA) and comparative genomic hybridization (aCGH) on peripheral blood samples. In cases with available gonadal tissue, the levels of genetic expression of SOX3, SRY, and SOX9 were determined through real-time PCR and immunofluorescence. Rearrangements involving SRY gene were ruled out. No deletions/duplications or copy-number variations (CNV) were detected as the etiology for sexual development disorder in any of the patients studied. In a case of 46,XX ovotesticular syndrome, the gonadal karyotype was different from the karyotype in peripheral blood. Aberrant expression of SOX3 and SOX9 in gonadal tissue of a case with 46,XX ovotesticular syndrome was observed. Conclusions: Lower levels of expression of SRY and SOX9 compared to the levels in human cellular lines of embryonic testicle and Sertoli were documented in the gonadal tissue of a case with 46,XY ovotesticular syndrome. Cytogenetic and molecular studies of the gonads as a complement to peripheral blood study have the potential to enrich the understanding of sexual development disorders in patients who are XX or XY in peripheral blood.