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Abstract This publication is an update of the “Consensus on the therapeutic management of atopic dermatitis - Brazilian Society of Dermatology” published in 2019, considering the novel, targeted-oriented systemic therapies for atopic dermatitis. The initial recommendations of the current consensus for systemic treatment of patients with atopic dermatitis were based on a recent review of scientific published data and a consensus was reached after voting. The Brazilian Society of Dermatology invited 31 experts from all regions of Brazil and 2 international experts on atopic dermatitis who fully contributed to the process. The methods included an e-Delphi study to avoid bias, a literature search and a final consensus meeting. The authors added novel approved drugs in Brazil and the indication for phototherapy and systemic therapy for AD. The therapeutical response to systemic treatment is hereby reported in a suitable form for clinical practice and is also part of this updated manuscript.

https://doi.org/10.1016/j.abd.2023.04.003

Dental mapractice litigance in the city of São Paulo (SP), Brazil
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Sousa, Silmara Pereira de

; Borges, Bruna Saud

; Machado, Ana Luisa Rezende

; Matteussi, Giovanna Teixeira

; Pinto, Paulo Henrique Viana

; Oliveira, Larissa Dutra Bittencourt de

; Matos, Rienne Assis

; Coltri, Marcos Vinicius

; Silva, Ricardo Henrique Alves da

Brazilian Journal of Oral Sciences

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2022, Volume 21 elocation e225074

Abstract: En | Text: En | PDF: En

The relationship between patients and dentists today is more worn and less based on trust, which can lead to high rates of lawsuits related to civil liability and dental malpractice. Aim verify if there has been an increase in the number of lawsuits related to questioned dental treatments, and against dentists registered in the city of São Paulo (SP), Brazil, from 2012 to 2017. Methods We outlined an overview based on the list from the São Paulo Council of Dentistry containing 30,238 registered dentists in the city of São Paulo, and searched for lawsuits on the public base of the São Paulo State Court’s. Results The search, after the inclusion and exclusion criteria, found 247 lawsuits, with dental implants as the most involved specialty. The total indemnities requested ranged from R$ 227.42 to R$ 937,000.00, but no indemnity granted exceeded the amount of R$ 100,000.00. Conclusion According to the analysis of cases, there is a progressive increase in the number of civil liability lawsuits against dentists involving dental malpractice litigance.

https://doi.org/10.20396/bjos.v21i00.8665074

EFFICIENCY OF ATTRACTORS AND TRAPS FOR CAPTURE OF SPOTTED-WING DROSOPHILA IN VINEYARDS1
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BRILINGER, DAHISE

; ARIOLI, CRISTIANO JOÃO

; WERNER, SIMONE SILMARA

; ROSA, JOATAN MACHADO DA

; BOFF, MARI INÊS CARISSIMI

Revista Caatinga

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dec 2021, Volume 34 N. 4 Pages 830 - 836

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

RESUMO O monitoramento é uma prática que permite estimar a densidade populacional dos insetos-praga nos cultivos. Entretanto, torna-se necessário o uso de atrativos e armadilhas que apresentem elevada eficiência. Objetivo deste trabalho foi avaliar a eficácia de atrativos alimentares em diferentes modelos de armadilhas para a captura de Drosophila suzukii e a seletividade de captura desses conjuntos em vinhedos da cultivar Cabernet Sauvignon. O experimento foi conduzido durante a safra 2018/2019, no município de São Joaquim, SC. Utilizou-se o delineamento casualizado em bloco no esquema fatorial 2 × 4 , com dois tipos de armadilhas (garrafa PET e pote plástico) e três atrativos (SuzukiTrap®, Droskidrink e levedura) e água destilada como testemunha. As armadilhas foram distribuídas num distanciamento mínimo de 15 m e fixadas no terço médio das plantas. As coletas e reposição dos atrativos foram realizadas com intervalo de 21 dias. Os dados foram analisados por meio de modelos lineares generalizados, utilizando a distribuição de Poisson ou Poisson com parâmetro de dispersão. Todos os atrativos testados capturaram adultos de D. suzukii. Não foi identificado efeito significativo entre o tipo de armadilha utilizado. A partir de todas as informações obtidas nesse trabalho, o uso de armadilha pote plástico com atrativo Droskidrink é o mais recomendável ao uso em programas de monitoramento de D. suzukii em vinhedos comerciais.

ABSTRACT Pest monitoring is a practice that enables the estimation of populational density of insect-pests in crops. However, it requires the use of attractors and traps that present high efficiency. The objective of this work was to evaluate the efficiency of food attractors using different trap models for the capture of spotted-wing drosophila (Drosophila suzukii) insects, and the capture selectivity of these models in vineyards of Cabernet Sauvignon. The experiment was conducted in the 2018-2019 crop season, in São Joaquim, SC, Brazil. A randomized block design was used, in a 2 × 4 factorial arrangement consisted of two types of traps (PET bottle and plastic container), three attractors (SuzukiTrap®, Droskidrink, and Yeast), and distilled water as a control. The traps were distributed in a minimum distance of 15 m and fixed in the middle third of the plants. The collections and replacing of attractors were done with 21-day intervals. The data were analyzed through generalized linear models, using the Poisson distribution or Poisson with a dispersion parameter. All attractors tested captured adult D. suzukii insects. No significant differences were found between the trap types used. The findings of the present work showed that the trap plastic container with the Droskidrink attractor is the most suitable capture method to be used in monitoring programs for D. suzukii insects in commercial vineyards.

https://doi.org/10.1590/1983-21252021v34n410rc 19 downloads

Impacto do tratamento quimioterápico na qualidade de vida de pacientes oncológicos
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Silveira, Fernanda Modesto

; Wysocki, Anneliese Domingues

; Mendez, Roberto Della Rosa

; Pena, Silvana Barbosa

; Santos, Edirlei Machado dos

; Malaguti-Toffano, Silmara

; Santos, Vinícius Batista dos

; Santos, Mariana Alvina dos

Acta Paulista de Enfermagem

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2021, Volume 34 elocation eAPE00583

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

Resumo Objetivo: Avaliar a qualidade de vida relacionada à saúde (QVRS) de pacientes oncológicos antes e três meses após o início do tratamento quimioterápico. Métodos: Tratou-se de um estudo de coorte prospectivo, exploratório. Foi utilizado um instrumento para caracterização sociodemográfi ca e clínica dos pacientes e outro para avaliação da QVRS denominado EORTC QLQ-C30, sendo este constituído por três escalas: funcionalidade, sintomas e saúde global. Participaram 79 indivíduos atendidos em um ambulatório para realização de quimioterapia. Testes estatísticos foram realizados para comparar o efeito do tratamento quimioterápico em relação à qualidade de vida. Resultados: O instrumento EORTC QLQ-C30 indicou adequada confi abilidade nos dois momentos de avaliação. No que tange à escala de funcionalidade, as funções física e cognitiva apresentaram melhora; e a função emocional, piora após três meses do tratamento. A escala de sintomas revelou piora, após três meses do início da quimioterapia, no que diz respeito aos sintomas de fadiga, náusea, dispneia, perda de apetite e diarreia. Conclusão: Neste estudo, os domínios mais afetados, após três meses de tratamento quimioterápico, estavam relacionados às funções da escala funcional e dos sintomas, portanto, intervenções multiprofi ssionais devem ser implementadas a esta população visando ao controle de tais variáveis.

Abstract Objective: To assess the health-related quality of life (HRQoL) of patients with cancer before and three months after starting chemotherapy treatment. Methods: This is a prospective and exploratory cohort study. An instrument was used for sociodemographic and clinical characterization of patients and another for assessing HRQoL called EORTC QLQ-C30. This instrument consists of functional, symptom, and global health status scales. Seventy-nine individuals attended at an outpatient clinic for chemotherapy. Statistical tests were performed to compare side effects of chemotherapy treatment on quality of life. Results: The EORTC QLQ-C30 indicated adequate reliability in two assessment moments. Concerning the functional scale, physical functioning and cognitive functioning improved, and emotional functioning worsened after three months of treatment. The symptom scale worsened three months after starting chemotherapy with respect to the symptoms of fatigue, nausea, dyspnea, appetite loss, and diarrhea. Conclusion: The most affected domains, after three months of chemotherapy treatment, were related to functional and symptom scales’ functioning; therefore, multidisciplinary interventions should be implemented for this population in order to control such variables.

Resumen Objetivo: Evaluar la calidad de vida relacionada con la salud (CVRS) de pacientes oncológicos antes del inicio del tratamiento de quimioterapia y tres meses después. Métodos: Se trató de un estudio de cohorte prospectivo, exploratorio. Fue utilizado un instrumento para la caracterización sociodemográfica y clínica de los pacientes y otro para la evaluación de la CVRS denominado EORTC QLQ-C30, que está compuesto por tres escalas: funcionalidad, síntomas y salud global. Participaron 70 individuos atendidos en consultorios externos para la realización de quimioterapia. Se realizaron pruebas estadísticas para comparar el efecto del tratamiento de quimioterapia con relación a la calidad de vida. Resultados: El instrumento EORTC QLQ-C30 indicó fiabilidad adecuada en los dos momentos de evaluación. En lo que atañe a la escala de funcionalidad, la función física y la cognitiva presentaron mejora, y la función emocional empeoró después de tres meses de tratamiento. La escala de síntomas reveló empeoramiento, luego de tres meses del inicio de la quimioterapia, en lo que se refiere a los síntomas de fatiga, náuseas, disnea, pérdida de apetito y diarrea. Conclusión: En este estudio, los dominios más afectados luego de tres meses de tratamiento de quimioterapia se relacionaron con funciones de la escala funcional y de los síntomas; por lo tanto, intervenciones multiprofesionales deben ser implementadas en esta población con el objetivo de controlar dichas variables.

https://doi.org/10.37689/acta-ape/2021ao00583 390 downloads

Acute lymphocytic leukemia associated with toxoplasmosis: case report
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Machado, Silmara

; Oliveira, Leonardo R. G.

; Scalassara, Beatriz M.

; Faria, Karina G.

; Almeida, Lara E. F. O.

Jornal Brasileiro de Patologia e Medicina Laboratorial

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2020, Volume 56 elocation e2092020

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

RESUMO Relatamos um caso clínico raro de leucemia linfoblástica aguda (LLA) associada à toxoplasmose em um paciente do sexo masculino, 23 anos, com quadro de dispneia progressiva. A tomografia de tórax revelou lesões expansivas, indicando linfonodomegalias em fossa supraclavicular direita e derrame pleural à direita. Sorologia realizada para toxoplasmose: imunoglobulinas da classe G (IgG) e da classe M (IgM) positivas - 180,6 e 0,98, respectivamente. Tratamento para a infecção foi iniciado; estudo imuno-histoquímico de linfonodo cervical esquerdo foi realizado, revelando LLA. Institui-se tratamento quimioterápico em centro oncológico. O diagnóstico de toxoplasmose permitiu que o tratamento fosse feito, impedindo que a imunossupressão induzida pela quimioterapia agravasse o quadro clínico.

ABSTRACT Rare clinical case of acute lymphocytic leukemia (ALL) associated with toxoplasmosis affecting a 23-year-old male patient with progressive dyspnea. Chest computed tomography revealed expansive lesions indicating right supraclavicular fossa lymph node enlargement and right pleural effusion. Toxoplasmosis serology was performed: positive for immunoglobulin G [(IgG) 180.6] and positive for immunoglobulin M [(IgM) 0.98]. Therefore, treatment for the infection was initiated and immunohistochemistry of left cervical lymph node revealed ALL. Consequently, chemotherapy treatment was introduced at an oncology center. The diagnosis of toxoplasmosis allowed treatment to be administered, preventing the worsening of the condition caused by chemotherapy-induced immunosuppression.

RESUMEN Reportamos un caso clínico raro de leucemia linfocítica aguda (LLA) asociada a toxoplasmosis en un paciente masculino de 23 años con cuadro de disnea progresiva. La tomografía de tórax reveló lesiones expansivas, indicando agrandamiento de los ganglios linfáticos en fosa supraclavicular derecha y derrame pleural a la derecha. Examen serológico para toxoplasmosis: inmunoglobulinas G (IgG) e inmunoglobulinas M (IgM) positivas - 180,6 y 0,98, respectivamente. Se inició el tratamiento de la infección; la inmunohistoquímica de ganglio linfático cervical izquierdo reveló LLA. Se llevó a cabo la quimioterapia en un hospital oncológico. El diagnóstico de toxoplasmosis permitió hacer el tratamiento, impidiendo que la inmunosupresión inducida por la quimioterapia agravara el cuadro clínico.

https://doi.org/10.5935/1676-2444.20200033 1235 downloads

Consensus on the therapeutic management of atopic dermatitis - Brazilian Society of Dermatology
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Aoki, Valeria

; Lorenzini, Daniel

; Orfali, Raquel Leão

; Zaniboni, Mariana Colombini

; Oliveira, Zilda Najjar Prado de

; Rivitti-Machado, Maria Cecília

; Takaoka, Roberto

; Weber, Magda Blessmann

; Cestari, Tania

; Gontijo, Bernardo

; Ramos, Andrea Machado Coelho

; Silva, Claudia Marcia de Resende

; Cestari, Silmara da Costa Pereira

; Souto-Mayor, Silvia

; Carneiro, Francisca Regina

; Cerqueira, Ana Maria Mosca de

; Laczynski, Cristina

; Pires, Mario Cezar

Anais Brasileiros de Dermatologia

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apr 2019, Volume 94 N. 2 Pages 67 - 75

Abstract: En | Text: En | PDF: En

Abstract: BACKGROUND: Atopic dermatitis is a highly prevalent inflammatory and pruritic dermatosis with a multifactorial etiology, which includes skin barrier defects, immune dysfunction, and microbiome alterations. Atopic dermatitis is mediated by genetic, environmental, and psychological factors and requires therapeutic management that covers all the aspects of its complex pathogenesis. OBJECTIVES: The aim of this article is to present the experience, opinions, and recommendations of Brazilian dermatology experts regarding the therapeutic management of atopic dermatitis. METHODS: Eighteen experts from 10 university hospitals with experience in atopic dermatitis were appointed by the Brazilian Society of Dermatology to organize a consensus on the therapeutic management of atopic dermatitis. The 18 experts answered an online questionnaire with 14 questions related to the treatment of atopic dermatitis. Afterwards, they analyzed the recent international guidelines on atopic dermatitis of the American Academy of Dermatology, published in 2014, and of the European Academy of Dermatology and Venereology, published in 2018. Consensus was defined as approval by at least 70% of the panel. RESULTS/CONCLUSION: The experts stated that the therapeutic management of atopic dermatitis is based on skin hydration, topical anti-inflammatory agents, avoidance of triggering factors, and educational programs. Systemic therapy, based on immunosuppressive agents, is only indicated for severe refractory disease and after failure of topical therapy. Early detection and treatment of secondary bacterial and viral infections is mandatory, and hospitalization may be needed to control atopic dermatitis flares. Novel target-oriented drugs such as immunobiologicals are invaluable therapeutic agents for atopic dermatitis.

https://doi.org/10.1590/abd1806-4841.2019940210 4086 downloads

Compliance with standard precautions by nursing professionals in high complexity care
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Floriano, Daniela Rosa

; Rodrigues, Luana Silva

; Dutra, Cintia Machado

; Toffano, Silmara Elaine Malaguti

; Pereira, Fernanda Maria Vieira

; Chavaglia, Suzel Regina Ribeiro

Escola Anna Nery

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2019, Volume 23 N. 2 elocation e20180263

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

Resumo Objetivo: Avaliar o cumprimento às Precauções-Padrão (PP) por profissionais de enfermagem de unidades de alta complexidade. Métodos: Estudo quantitativo, descritivo e transversal, realizado em um hospital público brasileiro, entre janeiro e março de 2017. A coleta de dados foi realizada por meio da aplicação de um instrumento, com variáveis demográficas e profissionais e a versão brasileira da Compliance with Standard Precautions Scale (CSPS-PB). Os dados foram analisados por meio da estatística descritiva e inferencial no software IBM SPSS®. Resultados: Participaram 148 profissionais de enfermagem. A taxa de cumprimento às PP foi de 65,0%. Houve diferença estatística significativa apenas com relação à categoria profissional (p<0,001). Conclusão e implicações para a prática: O cumprimento às PP pelos profissionais de enfermagem foi abaixo do esperado e houve associação dos escores médios de cumprimento às PP apenas para a categoria profissional. Esses resultados podem contribuir para direcionar estratégias de incentivo a adesão às PP, melhorando, assim, a segurança dos profissionais e do paciente.

Abstract Objective: To evaluate the compliance with Standard Precautions by nursing professionals from high complexity units. Methods: Quantitative, descriptive and cross-sectional study, carried out in a Brazilian public hospital between January and March 2017. Data collection was performed through the application of an instrument with demographic and professional variables and the Brazilian version of Compliance with Standard Precautions Scale (CSPS-PB). Data were analyzed using descriptive and inferential statistics with IBM SPSS® software. Results: A total of 148 professionals participated. The rate of compliance with SP was 65.0%. There was a statistically significant difference only in relation to the professional category (p<0.001). Conclusion and implications for practice: Compliance with SP by nursing professionals was lower than expected and there was association of compliance with SP mean scores only for professional category. These results may contribute to direct strategies to encourage adherence to SP, improving the safety of professionals and patients.

Resumen Objetivo: Evaluar el cumplimento de Precauciones Estándar (PE) por profesionales de enfermería en la atención de alta complejidad. Métodos: Estudio cuantitativo, descriptivo,transversal, realizado en un hospital público brasileño, entre enero y marzo de 2017. Colección de datos por medio de un instrumento, con variables demográficas y profesionales y la versión brasileña del Compliancewith Standard PrecautionsScale(CSPS-PB). Datos analizados a través de estadística descriptiva e inferencial en software IBM SPSS®. Resultados: Participaran 148 profesionales. Tasa de cumplimento de PE de 65,0%. Hay una diferencia estadística significativa en relación con la categoría profesional (p<0,001). Conclusiones e implicaciones para la práctica: El cumplimiento de las normas por profesionales estuvo abajo del esperado y hubo asociación de los escores medios de cumplimiento a las PE apenas para una categoría profesional. Los resultados pueden ser útiles para direccionar estrategias de incentivo a las PE, mejorando la seguridad de profesionales y pacientes.

https://doi.org/10.1590/2177-9465-ean-2018-0263 2332 downloads

Compliance with standard precautions by nursing professionals in high complexity care
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Floriano, Daniela Rosa

; Rodrigues, Luana Silva

; Dutra, Cintia Machado

; Toffano, Silmara Elaine Malaguti

; Pereira, Fernanda Maria Vieira

; Chavaglia, Suzel Regina Ribeiro

Escola Anna Nery

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2019, Volume 23 N. 2 elocation e20180263

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

https://doi.org/10.1590/2177-9465-ean-2018-0263 7 downloads

General aspects of muscle glucose uptake
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ALVIM, RAFAEL O.

; CHEUHEN, MARCEL R.

; MACHADO, SILMARA R.

; SOUSA, ANDRÉ GUSTAVO P.

; SANTOS, PAULO C.J.L.

Anais da Academia Brasileira de Ciências

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mar 2015, Volume 87 N. 1 Pages 351 - 368

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

A captação de glicose nos tecidos periféricos é dependente da translocação dos transportadores de glicose GLUT4 para a membrana plasmática. Estudos mostram a existência de duas principais vias de sinalização que induzem à translocação do GLUT4. A primeira e amplamente investigada é a via de sinalização ativada pela insulina por meio do substrato 1 do receptor de insulina e fosfatidilinositol-3-quinase. A segunda é a via de sinalização independente da insulina que é ativada, principalmente, pela contração muscular. Indivíduos com diabetes mellitus tipo 2 apresentam uma redução na captação de glicose estimulada pela insulina devido à resistência insulínica. Contudo, esses indivíduos geralmente apresentam captação de glicose normal durante o exercício. Neste contexto, o exercício físico é, reconhecidamente, uma das intervenções mais importantes na estimulação da captação de glicose por vias insulino-independentes, cujas principais moléculas envolvidas são: proteína quinase ativada por adenosina monofosfato, óxido nítrico, bradicinina, AKT, espécies reativas de oxigênio e cálcio. Nesta revisão, os objetivos são: destacar as particularidades das diferentes vias de captação de glicose e relatar os efeitos do exercício físico, da dieta e de medicamentos sobre o funcionamento das mesmas. Também, entender molecularmente a importância do exercício físico e da dieta na homeostase glicêmica e, avaliar à ação de fármacos que melhoram a captação de glicose, o que é um importante ponto na eficácia do controle glicêmico de pacientes diabéticos, bem como esclarecer alguns mecanismos que justificam o desenvolvimento de novos fármacos com fins de mimetizar a via contração muscular.

Glucose uptake in peripheral tissues is dependent on the translocation of GLUT4 glucose transporters to the plasma membrane. Studies have shown the existence of two major signaling pathways that lead to the translocation of GLUT4. The first, and widely investigated, is the insulin activated signaling pathway through insulin receptor substrate-1 and phosphatidylinositol 3-kinase. The second is the insulin-independent signaling pathway, which is activated by contractions. Individuals with type 2 diabetes mellitus have reduced insulin-stimulated glucose uptake in skeletal muscle due to the phenomenon of insulin resistance. However, those individuals have normal glucose uptake during exercise. In this context, physical exercise is one of the most important interventions that stimulates glucose uptake by insulin-independent pathways, and the main molecules involved are adenosine monophosphate-activated protein kinase, nitric oxide, bradykinin, AKT, reactive oxygen species and calcium. In this review, our main aims were to highlight the different glucose uptake pathways and to report the effects of physical exercise, diet and drugs on their functioning. Lastly, with the better understanding of these pathways, it would be possible to assess, exactly and molecularly, the importance of physical exercise and diet on glucose homeostasis. Furthermore, it would be possible to assess the action of drugs that might optimize glucose uptake and consequently be an important step in controlling the blood glucose levels in diabetic patients, in addition to being important to clarify some pathways that justify the development of drugs capable of mimicking the contraction pathway.

https://doi.org/10.1590/0001-3765201520140225 14577 downloads

10.

Coffee has hepatoprotective benefits in Brazilian patients with chronic hepatitis C even in lower daily consumption than in American and European populations
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Machado, Silmara Rodrigues

; Parise, Edison Roberto

; Carvalho, Luciana de

Brazilian Journal of Infectious Diseases

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apr 2014, Volume 18 N. 2 Pages 170 - 176

Abstract: En | Text: En | PDF: En

The potential role of coffee as a hepatoprotective substance for chronic liver diseases has been widely discussed. Our main aim was to evaluate the effect of coffee intake regarding clinical, biochemical tests and liver biopsy data in treatment naïve patients with chronic hepatitis C. One hundred and thirty-six patients with chronic hepatitis C, diagnosed through liver biopsy, or by means of clinical, ultrasound or endoscopic signs of cirrhosis, were assessed by determination of biochemical tests, metabolic and morphological alterations. Food frequency was scrutinized by using a structured questionnaire. Coffee intake represented more than 90% of the total daily caffeine, and the 75th percentile was 4-Brazilian coffee-cup/day (>255mL/day or >123mg caffeine/day). According to caffeine intake, patients were divided into two groups (< or >123mg caffeine/day). Patients with higher ingestion of caffeine had lower serum levels of aspartate aminotransferase (× upper limit of normal) (1.8±1.5 vs 2.3±1.5, p=0.04), lower frequencies of advanced (F3, F4) fibrosis (23.5% vs 54.5%, p<0.001) and of histological activity grade (A3, A4) observed in liver biopsies (13.8% vs 36.9%, p<0.001). By multivariate logistic regression, fibrosis was independently associated with caffeine intake (OR- 0.16; 95%CI - 0.03-0.80; p=0.026), γ-glutamil transferase serum levels and morphological activity. But only fibrosis was associated with histological activity. In conclusion caffeine consumption greater than 123mg/day was associated with reduced hepatic fibrosis. In addition, this study supports the assumption that coffee intake has hepatoprotective benefits for Brazilian patients with chronic hepatitis C, even in lower doses than that of American and European population intake.

https://doi.org/10.1016/j.bjid.2013.09.001 1794 downloads Cited 1 time in SciELO

11.

Intervenção nutricional padronizada em pacientes hipoglicêmicos hospitalizados
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Machado, Silmara Rodrigues

; Rodrigues, Ana Lúcia Chalhoub Chediác

; Silva, Sandra Cristine da

; Alvim, Rafael de Oliveira

; Santos, Paulo Caleb Júnior Lima

Revista Gaúcha de Enfermagem

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mar 2012, Volume 33 N. 1 Pages 64 - 68

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

The ingestion of rapid absorption carbohydrates (RAC) can be useful to increase serum glucose. This sudy aimed to assess the effectiveness and applicability of nutritional intervention in hypoglycemic situations suffered by conscious inpatients in a general hospital who were receiving oral diet. Seventy-six patients were eligible. Hypoglycemia was defined as a capillary glucose level of ≥ 50 to ≤ 70 mg/dL. Nutritional intervention consisted in providing 15-24 g of RAC. The level of capillary glucose was checked after 15 to 20 minutes of the intervention. During the studied period, the rate of effectiveness of the nutritional intervention was 97.6%. Results show that the administration of RAC, a non-invasive method, was applicable in a general hospital and was also potentially effective in restoring capillary glucose levels in conscious hypoglycemic inpatients receiving an oral diet.

La ingesta de hidratos de carbono de absorción rápida (HAR) puede ser útil a la glucosa sérica. En este contexto, los principales objetivos fueron evaluar la eficacia y aplicabilidad de la atención nutricional en situaciones de hipoglucemia en el hospital general. Setenta y seis pacientes fueron elegibles. La hipoglucemia se definió como el nivel de glucosa en sangre ≥ 50 a ≤ 70 mg/dL. Intervención nutricional que se ofrecía 15 a 24 gramos de HAR. Hubo una conferencia de glucosa en la sangre después de 15-20 minutos de acción. La tasa de eficacia de la intervención nutricional fue del 97,6% durante el período de estudio. Se concluye que la administración de HAR, un método no invasivo, es aplicable en las unidades de hospital general y fue potencialmente eficaz en la restauración de la glucosa en sangre en pacientes con hipoglucemia, consciente, y con dieta oral.

A ingestão de carboidratos de rápida absorção (CRA) pode ser útil para o aumento sérico de glicose. Neste contexto, os principais objetivos foram avaliar a eficácia e a aplicabilidade da intervenção nutricional em situações hipoglicêmicas apresentadas por pacientes conscientes, com dieta via oral e internados em hospital geral. Setenta e seis pacientes foram elegíveis e a hipoglicemia foi definida como nível de glicemia capilar ³ 50 até £ 70mg/dL. A intervenção nutricional constituiu na oferta de 15 a 24 gramas de CRA. Houve a conferência da glicemia capilar após 15-20 minutos da intervenção. A taxa de efetividade da intervenção nutricional foi de 97,6%, durante o período de estudo. Conclui-se que a administração de CRA, um método não invasivo, foi aplicável em unidades de um hospital geral e foi potencialmente eficaz na restauração da glicemia capilar em pacientes hipoglicêmicos com dieta via oral e conscientes.

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12.

Intervenção nutricional padronizada em pacientes hipoglicêmicos hospitalizados
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Machado, Silmara Rodrigues

; Rodrigues, Ana Lúcia Chalhoub Chediác

; Silva, Sandra Cristine da

; Alvim, Rafael de Oliveira

; Santos, Paulo Caleb Júnior Lima

Revista Gaúcha de Enfermagem

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mar 2012, Volume 33 N. 1 Pages 64 - 68

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

4230 downloads

13.

Motivation and frustration in cardiology trial participation: the patient perspective
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Meneguin, Silmara

; Cesar, Luiz Antônio Machado

Clinics

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2012, Volume 67 N. 6 Pages 603 - 608

Abstract: En | Text: En | PDF: En

OBJECTIVE: The participation of humans in clinical cardiology trials remains essential, but little is known regarding participant perceptions of such studies. We examined the factors that motivated participation in such studies, as well as those that led to participant frustration. METHODS: Patients who had participated in hypertension and coronary arterial disease (phases II, III, and IV) clinical trials were invited to answer a questionnaire. They were divided into two groups: Group I, which included participants in placebo-controlled clinical trials after randomization, and Group II, which included participants in clinical trials in which the tested treatment was compared to another drug after randomization and in which a placebo was used in the washout period. RESULTS: Eighty patients (47 patients in Group I and 33 patients in Group II) with different socio-demographic characteristics were interviewed. Approximately 60% of the patients were motivated to participate in the trial with the expectation of personal benefit. Nine participants (11.2%) expressed the desire to withdraw, which was due to their perception of risk during the testing in the clinical trial (Group I) and to the necessity of repeated returns to the institution (Group II). However, the patients did not withdraw due to fear of termination of hospital treatment. CONCLUSIONS: Although this study had a small patient sample, the possibility of receiving a benefit from the new tested treatment was consistently reported as a motivation to participate in the trials.

https://doi.org/10.6061/clinics/2012(06)10 1667 downloads

14.

Adesão de profissionais de enfermagem ao seguimento clínico após exposição ocupacional com material biológico
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Loureiro, Lívia Agy

; Gomes, Ana Carolina

; Malaguti, Silmara Elaine

; Canini, Silvia Rita Marin da Silva

; Machado, Alcyone Artioli

; Gir, Elucir

Revista Eletrônica de Enfermagem

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jun 2009, Volume 11 N. 2 Pages 303 - 308

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

This study aimed to evaluate the adherence of nursing professionals to clinical follow-up after occupational exposure to biological material, in a special outpatient clinic for Occupational Accidents among Health Care Workers (AOPS). Data refer to accidents occurred to nursing professionals between July and December of 2006, and were obtained by consulting patient files. The study was developed in two outpatient clinics in a large sized University Hospital located in Ribeirão Preto/ Brazil. It was observed that in 30.4% of the cases the use of antiretroviral agents was indicated for chemoprevention, and 31.3% of those presented adverse effects. It is highlighted that 69.6% of the professionals completed the indicated clinical treatment. It is fundamental to implement an educational program among health workers to prevent occupational exposures and promote the adherence to clinical follow-up after exposure.

El estudio tuvo como objetivo evaluar la adhesión de los profesionales de enfermería al seguimiento clínico tras la exposición ocupacional a material biológico, en la clínica especializada en Accidentes Ocupacionales en Profesionales de la Salud (AOPS). Los datos, obtenidos por medio de consulta a los registros médicos, se refieren a accidentes ocurridos con profesionales de enfermería entre julio y diciembre de 2006. El estudio fue desarrollado en dos unidades de un hospital universitario de gran porte en la ciudad de Ribeirão Preto, Brasil. Se observó que, en 30,4%, fue indicado el uso de agentes antirretrovirales para quimioprevención. De los que efectuaron el uso, 31,3% presentaron efectos adversos. Se destaca que 69,6% de los profesionales completaron el seguimiento clínico indicado. Es fundamental la implementación de un programa de educación permanente entre los trabajadores de salud para prevención de exposiciones ocupacionales y adhesión al seguimiento clínico tras la exposición.

O objetivo deste estudo foi avaliar a adesão dos profissionais de enfermagem ao seguimento clínico, após a exposição ocupacional a material biológico, no ambulatório especializado (AOPS). Os dados se referem a acidentes ocorridos com profissionais de enfermagem no período julho a dezembro de 2006 e foram obtidos por meio de consulta ao prontuário. O estudo foi desenvolvido nas duas unidades (campus e emergência) de um hospital universitário de grande porte na cidade de Ribeirão Preto. Observou-se que em 30,4% foi indicado o uso de anti-retrovirais para quimioprofilaxia; dos que fizeram o uso, 31,3% apresentaram efeitos adversos. Destaca-se que 69,6% dos profissionais completaram o seguimento clínico indicado. É premente a necessidade de implementação de um programa de educação permanente junto aos trabalhadores de saúde para prevenção de exposições ocupacionais e adesão ao seguimento clínico após exposição.

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15.

Accidents with biological material and immunization against hepatitis B among students from the health area
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Gir, Elucir

; Netto, Jeniffer Caffer

; Malaguti, Silmara Elaine

; Canini, Silvia Rita Marin da Silva

; Hayashida, Miyeko

; Machado, Alcyone Artioli

Revista Latino-Americana de Enfermagem

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jun 2008, Volume 16 N. 3 Pages 401 - 406

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

O manuseio de instrumentos perfurocortantes por estudantes da área da saúde é freqüente na atividade acadêmica, o que os expõe ao risco de adquirir infecção. Este estudo teve como objetivo analisar os acidentes com material biológico, ocorridos com alunos de graduação da área da saúde. Dos 170 acidentes registrados, 83 (48,8%) ocorreram com alunos do curso de odontologia, 69 (40,6%) de medicina, 11 (6,5%) de enfermagem e em 6 (3,5%) não havia a informação na ficha de atendimento. A maioria (106-62,4%) ocorreu com alunos de escolas privadas e 55(32,3%) de escolas públicas. Os acidentes percutâneos ocorreram em 133 (78,2%) exposições e em apenas 38 (21,3%) acidentes a procura pelo atendimento especializado foi imediata. Em 127 (74,7%) acidentes o esquema vacinal contra hepatite B estava completo. Assim, torna-se imprescindível que as escolas ofereçam cursos e/ou disciplinas específicas sobre medidas de biossegurança, incluindo aspectos relacionados à vacinação e em especial à vacina contra hepatite B.

Undergraduate students from the health area often handle piercing-cutting instruments in their academic activities, which exposes them to the risk of contracting infections. This study aimed to analyze accidents with biological material among these students. Out of 170 accidents registered, 83 (48.8%) occurred with Dentistry students, 69 (40.6%) with Medical students, 11 (6.5%) with Nursing students and in 06 (3.5%) of the cases there was no such information in the files. Most accidents, 106 (62.4%), occurred with students from private schools and 55 (32.3%) with those from public schools. Percutaneous accidents occurred in 133 (78.2%) exposures and there was immediate search for specialized health care in only 38 (21.3%) accidents. In 127 (74.7%) accidents, the immunization schedule against hepatitis B was complete. Therefore, schools need to offer courses and specific class subjects regarding biosafety measures, including aspects related to immunization, especially the vaccine against hepatitis B.

La manipulación de instrumentos punzo cortantes por estudiantes del área de la salud es frecuente en la actividad académica, lo que los expone al riesgo de adquirir infecciones. Este estudio tuvo como objetivo analizar los accidentes con material biológico ocurridos en alumnos del área de la salud. De los 170 accidentes registrados, 83 (48,8%) ocurrieron con alumnos del curso de Odontología, 69 (40,6%) de Medicina, 11 (6,5%) de Enfermería y en 06 (3,5%) no había información en la ficha de atención. La mayoría, 106 (62,4%), ocurrió con alumnos de escuelas privadas y 55 (32,3%) de públicas. Los accidentes percutáneos ocurrieron en 133 (78,2%) exposiciones y en 38 (21,3%) accidentes la búsqueda por atención especializada fue inmediata. En 127 (74,7%) accidentes el esquema de vacunas contra hepatitis B estaba completo. Así es imprescindible que las escuelas ofrezcan cursos y/o disciplinas específicas sobre medidas de bioseguridad incluyendo aspectos relacionados a campañas de vacunación y en especial la vacuna contra hepatitis B.

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