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au:MENDES, ELISA TEIXEIRA

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Assessing the Level of Evidence of Presented Studies at the Brazilian Congress of Coloproctology
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Samartine Junior, Hugo

; Mazzini, Lucas Rosasco

; Paiva, Daniel Ferreira

; Levy, Nicole Goldenberg

; Silva, Lauro Igor

; Aquino, José Luís Braga de

; Mendes, Elisa Donalisio Teixeira

Journal of Coloproctology (Rio de Janeiro)

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dec 2023, Volume 43 N. 4 Pages 245 - 250

Abstract: En | Text: En | PDF: En

Abstract Introduction Scientific studies in Brazil grew around 10.7% compared to previous years. However, the level of quality of evidence has been decreasing. The aim in our study is to examine the meeting abstracts of the Brazilian congress of coloproctology and analyze the level of evidence in trends and variables. Methods A descriptive bibliometric study, working with secondary data to review scientific abstracts in the annals of the coloproctology congress from 2015 to 2019. Results A total of 1756 abstracts of the Brazilian Congress of Coloproctology were analyzed for 5 years (2015-2019). There was a higher trend of abstracts presented with lower levels of evidence (level of evidence 5: 52.3% and 3: 30%), being the majority composed of case reports (49.4%) and retrospective studies (30.4%). The last two years analyzed (2018: 55.2% and 2019: 59.3%) had a predominance above average of case reports. From 2017 to 2019 there was a significant decrease in the number of level 2 evidence studies (18.10%,11.80% and 5.50%), while the number of studies with level 5 evidence showed an increase (45.60%, 56.60% and 61.40%). Statistical analysis occurred in only 17%, with an important decrease for the last two years (2018: 13.6%; 2019: 12.1%). Conclusions Although the data of this study is from the Brazilian coloproctology point of view, they are important for the global scientific community, as they allow a quantitative evaluation of the relative contribution from the level of evidence of Brazilian coloproctology researchers to the scientific scenario.

https://doi.org/10.1055/s-0043-1772782

Discrepancies of Abstracts Presented in Coloproctology Congresses and Later Publish as Full Manuscripts. A Brazilian Perspective
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Samartine Junior, Hugo

; Levy, Nicole Goldenberg

; Paiva, Daniel Ferreira

; Gracitelli, Giovanna Bertazzola

; Silva, Lauro Igor

; Aquino, José Luís Braga de

; Mendes, Elisa Donalisio Teixeira

Journal of Coloproctology (Rio de Janeiro)

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jul 2023, Volume 43 N. 3 Pages 179 - 184

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction The purpose of this retrospective bibliometric study was to assess the discrepancies between coloproctology surgery meeting abstracts and subsequent full-length manuscript publications. Methods Abstracts presented at the Brazilian Congress of Coloproctology Surgery from 2015 to 2019 were compared with matching manuscript publications. Discrepancies between the abstract and therefore the subsequent manuscript were categorized as major (changes within the purpose, methods, study design, sample size, statistical analysis, results, and conclusions) and minor (changes within the title, authorship, and number of female authors) variations. Results The conversion rate of abstracts in published manuscripts was 6,9% (121 abstracts). There were inconsistencies between the study title (66,1%), authorship (69,5%), study design (3,3%), sample size (39,2%), statistical analysis (24,8%), results (25,6%), and conclusions (12,4%) of manuscripts compared with their corresponding meeting abstracts. Conclusion As changes occur before manuscript publication of coloproctology surgery meeting abstracts, caution should be exercised in referencing abstracts or altering surgical practices based on abstracts content.

https://doi.org/10.1055/s-0043-1772783

An American and Brazilian Perspective on Abstracts Presented in Coloproctology Conferences Converted into Published Manuscripts
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Samartine Junior, Hugo

; Silva, Lauro Igor

; Mazzini, Lucas Rosasco

; Paiva, Daniel Ferreira

; Gracitelli, Giovanna Bertazzola

; Aquino, José Luís Braga de

; Mendes, Elisa Donalisio Teixeira

Journal of Coloproctology (Rio de Janeiro)

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jun 2023, Volume 43 N. 2 Pages 110 - 116

Abstract: En | Text: En | PDF: En

Abstract Introduction The presentation of abstracts in a congress is an important step for the dissemination of scientific information. The American Congress of Coloproctology is promoted by the American Society of Colon & Rectal Surgeons (ASCRS), and it is the largest in number of participants within the specialty, followed by the Brazilian Congress of Coloproctology. The present study aims to evaluate variables related to the quality of the scientific production of the abstracts presented in these two events and their conversion rate to published manuscripts. Materials and Methods The present bibliometric study assesses secondary data from the review of abstracts presented in these 2 important conferences in 2016, followed by a research of the publications from these congress presentations. Results The total number of abstracts evaluated was 854. The rate of articles containing statistical analyses was of 73.7% in the American congress, and of 34.1% in the Brazilian congress. Multicentric studies were more prevalent in the American congress (23.1%). Regarding study design, the most common were case reports in the Brazilian (44.8%) congress and retrospective studies in the American congress (67.7%). As for the works presented, the rate of conversion into full manuscripts in the American congress was of 24.2% compared with 10.6% in the Brazilian congress. Most papers from the American congress (93.7%) have citations compared with 68.6% of the other event evaluated. Conclusion The scientific performance demonstrated by the conversion rate of abstracts into publications is below ideal, mainly in relation to the Brazilian meeting; yet, there were significant differences between the two events in terms of the profile of the presentations and several variables analyzed.

https://doi.org/10.1055/s-0043-1769917

Increase in mucormycosis hospitalizations in southeastern Brazil during the COVID-19 pandemic: a 2010-2021 time series
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Santos, Ivan Lira dos

; Sartori, Carolina Specian

; Bueno, André Giglio

; Mendes, Elisa Teixeira

Revista da Sociedade Brasileira de Medicina Tropical

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2023, Volume 56 elocation e0333-2022

Abstract: En | Text: En | PDF: En

ABSTRACT Background: Mucormycosis is a severe invasive fungal disease. During the coronavirus disease 2019 (COVID-19) pandemic, outbreaks have been reported worldwide, but epidemiological studies are still scarce in Brazil. Methods: We conducted a time-series cohort hospitalization study (2010-2021) in southeastern Brazil. Results: There were 311 cases (85 during the pandemic), with significant (P < 0.05) involvement of patients older than 40 years (84%), white patients (78%), rhinocerebral site (63%), and São Paulo State residents (84%). Conclusions: Mucormycosis hospitalizations were highly prevalent. Further studies are needed to assess the burden of COVID-19 on mucormycosis in Brazil.

https://doi.org/10.1590/0037-8682-0333-2022

Bibliometric analysis and conversion rate of abstracts presented at the Brazilian Congress of Coloproctology into publication of full articles
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SAMARTINE JUNIOR, HUGO

; PAIVA, DANIEL FERREIRA

; GRACITELLI, GIOVANNA BERTAZZOLA

; MAZZINI, LUCAS ROSASCO

; LEVY, NICOLE GOLDENBERG

; AQUINO, JOSE LUIS BRAGA

; MENDES, ELISA DONALISIO TEIXEIRA

Revista do Colégio Brasileiro de Cirurgiões

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2023, Volume 50 elocation e20233560

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

ABSTRACT Introduction: the presentation of research at a congress is an interesting means for scientific dissemination, but only with publication in an indexed journal does the data become accessible and disseminated. The conversion rate in published articles of abstracts presented at congresses is an indicator to assess the scientific quality of those events. The aim of this study is to evaluate bibliometric characteristics of abstracts presented at the Brazilian Congress of Coloproctology and to determine the factors that affect publication rates. Methods: Retrospective evaluation of all abstracts presented at the Brazilian Congresses of Coloproctology from 2015 to 2019. Multiple databases were analyzed to estimate the conversion rate of the presented papers, as well as variables associated with the conversion of abstracts into full manuscripts through bivariate analysis and multivariate variables of these predictors. Results: 1756 abstracts were analyzed. Most studies are retrospective, series or case reports, and even personal experience. The conversion rate was 6.9%. The presence of statistical analysis was twice as high for published abstracts as for unpublished ones. Conclusion: the data presented demonstrate a low scientific productivity of the specialty, since the research carried out is, for the most part, not published as complete manuscripts. The predictors of publication of abstracts were: multicenter studies, studies with statistical analysis, study designs with a higher level of evidence and studies awarded by the congress.

RESUMO Introdução: a apresentação de pesquisas em um congresso é meio interessante para disseminação científica, porém apenas com a publicação em revista indexada é que os dados se tornam acessíveis e disseminados. A taxa de conversão em artigos publicados de resumos apresentados em congressos é um indicador para avaliar a qualidade científica de seus eventos. O objetivo deste estudo é avaliar características bibliométricas dos resumos apresentados no Congresso Brasileiro de Coloproctologia e determinar os fatores que afetam as taxas de publicação. Métodos: avaliação retrospectiva de todos os resumos apresentados nos Congressos Brasileiros de Coloproctologia dos anos de 2015 a 2019. Análise de múltiplas bases de dados para estimar a taxa de conversão dos trabalhos apresentados, assim como variáveis associadas à conversão dos resumos em manuscritos completos através de análises bivariadas e multivariadas desses preditores. Resultados: foram analisados 1756 resumos. A maioria dos estudos são retrospectivos, séries ou relatos de casos e até experiência pessoal. A taxa de conversão foi de 6,9%. A presença de análise estatística foi o dobro para os resumos publicados frente aos não publicados. Conclusão: os dados apresentados demonstram uma baixa produtividade científica da especialidade, já que as pesquisas realizadas não são publicadas, em sua maioria, como manuscritos completos. Os fatores preditores de publicação dos resumos foram: estudos multicêntricos, estudos contendo análise estatística, desenhos de estudo de maior nível de evidência e estudos premiados pelo congresso.

https://doi.org/10.1590/0100-6991e-20233560-en

Burnout at the hospital: Healthcare workers coping with COVID-19 stress
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Freitas, Maria Fernanda Marciano Barros de

; Enumo, Sônia Regina Fiorim

; Machado, Wagner de Lara

; Messias, João Carlos Caselli

; Mendes, Elisa Donalísio Teixeira

Estudos de Psicologia (Campinas)

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2023, Volume 40 elocation e220097

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

Abstract Objective The first wave of COVID-19 was challenging for healthcare workers. This study analyzed the ways of coping with stress at a university hospital. Method A Sociodemographic Characterization, Risk and Exposure Assessment, Burnout Assessment Tool (BAT-23), and COVID-19 Coping Scale were responded online by 181 professionals. Results The sample was composed mainly of women, white, married, physicians, with one job. Over 80% of the sample were at high exposure and risk for infection, with 17.1% having tested positive. The most reported stressors were risks of transmitting the disease, being hospitalized, and being separated from loved ones; 11% presented the risk of/probable burnout, with exhaustion and emotional impairment. They presented adaptive coping strategies, such as problem-solving and information-seeking, with a negative correlation between adaptive coping and burnout. Being a physician with maladaptive coping, in psychiatric care, and having religious beliefs were predictors of burnout. Conclusion Promoting adaptive coping may improve the mental health of these workers.

Resumo Objetivo A primeira onda da COVID-19 foi desafiadora para os profissionais de saúde. Este estudo analisou o enfrentamento do estresse em um hospital universitário. Método De forma online, 181 profissionais responderam: Caracterização Sociodemográfica, Avaliação do Risco e Exposição, Burnout Assessment Tool (BAT-23) e Escala de Coping da COVID-19. Resultados A amostra foi composta principalmente por mulheres, caucasianos, casados, médicos, com um emprego. Tiveram alta exposição e risco à infecção mais de 80% da amostra, com 17,1% positivos. Os estressores mais relatados foram: riscos de transmitir a doença, ser hospitalizado e separado de pessoas queridas; 11% apresentaram risco/provável de burnout, com exaustão e prejuízo emocional. Apresentaram estratégias mais adaptativas, como Resolução de Problemas e Busca de Informações, havendo uma correlação negativa entre coping adaptativo e burnout. Ser médico, com coping mal adaptativo, em atendimento psiquiátrico e ter crença religiosa foram preditores de burnout. Conclusão Promover um coping adaptativo poderá melhorar a saúde mental desses trabalhadores.

https://doi.org/10.1590/1982-0275202340e220097

Factors associated with patient weight loss and prescribed diet during hospitalization
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Leandro-Merhi, Vânia Aparecida

; Aquino, José Luis Braga de

; Bertelli, Hallan Douglas

; Ramos, Geovanna Godoy

; Mendes, Elisa Teixeira

; Mendonça, José Alexandre

Nutrición Hospitalaria

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aug 2021, Volume 38 N. 4 Pages 749 - 757

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

Abstract Objective: the aim of this study was to assess weight loss, diet prescribed, and nutritional status in hospitalized patients, as well as their associated factors. Methods: weight loss during hospitalization, nutritional status, disease type, and prescribed diet were investigated in a retrospective study in 621 hospitalized patients. The chi-squared, Fisher's, Mann-Whitney, and Kruskal-Wallis tests were used for statistical analysis. To identify factors associated with weight loss a logistic regression analysis was performed. The significance level adopted for statistical tests was 5 %. Results: patients who experienced weight loss during hospitalization were associated with longer hospital stays (p < 0.0001; OR = 1.052; 95 % CI = 1.030 to 1.073), malnourishment according to the subjective global assessment (p = 0.0358; OR = 1.520; 95 % CI = 1,028 to 2,248), digestive disorders (p = 0.0081; OR = 3.177; 95 % CI = 1.351 to 7.469), and digestive neoplasms (p = 0.0407; OR = 2.410; 95 % CI = 1.038 to 5.597). Conclusion: weight loss during hospitalization was associated with neoplasms, digestive diseases, malnutrition, and length of stay.

Resumen Objetivo: el objetivo de este estudio fue evaluar la pérdida de peso, la dieta prescrita y el estado nutricional de pacientes hospitalizados y sus factores asociados. Métodos: se investigó la pérdida de peso durante la hospitalización, el estado nutricional, el tipo de enfermedad y la dieta prescrita en un estudio retrospectivo de 621 pacientes hospitalizados. Las pruebas del chi cuadrado, Fisher, Mann-Whitney y Kruskal-Wallis se utilizaron para el análisis estadístico. Para identificar los factores asociados con la pérdida de peso se utilizó la regresión logística. El nivel de significación adoptado para las pruebas estadísticas fue del 5 %. Resultados: los casos de pérdida de peso durante la hospitalización se asociaron a las estancias hospitalarias más largas (p < 0,0001; OR = 1,052; IC 95 % = 1,030; 1,073), la desnutrición según la evaluación global subjetiva (p = 0,0358; OR = 1,520; IC 95 % = 1,028; 2,248) los trastornos digestivos (p = 0,0081; OR = 3,177; IC 95 % = 1,351; 7,469) y las neoplasias digestivas (p = 0,0407; OR = 2,410; IC 95 % = 1,038; 5,597). Conclusión: la pérdida de peso durante la hospitalización se asoció con las neoplasias y las enfermedades digestivas, la desnutrición y la duración de la estancia.

https://doi.org/10.20960/nh.03249

Prognosis of hospitalized children under 2 years of age with co-detection of influenza A and respiratory syncytial virus at the healthcare facility
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Mendes, Elisa Teixeira

; Paranhos, Hadassa L.

; Santos, Isabela C. M.

; Souza, Lais Bomediano de

; Aquino, José Luis Braga de

; Leandro-Merhi, Vania Aparecida

; Silva, Raquel Vieira da

; Lima, Maria Patelli J. S.

Revista Brasileira de Saúde Materno Infantil

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jun 2021, Volume 21 N. 2 Pages 531 - 537

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

Resumo Objetivos: avaliar o impacto da codetecção de Influenza A (FluA) e Vírus Sincicial Respiratório (VSR) por meio de testes imunocromatográficos rápidos em tempo real, em pacientes menores de 2 anos em hospital público e universitário. Métodos: estudo de coorte retrospectivo foi conduzido para analisar os desfechos clínicos de crianças hospitalizadas com doença respiratória viral com resultados positivos do teste rápido imunocromatográfico para VSR e/ou FluA, de 2013 a 2018. Um modelo de regressão logística foi ajustado para analisar preditores de intubação orotraqueal durante a internação. Resultados: foram analisados 220 casos: RSV (192), FluA (9) eco-detecção (19). A letalidade foi de 1,8% (2 casos) e 88% (194) casos em menores de 1 ano. O tempo médio de internação foi maior nos pacientes com codetecção. As variáveis significativamente associadas à intubação orotraqueal foram: menor idade em meses, comorbidades, codetecção de VSR e Flu-A e pneumonia bacteriana durante a internação. Conclusões: codetecção VSR e FluA foi associada a prognósticos clínicos desfavoráveis. O teste rápido fornece informações importantes a beira-leito, pois os painéis moleculares não são amplamente acessíveis em hospitais públicos. O diagnóstico rápido permite a avaliação e tratamento oportunos.

Abstract Objectives: the aim of this study is to evaluate the impact of co-detection of Flu A and RSV using rapid immunochromatographic tests at the point of care, in pediatric patients under 2 years of age in a general hospital. Methods: a retrospective cohort study was conducted to analyze clinical outcomes in hospitalized infants with viral respiratory disease with positive results of rapid immunochromatographic test for RSV and/or Flu-A, from 2013 to 2018. A logistic regression model was adjusted to analyze predictors of orotracheal intubation during hospitalization. Results: we analyzed 220 cases: RSV (192), Flu-A (9), co-detection (19). Lethality rate was 1.8% (2 cases), and 88% (194) were under 1 year of age. Mean time of hospitalizations was higher in patients with co-detection. Variables significantly associated with orotracheal intubation were: younger age in months, comorbidities, RSV and Flu-A co-detection, and bacterial pneumonia during hospitalization. Conclusions: RSV and Flu-Aco-detection was associated with the least favorable clinical prognoses in this study. Rapid test diagnosis may provide important information at the point of care, because molecular panels are not widely accessible in general hospitals. Rapid diagnosis allows timely evaluation and treatment.

https://doi.org/10.1590/1806-93042021000200010 109 downloads

Effectiveness of surveillance cultures for high priority multidrug-resistant bacteria in hematopoietic stem cell transplant units
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Mendes, Elisa Teixeira

; Salomão, Matias Chiarastelli

; Tomichi, Lísia Moura

; Oliveira, Maura Salaroli

; Graça, Mariana

; Rossi, Flavia

; Sapadao, Fernanda

; Guimarães, Thais

; Rocha, Vanderson

; Costa, Silvia Figueiredo

Revista do Instituto de Medicina Tropical de São Paulo

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2021, Volume 63 elocation e77

Abstract: En | Text: En | PDF: En

ABSTRACT Surveillance strategies to detect colonization are an important tool to prevent and control the spread of microorganisms in hematopoietic stem cell transplant (HSCT) units. The aim of this study was to evaluate routine surveillance cultures for screening colonization and infection by carbapenem-resistant Enterobacteriaceae (CRE), carbapenem-resistant Pseudomonas aeruginosa (CRPa), and vancomycin-resistant enterococci (VRE). Surveillance cultures were collected (1,323 samples) from 200 patients admitted to an HSCT unit over one year; swabs were taken on admission and then weekly. We compared the positivity of cultures for each site, agent, clinical and epidemiological data according to the colonization status. Infection due to multidrug-resistant organisms (MDROs) occurred in 52 (21.5%) patients, 45 (86.5%) due to blood stream infection; 12 (23%) patients had a positive surveillance culture before the infection. Cultures of 554 (41.8%) samples were performed for CRPa, 413 (31.2%) for VRE and 356 (27%) for CRE. Of these, 179 (13.5%) were positive. Colonization by any MDRO, CRE or CRPa was associated with increased risk of infection (P < 0.05), but not with death. Previous colonization by an MDRO was a significant risk for infection by these pathogens, specially by CRE. Overall, rectal swabs had the highest positivity rate compared with other sites, oropharynx swabs were an option for CRPa, and fecal cultures showed low positivity. Although the impact of the strategy on the mortality of patients undergoing HSCT is not clear, routine VRE surveillance should be questioned with regard to patients undergoing auto-HSCT due to the additional cost and little impact on survival rates.

https://doi.org/10.1590/s1678-9946202163077 50 downloads

10.

A Psicologia Chega ao Campo: Revisão Sistemática de Contextos Rurais Latino-americanos
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Ronzani, Telmo Mota

; Mendes, Kíssila Teixeira

; Afonso, Júlia Batista

; Quintão, Elisa Campos

; Guilherme, Tháles Gonçalves

; Oliveira, Conrado Pável de

; Leite, Jáder Ferreira

Psicologia: Ciência e Profissão

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2021, Volume 41 elocation e221801

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

Resumo O presente artigo tem como objetivo realizar uma revisão sistemática da literatura sobre a inserção da psicologia em contextos rurais na América Latina, considerando seu caráter de ciência e profissão e o fato de ter sido desenvolvida eminentemente em torno de fenômenos verificados em contextos urbanos. Foi realizada busca nas bases de dados PubMed, PsycINFO, Redalyc, Scielo, PePSic e LILACS, com os descritores: “Psicologia”, “Zona rural” e “População Rural”, nos idiomas inglês, espanhol e português. A revisão sistemática foi conduzida de acordo com os passos indicados pelo Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A amostra final conteve 93 estudos empíricos publicados entre 1996 e 2017. A análise considerou as categorias: Temas Centrais das Pesquisas, População Estudada e Enfoque Teórico Predominante. Quanto às áreas de conhecimento principais, houve uma maior concentração de pesquisas com referencial predominante da Psicologia Social (43,0%), seguido da Psicologia Escolar/Educacional (12,9%) e da Psicologia da Saúde (9,7%). Os resultados apontam que a inserção e o estudo da Psicologia em contextos rurais são recentes e se encontram em desenvolvimento, com relativa heterogeneidade de temas e referenciais teóricos, o que a caracteriza como um campo em construção, visto o movimento de consolidação de produções mais recentes no campo da Psicologia Social Comunitária. As perspectivas de avanço na área dependem da construção de uma psicologia mais historicizada e comprometida com um projeto ético-político.

Abstract This paper aims to present the results of a systematic literature review on the work of psychology in Latin American rural contexts, considering its traditional scientific and professional focus on urban contexts. Based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), a search was conducted in the databases PubMed, PsycINFO, Redalyc, Scielo, PePSic, and LILACS for the keywords “Psychology,” Rural Zones,” and “Rural Population” in English, Spanish, and Portuguese. The final sample consisted of 93 empirical papers published between 1996 and 2017, analyzed based on the main research domains, studied population, and predominant theoretical approach. Most studies referred to Social Psychology (43,0%), followed by Educational Psychology (12,9%) and Health Psychology (9,7%). The results suggest that psychology insertion within rural contexts is recent and in progress. Studies on the field exhibit certain heterogeneity as to themes and theoretical frameworks, with more recent publications in Social Communitarian Psychology. The perspectives of advance in this field depends on the construction of a more historicized psychology, committed to an ethical-political project.

Resumen El presente artículo tiene como objetivo realizar una revisión sistemática de la literatura sobre la inserción de la psicología en contextos rurales en Latinoamérica, considerando su carácter de ciencia y profesión y el hecho de que se desarrolla principalmente sobre los fenómenos producidos en contextos urbanos. Se realizó una búsqueda en las bases de datos PubMed, PsycINFO, Redalyc, SciELO, PePSic y LILACS, utilizando los descriptores “Psicología”, “Zona Rural” y “Población Rural” en los idiomas inglés, español y portugués. La revisión sistemática siguió los pasos sugeridos por el Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). La muestra final se compuso de 93 estudios empíricos publicados entre los años de 1996 y de 2017. El análisis consideró las categorías: Temas Centrales de Investigación, Población Estudiada y Enfoque Teórico. Respecto de las principales áreas de conocimiento, hubo una mayor concentración con referenciales sobre la Psicología Social (43,0%), seguido de la Psicología Escolar/Educacional (12,9%) y la Psicología de la Salud (9,7%). Los resultados demuestran que la inserción y el estudio de la psicología en contextos rurales son recientes y están aún en constante desarrollo, con heterogeneidad de temas y referenciales teóricos, lo que caracteriza un movimiento de consolidación más reciente en el campo de la Psicología Social Comunitaria. Las perspectivas de avances en el área dependen de la construcción de una psicología más historicizada y comprometida con un proyecto ético-político de enfrentamiento de las desigualdades sociales.

https://doi.org/10.1590/1982-3703003221801 132 downloads

11.

Clinical and microbiological characteristics of patients colonized or infected by Stenotrophomonas maltophilia: is resistance to sulfamethoxazole/trimethoprim a problem?
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Mendes, Elisa Teixeira

; Paez, Jorge Isaac Garcia

; Ferraz, Juliana Rosa

; Marchi, Ana Paula

; Silva, Ivan Leonardo Avelino França e

; Batista, Marjorie Vieira

; Lima, Ana Lucia Munhoz de

; Rossi, Flávia

; Levin, Anna Sara

; Costa, Silvia Figueiredo

Revista do Instituto de Medicina Tropical de São Paulo

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2020, Volume 62 elocation e96

Abstract: En | Text: En | PDF: En

ABSTRACT Stenotrophomonas maltophilia has emerged as an important opportunistic pathogen in the last decade. Increased resistance to sulfamethoxazole/trimethoprim (SMX/TMP) has been reported in S. maltophilia strains in the past few years, leading to few therapeutic options. We conducted a prospective multicenter study at two Brazilian teaching hospitals that identified S. maltophilia isolates and evaluated their antimicrobial susceptibility profile, SMX/TMP resistance genes and their clonality profile. A total of 106 non-repeated clinical samples of S. maltophilia were evaluated. Resistance to SMX/TMP was identified in 21.6% of the samples, and previous use of SMX/TMP occurred in 19 (82.6%). PCR detected the sul1 gene in 14 of 106 strains (13.2%). Of these isolates, nine displayed resistance to SMX/TMP. The resistant strains presented a polyclonal profile. This opportunistic pathogen has emerged in immunocompromised hosts, with few therapeutic options, which is aggravated by the description of emerging resistance mechanisms, although with a polyclonal distribution profile.

https://doi.org/10.1590/s1678-9946202062096 518 downloads

12.

COMPARATIVE ANALYSIS OF LATE RESULTS OF CERVICAL ESOPHAGOGASTRIC ANASTOMOSIS BY MANUAL AND MECHANICAL SUTURE IN PATIENTS SUBMITTED TO ESOPHAGEAL MUCOSECTOMY THROUGH ADVANCED MEGAESOPHAGUS
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AQUINO, José Luis Braga de

; LEANDRO-MERHI, Vania Aparecida

; MENDONÇA, José Alexandre

; MENDES, Elisa Donalisio Teixeira

; CLAIRET, Conceição de Maria Aquino Vieira

; REIS, Leonardo Oliveira

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2019, Volume 32 N. 4 elocation e1462

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

RESUMO Racional: Das anastomoses do trato gastrointestinal, as do esôfago têm especial interesse devido às varias peculiaridades anatômicas e mesmo sistêmicas. Objetivo: Avaliar retrospectivamente os resultados comparando a sutura mecânica e manual na anastomose esofagogástrica cervical no tratamento do megaesôfago. Métodos: Foram estudados 92 pacientes com diagnóstico de megaesôfago avançado com condições clínicas de serem submetidos à operação. Todos foram submetidos à mucosectomia esofágica, sendo realizada anastomose do coto esofágico com o tubo gástrico no nível cervical. Para a realização desta anastomose, foram divididos em dois grupos: grupo A (n=53) com sutura mecânica circular terminolateral; grupo B (n=39) com sutura manual em dois planos terminolateral. No período pós-operatório foi realizada avaliação precoce, com análise das complicações locais e sistêmicas, e tardia (média 5,6 anos) com análise da deglutição. Resultados: Avaliação precoce: a) deiscência da anastomose esofagogástrica, n=5 (9,4%) no grupo A vs. n=9 (23,0%) no grupo B (p=0.0418); b) estenose da anastomose esofagogástrica n=8 (15,1%) no grupo A vs. n=15 (38,4%) no grupo B (p=0.0105); c) infecção pulmonar n=5 (9,4%) no grupo A vs. n=3 (7,6%) no grupo B (p=1.000); d) derrame pleural n=5 (9,4%) no grupo A vs. n=6 (15,4%) no grupo B (p<0.518). A avaliação tardia demonstrou que 86,4 a 96,0% dos pacientes apresentaram critérios 4 e 5 de SAEED, demonstrando deglutição efetiva e sem diferença significante entre os grupos. Conclusão: A anastomose esofagogástrica pela sutura mecânica é mais adequada que a manual com pequena incidência de complicações locais e, na avaliação em longo prazo, a deglutição demonstrou ser adequada em ambos os grupos e com qualidade semelhante.

ABSTRACT Background: Among the anastomoses of the gastrointestinal tract, those of the esophagus are of special interest due to several anatomical or even general peculiarities. Aim: Evaluate retrospectively the results comparing mechanical vs. manual suture at cervical esophagogastric anastomosis in megaesophagus treatment. Methods: Were included 92 patients diagnosed with advanced megaesophagus with clinical conditions to undergo the surgery. All underwent esophageal mucosectomy, performing anastomosis of the esophagus stump with the gastric tube at the cervical level. In order to make this anastomosis, the patients were divided into two groups: group A (n=53) with circular mechanical suture, lateral end; group B (n=39) with manual suture in two sides, lateral end. In the postoperative period, an early evaluation was performed, analyzing local and systemic complications and late (average 5.6 y) analyzing deglutition. Results: Early evaluation: a) dehiscence of esophagogastric anastomosis n=5 (9.4%) in group A vs. n=9 (23.0%) in group B (p=0.0418); b) stenosis of esophagogastric anastomosis n=8 (15.1%) in group A vs. n=15 (38.4%) in group B (p=0.0105.); c) pulmonary infection n=5 (9.4%) in group A vs. n=3 (7.6%) in group B (p=1.0000.); d) pleural effusion n=5 (9.4%) in group A vs. n=6 (15.4%) in group B (p<0.518). Late evaluation showed that 86.4-96% of the patients presented the criteria 4 and 5 from SAEED, expressing effective swallowing mechanisms without showing significant differences among the groups. Conclusion: Cervical esophagogastric anastomosis by means of mechanical suture is more proper than the manual with lower incidence of local complications and, in the long-term evaluation, regular deglutition was acquired in both suture techniques in equal quality.

https://doi.org/10.1590/0102-672020190001e1462 1257 downloads

13.

Bloodstream infection in hematopoietic stem cell transplantation outpatients: risk factors for hospitalization and death
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Russo, Rachel

; Mendes, Elisa Teixeira

; Levin, Anna Sara

; Dulley, Frederico

; Oliveira, Maura S.

; Shikanai-Yasuda, Maria Aparecida

; Costa, Silvia Figueiredo

Revista do Instituto de Medicina Tropical de São Paulo

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2019, Volume 61 elocation e3

Abstract: En | Text: En | PDF: En

ABSTRACT We described 235 bloodstream infection (BSI) episodes in 146 hematopoietic stem cell transplantation (HSCT) outpatients and evaluated risk factors for hospitalization and death. Records of outpatients presenting with positive blood cultures over a 5-year period (January 2005 to December 2008) were reviewed. Variables with p< 0.1 in bivariate analysis were used in a regression logistic model. A total of 266 agents were identified, being 175 (66.7%) gram-negative, 80 (30.3%) gram-positive bacteria and 9 (3.4%) fungi. The most common underlying disease was acute leukemia 40 (27.4%), followed by lymphoma non-Hodgkin 26 (18%) and 87 patients (59.6%) were submitted to allogeneic hematopoietic stem cell transplant (HSCT). BSI episodes were more frequent during the first 100 days after transplantation (183 or 77.8%), and ninety-one (38.7%) episodes of BSI occurred up to the first 30 days. Hospitalization occurred in 26% of the episodes and death in 10% of cases. Only autologous HSCT was protector for hospitalization. Although, central venous catheter (CVC) withdrawal and the Multinational Association of Supportive Care in Cancer (MASCC) score up to 21 points were protector factors for death in the bivariate analysis, only MASCC remained as protector.

https://doi.org/10.1590/s1678-9946201961003 2050 downloads

14.

No correlation was observed between vitamin D levels and disability of patients with multiple sclerosis between latitudes 18° and 30° South
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Fragoso, Yara Dadalti

; Adoni, Tarso

; Alves-Leon, Soniza Vieira

; Apostolos-Pereira, Samira L.

; Arruda, Walter Oleschko

; Brooks, Joseph B. Bidin

; Cal, Henrique S. Rodrigues

; Damasceno, Carlos A. Albuquerque

; Gama, Paulo Diniz

; Goncalves, Marcus V. Magno

; Jesus, Carlos A. da Silva de

; Machado, Suzana C. Nunes

; Mansur, Letícia Fezer

; Matta, Andre P. da Cunha

; Mendes, Maria Fernanda

; Morales, Rogerio Rizo

; Nobrega-Jr, Adaucto Wanderley da

; Parolin, Monica K. Fiuza

; Peres, Mario Pietro

; Ribeiro, Marlise de Castro

; Ruocco, Heloisa Helena

; Scherpenhuijzen, Simone

; Siquinelli, Fabio

; Stoney, Patrick N.

; Varela, Daniel Lima

; Eboni, Audred Cristina Biondo

; Spessotto, Caroline Vieira

; Rocha, Elisa Teixeira da

; Lacerda, Pamela Emanuele

Arquivos de Neuro-Psiquiatria

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jan 2017, Volume 75 N. 1 Pages 3 - 8

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

RESUMO Objetivo: Vitamina D assumiu um papel central na pesquisa e tratamento da esclerose múltipla (EM). O objetivo deste estudo foi avaliar os níveis séricos de vitamina D de pacientes com EM e controles que residem em uma área tropical. Métodos: Foram analisados dados de 535 pacientes com EM e 350 indivíduos controle em 14 cidades próximas ao Trópico de Capricórnio. Resultados: O valor médio da determinação de 25-OH vitamina D foi 26,07 ± 10,27 ng/mL para controles e 28,03 ± 12,19 ng/mL para pacientes com EM. Não houve correlação entre os níveis de vitamina D e o grau de incapacidade ao longo da duração da doença. Conclusão: Pelo menos na região que cerca o Trópico de Capricórnio, os níveis séricos de vitamina D estão entre valores de 20 a 30 ng/mL tanto para controles quanto para pacientes com EM.

ABSTRACT Objective: Vitamin D has taken center stage in research and treatment of multiple sclerosis (MS). The objective of the present study was to assess the serum vitamin D levels of a large population of patients with MS and controls living in a restricted tropical area. Methods: Data from 535 patients with MS and 350 control subjects were obtained from 14 cities around the Tropic of Capricorn. Results: The mean serum 25-OH vitamin D level was 26.07 ± 10.27 ng/mL for the control subjects, and 28.03 ± 12.19 ng/mL for patients with MS. No correlation was observed between vitamin D levels and the disability of patients over the disease duration. Conclusion: At least for the region around the Tropic of Capricorn, serum levels of vitamin D typically are within the range of 20 to 30 ng/mL for controls and patients with MS.

https://doi.org/10.1590/0004-282x20160173 3011 downloads

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