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Objectives: To summarize evidence-based cognitive-behavioral therapy (CBT) treatment and propose clinical interventions for adult patients with obsessive-compulsive disorder (OCD). Methods: The literature on CBT interventions for adult OCD, including BT and exposure and response prevention, was systematically reviewed to develop updated clinical guidelines for clinicians, providing comprehensive details about the necessary procedures for the CBT protocol. We searched the literature from 2013-2020 in five databases (PubMed, Cochrane, Embase, PsycINFO, and Lilacs) regarding study design, primary outcome measures, publication type, and language. Selected articles were assessed for quality with validated tools. Treatment recommendations were classified according to levels of evidence developed by the American College of Cardiology and the American Heart Association. Results: We examined 44 new studies used to update the 2013 American Psychiatric Association guidelines. High-quality evidence supports CBT with exposure and response prevention techniques as a first-line treatment for OCD. Protocols for Internet-delivered CBT have also proven efficacious for adults with OCD. Conclusion: High-quality scientific evidence supports the use of CBT with exposure and response prevention to treat adults with OCD.

https://doi.org/10.47626/1516-4446-2023-3081

Physical rehabilitation in Brazilian pediatric intensive care units: a multicenter point prevalence study
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Redivo, Juliana

; Kannan, Harini

; Souza, Andreia Aparecida Freitas

; Colleti Junior, José

; Kudchadkar, Sapna Ravi

; Horigoshi, Nelson Kazunobu

; Costa, Graziela de Araújo

; Castilho, Taísa Roberta Ramos de

; Peron, Paula Peres Domingues

; Scaranto, Walter Perez

; Medeiros, Daniela Nasu Monteiro

; Matsumoto, Toshio

; Almeida, Carlos Gustavo de

; Oliveira, Felipe Rezende Caino de

; Brandão, Marcelo Barciela

; Lima-Setta, Fernanda

; Prata-Barbosa, Arnaldo

; Xavier, Glaciele Nascimento

; Andrade, Livia Barbosa de

; Aguiar, Agda Ultra de

; Coutinho, Marcos Paulo Galdino

; Castro, Roberta Esteves Viera de

; Landy, Glazia André

; Balaniuc, Suzana Lopes Bonfim

; Yamaguchi, Ricardo Silveira

Critical Care Science

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sep 2023, Volume 35 N. 3 Pages 290 - 301

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

ABSTRACT Objective: To determine the prevalence and factors associated with the physical rehabilitation of critically ill children in Brazilian pediatric intensive care units. Methods: A 2-day, cross-sectional, multicenter point prevalence study comprising 27 pediatric intensive care units (out of 738) was conducted in Brazil in April and June 2019. This Brazilian study was part of a large multinational study called Prevalence of Acute Rehabilitation for Kids in the PICU (PARK-PICU). The primary outcome was the prevalence of mobility provided by physical therapy or occupational therapy. Clinical data on patient mobility, potential mobility safety events, and mobilization barriers were prospectively collected in patients admitted for ≥ 72 hours. Results: Children under the age of 3 years comprised 68% of the patient population. The prevalence of therapist-provided mobility was 74%, or 277 out of the 375 patient-days. Out-of-bed mobility was most positively associated with family presence (adjusted odds ratios 3.31;95%CI 1.70 - 6.43) and most negatively associated with arterial lines (adjusted odds ratios 0.16; 95%CI 0.05 - 0.57). Barriers to mobilization were reported on 27% of patient-days, the most common being lack of physician order (n = 18). Potential safety events occurred in 3% of all mobilization events. Conclusion: Therapist-provided mobility in Brazilian pediatric intensive care units is frequent. Family presence was high and positively associated with out-of-bed mobility. The presence of physiotherapists 24 hours a day in Brazilian pediatric intensive care units may have a substantial impact on the mobilization of critically ill children.

RESUMO Objetivo: Determinar a prevalência e os fatores associados à reabilitação física de crianças em estado grave em unidades de terapia intensiva pediátrica brasileiras. Métodos: Realizou-se um estudo de prevalência pontual multicêntrico, transversal, de 2 dias, abrangendo 27 unidades de terapia intensiva pediátrica (do total de 738) no Brasil em abril e junho de 2019. Este estudo brasileiro fez parte de um grande estudo multinacional chamado Prevalence of Acute Rehabilitation for Kids in the PICU (PARK-PICU). O desfecho primário foi a prevalência de mobilidade proporcionada pela fisioterapia ou pela terapia ocupacional. Foram coletados prospectivamente dados clínicos sobre a mobilidade do paciente, possíveis eventos de segurança de mobilidade e barreiras de mobilização em pacientes admitidos por ≥ 72 horas. Resultados: As crianças com idade inferior a 3 anos eram 68% da população de pacientes. A prevalência de mobilidade fornecida pelo terapeuta foi de 74%, ou 277 dos 375 pacientes-dia. A mobilidade para fora do leito foi mais positivamente associada à presença de familiares (razão de chance ajustada de 3,31; IC95% 1,70 - 6,43) e mais negativamente associada às linhas arteriais (razão de chance ajustada de 0,16; IC95% 0,05 - 0,57). Foram relatadas barreiras à mobilização em 27% dos pacientes-dia, sendo a mais comum a falta de prescrição médica (n = 18). Registaram-se eventuais eventos de segurança em 3% de todos os eventos de mobilização. Conclusão: A mobilidade proporcionada pelo terapeuta nas unidades de terapia intensiva pediátrica brasileiras é frequente. A presença de familiares foi alta e positivamente associada à mobilidade para fora do leito. A presença de fisioterapeutas 24 horas por dia nas unidades de terapia intensiva pediátrica brasileiras pode exercer papel importante na mobilização de crianças em estado grave.

https://doi.org/10.5935/2965-2774.20230388-en

Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part I: pharmacological treatment
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de Oliveira, Marcos Vinícius Sousa

; de Barros, Pedro Macul Ferreira

; de Mathis, Maria Alice

; Boavista, Rodrigo

; Chacon, Priscila

; Echevarria, Marco Antonio Nocito

; Ferrão, Ygor Arzeno

; Vattimo, Edoardo Felippo de Queiroz

; Lopes, Antônio Carlos

; Torres, Albina Rodrigues

; Diniz, Juliana Belo

; Fontenelle, Leonardo F.

; Rosário, Maria Conceição do

; Shavitt, Roseli Gedanke

; Miguel, Eurípedes Constantino

; da Silva, Renata de Melo Felipe

; Costa, Daniel Lucas da Conceição

Brazilian Journal of Psychiatry

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apr 2023, Volume 45 N. 2 Pages 146 - 161

Abstract: En | Text: En | PDF: En

Objectives: To summarize evidence-based pharmacological treatments and provide guidance on clinical interventions for adult patients with obsessive-compulsive disorder (OCD). Methods: The American Psychiatric Association (APA) guidelines for the treatment of OCD (2013) were updated with a systematic review assessing the efficacy of pharmacological treatments for adult OCD, comprising monotherapy with selective serotonin reuptake inhibitors (SSRIs), clomipramine, serotonin and norepinephrine reuptake inhibitors (SNRIs), and augmentation strategies with clomipramine, antipsychotics, and glutamate-modulating agents. We searched for the literature published from 2013-2020 in five databases, considering the design of the study, primary outcome measures, types of publication, and language. Selected articles had their quality assessed with validated tools. Treatment recommendations were classified according to levels of evidence developed by the American College of Cardiology and the American Heart Association (ACC/AHA). Results: We examined 57 new studies to update the 2013 APA guidelines. High-quality evidence supports SSRIs for first-line pharmacological treatment of OCD. Moreover, augmentation of SSRIs with antipsychotics (risperidone, aripiprazole) is the most evidence-based pharmacological intervention for SSRI-resistant OCD. Conclusion: SSRIs, in the highest recommended or tolerable doses for 8-12 weeks, remain the first-line treatment for adult OCD. Optimal augmentation strategies for SSRI-resistant OCD include low doses of risperidone or aripiprazole. Pharmacological treatments considered ineffective or potentially harmful, such as monotherapy with antipsychotics or augmentation with ketamine, lamotrigine, or N-acetylcysteine, have also been detailed.

https://doi.org/10.47626/1516-4446-2022-2891

Understanding the dynamics of attributes of medium and short cycle rice cultivars under nitrogen effect
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Marques Neto, Gil Cunegatto

; Vahl, Ledemar Carlos

; Sousa, Rogério Oliveira de

; Peres, Milena Moreira

; Vale, Marcos Lima Campos do

; Carlos, Filipe Selau

Ciência Rural

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2023, Volume 53 N. 1 elocation e20210584

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

RESUMO: O nitrogênio é o elemento fornecido pelo solo que mais limita o desenvolvimento do arroz irrigado. A hipótese do presente trabalho é que para atender a uma maior demanda de nitrogênio pela planta devido ao maior potencial de rendimento, não é necessário aplicar uma dose maior de fertilizante nitrogenado. O objetivo do estudo foi analisar o efeito do potencial produtivo de cultivares de arroz na resposta ao nitrogênio. Um experimento de campo foi instalado no Rio Grande do Sul, sul do Brasil. Os fatores de tratamento avaliados foram cultivar, com ciclos médio e curto sob doses de 0 e 150 kg N ha-1. Foram analisadas curvas de crescimento, marcha de absorção, teor de nitrogênio e índice de área foliar ao longo do tempo, área radicular e produtividade de grãos. A cultivar de ciclo médio apresenta maior potencial de exploração do ambiente quando comparada a cultivar de arroz de ciclo curto, tanto pela maior área foliar quanto pela maior área superficial da raiz por área. Assim, a cultivar de ciclo médio tem maior capacidade de exploração de recursos e maior eficiência no aproveitamento do nitrogênio, o que é de grande importância para uma agricultura mais sustentável.

ABSTRACT: Nitrogen (N) is the element supplied by the soil that limits the development of irrigated rice. The hypothesis of the present is that to meet higher demand for N by the plant due to the higher potential yield, it is not necessary to apply a higher dose of N fertilizer. This studyevaluated the efficiency of N utilization, the rate of growth and accumulations of N by plants and the grain yield of two rice cultivars, short cycle and medium cycle, with and without N fertilization. A field experiment was installed in the Rio Grande do Sul, southern Brazil. The treatment factors evaluated were cultivar, with medium and short cycles, with doses of 0 and 150 kg N ha-1. Growth curves, absorption rate, N content and leaf area index over time, root area and grain yield were analyzed. The medium cycle cultivar has a greater potential to explore the environment when compared to the short cycle rice cultivar, both for greater leaf area and root area per cultivation area, as well as for longer exploration times. Thus, the medium cycle cultivar has greater N utilization efficiency and higher grain yield.

https://doi.org/10.1590/0103-8478cr20210584

LEAq – Laboratório de Entomologia Aquática “Prof. Claudio Gilberto Froehlich” and the task of facing the biodiversity knowledge deficits on Caddisflies (Trichoptera), Bahia, Brazil
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Calor, Adolfo Ricardo

; Pereira, Rafael

; Queiroz, Larissa Laiane

; Vilarino, Albane

; Azevedo Junior, Carlos Coracy Dultra de

; Queiroz, Amanda

; Burgos-Miranda, Manoel Joaquim

; Cavalcante-Silva, Amanda

; Oliveira-Silva, Marcos Vinícius

; Lucca, Giann

; Quinteiro, Fabio Batagini

; Dias, Everton Santos

; Gomes, Victor de Andrade

; França, Diogo

; Costa, Anne Moreira

; Desidério, Gleison Robson

; Santos, Allan Paulo Moreira

; Dumas, Leandro Lourenço

; Bispo, Pitágoras da Conceição

Revista Brasileira de Entomologia

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2023, Volume 67 N. spe elocation e20230065

Abstract: En | Text: En | PDF: En

ABSTRACT Insects are fundamental to biodiversity conservation in almost all ecosystems, and their population decline, and extinction directly result from environmental impacts. These facts are aggravated by the lack of knowledge of insect biodiversity, the so-called biodiversity deficits, especially the Linnean and Wallacean shortfalls. In freshwater ecosystems, biodiversity loss is higher among aquatic insects, and caddisflies comprise one of the most vulnerable orders. In this way, research focusing on describing new caddisfly species and understanding their distribution ranges will increase knowledge of caddisfly biodiversity. In the past 14 years, the team from the Laboratório de Entomologia Aquática “Prof. Dr. Claudio Gilberto Froehlich” (LEAq, Universidade Federal da Bahia, Brazil) and collaborators have been addressing these issues, resulting in 55 described species of caddisflies. Taxa in other insect orders have also received attention and an additional 16 species have been described (eight mayflies, four stoneflies, four neuropteran spongillaflies, and antlions). Here, eight caddisfly species are described and illustrated (Atopsyche froehlichi sp. nov., Austrotinodes zeferina sp. nov., Cernotina kariri sp. nov., Neoathripsodes froehlichi sp. nov., Notalina claudiofroehlichi sp. nov., Oecetis marcus sp. nov., Phylloicus froehlichi sp. nov., and Polycentropus claudioi sp. nov.), five of them in honor of LEAq’s patron. In addition, new distributional data are presented for 10 known species. A checklist of the caddisfly fauna of Bahia state is also presented, with 138 species, around 75% and 30% of them recorded and described by the LEAq team, respectively. Currently, for caddisflies, Bahia is the fifth most species-rich state in Brazil, and the first in the Brazilian Northeast region.

https://doi.org/10.1590/1806-9665-rbent-2023-0065

Climate-smart agriculture and soil C sequestration in Brazilian Cerrado: a systematic review
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Oliveira, Dener Márcio da Silva

; Tavares, Rose Luiza Moraes

; Loss, Arcângelo

; Madari, Beata Emoke

; Cerri, Carlos Eduardo Pellegrino

; Alves, Bruno Jose Rodrigues

; Pereira, Marcos Gervasio

; Cherubin, Maurício Roberto

Revista Brasileira de Ciência do Solo

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2023, Volume 47 N. spe elocation e0220055

Abstract: En | Text: En | PDF: En

ABSTRACT Climate-smart agriculture (CSA) practices, mainly no-tillage (NT), cover cropping (CC), soil fertilization with organic amendments (OA), and crop-livestock (CL) and crop-livestock-forestry (CLF) systems, has been widely adopted in areas from Brazilian Cerrado. The CSA may partly offset former soil C losses and contribute to climate change mitigation. However, contradictory findings brought uncertainties about the effect of CSA on soil C. Here, by a systematic review of 87 papers and using 621 data pairs, we provided a pervasive biome-scale analysis of soil C stock changes associated with the adoption of CSA across Brazilian Cerrado. All CSA practices evaluated showed average positive rates of C stock change, indicating a general tendency of soil C accretion after its adoption. In areas under NT, CC and CLF, greater rates were estimated for the deeper soil profile evaluated (0.00-1.00 m) (1.24 ± 0.85, 0.54 ± 0.54 and 1.00 ± 1.47 Mg ha–1 yr–1, respectively), while OA and CL showed more soil C accretion when the assessment was limited down to 0.10 m depth (0.82 ± 0.60 and 0.59 ± 0.66 Mg ha–1 yr–1, respectively). Unfortunately, the lack of basic information precluded any attempt to statically compare our estimations. In this sense, we must be cautious in stating that soil C sequestration occurs at those rates after the adoption of CSA practices. Despite these limitations, the results clearly show that the diversification and intensification of agricultural areas in the Cerrado by the adoption of CSA is a promising pathway to increase soil C stocks, and consequently, contribute to climate change mitigation and adaptation. Finally, our findings emphasize the importance of efforts that stimulate farmers to adopt these practices on large scale, such as Brazil’s Low-Carbon Agriculture Plan, besides providing sound empirical evidence about the role of soil C sequestration in Brazil achieving its Nationally Determined Contributions commitments.

https://doi.org/10.36783/18069657rbcs20220055

Chemical, physical, and biological properties of soil with pastures recovered by integration crop-livestock system in Eastern Amazon
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Rego, Carlos Augusto Rocha de Moraes

; Oliveira, Paulo Sérgio Rabello de

; Muniz, Luciano Cavalcante

; Rosset, Jean Sérgio

; Mattei, Eloisa

; Costa, Bruna Penha

; Pereira, Marcos Gervasio

Revista Brasileira de Ciência do Solo

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2023, Volume 47 N. spe elocation e0220094

Abstract: En | Text: En | PDF: En

ABSTRACT Soil quality can be understood as its capacity to provide several essential services within the ecosystem and has been used to understand the impact of different managements, providing information that proves the benefits and your maintenance of the agroecosystem. To understand the impact of different managements, this study aimed to compare the chemical, physical, and biological soil properties in pasture areas managed with different recovery times in an integrated crop-livestock system about perennial pastures and secondary forest. The following management systems were evaluated: Secondary Forest (SF), Perennial Pasture (PP), pasture recovered to five years through the intercropping corn + Brachiaria brizantha (Palisade grass) (ICL5), and pasture recovered to eight years through the intercropping corn + Brachiaria brizantha (Palisade grass) (ICL8). Different soil properties were evaluated, namely: Chemical: pH, H+Al, Al 3+ , P, K + , Ca 2+ , Mg 2+ , TOC, SB, CEC, V, and m; Physical: soil bulk density (Bd), total porosity (Tp), macroporosity (Ma), microporosity (Mi), soil resistance to penetration (Pr), and gravimetric soil water content (GWc); and biological: soil microbial biomass carbon (SMB-C), basal soil respiration (BSR), metabolic quotient (qCO 2 ), and microbial quotient (qMic). Perennial pasture and ICL8 areas were the ones that most contributed to the increase in nutrients (Ca 2+ , Mg 2+ , and K + ), TOC and sorption complex. The ICL8 area showed the best results in soil physical variables Ma, Tp, Pr, and GWc were the best results for the ICL8 area. Secondary forest and ICL8 areas presented the best results from SMB-C and qMic. Between periods of pasture recovery through the integration of crops and livestock, the longer the recovery time, the greater its beneficial effects on the different chemical, physical and biological soil properties, overcoming secondary forest and perennial pasture.

https://doi.org/10.36783/18069657rbcs20220094

Bond strength of bulk fill composite to teeth prepared with Er:YAG laser
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Benati, Marcos Roberto de Lima

; Baioni, Jean Carlos

; Souza, Amanda Guerra Cavalcante de

; Ferraz, Laura Nobre

; Oliveira, Ana Luisa Botta Martins de

; Vitti, Rafael Pino

; Scatolin, Renata Siqueira

Brazilian Journal of Oral Sciences

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2023, Volume 22 elocation e238727

Abstract: En | Text: En | PDF: En

Aim The present in vitro study aimed to evaluate the bond strength of a bulk fill composite on dentin surfaces prepared with the Er: YAG laser. Methods Twenty-four permanent third molars were selected and divided into 2 groups: CP - Conventional preparation with high-speed handpiece (control) and LA (laser) - Preparation with Er: YAG laser. The occlusal surface was removed to expose coronal dentin, which was subsequently prepared with a high-speed handpiece or Er: YAG laser (350mJ, 4Hz, 1.5 ml/min water flow). Both groups were restored with Filtek One Bulk Fill (3M ESPE) composite resin. After 24 hours, the samples were evaluated for microtensile bond strength (µTBS), fracture pattern, and scanning electron microscopy (SEM). Results The data obtained in the µTBS test were submitted to t-test (α=0.05). The results showed no difference in µTBS when the different types of cavity preparation were compared (ρ=0.091). Fracture patterns revealed the prevalence of cohesive fracture in composite resin in CP (83.3%) and adhesive fracture in LA (92.1%). In the SEM analysis, the LA group demonstrated the presence of gaps between the composite resin and the irradiated dentin surface. The hybrid layer exhibited more regularity with the presence of longer and uniform resin tags in the CP group. Conclusion The type of cavity preparation did not influence the values of bulk fill composite resin µTBS to dentin. Fracture patterns and scanning electron microscopy analyses suggested less interference at the adhesive interface in preparations performed using CP.

https://doi.org/10.20396/bjos.v22i00.8668727

Accuracy of the urine point-of-care circulating cathodic antigen assay for diagnosing Schistosomiasis mansoni infection in Brazil: A multicenter study
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Pieri, Otavio Sarmento

; Bezerra, Fernando Schemelzer Moraes

; Coelho, Paulo Marcos Zech

; Enk, Martin Johannes

; Favre, Tereza Cristina

; Graeff-Teixeira, Carlos

; Oliveira, Ricardo Riccio

; Reis, Mitermayer Galvão dos

; Andrade, Lee Senhorinha de Almeida

; Beck, Lilian Christina Nóbrega Holsbach

; Favero, Vivian

; Fialho, Thainá Rodrigues de Souza

; Guimarães, Ricardo José de Paula Souza e

; Oliveira, Bruna Souza Santos

; Pascoal, Vanessa Fey

; Pinheiro, Marta Cristhiany Cunha

; Santos, Ronald Alves dos

; Silva, Luciano Kalabric

; Siqueira, Isadora Cristina de

; Souza, Renata Perotto de

; Katz, Naftale

Revista da Sociedade Brasileira de Medicina Tropical

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2023, Volume 56 elocation e0238-2022

Abstract: En | Text: En | PDF: En

ABSTRACT Background: The World Health Organization recommends a market-ready, urine-based point-of-care diagnostic test for circulating cathodic antigens (CCA) to determine the prevalence of S. mansoni. This study evaluated the performance of the URINE CCA (SCHISTO) ECO TESTE® (POC-ECO), which is currently available in Brazil. Methods: Residents from eight sites with different prevalence estimates provided one urine sample for POC-ECO and one stool sample for Kato-Katz (KK) and Helmintex® (HTX) testing as an egg-detecting reference for infection status. Results: None of the study sites had significantly higher POC-ECO accuracy than KK. Conclusions: POC-ECO is not currently recommended in Brazilian schistosomiasis elimination programs.

https://doi.org/10.1590/0037-8682-0238-2022

10.

Panorama das Intervenções Coronárias Percutâneas em Oclusões Totais Crônicas em Centros Participantes do LATAM CTO Registry no Brasil
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Silva, Antonio Carlos Botelho da

; Paula, João Eduardo Tinoco de

; Campos, Carlos M.

; Ribeiro, Marcelo Harada

; Martins Filho, Evandro

; Oliveira, Marcos Danillo Peixoto

; Côrtes, Leandro Assumpção

; Abelin, Aníbal Pereira

; Zukowski, Cleverson Neves

; Martinelli, Gustavo Cervino

; Brito, Fábio Sândoli de

; Muniz, Antônio José

; Cantarelli, Marcelo José de Carvalho

; Andrade, Pedro Beraldo de

; Medeiros, César Rocha

; Falcão, Breno de Alencar Araripe

; Fuchs, Felipe Costa

; Silva, Leonardo Sinnott

; Fattah, Tammuz

; Degrazia, Ramiro Caldas

; Mangione, José Armando

; Bezerra, Cristiano Guedes

; Baradel, Sandra

; Silveira, João Brum

; Ybarra, Luiz Fernando

; Weillenmann, Daniel

; Gottschall, Carlos

; Lemke, Viviana

; Silva, Franciele Rosa da

; Schmidt, Marcia Moura

; Belli, Karlyse Claudino

; Oliveira, Pedro Piccaro de

; Quadros, Alexandre Schaan de

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 4 elocation e20210462

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

Abstract Background Major advances have been seen in techniques and devices for performing percutaneous coronary interventions (PCIs) for chronic total occlusions (CTOs), but there are limited real-world practice data from developing countries. Objectives To report clinical and angiographic characteristics, procedural aspects, and clinical outcomes of CTO PCI performed at dedicated centers in Brazil. Methods Included patients underwent CTO PCI at centers participating in the LATAM CTO Registry, a Latin American multicenter registry dedicated to prospective collection of these data. Inclusion criteria were procedures performed in Brazil, age 18 years or over, and presence of CTO with PCI attempt. CTO was defined as a 100% lesion in an epicardial coronary artery, known or estimated to have lasted at least 3 months. Results Data on 1196 CTO PCIs were included. Procedures were performed primarily for angina control (85%) and/or treatment of moderate/severe ischemia (24%). Technical success rate was 84%, being achieved with antegrade wire approaches in 81% of procedures, antegrade dissection and re-entry in 9%, and retrograde approaches in 10%. In-hospital adverse cardiovascular events occurred in 2.3% of cases, with a mortality rate of 0.75%. Conclusions CTOs can be treated effectively in Brazil by using PCI, with low complication rates. The scientific and technological development observed in this area in the past decade is reflected in the clinical practice of dedicated Brazilian centers.

Resumo Fundamento Tem sido observado um grande avanço nas técnicas e nos dispositivos para a realização de intervenções coronárias percutâneas (ICP) em oclusões totais coronarianas crônicas (OTC), mas existem poucos dados da prática do mundo real em países em desenvolvimento. Objetivos Relatar as características clínicas e angiográficas, os aspectos dos procedimentos e os resultados clínicos da ICP de OTC em centros dedicados a esse procedimento no Brasil. Métodos Os pacientes incluídos foram submetidos à ICP de OTC em centros participantes do LATAM CTO Registry, um registro multicêntrico latino-americano dedicado à coleta prospectiva desses dados. Os critérios de inclusão foram procedimentos realizados no Brasil, idade acima de 18 anos e presença de OTC com tentativa de ICP. A definição de OTC foi lesão de 100% em uma artéria coronária epicárdica, conhecida ou estimada como tendo pelo menos 3 meses de evolução. Resultados Foram incluídos dados de 1.196 ICPs de OTC. Os procedimentos foram realizados principalmente para controle da angina (85%) e/ou tratamento de uma grande área isquêmica (24%). A taxa de sucesso técnico foi de 84% e foi alcançada com técnicas de fios anterógrados em 81%, dissecção/reentrada anterógrada em 9% e retrógrada em 10% dos procedimentos. Os eventos cardiovasculares adversos intra-hospitalares ocorreram em 2,3% dos casos, sendo a mortalidade de 0,75%. Conclusões As OTC podem ser tratadas no Brasil por intervenção coronária percutânea de forma efetiva e com baixas taxas de complicações. O desenvolvimento científico e tecnológico observado nessa área na última década reflete-se na prática clínica de centros brasileiros dedicados a essa técnica.

https://doi.org/10.36660/abc.20210462

11.

Guidelines from the Brazilian society of surgical oncology regarding indications and technical aspects of neck dissection in papillary, follicular, and medullary thyroid cancers
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Farias, Terence

; Kowalski, Luiz Paulo

; Dias, Fernando

; Barreira, Carlos S. Ritta

; Vartanian, José Guilherme

; Tavares, Marcos Roberto

; Vaisman, Fernanda

; Momesso, Denise

; Oliveira, Alexandre Ferreira

; Pinheiro, Rodrigo Nascimento

; Ribeiro, Heber Salvador de Castro

Archives of Endocrinology and Metabolism

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2023, Volume 67 N. 4 elocation e000607

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: The purpose of these guidelines is to provide specific recommendations for the surgical treatment of neck metastases in patients with papillary, follicular, and medullary thyroid carcinomas. Materials and methods: Recommendations were developed based on research of scientific articles (preferentially meta-analyses) and guidelines issued by international medical specialty societies. The American College of Physicians’ Guideline Grading System was used to determine the levels of evidence and grades of recommendations. The following questions were answered: A) Is elective neck dissection indicated in the treatment of papillary, follicular, and medullary thyroid carcinoma? B) When should central, lateral, and modified radical neck dissection be performed? C) Could molecular tests guide the extent of the neck dissection? Results/conclusion: Recommendation 1: Elective central neck dissection is not indicated in patients with cN0 well-differentiated thyroid carcinoma or in those with noninvasive T1 and T2 tumors but may be considered in T3-T4 tumors or in the presence of metastases in the lateral neck compartments. Recommendation 2: Elective central neck dissection is recommended in medullary thyroid carcinoma. Recommendation 3: Selective neck dissection of levels II–V should be indicated to treat neck metastases in papillary thyroid cancer, an approach that decreases the risk of recurrence and mortality. Recommendation 4: Compartmental neck dissection is indicated in the treatment of lymph node recurrence after elective or therapeutic neck dissection; “berry node picking” is not recommended. Recommendation 5: There are currently no recommendations regarding the use of molecular tests in guiding the extent of neck dissection in thyroid cancer.

https://doi.org/10.20945/2359-3997000000607

12.

Quality of life from women’s perspective in the exercise of sex work: a study of social representations
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Couto, Pablo Luiz Santos

; Neves, Maria Luisa Pereira

; França, Luiz Carlos Moraes

; Gomes, Antônio Marcos Tosoli

; Pereira, Samantha Souza da Costa

; Vilela, Alba Benemérita Alves

; Silva, Dejeane de Oliveira

; Marques, Sérgio Correia

Revista Brasileira de Enfermagem

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2023, Volume 76 Suppl. 2 elocation e20220169

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

ABSTRACT Objectives: to analyze the social representations elaborated by sex workers from Alto Sertão Produtivo Baiano about quality of life. Methods: a qualitative study, based on the Social Representation Theory, carried out in the region of Alto Sertão Produtivo Baiano, with 30 sex workers. Individual in-depth interview was carried out, with speeches organized in a corpus and treated in IRAMUTEQ, enabling lexical analysis for Descending Hierarchical Classification. Results: four thematic classes emerged, in which social representations of quality of life pervade: money earned to supply needs; association with healthy living and obtaining health (physical and mental); balance of emotions (although there are some negative sensations such as fear and anxiety); and faith in a deity. Final Considerations: the social representations elaborated by sex workers about quality of life are anchored in concepts, subjective and practical, punctuated by the World Health Organization.

RESUMEN Objetivos: analizar las representaciones sociales elaboradas por trabajadoras sexuales del Alto Sertão Produtivo Baiano sobre la calidad de vida. Métodos: estudio cualitativo, basado en la Teoría de las Representaciones Sociales, realizado en la región de Alto Sertão Produtivo Baiano, con 30 trabajadoras sexuales. Entrevista individual en profundidad, con discursos organizados en un corpus y tratados en IRAMUTEQ, posibilitando el análisis léxico para Clasificación Jerárquica Descendente. Resultados: surgieron cuatro clases temáticas, en las que impregnan las representaciones sociales de la calidad de vida: el dinero ganado para suplir las necesidades; para la asociación con la vida sana y la obtención de la salud (física y mental); el equilibrio de las emociones (aunque hay algunas sensaciones negativas como el miedo y la ansiedad); y la fe en una deidad. Consideraciones Finales: las representaciones sociales elaboradas por las trabajadoras sexuales sobre la calidad de vida están ancladas en conceptos, subjetivos y prácticos, puntuados por la Organización Mundial de la Salud.

RESUMO Objetivos: analisar as representações sociais elaboradas por trabalhadoras sexuais procedentes do Alto Sertão Produtivo Baiano sobre qualidade de vida. Métodos: estudo qualitativo, baseado na Teoria das Representações Sociais, realizado na Região do Alto Sertão Produtivo Baiano, com 30 trabalhadoras sexuais. Realizou-se entrevista em profundidade individual, com discursos organizados em um corpus e tratados no software IRAMUTEQ, possibilitando a análise lexical para a Classificação Hierárquica Descendente. Resultados: revelaram-se quatro classes temáticas, nas quais as representações sociais da qualidade de vida perpassam: pelo dinheiro conquistado para suprimento das necessidades; pela associação à vida saudável e obtenção da saúde (física e mental); pelo equilíbrio das emoções (ainda que haja algumas sensações negativas como o medo e ansiedade); e pela fé em uma divindade. Considerações Finais: as representações sociais elaboradas pelas trabalhadoras sexuais acerca da qualidade de vida estão ancoradas em conceitos, subjetivos e práticos, pontuados pela Organização Mundial da Saúde.

https://doi.org/10.1590/0034-7167-2022-0169

13.

Diretriz da SBC sobre Diagnóstico e Tratamento de Pacientes com Cardiomiopatia da Doença de Chagas – 2023
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Marin-Neto, José Antonio

; Rassi Jr, Anis

; Oliveira, Gláucia Maria Moraes

; Correia, Luís Claudio Lemos

; Ramos Júnior, Alberto Novaes

; Luquetti, Alejandro Ostermayer

; Hasslocher-Moreno, Alejandro Marcel

; Sousa, Andréa Silvestre de

; Paola, Angelo Amato Vincenzo de

; Sousa, Antônio Carlos Sobral

; Ribeiro, Antonio Luiz Pinho

; Correia Filho, Dalmo

; Souza, Dilma do Socorro Moraes de

; Cunha-Neto, Edecio

; Ramires, Felix Jose Alvarez

; Bacal, Fernando

; Nunes, Maria do Carmo Pereira

; Martinelli Filho, Martino

; Scanavacca, Maurício Ibrahim

; Saraiva, Roberto Magalhães

; Oliveira Júnior, Wilson Alves de

; Lorga-Filho, Adalberto Menezes

; Guimarães, Adriana de Jesus Benevides de Almeida

; Braga, Adriana Lopes Latado

; Oliveira, Adriana Sarmento de

; Sarabanda, Alvaro Valentim Lima

; Pinto, Ana Yecê das Neves

; Carmo, Andre Assis Lopes do

; Schmidt, Andre

; Costa, Andréa Rodrigues da

; Ianni, Barbara Maria

; Markman Filho, Brivaldo

; Rochitte, Carlos Eduardo

; Macêdo, Carolina Thé

; Mady, Charles

; Chevillard, Christophe

; Virgens, Cláudio Marcelo Bittencourt das

; Castro, Cleudson Nery de

; Britto, Constança Felicia De Paoli de Carvalho

; Pisani, Cristiano

; Rassi, Daniela do Carmo

; Sobral Filho, Dário Celestino

; Almeida, Dirceu Rodrigues de

; Bocchi, Edimar Alcides

; Mesquita, Evandro Tinoco

; Mendes, Fernanda de Souza Nogueira Sardinha

; Gondim, Francisca Tatiana Pereira

; Silva, Gilberto Marcelo Sperandio da

; Peixoto, Giselle de Lima

; Lima, Gustavo Glotz de

; Veloso, Henrique Horta

; Moreira, Henrique Turin

; Lopes, Hugo Bellotti

; Pinto, Ibraim Masciarelli Francisco

; Ferreira, João Marcos Bemfica Barbosa

; Nunes, João Paulo Silva

; Barreto-Filho, José Augusto Soares

; Saraiva, José Francisco Kerr

; Lannes-Vieira, Joseli

; Oliveira, Joselina Luzia Menezes

; Armaganijan, Luciana Vidal

; Martins, Luiz Cláudio

; Sangenis, Luiz Henrique Conde

; Barbosa, Marco Paulo Tomaz

; Almeida-Santos, Marcos Antonio

; Simões, Marcos Vinicius

; Yasuda, Maria Aparecida Shikanai

; Moreira, Maria da Consolação Vieira

; Higuchi, Maria de Lourdes

; Monteiro, Maria Rita de Cassia Costa

; Mediano, Mauro Felippe Felix

; Lima, Mayara Maia

; Oliveira, Maykon Tavares de

; Romano, Minna Moreira Dias

; Araujo, Nadjar Nitz Silva Lociks de

; Medeiros, Paulo de Tarso Jorge

; Alves, Renato Vieira

; Teixeira, Ricardo Alkmim

; Pedrosa, Roberto Coury

; Aras Junior, Roque

; Torres, Rosalia Morais

; Povoa, Rui Manoel dos Santos

; Rassi, Sergio Gabriel

; Alves, Silvia Marinho Martins

; Tavares, Suelene Brito do Nascimento

; Palmeira, Swamy Lima

; Silva Júnior, Telêmaco Luiz da

; Rodrigues, Thiago da Rocha

; Madrini Junior, Vagner

; Brant, Veruska Maia da Costa

; Dutra, Walderez Ornelas

; Dias, João Carlos Pinto

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 6 elocation e20230269

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

https://doi.org/10.36660/abc.20230269

14.

Transferability of SSR markers from Eugenia uniflora L. to Myrtaceae species of the Atlantic Forest
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Beise, Dalvan Carlos

; Oliveira, Luana Oliveira de

; Santos, Daniele Damian dos

; Lemos, Rafael Plá Matielo

; Matielo, Cristiane D’ Oliveira

; Castro, Renata Machado

; Stefenon, Valdir Marcos

Acta Botanica Brasilica

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2023, Volume 37 elocation e20230053

Abstract: En | Text: En | PDF: En

ABSTRACT The Myrtaceae family is home to several species of economic and ecological importance, but many are in areas of constant environmental degradation, demanding studies aiming at the conservation status evaluation or other characteristics of interest. One of the widely used tools for these purposes is SSR markers. This study sought to evaluate the transferability of 11 new SSR markers characterized in Eugenia uniflora to 14 different species of the family Myrtaceae. Out of the 11 markers tested, nine were amplified in at least one of the examined species. For seven species, this is the first report of cross-species transfer of SSR markers. These markers may contribute to the characterization of the genetic diversity of the species and planning policies for the conservation and breeding of these genetic resources.

https://doi.org/10.1590/1677-941x-abb-2023-0053

15.

Non-Targeted Self-Measured Blood Pressure and Hypertension Control in Public and Private Health Systems in Brazil
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Salazar, Gabriela de Oliveira

; Almeida, Glessiane de Oliveira

; Barreto-Filho, José Augusto Soares

; Almeida-Santos, Marcos Antônio

; Melo, Enaldo Vieira de

; Aidar, Felipe J.

; Cruz, José Ícaro Nunes

; Oliveira, Joselina Luzia Menezes

; Baumworcel, Leonardo

; Sousa, Antônio Carlos Sobral

International Journal of Cardiovascular Sciences

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2023, Volume 36 elocation e20220144

Abstract: En | Text: En | PDF: En

Abstract Background: It is estimated that more than 30% of the Brazilian population has systemic arterial hypertension (SAH), and mostly as an uncontrolled disease. The most recent Brazilian Guideline of Hypertension recommends the practice of self-measurement of blood pressure (BP) as one of the strategies for a better control of SAH, but there is no consensus about the efficiency of this tool. Objective: To assess the control of SAH and the practice of non-targeted self-measured BP (SMBP) among hypertensive users of the Unified Health System (SUS) and the Supplementary Network (SN). Methods: This is a cross-sectional, observational, analytical study, with a stratified probability sample. One thousand volunteers were investigated, being 500 from SUS and 500 from the SN. Uni and multivariate analyses were performed considering a 5% significance level. Results: Patients from SUS presented inferior sociodemographic data (schooling, social status) in relation to those of the SN (p < 0.001), and showed lower control of SAH (p = 0.014), as well as more visits to the emergency room in the past year due to hypertension (p = 0.002), and fewer regular appointments with the cardiologist (p = 0.004). SMBP was equally present in both assessed groups (p = 0.567), even though users of the SN have been more advised to not conduct such a practice (p = 0.002). SMBP (p < 0.001) was an independent factor for uncontrolled SAH both in SUS (OR = 3.424) and in the SN (OR = 3.474). Conclusion: Patients in SUS presented lower SAH control. The practice of SMBP, mostly practiced with an uncalibrated digital device, was equally present in both groups and became an independent factor of uncontrolled SAH.

https://doi.org/10.36660/ijcs.202220144

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