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Assessing a cut-off point for the diagnosis of abnormal uterine bleeding using the Menstrual Bleeding Questionnaire (MBQ): a validation and cultural translation study with Brazilian women
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Rezende, Gabriela Pravatta

; Brito, Luiz Gustavo Oliveira

; Gomes, Daniela Angerame Yela

; Souza, Leticia Mansano de

; Polo, Sergio

; Benetti-Pinto, Cristina Laguna

Sao Paulo Medical Journal

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2024, Volume 142 N. 1 elocation e2022539

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Abnormal uterine bleeding (AUB) is a common condition, and the Menstrual Bleeding Questionnaire (MBQ) is used for its assessment. OBJECTIVES: To translate, assess the cut-off point for diagnosis, and explore psychometric properties of the MBQ for use in Brazilian Portuguese. DESIGN AND SETTING: Prospective cohort study including 200 women (100 with and 100 without AUB) at a tertiary referral center. METHODS: MBQ translation involved a pilot-testing phase, instrument adjustment, data collection, and back-translation. Cut-off point was obtained using receiver operating curve analysis. Menstrual patterns, impact on quality of life due to AUB, internal consistency, test-retest, responsiveness, and discriminant validity were assessed. For construct validity, the Pictorial Blood Assessment Chart (PBAC) and World Health Organization Quality of Life – abbreviated version (WHOQOL-BREF) were applied. RESULTS: Women with AUB were older, had higher body mass indices, and had a worse quality of life during menstruation. Regarding the MBQ's psychometric variables, Cronbach's alpha coefficient was > 0.70 in all analyses, high intraclass correlation coefficient was found in both groups; no ceiling and floor effects were observed, and construct validity was demonstrated (correlation between MBQ score, PBAC score, and clinical menstrual cycle data). No difference between MBQ and PBAC scores were perceived after the test-retest. Significant differences were found between MBQ and PBAC scores before and after treatment. An MBQ score ≥ 24 was associated with a high probability of AUB; accuracy of 98%. CONCLUSION: The MBQ is a reliable questionnaire for Brazilian women. The cut-off ≥ 24 shows high accuracy to discriminate AUB.

https://doi.org/10.1590/1516-3180.2022.0539.r2.100423

Different approaches to the clinical care and treatment of epileptic seizures in dogs
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Rezende, Gabriela Soares de

; Mortari, Ana Carolina

Ciência Rural

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2024, Volume 54 N. 2 elocation e20220176

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

ABSTRACT: This survey analyzed data obtained through a questionnaire on the clinical approaches used by veterinarians to treat dogs with epileptic seizures. We found that neurological examinations were performed by 12% of the respondents, blood tests by 85%, and computed tomography by 72%. In addition, serology for infectious disease detection was mentioned by 30% of the respondents, and 72% did not classify epileptic seizures. According to the answers, the treatment of choice was phenobarbital in 100% of cases which was combined with potassium bromide in 19%. Moreover, 51% of the respondents mentioned that they monitored the serum phenobarbital levels. The study results showed disagreements on the conduct and care recommended by the International Veterinary Epilepsy Task Force consensus.

RESUMO: O objetivo deste estudo foi analisar a conduta clínica de médicos veterinários no atendimento de cães apresentando crises epilépticas por meio de um questionário. 12% afirmaram realizar exame neurológico, enquanto 85% realizam exames hematológicos; 72% solicitam tomografia computadorizada e 30% pedem sorologias para investigação de doenças infecciosas. Todos os veterinários prescrevem fenobarbital para o tratamento. O brometo de potássio foi citado por 19% dos entrevistados em associação ao fenobarbital. A dosagem sérica de fenobarbital é realizada por 51% dos entrevistados. Os resultados apontaram que não houve homogeneidade na conduta preconizada pelas diretrizes científicas sobre o tema.

https://doi.org/10.1590/0103-8478cr20220176

Atenção Primária à Saúde Diante da Violência contra a Mulher: Revisão Integrativa
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Santos, Gabriela Grandino Rodrigues dos

; Rezende, Katia T. A.

; Santos, Ione Ferreira

; Chirelli, Mara Quaglio

; Tonhom, Silvia Franco da Rocha

; Cardoso, Cristina Peres

New Trends in Qualitative Research

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oct 2023, Volume 18 elocation e904

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

A Atenção Primária à Saúde (APS) atende às necessidades individuais e coletivas da sua população adstrita. Dessa forma, considera-se que a equipe de saúde acolhe as mulheres, que sofreram violência. Contudo, os estudos mostram a fragilidade nos atendimentos a esse grupo. Nesse sentido, questiona-se, especificamente, a atuação dos enfermeiros. Eles são capazes de reconhecer, de maneira precoce, as usuárias do serviço de saúde, que sofrem, ou que correm risco de sofrer violência? Denunciariam a violência contra mulheres atendidas, na unidade de saúde? Existe um ditado, muito forte no Brasil, que diz: “em briga de marido e mulher, não se mete a colher”. Será que esta crença interfere nas ações dos enfermeiros da Atenção Primária à Saúde (APS)? Diante deste contexto, a pergunta desta investigação é: “Como o enfermeiro atua perante a violência contra a mulher na APS?” Objetivo: Identificar e sistematizar a atuação do enfermeiro perante a violência contra a mulher na APS. Método: Utilizou-se da Revisão Integrativa, buscando nas bases de dados LILACS e BDENF, no período entre 2011 a 2021, e nos idiomas inglês e português, artigos que respondiam à pergunta de pesquisa. Resultados: Os encaminhamentos para serviços especializados, serviço social e de psicologia, construção do vínculo, acolhimento e empatia são atuações promovidas pelos enfermeiros na APS. Considerações Finais: Considera-se que a revisão integrativa alcançou os objetivos propostos, uma vez que foi possível identificar e sistematizar a atuação do enfermeiro. Este profissional possui o papel de coordenador e, por sua vez, integrador da equipe. É importante que o mesmo elabore atividades de capacitação, atue com uma visão holística e multiprofissional, devido à alta complexidade da violência doméstica contra a mulher.

Primary Health Care (PHC) meets the individual and collective needs of its assigned population. Thus, it is considered that the health team welcomes women who have suffered violence. However, studies show the fragility of care for this group. In this sense, the role of nurses is specifically questioned. Are they able to recognize, at an early stage, users of the health service who suffer, or who are at risk of suffering violence? Would they denounce violence against women assisted at the health unit? There is a saying, very strong in Brazil, that says: "in a fight between husband and wife, don't get involved". Does this belief interfere with the actions of Primary Health Care (PHC) nurses? Given this context, the question of this investigation is: “How do nurses act in the face of violence against women in PHC?” Objective: To identify and systematize the role of nurses in the face of violence against women in PHC. Method: The Integrative Review was used, searching the LILACS and BDENF databases, in the period between 2011 and 2021, and in English and Portuguese, for articles that answered the research question. Results: Referrals to specialized services, social and psychological services, bond building, welcoming and empathy are actions promoted by nurses in PHC. Final Considerations: It is considered that the integrative review achieved the proposed objectives, since it was possible to identify and systematize the nurse's performance. This professional has the role of coordinator and, in turn, integrator of the team. It is important that he develop training activities, act with a holistic and multidisciplinary vision, due to the high complexity of domestic violence against women.

https://doi.org/10.36367/ntqr.18.2023.e904

Yield and economic analysis of soybean cultivation in succession with different autumn/winter crops in Midwest of Paraná, Brazil
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Wenneck, Gustavo Soares

; Saath, Reni

; Wenneck, Guilherme Soares

; Vila, Vinicius Villa e

; Rezende, Roberto

; Ghuidotti, Gabriela Cristina

Revista Ceres

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aug 2023, Volume 70 N. 4 Pages 64 - 72

Abstract: En | Text: En | PDF: En

ABSTRACT Soybean and corn succession system widely adopt in different agricultural regions from Brazil. However, different species incorporation, especially in the autumn/winter season, can influence the soybeans profitability in succession system and farm economic return, providing benefits for the agricultural sector. The objective this work was to analyze the development of different species in the autumn-winter crop and the influence on soybean yield and the economic return of farm in Midwest of Paraná, Brazil. The study was conducted during 2019/2020 and 2020/2021 crop. A completely randomized design adopted, with eight treatments (autumn/winter season) and four replications. In autumn/winter season were composed of five crops in single system (black oat, brachiaria ruziziensis, oilseed radish, corn and wheat), two in intercropped systems (black oat with oilseed radish and corn with brachiaria) and fallow area (spontaneous plants). In the spring/summer season, soybean was cultivated. The biomass produced in the autumn/winter season varies with the species and cultivation system adopted. Soybean yield is higher when cultivated in succession to brachiaria, while the worst performance is obtained in succession to spontaneous plants. The cultivation of wheat in the winter and soybeans in the summer presents superior economic performance.

https://doi.org/10.1590/0034-737x202370040009

Cardiovascular Risk Factors in Premature Ovarian Insufficiency using Hormonal Therapy
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Rezende, Gabriela Pravatta

; Dassie, Thamyse

; Gomes, Daniela Angerame Yela

; Benetti-Pinto, Cristina Laguna

Revista Brasileira de Ginecologia e Obstetrícia

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jun 2023, Volume 45 N. 6 Pages 312 - 318

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

Abstract Objective Premature ovarian insufficiency (POI) is characterized by early hypoestrogenism. An increased risk of cardiovascular (CV) disease is a long-term consequence of POI. A challenge of hormone therapy (HT) is to reduce the CV risk. Methods Cross-sectional study with lipid profile analysis (total cholesterol, LDL-C, HDL-C, VLDL-C and triglycerides), blood glucose levels and arterial blood pressure of women with POI using HT, compared with age and BMI-matched women with normal ovarian function (controls). Results The mean age and BMI of 102 POI patients using HT and 102 controls were 37.2 ± 6.0 and 37.3 ± 5.9 years, respectively; 27.0 ± 5.2 and 27.1 ± 5.4 kg/m2. There wasn't difference between groups in arterial systolic and diastolic blood pressure, blood glucose levels, total cholesterol, LDL-C, VLDL-C and triglycerides. HDL-C levels were significantly higher in the POI group (56.3 ± 14.6 and 52 ± 13.9mg/dL; p = 0.03). Arterial hypertension was the most prevalent chronic disease (12% in the POI group, 19% in the control group, p = ns), followed by dyslipidemia (6 and 5%, in POI and control women). Conclusion Women with POI using HT have blood pressure levels, lipid and glycemic profile and prevalence of hypertension and dyslipidemia similar to women of the same age and BMI with preserved gonadal function, in addition to better HDL levels.

Resumo Objetivo A insuficiência ovariana prematura (IOP) é caracterizada pelo hipoestrogenismo precoce. Risco aumentado de doença cardiovascular (CV) é uma consequência a longo prazo da IOP e um desafio da terapia hormonal (TH) é reduzir o risco CV. Métodos Estudo transversal com análise do perfil lipídico (colesterol total, LDL-C, HDL-C, VLDL-C e triglicerídeos), glicemia e pressão arterial de mulheres com IOP em uso de TH, em comparação a mulheres com função ovariana normal (controles) pareadas por idade e IMC. Resultados A média de idade e IMC de 102 pacientes com IOP em uso de TH e 102 controles foi de 37,2 ± 6,0 e 37,3 ± 5,9 anos, respectivamente; 27,0 ± 5,2 e 27,1 ± 5,4 kg/m2. Não houve diferença entre os grupos na pressão arterial sistólica e diastólica, glicemia, colesterol total, LDL-C, VLDL-C e triglicerídeos. Os níveis de HDL-C foram significativamente maiores no grupo IOP (56,3 ± 14,6 e 52 ± 13,9mg/dL; p = 0,03). A hipertensão arterial foi a doença crônica mais prevalente (12% no grupo POI, 19% no grupo controle, p = ns), seguida da dislipidemia (6 e 5%, no grupo POI e controle). Conclusão Mulheres com IOP em uso de TH apresentam níveis pressóricos, perfil lipídico e glicêmico e prevalência de hipertensão e dislipidemia semelhantes às mulheres da mesma idade e IMC com função gonadal preservada, além de melhores níveis de HDL.

https://doi.org/10.1055/s-0043-1770088

The impact of bariatric and metabolic surgery on the morbidity and mortality of patients infected during the COVID-19 pandemic: a retrospective cohort study
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Costa, Luiz Henrique Sala de Melo

; Costa, Luiz Filipe Sala de Melo

; Kachan, Gabriela Rezende

; Gentile, João Kleber de Almeida

; Mendonça Filho, Raul Andrade

; Costa, Marcela Ralin de Carvalho Deda

; Ribas Filho, Jurandir Marcondes

Sao Paulo Medical Journal

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apr 2023, Volume 141 N. 2 Pages 120 - 124

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Since the impact of the coronavirus disease 2019 (COVID-19) pandemic in March 2020, several studies have shown a strong relationship between obesity and severe cases of COVID-19. It is imperative to assess whether bariatric surgery exerts a protective effect in such cases. OBJECTIVE: This study aimed to assess the impact of bariatric surgery on the morbidity and mortality in obese patients during the COVID-19 pandemic. A comprehensive search was performed using the PubMed and Cochrane Library databases. DESIGN AND SETTING: Retrospective cohort studies conducted in the Faculdade de Medicina da Universidade Cidade de São Paulo, São Paulo (SP), Brazil. METHODS: The search comprised the following descriptors: “bariatric, surgery, COVID-19”. Current retrospective cohort studies that examined the influence of bariatric surgery on the morbidity and mortality of obese patients during the COVID-19 pandemic were considered eligible. RESULTS: After removing duplicates, 184 studies were obtained from the databases. Of these, 181 were excluded from the analysis as they did not meet the eligibility criteria. Patients undergoing postoperative follow-up of bariatric surgery had a similar probability of SARS-CoV-2 infection compared to the general population, and persistent comorbidities were associated with an increased risk and severity of infection. CONCLUSION: Bariatric surgery has a protective effect against severe COVID-19 in the obese population, bringing the prevalence of severe disease cases to levels equivalent to those of the nonobese general population, with a positive impact on morbidity and mortality.

https://doi.org/10.1590/1516-3180.2021.0952.r2.11052022

BRAZILIAN SOCIETY OF HEPATOLOGY UPDATED RECOMMENDATIONS FOR SYSTEMIC TREATMENT OF HEPATOCELLULAR CARCINOMA
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CHAGAS, Aline Lopes

; LEAL, Cassia Regina Guedes

; MELLO, Vivianne Barreto de

; BARROS, Fábio Marinho Do Rego

; BITTENCOURT, Paulo Lisboa

; MATTOS, Angelo A

; AROUCHA, Dayse

; FONSECA, Leonardo G da

; SILVA, Joyce Roma Lucas de

; DOTTORI, Mariana Fonseca

; TEIXEIRA, Rosangela

; MENDES, Liliana Sampaio Costa

; REZENDE, Rosamar Eulira Fontes

; FILGUEIRA, Norma Arteiro

; COUTINHO, Anelisa K

; ARAÚJO NETO, João Marcello de

; COELHO, Henrique Sergio Moraes

; PESSOA, Mario Guimarães

; CHEINQUER, Hugo

; PARISE, Edison Roberto

; FRANÇA, Alex

; ÁLVARES-DA-SILVA, Mário Reis

; CARRILHO, Flair José

; CORAL, Gabriela P

; PINTO, Paulo de Tarso Aparecida

; PEREIRA, Leila M M Beltrão

; PARANÁ, Raymundo

; ALVES, Rogério Camargo Pinheiro

; BRANDÃO-MELLO, Carlos Eduardo

Arquivos de Gastroenterologia

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jan 2023, Volume 60 N. 1 Pages 106 - 131

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

ABSTRACT Hepatocellular carcinoma (HCC) is the third most common cause of cancer-related mortality worldwide. The Brazilian Society of Hepatology (SBH) published in 2020 the updated recommendations for the diagnosis and treatment of HCC. Since then, new data have emerged in the literature, including new drugs approved for the systemic treatment of HCC that were not available at the time. The SBH board conducted an online single-topic meeting to discuss and review the recommendations on the systemic treatment of HCC. The invited experts were asked to conduct a systematic review of the literature on each topic related to systemic treatment and to present the summary data and recommendations during the meeting. All panelists gathered together for discussion of the topics and elaboration of the updated recommendations. The present document is the final version of the reviewed manuscript containing the recommendations of SBH and its aim is to assist healthcare professionals, policy-makers, and planners in Brazil and Latin America with systemic treatment decision-making of patients with HCC.

RESUMO O carcinoma hepatocelular (CHC) é uma das principais causas de mortalidade relacionada a câncer no Brasil e no mundo. A Sociedade Brasileira de Hepatologia (SBH) publicou em 2020 a atualização das recomendações da SBH para o diagnóstico e tratamento do CHC. Desde então, novas evidências científicas sobre o tratamento sistêmico do CHC foram relatadas na literatura médica, incluindo novos medicamentos aprovados que não estavam disponíveis na época do último consenso, levando a diretoria da SBH a promover uma reunião monotemática on-line para discutir e rever as recomendações sobre o tratamento sistêmico do CHC. Um grupo de experts foi convidado para realizar uma revisão sistemática da literatura e apresentar uma atualização, baseada em evidências científicas, sobre cada tópico relacionado ao tratamento sistêmico e a apresentar os dados e recomendações resumidas durante a reunião. Todos os painelistas se reuniram para discutir os tópicos e elaborar as recomendações atualizadas. O presente documento é a versão final do manuscrito revisado, contendo as recomendações da SBH, e seu objetivo é auxiliar os profissionais de saúde, formuladores de políticas e planejadores no Brasil e na América Latina na tomada de decisões sobre o tratamento sistêmico de pacientes com CHC.

https://doi.org/10.1590/s0004-2803.202301000-14

Getting knowledge to provide care: prevalence and factors associated with Sexually Transmitted Infections in immigrants from Goiás
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Silva, Carla de Almeida

; Silva, Grazielle Rosa da Costa

; Martins, Thaynara Lorrane Silva

; Moura, Winny Éveny Alves

; Gomes, Davi Oliveira

; Bandeira, Gabriela Nolasco

; Carneiro, Megmar Aparecida dos Santos

; Gonzalez, Roxana Isabel Cardozo

; Pacheco, Leonora Rezende

; Zanchetta, Margareth Santos

; Lima, Juliana de Oliveira Roque e

; Teles, Sheila Araujo

; Caetano, Karlla Antonieta Amorim

Revista da Escola de Enfermagem da USP

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2023, Volume 57 N. spe elocation e20230034

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

ABSTRACT Objective: To estimate the prevalence of Sexually Transmitted Infections (STIs) in immigrants and refugees living in the metropolitan region of Goiânia, Goiás. Method: This is a cross-sectional and analytical study. Data collection was carried out from July 2019 to January 2020 and 308 immigrants and refugees were included in the sample. All were underwent face-to-face interviews and were tested for HIV, Syphilis, and Hepatitis B, using rapid tests. Results: The general prevalence for any of the STIs investigated was 8.8% (95%CI 6.0% – 12.3%), being 5.8% (95%CI 3.6% – 8.9%) for Hepatitis B, 2.3% for Syphilis (95%CI 1.00% – 4.4%) and 0.7% for HIV (95%CI 0.1% – 2.1%). Multiple analysis, using logistic regression, showed that the variables male gender (OR = 2.7) and length of time living in Brazil (OR = 2.6) were significantly associated with STIs (p < 0.05). Conclusion: The results of this study suggest that STIs are a health problem in immigrants/refugees, which appear to be enhanced with the length of migration in the country. Public policies that guarantee health care for this population shall be considered.

RESUMEN Objetivo: Estimar la prevalencia de Enfermedades de Transmisión Sexual (ETS) en inmigrantes y refugiados residentes en la región metropolitana de Goiânia, Goiás. Método: Se trata de un estudio transversal y analítico. La recolección de datos se llevó a cabo desde julio de 2019 hasta enero de 2020 y se incluyeron en la muestra 308 inmigrantes y refugiados. Todos fueron entrevistados cara a cara y sometidos a pruebas de VIH, Sífilis y Hepatitis B, mediante pruebas rápidas.. Resultados: La prevalencia general para cualquiera de las ETS investigadas fue de 8,8% (IC95% 6,0% – 12,3%), siendo 5,8% (IC95% 3,6% – 8,9%) para Hepatitis B, 2,3% para Sífilis (IC95% 1,00% – 4,4%) y 0,7% para VIH (IC95% 0,1% – 2,1%). El análisis múltiple, mediante regresión logística, mostró que las variables género masculino (OR = 2,7) y tiempo de residencia en Brasil (OR = 2,6) se asociaron significativamente con las ETS (p < 0,05). Conclusión: Los resultados de este estudio sugieren que las ETS son un problema de salud en inmigrantes/refugiados, que parecen exacerbarse con la duración de la migración en el país. Se deben considerar políticas públicas que garanticen la atención de la salud de esta población.

RESUMO Objetivo: Estimar a prevalência de Infecções Sexualmente Transmissíveis (IST) em imigrantes e refugiados residentes na região metropolitana de Goiânia, Goiás. Método: Trata-se de um estudo transversal e analítico. A coleta de dados foi realizada no período de julho de 2019 a janeiro de 2020 e integraram a amostra 308 imigrantes e refugiados. Todos foram entrevistados face-a-face e testados para HIV, Sífilis e Hepatite B, por meio de testes rápidos. Resultados: A prevalência geral para alguma das IST investigadas foi de 8,8% (IC95% 6,0% – 12,3%), sendo 5,8% (IC95% 3,6% – 8,9%) para Hepatite B, 2,3% para Sífilis (IC95% 1,00% – 4,4%) e 0,7% para HIV (IC95% 0,1% – 2,1%). A análise múltipla, por regressão logística, mostrou que as variáveis sexo masculino (OR = 2,7) e tempo de moradia no Brasil (OR = 2,6) foram associadas significativamente às IST (p < 0,05). Conclusão: Os resultados deste estudo sugerem que as IST são um problema de saúde em imigrantes/refugiados, que parecem ser exacerbadas com o tempo de migração no país. Políticas públicas que garantam a assistência à saúde dessa população devem ser consideradas.

https://doi.org/10.1590/1980-220x-reeusp-2023-0034en

Telehealth and telemedicine in the management of adult patients after hospitalization for COPD exacerbation: a scoping review
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Rezende, Lilian Cristina

; Ribeiro, Edmar Geraldo

; Parreiras, Laura Carvalho

; Guimarães, Rayssa Assunção

; Reis, Gabriela Maciel dos

; Carajá, Adriana Fernandes

; Franco, Túlio Batista

; Mendes, Liliane Patrícia de Souza

; Augusto, Valéria Maria

; Silva, Kênia Lara

Jornal Brasileiro de Pneumologia

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2023, Volume 49 N. 3 elocation e20220067

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

ABSTRACT Objective: A substantial number of people with COPD suffer from exacerbations, which are defined as an acute worsening of respiratory symptoms. To minimize exacerbations, telehealth has emerged as an alternative to improve clinical management, access to health care, and support for self-management. Our objective was to map the evidence of telehealth/telemedicine for the monitoring of adult COPD patients after hospitalization due to an exacerbation. Methods: Bibliographic search was carried in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Scopus, Biblioteca Virtual de Saúde/LILACS and Cochrane Library databases to identify articles describing telehealth and telemonitoring strategies in Portuguese, English, or Spanish published by December of 2021. Results: Thirty-nine articles, using the following concepts (number of articles), were included in this review: telehealth (21); telemonitoring (20); telemedicine (17); teleconsultation (5); teleassistance (4); telehomecare and telerehabilitation (3 each); telecommunication and mobile health (2 each); and e-health management, e-coach, telehome, telehealth care and televideo consultation (1 each). All these concepts describe strategies which use telephone and/or video calls for coaching, data monitoring, and health education leading to self-management or self-care, focusing on providing remote integrated home care with or without telemetry devices. Conclusions: This review demonstrated that telehealth/telemedicine in combination with telemonitoring can be an interesting strategy to benefit COPD patients after discharge from hospitalization for an exacerbation, by improving their quality of life and reducing re-hospitalizations, admissions to emergency services, hospital length of stay, and health care costs.

RESUMO Objetivo: Um número substancial de pessoas com DPOC sofre de exacerbações, definidas como uma piora aguda dos sintomas respiratórios. Para minimizar as exacerbações, a telessaúde surgiu como alternativa para melhorar o manejo clínico, o acesso aos cuidados de saúde e o apoio à autogestão. Nosso objetivo foi mapear as evidências de telessaúde/telemedicina para o monitoramento de pacientes adultos com DPOC após hospitalização por exacerbação. Métodos: Foi realizada uma pesquisa bibliográfica nos bancos de dados PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Scopus, Biblioteca Virtual de Saúde/LILACS e Cochrane Library para identificar artigos que descrevessem estratégias de telessaúde e telemonitoramento em português, inglês, ou espanhol, publicados até dezembro de 2021. Resultados: Trinta e nove artigos, utilizando os seguintes conceitos (número de artigos), foram incluídos nesta revisão: telessaúde (21); telemonitoramento (20); telemedicina (17); teleconsulta (5); teleassistência (4); telecuidado domiciliar e telerreabilitação (3 cada); telecomunicação e saúde móvel (2 cada); e gestão de e-saúde, e-coach, teledomicílio, cuidados de telessaúde e tele/videoconsulta (1 cada). Todos esses conceitos descrevem estratégias que utilizam chamadas telefônicas e/ou de vídeo para coaching, monitoramento de dados e educação em saúde levando à autogestão ou autocuidado, com foco na prestação de cuidados domiciliares remotos integrados, com ou sem dispositivos de telemetria. Conclusões: Esta revisão demonstrou que a telessaúde/telemedicina associada ao telemonitoramento pode ser uma estratégia interessante para beneficiar pacientes com DPOC após a alta hospitalar por exacerbação, por meio da melhora da qualidade de vida e da redução das re-hospitalizações, admissões em serviços de emergência, tempo de internação hospitalar e custos de cuidados de saúde.

https://doi.org/10.36416/1806-3756/e20220067

10.

Abnormal uterine bleeding in reproductive age: a comparative analysis between the five Brazilian geographic regions
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Rezende, Gabriela Pravatta

; Gomes, Daniela Angerame Yela

; Benetti-Pinto, Cristina Laguna

Revista da Associação Médica Brasileira

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2023, Volume 69 Suppl. 1 elocation e2023S111

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: This study aimed to comparatively evaluate the presence of abnormal uterine bleeding and associated factors among women from the five official Brazilian geographic regions. METHODS: This is a cross-sectional, population-based, multicenter study of reproductive-age women from the five regions of Brazil. All participants answered questionnaires containing personal and socioeconomic data and information on uterine bleeding (self-perception and objective data). RESULTS: A total of 1,761 Brazilian women were included, 724 from the Southeast, 408 from the Northeast, 221 from the South, 213 from the North, and 195 from the Central-West. Considering women's self-perception, the prevalence of abnormal uterine bleeding was 37.56% in the North region, 39.46% in the Northeast, 21.54% in the Central-West, 29.56% in the Southeast, and 25.34% in the South (p<0.001). Abnormal uterine bleeding was more prevalent in the North and Northeast, where women had lower purchasing power, became pregnant more often, and were the only ones financially responsible for supporting the family more often (p<0.001). The menstrual cycle lasted <24 days in less than 20% of the women in all regions (p=NS). Among these, approximately 8 out of 10 women had never undergone treatment in four out of the five regions evaluated. More than half of the evaluated women reported a worsening of their quality of life during bleeding. CONCLUSION: The prevalence of abnormal uterine bleeding in Brazilian women was higher in the North and Northeast, followed by the Southeast, South, and Central-West regions. There was a worsening of quality of life during menstruation regardless of the woman's self-perception of abnormal uterine bleeding. Such results can direct the actions of health managers toward a better approach to abnormal bleeding.

https://doi.org/10.1590/1806-9282.2023s111

11.

Tecnologias da informação e comunicação no ensino da Fisioterapia, Terapia Ocupacional e Fonoaudiologia durante a pandemia de COVID-19
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Galvão, Maria Cristiane Barbosa

; Ricarte, Ivan Luiz Marques

; Rezende, Gabriela

; Calandrin, Isabela Dallasta

Avaliação: Revista da Avaliação da Educação Superior (Campinas)

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2023, Volume 28 elocation e023014

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

Abstract Concerns related to the use of technologies in higher education are recurrent in several countries and areas of knowledge. This exploratory cross-sectional study mapped uses and perceptions of information and communication technologies in teaching Physical Therapy, Occupational Therapy and Speech Therapy during the COVID-19 pandemic in Brazil, using an online questionnaire. The study included 87 academics from Speech Therapy, Physiotherapy and Occupational Therapy courses. With regard to the institutional support received during the pandemic for the use of information and communication technologies in the teaching-learning process, 84 participants manifested themselves, of which 13 (15.5%) declared that this support was poor; 40 (47.6%) that the support was fair, 23 (27.4%) that the support was good, and 8 (9.5%) that the support was excellent. Thematic analysis of 87 responses observed the predominance of three themes: positive perceptions about the use of technologies, perceptions related to adversities in the use of technologies and perceptions related to strategies to improve the use of information and communication technologies in the teaching-learning process, highlighting the perceptions related to adversities. It was noted that remote teaching has disadvantages derived from the potential lack of preparation of the academic community for the use of technologies, as well as specificities related to the field of health, such as the necessary student-patient relationship. Thus, the use of information and communication technologies in teaching these areas demands in-depth attention from higher education institutions and the academic community for the adoption, training and evaluation of innovations.

Resumen Las preocupaciones relacionadas con el uso de las tecnologías en la educación superior son recurrentes en varios países y en todas las áreas del conocimiento. Este estudio transversal exploratorio mapeó usos y percepciones de las tecnologías de la información y la comunicación en la enseñanza de Fisioterapia, Terapia Ocupacional y Logopedia durante la pandemia de COVID-19 en Brasil, utilizando un cuestionario en línea. El estudio incluyó a 87 académicos vinculados a cursos de logopedia, fisioterapia y terapia ocupacional. En cuanto al apoyo institucional recibido durante la pandemia para el uso de las tecnologías de la información y la comunicación en el proceso de enseñanza aprendizaje, respondieron 84 participantes, de los cuales 13 (15,5%) declararon que este apoyo fue malo; 40 (47,6%) que el apoyo fue regular, 23 (27,4%) que el apoyo fue bueno y 8 (9,5%) que el apoyo fue excelente. El análisis temático de 87 respuestas observó el predominio de tres temas: percepciones positivas sobre el uso de las tecnologías, percepciones relacionadas con las adversidades en el uso de las tecnologías y percepciones relacionadas con las estrategias para mejorar el uso de las tecnologías de la información y la comunicación en el proceso de enseñanza-aprendizaje, destacando las percepciones de la adversidad. Se observó que la enseñanza a distancia tiene desventajas derivadas de la potencial falta de preparación de la comunidad académica para el uso de las tecnologías, así como especificidades relacionadas con el campo de la salud, como la necesaria relación estudiante-paciente. Por lo tanto, el uso de las tecnologías de la información y la comunicación en la enseñanza de estas áreas demanda una atención profunda de las instituciones de educación superior y la comunidad académica para la adopción, formación y evaluación de las innovaciones.

Resumo Preocupações relacionadas ao uso de tecnologias no ensino superior são recorrentes em vários países e áreas do conhecimento. Este estudo transversal exploratório mapeou usos e percepções sobre as tecnologias da informação e comunicação no ensino de Fisioterapia, Terapia Ocupacional e Fonoaudiologia durante a pandemia de COVID-19, no Brasil, por meio de um questionário online. Participaram do estudo 87 acadêmicos vinculados a cursos de Fonoaudiologia, Fisioterapia e Terapia Ocupacional. No que concerne ao apoio institucional recebido durante a pandemia para o uso de tecnologias de informação e comunicação no processo de ensino-aprendizagem, 84 participantes se manifestaram, dos quais 13 (15,5%) declararam que este apoio foi ruim; 40 (47,6%) que o apoio foi regular, 23 (27,4%) que o apoio foi bom e 8 (9,5%) que o apoio foi ótimo. A análise temática de 87 respostas observou a predominância de três temas: percepções positivas sobre o uso de tecnologias, percepções relacionadas às adversidades no uso de tecnologias e percepções relacionadas às estratégias para aperfeiçoar o uso das tecnologias de informação e comunicação no processo de ensino-aprendizagem, havendo destaque para as percepções sobre adversidades. Notou-se que o ensino remoto possui desvantagens derivadas do potencial despreparo da comunidade acadêmica para o uso de tecnologias, bem como especificidades relacionadas ao campo da saúde como a necessária relação aluno-paciente. Assim, os usos de tecnologias da informação e comunicação no ensino destas áreas demandam atenção aprofundada das instituições de ensino superior e comunidade acadêmica para a adoção, treinamento e avaliação de inovações.

https://doi.org/10.1590/s1414-40772023000100021

12.

Beliefs Toward Cure of Homosexuality Scale: Evidence for Factor Structure
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Rezende, Alessandro Teixeira

; Gouveia, Valdiney Veloso

; Loureto, Gleidson Diego Lopes

; Ribeiro, Maria Gabriela Costa

; Oliveira, Karen Guedes de

Psico-USF

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jun 2022, Volume 27 N. 2 Pages 225 - 236

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

Resumo Este estudo objetivou confirmar a estrutura multifatorial da Escala de Crenças sobre a Cura da Homossexuliade (ECCH) e verificar evidências de validade baseada em variáveis externas. Para tal, foram realizados dois estudos. No Estudo 1 contou-se com 214 estudantes universtários, com uma média de idade de 24 anos (DP = 9,15). Estes responderam a ECCH e a perguntas demográficas. Os resultados indicaram um ajuste satisfatório do modelo multifatorial. O Estudo 2, por sua vez, contou com a participação de 430 estudantes universitários com uma média de idade de 23 anos (DP = 7,90). Além da ECCH, esses participantes responderam as medidas de preconceito sexual (EMPS) e atitudes frente a gays e lésbicas (EMAFGL). Mediante a realização de análises de correlação entre as variáveis foi possível constatar correlações significativas da ECCH com as dimensões da EMPS e EMAFGL. Conclui-se, que a ECCH apresenta bons indicadores de ajuste do modelo multifatorial e evidências de validade baseada em variáveis externas.

Abstract This study aimed to confirm the multifactorial structure of the Beliefs Toward Cure of Homosexuality Scale (BTCHS) - (ECCH in Portuguese) and to verify evidence of its validity based on external variables. To this end, two studies were carried out. In Study 1, there were 214 university students, with an average age of 24 years (SD = 9.15). These students answered the HCBS and demographic questions. The results indicated a satisfactory fit for multifactorial modeling. Study 2, in turn, presented 430 university students with an average age of 23 years (SD = 7.90). In addition to the HCBS, the participants responded to the measures of sexual prejudice (MSP) and attitudes towards gays and lesbians (ATGL) questionnaires. Performing correlation analyses between the variables, we found significant correlations between the HCBS and the MSP and ATGL. In conclusion, the HCBS presented an adequate data-model fit for its multifactorial structure and evidence for its validity based on external variables.

Resumen Este estudio objetivó confirmar la estructura multifactor de la Escala de Creencias sobre la Cura de la Homosexualidad (ECCH) y verificar evidencias de validez basadas en variables externas. Para ello, fueron realizados dos estudios. En el estudio 1 participaron 214 estudiantes universitarios, con una edad media de 24 años (DS = 9,15). Estos respondieron la ECCH y a las preguntas demográficas. Los resultados indicaron un ajuste satisfactorio del modelo multifactorial. El estudio 2, por su parte, contó con la participación de 430 estudiantes universitarios con una edad media de 23 años (DS = 7,90). Además de la ECCH, los participantes contestaron las medidas de prejuicio sexual (EMPS) y actitudes frente a gays y lesbianas (ATGL). Mediante la realización de análisis de correlación entre las variables fue posible constatar correlaciones significativas de la ECCH con las dimensiones de la EMPS y ATGL. Se concluye, que la ECCH presenta buenos índices de ajuste del modelo multifactorial y evidencias de validez basadas en variables externas.

https://doi.org/10.1590/1413-82712022270202

13.

Rational evaluation of patients with COVID-19-related hair loss
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Rezende, Hudson Dutra

; Minari, Gabriela

; Cunha, Marcele

; Dinato, Sandra

; Dias, Maria Fernanda Reis Gavazzoni

; Romiti, Ricardo

Revista da Associação Médica Brasileira

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apr 2022, Volume 68 N. 4 Pages 431 - 432

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1806-9282.20211201

14.

Use of androgens at different stages of life: climacterium
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Nácul, Andrea Prestes

; Rezende, Gabriela Pravatta

; Gomes, Daniela Angerame Yela

; Maranhão, Técia

; Costa, Laura Olinda Bregieiro Fernandes

; Reis, Fernando Marcos dos

; Maciel, Gustavo Arantes Rosa

; Damásio, Lia Cruz Vaz da Costa

; Silva, Ana Carolina Japur de Sá Rosa e

; Lopes, Vinicius Medina

; Baracat, Maria Cândida

; Soares, Gustavo Mafaldo

; Soares Junior, José Maria

; Benetti-Pinto, Cristina Laguna

Revista Brasileira de Ginecologia e Obstetrícia

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jan 2022, Volume 44 N. 1 Pages 83 - 88

Abstract: En | Text: En | PDF: En

https://doi.org/10.1055/s-0041-1740936

15.

High richness of non-volant mammals in a seasonal forest fragment in southeastern Brazil
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Garbino, Guilherme Siniciato Terra

; Rezende, Gabriela Cabral

; Oliveira, Marcus Vinicius Brandão de

; Lambot, Amandine

; Rocha, Flávia Souza

; Culot, Laurence

Papéis Avulsos de Zoologia

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2022, Volume 62 elocation e202262017

Abstract: En | Text: En | PDF: En

Abstract The seasonal forest formations of the Atlantic Forest are a threatened and poorly known habitat. We present here a list of the non-volant mammals occurring in a 515-ha forest fragment known as Santa Maria and located in the Brazilian state of São Paulo. Our surveys are based on live trap captures, camera traps, and active searches for footprints, as well as secondary data. We list 29 species of non-volant mammals in the fragment, recorded between 1996 and 2021. One species found in the fragment, Leontopithecus chrysopygus, is globally endangered. Two species are classified as “vulnerable” in the global red list: Myrmecophaga tridactyla, and Tapirus terresris. One species, Panthera onca, is classified as “critically endangered” in São Paulo state. The red howler, Alouatta guariba, was not recorded after 1999 and has probably been extirpated in the fragment. We show that the number of non-volant mammal species in Santa Maria fragment is high, in relation to its size. The fragment is also in a strategic position, between the Morro do Diabo state park and the Black Lion Tamarin Ecological station, the two largest protected areas in the region. Considering its high mammal richness and its possible role as stepping stone for the local fauna, we recommend that the fragment become a protected area.

https://doi.org/10.11606/1807-0205/2022.62.017

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