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ABSTRACT BACKGROUND: Specific types of violence such as intimate partner sexual violence and intimate partner homicide occur more frequently in rural areas. OBJECTIVE: This study aimed to systematically review the literature on the knowledge and attitudes of rural healthcare providers regarding cases of domestic violence against women. DESIGN AND SETTING: Systematic review developed at Universidade Federal de Uberlândia. METHODS: We conducted an electronic search of six databases, which only included observational studies, regardless of the year, language, or country of publication, except for studies that used secondary data and were exclusively qualitative. Two reviewers performed the selection, data extraction, and risk of bias assessment using a specific Joanna Briggs Institute tool. RESULTS: Six studies met the inclusion criteria. All the studies had a low risk of bias. Approximately 38% of these professionals identified injuries caused by violence in patients. When asked about knowing the correct attitude to take in cases of confirmed violence, between 12% and 64% of rural healthcare providers answered positively; most of them would refer to specialized institutions and promote victim empowerment and counseling. The number of professionals with an educational background in the field ranged from 16% to 98%. CONCLUSIONS: The evident disparity across studies shows that some professionals have suboptimal knowledge and require training to adopt the correct attitude when identifying female victims of domestic violence in clinical practice. SYSTEMATIC REVIEW REGISTRATION: This systematic review was registered in the Open Science Framework Database under the registration http://doi.org/10.17605/OSF.IO/B7Q6S.

https://doi.org/10.1590/1516-3180.2022.0682.r1.180723

Detection of anti-Trypanosoma spp. antibodies in cattle from southern Brazil
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Samoel, Gisele Vaz Aguirre

; Fernandes, Fagner D’ambroso

; Roman, Isac Junior

; Rodrigues, Bibiana Teixeira

; Miletti, Luiz Claudio

; Bräunig, Patrícia

; Guerra, Renata Rojas

; Sangioni, Luís Antônio

; Cargnelutti, Juliana Felipetto

; Vogel, Fernanda Silveira Flores

Revista Brasileira de Parasitologia Veterinária

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2024, Volume 33 N. 1 elocation e013723

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

Abstract Bovine trypanosomosis, caused by Trypanosoma vivax, is a disease that originated in Africa and currently affects cattle in several South American countries, including almost all Brazilian states. Despite the reports on T. vivax infection in southern Brazil, data on its circulation status is currently unavailable. In this study, we aimed to detect anti-Trypanosoma spp. IgG antibodies in cattle from Rio Grande do Sul and suggest areas with T. vivax transmission risk. A total of 691 serum samples from cattle in the intermediate regions of Rio Grande do Sul were analyzed using indirect immunofluorescence assay (IFA). The overall seroprevalence of anti-Trypanosoma antibodies in cattle was 24.6% (170/691). The detection rate ranged from 0-37.3%, with a high prevalence in the intermediate regions of Ijuí (37.3%), Uruguaiana (30.7%), and Passo Fundo (28.9%). Thus, these regions were suggested as possible bovine trypanosomosis risk areas due to the high seroprevalence. This is the first serological study to determine Trypanosoma spp. infection status in cattle from Rio Grande do Sul, providing data on the epidemiology of trypanosomosis in the state.

Resumo A tripanossomose bovina, causada por Trypanosoma vivax, é uma doença que teve origem na África, e atualmente, afeta bovinos em diversos países da América do Sul, incluindo quase todos os estados brasileiros. Apesar dos relatos de infecção por T. vivax, no sul do Brasil, dados sobre seu status de circulação não estão disponíveis atualmente. Neste estudo, o objetivo foi detectar anticorpos IgG anti-Trypanosoma spp. em bovinos do Rio Grande do Sul e sugerir possíveis áreas de risco de transmissão de T. vivax. Foi analisado um total de 691 amostras de soro de bovinos, das regiões intermediárias do Rio Grande do Sul, usando-se o ensaio de imunofluorescência indireta (IFA). A soroprevalência geral de anticorpos anti-Trypanosoma em bovinos foi de 24,6% (170/691). A taxa de detecção variou de 0 a 37,3%, com uma alta prevalência nas regiões intermediárias de Ijuí (37,3%), Uruguaiana (30,7%) e Passo Fundo (28,9%). Portanto, essas regiões foram sugeridas como possíveis áreas de risco para a tripanossomose bovina, devido à alta soroprevalência. Este é o primeiro estudo sorológico a determinar o status de infecção por Trypanosoma spp., em bovinos do Rio Grande do Sul, fornecendo dados sobre a epidemiologia da tripanossomose no estado.

https://doi.org/10.1590/s1984-29612024002

Posicionamento do Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia sobre o Uso do Strain Miocárdico na Rotina do Cardiologista – 2023
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Almeida, André Luiz Cerqueira

; Melo, Marcelo Dantas Tavares de

; Bihan, David Costa de Souza Le

; Vieira, Marcelo Luiz Campos

; Pena, José Luiz Barros

; Del Castillo, José Maria

; Abensur, Henry

; Hortegal, Renato de Aguiar

; Otto, Maria Estefania Bosco

; Piveta, Rafael Bonafim

; Dantas, Maria Rosa

; Assef, Jorge Eduardo

; Beck, Adenalva Lima de Souza

; Santo, Thais Harada Campos Espirito

; Silva, Tonnison de Oliveira

; Salemi, Vera Maria Cury

; Rocon, Camila

; Lima, Márcio Silva Miguel

; Barberato, Silvio Henrique

; Rodrigues, Ana Clara

; Rabschkowisky, Arnaldo

; Frota, Daniela do Carmo Rassi

; Gripp, Eliza de Almeida

; Barretto, Rodrigo Bellio de Mattos

; Silva, Sandra Marques e

; Cauduro, Sanderson Antonio

; Pinheiro, Aurélio Carvalho

; Araujo, Salustiano Pereira de

; Tressino, Cintia Galhardo

; Silva, Carlos Eduardo Suaide

; Monaco, Claudia Gianini

; Paiva, Marcelo Goulart

; Fisher, Cláudio Henrique

; Alves, Marco Stephan Lofrano

; Grau, Cláudia R. Pinheiro de Castro

; Santos, Maria Veronica Camara dos

; Guimarães, Isabel Cristina Britto

; Morhy, Samira Saady

; Leal, Gabriela Nunes

; Soares, Andressa Mussi

; Cruz, Cecilia Beatriz Bittencourt Viana

; Guimarães Filho, Fabio Villaça

; Assunção, Bruna Morhy Borges Leal

; Fernandes, Rafael Modesto

; Saraiva, Roberto Magalhães

; Tsutsui, Jeane Mike

; Soares, Fábio Luis de Jesus

; Falcão, Sandra Nívea dos Reis Saraiva

; Hotta, Viviane Tiemi

; Armstrong, Anderson da Costa

; Hygidio, Daniel de Andrade

; Miglioranza, Marcelo Haertel

; Camarozano, Ana Cristina

; Lopes, Marly Maria Uellendahl

; Cerci, Rodrigo Julio

; Siqueira, Maria Eduarda Menezes de

; Torreão, Jorge Andion

; Rochitte, Carlos Eduardo

; Felix, Alex

Arquivos Brasileiros de Cardiologia

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dec 2023, Volume 120 N. 12 elocation e20230646

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

https://doi.org/10.36660/abc.20230646

Brazilian Society of Otology task force - Otosclerosis: evaluation and treatment
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Silva, Vagner Antonio Rodrigues

; Pauna, Henrique Furlan

; Lavinsky, Joel

; Guimarães, Guilherme Corrêa

; Abrahão, Nicolau Moreira

; Massuda, Eduardo Tanaka

; Vianna, Melissa Ferreira

; Yudi Ikino, Cláudio Márcio

; Santos, Vanessa Mazanek

; Polanski, José Fernando

; Silva, Maurício Noschang Lopes da

; Sampaio, André Luiz Lopes

; Zanini, Raul Vitor Rossi

; Lourençone, Luiz Fernando Manzoni

; Denaro, Mariana Moreira de Castro

; Calil, Daniela Bortoloti

; Chone, Carlos Takahiro

; Castilho, Arthur Menino

Brazilian Journal of Otorhinolaryngology

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oct 2023, Volume 89 N. 5 elocation 101303

Abstract: En | Text: En | PDF: En

Abstract Objectives: To review and provide evidence-based recommendations for the diagnosis and treatment of otosclerosis. Methods: Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese on otosclerosis were eligible for inclusion. The American College of Physicians’ guideline grading system and the American Thyroid Association’s guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions. Results: The topics were divided into 2 parts: 1) Diagnosis – audiologic and radiologic; 2) Treatment – hearing AIDS, pharmacological therapy, stapes surgery, and implantable devices - bone-anchored devices, active middle ear implants, and Cochlear Implants (CI). Conclusions: The pathophysiology of otosclerosis has not yet been fully elucidated, but environmental factors and unidentified genes are likely to play a significant role in it. Women with otosclerosis are not at increased risk of worsening clinical condition due to the use of contraceptives or during pregnancy. Drug treatment has shown little benefit. If the patient does not want to undergo stapedotomy, the use of hearing aids is well indicated. Implantable systems should be indicated only in rare cases, and the CI should be indicated in cases of profound deafness.

https://doi.org/10.1016/j.bjorl.2023.101303

Effects of water immersion on cardiac responses in people living with HIV at rest and during exercise
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Masi, Fabrízio Di

; Silva, Gabriel Costa e

; Silveira, Anderson Luiz Bezerra da

; Conceição, Rodrigo Rodrigues da

; Ribeiro, Luiz Claudio Pereira

; Ferry, Fernando Raphael de Almeida

Motricidade

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sep 2023, Volume 19 N. 3 Pages 289 - 296

Abstract: En | Text: En | PDF: En

ABSTRACT The present research aimed to compare the HRV of people living with HIV (PLWH) with non-infected individuals in aquatic and dryland environments. Twenty participants were divided into two groups. PLWH composed the experimental group (EG), and seronegative participants composed the control group (CG). In dryland, HRV was measured in time and frequency domains, as follows: 10 minutes in rest (RES), 20 minutes of moderate and intense aerobic exercise (EXE), and 30 minutes post-exercise recovery (REC). After 72 hours, the same procedures were repeated in the aquatic environment. HRV analysis demonstrated significant differences in Mean r-r (Δ%= 3.5%, p< 0.01) and rMSSD (Δ%= −19.4%, p< 0.05) when compared dryland vs aquatic environment in RES. We observed similar results in rMSSD (Δ%= 49.2%, p< 0.01), pNN50(%) (Δ%= 79.1%, p< 0.01), and SD1 (Δ%= 49.3%, p< 0.01), during REC. Significant differences (p< 0.01) were also demonstrated for the HF during RES (Δ%= −43.4%) and REC (Δ%= −28.8%). However, the EG intra-group analysis showed no significant differences. The inter-group analysis at RES in dryland demonstrated significant differences in rMSSD (Δ%= −36.5%, p< 0.05), pNN50(%) (Δ%= −54.8%, p< 0.05), and SD1 (Δ%= 46.5%, p< 0.05). We also observed significant differences in mean R-R intervals (Δ%= −17.8%, p< 0.01), SDNN (Δ%= −41.2%, p< 0.01), rMSSD (Δ%= −50.5%, p< 0.01), pNN50 (Δ%= −73.6%, p< 0.001), and SD1 (Δ%= −50.4%, p< 0.001) during water immersion as well as the HF (Δ%= −67.6%, p< 0.01). The mean R-R interval (Δ%= −16.3%, p< 0.01), SDNN (Δ%= −46.4%, p< 0.001), rMSSD (Δ%= −57.0%, p< 0.001), pNN50 (Δ%= −73.1, p< 0.001), and SD1 (Δ%= −57.1, p< 0.001) also showed significant differences during REC. Water immersion increases the CG vagal modulation as expected. However, without any influence in EG. The results indicate a decreased vagal modulation in PLHIV in ART, indicating a possible autonomic dysfunction over the heart for this group.

https://doi.org/10.6063/motricidade.31530

Prevalência e fatores associados à suspeição de transtornos mentais comuns em idosos: um estudo populacional
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Valença Neto, Paulo da Fonseca

; Santos, Lucas dos

; Rodrigues, Samara Carolina

; Almeida, Cláudio Bispo de

; Casotti, Cezar Augusto

Jornal Brasileiro de Psiquiatria

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jun 2023, Volume 72 N. 2 Pages 100 - 110

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

ABSTRACT Objective To investigate the prevalence and factors associated with suspected common mental disorders (CMD) in older adults in a small municipality in Northeastern Brazil. Methods Population epidemiological cross-sectional study carried out with older adults from the urban area of Aiquara, BA. Sociodemographic information, lifestyle and health conditions were collected in interviews, using a specific instrument. The level of physical activity was assessed using the International Physical Activity Questionnaire. Respondents who dismissed time < 150 min/wk in physical activity were considered insufficiently active. The identification of suspected CMD was performed using the Self-Reporting Questionnaire, with a cut-off point of seven or more positive responses. For inferential analyses, Pearson’s chi-square test and multivariate logistic regression were used, and their respective 95% confidence intervals (CIs) (p ≤ 0.05). Results A total of 232 older adults (58.6% women), with a mean age of 71.6 ± 7.5 years participated in the study and 32.6% exhibited suspected CMD. In the final regression model, it was observed that women were associated with suspected CMD (PR: 2.49; 95% CI: 1.27-4.88); older adults with self-perceived poor health (PR: 2.73; 95%CI: 1.46-5.10); the older adults who reported experiencing sleep disorders (PR: 3.12; 95%CI: 1.56-6.21) and those who were insufficiently active (PR: 2.30; 95%CI: 1.20-4.41). Conclusion In Aiquara, BA, a high prevalence of suspected common mental disorders was identified, especially in women, in patients evaluated with negative self-perceived health, among those who reported having sleep disorders and in insufficiently active participants.

RESUMO Objetivo Investigar a prevalência e os fatores associados à suspeição de transtornos mentais comuns (TMCs) em idosos de um município de pequeno porte do Nordeste brasileiro. Métodos Estudo epidemiológico populacional, com delineamento transversal, realizado com idosos da área urbana de Aiquara-BA. As informações sociodemográficas, de hábitos de vida e de condições de saúde foram coletadas, em entrevistas, a partir de um instrumento próprio. O nível de atividade física foi averiguado por meio do International Physical Activity Questionnaire. Foram considerados insuficientemente ativos os entrevistados que despendiam tempo < 150 mim/sem em atividade física. A identificação da suspeição de TMCs foi realizada pelo Self-Reporting Questionnaire, com ponto de corte de sete ou mais respostas positivas. Para as análises inferenciais, utilizou-se o teste qui-quadrado de Pearson, regressão logística multivariada e seus respectivos intervalos de confiança (ICs) de 95,0% (p ≤ 0,05). Resultados Participaram do estudo 232 idosos (58,6% mulheres), com média de idade de 71,6 ± 7,5 anos e prevalência de suspeição de TMCs de 32,6%. No modelo final de regressão, foi observado que estiveram associadas à suspeição de TMCs: as mulheres (RP: 2,49; IC95%: 1,27-4,88); os idosos com autopercepção negativa de saúde (RP: 2,73; IC95%: 1,46-5,10); os idosos que referiram ter distúrbios do sono (RP: 3,12; IC95%: 1,56-6,21); e os insuficientemente ativos (RP: 2,30; IC95%: 1,20-4,41). Conclusão Em Aiquara-BA, identificou-se elevada prevalência de suspeição de TMCs, principalmente em mulheres, nos avaliados com autopercepção de saúde negativa, entre os que referiram ter distúrbios do sono e nos participantes insuficientemente ativos.

https://doi.org/10.1590/0047-2085000000410

Desrespeito e abuso durante o parto e depressão pós-parto: uma revisão de escopo
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Conceição, Haylane Nunes da

; Gonçalves, Claudio Fernando Gomes

; Mascarenhas, Márcio Dênis Medeiros

; Rodrigues, Malvina Thaís Pacheco

; Madeiro, Alberto Pereira

Cadernos de Saúde Pública

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2023, Volume 39 N. 5 elocation e00236922

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

O objetivo deste estudo foi mapear na literatura científica a relação entre desrespeito e abuso no parto e a ocorrência da depressão pós-parto. Trata-se de uma revisão de escopo elaborada de acordo com as recomendações do Instituto Joanna Briggs. As buscas foram realizadas nas bases de dados Embase, LILACS, MEDLINE, PsycINFO e Web of Science e no Portal de Teses e Dissertações da CAPES. Foram incluídos estudos que investigaram a relação entre desrespeito e abuso no parto e depressão pós-parto. Foram considerados como depressão os casos diagnosticados pelo médico e os autorrelatos por meio de escalas validadas, sem restrições quanto ao ano de publicação e ao idioma. Identificaram-se 3.399 publicações e, após remoção de duplicatas, leitura de título, resumo e textos completos, houve seleção de sete artigos para integrar esta revisão. Os estudos foram publicados a partir de 2017 e somente em quatro países. As mulheres que tiveram experiências de desrespeito e abuso no parto foram mais propensas a apresentar sintomas de depressão pós-parto. Faz-se necessária uma terminologia padrão para a assistência desrespeitosa e abusiva no parto, bem como a elaboração de instrumento para mensuração que seja aceito universalmente.

El objetivo de este estudio fue identificar en la literatura científica la relación entre la falta de respeto y el abuso durante el parto y la ocurrencia de depresión posparto. Esta es una revisión de alcance realizada según las recomendaciones del Instituto Joanna Briggs. Las búsquedas se realizaron en las bases de datos Embase, LILACS, MEDLINE, PsycINFO y Web of Science y en el Portal de Disertaciones y Tesis de la CAPES. Se incluyeron estudios que investigaron la relación entre la falta de respeto y el abuso durante el parto y la depresión posparto, y se consideró como depresión los casos diagnosticados por el médico y autorreportados mediante escalas validadas, sin restricción de año de publicación o idioma. Se identificaron 3.399 publicaciones y, después de eliminar los duplicados y analizar el título, el resumen y los textos completos, se seleccionaron siete artículos para componer esta revisión. Los estudios se publicaron a partir de 2017, solamente en cuatro países. Las mujeres que tuvieron experiencias de falta de respeto y abuso durante el parto tenían más probabilidades de presentar síntomas de depresión posparto. Se necesita una terminología estándar para la atención del parto irrespetuosa y abusiva, así como el desarrollo de un instrumento de medición que sea universalmente aceptado.

This study aims to map, within the scientific literature, the relationship between disrespect and abuse during childbirth and the occurrence of postpartum depression. This is a scoping review designed in accordance with the recommendations of the Joanna Briggs Institute. The search was performed in Embase, LILACS, MEDLINE, PsycINFO, Web of Science, and in the CAPES Portal of Theses and Dissertations. We included studies that investigated the relationship between disrespect and abuse during childbirth with postpartum depression, considering cases diagnosed by physicians and by self-reports via validated scales, without restrictions regarding the year of publication and language. A total of 3,399 publications were identified and, after removing the duplicates and reading the title, abstracts, and the full-texts, seven articles were selected to integrate this review. Studies were published from 2017 onward, in four countries. Women who had experienced disrespect and abuse during childbirth were more likely to experience symptoms of postpartum depression. A standard terminology is necessary for disrespectful and abusive care during childbirth, as well as the elaboration of a measurement instrument that is universally accepted.

https://doi.org/10.1590/0102-311xpt236922

PANCREATODUODENECTOMY DUE TO LIPOMATOUS PSEUDOHYPERTROPHY OF THE PANCREAS
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Torres, Orlando Jorge Martins

; Vasques, Rodrigo Rodrigues

; Barros Júnior, Cláudio Matias

; Sauaia Filho, Galvani Ascar

; Mouchrek, Benedito Dario Murad

; Rocha, Marcelo Lima

; Santos, Rennan Abud Pinheiro

; Falcão, Milena Vasconcelos

; Moraes Júnior, José Maria Assunção

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2023, Volume 36 elocation e1754

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

ABSTRACT BACKGROUND: Lipomatous pseudohypertrophy of the pancreas, pancreatic lipomatosis, pancreatic steatosis, non-alcoholic fatty pancreatic disease, or fatty pancreas is an extremely rare disease, characterized by the organ enlargement and a localized or diffuse replacement of pancreatic acinar cells by mature adipose tissue, preserving the pancreatic ductal system and islets of Langerhans. AIMS: To report a rare case of lipomatous pseudohypertrophy of the pancreas in a symptomatic patient and the surgical treatment employed. METHODS: A 24-year-old male patient with weight loss (10 kilograms in 8 months), hyperglycemia, severe and recurrent acute abdominal pain, epigastric discomfort associated with nausea, vomiting, and jaundice for 40 days. Magnetic resonance imaging was performed, revealing an irregular lipomatous pseudohypertrophy of the pancreas, measuring 6.0 × 5.6 cm in the head, uncinate process, and part of the body of the pancreas. The pancreatic duct dilation was diffuse and irregular, associated with atrophy of the remnant parenchyma, particularly in the tail of the pancreas. The patient underwent pancreatoduodenectomy without total mesopancreas excision followed by pancreatojejunostomy. RESULTS: The postoperative course was uneventful, the length of stay in the ICU was two days, and the patient was discharged on the seventh postoperative day. CONCLUSIONS: The disease treatment depends on the signs and symptoms at presentation and a pancreatoduodenectomy is indicated in patients with severe and recurrent abdominal pain.

RESUMO RACIONAL: Pseudo-hipertrofia lipomatosa do pâncreas, lipomatose pancreática, esteatose pancreática, doença pancreática gordurosa não alcoólica ou pâncreas gorduroso é uma doença extremamente rara, caracterizada por aumento do órgão e substituição localizada ou difusa de células acinares pancreáticas por tecido adiposo, preservando o sistema ductal pancreático e as ilhotas de Langerhans. OBJETIVOS: Relatar um caso raro de pseudo-hipertrofia lipomatosa do pâncreas, em paciente sintomático e o tratamento cirúrgico empregado. MÉTODOS: Paciente do sexo masculino, 24 anos, com queixas de emagrecimento (10 quilos nos últimos 8 meses), hiperglicemia, dor abdominal aguda intensa e recorrente, desconforto epigástrico associado a náuseas, vômitos e icterícia há 40 dias. A ressonância magnética (RM) revelou pseudo-hipertrofia lipomatosa irregular do pâncreas, medindo 6,0 × 5,6 cm na cabeça, processo uncinado e parte do corpo do pâncreas. A dilatação do ducto pancreático era difusa e irregular, associada à atrofia do parênquima remanescente, principalmente na cauda do pâncreas. O paciente foi submetido à duodenopancreatectomia sem excisão total do mesopâncreas seguida de pancreatojejunostomia. RESULTADOS: O pós-operatório transcorreu sem intercorrências, o tempo de internação na UTI foi de 2 dias, com alta hospitalar no sétimo dia. CONCLUSÕES: O tratamento da doença depende dos sinais e sintomas na apresentação e a duodenopancreatectomia é indicada em pacientes com dor abdominal intensa e recorrente.

https://doi.org/10.1590/0102-672020230036e1754

ONLAY VERSUS RIVES-STOPPA TECHNIQUES IN THE TREATMENT OF INCISIONAL HERNIAS
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Pereira-Rodrigues, Alana Kezya

; Maceio-Da-Graça, João Victor Santos

; Ferreira, Erik Matheus Lemos de Oliveira

; Alves-Almeida, Claudio Claudino

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2023, Volume 36 elocation e1766

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

ABSTRACT BACKGROUND: In the surgical correction of large incisional hernias, the use of a prosthesis is essential in most cases regardless of the technique chosen. The preference is for the polypropylene prosthesis. AIMS: To compare the onlay and Rives-Stoppa techniques in the correction of incisional hernias, their immediate results, complications, advantages, and disadvantages. METHODS: Two groups of patients with incisional hernias were analyzed, submitted to the onlay (19 patients) and Rives-Stoppa (17 patients) techniques, and that used polypropylene prostheses. General epidemiological variables, perioperative data variables, and postoperative complications were assessed. RESULTS: The patients’ epidemiologic profile was similar between both groups. The majority were women (58.4%), with a mean age of 65.5 years and a previous mean body mass index of 41.5 kg/m². The Rives-Stoppa technique was employed in most patients (52.7%). Those submitted to the onlay technique had longer abdominal drainage time and longer hospital stay, as well as a higher incidence of seromas and surgical wound infection. CONCLUSIONS: The incisional herniorrhaphy technique with the placement of a pre-peritoneal polypropylene mesh by the Rives-Stoppa technique was superior to the onlay due to lower rates of drain use, hospital stay, and postoperative complications.

RESUMO RACIONAL: Na correção cirúrgica das grandes hérnias incisionais, independente da técnica escolhida, na maioria das vezes, o uso de uma prótese é imprescindível. A preferência é pelas próteses de polipropileno. OBJETIVOS: Comparar a técnicas onlay e Rives-Stoppa na correção de hérnias incisionais, os seus resultados imediatos, as complicações, as vantagens e desvantagens. MÉTODOS: Foram analisados dois grupos de portadores de hérnias incisionais, submetidos à técnica onlay (19 pacientes) e técnica Rives-Stoppa (17 pacientes), utilizando prótese de polipropileno. As variáveis gerais epidemiológicas, variáveis de dados perioperatórios e complicações pós-operatórias foram analisados. RESULTADOS: O perfil epidemiológico dos pacientes foi semelhante entre os grupos, a maioria eram mulheres (58.4%), com média de idade de 65.5 anos e com índice de massa corpórea (IMC) médio prévio de 41,5kg/m². A técnica de Rives-Stoppa foi utilizada na maioria dos pacientes (52.7%). Pacientes submetidos a técnica onlay apresentaram maior tempo de uso de dreno abdominal e maior tempo de internação hospitalar, além de maior incidência de seromas e infecção de ferida operatória. CONCLUSÕES: A técnica de herniorrafia incisional com colocação de tela de polipropileno pré-peritoneal, pela técnica de Rives-Stoppa apresentou-se superior à técnica onlay, devido menor taxa de uso de drenos, menor taxa de tempo de internação hospitalar, bem como menor taxa de complicações pós-operatórias.

https://doi.org/10.1590/0102-672020230048e1766

10.

Biochar decreases nutrient leaching in KCl-fertilized Podzols grown with black mucuna
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Rodrigues, Luciana Aparecida

; Martins, Caroline Cândida

; Araújo, Tainá Costa

; Marciano, Claudio Roberto

; Barcelos, Júlia Gallon

; Ribeiro, Rosely Menezes da Silva

; Silva, Mauricio Gonçalves da

; Barroso, Deborah Guerra

Revista Brasileira de Ciência do Solo

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2023, Volume 47 elocation e0220086

Abstract: En | Text: En | PDF: En

ABSTRACT Podzols are highly sandy soils, in which elements, such as potassium, needed by crops, are easily leached. Studies have indicated that biochar can contribute to increasing cation exchange capacity of the soil, which can improve the retention of bases. This study aimed to evaluate the effect of the poultry litter biochar combined or not with increasing doses of KCl, on leaching and soil base content, on the production of green manure biomass, and on the distribution of K in the soil-water-plant system. A 2 × 3 factorial experiment was conducted in randomized blocks with 6 repetitions: without and with biochar (1% v / v, produced from poultry litter) × without K, with 53.65 and 107.30 mg dm-3 of K (as KCl). The experiment was carried out in four steps: Step 1) Soil incubation with the treatments (for 20 days) followed by chemical analysis of the soil; Step 2) First leaching: the containers (made with PVC with 0.30 m high) received the newly incubated soil in the surface layer and soil without treatment in the subsurface layer. The containers received water until saturation plus 50 % of the total pore volume and the leached water was collected and analyzed; Step 3) Cultivation of green manure (Mucuna aterrima) in the containers of Step 2 and harvest within 40 days (evaluation of biomass and K content); Step 4) after the mucuna harvest, the containers were subjected to second leaching. The leaching solution and the soil from the surface and subsurface layers were collected for chemical analysis. Biochar increased the pH, cationic exchange capacity, P, K, Ca, and Mg levels in the newly incubated soil, in the surface and subsurface layer. The increasing doses of KCl proportionally increased biomass production and K accumulation in green manure, and the biochar increased this response and reduces the need for potassium fertilization by 50 %. With biochar, the accumulation of total K in the soil-plant-water system increases by 125 % and, in the soil-plant system, by 145 %. Biochar changes the K ratio in the soil-plant-water system. With biochar, proportionally, the highest accumulated percentage of K occurred mainly in the soil surface and subsurface layer, and did not result in higher percentages of K in the leached water. Biochar produced from poultry litter can be used as a good alternative to improve the chemical properties of Podzols and reduce nutrient losses.

https://doi.org/10.36783/18069657rbcs20220086

11.

Atlas de imagens: ilustrando a história da educação e da escola - uma abordagem internacional e de longa duração
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Silva, Cláudio Rodrigues da

Revista Brasileira de História da Educação

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2023, Volume 23 elocation e259

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.4025/rbhe.v23.2023.e259

12.

How to incorporate telemedicine in medical residency: A Brazilian experience in pediatric emergency
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Severini, Rafael da Silva Giannasi

; Marcovici, Michelle

; Farhat, Sylvia Costa Lima

; Bivanco-Lima, Danielle

; Couto, Thomaz Bittencourt

; Amarante, Ana Carolina

; Rodrigues, Katharina Reichmann

; Ghosn, Danielle Saad Nemer Bou

; Schvartsman, Cláudio

Clinics

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2023, Volume 78 elocation 100162

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: The exponential growth of telehealth services during the COVID-19 pandemic led to the implementation of a telemedicine care service in a tertiary university pediatric hospital. It brought the need to develop a training aimed at remote care within the pediatric emergency rotation program. Objective: To describe the implementation of a telemedicine training for pediatric residents and present the preliminary results. Methods: Descriptive prospective study (pre and post), with 40 resident physicians of the first year of pediatrics. Reaction Assessments were applied before and after training, in addition to a resident physician perception questionnaire at the end of the training. Results: There was a significant difference in the resident’s perception of experience and safety after initial training. Most rated the proposal as good or excellent, considered teaching telemedicine relevant and that this experience contributed to their learning on the subject. Conclusion: This study describes an innovative proposal for training in telemedicine. The preliminary results were encouraging, demonstrating the program’s potential in training future pediatricians.

https://doi.org/10.1016/j.clinsp.2022.100162

13.

O MOVIMENTO PELA RURALIZAÇÃO DO ENSINO E A CIRCULAÇÃO DAS SUAS IDEIAS NO BRASIL E NO EXTERIOR (1930-1950)
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Rodrigues da Silva, Cláudio

História da Educação

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2023, Volume 27 elocation e125586

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.1590/2236-3459/125586

14.

Estudo descritivo de casos notificados de febre maculosa em São Paulo, Rio de Janeiro e Minas Gerais entre 2007 e 2016
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Rodrigues, Cláudio Manuel

; Geise, Lena

; Gazeta, Gilberto Salles

; Oliveira, Stefan Vilges de

Cadernos Saúde Coletiva

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2023, Volume 31 N. 2 elocation e31020104

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

Abstract Background Spotted fever is an acute infectious disease caused by bacteria of the genus Rickettsia and transmitted by ticks, which can lead to hospitalization and, eventually, death due to more severe conditions. Objective The purpose of this article was to describe the epidemiological scenario of the disease in the three federal states with the highest number of notifications and deaths due to the disease in Brazil between 2007 and 2016. Method A descriptive epidemiological study was carried out based on data from the investigation forms for the disease, with data being analyzed on demographic, geographic, environmental, and hospitalization, diagnosis, and outcome of cases in the study area. Results 953 cases of the disease were confirmed, mostly by laboratory criteria, with a higher prevalence being observed among men with an average age of 35 years, little related to the work environment, but largely related to the urban environment. Of the total confirmed cases, 64% of patients said that they had had some contact with ticks, as well as with dogs (36%), capybaras (20%), and horses (19%). Conclusion We believe that there are questions about the disease that were not elucidated in this article, however, creative approaches, validated and anchored in the association of different areas of knowledge can give good results if objectively applied in strategic health management actions.

Resumo Introdução A febre maculosa é uma doença infecciosa aguda causada por bactérias do gênero Rickettsia e transmitida por carrapatos que pode levar à hospitalização e, eventualmente, a óbito por causa de quadros mais graves. Objetivo O objetivo deste artigo foi descrever o cenário epidemiológico da doença nas três unidades federativas de maior número de notificações e óbitos pela doença no Brasil entre 2007 e 2016. Método Estudo epidemiológico descritivo com base nos dados das fichas de investigação para a doença, sendo analisados dados demográficos, geográficos, ambientais e de hospitalização, diagnóstico e desfecho dos casos na área de estudo. Resultados Foram confirmados 953 casos da doença, em sua maioria por critérios laboratoriais, sendo observada maior prevalência entre homens com idade média de 35 anos, pouco relacionados ao ambiente de trabalho, mas amplamente relacionados ao meio urbano. Do total de casos confirmados, 64% pacientes afirmaram ter tido algum contato com carrapato, assim como com cães (36%), capivaras (20%) e equinos (19%). Conclusão Existem questionamentos a respeito da doença que não foram elucidados neste artigo, entretanto abordagens criativas, validadas e ancoradas na associação de áreas de conhecimento distintas poderão dar bons resultados se objetivamente aplicadas em ações estratégicas da gestão da saúde.

https://doi.org/10.1590/1414-462x202331020104

15.

Could retrograde reperfusion combined with washout technique broaden the applicability of marginal grafts in liver transplantation? Intra-operative and short-term outcomes of a prospective cohort
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CIRILO NETO, OLIVAL

; MOUTINHO, LUIZ EDUARDO RAFAEL

; MELO, PAULO SÉRGIO VIEIRA DE

; COSTA, LUDMILA RODRIGUES

; RABÊLO, PRISCYLLA JENNIE MONTEIRO

; AMORIM, AMERICO GUSMÃO

; MELO, CLÁUDIO MOURA LACERDA

Revista do Colégio Brasileiro de Cirurgiões

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2023, Volume 50 elocation e20233489

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

ABSTRACT Introduction: many revascularization techniques were designed to reduce the imbalance of ischemia-reperfusion injury. This study’s objective is to evaluate retrograde reperfusion (RR) compared to sequential anterograde reperfusion (AR), with and without the washout technique (WO). Method: this prospective cohort study collected data from 94 deceased donor orthotopic liver transplants and divided it into three groups: RR with WO (RR+WO), AP with WO (AR+WO), and AP without WO (AR). This study did not assign the reperfusion technique to the participants. The primary outcome considered the early graft dysfunction, and secondary outcomes included post-reperfusion syndrome (PRS), post-reperfusion lactate, surgery fluid balance, and vasoactive drug dose during the surgery. Results: 87 patients were submitted to the final analysis-29 in the RR+WO group, 27 in the AR+WO group, and 31 in the AR group. Marginal grafts prevalence was not significantly different between the groups (34% vs. 22% vs. 23%; p=0.49) and early graft dysfunction occurred at the same rate (24% vs. 26% vs. 19%; p=0.72). RR+WO reduced serum post-reperfusion lactate (p=0.034) and the incidence of significant PRS (17% vs. 33% vs. 55%; p=0.051), but norepinephrine dosing >0.5mcg/kg/min were not different during the surgery (20,7% vs. 29,6% vs. 35,5%, p=0.45). Conclusions: primary outcome was not significantly different between the groups; however, intraoperative hemodynamic management was safer using the RR+WO technique. We theorized that the RR+WO technique could reduce the incidence of PRS and benefit marginal graft survival following diseased donor orthotopic liver transplantation.

RESUMO Introdução: várias técnicas de reperfusão foram desenvolvidas a fim de reduzir o dano da lesão induzida por isquemia-reperfusão. Este estudo objetivou avaliar a reperfusão retrograda (RR) comparado com a reperfusão anterógrada (AR), com e sem a realização da técnica de lavagem do enxerto (WO). Métodos: coorte prospectiva com 94 transplantes ortotópicos de fígado de doador falecido divididos em três grupos: RR com WO (RR+WO), reperfusão anterógrada com WO (AR+WO), e AR sem WO (AR). Este estudo não designou a técnica de reperfusão entre os participantes. O desfecho primário considerou a disfunção precoce do enxerto, e os desfechos secundários incluíram a síndrome pós-reperfusão (SPR), lactato pós-reperfusão, balanço hídrico operatório, e uso de drogas vasoativas durante o ato peratório. Resultados: 87 pacientes foram submetidos para consolidação dos dados-29 no RR+WO, 27 no AR+WO, e 31 no AR. A prevalência de enxertos maginais não diferiu entre os grupos (34% vs 22% vs 23%; p=0,49). Disfunção precoce do enxerto ocorreu em uma proporção similar (24% vs 26% vs 19%; p=0,72). RR+WO reduziu o lactato sérico pós-reperfusão (p=0,034) e a incidência de SPR severa (17% vs 33% vs 55%; p=0,051), entretanto a infusão de noradrenalina >0,5mcg/kg/min não foi diferente durante a cirurgia (20,7% vs 29,6% vs 35,5%, p=0,45). Conclusões: o desfecho primário não diferiu significativamente entre os grupos; entretanto, o manejo hemodinâmico intra-operatório foi mais seguro no grupo RR+WO. Nós teorizamos que a técnica RR+WO pode reduzir a SPR e beneficiar enxertos marginais no transplante de fígado.

https://doi.org/10.1590/0100-6991e-20233489-en

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