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[SciELO Preprints] - Brazilian Guidelines for In-office and Out-of-office Blood Pressure Measurement – 2023
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Feitosa, Audes Diógenes de Magalhães Barroso, Weimar Kunz Sebba Mion Júnior, Décio Nobre, Fernando Mota-Gomes, Marco Antonio Jardim, Paulo Cesar Brandão Veiga Amodeo, Celso Camargo, Adriana Alessi, Alexandre Sousa, Ana Luiza Lima Brandão, Andréa Araujo Pio-Abreu, Andrea Sposito, Andrei Carvalho Pierin, Angela Maria Geraldo Paiva, Annelise Machado Gomes de Spinelli, Antonio Carlos de Souza Machado, Carlos Alberto Poli-de-Figueiredo, Carlos Eduardo Rodrigues, Cibele Isaac Saad Forjaz, Cláudia Lúcia de Moraes Sampaio, Diogo Pereira Santos Barbosa, Eduardo Costa Duarte Freitas, Elizabete Viana de Cestário , Elizabeth do Espírito Santo Muxfeldt, Elizabeth Silaid Lima Júnior, Emilton Campana, Erika Maria Gonçalves Feitosa, Fabiana Gomes Aragão Magalhães Consolim-Colombo, Fernanda Marciano Almeida, Fernando Antônio de Silva, Giovanio Vieira da Moreno Júnior, Heitor Finimundi, Helius Carlos Guimarães, Isabel Cristina Britto Gemelli, João Roberto Barreto Filho, José Augusto Soares Vilela-Martin, José Fernando Ribeiro, José Marcio Yugar-Toledo, Juan Carlos Magalhães, Lucélia Batista Neves Cunha Drager, Luciano Ferreira Bortolotto, Luiz Aparecido Alves, Marco Antonio de Melo Malachias, Marcus Vinícius Bolívar Neves, Mario Fritsch Toros Santos, Mayara Cedrim Dinamarco, Nelson Moreira Filho, Osni Passarelli Júnior, Oswaldo Valverde de Oliveira Vitorino, Priscila Valverde de Oliveira Miranda, Roberto Dischinger Bezerra, Rodrigo Pedrosa, Rodrigo Pinto Paula, Rogério Baumgratz de Okawa, Rogério Toshiro Passos Póvoa, Rui Manuel dos Santos Fuchs, Sandra C. Inuzuka, Sayuri Ferreira-Filho, Sebastião R. Paffer Fillho, Silvio Hock de Jardim, Thiago de Souza Veiga Guimarães Neto, Vanildo da Silva Koch, Vera Hermina Gusmão, Waléria Dantas Pereira Oigman, Wille Nadruz, Wilson

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Publication date: 2023-09-23

Abstract: En Es Pt

Hypertension is one of the primary modifiable risk factors for morbidity and mortality worldwide, being a major risk factor for coronary artery disease, stroke, and kidney failure. Furthermore, it is highly prevalent, affecting more than one-third of the global population. Blood pressure measurement is a MANDATORY procedure in any medical care setting and is carried out by various healthcare professionals. However, it is still commonly performed without the necessary technical care. Since the diagnosis relies on blood pressure measurement, it is clear how important it is to handle the techniques, methods, and equipment used in its execution with care. It should be emphasized that once the diagnosis is made, all short-term, medium-term, and long-term investigations and treatments are based on the results of blood pressure measurement. Therefore, improper techniques and/or equipment can lead to incorrect diagnoses, either underestimating or overestimating values, resulting in inappropriate actions and significant health and economic losses for individuals and nations. Once the correct diagnosis is made, as knowledge of the importance of proper treatment advances, with the adoption of more detailed normal values and careful treatment objectives towards achieving stricter blood pressure goals, the importance of precision in blood pressure measurement is also reinforced. Blood pressure measurement (described below) is usually performed using the traditional method, the so-called casual or office measurement. Over time, alternatives have been added to it, through the use of semi-automatic or automatic devices by the patients themselves, in waiting rooms or outside the office, in their own homes, or in public spaces. A step further was taken with the use of semi-automatic devices equipped with memory that allow sequential measurements outside the office (ABPM; or HBPM) and other automatic devices that allow programmed measurements over longer periods (HBPM). Some aspects of blood pressure measurement can interfere with obtaining reliable results and, consequently, cause harm in decision-making. These include the importance of using average values, the variation in blood pressure during the day, and short-term variability. These aspects have encouraged the performance of a greater number of measurements in various situations, and different guidelines have advocated the use of equipment that promotes these actions. Devices that perform HBPM or ABPM, which, in addition to allowing greater precision, when used together, detect white coat hypertension (WCH), masked hypertension (MH), sleep blood pressure alterations, and resistant hypertension (RHT) (defined in Chapter 2 of this guideline), are gaining more and more importance. Taking these details into account, we must emphasize that information related to diagnosis, classification, and goal setting is still based on office blood pressure measurement, and for this reason, all attention must be given to the proper execution of this procedure.

La hipertensión arterial (HTA) es uno de los principales factores de riesgo modificables para la morbilidad y mortalidad en todo el mundo, siendo uno de los mayores factores de riesgo para la enfermedad de las arterias coronarias, el accidente cerebrovascular (ACV) y la insuficiencia renal. Además, es altamente prevalente y afecta a más de un tercio de la población mundial. La medición de la presión arterial (PA) es un procedimiento OBLIGATORIO en cualquier atención médica o realizado por diferentes profesionales de la salud. Sin embargo, todavía se realiza comúnmente sin los cuidados técnicos necesarios. Dado que el diagnóstico se basa en la medición de la PA, es claro el cuidado que debe haber con las técnicas, los métodos y los equipos utilizados en su realización. Debemos enfatizar que una vez realizado el diagnóstico, todas las investigaciones y tratamientos a corto, mediano y largo plazo se basan en los resultados de la medición de la PA. Por lo tanto, las técnicas y/o equipos inadecuados pueden llevar a diagnósticos incorrectos, subestimando o sobreestimando valores y resultando en conductas inadecuadas y pérdidas significativas para la salud y la economía de las personas y las naciones. Una vez realizado el diagnóstico correcto, a medida que avanza el conocimiento sobre la importancia del tratamiento adecuado, con la adopción de valores de normalidad más detallados y objetivos de tratamiento más cuidadosos hacia metas de PA más estrictas, también se refuerza la importancia de la precisión en la medición de la PA. La medición de la PA (descrita a continuación) generalmente se realiza mediante el método tradicional, la llamada medición casual o de consultorio. Con el tiempo, se han agregado alternativas a través del uso de dispositivos semiautomáticos o automáticos por parte del propio paciente, en salas de espera o fuera del consultorio, en su propia residencia o en espacios públicos. Se dio un paso más con el uso de dispositivos semiautomáticos equipados con memoria que permiten mediciones secuenciales fuera del consultorio (AMPA; o MRPA) y otros automáticos que permiten mediciones programadas durante períodos más largos (MAPA). Algunos aspectos en la medición de la PA pueden interferir en la obtención de resultados confiables y, en consecuencia, causar daños en las decisiones a tomar. Estos incluyen la importancia de usar valores promedio, la variación de la PA durante el día y la variabilidad a corto plazo. Estos aspectos han alentado la realización de un mayor número de mediciones en diversas situaciones, y diferentes pautas han abogado por el uso de equipos que promuevan estas acciones. Los dispositivos que realizan MRPA o MAPA, que además de permitir una mayor precisión, cuando se usan juntos, detectan la hipertensión de bata blanca (HBB), la hipertensión enmascarada (HM), las alteraciones de la PA durante el sueño y la hipertensión resistente (HR) (definida en el Capítulo 2 de esta guía), están ganando cada vez más importancia. Teniendo en cuenta estos detalles, debemos enfatizar que la información relacionada con el diagnóstico, la clasificación y el establecimiento de objetivos todavía se basa en la medición de la presión arterial en el consultorio, y por esta razón, se debe prestar toda la atención a la ejecución adecuada de este procedimiento.

A hipertensão arterial (HA) é um dos principais fatores de risco modificáveis para morbidade e mortalidade em todo o mundo, sendo um dos maiores fatores de risco para doença arterial coronária, acidente vascular cerebral (AVC) e insuficiência renal. Além disso, é altamente prevalente e atinge mais de um terço da população mundial. A medida da PA é procedimento OBRIGATÓRIO em qualquer atendimento médico ou realizado por diferentes profissionais de saúde. Contudo, ainda é comumente realizada sem os cuidados técnicos necessários. Como o diagnóstico se baseia na medida da PA, fica claro o cuidado que deve haver com as técnicas, os métodos e os equipamentos utilizados na sua realização. Deve-se reforçar que, feito o diagnóstico, toda a investigação e os tratamentos de curto, médio e longo prazos são feitos com base nos resultados da medida da PA. Assim, técnicas e/ou equipamentos inadequados podem levar a diagnósticos incorretos, tanto subestimando quanto superestimando valores e levando a condutas inadequadas e grandes prejuízos à saúde e à economia das pessoas e das nações. Uma vez feito o diagnóstico correto, na medida em que avança o conhecimento da importância do tratamento adequado, com a adoção de valores de normalidade mais detalhados e com objetivos de tratamento mais cuidadosos no sentido do alcance de metas de PA mais rigorosas, fica também reforçada a importância da precisão na medida da PA. A medida da PA (descrita a seguir) é habitualmente feita pelo método tradicional, a assim chamada medida casual ou de consultório. Ao longo do tempo, foram agregadas alternativas a ela, mediante o uso de equipamentos semiautomáticos ou automáticos pelo próprio paciente, nas salas de espera ou fora do consultório, em sua própria residência ou em espaços públicos. Um passo adiante foi dado com o uso de equipamentos semiautomáticos providos de memória que permitem medidas sequenciais fora do consultório (AMPA; ou MRPA) e outros automáticos que permitem medidas programadas por períodos mais prolongados (MAPA). Alguns aspectos na medida da PA podem interferir na obtenção de resultados fidedignos e, consequentemente, causar prejuízo nas condutas a serem tomadas. Entre eles, estão: a importância de serem utilizados valores médios, a variação da PA durante o dia e a variabilidade a curto prazo. Esses aspectos têm estimulado a realização de maior número de medidas em diversas situações, e as diferentes diretrizes têm preconizado o uso de equipamentos que favoreçam essas ações. Ganham cada vez mais espaço os equipamentos que realizam MRPA ou MAPA, que, além de permitirem maior precisão, se empregados em conjunto, detectam a HA do avental branco (HAB), HA mascarada (HM), alterações da PA no sono e HA resistente (HAR) (definidos no Capítulo 2 desta diretriz). Resguardados esses detalhes, devemos ressaltar que as informações relacionadas a diagnóstico, classificação e estabelecimento de metas ainda são baseadas na medida da PA de consultório e, por esse motivo, toda a atenção deve ser dada à realização desse procedimento.

https://doi.org/10.1590/SciELOPreprints.7057

EFEITO DA PADRONIZAÇÃO DOS CRITÉRIOS DE OBSERVAÇÃO E DE AVALIAÇÃO DA TÉCNICA DA BRAÇA DO NADO CRAWL NA CONFIABILIDADE INTER E INTRA AVALIADORES
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Peres, Marcus Vinícius Sampaio

; Nogueira, Francine Caetano de Andrade

; Ramos, Waldyr Mendes

; Cardoso, Tamiris da Silva

; Salgado Filho, Leandro Nogueira

; Tucher, Guilherme

Journal of Physical Education

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2023, Volume 34 elocation e3416

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

ABSTRACT This study aimed to assess the effect of standardizing observation and rating criteria for the front crawl stroke technique on inter- and intra-rater reliability in order to propose an observation list. Two teachers and two competitive swimming coaches with different academic backgrounds were responsible for evaluating the front crawl stroke technique of 44 swimmers using video. Each swimmer completed a 25m course at a comfortable speed, having their displacement recorded in the lateral and frontal planes, both submerged and out of water, in the final 10 m of the pool. Throughout the recording, the swimmers did not breath laterally. Only the movement performed by the right arm was the raters’ focus of observation and was based on a checklist. After the shooting, the raters participated in three stages: in the first stage, there was an intervention to standardize the observation and rating criteria; inter-rater agreement was tested in the second stage, while intra-rater agreement was obtained in the third. In the second stage of the study, the agreement ranged from small to low (k=0.08 and k=0.38). In the third stage, some raters showed poor and low agreement (k=-0.13 and k=0.35), while others showed agreement between reasonable and virtually perfect (k=0.64 and k=0.87). From the results presented, it was concluded that the intervention proposal did not have the desired effect of standardizing the observation and rating criteria among the raters.

RESUMO Esse estudo teve por objetivo avaliar o efeito da padronização dos critérios de observação e de avaliação da técnica da braçada do nado crawl na confiabilidade inter e intra avaliadores para uma proposta de lista de observação. Dois professores e dois treinadores de natação competitiva com formação acadêmica diferentes foram responsáveis por avaliar a técnica da braçada do nado crawl de 44 nadadores por meio de vídeo. Cada nadador realizou um percurso de 25m em velocidade confortável tendo seu deslocamento gravado nos planos lateral e frontal, ambos submersos e fora d’água, nos 10 m finais da piscina. No percurso de filmagem os nadadores não realizaram a respiração lateral. Somente o movimento realizado pelo braço direito foi foco de observação dos avaliadores e com base em uma lista de verificação. Após as filmagens os avaliadores participaram de três etapas: na primeira etapa houve uma intervenção para padronização dos critérios de observação e de avaliação. Na segunda etapa testou-se a concordância inter-avaliadores e, na terceira, a concordância intra-avaliador. Na segunda etapa do estudo a concordância variou de pequeno a baixa (k=0,08 e k=0,38). Na terceira etapa alguns avaliadores apresentaram concordância pobre e baixa (k=-0,13 e k=0,35), enquanto outros apresentaram concordância entre razoável e praticamente perfeita (k=0,64 e k=0,87). A partir dos resultados apresentados concluiu-se que a proposta de intervenção não surtiu o efeito desejado de padronização dos critérios de observação e avaliação entre os avaliadores.

https://doi.org/10.4025/jphyseduc.v34i1.3416

Increase in foliar silicon content reduces defoliation by Spodoptera frugiperda (Smith) (Lepidoptera: Noctuidae) in maize
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Perdomo, David Nataren

; Rodrigues, Anakely Alves Rezende

; Sampaio, Marcus Vinicius

; Celotto, Fernando Juari

; Mendes, Simone Martins

; Pereira, Hamilton Seron

; Lima, Diego Tolentino de

; Rezende, Gabriel Fernandes

Bragantia

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2022, Volume 81 elocation e2522

Abstract: En | Text: En | PDF: En

ABSTRACT The effect of silicon (Si) on fitness and leaf consumption of the fall armyworm (FAW), Spodoptera frugiperda (Smith), has been observed in the laboratory, but the effects of Si on damage or defoliation reduction have not yet been determined under field conditions. Here, we evaluated the effects of amendment of soil with Si on defoliation by FAW and crop yield in maize. Two field experiments were carried out, with four doses of Si and a control (no Si amendment). Experiment #1 evaluated 150, 300, 450, and 600 kg of total Si·ha-1, with natural or manual infestation with FAW eggs, while Experiment #2 tested 600, 800, 1,000 and 1,200 kg of total Si·ha-1, with natural or manual infestation with FAW larvae. Defoliation reduction was observed with Si increasing in both Experiments #1 and #2. However, reduction was not observed in all evaluations, and it was dependent of infestation (natural and manual) and the time since manual infestation. Reduction in defoliation began at 600 kg Si·ha-1. In contrast, plant Si content increased linearly with increasing soil Si application. No effect of Si application was observed on maize kernel yield. The increase in leaf Si content reduced FAW defoliation, but it did not affect maize yield from 600 to 1,200 kg·ha-1 of Si. Amendment of soil with Si can be used as a strategy to optimize integrated pest management of FAW in maize.

https://doi.org/10.1590/1678-4499.20210147

Association of the Maternal Folic Acid Supplementation with the Autism Spectrum Disorder: A Systematic Review
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Sampaio, Adalberto Cruz

; Matos Neto, Francisco Facundo de

; Lopes, Lucas de Lucena

; Marques, Ítalo Marcelo Maia

; Tavares, Ravel Moreira

; Fernandes, Marcus Vinicius de Macedo

; Teixeira, Maria Raquel Vieira da Silva

; Brito, Alessandra Bezerra de

; Feitosa, Andrea Couto

; Guedes, Tarciana Oliveira

; Mota, Magaly Lima

Revista Brasileira de Ginecologia e Obstetrícia

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oct 2021, Volume 43 N. 10 Pages 775 - 781

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

Resumo Objetivo Analisar a produção científica a respeito da suplementação de ácido fólico (AF) materno e sua relação com o transtorno do espectro autista (TEA). Fontes de Dados Realizamos buscas eletrônicas irrestritas nas bases de dados do banco virtual BIREME, Biblioteca Virtual em Saúde (VHL) e Medical Literature Analysis and Retrieval System Online (MEDLINE / PubMed). Seleção dos Estudos Incluímos os artigos publicados em inglês, espanhol e português, com o uso dos DeCS: autistic OR autism AND autism spectrum disorder AND folic acid, e com o uso dos Medical Subject Headings (MeSH, na sigla em inglês): autistic OR autism AND Autistic Spectrum Disorder AND folic acid “. Coleta de Dados A extração de dados foi realizada pelos revisores com um formulário de coleta de dados pré-estabelecido. Síntese dos Dados Foram usados os itens de relatório preferidos para protocolos de revisão sistemática e meta-análise (PRISMA-P) com base em uma lista de verificação com 27 itens e um fluxograma de 4 etapas. Resultados Foram encontrados 384 artigos pelas estratégias de busca, dos quais 17 eram elegíveis segundo os critérios pré-estabelecidos. Os principais achados da presente revisão apontam para a suplementação de AF materno no período de preconcepção e início da gravidez como efeito protetor em relação ao TEA, que deve ser indicada neste período como prevenção do problema. Conclusão De acordo com as pesquisas analisadas, mais estudos são necessários para conhecer seus efeitos sobre a gravidez, uma vez que o consumo excessivo de AF pode não ser inócuo.

Abstract Objective To analyze the scientific production regarding maternal folic acid (FA) supplementation and its relationship with autistic spectrum disorder (ASD). Data Sources We performed unrestricted electronic searches in the BIREME virtual bank, Virtual Health Library (VHL) and Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed) databases. Selection of Studies For sample selection, articles that met the proposed objectives were included, published in English, Spanish and Portuguese, the use of Health Sciences Descriptors (DeCS): autistic OR autism AND autism spectrum disorder AND folic acid, AND, with the use of the Medical Subject Headings (MeSH): autistic OR autism AND autistic spectrum disorder AND folic acid. Data Collection Data extraction was performed by the reviewers with a preestablished data collection formulary. Data Synthesis The Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) was used based on a checklist with 27 items and a 4-step flowchart. Results A total of 384 articles was found by the search strategies, of which 17 were eligible following the pre-established criteria. The main findings of the present review point to maternal FA supplementation in the pre-conception period and beginning of pregnancy as a protective effect in relation to ASD, which should be indicated in this period as prevention to the problem. Conclusion According to the research analyzed, more studies are necessary to know its effects on pregnancy, since the consumption of excessive FA may not be innocuous.

https://doi.org/10.1055/s-0041-1736298

Chronic use of hydroxychloroquine did not protect against COVID-19 in a large cohort of patients with rheumatic diseases in Brazil
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Pileggi, Gecilmara Salviato

; Ferreira, Gilda Aparecida

; Gomides Reis, Ana Paula Monteiro

; Reis Neto, Edgard Torres

; Abreu, Mirhelen Mendes

; Albuquerque, Cleandro Pires

; Araújo, Nafice Costa

; Bacchiega, Ana Beatriz

; Bianchi, Dante Valdetaro

; Bica, Blanca

; Bonfa, Eloisa Duarte

; Borba, Eduardo Ferreira

; Brito, Danielle Christinne Soares Egypto

; Duarte, Ângela Luzia Branco Pinto

; Santo, Rafaela Cavalheiro Espírito

; Fernandes, Paula Reale

; Guimarães, Mariana Peixoto

; Gomes, Kirla Wagner Poti

; Kakehasi, Adriana Maria

; Klumb, Evandro Mendes

; Lanna, Cristina Costa Duarte

; Marques, Claudia Diniz Lopes

; Monticielo, Odirlei André

; Mota, Licia Maria Henrique

; Munhoz, Gabriela Araújo

; Paiva, Eduardo Santos

; Pereira, Helena Lucia Alves

; Provenza, José Roberto

; Ribeiro, Sandra Lucia Euzébio

; Rocha Junior, Laurindo Ferreira

; Sampaio, Camila Santana Justo Cintra

; Sampaio, Vanderson Souza

; Sato, Emília Inoue

; Skare, Thelma

; de Souza, Viviane Angelina

; Valim, Valeria

; Lacerda, Marcus Vinícius Guimarães

; Xavier, Ricardo Machado

; Pinheiro, Marcelo Medeiros

Advances in Rheumatology

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2021, Volume 61 elocation 60

Abstract: En | Text: En | PDF: En

Abstract Background: There is a lack of information on the role of chronic use of hydroxychloroquine during the SARS-CoV-2 outbreak. Our aim was to compare the occurrence of COVID-19 between rheumatic disease patients on hydroxychloroquine with individuals from the same household not taking the drug during the first 8 weeks of community viral transmission in Brazil. Methods: This baseline cross-sectional analysis is part of a 24-week observational multi-center study involving 22 Brazilian academic outpatient centers. All information regarding COVID-19 symptoms, epidemiological, clinical, and demographic data were recorded on a specific web-based platform using telephone calls from physicians and medical students. COVID-19 was defined according to the Brazilian Ministry of Health (BMH) criteria. Mann-Whitney, Chi-square and Exact Fisher tests were used for statistical analysis and two binary Final Logistic Regression Model by Wald test were developed using a backward-stepwise method for the presence of COVID-19. Results: From March 29th to May 17st, 2020, a total of 10,443 participants were enrolled, including 5166 (53.9%) rheumatic disease patients, of whom 82.5% had systemic erythematosus lupus, 7.8% rheumatoid arthritis, 3.7% Sjögren’s syndrome and 0.8% systemic sclerosis. In total, 1822 (19.1%) participants reported flu symptoms within the 30 days prior to enrollment, of which 3.1% fulfilled the BMH criteria, but with no significant difference between rheumatic disease patients (4.03%) and controls (3.25%). After adjustments for multiple confounders, the main risk factor significantly associated with a COVID-19 diagnosis was lung disease (OR 1.63; 95% CI 1.03-2.58); and for rheumatic disease patients were diagnosis of systemic sclerosis (OR 2.8; 95% CI 1.19-6.63) and glucocorticoids above 10 mg/ day (OR 2.05; 95% CI 1.31-3.19). In addition, a recent influenza vaccination had a protective effect (OR 0.674; 95% CI 0.46-0.98). Conclusion: Patients with rheumatic disease on hydroxychloroquine presented a similar occurrence of COVID-19 to household cohabitants, suggesting a lack of any protective role against SARS-CoV-2 infection. Trial registration Brazilian Registry of Clinical Trials (ReBEC; RBR - 9KTWX6).

https://doi.org/10.1186/s42358-021-00217-0 22 downloads

Effects of acetamiprid on Lipaphis pseudobrassicae (Hemiptera: Aphididae) resistant and susceptible to the parasitoid Diaeretiella rapae (Hymenoptera: Braconidae, Aphidiinae)
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Maia, Jader Braga

; Silva, Paula de Freitas

; Sampaio, Marcus Vinicius

; Oliveira, Amanda Rosa Custódio de

; Moura, Lohaynne Borges Rosa de

; Silva, Carolinne Almeida

Revista Ceres

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jun 2020, Volume 67 N. 3 Pages 231 - 239

Abstract: En | Text: En | PDF: En

ABSTRACT This study evaluated the relationship between the resistance of Lipaphis pseudobrassicae to the parasitoid Diaeretialla rapae and the effects of the insecticide acetamiprid on the aphid. Four groups of L. pseudobrassicae collected in Uberlândia, MG, were used. The first two were formed by individuals of the same clone (C1), which were resistant (C1R) or susceptible (C1S) to the parasitoid. The third group was formed by resistant individuals to the parasitoid descended from a clone collected in canola (C2R) and the fourth group, from a population collected in a commercial plantation of collard greens (P1). Determination of LD50 was done with three replications of 10 aphids, subjected to dose-response assays, with the application of five concentrations of the insecticide acetamiprid (0.01, 0.1, 1, 10 or 100 ng a.i./aphid) and a control treatment consisting of acetone alone. There was no significant difference in the LD50 of individuals of the same clone, C1R and C1S (0.06 ng a.i./aphid for both clones). C2R had the highest LD50 (0.14 ng a.i./aphid), while P1 had the lowest (0.01 ng a.i./aphid). These results suggest that resistance against the parasitoid is not, therefore, associated with the effects of insecticide on L. pseudobrassicae.

https://doi.org/10.1590/0034-737x202067030009 551 downloads

Atualização da Diretriz de Ressuscitação Cardiopulmonar e Cuidados Cardiovasculares de Emergência da Sociedade Brasileira de Cardiologia - 2019
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Bernoche, Claudia

; Timerman, Sergio

; Polastri, Thatiane Facholi

; Giannetti, Natali Schiavo

; Siqueira, Adailson Wagner da Silva

; Piscopo, Agnaldo

; Soeiro, Alexandre de Matos

; Reis, Amélia Gorete Afonso da Costa

; Tanaka, Ana Cristina Sayuri

; Thomaz, Ana Maria

; Quilici, Ana Paula

; Catarino, Andrei Hilário

; Ribeiro, Anna Christina de Lima

; Barreto, Antonio Carlos Pereira

; Azevedo Filho, Antonio Fernando Barros de

; Pazin Filho, Antonio

; Timerman, Ari

; Scarpa, Bruna Romanelli

; Timerman, Bruno

; Tavares, Caio de Assis Moura

; Martins, Cantidio Soares Lemos

; Serrano Junior, Carlos Vicente

; Malaque, Ceila Maria Sant’Ana

; Pisani, Cristiano Faria

; Batista, Daniel Valente

; Leandro, Daniela Luana Fernandes

; Szpilman, David

; Gonçalves, Diego Manoel

; Paiva, Edison Ferreira de

; Osawa, Eduardo Atsushi

; Lima, Eduardo Gomes

; Adam, Eduardo Leal

; Peixoto, Elaine

; Evaristo, Eli Faria

; Azeka, Estela

; Silva, Fabio Bruno da

; Wen, Fan Hui

; Ferreira, Fatima Gil

; Lima, Felipe Gallego

; Fernandes, Felipe Lourenço

; Ganem, Fernando

; Galas, Filomena Regina Barbosa Gomes

; Tarasoutchi, Flavio

; Souza, Germano Emilio Conceição

; Feitosa Filho, Gilson Soares

; Foronda, Gustavo

; Guimarães, Helio Penna

; Abud, Isabela Cristina Kirnew

; Leite, Ivanhoé Stuart Lima

; Linhares Filho, Jaime Paula Pessoa

; Moraes Junior, João Batista de Moura Xavier

; Falcão, João Luiz Alencar de Araripe

; Ramires, Jose Antônio Franchini

; Cavalini, José Fernando

; Saraiva, José Francisco Kerr

; Abrão, Karen Cristine

; Pinto, Lecio Figueira

; Bianchi, Leonardo Luís Torres

; Lopes, Leonardo Nícolau Geisler Daud

; Piegas, Leopoldo Soares

; Kopel, Liliane

; Godoy, Lucas Colombo

; Tobase, Lucia

; Hajjar, Ludhmila Abrahão

; Dallan, Luís Augusto Palma

; Caneo, Luiz Fernando

; Cardoso, Luiz Francisco

; Canesin, Manoel Fernandes

; Park, Marcelo

; Rabelo, Marcia Maria Noya

; Malachias, Marcus Vinícius Bolívar

; Gonçalves, Maria Aparecida Batistão

; Almeida, Maria Fernanda Branco de

; Souza, Maria Francilene Silva

; Favarato, Maria Helena Sampaio

; Carrion, Maria Julia Machline

; Gonzalez, Maria Margarita

; Bortolotto, Maria Rita de Figueiredo Lemos

; Macatrão-Costa, Milena Frota

; Shimoda, Mônica Satsuki

; Oliveira-Junior, Mucio Tavares de

; Ikari, Nana Miura

; Dutra, Oscar Pereira

; Berwanger, Otávio

; Pinheiro, Patricia Ana Paiva Corrêa

; Reis, Patrícia Feitosa Frota dos

; Cellia, Pedro Henrique Moraes

; Santos Filho, Raul Dias dos

; Gianotto-Oliveira, Renan

; Kalil Filho, Roberto

; Guinsburg, Ruth

; Managini, Sandrigo

; Lage, Silvia Helena Gelas

; Yeu, So Pei

; Franchi, Sonia Meiken

; Shimoda-Sakano, Tania

; Accorsi, Tarso Duenhas

; Leal, Tatiana de Carvalho Andreucci

; Guimarães, Vanessa

; Sallai, Vanessa Santos

; Ávila, Walkiria Samuel

; Sako, Yara Kimiko

Arquivos Brasileiros de Cardiologia

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sep 2019, Volume 113 N. 3 Pages 449 - 663

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.5935/abc.20190203 54793 downloads

Use of derived adipose stem cells to reduce complications of cutaneous scarring in smokers. An experimental model in rats
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Martins, João Maximiliano Pedron

; Oliveira, Fernanda dos Santos de

; Lima, Elizabeth Obino Cirne

; Dullius, Diego

; Durli, Isabel Cirne Lima de Oliveira

; Hiraiwa, Everton

; Serrano, Tulio

; Teixeira, Geciele Rodrigues

; Sampaio, Paulo Marcos Ribeiro

; Collares, Marcus Vinicius Martins

Acta Cirúrgica Brasileira

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2019, Volume 34 N. 6 elocation e201900605

Abstract: En | Text: En | PDF: En

Abstract Purpose To evaluate the use of adipose-derived stem cells (ADSC) in reducing the necrosis area in an experimental model of cutaneous ischemic flap in rats submitted to subcutaneous nicotine injection to simulate a smoker patient. Methods In an experimental study, 30 rats were enrolled and divided into two experimental groups of 15 animals all submitted to a subcutaneous nicotine injection to create ischemic cutaneous flaps on their backs. Other 10 animals were used only to obtain adipose tissue derived stem cells (ADSC). The first group (n=15) received ADSC treatment at the end of surgery while the other group, the control (n=15), received no other interventions. After euthanasia, a decal was performed on the whole area of the flap, accurately defining the transition from necrosis to healthy region. Photos of all animals were collected and evaluated by scales standardized by Paint-Autocad- 2015 software to define the area of flap necrosis in each rat. Student T test was performed to compare the groups, considering a p< 0.05 significant. Data were analyzed using SPSS IBM® 18 version. Results Through the analysis of the images by the program Paint-Autocad-2015 and the area of decal obtained by the transparent sheet, we obtained a mean of 46% necrosis of the total area of the flap in the treatment group and 69.4% in the control group. In the descriptive analysis, a mean of 3.7 cm of necrosis CI 95% (3.2 - 4.2) was evident in the treatment group whereas a mean value of 5.56 CI 95% (5.2 - 5.9) was found in control group, with p value <0.001 for this comparison. Conclusion The application of adipose-derived stem cells reduces the percentage of necrosis in an experimental model of randomized cutaneous flap in rats submitted to subcutaneous nicotine injection.

https://doi.org/10.1590/s0102-865020190060000005 953 downloads

Do climate changes alter the distribution and transmission of malaria? Evidence assessment and recommendations for future studies
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Cella, Wilsandrei

; Baia-da-Silva, Djane Clarys

; Melo, Gisely Cardoso de

; Tadei, Wanderli Pedro

; Sampaio, Vanderson de Souza

; Pimenta, Paulo

; Lacerda, Marcus Vinicius Guimarães

; Monteiro, Wuelton Marcelo

Revista da Sociedade Brasileira de Medicina Tropical

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2019, Volume 52 elocation e20190308

Abstract: En | Text: En | PDF: En

Abstract Malaria, a mosquito-borne infectious disease, is considered a significant global health burden. Climate changes or different weather conditions may impact infectious diseases, specifically those transmitted by insect vectors and contaminated water. Based on the current predictions for climate change associated with the increase in carbon dioxide concentrations in the atmosphere and the increase in atmospheric temperature, the Intergovernmental Panel on Climate Change predicts that in 2050, malaria may threaten some previously unexposed areas worldwide and cause a 50% higher probability of malaria cases. Climate-based distribution models of malaria depict an increase in the geographic distribution of the disease as global environmental temperatures and conditions worsen. Researchers have studied the influence of changes in climate on the prevalence of malaria using different mathematical models that consider different variables and predict the conditions for malaria distribution. In this context, we conducted a mini-review to elucidate the important aspects described in the literature on the influence of climate change in the distribution and transmission of malaria. It is important to develop possible risk management strategies and enhance the surveillance system enhanced even in currently malaria-free areas predicted to experience malaria in the future.

https://doi.org/10.1590/0037-8682-0308-2019 3744 downloads

10.

Genotypes of clinical varicella-zoster virus isolates from Manaus, Brazil
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Bastos, Michele de Souza

; Folster, Jennifer

; Alvarenga, Otávio Primo de

; Sampaio, Daniele de Araujo

; Rabelo, Ronaldo Marques Pontes

; João, Guilherme Augusto Pivoto

; Lacerda, Marcus Vinícius Guimarães de

; Schmid, D. Scott

Revista da Sociedade Brasileira de Medicina Tropical

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2019, Volume 52 elocation e20180166

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION: Vaccination against varicella-zoster virus (VZV) has been effective and safe in countries that routinely administer the vaccine. Brazil began universal VZV vaccination in 2013. This study aimed to identify VZV genotypes present in Manaus, Brazil prior to widespread immunization. METHODS: Vesicular lesions or cerebral-spinal-fluid samples were collected from patients diagnosed with VZV, herpes zoster, or meningitis/encephalitis. DNA was extracted, amplified, and sequenced. RESULTS: Half the isolates were clade-5 viruses and the remaining were divided between the European clades 1 and 3. CONCLUSIONS: This study provides insights into the circulating VZV genotypes in Manaus prior to widespread vaccination.

https://doi.org/10.1590/0037-8682-0166-2018 1379 downloads

11.

Silicon accumulation and its effect on agricultural traits and anthracnose incidence in lignocellulosic sorghum
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Lima, Diego Tolentino de

; Sampaio, Marcus Vinicius

; Albuquerque, Carlos Juliano Brant

; Pereira, Hamilton Seron

; Martins, Weslei Geraldo

Pesquisa Agropecuária Tropical

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2019, Volume 49 elocation e54201

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

RESUMO O acúmulo de silício (Si) nas plantas pode reduzir perdas de produtividade, pela indução de resistência a estresses abióticos e bióticos. Avaliou-se o acúmulo de Si em sorgo lignocelulósico (Sorghum bicolor), em casa-de-vegetação, bem como o efeito da sua aplicação sobre as características agronômicas e indução de resistência à antracnose (Colletotrichum sublineolum), em experimento de campo. Dezesseis genótipos de sorgo foram avaliados em casa-de-vegetação, quanto à adubação com silicato, recebendo 0 kg ha-1 ou 261 kg ha-1 de Si, mensurando-se a concentração de Si na parte aérea do sorgo. Quatro genótipos que responderam à adubação com Si foram testados em campo, com 0 kg ha-1 ou 400 kg ha-1 de Si, avaliando-se a concentração de Si nas folhas, altura de planta, porcentagem de acamamento, severidade da doença antracnose, rendimento de grãos e matéria fresca e seca da planta. A resposta do sorgo à adubação com Si em casa-de-vegetação variou com o genótipo e, dos 16 genótipos avaliados, 12 foram responsivos, acumulando mais Si após a fertilização com este elemento. Os quatro genótipos testados em campo foram responsivos, mas não foi encontrado efeito do Si sobre a produtividade de grãos ou sobre a produção de matéria fresca e seca do sorgo. No entanto, a aplicação de Si ao solo reduziu o acamamento de plantas e a severidade da antracnose em sorgo.

ABSTRACT Silicon (Si) accumulation in plants may reduce yield losses by inducing resistance to both abiotic and biotic stresses. This study aimed to evaluate the Si accumulation by lignocellulosic sorghum (Sorghum bicolor) in a greenhouse experiment, as well as the effect of its application on agricultural traits and on the induction of resistance against anthracnose (Colletotrichum sublineolum) in a field experiment. Sixteen sorghum genotypes were evaluated in a greenhouse for their response to silicate fertilization, receiving either 0 kg ha-1 or 261 kg ha-1 of Si, measuring the Si concentration in the sorghum shoots. Four genotypes that were responsive to Si fertilization were tested in the field, receiving either 0 kg ha-1 or 400 kg ha-1 of Si, being evaluated the Si concentration on the leaves, plant height, lodging percentage, anthracnose disease severity, grain yield and plant fresh and dry matter. The response of sorghum to Si fertilization in the greenhouse varied with the genotype and, of the 16 genotypes evaluated, 12 were responsive, accumulating more Si after the fertilization with this element. All four genotypes tested in the field were responsive, but no effect of Si was observed on grain yield or on sorghum fresh and dry matter production. However, the soil Si application reduced the plant lodging and anthracnose severity ratings in sorghum.

https://doi.org/10.1590/1983-40632019v4954201 938 downloads

12.

Current vector control challenges in the fight against malaria in Brazil
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Baia-da-Silva, Djane Clarys

; Brito-Sousa, José Diego

; Rodovalho, Sheila Rodrigues

; Peterka, Cassio

; Moresco, Gilberto

; Lapouble, Oscar Martín Mesones

; Melo, Gisely Cardoso de

; Sampaio, Vanderson de Souza

; Alecrim, Maria das Graças Costa

; Pimenta, Paulo

; Lima, José Bento Pereira

; Lacerda, Marcus Vinícius Guimarães de

; Monteiro, Wuelton Marcelo

Revista da Sociedade Brasileira de Medicina Tropical

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2019, Volume 52 elocation e20180542

Abstract: En | Text: En | PDF: En

Abstract In Brazil, malaria is an important public health problem first reported in 1560. Historically, fluctuations in malaria cases in Brazil are attributed to waves of economic development; construction of railroads, highways, and hydroelectric dams; and population displacement and land occupation policies. Vector control measures have been widely used with an important role in reducing malaria cases. In this review article, we reviewed the vector control measures established in the Brazilian territory and aspects associated with such measures for malaria. Although some vector control measures are routinely used in Brazil, many entomological and effectiveness information still need better evidence in endemic areas where Plasmodium vivax predominates. Herein, we outlined some of the needs and priorities for future research: a) update of the cartography of malaria vectors in Brazil, adding molecular techniques for the correct identification of species and complexes of species; b) evaluation of vector competence of anophelines in Brazil; c) strengthening of local entomology teams to perform vector control measures and interpret results; d) evaluation of vector control measures, especially use of insecticide-treated nets and long-lasting insecticidal nets, estimating their effectiveness, cost-benefit, and population acceptance; e) establishment of colonies of malaria vectors in Brazil, i.e., Anopheles darlingi, to understand parasite-vector interactions better; f) study of new vector control strategies with impacts on non-endophilic vectors; g) estimation of the impact of insecticide resistance in different geographical areas; and h) identification of the relative contribution of natural and artificial breeding sites in different epidemiological contexts for transmission.

https://doi.org/10.1590/0037-8682-0542-2018 3986 downloads

13.

Overview of artemisinin effectiveness during outset years of its implementation in the western Brazilian Amazon
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Pinto, Raquel de Medeiros

; Sampaio, Vanderson de Souza

; de Melo, Gisely Cardoso

; Alecrim, Maria das Graças Costa

; Mattos, Karine

; Perdomo, Renata Trentin

; Cordeiro, Sabrine da Costa

; Parente, Ana Flávia Alves

; de Carvalho, Lídia Raquel

; Mendes, Rinaldo Pôncio

; Lacerda, Marcus Vinícius Guimarães

; Monteiro, Wuelton Marcelo

; Weber, Simone Schneider

Memórias do Instituto Oswaldo Cruz

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2019, Volume 114 elocation e190075

Abstract: En | Text: En | PDF: En

BACKGROUND The elimination of malaria depends on the blocking of transmission and of an effective treatment. In Brazil, artemisinin therapy was introduced in 1991, and here we present a performance overview during implementation outset years. METHODS It is a retrospective cohort (1991 to 2002) of patients treated in a tertiary centre of Manaus, with positive microscopic diagnosis of Plasmodium falciparum malaria, under treatment with using injectable or rectal artemisinin derivatives, and followed over 35-days to evaluate parasite clearance, death and recurrence. FINDINGS This cohort outcome resulted 97.6% (1554/1593) of patients who completed the 35-day follow-up, 0.6% (10/1593) of death and 1.8% (29/1593) of follow-up loss. All patients that died and those that presented parasitaemia recurrence had pure P. falciparum infections and received monotherapy. Considering patients who completed 35-day treatment, 98.2% (1527/1554) presented asexual parasitaemia clearance until D4 and 1.8% (27/1554) between D5-D10. It is important to highlight that had no correlation between the five treatment schemes and the sexual parasite clearance. Finally, it is noteworthy that we were able to observe also gametocytes carriage during all follow-up (D0-D35). MAIN CONCLUSIONS Artemisinin derivatives remained effective in the treatment of falciparum malaria during first 12-years of use in north area of Brazil.

https://doi.org/10.1590/0074-02760190075 1863 downloads

14.

Acute ecotoxicity on Daphnia magna to evaluate effluent samples of Kraft pulp mill treated by UV/H2O2 process
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Micheletto, Joicy

; Sampaio, Naiara Mariana Fiori Monteiro

; Ruiz, Henrique Zavattieri

; Martins, Lucia Regina Rocha

; Liz, Marcus Vinicius de

; Freitas, Adriane Martins de

Revista Ambiente & Água

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2019, Volume 14 N. 2 elocation e2208

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

Resumo A indústria de papel e celulose está entre as que mais consome água no mundo, gerando grandes volumes de efluentes. O processo Kraft produz efluentes com elevada DBO, DQO, sólidos suspensos, teor de lignina e uma mistura complexa de compostos potencialmente tóxicos, os quais necessitam de tratamento para posterior descarte no meio ambiente. Os processos oxidativos avançados, dentre eles o processo UV/H2O2, têm sido aplicado como alternativa de tratamento pois é capaz de degradar os mais diversos compostos até sua mineralização. No entanto, quando o processo oxidativo é incompleto, podem ser formados produtos intermediários com elevada toxicidade. Este estudo avaliou a toxicidade aguda em Daphnia magna de duas amostras de efluente Kraft (KE1 e KE2) tratadas por processo UV/H2O2. Os efeitos da variação de pH e da concentração do oxidante sobre a redução de COT, área espectral UV-vis e cor aparente foram utilizados para ajustar as condições experimentais com a amostra KE1 diluida. Ambas as amostras foram tratadas em pH 4.0 e com 70 mg L-1 de H2O2 por 40 min, alcançando remoções de até 69,4% na cor aparente, 73,7% de compostos fenólicos e 68,9% de compostos lignínicos. Quando a reação foi aplicada nas amostras não diluídas de efluentes, a toxicidade aguda para Daphnia magna diminuiu para KE1 após 780 min de tratamento, enquanto KE2 tornou-se três vezes mais tóxica. Os dados mostraram que embora o tratamento tenha sido eficiente, considerando os parâmetros físicos e químicos, é necessário acompanhar os processos oxidativos por ensaios ecotoxicológicos para garantir sua segurança, uma vez que cada efluente kraft pode apresentar diferentes níveis de mineralização de seus compostos orgânicos.

Abstract The pulp and paper industry is one of world’s largest water consumers, generating high volumes of effluents. The Kraft process produces effluents with high BOD, COD, suspended solids, lignin and a myriad of potentially toxic compounds, which require treatment before discharge into the aquatic environment. Advanced oxidation processes, such as UV/H2O2, have been applied as treatment alternatives because they can destroy many compounds before they mineralize. However, when the oxidation process is incomplete, occurs could be produced by products with high toxicity. This study evaluated the acute toxicity on Daphnia magna of two effluent samples of Kraft pulp mill (KE1 and KE2) treated by UV/H2O2 process. The effects of the pH variation and oxidant concentration on the removal of DOC, total UV-vis spectral area and apparent color were considered to adjust the experiments’ conditions with diluted effluent KE1. Both samples were treated at pH 4.0 and 70 mg L-1 of H2O2 for 40 min, achieving removals of up to 69.4% in apparent color, 73.7% of phenolic compounds and 68.9% of lignin compounds. When the reaction was applied in undiluted effluent samples, the acute toxicity for Daphnia magna decreased for KE1 after 780 min of treatment, whereas KE2 became four times more toxic. The data showed that although the treatment had been efficient considering physics and chemicals parameters, it is necessary follow the oxidative processes with ecotoxicological bioassays to guarantee their safety, since different effluents of the Kraft pulp mill could present different levels of organic compound mineralization.

https://doi.org/10.4136/ambi-agua.2208 1452 downloads

15.

Delayed healthcare and secondary infections following freshwater stingray injuries: risk factors for a poorly understood health issue in the Amazon
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Sachett, Jacqueline de Almeida Gonçalves

; Sampaio, Vanderson Souza

; Silva, Iran Mendonça

; Shibuya, Akemi

; Vale, Fábio Francesconi

; Costa, Fabiano Peixoto

; Pardal, Pedro Pereira de Oliveira

; Lacerda, Marcus Vinícius Guimarães

; Monteiro, Wuelton Marcelo

Revista da Sociedade Brasileira de Medicina Tropical

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oct 2018, Volume 51 N. 5 Pages 651 - 659

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION This study aimed to describe the profile of freshwater stingray injuries in the State of Amazonas, Brazilian Amazon, and to identify the associated risk factors for secondary infections. METHODS This cross-sectional study used surveillance data from 2007 to 2014 to identify factors associated with secondary infections from stingray injuries. RESULTS A total of 476 freshwater stingray injuries were recorded, with an incidence rate of 1.7 cases/100,000 person/year. The majority of injuries were reported from rural areas (73.8%) and 26.1% were related to work activities. A total of 74.5% of patients received medical assistance within the first 3 hours of injury. Secondary infections and necrosis were observed in 8.9% and 3.8%, respectively. Work-related injuries [odds ratio (OR) 4.1, confidence interval (CI); 1.87-9.13] and >24 hours from a sting until receiving medical care (OR; 15.5, CI; 6.77-35.40) were independently associated with the risk of secondary bacterial infection. CONCLUSIONS: In this study, work-related injuries and >24 hours from being stung until receiving medical care were independently and significantly associated with the risk of secondary infection. The frequency of infection following sting injuries was 9%. The major factor associated with the risk of secondary bacterial infection was a time period of >24 hours from being stung until receiving medical care.

https://doi.org/10.1590/0037-8682-0356-2017 1142 downloads

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