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Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0126

Versão Brasileira do teste da Função Física em Unidades de Terapia Intensiva e do De Morton Mobility Index: tradução e adaptação transcultural e propriedades clinimétricas
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Silva, Vinicius Zacarias Maldaner da

; Lima, Amanda Sanches

; Alves, Hillana Nadiele Santos

; Pires-Neto, Ruy

; Denehy, Linda

; Parry, Selina M.

Jornal Brasileiro de Pneumologia

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2020, Volume 46 N. 4 elocation e20180366

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

RESUMO Objetivo O objetivo do presente estudo foi traduzir e adaptar culturalmente o PFIT-s e o DEMMI ao português brasileiro. Métodos Este estudo consistiu na tradução, síntese e retrotradução da versão original do PFIT-s e DOMMI, incluindo a revisão pelo Grupo de Tradução e o pré-teste da versão traduzida, avaliada pelo comitê especializado. A versão brasileira do DEMMI e do PFIT-s foi aplicada em 60 pacientes cooperativos com pelo menos 48 horas de ventilação mecânica na alta da UTI. A confiabilidade interavaliador das duas escalas foi testada usando um coeficiente de correlação intraclasse (CCI). Resultados Os autores originais de ambas as escalas aprovaram a versão transcultural validada. A tradução e a retrotradução obtiveram consenso; e nenhum item foi alterado. As duas escalas apresentaram uma boa confiabilidade interavaliador (CCI>0,80) e consistência interna (α > 0,80). Conclusão As versões adaptadas para o português brasileiro do PFIT-s e do DEMMI mostraram-se fácil de compreender e aplicar clinicamente no ambiente da UTI.

ABSTRACT Objective The present study aimed to translate and cross-culturally adapt the Physical Function in ICU Test-scored (PFIT-s) and the De Morton Mobility Index (DEMMI) to Brazilian Portuguese. Methods This study consisted of the translation, synthesis, and back-translation of the original versions of the PFIT-s and DEMMI, including revision by the Translation Group and pretesting of the translated version, assessed by an Expert Committee. The Brazilian versions of these instruments were applied to 60 cooperative patients with at least 48 h of mechanical ventilation at ICU discharge. The interrater reliability of both scales was tested using the Intraclass Correlation Coefficient (ICC). Results The authors of both original scales have approved the cross-culturally validated versions. Translation and back-translation attained consensus, and no item was changed. Both scales showed good interrater reliability (ICC>0.80) and internal consistency (α>0.80). Conclusion The versions of the PFIT-s and DEMMI adapted to Brazilian Portuguese proved to be easy to understand and apply clinically in the ICU environment.

https://doi.org/10.36416/1806-3756/e20180366 2636 downloads

Brazil: the emerging epicenter of COVID-19 pandemic
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Neiva, Mariane Barros

; Carvalho, Isabelle

; Costa Filho, Etevaldo dos Santos

; Barbosa-Junior, Francisco

; Bernardi, Filipe Andrade

; Sanches, Tiago Lara Michelin

; Oliveira, Lariza Laura de

; Lima, Vinicius Costa

; Miyoshi, Newton Shydeo Brandão

; Alves, Domingos

Revista da Sociedade Brasileira de Medicina Tropical

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2020, Volume 53 elocation e20200550

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION Five months after the first confirmed case of COVID-19 in Brazil, the country has the second highest number of cases in the world. Without any scientifically proven drug or vaccine available combined with COVID-19’s high transmissivity, slowing down the spread of the infection is a challenge. In an attempt to save the economy, the Brazilian government is slowly beginning to allow non-essential services to reopen for in-person customers. METHODS: In this study, we analyze, based on data analysis and statistics, how other countries evolve and under which conditions they decided to resume normal activity. In addition, due to the heterogeneity of Brazil, we explore Brazilian data of COVID-19 from the State Health Secretaries to evaluate the situation of the pandemic within the states. RESULTS: Results show that while other countries have flattened their curves and present low numbers of active cases, Brazil continues to see an increase in COVID-19 patients. Furthermore, a number of important states are easing restrictions despite a high percentage of confirmed cases. CONCLUSIONS: All analyses show that Brazil is not ready for reopening, and the premature easing of restrictions may increase the number of COVID-19-related deaths and cause the collapse of the public health system.

https://doi.org/10.1590/0037-8682-0550-2020 2117 downloads

Barreiras arquitetônicas e de comunicação no acesso à atenção básica em saúde no Brasil: uma análise a partir do primeiro Censo Nacional das Unidades Básicas de saúde, 2012
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Santos, Mara Lisiane de Moraes dos

; Fernandes, Janainny Magalhães

; Vicente, Daniela Pereira

; Simionatto, Jaqueline

; Sanches, Vinicius Santos

; Souza, Albert Schiaveto de

; Christofoletti, Gustavo

; Merey, Leila Foester

Epidemiologia e Serviços de Saúde

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2020, Volume 29 N. 2 elocation e2018258

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

Resumo Objetivo: analisar os resultados do Censo Nacional das Unidades Básicas de Saúde no que se refere às barreiras arquitetônicas e de comunicação na Atenção Básica em Saúde em todo o território brasileiro. Métodos: estudo transversal com base nos dados do primeiro Censo Nacional das Unidades Básicas de Saúde, coletados de maio a outubro de 2012. Resultados: a região Norte apresentou menores índices de adequação, enquanto a Sudeste apresentou os melhores índices, comparados às demais regiões, porém insatisfatórios, pois muitos itens permaneceram abaixo de 50%; itens sobre acessibilidade por pessoas com deficiência (5,7 a 34,2%) e não alfabetizadas (0,1 a 27,4%) apresentaram pontuação muito baixa. Conclusão: a maioria das unidades avaliadas possuem barreiras arquitetônicas e de comunicação, prejudicando a acessibilidade aos serviços de saúde prestados às pessoas com deficiência, não alfabetizadas ou idosas; destaca-se a importância da alocação de recursos para redução de iniquidades e melhoria do acesso.

Abstract Objective: to analyze the results of the National Census of Primary Health Care Centers with regard to architectural and communication barriers in Primary Health Care throughout Brazil. Methods: this was a cross-sectional study based on data from the first National Census of Primary Health Care Centers conducted between May and October 2012. Results: the Northern region had the lowest rates of adequacy; although the Southeast region had the best rates when compared to the country’s other regions, they were nevertheless unsatisfactory, since for many items adequacy was still below 50%; the items relating to accessibility by people with disabilities (5.7 to 34.2%) and/or the illiterate (0.1 to 27.4%) had very low scores. Conclusion: the majority of services evaluated had architectural and communication barriers, hindering access to health services by disabled, illiterate or elderly people; the importance of allocating resources to reduce iniquities and improve access is stressed.

Resumen Objetivo: analizar la accesibilidad de los usuarios al Censo Nacional de las Unidades Básicas de Salud en lo referente a barreras arquitectónicas y de comunicaciones en todo Brasil. Métodos: estudio descriptivo analítico con base en los datos del primer Censo Nacional de las Unidades Básicas de Salud; la encuesta se realizó entre mayo y octubre de 2012. Resultados: la región Norte presentó menores índices de adecuación, mientras que el Sudeste presentó mejores índices comparados a las demás regiones, pero insatisfactorios, pues muchos ítems permanecieron por debajo del 50%; los ítems sobre accesibilidad por personas con discapacidad (5,7 a 34,2%) y no alfabetizadas (0,1 a 27,4%) presentaron una puntuación muy baja. Conclusión: los datos demuestran que la mayoría de los servicios evaluados poseen barreras arquitectónicas y de comunicación, perjudicando la accesibilidad a los servicios de salud prestados a las personas con discapacidad, no alfabetizadas o ancianas, y exalta la importancia de asignación de recursos para la reducción de iniquidades y mejoría del acceso.

https://doi.org/10.5123/s1679-49742020000200022

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Santos, Mara Lisiane de Moraes dos

; Fernandes, Janainny Magalhães

; Vicente, Daniela Pereira

; Simionatto, Jaqueline

; Sanches, Vinicius Santos

; Souza, Albert Schiaveto de

; Christofoletti, Gustavo

; Merey, Leila Foester

Epidemiologia e Serviços de Saúde

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2020, Volume 29 N. 2 elocation e2018258

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

https://doi.org/10.5123/s1679-49742020000200022 966 downloads

Whole-genome sequencing of Leptospira interrogans from southern Brazil: genetic features of a highly virulent strain
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Jorge, Sérgio

; Kremer, Frederico Schmitt

; Oliveira, Natasha Rodrigues de

; Navarro, Gabrielle de Oliveira Sanches Valerio

; Guimarães, Amanda Munari

; Sanchez, Christian Domingues

; Woloski, Rafael Danelon dos Santos

; Ridieri, Karine Forster

; Campos, Vinícius Farias

; Pinto, Luciano da Silva

; Dellagostin, Odir Antônio

Memórias do Instituto Oswaldo Cruz

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feb 2018, Volume 113 N. 2 Pages 80 - 86

Abstract: En | Text: En | PDF: En

BACKGROUND Leptospirosis is the most widespread zoonotic disease. It is caused by infection with pathogenic Leptospira species, of which over 300 serovars have been described. The accurate identification of the causative Leptospira spp. is required to ascertain the pathogenic status of the local isolates. OBJECTIVES This study aimed to obtain the complete genome sequence of a virulent Leptospira interrogans strain isolated from southern Brazil and to describe its genetic features. METHODS The whole genome was sequenced by next-generation sequencing (Ion Torrent). The genome was assembled, scaffolded, annotated, and manually reviewed. Mutations were identified based on a variant calling analysis using the genome of L. interrogans strain Fiocruz L1-130 as a reference. FINDINGS The entire genome had an average GC content of 35%. The variant calling analysis identified 119 single nucleotide polymorphisms (SNPs), from which 30 led to a missense mutation. The structural analyses identified potential evidence of genomic inversions, translocations, and deletions in both the chromosomes. MAIN CONCLUSIONS The genome properties provide comprehensive information about the local isolates of Leptospira spp., and thereby, could facilitate the identification of new targets for the development of diagnostic kits and vaccines.

https://doi.org/10.1590/0074-02760170130 1944 downloads

NASF's tools and practices in health of physical therapists
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Fernandes, Janainny Magalhães

; Rios, Talita Abi

; Sanches, Vinicius Santos

; Santos, Mara Lisiane de Moraes dos

Fisioterapia em Movimento

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dec 2016, Volume 29 N. 4 Pages 741 - 750

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

Resumo Introdução: Com a criação do Núcleo de Apoio à Saúde da Família (NASF) e a alta inserção de fisioterapeutas neste serviço, faz-se necessário conhecer melhor o trabalho da categoria neste cenário. Objetivo: Analisar o processo de trabalho dos fisioterapeutas nos NASF, a utilização de ferramentas-tecnológicas e a formação destes para o trabalho. Métodos: Estudo transversal, descritivo-analítico, por meio de questionário on-line semiestruturado aplicado com fisioterapeutas dos NASF de Mato-Grosso do Sul. Os resultados foram analisados através de estatística descritiva e teste qui-quadrado (p<0,05). Resultados: Participaram 37 fisioterapeutas de 21 municípios. Destes, 27% possuem especialização em Saúde da Família (SF)/Atenção-Primária à Saúde e 51,4% em outras áreas clínicas. A maioria (91,9%) não recebeu capacitação ao ingressar no NASF, e 94.6% não possuíam conhecimento suficiente para realizar suas atividades. A articulação NASF e equipe de Estratégia de Saúde da Família é considerada insatisfatória para 51,3%. A reabilitação individual é a atividade mais realizada diariamente (59,5%), e as ferramentas do NASF são utilizadas por menos da metade, exceto a Clínica Ampliada, realizada por 54,1%. Houve associação significativa entre a capacitação para o trabalho no NASF e a utilização das ferramentas Projeto-Terapêutico-Singular, Projeto Saúde no Território e Pactuação de Apoio. Não houve associação entre a utilização das ferramentas e a especialização em SF. Conclusão: O modelo assistencial-reabilitador tem sido o condutor das ações dos fisioterapeutas, e as ferramentas do NASF são pouco utilizadas. Estes resultados podem ser explicados pelo limitado conhecimento sobre as atribuições do NASF, resultante da pouca oferta de capacitação e da formação tradicional.

Abstract Introduction: With the creation of the Support Center for Family Health (NASF) and the high insertion of physiotherapists in this, it is necessary to have a better knowledge on this category's current work. Objective: To analyze the process of work of physiotherapists at NASF and their education, and the technological tools usage. Methods: Transversal study, descriptive, analytic, enforced by online semi-structured questionnaires to NASF's physiotherapists in Mato Grosso do Sul. The results were analyzed through descriptive statistics and chi-square test (significant level of 5%). Results: 37 physiotherapists (21 cities) participated. Among them, 27% Family-Health/Primary-Health-Care post graduates, and 51.4% in other clinical areas. Most (91,9%) did not receive enough capacitation when joining NASF, and 94.6% consider that did not have enough knowledge to do their activities. The articulation NASF and Family-Health-Strategy team is considered unsatisfactory to 51.3%. Individual rehabilitation is the most carried activity on a daily basis (59.5%), and NASF's tools are used by less than half, except the Amplified Clinic, which is used by 54,1% of physiotherapists. There was a significant association between capacitation to NASF's work and the tools usage of Singular-Therapeutic Project, Territorial Health Project and Support Pact. There was no association between the tools usage and the specialization in Family Health. Conclusion: The assistive and rehabilitator model has been the conductor of physiotherapists' actions. NASF's tools are little used. These results are explained due to the limited knowledge about NASF's attributions, resulting from the small capacitation offer to these activities and the traditional rehabilitator education.

https://doi.org/10.1590/1980-5918.029.004.ao10 4894 downloads

Burnout e Qualidade de Vida em uma Residência Multiprofissional: um Estudo Longitudinal de Dois Anos
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Sanches, Vinícius Santos

; Ferreira, Patrícia de Morais

; Veronez, Angelita Viana

; Koch, Rodrigo

; Souza, Albert Schiaveto de

; Cheade, Maria de Fátima Meinberg

; Christofoletti, Gustavo

Revista Brasileira de Educação Médica

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sep 2016, Volume 40 N. 3 Pages 430 - 436

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

RESUMO O processo de formação dos profissionais da saúde constitui um desafio a gestores e educadores devido à complexidade de estimular ao mesmo tempo habilidades profissionais, interpessoais e humanísticas do aluno. Os programas de Residências Multiprofissionais em Saúde (RMS) apresentam caráter de vanguarda em nosso país ao incentivarem práticas multiprofissionais ativas e participativas na atenção em saúde. Neste estudo, investigamos os níveis de estresse e qualidade de vida dos acadêmicos durante os dois anos em que se encontravam em uma RMS. O cenário de prática envolveu assistência de alta complexidade a pacientes críticos. Durante os dois anos, constatamos aumento no nível de estresse dos acadêmicos, intimamente relacionado à queda na qualidade de vida. Diversos fatores físicos e psíquicos estão vinculados aos resultados, que devem gerar discussões nos núcleos docentes estruturantes de cada residência na proposição de medidas acolhedoras aos alunos.

ABSTRACT The training process for health professionals constitutes a challenge for managers and educators since the procedures for stimulating professional, interpersonal, and human skills stand on a complex basis. Multi-professional Residence Programs (MRP) are somewhat cutting-edge in Brazil, based on the fact that they encourage active and participative multidisciplinary practices in health care. It was in this context that this study investigated student stress and quality of life during the two years spent on an MRP, with the practical scenario involving highly complex assistance administered to critically ill patients. Over the course of the two years, we were able to identify an increase in student stress levels, strongly related to a decrease in their quality of life. Many physical and psychological factors are linked to the results, and should generate debate within the academic structuring cores of each residence on measures which may be taken to better foster student welfare.

https://doi.org/10.1590/1981-52712015v40n3e01022015 3510 downloads

Postural balance in Alzheimer's disease patients undergoing sensory pitfalls
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Berton, Brunna

; Cê, Andressa

; Sanches, Vinícius Santos

; Medola, Fausto Orsi

; Tarnhovi, Evandro Gonzales

; Christofoletti, Gustavo

Motriz: Revista de Educação Física

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sep 2016, Volume 22 N. 3 Pages 205 - 210

Abstract: En | Text: En | PDF: En

Abstract Despite consensus regarding the interference of cognitive processes on the human balance, the impact that different sensory stimuli have on the stabilometric measures remains unclear. Here, we investigated changes in the postural balance of individuals with Alzheimer's disease (AD) and in healthy controls undergoing different proprioceptive and somesthetic pitfalls. We included 17 subjects submitted to eight sensorimotor dynamics with differences in the support bases, contact surfaces, and visual clues. The measurements used to assess participants balance were as follows: position of the body in space, range of instability, area of the support base, and velocity of postural control. From a total of 56 cross-sectional analyses, 21.42% pointed out differences between groups. Longitudinal analyses showed that tasks with proprioceptive and somesthetic pitfalls similarly impact imbalance in both groups. The current results suggest that AD subjects and healthy controls had different patterns submitted to balance, but suffered similar interference when undergoing proprioceptive and somesthetic challenges.

https://doi.org/10.1590/S1980-6574201600030012 1470 downloads

10.

Movimento “Carta Verde” como Transformador da Realidade da Formação em Saúde
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Fernandes, Janainny Magalhães

; Sanches, Vinicius Santos

; Mendonça, Margarete Knoch

; Santos, Mara Lisiane de Moraes dos

; Batiston, Adriane Pires

; Ferrari, Fernando Pierette

Revista Brasileira de Educação Médica

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sep 2015, Volume 39 N. 3 Pages 336 - 338

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

RESUMO Diante da necessidade da formação voltada para o trabalho em equipe e o desenvolvimento de discussões e construções coletivas nos campos de saberes, estudantes e docentes das diversas áreas da saúde da Universidade Federal de Mato Grosso do Sul criaram uma proposta de mobilização em busca de uma formação interdisciplinar. O produto final dessa mobilização culminou na criação, pelos estudantes, de uma Carta de Intenções – denominada “Carta Verde” – para mudanças curriculares voltadas à formação interprofissional. Esse nome representa a liberdade e a saúde, no intuito de que, juntas, todas as profissões possam se complementar e produzir saúde desde sua formação. Além disso, horários “verdes” para a participação de projetos, criação de coletivos em saúde e discussões entre as diversas áreas do conhecimento são estratégias para otimizar a formação em equipe dos futuros profissionais. O produto dessa carta pode induzir mudanças curriculares mais efetivas e concretas no que diz respeito à formação interprofissional segundo as atuais necessidades do Sistema Único de Saúde do nosso país.

ABSTRACT Considering the need for teamwork-focused training and the development of discussions and collective constructions in the fields of knowledge, a proposal that seeks to mobilize interdisciplinary training was created by students and teachers from different health courses of the Universidade Federal de Mato Grosso do Sul. The end product of this initiative culminated in the creation of a Letter of Intent for curricular changes focused on interprofessional education, called “Carta Verde” or “Green Letter”. This name represents freedom and health, with the intention that together all the professions can complement each other and produce health from training onwards. Furthermore, “green” schedules for participation in projects, creating collective health and discussions between the various areas of knowledge are strategies that can optimize the training of future professional staff. The product of this letter may lead to more effective and specific curricular changes to interprofessional education in accordance with the current needs of the Health System in Brazil.

https://doi.org/10.1590/1981-52712015v39n3e02502013 1432 downloads

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