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How do relocation time and length of storage after relocation affect fermentation and nutritive value of corn silage?
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Santos, Rosana Ingrid Ribeiro dos

; Mendonça, Rita de Cássia Almeida de

; Queiroz, Amanda Caroliny Marques de

; Bernardes, Thiago Fernandes

; Domingues, Felipe Nogueira

; Faturi, Cristian

; Silva, Thiago Carvalho da

; Rêgo, Aníbal Coutinho do

Revista Brasileira de Zootecnia

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2023, Volume 52 elocation e20220059

Abstract: En | Text: En | PDF: En

ABSTRACT This study aimed to determine the effects of relocation time (RT; Experiment 1) and storage time after relocation (ST; Experiment 2) on microbial population, fermentative characteristics, and chemical composition of corn silage. In experiment 1, corn silage was stored for 30 d, subjected to different RT (0–60 h), and stored again for 30 d. Thirty experimental silos were used in a completely randomized design, with three replicates per treatment. In experiment 2, after 150 d of ensiling, silage was removed from a bunker silo, exposed to air for 9 h, relocated to experimental silos, and stored for periods ranging from 0 to 128 d. Twenty-eight experimental silos were used in a completely randomized design, with four replicates per treatment. Relocation time had no effect on fungi counts and concentrations of lactic and propionic acids in corn silage but resulted in a significant increase in dry matter content. In experiment 2, dry matter recovery and concentration of non-fiber carbohydrates decreased in corn silage stored for more than 32 d after relocation. Exposure of corn silage to air during relocation for up to 60 h followed by 30 d of storage did not compromise the fermentation profile or nutritive value of the silage. Increased storage time of relocated corn silage (up to 128 d) consistently decreases its nutritional value. The storage period seems to have an increased impact on nutrient loss in relocated silage than the relocation period.

https://doi.org/10.37496/rbz5220220059

COVID-19 outcomes in people living with HIV: Peering through the waves
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Sales, Thaís Lorenna Souza

; Souza-Silva, Maíra Viana Rego

; Delfino-Pereira, Polianna

; Neves, João Victor Baroni

; Sacioto, Manuela Furtado

; Assis, Vivian Costa Morais de

; Duani, Helena

; Oliveira, Neimy Ramos de

; Sampaio, Natália da Cunha Severino

; Ramos, Lucas Emanuel Ferreira

; Schwarzbold, Alexandre Vargas

; Jorge, Alzira de Oliveira

; Scotton, Ana Luiza Bahia Alves

; Castro, Bruno Mateus de

; Silva, Carla Thais Cândida Alves da

; Ramos, Carolina Marques

; Anschau, Fernando

; Botoni, Fernando Antonio

; Grizende, Genna Maira Santos

; Nascimento, Guilherme Fagundes

; Ruschel, Karen Brasil

; Menezes, Luanna Silva Monteiro

; Castro, Luís César de

; Nasi, Luiz Antônio

; Carneiro, Marcelo

; Godoy, Mariana Frizzo de

; Nogueira, Matheus Carvalho Alves

; Guimarães Júnior, Milton Henriques

; Ziegelmann, Patricia Klarmann

; Almeida, Rafaela Charão de

; Francisco, Saionara Cristina

; Silveira Neto, Sidney Teodoro

; Araújo, Silvia Ferreira

; Avelino-Silva, Thiago Junqueira

; Aliberti, Márlon Juliano Romero

; Pires, Magda Carvalho

; Silva, Eduardo Sérgio da

; Marcolino, Milena Soriano

Clinics

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2023, Volume 78 elocation 100223

Abstract: En | Text: En | PDF: En

Abstract Objective To evaluate clinical characteristics and outcomes of COVID-19 patients infected with HIV, and to compare with a paired sample without HIV infection. Methods This is a substudy of a Brazilian multicentric cohort that comprised two periods (2020 and 2021). Data was obtained through the retrospective review of medical records. Primary outcomes were admission to the intensive care unit, invasive mechanical ventilation, and death. Patients with HIV and controls were matched for age, sex, number of comorbidities, and hospital of origin using the technique of propensity score matching (up to 4:1). They were compared using the Chi-Square or Fisher's Exact tests for categorical variables and the Wilcoxon for numerical variables. Results Throughout the study, 17,101 COVID-19 patients were hospitalized, and 130 (0.76%) of those were infected with HIV. The median age was 54 (IQR: 43.0;64.0) years in 2020 and 53 (IQR: 46.0;63.5) years in 2021, with a predominance of females in both periods. People Living with HIV (PLHIV) and their controls showed similar prevalence for admission to the ICU and invasive mechanical ventilation requirement in the two periods, with no significant differences. In 2020, in-hospital mortality was higher in the PLHIV compared to the controls (27.9% vs. 17.7%; p = 0.049), but there was no difference in mortality between groups in 2021 (25.0% vs. 25.1%; p > 0.999). Conclusions Our results reiterate that PLHIV were at higher risk of COVID-19 mortality in the early stages of the pandemic, however, this finding did not sustain in 2021, when the mortality rate is similar to the control group.

https://doi.org/10.1016/j.clinsp.2023.100223

Liderança e comportamento empoderador: compreensões de enfermeiros-gerentes na Atenção Primária à Saúde empoderador enfermeirosgerentes enfermeiros gerentes
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Santos, Lucas Cardoso dos

; Silva, Fernanda Marques

; Domingos, Thiago da Silva

; Andrade, Juliane

; Spiri, Wilza Carla

Acta Paulista de Enfermagem

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2023, Volume 36 elocation eAPE00051

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

Resumo Objetivo Conhecer o comportamento empoderador do enfermeiro em sua prática gerencial no contexto da Atenção Primária à Saúde. Métodos Pesquisa exploratória de caráter qualitativo realizada com enfermeiros-gerentes que atuam em Unidades Básicas de Saúde em um município do estado de São Paulo, Brasil. Foram conduzidas entrevistas semiestruturadas para coleta de dados e o conteúdo das entrevistas foi transcrito na íntegra. Utilizou-se a saturação teórica de dados para o encerramento da coleta que se deu no sétimo participante. O referencial da análise de conteúdo guiou a organização do corpus qualitativo em temas e subtemas. Resultados O enfermeiro-gerente como líder utiliza do comportamento empoderador para interpretar suas percepções e suas atitudes, para influenciar positivamente o trabalho em equipe e mediar conflitos. Dimensionamento de pessoal e dificuldades em realizar reuniões de equipe e em compartilhar os processos decisórios geram desafios que tensionam a efetivação do comportamento empoderador. Conclusão Aspectos relacionados ao trabalho gerencial do enfermeiro-líder nas Unidades Básicas de Saúde são compreendidos como comportamento empoderador e os desafios para sua efetivação relacionaram-se à organização e ao planejamento do processo de trabalho da Atenção Primária à Saúde. enfermeirosgerentes enfermeiros gerentes Paulo Brasil íntegra Utilizouse Utilizou participante subtemas enfermeirogerente gerente atitudes conflitos enfermeirolíder relacionaramse relacionaram

Resumen Objetivo Conocer el comportamiento empoderador de los enfermeros en su práctica gerencial en el contexto de la Atención Primaria de Salud. Métodos Estudio exploratorio de carácter cualitativo realizado con enfermeros-gerentes que trabajan en Unidades Básicas de Salud en un municipio del estado de São Paulo, Brasil. Para la recopilación de datos, se realizaron entrevistas semiestructuradas y se transcribió su contenido completamente. Para finalizar la recopilación, se utilizó la saturación teórica de datos, que sucedió con el séptimo participante. El marco referencial del análisis de contenido guio la organización del corpus cualitativo en temas y subtemas. Resultados Los enfermeros-gerentes como líderes utilizan el comportamiento empoderador para interpretar sus percepciones y sus actitudes, para influir positivamente el trabajo en equipo y para mediar conflictos. El dimensionamiento del personal y las dificultades para realizar reuniones de equipo y compartir los procesos decisorios generan desafíos que tensionan la materialización del comportamiento empoderador. Conclusión Los aspectos relacionados con el trabajo gerencial del enfermero líder en las Unidades Básicas de Salud son percibidos como un comportamiento empoderador, y los desafíos para su materialización se relacionan con la organización y la planificación del proceso de trabajo de la Atención Primaria de Salud. enfermerosgerentes gerentes Paulo Brasil datos completamente participante subtemas actitudes conflictos

Abstract Objective To understand the empowering behavior of nurses in their management practice in the Primary Health Care context. Methods Exploratory qualitative study of nurse managers working in Basic Health Centers in a city in the state of São Paulo, Brazil. Semi-structured interviews were conducted for data collection and the content of interviews was fully transcribed. Data collection was ended after reaching theoretical data saturation in the seventh participant. The content analysis framework guided the organization of the qualitative corpus into themes and sub-themes. Results As leaders, nurse managers use empowering behavior to interpret their perceptions and attitudes in order to positively influence teamwork and mediate conflicts. Staff sizing and difficulties in holding team meetings and sharing decision-making processes generate challenges that create tension in the implementation of empowering behavior. Conclusion Aspects related to the management work of nurse leaders in Basic Health Centers are understood as empowering behavior and the challenges for its implementation are related to the organization and planning of the work process in Primary Health Care. context Paulo Brazil Semistructured Semi structured transcribed participant subthemes. subthemes sub themes. sub-themes conflicts decisionmaking decision making

https://doi.org/10.37689/acta-ape/2023ao00051

Interference of weeds in ruziziensis grass pastures
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Pinheiro, Guilherme Henrique Rodrigues

; Araújo, Prissila Pereira dos Santos e

; Marques, Ricardo Fagundes

; Souza, Rodrigo Marques de

; Silva, Ilgner Thiago Duarte

; Marchi, Sidnei Roberto de

Acta Scientiarum. Animal Sciences

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2022, Volume 44 elocation e54135

Abstract: En | Text: En | PDF: En

ABSTRACT. The aim of this study was to assess the effect of increasing periods of coexistence of weed plants with Urochloa ruziziensis on the canopy structure and productivity of a pasture already established with this forage species. The experiment was a randomized blocks design with four replications, and treatments consisted of seven increasing periods of coexistence of forage grass with weed plants: 0 (control), 15, 30, 45, 60, 75 and 90 days after regrowth (DAR). The main morpho-structural and productive characteristics of the forage plants were determined at the end of the experimental period (90 DAR). The ratio of the first green leaf height to the tiller height increases, while the leaf to stem ratio diminishes as the period of interaction with the infesting community increases. The number of green leaves per tiller and the tiller height diminishes as the period of coexistence with weed plants increases. The presence of weed plants interferes negatively with all parameters of the grass canopy structure and productivity of a grazing land already established with Urochloa ruziziensis, suggesting that measures of control of the infesting community should be adopted up to 17 days of regrowth of the forage plant.

https://doi.org/10.4025/actascianimsci.v44i1.54135

Estratificação da Insuficiência Cardíaca Clínica através do Mapa T1 Nativo: Experiência de um Serviço de Referência
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Marques, Thiago dos Santos Silva

; Fernandes, André Maurício de Souza

; Dantas Júnior, Roberto Nery

; Biederman, Robert W.

; Melo, Ana Paula Marques de Oliveira

; Aras, Roque

Arquivos Brasileiros de Cardiologia

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nov 2021, Volume 116 N. 5 Pages 919 - 925

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

Resumo Fundamento: Fibrose cardíaca difusa é fator importante na avaliação prognóstica dos pacientes com disfunção ventricular. Mapeamento T1 nativo pela ressonância magnética cardíaca (RMC) apresenta elevada sensibilidade e é considerado preditor independente de mortalidade por todas as causas e desenvolvimento de insuficiência cardíaca (IC) nos pacientes com cardiomiopatia. Objetivos: Avaliar aplicabilidade da avaliação com mapa T1 nativo em pacientes com IC em um hospital de referência de cardiologia e sua associação com parâmetros estruturais e perfil funcional. Métodos: Estudo transversal com pacientes adultos com IC classes funcionais NYHA I e II, isquêmicos e não isquêmicos, acompanhados em hospital de referência, que realizaram RMC. Os valores de T1 nativo foram analisados em relação a parâmetros estruturais, comorbidades, etiologia e categorização da IC pela fração de ejeção do ventrículo esquerdo (FEVE). Análises foram realizadas com nível de significância de 5%. Resultados: Analisados 134 pacientes. Valores de T1 nativo elevados foram encontrados em pacientes com maior dilatação (1004,9 vs 1042,7ms, p=0,001), volume (1021,3 vs 1050,3ms, p<0,01) e disfunção ventricular (1010,1 vs 1053,4ms, p<0,001), mesmo quando analisados isoladamente os não isquêmicos. Pacientes classificados com IC com fração de ejeção reduzida apresentaram maiores valores T1 em relação aos com IC e fração de ejeção preservada (ICFEP) (992,7 vs 1054,1ms, p<0,001). Dos com ICFEP, 55,2% apresentavam T1 elevado. Conclusões: Mapeamento T1 por RMC é factível para avaliação da IC clínica. Houve associação direta entre maior valor nativo de T1 e menor fração de ejeção, maiores diâmetros e volumes do VE, independentemente da etiologia da IC.

Abstract Background: Diffuse cardiac fibrosis is an important factor in the prognostic assessment of patients with ventricular dysfunction. Cardiovascular magnetic resonance imaging (CMR) native T1 mapping is highly sensitive and considered an independent predictor of all-cause mortality and heart failure (HF) development in patients with cardiomyopathy. Objectives: To evaluate the feasibility of native T1 mapping assessment in patients with HF in a cardiology referral hospital and its association with structural parameters and functional profile. Methods: Cross-sectional study with adult patients with HF NYHA functional classes I and II, ischemic and non-ischemic, followed in a referral hospital, who underwent CMR. Native T1 values were analyzed for structural parameters, comorbidities, etiology, and categorization of HF by left ventricular ejection fraction (LVEF). Analyses were performed with a significance level of 5%. Results: Enrollment of 134 patients. Elevated native T1 values were found in patients with greater dilation (1004.9 vs 1042.7ms, p = 0.001), ventricular volumes (1021.3 vs 1050.3ms, p <0.01) and ventricular dysfunction (1010.1 vs 1053.4ms, p <0.001), also present when the non-ischemic group was analyzed separately. Patients classified as HF with reduced ejection fraction had higher T1 values than those with HF and preserved ejection fraction (HFPEF) (992.7 vs 1054.1ms, p <0.001). Of those with HFPEF, 55.2% had higher T1. Conclusions: CMR T1 mapping is feasible for clinical HF evaluation. There was a direct association between higher native T1 values and lower ejection fraction, and with larger LV diameters and volumes, regardless of the etiology of HF.

https://doi.org/10.36660/abc.20190782 544 downloads

Combination of cafeteria diet with intraperitoneally streptozotocin in rats. A type-2 diabetes model
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Santos, Mirelly Marques Romeiro

; Cavalcante, Andressa Carolina Farias Pereira Subtil

; Amaral, Luane Aparecida do

; Souza, Gabriel Henrique Oliveira de

; Santos, Bárbara Suzuki dos

; Portugal, Luciane Candeloro

; Bittencourt Junior, Felipe Franscisco

; Troquez, Thiago

; Rafacho, Bruna Paola Murino

; Hiane, Priscila Aiko

; Santos, Elisvânia Freitas dos

Acta Cirúrgica Brasileira

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2021, Volume 36 N. 7 elocation e360702

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose To develop a model of induction of type-2 diabetes (DM2) by combining low doses of streptozotocin (STZ) and a cafeteria diet. Methods Forty male Wistar rats (200 g) were allocated into four groups: control (non-diabetic, n = 10); STZ 30 mg/kg (diabetic, n = 10); STZ 35 mg/kg (diabetic,n = 10); and STZ 40 mg/kg (diabetic, n = 10). DM2 was induced with a single intraperitoneal injection of STZ after four weeks of cafeteria diet in the three diabetic groups. All animals were evaluated as for anthropometric, and biochemical analyses, as well as liver, kidney and pancreas histological analyses. Results Lower weight gain, higher water intake, higher Lee index, hyperglycemia and modified total protein, urea, alpha-amylase, as well as insulin resistance, hepatic steatosis, pancreas, and kidney injury were observed in animals treated with 35 and 40 mg/kg of STZ. Conclusions The results show that the experimental model using cafeteria diet associated with 35 mg/kg of STZ is a low-cost model and efficient in order to develop DM2, confirmed by the presence of polydipsia, hyperglycemia, altered biochemical tests, insulin resistance and damages to the liver, pancreas and kidney, which is similar to the disease found in humans.

https://doi.org/10.1590/acb360702 210 downloads

Floristic diversification of spreading liverseed grass pasture according to different cutting intensities, obtained by grazing simulation
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Marchi, Sidnei Roberto de

; Marques, Ricardo Fagundes

; Souza, Rodrigo Marques de

; Araújo, Prissila Pereira dos Santos

; Silva, Ilgner Thiago Duarte

Acta Scientiarum. Animal Sciences

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2021, Volume 43 elocation e53297

Abstract: En | Text: En | PDF: En

ABSTRACT. This study aimed to evaluate the impacts of different forage cutting intensities, obtained by grazing simulation, on the floristic diversity and productivity of a pasture cultivated with spreading liverseed grass. The experiment was set up in a randomized block design, with four replications and treatments arranged in a 5 × 2 factorial scheme, with five levels of cutting intensity of the simulated grazing (0, 25, 50, 75, and 95% of the forage canopy) associated with two levels of weed coexistence (presence and absence). The evaluations of floristic diversity, number of individuals, and total dry matter of weeds were obtained at 15, 30, 45, 60, and 90 days after grazing simulation (DAGS). All plots were evaluated at the end of the experimental period (90 DAGS) for the amount of dry biomass produced by the pasture. The results showed that higher forage cutting intensities, obtained by grazing simulation, increased the floristic diversity, the number of individuals, and the dry matter accumulated by weeds in a pasture grown with spreading liverseed grass, reducing by up to 56% the production of total dry matter of the forage.

https://doi.org/10.4025/actascianimsci.v43i1.53297

Effects of inclusion of patauá, Oenocarpus bataua meal on elephant grass silage
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QUEIROZ, Amanda Caroliny Marques de

; SANTOS, Wânia Mendonça dos

; MENDONÇA, Rita de Cássia Almeida de

; SANTOS, Rosana Ingrid Ribeiro dos

; SILVA, Thiago Carvalho da

; DOMINGUES, Felipe Nogueira

; RÊGO, Aníbal Coutinho do

Acta Amazonica

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jun 2020, Volume 50 N. 2 Pages 101 - 107

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

RESUMO As silagens de capim elefante têm alto teor de umidade, que ocasiona perda de nutrientes, principalmente pela produção de efluentes. O uso de aditivos absorventes de umidade, como a torta de patauá, Oenocarpus bataua, pode ser uma estratégia para reduzir as perdas nessas silagens. Assim, objetivou-se determinar as perdas fermentativas, composição microbiológica, características fermentativas e composição química em silagens de capim elefante com níveis crescentes de inclusão de torta de patauá. O experimento foi conduzido em delineamento inteiramente casualizado, com quatro concentrações de torta de patauá (7%, 14%, 21% e 28%, com base na matéria natural) e um controle sem patauá, e cinco repetições. O capim elefante foi coletado aos 60 dias de crescimento. Após o corte, o capim foi homogeneizado, misturado com a torta de patauá de acordo com os tratamentos estabelecidos, e ensilado em silos experimentais de 15 L. A inclusão da torta de patauá em silagens de capim elefante teve efeitos positivos sobre a composição química e as perdas por efluentes. Houve aumento significativo de matéria seca, matéria orgânica, proteína bruta, nitrogênio insolúvel em detergente neutro e ácido, extrato etéreo, lignina e carboidratos não fibrosos das silagens. Além disso, houve redução de perdas por efluentes, teor de fibra em detergente neutro e ácido, e celulose das silagens. Nossos resultados contribuem para a redução de impactos ambientais gerados pela produção de efluentes no processo de ensilagem de gramíneas tropicais e fornecem uma utilidade potencial para o resíduo da produção de óleo de patauá, evitando o descarte no meio ambiente.

ABSTRACT Elephant grass silages have high moisture content, causing nutrient loss, mainly by effluent production. The use of moisture absorbent additives, such as patauá, Oenocarpus bataua meal, can be a strategy to reduce losses in these silages. The aim of this study was to determine the fermentation losses, microbiological composition, fermentative characteristics, and chemical composition of elephant grass silage with increasing levels of inclusion of patauá meal. The experiment was conducted in a completely randomized design, with four concentrations of patauá meal (7%, 14%, 21%, and 28%, based on fresh matter) and a control without patauá, and five replicates. The elephant grass was collected manually after 60 days of growth. After chopping, the grass was homogenized, mixed with the patauá meal according to the established treatments, and ensiled in experimental silos of 15 L. The inclusion of patauá meal in elephant grass silage had positive effects on the chemical composition and effluent loss. It significantly increased dry matter, organic matter, crude protein, nitrogen insoluble in neutral detergent and acid, ethereal extract, lignin, and non-fibrous carbohydrates of the silages. It also reduced effluent losses, neutral and acid detergent fiber contents, and cellulose. Our findings contribute towards reducing the environmental impact caused by the production of effluents during ensilage of tropical grasses and providing a potential use for the residue from the production of patauá oil, thus avoiding disposal in the environment.

https://doi.org/10.1590/1809-4392201901691 1136 downloads

Comparison between conventional and structured magnetic resonance imaging reports in perianal fistula
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Barbosa, Paula Carolinada Silveira Pozzi

; Camilo, Denise Maria Rissato

; Nunes, Thiago Franchi

; Santos, Carlos Henrique Marques dos

; Nakamura, Diogo Iengo

Journal of Coloproctology (Rio de Janeiro)

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mar 2020, Volume 40 N. 1 Pages 31 - 36

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

Resumo Racional Com muita frequência utiliza-se ressonância magnética no estudo de fístulas anais complexas, porém, laudos convencionais podem contribuir pouco para o que realmente importa ao coloproctologista. Objetivo Comparar a clareza e utilidade do laudo convencional com uma proposta de laudo estruturado de ressonância magnética em casos de fístula anal. Método 30 exames de ressonância magnética já com laudo realizados para avaliação de fístula anal foram novamente avaliados sem que o radiologista tivesse acesso ao laudo antigo e foi confeccionado novo laudo estruturado. Cinco médicos proctologistas avaliaram os 30 laudos convencionais e os 30 estruturados e responderam a questionários com oito questões comparando aspectos práticos dos mesmos. Os resultados foram tabulados e submetidos a tratamento estatístico considerando-se significante p < 0,05. Resultados Houve diferença estatisticamente significante em favor do laudo estruturado nos quesitos “define claramente se é fistula ativa ou fibrose”, “declara claramente se o trajeto é único ou múltiplo”, “fica clara a informação se o paciente tem ou não fistula anal”. Os demais quesitos não apresentram diferença entre os grupos. Conclusão O laudo estruturado de ressonância magnética apresentou informações mais claras e foi melhor avaliado em relação ao convencional na análise dos proctologistas no estudo de fístulas anais.

Abstract Rationale Very often magnetic resonance imaging is used in the study of complex anal fistulae, but conventional reports may contribute little to what really matters to the coloproctologist. Objective To compare the clarity and usefulness of the conventional report compared to structured magnetic resonance imaging in cases of anal fistula. Method 30 magnetic resonance exams already performed with an evaluation of anal fistula were again evaluated without the radiologist having access to the old report and a new structured report was prepared. Five proctologists evaluated the 30 conventional and 30 structured reports and answered questionnaires with eight questions comparing their practical aspects. The results were tabulated and submitted to statistical treatment considering a significant p < 0.05. Results There was a statistically significant difference in favor of the structured report in the questions “clearly defines whether it is an active fistula or fibrosis”, “clearly states whether the tract is single or multiple”, “whether the patient has anal fistula or not”. The other questions did not present differences between the groups. Conclusion The structured magnetic resonance report presented clearer information and was better evaluated in relation to the conventional one in the analysis of proctologists in the study of anal fistulae.

https://doi.org/10.1016/j.jcol.2019.10.003 429 downloads

10.

Guideline of the Brazilian Society of Cardiology on Telemedicine in Cardiology - 2019
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Lopes, Marcelo Antônio Cartaxo Queiroga

; Oliveira, Gláucia Maria Moraes de

; Ribeiro, Antonio Luiz Pinho

; Pinto, Fausto J.

; Rey, Helena Cramer Veiga

; Zimerman, Leandro Ioschpe

; Rochitte, Carlos Eduardo

; Bacal, Fernando

; Polanczyk, Carisi Anne

; Halperin, Cidio

; Araújo, Edson Correia

; Mesquita, Evandro Tinoco

; Arruda, José Airton

; Rohde, Luis Eduardo Paim

; Grinberg, Max

; Moretti, Miguel

; Caramori, Paulo Ricardo Avancini

; Botelho, Roberto Vieira

; Brandão, Andréa Araújo

; Hajjar, Ludhmila Abrahão

; Santos, Alexandre Fonseca

; Colafranceschi, Alexandre Siciliano

; Etges, Ana Paula Beck da Silva

; Marino, Bárbara Campos Abreu

; Zanotto, Bruna Stella

; Nascimento, Bruno Ramos

; Medeiros, Cesar Rocha

; Santos, Daniel Vitor de Vasconcelos

; Cook, Daniela Matos Arrowsmith

; Antoniolli, Eduardo

; Souza Filho, Erito Marques de

; Fernandes, Fábio

; Gandour, Fabio

; Fernandez, Francisco

; Souza, Germano Emilio Conceição

; Weigert, Guilherme de Souza

; Castro, Iran

; Cade, Jamil Ribeiro

; Figueiredo Neto, José Albuquerque de

; Fernandes, Juliano de Lara

; Hadlich, Marcelo Souza

; Oliveira, Marco Antonio Praça

; Alkmim, Maria Beatriz

; Paixão, Maria Cristina da

; Prudente, Maurício Lopes

; Aguiar Netto, Miguel A. S.

; Marcolino, Milena Soriano

; Oliveira, Monica Amorim de

; Simonelli, Osvaldo

; Lemos Neto, Pedro A.

; Rosa, Priscila Raupp da

; Figueira, Renato Minelli

; Cury, Roberto Caldeira

; Almeida, Rodrigo Coelho

; Lima, Sandra Regina Franco

; Barberato, Silvio Henrique

; Constancio, Thiago Inocêncio

; Rezende, Wladimir Fernandes de

Arquivos Brasileiros de Cardiologia

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nov 2019, Volume 113 N. 5 Pages 1006 - 1056

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

https://doi.org/10.5935/abc.20190205 5274 downloads

11.

Sciatic nerve and its variations: is it possible to associate them with piriformis syndrome?
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Barbosa, Ana Beatriz Marques

; Santos, Priscele Viana dos

; Targino, Vanessa Apolonio

; Silva, Nathalie de Almeida

; Silva, Yanka Costa de Melo

; Gomes, Felippe Barbosa

; Assis, Thiago de Oliveira

Arquivos de Neuro-Psiquiatria

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sep 2019, Volume 77 N. 9 Pages 646 - 653

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

RESUMO O nervo isquiático forma-se a partir das raízes do plexo lombosacro e emerge da pelve passando inferiormente ao músculo piriforme, em direção ao membro inferior onde se divide em nervos tibial e fibular comum. Variações anatômicas relativas ao local onde ocorre a divisão desse nervo, bem como do seu trajeto, parecem ser fatores relacionados à síndrome do piriforme. Objetivo: Analisar as variações anatômicas do nervo isquiático e suas implicações clínicas. Materiais e Métodos: Trata-se de uma revisão sistemática de artigos indexados nas bases de dados PubMed, LILACS, SciELO, SPRINGERLINK, SCIENC DIRECT e LATINDEX. Foram incluídos artigos originais envolvendo as variações do nervo isquiático. Considerou-se para este estudo o nível de divisão do nervo isquiático e o seu trajeto em relação ao músculo piriforme. A coleta foi realizada por dois revisores independentes. Resultados: Ao final da busca foram selecionados 12 artigos, caracterizados quanto à amostra, método para avaliar a estrutura anatômica e principais resultados. A variação anatômica mais prevalente foi aquela em que o nervo fibular comum atravessa as fibras do músculo piriforme (33,3%). Três estudos (25%) observaram, ainda, variações anatômicas não classificadas na literatura e em outros três (25%) constatou-se a presença de um músculo piriforme duplo. Conclusão: Os resultados desta revisão mostram as variações mais prevalentes do nervo isquiático e apontam para uma possível associação dessa condição com a síndrome do piriforme. Desse modo, essas variações devem ser consideradas durante a semiologia dos distúrbios envolvendo os membros inferiores.

ABSTRACT The sciatic nerve forms from the roots of the lumbosacral plexus and emerges from the pelvis passing inferiorly to the piriformis muscle, towards the lower limb where it divides into common tibial and fibular nerves. Anatomical variations related to the area where the nerve divides, as well as its path, seem to be factors related to piriformis syndrome. Objective: To analyze the anatomical variations of the sciatic nerve and its clinical implications. Methods: This was a systematic review of articles indexed in the PubMed, LILACS, SciELO, SpringerLink, ScienceDirect and Latindex databases from August to September 2018. Original articles covering variations of the sciatic nerve were included. The level of the sciatic nerve division and its path in relation to the piriformis muscle was considered for this study. The collection was performed by two independent reviewers. Results: At the end of the search, 12 articles were selected, characterized according to the sample, method of evaluation of the anatomical structure and the main results. The most prevalent anatomical variation was that the common fibular nerve passed through the piriformis muscle fibers (33.3%). Three studies (25%) also observed anatomical variations not classified in the literature and, in three (25%) the presence of a double piriformis muscle was found. Conclusion: The results of this review showed the most prevalent variations of the sciatic nerve and point to a possible association of this condition with piriformis syndrome. Therefore, these variations should be considered during the semiology of disorders involving parts of the lower limbs.

https://doi.org/10.1590/0004-282x20190093 4520 downloads

12.

Comparison of conventional and structured report in the evaluation of Crohn's disease through enterography
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Gomez, Alvaro Ariel

; Nunes, Thiago Franchi

; Santos, Carlos Henrique Marques dos

; Rissato, Denise Maria

; Tibana, Tiago Kojun

; Adôrno, Isa Felix

; Dourado, Doroty Mesquita

Journal of Coloproctology (Rio de Janeiro)

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dec 2018, Volume 38 N. 4 Pages 290 - 294

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

RESUMO Contexto: Há cada vez maior interesse em padronização na avaliação de exames de imagem, em especial a enterografia na Doenca de Crohn. Objetivo: Comparar a qualidade do laudo convencional com o estruturado na enterografia por tomografia computadorizada na Doença de Crohn. Método: Foram realizados nove enterografias por TC de pacientes com Doença de Crohn com laudos convencionais; após a padronização do laudo estruturado pelo serviço de radiologia um hospital universitário, referência no atendimento de pacientes com doenças inflamatórias intestinais, os mesmos exames foram reavaliados e novos laudos foram emitidos, sem que os radiologistas tivessem acesso ao laudo anterior; os 18 laudos foram submetidos a avaliação de cinco especialistas em Doenças Inflamatórias Intestinais, resultando em 90 análises de laudo; os especialistas avaliaram os seguintes critérios: clareza das informações do laudo, facilidade em caracterizar a extensão da doença, facilidade em definir a presença de complicações, utilidade do exame para definir a conduta e facilidade em definir a atividade da doença, conferindo uma pontuação de 0 a 10. A análise estatística foi realizada com o teste não paramétrico de Wilcoxon, considerando-se nível de significância de 5%. Resultados: os escores médios atribuídos aos laudos do exame, usando ambos os relatórios (não estruturado e estruturado), variaram de 7,98 a 9,16; todavia, os escores dos laudos estruturados foram significativamente maiores (p < 0,003). Conclusão: Na avaliação dos especialistas o laudo estruturado mostrou-se de melhor qualidade que o não estruturado na enterografia por tomografia computadorizada de pacientes com Doença de Crohn.

ABSTRACT Context: There is an increasing interest in the standardization of the evaluation of imaging exams, especially enterography in Crohn's disease. Objective: To compare the quality of the conventional report with the structured report in computed tomography enterography in Crohn's disease. Method: Nine CT enterographies of patients with Crohn's disease with conventional reports were performed; after the standardization of the structured report by the radiology department of a university hospital that is a reference in the care of patients with inflammatory bowel diseases, the same exams were reevaluated, and new reports were issued, without the radiologists having access to the previous report; the 18 reports underwent evaluation of five specialists in Inflammatory Bowel Diseases, resulting in 90 analyses of the report; the specialists evaluated the following criteria: clarity of the information of the report, ease in characterizing the extension of the disease, ease in defining the presence of complications, usefulness of the exam to define the behavior, and ease in defining the activity of the disease, with the use of a 0-10 score. The statistical analysis was perfrmed with Wilcoxon's non-parametric test, considering a significance level of 5%. Results: The mean scores assigned to the exam reports, using both reports (unstructured and structured) ranged from 7.98 to 9.16; however, the scores of the structured reports were significantly higher (p < 0.003). Conclusion: In the specialists' evaluation, the structured report was shown to be of better quality than the unstructured one in the CT enterography of patients with Crohn's Disease.

https://doi.org/10.1016/j.jcol.2018.05.011 887 downloads

13.

Anatomical terminology of the internal nose and paranasal sinuses: cross-cultural adaptation to Portuguese
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Bezerra, Thiago Freire Pinto

; Stamm, Aldo

; Anselmo-Lima, Wilma Teresinha

; Fornazieri, Marco Aurélio

; Melo, Nelson D’Ávila

; Balsalobre, Leonardo

; Jotz, Geraldo Pereira

; Leão, Henrique Zaquia

; Nunes, André Alencar Araripe

; Felippu, Alexandre

; Cedin, Antonio Carlos

; Pinheiro-Neto, Carlos D.

; Oliveira, Diego Lima

; Sakano, Eulalia

; Kosugi, Eduardo Macoto

; Araújo, Elizabeth

; Valera, Fabiana Cardoso Pereira

; Pinna, Fábio de Rezende

; Romano, Fabrizio Ricci

; Pádua, Francine Grecco de Melo

; Ramos, Henrique Faria

; Telles Jr., João

; Sá, Leonardo Conrado Barbosa de

; D'Assunção Filho, Leopoldo Marques

; Sennes, Luiz Ubirajara

; Gregório, Luis Carlos

; Sampaio, Marcelo H.

; Santos, Marco César Jorge dos

; Franca, Marco

; Mocellin, Marcos

; Lessa, Marcus Miranda

; Avelino, Melissa Ameloti G.

; Tepedino, Miguel

; Andrade, Nilvano Alves de

; Piltcher, Otavio B.

; Roithmann, Renato

; Pilan, Renata Mendonça

; Meireles, Roberto Campos

; Guimarães, Roberto Eustáquio

; Santos, Rodrigo de Paula

; Pezato, Rogério

; Pignatari, Shirley

; Abdo, Tatiana Telles

; Nakajima, Victor

; Almeida, Washington

; Nakanishi, Marcio

; Voegels, Richard L.

Brazilian Journal of Otorhinolaryngology

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dec 2018, Volume 84 N. 6 Pages 677 - 686

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

Resumo: Introdução: A cirurgia endoscópica funcional endonasal é um procedimento cirúrgico frequente entre os otorrinolaringologistas. Em 2014, a Sociedade Europeia de Rinologia publicou o "Documento Europeu para Posicionamento sobre a Terminologia Anatômica Interna do Nariz e das Cavidades Paranasais" com o objetivo de unificar os termos na língua inglesa. Ainda não dispomos de uma terminologia unificada na língua portuguesa. Objetivo: Adaptação transcultural dos termos anatômicos do nariz e das cavidades paranasais para o português da "European Anatomical Terminology of the Internal Nose and Paranasal Sinuses". Método: Um grupo de rinologistas de todo o Brasil, com experiência em cirurgia endoscópica endonasal, foi convidado a participar da elaboração desse posicionamento sobre os termos anatômicos do nariz e das cavidades paranasais para o português conforme metodologia adaptada da previamente descrita por Rudmik e Smith. Resultados: Os resultados desse documento foram gerados a partir da concordância da maioria dos participantes conforme as sugestões mais populares entre os rinologistas. Uma adaptação transcultural da terminologia anatômica nasossinusal foi consolidada. Sugerimos que se busque uniformizar termos como "concha inferior", "septo nasal", "porção (óssea/cartilaginosa) do septo nasal", "meato (médio/ inferior) nasal", "via da drenagem do seio frontal", "recesso frontal" e "processo uncinado". Conclusão: Consolidamos uma versão adaptada em português da "European Anatomical Terminology of the Internal Nose and Paranasal Sinuses" que auxiliará a publicação de comunicados técnicos, publicações científicas e o ensino dos termos anatômicos internos do nariz e das cavidades paranasais no Brasil.

Abstract Introduction: Functional endonasal endoscopic surgery is a frequent surgical procedure among otorhinolaryngologists. In 2014, the European Society of Rhinology published the "European Position Paper on the Anatomical Terminology of the Internal Nose and Paranasal Sinuses", aiming to unify the terms in the English language. We do not yet have a unified terminology in the Portuguese language. Objective: Transcultural adaptation of the anatomical terms of the nose and paranasal cavities of the "European Anatomical Terminology of the Internal Nose and Paranasal Sinuses" to Portuguese. Methods: A group of rhinologists from diverse parts of Brazil, all experienced in endoscopic endonasal surgery, was invited to participate in the creation of this position paper on the anatomical terms of the nose and paranasal sinuses in the Portuguese language according to the methodology adapted from that previously described by Rudmik and Smith. Results: The results of this document were generated based on the agreement of the majority of the participants according to the most popular suggestions among the rhinologists. A cross-cultural adaptation of the sinonasal anatomical terminology was consolidated. We suggest the terms "inferior turbinate", "nasal septum", "(bone/cartilaginous) part of the nasal septum", "(middle/inferior) nasal meatus", "frontal sinus drainage pathway", "frontal recess" and "uncinate process" be standardized. Conclusion: We have consolidated a Portuguese version of the European Anatomical Terminology of the Internal Nose and Paranasal Sinuses, which will help in the publication of technical announcements, scientific publications and the teaching of the internal anatomical terms of the nose and paranasal sinuses in Brazil.

https://doi.org/10.1016/j.bjorl.2018.08.003 1085 downloads

14.

Anuran species in a remnant of the Atlantic rainforest in an urban area
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Mageski, Marcio Marques

; Silva-Soares, Thiago

; Duca, Charles

; Santos, Débora Cristina Baptista Medeiros de Oliveira

; Jesus Filho, Paulo Roberto de

; Costa, Larissa Corteletti da

; Clemente-Carvalho, Rute Beatriz Garcia

Papéis Avulsos de Zoologia

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2018, Volume 58 elocation e20185816

Abstract: En | Text: En | PDF: En

Abstract Forest fragments in urban areas have many habitat resources that frogs use for refuge, reproduction and growth. Knowledge of an anuran assembly is the first step towards understanding the importance of these forest fragments in areas highly threatened by anthropogenic actions. We sampled anurans during the day and night from November 2012 to August 2013 through visual and acoustic surveys. We found 333 individuals belonging to 19 species. The highest richness and abundance were recorded in January whereas the lowest richness and abundance were recorded in June. Most species were found in open areas. Our results highlight the importance of well-studied urban fragments for the anuran community. The conservation of these habitats may ensure the viability of the ecological functions of this anuran community for the future.

https://doi.org/10.11606/1807-0205/2018.58.16 1746 downloads

15.

ANATOMICAL VARIATIONS OF THE CELIAC TRUNK: A SYSTEMATIC REVIEW
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SANTOS, Priscele Viana dos

; BARBOSA, Ana Beatriz Marques

; TARGINO, Vanessa Apolonio

; SILVA, Nathalie de Almeida

; SILVA, Yanka Costa de Melo

; BARBOSA, Felippe

; OLIVEIRA, André de Sá Braga

; ASSIS, Thiago de Oliveira

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2018, Volume 31 N. 4 elocation e1403

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

RESUMO Introdução: O tronco celíaco (TC) surge da aorta abdominal e juntamente com as artérias mesentérica superior e mesentérica inferior participa da vascularização de vísceras abdominais por meio de uma série de anastomoses. Ausência do TC ou variação no número de ramos terminais implica em origens variadas das artérias abdominais, o que pode ter implicação em abordagens cirúrgicas. Objetivo: Analisar as variações anatômicas do TC e as possíveis implicações clínico/cirúrgicas associadas. Métodos: Trata-se de uma revisão sistemática de artigos indexados nas bases de dados PubMed, Lilacs, SciELO, Springerlink, Scienc Direct e Latindex, no período de agosto a setembro de 2017. Foram incluídos artigos originais envolvendo as variações anatômicas do TC em humanos. Considerou-se para este estudo a presença/ausência do TC, o número de ramos terminais e o local de origem de seus ramos em casos variantes do padrão anatômico normal. A coleta foi realizada por dois revisores independentes. Resultados: Ao final da busca foram selecionados 12 artigos, caracterizados quanto à amostra, método para avaliar a estrutura anatômica e principais resultados. O padrão anatômico normal foi o mais prevalente na maioria dos trabalhos (75,0%). O TC foi ausente em 41,7% dos achados. A variação anatômica mais prevalente foi a presença do TC com bifurcação (66,7%). Observou-se, ainda, a origem das artérias hepática comum e esplênica a partir das artérias mesentéricas (25,0%). A presença de apenas um ramo (16,7%) e quadrifurcação (8,33%) foram outros achados presentes. Conclusão: Variações do TC não são achados incomuns, sendo relatados diferentes variantes anatômicas. Desse modo, ressalta-se a importância sobre o conhecimento das possíveis variações dessa estrutura, o que pode ter implicação em intervenções cirúrgicas e exames de imagem relacionados à região abdominal.

ABSTRACT Introduction: The celiac trunk (CT) is one of the abdominal portion branches of the aortic artery and, together with the superior mesenteric and inferior mesenteric arteries, participates in the abdominal viscera vascularization through a series of anastomoses. Absence of CT or variation in the number of terminal branches implies in varied abdominal arteries origins, which may have implication in surgical approaches. Objective: To analyze the anatomical variations of the celiac trunk and possible associated surgical clinical implications. Methods: It is a systematic review of articles indexed in the PubMed, Lilacs, SciELO, Springerlink, Scienc Direct and Latindex databases from August to September 2017. Original articles involving the anatomical variations of the celiac trunk in humans were included. The presence/absence of the celiac trunk, the number of terminal branches and the place of origin of its branches in variant cases of the normal anatomical pattern, were considered for this study. Results: At the end of the research, 12 articles were selected, characterized by sample, anatomical structure evaluation method and main results. The normal anatomical pattern was the most prevalent in most studies (75.0%). CT was absent in 41.7% of the findings. The most prevalent anatomical variation was the presence of CT with bifurcation (66.7%). It was also observed the origin of the common and splenic hepatic arteries from the mesenteric arteries (25.0%). The presence of only one branch (16.7%) and quadrifurcation (8.33%) were other findings. Conclusion: CT variations are not uncommon findings, with different anatomic variants being reported. Thus, the importance of knowing the possible variations of this structure is emphasized, which may have implications for surgical interventions and imaging studies related to the abdominal region.

https://doi.org/10.1590/0102-672020180001e1403 15617 downloads

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