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Challenges of Multidrug-resistant New Delhi Metallo-beta-Lactamase (NDM-1)-producing Enterobacteriaceae in Kidney Transplant Patients
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Foresto, Renato Demarchi

; Menezes, Lucas Marengo

; Nishimura, Laura Tomoko

; Cristelli, Marina Pontello

; Viana, Laila Almeida

; Santos, Daniel Wagner de Castro Lima

; Requião-Moura, Lúcio R.

; Tedesco-Silva, Helio

; Medina-Pestana, Jose

Brazilian Journal of Nephrology

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mar 2023, Volume 45 N. 1 Pages 116 - 120

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

Abstract Background: The emergence of multidrug-resistant NDM-1-producing enterobacteriaceae strains has become a threat to inpatients, especially to immunosuppressed ones, such as kidney transplant recipients. NDM-1 is a carbapenemase that makes gram-negative bacteria resistant to many types of antibiotics. The incidence of carbapenemase-producing enterobacteria infection in solid organ transplant recipients is around 3 to 10%, with a mortality rate of up to 30%. Methods: We present a case series of 4 patients with NDM-1-producing enterobacteria isolated in urine cultures or rectal swabs. We also conducted a cross-sectional study 30 days after patient identification, collecting surveillance cultures (rectal swab) from all inpatients to assess the extent of spread of this resistance mechanism; a total of 101 patients were included. Results: Two patients were adequately treated with negative control cultures. The other two patients were not treated because they were asymptomatic and had subsequent negative urine cultures. No new colonization was identified in the cross-sectional screening, and no new cases of urinary NDM-1 infection were recorded after a 4-year follow-up. Conclusion: Surveillance for infections caused by multidrug-resistant strains in hospitals treating immunosuppressed patients should be continued and prompt action should be taken in cases of outbreaks of multidrug-resistant infections.

Resumo Histórico: O surgimento de cepas multirresistentes de enterobacteriaceae produtoras de NDM-1 tornou-se uma ameaça para pacientes hospitalizados, especialmente para os imunossuprimidos, como os receptores de transplante renal. NDM-1 é uma carbapenemase que torna as bactérias gram-negativas resistentes a muitos tipos de antibióticos. A incidência de infecção por enterobactérias produtoras de carbapenemas em receptores de transplante de órgãos sólidos é de cerca de 3 a 10%, com uma taxa de mortalidade de até 30%. Métodos: Apresentamos uma série de casos de 4 pacientes com enterobactérias produtoras de NDM-1 isoladas em culturas de urina ou esfregaços retais. Também realizamos um estudo transversal 30 dias após a identificação do paciente, coletando culturas de vigilância (esfregaço retal) de todos os pacientes internados para avaliar a extensão de disseminação deste mecanismo de resistência; foram incluídos um total de 101 pacientes. Resultados: Dois pacientes foram tratados adequadamente com culturas de controle negativo. Os outros dois pacientes não foram tratados porque eram assintomáticos e tiveram culturas de urina negativas subsequentes. Não foi identificada nenhuma nova colonização na triagem transversal, e não foram registrados novos casos de infecção urinária por NDM-1 após um acompanhamento de 4 anos. Conclusão: A vigilância de infecções causadas por cepas multirresistentes em hospitais que tratam pacientes imunossuprimidos deve ser continuada e devem ser tomadas medidas imediatas em casos de surtos desses tipos de infecções.

https://doi.org/10.1590/2175-8239-jbn-2021-0033

Stein: proposta de um sistema ERP para construção civil
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Amaral, Tatiana Gondim do

; Silva, Lucas Macedo da

; Silva, Vitor de Almeida

Ambiente Construído

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jan 2023, Volume 23 N. 1 Pages 197 - 211

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

Resumo Um Enterprise Resource Planing (ERP) é um sistema de gestão empresarial que permite integrar os fluxos de informação de uma empresa. A implantação de sistemas ERP na construção civil é altamente suscetível a falhas, devido aos requisitos e à complexidade da área. Com o propósito de desenvolver um sistema ERP efetivo, é necessário ter uma análise de requisitos prévia, além de manter o contato com os interessados e demais envolvidos até a entrega do produto. Contudo, diversas escolhas técnicas influenciam na qualidade final do produto, e não foram identificadas na literatura propostas técnicas que auxiliem nessas escolhas. Dessa forma, o objetivo do presente trabalho é propor uma arquitetura para a implementação do sistema, no formato de um modelo de diagrama de blocos, para auxiliar na construção de um ERP, definindo os principais módulos de softwareque esse sistema deve possuir. O modelo proposto é baseado na arquitetura de microsserviços. Foram levantados e elencados os módulos do sistema e seu fluxo de comunicação, de modo a evitar problemas técnicos encontrados durante o ciclo de vida do software. Também foram sugeridas tecnologias que podem ser utilizadas para a construção do ERP, tais como API REST e banco de dados.

Abstract An Enterprise Resource Planning (ERP) is a business management system that allows the integration of a company's information flows. The implementation of ERP systems in the construction industry is highly susceptible to failure, due to the requirements and complexity of the area. With the purpose of developing an effective ERP system, it is necessary to have a prior requirements analysis, in addition to maintaining contact with stakeholders and others involved until the product is delivered. However, several technical choices influence the final quality of the product and no technical proposals that can help in these choices have been identified in the literature. Thus, the objective of this study is to propose an architecture for the system’s implementation, in the format of a block diagram model to help in the construction of an ERP, defining the main software modules that an ERP system must have. The proposed model is based on microservices architecture. The system’s modules and their communication flow were surveyed and listed in order to avoid technical problems encountered during the software life cycle. Technologies that can be used to build the ERP, such as REST API and Database, are also suggested.

https://doi.org/10.1590/s1678-86212023000100658

Health in prison: coronavirus disease 2019's challenges in the Brazilian criminal justice system
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Paiva, João Paulo Silva de

; Leal, Thiago Cavalcanti

; Silva, Leonardo Feitosa da

; Santos, Lucas Gomes

; Santana, Gibson Barros de Almeida

; Machado, Michael Ferreira

; Souza, Carlos Dornels Freire de

Revista da Associação Médica Brasileira

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jan 2023, Volume 69 N. 1 Pages 186 - 190

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1806-9282.20210889

Exogenous application of salicylic acid on the mitigation of salt stress in Capsicum annuum L.
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Silva, André Alisson Rodrigues da

; Lima, Geovani Soares de

; Azevedo, Carlos Alberto Vieira de

; Veloso, Luana Lucas de Sá Almeida

; Souza, Leandro de Pádua

; Fátima, Reynaldo Teodoro de

; Silva, Francisco de Assis da

; Gheyi, Hans Raj

Ciência Rural

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2023, Volume 53 N. 7 elocation e20210447

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

RESUMO: A salinidade tem afetado negativamente o cultivo de hortaliças, sobretudo em regiões semiáridas. Neste sentido, o uso de elicitores que atuem na indução de tolerância ao estresse salino, como ácido salicílico, tem se destacado como uma alternativa promissora. Objetivou-se com esse estudo, avaliar os efeitos da pulverização foliar do ácido salicílico na mitigação do estresse salino na morfofisiologia e produção do pimentão cv. All Big. O estudo foi conduzido em casa de vegetação em Campina Grande - PB, utilizando-se o delineamento inteiramente casualizado, em arranjo fatorial 4 x 4, sendo quatro níveis de condutividade elétrica da água de irrigação (0,8; 1,6; 2,4; e 3,2 dS m-1) e quatro concentrações de ácido salicílico (0; 1,2; 2,4 e 3,6 mM), com três repetições. A aplicação foliar de ácido salicílico na concentração de 1,6 mM atenuou os efeitos do estresse salino nas trocas gasosas, no crescimento, no peso médio de fruto e na produção total por planta, e diminuiu a porcentagem de extravasamento de eletrólitos intercelulares das plantas de pimentão cv. All Big aos 80 dias após o semeio.

ABSTRACT: Salinity has limited conventional vegetable cultivation, especially in semi-arid regions. In this regard, the use of elicitors that act to induce tolerance to salt stress, such as salicylic acid, has emerged as a promising alternative. This study evaluated the effects of foliar spraying with salicylic acid on the mitigation of salt stress on the morphophysiology and production of bell pepper cv. All Big. The study was conducted in a greenhouse in Campina Grande - PB, Brazil, adopting a completely randomized design, in a 4 x 4 factorial arrangement, corresponding to four levels of electrical conductivity of irrigation water (0.8; 1.6; 2.4; and 3.2 dS m-1) and four concentrations of salicylic acid (0; 1.2; 2.4 and 3.6 mM), with three replicates. The foliar application of salicylic acid at a concentration of 1.6 mM attenuated the effects of salt stress in gas exchange, growth, mean fruit weight, and total production per plant, and decreased the percentage of intercellular electrolyte leakage of sweet pepper cv. All Big plants, at 80 days after sowing.

https://doi.org/10.1590/0103-8478cr20210447

Effects of dietary fiber on performance and egg quality of laying hens at pre-laying and laying peak
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Andrade, Pedro Gabriel Carneiro de

; Mendonça, Marco Antonio de Freitas

; Cruz, Frank George Guimarães

; Rufino, João Paulo Ferreira

; Silva, Fernanda Moura Fernandes

; Reis, Lucas de Almeida

Acta Scientiarum. Animal Sciences

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2023, Volume 45 elocation e57534

Abstract: En | Text: En | PDF: En

ABSTRACT. This study aimed to evaluate the effects of different levels of dietary fiber on the performance and egg quality of laying hens at pre-laying and laying peak periods. The experimental period was divided into three periods: pre-laying (16 to 19 weeks of age), the start of laying (20 to 22 weeks of age) and laying peak (23 to 28 weeks of age). The experimental design was completely randomized with treatments constituted by five levels of fiber (2.00, 2.50, 3.00, 3.50, and 4.00%) in the diets, with five replicates (pens) of six birds each, totalling 180 hens. Performance and egg quality results were evaluated by polynomial regression at 5%. Fiber levels were not influenced (p >0.05) the first laying of the hens. However, levels above 2.50% of fiber provided worst (p <0.05) performance results, regardless of the period evaluated. Shortly after the start of laying, higher levels of fiber also caused a linear reduction (p <0.05) on egg weight and percentages of yolk and albumen, and an increase (p <0.05) on eggshells. Higher fiber levels caused a linear reduction (p <0.05) in the quality of the eggs, regardless of the period evaluated. It was concluded that the fiber levels did not influence the start period of the laying. Both pre-laying and start of the laying, levels above 2.5% of fiber caused a gradual worsening in performance. From the start of laying up to laying peak, levels above 2.5% of fiber also caused a gradual worsening in egg quality.

https://doi.org/10.4025/actascianimsci.v45i1.57534

Endoscopic ultrasound-guided biliary drainage: a literature review
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DA-SILVA, RODRIGO RODA RODRIGUES

; MAFRA, LUCAS GALLO DE ALVARENGA

; BRUNALDI, VITOR OTTOBONI

; ALMEIDA, LETÍCIA FRANÇA DE

; ARTIFON, EVERSON LUIZ DE ALMEIDA

Revista do Colégio Brasileiro de Cirurgiões

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2023, Volume 50 elocation e20233414

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

ABSTRACT Neoplasms of the biliopancreatic confluence may present with obstruction of the bile tract, leading to jaundice, pruritus and cholangitis. In these cases drainage of the bile tract is imperative. Endoscopic retrograde cholangiopancreatography (ERCP) with placement of a choledochal prosthesis is an effective treatment in about 90% of cases, even in experienced hands. In cases of ERCP failure, therapeutic options traditionally include surgical bypass by hepaticojejunostomy (HJ) or percutaneous transparietohepatic drainage (DPTH). In recent years, endoscopic ultrasound-guided biliary drainage techniques have gained space because they are less invasive, effective and have an acceptable incidence of complications. Endoscopic echo-guided drainage of the bile duct can be performed through the stomach (hepatogastrostomy), duodenum (choledochoduodenostomy) or by the anterograde drainage technique. Some services consider ultrasound-guided drainage of the bile duct the procedure of choice in the event of ERCP failure. The objective of this review is to present the main types of endoscopic ultrasound-guided biliary drainage and compare them with other techniques.

RESUMO Neoplasias da confluência biliopancreática podem cursar com obstrução da via biliar, levando a icterícia, prurido e colangite. Nesses casos a drenagem da via biliar é imperativa. A colangiopancreatografia endoscópica retrógrada (CPER) com colocação de prótese coledociana constitui tratamento eficaz em cerca de 90% dos casos mesmo em mãos experientes. Nos casos de insucesso da CPER, tradicionalmente as opções terapêuticas incluem a derivação cirúrgica por hepaticojejunostomia (HJ) ou drenagem percutânea transparietohepática (DPTH). Nos últimos anos as técnicas endoscópicas ecoguiadas de drenagem biliar ganharam espaço por serem menos invasivas, eficazes e apresentarem incidência aceitável de complicações. A drenagem endoscópica ecoguiada da via biliar pode ser realizada pelo estômago (hepatogastrostomia), duodeno (coledocoduodenostomia) ou pela técnica de drenagem anterógrada. Alguns serviços consideram a drenagem ecoguiada da via biliar o procedimento de escolha no caso de insucesso da CPER. O objetivo desta revisão é apresentar os principais tipos de drenagem biliar endoscópica ecoguiada e confrontá-los com outras técnicas.

https://doi.org/10.1590/0100-6991e-20233414-en

Litterfall production, decomposition and litter nutrient contents in a mined area revegetated with different forest species
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Valente, Fernanda Daniele de Almeida

; Castro, Marllon Fialho de

; Lustosa Filho, José Ferreira

; Lopes, Aldo Teixeira

; Borges, Silvano Rodrigues

; Gomes, Lucas Carvalho

; Neves, Júlio César Lima

; Silva, Ivo Ribeiro da

; Oliveira, Teogenes Senna de

Revista Brasileira de Ciência do Solo

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2023, Volume 47 elocation e0220122

Abstract: En | Text: En | PDF: En

ABSTRACT Afforestation of sites disturbed after bauxite mining is the favorite technique to restore all ecosystem functions. The nature of the tree species used for revegetation of post-mining land can accelerate the recovery of soil organic matter and nutrient cycles. This study aimed to determine the litterfall production, decomposition rate and nutrient content from three types of forest cover ( Eucalyptus , Anadenanthera peregrina , mixed plantation of 16 native species) planted in a bauxite mining area in recovery. Litterfall production was evaluated monthly over 30 months, and the litter mass was assessed twice a year (dry and rainy periods). Total nutrient content was determined from samples grouped by period (dry and rainy). The annual average values for litterfall dry mass and litter mass were higher in Eucalyptus and mixed native. The period (dry or rainy) did not influence litterfall rates in A. peregrina , but Eucalyptus and mixed native presented higher amounts for litterfall during the rainy and dry periods, respectively. Litter accumulation in Eucalyptus was not affected by the season of the year, but mixed native and A. peregrina presented higher litter accumulation in the dry season. Apparent decomposition rates of A. peregrina and mixed native were higher in the rainy season, highlighting the A. peregrina with the highest values compared with the other forest covers. The mixed native presented the highest leaf content of P, K, Ca and Mg in both the litterfall and litter mass, while Eucalyptus had the lowest P, K, Ca, S and N content and the highest C content in the litterfall. Litterfall production is important in degraded areas to ensure the nutrient return to the soil. The data obtained suggest that the cultivation of a mixed of 16 native trees contribute for produce the higher annual litterfall yields, besides produces leaf litterfall of better nutritional quality in relation to P, K, Ca, Mg and S. Therefore, mixed of native trees can be a promising option for reactivation of nutrient cycling and organic matter formation in mined area of bauxite in the Brazilian Atlantic Forest.

https://doi.org/10.36783/18069657rbcs20220122

Effects of tobacco on the DNA of smokers and non-smokers affected by OSCC: systematic review and meta-analysis
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SCHUCH, Lauren Frenzel

; VIANA, Karolina Skarlet Silva

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; AGUIAR, Maria Cássia Ferreira de

; BERNARDES, Vanessa Fátima

Brazilian Oral Research

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2023, Volume 37 elocation e008

Abstract: En | Text: En | PDF: En

Abstract Scientific evidence about genetic and molecular changes in oral squamous cell carcinoma (OSCC) among smokers and non-smokers is inconclusive. This systematic review and meta-analysis assessed the effects of tobacco on the DNA of individuals with OSCC based on protein mutations. Electronic searches were conducted on PubMed, Ovid, Web of Science, and Scopus to identify observational studies published up to January/2022. The Joanna Briggs Institute tool was used for the critical appraisal of studies. The certainty of the evidence was evaluated. Twenty-three studies assessing 4,060 individuals (2,967 smokers vs. 1,093 non-smokers) were included in this review. Fifteen groups of proteins/genes were investigated. Analysis of the quality of articles revealed low risk of bias in most studies. The certainty of the evidence was very low. The meta-analysis confirmed no significant difference between smokers and non-smokers with respect to damage to GSTM1 (OR: 0.60; 95%CI: 0.30–1.18), GSTT1 (OR: 1.18; 95%CI:0.49–2.83), hydrolase proteins (Ku70 and Ku80) (OR: 0.74; 95%CI: 0.18–3.05), and transferase proteins (GSTM1, GSTT1, GSTM3) (OR: 0.74; 95%CI: 0.47–1.18). Most of the studies included showed that smokers are more likely to exhibit genetic instability. However, the meta-analysis revealed that smokers do not necessarily have more genetic alterations in the DNA than non-smokers.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0008

Compartment Syndrome Secondary to Bothrops spp. Envenomation in Triângulo Mineiro, Region, Minas Gerais, Brazil
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Toffano, Lucas Liporoni

; Silva, Luiz Otávio da

; Neves, Fernando de Freitas

; Teixeira, Luciana de Almeida Silva

; Silva-Vergara, Mario León

Revista da Sociedade Brasileira de Medicina Tropical

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2023, Volume 56 elocation e0130-2023

Abstract: En | Text: En | PDF: En

ABSTRACT Background: Snakebite is a neglected global health problem with high morbidity. We describe compartment syndrome (CS) cases related to snakebites by Bothrops spp. Methods: The medical records of patients admitted with snakebites envenomation were reviewed. Results: Of 47 patients with Bothrops spp. envenomation (4 male; mean age: 42 years), 7 (15%) developed CS. The mean time to antivenom administration was 9.5 hours. The time to fasciotomy was variable. Seven patients developed infection and four had acute kidney injury. Conclusions: The incidence of CS is higher than that reported previously. This may be due to the clinical severity and long delay before administering antivenom.

https://doi.org/10.1590/0037-8682-0130-2023

10.

Spirituality in the uncertainty of illness: the perspective of oncology patients
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Almeida Filho, Roberto Firpo de

; Trezza, Maria Cristina Soares Figueiredo

; Comassetto, Isabel

; Silva, Lucas Kayzan Barbosa da

; Lopes, Marcela Porangaba

; Santana, Kleytonn Giann Silva de

; Praxedes, Francyane Adielle de Souza

Revista Brasileira de Enfermagem

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2023, Volume 76 N. 4 elocation e20220712

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

ABSTRACT Objective: To analyze spirituality in the process of illness uncertainty in cancer patients. Methods: This is a qualitative study, in which Merle Mishel’s Theory of Uncertainty of Disease was used as a theoretical framework; and as a methodological reference, the stages of Bardin’s Content Analysis. As a technique for obtaining information, a semi-structured interview was used. Results: Spirituality in the uncertainty of the disease varies from patient to patient and acts in a unique way. They presented readaptation attitudes in their reports. The presence of spirituality in their lives acted as the main force mechanism to deal with the uncertainty of the disease, and this moment was called by Mishel “probabilistic thinking”. Conclusion: Patients demonstrated readaptation attitudes in their reports, and spirituality acted as the main mechanism of strength to deal with uncertainty in the disease

RESUMEN Objetivo: Analizar espiritualidad en el proceso de la incertidumbre de la enfermedad en el paciente oncológico. Métodos: Investigación cualitativa, en la cual fue utilizada como referencial teórico la Teoría de la Incertidumbre Frente a la Enfermedad, de Merle Mishel; y como referencial metodológico, las etapas del Análisis de Contenido de Bardin. Como técnica de obtención de las informaciones, fue usada la entrevista semiestructurada. Resultados: La espiritualidad en la incertidumbre de la enfermedad varia de paciente para paciente y actúa de manera singular. Ellos presentaron actitudes de readaptación en sus relatos. La presencia de la espiritualidad en sus vidas actuó como el principal mecanismo de fuerza para lidiar con la incertidumbre de la enfermedad, siendo, eso momento, llamado por Mishel de “pensamiento probabilístico”. Conclusión: Los pacientes demostraron actitudes de readaptación en sus relatos, y la espiritualidad actuó como el principal mecanismo de fuerza para lidiar con la incertidumbre en la enfermedad.

RESUMO Objetivo: Analisar a espiritualidade no processo da incerteza da doença no paciente oncológico. Métodos: Trata-se de uma pesquisa qualitativa, na qual foi utilizada como referencial teórico a Teoria da Incerteza da Doença, de Merle Mishel; e como referencial metodológico, as etapas da Análise de Conteúdo de Bardin. Como técnica de obtenção das informações, foi usada a entrevista semiestruturada. Resultados: A espiritualidade na incerteza da doença varia de paciente para paciente e atua de forma singular. Eles apresentaram atitudes de readaptação nos seus relatos. A presença da espiritualidade em suas vidas agiu como o principal mecanismo de força para lidar com a incerteza da doença, sendo, esse momento, chamado por Mishel de “pensamento probabilístico”. Conclusão: Os pacientes demonstraram atitudes de readaptação nos seus relatos, e a espiritualidade atuou como o principal mecanismo de força para lidar com a incerteza na doença.

https://doi.org/10.1590/0034-7167-2022-0712

11.

A 14-Year Follow-Up Study of Sequelae in Primary Teeth and Permanent Successors After Dental Trauma
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Costa, Mariana Pires da

; Jural, Lucas Alves

; Silva, Leticia Lopes de Almeida da

; Parada, Matheus Cesar da Silva

; Leão, Anna Thereza Thome

; Luiz, Ronir Raggio

; Lenzi, Michele Machado

; Magno, Marcela Baraúna

; Soares, Thais Rodrigues Campos

; Maia, Lucianne Cople

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2023, Volume 23 elocation e220084

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To evaluate the presence of sequelae in primary teeth and their permanent successors, as well as associations between TDI and the presence of sequelae in both teeth. Material and Methods: In this 14-year retrospective study, 2.290 records were reviewed, 192 patients who suffered dental trauma in primary teeth were followed until the eruption of successor teeth were included. Descriptive, chi-square, and regression logistic with generalized estimating equations tests were performed (p<0.05). Results: 362 primary and successor teeth were followed. Sequelae were present in 71.8% of primary teeth and 25.7% of their successors. Teeth with complicated fracture (100%), extrusion (100%) and avulsion (100%) resulted in the largest amounts of sequelae in primary teeth and intrusion (61%) on their successors. Age was associated with sequelae in permanent teeth (p<0.01). Extrusion (OR 10.06; CI 2.12-47.63) and intrusion (OR 7.51; CI 2.73-20.70) had a higher risk to cause sequelae in primary and permanent teeth, respectively. Conclusion: The type of injury involved influenced the sequelae in traumatized teeth and their successors, and the age of the child influenced the presence of sequelae in permanent teeth.

https://doi.org/10.1590/pboci.2023.035

12.

Assessing Endoscopic Suture Performance of Gynecology and Obstetrics Residents Following Methodic Training
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Nogueira, Lucas Ribeiro

; Lustosa, Kathiane Augusto

; Galindo, Larissa Almeida Oliveira

; Castro, Stephany Ellen de

; Picanço, Liz Rodrigues

; Silva, Lucas Lima da

; Coutinho, Samuel Soares

; Bezerra, Leonardo Robson Pinheiro Sobreira

Revista Brasileira de Ginecologia e Obstetrícia

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2023, Volume 45 N. 10 Pages 603 - 608

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

Abstract Objective To evaluate the performance of residents in gynecology and obstetrics before and after practicing laparoscopic sutures, to establish when the training shows the best results, in addition to comparing whether being in different years of residency influences this progression. Methods A prospective cohort study involving 32 medical residents evaluated with a pretest to establish their previous knowledge in laparoscopic suture. This test consisted of knotting two wires, one made of polypropylene and the other of polyglactin, with a blocking sequence of five semi-knots. We set a 30-minute limit to complete the task. Then, the residents held four training meetings, focusing on suture, Gladiator rule, knot, and symmetries, in addition to executing blocking sequences. A second test to establish progress was performed. Results Regarding the time spent to make the stiches using polyglactin wire, a statistically significant time improvement (p< 0.01) was observed, with a 10.67-minute pretraining median (mean 12.24 minutes) and a 2.53-minute posttraining median (mean 3.25 minutes). Regarding the stitches with polypropylene wire, a statistically significant time improvement (p< 0.05) was also observed, with a 9.38-minute pretraining median (mean 15.43 minutes) and a 3.65-minute posttraining median (mean 4.54 minutes). A total of 64.2% of the residents had been able to make the knot with polypropylene previously. One hundred percent were able to complete the task in the posttest. Conclusion Model training using the Gladiator rule for laparoscopic suture improves the knotting time with statistically similar performance, regardless of the year of residency, after systematic training.

Resumo Objetivo Avaliar a performance de residentes em ginecologia e obstetrícia antes e depois de praticarem suturas laparoscópicas, com o intuito de estabelecer quando o treinamento mostra os melhores resultados, comparando se estar em diferentes da residência influencia essa progressão. Métodos Um estudo coorte prospectivo envolvendo 32 médicos residentes avaliados com um teste pré-treinamento para avaliar seus conhecimentos prévios em sutura laparoscópica. Esse teste consistia em atar nós em dois fios, um de polipropileno e o outro de poliglactina, com uma sequencia de bloqueio de cinco seminós. Definiu-se um limite de 30 minutos para se completar a tarefa. Depois, os residentes tiveram quatro reuniões de treinamento, focadas em sutura, técnica da Regra do Gladiador, nós e simetria, executando, ainda, uma sequência de pontos. Um segundo teste foi feito para avaliar o progresso. Resultados Com relação ao tempo para realizarem os pontos com fio de poliglactina, uma melhora de tempo estatisticamente significativa (p< 0.01) foi observada, com uma mediana de 10.67 minutos no pré-treinamento (média de 12.24 minutos) e uma mediana de 2.53 minutos no pós-treinamento (média de 3.25 minutos). Com relação ao fio de polipropileno, uma melhora de tempo estatisticamente significativa (p< 0.05) também foi observada, com uma mediana de pré-treinamento de 9.38 minutos (média de 15.43 minutos) e uma mediana de pós-treinamento de 3.65 minutos (média de 4.54 minutos). Um total de 64.2% dos residentes foram capazes de realizar os nós com polipropileno inicialmente. Cem por cento do residentes foram capazes de completar a tarefa no pós-teste. Conclusão O modelo de treino usando a técnica da Regra do Gladiador para sutura laparoscópica melhora o tempo de atar nós com uma performance estatisticamente similar, não havendo diferenças quanto ao ano da residência, após treinamento sistematizado.

https://doi.org/10.1055/s-0043-1772476

13.

Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
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LOUREDO, Brendo Vinicius Rodrigues

; CURADO, Maria Paula

; PENAFORT, Paulo Victor Mendes

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; MESQUITA, Ricardo Alves

; PINTO-JÚNIOR, Décio dos Santos

; ABRAHÃO, Aline Corrêa

; ANDRADE, Bruno Augusto Benevenuto de

; AGOSTINI, Michelle

; MORAES, Renata Mendonça

; ANBINDER, Ana Lia

; DOURADO, Pedro Henrique Silva

; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos

; PIRES, Fábio Ramoa

; BORDIGNON, Natalia Cristina Trentin

; GONDAK, Rogério Oliveira

; DE OLIVEIRA, Marcia Gaiger

; CARRARD, Vinicius Coelho

; MARTINS, Manoela Domingues

; SOUSA-NETO, Sebastião Silvério

; ARANTES, Diego Antônio Costa

; MENDONÇA, Elismauro Francisco

; CIESLAK-SANCHES, Silvia Roberta

; ANTUNES, Daniella Moraes

; AMARAL-SILVA, Gleyson Kleber do

; MANIERI, Patricia Rubia

; RAMALHO, Luciana Maria Pedreira

; DOS SANTOS, Jean Nunes

; LEONEL, Augusto César Leal da Silva

; PEREZ, Danyel Elias da Cruz

; VERHEUL, Hannah Carmem Carlos Ribeiro Silva

; BARROSO, Keila Martha Amorim

; RODRIGUES, Flávia Luiza Santos

; GONZAGA, Amanda Katarinny Goes

; FERNANDES, Romana Renery

; DE SOUZA, Lélia Batista

; SOUZA, Lucas Lacerda de

; PONTES, Flávia Sirotheau Corrêa

; PONTES, Hélder Antônio Rebelo

; SILVA, Caroline Alfaia

; CÂMARA, Jeconias

; LIBÓRIO-KIMURA, Tatiana Nayara

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ALMEIDA, Oslei Paes de

; ROMAÑACH, Mário José

; VARGAS, Pablo Agustin

Brazilian Oral Research

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2023, Volume 37 elocation e126

Abstract: En | Text: En | PDF: En

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

14.

MIXED MODELS FOR NUTRIENTS PREDICTION IN SPECIES OF THE BRAZILIAN CAATINGA BIOME
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Abreu, Jadson Coelho de

; Silva, José Antônio Aleixo da

; Ferreira, Rinaldo Luiz Caraciolo

; Rocha, Samuel José Silva Soares da

; Tavares Júnior, Ivaldo da Silva

; Farias, Aline Araújo

; Villanova, Paulo Henrique

; Viana, Aguida Beatriz Travaglia

; Schettini, Bruno Leão Said

; Telles, Lucas Arthur de Almeida

; Silva, Arthur Araújo

Revista Árvore

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2023, Volume 47 elocation e4712

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

ABSTRACT Nutrient prediction models applied to tree species from Brazilian Caatinga can be a crucial tool in understanding this biome. The study aimed to fit a mixed model to predict nitrogen (N), phosphorus (P), and potassium (K) content in tree species native to the Caatinga biome located in Floresta municipality, Pernambuco State – PE, Brazil. The following species were considered the area’s most important and evaluated in the present study: Poincianella bracteosa (Tul.) L.P.Queiroz, Mimosa ophtalmocentra Mart. ex Benth, Aspidosperma pyrifolium Mart, Cnidoscolus quercifolius (Mull. Arg.) Pax. & Hoffm, and Anadenanthera colubrina var. cebil (Griseb.) Altschul. Four trees, representing the average circumference in each diameter class, were harvested for NPK quantification. The Spurr model was evaluated for NPK prediction, and species inclusion as a random effect was significant (p > 0.05) in all models. The Spurr model with fixed and random effects presented better statistics than fixed-effect models in all parameters for all nutrients. Generated NPK predicting equations can be a handy tool to understand the impact of wood extraction over Caatinga’s biogeochemical cycles and guide forest management strategies in semi-arid regions of the world.

RESUMO Modelos de predição de nutrientes aplicados a espécies arbóreas da Caatinga brasileira podem ser uma ferramenta crucial para a compreensão do bioma. O estudo teve como objetivo ajustar um modelo misto para prever os teores de nitrogênio (N), fósforo (P) e potássio (K) em espécies arbóreas nativas do bioma Caatinga localizadas no município de Floresta, Pernambuco – PE, Brasil. As seguintes espécies foram as mais importantes da área e avaliadas no presente estudo: Poincianella bracteosa (Tul.) L.P.Queiroz, Mimosa ophtalmocentra Mart. ex Benth, Aspidosperma pyrifolium Mart, Cnidoscolus quercifolius (Mull. Arg.) Pax. & Hoffm e Anadenanthera colubrina var. cebil (Griseb.) Altschul. Quatro árvores, representando a circunferência média em cada classe de diâmetro, foram colhidas para quantificação de NPK. O modelo Spurr foi avaliado para predição de NPK e a inclusão de espécies como efeito aleatório foi significativa (p > 0,05) em todos os modelos. O modelo de Spurr com efeitos fixos e aleatórios apresentou estatísticas melhores que os modelos de efeito fixo em todos os parâmetros para todos os nutrientes. As equações de previsão de NPK geradas podem ser uma ferramenta útil para entender o impacto da extração de madeira sobre os ciclos biogeoquímicos da Caatinga e orientar estratégias de manejo florestal em regiões semiáridas do mundo.

https://doi.org/10.1590/1806-908820230000012

15.

Factors associated with the lifestyle of state basic education teachers of state during the pandemic
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Vieira, Alexandre dos Reis

; Andrade Junior, Jorge Luiz Bento de

; Costa, Lucas Linhares

; Teixeira, Rafaela Borges

; Vieira, Vinicius de Paula Arruda

; Magalhães, Tatiana Almeida de

; Silva, Nayra Suze Souza e

; Haikal, Desirée Sant’Ana

; Silva, Rosângela Ramos Veloso

; Pinho, Lucinéia de

Revista Gaúcha de Enfermagem

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2023, Volume 44 elocation e20230068

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

ABSTRACT Objective: To analyze the prevalence and factors associated with the lifestyle profile of public basic education teachers in Minas Gerais during the COVID-19 pandemic. Method: Epidemiological websurvey carried out with public basic education teachers in Minas Gerais. Data collection took place from August to September2020 via digital form. Anthropometric, sociodemographic, work, and lifestyle characteristics were evaluated. Poisson Regression was used. Results: 15,641 teachers participated and 31.1% had inadequate health habits. There was a higher prevalence among men (PR=1.38; 95%CI:1.31;1.45), older age (PR=1.20; 95%CI: 1.07;1.34), greater weekly workload (RP=1.10; 95%CI:1.03;1.17) and those dissatisfied with work (RP=1.21; 95%CI:1.15;1.27). As a protective factor, professors with longer teaching experience (RP=0.92; 95%CI:0.87;0.98) and those hired or appointed (PR=0.89; 95%CI:0.85) ;0.94). Conclusion: Lifestyle inadequacy was found among older male teachers, with longer working hours and job dissatisfaction.

RESUMEN Objetivo: Analizar la prevalencia y los factores asociados al perfil de estilo de vida de los docentes de educación básica pública de Minas Gerais durante la pandemia de COVID-19. Método: Encuesta epidemiológica de tipo websurvey realizada con profesores de educación básica pública en Minas Gerais. La recolección de datos ocurrió de agosto a septiembre2020 a través de formulario digital. Se evaluaron características antropométricas, sociodemográficas, laborales y de estilo de vida. Se utilizó la Regresión de Poisson. Resultados: Participaron 15.641 docentes y el 31,1% presentaba hábitos de salud inadecuados. Hubo mayor prevalencia en hombres (RP=1,38; IC 95%: 1,31; 1,45), mayor edad (RP=1,20; IC 95%: 1,07; 1,34), mayor carga de trabajo semanal (RP=1,10; IC 95%: 1,03). ;1,17) y los insatisfechos con el trabajo (RP=1,21; IC95%:1,15;1,27). Como factor protector, profesores con mayor experiencia docente (RP=0,92; IC95%:0,87;0,98) y contratados o nombrados (RP=0,89; IC95%:0,85;0,94). Conclusión: Se encontró inadecuación en el estilo de vida entre los maestros hombres y mayores, con jornadas laborales más largas e insatisfacción laboral.

RESUMO Objetivo: Analisar a prevalência e fatores associados ao perfil do estilo de vida dos professores da educação básica pública de Minas Gerais na pandemia da COVID-19. Método: Inquérito epidemiológico websurvey realizado com professores da educação básica pública de Minas Gerais. A coleta de dados ocorreu de agosto a setembro/2020 via formulário digital. Foram avaliadas as características antropométricas, sociodemográficas, laborais e estilo de vida. Utilizou-se a Regressão de Poisson. Resultados: Participaram 15.641 professores e 31,1% apresentaram hábitos inadequados de saúde. Houve maior prevalência entre homens (RP=1,38; IC95%:1,31;1,45), maior idade (RP=1,20; IC95%: 1,07;1,34), maior carga semanal de trabalho (RP=1,10; IC95%:1,03;1,17) e os insatisfeitos com o trabalho (RP=1,21; IC95%:1,15;1,27). Como fator de proteção encontraram-se os professores com mais tempo de trabalho docente (RP=0,92; IC95%:0,87;0,98) e contratados ou designados (RP=0,89; IC95%:0,85;0,94). Conclusão: Verificou-se inadequação do estilo de vida entre os professores homens mais velhos, com maior jornada laboral e insatisfação com o trabalho.

https://doi.org/10.1590/1983-1447.2023.20230068.en

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