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Fatores socioeconômicos e comportamentais associados a desigualdade na obesidade de homens e mulheres no Brasil
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Silva, Lucas Adriano

; Rodrigues, Cristiana Tristão

; Braga, Marcelo José

Estudos Econômicos (São Paulo)

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mar 2023, Volume 53 N. 1 Pages 177 - 209

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

Abstract The purpose of the research is to analyze socioeconomic inequality in the distribution of obesity, which is not only a disease, but also a social and economic phenomenon. In the article, the objective is to investigate the factors that make adult men and women have different probabilities of being obese in Brazil. Initially, obese individuals are identified using the Relative Fat Mass (RFM). Then, the Probit model is estimated, and Fairlie decomposition is subsequently applied. In general, the coefficients obtained are satisfactory and statistically significant. The main results indicate that women are more likely to be obese than men. The income, marital status, leisure-time physical activity, consumption of beans, alcoholic beverages and cigarettes have the greater relationship with gender inequality in obesity.

Resumo O objetivo do referente trabalho é o de analisar a obesidade, realizando uma abordagem acerca da desigualdade socioeconômica associada a essa morbidade, dado que a obesidade não é apenas uma doença, constituindo-se também como um fenômeno social e econômico. O artigo investiga os fatores que fazem homens e mulheres adultos terem probabilidades distintas de serem obesos no Brasil. Inicialmente, são identificados os indivíduos obesos, a partir da medida de Massa Gorda Relativa (RFM). Em seguida, estima-se o modelo Probit, com a posterior aplicação da decomposição de Fairlie. Os coeficientes obtidos, em geral, exibem os sinais esperados e são estatisticamente significativos. Os principais resultados apontam que as mulheres possuem maiores chances de serem obesas, com a renda, estado civil, atividade física no lazer, consumo de feijão, bebida alcoólica e cigarro sendo variáveis que apresentam maior relação com a desigualdade de gênero na obesidade.

https://doi.org/10.1590/1980-53575316lcm

Number of lesions, severity and incubation period of isolates of Corynespora cassiicola in soybean cultivars
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Puia, Jacqueline Dalbelo

; Hoshino, Adriano Thibes

; Shimizu, Gabriel Danilo

; Moreira, Ana Maria da Silva

; Vigo, Sandra Cristina

; Canteri, Marcelo Giovanetti

Ciência Rural

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2023, Volume 53 N. 11 elocation e20220278

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

ABSTRACT: This study checked the severity and incubation period of isolates of Coryneporacassiicola (C.c) in soybean cultivars, as well verified whether the position of leaflets influences the susceptibility of the plant to target spot. The experiment was conducted in randomized block with 8 isolates of C.c and 8 soybean cultivars factorial scheme, with five repetitions each block. The plants were inoculated with suspension from 2x104 conidia mL-1. The number of lesions per leaf and the incubation period (IP) were evaluated. The ISO 4S isolate caused greater number of lesions in plants. BMX Potência RR, BMX Força RR, and NA 5909 RG had the lowest occurrence of lesions, while the cultivar BMX Elite IPRO showed the highest number of lesions. More lesions were detected in the lower leaf compared to the upper leaf of the plants. The longest IP was observed for ISO 4S in both leaflets, while the lowest IP for ISO 1A, 3A and 2A in the lower leaf, and for ISO 11S and 1S in the median leaf. For cultivars, significant difference in IP was observed only in the lower leaf, with the longest and shortest IP detected for BMX Elite IPRO and BRS 284, respectively. In general, the upper leaf of the plants presented the shortest IP while the lower leaf had the longest IP.

RESUMO: Este estudo teve como objetivo determinar o número de lesões e período de incubação de isolados de Corynespora cassiicola (C.c) em cultivares de soja, bem como verificar a influência da posição dos trifólios quanto a suscetibilidade a mancha alvo. O delineamento experimental foi de bloco causalizado em arranjo fatorial, oito isolados de C.c e oito cultivares de soja, com cinco repetições em cada bloco. As plantas foram inoculadas com suspensão de 2x104 conídio mL-1. Foram avaliados o número de lesões por folha e o período de incubação (IP). O isolado ISO 4S proporcionou maior número de lesões nas plantas. BMX Potência RR, BMX Força RR e NA 5909 RG apresentaram a menor ocorrência de lesões, enquanto a cultivar BMX Elite IPRO apresentou o maior número de lesões. Maior quantidade de lesões foram detectadas no trifólio inferior em comparação com o trifólio superior das plantas. O IP mais longo foi observado para ISO 4S em ambos os trifólios, enquanto o IP mais curto para ISO 1A, 3A e 2A no trifólio inferior, e para ISO 11S e 1S, trifólio mediano. Para as cultivares, observou-se diferença significativa no IP apenas no trifólio inferior, sendo o maior e menor IP constatados para BMX Elite IPRO e BRS 284, respectivamente. De modo geral, o trifólio superior das plantas demostrou o menor IP, enquanto o trifólio inferior o maior IP.

https://doi.org/10.1590/0103-8478cr20220278

Physiological quality and antioxidant enzymes activity in eggplant seeds with different ages and resting periods after harvest
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Aguilar, Ariel Santivañez

; Cardoso, Antonio Ismael Inácio

; Vasque, Henrique

; Bardiviesso, Estefânia M

; Felito, Ricardo Adriano

; Bezerra, Breno Kennedy L

; Okada, Maurício H

; Acevedo, Andres Felipe G

; Pelvine, Raira A

; Silva, Marcelo de A

; Lemes, Ernane M

Horticultura Brasileira

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2023, Volume 41 elocation e2478

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

ABSTRACT Constant changes during the seed maturation process affect its final quality and the post-harvest fruit resting, which can improve seed physiological quality. Therefore, the objective of this study was to evaluate the physiological and enzymatic activities of eggplant seeds extracted from fruits harvested at different ages and resting periods after harvest. Fruits were harvested presenting different colors at 40, 50, 60, and 70 days after anthesis (DAA) and rested for 0 (freshly harvested fruits), 10, and 20 days. The experimental design was set as completely randomized, with four replications and evaluated seeds extracted from six fruits per plot. The resting periods in eggplant fruits harvested at less than 60 DAA improved the mass of 1000 seeds, germination, vigor, and protein content. Seeds with higher germination and vigor presented lower dismutase (SOD), catalase (CAT), and peroxidase (POX) enzymatic activity. The results indicated that the ideal moment of eggplant harvest for seed production is when the fruit reaches the yellowish-brown color corresponding to about 60 DAA; however, if the eggplant fruit is harvested earlier (40 or 50 DAA), it has to rest for about 10 to 20 days to achieve high physiological quality (germination and vigor).

RESUMO Mudanças constantes durante o processo de maturação das sementes afetam sua qualidade final, assim como o repouso pós colheita dos frutos pode melhorar a qualidade fisiológica das sementes. O objetivo deste estudo foi avaliar a qualidade fisiológica e a atividade enzimática de sementes de berinjela provenientes de frutos com diferentes idades e períodos de repouso após a colheita. Os frutos foram colhidos apresentando cores diferentes aos 40, 50, 60 e 70 dias após a antese (DAA) e mantidos em repouso por 0 (frutos recém-colhidos), 10 e 20 dias. Foi utilizado delineamento experimental inteiramente ao acaso, com quatro repetições e foram avaliadas as sementes extraídas de seis frutos por parcela. O repouso dos frutos de berinjela colhidos com menos de 60 DAA possibilitou maiores massas de 1000 sementes, germinação, vigor e teor de proteínas das sementes. As sementes com maior germinação e vigor apresentaram baixa atividade enzimática da superóxido dismutase (SOD), catalase (CAT) e peroxidase (POX). Os resultados indicaram que o momento ideal da colheita é quando o fruto atinge a cor amarelada-marrom correspondente a cerca de 60 DAA; no entanto, se o fruto de berinjela for colhido precocemente (40 a 50 DAA), ele tem que permanecer em repouso por cerca de 10 a 20 dias para as sementes alcançarem alta qualidade fisiológica (germinação e vigor).

https://doi.org/10.1590/s0102-0536-2023-e2478

Phylogeny and ultrastructure of Myxobolus rangeli n. sp. (Myxozoa, Bivalvulida), a histozoic parasite in Siluriformes fish from the Amazon region
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Silva, Marcelo Francisco da

; Silva, Diehgo Tuloza da

; Giese, Elane

; Furtado, Adriano Penha

; Matos, Patricia

; Lima, Aline Medeiros

; Hamoy, Igor

; Matos, Edilson

Revista Brasileira de Parasitologia Veterinária

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2023, Volume 32 N. 2 elocation e005923

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

Abstract A new species of Myxobolus parasitizing the arterial bulb and cardiac musculature of the freshwater fish Pimelodus ornatus Kner, 1858, from the Arari river in the municipality of Cachoeira do Arari, island of Marajó, Pará, Brazil, was described. In the present study, the observed prevalence of myxozoan parasites in the heart tissue of the hosts was 20% (6/30). The myxozoans observed had mature biconvex spores, slightly rounded, an anterior end with two pyriform polar capsules and a posterior end with very evident sporoplasm, measuring 8 ± 0.2 μmin length. The spore width was 5.8 ± 0.4 μm, with a thickness of 3.4 ± 0.2μm. The length of the polar capsules was 3.6 ± 0.3 μm and the width was 1.2 ± 0.2μm, with 6 to 7 turns of the polar filament. The divergences observed, regarding the morphometric and genetic structure of SSU rDNA, in relation to other Myxobolidae already described in the literature, confirm the description of the new species Myxobolus rangeli n. sp.

Resumo Descrição de uma nova espécie de Myxobolus que parasita o bulbo arterial e a musculatura cardíaca do peixe de água doce Pimelodus ornatus Kner, 1858, do rio Arari, no município de Cachoeira do Arari, ilha de Marajó, Pará, Brasil. No presente estudo, a prevalência observada de parasitas mixozoários no tecido cardíaco dos hospedeiros foi de 20% (6/30). Os mixozoários observados apresentavam esporos maduros biconvexos, levemente arredondados, extremidade anterior com duas cápsulas polares piriformes e extremidade posterior com esporoplasma bem evidente, medindo 8 ± 0,2 μm de comprimento. A largura do esporo foi de 5,8 ± 0,4 μm, com espessura de 3,4 ± 0,2 μm. O comprimento das cápsulas polares foi de 3,6 ± 0,3 μm e a largura foi de 1,2 ± 0,2 μm, com 6 a 7 voltas do filamento polar. As divergências observadas, quanto à estrutura morfométrica e genética de SSU rDNA, em relação a outros Myxobolidae já descritos na literatura, confirmam a descrição da nova espécie Myxobolus rangeli n. sp.

https://doi.org/10.1590/s1984-29612023034

Atualização da Recomendação para Avaliação da Doença das Artérias Carótidas e Vertebrais pela Ultrassonografia Vascular: DIC, CBR, SBACV – 2023
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Albricker, Ana Cristina Lopes

; Freire, Claudia Maria Vilas

; Santos, Simone Nascimento dos

; Alcantara, Monica Luiza de

; Cantisano, Armando Luis

; Porto, Carmen Lucia Lascasas

; Amaral, Salomon Israel do

; Veloso, Orlando Carlos Glória

; Morais Filho, Domingos de

; Teodoro, José Aldo Ribeiro

; Petisco, Ana Cláudia Gomes Pereira

; Saleh, Mohamed Hassan

; Barros, Marcio Vinícius Lins de

; Barros, Fanilda Souto

; Engelhorn, Ana Luiza Dias Valiente

; Engelhorn, Carlos Alberto

; Nardino, Érica Patrício

; Silva, Melissa Andreia de Moares

; Biagioni, Luisa Ciucci

; Souza, Adriano José de

; Sarpe, Anna Karina Paiva

; Oliveira, Arthur Curtarelli de

; Moraes, Marcelo Rodrigo de Souza

; Francisco Neto, Miguel José

; Françolin, Peter Célio

; Rochitte, Carlos Eduardo

; Iquizli, Rogerio

; Santos, Alair Augusto Sarmet Moreira Damas dos

; Muglia, Valdair Francisco

; Naves, Bruno de Lima

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 10 elocation e20230695

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

https://doi.org/10.36660/abc.20230695

Evaluation of psychological symptoms in patients before and after simultaneous pancreas-kidney transplantation: a single-center cross-sectional study
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Romano, Thais Malta

; Linhares, Marcelo Moura

; Posegger, Karin Romano

; Rangel, Érika Bevilaqua

; Gonzalez, Adriano Miziara

; Salzedas-Netto, Alcides Augusto

; Mucci, Samantha

; Silva-Junior, Hélio Tedesco

; Lopes Filho, Gaspar de Jesus

; Medina-Pestana, José Osmar

Acta Cirúrgica Brasileira

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2022, Volume 37 N. 2 elocation e370202

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: Simultaneous pancreas-kidney transplantation (SPKT) brings several benefits for insulin-dependent type-1 diabetic patients associated with end-stage renal disease (ESRD). However, data on psychological outcomes for the waiting list and the transplanted patients are still lacking. Methods: Using the psychological Beck inventories of anxiety (BAI) and depression (BDI), 39 patients on the waiting list were compared to 88 post-transplanted patients who had undergone SPKT. Results: Significant differences were found regarding depression (p = 0.003) but not anxiety (p = 0.161), being the pretransplant patients more vulnerable to psychological disorders. Remarkable differences were observed relative to the feeling of punishment (p < 0.001) and suicidal thoughts (p = 0.008) between the groups. It was observed that patients who waited a longer period for the transplant showed more post-transplant anxiety symptoms due to the long treatment burden (p = 0.002). Conclusions: These results demonstrated the positive impact of SPKT on psychological aspects related to depression when comparing the groups. The high number of stressors in the pretransplant stage impacts more severely the psychosocial condition of the patient.

https://doi.org/10.1590/acb370202

Posicionamento Brasileiro sobre o Uso da Multimodalidade de Imagens na Cardio-Oncologia – 2021
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Melo, Marcelo Dantas Tavares de

; Paiva, Marcelo Goulart

; Santos, Maria Verônica Câmara

; Rochitte, Carlos Eduardo

; Moreira, Valéria de Melo

; Saleh, Mohamed Hassan

; Brandão, Simone Cristina Soares

; Gallafrio, Claudia Cosentino

; Goldwasser, Daniel

; Gripp, Eliza de Almeida

; Piveta, Rafael Bonafim

; Silva, Tonnison Oliveira

; Santo, Thais Harada Campos Espirito

; Ferreira, Waldinai Pereira

; Salemi, Vera Maria Cury

; Cauduro, Sanderson A.

; Barberato, Silvio Henrique

; Lopes, Heloísa M. Christovam

; Pena, José Luiz Barros

; Rached, Heron Rhydan Saad

; Miglioranza, Marcelo Haertel

; Pinheiro, Aurélio Carvalho

; Vrandecic, Bárbara Athayde Linhares Martins

; Cruz, Cecilia Beatriz Bittencourt Viana

; Nomura, César Higa

; Cerbino, Fernanda Mello Erthal

; Costa, Isabela Bispo Santos da Silva

; Coelho Filho, Otavio Rizzi

; Carneiro, Adriano Camargo de Castro

; Burgos, Ursula Maria Moreira Costa

; Fernandes, Juliano Lara

; Uellendahl, Marly

; Calado, Eveline Barros

; Senra, Tiago

; Assunção, Bruna Leal

; Freire, Claudia Maria Vilas

; Martins, Cristiane Nunes

; Sawamura, Karen Saori Shiraishi

; Brito, Márcio Miranda

; Jardim, Maria Fernanda Silva

; Bernardes, Renata Junqueira Moll

; Diógenes, Tereza Cristina

; Vieira, Lucas de Oliveira

; Mesquita, Claudio Tinoco

; Lopes, Rafael Willain

; Segundo Neto, Elry Medeiros Vieira

; Rigo, Letícia

; Marin, Valeska Leite Siqueira

; Santos, Marcelo José

; Grossman, Gabriel Blacher

; Quagliato, Priscila Cestari

; Alcantara, Monica Luiza de

; Teodoro, José Aldo Ribeiro

; Albricker, Ana Cristina Lopes

; Barros, Fanilda Souto

; Amaral, Salomon Israel do

; Porto, Carmen Lúcia Lascasas

; Barros, Marcio Vinícius Lins

; Santos, Simone Nascimento dos

; Cantisano, Armando Luís

; Petisco, Ana Cláudia Gomes Pereira

; Barbosa, José Eduardo Martins

; Veloso, Orlando Carlos Glória

; Spina, Salvador

; Pignatelli, Ricardo

; Hajjar, Ludhmilla Abrahão

; Kalil Filho, Roberto

; Lopes, Marcelo Antônio Cartaxo Queiroga

; Vieira, Marcelo Luiz Campos

; Almeida, André Luiz Cerqueira

Arquivos Brasileiros de Cardiologia

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oct 2021, Volume 117 N. 4 Pages 845 - 909

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

https://doi.org/10.36660/abc.20200266 103 downloads

Lysine effect on the characterization of fillet, by-products, residues, and morphometry of tambaqui Colossoma macropomum (Cuvier, 1818)
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Liebl, Ariany Rabello da Silva

; Nascimento, Marcelo dos Santos

; Rocha-Aride, Paulo Henrique

; Pantoja-Lima, Jackson

; Fragoso Machado-Bussons, Márcia Regina

; Massamitu-Furuya, Wilson

; Oliveira, Adriano Teixeira de

Latin american journal of aquatic research

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sep 2021, Volume 49 N. 4 Pages 620 - 631

Abstract: En | Text: En | PDF: En

ABSTRACT This study aimed to evaluate the yields of by-products and residues and the morphometry of juvenile tambaqui Colossoma macropomum undernutrition with different levels of lysine. Diets were elaborated containing 6.60, 9.72, 12.84, 15.96, 19.08, and 22.20 g kg−1 of total lysine, and these were fed to fish distributed in 18 tanks (310 L each one) for 90 days. Morphometric analysis, measurements of whole fish, by-products, and residues were taken and compared to each other. All variables were validated using ANOVA, Tukey's test, and quadratic regression analysis (P < 0.05). No differences were found for the morphometric variables (P > 0.05). The ratio between morphometric data for the standard and total length showed significance at levels of 9.72 and 15.96 g kg−1 (P = 0.03). The gutted fish and fillets, the protein and lipid contents of the fillets, and the weights and lengths of the intestines did not change (P > 0.05). Moisture was modified with lysine at levels of 22.20 g kg−1 (P = 0.00), and minerals, between 6.60 and 22.20 g kg−1 (P = 0.01). The increase in lysine levels in the diet led to an increase in fin weight (P = 0.00). It was concluded that the addition of lysine in the diet did not directly influence the morphometry and yields of the fish in the juvenile phase, but it did affect the fin waste and the skin by-product.

https://doi.org/10.3856/vol49-issue4-fulltext-2701 114 downloads

Epidemiological evaluation and survival of children with acute myeloid leukemia
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Morais, Rahuany Velleda de

; Souza, Meriene Viquetti de

; Silva, Klerize Anecely de Souza

; Santiago, Pablo

; Lorenzoni, Marcelo Cunha

; Lorea, Cecília Fernandes

; Castro Junior, Cláudio Galvão de

; Taniguchi, Adriano Nori Rodrigues

; Scherer, Fernanda Fetter

; Michalowski, Mariana Bohns

; Daudt, Liane Esteves

Jornal de Pediatria

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apr 2021, Volume 97 N. 2 Pages 204 - 210

Abstract: En | Text: En | PDF: En

Abstract Objective: This study aims to describe the epidemiological characteristics and survival rates of children with acute myeloid leukemia treated in hospitals in southern Brazil and compare them with international data. Methods: A multicenter cohort study was conducted with retrospective data collection of all new patients with acute myeloid leukemia under 18 treated at five referral centers in pediatric hematology-oncology in southern Brazil between January 2005 and December 2015. Results: Of the 149 patients with acute myeloid leukemia, 63.0% (n = 94) were male. The median age at diagnosis was 10.5 years (range 0–18 years) and 40.3% (n = 60) had a white blood cell count below 50,000/mm2. The most common Franco-American-British (FAB) subtype was M3 (n = 43, 28.9%). Nine (6.0%) patients had central nervous system disease. In M3 patients, overall survival (OS) was 69.2% and 3-year event-free survival was 67.7%; in non-M3 patients, these rates were 45.3% and 36.7%, respectively. In non-M3 patients, OS was significantly different between transplanted (61.8%) and non-transplanted (38.2%) patients (p = 0.031). Conclusions: These results show a higher prevalence of the Franco-American-British M3 subtype than that reported in the international literature, as well as a decreased OS compared with that of developed countries. Further multicenter Brazilian studies with a larger sample size are encouraged to better understand the characteristics of acute myeloid leukemia, and to improve the treatment and prognosis in this population.

https://doi.org/10.1016/j.jped.2020.02.003 154 downloads

10.

The glymphatic system and its relation with neurological diseases
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Natário, Karla Helena Picoli

; Aguiar, Guilherme Brasileiro de

; Vieira, Marcelo Adriano da Cunha e Silva

Revista da Associação Médica Brasileira

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apr 2021, Volume 67 N. 4 Pages 620 - 624

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1806-9282.20200925 61 downloads

11.

Brazilian recommendations for the use of nonsteroidal anti-inflammatory drugs in patients with axial spondyloarthritis
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Lage, Ricardo da Cruz

; Marques, Claudia Diniz Lopes

; Oliveira, Thauana Luiza

; Resende, Gustavo Gomes

; Kohem, Charles Lubianca

; Saad, Carla Gonçalves

; Ximenes, Antônio Carlos

; Gonçalves, Célio Roberto

; Bianchi, Washington Alves

; Meirelles, Eduardo de Souza

; Keiserman, Mauro Waldemar

; Chiereghin, Adriano

; Campanholo, Cristiano Barbosa

; Lyrio, André Marun

; Schainberg, Cláudia Goldenstein

; Pieruccetti, Lenise Brandao

; Yazbek, Michel Alexandre

; Palominos, Penelope Esther

; Goncalves, Rafaela Silva Guimarães

; Assad, Rodrigo Luppino

; Bonfiglioli, Rubens

; Lima, Sônia Maria Alvarenga Anti Loduca

; Carneiro, Sueli

; Azevedo, Valderílio Feijó

; Albuquerque, Cleandro Pires

; Bernardo, Wanderley Marques

; Sampaio-Barros, Percival Degrava

; Pinheiro, Marcelo de Medeiros

Advances in Rheumatology

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2021, Volume 61 elocation 4

Abstract: En | Text: En | PDF: En

Abstract Spondyloarthritis (SpA) is a group of chronic inflammatory systemic diseases characterized by axial and/or peripheral joints inflammation, as well as extra-articular manifestations. Over some decades, nonsteroidal anti-inflammatory drugs (NSAIDs) have been the basis for the pharmacological treatment of patients with axial spondyloarthritis (axSpA). However, the emergence of the immunobiologic agents brought up the discussion about the role of NSAIDs in the management of these patients. The objective of this guideline is to provide recommendations for the use of NSAIDs for the treatment of axSpA. A panel of experts from the Brazilian Society of Rheumatology conducted a systematic review and meta-analysis of randomized clinical trials for 15 predefined questions. The Grading of Recommendations, Assessment, Development and Evaluation methodology to assess the quality of evidence and formulate recommendations were used, and at least 70% agreement of the voting panel was needed. Fourteen recommendations for the use of NSAIDs in the treatment of patients with axSpA were elaborated. The purpose of these recommendations is to support clinicians’ decision making, without taking out his/her autonomy when prescribing for an individual patient.

https://doi.org/10.1186/s42358-020-00160-6 505 downloads

12.

Signs of impending rupture in abdominal aortic and iliac artery aneurysms by computed tomography: Outcomes in 41 patients
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Antunes, Bruno Fabricio Feio

; Tachibana, Adriano

; Mendes, Cynthia de Almeida

; Lembrança, Lucas

; Silva, Marcela Juliano

; Teivelis, Marcelo Passos

; Wolosker, Nelson

Clinics

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2021, Volume 76 elocation e2455

Abstract: En | Text: En | PDF: En

OBJECTIVES: This study aimed to determine the prevalence of signs of impending rupture (SIR) in asymptomatic patients with abdominal aortic and iliac artery aneurysms, and to evaluate whether these signs were associated with rupture in asymptomatic patients. METHODS: This was a retrospective study of patients with abdominal aortic and iliac artery aneurysms identified on computed tomography (CT) over a 10-year period in a single center. The CT scans were reviewed by two reviewers, and patients with SIR were assigned to one of three groups: (1) early symptomatic (ES), (2) late symptomatic (LS), and (3) always asymptomatic (AA). The four main SIR described in the literature were investigated: 1) crescent sign, 2) focal wall discontinuity of circumferential calcifications, 3) aortic bulges or blebs, and 4) aortic draping. RESULTS: From a total of 759 aortic and iliac aneurysm reports on 2226 CT scans, we identified 41 patients with at least one SIR, and a prevalence of 4.14% in asymptomatic patients. Focal wall discontinuity of circumferential calcifications was the most common sign, and it was present in 46.3% of these patients (19/41); among these, 26 were repaired (ES: 9, LS: 2, AA: 15). Eleven asymptomatic patients underwent follow-up CT. The aneurysm increased in size in 6 of the 11 (54.5%) patients, and three ruptured (all with discontinuity of calcifications), one of which had no increase in diameter. CONCLUSIONS: The presence of focal wall discontinuity of circumferential calcifications was the most common SIR. There was a prevalence of all signs in less than 5% of asymptomatic patients. In unrepaired patients, the signs could be observed on follow-up CT scans with an increase in aneurysm size, indicating that the presence of SIR alone in the absence of other clinical factors or aneurysm characteristics is an insufficient indication for surgery.

https://doi.org/10.6061/clinics/2021/e2455 537 downloads

13.

Brazilian Society of Rheumatology 2020 guidelines for psoriatic arthritis
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Carneiro, Sueli

; Palominos, Penelope Esther

; Anti, Sônia Maria Alvarenga

; Assad, Rodrigo Luppino

; Gonçalves, Rafaela Silva Guimarães

; Chiereghin, Adriano

; Lyrio, Andre Marun

; Ximenes, Antônio Carlos

; Saad, Carla Gonçalves

; Gonçalves, Célio Roberto

; Kohem, Charles Lubianca

; Marques, Cláudia Diniz Lopes

; Schainberg, Cláudia Goldenstein

; Meirelles, Eduardo de Souza

; Resende, Gustavo Gomes

; Pieruccetti, Lenise Brandao

; Keiserman, Mauro Waldemar

; Yazbek, Michel Alexandre

; Sampaio-Barros, Percival Degrava

; Lage, Ricardo da Cruz

; Bonfiglioli, Rubens

; Oliveira, Thauana Luíza

; Azevedo, Valderílio Feijó

; Bianchi, Washington Alves

; Bernardo, Wanderley Marques

; Simões, Ricardo dos Santos

; Pinheiro, Marcelo de Medeiros

; Campanholo, Cristiano Barbosa

Advances in Rheumatology

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2021, Volume 61 elocation 69

Abstract: En | Text: En | PDF: En

Abstract Psoriatic arthritis (PsA) is a chronic and systemic immune disease characterized by inflammation of peripheral and/ or axial joints and entheses in patients with psoriasis (PsO). Extra-articular and extracutaneous manifestations and numerous comorbidities can also be present. These recommendations replace the previous version published in May 2013. A systematic review of the literature retrieved 191 articles that were used to formulate 12 recommendations in response to 12 clinical questions, divided into 4 sections: diagnosis, non-pharmacological treatment, conventional drug therapy and biologic therapy. These guidelines provide evidence-based information on the clinical management for PsA patients. For each recommendation, the level of evidence (highest available), degree of strength (Oxford) and degree of expert agreement (interrater reliability) are reported.

https://doi.org/10.1186/s42358-021-00219-y

14.

Early recovery after surgery protocol in orthognathic surgery: a randomized, blind clinical study
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OLIVEIRA, Zilane Silva Barbosa de

; SILVEIRA, Marcelo Leite Machado da

; GOMES, Petrus Pereira

; SILVA, José Sandro Pereira da

; GERMANO, Adriano Rocha

Brazilian Oral Research

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2021, Volume 35 elocation e87

Abstract: En | Text: En | PDF: En

Abstract A randomized, blind and prospective clinical trial was conducted to compare two clinical rehabilitation protocols in patients submitted to orthognathic surgery, during the first 60 days after surgery. Pain, edema, mandibular movement, masticatory efficiency and quality of life were evaluated. Nineteen (19) patients were separated into control and experimental groups. The control group consisted of 10 patients followed by oral and maxillofacial surgeons and submitted to a rehabilitation protocol that involved active and passive mouth opening exercises. The experimental group had 9 patients and followed the surgeons’ protocol, in addition to an Early Recovery After Surgery (ERAS) protocol performed by speech therapists, and involving specific motricity exercises and lymphatic drainage. The Student’s t-test was applied to compare the results, and the Fisher’s exact test of independence, to analyze the quality of life and the masticatory efficiency variables. The statistical significance was set at 5% (p < 0.05) for all the tests. The results showed that the ERAS protocol made a positive difference in pain perception in the first 14 days. However, it did not improve the other variables. Although many variables showed no significant difference, it was concluded that the surgeons can delegate patient rehabilitation to qualified professionals, so that they can optimize their postoperative clinical time.

https://doi.org/10.1590/1807-3107bor-2021.vol35.0087 5 downloads

15.

Interprofessional work in health in the context of the COVID-19 pandemic: a scoping review
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Fernandes, Sâmara Fontes

; Trigueiro, Jaira Gonçalves

; Barreto, Márcio Adriano Fernandes

; Carvalho, Rhanna Emanuela Fontenele Lima de

; Silva, Maria Rocineide Ferreira da

; Moreira, Thereza Maria Magalhães

; Costa, Marcelo Viana da

; Freitas, Rodrigo Jácob Moreira de

Revista da Escola de Enfermagem da USP

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2021, Volume 55 elocation e20210207

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

RESUMO Objetivo: mapear a produção científica sobre relações interprofissionais em saúde no primeiro ano da pandemia de COVID-19. Método: revisão de escopo, realizada nas bases PubMed, Scopus, LILACS, CINAHL, Web of Science, Google Scholar e Science Direct, abrangendo o período de publicação do ano de 2020, utilizando o acrônimo PCC (População = profissionais de saúde; Conceito = relações interprofissionais; Contexto = serviços de saúde) e respectivas estratégias de busca. Resultados: foram selecionados 14 artigos científicos e o conteúdo discutido nos manuscritos foi uniformizado, analisado e organizado em categorias de afinidades e semelhanças de seus resultados: 1 – Colaboração interprofissional; 2 – Prática colaborativa; 3 – Trabalho interprofissional; 4 – Aprendizagem interativa e interprofissional. Conclusão: a pandemia demandou respostas rápidas e eficazes que só foram possíveis através das dimensões da colaboração e da interprofissionalidade. O trabalho interprofissional em saúde durante o primeiro ano de pandemia de COVID-19 confirma a importância do trabalho interprofissional e suas dimensões para a oferta de serviços de saúde mais integrais, resolutivos e seguros.

ABSTRACT Objective: to map the scientific production on interprofessional relationships in health in the first year of the COVID-19 pandemic. Method: this is a scoping review performed in PubMed, Scopus, LILACS, CINAHL, Web of Science, Google Scholar and Science Direct databases, covering the period of publication in 2020, using the acronym PCC (Population = health professionals; Concept = interprofessional relationships; Context = health services) and respective search strategies. Results: fourteen scientific articles were selected and the content discussed in the manuscripts was standardized, analyzed and organized into categories of affinities and similarities of their results: 1 – Interprofessional collaboration; 2 – Collaborative practice; 3 – Interprofessional work; 4 – Interactive and interprofessional learning. Conclusion: the pandemic demanded quick and effective responses that were only possible through collaboration and interprofessionalism dimensions. Interprofessional work in health during the first year of the COVID-19 pandemic confirms the importance of interprofessional work and its dimensions for the provision of more comprehensive, resolute and safer health services.

RESUMEN Objetivo: mapear la producción científica sobre las relaciones interprofesionales en salud en el primer año de la pandemia del COVID-19. Método: revisión del alcance, realizada en las bases de datos PubMed, Scopus, LILACS, CINAHL, Web of Science, Google Scholar y Science Direct, cubriendo el período de publicación 2020, utilizando las siglas del PCC (Población = profesionales de la salud; Concepto = relaciones interprofesionales; Contexto = salud servicios) y las respectivas estrategias de búsqueda. Resultados: se seleccionaron 14 artículos científicos y el contenido discutido en los manuscritos fue estandarizado, analizado y organizado en categorías de afinidades y similitudes de sus resultados: 1 – Colaboración interprofesional; 2 – Práctica colaborativa; 3 – Trabajo interprofesional; 4 – Aprendizaje interactivo e interprofesional. Conclusión: la pandemia exigía respuestas rápidas y eficaces que solo eran posibles a través de las dimensiones de la colaboración y la interprofesionalidad. El trabajo interprofesional en salud durante el primer año de la pandemia COVID-19 confirma la importancia del trabajo interprofesional y sus dimensiones para la prestación de servicios de salud más integrales, decididos y seguros.

https://doi.org/10.1590/1980-220x-reeusp-2021-0207

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