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au:SILVA, MARIA AMELIA RODRIGUES DA

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O declínio da luta pelo direito à saúde e a necessária repolitização da Reforma Sanitária Brasileira na escrita de Amélia Cohn
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Silva, Erika Rodrigues da

; Ianni, Aurea Maria Zöllner

Saúde e Sociedade

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2022, Volume 31 N. 3 elocation e210219pt

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

Resumo A garantia do direito à saúde no Brasil tem sido bastante discutida nos últimos anos, entretanto, esse é um debate antigo, ao qual este artigo busca resgatar. O objetivo deste estudo é apresentar as contribuições da socióloga Amélia Cohn referentes à Reforma Sanitária Brasileira (RSB), para discutir a atualidade de suas questões e refletir sobre a relação entre saúde e democracia. As teses de Cohn sobre a RSB são discutidas com base nos textos de sua autoria, publicados entre 1989 e 2013. A partir da ideia de “declínio do campo da RSB”, buscou-se sistematizar o conjunto das suas críticas nos diferentes períodos históricos. Enfatiza-se que, já em 1992, a autora afirmou o esgotamento da RSB. No contexto de implantação do SUS na década de 1990, apontou a necessidade de elaboração de um novo projeto de saúde para o país. Na década seguinte, Cohn reconheceu a perda do protagonismo na saúde devido à despolitização do campo da RSB no processo de implantação do SUS, o que fragilizou a distinção entre as novas formas de acumulação de capital - a incorporação da racionalidade de mercado na produção e a oferta de serviços e a garantia do direito à saúde.

Abstract The guarantee of the right to health in Brazil has been widely discussed in recent years; however, this is an old debate, to which this article seeks to contribute. This study aims to show the contributions of the sociologist Amélia Cohn regarding the Brazilian Sanitary Reform (BSR), to discuss how current are her questions and reflect on the relationship between health and democracy. Cohn`s theses on BSR are discussed based on her texts, published between 1989 and 2013. Based on the idea of “decline on the field of BSR,” we sought to systematize the set of her critical thinking in the different historical periods. Note that, already in 1992, the author affirmed the exhaustion of the BSR. In the context of the implementation of Brazilian National Health System (SUS) in the 1990s, the author pointed out the need to develop a new health project for the country. In the following decade, Cohn’s recognized the loss of protagonism in the health field due to the depoliticization of the BSR in the implantation process of SUS, which weakened the distinction between the new forms of capital accumulation - the incorporation of market rationality in the production and supply of services - and the guarantee of the right to health.

https://doi.org/10.1590/s0104-12902022210219pt

O declínio da luta pelo direito à saúde e a necessária repolitização da Reforma Sanitária Brasileira na escrita de Amélia Cohn
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Silva, Erika Rodrigues da

; Ianni, Aurea Maria Zöllner

Saúde e Sociedade

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2022, Volume 31 N. 3 elocation e210219pt

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

https://doi.org/10.1590/s0104-12902022210219pt

Use and misuse of biomarkers and the role of D-dimer and C-reactive protein in the management of COVID-19: A post-hoc analysis of a prospective cohort study
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Gonçalves, Fabio Augusto Rodrigues

; Besen, Bruno Adler Maccagnan Pinheiro

; Lima, Clarice Antunes de

; Corá, Aline Pivetta

; Pereira, Antônio José Rodrigues

; Perazzio, Sandro Félix

; Gouvea, Christiane Pereira

; Fonseca, Luiz Augusto Marcondes

; Trindade, Evelinda Marramon

; Sumita, Nairo Massakazu

; Duarte, Alberto José da Silva

; Lichtenstein, Arnaldo

; Bonfa, Eloisa

; Utiyama, Edivaldo M.

; Segurado, Aluisio C.

; Perondi, Beatriz

; Miethke-Morais, Anna

; Montal, Amanda C.

; Harima, Leila

; Fusco, Solange R. G.

; Silva, Marjorie F.

; Rocha, Marcelo C.

; Marcilio, Izabel

; Rios, Izabel Cristina

; Kawano, Fabiane Yumi Ogihara

; Jesus, Maria Amélia de

; Kallas, Ésper George

; Carmo, Carolina

; Tanaka, Clarice

; Souza, Heraldo Possolo de

; Marchini, Julio F. M.

; Carvalho, Carlos

; Ferreira, Juliana C.

; Levin, Anna Sara Shafferman

; Oliveira, Maura Salaroli

; Guimarães, Thaís

; Lázari, Carolina dos Santos

; Sabino, Ester

; Magri, Marcello M. C.

; Barros-Filho, Tarcisio E. P.

; Francisco, Maria Cristina Peres Braido

; Costa, Silvia F.

Clinics

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2021, Volume 76 elocation e3547

Abstract: En | Text: En | PDF: En

OBJECTIVE: Coronavirus disease 2019 (COVID-19) is associated with high mortality among hospitalized patients and incurs high costs. Severe acute respiratory syndrome coronavirus 2 infection can trigger both inflammatory and thrombotic processes, and these complications can lead to a poorer prognosis. This study aimed to evaluate the association and temporal trends of D-dimer and C-reactive protein (CRP) levels with the incidence of venous thromboembolism (VTE), hospital mortality, and costs among inpatients with COVID-19. METHODS: Data were extracted from electronic patient records and laboratory databases. Crude and adjusted associations for age, sex, number of comorbidities, Sequential Organ Failure Assessment score at admission, and D-dimer or CRP logistic regression models were used to evaluate associations. RESULTS: Between March and June 2020, COVID-19 was documented in 3,254 inpatients. The D-dimer level ≥4,000 ng/mL fibrinogen equivalent unit (FEU) mortality odds ratio (OR) was 4.48 (adjusted OR: 1.97). The CRP level ≥220 mg/dL OR for death was 7.73 (adjusted OR: 3.93). The D-dimer level ≥4,000 ng/mL FEU VTE OR was 3.96 (adjusted OR: 3.26). The CRP level ≥220 mg/dL OR for VTE was 2.71 (adjusted OR: 1.92). All these analyses were statistically significant (p<0.001). Stratified hospital costs demonstrated a dose-response pattern. Adjusted D-dimer and CRP levels were associated with higher mortality and doubled hospital costs. In the first week, elevated D-dimer levels predicted VTE occurrence and systemic inflammatory harm, while CRP was a hospital mortality predictor. CONCLUSION: D-dimer and CRP levels were associated with higher hospital mortality and a higher incidence of VTE. D-dimer was more strongly associated with VTE, although its discriminative ability was poor, while CRP was a stronger predictor of hospital mortality. Their use outside the usual indications should not be modified and should be discouraged.

https://doi.org/10.6061/clinics/2021/e3547

Differences in children and adolescents with SARS-CoV-2 infection: a cohort study in a Brazilian tertiary referral hospital
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Marques, Heloisa Helena de Sousa

; Pereira, Maria Fernanda Badue

; Santos, Angélica Carreira dos

; Fink, Thais Toledo

; Paula, Camila Sanson Yoshino de

; Litvinov, Nadia

; Schvartsman, Claudio

; Delgado, Artur Figueiredo

; Gibelli, Maria Augusta Bento Cicaroni

; Carvalho, Werther Brunow de

; Odone Filho, Vicente

; Tannuri, Uenis

; Carneiro-Sampaio, Magda

; Grisi, Sandra

; Duarte, Alberto José da Silva

; Antonangelo, Leila

; Francisco, Rossana Pucineli Vieira

; Okay, Thelma Suely

; Batisttella, Linamara Rizzo

; Carvalho, Carlos Roberto Ribeiro de

; Brentani, Alexandra Valéria Maria

; Silva, Clovis Artur

; Eisencraft, Adriana Pasmanik

; Rossi Junior, Alfio

; Fante, Alice Lima

; Cora, Aline Pivetta

; Reis, Amelia Gorete A. de Costa

; Ferrer, Ana Paula Scoleze

; Andrade, Anarella Penha Meirelles de

; Watanabe, Andreia

; Gonçalves, Angelina Maria Freire

; Waetge, Aurora Rosaria Pagliara

; Silva, Camila Altenfelder

; Ceneviva, Carina

; Lazari, Carolina dos Santos

; Abellan, Deipara Monteiro

; Santos, Emilly Henrique dos

; Sabino, Ester Cerdeira

; Bianchini, Fabíola Roberta Marim

; Alcantara, Flávio Ferraz de Paes

; Ramos, Gabriel Frizzo

; Leal, Gabriela Nunes

; Rodriguez, Isadora Souza

; Pinho, João Renato Rebello

; Carneiro, Jorge David Avaizoglou

; Paz, Jose Albino

; Ferreira, Juliana Carvalho

; Ferranti, Juliana Ferreira

; Ferreira, Juliana de Oliveira Achili

; Framil, Juliana Valéria de Souza

; Silva, Katia Regina da

; Kanunfre, Kelly Aparecida

; Bastos, Karina Lucio de Medeiros

; Galleti, Karine Vusberg

; Cristofani, Lilian Maria

; Suzuki, Lisa

; Campos, Lucia Maria Arruda

; Perondi, Maria Beatriz de Moliterno

; Diniz, Maria de Fatima Rodrigues

; Fonseca, Maria Fernanda Mota

; Cordon, Mariana Nutti de Almeida

; Pissolato, Mariana

; Peres, Marina Silva

; Garanito, Marlene Pereira

; Imamura, Marta

; Dorna, Mayra de Barros

; Luglio, Michele

; Rocha, Mussya Cisotto

; Aikawa, Nadia Emi

; Degaspare, Natalia Viu

; Sakita, Neusa Keico

; Udsen, Nicole Lee

; Scudeller, Paula Gobi

; Gaiolla, Paula Vieira de Vincenzi

; Severini, Rafael da Silva Giannasi

; Rodrigues, Regina Maria

; Toma, Ricardo Katsuya

; Paula, Ricardo Iunis Citrangulo de

; Palmeira, Patricia

; Forsait, Silvana

; Farhat, Sylvia Costa Lima

; Sakano, Tânia Miyuki Shimoda

; Koch, Vera Hermina Kalika

; Cobello Junior, Vilson

Clinics

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2021, Volume 76 elocation e3488

Abstract: En | Text: En | PDF: En

OBJECTIVES: To compare demographic/clinical/laboratory/treatments and outcomes among children and adolescents with laboratory-confirmed coronavirus disease 2019 (COVID-19). METHODS: This was a cross-sectional study that included patients diagnosed with pediatric COVID-19 (aged <18 years) between April 11, 2020 and April 22, 2021. During this period, 102/5,951 (1.7%) of all admissions occurred in neonates, children, and adolescents. Furthermore, 3,962 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection samples were processed in patients aged <18 years, and laboratory-confirmed COVID-19 occurred in 155 (4%) inpatients and outpatients. Six/155 pediatric patients were excluded from the study. Therefore, the final group included 149 children and adolescents (n=97 inpatients and 52 outpatients) with positive SARS-CoV-2 results. RESULTS: The frequencies of sore throat, anosmia, dysgeusia, headache, myalgia, nausea, lymphopenia, pre-existing chronic conditions, immunosuppressive conditions, and autoimmune diseases were significantly reduced in children and adolescents (p<0.05). Likewise, the frequencies of enoxaparin use (p=0.037), current immunosuppressant use (p=0.008), vasoactive agents (p=0.045), arterial hypotension (p<0.001), and shock (p=0.024) were significantly lower in children than in adolescents. Logistic regression analysis showed that adolescents with laboratory-confirmed COVID-19 had increased odds ratios (ORs) for sore throat (OR 13.054; 95% confidence interval [CI] 2.750-61.977; p=0.001), nausea (OR 8.875; 95% CI 1.660-47.446; p=0.011), and lymphopenia (OR 3.575; 95% CI 1.355-9.430; p=0.010), but also had less hospitalizations (OR 0.355; 95% CI 0.138-0.916; p=0.032). The additional logistic regression analysis on patients with preexisting chronic conditions (n=108) showed that death as an outcome was significantly associated with pediatric severe acute respiratory syndrome (SARS) (OR 22.300; 95% CI 2.341-212.421; p=0.007) and multisystem inflammatory syndrome in children (MIS-C) (OR 11.261; 95% CI 1.189-106. 581; p=0.035). CONCLUSIONS: Half of the laboratory-confirmed COVID-19 cases occurred in adolescents. Individuals belonging to this age group had an acute systemic involvement of SARS-CoV-2 infection. Pediatric SARS and MIS-C were the most important factors associated with the mortality rate in pediatric chronic conditions with COVID-19.

https://doi.org/10.6061/clinics/2021/e3488

Diagnóstico do conhecimento dos adolescentes sobre sexualidade
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Silva, Sílvia Manuela Dias Tavares da

; Vieira Ferreira, Maria Margarida da Silva

; Amaral-Bastos, Maria Manuela

; Monteiro, Maria Amélia José

; Couto, Germano Rodrigues

Acta Paulista de Enfermagem

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2020, Volume 33 elocation eAPE20190210

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

Resumo Objetivo Realizar o diagnóstico do conhecimento dos adolescentes sobre sexualidade para a implementação, à posteriori, de um programa específico e direcionado de intervenção. Métodos Estudo observacional-descritivo, quantitativo, transversal, numa população de 250 alunos a frequentar o décimo ano. Aplicou-se um questionário com caraterização sociodemográfica e o Questionário de Conhecimentos sobre Sexualidade (QCS), constituído por 25 questões de resposta dicotómica (verdadeiro ou falso) e organizado em seis dimensões. Resultados Amostra de conveniência de 136 adolescentes, entre os 14-19 anos, maioritariamente do sexo masculino (54,4%). A média de conhecimento é de 18,6 (DP=2,71), sendo as áreas em que os adolescentes apresentam menores conhecimentos as seguintes: “Primeira relação sexual e relações sexuais”; “Prevenção da gravidez”; e “Aconselhamento e atendimento em saúde sexual e reprodutiva”. Existe apenas diferença significativa favorável às raparigas na dimensão “Prevenção da gravidez”. Como fatores que influenciam positivamente o conhecimento dos adolescentes identificam-se a escolaridade ao nível do ensino superior dos pais com enfoque maior nas mães, e um dos pais ser profissional de saúde. Conclusão Constatou-se a necessidade de desenvolver um programa de intervenção direcionado à realidade da escola, incidindo nas áreas de “Primeira relação sexual e relações sexuais”, “Prevenção da gravidez” e “Aconselhamento e atendimento em saúde sexual e reprodutiva”, direcionando o programa para as diferenças do género, com especial relevância para os rapazes.

Abstract Objectives To diagnose adolescents’ knowledge of sexuality for posterior implementation of a specific and targeted intervention program. Methods This was a quantitative-based cross-sectional (observational/descriptive) study including a population of 250 students enrolled in year ten of secondary education. A questionnaire for sociodemographic characterization was applied along with the Questionnaire on Sexuality Knowledge (QCS), which consisted of 25 questions in a dichotomous (true/false) answer scale separated into six dimensions. Results The convenience sample of 136 teenagers aged between 14 and 19 years. The majority of participants were men (54.4%). Mean knowledge was 18.6 (DP = 2.71); areas where adolescents showed the least knowledge are the following: “first sexual relation and sexual concerns”; “pregnancy prevention”; e “counseling and care in sexual and reproductive health”. The only significant difference between dimensions was for “pregnancy prevention” (girls show higher knowledge). Factors positively impacting adolescents’ knowledge are the parents’ formal education level (higher education, especially for mothers) and one of the parents be a healthcare provider. Conclusion The need to develop an intervention program targeting the reality of schools was identified, based on the areas of “first sexual relation and sexual concerns”; “pregnancy prevention”; and “counseling and care in sexual and reproductive health”. The program should target gender differences and, especially, considering boys.

Resumen Objetivo Realizar un diagnóstico de conocimientos de los adolescentes sobre sexualidad para la implementación, a posteriori, de un programa específico y orientado de intervención. Métodos Estudio observacional-descriptivo, cuantitativo, transversal, en una población de 250 alumnos que cursan el décimo año. Se aplicó un cuestionario con caracterización sociodemográfica y el Cuestionario de Conocimientos sobre Sexualidad (QCS), constituido por 25 preguntas de respuesta dicotómica (verdadero o falso) y organizado en seis dimensiones. Resultados Muestreo por conveniencia de 136 adolescentes, entre 14 y 19 años, mayormente de sexo masculino (54,4%). El promedio de conocimiento es de 18,6 (DP=2,71) y las áreas donde los adolescentes presentan menor conocimiento son: “Primera relación sexual y relaciones sexuales”, “Prevención del embarazo” y “Consejos y atención en salud sexual y reproductiva”. Hay una diferencia significativa favorable para las mujeres solamente en la dimensión “Prevención del embarazo”. Se identifican como factores que influyen positivamente en el conocimiento de los adolescentes la escolaridad a nivel de educación superior de los padres, con mayor enfoque en las madres, y que uno de los padres sea profesional de la salud. Conclusión Se constató la necesidad de desarrollar un programa de intervención orientado hacia la realidad de la escuela, con incidencia en las áreas de “Primera relación sexual y relaciones sexuales”, “Prevención del embarazo” y “Consejos y atención en salud sexual y reproductiva”, con orientación del programa hacia las diferencias de género y especial relevancia hacia los hombres.

https://doi.org/10.37689/acta-ape/2020ao0210 3008 downloads

Diagnóstico do conhecimento dos adolescentes sobre sexualidade
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Silva, Sílvia Manuela Dias Tavares da

; Vieira Ferreira, Maria Margarida da Silva

; Amaral-Bastos, Maria Manuela

; Monteiro, Maria Amélia José

; Couto, Germano Rodrigues

Acta Paulista de Enfermagem

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2020, Volume 33 elocation eAPE20190210

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

https://doi.org/10.37689/acta-ape/2020ao0210 396 downloads

Selection of conilon coffee clones tolerant to pests and diseases in Minas Gerais
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Silva, Vania Aparecida

; Abrahão, Juliana Costa de Rezende

; Lima, Luiz Antônio

; Carvalho, Gladyston Rodrigues

; Ferrão, Maria Amelia Gava

; Salgado, Sonia Maria Lima

; Volpato, Margarete Lordelo

; Botelho, Cesar Elias

Crop Breeding and Applied Biotechnology

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sep 2019, Volume 19 N. 3 Pages 269 - 276

Abstract: En | Text: En | PDF: En

Abstract In the northern Minas region, the dry-warm climate predisposes coffee plants to the occurrence of leaf miners, mites, cercosporiosis, and leaf scald. Aiming for the development of a cultivar adapted to these conditions, Coffea canephora Pierre ex A. Froehner clones were selected through genetic parameters under an irrigated system, without agrochemicals. Eighteen agronomic traits were evaluated. The survival rate, number of nodes per plagiotropic branch, leaf miner infestation and cercosporiosis incidence were chosen as characteristics for selection of ‘Vitória Incaper 8142’, once they have shown superiority of the genetic parameters. The survival rate variable was used to rank the EMCAPA 8141 Robustão Capixaba clones. Clones V2, V4, V6, V13, RC7, and RC9 were selected as more tolerant to pests and diseases and can provide genetic improvements in conilon breeding program for region. The genetic dissimilarity identified between clones allowed suitable clone combinations to be proposed for use in future crosses.

https://doi.org/10.1590/1984-70332019v19n3a38 674 downloads

Detection of multidrug-resistant Pseudomonas aeruginosa harboring bla GES-1 and bla GES-11 in Recife, Brazil
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Silva Júnior, Valdemir Vicente da

; Ferreira, Laura Durão

; Alves, Lílian Rodrigues

; Cabral, Adriane Borges

; Jácome, Paula Regina Luna de Araújo

; Araújo, Paulo Sérgio Ramos de

; Lopes, Ana Catarina de Souza

; Maciel, Maria Amélia Vieira

Revista da Sociedade Brasileira de Medicina Tropical

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dec 2017, Volume 50 N. 6 Pages 764 - 768

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION: Pseudomonas aeruginosa, an important pathogen globally, presents several resistance mechanisms. This study aimed to investigate the presence of bla GES in clinical isolates of Pseudomonas aeruginosa obtained from various clinical specimens from patients admitted to three different hospitals in Recife, Brazil. The Guiana extended spectrum beta-lactamase (GES) enzymes are responsible for conferring broad spectrum resistance to beta-lactam drugs, including the carbapenems. METHODS: A total of 100 carbapenem-resistant P. aeruginosa isolates underwent polymerase chain reaction (PCR) testing to identify bla GES, bla KPC, bla SPM-1, bla IMP, and bla VIM. Additionally, PCR products positive for bla GES were sequenced. The clonal profiles of these same isolates were then determined by means of enterobacterial repetitive intergenic consensus (ERIC)-PCR analysis. RESULTS: PCR analysis revealed that four isolates harbored bla GES; DNA sequencing showed that two harbored bla GES-1 and two bla GES-11. Beta-lactamase genes bla SPM-1, bla IMP, bla VIM, and bla KPC were investigated; none of these genes was detected. Automated susceptibility testing methods (Vitek®2, bioMérieux) showed that the bla GES-1-positive isolates were only susceptible to polymyxin B. The patterns obtained with ERIC-PCR methods showed clonal relationship between the two isolates that harbored bla GES-11, whereas different clonal profiles were found in the isolates harboring bla GES-1. CONCLUSIONS: We detected the presence of bacterial isolates positive for two different variants of the enzyme GES in three different hospitals from Recife, Brazil. These enzymes have a great capacity for dissemination among Gram-negative bacteria and confer broad-spectrum resistance to beta-lactam antibiotics and to the carbapenems.

https://doi.org/10.1590/0037-8682-0532-2016 1887 downloads

Adaptability, stability, and genetic divergence of conilon coffee in Alto Suaçuí, Minas Gerais, Brazil
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Silva, Vânia Aparecida

; Machado, Janaine Lopes

; Rezende, Juliana Costa de

; Oliveira, Alexandrino Lopes de

; Figueiredo, Ulisses José de

; Carvalho, Gladyston Rodrigues

; Ferrão, Maria Amélia Gava

; Guimarães, Rubens José

Crop Breeding and Applied Biotechnology

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mar 2017, Volume 17 N. 1 Pages 25 - 31

Abstract: En | Text: En | PDF: En

Abstract The objective of this study was to describe the genetic parameters, adaptability, and stability of clones from the Coffea canephora variety ‘Vitória Incaper 8142’, and the genetic divergence between them. Following 12 and 24 months of plant growth, several traits were evaluated, including stem diameter, plant height, canopy diameter, number of plagiotropic branches, and number of nodes per plagiotropic branch. The agronomic performance of four crops was determined using measurements of productivity, yield, percentage of floating grains, and grade of the beans. Variability was observed between the clones for the majority of the traits measured. The clones V7, V10, V12, and V13 were the most stable and displayed the highest degree of adaptation for the studied traits, and thus these clones will be used to establish a base population suited to the growing conditions in Alto Suaçuí, Minas Gerais, Brazil. Additionally, the genetic dissimilarity identified between clones allowed suitable clone combinations to be proposed for use in future crosses.

https://doi.org/10.1590/1984-70332017v17n1a4 1056 downloads

10.

FRUIT FLIES (DIPTERA: TEPHRITIDAE) AND THEIR PARASITOIDS ASSOCIATED WITH DIFFERENT HOG PLUM GENOTYPES IN TERESINA, PIAUÍ
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SOUSA, LEONARDO DA SILVA

; SILVA, PAULO ROBERTO RAMALHO

; NASCIMENTO, MÁRCIA PATRÍCIA PAULA

; FRANÇA, SOLANGE MARIA DE

; ARAÚJO, ALMERINDA AMÉLIA RODRIGUES

Revista Brasileira de Fruticultura

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2017, Volume 39 N. 4 elocation e-725

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

RESUMO Objetivou-se com este trabalho identificar e quantificar a infestação de espécies de moscas-das-frutas e seus parasitoides, associadas a 20 genótipos de cajazeira (Spondias mombin L.) em um pomar comercial no município de Teresina-PI. Frutos caídos foram coletados, e armadilhas com atrativo alimentar foram instaladas no pomar, no período de janeiro a dezembro de 2012. Foram coletados 6.560 frutos (79, 58 kg), obtendo-se 23.059 pupários, dos quais emergiram 10.080 moscas-das-frutas do gênero Anastrepha e 4.984 parasitoides braconídeos. A espécie A. obliqua foi a predominante, com 99, 92 %. Os genótipos F16P13 e F11P10 apresentaram maiores índices de infestação, e os genótipos F15P11 e F04P01, os menores. Os principais parasitoides coletados foram Opius bellus (77, 65 %), Doryctobracon areolatus (19, 88 %) e Utetes anastrephae (2, 47 %). O índice de parasitismo médio entre os genótipos foi de 30, 46 %. Nas armadilhas, foi coletado um total de 1.434 moscas-das-frutas, cujas espécies encontradas foram: A. obliqua, (97, 6 %), A. serpentina (1,4 %), A. fraterculus (0,4 %), A. striata (0,4 %), A. dissimilis (0,1 %), A. pseudoparallela (0,1 %). A espécie A. obliqua foi a predominante na área, com base na análise faunística calculada. O índice de infestação no pomar foi relevante durante cinco meses (janeiro a maio), período de disponibilidade de frutos de cajazeira. Houve uma correlação significativa negativa entre o número de moscas-das-frutas no pomar e a temperatura média do ar, e correlação significativa positiva com a precipitação pluviométrica e umidade relativa do ar. Entretanto, o principal fator constatado que influenciou o índice de infestação no pomar de cajazeira foi à disponibilidade de frutos.

ABSTRACT The aim of this work was to identify and quantify the infestation of fruit fly species and their parasitoids, associated with 20 hog plum genotypes (Spondias mombin L.) in a commercial orchard in Teresina, Piauí, Brazil. The survey was conducted by fruit sampling and monitoring through traps stocked with bait food, in the period from January to December 2012. Overall, 6560 fruits were collected (79.58 kg), resulting in 23059 pupae, of which 10080 fruit flies of the genus Anastrepha and 4984 braconid parasitoids emerged. Anastrepha obliqua species was the predominant with 99.92%. F16P13 and F11P10 genotypes had the highest infestation indexes and F15P11 and F04P01 genotypes, the lowest. The main parasitoids collected were Opius bellus (77.65%), Doryctobracon areolatus (19.88%) and Utetes anastrephae (2.47%). The average parasitism rate among genotypes was of 30.46%. In traps, a total of 1434 fruit flies were collected, whose species were: A. obliqua (97.6%), A. serpentina (1.4%), A. fraterculus (0.4%), A. striata (0.4%), A. dissimilis (0.1%), A. pseudoparallela (0.1%). Anastrepha obliqua species was predominant in the area, based on faunistic analysis. The infestation index in the orchard was relevant for five months (January-May), coinciding with the period of availability of hog plum fruits, reaching the highest peak in March (2.86 FAT). There was a significant negative correlation between number of fruit flies in the orchard and the average air temperature, and a significant positive correlation with rainfall and relative humidity. However, the main factor that influenced the observed infestation index in the hog plum orchard was fruit availability.

https://doi.org/10.1590/0100-29452017725 1130 downloads

11.

Nova Metodologia de Ensino do ECG: Desmistificando a Teoria na Prática – Ensino Prático do ECG
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Barros, Maria das Neves Dantas da Silveira

; Silva, Marcia Cristina Amélia da

; Oliveira Neto, Nestor Rodrigues de

; Escarião, Abelardo Gonçalves

; Albuquerque, Afonso Luiz Tavares de

Revista Brasileira de Educação Médica

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dec 2016, Volume 40 N. 4 Pages 751 - 756

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

RESUMO O eletrocardiograma é um método diagnóstico de simples execução, de grande utilidade nos diagnósticos das doenças cardiovasculares, sobretudo as agudas, como as arritmias e o infarto agudo do miocárdio. O seu entendimento não é claro, provavelmente porque a base da explicação é voltada para conceitos básicos da física, atrelado ao ensinamento mais teórico que prático aos estudantes de medicina. A presente experiência mostra o modelo criado e adotado para explicar um método de ensino desenvolvido com os devidos materiais fornecidos à população alvo do ensino: estudantes de medicina e médicos residentes de cardiologia e outras especialidades clínicas, que fazem prática de estágio obrigatório dos seus respectivos programas de aprendizagem em uma emergência cardiológica de um hospital universitário em Recife/PE.

ABSTRACT The electrocardiogram is a straightforward diagnostic method, which is very useful to diagnose cardiovascular diseases, particularly acute ones, such as arrhythmias and acute myocardial infarction. Its understanding is unclear, probably because the basis of the explanation is focused on basic concepts of physics, bound to a more theoretical than practical teaching approach for the medical students. This experience shows the model created and adopted to explain a teaching method developed with the proper materials provided to the target group: medical students and medical residents in cardiology and other clinical specialties that require the student to undertake practical training in a cardiac emergency unit of a teaching hospital in Recife / PE.

https://doi.org/10.1590/1981-52712015v40n4e01292015 16301 downloads

12.

Speech and language disorders in children from public schools in Belo Horizonte
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Rabelo, Alessandra Terra Vasconcelos

; Campos, Fernanda Rodrigues

; Friche, Clarice Passos

; Silva, Bárbara Suelen Vasconcelos da

; Friche, Amélia Augusta de Lima

; Alves, Claudia Regina Lindgren

; Goulart, Lúcia Maria Horta de Figueiredo

Revista Paulista de Pediatria

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dec 2015, Volume 33 N. 4 Pages 453 - 459

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

Objetivo: Investigar a prevalência de alterações de linguagem oral, motricidade orofacial e processamento auditivo em crianças de 4-10 anos e verificar a sua associação com a idade e o gênero. Métodos: Estudo transversal com amostra aleatória e estratificada, composta por 539 crianças. Foram usados para avaliação protocolo de motricidade orofacial, adaptado do Roteiro para Avaliação Miofuncional; prova de Fonologia do Teste de Linguagem Infantil ABFW; e avaliação simplificada do processamento auditivo. Foram feitas análises estatísticas descritivas e de associação com o software Epi Info, versão 6.04. Para comparar as proporções foi empregado o qui-quadrado e para comparar médias foi empregada a análise de variância. Foi considerado significativo p≤0,05. Resultados: Das crianças avaliadas, 50,1% apresentaram pelo menos uma das alterações estudadas, 33,6% mostraram alteração de linguagem oral, 17,1% de motricidade orofacial e 27,3% do processamento auditivo. Observou-se associação significativa entre alterações fonoaudiológicas de processamento auditivo, linguagem oral e a faixa etária, o que sugere diminuição do número de crianças com alterações fonoaudiológicas com o aumento da idade. A variável "uma ou mais alterações fonoaudiológicas" também se associou à faixa etária, de maneira similar à acima descrita. Conclusões: A prevalência de alterações fonoaudiológicas na população estudada foi considerada alta, o que evidencia a necessidade de pesquisas e ações em saúde para o enfrentamento do problema.

Objective: To investigate the prevalence of oral language, orofacial motor skill and auditory processing disorders in children aged 4-10 years and verify their association with age and gender. Methods: Cross-sectional study with stratified, random sample consisting of 539 students. The evaluation consisted of three protocols: orofacial motor skill protocol, adapted from the Myofunctional Evaluation Guidelines; the Child Language Test ABFW - Phonology; and a simplified auditory processing evaluation. Descriptive and associative statistical analyses were performed using Epi Info software, release 6.04. Chi-square test was applied to compare proportion of events and analysis of variance was used to compare mean values. Significance was set at p≤0.05. Results: Of the studied subjects, 50.1% had at least one of the assessed disorders; of those, 33.6% had oral language disorder, 17.1% had orofacial motor skill impairment, and 27.3% had auditory processing disorder. There were significant associations between auditory processing skills’ impairment, oral language impairment and age, suggesting a decrease in the number of disorders with increasing age. Similarly, the variable "one or more speech, language and hearing disorders" was also associated with age. Conclusions: The prevalence of speech, language and hearing disorders in children was high, indicating the need for research and public health efforts to cope with this problem.

https://doi.org/10.1016/j.rpped.2015.02.004 3624 downloads

13.

Consequências do uso de fraldas descartáveis em pacientes adultos: implicações para a assistência de enfermagem
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Christini Silva, Thais

; Mazzo, Alessandra

; Rodrigues Santos, Rachel Cristina

; Jorge, Beatriz Maria

; Duarte Souza Júnior, Valtuir

; Costa Mendes, Isabel Amélia

Aquichan

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jan 2015, Volume 15 N. 1 Pages 21 - 30

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

Objetivo: averiguar las consecuencias del uso de pañales desechables en pacientes adultos y discutir sus implicaciones para la asistencia de enfermería. Método: estudio de análisis de sobrevivencia realizado por observación directa y sistematizada. Seguidos los preceptos éticos, durante un periodo de 30 días, se observaron 43 pacientes mayores de 18 años, usuarios de pañales desechables, en la unidad de clínica médica de un gran hospital del departamento de São Paulo. Resultados: de los 43 (100%) pacientes de la muestra, todos presentaron evento subsecuente al uso de pañales desechables. Los eventos observados fueron uso de colector urinario, uso de catéter urinario, presencia de dermatitis y úlcera por presión (UPP), alteraciones del estado de conciencia y del estado de orientación. Conclusión: se observó una relación entre el uso de pañales de manera indiscriminada con la calidad del cuidado y la seguridad del paciente. La observación de las implicaciones del uso de pañales desechables en la asistencia de enfermería al paciente es reciente y necesita nuevos estudios.

Purpose: The study was designed to determine the consequences of adult patients using disposable diapers and to discuss the implications this has for nursing care. Method: A survival analysis study was conducted through direct and systematized observation. Forty-three patients over 18 years of age who use disposable diapers were observed for a period of 30 days at the medical unit of a large hospital in the Department of São Paulo. Findings: All 43 patients in the sample (100%) experienced events subsequent to the use of disposable diapers. The events observed include use of a urinary pouch, use of a delaying urinary catheter, the presence of dermatitis and pressure ulcers, and altered state of consciousness and orientation. Conclusion: A relationship between the indiscriminate use of diapers and the quality of patient care and safety was detected. Observance of the implications of the use of disposable diapers in nursing care for patients is recent and requires further studies.

Objetivo: verificar as consequências do uso de fraldas descartáveis em pacientes adultos e discutir suas implicações para a assistência de enfermagem. Método: estudo de análise de sobrevivência realizado por observação direta e sistematizada. Seguidos os preceitos éticos, durante um período de 30 dias, foram observados 43 pacientes maiores de 18 anos, usuários de fraldas descartáveis, na unidade de clínica médica de um hospital de grande porte do estado de São Paulo. Resultados: dentre os 43 (100%) pacientes da amostra, todos apresentaram evento subsequente ao uso de fraldas descartáveis. Os eventos observados foram uso de coletor urinário, uso do cateter urinário de demora, presença de infecção de trato urinário (ITU), presença de dermatite e úlcera por pressão (UPP), alterações do estado de consciência e do estado de orientação. Conclusão: observou-se uma relação entre o uso de fraldas de maneira indiscriminada com a qualidade do cuidado e segurança do paciente. A observação das implicações do uso de fraldas descartáveis na assistência de enfermagem ao paciente é recente e necessita novos estudos.

https://doi.org/10.5294/aqui.2015.15.1.3 3422 downloads

14.

Infection by multidrug-resistant Elizabethkingia meningoseptica: case reports
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Lima, Jailton Lobo da Costa

; Albuquerque, Giwellington Silva

; Alves, Lílian Rodrigues

; Torres, Kaliny Benicio

; Mello, Luciana Rezende Bandeira de

; Cavalcanti, Polliana Guabiraba e Silva

; Araújo, Paulo Sérgio Ramos

; Maciel, Maria Amélia Vieira

Jornal Brasileiro de Patologia e Medicina Laboratorial

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dec 2014, Volume 50 N. 6 Pages 434 - 436

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

Reportamos dois casos de sepse em pacientes criticamente debilitados em dois hospitais com nível de complexidade terciária em Recife-PE, Brasil. O primeiro caso, paciente de 87 anos com leucemia mieloide crônica e sepse; o segundo, paciente com 93 anos de idade com câncer de próstata apresentava choque séptico causado por Elizabethkingia meningoseptica multirresistente.

We report two cases of sepsis in critically ill patients in two tertiary care hospitals in Recife-PE, Brazil. The first case is an 87-year-old patient with chronic myeloid leukemia and sepsis; and the second case is a 93-year-old patient with prostate cancer and septic shock caused by multidrug-resistant (MDR) Elizabethkingia meningoseptica.

https://doi.org/10.5935/1676-2444.20140053 4786 downloads

15.

Quem vai à consulta de atendimento jovem?
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Silva, Ana Rodrigues

; Oliveira, Gracinda

; Castelo-Branco, Marisol

; Cunha, Amélia

; Milheiro, Maria Conceição

Nascer e Crescer

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nov 2014, Volume 23 Suppl. 3 Pages 29 - 29

Abstract: Pt | Text: Pt | PDF: Pt

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