Pesquisa | SciELO

ABSTRACT This study was performed to evaluate the efficiency index of cow-calf systems, based on different feed technologies commonly employed in the Rio Grande do Sul state, southern Brazil. Hence, the efficiency of 35 cow-calf herds was evaluated by Data Envelopment Analysis (DEA). Data was collected by online survey and in-depth interviews, as well as data registers from the cow-calf systems, located in 31 municipalities. The analyzed indicators included rates of mortality, pregnancy, birth, and productivity. The feed technologies evaluated were the use of cultivated pastures during winter and summer, supplementation during winter and summer, creep feeding, deferral of natural pasture, use of grazing systems, and employee's capacitation. Approximately 80% of the evaluated farms showed low-to-medium Efficiency Index (EI; up to 0.79 in a scale of 0 to 1), 13% presented high EI, and only 7% had very high EI (above 0.95). The use of cultivated pastures with the inclusion of protein supplementation and employees’ capacitation were highlighted as the main practices to increase efficiency of cow-calf systems in Rio Grande do Sul. The technologies identified as most impactful raise the EI of production systems from low to medium. Our results assist in decision-making in the use of feed technologies, pointing out a direction for the use of technologies that make breeding systems more efficient from a productive point of view.

https://doi.org/10.37496/rbz5120210193

Life-History traits of Hollandichthys multifasciatus (Eigenmann & Norris, 1900) (Characiformes: Characidae) in coastal Atlantic Forest blackwater streams from Southeastern Brazil
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Cardoso, Vinicius de Carvalho

; Esteves, Katharina Eichbaum

Papéis Avulsos de Zoologia

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2022, Volume 62 elocation e202262016

Resumo: En | Texto: En | PDF: En

Abstract Ecological and life history traits have been used to understand the basic ecology of fishes. This study aimed to examine the existence of plasticity in life history traits of populations of Hollandichthys multifasciatus in ten blackwater streams. This is an inseminating Characidae, endemic to the Atlantic coastal drainages of Brazil. Different aspects of the life-history of the species, such as mean length, sex ratio, absolute and relative fecundity, gonadosomatic index, condition factor, length-weight relationship and the growth parameter (b) of 185 specimens were studied during the period of low precipitation (June-September). Fish samples were obtained along a 100 m stretch of each stream, and some habitat variables recorded. ANOVA and Kruskal-Wallis tests indicated a similarity in most of the analyzed traits, with exception of the mean length of immatures, Gonadosomatic Index of mature males and condition factor of immatures and mature adults. Also, slope tests of the length-weight relationship were significantly different for immatures. The observed differences were attributed to heterogeneity in food availability and/or other site-specific factors, which may influence growth and/or breeding aspects among the studied localities. The approach used herein may improve understanding of trait plasticity under natural conditions, helping to understand fish-community responses to anthropogenic changes.

https://doi.org/10.11606/1807-0205/2022.62.016

A Relação entre Regurgitação Mitral e Implante Transcateter de Válvula Aórtica: um Estudo de Acompanhamento Multi-Institucional
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Cunha, Luciana de Cerjat Bernardes P. da

; Guerios, Enio Eduardo

; Cunha, Claudio Leinig Pereira da

; Carvalho, Luiz A.

; Lemos Neto, Pedro

; Sarmento-Leite, Rogério

; Abizaid, Alexandre A.

; Mangione, José Antonio

; Oliveira, Adriano Dourado

; Siciliano, Alexandre

; Esteves, Vinicius

; Brito Jr, Fábio Sândoli de

Arquivos Brasileiros de Cardiologia

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Jun 2021, Volume 116 Nº 6 Páginas 1059 - 1069

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo Fundamento A regurgitação mitral (RM) é prevalente em pacientes submetidos a implante transcateter de válvula aórtica (TAVI). Há algumas controvérsias sobre o impacto prognóstico da RM na sobrevida de pacientes submetidos a TAVI. Objetivo Examinar a relação entre TAVI e RM em uma população de pacientes do Registro Brasileiro de TAVI. Métodos Setecentos e noventa e cinco pacientes do Registro Brasileiro de TAVI foram divididos na linha de base, alta e acompanhamento de acordo com o grau da RM da maneira seguinte: ausente/leve (RMAL) ou moderado/grave (RMMG). Eles foram subsequentemente reagrupados de acordo com as mudanças imediatas e tardias na gravidade da RM após TAVI da maneira seguinte: RM sem mudança, melhora ou piora. Foram analisados os preditores e o impacto prognóstico na linha de base, bem como as mudanças na gravidade da RM. A significância estatística foi estabelecida em p < 0,05. Resultados RMMG basal estava presente em 19,3% dos pacientes e foi um preditor de aumento da mortalidade tardia. Imediatamente após o TAVI, 47,4% dos casos melhoraram para RMAL, previsto por uma pontuação mais alta da Society of Thoracic Surgeons e um grau mais alto de regurgitação aórtica basal. No acompanhamento, 9,2% dos casos de RMAL pioraram para RMMG, enquanto 36,8% dos casos de RMMG melhoraram para RMAL. Fração de ejeção do ventrículo esquerdo (FEVE) mais baixa na linha de base e melhora na FEVE durante o acompanhamento foram preditores de melhora da RM. Piora progressiva da RM no acompanhamento foi um preditor independente de maior mortalidade tardia após TAVI (p = 0,005). Conclusões A RMMG na linha de base é um preditor de mortalidade tardia após TAVI. FEVE mais baixa e melhora na FEVE durante o acompanhamento são preditores de melhora da RM após TAVI. A pior progressiva da gravidade da RM durante o acompanhamento é um preditor independente de mortalidade tardia; isto é um achado raro na literatura.

Abstract Background Mitral regurgitation (MR) is prevalent in patients undergoing transcatheter aortic valve implantation (TAVI). There are some controversies about the prognostic impact of MR in survival of TAVI patients. Objective To examine the relationship between TAVI and MR in a patient population from the Brazilian TAVI Registry. Methods Seven hundred and ninety-five patients from the Brazilian TAVI Registry were divided at baseline, discharge, and follow-up according to their MR grade as follows: absent/mild (AMMR) or moderate/severe (MSMR). They were subsequently regrouped according to their immediate and late changes in MR severity after TAVI as follows: no change, improved, or worsened MR. Predictors and prognostic impact on baseline as well as changes in MR severity were analyzed. Statistical significance was set at p < 0.05. Results Baseline MSMR was present in 19.3% of patients and was a predictor of increased late mortality. Immediately after TAVI, 47.4 % of cases improved to AMMR, predicted by a higher Society of Thoracic Surgeons score and a higher grade of baseline aortic regurgitation. Upon follow-up, 9.2% of cases of AMMR worsened to MSMR, whereas 36.8% of cases of MSMR improved to AMMR. Lower baseline left ventricular ejection fraction (LVEF) and improvement in LVEF at follow-up were predictors of MR improvement. Progressive worsening of MR upon follow-up was an independent predictor of higher late mortality after TAVI (p = 0.005). Conclusions Baseline MSMR predicts late mortality after TAVI. Lower LVEF and improved LVEF at follow-up predict MR improvement after TAVI. Progressive worsening of MR severity at follow-up is an independent predictor of late mortality, which is a rare finding in the literature.

https://doi.org/10.36660/abc.20190772 136 downloads

Implications for Clinical Practice from a Multicenter Survey of Heart Failure Management Centers
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Bocchi, Edimar Alcides

; Moreira, Henrique Turin

; Nakamuta, Juliana Sanajotti

; Simões, Marcus Vinicius

; Casas, Alberto de Almeida Las

; Costa, Altamiro Reis da

; Assis, Amberson Vieira de

; Durães, André Rodrigues

; Pereira-Barretto, Antonio Carlos

; Ravessa, Antonio Delduque de Araujo

; Macedo, Ariane Vieira Scarlatelli

; Biselli, Bruno

; Pinto, Carolina Maria Nogueira

; Filho, Conrado Roberto Hoffmann

; Costantini, Costantino Roberto

; Almeida, Dirceu Rodrigues

; Santos Jr, Edval Gomes dos

; Soliva Junior, Erwin

; Figueiredo, Estevão Lanna

; Albuquerque, Felipe Neves de

; Paulitsch, Felipe

; Neuenschwander, Fernando Carvalho

; Figueiredo Neto, José Albuquerque de

; Brito, Flavio de Souza

; Lopes, Heno Ferreira

; Villacorta, Humberto

; Souza Neto, João David de

; Sepulveda, João Mariano

; Ayoub, José Carlos Aidar

; Vilela-Martin, José F.

; Cardoso, Juliano Novaes

; Uemura, Laercio

; Moura, Lidia Zytynski

; Maia, Lilia Nigro

; Oliveira, Lucia Brandão de

; Maia, Lucimir

; Silva, Luís Beck da

; Gowdak, Luís Henrique Wolff

; Danzmann, Luiz Claudio

; Andrade, Marcus

; Braile-Sternieri, Maria Christiane Valeria Braga

; Moreira, Maria da Consolação Vieira

; França Neto, Olimpio R

; Filho, Otavio Rizzi Coelho

; Esteves, Paulo Frederico

; Raupp-da-Rosa, Priscila

; Silva, Ricardo Jorge de Queiroz e

; Mourilhe-Rocha, Ricardo

; Viégas, Ruy Felipe Melo

; Rassi, Salvador

; Mangili, Sandrigo

; Kaiser, Sergio Emanuel

; Martins, Silvia Marinho

; Kawabata, Vitor Sergio

Clinics

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2021, Volume 76 elocation e1991

Resumo: En | Texto: En | PDF: En

OBJECTIVES: This observational, cross-sectional study based aimed to test whether heart failure (HF)-disease management program (DMP) components are influencing care and clinical decision-making in Brazil. METHODS: The survey respondents were cardiologists recommended by experts in the field and invited to participate in the survey via printed form or email. The survey consisted of 29 questions addressing site demographics, public versus private infrastructure, HF baseline data of patients, clinical management of HF, performance indicators, and perceptions about HF treatment. RESULTS: Data were obtained from 98 centers (58% public and 42% private practice) distributed across Brazil. Public HF-DMPs compared to private HF-DMP were associated with a higher percentage of HF-DMP-dedicated services (79% vs 24%; OR: 12, 95% CI: 94-34), multidisciplinary HF (MHF)-DMP [84% vs 65%; OR: 3; 95% CI: 1-8), HF educational programs (49% vs 18%; OR: 4; 95% CI: 1-2), written instructions before hospital discharge (83% vs 76%; OR: 1; 95% CI: 0-5), rehabilitation (69% vs 39%; OR: 3; 95% CI: 1-9), monitoring (44% vs 29%; OR: 2; 95% CI: 1-5), guideline-directed medical therapy-HF use (94% vs 85%; OR: 3; 95% CI: 0-15), and less B-type natriuretic peptide (BNP) dosage (73% vs 88%; OR: 3; 95% CI: 1-9), and key performance indicators (37% vs 60%; OR: 3; 95% CI: 1-7). In comparison to non- MHF-DMP, MHF-DMP was associated with more educational initiatives (42% vs 6%; OR: 12; 95% CI: 1-97), written instructions (83% vs 68%; OR: 2: 95% CI: 1-7), rehabilitation (69% vs 17%; OR: 11; 95% CI: 3-44), monitoring (47% vs 6%; OR: 14; 95% CI: 2-115), GDMT-HF (92% vs 83%; OR: 3; 95% CI: 0-15). In addition, there were less use of BNP as a biomarker (70% vs 84%; OR: 2; 95% CI: 1-8) and key performance indicators (35% vs 51%; OR: 2; 95% CI: 91,6) in the non-MHF group. Physicians considered changing or introducing new medications mostly when patients were hospitalized or when observing worsening disease and/or symptoms. Adherence to drug treatment and non-drug treatment factors were the greatest medical problems associated with HF treatment. CONCLUSION: HF-DMPs are highly heterogeneous. New strategies for HF care should consider the present study highlights and clinical decision-making processes to improve HF patient care.

https://doi.org/10.6061/clinics/2021/e1991 870 downloads

Observational study of patients with occipital condyle fracture at a brazilian referral trauma center
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BATISTA, ANDREW VINÍCIUS DE SOUZA

; AGUIAR, GUILHERME BRASILEIRO

; BENNETT, PRISCILLA

; UMIGI, MÁRCIA RAMOS

; VEIGA, JOSÉ CARLOS ESTEVES

Revista do Colégio Brasileiro de Cirurgiões

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2021, Volume 48 elocation e20213024

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: avaliar o perfil clínico-epidemiológico, o tratamento e a evolução de pacientes com fraturas do côndilo occipital (FCO) em um dos maiores centros especializados em trauma na América Latina. Método: este é um estudo observacional retrospectivo de FCO identificadas em casos de trauma que foram atendidos no período de Dezembro de 2011 a Dezembro de 2019 pela equipe de trauma de centro de trauma Tipo 3. Resultados: um total de vinte e oito fraturas do côndilo occipital foram identificadas em 26 pacientes. A incidência foi inferior a 0.2% ao ano e mais comum em pacientes do sexo masculino (proporção 4:1) envolvidos em acidentes de trânsito. A idade média foi de 42.08 anos. O Tipo II de Anderson e Montesano e o Tipo 1 de Tuli foram os mais frequentes (67.9% e 89.3%, respectivamente) e nenhum caso teve instabilidades C0C1C2. Todos os pacientes foram tratados com colar cervical por período de 3 a 6 meses. Cerca de 65% dos pacientes apresentaram boa evolução (Escala de Resultados de Glasgow maior ou igual a 4), e a gravidade da lesão cerebral foi o principal determinante para os resultados negativos. Conclusão: os achados deste estudo são similares a dados disponíveis na literatura. O uso de colar cervical para estabilização externa é reforçado para o tratamento de lesões estáveis, mesmo quando bilaterais. A avaliação dos resultados do acompanhamento dos pacientes na amostra estudada pode contribuir com informações úteis para o tratamento de fraturas de côndilo occipital.

ABSTRACT Objective: to evaluate the clinical-epidemiological characteristics, treatment, and evolution of patients with occipital condyle fracture (OCF) at one of the largest referral trauma centers in Latin America. Methods: this was a retrospective observational study of OCF identified from trauma cases admitted between December 2011 and December 2019 by the neurosurgery team at a Type 3 trauma center. Results: a total of twenty-eight occipital condyle fractures were identified in twenty-six patients. The incidence was less than 0.2% per year and more common in male patients (4:1 ratio) involved in traffic accidents. The mean age was 42.08 years. Anderson and Montesano type II and Tuli type 1 were the most frequent (67.9% and 89.3%, respectively) and no case presented C0-C1-C2 instability. All patients were treated with a cervical collar for 3 to 6 months. About 65% of the patients exhibited good progression (Glasgow Outcome Scale equal to 4), and the severity of traumatic brain injury was the main determinant for negative outcomes. Conclusion: the findings of this study are in accordance with available literature data. The use of external stabilization with a cervical collar is reinforced for the treatment of stable lesions, even when these are bilateral. Assessment of the patients’ follow-up results in the studied sample may contribute with useful information for the treatment of occipital condyle fractures.

https://doi.org/10.1590/0100-6991e-20213024

Determining a composite value for the saturated hydraulic conductivity in a recharge area of the Guarani Aquifer System, using pedotransfer functions
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Oliveira, Marcelo Eduardo Dias de

; Gastmans, Didier

; Sacchi, Marcelo Donadelli

; Rocha, Rodrigo Esteves

; Lima, Camila de

; Santos, Vinícius dos

RBRH

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2021, Volume 26 elocation e35

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO A condutividade hidráulica saturada (Ks) é uma propriedade essencial para modelagem do fluxo de água e contaminantes da zona não saturada em direção aos aquíferos. Entretanto, Ks é extremamente variável, mesmo considerando-se locais muito próximos, o que torna a modelagem em escala de bacia de drenagem um desafio. Medições de Ks em campo são na maioria das vezes dispendiosas, demoradas e trabalhosas. O objetivo desse estudo é obter, para fins de modelagem computacional, e por meio de funções de pedotransferência (FPTs), um valor representativo de Ks para uma área de recarga do Sistema Aquífero Guarani. Amostras de solo foram coletadas por toda área de estudo e os valores de Ks em cada ponto de amostragem determinados por meio de FPTs. Nos mesmos pontos, foram feitas medições de Ks por meio de um permeâmetro Guelph. Os valores médios de Ks calculados por meio de FPTs para todos os pontos de amostragem foram semelhantes aos valores médios obtidos pelas medições de campo. O uso de FPTs provou ser um método mais rápido e simples para determinar com eficiência o valor de Ks da área de recarga e para capturar a variação estocástica em termos de combinação de poros do solo na escala considerada.

ABSTRACT The saturated hydraulic conductivity (Ks) is an essential property for modeling water and contaminants movement into aquifers. However, Ks is extremely variable, even when considering nearby locations, which poses a challenge for modeling at catchment scales. Field measurements of Ks are most of the time expensive, time-consuming and labor-intensive. This study aimed to obtain, for modeling purposes, and using pedotransfer functions (PTFs), a composite value of Ks at a catchment scale, in a recharge area of the Guarani Aquifer System. Soil samples were taken across the study area, and the Ks for each sampling point were determined by several PTF methods. At the same locations, Ks field measurements were taken using a Guelph permeameter. Average values of Ks for all the sampling points calculated by PTFs were similar to the average value obtained by field measurements. The use of PTFs proved to be a faster and simpler method to efficiently determine the Ks value for the watershed and to capture the stochastic variation in terms of soil pore combination at the watershed scale.

https://doi.org/10.1590/2318-0331.262120210045

Vitamin D deficiency is not associated with increased oxidative stress in chronic kidney disease pre-dialysis patients
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Matsumoto, Andressa Keiko

; Maes, Michael

; Michelin, Ana Paula

; Soares, Abel Esteves

; Semeão, Laura de Oliveira

; Godeny, Paula

; Venturini, Danielle

; Barbosa, Décio Sabbatini

; Delfino, Vinicius Daher Alvares

Brazilian Journal of Nephrology

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Dez 2020, Volume 42 Nº 4 Páginas 420 - 428

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

Resumo Introdução: A queda da 25-hidroxivitamina D [25 (OH) D] na doença renal crônica (DRC) limita a capacidade renal de sintetizar a vitamina. A deficiência de vitamina D, (25(OH)D<20 ng/mL), é prevalente em pacientes com DRC e associada ao estresse oxidativo (EO). Avaliamos possível associação entre a deficiência de vitamina D e EO em pacientes pré-dialíticos. Métodos: estudo transversal com 206 pacientes com DRC. Exames para 25(OH)D, 1,25(OH)2D, marcadores inflamatórios e EO foram adicionados àqueles de rotina, incluindo creatinina, albumina, cálcio, fósforo, fosfatase alcalina, iPTH, glicose, hemoglobina, ácido úrico, colesterol total , LDL, HDL e triglicerídeos. Resultados: 55 pacientes com DRC tinham deficiência de vitamina D e os 149 tinham níveis normais da vitamina. Houve uma associação significativa entre a vitamina D e a taxa estimada de filtração glomerular (TFGe). Os níveis de homocisteína foram melhor previstos pela TFGe, gênero e idade; proteína C reativa de alta sensibilidade (hsCRP) por estadiamento e IMC; os metabólitos de óxido nítrico (NOx) aumentaram na doença tardia; a leptina foi influenciada pelo IMC, e mais alta em mulheres, assim como os níveis de adiponectina. Conclusões: biomarcadores do EO não correlacionaram com a deficiência de vitamina D, mas houve aumento de NOx nos estágios 4-5 da DRC. Apesar dos grandes números de pacientes com DRC, de biomarcadores inflamatórios e EO usados neste estudo, não houve associação entre os níveis de vitamina D e a TFGe. Mais estudos são necessários para avaliar a influência do status da vitamina D no EO em pacientes com DRC em pré-diálise.

Abstract Introduction: The progressive decline in 25-hydroxyvitamin D [25(OH)D] in chronic kidney disease (CKD) limits the kidney ability of synthesizing the vitamin. Vitamin D deficiency as defined by KDIGO (25(OH)D <20 ng/mL) is prevalent in CKD patients and associated to oxidative stress (OS). We studied a possible association between vitamin D deficiency and OS in pre-dialysis patients. Methods: A cross-sectional study with 206 CKD patients was carried out. Laboratory tests for 25(OH)D, 1,25(OH)2D, inflammatory markers, and OS were added to routine tests including creatinine, albumin, calcium, phosphorus, alkaline phosphatase, iPTH, glucose, hemoglobin, uric acid, total cholesterol, LDL, HDL, and triglycerides. Results: Vitamin D deficiency was present in 55 CKD patients and normal vitamin D levels were seen in 149 patients. There was a significant association between vitamin D and estimated glomerular filtration rate (eGRF). Homocysteine levels were best predicted by eGRF, sex, and age; high sensitivity C-reactive protein (hsCRP) by staging and BMI; nitric oxide metabolites (NOx) were increased in late disease; leptin was influenced by BMI and higher in women than man; and adiponectin levels were higher in women. Conclusions: OS biomarkers were not correlated with vitamin D deficiency but increased NOx were seen in stages 4-5 CKD patients. Even though a relatively large number of CKD patients was included and a broad number of OS and inflammatory biomarkers were used in this studied we failed to find an association between vitamin D levels and eGRF. More studies are needed to evaluate the influence of vitamin D status in OS in pre-dialysis CKD patients.

https://doi.org/10.1590/2175-8239-jbn-2019-0156 657 downloads

The Association between Covid-19 and ST Elevation Myocardial Infarction: Variable Clinical Presentations on a Case Report Series
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Esteves, Vinicius

; Zukowski, Cleverson Neves

; Luca, Fabio Augusto de

; Sousa, Italo Bruno dos Santos

; Bandeira, Bruno Santana

; Camiletti, Angelina

; Arruda, Guilherme

; Feldman, André

; Souza, Olga Ferreira de

International Journal of Cardiovascular Sciences

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Jul 2020, Volume 33 Nº 4 Páginas 429 - 435

Resumo: En | Texto: En | PDF: En

https://doi.org/10.36660/ijcs.20200122 632 downloads

10.

Residual lesions in patients who underwent microsurgical clipping of cerebral aneurysms
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Aguiar, Guilherme Brasileiro de

; Kormanski, Matheus Kohama

; Batista, Andrew Vinícius de Souza

; Conti, Mario Luiz Marques

; Veiga, José Carlos Esteves

Revista da Associação Médica Brasileira

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Mai 2020, Volume 66 Nº 5 Páginas 701 - 705

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO A clipagem microcirúrgica é, atualmente, o principal método de tratamento dos aneurismas cerebrais, mesmo com o aprimoramento das técnicas de terapia endovascular nos últimos anos. O tratamento visa à oclusão completa da lesão, o que nem sempre é factível. Apesar de parecer superior ao tratamento endovascular, a clipagem microcirúrgica pode apresentar porcentagens variadas de oclusão incompleta. Tal incidência pode ser reduzida com utilização de estudo vascular intraoperatório. Algumas classificações foram elaboradas na tentativa de padronizar as características das lesões residuais, mas os critérios de classificação e a terminologia utilizados nos trabalhos mantêm-se vagos e pobremente documentados, não havendo consenso para uma classificação uniforme. Dessa forma, não há também concordância sobre quais aneurismas residuais devam ser submetidos a tratamento. O objetivo do presente estudo é realizar uma revisão da literatura a respeito das lesões residuais após microcirurgia para tratamento dos aneurismas cerebrais e como proceder diante dessas.

SUMMARY Microsurgical clipping is currently the main method of treating cerebral aneurysms, even with the improvement of endovascular therapy techniques in recent years. Treatment aims at complete occlusion of the lesion, which is not always feasible. Although appearing superior to endovascular treatment, microsurgical clipping may present varying percentages of incomplete occlusion. Such incidence may be reduced with the use of intraoperative vascular study. Some classifications were elaborated in an attempt to standardize the characteristics of residual lesions, but the classification criteria and terminology used in the studies remain vague and poorly documented, and there is no consensus for a uniform classification. Thus, there is also no agrément on which residual aneurysms should be treated. The aim of this study is to review the literature on residual lesions after microsurgery to treat cerebral aneurysms and how to proceed with them.

https://doi.org/10.1590/1806-9282.66.5.701 738 downloads

11.

Greek yogurt with added sorghum flours: antioxidant potential and sensory acceptance
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Oliveira, Fernanda Cristina Esteves de

; Pontes, Jovana Pontelo

; Queiroz, Valéria Aparecida Vieira

; Roncheti, Elder Felipe Silva

; Dutra, Victor Luiz Melo

; Correia, Vinícius Tadeu da Veiga

; Ferreira, Andreza Angélica

Revista chilena de nutrición

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Abr 2020, Volume 47 Nº 2 Páginas 272 - 280

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

ABSTRACT The aim of this study was to develop and evaluate the antioxidant characteristics and sensory acceptance of Greek yogurt with added whole sorghum flours (WSF) from genotypes BRS305 (tannin) and BR501 (tannin-free). Five formulations were elaborated: 1) Control (without WSF); 2) 2% BR501; 3) 4% BR501; 4) 2% BRS305 and 5) 4% BRS305 and evaluated for antioxidant capacity, total anthocyanins, total phenols, condensed tannins, sensory acceptance and purchase intention. The 4% BRS305 formulation presented higher antioxidant properties, but lower sensory acceptance. No significant difference was observed for: color, flavor and overall acceptability between the control and 2% BR501; nor for texture and overall acceptability between the control and 4% BR501. Principal component analysis explained that all variables associated with antioxidant properties were positively correlated with the first major component (PC1: 82.7%). The 2% and 4% BR501 formulations were more highly correlated with PC1 (92.7%), as well as the control in relation to sensorial characteristics. The addition of WSF BRS305 improved the antioxidant properties of yogurts and the addition of WSF BR501 did not interfere with the sensory acceptance of the formulations. The similarity of the sensory acceptance of the yogurt containing WSF from the BR 501 genotype to the control, opens perspectives for the insertion of sorghum in human food, using dairy products as suitable matrices, adding potential functionality to this type of product.

RESUMEN El trabajo tuvo como propósito desarrollar y evaluar las características antioxidantes y la aceptación sensorial de yogurt griego con adición de harinas integrales de sorgo (HIS) de los genotipos BRS305 (con taninos) y BR501 (sin taninos). Cinco formulaciones fueron elaboradas: 1) Control (sin HIS); 2) 2% BR501; 3) 4% BR501; 4) 2% BRS305 y 5) 4% BRS305. Las formulaciones fueron evaluadas en función de su actividad antioxidante, antocianinas totales, fenólicos totales, taninos condensados, aceptación sensorial e intención de compra. La formulación 4% BRS305 presentó más propiedades antioxidantes, pero menor aceptación sensorial que las otras formulaciones. No se observó diferencia significativa entre el control y el 2% BR501 para el color, sabor e impresión global, ni tampoco para textura e impresión global en relación al 4% BR501. El análisis de componente principal ha explicado que todas las variables asociadas a las propiedades antioxidantes han sido positivamente correlacionadas con el primer componente principal (PC1: 82,7%). Las formulaciones 2% y 4% BR501 se han correlacionado más con el PC1 (92,7%), así como el control con las características sensoriales. La adición de HIS BRS305 ha mejorado las propiedades antioxidantes de los yogurts y la adición de HIS BR501 no ha interferido en la aceptación sensorial de las formulaciones. La similitud de la aceptación sensorial del yogurt que contiene el HIS del genotipo BR501 con el control, abre perspectivas para la inserción del sorgo en la alimentación humana, utilizando productos lácteos como matrices adecuadas, agregando funcionalidad potencial a este tipo de producto.

1043 downloads

12.

Retro-odontoid pseudotumor: a poorly recognized alteration of the craniocervical junction
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Batista, Andrew Vinícius de Souza

; Aguiar, Guilherme Brasileiro de

; Daniel, Jefferson Walter

; Veiga, José Carlos Esteves

Revista da Associação Médica Brasileira

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Abr 2020, Volume 66 Nº 4 Páginas 507 - 511

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

RESUMO INTRODUÇÃO O pseudotumor retro-odontoide (PRO) é uma patologia rara que acomete a articulação atlantoaxial e, em geral, está associada a alterações biomecânicas locais que podem ou não causar instabilidade. METODOLOGIA Estudo descritivo da literatura disponível nas bases de dados Medline/PubMed, Lilacs e Scopus. A pesquisa foi realizada em abril de 2019. DISCUSSÃO O PRO é, possivelmente, uma designação sindrômica que abrange uma variedade significativa de doenças da articulação atlantoaxial. Existem diferentes mecanismos fisiopatológicos implicados em sua gênese. Os pacientes, quase em sua totalidade, apresentam quadro de mielopatia grave e a maioria deles é tratada cirurgicamente, sendo a descompressão posterior o método mais utilizado, com ou sem artrodese. A evolução costuma ser favorável. CONCLUSÃO O PRO ainda é pouco reconhecido como diagnóstico diferencial entre as doenças da junção crânio-cervical. As informações disponíveis na literatura analisada foram baseadas principalmente no estudo de relatos ou séries de casos, sendo, portanto, insuficientes para definir condutas com alto nível de evidência científica.

SUMMARY INTRODUCTION Retro-odontoid pseudotumor (ROP) is a rare disease that affects the atlantoaxial joint and, in general, is associated with local biomechanical alterations that may or may not cause instability. METHODS Descriptive study of the literature available in databases MEDLINE/PubMed, LILACS, and Scopus. The research was conducted in April 2019. DISCUSSION ROP is, possibly, a syndromic designation that encompasses a significant variety of diseases of the atlantoaxial joint. There are different pathophysiological mechanisms implicated in its genesis. The patients, almost in their entirety, present with severe myelopathy, and most of them are treated surgically, with the posterior decompression being the most commonly used method, with or without arthrodesis. Evolution is usually favorable. CONCLUSION The ROP is still poorly recognized as a differential diagnosis between the diseases of the cranial-cervical junction. The information available in the literature analyzed was based mainly on the study of reports or case series; therefore, it is insufficient to define conducts with a high level of scientific evidence.

https://doi.org/10.1590/1806-9282.66.4.507 890 downloads

13.

Residual lesions in patients undergoing microsurgical clipping of cerebral aneurysms in a reference university hospital
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Aguiar, Guilherme Brasileiro de

; Kormanski, Matheus Kohama

; Corrêa, Carolina Junqueira Tavares

; Batista, Andrew Vinícius de Souza

; Conti, Mario Luiz Marques

; Veiga, José Carlos Esteves

Clinics

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2020, Volume 75 elocation e1973

Resumo: En | Texto: En | PDF: En

OBJECTIVES: This study aimed to analyze the incidence and epidemiological, angiographic, and surgical aspects associated with incomplete clipping of brain aneurysms in a cohort of patients undergoing microsurgical treatment. METHODS: The medical record data of patients who underwent microsurgery for cerebral aneurysm treatment and postoperative digital subtraction angiography, treated at the same teaching hospital between 2014 and 2019, were retrospectively analyzed. The studied variables involved epidemiological and clinical data, as well as neurological status and findings on neuroimaging. The time elapsed between hemorrhage and microsurgical treatment, data on the neurosurgical procedure employed for aneurysm occlusion, and factors associated with the treated aneurysm, specifically location and size, were also evaluated. RESULTS: One hundred and seventeen patients were submitted to 139 neurosurgical procedures, in which 167 aneurysms were clipped. The overall rate of residual injury was 23%. Smoking (odds ratio [OR]: 3.38, 95% confidence interval [CI95%]: 1.372-8.300, p=0.008), lesion size >10 mm (OR: 5.136, CI95%: 2.240-11.779, p<0.001) and surgery duration >6 h (OR: 8.667, CI95%: 2.713-27.681, p<0.001) were found to significantly impact incomplete aneurysm occlusion in the univariate analyses. CONCLUSION: Incomplete microsurgical aneurysm occlusion is associated with aneurysm size, complexity, and current smoking status. Currently, there is no consensus on postoperative assessment of clipped aneurysms, hindering the correct assessment of treatment outcomes.

https://doi.org/10.6061/clinics/2020/e1973 128 downloads

14.

Modelling beef cattle production systems from the Pampas in Brazil to assess intensification options
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Lampert, Vinícius do Nascimento

; Canozzi, Maria Eugênia Andrighetto

; McManus, Concepta Margaret

; Dill, Matheus Dhein

; Oliveira, Tamara Esteves de

; Mercio, Thomaz Zara

; Teixeira, Odilene de Souza

; Barcellos, Júlio Otávio Jardim

Scientia Agricola

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2020, Volume 77 Nº 4 elocation e20180263

Resumo: En | Texto: En | PDF: En

ABSTRACT Traditional livestock productivity is hard to estimate, since it depends on a gamut of animal production indicators that are difficult to measure for many farms. Thus, we propose an analytical method for estimating productivity and understanding the importance of animal production indicators under different full-cycle cattle production systems in Brazil. To evaluate the impact of these indicators, equations were derived from a comutational model of herd evolution for estimating the output parameters of the system as follows: productivity per hectare (PH) and offtake rate (COR), as a function of the indicators; calving rate (CR), mating age (AM), age of slaughter (AS) and stocking rate (SR). For this analysis, twenty-seven scenarios (simulation data) of low to high productivity were used, resulting from the combination of the following factors and levels: 1) calving rate of 50, 65 and 80 %; 2) mating age of heifers of one, two and three, years of age; and 3) age at slaughter of one, two and three year old steers. The scenario with the highest impact for each parameter and the indicator of highest impact for each scenario were identified for the production conditions in the region. Under most scenarios, a reduction in mating age had a greater impact on the productivity indexes compared to a reduction in slaughter age. Appropriate management of available technologies enables farmers to compare the marginal impacts of specific indicators on full-cycle production systems for beef cattle.

https://doi.org/10.1590/1678-992x-2018-0263 1304 downloads

15.

Evaluation of common bean genotypes for drought tolerance
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Ribeiro, Tamires

; Silva, Daiana Alves da

; Esteves, José Antônio de Fátima

; Azevedo, Cleber Vinicius Giaretta

; Gonçalves, João Guilherme Ribeiro

; Carbonell, Sérgio Augusto Morais

; Chiorato, Alisson Fernando

Bragantia

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Mar 2019, Volume 78 Nº 1 Páginas 1 - 11

Resumo: En | Texto: En | PDF: En

ABSTRACT The aim of this study was to evaluate twelve genotypes of common bean for intermittent drought stress and for root growth angle. The water deficit experiments were conducted in 2015 and 2016in a randomized block experimental design with split plots and three replications. Two treatments were applied: an irrigated treatment and a water deficit treatment, in which irrigation was suspended in pre-flowering and remained suspended up to the time at which the matrix potential of the soil was measured to be near –199 kPa. Atthe maximum point of water deficit, physiological and morphological traits were evaluated, and at physiological maturity, the yield compounds and grain yield. To evaluate root growth angle in 2016, a growth pouch system was used in a randomized block design, with five replications. Water deficit reduced genotype performance for all the traits except leaf temperature and first pod height. In relation to grain yield, the genotypes SEA 5 and Carioca Precoce performed better under water restriction conditions in both evaluations. The genotype Gen TS 4-7 performed better in the 2015 evaluation, and Gen TS 3-1 andGen TS 3-3 in 2016. SEA 5, Gen TS 3-1, and Carioca Precoce had the highest harvest indexes in 2015; and Gen TS 3-1, Gen TS 3-2,Gen TS 3-3, Gen P5-4-3-1, IAPAR 81, Carioca Precoce, and SEA 5 in 2016. SEA 5 and Carioca Precoce had the best root growth angle and were considered sources of tolerance to water deficit.

https://doi.org/10.1590/1678-4499.2018002 1873 downloads

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