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ABSTRACT Fog is an atmospheric phenomenon that reduces horizontal visibility to 1000 m or less. These phenomena affect different human activities, mainly those associated with air, maritime, and road transport. Rio Grande city, located in southern Brazil, has one of the main Brazilian ports, and fog occurrences at this location cause several inconveniences, such as the interruption of port activities and increases in operating costs. Thus, a better understanding of fog formation and dissipation, and the consequent improvement in its forecasts, can bring significant help to the port activities in that region. Therefore, this work seeks to evaluate the WRF model’s ability to simulate fog events in Rio Grande city. Four study cases of dense fogs were performed for this goal, as well as a sensitivity test to select the best vertical resolution configuration of the model. Meteorological data from the Rio Grande pilotage station and the Brazilian Coastal Monitoring System buoys were analyzed. Satellite images and synoptic charts were also analyzed for the study cases. The numerical simulations were performed using the WRF model with three nested domains, where 1 km was the highest horizontal resolution. The Fog Stability Index (FSI) and two estimates of horizontal visibility were evaluated. Simulations show promising results, highlighting the ability of the model to identify the fog occurrence in the area of interest and represent aspects of its dissipation process. Furthermore, it is noteworthy that the FSI and the evaluated visibility estimates were sensitive to the occurrence of the events.

RESUMEN La niebla es un fenómeno atmosférico que reduce la visibilidad horizontal a 1000 m o menos. Este tipo de fenómenos afecta diferentes actividades, especialmente las asociadas con los transportes aéreo, marítimo y terrestre. La ciudad de Rio Grande, ubicada en el sur de Brasil, posee uno de los principales puertos de Brasil, y la ocurrencia de niebla en este lugar provoca inconvenientes como la interrupción de las actividades portuarias y el aumento de los costos operativos. Así, una mejor comprensión de la formación y disipación de la niebla y la mejora de sus pronósticos pueden ayudar a las actividades portuarias en esta región. Por lo tanto, este trabajo busca evaluar la capacidad del modelo WRF para simular eventos de niebla en Río Grande. Para ello se seleccionaron cuatro estudios de caso de niebla intensa, así como una prueba de sensibilidad para seleccionar la mejor configuración de resolución vertical del modelo. Los datos meteorológicos fueron analizados desde la estación de pilotaje de Río Grande y las boyas del Sistema de Monitoreo Costero Brasileño. También se analizaron imágenes satelitales y gráficos sinópticos. Las simulaciones numéricas se realizaron utilizando el modelo WRF con tres dominios anidados, donde la resolución horizontal más alta fue de 1 km. Se evaluaron el índice de estabilidad de la niebla (FSI, por su sigla en inglés) y otras dos estimaciones de visibilidad horizontal. Las simulaciones arrojaron resultados prometedores, destacando la capacidad del modelo para identificar la ocurrencia de niebla en el área de interés, además de representar aspectos de su proceso de disipación. Además, el FSI y las estimaciones de visibilidad fueran sensibles a los eventos.

https://doi.org/10.20937/atm.53232

Percepção materna do cuidado à recém-nascidos com baixo peso: revisão sistemática qualitativa
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Lavínia de Carvalho Macedo, Flávia

; Moraes Homa, Estefani

; Palombo, Claudia Nery Teixeira

; Costa da Silva, Josielson

Enfermería: Cuidados Humanizados

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2024, Volume 13 Nº 1 elocation e3361

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

Resumo: Introdução: O peso ao nascer tem grande influência sobre o desenvolvimento global da criança, que por sua vez sofre influência direta dos cuidados maternos. Objetivo: Identificar na literatura científica a percepção materna sobre o cuidado de recém-nascidos com baixo peso. Métodos: Trata-se de uma revisão sistemática de estudos qualitativos conduzida em conformidade com as diretrizes metodológicas do Instituto Joanna Briggs. A pesquisa foi realizada entre abril de 2021 e março de 2023 nas bases de dados PubMed, MedLine, BVS, Scielo, EMBASE e Web of Science, com os descritores: “percepção materna”, “baixo peso ao nascer” e “cuidado da criança”, em diferentes combinações. Incluíram-se estudos em português, inglês e espanhol, publicados entre 2013 e 2023, que tratassem do cuidado materno de recém-nascidos com baixo peso no contexto hospitalar ou domiciliar. Os resultados foram categorizados de acordo com a análise de conteúdo. Resultados: Foram identificados 1129 estudos, dos quais apenas 11 foram incluídos nesta revisão, nas seguintes categorias: sentimentos maternos, necessidades e desafios do cuidado, aleitamento materno, vínculo mãe-bebê e apoio social. Considerações finais: Mães de recém-nascidos com baixo peso experimentam insegurança e problemas gerais de adaptação que afetam os cuidados para suprimento das necessidades essenciais da criança. Apoio familiar e de profissionais de saúde podem reforçar a segurança materna e contribuir para o cuidado integral de recém-nascidos com baixo peso.

Abstract: Introduction: Birth weight has a great influence on the child’s global development, which in turn is directly influenced by maternal care. Objective: To identify in the scientific literature the mother’s perception about the care of children born with low birth weight. Methods: This is a systematic review of qualitative studies conducted in accordance with the methodological guidelines of the Joanna Briggs Institute. The research was carried out between April/2021 and March/2023 in the databases: PubMed, Medline, VHL, SciELO, EMBASE and Web of Science, with the descriptors: maternal perception, low birth weight and child care, in different combinations. Studies in Portuguese, English and Spanish, published between 2013 and 2023, that addressed the maternal care of children born with low birth weight in the hospital or home context were included. Results were categorized according to content analysis. Results: 1129 studies were identified, of which only 11 were included in this review, in the following categories: maternal feelings, care needs and challenges, breastfeeding, mother-infant bonding and social support. Final considerations: Mothers of children born with low birth weight experience insecurity and general adaptation problems that affect care to meet the child’s essential needs. Family support and support from health professionals can reinforce maternal security and contribute to the comprehensive health care of low birth weight children.

Resumen: Introducción: El peso al nacer tiene una gran influencia en el desarrollo global del niño, el cual a su vez está directamente influido por los cuidados maternos. Objetivo: Identificar en la literatura científica la percepción de la madre sobre el cuidado del niño nacido con bajo peso. Métodos: Esta es una revisión sistemática de estudios cualitativos realizados de acuerdo con las pautas metodológicas del Instituto Joanna Briggs. La investigación fue realizada entre abril de 2021 y marzo de 2023 en las bases de datos PubMed, MedLine, BVS, Scielo, EMBASE y Web of Science, con los descriptores: “percepción materna”, “bajo peso al nacer” y “cuidado del niño”, en diferentes combinaciones. Se incluyeron estudios en portugués, inglés y español, publicados entre 2013 y 2023, que abordaran el cuidado materno de niños nacidos con bajo peso en el contexto hospitalario o domiciliario. Los resultados se clasificaron según el análisis de contenido. Resultados: Se identificaron 1129 estudios, de los cuales solo 11 fueron incluidos en esta revisión, en las siguientes categorías: sentimientos maternos, necesidades y desafíos de cuidado, lactancia materna, vínculo madre-hijo y apoyo social. Consideraciones finales: Las madres de niños nacidos con bajo peso experimentan inseguridad y problemas generales de adaptación que afectan los cuidados para satisfacer las necesidades esenciales del niño. El apoyo familiar y el apoyo de los profesionales de la salud pueden reforzar la seguridad materna y contribuir a la atención integral en salud de los niños nacidos con bajo peso.

https://doi.org/10.22235/ech.v13i1.3361

“Aquende a neca e aperte os seios”: inteligibilidade, trabalho e saúde nas experiências de pessoas trans universitárias Aquende seios seios” inteligibilidade
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Costa-Val, Alexandre

; Teixeira, Flávia do Bonsucesso

; Moraes, Victor Miguel Fernandes de

; Manganelli, Mariana de Sousa

; Cáus, Victor Araújo Fortuna

Saúde e Sociedade

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2024, Volume 33 Nº 1 elocation e230086pt

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

Abstract Transgender people are exposed to different situations of vulnerability that intersect, having negative impacts on the health-illness-care process. To better understand this issue, we sought to know the experiences of seven transgender undergraduates at a public university in Minas Gerais, from semi-structured interviews. The narratives were analyzed on the perspective of content analysis, and the final categories juxtaposed with studies of social sciences and public health. In general, the narratives are different from those which account for most of the research on the theme in Brazil, especially regarding maintaining family bonds and the access to public universities. Hence, we formulated the hypothesis that the interaction between these elements and other markers of differences can positively contribute to establishing alliances and strategies to deal with the regime of gender identity intelligibility and the constraints of access to education, work, and health. Understanding these dynamics and their limitations, under the perspective in which the individual and the collective are intertwined, enabled us to highlight the role of (hetero)normativity in the segregation processes of transgender people, as well as reflecting on the political actions that might effectively transform this social reality. intersect healthillnesscare health illness care process issue Gerais semistructured semi structured interviews analysis general Brazil universities Hence education work limitations intertwined heteronormativity hetero normativity reality

Resumo As pessoas trans estão expostas a diferentes situações de vulnerabilidade que se entrecruzam, causando impactos negativos no processo saúde-doença-cuidado. Para melhor compreender essa questão, buscamos conhecer as experiências de sete estudantes trans de uma universidade pública de Minas Gerais, a partir de entrevistas norteadas por roteiro semiestruturado. As falas foram analisadas pela perspectiva da análise de conteúdo, e as categorias finais foram tensionadas com estudos das ciências sociais e da saúde coletiva. De forma geral, as narrativas se diferenciaram daquelas que compõem a maioria das pesquisas sobre o tema no Brasil, sobretudo em relação à manutenção de vínculos familiares e ao acesso à universidade pública. Nesse sentido, formulamos a hipótese de que a interação desses elementos com outros marcadores de diferenças pode contribuir positivamente para o estabelecimento de alianças e estratégias, a fim de lidar com o regime de inteligibilidade das identidades de gênero e com as dificuldades de acesso à educação, ao trabalho e à saúde. Compreender essa dinâmica e suas limitações, em uma perspectiva em que o individual se enlaça ao coletivo, possibilitou evidenciar o funcionamento da (hétero)normatividade nos processos de segregação de pessoas trans, assim como refletir sobre ações políticas que possam transformar essa realidade social efetivamente. entrecruzam saúdedoençacuidado. saúdedoençacuidado doença cuidado. cuidado saúde-doença-cuidado questão Gerais semiestruturado conteúdo coletiva geral Brasil sentido estratégias educação limitações coletivo héteronormatividade hétero normatividade efetivamente

https://doi.org/10.1590/s0104-12902024230086pt

A medicina tradicional ribeirinha em vozes femininas
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Santos, Leonardo Silveira

; Santos, Ronize da Silva

; Moraes Junior, Manoel Ribeiro de

; Lucas, Flávia Cristina Araújo

; Custódio, Catarina

; Passos, Ladide de Souza

; Nascimento, Eliana do

Boletim do Museu Paraense Emílio Goeldi. Ciências Humanas

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2023, Volume 18 Nº 1 elocation e20210068

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

Abstract This article analyzes the biographies of three riverine women whose research is based on their social roles in providing care through traditional medicine. Their “life stories” show their own perceptions of how they construct and reconstruct their healing practices to address illnesses, always involving interactions with the environment and with religious traditions (most notably pajelança, Catholicism and Pentecostalism). The islands of Murutucum and Combu in Belém are the anthropogenic environments in which these specialists reside and work, watershed ecosystems for several rivers in Pará and a small portion of the Amazon River that drain into the Atlantic Ocean. The traditional cures present on these islands were analyzed from the narratives of these three specialists over a period of almost two years, with incursions, interviews and various types of in situ observations. The social and environmental framework and different religious expressions are seen to directly influence the diagnosis and therapeutic treatment proposed by these women, who have different yet complementary knowledge despite inhabiting the same ecosystem and being part of the same social group.

Resumo Este artigo analisa biografias de três mulheres ribeirinhas que têm como base investigativa os seus papéis sociais no cuidar através da medicina tradicional. Seus ‘relatos de vida’ transparecem as suas próprias percepções na construção e reconstrução de suas práticas de cura no enfrentamento de doenças, sempre levando em consideração as interações construídas com o meio e com tradições religiosas – dentre as quais se destacam a pajelança, o catolicismo e o pentecostalismo. As ilhas belenenses do Murutucum e do Combu são os ambientes antropogênicos nos quais as especialistas residem e atuam, ecossistemas de deságue hidrográfico de diversos rios paraenses e uma pequena parte do rio Amazonas no oceano Atlântico. As tipologias de curas tradicionais presentes nas ilhas foram analisadas a partir das narrativas destas três especialistas, num período de quase dois anos, com incursões, entrevistas e diversos tipos de observações in situ. Ao final, pode-se perceber que o quadro social e ambiental, bem como as diferentes expressões religiosas manifestas influenciam diretamente no diagnóstico e no tratamento terapêutico proposto por essas mulheres – que, apesar de habitarem o mesmo ecossistema e integrarem um grupo social comum, possuem saberes distintos, contudo, complementares.

https://doi.org/10.1590/2178-2547-bgoeldi-2021-0068

Chronic medical conditions associated with invasive pneumococcal diseases in inpatients in teaching hospitals in São Paulo city: Estimating antimicrobial susceptibility and serotype-coverage of pneumococcal vaccines
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Kfouri, Renato A.

; Brandileone, Maria-Cristina C.

; Sáfadi, Marco Aurélio P.

; Richtmann, Rosana

; Gilio, Alfredo E.

; Rossi, Flavia

; Guimarães, Thais

; Bierrenbach, Ana Luiza

; Moraes, José C.

Brazilian Journal of Infectious Diseases

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2023, Volume 27 Nº 2 elocation 102746

Resumo: En | Texto: En | PDF: En

ABSTRACT Background: Chronic conditions increase the risk of invasive pneumococcal diseases (IPD). Pneumococcal vaccination remarkably reduced IPD morbimortality in vulnerable populations. In Brazil, pneumococcal vaccines are included in the National Immunization Program (PNI): PCV10 for < 2 years-old, and PPV23 for high risk-patients aged ≥ 2 years and institutionalized ≥ 60 years. PCV13 is available in private clinics and recommended in the PNI for individuals with certain underlying conditions. Methods: A retrospective study was performed using clinical data from all inpatients from five hospitals with IPD from 2016 to 2018 and the corresponding data on serotype and antimicrobial-non-susceptibility of pneumococcus. Vaccine-serotype-coverage was estimated. Patients were classified according to presence of comorbidities: healthy, without comorbidities; at-risk, included immunocompetent persons with specific medical conditions; high-risk, with immunocompromising conditions and others Results: 406 IPD cases were evaluated. Among 324 cases with information on medical conditions, children < 5 years were mostly healthy (55.9%), while presence of comorbidity prevailed in adults ≥ 18 years old (> 82.0%). Presence of ≥1 risk condition was reported in ≥ 34.8% of adults. High-risk conditions were more frequent than at-risk in all age groups. Among high-risk comorbidity (n = 211), cancer (28%), HIV/AIDS (25.7%) and hematological diseases (24.5%) were the most frequent. Among at-risk conditions (n = 89), asthma (16.5%) and diabetes (8.1%) were the most frequent. Among 404 isolates, 42.9% belonged to five serotypes: 19A (14.1%), 3 (8.7%), 6C (7.7%), 4 and 8 (6.2% each); 19A and 6C expressed antimicrobial-non-susceptibility. The vaccine-serotype-coverage was: PCV10, 19.1%, PCV13, 43.8%; PCV15, 47.8%; PCV20, 62.9%; PCV21, 65.8%, and PPV23, 67.3%. Information on hospital outcome was available for 283 patients, of which 28.6% died. Mortality was 54.2% for those with meningitis. Conclusion: Vaccine with expanded valence of serotypes is necessary to offer broad prevention to IPD. The present data contribute to pneumococcal vaccination public health policies for vulnerable patients, mainly those with comorbidity and the elderly.

https://doi.org/10.1016/j.bjid.2023.102746

Psychiatric outcomes and overall functioning in healthcare students during the first wave of the COVID-19 pandemic: a cross-sectional study
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Moraes, Flávia de

; Baumont, Angelica de

; Dreher, Carolina Blaya

; Gauer, Gustavo

; Manfro, Gisele Gus

Trends in Psychiatry and Psychotherapy

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2023, Volume 45 elocation e20210416

Resumo: En | Texto: En | PDF: En

Abstract Introduction There is evidence that the coronavirus disease 2019 (COVID-19) pandemic impacted students on health care courses, including evidence of associations between anxiety or depression and inadequate coping mechanisms or unhealthy habits. However, little is known about possible predictors of mental health or psychiatric symptoms in Brazilian health care students during this period. Objective To evaluate possible factors associated with anxiety and depressive symptoms, used to measure psychiatric outcomes, and quality of life, used as a parameter of overall functionality, in Brazilian students on health care courses during the COVID-19 pandemic. Methods A cross-sectional study was conducted with Brazilian students on health care courses from May to December 2020. Participants were recruited through social media and answered a 71-item open online questionnaire exploring demographic characteristics and personal behavior during the pandemic, anxiety, depression, and quality of life. We searched for variables potentially associated with psychiatric symptoms and mental health in these individuals using Poisson regression models. Results Multivariate models showed depression and anxiety were associated with poor quality of life and medication abuse was associated with greater anxiety and poor quality of life. Psychotherapy was an effective coping strategy for anxiety and meditation or mindfulness practice and physical activity improved the students’ quality of life. Conclusions Our study presents important information about the factors associated with psychological impacts of the COVID-19 pandemic and strategies for coping with them that should be helpful to reflect on and for designing appropriate interventions.

https://doi.org/10.47626/2237-6089-2021-0416

Association between sitagliptin plus vitamin D3 (VIDPP-4i) use and clinical remission in patients with new-onset type 1 diabetes: a retrospective case-control study
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Pinheiro, Marcelo Maia

; Pinheiro, Felipe Moura Maia

; Arruda, Marcelo Müller de

; Beato, Geane Moron

; Verde, Graciele Alves Corrêa Lima

; Bianchini, Georgiana

; Casalenuovo, Pedro Rosário Moraes

; Argolo, Aline Aparecida Agostini

; Souza, Lucilene Telles de

; Pessoa, Flávia Gomes

; Hirose, Thiago Santos

; Senra, Eduardo Filgueiras

; Ricordi, Camillo

; Fabbri, Andrea

; Infante, Marco

; Diniz, Susana Nogueira

Archives of Endocrinology and Metabolism

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2023, Volume 67 Nº 5 elocation e000652

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: The occurrence of partial remission (honeymoon phase) in type 1 diabetes (T1D) has been associated with a reduced risk of chronic microvascular complications of diabetes. We have published case reports showing that a combination therapy with the DPP-4 inhibitor sitagliptin plus vitamin D3 (VIDPP-4i) can prolong the honeymoon phase in patients with new-onset T1D. In the present case-control study, we investigated the frequency of occurrence of clinical remission (CR) in patients with new-onset T1D after VIDPP-4i treatment. Subjects and methods: In this case-control study, we collected data spanning 10 years from medical records of 46 patients (23 females) recently diagnosed with T1D. Overall, 27 participants with CR (insulin dose-adjusted glycated hemoglobin [IDAA1c] ≤ 9) at 12 or 24 months composed the case group, and 19 participants without CR served as the control group. Chi-square with Yates correction was used to analyze the association between VIDPP-4i use and CR, and odds ratio (OR) was used to determine the chance of CR due to VIDPP-4i treatment exposure. Results: In all, 37 patients (80.4%) experienced CR at some time over 24 months. The mean CR duration was 13.15 ± 9.91 months. Treatment with VIDPP-4i was significantly associated with CR. At 24 months, the OR of CR after VIDPP-4i exposure was 9.0 (95% confidence interval [CI] 2.21-30.18, p = 0.0036). Additionally, 9 (33.6%) and 4 (14.8%) patients in the VIDPP-4i group experienced insulin-free CR at 12 and 24 months, respectively. Conclusion: Therapy with VIDPP-4i was associated with a higher frequency and duration of the honeymoon phase. Randomized controlled trials are needed to confirm these findings.

https://doi.org/10.20945/2359-3997000000652

Information booklet for promoting self-efficacy in childhood asthma: construction and validity
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Vasconcelos, Flávia Ximenes

; Barbosa, Lorena Pinheiro

; Lima, Francisca Elisângela Teixeira

; Sabino, Leidiane Minervina Moraes de

; Lima, Kamila Ferreira

; Mendes, Elizamar Regina da Rocha

Revista da Escola de Enfermagem da USP

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2023, Volume 57 elocation e20220461

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

ABSTRACT Objective: To construct and validate the content and appearance of an information booklet to promote self-efficacy of parents and/or caregivers in childhood asthma management and control. Method: This is a methodological study, developed from educational material elaboration, validity and assessment by 25 content judges and three technical judges. Language clarity, practical pertinence and theoretical relevance were used, calculating the Content Validity Coefficient (CVC) for validity, and the Suitability Assessment of Materials (SAM) instrument was applied for assessment. Judges were also able to make suggestions for modifications on each page of the booklet. Pages that reached a CVC ≥ 0.80 for content judges and CVC ≥ 0.70 for technical judges were considered validated. Results: The total CVC of the booklet was 0.96 for content judges and 0.83 for technical judges. The educational material was considered superior according to the SAM, with a total score of 92.67% for content judges and 73.81% for technical judges. Changes were made to the booklet after the validity process, according to judges’ suggestions, resulting in a second version. Conclusion: The information booklet is valid and has a high degree of recommendation for use with parents and/or caregivers in childhood asthma control and management.

RESUMEN Objetivo: Construir y validar el contenido y la apariencia de un rotafolio para promover la autoeficacia de los padres y/o cuidadores en el manejo y control del asma infantil. Método: Estudio metodológico, desarrollado a partir de la elaboración, validación y evaluación del material educativo por 25 jueces de contenido y tres jueces técnicos. Se utilizó claridad de lenguaje, pertinencia práctica y pertinencia teórica, calculándose el Coeficiente de Validez de Contenido (CVC) para la validación, y se aplicó el instrumento Suitability Assesment of Materials (SAM) para la evaluación. Los jueces también pudieron sugerir modificaciones a cada página del álbum. Se consideraron validadas las páginas que alcanzaron un CVC ≥ 0,80 para jueces de contenido y CVC ≥ 0,70 para jueces técnicos. Resultados: El CVC total del álbum fue de 0,96 para los jueces de contenido y de 0,83 para los jueces técnicos. El material educativo fue considerado superior según la SAM, con una puntuación total de 92,67% para los jueces de contenido y 73,81% para los jueces técnicos. Se realizaron cambios en el álbum después del proceso de validación, de acuerdo con las sugerencias de los jueces, lo que resultó en una segunda versión. Conclusión: El rotafolio es válido y tiene un alto grado de recomendación para su uso con padres y/o cuidadores en el control y manejo del asma infantil.

RESUMO Objetivo: Construir e validar conteúdo e aparência de álbum seriado para promoção da autoeficácia de pais e/ou cuidadores no manejo e controle da asma infantil. Método: Estudo metodológico, desenvolvido a partir da elaboração, validação e avaliação do material educativo por 25 juízes de conteúdo e três juízes técnicos. Utilizou-se clareza da linguagem, pertinência prática e relevância teórica, calculando-se Coeficiente de Validade de Conteúdo (CVC) para validação, e aplicou-se o instrumento Suitability Assesment of Materials (SAM) para avaliação. Os juízes puderam, ainda, fazer sugestões de modificações em cada página do álbum. Foram consideradas validadas as páginas que atingiram CVC ≥ 0,80 para juízes de conteúdo e CVC ≥ 0,70 para juízes técnicos. Resultados: O CVC total do álbum foi de 0,96 para juízes de conteúdo e 0,83 para juízes técnicos. O material educativo foi considerado superior segundo o SAM, com escore total de 92,67% para juízes de conteúdo e 73,81% para juízes técnicos. Alterações foram feitas no álbum após processo de validação, de acordo com as sugestões dos juízes, obtendo-se uma segunda versão. Conclusão: O álbum seriado é valido e possui alto grau de recomendação para utilização com pais e/ou cuidadores no controle e manejo da asma infantil.

https://doi.org/10.1590/1980-220x-reeusp-2022-0461en

Dentin permeability after pretreatment with titanium tetrafluoride and self-etching or universal adhesive systems
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Franco, Gabriel Greco

; Cardoso, Ruthinea Faria de Moraes

; Carlos, Natália Russo

; Turssi, Cecilia Pedroso

; Amaral, Flávia Lucisano Botelho do

; França, Fabiana Mantovani Gomes

; Basting, Roberta Tarkany

Brazilian Journal of Oral Sciences

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2023, Volume 22 elocation e237545

Resumo: En | Texto: En | PDF: En

Aim To evaluate dentin permeability after pretreatment with 2.5% aqueous solution of titanium tetrafluoride (TiF4), followed by a self-etching universal adhesive system. Methods Forty dentin discs (1.5 mm thick) were randomly divided into groups according to the application or non-application of a pretreatment, and the type of adhesive system to be tested (two-step self-etching/ Clearfil SE Bond/ Kuraray Medical, or universal adhesive system/ Single Bond Universal/ 3M ESPE). Both sides of the discs were conditioned with 37% phosphoric acid to remove the smear layer. The first hydraulic conductivity measurement (L1) was performed in a permeability machine, under 5 PSI pressure. The samples were sanded again to form a standardized smear layer. The teeth designated for pre-treatment with TiF4 received the TiF4 solutions applied actively for 60 seconds, and the adhesive systems were applied according to the manufacturer’s instructions. Then, a new hydraulic conductivity measurement (L2) was performed for the purpose of calculating the hydraulic conductance at a later time, considering the water viscosity and the thickness of the specimen. The percentage (L) of dentin permeability after application of the adhesive system was obtained (L (%) = [(L1-L2) x100] / L1). The Mann-Whitney non-parametric test was applied. Results There was no difference between the two adhesive systems, or between the groups with or without pretreatment, as regards dentin permeability (p>0.05). Conclusion Pretreatment with 2.5% TiF4 did not influence dentin permeability, irrespective of the adhesive system used.

https://doi.org/10.20396/bjos.v22i00.8667545

10.

Bullous lesions following phototherapy in a newborn
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Toscano, Marina Moura

; Cintra, Flavia Fernandes

; Resende, Ludmila Oliveira

; Casteleti, Paula

; Moraes, Lucas Hirano Arruda

; Rivitti-Machado, Maria Cecilia da Matta

; Nico, Marcello Menta Simonsen

; Del Bigio, Juliana Zoboli

; Carvalho, Werther Brunow de

einstein (São Paulo)

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2023, Volume 21 elocation eRC0256

Resumo: En | Texto: En | PDF: En

ABSTRACT A male infant presented with progressive jaundice immediately after birth. Fecal acholia and choluria associated with extensive bullous skin lesions in his trunk, abdomen, and upper and lower limbs developed during phototherapy. Several diagnostic hypotheses were presented, including neonatal porphyria, hemochromatosis, Alagille syndrome, and neonatal lupus. A 24-hour urine sample for the dosage of urinary porphyrins was collected, showing high results (1823.6µg in 100mL). At 50 days of life, fluorescence spectroscopy using a Wood’s lamp revealed simultaneous bright red fluorescence of urine-stained diapers and sample blood. A definitive diagnosis of congenital erythropoietic porphyria was made following identification of a mutation of the uroporphyrinogen synthetases III gene on genetic testing. The patient was subsequently maintained in a low light environment since then, resulting in improvement of the lesions. Congenital erythropoietic porphyria is a disease of the group of porphyrias that presents shortly after birth with blistering occurring in regions exposed to the sun or other ultraviolet light. Atrophic scars, mutilated fingers, and bright red fluorescence of the urine and teeth may also be observed. There is no specific treatment, and prophylaxis comprising a total avoidance of sunlight is generally recommended. A high degree of suspicion is required for diagnosis. An early diagnosis can lead to less damage. Here, we present the case of a newborn with congenital erythropoietic porphyria diagnosed after presenting with bullous lesions secondary to phototherapy.

https://doi.org/10.31744/einstein_journal/2023rc0256

11.

Recommendations for the Screening of Breast Cancer of the Brazilian College of Radiology and Diagnostic Imaging, Brazilian Society of Mastology and Brazilian Federation of Gynecology and Obstetrics Association
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Urban, Linei Augusta Brolini Delle

; Chala, Luciano Fernandes

; Paula, Ivie Braga de

; Bauab, Selma di Pace

; Schaefer, Marcela Brisighelli

; Oliveira, Ana Lúcia Kefalás

; Shimizu, Carlos

; Oliveira, Tatiane Mendes Gonçalves de

; Moraes, Paula de Camargo

; Miranda, Beatriz Medicis Maranhão

; Aduan, Flávia Engel

; Rego, Salete de Jesus Fonseca

; Canella, Ellyete de Oliveira

; Couto, Henrique Lima

; Badan, Gustavo Machado

; Francisco, José Luis Esteves

; Moraes, Thaís Paiva

; Jakubiak, Rosangela Requi

; Peixoto, João Emílio

Revista Brasileira de Ginecologia e Obstetrícia

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2023, Volume 45 Nº 8 Páginas 480 - 488

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

Abstract Objective To present the update of the recommendations of the Brazilian College of Radiology and Diagnostic Imaging, the Brazilian Society of Mastology and the Brazilian Federation of Associations of Gynecology and Obstetrics for breast cancer screening in Brazil. Methods Scientific evidence published in Medline, EMBASE, Cochrane Library, EBSCO, CINAHL and Lilacs databases between January 2012 and July 2022 was searched. Recommendations were based on this evidence by consensus of the expert committee of the three entities. Recommendations Annual mammography screening is recommended for women at usual risk aged 40–74 years. Above 75 years, it should be reserved for those with a life expectancy greater than seven years. Women at higher than usual risk, including those with dense breasts, with a personal history of atypical lobular hyperplasia, classic lobular carcinoma in situ, atypical ductal hyperplasia, treatment for breast cancer or chest irradiation before age 30, or even, carriers of a genetic mutation or with a strong family history, benefit from complementary screening, and should be considered individually. Tomosynthesis is a form of mammography and should be considered in screening whenever accessible and available.

Resumo Objetivo Apresentar a atualização das recomendações do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem da Sociedade Brasileira de Mastologia e da Federação Brasileira das Associações de Ginecologia e Obstetrícia para o rastreamento do câncer de mama no Brasil. Métodos Foram pesquisadas evidências científicas publicadas nas bases de dados Medline EMBASE Biblioteca Cochrane EBSCO CINAHL e Lilacs entre janeiro de 2012 e julho de 2022. As recomendações foram baseadas nessas evidências por consenso do comitê de especialistas das três entidades. Recomendações A mamografia anual é recomendada para mulheres com risco habitual entre 40 e 74 anos. Acima de 75 anos deve ser reservado para aqueles com expectativa de vida superior a sete anos. Mulheres com risco maior do que o normal incluindo aquelas com mamas densas com história pessoal de hiperplasia lobular atípica carcinoma lobular in situ clássico hiperplasia ductal atípica tratamento para câncer de mama ou irradiação de tórax antes dos 30 anos ou ainda portadoras de doença genética mutação ou com forte histórico familiar beneficiam-se de triagem complementar e devem ser considerados individualmente. A tomossíntese é uma forma de mamografia e deve ser considerada na triagem sempre que acessível e disponível.

https://doi.org/10.1055/s-0043-1772498

12.

Recommendations for breast cancer screening in Brazil, from the Brazilian College of Radiology and Diagnostic Imaging, the Brazilian Society of Mastology, and the Brazilian Federation of Gynecology and Obstetrics Associations
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Urban, Linei Augusta Brolini Delle

; Chala, Luciano Fernandes

; Paula, Ivie Braga de

; Bauab, Selma di Pace

; Schaefer, Marcela Brisighelli

; Oliveira, Ana Lúcia Kefalás

; Shimizu, Carlos

; Oliveira, Tatiane Mendes Gonçalves de

; Moraes, Paula de Camargo

; Miranda, Beatriz Medicis Maranhão

; Aduan, Flávia Engel

; Rego, Salete de Jesus Fonseca

; Canella, Ellyete de Oliveira

; Couto, Henrique Lima

; Badan, Gustavo Machado

; Francisco, José Luis Esteves

; Moraes, Thaís Paiva

; Jakubiak, Rosangela Requi

; Peixoto, João Emílio

Radiologia Brasileira

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2023, Volume 56 Nº 4 Páginas 207 - 214

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

Abstract Objective: To present an update of the recommendations of the Brazilian College of Radiology and Diagnostic Imaging, the Brazilian Society of Mastology, and the Brazilian Federation of Gynecology and Obstetrics Associations for breast cancer screening in Brazil. Materials and Methods: Scientific evidence published between January 2012 and July 2022 was gathered from the following databases: Medline (PubMed); Excerpta Medica (Embase); Cochrane Library; Ebsco; Cumulative Index to Nursing and Allied Health Literature (Cinahl); and Latin-American and Caribbean Health Sciences Literature (Lilacs). Recommendations were based on that evidence and were arrived at by consensus of a joint committee of experts from the three entities. Recommendations: Annual mammographic screening is recommended for women between 40 and 74 years of age. For women at or above the age of 75, screening should be reserved for those with a life expectancy greater than seven years. Women at higher than average risk are considered by category: those with dense breasts; those with a personal history of atypical lobular hyperplasia, classical lobular carcinoma in situ, or atypical ductal hyperplasia; those previously treated for breast cancer; those having undergone thoracic radiotherapy before age 30; and those with a relevant genetic mutation or a strong family history. The benefits of complementary screening are also addressed according to the subcategories above. The use of tomosynthesis, which is an evolved form of mammography, should be considered in screening, whenever accessible and available.

Resumo Objetivo: Apresentar a atualização das recomendações do Colégio Brasileiro de Radiologia e Diagnóstico por Imagem, da Sociedade Brasileira de Mastologia e da Federação Brasileira das Associações de Ginecologia e Obstetrícia para o rastreamento do câncer de mama no Brasil. Materiais e Métodos: Foram feitas buscas das evidências científicas publicadas nas bases Medline (PubMed), Excerpta Medica (Embase), Cochrane Library, Ebsco, Cinahl e Lilacs, entre janeiro de 2012 e julho de 2022. As recomendações foram baseadas nessas evidências, mediante consenso da comissão de especialistas das três entidades. Recomendações: O rastreamento mamográfico anual é recomendado para as mulheres de risco habitual entre 40 e 74 anos. Acima de 75 anos deve ser reservado para as que tenham expectativa de vida maior que sete anos. Mulheres com risco maior que o habitual, entre elas as com mamas densas, com história pessoal de hiperplasia lobular atípica, carcinoma lobular in situ clássico, hiperplasia ductal atípica, tratamento de câncer de mama ou de irradiação no tórax antes dos 30 anos, ou ainda portadoras de mutação genética ou com forte história familiar, se beneficiam do rastreamento complementar, sendo consideradas de forma individualizada. A tomossíntese é uma evolução da mamografia e deve ser considerada no rastreamento, sempre que acessível e disponível.

https://doi.org/10.1590/0100-3984.2023.0064-en

13.

Smart Cabin Design Concept for Regional Aircraft: Technologies, Applications & Architecture
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Silva, Eduardo Leite Simões e

; Moraes, Alison de Oliveira

; Ciaccia, Flávia Renata Dantas Alves Silva

Journal of Aerospace Technology and Management

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2023, Volume 15 elocation e2023

Resumo: En | Texto: En | PDF: En

ABSTRACT The use of smart devices is driving the growth of modern systems markets, resulting in more technological cities, cars, houses, and airplanes. Therefore, it is important to understand which smart technologies can support or even fulfill stakeholder needs and consequently enhance airplane operation and increase product competitiveness for airlines. This paper is the second of two-part series and has as its main objective the study of smart technologies that can be implemented on cabins of regional airplanes, from 60 to 120 seats, to comply with the needs and requirements pre-established on the first part of this series of articles. The integration of those technologies results in a “Smart Cabin” architecture which its purpose is to enhances the passenger experience by granting a new level of cabin comfort, customization, and connectivity that allows the reduction of airplane time on ground because of the real-time monitoring of airplane cabin components that enables the prediction of maintenance procedures; creates new profits and revenues opportunities for services, provides a more sustainable airplane operation and derived services, and creates new business opportunities for all companies that integrate regional aviation ecosystem.

https://doi.org/10.1590/jatm.v15.1310

14.

Smart Cabin Design Concept for Regional Aircraft: Challenges, Future Aspects & Requirements
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Silva, Eduardo Leite Simões e

; Moraes, Alison de Oliveira

; Ciaccia, Flávia Renata Dantas Alves Silva

Journal of Aerospace Technology and Management

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2023, Volume 15 elocation e1923

Resumo: En | Texto: En | PDF: En

ABSTRACT New technologies are increasingly being implemented in people’s daily lives and with the growth of smart devices around the globe, the users’ needs and demands have changed in favor of more technological cities, cars, houses, and airplanes. Therefore, it is important to define the stakeholder’s needs and requirements to understand which technologies, smart or not, can be implemented on the cabin to support or even fulfill stakeholder needs. Consequently, those technologies enhance airplane operation and increase product competitiveness for airlines. This paper is the first of a two-part series where design thinking tools are applied to establish high-level requirements based on the concept of a “Smart Cabin” for regional airplanes from 60 to 120 seats. To achieve this goal, a series of methods such as stakeholders’ studies, personas creation and user journey methods are used. The Smart Cabin concept aims to enhance the passenger experience by granting a new level of cabin comfort, customization and connectivity that allows the reduction of airplane time on ground because of the real-time monitoring of airplane cabin components that enables the prediction of maintenance procedures, creates new profits and revenues opportunities for services, provides a more sustainable airplane operation and derived services, and creates new business opportunities for all companies that integrate regional aviation ecosystem.

https://doi.org/10.1590/jatm.v15.1309

15.

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

; CURADO, Maria Paula

; PENAFORT, Paulo Victor Mendes

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; MESQUITA, Ricardo Alves

; PINTO-JÚNIOR, Décio dos Santos

; ABRAHÃO, Aline Corrêa

; ANDRADE, Bruno Augusto Benevenuto de

; AGOSTINI, Michelle

; MORAES, Renata Mendonça

; ANBINDER, Ana Lia

; DOURADO, Pedro Henrique Silva

; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos

; PIRES, Fábio Ramoa

; BORDIGNON, Natalia Cristina Trentin

; GONDAK, Rogério Oliveira

; DE OLIVEIRA, Marcia Gaiger

; CARRARD, Vinicius Coelho

; MARTINS, Manoela Domingues

; SOUSA-NETO, Sebastião Silvério

; ARANTES, Diego Antônio Costa

; MENDONÇA, Elismauro Francisco

; CIESLAK-SANCHES, Silvia Roberta

; ANTUNES, Daniella Moraes

; AMARAL-SILVA, Gleyson Kleber do

; MANIERI, Patricia Rubia

; RAMALHO, Luciana Maria Pedreira

; DOS SANTOS, Jean Nunes

; LEONEL, Augusto César Leal da Silva

; PEREZ, Danyel Elias da Cruz

; VERHEUL, Hannah Carmem Carlos Ribeiro Silva

; BARROSO, Keila Martha Amorim

; RODRIGUES, Flávia Luiza Santos

; GONZAGA, Amanda Katarinny Goes

; FERNANDES, Romana Renery

; DE SOUZA, Lélia Batista

; SOUZA, Lucas Lacerda de

; PONTES, Flávia Sirotheau Corrêa

; PONTES, Hélder Antônio Rebelo

; SILVA, Caroline Alfaia

; CÂMARA, Jeconias

; LIBÓRIO-KIMURA, Tatiana Nayara

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ALMEIDA, Oslei Paes de

; ROMAÑACH, Mário José

; VARGAS, Pablo Agustin

Brazilian Oral Research

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2023, Volume 37 elocation e126

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Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0126

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