Resumo A cultura do milho, por sua fácil adaptação aos mais diversos agroecossistemas, se espalha por diferentes regiões do mundo, tornando-se uma das mais importantes culturas agrícolas. Nesta cultura, os insetos-praga se destacam por causar prejuízos tanto no campo quanto nos armazéns. A aplicação de óleos essenciais pode ser uma importante técnica a ser investigada no manejo de insetos devido à sua conhecida atividade inseticida e baixo risco o meio ambiente. O objetivo do deste trabalho foi avaliar o efeito inseticida e repelente de óleos essenciais de capim-limão exótico (Cymbopogon citratus) e capim-limão nativo (Elionurus sp.) para o manejo do gorgulho do milho (Sitophilus zeamais (Mots., 1855, Coleoptera: Curculionidae). A análise química dos óleos feita por CG-MS mostrou que a composição química do capim-limão nativo e exótico é semelhante, entretanto, as espécies exóticas apresentaram maior número de compostos. Os óleos essenciais de capim-limão nativo e exótico têm eficiência na mortalidade do gorgulho do milho, e verifica-se que o aumento na dose aplicada reflete na redução do tempo de exposição do inseto até que ocorra a morte. O óleo essencial de ambas as espécies apresentou capacidade repelente em todos os momentos avaliados. Assim, pode-se afirmar que ambas as espécies possuem capacidade e potencial para serem utilizadas no manejo do gorgulho do milho, podendo ser uma alternativa para a agricultura familiar e produção orgânica.

Abstract Corn crop, due to its easy adaptation to the most diverse agroecosystems, spreads throughout the different regions of the world, making it one of the most important agricultural crops. In this crop, pest insects stand out for causing losses both in the field and in warehouses. The application of essential oils can be an important technique to be investigated in the management of insects due to its known insecticidal activity and low risk to the environment. The objective of the work was to value the insecticide and repellent effect of essential oils of exotic lemongrass (Cymbopogon citratus) and native lemongrass (Elionurus sp.) for the management of maize weevil (Sitophilus zeamais (Mots., 1855, Coleoptera: Curculionidae)). The chemical analysis of the oils made by CG-MS showed that the chemical composition of the native and exotic lemongrass is similar, however, the exotic species presented a greater number of compounds. The essential oils of native and exotic lemon grass have efficiency on maize weevil mortality, and it is verified that the increase in the applied dose reflects in a reduction in the insect's exposure time for death to occur. The essential oil of both species showed repellent capacity at all times evaluated. Thus, it can be said that both species have the capacity and potential to be used in the management of corn weevil, and can be an alternative for smallhorders farmers and organic production.

ABSTRACT BACKGROUND: Abnormal uterine bleeding (AUB) is a common condition, and the Menstrual Bleeding Questionnaire (MBQ) is used for its assessment. OBJECTIVES: To translate, assess the cut-off point for diagnosis, and explore psychometric properties of the MBQ for use in Brazilian Portuguese. DESIGN AND SETTING: Prospective cohort study including 200 women (100 with and 100 without AUB) at a tertiary referral center. METHODS: MBQ translation involved a pilot-testing phase, instrument adjustment, data collection, and back-translation. Cut-off point was obtained using receiver operating curve analysis. Menstrual patterns, impact on quality of life due to AUB, internal consistency, test-retest, responsiveness, and discriminant validity were assessed. For construct validity, the Pictorial Blood Assessment Chart (PBAC) and World Health Organization Quality of Life – abbreviated version (WHOQOL-BREF) were applied. RESULTS: Women with AUB were older, had higher body mass indices, and had a worse quality of life during menstruation. Regarding the MBQ's psychometric variables, Cronbach's alpha coefficient was > 0.70 in all analyses, high intraclass correlation coefficient was found in both groups; no ceiling and floor effects were observed, and construct validity was demonstrated (correlation between MBQ score, PBAC score, and clinical menstrual cycle data). No difference between MBQ and PBAC scores were perceived after the test-retest. Significant differences were found between MBQ and PBAC scores before and after treatment. An MBQ score ≥ 24 was associated with a high probability of AUB; accuracy of 98%. CONCLUSION: The MBQ is a reliable questionnaire for Brazilian women. The cut-off ≥ 24 shows high accuracy to discriminate AUB.

Cancer is one of the major causes of death worldwide, and breast cancer is the most prevalent and deadly type among women. Despite the side effects and the phenomena of chemoresistance associated with the drugs involved, chemotherapy remains the main therapeutic strategy to combat and control breast cancer. Therefore, several new classes of compounds against breast cancer have been explored, in an effort to identify new drug candidates with alternative mechanisms of action. The principal results of such exploration, focusing on caged xanthones, thiosemicarbazones and photosensitizers, are presented in this review, along with the main aspects of the drug discovery process against breast cancer. More specifically, the design, structure-activity relationship investigations and anti-breast cancer properties of these three classes are described and discussed in this work. worldwide women involved Therefore explored action exploration xanthones photosensitizers review specifically design structureactivity structure activity antibreast anti work

ABSTRACT Introduction: Previous research demonstrated benefits of late conversion to mTOR inhibitors against cutaneous squamous cell carcinomas (cSCC) in kidney transplant recipients (KTR), despite of poor tolerability. This study investigated whether stepwise conversion to sirolimus monotherapy without an attack dose modified the course of disease with improved tolerability. Methods: This prospective exploratory study included non-sensitized KTR with more than 12-months post-transplant, on continuous use of calcineurin inhibitors (CNI)-based therapy, and with poor-prognosis cSCC lesions. Incidence densities of high-risk cSCC over 3-years after conversion to sirolimus-monotherapy were compared to a non-randomized group with high-risk cSCC but unsuitable/not willing for conversion. Results: Forty-four patients were included (83% male, mean age 60 ± 9.7years, 62% with skin type II, mean time after transplantation 9 ± 5.7years). There were 25 patients converted to SRL and 19 individuals kept on CNI. There was a tendency of decreasing density of incidence of all cSCC in the SRL group and increasing in the CNI group (1.49 to 1.00 lesions/patient-year and 1.74 to 2.08 lesions/patient-year, p = 0.141). The density incidence of moderately differentiated decreased significantly in the SRL group while increasing significantly in the CNI group (0.31 to 0.11 lesions/patient-year and 0.25 to 0.62 lesions/patient-year, p = 0.001). In the SRL group, there were no sirolimus discontinuations, no acute rejection episodes, and no de novo DSA formation. Renal function remained stable. Conclusions: This study suggests that sirolimus monotherapy may be useful as adjuvant therapy of high-risk cSCC in kidney transplant recipients. The conversion strategy used was well tolerated and safe regarding key mid-term transplant outcomes.

RESUMO Introdução: Pesquisas anteriores demonstraram benefícios da conversão tardia para inibidores de mTOR contra carcinomas espinocelulares cutâneos (CECs) em receptores de transplante renal (RTR), apesar da baixa tolerabilidade. Este estudo investigou se a conversão gradual para monoterapia com sirolimo sem dose de ataque modificou o curso da doença com melhor tolerabilidade. Métodos: Esse estudo prospectivo exploratório incluiu RTR não sensibilizados com mais de 12 meses pós-transplante, uso contínuo de terapia imunossupressora baseado em inibidor de calcineurina (CNI) associado a micofenolato de sódio ou azatioprina, com lesões de CECs de mau prognóstico. Comparou-se densidades de incidência de CECs de alto risco durante 3 anos após conversão para monoterapia com sirolimo à um grupo não randomizado com CECs classificados conforme os mesmos critérios de gravidade do grupo sirolimo, mas inadequado/não disposto à conversão. Resultados: Foram incluídos 44 pacientes (83% homens, idade média 60 ± 9,7 anos, 62% com fototipo de pele II, tempo médio pós-transplante 9 ± 5,7 anos). 25 pacientes foram convertidos para SRL e 19 indivíduos mantidos em CNI. Foi observado tendência de diminuição da densidade de incidência de todos CECs no grupo SRL e de aumento no grupo CNI (1,49 a 1,00 lesões/paciente-ano; 1,74 a 2,08 lesões/paciente-ano; p = 0,141). A densidade de incidência de lesões moderadamente diferenciadas diminuiu significativamente no grupo SRL enquanto aumentou significativamente no grupo CNI (0,31 a 0,11 lesões/paciente-ano; 0,25 a 0,62 lesões/paciente-ano; p = 0,001). No grupo SRL não houve descontinuação do sirolimo, nenhum episódio de rejeição aguda e nenhuma formação de DSA de novo. Função renal permaneceu estável. Conclusões: Esse estudo sugere que a monoterapia com sirolimo pode ser útil como terapia adjuvante de CECs de alto risco em RTR. A estratégia de conversão usada foi bem tolerada e segura em relação aos principais desfechos do transplante a médio prazo.

The water treatment sludge (WTS) is a residue composed of organic and inorganic matter in a solid, liquid, and gaseous state that has a variable composition concerning its physical, chemical, and biological characteristics. The irregular disposal of WTS can promote harmful changes to the environment, such as reduction of dissolved oxygen and increase in the concentration of aluminum and other metals in the receiving watercourses. To propose a suitable purpose for this residue, this work evaluated the physical and mechanical properties of the concrete and corrosion resistance of the reinforcement in a cementitious composite using WTS in replacement to the natural sand. A conventional concrete and a conventional mortar were used as a reference and a 3% WTS-content concrete, and a 3% WTS-content mortar were prepared to evaluate the WTS influence in mechanical properties and corrosion resistance. By electrochemical measurements, it was observed that the resistance of the cementitious matrix was not altered by WTS addition. Regarding steel resistance, the WTS may promote a higher susceptibility to frame corrosion, which can be correlated to the lower pH than reference medium (REF). The concrete reinforcement characterization indicates that concretes with WTS can be used as reinforced concrete structure in urban areas.

ABSTRACT The cultivation of fruit trees is influenced by abiotic factors such as nutritional management. However, fertilizers are used in large amounts in vineyards, resulting in excess nutrients that can cause stress and reduce fruit quality. Calcium (Ca) is one of the most used nutrients in vineyards due to its effects on fruit quality. However, excess of Ca interferes with the distribution of Ca compounds in fruits, being a form of abiotic stress. The aim of this study was to evaluate the influence of the nutritional balance of table grape orchards on calcium nutrition and fruit quality. Nineteen table grape orchards were selected in the Submédio São Francisco Valley in 2019 and 2020 crops. The nutritional diagnosis was performed using the integrated diagnosis and recommendation system (DRIS) and the average nutritional balance index (NBIm) was calculated. The concentration of Ca-pectate, Ca-total, berry firmness, soluble solids, titratable acidity, soluble solids/titratable acidity ratio and dry matter were determined in the fruits. The nutritional diagnosis identified excess Ca in the orchards. The correlation between Ca-pectate and the average NBIm was negative, indicating that the Ca-pectate concentration is higher in vines that are more nutritionally unbalanced. However, the Ca-total in the fruit was not correlated with Ca-pectate. Ca-total and Ca-pectate were not correlated with berry firmness. Calcium nutrition is complex and highlights the importance of associating the assessment of nutritional balance with Ca in fruit quality to optimize the nutritional management of the grapevine.

RESUMO O cultivo de fruteiras é influenciado por fatores abióticos como o manejo nutricional. Contudo, os fertilizantes são usados em grandes quantidades em vinhedos, resultando no excesso de nutrientes que podem causar estresse e reduzir a qualidade dos frutos. O Ca é um dos nutrientes mais utilizados nos vinhedos devido aos seus efeitos na qualidade dos frutos. Entretanto, o excesso de Ca interfere na distribuição das suas frações nos frutos, sendo uma forma de estresse abiótico. O objetivo desse estudo foi avaliar a influência do balanço nutricional da uva de mesa na nutrição cálcica e qualidade dos frutos. Foram selecionados 19 pomares de uvas de mesa no Vale do Submédio São Francisco nas safras de 2019 e 2020. Foi realizado o diagnóstico nutricional utilizando o sistema integrado de diagnose e recomendação (DRIS) e calculado o índice do balanço nutricional médio (IBNm) médio. O teor de Ca-pectato, Ca-total, firmeza da baga, sólidos solúveis, acidez titulável, razão sólidos solúveis/acidez titulável e matéria seca foram determinados nos frutos. O diagnóstico nutricional identificou excesso de Ca. A correlação entre Ca-pectato e o IBNm médio foi negativa, indicando que o teor de Ca-pectato é maior em videiras mais desbalanceadas nutricionalmente. Contudo, o Ca-total no fruto não teve correlação com Ca-pectato. O Ca-total e o Ca-pectato não se correlacionaram com a firmeza da baga. A nutrição cálcica é complexa e evidencia a importância de associar a avaliação do balanço nutricional com o Ca na qualidade dos frutos para otimizar o manejo nutricional da videira.

ABSTRACT The São Francisco Valley region of Brazil is a leading exporter of mango fruits. Previous nutritional diagnosis can identify stresses, provide adjustments for nutritional limitations, and promote more efficient fertilization and nutrient management. This study aimed to compare the nutritional diagnosis of mango trees in the post-harvest and pre-flowering phases and to correlate them with productivity. Norms and indices of the Integrated System of Diagnosis and Recommendation (DRIS), as well as the Nutritional Balance Index and the Potential of Response to Fertilization were generated for each phenological phase of the mango trees. Optimal concentrations and ranges of nutrients were established, classified as deficient, balanced, or excessive, and subsequently compared to each other and to values recommended in the literature. The indices were correlated with the productivity of the orchards in each phenological phase of the mango trees. When comparing the DRIS norms of post-harvest and pre-flowering phenological phases, 55% of the averages differed. The sufficiency ranges of the post-harvest and pre-flowering phases were generally different from those referenced in the literature. Nutritional diagnoses for P, K, Ca, Mg, S, Zn, and Cl altered between phenological phases. The nutritional diagnosis performed in the post-harvest phase showed that nutritional imbalance affected productivity.

RESUMO A região do Vale do São Francisco no Brasil destaca-se na exportação de frutos de manga. O diagnóstico nutricional prévio pode identificar estresses, antecipar a correção de limitações nutricionais e promover um manejo nutricional da fertilização mais eficiente. O estudo objetivou comparar o diagnóstico nutricional em mangueiras nas fases de pós-colheita e pré-florescimento e correlacionar com a produtividade. Normas e índices do Sistema Integrado de Diagnose e Recomendação foram geradas para cada fase fenológica das mangueiras, bem como o Índice de Balanço Nutricional e o Potencial de Resposta a Adubação. Os teores e faixas ótimas de nutrientes foram estabelecidos e classificados em deficientes, equilibrados ou excessivos. Esses teores e faixas ótimas de nutrientes foram comparados entre si e com valores recomendados na literatura. Os índices foram correlacionados com a produtividade dos pomares em cada fase fenológica das mangueiras. Ao comparar as normas DRIS das fases fenológicas pós-colheita e pré-floração, 55% das médias diferiram. As faixas de suficiência das fases pós-colheita e pré-floração, em geral, foram diferentes das referenciadas na literatura. Os diagnósticos nutricionais para os nutrientes P, K, Ca, Mg, S, Zn e Cl diferiram entre as fases fenológicas. O diagnóstico nutricional realizado na fase de pós-colheita mostrou que o desequilíbrio nutricional afetou a produtividade.

ABSTRACT BACKGROUND: Since the impact of the coronavirus disease 2019 (COVID-19) pandemic in March 2020, several studies have shown a strong relationship between obesity and severe cases of COVID-19. It is imperative to assess whether bariatric surgery exerts a protective effect in such cases. OBJECTIVE: This study aimed to assess the impact of bariatric surgery on the morbidity and mortality in obese patients during the COVID-19 pandemic. A comprehensive search was performed using the PubMed and Cochrane Library databases. DESIGN AND SETTING: Retrospective cohort studies conducted in the Faculdade de Medicina da Universidade Cidade de São Paulo, São Paulo (SP), Brazil. METHODS: The search comprised the following descriptors: “bariatric, surgery, COVID-19”. Current retrospective cohort studies that examined the influence of bariatric surgery on the morbidity and mortality of obese patients during the COVID-19 pandemic were considered eligible. RESULTS: After removing duplicates, 184 studies were obtained from the databases. Of these, 181 were excluded from the analysis as they did not meet the eligibility criteria. Patients undergoing postoperative follow-up of bariatric surgery had a similar probability of SARS-CoV-2 infection compared to the general population, and persistent comorbidities were associated with an increased risk and severity of infection. CONCLUSION: Bariatric surgery has a protective effect against severe COVID-19 in the obese population, bringing the prevalence of severe disease cases to levels equivalent to those of the nonobese general population, with a positive impact on morbidity and mortality.

ABSTRACT BACKGROUND: Hypovitaminosis D is a public health problem associated with several chronic inflammatory and immunological diseases, including psoriasis. OBJECTIVES: This study aimed to determine the prevalence of hypovitaminosis D in patients with plaque psoriasis. A comparison was made between vitamin D levels in patients with psoriasis and those with other non-inflammatory dermatoses without photosensitivity. In addition, it evaluated the effects of the patients’ Fitzpatrick skin phototype and the season of the year on the serum levels of vitamin D. DESIGN AND SETTINGS: A retrospective cross-sectional study was conducted at an outpatient clinic in a university center in Juiz de Fora (MG), Brazil. METHODS: A review of dermatology patients’ demographic data, including skin phototype and serum levels of 25-hydroxyvitamin D [25(OH)D], over 12 months in 2016. RESULTS: This study included 554 patients: 300 patients allocated to the plaque psoriasis group and 254 control patients with other dermatological diseases. Regarding the season of the year, 229, 132, 62, and 131 participants were evaluated in summer, autumn, winter, and spring, respectively. As for the skin phototype, 397, 139, and 18 patients had phototypes III, IV, and V, respectively. The serum levels of 25(OH)D were significantly lower in the psoriasis group (24.91 ± 7.16 ng/mL) than in the control group (30.37 ± 8.14 ng/mL). CONCLUSIONS: Hypovitaminosis D (< 30 ng/mL) was present in 76.66% of patients with psoriasis versus 53.94% of control patients. Vitamin D deficiency (< 20 ng/mL) was observed in 25% of the patients with psoriasis versus 8.66% in the control group (P < 0.001). The season and patient’s skin phototype were independent predictors of serum vitamin D levels.

Abstract This study evaluated the effect of aging and cementation of fiber posts using glass ionomer and resin cements on push-out bond strength, failure mode, and resin tag formation. One hundred and twenty bovine incisors were used. After post-space preparation, the specimens were randomly allocated into 12 groups (n = 10) according to the cementation system used: GC - GC Gold Label Luting & Lining); RL - RelyX Luting 2; MC - MaxCem Elite; RU - RelyX U200 and the aging periods (24 hours, 6 months, and 12 months). Slices from the cervical, middle, and apical thirds were obtained and analyzed by push-out bond strength test and confocal laser scanning microscopy. One-way ANOVA and Tukey’s post-hoc test was used at a significance level of 5%. For the push-out bond strength test, no differences among GC, RU, and MC in the cervical and middle thirds were observed, regardless of the period of storage (P > 0.05). In the apical third, GC and RU showed similar bond strength but higher than other groups (P > 0.05). After 12 months, GC showed the highest bond strength (P < 0.05). Bond strength to post-space dentin decreased over time, regardless of the cementation system used. Cohesive failure was the most frequent, regardless of the period of storage, cementation system, and post-space third. Tag formation was similar among all groups. After 12 months, GC showed the highest bond strength values.

Resumo Avaliar o efeito do envelhecimento e sistemas de cimentação usando ionômero de vidro e cimentos resinosos na resistência de união à dentina após a cimentação do pino de fibra. Cento e vinte incisivos bovinos foram utilizados. Após o preparo do pós-espaço, os corpos de prova foram distribuídos aleatoriamente em 12 grupos (n = 10) de acordo com o período de envelhecimento (24 horas, 6 meses e 12 meses) e o sistema de cimentação utilizado: GC - cimento de ionômero de vidro (GC Gold Label Cimentação e Revestimento); RL - RelyX Luting 2; MC - MaxCem Elite; RU - RelyX U200. Cortes dos terços cervical, médio e apical foram obtidos e analisados por teste de resistência de união push-out e microscopia confocal de varredura a laser. ANOVA one-way e teste de Tukey foi usado a um nível de significância de 5%. Para o teste de resistência de união, não foram observadas diferenças entre GC, RU e MC nos terços cervical e médio, independentemente do período de armazenamento (P > 0,05). No terço apical, GC e RU apresentaram resistência de união semelhante, porém superior aos demais grupos (P > 0,05). Após 12 meses, o GC apresentou a maior resistência de união (P < 0,05). A resistência de união à dentina no espaço para pino diminuiu ao longo do tempo, independentemente do sistema de cimentação utilizado. A formação de tags foi semelhante entre todos os grupos. Após 12 meses, o GC apresentou os maiores valores de resistência de união.

ABSTRACT BACKGROUND: Exposure to air pollutants and illness by severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2) infection can cause serious pulmonary impairment. OBJECTIVE: To identify a possible association between exposure to air pollutants and hospitalizations due to SARS-Cov-2. DESIGN AND SETTING: Ecological time-series study carried out in Taubaté, Tremembé, and Pindamonhangaba in 2020 and 2021. METHODS: Study with Sars-Cov-2 hospitalizations with information on hospitalization date, sex and age of the subjects, duration of hospitalization, type of discharge, and costs of these hospitalizations. Statistical analysis was performed through a negative binomial regression, with data on pollutant concentrations, temperature, air relative humidity, and hospitalization date. Coefficients obtained by the analysis were transformed into relative risk for hospitalization, which estimated hospitalizations excess according to an increase in pollutant concentrations. RESULTS: There were 1,300 hospitalizations and 368 deaths, with a predominance of men (61.7%). These data represent an incidence rate of 250.4 per 100,000 inhabitants and 28.4% hospital lethality. Significant exposure (P value < 0.05) occurred seven days before hospital admission (lag 7) for nitrogen dioxide (NO2) (relative risk, RR = 1.0124) and two days before hospital admission for PM2.5 (RR = 1.0216). A 10 μg/m3 in NO2 concentration would decrease by 320 hospitalizations and » US $ 240,000 in costs; a 5 μg/m3 in PM2.5 concentration would decrease by 278 hospitalizations and » US $ 190,000 in costs. CONCLUSION: An association between exposure to air pollutants and hospital admission due to Sars-Cov-2 was observed with excess hospitalization and costs for the Brazilian public health system.

ABSTRACT Objective: A substantial number of people with COPD suffer from exacerbations, which are defined as an acute worsening of respiratory symptoms. To minimize exacerbations, telehealth has emerged as an alternative to improve clinical management, access to health care, and support for self-management. Our objective was to map the evidence of telehealth/telemedicine for the monitoring of adult COPD patients after hospitalization due to an exacerbation. Methods: Bibliographic search was carried in PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Scopus, Biblioteca Virtual de Saúde/LILACS and Cochrane Library databases to identify articles describing telehealth and telemonitoring strategies in Portuguese, English, or Spanish published by December of 2021. Results: Thirty-nine articles, using the following concepts (number of articles), were included in this review: telehealth (21); telemonitoring (20); telemedicine (17); teleconsultation (5); teleassistance (4); telehomecare and telerehabilitation (3 each); telecommunication and mobile health (2 each); and e-health management, e-coach, telehome, telehealth care and televideo consultation (1 each). All these concepts describe strategies which use telephone and/or video calls for coaching, data monitoring, and health education leading to self-management or self-care, focusing on providing remote integrated home care with or without telemetry devices. Conclusions: This review demonstrated that telehealth/telemedicine in combination with telemonitoring can be an interesting strategy to benefit COPD patients after discharge from hospitalization for an exacerbation, by improving their quality of life and reducing re-hospitalizations, admissions to emergency services, hospital length of stay, and health care costs.

RESUMO Objetivo: Um número substancial de pessoas com DPOC sofre de exacerbações, definidas como uma piora aguda dos sintomas respiratórios. Para minimizar as exacerbações, a telessaúde surgiu como alternativa para melhorar o manejo clínico, o acesso aos cuidados de saúde e o apoio à autogestão. Nosso objetivo foi mapear as evidências de telessaúde/telemedicina para o monitoramento de pacientes adultos com DPOC após hospitalização por exacerbação. Métodos: Foi realizada uma pesquisa bibliográfica nos bancos de dados PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, Scopus, Biblioteca Virtual de Saúde/LILACS e Cochrane Library para identificar artigos que descrevessem estratégias de telessaúde e telemonitoramento em português, inglês, ou espanhol, publicados até dezembro de 2021. Resultados: Trinta e nove artigos, utilizando os seguintes conceitos (número de artigos), foram incluídos nesta revisão: telessaúde (21); telemonitoramento (20); telemedicina (17); teleconsulta (5); teleassistência (4); telecuidado domiciliar e telerreabilitação (3 cada); telecomunicação e saúde móvel (2 cada); e gestão de e-saúde, e-coach, teledomicílio, cuidados de telessaúde e tele/videoconsulta (1 cada). Todos esses conceitos descrevem estratégias que utilizam chamadas telefônicas e/ou de vídeo para coaching, monitoramento de dados e educação em saúde levando à autogestão ou autocuidado, com foco na prestação de cuidados domiciliares remotos integrados, com ou sem dispositivos de telemetria. Conclusões: Esta revisão demonstrou que a telessaúde/telemedicina associada ao telemonitoramento pode ser uma estratégia interessante para beneficiar pacientes com DPOC após a alta hospitalar por exacerbação, por meio da melhora da qualidade de vida e da redução das re-hospitalizações, admissões em serviços de emergência, tempo de internação hospitalar e custos de cuidados de saúde.

Abstract BACKGROUND: Psoriasis is a systemic, immune-mediated disease characterized by inflammatory manifestations in the skin and joints. Vitamin D deficiency is currently considered a pandemic and is associated with comorbidities including psoriasis and psoriatic arthritis (PsA). OBJECTIVES: To determine the prevalence of hypovitaminosis D [25(OH)D] in patients with plaque psoriasis, with and without PsA, and of independent predictors of serum 25(OH)D levels. DESIGN AND SETTING: Retrospective cross-sectional study conducted among 300 patients at an outpatient clinic in a university center in Juiz de Fora, Minas Gerais, Brazil. METHODS: Demographic and clinical data (psoriasis area and severity index [PASI], family history, age at onset, disease duration, and the presence of PsA according to Classification Criteria for Psoriatic Arthritis), skin phototype, and season of the year were reviewed. RESULTS: Hypovitaminosis D (< 30 ng/mL) was highly prevalent in patients with psoriasis with and without PsA (82.2% and 74.9%, respectively). An inverse correlation between PASI and vitamin D was found (without PsA r = –0.59 and, PsA r = –0.52, P < 0.001), and multivariate regression revealed that hypovitaminosis D was associated with disease severity, season, and phototype. It was confirmed by binary logistic regression between PASI and vitamin D deficiency (< 30 ng/mL), (odds ratio, OR 1.78 CI: –0.20–0.53, P < 0.001). CONCLUSION: Hypovitaminosis D (< 30 ng/mL) was highly prevalent in psoriatic patients with and without PsA. Season and skin phototype were associated with 25(OH)D levels. An inverse association between PASI and serum 25(OH)D levels was established.

ABSTRACT Currently, the presence of spurious microwave radiation is increasing in the environment, which has caused concern due to possible health problems in living beings and electromagnetic interference in electronic systems. To control this problem, studies in the materials area are taking place, aiming to attenuate the spurious radiation and meet requirements of good performance in broadband, low cost and low weight. The present work aimed to study Cu and Ni nanometric films with thicknesses of 65 and 200 nm, deposited on polyethylene terephthalate substrate by magnetron sputtering. Scanning electron microscopy with a field emission gun (FEG-SEM) showed that the films produced have different morphological textures, due to the parameters used in the sputtering process and also the free energy of metals. Impedance spectroscopy measurements showed that the films have low conductivity values, due to the metallic oxides formed on the film surfaces, confirmed by X-ray diffraction, and also to the presence of defects. Electromagnetic characterization (8.2 – 12.4 GHz) showed that the Cu and Ni thin films had low performance, except the Ni_200 nm film, which showed a total shielding efficiency of about 30% in broadband. This result is promising considering the nanometric thickness of the Ni film.