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Resumen Introducción: las clasificaciones de pie diabético (PD) son una herramienta que tienen el objetivo de mejorar la comunicación entre los profesionales, la referencia y contrarreferencia; proporcionar un pronóstico; ayudar en la valoración de las lesiones, y contribuir con fines estadísticos. Objetivos: describir las características de los pacientes que se presentaron al consultorio o a la guardia con un PD durante un período de 3 meses, determinar el riesgo según cinco clasificaciones (Texas, IDSA, San Elián, WIfI y SINBAD) y evaluar su evolución a 6 meses en relación con el grado de gravedad determinada por cada clasificación. Materiales y métodos: se analizaron 312 pacientes de 15 instituciones en Argentina. Para el análisis se utilizó la calculadora de clasificaciones de pie diabético/score de riesgo del Comité de Pie Diabético de la Sociedad Argentina de Diabetes. Resultados: el 43% de los pacientes (n=133) requirió internación al momento de la primera consulta y el 61% (n=189) había consultado previamente. El porcentaje de amputación mayor total fue de 8,33% (IC 95%; 5,5-11,9) (n=26) y el de amputación menor de 29,17% (IC 95%; 24,2-34,6) (n=91). A los 6 meses, el porcentaje de muerte fue de 4,49% (IC 95%; 2,5-7,4) (n=14), el 24,3% (IC 95%;19,6-29,5) presentaba la herida aún abierta (n=76), el 58,0% (IC 95%; 52,3-66,5) (n=181) cicatrizó y el 7,37% se perdió del seguimiento (n=23). Las clasificaciones de San Elián y WIfI se relacionaron con amputación mayor, cicatrización y muerte. En relación a la clasificación de Texas, el 49% de los pacientes presentó herida penetrante a hueso o articulación (Texas 3), con o sin infección. El 65,3% de las amputaciones mayores y el 78,6% de las muertes se produjeron en pacientes con isquemia. El punto de corte de San Elián para amputación mayor fue 20. Conclusiones: conocer los datos locales permite organizar los recursos para mejorar la atención de los pacientes.

Abstract Introduction: the classifications of diabetic foot (DF) are a tool that aims to improve communication between professionals, referral and counter-referral, provide a prognosis, help in the assessment of lesions, and contribute to statistical purposes. Objectives: to describe the characteristics of patients who presented to the clinic or emergency department with DF over a period of 3 months, determine the risk according to 5 classifications (Texas, IDSA, SEWSS, WIfI, and SINBAD), and evaluate their evolution at 6 months in relation to the severity degree determined by each classification. Materials and methods: 312 patients from 15 institutions in Argentina were analyzed. The Diabetic Foot Classification Calculator/Risk Score from the Diabetic Foot Committee of the Argentina Argentina Diabetes Society was used for the analysis. Results: 43% of patients (n=133) required hospitalization at the time of the first consultation and 61% (n=189) had previously consulted. The total major amputation percentage was 8.33% (95%CI; 5.5-11.9) (n=26), and the minor amputation percentage was 29.17% (95% CI; 24.2-34.6) (n=91). At 6 months, the death rate was 4.49% (95% CI; 2.5-7.4) (n=14), 24.3% (95% CI; 19.629.5) had an open wound (n=76), 58.0% (95% CI; 52.3-66.5) (n=181) had healed, and 7.37% were lost to follow-up (n=23). The SEWSS and WIfI classifications were related to major amputation, healing, and death. Regarding the Texas classification, 49% of patients had a penetrating wound to bone or joint (Texas 3), with or without infection. 65.3% of major amputations and 78.6% of deaths occurred in patients with ischemia. The SEWSS cut-off point for major amputation was 20. Conclusions: knowing local data allows organizing resources to improve patient care.

Challenges and Possibilities of Memory and Reconciliation: Empirical Evidence for Colombia
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Arrieta-Flórez, Rosaura

; Marún Uparela, Katleen

; Torres-Pacheco, Silvana

Revista de Estudios Sociales

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Jan 2023, Nº 83 Páginas 141 - 163

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

Abstract: The signing of the peace agreement with the Revolutionary Armed Forces of Colombia-People’s Army (FARC-EP) deepened the debate on the reconstruction of memory as a right of the victims and a way to advance in the reconciliation of Colombian society. This article uses data from the 2019 Colombian Reconciliation Barometer of the Program of Alliances for Reconciliation of the United States Agency for International Development and ACDI/VOCA to analyze the individual and contextual factors that affect how individuals perceive the reconstruction of memory as a tool that contributes to reconciliation. We estimated a probabilistic model for which the dependent variable is the predisposition toward memory reconstruction as a predictor of reconciliation based on the context of the Colombian armed conflict, and a set of individual factors that capture the effects of community initiatives and state institutions and programs arising within the framework of transitional justice. We sought to verify whether the characteristics of individuals and their way of relating to each other in a community and municipal context shape the perception of the contribution of reconstructed memory to reconciliation. The results show that being a female victim of the armed conflict, developing empathy, residing in municipalities with the presence of Places of Memory, and trusting in the processes of transitional justice -such as clarifying the truth- increase an individual’s predisposition to consider that the reconstruction of memory contributes to reconciliation. In contrast, other policies and programs that emerged after the agreement, such as residing in municipalities with Territorially Focused Development Plans (PDET in Spanish) and the presence of Casas de Verdad (Truth Houses), operate in the opposite direction. This work suggests challenges for transitional justice by identifying the factors that condition positive outlooks toward the reconstruction of memory in reconciliation processes and opens the possibility of formulating actions with greater citizen acceptance.

Resumo: A firma do Acordo de Paz com as Forças Armadas Revolucionárias da Colômbia-Exército do Povo (FARC-EP) aprofundou o debate sobre a reconstrução da memória como direito das vítimas e caminho para avançar na reconciliação da sociedade colombiana. Neste artigo, são utilizados os dados do Barômetro da Reconciliação 2019 do Programa de Parcerias para a Reconciliação da Agência dos Estados Unidos para o Desenvolvimento e de ACDI/VOCA, para analisar os fatores individuais e contextuais que incidem na percepção individual sobre a reconstrução da memória como uma ferramenta que contribui para a reconciliação. É estimado um modelo probabilístico, cuja variável dependente é a predisposição à reconstrução da memória como preditor de reconciliação em função de um conjunto de fatores individuais e do contexto do conflito armado colombiano que capturam os efeitos das iniciativas comunitárias e das instituições e programas estatais surgidos no âmbito da justiça de transição. Pretende-se comprovar se as características dos indivíduos e sua forma de relacionar-se num contexto comunitário e municipal moldam a percepção sobre a contribuição da reconstrução da memória para a reconciliação. Os resultados mostram que ser mulher vítima do conflito armado, desenvolver empatia, morar em municípios com presença de Lugares de Memória e confiar nos processos de justiça de transição - como o esclarecimento da verdade - aumentam a predisposição individual a considerar que a reconstrução da memória contribui para a reconciliação. Em contrapartida, outras políticas e programas que surgiram após o Acordo, como morar em municípios com Programas de Desenvolvimento com Abordagem Territorial (PDET, em espanhol) e a presença de Casas de Verdade, operam em sentido contrário. Neste trabalho, são apresentados desafios para a justiça de transição ao identificar os fatores que condicionam as atitudes positivas quanto à reconstrução da memória em processos de reconciliação e é aberta a possibilidade de formular ações com maior aceitação cidadã.

Resumen: La firma del Acuerdo de Paz con las Fuerzas Armadas Revolucionarias de Colombia - Ejército del Pueblo (FARC-EP) profundizó el debate sobre la reconstrucción de la memoria como derecho de las víctimas y camino para avanzar en la reconciliación de la sociedad colombiana. Este artículo utiliza los datos del Barómetro de la Reconciliación 2019 del Programa Alianzas para la Reconciliación de la Agencia de los Estados Unidos para el Desarrollo y ACDI/VOCA, para analizar los factores individuales y contextuales que inciden en la percepción individual sobre la reconstrucción de la memoria como una herramienta que aporta a la reconciliación. Se estima un modelo probabilístico cuya variable dependiente es la predisposición hacia la reconstrucción de la memoria como predictor de reconciliación en función de un conjunto de factores individuales y del contexto del conflicto armado colombiano que capturan los efectos de las iniciativas comunitarias y de las instituciones y programas estatales surgidos en el marco de la justicia transicional. Se busca comprobar si las características de los individuos y su forma de relacionarse en un contexto comunitario y municipal moldean la percepción sobre el aporte de la reconstrucción de la memoria a la reconciliación. Los resultados muestran que ser mujer víctima del conflicto armado, desarrollar empatía, residir en municipios con presencia de Lugares de Memoria y la confianza en los procesos de justicia transicional -como el esclarecimiento de la verdad- aumentan la predisposición individual a considerar que la reconstrucción de la memoria aporta a la reconciliación. En contraste, otras políticas y programas surgidos tras el acuerdo, como residir en municipios con Programas de Desarrollo con Enfoque Territorial (PDET) y la presencia de Casas de Verdad, operan en sentido contrario. Este trabajo sugiere desafíos para la justicia transicional al identificar los factores que condicionan las actitudes positivas hacia la reconstrucción de la memoria en procesos de reconciliación y abre la posibilidad de formular acciones con mayor aceptación ciudadana.

https://doi.org/10.7440/res83.2023.08

Validity of the Maternal Antenatal Attachment Scale-Spanish for Mexican pregnant women
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Ferrara-Torres, Alexa

; Álvarez-Carrillo, José R

; Lara, Mª Asunción

; Ibarra-Patrón, Diana

; Manjarrez-García, Mónica

; Gutiérrez-Hernández, Olga D

; Mendoza-Ruiz, Silvana

; Escobedo-Belloc, Daniela

Clínica y Salud

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2023, Volume 34 Nº 2 Páginas 43 - 49

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

ABSTRACT During pregnancy, parents experiment emotions, thoughts, and behaviors related to their unborn child as precursors of attachment in the caretaker-infant dyad. The Maternal Antenatal Attachment Scale (MAAS) is an instrument that has shown adequate psychometric properties to evaluate this construct in developed countries. The aim of this study was to assess the reliability and concurrent validity of the Maternal Antenatal Attachment Scale-Spanish version for Mexican women (MAAS-Spanish version). A sample of 142 women in their third trimester of pregnancy who received care in a tertiary hospital was selected. The full scale of the MAAS-Spanish version obtained a Cronbach alpha of .79. A significant negative correlation was found between the global MAAS-Spanish version score (r = -.23, p ≤ .01) and the Postpartum Depression Predictors Inventory-Revised and depressive symptoms (r = -.36 , p ≤ .01). The translated and adapted scale has adequate internal consistency and concurrent validity to measure this construct in this population.

RESUMEN Durante el embarazo, los padres experimentan emociones, pensamientos e ideas sobre su nonato relevantes en el estudio de precursores del apego en la díada cuidador-infante. La Escala de Apego Prenatal Materno (MAAS) es un instrumento que ha mostrado adecuadas propiedades psicométricas para evaluar este constructo en países desarrollados. El propósito de este estudio fue evaluar la confiabilidad y validez concurrente de dicha escala—versión en español para mujeres mexicanas (MAAS—versión en español). Se seleccionó a una muestra de 142 mujeres en tercer trimestre gestacional, que recibían atención en un hospital de tercer nivel. La escala total obtuvo un alfa de Cronbach de .79. Se evidenció una correlación negativa significativa de la puntuación global de la MAAS de r = -.23, (p ≤ .01) con la PDPI-R y de r = -.36, (p ≤ .01) con la sintomatología depresiva (EPDS). La escala traducida cuenta con una consistencia interna y validez concurrente adecuadas para medir este constructo en esta población.

https://doi.org/10.5093/clysa2023a7

Costos directos y calidad de vida de los pacientes con glaucoma en Paraguay
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Torres-Rivas, Silvana Patricia

; Guerrero, Amanda

; Samudio, Margarita

; Díaz, Graciela Noemi

; Scalamogna, Miguel

; Pereira, Luis

; Fleitas, María Elena

; Bolaños, Andrea

Revista científica ciencias de la salud

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2023, Volume 5 elocation e5117

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

RESUMEN Introducción: El glaucoma constituye un problema de salud pública por su alta prevalencia, los costos directos y la calidad de vida deteriorada de los pacientes que lo sufre. Objetivo: Determinar los costos directos y calidad de vida de los pacientes adultos con glaucoma atendidos en la Clínica Central de la Fundación Visión de noviembre 2022 a febrero 2023. Material y métodos: estudio observacional, descriptivo, corte transversal que incluyó pacientes con diagnóstico de glaucoma por muestreo por conveniencia. Resultados: Se incluyeron 140 pacientes entre 29 y 90 años, 52,9% femenino, 43,6% primaria incompleta, 32,1% desempleado. El tratamiento médico se realizó en el 81%, laser en 42% y procedimiento quirúrgico en 32%. Se informó un gasto promedio anual de 3.639.800gs ($ 503.93) por paciente. El estado emocional afectado se informó en el 35,7% de los pacientes, y calidad de vida deteriorada en el 48,6%; el 55% de los pacientes tiene dependencia para sus cuidados personales. Conclusión: El glaucoma implica grandes costos directos debido al tratamiento, además los pacientes tienen deterioro de la calidad de vida.

ABSTRACT Introduction. Glaucoma is still a public health problem due to its high prevalence, the socioeconomic impact it entails for the patient who suffers from it, which decreases the quality of life. Objective: To determine the direct costs and quality of life of adult patients treated WITH glaucoma in the Fundación Visión Central Clinic from November 2022 to February 2023. Material and methods: observational, descriptive, cross-sectional study that included patients diagnosed with glaucoma by sampling by convenience. Results: 140 patients between 29 and 90 years old were included, 52.9% female, 43.6% incomplete primary education, 32.1% unemployed. Medical treatment was performed in 81%, laser in 42% and surgical procedure in 32%. An average annual expense of 3,639,800gs ($503.93) per patient was reported. Emotional affectation was reported in 35.7% of the patients, and 43.5% deteriorated quality of life; 55% of the patients has dependency on personal care. Conclusion: Glaucoma involves large direct costs, due to treatment, in addition patients have deterioration in the quality of life.

https://doi.org/10.53732/rccsalud/2023.e5117

Diretriz Brasileira de Dispositivos Cardíacos Eletrônicos Implantáveis – 2023
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Teixeira, Ricardo Alkmim

; Fagundes, Alexsandro Alves

; Baggio Junior, José Mário

; Oliveira, Júlio César de

; Medeiros, Paulo de Tarso Jorge

; Valdigem, Bruno Pereira

; Teno, Luiz Antônio Castilho

; Silva, Rodrigo Tavares

; Melo, Celso Salgado de

; Elias Neto, Jorge

; Moraes Júnior, Antonio Vitor

; Pedrosa, Anisio Alexandre Andrade

; Porto, Fernando Mello

; Brito Júnior, Hélio Lima de

; Souza, Thiago Gonçalves Schroder e

; Mateos, José Carlos Pachón

; Moraes, Luis Gustavo Belo de

; Forno, Alexander Romeno Janner Dal

; D’Avila, Andre Luiz Buchele

; Cavaco, Diogo Alberto de Magalhães

; Kuniyoshi, Ricardo Ryoshim

; Pimentel, Mauricio

; Camanho, Luiz Eduardo Montenegro

; Saad, Eduardo Benchimol

; Zimerman, Leandro Ioschpe

; Oliveira, Eduardo Bartholomay

; Scanavacca, Mauricio Ibrahim

; Martinelli Filho, Martino

; Lima, Carlos Eduardo Batista de

; Peixoto, Giselle de Lima

; Darrieux, Francisco Carlos da Costa

; Duarte, Jussara de Oliveira Pinheiro

; Galvão Filho, Silas dos Santos

; Costa, Eduardo Rodrigues Bento

; Mateo, Enrique Indalécio Pachón

; Melo, Sissy Lara De

; Rodrigues, Thiago da Rocha

; Rocha, Eduardo Arrais

; Hachul, Denise Tessariol

; Lorga Filho, Adalberto Menezes

; Nishioka, Silvana Angelina D’Orio

; Gadelha, Eduardo Barreto

; Costa, Roberto

; Andrade, Veridiana Silva de

; Torres, Gustavo Gomes

; Oliveira Neto, Nestor Rodrigues de

; Lucchese, Fernando Antonio

; Murad, Henrique

; Wanderley Neto, José

; Brofman, Paulo Roberto Slud

; Almeida, Rui M. S.

; Leal, João Carlos Ferreira

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 Nº 1 elocation e20220892

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

https://doi.org/10.36660/abc.20220892

Psychometric properties of the Brazilian version of the Big Five Inventory
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Roiz Junior, Paulo Roberto Soares

; da Silveira, Dartiu Xavier

; Barbosa, Paulo César Ribeiro

; Torres, Murilo Almeida dos Santos

; Moreira Junior, Eliseu da Cruz

; Areco, Kelsy Catherina Nema

; de Oliveira, Ruama Thame Alves

; Tazitu, Allan Gama

; Fernandes, João Ariel Bonar

; Fernandes, Marcos Gimenes

; Kasinski, Silvana Kertzer

Trends in Psychiatry and Psychotherapy

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2023, Volume 45 elocation e20210458

Resumo: En | Texto: En | PDF: En

Abstract Introduction There is growing interest in the fields of psychiatry and psychology in investigating the relationship between personality and psychopathology. The Big-5 is a model developed to investigate five personality dimensions: Extroversion, Agreeableness, Conscientiousness, Neuroticism, and Openness. In the present study, we describe the process of translation into Brazilian Portuguese and adaptation of a free tool to evaluate the Big-5 model: The Big-5 Inventory (BFI). The instrument has 44 items with a Likert response scale ranging from 1 to 5. Objectives To translate and adapt the BFI into Brazilian Portuguese. Methods The adaptation was conducted in the following steps: 1) Translation, 2) Evaluation Committee, 3) Back-translation, 4) Pilot study, 5) Evaluation Committee, and 6) Application. The sample comprised 490 participants from various regions of Brazil. The participants’ ages ranged from 18 to 71 years, most of them had completed high school (62.9%), and the majority were women (75%). Results A model with the following fit indexes was found: χ2/df: 1.954; goodness fit index (GFI): 0.924; comparative fit index (CFI): 0.920; and root mean square error of approximation (RMSEA): 0.044. Conclusion The results are suggestive that the Brazilian version of this instrument has good psychometric properties and represent a cost-free option for investigating associations with the Big-5 in psychiatry.

https://doi.org/10.47626/2237-6089-2021-0458

Determining reference ranges for immunological cells of healthy indigenous individuals from a region in Brazil
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Morais, Isa Rita Brito de

; Barbosa, Dyjaene de Oliveira

; Almeida, Gabriel Barroso de

; Costa, Regina Rossoni da

; Silva, Bruna Oliveira da

; Oliveira, Laís Albuquerque de

; Arantes, Julia Pimentel

; Leite, Layla Oliveira Campos

; Rossato, Luana

; Ribeiro, Marcos Borges

; Marchioro, Silvana Beutinger

; Freire, Songelí Menezes

; Nascimento, Roberto José Meyer

; Simionatto, Simone

; Torres, Alex José Leite

einstein (São Paulo)

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2023, Volume 21 elocation eAO0291

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective The establishment of reference values for a subset of leukocytes is common in clinical practice, and ethnic variations are strongly associated with disease development. In Brazil, indigenous people are vulnerable to infections, and few studies have described the health and disease conditions of this population. This study aimed to provide reference values for immunological cell subsets in indigenous Brazilians living in the state of Mato Grosso do Sul. Methods Flow cytometry and 4-color combinations of monoclonal antibodies were used to characterize cells. A total of 115 healthy adults, mostly females (72%), were included in the study. The results are presented as mean and median (2.5%-97.5% percentiles) for T and B lymphocytes, CD4+ T cells, CD8+ T cells, Natural Killer cells, monocytes, and dendritic cells, providing an average immunological profile for the population in question. Results The relative medians of CD3+, CD4+, and CD8+ T cells were significantly higher in women than in men in a healthy indigenous population. Conclusion To our knowledge, cell reference data from indigenous Brazilians are unknown in the literature. The immune cell results presented in this pioneering study will contribute to the clinical and laboratory evaluation of the Brazilian indigenous population, especially given the important differences when compared with other Brazilian ethnic groups.

https://doi.org/10.31744/einstein_journal/2023ao0291

Recomendaciones de práctica clínica: diagnóstico de osteomielitis en pie diabético
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Carro, Gabriela Verónica

; Saurral, Rubén Nicolás

; Méndez, Elizabet Gladys

; Dituro, Claudio Fabián

; Varela, Cristina

; David, Raúl Alejandro

; Witman, Érica Lorena

; Torres, Julio Cesar

; Iluminati, Gabriela Silvana

; Casen, María Alejandra

; Alterini, Pablo

; Losada, María Victoria Dicatarina

; Kremer Sendros, Sandra Aixa

; Issa, Claudia

; Badías, Florencia

; Braver, José Daniel

; Romero, Elida

; Vega, Walter Agustín

; Carrió, Luisa Mabel

Revista de la Sociedad Argentina de Diabetes

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Mai 2022, Volume 56 Supl. 1 Páginas 36 - 39

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

Resumen La osteomielitis (OM) es una complicación de las úlceras en pie diabético que habitualmente es subdiagnosticada y tratada en forma tardía e inadecuada. La demora en el tratamiento de estos pacientes aumenta el riesgo de amputación. En esta revisión, se analiza la bibliografía actual acerca del diagnóstico de OM y se realizan recomendaciones en base a la misma, y a las características de los pacientes, los insumos y las posibilidades en nuestro medio.

Abstract Diabetic foot osteomyelitis (OM) is a diabetic foot ulcer complication. Usually, it is misdiagnosed and the treatment is delayed and inadequate. Delaying the treatment of these patients rises the risk of amputation. In this revision, current bibliography about this topic is updated and clinical practice recommendations are done, based on the publications and adapted to the characteristics of our country.

Complications associated with the use of temporary pacemaker in patients waiting for definitive device implantation
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Papp, Silvana Ellen Ribeiro

; Torres, Aymée Lustosa Nogueira e

; Vasquez, Andres Eduardo Larrovere

; Gioli-Pereira, Luciana

einstein (São Paulo)

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2022, Volume 20 elocation eAO8013

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective To determine the rate of complications associated with the use of temporary pacemakers in patients in the waiting list for the definitive pacemaker implantation in a public hospital located in São Paulo, SP, Brazil. Methods Retrospective observational study based on data extracted from medical records of patients admitted to Hospital Municipal Dr. Moyses Deutsch, Hospital Israelita Albert Einstein from January 2014 to December 2018. Patients aged 18 years or older, diagnosed with high degree atrioventricular block upon admission and with indications for definitive pacemaker implantation were included. All-cause mortality, clinical and surgical complications and length of hospital stay while waiting for the procedure were defined as primary outcomes. Results The sample comprised 66 patient allocated to one of two groups: with and without the need of temporary pacemaker while in hospital (n=45 and n=21, respectively). The rate of complications was higher in patients who used a temporary pacemaker (p<0.001). These included primarily pneumonia (p=0.048) and length of hospital stay (p=0.029). Conclusion Patients who required a temporary pacemaker stayed longer in hospital. Longer hospital stay is associated with higher rates of general complications and all-cause mortality.

https://doi.org/10.31744/einstein_journal/2022ao8013

10.

The first year of the COVID-19 pandemic in an indigenous population in Brazil: an epidemiological study
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Croda, Mariana Garcia

; Barbosa, Marcelo dos Santos

; Marchioro, Silvana Beutinger

; Nascimento, Débora Dupas Gonçalves do

; Melo, Enirtes Caetano Prates

; Cruz, Oswaldo Gonçalves

; Torres, Alex José Leite

; Oliveira, Laís Albuquerque de

; Ganem, Fabiana

; Simionatto, Simone

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e69

Resumo: En | Texto: En | PDF: En

ABSTRACT This cross-sectional observational study that describes the epidemiological data of the first year of the COVID-19 pandemic in the Mato Grosso do Sul State, aimed to demonstrate the differences between indigenous and non-indigenous populations, characterize confirmed cases of COVID-19 according to risk factors related to ethnicity, comorbidities and their evolution and to verify the challenges in facing the disease in Brazil. SIVEP-Gripe and E-SUS-VE, a nationwide surveillance database in Brazil, from March 2020 to March 2021 in Mato Grosso do Sul state, were used to compare survivors and non-survivors from indigenous and non-indigenous populations and the epidemiological incidence curves of these populations. A total of 176,478, including 5,299 indigenous people, were confirmed. Among the indigenous population, 52.5% (confidence interval [CI] 51.2-53.9) were women, 38% (CI 36.7-39.4) were 20-39 years old, 56.7% were diagnosed by rapid antibody tests, 12.3% (CI 95%:11.5-13.2) had at least one comorbidity, and 5.3% (CI 95%:4.7–5.9) were hospitalized. In the non-indigenous patients, 56.8% were confirmed using RT-PCR, 4.4% (CI 95%:4.3-4.5) had at least one comorbidity, and 8.0% (CI 95%:7.9-8.2) were hospitalized. The majority of non-survivors were ≥60 years old (65.1% indigenous vs. 74.1% non-indigenous). The mortality in indigenous people was more than three times higher (11% vs. 2.9%). Indigenous people had a lower proportion of RT-PCR diagnoses; deaths were more frequent in younger patients and were less likely to be admitted to hospital. Mass vaccination may have controlled the incidence and mortality associated with COVID-19 in this population during the period of increased viral circulation.

https://doi.org/10.1590/s1678-9946202264069

11.

Confirmed presence of the Neotropical otter, Lontra longicaudis, in Laguna Bacalar, Quintana Roo, Mexico
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Corona-Figueroa, Mildred Fabiola

; Giraldo-Mueses, John Alexander

; Cedeño-Vázquez, José Rogelio

; Castelblanco-Martínez, Delma Nataly

; Niño-Torres, Carlos Alberto

; Beutelspacher-García, Pablo M.

; Ibarra-Madrigal, Silvana Marisa

; Pérez-Flores, Jonathan

Revista mexicana de biodiversidad

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2022, Volume 93 elocation e933847

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

Resumen La nutria neotropical Lontra longicaudis es uno de los mamíferos menos estudiados en la península de Yucatán y su presencia en algunos cuerpos de agua de esta región es cuestionable. La laguna de Bacalar es el mayor cuerpo de agua dulce de la península de Yucatán y enfrenta varios problemas de conservación debido a su alto potencial de desarrollo turístico. Confirmamos la presencia de L. longicaudis en la laguna de Bacalar mediante entrevistas con los residentes locales y la búsqueda de evidencias directas (avistamientos) e indirectas (p. ej. huellas) de presencia de la especie en 2013. Incluimos observaciones directas recientes (2019-2020). Clasificamos la información por niveles de certeza, según el tipo de evidencia que la respalda (fotografías, videos). Obtuvimos 9 registros de nutria neotropical a través de entrevistas (nivel 3); 3 avistamientos y 4 huellas (nivel 1), y 4 avistamientos (3 con nivel 2 y 1 con nivel 3 de certeza). Es necesario incrementar los esfuerzos de investigación para determinar el estado de conservación y la distribución de la nutria neotropical en la laguna. Recomendamos realizar esfuerzos en cuanto a la socialización y a la educación para facilitar la conservación de esta especie y su hábitat en la laguna de Bacalar.

Abstract The Neotropical otter Lontra longicaudis is one of the least studied mammals of the Yucatán Peninsula and its presence in some water bodies of this region is questionable. Laguna Bacalar is the largest freshwater body located in the Yucatán Peninsula and faces several conservation problems due to its high potential for tourism development. We confirmed the presence of L. longicaudis in Laguna Bacalar by conducting interviews with residents, and the search for direct (sightings) and indirect (e.g., footprints) evidence of the species in 2013. We also include recent direct and indirect evidence (2019-2020). We classified the records into levels of certainty, according to the type of evidence (photographs, videos). We obtained 9 records of Neotropical otter through interviews (level 3), 3 sightings and 4 footprints (level 1), and 4 sightings (3 of these with level 2 and 1 with level 3 of certainty). It is necessary to increase the research effort to determine the conservation status and distribution of the Neotropical otter in the lagoon. We recommend making efforts in terms of socialization and education to facilitate the conservation of the Neotropical otters and their habitat in Laguna Bacalar.

https://doi.org/10.22201/ib.20078706e.2022.93.3847

12.

El emprendimiento joven: Un desafío para el desarrollo local
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Cuarán Guerrero, Mireya Silvana

; Torres Merlo, Oswaldo Xavier

; Pacífico Fichamba, Luis

Dilemas contemporáneos: educación, política y valores

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Dez 2021, Volume 9 Nº 1 elocation 00048

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

Abstract: The objective of this article is to analyze the characteristics of the young population that attends government programs in Ecuador to generate entrepreneurship as an alternative for progress, in order to identify the elements that influence reaching the required financing. A cross-sectional descriptive research was applied with a sample of 128 young entrepreneurs from four provinces of Ecuador. Through a survey, it was concluded that experience in the activity, knowledge of the market and the definition of the type of investment are decisive when obtaining adequate financing.

Resumen: El objetivo de este artículo es analizar las características de la población joven que acude a programas de Gobierno en el Ecuador para generar emprendimiento como una alternativa de progreso, con la finalidad de identificar los elementos que inciden en alcanzar el financiamiento requerido. Se aplicó una investigación de tipo descriptiva transversal con una muestra de 128 jóvenes emprendedores de cuatro provincias del Ecuador. Mediante una encuesta, se llegó a concluir que la experiencia en la actividad, el conocimiento del mercado y la definición del tipo de inversión son determinantes al momento de lograr un financiamiento adecuado.

https://doi.org/10.46377/dilemas.v9i1.2880 265 downloads

13.

Fatores associados à pré-hipertensão e hipertensão arterial em trabalhadores de saúde que atuam em serviços de alta complexidade
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Pereira, Sabrina Gonçalves Silva

; Silva Junior, Rene Ferreira da

; Ribeiro, Claudia Danyella Alves Leão

; Barbosa, Henrique Andrade

; Torres, Jaqueline D’ Paula Ribeiro Vieira

; Silva, Carla Silvana de Oliveira e

Ciência & Saúde Coletiva

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Dez 2021, Volume 26 Nº 12 Páginas 6059 - 6068

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

Resumo Objetivou-se estimar a prevalência e fatores associados à pré-hipertensão e hipertensão arterial entre trabalhadores de saúde que atuam em setores de alta complexidade para pacientes críticos e crônicos. Foi realizado um estudo epidemiológico, transversal com 490 trabalhadores de saúde da macrorregional do norte de Minas Gerais, Brasil. A variável dependente pressão arterial foi categorizada em normal, pré-hipertensão e hipertensão. Para análise múltipla, foi utilizada a Regressão Logística Multinomial. A prevalência da hipertensão arterial foi de 21,8% e da pré-hipertensão foi de 25,9%. As chances de se desenvolver a hipertensão arterial e a pré hipertensão foram maiores nos profissionais do sexo masculino, com idade ≥40 anos, em trabalhadores com vínculo empregatício concursado e naqueles obesos ou com sobrepeso. O uso de medicamento contínuo e o trabalho no turno noturno estiveram associados à hipertensão e pré-hipertensão, respectivamente. A prevalência de hipertensão arterial no grupo de trabalhadores foi menor do que a da população brasileira. São necessários estudos com trabalhadores desse grupo e investimentos em medidas preventivas e que incentivem a mudança para um estilo de vida saudável.

Abstract The objective was to estimate the prevalence and factors associated with prehypertension and hypertension among health workers who work in high-complexity services for critically-ill and chronic patients. An epidemiological, cross-sectional study was carried out with 490 health workers in the macroregional region of Northern Minas Gerais, Brazil. The dependent variable blood pressure (BP) was categorized as normal BP, prehypertension and hypertension. Multinomial Logistic Regression was used for the multiple analysis. The prevalence of arterial hypertension was 21.8% and that of prehypertension was 25.9%. The chances of developing arterial hypertension and prehypertension were higher in male professionals, aged ≥40 years, in civil servant workers and those who were obese or overweight. The use of continuous medication and night shift work were associated with hypertension and prehypertension, respectively. The prevalence of arterial hypertension in the group of workers was lower than that of the Brazilian population. It is necessary to carry out studies with workers from this group and investments are required in preventive measures that encourage a change to a healthy lifestyle.

https://doi.org/10.1590/1413-812320212612.14952021 1 downloads

14.

Fatores associados à pré-hipertensão e hipertensão arterial em trabalhadores de saúde que atuam em serviços de alta complexidade
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Pereira, Sabrina Gonçalves Silva

; Silva Junior, Rene Ferreira da

; Ribeiro, Claudia Danyella Alves Leão

; Barbosa, Henrique Andrade

; Torres, Jaqueline D’ Paula Ribeiro Vieira

; Silva, Carla Silvana de Oliveira e

Ciência & Saúde Coletiva

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Dez 2021, Volume 26 Nº 12 Páginas 6059 - 6068

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

https://doi.org/10.1590/1413-812320212612.14952021

15.

Estudio de factores de riesgo para el desarrollo de pie diabético: Campaña 1N
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Issa, Claudia Marcela

; Carro, Gabriela Verónica

; Saurral, Rubén Nicolás

; Méndez, Elizabet Gladys

; Dituro, Claudio Fabián

; Vilte, Javier Aníbal

; Varela, Cristina

; David, Raúl Alejandro

; Witman, Érica Lorena

; Torres, Julio César

; Zabala, Rocío

; Illuminati, Gabriela Silvana

; Casen, María Alejandra

; Alterini, Pablo

; Dicatarina Losada, María Victoria

; Kremer Sendros, Sandra Aixa

; Cuto, Florencia

; Badías, Florencia

; Braver, José Daniel

; Carrió, Luisa Mabel

; Jiménez, Lucía Belén

; Castillo, Jaqueline Norma

; Farías, Javier Mauricio

Revista de la Sociedad Argentina de Diabetes

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Jan 2021, Volume 55 Nº 1 Páginas 4 - 12

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

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Abstract Introduction: foot examination is essential in patients with diabetes mellitus (DM). The correct evaluation of the foot in the patient who attends diabetes control is key to establish risk factors for the development of ulcers, detect injuries, take preventive measures, make an early referral and educate in foot care. Objectives: in this study, the feet of people with DM were examined during the Diabetic Foot Awareness and Prevention Campaign on November 1, 2019 in order to assess the presence of symptoms and signs related to neuropathy, peripheral vascular disease, prevalence of the same and know the risk. Materials and methods: 165 patients were analyzed in four centers: Sanatorio Güemes (Diabetes and Endocrinology Service), PREDIGMA (Preventive Medicine Center, Posadas, Misiones), Central Hospital of San Isidro, Nexo Medical Center (Junín City) and Hospital Municipal of General Viamonte (Province of Buenos Aires). Results: it was found that 43.6% had some symptoms in the lower limbs and up to 57% had an alteration in the screening tests for diabetic neuropathy or peripheral arterial disease, with a higher prevalence the longer the evolution of DM. The most frequent signs found in the physical examination were: dry skin (71.5%), nail dystrophy (60.6%) or alteration of the foot pad (52.1%). The most frequent comorbidities were: hypertension (74.5%) and dyslipidemia (73.3%). The median glycated hemoglobin was 7.40% (6.70-8.10), higher in people with a history of retinopathy (7.8%; p <0.01) and in patients who reported having cramps (7, 85 to 7.30; p = 0.03) or burning (8.0 vs 7.3; p <0.01). The percentage of patients with high-risk foot due to antecedents, inspection or screening for neuropathy or vascular disease represented from 40% in those with DM of less than five years of evolution to 86% in those who were older than 20 years. Conclusions: this high percentage of patients with foot at risk identified in this study suggests that, in addition to the correct physical examination, the attending physician requires the taking of behaviors, such as the indication of appropriate footwear or insoles, as well as a fluid referral to the orthotic technician, orthopedic surgeon, or physiatrist.

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