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Toads of the Rhinella genus have a pair of paratoid glands that store biological secretions of high toxicity and varied chemical composition, rich in biologically active compounds. The present work aimed to carry out the investigation of the metabolomic profile and evaluation of the biological potential of the secretion paratoid glands (PGS) from Rhinella granulosa. The paratoid secretion was collected in the Piauí state (Brazil), extracted with methanol and the extract was analyzed by ultra-performance liquid chromatography with quadrupole time-of-flight mass spectrometry. Fifty chemical constituents were identified. The extract showed cytotoxicity against tumor cell lines of the central nervous system (half maximal inhibitory concentration (IC50) = 1.9 µg mL-1) and prostate (IC50 = 1.6 µg mL-1), unsatisfactory antimicrobial potential (minimal inhibitory concentration (MIC) > 312 µg mL-1) and inhibited the enzyme acetylcholinesterase (IC50 = 5.119 mg mL-1). The results presented relevant information about the PGS and contributed to the understanding of the metabolomic and biological potential of R. granulosa.

https://doi.org/10.21577/0103-5053.20230052

The animation “Purl”: an analysis from the perspective of Sociointeractional Semiotics
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Fonseca, Jaciluz Dias

; Ferreira, Helena Maria

; Silva, Marta Cristina da

; Lima, Isabela Vieira

Texto Livre

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2023, Volume 16 elocation e45482

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

Abstract Considering the assumption that the primary responsibility of educational institutions is to develop citizens, we understand that the discussion of sometimes controversial topics can contribute to the refinement of social relations. We argue that the animation genre can be an excellent resource to encourage this type of reflection in a playful and appealing way. Therefore, this text analyzes the short film Purl (2018), which addresses the theme of sexism in the corporate world. To this end, we adopt the sociointeractional semiotics analysis model as our theoretical framework, developed by Leal (2011), based on concepts from socio-discursive interactionism - SDI ( BRONCKART, 2012) and the grammar of visual design - GVD ( KRESS; VAN LEEUWEN, 2006). At the end of the article, we present considerations regarding the possibilities of working with multiliteracies, using animation as a tool for working with language practices in the classroom, guided by a perspective that can effectively contribute to the development of critical subjects and citizens.

Resumo Considerando a premissa de que a responsabilidade precípua das instituições escolares é a de formar cidadãos, entendemos que a discussão sobre temas como o da animação analisada nesta pesquisa pode contribuir para a qualificação das relações sociais, mesmo sendo assuntos que suscitem polêmicas. Nesse sentido, defendemos que o gênero videoanimação pode ser um excelente recurso para motivar esse tipo de reflexão, de modo lúdico e atraente. Assim, objetivamos, com este texto, propor uma análise do curta Purl (2018), que aborda a temática do machismo no mundo corporativo. Para tanto, utilizamos como referencial teórico o modelo de análise da Semiótica Sociointeracional, elaborado por Leal (2011), tendo como referência conceitos do Interacionismo Sociodiscursivo - ISD ( BRONCKART, 2012) e da Gramática do Design Visual - GDV ( KRESS; VAN LEEUWEN, 2006). Ao final do artigo, apresentamos considerações acerca das possibilidades do trabalho com os multiletramentos, utilizando a videoanimação como ferramenta para o trabalho com as práticas de linguagem em sala de aula, pautando-se em uma perspectiva que possa, efetivamente, contribuir para a formação de sujeitos críticos e cidadãos.

https://doi.org/10.1590/1983-3652.2023.45482

The SISBIOTA-Diptera Brazilian Network: A long-term survey of Diptera from unexplored Brazilian Western Arc of Amazon, Cerrado, and Pantanal
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Lamas, Carlos José Einicker

; Fachin, Diego Aguilar

; Falaschi, Rafaela Lopes

; Alcantara, Daniel Máximo Correa de

; Ale-Rocha, Rosaly

; Amorim, Dalton de Souza

; Araújo, Maíra Xavier

; Ascendino, Sharlene

; Baldassio, Letícia

; Bellodi, Carolina Ferraz

; Bravo, Freddy

; Calhau, Julia

; Capellari, Renato Soares

; Carmo-Neto, Antonio Marcelino do

; Cegolin, Bianca Melo

; Couri, Márcia Souto

; Carvalho, Claudio José Barros de

; Dios, Rodrigo de Vilhena Perez

; Falcon, Aida Vanessa Gomez

; Fusari, Livia Maria

; Garcia, Carolina de Almeida

; Gil-Azevedo, Leonardo Henrique

; Gomes, Marina Morim

; Graciolli, Gustavo

; Gudin, Filipe Macedo

; Henriques, Augusto Loureiro

; Krolow, Tiago Kütter

; Mendes, Luanna Layla

; Limeira-de-Oliveira, Francisco

; Maia, Valéria Cid

; Marinoni, Luciane

; Mello, Ramon Luciano

; Mello-Patiu, Cátia Antunes de

; Morales, Mírian Nunes

; Oliveira, Sarah Siqueira

; Patiu, Claudemir

; Proença, Barbara

; Pujol-Luz, Cristiane Vieira de Assis

; Pujol-Luz, José Roberto

; Rafael, José Albertino

; Riccardi, Paula Raile

; Rodrigues, João Paulo Vinicios

; Roque, Fabio de Oliveira

; Sallum, Maria Anice Mureb

; Santis, Marcelo Domingos de

; Santos, Charles Morphy Dias dos

; Santos, Josenilson Rodrigues dos

; Savaris, Marcoandre

; Shimabukuro, Paloma Helena Fernandes

; Silva, Vera Cristina

; Schelesky-Prado, Daniel de Castro

; Silva-Neto, Alberto Moreira da

; Camargo, Alexssandro

; Sousa, Viviane Rodrigues de

; Urso-Guimarães, Maria Virginia

; Wiedenbrug, Sofia

; Yamaguchi, Carolina

; Nihei, Silvio Shigueo

Revista Brasileira de Entomologia

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2023, Volume 67 Nº 4 elocation e20230051

Resumo: En | Texto: En | PDF: En

ABSTRACT The SISBIOTA-BRASIL was a three-year multimillion-dollar research program of the Brazilian government to document plants and animals in endangered/understudied areas and biomes in Brazil. Distributional patterns and the historical events that generated them are extensively unknown regarding Brazilian fauna and flora. This deficiency hinders the development of conservation policies and the understanding of evolutionary processes. Conservation decisions depend on precise knowledge of the taxonomy and geographic distribution of species. Given such a premise, we proposed to research the diversity of Diptera of the Brazilian western arc of Amazon, Cerrado, and Pantanal in the states of Mato Grosso, Mato Grosso do Sul, and Rondônia. Three important biomes of the South American continent characterize these Brazilian states: Amazon forest, Cerrado (Brazilian Savannah), and Pantanal. Besides their ecological relevance, these biomes historically lack intensive entomological surveys. Therefore, they are much underrepresented in the Brazilian natural history collections and in the scientific literature, which is further aggravated by the fact that these areas are being exponentially and rapidly converted to commercial lands. Our project involved over 90 collaborators from 24 different Brazilian institutions and one from Colombia among researchers, postdocs, graduate and undergraduate students, and technicians. We processed and analyzed nearly 300,000 specimens from ~60 families of Diptera collected with a large variety of methods in the sampled areas. Here, we provide a detailed overview of the genera and species diversity of 41 families treated. Our results point to a total of 2,130 species and 514 genera compiled and identified for the three states altogether, with an increase of 41% and 29% in the numbers of species and genera known for the three states combined, respectively. Overall, the 10 most species-rich families were Tachinidae, Cecidomyiidae, Tabanidae, Psychodidae, Sarcophagidae, Stratiomyidae, Bombyliidae, Syrphidae, Tephritidae, and Asilidae. The 10 most diverse in the number of genera were Tachinidae, Stratiomyidae, Asilidae, Mycetophilidae, Syrphidae, Tabanidae, Muscidae, Dolichopodidae, Sarcophagidae, and Chloropidae. So far, 111 scientific papers were published regarding taxonomic, phylogenetic, and biogeographical aspects of the studied families, with the description of 101 new species and three new genera. We expect that additional publications will result from this investigation because several specimens are now curated and being researched by specialists.

https://doi.org/10.1590/1806-9665-rbent-2023-0051

Breastfeeding in infants seen in private pediatric practices and its relation with type of delivery and history of prematurity
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Morais, Mauro Batista de

; Toporovski, Mauro Sérgio

; Tofoli, Marise Helena Cardoso

; Barros, Karina Vieira de

; Ferreira, Cristina Helena Targa

; Silva, Luciana Rodrigues

Jornal de Pediatria

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Jun 2022, Volume 98 Nº 3 Páginas 241 - 247

Resumo: En | Texto: En | PDF: En

Abstract Objective: To describe the type of milk used to feed infants seen in private pediatric practices in Brazil. To evaluate the relationship between breastfeeding, type of delivery, and history of prematurity. Methods: This is a cross-sectional and observational study that included 4929 infants in the first year of life seen in private pediatric practices in the five geographic regions of Brazil. Mothers provided information about the type of milk used by their infant, the type of delivery (vaginal or cesarean), and whether the birth was premature. Results: Breastfeeding was the only source of milk for 56.1% (1546/2755) of infants in the first six months of life and 32.9% (716/2174) in the second. Of the infants who received other types of milk besides breastfeeding, there was a predominance of infant formula in 98.6% and 93.8% of the infants, respectively, in the first and in the second six months of life. Whole cow's milk was used by 0.7% (20/2755) of infants in the first six months and by 4.1% (90/2174) of infants in the second (p < 0.001). In the first six months of life, breastfeeding as the only type of milk was associated with vaginal delivery (OR = 1.79; p < 0.001) and not having a history of prematurity (OR = 2.48; p < 0.001). Conclusion: Breastfeeding was the only milk source for more than half of infants before 180 days of life. Birth by cesarean section and history of prematurity were negatively associated with breastfeeding as the only source of milk used in infant feeding.

https://doi.org/10.1016/j.jped.2021.06.009

Applying colorimetry for wood differentiation of fabaceae species grown in southern Brazil
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Vieira, Helena Cristina

; dos Santos, Joielan Xipaia

; Souza, Deivison Venicio

; Rios, Polliana D’ Angelo

; Bolzon de Muñiz, Graciela Inés

; Ribeiro Morrone, Simone

; Nisgoski, Silvana

Maderas. Ciencia y tecnología

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2022, Volume 24 elocation 16

Resumo: En | Texto: En | PDF: En

Abstract: Because of the need for identification of forest species, especially for detection of illegal wood trade, the objective of this study was to evaluate the potential of colorimetry for differentiation of Inga vera Willd., Muellera campestris (Mart. ex Benth.) M.J. Silva & A.M.G. Azevedo and Machaerium paraguariense Hassl., species of the Fabaceae family, native to the Araucaria Forest in the state of Santa Catarina, southern Brazil. Discs at breast height were collected from three trees of each species and the colorimetric parameters (L*, a*, b*, C* and h) and visible spectra were evaluated in different radial position of the trunk (near bark, intermediate and near pith) and three different anatomical sections (transversal, radial and tangential surfaces). Mean values of hue angle (h) among the colorimetric parameters resulted in the highest potential for species discrimination. With respect to radial trunk position and anatomical section, parameters a* (green-red) and h were not statistically different, independent of the wood samples evaluated. For other parameters (L*, b* and C*), each species presented distinct results. Principal component analysis with second derivative of visible spectra discriminated all species. Colorimetry associated with chemometrics allowed to distinguish I. vera, M. campestris and M. paraguariense.

https://doi.org/10.4067/s0718-221x2022000100416 68 downloads

Colorimetry as a tool for description of some wood species marketed as “tauari” in Brazilian Amazon
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SANTOS, JOIELAN XIPAIA DOS

; VIEIRA, HELENA CRISTINA

; SOUZA, DEIVISON VENICIO

; MUÑIZ, GRACIELA INÊS BOLZON DE

; SOFFIATTI, PATRÍCIA

; NISGOSKI, SILVANA

Anais da Academia Brasileira de Ciências

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2022, Volume 94 Nº 1 elocation e20191479

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study was to verify the potential of the colorimetric technique in the identification of some species marketed as “tauari” in the Brazilian Amazon. CIE L* a* b* parameters were applied to determine the colour of 35 wood samples from the main wood poles of the State of Para, Brazil, and the scientific collections of the Museu Paraense Emilio Goeldi (Walter A. Egler Collection) and Embrapa Amazônia Oriental. From each sample, data were obtained in the three wood surfaces: transversal, longitudinal tangential and longitudinal radial. The coordinate b*, which showed the yellow pigment, exerted greater weight in the color characterization of the 35 samples marketed as tauari, being more evident in the tangential and radial sections. In PCA, MGW wood samples showed considerably distinct color patterns in relation to PA and IAN samples, and the h and L* parameters provided better informations for distinguishing species from sample sources. The colorimetric technique can be used as an auxiliary tool in the identification of wood. However, the simultaneous use of colorimetry with the anatomical description of wood is suggested, given the complexity of the species-level separation in “tauari” group.

https://doi.org/10.1590/0001-3765202220191479

Recommendations by the Scientific Department of Neuroimmunology of the Brazilian Academy of Neurology (DCNI/ABN) and the Brazilian Committee for Treatment and Research in Multiple Sclerosis and Neuroimmunological Diseases (BCTRIMS) on vaccination in general and specifically against SARS-CoV-2 for patients with demyelinating diseases of the central nervous system
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Becker, Jefferson

; Ferreira, Lis Campos

; Damasceno, Alfredo

; Bichuetti, Denis Bernardi

; Christo, Paulo Pereira

; Callegaro, Dagoberto

; Peixoto, Marco Aurélio Lana

; Sousa, Nise Alessandra De Carvalho

; Almeida, Sérgio Monteiro De

; Adoni, Tarso

; Santiago-Amaral, Juliana

; Junqueira, Thiago

; Pereira, Samira Luisa Apóstolos

; Gomes, Ana Beatriz Ayroza Galvão Ribeiro

; Pitombeira, Milena

; Paolilo, Renata Barbosa

; Grzesiuk, Anderson Kuntz

; Piccolo, Ana Claudia

; D´Almeida, José Arthur Costa

; Gomes Neto, Antonio Pereira

; Oliveira, Augusto Cesar Penalva De

; Oliveira, Bianca Santos De

; Tauil, Carlos Bernardo

; Vasconcelos, Claudia Ferreira

; Kaimen-Maciel, Damacio

; Varela, Daniel

; Diniz, Denise Sisterolli

; Oliveira, Enedina Maria Lobato De

; Malfetano, Fabiola Rachid

; Borges, Fernando Elias

; Figueira, Fernando Faria Andrade

; Gondim, Francisco De Assis Aquino

; Passos, Giordani Rodrigues Dos

; Silva, Guilherme Diogo

; Olival, Guilherme Sciascia Do

; Santos, Gutemberg Augusto Cruz Dos

; Ruocco, Heloisa Helena

; Sato, Henry Koiti

; Soares Neto, Herval Ribeiro

; Cortoni Calia, Leandro

; Gonçalves, Marcus Vinícius Magno

; Vecino, Maria Cecilia Aragón De

; Pimentel, Maria Lucia Vellutini

; Ribeiro, Marlise De Castro

; Boaventura, Mateus

; Parolin, Mônica Koncke Fiuza

; Melo, Renata Brant De Souza

; Lázaro, Robson

; Thomaz, Rodrigo Barbosa

; Kleinpaul, Rodrigo

; Dias, Ronaldo Maciel

; Gomes, Sidney

; Lucatto, Simone Abrante

; Alves-Leon, Soniza Vieira

; Fukuda, Thiago

; Ribeiro, Taysa Alexandrino Gonsalves Jubé

; Winckler, Thereza Cristina D’ávila

; Fragoso, Yara Dadalti

; Nascimento, Osvaldo José Moreira Do

; Ferreira, Maria Lucia Brito

; Mendes, Maria Fernanda

; Brum, Doralina Guimarães

; Glehn, Felipe Von

Arquivos de Neuro-Psiquiatria

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Nov 2021, Volume 79 Nº 11 Páginas 1049 - 1061

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

RESUMO O DC de Neuroimunologia da ABN e o BCTRIMS trazem, nesse documento, as recomendações sobre vacinação da população com doenças desmielinizantes do sistema nervoso central (SNC) contra infecções em geral e contra o coronavírus da síndrome respiratória aguda grave 2 (SARS-CoV-2), causador da COVID-19. Destaca-se a gravidade do atual momento frente ao avanço da COVID-19 em nosso País, o que torna mais evidente e importante a criação de guia de referência para orientação aos médicos, pacientes e autoridades de saúde pública quanto à vacinação, meio efetivo e seguro no controle de determinadas doenças infecciosa. O DCNI/ABN e o BCTRIMS recomendam que os pacientes com doenças desmielinizantes do SNC (ex., EM e NMOSD) sejam constantemente monitorados, quanto a atualização do seu calendário vacinal, especialmente, no início ou antes da mudança do tratamento com uma droga modificadora de doença (DMD). É importante também salientar que as vacinas são seguras e os médicos devem estimular o seu uso em todos os pacientes. Evidentemente, deve ser dada especial atenção às vacinas com vírus vivos atenuados. Por fim, é importante que os médicos verifiquem qual DMD o paciente está em uso e quando foi feita a sua última dose, pois cada fármaco pode interagir de forma diferente com a indução da resposta imune.

ABSTRACT The Scientific Department of Neuroimmunology of the Brazilian Academy of Neurology (DCNI/ABN) and Brazilian Committee for Treatment and Research in Multiple Sclerosis and Neuroimmunological Diseases (BCTRIMS) provide recommendations in this document for vaccination of the population with demyelinating diseases of the central nervous system (CNS) against infections in general and against the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes COVID-19. We emphasize the seriousness of the current situation in view of the spread of COVID-19 in our country. Therefore, reference guides on vaccination for clinicians, patients, and public health authorities are particularly important to prevent some infectious diseases. The DCNI/ABN and BCTRIMS recommend that patients with CNS demyelinating diseases (e.g., MS and NMOSD) be continually monitored for updates to their vaccination schedule, especially at the beginning or before a change in treatment with a disease modifying drug (DMD). It is also important to note that vaccines are safe, and physicians should encourage their use in all patients. Clearly, special care should be taken when live attenuated viruses are involved. Finally, it is important for physicians to verify which DMD the patient is receiving and when the last dose was taken, as each drug may affect the induction of immune response differently.

https://doi.org/10.1590/0004-282x-anp-2021-0162 1 downloads

Effectiveness of telemedicine in response to the COVID-19 pandemic
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Souza, Maria Angela de

; Fioretti, Audrey Cristina

; Vincentin, Aparecida Helena

; Botelho, Ricardo Vieira

; Vasconcellos, Cidia

Revista da Associação Médica Brasileira

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Out 2021, Volume 67 Nº 10 Páginas 1427 - 1431

Resumo: En | Texto: En | PDF: En

SUMMARY OBJECTIVE: The aim of this study was to evaluate the utility of the telemedicine care model implemented to treat and guide patients with COVID-19 related symptoms and indicators during the pandemic. METHODS: This is a retrospective study with data collected from the electronic records of standardized forms for assistance. As a way of evaluating the work performed, the number of consultations, types of referrals, efficiency of care, and patient satisfaction were observed. RESULTS: Between April 2 and October 15, 2020, 92 professionals attended 3,660 patients by telemedicine; out of them, 523 (14.3%) were referred to a COVID-19 attending room, 128 (3.5%) to other specialties, 123 (3.4%) to a general emergency department, and 2,886 (78.9%) were monitored via home care. Of the total number of patients, 81 (2.2%) were hospitalized, and 13 (0.35%) died. CONCLUSION: Telemedicine offered useful tools for the care, treatment, and monitoring of patients with COVID-19 during the pandemic. The service was considered by most respondents as satisfactory, resolutive, or safe.

https://doi.org/10.1590/1806-9282.20210611

Cuidado cardiovascular seguro no ensino de enfermagem: perspetiva de docentes, discentes e graduados
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Gomes, Emiliana Bezerra

; Moreira, Thereza Maria Magalhães

; Pereira, Halana Cecília Vieira

; Beltrão, Izabel Cristina Santiago Lemos de

; Oliveira, Célida Juliana de

; Carvalho, Rhanna Emanuela Fontenele Lima de

; Freitas, Consuelo Helena Aires de

Revista de Enfermagem Referência

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Mar 2021, Volume serV Nº 5 elocation e20093

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

Resumen Marco contextual: La seguridad del paciente es esencial para la promoción de la calidad asistencial, especialmente cuando se asocia con el impacto epidemiológico global y regional de la salud cardiovascular, lo que pone de manifiesto la necesidad de introducir claramente el tema en los planes de estudios sanitarios. Objetivo: Analizar la formación de enfermería en el dominio del cuidado cardiovascular seguro. Metodología: Estudio hermenéutico realizado en los estudios de enfermería de una universidad pública del interior del Nordeste brasileño con profesores, estudiantes y graduados. La muestra fue por conveniencia. Las entrevistas y los grupos focales se sometieron a un análisis temático categórico con referencia teórica a la Guía Curricular sobre Seguridad del Paciente de la Organización Mundial de la Salud. La muestra final fue de 46 participantes. Resultados: Las categorías dieron lugar a los siguientes temas: El cuidado es complejo y su enseñanza está fragmentada; La falta de especificidad en la enseñanza del cuidado cardiovascular seguro; El reconocimiento del cuidado cardiovascular seguro y Los desafíos de la enseñanza y el aprendizaje en el cuidado cardiovascular seguro. Conclusión: La enseñanza del cuidado cardiovascular seguro resultó ser indirecta y estar fragmentada en todos los grupos de participantes.

Resumo Enquadramento: A segurança do paciente é essencial para a promoção da qualidade assistencial, especialmente quando associada ao impacto epidemiológico global e regional da saúde cardiovascular, evidenciando a necessidade da introdução clara da temática nos currículos de saúde. Objetivo: Analisar a formação em enfermagem no domínio do cuidado cardiovascular seguro. Metodologia: Estudo hermenêutico realizado no curso de enfermagem de uma universidade pública do interior do Nordeste brasileiro com docentes, discentes e graduados. A amostragem foi por conveniência. As entrevistas e grupos focais sofreram análise categorial temática com referencial teórico do guia curricular de segurança do paciente da Organização Mundial de Saúde. A amostra final foi de 46 participantes. Resultados: As categorias resultaram nos temas: O cuidado é complexo e o seu ensino é fragmentado; A falta de especificidade no ensino do cuidado cardiovascular seguro; O reconhecimento do cuidado cardiovascular seguro e Os desafios do ensino e aprendizagem no cuidado cardiovascular seguro. Conclusão: O ensino do cuidado cardiovascular seguro mostrou-se indireto e fragmentado por todos os grupos de participantes.

Abstract Background: Patient safety is essential for the promotion of quality of care, especially when associated with the global and regional epidemiological impact of cardiovascular health, highlighting the need for a clear introduction of the theme in the health curriculum. Objective: Analyze nursing teaching in the field of safe cardiovascular care. Methodology: Hermeneutic study carried out in the nursing course of a public university in the interior of Northeastern Brazil with teachers, students, and graduates. Sampling was by convenience. The interviews and focus groups were submitted to thematic categorical analysis with theoretical reference of the Curricular guide of patient safety of the World Health Organization. The final sample was 46 participants. Results: The categories resulted in the themes: Care is complex and its teaching is fragmented, The lack of specificity in teaching safe cardiovascular care, The recognition of safe cardiovascular care and The challenges of teaching and learning in safe cardiovascular care. Conclusion: The teaching of safe cardiovascular care proved to be indirect and fragmented by all groups of participants.

https://doi.org/10.12707/rv20093 69 downloads

10.

Medical students with performance difficulties need wide support: Initial results of an academic tutoring program
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Bellodi, Patrícia Lacerda

; Dolhnikoff, Marisa

; Jacomo, Alfredo Luiz

; Jorge, Alexander Augusto de Lima

; Ferraro, Alexandre Archanjo

; Germani, Ana Claudia Camargo Gonçalves

; Tannuri, Ana Cristina Aoun

; Tess, Beatriz Helena Carvalho

; Caramelli, Bruno

; Malheiros, Denise Maria Avancini Costa

; Tibério, Iolanda de Fátima Lopes Calvo

; Otoch, José Pinhata

; Silva, Luiz Fernando Ferraz da

; Castro, Luiz Henrique Martins

; Zerbini, Maria Cláudia Nogueira

; Dolhnikoff, Marisa

; Martins, Milton de Arruda

; Souza, Rogério de

; Francisco, Rossana Pulcineli Vieira

Clinics

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2021, Volume 76 elocation e2495

Resumo: En | Texto: En | PDF: En

BACKGROUND: Even students with previous academic success may face challenges that affect their academic performance. Many medical schools offer programs to students at the risk of academic failure, to ensure that they succeed in the course. OBJECTIVE AND METHODS: In this report we describe a pioneering academic tutoring program developed at a Brazilian medical school and discuss the initial results of the program based on the feedback from tutors and data regarding the progression of students in the medical course. RESULTS: In 2018, 33 students enrolled into the program. Students' performance difficulties were mainly associated with mental health problems and socioeconomic vulnerability. Of the 33 students, 27 (81.8%) were assisted by the Mental Health Support Service and 16 (48.5%) were assisted by the Social Assistance Service. In addition to the planning academic activity class load, tutors were able to assist students in solving socioeconomic issues, carrying out personal support interventions with the promotion of self-esteem, and presenting suggestions for behavioral changes in their routine. For most students (72%), the action plan proposed by the tutors was successful. Eight of the 14 (57%) students in the fourth year progressed to the final two years of in-hospital practical training (internship). CONCLUSIONS: The Academic Tutoring Program showed positive results for most of the students. Close monitoring and tutor intervention allowed students with poor academic performance to overcome the low performance cycle. These important tasks demand time and energy from tutors, and institutional recognition of these professionals is essential for the successful maintenance of the program.

https://doi.org/10.6061/clinics/2021/e2495 377 downloads

11.

A new insight into the definition of microcephaly in Zika congenital syndrome era
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Gonçalves, Fabiana Cristina Lima da Silva Pastich

; Lima, Marília de Carvalho

; Ximenes, Ricardo Arraes de Alencar

; Miranda-Filho, Demócrito de Barros

; Martelli, Celina Maria Turchi

; Rodrigues, Laura Cunha

; Souza, Wayner Vieira de

; Lira, Pedro Israel Cabral de

; Eickmann, Sophie Helena

; Araújo, Thalia Velho Barreto

Cadernos de Saúde Pública

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2021, Volume 37 Nº 11 elocation e00228520

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

Resumo: O estudo buscou comparar as medidas antropométricas e proporções corporais de recém-nascidos do período pré-Zika com os nascidos durante a epidemia de microcefalia congênita pelo vírus Zika. Comparamos 958 recém-nascidos do período pré-Zika com 264 nascidos durante o período epidêmico. Foram classificados o perímetro cefálico, peso e comprimento dos neonatos de acordo com a escala de crescimento de Fenton & Kim. Consideramos desproporcionais aqueles neonatos que apresentaram microcefalia e peso ou comprimento adequado para sexo e idade gestacional, além daqueles cujo perímetros cefálicos eram menores que a razão ((comprimento / 2) + 9,5) -2,5cm. Estimamos as frequências de positividade para Zika e resultados de imagens de cerebrais entre bebês com microcefalia nascidos no período epidêmico, em relação aos parâmetros antropométricos e de proporcionalidade corporal. Baixo peso e microcefalia proporcional foram semelhantes entre recém-nascidos de ambos os períodos. Entretanto, as frequências de neonatos com microcefalia e com comprimento muito curto e microcefalia desproporcional foram muito maiores entre os nascidos no período epidêmico com anomalias cerebrais e positivos para Zika. Concluímos que a desproporção entre perímetro cefálico e comprimento ao nascer pode ser um indicador da gravidade da microcefalia causada pela síndrome congênita do Zika vírus.

Abstract: This study aimed to compare the anthropometric measurements and body proportionalities of neonates born before the Zika virus epidemic with those born during this period. We compared 958 neonates born during the pre-Zika epidemic with 264 neonates born during the epidemic period. The newborns had their head circumference, weight, and length classified according to the Fenton & Kim growth chart. We considered disproportionate those individuals that presented microcephaly and adequate weight or length for sex and gestational age, and those whose head circumferences were lower than the ratio ((length / 2) + 9.5) - 2.5cm. We estimated the frequencies of Zika positivity and brain imaging findings among neonates with microcephaly born during the epidemic period, concerning the anthropometric and body proportionality parameters. Low weight and proportionate microcephaly were similar among newborns from both periods. However, the frequencies of newborns with microcephaly with a very low length and disproportionate microcephaly were higher among the neonates of the epidemic period with brain abnormalities and positive for Zika virus. We conclude that, at birth, the disproportion between head circumference and length can be an indicator of the severity of microcephaly caused by congenital Zika.

Resumen: El objetivo del estudio fue comparar las medidas antropométricas y de proporcionalidad corporal en neonatos nacidos durante un período pre-Zika, con quienes nacieron durante la epidemia de microcefalia por el síndrome congénito Zika. Comparamos a 958 neonatos nacidos durante la epidemia pre-Zika, con 264 neonatos nacidos durante el período epidémico. A los recién nacidos se les clasificó su circunferencia de la cabeza, peso y longitud según la tabla de crecimiento Fenton & Kim. Consideramos desproporcionados a quienes presentaron microcefalia y peso o longitud adecuada para sexo y edad gestacional, y quienes tenían unas circunferencias de cabeza cuyo ratio era menor que ((longitud / 2) + 9.5) - 2.5cm. Estimamos las frecuencias de positividad para Zika, así como los resultados de imágenes cerebrales entre neonatos nacidos con microcefalia durante el período epidémico, en relación con parámetros antropométricos y de proporcionalidad corporal. Bajo peso y microcefalia proporcional fueron similares entre los recién nacidos de ambos períodos. No obstante, las frecuencias de recién nacidos con microcefalia con una longitud muy baja y microcefalia desproporcionada fueron mayores entre los neonatos del período epidémico, con anormalidades cerebrales y positivos para Zika. Concluimos que la desproporción entre la circunferencia de cabeza y longitud al nacer puede ser un indicador de la gravedad de la microcefalia, causada por el Zika congénito.

https://doi.org/10.1590/0102-311x00228520

12.

A new insight into the definition of microcephaly in Zika congenital syndrome era
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Gonçalves, Fabiana Cristina Lima da Silva Pastich

; Lima, Marília de Carvalho

; Ximenes, Ricardo Arraes de Alencar

; Miranda-Filho, Demócrito de Barros

; Martelli, Celina Maria Turchi

; Rodrigues, Laura Cunha

; Souza, Wayner Vieira de

; Lira, Pedro Israel Cabral de

; Eickmann, Sophie Helena

; Araújo, Thalia Velho Barreto

Cadernos de Saúde Pública

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2021, Volume 37 Nº 11 elocation e00228520

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

https://doi.org/10.1590/0102-311x00228520

13.

Effect of carbonization on wood anatomy of three Fabaceae species from an Araucaria forest stand in Southern Brazil
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Stüpp, Ângela Maria

; Vieira, Helena Cristina

; Rios, Polliana D'Angelo

; Bolzon de Muñiz, Graciela Inés

; Nisgoski, Silvana

Bosque (Valdivia)

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2021, Volume 42 Nº 1 Páginas 33 - 42

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

SUMMARY: The aim of this study was to measure and compare some anatomical elements of wood and charcoal of Inga vera, Machaerium paraguariense and Muellera campestris to support identification of the materials seized by regulatory authorities. For each species, three trees were analyzed. After wood evaluation, all samples (moisture content of 12 ± 1 %) were wrapped in aluminum foil and carbonized in a muffle furnace for 8 hours with final temperature of 450 °C and a heating rate of 1.66 °C/min. The number of measurements was based on 30 readings regarding tangential diameter and vessel density, along with frequency, height and width of rays (in micrometers). After carbonization, changes in cell dimensions and different behavior were observed in the Fabaceae species evaluated. In all species, vessel diameter declined; vessel density decreased in Inga vera and increased in the other species; ray height decreased in Inga vera and Muellera campestris, and increased in Machaerium paraguariense; and ray width and frequency increased in all species. We concluded that due to the conservation of wood anatomical structures after carbonization, the inclusion of this species in a database would be effective to support efforts to control deforestation in the south of Brazil.

RESUMEN: El objetivo de este estudio fue medir y comparar algunos elementos anatómicos de madera y carbón vegetal de Inga vera, Machaerium paraguariense y Muellera campestris con el fin de apoyar la identificación de los materiales incautados por las autoridades reguladoras. Para cada especie, se analizaron tres árboles. Después de la evaluación de la madera, todas las muestras (contenido de humedad de 12 ± 1 %) se envolvieron en papel de aluminio y se carbonizaron en un horno de mufla durante 8 horas con una temperatura final de 450 °C y una velocidad de calentamiento de 1,66 °C/min. El número de mediciones se basó en 30 lecturas con respecto al diámetro tangencial y densidad de los vasos, junto con frecuencia, altura y ancho de los radios (en micrómetros). Después de la carbonización, se observaron cambios en las dimensiones celulares y diferentes comportamientos en las especies de Fabaceae evaluadas. En todas las especies, el diámetro del vaso disminuyó; la frecuencia de los vasos disminuyó en Inga vera y aumentó en otras especies; la altura de los radios disminuyó en Inga vera y Muellera campestris, y aumentó en Machaerium paraguariense; y el ancho y la frecuencia de los radios aumentaron en todas las especies. Concluimos que debido a la conservación de las estructuras anatómicas de la madera después de la carbonización, la inclusión de esta especie en una base de datos sería efectiva para apoyar los esfuerzos para controlar la deforestación en el sur de Brasil.

170 downloads

14.

Impact of educational strategies on pain control quality indicators at a tertiary hospital
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Silva, Leopoldo Muniz da

; Paula, Erica Cristina de

; Silveira, Saullo Queiroz

; Abib, Arthur de Campos Vieira

; Nunes, Wilson Porfírio de Medeiros

; Sasaki, Helena Harumi

BrJP

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Dez 2020, Volume 3 Nº 4 Páginas 342 - 347

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

RESUMO JUSTIFICATIVA E OBJETIVOS: O manejo da dor pela equipe multidisciplinar continua como um desafio na saúde. O objetivo deste estudo foi analisar o impacto de estratégias educacionais para efetivação da dor como 5º sinal vital e seu gerenciamento em um hospital de alta complexidade. MÉTODOS: Estudo não controlado de intervenção por meio de análise de três diferentes estratégias educativas sequenciais: Semana de treinamentos sobre Dor (SD), visitas educacionais pelo enfermeiro da dor para orientar os profissionais em relação à dor e treinamento eletrônico virtual de revisão. A análise do impacto das estratégias educativas foi realizada por meio de indicadores em relação à dor como 5º sinal vital e tratamento adequado da dor. RESULTADOS: Na avaliação da dor como 5° sinal vital, a auditoria prévia à SD mostrou mediana de conformidade de 46,4% na unidade de internação, de 53,1% na maternidade e de 16,7% no Pronto Socorro. Nas avaliações após a SD, a mediana de conformidade na unidade de internação foi de 78,4%, na maternidade de 79,62% e no pronto atendimento de 32,9% (p<0,05). Houve melhora no tratamento da dor em todos os setores após avaliações subsequentes aos treinamentos (p<0,05). CONCLUSÃO: A implantação de um programa de educação continuada se mostrou efetivo em promover melhora na assistência no cuidado ao paciente com dor e dos resultados dos indicadores assistenciais em relação ao protocolo de dor institucional.

ABSTRACT BACKGROUND AND OBJECTIVES: Pain management by the multidisciplinary team remains a challenge in the health field. The aim of this study was to analyze the impact of educational strategies for the implementation of pain as the fifth vital sign and its management in a highly complex hospital. METHODS: An interventional non-controlled study analyzed three different sequential educational processes: Pain training week (PW), educational visits by the pain nurse to guide professionals in relation to pain management and e-learning. The impact of the educational strategy was assessed through pain as the 5th vital sign and adequate pain management. RESULTS: For pain as the 5th vital sign, the audit previous to PW showed a median of compliance of 46.4% at the inpatient unit, 53.1% at the maternity ward and 16.7% at the emergency room. In the evaluations after PW, the median of compliance at the inpatient unit was 78.4%, at the maternity ward 79.62% and at the emergency room 32.9% (p<0.05). There was an improvement in pain management in all hospital sectors after subsequent training (p<0.05). CONCLUSION: The implementation of a continuing education program has improved pain care assistance and increased compliance to the institutional pain protocol.

https://doi.org/10.5935/2595-0118.20200197 491 downloads

15.

Association between stress/anxiety, depression, pain and quality of life in people with chronic kidney disease
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Sousa, Luís

; Valentim, Olga

; Marques-Vieira, Cristina

; Antunes, Ana Vanessa

; Severino, Sandy

; José, Helena

Revista Portuguesa de Enfermagem de Saúde Mental

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Jun 2020, Nº 23 Páginas 47 - 53

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

CONTEXTO: Las personas con enfermedad renal crónica en hemodiálisis presentan una elevada carga de síntomas que contribuyen para aumentar el sufrimiento y disminuir su calidad de vida. Presentan varios problemas cardiovasculares, musculoesqueléticos y psicosociales que afectan a su capacidad física y funcional, pudiendo aumentar la ansiedad, el estrés y la depresión. OBJECTIVO(S): Determinar la prevalencia de estrés / ansiedad y depresión en personas con enfermedad renal crónica y verificar la asociación entre el estrés / ansiedad y la depresión con el dolor y la calidad de vida. MÉTODOS: Estudio transversal, descriptivo y correlacional, Muestra aleatoria compuesta por 183 pacientes en hemodiálisis; aplicación de la escala de ansiedad depresión y estrés (DASS-21), inventario breve de dolor (BPI) y Medical Outcomes Study Short-Form 12-Item Health Survey (SF-12). RESULTADOS: La muestra consistió principalmente en hombres (59,6%), casados (53,8%), de nacionalidad portuguesa (78,7%); con edad media de59,17 años (DP ±14,64), haciendo tratamiento hemodialítico hace 70,9 meses (DP ±54,2). El 76% estaba reformado y el 24% tenía un empleo regular. La prevalencia del estrés y la ansiedad fue del 24% y de la depresión fue del 37,2%. CONCLUSIONES: El estrés / ansiedad y depresión son prevalentes en personas con enfermedad renal crónica. El estrés / ansiedad y depresión están asociados a altos niveles de dolor, que afectan las actividades de la vida diaria, y a bajos niveles de calidad de vida en los componentes físico y mental.

CONTEXTO: As pessoas com doença renal crónica, em programa de hemodiálise, apresentam sintomas que contribuem para aumentar o sofrimento e diminuir a sua qualidade de vida. Apresentam vários problemas cardiovasculares, músculo-esqueléticos e psicossociais que afetam a sua capacidade física e funcional, podendo aumentar a ansiedade, stresse e depressão. OBJETIVO(S): Determinar a prevalência de stresse / ansiedade e depressão em pessoas com doença renal crónica e verificar a associação entre o stresse / ansiedade e depressão com a dor e a qualidade de vida. MÉTODOS: Estudo transversal, descritivo e correlacional, Amostra aleatória composta por 183 utentes em programa de hemodiálise; aplicação da escala de ansiedade, depressão e stresse (DASS-21), inventário breve de dor e Medical Outcomes Study Short-Form 12-Item Health Survey (SF-12). RESULTADOS: A amostra foi maioritariamente constituída por homens (59,6%), casados (53,8%), de nacionalidade portuguesa (78,7%), com média de idade de 59,17 anos (DP ±14,64), sob tratamento hemodialítico há 70,9 meses (DP ±54,2). 76% estavam reformados e 24% tinham um emprego regular. A prevalência do stresse e ansiedade foi de 24% e da depressão foi de 37,2%. CONCLUSÕES: O stresse/ansiedade e depressão são prevalentes em pessoas com doença renal crónica. O stresse/ansiedade e depressão estão associados a altos níveis de dor, com impacto nas atividades da vida diária, e a baixos níveis de qualidade de vida nos componentes físico e mental.

BACKGROUND: Chronic kidney disease patients undergoing hemodialysis have a high symptom burden that contributes to increased suffering and diminishes their quality of life. Cardiovascular, musculoskeletal and psychosocial disorders affect their physical and functional capacity anxiety, stress and depression. AIM: To determine the prevalence of stress/anxiety and depression in people with chronic kidney disease and to verify the association between stress/anxiety and depression with pain and quality of life. METHODS: A cross-sectional, descriptive and correlational study; A random sample of 183 patients who underwent hemodialysis; application of the depression and stress anxiety scale (DASS-21), brief pain inventory (BPI), and Medical Outcomes Study Short-Form 12-Item Health Survey (SF-12). RESULTS: The sample consisted mostly of men (59.6%), married (53.8%), Portuguese nationality (78.7%), mean age 59.17 years (SD ± 14.64), hemodialysis treatment 70.9 months (SD ± 54.2). 76% were retired and 24% had a regular job. The prevalence of stress and anxiety was 24% and depression was 37.2%. CONCLUSIONS: Stress / anxiety and depression are prevalent in people with chronic kidney disease. Stress / anxiety and depression are associated with high levels of pain, which impacts on activities of daily living, presenting low levels of quality of life in the physical and mental components.

https://doi.org/10.19131/rpesm.0272 1321 downloads

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