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Factors associated with older adults’ knowledge, attitude and practice on skin cancer prevention
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Serafim, Antonia Imaculada Santos

; Maniva, Samia Jardelle Costa de Freitas

; Campos, Regina Kelly Guimarães Gomes

; Silva, Paulo Goberlânio de Barros

; Pinheiro, Patrícia Neyva da Costa

; Lopes, Consuelo Helena Aires de Freitas

; Morais, Huana Carolina Cândido

; Freitas, Aline de Oliveira de

Revista Brasileira de Enfermagem

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2023, Volume 76 N. 3 elocation e20220606

Abstract: En Es Pt | Text: En Es Pt | PDF: En | PDF: Es | PDF: Pt

ABSTRACT Objectives: to identify factors associated with older adults’ knowledge, attitude and practice regarding skin cancer prevention. Methods: this is a cross-sectional study, carried out with 120 older adults from a Basic Health Unit in Quixadá, Ceará, from September to November 2018. Results: individuals aged 60 to 69 years and working were statistically associated with adequate knowledge (p=0.038). Having light skin, eyes and hair was associated with adequate attitude (p=0.030). Having skin problems, such as bleeding wounds, was associated with adequate practice (p=0.016). With regard to inappropriate behavior for skin cancer prevention, there was a statistically significant association between working or having worked under direct exposure to the sun, inadequate knowledge (p=0.036), inadequate attitude (p=0.010) and having incomplete primary education and inadequate practice (p<0.001). Conclusions: sociodemographic and clinical factors influence older adults’ knowledge, attitude and practice regarding skin cancer prevention.

RESUMEN Objetivos: identificar factores asociados al conocimiento, actitud y práctica de los ancianos en relación a la prevención del cáncer de piel. Métodos: estudio transversal, realizado con 120 ancianos de una Unidad Básica de Salud de Quixadá, Ceará, de septiembre a noviembre de 2018. Resultados: los individuos de 60 a 69 años y que trabajaban se asociaron estadísticamente con conocimientos adecuados (p=0,038). Tener piel, ojos y cabello claros se asoció con una actitud adecuada (p=0,030). Tener problemas en la piel, como heridas sangrantes, se asoció con una práctica adecuada (p=0,016). Sobre conductas inapropiadas para la prevención del cáncer de piel, hubo asociación estadísticamente significativa entre trabajar o haber trabajado bajo exposición directa al sol, conocimientos inadecuados (p=0,036), actitud inadecuada (p=0,010), tener instrucción primaria incompleta y práctica inadecuada (p<0,001). Conclusiones: los factores sociodemográficos y clínicos influyen en el conocimiento, la actitud y la práctica de los ancianos respecto a la prevención del cáncer de piel.

RESUMO Objetivos: identificar fatores associados a conhecimento, atitude e prática de idosos sobre a prevenção do câncer de pele. Métodos: estudo transversal, realizado com 120 idosos de uma Unidade Básica de Saúde em Quixadá, Ceará, de setembro a novembro de 2018. Resultados: indivíduos na faixa etária de 60 a 69 anos e trabalhando estiveram associados estatisticamente ao conhecimento adequado (p=0,038). O fato de ter pele, olhos e cabelos claros estava associado à atitude adequada (p=0,030). Ter problemas de pele, do tipo ferida sangrante, estava associado à prática adequada (p=0,016). Acerca das condutas inadequadas para a prevenção do câncer de pele, observou-se associação estatisticamente significante entre trabalhar ou já ter trabalhado sob exposição direta ao sol, conhecimento inadequado (p=0,036), atitude inadequada (p=0,010), ter o ensino fundamental incompleto e prática inadequada (p<0,001). Conclusões: fatores sociodemográficos e clínicos influenciam no conhecimento, atitude e prática de idosos sobre a prevenção do câncer de pele.

https://doi.org/10.1590/0034-7167-2022-0606

Uso de agrotóxicos e saúde de trabalhadores rurais em municípios de Pernambuco
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Pessoa, Glaucia da Silva

; Albuquerque, Pedro Costa Cavalcanti de

; Cotrim, Geiziane Silva

; Gurgel, Aline do Monte

; Lira, Paulo Victor Rodrigues de Azevedo

; Gurgel, Idê Gomes Dantas

; Campos, Adriana Guerra

Saúde em Debate

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2022, Volume 46 N. spe2 Pages 102 - 121

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Desde 2013, Pernambuco desenvolve o Plano de Vigilância em Saúde de Populações Expostas aos Agrotóxicos, cujas estratégias incluem o cadastro de trabalhadores rurais aplicadores de agrotóxicos, realizado pelas Equipes de Saúde da Família. Com o objetivo de descrever as características do uso de agrotóxicos, o perfil dos trabalhadores atuantes com essa prática e as condições de saúde que os constitui foram analisados, no período de janeiro de 2015 a agosto de 2019. Realizou-se estudo transversal, descritivo, em que as variáveis selecionadas foram organizadas em quatro grupos: 1) Características sociodemográficas; 2) Condições de saúde; 3) Características do uso do agrotóxico; e 4) Princípios ativos mais utilizados e suas categorias de análise. Os resultados evidenciam que, entre os aplicadores de agrotóxicos, encontram-se pessoas menores de idade, idosas, analfabetas, sem treinamento e sem Equipamento de Proteção Individual; a utilização de agrotóxicos proibidos e classificados como extremamente tóxicos; e a comercialização de agrotóxicos sem o controle adequado. Além de apontar caminhos mediante a análise do cenário apresentado, esta pesquisa indica a urgência de articulação intersetorial para a efetividade da promoção e proteção da saúde dessa população.

ABSTRACT Since 2013, Pernambuco has been developing the Health Surveillance Plan for Populations Exposed to Pesticides, whose strategies include the registration of rural workers who apply pesticides, carried out by the Family Health Care Teams. In order to describe the characteristics of the use of pesticides, the profile of workers subjected to this practice and their health conditions were analysed from January 2015 to August 2019. A cross-sectional descriptive study was carried out, in which the selected variables were organized into four groups: 1) Sociodemographic characteristics; 2) Health conditions; 3) Characteristics of pesticide use; and 4) Most used active ingredients and their categories of analysis. The results show that, among the pesticide applicators, there are underage, elderly, illiterate people, without training and Personal Protective Equipment; the use of prohibited pesticides classified as extremely toxic; and the commercialization of pesticides without adequate control. In addition to pointing out paths through the analysis of this scenario, this research indicates the urgency of intersectoral articulation for the effectiveness of the health promotion and protection to this population.

https://doi.org/10.1590/0103-11042022e207

Uso de agrotóxicos e saúde de trabalhadores rurais em municípios de Pernambuco
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Pessoa, Glaucia da Silva

; Albuquerque, Pedro Costa Cavalcanti de

; Cotrim, Geiziane Silva

; Gurgel, Aline do Monte

; Lira, Paulo Victor Rodrigues de Azevedo

; Gurgel, Idê Gomes Dantas

; Campos, Adriana Guerra

Saúde em Debate

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2022, Volume 46 N. spe2 Pages 102 - 121

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/0103-11042022e207

Safety elements and understanding of guidelines at discharge from Neonatal Intensive Care Units
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Pucca, Bruna Gomes

; Ribeiro, Mara Regina Rosa

; Acosta, Aline Marques

; Costa, Diovane Ghignatti da

; Milioni, Kelly Cristina

; Oliveira, João Lucas Campos de

Revista Gaúcha de Enfermagem

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2022, Volume 43 elocation e20210262

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo: Comparar elementos de segurança e a compreensão de orientações na alta da Unidade Terapia Intensiva Neonatal entre hospitais público e privado. Método: Estudo transversal, desenvolvido em duas Unidades Terapia Intensiva Neonatal do Centro-Oeste do Brasil. Foram empregados o Checklist para segurança do paciente no preparo para alta da Unidade Terapia Intensiva Neonatal e a Escala de Avaliação da Compreensão do Paciente sobre Orientações de Alta a uma amostra (n=105) de cuidadores dos neonatos. Realizou-se análise estatística descritiva e inferencial. Resultados: O item do Checklist “cuidados com a pele e higienização corporal” obteve maior conformidade no setor privado (96,9%) que no público (73,2%) (p-valor<0,000) e a compreensão de orientações de alta teve média geral de 62,9±8,3 pontos, sem diferença significativa entre os locais. Conclusão: O atendimento a elementos de segurança e a compreensão de orientações na alta foram equânimes entre os hospitais.

ABSTRACT Objective: To compare safety elements and the understanding of guidelines at discharge from the Neonatal Intensive Care Unit between public and private hospitals. Method: Cross-sectional study, developed in two Neonatal Intensive Care Units in the Midwest of Brazil. The Checklist for patient safety in preparing for discharge from the Neonatal Intensive Care Unit and the Assessment Scale of Patient Understanding about Discharge Guidelines were used for a sample (n=105) of caregivers of newborns. Descriptive and inferential statistical analysis was performed. Results: The Checklist item “skin care and body hygiene” had greater conformity in the private sector (96.9%) than in the public sector (73.2%) (p-value<0.000) and the understanding of discharge guidelines had an overall mean of 62.9±8.3 points, with no significant difference between the locations. Conclusion: Compliance with safety elements and understanding of guidelines at discharge were equal among hospitals.

RESUMEN Objetivo: Comparar elementos de seguridad y comprensión de las guías para el alta de la Unidad de Cuidados Intensivos Neonatales entre hospitales públicos y privados. Método: Estudio transversal, desarrollado en dos Unidades de Cuidados Intensivos Neonatales del Medio Oeste de Brasil. La Lista de verificación para la seguridad del paciente en la preparación para el alta de la Unidad de Cuidados Intensivos Neonatales y la Escala de Evaluación de Comprensión del Paciente sobre Pautas de Alta se utilizaron para una muestra (n=105) de cuidadores de recién nacidos. Se realizó análisis estadístico descriptivo e inferencial. Resultados: El ítem de la lista de verificación “cuidado de la piel e higiene corporal” tuvo un mayor cumplimiento en el sector privado (96,9%) que en el sector público (73,2%) (valor de p <0,000) y la comprensión de las pautas de alta tuvo una media general de 62,9 ± 8,3 puntos, sin diferencia significativa entre las ubicaciones. Conclusión: La atención a los elementos de seguridad y la comprensión de las guías al alta fueron iguales entre los hospitales.

https://doi.org/10.1590/1983-1447.2022.20210262.en

Fast surveillance response reveals the introduction of a new yellow fever virus sub-lineage in 2021, in Minas Gerais, Brazil
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Andrade, Miguel Souza

; Campos, Fabrício Souza

; Oliveira, Cirilo Henrique de

; Oliveira, Ramon Silva

; Campos, Aline Alves Scarpellini

; Almeida, Marco Antônio Barreto de

; Fonseca, Vagner de Souza

; Simonini-Teixeira, Danilo

; Sevá, Anaiá da Paixão

; Temponi, Andrea Oliveira Dias

; Magalhães, Fernando Maria

; Chaves, Danielle Costa Capistrano

; Pereira, Maira Alves

; Lamounier, Ludmila Oliveira

; Menezes, Givaldo Gomes de

; Aquino-Teixeira, Sandy Micaele

; Gonçalves-dos-Santos, Maria Eduarda

; Bernal-Valle, Sofía

; Müller, Nicolas Felipe Drumm

; Cardoso, Jader da Cruz

; Santos, Edmilson dos

; Mares-Guia, Maria Angélica

; Albuquerque, George Rêgo

; Romano, Alessandro Pecego Martins

; Franco, Ana Cláudia

; Ribeiro, Bergmann Morais

; Roehe, Paulo Michel

; Abreu, Filipe Vieira Santos de

Memórias do Instituto Oswaldo Cruz

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2022, Volume 117 elocation e220127

Abstract: En | Text: En | PDF: En

BACKGROUND In Brazil, the yellow fever virus (YFV) is maintained in a sylvatic cycle involving wild mosquitoes and non-human primates (NHPs). The virus is endemic to the Amazon region; however, waves of epidemic expansion reaching other Brazilian states sporadically occur, eventually causing spillovers to humans. OBJECTIVES To report a surveillance effort that led to the first confirmation of YFV in NHPs in the state of Minas Gerais (MG), Southeast region, in 2021. METHODS A surveillance network was created, encompassing the technology of smartphone applications and coordinated actions of several research institutions and health services to monitor and investigate NHP epizootics. FINDINGS When alerts were spread through the network, samples from NHPs were collected and YFV infection confirmed by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) and genome sequencing at an interval of only 10 days. Near-complete genomes were generated using the Nanopore MinION sequencer. Phylogenetic analysis indicated that viral genomes were related to the South American genotype I, clustering with a genome detected in the Amazon region (state of Pará) in 2017, named YFVPA/MG sub-lineage. Fast YFV confirmation potentialised vaccination campaigns. MAIN CONCLUSIONS A new YFV introduction was detected in MG 6 years after the beginning of the major outbreak reported in the state (2015-2018). The YFV strain was not related to the sub-lineages previously reported in MG. No human cases have been reported, suggesting the importance of coordinated surveillance of NHPs using available technologies and supporting laboratories to ensure a quick response and implementation of contingency measures to avoid YFV spillover to humans.

https://doi.org/10.1590/0074-02760220127

Platynosomum illiciens (Trematoda: Dicrocoeliidae) in a hybrid marmoset (Callithrix sp.) in the Municipality of Seropédica, RJ, Brazil – Case report
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Assis, Rayane Christine Pereira de

; Campos, Diefrey Ribeiro

; Borges, Debora Azevedo

; Avelar, Barbara Rauta de

; Pereira, Julia Aline Santos de Mello

; Matias, Carlos Alexandre Rey

; Lopes, Carlos Wilson Gomes

; McIntosh, Douglas

; Scott, Fabio Barbour

Revista Brasileira de Parasitologia Veterinária

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2021, Volume 30 N. 2 elocation e026020

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Platynosomum illiciens é um trematódeo do fígado, encontrado principalmente em felinos, embora também tenha sido relatado em aves e outras espécies de mamíferos, incluindo primatas não humanos. Este estudo relata um caso de parasitismo natural por P. illiciens em um primata do gênero Callithrix. O diagnóstico foi feito com uma combinação de técnicas coproparasitológicas, avaliação morfológica de espécimes adultos recuperados do fígado durante a necropsia e análise molecular. Os ovos eram de cor marrom, ovais, operculados e continham um miracídio. Espécimes adultos recuperados durante a necropsia foram medidos e mostraram dimensões compatíveis com P. illiciens. A caracterização molecular do trematódeo envolveu a reação em cadeia da polimerase (PCR) e o sequenciamento de um fragmento de, aproximadamente, 900 pares de bases correspondentes ao DNA robosomal 18S-ITS1-5.8S, que apresentou 100% de identidade da sequência de nucleotídeos com as sequências do GenBank depositadas como derivadas de P. illiciens recuperados de gatos na Malásia e no Brasil, respectivamente. Concluiu-se pelas análises morfológicas e moleculares aqui apresentadas, que o trematódeo é da espécie P. illiciens.

Abstract Platynosomum illiciens is a liver trematode encountered infecting mainly felids although it has also been reported in birds and in additional mammalian species, including non-human primates. The current study reports a natural P. illiciens infection primate of the genus Callithrix. The diagnosis was made using a combination of copro-parasitological techniques, morphological evaluation of adult specimens recovered from the liver during necropsy, and molecular analyses. Eggs were brown in color, oval, operculated, and contained a miracidium. Adult specimens recovered during necropsy were measured and showed dimensions compatible with P. illiciens. Molecular characterization of the trematode involved amplification by polymerase chain reaction (PCR), in combination with nucleotide sequencing, of an approximately 900 base pairs fragment corresponding to 18S-ITS1-5.8S ribosomal DNA. Sequenced amplicons showed 100% nucleotide identity with sequences deposited in the GenBank database as derived from specimens of P. illiciens recovered from cats in Malaysia and Brazil. It was concluded that the morphological and molecular analyses presented herein, confirmed the identification of the trematode recovered as P. illiciens.

https://doi.org/10.1590/s1984-29612021012 221 downloads

Intracranial aneurysm and arachnoid cyst: just a coincidence? A case report
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Aguiar, Guilherme Brasileiro de

; Santos, Rafael Gomes dos

; Paiva, Aline Lariessy Campos

; Silva, João Miguel de Almeida

; Silva, Rafael Carlos da

; Veiga, José Carlos Esteves

Sao Paulo Medical Journal

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feb 2019, Volume 137 N. 1 Pages 92 - 95

Abstract: En | Text: En | PDF: En

ABSTRACT CONTEXT: Presence of an arachnoid cyst and a non-ruptured intracystic brain aneurysm is extremely rare. The aim of this paper was to describe a case of a patient with an arachnoid cyst and a non-ruptured aneurysm inside it. Clinical, surgical and radiological data were analyzed and the literature was reviewed. CASE REPORT: A patient complained of chronic headache. She was diagnosed as having a temporal arachnoid cyst and a non-ruptured middle cerebral artery aneurysm inside it. Surgery was performed to clip the aneurysm and fenestrate the cyst. CONCLUSIONS: This report raises awareness about the importance of intracranial vascular investigation in patients with arachnoid cysts and brain hemorrhage.

https://doi.org/10.1590/1516-3180.2017.0083290517 1318 downloads

Presence of Bartonella spp. in domestic cats from a state park in Rio de Janeiro, Brazil
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Silva, Beatriz Teixeira Gomes da

; Souza, Aline Moreira de

; Campos, Sabrina Destri Emmerick

; Lemos, Elba Regina Sampaio de

; Favacho, Alexsandra Rodrigues de Mendonça

; Almosny, Nádia Regina Pereira

Revista do Instituto de Medicina Tropical de São Paulo

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2018, Volume 60 elocation e14

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1678-9946201860014 1364 downloads

Analysis of growth curves in different lineages of Caipira broiler type
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Araújo, Caroliny Costa

; Rodrigues, Kênia Ferreira

; Vaz, Roberta Gomes Marçal Vieira

; Conti, Ana Carolina Müller

; Amorim, Aline Ferreira

; Campos, Carla Fonseca Alves

Acta Scientiarum. Animal Sciences

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2018, Volume 40 elocation e38806

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO. Objetivou-se com este trabalho identificar, por meio de diferentes critérios estatísticos, o modelo de regressão não linear mais adequado para descrever a curva de crescimento de três linhagens de frangos caipira para produção de carne. Utilizaram-se 90 aves caipiras, sendo 30 aves de cada uma das seguintes linhagens: Pescoço Pelado, Carijó e Pesadão Vermelho. Foi coletado semanalmente o peso corporal individual dos frangos (1, 7, 14, 21,28, 35, 42, 49, 56, 63, 70, 77, 84 e 91 dias de idade) para determinação das curvas de crescimento por meio dos modelos Von Bertalanffy, Gompertz, Logístico, Richards e Brody. Os parâmetros do modelo Brody não convergiram, sendo então não adequado para descrever o peso dessas linhagens. O modelo que melhor se ajustou aos dados foi o Logístico.

ABSTRACT. The objective of this work was to identify, by means of different statistical criteria the ideal nonlinear regression model to describe the growth curve of three lineages of caipira broiler for meat production. A total of 90 birds were used, being 30 birds from each of the following lineages: Pescoço Pelado, Carijó and Pesadão Vermelho. The individual body weight of broilers (1, 7, 14, 21,28, 35, 42, 49, 56, 63, 70, 77, 84 and 91 days of age) was collected weekly for determination of growth curves by means of Models von Bertalanffy, Gompertz, Logistic, Richards and Brody. The parameters of Brody model did not converge to the weight of strains. The model that better adjusted to the data was Logistic.

https://doi.org/10.4025/actascianimsci.v40i1.38806 771 downloads

10.

Hemipelvectomy with laparoscopic abdominoperineal excision for epithelioid sarcoma treatment
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Santana, Daniel Paulino

; Meyer, Matheus Matta Machado Mafra Duque Estrada

; Santos, Edmilson Celso

; Andrade, Camila Gomes de Souza

; Vilela Neto, Paulo

; Matoso, Aline Alves

; Santos, Bruna Sílvia Torres

; Silva, Bruno José Guedes

; Ferreira, Danielle Bossi Grassi

; Horta, Larissa Vasconcelos

; Reis, Marcos Campos Wanderley

Journal of Coloproctology (Rio de Janeiro)

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sep 2017, Volume 37 N. 3 Pages 247 - 250

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo O sarcoma epitelióide (SE) é um subtipo incomum de sarcoma, não chegando a 1% dos sarcomas de partes moles. Foi inicialmente descrito em 1970, sendo que em 1997 uma variante mais agressiva foi classificada como “tipo proximal”. São tumores agressivos, com altas taxas de metástases e recidiva local, com resposta pobre à quimioterapia e radioterapia isoladas. A ressecção cirúrgica com margens livres é o tratamento padrão.Apresentamos o caso de um paciente de 25 anos com SE tipo proximal avançado em região perineal, submetido a ressecção em outro serviço, evoluindo com recidiva local com invasão do canal anal e musculatura da coxa esquerda. Foi realizado tratamento radioquimioterápico neoadjuvante seguido de ressecção cirúrgica com amputação abdominoperineal do reto por videolaparoscopia associada a hemipelvectomia parcial esquerda incluindo o membro inferior esquerdo (MIE). O paciente apresentou boa evolução pós operatória e encontra-se em segmento ambulatorial. O anatomopatológico evidenciou margens cirúrgicas livres.O SE proximal é um tipo raro de sarcoma de partes moles, cujo tratamento curativo é desafiador, em virtude dos altos índices de recidiva local e metástases à distância.

Abstract The epithelioid sarcoma (ES) is an unusual variant of the sarcoma, not reaching 1% of all soft tissue sarcomas. Initially reported in 1970, it has a more aggressive variant, which was classified as the “proximal-type” in 1997. These are aggressive tumors with high rates of distant metastasis and local relapses. Isolated radio and chemotherapy responses are poor and free-margin surgical resection is the treatment of choice.This is the case report of a 25-year-old male patient diagnosed with “proximal-type” ES in the perineal region. He underwent surgical resection in another institution and was later admitted to our institution with local recurrence with rectal and left thigh muscle invasion. Neoadjuvant radio-chemotherapy was performed, followed by laparoscopic abdominoperineal rectal resection and partial left hemipelvectomy associated with left lower-limb amputation. The patient had no postoperative complications and is currently undergoing outpatient follow-up. The anatomopathological analysis showed tumor-free margins.The “proximal-type” ES is a rare soft-tissue sarcoma subtype. High local recurrence, as well as the metastasis rates, makes its treatment a challenging task.

https://doi.org/10.1016/j.jcol.2017.03.005 806 downloads

11.

Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals
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Cortada, Aline Pinheiro dos Santos

; Silva, Telma Gomes da

; Silva, André Campos da

; Golmia, Ricardo Prado

; Guerra, Renata Leborato

; Takemoto, Maíra Libertad Soligo

; Monteiro, Roberta Dyonisio Canaveira

; Scheinberg, Morton Aaron

einstein (São Paulo)

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sep 2015, Volume 13 N. 3 Pages 410 - 416

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Objetivo Comparar a terapia para profilaxia de tromboembolismo venoso e os custos de pacientes submetidos à artroplastia total de joelho e de quadril dentro do sistema de saúde brasileiro.Métodos Estudo retrospectivo com pacientes submetidos à artroplastia no ano de 2010, em um hospital público e dois hospitais privados no Estado de São Paulo, por meio da revisão de prontuários. Os custos foram estimados com base na utilização de recursos em saúde durante a hospitalização. Análise descritiva de frequência e média (desvio padrão), de acordo com o tipo de atendimento em saúde (público ou privado).Resultados Um total de 215 pacientes foram avaliados, sendo 56,3% submetidos à cirurgia de joelho e 43,7% à cirurgia de quadril. Cerca de 88% e 98% dos pacientes provenientes do serviço público e privado de saúde, respectivamente, receberam algum tipo de profilaxia para tromboembolismo, sendo a enoxaparina o medicamento mais utilizado em ambos sistemas. O custo total da profilaxia foi de R$ 1.873,01 (R$ 26,38 por paciente) no serviço público e R$ 21.559,73 (R$ 163,33 por paciente) no serviço privado. Para os indivíduos com tromboembolismo, o custo médio da internação foi de R$ 6.210,80 e R$ 43.792,59 por paciente atendido nos serviços de saúde público e privado, respectivamente.Conclusão A profilaxia em pacientes submetidos à artroplastia é mais utilizada em pacientes do serviço de saúde privado do que público, apesar dos altos custos em ambos os serviços. Os pacientes com tromboembolismo tiveram um custo maior do que aqueles apenas com profilaxia, mostrando que a prevenção está associada a um maior custo-benefício.

Objective To compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system.Methods A retrospective study of patients undergoing arthroplasty in 2010 in a public hospital and two private hospitals in the state of São Paulo, conducted by means of medical record review. Costs were estimated based on the use of health care resources during hospitalization. A descriptive analysis was performed using frequency and mean (standard deviation) according to the type of care delivered (by public or private organization).Results A total of 215 patients were evaluated, and 56.3% were submitted to knee surgery and 43.7%, to hip replacement. Approximately 88% and 98% of patients from public and private health services, respectively, received some form of venous thromboembolism prophylaxis, and enoxaparin was the drug most widely used in both systems. The total cost of prophylaxis was R$ 1,873.01 (R$ 26.38 per patient) in the public service and R$ 21,559.73 (R$ 163.33 per patient) in the private service. For the individuals who presented with thromboembolism, the average cost of hospitalization was R$ 6,210.80 and R$ 43,792.59 per patient in public and private health services, respectively.Conclusion Thromboembolism prophylaxis in patients undergoing arthroplasty is most commonly used in the private health services than public organizations, despite its high costs in both services. The cost per patient with thrombosis during hospitalization was higher than the total cost of prophylaxis, suggesting that prevention is associated to better cost-benefit ratio.

https://doi.org/10.1590/S1679-45082015GS3057 1971 downloads

12.

Estudo ultrassonográfico morfométrico do fígado e trato biliar de suínos submetidos a obstrução biliar experimental
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Campos, Aline Gomes de

; Daneze, Edmilson Rodrigo

; Terra Júnior, Júverson Alves

; Barbosa, Aldo Benjamim Rodrigues

; Sliuzas, Gianne Regina dos Santos

; Silva, Alex Augusto da

; Terra, Sílvia Azevedo

Radiologia Brasileira

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apr 2013, Volume 46 N. 2 Pages 89 - 95

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

OBJETIVO: Comparar as alterações anatômicas decorrentes de um quadro de icterícia obstrutiva experimental induzida em suínos nos períodos pré e pós-operatório por meio de exame ultrassonográfico. MATERIAIS E MÉTODOS: Seis suínos da raça Landrace, com 36 dias de idade, foram submetidos a obstrução biliar completa mediante ligadura do ducto colédoco por cirurgia videolaparoscópica. RESULTADOS: Não ocorreram dificuldades na execução dos procedimentos obstrutivos e a recuperação cirúrgica foi eficiente. Decorridos sete dias, os animais apresentaram icterícia, bilirrubinúria e acolia fecal. O exame ultrassonográfico comparativo permitiu visualizar hepatomegalia, colecistomegalia e aumento no calibre do ducto colédoco em todos os animais, assim como alterações decorrentes da colestase. A avaliação morfométrica revelou aumento significativo nos diâmetros da vesícula biliar e do lobo hepático lateral esquerdo. CONCLUSÃO: Os suínos representam um modelo experimental adequado de icterícia obstrutiva, e o exame ultrassonográfico demonstrou-se sensível e relevante no diagnóstico das alterações decorrentes de obstrução biliar extra-hepática nesses animais.

OBJECTIVE: To compare, by means of ultrasonography, pre- and postoperative anatomical changes arising from experimentally induced obstructive jaundice in porcine models. MATERIALS AND METHODS: Six 36-day-old Landrace pigs underwent laparoscopically induced complete biliary obstruction by common bile duct ligation. RESULTS: No difficulty was faced during the procedures and the surgical recovery was uneventful. After seven days, the animals showed jaundice, bilirubinuria and acholic stools. Comparative ultrasonography allowed visualization of hepatomegaly, cholecystomegaly and increased caliber of the common bile duct in all the animals, as well as changes resulting from cholestasis. The morphometric analysis revealed a significant increase in diameter of the gallbladders and left lateral liver lobes. CONCLUSION: Pigs represent appropriate experimental models for investigation of obstructive jaundice, and ultrasonography has shown to be sensitive, playing a relevant role in the diagnosis of extrahepatic biliary obstruction in such animals.

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13.

Avaliação nutricional, durante a amamentação, de tourinhos em pastejo recebendo suplementação proteica da amamentação à terminação
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Fernandes, Henrique Jorge

; Paulino, Mário Fonseca

; Detmann, Edenio

; Valadares Filho, Sebastião de Campos

; Silva, Aline Gomes da

; Porto, Marlos Oliveira

; Rocha, Anilza Andréia da

; Biancardi, Gabriel Figueiredo

Revista Brasileira de Zootecnia

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feb 2012, Volume 41 N. 2 Pages 374 - 383

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

O objetivo neste estudo foi avaliar as condições nutricionais de tourinhos em aleitamento, a pasto, recebendo suplementação com concentrados proteicos durante a época de transição águas-seca. Foram utilizados 52 bezerros mestiços com idade média inicial de 130 dias. Os animais foram distribuídos em quatro lotes, alojados em piquetes de Brachiaria decumbens Stapf junto com suas mães, onde receberam uma das quatro estratégias de suplementação: três suplementos concentrados, ou sal mineral (controle). Os suplementos concentrados diferiram quanto ao nível de proteína. Após 45 dias, realizou-se a avaliação nutricional dos animais, que incluiu a estimação do consumo e da digestão de nutrientes e das características do metabolismo proteico. A estimação do consumo e da digestibilidade foi feita utilizando-se os indicadores: LIPE®, dióxido de titânio e fibra em detergente neutro indigestível. Realizou-se ainda coleta de amostras de urina e de sangue. O efeito de suplementação e os efeitos linear e quadrático do nível de proteína no concentrado foram avaliados pela decomposição da soma de quadrados em contrastes ortogonais, adotando-se α = 0,10. O consumo de concentrado substituiu parte do pasto ingerido pelos bezerros e aumentou a ingestão de proteína, a digestibilidade da matéria seca e matéria orgânica, o teor de nutrientes digestíveis totais e a excreção de nitrogênio na urina. O nível de proteína no suplemento tem efeito linear positivo sobre a ingestão diária de proteína, a digestibilidade de todos os nutrientes e o teor de nutrientes digestíveis totais e efeito quadrático sobre a excreção de nitrogênio na forma de ureia na urina.

The objective of this study was to evaluate the nutritional status of grazing nursing young bulls supplemented with concentrates with different protein levels during the rainy-dry season transition. Fifty two crossbred Nellore calves with initial mean age of 130 days were divided into four lots, housed in paddocks of Brachiaria decumbens Stapf and received one of the four different supplementation strategies: three different concentrate supplements, or mineral salt (control). The levels of protein in the concentrate supplements varied. After 45 days, the nutritional evaluation of animals, which included the prediction of intake and digestion of nutrients and characteristics of protein metabolism, was made. The prediction of intake and digestibility used the indicators LIPE®, titanium dioxide and neutral detergent fiber indigestible. Urine and blood samples were collected too. The supplementation effect, and the linear and quadratic effects of the level of protein in the concentrate were evaluated by the decomposition of the sum of squares into orthogonal contrasts, adopting α = 0.10. The concentrate intake replaced part of the pasture ingested by the calves and increased protein intake, the digestibility of dry and organic matter, the total digestible nutrients content, and the nitrogen excretion in urine. The level of protein in the supplement has a positive linear effect on the daily protein intake, the digestibility of all nutrients and the total digestible nutrients content, and quadratic effect on the excretion of nitrogen as urea in the urine.

2567 downloads

14.

Evaluation of mathematical models to describe growth of grazing young bulls
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Fernandes, Henrique Jorge

; Tedeschi, Luis Orlindo

; Paulino, Mário Fonseca

; Detmann, Edenio

; Paiva, Luisa Melville

; Valadares Filho, Sebastião de Campos

; Silva, Aline Gomes da

; Azevêdo, José Augusto Gomes

Revista Brasileira de Zootecnia

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feb 2012, Volume 41 N. 2 Pages 367 - 373

Abstract: En | Text: En | PDF: En

The objective of this study was to evaluate the use of different mathematical models to describe growth of grazing beef cattle. Data of 20 Nellore bulls with initial weight of 129±28.1 kg and final weight of 405±62.0 kg were used. The animals were randomly divided into four plots and placed on B. decumbens Stapf pastures. Three plots received concentrate supplement with different protein profiles and the fourth plot received only mineral supplement. Animals were weighed every 28 days to design growth curve of full body weight. Five mathematical models were evaluated to describe animal growth: Multiphase, Linear, Logarithmic, Gompertz and Logistic models. Assessment of adequacy of the models was performed by using coefficient of determination, simultaneous F-test for identity of parameters, concordance correlation coefficient, root of the mean square error of prediction and partition of the mean square error of prediction. The analysis of the pairwise mean square error of prediction and the delta Akaike's information criterion were used to compare the models for accuracy and precision. Evaluation of all the tested models showed that all of them were able to predict variability among animals. However, Gompertz, Logarithmic and Logistic models created individual predictions that were not satisfactory. Models differed from each other concerning accuracy and precision; the best were in the following order: Multiphase, Linear, Gompertz, Logarithmic and Logistic. The Multiphase model was more efficient than the others for description of grazing beef cattle growth.

3610 downloads Cited 1 time in SciELO

15.

Assessment of enamel-dentin caries lesions detection using bitewing PSP digital images
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Torres, Marianna Guanaes Gomes

; Santos, Aline da Silva

; Neves, Frederico Sampaio

; Arriaga, Marcel Lautenschlager

; Campos, Paulo Sérgio Flores

; Crusoé-Rebello, Iêda

Journal of Applied Oral Science

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oct 2011, Volume 19 N. 5 Pages 462 - 468

Abstract: En | Text: En | PDF: En

OBJECTIVES: The aim of this study was to evaluate the detection of enamel-dentin occlusal caries using photostimulable phosphor plates. MATERIAL AND METHODS: The ability to detect enamel-dentin occlusal caries in 607 premolars and molars from 47 patients between 10 and 18 years old, referred to the School of Dentistry of the Federal University of Bahia, Brazil, was evaluated based on clinical and radiographic examinations, using the criteria proposed in a previous study. A total of 156 bitewing digital images were obtained using Digora® (Soredex Medical Systems, Helsinki, Finland) phosphor plates. The plates were scanned and the images were captured and displayed on a computer screen. Image evaluation was done using Digora® for Windows 2.1 software, Soredex®. The radiologists were allowed to use enhancement tools to obtain better visibility during scoring of the teeth based on the radiographic criteria proposed in a previous study. Descriptive analysis and chi-squared proportion tests were done at 5% significance level. RESULTS: The results of clinical examination showed a higher prevalence of teeth with a straight dark line or demineralization of the occlusal fissure (score 1) and a lower prevalence of sealed teeth (score 5). In the bitewing digital images, 47 teeth presented visible radiolucency, circumscribed, in dentin under occlusal enamel (enamel-dentin caries lesions). CONCLUSIONS: Correlating the clinical and radiographic findings, it was found that in the majority of teeth diagnosed by radiographic images as having enamel-dentin caries, no caries could be detected by clinical examination.

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