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A magnetic resonance imaging-based morphometric and structural covariance network study of Brazilian adolescents stratified by depression risk
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Rohrsetzer, Fernanda

; Balardin, Joana Bisol

; Picon, Felipe

; Sato, João Ricardo

; Battel, Lucas

; Viduani, Anna

; Manfro, Pedro Henrique

; Yoon, Leehyun

; Kohrt, Brandon A.

; Fisher, Helen L.

; Mondelli, Valeria

; Swartz, Johnna R.

; Kieling, Christian

Brazilian Journal of Psychiatry

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aug 2023, Volume 45 N. 4 Pages 318 - 326

Abstract: En | Text: En | PDF: En

Objectives: To explore differences in regional cortical morphometric structure between adolescents at risk for depression or with current depression. Methods: We analyzed cross-sectional structural neuroimaging data from a sample of 150 Brazilian adolescents classified as low-risk (LR) (n=50) or high-risk (HR) for depression (n=50) or with current depression (n=50) through a vertex-based approach with measurements of cortical volume (CV), surface area (SA), and cortical thickness (CT). Differences between groups in subcortical volume and in the organization of networks of structural covariance were also explored. Results: No significant differences in brain structure between groups were observed in whole-brain vertex-wise CV, SA, or CT. Also, no significant differences in subcortical volume were observed between risk groups. In relation to the structural covariance network, there was an indication of an increase in the hippocampus betweenness centrality index in the HR group network compared to the LR and current depression group networks. However, this result was only statistically significant when applying false discovery rate correction for nodes within the affective network. Conclusion: In an adolescent sample recruited using an empirically based composite risk score, no major differences in brain structure were detected according to the risk and presence of depression.

https://doi.org/10.47626/1516-4446-2023-3037

Análise da Viabilidade de Uso do FNIRS em Atividades Educacionais com Crianças e Jovens com Deficiência Intelectual e Autismo
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BENITEZ, Priscila

; DOMENICONI, Camila

; OKU, Amanda Yumi Ambriola

; SOARES JUNIOR, Raimundo da Silva

; MORI, Fernanda Yumi Ribeiro

; SASSAKI, Lincoln

; MOURA, Thainá Letícia Dourado

; OLIVEIRA, Thariny

; OLIVEIRA, Lizbeth Conti de Carvalho

; SILVA, Giovana da

; SATO, João Ricardo

; CAETANO, Marcelo Salvador

Revista Brasileira de Educação Especial

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2023, Volume 29 elocation e0158

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

ABSTRACT: Methods in cognitive neuroscience can assist educational planning of teachers in the context of Special Education, as they favor personalized practices that value individual students with Autism Spectrum Disorder (ASD) and/or Intellectual Deficiency (ID). Therefore, this study aimed to verify the feasibility of using functional near-infrared spectroscopy (fNIRS) in clinical naturalistic situation with children and young people with ASD and/or ID during teaching tasks. In addition, the study sought to identify training strategies so that children and young people use the equipment during the activity. Seven students diagnosed with ASD and/or ID were trained with mathematics, reading and emotional expressiveness, according to their respective previous educational curricula. Each participant was exposed to two tasks in each activity, one in which he/she already had a domain and one that needed support to issue an independent response. The results indicated the feasibility of using fNIRS in this natural context of the child and the young student and provided implicit measures beyond the observational arrangement measures and task error. This is an important demonstration of the feasibility of using fNIRS in experiments in the context of Special Education.

RESUMO: Métodos em neurociência cognitiva podem auxiliar o planejamento educacional de docentes no contexto da Educação Especial, por favorecerem práticas personalizadas que valorizem a velocidade individual de aprendizagem de estudantes com transtorno do espectro do autismo (TEA) e/ou deficiência intelectual (DI). Assim sendo, este estudo objetivou verificar a viabilidade de uso da Espectroscopia Funcional de Infravermelho Próximo (fNIRS) em situação naturalística clínica com crianças e jovens com TEA e/ou DI durante tarefas de ensino. Ademais, o estudo buscou identificar as estratégias de treino para que as crianças e os jovens utilizassem o equipamento durante a realização da atividade. Sete estudantes com diagnóstico de TEA e/ou DI foram treinados com atividades de matemática, leitura e expressividade emocional, de acordo com seus respectivos currículos educacionais prévios. Cada participante foi exposto a duas tarefas em cada atividade, uma na qual já apresentava domínio e outra que necessitava de apoio para emitir uma resposta independente. Os resultados indicaram a viabilidade de uso do fNIRS nesse contexto natural da criança e do jovem e forneceram medidas implícitas para além das medidas observacionais de acerto e erro na tarefa. Esta é uma importante demonstração da viabilidade do uso do fNIRS em experimentos no contexto da Educação Especial.

https://doi.org/10.1590/1980-54702023v29e0158

Adolescent depression and resting-state fMRI brain networks: a scoping review of longitudinal studies
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Macêdo, Marcos Antônio

; Sato, João Ricardo

; Bressan, Rodrigo A.

; Pan, Pedro Mario

Brazilian Journal of Psychiatry

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aug 2022, Volume 44 N. 4 Pages 420 - 433

Abstract: En | Text: En | PDF: En

The neurobiological factors associated with the emergence of major depressive disorder (MDD) in adolescence are still unclear. Previous cross-sectional studies have documented aberrant connectivity in resting-state functional magnetic resonance imaging (rs-fMRI) networks. However, whether these findings precede MDD onset has not been established. This scoping review mapped key methodological aspects and main findings of longitudinal rs-fMRI studies of MDD in adolescence. Three sets of neuroimaging methods to analyze rs-fMRI data were identified: seed-based analysis, independent component analysis, and network-based approaches. Main findings involved aberrant connectivity within and between the default mode network (DMN), the cognitive control network (CCN), and the salience network (SN). Accordingly, we utilized Menon’s (2011) triple-network model for neuropsychiatric disorders to summarize key results. Adolescent MDD was associated with hyperconnectivity within the SN and between DMN and SN, as well as hypoconnectivity within the CCN. These findings suggested that dysfunctional connectivity among the three main large-scale brain networks preceded MDD onset. However, there was high heterogeneity in neuroimaging methods and sampling procedures, which may limit comparisons between studies. Future studies should consider some level of harmonization for clinical instruments and neuroimaging methods.

https://doi.org/10.47626/1516-4446-2021-2032

Prevalence and trends of mental disorders requiring inpatient care in the city of Porto Alegre: a citywide study including all inpatient admissions due to mental disorders in the public system from 2013-2017
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Salum, Giovanni A.

; Leite, Loiva dos S

; dos Santos, Sara Jane E

; Mazzini, Gabriel

; Baeza, Fernanda L. C.

; Spanemberg, Lucas

; Evans-Lacko, Sara

; Sato, João Ricardo

; do Nascimento, Diane M

; Frank, Thiago

; Pfeil, Juliana

; Katz, Natan

; Osório, Jorge

; dos Santos, Paulo Ricardo

; da Silva, Eliana

; Nunes, Christiane

; Soares, Kelma Nunes

; Machado, Ângela Maria Grando

; Breyer, Tatiana

; Rodrigues, Márcio

; Galão, Adriani

; Motta, Gledis Lisiane

; Schuch, Silvia

; Osório, Eduardo

; Rodrigues, Cláudia

; Sturmer, Pablo de Lannoy

; Harzheim, Erno

Trends in Psychiatry and Psychotherapy

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mar 2020, Volume 42 N. 1 Pages 86 - 91

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

Resumo Objetivos Investigar a prevalência de 5 anos de pacientes internados no sistema público de saúde por motivo de saúde mental, estratificando-os por grupo etário e diagnóstico, e avaliar tendências temporais nas admissões nesse período em Porto Alegre. Métodos Todas as admissões no sistema público de saúde mental reguladas pelo sistema eletrônico da cidade, denominado Administração Geral dos Hospitais (AGHOS), foram incluídos na análise. A população total foi obtida a partir de estimativas da Fundação de Economia e Estatística (FEE). Informações gerais sobre a prevalência de 5 anos de admissões, tendências das séries temporais e prevalência por grupo etário e por diagnóstico foram apresentadas. Resultados Ocorreram 32.608 admissões no período de 5 anos analisado. A prevalência global de pacientes foi de 1,62% na população total, 0,01% em crianças, 1,12% em adolescentes, 2,28% em adultos e 0,93% em idosos. Os diagnósticos mais comuns foram relacionados ao uso de drogas, seguidos de transtornos de humor, relacionados ao álcool e transtornos psicóticos. Houve uma tendência linear mostrando um aumento no número de admissões de 2013 a meados de 2014, que caíram em 2015. Conclusões Admissões por transtornos mentais são relativamente comuns, principalmente entre adultos e relacionados ao uso de drogas e transtornos de humor. Tendências lineares variaram levemente nos últimos 5 anos. Estimativas de prevalência no mundo real podem ser úteis para formuladores de políticas interessados em planejar o sistema público de saúde mental em grandes cidades brasileiras.

Abstract Objectives To investigate the 5-year prevalence of patients admitted to public inpatient care units due to a mental disorder, stratifying them by age group and diagnosis, and to assess trends of admissions over this time period in Porto Alegre. Methods All admissions to the public mental health care system regulated by the city-owned electronic system Administração Geral dos Hospitais (AGHOS) were included in the analysis. The total population size was obtained by estimations of Fundação de Economia e Estatística (FEE). General information about 5-year prevalence of inpatient admissions, time-series trends e prevalence by age groups and diagnosis were presented. Results There were 32,608 admissions over the 5-year period analyzed. The overall prevalence of patients was 1.62% among the total population, 0.01% among children, 1.12% among adolescents, 2.28% among adults and 0.93% among the elderly. The most common diagnosis was drug-related, followed by mood, alcohol-related and psychotic disorders. There was a linear trend showing an increase in the number of admissions from 2013 to the midst of 2014, which dropped in 2015. Conclusions Admissions due to mental disorders are relatively common, mainly among adults and related to drug use and mood disorders. Time trends varied slightly over the 5 years. Prevalence rates in real-world settings might be useful for policymakers interested in planning the public mental health system in large Brazilian cities.

https://doi.org/10.1590/2237-6089-2018-0115 713 downloads

Semantic memory for actions as assessed by the Kissing and Dancing Test: Education and age effects in cognitively healthy individuals
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Baradel, Roberta Roque

; Silva, Henrique Salmazo da

; Estequi, Jaqueline Geraldin

; Parente, Maria Alice de Mattos Pimenta

; Sato, João Ricardo

; Carthery-Goulart, Maria Teresa

Dementia & Neuropsychologia

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sep 2014, Volume 8 N. 3 Pages 216 - 222

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

Processamento semântico verbal é uma parte relevante da avaliação linguístico-cognitiva e o KDT tem sido amplamente utilizado para tal finalidade, evidenciando diferenças clínicas entre pacientes com danos cerebrais. Para aumentar sua utilização, valores de referência são necessários, especialmente para populações com origens socioeconômicas e níveis de escolaridade heterogêneos.OBJETIVO:Analisar efeitos da escolaridade e idade no KDT em indivíduos cognitivamente intactosMÉTODOS:O KDT foi aplicado em 74 indivíduos saudáveis. Fatores sociodemográficos foram investigados por correlação e análises entre grupos. Valores de referência foram fornecidos por idade e escolaridade.RESULTADOS:O desempenho do KDT correlaciona-se significativamente à escolaridade (r=0.757, p<0.01), à idade (r=-0.496, p<0.01) e ao nível socioeconômico (r=0.418, p<0.01 ), variáveis que se mostraram intercorrelacionadas. Correlações com a escolaridade e idade permaneceram significativas quando controladas a idade e nível socioeconômico (r=0.530, p<0.01) e a escolaridade (r=- 0.305,<0.01), respectivamente. Com controle do parâmetro da escolaridade, não houve correlação significativa entre o nível socioeconômico e o KDT (p=0.164). As análises entre grupos não revelaram os efeitos da idade. Encontraram-se diferenças significativas no desempenho de acordo com escolaridade. Escores abaixo do percentil 25 (39/52 - indivíduos com até 8 anos de escolaridade e 47/52- indivíduos com 9 ou mais anos de escolaridade) são sugestivos de dificuldades no processamento semântico de ações, que devem ser melhor investigadas.Conclusão:O desempenho do KDT foi influenciado por idade e escolaridade, o que reflete a necessidade de se considerar estes fatores como covariantes e, na prática clínica, usar diferentes pontos de corte, considerando essas características demográficas.

Action semantics is a relevant part of cognitive-linguistic assessment and the "Kissing and Dancing Test" (KDT) has been used extensively for this purpose, evidencing clinical distinctions among brain-damaged patients. To enhance its use, reference values are necessary, especially for populations with heterogeneous educational levels and socioeconomic backgrounds.OBJECTIVE: To analyze the effects of schooling and age on the KDT in cognitively unimpaired individualMETHODS: The KDT was applied to seventy-four healthy subjects. Sociodemographic factors were investigated through correlational and between-group analyses. Reference values according to age and schooling were provided.RESULTSKDT performance correlated significantly with schooling (r=0.757, p<0.01), age (r=-0.496, p<0.01) and socioeconomic status (r=0.418 p<0.01) but these variables were intercorrelated. Correlation with schooling and age remained signifi when controlling for age and socioeconomic status (r=0.530, p<0.01), and for schooling (-0.305,<0.01), respectively. When controlling for schooling, correlation between socioeconomic status and KDT was not significant (p=0.164). Between-group analyses revealed no age effects. Significant differences were found in performance according to educational level. Scores below 39/52 and below 47/52 (percentile 25) for individuals with 8 or less years of schooling and for individuals with 9 or more years of schooling, respectively, seem suggestive of an impairment in Action Semantics Processing and shall be further investigatedCONCLUSION KDT performance was influenced both by age and schooling, indicating the need to consider these demographic features as covariates when analyzing performance on the test and to adjust cut-off scores according to these demographic characteristics in clinical practice.

https://doi.org/10.1590/S1980-57642014DN83000004 1653 downloads

Dahlberg formula: a novel approach for its evaluation
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Galvão, Maria Christina de Souza

; Sato, João Ricardo

; Coelho, Edvaldo Capobiango

Dental Press Journal of Orthodontics

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feb 2012, Volume 17 N. 1 Pages 115 - 124

Abstract: En | Text: En | PDF: En

INTRODUCTION: The accurate evaluation of error of measurement (EM) is extremely important as in growth studies as in clinical research, since there are usually quantitatively small changes. In any study it is important to evaluate the EM to validate the results and, consequently, the conclusions. Because of its extreme simplicity, the Dahlberg formula is largely used worldwide, mainly in cephalometric studies. OBJECTIVES: (I) To elucidate the formula proposed by Dahlberg in 1940, evaluating it by comparison with linear regression analysis; (II) To propose a simple methodology to analyze the results, which provides statistical elements to assist researchers in obtaining a consistent evaluation of the EM. METHODS: We applied linear regression analysis, hypothesis tests on its parameters and a formula involving the standard deviation of error of measurement and the measured values. RESULTS AND CONCLUSION: we introduced an error coefficient, which is a proportion related to the scale of observed values. This provides new parameters to facilitate the evaluation of the impact of random errors in the research final results.

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Estudo biomecânico da rigidez da osteossíntese com placas em ponte em tíbias de cadáveres humanos
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Sunada, Edwin Eiji

; Ejnisman, Leandro

; Leal, Rafael Demura

; Pailo, Alexandre Felício

; Malavolta, Eduardo Angeli

; Sakaki, Marcos Hideyo

; Pereira, César Augusto Martins

; Zumiotti, Arnaldo Valdir

; Sato, João Ricardo

Acta Ortopédica Brasileira

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2010, Volume 18 N. 2 Pages 66 - 70

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

OBJETIVO: comparar a rigidez de três diferentes montagens de placa em ponte com a da haste intramedular bloqueada, em tíbias de cadáveres com fratura tipo C. MATERIAIS E MÉTODOS: vinte tíbias humanas captadas de cadáveres, submetidas à fratura do tipo C; quinze fixadas com placas em ponte, divididas em 03 grupos, de acordo com o tamanho das placas (10, 14 e 18 furos) e 05 fixadas com hastes intramedulares bloqueadas. Todas as tíbias foram expostas a cargas progressivas e semelhantes. Foram medidos os deslocamentos de ambos fragmentos (proximal e distal), nos planos sagital, coronal e axial do espaço, conforme incremento gradual de carga. RESULTADOS: tíbias fixadas com placas em ponte de 18 furos apresentam um comportamento biomecânico semelhante às fixadas com haste intramedular bloqueada. CONCLUSÕES: Em fraturas do tipo C em tíbias há maior mobilidade do segmento ósseo distal no plano coronal, quando a fratura é fixada com placas em ponte de 14 e 18 furos que quando fixada com haste intramedular bloqueada sem fresagem. Apesar dessa maior mobilidade, os movimentos relativos entre os fragmentos fraturários nos GHB e GP18 tendem a ser semelhantes entre si.

OBJECTIVE: To compare the stiffness of three different assemblies of bridging plates with intramedullary locking nails in cadaveric models of tibial fractures type C. MATERIALS AND METHODS: Twenty cadaveric tibias subjected to type C fractures; fifteen were fixed with the bridging plate technique and divided into three groups, according to the plate size (10, 14 and 18 holes), and five were fixed with intramedullary nail. All the tibias were exposed to similar and progressive loads. Dislocation of both fragments (proximal and distal) was measured on three planes (sagittal, coronal and axial), as the load was increased. RESULTS: tibias fixed with the 18 hole bridging plate have the same biomechanical behavior of tibias fixed with intramedullary locking nails. CONCLUSIONS: In type C tibial fractures, there is more mobility at the distal segment on the coronal plane when the fracture is fixed with 14 and 18 holes bridging plates as compared to fractures fixed with non-reamed intramedullary locking nails. Even with this mobility, the relative movements between the fragments at GHB and GP18 seem to be similar.

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Prevalência de anemia em gestantes e a fortificação de farinhas com ferro
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Sato, Ana Paula Sayuri

; Fujimori, Elizabeth

; Szarfarc, Sophia Cornbluth

; Sato, João Ricardo

; Bonadio, Isabel Cristina

Texto & Contexto - Enfermagem

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sep 2008, Volume 17 N. 3 Pages 474 - 481

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

This study evaluated the impact of iron-fortified flours in the prevalence of anemia and hemoglobin levels of pregnant women. This transversal cross-sectional study was developed at a Health Center School in São Paulo - SP, Brazil. Data, collected from September to December of 2006, were obtained from 750 pregnant women's medical records and discriminated into two groups, before and after fortification: non-fortified and fortified. Pregnant women with hemoglobin levels lower than 11g/dl were considered anemic. Data were submitted to multiple regression analysis. Anemia affected 9.2% and 8.6% of pregnant women, before and after the fortification, respectively (p>0.05). Multiple analysis indicates no statistical difference in the mean hemoglobin levels between the groups (p=0.117). The results indicated a low prevalence of anemia and similar hemoglobin levels between the groups, which probably did not allow for demonstrating the effect of flour fortification.

Se evaluó el impacto de la fortificación de harinas con hierro en la prevalencia de anemia y concentración de hemoglobina de gestantes. Este estudio transversal retrospectivo fue desarrollado en un Centro de Salud Escuela, de la ciudad de São Paulo - SP. Los datos, recogidos de septiembre a diciembre de 2006, fueron obtenidos de 750 manuales de gestantes, distribuidas en dos grupos, antes y después del inicio de la fortificación: no fortificado y fortificado. Las gestantes con nivel de hemoglobina inferior 11g/dl fueron consideradas anémicas. Se realizó el análisis de la regresión múltiple. La anemia afectó 9,2% y 8,6% de las gestantes, antes y después de la implantación del programa, respectivamente (p>0,05). El análisis de la regresión múltiple no evidenció diferencia estadística en el promedio de hemoglobina entre los grupos (p=0,117). Los resultados indicaron baja prevalencia de anemia y promedios similares de hemoglobina entre los grupos estudiados, hecho que probablemente no permitió demostrar el efecto de la fortificación de las harinas.

Avaliou-se o impacto da fortificação das farinhas com ferro, na prevalência de anemia e concentração de hemoglobina de gestantes. Este estudo transversal retrospectivo foi desenvolvido em um Centro de Saúde Escola do município de São Paulo - SP. Os dados, colhidos de setembro a dezembro de 2006, foram obtidos de 750 prontuários de gestantes distribuídas em dois grupos (não fortificado e fortificado), antes e após a fortificação. Gestantes com nível de hemoglobina inferior a 11g/dl foram consideradas anêmicas. Realizou-se análise de regressão linear múltipla. A anemia afetava 9,2% e 8,6% das gestantes, antes e após a implantação do programa, respectivamente (p>0,05). A análise múltipla não evidenciou diferença estatística na média de hemoglobina entre os grupos (p=0,117). Os resultados indicaram uma baixa prevalência de anemia e médias de hemoglobina similares entre os grupos, fato que provavelmente não permitiu constatar o efeito da fortificação das farinhas.

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Prevalência de anemia em gestantes e a fortificação de farinhas com ferro
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Sato, Ana Paula Sayuri

; Fujimori, Elizabeth

; Szarfarc, Sophia Cornbluth

; Sato, João Ricardo

; Bonadio, Isabel Cristina

Texto & Contexto - Enfermagem

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sep 2008, Volume 17 N. 3 Pages 474 - 481

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

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