Pesquisa | SciELO

Abstract In the modern world, cancer is a growing cause of mortality, but archeological studies have shown that it is not exclusive to modern populations. The aim of this study is to examine the epidemiologic, social, and clinicopathologic features of head and neck cancers in ancient populations. To do this, we extracted all records that described malignant lesions in the head and neck region available in the Cancer Research in Ancient Bodies Database (CRAB). The estimated age, sex, physical condition of the remains (skeletonized, mummified), anatomic location of tumors, geographic location, chronology, tumor type, and methods of tumor diagnosis were collected. One hundred and sixty-seven cases were found, mostly originating from Europe (51.5%). Most records were of adults between 35 and 49 years of age (37.7%). The most involved site was the skullcap (60.4%), and the most common malignancies were metastases to the bone (65.3%) and multiple myeloma (17.4%). No primary soft tissue malignancies were registered. The results of our study indicate that head and neck cancers were present in ancient civilizations, at least since 500,000 BCE. The available data can help to improve the current understanding of the global distribution of head and neck cancer and its multidimensional impacts on populations in the contemporary world.

https://doi.org/10.1590/1807-3107bor-2024.vol38.0014

Práticas de assistência ao parto e nascimento na perspetiva de gestantes com COVID-19
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Chaves, Jéssica

; Pinto, Nilson Vieira

; Albuquerque, Conceição de Maria de

; Silva, Alan Rodrigues da

; Rolim, Karla Maria Carneiro

; Frota, Mirna Albuquerque

Revista de Enfermagem Referência

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Dez 2023, Volume serVI Nº 2 elocation e22111

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

Resumen Marco contextual: La pandemia de COVID-19 ha empeorado las prácticas asistenciales de las mujeres en el momento del parto. Objetivo: Comprender la percepción de las mujeres embarazadas con COVID-19 sobre la aplicabilidad de las buenas prácticas en la atención al parto. Metodología: Estudio exploratorio y descriptivo, con enfoque mixto, realizado con 23 gestantes con COVID-19 en un hospital público brasileño. Resultados: El corpus general constó de 23 textos, y se utilizaron 249 segmentos de texto (ST). El contenido analizado se clasificó en cinco clases: COVID-19 en el contexto sanitario del RN, con 56 ST (22,49%); parto humanizado y COVID-19, con 51 ST (20,48%); la incertidumbre de los riesgos maternos y fetales, con 39 ST (15,66%); experiencia del parto en la pandemia por COVID-19, con 67 ST (26,91%), y conocimientos sobre los síntomas y la prevención de la COVID-19, con 36 ST (14,46%). Conclusión: Se observó que las gestantes tenían pocos conocimientos sobre la política y su derecho a la autonomía en el parto y el posparto, lo que puso de manifiesto varias prácticas inadecuadas durante la pandemia.

Abstract Background: The COVID-19 pandemic has aggravated childbirth care practices. Objective: To understand the perception of pregnant women with COVID-19 on the applicability of best childbirth care practices. Methodology: Exploratory and descriptive study, with a mixed methods approach, carried out with 23 pregnant women with COVID-19 in a Brazilian public hospital. Results: The general corpus comprised 23 texts with 249 Text Segments (TS). The analyzed content was categorized into five classes: COVID-19 in the context of NB health, with 56 TS (22.49%); Humanized childbirth and COVID-19, with 51 TS (20.48%); The uncertainty of maternal and fetal risks, with 39 TS (15.66%); Childbirth experience in the COVID-19 pandemic, with 67 TS (26.91%); and Knowledge about symptoms and prevention against COVID-19, with 36 TS (14.46%). Conclusion: Pregnant women have little knowledge about the policy and their right to autonomy in labor and postpartum, evidencing inadequate practices during the pandemic.

Resumo Enquandramento: A pandemia de COVID-19 agravou as práticas de cuidar das mulheres no momento do parto. Objetivo: Compreender a perceção das grávidas com COVID-19 acerca da aplicabilidade das boas práticas de assistência ao parto e nascimento. Metodologia: Estudo exploratório e descritivo, com abordagem mista, realizado com 23 gestantes com COVID-19, num hospital público brasileiro. Resultados: O corpus geral consistia em 23 textos, com aproveitamento de 249 Segmentos de Texto (ST). O conteúdo analisado foi categorizado em cinco classes: COVID-19 no contexto da saúde do RN, com 56 STs (22,49%); Parto humanizado e COVID-19, com 51 STs (20,48%); A incerteza dos riscos maternos e fetais, com 39 STs (15,66%); Experiência do parto na pandemia por COVID-19, com 67 STs (26,91%); e Conhecimento sobre sintomas e prevenção contra a COVID-19, com 36 STs (14,46%). Conclusão: Foram encontradas gestantes com pouco conhecimento sobre a política e o seu direito à autonomia no trabalho de parto e pós-parto, evidenciando diversas práticas inadequadas durante a pandemia.

https://doi.org/10.12707/rvi22111

Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado
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Oliveira, Leonardo Hernandes de Souza

; Silva, Alan Camargo

; Santo, Wecisley Ribeiro do Espírito

; Mattos, Rafael da Silva

Saúde e Sociedade

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2023, Volume 32 Nº 4 elocation e210849pt

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

Abstract Fibromyalgia is a rheumatic syndrome characterized by chronic and diffuse musculoskeletal pain that presents diagnostic and therapeutic challenges to Western medical rationality. Studies highlight the role of interdisciplinary treatment (IT) and corporal practices of health (CPH) in terms of health care and reception. The acts of giving, receiving, and returning symbolic gifts of care provide sociability, recognition, and legitimacy in the health field. The objective of this article is to understand IT and CPH as a system for exchanging health care gifts that is established between people diagnosed with fibromyalgia and health professionals. This is a qualitative study carried out by applying an open interview and carrying out field observation with eight people diagnosed with fibromyalgia and a semi-open questionnaire with nine health professionals. Content Analysis led to the elaboration of a thematic category: “The triple obligation cycle of giving health care.” The constitution of the gift in the health care process occurred by an affective-therapeutic displacement to the other, a gift of hospitality, and a gift of recognition. In summary, it was possible to perceive the relevance of IT and CPH as circuits of reciprocity capable of building new social uses of the body in social instances of life.

Resumo A fibromialgia é uma síndrome reumática caracterizada por dor musculoesquelética crônica e difusa que apresenta desafios diagnósticos e terapêuticos à racionalidade médica ocidental. Estudos ressaltam o papel do tratamento interdisciplinar (TI) e das práticas corporais de saúde (PCS) em termos de cuidado em saúde e acolhimento. Os atos de dar, receber e retribuir dádivas simbólicas de cuidado fornecem sociabilidade, reconhecimento e legitimidade no campo da saúde. O objetivo deste artigo é compreender o TI e as PCS como um sistema de troca de dádivas de cuidado em saúde que se estabelece entre pessoas diagnosticadas com fibromialgia e profissionais de saúde. Trata-se de um estudo qualitativo realizado mediante aplicação de entrevista aberta e observação em campo com oito pessoas diagnosticadas com fibromialgia e questionário semiaberto com nove profissionais de saúde. A Análise do Conteúdo resultou na construção de uma categoria temática: “O ciclo da tripla obrigação da dádiva do cuidado em saúde”. A constituição da dádiva no processo de cuidado em saúde ocorreu mediante um deslocamento afetivo-terapêutico ao próximo, dom da hospitalidade e dom do reconhecimento. Em síntese, foi possível perceber a relevância do TI e das PCS como circuitos de reciprocidade capazes de construir novos usos sociais do corpo nas instâncias sociais da vida.

https://doi.org/10.1590/s0104-12902023210849pt

O consumo de drogas por homens homossexuais em uma casa noturna do Rio de Janeiro, RJ
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Garcia, Rafael

; Silva, Alan

Saúde e Sociedade

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2023, Volume 32 Nº 4 elocation e220352pt

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

Abstract In light of leisure practices, we aim to analyze the meanings of drug consumption by homosexual men in a nightclub in the city of Rio de Janeiro, RJ. We carried out the participant observation process in 36 episodes of electronic parties in a nightclub, between January 2018 and September 2019. We detected that substance use establishes a sense of social belonging among the subjects, functioning as a cohesive and ceremonial support network. We conclude that, for those interlocutors, drugs take on different meanings for a collective “good living,” in which the drug symbolizes the union and socio-emotional support that connects homosexual consumers in a plural space to diversities, at first without moral judgments. The consumption of drugs at each party strengthened group cohesion, in addition to reflecting feelings of fraternity, companionship, and brotherhood, building and feeding back a kind of “therapeutic group” linked to this experience of leisure, a practice activated to “endure and survive” the social demands, sometimes prejudiced and discriminatory.

Resumo À luz das práticas de lazer, objetivamos analisar os sentidos do consumo de drogas por homens homossexuais em uma casa noturna da cidade do Rio de Janeiro, RJ. Realizamos o processo de observação participante em 36 episódios de festas eletrônicas em uma boate, entre janeiro de 2018 e setembro de 2019. Detectamos que os usos de substâncias estabelecem um sentimento de pertencimento social entre os sujeitos, funcionando como rede de apoio coesa e cerimonial. Concluímos que, para os interlocutores, as drogas assumem diferentes sentidos para um “bem-viver” coletivo, em que a droga simboliza a união e o apoio socioemocional que conecta os homossexuais consumidores em um espaço plural às diversidades, a princípio sem julgamentos morais. O consumo das drogas em cada festa fortaleceu a coesão grupal, além de refletir sentimentos de fraternidade, companheirismo e irmandade, edificando e retroalimentando uma espécie de “grupo terapêutico” atrelado a essa vivência do lazer, uma prática acionada para “suportar e sobreviver” às demandas sociais, por vezes preconceituosas e discriminatórias.

https://doi.org/10.1590/s0104-12902023220352pt

O consumo de drogas por homens homossexuais em uma casa noturna do Rio de Janeiro, RJ
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Garcia, Rafael

; Silva, Alan

Saúde e Sociedade

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2023, Volume 32 Nº 4 elocation e220352pt

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

https://doi.org/10.1590/s0104-12902023220352pt

Students’ perception to an interactive web-based response system in oral and maxillofacial pathology teaching
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SILVA, Luana Rafaela Garcez da

; BEZERRA, Hélen Kaline Farias

; LEONEL, Augusto César Leal da Silva

; CARVALHO, Elaine Judite de Amorim

; CASTRO, Jurema Freire Lisboa de

; SANTOS-SILVA, Alan Roger

; PEREZ, Danyel Elias da Cruz

Brazilian Oral Research

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2023, Volume 37 elocation e027

Resumo: En | Texto: En | PDF: En

Abstract This study evaluated dental students’ perceptions and adherence to an interactive web-based response system in the teaching of Oral and Maxillofacial Pathology. Between 2018 and 2019, students from a single Brazilian dental school used the Poll Everywhere® app to answer questions on subjects taught during an Oral and Maxillofacial Pathology course. At the end of the academic semester, the students completed a questionnaire containing 10 questions regarding the app’s use. The study included 123 students. Regarding the devices used to answer the questions on the app, 117 (95.1%) students used a smartphone and 3 (2.4%) used a laptop. Almost all students (121; 98.4%) agreed that this interactive web-based response system provided the teacher with a better overview of students’ understanding and improved their self-assessment of the acquired knowledge of the subjects. Most students (118; 95.9%) preferred classes using this technology and 122 (99.2%) stated that using the app made them feel more engaged in classes. In addition, all students agreed that the app improved student–teacher interactions. Most students (119; 96.7%) considered the digital interactive method more attractive than the conventional teaching approach, and 99 (80.5%) did not have any negative comments regarding the app. In conclusion, the Poll Everywhere® app provides a more dynamic and attractive educational environment for Oral and Maxillofacial Pathology teaching.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0027

Synchronous jawbone diseases: a multicenter retrospective study
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REZENDE, Diogo dos Santos da Mata

; SOUZA, Lucas Lacerda de

; UCHÔA, Daniel Cavalléro Colares

; FERNANDES, Lais Albuquerque

; LEMOS, Jeanne Gisele Rodrigues de

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ARBOLEDA, Lady Paola Aristizabal

; ROCHA, André Caroli

; GONÇALVES, Fábio Luiz Neves

; PONTES, Flávia Sirotheau Corrêa

; FONSECA, Felipe Paiva

; PONTES, Hélder Antônio Rebelo

Brazilian Oral Research

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2023, Volume 37 elocation e011

Resumo: En | Texto: En | PDF: En

Abstract The aim of this study is to report an original case series of synchronous jawbone diseases. Data of patients seen over 13 years were extracted from the files of three Oral Radiology and Pathology diagnostic centers in Brazil. The clinical, radiographic, and laboratory characteristics were tabulated and analyzed by the authors; the patients were described according to lesion type. Seventy-two synchronous jawbone diseases were included in this study. Florid osseous dysplasia, Gorlin-Goltz syndrome, and cherubism were the most frequent disorders reported in this case series. In addition, the posterior mandible area was the main site of manifestation. Florid osseous dysplasia and Gorlin-Goltz syndrome represented two-thirds of our samples. With the utilization of adequate demographic, clinical, and radiologic information, it is possible to diagnose most of the synchronous lesions of jawbones. Sometimes, however, we need complementary exams, such as histopathologic and biochemical analysis or dosing of calcium, phosphorus, and alkaline phosphatase.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0011

Active search screening for oral potentially malignant disorders and oral cancer in the city of Piracicaba
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LINARES, Matheus Ferreira

; LOPES, Silvia Maria Paparotto

; MOREIRA, Adriana Eliza Brasil

; VARGAS, Pablo Agustin

; SILVA, Alan Roger dos Santos

; LOPES, Márcio Ajudarte

Brazilian Oral Research

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2023, Volume 37 elocation e015

Resumo: En | Texto: En | PDF: En

Abstract Oral cancer is a public health problem worldwide with approximately 300,000 new cases diagnosed every year and more than 170,000 deaths annually. Squamous cell carcinoma (SCC) accounts for approximately 90% of all oral malignancies and it is frequently preceded by lesions known as oral potentially malignant disorders (OPMDs). Screening programs for early detection of oral lesions have been conducted. Therefore, the objective of this research was to carry out an active search in a screening program in the city of Piracicaba, Brazil. High-risk patients were identified at the city’s health center through their medical records and referred for dental consultation. Other patients who opportunistically sought dental care were also seen and if they did not present risk factors for SCC, they were considered low-risk. A total of 756 patients were examined, and 445 met the criteria for the high-risk group and 311 for the low-risk group. It was possible to diagnose 27 OPMDs and six SCCs – 21 OPMDs and six SCCs occurred in high-risk patients and six OPMDs in low-risk patients. A chi-square test was applied and a statistically significant value (p = 0.006) was obtained for the detection of OPMD and SCC in patients of the high-risk group. Screening of high-risk patients through active search proved to be an effective program for diagnosing OPMD and SCC. Therefore, we encourage its implementation on a large scale to reduce the current scenario of this disease.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0015

Educação física no ensino médio daEducação de Jovens e Adultos: (im) possibilidades pedagógicas sobre o corpo
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Balaguer, Clarissa Gimenes

; Silva, Alan Camargo

; Silva, Gustavo da Motta

; Lüdorf, Sílvia Maria Agatti

Educação e Pesquisa

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2023, Volume 49 elocation e254083

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

Abstract The study aimed to understand the perceptions of students of Youth and Adult Education about the body and how the Physical Education contemplates the pedagogical approaches on the theme. The empirical material consisted of observations and semi-structured interviews with 13 high school students of Youth and Adult Education at a state school located in the west of the city of Rio de Janeiro. It was found that the students perceive the importance of taking care of themselves, however the lack of time and the limited financial resources compromise the concern with their own bodies. In addition, it was possible to identify a lack of debates related to the body in Physical Education classes. High school students in Youth and Adult Education at this school appeared not to have been stimulated to think about body-related issues so far. Themes related to the body seem distant from the daily reality of these students. Such data contribute not only to (re) think the particularity of pedagogical intervention in Physical Education, but also reveal the extent to which the socio-cultural context crosses issues related to the body, which can guide the teaching profession of this and other disciplines in this modality of education.

Resumo Este estudo teve como objetivo compreender as percepções dos alunos da Educação de Jovens e Adultos (EJA) sobre o corpo e como a disciplina de educação física contempla as abordagens pedagógicas acerca do tema. O material empírico é constituído por observações e entrevistas semiestruturadas realizadas com treze alunos do ensino médio da EJA de uma escola estadual localizada na zona oeste da cidade do Rio de Janeiro. Detectou-se que os discentes percebem a importância de cuidar de si, porém a falta de tempo e a limitação de recursos financeiros comprometem a preocupação com o próprio corpo. Além disso, foi possível identificar uma carência de debates relacionados ao corpo nas aulas de educação física. Os alunos do ensino médio da EJA desta escola aparentavam não terem sido estimulados a pensar sobre assuntos relacionados ao corpo até o momento, e temas relacionados ao corpo pareceram distantes da realidade cotidiana desses discentes. Tais dados contribuem não somente para (re)pensar a particularidade da intervenção pedagógica em educação física, como também revelam até que ponto o contexto sociocultural atravessa as questões relacionadas ao corpo, o que pode nortear o ofício docente dessa e de outras disciplinas nessa modalidade de ensino.

https://doi.org/10.1590/s1678-4634202349254083

10.

Práticas corporais e o tratamento interdisciplinar de pessoas com fibromialgia: a dádiva do cuidado
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Oliveira, Leonardo Hernandes de Souza

; Silva, Alan Camargo

; Santo, Wecisley Ribeiro do Espírito

; Mattos, Rafael da Silva

Saúde e Sociedade

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2023, Volume 32 Nº 4 elocation e210849pt

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

https://doi.org/10.1590/s0104-12902023210849pt

11.

Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
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LOUREDO, Brendo Vinicius Rodrigues

; CURADO, Maria Paula

; PENAFORT, Paulo Victor Mendes

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; MESQUITA, Ricardo Alves

; PINTO-JÚNIOR, Décio dos Santos

; ABRAHÃO, Aline Corrêa

; ANDRADE, Bruno Augusto Benevenuto de

; AGOSTINI, Michelle

; MORAES, Renata Mendonça

; ANBINDER, Ana Lia

; DOURADO, Pedro Henrique Silva

; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos

; PIRES, Fábio Ramoa

; BORDIGNON, Natalia Cristina Trentin

; GONDAK, Rogério Oliveira

; DE OLIVEIRA, Marcia Gaiger

; CARRARD, Vinicius Coelho

; MARTINS, Manoela Domingues

; SOUSA-NETO, Sebastião Silvério

; ARANTES, Diego Antônio Costa

; MENDONÇA, Elismauro Francisco

; CIESLAK-SANCHES, Silvia Roberta

; ANTUNES, Daniella Moraes

; AMARAL-SILVA, Gleyson Kleber do

; MANIERI, Patricia Rubia

; RAMALHO, Luciana Maria Pedreira

; DOS SANTOS, Jean Nunes

; LEONEL, Augusto César Leal da Silva

; PEREZ, Danyel Elias da Cruz

; VERHEUL, Hannah Carmem Carlos Ribeiro Silva

; BARROSO, Keila Martha Amorim

; RODRIGUES, Flávia Luiza Santos

; GONZAGA, Amanda Katarinny Goes

; FERNANDES, Romana Renery

; DE SOUZA, Lélia Batista

; SOUZA, Lucas Lacerda de

; PONTES, Flávia Sirotheau Corrêa

; PONTES, Hélder Antônio Rebelo

; SILVA, Caroline Alfaia

; CÂMARA, Jeconias

; LIBÓRIO-KIMURA, Tatiana Nayara

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ALMEIDA, Oslei Paes de

; ROMAÑACH, Mário José

; VARGAS, Pablo Agustin

Brazilian Oral Research

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2023, Volume 37 elocation e126

Resumo: En | Texto: En | PDF: En

Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0126

12.

PRIMARY TOTAL HIP ARTHROPLASTIES UNDER BRAZILIAN PUBLIC HEALTH SYSTEM (2012-2021)
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Torres Filho, Tarcísio Marconi Novaes

; Martins, Brenna Kathleen

; Silva, Alan Almeida da

; Assunção, Carlos Alberto Almeida de

; Mattos, Enilton de Santana Ribeiro de

; Guedes, Alex

Acta Ortopédica Brasileira

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2023, Volume 31 Nº spe3 elocation e268117

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

ABSTRACT Objectives: To describe the regional distribution of hospital admission authorizations (HAA), hospitalization costs (HC), the average length of stay (LOS), and mortality rates (MR) related to primary total hip arthroplasties (THA) funded by the Brazilian Health Unic System (SUS) from 2012 to 2021. Methods: Descriptive cross-sectional study using secondary data of public domain obtained from the Department of Informatics of SUS (DATASUS) database website. Results: A total of 125,463 HAA were released with HC of 552,218,181.04 BRL in the evaluated period. The average LOS was of 6.8 days. MR was 1.62%. Conclusion: The regional distribution of HAA was 65,756 (52%) in the Southeast; 33,837 (27%) in the South; 14,882 (12%) in the Northeast; 9,364 (8%) in Midwest; and 1,624 (1%) in North - in 2020 there was a sharp decrease of the released HAA, probably due to the COVID-19 pandemic. HC was 293,474,673.20 BRL in the Southeast; 144,794,843.11 BRL in the South; 61,751,644.36 BRL in the Northeast; 45,724,353.80 BRL in the Midwest; and 6,472,666.57 BRL in the North. The average LOS was 6.7 in the Southeast; 5.3 in the South; 9.2 in the Northeast; 7.6 in the Midwest; and, 13.6 in the North. MR was as follows: Southeast=1.88%; South=1.07%; Northeast=1.83%; Midwest=1.44%; and North=1.47%. Evidence Level III; Retrospective Comparative Study .

RESUMO Objetivos: Descrever a distribuição regional das autorizações de internação hospitalar (AIH), custos de internação (CI), tempo médio de permanência (TMP) e taxa de mortalidade (TM) relacionados às artroplastias totais de quadril (ATQ) primárias financiadas pelo Sistema Único de Saúde (SUS) de 2012 a 2021. Métodos: Estudo transversal descritivo utilizando dados secundários de domínio público obtidos no site do banco de dados do Departamento de Informática do SUS (DATASUS). Resultados: Foram liberadas 125.463 AIH com CI de R$ 552.218.181,04 no período avaliado. O TMP foi de 6,8 dias. A TM foi de 1,62%. Conclusões: A distribuição regional de AIH foi de 65.756 (52%) no Sudeste; 33.837 (27%) no Sul; 14.882 (12%) no Nordeste; 9.364 (8%) no Centro-Oeste; e, 1.624 (1%) no Norte - em 2020 houve queda acentuada das AIH liberadas, provavelmente devido à pandemia COVID-19. Os CI foram de R$ 293.474.673,20 no Sudeste; R$ 144.794.843,11 no Sul; R$ 61.751.644,36 no Nordeste; R$ 45.724.353,80 no Centro-Oeste; e R$ 6.472.666,57 no Norte. O TMP foi de 6,7 no Sudeste; 5,3 no Sul; 9,2 no Nordeste; 7,6 no Centro-Oeste; e 13,6 no Norte. A TM foi como se segue: Sudeste=1,88%; Sul=1,07%; Nordeste=1,83%; Centro-Oeste=1,44%; e, Norte=1,47%. Nível de Evidência III; Estudo Retrospectivo Comparativo .

https://doi.org/10.1590/1413-785220233103e268117

13.

Production and water relations of peanut irrigated with brackish water under pulse and continuous drip
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Silva, Alan H. S.

; Santos Júnior, José A.

; Silva, Manassés M. da

; Silva, Gerônimo F. da

; Cruz, Ruana I. F.

; Medeiros, Salomão de S.

; Freire, Martiliana M.

Revista Brasileira de Engenharia Agrícola e Ambiental

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Nov 2022, Volume 26 Nº 11 Páginas 789 - 796

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

RESUMO Um eficiente manejo da água na irrigação é fundamental para a otimização da eficiência hídrica, especialmente quando se utiliza águas salobras. Neste sentido, o presente estudo foi desenvolvido com o objetivo de avaliar as trocas gasosas, produção de vagens e grãos e o estado hídrico de plantas de amendoim sob níveis crescentes de salinidade (condutividade elétrica de 0,12; 1,6; 2,8; 4,0 e 5,2 dS m-1) e a aplicação da lâmina de irrigação via pulsos. O delineamento experimental adotado foi em blocos ao acaso, analisado em esquema fatorial 5 × 2 com quatro repetições, totalizando quarenta unidades experimentais. O experimento foi realizado em lisímetros de drenagem, na Universidade Federal Rural de Pernambuco, em campo aberto, entre os meses de setembro a novembro de 2019. O uso de pulsos de irrigação não mitigou o efeito deletério da salinidade, mas proporcionou maior produção de grãos e vagens em relação ao gotejo contínuo. A aplicação de águas salobras via gotejamento por pulsos proporcionou maior eficiência de uso da água em relação ao gotejo contínuo e o aumento da condutividade elétrica da água reduziu os potenciais hídrico, de pressão e osmótico, bem como no ajustamento osmótico.

ABSTRACT An efficient water management in irrigation is essential to optimize water efficiency, especially when using brackish water. Thus, the present study was carried out aiming to analyze gas exchanges, pod production, and the water status of peanut plants under increasing levels of salinity (electrical conductivity of 0.12, 1.6, 2.8, 4.0, and 5.2 dS m-1) and the application of the irrigation depth via pulses. A randomized block design in a 5 × 2 factorial scheme was used with four replications, adding up to forty experimental units. The experiment was carried out in drainage lysimeters, at the Federal Rural University of Pernambuco, in open fields from September to November 2019. It was concluded that the use of pulse drip irrigation did not mitigate the deleterious effect of salinity but promoted higher grain and pod production compared to continuous drip irrigation. It was also found that the use of brackish water via pulse drip irrigation promotes greater water use efficiency compared to continuous drip irrigation, and that the increase in the electrical conductivity of the water reduced the water, pressure, and osmotic potentials, along with the osmotic adjustment.

https://doi.org/10.1590/1807-1929/agriambi.v26n11p789-796

14.

Development of freeze-dried products with frog meat for special diets: microbiological and sensory traits
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Andrade, Maria de Lourdes Agostinho de

; Seixas Filho, José Teixeira de

; Rodrigues, Eliane

; Pereira, Marcelo Maia

; Silva, Alan Custódio da

; Mello, Sílvia Conceição Reis Pereira

Revista Ciência Agronômica

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2022, Volume 53 elocation e20207474

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

RESUMO A carne de rã apresenta alto valor nutricional, e pode ser utilizada por crianças que apresentem intolerância alimentar e idosos na prevenção da osteoporose e hipertensão. Neste estudo foram desenvolvidas diferentes métodos de preparo de sopas instantâneas usando carne de rã temperada e desfiada acrescida de legumes, prontas para consumo, após reidratação e também desenvolvidos métodos de preparo da carne de rã, desfiada, temperada e desidratada para utilização no preparo de sopas. Na realização dos testes sensoriais foram considerados quatro métodos de preparo: M1 - Liofilização da sopa após preparo com carne do dorso da rã temperada e legumes, M2 - Liofilização da sopa após preparo com carne da coxa da rã temperada e legumes; M3 - Sopa preparada com carne temperada e liofilizada do dorso da rã e adição de legumes; e M4 - Sopa preparada com carne temperada e liofilizada da coxa da rã e adição de legumes As sopas liofilizadas em pó e as carnes temperadas e liofilizadas utilizadas no preparo das sopas foram submetidas a análises microbiológicas: contagem de coliformes termotolerantes e Bacillus cereus; identificação de Staphylococcus coagulase positiva; isolamento e identificação de Salmonella spp. Os resultados das análises microbiológicas evidenciaram que todas as amostras atenderam o estabelecidos pela Agência Nacional de Vigilância Sanitária do Brasil para carne de rã, pescado seco e mistura em pó para produtos instantâneos. Os resultados do teste de aceitação indicaram que todas as sopas foram aceitas em relação a impressão global e intenção de consumo, apesar da M3 ter sido estatisticamente a menos aceita (P < 0,05). O teste de comparação pareada não indicou uma amostra preferida (P > 0,05). A disponibilidade de produtos semi-prontos de qualidade facilitará e ampliará o consumo promovendo o crescimento da indústria e do setor produtivo, tornando a ranicultura mais atraente e competitiva.

ABSTRACT Frog meat has high nutritional value and can be used by children with food intolerances and by the elderly to prevent osteoporosis and arterial hypertension. In this study, we developed different instant-soup preparation methods using seasoned and shredded frog meat with vegetables ready for consumption after rehydration; as well as preparation methods for shredded, seasoned and dehydrated frog meat for use in the preparation of soups. Four preparation methods were considered in the sensory tests: M1 - Freeze-drying of the soup after preparation with seasoned frog back meat plus vegetables, M2 - Freeze-drying of the soup after preparation with seasoned frog leg meat plus vegetables; M3 Soup prepared with freeze-dried seasoned frog back meat plus vegetables; and M4 - Soup prepared with freeze-dried seasoned frog leg meat plus vegetables. The freeze-dried powdered soups and the freeze-dried seasoned meats used in the preparation of the soups were subjected to the following microbiological analyses: count of thermotolerant coliforms andBacillus cereus; identification of coagulase-positive Staphylococcus; and isolation and identification ofSalmonella spp. The results of microbiological analyses showed that all samples met the standards established by the National Health Surveillance Agency of Brazil for frog meat, dried food fish and powder mixtures for instant products. The results of the acceptance test revealed that all soups were accepted in terms of overall impression and purchase intention, although M3 was statistically the least accepted (P < 0.05). The paired-comparison test did not indicate a preferred sample (P > 0.05). The availability of quality semi-prepared products will facilitate and expand frog meat consumption and marketing, promoting both the growth of the industry and the production sector and rendering frog farming more attractive and competitive.

https://doi.org/10.5935/1806-6690.20220013

15.

The need for communication between clinicians and pathologists in the context of oral and maxillofacial diseases
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PÉREZ-DE-OLIVEIRA, Maria Eduarda

; HEERDEN, Willie van

; MOTTA, Ana Carolina Fragoso

; RODRIGUES-FERNANDES, Carla Isabelly

; ROMAÑACH, Mário José

; AGOSTINI, Michelle

; GUEIROS, Luiz Alcino Monteiro

; VARGAS, Pablo Agustin

; LOPES, Márcio Ajudarte

; RIBEIRO, Ana Carolina Prado

; BRANDÃO, Thaís Bianca

; ALMEIDA, Oslei Paes de

; KHURRAM, Syed Ali

; SANTOS-SILVA, Alan Roger

Brazilian Oral Research

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2022, Volume 36 elocation e008

Resumo: En | Texto: En | PDF: En

Abstract Good communication between clinicians and pathologists is a vital element in the diagnostic process, and poor communication can adversely affect patient care. There is a lack of research about communication in diagnostic oral and maxillofacial pathology. This narrative review explores different aspects of the quality of communication between clinicians and oral pathologists, with a focus on the diagnosis of oral and maxillofacial diseases. An electronic search was carried out in MEDLINE through the PubMed, Scopus, and Embase databases up to April 2021. No studies reporting communication, its adequacy or the required skills between clinicians and pathologists in oral diagnosis were found. According to studies published in medicine, strategies for improving communication skills include clinician-pathologist collaboration; a well-formatted, clear and thorough report; training in communication skills; and patient-centered care. Further studies evaluating the current practices and quality in oral and maxillofacial pathology are required to identify barriers and encourage optimal communication to facilitate diagnosis, as well as patient safety.

https://doi.org/10.1590/1807-3107bor-2022.vol36.0008

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