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ABSTRACT: This research evaluated different rice genotypes regarding physicochemical and instrumental parameters of grain quality and associated the data with sensory analysis to support the creation of rules for classification of the culinary quality of rice (texture), based on isolated or combined parameters. The combination of amylose content and gelatinization temperature was able to predict the rice quality. According to the sensorial panel, the instrumental stickiness was able to segregate rice with very low amylose content or waxy to the other ones. Regarding pasting properties, rice that presented high final viscosity (310-480 RVU), setback (165-245 RVU), and pasting temperature (78 - 88 °C), and low values for breakdown (15-120 RVU), associated with a high stickiness (>-5N) was desirable by the Brazilian consumers. The classification rules created through the relationship between the physicochemical parameters and the texture profile evaluated by the sensory panel will help to verify the culinary profile of the rice samples (through free software), which makes it easier to predict the probability of rice meeting the desired quality standards.

RESUMO: Este trabalho avaliou diferentes genótipos de arroz quanto a parâmetros físico-químicos e instrumentais de qualidade do grão e associou os dados à análise sensorial para subsidiar a criação de regras de classificação da qualidade culinária do arroz (textura), com base em parâmetros isolados ou combinados. A combinação do teor de amilose e temperatura de gelatinização foi capaz de predizer a qualidade do arroz. De acordo com o painel sensorial, a pegajosidade instrumental foi capaz de segregar arroz com baixo teor de amilose ou ceroso dos demais. Em relação às propriedades de pasta, o arroz que apresentou alta viscosidade final (310-480RVU), retrogradação (165-245RVU) e temperatura de pasta (78-88 °C) e baixos valores de quebra pasta (15-120RVU), associados a uma alta pegajosidade (> -5N) será desejável pelos consumidores brasileiros. As regras de classificação criadas por meio da relação entre os parâmetros físico-químicos e o perfil de textura avaliado pelo painel sensorial ajudarão a verificar o perfil culinário das amostras de arroz (por meio de um software livre), o que torna mais fácil prever a probabilidade de o arroz atender aos padrões de qualidade desejados.

https://doi.org/10.1590/0103-8478cr20230327

Influential parameters in the shear strength of RC beams without stirrups
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Leme, Guilherme Frank

; Liberati, Elyson Andrew Pozo

; Marques, Marília Gonçalves

; Trautwein, Leandro Mouta

; Almeida, Luiz Carlos de

Revista IBRACON de Estruturas e Materiais

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2023, Volume 16 Nº 4 elocation e16406

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

resumo: Investigações experimentais têm sido comumente usadas para melhorar o conhecimento existente sobre o projeto estrutural, apresentando conclusões precisas sobre o comportamento da estrutura. No entanto, considerando as limitações dos estudos experimentais, como quantidade restrita de extensômetros, patologias inesperadas, dificuldades de previsão do correto posicionamento das fissuras ou simples economia de custos, o uso da análise numérica pode apresentar algumas abordagens inovadoras para a compreensão do processo de falha em elementos de concreto, apresentando resultados mais fáceis onde programas experimentais dificilmente podem relatar. Este estudo apresenta a análise numérica de oito vigas experimentadas por Sherwood [26], com dois tamanhos diferentes e agregados de tamanhos variados, buscando-se entender a influência do tamanho do agregado na resistência ao cisalhamento de vigas sem estribos. A abordagem numérica foi usada para avaliar a influência de cada mecanismo de cisalhamento interno e para identificar a quantidade específica de força de pino, transferência de cisalhamento na zona de compressão não fissurada e a parcela de intertravamento de agregados. Os resultados mostraram que resultados razoáveis podem ser obtidos por abordagens de fissuras distribuídas 2D, permitindo a identificação da maior porção de intertravamento do agregado em vigas com maiores tamanhos de agregado graúdo. A comparação do efeito de escala em vigas permitiu concluir que uma maior contribuição do intertravamento de agregados pode ser obtida em vigas grandes, com quase 64% da contribuição total, enquanto as vigas menores tiveram apenas 43%. Os resultados de Sherwood [26] foram comparados com as normas Model Code [23], CSA-A.23.3 [24], NBR 6118 [38] e ACI 318 [39] para avaliar a precisão das normas estudadas. Com relação a previsão da ruptura dos elementos por meio dos mecanismos internos do concreto, as instruções normativas Model Code [23] e CSA A.23.3 [24] resultaram valores mais precisos.

abstract: Experimental investigations have been commonly used to improve the existing knowledge about structural design, presenting accurate conclusions regarding structure behavior. However, considering the limitations of experimental studies, such as restricted amount of strain gauges, unexpected pathologies, difficulties to foresee the correct position of cracks, or simply saving in costs, the use of numerical analysis can present some innovative approaches to understand the process of failure in concrete elements, presenting easier results where experimental programs can hardly report. This study presents the numerical analysis of eight beams experimented by Sherwood [26], with two different sizes and variable aggregate sizes, seeking to understand the influence of coarse aggregate size in shear strength of beams without stirrups. The numerical approach was used to derive the influence of each internal shear mechanism and to identify the specific amount of dowel force, shear transfer by uncracked compression zone and aggregate interlock portion. The results showed that fair results can be obtained by 2D smeared crack approaches, enabling the identification of major aggregate interlock portion in beams with bigger coarse aggregate sizes. Comparing the size effect in beams allowed us to conclude that a higher contribution of aggregate interlock contribution can be obtained in large beams, with almost 64% of the total contribution, whereas smaller beams had only 43%. To evaluate the accuracy of the studied mechanisms, the results of Sherwood [26] were compared with the standards Model Code [23], CSA-A.23.3 [24], NBR 6118 [38], and ACI 318 [39]. Regarding the prediction of element rupture by concrete internal mechanisms, the normative instructions Model Code [23] and CSA A.23.3 [24] were the closest to the experimental results.

https://doi.org/10.1590/s1983-41952023000400006

Malaria and environmental, socioeconomics and public health conditions in the municipality of São Félix do Xingu, Pará, Eastern Amazon, Brazil: An ecological and cross-sectional study
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Gonçalves, Nelson Veiga

; Souza, Bruna Costa de

; Araújo, Marília de Souza

; Morais, Emerson Cordeiro

; Melo, Bruma Gouveia de

; Brito, Silvana Rossy de

; Carrera, Maria de Fátima Pinheiro

; Costa, Simone Beverly Nascimento da

; Alves, Taiana Moita Koury

; Bastos, Thalita da Rocha

; Melo Neto, João Simão de

; Miranda, Claudia do Socorro Carvalho

Revista da Sociedade Brasileira de Medicina Tropical

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2023, Volume 56 elocation e0502-2022

Resumo: En | Texto: En | PDF: En

ABSTRACT Background: Malaria is a parasitosis conditioned by several factors. This study sought to analyze the spatial distribution of malaria considering environmental, socioeconomic, and political variables in São Félix do Xingu, Pará, Brazil, from 2014 to 2020. Methods: Epidemiological, cartographic, and environmental data were obtained from the Ministry of Health, Brazilian Geographical and Statistical Institute, and National Space Research Institute. Statistical and spatial distribution analyses were performed using chi-squared tests of expected equal proportions and the kernel and bivariate global Moran’s techniques with Bioestat 5.0 and ArcGIS 10.5.1. Results: The highest percentage of cases occurred in adult males with brown skin color, mainly placer miners, with a primary education level, living in rural areas, who were infected with Plasmodium vivax and with parasitemia of two or three crosses as diagnosed by the thick drop/smear test. The disease had a non-homogeneous distribution, with distinct annual parasite indices associated with administrative districts and clusters of cases in locations with deforestation, mining, and pastures close to Conservation Units and Indigenous Lands. Thus, a direct relationship between areas with cases and environmental degradation associated with land use was demonstrated, along with the precarious availability of health services. Pressure on protected areas and epidemiological silence in Indigenous Lands were also noted. Conclusions: Environmental and socioeconomic circuits were identified for development of diseases associated with precarious health services in the municipality. These findings highlight the need to intensify malaria surveillance and contribute to the systematic knowledge of malaria’s epidemiology by considering the complexity of its conditioning factors.

https://doi.org/10.1590/0037-8682-0502-2022

A case of canine visceral leishmaniasis of unknown origin in Curitiba (state of Paraná, Brazil) treated successfully with miltefosine
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Gonçalves, Gustavo

; Campos, Monique Paiva

; Tirado, Thais Cristina

; Negrão, Dayane Domingos

; Silva, Gabriela Mayoral Pedroso da

; Poleto, Ana Paula Coninck Mafra

; Hartin, Tatianna Paula

; Silva, Juliana Batista Andrade

; Castilhos, Marilia de Melo Santos de

; Figueiredo, Fabiano Borges

Revista Brasileira de Parasitologia Veterinária

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2023, Volume 32 Nº 2 elocation e001123

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

Abstract There are no records of autochthonous cases of canine visceral leishmaniasis in the city of Curitiba, Paraná state, Brazil. In 2020, a male French bulldog (CW01), approximately 2 years old was taken by its owners to a private veterinarian clinic. The suspicion of CVL was confirmed by means of a serology test (ELISA/IFAT reagent), rapid chromatographic immunoassay (DPP®) (ELISA - Biomanguinhos®), parasitological culture and quantitative polymerase chain reaction (qPCR). The animal routinely frequented parks in Curitiba and was taken on several trips to the municipalities of Bombinhas and Balneário Camboriú (Santa Catarina) and to Matinhos (Paraná) where CVL had not previously been reported. Treatment was initiated orally with Milteforan™ which resulted in a significant reduction in the parasitic load. The suspicion of autochthony was investigated through entomological research. A total of 10 traps were installed, one at the animal’s home, seven in adjacent city blocks and two in a forest edge. No sandflies were trapped in the dog’s home and adjacent houses. The traps in the forest edge caught one Migonemyia migonei female and five Brumptomyia spp. females. This case serves as a warning of the possible introduction of CVL in the city of Curitiba.

Resumo Não há registros de casos autóctones de leishmaniose visceral canina (LVC) no município de Curitiba, Paraná, Brasil. Em 2020, um "bulldog" francês macho (CW01), com aproximadamente 2 anos de idade, foi levado por seus donos a uma clínica veterinária particular. A suspeita de LVC foi confirmada por meio de teste sorológico (reagente ELISA/IFAT), imunoensaio cromatográfico rápido (DPP®) (ELISA - Biomanguinhos®), cultura parasitológica e reação quantitativa em cadeia da polimerase (qPCR). O animal frequentava, rotineiramente, parques de Curitiba e foi levado em diversas viagens para Bombinhas e Balneário Camboriú (Santa Catarina) e para Matinhos (Paraná), onde a LVC não havia sido relatada anteriormente. O tratamento foi iniciado por via oral com Milteforan™ (Virbac) o que resultou em redução significativa da carga parasitária. A suspeita de autóctone foi investigada por meio de pesquisa entomológica. Foram instaladas 10 armadilhas, uma na casa do animal, sete em quarteirões adjacentes e duas na borda da mata. Nenhum inseto foi capturado na casa do proprietário do animal e nas casas adjacentes. As armadilhas na borda da mata capturaram uma fêmea de Migonemyia migonei e cinco Brumptomyia spp. fêmeas. Este caso serve de alerta para a possível introdução da LVC na cidade de Curitiba.

https://doi.org/10.1590/s1984-29612023026

Birthweight, postnatal growth and blood pressure in adolescents of low socioeconomic condition: a cohort study in Northeast Brazil
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Oliveira, Marcelo de Santana

; Gonçalves, Fabiana Cristina Lima da Silva Pastich

; de Lira, Pedro Israel Cabral

; Nova Filho, Sidrack Lucas Vila

; Eickmann, Sophie Helena

; Lima, Marilia de Carvalho

Jornal de Pediatria

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2023, Volume 99 Nº 4 Páginas 391 - 398

Resumo: En | Texto: En | PDF: En

Abstract Objective To verify the influence of low birth weight and rapid postnatal weight gain and associated factors on blood pressure in adolescence in a population of low socioeconomic status, considering that injuries occur in the perinatal period can be predictors of future metabolic changes and are still poorly explored. Methods A cohort study was carried out with 208 adolescents, 78 born with low weight and 130 born with appropriate weight. The infants were followed up during the first six postnatal months and reassessed at 8 and 18 years of age. The independent variables were birthweight and postnatal weight gain. Rapid postnatal weight gain was defined when above 0.67 z score. The co-variables were sex, maternal height and family income at birth, nutritional status at eight years old, socioeconomic conditions, nutritional status, fat mass index, and physical activity level at 18 years. The outcome variable was blood pressure at 18 years old. The bivariate and multivariable logistic regression analysis were realized and p < 0,05 was considered significant. Results The proportion of adolescents with elevated blood pressure was 37.5%. The multivariable logistic regression analysis showed the variables independently associated with a higher chance of elevated blood pressure in adolescence were rapid postnatal weight gain (OR = 2.74; 95% CI 1.22-6.14; p= 0.014), male sex (OR = 4.15; 95% CI 1.66-10.38; p= 0.002) and being physically active (OR = 2.70; 95% CI 1.08-6.74; p= 0.034). Conclusions The rapid postnatal weight gain was a predictor for elevated blood pressure in adolescence, independently of other factors.

https://doi.org/10.1016/j.jped.2023.01.003

Genetic parameters considering traits of importance for cassava biofortification
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Santos, Vanderlei da Silva

; Fukuda, Wânia Maria Gonçalves

; Oliveira, Luciana Alves de

; Pereira, Marcio Eduardo Canto

; Nuti, Marilia Regini

; Carvalho, José Luiz Viana de

; Pereira, Helcio Duarte

Crop Breeding and Applied Biotechnology

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2023, Volume 23 Nº 2 elocation e447923211

Resumo: En | Texto: En | PDF: En

Abstract Twenty six sweet cassava clones were evaluated in two agricultural years, in randomized block design, with 3 replications and plots with 25 plants. The harvests were at 12 months after planting, in both years. The traits evaluated were root yield (RY), dry matter content (DMC), total carotenoids content (TC), β-carotene content (BC), trans-β-carotene content (TrBC) and total cyanide content (TCy). Genotype was significant (P<0.05) in all traits. Broad-sense heritability estimates at the plot level ( h m g 2 ) ranged from 77% (RY) to 93% (TC and TrBC), while the accuracy ranged from 0.88 (RY) to 0.96 (BC and TrBC). The genetic correlations among TC, BC and TrBC were high (0.96 to 0.99) and significant, and the genetic correlations involving these traits and TCy were negative. These results demonstrate the existence of great genetic variability in characteristics important to cassava biofortification and, consequently, great perspectives in the breeding for this purpose.

https://doi.org/10.1590/1984-70332023v23n2a23

Consensus on the therapeutic management of atopic dermatitis ‒ Brazilian Society of Dermatology: an update on phototherapy and systemic therapy using e-Delphi technique
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Orfali, Raquel Leao

; Lorenzini, Daniel

; Bressan, Aline

; Tanaka, Anber Ancel

; Cerqueira, Ana Maria Mósca de

; Hirayama, André da Silva

; Ramos, Andréa Machado Coelho

; Proença, Carolina Contin

; Silva, Claudia Marcia de Resende

; Laczynski, Cristina Marta Maria

; Carneiro, Francisca Regina

; Duarte, Gleison

; Hans Filho, Gunter

; Gonçalves, Heitor de Sá

; Melo, Ligia Pessoa de

; Azulay-Abulafia, Luna

; Weber, Magda Blessmann

; Rivitti-Machado, Maria Cecília

; Zaniboni, Mariana Colombini

; Ogawa, Marília

; Pires, Mario Cezar

; Ianhez, Mayra

; Felix, Paulo Antonio Oldani

; Bonamigo, Renan

; Takaoka, Roberto

; Lazzarini, Rosana

; Cestari, Silmara

; Mayor, Silvia Assumpção Soutto

; Cestari, Tania

; Oliveira, Zilda Najjar Prado de

; Spuls, Phyllis I.

; Gerbens, Louise A.A.

; Aoki, Valeria

Anais Brasileiros de Dermatologia

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2023, Volume 98 Nº 6 Páginas 814 - 836

Resumo: En | Texto: En | PDF: En

Abstract This publication is an update of the “Consensus on the therapeutic management of atopic dermatitis - Brazilian Society of Dermatology” published in 2019, considering the novel, targeted-oriented systemic therapies for atopic dermatitis. The initial recommendations of the current consensus for systemic treatment of patients with atopic dermatitis were based on a recent review of scientific published data and a consensus was reached after voting. The Brazilian Society of Dermatology invited 31 experts from all regions of Brazil and 2 international experts on atopic dermatitis who fully contributed to the process. The methods included an e-Delphi study to avoid bias, a literature search and a final consensus meeting. The authors added novel approved drugs in Brazil and the indication for phototherapy and systemic therapy for AD. The therapeutical response to systemic treatment is hereby reported in a suitable form for clinical practice and is also part of this updated manuscript.

https://doi.org/10.1016/j.abd.2023.04.003

Risk management in civil construction: the contractor’s perceptions
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Schocair, Marília Medeiros

; Silva, Rodrigo Oliveira da

; Amara, Marcelo Gonçalves do

; Barra, Geraldo Magela Jardim

; Silveira, Rebecca Impelizieri Moura da

Revista de Administração da UFSM

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2023, Volume 16 Nº 3 elocation e9

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

ABSTRACT Purpose: This study seeks to understand how the managers of the civil construction industry perceive risk management in their projects and businesses based on a case study in the region of Volta Redonda-RJ. Design/methodology/approach: Primary data was collected through questionnaires and interviews. The primary quantitative data were analyzed using Paraconsistent Logic and presented with descriptive statistics. Findings: It was found that 87% of the sample did not go through any steps of the risk management process. For those that did, the steps were essentially intuitive and informal. Further, a distortion was observed on behalf of the managers regarding the understanding of what risk management is, what it is helpful for, and the difference between their projects and the business itself. Practical implications: Although not generalizable, the research results show a high appetite for risk on the part of contractors but a low willingness to absorb its effects. Originality/value: Studies that apply paraconsistent logic to understand builders’ perceptions of the importance of risk management are scarce in the literature. Also, there is little literature about the management aspects of this industry.

RESUMO Objetivo – Este estudo busca compreender como os gestores da construção civil percebem a gestão de riscos em seus projetos e negócios a partir de um estudo de caso na cidade de Volta Redonda-RJ. Método – Os dados foram coletados por meio de questionários e entrevistas. Os dados quantitativos primários foram analisados pela Lógica Paraconsistente e apresentados por meio de estatística descritiva. Resultados – Constatou-se que 87% da amostra não passou por nenhuma etapa do processo de gestão de riscos. Para aqueles que o fizeram, as etapas foram essencialmente intuitivas e informais. Além disso, observou-se uma distorção por parte dos gestores quanto ao entendimento do que é gestão de risco, para que serve e a diferença entre seus projetos e o próprio negócio. Implicações práticas – Apesar de não generalizáveis, os resultados da pesquisa mostram um alto apetite ao risco por parte dos construtores, mas baixa disponibilidade de absorção de seus efeitos. Originalidade – Estudos que aplicam Lógica Paraconsistente para entender a percepção dos construtores a respeito da importância da gestão de risco são escassos na literatura. Além disso, há pouca literatura sobre os aspectos de gestão desta indústria.

https://doi.org/10.5902/1983465969869

The trend of services provided by human milk banks between 2010 and 2019 in Brazil
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Carrijo, Dannyele Nunes

; Santos, Marília Neves

; Azevedo, Vivian Mara Gonçalves de Oliveira

; Rinaldi, Ana Elisa Madalena

Jornal de Pediatria

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Dez 2022, Volume 98 Nº 6 Páginas 572 - 578

Resumo: En | Texto: En | PDF: En

Abstract Objective: To describe the trend of participation in group and individual support by human milk banks (HMBs) provided between 2010 and 2019 in Brazil. Methods: Ecological study with data from participation in group and individual support provided by the HMBs between 2010 and 2019, available in the production report of the Brazilian Network of Human Milk Banks. The number of participation in group and individual support was expressed for Brazil and for Brazilian macroregions in absolute numbers. Trend analysis was performed from the analysis of index numbers, considering the year 2010 as a reference. It was calculated the ratio of the number of participation in group and individual support by HMBs for each macroregion and year. Results: There was an increase of 42% in participation in group support (300,595 in 2010 vs 425,570 in 2019) and an increase of 69% in individual support (1,157,038 in 2010 vs 1,962,162 in 2019). The North and Northeast macroregions had the highest growth rates in the provision of these services (122 and 131%, respectively), above the national growth rate in the study period. In contrast, the Midwest region showed a downward trend throughout this period, for both types of support. However, in the Midwest, there was a higher ratio of participation in groups by HMBs between 2010 and 2016 and for individual support by HMBs between 2010 and 2012. Conclusion: Individual and group support provided by the HMB as a strategy to support breastfeeding increased considerably in Brazil during the study period, especially in the North and Northeast regions.

https://doi.org/10.1016/j.jped.2022.02.006

10.

Botulism in the Brazilian Amazon: a life-threatening disease in a neglected population
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Oliveira, Louise Makarem

; Gonçalves, Daniel Buzaglo

; Cabral, Lucas de Cristo Rojas

; Bernardino, Marília Rosa Abtibol

; Feitoza, Pablo Vinícius Silveira

Arquivos de Neuro-Psiquiatria

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Dez 2022, Volume 80 Nº 12 Páginas 1227 - 1232

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

Abstract Background Botulism is a rare and potentially fatal neuroparalytic syndrome caused by the gram-positive anaerobe spore-forming bacteriumClostridium botulinum. The microorganism produces a neurotoxin that inhibits the presynaptic release of acetylcholine at the neuromuscular junction, clinically leading to a myasthenic syndrome. Objective To describe the recent outbreak of botulism cases and its demographic, clinical, and laboratory characteristics. Methods We report 4 patients with botulism in the recent outbreak occurred between 2017 and 2019 in the state of Amazon. Results Out of four patients with botulism, three contracted it from eating contaminated food and one had wound botulism. We emphasize the excellent clinical outcome of the different disease presentations in our case series. Conclusion The temporal proximity of these reports may suggest a new rise in the number of cases in the upcoming years. A possible hypothesis is that the rarity of the disease decreased the awareness regarding the primary prevention or even a diagnosis by an untrained physician.

Resumo Antecedentes O botulismo é uma síndrome neuroparalítica rara e potencialmente fatal causada pela bactéria anaeróbia gram-positiva formadora de esporosClostridium botulinum. O microrganismo produz uma neurotoxina que inibe a liberação pré-sináptica de acetilcolina na junção neuromuscular, levando clinicamente a uma síndrome miastênica. Objetivo Descrever o recente surto de casos de botulismo e suas características demográficas, clínicas e laboratoriais. Métodos Relatamos quatro pacientes com botulismo em surto recente ocorrido entre 2017 e 2019 no estado do Amazonas. Resultados Dos quatro pacientes com botulismo, três o contraíram devido ao consumo de alimento contaminado e um por ferimento. Enfatizamos o excelente resultado clínico das diferentes apresentações da doença em nossa série de casos. Conclusão A proximidade temporal dessas notificações pode sugerir um novo aumento no número de casos nos próximos anos. Uma possível hipótese é que a raridade da doença diminuiu a conscientização quanto à prevenção primária ou mesmo ao diagnóstico por médico destreinado.

https://doi.org/10.1055/s-0042-1758651

11.

Preenchimento do quesito raça/cor na identificação dos pacientes: aspectos da implementação em um hospital universitário
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Geraldo, Rafael Marques

; Oliveira, Júlio César de

; Alexandre, Larissa Sousa Cardoso

; Aguiar, Marília Ribeiro de Azevedo

; Vieira, Abna Faustina Sousa

; Germani, Ana Claudia Camargo Gonçalves

Ciência & Saúde Coletiva

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Out 2022, Volume 27 Nº 10 Páginas 3871 - 3880

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

Abstract Thirteen years after the publication of the National Policy for the Comprehensive Health of the Black Population (PNSIPN, Política Nacional da Saúde Integral da População Negra), filling out the race/skin color question in the patient identification form remains a challenge. Authors have focused on the need to integrate knowledge from the science of implementation into public policies. The aim of this article is to describe and analyze the implementation of the collection of the race/skin color item carried out by the professionals responsible for the registration of patients at a university hospital in the city of São Paulo. This was an exploratory and descriptive study, structured from three constructs of the Consolidated Framework for Implementation Research (CFIR): intervention, internal scenario and characteristics of individuals. Most records of race/skin color in the observed institution are made by heteroidentification. Based on the CFIR constructs, aspects identified as obstacles and facilitators are identified. The implementation of the collection of the race/skin color item by self-declaration, as provided for in the PNSIPN and in Ordinance n. 344/2017, is still incipient and depends mainly on organizational changes, which can favor its effectiveness.

Resumo Após 13 anos da publicação da Política Nacional da Saúde Integral da População Negra (PNSIPN), o preenchimento do quesito raça/cor na identificação de pacientes permanece um desafio. Autores têm se debruçado sobre a necessidade de integrar os conhecimentos da ciência da implementação às políticas públicas. O objetivo deste artigo é descrever e analisar a implementação da coleta do quesito raça/cor feito pelos profissionais responsáveis pelo registro dos pacientes num hospital universitário do município de São Paulo. Estudo exploratório e descritivo, estruturado a partir de três constructos do Consolidated Framework for Implementation Research (CFIR): intervenção, cenário interno e características dos indivíduos. Resultados: a maioria dos registros do quesito raça/cor na instituição observada é feita por heteroidentificação. A partir dos constructos do CFIR, são identificados aspectos apontados como obstáculos ou facilitadores. A implementação da coleta do quesito raça/cor por autodeclaração, como previsto na PNSIPN e na Portaria 344/2017, ainda é incipiente e depende de mudanças, sobretudo organizacionais, que favoreçam sua efetivação.

https://doi.org/10.1590/1413-812320222710.08822022

12.

Preenchimento do quesito raça/cor na identificação dos pacientes: aspectos da implementação em um hospital universitário
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Geraldo, Rafael Marques

; Oliveira, Júlio César de

; Alexandre, Larissa Sousa Cardoso

; Aguiar, Marília Ribeiro de Azevedo

; Vieira, Abna Faustina Sousa

; Germani, Ana Claudia Camargo Gonçalves

Ciência & Saúde Coletiva

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Out 2022, Volume 27 Nº 10 Páginas 3871 - 3880

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

https://doi.org/10.1590/1413-812320222710.08822022

13.

Anti-Zika Virus Effects, Placenta Protection and Chemical Composition of Passiflora edulis Seeds Ethanolic Extract
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Xavier, Jadriane A.

; Santos, Jaqueline C.

; Nova, Monique A. Vila

; Gonçalves, Camilla M.

; Borbely, Karen S. C.

; Pires, Keyla S. N.

; Santos, Flávia A. R. dos

; Valentim, Iara B.

; Barbosa, Júnia H. P.

; Silva, Felipe C. da

; Santos, Josué C. C.

; Pinho, Danielle R.

; Lopes, Norberto P.

; Borbely, Alexandre U.

; Goulart, Marília O. F.

Journal of the Brazilian Chemical Society

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Jul 2022, Volume 33 Nº 7 Páginas 701 - 714

Resumo: En | Texto: En | PDF: En

Various beneficial biological activities have been reported for passion fruit (Passiflora edulis), grown in tropical and subtropical regions. However, no study has yet demonstrated its action against the Zika virus (ZIKV) infection. The present study aimed to investigate the anti-ZIKV of the ethanolic passion fruit seed extract (PFSE), from which, liquid chromatography tandem mass spectrometry (LC-MS/MS) analysis allowed to putatively annotate the occurrence of piceatannol, astringin, scirpusin A, scirpusin B, isookanin-7-O-glucoside and naringenin-7-O-glucoside, two quadranguloside derivatives, tyrosine, and phenylalanine. PFSE is well tolerated by cell lines (Vero E6 and HTR-8/SVneo) and tissue explants from the human placenta. With 1- and 24-h treatments, PFSE consistently reduced the viral load and NS1 protein expression of the two strains of ZIKV (MR766 and PE243) in placental explants and cell lines. Thus, PFSE has a promising potential for developing anti-ZIKV treatments, protecting the placenta against infection caused by ZIKV, along with relevant antioxidant potential, represented by ferric reducing antioxidant power (FRAP) of 390.5 Trolox eq per g dry extract and half maximal inhibitory concentration (IC50) for 2,2-diphenyl-1-picrylhydrazyl radical (DPPH•) of 12.1 µg mL-1, and more than 90% protection from lipid peroxidation. Although further studies need to be conducted, PFSE treatment was safe and effective in trophoblast cells and placental explants, thus representing a promising class of all-accessible products based on the reuse of industrial by-products.

https://doi.org/10.21577/0103-5053.20220003

14.

Knowledge of and adherence to standard precautions in a hemodialysis unit: a cross-sectional study
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Medeiros, Laura Prado

; Miranda, Kamila Silva de

; Gonçalves, Thayna Martins

; Rodrigues, Deusdélia Dias Magalhães

; Hiraki, Karen Renata Nakamura

; Valim, Marilia Duarte

; Taminato, Monica

; Morais, Richarlisson Borges de

Sao Paulo Medical Journal

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Fev 2022, Volume 140 Nº 2 Páginas 297 - 304

Resumo: En | Texto: En | PDF: En

Abstract BACKGROUND: Standard precautions (SPs) are recommended safety measures for healthcare professionals to follow, with a view to preventing healthcare-related infections (HCRIs) and for their own protection. Inadequate adherence to these measures can lead to occurrences of occupational accidents and HCRIs. OBJECTIVES: To ascertain the knowledge of and adherence to SP measures among the nursing staff of a hemodialysis service and the relationship of these variables to occurrences of work accidents with biological material. DESIGN AND SETTING: Descriptive cross-sectional and correlational study with a quantitative approach developed in a hemodialysis clinic in Minas Gerais. METHODS: Data were collected through sociodemographic questionnaires and questionnaires on knowledge of and adherence to SPs. RESULTS: 29 professionals participated in the study. It is noteworthy that all of them had already participated in training related to SPs. However, no relationship was identified between knowledge of (15.17 points) and adherence to (71.86 points) SPs. In addition, inferential analysis showed that there was a relationship between suffering a work accident with biological material and the sociodemographic data and knowledge of and adherence to standard precautions. CONCLUSION: Knowledge of the SPs that had been established did not mean mastery of the subject. Despite positive results regarding adherence, factors requiring improvement were observed. It was possible to infer the characteristics that gave rise to greater risk of occurrences of accidents at work. Thus, this study showed the importance of assessing knowledge of and adherence to SP, in order to optimize and direct continuing education towards resolving occupational exposure.

https://doi.org/10.1590/1516-3180.2021.0288.23072021

15.

Flipped classroom for learning clinical examination
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Patriota, Rodrigo de Lemos Soares

; Frias, Luísa Gonçalves de

; Silton, Guilherme Afonso Ferreira Coelho

; Silva, Marília Araújo da

; Duque, Taciana Barbosa

; Lorena, Suélem Barros de

Revista Brasileira de Educação Médica

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2022, Volume 46 Nº 1 elocation e010

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

Resumo: Introdução: A sala de aula invertida (SAI) é uma metodologia ativa de aprendizagem caracterizada pelo envio antecipado de materiais didáticos aos estudantes, de modo que o momento sala de aula seja inteiramente dedicado a atividades não expositivas. A SAI foi implementada em 2019 para aprendizagem do exame clínico (EC) de alunos da graduação de Medicina em uma instituição de ensino superior da Região Nordeste do Brasil. Objetivo: Este estudo teve como objetivo analisar a implantação da SAI na aprendizagem do EC comparando com a metodologia de miniexposição seguida de prática. Método: Trata-se de análise de intervenção educacional com controle histórico sobre a implantação da metodologia da SAI realizada em três fases. Na primeira, os dois tutores envolvidos na implantação ou que atuaram como docentes foram avaliados por meio de entrevista semiestruturada sobre o processo de implantação da SAI e seu funcionamento inicial. A segunda fase foi a avaliação de 44 estudantes de Medicina, por meio de questionário Likert, sobre a aprendizagem com a nova metodologia. A terceira consistiu na avaliação das notas obtidas por 66 estudantes que vivenciaram o aprendizado com SAI em relação aos 142 discentes que vivenciaram a metodologia anterior. Resultado: Os tutores avaliados conheciam pouco sobre a metodologia antes da implantação e acreditam que sua implantação promoveu ganhos, como uma maior dedicação dos estudantes ao estudo individual. A dificuldade inicial decorreu da elaboração de um extenso banco de questões para o pré-teste que era realizado no início dos momentos presenciais. Os estudantes avaliados relataram que estavam bem adaptados e que concordavam com os benefícios da SAI, como: sentir-se estimulado a estudar, desenvolver a prática com mais facilidade e a presença dos pré-testes que ajudam a aprimorar o estudo individual. Os resultados da comparação das notas mostraram um aumento significativo no desempenho ao compararem os estudantes que vivenciaram a SAI (9,11 - DP 0,45) com os que vivenciaram a metodologia anterior (8,49 - DP 0,91). Conclusão: A metodologia foi implantada de maneira satisfatória, promoveu ganhos na aprendizagem e otimizou o momento presencial para ser totalmente dedicado à aprendizagem prática.

Abstract: Introduction: Flipped Classroom (FC) is an Active Learning Methodology characterized by the sending of teaching materials to students in advance, so that the classroom moment is entirely dedicated to non-expository activities. The FC was implemented in 2019 for the teaching of Clinical Examination (CE) aimed at undergraduate medical students at a Higher Education Institution in the Northeast region of Brazil. Objective: To analyze the implementation of FC for CE learning compared to the mini-exposure methodology followed by practice. Method: Analysis of educational intervention with historical control over the implementation of the FC methodology carried out in three phases. In the first, the two tutors involved in the implementation or who acted as teachers were evaluated through a semi-structured interview about the FC implementation process and its initial operation. The second consisted in the assessment of 44 medical students, through a Likert questionnaire, on learning with the new methodology. The third consisted in evaluating the grades obtained by 66 students who experienced learning with FC in relation to 142 students who experienced the previous methodology. Result: The evaluated tutors knew little about the methodology before it was implemented and believe that its implementation promoted gains, such as students’ greater dedication to individual study. The initial difficulty arose from the creation of an extensive database of questions for the pre-test, which was carried out at the beginning of the in-person moments. The evaluated students reported being well adapted and agree with the benefits of FC, including: feeling stimulated to study, developing the practice more easily and the presence of pre-tests that help to improve individual study. The results of the comparison of grades showed a significant increase in performance when comparing students who experienced the FC (9,11 - SD 0,45) with those who experienced the previous methodology (8,49 - SD 0,91). Conclusion: The methodology was satisfactorily implemented, promoted gains in learning and optimized the in-person time to be entirely dedicated to practical learning.

https://doi.org/10.1590/1981-5271v46.1-20210364.ing

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ta	título abreviado da revista (ex. Cad. Saúde Pública)
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