ABSTRACT Introduction: Diabetes mellitus is a public health issue affecting an increasing number of workers, representing a disease exacerbated by work with a high social, economic, and personal cost. The nature of the work performed, coupled with occupational risks in a hospital setting, significantly contribute to the disease's progression. This study aims to address the impact of this disease on work and the role of Occupational Health in the prevention of exposure to occupational risk factors in the hospital environment, which can contribute to the metabolic imbalance of type I diabetes mellitus. Methodology: The methodology included search in PubMed, Science Direct, and Google Scholar databases, using keywords such as "diabetes mellitus, occupational medicine, risk factors and occupational health”. Filters were applied, considering publications from 2010 to 2024, totaling 463 works. Exclusion criteria focused on non-diabetes-related diseases, exclusive focus on Type II, and non-occupational approaches. Articles on diabetes and occupational health and safety published in Revista Portuguesa de Saúde Ocupacional were also considered, in a total of five studies. Sources also included Direção Geral de Saúde Clinical Guidance, a national epidemiological study, and a technical manual on workplace diabetes, totaling 30 references in the discussion. Results: The authors report two cases of healthcare professionals from a hospital unit, both diagnosed with Type I Diabetes at the age of five. Case 1: A 35-year-old healthcare assistant with a history of depressive syndrome and recent diabetic retinopathy diagnosis. Case 2: A 57-year-old nurse with diabetic retinopathy, nephropathy, neuropathy, undergoing treatment for osteomyelitis of the right big toe, without cardiovascular changes. In both they work or have worked in shifts, including night shifts, engaging in physically demanding tasks. Discussion/Conclusion: Diabetes is a chronic disease requiring continuous medical care and patient education, alongside support in preventing acute complications and reducing the risk of chronic complications. The incidence of new Type I Dm cases is higher between 12-14 years. During the transition to adulthood and entry into the job market, patients face disease stigma, treatment management challenges, and psychosocial workplace-related issues. Implementing preventive measures and monitoring these workers should help reduce work absenteeism, productivity loss, and income loss for the worker.

RESUMO Introdução: A Diabetes mellitus é um problema de Saúde Pública que afeta um número crescente de trabalhadores. Pode ser considerada uma doença agravada pelo trabalho com um elevado custo social, económico e pessoal. O tipo de trabalho realizado e as exposições a riscos laborais em contexto hospitalar, podem contribuir para a sua progressão, segundo alguns autores. Este trabalho pretende abordar o impacto desta patologia no trabalho e o papel da Saúde Ocupacional na evicção da exposição a fatores de risco laborais, em ambiente hospitalar, que contribuem para o descontrolo metabólico da Diabetes Melitus tipo I. Pretende-se identificar as exposições laborais que podem constituir fatores de risco modificáveis, interferem com a aptidão para o trabalho, podem aumentar a frequência de acidentes laborais e acelerar a progressão crónica da doença. Metodologia: Na metodologia de pesquisa e seleção de estudos utilizou as bases de dados PubMed, Science Direct e Google Scholar, com as palavras-chave “diabetes mellitus, occupational medicine, risk factors, occupational health”. Aplicaram-se filtros de revisão e revisão sistemática, considerando publicações de 2010 a 2024, totalizando 463 trabalhos. Critérios de exclusão incidiram em doenças não relacionadas à diabetes, exclusividade na tipo II e abordagens não ocupacionais. Foram ainda considerados os artigos sobre diabetes e saúde e segurança no trabalho publicados na Revista Portuguesa de Saúde Ocupacional, num total de cinco estudos. Incluíram-se a Norma de Orientação Clínica da DGS, um estudo epidemiológico nacional e um caderno técnico sobre diabetes no local de trabalho, totalizando 30 fontes na discussão. Descrição dos casos: Os autores reportam dois casos de profissionais de saúde de uma unidade hospitalar, ambos com diagnóstico de Diabetes tipo I aos cinco anos de idade. Caso 1: Uma auxiliar de ação médica de 35 anos, com antecedentes pessoais de síndrome depressivo e diagnóstico recente de retinopatia diabética. Caso 2: Uma enfermeira de 57 anos com retinopatia e nefropatia diabética, neuropatia, em tratamento para uma osteomielite do 1º dedo do pé direito, sem alterações cardiovasculares. Ambas trabalham ou trabalharam por turnos, com trabalho noturno e com tarefas fisicamente exigentes. Discussão/Conclusão: A diabetes é uma doença crónica que requer cuidados médicos contínuos e educação do doente, juntamente com apoio na prevenção de complicações agudas e redução do risco de complicações crónicas. A incidência de novos casos de Dm tipo I é maior entre os 12-14 anos. Na transição para a idade adulta e entrada no mercado laboral, os doentes podem ser sujeitos ao estigma da doença, ter dificuldade na gestão do tratamento e/ou desafios psicossociais relacionados com o trabalho. A instituição de medidas preventivas e monitorização destes trabalhadores deverá ajudar a reduzir o absentismo laboral, a perda de produtividade e a perda de rendimento para o trabalhador.

Resumen Investigadores de cuatro países realizaron investigaciones comparativas sobre la experiencia educativa a distancia de los estudiantes de Educación Superior durante la pandemia Covid-19 y su retorno a la Educación presencial. Sobre la base de otros proyectos de investigación, aplicamos cuestionarios de autoinforme para facilitar las muestras. Este artículo se centra en los resultados de Portugal y Rusia en relación con el género. A pesar de las diferencias entre ambos países, los resultados indican el predominio estadístico de las mujeres, así como sus actitudes más positivas hacia la Educación a distancia. El análisis factorial reveló que tres factores convergen para explicar la mayor parte de la varianza: 1. Actitud positiva en relación con la Educación a distancia, 2. Problemas técnicos, psicológicos y educativos, 3. Actitud positiva con respecto al retorno a la Educación presencial. Aunque las mujeres tienen más acceso a la Educación superior, tienen logros laborales y de ingresos más bajos que los hombres.. Covid19 Covid 19 Covid-1 presencial investigación muestras género varianza 1 2 técnicos educativos 3 superior hombres hombres. Covid1 Covid-

Abstract Researchers from four countries conducted comparative research on the remote Education experience of Higher Education students during the Covid-19 pandemic and their return to face-to-face Education. Based on other research projects, we applied self-report questionnaires to convenience samples. This article focuses on the results for Portugal and Russia in relation to gender. Despite the differences between both countries, the findings point to the statistical predominance of women as well as their more positive attitudes toward remote Education. Factor analysis revealed that three factors converge to explain most of the variance: 1. Positive attitude in relation to remote Education, 2. Technical, psychological, and educational problems, 3. Positive attitude regarding the return to face-to-face Education. Although women have more access to Higher Education, they have lower occupational and income achievements than men. Covid19 Covid 19 Covid-1 facetoface face projects selfreport self report samples gender variance 1 2 Technical psychological problems 3 men Covid1 Covid-

Resumo Pesquisadores de quatro países efetuaram uma pesquisa comparada com estudantes de nível superior sobre a sua experiência de Educação remota na Covid-19 e seu retorno à Educação presencial. Fundamentada em outras investigações sobre o assunto, aplicaram-se questionários auto respondíveis a amostras de conveniência. Aqui se destacam os resultados quanto ao gênero em Portugal e na Rússia. Apesar das grandes diferenças, as verificações apontam para a predominância numérica das mulheres e suas atitudes mais positivas em face da Educação remota. Na análise fatorial, três fatores convergem para explicar a maior parte da variância: 1. Atitude positiva em relação à Educação remota, 2. Problemas técnicos, psicológicos e educacionais, 3. Atitude positiva ante a retomada da educação presencial. Embora as mulheres tenham maior acesso à Educação Superior, alcançam menores conquistas ocupacionais e de renda que os homens. Covid19 Covid 19 Covid-1 presencial assunto aplicaramse aplicaram conveniência Rússia diferenças fatorial variância 1 2 técnicos educacionais 3 Superior homens Covid1 Covid-

ABSTRACT Brazil has the highest incidence of atmospheric discharges, on average of 77.8 million hitting the country yearly. Companies providing post-harvest services have a high monetary value concentrated in their predominantly metallic structures. Atmospheric discharge protection systems (ADPS) are used in this context to protect the facilities and people, composed of several elements that require visual inspection with a certain periodicity, an activity framed as working at height. This research aimed to establish a methodology for employing a Remotely Piloted Aircraft System (RPAS) in the visual analysis of the operational condition of external atmospheric discharge protection systems components located in grain storage structures to collect information during the preliminary risk analysis and planning of activities at height. A survey of the current literature related to the subject was carried out, in addition to the norms, inspection agencies, and operational prerequisites of this type of equipment in the national territory. Finally, a method was created and validated based on the inspection checklist with the main points for checking, which generates a score that represents the urgency level of intervention, applied in a unit located in western Paraná, Brazil, on 11/28/2022. This procedure eliminated the risk of workers falling during the planning and inspection stage of the structures, which helped the qualified professional to issue the technical inspection report more quickly. The disadvantage is related to the dependence on favorable weather conditions. discharges 778 77 8 77. yearly postharvest post harvest ADPS (ADPS people periodicity height RPAS (RPAS out norms agencies territory Finally checking intervention Paraná 11282022 11 28 2022 11/28/2022 quickly conditions 7 1128202 1 2 202 11/28/202 112820 20 11/28/20 11282 11/28/2 1128 11/28/ 112 11/28 11/2 11/

RESUMO O Brasil é o país com a maior incidência de descargas atmosféricas, em média 77,8 milhões atingem o país todos os anos. As empresas prestadoras de serviços pós-colheita possuem um elevado valor monetário concentrado em suas estruturas, que predominantemente são metálicas. Os sistemas de proteção contra descargas atmosféricas (SPDA) são utilizados neste contexto para realizar a proteção das instalações e pessoas, os quais são compostos por vários elementos que necessitam de inspeção visual com determinada periodicidade, atividade enquadrada como trabalho em altura. Esta pesquisa tem como objetivo estabelecer uma metodologia para o emprego de Remotely Piloted Aircraft System (RPAS) na análise visual das condições operacionais dos componentes de um sistema de proteção contra descargas atmosféricas externo, localizados em estruturas de armazenamento de grãos para coletar informações durante a análise preliminar de riscos e planejamento das atividades em altura. Realizou-se um levantamento da atual literatura relacionada ao assunto, além das normas, órgãos fiscalizadores e pré-requisitos operacionais deste tipo de equipamento em território nacional. Por fim, foi criado e validado um método com base no checklist de inspeção com os principais pontos para conferência, que gera uma pontuação que representa o nível de urgência de intervenção, aplicado em uma unidade localizada no oeste do Paraná, Brasil, em 28/11/2022. Este procedimento eliminou o risco de queda do trabalhador na etapa de planejamento e inspeção das estruturas, o que auxiliou o profissional habilitado a emitir o laudo técnico de vistoria com maior agilidade. A desvantagem relaciona-se à dependência das condições climáticas favoráveis. 778 77 8 77, anos póscolheita pós colheita metálicas SPDA (SPDA pessoas periodicidade altura RPAS (RPAS externo Realizouse Realizou se assunto normas prérequisitos pré requisitos nacional fim conferência intervenção Paraná 28112022 28 11 2022 28/11/2022 agilidade relacionase relaciona favoráveis 7 2811202 2 1 202 28/11/202 281120 20 28/11/20 28112 28/11/2 2811 28/11/ 281 28/11 28/1 28/

Resumo O impacto psicológico resultante da pandemia COVID-19 continua a ser investigado. Os profissionais de saúde (PS) enfrentam um risco acrescido de desenvolvimento de psicopatologia (p. ex. ansiedade, depressão, stress pós-traumático, e burnout) devido ao confronto com situações altamente desafiantes e potencialmente traumáticas. O presente estudo tem como objectivo avaliar os efeitos do GrowthCare (GWCA - um programa de intervenção em grupo), na promoção de crescimento pós-traumático (CPT). O GWCA conta com 7 sessões semanais de 60 minutos e visa diminuir o sofrimento psicológico e promover a saúde mental dos PS. O grupo psicoterapêutico (n=9) é misto (i.e., médicos, enfermeiros, assistentes técnicos) e foi avaliado em 2 momentos: inicial (T0) e final (T1), recorrendo aos instrumentos EADS-21, PCL-V, ICPT-21, MBI-HSS e 23-QVS. Os resultados sugerem que há diferenças estatisticamente significativas entre T0 e T1 no CPT (Z = 41; p = 0,028) e nos sintomas de depressão (Z = 2,5; p = 0,047), sendo que após a intervenção os participantes reportam mais CPT ([T0; M = 48,89; DP = 17,64]; [T1; M = 63,11; DP = 19,02]) e menos depressão ([T0; M = 3,56; DP = 4,10]; [T1; M = 2,44; DP = 3,71]). Conclui-se que o GWCA foi eficaz na promoção de CPT e na diminuição de sintomatologia depressiva.

Abstract The psychological impact resulting from the COVID-19 pandemic continues to be investigated. Healthcare professionals (HCWs) face an increased risk of developing psychopathology (e.g., anxiety, depression, post-traumatic stress, and burnout) due to being confronted with highly challenging and potentially traumatic situations. The present study aims to evaluate the effects of GrowthCare (GWCA - a group psychological intervention program), to facilitate posttraumatic growth (PTG). The GWCA has 7 weekly 60-minute sessions and aims to reduce psychological suffering and promote the mental health of HCWs. The psychotherapeutic group (n = 9) is mixed (i.e., doctors, nurses, technical assistants) and was evaluated in 2 moments: initial (T0) and final (T1), using the EADS-21, PCL-V, ICPT-21, MBI-HSS and 23-QVS instruments. The results suggest that there are statistically significant differences between T0 and T1 PTG (Z = 41, p = .028) and in depression symptoms (Z = 2.5, p = .047), and after intervention participants report more PTG ([T0; M = 48.89; SD = 17,64]; [T1; M = 63.11, SD = 19.02]) and less depression ([T0; M = 3.56, SD = 4.10]; [T1; M = 2.44, SD = 3.71]). In conclusion, the GWCA was effective facilitating PTG and reducing depressive symptoms.

ABSTRACT The research is based on a didactic model from the relationship between the individual and the group, starting from the professional ability to understand imaging reports. It approaches a methodology with its structural and functional components, benefiting the training and socio-technical performance of health personnel in the Basic Work Groups. It offers a methodological material for mobile devices that guides teachers and General Practitioners for infocomprehension. Research methods and techniques were used. The feasibility of the research is corroborated by the results of the quasi-experiment, with the consensus of 22 specialists consulted.

RESUMEN La investigación está sustentada en un modelo didáctico desde la relación de lo individual y lo grupal a partir de la habilidad profesional comprensión de informes imagenológicos. Aborda una metodología con sus componentes estructurales y funcionales, beneficiando la capacitación y desempeño sociotécnico del personal salubrista en los Grupo Básicos de Trabajo. Ofrece un material metodológico para los dispositivos móviles que orienta a los profesores y Médicos Generales Integrales para la infocomprensión. Se utilizaron métodos y técnicas de investigación. Se corrobora la viabilidad de la investigación con los resultados del cuasiexperimento, con el consenso de 22 especialistas consultados.

Expanding uterine masses can be the cause of pregnancy loss and add technical difficulties to uterus evacuation due to the intense anatomical distortion of the endocervical canal and uterine cavity. The literature is scarce in the peculiarities of the management of missed abortions in uterus with important distorted anatomies. We report a case of a primigravida patient who presented a rapid and expressive increase of abdominal volume due to a giant uterine mass, evolving to miscarriage. Ultrasound can be a useful tool, allowing visualization of the endocervical path and uterine cavity, helping to perform uterine evacuation in the presence of anatomical distortion without compromising the reproductive future. To the best of our knowledge, no such case has been previously reported. cavity anatomies mass miscarriage tool future knowledge reported

Abstract Difficult airway management represents a major challenge, requiring a careful approach, advanced technical expertise, and accurate protocols. The task force of the Brazilian Society of Anesthesiology (SBA) presents a report with updated recommendations for the management of difficult airway in adults. These recommendations were developed based on the consensus of a group of expert anesthesiologists, aiming to provide strategies for managing difficulties during tracheal intubation. They are based on evidence published in international guidelines and opinions of experts. The report underlines the essential steps for proper difficult airway management, encompassing assessment, preparation, positioning, pre-oxygenation, minimizing trauma, and maintaining arterial oxygenation. Additional strategies for using advanced tools, such as video laryngoscopy, flexible bronchoscopy, and supraglottic devices, are discussed. The report considers recent advances in understanding crisis management, and the implementation seeks to further patient safety and improve clinical outcomes. The recommendations are outlined to be uncomplicated and easy to implement. The report underscores the importance of ongoing education, training in realistic simulations, and familiarity with the latest technologies available. challenge approach expertise protocols SBA (SBA adults anesthesiologists intubation experts assessment preparation positioning preoxygenation, preoxygenation pre oxygenation, oxygenation pre-oxygenation trauma tools laryngoscopy bronchoscopy devices discussed outcomes implement education simulations available

Abstract Difficult airway management in pediatrics during anesthesia represents a major challenge, requiring a careful approach, advanced technical expertise, and accurate protocols. The task force of the Brazilian Society of Anesthesiology (SBA) presents a report containing updated recommendations for the management of difficult airways in children and neonates. These recommendations have been developed based on the consensus of a panel of experts, with the objective of offering strategies to overcome challenges during airway management in pediatric patients. Grounded in evidence published in international guidelines and expert opinions, the report highlights crucial steps for the appropriate management of difficult airways in pediatrics, encompassing assessment, preparation, positioning, pre-oxygenation, minimizing trauma, and, paramountly, the maintenance of arterial oxygenation. The report also delves into additional strategies involving the use of advanced tools, such as video laryngoscopy, flexible intubating bronchoscopy, and supraglottic devices. Emphasis is placed on the simplicity of implementing the outlined recommendations, with a focus on the significance of continuous education, training through realistic simulations, and familiarity with the latest available technologies. These practices are deemed essential to ensure procedural safety and contribute to the enhancement of anesthesia outcomes in pediatrics. challenge approach expertise protocols SBA (SBA neonates experts patients opinions assessment preparation positioning preoxygenation, preoxygenation pre oxygenation, oxygenation pre-oxygenation trauma paramountly tools laryngoscopy bronchoscopy devices education simulations technologies

ABSTRACT This article provides a detailed look at how cyclotrimethylenetrinitramine (RDX), cyclotetramethylene-tetranitramine (HMX), and hexanitrohexaazaisowurtzitane (HNIW or CL-20) are currently being used for energy purposes in both civilian and military environments around the world. It highlights the significance of monitoring and prospecting for new technologies to promote innovation in developed and developing countries. This research was carried out by systematically analyzing nonpatent documents and patents from reputable databases such as Scopus, Derwent, and Espacenet. The report recognizes patent documentation as a valuable source of technical information and explores how analyzing patents can provide insights into using and developing high-performance compounds. Moreover, the article discusses the versatile applications of RDX, HMX, and CL-20, which are highly explosive substances that have found uses in multiple sectors. It delves into these materials’ chemical composition, structure, and importance in military and industrial contexts. The research methodology involved thoroughly searching and filtering documents from databases, focusing on titles, abstracts, and keywords. The results show the annual growth of publications related to the three explosive compounds and highlight the main research fields associated with each fabric. Overall, this article provides valuable insights into using and developing powerful compounds. It emphasizes the importance of technological monitoring and patent analysis in shaping strategic decision-making and fostering innovation. It is a foundation for further research and exploration of energetic materials and their applications. RDX , (RDX) cyclotetramethylenetetranitramine cyclotetramethylene tetranitramine HMX (HMX) HNIW CL20 CL 20 CL-20 world countries Scopus Derwent Espacenet highperformance high performance Moreover CL20, 20, sectors composition structure contexts titles abstracts keywords fabric Overall decisionmaking decision making (RDX (HMX CL2 2 CL-2 CL-

ABSTRACT Objective: To identify, synthesize, and analyze the scientific knowledge produced regarding the implications of using clinical simulation for undergraduate nursing or medical students' motivation for learning. Methods: The search for articles was conducted between July 28 and August 3, 2022, on the PubMed/MEDLINE, Scopus, Web of Science, and SciELO databases. The following was used for the search: P - undergraduate students attending Nursing or Medicine courses; C - motivation for learning, and C - skills and clinical simulation laboratory. The following research question guided the study: “What are the implications of clinical simulation on the motivation for learning of undergraduate students of nursing and medicine?” Of the 1,783 articles found, 13 were included in the sample for analysis. All stages of the selection process were carried out by two independent evaluators. The results were presented as charts and a discursive report. Results: The studies analyzed indicated the beneficial effects of clinical simulation on students' motivation, in addition to other gains such as competencies, technical and non-technical skills, knowledge, belonging, autonomy, clinical judgment, critical and reflective thinking, self-efficacy and decreased anxiety, self-management, and improvements in learning and learning climate. Conclusion: Clinical simulation provides a positive learning environment favorable to the development of technical and interpersonal skills and competencies, and raising the level of motivational qualities. Objective identify synthesize Methods 2 3 2022 PubMedMEDLINE PubMed MEDLINE PubMed/MEDLINE Scopus Science databases courses laboratory study What medicine medicine? 1783 1 783 1,78 found analysis evaluators report Results competencies nontechnical non belonging autonomy judgment thinking selfefficacy self efficacy anxiety selfmanagement, selfmanagement management, management self-management climate Conclusion qualities 202 178 78 1,7 20 17 7 1,

Abstract Inspired by discussions in science and technology studies and ethnography in online contexts, I sought to describe how some sociotechnical associations occur in digital media. Based on the observation of content on an influencer’s profile on Instagram, I tried to create a field report that made visible not only the actions of the subjects, but also the different technical mediations that permeate these practices. I argue that these sociotechnical associations, with their human and machine agencies, constitute the work of content creators. The report is, above all, an experiment, an attempt to construct a less linear and anthropocentric narrative about what happens on social networks. I suggest that understanding these sociotechnical relationships tensions and can renew ethnographic practice. contexts media influencers influencer s Instagram subjects practices agencies creators is all experiment networks practice

Resumo Inspirada em discussões dos science and technology studies e sobre etnografia em contextos online, busquei descrever como se dão algumas associações sociotécnicas nas mídias digitais. A partir da observação de publicações no perfil de um influenciador no Instagram, procurei criar um relato de campo que visibilizasse não só a ação dos sujeitos, mas também as diferentes mediações técnicas que atravessam essas práticas. Argumento que essas associações sociotécnicas, com suas agências humanas e maquínicas, constituem o trabalho de criadores de conteúdo. O relato trata-se, sobretudo, de uma experimentação, uma tentativa na construção de uma narrativa menos linear e antropocêntrica sobre o que acontece nas redes sociais. Sugiro que compreender essas relações sociotécnicas tensiona e pode renovar a prática etnográfica. online digitais Instagram sujeitos práticas maquínicas conteúdo tratase, tratase trata se, trata-se sobretudo experimentação sociais etnográfica

ABSTRACT Objectives: Report the first case of a combined transplant – liver and kidney – in a single block as a surgical alternative in a patient with advanced atherosclerosis and extensive calcification of aortoiliac arterial vessels. Methods: Information was obtained through a medical record review, interviews with the patient, image records of the diagnostic procedures, and a literature review. Conclusion: The described surgical technique may represent an efficient and safe alternative when arterial or venous anastomosis is impossible due to anatomical challenges due to previous vascular disease. Objectives vessels Methods review procedures Conclusion disease

RESUMO Objetivos: Relatar o primeiro caso de transplante duplo – fígado e rim – em monobloco como alternativa cirúrgica em paciente com aterosclerose avançada e calcificação extensa de vasos arteriais aortoilíacos. Métodos: As informações foram obtidas por meio de revisão do prontuário, entrevista com a paciente, registro de imagem dos métodos diagnósticos aos quais a paciente foi submetida e revisão da literatura. Conclusão: A técnica descrita pode representar uma alternativa eficiente e segura em circunstâncias nas quais a anastomose vascular, arterial ou venosa é impossibilitada por desafios anatômicos em decorrência de doença vascular prévia. Objetivos aortoilíacos Métodos prontuário literatura Conclusão prévia

ABSTRACT BACKGROUND: Duodenal adenocarcinoma is a small percentage of gastrointestinal neoplasms, around 0.5%, and its treatment is based on resection of the tumor, classically by pancreaticoduodenectomy. In recent years, however, segmental resections of duodenal lesions, that do not involve the second portion or the periampullary region, have gained relevance with good surgical and oncological outcomes as well as the benefit of avoiding surgeries that can result in high morbidity and mortality. AIMS: To report a case of an elderly female patient with malignant neoplastic lesion in the third and fourth duodenal portion, non-obstructive, submitted to surgical treatment. METHODS: The technical option was the resection of the distal duodenum and proximal jejunum with preservation of the pancreas and reconstruction with side-to-side duodenojejunal anastomosis. RESULTS: The evolution was satisfactory and the surgical margins were free of neoplasia. CONCLUSIONS: Segmental resections of the duodenum are feasible and safe, offering the benefit of preventing complications of pancreaticoduodenectomies. BACKGROUND neoplasms 05 0 5 0.5% tumor pancreaticoduodenectomy years however lesions region mortality AIMS nonobstructive, nonobstructive non obstructive, obstructive non-obstructive METHODS sidetoside side anastomosis RESULTS neoplasia CONCLUSIONS safe pancreaticoduodenectomies 0.5 0.

RESUMO RACIONAL: O adenocarcinoma duodenal é uma pequena porcentagem das neoplasias gastrointestinais, em torno de 0,5%, e seu tratamento baseia-se na ressecção da massa tumoral, classicamente por pancreatoduodenectomia. Nos últimos anos, porém, as ressecções segmentares de lesões duodenais que não envolvem a segunda porção ou a região periampular têm ganhado relevância com bons resultados cirúrgicos e oncológicos e com o benefício de evitar uma cirurgia que pode apresentar alta morbimortalidade. OBJETIVOS: Reportar o caso de uma paciente feminina, idosa, com lesão neoplásica maligna na terceira e quarta porção duodenal, não obstrutiva, submetida a tratamento cirúrgico. MÉTODOS: A opção técnica foi a ressecção do duodeno distal e jejuno proximal com preservação do pâncreas e reconstrução com anastomose duodenojejunal látero-lateral. RESULTADOS: A evolução foi satisfatória e as margens cirúrgicas foram livres de neoplasia. CONCLUSÕES: As ressecções segmentares do duodeno são factíveis e seguras, com os benefícios de evitar as complicações das pancreatoduodenectomias. RACIONAL gastrointestinais 05 0 5 0,5% baseiase baseia se tumoral pancreatoduodenectomia anos porém morbimortalidade OBJETIVOS feminina idosa obstrutiva cirúrgico MÉTODOS láterolateral. láterolateral látero lateral. lateral látero-lateral RESULTADOS neoplasia CONCLUSÕES seguras pancreatoduodenectomias 0,5 0,

ABSTRACT The focus of this case report is to technically describe a noninvasive diagnostic evaluation of bow Hunter's syndrome using a dynamic computed tomography angiography protocol and discuss its advantages. In addition, we aimed to exemplify the quality of the study by presenting images of a 3D-printed model generated to help plan the surgical treatment for the patient. The dynamic computed tomography angiography protocol consisted of a first image acquisition with the patient in the anatomic position of the head and neck. This was followed by a second acquisition with the head and neck rotated to the side that triggered the symptoms, with technical parameters similar to the first acquisition. The acquired images were used to print a 3D model to better depict the findings for the surgical team. The dynamic computed tomography angiography protocol developed in this study helped visualize the vertebrobasilar arterial anatomy, detect vertebral artery stenosis produced by head and neck rotation, depict the structure responsible for artery stenosis (e.g., bony structure or membranes), and study possible complications of the disease (e.g., posterior cerebral circulation infarction). Additionally, the 3D-printed model better illustrated the findings of stenosis, aiding in surgical planning. In conclusion, dynamic computed tomography angiography for the evaluation of bow Hunter's syndrome is a feasible noninvasive technique that can be used as an alternative to traditional diagnostic methods. Hunters Hunter s advantages addition 3Dprinted Dprinted printed D symptoms team anatomy rotation e.g., eg e g (e.g. membranes, membranes , membranes) infarction. infarction . infarction) Additionally planning conclusion methods e.g. (e.g e.g

Abstract This work analyses the Carnauba Expedition, a commercial and scientific exploration trip carried out by the American company SC Johnson & Son to Brazil in 1935. The expedition proposed to investigate the largest areas of the carnauba palm (Copernicia cerifera Mart.), a tree native to the Brazilian semi-arid region, as a baseline for the technical-scientific exploration of a raw material produced by this plant: carnauba wax. Through the analysis of the expedition report and official documents issued by the Brazilian Government in a context of careful inspection and control of the activities of foreigners in the country, it appears that the expedition became possible through the close articulation between the company and the Brazilian government, permeated by political, scientific, and economic interests. It is argued that the Carnauba Expedition and the effort to produce the large-scale carnauba wax arising from the growing approach between science and industry is another episode of the history of the exploitation of natural resources in Brazil in the first half of the 20th century. 1935 Copernicia Mart., Mart Mart. , Mart.) semiarid semi arid region technicalscientific technical plant country government political interests largescale large scale th century 193 19 1

Resumo Este trabalho examina a Expedição Carnaúba, uma viagem de prospecção comercial e científica realizada pela companhia norte-americana S.C. Johnson & Son. no Brasil em 1935. A expedição teve como proposta investigar as maiores áreas de ocorrência da palmeira carnaúba (Copernicia cerifera Mart.), árvore nativa do semiárido brasileiro, como pontapé para exploração técnico-científica de uma matéria-prima produzida por esse vegetal: a cera de carnaúba. Por meio da análise do relatório da expedição e de documentos oficiais emitidos pelo governo brasileiro à época, verifica-se que a realização da expedição se tornou possível mediante estreita articulação entre a empresa e o governo brasileiro, permeada por interesses políticos, científicos e econômicos, numa conjuntura de cuidadosa fiscalização e controle das atividades de estrangeiros no país por meio do Conselho de Fiscalização das Expedições Artísticas e Científicas no Brasil (CFE). Lançar luz sobre a Expedição Carnaúba e o seu esforço para produção da cera de carnaúba em larga escala decorrentes da crescente aproximação entre ciência e indústria é evidenciar mais um episódio da história da exploração dos recursos naturais do Brasil na primeira metade do século XX. norteamericana norte americana SC S C S.C Son 1935 Copernicia Mart., Mart Mart. , Mart.) técnicocientífica técnico matériaprima matéria prima vegetal época verificase verifica políticos econômicos CFE. CFE . (CFE) XX 193 (CFE 19 1