Resumen: Brasil tiene una alta morbimortalidad materna y perinatal. Los casos de morbilidad materna severa, maternal near miss y muertes perinatales son importantes indicadores de salud y comparten los mismos determinantes sociales, y tienen una estrecha relación con las condiciones de vida y la calidad de la asistencia perinatal. Este artículo pretende presentar el protocolo de estudio que tiene como objetivo estimar la tasa de mortalidad perinatal y la incidencia de morbilidad materna severa y maternal near miss en el país, así como identificar sus determinantes. Se trata de un estudio transversal integrado a la investigación Nacer en Brasil II, realizada entre el 2021 y el 2023. Este estudio incluirá 155 maternidades públicas, mixtas y privadas, con más de 2.750 partos al año, que participan en el Nacer en Brasil II. En estas maternidades, se realizará una recopilación retrospectiva de datos de las historias clínicas maternas y neonatales de todas las hospitalizaciones ocurridas en un período de 30 días, con la aplicación de un formulario de triaje para identificar casos de morbilidad materna y de muerte perinatal. Los datos de las historias clínicas de todos los casos identificados se recopilarán tras el alta hospitalaria, mediante un instrumento estandarizado. Los casos de morbilidad materna severa y maternal near miss se clasificarán por medio de la definición adoptada por la Organización Mundial de la Salud. Se estimará la tasa de mortalidad perinatal y la incidencia de morbilidad materna severa y maternal near miss. Los casos se compararán con los controles obtenidos en el estudio Nacer en Brasil II, emparejados por hospital y duración del embarazo, para identificar factores asociados con desenlaces negativos. Se espera que los resultados de este artículo contribuyan al conocimiento sobre la morbilidad materna y la mortalidad perinatal en el país, así como a la elaboración de estrategias para mejorar el cuidado. Resumen sociales país II 202 2023 15 públicas privadas 2750 2 750 2.75 año 3 días hospitalaria estandarizado Salud embarazo negativos cuidado 20 1 275 75 2.7 27 7 2.

Abstract: Brazil presents high maternal and perinatal morbidity and mortality. Cases of severe maternal morbidity, maternal near miss, and perinatal deaths are important health indicators and share the same determinants, being closely related to living conditions and quality of perinatal care. This article aims to present the study protocol to estimate the perinatal mortality rate and the incidence of severe maternal morbidity and maternal near miss in the country, identifying its determinants. Cross-sectional study integrated into the research Birth in Brazil II, conducted from 2021 to 2023. This study will include 155 public, mixed and private maternities, accounting for more than 2,750 births per year, participating in the Birth in Brazil II survey. We will collect retrospective data from maternal and neonatal records of all hospitalizations within a 30-day period in these maternities, applying a screening form to identify cases of maternal morbidity and perinatal deaths. Medical record data of all identified cases will be collected after hospital discharge, using a standardized instrument. Cases of severe maternal morbidity and maternal near miss will be classified based on the definition adopted by the World Health Organization. The perinatal deaths rate and the incidence of severe maternal morbidity and maternal near miss will be estimated. Cases will be compared to controls obtained in the Birth in Brazil II survey, matched by hospital and duration of pregnancy, in order to identify factors associated with negative outcomes. Results are expected to contribute to the knowledge on maternal morbidity and perinatal deaths in Brazil, as well as the development of strategies to improve care. Abstract determinants care country Crosssectional Cross sectional 202 2023 15 public maternities 2750 2 750 2,75 year survey 30day day 30 discharge instrument Organization estimated pregnancy outcomes 20 1 275 75 2,7 3 27 7 2,

Resumo: O Brasil apresenta elevada morbimortalidade materna e perinatal. Casos de morbidade materna grave, near miss materno e óbitos perinatais são indicadores importantes de saúde e compartilham dos mesmos determinantes sociais, tendo estreita relação com as condições de vida e qualidade da assistência perinatal. Este artigo pretende apresentar o protocolo de estudo que visa estimar a taxa de mortalidade perinatal e a incidência de morbidade materna grave e near miss materno no país, assim como identificar seus determinantes. Trata-se de estudo transversal integrado à pesquisa Nascer no Brasil II, realizada entre 2021 e 2023. Serão incluídas neste estudo 155 maternidades públicas, mistas e privadas, com mais de 2.750 partos por ano, participantes do Nascer no Brasil II. Nessas maternidades, será realizada coleta retrospectiva de dados de prontuário materno e neonatal de todas as internações ocorridas num período de 30 dias, com aplicação de uma ficha de triagem para identificação de casos de morbidade materna e de óbito perinatal. Dados de prontuário de todos os casos identificados serão coletados após a alta hospitalar, utilizando instrumento padronizado. Casos de morbidade materna grave e near miss materno serão classificados por meio da definição adotada pela Organização Mundial da Saúde. Será estimada a taxa de mortalidade perinatal e a incidência de morbidade materna grave e near miss materno. Os casos serão comparados a controles obtidos na pesquisa Nascer no Brasil II, pareados por hospital e duração da gestação, visando a identificação de fatores associados aos desfechos negativos. Espera-se que os resultados deste artigo contribuam para o conhecimento sobre a morbidade materna e a mortalidade perinatal no país, bem como para a elaboração de estratégias de melhoria do cuidado. Resumo sociais país Tratase Trata se II 202 2023 15 públicas privadas 2750 2 750 2.75 ano 3 dias hospitalar padronizado Saúde gestação negativos Esperase Espera cuidado 20 1 275 75 2.7 27 7 2.

Resumen: Brasil tiene una alta morbimortalidad materna y perinatal. Los casos de morbilidad materna severa, maternal near miss y muertes perinatales son importantes indicadores de salud y comparten los mismos determinantes sociales, y tienen una estrecha relación con las condiciones de vida y la calidad de la asistencia perinatal. Este artículo pretende presentar el protocolo de estudio que tiene como objetivo estimar la tasa de mortalidad perinatal y la incidencia de morbilidad materna severa y maternal near miss en el país, así como identificar sus determinantes. Se trata de un estudio transversal integrado a la investigación Nacer en Brasil II, realizada entre el 2021 y el 2023. Este estudio incluirá 155 maternidades públicas, mixtas y privadas, con más de 2.750 partos al año, que participan en el Nacer en Brasil II. En estas maternidades, se realizará una recopilación retrospectiva de datos de las historias clínicas maternas y neonatales de todas las hospitalizaciones ocurridas en un período de 30 días, con la aplicación de un formulario de triaje para identificar casos de morbilidad materna y de muerte perinatal. Los datos de las historias clínicas de todos los casos identificados se recopilarán tras el alta hospitalaria, mediante un instrumento estandarizado. Los casos de morbilidad materna severa y maternal near miss se clasificarán por medio de la definición adoptada por la Organización Mundial de la Salud. Se estimará la tasa de mortalidad perinatal y la incidencia de morbilidad materna severa y maternal near miss. Los casos se compararán con los controles obtenidos en el estudio Nacer en Brasil II, emparejados por hospital y duración del embarazo, para identificar factores asociados con desenlaces negativos. Se espera que los resultados de este artículo contribuyan al conocimiento sobre la morbilidad materna y la mortalidad perinatal en el país, así como a la elaboración de estrategias para mejorar el cuidado.

Resumo: O Brasil apresenta elevada morbimortalidade materna e perinatal. Casos de morbidade materna grave, near miss materno e óbitos perinatais são indicadores importantes de saúde e compartilham dos mesmos determinantes sociais, tendo estreita relação com as condições de vida e qualidade da assistência perinatal. Este artigo pretende apresentar o protocolo de estudo que visa estimar a taxa de mortalidade perinatal e a incidência de morbidade materna grave e near miss materno no país, assim como identificar seus determinantes. Trata-se de estudo transversal integrado à pesquisa Nascer no Brasil II, realizada entre 2021 e 2023. Serão incluídas neste estudo 155 maternidades públicas, mistas e privadas, com mais de 2.750 partos por ano, participantes do Nascer no Brasil II. Nessas maternidades, será realizada coleta retrospectiva de dados de prontuário materno e neonatal de todas as internações ocorridas num período de 30 dias, com aplicação de uma ficha de triagem para identificação de casos de morbidade materna e de óbito perinatal. Dados de prontuário de todos os casos identificados serão coletados após a alta hospitalar, utilizando instrumento padronizado. Casos de morbidade materna grave e near miss materno serão classificados por meio da definição adotada pela Organização Mundial da Saúde. Será estimada a taxa de mortalidade perinatal e a incidência de morbidade materna grave e near miss materno. Os casos serão comparados a controles obtidos na pesquisa Nascer no Brasil II, pareados por hospital e duração da gestação, visando a identificação de fatores associados aos desfechos negativos. Espera-se que os resultados deste artigo contribuam para o conhecimento sobre a morbidade materna e a mortalidade perinatal no país, bem como para a elaboração de estratégias de melhoria do cuidado.

Abstract: Brazil presents high maternal and perinatal morbidity and mortality. Cases of severe maternal morbidity, maternal near miss, and perinatal deaths are important health indicators and share the same determinants, being closely related to living conditions and quality of perinatal care. This article aims to present the study protocol to estimate the perinatal mortality rate and the incidence of severe maternal morbidity and maternal near miss in the country, identifying its determinants. Cross-sectional study integrated into the research Birth in Brazil II, conducted from 2021 to 2023. This study will include 155 public, mixed and private maternities, accounting for more than 2,750 births per year, participating in the Birth in Brazil II survey. We will collect retrospective data from maternal and neonatal records of all hospitalizations within a 30-day period in these maternities, applying a screening form to identify cases of maternal morbidity and perinatal deaths. Medical record data of all identified cases will be collected after hospital discharge, using a standardized instrument. Cases of severe maternal morbidity and maternal near miss will be classified based on the definition adopted by the World Health Organization. The perinatal deaths rate and the incidence of severe maternal morbidity and maternal near miss will be estimated. Cases will be compared to controls obtained in the Birth in Brazil II survey, matched by hospital and duration of pregnancy, in order to identify factors associated with negative outcomes. Results are expected to contribute to the knowledge on maternal morbidity and perinatal deaths in Brazil, as well as the development of strategies to improve care.

ABSTRACT Purpose: Intravitreal antiangiogenic therapy is currently the most invasive ophthalmic procedure performed worldwide. This study aimed to describe the clinical and epidemiological profile of patients undergoing intravitreal antiangiogenic therapy in a tertiary referral hospital in Brazil. Methods: This cross-sectional, retrospective, and observational study analyzed medical records of patients who received intravitreal injections of antiangiogenic agents for the treatment of retinal diseases at the ophthalmology outpatient clinic in the Hospital das Clínicas at Unicamp between January and December 2020. Results: The study included 429 patients and 514 eyes. The study population was predominantly male (51.28%), white (80.89%), between 50 and 80 years old (mean age, 60.92 years), had complete or incomplete first-grade education (56.88%), and did not belong to the Regional Health Department of which Campinas is a part (78.55%). Bevacizumab was the most commonly used intravitreal injectable medicine (79.38%), pro re nata was the most commonly used treatment regimen (90.27%), and macular edema was the most prevalent pathology indicative of treatment (60.12%), with diabetes etiology accounting for 48.25%. The average number of injections per patient was 3.83, with the macular neovascularization group and the pro re nata group having the highest and lowest with five and three injections, respectively. Treatment adherence was associated with the patient’s pathology, and the macular edema (52.24%) and macular neovascularization (49.48%) groups had the lowest adherence rates. Conclusions: This study evaluated the epidemiological and clinical profile of patients undergoing antiangiogenic therapy in a high-complexity public hospital, which is fundamental for a better understanding of the demand for ophthalmic reference service in Brazil, and the analysis of functional results and user adherence profile promotes optimization of indications and leverages the benefits of intravitreal therapy. Purpose worldwide Brazil Methods crosssectional, crosssectional cross sectional, sectional cross-sectional retrospective 2020 Results 42 51 eyes 51.28%, 5128 51.28% , 28 (51.28%) 80.89%, 8089 80.89% 89 (80.89%) 5 8 mean age 6092 60 92 60.9 years, years) firstgrade first grade 56.88%, 5688 56.88% 56 88 (56.88%) 78.55%. 7855 78.55% . 78 55 (78.55%) 79.38%, 7938 79.38% 79 38 (79.38%) 90.27%, 9027 90.27% 90 27 (90.27%) 60.12%, 6012 60.12% 12 (60.12%) 4825 48 25 48.25% 383 3 83 3.83 respectively s 52.24% 5224 52 24 (52.24% 49.48% 4948 49 (49.48% rates Conclusions highcomplexity high complexity 202 4 512 51.28 2 (51.28% 808 80.89 (80.89% 609 6 9 60. 568 56.88 (56.88% 785 78.55 7 (78.55% 793 79.38 (79.38% 902 90.27 (90.27% 601 60.12 1 (60.12% 482 48.25 3.8 52.24 522 (52.24 49.48 494 (49.48 20 51.2 (51.28 80.8 (80.89 56.8 (56.88 78.5 (78.55 79.3 (79.38 90.2 (90.27 60.1 (60.12 48.2 3. 52.2 (52.2 49.4 (49.4 51. (51.2 80. (80.8 56. (56.8 78. (78.5 79. (79.3 90. (90.2 (60.1 48. 52. (52. 49. (49. (51. (80. (56. (78. (79. (90. (60. (52 (49 (51 (80 (56 (78 (79 (90 (60 (5 (4 (8 (7 (9 (6 (

RESUMO Objetivo: A terapia antiangiogênica intravítrea revolucionou o tratamento de inúmeras patologias de relevância global, sendo atualmente o procedimento oftalmológico invasivo mais realizado no mundo. Objetiva-se no presente estudo descrever o perfil clínico e epidemiológico dos pacientes submetidos a terapia intravítrea com antiangiogênicos em hospital terciário de referência no Brasil. Métodos: Trata-se de um estudo transversal, retrospectivo e observacional que foi realizado através da análise de prontuários de pacientes submetidos a injeção intravítrea de antiangiogênicos para tratamento de doenças retinianas no ambulatório de oftalmologia do Hospital das Clínicas da Unicamp no período de janeiro a dezembro de 2020. Resultados: O estudo analisou 429 pacientes e 514 olhos. A maioria pertencia ao sexo masculino (51,28%), raça branca (80,89%), possuía entre 50-80 anos com idade média de 60,92 anos e escolaridade de 1º grau completo ou incompleto (56,88%) e não pertenciam (78,55%) a área de abrangência do Departamento Regional de Saúde do qual Campinas faz parte. O fármaco mais utilizado nas injeções intravítreas foi o bevacizumabe (79,38%), o principal regime de tratamento foi o pro re nata (90,27%) e a principal grupo de patologia indicativa de tratamento foi o edema macular (60,12%), sendo 48,25% desses de etiologia diabética. A média de injeções foi de 3,83/paciente, sendo o grupo de neovascularização macular o de maior mediana com 5 injeções/paciente e o esquema pro re nata o regime de tratamento com menor mediana, 3 injeções/paciente. A adesão ao tratamento associou-se a patologia do paciente, sendo as menores taxas de adesão as dos grupos com edema macular (52,24%) e neovascularização macular (49,48%). Conclusões: O presente estudo avaliou o perfil epidemiológico e clínico dos pacientes submetidos a terapia antiangiogênica em hospital público de alta complexidade, o que é fundamental para melhor conhecimento da demanda de serviço oftalmológico de referência no Brasil e possibilita, a partir da análise dos resultados funcionais e perfil de adesão dos usuários, otimizar as indicações e alavancar os benefícios de terapia intravítrea. Objetivo global mundo Objetivase Objetiva se Métodos Tratase Trata transversal 2020 Resultados 42 51 olhos 51,28%, 5128 51,28% , 28 (51,28%) 80,89%, 8089 80,89% 80 89 (80,89%) 5080 50 50-8 6092 60 92 60,9 º 56,88% 5688 56 88 (56,88% 78,55% 7855 78 55 (78,55% parte 79,38%, 7938 79,38% 79 38 (79,38%) 90,27% 9027 90 27 (90,27% 60,12%, 6012 60,12% 12 (60,12%) 4825 48 25 48,25 diabética 383paciente paciente 83 3,83/paciente injeçõespaciente associouse associou 52,24% 5224 52 24 (52,24% 49,48%. 4948 49,48% . 49 (49,48%) Conclusões complexidade possibilita usuários 202 4 512 51,28 2 (51,28% 808 80,89 8 (80,89% 508 50- 609 6 9 60, 56,88 568 (56,88 78,55 785 7 (78,55 793 79,38 (79,38% 90,27 902 (90,27 601 60,12 1 (60,12% 482 48,2 52,24 522 (52,24 494 49,48 (49,48% 20 51,2 (51,28 80,8 (80,89 56,8 (56,8 78,5 (78,5 79,3 (79,38 90,2 (90,2 60,1 (60,12 48, 52,2 (52,2 49,4 (49,48 51, (51,2 80, (80,8 56, (56, 78, (78, 79, (79,3 90, (90, (60,1 52, (52, 49, (49,4 (51, (80, (56 (78 (79, (90 (60, (52 (49, (51 (80 (5 (7 (79 (9 (60 (49 (8 ( (6 (4

Abstract Background Understanding the causes of intracerebral hemorrhage (ICH) is crucial for effective treatment and preventing recurrences. The SMASH-U scale is a suggested method for classifying and predicting the outcomes of ICH. Objective To describe the SMASH-U classification and outcomes by etiology in patients admitted to a comprehensive stroke center in São Paulo, Brazil. Methods A retrospective analysis was conducted on patients admitted to the hospital or outpatient clinic between April 2015 and January 2018. Two stroke neurologists evaluated the SMASH-U classification, and patients with incomplete medical records were excluded. Results Out of the 2000 patients with a stroke diagnosis evaluated, 140 were included in the final analysis. The mean age was 57.9 (± 15.5) years, and 54.3% were male. Hypertension was the most frequent etiology, accounting for 41.4% of cases, followed by amyloid angiopathy (18.5%) and structural lesions (14.1%). Structural lesions were more common among women and patients under 45 years old. Favorable outcomes were observed in 61% of patients with structural lesions, compared to 10% of patients with medication-related etiologies. Conclusion This study provides important evidence regarding the etiological classification of Brazilian patients with ICH. Hypertension and amyloid angiopathy were the most frequent causes, while structural lesions and systemic diseases were more common in younger patients. ICH (ICH recurrences SMASHU SMASH U Paulo Brazil 201 2018 excluded 200 14 579 57 9 57. ± ( 15.5 155 15 5 543 54 3 54.3 male 414 41 4 41.4 cases 18.5% 185 18 (18.5% 14.1%. 141 14.1% . 1 (14.1%) old 61 10 medicationrelated medication related etiologies 20 15. 54. 41. 18.5 (18.5 14.1 (14.1% 6 2 18. (18. 14. (14.1 (18 (14. (1 (14

Resumo Antecedentes Compreender as causas da hemorragia intracerebral (HIC) é crucial para o tratamento eficaz e prevenção de recorrências. A escala SMASH-U é um método sugerido para classificar e prever os resultados da HIC. Objetivo Descrever a classificação SMASH-U e os resultados por etiologia em pacientes admitidos em um centro de acidente vascular cerebral (AVC) em São Paulo, Brasil. Métodos Foi realizada uma análise retrospectiva de pacientes admitidos no hospital ou ambulatório entre abril de 2015 e janeiro de 2018. Dois neurologistas especializados em doenças cerebrovasculares avaliaram a classificação SMASH-U e pacientes com prontuários incompletos foram excluídos. Resultados Dos 2000 pacientes com diagnóstico de AVC avaliados, 140 foram incluídos na análise final. A idade média foi de 57,9 (±15,5) anos e 54,3% eram do sexo masculino. A hipertensão foi a etiologia mais frequente, correspondendo a 41,4% dos casos, seguida pela angiopatia amiloide (18,5%) e lesões estruturais (14,1%). As lesões estruturais foram mais comuns em mulheres e pacientes com menos de 45 anos. Resultados favoráveis foram observados em 61% dos pacientes com lesões estruturais, em comparação com 10% dos pacientes com etiologias relacionadas a medicamentos. Conclusão Este estudo fornece evidências importantes sobre a classificação etiológica de pacientes brasileiros com HIC. A hipertensão e a angiopatia amiloide foram as causas mais frequentes, enquanto lesões estruturais e doenças sistêmicas foram mais comuns em pacientes mais jovens. HIC (HIC recorrências SMASHU SMASH U (AVC Paulo Brasil 201 2018 excluídos 200 avaliados 14 final 579 57 9 57, ±15,5 155 15 5 (±15,5 543 54 3 54,3 masculino frequente 414 41 4 41,4 casos 18,5% 185 18 (18,5% 14,1%. 141 14,1% . 1 (14,1%) 61 10 medicamentos frequentes jovens 20 ±15, (±15, 54, 41, 18,5 (18,5 14,1 (14,1% 6 2 ±15 (±15 18, (18, 14, (14,1 ±1 (±1 (18 (14, ± (± (1 (14 (

ABSTRACT Objective To describe and analyze the aspects regarding the cost and length of stay for elderly patients with bone fractures in a tertiary reference hospital. Methods A cross-sectional retrospective study using data obtained from medical records between January and December 2020. For statistical analysis, exploratory analyses, Shapiro-Wilk test, χ2 test, and Spearman correlation were used. Results During the study period, 156 elderly patients (62.2% women) with bone fractures were treated. The main trauma mechanism was a fall from a standing height (76.9%). The most common type of fracture in this sample was a transtrochanteric fracture of the femur, accounting for 40.4% of cases. The mean length of stay was 5.25 days. The total cost varied between R$2,006.53 and R$106,912.74 (average of R$15,695.76) (updated values). The mean daily cost of hospitalization was R$4,478.64. A positive correlation was found between the length of stay and total cost. No significant difference in cost was observed between the two main types of treated fractures. Conclusion Fractures in the elderly are frequent, resulting in significant costs. The longer the hospital stay for treatment, the higher the total cost. No correlation was found between total cost and number of comorbidities, number of medications used, and the comparison between the treatment of transtrochanteric and femoral neck fractures. crosssectional cross sectional 2020 analysis analyses ShapiroWilk Shapiro Wilk test χ used period 15 62.2% 622 62 2 (62.2 women 76.9%. 769 76.9% . 76 9 (76.9%) femur 404 40 4 40.4 cases 525 5 25 5.2 days R200653 R 006 53 R$2,006.5 R10691274 106 912 74 R$106,912.7 average R$15,695.76 R1569576 695 updated values. values values) R447864 478 64 R$4,478.64 frequent costs comorbidities 202 1 62.2 6 (62. 76.9 7 (76.9% 40. 52 5. R20065 00 R$2,006. R1069127 10 91 R$106,912. R$15,695.7 R156957 69 R44786 47 R$4,478.6 20 62. (62 76. (76.9 R2006 0 R$2,006 R106912 R$106,912 R$15,695. R15695 R4478 R$4,478. (6 (76. R200 R$2,00 R10691 R$106,91 R$15,695 R1569 R447 R$4,478 ( (76 R20 R$2,0 R1069 R$106,9 R$15,69 R156 R44 R$4,47 (7 R2 R$2, R106 R$106, R$15,6 R15 R4 R$4,4 R$2 R10 R$106 R$15, R1 R$4, R$ R$10 R$15 R$4 R$1

RESUMO Objetivos: O objetivo desse trabalho consiste em analisar e descrever o perfil dos pacientes acometidos por traumatismos no complexo bucomaxilofacial tratados em um hospital, no norte do Piauí. Métodos: Foram avaliados os prontuários dos pacientes submetidos a tratamento cirúrgico pela Equipe de Cirurgia e Traumatologia Bucomaxilofacial do Hospital Regional Chagas Rodrigues, desde o início do programa, compreendido entre julho de 2022 a outubro de 2023. Resultados: Observou-se que indivíduos do sexo masculino, na faixa etária dos 32 anos de idade, são os mais acometidos por traumas faciais, correspondendo a 80,68% dos casos, que houve uma predominância de injúrias no complexo órbito-zigomatico-maxilar (COZM), sendo responsável por 39,56% do total de fraturas deste estudo, tendo como principal fator etiológico os acidentes motociclísticos 76,14%, nesses casos, a conduta de tratamento mais realizada foi a Osteossíntese do Complexo Órbito-Zigomático-Maxilar (32,97%). Conclusão: Conclui-se que o trauma não deve ser visto apenas como uma complicação médica, mas também como um problema social e econômico, portanto torna-se necessário a criação, implementação de medidas de conscientização no trânsito e prevenção a respeito dos traumatismos faciais. Objetivos hospital Piauí Métodos Rodrigues programa 202 2023 Resultados Observouse Observou se masculino 3 idade faciais 8068 80 68 80,68 casos órbitozigomaticomaxilar órbito zigomatico maxilar COZM, COZM , (COZM) 3956 39 56 39,56 estudo 7614 76 14 76,14% ÓrbitoZigomáticoMaxilar Órbito Zigomático Maxilar 32,97%. 3297 32,97% . 97 (32,97%) Conclusão Concluise Conclui médica econômico tornase torna criação 20 806 8 6 80,6 (COZM 395 5 39,5 761 7 1 76,14 329 32,97 9 (32,97% 2 80, 39, 76,1 32,9 (32,97 76, 32, (32,9 (32, (32 (3 (

ABSTRACT Objective: The objective of this work is to analyze and describe the profile of patients affected by trauma to the oral and maxillofacial complex treated in a hospital in the north of Piauí. Methods: The medical records of patients undergoing surgical treatment by the Oral and Maxillofacial Surgery and Traumatology Team of the Chagas Rodrigues Regional Hospital were evaluated, since the beginning of the program, between July 2022 and October 2023. Results: It was observed that male individuals in the 32-year-old age group are the most affected by facial trauma, corresponding to 80,68% of cases, with a predominance of injuries in the orbito-zygomatico-maxillary complex (OZMC), accounting for 39,56% of the total fractures in this study, with motorcycle accidents as the main etiological factor (76,14%), in these cases, the most common treatment procedure was osteosynthesis of the orbito-zygomatic-maxillary complex (32,97%). Conclusion: It is concluded that trauma should not only be seen as a medical complication, but also as a social and economic problem, therefore it is necessary to create and implement traffic awareness and prevention measures regarding facial trauma. Objective Piauí Methods evaluated program 202 2023 Results 32yearold yearold 32 year old 8068 80 68 80,68 cases orbitozygomaticomaxillary orbito zygomatico maxillary OZMC, OZMC , (OZMC) 3956 39 56 39,56 study 76,14%, 7614 76,14% 76 14 (76,14%) orbitozygomaticmaxillary zygomatic 32,97%. 3297 32,97% . 97 (32,97%) Conclusion complication problem 20 3 806 8 6 80,6 (OZMC 395 5 39,5 761 76,14 7 1 (76,14% 329 32,97 9 (32,97% 2 80, 39, 76,1 (76,14 32,9 (32,97 76, (76,1 32, (32,9 (76, (32, (76 (32 (7 (3 (

Abstract Coastal habitats are important feeding grounds for migratory shorebirds, which turns the coast of Piauí State into an important region for birds’ migration cycle. This study aimed to identify migratory shorebirds, analyze their patterns of habitat preference on coastal Piauí State, Brazil, and identify classes of invertebrates found in foraging sites. In total, 23,829 records of migratory shorebirds belonging to 15 species were found at feeding sites, presenting significant segregation between different foraging substrates (F1,23 = 8.41; p = 0.001). Limnodromus griseus (56.5±98.42; p > 0.001), Numenius hudsonicus (35.96±37.37; p > 0.001), and Calidris canutus (34.4±80.84; p < 0. 001) were the species accounting for the highest densities in muddy substrate. Calidris pusilla (77.37±178.02; p > 0.001), Charadrius semipalmatus (66±142.17: p > 0.001), and Calidris alba (56.5±181.24; p > 0.001) were the most significant species in sandy-muddy substrate. Birds’ lowest density was observed in sandy habitat, but C. alba (22.41±40.9) recorded the highest density in this substrate. Overall, most shorebirds (92.8 %) preferred foraging substrates presenting higher concentration of fine particles (silt, clay, and fine sand). Invertebrates belonging to classes Polychaeta, Gastropoda, Bivalvia, and Malacostraca prevailed in these sites. Therefore, substrate type and prey composition are factors influencing the density of migratory shorebirds in foraging sites. In addition, this region witnesses the occurrence of endangered species, and it reinforces the importance of these feeding sites for them during their migration to Brazil’s coastal region. birds cycle Brazil total 23829 23 829 23,82 1 F1,23 F123 F F1 (F1,2 8.41 841 8 41 0.001. 0001 0.001 . 0 001 56.5±98.42 5659842 56 5 98 42 (56.5±98.42 0.001, , 35.96±37.37 35963737 35 96 37 (35.96±37.37 34.4±80.84 3448084 34 4 80 84 (34.4±80.84 77.37±178.02 773717802 77 178 02 (77.37±178.02 66±142.17 6614217 66 142 17 (66±142.17 56.5±181.24 56518124 181 24 (56.5±181.24 sandymuddy Birds C 22.41±40.9 2241409 22 40 9 (22.41±40.9 Overall 92.8 928 92 (92. % silt, silt (silt clay sand. sand sand) Polychaeta Gastropoda Bivalvia Therefore addition Brazils s 2382 2 82 23,8 F1,2 F12 (F1, 8.4 000 0.00 00 56.5±98.4 565984 (56.5±98.4 35.96±37.3 3596373 3 (35.96±37.3 34.4±80.8 344808 (34.4±80.8 77.37±178.0 77371780 7 (77.37±178.0 66±142.1 661421 6 14 (66±142.1 56.5±181.2 5651812 18 (56.5±181.2 22.41±40. 224140 (22.41±40. 92. (92 238 23, F1, (F1 8. 0.0 56.5±98. 56598 (56.5±98. 35.96±37. 359637 (35.96±37. 34.4±80. 34480 (34.4±80. 77.37±178. 7737178 (77.37±178. 66±142. 66142 (66±142. 56.5±181. 565181 (56.5±181. 22.41±40 22414 (22.41±40 (9 (F 56.5±98 5659 (56.5±98 35.96±37 35963 (35.96±37 34.4±80 3448 (34.4±80 77.37±178 773717 (77.37±178 66±142 6614 (66±142 56.5±181 56518 (56.5±181 22.41±4 2241 (22.41±4 ( 56.5±9 565 (56.5±9 35.96±3 3596 (35.96±3 34.4±8 344 (34.4±8 77.37±17 77371 (77.37±17 66±14 661 (66±14 56.5±18 5651 (56.5±18 22.41± 224 (22.41± 56.5± (56.5± 35.96± 359 (35.96± 34.4± (34.4± 77.37±1 7737 (77.37±1 66±1 (66±1 56.5±1 (56.5±1 22.41 (22.41 56.5 (56.5 35.96 (35.96 34.4 (34.4 77.37± 773 (77.37± 66± (66± 22.4 (22.4 56. (56. 35.9 (35.9 34. (34. 77.37 (77.37 (66 22. (22. (56 35. (35. (34 77.3 (77.3 (6 (22 (5 (35 (3 77. (77. (2 (77 (7

BACKGROUND: The significance of the context, or the environment, is pivotal in influencing the practices of management accounting OBJECTIVES: This article aims to explore the significance, methods and challenges of accounting information exchange in buyer-supplier collaborations METHOD: In buyer-supplier collaborations, data are gathered from 13 semi-structured interviews and 250 questionnaires. The analysis is conducted using SPSS version 25, employing non-parametric Kruskal-Wallis test and content analysis techniques RESULTS: Respondents recognise its benefits but prefer informal communication. Challenges such as diverse systems and mistrust hinder formal sharing. Despite obstacles, informal channels remain effective, although concerns about data leakage persist, leading to a conservative approach CONCLUSION: In the Egyptian textile supply chain, members prioritise individual goals over collective ones. Informal methods, such as backdoor access, facilitate accounting information sharing among buyer-supplier partnerships. Formal sharing protocols are lacking, with limited one-way technical data exchange. Trust issues and data security concerns persist. Despite the absence of formal disclosure, cost estimations remain feasible. The company adopts a conservative approach, limiting access to records in most cases CONTRIBUTION: In essence, the article not only sheds light on the complexities and nuances surrounding accounting information sharing in the textile supply chain but also emphasises the resilience of informal communication channels in overcoming challenges. As the industry navigates these dynamics, recognising the importance of relational ties and informal exchanges could be pivotal in fostering a more efficient and collaborative supply chain ecosystem

Abstract Purpose The purpose of this research is to investigate whether using an accounting fundamental strategy can provide valuable information about the value of a business and generate positive excess buy-and-hold returns on stocks in the Euronext 100 index. Theoretical framework The theoretical framework of the study is based on the combination of valuation theory and accounting research. We rely on fundamental analysis as a stock valuation method, which involves looking at both quantitative and qualitative information in a company's economic and financial records. Design/methodology/approach We examine the relevance of growth and earnings response coefficients, as well as Piotroski's F-scores and Lev and Thiagarajan's L-scores in predicting future stock returns. The analysis covers the years 2000 to 2020. Findings The study finds that accounting fundamental signals provide value-relevant information to investors and have a significant and positive relationship with future buy-and-hold market returns, resulting in high-scoring portfolios achieving significant average annual market excess returns. Practical & social implications of research The results of the study have practical implications for investors who use fundamental analysis as an investment strategy. The results indicate that accounting fundamentals provide value-relevant information to investors and can lead to positive excess buy-and-hold returns. Originality/value The study contributes to the understanding of the role of fundamentals in firm valuation and provides fresh insights into binary models and fundamental analysis applied to European markets. In addition, the study tests the robustness of fundamental strategies using fixed effects regression analysis. buyandhold buy hold 10 index method companys company s records Designmethodologyapproach Design methodology approach coefficients Piotroskis Piotroski Fscores F scores Thiagarajans Thiagarajan Lscores L 200 2020 valuerelevant relevant highscoring high scoring Originalityvalue Originality markets addition 1 20 202 2

ABSTRACT Background: Reports of the impact of the 2020 COVID-19 pandemic period/2020 on endoscopic ultrasound (EUS) are scarce. Objective: We analyzed the impact of the pandemic period/2020 on the demographics, indications, and number of diagnostic EUS (D-EUS) and interventional EUS (I-EUS) procedures performed in a high-volume endoscopy unit compared with the previous non-pandemic period/2019. Methods: We retrospectively reviewed the medical records of all patients undergoing D-EUS or I-EUS from March 1, 2019, to February 29, 2020 (non-pandemic period/2019) and from March 1, 2020, to February 28, 2021 (pandemic period/2020). Data compared between the study periods included sex, age, comorbidities, EUS findings and diagnosis, need for interventional procedures during EUS, and adverse events (AEs). Results were significant at P<0.05. Results: EUS procedures decreased from 475 in the non-pandemic period/2019 to 289 in the pandemic period/2020, accounting for a 39% reduction. In non-pandemic period/2019, 388 (81.7%) D-EUS and 88 (18.5%) I-EUS were performed, against 206 (71.3%) D-EUS and 83 (28.7%) I-EUS in pandemic period/2020 (P=0.001). Only 5/289 (1.7%) patients had COVID-19. Fewer patients with comorbidities underwent EUS during pandemic period/2020 due to lockdown measures (P<0.001). D-EUS decreased, whereas I-EUS increased (P<0.001). EUS-guided tissue acquisition (EUS-TA) was the most common I-EUS, performed in 83/289 (28.7%) patients in pandemic period/2020, against 88/475 (18.5%) in non-pandemic period/2019 (P=0.001). AEs did not differ significantly between the study periods. Conclusion: Pandemic Period/2020 had a moderate impact on reducing EUS procedures due to the risks involved. Although I-EUS increased, EUS-related AEs did not. Solid and cystic pancreatic tumors remained a major indication for EUS-TA even during the pandemic period/2020. Background 202 COVID19 COVID 19 COVID-1 period2020 period period/202 (EUS scarce Objective demographics indications DEUS D (D-EUS IEUS I (I-EUS highvolume high volume nonpandemic non period2019 2019 Methods 1 29 28 . period/2020) sex age diagnosis AEs. (AEs) P005 P 0 05 P<0.05 47 period/201 39 reduction 38 81.7% 817 81 7 (81.7% 8 18.5% 185 18 5 (18.5% 20 71.3% 713 71 3 (71.3% 28.7% 287 (28.7% P=0.001. P0001 P=0.001 001 (P=0.001) 5289 5/28 1.7% 17 (1.7% COVID19. 19. P<0.001. P<0.001 (P<0.001) EUSguided guided EUSTA TA (EUS-TA IEUS, 83289 83/28 88475 88/47 Conclusion Period2020 Period Period/202 involved EUSrelated related COVID1 COVID- period202 period/20 period201 201 2 (AEs P00 P<0.0 4 81.7 (81.7 18.5 (18.5 71.3 (71.3 28.7 (28.7 P000 P=0.00 00 (P=0.001 528 5/2 1.7 (1.7 P<0.00 (P<0.001 8328 83/2 8847 88/4 Period202 Period/20 period20 period/2 P0 P<0. 81. (81. 18. (18. 71. (71. 28. (28. P=0.0 (P=0.00 52 5/ 1. (1. (P<0.00 832 83/ 884 88/ Period20 Period/2 period2 period/ P<0 (81 (18 (71 (28 P=0. (P=0.0 (1 (P<0.0 Period2 Period/ P< (8 (7 (2 P=0 (P=0. ( (P<0. P= (P=0 (P<0 (P= (P< (P

RESUMO Contexto: Os dados sobre o impacto da pandemia de COVID-19 2020 na ultrassonografia endoscópica (EUS) são escassos. Objetivo: Analisamos o impacto do período pandêmico/2020 na demografia, indicações e número das EUS diagnósticas (D-EUS) e intervencionistas EUS (I-EUS) realizados em uma unidade de endoscopia de alto volume e os comparamos com o período imediatamente anterior não-pandêmico/2019. Métodos: Revisamos retrospectivamente os prontuários de todos os pacientes submetidos a D-EUS ou I-EUS de 1 de março de 2019 a 29 de fevereiro de 2020 (período não-pandêmico/2019) e de 1º de março de 2020 a 28 de fevereiro de 2021 (período da pandemia/2020). Comparamos os dados entre os períodos do estudo incluímos o sexo, idade, comorbidades, achados e diagnóstico da EUS, necessidade de procedimentos intervencionistas durante a EUS e a ocorrência de eventos adversos (EAs). Os resultados foram significativos com P<0,05. Resultados: O número de ecoendoscopias diminuíram de 475 no período não-pandêmico/2019 para 289 no período pandêmico/2020, representando uma redução de 39%. No período não-pandêmico/2019 e pandêmico/2020 foram realizados 388 (81,7%) D-EUS e 88 (18,5%) I-EUS, contra 206 (71,3%) D-EUS e 83 (28,7%) I-EUS, respectivamente (P=0,001). Apenas 5/289 (1,7%) pacientes tinham COVID-19. Menos pacientes com comorbidades realizaram EUS durante o período pandêmico/2020 devido as medidas de bloqueio (P<0,001). D-EUS diminuiu, enquanto I-EUS aumentou (P<0,001). A EUS associada a aquisição tecidual (EUS-AT) foi a I-EUS mais comum, realizada em 83/289 (28,7%) pacientes no período pandêmico/2020, versus 88/475 (18,5%) no período não-pandêmico/2019 (P=0,001). Os EAs não diferiram significativamente entre os períodos do estudo. Conclusão: O período da pandemia/2020 teve impacto moderado na redução da EUS devido aos riscos envolvidos. Embora o I-EUS tenha aumentado, os EAs relacionados ao EUS não aumentaram. Os tumores pancreáticos sólidos e císticos permaneceram como uma das principais indicações para EUS-AT mesmo durante o período pandêmico/2020. Contexto COVID19 COVID 19 COVID-1 202 (EUS escassos Objetivo pandêmico2020 pandêmico pandêmico/202 demografia DEUS D (D-EUS IEUS I (I-EUS nãopandêmico/2019. nãopandêmico2019 nãopandêmico pandêmico/2019. Métodos 201 2 nãopandêmico/2019 pandêmico/2019 º pandemia/2020. pandemia2020 . pandemia/2020) sexo idade EAs. (EAs) P005 P 0 05 P<0,05 Resultados 47 não-pandêmico/201 39 39% 38 81,7% 817 81 7 (81,7% 8 18,5% 185 18 5 (18,5% IEUS, 20 71,3% 713 71 3 (71,3% 28,7% 287 (28,7% P=0,001. P0001 P=0,001 001 (P=0,001) 5289 5/28 1,7% 17 (1,7% COVID19. 19. P<0,001. P<0,001 (P<0,001) diminuiu EUSAT AT (EUS-AT comum 83289 83/28 88475 88/47 Conclusão pandemia/202 envolvidos aumentado aumentaram COVID1 COVID- pandêmico202 pandêmico/20 nãopandêmico201 pandêmico2019 nãopandêmico/201 pandêmico/201 pandemia202 (EAs P00 P<0,0 4 não-pandêmico/20 81,7 (81,7 18,5 (18,5 71,3 (71,3 28,7 (28,7 P000 P=0,00 00 (P=0,001 528 5/2 1,7 (1,7 P<0,00 (P<0,001 8328 83/2 8847 88/4 pandemia/20 pandêmico20 pandêmico/2 nãopandêmico20 pandêmico201 nãopandêmico/20 pandemia20 P0 P<0, não-pandêmico/2 81, (81, 18, (18, 71, (71, 28, (28, P=0,0 (P=0,00 52 5/ 1, (1, (P<0,00 832 83/ 884 88/ pandemia/2 pandêmico2 pandêmico/ nãopandêmico2 nãopandêmico/2 pandemia2 P<0 não-pandêmico/ (81 (18 (71 (28 P=0, (P=0,0 (1 (P<0,0 pandemia/ nãopandêmico/ P< não-pandêmico (8 (7 (2 P=0 (P=0, ( (P<0, P= (P=0 (P<0 (P= (P< (P

Abstract This article addresses the labor and migration experiences of Paladio Sanglas and his family, from Camprodon to Barcelona, then to Buenos Aires and to the city of Rosario. By accompanying their movements, the social relationships in which they were involved and the job offer that existed in their tailor shop in Buenos Aires, this microhistorical analysis "in motion" makes a contribution to the understanding of the worlds of urban work in Buenos Aires, of the migrations in the mid-nineteenth century from Europe to South America and of the mutations of a craft trade. Using the tools of social history from a gender perspective, the article also addresses the division of labor within the workshop and explores the meanings of labor honor that the men of the Sanglas family expressed before the Buenos Aires commercial justice. This study follows the traces of a Catalan tailor through the careful exploration of census sources, municipal documentation, judicial files from the Buenos Aires Commercial Court, accounting records, passenger boat lists, ads, among others.

Resumen El presente artículo aborda las experiencias de trabajo y migración de Paladio Sanglas y su familia, desde Camprodón, hasta Barcelona, luego a Buenos Aires y a la ciudad de Rosario. Al acompañar sus desplazamientos, las relaciones sociales en las que se involucraron y la oferta de empleo que existió en su sastrería en la porteña calle Perú, este análisis microhistórico “en movimiento” realiza un aporte a la comprensión de los mundos del trabajo urbano en Buenos Aires, de las migraciones existentes a mediados de siglo XIX de Europa a Sudamérica y de las mutaciones de un oficio artesanal. Con las herramientas de la historia social en perspectiva de género, el artículo también se interroga por la división del trabajo al interior del taller y aborda los sentidos de honor laboral que los hombres de la familia Sanglas expresaron al comparecer frente a la justicia comercial porteña. Este estudio sigue la pista de un sastre catalán a través de la exploración atenta de fuentes censales, documentación municipal, expedientes judiciales del Tribunal de Comercio de Buenos Aires, registros contables, listados de pasajeros de embarcaciones, avisos clasificados, entre otras.

RESUMO Objetivo: A terapia antiangiogênica intravítrea revolucionou o tratamento de inúmeras patologias de relevância global, sendo atualmente o procedimento oftalmológico invasivo mais realizado no mundo. Objetiva-se no presente estudo descrever o perfil clínico e epidemiológico dos pacientes submetidos a terapia intravítrea com antiangiogênicos em hospital terciário de referência no Brasil. Métodos: Trata-se de um estudo transversal, retrospectivo e observacional que foi realizado através da análise de prontuários de pacientes submetidos a injeção intravítrea de antiangiogênicos para tratamento de doenças retinianas no ambulatório de oftalmologia do Hospital das Clínicas da Unicamp no período de janeiro a dezembro de 2020. Resultados: O estudo analisou 429 pacientes e 514 olhos. A maioria pertencia ao sexo masculino (51,28%), raça branca (80,89%), possuía entre 50-80 anos com idade média de 60,92 anos e escolaridade de 1º grau completo ou incompleto (56,88%) e não pertenciam (78,55%) a área de abrangência do Departamento Regional de Saúde do qual Campinas faz parte. O fármaco mais utilizado nas injeções intravítreas foi o bevacizumabe (79,38%), o principal regime de tratamento foi o pro re nata (90,27%) e a principal grupo de patologia indicativa de tratamento foi o edema macular (60,12%), sendo 48,25% desses de etiologia diabética. A média de injeções foi de 3,83/paciente, sendo o grupo de neovascularização macular o de maior mediana com 5 injeções/paciente e o esquema pro re nata o regime de tratamento com menor mediana, 3 injeções/paciente. A adesão ao tratamento associou-se a patologia do paciente, sendo as menores taxas de adesão as dos grupos com edema macular (52,24%) e neovascularização macular (49,48%). Conclusões: O presente estudo avaliou o perfil epidemiológico e clínico dos pacientes submetidos a terapia antiangiogênica em hospital público de alta complexidade, o que é fundamental para melhor conhecimento da demanda de serviço oftalmológico de referência no Brasil e possibilita, a partir da análise dos resultados funcionais e perfil de adesão dos usuários, otimizar as indicações e alavancar os benefícios de terapia intravítrea.

ABSTRACT Purpose: Intravitreal antiangiogenic therapy is currently the most invasive ophthalmic procedure performed worldwide. This study aimed to describe the clinical and epidemiological profile of patients undergoing intravitreal antiangiogenic therapy in a tertiary referral hospital in Brazil. Methods: This cross-sectional, retrospective, and observational study analyzed medical records of patients who received intravitreal injections of antiangiogenic agents for the treatment of retinal diseases at the ophthalmology outpatient clinic in the Hospital das Clínicas at Unicamp between January and December 2020. Results: The study included 429 patients and 514 eyes. The study population was predominantly male (51.28%), white (80.89%), between 50 and 80 years old (mean age, 60.92 years), had complete or incomplete first-grade education (56.88%), and did not belong to the Regional Health Department of which Campinas is a part (78.55%). Bevacizumab was the most commonly used intravitreal injectable medicine (79.38%), pro re nata was the most commonly used treatment regimen (90.27%), and macular edema was the most prevalent pathology indicative of treatment (60.12%), with diabetes etiology accounting for 48.25%. The average number of injections per patient was 3.83, with the macular neovascularization group and the pro re nata group having the highest and lowest with five and three injections, respectively. Treatment adherence was associated with the patient’s pathology, and the macular edema (52.24%) and macular neovascularization (49.48%) groups had the lowest adherence rates. Conclusions: This study evaluated the epidemiological and clinical profile of patients undergoing antiangiogenic therapy in a high-complexity public hospital, which is fundamental for a better understanding of the demand for ophthalmic reference service in Brazil, and the analysis of functional results and user adherence profile promotes optimization of indications and leverages the benefits of intravitreal therapy.

Resumen El objetivo de esta investigación es analizar el papel de la contabilidad en el sistema esclavista del Brasil del siglo XIX, indagando los registros e inventarios de la trata de esclavos y también la contabilidad de los compradores de esclavizados. El estudio tuvo un enfoque cualitativo utilizando la investigación historiográfica, en cuanto a los medios fue bibliográfico y documental con un objetivo exploratorio. Parte de la investigación documental se realizó en el banco de datos en línea Slave Voyages y presencialmente en el Instituto Histórico y Geográfico de Pernambuco (IAHGP). Con base en el análisis de fuentes documentales, desde la trata de esclavos hasta su compra como esclavizados por parte de los señores de las haciendas, los esclavizados eran registrados en la contabilidad como una mercancía o propiedad para generar riqueza. Se considera que la contabilidad ha reproducido en sus registros y estados financieros la naturalización de las relaciones de poder establecidas por el sistema colonial. Este estudio contribuyó a la reflexión sobre el rol de los profesionales de la contabilidad que, desde una perspectiva más crítica, podrían haber entendido el proceso de objetificación al que fueron sometidos los esclavizados, pero también señala que cooperaron en el movimiento abolicionista. XIX historiográfica exploratorio IAHGP. IAHGP . (IAHGP) documentales haciendas riqueza colonial crítica abolicionista (IAHGP

Abstract This research analyzes the role of accounting in the slave system of Brazil in the 19th century, looking at the records and inventories of the slave trade and the accounting of the slave buyers. The study had a qualitative approach using historiographical research. In terms of media, it was bibliographic and documentary with an exploratory objective. Part of the documentary research was carried out in the online database Slave Voyages and in person at the Historical and Geographical Institute of Pernambuco (IAHGP). Based on the analysis of the documental sources, from the slave trade to the purchase of the slaves by plantation owners, the slaves were registered in the accounts as merchandise/property to generate wealth. Accounting is considered to have reproduced in its records and financial statements the naturalization of power relations established by the colonial system. This study contributed to the reflection on the role of accounting professionals who, from a more critical perspective, could have understood the process of objectification to which the enslaved were subjected. It also indicates that they cooperated in the abolitionist movement. th century buyers media objective IAHGP. IAHGP . (IAHGP) sources owners merchandiseproperty merchandise property wealth who perspective subjected movement (IAHGP

Resumo A presente pesquisa tem por propósito analisar o papel da contabilidade no sistema escravagista do Brasil oitocentista, investigando os registros e inventários do tráfico negreiro e também da contabilização dos compradores de escravizados. O estudo teve abordagem qualitativa ao utilizar a pesquisa historiográfica, quantos aos meios, foi bibliográfica e documental com objetivo exploratório. Parte da pesquisa documental foi realizada no banco de dados on-line Slave Voyages e presencialmente no Instituto Histórico e Geográfico de Pernambuco (IAHGP). Com base na análise das fontes documentais do ciclo da escravidão desde o tráfico negreiro até a compra dos escravizados pelos senhores das fazendas, os escravizados eram registrados contabilmente como uma mercadoria e/ou propriedade para gerar riquezas. Considera-se que a contabilidade reproduziu nos seus registros e demonstrações contábeis a naturalização das relações de poder instituídas pelo sistema colonial. Este estudo contribuiu para reflexão acerca da função dos profissionais da contabilidade que, de uma perspectiva mais crítica, poderiam ter compreendido o processo de objetificação ao qual foram submetidos os escravizados, mas também aponta que cooperaram no movimento abolicionista. oitocentista historiográfica meios exploratório online on line IAHGP. IAHGP . (IAHGP) fazendas eou ou riquezas Considerase Considera se colonial crítica abolicionista (IAHGP

Abstract Background In tetralogy of Fallot, correction surgery is a priority choice, seeing that it is desirable to minimize pulmonary hypoflow and severe hypoxemia, which result in hypoxemic crises, with sudden worsening of cyanosis, tachypnea, and, in some cases, loss of consciousness, seizures, and even death. Objective To evaluate the predicting factors of surgical mortality in children and adolescents undergoing correction of tetralogy of Fallot. Methods Retrospective cross-sectional study carried out by consulting all surgical records of the Child and Adolescent Cardiology Service of the Brazilian National Institute of Cardiology, during the period from 2007 to 2010. Results with p values < 0.05 were considered significant. Results The study evaluated 93 medical records. In relation to the characteristics of the population at the time of surgery, the median age was 3.69 (2.13 to 5.79) years, and 58.06% (n = 54) were male. White was the most common skin color, accounting for 55.43% (n = 51) of cases. In relation to assessment of nutritional status, median weight was 13.25 (10.10 to 17.60) kg, and body mass index was 14.49 (13.44 to 16.28) kg/m2. Down syndrome was present in 11.83% (n = 11) of the patients. All patients underwent correction surgery (n = 93, 100%). Prior cyanotic crisis was found in 53.85% (n = 49) with p = 0.013; surgical procedure duration was 218.83 ± 60.63 minutes, with p = 0.003, and lactate was 1.88 ± 1.33 mg/dL during the immediate postoperative period, with p = 0.009. Regarding the outcome of surgical death, it was found in 15.05% (n = 14) of patients. Mean follow-up lasted 5.68 ± 3.76 years. Conclusions According to the factors analyzed, the duration of the surgical procedure, prior cyanotic crisis, and blood lactate level may be relevant to surgical mortality. Fallot choice hypoxemia crises cyanosis tachypnea cases consciousness seizures death crosssectional cross sectional 200 2010 005 0 05 0.0 significant 9 369 3 69 3.6 2.13 213 2 13 (2.1 5.79 579 5 79 years 5806 58 06 58.06 n 54 male color 5543 55 43 55.43 51 status 1325 25 13.2 10.10 1010 10 (10.1 17.60 1760 17 60 kg 1449 14 49 14.4 13.44 1344 44 (13.4 16.28 1628 16 28 kgm2 kgm m2 m kg/m2 1183 11 83 11.83 100%. 100 100% . 100%) 5385 53 85 53.85 0.013 0013 013 21883 218 218.8 6063 63 60.6 minutes 0003 003 0.003 188 1 88 1.8 133 33 1.3 mgdL mg dL 0009 009 0.009 1505 15 15.05 followup follow up 568 68 5.6 376 76 3.7 analyzed 20 201 00 0. 36 6 3. 2.1 21 (2. 5.7 57 7 580 58.0 554 4 55.4 132 13. 10.1 101 (10. 17.6 176 144 14. 13.4 134 (13. 16.2 162 kg/m 118 8 11.8 538 53.8 0.01 001 01 2188 218. 606 60. 000 0.00 18 1. 150 15.0 56 5. 37 2. (2 58. 55. 10. (10 17. (13 16. 11. 53. 15. ( (1

Abstract Introduction: Congenital vascular malformations are entities with a broad spectrum of presentations and variable prognosis. They typically present at a young age and are historically associated with extensive resection surgeries and with high morbidity. This study aims to evaluate the results of arteriovenous malformations (AVMs) embolization as a first-line approach in lesions which are not suitable for surgical resection. Methods: A retrospective analysis of the clinical records of patients with infiltrative arteriovenous malformations who underwent embolization at our center between 2019 and 2021 was performed. The Schobinger Classification was applied to categorize the clinical stage. Angiographic findings were reported according to the Yakes classification. The decrease in the Schöbinger grade after treatment, the need for reintervention and the associated complications were the main outcomes. A descriptive statistical analysis was performed. Results: Nine patients undergoing embolization of infiltrative arteriovenous malformations were evaluated, accounting for a total of seventeen interventions. There was a preponderance of females (n=6; 66.7%) and the mean age of referral to the Vascular Surgery consultation and the first treatment was 16.8 (±12.9) and 20.9 (± 14.5) years, respectively. All patients were in stage II (n=4; 44.4%) or III (n=5; 55.6%) of Schöbinger. The angiographic pattern of the AVMs was classified according to the Yakes Classification, which guided the approach. Yakes type IIa was found most frequently (n=6; 55.6%), followed by type IV (n=2; 22.2%) and type IIb (n=1; 1.1%). Patients underwent AVM embolization via transarterial, transvenous or direct nidus puncture with sclerosing agents, liquid embolizers, microparticles and microcoils, separately or in combination. The median number of interventions per patient was 1 (1 - 5) and Yakes type IV appears to be associated with a higher rate of reintervention. Reduction of the Schöbinger stage was achieved in 7 (77.8%) patients with clinical resolution in 3 (33.3%). Tissue necrosis was the only complication reported in this series (n=2; 11,8%). Conclusion: The endovascular approach of arteriovenous malformations through nidus and/or afferent/efferent embolization requires a detailed angiographic characterization but seems to be an effective strategy with a low risk of complications. The Yakes classification, can be useful both in guiding the approach and in predicting the need for reintervention.