ABSTRACT Introduction: Abdominal wall hernias encompass both ventral and incisional hernias, often poorly classified regarding complexity in general. This study aims to conduct a review on the primary topics related to defining the complexity of ventral hernias. Methods: this is a scope review conducted following the guidelines recommended by the PRISMA-ScR directive. Searches were carried out in electronic databases including PubMed, LILACS, and EMBASE, using the descriptors: Abdominal Hernia, Hernia, Ventral Hernia, Incisional Hernia, Complex, Classification, Classify, Grade, Scale, and Definition. Combinations of these terms were employed when appropriate. Inclusion criteria encompassed articles with definitions and classifications of complex hernias, as well as those utilizing these classifications to guide treatments and patient allocation. Synonyms and related topics were also considered. Articles outside the scope or lacking the themes in their title or abstract were excluded. The database search was conducted up to July 29, 2023. Results: several hernia classifications were identified as useful in predicting complexity. For this study, we considered six main criteria: size and location, loss of domain, use of abdominal wall relaxation techniques, characteristics of imaging exams, status of the subcutaneous cellular tissue, and likelihood of recurrence. Conclusion: complex abdominal wall hernias can be defined by characteristics analyzed collectively, relating to the patients previous clinical status, size and location of the hernia defect, status of subcutaneous cellular tissue, myofascial release techniques, and other complicating factors. Introduction general Methods PRISMAScR PRISMA ScR directive PubMed LILACS EMBASE descriptors Hernia Complex Classification Classify Grade Scale Definition appropriate allocation excluded 29 2023 Results domain techniques exams tissue recurrence Conclusion collectively defect factors 2 202 20

RESUMO Introdução: As hérnias da parede abdominal, englobam em seu conceito as hérnias ventrais e incisionais. Essas hérnias são mal classificadas quanto à complexidade de forma geral. Esse estudo tem por objetivo realizar uma revisão sobre os principais tópicos relacionados à definição de complexidade das hérnias ventrais. Métodos: trata-se de revisão de escopo realizada com as orientações preconizadas pela diretriz PRISMA-ScR. Foram realizadas buscas nas bases de dados eletrônicas do PubMed, LILACS e EMBASE, empregando os descritores: “Abdominal Hernia”; Hernia; “Ventral Hernia”; “Incisional Hernia”; Complex; Classification, Classify, Grade, Scale e definition. Combinações entre os termos foram utilizadas quando oportunas. Os critérios de inclusão abrangiam artigos com definições e classificações de hérnias complexas, além daqueles que usavam essas classificações para orientar tratamentos e alocação de pacientes. Sinônimos e tópicos relacionados também foram considerados. Artigos fora do escopo ou sem os temas no título ou resumo foram excluídos. A busca nas bases de dados foi realizada até o dia 29/07/2023. Resultados: diversas classificações de hérnias foram identificadas como sendo úteis para prever complexidade. Consideramos para esse estudo seis critérios principais: tamanho e localização, perda de domicílio, uso de técnicas de relaxamento da parede abdominal, características dos exames de imagem, status do tecido celular subcutâneo e chance de recorrência. Conclusão: as hérnias complexas da parede abdominal podem ser definidas por características analisadas conjuntamente e que estão relacionadas ao estado clínico prévio do paciente, tamanho e localização do defeito herniário, status do tecido celular subcutâneo, técnicas de liberação miofascial e outros fatores complicadores.. Introdução incisionais geral Métodos tratase trata se PRISMAScR. PRISMAScR PRISMA ScR. ScR PRISMA-ScR PubMed EMBASE descritores Abdominal Hernia Hernia” Ventral Incisional Complex Classification Classify Grade definition oportunas pacientes considerados excluídos 29072023 29 07 2023 29/07/2023 Resultados domicílio imagem recorrência Conclusão paciente herniário complicadores complicadores. 2907202 2 0 202 29/07/202 290720 20 29/07/20 29072 29/07/2 2907 29/07/ 290 29/07 29/0 29/

Aim The study aimed to evaluate the association between oral health and academic performance and/or school absenteeism. Methods Electronic searches were performed of the PubMed, Web of Science, SCOPUS and LILACS/BVS databases. We included observational studies that evaluated the association between dental caries, tooth loss, dental pain or oral health status with school absenteeism or academic performance. The studies had to contain a representative sample of the population: schoolchildren, children or adolescents. After the removal of duplicates, the electronic searches produced 3,789 articles. Of these, 25 studies were included in the systematic review and 13 in the meta-analysis. Results Considering all the studies evaluated in the meta-analysis, seven articles satisfied 100% of the Joanna Briggs Institute Critical Appraisal checklist, and six contained between 90% and 75% positive answers. The pooled effects showed that the chances of school absenteeism were 31% higher in subjects with dental caries (OR 1.31; 95%CI 1.12-1.54). Students with fair/poor dental health had a 50% higher chance of suffering poor academic performance (OR 1.50; 95%CI 1.22-1.84) and 34% higher chance of having problems at school (OR 1.34; 95%CI 1.06-1.70). Students with a history of toothache had a 3.7 higher chance of being absent from school (OR 6.65; 95%CI 1.60-8.32) and 71% higher chance of missing class due to toothache (OR 1.71; 95%CI 1.15-2.56). Subjects with a history of toothache had a 2.5 times higher chance of suffering poor academic performance (OR 2.58; 95% CI 2.04-3.27). Conclusion Therefore, students with oral problems were more likely to take time off school and present inferior academic performance. andor PubMed Science LILACSBVS LILACS BVS databases loss population schoolchildren adolescents duplicates 3789 3 789 3,78 these 2 1 metaanalysis. metaanalysis meta analysis. analysis meta-analysis metaanalysis, analysis, 100 checklist 90 75 answers 31 OR 1.31 131 95CI 95 1.121.54. 112154 1.12 1.54 . 12 54 1.12-1.54) fairpoor fair 50 1.50 150 1.221.84 122184 1.22 1.84 22 84 1.22-1.84 34 1.34 134 1.061.70. 106170 1.06 1.70 06 70 1.06-1.70) 37 7 3. 6.65 665 6 65 1.608.32 160832 1.60 8.32 60 8 32 1.60-8.32 71 1.71 171 1.152.56. 115256 1.15 2.56 15 56 1.15-2.56) 5 2. 2.58 258 58 2.043.27. 204327 2.04 3.27 04 27 2.04-3.27) Therefore 378 78 3,7 10 9 1.3 121 1.121.54 11215 112 1.1 154 1.5 1.12-1.54 221 1.221.8 12218 122 1.2 184 1.8 1.22-1.8 061 1.061.70 10617 106 1.0 170 1.7 0 1.06-1.70 6.6 66 608 1.608.3 16083 160 1.6 832 8.3 1.60-8.3 17 152 1.152.56 11525 115 256 1.15-2.56 043 2.043.27 20432 204 2.0 327 3.2 2.04-3.27 3, 1. 1.121.5 1121 11 1.12-1.5 1.221. 1221 18 1.22-1. 1.061.7 1061 1.06-1.7 6. 1.608. 1608 16 83 8. 1.60-8. 1.152.5 1152 1.15-2.5 2.043.2 2043 20 2.04-3.2 1.121. 1.12-1. 1.221 1.22-1 1.061. 1.06-1. 1.608 1.60-8 1.152. 1.15-2. 2.043. 2.04-3. 1.121 1.12-1 1.22- 1.061 1.06-1 1.60- 1.152 1.15-2 2.043 2.04-3 1.12- 1.06- 1.15- 2.04-

Abstract Background Foetal anaemia is caused by a severe pregnancy complication, haemolytic disease of the foetus and newborn. Intrauterine transfusions (IUTs) are performed to treat foetal anaemia in alloimmunised pregnant women. If left untreated hydrops can develop thereby reducing the chance of survival. Survival rates have improved but the procedure is not without complications. Procedure-related complications can be associated with early gestational age, hence delaying IUT could improve outcomes. This review aims to determine the effectiveness and safety of IUTs by examining survival and mortality rates, procedure-related complications with associated foetal mortality and the influence of hydrops. Study design and method A systematic review was conducted by searching keywords in four scientific databases from January 2000 to April 2022. A meta-analysis was performed with the OpenMeta-Analyst software using an arcsine transformed proportion with the binary random-effects model and maximum likelihood method. Results Fifteen studies were identified as eligible and used in the meta-analysis. The forest plots all showed statistically significant outcomes with heterogeneity of data. Results indicated a greater foetal survival rate with IUT to treat anaemic foetuses, a low foetal mortality rate, and low risk of procedure-related complications associated with foetal loss but a higher risk of foetal mortality when hydrops is present. Conclusion The findings of this systematic review and meta-analysis provide evidence that IUT is a safe and effective treatment for foetal anaemia in the absence of hydrops when experienced personnel perform the procedure to minimise the risk of procedure-related complications. complication newborn (IUTs women Procedurerelated Procedure related age procedurerelated 200 2022 metaanalysis meta analysis OpenMetaAnalyst OpenMeta Analyst randomeffects random effects metaanalysis. analysis. data foetuses present 20 202 2

Resumo Objetivo Avaliar de forma radiográfica a qualidade da fixação das fraturas supracondilianas, identificando os fatores que contribuíram para uma redução inadequada e que aumentaram a chance de perda de redução no seguimento ambulatorial. As variáveis analisadas foram: traço de fratura, deslocamento inicial, período do dia em que a cirurgia foi realizada e técnica de fixação escolhida. Métodos Revisão de prontuário eletrônico e avaliação radiográfica das fraturas supracondilianas operadas de janeiro de 2017 a dezembro de 2022. A avaliação das radiografias foi baseada no ângulo de Baumann e na linha umeral anterior. Já a qualidade de fixação foi mensurada pelo número de corticais, pelo local de cruzamento e pela divergência dos fios. Resultados Foram avaliados 194 casos, sendo a redução pós-operatória considerada ruim em 17%. A perda de redução aconteceu em 39 casos (20,10%), sendo que 19 (48,7%) desses pacientes apresentaram fixação insuficiente (p = 0,002). Dos casos operados durante o dia, 12,5% perderam a redução, comparados a 32% dos realizados nos períodos noturno e da madrugada (p = 0,001). Conclusão Dessa forma, a qualidade da redução e a perda da fixação pós-operatória mostraram-se intimamente relacionadas aos erros técnicos e ao período do dia em que a cirurgia foi realizada. ambulatorial foram fratura inicial escolhida 201 2022 anterior corticais fios pósoperatória pós operatória 17 17% 3 20,10%, 2010 20,10% , 20 10 (20,10%) 1 48,7% 487 48 7 (48,7% p 0,002. 0002 0,002 . 0 002 0,002) 125 12 5 12,5 32 0,001. 0001 0,001 001 0,001) mostraramse mostraram se 202 20,10 2 (20,10% 48,7 4 (48,7 000 0,00 00 12, 20,1 (20,10 48, (48, 0,0 20, (20,1 (48 0, (20, (4 (20 ( (2

Abstract Objective To perform a radiographic assessment of the quality of supracondylar fracture fixation by identifying the factors that have contributed to inadequate reduction and increased the chance of reduction loss during outpatient follow-up. The variables analyzed were as follows: fracture line, initial displacement, time of day the surgery was performed, and chosen fixation technique. Methods Review of electronic medical records and radiographic evaluation of supracondylar fractures operated from January 2017 to December 2022. The radiograph assessment was based on the Baumann angle and the anterior humeral line. Determination of fixation quality was based on the number of cortices, crossing site, and wire divergence. Results We evaluated 194 cases, and postoperative reduction was poor in 17% of the subjects. Reduction loss occurred in 39 cases (20.10%), and 19 (48.7%) of these patients presented insufficient fixation (p = 0.002). Among the cases operated during the day, 12.5% lost the reduction compared with 32% of the patients who underwent surgery at night and early in the morning (p = 0.001). Conclusion Reduction quality and postoperative fixation loss were closely related to technical errors and the time of day the surgery was performed. followup. followup follow up. up follow-up follows line displacement performed technique 201 2022 cortices site divergence 17 subjects 3 20.10%, 2010 20.10% , 20 10 (20.10%) 1 48.7% 487 48 7 (48.7% p 0.002. 0002 0.002 . 0 002 0.002) 125 12 5 12.5 32 0.001. 0001 0.001 001 0.001) 202 20.10 2 (20.10% 48.7 4 (48.7 000 0.00 00 12. 20.1 (20.10 48. (48. 0.0 20. (20.1 (48 0. (20. (4 (20 ( (2

ABSTRACT Purpose: Surgery for renal cell carcinoma (RCC) with an inferior vena cava (IVC) tumor thrombus can be done via a robotic approach. While this approach is thought to minimize blood loss, it may still result in significant losses (1) and current publications indicate that it can require upwards of 3-day hospital stays (1, 2). However, innovative surgical techniques, such as the split and roll, may curtail this. The purpose of this video is to present the case and surgical technique of robotic assisted radical nephrectomy with IVC thrombectomy. Materials and Methods: The patient was a 77-year-old male found to have a right upper pole renal mass on CT urogram. On MRI (Figure 1), a renal mass and level II thrombus was seen. For this case, the Da Vinci Xi Intuitive robotic system was used, with four robotic 8-millimeter (mm) metallic trocars, two 5 mm assistant trocars, and one 12 mm air seal port. The split and roll technique were utilized to access the IVC and lumbar veins. This surgical method uses the adventitia of the IVC as a plane of dissection and safely identifies all branches/tributaries of the IVC to minimize the chance of vascular injury (3). Results: Robotic console time was 150 minutes. The patient had an excellent outcome, with all tumor thrombus removed, less than 50cc of blood loss, and was discharged within 24 hours of the operation. The tumor pathology came back as papillary, high grade, and was stage pT3bN1. Conclusions: The robotic approach with split and roll technique is a great surgical option for urologists to consider in patients with RCC and a level I or II thrombus, which can minimize blood loss and expedite discharge. Purpose (RCC (IVC 1 (1 3day day 3 1, 2. 2 . 2) However techniques thrombectomy Methods 77yearold yearold 77 year old urogram Figure , 1) seen used 8millimeter millimeter 8 (mm trocars port veins branchestributaries branches tributaries 3. (3) Results 15 minutes outcome removed cc operation papillary grade pT3bN1 pTbN pT bN Conclusions discharge ( 7 (3 pT3bN

ABSTRACT The giant anteater (Myrmecophaga tridactyla) is classified as vulnerable to extinction. Here, we report the occurrence of ancylostomiasis in a young male Myrmecophaga tridactyla. The animal was raised from a puppy in captivity with management directed toward rehabilitation and monitored soft release. Five months after release, significant weight loss was noted in the individual, who was captured for examinations, with detection of Ancylostoma sp. in coproparasitological analysis. Although common in domestic carnivores, this is the first report of hookworm disease in free-ranging giant anteaters. Due to the stress factor arising from adapting to the challenges in the new environment, long-term post-release monitoring of animals undergoing rehabilitation is extremely important to increase the chance of survival of individuals. The giant anteater was released after treatment with vermifuge composed of fenbendazole, pyrantel pamoate, and praziquantel. tridactyla extinction Here release individual examinations sp analysis carnivores freeranging free ranging anteaters environment longterm long term postrelease post individuals fenbendazole pamoate praziquantel

RESUMO O tamanduá-bandeira (Myrmecophaga tridactyla) está classificado como vulnerável quanto ao risco de extinção. O objetivo deste trabalho é reportar a ocorrência de ancilostomíase em um macho jovem da espécie. Trata-se de um indivíduo que foi criado desde filhote em cativeiro, com manejo direcionado para a reabilitação e a soltura branda. Durante o monitoramento, cinco meses após a soltura, observou-se que o animal havia perdido peso, por isso ele foi capturado para avaliação médica veterinária, e constatou-se parasitismo por Ancylostoma sp. no exame coproparasitológico. Apesar de apresentar ocorrência comum em carnívoros domésticos, este é o primeiro relato de ancilostomíase em tamanduá-bandeira em vida livre. Devido ao estresse de adaptação, juntamente com os desafios do novo ambiente, a monitoração pós-soltura a longo prazo é de extrema importância para aumentar a chance de sobrevivência dos animais. O indivíduo foi solto após tratamento com vermifugação com a associação de fembendazol, pamoato de pirantel e praziquantel. tamanduábandeira tamanduá bandeira Myrmecophaga tridactyla extinção espécie Tratase Trata se cativeiro branda monitoramento observouse observou peso veterinária constatouse constatou sp coproparasitológico domésticos livre adaptação ambiente póssoltura pós animais fembendazol praziquantel

Abstract The scope of this study was to analyze the spatial distribution of malocclusion (MO), estimate the prevalence and evaluate the associated factors in adolescents. It was a study with results of 5,558 adolescents aged 15 to 19 from the São Paulo Oral Health (SB) 2015 survey. The outcome was MO. Sociodemographic aspects, access to dental services, dental caries and tooth loss were the independent variables. A total of 162 municipalities in the state of São Paulo were included and spatial statistics techniques were applied. Hierarchical logistic regression models were performed. The prevalence of MO was 29.3%. There was a spread pattern between the types of MO and positive detachment (p<0,05). Non-white adolescents (OR=1.32, 95%CI: 1.24-1.42), with less years of schooling (OR=1.30, 95%CI: 1.22-1.42), with teeth extracted due to caries (OR=1.40, 95%CI: 1.03-1.88) were more likely to have MO. Adolescent access to dental consultation did not contribute to reducing the chance of developing MO, regardless of whether the dental consultation occurred less (OR=2.02, 95%CI: 1.65-2.47) or more than one year before (OR=1.63, 95%CI: 1.31-2.03). Thus, the occurrence of MO is unequally distributed in the state of São Paulo and associated with sociodemographic conditions, access to consultations and tooth loss due to caries. , (MO) 5558 5 558 5,55 1 SB (SB 201 survey aspects services variables 16 applied performed 293 29 3 29.3% p<0,05. p005 p p<0,05 . 0 05 (p<0,05) Nonwhite Non white OR=1.32, OR132 OR 32 (OR=1.32 95%CI 95CI CI 95 1.241.42, 124142 1.24 1.42 24 42 1.24-1.42) OR=1.30, OR130 30 (OR=1.30 1.221.42, 122142 1.22 22 1.22-1.42) OR=1.40, OR140 40 (OR=1.40 1.031.88 103188 1.03 1.88 03 88 1.03-1.88 OR=2.02, OR202 2 02 (OR=2.02 1.652.47 165247 1.65 2.47 65 47 1.65-2.47 OR=1.63, OR163 63 (OR=1.63 1.312.03. 131203 1.31 2.03 31 1.31-2.03) Thus conditions (MO 555 55 5,5 20 29.3 p00 p<0,0 (p<0,05 OR=1.32 OR13 (OR=1.3 9 241 1.241.42 12414 124 1.2 142 1.4 4 1.24-1.42 OR=1.30 221 1.221.42 12214 122 1.22-1.42 OR=1.40 OR14 (OR=1.4 031 1.031.8 10318 103 1.0 188 1.8 8 1.03-1.8 OR=2.02 OR20 (OR=2.0 652 1.652.4 16524 165 1.6 247 2.4 6 1.65-2.4 OR=1.63 OR16 (OR=1.6 312 1.312.03 13120 131 1.3 203 2.0 1.31-2.03 5, 29. p0 p<0, (p<0,0 OR=1.3 OR1 (OR=1. 1.241.4 1241 12 1. 14 1.24-1.4 1.221.4 1221 1.22-1.4 OR=1.4 1.031. 1031 10 18 1.03-1. OR=2.0 OR2 (OR=2. 1.652. 1652 2. 1.65-2. OR=1.6 1.312.0 1312 13 1.31-2.0 p<0 (p<0, OR=1. (OR=1 1.241. 1.24-1. 1.221. 1.22-1. 1.031 1.03-1 OR=2. (OR=2 1.652 1.65-2 1.312. 1.31-2. p< (p<0 OR=1 (OR= 1.241 1.24-1 1.221 1.22-1 1.03- OR=2 1.65- 1.312 1.31-2 (p< OR= (OR 1.24- 1.22- 1.31- (p

Resumo O objetivo foi analisar a distribuição espacial da má oclusão (MO) em adolescentes, estimar a prevalência e avaliar os fatores associados. Estudo com dados de 5.558 adolescentes entre 15 e 19 anos de idade do inquérito - SB São Paulo 2015. O desfecho foi a MO. As variáveis independentes foram os aspectos sociodemográficos, acesso aos serviços odontológicos, cárie e perdas dentárias. Foram incluídos 162 municípios do estado de São Paulo e aplicadas técnicas de estatística espacial. Foram realizados modelos de regressão logística hierarquizada. A prevalência de MO foi de 29,3%. Houve um padrão de espalhamento entre os tipos de MO e correlação espacial positiva (p<0,05). Adolescentes não brancos (OR=1,32, IC95%: 1,24-1,42), com menor tempo de estudo (OR=1,30, IC95%: 1,22-1,42) e com dentes extraídos por cárie (OR=1,40, IC95%: 1,03-1,88) tiveram mais chances de apresentarem MO. O acesso dos adolescentes à consulta odontológica não contribuiu para reduzir a chance de apresentar a MO, independentemente de a consulta ao dentista ter ocorrido há menos (OR=2,02, IC95%: 1,65-2,47) ou há mais de um ano (OR=1,63, IC95%: 1,31-2,03). Assim, a ocorrência de MO é desigualmente distribuída no estado de São Paulo, e associada a condições sociodemográficas de acesso à consulta e perda dentária por cárie. (MO associados 5558 5 558 5.55 1 2015 sociodemográficos odontológicos dentárias 16 hierarquizada 293 29 3 29,3% p<0,05. p005 p p<0,05 . 0 05 (p<0,05) OR=1,32, OR132 OR 32 (OR=1,32 IC95% IC95 IC 1,241,42, 124142 1,24 1,42 , 24 42 1,24-1,42) OR=1,30, OR130 30 (OR=1,30 1,221,42 122142 1,22 22 1,22-1,42 OR=1,40, OR140 40 (OR=1,40 1,031,88 103188 1,03 1,88 03 88 1,03-1,88 OR=2,02, OR202 2 02 (OR=2,02 1,652,47 165247 1,65 2,47 65 47 1,65-2,47 OR=1,63, OR163 63 (OR=1,63 1,312,03. 131203 1,31 2,03 31 1,31-2,03) Assim 555 55 5.5 201 29,3 p00 p<0,0 (p<0,05 OR=1,32 OR13 (OR=1,3 IC9 241 1,241,42 12414 124 1,2 142 1,4 4 1,24-1,42 OR=1,30 221 1,221,4 12214 122 1,22-1,4 OR=1,40 OR14 (OR=1,4 031 1,031,8 10318 103 1,0 188 1,8 8 1,03-1,8 OR=2,02 OR20 (OR=2,0 652 1,652,4 16524 165 1,6 247 2,4 6 1,65-2,4 OR=1,63 OR16 (OR=1,6 312 1,312,03 13120 131 1,3 203 2,0 1,31-2,03 5. 20 29, p0 p<0, (p<0,0 OR=1,3 OR1 (OR=1, 1,241,4 1241 12 1, 14 1,24-1,4 1,221, 1221 1,22-1, OR=1,4 1,031, 1031 10 18 1,03-1, OR=2,0 OR2 (OR=2, 1,652, 1652 2, 1,65-2, OR=1,6 1,312,0 1312 13 1,31-2,0 p<0 (p<0, OR=1, (OR=1 1,241, 1,24-1, 1,221 1,22-1 1,031 1,03-1 OR=2, (OR=2 1,652 1,65-2 1,312, 1,31-2, p< (p<0 OR=1 (OR= 1,241 1,24-1 1,22- 1,03- OR=2 1,65- 1,312 1,31-2 (p< OR= (OR 1,24- 1,31- (p

Abstract The scope of this study was to analyze the spatial distribution of malocclusion (MO), estimate the prevalence and evaluate the associated factors in adolescents. It was a study with results of 5,558 adolescents aged 15 to 19 from the São Paulo Oral Health (SB) 2015 survey. The outcome was MO. Sociodemographic aspects, access to dental services, dental caries and tooth loss were the independent variables. A total of 162 municipalities in the state of São Paulo were included and spatial statistics techniques were applied. Hierarchical logistic regression models were performed. The prevalence of MO was 29.3%. There was a spread pattern between the types of MO and positive detachment (p<0,05). Non-white adolescents (OR=1.32, 95%CI: 1.24-1.42), with less years of schooling (OR=1.30, 95%CI: 1.22-1.42), with teeth extracted due to caries (OR=1.40, 95%CI: 1.03-1.88) were more likely to have MO. Adolescent access to dental consultation did not contribute to reducing the chance of developing MO, regardless of whether the dental consultation occurred less (OR=2.02, 95%CI: 1.65-2.47) or more than one year before (OR=1.63, 95%CI: 1.31-2.03). Thus, the occurrence of MO is unequally distributed in the state of São Paulo and associated with sociodemographic conditions, access to consultations and tooth loss due to caries.

Resumo O objetivo foi analisar a distribuição espacial da má oclusão (MO) em adolescentes, estimar a prevalência e avaliar os fatores associados. Estudo com dados de 5.558 adolescentes entre 15 e 19 anos de idade do inquérito - SB São Paulo 2015. O desfecho foi a MO. As variáveis independentes foram os aspectos sociodemográficos, acesso aos serviços odontológicos, cárie e perdas dentárias. Foram incluídos 162 municípios do estado de São Paulo e aplicadas técnicas de estatística espacial. Foram realizados modelos de regressão logística hierarquizada. A prevalência de MO foi de 29,3%. Houve um padrão de espalhamento entre os tipos de MO e correlação espacial positiva (p<0,05). Adolescentes não brancos (OR=1,32, IC95%: 1,24-1,42), com menor tempo de estudo (OR=1,30, IC95%: 1,22-1,42) e com dentes extraídos por cárie (OR=1,40, IC95%: 1,03-1,88) tiveram mais chances de apresentarem MO. O acesso dos adolescentes à consulta odontológica não contribuiu para reduzir a chance de apresentar a MO, independentemente de a consulta ao dentista ter ocorrido há menos (OR=2,02, IC95%: 1,65-2,47) ou há mais de um ano (OR=1,63, IC95%: 1,31-2,03). Assim, a ocorrência de MO é desigualmente distribuída no estado de São Paulo, e associada a condições sociodemográficas de acesso à consulta e perda dentária por cárie.

Abstract This study investigates the disposition effect with regard to Brazilian investors, with focus on the year 2020. The database is composed by more than 12,000 trades by 274 investors. We follow the method of Odean (1998) to estimate the proportions of gains and losses realized and test the null hypothesis of equality of these proportions in each portfolio. The results suggest that Brazilian investors behave in line with the disposition effect. They sell winning stocks too early and hold losing stocks too long. A stock that is gaining value is more likely to be sold from day to day compared to a stock that is losing value. The disposition effect was not found in March, which suggests that investors employed a loss-limit during periods of market stress, no matter if the stock went up or down. 2020 12000 12 000 12,00 27 1998 (1998 portfolio long March losslimit loss limit stress down 202 1200 1 00 12,0 2 199 (199 20 120 0 12, 19 (19 (1 (

Resumo Este trabalho investiga a presença do efeito disposição em investidores brasileiros no ano de 2020. A base de dados compreende 274 investidores distintos que, em conjunto, realizaram mais de 12 mil transações. Aplica-se a metodologia utilizada por Odean (1998). A partir das carteiras de investimento de cada indivíduo, estima-se a proporção de ganhos e de perdas realizadas e testa-se a hipótese de igualdade dessas proporções. O estudo identificou que os investidores brasileiros estão propícios à influência dessa anomalia comportamental nas suas decisões, ou seja, vendem seus investimentos com ganhos mais rapidamente e mantêm seus investimentos perdedores por mais tempo e que uma posição com lucro possui mais chance de ser vendida do que uma posição com prejuízo. Os resultados não indicam efeito disposição no mês de março, e isso sugere que, em momentos de maior incerteza, investidores buscam limitar perdas, independentemente do lucro ou prejuízo auferido com o ativo. 2020 27 conjunto 1 transações Aplicase Aplica se 1998. 1998 . (1998) indivíduo estimase estima testase testa proporções decisões seja março incerteza ativo 202 2 199 (1998 20 19 (199 (19 (1 (

Abstract Thousands of people have died of COVID-19 in El Salvador. However, little is known about the mental health of those who are mourning the loss of a loved one to COVID-19. Therefore, the objective of this study was to examine the dysfunctional grief associated with COVID-19 death among Salvadoran adults. A sample of 435 Salvadorans ( M = 29 years; SD = 8.75) who lost a family member or loved one to COVID-19 completed a digital survey using the Google Forms platform, during April 2 and 28, 2022. The results revealed that 35.1% reported clinically elevated symptoms of dysfunctional grief and among those mourners, and 25.1% also exhibited clinical levels of coronavirus anxiety. A binary logistic regression revealed that predictor variables such as COVID-19 anxiety ( p = .003), depression ( p = .021), and COVID-19 obsession ( p = .032) were significant ( χ 2 = 84.31; Nagelkerke R 2 = .242) and predict a 24.2% chance of dysfunctional bereavement. COVID19 COVID 19 COVID-1 Salvador However COVID19. 19. Therefore adults 43 years 8.75 875 8 75 platform 28 2022 351 35 1 35.1 mourners 251 25 25.1 .003, 003 .003 , .003) .021, 021 .021 .021) .032 032 84.31 8431 84 31 .242 242 24 24.2 bereavement COVID1 COVID- 4 8.7 87 7 202 3 35. 25. 00 .00 02 .02 .03 03 84.3 843 .24 24. 8. 20 0 .0 84. .2 .

ABSTRACT OBJECTIVE To estimate the association between negative self-perception of hearing and depression in older adults in Southern Brazil. METHODS This is a cross-sectional study conducted with data from the third wave of the EpiFloripa Idoso 2017/19 study, a population-based cohort of older adults (60+). A total of 1,335 older adults participated in this wave. The dependent variable was self-reported depression, and the main exposure was self-perception of hearing (negative; positive). For both the crude (bivariate) and adjusted analysis, the odds ratio (OR) was used as a measure of association and estimated by means of binary logistic regression analysis. The exposure variable was adjusted by sociodemographic and health covariates. A p value < 0.05 was adopted as statistically significant. RESULTS The prevalence of negative self-perception of hearing and depression was 26.0% and 21.8%, respectively. In the adjusted analysis, the older adults with negative self-perception of hearing were 1.96 times more likely to report depression when compared to the ones with positive self-perception of hearing (p = 0.002). CONCLUSION The association between negative self-perception of hearing and depression reflects the importance of reviewing health care actions for older adults, incorporating hearing-related issues, to ensure comprehensive care for this growing segment of the population. selfperception self perception Brazil crosssectional cross sectional 201719 2017 19 2017/1 populationbased population based 60+. 60 60+ . (60+) 1335 1 335 1,33 selfreported reported (negative positive. positive) bivariate (bivariate analysis OR (OR covariates 005 0 05 0.0 significant 260 26 26.0 218 21 8 21.8% respectively 196 96 1.9 0.002. 0002 0.002 002 0.002) hearingrelated related issues 20171 201 2017/ 6 (60+ 133 33 1,3 00 0. 2 26. 21.8 9 1. 000 0.00 20 (60 13 3 1, 21. (6 (

RESUMO OBJETIVO Estimar a associação entre a autopercepção negativa da audição e a depressão em idosos do sul do Brasil. MÉTODOS Trata-se de um estudo transversal realizado com dados da terceira onda do estudo EpiFloripa Idoso 2017/19, de coorte de base populacional de idosos (60+). Participaram desta onda 1.335 idosos. A variável dependente foi a depressão autorreferida e a exposição principal foi a autopercepção auditiva (negativa; positiva). Tanto para a análise bruta (bivariada) quanto para a ajustada, a odds ratio (OR) foi utilizada como medida de associação e estimada por meio da análise de Regressão Logística Binária. A variável de exposição foi ajustada pelas covariáveis sociodemográficas e de saúde. Adotou-se o valor de p < 0,05 como estatisticamente significativo. RESULTADOS A prevalência da autopercepção negativa da audição e depressão foi de 26,0% e 21,8%, respectivamente. Na análise ajustada, idosos com autopercepção negativa da audição apresentaram 1,96 vezes mais chance de referirem depressão quando comparados aos idosos com autopercepção positiva da audição (p = 0,002). CONCLUSÃO A associação encontrada entre a autopercepção negativa auditiva e a depressão reflete a importância de rever as ações de atenção à saúde do idoso, incorporando questões relacionadas à audição para a garantia da atenção integral a esta parcela crescente da população. Brasil Tratase Trata se 201719 2017 19 2017/19 60+. 60 60+ . (60+) 1335 1 335 1.33 (negativa positiva. positiva) bivariada (bivariada OR (OR Binária Adotouse Adotou 005 0 05 0,0 significativo 260 26 26,0 218 21 8 21,8% respectivamente 196 96 1,9 0,002. 0002 0,002 002 0,002) idoso população 20171 201 2017/1 6 (60+ 133 33 1.3 00 0, 2 26, 21,8 9 1, 000 0,00 20 2017/ (60 13 3 1. 21, (6 (

ABSTRACT Objective: This two-centre cross-sectional study aimed to evaluate whether xerostomia occurrence is associated with oral health-related quality of life (OHRQoL) in patients with end-stage renal disease (ESRD) after the adjustment for potential confounders. Methods: Oral examinations were performed by calibrated examiners for untreated dental caries, periodontitis and tooth loss in 180 adults with ESRD. The presence of xerostomia was determined using the global question “How often does your mouth feel dry?”. OHRQoL was evaluated by the simplified version of the Oral Health Impact Profile (OHIP14) questionnaire. Multivariate zero-inflated negative binomial regression analysis was used to calculate the incidence rate ratios (IRR) for the nonzero scores and odds ratios (OR) of having no impact in OHIP14 scores according to the presence of exposure. Results: In the adjusted model, xerostomia (IRR = 1.57; 95% CI: 1.12 to 2.20) was associated with poorer OHRQoL. The adjusted domain-specific analysis revealed that xerostomia occurrence significantly impacted the psychological disability and social disability, and the chance of having no impact was lower for the psychological discomfort domain (OR = 0.84; 95% CI: 0.12 to 0.98). Conclusion: Xerostomia exert an impact on OHRQoL in patients with ESRD, mainly in the psychological and social disabilities constructs. Objective twocentre two centre crosssectional cross sectional healthrelated health related (OHRQoL endstage end stage ESRD (ESRD confounders Methods caries 18 How dry. dry . dry?” OHIP (OHIP14 questionnaire zeroinflated zero inflated IRR OR OHIP1 exposure Results model 1.57 157 1 57 95 CI 112 12 1.1 2.20 220 2 20 domainspecific specific 0.84 084 0 84 012 0.1 0.98. 098 0.98 98 0.98) Conclusion constructs dry? (OHIP1 1.5 15 5 9 11 1. 2.2 22 0.8 08 8 01 0. 09 0.9 (OHIP 2.

RESUMO Objetivo: Este estudo transversal realizado em dois centros teve como objetivo avaliar se a ocorrência de xerostomia está associada à qualidade de vida relacionada à saúde bucal (QVRSB) em pacientes com doença renal crônica em estágio final (DRCEF) após o ajuste para potenciais fatores de confusão. Métodos: Exames bucais foram realizados por examinadores calibrados para cárie dentária não tratada, periodontite e perda dentária em 180 adultos com DRCEF. A presença de xerostomia foi determinada por meio da pergunta global “Com que frequência você fica com a boca seca?”. A QVRSB foi avaliada pela versão simplificada do questionário Oral Health Impact Profile (OHIP-14). A análise multivariada de regressão binomial negativa inflacionada por zero foi usada para calcular as taxas de incidência (IRR) para os escores diferentes de zero e os razões de chance (OR) de não haver impacto nos escores do OHIP-14 de acordo com a presença dA exposição. Resultados: No modelo ajustado, a xerostomia (IRR = 1,57; IC 95%: 1,12 a 2,20) foi associada a pior QVRSB. A análise específica por domínio revelou que a ocorrência de xerostomia impactou significativamente a incapacidade psicológica e a incapacidade social, e a chance de não haver impacto foi menor para o domínio desconforto psicológico (OR = 0,84; IC95%: 0,12 a 0,98). Conclusão: A xerostomia exerce impacto sobre a QVRSB em pacientes com DRCEF, principalmente nos construtos de deficiência psicológica e social. Objetivo (QVRSB DRCEF (DRCEF confusão Métodos tratada 18 Com seca. seca . seca?” OHIP14. OHIP14 OHIP 14 (OHIP-14) IRR OR OHIP-1 exposição Resultados ajustado 1,57 157 1 57 95% 95 112 12 1,1 2,20 220 2 20 social 0,84 084 0 84 IC95% IC95 012 0,1 0,98. 098 0,98 98 0,98) Conclusão seca? OHIP1 (OHIP-14 OHIP- 1,5 15 5 9 11 1, 2,2 22 0,8 08 8 IC9 01 0, 09 0,9 (OHIP-1 2, (OHIP- (OHIP

Abstract Background Atherosclerosis risk factors can have different impacts on cardiovascular diseases and on the anatomical distribution of Peripheral Arterial Disease (PAD). Objectives To study the influence of atherosclerosis risk factors on the anatomical distribution of PAD in patients with chronic limb-threatening ischemia (CLTI). Methods We performed an observational, cross-sectional, and analytical study that included 476 hospitalized patients with CLTI due to PAD. We compared the presence of atherosclerosis risk factors (age, gender, diabetes mellitus, smoking, and hypertension) in patients with PAD involving three different anatomic areas (aortoiliac, femoropopliteal, and infrapopliteal). Multivariate analysis was performed to identify associations between atherosclerosis risk factors and PAD distribution. Results The mean age of the 476 patients was 69 years, 249 (52%) were men, and 273 (57%) had diabetes. Seventy-four percent (353) had minor tissue loss. Multivariate analysis identified three risk factors associated with PAD anatomical distribution (gender, smoking, and DM). Women had a 2.7 (CI: 1.75-4.26) times greater chance of having femoropopliteal disease. Smokers had a 3.6-fold (CI: 1.54-8.30) greater risk of aortoiliac disease. Diabetic patients were 1.8 (CI: 1.04-3.19) times more likely to have isolated infrapopliteal occlusive disease. Conclusions The study showed that gender, DM, and smoking impact on the anatomical distribution of PAD in patients with CLTI. Diabetic patients were more likely to have only infrapopliteal disease, women had a greater risk of femoropopliteal PAD, and smokers had a greater risk of aortoiliac occlusive disease. . (PAD) limbthreatening limb threatening (CLTI) observational crosssectional, crosssectional cross sectional, sectional cross-sectional 47 age, (age gender mellitus hypertension aortoiliac, (aortoiliac infrapopliteal. infrapopliteal) 6 years 24 52% 52 (52% men 27 57% 57 (57% Seventyfour Seventy four 353 (353 loss (gender DM. DM DM) 2 7 2. CI (CI 1.754.26 175426 1.75 4.26 1 75 4 26 1.75-4.26 disease 3.6fold 36fold fold 3.6 3 1.548.30 154830 1.54 8.30 54 8 30 1.54-8.30 18 1. 1.043.19 104319 1.04 3.19 04 19 1.04-3.19 (PAD (CLTI 5 (52 (57 35 (35 754 1.754.2 17542 175 1.7 426 4.2 1.75-4.2 6fold 36 3. 548 1.548.3 15483 154 1.5 830 8.3 1.54-8.3 043 1.043.1 10431 104 1.0 319 3.1 0 1.04-3.1 (5 (3 1.754. 1754 17 42 4. 1.75-4. 1.548. 1548 15 83 8. 1.54-8. 1.043. 1043 10 31 1.04-3. ( 1.754 1.75-4 1.548 1.54-8 1.043 1.04-3 1.75- 1.54- 1.04-

Resumo Contexto Os fatores de risco para aterosclerose podem ter influência distinta nas doenças cardiovasculares, impactando também no território da doença arterial periférica (DAP). Objetivos Estudar a influência dos diferentes fatores de risco para a aterosclerose na distribuição anatômica da DAP em pacientes com isquemia crítica crônica de membros (ICCM). Métodos Foi realizado um estudo observacional, transversal e analítico, incluindo 476 doentes internados devido à ICCM por DAP. Foram estudados, comparativamente, os pacientes com DAP dos três distintos territórios anatômicos (aortoilíaco, femoropoplíteo e infragenicular) em relação à presença dos fatores de risco para a aterosclerose (idade, gênero, diabetes mellitus, tabagismo e hipertensão arterial). A análise multivariada foi realizada para testar a associação entre os fatores de risco e a distribuição anatômica da DAP. Resultados A média de idade dos pacientes foi de 69 anos, 249 (52%) eram homens, e 273 (57%), diabéticos. Predominaram os pacientes na Categoria 5 da Classificação de Rutherford (353/74%). Na análise multivariada, as mulheres tiveram chance 2,7 (IC: 1,75-4,26) vezes maior de doença do território femoropoplíteo. Os doentes tabagistas tiveram 3,6 (IC: 1,54-8,30) vezes maior risco de doença do território aortoilíaco. Diabéticos apresentaram 1,8 (IC: 1,04-3,19) vezes maior chance de obstrução apenas do território infragenicular. Conclusões O estudo mostrou que gênero, diabetes mellitus e tabagismo influenciam no padrão de distribuição da DAP em pacientes com ICCM. Os doentes diabéticos apresentaram maior chance de doença isolada do território infragenicular, as mulheres tiveram maior risco de DAP do território femoropoplíteo e os tabagistas possuem maior chance comprometimento aortoilíaco. cardiovasculares . (DAP) (ICCM) observacional analítico 47 estudados comparativamente aortoilíaco, aortoilíaco (aortoilíaco infragenicular idade, (idade gênero arterial. arterial) 6 anos 24 52% 52 (52% homens 27 57%, 57 57% , (57%) 353/74%. 35374 353/74% 353 74 (353/74%) 2 7 2, IC (IC 1,754,26 175426 1,75 4,26 1 75 4 26 1,75-4,26 36 3 3, 1,548,30 154830 1,54 8,30 54 8 30 1,54-8,30 18 1, 1,043,19 104319 1,04 3,19 04 19 1,04-3,19 (DAP (ICCM (52 (57% 3537 353/74 35 (353/74% 754 1,754,2 17542 175 1,7 426 4,2 1,75-4,2 548 1,548,3 15483 154 1,5 830 8,3 1,54-8,3 043 1,043,1 10431 104 1,0 319 3,1 0 1,04-3,1 (5 (57 353/7 (353/74 1,754, 1754 17 42 4, 1,75-4, 1,548, 1548 15 83 8, 1,54-8, 1,043, 1043 10 31 1,04-3, ( 353/ (353/7 1,754 1,75-4 1,548 1,54-8 1,043 1,04-3 (353/ 1,75- 1,54- 1,04- (353 (35 (3

RESUMO OBJETIVO Estimar a associação entre a autopercepção negativa da audição e a depressão em idosos do sul do Brasil. MÉTODOS Trata-se de um estudo transversal realizado com dados da terceira onda do estudo EpiFloripa Idoso 2017/19, de coorte de base populacional de idosos (60+). Participaram desta onda 1.335 idosos. A variável dependente foi a depressão autorreferida e a exposição principal foi a autopercepção auditiva (negativa; positiva). Tanto para a análise bruta (bivariada) quanto para a ajustada, a odds ratio (OR) foi utilizada como medida de associação e estimada por meio da análise de Regressão Logística Binária. A variável de exposição foi ajustada pelas covariáveis sociodemográficas e de saúde. Adotou-se o valor de p < 0,05 como estatisticamente significativo. RESULTADOS A prevalência da autopercepção negativa da audição e depressão foi de 26,0% e 21,8%, respectivamente. Na análise ajustada, idosos com autopercepção negativa da audição apresentaram 1,96 vezes mais chance de referirem depressão quando comparados aos idosos com autopercepção positiva da audição (p = 0,002). CONCLUSÃO A associação encontrada entre a autopercepção negativa auditiva e a depressão reflete a importância de rever as ações de atenção à saúde do idoso, incorporando questões relacionadas à audição para a garantia da atenção integral a esta parcela crescente da população.

ABSTRACT OBJECTIVE To estimate the association between negative self-perception of hearing and depression in older adults in Southern Brazil. METHODS This is a cross-sectional study conducted with data from the third wave of the EpiFloripa Idoso 2017/19 study, a population-based cohort of older adults (60+). A total of 1,335 older adults participated in this wave. The dependent variable was self-reported depression, and the main exposure was self-perception of hearing (negative; positive). For both the crude (bivariate) and adjusted analysis, the odds ratio (OR) was used as a measure of association and estimated by means of binary logistic regression analysis. The exposure variable was adjusted by sociodemographic and health covariates. A p value < 0.05 was adopted as statistically significant. RESULTS The prevalence of negative self-perception of hearing and depression was 26.0% and 21.8%, respectively. In the adjusted analysis, the older adults with negative self-perception of hearing were 1.96 times more likely to report depression when compared to the ones with positive self-perception of hearing (p = 0.002). CONCLUSION The association between negative self-perception of hearing and depression reflects the importance of reviewing health care actions for older adults, incorporating hearing-related issues, to ensure comprehensive care for this growing segment of the population.

Resumo Inovações tecnológicas estão ampliando a capacidade da máquina substituir o trabalho humano. Neste cenário, procuramos estimar - tomando como base o estudo de Frey e Osborne (2017), que utiliza dados americanos, e tem sido muito citado - quantos empregos brasileiros podem ser eliminados, em uma ou duas décadas, em virtude de tecnologias já existentes na atualidade. Ajudamos a incrementar as evidências existentes, para o caso brasileiro, dado que consideramos a estrutura do mercado de trabalho como um todo - incluindo os setores formal e informal - quando estimamos a proporção de empregos que podem ser substituídos por máquinas. Nossos resultados indicam que 58,1% dos empregos brasileiros podem desaparecer, nos próximos 10 ou 20 anos, em função da automação. Além disso, observamos que os trabalhadores ocupados no setor informal têm maior chance de ver seus empregos sendo substituídos por máquinas do que aqueles empregados no setor formal.

Abstract Technological innovations are enabling machines to further replace human labor. In this context, we estimate - based on the Frey and Osborne (2017) study, which uses data from the United States of America (USA) - how many Brazilian jobs may be eliminated in one or two decades due to currently existing technologies. We add to earlier research, that included the Brazilian case, as we consider the entire employment structure - including both formal and informal sectors - in order to estimate the proportion of jobs in the country that may be substituted by machines. Our results indicate that 58.1% of Brazilian jobs may disappear over the next 10 to 20 years due to automation. Moreover, we observe that jobs in the informal sector face higher probabilities of elimination by automation when compared to the formal sector.