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Abstract Objective To evaluate the impacts of a nutritional education intervention for patients with multiple chronic conditions during smoking cessation. Methods The non-probabilistic sample comprised 18 adults and seniors of both sexes recruited from a smoking cessation treatment group. At the beginning of treatment, smoking history, degree of dependence, and stage of motivation were assessed. Degree of craving was evaluated weekly for the 1st month. Anthropometric and biochemical assessments were conducted at baseline, at 1 month, and at 3 months. Dietary intake was assessed with the “How is your diet?” questionnaire. The nutritional intervention was delivered in three sessions. The themes covered were energy balance and physical activity, healthy eating, and the importance of fruit and vegetables in the diet. Statistical analysis was conducted with the Shapiro Wilk test of normality, the paired t test, and the Wilcoxon or Mann-Whitney U tests (significance ≤ 0.05). Results Most people (55.6%) in the intervention group had a high degree of smoking dependence, while the frequency in the control group was 22.2%. Degree of craving decreased significantly after 1 month of treatment (p = 0.017). After 3 months, both groups had a positive variation in mean body weight, although below 3%. In both groups, the average percentage of weight gain was less than 3%, suggesting that delivery of the nutritional education sessions and the nutritionist’s use of the protocol proposed by the Instituto Nacional de Câncer (INCA) helped to control weight gain. Blood glucose and homeostasis model assessment-insulin resistance (HOMA-IR) both increased significantly in the intervention group (p = 0.15 and p = 0.50, respectively). Conclusion Greater proximity and more frequent intervention by a nutritionist assists and encourages healthy eating practices during the smoking cessation process, which can benefit individuals’ control of chronic diseases over the long term. nonprobabilistic non probabilistic history dependence st baseline months How diet diet? questionnaire activity normality MannWhitney Mann Whitney significance 0.05. 005 0.05 . 0 05 0.05) 55.6% 556 55 6 (55.6% 222 22 2 22.2% 0.017. 0017 0.017 017 0.017) 3% nutritionists s INCA (INCA assessmentinsulin assessment insulin HOMAIR HOMA IR (HOMA-IR 015 15 0.1 050 50 0.50 respectively. respectively respectively) process individuals term 00 0.0 55.6 5 (55.6 22.2 001 0.01 01 0. 0.5 55. (55. 22. (55 (5 (

https://doi.org/10.47626/2237-6089-2021-0427

Safety of CoronaVac and ChAdOx1 vaccines against SARS-CoV-2 in patients with rheumatoid arthritis: data from the Brazilian multicentric study safer ChAdOx SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- arthritis SARS-CoV
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Cruz, Vitor Alves

; Guimarães, Camila

; Rêgo, Jozelia

; Machado, Ketty Lysie Libardi Lira

; Miyamoto, Samira Tatiyama

; Burian, Ana Paula Neves

; Dias, Laiza Hombre

; Pretti, Flavia Zon

; Batista, Danielle Cristina Filgueira Alves

; Mill, José Geraldo

; Oliveira, Yasmin Gurtler Pinheiro de

; Gadelha, Carolina Strauss Estevez

; Gouveia, Maria da Penha Gomes

; Moulin, Anna Carolina Simões

; Souza, Bárbara Oliveira

; Aguiar, Laura Gonçalves Rodrigues

; Vieira, Gabriel Smith Sobral

; Grillo, Luiza Lorenzoni

; Lima, Marina Deorce de

; Pasti, Laís Pizzol

; Surlo, Heitor Filipe

; Faé, Filipe

; Moulaz, Isac Ribeiro

; Macabú, Mariana de Oliveira

; Ribeiro, Priscila Dias Cardoso

; Magalhães, Vanessa de Oliveira

; Aguiar, Mariana Freitas de

; Biegelmeyer, Erika

; Peixoto;, Flávia Maria Matos Melo Campos

; Kayser, Cristiane

; Souza, Alexandre Wagner Silva de

; Castro, Charlles Heldan de Moura

; Ribeiro, Sandra Lúcia Euzébio

; Telles, Camila Maria Paiva França

; Bühring, Juliana

; Lima, Raquel Lima de

; Santos, Sérgio Henrique Oliveira Dos

; Dias, Samuel Elias Basualto

; Melo, Natália Seixas de

; Sanches, Rosely Holanda da Silva

; Boechat, Antonio Luiz

; Sartori, Natália Sarzi

; Hax, Vanessa

; Dória, Lucas Denardi

; Rezende, Rodrigo Poubel Vieira de

; Baptista, Katia Lino

; Fortes, Natália Rodrigues Querido

; Melo, Ana Karla Guedes de

; Melo, Tâmara Santos

; Vieira, Rejane Maria Rodrigues de Abreu

; Vieira, Adah Sophia Rodrigues

; Kakehasi, Adriana Maria

; Tavares, Anna Carolina Faria Moreira Gomes

; Landa, Aline Teixeira de

; Costa, Pollyana Vitoria Thomaz da

; Azevedo, Valderilio Feijó

; Martins-Filho, Olindo Assis

; Peruhype-Magalhães, Vanessa

; Pinheiro, Marcelo de Medeiros

; Monticielo, Odirlei André

; Reis-neto, Edgard Torres Dos

; Ferreira, Gilda Aparecida

; Souza, Viviane Angelina de

; Teixeira-Carvalho, Andréa

; Xavier, Ricardo Machado

; Sato, Emilia Inoue

; Valim, Valeria

; Pileggi, Gecilmara Salviato

; Silva, Nilzio Antonio da

Advances in Rheumatology

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2024, Volume 64 elocation 58

Abstract: En | Text: En | PDF: En

Abstract Background Patients with immune-mediated rheumatic diseases (IMRDs) have been prioritized for COVID-19 vaccination to mitigate the infection severity risks. Patients with rheumatoid arthritis (RA) are at a high risk of severe COVID-19 outcomes, especially those under immunosuppression or with associated comorbidities. However, few studies have assessed the safety of the COVID-19 vaccine in patients with RA. Objective To evaluate the safety of vaccines against SARS-CoV-2 in patients with RA. Methods This data are from the study “Safety and Efficacy on COVID-19 Vaccine in Rheumatic Diseases,” a Brazilian multicentric prospective phase IV study to evaluate COVID-19 vaccine in IMRDs in Brazil. Adverse events (AEs) in patients with RA of all centers were assessed after two doses of ChAdOx1 (Oxford/AstraZeneca) or CoronaVac (Sinovac/Butantan). Stratification of postvaccination AEs was performed using a diary, filled out daily and returned at the end of 28 days for each dose. Results A total of 188 patients with RA were include, 90% female. CoronaVac was used in 109 patients and ChAdOx1 in 79. Only mild AEs were observed, mainly after the first dose. The most common AEs after the first dose were pain at the injection (46,7%), headache (39,4%), arthralgia (39,4%), myalgia (30,5%) and fatigue (26,6%), and ChAdOx1 had a higher frequency of pain at the injection (66% vs 32 %, p < 0.001) arthralgia (62% vs 22%, p < 0.001) and myalgia (45% vs 20%, p < 0.001) compared to CoronaVac. The more common AEs after the second dose were pain at the injection (37%), arthralgia (31%), myalgia (23%), headache (21%) and fatigue (18%). Arthralgia (41,4% vs 25%, p = 0.02) and pain at injection (51,4% vs 27%, p = 0.001) were more common with ChAdOx1. No serious AEs were related. With Regard to RA activity level, no significant difference was observed between the three time periods for both COVID-19 vaccines. Conclusion In the comparison between the two immunizers in patients with RA, local reactions and musculoskeletal symptoms were more frequent with ChAdOx1 than with CoronaVac, especially after the first dose. In summary, the AE occurred mainly after the first dose, and were mild, like previous data from others immunizing agents in patients with rheumatoid arthritis. Vaccination did not worsen the degree of disease activity. immunemediated immune mediated (IMRDs COVID19 COVID 19 COVID-1 risks (RA outcomes comorbidities However SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- Safety Diseases, Diseases Brazil (AEs ChAdOx Oxford/AstraZeneca OxfordAstraZeneca Oxford AstraZeneca (Oxford/AstraZeneca Sinovac/Butantan. SinovacButantan Sinovac/Butantan . Sinovac Butantan (Sinovac/Butantan) diary 18 include 90 female 10 79 46,7%, 467 46,7% , 46 7 (46,7%) 39,4%, 394 39,4% 39 4 (39,4%) 30,5% 305 30 5 (30,5% 26,6%, 266 26,6% 26 6 (26,6%) 66% 66 (66 3 % 0.001 0001 0 001 62% 62 (62 22 22% 45% 45 (45 20 20% 37%, 37 37% (37%) 31%, 31 31% (31%) 23%, 23 23% (23%) 21% 21 (21% 18%. 18% (18%) 41,4% 414 41 (41,4 25 25% 0.02 002 02 51,4% 514 51 (51,4 27 27% related level summary COVID1 1 COVID- SARS-CoV (Sinovac/Butantan 9 46,7 (46,7% 39,4 (39,4% 30,5 (30,5 26,6 (26,6% (6 0.00 000 00 (4 (37% (31% (23% (21 (18% 41,4 (41, 0.0 51,4 (51, 46, (46,7 39, (39,4 30, (30, 26, (26,6 ( (37 (31 (23 (2 (18 41, (41 0. 51, (51 (46, (39, (30 (26, (3 (1 (5 (46 (39 (26

https://doi.org/10.1186/s42358-024-00397-5

Relação entre a idade, o risco de queda e o nível de confiança no equilíbrio corporal com a função dos canais semicirculares idade
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Nascimento, Gizele Francisco Ferreira do

; Santos, Edson de Sousa

; Aguiar, Maria Carolaine Ferreira

; Sales, Mônica Aline de Menezes Lima

; Diniz Júnior, José

; Lizzi, Elisangela Aparecida da Silva

; Mantello, Erika Barioni

Audiology - Communication Research

Journal Metrics
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2023, Volume 28 elocation e2790

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo verificar a relação entre o risco de queda, o nível de confiança nas atividades que envolvem equilíbrio e a idade com os valores de ganho e simetria dos canais semicirculares (CSCs), por meio do Vídeo Teste do Impulso Cefálico (vHIT), em pacientes com disfunção vestibular periférica. Método estudo transversal, composto por 12 indivíduos submetidos à avaliação funcional por meio da Activities-specific Balance Confidance Scale (ABC Scale) e do Dynamic Gait Index (DGI) e avaliação vestibular com o vHIT. Os resultados foram comparados por meio do Coeficiente de Correlação de Spearman. Resultados observou-se predomínio do gênero feminino (75%), com média de idade de 59 anos e 8 meses. A média de escore no DGI foi de 19,70 pontos e 43,65% na ABC Scale, característico de baixo nível de confiança. Observou-se correlação de grau moderado entre os parâmetros idade com o DGI, DGI e ABC Scale com os valores de ganho e simetria dos CSCs do vHIT. Conclusão Observaram-se relações entre o maior risco de queda em pacientes com hipofunção vestibular e idade avançada e entre o baixo nível de confiança para realizar atividades diárias diante da assimetria de ganho dos CSCs. CSCs, , (CSCs) vHIT, vHIT (vHIT) periférica transversal 1 Activitiesspecific Activities specific (DGI Spearman observouse observou se 75%, 75 75% (75%) 5 meses 1970 19 70 19,7 4365 43 65 43,65 Observouse Observou Observaramse Observaram (CSCs (vHIT 7 (75% 197 19, 436 4 6 43,6 (75 43, (7 (

ABSTRACT Purpose to verify the relationship between the risk of falling, the level of confidence in activities involving balance, and age with the values of gain and symmetry of the semicircular canals (SSCs), using the Head Video Impulse Test (vHIT) in patients with peripheral vestibular dysfunction. Methods Cross-sectional study in 12 individuals submitted to functional evaluation using the Activities-specific Balance Confidence Scale (ABC Scale) and the Dynamic Gait Index (DGI), and vestibular evaluation with vHIT. The results were compared using Spearman's Correlation Coefficient. Results There was a predominance of females (75%), with a mean age of 59 years and 8 months. The mean score in DGI was 19.70 points and on the ABC Scale, 43.65%, which is characteristic of a low confidence level. A moderate correlation was observed between age and DGI and between DGI and ABC Scale and SCC gain and symmetry values with vHIT. Conclusion A relationship was observed between a higher risk of falling in patients with vestibular hypofunction and advanced age and between a low level of confidence to perform daily activities due to asymmetrical SCC gain. balance SSCs, SSCs , (SSCs) vHIT (vHIT dysfunction Crosssectional Cross sectional 1 Activitiesspecific Activities specific DGI, (DGI) Spearmans Spearman s Coefficient 75%, 75 75% (75%) 5 months 1970 19 70 19.7 4365 43 65 43.65% (SSCs (DGI 7 (75% 197 19. 436 4 6 43.65 (75 43.6 (7 43. (

https://doi.org/10.1590/2317-6431-2023-2790pt

Dark chocolate (70% cocoa) reduces craving in smokers with severe cardiovascular comorbidities without interference in anthropometric measures 70% 70 (70 cocoa 7 (7 (
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Gomes, Arthur da Silva

; Melo, Marcela Melquíades

; Silva, Thayzis de Paula

; Galil, Arise G. de Siqueira

; Percegoni, Nathércia

; Luquetti, Sheila C. P. Dutra

; Bastos Netto, André

; Fonseca, Vilma Aparecida da Silva

; Aguiar, Aline Silva de

Jornal Brasileiro de Psiquiatria

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2023, Volume 72 N. 4 Pages 221 - 227

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Analisar o craving em fumantes com comorbidades cardiovasculares submetidos a uma abordagem nutricional. Métodos: Intervenção clínica (n = 32) com dois grupos randomizados: Grupo 1 (G1, n = 15): recebendo 40 g de chocolate contendo 70% de cacau/dia e intervenção comportamental para cessação do tabagismo por um mês; Grupo 2 (G2, n = 17): grupo controle, recebendo apenas intervenção comportamental pelo mesmo período. O Questionnaire of Smoking Urges-Brief (QSU-Brief) – versão Brasil foi utilizado para avaliar o craving. As medidas antropométricas verificaram a interferência nutricional do procedimento e a avaliação sérica, a interferência de processos inflamatórios relacionados ao tabagismo. O estudo foi registrado no Registro Brasileiro de Ensaios Clínicos (ReBEC), RBR-83jr3. Resultados: Um mês depois, comparado à avaliação inicial, o G1 reduziu o craving total e seus fatores (1 e 2). QSU-Brief total: 44,27 ± 15,82 x 27,00 ± 18,03 (p = 0,008); Fator 1: 21,90 ± 7,70 x 12,90 ± 8,87 (p = 0,006); Fator 2: 11,90 ± 6,30 x 7,00 ± 6,63 (0,007). G2: redução no QSU-Brief total e Fator 1, mas não no Fator 2. QSU-Brief total 28,17 ± 17,24 x 19,52 ± 9,50 (p = 0,049); Fator 1: 14,47 ± 8,74 x 9,23 ± 6,11 (p = 0,046). Níveis séricos de cortisol, leptina, serotonina, proteína C-reativa (PCR) e insulina não apresentaram diferenças (p > 0,05). Não foram encontradas diferenças antropométricas significativas. Conclusão: Os resultados demonstram que o consumo diário de chocolate por um mês (70%) reduziu o craving em fumantes no início do tratamento. O chocolate potencializou o conhecido efeito do aconselhamento comportamental sobre o Fator 1 (efeitos prazerosos da droga) e também interferiu no fator 2 (efeitos desagradáveis da abstinência). Objetivo Métodos 32 randomizados G1, G (G1 15 15) 4 70 cacaudia cacau dia G2, G2 (G2 17 17) controle período UrgesBrief Urges Brief QSUBrief QSU (QSU-Brief sérica ReBEC, ReBEC , (ReBEC) RBR83jr3. RBR83jr3 RBRjr RBR 83jr3. 83jr3 jr RBR-83jr3 Resultados depois inicial ( . 2) 4427 44 27 44,2 1582 82 15,8 2700 00 27,0 1803 18 03 18,0 p 0,008 0008 0 008 0,008) 2190 21 90 21,9 770 7 7,7 1290 12 12,9 887 8 87 8,8 0,006 0006 006 0,006) 1190 11 11,9 630 6 30 6,3 700 7,0 663 63 6,6 0,007. 0007 0,007 007 (0,007) 2817 28 28,1 1724 24 17,2 1952 19 52 19,5 950 9 50 9,5 0,049 0049 049 0,049) 1447 14 47 14,4 874 74 8,7 923 23 9,2 611 6,1 0,046. 0046 0,046 046 0,046) cortisol leptina serotonina Creativa C reativa PCR (PCR 0,05. 005 0,05 05 0,05) significativas Conclusão (70% tratamento efeitos droga abstinência. abstinência abstinência) 3 (G (ReBEC RBR83jr 83jr RBR-83jr 442 44, 158 15, 270 27, 180 18, 0,00 000 219 21, 77 7, 129 12, 88 8, 119 11, 6, 66 (0,007 281 28, 172 17, 195 5 19, 95 9, 0,04 004 04 144 14, 92 61 0,0 (70 (0,00 0, (7 (0,0 (0, (0

ABSTRACT Objective: Analyze craving in smokers with cardiovascular comorbidities submitted to a nutritional approach. Methods: Two groups were randomized and submitted to clinical intervention (n = 32): Group 1 (G1, n = 15): ingested 40 g of chocolate containing 70% cocoa/day and behavioral intervention for smoking cessation for one month; Group 2 (G2, n = 17): control group, only behavioral intervention. Questionnaire of Smoking Urges-Brief (QSU-Brief) - Brazil version measured total craving and its factors. Anthropometric measurements verified the nutritional interference of the procedure and the serum assessment verified the interference of inflammatory processes related to smoking. The study was registered on the Brazilian Registry of Clinical Trials (ReBEC): RBR-83jr3. Results: After one month, compared to the initial evaluation, the G1 reduced the craving evaluated by the QSU-Brief and its Factors 1 and 2. Total QSU-Brief: 44.27 ± 15.82 x 27.00 ± 18.03 (p = 0.008); Factor 1: 21.90 ± 7.70 x 12.90 ± 8.87 (p = 0.006); Factor 2: 11.90 ± 6.30 x 7.00 ± 6.63 (0.007). G2 showed a reduction in total QSU-Brief and Factor 1, but not in Factor 2. QSU-Brief total 28.17 ± 17.24 x 19.52 ± 9.50 (p = 0.049); Factor 1: 14.47 ± 8.74 x 9.23 ± 6.11 (p = 0.046). Serum levels of cortisol, leptin, serotonin, C-Reactive Protein (CRP) and insulin did not show differences (p > 0.05). No anthropometric differences were found. Conclusion: The results demonstrate that daily consumption of chocolate for one month (70%) reduced craving in smokers at the beginning of treatment. Chocolate potentiated the well-known effect of behavioral counseling on Factor 1 (pleasurable drug effects) and also interfered with factor 2 (unpleasant withdrawal effects). Objective approach Methods 32 32) G1, G (G1 15 15) 4 70 cocoaday cocoa day G2, (G2 17 17) group UrgesBrief Urges Brief QSUBrief QSU (QSU-Brief factors ReBEC (ReBEC) RBR83jr3. RBR83jr3 RBRjr RBR 83jr3. 83jr3 jr RBR-83jr3 Results evaluation 4427 44 27 44.2 1582 82 15.8 2700 00 27.0 1803 18 03 18.0 p 0.008 0008 0 008 0.008) 2190 21 90 21.9 770 7 7.7 1290 12 12.9 887 8 87 8.8 0.006 0006 006 0.006) 1190 11 11.9 630 6 30 6.3 700 7.0 663 63 6.6 0.007. 0007 0.007 . 007 (0.007) 2817 28 28.1 1724 24 17.2 1952 19 52 19.5 950 9 50 9.5 0.049 0049 049 0.049) 1447 14 47 14.4 874 74 8.7 923 23 9.2 611 6.1 0.046. 0046 0.046 046 0.046) cortisol leptin serotonin CReactive C Reactive CRP (CRP 0.05. 005 0.05 05 0.05) found Conclusion (70% treatment wellknown well known pleasurable effects unpleasant effects. 3 (G (ReBEC RBR83jr 83jr RBR-83jr 442 44. 158 15. 270 27. 180 18. 0.00 000 219 21. 77 7. 129 12. 88 8. 119 11. 6. 66 (0.007 281 28. 172 17. 195 5 19. 95 9. 0.04 004 04 144 14. 92 61 0.0 (70 (0.00 0. (7 (0.0 ( (0. (0

https://doi.org/10.1590/0047-2085000000431

Prevalência de perda auditiva e vulnerabilidade a saúde em crianças de 25 a 36 meses: uma análise da distribuição espacial 2 3 meses
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Lopes, Aline Aparecida

; Friche, Amélia Augusta de Lima

; Lemos, Stela Maris Aguiar

; Bicalho, Lorena

; Silva, Artur Martins Moreto

; Santos, Thamara Suzi dos

; Oliveira, Renata Cristina Cordeiro Diniz

; Avan, Paul

; Carvalho, Sirley Alves da Silva

CoDAS

Journal Metrics
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2023, Volume 35 N. 6 elocation e20210189

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo Analisar a associação entre perda auditiva e a vulnerabilidade à saúde em crianças na faixa etária de 25 a 36 meses. Método Estudo observacional analítico do tipo transversal realizado por meio da triagem auditiva infantil em nove creches. A triagem constou de anamnese, meatoscopia, timpanometria, emissões otoacústicas transientes e audiometria tonal limiar. Para cada exame realizado foi estabelecido o critério de “passa” e “falha”. Os endereços residenciais das crianças foram georreferenciados e foi construído mapa coroplético da distribuição espacial, considerando o Índice de Vulnerabilidade à Saúde (IVS). Foi realizada análise de associação entre o IVS com as variáveis sexo, exames audiológicos e regional de domicílio por meio dos testes Qui-quadrado de Pearson, e Exato de Fisher. Resultados Foram avaliadas 95 crianças de ambos os sexos, destas, 44,7% apresentaram alteração em pelo menos um dos exames realizados, sendo encaminhadas para avaliação otorrinolaringológica e auditiva. Das alterações observadas 36,9% ocorreram na timpanometria e 7,8% nas emissões otoacústicas transientes. Dentre crianças encaminhadas para avaliação, 9,7% apresentaram diagnóstico de perda auditiva do tipo condutiva, 13,6% resultados dentro da normalidade e 21,4% não compareceram para reavaliação. Das crianças que apresentaram o diagnóstico final de perda auditiva do tipo condutiva (9,7%), 1,9% foi classificado como IVS de risco baixo e 6,8% como IVS de risco médio. Houve significância estatística entre IVS e o local de residência da criança. Conclusão Não houve associação com significância estatística entre alteração auditiva e IVS, entretanto foi possível observar que 77,7% das crianças com diagnóstico de perda auditiva residiam em setores censitários de risco médio do IVS. 2 3 meses creches anamnese meatoscopia limiar passa “passa falha. falha . “falha” espacial (IVS) sexo Quiquadrado Qui quadrado Pearson Fisher 9 sexos destas 447 44 7 44,7 realizados 369 36,9 78 8 7,8 97 9,7 136 13 6 13,6 214 21 4 21,4 reavaliação 9,7%, , (9,7%) 19 1 1,9 68 6,8 criança 777 77 77,7 “falha (IVS 44, 36, 7, 9, 13, 21, (9,7% 1, 6, 77, (9,7 (9, (9 (

ABSTRACT Purpose To analyze the association between hearing loss and health vulnerability in children aged 25 to 36 months. Methods Analytical observational cross-sectional study conducted through child hearing screening in nine day-care centers. The screening consisted of anamnesis, otoscopy, tympanometry, transient otoacoustic emissions, and pure tone audiometry. For each exam performed, the 'pass' and 'fail' criteria were established. The children's residential addresses were georeferenced and a choropleth map of the spatial distribution was built, considering the Health Vulnerability Index (HVI). The analysis of the association between the HVI and the variables sex, auditory assessment, and region area of the household was performed using Pearson's Chi-square and Fisher's Exact tests. Results Ninety-five children of both sexes were evaluated, of which 44.7% presented alterations in at least one of the exams performed, being referred for otorhinolaryngological evaluation and subsequent auditory assessment. Of the observed changes, 36.9% occurred in the tympanometry and 7.8% in the transient otoacoustic emissions. Among children referred for reassessment, 9.7% were diagnosed with conductive hearing loss, 13.6% results within normal limits and 21.4% did not attend for assessment. Of the children who presented the final diagnosis of conductive hearing loss (9.7%), 1.9% were classified as low-risk HVI and 6.8% as medium-risk HVI. There was statistical significance between HVI and the child's place of residence. Conclusion The association between hearing loss and HIV was not statistically significant; however, it was possible to observe that 77.7% of the children with hearing loss resided in sectors with medium- risk HIV 2 3 months crosssectional cross sectional daycare day care centers anamnesis otoscopy emissions audiometry pass 'pass fail 'fail established childrens s built . (HVI) sex assessment Pearsons Pearson Chisquare Chi square Fishers Fisher tests Ninetyfive Ninety five evaluated 447 44 7 44.7 changes 369 9 36.9 78 8 7.8 reassessment 97 9.7 136 13 6 13.6 214 21 4 21.4 9.7%, , (9.7%) 19 1 1.9 lowrisk low 68 6.8 mediumrisk medium childs residence significant however 777 77 77.7 (HVI 44. 36. 7. 9. 13. 21. (9.7% 1. 6. 77. (9.7 (9. (9 (

https://doi.org/10.1590/2317-1782/20232021189pt

Validation of the RAND 36-Item Health Survey questionnaire in Brazil
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LINS-KUSTERER, Liliane

; AGUIAR, Inácio

; SANTOS-LINS, Larissa Souza

; LINS-ROCHA, Matheus

; AGUIAR, Carolina Villa Nova

; MENEZES, Marta Silva

; SAMPAIO, Aline Santos

; QUARANTINI, Lucas C

; COTRIM, Helma P

; BRITES, Carlos

Arquivos de Gastroenterologia

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jun 2022, Volume 59 N. 2 Pages 193 - 197

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Contexto: A qualidade de vida relacionada à saúde é frequentemente usada como uma medida de resultado que melhora a qualidade da atenção à saúde. O SF-36 e o RAND-36 foram derivados do Medical Outcomes Study. Objetivo O presente estudo teve como objetivo validar o RAND-36 no Brasil, em indivíduos saudáveis e pacientes com doença hepática. Métodos: A análise fatorial confirmatória (AFC) foi realizada usando o software JASP. Os parâmetros do elemento foram estimados usando o método Robust Diagonally Weighted Least Squares (RDWLS). O índice de ajuste comparativo (CFI), o índice de adequação (GFI), o índice de Tucker-Lewis (TLI) e o erro quadrático médio de aproximação (RMSEA) foram avaliados. A consistência interna foi medida pelo índice de confiabilidade composta. A validade convergente foi realizada entre os domínios do RAND-36 e o Índice de Capacidade para o Trabalho (ICT). Resultados : Este estudo de validação incluiu 763 indivíduos, 400 (52,4%) com doença hepática crônica. As doenças hepáticas mais prevalentes foram hepatite C (13,9%), doença alcoólica do fígado (11,8%) e esteatose (12,1%). O modelo de medida testado com a AFC obteve os seguintes indicadores de ajuste: X2 (gl): 599,65 (498); CFI: 0,998; GFI: 0,998; TLI: 0,998; RMSEA: 0,016 (90%CI: 0,011-0,021). A validade convergente do RAND-36 e do ICT total variou de média a grande correlação. Conclusão: O RAND-36 é eficaz para medir a percepção da qualidade de vida relacionada à saúde em indivíduos com e sem doença hepática crônica. Os resultados do nosso estudo apoiam as afirmações dos desenvolvedores sobre a confiabilidade do RAND-36 versão 1 como uma medida de qualidade de vida relacionada à saúde. A evidência para a validade do construto do RAND-36 foi substancial.

ABSTRACT Background: Health-related quality of life is frequently used as an outcome measure that improves the quality of care. The SF-36 and RAND-36 were derived from the Medical Outcomes Study. Objective The present study aimed to validate the RAND-36 in Brazil, in healthy individuals and patients with liver disease. Methods: Confirmatory factor analysis (CFA) was conducted by using JASP Software. The parameters of the items were estimated using the Robust Diagonally Weighted Least Squares (RDWLS) approach. Comparative fit index (CFI), Goodness-of-fit index (GFI), Tucker-Lewis Index (TLI) and the root mean square error of approximation (RMSEA) were evaluated. Internal consistency was measured using the Composite reliability index. Convergent validity between RAND-36 domains and Work Ability Index (WAI) was conducted. Results: This validation study included 763 individuals, 400 (52.4%) with chronic liver disease. The most prevalent liver diseases were hepatitis C (13.9%), alcoholic liver disease (11.8%), and steatosis (12.1%). The measurement model tested using the CFA obtained the following adjustment indicators: X2 (df): 599.65 (498); CFI: 0.998; GFI: 0.998; TLI: 0.998; RMSEA: 0.016 (90%CI: 0.011-.021). Convergent validity of RAND-36 and total WAI ranged from medium to large correlation. Conclusion: The RAND-36 is effective in measuring the perception of health-related quality of life in individuals with and without chronic liver disease. The results of our study support the developer’s claims for the reliability of the RAND-36 version 1 as a measure of health-related quality of life. The evidence for the construct validity of the RAND-36 was substantial.

https://doi.org/10.1590/s0004-2803.202202000-36

Fatores associados à ativação de pacientes em hemodiálise
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Raimundo Leone, Denise Rocha

; Pereira, Gabriela Amorim

; de Paula Silva, Arison Cristian

; Silva de Aguiar, Aline

Avances en Enfermería

Journal Metrics
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- SciELO Analytics

apr 2022, Volume 40 N. 1 Pages 50 - 62

Abstract: Es Pt En | Text: Es Pt En | PDF: Es | PDF: Pt | PDF: En

Resumen Objetivo: Medir la activación de pacientes en hemodiálisis y determinar los factores asociados con la activación de esta población. Materiales y método: Estudio exploratorio, descriptivo y transversal con 162 pacientes sometidos a hemodiálisis en el interior de Minas Gerais, Brasil. Los datos fueron recopilados entre enero y abril de 2019 mediante instrumentos para evaluación sociodemográfica, socioeconómica y ecológica y el uso de la escala de Medición de Activación del Paciente de 13 ítems. El análisis de los datos se llevó a cabo por medio de estadística descriptiva y regresión de Poisson con varianza robusta. Resultados: La medida de activación de los pacientes en hemodiálisis osciló entre 39,4 y 90,7 puntos, siendo la media de 60,85 ± 15,57 puntos y la mediana de 53,2 (IC: 58,4-63,3) puntos. El 52,5 % (n = 85) de los participantes presentaba baja activación y el 18,5 % (n = 30) de la muestra fue clasificado en el nivel 3. Tener un nivel de educación superior y no requerir de un cuidador fueron variables asociadas a una mayor prevalencia de alta activación en este tipo de pacientes. Conclusiones: Aunque las variables asociadas con una alta activación no pueden ser modificadas por los profesionales de la salud, conocerlas permite inferir el perfil de pacientes en hemodiálisis que requiere intervenciones dirigidas a incrementar sus niveles de activación.

Resumo Objetivo: Mensurar a ativação de pacientes em hemodiálise e determinar os fatores associados à ativação dessa população. Materiais e método: Estudo exploratório, de caráter descritivo e corte transversal com 162 pacientes em tratamento hemodialítico no interior de Minas Gerais, Brasil. Os dados foram coletados de janeiro a abril de 2019, com instrumentos para avaliação sociode-mográfica, socioeconómica e clínica e da escala Pai\ent Activation Measure de 13 itens. A análise de dados foi realizada por estatística descritiva e regressão de Poisson com variância robusta. Resultados: A medida de ativação dos pacientes em hemodiálise variou de 39,4 a 90,7 pontos, em que a média é 60,85 + 15,57 pontos e a mediana 53,2 (IC: 58,4-63,3) pontos. Dos participantes, 52,5 % (n = 85) apresentavam baixa ativação, sendo que o menor quantitativo de pessoas (18,5 %, n = 30) se encontrava no nível 3. Foi associado à maior prevalência de alta ativação o fato de apresentar o nível superior de ensino e não necessitar de cuidador. Conclusões: Embora as variáveis associadas à alta ativação não sejam modificadas pelos profissionais de saúde, conhecê-las permite inferir qual o perfil de pacientes em hemodiálise que necessitam de intervenções direcionadas ao aumento dos níveis de ativação.

Abstract Objective: To measure the activation of hemodialysis patients and determine the factors associated with the activation of this population. Materials and method: Exploratory, descriptive and cross-sectional study with 162 hemodialysis patients residing in the state of Minas Gerais, Brazil. Data was collected from January to April 2019, using instruments for sociodemographic, socioeconomic and clinical evaluation and the 13-item Patient Activation Measure scale. Data analysis was performed using descriptive statistics and Poisson regression with robust variance. Results: The activation measure of the studied patients ranged from 39.4 to 90.7 points, with a mean of 60.85 ± 15.57 points and a median of 53.2 (ci: 58.4-63.3). Among participants, 52.5 % (n = 85) reported low activation, while the smallest share of patients (18.5 %, n = 30) was classified within level 3. A higher level of educational attainment and not requiring a caregiver were the variables associated with a higher prevalence of high activation among these patients. Conclusions: Although the variables associated with high activation cannot be modified by health professionals, recognizing them allows us to infer the profile of hemodialysis patients in need for interventions aimed at increasing their activation levels.

https://doi.org/10.15446/av.enferm.v40n1.90046 11 downloads

Impact of drying method as pretreatment for extraction of bioactive compounds from jambolan (Syzygium cumini (L.) Skeels) Syzygium L. L (L. Skeels (L
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Santos, Aline Elias dos

; Aguiar, Gean Pablo Silva

; Magro, Camila Dal

; Lacowicz, Roberto Alves

; Fedrigo, Isabela Maia Toaldo

; Bordignon-Luiz, Marilde Terezinha

; Oliveira, José Vladimir

; Lanza, Marcelo

Brazilian Journal of Food Technology

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2022, Volume 25 elocation e2021055

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo O jambolão é uma fruta pouco explorada e rica em polifenóis, que estão associados a benefícios para a saúde, como aumento da resistência ao estresse oxidativo e aos processos inflamatórios, bem como mostram-se benéficos para as funções cardiovasculares e plaquetárias. Para obtê-los, pode-se fazer por extração, mas um método padrão eficiente permanece um desafio. Nesse contexto, este trabalho avalia o impacto de diferentes pré-tratamentos no jambolão para a obtenção de compostos bioativos por extração aquosa. Estufa com circulação de ar (ACO) e liofilização (LYO) foram usados como pré-tratamentos. Além disso, estudou-se a influência dos parâmetros de massa, temperatura, ciclo e tempo nos métodos de extração utilizados: sólido-líquido percolado (PSL), sólido-líquido convencional (CSL) e sólido-líquido assistido por ultrassom (USL). O rendimento de extração foi de 7,3% (ACO) a 46,3% (LYO), ambos pelo método sólido-líquido percolado (PSL). Além disso, 11 compostos fenólicos e seis antocianinas foram detectados por HPLC-DAD, em quantidades expressivas de catequina e cianidina, na amostra LYO, e esses extratos apresentaram maiores concentrações de compostos bioativos. O método CSL foi mais eficiente em amostras de ACO e o método PSL, em amostras de LYO. Os extratos LYO apresentaram maiores concentrações de compostos bioativos. Portanto, a utilização de um pré-tratamento de secagem resulta em extratos com alto potencial antioxidante para aplicação nos mercados alimentício, cosmético e farmacêutico. polifenóis saúde inflamatórios mostramse mostram se plaquetárias obtêlos, obtêlos obtê los, los obtê-los podese pode desafio contexto prétratamentos pré tratamentos aquosa (ACO (LYO prétratamentos. tratamentos. disso estudouse estudou massa temperatura utilizados sólidolíquido sólido líquido PSL , (PSL) (CSL USL. USL . (USL) 73 7 3 7,3 463 46 46,3 PSL. 1 HPLCDAD, HPLCDAD HPLC DAD, DAD HPLC-DAD cianidina Portanto prétratamento tratamento alimentício farmacêutico (PSL (USL 7, 4 46,

Abstract Jambolan (Syzygium cumini (L.) Skeels) is an under-explored fruit rich in polyphenols, which are associated with health benefits, such as increasing resistance to oxidative stress, inflammatory processes and cardiovascular, and platelet functions. These polyphenols can be obtained by extraction, but an efficient standard method remains a challenge. In this context, this work evaluated the impact of different pretreatments on jambolans to obtain bioactive compounds by aqueous extraction. An Air Circulation Oven (ACO) and Lyophilization (LYO) were used as pretreatments. In addition, the influence of mass, temperature, cycle, and time parameters were studied in the extraction methods used: Percolated Solid-Liquid (PSL), Conventional Solid-Liquid (CSL), and solid-liquid assisted by ultrasound (USL). The extraction yield was from 7.3% (ACO) to 46.3% (LYO), both using the PSL method. In addition, eleven phenolic compounds and six anthocyanins were detected by High Performance Liquid Chromatography-Diode Array Detector (HPLC-DAD), in expressive amounts of catechin and cyaniding in the LYO sample and, these extracts showed higher concentrations of bioactive compounds. The CSL method was more efficient on ACO samples and PSL on LYO samples. LYO extracts showed higher concentrations of bioactive compounds. Therefore, the use of a drying pretreatment results in extracts with a high antioxidant potential for application in the food, cosmetic, and pharmaceutical markets. Syzygium L. L (L. Skeels underexplored under explored benefits stress cardiovascular functions challenge context (ACO (LYO addition mass temperature cycle SolidLiquid Solid PSL, , (PSL) CSL, (CSL) solidliquid solid liquid USL. USL . (USL) 73 7 3 7.3 463 46 46.3 LYO, ChromatographyDiode Chromatography Diode HPLCDAD, HPLCDAD HPLC DAD (HPLC-DAD) Therefore food cosmetic markets (L (PSL (CSL (USL 7. 4 46. (HPLC-DAD

https://doi.org/10.1590/1981-6723.05521

Factors associated with the perceived benefits and barriers to physical activity in liver cirrhosis
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Siqueira, Marcela Rodrigues de

; Pace, Fábio Heleno de Lima

; Limongi, Tuany Mageste

; Henrique, Diane Michela Nery

; Mira, Pedro Augusto de Carvalho

; Oliveira, Túlio Medina Dutra de

; Oliveira, Cristino Carneiro

; Aguiar, Aline Silva de

; Malaguti, Carla

Revista da Associação Médica Brasileira

Journal Metrics
- Sobre o periódico
- SciELO Analytics

feb 2021, Volume 67 N. 2 Pages 271 - 276

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: To analyze the sociodemographic and clinical factors associated with the perceived benefits and barriers to physical activity (PA) in subjects with liver cirrhosis. METHODS: This cross-sectional study assessed 102 outpatients with liver cirrhosis regarding the clinical and sociodemographic profile and the perceived benefits and barriers to PA by the Exercise Benefits and Barriers Scale and muscle strength. A Generalized Step-Forward linear regression analysis was used to identify the factors associated. RESULTS: The participants were 59±10 years and 60.8% were men. Around 29.4% had ascites decompensation. Perceived benefits and barriers were associated with the presence of ascites (95%CI −0.079 – 0.03; p=0.06 and 95%CI 0.003 – 0.217; p=0.045, respectively). In the group with ascites, both benefits and barriers were associated with muscle strength. In the group without ascites, benefits were associated with cardiovascular risks and no association was observed with barriers to physical activity. CONCLUSIONS: Perceived benefits and barriers to physical activity are associated with intrinsic factors such as the presence of ascites and cardiovascular risk in individuals with liver cirrhosis. The results of this study highlight key elements that must be considered for increasing physical activity in this population.

https://doi.org/10.1590/1806-9282.67.02.20200692 105 downloads

10.

Obtaining tissues and organs for transplantation and coronavirus infections: a scoping review
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Pessoa, João Luís Erbs

; Knihs, Neide da Silva

; Magalhães, Aline Lima Pestana

; Paim, Sibele Maria Schuantes

; Wachholz, Laísa Fischer

; Roza, Bartira de Aguiar

Revista Brasileira de Enfermagem

Journal Metrics
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2021, Volume 74 Suppl. 1 elocation e20200610

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivo: mapear as recomendações de cuidados disponíveis na literatura capazes de subsidiar a tomada de decisão de profissionais da saúde atuantes no processo de doação de órgãos e tecidos diante da pandemia de COVID-19. Métodos: trata-se de uma revisão de escopo desenvolvida em nove etapas com buscas realizadas em três bases de dados e uma biblioteca eletrônica (Science Direct). Resultados: foram recuperadas 873 publicações, 15 selecionadas para análise. Todas foram publicadas em 2020, tendo como origem principalmente a China, predominando artigos originais. As recomendações mais frequentes se relacionam com a realização de testes para detectar a infecção por SARS-CoV-2 para doadores falecidos (52,6%) e avaliação clínica do potencial doador e possível doador (31,6%). Considerações finais: acredita-se que as recomendações evidenciadas subsidiarão os profissionais de saúde atuantes no processo de doação e transplantes de órgãos a determinar intervenções para a tomada de decisão durante a pandemia de COVID-19.

ABSTRACT Objectives: to map the care recommendations available in the literature capable of supporting health professionals’ decision-making in the organ and tissue donation process before the COVID-19 pandemic. Methods: is a nine-step scoping review with searches performed in three databases and an electronic library (Science Direct). Results: 873 publications were retrieved, 15 selected for analysis. All were published in 2020, originating mainly on China, with predominance of original articles. The most frequent recommendations relate to testing to detect SARS-CoV-2 infection for deceased donors (52.6%) and clinical evaluation of potential donors and possible donors (31.6%). Final considerations: it is believed that the recommendations evidenced will support health professionals in the process of donation and organ transplantations to determine interventions for decision-making during the COVID-19 pandemic.

RESUMEN Objetivo: mapear las recomendaciones de atención disponibles en la literatura capaces de apoyar la toma de decisiones de los profesionales de la salud que trabajan en el proceso de donación de órganos y tejidos ante la pandemia de COVID-19. Métodos: es una revisión de alcance desarrollada en nueve etapas con búsquedas realizadas en tres bases de datos y una biblioteca electrónica (Science Direct). Resultados: se recuperaron 873 publicaciones, 15 seleccionadas para su análisis. Todos fueron publicados en 2020, originados principalmente en China, con predominio de artículos originales. Las recomendaciones más frecuentes están relacionadas con las pruebas para detectar la infección por SARS-CoV-2 en donantes fallecidos (52,6%) y la evaluación clínica del donante potencial y posible donante (31,6%). Consideraciones finales: se cree que las recomendaciones evidenciadas subsidiarán a los profesionales de la salud que trabajan en el proceso de donación y trasplante de órganos para determinar intervenciones para la toma de decisiones durante la pandemia de COVID-19.

https://doi.org/10.1590/0034-7167-2020-0610 671 downloads

11.

Nível de ativação e qualidade de vida relacionada à saúde de pessoas em hemodiálise
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Leone, Denise Rocha Raimundo

; Pereira, Gabriela Amorim

; Silva, Arison Cristian de Paula

; Aguiar, Aline Silva de

Escola Anna Nery

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2021, Volume 25 N. 4 elocation e20200486

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo Objetivo associar o nível de ativação com a qualidade de vida relacionada à saúde de pessoas que realizam o tratamento hemodialítico. Método estudo quantitativo, transversal e correlacional com 162 pessoas em tratamento hemodialítico. Os dados foram coletados por meio da aplicação de questionários para a caracterização sociodemográfica, socioeconômica e clínica do Kidney Disease Quality of Life Short Form e da escala Patient Activation Measure. Os dados secundários foram coletados por meio do prontuário médico. Para a análise dos dados, utilizaram-se a estatística descritiva e a regressão logística. Resultados a ativação do paciente em hemodiálise associou-se positivamente com os domínios sintomas, funcionamento físico, saúde geral, bem-estar emocional, energia/fadiga e o componente mental da qualidade de vida relacionada à saúde. Conclusão e implicação para a prática como a ativação apresenta relação com a qualidade de vida relacionada à saúde, na prática assistencial, essa métrica deve ser considerada ao implementar medidas que visem a aumentar a qualidade de vida relacionada à saúde das pessoas em hemodiálise.

Abstract Objective to associate the level of activation with the health-related quality of life of people undergoing hemodialysis. Method a quantitative, cross-sectional and correlational study with 162 people on hemodialysis treatment. Data was collected by applying questionnaires for sociodemographic, socioeconomic and clinical characterization of the Kidney Disease Quality of Life Short Form and the Patient Activation Measure scale. Secondary data were collected from medical records. For data analysis, descriptive statistics and logistic regression were used. Results hemodialysis patient activation was positively associated with the domains symptoms, physical functioning, general health, emotional well-being, energy/fatigue and the mental component of health-related quality of life. Conclusion and implication for the practice since activation is related to health-related quality of life, in care practice, this metric should be considered when implementing measures to increase the health-related quality of life of people on hemodialysis.

Resumen Objetivo asociar el nivel de activación con la calidad de vida relacionada con la salud de las personas en hemodiálisis. Método estudio cuantitativo, transversal y correlacional con 162 personas en hemodiálisis. Los datos se recolectaron mediante la aplicación de cuestionarios para la caracterización sociodemográfica, socioeconómica y clínica del Kidney Disease Quality of Life Short Form y la escala Patient Activation Measure. Los datos secundarios se recopilaron a través de historias clínicas. Para el análisis de los datos se utilizó la estadística descriptiva y la regresión logística. Resultados la activación del paciente en hemodiálisis se asoció positivamente con los dominios síntomas, funcionamiento físico, salud general, bienestar emocional, energía / fatiga y el componente mental de la calidad de vida relacionada con la salud. Conclusión e implicación para la práctica dado que la activación presenta una relación con la calidad de vida relacionada con la salud, en la práctica asistencial esta métrica debe ser considerada a la hora de implementar medidas dirigidas a incrementar la calidad de vida relacionada con la salud de las personas en hemodiálisis.

https://doi.org/10.1590/2177-9465-ean-2020-0486 489 downloads

12.

Good Practices in Transitional Care: continuity of care for patients undergoing liver transplantation
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Wachholz, Laísa Fischer

; Knihs, Neide da Silva

; Sens, Suyan

; Paim, Sibele Maria Schuantes

; Magalhães, Aline Lima Pestana

; Roza, Bartira de Aguiar

Revista Brasileira de Enfermagem

Journal Metrics
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- SciELO Analytics

2021, Volume 74 N. 2 elocation e20200746

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO Objetivos: elaborar um guia de recomendações de cuidados para boas práticas na transição do cuidado de pacientes adultos submetidos ao transplante hepático. Métodos: estudo metodológico, tendo como referencial o Appraisal of Guidelines for Research & Evaluation na versão atualizada, II. Sustentaram-se as recomendações de cuidados por meio da realização de uma revisão integrativa da literatura e uma pesquisa qualitativa. Resultados: a partir das evidências, oportunizou a formação de três tópicos: Planejamento da Transição do Cuidado; Educação em Saúde para o Autocuidado; Gestão dos Cuidados. Cada um dos tópicos centrais apresenta respectivos subtópicos, totalizando seis, originando 30 recomendações de cuidados. No que se refere à pontuação dos escores pelos avaliadores, em todos os domínios os escores foram superiores a 90%. Considerações Finais: o guia proposto auxilia os profissionais na condução da transição do cuidado no transplante hepático, garantindo maior segurança aos pacientes na continuidade do cuidado em domicílio.

ABSTRACT Objectives: to develop a guide of care recommendations for good practices in care transition for adult patients undergoing liver transplantation. Methods: a methodological study, based on the Appraisal of Guidelines for Research & Evaluation in the updated version, II. Care recommendations were sustained by conducting an integrative literature review and qualitative research. Results: from evidence, three topics emerged: Care Transition Planning; Health Education for Self-Care; Care Management. Each of the central topics has respective subtopics, totaling six, giving rise to 30 care recommendations. Concerning evaluators’ scores, in all domains the scores were higher than 90%. Final Considerations: the proposed guide assists professionals in conducting care transition in liver transplantation, ensuring greater safety for patients in continuity of home care.

RESUMEN Objetivos: desarrollar una guía de recomendaciones asistenciales de buenas prácticas en la transición asistencial para pacientes adultos sometidos a trasplante hepático. Métodos: estudio metodológico, utilizando el Appraisal of Guidelines for Research & Evaluation en la versión actualizada, II. Las recomendaciones de atención se sustentaron mediante la realización de una revisión integradora de la literatura y una investigación cualitativa. Resultados: con base en la evidencia, permitió la formación de tres temas: Planificación de la Transición del Cuidado; Educación Sanitaria para el Autocuidado; Administración de Cuidados. Cada uno de los temas centrales tiene subtemas respectivos, totalizando seis, dando lugar a 30 recomendaciones de cuidados. En cuanto a la puntuación de las puntuaciones de los evaluadores, en todos los dominios las puntuaciones fueron superiores al 90%. Consideraciones Finales: la guía propuesta ayuda a los profesionales a realizar la transición de la atención en el trasplante de hígado, garantizando una mayor seguridad para los pacientes en la continuidad de la atención domiciliaria.

https://doi.org/10.1590/0034-7167-2020-0746 214 downloads

13.

Chronic inflammatory periapical diseases: a Brazilian multicenter study of 10,381 cases and literature review
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COUTO, Aline Maria do

; MEIRELLES, Daniela Pereira

; VALERIANO, Alline Teixeira

; ALMEIDA, Douglas Silva de

; MORAES, Êmile de

; TARQUINIO, Sandra Beatriz Chaves

; BATISTA, Aline Carvalho

; MENDONÇA, Elismauro Francisco de

; COSTA, Nádia do Lago

; ALVES, Pollianna Muniz

; NONAKA, Cassiano Francisco Weege

; ABREU, Lucas Guimarães

; AGUIAR, Maria Cássia Ferreira de

Brazilian Oral Research

Journal Metrics
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- SciELO Analytics

2021, Volume 35 elocation e033

Abstract: En | Text: En | PDF: En

Abstract The aim of this study was to investigate the epidemiological and clinical characteristics of chronic inflammatory periapical diseases in different regions of Brazil and to compare with data from the literature. A multicenter study was carried out in four Brazilian referral centers in oral diagnosis. Histopathological records were reviewed, and all cases diagnosed microscopically as periapical granuloma, radicular cyst, and periapical abscess were included. Demographic and clinical data were collected. Descriptive statistics and Pearson’s chi-square test were performed. A total of 10,381 cases of chronic inflammatory periapical diseases were found (13.8% of 74,931 archived specimens) over a period of 65 years. Radicular cysts were the most common lesion (59.9%). Women (56.1%) with a mean age of 37.01 years old (range 13 to 100 ± 14.42) and people of white skin color (59.2%) were the most affected individuals by chronic inflammatory periapical diseases. The lesions were generally asymptomatic (28.1%), located in the maxilla (60.1%), and posterior region (49.8%). The radicular cysts were larger when compared to periapical granulomas (p < 0.001). The disagreement between the clinical and histopathological diagnoses was higher when the final diagnosis was a periapical granuloma (p < 0.001). Chronic inflammatory periapical diseases continue to be common lesions affecting mainly adults. This should be a consequence of the burden of untreated caries in permanent teeth. Women are more affected and radicular cyst was the most common lesion.

https://doi.org/10.1590/1807-3107bor-2021.vol35.0033 767 downloads

14.

[SciELO Preprints] - Coronavirus infections: recommendations for good practice in obtaining tissues and organs for the transplantation
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Pessoa, João Luis Erbs Knhis, Neide da Silva Magalhães, Aline Lima Pestana Paim, Sibele Maria Schuantes Laísa Fischer Bartira de Aguiar

Journal Metrics
- Sobre o periódico
- SciELO Analytics

Publication date: 2020-06-30

Abstract: En Pt

Objective: To analyze care recommendations available in the literature that can subsidize the decision making of health professionals in organ and tissue donation during the COVID-19 pandemic. Method: Scoping review, developed in five steps and four databases. Results: 873 publications were found and 15 selected for analysis. All these studies were published in 2020, mainly from China and predominantly discussion articles. The main recommendations are: running of tests to detect SARS-Cov-2 infection in a deceased donor; complete clinical evaluation of past history for potential and possible donation. Final considerations: Recommendations evidenced in this study can support health professionals on the process of organ and tissue donation to decision making in more effective interventions during the pandemic and with the available resources.

Objetivo: Analisar recomendações de cuidados disponíveis na leitura capazes de subsidiar a tomada de decisão de profissionais da saúde atuantes no processo de doação de órgãos e tecidos diante da pandemia do COVID-19. Método: trata-se de uma Scoping rewiew, desenvolvida em cinco etapas, em quatro bases de dados. Resultados: Foram recuperados 873 publicações, 15 selecionadas para análise.  Todas publicadas em 2020, tendo como origem, principalmente, a China, predominando artigos de discussão. As principais recomendações relacionam-se com a realização de testes para detectar a infecção por SARS-CoV-2 para doadores falecidos; tempo de cura dos pacientes expostos ao COVID-19 para considerar a doação; realização minuciosa da avaliação clínica pregressa do potencial doador e possível doador. Considerações finais: Acredita-se que as recomendações evidenciadas subsidiarão os profissionais de saúde atuantes no processo de doação e transplantes de órgãos para determinar intervenções para a tomada de decisão mais efetiva frente aos recursos disponíveis.

https://doi.org/10.1590/SciELOPreprints.855

15.

Intact Nuclear Families: Associations between Parental Styles and School Children’s Behavior
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Sebastião, Aline Sanches Politi

; Rodrigues, Ana Paula Casagrande Silva

; Pizeta, Fernanda Aguiar

; Loureiro, Sonia Regina

Psico-USF

Journal Metrics
- Sobre o periódico
- SciELO Analytics

mar 2020, Volume 25 N. 1 Pages 115 - 126

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo Independente da configuração familiar, poucos estudos têm abordado as avaliações concomitantes de mães e pais sobre os comportamentos e práticas educativas adotadas com seus filhos. Objetivou-se comparar e correlacionar a avaliação de mães e pais biológicos, de famílias nucleares intactas, sobre suas práticas educativas e problemas comportamentais de seus filhos, em idade escolar. Foram avaliadas 42 famílias nucleares intactas, que responderam aos seguintes instrumentos: Questionário Geral, Inventário de Estilos Parentais, Questionário de Capacidades e Dificuldades da Criança e Teste das Matrizes Progressivas de Raven - Escala Especial. Por meio de análise quantitativa, verificou-se que mães e pais apresentaram semelhanças quanto às avaliações sobre o comportamento dos filhos e que mães referiram mais práticas positivas do que pais. As práticas parentais negativas correlacionaram-se positivamente com os problemas de comportamento. Tais achados contribuem para o planejamento de estratégias de prevenção e intervenção com famílias.

Abstract Regardless of family configurations, few studies address the concomitant assessment of mothers and fathers regarding their children’s behaviors and parenting practices. The objective was to compare and correlate the assessment of biological mothers and fathers of intact nuclear families on their parental practices and behavioral problems of their school-aged children. Fourth-two intact nuclear families answered to the following instruments: General Questionnaire, Parenting Style Inventory, Strengths and Difficulties Questionnaire and Raven Progressive Matrices Test - Special Scale. The quantitative analysis showed that mothers and fathers presented similar assessments regarding the behavior of their children, though mothers reported more positive practices than fathers. Negative parenting styles were positively correlated with child behavioral problems. These findings contribute to the planning of preventive strategies and interventions directed to families.

Resumen Independiente de la configuración familiar, pocos estudios han abordado las evaluaciones concomitantes de madres y padres sobre los comportamientos y prácticas educativas adoptadas con sus hijos. Se tuvo como objetivo comparar y correlacionar la evaluación de madres y padres biológicos, de familias nucleares intactas, sobre las prácticas educativas y problemas comportamentales de sus hijos en edad escolar. Fueron evaluadas 42 familias nucleares intactas, que respondieron a los siguientes instrumentos: Cuestionario General, Inventario de Estilos Parentales, Cuestionario de Capacidades y Dificultades del Niño y Test de las Matrices Progresivas de Raven - Escala Especial. Por medio de un análisis cuantitativo, se verificó que madres y padres presentaron semejanzas con relación a las evaluaciones sobre el comportamiento de los hijos y que las madres mencionaron más prácticas positivas que los padres. Las prácticas parentales negativas se correlacionan positivamente con los problemas de comportamiento. Estos resultados contribuyen para la planificación de estrategias de prevención e intervención con las familias.

https://doi.org/10.1590/1413-82712020250110 1125 downloads

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