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Resumo A competição é a essência do esporte e, quando concebida tendo como referência o praticante, pode contribuir para o desenvolvimento de diferentes conteúdos pedagógicos, dentre eles, aspectos socioeducativos e autonomia. O objetivo deste estudo foi demonstrar as primeiras evidências de validade de duas escalas de favorecimento ao desenvolvimento socioeducativo e de autonomia no esporte infantojuvenil; ambas compondo a Bateria de Testes Gonçalves-Balbinotti de Favorecimento ao Desenvolvimento de Conteúdos Pedagógicos no Esporte Infantojuvenil. Objetiva-se estimar as estruturas internas, testar suas estabilidades e estimar suas consistências internas. Uma amostra de 210 treinadores respondeu as escalas relacionadas ao desenvolvimento socioeducativo e de autonomia, as quais apresentaram estruturas de segunda ordem com saturações fatoriais significativas (> 0,40) e explicando 80,6% e 73,2% da variância total dos construtos, respectivamente. Os resultados relacionados ao ajuste do modelo foram satisfatórios (X2/df < 2,00; AGFI > 0,95; RMSEA < 0,05; CFI > 0,95; TLI > 0,95). Os resultados relativos à consistência interna (0,786 < α < 0,913 para os fatores; αSE = 0,889; αAu = 0,870) asseguram a precisão das medidas e a fidedignidade dos seus usos de acordo com o proposto. Os resultados respondem aos objetivos geral e específicos da pesquisa e indicam o uso seguro destas duas escalas. praticante pedagógicos eles infantojuvenil GonçalvesBalbinotti Gonçalves Balbinotti Infantojuvenil Objetivase Objetiva se internas 21 ( 0,40 040 0 40 806 80 6 80,6 732 73 2 73,2 construtos respectivamente X2/df X2df Xdf X2 df X 2,00 200 00 0,95 095 95 0,05 005 05 0,95. . 0,95) 0,786 0786 786 (0,78 0913 913 0,91 fatores 0,889 0889 889 0,870 0870 870 proposto 0,4 04 4 8 80, 7 73, 2,0 20 0,9 09 9 0,0 0,78 078 78 (0,7 091 91 0,88 088 88 0,87 087 87 0, 2, 0,7 07 (0, 0,8 08 (0

Abstract Competition is the essence of sports and, when conceived having participants as references, it can contributes to the development of different pedagogical contents, among them, socio-educative aspects and autonomy. The purpose of this research was to demonstrate the first validity evidences of two scales for supporting socio-educational and autonomy development in youth sports; both are part of the Battery of Tests Gonçalves-Balbinotti of Pedagogical Contents’ Development Support in Youth Sports. We aim to estimate their internal structures, test their stabilities and estimate their internal consistency. A sample of 210 coaches answered the scales related to socio-educational and autonomy development, which presented second order two-factor structures with significant factor loadings (> 0.40) and explaining 80.6% and 73.2% of the constructs’ total variance, respectively. The results related to the model fit were satisfactory (X2/df < 2.00; AGFI > 0.95; RMSEA < 0.05; CFI > 0.95; TLI > 0.95). The results regarding the internal consistency (0.786 < α < 0.913 for the factors; αSE = 0.889; αAu = 0.870) assure the precision of the measures and the reliability of their uses according to their purposes. The results answer the main and specific purposes of this research and indicate the safe use of these two scales. references contents them socioeducative socio educative socioeducational educational GonçalvesBalbinotti Gonçalves Balbinotti Contents Sports 21 twofactor ( 0.40 040 0 40 806 80 6 80.6 732 73 2 73.2 constructs variance respectively X2/df X2df Xdf X2 df X 2.00 200 00 0.95 095 95 0.05 005 05 0.95. . 0.95) 0.786 0786 786 (0.78 0913 913 0.91 factors 0.889 0889 889 0.870 0870 870 0.4 04 4 8 80. 7 73. 2.0 20 0.9 09 9 0.0 0.78 078 78 (0.7 091 91 0.88 088 88 0.87 087 87 0. 2. 0.7 07 (0. 0.8 08 (0

https://doi.org/10.1590/1980-0037.2023v25e90232

TRANSLATION, ADAPTATION, AND EVIDENCE OF CONTENT VALIDITY AND INTERNAL STRUCTURE OF THE BRAZILIAN VERSION OF THE CONTEST ORIENTATION SCALE
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Gonçalves, Gabriel Henrique Treter

; Klering, Roberto Tierling

; Aires, Hannah

; Balbinotti, Marcos Alencar Abaide

; Balbinotti, Carlos Adelar Abaide

Journal of Physical Education

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2023, Volume 34 elocation e3425

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

ABSTRACT This study aimed to translate, adapt, and present the first evidence of content validity and internal structure of the Brazilian version of the Contest Orientation Scale. To this end, three studies were conducted. The first study was the translation of the items of the scale and adaptation to the Brazilian sports context, considering cultural and theoretical aspects by four judges, fluent in both languages (English and Portuguese). The second study was the content validation of the translated version. To this end, three judges evaluated Language Clarity (CVCtLC= 0.90), Theoretical Relevance (CVCtTR= 0.91), and Theoretical Dimensionality (KTotal= 0.71). The results ranged from good to satisfactory. The third study applied the scale to 188 athletes of both sexes, with a mean age of 30.6 years. A semi-confirmatory factor analysis was performed, which presented a clean factorial solution, with adjustment ranging from reasonable to satisfactory and satisfactory reliability indices (α = 0.744). In conclusion, the Brazilian version of the scale presents indices favorable to its application to evaluate the orientations to the dispute in the sport.

RESUMO O objetivo do estudo foi traduzir, adaptar e apresentar as primeiras evidências de validade de conteúdo e de estrutura interna da versão brasileira da Contest Orientation Scale. Para tanto, foram realizados três estudos. No primeiro estudo, a tradução dos itens da escala e adaptação para o contexto esportivo brasileiro, considerando aspectos culturais e teóricos, foi realizada por quatro juízes, fluentes em ambos os idiomas (inglês e português). No segundo estudo, foi realizada a validação de conteúdo da versão traduzida. Para tanto, três juízes realizaram a avaliação da Clareza de Linguagem (CVCtCL = 0,90), Relevância Teórica (CVCtRT = 0,91) e Dimensionalidade Teórica (KTotal = 0,71). Os resultados variaram de bons a satisfatórios. No terceiro estudo, a escala foi aplicada a 188 atletas de ambos os sexos, com idade média de 30,6 anos. Realizou-se uma análise fatorial semi-confirmatória, que apresentou uma solução fatorial limpa, com ajuste variando de razoável a satisfatório e índices de fidedignidade satisfatórios (α = 0,744). Conclui-se que a versão brasileira da escala apresenta índices favoráveis à sua aplicação na avaliação das orientações à disputa no esporte.

https://doi.org/10.4025/jphyseduc.v34i1.3425

Occurrence of Tungiasis in Ceará State, Northeast Brazil: Results of a Rapid Assessment Method
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Silva, Nathiel de Sousa

; Alencar, Carlos Henrique

; Calheiros, Cláudia Maria Lins

; Heukelbach, Jorg

Revista da Sociedade Brasileira de Medicina Tropical

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2023, Volume 56 elocation e0274-2023

Abstract: En | Text: En | PDF: En

ABSTRACT Background: Systematic data on the occurrence of tungiasis are scarce. Methods: We analyzed data on tungiasis in humans and animals from all municipalities of Ceará State, Northeast Brazil, using a rapid assessment questionnaire. Results: Among the 184 municipalities, 181 (98.3%) reported tungiasis in the past (before 2021) or currently, 120 (65.2%) reported current occurrence, 155 (84.2%) reported severe cases in the past or currently, 47 (25.5 %) reported severe cases currently, and 132 (71.7%) reported tungiasis in animals. Conclusions: Tungiasis is a significant public health concern in Ceará. A One Health approach is required to reduce the disease burden in humans and animals.

https://doi.org/10.1590/0037-8682-0274-2023

BEETLE ASSEMBLAGE COMPOSITION (COLEOPTERA) ACROSS THE BORBOREMA PLATEAU IN NORTHEASTERN BRAZIL
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ALENCAR, JANDERSON BATISTA RODRIGUES

; BRITO, CARLOS HENRIQUE DE

; BACCARO, FABRÍCIO BEGGIATO

; BICHO, CARLA DE LIMA

Revista Caatinga

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mar 2022, Volume 35 N. 1 Pages 148 - 159

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

RESUMO O objetivo deste trabalho foi comparar as assembleias de besouros de solo entre dois locais no Planalto da Borborema. Dados de georreferenciamento e climáticos foram usados para comparar as condições locais com as assembleias de besouros. Foram coletados 483 indivíduos, classificados em 75 espécies/ morfoespécies, pertencentes a 23 famílias de Coleoptera. As coletas na face leste do Planalto da Borborema (Areia-PB) totalizaram 332 indivíduos (58 espécies/morfoespécies) pertencentes a 21 famílias. No lado oeste (Cabaceiras-PB) foram coletados 151 indivíduos, 24 espécies/morfoespécies pertencentes a oito famílias. Entre as 75 morfótipos/espécies coletadas, 51 ocorreram exclusivamente na face oriental do Planalto e 17 ocorreram exclusivamente na face oeste. Entre eles, apenas sete morfoespécies foram amostradas em ambas as áreas. A diferença de composição de espécies de besouros entre os lados oeste e leste do Planalto da Borborema sugere que o posicionamento e variações climáticas mantêm e promovem altos níveis de diversidade de besouros no nordeste do Brasil.

ABSTRACT The objective of this work was to compare soil beetle (Coleoptera) species composition between two sites on the Borborema Plateau in Northeastern Brazil. We collected 483 individuals belonging to 23 Coleoptera families and 75 species/morphospecies. On the east face of the Borborema Plateau (Areia-PB) we collected a total of 332 individuals representing 58 species/morphospecies and 21 families. On the west face (Cabaceiras-PB) we collected 151 individuals representing 24 species/morphospecies and eight families. Among the 75 total species/morphospecies collected, 51 occurred exclusively on the eastern face of the plateau and 17 occurred exclusively on the west face. Only seven morphospecies were sampled in both areas. The marked difference in beetle assemblage species composition between the west and east sides of the Borborema Plateau suggests that the positioning and climatic variations maintain and promote high levels of beetle diversity in northeastern Brazil.

https://doi.org/10.1590/1983-21252022v35n115rc

Functionality and disease severity in spinocerebellar ataxias
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CRUZ, Geanison Castro da

; ZONTA, Marise Bueno

; MUNHOZ, Renato Puppi

; MELLO, Neliana Maria de

; MEIRA, Alex Tiburtino

; NUNES, Maria Cristina de Alencar

; ARANHA, Naiara Talita Guimarães

; CAMARGO, Carlos Henrique Ferreira

; LOPES NETO, Francisco Diego Negrão

; TEIVE, Hélio Afonso Ghizoni

Arquivos de Neuro-Psiquiatria

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feb 2022, Volume 80 N. 2 Pages 137 - 144

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

RESUMO Antecedentes: As ataxias espinocerebelares (SCA) são um grupo de doenças neurodegenerativas caracterizadas pela deterioração do equilíbrio e da funcionalidade, que tende a acompanhar a progressão da doença. Não existe uma ligação estabelecida entre os marcadores clínicos formais de gravidade e escores funcionais e de equilíbrio que possam orientar as equipes de reabilitação. Objetivo: Avaliar a relação entre escalas funcionais e de gravidade da ataxia, buscando identificar pontos de corte para a perda funcional relacionados aos escores de gravidade e aos patamares de Risco de Quedas. Métodos: Uma amostra consecutiva de 89 pacientes com diagnóstico molecular de SCA (31-SCA2 e 58-SCA3) foram avaliados para funcionalidade MIF-AVDs (Medida de independência funcional-Atividades da vida diária) e Lawton-AIVDs (Atividades instrumentais da vida diária), equilíbrio (EEB-escala de Equilíbrio de Berg), e gravidade da ataxia (SARA-escala para avaliação e graduação de ataxia). Resultados: Os principais pontos de corte de deficiência foram: com 12 pontos no SARA começa a necessidade de supervisão para MIF-AVDs e com 14 pontos no SARA começa a necessidade de supervisão para Lawton-AIVDs. Os primeiros itens a necessitar de assistência foram “expressão” e “compras”, respectivamente. Com 20 pontos no SARA os pacientes eram dependentes em todos os itens MIF/LAWTON. O item com maior impacto na discriminação entre dependentes e independentes foi “meio de transporte” na Lawton e o domínio “locomoção” na MIF. O escore médio no SARA foi de 9,9 pontos para pacientes classificados com baixo risco na EEB, 17,4 para médio risco e 25,2 para alto risco. Conclusões: A análise da correlação entre a gravidade da ataxia e as escalas funcionais pode ser um importante guia no entendimento da progressão da dependência funcional em indivíduos com SCA.

ABSTRACT Background: Spinocerebellar ataxias (SCAs) are a group of neurodegenerative diseases characterized by deterioration of balance and functionality that tends to follow disease progression. There is no established link between formal clinical markers for severity and functional/balance scores that could guide rehabilitation teams. Objective: To evaluate the relationship between functional scales and ataxia severity in order to identify cutoff landmarks for functional loss and estimate the mean SARA (Scale for Assessment and Rating of Ataxia) score for the risk ratings for falls on the BBS (Berg Balance Scale). Methods: Consecutive patients with a molecular diagnosis of SCA (total 89: 31 with SCA2 and 58 with SCA3) were assessed for functionality FIM-ADL (Functional Independence Measure-activities of daily living and Lawton-IADL (instrumental activities of daily living), balance (BBS) and disease severity (SARA). Results: The main disability cutoff landmarks were that the need for supervision for FIM-ADL starts with 12 points on SARA and the need for supervision for Lawton-IADL starts with 14 points on SARA. The first items to require assistance were “expression” and “shopping”, respectively. At 20 points on SARA, patients were dependent on all FIM and Lawton items. The item with the greatest impact on distinguishing dependents from independents was “means of transport” in Lawton-IADL and the domain “locomotion” in FIM-ADL. The mean SARA score for patients classified as low risk in the BBS was 9.9 points, and it was 17.4 for medium risk and 25.2 for high risk. Conclusions: Analysis on the correlation between the severity of ataxia and functional scales can form an important guide for understanding the progression of functional dependence among individuals with SCAs.

https://doi.org/10.1590/0004-282x-anp-2020-0580

Epidemiological and clinical factors associated with lethality from Human Visceral Leishmaniasis in Northeastern Brazil, 2007 to 2018
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Cavalcante, Kellyn Kessiene de Sousa

; Almeida, Clarice Pessoa

; Boigny, Reagan Nzundu

; Cavalcante, Francisco Roger Aguiar

; Correia, Francisco Gustavo Silveira

; Florêncio, Caroline Mary Gurgel Dias

; Alencar, Carlos Henrique

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e52

Abstract: En | Text: En | PDF: En

ABSTRACT Human Visceral Leishmaniasis (HVL) presents a subacute clinical evolution with systemic involvement, which can result in high case fatality, especially among untreated individuals or those with low socioeconomic status. This study aimed to identify epidemiological and clinical factors associated with HVL case fatality in the Ceara State, from 2007 to 2018. This is an analytical cross-sectional study. The bivariate analysis was performed by Stata 15.1 using Pearson’s Chi-square or Fisher’s exact test; and Poisson regression for age-controlled multivariate analysis. From 2007 to 2018, there were 4,863 new confirmed cases and 343 deaths from HVL (case fatality rate=7.05%). The risk factors associated with case fatalities were: age group (RR=8.69; 95%CI:3.56-21.20); black population (RR=2.21; 95%CI:1.45-3.35); jaundice symptoms (RR=1.72; 95%CI:1.38-2.14); edema (RR=2.62; 95%CI:2.10-3.26) and hemorrhagic phenomena (RR=1.63; 95%CI:1.26-2.10); and no prescription drug intake (RR=4.03; 95%CI:2.98-5.46). Treatment with pentavalent antimonial was a protective factor (RR=0.35; 95%CI:0.27-0.45). The number of deaths increased among the elderly, illiterate, urban residents, and black skin color individuals. The drugs pentavalent antimonial and amphotericin B showed an association with death, but were not considered causal factors. Treatment failure led to a high risk of death. In multivariate analysis, the risk factors for fatal cases were age group, black skin, symptoms of jaundice, edema and hemorrhagic phenomena; and failure to take the prescription drugs. Treatment with pentavalent antimonial was shown to be a protective factor. Knowing the factors associated with the fatality of VL-HIV cases may help to improve public policies, in order to refine the epidemiological surveillance program and, consequently, prevent deaths related to the disease in Ceara.

https://doi.org/10.1590/s1678-9946202264052

Epidemiological Aspects and High Magnitude of Human Visceral Leishmaniasis in Ceará, Northeast of Brazil, 2007-2021
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Cavalcante, Kellyn Kessiene de Sousa

; Borges, Kelvia Maria Oliveira

; Cavalcante, Francisco Roger Aguiar

; Correia, Francisco Gustavo Silveira

; Florêncio, Caroline Mary Gurgel Dias

; Alencar, Carlos Henrique

Revista da Sociedade Brasileira de Medicina Tropical

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2022, Volume 55 elocation e0684-2021

Abstract: En | Text: En | PDF: En

ABSTRACT Background: Human visceral leishmaniasis HVL is endemic to 75 countries. The state of Ceará, the Northeast region of Brazil, is of great sanitary importance for the transmission of HVL, and it stands out as an area of interest for epidemiological aspects and control strategies. This study aimed to characterize HVL in relation to epidemiological aspects, composite incidence, and mortality rates in the state of Ceará, Brazil, from 2007 to 2021. Methods: This ecological study used temporal and spatial cuts of HVL data from the notifiable diseases information system. Epidemiological indicators such as incidence, mortality, and composite indices of incidence and mortality were calculated according to the Ministry of Health standardization. Results: There were 6,775 confirmed cases, with high incidence coefficients in 2009 6.96 cases/100,000 inhabitants and 2011 9.83 cases/100,000 inhabitants, and the highest mortality rate in 2011 6.96 deaths/100,000 inhabitants. The composite index of incidence and mortality identified municipalities in the Northern, Northwestern, and Southern regions of Ceará as having the highest risk of HVL. Conclusions: HVL remained endemic throughout the study period, with epidemiological indicators and risk of transmission expressing high magnitude, mainly in the Northeast, Northwest, and South regions of Ceará.

https://doi.org/10.1590/0037-8682-0684-2021

Perfil Clínico, Laboratorial e de Métodos de Imagem na Amiloidose Sistêmica em um Centro de Referência Cardiológico Brasileiro
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Fernandes, Fábio

; Alencar Neto, Aristóteles Comte de

; Bueno, Bruno Vaz Kerges

; Cafezeiro, Caio Rebouças Fonseca

; Rissato, João Henrique

; Szor, Roberta Shcolnik

; Carvalho, Mariana Lombardi Peres de

; Mathias Júnior, Wilson

; Lino, Angelina Maria Martins Castelli, Jussara Bianchi Souza, Evandro de Oliveira Ramires, Félix José Alvarez Hotta, Viviane Tiemi Soares Júnior, José Tavares, Caio de Assis Moura Krieger, José Eduardo Rochitte, Carlos Eduardo Dabarian, André Hajjar, Ludhmila Abrahão Kalil Filho, Roberto Mady, Charles

Arquivos Brasileiros de Cardiologia

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2022, Volume 118 N. 2 Pages 422 - 432

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

Resumo Fundamento Amiloidose sistêmica é uma doença com manifestações clínicas diversas. O diagnóstico envolve suspeita clínica, aliada a métodos complementares. Objetivo Descrever o perfil clínico, laboratorial, eletrocardiográfico e de imagem no acometimento cardíaco da amiloidose sistêmica. Métodos Estudo de uma amostra de conveniência, analisando dados clínicos, laboratoriais, eletrocardiográficos, ecocardiográficos, medicina nuclear e ressonância magnética. Considerou-se significância estatística quando p < 0,05. Resultados Avaliaram-se 105 pacientes (com mediana de idade de 66 anos), sendo 62 homens, dos quais 83 indivíduos apresentavam amiloidose por transtirretina (ATTR) e 22 amiloidose por cadeia leve (AL). Na ATTR, 68,7% eram de caráter hereditário (ATTRh) e 31,3% do tipo selvagem (ATTRw). As mutações mais prevalentes foram Val142Ile (45,6%) e Val50Met (40,3%). O tempo de início dos sintomas ao diagnóstico foi 0,54 e 2,15 anos nas formas AL e ATTR (p < 0,001), respectivamente. O acometimento cardíaco foi observado em 77,9% dos ATTR e 90,9% dos AL. Observaram-se alterações de condução atrioventricular em 20% e intraventricular em 27,6% dos pacientes, sendo 33,7 % na ATTR e 4,5% das AL (p = 0,006). A forma ATTRw apresentou mais arritmias atriais que os ATTRh (61,5% x 22,8%; p = 0,001). Ao ecocardiograma a mediana da espessura do septo na ATTRw x ATTRh x AL foi de 15 mm x 12 mm x 11 mm (p = 0,193). Observou-se BNP elevado em 89,5% dos indivíduos (mediana 249 ng/mL, IQR 597,7) e elevação da troponina em 43,2%. Conclusão Foi possível caracterizar, em nosso meio, o acometimento cardíaco na amiloidose sistêmica, em seus diferentes subtipos, através da história clínica e dos métodos diagnósticos descritos.

Abstract Background Systemic amyloidosis is a disease with heterogeneous clinical manifestations. Diagnosis depends on clinical suspicion combined with specific complementary methods. Objective To describe the clinical, laboratory, electrocardiographic, and imaging profile in patients with systemic amyloidosis with cardiac involvement. Methods This study was conducted with a convenience sample, analyzing clinical, laboratory, electrocardiographic, echocardiographic, nuclear medicine, and magnetic resonance data. Statistical significance was set at p < 0.05. Results A total of 105 patients were evaluated (median age of 66 years), 62 of whom were male. Of all patients, 83 had transthyretin (ATTR) amyloidosis, and 22 had light chain (AL) amyloidosis. With respect to ATTR cases, 68.7% were the hereditary form (ATTRh), and 31.3% were wild type (ATTRw). The most prevalent mutations were Val142Ile (45.6%) and Val50Met (40.3%). Time from onset of symptoms to diagnosis was 0.54 and 2.15 years, in the AL and ATTR forms, respectively (p < 0.001). Cardiac involvement was observed in 77.9% of patients with ATTR and in 90.9% of those with AL. Alterations were observed in atrioventricular and intraventricular conduction in 20% and 27.6% of patients, respectively, with 33.7% in ATTR and 4.5% in AL (p = 0.006). In the ATTRw form, there were more atrial arrhythmias than in ATTRh (61.5% versus 22.8%; p = 0.001). On echocardiogram, median septum thickness in ATTRw, ATTRh, and AL was 15 mm, 12 mm, and 11 mm, respectively (p = 0.193). Elevated BNP was observed in 89.5% of patients (median 249, ICR 597.7), and elevated troponin was observed in 43.2%. Conclusion In this setting, it was possible to characterize cardiac involvement in systemic amyloidosis in its different subtypes by means of clinical history and the diagnostic methods described.

https://doi.org/10.36660/abc.20201003

Seroprevalence and factors associated with SARS-CoV-2 infection among education workers after the first wave: the first cross-sectional study in Brazil
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França, Pâmela de Castro

; Silva, Paulo Goberlânio Barros

; Rocha, Jose Lima de Carvalho

; Perdigão, Anne Carolinne Bezerra

; Oliveira, Nayara Santos de

; Araújo, Fernanda Montenegro de Carvalho

; Fonseca, Marcela Helena Gambim

; Lima, Giovanna Rolim Pinheiro

; Almeida, Magda Moura de

; Alencar, Carlos Henrique

; Oliveira, Wanderson Kleber de

; Cavalcanti, Luciano Pamplona de Góes

Revista da Sociedade Brasileira de Medicina Tropical

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2022, Volume 55 elocation e0606-2021

Abstract: En | Text: En | PDF: En

ABSTRACT Background: The school community was heavily impacted by the Covid-19 pandemic, especially with the long time of school closures. This study aimed to analyze the seroprevalence of SARS-CoV-2 antibodies and possible factors associated with seropositivity for COVID-19 in teachers and other school staff, and to estimate the fraction of asymptomatic individuals by sex and age group. Methods: We conducted a serological survey of SARS-CoV-2 infections. An analytical cross-sectional study was conducted in Fortaleza, Brazil. Teachers and other staff members from pre-schools to universities of higher education to were investigated. Results: A total of 1,901 professionals participated in the study, of which 1,021 were staff and 880 were teachers. The seroprevalence of SARS-CoV-2 was 8.0% (152/1901). In the seropositive group, 48.3% were asymptomatic. There was a predominance of women (68.4%); and, 47.1% of the participants were between 31 and 45 years old. There was an increase in prevalence with increasing age. An inverse relationship was found for education level: more professionals with less education tested positive for COVID-19. The presence of an infected person living in the same household was significantly associated with positive results for COVID-19 among the professionals. Conclusions: This is the first study to report the seroprevalence of IgG against SARS-CoV-2 in Brazilian educational staff after the first wave of the disease. In this study, the seroprevalence was much lower than that in the general population. During school reopening, a small fraction of school workers showed serologically detectable signs of SARS-CoV-2 exposure.

https://doi.org/10.1590/0037-8682-0606-2021

10.

Ultrasound-guided percutaneous renal biopsy at a university hospital: retrospective analysis of success and complication rates
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Gomes, Orlando Vieira

; Almeida, Bianca Alencar Dias de

; Santana, Leonardo Fernandes e

; Rodrigues, Mateus de Sousa

; Locio, Guilherme Bruno Pires Marques

; Araújo, Carla Santos

; Rosas, Carlos Henrique de Sousa

; Guimarães, Marcos Duarte

Radiologia Brasileira

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oct 2021, Volume 54 N. 5 Pages 311 - 317

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

Resumo Objetivo: Avaliar taxas de sucesso e de complicações de biópsias renais guiadas por ultrassonografia em um hospital terciário. Materiais e Métodos: Análise retrospectiva de 97 biópsias renais realizadas entre 1º de março de 2017 e 31 de outubro de 2019, guiadas por ultrassonografia e executadas por um único médico radiologista. Resultados: Oitenta e sete biópsias apresentaram diagnóstico anatomopatológico definitivo. Cinco biópsias foram inconclusivas (5,4%) e precisaram de um segundo procedimento. Houve complicações em sete procedimentos (7,6%), todas devidamente solucionadas. Conclusão: A biópsia renal guiada por ultrassonografia demonstrou ser um método efetivo e seguro para o diagnóstico de nefropatias, com elevada taxa de sucesso em sua execução.

Abstract Objective: To evaluate the success and complication rates of ultrasound-guided renal biopsy at a tertiary care hospital. Materials and Methods: This was a retrospective analysis of 97 ultrasound-guided renal biopsies, all performed by the same radiologist, between 1 March, 2017 and 31 October, 2019. Results: Of the 97 biopsies evaluated, 87 had a definitive pathological diagnosis. In five cases (5.4%), the biopsy results were inconclusive and a second procedure was required. In seven procedures (7.6%), there were complications, all of which were properly resolved. Conclusion: Ultrasound-guided renal biopsy has proven to be a safe, effective method for the diagnosis of nephropathies, with high success rates.

https://doi.org/10.1590/0100-3984.2020.0064 162 downloads

11.

Posicionamento sobre Diagnóstico e Tratamento da Amiloidose Cardíaca – 2021
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Simões, Marcus V.

; Fernandes, Fabio

; Marcondes-Braga, Fabiana G.

; Scheinberg, Philip

; Correia, Edileide de Barros

; Rohde, Luis Eduardo P.

; Bacal, Fernando

; Alves, Silvia Marinho Martins

; Mangini, Sandrigo

; Biolo, Andréia

; Beck-da-Silva, Luis

; Szor, Roberta Shcolnik

; Marques Junior, Wilson

; Oliveira, Acary Souza Bulle

; Cruz, Márcia Waddington

; Bueno, Bruno Vaz Kerges

; Hajjar, Ludhmila Abrahão

; Issa, Aurora Felice Castro

; Ramires, Felix José Alvarez

; Coelho Filho, Otavio Rizzi

; Schmidt, André

; Pinto, Ibraim Masciarelli Francisco

; Rochitte, Carlos Eduardo

; Valicelli, Flávio Henrique

; Vieira, Marcelo Luiz Campos

; Mesquita, Cláudio Tinoco

; Ramos, Celso Dario

; Soares-Junior, José

; Romano, Minna Moreira Dias

; Mathias Junior, Wilson Garcia Junior, Marcelo Iório Montera, Marcelo Westerlund Melo, Marcelo Dantas Tavares de Silva, Sandra Marques e Garibaldi, Pedro Manoel Marques Alencar Neto, Aristóteles Comte de Lopes, Renato Delascio Ávila, Diane Xavier de Viana, Denizar Saraiva, José Francisco Kerr Canesin, Manoel Fernandes Oliveira, Glaucia Maria Moraes de Mesquita, Evandro Tinoco

Arquivos Brasileiros de Cardiologia

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sep 2021, Volume 117 N. 3 Pages 561 - 598

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

https://doi.org/10.36660/abc.20210718 330 downloads

12.

Diretrizes da Sociedade Brasileira de Cardiologia sobre Angina Instável e Infarto Agudo do Miocárdio sem Supradesnível do Segmento ST – 2021
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Nicolau, José Carlos

; Feitosa Filho, Gilson Soares

; Petriz, João Luiz

; Furtado, Remo Holanda de Mendonça

; Précoma, Dalton Bertolim

; Lemke, Walmor

; Lopes, Renato Delascio

; Timerman, Ari

; Marin Neto, José A.

; Bezerra Neto, Luiz

; Gomes, Bruno Ferraz de Oliveira

; Santos, Eduardo Cavalcanti Lapa

; Piegas, Leopoldo Soares

; Soeiro, Alexandre de Matos

; Negri, Alexandre Jorge de Andrade

; Franci, Andre

; Markman Filho, Brivaldo

; Baccaro, Bruno Mendonça

; Montenegro, Carlos Eduardo Lucena

; Rochitte, Carlos Eduardo

; Barbosa, Carlos José Dornas Gonçalves

; Virgens, Cláudio Marcelo Bittencourt das

; Stefanini, Edson

; Manenti, Euler Roberto Fernandes

; Lima, Felipe Gallego

; Monteiro Júnior, Francisco das Chagas

; Correa Filho, Harry

; Pena, Henrique Patrus Mundim

; Pinto, Ibraim Masciarelli Francisco

; Falcão, João Luiz de Alencar Araripe

; Sena, Joberto Pinheiro

; Peixoto, José Maria

; Souza, Juliana Ascenção de

; Silva, Leonardo Sara da

; Maia, Lilia Nigro

; Ohe, Louis Nakayama

; Baracioli, Luciano Moreira

; Dallan, Luís Alberto de Oliveira

; Dallan, Luis Augusto Palma Mattos, Luiz Alberto Piva e Bodanese, Luiz Carlos Ritt, Luiz Eduardo Fonteles Canesin, Manoel Fernandes Rivas, Marcelo Bueno da Silva Franken, Marcelo Magalhães, Marcos José Gomes Oliveira Júnior, Múcio Tavares de Filgueiras Filho, Nivaldo Menezes Dutra, Oscar Pereira Coelho, Otávio Rizzi Leães, Paulo Ernesto Rossi, Paulo Roberto Ferreira Soares, Paulo Rogério Lemos Neto, Pedro Alves Farsky, Pedro Silvio Cavalcanti, Rafael Rebêlo C. Alves, Renato Jorge Kalil, Renato Abdala Karam Esporcatte, Roberto Marino, Roberto Luiz Giraldez, Roberto Rocha Corrêa Veiga Meneghelo, Romeu Sérgio Lima, Ronaldo de Souza Leão Ramos, Rui Fernando Falcão, Sandra Nivea dos Reis Saraiva Dalçóquio, Talia Falcão Lemke, Viviana de Mello Guzzo Chalela, William Azem Mathias Júnior, Wilson

Arquivos Brasileiros de Cardiologia

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jul 2021, Volume 117 N. 1 Pages 181 - 264

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

https://doi.org/10.36660/abc.20210180 3052 downloads

13.

Challenges for learning neuroradiology in undergraduate medical school: analysis from the students’ point of view
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Feitosa, Esther de Alencar Araripe Falcão

; Costa Neto, Luiz Henrique

; Gregório, Carina de Oliveira

; Limas, Letícia Nobre

; Silva, Paulo Goberlânio de Barros

; Jucá, Carlos Eduardo Barros

Revista Brasileira de Educação Médica

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2021, Volume 45 N. 1 elocation e019

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

Resumo: Introdução: O ensino da neurorradiologia na graduação médica deve ser encarado como uma ferramenta de integração para o estudo interdisciplinar de radiologia, anatomia e neurologia. Na prática, percebe-se uma limitação dos alunos em adquirir tais conhecimentos, seja pela “neurofobia”, seja pela falta de conhecimentos anatômico-radiológicos prévios e também pela carência de materiais didáticos integrados direcionados para a graduação. Contudo, há poucos trabalhos relatando as dificuldades encontradas pelos alunos no aprendizado de neurorradiologia . Objetivo: Avaliar a percepção dos estudantes de medicina sobre as dificuldades do aprendizado em neurorradiologia. Método: Estudo quantitativo, realizado com estudantes de medicina matriculados no segundo e no sétimo semestres de uma universidade de Fortaleza. Os dados foram obtidos por meio de questionário estruturado com 12 questões de respostas sim ou não. As questões versaram sobre as possíveis dificuldades encontradas para aquisição do conhecimento neurorradiológico, dentre elas: à carência de material didático direcionado, à falta de integração com a neurologia, à necessidade de conhecimentos básicos radiológicos e anatômicos, ao volume de assunto, e às limitações das metodologias ativas e tradicionais. Resultados: Foram analisados 181 questionários. Grande parte discente refere como dificuldade a necessidade de ter conhecimentos básicos prévios de radiologia (80,1%); de neuroanatomia (77,5%); e de correlacionar radiologia e neuroanatomia (70,9%). Quando comparados os grupos do 2o semestre e do 7o semestre, houve uma tendência maior a apontar a ausência de conhecimento prático de neurologia pelos alunos do 2o semestre como um fator de maior dificuldade para o aprendizado de neurorradiologia (82,6% versus 67,4%, com p<0,0018). Quando perguntados sobre a utilidade da criação de um e-Book direcionado para a graduação para o aprendizado de neurorradiologia, 85,6% dos alunos responderam afirmativamente; no caso de um aplicativo, 92,3% concordaram. Quanto à correlação entre a neurorradiologia e a prática médica, 98,3% responderam que é um conhecimento útil e necessário. Conclusão: Na opinião dos estudantes, os conhecimentos prévios de neuroanatomia e de neurologia clínica são importantes para o aprendizado de neurorradiologia. A elaboração de um material como e-book ou aplicativo com foco em integrar o ensino dessas disciplinas é considerada uma boa alternativa para facilitar a compreensão da neurorradiologia.

Abstract: Introduction: The teaching of neuroradiology in undergraduate medical school must be seen as an integration tool for the interdisciplinary study of radiology, anatomy and neurology. In practice, there is a limitation on the part of students in acquiring such knowledge, either due to “neurophobia”, or due to the lack of previous anatomical-radiological knowledge and also due to the lack of integrated didactic materials aimed at undergraduate school. However, there are few studies reporting the difficulties encountered by students in learning neuroradiology. Objective: To assess the perception of medical students about learning difficulties in neuroradiology. Method: Quantitative study, carried out with medical students enrolled in the second and seventh semesters of a university in Fortaleza. Data were obtained through a structured questionnaire with 12 yes or no answer questions. The questions addressed the possible difficulties encountered in acquiring neuroradiological knowledge, among them: the lack of targeted didactic material, the lack of integration with neurology, the need for basic radiological and anatomical knowledge, the large volume of content to study, and the limitations of active and traditional methodologies. Results: 181 questionnaires were analyzed. Most students report as difficulties: the need for basic knowledge of radiology (80.1%); neuroanatomy (77.5%); and to correlate radiology and neuroanatomy (70.9%). When comparing the 2nd semester and 7th semester groups, there was a greater tendency to point out the lack of practical knowledge of neurology by 2nd-semester students as a factor of greater difficulty in learning neuroradiology (82.6% versus 67.4 %, with p <0.0018). When asked about the usefulness of creating an e-book aimed at undergraduate students for learning neuroradiology, 85.6% of the students answered affirmatively; in the case of a mobile application, 92.3% agreed. As for the correlation between neuroradiology and medical practice, 98.3% answered that it is useful and necessary knowledge. Conclusion: In the students’ opinion, previous knowledge of neuroanatomy and clinical neurology is important for learning neuroradiology. The development of material such as an e-book or mobile application focused on integrating the teaching of these disciplines is considered a good alternative to facilitate the understanding of neuroradiology.

https://doi.org/10.1590/1981-5271v45.1-20200098.ing 553 downloads

14.

Clinical aspects of human rabies in the state of Ceará, Brazil: an overview of 63 cases
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Duarte, Naylê Francelino Holanda

; Pires Neto, Roberto da Justa

; Viana, Victoria Forte

; Feijão, Levi Ximenes

; Alencar, Carlos Henrique

; Heukelbach, Jorg

Revista da Sociedade Brasileira de Medicina Tropical

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2021, Volume 54 elocation e0104-2021

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION Rabies is considered one of the most relevant public health problems owing to its high fatality rate and the high number of deaths worldwide. METHODS We included patients with human rabies who attended a reference hospital in the state of Ceará during 1976-2019. RESULTS Data were available for 63 out of 171 (36.8%) patients. Of these patients, 48 (76.2%) were attacked by dogs. In recent years, wild animals have been the most common aggressor species (marmosets and bats). Only 39 (70%) patients were initially correctly suspected with rabies. Bites were the most frequent exposure (56; 96%), most commonly on the hands (21; 42%) and the head (9; 18.4%). Only 14 (22%) patients had sought medical assistance before the onset of symptoms, and only one completed post-exposure prophylaxis. The most prevalent signs and symptoms included aggressiveness/irritability (50; 79.4%), fever (42; 66.7%), sore throat/dysphagia (40; 63.5%), and myalgia (28; 44.4%). Hydrophobia was present in 17 patients (22.0%). CONCLUSIONS Most cases of human rabies in Ceará occurred due to the failure to seek medical assistance and/or the failure of the health system in initiating early post-exposure prophylaxis. There is a need for specific information and education campaigns focusing on the cycle of sylvatic rabies as well as prevention measures. Health professionals should undergo refresher training courses on the signs and symptoms of rabies and on the specific epidemiological features of the disease in Brazil.

https://doi.org/10.1590/0037-8682-0104-2021 152 downloads

15.

Epidemiologia da raiva humana no estado do Ceará, 1970 a 2019
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Duarte, Naylê Francelino Holanda

; Pires Neto, Roberto da Justa

; Viana, Victoria Forte

; Feijão, Levi Ximenes

; Abreu, Karina Gatti de

; Melo, Iva Maria Lima Araújo

; Sousa, Anastácio Queiroz

; Alencar, Carlos Henrique

; Heukelbach, Jorg

Epidemiologia e Serviços de Saúde

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2021, Volume 30 N. 1 elocation e2020354

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

Resumo Objetivo Descrever os casos de raiva humana no estado do Ceará, Brasil, no período 1970-2019. Métodos Estudo descritivo, sobre dados secundários da Secretaria da Saúde e do hospital de referência do Ceará. Resultados Dos 171 casos, 75,7% ocorreram em homens, 60,0% nas idades até 19 anos e 56,0% em áreas urbanas. O cão foi agente transmissor em 74,0% dos casos; sagui em, 16,7%; e morcego, em 7,3%. Entre 1970 e 1978, houve crescimento do número de casos (pelo Joinpoint Regression Program, percentual da mudança anual [APC] = 13,7 - IC95% 4,6;41,5); e entre 1978 e 2019, redução (APC = -6,7 - IC95% -8,8;-5,9). Houve redução da transmissão por cães (71 casos; último caso em 2010) e aumento relativo por mamíferos silvestres (5 casos a partir de 2005). Conclusão O estudo evidencia mudança na dinâmica da transmissão da raiva no período observado, com redução da transmissão por cão e incremento de casos por animais silvestres.

Abstract Objective To describe cases of human rabies in Ceará State, Brazil between 1970 and 2019. Methods This was a descriptive study using secondary data from the Ceará State Department of Health and the state reference hospital. Results Of 171 cases, 75.7% occurred in males, 60.0% in <19-year-olds, and 56.0% in urban areas. Rabies was transmitted by dogs in 74.0% of cases, marmosets in 16.7% and bats in 7.3%. Between 1970 and 1978, there was an increase of cases (using the Joinpoint Regression Program, annual percentage change [APC] = 13.7 - 95%CI 4.6;41.5), while between 1978 and 2019 there was a decrease (APC = -6.7 - 95%CI -8.8;-5.9). There was a reduction in transmission by dogs (71 cases, last case in 2010) and an increase by sylvatic animals (5 cases since 2005). Conclusion This study demonstrates changes in rabies transmission dynamics during the period studied, with a reduction in transmission by dogs and an increase of transmission by sylvatic animals.

Resumen Objetivo Describir los casos de la rabia humana en Ceará, Brasil, 1970-2019. Métodos Estudio descriptivo con datos secundarios de la Secretaría de Salud y del hospital de referencia de Ceará. Resultados De los 171 casos, 75,7% ocurrió en hombres, el 60,0% en los 19 años y el 56,0% en áreas urbanas. El perro fue transmisor en 74,0%, el mono tití en 16,7% y el murciélago el 7,3%. Entre 1970 y 1978, hubo un aumento de casos (por el Joinpoint Regression Program, cambio porcentual anual [APC] = 13,7 - IC95% 4,6; 41,5), entre 1978 y 2019 una disminución (APC= -6,7 - IC95% -8,8; -5,9). Hubo una reducción de la transmisión por perros (71 casos, el último en 2010) y un aumento por mamíferos salvajes (5 casos, desde 2005). Conclusión El estudio muestra un cambio en la dinámica de la transmisión de la rabia en los últimos años, con reducción de la transmisión por perros y aumento de casos por animales salvajes.

https://doi.org/10.1590/s1679-49742021000100010

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