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1.
Estimating sugarcane productivity: an approach using fuzzy logic productivity
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Gabriel Filho, Luís Roberto Almeida
; Amorim, Fernando Rodrigues de
; Cremasco, Camila Pires
; Presumido Júnior, Márcio
; Oliveira, Sandra Cristina de
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ABSTRACT Brazil is a benchmark in sugarcane production, with the state of São Paulo standing out as the largest Brazilian producer. However, for sugarcane suppliers and mills to sustain this activity, there is a need to improve productivity per hectare and reduce production costs. In this regard, this study aimed to propose fuzzy systems to estimate sugarcane productivity based on planted area (Area) and total cost of soil tillage (TCST) for raw material suppliers and mills. To this end, two fuzzy inference systems were constructed for the output variable (productivity) from two input variables (Area and TCST), considering five membership functions (very low, low, medium, high, and very high). Additionally, a survey on 42 sugarcane suppliers and 31 mills in the state of São Paulo was used for model construction. The results showed that the relationship between Area and TCST reflects on the productivity of sugarcane suppliers and mills in distinct ways. For suppliers, an increase in productivity is observed when there is an almost negative relationship between both input variables. For mills, productivity rises when these variables fluctuate in the same direction. Therefore, the proposed method is viable and provides relevant information for conjecturing survival strategies for agents in the sugarcane energy sector. producer However activity costs regard (TCST end (productivity TCST, , TCST) low medium high high. . high) Additionally 4 3 construction ways direction Therefore sector
2.
Diretrizes Brasileiras de Medidas da Pressão Arterial Dentro e Fora do Consultório – 2023 202 20 2
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Feitosa, Audes Diogenes de Magalhães
; Barroso, Weimar Kunz Sebba
; Mion Junior, Decio
; Nobre, Fernando
; Mota-Gomes, Marco Antonio
; Jardim, Paulo Cesar Brandão Veiga
; Amodeo, Celso
; Oliveira, Adriana Camargo
; Alessi, Alexandre
; Sousa, Ana Luiza Lima
; Brandão, Andréa Araujo
; Pio-Abreu, Andrea
; Sposito, Andrei C.
; Pierin, Angela Maria Geraldo
; Paiva, Annelise Machado Gomes de
; Spinelli, Antonio Carlos de Souza
; Machado, Carlos Alberto
; Poli-de-Figueiredo, Carlos Eduardo
; Rodrigues, Cibele Isaac Saad
; Forjaz, Claudia Lucia de Moraes
; Sampaio, Diogo Pereira Santos
; Barbosa, Eduardo Costa Duarte
; Freitas, Elizabete Viana de
; Cestario, Elizabeth do Espirito Santo
; Muxfeldt, Elizabeth Silaid
; Lima Júnior, Emilton
; Campana, Erika Maria Gonçalves
; Feitosa, Fabiana Gomes Aragão Magalhães
; Consolim-Colombo, Fernanda Marciano
; Almeida, Fernando Antônio de
; Silva, Giovanio Vieira da
; Moreno Júnior, Heitor
; Finimundi, Helius Carlos
; Guimarães, Isabel Cristina Britto
; Gemelli, João Roberto
; Barreto-Filho, José Augusto Soares
; Vilela-Martin, José Fernando
; Ribeiro, José Marcio
; Yugar-Toledo, Juan Carlos
; Magalhães, Lucélia Batista Neves Cunha
; Drager, Luciano F.
; Bortolotto, Luiz Aparecido
; Alves, Marco Antonio de Melo
; Malachias, Marcus Vinícius Bolívar
; Neves, Mario Fritsch Toros
; Santos, Mayara Cedrim
; Dinamarco, Nelson
; Moreira Filho, Osni
; Passarelli Júnior, Oswaldo
; Vitorino, Priscila Valverde de Oliveira
; Miranda, Roberto Dischinger
; Bezerra, Rodrigo
; Pedrosa, Rodrigo Pinto
; Paula, Rogerio Baumgratz de
; Okawa, Rogério Toshiro Passos
; Póvoa, Rui Manuel dos Santos
; Fuchs, Sandra C.
; Lima, Sandro Gonçalves de
; Inuzuka, Sayuri
; Ferreira-Filho, Sebastião Rodrigues
; Fillho, Silvio Hock de Paffer
; Jardim, Thiago de Souza Veiga
; Guimarães Neto, Vanildo da Silva
; Koch, Vera Hermina Kalika
; Gusmão, Waléria Dantas Pereira
; Oigman, Wille
; Nadruz Junior, Wilson
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3.
Fuzzy modeling of biometric variables development of tomato crop under irrigation and water salinity effects
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Gabriel Filho, Luís Roberto Almeida
; Viais Neto, Daniel dos Santos
; Putti, Fernando Ferrari
; Bordin, Deyver
; Silva Junior, Josué Ferreira
; Cremasco, Camila Pires
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ABSTRACT. Tomato is a demanding crop in terms of handling, mainly because irrigation has a strong influence on fruit production and quality. Salinity changes the absorption, transport, assimilation, and distribution of nutrients in the plant. In general, such effects are analyzed using statistical tests. However, fuzzy models allow simulations between points that are not verified in agricultural experimentation. Currently, systems with artificial intelligence have excelled in the field of applied sciences, particularly fuzzy systems applied to mathematical modeling. The objective of this research was to use fuzzy modeling to analyze the biometric variables during the development of hybrid tomatoes under two different conditions: the first concerning different water tensions in the soil and the second concerning different salinity doses in irrigation. To this end, two models were developed based on an experiment carried out at São Paulo State University (UNESP), School of Agriculture, Botucatu, São Paulo State, Brazil. Both models sought to estimate the values of biometric variables of the tomato crop. Thus, two models were developed: Model 1 regarded water tensions and days after sowing (DAS), while Model 2 featured salinity and DAS. Fuzzy models provided results that verified the effects of irrigation and salinity layers. Two Fuzzy Rule-Based Systems (FRBS), an input processor with two variables, a set of linguistic rules defined from statistical procedures with percentiles, the Mamdani fuzzy inference method, and the center of gravity method to defuzzification were elaborated for this purpose. The range between −25 and −10 kPa (for Model 1) and between 0.08 and 3 dS m−1 (for Model 2) provided the development within the ideal parameters for the complete development of the plant cycle. The use of fuzzy logic has shown effectiveness in evaluating the development of tomato crops, thus showing potential for use in agricultural sciences. Moreover, the created fuzzy models showed the same characteristics of the experiment, allowing their use as an automatic technique to estimate ideal parameters for the complete development of the plant cycle. The development of applications (software) that provide the results generated by the artificial intelligence models of the present study is the aim of future research. ABSTRACT handling quality absorption transport assimilation general tests However experimentation Currently sciences conditions end UNESP, UNESP , (UNESP) Agriculture Botucatu Brazil Thus DAS, DAS (DAS) layers RuleBased Rule Based FRBS, FRBS (FRBS) percentiles purpose 25 −2 10 −1 008 0 08 0.0 m1 m m− cycle crops Moreover software (software (UNESP (DAS (FRBS − 00 0.
4.
Pre-operative imaging evaluation of renal cell carcinoma Preoperative Pre operative
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Pinto, Paulo Victor Alves
; Coelho, Fernando Morbeck Almeida
; Schuch, Alice
; Zapparoli, Mauricio
; Baroni, Ronaldo Hueb
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Revista da Associação Médica Brasileira
- Journal Metrics
5.
Brazilian consensus recommendations on the diagnosis and treatment of autoimmune encephalitis in the adult and pediatric populations
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Dutra, Lívia Almeida
; Silva, Pedro Victor de Castro
; Ferreira, João Henrique Fregadolli
; Marques, Alexandre Coelho
; Toso, Fabio Fieni
; Vasconcelos, Claudia Cristina Ferreira
; Brum, Doralina Guimarães
; Pereira, Samira Luisa dos Apóstolos
; Adoni, Tarso
; Rocha, Leticia Januzi de Almeida
; Sampaio, Leticia Pereira de Brito
; Sousa, Nise Alessandra de Carvalho
; Paolilo, Renata Barbosa
; Pizzol, Angélica Dal
; Costa, Bruna Klein da
; Disserol, Caio César Diniz
; Pupe, Camila
; Valle, Daniel Almeida do
; Diniz, Denise Sisterolli
; Abrantes, Fabiano Ferreira de
; Schmidt, Felipe da Rocha
; Cendes, Fernando
; Oliveira, Francisco Tomaz Meneses de
; Martins, Gabriela Joca
; Silva, Guilherme Diogo
; Lin, Katia
; Pinto, Lécio Figueira
; Santos, Mara Lúcia Schimtz Ferreira
; Gonçalves, Marcus Vinícius Magno
; Krueger, Mariana Braatz
; Haziot, Michel Elyas Jung
; Barsottini, Orlando Graziani Povoas
; Nascimento, Osvaldo José Moreira do
; Nóbrega, Paulo Ribeiro
; Proveti, Priscilla Mara
; Castilhos, Raphael Machado do
; Daccach, Vanessa
; Glehn, Felipe von
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Abstract Background Autoimmune encephalitis (AIE) is a group of inflammatory diseases characterized by the presence of antibodies against neuronal and glial antigens, leading to subacute psychiatric symptoms, memory complaints, and movement disorders. The patients are predominantly young, and delays in treatment are associated with worse prognosis. Objective With the support of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, ABN) and the Brazilian Society of Child Neurology (Sociedade Brasileira de Neurologia Infantil, SBNI), a consensus on the diagnosis and treatment of AIE in Brazil was developed using the Delphi method. Methods A total of 25 panelists, including adult and child neurologists, participated in the study. Results The panelists agreed that patients fulfilling criteria for possible AIE should be screened for antineuronal antibodies in the serum and cerebrospinal fluid (CSF) using the tissue-based assay (TBA) and cell-based assay (CBA) techniques. Children should also be screened for anti-myelin oligodendrocyte glucoprotein antibodies (anti-MOG). Treatment should be started within the first 4 weeks of symptoms. The first-line option is methylprednisolone plus intravenous immunoglobulin (IVIG) or plasmapheresis, the second-line includes rituximab and/or cyclophosphamide, while third-line treatment options are bortezomib and tocilizumab. Most seizures in AIE are symptomatic, and antiseizure medications may be weaned after the acute stage. In anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis, the panelists have agreed that oral immunosuppressant agents should not be used. Patients should be evaluated at the acute and postacute stages using functional and cognitive scales, such as the Mini-Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA), the Modified Rankin Scale (mRS), and the Clinical Assessment Scale in Autoimmune Encephalitis (CASE). Conclusion The present study provides tangible evidence for the effective management of AIE patients within the Brazilian healthcare system. (AIE antigens symptoms complaints disorders young prognosis Academia ABN Sociedade Infantil SBNI, SBNI , SBNI) method 2 neurologists CSF (CSF tissuebased tissue based TBA (TBA cellbased cell CBA (CBA techniques antimyelin anti myelin antiMOG. antiMOG MOG . (anti-MOG) firstline line IVIG (IVIG plasmapheresis secondline second andor cyclophosphamide thirdline third tocilizumab symptomatic stage antiNmethylDaspartate N methyl D aspartate antiNMDAR NMDAR (anti-NMDAR used scales MiniMental Mini Mental MMSE, MMSE (MMSE) MoCA, MoCA (MoCA) mRS, mRS (mRS) CASE. CASE (CASE) system (anti-MOG (MMSE (MoCA (mRS (CASE
Resumo Antecedentes Encefalites autoimunes (EAIs) são um grupo de doenças inflamatórias caracterizadas pela presença de anticorpos contra antígenos neuronais e gliais, que ocasionam sintomas psiquiátricos subagudos, queixas de memória e distúrbios anormais do movimento. A maioria dos pacientes é jovem, e o atraso no tratamento está associado a pior prognóstico. Objetivo Com o apoio da Academia Brasileira de Neurologia (ABN) e da Sociedade Brasileira de Neurologia Infantil (SBNI), desenvolvemos um consenso sobre o diagnóstico e o tratamento da EAIs no Brasil utilizando a metodologia Delphi. Métodos Um total de 25 especialistas, incluindo neurologistas e neurologistas infantis, foram convidados a participar. Resultados Os especialistas concordaram que os pacientes com critérios de possíveis EAIs devem ser submetidos ao rastreio de anticorpos antineuronais no soro e no líquido cefalorraquidiano (LCR) por meio das técnicas de ensaio baseado em tecidos (tissue-based assay, TBA, em inglês) e ensaio baseado em células (cell-based assay, CBA, em inglês). As crianças também devem ser submetidas ao rastreio de de anticorpo contra a glicoproteína da mielina de oligodendrócitos (anti-myelin oligodendrocyte glycoprotein, anti-MOG, em inglês). O tratamento deve ser iniciado dentro das primeiras 4 semanas dos sintomas, sendo as opções de primeira linha metilprednisolona combinada com imunoglobulina intravenosa (IGIV) ou plasmaférese. O tratamento de segunda linha inclui rituximabe e ciclofosfamida. Bortezomib e tocilizumab são opções de tratamento de terceira linha. A maioria das crises epilépticas nas EAIs são sintomáticas, e os fármacos anticrise podem ser desmamadas após a fase aguda. Em relação à encefalite antirreceptor de N-metil-D-aspartato (anti-N-methyl-D-aspartate receptor, anti-NMDAR, em inglês), os especialistas concordaram que agentes imunossupressores orais não devem ser usados. Os pacientes devem ser avaliados na fase aguda e pós-aguda mediante escalas funcionais e cognitivas, como Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Modified Rankin Scale (mRS), e Clinical Assessment Scale in Autoimmune Encephalitis (CASE). Conclusão Esta pesquisa oferece evidências tangíveis do manejo efetivo de pacientes com EAIs no sistema de saúde Brasileiro. (EAIs gliais subagudos movimento jovem prognóstico ABN (ABN SBNI, SBNI , (SBNI) Delphi 2 infantis participar LCR (LCR tissuebased tissue based assay TBA inglês cellbased cell CBA inglês. . antimyelin anti myelin glycoprotein antiMOG, antiMOG MOG, MOG anti-MOG IGIV (IGIV plasmaférese ciclofosfamida sintomáticas NmetilDaspartato N metil D aspartato antiNmethylDaspartate methyl aspartate receptor antiNMDAR, antiNMDAR NMDAR, NMDAR anti-NMDAR inglês, usados pósaguda pós cognitivas MiniMental Mini Mental MMSE, MMSE (MMSE) MoCA, MoCA (MoCA) mRS, mRS (mRS) CASE. CASE (CASE) Brasileiro (SBNI (MMSE (MoCA (mRS (CASE
6.
Catálogo Taxonômico da Fauna do Brasil: Setting the baseline knowledge on the animal diversity in Brazil Brasil
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Boeger, Walter A.
; Valim, Michel P.
; Zaher, Hussam
; Rafael, José A.
; Forzza, Rafaela C.
; Percequillo, Alexandre R.
; Serejo, Cristiana S.
; Garraffoni, André R.S.
; Santos, Adalberto J.
; Slipinski, Adam
; Linzmeier, Adelita M.
; Calor, Adolfo R.
; Garda, Adrian A.
; Kury, Adriano B.
; Fernandes, Agatha C.S.
; Agudo-Padrón, Aisur I.
; Akama, Alberto
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; Burbano, Alejandro L.
; Menezes, Aleksandra
; Pereira-Colavite, Alessandre
; Anichtchenko, Alexander
; Lees, Alexander C.
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; Domahovski, Alexandre C.
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; Marceniuk, Alexandre P.
; Paula, Alexandre S. de
; Somavilla, Alexandre
; Specht, Alexandre
; Camargo, Alexssandro
; Newton, Alfred F.
; Silva, Aline A.S. da
; Santos, Aline B. dos
; Tassi, Aline D.
; Aragão, Allan C.
; Santos, Allan P.M.
; Migotto, Alvaro E.
; Mendes, Amanda C.
; Cunha, Amanda
; Chagas Júnior, Amazonas
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; Pavan, Ana C.
; Almeida, Ana C.S.
; Peronti, Ana L.B.G.
; Henriques-Oliveira, Ana L.
; Prudente, Ana L.
; Tourinho, Ana L.
; Pes, Ana M.O.
; Carmignotto, Ana P.
; Wengrat, Ana P.G. da Silva
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; Molin, Anamaria Dal
; Puker, Anderson
; Morandini, André C.
; Ferreira, André da S.
; Martins, André L.
; Esteves, André M.
; Fernandes, André S.
; Roza, André S.
; Köhler, Andreas
; Paladini, Andressa
; Andrade, Andrey J. de
; Pinto, Ângelo P.
; Salles, Anna C. de A.
; Gondim, Anne I.
; Amaral, Antonia C.Z.
; Rondón, Antonio A.A.
; Brescovit, Antonio
; Lofego, Antônio C.
; Marques, Antonio C.
; Macedo, Antonio
; Andriolo, Artur
; Henriques, Augusto L.
; Ferreira Júnior, Augusto L.
; Lima, Aurino F. de
; Barros, Ávyla R. de A.
; Brito, Ayrton do R.
; Romera, Bárbara L.V.
; Vasconcelos, Beatriz M.C. de
; Frable, Benjamin W.
; Santos, Bernardo F.
; Ferraz, Bernardo R.
; Rosa, Brunno B.
; Sampaio, Brunno H.L.
; Bellini, Bruno C.
; Clarkson, Bruno
; Oliveira, Bruno G. de
; Corrêa, Caio C.D.
; Martins, Caleb C.
; Castro-Guedes, Camila F. de
; Souto, Camilla
; Bicho, Carla de L.
; Cunha, Carlo M.
; Barboza, Carlos A. de M.
; Lucena, Carlos A.S. de
; Barreto, Carlos
; Santana, Carlos D.C.M. de
; Agne, Carlos E.Q.
; Mielke, Carlos G.C.
; Caetano, Carlos H.S.
; Flechtmann, Carlos H.W.
; Lamas, Carlos J.E.
; Rocha, Carlos
; Mascarenhas, Carolina S.
; Margaría, Cecilia B.
; Waichert, Cecilia
; Digiani, Celina
; Haddad, Célio F.B.
; Azevedo, Celso O.
; Benetti, Cesar J.
; Santos, Charles M.D. dos
; Bartlett, Charles R.
; Bonvicino, Cibele
; Ribeiro-Costa, Cibele S.
; Santos, Cinthya S.G.
; Justino, Cíntia E.L.
; Canedo, Clarissa
; Bonecker, Claudia C.
; Santos, Cláudia P.
; Carvalho, Claudio J.B. de
; Gonçalves, Clayton C.
; Galvão, Cleber
; Costa, Cleide
; Oliveira, Cléo D.C. de
; Schwertner, Cristiano F.
; Andrade, Cristiano L.
; Pereira, Cristiano M.
; Sampaio, Cristiano
; Dias, Cristina de O.
; Lucena, Daercio A. de A.
; Manfio, Daiara
; Amorim, Dalton de S.
; Queiroz, Dalva L. de
; Queiroz, Dalva L. de
; Colpani, Daniara
; Abbate, Daniel
; Aquino, Daniel A.
; Burckhardt, Daniel
; Cavallari, Daniel C.
; Prado, Daniel de C. Schelesky
; Praciano, Daniel L.
; Basílio, Daniel S.
; Bená, Daniela de C.
; Toledo, Daniela G.P. de
; Takiya, Daniela M.
; Fernandes, Daniell R.R.
; Ament, Danilo C.
; Cordeiro, Danilo P.
; Silva, Darliane E.
; Pollock, Darren A.
; Muniz, David B.
; Gibson, David I.
; Nogueira, David S.
; Marques, Dayse W.A.
; Lucatelli, Débora
; Garcia, Deivys M.A.
; Baêta, Délio
; Ferreira, Denise N.M.
; Rueda-Ramírez, Diana
; Fachin, Diego A.
; Souza, Diego de S.
; Rodrigues, Diego F.
; Pádua, Diego G. de
; Barbosa, Diego N.
; Dolibaina, Diego R.
; Amaral, Diogo C.
; Chandler, Donald S.
; Maccagnan, Douglas H.B.
; Caron, Edilson
; Carvalho, Edrielly
; Adriano, Edson A.
; Abreu Júnior, Edson F. de
; Pereira, Edson H.L.
; Viegas, Eduarda F.G.
; Carneiro, Eduardo
; Colley, Eduardo
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; Santos, Eduardo F. dos
; Shimbori, Eduardo M.
; Suárez-Morales, Eduardo
; Arruda, Eliane P. de
; Chiquito, Elisandra A.
; Lima, Élison F.B.
; Castro, Elizeu B. de
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; Nascimento, Elynton A. do
; Razzolini, Emanuel
; Gama, Emanuel R.R.
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; Nishiyama, Eric Y.
; Spiessberger, Erich L.
; Santos, Érika C.L. dos
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; Galati, Eunice A.B.
; Oliveira Junior, Evaldo C. de
; Gallardo, Fabiana
; Hernandes, Fabio A.
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; Pitombo, Fabio B.
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; Mauro, Fabio
; Nascimento, Fabio O. do
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; Amaral, Fabio R.
; Schunck, Fabio
; Godoi, Fábio S. P. de
; Machado, Fabrizio M.
; Barbo, Fausto E.
; Agrain, Federico A.
; Ribeiro, Felipe B.
; Moreira, Felipe F.F.
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; Silva, Fenanda S.
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; Straube, Fernando C.
; Carbayo, Fernando
; Carvalho Filho, Fernando
; Zanella, Fernando C.V.
; Jacinavicius, Fernando de C.
; Farache, Fernando H.A.
; Leivas, Fernando
; Dias, Fernando M.S.
; Mantellato, Fernando
; Vaz-de-Mello, Fernando Z.
; Gudin, Filipe M.
; Albuquerque, Flávio
; Molina, Flavio B.
; Passos, Flávio D.
; Shockley, Floyd W.
; Pinheiro, Francielly F.
; Mello, Francisco de A.G. de
; Nascimento, Francisco E. de L.
; Franco, Francisco L.
; Oliveira, Francisco L. de
; Melo, Francisco T. de V.
; Quijano, Freddy R.B.
; Salles, Frederico F.
; Biffi, Gabriel
; Queiroz, Gabriel C.
; Bizarro, Gabriel L.
; Hrycyna, Gabriela
; Leviski, Gabriela
; Powell, Gareth S.
; Santos, Geane B. dos
; Morse, Geoffrey E.
; Brown, George
; Mattox, George M.T.
; Zimbrão, Geraldo
; Carvalho, Gervásio S.
; Miranda, Gil F.G.
; Moraes, Gilberto J. de
; Lourido, Gilcélia M.
; Neves, Gilmar P.
; Moreira, Gilson R.P.
; Montingelli, Giovanna G.
; Maurício, Giovanni N.
; Marconato, Gláucia
; Lopez, Guilherme E.L.
; Silva, Guilherme L. da
; Muricy, Guilherme
; Brito, Guilherme R.R.
; Garbino, Guilherme S.T.
; Flores, Gustavo E.
; Graciolli, Gustavo
; Libardi, Gustavo S.
; Proctor, Heather C.
; Gil-Santana, Helcio R.
; Varella, Henrique R.
; Escalona, Hermes E.
; Schmitz, Hermes J.
; Rodrigues, Higor D.D.
; Galvão Filho, Hilton de C.
; Quintino, Hingrid Y.S.
; Pinto, Hudson A.
; Rainho, Hugo L.
; Miyahira, Igor C.
; Gonçalves, Igor de S.
; Martins, Inês X.
; Cardoso, Irene A.
; Oliveira, Ismael B. de
; Franz, Ismael
; Fernandes, Itanna O.
; Golfetti, Ivan F.
; S. Campos-Filho, Ivanklin
; Oliveira, Ivo de S.
; Delabie, Jacques H.C.
; Oliveira, Jader de
; Prando, Jadila S.
; Patton, James L.
; Bitencourt, Jamille de A.
; Silva, Janaina M.
; Santos, Jandir C.
; Arruda, Janine O.
; Valderrama, Jefferson S.
; Dalapicolla, Jeronymo
; Oliveira, Jéssica P.
; Hájek, Jiri
; Morselli, João P.
; Narita, João P.
; Martin, João P.I.
; Grazia, Jocélia
; McHugh, Joe
; Cherem, Jorge J.
; Farias Júnior, José A.S.
; Fernandes, Jose A.M.
; Pacheco, José F.
; Birindelli, José L.O.
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; Avendaño, Jose M.
; Duarte, José M. Barbanti
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; Prado, Joyce R. do
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; Almeida, Julia C.
; Kohler, Julia
; Gonçalves, Julia P.
; Beneti, Julia S.
; Donahue, Julian P.
; Alvim, Juliana
; Almeida, Juliana C.
; Segadilha, Juliana L.
; Wingert, Juliana M.
; Barbosa, Julianna F.
; Ferrer, Juliano
; Santos, Juliano F. dos
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; Schoeninger, Karine
; Campião, Karla M.
; Soares, Karla
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; Azevedo, Leonardo H.G.
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; Johann, Liana
; Salvatierra, Lidianne
; Oliveira, Livia de M.
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; Lecci, Lucas
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; Cohen, Simone C.
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; Vaz, Stéphanie
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; Miranda, Thaís P.
; Freitas, Thales R.O.
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; Zacca, Thamara
; Pacheco, Thaynara L.
; Martins, Thiago F.
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; McElrath, Thomas C.
; Henry, Thomas
; Pikart, Tiago G.
; Porto, Tiago J.
; Krolow, Tiago K.
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; Lotufo, Tito M. da C.
; Caramaschi, Ulisses
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; Pardiñas, Ulyses F.J.
; Maia, Valéria C.
; Tavares, Valeria
; Costa, Valmir A.
; Amaral, Vanessa S. do
; Silva, Vera C.
; Wolff, Vera R. dos S.
; Slobodian, Verônica
; Silva, Vinícius B. da
; Espíndola, Vinicius C.
; Costa-Silva, Vinicius da
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; Padula, Vinícius
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; Sandoval-Gómez, Vivian E.
; Trevine, Vivian
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; Colombo, Wesley D.
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ABSTRACT The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others. publications problem uptodate up date classifications context exception (CTFB http//fauna.jbrj.gov.br/, httpfaunajbrjgovbr http //fauna.jbrj.gov.br/ , jbrj gov br (http://fauna.jbrj.gov.br/) 2015 Brazil 80 specialists 1 2024 133691 133 691 133,69 125138 125 138 125,13 82.3%, 823 82 3 (82.3% 102000 102 000 102,00 7.69%, 769 7 69 (7.69% 11000 11 11,00 . 3,567 3567 567 (3,56 2,292 2292 2 292 (2,29 1,833 1833 833 (1,83 1,447 1447 447 (1,44 1000 1,00 831 (83 628 (62 606 (60 520 (52 50 users science health biology law anthropology education others http//fauna.jbrj.gov.br/ faunajbrjgovbr //fauna.jbrj.gov.br (http://fauna.jbrj.gov.br/ 201 8 202 13369 13 133,6 12513 12 125,1 82.3% (82.3 10200 10 00 102,0 7.69% 76 6 (7.69 1100 11,0 3,56 356 56 (3,5 2,29 229 29 (2,2 1,83 183 83 (1,8 1,44 144 44 (1,4 100 1,0 (8 62 (6 60 52 (5 5 http//fauna.jbrj.gov.br (http://fauna.jbrj.gov.br 20 1336 133, 1251 125, 82.3 (82. 1020 0 102, 7.69 (7.6 110 11, 3,5 35 (3, 2,2 22 (2, 1,8 18 (1, 1,4 14 4 ( 82. (82 7.6 (7. 3, (3 2, (2 (1 7. (7
7.
A pessoa dependente, o cuidador familiar e os recursos utilizados: Estudo com famílias clássicas
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Rodrigues, Clara Maria da Noite Cota
; Amaral, António Fernando Salgueiro
; Tavares, João Paulo de Almeida
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Abstract Background: Demographic aging and the increase in chronic diseases are reflected in high levels of dependence for self-care. Objective: To characterize the Dependent Family member (FM), the Caregiving Family Member (CFM) and the resources used, in the context of classic families. Methodology: Quantitative and descriptive study. A Snowball sample was used. The “Families that Integrate Dependents in Self-care” form was used in 60 CFM.. Results: The FM are mostly female. Caregivers are predominantly elderly women with low education. The most basic care (e.g. feeding, giving drink and dressing are carried out with some ease by the CFM and are guaranteed. Care with a more differentiated intervention, such as performing exercises for the lower and upper limbs and activities to stimulate memory, do not are carried out. The main resource used is the health center. Conclusion: This study reveals the need for Family Nurses to intervene in family care at home through teaching and implementing more differentiated care (motor rehabilitation and cognitive stimulation), as well as promoting accessibility to care and health resources.
Resumen Marco contextual: Las transiciones demográficas, epidemiológicas y sociales repercuten en la (in)dependencia de los autocuidados. Objetivo: Caracterizar al familiar dependiente (FD), al familiar cuidador (MFPC) y los recursos utilizados, en el contexto de las familias clásicas. Metodología: Estudio transversal y descriptivo. Muestreo de bola de nieve (snowball). El formulario “Familias que integran a personas dependientes en el autocuidado” se utilizó en 60 MFPC. Resultados: Los FD son mayoritariamente mujeres. Los cuidadores son predominantemente mujeres mayores con bajos niveles de educación. Los cuidados más básicos (por ejemplo, alimentar, beber y vestirse) los realizan con cierta facilidad los MFPC y están garantizados. Los cuidados con intervención más especializada, como ejercitar los miembros inferiores y superiores, y estimular las funciones cognitivas no se realizan. El principal recurso utilizado es el centro de salud. Conclusión: Este estudio pone de manifiesto la necesidad de que el enfermero de familia intervenga en los cuidados familiares en el domicilio enseñando y aplicando cuidados más especializados (rehabilitación motora y estimulación cognitiva), así como promoviendo la accesibilidad a los cuidados y recursos sanitarios.
Resumo Enquadramento: As transições demográficas, epidemiológicas e sociais têm implicações na (in)dependência para o autocuidado. Objetivo: Caracterizar o familiar dependente (FD), o Membro Familiar Prestador de Cuidados (MFPC) e os recursos utilizados, no contexto das famílias clássicas. Metodologia: Estudo transversal e descritivo. Amostragem de Snowball. Utilizou-se o formulário “Famílias que Integram Dependentes no Autocuidado” em 60 MFPC. Resultados: Os FD são maioritariamente do género feminino. Os cuidadores são predominantemente mulheres idosas com baixa escolaridade. Os cuidados mais básicos (e.g. alimentar, dar de beber e vestir são realizados com alguma facilidade pelo MFPC e estão garantidos. Os cuidados com intervenção mais diferenciada, como a realização de exercícios dos membros inferiores e superiores e a estimulação das funções cognitivas não são realizados. O principal recurso utilizado é o centro de saúde. Conclusão: Este estudo revela a necessidade do Enfermeiro de Família intervir nos cuidados à família em contexto domiciliário através do ensino e da implementação de cuidados mais diferenciados (reabilitação motora e estimulação cognitiva), assim como, promover a acessibilidade aos cuidados e recursos de saúde.
8.
[SciELO Preprints] - Brazilian Guidelines for In-office and Out-of-office Blood Pressure Measurement – 2023
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Feitosa, Audes Diógenes de Magalhães
Barroso, Weimar Kunz Sebba
Mion Júnior, Décio
Nobre, Fernando
Mota-Gomes, Marco Antonio
Jardim, Paulo Cesar Brandão Veiga
Amodeo, Celso
Camargo, Adriana
Alessi, Alexandre
Sousa, Ana Luiza Lima
Brandão, Andréa Araujo
Pio-Abreu, Andrea
Sposito, Andrei Carvalho
Pierin, Angela Maria Geraldo
Paiva, Annelise Machado Gomes de
Spinelli, Antonio Carlos de Souza
Machado, Carlos Alberto
Poli-de-Figueiredo, Carlos Eduardo
Rodrigues, Cibele Isaac Saad
Forjaz, Cláudia Lúcia de Moraes
Sampaio, Diogo Pereira Santos
Barbosa, Eduardo Costa Duarte
Freitas, Elizabete Viana de
Cestário , Elizabeth do Espírito Santo
Muxfeldt, Elizabeth Silaid
Lima Júnior, Emilton
Campana, Erika Maria Gonçalves
Feitosa, Fabiana Gomes Aragão Magalhães
Consolim-Colombo, Fernanda Marciano
Almeida, Fernando Antônio de
Silva, Giovanio Vieira da
Moreno Júnior, Heitor
Finimundi, Helius Carlos
Guimarães, Isabel Cristina Britto
Gemelli, João Roberto
Barreto Filho, José Augusto Soares
Vilela-Martin, José Fernando
Ribeiro, José Marcio
Yugar-Toledo, Juan Carlos
Magalhães, Lucélia Batista Neves Cunha
Drager, Luciano Ferreira
Bortolotto, Luiz Aparecido
Alves, Marco Antonio de Melo
Malachias, Marcus Vinícius Bolívar
Neves, Mario Fritsch Toros
Santos, Mayara Cedrim
Dinamarco, Nelson
Moreira Filho, Osni
Passarelli Júnior, Oswaldo
Valverde de Oliveira Vitorino, Priscila Valverde de Oliveira
Miranda, Roberto Dischinger
Bezerra, Rodrigo
Pedrosa, Rodrigo Pinto
Paula, Rogério Baumgratz de
Okawa, Rogério Toshiro Passos
Póvoa, Rui Manuel dos Santos
Fuchs, Sandra C.
Inuzuka, Sayuri
Ferreira-Filho, Sebastião R.
Paffer Fillho, Silvio Hock de
Jardim, Thiago de Souza Veiga
Guimarães Neto, Vanildo da Silva
Koch, Vera Hermina
Gusmão, Waléria Dantas Pereira
Oigman, Wille
Nadruz, Wilson
Hypertension is one of the primary modifiable risk factors for morbidity and mortality worldwide, being a major risk factor for coronary artery disease, stroke, and kidney failure. Furthermore, it is highly prevalent, affecting more than one-third of the global population.
Blood pressure measurement is a MANDATORY procedure in any medical care setting and is carried out by various healthcare professionals. However, it is still commonly performed without the necessary technical care. Since the diagnosis relies on blood pressure measurement, it is clear how important it is to handle the techniques, methods, and equipment used in its execution with care.
It should be emphasized that once the diagnosis is made, all short-term, medium-term, and long-term investigations and treatments are based on the results of blood pressure measurement. Therefore, improper techniques and/or equipment can lead to incorrect diagnoses, either underestimating or overestimating values, resulting in inappropriate actions and significant health and economic losses for individuals and nations.
Once the correct diagnosis is made, as knowledge of the importance of proper treatment advances, with the adoption of more detailed normal values and careful treatment objectives towards achieving stricter blood pressure goals, the importance of precision in blood pressure measurement is also reinforced.
Blood pressure measurement (described below) is usually performed using the traditional method, the so-called casual or office measurement. Over time, alternatives have been added to it, through the use of semi-automatic or automatic devices by the patients themselves, in waiting rooms or outside the office, in their own homes, or in public spaces. A step further was taken with the use of semi-automatic devices equipped with memory that allow sequential measurements outside the office (ABPM; or HBPM) and other automatic devices that allow programmed measurements over longer periods (HBPM).
Some aspects of blood pressure measurement can interfere with obtaining reliable results and, consequently, cause harm in decision-making. These include the importance of using average values, the variation in blood pressure during the day, and short-term variability. These aspects have encouraged the performance of a greater number of measurements in various situations, and different guidelines have advocated the use of equipment that promotes these actions. Devices that perform HBPM or ABPM, which, in addition to allowing greater precision, when used together, detect white coat hypertension (WCH), masked hypertension (MH), sleep blood pressure alterations, and resistant hypertension (RHT) (defined in Chapter 2 of this guideline), are gaining more and more importance.
Taking these details into account, we must emphasize that information related to diagnosis, classification, and goal setting is still based on office blood pressure measurement, and for this reason, all attention must be given to the proper execution of this procedure.
La hipertensión arterial (HTA) es uno de los principales factores de riesgo modificables para la morbilidad y mortalidad en todo el mundo, siendo uno de los mayores factores de riesgo para la enfermedad de las arterias coronarias, el accidente cerebrovascular (ACV) y la insuficiencia renal. Además, es altamente prevalente y afecta a más de un tercio de la población mundial.
La medición de la presión arterial (PA) es un procedimiento OBLIGATORIO en cualquier atención médica o realizado por diferentes profesionales de la salud. Sin embargo, todavía se realiza comúnmente sin los cuidados técnicos necesarios. Dado que el diagnóstico se basa en la medición de la PA, es claro el cuidado que debe haber con las técnicas, los métodos y los equipos utilizados en su realización.
Debemos enfatizar que una vez realizado el diagnóstico, todas las investigaciones y tratamientos a corto, mediano y largo plazo se basan en los resultados de la medición de la PA. Por lo tanto, las técnicas y/o equipos inadecuados pueden llevar a diagnósticos incorrectos, subestimando o sobreestimando valores y resultando en conductas inadecuadas y pérdidas significativas para la salud y la economía de las personas y las naciones.
Una vez realizado el diagnóstico correcto, a medida que avanza el conocimiento sobre la importancia del tratamiento adecuado, con la adopción de valores de normalidad más detallados y objetivos de tratamiento más cuidadosos hacia metas de PA más estrictas, también se refuerza la importancia de la precisión en la medición de la PA.
La medición de la PA (descrita a continuación) generalmente se realiza mediante el método tradicional, la llamada medición casual o de consultorio. Con el tiempo, se han agregado alternativas a través del uso de dispositivos semiautomáticos o automáticos por parte del propio paciente, en salas de espera o fuera del consultorio, en su propia residencia o en espacios públicos. Se dio un paso más con el uso de dispositivos semiautomáticos equipados con memoria que permiten mediciones secuenciales fuera del consultorio (AMPA; o MRPA) y otros automáticos que permiten mediciones programadas durante períodos más largos (MAPA).
Algunos aspectos en la medición de la PA pueden interferir en la obtención de resultados confiables y, en consecuencia, causar daños en las decisiones a tomar. Estos incluyen la importancia de usar valores promedio, la variación de la PA durante el día y la variabilidad a corto plazo. Estos aspectos han alentado la realización de un mayor número de mediciones en diversas situaciones, y diferentes pautas han abogado por el uso de equipos que promuevan estas acciones. Los dispositivos que realizan MRPA o MAPA, que además de permitir una mayor precisión, cuando se usan juntos, detectan la hipertensión de bata blanca (HBB), la hipertensión enmascarada (HM), las alteraciones de la PA durante el sueño y la hipertensión resistente (HR) (definida en el Capítulo 2 de esta guía), están ganando cada vez más importancia.
Teniendo en cuenta estos detalles, debemos enfatizar que la información relacionada con el diagnóstico, la clasificación y el establecimiento de objetivos todavía se basa en la medición de la presión arterial en el consultorio, y por esta razón, se debe prestar toda la atención a la ejecución adecuada de este procedimiento.
A hipertensão arterial (HA) é um dos principais fatores de risco modificáveis para morbidade e mortalidade em todo o mundo, sendo um dos maiores fatores de risco para doença arterial coronária, acidente vascular cerebral (AVC) e insuficiência renal. Além disso, é altamente prevalente e atinge mais de um terço da população mundial.
A medida da PA é procedimento OBRIGATÓRIO em qualquer atendimento médico ou realizado por diferentes profissionais de saúde. Contudo, ainda é comumente realizada sem os cuidados técnicos necessários. Como o diagnóstico se baseia na medida da PA, fica claro o cuidado que deve haver com as técnicas, os métodos e os equipamentos utilizados na sua realização.
Deve-se reforçar que, feito o diagnóstico, toda a investigação e os tratamentos de curto, médio e longo prazos são feitos com base nos resultados da medida da PA. Assim, técnicas e/ou equipamentos inadequados podem levar a diagnósticos incorretos, tanto subestimando quanto superestimando valores e levando a condutas inadequadas e grandes prejuízos à saúde e à economia das pessoas e das nações.
Uma vez feito o diagnóstico correto, na medida em que avança o conhecimento da importância do tratamento adequado, com a adoção de valores de normalidade mais detalhados e com objetivos de tratamento mais cuidadosos no sentido do alcance de metas de PA mais rigorosas, fica também reforçada a importância da precisão na medida da PA.
A medida da PA (descrita a seguir) é habitualmente feita pelo método tradicional, a assim chamada medida casual ou de consultório. Ao longo do tempo, foram agregadas alternativas a ela, mediante o uso de equipamentos semiautomáticos ou automáticos pelo próprio paciente, nas salas de espera ou fora do consultório, em sua própria residência ou em espaços públicos. Um passo adiante foi dado com o uso de equipamentos semiautomáticos providos de memória que permitem medidas sequenciais fora do consultório (AMPA; ou MRPA) e outros automáticos que permitem medidas programadas por períodos mais prolongados (MAPA).
Alguns aspectos na medida da PA podem interferir na obtenção de resultados fidedignos e, consequentemente, causar prejuízo nas condutas a serem tomadas. Entre eles, estão: a importância de serem utilizados valores médios, a variação da PA durante o dia e a variabilidade a curto prazo. Esses aspectos têm estimulado a realização de maior número de medidas em diversas situações, e as diferentes diretrizes têm preconizado o uso de equipamentos que favoreçam essas ações. Ganham cada vez mais espaço os equipamentos que realizam MRPA ou MAPA, que, além de permitirem maior precisão, se empregados em conjunto, detectam a HA do avental branco (HAB), HA mascarada (HM), alterações da PA no sono e HA resistente (HAR) (definidos no Capítulo 2 desta diretriz).
Resguardados esses detalhes, devemos ressaltar que as informações relacionadas a diagnóstico, classificação e estabelecimento de metas ainda são baseadas na medida da PA de consultório e, por esse motivo, toda a atenção deve ser dada à realização desse procedimento.
9.
Supplementation of goats with mesquite pod meal in deferred (Urochloa mosambicenses) grass pasture in the semiarid region
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Souto, Diego da Hora
; Pereira, Mara Lúcia Albuquerque
; Pereira, Taiala Cristina de Jesus
; Silva, Herymá Giovane de Oliveira
; Almeida, Paulo José Presídio
; Sousa, Leandro Borges
; Barreto, Fernando Oliveira
; Sousa, Larisse Borges
; Oliveira, Karine Pinheiro
; Carvalho, Gleidson Giordano Pinto de
.
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Resumen La suplementación surge como una estrategia simple para mejorar la productividad animal en sistemas que adoptan praderas diferidas de pasto como dieta básica. Este estudio tuvo como objetivo evaluar el efecto de los niveles de suplementación de harina de vaina de mezquite sobre la ingesta, la digestibilidad de los nutrientes y la ganancia de peso corporal (PC) de caprinos en pastoreo diferido. Treinta y cinco (35) caprinos machos (24.0 ± 2.9 kg PC) se distribuyeron en un diseño completamente al azar, con cinco tratamientos y siete repeticiones. Los tratamientos consistieron en un control de suplemento (0.05 % de PC de sal proteico-mineral) y niveles crecientes a 0.5; 1.0; 1.5 y 2.0 % de PC de suplementación con harina de vaina de mezquite. La ingesta de materia seca y nutrientes del forraje y la dieta total aumentaron linealmente (P<0.0001) en función de los niveles del suplemento. Se observó un efecto cuadrático (P<0.0001) para las variables de digestibilidad, excepto para el extracto etéreo y los carbohidratos no fibrosos, que presentaron un efecto lineal creciente (P<0.0001). Los niveles de suplementación aumentaron linealmente las variables de rendimiento (P<0.05). Se recomienda la suplementación del concentrado al 2.0 % de PC con harina de vaina de mezquite al 30 % en su composición para promover la reducción del ciclo productivo de los caprinos en praderas diferidas de pasto Urochloa.
Abstract Supplementation emerges as a simple strategy to improve animal productivity in systems that adopt deferred grass pasture as the basic diet. This study aimed to evaluate the effect of levels of supplementation of mesquite pod meal on intake, digestibility of nutrients, and body weight (BW) gain of goats in grazing deferred. Thirty-five (35) goat males (24.0 ± 2.9 kg BW) were distributed in a completely randomized design, with five treatments and seven replications. Treatments constituted a supplement control (0.05% BW of protein-mineral salt) and increasing levels at 0.5; 1.0; 1.5, and 2.0% BW of supplementation with mesquite pod meal. Dry matter intake and nutrients of the forage and total diet increased linearly (P<0.0001) as a function of the levels of the supplement. A quadratic effect was observed (P<0.0001) for the digestibility variables, except for ethereal extract and non-fiber carbohydrates, which presented an increasing linear effect (P<0.0001). Supplementation levels increased linearly on the performance variables (P<0.05). It is recommended the concentrate supplementation at 2.0% BW with mesquite pod meal at 30 % in its composition for promoting the reduction of the productive cycle of goats in deferred Urochloa grass pastures.
10.
One-year impact of COVID-19 pandemic on renal replacement therapy and kidney transplantation in a tertiary center in Southern Brazil Oneyear One year COVID19 COVID 19 COVID-1 COVID1 1 COVID-
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Teichmann, Pedro do Valle
; Moschetta, Marina Oliboni
; Franco, Rodrigo Fontanive
; Vicari, Alessandra Rosa
; Nunes, Gérson Luiz da Silva
; Lazzaretti, Maria Angela Kalil Nader
; Gomes, Miriam Gressler
; Dorigoni, Silvia Maria
; Dall’Agnol, Paulo Roberto
; Klafke, Adriana
; Thomé, Fernando Saldanha
; Spuldaro, Fabio
; Agra, Homero
; Almeida, Rafael de
; Lara, Darlan Martins
; Bauer, Andrea Carla
; Karhol, Cristina
; Manfro, Roberto Ceratti
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ABSTRACT Introduction: Patients on renal replacement therapy (RRT) and kidney transplant recipients (KTR) present multiple factors that may increase the risk of death from coronavirus disease 2019 (COVID-19). This study aimed to evaluate the incidence and impact of COVID-19 in RRT patients and KTRs. Methods: Between March 2020 and February 2021, we monitored the RRT population of thirteen dialysis facilities that refer patients for transplantation to our center, a tertiary hospital in Southern Brazil. In the same period, we also monitor COVID-19 incidence and mortality in our KTR population. Demographical, clinical, and COVID-19-related information were analyzed. Results: We evaluated 1545 patients in the dialysis centers, of which 267 (17.4%) were infected by COVID-19 and 53 (19.9%) died. Among 275 patients on the kidney transplant waiting list, 63 patients (22.9%) were infected and seven (11.1%) died. COVID-19 was the leading cause of death (29.2%) among patients on the waiting list. Within the population of 1360 KTR, 134 (9.85%) were diagnosed with COVID-19 and 20 (14.9%) died. The number of kidney transplants decreased by 56.7% compared with the same period in the previous twelve months. Conclusion: In the study period, patients on RRT and KTRs presented a high incidence of COVID-19 and high COVID-19-related lethality. The impact on the patients on the transplant waiting list was less pronounced. The lethality rate observed in both cohorts seems to be related to age, comorbidities, and disease severity. Introduction (RRT (KTR 201 COVID19. COVID19 COVID 19 . (COVID-19) COVID-1 Methods 202 2021 center Brazil Demographical clinical COVID19related COVIDrelated analyzed Results 154 centers 26 17.4% 174 17 4 (17.4% 5 19.9% 199 9 (19.9% died 27 6 22.9% 229 22 (22.9% 11.1% 111 11 1 (11.1% 29.2% 292 29 2 (29.2% 136 13 9.85% 985 85 (9.85% 14.9% 149 14 (14.9% 567 56 7 56.7 months Conclusion pronounced age comorbidities severity COVID1 (COVID-19 COVID- 15 17.4 (17.4 19.9 (19.9 22.9 (22.9 11.1 (11.1 29.2 (29.2 9.85 98 8 (9.85 14.9 (14.9 56. (COVID-1 17. (17. 19. (19. 22. (22. 11. (11. 29. (29. 9.8 (9.8 14. (14. (COVID- (17 (19 (22 (11 (29 9. (9. (14 (COVID (1 (2 (9 (
Resumo Introdução: Pacientes em terapia renal substitutiva (TRS) e receptores de transplante renal (RTR) apresentam múltiplos fatores que podem aumentar o risco de óbito por doença do coronavírus 2019 (COVID-19). Este estudo teve como objetivo avaliar incidência e impacto da COVID-19 em pacientes em TRS e RTR. Métodos: Entre Março de 2020 e Fevereiro de 2021, monitoramos a população em TRS de treze unidades de diálise que encaminham pacientes para transplante ao nosso centro, um hospital terciário no Sul do Brasil. No mesmo período, também monitoramos a incidência e mortalidade da COVID-19 em nossa população de RTR. Foram analisadas informações demográficas, clínicas e relacionadas à COVID-19. Resultados: Avaliamos 1545 pacientes nos centros de diálise, dos quais 267 (17,4%) foram infectados pela COVID-19 e 53 (19,9%) foram a óbito. Entre 275 pacientes na lista de espera para transplante renal, 63 (22,9%) foram infectados e sete (11,1%) foram a óbito. COVID-19 foi a principal causa de óbito (29,2%) entre pacientes na lista de espera. Dentre a população de 1360 RTR, 134 (9,85%) foram diagnosticados com COVID-19 e 20 (14,9%) foram a óbito. O número de transplantes renais diminuiu em 56,7% comparado ao mesmo período nos doze meses anteriores. Conclusão: No período do estudo, pacientes em TRS e RTR apresentaram alta incidência de COVID-19 e alta letalidade relacionada à COVID-19. O impacto nos pacientes na lista de espera para transplante foi menos pronunciado. A taxa de letalidade observada em ambas as coortes parece estar relacionada à idade, comorbidades e gravidade da doença. Introdução (TRS (RTR 201 COVID19. COVID19 COVID 19 . (COVID-19) COVID-1 Métodos 202 2021 centro Brasil demográficas 19. Resultados 154 26 17,4% 174 17 4 (17,4% 5 19,9% 199 9 (19,9% 27 6 22,9% 229 22 (22,9% 11,1% 111 11 1 (11,1% 29,2% 292 29 2 (29,2% 136 13 9,85% 985 85 (9,85% 14,9% 149 14 (14,9% 567 56 7 56,7 anteriores Conclusão pronunciado idade COVID1 (COVID-19 COVID- 15 17,4 (17,4 19,9 (19,9 22,9 (22,9 11,1 (11,1 29,2 (29,2 9,85 98 8 (9,85 14,9 (14,9 56, (COVID-1 17, (17, 19, (19, 22, (22, 11, (11, 29, (29, 9,8 (9,8 14, (14, (COVID- (17 (19 (22 (11 (29 9, (9, (14 (COVID (1 (2 (9 (
11.
Influência da posição dos anéis de crescimento da madeira na determinação de sua resistência ao cisalhamento paralelo às fibras
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Rodrigues, Edson Fernando Castanheira
; Araujo, Victor Almeida De
; Arroyo, Felipe Nascimento
; Almeida, João Paulo Boff
; Christoforo, André Luis
; Lahr, Francisco Antonio Rocco
.
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Abstract Shear strength parallel to the fibers (f v0 ) is extremely important for the design of timber structures. Then, due to the lack of information related to a possible variation in the f v0 of hardwood species according to the load application plane in relation to its growth rings/rays, this work performed tests for the determination of f v0 according to NBR 7190-3 (ABNT, 2022b) varying load planes. Thereby, the load was applied on the longitudinal-tangential (LT) and longitudinal-radial (LR) planes of the species of caixeta (Simarouba amara) and roxinho (Peltogyne spp.). Through variance analysis (5% confidence), results did not point to statistical differences between f v0 values when the load plane was changed. Therefore, the f v0 of this species can be determined without significant risk of reduction according to ray/ring orientation. Furthermore, it was determined a ratio of f v0,k /f c0,k equal to 0.23 and 0.38 was determined for roxinho and caixeta, respectively. Thus, this result confirms the need for characterizing unfamiliar wood species when received on construction site, in order to save money and/or for safety reasons. v structures Then ringsrays rings rays rings/rays 71903 7190 3 7190- ABNT, ABNT (ABNT 2022b b Thereby longitudinaltangential longitudinal tangential LT (LT longitudinalradial radial LR (LR Simarouba amara Peltogyne spp.. spp spp. . spp.) 5% 5 (5 confidence, confidence , confidence) changed Therefore rayring ray ring orientation Furthermore v0k vk k c0k ck c0 c 023 0 23 0.2 038 38 0.3 respectively Thus site andor or reasons 719 ( 02 2 0. 03 71 7
Resumo Aresistência ao cisalhamento paralelo às fibras (fv0) é de extrema importância no projeto de estruturas de madeira. Logo, devido à falta de informações a respeito de uma possível variação na fv0 de espécies folhosas de acordo com o plano de aplicação de carga em relação a seus anéis de crescimento/raios, este trabalho realizou ensaios para a determinação da fv0 de acordo com a NBR 7190-3 (ABNT, 2022b), variando-se planos de carga. O carregamento foi aplicado no plano longitudinal tangencial (LT) e longitudinal radial (LR) das espécies de caixeta (Simarouba amara) e roxinho (Peltogyne spp.). Por meio da análise de variância (5% de significância), os resultados não apontaram diferença estatística entre os valores da fv0 quando se variou o plano de carga. Portanto, a fv0 dessas espécies pode ser determinada sem que haja risco significativo de minoração de acordo com a disposição dos raios/anéis. Além disso, foi determinada uma relação de fv0,k/fc0,k igual a 0,23 e 0,38 para o roxinho e a caixeta, respectivamente. Assim, esse resultado corrobora a necessidade de se caracterizar a madeira de espécie pouco conhecida quando recebida na obra, de modo a gerar economia e/ou segurança. fv (fv0 Logo crescimentoraios crescimento raios crescimento/raios 71903 7190 3 7190- ABNT, ABNT (ABNT 2022b, 2022b b , 2022b) variandose variando LT (LT LR (LR Simarouba amara Peltogyne spp.. spp spp. . spp.) 5% 5 (5 significância, significância significância) Portanto raiosanéis raios/anéis disso fv0kfc0k fvkfck k fc0 fc 023 0 23 0,2 038 38 0,3 respectivamente Assim obra eou ou segurança (fv 719 ( kfc 02 2 0, 03 71 7
12.
Hypertension from the patient’s perspective: contributions to the care offered by health professionals and self-care – a qualitative study patients patient s perspective selfcare self
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Leonardo, Felipe
; Custódio, Clarissa Garcia
; Lira, Débora Paulino de
; Ferreira, Dayana de Oliveira
; Pavan, Maria Valéria
; Almeida, Fernando Antonio de
.
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ABSTRACT BACKGROUND: Hypertension is the most common disease in primary care settings. Only 30% of cases were adequately controlled. OBJECTIVES: To analyze the knowledge and understanding of patients with hypertension regarding the factors that facilitate and limit adherence to treatment and, based on the results, build specific guidelines on hypertension self-care and control. DESIGN AND SETTING: This qualitative study was conducted in a primary healthcare setting. METHODS: Patients with hypertension who were followed at a primary healthcare unit were interviewed through focus groups, and a qualitative interpretation of their statements according to Bardin’s content analysis was performed. RESULTS: Three focus groups were formed (21 participants), from whose analysis emerged 74 core ideas related to the concept of hypertension, causes of increase in blood pressure, clinical consequences of hypertension, and possible patients’ contributions to help control blood pressure, arising from eating habits, psychosocial conditions, and lifestyle. Patients tend to accept the concept of “high blood pressure” as an inherent condition of the disease in their lives. Eating habits are strongly related to life history and self-perception of health. The association between high blood pressure and nervousness or stress appears to be strong. CONCLUSION: The experience of having “pressure problem” is unique for each person. It is necessary to optimize listening, recognizing that, for the patient to understand what hypertension is and its management, there must be understanding and convergence of proposals, adjustments, and changes in a positive and personalized way. As a result of this study, we implemented educational actions in primary healthcare units. BACKGROUND settings 30 controlled OBJECTIVES results selfcare self SETTING setting METHODS Bardins Bardin s performed RESULTS 21 (2 participants, participants , participants) 7 conditions lifestyle lives selfperception perception health strong CONCLUSION problem person listening management proposals adjustments way units 3 2 (
13.
Genome of a husavirus from Southern Brazil
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Demoliner, Meriane
; Filippi, Micheli
; Gularte, Juliana Schons
; Silva, Mariana Soares da
; Almeida, Paula Rodrigues de
; Pereira, Vyctoria Malayhka de Abreu Góes
; Heldt, Fágner Henrique
; Spilki, Fernando Rosado
.
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ABSTRACT New viruses of the Picornavirales order have been discovered with the increase in the number of sequences obtained by high-throughput sequencing, as well as human stool-associated RNA virus (husavirus [HuV]), found in human stool samples. However, there is much to be clarified about HuV. Its cellular host, evolutionary history, and other biological characteristics are still unknown. Therefore, samples collected from human beings and environmental samples in a watershed in Southern Brazil were processed for the metagenomic library. Upon metagenomic analysis, we identified a HuV (husavirus LMM_67754 OP019707) genome with 8,846 bp, which was reported for the first time in Southern Brazil. The new genome presents only 37% of nucleotide identity with Brazilian strains and more than 90% with genomes from China, Vietnam, Venezuela, and the Netherlands. The HuV phylogeny presents significant differences among genomes, probably because multiple introductions of the virus may have occurred. Many questions still need to be answered about HuV. Therefore, more sequences and studies on this virus are necessary to improve the comprehension of the unknown origin of Picornavirales. highthroughput high throughput sequencing stoolassociated associated husavirus HuV, , [HuV]) However host history Therefore library analysis LMM67754 LMM 67754 LMM_6775 OP019707 OP 8846 8 846 8,84 bp 37 90 China Vietnam Venezuela Netherlands occurred [HuV] LMM6775 6775 LMM_677 OP01970 884 84 8,8 3 9 [HuV LMM677 677 LMM_67 OP0197 88 8, LMM67 67 LMM_6 OP019 LMM6 6 LMM_ OP01 OP0
14.
Accuracy of the urine point-of-care circulating cathodic antigen assay for diagnosing Schistosomiasis mansoni infection in Brazil: A multicenter study pointofcare point care Brazil
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Pieri, Otavio Sarmento
; Bezerra, Fernando Schemelzer Moraes
; Coelho, Paulo Marcos Zech
; Enk, Martin Johannes
; Favre, Tereza Cristina
; Graeff-Teixeira, Carlos
; Oliveira, Ricardo Riccio
; Reis, Mitermayer Galvão dos
; Andrade, Lee Senhorinha de Almeida
; Beck, Lilian Christina Nóbrega Holsbach
; Favero, Vivian
; Fialho, Thainá Rodrigues de Souza
; Guimarães, Ricardo José de Paula Souza e
; Oliveira, Bruna Souza Santos
; Pascoal, Vanessa Fey
; Pinheiro, Marta Cristhiany Cunha
; Santos, Ronald Alves dos
; Silva, Luciano Kalabric
; Siqueira, Isadora Cristina de
; Souza, Renata Perotto de
; Katz, Naftale
.
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Revista da Sociedade Brasileira de Medicina Tropical
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ABSTRACT Background: The World Health Organization recommends a market-ready, urine-based point-of-care diagnostic test for circulating cathodic antigens (CCA) to determine the prevalence of S. mansoni. This study evaluated the performance of the URINE CCA (SCHISTO) ECO TESTE® (POC-ECO), which is currently available in Brazil. Methods: Residents from eight sites with different prevalence estimates provided one urine sample for POC-ECO and one stool sample for Kato-Katz (KK) and Helmintex® (HTX) testing as an egg-detecting reference for infection status. Results: None of the study sites had significantly higher POC-ECO accuracy than KK. Conclusions: POC-ECO is not currently recommended in Brazilian schistosomiasis elimination programs. Background marketready, marketready market ready, ready market-ready urinebased based pointofcare point care (CCA S mansoni SCHISTO (SCHISTO TESTE POCECO, POCECO POC , (POC-ECO) Brazil Methods KatoKatz Kato Katz KK (KK Helmintex HTX (HTX eggdetecting egg detecting status Results Conclusions programs (POC-ECO
15.
What else in times of COVID-19? The role of minimally invasive autopsy for the differential diagnosis of acute respiratory failure in a case of kala-azar COVID19 COVID 19 COVID-19 kalaazar kala azar COVID1 1 COVID-1 COVID-
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Geber Júnior, João Carlos
; Monteiro, Renata Aparecida de Almeida
; Rocha, João Wilson Pedro da
; Duarte, Edson Luiz Társia
; Nicodemo, Elizabete
; Munhoz, Olavo
; Paiva, Edison Ferreira de
; Mauad, Thais
; Silva, Luiz Fernando Ferraz da
; Saldiva, Paulo Hilario Nascimento
; Dolhnikoff, Marisa
; Duarte-Neto, Amaro Nunes
.
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Revista do Instituto de Medicina Tropical de São Paulo
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ABSTRACT Visceral leishmaniasis (VL) is a chronic vector-borne zoonotic disease caused by trypanosomatids, considered endemic in 98 countries, mainly associated with poverty. About 50,000–90,000 cases of VL occur annually worldwide, and Brazil has the second largest number of cases in the world. The clinical picture of VL is fever, hepatosplenomegaly, and pancytopenia, progressing to death in 90% of cases due to secondary infections and multi-organ failure, if left untreated. We describe the case of a 25-year-old female who lived in the metropolitan area of Sao Paulo, who had recently taken touristic trips to several rural areas in Southeastern Brazil and was diagnosed post-mortem. During the hospitalization in a hospital reference for the treatment of COVID-19, the patient developed acute respiratory failure, with chest radiographic changes, and died due to refractory shock. The ultrasound-guided minimally invasive autopsy diagnosed VL (macrophages containing amastigote forms of Leishmania in the spleen, liver and bone marrow), as well as pneumonia and bloodstream infection by gram-negative bacilli. (VL vectorborne vector borne trypanosomatids 9 countries poverty 5000090000 50 000 90 50,000–90,00 worldwide world fever hepatosplenomegaly pancytopenia multiorgan multi organ failure untreated 25yearold yearold 25 year old Paulo postmortem. postmortem post mortem. mortem post-mortem COVID19, COVID19 COVID 19, 19 COVID-19 changes shock ultrasoundguided ultrasound guided macrophages spleen marrow, marrow , marrow) gramnegative gram negative bacilli 500009000 5 00 50,000–90,0 2 COVID1 1 COVID-1 50000900 0 50,000–90, COVID- 5000090 50,000–90 500009 50,000–9 50000 50,000– 5000 50,000 500 50,00 50,0 50,
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