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1.
Risk factors for healthcare-associated infections and their relationship with waves of the COVID-19 pandemic in an intensive care unit: a nested case-control study healthcareassociated healthcare associated COVID19 COVID 19 COVID-1 unit casecontrol case control COVID1 1 COVID-
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Menezes, Fernando Gatti de
; Corrêa, Thiago Domingos
; Bravim, Bruno de Arruda
; Tuma, Paula
; Silva Júnior, Moacyr
; Gouveia, Emy Akiyama
; Toniolo, Alexandra do Rosário
; Paiva, Graziela Geanfrancisco Matta de
; Martineli, Paula Fernanda
; Castagna, Helena Maria Fernandes
; Moraes, Talita Silva Sarro
; Santiago, Ana Carolina
; Gonçalves, Priscila
; Pereira, Brunna Oliveira
; Gonçalves, Nathalia Thomazi
; Malheiro, Daniel Tavares
; Teich, Vanessa Damazio
; Cendoroglo Neto, Miguel
.
ABSTRACT Objective: To evaluate the risk factors for healthcare-related infections during the COVID-19 pandemic in intensive care units, to investigate the impact of COVID-19 on Central Line-Associated Bloodstream Infection, Catheter-Associated Urinary Tract Infection, and ventilator-associated pneumonia, and to describe healthcare-associated infections in the waves of the COVID-19 pandemic. Methods: This nested case-control study was conducted in a 137-bed adult medical/surgical intensive care unit at a private hospital in São Paulo, Brazil, between January 11, 2019, and May 21, 2022. Case patients were identified using the Nosocomial Infection Control Committee database and control patients were identified using the intensive care unit's EPIMED system. For the analysis of risk factors, the chi-square test, multiple logistic regression model, and Kaplan-Meier method were used to identify independent risk factors, considering p<0.05. Results: The Case Group consisted of 189 healthcare-associated infections, including ventilator-associated pneumonia (61.4%), Central Line-Associated Bloodstream Infection (30.1%), Catheter-Associated Urinary Tract Infection (8.5%), and the Control Group consisted of 6,834 patients. The independent risk factors were COVID-19 infection (OR=2.84, 95%CI=1.92–4.23, p<0.01), length of stay in intensive care greater than 14 days (OR=3.15, 95%CI=1.95–5.14, p<0.01), length of hospital stay greater than 30 days (OR=3.64, 95%CI=2.44–5.51, p<0.01), and patients who were in the third wave (OR=1.72, 95%CI=1.05–2.91, p=0.04). Ventilator-associated pneumonia was the only healthcare-related infection for which COVID-19 infection was an independent risk factor (OR=3.32, 95%CI=1.92–5.94, p<0.01). Conclusion: COVID-19 and length of hospital stay were independent risk factors for healthcare-associated infections, and only ventilator-associated pneumonia was affected by the COVID-19 pandemic. Objective healthcarerelated healthcare related COVID19 COVID 19 COVID-1 units LineAssociated Line Associated CatheterAssociated Catheter ventilatorassociated ventilator associated healthcareassociated Methods casecontrol case 137bed bed 137 medicalsurgical medical surgical Paulo Brazil 11 2019 21 2022 s system chisquare chi square test model KaplanMeier Kaplan Meier p005 p 0 05 p<0.05 Results 18 61.4%, 614 61.4% , 61 4 (61.4%) 30.1%, 301 30.1% 1 (30.1%) 8.5%, 85 8.5% 8 5 (8.5%) 6834 6 834 6,83 OR=2.84, OR284 OR 2 84 (OR=2.84 95CI192423 CI 95 92 23 95%CI=1.92–4.23 p<0.01, p001 p<0.01 01 p<0.01) OR=3.15, OR315 3 15 (OR=3.15 95CI195514 95%CI=1.95–5.14 OR=3.64, OR364 64 (OR=3.64 95CI244551 44 51 95%CI=2.44–5.51 OR=1.72, OR172 72 (OR=1.72 95CI105291 91 95%CI=1.05–2.91 p=0.04. p004 p=0.04 . 04 p=0.04) Ventilatorassociated Ventilator OR=3.32, OR332 32 (OR=3.32 95CI192594 94 95%CI=1.92–5.94 p<0.01. Conclusion COVID1 COVID- 13 201 202 p00 p<0.0 61.4 (61.4% 30.1 (30.1% 8.5 (8.5% 683 83 6,8 OR=2.84 OR28 (OR=2.8 95CI19242 9 95%CI=1.92–4.2 OR=3.15 OR31 (OR=3.1 95CI19551 95%CI=1.95–5.1 OR=3.64 OR36 (OR=3.6 95CI24455 95%CI=2.44–5.5 OR=1.72 OR17 7 (OR=1.7 95CI10529 95%CI=1.05–2.9 p=0.0 OR=3.32 OR33 (OR=3.3 95CI19259 95%CI=1.92–5.9 20 p0 p<0. 61. (61.4 30. (30.1 8. (8.5 68 6, OR=2.8 OR2 (OR=2. 95CI1924 95%CI=1.92–4. OR=3.1 OR3 (OR=3. 95CI1955 95%CI=1.95–5. OR=3.6 95CI2445 95%CI=2.44–5. OR=1.7 OR1 (OR=1. 95CI1052 95%CI=1.05–2. p=0. OR=3.3 95CI1925 95%CI=1.92–5. p<0 (61. (30. (8. OR=2. (OR=2 95CI192 95%CI=1.92–4 OR=3. (OR=3 95CI195 95%CI=1.95–5 95CI244 95%CI=2.44–5 OR=1. (OR=1 95CI105 95%CI=1.05–2 p=0 95%CI=1.92–5 p< (61 (30 (8 OR=2 (OR= 95CI19 95%CI=1.92– OR=3 95%CI=1.95– 95CI24 95%CI=2.44– OR=1 95CI10 95%CI=1.05– p= (6 (3 ( OR= (OR 95CI1 95%CI=1.92 95%CI=1.95 95CI2 95%CI=2.44 95%CI=1.05 95CI 95%CI=1.9 95%CI=2.4 95%CI=1.0 95%CI=1. 95%CI=2. 95%CI=1 95%CI=2 95%CI= 95%CI
2.
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
; Silva Neto, Alberto M. da
; Burbano, Alejandro L.
; Menezes, Aleksandra
; Pereira-Colavite, Alessandre
; Anichtchenko, Alexander
; Lees, Alexander C.
; Bezerra, Alexandra M.R.
; Domahovski, Alexandre C.
; Pimenta, Alexandre D.
; Aleixo, Alexandre L.P.
; 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
; Sousa, Ana A.T. de
; 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
; Dornellas, Ana P.S.
; 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
; Eizirik, Eduardo
; 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
; Orlandin, Elton
; Nascimento, Elynton A. do
; Razzolini, Emanuel
; Gama, Emanuel R.R.
; Araujo, Enilma M. de
; Nishiyama, Eric Y.
; Spiessberger, Erich L.
; Santos, Érika C.L. dos
; Contreras, Eugenia F.
; Galati, Eunice A.B.
; Oliveira Junior, Evaldo C. de
; Gallardo, Fabiana
; Hernandes, Fabio A.
; Lansac-Tôha, Fábio A.
; Pitombo, Fabio B.
; Dario, Fabio Di
; Santos, Fábio L. dos
; Mauro, Fabio
; Nascimento, Fabio O. do
; Olmos, Fabio
; 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.
; Barbosa, Felipe F.
; Silva, Fenanda S.
; Cavalcanti, Fernanda F.
; 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.
; Rezende, José M.
; Avendaño, Jose M.
; Duarte, José M. Barbanti
; Ribeiro, José R. Inácio
; Mermudes, José R.M.
; Pujol-Luz, José R.
; Santos, Josenilson R. dos
; Câmara, Josenir T.
; Teixeira, Joyce A.
; Prado, Joyce R. do
; Botero, Juan P.
; 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
; Kuabara, Kamila M.D.
; Nascimento, Karine B.
; Schoeninger, Karine
; Campião, Karla M.
; Soares, Karla
; Zilch, Kássia
; Barão, Kim R.
; Teixeira, Larissa
; Sousa, Laura D. do N.M. de
; Dumas, Leandro L.
; Vieira, Leandro M.
; Azevedo, Leonardo H.G.
; Carvalho, Leonardo S.
; Souza, Leonardo S. de
; Rocha, Leonardo S.G.
; Bernardi, Leopoldo F.O.
; Vieira, Letícia M.
; Johann, Liana
; Salvatierra, Lidianne
; Oliveira, Livia de M.
; Loureiro, Lourdes M.A. El-moor
; Barreto, Luana B.
; Barros, Luana M.
; Lecci, Lucas
; Camargos, Lucas M. de
; Lima, Lucas R.C.
; Almeida, Lucia M.
; Martins, Luciana R.
; Marinoni, Luciane
; Moura, Luciano de A.
; Lima, Luciano
; Naka, Luciano N.
; Miranda, Lucília S.
; Salik, Lucy M.
; Bezerra, Luis E.A.
; Silveira, Luis F.
; Campos, Luiz A.
; Castro, Luiz A.S. de
; Pinho, Luiz C.
; Silveira, Luiz F.L.
; Iniesta, Luiz F.M.
; Tencatt, Luiz F.C.
; Simone, Luiz R.L.
; Malabarba, Luiz R.
; Cruz, Luiza S. da
; Sekerka, Lukas
; Barros, Lurdiana D.
; Santos, Luziany Q.
; Skoracki, Maciej
; Correia, Maira A.
; Uchoa, Manoel A.
; Andrade, Manuella F.G.
; Hermes, Marcel G.
; Miranda, Marcel S.
; Araújo, Marcel S. de
; Monné, Marcela L.
; Labruna, Marcelo B.
; Santis, Marcelo D. de
; Duarte, Marcelo
; Knoff, Marcelo
; Nogueira, Marcelo
; Britto, Marcelo R. de
; Melo, Marcelo R.S. de
; Carvalho, Marcelo R. de
; Tavares, Marcelo T.
; Kitahara, Marcelo V.
; Justo, Marcia C.N.
; Botelho, Marcia J.C.
; Couri, Márcia S.
; Borges-Martins, Márcio
; Felix, Márcio
; Oliveira, Marcio L. de
; Bologna, Marco A.
; Gottschalk, Marco S.
; Tavares, Marcos D.S.
; Lhano, Marcos G.
; Bevilaqua, Marcus
; Santos, Marcus T.T.
; Domingues, Marcus V.
; Sallum, Maria A.M.
; Digiani, María C.
; Santarém, Maria C.A.
; Nascimento, Maria C. do
; Becerril, María de los A.M.
; Santos, Maria E.A. dos
; Passos, Maria I. da S. dos
; Felippe-Bauer, Maria L.
; Cherman, Mariana A.
; Terossi, Mariana
; Bartz, Marie L.C.
; Barbosa, Marina F. de C.
; Loeb, Marina V.
; Cohn-Haft, Mario
; Cupello, Mario
; Martins, Marlúcia B.
; Christofersen, Martin L.
; Bento, Matheus
; Rocha, Matheus dos S.
; Martins, Maurício L.
; Segura, Melissa O.
; Cardenas, Melissa Q.
; Duarte, Mércia E.
; Ivie, Michael A.
; Mincarone, Michael M.
; Borges, Michela
; Monné, Miguel A.
; Casagrande, Mirna M.
; Fernandez, Monica A.
; Piovesan, Mônica
; Menezes, Naércio A.
; Benaim, Natalia P.
; Reategui, Natália S.
; Pedro, Natan C.
; Pecly, Nathalia H.
; Ferreira Júnior, Nelson
; Silva Júnior, Nelson J. da
; Perioto, Nelson W.
; Hamada, Neusa
; Degallier, Nicolas
; Chao, Ning L.
; Ferla, Noeli J.
; Mielke, Olaf H.H.
; Evangelista, Olivia
; Shibatta, Oscar A.
; Oliveira, Otto M.P.
; Albornoz, Pablo C.L.
; Dellapé, Pablo M.
; Gonçalves, Pablo R.
; Shimabukuro, Paloma H.F.
; Grossi, Paschoal
; Rodrigues, Patrícia E. da S.
; Lima, Patricia O.V.
; Velazco, Paul
; Santos, Paula B. dos
; Araújo, Paula B.
; Silva, Paula K.R.
; Riccardi, Paula R.
; Garcia, Paulo C. de A.
; Passos, Paulo G.H.
; Corgosinho, Paulo H.C.
; Lucinda, Paulo
; Costa, Paulo M.S.
; Alves, Paulo P.
; Roth, Paulo R. de O.
; Coelho, Paulo R.S.
; Duarte, Paulo R.M.
; Carvalho, Pedro F. de
; Gnaspini, Pedro
; Souza-Dias, Pedro G.B.
; Linardi, Pedro M.
; Bartholomay, Pedro R.
; Demite, Peterson R.
; Bulirsch, Petr
; Boll, Piter K.
; Pereira, Rachel M.M.
; Silva, Rafael A.P.F.
; Moura, Rafael B. de
; Boldrini, Rafael
; Silva, Rafaela A. da
; Falaschi, Rafaela L.
; Cordeiro, Ralf T.S.
; Mello, Ramon J.C.L.
; Singer, Randal A.
; Querino, Ranyse B.
; Heleodoro, Raphael A.
; Castilho, Raphael de C.
; Constantino, Reginaldo
; Guedes, Reinaldo C.
; Carrenho, Renan
; Gomes, Renata S.
; Gregorin, Renato
; Machado, Renato J.P.
; Bérnils, Renato S.
; Capellari, Renato S.
; Silva, Ricardo B.
; Kawada, Ricardo
; Dias, Ricardo M.
; Siewert, Ricardo
; Brugnera, Ricaro
; Leschen, Richard A.B.
; Constantin, Robert
; Robbins, Robert
; Pinto, Roberta R.
; Reis, Roberto E. dos
; Ramos, Robson T. da C.
; Cavichioli, Rodney R.
; Barros, Rodolfo C. de
; Caires, Rodrigo A.
; Salvador, Rodrigo B.
; Marques, Rodrigo C.
; Araújo, Rodrigo C.
; Araujo, Rodrigo de O.
; Dios, Rodrigo de V.P.
; Johnsson, Rodrigo
; Feitosa, Rodrigo M.
; Hutchings, Roger W.
; Lara, Rogéria I.R.
; Rossi, Rogério V.
; Gerstmeier, Roland
; Ochoa, Ronald
; Hutchings, Rosa S.G.
; Ale-Rocha, Rosaly
; Rocha, Rosana M. da
; Tidon, Rosana
; Brito, Rosangela
; Pellens, Roseli
; Santos, Sabrina R. dos
; Santos, Sandra D. dos
; Paiva, Sandra V.
; Santos, Sandro
; Oliveira, Sarah S. de
; Costa, Sávio C.
; Gardner, Scott L.
; Leal, Sebastián A. Muñoz
; Aloquio, Sergio
; Bonecker, Sergio L.C.
; Bueno, Sergio L. de S.
; Almeida, Sérgio M. de
; Stampar, Sérgio N.
; Andena, Sérgio R.
; Posso, Sergio R.
; Lima, Sheila P.
; Gadelha, Sian de S.
; Thiengo, Silvana C.
; Cohen, Simone C.
; Brandão, Simone N.
; Rosa, Simone P.
; Ribeiro, Síria L.B.
; Letana, Sócrates D.
; Santos, Sonia B. dos
; Andrade, Sonia C.S.
; Dávila, Stephane
; Vaz, Stéphanie
; Peck, Stewart B.
; Christo, Susete W.
; Cunha, Suzan B.Z.
; Gomes, Suzete R.
; Duarte, Tácio
; Madeira-Ott, Taís
; Marques, Taísa
; Roell, Talita
; Lima, Tarcilla C. de
; Sepulveda, Tatiana A.
; Maria, Tatiana F.
; Ruschel, Tatiana P.
; Rodrigues, Thaiana
; Marinho, Thais A.
; Almeida, Thaís M. de
; Miranda, Thaís P.
; Freitas, Thales R.O.
; Pereira, Thalles P.L.
; Zacca, Thamara
; Pacheco, Thaynara L.
; Martins, Thiago F.
; Alvarenga, Thiago M.
; Carvalho, Thiago R. de
; Polizei, Thiago T.S.
; McElrath, Thomas C.
; Henry, Thomas
; Pikart, Tiago G.
; Porto, Tiago J.
; Krolow, Tiago K.
; Carvalho, Tiago P.
; Lotufo, Tito M. da C.
; Caramaschi, Ulisses
; Pinheiro, Ulisses dos S.
; 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
; Bertaco, Vinicius de A.
; Padula, Vinícius
; Ferreira, Vinicius S.
; Silva, Vitor C.P. da
; Piacentini, Vítor de Q.
; Sandoval-Gómez, Vivian E.
; Trevine, Vivian
; Sousa, Viviane R.
; Sant’Anna, Vivianne B. de
; Mathis, Wayne N.
; Souza, Wesley de O.
; Colombo, Wesley D.
; Tomaszewska, Wioletta
; Wosiacki, Wolmar B.
; Ovando, Ximena M.C.
; Leite, Yuri L.R.
.
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
3.
Sowing date influence on the soybean tolerance to defoliation at the beginning of pod formation
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Leolato, Lucieli Santini
; Sangoi, Luís
; Martins Junior, Marcos Cardoso
; Oliveira, Vander de Liz
; Durli, Murilo Miguel
; Souza, Clovis Arruda de
.
ABSTRACT Late sowings anticipate flowering and decrease the soybean vegetative plasticity. These changes may limit the ability of plants to tolerate leaf area losses. The objective of this research was to evaluate the sowing date effect on soybean tolerance to defoliation at the beginning of pod formation. The experiment was set in Lages (Santa Catarina State, Brazil) during the 2016/2017 growing season. Two sowing dates were tested: November 2, 2016 (preferential) and December 15, 2016 (late). Five levels of defoliation (0%, 17%, 33%, 50% and 67%) of cultivar NA 5909 RG were imposed at the R3 growth stage. Grain yield showed a quadratic response to defoliation, ranging from 4,313 to 6,478 kg ha-1 in the preferential sowing date and from 3,374 to 4,443 kg ha-1 in the late sowing date. The plants tolerated up to 45.6% of defoliation in early sowing and 55.8% in late sowing, without yield losses, in comparison to the control. The highest level of defoliation reduced grain yield by 26.9% and 13.4% in early and late sowings, respectively, compared to the control. The delay of sowing date did not increase the sensitivity of cultivar NA 5909 RG to defoliation at the beginning of pod formation. plasticity losses formation Santa State Brazil 20162017 2017 2016/201 season tested 2 201 (preferential 15 late. . (late) 0%, 0 (0% 17 17% 33 33% 50 67% 67 590 R stage 4313 4 313 4,31 6478 6 478 6,47 ha1 ha 1 ha- 3374 3 374 3,37 4443 443 4,44 456 45 45.6 558 55 8 55.8 control 269 26 9 26.9 134 13 13.4 respectively 2016201 2016/20 20 (late 0% (0 5 59 431 31 4,3 647 47 6,4 337 37 3,3 444 44 4,4 45. 55. 26. 13. 201620 2016/2 ( 43 4, 64 6, 3, 20162 2016/
4.
Clinical characteristics and outcomes of patients with COVID-19 admitted to the intensive care unit during the first and second waves of the pandemic in Brazil: a single-center retrospective cohort study COVID19 COVID 19 COVID-1 Brazil singlecenter single center COVID1 1 COVID-
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Corrêa, Thiago Domingos
; Midega, Thais Dias
; Cordioli, Ricardo Luiz
; Barbas, Carmen Silvia Valente
; Rabello Filho, Roberto
; Silva, Bruno Caldin da
; Silva Júnior, Moacyr
; Nawa, Ricardo Kenji
; Carvalho, Fabrício Rodrigues Torres de
; Matos, Gustavo Faissol Janot de
; Lucinio, Neide Marcela
; Rodrigues, Rodrigo Dias
; Eid, Raquel Afonso Caserta
; Bravim, Bruno de Arruda
; Pereira, Adriano José
; Santos, Bento Fortunato Cardoso dos
; Pinho, João Renato Rebello
; Pardini, Andreia
; Teich, Vanessa Damazio
; Laselva, Claudia Regina
; Cendoroglo Neto, Miguel
; Klajner, Sidney
; Ferraz, Leonardo José Rolim
.
ABSTRACT Objective To describe and compare the clinical characteristics and outcomes of patients admitted to intensive care units during the first and second waves of the COVID-19 pandemic. Methods In this retrospective single-center cohort study, data were retrieved from the Epimed Monitor System; all adult patients admitted to the intensive care unit between March 4, 2020, and October 1, 2021, were included in the study. We compared the clinical characteristics and outcomes of patients admitted to the intensive care unit of a quaternary private hospital in São Paulo, Brazil, during the first (May 1, 2020, to August 31, 2020) and second (March 1, 2021, to June 30, 2021) waves of the COVID-19 pandemic. Results In total, 1,427 patients with COVID-19 were admitted to the intensive care unit during the first (421 patients) and second (1,006 patients) waves. Compared with the first wave group [median (IQR)], the second wave group was younger [57 (46-70) versus 67 (52-80) years; p<0.001], had a lower SAPS 3 Score [45 (42-52) versus 49 (43-57); p<0.001], lower SOFA Score on intensive care unit admission [3 (1-6) versus 4 (2-6); p=0.018], lower Charlson Comorbidity Index [0 (0-1) versus 1 (0-2); p<0.001], and were less frequently frail (10.4% versus 18.1%; p<0.001). The second wave group used more noninvasive ventilation (81.3% versus 53.4%; p<0.001) and high-flow nasal cannula (63.2% versus 23.0%; p<0.001) during their intensive care unit stay. The intensive care unit (11.3% versus 10.5%; p=0.696) and in-hospital mortality (12.3% versus 12.1%; p=0.998) rates did not differ between both waves. Conclusion In the first and second waves, patients with severe COVID-19 exhibited similar mortality rates and need for invasive organ support, despite the second wave group being younger and less severely ill at the time of intensive care unit admission. COVID19 COVID 19 COVID-1 pandemic singlecenter single center study System 2020 2021 Paulo Brazil May 31 30 total 1427 427 1,42 421 (42 1,006 1006 006 (1,00 median IQR, IQR , (IQR)] 57 [5 4670 46 70 (46-70 6 5280 52 80 (52-80 years p<0.001, p0001 p p<0.001 0 001 p<0.001] 45 [4 4252 42 (42-52 4357 43 (43-57) [ 16 (1-6 26 2 (2-6) p=0.018, p0018 p=0.018 018 p=0.018] 01 (0-1 02 (0-2) 10.4% 104 10 (10.4 18.1% 181 18 p<0.001. . 81.3% 813 81 (81.3 53.4% 534 53 highflow high flow 63.2% 632 63 (63.2 23.0% 230 23 stay 11.3% 113 11 (11.3 10.5% 105 5 p=0.696 p0696 696 inhospital 12.3% 123 12 (12.3 12.1% 121 p=0.998 p0998 998 support COVID1 COVID- 202 142 1,4 (4 1,00 100 00 (1,0 (IQR) 467 7 (46-7 528 8 (52-8 p000 p<0.00 425 (42-5 435 (43-57 (1- (2-6 p001 p=0.01 (0- (0-2 10.4 (10. 18.1 81.3 (81. 53.4 63.2 (63. 23.0 11.3 (11. 10.5 p=0.69 p069 69 12.3 (12. 12.1 p=0.99 p099 99 20 14 ( 1,0 (1, (IQR (46- (52- p00 p<0.0 (42- (43-5 (1 (2- p=0.0 (0 10. (10 18. 81. (81 53. 63. (63 23. 11. (11 p=0.6 p06 12. (12 p=0.9 p09 9 (46 (52 p0 p<0. (43- (2 p=0. (8 (6 (5 p<0 (43 p=0 p< p=
5.
Sistemas de nebulização em idade pediátrica: uso domiciliário em São Miguel
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Arruda, Augusta
; Caldeira, Francisco
; Machado, Ana
; Eloi, Carolina
; Resendes, Carolina
; Fechado, Joana
; Amaral, Beatriz
; Ventura, Ana
.
Revista Portuguesa de Medicina Geral e Familiar
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Abstract Introduction: Respiratory diseases are a major cause of morbidity in the pediatric population. Nebulizers, for years the most suitable devices for administering aerosol therapy in children, have been superseded by simple inhalation devices. Current clinical guidelines restrict the prescription and use of nebulizers. The study aims to investigate the reality of domiciliary use of nebulizing systems in the pediatric age in the São Miguel Island Health Unit. Methods: Observational, analytical, and cross-sectional study. Inclusion criteria: children from zero to seven years and 365 days of age. A face-to-face survey was performed on caregivers of the target population to assess the context of the acquisition, use, and maintenance of nebulizers. A significant sample of 380 users was calculated (95% confidence interval). Results: Participation of 387 caregivers. The average age of children included 2.5 years. 45,7% of participants had a nebulizer and 18,9% reported having a simple inhaler device. The rate of acquisition and use of nebulizers without medical prescription was 67.8% and 79.7%, respectively. The cost of acquiring the nebulization system was between 80 and 150 euros for 38.4% of the participants. Most of the unsupervised use occurred with saline and in the context of nasal obstruction (41.1%) and cough (24.9%). Discussion: The present study reveals an excessive, unsupervised and inappropriate use of nebulizers in pediatric age. The present investigation should encourage the promotion of the use of simple inhaler devices, by educating users, caregivers, and health professionals, aiming to improve local health practice.
Resumo Introdução: As doenças respiratórias são uma causa major de morbilidade em idade pediátrica. Os sistemas de nebulização, durante anos os dispositivos mais indicados para administração de aerossolterapia em crianças, foram suplantados pelos dispositivos simples de inalação. As linhas de orientação clínica atuais restringem a prescrição e utilização de nebulizadores. O objetivo do estudo é investigar a utilização domiciliária de sistemas de nebulização em idade pediátrica na Unidade de Saúde da Ilha de São Miguel. Método: Estudo observacional, transversal e analítico. Inclusão de crianças dos zero aos sete anos e 365 dias de idade, inscritos na Unidade de Saúde da Ilha de São Miguel. Aplicação de inquérito sob a forma de questionário aos acompanhantes da população-alvo para avaliação do contexto de aquisição, utilização e manutenção dos sistemas de nebulização. Calculada uma amostra significativa de 380 utentes (intervalo de confiança de 95%). Resultados: Participação de 387 utentes. Média de idades de 2,5 anos. 45,7% dos inquiridos afirmou possuir um nebulizador, enquanto 18,9% referiu possuir um dispositivo de inalação simples. A taxa de aquisição e utilização dos sistemas de nebulização sem prescrição médica foi de 67,8% e 79,7%, respetivamente. O custo da aquisição do sistema de nebulização foi entre 80 e 150 euros em 38,4%. A maioria da utilização não supervisionada ocorreu com soro fisiológico e no contexto de obstrução nasal (41,1%) e tosse (24,9%). Conclusão: O presente estudo evidencia a aquisição e utilização excessiva, não supervisionada e inapropriada dos sistemas de nebulização. A presente investigação deverá motivar a promoção da utilização dos dispositivos simples através da educação dos utentes, cuidadores e profissionais de saúde, visando melhorar a prática de saúde local.
https://doi.org/10.32385/rpmgf.v38i4.13167
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6.
Soybean tolerance to defoliation at the beginning of pod formation as affected by plant density
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Durli, Murilo Miguel
; Sangoi, Luis
; Souza, Clovis Arruda
; Oliveira, Vander de Liz
; Martins Junior, Marcos Cardoso
; Kuneski, Hugo François
; Leolato, Lucieli Santini
.
ABSTRACT Soybean tolerance to defoliation may be affected by population density, as the plant population interferes with the crop leaf area index . This study aimed to evaluate the effect of defoliation at the beginning of pod formation on the agronomic performance of soybean at different plant densities. The experiment was conducted under field conditions in Campos Novos, SC, Brazil, during 2016/2017 and 2017/2018 growing season. The experimental design was a randomized block in a split-plot arrangement. The main plot consisted of three densities (100,000, 300,000, and 500,000 plants ha−1), whereas the subplots consisted of the cultivar NA 5909 RG submitted to five defoliation levels (0, 16.6, 33.3, 50, and 66.6%). Grain yield ranged from 4,219 to 5,356 kg ha−1 in the 2016/2017 growing season and 3,732 to 5,186 kg ha−1 in the 2017/2018 growing season. Plant density did not interfere with the grain yield response to defoliation performed at the beginning of pod formation. The 16.6% defoliation increase grain yield by 7.5 and 5.6% relative to the control in 2016/2017 and 2017/2018 growing seasons, respectively. The soybean tolerate defoliation of up to 33.3% at R3 with no significant decrease in grain yield, regardless of the plant density.
7.
A GLOSA NO SERTÃO DO PAJEÚ (PERNAMBUCO, BRASIL): FORMAS POÉTICAS E INTERAÇÕES SOCIAIS
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Resumo Este artigo investiga nexos entre formas expressivas e interações sociais a partir de uma análise etnográfica da glosa - uma prática de improviso poético no sertão nordestino - e suas transformações contemporâneas. Para tal, buscou-se conciliar fundamentos teóricos da linguística (estruturação dos códigos comunicativos), da antropologia linguística (a centralidade da situação e dos contrastes entre diferentes códigos) e da etnomusicologia (a necessidade de captar a dimensão concreta, acessível aos sentidos, das estruturas e códigos culturalmente construídos). São referências nesse sentido as contribuições de Steven Feld à análise das artes verbais e suas reflexões teóricas sobre os trânsitos epistemológicos entre linguística e etnomusicologia e sobre as relações entre linguagem, música, som e vida social.
Abstract This article investigates the links between expressive forms and social interactions from an ethnographic analysis of the glosa - a practice of poetic improvisation from the Sertão in the Brazilian Northeast - and its contemporaneous transformations. For such, we sought to combine theoretical frameworks of linguistics (structuring of communicative codes), linguistic anthropology (the central role of situation and contrast among various codes), and ethnomusicology (the need to capture the concrete, sense-accessible dimension of culturally established codes and structures). Steven Feld’s contributions to analyzing verbal arts and his theoretical thoughts on epistemological flows between linguistics and ethnomusicology and on the relations between language, music, sound, and social life are, thus, reference.
8.
REFERENCE VALUES OF THE BODY COMPOSITION OF YOUNG CHILEAN SOCCER PLAYERS
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Carrasco-López, Salustio
; Gomez-Campos, Rossana
; Arruda, Miguel de
; Sulla-Torres, Jose
; Portella, Daniel Leite
; Urzua-Alul, Luis Alberto
; Cossio-Bolaños, Marco
.
RESUMO Objetivo: Analisar se a massa gorda (MG) e a massa livre de gordura (MLG) devem ser avaliadas pela idade cronológica e/ou pela idade biológica, e propor curvas para classificar a composição corporal de jovens futebolistas chilenos. Métodos: Elaborou-se um estudo descritivo transversal. Foram recrutados 642 futebolistas entre 13,0 e 18,9 anos. Massa corporal, estatura, altura tronco-cefálica, dobras cutâneas tricipital e subescapular foram medidas. A maturação biológica foi determinada pela idade de pico de velocidade de crescimento (IPVC) e o percentual de massa gorda foi estimado por equações de regressão. Os percentis de referência foram calculados pelo método LMS. Resultados: Os valores de R2para idade cronológica foram menores (MG = 0,07% e MLG=0,13%) em comparação com os valores para a idade biológica (MG = 0,31% e MLG = 0,50%). Foram calculados 11 percentis (p3, p5, p10, p15, p25, p50, p75, p85, p90, p95 e p97) para a MLG e MG. Conclusão: A idade biológica (IPVC) é um preditor melhor da MLG e da MG do que a idade cronológica. As referências propostas podem servir para monitorar a composição corporal de jovens futebolistas chilenos. Nível de evidência II; Estudo de diagnóstico .
ABSTRACT Objective: To analyze whether fat mass (FM) and fat-free mass (FFM) should be evaluated by chronological age and/or biological age and propose curves to classify the body composition of young Chilean soccer players. Methods: A cross-sectional descriptive study was developed. Six hundred and forty-two soccer players between 13.0 and 18.9 years of age were recruited. Body mass, height, trunk-cephalic height, and tricipital and subscapular skinfolds were evaluated. Biological maturation was determined using peak height velocity age (PHV) and the percentage of fat mass was estimated by regression equations. The reference percentiles were calculated using the LMS method. Results: The values of R2 were lower for chronological age (FM = 0.07% and FFM = 0.13%) than for biological age (FM = 0.31% and FFM = 0.50%). Eleven percentiles (p3, p5, p10, p15, p25, p50, p75, p85, p90, p95 and p97) were calculated for FFM and FM. Conclusion: Biological age (PHV) is a better predictor of FFM and FM than chronological age. The references proposed can be used to monitor the body composition of young Chilean soccer players. Level of Evidence II; Diagnostic Study .
Resumen Objetivo: Analizar si la masa grasa (MG) y la masa libre de grasa (MLG) deben ser evaluadas por la edad cronológica y/o por la edad biológica, y proponer curvas para clasificar la composición corporal de jóvenes futbolistas chilenos. Métodos: Se elaboró un estudio descriptivo transversal. Fueron reclutados 642 futbolistas entre 13,0 y 18,9 años. Fueron medidas masa corporal, estatura, altura tronco-cefálica, pliegues cutáneos tricipital y subescapular. La madurez biológica fue determinada por la edad de pico de velocidad de crecimiento (EPVC) y el porcentual de masa grasa fue estimado por ecuaciones de regresión. Los percentiles de referencia fueron calculados por el método LMS. Resultados: Los valores de R2 para edad cronológica fueron menores (MG=0,07% y MLG=0,13%) en comparación con los valores para la edad biológica (MG=0,31% y MLG=0,50%). Fueron calculados 11 percentiles (p3, p5, p10, p15, p25, p50, p75, p85, p90, p95 y p97) para la MLG y MG. Conclusión: La edad biológica (EPVC) es un predictor mejor de la MLG y de la MG que la edad cronológica. Las referencias propuestas pueden servir para monitorizar la composición corporal de jóvenes futbolistas chilenos. Nivel de evidencia II; Estudio de diagnóstico .
https://doi.org/10.1590/1517-869220212702188714
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9.
Impact of social protection programs on adults diagnosed with Tuberculosis: systematic review
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Aragão, Francisca Bruna Arruda
; Arcêncio, Ricardo Alexandre
; Fuentealba-Torres, Miguel
; Carneiro, Tânia Silva Gomes
; Souza, Ludmilla Leidianne Limíro
; Alves, Yan Mathias
; Fiorati, Regina Célia
.
RESUMO Objetivos: analisar o impacto dos programas de proteção social em pessoas adultas com diagnóstico de Tuberculose. Métodos: revisão sistemática conduzida pelo PRISMA, com registro PROSPERO n° CRD42019130884. Os estudos foram identificados nas bases de dados BVS, PubMed, Scielo, CINAHL e Scopus, a partir dos descritores “Proteção Social” e “Tuberculose”, em combinação com palavras-chave combinadas com operadores booleanos AND e OR. Incluíram-se estudos observacionais e de intervenção, publicados até o dia 23 de outubro de 2019, nos idiomas português, inglês e espanhol. Resultados: os programas de proteção social melhoram o tratamento da Tuberculose, as taxas de cura, a aderência ao tratamento, a prestação de serviços para o controle da TB, além de reduzirem a pobreza. Conclusões: os programas de proteção social impactam de forma positiva no tratamento e controle das pessoas com diagnóstico de Tuberculose.
ABSTRACT Objectives: to analyze the impact of social protection programs on adults diagnosed with Tuberculosis. Methods: systematic review conducted by PRISMA, with registration PROSPERO CRD42019130884. The studies were identified in the VHL, PubMed, Scielo, CINAHL and Scopus databases, using the descriptors “Social Protection” and “Tuberculosis”, in combination with keywords combined with Boolean operators AND and OR. Observational and interventional studies published until October 23, 2019, in Portuguese, English and Spanish, were included. Results: social protection programs improve the treatment of tuberculosis, cure rates, adherence to treatment, the provision of services for the control of TB and reduce poverty. Conclusions: social protection programs have a positive impact on the treatment and control of people diagnosed with Tuberculosis.
RESUMEN Objetivos: analizar el impacto de los programas sociales de adultos con diagnóstico de Tuberculosis. Métodos: se trata de una revisión sistemática conducida por PRISMA, con registro PROSPERO n° CRD42019130884. Los estudios se identificaron en las bases de datos BVS, PubMed, Scielo, CINAHL y Scopus, a partir de los descriptores “Protección Social” y “Tuberculosis”, y palabras clave combinadas con operadores booleanos AND y OR. Estaban incluidos los estudios observacionales y de intervención, publicados hasta el día 23 de octubre de 2019, en los idiomas portugués, inglés y español. Resultados: los programas de protección social mejoran el tratamiento de la tuberculosis, las tasas de curación, la adhesión al tratamiento, la prestación de servicios para el control de la TB, además de reducir la pobreza. Conclusiones: los programas sociales tienen un impacto positivo en el tratamiento y control de las personas diagnosticadas de tuberculosis.
https://doi.org/10.1590/0034-7167-2019-0906
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10.
Clinical characteristics and outcomes of COVID-19 patients admitted to the intensive care unit during the first year of the pandemic in Brazil: a single center retrospective cohort study
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Corrêa, Thiago Domingos
; Midega, Thais Dias
; Timenetsky, Karina Tavares
; Cordioli, Ricardo Luiz
; Barbas, Carmen Silvia Valente
; Silva Júnior, Moacyr
; Bravim, Bruno de Arruda
; Silva, Bruno Caldin
; Matos, Gustavo Faissol Janot de
; Nawa, Ricardo Kenji
; Carvalho, Fabrício Rodrigues Torres de
; Queiroz, Verônica Neves Fialho
; Rabello Filho, Roberto
; Piza, Felipe Maia de Toledo
; Pereira, Adriano José
; Pesavento, Marcele Liliane
; Eid, Raquel Afonso Caserta
; Santos, Bento Fortunato Cardoso dos
; Pardini, Andreia
; Teich, Vanessa Damázio
; Laselva, Claudia Regina
; Cendoroglo Neto, Miguel
; Klajner, Sidney
; Ferraz, Leonardo José Rolim
.
RESUMO Objetivo: Descrever características clínicas, uso de recursos e desfechos e identificar preditores de mortalidade intra-hospitalar de pacientes com COVID-19 admitidos na unidade de terapia intensiva. Métodos: Estudo de coorte retrospectivo, em centro único, realizado em um hospital privado localizado em São Paulo (SP). Pacientes adultos (≥18 anos) admitidos consecutivamente na unidade de terapia intensiva, entre 4 de março de 2020 a 28 de fevereiro de 2021, foram incluídos neste estudo. Os pacientes foram classificados como sobreviventes e não sobreviventes, de acordo com a alta hospitalar. Resultados: Durante o período do estudo, 1.296 pacientes [mediana (intervalo interquartil) de idade: 66 (53-77) anos] com COVID-19 foram admitidos na unidade de terapia intensiva. Destes, 170 (13,6%) pacientes morreram no hospital (não sobreviventes), e 1.078 (86,4%) receberam alta hospitalar (sobreviventes). Comparados aos sobreviventes, os não sobreviventes eram mais idosos [80 (70-88) versus 63 (50-74) anos; p<0,001], apresentavam pontuação mais alta no sistema prognóstico Simplified Acute Physiology Score 3 [59 (54-66) versus 47 (42-53); pontos p<0,001] e tinham mais comorbidades. Durante a internação na unidade de terapia intensiva, 56,6% dos pacientes usaram ventilação não invasiva, 32,9% usaram ventilação mecânica invasiva, 31,3% usaram cateter nasal de alto fluxo, 11,7% foram submetidos à terapia renal substitutiva, e 1,5% usou oxigenação por membrana extracorpórea. Os preditores independentes de mortalidade intra-hospitalar foram idade, Sequential Organ Failure Assessment, Índice de Comorbidade de Charlson, necessidade de ventilação mecânica, uso de cateter nasal de alto fluxo, uso de terapia renal substitutiva e suporte por oxigenação por membrana extracorpórea. Conclusão: Pacientes com quadros graves da COVID-19 admitidos na unidade de terapia intensiva apresentaram considerável mortalidade e morbidade, com alta demanda de terapia de suporte e internação prolongada em unidade de terapia intensiva e hospitalar.
ABSTRACT Objective: To describe clinical characteristics, resource use, outcomes, and to identify predictors of in-hospital mortality of patients with COVID-19 admitted to the intensive care unit. Methods: Retrospective single-center cohort study conducted at a private hospital in São Paulo (SP), Brazil. All consecutive adult (≥18 years) patients admitted to the intensive care unit, between March 4, 2020 and February 28, 2021 were included in this study. Patients were categorized between survivors and non-survivors according to hospital discharge. Results: During the study period, 1,296 patients [median (interquartile range) age: 66 (53-77) years] with COVID-19 were admitted to the intensive care unit. Out of those, 170 (13.6%) died at hospital (non-survivors) and 1,078 (86.4%) were discharged (survivors). Compared to survivors, non-survivors were older [80 (70-88) versus 63 (50-74) years; p<0.001], had a higher Simplified Acute Physiology Score 3 [59 (54-66) versus 47 (42-53) points; p<0.001], and presented comorbidities more frequently. During the intensive care unit stay, 56.6% of patients received noninvasive ventilation, 32.9% received mechanical ventilation, 31.3% used high flow nasal cannula, 11.7% received renal replacement therapy, and 1.5% used extracorporeal membrane oxygenation. Independent predictors of in-hospital mortality included age, Sequential Organ Failure Assessment score, Charlson Comorbidity Index, need for mechanical ventilation, high flow nasal cannula, renal replacement therapy, and extracorporeal membrane oxygenation support. Conclusion: Patients with severe COVID-19 admitted to the intensive care unit exhibited a considerable morbidity and mortality, demanding substantial organ support, and prolonged intensive care unit and hospital stay.
11.
Embolization in Patient with Hypovolemic Shock after Transobturator Sling Procedure
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Arruda, Germano José Ferraz de
; Bonfitto, Miguel
; Arruda Neto, Jerônimo Ferraz de
; Spessoto, Luis Cesar Fava
; Arruda, José Germano Ferraz de
; Fácio Jr., Fernando Nestor
.
Revista Brasileira de Ginecologia e Obstetrícia
- Journal Metrics
Resumo Sling de uretra média é o tratamento padrão para a incontinência urinária de esforço. A abordagem transobturatória (TOT) surgiu como alternativa para minimizar os riscos da inserção às cegas das agulhas com taxa de complicações perfurativas menores quando comparadas à abordagem retropúbica. Apresentamos um caso de lesão em ramo da artéria obturatória esquerda após sling TOT que evoluiu com sangramento intenso e instabilidade hemodinâmica, sendo tratado com embolização.
Abstract The placement of a suburethral sling is standard treatment for stress urinary incontinence. The transobturator technique (TOT) emerged as an alternative to minimize the risks of the blind insertion of needles, leading to a lower rate of perforation complications compared with the retropubic approach. We present a case of injury to a branch of the left obturator artery following the placement of a urethral sling using TOT, followed by intense bleeding and hemodynamic instability, which was treated with embolization.
https://doi.org/10.1055/s-0040-1718435
358 downloads
12.
DEFOLIATION LEVELS AT VEGETATIVE AND REPRODUCTIVE STAGES OF SOYBEAN CULTIVARS WITH DIFFERENT RELATIVE MATURITY GROUPS
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DURLI, MURILO MIGUEL
; SANGOI, LUIS
; SOUZA, CLOVIS ARRUDA
; LEOLATO, LUCIELI SANTINI
; TUREK, THAIS LEMOS
; KUNESKI, HUGO FRANCOIS
.
RESUMO A tolerância da soja à desfolha pode ser afetada pelo grupo de maturação relativa (GMR) da cultivar. Este trabalho foi conduzido objetivando avaliar os efeitos da desfolha artificial nas fases vegetativa e reprodutiva sobre o desempenho agronômico de cultivares de soja com diferentes grupos de maturação. Foram conduzidos dois experimentos em casa de vegetação, no município de Lages, SC. No primeiro a desfolha foi realizada em V6 e no segundo em R3. Avaliaram-se três cultivares com grupos de maturação relativa (GMR) contrastantes: BMX Veloz (GM 5.0, hábito de crescimento indeterminado), NA 5909 (GM 5.9, hábito de crescimento indeterminado) e TMG 7262 (GM 6.2, hábito de crescimento semideterminado). Cada cultivar foi submetida a cinco níveis de desolha: 0%, 16,6%, 33,3%, 50% e 66,6%. Avaliou-se a expansão foliar após a desfolha, o rendimento de grãos e seus componentes. A cultivar BMX Veloz apresentou menor capacidade de expansão foliar e menor rendimento de grãos do que as demais cultivares quando desfolhada em V6. O rendimento de grãos das três cultivares somente sofreu decréscimos significativos com desfolhas superiores a 16,6% em R3. Portanto, a cultivar BMX Veloz é menos tolerante à desfolha na fase vegetativa do que as cultivares NA 5909 e TMG 7262. O grupo de maturação da cultivar não interfere na tolerância da soja à desfolha na fase reprodutiva sob condições de casa de vegetação.
ABSTRACT Soybean tolerance to defoliation may be affected by relative maturity group (RMG) of the cultivar. For this reason, this study was carried out to evaluate the effects of artificial defoliation at vegetative and reproductive stages on the agronomic performance of soybean cultivars with different RMG. Two experiments were carried out in greenhouse conditions in Lages, Santa Catarina State, Brazil. Defoliation was carried out at V6 in the first experiment and at R3 in the second experiment. Three cultivars with contrasting RMG were used: BMX Veloz (RMG of 5.0, indeterminate growth habit), NA 5909 (RMG of 5.9, indeterminate growth habit), and TMG 7262 (RMG of 6.2, semi-determinate growth habit). Each cultivar was submitted to five defoliation levels: 0.0, 16.6, 33.3, 50.0, and 66.6%. Leaf expansion after defoliation, grain yield and its components were determined. The BMX Veloz showed lower leaf expansion capacity and lower grain yield when compared to the other cultivars when defoliated at V6. Grain yield of the three cultivars only showed significant decreases with defoliation levels higher than 16.6% at R3. The cultivar BMX Veloz is less tolerant to defoliation during the vegetative stage when compared to the cultivars NA 5909 and TMG 7262. Cultivar maturity group does not interfere with soybean tolerance to defoliation at the reproductive stage in greenhouse conditions.
https://doi.org/10.1590/1983-21252020v33n213rc
1038 downloads
13.
Guideline of the Brazilian Society of Cardiology on Telemedicine in Cardiology - 2019
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Lopes, Marcelo Antônio Cartaxo Queiroga
; Oliveira, Gláucia Maria Moraes de
; Ribeiro, Antonio Luiz Pinho
; Pinto, Fausto J.
; Rey, Helena Cramer Veiga
; Zimerman, Leandro Ioschpe
; Rochitte, Carlos Eduardo
; Bacal, Fernando
; Polanczyk, Carisi Anne
; Halperin, Cidio
; Araújo, Edson Correia
; Mesquita, Evandro Tinoco
; Arruda, José Airton
; Rohde, Luis Eduardo Paim
; Grinberg, Max
; Moretti, Miguel
; Caramori, Paulo Ricardo Avancini
; Botelho, Roberto Vieira
; Brandão, Andréa Araújo
; Hajjar, Ludhmila Abrahão
; Santos, Alexandre Fonseca
; Colafranceschi, Alexandre Siciliano
; Etges, Ana Paula Beck da Silva
; Marino, Bárbara Campos Abreu
; Zanotto, Bruna Stella
; Nascimento, Bruno Ramos
; Medeiros, Cesar Rocha
; Santos, Daniel Vitor de Vasconcelos
; Cook, Daniela Matos Arrowsmith
; Antoniolli, Eduardo
; Souza Filho, Erito Marques de
; Fernandes, Fábio
; Gandour, Fabio
; Fernandez, Francisco
; Souza, Germano Emilio Conceição
; Weigert, Guilherme de Souza
; Castro, Iran
; Cade, Jamil Ribeiro
; Figueiredo Neto, José Albuquerque de
; Fernandes, Juliano de Lara
; Hadlich, Marcelo Souza
; Oliveira, Marco Antonio Praça
; Alkmim, Maria Beatriz
; Paixão, Maria Cristina da
; Prudente, Maurício Lopes
; Aguiar Netto, Miguel A. S.
; Marcolino, Milena Soriano
; Oliveira, Monica Amorim de
; Simonelli, Osvaldo
; Lemos Neto, Pedro A.
; Rosa, Priscila Raupp da
; Figueira, Renato Minelli
; Cury, Roberto Caldeira
; Almeida, Rodrigo Coelho
; Lima, Sandra Regina Franco
; Barberato, Silvio Henrique
; Constancio, Thiago Inocêncio
; Rezende, Wladimir Fernandes de
.
https://doi.org/10.5935/abc.20190205
5274 downloads
14.
Body mass index and physical fitness in Brazilian adolescents
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Lopes, Vitor P.
; Malina, Robert M.
; Gomez-Campos, Rossana
; Cossio-Bolaños, Marco
; Arruda, Miguel de
; Hobold, Edilson
.
Resumo Objetivo: Avaliar a relação entre o índice de massa corporal e a aptidão física em uma amostra transversal de jovens brasileiros. Métodos: Os participantes foram 3.849 adolescentes (2.027 meninas) entre 10-17 anos. Foram medidos o peso e a estatura e foi calculado o índice de massa corporal. A aptidão física foi avaliada com: a corrida vaivém de 20 metros de vários estágios (resistência cardiovascular), impulsão horizontal (energia) e flexões (força superior do corpo). Os participantes foram agrupados por sexo em quatro faixas etárias: 10-11, 12-13, 14-15 e 16-17 anos. A Anova específica para sexo foi usada para avaliar as diferenças em cada item de aptidão física entre as categorias de status do peso por faixa etária. As relações entre o índice de massa corporal e cada item de aptidão física foram avaliadas com os modelos de regressão quadrática por faixa etária com relação ao sexo. Resultados: A aptidão física de jovens magros e normais foi, com poucas exceções, significativamente melhor do que a aptidão física de jovens com sobrepeso e obesos em cada faixa etária por sexo. Por outro lado, os desempenhos na aptidão física não diferiram de forma consistente, em média, entre jovens magros e com peso normal e entre jovens com sobrepeso e obesos. Os resultados das regressões quadráticas indicaram uma relação curvilínea (parabólica) entre o índice de massa corporal e cada item de aptidão física na maior parte das faixas etárias. Os melhores desempenhos foram obtidos pelos adolescentes na faixa intermediária da distribuição do índice de massa corporal, ao passo que os desempenhos dos jovens nas extremidades inferiores e superiores da distribuição do índice de massa corporal foram menores. Conclusão: As relações entre o índice de massa corporal e a aptidão física foram, em geral, não lineares (parabólica) nos jovens entre 10-17 anos.
Abstract Objective: Evaluate the relationship between body mass index and physical fitness in a cross-sectional sample of Brazilian youth. Methods: Participants were 3849 adolescents (2027 girls) aged 10 -17 years. Weight and height were measured; body mass index was calculated. Physical fitness was evaluated with a multistage 20 m shuttle run (cardiovascular endurance), standing long jump (power), and push-ups (upper body strength). Participants were grouped by sex into four age groups: 10 -11, 12 -13, 14 -15, and 16 -17 years. Sex-specific ANOVA was used to evaluate differences in each physical fitness item among weight status categories by age group. Relationships between body mass index and each physical fitness item were evaluated with quadratic regression models by age group within each sex. Results: The physical fitness of thin and normal youth was, with few exceptions, significantly better than the physical fitness of overweight and obese youth in each age group by sex. On the other hand, physical fitness performances did not consistently differ, on average, between thin and normal weight and between overweight and obese youths. Results of the quadratic regressions indicated a curvilinear (parabolic) relationship between body mass index and each physical fitness item in most age groups. Better performances were attained by adolescents in the mid-range of the body mass index distribution, while performances of youth at the low and high ends of the body mass index distribution were lower. Conclusion: Relationships between the body mass index and physical fitness were generally nonlinear (parabolic) in youth 10 -17 years.
https://doi.org/10.1016/j.jped.2018.04.003
1864 downloads
15.
Evaluación de los trastornos del sueño y propuesta de percentiles para los adolescentes
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Gómez Campos, Rossana
; Lazari, Evandro
; de Arruda, Miguel
; Pacheco Carrillo, Jaime
; Urra-Albornoz, Camilo
; Cossio-Bolaños, Marco
.
Objectives. The objectives of this study included: a) to develop a valid and reliable self-reporting instrument to assess sleep disorders among Chilean adolescent students and b) to develop percentiles for age and sex.
Objetivos. Los objetivos del estudio fueron los siguientes: a) construir un instrumento válido y confiable que evaluara, por autoinforme, los trastornos del sueño en adolescentes escolares chilenos y b) desarrollar valores percentílicos según la edad y el sexo. Metodología. Se efectuó un estudio de tipo descriptivo de corte transversal en 2310 adolescentes escolares de la Región del Maule, Chile. Se construyó el autoinforme de trastornos del sueño considerando cinco categorías (duración, alteraciones, problemas en la respiración, fatiga y uso de estimulantes). Se validó por medio del análisis factorial confirmatorio. La fiabilidad se evaluó por la consistencia interna. Se crearon percentiles a través del método LMS (L: asimetría, M: mediana y S: coeficiente de variación). Resultados. Las preguntas 3, 9 y 12 presentaron saturaciones inferiores a 0,40, y las demás preguntas reflejaron saturaciones superiores a 0,41. El valor de adecuación Kaiser-Meyer-Olkin fue 0,749 y la prueba de esfericidad de X2= 4790,09; el porcentaje de la varianza explicó el 62,1 %. El alfa de Cronbach mostró valores entre 0,71 y 0,76. Conclusión. El autoinforme desarrollado para medir los trastornos del sueño en los adolescentes puede ser aplicado de forma válida y confiable en programas de ciencias de la salud, de la educación y del deporte. Se sugiere el uso de percentiles para identificar los patrones normales y/o trastornos del sueño por edad y género.
https://doi.org/10.5546/aap.2019.73
540 downloads
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