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1.
Existem diferenças entre homens e mulheres quanto aos fatores associados à ingestão de cálcio? cálcio
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Luz, Renata
; Barros, Marilisa Berti de Azevedo
; Medina, Lhaís de Paula Barbosa
; Assumpção, Daniela de
; Barros Filho, Antonio de Azevedo
.
Resumo O objetivo do artigo é verificar se existem diferenças entre os sexos quanto aos fatores que se associam à ingestão de cálcio. Estudo realizado com dados de inquérito de saúde, em amostra de 1.640 indivíduos de 20 anos ou mais residentes no município de Campinas-SP. A ingestão de cálcio foi obtida por meio de um recordatório de 24 horas (R24h) e analisada segundo variáveis sociodemográficas, de comportamentos de saúde, frequência de refeições e índice de massa corporal (IMC); a presença de associações foi verificada por meio de testes de regressão linear múltipla. O perfil de fatores associados à ingestão de cálcio diferiu entre os sexos. A prática de atividade física no contexto de lazer só se associou ao consumo de cálcio no sexo masculino, enquanto cor da pele, tabagismo, renda, excesso de peso e frequência do café da manhã mostraram associação apenas no sexo feminino. Escolaridade e realização de lanches intermediários mostraram-se associadas à ingestão de cálcio em ambos os sexos. A análise aponta segmentos da população feminina e masculina em que a importância da ingestão de cálcio precisa ser mais enfatizada; além disso, alerta para a importância do desenvolvimento de análises de saúde estratificadas por sexo em decorrência de diferentes padrões comportamentais que prevalecem entre os sexos. 1640 1 640 1.64 2 CampinasSP. CampinasSP Campinas SP. SP Campinas-SP R24h Rh R h (R24h sociodemográficas IMC (IMC) múltipla masculino pele tabagismo renda feminino mostraramse enfatizada disso 164 64 1.6 (IMC 16 6 1.
Abstract The scope of this article is to verify if there are differences in factors associated with calcium intake between men and women. It is based on a study conducted with data from a health survey in a sample of 1641 individuals aged 20 years or more living in the urban area of the city of Campinas, in the State of São Paulo. Calcium intake was obtained from a 24-hour recall (24hr recall method) and analyzed according to sociodemographic variables, health behavior, frequency of meals and body mass index (BMI). The existence of associations was verified by multiple linear regression tests, and it was detected that the profile of associated factors differed between genders. Physical exercise in the leisure context was only associated with calcium intake in males, while skin color, smoking, income, overweight/obesity, and frequency of having breakfast only revealed an association in females. Schooling and having snacks were associated with calcium intake in both sexes. The analysis of the associated factors indicates segments of the female and male population in which the importance of calcium intake needs to be more closely examined. Furthermore, it highlights the importance of conducting health analyses stratified by sex due to the different behavioral patterns that prevail between the sexes. women 164 2 Campinas Paulo 24hour hour 24 24hr hr method variables behavior BMI. BMI . (BMI) tests genders males color smoking income overweightobesity overweight obesity overweight/obesity females sexes examined Furthermore 16 (BMI 1
2.
Existem diferenças entre homens e mulheres quanto aos fatores associados à ingestão de cálcio?
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Luz, Renata
; Barros, Marilisa Berti de Azevedo
; Medina, Lhaís de Paula Barbosa
; Assumpção, Daniela de
; Barros Filho, Antonio de Azevedo
.
Resumo O objetivo do artigo é verificar se existem diferenças entre os sexos quanto aos fatores que se associam à ingestão de cálcio. Estudo realizado com dados de inquérito de saúde, em amostra de 1.640 indivíduos de 20 anos ou mais residentes no município de Campinas-SP. A ingestão de cálcio foi obtida por meio de um recordatório de 24 horas (R24h) e analisada segundo variáveis sociodemográficas, de comportamentos de saúde, frequência de refeições e índice de massa corporal (IMC); a presença de associações foi verificada por meio de testes de regressão linear múltipla. O perfil de fatores associados à ingestão de cálcio diferiu entre os sexos. A prática de atividade física no contexto de lazer só se associou ao consumo de cálcio no sexo masculino, enquanto cor da pele, tabagismo, renda, excesso de peso e frequência do café da manhã mostraram associação apenas no sexo feminino. Escolaridade e realização de lanches intermediários mostraram-se associadas à ingestão de cálcio em ambos os sexos. A análise aponta segmentos da população feminina e masculina em que a importância da ingestão de cálcio precisa ser mais enfatizada; além disso, alerta para a importância do desenvolvimento de análises de saúde estratificadas por sexo em decorrência de diferentes padrões comportamentais que prevalecem entre os sexos.
Abstract The scope of this article is to verify if there are differences in factors associated with calcium intake between men and women. It is based on a study conducted with data from a health survey in a sample of 1641 individuals aged 20 years or more living in the urban area of the city of Campinas, in the State of São Paulo. Calcium intake was obtained from a 24-hour recall (24hr recall method) and analyzed according to sociodemographic variables, health behavior, frequency of meals and body mass index (BMI). The existence of associations was verified by multiple linear regression tests, and it was detected that the profile of associated factors differed between genders. Physical exercise in the leisure context was only associated with calcium intake in males, while skin color, smoking, income, overweight/obesity, and frequency of having breakfast only revealed an association in females. Schooling and having snacks were associated with calcium intake in both sexes. The analysis of the associated factors indicates segments of the female and male population in which the importance of calcium intake needs to be more closely examined. Furthermore, it highlights the importance of conducting health analyses stratified by sex due to the different behavioral patterns that prevail between the sexes.
3.
Selection of pollinator cultivars for pear trees in a subtropical climate
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Suárez, Natália Ferreira
; Moreira, Renata Amato
; Abreu, Rafael Azevedo Arruda de
; Rossi, Maira Ferreira de Melo
; Zambon, Carolina Ruiz
; Latini, Anderson Oliveira
; Curi, Paula Nogueira
; Pio, Rafael
.
ABSTRACT The economic exploration of pear in the subtropical areas is possible when using hybrid cultivars obtained by crossing European (Pyrus communis) and Asian cultivars (Pyrus pyrifolia). Genetic improvement programs in Brazil have launched some cultivars in recent decades. Pear requires cross-pollination to improve fruit set in commercial plantations. In the case of these hybrid pear trees, the combinations of pollen receptor and donor cultivars that are best for cultivation in subtropical regions are not known. The objective of this study was to select cultivars with the potential to be pollinators of pear trees in subtropical regions. Four cultivars that received pollen grains (mother plants) (‘Packham’s Triumph’, ‘Tenra’, ‘Triunfo’, and ‘Seleta’) and three donors (‘Cascatense’, ‘Primorosa’, and ‘Shinseiki’) were used. Stigmatic receptivity was observed in all cultivars during all stages of reproductive development. All cultivars had highly viable pollen grains. The cultivar ‘Seleta’ was the best recipient cultivar. The ‘Seleta’ × ‘Shinseiki’ cross showed the highest percentages of fruiting. The highest percentages of pistils with pollen tubes reaching the ovary were observed in the crosses ‘Triunfo’ × ‘Shinseiki’ and ‘Seleta’ × ‘Shinseiki’. The ‘Shinseiki’ pear is an option as a pollinator of crops in subtropical regions. Pyrus communis pyrifolia. pyrifolia . pyrifolia) decades crosspollination pollination plantations known mother plants ‘Packhams Packhams ‘Packham s Packham Triumph, Triumph , Triumph’ ‘Tenra, Tenra ‘Tenra ‘Tenra’ ‘Triunfo, Triunfo ‘Triunfo ‘Seleta Seleta ‘Cascatense, Cascatense ‘Cascatense (‘Cascatense’ ‘Primorosa, Primorosa ‘Primorosa ‘Primorosa’ ‘Shinseiki Shinseiki used development fruiting ‘Shinseiki. (‘Cascatense
4.
VATICAN (Ventilator-Associated Tracheobronchitis Initiative to Conduct Antibiotic Evaluation): protocol for a multicenter randomized open-label trial of watchful waiting versus antimicrobial therapy for ventilator-associated tracheobronchitis VentilatorAssociated Ventilator Associated Evaluation Evaluation) openlabel open label ventilatorassociated ventilator associated
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Tomazini, Bruno Martins
; Besen, Bruno Adler Maccagnan Pinheiro
; Dietrich, Camila
; Gandara, Ana Paula Rossi
; Silva, Debora Patrícia
; Pinheiro, Carla Cristina Gomes
; Luz, Mariane Nascimento
; Mattos, Renata Rodrigues de
; Reis, Luiz Fernando Lima
; Roepke, Roberta Muriel Longo
; Duarte, Carlos Sérgio Luna Gomes
; Nassar Júnior, Antônio Paulo
; Veiga, Viviane Cordeiro
; Arns, Beatriz
; Nascimento, Giovanna Marssola
; Pereira, Adriano José
; Cavalcanti, Alexandre Biasi
; Machado, Flávia Ribeiro
; Azevedo, Luciano Cesar Pontes
.
RESUMO Contexto A traqueobronquite associada ao ventilador é uma condição comum entre pacientes ventilados invasivamente em unidades de terapia intensiva, para a qual se desconhece atualmente a melhor estratégia de tratamento. Desenhamos o estudo VATICAN (Ventilator-Associated Tracheobronchitis Initiative to Conduct Antibiotic Evaluation) para avaliar se uma estratégia de tratamento antibiótico de espera vigilante não é inferior ao tratamento antibiótico de rotina para traqueobronquite associada ao ventilador em relação aos dias sem ventilador mecânico. Métodos O VATICAN é um estudo randomizado, controlado, aberto e multicêntrico de não inferioridade. Os pacientes com suspeita de traqueobronquite associada ao ventilador sem evidência de pneumonia associada ao ventilador ou instabilidade hemodinâmica devido a uma provável infecção serão designados para uma estratégia de espera vigilante, sem administração profilática de antimicrobianos contra traqueobronquite associada ao ventilador e prescrição de antimicrobianos somente em casos de pneumonia associada ao ventilador, sepse ou choque séptico, ou outro diagnóstico infeccioso, ou para uma estratégia de tratamento antimicrobiano de rotina por 7 dias. O desfecho primário será o número de dias sem ventilador mecânico em 28 dias, e um desfecho secundário importante será a sobrevida sem pneumonia associada ao ventilador. Por meio de uma estrutura de intenção de tratar com análise de sensibilidade por protocolo, a análise do desfecho primário abordará a não inferioridade com margem de 20%, o que se traduz em uma diferença de 1,5 dia sem ventilador. Outras análises seguirão uma estrutura de análise de superioridade. Conclusão O VATICAN seguirá todos os padrões éticos nacionais e internacionais. O objetivo é publicar o estudo em um periódico geral de alta visibilidade e apresentá-lo em conferências de cuidados intensivos e doenças infecciosas para divulgação. Estes resultados provavelmente serão imediatamente aplicáveis à beira do leito após a conclusão do estudo e fornecerão informações com baixo risco de viés para o desenvolvimento de diretrizes. intensiva VentilatorAssociated Ventilator Associated Evaluation randomizado controlado séptico infeccioso 2 protocolo 20 20% 15 1 5 1, superioridade internacionais apresentálo apresentá lo divulgação diretrizes
ABSTRACT Background Ventilator-associated tracheobronchitis is a common condition among invasively ventilated patients in intensive care units, for which the best treatment strategy is currently unknown. We designed the VATICAN (Ventilator-Associated Tracheobronchitis Initiative to Conduct Antibiotic Evaluation) trial to assess whether a watchful waiting antibiotic treatment strategy is noninferior to routine antibiotic treatment for ventilator-associated tracheobronchitis regarding days free of mechanical ventilation. Methods VATICAN is a randomized, controlled, open-label, multicenter noninferiority trial. Patients with suspected ventilator-associated tracheobronchitis without evidence of ventilator-associated pneumonia or hemodynamic instability due to probable infection will be assigned to either a watchful waiting strategy, without antimicrobial administration for ventilator-associated tracheobronchitis and prescription of antimicrobials only in cases of ventilator-associated pneumonia, sepsis or septic shock, or another infectious diagnosis, or to a routine antimicrobial treatment strategy for seven days. The primary outcome will be mechanical ventilation-free days at 28 days, and a key secondary outcome will be ventilator-associated pneumonia-free survival. Through an intention-to-treat framework with a per-protocol sensitivity analysis, the primary outcome analysis will address noninferiority with a 20% margin, which translates to a 1.5 difference in ventilator-free days. Other analyses will follow a superiority analysis framework. Conclusion The VATICAN trial will follow all national and international ethical standards. We aim to publish the trial in a high-visibility general journal and present it at critical care and infectious disease conferences for dissemination. These results will likely be immediately applicable to the bedside upon trial completion and will provide information with a low risk of bias for guideline development. Ventilatorassociated Ventilator associated units unknown VentilatorAssociated Associated Evaluation ventilatorassociated ventilator ventilation randomized controlled openlabel, openlabel open label, label open-label shock diagnosis ventilationfree 2 pneumoniafree survival intentiontotreat intention treat perprotocol per protocol 20 margin 15 1 5 1. ventilatorfree standards highvisibility high visibility dissemination development
5.
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
6.
Fatores associados à ingestão de cálcio em adultos e idosos de um município do sudeste brasileiro
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Luz, Renata
; Barros, Marilisa Berti de Azevedo
; Assumpção, Daniela de
; Fontanelli, Mariane de Mello
; Barros Filho, Antonio de Azevedo
.
Resumo Introdução O cálcio é um mineral essencial para inúmeras funções do organismo, não obstante, fatores associados à sua ingestão por adultos e idosos ainda não foram suficientemente estudados. Objetivo Estimar a ingestão média de cálcio tanto em adultos quanto em idosos, identificando os fatores associados a sua ingestão e as principais fontes alimentares deste mineral. Método Foram analisados os dados de uma amostra composta por 1.643 indivíduos, utilizando o inquérito do Inquérito Domiciliar de Consumo Alimentar e Estado Nutricional (ISACamp-Nutri) realizado em 2015 em Campinas, SP. A ingestão de cálcio foi avaliada por meio do Recordatório Alimentar de 24 horas (R24h). As diferenças entre as médias foram estimadas por meio de regressão linear de acordo com as variáveis sociodemográficas, o estado de saúde, o estilo de vida e a frequência de refeições dos participantes. Resultados A média de ingestão de cálcio foi de 542,5 mg/dia. O modelo final indicou que as médias foram inferiores nos homens, nos negros, naqueles com menores níveis de renda e de escolaridade, nos indivíduos com sobrepeso/obesidade e naqueles que faziam café da manhã e lanches com menos frequência. Ademais, demonstrou-se que os produtos lácteos contribuíram com apenas 40,6% da ingestão deste mineral. Conclusão Os resultados da presente pesquisa apontam que a ingestão de cálcio se encontra muito abaixo do recomendado, sendo ainda menor nos grupos populacionais supramencionados, enfatizando a necessidade de implementar políticas voltadas para a redução dos preços de alimentos ricos em cálcio, em conjunto com orientações para aumentar o seu consumo. organismo obstante estudados 1643 1 643 1.64 ISACampNutri ISACamp Nutri (ISACamp-Nutri 201 Campinas SP 2 R24h. R24h Rh . R h (R24h) sociodemográficas saúde participantes 5425 542 5 542, mgdia mg dia mg/dia homens negros escolaridade sobrepesoobesidade sobrepeso obesidade Ademais demonstrouse demonstrou 406 40 6 40,6 recomendado supramencionados consumo 164 64 1.6 20 (R24h 54 4 40, 16 1.
Abstract Background Calcium is an essential mineral for numerous body functions, nevertheless, the factors associated with its intake in adults and in the elderly population have not been sufficiently studied thus far. Objective To estimate the mean calcium intake in individuals aged 20 years and over, in order to identify the factors associated with its intake, as well as the main dietary sources of this mineral. Method The analyzed data was collected from a sample of 1,643 individuals using the ISACamp-Nutri, a health and nutrition survey conducted in 2015 in Campinas, SP, Brazil. Calcium intake was assessed using the 24-hour dietary recall (24HR), and the differences between means were estimated by linear regression, according to sociodemographic variables, health status, lifestyle and meal frequency. Results The mean calcium intake found was 542.5 mg/day. The final model indicated that the means were lower in men, in Black individuals, in those with lower levels of income and schooling, in the overweight/obese population and in those who had breakfast and snacks less frequently. Furthermore, it was observed that dairy products contributed with only 40.6% of the intake of this mineral. Conclusion Results demonstrate that the general calcium intake is currently far below the recommended, being even lower in the abovementioned population groups, indicating the demand of politics aimed at reducing the price of calcium-rich foods, along with the dissemination of information and guidance to increase its consumption. functions nevertheless 2 over 1643 1 643 1,64 ISACampNutri, ISACampNutri ISACamp Nutri, Nutri ISACamp-Nutri 201 Campinas SP Brazil 24hour hour 24 24HR, 24HR HR , (24HR) regression variables status frequency 5425 542 5 542. mgday mg day mg/day men schooling overweightobese overweight obese frequently Furthermore 406 40 6 40.6 recommended groups calciumrich rich foods consumption 164 64 1,6 (24HR 54 4 40. 16 1,
7.
Neck circumference as a predictor of cardiometabolic risk and truncal obesity in people living with HIV
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Oliveira, Iara Katrynne Fonsêca
; Teixeira, Nayra do Socorro Caldas Carvalho de Almeida
; Rêgo, Beatriz de Mello Pereira
; Aires, Isabel Oliveira
; Rodrigues, Renata Rios Torres
; Araújo, Robson Eduardo da Silva
; Lima, Carlos Henrique Ribeiro
; Sousa, Rosana Rodrigues de
; Carvalho, Cecília Maria Resende Gonçalves de
; Costa, Dorcas Lamounier
; Santos, Marize Melo dos
; Paz, Suzana Maria Rebelo Sampaio da
; Paiva, Adriana de Azevedo
.
Abstract Introduction: recent studies have suggested the use of neck circumference as a parameter capable of identifying risks of cardiometabolic complications and the accumulation of truncal fat caused by both antiretroviral therapy and the lifestyle of people with the human immunodeficiency virus (HIV). Objective: to investigate the relationship between neck circumference and anthropometric indicators and to assess cardiometabolic risk and truncal obesity through proposed cut-off points. Methods: cross-sectional study including 233 people with HIV. Demographic, socioeconomic, lifestyle and clinical data were collected using a structured questionnaire. The anthropometric evaluation included: weight, height, body mass index (BMI) measurements; waist (WC), neck (NC), arm and arm muscle circumferences; triceps and subscapular skinfolds and their sum. ROC curves were constructed to determine the accuracy of NC in predicting cardiometabolic risk in people living with HIV. Results: the sample was 57.5 % male, with a mean age of 38.4 years (95 % CI: 37.2-39.7 years). NC showed a positive and significant correlation with all anthropometric variables analyzed (p < 0.05), and a higher correlation strength with WC and BMI. The NC cut-off point selected as a predictor of risk of cardiac metabolic complications and truncal obesity in women was ≥ 32.4 cm, considering both WC and BMI. For men, the NC cut-off points were different when considering WC (≥ 39.6 cm) and BMI (≥ 38.1 cm) as a reference. It is worth noting that NC performed well in ROC curve analysis for men, while in women it was a poor performance. Conclusion: NC proved to be a promising indicator in the assessment of nutrition and health of people living with HIV, especially in men.
Resumen Introducción: estudios recientes han sugerido el uso de la circunferencia del cuello como parámetro capaz de identificar los riesgos de complicaciones cardiometabólicas y la acumulación de grasa troncal causados tanto por la terapia antirretroviral como por el estilo de vida de las personas con el virus de la inmunodeficiencia humana (VIH). Objetivo: investigar la relación entre la circunferencia del cuello y los indicadores antropométricos y evaluar el riesgo cardiometabólico y la obesidad troncal a través de los puntos de corte propuestos. Métodos: estudio transversal que incluyó a 233 personas con VIH. Se recogieron datos demográficos, socioeconómicos, de estilo de vida y clínicos mediante un cuestionario estructurado. La evaluación antropométrica incluyó: medidas de peso, altura, índice de masa corporal (IMC); circunferencias de cintura (CC), cuello (CN), brazo (CA) y músculo del brazo (MCB); pliegues cutáneos del tríceps y subescapular y su suma. Se construyeron curvas ROC para determinar la precisión de la CN en la predicción del riesgo cardiometabólico en personas que viven con el VIH. Resultados: el 57,5 % de la muestra eran varones, con una edad media de 38,4 años (IC 95 %: 37,2-39,7 años). La CN mostró una correlación positiva y significativa (p < 0,05) con todas las variables antropométricas analizadas, y una mayor fuerza de correlación con la CC y el IMC. El punto de corte de la CN seleccionado como predictor de riesgo de complicaciones metabólicas cardiacas y obesidad troncular en mujeres fue ≥ 32,4 cm, considerando tanto la CC como el IMC. En el caso de los hombres, los puntos de corte de la CN fueron diferentes al considerar como referencia la CC (≥ 39,6 cm) y el IMC (≥ 38,1 cm). Cabe destacar que la CN obtuvo buenos resultados en el análisis de la curva ROC en el caso de los hombres, mientras que en el de las mujeres fue deficiente. Conclusión: la CN demostró ser un indicador prometedor en la evaluación de la nutrición y la salud de las personas que viven con el VIH, especialmente en los hombres.
8.
Effect of adding ascorbic acid to the vitrification medium of bovine preantral follicles
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Carrascal-Triana, Erly L.
; Rodríguez Jimenez, Carolina
; Penitente-Filho, Jurandy
; de Azevedo, Jovana Luiza
; Gomes da Silveira Deminicis, Renata
; Alves Torres, Ciro A.
.
Revista de Investigaciones Veterinarias del Perú
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ABSTRACT The aim of this study was to evaluate the effect of adding ascorbic acid (AA) to the vitrification medium of bovine preantral follicles (PFs) subjected previously to cooling at 4 °C for 4 h or 24 h. Ovaries were collected from Nelore heifers at 14 months of age. In the laboratory, ovarian fragments were removed from the cortical region and distributed to fragments as fresh control (C0h), and fragments to cooling at 4 ºC for 4 and 24 hours in TCM-199 plus HEPES and antibiotics. Of the cooled fragments, two were fixed as controls for each cooling time (C4h, C24h), and the remaining fragments were distributed in four vitrification treatments, using the TCM-199 medium associated with ethylene glycol and dimethyl sulfoxide (V), sucrose (VSUC) or ascorbic acid (VAA), and the treatment with ethylene glycol, dimethyl sulfoxide, sucrose and AA (VSUC+AA). After 72 h, fragments were warmed and fixed for histological analysis and mechanical follicular isolation. No difference (p>0.05) between C0h and C4h for morphologically normal PFs was detected (99.3 and 96.0%, respectively). Vitrification reduced the morphological integrity and follicular viability in all treatments compared to C0h; nevertheless, VAA treatment maintained the follicular viability like C24h (p>0.05). It is concluded that bovine PFs were conserved efficiently at 4 °C during 4 h, and the addition of ascorbic acid to the vitrification medium improved survival rates and kept the morphological integrity of the follicles.
RESUMEN El objetivo del estudio fue evaluar el efecto de la adición de ácido ascórbico (AA) al medio de vitrificación de folículos preantrales (FPs) bovinos previamente enfriados a 4 °C durante 4 o 24 h. Se recolectaron ovarios de novillas Nelore a los 14 meses de edad. En el laboratorio se extrajeron fragmentos de ovario de la región cortical y se distribuyeron a fragmentos para control fresco (C0h), y fragmentos para refrigeración a 4 ºC por 4 y 24 horas en TCM-199 más HEPES y antibióticos. De los fragmentos enfriados, dos se fijaron como controles para cada tiempo de enfriamiento (C4h, C24h), y los restantes se distribuyeron en cuatro tratamientos de vitrificación, utilizando el medio TCM-199 asociado con etilenglicol y dimetilsulfóxido (V), sacarosa (VSUC) o ácido ascórbico (VAA), y el tratamiento con etilenglicol, dimetilsulfóxido, sacarosa y AA (VSUC+AA). Después de72h, los fragmentos se calentaron y fijaron para el análisis histológico y el aislamiento folicular mecánico. No se detectó diferencia (p>0.05) entre C0h y C4h para FPs morfológicamente normales (99.3 y96.0%, respectivamente). La vitrificación redujo la integridad morfológica y la viabilidad folicular en todos los tratamientos en comparación con C0h; sin embargo, el tratamiento VAA mantuvo la viabilidad folicular similar a C24h (p>0.05). Se concluye que los FAs bovinos se conservaron eficientemente a 4 °C durante 4 h, y la adición de ácido ascórbico al medio de vitrificación mejoró las tasas de supervivencia y mantuvo la integridad morfológica folicular.
9.
Adolescent Female Victims of Sexual Violence: Analysis of Loss of Follow-up after Emergency Care and Outpatient Follow-up Violence Followup Follow up
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Torres, Alejandra Suyapa Becerra
; Alabarse, Otávio Prado
; Alves, Ândria Cléia
; Teixeira, Ana Luiza
; Azevedo, Renata Cruz Soares de
; Fernandes, Arlete
.
Revista Brasileira de Ginecologia e Obstetrícia
- Journal Metrics
Resumo Objetivos Avaliar a perda de seguimento de adolescentes vítimas de violência sexual após o atendimento de emergência, durante o seguimento ambulatorial e as variáveis associadas. Métodos Estudo retrospectivo com a revisão de prontuários de 521 mulheres de 10 a 18 anos, que buscaram atendimento de emergência em um serviço de referência em São Paulo, Brasil. As variáveis foram sociodemográficas; antecedentes pessoais; características do abuso, atitude de revelação e reações desencadeadas após o abuso (distúrbios físicos, mentais e mudanças sociais), necessidades de prescrição de psicotrópicos e momento do abandono: após atendimento de emergência e antes de completar 6 meses de seguimento ambulatorial. Para comparar os grupos de perda de seguimento em cada momento, foram utilizados os testes do qui-quadrado e exato de Fisher, seguidos de regressão logística múltipla com critério stepwise para seleção das variáveis associadas. Calculamos a razão de probabilidade com intervalo de confiança (RP, IC 95%). O nível de significância adotado foi de 5%. Resultados Um total de 249 (47,7%) das adolescentes descontinuaram o acompanhamento, 184 (35.3%) após o atendimento de emergência e 65 (12.4%) antes de completar o seguimento ambulatorial. As variáveis de viver com companheiro [RP = 5,94 (IC 95%; 2,49–14,20]; não ter religião [RP = 2,38 (IC 95%;1,29–4,38)], ter religião católica [RP = 2,11 (IC 95%; 1,17–3,78)] e não revelar o abuso [RP = 2,07 (IC 95%; 1,25–3,44)] foram associadas à perda de seguimento após o atendimento de emergência. Não necessitar de cuidados de saúde mental (RP = 2,72 [IC 95%; 1,36–5,46]) ou apoio social (RP = 2,33 [IC 95%; 1,09–4,99]) foram as variáveis associadas à perda do seguimento ambulatorial. Conclusão Medidas para melhorar a adesão ao seguimento devem ser direcionadas às adolescentes que vivem com parceiro e às que não revelam a violência sofrida. 52 1 anos Paulo Brasil sociodemográficas pessoais distúrbios físicos sociais, sociais , sociais) abandono quiquadrado qui quadrado Fisher RP, RP 95%. 95 95% . 95%) 5 5% 24 47,7% 477 47 7 (47,7% acompanhamento 35.3% 353 35 3 (35.3% 12.4% 124 12 4 (12.4% 594 94 5,9 2,49–14,20 2491420 2 49 14 20 2,49–14,20] 238 38 2,3 95%1,29–4,38, 95129438 1,29–4,38 29 95%;1,29–4,38)] 211 11 2,1 1,17–3,78 117378 17 78 1,17–3,78) 207 07 2,0 1,25–3,44 125344 25 44 1,25–3,44) 272 72 2,7 1,36–5,46 136546 36 46 1,36–5,46] 233 33 1,09–4,99 109499 09 99 1,09–4,99] sofrida 9 47,7 (47,7 35.3 (35.3 12.4 (12.4 59 5, 2,49–14,2 249142 23 2, 95%1,29–4,38 9512943 129438 1,29–4,3 95%;1,29–4,38) 21 1,17–3,7 11737 0 1,25–3,4 12534 27 1,36–5,4 13654 1,09–4,9 10949 47, (47, 35. (35. 12. (12. 2,49–14, 24914 95%1,29–4,3 951294 12943 1,29–4, 95%;1,29–4,38 1,17–3, 1173 1,25–3, 1253 1,36–5, 1365 1,09–4, 1094 (47 (35 (12 2,49–14 2491 95%1,29–4, 95129 1294 1,29–4 95%;1,29–4,3 1,17–3 117 1,25–3 125 1,36–5 136 1,09–4 109 (4 (3 (1 2,49–1 95%1,29–4 9512 129 1,29– 95%;1,29–4, 1,17– 1,25– 1,36– 13 1,09– ( 2,49– 95%1,29– 951 1,29 95%;1,29–4 1,17 1,25 1,36 1,09 2,49 95%1,29 1,2 95%;1,29– 1,1 1,3 1,0 2,4 95%1,2 1, 95%;1,29 95%1, 95%;1,2 95%1 95%;1, 95%;1
Abstract Objective To assess the loss to follow-up after emergency care and during 6-months of outpatient follow-up, and the associated variables, among adolescent sexual violence survivors. Methods This is a retrospective study with review of the medical records of 521 females, aged 10 to 18 years, who received emergency care in a referral service in São Paulo, Brazil. The variables were sociodemographic; personal history; characteristics of abuse, disclosure, and reactions triggered after abuse (physical and mental disorders as well as social changes), psychotropic prescription needs, and moment of abandonment: after emergency care and before completing 6 months of outpatient follow-up. To compare groups of patients lost to follow-up at each time point, we used the Chi-square and Fisher exact tests followed by multiple logistic regression with stepwise criterion for selection of associated variables. We calculated the odds ratio with confidence interval (OR, CI 95%). The level of significance adopted was 5%. Results A total of 249/521 (47.7%) adolescents discontinued follow-up, 184 (35.3%) after emergency care and 65 (12.4%) before completing outpatient follow-up. The variables of living with a partner (OR = 5.94 [CI 95%; 2.49–14.20]); not having a religion (OR = 2.38 [CI 95%;1.29–4.38)]), having a Catholic religion [OR = 2.11 (CI 95%; 1.17–3.78)]; and not disclosing the abuse [OR = 2.07 (CI 95%; 1.25–3.44)] were associated with loss to follow-up after emergency care. Not needing mental disorder care (OR = 2.72 [CI 95%; 1.36–5.46]) or social support (OR = 2.33 [CI 95%; 1.09–4.99]) were directly associated with loss to outpatient follow-up. Conclusion Measures to improve adherence to follow-up should be aimed at adolescents who live with a partner and those who do not tell anyone about the violence. followup follow up 6months followup, up, survivors 52 females 1 years Paulo Brazil sociodemographic history disclosure physical changes, changes , changes) needs abandonment followup. up. point Chisquare Chi square OR, OR 95%. 95 95% . 95%) 5 5% 249521 249 249/52 47.7% 477 47 7 (47.7% 35.3% 353 35 3 (35.3% 12.4% 124 12 4 (12.4% 594 94 5.9 2.49–14.20 2491420 2 49 14 20 2.49–14.20]) 238 38 2.3 95%1.29–4.38, 95129438 1.29–4.38 29 95%;1.29–4.38)]) 211 11 2.1 1.17–3.78 117378 17 78 1.17–3.78)] 207 07 2.0 1.25–3.44 125344 25 44 1.25–3.44) 272 72 2.7 1.36–5.46 136546 36 46 1.36–5.46] 233 33 1.09–4.99 109499 09 99 1.09–4.99] 9 24952 24 249/5 47.7 (47.7 35.3 (35.3 12.4 (12.4 59 5. 2.49–14.2 249142 2.49–14.20] 23 2. 95%1.29–4.38 9512943 129438 1.29–4.3 95%;1.29–4.38)] 21 1.17–3.7 11737 1.17–3.78) 0 1.25–3.4 12534 27 1.36–5.4 13654 1.09–4.9 10949 2495 249/ 47. (47. 35. (35. 12. (12. 2.49–14. 24914 95%1.29–4.3 951294 12943 1.29–4. 95%;1.29–4.38) 1.17–3. 1173 1.25–3. 1253 1.36–5. 1365 1.09–4. 1094 (47 (35 (12 2.49–14 2491 95%1.29–4. 95129 1294 1.29–4 95%;1.29–4.38 1.17–3 117 1.25–3 125 1.36–5 136 1.09–4 109 (4 (3 (1 2.49–1 95%1.29–4 9512 129 1.29– 95%;1.29–4.3 1.17– 1.25– 1.36– 13 1.09– ( 2.49– 95%1.29– 951 1.29 95%;1.29–4. 1.17 1.25 1.36 1.09 2.49 95%1.29 1.2 95%;1.29–4 1.1 1.3 1.0 2.4 95%1.2 1. 95%;1.29– 95%1. 95%;1.29 95%1 95%;1.2 95%;1. 95%;1
10.
Halitosis and Pain Threshold of Peri-Implant Tissues: An Observational Cohort Study PeriImplant Peri Implant Tissues
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Souza, João Paulo do Vale
; Romero, Giovana Dornelas Azevedo
; Melo Neto, Clóvis Lamartine de Moraes
; Piacenza, Lucas Tavares
; Monteiro, Renata Vasconcelos
; Silva, Emily Vivianne Freitas da
; Santos, Daniela Micheline dos
; Goiato, Marcelo Coelho
.
Resumo Este estudo teve como objetivo avaliar a halitose e o limiar de dor dos tecidos moles peri-implantares em indivíduos reabilitados com próteses implantossuportadas. Um total de 48 indivíduos foram divididos em quatro grupos (n=12), de acordo com as reabilitações: prótese fixa unitária, prótese fixa multidentária, sobredentadura e protocolo de Brånemark. A halitose foi medida com um halímetro, enquanto o limiar de dor foi medido com monofilamentos de von Frey. As medições foram feitas antes (t0) e 30 dias após (t1) a colocação das tampas de cicatrização e no momento (t2) e 30 dias após (t3) a colocação da prótese. Os dados de halitose foram analisados por meio do teste qui-quadrado e correção de Bonferroni (p < 0,05). ANOVA de duas vias e o teste de Tukey (p < 0,05) foram usados para analisar os dados do limiar de dor. Observou-se associação entre halitose e tempo para o protocolo de Brånemark [X2(6) = 18,471; p = 0,005] e grupos overdenture [X2(6) = 17,732; p = 0,007], e entre halitose e tipo de prótese apenas em t0 [X2(6) = 12,894; p = 0,045]. A interação entre o tempo e o tipo de prótese interferiu significativamente nos valores médios do limiar de dor (p = 0,001). Na maioria dos pontos de tempos, a maioria dos participantes de cada grupo apresentava halitose clinicamente inaceitável. Após 30 dias de uso das próteses, o grupo overdenture apresentou menor limiar de dor em comparação ao grupo do protocolo de Brånemark. periimplantares peri implantares implantossuportadas 4 n=12, n12 n n=12 , 12 (n=12) reabilitações unitária multidentária halímetro Frey t (t0 3 t1 (t1 t2 (t2 t3 (t3 quiquadrado qui quadrado 0,05. 005 0,05 . 0 05 Observouse Observou se X26 X X2 6 [X2(6 18,471 18471 18 471 0,005 0005 17,732 17732 17 732 0,007, 0007 0,007 007 0,007] 12,894 12894 894 0,045. 0045 0,045 045 0,045] 0,001. 0001 0,001 001 0,001) tempos inaceitável n1 n=1 1 (n=12 (t 00 0,0 [X2( 18,47 1847 47 0,00 000 17,73 1773 73 12,89 1289 89 004 0,04 04 n= (n=1 0, [X2 18,4 184 17,7 177 7 12,8 128 8 (n= [X 18, 17, 12, (n
Abstract In this study, we aimed to evaluate the halitosis and pain threshold of the peri-implant soft tissues in individuals rehabilitated with implant-supported prostheses. Forty-eight subjects were divided into four groups (n = 12) according to their prosthetic rehabilitation: single-tooth fixed prosthesis, multi-tooth fixed prosthesis, overdentures, and the Brånemark protocol. Halitosis was measured using a halimeter, whereas the pain threshold was measured using Von Frey monofilaments. Measurements were taken before (t0) and 30 days after (t1) placement of healing caps, and at the time of (t2) and 30 days after (t3) prosthetic placement. Halitosis data were analyzed using the chi-square test and Bonferroni correction (p < 0.05). Two-way ANOVA and Tukey’s test (p < 0.05) were used to analyze pain threshold data. We noted an association between halitosis and time for the Brånemark protocol [X2(6) = 18.471; p = 0.005] and overdenture groups [X2(6) = 17.732; p = 0.007], and between halitosis and type of prosthesis only at t0 [X2(6) = 12.894; p = 0.045]. The interaction between time and the type of prosthesis significantly interfered with the mean pain threshold values (p = 0.001). At most time points, the majority of participants in each group had clinically unacceptable halitosis. After 30 days of using the prostheses, the overdenture group had a lower pain threshold compared to the Brånemark protocol group. study periimplant peri implant implantsupported supported prostheses Fortyeight Forty eight n 12 rehabilitation singletooth single tooth multitooth multi overdentures halimeter monofilaments t (t0 3 t1 (t1 caps t2 (t2 t3 (t3 chisquare chi square 0.05. 005 0.05 . 0 05 Twoway Two way Tukeys Tukey s X26 X X2 6 [X2(6 18.471 18471 18 471 0.005 0005 17.732 17732 17 732 0.007, 0007 0.007 , 007 0.007] 12.894 12894 894 0.045. 0045 0.045 045 0.045] 0.001. 0001 0.001 001 0.001) points 1 (t 00 0.0 [X2( 18.47 1847 47 0.00 000 17.73 1773 73 12.89 1289 89 004 0.04 04 0. [X2 18.4 184 4 17.7 177 7 12.8 128 8 [X 18. 17. 12.
11.
Translation, Cross-Cultural Adaptation, and Validation of the Hypertension Self-Care Profile (HBP-SCP) for the Brazilian Population Translation CrossCultural Cross Cultural Adaptation SelfCare Self Care HBPSCP HBP SCP (HBP-SCP
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Baggio, Jussara Almeida de Oliveira
; Ribeiro, Beatriz Brito
; Ribeiro, Jessica Lays Ferreira
; Silva, Fabricio Brito
; Azevedo, Lisiane Fernanda Simeão de
; Mendes, Renata Gonçalves
; Araújo, Aldair Darlan
; Gonçalves, Maria Claudia
; Tavarez, Rudys Rodolfo de Jesus
; Almeida, Denilson Menezes
; Bassi-Dibai, Daniela
.
International Journal of Cardiovascular Sciences
- Journal Metrics
Abstract Background Self-care in the management of systemic arterial hypertension (SAH) is crucial, and validated instruments can help researchers and health professionals to plan strategies to improve self-care in people with SAH. Objective The main objective of this study was to translate, cross-culturally adapt, and validated the Hypertension Self-Care Profile (HBP-SCP) for Brazilian Portuguese. Methods The translation and cross-cultural adaptation was performed in five phases, and the pre-final version was tested in 30 individuals, native speakers of Portuguese with a diagnosis of hypertension. The final version was administered in 100 individuals. The inclusion criteria were: diagnosis of SAH, characterized by systolic arterial blood pressure ≥ 140 mmHg and/or diastolic arterial blood pressure ≥ 90mmHg, regular use of antihypertensive medications and over 18 years of age. The present study also used two other questionnaires, previously validated for the Brazilian population, to verify the validity of the construct, the Healthy Habits Perception Questionnaire (HHPQ) and the Quality of Life in Hypertension Mini-Questionnaire (MINICHAL-BRASIL). Results During the translation and cross-cultural adaptation phase, there were no disagreements. Adequate reliability — intraclass correlation coefficient (ICC) ≥ 0.89, standard error of measurement (SEM) % ≤ 4.34, minimum detectable change (MDC) % ≤ 12.04 — and internal consistency (Cronbach's alpha ≥ 0.75) were observed. The behavior domain of HBP-SCP obtained significant correlations (p < 0.05) with the self-efficacy domain and HHPQ; the motivation domain with the self-efficacy domain; and the self-efficacy domain with the somatic manifestation domain of MINICHAL-BRASIL. No ceiling and floor effects were observed. Conclusions The Brazilian Portuguese version of the HBP-SCP has adequate psychometric properties, according to the best scientific recommendations. Selfcare Self care SAH (SAH crucial selfcare self translate crossculturally cross culturally adapt SelfCare Care HBPSCP HBP SCP (HBP-SCP crosscultural cultural phases prefinal pre 3 individuals 10 14 andor or 90mmHg 1 age questionnaires population construct HHPQ (HHPQ MiniQuestionnaire Mini MINICHALBRASIL. MINICHALBRASIL MINICHAL BRASIL . (MINICHAL-BRASIL) phase disagreements ICC (ICC 089 0 89 0.89 SEM (SEM 434 4 34 4.34 MDC (MDC 1204 12 04 12.0 Cronbachs Cronbach s 0.75 075 75 observed p 0.05 005 05 selfefficacy efficacy BRASIL. MINICHAL-BRASIL properties recommendations (MINICHAL-BRASIL 08 8 0.8 43 4.3 120 12. 0.7 07 7 0.0 00 0. 4.
12.
Ninety-day outcomes in patients diagnosed with COVID-19 in São Paulo, Brazil: a cohort study Ninetyday Ninety day COVID19 COVID 19 COVID-1 Paulo Brazil COVID1 1 COVID-
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Fumis, Renata Rego Lins
; Costa, Eduardo Leite Vieira
; Tomazini, Bruno Martins
; Taniguchi, Leandro Utino
; Costa, Livia do Valle
; Morinaga, Christian Valle
; Sá, Marcia Martiniano de Sousa e
; Azevedo, Luciano Cesar Pontes de
; Nascimento, Teresa Cristina
; Ledo, Carla Bernardes
; Oliveira, Maura Salaroli de
; Cardoso, Luiz Francisco
; Pastore Junior, Laerte
; Vieira Junior, José Mauro
.
RESUMO Objetivo: A COVID-19 tem sido associada a um fardo significativo para aqueles que sobrevivem à fase aguda. Nosso objetivo foi descrever a qualidade de vida e sintomas de ansiedade, depressão e transtorno de estresse pós-traumático (TEPT) 90 dias após a alta hospitalar em pacientes com COVID-19. Métodos: Pacientes com COVID-19 internados em um hospital privado na cidade de São Paulo (SP) entre abril de 2020 e abril de 2021 foram entrevistados por telefone 30 e 90 dias após a alta para avaliar a qualidade de vida e sintomas de depressão, ansiedade e TEPT. Resultados: Foram incluídos 2.138 pacientes. A média de idade foi de 58,6 ± 15,8 anos, e a mediana do tempo de internação hospitalar foi de 9,0 (5,0-15,8) dias. Entre os dois momentos, a depressão aumentou de 3,1% para 7,2% (p < 0,001), a ansiedade, de 3,2% para 6,2% (p < 0,001), e o TEPT, de 2,3% para 5,0% (p < 0,001). Pelo menos um sintoma físico relacionado ao diagnóstico de COVID-19 persistia em 32% dos pacientes no 90º dia. Conclusões: A persistência dos sintomas físicos foi elevada mesmo 90 dias após a alta. Embora a prevalência de sintomas de ansiedade, depressão e TEPT tenha sido baixa, esses sintomas persistiram por três meses, com aumento significativo entre os momentos. Esse achado indica a necessidade de identificar os pacientes de risco para que possam receber o encaminhamento adequado no momento da alta. Objetivo COVID19 COVID 19 COVID-1 aguda póstraumático pós traumático (TEPT 9 COVID19. 19. Métodos SP (SP 202 3 Resultados 2138 2 138 2.13 586 58 6 58, 158 15 8 15, anos 0 9, 5,015,8 50158 5,0 5 (5,0-15,8 momentos 31 1 3,1 72 7 7,2 p 0,001, 0001 0,001 , 001 0,001) 32 3,2 62 6,2 23 2,3 50 0,001. . º dia Conclusões baixa meses COVID1 COVID- 20 213 13 2.1 015 5,015, 5015 5, (5,0-15, 3, 7, 000 0,00 00 6, 2, 21 2. 01 5,015 501 (5,0-15 0,0 5,01 (5,0-1 0, (5,0- (5,0 (5, (5 (
ABSTRACT Objective: COVID-19 has been associated with a significant burden to those who survive the acute phase. We aimed to describe the quality of life and symptoms of anxiety, depression, and posttraumatic stress disorder (PTSD) at 90 days after hospital discharge of COVID-19 patients. Methods: Patients with COVID-19 admitted to a private hospital in the city of São Paulo, Brazil, between April of 2020 and April of 2021 were interviewed by telephone at 30 and 90 days after discharge to assess the quality of life and symptoms of depression, anxiety, and PTSD. Results: A total of 2,138 patients were included. The mean age was 58.6 ± 15.8 years, and the median length of hospital stay was 9.0 (5.0-15.8) days. Between the two time points, depression increased from 3.1% to 7.2% (p < 0.001), anxiety increased from 3.2% to 6.2% (p < 0.001), and PTSD increased from 2.3% to 5.0% (p < 0.001). At least one physical symptom related to COVID-19 diagnosis persisted in 32% of patients at day 90. Conclusions: Persistence of physical symptoms was high even at 90 days after discharge. Although the prevalence of symptoms of anxiety, depression, and PTSD was low, these symptoms persisted for three months, with a significant increase between the time points. This finding indicates the need to identify at-risk patients so that they can be given an appropriate referral at discharge. Objective COVID19 COVID 19 COVID-1 phase (PTSD 9 Methods Paulo Brazil 202 3 Results 2138 2 138 2,13 included 586 58 6 58. 158 15 8 15. years 0 9. 5.015.8 50158 5.0 5 (5.0-15.8 points 31 1 3.1 72 7 7.2 p 0.001, 0001 0.001 , 001 0.001) 32 3.2 62 6.2 23 2.3 50 0.001. . Conclusions low months atrisk risk COVID1 COVID- 20 213 13 2,1 015 5.015. 5015 5. (5.0-15. 3. 7. 000 0.00 00 6. 2. 21 2, 01 5.015 501 (5.0-15 0.0 5.01 (5.0-1 0. (5.0- (5.0 (5. (5 (
13.
Prevalência de comportamento suicida em estudantes de Medicina
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Schlittler, Leandro Xavier de Camargo
; Celeri, Eloisa Helena Rubello Valler
; Azevedo, Renata Cruz Soares de
; Dalgalarrondo, Paulo
; Santos Júnior, Amilton dos
.
Resumo: Introdução: Médicos e alunos de Medicina são grupos de risco para o suicídio e comportamento suicida. Comportamentos suicidas abrangem fenômenos que vão desde pensamentos, planejamentos, tentativas e até a morte por suicídio. Sabe-se pouco sobre o comportamento suicida entre estudantes de Medicina brasileiros. Objetivo: Este estudo teve como objetivos avaliar a prevalência de ideação, planejamentos e tentativas suicidas em uma amostra de estudantes de graduação em Medicina do Brasil, e identificar os fatores sociodemográficos, de vida estudantil e de saúde mais associados a esses comportamentos. Método: Participaram do estudo 722 alunos do curso de Medicina da Unicamp, durante os anos de 2017 e 2018, que responderam de forma voluntária e anônima a um questionário amplo, que incluía dados sociodemográficos, de vida acadêmica e de comportamento suicida. A análise estatística foi realizada por meio do teste de qui-quadrado, do teste de Mann-Whitney e da regressão logística múltipla. Adotou-se o nível de significância estatística de 95%. Resultado: As prevalências de pensamentos, planejamento e tentativas de suicídio ao longa da vida foram respectivamente 196 (27,3%), 64 (8,9%) e 26 (3,6%). Nos 30 dias que antecederam a pesquisa, 36 (5%) pensaram seriamente em pôr fim à própria vida, e 11 (1,5%) planejaram concretamente colocar fim a própria vida. Bullying, presença de transtorno mental, procura de assistência em saúde mental na universidade, uso de calmante sem prescrição médica, baixo nível socioeconômico, morar sozinho, religião (ateus, agnósticos e espiritualistas) e grau de religiosidade são os fatores que, conjuntamente, melhor explicam a chance de comportamento suicida. Conclusão: Alunos de Medicina apresentam prevalências importantes de comportamento suicida. Resumo Introdução pensamentos Sabese Sabe se brasileiros Objetivo ideação Brasil sociodemográficos comportamentos Método 72 Unicamp 201 2018 amplo quiquadrado, quiquadrado qui quadrado, quadrado qui-quadrado MannWhitney Mann Whitney múltipla Adotouse Adotou 95 95% Resultado 19 27,3%, 273 27,3% , 27 3 (27,3%) 6 8,9% 89 8 9 (8,9% 2 3,6%. 3,6% . (3,6%) pesquisa 5% 5 (5% 1 1,5% 15 (1,5% Bullying universidade médica socioeconômico sozinho ateus, ateus (ateus espiritualistas conjuntamente Conclusão 7 20 27,3 (27,3% 8,9 (8,9 3,6 (3,6% (5 1,5 (1,5 27, (27,3 8, (8, 3, (3,6 ( 1, (1, (27, (8 (3, (1 (27 (3 (2
Abstract: Introduction: Physicians and medical students constitute groups at risk for suicide and suicidal behavior. Suicidal behaviors encompass phenomena ranging from thoughts, planning, and finally death by suicide. Little is known about suicidal behavior among Brazilian medical students. Objective: The aim of this study was to assess the prevalence of suicidal ideation, planning and suicide attempt in a sample of undergraduate medical students in Brazil, as well as to identify the sociodemographic, student life aspects and health factors most often associated with suicidal behavior. Method: A total of 722 medical students at Unicamp, during 2017 and 2018, voluntarily and anonymously answered a broad questionnaire, including sociodemographic data, aspects of academic life and suicidal behavior. A statistical analysis was performed using the chi-square test, Mann-Whitney test, and multivariate logistic regression. A statistical significance level of 95% was adopted. Results: The lifetime prevalence rates of suicidal thoughts, planning and attempts were respectively 196 (27.3%), 64 (8.9%), and 26 (3.6%). In the 30 days prior to the survey, 36 (5%) seriously thought about ending their own lives, and 11 (1.5%) concretely planned to end their own lives. Bullying, presence of mental disorder, seeking mental health care at the university, use of sedatives without a prescription, low socioeconomic level, living alone, religion (atheists, agnostics and spiritualists) and degree of religiousness are the factors that, together, best explain the chance of suicidal behavior. Conclusion: Medical students show important prevalence rates of suicidal behavior. Abstract Introduction thoughts Objective ideation Brazil Method 72 Unicamp 201 2018 questionnaire data chisquare chi square test MannWhitney Mann Whitney regression 95 adopted Results 19 27.3%, 273 27.3% , 27 3 (27.3%) 6 8.9%, 89 8.9% 8 9 (8.9%) 2 3.6%. 3.6% . (3.6%) survey 5% 5 (5% lives 1 1.5% 15 (1.5% Bullying disorder university prescription alone atheists, atheists (atheists spiritualists that together Conclusion 7 20 27.3 (27.3% 8.9 (8.9% 3.6 (3.6% (5 1.5 (1.5 27. (27.3 8. (8.9 3. (3.6 ( 1. (1. (27. (8. (3. (1 (27 (8 (3 (2
14.
Measurement properties of the Brazilian version of the Kidney Symptom Questionnaire
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Azevedo, Lisiane Fernanda Simeão de
; Pontes-Silva, André
; Mendes, Renata Gonçalves
; Silva, Claudio Donisete da
; Shimoya-Bittencourt, Walkiria
; Baggio, Jussara Almeida de Oliveira
; Gonçalves, Maria Cláudia
; Miranda, Rita de Cássia Mendonça de
; Dibai-Filho, Almir Vieira
; Bassi-Dibai, Daniela
.
SUMMARY OBJECTIVE: The aim of this study was to measure the reliability, internal consistency, and construct validity of the Kidney Symptom Questionnaire for the Brazilian population. METHODS: This is a cross-cultural adaptation and questionnaire validation study. We included native Brazilians of both sex aged>18 years, as well as hypertensive and/or diabetic patients. All participants were assessed using Screening for Occult Renal Disease, EuroQol 5 Dimensions, 36-Item Short Form Survey, and the Kidney Symptom Questionnaire. We used Spearman’s coefficient (rho) to measure the correlations between the Kidney Symptom Questionnaire and other instruments; Cronbach’s alpha to measure internal consistency; and intraclass correlation coefficient, standard error of measurement, and minimum detectable change to measure test-retest reliability. RESULTS: The sample was formed by 121 adult participants, mostly female, with systemic arterial hypertension and/or diabetes mellitus. We found excellent reliability (intraclass correlation coefficient≥0.978), adequate internal consistency (Cronbach’s alpha≥0.860), and adequate construct validity on the Kidney Symptom Questionnaire domains; besides, we observed significant correlations between the Kidney Symptom Questionnaire and other instruments. CONCLUSION: The Brazilian version of the Kidney Symptom Questionnaire has adequate measurement properties to assess chronic/occult kidney disease in patients who do not require renal replacement therapy. OBJECTIVE population METHODS crosscultural cross cultural aged18 aged 18 aged>1 years andor or Disease Dimensions 36Item Item 36 Survey Spearmans Spearman s rho (rho instruments Cronbachs Cronbach testretest test retest RESULTS 12 female mellitus coefficient≥0.978, coefficient0978 coefficient≥0.978 , 0 978 coefficient≥0.978) alpha≥0.860, alpha0860 alpha≥0.860 860 alpha≥0.860) domains besides CONCLUSION chronicoccult chronic occult therapy aged1 1 aged> 3 coefficient097 coefficient≥0.97 97 alpha086 alpha≥0.86 86 coefficient09 coefficient≥0.9 9 alpha08 alpha≥0.8 8 coefficient0 coefficient≥0. alpha0 alpha≥0. coefficient≥0 alpha≥0 coefficient≥ alpha≥
15.
Características Clínicas e Manejo de Pacientes Avaliados por Teleconsulta Cardiológica na Região Brasileira com Maior Número de Cidades Isoladas
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Accorsi, Tarso Augusto Duenhas
; Nemoto, Renato Paladino
; Nunes, Jairo Tavares
; Azevedo Filho, Antônio Fernando Barros de
; Moreira, Flavio Tocci
; Kohler, Karen Francine
; Lima, Karine de Amicis
; Amaral, Bruna Dayanne Reges
; Morbeck, Renata Albaladejo
; Pedrotti, Carlos Henrique Sartorato
.
Resumo Fundamento As doenças cardiovasculares são a principal causa de morte no mundo. Regiões brasileiras geograficamente remotas e de baixa renda carecem de consultas especializadas. Não se tem conhecimento total acerca do manejo por telemedicina dessa população por parte de cardiologistas. Objetivos Analisar a teleconsulta cardiológica na região brasileira com maior número de municípios isolados. Métodos Entre fevereiro de 2020 e outubro de 2021, pacientes da Região Norte do Brasil avaliados por médicos generalistas locais foram encaminhados para avaliação cardiológica por telemedicina. Foram analisados os motivos do encaminhamento, dados demográficos, histórico clínico, exames físicos, exames complementares, medicamentos e prescrições pré e pós-telemedicina (considerou-se p<0,05 como estatisticamente significativo). Resultados Analisamos 653 pacientes. A taxa de frequência foi de 85,7% (53,1% do sexo feminino, idade média: 54,2±6,5 anos). Os principais motivos de encaminhamento foram sintomas cardiovasculares (58,1%) e fatores de risco entre pacientes assintomáticos (13,3%). Apenas 12,6% apresentava alguma doença diagnosticada. A maioria dos pacientes havia passado por exame físico e eletrocardiogramas regulares. Poucos tinham exames complementares recentes. A prescrição de bloqueadores dos receptores da angiotensina (BRA), bloqueadores dos canais de cálcio e estatinas aumentou significativamente, enquanto a de digoxina, betabloqueadores não cardíacos e ácido acetilsalicílico (AAS) diminuiu na primeira teleconsulta. A maioria dos exames complementares solicitados era de baixa complexidade e custo: eletrocardiograma (28,2%), radiografia de tórax (14%), ecocardiograma (64,5%) e exames de sangue (71,8%). Para 2,1% dos pacientes, foram indicadas intervenções, e 8% recebeu alta após a primeira consulta. Conclusão A teleconsulta cardiológica sob demanda contribui para a otimização do tratamento das doenças cardíacas. A maioria dos pacientes foi encaminhada com diagnósticos sindrômicos sem exames complementares prévios. A avaliação especializada solicitada geralmente estava disponível localmente e com baixo custo, mas impedia a alta precoce. Capacitação local poderia otimizar o encaminhamento. mundo especializadas cardiologistas isolados 202 2021 demográficos clínico físicos póstelemedicina pós considerouse considerou p005 p 0 05 p<0,0 significativo. significativo . significativo) 65 857 85 7 85,7 53,1% 531 53 1 (53,1 feminino média 54265 54 2 6 5 54,2±6, anos. anos anos) 58,1% 581 58 (58,1% 13,3%. 133 13,3% 13 3 (13,3%) 126 12 12,6 diagnosticada regulares recentes BRA, BRA , (BRA) significativamente digoxina AAS (AAS custo 28,2%, 282 28,2% 28 (28,2%) 14%, 14 14% (14%) 64,5% 645 64 (64,5% 71,8%. 718 71,8% 71 8 (71,8%) 21 2,1 intervenções consulta cardíacas prévios precoce 20 p00 p<0, 85, 53,1 (53, 5426 54,2±6 58,1 (58,1 13,3 (13,3% 12, (BRA 28,2 (28,2% (14% 64,5 (64,5 71,8 (71,8% 2, p0 p<0 53, (53 542 54,2± 58, (58, 13, (13,3 28, (28,2 (14 64, (64, 71, (71,8 p< (5 54,2 (58 (13, (28, (1 (64 (71, ( 54, (13 (28 (6 (71 (2 (7
Abstract Background Cardiovascular diseases are the leading cause of adult mortality. Geographically remote and low-income Brazilian regions lack specialized consultations. The telemedicine management of this population by cardiologists is not fully known. Objectives To analyze cardiology teleconsultation in the Brazilian region with the highest number of isolated cities. Methods From February 2020 to October 2021, patients from the North Region of Brazil evaluated by local general practitioners were referred for cardiological evaluation by telemedicine. Referral reasons, demographics, clinical history, physical examinations, tests, medications, and prescriptions pre- and post-telemedicine were analyzed (p<0.05 was considered statistically significant). Results We analyzed 653 patients. The attendance rate was 85.7% (53.1% female, mean age: 54.2±6.5 years). The main reasons for referral were cardiovascular symptoms (58.1%) and risk factors among asymptomatic patients (13.3%). Only 12.6% had a diagnosed disease. Most patients had regular physical examinations and electrocardiograms. Few had recent complementary tests. The prescription of angiotensin receptor blockers (ARBs), calcium channel blockers and statins was significantly increased, while that of digoxin, noncardiac beta-blockers and acetylsalicylic acid (ASA) was decreased at the first teleconsultation. Most of the tests requested were of low complexity and cost: electrocardiogram (28.2%), chest X-ray (14%), echocardiogram (64.5%) and blood tests (71.8%). For 2.1% of patients, interventions were indicated, and 8% were discharged after the first consultation. Conclusion On-demand cardiology teleconsultation contributes to heart disease treatment optimization. Most patients were referred with syndromic diagnoses without previous complementary tests. The specialist workup requested was usually available locally and at a low cost but precluded early discharge. Local training could optimize the referral. mortality lowincome income consultations known cities 202 2021 demographics history medications pre posttelemedicine post p<0.05 p005 p 0 05 (p<0.0 significant. significant . significant) 65 857 85 7 85.7 53.1% 531 53 1 (53.1 female age 54265 54 2 6 5 54.2±6. years. years years) 58.1% 581 58 (58.1% 13.3%. 133 13.3% 13 3 (13.3%) 126 12 12.6 electrocardiograms ARBs, ARBs , (ARBs) increased digoxin betablockers beta ASA (ASA 28.2%, 282 28.2% 28 (28.2%) Xray X ray 14%, 14 14% (14%) 64.5% 645 64 (64.5% 71.8%. 718 71.8% 71 8 (71.8%) 21 2.1 indicated consultation Ondemand On demand optimization discharge 20 p<0.0 p00 (p<0. 85. 53.1 (53. 5426 54.2±6 58.1 (58.1 13.3 (13.3% 12. (ARBs 28.2 (28.2% (14% 64.5 (64.5 71.8 (71.8% 2. p<0. p0 (p<0 53. (53 542 54.2± 58. (58. 13. (13.3 28. (28.2 (14 64. (64. 71. (71.8 p<0 (p< (5 54.2 (58 (13. (28. (1 (64 (71. p< (p ( 54. (13 (28 (6 (71 (2 (7
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