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Abstract The present study is configured as a comparative research that seeks to identify and analyze the social representations of LGBTQIA+ old age among people in deprivation of liberty. A total of 28 people participated, 14 men and 14 women, aged between 21 and 46 years (M=43.7 years; SD=16.2). After data collection, analyzes were performed using SPSS Statistics software (sociodemographic data) and Iramuteq (semi-structured interviews). Considering the results, it is noted that the social representations of LGBTQIA+ old age among the aforementioned public are subdivided into four conceptions: a) those in which prejudice is central; b) those who consider personal guidance as the only factor to be taken into account; c) those who understand that respect must prevail; d) and those specific to the female audience who understand the need for resources that support. Thus, it is hoped that there will be more discussions on the subject, in order to deconstruct negative stigmas on these populations and create equitable opportunities for them, considering and respecting their existence and contributing positively to their lives.

Resumo O presente estudo se configura como uma pesquisa comparativa que busca identificar e analisar as representações sociais da velhice LGBTQIA+ entre pessoas em privação de liberdade. Participaram, no total, 28 pessoas, sendo 14 homens e 14 mulheres, tendo entre 21 e 46 anos (M=43,7 anos; DP=16,2). Após a coleta dos dados, as análises foram realizadas nos softwares SPSS Statistics (dados sociodemográficos) e no Iramuteq (entrevistas semiestruturadas). Considerando os resultados, nota-se que as representações sociais da velhice LGBTQIA+ entre o referido público se subdividem em quatro concepções: a) aquelas em que o preconceito é central; b) as que consideram as orientações pessoais como único fator a ser levado em conta; c) as que entendem que o respeito deve prevalecer; d) e as específicas do público feminino que entendem a necessidade de recursos que funcionam como suporte. Dessa maneira, almeja-se que haja mais discussões acerca da temática, de forma a desconstruir estigmas negativos sobre estas populações e criar oportunidades equitativas para elas, considerando e respeitando suas existências e contribuindo positivamente em suas vidas.

Resumen El presente estudio se configura como una investigación comparativa que busca identificar y analizar las representaciones sociales de la vejez LGBTQIA+ entre personas en privación de libertad. Participaron 28 personas, 14 hombres y 14 mujeres, con edades comprendidas entre 21 y 46 años (M = 43,7 años; DT = 16,2). Después de la recolección de datos, los análisis se realizaron utilizando el software SPSS Statistics (datos sociodemográficos) e Iramuteq (entrevistas semiestructuradas). Considerando los resultados, se observa que las representaciones sociales de la vejez LGBTQIA+ entre el público mencionado se subdividen en cuatro concepciones: a) aquellas en las que el prejuicio es central; b) quienes consideran la orientación personal como el único factor a tener en cuenta; c) los que creen que debe prevalecer el respeto; d) y aquellos específicos del público femenino que comprendan la necesidad de recursos que funcionen como soporte. Así, se espera que haya más discusiones sobre el tema, con el fin de deconstruir estigmas negativos sobre estas poblaciones y generar oportunidades equitativas para ellas, considerando y respetando su existencia y contribuyendo positivamente a sus vidas.

https://doi.org/10.15332/22563067.9372

Cervical Mass in an Infant
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Dias, Mariana Eiras

; Bandeira, Eduardo

; Barreira, Rita

Acta Radiológica Portuguesa

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aug 2023, Volume 35 N. 2 Pages 46 - 47

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

Abstract Fibromatosis colli is the most severe presentation of congenital muscular torticollis and a relatively rare cause of neck swelling in neonates and infants. We present a case of a 6 weeks old male infant who was admitted to the emergency department with a mass in the left lateral-cervical region. Two soft tissue ultrasounds were performed showing multiple adenopathy and one week later a new ultrasound was performed by a radiologist experienced in pediatric imaging that was suggestive of fibromatosis colli. Ultrasound is the diagnosis imaging modality of choice if there is any doubt in the diagnosis. It shows focal or diffuse enlargement of the sternocleidomastoid muscle in a fusiform configuration.

Resumo A Fibromatosis colli é a apresentação mais grave do torcicolo muscular congénito e uma causa rara de tumefação cervical em recém-nascidos e lactentes. Apresentamos o caso de um lactente do sexo masculino com 6 semanas de vida que deu entrada no serviço de urgência com uma massa na região látero-cervical esquerda. Foram realizadas duas ecografias de partes moles que mostraram múltiplas adenopatias e após uma semana foi realizada uma nova ecografia por um radiologista experiente em pediatria que era sugestiva de fibromatosis colli. A ecografia é a modalidade de diagnóstico de escolha se existir dúvida no diagnóstico. Normalmente mostra aumento focal ou difuso do músculo esternocleidomastóideo em configuração fusiforme.

https://doi.org/10.25748/arp.27587

Reprocessamento de Marca-Passos em Países de Língua Portuguesa: Uma Reflexão Clínica MarcaPassos Marca Passos Portuguesa
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Lima, Neiberg de Alcantara

; Rocha, Eduardo Arrais

; Damasceno, Albertino

; Costa, Ieda Prata

; Ricardo, José Ribeiro Bunda

; Lopes, Fernando Jorge

; Dias, Luis

; Soares, Miryan Bandeira dos Prazeres Cassandra

; Puroll, Eric

; Eagle, Kim A.

; Crawford, Thomas C.

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 2 elocation e20210941

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

Resumo Há uma enorme disparidade entre os países de alta renda e outros em termos de acesso a dispositivos médicos cardíacos, como marca-passos e desfibriladores implantáveis. Os custos são uma das principais barreiras ao uso de dispositivos cardíacos nesses países. Existem iniciativas internacionais que visam reduzir essa disparidade, e o reuso de marca-passos tem sido discutido como uma possível alternativa. O conceito de reutilização de marca-passos não é novo; entretanto, estudos recentes têm se mostrado seguros, éticos e eficazes para aqueles que precisam de dispositivos eletrônicos cardíacos implantáveis e não tem como adquiri-los. Parte dos países de língua portuguesa, especialmente na África, precisam de uma resposta imediata que beneficie seus inúmeros pacientes que sofrem de arritmias tratáveis. marcapassos marca passos alternativa novo entretanto seguros adquirilos. adquirilos adquiri los. los adquiri-los portuguesa África tratáveis

Abstract There is a gap between high-income countries and others in terms of access to medical cardiac devices, such as pacemakers and implantable cardioverter defibrillators. Costs are one of the main barriers to the use of cardiac devices in these countries. There are international initiatives that aim to reduce the gap. The reuse of pacemakers has been discussed as a possible alternative to this problem. The concept of reusing pacemakers is not new; however, recent studies have proven to be safe, ethical, and effective for those who need cardiac implantable electronic devices and cannot afford them. Part of the Portuguese-speaking countries, especially in Africa, need an immediate response that benefits their countless patients who suffer from treatable arrhythmias. highincome high income defibrillators problem new however safe ethical them Portuguesespeaking Portuguese speaking Africa arrhythmias

https://doi.org/10.36660/abc.20210941

Guidelines on vascular access for hemodialysis from the Brazilian Society of Angiology and Vascular Surgery
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Harduin, Leonardo de Oliveira

; Barroso, Thiago Almeida

; Guerra, Julia Bandeira

; Filippo, Marcio Gomes

; Almeida, Leonardo Cortizo de

; Castro-Santos, Guilherme de

; Oliveira, Fabio Augusto Cypreste

; Cavalcanti, Douglas Eduardo Tavares

; Procopio, Ricardo Jayme

; Lima, Eduardo Cavalcanti

; Pinhati, Matheus Eduardo Soares

; Reis, José Maciel Caldas dos

; Moreira, Barbara D’Agnoluzzo

; Galhardo, Adriano Martins

; Joviliano, Edwaldo Edner

; Araujo, Walter Junior Boim de

; Oliveira, Julio Cesar Peclat de

Jornal Vascular Brasileiro

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2023, Volume 22 elocation e20230052

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

RESUMO A doença renal crônica é um problema de saúde pública global e em seu estágio terminal está associada à necessidade de terapia dialítica. A grande maioria dos pacientes que necessitam realizar a terapia renal substitutiva, a fazem através da hemodiálise. Portanto, o acesso vascular é de extrema importância para a população dialítica, implicando diretamente na qualidade de vida e na morbimortalidade deste grupo de pacientes. Sendo a confecção, gerenciamento e resgate dos acessos vasculares uma das áreas de atuação do cirurgião vascular, é de grande importância a elaboração de uma diretriz que oriente o especialista no manejo mais adequado do acesso vascular para hemodiálise. Assim, o objetivo desta diretriz é apresentar um conjunto de recomendações para guiar as decisões na referenciação, avaliação, escolha, vigilância e gestão das complicações do acesso vascular para hemodiálise. dialítica substitutiva hemodiálise Portanto confecção Assim referenciação avaliação escolha

Abstract Chronic kidney disease is a worldwide public health problem, and end-stage renal disease requires dialysis. Most patients requiring renal replacement therapy have to undergo hemodialysis. Therefore, vascular access is extremely important for the dialysis population, directly affecting the quality of life and the morbidity and mortality of this patient population. Since making, managing and salvaging of vascular accesses falls within the purview of the vascular surgeon, developing guideline to help specialists better manage vascular accesses for hemodialysis if of great importance. Thus, the objective of this guideline is to present a set of recommendations to guide decisions involved in the referral, evaluation, choice, surveillance and management of complications of vascular accesses for hemodialysis. problem endstage end stage Therefore population making surgeon importance Thus referral evaluation choice

https://doi.org/10.1590/1677-5449.202300522

Musculoskeletal effects of obesity and bariatric surgery – a narrative review
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Holanda, Narriane

; Crispim, Nara

; Carlos, Ingrid

; Moura, Taíssa

; Nóbrega, Eduardo

; Bandeira, Francisco

Archives of Endocrinology and Metabolism

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oct 2022, Volume 66 N. 5 Pages 621 - 632

Abstract: En | Text: En | PDF: En

Abstract Obesity affects several areas of the human body, leading to increased morbidity and mortality and the likelihood of other diseases, such as type 2 diabetes mellitus, cardiovascular diseases and musculoskeletal disorders. These conditions predispose to bone fractures and sarcopenic obesity, defined by the presence of an obesity-associated decrease in muscle mass and strength. Both bone fragility and sarcopenic obesity disease are consequences of several factors, such as a low degree of chronic inflammation, insulin resistance, hormonal changes, nutritional deficiencies, ectopic fat deposits and sedentary lifestyle. The diagnosis of obesity-related musculoskeletal disorders is limited by the lack of sarcopenia criteria and lower accuracy of bone mineral density measurement by dual-energy X-ray absorptiometry in overweight people. Reducing body weight provides undeniable benefits to this population, however treating cases of severe obesity with bariatric surgery can cause even greater damage to bone and muscle health, especially in the long term. The mechanisms involved in this process are not yet fully understood, but factors related to nutrient malabsorption and mechanical discharge as well as changes in gut hormones, adipokines and bone marrow adiposity should be taken into account. Depending on the surgical technique performed, greater musculoskeletal damage may occur, especially in cases of malabsorptive surgeries such as Roux-en-Y gastric bypass, when compared to restrictive techniques such as sleeve gastrectomy. This difference is probably due to greater weight loss, nutrient malabsorption and important hormonal changes that occur as a consequence of the diversion of intestinal transit and loss of greater absorptive surface. Thus, people undergoing bariatric procedures, especially malabsorptive ones, should have their musculoskeletal health supervised to allow early diagnosis and appropriate therapeutic interventions to prevent osteoporotic fractures and preserve the functionality of the skeletal muscles. Arch Endocrinol Metab. 2022;66(5):621-32

https://doi.org/10.20945/2359-3997000000551

Avaliação de biomarcadores sanguíneos em ratas submetidas à colocação de implantes de silicone nanotexturizados e revestidos pela espuma de poliuretano
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SILVA, EDUARDO NASCIMENTO

; PONTES, GISELA HOBSON

; BANDEIRA, FRANCINE MARQUES

; KOGA, ADRIANA YURIKO

; FERREIRA, LYDIA MASAKO

; LIPINSKI, LEANDRO CAVALCANTE

Revista Brasileira de Cirurgia Plástica

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jul 2021, Volume 36 N. 3 Pages 249 - 256

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

RESUMO Introdução: Nas últimas décadas houve uma grande evolução na superfície de revestimento dos implantes mamários, o que resultou na diminuição das complicações. No pós-operatório a inflamação é uma constante e pode ser avaliada pelo hemograma, pois é um exame rápido, barato e com alta disponibilidade. O presente estudo tem como objetivo avaliar os biomarcadores sanguíneos em ratas submetidas à colocação de mini-implantes de silicone nanotexturizados e revestidos por espuma de poliuretano. Métodos: Foram utilizadas 60 ratas Wistar divididas em dois grupos para utilização de mini-implantes nanotexturizados e revestidos com espuma de poliuretano, subdivididos em subgrupos de acordo com a eutanásia dos animais nos 30, 60 e 90 dias. No momento da eutanásia, as amostras de sangue foram obtidas por punção cardíaca e foi analisado o hemograma. Resultados: A hemoglobina, o hematócrito, a hemoglobina corpuscular média, os leucócitos, os neutrófilos, os linfócitos e as plaquetas tiveram os resultados muito semelhantes em todos os subgrupos avaliados (30, 60 e 90 dias). Entretanto, quando os diferentes subgrupos foram comparados entre si dentro de cada grupo, obteve-se resultados estatisticamente significantes na hemoglobina corpuscular média (nanotexturizado p=0,032 e poliuretano p=0,007) e nos leucócitos (nanotexturizado p=0,038 e poliuretano p=0,034). Sobre as alterações dos biomarcadores sanguíneos no pós-operatório encontrou-se anemia hipocrômica, contagem de leucócitos normais, neutrofilia, linfopenia e trombocitopenia. Conclusão: Após a colocação de mini-implantes de silicone, as ratas de ambos os grupos evoluíram com anemia hipocrômica, contagem de leucócitos normais às custas de neutrofilia e linfopenia, e trombocitopenia.

ABSTRACT Introduction: In recent decades, there has been a great evolution in breast implants' lining surface, which has resulted in decreased complications. In the postoperative period, the inflammation is constant and can be evaluated by the blood count, as it is a fast, inexpensive, and highly available examination. The present study evaluates blood biomarkers in rats submitted to the placement of nanotextured silicone implants and implants coated with polyurethane foam. Methods: 60 Wistar rats were used divided into two groups for nanotextured mini-implants and others mini-implants coated with polyurethane foam, subdivided into subgroups according to the animals' euthanasia in the 30, 60, and 90 days. At the time of euthanasia, blood samples were obtained by cardiac puncture and the blood count was analyzed. Results: Hemoglobin, hematocrit, mean corpuscular hemoglobin, leukocytes, neutrophils, lymphocytes, and platelets had very similar results in all subgroups evaluated (30, 60, and 90 days). However, when the different subgroups were compared within each group, statistically significant results were obtained in the mean corpuscular hemoglobin (nanotextured p=0.032 and polyurethane p=0.007) and leukocytes (nanotextured p=0.038 and polyurethane p=0.034). Changes in postoperative blood biomarkers were hypochromic anemia, normal leukocyte count, neutrophilia, lymphopenia, and thrombocytopenia. Conclusion: After the placement of mini-silicone implants, the rats of both groups evolved with hypochromic anemia, normal leukocyte count at the expense of neutrophilia and lymphopenia, and thrombocytopenia.

https://doi.org/10.5935/2177-1235.2021rbcp0038

The first notosuchian crocodyliform from the Araçatuba Formation (Bauru Group, Paraná Basin), and diversification of sphagesaurians
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PINHEIRO, ANDRÉ EDUARDO P.

; SOUZA, LUCY G. DE

; BANDEIRA, KAMILA L.N.

; BRUM, ARTHUR S.

; PEREIRA, PAULO VICTOR LUIZ G.C.

; CASTRO, LUÍS OTÁVIO R. DE

; RAMOS, RENATO R.C.

; SIMBRAS, FELIPE M.

Anais da Academia Brasileira de Ciências

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2021, Volume 93 elocation e20201591

Abstract: En | Text: En | PDF: En

Abstract The mesoeucrocodylian record from the Bauru Group (Paraná Basin, Brazil) comes from three formations: Adamantina (Late Turonian–Early Maastrichtian), Presidente Prudente (Early Campanian–Early Maastrichtian) and Marília (Maastrichtian). These records are restricted to the Early Coniacian–Early Maastrichtian. Here, we report a new crocodyliform record from the Bauru Group, which was the first of the Araçatuba Formation, from a new locality of Coronel Goulart district, in Álvares Machado municipality. Coronelsuchus civali gen. nov. et sp. nov. comprises two related specimens - FFP PG 13 and FFP PG 14 recovered close to each other and on the same muddy sandstone level. We perform a phylogenetic analysis with 392 characters (five new added) and 88 taxa. Our analyses supported the new clades: Sphagesauria, Sphagesaurinae and Caipirasuchinae. Our phylogenetic results suggest C. civali as a basal Sphagesauria. Regarding the Crocodyliform Assemblage Zones (CAZ), the new species is correlated to the CAZ 1, together with small sphagesaurians, Caryonosuchus and itasuchids. The C. civali reveals an older appearing (pre-Turonian) and diversification of Sphagesauria. The specimens also expand the stratigraphic range for Notosuchia in the Bauru Group.

https://doi.org/10.1590/0001-3765202120201591 578 downloads

The first Jurassic theropod from the Sergi Formation, Jatobá Basin, Brazil
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BANDEIRA, KAMILA L.N.

; BRUM, ARTHUR S.

; PÊGAS, RODRIGO V.

; SOUZA, LUCY G. DE

; PEREIRA, PAULO VICTOR LUIZ G.C.

; PINHEIRO, ANDRÉ EDUARDO P.

Anais da Academia Brasileira de Ciências

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2021, Volume 93 elocation e20201557

Abstract: En | Text: En | PDF: En

Abstract Archosaur osteological remains are abundant in Brazil, particularly from the Triassic and Cretaceous strata, but in Jurassic, the record is predominantly represented by ichnofossils. The Upper Jurassic archosaur records comprise the Paralligatoridae Batrachomimus pastosbonensis, from the Pastos Bons Formation (Parnaíba Basin), remains of Mesoeucrocodylia from the Aliança Formation (Jatobá Basin), and fragments of Dinosauria from the Brejo Santo Formation (Araripe Basin) with a dubious assignment. Here, we present the first undoubted Dinosauria record for the Jurassic of Brazil, MCT 2670-LE, a middle to distal caudal vertebra belonging to a theropod. MCT 2670-LE was excavated in the 60s by prof. Ignacio Machado Brito, being primarily attributed to strata of the Aliança Formation but the rock matrix involving the specimen allows us to correlate MCT 2670-LE to Sergi Formation, marking this specimen as the first archosaur record of this unit. The caudal vertebra is assigned to Carcharodontosauria based on the hourglass shaped centrum and the deep and narrow ventral groove. The specimen provides new data to the paleogeographic distribution of carcharodontosaurians before the South America-Africa break-up, as well as understanding the theropod faunal turnover of paleoenvironments during the Jurassic-Cretaceous transition in Brazil.

https://doi.org/10.1590/0001-3765202120201557 4 downloads

10.

Psychometric Properties of the Personality Inventory for DSM-5 (PID-5) in Brazilian Samples
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Oliveira, Sérgio Eduardo Silva de

; Bandeira, Denise Ruschel

; Primi, Ricardo

; Krueger, Robert Frank

Psico-USF

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2021, Volume 26 N. spe Pages 109 - 124

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

Resumo Este estudo teve como objetivo investigar as propriedades psicométricas do Inventário de Personalidade para o DSM-5 (PID-5) para amostras clínica e comunitária brasileiras. Esta pesquisa incluiu 1.210 pessoas, sendo 554 delas com indicadores de psicopatologia. Os participantes responderam ao PID-5 e ao Self-Reporting Questionnaire, além de um questionário sobre dados sociodemográfico e de saúde que incluía os seis itens do módulo de risco de suicídio Mini International Neuropsychiatric Interview. Os resultados mostraram que as 25 facetas do PID-5 apresentaram coeficientes de confiabilidade adequados e evidências de unidimensionalidade. A estrutura de cinco fatores do instrumento foi replicada com altos níveis de congruência com a amostra representativa da América do Norte. Os escores PID-5 foram estatisticamente diferentes entre os grupos clínicos e comunitários e foram positivamente correlacionados com medidas de risco de suicídio e sintomas psicopatológicos. Este estudo apresenta as propriedades psicométricas do PID-5 e sua adequação para uso na população brasileira.

Abstract This study aimed to investigate the psychometric properties of the Personality Inventory for DSM-5 (PID-5) in Brazilian community and clinical samples. This research included 1,210 people, 554 of them with psychopathology indicators. The participants answered the PID-5 and the Self-Reporting Questionnaire, in addition to a sociodemographic and health data questionnaire that included the six items of the suicidality module of the Mini International Neuropsychiatric Interview. The results showed that the 25 facets of the PID-5 had adequate reliability coefficients and evidence of unidimensionality. The instrument’s five-factor structure was replicated with high levels of congruence with the representative sample from North America. PID-5 scores were statistically different between clinical and community groups and were positively correlated with measures of suicide risk and psychopathological symptoms. This study presents the psychometric properties of PID-5 and its suitability for use in the Brazilian population.

Resumen Este estudio tuvo como objetivo investigar las propiedades psicométricas del Inventario de Personalidad para el DSM-5 (PID-5) en muestras clínicas y comunitarias de Brasil. Esta investigación incluyó a 1.210 personas, 554 de ellas con indicadores de psicopatología. Los participantes respondieron al PID-5 y al Self-Reporting Questionnaire, además de un cuestionario de datos sociodemográficos y de salud que incluía los seis ítems del módulo de suicidio de la Mini Entrevista Neuropsiquiátrica Internacional. Los resultados mostraron que las 25 facetas del PID-5 presentaron coeficientes de confiabilidad adecuados y evidencias de unidimensionalidad. La estructura de cinco factores del instrumento se replicó con altos niveles de congruencia con la muestra representativa de Norteamérica. Las puntuaciones de PID-5 fueron estadísticamente diferentes entre los grupos clínicos y comunitarios, y se correlacionaron positivamente con las medidas de riesgo de suicidio y síntomas psicopatológicos. Este estudio presenta las propiedades psicométricas del PID-5 y su idoneidad para su uso en la población brasileña.

https://doi.org/10.1590/1413-8271202126nesp11

11.

OPEN VS LAPAROSCOPIC HERNIA REPAIR IN THE BRAZILIAN PUBLIC HEALTH SYSTEM. AN 11-YEAR NATIONWIDE POPULATION-BASED STUDY
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EVERLING, Eduardo Morais

; BANDEIRA, Daniela Santos

; GALLOTTI, Felipe Melloto

; BOSSARDI, Priscila

; TONATTO-FILHO, Antoninho José

; GREZZANA-FILHO, Tomaz de Jesus Maria

Arquivos de Gastroenterologia

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dec 2020, Volume 57 N. 4 Pages 484 - 490

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

RESUMO CONTEXTO: Hérnias de parede abdominal são patologias cirúrgicas frequentes. O surgimento da cirurgia minimamente invasiva levantou questionamentos sobre a melhor técnica a ser aplicada, considerando a possível redução de dor pós-operatória e de complicações, e retorno precoce às atividades habituais. OBJETIVO: Avaliar frequência de hernioplastias abertas e laparoscópicas no Brasil entre os anos de 2008 e 2018, analisar taxas de cirurgias urgentes e eletivas, mortalidade, custos e o impacto do treinamento em cirurgia laparoscópica no sistema público de saúde. MÉTODOS Análise de banco de dados do registro de saúde pública (DATASUS) entre 2008 e 2018 para coleta dos dados e parâmetros selecionados. RESULTADOS: Foram realizadas 2.671.347 hernioplastias no período, média de 242.850 cirurgias/ano (99,4% abertas, 0,6% laparoscópicas). Predominou a faixa etária economicamente ativa (20-59 anos), 54,5% do total. Houve redução significativa das cirurgias abertas (P<0,01), sem aumento compensatório da laparoscopia. 22,3% das cirurgias foram de urgência, com aumento significativo da mortalidade em relação às cirurgias eletivas (P<0,01). Observou-se distribuição heterogênea da videolaparoscopia, diretamente relacionada com o número de cirurgiões digestivos. CONCLUSÃO: Este estudo apresenta pela primeira vez os dados populacionais das cirurgias de hérnia no Brasil. As técnicas minimamente invasivas representam uma parcela pouco significativa das hernioplastias. As cirurgias urgentes apresentam percentual elevado comparado a outros países, com aumento significativo na mortalidade, reforçando a necessidade de políticas que permitam aumento da oferta do serviço, treinamento especializado e equalização na distribuição dos procedimentos em todas as regiões.

ABSTRACT BACKGROUND: Abdominal wall hernia is one of the most common surgical pathologies. The advent of minimally invasive surgery raised questions about the best technique to be applied, considering the possibility of reducing postoperative pain, a lower rate of complications, and early return to usual activities. OBJECTIVE: To evaluate the frequency of open and laparoscopic hernioplasties in Brazil from 2008 to 2018, analyzing the rates of urgent and elective surgeries, mortality, costs, and the impact of laparoscopic surgical training on the public health system. METHODS: Nationwide data from 2008 to 2018 were obtained from the public health registry database (DATASUS) for a descriptive analysis of the selected data and parameters. RESULTS: 2,671,347 hernioplasties were performed in the period, an average of 242,850 surgeries per year (99.4% open, 0.6% laparoscopic). The economically active population (aged 20-59) constituted the dominant group (54.5%). There was a significant reduction (P<0.01) in open surgeries, without a compensatory increase in laparoscopic procedures. 22.3% of surgeries were urgent, with a significant increase in mortality when compared to elective surgeries (P<0.01). The distribution of laparoscopic surgery varied widely, directly associated with the number of digestive surgeons. CONCLUSION: This study presents nationwide data on hernia repair surgeries in Brazil for the first time. Minimally invasive techniques represent a minor portion of hernioplasties. Urgent surgeries represent a high percentage when compared to other countries, with increased mortality. The data reinforce the need for improvement in the offer of services, specialized training, and equalization in the distribution of procedures in all regions.

https://doi.org/10.1590/s0004-2803.202000000-85 1058 downloads

12.

CAPACITY OF EXERCISE AND SURVIVAL IN PATIENTS WITH CIRRHOSIS WITH AND WITHOUT HEPATOPULMONARY SYNDROME AFTER LIVER TRANSPLANTATION
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PEREIRA, José Leonardo Faustini

; GALANT, Lucas Homercher

; ROSA, Luis Henrique Telles da

; GARCIA, Eduardo

; BRANDÃO, Ajácio Bandeira de Mello

; MARRONI, Cláudio Augusto

Arquivos de Gastroenterologia

Journal Metrics
- Sobre o periódico
- SciELO Analytics

sep 2020, Volume 57 N. 3 Pages 262 - 266

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

RESUMO CONTEXTO: A síndrome hepatopulmonar (SHP) é uma complicação associada à cirrose que pode contribuir para piora da capacidade de exercício e menor sobrevida após o transplante hepático (TxH). OBJETIVO: Avaliar a capacidade de exercício, as complicações e a sobrevida após TxH em cirróticos com SHP e comparar com os resultados de cirróticos sem esse diagnóstico. MÉTODOS: Estudo de coorte prospectivo, composto inicialmente por 178 pacientes, dos quais 90 foram submetidos ao TxH (42 com SHP e 48 sem SHP). Foi realizada uma avaliação prévia composta pelo teste de caminhada dos seis minutos (TC6M), teste ergométrico e manovacuometria. Os submetidos ao TxH tiveram avaliados o tempo de ventilação mecânica (VM), uso de ventilação não invasiva (VNI), e a sobrevida dois anos após o procedimento. Na análise estatística utilizamos os testes de Kolmogorov-Smirnov, o teste t de Student, o teste do quadrado de associação linear, a curva de sobrevida de Kaplan Meier. Os dados foram analisados no programa SPSS 16.00 sendo considerado significativo P<0,05. RESULTADOS: O grupo SHP apresentou menor pico de consumo de oxigênio (VO2pico) (14,2±2,3 vs 17,6±2,6) P<0,001, e menor distância percorrida no TC6M (340,8±50,9 vs 416,5±91,4) P<0,001 antes do TxH. Os pacientes com SHP transplantados permaneceram mais horas em VM (19,5±4,3 vs 12,5±3,3) P=0,02, necessitaram mais de VNI (12 vs 2) P=0,01, e tiveram menor sobrevida dois anos após o procedimento (P=0,01). CONCLUSÃO: Pacientes com SHP apresentaram pior capacidade de exercício antes do TxH, mais complicações e menor sobrevida após a realização desse procedimento.

ABSTRACT BACKGROUND: Hepatopulmonary syndrome (HPS) is a complication associated with cirrhosis that may contribute to worsening exercise capacity and reduced survival after liver transplantation (LT). OBJECTIVE: To evaluate exercise capacity, complications and survival after LT in patients with cirrhosis and HPS and to compare these results with the results of patients with cirrhosis without HPS. METHODS: A prospective cohort study, consisting initially of 178 patients, of whom 90 underwent LT (42 with HPS and 48 without HPS). A previous evaluation consisted of the six-minute walk test (6MWT), an exercise test and manovacuometry. Those who underwent LT were evaluated for the mechanical ventilation time (MV), noninvasive ventilation (NIV) use, and survival two years after the procedure. In the statistical analysis, we used the Kolmogorov-Smirnov test, Student’s t-test, the linear association square test, and the Kaplan-Meier survival curve. The data were analyzed with the SPSS 16.00 program and considered significant at P<0.05. RESULTS: The HPS group demonstrated a lower peak of oxygen consumption (VO2peak) (14.2±2.3 vs 17.6±2.6) P<0.001 and a shorter distance walked on the 6MWT (340.8±50.9 vs 416.5±91.4) P<0.001 before LT compared with the non-HPS group. The transplanted patients with HPS remained longer hours in MV (19.5±4.3 vs 12.5±3.3) P=0.02, required more NIV (12 vs 2) P=0.01, and had lower survival two years after the procedure (P=0.01) compared with the transplanted patients without HPS. CONCLUSION: Patients with HPS had worse exercise capacity before LT, more complications and shorter survival after this procedure than patients without HPS.

https://doi.org/10.1590/s0004-2803.202000000-49 426 downloads

13.

Registro Multicêntrico de Takotsubo (REMUTA) – Aspectos Clínicos, Desfechos Intra-Hospitalares e Mortalidade a Longo Prazo
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Almeida Junior, Gustavo Luiz Gouvêa de

; Mansur Filho, João

; Albuquerque, Denilson Campos de

; Xavier, Sergio Salles

; Pontes, Álvaro

; Gouvêa, Elias Pimentel

; Martins, Alexandre Bahia Barreiras

; Nunes, Nágela S. V.

; Carestiato, Lilian Vieira

; Petriz, João Luiz Fernandes

; Santos, Armando Márcio Gonçalves

; Bandeira, Bruno Santana

; Abufaiad, Bárbara Elaine de Jesus

; Pacheco, Luciana da Camara

; Oliveira, Maurício Sales de

; Ribeiro Filho, Paulo Eduardo Campana

; Sampaio, Pedro Paulo Nogueres

; Duque, Gustavo Salgado

; Camillis, Luiz Felipe

; Marques, André Casarsa

; Lourenço Jr, Francisco Carlos

; Palazzo, José Ricardo

; Costa, Cláudio Ramos da

; Silva, Bibiana Almeida da

; Zukowski, Cleverson Neves

; Garcia, Romulo Ribeiro

; Zonis, Fernanda de Carvalho

; Paula, Suzana Andressa Morais de

; Ferrari, Carolina Gravano Ferraz

; Rangel, Bruno Soares da Silva

; Ferreira, Roberto Muniz

; Mendes, Bárbara Ferreira da Silva

; Castro, Isabela Ribeiro Carvalho de

; Souza, Leonardo Giglio Gonçalves de

; Araújo, Luiz Henrique dos Santos

; Giani, Alexandre

Arquivos Brasileiros de Cardiologia

Journal Metrics
- Sobre o periódico
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aug 2020, Volume 115 N. 2 Pages 207 - 216

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

Resumo Fundamento A síndrome de takotsubo (takotsubo) é uma forma de cardiomiopatia adquirida. Dados nacionais sobre essa condição são escassos. O Registro REMUTA é o primeiro a incluir dados multicêntricos dessa condição no nosso país. Objetivo Descrever as características clínicas, prognóstico, tratamento intra-hospitalar e mortalidade hospitalar e em 1 ano de seguimento. Métodos Estudo observacional, retrospectivo, tipo registro. Incluídos pacientes internados com diagnóstico de takotsubo ou que desenvolveram esta condição durante internação por outra causa. Os desfechos avaliados incluíram fator desencadeador, análise dos exames, uso de medicações, complicações e óbito intra-hospitalar e em 1 ano de seguimento. O nível de significância adotado foi de 5%. Resultados Foram incluídos 169 pacientes, em 12 centros no Estado do Rio de Janeiro. A idade média foi de 70,9 ± 14,1 anos e 90,5% eram do sexo feminino; 63% dos casos foram de takotsubo primário e 37% secundário. Troponina I foi positiva em 92,5% dos pacientes e a mediana de BNP foi de 395 (176,5; 1725). Supradesnivelamento do segmento ST esteve presente em 28% dos pacientes. A fração de ejeção do ventrículo esquerdo teve mediana de 40 (35; 48)%. Observamos taxa de 25,7% de ventilação mecânica invasiva e 17,4% de choque. Suporte circulatório mecânico foi utilizado em 7,7%. A mortalidade intra-hospitalar foi de 10,6% e a mortalidade ao final de 1 ano foi de 16,5%. Takotsubo secundário e choque cardiogênico foram preditores independentes de mortalidade. Conclusão Os resultados do REMUTA mostram que takotsubo não se trata de patologia benigna como se pensava, especialmente no grupo de takotsubo secundário que acarreta elevada taxa de complicações e de mortalidade. (Arq Bras Cardiol. 2020; 115(2):207-216)

Abstract Background Takotsubo syndrome (TTS) is an acquired form of cardiomyopathy. National Brazilian data on this condition are scarce. The Takotsubo Multicenter Registry (REMUTA) is the first to include multicenter data on this condition in Brazil. Objective To describe the clinical characteristics, prognosis, in-hospital treatment, in-hospital mortality, and mortality during 1 year of follow-up. Methods This is an observational, retrospective registry study including patients admitted to the hospital with diagnosis of TTS and patients admitted for other reasons who developed this condition. Evaluated outcomes included triggering factor, analysis of exams, use of medications, complications, in-hospital mortality, and mortality during 1 year of follow-up. A significance level of 5% was adopted. Results The registry included 169 patients from 12 centers in the state of Rio de Janeiro, Brazil. Mean age was 70.9 ± 14.1 years, and 90.5% of patients were female; 63% of cases were primary TTS, and 37% were secondary. Troponin I was positive in 92.5% of patients, and median BNP was 395 (176.5; 1725). ST-segment elevation was present in 28% of patients. Median left ventricular ejection fraction was 40 (35; 48)%. We observed invasive mechanical ventilation in 25.7% of cases and shock in 17.4%. Mechanical circulatory support was used in 7.7%. In-hospital mortality was 10.6%, and mortality at 1 year of follow-up was 16.5%. Secondary TTS and cardiogenic shock were independent predictors of mortality. Conclusion The results of the REMUTA show that TTS is not a benign pathology, as was once thought, especially regarding the secondary TTS group, which has a high rate of complications and mortality. (Arq Bras Cardiol. 2020; 115(2):207-216)

https://doi.org/10.36660/abc.20190166 1217 downloads

14.

Reference values of 25-hydroxyvitamin D revisited: a position statement from the Brazilian Society of Endocrinology and Metabolism (SBEM) and the Brazilian Society of Clinical Pathology/Laboratory Medicine (SBPC)
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Moreira, Carolina Aguiar

; Ferreira, Carlos Eduardo dos S

; Madeira, Miguel

; Silva, Barbara Campolina Carvalho

; Maeda, Sergio Setsuo

; Batista, Marcelo Cidade

; Bandeira, Francisco

; Borba, Victória Z. Cochenski

; Lazaretti-Castro, Marise

Archives of Endocrinology and Metabolism

Journal Metrics
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aug 2020, Volume 64 N. 4 Pages 462 - 478

Abstract: En | Text: En | PDF: En

ABSTRACT Hypovitaminosis D is a common condition with a negative impact on health. This statement, prepared by experts from the Brazilian Society of Endocrinology and Metabolism and the Brazilian Society of Clinical Pathology/Laboratory Medicine, includes methodological aspects and limitations of the measurement of 25-hydroxyvitamin D [25(OH)D] for identification of vitamin D status, and identifies individuals at increased risk for deficiency of this vitamin in whom 25(OH)D measurement is recommended. For the general population, 25(OH)D levels between 20 and 60 ng/mL are considered normal, while individuals with levels below 20 ng/mL are considered to be vitamin D deficient. This statement identifies potential benefits of maintaining 25(OH)D levels > 30 ng/mL in specific conditions, including patients aged > 65 years or pregnant, those with recurrent falls, fragility fractures, osteoporosis, secondary hyperparathyroidism, chronic kidney disease, or cancer, and individuals using drugs with the potential to affect the vitamin D metabolism. This statement also calls attention to the risk of vitamin D intoxication, a life-threatening condition that occurs at 25(OH)D levels above 100 ng/mL

https://doi.org/10.20945/2359-3997000000258 2086 downloads

15.

Chemical composition and fatty acids profile of chocolates produced with different cocoa (Theobroma cacao L.) cultivars
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MELO, Calionara Waleska Barbosa de

; Bandeira, Matheus de Jesus

; MACIEL, Leonardo Fonseca

; BISPO, Eliete da Silva

; SOUZA, Carolina Oliveira de

; SOARES, Sérgio Eduardo

Food Science and Technology

Journal Metrics
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jun 2020, Volume 40 N. 2 Pages 326 - 333

Abstract: En | Text: En | PDF: En

Abstract The objective of the present study was to characterize the physicochemical composition and to quantify the fatty acids of chocolates produced from different cocoa varieties (Theobroma cacao L.) cultivated in the Southern Region of Bahia. Nine samples of monovarietal chocolates were evaluated, according to their physical, thermal and fatty acid profile. The results were subjected to tests of variance and multivariate statistics. The chocolates PH16 and TSH1188 presented higher melting point. It was possible to identify a linear correlation between the fat content of the chocolates and the break force parameter. The chocolates showed higher concentration of saturated fatty acids, mainly palmitic acid (16:0) and stearic acid (18:0), followed by the unsaturated fatty acids among which oleic acid (18:1n-9) and linoleic acid (18:6) were predominant. The principal component analysis allowed to discriminate the different varieties of chocolate according to the profile of fatty acids. The thermogravimetric analysis of the samples showed a similar profile. The differences found in the samples of chocolates were attributed to factors such as the fruit maturation process, the cocoa variety and to which they were subjected during processing.

https://doi.org/10.1590/fst.43018 3691 downloads

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