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ABSTRACT Physical properties of the Technosols formed by the tailings deposition may constitute a physical barrier that limits water movement and plant development due to the properties received from those sediments. This study aimed to evaluate the physical quality of the Technosols formed by the deposition of sediments displaced by the Fundão Dam failure, Mariana, Minas Gerais State, Brazil, based on the evaluation of physical properties and Load Bearing Capacity Models (LBCM). For that, three areas under different vegetation types were selected: eucalyptus (Euc), forest with human-assisted revegetation (RF), and forest with native vegetation (NF). Three sampling subareas were demarcated in each area: non-impacted areas (Ni), and Technosols formed in directly impacted areas (Di), and partially impacted areas (Pi). Undisturbed samples were collected in two layers and subjected to the uniaxial compression test after equilibration at five matric potentials. Soil compression curves and LBCM were determined. Soil bulk density (BD), total porosity (TP), organic matter (OM), granulometry, and particle density (PD) were also determined. Clay content was less significant, and the silt and very fine sand content was significantly higher in the Technosols, generating an increase in BD and reduction in TP. Technosols generally exhibited greater load-bearing capacity due to higher pre-consolidation pressure values attained by these soils due to the lower clay and OM contents. High resistance of these soils is one limitation for revegetation of the areas evaluated, being necessary management practices to improve physical properties of the Technosols. failure Mariana State Brazil LBCM. . (LBCM) selected Euc, Euc , (Euc) humanassisted human assisted RF, RF (RF) NF. NF (NF) area nonimpacted non Ni, Ni (Ni) Di, Di (Di) Pi. Pi (Pi) potentials determined BD, (BD) TP, TP (TP) OM, (OM) granulometry PD (PD significant loadbearing load bearing preconsolidation pre consolidation contents evaluated (LBCM (Euc (RF (NF (Ni (Di (Pi (BD (TP (OM

https://doi.org/10.36783/18069657rbcs20230021

Diretriz de Tomografia Computadorizada e Ressonância Magnética Cardiovascular da Sociedade Brasileira de Cardiologia e do Colégio Brasileiro de Radiologia – 2024 202 20 2
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Magalhães, Tiago Augusto

; Carneiro, Adriano Camargo de Castro

; Moreira, Valéria de Melo

; Trad, Henrique Simão

; Lopes, Marly Maria Uellendahl

; Cerci, Rodrigo Julio

; Nacif, Marcelo Souto

; Schvartzman, Paulo R.

; Chagas, Antônio Carlos Palandrini

; Costa, Isabela Bispo Santos da Silva

; Schmidt, André

; Shiozaki, Afonso Akio

; Montenegro, Sérgio Tavares

; Piegas, Leopoldo Soares

; Zapparoli, Marcelo

; Nicolau, José Carlos

; Fernandes, Fabio

; Hadlich, Marcelo Souza

; Ghorayeb, Nabil

; Mesquita, Evandro Tinoco

; Gonçalves, Luiz Flávio Galvão

; Ramires, Felix José Alvarez

; Fernandes, Juliano de Lara

; Schwartzmann, Pedro Vellosa

; Rassi, Salvador

; Torreão, Jorge Andion

; Mateos, José Carlos Pachón

; Beck-da-Silva, Luiz

; Silva, Marly Conceição

; Liberato, Gabriela

; Oliveira, Gláucia Maria Moraes de

; Feitosa Filho, Gilson Soares

; Carvalho, Hilka dos Santos Moraes de

; Markman Filho, Brivaldo

; Rocha, Ricardo Paulo de Sousa

; Azevedo Filho, Clerio Francisco de

; Taratsoutchi, Flávio

; Coelho-Filho, Otavio Rizzi

; Kalil Filho, Roberto

; Hajjar, Ludhmila Abrahão

; Ishikawa, Walther Yoshiharu

; Melo, Cíntia Acosta

; Jatene, Ieda Biscegli

; Albuquerque, Andrei Skromov de

; Rimkus, Carolina de Medeiros

; Silva, Paulo Savoia Dias da

; Vieira, Thiago Dieb Ristum

; Jatene, Fabio Biscegli

; Azevedo, Guilherme Sant Anna Antunes de

; Santos, Raul D.

; Monte, Guilherme Urpia

; Ramires, José Antonio Franchini

; Bittencourt, Marcio Sommer

; Avezum, Alvaro

; Silva, Leonardo Sara da

; Abizaid, Alexandre

; Gottlieb, Ilan

; Precoma, Dalton Bertolim

; Szarf, Gilberto

; Sousa, Antônio Carlos Sobral

; Pinto, Ibraim Masciarelli Francisco

; Medeiros, Fábio de Morais

; Caramelli, Bruno

; Parga Filho, José Rodrigues

; Santos, Tiago Senra Garcia dos

; Prazeres, Carlos Eduardo Elias dos

; Lopes, Marcelo Antonio Cartaxo Queiroga

; Avila, Luiz Francisco Rodrigues de

; Scanavacca, Mauricio Ibrahim

; Gowdak, Luis Henrique Wolff

; Barberato, Silvio Henrique

; Nomura, Cesar Higa

; Rochitte, Carlos Eduardo

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 9 elocation e20240608

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.36660/abc.20240608

Treatment-emergent central sleep apnea in a patient with multiple system atrophy: case report Treatmentemergent Treatment emergent atrophy
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Grinfeld, Carolina Almeida

; Beiriz, Yasmin de Rezende

; Silva, Thatiana Pereira

; Araújo, Natalia Martins de

; Paixão, Mirella Pereira Souza

; Gomes, Julyana Carneiro

; Perazzo, Paulo Sergio Lins

Brazilian Journal of Otorhinolaryngology

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2024, Volume 90 N. 6 elocation 101465

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.bjorl.2024.101465

Resistance to the use of the FM System by children and adolescents: fact or myth? An analysis of records of patients assisted in a hearing health center adolescents myth
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Spósito, Caroline

; Carneiro, Larissa de Almeida

; Bento, Bruna Carolina da Silva

; Bucuvic, Érika Cristina

; Jacob, Regina Tangerino de Souza

Revista CEFAC

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2023, Volume 25 N. 1 elocation e8022

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

RESUMO Objetivo: comparar o uso do Sistema de Frequência Modulada por crianças e adolescentes em um Serviço Público de Saúde Auditiva do estado de São Paulo. Métodos: análise de prontuários, balizada pelos critérios de elegibilidade. Foram coletados dados de 340 participantes adaptados com o Sistema de Frequência Modulada, nascidos entre 1998 e 2011 e que compareceram à consulta de retorno pós-adaptação do dispositivo. Os dados foram analisados de forma descritiva e inferencial. Resultados: participaram crianças e adolescentes de ambos os gêneros provenientes de todo Brasil, com deficiência auditiva, cursando o ensino fundamental I ou II e ensino médio na rede pública ou privada de ensino. Os dados revelaram que 115 crianças e 155 adolescentes faziam uso efetivo do dispositivo, especialmente na escola. As principais dificuldades relatadas foram a falta de apoio dos professores entre as crianças e o sentimento de vergonha entre os adolescentes. Conclusão: foram identificadas dificuldades na adesão ao uso do Sistema FM, sobretudo por parte das crianças. Diante disso, ressalta-se a importância da orientação e da conscientização dos benefícios do uso do Sistema FM aos pacientes, familiares e seus professores, tanto no momento da adaptação do dispositivo quanto nas consultas de acompanhamento, a fim de assegurar o seu uso efetivo. Objetivo Paulo Métodos prontuários elegibilidade 34 199 201 pósadaptação pós inferencial Resultados Brasil auditiva 11 15 escola Conclusão disso ressaltase ressalta se pacientes acompanhamento 3 19 20 1 2

ABSTRACT Purpose: to compare the use of the Frequency Modulation (FM) System by children and adolescents in a public hearing health center in the state of São Paulo. Methods: the analysis of medical records based on eligibility criteria. Data were collected from 340 participants born between 1998 and 2011, fitted with FM System, and who attended the follow-up appointment after fitting the device. Data were analyzed descriptively and inferentially. Results: hard-of-hearing children and adolescents of both genders from all over Brazil, attending elementary, middle or high school in public or private schools, participated. The data showed that 115 children and 155 adolescents effectively used the device, especially at school. The main difficulty for children was the lack of support from teachers; for adolescents, it was the feeling of embarrassment. Conclusion: some difficulties, especially on children, in adhering to the use of FM Systems were identified. Hence, to ensure the FM System's effective use, the importance of providing guidance and awareness of its benefits to patients, and their family members and teachers, during the fitting appointment and follow-up consultations, is emphasized. Purpose (FM Paulo Methods criteria 34 199 2011 followup follow up device inferentially Results hardofhearing hard Brazil elementary schools participated 11 15 teachers embarrassment Conclusion difficulties identified Hence s patients consultations emphasized 3 19 201 1 20 2

https://doi.org/10.1590/1982-0216/20232518022

COVID-19 outcomes in people living with HIV: Peering through the waves COVID19 COVID 19 COVID-1 HIV COVID1 1 COVID-
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Sales, Thaís Lorenna Souza

; Souza-Silva, Maíra Viana Rego

; Delfino-Pereira, Polianna

; Neves, João Victor Baroni

; Sacioto, Manuela Furtado

; Assis, Vivian Costa Morais de

; Duani, Helena

; Oliveira, Neimy Ramos de

; Sampaio, Natália da Cunha Severino

; Ramos, Lucas Emanuel Ferreira

; Schwarzbold, Alexandre Vargas

; Jorge, Alzira de Oliveira

; Scotton, Ana Luiza Bahia Alves

; Castro, Bruno Mateus de

; Silva, Carla Thais Cândida Alves da

; Ramos, Carolina Marques

; Anschau, Fernando

; Botoni, Fernando Antonio

; Grizende, Genna Maira Santos

; Nascimento, Guilherme Fagundes

; Ruschel, Karen Brasil

; Menezes, Luanna Silva Monteiro

; Castro, Luís César de

; Nasi, Luiz Antônio

; Carneiro, Marcelo

; Godoy, Mariana Frizzo de

; Nogueira, Matheus Carvalho Alves

; Guimarães Júnior, Milton Henriques

; Ziegelmann, Patricia Klarmann

; Almeida, Rafaela Charão de

; Francisco, Saionara Cristina

; Silveira Neto, Sidney Teodoro

; Araújo, Silvia Ferreira

; Avelino-Silva, Thiago Junqueira

; Aliberti, Márlon Juliano Romero

; Pires, Magda Carvalho

; Silva, Eduardo Sérgio da

; Marcolino, Milena Soriano

Clinics

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2023, Volume 78 elocation 100223

Abstract: En | Text: En | PDF: En

Abstract Objective To evaluate clinical characteristics and outcomes of COVID-19 patients infected with HIV, and to compare with a paired sample without HIV infection. Methods This is a substudy of a Brazilian multicentric cohort that comprised two periods (2020 and 2021). Data was obtained through the retrospective review of medical records. Primary outcomes were admission to the intensive care unit, invasive mechanical ventilation, and death. Patients with HIV and controls were matched for age, sex, number of comorbidities, and hospital of origin using the technique of propensity score matching (up to 4:1). They were compared using the Chi-Square or Fisher's Exact tests for categorical variables and the Wilcoxon for numerical variables. Results Throughout the study, 17,101 COVID-19 patients were hospitalized, and 130 (0.76%) of those were infected with HIV. The median age was 54 (IQR: 43.0;64.0) years in 2020 and 53 (IQR: 46.0;63.5) years in 2021, with a predominance of females in both periods. People Living with HIV (PLHIV) and their controls showed similar prevalence for admission to the ICU and invasive mechanical ventilation requirement in the two periods, with no significant differences. In 2020, in-hospital mortality was higher in the PLHIV compared to the controls (27.9% vs. 17.7%; p = 0.049), but there was no difference in mortality between groups in 2021 (25.0% vs. 25.1%; p > 0.999). Conclusions Our results reiterate that PLHIV were at higher risk of COVID-19 mortality in the early stages of the pandemic, however, this finding did not sustain in 2021, when the mortality rate is similar to the control group. COVID19 COVID 19 COVID-1 infection (202 2021. . 2021) records unit death sex comorbidities up 41. 41 4 1 4:1) ChiSquare Chi Square Fishers Fisher s study 17101 17 101 17,10 hospitalized 13 0.76% 076 0 76 (0.76% 5 IQR (IQR 43.064.0 430640 43.0 64.0 43 64 43.0;64.0 202 46.063.5 460635 46.0 63.5 46 63 46.0;63.5 (PLHIV differences inhospital 27.9% 279 27 9 (27.9 vs 17.7% 177 7 0.049, 0049 0.049 , 049 0.049) 25.0% 250 25 (25.0 25.1% 251 0.999. 0999 0.999 999 0.999) pandemic however group COVID1 COVID- (20 4:1 1710 10 17,1 0.76 07 (0.76 064 43.064. 43064 430 43. 640 64. 6 43.0;64. 20 063 46.063. 46063 460 46. 635 63. 46.0;63. 27.9 2 (27. 17.7 004 0.04 04 25.0 (25. 25.1 099 0.99 99 (2 4: 171 17, 0.7 (0.7 06 43.064 4306 43.0;64 46.063 4606 46.0;63 27. (27 17. 00 0.0 25. (25 09 0.9 ( 0. (0. 43.06 43.0;6 46.06 46.0;6 (0 43.0; 46.0;

https://doi.org/10.1016/j.clinsp.2023.100223

PERSPECTIVAS DE EGRESSOS DE ENFERMAGEM DE CURSOS STRICTO SENSU SOBRE O MUNDO DO TRABALHO
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Souza, Norma Valéria Dantas de Oliveira

; Silva, Marcia de Souza

; Roque, Anna Beatryz Marques

; Costa, Carolina Cabral Pereira da

; Andrade, Karla Biancha Silva de

; Carvalho, Eloá Carneiro

; Farias, Sheila Nascimento Pereira de

Cogitare Enfermagem

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2022, Volume 27 elocation e76136

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

RESUMO Objetivo: identificar o ponto de vista de egressos de cursos de pós-graduação stricto sensu sobre as contribuições de tal qualificação para a atuação no mundo do trabalho; e discutir dificuldades e facilidades vivenciadas pelos egressos no contexto laboral, considerando o processo de qualificação nos cursos de pós-graduação stricto sensu. Método: estudo qualitativo, realizado em três universidades fluminenses no Brasil, realizado com 25 enfermeiros, cuja coleta ocorreu de abril a junho de 2019. Utilizou-se a entrevista semiestruturada e o tratamento dos dados ocorreu por meio da análise temática de conteúdo. Resultados: a qualificação repercutiu positivamente, proporcionando diversificadas oportunidades de empregos e conferindo maior reconhecimento profissional. A configuração da organização laboral e das relações interpessoais são elementos que dificultam ou facilitam o trabalho, resultando em prazer ou sofrimento. Conclusão: a contribuição deste estudo foi analisar a percepção de egressos sobre a importância conferida à qualificação profissional, apresentado um ponto de vista diferenciado.

ABSTRACT Objective: to identify the point of view of egresses from stricto sensu postgraduate courses about the contributions of such qualification for acting in the world of work; and discuss difficulties and facilities experienced by egresses in the labor context, considering the qualification process in stricto sensu postgraduate courses. Method: qualitative study, conducted in three universities in Rio de Janeiro, Brazil, carried out with 25 nurses, whose collection occurred from April to June 2019. Semi-structured interview was used, and data treatment occurred through thematic content analysis. Results: qualification had positive repercussions, providing diversified job opportunities, and conferring greater professional recognition. The configuration of the work organization and interpersonal relationships are elements that hinder or facilitate the work, resulting in pleasure or suffering. Conclusion: the contribution of this study was to analyze the perception of graduates about the importance given to professional qualification, presenting a differentiated point of view.

RESUMEN Objetivo: identificar el punto de vista de los egresados de los cursos de postgrado stricto sensu sobre los aportes de dicha calificación para actuar en el mundo del trabajo; y discutir las dificultades y facilidades experimentadas por los egresados en el contexto laboral, considerando el proceso de calificación en los cursos de postgrado stricto sensu. Método: estudio cualitativo, realizado en tres universidades fluminenses en Brasil, realizado con 25 enfermeros, cuya coleta ocurrió de abril a junio de 2019. Se utilizó la entrevista semiestructurada y el tratamiento de los datos se realizó mediante el análisis temático del contenido. Resultados: la cualificación repercutió positivamente, proporcionando diversas oportunidades de empleo y confiriendo un mayor reconocimiento profesional. La configuración de la organización laboral y las relaciones interpersonales son elementos que dificultan o facilitan el trabajo, dando lugar a la práctica o al sufrimiento. Conclusión: la contribución de este estudio fue analizar la percepción de los egresados sobre la importancia conferida a la cualificación profesional, presentando un punto de vista diferenciado.

https://doi.org/10.5380/ce.v27i0.76136

SARS-CoV-2 and rhinovirus infections: are there differences in clinical presentation, laboratory abnormalities, and outcomes in the pediatric population?
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Pereira, Maria Fernanda Bádue

; Suguita, Priscila

; Litvinov, Nadia

; Farhat, Sylvia Costa Lima

; Paula, Camila Sanson Yoshino de

; Lázari, Carolina dos Santos

; Bedê, Pedro Vale

; Framil, Juliana Valeria de Souza

; Bueno, Catarina

; Branas, Priscila Cristina Abduch Adas

; Guimarães, Irina Monteiro da Costa

; Leite, Marcia Marques

; Navega, Ana Carolina Barsaglini

; Nanbu, Danilo Yamamoto

; Schvartsman, Claudio

; Pinho, João Renato Rebello

; Silva, Clovis Artur Almeida

; Marques, Heloisa Helena de Sousa

; Eisencraft, Adriana Pasmanik

; Rossi Jr, Alfio

; Delgado, Artur Figueiredo

; Leal, Gabriela Nunes

; Gibelli, Maria Augusta Cicaroni

; Palmeira, Patricia

; Sakita, Neusa Keico

; Santos, Emilly Henrique dos

; Rocha, Mussya Cisotto

; Kanunfre, Kelly Aparecida

; Okay, Thelma Suely

; Carneiro-Sampaio, Magda

; Carvalho, Werther Brunow de

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e34

Abstract: En | Text: En | PDF: En

ABSTRACT This study aims to assess COVID-19 and other respiratory viruses in pediatric patients. Between April 17 and September 30, 2020, we collected 1,566 respiratory samples from 1,044 symptomatic patients who were younger than 18 years old to assess SARS-CoV-2 infection. Of these, 919 were analyzed for other respiratory pathogens (ORP). Patients with laboratory-confirmed COVID-19 or ORP were included. We evaluated 76 pediatric COVID-19 infections and 157 other respiratory virus infections. Rhinovirus occurred in 132/157 (84%). COVID-19 patients who were significantly older, had more fevers, headaches and pneumonia than those with ORP. The median white blood cell count was lower in patients with SARS-CoV-2 than in those with ORP (6,470 versus 8,170; p=0.02). COVID-19 patients had significantly worse symptoms than those with ORP.

https://doi.org/10.1590/s1678-9946202264034

Publicidade médica em tempos de medicina em rede
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Schmidt, Ana Carolina Fernandes Dall’Stella de Abreu

; Manfredini, Gabriela Bianca

; Brito, Luara Carneiro de

; Penido, Marília de Souza

; Buch, Paulo Henrique

; Purim, Kátia Sheylla Malta

Revista Bioética

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mar 2021, Volume 29 N. 1 Pages 115 - 127

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

Resumo Este artigo objetiva avaliar o conhecimento de médicos sobre marketing de serviços de saúde. Trata-se de estudo prospectivo transversal com formulário autoaplicado que abarcou dados sociodemográficos, conhecimentos acerca da publicidade e opinião sobre o tema. Os resultados apontam que 60,7% e 67,5% dos médicos formados em instituições privadas e públicas, respectivamente, afirmam não ter tido contato com o tema durante a graduação, 62,9% declararam já ter enfrentado dificuldade por falta de conhecimento no assunto, e 94,5% sentiram necessidade de se atualizar depois de responder ao questionário. Os médicos participantes mostraram bom conhecimento, com dificuldades específicas sobre a divulgação de títulos, produtos e informações de alerta à população. Conclui-se ser necessário abordar o assunto no currículo formal durante a graduação e elaborar medidas educativas mais objetivas.

Abstract This article aims to evaluate doctors’ knowledge on medical marketing through a prospective cross-sectional study, using a self-applied questionnaire that included sociodemographic data, knowledge and opinion on the topic. Results show that 60.7% and 67.5% of doctors graduated from private and public institutions, respectively, claimed having no contact with the subject during their undergraduate studies; 62.9% said they had faced difficulties due to lack of knowledge regarding the topic; and 94.5% felt the need to learn more after answering the questionnaire. The participants showed good knowledge, with specific difficulties regarding the dissemination of works, products and population-wide health warnings. In conclusion, undergraduate courses should include the topic in their formal curriculum and elaborate more objective educational measures.

Resumen Este artículo tiene como objetivo evaluar el conocimiento de los médicos sobre marketing de servicios de salud. Se trata de un estudio prospectivo transversal con un formulario autoaplicado que incluyó datos sociodemográficos, conocimientos sobre publicidad y opinión sobre el tema. Los resultados muestran que el 60,7% y el 67,5% de los médicos formados en instituciones privadas y públicas, respectivamente, afirman no haber tenido contacto con el tema durante su carrera; el 62,9% manifiestan que ya han enfrentado dificultades por desconocimiento del asunto; y el 94,5% sienten la necesidad de actualizarse después de responder el cuestionario. Los médicos participantes mostraron buen conocimiento, con dificultades específicas en la difusión de títulos, productos e información para alertar a la población. Se concluye que el currículo formal de la graduación debe abordar el asunto y desarrollar medidas educativas más objetivas.

https://doi.org/10.1590/1983-80422021291452 695 downloads

Fatores associados à atividade educativa em saúde bucal na assistência pré-natal
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Schwab, Flávia Carneiro Bastos de Souza

; Ferreira, Lorena

; Martinelli, Katrini Guidolini

; Esposti, Carolina Dutra Degli

; Pacheco, Karina Tonini dos Santos

; Oliveira, Adauto Emmerich

; Santos Neto, Edson Theodoro dos

Ciência & Saúde Coletiva

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mar 2021, Volume 26 N. 3 Pages 1115 - 1126

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

Resumo O objetivo deste artigo é verificar os fatores associados à realização de atividades educativas relacionadas à saúde bucal durante o acompanhamento pré-natal na Região Metropolitana da Grande Vitória-ES, Brasil. Estudo transversal com 1.035 puérperas em maternidades públicas ou conveniadas ao SUS, em 2010. Executou-se análise descritiva das principais informações educativas e regressão logística binomial associando-se variáveis individuais e contextuais com o desfecho “recebimento de atividade educativa por meio de reuniões e/ou grupo de gestante na unidade de saúde e/ou por meio de visita domiciliar”. A informação mais recebida durante o pré-natal foi: “vantagem da amamentação exclusiva até os seis meses de vida” (52,0%) e a menos recebida foi “a importância do uso do flúor na saúde” (18,9%). Ter atendimento pela Estratégia Saúde da Família (OR=1,94), ter condições externas de moradia adequadas (OR=1,73) e aumento de 1 consulta pré-natal (OR=1,08) aumentaram a chance de realização de atividade educativa no pré-natal. Número elevado de consultas pré-natal, cobertura dos serviços de saúde nos moldes da ESF e condições externas de moradia adequadas foram fatores que se associaram positivamente às atividades educativas durante o pré-natal.

Abstract The scope of this article is to verify the factors associated with providing educational guidance related to oral health during prenatal care in the Metropolitan Region of Greater Vitória - ES, Brazil. It involved a cross-sectional study of 1,035 postpartum women in public or affiliated private hospitals in the SUS in 2010. A descriptive analysis of the main educational information and binomial logistic regression was conducted to test the association between individual and contextual variables and “receiving educational guidance through meetings and/or pregnant mother groups in the health unit and/or through home visits”. The information given most during prenatal care was “the advantage of exclusive breastfeeding until six months of life” (52.0%) and least was “the importance of fluoride use in health” (18.9%). Being attended by the Family Health Strategy (FHS) (OR=1.94), having adequate living conditions for women and children (OR=1.73) and an additional prenatal visit (OR=1.08), increased the chance of providing educational guidance in prenatal care. Frequent pre-natal visits, coverage of health services in line with the FHS, and adequate conditions of housing were factors that were positively associated with educational guidance during prenatal care.

https://doi.org/10.1590/1413-81232021263.12902019 1088 downloads

10.

Differences in children and adolescents with SARS-CoV-2 infection: a cohort study in a Brazilian tertiary referral hospital
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Marques, Heloisa Helena de Sousa

; Pereira, Maria Fernanda Badue

; Santos, Angélica Carreira dos

; Fink, Thais Toledo

; Paula, Camila Sanson Yoshino de

; Litvinov, Nadia

; Schvartsman, Claudio

; Delgado, Artur Figueiredo

; Gibelli, Maria Augusta Bento Cicaroni

; Carvalho, Werther Brunow de

; Odone Filho, Vicente

; Tannuri, Uenis

; Carneiro-Sampaio, Magda

; Grisi, Sandra

; Duarte, Alberto José da Silva

; Antonangelo, Leila

; Francisco, Rossana Pucineli Vieira

; Okay, Thelma Suely

; Batisttella, Linamara Rizzo

; Carvalho, Carlos Roberto Ribeiro de

; Brentani, Alexandra Valéria Maria

; Silva, Clovis Artur

; Eisencraft, Adriana Pasmanik

; Rossi Junior, Alfio

; Fante, Alice Lima

; Cora, Aline Pivetta

; Reis, Amelia Gorete A. de Costa

; Ferrer, Ana Paula Scoleze

; Andrade, Anarella Penha Meirelles de

; Watanabe, Andreia

; Gonçalves, Angelina Maria Freire

; Waetge, Aurora Rosaria Pagliara

; Silva, Camila Altenfelder

; Ceneviva, Carina

; Lazari, Carolina dos Santos

; Abellan, Deipara Monteiro

; Santos, Emilly Henrique dos

; Sabino, Ester Cerdeira

; Bianchini, Fabíola Roberta Marim

; Alcantara, Flávio Ferraz de Paes

; Ramos, Gabriel Frizzo

; Leal, Gabriela Nunes

; Rodriguez, Isadora Souza

; Pinho, João Renato Rebello

; Carneiro, Jorge David Avaizoglou

; Paz, Jose Albino

; Ferreira, Juliana Carvalho

; Ferranti, Juliana Ferreira

; Ferreira, Juliana de Oliveira Achili

; Framil, Juliana Valéria de Souza

; Silva, Katia Regina da

; Kanunfre, Kelly Aparecida

; Bastos, Karina Lucio de Medeiros

; Galleti, Karine Vusberg

; Cristofani, Lilian Maria

; Suzuki, Lisa

; Campos, Lucia Maria Arruda

; Perondi, Maria Beatriz de Moliterno

; Diniz, Maria de Fatima Rodrigues

; Fonseca, Maria Fernanda Mota

; Cordon, Mariana Nutti de Almeida

; Pissolato, Mariana

; Peres, Marina Silva

; Garanito, Marlene Pereira

; Imamura, Marta

; Dorna, Mayra de Barros

; Luglio, Michele

; Rocha, Mussya Cisotto

; Aikawa, Nadia Emi

; Degaspare, Natalia Viu

; Sakita, Neusa Keico

; Udsen, Nicole Lee

; Scudeller, Paula Gobi

; Gaiolla, Paula Vieira de Vincenzi

; Severini, Rafael da Silva Giannasi

; Rodrigues, Regina Maria

; Toma, Ricardo Katsuya

; Paula, Ricardo Iunis Citrangulo de

; Palmeira, Patricia

; Forsait, Silvana

; Farhat, Sylvia Costa Lima

; Sakano, Tânia Miyuki Shimoda

; Koch, Vera Hermina Kalika

; Cobello Junior, Vilson

Clinics

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2021, Volume 76 elocation e3488

Abstract: En | Text: En | PDF: En

OBJECTIVES: To compare demographic/clinical/laboratory/treatments and outcomes among children and adolescents with laboratory-confirmed coronavirus disease 2019 (COVID-19). METHODS: This was a cross-sectional study that included patients diagnosed with pediatric COVID-19 (aged <18 years) between April 11, 2020 and April 22, 2021. During this period, 102/5,951 (1.7%) of all admissions occurred in neonates, children, and adolescents. Furthermore, 3,962 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection samples were processed in patients aged <18 years, and laboratory-confirmed COVID-19 occurred in 155 (4%) inpatients and outpatients. Six/155 pediatric patients were excluded from the study. Therefore, the final group included 149 children and adolescents (n=97 inpatients and 52 outpatients) with positive SARS-CoV-2 results. RESULTS: The frequencies of sore throat, anosmia, dysgeusia, headache, myalgia, nausea, lymphopenia, pre-existing chronic conditions, immunosuppressive conditions, and autoimmune diseases were significantly reduced in children and adolescents (p<0.05). Likewise, the frequencies of enoxaparin use (p=0.037), current immunosuppressant use (p=0.008), vasoactive agents (p=0.045), arterial hypotension (p<0.001), and shock (p=0.024) were significantly lower in children than in adolescents. Logistic regression analysis showed that adolescents with laboratory-confirmed COVID-19 had increased odds ratios (ORs) for sore throat (OR 13.054; 95% confidence interval [CI] 2.750-61.977; p=0.001), nausea (OR 8.875; 95% CI 1.660-47.446; p=0.011), and lymphopenia (OR 3.575; 95% CI 1.355-9.430; p=0.010), but also had less hospitalizations (OR 0.355; 95% CI 0.138-0.916; p=0.032). The additional logistic regression analysis on patients with preexisting chronic conditions (n=108) showed that death as an outcome was significantly associated with pediatric severe acute respiratory syndrome (SARS) (OR 22.300; 95% CI 2.341-212.421; p=0.007) and multisystem inflammatory syndrome in children (MIS-C) (OR 11.261; 95% CI 1.189-106. 581; p=0.035). CONCLUSIONS: Half of the laboratory-confirmed COVID-19 cases occurred in adolescents. Individuals belonging to this age group had an acute systemic involvement of SARS-CoV-2 infection. Pediatric SARS and MIS-C were the most important factors associated with the mortality rate in pediatric chronic conditions with COVID-19.

https://doi.org/10.6061/clinics/2021/e3488

11.

Fatores associados à atividade educativa em saúde bucal na assistência pré-natal
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Schwab, Flávia Carneiro Bastos de Souza

; Ferreira, Lorena

; Martinelli, Katrini Guidolini

; Esposti, Carolina Dutra Degli

; Pacheco, Karina Tonini dos Santos

; Oliveira, Adauto Emmerich

; Santos Neto, Edson Theodoro dos

Ciência & Saúde Coletiva

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2021, Volume 26 N. 3 Pages 1115 - 1126

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

https://doi.org/10.1590/1413-81232021263.12902019

12.

Avaliação do clima ético nos serviços de saúde: revisão sistemática
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Lanes, Taís Carpes

; Magnago, Ana Carolina de Souza

; Schutz, Thais Costa

; Carneiro, Alessandra Suptitz

; Morais, Bruna Xavier

; Dalmolin, Graziele de Lima

Revista Bioética

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dec 2020, Volume 28 N. 4 Pages 718 - 729

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

Resumo O clima ético refere-se à perceptibilidade dos profissionais de saúde quanto ao tratamento ético das questões do trabalho. Este estudo buscou identificar as evidências científicas das produções que utilizaram o instrumento Hospital Ethical Climate Survey na avaliação do clima ético. Trata-se de revisão sistemática realizada nas bases de dados Scopus, PubMed e Medline, sendo selecionados 33 artigos. Evidenciou-se que o clima ético foi associado às questões de saúde do trabalhador e avaliado como de moderado a positivo pelos profissionais de saúde. O clima ético foi classificado como positivo para os fatores “pares”, “pacientes” e “gestão”, e como negativo para os fatores “médicos” e “hospital”. Compreende-se a importância da avaliação do clima ético para a sustentabilidade e melhorias do ambiente de trabalho. Neste caso, o Hospital Ethical Climate Survey se apresentou válido e fidedigno ao ser aplicado em serviços de saúde.

Abstract Ethical climate refers to the perceptions shared by health professionals of how ethical issues should be handled in their organization. This study aimed to identify scientific evidence of studies that used the Hospital Ethical Climate Survey in ethical climate assessment. This is a systematic review of 33 articles selected from Scopus, PubMed and Medline databases. Ethical climate was associated with workers’ health issues and it was evaluated as moderate to positive by health professionals. The topic was classified as positive for the “peers,” “patients” and “managers” factors, and negative for “physicians” and “hospital” factors. The review concluded that assessing the ethical climate is important for improving the work environment and that the Hospital Ethical Climate Survey is a valid and reliable instrument for such evaluation.

Resumen El clima ético se refiere a la percepción de los profesionales de la salud sobre el tratamiento ético de las cuestiones laborales. Este estudio buscó identificar evidencias científicas de producciones que utilizaron el instrumento Hospital Ethical Climate Survey en la evaluación del clima ético. Se trata de una revisión sistemática realizada en las bases de datos Scopus, PubMed y Medline, con 33 artículos seleccionados. Se demostró que el clima ético estaba asociado a problemas de salud en el trabajo. En la evaluación por factores, el clima ético se clasificó como positivo para los factores “pares”, “pacientes” y “gestión”, y como negativo para los factores “médicos” y “hospital”. Se concluyó que es importante evaluar el clima ético para garantizar la sostenibilidad y mejorar el clima laboral. En este caso, la aplicación del Hospital Ethical Climate Survey en los servicios de salud resultó válida y confiable.

https://doi.org/10.1590/1983-80422020284436 1017 downloads

13.

Pharmacoepidemiology of the antiglaucoma drugs in Brazil from 2012 to 2018
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Dutra, Bárbara de Araújo Lima

; Carneiro, Carolina Lyra Barreira

; Silva, Ana Carolina de Souza e

; Ferreira, Juliana de Lucena Martins

; Ribeiro, João Crispim

Revista Brasileira de Oftalmologia

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mar 2020, Volume 79 N. 2 Pages 114 - 117

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

Resumo Objetivo: Traçar o perfil epidemiológico do tratamento clínico para o glaucoma no Brasil fornecido pelo Sistema Único de Saúde (SUS), no período de janeiro de 2012 a dezembro de 2018. Métodos: Estudo quantitativo e descritivo, utilizando a base de dados disponível no Sistema de Informações Ambulatoriais do SUS (SIA/SUS). As variáveis utilizadas foram: tratamento monocular com drogas de primeira, de segunda e de terceira linha; tratamento monocular com combinações de duas drogas e de três drogas de diferentes linhas; tratamento binocular com drogas de primeira, de segunda e de terceira linha; e tratamento binocular com combinações de duas drogas e de três drogas de diferentes linhas. Resultados: Durante o período analisado, a prevalência de terapias clínicas para o glaucoma aumentou entre 2012 e 2017 e diminuiu entre 2017 e 2018. Dos pacientes tratados clinicamente, 96% eram portadores de glaucoma binocular. Entre as regiões do Brasil, o Nordeste teve a maior prevalência de glaucoma binocular (cerca de 60% do número de casos), e a terapia mais comum foi a combinação de duas drogas de diferentes linhas. A região Sudeste teve a maior concentração de glaucoma monocular (53% dos casos), e a terapia predominante foi a combinação de três drogas de diferentes linhas. A região Centro-Oeste apresentou a menor prevalência de tratamentos monoculares para o glaucoma (menos de 6%). Conclusão: No Brasil, o maior número de tratamentos oferecidos pelo sistema público de saúde foi nas regiões Nordeste e Sudeste. Existe uma alta prevalência nacional e um alto potencial para morbidade desta doença. Portanto, é necessário fortalecer programas voltados para o diagnóstico precoce e para o tratamento adequado a fim de reduzir os resultados adversos.

Abstract Purpose: To outline the epidemiological profile of clinical treatments for glaucoma provided by the Brazilian Unified Health System (SUS, acronym in Portuguese) between January 2012 and December 2018. Methods: A quantitative and descriptive study was conducted using available data based on the outpatient information system from SUS (SIA/SUS, acronym in Portuguese). The variables were monocular treatment with first, second, and third-line drugs; monocular treatment with combinations of two drugs and three drugs from different lines; binocular treatment with first, second, and third-line drugs; and binocular treatment with combinations of two drugs and three drugs from different lines. Results: During the analysis period, the prevalence of clinical therapies for glaucoma increased from 2012 to 2017 and decreased from 2017 to 2018. Of the clinically treated patients, 96% were carriers of binocular glaucoma. Among the regions of Brazil, the Northeast had the highest prevalence of binocular glaucoma (about 60% of the number of cases), and the most common therapy was combinations of two drugs from different lines. The Southeast region had the highest concentration of monocular glaucoma (53% of cases), and the predominant therapy was combinations of three drugs from different lines. The Midwest region had the lowest prevalence of monocular-treatments for glaucoma (less than 6%). Conclusion: In Brazil, the highest number of treatments offered by the public health system was in the Northeast and Southeast regions. There is a high national prevalence and potential for the morbidity of this disease. Therefore, it is necessary to strengthen programs aimed at early diagnosis and appropriate treatment to reduce adverse outcomes.

https://doi.org/10.5935/0034-7280.20200024 608 downloads

14.

Population-based seroprevalence of SARS-CoV-2 and the herd immunity threshold in Maranhão
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Silva, Antônio Augusto Moura da

; Lima-Neto, Lídio Gonçalves

; Azevedo, Conceição de Maria Pedrozo e Silva de

; Costa, Léa Márcia Melo da

; Bragança, Maylla Luanna Barbosa Martins

; Barros Filho, Allan Kardec Duailibe

; Wittlin, Bernardo Bastos

; Souza, Bruno Feres de

; Oliveira, Bruno Luciano Carneiro Alves de

; Carvalho, Carolina Abreu de

; Thomaz, Erika Barbara Abreu Fonseca

; Simões-Neto, Eudes Alves

; Leite Júnior, Jamesson Ferreira

; Cosme, Lécia Maria Sousa Santos

; Campos, Marcos Adriano Garcia

; Queiroz, Rejane Christine de Sousa

; Costa, Sérgio Souza

; Carvalho, Vitória Abreu de

; Simões, Vanda Maria Ferreira

; Alves, Maria Teresa Seabra Soares de Brito e

; Santos, Alcione Miranda dos

Revista de Saúde Pública

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2020, Volume 54 elocation 131

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE: To estimate the seroprevalence of SARS-CoV-2 in the state of Maranhão, Brazil. METHODS: A population-based household survey was performed, from July 27, 2020 to August 8, 2020. The estimates considered clustering, stratification and non-response. Qualitative detection of IgM and IgG antibodies was performed in a fully-automated Elecsys® Anti-SARS-CoV-2 electrochemiluminescence immunoassay on the Cobas® e601 analyzer (Roche Diagnostics). RESULTS: In total, 3,156 individuals were interviewed. Seroprevalence of total antibodies against SARS-CoV-2 was 40.4% (95%CI 35.6-45.3). Population adherence to non-pharmaceutical interventions was higher at the beginning of the pandemic than in the last month. SARS-CoV-2 infection rates were significantly lower among mask wearers and among those who maintained social and physical distancing in the last month compared to their counterparts. Among the infected, 26.0% were asymptomatic. The infection fatality rate (IFR) was 0.14%, higher for men and older adults. The IFR based on excess deaths was 0.28%. The ratio of estimated infections to reported cases was 22.2. CONCLUSIONS: To the best of our knowledge, the seroprevalence of SARS-CoV-2 estimated in this population-based survey is one of the highest reported. The local herd immunity threshold may have been reached or might be reached soon.

https://doi.org/10.11606/s1518-8787.2020054003278 770 downloads

15.

Population-based seroprevalence of SARS-CoV-2 and the herd immunity threshold in Maranhão
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Silva, Antônio Augusto Moura da

; Lima-Neto, Lídio Gonçalves

; Azevedo, Conceição de Maria Pedrozo e Silva de

; Costa, Léa Márcia Melo da

; Bragança, Maylla Luanna Barbosa Martins

; Barros Filho, Allan Kardec Duailibe

; Wittlin, Bernardo Bastos

; Souza, Bruno Feres de

; Oliveira, Bruno Luciano Carneiro Alves de

; Carvalho, Carolina Abreu de

; Thomaz, Erika Barbara Abreu Fonseca

; Simões-Neto, Eudes Alves

; Leite Júnior, Jamesson Ferreira

; Cosme, Lécia Maria Sousa Santos

; Campos, Marcos Adriano Garcia

; Queiroz, Rejane Christine de Sousa

; Costa, Sérgio Souza

; Carvalho, Vitória Abreu de

; Simões, Vanda Maria Ferreira

; Alves, Maria Teresa Seabra Soares de Brito e

; Santos, Alcione Miranda dos

Revista de Saúde Pública

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2020, Volume 54 elocation 131

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2020054003278

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