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[SciELO Preprints] - Guidelines on the Diagnosis and Treatment of Hypertrophic Cardiomyopathy – 2024
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Fernandes, Fabio
Simões, Marcus V.
Correia, Edileide de Barros
Marcondes-Braga, Fabiana G.
Coelho-Filho, Otavio Rizzi
Mesquita, Cláudio Tinoco
Mathias-Junior, Wilson
Rochitte, Carlos Eduardo
Ramires, Felix José Alvarez
Alves, Silvia Marinho Martins
Montera, Marcelo Westerlund
Lopes, Renato Delascio
Oliveira-Junior, Mucio Tavares
Scolari, Fernando L.
Avila, Walkiria Samuel
Canesin, Manoel Fernandes
Bacal, Fernando
Bocchi, Edimar Alcides
Moura, Lídia Ana Zytynski
Saad, Eduardo Benchimol
Scanavacca, Mauricio I.
Valdigem, Bruno Pereira
Cano , Manuel Nicolas
Abizaid , Alexandre
Ribeiro, Henrique Barbosa
Lemos-Neto, Pedro Alves
Ribeiro, Gustavo Calado de Aguiar
Jatene, Fabio Biscegli
Dias, Ricardo Ribeiro
Beck-da-Silva, Luis
Rohde, Luis Eduardo P.
Bittencourt, Marcelo Imbroinise
Pereira, Alexandre
Krieger, José Eduardo
Villacorta, Humberto
Martins, Wolney de Andrade
Figueiredo-Neto, José Albuquerque de
Cardoso , Juliano Novaes
Pastore, Carlos Alberto
Jatene, Ieda Biscegli
Tanaka, Ana Cristina Sayuri
Hotta, Viviane Tiemi
Romano, Minna Moreira Dias
Albuquerque, Denilson Campos de
Mourilhe-Rocha, Ricardo
Hajjar, Ludhmila Abrahão
Brito, Fabio Sandoli de
Caramelli , Bruno
Calderaro, Daniela
Farsky, Pedro Silvio
Colafranceschi , Alexandre Siciliano
Pinto, Ibraim Masciarelli
Vieira , Marcelo Luiz Campos
Danzmann, Luiz Claudio
Barberato , Silvio Henrique
Mady, Charles
Martinelli-Filho, Martino
Torbey , Ana Flavia Malheiros
Schwartzmann, Pedro Vellosa
Macedo, Ariane Vieira Scarlatelli
Ferreira , Silvia Moreira Ayub
Schmidt, Andre
Melo , Marcelo Dantas Tavares de
Lima-Filho, Moysés Oliveira
Sposito, Andrei C.
Brito, Flavio de Souza
Biolo, Andreia
Madrini-Junior, Vagner
Rizk, Stéphanie Itala
Mesquita, Evandro Tinoco
A cardiomiopatia hipertrófica (CMH) é uma forma de doença do músculo cardíaco de causa genética, caracterizada pela hipertrofia das paredes ventriculares. O diagnóstico requer detecção por métodos de imagem (Ecocardiograma ou Ressonância Magnética Cardíaca) de qualquer segmento da parede do ventrículo esquerdo com espessura > 15 mm, sem outra causa provável. A análise genética permite identificar mutações de genes codificantes de diferentes estruturas do sarcômero responsáveis pelo desenvolvimento da CMH em cerca de 60% dos casos, permitindo o rastreio de familiares e aconselhamento genético, como parte importante do manejo dos pacientes e familiares. Vários conceitos sobre a CMH foram recentemente revistos, incluindo sua prevalência de 1 em 250 indivíduos, não sendo, portanto, uma doença rara, mas subdiagnosticada. A vasta maioria dos pacientes é assintomática. Naqueles sintomáticos, a obstrução do trato de saída do ventrículo esquerdo (OTSVE) é o principal distúrbio responsável pelos sintomas, devendo-se investigar a sua presença em todos os casos. Naqueles em que o ecocardiograma em repouso ou com Manobra de Valsalva não detecta gradiente intraventricular significativo (> 30 mmHg), devem ser submetidos à ecocardiografia com esforço físico para detecção da OTSVE. Pacientes com sintomas limitantes e grave OTSVE, refratários ao uso de betabloqueadores e verapamil, devem receber terapias de redução septal ou uso de novas drogas inibidoras da miosina cardíaca. Por fim, os pacientes adequadamente identificados com risco aumentado de morta súbita podem receber medida profilática com implante de cardiodesfibrilador implantável (CDI).
La miocardiopatía hipertrófica (MCH) es una forma de enfermedad cardíaca de origen genético, caracterizada por el engrosamiento de las paredes ventriculares. El diagnóstico requiere la detección mediante métodos de imagen (Ecocardiograma o Resonancia Magnética Cardíaca) que muestren algún segmento de la pared ventricular izquierda con un grosor > 15 mm, sin otra causa probable. El análisis genético permite identificar mutaciones en genes que codifican diferentes estructuras del sarcómero responsables del desarrollo de la MCH en aproximadamente el 60% de los casos, lo que permite el tamizaje de familiares y el asesoramiento genético, como parte importante del manejo de pacientes y familiares. Varios conceptos sobre la MCH han sido revisados recientemente, incluida su prevalencia de 1 entre 250 individuos, por lo tanto, no es una enfermedad rara, sino subdiagnosticada. La gran mayoría de los pacientes son asintomáticos. En los casos sintomáticos, la obstrucción del tracto de salida ventricular izquierdo (TSVI) es el trastorno principal responsable de los síntomas, y su presencia debe investigarse en todos los casos. En aquellos en los que el ecocardiograma en reposo o la maniobra de Valsalva no detecta un gradiente intraventricular significativo (> 30 mmHg), deben someterse a ecocardiografía de esfuerzo para detectar la obstrucción del TSVI. Los pacientes con síntomas limitantes y obstrucción grave del TSVI, refractarios al uso de betabloqueantes y verapamilo, deben recibir terapias de reducción septal o usar nuevos medicamentos inhibidores de la miosina cardíaca. Finalmente, los pacientes adecuadamente identificados con un riesgo aumentado de muerte súbita pueden recibir medidas profilácticas con el implante de un cardioversor-desfibrilador implantable (CDI).
Hypertrophic cardiomyopathy (HCM) is a form of genetically caused heart muscle disease, characterized by the thickening of the ventricular walls. Diagnosis requires detection through imaging methods (Echocardiogram or Cardiac Magnetic Resonance) showing any segment of the left ventricular wall with a thickness > 15 mm, without any other probable cause. Genetic analysis allows the identification of mutations in genes encoding different structures of the sarcomere responsible for the development of HCM in about 60% of cases, enabling screening of family members and genetic counseling, as an important part of patient and family management. Several concepts about HCM have recently been reviewed, including its prevalence of 1 in 250 individuals, hence not a rare but rather underdiagnosed disease. The vast majority of patients are asymptomatic. In symptomatic cases, obstruction of the left ventricular outflow tract (LVOT) is the primary disorder responsible for symptoms, and its presence should be investigated in all cases. In those where resting echocardiogram or Valsalva maneuver does not detect significant intraventricular gradient (> 30 mmHg), they should undergo stress echocardiography to detect LVOT obstruction. Patients with limiting symptoms and severe LVOT obstruction, refractory to beta-blockers and verapamil, should receive septal reduction therapies or use new drugs inhibiting cardiac myosin. Finally, appropriately identified patients at increased risk of sudden death may receive prophylactic measure with implantable cardioverter-defibrillator (ICD) implantation.
2.
Characterization of the patterns of care, access, and direct cost of systemic lupus erythematosus in Brazil: findings from the Macunaíma study care access Brazil
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de Abreu, Mirhelen Mendes
; Monticielo, Odirlei Andre
; Fernandes, Vander
; Rodrigues, Dalianna Luise Andrade Souto
; da Silva, Cristhiane Almeida Leite
; Maiorano, Alexandre Cristovão
; Beserra, Fernando dos Santos
; Lamarão, Flavia Rachel Moreira
; de Veras, Bruna Medeiros Gonçalves
; David, Nathalie
; Araújo, Magda
; Alves, Marcelly Cristinny Ribeiro
; Stocco, Matheus Amaral
; Lima, Fernando Mello
; Borret, Emilly
; Gasparin, Andrese Aline
; Chapacais, Gustavo Flores
; Bulbol, Guilherme Andrade
; Lima, Diogo da Silva
; da Silva, Natália Jardim Martins
; Freitas, Marta Maria Costa
; Bica, Blanca Elena Rios Gomes
; de Lima, Domingos Sávio Nunes
; Medeiros, Marta Maria das Chagas
.
Abstract Background A cost of illness (COI) study aims to evaluate the socioeconomic burden that an illness imposes on society as a whole. This study aimed to describe the resources used, patterns of care, direct cost, and loss of productivity due to systemic lupus erythematosus (SLE) in Brazil. Methods This 12-month, cross-sectional, COI study of patients with SLE (ACR 1997 Classification Criteria) collected data using patient interviews (questionnaires) and medical records, covering: SLE profile, resources used, morbidities, quality of life (12-Item Short Form Survey, SF-12), and loss of productivity. Patients were excluded if they were retired or on sick leave for another illness. Direct resources included health-related (consultations, tests, medications, hospitalization) or non-health-related (transportation, home adaptation, expenditure on caregivers) hospital resources. Costs were calculated using the unit value of each resource and the quantity consumed. A gamma regression model explored cost predictors for patients with SLE. Results Overall, 300 patients with SLE were included (92.3% female, mean [standard deviation (SD)] disease duration 11.8 [7.9] years), of which 100 patients (33.3%) were on SLE-related sick leave and 46 patients (15.3%) had stopped schooling. Mean (SD) travel time from home to a care facility was 4.4 (12.6) hours. Antimalarials were the most commonly used drugs (222 [74.0%]). A negative correlation was observed between SF-12 physical component and SLE Disease Activity Index (- 0.117, p = 0.042), Systemic Lupus International CollaboratingClinics/AmericanCollegeofRheumatology Damage Index (- 0.115, p = 0.046), medications/day for multiple co-morbidities (- 0.272, p < 0.001), SLE-specific drugs/day (- 0.113, p = 0.051), and lost productivity (- 0.570, p < 0.001). For the mental component, a negative correlation was observed with medications/day for multiple co-morbidities (- 0.272, p < 0.001), SLE-specific medications/day (- 0.113, p = 0.051), and missed appointments (- 0.232, p < 0.001). Mean total SLE cost was US$3,123.53/patient/year (median [interquartile range (IQR)] US$1,618.51 [$678.66, $4,601.29]). Main expenditure was medication, with a median (IQR) cost of US$910.62 ($460, $4,033.51). Mycophenolate increased costs by 3.664 times (p < 0.001), and inflammatory monitoring (erythrocyte sedimentation rate or C-reactive protein) reduced expenditure by 0.381 times (p < 0.001). Conclusion These results allowed access to care patterns, the median cost for patients with SLE in Brazil, and the differences across regions driven by biological, social, and behavioral factors. The cost of SLE provides an updated setting to support the decision-making process across the country. (COI whole (SLE Brazil 12month, 12month month 12 month, 12-month crosssectional, crosssectional cross sectional, sectional cross-sectional ACR 199 Criteria questionnaires (questionnaires records covering profile morbidities 12Item Item Survey SF12, SF12 SF , SF-12) healthrelated health related consultations, consultations (consultations tests medications hospitalization nonhealthrelated non transportation, transportation (transportation adaptation caregivers consumed Overall 30 92.3% 923 92 3 (92.3 female standard SD 118 11 8 11. 7.9 79 7 9 [7.9 years, years years) 10 33.3% 333 33 (33.3% SLErelated 4 15.3% 153 15 (15.3% schooling (SD 44 4. 12.6 126 6 (12.6 hours 222 (22 74.0%. 740 74.0% . 74 0 [74.0%]) SF-1 ( 0117 117 0.117 0.042, 0042 0.042 042 0.042) CollaboratingClinicsAmericanCollegeofRheumatology CollaboratingClinics AmericanCollegeofRheumatology 0115 115 0.115 0.046, 0046 0.046 046 0.046) medicationsday day comorbidities co 0272 272 0.272 0.001, 0001 0.001 001 0.001) SLEspecific specific drugsday 0113 113 0.113 0.051, 0051 0.051 051 0.051) 0570 570 0.570 0.001. 0232 232 0.232 US312353patientyear USpatientyear US 123 53 year interquartile IQR US161851 1 618 51 US$1,618.5 $678.66, 67866 678 66 [$678.66 $4,601.29. 460129 $4,601.29 601 29 $4,601.29]) medication (IQR US91062 910 62 US$910.6 $460, 460 ($460 $4,033.51. 403351 $4,033.51 033 $4,033.51) 3664 664 3.66 erythrocyte Creactive C reactive protein 0381 381 0.38 biological social factors decisionmaking decision making country 19 SF1 92.3 (92. 7. [7. 33.3 (33.3 15.3 (15.3 12. (12. 22 (2 74.0 [74.0%] SF- 011 0.11 004 0.04 04 027 27 0.27 000 0.00 00 005 0.05 05 057 57 0.57 023 23 0.23 patientyear 5 US16185 61 US$1,618. $678.66 6786 67 [$678.6 46012 $4,601.2 60 2 $4,601.29] US9106 91 US$910. $460 ($46 40335 $4,033.5 03 366 3.6 038 38 0.3 92. (92 [7 33. (33. 15. (15. (12 74. [74.0% 01 0.1 0.0 02 0.2 0.5 US1618 US$1,618 $678.6 [$678. 4601 $4,601. US910 US$910 $46 ($4 4033 $4,033. 36 3. 0. (9 [ (33 (15 (1 [74.0 US161 US$1,61 $678. [$678 $4,601 US91 US$91 $4 ($ 403 $4,033 (3 [74. US16 US$1,6 $678 [$67 $4,60 US9 US$9 $ 40 $4,03 [74 US1 US$1, $67 [$6 $4,6 US$ $4,0 US$1 $6 [$ $4,
3.
Diretriz sobre Diagnóstico e Tratamento da Cardiomiopatia Hipertrófica – 2024 202 20 2
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Fernandes, Fabio
; Simões, Marcus V.
; Correia, Edileide de Barros
; Marcondes-Braga, Fabiana Goulart
; Coelho-Filho, Otavio Rizzi
; Mesquita, Cláudio Tinoco
; Mathias Junior, Wilson
; Antunes, Murillo de Oliveira
; Arteaga-Fernández, Edmundo
; Rochitte, Carlos Eduardo
; Ramires, Felix José Alvarez
; Alves, Silvia Marinho Martins
; Montera, Marcelo Westerlund
; Lopes, Renato Delascio
; Oliveira Junior, Mucio Tavares de
; Scolari, Fernando Luis
; Avila, Walkiria Samuel
; Canesin, Manoel Fernandes
; Bocchi, Edimar Alcides
; Bacal, Fernando
; Moura, Lidia Zytynski
; Saad, Eduardo Benchimol
; Scanavacca, Mauricio Ibrahim
; Valdigem, Bruno Pereira
; Cano, Manuel Nicolas
; Abizaid, Alexandre Antonio Cunha
; Ribeiro, Henrique Barbosa
; Lemos Neto, Pedro Alves
; Ribeiro, Gustavo Calado de Aguiar
; Jatene, Fabio Biscegli
; Dias, Ricardo Ribeiro
; Beck-da-Silva, Luis
; Rohde, Luis Eduardo Paim
; Bittencourt, Marcelo Imbroinise
; Pereira, Alexandre da Costa
; Krieger, José Eduardo
; Villacorta Junior, Humberto
; Martins, Wolney de Andrade
; Figueiredo Neto, José Albuquerque de
; Cardoso, Juliano Novaes
; Pastore, Carlos Alberto
; Jatene, Ieda Biscegli
; Tanaka, Ana Cristina Sayuri
; Hotta, Viviane Tiemi
; Romano, Minna Moreira Dias
; Albuquerque, Denilson Campos de
; Mourilhe-Rocha, Ricardo
; Hajjar, Ludhmila Abrahão
; Brito Junior, Fabio Sandoli de
; Caramelli, Bruno
; Calderaro, Daniela
; Farsky, Pedro Silvio
; Colafranceschi, Alexandre Siciliano
; Pinto, Ibraim Masciarelli Francisco
; Vieira, Marcelo Luiz Campos
; Danzmann, Luiz Claudio
; Barberato, Silvio Henrique
; Mady, Charles
; Martinelli Filho, Martino
; Torbey, Ana Flavia Malheiros
; Schwartzmann, Pedro Vellosa
; Macedo, Ariane Vieira Scarlatelli
; Ferreira, Silvia Moreira Ayub
; Schmidt, Andre
; Melo, Marcelo Dantas Tavares de
; Lima Filho, Moysés Oliveira
; Sposito, Andrei C.
; Brito, Flávio de Souza
; Biolo, Andreia
; Madrini Junior, Vagner
; Rizk, Stephanie Itala
; Mesquita, Evandro Tinoco
.
4.
Brain MRI in infants exposed to the Zika virus, with one-year follow-up: expanding the phenotype virus oneyear one year followup follow up follow-up
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Santos, Teresa Cristina de Castro Ramos Sarmet dos
; Ho, Mai-Lan
; Aragão, Maria de Fatima Vasco
; Vianna, Renata Artimos de Oliveira
; Fernandes, Alexandre Ribeiro
; Santos, Alair Augusto Sarmet Moreira Damas dos
; Cardoso, Claudete Aparecida Araújo
.
Resumo Objetivo: Analisar as alterações longitudinais entre dois exames realizados com intervalo de um ano de ressonância magnética (RM) cerebral em bebês sintomáticos com síndrome congênita pelo ZIKA vírus (SCZ) e normocefálicos com exposição prenatal ao Zika vírus (ZIKV). Materiais e Métodos: Este é um estudo observacional prospectivo. Os bebês expostos ao ZIKV durante a gestação foram classificados em dois grupos: crianças sintomáticas com SCZ e crianças sem SCZ com PCR-RT materno positivo. Todos os participantes foram submetidos a exames de RM cerebral na apresentação e após um ano de acompanhamento, com avaliação independente por um radiologista pediátrico e um neurorradiologista pediátrico, além do acompanhmento clínico por neurologista pediátrico. Resultados: A amostra incluiu 36 bebês com exposição perinatal ao ZIKV e a análise de 72 exames de RM. Desses 36 bebês, 25 (69,4%) apresentavam SCZ e 18 desses 25 com combinação de achados clássicos (volume cerebral reduzido, calcificações subcorticais, hipoplasia do tronco cerebral, malformações do corpo caloso e do desenvolvimento cortical, ventriculomegalia e outros) e achados atípicos como focos hiperintensos no T2 na substância branca, sendo 7/25 com lesões discretas. Dos 11 pacientes normocefálicos, 5/36 (13,9%) apresentavam achados atípicos como focos hiperintensos no T2 na substância branca e sem outras manifestações da SCZ, porém afetados leve neurologicamente, e um 6/36 (16,6%) casos com RM completamente normal, sem alteração neurológica. Nenhuma progressão da doença foi observada durante o acompanhamento. Conclusão: A frequência de achados clássicos e atípicos na RM na infecção congênita por ZIKV está associada ao estado neurológico. A RM é uma ferramenta diagnóstica importante na avaliação e no acompanhamento de pacientes com infecção congênita, pois outros achados intracranianos podem ocorrer além da microcefalia. Objetivo (RM (SCZ ZIKV. . (ZIKV) Métodos prospectivo grupos PCRRT PCR RT positivo Resultados 3 7 2 69,4% 694 69 4 (69,4% 1 volume reduzido subcorticais cortical T 725 7/2 discretas 536 5 5/3 13,9% 139 13 9 (13,9% neurologicamente 636 6 6/3 16,6% 166 16 (16,6% normal neurológica Conclusão neurológico microcefalia (ZIKV 69,4 (69,4 7/ 53 5/ 13,9 (13,9 63 6/ 16,6 (16,6 69, (69, 13, (13, 16, (16, (69 (13 (16 (6 (1 (
Abstract Objective: To analyze longitudinal changes between two brain magnetic resonance imaging (MRI) exams performed one year apart in symptomatic infants with congenital Zika syndrome (CZS) and normocephalic infants exposed to the Zika virus (ZIKV) prenatally. Materials and Methods: This was a prospective observational study. Infants born to women who tested positive for ZIKV on reverse transcription-quantitative polymerase chain reaction during pregnancy were classified into two groups: symptomatic infants with CZS and asymptomatic infants. All of the infants underwent brain MRI at presentation and after one year of follow-up. All MRI scans were evaluated independently by a pediatric radiologist and a pediatric neuroradiologist, and the infants underwent clinical monitoring by a pediatric neurologist. Results: The sample included 36 infants exposed to ZIKV perinatally. Therefore, a total of 72 MRI scans were evaluated. Among the 36 infants included a diagnosis of CZS was made in 25 (69.4%), of whom 18 presented with a combination of classic findings (including reduced brain volume, subcortical calcifications, brainstem hypoplasia, malformations of the corpus callosum, malformations of cortical development, and ventriculomegaly), as well as atypical findings such as hyperintense foci in the white matter on T2-weighted sequences. Of those same 25 infants, seven presented with mild lesions. Of the 11 normocephalic patients, five (13.9%) had atypical findings such as hyperintense foci in the white matter on T2-weighted sequences and no other manifestations of CZS, although there was mild neurological involvement. Six (16.6%) of the 36 patients had completely normal MRI scans with no neurological changes. No disease progression was observed during follow-up. Conclusion: In infants exposed to ZIKV perinatally, the frequency of classic and atypical findings on brain MRI seems to be associated with the neurological status. Brain MRI is an important diagnostic tool in the evaluation and monitoring of patients with congenital infection, because intracranial changes other than microcephaly can occur. Objective (MRI (CZS (ZIKV prenatally Methods study transcriptionquantitative transcription quantitative groups followup. followup follow up. up follow-up neuroradiologist neurologist Results 3 perinatally Therefore 7 2 69.4%, 694 69.4% , 69 4 (69.4%) 1 including volume calcifications hypoplasia callosum development ventriculomegaly, ventriculomegaly ventriculomegaly) T2weighted Tweighted T2 weighted T lesions 13.9% 139 13 9 (13.9% involvement 16.6% 166 16 6 (16.6% Conclusion status infection occur 69.4 (69.4% 13.9 (13.9 16.6 (16.6 69. (69.4 13. (13. 16. (16. (69. (13 (16 (69 (1 (6 (
5.
Endodontic techniques with Nickel Titanium instruments: analysis of quality and efficiency of instrumentation in primary molars instruments
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FERNANDES, Maria Luiza da Matta Felisberto
; MAIA, Caroline Andrade
; MAIA, Gabriele Andrade
; SANTOS, Alice Machado Carvalho
; PAIVA, Saul Martins
; FERNANDES, Alexandre Moreira
.
RESUMO Objetivo: Avaliar a eficiência de três instrumentos diferentes nos canais radiculares de molares decíduos artificiais, bem como a qualidade das obturações. Métodos: Sessenta molares decíduos artificiais foram divididos em três grupos de 20 dentes. Cada grupo foi submetido a uma técnica diferente: Grupo 1 - técnica manual convencional com limas Kerr; Grupo 2 - técnica manual com limas de níquel-titânio; Grupo 3 - Técnica rotatória de níquel-titânio. Os canais radiculares foram preenchidos com pasta de hidróxido de cálcio. Aspectos como homogeneidade das obturações, conicidade e fluidez das preparações foram considerados comparativamente para avaliar a qualidade das instrumentações. Os testes não paramétricos de Kruskal-Wallis e Mann-Whitney foram utilizados para comparar a eficiência do preparo do canal radicular considerando os tempos de preparo dos mesmos. Resultados: Todas as três técnicas foram igualmente eficazes na modelagem dos canais radiculares. O tempo de trabalho foi menor com o instrumento rotatório (p=0,000). Nas comparações pareadas, o tempo de trabalho foi menor com o instrumento rotatório em comparação com as técnicas manuais com limas de aço (p=0,000) e limas de NiTi (p=0,000). Comparando as técnicas manuais, o tempo de trabalho foi menor com as limas de NiTi em comparação com as limas de aço (p=0,011). Além disso, foi encontrada menor variabilidade no tempo de preparo quando o instrumento rotatório foi utilizado. Conclusão: O método rotatório levou um menor tempo operatório em comparação com as técnicas manuais e, portanto, é uma opção preferível para o preparo dos canais radiculares de dentes decíduos. Objetivo obturações Métodos diferente Kerr níqueltitânio níquel titânio níquel-titânio níqueltitânio. titânio. cálcio instrumentações KruskalWallis Kruskal Wallis MannWhitney Mann Whitney mesmos Resultados p=0,000. p0000 p p=0,000 . 0 000 pareadas (p=0,000 p=0,011. p0011 p=0,011 011 (p=0,011) disso utilizado Conclusão portanto p000 p=0,00 00 (p=0,00 p001 p=0,01 01 (p=0,011 p00 p=0,0 (p=0,0 (p=0,01 p0 p=0, (p=0, p=0 (p=0 p= (p= (p
ABSTRACT Objective: The purpose of the present in vitro study was to evaluate the efficiency of three different instruments in the root canals of artificial primary molars as well as the quality of the fillings. Methods: Sixty artificial primary molars were divided into three groups of 20 teeth. Each group was submitted to a different technique: Group 1 - conventional manual technique using Kerr files; Group 2 - manual technique with nickel-titanium files; Group 3 - NiTi rotary technique. The root canals were filled with calcium hydroxide paste. Aspects such as homogeneity of the fillings, taper and flowability of the preparations were considered comparatively to assess the quality of the instrumentations. The non-parametric Kruskal-Wallis and Mann-Whitney tests were used to compare the efficiency of the preparation of the root canal considering the preparation times of them. Results: All three techniques were equally effective at shaping the root canals of primary teeth. The working time was shorter with the rotary instrument (p=0.000). In the pairwise comparisons, working time was shorter with the rotary instrument compared to the manual techniques with steel files (p=0.000) and NiTi files (p=0.000). Comparing the manual techniques, the working time was shorter with NiTi files compared to steel files (p=0.011). Moreover, less variability in the preparation time was found when the rotary instrument was used. Conclusions: The mechanized rotary method led to a shorter operating time in comparison to the manual techniques and is therefore a preferable option for the preparation of the root canals of primary teeth. Objective fillings Methods teeth nickeltitanium nickel titanium paste instrumentations nonparametric non parametric KruskalWallis Kruskal Wallis MannWhitney Mann Whitney them Results p=0.000. p0000 p p=0.000 . 0 000 comparisons (p=0.000 p=0.011. p0011 p=0.011 011 (p=0.011) Moreover Conclusions p000 p=0.00 00 (p=0.00 p001 p=0.01 01 (p=0.011 p00 p=0.0 (p=0.0 (p=0.01 p0 p=0. (p=0. p=0 (p=0 p= (p= (p
6.
Irrigation depth and silicate fertilisation in green maize
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Fernandes, Chrislene Nojosa Dias
; Viana, Thales Vinícius de Araújo
; Fernandes, Carlos Newdmar Vieira
; Silva, Alexandre Reuber Almeida da
; Azevedo, Benito Moreira de
; Marinho, Albanise Barbosa
.
RESUMO O sucesso do uso da irrigação está condicionado a adoção de um manejo eficiente, fato dependente da determinação de uma correta lâmina. Em função da escassez hídrica enfrentada nos últimos anos, evidenciou-se a necessidade de estratégias que possibilitem a redução da quantidade de água aplicada às culturas, sem redução de produtividade, dentre essas, a aplicação de silício, associada a diversos efeitos benéficos para o vegetal, pode aumentar a eficiência do uso da água. Assim, objetivou-se estudar o manejo de lâminas de irrigação versus doses de silício, aplicadas via foliar, na cultura do milho verde, sob clima semiárido. O experimento foi conduzido na área do Instituto Federal do Ceará, Campus de Iguatu, CE, com o híbrido AG1051, de agosto a novembro de 2017. O delineamento experimental foi em blocos ao acaso com parcelas subdivididas, e quatro blocos. Nas parcelas avaliou-se cinco lâminas de irrigação (50, 75, 100, 125 e 150% da ETc) e nas subparcelas quatro doses de silício (50, 100, 150 e 200% do recomendado). As variáveis de crescimento, analisadas aos 15, 30, 45, 60 e 75 dias após a semeadura (DAS), foram: massa seca das folhas, do colmo e total; e as produtivas, avaliadas ao 81 DAS, foram: diâmetro e comprimento da espiga sem palha, massa da espiga com e sem palha e produtividade. A aplicação de silício não influenciou significativamente as variáveis, enquanto as lâminas proporcionaram crescimento linear para todas, com maior produtividade (10.459,3 kg ha-1), obtida para a maior lâmina de 600 mm (150% da ETc).
ABSTRACT The successful use of irrigation depends on the adoption of efficient management, which in turn depends on determining the correct amount of irrigation water. Due to the water scarcity seen in recent years, there is an obvious need for strategies that would make it possible to reduce the amount of water applied to crops with no reduction in productivity. Among such strategies, the application of silicon, which is associated with several beneficial effects for the plant, can increase water use efficiency. The aim of the present work was to study irrigation-depth management versus silicon doses via foliar application in green maize under a semi-arid climate. The experiment was conducted from August to November 2017 in an area of the Federal Institute of Ceará, Iguatu Campus, Ceará, using the AG1051 hybrid. The experimental design was of randomised blocks, comprising split plots and four blocks. Five irrigation depths (50, 75, 100, 125 and 150% of the ETc) were evaluated in the plots and four doses of silicon (50, 100, 150 and 200% of the recommended dose) were evaluated in the subplots. The following growth variables were analysed 15, 30, 45, 60 and 75 days after sowing (DAS): leaf dry weight, stem dry weight, and total dry weight; the production variables, evaluated at 81 DAS, were ear diameter and ear length with no husks, ear weight with and with no husks, and productivity. The application of silicon had no significant effect on the variables, while the irrigation depths afforded linear growth for each variable, with the highest productivity (10,459.3 kg ha-1) obtained for the greatest irrigation depth of 600 mm (150%) of the ETc).
7.
Internal training and match load quantification of one-match week schedules in female first league Portugal soccer team
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ABSTRACT Training load (TL) quantification allow coaches to a better load management during training sessions to be in the best physical fitness to the next match. The aim of this study was to compare session rated of perceived exertion (s-RPE) and Hooper Index (HI) between training and match days from the same women's Portuguese League team. Sixteen players with a mean±SD age, height and weight of 24.0±2.9 years, 164±4.1 cm and 58.5±8.2 kg, respectively, participated in this study. The participants completed ≥80% of the training sessions during 2019/20 in-season. Data was collected through the s-RPE and the HI that measured sleep quality, fatigue, stress, and muscle soreness (DOMS). Data was analysed in relation to the number of days away from the competitive one-match week (i.e., match day minus, MD-) with three training sessions a week (MD-5; MD-4; MD-2). The study analysed data from a total of 12 matches and 45 training sessions with repeated measures ANOVA, p≤0.05. Results showed differences between MD-5 (85.2±0.3min) vs MD-4 (87.2±0.4min) vs MD-2 (80.6±0.6min) vs MD (62.8±4.9min), all p<0.05; s-RPE showed higher values on MD-5 (503.8±19.0au) vs MD-4 (473.2±14.8au) vs MD-2 (362.1±12.1au) vs MD (468.2±40.5au); HI showed higher values on MD-5 (13.4±0.5au) vs MD-4 (13.4±0.4au) vs MD-2 (12.7±0.5au) vs MD (11.9±0.4au); DOMS revealed difference between MD-4 vs MD-2 (3.1±0.2 vs 2.7±0.2au), p<0.05. It was shown that there is a higher TL on MD-5 and MD-4 compared with MD-2. Results from HI showed that sleep, fatigue, stress and DOMS was well fair controlled by coaches and staff.
RESUMO A quantificação da carga de treino (CT) permite aos treinadores uma melhor gestão da carga dos jogadores durante as sessões de treino para que estejam na melhor condição física para o próximo jogo. O objetivo deste estudo foi comparar os valores da perceção subjetiva de esforço (s-RPE) e o Índice Hooper (HI) entre dias de treino e de jogo numa equipa feminina de Futebol da principal Liga feminina portuguesa. Participaram neste estudo dezasseis jogadoras com média ± DP de idade, altura e peso de 24,0 ± 2,9 anos, 164 ± 4,1 cm e 58,5 ± 8,2 kg, respetivamente. As participantes completaram ≥80% das sessões de treino durante a temporada de 2019/20. Os dados avaliados foram o s-RPE e o HI que mediu a qualidade do sono, fadiga, stresse e dor muscular (DOMS). Os dados foram recolhidos através do s-RPE e do IH que avaliaram a qualidade do sono, fadiga, stress e dor muscular (DOMS). Os dados foram analisados em relação ao número de dias para o jogo competitivo (ou seja, dia de jogo menos, MD-) com três sessões de treino por semana (MD-5; MD-4; MD-2). O estudo analisou 12 jogos e 45 sessões de treino através de medidas repetidas ANOVA, p≤0,05. Os resultados mostraram diferenças entre MD-5 (85,2±0,3min) vs MD-4 (87,2±0,4min) vs MD-2 (80,6±0,6min) vs MD (62,8±4,9min), todos p<0,05; s-RPE mostrou valores mais altos em MD-5 (503,8±19,0au) vs MD-4 (473,2±14,8au) vs MD-2 (362,1±12,1au) vs MD (468,2±40,5au); HI mostrou valores mais altos em MD-5 (13,4±0,5au) vs MD-4 (13,4±0,4au) vs MD-2 (12,7±0,5au) vs MD (11,9±0,4au); DOMS revelou diferença entre MD-4 vs MD-2 (3,1±0,2 vs 2,7±0,2au), p<0,05. Foi demonstrado que existe uma maior CT no MD-5 e MD-4 em comparação com o MD-2. Os resultados do HI mostraram que o sono, fadiga, stress e DOMS foi bem controlado pelos treinadores e staff.
RESUMEN La cuantificación de la carga de entrenamiento (TL) permite a los entrenadores gestionar la carga durante el entrenamiento con el objetivo de estar en la mejor forma física para la próxima competición. El propósito de este estudio fue comparar la Percepción Subjetiva de Esfuerzo (s-RPE) y el Índice Hooper (HI) entre deportes y partidos de un solo equipo de fútbol de la principal liga femenina portuguesa. En este estudio participaron dieciséis jugadores con una media ± DE edad, altura y peso de 24,0 ± 2,9 años, 164 ± 4,1 cm y 58,5 ± 8,2 kg, respectivamente. Los participantes completaron ≥80% de las sesiones de entrenamiento durante la temporada 2019/20. Los datos evaluados fueron s-RPE y HI, que midieron la calidad de la grasa, la fatiga, el estrés y el dolor muscular (DOMS). Los datos se analizaron en relación con el número de días durante un microciclo competitivo (semana de juego), es decir, menos día de juego (MD-) con tres sesiones de entrenamiento por semana (MD-5; MD-4; MD-2). El estudio analizó datos para un total de 12 juegos y 45 sesiones de entrenamiento con ANOVA de medidas repetidas, p≤0,05. Los resultados mostraron diferencias entre MD-5 (85,2 ± 0,3min) vs MD-4 (87,2 ± 0,4min) vs MD-2 (80,6 ± 0.6min) vs MD (62,8 ± 4,9min), todos p <0,05; s-RPE mostró valores más altos en MD-5 (503,8 ± 19,0ua) vs MD-4 (473,2 ± 14,8ua) vs MD-2 (362,1 ± 12,1ua) vs MD (468, 2 ± 40,5ua); El HI mostró valores más altos en MD-5 (13,4 ± 0,5ua) frente a MD-4 (13,4 ± 0,4ua) frente a MD-2 (12,7 ± 0,5ua) frente a MD (11, 9 ± 0,4ua); DOMS reveló diferencias entre MD-4 vs MD-2 (3,1 ± 0,2 vs 2,7 ± 0,2ua), p<0,05. Se ha demostrado que existe una mayor carga de entrenamiento en el MD-5 y MD-4 en comparación con el MD-2. Los resultados de HI mostraron que la grasa, la fatiga, el estrés y DOMS estaban bien controlados por el equipo técnico y los jugadores.
8.
Diretrizes da Sociedade Brasileira de Cardiologia sobre Angina Instável e Infarto Agudo do Miocárdio sem Supradesnível do Segmento ST – 2021
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Nicolau, José Carlos
; Feitosa Filho, Gilson Soares
; Petriz, João Luiz
; Furtado, Remo Holanda de Mendonça
; Précoma, Dalton Bertolim
; Lemke, Walmor
; Lopes, Renato Delascio
; Timerman, Ari
; Marin Neto, José A.
; Bezerra Neto, Luiz
; Gomes, Bruno Ferraz de Oliveira
; Santos, Eduardo Cavalcanti Lapa
; Piegas, Leopoldo Soares
; Soeiro, Alexandre de Matos
; Negri, Alexandre Jorge de Andrade
; Franci, Andre
; Markman Filho, Brivaldo
; Baccaro, Bruno Mendonça
; Montenegro, Carlos Eduardo Lucena
; Rochitte, Carlos Eduardo
; Barbosa, Carlos José Dornas Gonçalves
; Virgens, Cláudio Marcelo Bittencourt das
; Stefanini, Edson
; Manenti, Euler Roberto Fernandes
; Lima, Felipe Gallego
; Monteiro Júnior, Francisco das Chagas
; Correa Filho, Harry
; Pena, Henrique Patrus Mundim
; Pinto, Ibraim Masciarelli Francisco
; Falcão, João Luiz de Alencar Araripe
; Sena, Joberto Pinheiro
; Peixoto, José Maria
; Souza, Juliana Ascenção de
; Silva, Leonardo Sara da
; Maia, Lilia Nigro
; Ohe, Louis Nakayama
; Baracioli, Luciano Moreira
; Dallan, Luís Alberto de Oliveira
; Dallan, Luis Augusto Palma
; Mattos, Luiz Alberto Piva e
; Bodanese, Luiz Carlos
; Ritt, Luiz Eduardo Fonteles
; Canesin, Manoel Fernandes
; Rivas, Marcelo Bueno da Silva
; Franken, Marcelo
; Magalhães, Marcos José Gomes
; Oliveira Júnior, Múcio Tavares de
; Filgueiras Filho, Nivaldo Menezes
; Dutra, Oscar Pereira
; Coelho, Otávio Rizzi
; Leães, Paulo Ernesto
; Rossi, Paulo Roberto Ferreira
; Soares, Paulo Rogério
; Lemos Neto, Pedro Alves
; Farsky, Pedro Silvio
; Cavalcanti, Rafael Rebêlo C.
; Alves, Renato Jorge
; Kalil, Renato Abdala Karam
; Esporcatte, Roberto
; Marino, Roberto Luiz
; Giraldez, Roberto Rocha Corrêa Veiga
; Meneghelo, Romeu Sérgio
; Lima, Ronaldo de Souza Leão
; Ramos, Rui Fernando
; Falcão, Sandra Nivea dos Reis Saraiva
; Dalçóquio, Talia Falcão
; Lemke, Viviana de Mello Guzzo
; Chalela, William Azem
; Mathias Júnior, Wilson
.
https://doi.org/10.36660/abc.20210180
3052 downloads
9.
Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS
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Freitas, Flavio Geraldo Rezende de
; Hammond, Naomi
; Li, Yang
; Azevedo, Luciano Cesar Pontes de
; Cavalcanti, Alexandre Biasi
; Taniguchi, Leandro
; Gobatto, André
; Japiassú, André Miguel
; Bafi, Antonio Tonete
; Mazza, Bruno Franco
; Noritomi, Danilo Teixeira
; Dal-Pizzol, Felipe
; Bozza, Fernando
; Salluh, Jorge Ibrahin Figueira
; Westphal, Glauco Adrieno
; Soares, Márcio
; Assunção, Murillo Santucci César de
; Lisboa, Thiago
; Lobo, Suzana Margarete Ajeje
; Barbosa, Achilles Rohlfs
; Ventura, Adriana Fonseca
; Souza, Ailson Faria de
; Silva, Alexandre Francisco
; Toledo, Alexandre
; Reis, Aline
; Cembranel, Allan
; Rea Neto, Alvaro
; Gut, Ana Lúcia
; Justo, Ana Patricia Pierre
; Santos, Ana Paula
; Albuquerque, André Campos D. de
; Scazufka, André
; Rodrigues, Antonio Babo
; Fernandino, Bruno Bonaccorsi
; Silva, Bruno Goncalves
; Vidal, Bruno Sarno
; Pinheiro, Bruno Valle
; Pinto, Bruno Vilela Costa
; Feijo, Carlos Augusto Ramos
; Abreu Filho, Carlos de
; Bosso, Carlos Eduardo da Costa Nunes
; Moreira, Carlos Eduardo Nassif
; Ramos, Carlos Henrique Ferreira
; Tavares, Carmen
; Arantes, Cidamaiá
; Grion, Cintia
; Mendes, Ciro Leite
; Kmohan, Claudio
; Piras, Claudio
; Castro, Cristine Pilati Pileggi
; Lins, Cyntia
; Beraldo, Daniel
; Fontes, Daniel
; Boni, Daniela
; Castiglioni, Débora
; Paisani, Denise de Moraes
; Pedroso, Durval Ferreira Fonseca
; Mattos, Ederson Roberto
; Brito Sobrinho, Edgar de
; Troncoso, Edgar M. V.
; Rodrigues Filho, Edison Moraes
; Nogueira, Eduardo Enrico Ferrari
; Ferreira, Eduardo Leme
; Pacheco, Eduardo Souza
; Jodar, Euzebio
; Ferreira, Evandro L. A.
; Araujo, Fabiana Fernandes de
; Trevisol, Fabiana Schuelter
; Amorim, Fábio Ferreira
; Giannini, Fabio Poianas
; Santos, Fabrício Primitivo Matos
; Buarque, Fátima
; Lima, Felipe Gallego
; Costa, Fernando Antonio Alvares da
; Sad, Fernando Cesar dos Anjos
; Aranha, Fernando G.
; Ganem, Fernando
; Callil, Flavio
; Costa Filho, Francisco Flávio
; Dall´Arto, Frederico Toledo Campo
; Moreno, Geovani
; Friedman, Gilberto
; Moralez, Giulliana Martines
; Silva, Guilherme Abdalla da
; Costa, Guilherme
; Cavalcanti, Guilherme Silva
; Cavalcanti, Guilherme Silva
; Betônico, Gustavo Navarro
; Betônico, Gustavo Navarro
; Reis, Hélder
; Araujo, Helia Beatriz N.
; Hortiz Júnior, Helio Anjos
; Guimaraes, Helio Penna
; Urbano, Hugo
; Maia, Israel
; Santiago Filho, Ivan Lopes
; Farhat Júnior, Jamil
; Alvarez, Janu Rangel
; Passos, Joel Tavares
; Paranhos, Jorge Eduardo da Rocha
; Marques, José Aurelio
; Moreira Filho, José Gonçalves
; Andrade, Jose Neto
; Sobrinho, José Onofre de C
; Bezerra, Jose Terceiro de Paiva
; Alves, Juliana Apolônio
; Ferreira, Juliana
; Gomes, Jussara
; Sato, Karina Midori
; Gerent, Karine
; Teixeira, Kathia Margarida Costa
; Conde, Katia Aparecida Pessoa
; Martins, Laércia Ferreira
; Figueirêdo, Lanese
; Rezegue, Leila
; Tcherniacovsk, Leonardo
; Ferraz, Leone Oliveira
; Cavalcante, Liane
; Rabelo, Ligia
; Miilher, Lilian
; Garcia, Lisiane
; Tannous, Luana
; Hajjar, Ludhmila Abrahão
; Paciência, Luís Eduardo Miranda
; Cruz Neto, Luiz Monteiro da
; Bley, Macia Valeria
; Sousa, Marcelo Ferreira
; Puga, Marcelo Lourencini
; Romano, Marcelo Luz Pereira
; Nobrega, Marciano
; Arbex, Marcio
; Rodrigues, Márcio Leite
; Guerreiro, Márcio Osório
; Rocha, Marcone
; Alves, Maria Angela Pangoni
; Alves, Maria Angela Pangoni
; Rosa, Maria Doroti
; Dias, Mariza D’Agostino
; Martins, Miquéias
; Oliveira, Mirella de
; Moretti, Miriane Melo Silveira
; Matsui, Mirna
; Messender, Octavio
; Santarém, Orlando Luís de Andrade
; Silveira, Patricio Júnior Henrique da
; Vassallo, Paula Frizera
; Antoniazzi, Paulo
; Gottardo, Paulo César
; Correia, Paulo
; Ferreira, Paulo
; Torres, Paulo
; Silva, Pedro Gabrile M. de Barros e
; Foernges, Rafael
; Gomes, Rafael
; Moraes, Rafael
; Nonato filho, Raimundo
; Borba, Renato Luis
; Gomes, Renato V
; Cordioli, Ricardo
; Lima, Ricardo
; López, Ricardo Pérez
; Gargioni, Ricardo Rath de Oliveira
; Rosenblat, Richard
; Souza, Roberta Machado de
; Almeida, Roberto
; Narciso, Roberto Camargo
; Marco, Roberto
; waltrick, Roberto
; Biondi, Rodrigo
; Figueiredo, Rodrigo
; Dutra, Rodrigo Santana
; Batista, Roseane
; Felipe, Rouge
; Franco, Rubens Sergio da Silva
; Houly, Sandra
; Faria, Sara Socorro
; Pinto, Sergio Felix
; Luzzi, Sergio
; Sant’ana, Sergio
; Fernandes, Sergio Sonego
; Yamada, Sérgio
; Zajac, Sérgio
; Vaz, Sidiner Mesquita
; Bezerra, Silvia Aparecida Bezerra
; Farhat, Tatiana Bueno Tardivo
; Santos, Thiago Martins
; Smith, Tiago
; Silva, Ulysses V. A.
; Damasceno, Valnei Bento
; Nobre, Vandack
; Dantas, Vicente Cés de Souza
; Irineu, Vivian Menezes
; Bogado, Viviane
; Nedel, Wagner
; Campos Filho, Walther
; Dantas, Weidson
; Viana, William
; Oliveira Filho, Wilson de
; Delgadinho, Wilson Martins
; Finfer, Simon
; Machado, Flavia Ribeiro
.
RESUMO Objetivo: Descrever as práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras e compará-las com as de outros países participantes do estudo Fluid-TRIPS. Métodos: Este foi um estudo observacional transversal, prospectivo e internacional, de uma amostra de conveniência de unidades de terapia intensiva de 27 países (inclusive o Brasil), com utilização da base de dados Fluid-TRIPS compilada em 2014. Descrevemos os padrões de ressuscitação volêmica utilizados no Brasil em comparação com os de outros países e identificamos os fatores associados com a escolha dos fluidos. Resultados: No dia do estudo, foram incluídos 3.214 pacientes do Brasil e 3.493 pacientes de outros países, dos quais, respectivamente, 16,1% e 26,8% (p < 0,001) receberam fluidos. A principal indicação para ressuscitação volêmica foi comprometimento da perfusão e/ou baixo débito cardíaco (Brasil 71,7% versus outros países 56,4%; p < 0,001). No Brasil, a percentagem de pacientes que receberam soluções cristaloides foi mais elevada (97,7% versus 76,8%; p < 0,001), e solução de cloreto de sódio a 0,9% foi o cristaloide mais comumente utilizado (62,5% versus 27,1%; p < 0,001). A análise multivariada sugeriu que os níveis de albumina se associaram com o uso tanto de cristaloides quanto de coloides, enquanto o tipo de prescritor dos fluidos se associou apenas com o uso de cristaloides. Conclusão: Nossos resultados sugerem que cristaloides são usados mais frequentemente do que coloides para ressuscitação no Brasil, e essa discrepância, em termos de frequências, é mais elevada do que em outros países. A solução de cloreto de sódio 0,9% foi o cristaloide mais frequentemente prescrito. Os níveis de albumina sérica e o tipo de prescritor de fluidos foram os fatores associados com a escolha de cristaloides ou coloides para a prescrição de fluidos.
Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.
https://doi.org/10.5935/0103-507x.20210028
273 downloads
10.
Diretrizes Brasileiras de Hipertensão Arterial – 2020
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Barroso, Weimar Kunz Sebba
; Rodrigues, Cibele Isaac Saad
; Bortolotto, Luiz Aparecido
; Mota-Gomes, Marco Antônio
; Brandão, Andréa Araujo
; Feitosa, Audes Diógenes de Magalhães
; Machado, Carlos Alberto
; Poli-de-Figueiredo, Carlos Eduardo
; Amodeo, Celso
; Mion Júnior, Décio
; Barbosa, Eduardo Costa Duarte
; Nobre, Fernando
; Guimarães, Isabel Cristina Britto
; Vilela-Martin, José Fernando
; Yugar-Toledo, Juan Carlos
; Magalhães, Maria Eliane Campos
; Neves, Mário Fritsch Toros
; Jardim, Paulo César Brandão Veiga
; Miranda, Roberto Dischinger
; Póvoa, Rui Manuel dos Santos
; Fuchs, Sandra C
; Alessi, Alexandre
; Lucena, Alexandre Jorge Gomes de
; Avezum, Alvaro
; Sousa, Ana Luiza Lima
; Pio-Abreu, Andrea
; Sposito, Andrei Carvalho
; Pierin, Angela Maria Geraldo
; Paiva, Annelise Machado Gomes de
; Spinelli, Antonio Carlos de Souza
; Nogueira, Armando da Rocha
; Dinamarco, Nelson
; Eibel, Bruna
; Forjaz, Cláudia Lúcia de Moraes
; Zanini, Claudia Regina de Oliveira
; Souza, Cristiane Bueno de
; Souza, Dilma do Socorro Moraes de
; Nilson, Eduardo Augusto Fernandes
; Costa, Elisa Franco de Assis
; Freitas, Elizabete Viana de
; Duarte, Elizabeth da Rosa
; Muxfeldt, Elizabeth Silaid
; Lima Júnior, Emilton
; Campana, Erika Maria Gonçalves
; Cesarino, Evandro José
; Marques, Fabiana
; Argenta, Fábio
; Consolim-Colombo, Fernanda Marciano
; Baptista, Fernanda Spadotto
; Almeida, Fernando Antonio de
; Borelli, Flávio Antonio de Oliveira
; Fuchs, Flávio Danni
; Plavnik, Frida Liane
; Salles, Gil Fernando
; Feitosa, Gilson Soares
; Silva, Giovanio Vieira da
; Guerra, Grazia Maria
; Moreno Júnior, Heitor
; Finimundi, Helius Carlos
; Back, Isabela de Carlos
; Oliveira Filho, João Bosco de
; Gemelli, João Roberto
; Mill, José Geraldo
; Ribeiro, José Marcio
; Lotaif, Leda A. Daud
; Costa, Lilian Soares da
; Magalhães, Lucélia Batista Neves Cunha
; Drager, Luciano Ferreira
; Martin, Luis Cuadrado
; Scala, Luiz César Nazário
; Almeida, Madson Q.
; Gowdak, Marcia Maria Godoy
; Klein, Marcia Regina Simas Torres
; Malachias, Marcus Vinícius Bolívar
; Kuschnir, Maria Cristina Caetano
; Pinheiro, Maria Eliete
; Borba, Mario Henrique Elesbão de
; Moreira Filho, Osni
; Passarelli Júnior, Oswaldo
; Coelho, Otavio Rizzi
; Vitorino, Priscila Valverde de Oliveira
; Ribeiro Junior, Renault Mattos
; Esporcatte, Roberto
; Franco, Roberto
; Pedrosa, Rodrigo
; Mulinari, Rogerio Andrade
; Paula, Rogério Baumgratz de
; Okawa, Rogério Toshiro Passos
; Rosa, Ronaldo Fernandes
; Amaral, Sandra Lia do
; Ferreira-Filho, Sebastião R.
; Kaiser, Sergio Emanuel
; Jardim, Thiago de Souza Veiga
; Guimarães, Vanildo
; Koch, Vera H.
; Oigman, Wille
; Nadruz, Wilson
.
https://doi.org/10.36660/abc.20201238
10948 downloads
11.
Agreement Between Working Length Measurements in Primary Teeth Obtained by Radiographs or Apical Locators
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Brum, Ingrid Caroline Silva
; Maia, Caroline Andrade
; Diniz, Marlon Vinícius Tramujas
; Fernandes, Alexandre Moreira
; Fernandes, Maria Luiza da Matta Felisberto
.
Pesquisa Brasileira em Odontopediatria e Clínica Integrada
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Abstract Objective: To perform an in vivo evaluation on the agreement between measurements of working length obtained by conventional radiographic examinations and an apex locator in deciduous teeth with or without root resorption. Material and Methods: Nine canals of teeth from children ranging from 3 to 5 years old were selected. Endodontic access was performed with a spherical diamond tip, the pulp was removed with Kerr-type steel files, and the canal was irrigated with 1% sodium hypochlorite. A file, compatible with the channel gauge, was then used to measure the length of the root canal with the apex locator. Conventional radiographs were also performed and, using a millimeter endodontic ruler, the length of the canal was determined. The differences between the measurements obtained between the two methods were analyzed using the Student's t-test. Results: The mean canal length for conventional radiography was 9.83 mm and 9.67 mm for the apex locator. The results of this study did not show significant differences (p=0.641), independent of the presence or absence of physiological root resorption. Conclusion: The similarity in measurements obtained with X-ray or an apex locator indicates that it is not necessary to use X-rays as a complement to obtain the working length. The use of the apex locator can provide a quicker treatment, reducing the clinical time and stress of the child.
https://doi.org/10.1590/pboci.2020.015
1302 downloads
12.
Antimicrobial Photodynamic Therapy in the Endodontic Treatment of Deciduous Teeth: In Vivo Pilot Study
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Fernandes, Maria Luiza da Matta Felisberto
; Maia, Caroline Andrade
; Santos, Alice Machado Carvalho
; Vilela, Camila Rocha
; Araujo, Felipe Ribeiro
; Mohallen, Maria de Lourdes
; Silveira, Lívio Barros
; Fernandes, Alexandre Moreira
.
Pesquisa Brasileira em Odontopediatria e Clínica Integrada
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Abstract Objective: To evaluate the Antimicrobial Photodynamic Therapy (aPDT) in infected deciduous teeth by quantifying the viable bacteria in root canal treatment. Material and Methods: Radicular canal cultures were collected (n= 10). Four intra-canal samples were collected at four different times in each of the sampled teeth, as follows: Time 1 (T1), baseline: After opening the pulp-chamber; Time 2 (T2): After application of aPDT; Time 3 (T3): After mechanical, chemical manipulation; Time 4 (T4): After a second application of aPDT. The aPDT was performed with a 4J/cm energy low-intensity diode, together with 0.005% methylene blue as a photosensitizer. The clinical specimens were taken to the laboratory for a bacteria count (colony forming units) and the results were statistically analyzed using the Friedman and Wilcoxon tests, with a significance level of α=0.05. Results: Statistical differences were seen between the numbers of bacteria at times T1-T2, T1-T3 and T1-T4 on the cultivated plates. However, no significant statistical differences were observed between the number of bacteria in samples T2-T3, T2-T4 and T3-T4. Conclusion: Antimicrobial photodynamic therapy can be a good co-adjuvant in root canal decontamination of necrotic primary teeth.
https://doi.org/10.1590/pboci.2020.111
549 downloads
13.
Perceptions of the Use of the Diode Laser in Dental Surgery: A Qualitative Study
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Soares, Kamila Gomes
; Carvalho, Tallyta Yohana Andrade de
; Santos, Alice Machado Carvalho
; Silveira, Lívio Barros
; Costa, Lidiane Cristina Machado
; Fernandes, Maria Luiza da Matta Felisberto
; Fernandes, Alexandre Moreira
.
Pesquisa Brasileira em Odontopediatria e Clínica Integrada
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Abstract Objective: To discover the perceptions of pediatric patients, their parents and undergraduate Dentistry students of the use of the diode laser in frenectomy surgeries. Material and Methods: A qualitative study was conducted through semi-structured interviews, recorded and transcribed with subsequent content analysis. Twelve healthy children (5-8 years old) who needed a frenectomy were selected and invited, together with their parents, to undergo laser diode surgery. In addition, 28 undergraduate dentistry students were invited to attend the procedures. One week after performing the surgical procedures, the children (Group 1), their parents (Group 2) and the students who attended the procedures (Group 3) were individually interviewed for the thematic analysis. Results: The analysis of the conversations identified three emerging contents: positive thoughts on the use of diode laser; frustrations from the use of diode laser; and aspects related to professional training. Conclusion: The results pointed to the acceptance of surgical laser use in pediatric dentistry; however, the feelings of frustration indicate that its use requires guidance from the child and his/her parents, in addition to careful handling and specific training.
https://doi.org/10.1590/pboci.2020.083
374 downloads
14.
Insect (Hexapoda) diversity in the oceanic archipelago of Fernando de Noronha, Brazil: updated taxonomic checklist and new records
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Rafael, José Albertino
; Limeira-de-Oliveira, Francisco
; Hutchings, Roger William
; Miranda, Gil Felipe Gonçalves
; Silva Neto, Alberto Moreira da
; Somavilla, Alexandre
; Camargo, Alexssandro
; Asenjo, Angélico
; Pinto, Ângelo Parise
; Bello, Ayr de Moura
; Dalmorra, Camila
; Mello-Patiu, Cátia Antunes de
; Carvalho, Claudio José Barros de
; Takiya, Daniela Maeda
; Parizotto, Daniele Regina
; Marques, Dayse Willkenia Almeida
; Cavalheiro, Denis de Oliveira
; Mendes, Diego Matheus de Mello
; Zeppelini, Douglas
; Carneiro, Eduardo
; Lima, Élison Fabrício Bezerra
; Lima, Estevam Cipriano Araújo de
; Godoi, Fabio Siqueira Pitaluga de
; Pessoa, Felipe Arley Costa
; Vaz-de-Mello, Fernando Zagury
; Sosa-Duque, Francisco José
; Flores, Heloísa Fernandes
; Fernandes, Itanna Oliveira
; Silva-Júnior, José Osvaldo
; Gomes, Lucas Roberto Pereira
; Monné, Marcela Laura
; Castro, Marcelo Cutrim Moreira de
; Silva, Marcelo Peixoto Gomes da
; Couri, Márcia Souto
; Gottschalk, Marco Silva
; Soares, Matheus Mickael Mota
; Monné, Miguel Angel
; Rafael, Miriam Silva
; Casagrande, Mirna Martins
; Mielke, Olaf Hermann Hendrik
; Grossi, Paschoal Coelho
; Pinto, Paula Jéssica Costa
; Bartholomay, Pedro Reck
; Sobral, Rafael
; Heleodoro, Raphael Aquino
; Machado, Renato José Pires
; Corrêa, Robson Crepes
; Hutchings, Rosa Sá Gomes
; Ale-Rocha, Rosaly
; Santos, Sandra Duque dos
; Lima, Sheila Pereira de
; Mahlmann, Thiago
; Silva, Vera Cristina
; Fernandes, Daniell Rodrigo Rodrigues
.
ABSTRACT Hexapods, commonly known as insects, are a neglected taxonomic group in the Fernando de Noronha archipelago, with unanswered questions about their species richness and the ecological processes in which they are involved (e.g., colonization, introduction, establishment, and extinction). Herein, we provide an updated Hexapod checklist with current nomenclatural combinations. The entomofauna of the Fernando de Noronha archipelago is currently composed of 453 species in 21 orders. The orders, and their respective number of species, are: Blattaria (9), Coleoptera (118), Collembola (29), Dermaptera (3), Diplura (1), Diptera (134), Embioptera (1), Hemiptera (29), Hymenoptera (59), Isoptera (2), Lepidoptera (25), Mantodea (1), Neuroptera (3), Odonata (5), Orthoptera (11), Phasmatodea (1), Phthiraptera (6), Psocoptera (3), Siphonaptera (1), Thysanoptera (10), and Zygentoma (2). The archipelago has 263 new taxon records (family + genera + species). Thirty-eight species (3.39%) were described from local specimens and most of them are likely endemic species. This study more than doubles our knowledge (from the previous 190 records) of the entomofauna in this large Brazilian archipelago. This study also provides a baseline for studies on its conservation status and for implementing future environmental management programs.
https://doi.org/10.1590/1806-9665-rbent-2020-0052
2462 downloads
15.
Atualização das Diretrizes em Cardiogeriatria da Sociedade Brasileira de Cardiologia – 2019
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Feitosa Filho, Gilson Soares
; Peixoto, José Maria
; Pinheiro, José Elias Soares
; Afiune Neto, Abrahão
; Albuquerque, Afonso Luiz Tavares de
; Cattani, Álvaro César
; Nussbacher, Amit
; Camarano, Ana Amelia
; Sichinels, Angela Hermínia
; Sousa, Antonio Carlos Sobral
; Alencar Filho, Aristóteles Comte de
; Gravina, Claudia F.
; Sobral Filho, Dario Celestino
; Pitthan, Eduardo
; Costa, Elisa Franco de Assis
; Duarte, Elizabeth da Rosa
; Freitas, Elizabete Viana de
; Moriguchi, Emilio Hideyuki
; Mesquita, Evandro Tinoco
; Fernandes, Fábio
; Fuchs, Felipe Costa
; Feitosa, Gilson Soares
; Pierre, Humberto
; Pereira Filho, Ilnei
; Helber, Izo
; Borges, Jairo Lins
; Garcia, Jéssica Myrian de Amorim
; Souza, José Antonio Gordillo de
; Zanon, José Carlos da Costa
; Alves, Josmar de Castro
; Mohallem, Kalil Lays
; Chaves, Laura Mariana de Siqueira Mendonça
; Moura, Lídia Ana Zytynski
; Silva, Márcia Cristina Amélia da
; Toledo, Maria Alice de Vilhena
; Assunção, Maria Elisa Lucena Sales de Melo
; Wajngarten, Mauricio
; Gonçalves, Mauro José Oliveira
; Lopes, Neuza Helena Moreira
; Rodrigues, Nezilour Lobato
; Toscano, Paulo Roberto Pereira
; Rousseff, Pedro
; Maia, Ricardo Antonio Rosado
; Franken, Roberto Alexandre
; Miranda, Roberto Dischinger
; Gamarski, Roberto
; Rosa, Ronaldo Fernandes
; Santos, Silvio Carlos de Moraes
; Galera, Siulmara Cristina
; Grespan, Stela Maris da Silva
; Silva, Teresa Cristina Rogerio da
; Esteves, William Antonio de Magalhães
.
https://doi.org/10.5935/abc.20190086
15622 downloads
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