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1.
[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.
Yeast cell wall in the diet of Japanese quails in the laying phase at different stocking densities
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Vieira, Marcílio José
; Valentim, Jean Kaique
; Amaral, Juliano de Souza
; Zopelaro, Rithiely Andrade
; Silva, Eduardo Dias da
; Mendonça, Michele de Oliveira
; Albino, Luiz Fernando Teixeira
.
Resumo Objetivou-se mensurar o desempenho zootécnico e a qualidade de ovos de codornas japonesas alojadas sob diferentes densidades e alimentadas com rações contendo parede celular de levedura (PCL). Foram utilizadas 576 codornas japonesas (Coturnix japonica) com 43 semanas de idade e 76% de postura, com peso inicial de 158,50 ± 5,41 g distribuídas em delineamento inteiramente ao acaso em esquema fatorial 3 × 2 (três níveis de PCL: 0; 500 e 750 g.ton−1 e duas densidades de alojamento: 81,5 e 92,4 cm2/ave), com seis repetições de 17 e 15 codornas por unidade experimental, respectivamente. Foram avaliados: consumo de ração, produção de ovos/ave/dia, produção de ovos/ave alojada, produção de ovos comercializáveis, massa de ovos, conversão alimentar por dúzia e por massa de ovos e viabilidade das aves; peso do ovo, peso específico, porcentagem de gema, de albúmen e de casca e espessura da casca. Não houve interação entre os níveis de inclusão de PCL e densidade de alojamento para os parâmetros avaliados, exceto para peso do ovo. Codornas alojadas em gaiolas com 92,4 cm2/ave alimentadas com 500 g.ton−1 de PCL apresentaram maior peso do ovo. A espessura de casca foi influenciada de forma independente pela densidade de alojamento, a menor densidade (92,4 cm|2/ave) promoveu maior espessura de casca. A inclusão de 500 g.ton−1 de PCL na ração de codornas japonesas alojadas sob densidade de 92,4 cm2/ave melhora o peso dos ovos e a espessura da casca. Objetivouse Objetivou se PCL. . (PCL) 57 Coturnix japonica 4 76 postura 15850 158 50 158,5 541 5 41 5,4 três 0 75 gton1 gton ton 1 g.ton− 815 81 81, 924 92 92, cm2/ave, cm2ave cmave , cm2 ave cm cm2/ave) experimental respectivamente avaliados ovosavedia dia ovos/ave/dia ovosave alojada comercializáveis aves ovo específico gema (92, cm|2/ave (PCL 7 1585 158, 54 5, g.ton 8 9 (92 (9 (
Abstract The objective of this study was to measure the zootechnical performance and egg quality of Japanese quails housed at different densities and fed diets containing yeast cell walls (YCWs). Five hundred and seventy-six quail (Coturnix coturnix japonica) were distributed at 43 weeks of age, and 76% were laid, with an initial weight of 158.50 ± 5.41 g, in a completely randomized design in a 3 × 2 factorial arrangement (three YCW levels: 0, 500, and 750 g.ton−1 and two housing densities: 81.5 and 92.4 cm2/quail), with six replicates of 17 and 15 quail per experimental unit, respectively. The following parameters were evaluated: feed intake, egg production/bird/day, egg production/housed quail, marketable egg production, egg mass, feed conversion per dozen eggs, egg mass and viability, egg weight, specific egg weight, percentage of yolk, albumen and shell, and shell thickness. The means of the three cycles of 21 days were subjected to analysis of variance using the statistical software Sisvar. There was no significant interaction effect between YCW inclusion level and cage density on zootechnical performance parameters or egg quality, except for egg weight, which suggested that YCW addition, regardless of cage density, did not affect the results. It was observed that the eggs of quails housed in cages with 92.4 cm2/bird feed and 500 g.ton1 YCW had greater egg weights. Shell thickness was independently influenced by cage density, and the lowest density (92.4 cm2/bird) promoted greater shell thickness. The inclusion of 500 g.ton1 of yeast cell wall material in the diet of Japanese quails housed at a density of 92.4 cm2/bird improved egg weight and shell thickness without negatively affecting the other parameters of egg quality or zootechnical performance. YCWs. YCWs . (YCWs) seventysix seventy Coturnix japonica 4 age 76 laid 15850 158 50 158.5 541 5 41 5.4 g levels 0 75 gton1 gton ton 1 g.ton− 815 81 81. 924 92 92. cm2/quail, cm2quail cmquail cm2/quail , cm2 cm cm2/quail) unit respectively evaluated intake productionbirdday production bird day production/bird/day productionhoused viability yolk Sisvar addition results cm2bird cmbird ton1 g.ton weights (92. (YCWs 7 1585 158. 54 5. 8 9 (92 (9 (
3.
Diretriz de Avaliação Cardiovascular Perioperatória da Sociedade Brasileira de Cardiologia – 2024 202 20 2
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Gualandro, Danielle Menosi
; Fornari, Luciana Savoy
; Caramelli, Bruno
; Abizaid, Alexandre Antonio Cunha
; Gomes, Brenno Rizerio
; Tavares, Caio de Assis Moura
; Fernandes, Caio Julio Cesar dos Santos
; Polanczyk, Carisi Anne
; Jardim, Carlos
; Vieira, Carolina Leticia Zilli
; Pinho, Claudio
; Calderaro, Daniela
; Schreen, Dirk
; Marcondes-Braga, Fabiana Goulart
; Souza, Fábio de
; Cardozo, Francisco Akira Malta
; Tarasoutchi, Flavio
; Carmo, Gabriel Assis Lopes
; Kanhouche, Gabriel
; Lima, José Jayme Galvão de
; Bichuette, Luciana Dornfeld
; Sacilotto, Luciana
; Drager, Luciano Ferreira
; Vacanti, Luciano Janussi
; Gowdak, Luis Henrique Wolff
; Vieira, Marcelo Luiz Campos
; Martins, Marcelo Luiz Floriano Melo
; Lima, Márcio Silva Miguel
; Lottenberg, Marcos Pita
; Aliberti, Márlon Juliano Romero
; Marchi, Mauricio Felippi de Sá
; Paixão, Milena Ribeiro
; Oliveira Junior, Mucio Tavares de
; Yu, Pai Ching
; Cury, Patricia Ramos
; Farsky, Pedro Silvio
; Pessoa, Ranna Santos
; Siciliano, Rinaldo Focaccia
; Accorsi, Tarso Augusto Duenhas
; Correia, Vinícius Machado
; Mathias Junior, Wilson
.
4.
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
.
5.
Efeitos de Longo Prazo do Implante Valvar Pulmonar e Evolução da Prótese em Pacientes com Tetralogia de Fallot Corrigida
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Caneo, Luiz Fernando
; Turquetto, Aida Luiza Ribeiro
; Boschiero, Matheus Negri
; Amato, Luciana Patrick
; Ishikawa, Walther Yoshiharu
; Hodas, Fabiana Padilha
; Ligeiro, Melissa Ganeko
; Agostinho, Daniela Regina
; Miana, Leonardo Augusto
; Tanamati, Carla
; Gonçalves, Rilvani Cavalcante
; Penha, Juliano Gomes
; Massoti, Maria Raquel Brigoni
; Jatene, Marcelo Biscegli
; Jatene, Fabio Biscegli
.
Resumo Fundamento A regurgitação valvar pulmonar é uma importante complicação de longo prazo em pacientes com tetralogia de Fallot (TF). Objetivo O presente estudo tem como objetivo investigar os efeitos do implante valvar pulmonar (IVP) na anatomia e função do ventrículo direito (VD) e na evolução em longo prazo da prótese implantada em posição pulmonar. Métodos Uma análise de coorte retrospectiva e unicêntrica foi realizada em 56 pacientes consecutivos com TF submetidos a IVP. O estudo incluiu pacientes de ambos os gêneros, com idade ≥ 12 anos e compreendeu avaliação de dados clínicos e cirúrgicos, ressonância magnética cardiovascular pré e pós-operatória e dados ecocardiográficos obtidos mais de 1 ano após IVP. Resultados Após o IVP, houve uma diminuição significativa do volume sistólico final do VD indexado pela área de superfície corpórea (ASC), de 89 mL/ASC para 69 mL/ASC (p < 0,001) e do volume diastólico final indexado do VD, de 157 mL/ASC para 116 mL/ASC (p < 0,001). Além disso, houve aumento da fração de ejeção corrigida do VD [ FEVDc = fluxo pulmonar ajustado (fluxo pulmonar anterógrado − fluxo regurgitante) / volume diastólico final do VD ] de 23% para 35% (p < 0,001) e da fração de ejeção do ventrículo esquerdo de 58% para 60% (p = 0,008). No entanto, foi observado um aumento progressivo no gradiente de pico da válvula pulmonar ao longo do tempo, com 25% dos pacientes apresentando um gradiente superior a 60 mmHg. Próteses menores (tamanhos 19 a 23) foram associadas a um risco 4,3 vezes maior de gradiente > 60 mmHg em comparação com próteses maiores (tamanhos 25 a 27; p = 0,029; intervalo de confiança: 1,18 a 17,8). Conclusão Conforme esperado, o IVP demonstrou melhorias nos volumes e na função do VD. O acompanhamento e a vigilância a longo prazo são cruciais para avaliar a durabilidade da prótese e detectar potenciais complicações. O dimensionamento adequado das próteses é essencial para melhorar a longevidade da prótese. TF. . (TF) (IVP (VD 5 gêneros cirúrgicos pósoperatória pós operatória ASC, ASC , (ASC) 8 mLASC mL 6 0,001 0001 0 001 15 11 0,001. disso regurgitante 23 35 58 0,008. 0008 0,008 008 0,008) entanto tempo tamanhos 43 4 3 4, 2 27 0,029 0029 029 confiança 118 18 1,1 17,8. 178 17,8 17 17,8) esperado complicações (TF (ASC 0,00 000 00 0,02 002 02 1, 17, 0,0 0,
Abstract Background Pulmonary valve regurgitation is a significant long-term complication in patients with tetralogy of Fallot (TOF). Objective This study aims to investigate the effects of pulmonary valve implantation (PVI) on the anatomy and function of the right ventricle (RV) and the long-term evolution of the implanted prosthesis in the pulmonary position. Methods A single-center retrospective cohort analysis was performed in 56 consecutive patients with TOF who underwent PVI. The study included patients of both sexes, aged ≥ 12 years, and involved assessing clinical and surgical data, pre- and post-operative cardiovascular magnetic resonance imaging, and echocardiogram data more than 1 year after PVI. Results After PVI, there was a significant decrease in RV end-systolic volume indexed by body surface area (BSA), from 89 mL/BSA to 69 mL/BSA (p < 0.001) and indexed RV end-diastolic volume, from 157 mL/BSA to 116 mL/BSA (p < 0.001). Moreover, there was an increase in corrected RV ejection fraction [ RVEFC = net pulmonary flow (pulmonary forward flow − regurgitant flow) / R V end-diastolic volume] from 23% to 35% (p < 0.001) and left ventricular ejection fraction from 58% to 60% (p = 0.008). However, a progressive increase in the peak pulmonary valve gradient was observed over time, with 25% of patients experiencing a gradient exceeding 60 mmHg. Smaller prostheses (sizes 19 to 23) were associated with a 4.3-fold higher risk of a gradient > 60 mmHg compared to larger prostheses (sizes 25 to 27; p = 0.029; confidence interval: 1.18 to 17.8). Conclusion As expected, PVI demonstrated improvements in RV volumes and function. Long-term follow-up and surveillance are crucial for assessing the durability of the prosthesis and detecting potential complications. Proper sizing of prostheses is essential for improved prosthesis longevity. longterm long term TOF. . (TOF) (PVI (RV position singlecenter single center 5 sexes years pre postoperative post operative imaging endsystolic end systolic BSA, BSA , (BSA) 8 mLBSA mL 6 0.001 0001 0 001 enddiastolic diastolic 15 11 0.001. Moreover 23 35 58 0.008. 0008 0.008 008 0.008) However time sizes 4.3fold 43fold fold 4.3 4 3 2 27 0.029 0029 029 interval 118 18 1.1 17.8. 178 17.8 17 17.8) expected Longterm Long followup follow up complications longevity (TOF (BSA 0.00 000 00 3fold 43 4. 0.02 002 02 1. 17. 0.0 0.
6.
Catálogo Taxonômico da Fauna do Brasil: Setting the baseline knowledge on the animal diversity in Brazil Brasil
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Boeger, Walter A.
; Valim, Michel P.
; Zaher, Hussam
; Rafael, José A.
; Forzza, Rafaela C.
; Percequillo, Alexandre R.
; Serejo, Cristiana S.
; Garraffoni, André R.S.
; Santos, Adalberto J.
; Slipinski, Adam
; Linzmeier, Adelita M.
; Calor, Adolfo R.
; Garda, Adrian A.
; Kury, Adriano B.
; Fernandes, Agatha C.S.
; Agudo-Padrón, Aisur I.
; Akama, Alberto
; Silva Neto, Alberto M. da
; Burbano, Alejandro L.
; Menezes, Aleksandra
; Pereira-Colavite, Alessandre
; Anichtchenko, Alexander
; Lees, Alexander C.
; Bezerra, Alexandra M.R.
; Domahovski, Alexandre C.
; Pimenta, Alexandre D.
; Aleixo, Alexandre L.P.
; Marceniuk, Alexandre P.
; Paula, Alexandre S. de
; Somavilla, Alexandre
; Specht, Alexandre
; Camargo, Alexssandro
; Newton, Alfred F.
; Silva, Aline A.S. da
; Santos, Aline B. dos
; Tassi, Aline D.
; Aragão, Allan C.
; Santos, Allan P.M.
; Migotto, Alvaro E.
; Mendes, Amanda C.
; Cunha, Amanda
; Chagas Júnior, Amazonas
; Sousa, Ana A.T. de
; Pavan, Ana C.
; Almeida, Ana C.S.
; Peronti, Ana L.B.G.
; Henriques-Oliveira, Ana L.
; Prudente, Ana L.
; Tourinho, Ana L.
; Pes, Ana M.O.
; Carmignotto, Ana P.
; Wengrat, Ana P.G. da Silva
; Dornellas, Ana P.S.
; Molin, Anamaria Dal
; Puker, Anderson
; Morandini, André C.
; Ferreira, André da S.
; Martins, André L.
; Esteves, André M.
; Fernandes, André S.
; Roza, André S.
; Köhler, Andreas
; Paladini, Andressa
; Andrade, Andrey J. de
; Pinto, Ângelo P.
; Salles, Anna C. de A.
; Gondim, Anne I.
; Amaral, Antonia C.Z.
; Rondón, Antonio A.A.
; Brescovit, Antonio
; Lofego, Antônio C.
; Marques, Antonio C.
; Macedo, Antonio
; Andriolo, Artur
; Henriques, Augusto L.
; Ferreira Júnior, Augusto L.
; Lima, Aurino F. de
; Barros, Ávyla R. de A.
; Brito, Ayrton do R.
; Romera, Bárbara L.V.
; Vasconcelos, Beatriz M.C. de
; Frable, Benjamin W.
; Santos, Bernardo F.
; Ferraz, Bernardo R.
; Rosa, Brunno B.
; Sampaio, Brunno H.L.
; Bellini, Bruno C.
; Clarkson, Bruno
; Oliveira, Bruno G. de
; Corrêa, Caio C.D.
; Martins, Caleb C.
; Castro-Guedes, Camila F. de
; Souto, Camilla
; Bicho, Carla de L.
; Cunha, Carlo M.
; Barboza, Carlos A. de M.
; Lucena, Carlos A.S. de
; Barreto, Carlos
; Santana, Carlos D.C.M. de
; Agne, Carlos E.Q.
; Mielke, Carlos G.C.
; Caetano, Carlos H.S.
; Flechtmann, Carlos H.W.
; Lamas, Carlos J.E.
; Rocha, Carlos
; Mascarenhas, Carolina S.
; Margaría, Cecilia B.
; Waichert, Cecilia
; Digiani, Celina
; Haddad, Célio F.B.
; Azevedo, Celso O.
; Benetti, Cesar J.
; Santos, Charles M.D. dos
; Bartlett, Charles R.
; Bonvicino, Cibele
; Ribeiro-Costa, Cibele S.
; Santos, Cinthya S.G.
; Justino, Cíntia E.L.
; Canedo, Clarissa
; Bonecker, Claudia C.
; Santos, Cláudia P.
; Carvalho, Claudio J.B. de
; Gonçalves, Clayton C.
; Galvão, Cleber
; Costa, Cleide
; Oliveira, Cléo D.C. de
; Schwertner, Cristiano F.
; Andrade, Cristiano L.
; Pereira, Cristiano M.
; Sampaio, Cristiano
; Dias, Cristina de O.
; Lucena, Daercio A. de A.
; Manfio, Daiara
; Amorim, Dalton de S.
; Queiroz, Dalva L. de
; Queiroz, Dalva L. de
; Colpani, Daniara
; Abbate, Daniel
; Aquino, Daniel A.
; Burckhardt, Daniel
; Cavallari, Daniel C.
; Prado, Daniel de C. Schelesky
; Praciano, Daniel L.
; Basílio, Daniel S.
; Bená, Daniela de C.
; Toledo, Daniela G.P. de
; Takiya, Daniela M.
; Fernandes, Daniell R.R.
; Ament, Danilo C.
; Cordeiro, Danilo P.
; Silva, Darliane E.
; Pollock, Darren A.
; Muniz, David B.
; Gibson, David I.
; Nogueira, David S.
; Marques, Dayse W.A.
; Lucatelli, Débora
; Garcia, Deivys M.A.
; Baêta, Délio
; Ferreira, Denise N.M.
; Rueda-Ramírez, Diana
; Fachin, Diego A.
; Souza, Diego de S.
; Rodrigues, Diego F.
; Pádua, Diego G. de
; Barbosa, Diego N.
; Dolibaina, Diego R.
; Amaral, Diogo C.
; Chandler, Donald S.
; Maccagnan, Douglas H.B.
; Caron, Edilson
; Carvalho, Edrielly
; Adriano, Edson A.
; Abreu Júnior, Edson F. de
; Pereira, Edson H.L.
; Viegas, Eduarda F.G.
; Carneiro, Eduardo
; Colley, Eduardo
; Eizirik, Eduardo
; Santos, Eduardo F. dos
; Shimbori, Eduardo M.
; Suárez-Morales, Eduardo
; Arruda, Eliane P. de
; Chiquito, Elisandra A.
; Lima, Élison F.B.
; Castro, Elizeu B. de
; Orlandin, Elton
; Nascimento, Elynton A. do
; Razzolini, Emanuel
; Gama, Emanuel R.R.
; Araujo, Enilma M. de
; Nishiyama, Eric Y.
; Spiessberger, Erich L.
; Santos, Érika C.L. dos
; Contreras, Eugenia F.
; Galati, Eunice A.B.
; Oliveira Junior, Evaldo C. de
; Gallardo, Fabiana
; Hernandes, Fabio A.
; Lansac-Tôha, Fábio A.
; Pitombo, Fabio B.
; Dario, Fabio Di
; Santos, Fábio L. dos
; Mauro, Fabio
; Nascimento, Fabio O. do
; Olmos, Fabio
; Amaral, Fabio R.
; Schunck, Fabio
; Godoi, Fábio S. P. de
; Machado, Fabrizio M.
; Barbo, Fausto E.
; Agrain, Federico A.
; Ribeiro, Felipe B.
; Moreira, Felipe F.F.
; Barbosa, Felipe F.
; Silva, Fenanda S.
; Cavalcanti, Fernanda F.
; Straube, Fernando C.
; Carbayo, Fernando
; Carvalho Filho, Fernando
; Zanella, Fernando C.V.
; Jacinavicius, Fernando de C.
; Farache, Fernando H.A.
; Leivas, Fernando
; Dias, Fernando M.S.
; Mantellato, Fernando
; Vaz-de-Mello, Fernando Z.
; Gudin, Filipe M.
; Albuquerque, Flávio
; Molina, Flavio B.
; Passos, Flávio D.
; Shockley, Floyd W.
; Pinheiro, Francielly F.
; Mello, Francisco de A.G. de
; Nascimento, Francisco E. de L.
; Franco, Francisco L.
; Oliveira, Francisco L. de
; Melo, Francisco T. de V.
; Quijano, Freddy R.B.
; Salles, Frederico F.
; Biffi, Gabriel
; Queiroz, Gabriel C.
; Bizarro, Gabriel L.
; Hrycyna, Gabriela
; Leviski, Gabriela
; Powell, Gareth S.
; Santos, Geane B. dos
; Morse, Geoffrey E.
; Brown, George
; Mattox, George M.T.
; Zimbrão, Geraldo
; Carvalho, Gervásio S.
; Miranda, Gil F.G.
; Moraes, Gilberto J. de
; Lourido, Gilcélia M.
; Neves, Gilmar P.
; Moreira, Gilson R.P.
; Montingelli, Giovanna G.
; Maurício, Giovanni N.
; Marconato, Gláucia
; Lopez, Guilherme E.L.
; Silva, Guilherme L. da
; Muricy, Guilherme
; Brito, Guilherme R.R.
; Garbino, Guilherme S.T.
; Flores, Gustavo E.
; Graciolli, Gustavo
; Libardi, Gustavo S.
; Proctor, Heather C.
; Gil-Santana, Helcio R.
; Varella, Henrique R.
; Escalona, Hermes E.
; Schmitz, Hermes J.
; Rodrigues, Higor D.D.
; Galvão Filho, Hilton de C.
; Quintino, Hingrid Y.S.
; Pinto, Hudson A.
; Rainho, Hugo L.
; Miyahira, Igor C.
; Gonçalves, Igor de S.
; Martins, Inês X.
; Cardoso, Irene A.
; Oliveira, Ismael B. de
; Franz, Ismael
; Fernandes, Itanna O.
; Golfetti, Ivan F.
; S. Campos-Filho, Ivanklin
; Oliveira, Ivo de S.
; Delabie, Jacques H.C.
; Oliveira, Jader de
; Prando, Jadila S.
; Patton, James L.
; Bitencourt, Jamille de A.
; Silva, Janaina M.
; Santos, Jandir C.
; Arruda, Janine O.
; Valderrama, Jefferson S.
; Dalapicolla, Jeronymo
; Oliveira, Jéssica P.
; Hájek, Jiri
; Morselli, João P.
; Narita, João P.
; Martin, João P.I.
; Grazia, Jocélia
; McHugh, Joe
; Cherem, Jorge J.
; Farias Júnior, José A.S.
; Fernandes, Jose A.M.
; Pacheco, José F.
; Birindelli, José L.O.
; Rezende, José M.
; Avendaño, Jose M.
; Duarte, José M. Barbanti
; Ribeiro, José R. Inácio
; Mermudes, José R.M.
; Pujol-Luz, José R.
; Santos, Josenilson R. dos
; Câmara, Josenir T.
; Teixeira, Joyce A.
; Prado, Joyce R. do
; Botero, Juan P.
; Almeida, Julia C.
; Kohler, Julia
; Gonçalves, Julia P.
; Beneti, Julia S.
; Donahue, Julian P.
; Alvim, Juliana
; Almeida, Juliana C.
; Segadilha, Juliana L.
; Wingert, Juliana M.
; Barbosa, Julianna F.
; Ferrer, Juliano
; Santos, Juliano F. dos
; Kuabara, Kamila M.D.
; Nascimento, Karine B.
; Schoeninger, Karine
; Campião, Karla M.
; Soares, Karla
; Zilch, Kássia
; Barão, Kim R.
; Teixeira, Larissa
; Sousa, Laura D. do N.M. de
; Dumas, Leandro L.
; Vieira, Leandro M.
; Azevedo, Leonardo H.G.
; Carvalho, Leonardo S.
; Souza, Leonardo S. de
; Rocha, Leonardo S.G.
; Bernardi, Leopoldo F.O.
; Vieira, Letícia M.
; Johann, Liana
; Salvatierra, Lidianne
; Oliveira, Livia de M.
; Loureiro, Lourdes M.A. El-moor
; Barreto, Luana B.
; Barros, Luana M.
; Lecci, Lucas
; Camargos, Lucas M. de
; Lima, Lucas R.C.
; Almeida, Lucia M.
; Martins, Luciana R.
; Marinoni, Luciane
; Moura, Luciano de A.
; Lima, Luciano
; Naka, Luciano N.
; Miranda, Lucília S.
; Salik, Lucy M.
; Bezerra, Luis E.A.
; Silveira, Luis F.
; Campos, Luiz A.
; Castro, Luiz A.S. de
; Pinho, Luiz C.
; Silveira, Luiz F.L.
; Iniesta, Luiz F.M.
; Tencatt, Luiz F.C.
; Simone, Luiz R.L.
; Malabarba, Luiz R.
; Cruz, Luiza S. da
; Sekerka, Lukas
; Barros, Lurdiana D.
; Santos, Luziany Q.
; Skoracki, Maciej
; Correia, Maira A.
; Uchoa, Manoel A.
; Andrade, Manuella F.G.
; Hermes, Marcel G.
; Miranda, Marcel S.
; Araújo, Marcel S. de
; Monné, Marcela L.
; Labruna, Marcelo B.
; Santis, Marcelo D. de
; Duarte, Marcelo
; Knoff, Marcelo
; Nogueira, Marcelo
; Britto, Marcelo R. de
; Melo, Marcelo R.S. de
; Carvalho, Marcelo R. de
; Tavares, Marcelo T.
; Kitahara, Marcelo V.
; Justo, Marcia C.N.
; Botelho, Marcia J.C.
; Couri, Márcia S.
; Borges-Martins, Márcio
; Felix, Márcio
; Oliveira, Marcio L. de
; Bologna, Marco A.
; Gottschalk, Marco S.
; Tavares, Marcos D.S.
; Lhano, Marcos G.
; Bevilaqua, Marcus
; Santos, Marcus T.T.
; Domingues, Marcus V.
; Sallum, Maria A.M.
; Digiani, María C.
; Santarém, Maria C.A.
; Nascimento, Maria C. do
; Becerril, María de los A.M.
; Santos, Maria E.A. dos
; Passos, Maria I. da S. dos
; Felippe-Bauer, Maria L.
; Cherman, Mariana A.
; Terossi, Mariana
; Bartz, Marie L.C.
; Barbosa, Marina F. de C.
; Loeb, Marina V.
; Cohn-Haft, Mario
; Cupello, Mario
; Martins, Marlúcia B.
; Christofersen, Martin L.
; Bento, Matheus
; Rocha, Matheus dos S.
; Martins, Maurício L.
; Segura, Melissa O.
; Cardenas, Melissa Q.
; Duarte, Mércia E.
; Ivie, Michael A.
; Mincarone, Michael M.
; Borges, Michela
; Monné, Miguel A.
; Casagrande, Mirna M.
; Fernandez, Monica A.
; Piovesan, Mônica
; Menezes, Naércio A.
; Benaim, Natalia P.
; Reategui, Natália S.
; Pedro, Natan C.
; Pecly, Nathalia H.
; Ferreira Júnior, Nelson
; Silva Júnior, Nelson J. da
; Perioto, Nelson W.
; Hamada, Neusa
; Degallier, Nicolas
; Chao, Ning L.
; Ferla, Noeli J.
; Mielke, Olaf H.H.
; Evangelista, Olivia
; Shibatta, Oscar A.
; Oliveira, Otto M.P.
; Albornoz, Pablo C.L.
; Dellapé, Pablo M.
; Gonçalves, Pablo R.
; Shimabukuro, Paloma H.F.
; Grossi, Paschoal
; Rodrigues, Patrícia E. da S.
; Lima, Patricia O.V.
; Velazco, Paul
; Santos, Paula B. dos
; Araújo, Paula B.
; Silva, Paula K.R.
; Riccardi, Paula R.
; Garcia, Paulo C. de A.
; Passos, Paulo G.H.
; Corgosinho, Paulo H.C.
; Lucinda, Paulo
; Costa, Paulo M.S.
; Alves, Paulo P.
; Roth, Paulo R. de O.
; Coelho, Paulo R.S.
; Duarte, Paulo R.M.
; Carvalho, Pedro F. de
; Gnaspini, Pedro
; Souza-Dias, Pedro G.B.
; Linardi, Pedro M.
; Bartholomay, Pedro R.
; Demite, Peterson R.
; Bulirsch, Petr
; Boll, Piter K.
; Pereira, Rachel M.M.
; Silva, Rafael A.P.F.
; Moura, Rafael B. de
; Boldrini, Rafael
; Silva, Rafaela A. da
; Falaschi, Rafaela L.
; Cordeiro, Ralf T.S.
; Mello, Ramon J.C.L.
; Singer, Randal A.
; Querino, Ranyse B.
; Heleodoro, Raphael A.
; Castilho, Raphael de C.
; Constantino, Reginaldo
; Guedes, Reinaldo C.
; Carrenho, Renan
; Gomes, Renata S.
; Gregorin, Renato
; Machado, Renato J.P.
; Bérnils, Renato S.
; Capellari, Renato S.
; Silva, Ricardo B.
; Kawada, Ricardo
; Dias, Ricardo M.
; Siewert, Ricardo
; Brugnera, Ricaro
; Leschen, Richard A.B.
; Constantin, Robert
; Robbins, Robert
; Pinto, Roberta R.
; Reis, Roberto E. dos
; Ramos, Robson T. da C.
; Cavichioli, Rodney R.
; Barros, Rodolfo C. de
; Caires, Rodrigo A.
; Salvador, Rodrigo B.
; Marques, Rodrigo C.
; Araújo, Rodrigo C.
; Araujo, Rodrigo de O.
; Dios, Rodrigo de V.P.
; Johnsson, Rodrigo
; Feitosa, Rodrigo M.
; Hutchings, Roger W.
; Lara, Rogéria I.R.
; Rossi, Rogério V.
; Gerstmeier, Roland
; Ochoa, Ronald
; Hutchings, Rosa S.G.
; Ale-Rocha, Rosaly
; Rocha, Rosana M. da
; Tidon, Rosana
; Brito, Rosangela
; Pellens, Roseli
; Santos, Sabrina R. dos
; Santos, Sandra D. dos
; Paiva, Sandra V.
; Santos, Sandro
; Oliveira, Sarah S. de
; Costa, Sávio C.
; Gardner, Scott L.
; Leal, Sebastián A. Muñoz
; Aloquio, Sergio
; Bonecker, Sergio L.C.
; Bueno, Sergio L. de S.
; Almeida, Sérgio M. de
; Stampar, Sérgio N.
; Andena, Sérgio R.
; Posso, Sergio R.
; Lima, Sheila P.
; Gadelha, Sian de S.
; Thiengo, Silvana C.
; Cohen, Simone C.
; Brandão, Simone N.
; Rosa, Simone P.
; Ribeiro, Síria L.B.
; Letana, Sócrates D.
; Santos, Sonia B. dos
; Andrade, Sonia C.S.
; Dávila, Stephane
; Vaz, Stéphanie
; Peck, Stewart B.
; Christo, Susete W.
; Cunha, Suzan B.Z.
; Gomes, Suzete R.
; Duarte, Tácio
; Madeira-Ott, Taís
; Marques, Taísa
; Roell, Talita
; Lima, Tarcilla C. de
; Sepulveda, Tatiana A.
; Maria, Tatiana F.
; Ruschel, Tatiana P.
; Rodrigues, Thaiana
; Marinho, Thais A.
; Almeida, Thaís M. de
; Miranda, Thaís P.
; Freitas, Thales R.O.
; Pereira, Thalles P.L.
; Zacca, Thamara
; Pacheco, Thaynara L.
; Martins, Thiago F.
; Alvarenga, Thiago M.
; Carvalho, Thiago R. de
; Polizei, Thiago T.S.
; McElrath, Thomas C.
; Henry, Thomas
; Pikart, Tiago G.
; Porto, Tiago J.
; Krolow, Tiago K.
; Carvalho, Tiago P.
; Lotufo, Tito M. da C.
; Caramaschi, Ulisses
; Pinheiro, Ulisses dos S.
; Pardiñas, Ulyses F.J.
; Maia, Valéria C.
; Tavares, Valeria
; Costa, Valmir A.
; Amaral, Vanessa S. do
; Silva, Vera C.
; Wolff, Vera R. dos S.
; Slobodian, Verônica
; Silva, Vinícius B. da
; Espíndola, Vinicius C.
; Costa-Silva, Vinicius da
; Bertaco, Vinicius de A.
; Padula, Vinícius
; Ferreira, Vinicius S.
; Silva, Vitor C.P. da
; Piacentini, Vítor de Q.
; Sandoval-Gómez, Vivian E.
; Trevine, Vivian
; Sousa, Viviane R.
; Sant’Anna, Vivianne B. de
; Mathis, Wayne N.
; Souza, Wesley de O.
; Colombo, Wesley D.
; Tomaszewska, Wioletta
; Wosiacki, Wolmar B.
; Ovando, Ximena M.C.
; Leite, Yuri L.R.
.
ABSTRACT The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others. publications problem uptodate up date classifications context exception (CTFB http//fauna.jbrj.gov.br/, httpfaunajbrjgovbr http //fauna.jbrj.gov.br/ , jbrj gov br (http://fauna.jbrj.gov.br/) 2015 Brazil 80 specialists 1 2024 133691 133 691 133,69 125138 125 138 125,13 82.3%, 823 82 3 (82.3% 102000 102 000 102,00 7.69%, 769 7 69 (7.69% 11000 11 11,00 . 3,567 3567 567 (3,56 2,292 2292 2 292 (2,29 1,833 1833 833 (1,83 1,447 1447 447 (1,44 1000 1,00 831 (83 628 (62 606 (60 520 (52 50 users science health biology law anthropology education others http//fauna.jbrj.gov.br/ faunajbrjgovbr //fauna.jbrj.gov.br (http://fauna.jbrj.gov.br/ 201 8 202 13369 13 133,6 12513 12 125,1 82.3% (82.3 10200 10 00 102,0 7.69% 76 6 (7.69 1100 11,0 3,56 356 56 (3,5 2,29 229 29 (2,2 1,83 183 83 (1,8 1,44 144 44 (1,4 100 1,0 (8 62 (6 60 52 (5 5 http//fauna.jbrj.gov.br (http://fauna.jbrj.gov.br 20 1336 133, 1251 125, 82.3 (82. 1020 0 102, 7.69 (7.6 110 11, 3,5 35 (3, 2,2 22 (2, 1,8 18 (1, 1,4 14 4 ( 82. (82 7.6 (7. 3, (3 2, (2 (1 7. (7
7.
Perceptions of childhood immunization in São Paulo: quantitative-qualitative cross-sectional study Paulo quantitativequalitative quantitative qualitative crosssectional cross sectional
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Costa, Lucas de Brito
; França, Carolina Nunes
; Nali, Luiz Henrique da Silva
; Colombo-Souza, Patrícia
; Novo, Neil Ferreira
; Juliano, Yára
.
ABSTRACT BACKGROUND: Vaccination hesitation spans from historical diseases such as smallpox to the current challenges with the coronavirus disease (COVID-19). In Brazil, vaccination faces obstacles related to trust and convenience. Despite the National Immunization Program, fear of adverse effects as well as misinformation challenge confidence in vaccines, and anti-vaccine movements have gained momentum. OBJECTIVES: This study investigated childhood vaccine refusal, including COVID-19 vaccines, by comparing the reasons for and sociodemographic differences between vaccinated individuals and those who hesitated or refused immunization. DESIGN AND SETTING: A cross-sectional study was conducted in São Paulo, Brazil, using questionnaires administered during pediatric consultations between January and April 2023. METHODS: This study investigated vaccine hesitancy and the attitudes of parents and caregivers of children (0–12 years) towards vaccines. The questionnaire was administered during routine pediatric consultations at three different locations, each with 50 participants for a total of 150 participants, to avoid selection bias. RESULTS: Marked differences were evident among caregivers in terms of sex, race, income, education, and religion, which influenced their attitudes toward vaccination. There was an increase in the refusal of seasonal vaccinations and a significant distrust of the efficacy of the COVID-19 vaccine (52%), with concerns about its side effects. Although most patients did not stop vaccination, significant delays occurred, especially in the clinical setting (58%). CONCLUSIONS: This study emphasizes the importance of childhood health decisions, indicating the need to build trust in vaccines, tailor health policies, and investigate the causes of distrust to promote childhood immunizations. BACKGROUND COVID19. COVID19 COVID 19 . (COVID-19) Brazil convenience Program vaccines antivaccine anti momentum OBJECTIVES COVID-1 immunization SETTING crosssectional cross sectional Paulo 2023 METHODS 0–12 012 0 12 (0–1 years locations 5 15 bias RESULTS sex race income education religion 52%, 52 52% , (52%) occurred 58%. 58 58% (58%) CONCLUSIONS decisions policies immunizations COVID1 1 (COVID-19 COVID- 202 0–1 01 (0– (52% (58% (COVID-1 20 0– (0 (52 (58 (COVID- 2 ( (5 (COVID
8.
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
.
9.
PSMA PET/CT in the Brazilian Unified Healthcare System reduces costs with futile salvage therapies in the management of cases of biochemical recurrence of prostate cancer PETCT PET CT
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Bogoni, Mateos
; Cerci, Juliano Julio
; Trindade, Evelinda Marramon
; Fernandes da Silva, Miguel Morita
; Silveira, Marina Bicalho
; Pereira, Jônatas Luiz
; Luz, Murilo de Almeida
; Teixeira, Bernardo Corrêa de Almeida
.
Resumo Objetivo: Comparar custos entre estratégias antes e após o exame de PET/CT-PSMA da perspectiva do Sistema Único de Saúde e seu impacto no manejo terapêutico para pacientes com recidiva bioquímica de câncer de próstata. Materiais e Métodos: Os médicos solicitantes informaram a intenção terapêutica em dois momentos: antes e após o exame. Os resultados de comparação de custo estão apresentados como medianas de custo (p25; p75). A mudança na intenção terapêutica também foi analisada. Resultados: O estudo envolveu 59 pacientes (idade média: 65,9 anos). A PET/CT-PSMA foi considerada positiva em 38 dos 59 pacientes (64.4%). O exame impactou a estratégia de tratamento para 36 pacientes (61%). Antes da obtenção das informações da PET/CT-PSMA, a terapia de resgate (i.e., com intenção curativa) era o tratamento sugerido para a maioria dos pacientes, e após o exame, reduziu significativamente (76,3% vs 45,8%; p < 0,001). Em contrapartida, a terapia sistêmica (i.e., paliativa) aumentou como intenção de tratamento após o exame (23,7% vs 54,2%; p < 0,001). A estratégia “após PET/CT-PSMA” apresentou maiores custos em relação à estratégia “antes da PET/CT-PSMA” nos cenários comparados. Cerca de metade da diferença de custos entre as duas estratégias foi relacionada aos custos do exame propriamente ditos, enquanto a outra metade foi relacionada às novas escolhas de tratamento a partir do exame. Conclusão: Oferecer a PET/CT-PSMA no Sistema Único de Saúde apresentou maiores custos em relação à estratégia com métodos de imagem convencionais e impactou o manejo terapêutico, pelo favorecimento de tratamentos sistêmicos paliativos no lugar de tratamentos curativos fúteis. A quantidade de recursos que poderiam ser poupados ao evitar tratamentos fúteis seria suficiente para avaliar aproximadamente dois pacientes com exames de PET/CT-PSMA para cada estratégia de tratamento fútil evitada. Objetivo PET/CTPSMA PETCTPSMA PET/CT PSMA PET CT próstata Métodos momentos p25 (p25 p75. p75 . p75) analisada Resultados 5 idade média 659 65 9 65, anos. anos anos) 3 64.4%. 644 64.4% 64 4 (64.4%) 61%. 61 61% (61%) PET/CTPSMA, PSMA, i.e., ie i (i.e. curativa 76,3% 763 76 (76,3 45,8% 458 45 8 0,001. 0001 0,001 0 001 0,001) contrapartida paliativa 23,7% 237 23 7 (23,7 54,2% 542 54 2 comparados ditos Conclusão evitada CTPSMA PETCT p2 (p2 p7 6 64.4 (64.4% (61% i.e. (i.e 76,3 (76, 45,8 000 0,00 00 23,7 (23, 54,2 (p 64. (64.4 (61 i.e 76, (76 45, 0,0 23, (23 54, (64. (6 (7 0, (2 (64 (
Abstract Objective: To compare costs between treatment strategies employed prior to and after prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA PET/CT) via the Brazilian Unified Health Care System and their impact on the therapeutic management of biochemical recurrence of prostate cancer. Materials and Methods: The referring physicians were surveyed on their treatment intentions (strategies) at two different time points: prior to and after PSMA PET/CT. Cost comparison results are presented as median (IQR) for each of the two strategies. The shift in therapeutic management after PSMA PET/CT was also analyzed. Results: The study sample included 59 patients (mean age: 65.9 years). The PSMA PET/CT result was considered positive in 38 patients (64.4%) and was found to have an impact on the treatment strategy in for 36 patients (61.0%). Prior to PSMA PET/CT, salvage therapy (i.e., treatment with curative intent) was the intended treatment for most patients, and that was significantly less so after the examination (76.3% vs. 45.8%; p < 0.001). Conversely, a strategy involving systemic (i.e., palliative) therapy became more common after PSMA PET/CT (23.7% vs. 54.2%; p < 0.001). The after-PSMA PET/CT strategy presented higher overall costs than did the before-PSMA PET/CT strategy, in all scenarios evaluated. In all scenarios, nearly half of this cost difference was related to the cost of the PSMA PET/CT itself, the remainder being related to the new treatment choices that stemmed from knowledge of the PSMA PET/CT findings. Conclusion: For patients treated within the Brazilian Unified Health Care System, PSMA PET/CT presented higher costs in comparison with conventional imaging methods. Adding PSMA PET/CT to the workflow had an impact on therapeutic management, mainly representing a shift from futile curative treatments to systemic palliative ones. The amount of funds that could potentially be saved by not providing such futile treatments would suffice to evaluate roughly two patients with PSMA PET/CT scans for each futile treatment strategy avoided. Objective prostatespecific specific tomographycomputed computed PETCT PET CT cancer Methods (strategies points IQR (IQR analyzed Results 5 mean age 659 65 9 65. years. years . years) 3 64.4% 644 64 4 (64.4% 61.0%. 610 61.0% 61 0 (61.0%) i.e., ie i e (i.e. intent 76.3% 763 76 (76.3 vs 45.8% 458 45 8 0.001. 0001 0.001 001 0.001) Conversely 23.7% 237 23 7 (23.7 54.2% 542 54 2 afterPSMA beforePSMA before evaluated itself findings Conclusion methods ones avoided 6 64.4 (64.4 61.0 (61.0% i.e. (i.e 76.3 (76. 45.8 000 0.00 00 23.7 (23. 54.2 64. (64. 61. (61.0 i.e 76. (76 45. 0.0 23. (23 54. (64 (61. (7 0. (2 (6 (61 (
10.
Nicodemo's method on dental development: a cross-sectional study with 3,271 children and adolescents Nicodemos Nicodemo s development crosssectional cross sectional 3271 3 271 3,27 327 27 3,2 32 2 3,
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Valente, Raquel Porto Alegre
; Lima, Lorenna Keren Gomes
; Bueno, Juliano Martins
; Oliveira, Millena Barroso
; Franco, Ademir
; Paranhos, Luiz Renato
.
Abstract Civil and criminal forensics utilize dental development to estimate age. The method of Nicodemo, Moraes, and Médici Filho (NMM) is a popular dental age estimation tool in South America; however, it lacks a scientific basis for applications in contemporary forensic practice. This research included the largest sample ever collected in Brazil for a similar purpose. The sample consisted of 3,271 panoramic radiographs of female (n = 1,634) and male (n = 1,637) individuals between six and 22.9 years old (mean 14.6 ± 4.9 years). The applied NMM method considered all maxillary and mandibular left permanent teeth (n = 16). The fit between the chronological age and estimated age intervals was assessed, and a correlation test with Lin's correlation coefficient was performed. The overall percentage of fit was 22.5%, without statistically significant differences based on sex (p > 0.05). The percentage of fit was greater in younger individuals, such as those aged 6–6.99 years (90%), and progressively decreased in older individuals, such as those aged 11–11.9 years (18.2%). After 12 years of age, the method could not provide correct classifications up to 25 years of age. Lin's correlation coefficient was predominantly low (ρ = 0.175; 0.367). NMM is considerably limited, and current forensic practice should not apply it to estimate dental age. Nicodemo Moraes (NMM America however purpose 3271 3 271 3,27 n 1,634 1634 1 634 1,637 1637 637 229 22 9 22. mean 146 14 6 14. 49 4 4. years. . years) 16. 16 16) assessed Lins Lin s performed 225 5 22.5% p 0.05. 005 0.05 0 05 0.05) 6699 99 6–6.9 90%, 90 90% , (90%) 11119 11 11–11. 18.2%. 182 18.2% 18 2 (18.2%) ρ 0.175 0175 175 0.367. 0367 0.367 367 0.367) limited 327 27 3,2 1,63 163 63 22.5 00 0.0 669 6–6. (90% 1111 11–11 18.2 (18.2% 0.17 017 17 036 0.36 36 32 3, 1,6 0. 66 6–6 (90 111 11–1 18. (18.2 0.1 01 03 0.3 1, 6– (9 11– (18. ( (18 (1
11.
Desafios do PRONAF Habitação na promoção da qualidade de vida de agricultores familiares no Sul do Brasil
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Fossá, Juliano Luiz
; Matte, Alessandra
; Vilwock, Ana Paula Schervinski
; Souza, Marcia de
; Renk, Arlene Anélia
.
Resumo Neste artigo é analisado o número de contratos e o montante acessado para essa linha de crédito no cenário nacional e sua efetividade no contexto empírico do município de Chapecó, no estado de Santa Catarina, Brasil. A pesquisa é do tipo exploratória, por meio de estudo de caso com abordagem qualitativa. Os dados foram coletados por meio de questionário semiestruturado, com a participação de dez agricultores familiares. Foi realizado análise de conteúdo a partir das informações obtidas. Os principais resultados demonstram que a majoritária concentração dos recursos da linha de financiamento está na região Sul do país. Entretanto, os limites, especialmente quanto ao valor do teto de contratação do crédito, além dos entraves burocráticos de contratação e a falta de assistência de profissionais da engenharia civil e arquitetura, dificultam o processo de acesso e consolidação do recurso. São necessários avanços nas ações do Estado no sentido de contemplar as carências ainda existentes no espaço rural quanto às condições de moradia.
Abstract This article analyzes the number of contracts and the amount accessed for this credit line in the national scenario and its effectiveness in the empirical context of the municipality of Chapecó, in the state of Santa Catarina, Brazil. The research is exploratory, through a case study with a qualitative approach. Data were collected through a semi-structured questionnaire, with the participation of ten family farmers. Content analysis was performed based on the information obtained. The main results show that the majority of the financing line resources are in the southern region of the country. However, the limits, especially regarding the value of the credit contracting ceiling, in addition to the bureaucratic obstacles to contracting and the lack of assistance from civil engineering and architecture professionals, make the process of accessing and consolidating the resource difficult. Advances are needed in State actions in order to address the needs that still exist in rural areas in terms of housing conditions.
12.
[SciELO Preprints] - Advance directives in the perspective of the elderly population : Advance directives
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Vanzella, Gustavo Scherer
Souza, Isadora Carolina Duarte de
Ferreira, Juliano Cezar
Beltrame, Vilma
Cetolin, Sirlei Favero
Bonamigo, Elcio Luiz
Objective: To analyze the knowledge and acceptance of the elderly person regarding the elaboration of the Advance Directives, their preference in relation to the filling models and the choice of the representative who will replace them in the decision-making process. Methodology: Cross-sectional study carried out by providing participants with two models of Advance Directives were made available to the participants for completion and applied a questionnaire on knowledge, acceptance, and evaluation of the device. Results: There were 85.63% of the participants who were unaware of the Advance Directives, 98.13% who were unaware of document models, 100% who considered model 1, more complete, to be good or acceptable, and 66.88% who indicated a son as its representative. When asked about the importance of preparing, making available to the population, and passing a law that regulates this right, the participants were assertive respectively by 91.88%, 91.25% and 91.25%. Conclusion: Although lack of knowledge was general among the participants, after clarification there was a high rate of evaluation and acceptance of the Advance Directives, as well as a recommendation for their legalization and availability to the population as a device that contributes to the guarantee of autonomy and human dignity, especially during the end-of-life health care.
Objetivo: Analisar o conhecimento e a aceitação da pessoa idosa acerca da elaboração das Diretivas Antecipadas de Vontade, a sua preferência em relação aos modelos de preenchimento e a escolha do representante que irá substitui-la na tomada de decisão. Metodologia: Estudo transversal realizado por meio da disponibilização aos participantes de dois modelos de Diretivas Antecipadas de Vontade para preenchimento e aplicação de um questionário sobre conhecimento, aceitação e avaliação do dispositivo. Resultados: A grande maioria dos participantes (85,63%) desconhecia as Diretivas Antecipadas de Vontade; 98,13% desconheciam os modelos do documento; 100% consideraram bom ou aceitável o modelo 1, mais completo; e 66,88% indicaram um filho como o seu representante legal. Quando questionados sobre a importância da elaboração, disponibilização à população e aprovação de lei que regulamente esse direito, as respostas foram afirmativas, respectivamente, para 91,88%, 91,25% e 91,25% dos participantes. Conclusão: Embora o desconhecimento fosse geral entre os participantes, após esclarecimento houve elevado índice de avaliação e aceitação das Diretivas Antecipadas de Vontade, bem como recomendação para sua legalização e disponibilização à população como um dispositivo que contribui para a garantia da autonomia e dignidade humana, sobretudo durante a assistência à saúde no final da vida.
13.
Vasopressin in vasoplegic shock in surgical patients: systematic review and meta-analysis patients metaanalysis meta analysis
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Szeles, Taís Felix
; Almeida, Juliano Pinheiro de
; Cruz, José Arnaldo Shiomi da
; Artifon, Everson Luiz Almeida
.
ABSTRACT Purpose: Vasoplegia, or vasoplegic shock, is a syndrome whose main characteristic is reducing blood pressure in the presence of a standard or high cardiac output. For the treatment, vasopressors are recommended, and the most used is norepinephrine. However, new drugs have been evaluated, and conflicting results exist in the literature. Methods: This is a systematic review of the literature with meta-analysis, written according to the recommendations of the PRISMA report. The SCOPUS, PubMed, and ScienceDirect databases were used to select the scientific articles included in the study. Searches were conducted in December 2022 using the terms “vasopressin,” “norepinephrine,” “vasoplegic shock,” “postoperative,” and “surgery.” Meta-analysis was performed using Review Manager (RevMan) 5.4. The endpoint associated with the study was efficiency in treating vasoplegic shock and reduced risk of death. Results: In total, 2,090 articles were retrieved; after applying the inclusion and exclusion criteria, ten studies were selected to compose the present review. We found no significant difference when assessing the outcome mortality comparing vasopressin versus norepinephrine (odds ratio = 1.60; confidence interval 0.47–5.50), nor when comparing studies on vasopressin versus placebo. When we analyzed the length of hospital stay compared to the use of vasopressin and norepinephrine, we identified a shorter length of hospital stay in cases that used vasopressin; however, the meta-analysis did not demonstrate statistical significance. Conclusions: Considering the outcomes included in our study, it is worth noting that most studies showed that using vasopressin was safe and can be considered in managing postoperative vasoplegic shock. Purpose Vasoplegia output treatment recommended However evaluated Methods metaanalysis, metaanalysis meta analysis, analysis report SCOPUS PubMed 202 vasopressin, “vasopressin, “norepinephrine, postoperative, “postoperative, surgery. surgery “surgery. Metaanalysis Meta RevMan (RevMan 54 5 4 5.4 death Results total 2090 2 090 2,09 retrieved criteria odds 1.60 160 1 60 0.47–5.50, 047550 0.47–5.50 , 0 47 50 0.47–5.50) placebo however significance Conclusions 20 “vasopressin “norepinephrine “postoperative “surgery 5. 209 09 2,0 1.6 16 6 04755 0.47–5.5 2, 1. 0475 0.47–5. 047 0.47–5 04 0.47– 0.47 0.4 0.
14.
ANALYSIS OF FATIGUE AMONG NURSE EDUCATORS IN BRAZILIAN PUBLIC UNIVERSITIES DURING THE COVID-19 PANDEMIC COVID19 COVID 19 COVID-1 COVID1 1 COVID-
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Gutierres-Ruivo, Évilin Diniz
; Rocha, Laurelize Pereira
; Barlem, Edison Luiz Devos
; Sena-Castanheira, Janaína
; Cecagno, Diana
; Juliano, Laís Farias
.
Objetivo: analizar la fatiga en enfermeros docentes de universidades públicas brasileñas durante el trabajo remoto e híbrido en la pandemia de Covid-19. Método: estudio de abordaje cuantitativo, del tipo transversal, realizado en 318 enfermeros docentes de universidades públicas federales y estatales brasileñas, entre los meses de julio y noviembre de 2021. Para evaluar la ocurrencia de fatiga; se utilizó la escala Three-Dimensional Work Fatigue Inventory (3D-WFI) adaptada y validada para el portugués. Se realizó la comparación de las medias, el análisis de variancia (ANOVA) con empleo del test de Bonferroni y el teste t. En el modelo, permanecieron las variables estadísticamente significativas (p< 0,05). Resultados: la media de edad de los participantes fue de 42 años (± 9,4). La mayoría era del sexo femenino 279 (87,7%), 225 (70,8%) tenían hijos y 313 (98,4%) refirieron realizar actividades domésticas, junto con el trabajo remoto. Además de las actividades en la graduación, 88 (27,7%) docentes también realizaron actividades en la postgraduación. Se observó asociación entre el modo de trabajo (totalmente online, híbrido o presencial) con las dimensiones: fatiga física (p= 0,041), fatiga mental (p= 0,001) y fatiga emocional (p= 0,019); y, cuidar de los hijos y ayudar con las actividades escolares durante el trabajo remoto con fatiga física (p=0,012), fatiga mental (p= 0,001) y fatiga emocional (p= 0,000). Conclusión: las diferencias significativas entre el modo de trabajo y las tres dimensiones de fatiga (física, mental y emocional) permitieron evidenciar que los enfermeros docentes de la muestra investigada identificaron agotamiento físico y mental durante y al final del día de trabajo. Objetivo Covid19. Covid19 Covid 19. 19 Covid-19 Método cuantitativo transversal 31 2021 ThreeDimensional Three Dimensional 3DWFI DWFI 3D WFI D (3D-WFI portugués medias ANOVA (ANOVA t modelo p< p (p 0,05. 005 0,05 . 0 05 0,05) Resultados 4 ± ( 9,4. 94 9,4 9 9,4) 27 87,7%, 877 87,7% , 87 7 (87,7%) 22 70,8% 708 70 8 (70,8% 98,4% 984 98 (98,4% domésticas graduación 27,7% 277 (27,7% postgraduación totalmente online presencial p= 0,041, 0041 0,041 041 0,041) 0,001 0001 001 0,019 0019 019 0,019) p=0,012, p0012 p=0,012 012 (p=0,012) 0,000. 0000 0,000 000 0,000) Conclusión física, (física Covid1 1 Covid-1 3 202 00 0,0 9, 2 87,7 (87,7% 70,8 (70,8 98,4 (98,4 27,7 (27,7 004 0,04 04 0,00 0,01 01 p001 p=0,01 (p=0,012 Covid- 20 0, 87, (87,7 70, (70, 98, (98, 27, (27, p00 p=0,0 (p=0,01 (87, (70 (98 (27 p0 p=0, (p=0,0 (87 (7 (9 (2 p=0 (p=0, (8 (p=0
ABSTRACT Objective: to analyze fatigue among nurse educators affiliated with Brazilian public universities while teaching online and hybrid courses during the Covid-19 pandemic. Method: qualitative, cross-sectional study addressing 318 nurse educators teaching in federal and state public universities between July and November 2021. The adapted and validated version of the Three-Dimensional Work Fatigue Inventory (3D-WFI) was used to assess fatigue. The means were compared, and variance analysis (ANOVA) was performed with the Bonferroni test and t-test. The statistically significant variables (p<0.05) remained in the model. Results: the participants were 42 (± 9.4) on average; most were women, 279 (87.7%); 225 (70.8%) had children; and 313 (98.4%) reported performing house chores along with online teaching. In addition to the activities concerning undergraduate programs, 88 (27.7%) participants also performed activities in graduate programs. An association was found between course modality (entirely online or face-to-face, or hybrid) and the dimensions: physical fatigue (p=0.041), mental fatigue (p=0.001), and emotional fatigue (p=0.019), and between taking care of children and help them with school tasks while also teaching classes online and physical fatigue (p=0.012), mental fatigue (p=0.001), and emotional fatigue (p=0.000). Conclusion: the significant differences between course modality and the three dimensions of fatigue (physical, mental, and emotional) showed that the participants experienced physical and mental fatigue during and after work. Objective Covid19 Covid 19 Covid-1 pandemic Method qualitative crosssectional cross sectional 31 2021 ThreeDimensional Three Dimensional 3DWFI DWFI 3D WFI D (3D-WFI compared ANOVA (ANOVA ttest. ttest t test. t-test p<0.05 p005 p 0 05 (p<0.05 model Results 4 ± ( 9.4 94 9 average women 27 87.7% 877 87 7 (87.7%) 22 70.8% 708 70 8 (70.8% 98.4% 984 98 (98.4% programs 27.7% 277 (27.7% entirely facetoface, facetoface face face, face-to-face p=0.041, p0041 p=0.041 , 041 (p=0.041) p=0.001, p0001 p=0.001 001 (p=0.001) p=0.019, p0019 p=0.019 019 (p=0.019) p=0.012, p0012 p=0.012 012 (p=0.012) p=0.000. p0000 p=0.000 . 000 (p=0.000) Conclusion physical, (physical work Covid1 1 Covid- 3 202 p<0.0 p00 (p<0.0 9. 2 87.7 (87.7% 70.8 (70.8 98.4 (98.4 27.7 (27.7 p004 p=0.04 04 (p=0.041 p000 p=0.00 00 (p=0.001 p001 p=0.01 01 (p=0.019 (p=0.012 (p=0.000 20 p<0. p0 (p<0. 87. (87.7 70. (70. 98. (98. 27. (27. p=0.0 (p=0.04 (p=0.00 (p=0.01 p<0 (p<0 (87. (70 (98 (27 p=0. (p=0.0 p< (p< (87 (7 (9 (2 p=0 (p=0. (p (8 p= (p=0 (p=
RESUMO Objetivo: analisar a fadiga em enfermeiros docentes de universidades públicas brasileiras durante o trabalho remoto e híbrido na pandemia da Covid-19. Método: estudo de abordagem quantitativa, do tipo transversal, realizado com 318 enfermeiros docentes de universidades públicas federais e estaduais brasileiras entre os meses de julho a novembro de 2021. Para avaliar a ocorrência de fadiga, utilizou-se a escala Three-Dimensional Work Fatigue Inventory (3D-WFI) adaptada e validada para o português. Realizou-se a comparação das médias, análise de variância (ANOVA) com emprego do teste de Bonferroni, e teste t. No modelo, permaneceram as variáveis significantes estatisticamente (p< 0,05). Resultados: a média de idade dos participantes foi de 42 anos (± 9,4). A maioria era do sexo feminino 279 (87,7%), 225 (70,8%) tinham filhos e 313 (98,4%) referiram desenvolver atividades domésticas junto com o trabalho remoto. Além das atividades na graduação, 88 (27,7%) docentes também desenvolviam atividades na pós-graduação. Observou-se associação entre o modo de trabalho (totalmente online, híbrido ou presencial) e as dimensões: fadiga física (p= 0,041), fadiga mental (p= 0,001) e fadiga emocional (p= 0,019), e cuidar dos filhos e ajudar com as atividades escolares durante o trabalho remoto com fadiga física (p=0,012), fadiga mental (p= 0,001) e fadiga emocional (p= 0,000). Conclusão: as diferenças significativas entre o modo de trabalho e as três dimensões de fadiga (física, mental e emocional) permitiram evidenciar o que os enfermeiros docentes da amostra pesquisada identificaram como esgotamento físico e mental durante e ao final do dia de trabalho. Objetivo Covid19. Covid19 Covid 19. 19 Covid-19 Método quantitativa transversal 31 2021 utilizouse utilizou se ThreeDimensional Three Dimensional 3DWFI DWFI 3D WFI D (3D-WFI português Realizouse Realizou médias ANOVA (ANOVA Bonferroni t modelo p< p (p 0,05. 005 0,05 . 0 05 0,05) Resultados 4 ± ( 9,4. 94 9,4 9 9,4) 27 87,7%, 877 87,7% , 87 7 (87,7%) 22 70,8% 708 70 8 (70,8% 98,4% 984 98 (98,4% graduação 27,7% 277 (27,7% pósgraduação. pósgraduação pós graduação. pós-graduação Observouse Observou totalmente online presencial p= 0,041, 0041 0,041 041 0,041) 0,001 0001 001 0,019, 0019 0,019 019 0,019) p=0,012, p0012 p=0,012 012 (p=0,012) 0,000. 0000 0,000 000 0,000) Conclusão física, (física Covid1 1 Covid-1 3 202 00 0,0 9, 2 87,7 (87,7% 70,8 (70,8 98,4 (98,4 27,7 (27,7 004 0,04 04 0,00 0,01 01 p001 p=0,01 (p=0,012 Covid- 20 0, 87, (87,7 70, (70, 98, (98, 27, (27, p00 p=0,0 (p=0,01 (87, (70 (98 (27 p0 p=0, (p=0,0 (87 (7 (9 (2 p=0 (p=0, (8 (p=0
15.
Soil carbon fractions in response to mineral and organic fertilizer types and rates
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Oliveira, Gustavo Ferreira de
; Resources, Álvaro Luiz Mafra
; Corrêa, Juliano Corulli
; Hentz, Paulo
; Cechetto, Maytê
; Roters, Diego Fernando
; Prazeres, Marco Segalla
; Andognini, Jadiel
.
ABSTRACT The use of organic fertilizers from pig slurry and poultry litter can increase soil organic carbon and crop productivity. This study aimed to evaluate soil organic carbon fractions and corn yield after applying organic and mineral fertilizers. The experiment was conducted in the western region of Santa Catarina State, southern Brazil on a Nitossolo Vermelho Eutroférrico típico (Rhodic Kandiudox). The production system was an integrated crop-livestock using corn and soybean in the summer and black oat and rye with grazing by sheep in the winter. The experimental design was randomized blocks, with treatments in factorial 5 × 3 + 1, with four replications, five sources of fertilizers, three rates and the control with no fertilization. The treatments were three organic fertilizers: poultry litter, pig slurry and compost from pig slurry and two minerals fertilizer (M1 and M2). Mineral fertilizers were formulated from pig slurry (M1) and poultry litter (M2), with the application of three rates, which represent 75, 100 and 150 % of the recommendation for the crop, based on the element that is most demanding by the plant (K for soybeans and N for corn). Soil samples were collected at the layers of 0.00-0.05, 0.05-0.10 and 0.10-0.20 m in which fractions of total soil organic carbon (TOC), namely particulate (POC) and mineral-associated organic carbon (MAC) were determined. Corn yield was evaluated in the 2018/2019 and 2019/2020 seasons. The results were analyzed through analysis of variance to compare sources and polynomial regression analysis for fertilizer rates. The MAC fraction has a higher proportion of TOC and its contents were higher with increasing rates of organic and mineral fertilizers, mainly in the surface layer. Poultry litter and compost fertilizers increased TOC’s particulate fraction (POC), showing the highest levels at the highest fertilization recommendation rate. Organic and mineral fertilizers positively increase corn yield, and animal-derived fertilizers show that they can be an alternative for high crop yields. productivity State Rhodic Kandiudox. Kandiudox . Kandiudox) croplivestock livestock winter blocks 1 replications M1 M (M M2. M2 M2) M2, , (M2) 75 10 15 K corn. corn) 0.000.05, 000005 0.00 0.05, 0 00 05 0.00-0.05 0.050.10 005010 0.05 0.10 0.05-0.1 0.100.20 010020 0.20 20 0.10-0.2 TOC, (TOC) POC (POC mineralassociated associated (MAC determined 20182019 2018 2019 2018/201 20192020 2020 2019/202 seasons layer TOCs s POC, rate animalderived animal derived yields (M2 7 000 0.000.05 00000 0.0 005 0.00-0.0 050 0.050.1 00501 010 0.1 0.05-0. 0.100.2 01002 020 0.2 2 0.10-0. (TOC 2018201 201 2018/20 2019202 202 2019/20 0.000.0 0000 0. 0.00-0. 0.050. 0050 01 0.05-0 0.100. 0100 02 0.10-0 201820 2018/2 201920 2019/2 0.000. 0.00-0 0.050 0.05- 0.100 0.10- 20182 2018/ 20192 2019/ 0.000 0.00-
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