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ABSTRACT Background: The school community was heavily impacted by the Covid-19 pandemic, especially with the long time of school closures. This study aimed to analyze the seroprevalence of SARS-CoV-2 antibodies and possible factors associated with seropositivity for COVID-19 in teachers and other school staff, and to estimate the fraction of asymptomatic individuals by sex and age group. Methods: We conducted a serological survey of SARS-CoV-2 infections. An analytical cross-sectional study was conducted in Fortaleza, Brazil. Teachers and other staff members from pre-schools to universities of higher education to were investigated. Results: A total of 1,901 professionals participated in the study, of which 1,021 were staff and 880 were teachers. The seroprevalence of SARS-CoV-2 was 8.0% (152/1901). In the seropositive group, 48.3% were asymptomatic. There was a predominance of women (68.4%); and, 47.1% of the participants were between 31 and 45 years old. There was an increase in prevalence with increasing age. An inverse relationship was found for education level: more professionals with less education tested positive for COVID-19. The presence of an infected person living in the same household was significantly associated with positive results for COVID-19 among the professionals. Conclusions: This is the first study to report the seroprevalence of IgG against SARS-CoV-2 in Brazilian educational staff after the first wave of the disease. In this study, the seroprevalence was much lower than that in the general population. During school reopening, a small fraction of school workers showed serologically detectable signs of SARS-CoV-2 exposure.

https://doi.org/10.1590/0037-8682-0606-2021

Performance evaluation of tuberculosis control in Brazilian municipalities
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Pinto, Priscila Fernanda Porto Scaff

; Santos, Beatriz Pinheiro Schindler dos

; Teixeira, Camila Silveira Silva

; Nery, Joilda Silva

; Amorim, Leila Denise Alves Ferreira

; Sanchez, Mauro Niskier

; Barreto, Mauricio Lima

; Pescarini, Julia Moreira

Revista de Saúde Pública

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2022, Volume 56 elocation 53

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

ABSTRACT OBJECTIVE To evaluate the performance of tuberculosis control in Brazilian municipalities. METHODS This is an ecological study on Brazilian municipalities that notified at least four new cases of tuberculosis, with a minimum of one new case of pulmonary tuberculosis between 2015 and 2018. The municipalities were stratified according to the population in < 50 thousand, 50–100 thousand, 100–300 thousand, and > 300 thousand inhabitants, and the k-means method was used to group them within each population range according to the performance of six indicators of the disease. RESULTS A total of 2,845 Brazilian municipalities were included, comprising 98.5% (208,007/211,174) of new tuberculosis cases in the period. For each population range, three groups (A, B, and C) of municipalities were identified according to the performance of the indicators: A, the most satisfactory; B, the intermediates; and C, the least satisfactory. Municipalities in group A with < 100 thousand inhabitants presented results above the targets for laboratory confirmation (≥ 72%), abandonment (≤ 5%), and cure (≥ 90%), and comprised 2% of new cases of the disease. Conversely, municipalities of groups B and C presented at least five indicators with results below the targets – HIV testing (< 100%), contact investigation (< 90%), directly observed therapy (< 90%), abandonment (> 5%), and cure (< 90%) –, and corresponded to 66.7% of new cases of tuberculosis. In group C of municipalities with > 300 thousand inhabitants, which included 19 of the 27 capitals and 43.1% of new cases of tuberculosis, the lowest percentages of contact investigation (mean = 56.4%) and directly observed therapy (mean = 15.4%) were verified, in addition to high abandonment (mean = 13.9%) and low coverage of primary health care (mean = 66.0%). CONCLUSIONS Most new cases of tuberculosis occurred in municipalities with unsatisfactory performance for disease control. Expanding the coverage of primary health care in these places can reduce abandonment and increase the contact investigation and directly observed therapy.

RESUMO OBJETIVO Avaliar o desempenho no controle da tuberculose dos municípios brasileiros. MÉTODOS Estudo ecológico com municípios brasileiros que notificaram pelo menos quatro casos novos de tuberculose, com no mínimo um caso novo de tuberculose pulmonar entre 2015 e 2018. Os municípios foram estratificados de acordo com a população em < 50 mil, 50–100 mil, 100–300 mil e > 300 mil habitantes e foi utilizado o método k-médias para agrupá-los dentro de cada faixa populacional segundo desempenho de seis indicadores da doença. RESULTADOS Foram incluídos 2.845 municípios brasileiros abrangendo 98,5% (208.007/211.174) dos casos novos de tuberculose do período. Para cada faixa populacional identificou-se três grupos (A, B e C) de municípios segundo desempenho dos indicadores: A os mais satisfatórios, B os intermediários e C os menos satisfatórios. Municípios do grupo A com < 100 mil habitantes apresentaram resultados acima das metas para confirmação laboratorial (≥ 72%), abandono (≤ 5%) e cura (≥ 90%), e abrangeram 2% dos casos novos da doença. Por outro lado, os municípios dos grupos B e C apresentaram pelo menos cinco indicadores com resultados abaixo das metas – testagem HIV (< 100%), exame de contatos (< 90%), tratamento diretamente observado (< 90%), abandono (> 5%) e cura (< 90%) –, e corresponderam a 66,7% dos casos novos de tuberculose. Já no grupo C dos municípios com > 300 mil habitantes, que incluiu 19 das 27 capitais e 43,1% dos casos novos de tuberculose, encontrou-se os menores percentuais de exames de contatos (média = 56,4%) e tratamento diretamente observado (média = 15,4%), elevado abandono (média = 13,9%) e baixa cobertura da atenção básica (média = 66,0%). CONCLUSÕES Grande parte dos casos novos de tuberculose ocorreu em municípios com desempenho insatisfatório para o controle da doença, onde expandir a cobertura da atenção básica pode reduzir o abandono e elevar o exame de contatos e tratamento diretamente observado.

https://doi.org/10.11606/s1518-8787.2022056004020

Performance evaluation of tuberculosis control in Brazilian municipalities
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Pinto, Priscila Fernanda Porto Scaff

; Santos, Beatriz Pinheiro Schindler dos

; Teixeira, Camila Silveira Silva

; Nery, Joilda Silva

; Amorim, Leila Denise Alves Ferreira

; Sanchez, Mauro Niskier

; Barreto, Mauricio Lima

; Pescarini, Julia Moreira

Revista de Saúde Pública

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2022, Volume 56 elocation 53

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

https://doi.org/10.11606/s1518-8787.2022056004020

Nível de estresse e humor em estudantes de Educação Físicano último ano de graduação
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Alves de Souza, Fernanda

; Miranda de Oliveira, João Gabriel

; Brandão Pinto de Castro, Juliana

; Ribeiro Nogueira da Gama, Dirceu

; Pinheiro Lima, Vicente

Ciencias de la actividad física (Talca)

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2022, Volume 23 N. 1 elocation 2

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

RESUMEN: Introducción: Las dificultades y la presión del último año de graduación pueden afectar negativamente la salud mental de los estudiantes universitarios. Objetivo: Verificar el nivel de estrés y estado de humor en los estudiantes de Educación Física en su último año de graduación. Métodos: La muestra consistió en 38 estudiantes (25,51 ± 4,24 años), graduados del curso de Educación Física. Para el análisis del nivel de estrés y estado de ánimo, se utilizaron los cuestionarios de la Escala de percepción del estrés PSS14 y la escala del estado de ánimo de Brunel, respectivamente. Resultados: La prueba inferencial no paramétrica de Friedman encontró que existe una diferencia significativa (p<0,001) entre los niveles de estrés Nunca (4,94%), Casi nunca (15,02), A veces (23,87), Poco común (23,46) y Muy frecuente (32,72) y entre las respuestas al cuestionario de estado de ánimo (p = 0,026) con Ninguno (38,27), Poco (17,65), Moderado (16,23), Bastante (14, 36) y extremadamente (13,49). Conclusión: en vista de los resultados de la investigación, concluimos que los participantes del estudio estaban en condiciones de estrés, sin embargo, no mostraron pérdida de humor.

ABSTRACT: Introduction: The difficulties and pressure of the last year of graduation can negatively affect the mental health of university students. Objective: To verify the level of stress and mood in Physical Education students in the last year of graduation. Methods: The sample consisted of 38 students (age: 25,51 ± 4,24 years), graduating from the Physical Education course. Stress Perception Scale questionnaires PSS14 and Brunel's mood scale, respectively, were used to analyze the level of stress and mood. Results: Friedman's non-parametric inferential test found that there is a significant difference (p<0,001) between stress levels: Never (4,94%), Almost Never (15,02), Sometimes (23,87), Uncommon (23,46) and Very frequent (32,72) and among the responses to the mood questionnaire (p=0,026) with: Nothing (38,27), Little (17,65), Moderately (16,23), Quite (14,36) and Extremely (13,49). Conclusion: In view of the results of the investigation, we concluded that the study participants were in conditions of stress, however they did not exhibit loss of mood.

RESUMO: Introdução: As dificuldades e a pressão do último ano da graduação podem afetar negativamente a saúde mental de estudantes universitários. Objetivo: Verificar o nível de estresse e humor em estudantes de Educação Física no último ano de graduação. Métodos: A amostra foi composta por 38 estudantes (idade: 25,51 ± 4,24 anos), concluintes do curso de Educação Física. Para análise do nível de estresse e humor foram utilizados os questionários da Escala de Percepção de Estresse PSS14 e a Escala de humor de Brunel, respectivamente. Resultados: O teste inferencial não paramétrico de Friedman verificou que há diferença significativa (p<0,001) entre os níveis de estresse: Nunca (4,94%), Quase nunca (15,02), Às vezes (23,87), Pouco frequente (23,46) e Muito frequente (32,72) e entre as respostas ao questionário de humor (p=0,026) com: Nada (38,27), Pouco (17,65), Moderadamente (16,23), Bastante (14,36) e extremamente (13,49). Conclusão: Diante dos resultados da investigação, concluímos que os participantes do estudo se apresentaram em condições de estresse, entretanto não expuseram perda de humor.

https://doi.org/10.29035/rcaf.23.1.2 21 downloads

Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study
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Lima-Setta, Fernanda

; Magalhães-Barbosa, Maria Clara de

; Rodrigues-Santos, Gustavo

; Figueiredo, Elaine Augusta das Neves

; Jacques, Melissa de Lorena

; Zeitel, Raquel de Seixas

; Sapolnik, Roberto

; Borges, Cibelle Teixeira da Siva

; Lanziotti, Vanessa Soares

; Castro, Roberta Esteves Vieira de

; Bellinat, Ana Paula Novaes

; Silva, Thiago Peres da

; Oliveira, Felipe Rezende Caino de

; Reis, Bárbara Carvalho Santos dos

; Castro, Natália Almeida de Arnaldo Silva Rodriguez

; Macedo, João Henrique Garcia Cobas

; Scarlato, Ana Carolina Cabral Pinheiro

; Riveiro, Paula Marins

; Mota, Isabele Coelho Fonseca da

; Lorenzo, Vivian Botelho

; Lucena, Natalia Martins Lima de

; Azevedo, Zina Maria Almeida de

; Cunha, Antonio José L.A.

; Prata-Barbosa, Arnaldo

Jornal de Pediatria

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jun 2021, Volume 97 N. 3 Pages 354 - 361

Abstract: En | Text: En | PDF: En

Abstract Objective To describe the clinical, laboratory, and radiological characteristics, as well as the outcomes of children with MIS-C. Method Multicenter, prospective cohort study, conducted in 17 pediatric intensive care units in five states in Brazil, from March to July 2020. Patients from 1 month to 19 years who met the MIS-C diagnostic criteria were included consecutively. Results Fifty-six patients were included, with the following conditions: Kawasaki-like disease (n = 26), incomplete Kawasaki disease (n = 16), acute cardiac dysfunction (n = 10), toxic shock syndrome (n = 3), and macrophage activation syndrome (n = 1). Median age was 6.2 years (IQR 2.4−10.3), 70% were boys, 59% were non-whites, 20% had comorbidities, 48% reported a contact with COVID-19 cases, and 55% had a recent SARS-CoV-2 infection confirmed by RT-PCR and/or serology. Gastrointestinal symptoms were present in 71%, shock symptoms in 59%, and severe respiratory symptoms in less than 20%. -Dimer was increased in 80% and cardiac dysfunction markers in more than 75%. Treatment included immunoglobulin (89%); corticosteroids, antibiotics, and enoxaparin in about 50%; and oseltamivir and antifungal therapy in less than 10%. Only 11% needed invasive mechanical ventilation, with a median duration of five days (IQR 5–6.5). The median length of PICU stay was six days (IQR 5–11), and one death occurred (1.8%). Conclusions Most characteristics of the present MIS-C patients were similar to that of other cohorts. The present results may contribute to a broader understanding of SARS-CoV-2 infection in children and its short-term consequences. Long-term multidisciplinary follow-up is needed, since it is not known whether these patients will have chronic cardiac impairment or other sequelae.

https://doi.org/10.1016/j.jped.2020.10.008 281 downloads

Persistent symptoms and decreased health-related quality of life after symptomatic pediatric COVID-19: A prospective study in a Latin American tertiary hospital
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Fink, Thais T.

; Marques, Heloisa H.S.

; Gualano, Bruno

; Lindoso, Livia

; Bain, Vera

; Astley, Camilla

; Martins, Fernanda

; Matheus, Denise

; Matsuo, Olivia M.

; Suguita, Priscila

; Trindade, Vitor

; Paula, Camila S.Y.

; Farhat, Sylvia C.L.

; Palmeira, Patricia

; Leal, Gabriela N.

; Suzuki, Lisa

; Odone Filho, Vicente

; Carneiro-Sampaio, Magda

; Duarte, Alberto José S.

; Antonangelo, Leila

; Batisttella, Linamara R.

; Polanczyk, Guilherme V.

; Pereira, Rosa Maria R.

; Carvalho, Carlos Roberto R.

; Buchpiguel, Carlos A.

; Latronico, Ana Claudia

; Seelaender, Marilia

; Silva, Clovis Artur

; Pereira, Maria Fernanda B.

; Sallum, Adriana M. E.

; Brentani, Alexandra V. M.

; Neto, Álvaro José S.

; Ihara, Amanda

; Santos, Andrea R.

; Canton, Ana Pinheiro M.

; Watanabe, Andreia

; Santos, Angélica C. dos

; Pastorino, Antonio C.

; Franco, Bernadette D. G. M.

; Caruzo, Bruna

; Ceneviva, Carina

; Martins, Carolina C. M. F.

; Prado, Danilo

; Abellan, Deipara M.

; Benatti, Fabiana B.

; Smaria, Fabiana

; Gonçalves, Fernanda T.

; Penteado, Fernando D.

; Castro, Gabriela S. F. de

; Gonçalves, Guilherme S.

; Roschel, Hamilton

; Disi, Ilana R.

; Marques, Isabela G.

; Castro, Inar A.

; Buscatti, Izabel M.

; Faiad, Jaline Z.

; Fiamoncini, Jarlei

; Rodrigues, Joaquim C.

; Carneiro, Jorge D. A.

; Paz, Jose A.

; Ferreira, Juliana C.

; Ferreira, Juliana C. O.

; Silva, Katia R.

; Bastos, Karina L. M.

; Kozu, Katia

; Cristofani, Lilian M.

; Souza, Lucas V. B.

; Campos, Lucia M. A.

; Silva Filho, Luiz Vicente R. F.

; Sapienza, Marcelo T.

; Lima, Marcos S.

; Garanito, Marlene P.

; Santos, Márcia F. A.

; Dorna, Mayra B.

; Aikawa, Nadia E.

; Litvinov, Nadia

; Sakita, Neusa K.

; Gaiolla, Paula V. V.

; Pasqualucci, Paula

; Toma, Ricardo K.

; Correa-Silva, Simone

; Sieczkowska, Sofia M.

; Imamura, Marta

; Forsait, Silvana

; Santos, Vera A.

; Zheng, Yingying

Clinics

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2021, Volume 76 elocation e3511

Abstract: En | Text: En | PDF: En

OBJECTIVES: To prospectively evaluate demographic, anthropometric and health-related quality of life (HRQoL) in pediatric patients with laboratory-confirmed coronavirus disease 2019 (COVID-19) METHODS: This was a longitudinal observational study of surviving pediatric post-COVID-19 patients (n=53) and pediatric subjects without laboratory-confirmed COVID-19 included as controls (n=52) was performed. RESULTS: The median duration between COVID-19 diagnosis (n=53) and follow-up was 4.4 months (0.8-10.7). Twenty-three of 53 (43%) patients reported at least one persistent symptom at the longitudinal follow-up visit and 12/53 (23%) had long COVID-19, with at least one symptom lasting for >12 weeks. The most frequently reported symptoms at the longitudinal follow-up visit were headache (19%), severe recurrent headache (9%), tiredness (9%), dyspnea (8%), and concentration difficulty (4%). At the longitudinal follow-up visit, the frequencies of anemia (11% versus 0%, p=0.030), lymphopenia (42% versus 18%, p=0.020), C-reactive protein level of >30 mg/L (35% versus 0%, p=0.0001), and D-dimer level of >1000 ng/mL (43% versus 6%, p=0.0004) significantly reduced compared with baseline values. Chest X-ray abnormalities (11% versus 2%, p=0.178) and cardiac alterations on echocardiogram (33% versus 22%, p=0.462) were similar at both visits. Comparison of characteristic data between patients with COVID-19 at the longitudinal follow-up visit and controls showed similar age (p=0.962), proportion of male sex (p=0.907), ethnicity (p=0.566), family minimum monthly wage (p=0.664), body mass index (p=0.601), and pediatric pre-existing chronic conditions (p=1.000). The Pediatric Quality of Live Inventory 4.0 scores, median physical score (69 [0-100] versus 81 [34-100], p=0.012), and school score (60 [15-100] versus 70 [15-95], p=0.028) were significantly lower in pediatric patients with COVID-19 at the longitudinal follow-up visit than in controls. CONCLUSIONS: Pediatric patients with COVID-19 showed a longitudinal impact on HRQoL parameters, particularly in physical/school domains, reinforcing the need for a prospective multidisciplinary approach for these patients. These data highlight the importance of closer monitoring of children and adolescents by the clinical team after COVID-19.

https://doi.org/10.6061/clinics/2021/e3511

Otimização da extração e amplificação de DNA de dendezeiro: folhas em diferentes fases de desenvolvimento
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Bomfim, João Pedro de Andrade

; Lima, Laiana Pinheiro de

; Melo, Cláusio Antônio Ferreira de

; Corrêa, Ronan Xavier

; Gaiotto, Fernanda Amato

; Barbosa, Antônia Marlene Magalhães

Ciência Florestal

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sep 2020, Volume 30 N. 3 Pages 916 - 926

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

Resumo O objetivo deste estudo foi otimizar e estabelecer um protocolo visando elevar a qualidade e quantidade do ácido desoxirribonucleico (DNA) extraído de folhas, em diferentes estágios de desenvolvimento e conservação, coletadas em plantas adultas e plantas jovens. Além disso, almejou-se padronizar a amplificação via reação de polimerase em cadeia (PCR) e selecionar os marcadores de inter sequência simples repetida (ISSR) de Elaeis guineensis (dendezeiro). O protocolo brometo de cetiltrimetilamônio (CTAB) modificado, devido à suplementação com betamercapto etanol (0,3%) e polivinilpirrolidone (PVP) (3%) no tampão de extração e CTAB 10% com 1,4 M de NaCl a 20 min de incubação, a 650C, resultou em melhorias qualitativas e quantitativas na extração do DNA, mas com variações entre amostras, provavelmente, devido às variações na degradação e estágio de desenvolvimento das folhas. Foram utilizados dois protocolos de PCR (I e II) para a amplificação do DNA, os quais diferiram principalmente com relação à presença de albumina de soro bovino (BSA) e concentração de primer. Não foi realizada a correlação entre amplificação via PCR e qualidade de DNA, obtidos de folhas danificadas ou sadias, mas se observou que a adição de BSA (0,075 mg/mL) e o aumento na concentração de primer (0,5 pcmol) (protocolo II) resultou em bandas mais intensas e distinguíveis, porém se ressalta que a qualidade do DNA foi essencial para uma boa amplificação, considerando-se todas as amostras. A amplificação do DNA com o protocolo II possibilitou a seleção de cinco primers: UBC 807, 810, 812, 834 e 848; os quais foram utilizados para a amplificação de13 famílias, compostas de uma planta parental e oito progênies cada.

Abstract The objective of this study was to optimize and establish a protocol to enhance the quality and quantity of deoxyribonucleic acid (DNA) extracted from leaves under different development stages and conservation conditions collected from mature plants and seedlings. Furthermore, we aimed to standardize the polymerase chain reaction (PCR) and select an inter simple sequence repeat (ISSR) marker for Elaeis guineensis (oil palm). The modified cetyltrimethylammonium bromide (CTAB) protocol, which used β-mercaptoethanol (0.3%) and polyvinylpyrrolidone (PVP 3%) supplementation in the extraction buffer and 10 % CTAB with 1.4 M NaCl for a 20-min incubation at 65ºC, resulted in improved DNA quality and quantity. However, this protocol presented variable results among samples, probably due to variations in leaf degradation levels and development stages. The two PCR protocols (I and II) for amplifying the DNA, differed mainly in the presence or absence of bovine serum albumin (BSA) and primer concentration. Although, a correlation between PCR amplification and the quality of the DNA extracted from leaves was not established, the addition of BSA (0.075 mg/mL) and the highest primer concentration (0.5 pmol) (protocol II) resulted in more intense and distinguishable bands on gel electrophoresis. DNA quality was essential for a satisfying amplification, considering all the samples. The use of protocol II allowed the selection of five primers: UBC 807, 810, 812, 834, and 848; these were used in the amplification of the DNA extracted from 13 families consisting of one parental plant and eight progenies each.

https://doi.org/10.5902/1980509839043 701 downloads

Risk classification of children and adolescents: priority of care in the emergency unit
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Magalhães, Fernanda Jorge

; Lima, Francisca Elisângela Teixeira

; Barbosa, Lorena Pinheiro

; Guimarães, Fernanda Jorge

; Felipe, Gilvan Ferreira

; Rolim, Karla Maria Carneiro

; Lima, Essyo Pedro Moreira de

Revista Brasileira de Enfermagem

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2020, Volume 73 elocation e20190679

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

RESUMO Objetivo: Avaliar as condições clínicas e o risco de urgência de crianças e adolescentes atendidos em emergência hospitalar, conforme o Protocolo de Acolhimento com Classificação de Risco. Métodos: Estudo transversal, com 200 participantes. Utilizou-se instrumento embasado no Protocolo de Acolhimento com Classificação de Risco em Pediatria, usando para análise a razão de chances. Resultados: Predominaram pacientes do sexo masculino, na primeira infância, em creche ou que não estudam. Como condições clínicas, verificou-se maior frequência de alterações dos sinais vitais (24,5%) e respiratórias (20,0%), sendo que a maioria (57,5%) negou dor, 35,5% foram classificados como urgentes e 45,0% como não-urgente. Evidenciou-se maior chance de serem classificados como maior urgente (laranja) quando comparados com o não-urgente (azul). Conclusão: Concluiu-se que o protocolo utilizado contribuiu para uma classificação eficaz e foi considerado como tecnologia em saúde válida e confiável para a determinação da prioridade de atendimento.

ABSTRACT Objective: to evaluate the clinical conditions and the risk classification of children and adolescents treated in a hospital emergency, according to the Pediatric Risk Classification Protocol. Method: cross-sectional study, with 200 participants, using an instrument based on the Pediatric Risk Classification Protocol and using odds ratio for the analysis. Results: most participants were male patients in early childhood and who were or weren’t in daycare. As for clinical conditions, most showed changes in vital (24.5%) and respiratory (20.0%) signs, most patients (57.5%) did not present pain; 35.5% were classified as urgent and 45.0% as non-urgent. There was a greater chance of being classified as very urgent (orange) when compared to non-urgent (blue). Conclusion: the protocol used contributed to an effective classification and was considered a valid and reliable health technology for determining the priority of care.

RESUMEN Objetivo: Evaluar las condiciones clínicas y el riesgo de urgencia de niños y adolescentes atendidos en las emergencias hospitalarias, según el Protocolo de Recepción con Clasificación de Riesgos. Métodos: Se trata de un estudio transversal, realizado entre 200 participantes. Se utilizó un instrumento basado en el Protocolo de Recepción con Clasificación de Riesgos en Pediatría, utilizándose la razón de momios (odds ratio) para el análisis. Resultados: Predominaron los pacientes varones en la primera infancia, en guarderías y aquellos que no estaban estudiando. Como condiciones clínicas, la frecuencia de las alteraciones en los signos vitales (24,5%) y respiratorios era más grande (20,0%), la mayoría (57,5%) negaba el dolor, el 35,5% se clasificaba como urgente y el 45,0% como no urgente. La probabilidad de ser clasificado como urgente (naranja) era mayor en comparación con no urgente (azul). Conclusión: El protocolo utilizado ha contribuido a una clasificación eficaz y se considera una tecnología sanitaria válida y fiable para determinar la prioridad de la atención.

https://doi.org/10.1590/0034-7167-2019-0679 1529 downloads

Risk classification of children and adolescents: priority of care in the emergency unit
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Magalhães, Fernanda Jorge

; Lima, Francisca Elisângela Teixeira

; Barbosa, Lorena Pinheiro

; Guimarães, Fernanda Jorge

; Felipe, Gilvan Ferreira

; Rolim, Karla Maria Carneiro

; Lima, Essyo Pedro Moreira de

Revista Brasileira de Enfermagem

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2020, Volume 73 Suppl. 4 elocation e20190679

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

https://doi.org/10.1590/0034-7167-2019-0679 40 downloads

10.

Prevalence and factors associated with alterations of the temporomandibular joint in institutionalized elderly
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Medeiros, Annie Karoline Bezerra de

; Barbosa, Fernanda Pinheiro

; Piuvezam, Grasiela

; Carreiro, Adriana da Fonte Porto

; Lima, Kenio Costa

Ciência & Saúde Coletiva

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jan 2019, Volume 24 N. 1 Pages 159 - 168

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

Resumo O objetivo deste artigo é avaliar a prevalência e os fatores associados a alterações na ATM em idosos institucionalizados. Estudo observacional e transversal, conduzido em 1.192 idosos brasileiros. Foram realizados exames intra e extraoral, baseados na Ficha de Avaliação da OMS (1997). Dados demográficos e nível de dependência também foram coletados. A autopercepção do idoso quanto à saúde bucal foi obtida através do GOHAI (Geriatric Oral Health Assessment Index). Na análise dos dados foram usados o teste do Qui-quadrado e a Regressão robusta de Poisson (nível de significância de 5%). A presença de alguma alteração na ATM foi pouco prevalente quando comparada a dos adultos, e esteve associada à condição de dependência do idoso (os independentes tiveram 45,4% mais alterações do que os dependentes), ao sexo (mulheres tiveram 47,4% mais alterações), à autopercepção de saúde bucal (quem avaliou negativamente teve 65,6% mais alterações) e à necessidade de prótese (PT) superior (quem necessita de algum tipo de PT superior teve 45,8%). Apesar de ter sido baixa, a presença de alterações na ATM esteve mais frequente em idosos independentes, do sexo feminino, que avaliaram negativamente a saúde bucal e que necessitam de algum tipo de PT superior.

Abstract This article aims to analyze the prevalence and associated factors of TMJ alterations in elderly institutionalized. An cross-sectional study of 1192 elderly institutionalized in Brazil was undertaken. Intra and extra-oral exams were performed and the TMJ was evaluated based on the Oral Health Assessment Form of the WHO (1997). Demographic data and elderly dependence were also collected. The self-perception of the elderly regarding oral health was measured using the Geriatric Oral Health Assessment Index - GOHAI. Data analysis was performed using the Chi-squared test and robust Poisson regression (level of significance of 5%). The prevalence of TMJ alteration was low compared to adults and was only associated with the state of dependence of the elderly individual (independent had 45.4% more alterations than dependent individuals), gender (women had 47.4% more alterations), self-perception of oral health (who evaluated negatively had 65.6% more alterations) and the need of upper dentures (who needed some kind of upper dentures had 45.8% more alterations than those who did not). Despite being low, the presence of alterations in the TMJ was more frequent in elderly independent, women, who evaluated negatively oral health and need some kind of upper dentures.

https://doi.org/10.1590/1413-81232018241.06132017 1372 downloads

11.

Prevalence and factors associated with alterations of the temporomandibular joint in institutionalized elderly
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Medeiros, Annie Karoline Bezerra de

; Barbosa, Fernanda Pinheiro

; Piuvezam, Grasiela

; Carreiro, Adriana da Fonte Porto

; Lima, Kenio Costa

Ciência & Saúde Coletiva

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2019, Volume 24 N. 1 Pages 159 - 168

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

https://doi.org/10.1590/1413-81232018241.06132017 3 downloads

12.

Nutrient intake and apparent digestibility coefficient of lambs fed with coffee husk in replacement of oat hay
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Rego, Fabíola Cristine de Almeida

; Belan, Laís

; Pertile, Simone Fernanda Nedel

; Lima, Lisiane Dorneles de

; Ludovico, Agostinho

; Zundt, Marilice

; Lopes, Flávio Guiselli

; Porto, Petrônio Pinheiro

Ciência Rural

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2019, Volume 49 N. 1 elocation e20180515

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

RESUMO: Objetivou-se avaliar os efeitos da substituição do feno de aveia pela casca de café na dieta de cordeiros no consumo e na digestibilidade aparente de matéria seca (DM), matéria orgânica (OM), proteína bruta (CP), extrato etéreo (EE), carboidratos não fibrosos (NFC), detergente neutro fibra (NDF) e fibra em detergente ácido (ADF). O delineamento experimental utilizado foi quadrado latino 4×4, com quatro níveis de substituição do feno de aveia por casca de café (0; 7,5%; 15%; 22,5%) e quatro ovinos Texel, os quais foram alojados individualmente. O consumo e os coeficientes de digestibilidade aparente foram mensurados em quatro períodos de 12 dias. Todas as sobras e fezes foram coletadas, pesadas, homogeneizadas e amostradas. O uso de casca de café na dieta de cordeiros com até 22,5% de DM melhorou o consumo dos nutrientes. Não foram observadas diferenças significativas para a digestibilidade aparente da DM, OM, CP, EE, NFC e ADF, exceto para o NDF. A casca de café pode ser incluída em até 22,5% da matéria seca total de dietas com 30% de volumoso e 70% de concentrado, sendo uma boa alternativa para reduzir os custos de alimentação na produção de cordeiros.

ABSTRACT: This study aimed to evaluate the effects of replacing oat hay with coffee husk in the diet of lambs on the intake and apparent digestibility of dry matter (DM), organic matter (OM), crude protein (CP), ether extract (EE), non-fiber carbohydrate (NFC), neutral detergent fiber (NDF), and acid detergent fiber (ADF). The experimental design was 4×4 Latin square with four levels of replacement of oat hay with coffee husk (0, 7.5, 15, and 22.5%) with four individually housed Texel sheep. Intake and apparent digestibility coefficients were measured at four periods of 12 days. All orts and feces were collected, weighed, homogenized, and sampled. The use of coffee husk at up to 22.5% of the total DM in the diet of lambs improved the intake of nutrients. Except for NDF, no significant differences were observed for the apparent digestibility of other parameters (DM, OM, CP, EE, NFC, and the ADF). Coffee husk can be included at up to 22.5% of total dry matter in diets with 30% roughage and 70% concentrate, being a good alternative to reduce feed costs in lamb production.

https://doi.org/10.1590/0103-8478cr20180515 957 downloads

13.

Histopathological and hematological biomarkers in tambaqui Colossoma macropomum (Cuvier, 1816) from an environmental protection area of Maranhão, Brazil
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Castro, Jonatas da Silva

; Sodré, Camilla Fernanda Lima

; Souza, Caroline Bogéa

; Sousa, Débora Batista Pinheiro

; Neta, Raimunda Nonata Fortes Carvalho

Revista Ambiente & Água

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2019, Volume 14 N. 1 elocation e2266

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

Resumo Objetivou-se neste estudo analisar as alterações histopatológicas (lesões branquiais) e hematológicas (anormalidades eritrocíticas) em tambaqui (Colossoma macropomum), para avaliação da qualidade de água de pisciculturas da Área de Proteção Ambiental (APA) do Maracanã, Maranhão, Brasil. Exemplares de tambaqui foram capturados em duas áreas da APA: A1) Lagoa Serena; A2) Rio Ambude, em dois períodos sazonais (chuvoso e seco). Para as análises hematológicas foram confeccionadas lâminas a partir do esfregaço de sangue coletado no arco branquial dos peixes. No laboratório as brânquias de cada espécime foram fixadas em formol a 10% e mantido em álcool a 70% até a execução da técnica histológica usual. As alterações braquiais foram mais frequentes no período de estiagem nas duas áreas analisadas. Em peixes coletados em A2, as seguintes alterações foram observadas: células mucosas (78%), fusão lamelar (90%), desorganização lamelar (100%), estreitamento lamelar (100%), deslocamento do epitélio (96%). Em peixes coletados em A1, as principais lesões foram: aneurisma (88%), dilatação dos capilares (82%), rompimento dos capilares (60%). Além disso, nos peixes de ambas as áreas foram observadas alterações nucleares, como células binucleadas (BC), células com núcleo evaginado (CEN) e células com núcleo entalhado lobulado (CLCN). A frequência de anormalidades foi maior nos peixes de A2 (74%) quando comparada com os exemplares de A1 (26%). Em conclusão, consideramos que essas alterações se mostraram biomarcadores sensíveis capazes de diferenciar a qualidade de água e o estado de sanidade dos peixes em dois sistemas aquáticos na APA do Maracanã.

Abstract This study analyzed histopathological (gill lesions) and hematological (erythrocyte abnormalities) changes in tambaqui (Colossoma macropomum) in order to evaluate the water quality of fish farms in the Environmental Protection Area (EPA) of Maracanã, Maranhão, Brazil. Specimens of tambaqui were captured in two areas of EPA: A1) Serena Lagoon, and A2) River Ambude, in two seasonal periods, rainy and dry. For the hematological analyses, slides were made from the blood smear collected from the branchial arch of the fish. In the laboratory, the gills of each specimen were fixed in 10% formalin and maintained in 70% alcohol until the usual histological technique. The branchial changes were more frequent during the dry season in both areas. In the fish collection in A2, the following changes were noted: mucosal cells (78%), lamellar fusion (90%), lamellar disorganization (100%), lamellar narrowing (100%), and epithelial displacement (96%). In the fish collection in A1, the main lesions were: aneurysm (88%), dilation of the capillaries (82%), rupture of the capillaries (60%). In addition, nuclear alterations, such as binucleate cells (BC), cells with an evaginated nucleus (CEN) and cells with a lobulated carved nucleus (CLCN), were observed in the fish from both areas. The frequency of abnormalities was higher in the fish from A2 (74%) when compared to the fish from A1 (26%). In conclusion, we found that these alterations proved to be sensitive biomarkers capable of differentiating water quality and fish health status in the two systems in the Maracanã EPA.

https://doi.org/10.4136/ambi-agua.2266 1221 downloads

14.

Evaluation of a virtual learning environment about educational actions for people with diabetes mellitus
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Almeida, Camila Aparecida Pinheiro Landim

; Sousa, Kayo Henrique Jardel Feitosa

; Oliveira, Joseane Lima de

; Lima, Luana da Silva

; Santos, Tiara Soares

; Amorim, Fernanda Cláudia Miranda

; Carvalho, Cláudia Maria Sousa de

; Oliveira, Adélia Dalva da Silva

; Carvalho, Herica Emilia Félix de

; Sousa, Bruna Sabrina de Almeida

Escola Anna Nery

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2019, Volume 23 N. 4 elocation e20190027

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

Abstract Objective: To evaluate, from the perspective of Nursing students, a virtual learning environment about educational actions for people with diabetes mellitus. Method: A cross-sectional and descriptive study with qualitative data analysis and a sample of 71 nursing students. A questionnaire was used to collect data that includes pedagogical and theoretical aspects of the virtual learning environment: content, interaction, activities, response time and interface quality. Results: The results showed that there was a good evaluation of the parameters in most of the evaluated items, except for the figures and sound of the VLE interface domain, which evaluates the quality of the platform design. Conclusion and implications for practice: In the students’ evaluation, the virtual learning environment was a potential tool for the technical and complementary development of nursing, in addition the inclusion in the virtual world of learning.

Resumen Objetivo: Evaluar, en la perspectiva de estudiantes de Enfermería, un ambiente virtual de aprendizaje sobre las acciones educativas para personas con diabetes mellitus. Método: Estudio transversal y descriptivo con análisis cualitativo de datos y con muestra de 71 estudiantes de enfermería. Para la recolección de datos, se utilizó una encuesta que contempla aspectos pedagógicos y teóricos del ambiente virtual de aprendizaje: contenido, interacción, actividades, tiempo de respuesta y calidad de la interfaz. Resultados: Los resultados demostraron que hubo una buena evaluación de los parámetros en la mayoría de los ítems evaluados, excepto los ítems figuras y sonido del dominio interfaz del AVA, que evalúa la calidad del diseño de la plataforma. Conclusión e implicaciones para la práctica: En la evaluación de los estudiantes, el ambiente virtual de aprendizaje se presentó como una herramienta potencial para el desarrollo técnico y complementario de la enfermería, además de la inclusión en el mundo virtual de aprendizaje.

Resumo Objetivo: Avaliar, na perspectiva de estudantes de Enfermagem, um ambiente virtual de aprendizagem sobre ações educativas para pessoas com diabetes mellitus. Método: Estudo transversal e descritivo, realizado com 71 estudantes de Enfermagem. A coleta de dados foi realizada por meio de um questionário que contempla aspectos pedagógicos e teóricos do ambiente virtual de aprendizagem: conteúdo, interação, atividades, tempo de resposta e qualidade da interface. Resultados: Os resultados demonstraram que houve boa avaliação dos parâmetros na maioria dos itens avaliados, exceto os itens figuras e som do domínio interface do AVA, que avalia a qualidade do design da plataforma. Conclusão e implicações para a prática: Na avaliação dos estudantes, o ambiente virtual de aprendizagem apresentou-se como uma ferramenta em potencial para o desenvolvimento técnico e complementar de Enfermagem, além da inclusão no mundo virtual de aprendizagem.

https://doi.org/10.1590/2177-9465-ean-2019-0027 64 downloads

15.

Evaluation of a virtual learning environment about educational actions for people with diabetes mellitus
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Almeida, Camila Aparecida Pinheiro Landim

; Sousa, Kayo Henrique Jardel Feitosa

; Oliveira, Joseane Lima de

; Lima, Luana da Silva

; Santos, Tiara Soares

; Amorim, Fernanda Cláudia Miranda

; Carvalho, Cláudia Maria Sousa de

; Oliveira, Adélia Dalva da Silva

; Carvalho, Herica Emilia Félix de

; Sousa, Bruna Sabrina de Almeida

Escola Anna Nery

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2019, Volume 23 N. 4 elocation e20190027

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

https://doi.org/10.1590/2177-9465-ean-2019-0027 1740 downloads

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