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Estratégias educativas para prevenção de infecções femininas no presídio: revisão de escopo
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Lima, Fabiane da Silva Severino

; Costa, Nicolau da

; Soares, Paula Renata Amorim Lessa

; Ribeiro, Samila Gomes

; Lima, Francisca Elisângela Teixeira

; Almeida, Cristiana Brasil de

; Pinheiro, Ana Karina Bezerra

Acta Paulista de Enfermagem

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2024, Volume 37 elocation eAPE003246

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

Resumo Objetivo Identificar e mapear as principais estratégias educativas para prevenção de infecções do trato reprodutor feminino no sistema prisional. Métodos Revisão de escopo, realizada conforme a recomendações do Joanna Briggs Institute, com pesquisa nas bases de dados MEDLINE (PubMed), Cochrane Library, LILACS, SCOPUS, Science Direct, Embase; Google Scholar e Proquest, durante o período de 23 a 29 de maio de 2023. Utilizou-se o instrumento Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) para o fluxograma de busca e seleção dos artigos da revisão. Foram incluídos todos os títulos que seguiram a estratégia PCC: População mulheres com idade a partir dos 18 anos. Conceito uso de estratégias educativas para prevenção de ITR feminino. Contexto sistema prisional, com cumprimento de pena em regime fechado. Foram excluídos aqueles que contemplaram estratégia educativa realizada para homens cisgênero ou com mulheres que já possuíam o diagnóstico de ITR. Resultados Foram selecionados 13 estudos publicados entre 1995 e 2023, com predomínio de estratégias educativas voltadas para prevenção de infecções sexualmente transmissíveis, principalmente causadas pelo Vírus da Imunodeficiência Humana. As estratégias educativas priorizaram ações educativas grupais, estratégia de dramatização e técnica da abordagem comportamental, utilizando os seguintes recursos educativos: panfletos, cartilhas, cartazes, livro de desenhos animados, simuladores de órgãos genitais, vídeos e jogos. Conclusão As sessões educativas coletivas foram as mais evidenciadas na literatura para prevenção de infecções, predominantemente, sexualmente transmissíveis, com escassos estudos de prevenção de vaginites ou vaginoses.

Abstract Objective To identify and map the main educational strategies for preventing infections of the female reproductive tract in the prison system. Methods This is a scoping review, carried out in accordance with JBI recommendations, with research in the databases MEDLINE (PubMed), Cochrane Library, LILACS, Scopus, Science Direct, Embase, Google Scholar and Proquest, from May 23 to 29, 2023. The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) for the search and selection flowchart of review articles was used. All titles that followed the PCC strategy were included: Population Women aged 18 and older. Concept Use of educational strategies to prevent female RTI. Context Prison system, with sentences served in a closed regime. Those who included an educational strategy carried out for cisgender men or women who already had an RTI diagnosis were excluded. Results A total of 13 studies published between 1995 and 2023 were selected, with a predominance of educational strategies aimed at preventing sexually transmitted infections, mainly caused by the Human Immunodeficiency Virus. Educational strategies prioritized group educational actions, dramatization strategy and behavioral approach technique, using pamphlets, booklets, posters, cartoon books, genital organ simulators, videos and games. Conclusion Collective educational sessions were the most evidenced in the literature for infection prevention, predominantly sexually transmitted, with few studies on vaginitis or vaginosis prevention.

Resumen Objetivo Identificar y mapear las principales estrategias educativas para la prevención de infecciones del tracto reproductor (ITR) femenino en el sistema penitenciario. Métodos Revisión de alcance, realizada de acuerdo con las recomendaciones del Joanna Briggs Institute, con búsqueda en las bases de datos: MEDLINE (PubMed), Cochrane Library, LILACS, SCOPUS, Science Direct, Embase; Google Scholar y Proquest, durante el período del 23 al 29 de mayo de 2023. Se utilizó el instrumento Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) para el diagrama de flujo de búsqueda y selección de los artículos de la revisión. Se incluyeron todos los títulos que siguieron la estrategia PCC. Población mujeres a partir de 18 años. Concepto uso de estrategias educativas para la prevención de ITR femenino. Contexto sistema penitenciario, con cumplimiento de condena en régimen cerrado. Se excluyeron aquellos que contemplaron estrategias educativas para hombres cisgénero o con mujeres que ya tenían el diagnóstico de ITR. Resultados Se seleccionaron 13 estudios publicados entre 1995 y 2023, con un predominio de estrategias educativas orientadas a la prevención de infecciones de transmisión sexual, principalmente causadas por el Virus de la Inmunodeficiencia Humana. Las estrategias educativas priorizaron acciones educativas grupales, estrategias de dramatización y técnicas de enfoque conductual, mediante la utilización de los siguientes recursos educativos: folletos, cartillas, carteles, libros de historietas, simuladores de órganos genitales, videos y juegos. Conclusión Las sesiones educativas colectivas fueron las más destacadas en la literatura para la prevención de infecciones, predominantemente de transmisión sexual, con escasos estudios de prevención de vaginitis o vaginosis.

https://doi.org/10.37689/acta-ape/2024ar00013246

Estratégias educativas para prevenção de infecções femininas no presídio: revisão de escopo presídio
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Lima, Fabiane da Silva Severino

; Costa, Nicolau da

; Soares, Paula Renata Amorim Lessa

; Ribeiro, Samila Gomes

; Lima, Francisca Elisângela Teixeira

; Almeida, Cristiana Brasil de

; Pinheiro, Ana Karina Bezerra

Acta Paulista de Enfermagem

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2024, Volume 37 elocation eAPE003246

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

https://doi.org/10.37689/acta-ape/2024ar00013246

Prevalence of DICER1 variants in large multinodular goiter: thyroid function, clinical and imaging characteristics DICER goiter function
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Miranda, Lara Judith Cabral

; Danilovic, Débora L. S.

; Vanderlei, Felipe Augusto Brasileiro

; Tavares, Marcos Roberto

; Lima Neto, Nicolau

; Camargo, Rosalinda Yossie Asato de

; Marui, Suemi

Archives of Endocrinology and Metabolism

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2024, Volume 68 elocation e230030

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: Mutations in DICER1 are found in differentiated thyroid carcinoma (DTC) and in multinodular goiter (MNG) at a younger age with other tumors, which characterizes DICER1 syndrome. DICER1 is one driver to DTC; however, it is also found in benign nodules. We speculated that patients with mutations in DICER1 may present long-lasting MNG. Our aim was to investigate the frequency of DICER1 variants in patients with MNG. Subjects and methods: Patients who submitted to total thyroidectomy due to large MNG with symptoms were evaluated. DICER1 hotspots were sequenced from thyroid nodule samples. To confirm somatic mutation, DNA from peripheral blood was also analyzed. Results: Among 715 patients, 154 were evaluated with 56.2 ± 12.3 years old (28-79) and the thyroid volume was 115.7 ± 108 mL (16.2-730). We found 11% with six DICER1 variations in a homo or heterozygous state. Only rs12018992 was a somatic DICER1 variant. All remaining variants were synonymous and likely benign, according to the ClinVar database. The rs12018992 was previously described in an adolescent with DTC, measuring 13 mm. There were no significant differences according to gender, familial history of goiter, age, thyroid volume, TSH and TI-RADS classification between DICER1 carriers. Free T4 were lower in patients with DICER1 polymorphisms (13.77 ± 1.8 vs. 15.44 ± 2.4 pmol/L, p = 0.008), regardless of TSH levels. Conclusions: We conclude that germline DICER1 variants can be found in 11% of large goiters but no second-hit somatic mutation was found. DICER1 is one driver to thyroid lesion and a second-hit event seems unnecessary in the MNG development. Objective DICER DTC (DTC (MNG tumors syndrome however nodules longlasting long lasting methods samples analyzed Results 71 15 562 56 2 56. 123 12 3 12. 2879 28 79 (28-79 1157 115 7 115. 10 16.2730. 162730 16.2 730 . 16 (16.2-730) 11 state rs rs1201899 variant database 1 mm gender TIRADS TI RADS carriers T 13.77 1377 77 (13.7 18 8 1. vs 1544 44 15.4 24 4 2. pmolL pmol L pmol/L 0.008, 0008 0.008 , 0 008 0.008) levels Conclusions secondhit second hit development 5 287 (28-7 2730 16.2730 16273 162 16. 73 (16.2-730 rs120189 13.7 137 (13. 15. 000 0.00 00 (28- 273 16.273 1627 (16.2-73 rs12018 13. (13 0.0 (28 27 16.27 (16.2-7 rs1201 (1 0. (2 (16.2- rs120 ( (16.2 rs12 (16. rs1 (16

https://doi.org/10.20945/2359-4292-2023-0030

Uma análise de satisfação do uso de hipermídias em um aplicativo para dispositivo móvel de educação em saúde
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Pereira, Dauster Souza

; Lima, José Valdeni de

; Conceição, Simone Cristina Oliveira da

; Gomes, Raquel Salcedo

; Rocha, Paulo Santana

; Jardim, Rafaela Ribeiro

; Jofilsan, Nicolau Calado

; Pereira, Priscilla Perez da Silva

Revista Iberoamericana de Tecnología en Educación y Educación en Tecnología

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jan 2023, N. 34 Pages 20 - 29

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

Abstract The use of technology in healthcare has been growing more each day. Mobile devices make it possible for anyone to learn anywhere, anytime. OBJECTIVE: to investigate user satisfaction regarding the use of hypermedia for learning health education through mobile devices. METHODS: It consisted of 4 parts. At first, a pre-test questionnaire was applied, then there was the interaction with the hypermedia, later the post-test questionnaire was conducted. Finally, participants rated their satisfaction in regard to the use of hypermedia. RESULTS: findings showed that the participants considered the hypermedia appealing, desirable, promoted a feeling of integration and closeness, and had an enormous value in their application. CONCLUSIONS: this study demonstrated that the use of hypermedia on mobile devices for learning in healthcare is a creative, appealing, and effective solution. Also, it improves the teaching-learning process.

Resumo O uso da tecnologia na área da saúde tem crescido cada vez mais. Os dispositivos móveis possibilitam que as pessoas aprendam em qualquer lugar e a qualquer tempo. OBJETIVO: investigar a satisfação do usuário quanto ao uso de hipermídias para a aprendizagem de educação em saúde por meio de dispositivo móvel. MÉTODO: contou com 4 partes. Na primeira, foi aplicado um questionário pré-teste, em seguida houve a interação com as hipermídias, posteriormente aplicou-se o questionário pós-teste. Por fim, os participantes avaliaram a satisfação quanto ao uso das hipermídias. RESULTADOS: os resultados obtidos demonstraram que os participantes consideraram as hipermídias atraentes, desejadas, que elas promovem o sentimento de integração e aproximação, bem como tem um enorme valor em sua aplicação. CONCLUSÕES: a pesquisa demonstrou que o uso das hipermídias em dispositivos móveis para o aprendizado em cuidados em saúde é uma solução criativa, atrativa e eficaz e aprimora o processo ensino-aprendizagem.

https://doi.org/10.24215/18509959.34.e2

Vulnerabilities associated with violence against women before entering the prison system
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Oliveira, Tyane Mayara Ferreira de

; Ferreira, Hellen Lívia Oliveira Catunda

; Freitas, Vívien Cunha Alves de

; Lima, Fabiane da Silva Severino

; Vasconcelos, Flávia Ximenes

; Costa, Nicolau da

; Pinheiro, Ana Karina Bezerra

Revista da Escola de Enfermagem da USP

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2022, Volume 56 elocation e20220167

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

RESUMO Objetivo: analisar as vulnerabilidades individuais e sociais de mulheres privadas de liberdade para violência sofrida antes da entrada no sistema prisional. Método: estudo transversal analítico, realizado com 272 internas de uma unidade prisional feminina, na Região Metropolitana de Fortaleza, Ceará. Foram aplicados dois instrumentos: formulário para análise de informações sociodemográficas e da violência sofrida previamente à entrada no presídio e o Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), que analisou o histórico do uso de substâncias psicoativas. Resultados: 44,5% das mulheres sofreram violência. A maior parte da amostra total apresentava idade entre 18 e 29 anos, com filhos, baixa escolaridade e renda, início precoce da vida sexual e histórico de uso de drogas ilícitas. A idade entre 18 e 29 anos mostrou ser fator protetor da violência (OR = 0,632). Uso de cocaína e crack (p = 0,002), anfetaminas e êxtase (p = 0,018) aumenta a chance de violência de 2,2 a 3,3 vezes. Conclusão: aspectos das dimensões individuais e sociais da vulnerabilidade estão associadas à ocorrência de violência em mulheres internas do sistema prisional feminino. Estratégias efetivas necessitam ser traçadas com base nas vulnerabilidades, para prevenir violência contra a mulher.

ABSTRACT Objective: to analyze the individual and social vulnerabilities of women deprived of their liberty for violence suffered before entering the prison system. Method: an analytical crosssectional study, carried out with 272 inmates of a female prison unit, in the Metropolitan Region of Fortaleza, Ceará. We applied two instruments: a form to analyze sociodemographic information and the violence suffered prior to entering the prison and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), which analyzed the history of psychoactive substance use. Results: 44.5% of women suffered violence. Most of the total sample was between 18 and 29 years old, with children, low education and income, early onset of sexual life and history of illicit drug use. Age between 18 and 29 years proved to be a protective factor against violence (OR = 0.632). Cocaine and crack use (p =0.002), amphetamines and ecstasy (p =0.018) increase the chance of violence by 2.2 to 3.3 times. Conclusion: aspects of the individual and social dimensions of vulnerability are associated with the occurrence of violence in women in the female prison system. Effective strategies need to be designed based on vulnerabilities to prevent violence against women.

RESUMEN Objetivo: analizar las vulnerabilidades individuales y sociales de las mujeres privadas de libertad por la violencia sufrida antes de ingresar al sistema penitenciario. Método: estudio transversal analítico, realizado con 272 internas de una unidad penitenciaria femenina, en la Región Metropolitana de Fortaleza, Ceará. Se aplicaron dos instrumentos: un formulario para analizar la información sociodemográfica y la violencia sufrida antes del ingreso al penal y el Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), que analizó el historial de uso de sustancias psicoactivas. Resultados: El 44,5% de las mujeres sufrieron violencia. La mayor parte de la muestra total tenía entre 18 y 29 años, con hijos, baja escolaridad e ingresos económicos, inicio temprano de la vida sexual y antecedentes de consumo de drogas ilícitas. La edad entre 18 y 29 años resultó ser un factor protector contra la violencia (OR =0,632). El consumo de cocaína y crack (p =0,002), anfetaminas y éxtasis (p =0,018) aumenta la probabilidad de violencia entre 2,2 y 3,3 veces. Conclusión: aspectos de las dimensiones individual y social de la vulnerabilidad están asociados a la ocurrencia de violencia en mujeres en el sistema penitenciario femenino. Es necesario diseñar estrategias efectivas basadas en las vulnerabilidades para prevenir la violencia contra las mujeres.

https://doi.org/10.1590/1980-220x-reeusp-2022-0167en

Three superovulation protocols for in vivo embryo production in Santa Inês sheep
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Arashiro, Eduardo Kenji Nunes

; Pinto, Pedro Henrique Nicolau

; Lima, Julia Timponi Moura

; Henry, Marc

; Ascoli, Fábio Otero

; Souza-Fabjan, Joanna Maria Gonçalves

; Fonseca, Jeferson Ferreira Da

; Brandão, Felipe Zandonadi

Ciência Rural

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2022, Volume 52 N. 8 elocation e20210308

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

RESUMO: Ainda não há consenso sobre qual é o protocolo mais apropriado para a produção in vivo de embriões em ovinos, apesar do crescente conhecimento. Uma abordagem para mitigar a variabilidade de resposta de ovelhas à superovulação (SOV) é iniciar a aplicação de gonadotrofinas em uma condição ovariana favorável. O presente estudo comparou três tratamentos em delineamento do tipo crossover: protocolo de SOV tradicional (TRAD) e “Dia 0” D0 SOV sem (D0-GnRH) ou com GnRH (D0+GnRH). Quinze ovelhas Santa Inês foram superovuladas com 200 mg de FSH em seis doses decrescentes e receberam PGF2α na quinta dose de FSH. As ovelhas foram submetidas a monta natural com carneiros férteis e os embriões colhidos por via cirúrgica. O número de embriões viáveis não diferiu entre os tratamentos (TRAD = 6,0 ± 4,7; D0-GnRH = 3,8 ± 6,4; D0+GnRH = 7,5 ± 6,5). Independentemente do tratamento, ovelhas com folículos ≤ 4 mm na primeira dose de FSH produziram mais embriões viáveis (9,6 ± 6,0; P < 0.05) quando comparadas aos animais que apresentavam folículos > 4 mm no início da SOV (2,9 ± 3,1 embriões viáveis). Os grupos TRAD e D0+GnRH apresentaram menor número de animais com folículos grandes (> 4 mm), no momento da primeira dose de FSH, quando comparados ao grupo D0-GnRH (P < 0,05). Em conclusão, os protocolos TRAD e D0+GnRH induziram uma condição ovariana mais favorável (folículos ≤ 4 mm) para a SOV. No entanto, os três tratamentos apresentaram eficiência semelhante em ovelhas Santa Inês.

ABSTRACT: There is still no consensus regarding the best protocol for in vivo embryo production in sheep despite increasing studies in this area. Moreover, there is variability in the response of ewes to superovulation (SOV). An approach to mitigate this inconsistency is to initiate gonadotropin administration under favorable ovarian conditions. The present study compared three treatments in a crossover design: a traditional SOV protocol (TRAD) and “Day 0” D0 SOV protocol with (D0+GnRH), or without Lecilerin (D0-GnRH). Fifteen Santa Inês ewes received 200 mg of FSH at six decreasing doses and PGF2α with the fifth dose of FSH. They were naturally mated with fertile rams and subjected to surgical embryo collection. The number of viable embryos was similar among the different treatments (TRAD = 6.0 ± 4.7; D0-GnRH = 3.8 ± 6.4; D0+GnRH = 7.5 ± 6.5). Regardless of the treatment method, ewes with follicles ≤ 4 mm, at the first FSH dose, produced more viable embryos (9.6 ± 6.0, P < 0.05) compared to ewes that had follicles > 4 mm at the beginning of the SOV (2.9 ± 3.1, viable embryos). Both the TRAD and D0+GnRH groups had fewer animals with large follicles (> 4 mm) at the first FSH dose than the D0-GnRH group (P < 0.05). In conclusion, both the TRAD and D0+GnRH treatments induced a more favorable ovarian condition (follicles ≤ 4 mm) for adequate SOV; although, all three treatments exhibited similar efficacies in Santa Inês sheep.

https://doi.org/10.1590/0103-8478cr20210308

BETWEEN PROLENE®, ULTRAPRO® AND BARD SOFT® MESHES WHICH PRESENTS THE BEST PERFORMANCE IN THE REPAIR OF THE ABDOMINAL WALL?
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UTRABO, Carlos Alberto Lima

; CZECZKO, Nicolau Gregori

; BUSATO, Cesar Roberto

; MONTEMÓR-NETTO, Mário Rodrigues

; LIPINSKI, Leandro

; MALAFAIA, Osvaldo

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2021, Volume 34 N. 1 elocation e1577

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

RESUMO Racional: Na definição da tela a ser utilizada na correção das hérnias deve-se considerar a porosidade, quantidade de material absorvível e polipropileno ou inabsorvível nas diversas fases da cicatrização. Objetivo: Avaliar a reação inflamatória das telas macro e microporosas de alta e baixa gramatura no reparo de defeito da parede abdominal de ratos. Método: Foram utilizados 90 ratos da raça Wistar (Rattus norvegicus albinus). Os animais foram submetidos a procedimentos cirúrgicos semelhantes, com lesão da parede abdominal ventral, mantendo a integridade do peritônio parietal e correção utilizando as telas Prolene®, Ultrapro® e Bard Soft®. Realizou-se a eutanásia aos 30, 60 e 120 dias de pós-operatório. Os segmentos da parede abdominal foram submetidos à análise histológica com H&E, tricômio de Masson, imunoistoquímica, picrosirius red e análise tensiométrica. Resultado: No 120º dia a análise tensiométrica mostrou superioridade da tela macroporosa Ultrapro®. O escore do processo inflamatório demonstrou prevalência significativa de processo subagudo no início e no final do estudo. As telas microporosas mostraram encapsulamento em bloco e as macroporosas encapsulamento predominantemente filamentar. Conclusão: A tela Ultrapro® mostrou melhor desempenho em relação às demais na cicatrização da parede abdominal.

ABSTRACT Background: In the definition of the mesh to be used to correct hernias, porosity, amount of absorbable material and polypropylene should be considered in the different stages of healing process. Aim: To evaluate the inflammatory reaction in the use of macro and microporous meshes of high and low weight in the repair of defects in the abdominal wall of rats. Methods: Ninety Wistar rats (Rattus norvegicus albinus) were used. The animals were submitted to similar surgical procedures, with lesion of the ventral abdominal wall, maintaining the integrity of the parietal peritoneum and correction using the studied meshes (Prolene®, Ultrapro® and Bard Soft®). Euthanasia was performed at 30, 60 and 120 days after surgery. The abdominal wall segments were submitted to histological analysis using H&E, Masson’s trichrome, immunohistochemistry, picrosirius red and tensiometric evaluation. Results: On the 120th day, the tensiometric analysis was superior with Ultrapro® macroporous mesh. The inflammatory process score showed a significant prevalence of subacute process at the beginning and at the end of the study. Microporous meshes showed block encapsulation and in macroporous predominance of filamentous encapsulation. Conclusion: The Ultrapro® mesh showed better performance than the others in healing process of the abdominal wall.

https://doi.org/10.1590/0102-672020210001e1577 362 downloads

Atualização da Diretriz de Ressuscitação Cardiopulmonar e Cuidados Cardiovasculares de Emergência da Sociedade Brasileira de Cardiologia - 2019
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Bernoche, Claudia

; Timerman, Sergio Polastri, Thatiane Facholi Giannetti, Natali Schiavo Siqueira, Adailson Wagner da Silva Piscopo, Agnaldo Soeiro, Alexandre de Matos Reis, Amélia Gorete Afonso da Costa Tanaka, Ana Cristina Sayuri Thomaz, Ana Maria Quilici, Ana Paula Catarino, Andrei Hilário Ribeiro, Anna Christina de Lima Barreto, Antonio Carlos Pereira Azevedo Filho, Antonio Fernando Barros de Pazin Filho, Antonio Timerman, Ari Scarpa, Bruna Romanelli Timerman, Bruno Tavares, Caio de Assis Moura Martins, Cantidio Soares Lemos Serrano Junior, Carlos Vicente Malaque, Ceila Maria Sant’Ana Pisani, Cristiano Faria Batista, Daniel Valente Leandro, Daniela Luana Fernandes Szpilman, David Gonçalves, Diego Manoel Paiva, Edison Ferreira de Osawa, Eduardo Atsushi Lima, Eduardo Gomes Adam, Eduardo Leal Peixoto, Elaine Evaristo, Eli Faria Azeka, Estela Silva, Fabio Bruno da Wen, Fan Hui Ferreira, Fatima Gil Lima, Felipe Gallego Fernandes, Felipe Lourenço Ganem, Fernando Galas, Filomena Regina Barbosa Gomes Tarasoutchi, Flavio Souza, Germano Emilio Conceição Feitosa Filho, Gilson Soares Foronda, Gustavo Guimarães, Helio Penna Abud, Isabela Cristina Kirnew Leite, Ivanhoé Stuart Lima Linhares Filho, Jaime Paula Pessoa Moraes Junior, João Batista de Moura Xavier Falcão, João Luiz Alencar de Araripe Ramires, Jose Antônio Franchini Cavalini, José Fernando Saraiva, José Francisco Kerr Abrão, Karen Cristine Pinto, Lecio Figueira Bianchi, Leonardo Luís Torres Lopes, Leonardo Nícolau Geisler Daud Piegas, Leopoldo Soares Kopel, Liliane Godoy, Lucas Colombo Tobase, Lucia Hajjar, Ludhmila Abrahão Dallan, Luís Augusto Palma Caneo, Luiz Fernando Cardoso, Luiz Francisco Canesin, Manoel Fernandes Park, Marcelo Rabelo, Marcia Maria Noya Malachias, Marcus Vinícius Bolívar Gonçalves, Maria Aparecida Batistão Almeida, Maria Fernanda Branco de Souza, Maria Francilene Silva Favarato, Maria Helena Sampaio Carrion, Maria Julia Machline Gonzalez, Maria Margarita Bortolotto, Maria Rita de Figueiredo Lemos Macatrão-Costa, Milena Frota Shimoda, Mônica Satsuki Oliveira-Junior, Mucio Tavares de Ikari, Nana Miura Dutra, Oscar Pereira Berwanger, Otávio Pinheiro, Patricia Ana Paiva Corrêa Reis, Patrícia Feitosa Frota dos Cellia, Pedro Henrique Moraes Santos Filho, Raul Dias dos Gianotto-Oliveira, Renan Kalil Filho, Roberto Guinsburg, Ruth Managini, Sandrigo Lage, Silvia Helena Gelas Yeu, So Pei Franchi, Sonia Meiken Shimoda-Sakano, Tania Accorsi, Tarso Duenhas Leal, Tatiana de Carvalho Andreucci Guimarães, Vanessa Sallai, Vanessa Santos Ávila, Walkiria Samuel Sako, Yara Kimiko

Arquivos Brasileiros de Cardiologia

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sep 2019, Volume 113 N. 3 Pages 449 - 663

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.5935/abc.20190203 54793 downloads

Maxillary Osteomyelitis by Actinomyces in a Child
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Neto, Nicolau Conte Carvalho, Waldner Ricardo Souza de Conceição, Salete Martins Lima Silva, Lucas Martins de Castro e Vieira, Eduardo Hochuli

International journal of odontostomatology

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mar 2018, Volume 12 N. 1 Pages 15 - 20

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

RESUMEN: La actinomicosis es una infección bacteriana causada por la especie Actinomyces, que generalmente afecta los tejidos blandos de la región cervicofacial de los hombres adultos. Clínicamente, se caracteriza por una masa endurecida de crecimiento lento, especialmente en la zona submandibular. Sin embargo, en algunos casos, los huesos de las mandíbulas pueden ser afectados desarrollando características de osteomielitis. El objetivo de este trabajo es reportar un caso clínico poco frecuente de osteomielitis actinomicótica que afecta el maxilar de un niño, envolviendo el área del seno maxilar, y zonas orbitales y cigomáticas que fueron tratadas con la asociación de terapia con antibióticos y desbridamiento quirúrgico. El seguimiento del paciente por 2 años ocurrió sin incidentes y sin signos de recidiva de las lesiones.

ABSTRACT: Actinomycosis is a bacterial infection caused by Actinomyces species, which usually affect the soft tissues of the cervicofacial region of adult males. Clinically, it’s characterized by a slow-growing indurated mass, especially in the submandibular area. However, in a few cases, the jaws bones can be affected developing osteomyelitis characteristics. The aim of this paper is to report a rare clinical case of Actinomycotic Osteomyelitis affecting the maxilla of a child, involving the maxillary sinus, orbital and zygomatic areas that was treated by the association of antibiotic therapy and surgical debridement. The patient’s 2 years follow-up was uneventful and no signs of the lesion recurrence.

10.

Fracture Behavior and Fatigue Performance of Inconel 625
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Pereira, Fábio Gustavo Lima

; Lourenço, Jorge Magner Nascimento, Rubens Maribondo do Castro, Nicolau Apoena

Materials Research

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2018, Volume 21 N. 4 elocation e20171089

Abstract: En | Text: En | PDF: En

Inconel 625 is a nickel-based highly-resistant superalloy widely used in aerospace components, in the nuclear industry, and especially in the maritime industry. Materials such as Inconel 625 have been widely used in oil exploration of Brazilian pre-salt layers due to their excellent resistance to corrosion under tension, pitting and crevice corrosion by chloride and sulphide ions, and also because they are resistant to microbiological corrosion. All components used in the exploration of crude oil in these environments suffer mechanical fatigue from oceanic oscillations that naturally occur. Samples were precisely machined and tested under uniaxial tension and cyclic tension-compression fatigue following determinations of the ASTM E8M and ASTM E466 standards respectively, at a loading ratio of R = -1. Tensile strengths of 586, 472, 382 and 306 MPa were selected according to the yield strength of the material for raising the S-N curve. A macro and microstructural characterization regarding failure modes was performed revealing that fatigue striations predominated in the stable region of crack growth, whereas microvoids coalescence prevailed in the fast fracture zone. Inconel 625 presented a refined microstructure composed of equiaxial grains with a mean size of 14 µm, typical of refining obtained by hardening followed by recrystallization. The precipitation of MC type carbides (M=Mo or M=Nb) and Cr23C6 dispersed in the austenitic matrix of Inconel 625 controls a secondary alloy hardening mechanism.

https://doi.org/10.1590/1980-5373-mr-2017-1089 5845 downloads

11.

TENSIOMETRIC ANALYSIS OF MESHES USED IN ABDOMINAL VENTRAL WALL DEFECTS IN RATS
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UTRABO, Carlos Alberto Lima CZECZKO, Nicolau Gregori BUSATO, Cesar Roberto MONTEMÓR-NETTO, Mário Rodrigues LIPINSKI, Leandro MALAFAIA, Osvaldo

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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sep 2017, Volume 30 N. 3 Pages 165 - 168

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

RESUMO Racional: Dentre as várias estratégias para evitar exagerada reação de corpo estranho no tratamento das hérnias está a limitação da quantidade de polipropileno na tela ou utilização de material absorvível. Objetivo: Avaliar a cicatrização de defeito em parede abdominal de ratos, comparando-se as telas de polipropileno microporosa, polipropileno macroporosa e polipropileno/poliglecaprone. Métodos: Em 90 ratos Wistar foi produzido defeito na parede abdominal ventral, com integridade do peritônio parietal. Na correção foram utilizadas as telas Prolene®, Ultrapro® e Bard Soft®. Nove subgrupos de 10 animais foram submetidos à eutanásia no 30º, 60º e 120º dia do pós-operatório. Fragmentos da parede abdominal dos animais foram submetidos à análise tensiométrica. Resultados: A tensiometria aos 30dias mostrou maior resistência do tecido com tela Bard Soft® em relação à de Prolene®; no 60º dia a Bard Soft® manteve a resistência superior ao Prolene®; no 120º dia a reparação com tela macroporosa Ultrapro® mostrou-se mais resistentes que a de Prolene® e Bard Soft®. Conclusão: Os tecidos reparados com telas macroporosas demonstraram maior resistência do que as microporosas em todas as fases, sendo que aos 120 dias de pós-operatório a Ultrapro® teve melhor desempenho que as demais.

ABSTRACT Background: Among the various strategies to avoid exaggerated foreign body reaction in the treatment of hernias is the limitation of the amount of polypropylene or the use of absorbable material. Aim: To evaluate the healing of defects in the abdominal wall of rats, comparing microporous polypropylene, macroporous polypropylene and polypropylene/polyglecaprone at the 30º, 60º and 120º postoperative day. Methods: Wistar rats were submitted to defect production in the ventral abdominal wall, with integrity of the parietal peritoneum. Prolene®, Ultrapro® and Bard Soft® meshes were used in the correction of the defect. Nine subgroups of 10 animals were submitted to euthanasia at 30th, 60th and 120th postoperative day. Fragments of the abdominal wall of the animals were submitted to tensiometric analysis. Results: The tensiometry at the 30th postoperative day showed greater resistance of the tissues with Bard Soft® (macroporous mesh) in relation to the tissues with Prolene® (microporous mesh). On the 60th postoperative day Bard Soft® maintained the superior resistance to the tissues comparing to Prolene Mesh®. On the 120th postoperative day the tissues repaired with Ultrapro® (macroporous mesh) proved to be more resistant than the ones by Prolene® (microporous mesh) and Bard Soft® (macroporous mesh). Conclusion: The tissues repaired with macroporous meshes showed greater resistance than with microporous meshes at all stages, and at 120 days postoperative Ultrapro® performed better than the others.

https://doi.org/10.1590/0102-6720201700030001 2150 downloads

12.

New directions for postgraduate in surgery: overview and perspective of implementation in Medicine III/Capes
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Lima, Wilma Terezinha Anselmo Matias, Jorge Eduardo Fouto Calderon, Iracema MP Malafaia, Osvaldo Ribas-Filho, Jurandir Marcondes Czeczko, Nicolau Gregori

Revista do Colégio Brasileiro de Cirurgiões

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2015, Volume 42 Suppl. 1 Pages 2 - 3

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

https://doi.org/10.1590/0100-69912015S01002 749 downloads

13.

EFEITO DA INVERSÃO NO TRATAMENTO DE MOIRÕES SUBMETIDOS AO MÉTODO DE SUBSTITUIÇÃO DA SEIVA
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Paes, Juarez Benigno Santos, Gerlanda Caetano dos Melo, Rafael Rodolfo de Lima, Carlos Roberto de Nicolau Sobrinho, Wlademir

Ciência Florestal

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mar 2014, Volume 24 N. 1 Pages 211 - 221

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

RESUMO O objetivo da pesquisa foi avaliar o efeito da inversão de moirões de algaroba (Prosopis juliflora) e de leucena (Leucaena leucocephala), na solução preservativa, na distribuição, penetração e retenção do borato de cobre cromatado (CCB) aplicado pelo método de substituição da seiva. A algaroba foi coletada na Empresa Brasileira de Pesquisa Agropecuária (EMBRAPA) e a leucena no Campus da Universidade Federal de Campina Grande, em Patos PB. Foram colhidas árvores com DAP entre 6,0 a 12,0 cm. Retiraram-se dois discos de 2,0 cm de espessura no topo e base das peças. Os discos externos foram descartados e os internos empregados nas determinações das características das madeiras, ficando as peças com 2,0 m. Empregou-se uma solução de 2% de ingredientes ativos de CCB. Foram tratadas 10 peças de cada espécie, tendo cinco delas permanecido dispostas na solução durante 8 dias e cinco tiveram seus topos invertidos após o sexto dia de tratamento. As peças foram secas ao ar, retiraram-se discos de 2,0 cm de espessura para a determinação da penetração (cinco posições nas peças) e para a retenção do CCB (três posições). Os valores das características das madeiras indicaram que as peças eram homogêneas. A absorção da solução foi de 19,9 litros (algaroba) e de 17,0 litros (leucena), acarretando em uma retenção nominal de CCB de 7,72 e 5,34 kg de ingredientes ativos (i.a.)/m3, respectivamente. De maneira geral, a inversão das peças na solução preservativa é recomendável, por proporcionar uma melhor distribuição, penetração e retenção do CCB ao longo da peça tratada.

ABSTRACT This work aimed to evaluate the effect of inversion of Prosopis juliflora and Leucaena leucocephala fence posts, in distribution, penetration and retention of copper chrome borate (CCB) solution applied by sap displacement method. The Prosopis juliflora was collected in Brazilian Agricultural Research Company (EMBRAPA) and the Leucaena leucocephala at the Federal University of Campina Grande in Patos, Paraíba state, Brazil. Trees with DAP from 5.0 to 10.0 cm were employed. Disks of 2.0 cm of thickness were retired on the top and on the base of pieces. The external disks were then discarded and the intern ones were employed to determine the wood characteristics, being the round pieces with 2.0 m. A solution of 2% of active ingredients of CCB was used to treated woods. A total of 10 pieces of each species were treated, and five of them remained in the solution for 8 days and the five ones had their tops inverted after the sixth day of treatment. The pieces were seasoned; disks of 2.0 cm of thickness were taken in 5 positions along of pieces and the analyses for determination of copper and boron penetration took place. The values of wood characteristics indicated that the pieces were homogeneous. The absorption of the solution was of 19.9 liters (Prosopis juliflora) and of 17.0 liters (Leucaena leucocephala). The nominal retentions of CCB were 7.72 and 5.34 kg active ingredients (a.i.)/m3, respectively. In general, the inversion of the pieces in the preservative solution is recommended, by providing a better distribution, penetration and retention of CCB on treated pieces.

https://doi.org/10.5902/1980509813338 427 downloads

14.

Generation of an Atomic Beam by Using Laser Ablation for Isotope Separation Purposes
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Matos, Juliana Barranco de Oliveira, Márcio de Lima Sternberg, Emmanuela Melo de Andrade Destro, Marcelo Geraldo Riva, Rudimar Rodrigues, Nicolau André Silveira

Journal of Aerospace Technology and Management

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dec 2012, Volume 4 N. 4 Pages 413 - 420

Abstract: En | Text: En | PDF: En

Abstract: Atomic vapor laser isotope separation has been studied at the Institute for Advanced Studies for nuclear purposes since 1982, and recently it has been questioned about its potentialities for the aerospace area. Many applications from nuclear propulsion to electricity generation and space navigation have been found, which justify the study of isotope separation for aerospace applications. One of the key process, and the first step for atomic vapor laser isotope separation, is the production of a neutral vapor jet. This paper discussed the potentiality of using laser ablation as a tool to generate neutral metal vapor jet for isotope separation purposes. The basis for the discussion is a set of experimental results obtained at the Institute for Advanced Studies. The experiments were described, the results were analyzed using basic theoretical treatment found in the literature, and it was concluded that laser ablation is a potential tool for the generation of a neutral vapor jet for atomic vapor laser isotope separation purposes.

https://doi.org/10.5028/jatm.2012.04041712 464 downloads

15.

Comparative study between polypropylene and polypropylene/poliglecaprone meshes used in the correction of abdominal wall defect in rats
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Utrabo, Carlos Alberto Lima Czeczko, Nicolau Gregori Busato, Cesar Roberto Montemor-Netto, Mario Rodrigues Malafaia, Osvaldo Dietz, Ulrich Andreas

Acta Cirúrgica Brasileira

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apr 2012, Volume 27 N. 4 Pages 300 - 305

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

OBJETIVO: Avaliar a cicatrização de um defeito, na parede abdominal ventral de ratos, comparando-se as telas de polipropileno e polipropileno/poliglecaprone no 30º e 60º dia do pós-operatório. MÉTODOS: Trinta e dois ratos Wistar foram submetidos à produção de defeito na parede abdominal ventral, com integridade do peritônio parietal. Na correção foram utilizadas as telas de polipropileno (grupo A) e polipropileno/poliglecaprone (grupo B). Houve subdivisão em quatro subgrupos (A30, A60, B30 e B60) de oito animais que foram submetidos à eutanásia no 30º e 60º dia do pós-operatório. Fragmentos da parede abdominal foram submetidos à análise macroscópica, tensiométrica e histológica. RESULTADOS: A tensiometria no subgrupo A30 mostrou tensão média de ruptura de 0,78 Mpa e no subgrupo A60 de 0,66 MPa. No subgrupo B30 foi de 0,84 MPa e no B60 de 1,27 MPa. O escore do processo inflamatório mostrou fase subaguda nos subgrupos A30 e B30 e processo inflamatório crônico no subgrupo A60 e B60. CONCLUSÕES: A resistência à tensão foi maior na parede reparada pela tela de polipropileno/poliglecaprone no 60º dia pós-operatório. Na análise histológica houve maior concentração da fibrose na superfície da tela de polipropileno com tendência ao encapsulamento. Nos subgrupos polipropileno/poliglecaprone a análise histológica mostrou maior fibrose entre os filamentos da tela.

PURPOSE: To evaluate the healing process of a defect in the ventral abdominal wall of rats, comparing the polypropylene and polypropylene/poliglecaprone meshes on the 30th and 60th postoperative day. METHODS: Thirty two Wistar rats were submitted to a ventral abdominal wall defect, with integrity of the parietal peritoneum. In the repair, were used polypropylene (group A) and polypropylene/poliglecaprone (group B) meshes. The groups were subdivided into four subgroups of eight animals euthanized on the 30th (A30 and B30) and 60th postoperative day (A60 and B60). Fragments of the abdominal wall of the animals were submitted to macroscopic, tensiometric and histological evaluations. RESULTS: The tensiometry on subgroup A30 showed a mean average break point of 0.78 MPa and in A60, 0.66 Mpa. In subgroup B30 it was 0.84 MPa and in B60, 1.27 Mpa. The score of the inflammatory process showed subacute phase on A30 and B30 sub-groups and chronic inflammatory process in subgroups A30 and 60B. CONCLUSIONS: The tensile strength was higher on the wall repaired by polypropylene/poliglecaprone mesh in the 60th post-operative day. Histology showed higher concentration of fibrosis on the surface of the polypropylene mesh with a tendency to encapsulation. In polypropylene/poliglecaprone subgroups the histology showed higher concentration of fibrosis on the surface of mesh filaments.

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