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Comparison of the effectiveness of different high-flow devices in neonatal care highflow high flow
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Kaminski, Diogo Machado

; Biazus, Graziela Ferreira

; Silveira, Rita C.

; Procianoy, Renato Soibelmann

Jornal de Pediatria

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apr 2024, Volume 100 N. 2 Pages 212 - 217

Abstract: En | Text: En | PDF: En

Abstract Objective: To evaluate the success rate of high-flow nasal cannula (HFNC) therapy using an adapted obsolete mechanical ventilator (MV), Optiflow™ and Vapotherm™ in newborns (NBs). Method: This was a retrospective observational study conducted in the neonatal intensive care unit (NICU). The sample comprised NBs who underwent HFNC therapy due to ventilatory dysfunction, for weaning from non-invasive ventilation (NIV), or post-extubation. The three groups, stratified according to gestational age (GA) and birth weight, and corrected GA and weight at the beginning of HFNC use, were as follows: Optiflow ™, Vapotherm ™, and obsolete Mechanical Ventilator (MV) adapted for high flow therapy. Subsequently, the NBs were divided into a success group (SG) and a failure group (FG). HFNC success was defined as a therapy duration exceeding 72 h. Results: A total of 209 NBs were evaluated, with 31.1 % using HFNC due to ventilatory dysfunction, 2.4 % after extubation, and 66.5 % after NIV weaning. HFNC success rate was observed in 90.9 % of the NBs, with no difference between equipment types (Vapotherm ™, Optiflow ™, and adapted VM). Conclusion: Different types of HFNC equipment are equally effective when used in neonatology for respiratory dysfunction, as a method of weaning from NIV and post-extubation. Adapted obsolete MV can be an alternative for HFCN therapy in resource-constrained settings. Objective highflow (HFNC MV, , NBs. . (NBs) Method NICU. NICU (NICU) dysfunction noninvasive non invasive NIV, (NIV) postextubation. postextubation post extubation. extubation post-extubation groups (GA use follows ™ (MV Subsequently SG (SG FG. FG (FG) 7 h Results 20 evaluated 311 31 1 31. 24 2 4 2. 665 66 5 66. 909 90 9 90. VM. VM VM) Conclusion resourceconstrained resource constrained settings (NBs (NICU (NIV (FG 3 6

https://doi.org/10.1016/j.jped.2023.10.006

Domestic violence patterns in postpartum women who delivered during the COVID-19 pandemic
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Correia, Luciano Lima

; Machado, Márcia Maria Tavares

; Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Araújo, David Augusto Batista Sá

; Gomes, Emanuel de Assis Bertulino Martins

; Saldanha, Anyelle Barroso

; Rodrigues, Rita de Cássia Rebouças

; Gomes, Yuri Valentim Carneiro

; Castro, Márcia Caldas

Revista Brasileira de Epidemiologia

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2024, Volume 27 elocation e240022

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

ABSTRACT Objective: To longitudinally assess domestic violence (DV) during the postpartum period, identifying types, patterns and determinants of DV, according to mothers’ reports in Fortaleza, Brazil. Methods: Data from the Iracema-COVID cohort study interviewed at home mothers who gave birth in the first wave of COVID-19, at 18 and 24 months after birth. Patterns of reported DV were classified as follows: no DV, interrupted DV, started DV and persistent DV. Adjusted multinomial logistic regressions were used to assess factors associated with persistent DV. Results: DV was reported by 19 and 24% of the mothers at 18 and 24 months postpartum, respectively, a 5 percentage points increase. Persistent DV was present in 11% of the households in the period. The most frequent forms of DV were verbal aggression, reported by 17–20% of the mothers at 18 and 24 months, respectively; drunkenness or use of drugs at home, present in 3–5% of the households; physical aggression, reported by 1.2–1.6% of the mothers. Households with two or more forms of DV increased from 2 to 12% in the period. Adjusted factors associated with persistent DV were maternal common mental disorder, family headed by the mother and head of family’s poor schooling. Food insecurity was associated with starting DV. Conclusion: Prevalence of DV was considerably high in the postpartum period. DV prevention policies should rely on improving care to women’s mental health; preventing food insecurity; and fostering the educational level of young people of both sexes.

RESUMO Objetivo: Avaliar a violência doméstica (VD) longitudinalmente no período pós-parto, identificando tipos, padrões e determinantes de VD, segundo relatos de mães em Fortaleza, Brasil. Métodos: O estudo de coorte Iracema-COVID entrevistou em casa mães que pariram na primeira onda de COVID-19, aos 18 e 24 meses após o parto. Os padrões de VD relatados foram classificados da seguinte forma: VD inexistente, VD interrompida, VD iniciada e VD persistente. Regressões logísticas multinomiais brutas e ajustadas com variância robusta foram utilizadas para avaliar os fatores associados à VD persistente. Resultados: A VD foi relatada por 19–24% das mães aos 18 e 24 meses pós-parto, respectivamente, mostrando um aumento de 5 pontos percentuais. Em 11% dos domicílios a VD persistente esteve presente no período. As formas de VD incluíram agressão verbal, relatada por 17–20% das mães; embriaguez ou uso de drogas em casa, presente em 3-5% das residências; agressão física, relatada por 1,2–1,6% das mães. Residências com duas ou mais formas de VD aumentaram de 2 para 12% no período. Fatores de risco ajustados associados à VD persistente foram: transtorno mental comum materno, família chefiada pela mãe e baixa escolaridade do chefe de família. Insegurança alimentar esteve associada à VD iniciada. Conclusão: A prevalência de VD foi consideravelmente alta no período pós-parto. Políticas de prevenção de VD devem se basear em intervenções que visem melhorar a atenção à saúde mental das mulheres; combater a insegurança alimentar; e promover o nível educacional de jovens de ambos os sexos.

https://doi.org/10.1590/1980-549720240022

Advantages of whole-exome sequencing over immunomapping in 67 Brazilian patients with epidermolysis bullosa wholeexome whole exome 6
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Kelmann, Samantha Vernaschi

; Stephan, Bruno de Oliveira

; Barbosa, Silvia Maria de Macedo

; Polastrini, Rita Tiziana Verardo

; Oliveira, Zilda Najjar Prado de

; Rivitti-Machado, Maria Cecília

; Spolador, Gustavo Marquezani

; Honjo, Rachel Sayuri

; Saida, Ken

; Matsumoto, Naomichi

; Kim, Chong Ae

Anais Brasileiros de Dermatologia

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2024, Volume 99 N. 3 Pages 350 - 356

Abstract: En | Text: En | PDF: En

Abstract Background Epidermolysis bullosa (EB) is characterized by skin fragility and blistering. In Brazil, the diagnosis is usually obtained through immunomapping, which involves a skin biopsy. Most recently, whole exome sequencing (WES) has become an important tool for the diagnosis of the subtypes of EB, providing information on prognosis as well as allowing appropriate genetic counseling for the families. Objective To compare the results of immunomapping and molecular analysis and to describe the characteristics of a Brazilian cohort of patients with EB. Methods Patients were submitted to clinical evaluation and WES using peripheral blood samples. WES results were compared to those obtained from immunomapping testing from skin biopsies. Results 67 patients from 60 families were classified: 47 patients with recessive dystrophic EB (DEB), 4 with dominant DEB, 15 with EB simplex (EBS), and 1 with junctional EB (JEB). Novel causative variants were: 10/60 (16%) in COL7A1 associated with recessive DEB and 3 other variants in dominant DEB; one homozygous variant in KRT5 and another homozygous variant in PLEC, both associated with EBS. Immunomapping was available for 59 of the 67 patients and the results were concordant with exome results in 37 (62%), discordant in 13 (22%), and inconclusive in 9 patients (15%). Study limitations Even though EB is a rare disease, for statistical purposes, the number of patients evaluated by this cohort can still be considered limited; other than that, there was a significant difference between the proportion of types of EB (only one case with JEB, against more than 50 with DEB), which unfortunately represents a selection bias. Also, for a small subset of families, segregation (usually through Sanger sequencing) was not an option, usually due to deceased or unknown parent status (mostly the father). Conclusion Although immunomapping has been useful in services where molecular studies are not available, this invasive method may provide a misdiagnosis or an inconclusive result in about 1/3 of the patients. This study shows that WES is an effective method for the diagnosis and genetic counseling of EB patients. (EB blistering Brazil biopsy recently (WES samples biopsies 6 classified , (DEB) EBS, EBS (EBS) JEB. JEB . (JEB) 1060 10 10/6 16% 16 (16% COLA COL A COL7A KRT PLEC 5 62%, 62 62% (62%) 22%, 22 22% (22%) 15%. 15% (15%) disease purposes limited only DEB) bias Also option mostly father. father father) 1/ (DEB (EBS (JEB 106 10/ (16 (62% 2 (22% (15% (1 (62 (22 (15 ( (6 (2

https://doi.org/10.1016/j.abd.2023.07.002

Domestic violence patterns in postpartum women who delivered during the COVID-19 pandemic COVID19 COVID 19 COVID-1 COVID1 1 COVID-
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Correia, Luciano Lima

; Machado, Márcia Maria Tavares

; Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Araújo, David Augusto Batista Sá

; Gomes, Emanuel de Assis Bertulino Martins

; Saldanha, Anyelle Barroso

; Rodrigues, Rita de Cássia Rebouças

; Gomes, Yuri Valentim Carneiro

; Castro, Márcia Caldas

Revista Brasileira de Epidemiologia

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2024, Volume 27 elocation e240022

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

https://doi.org/10.1590/1980-549720240022

Penicilina: da descoberta ao patenteamento do processo de produção em larga escala Penicilina
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Silva, Roberto Viana da

; Pinheiro-Machado, Rita

; Sousa, Ana Cristina Augusto de

História, Ciências, Saúde-Manguinhos

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2024, Volume 31 elocation e2024021

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

Resumo A partir de pesquisa sobre a descoberta, a invenção e a inovação relacionadas à penicilina, por amostra de atividades de resolução de problemas tecnológicos rastreada pela distribuição, no período de 1929 a 1945, de trabalhos científicos, relatórios de governo, inovações e patentes, o artigo propõe uma reflexão sobre a importância do progresso científico para a segurança nacional. A análise destaca a trajetória tecnológica e os resultados na área de propriedade intelectual, considerando um fator importante a política implementada nos EUA para catalisar processos de inovação e oferecer condições institucionais para atender às demandas de defesa nacional, o que não significa necessariamente unicidade de solução em outros contextos. descoberta penicilina distribuição 192 1945 científicos governo patentes nacional intelectual contextos 19 194 1

Abstract This article examines discoveries, inventions, and innovations related to penicillin by sampling activities to solve technological problems which can be traced by the distribution of scientific articles, government reports, innovations, and patents between 1929 and 1945, and proposes reflection on the importance of scientific progress for national security. The analysis highlights the technological trajectory and outcomes in the area of intellectual property, considering US policy implemented to catalyze innovation and provide institutional conditions to meet national defense needs as an important factor, although this did not necessarily imply a unique solution in other contexts. discoveries inventions articles reports 192 1945 security property factor contexts 19 194 1

https://doi.org/10.1590/s0104-59702024000100021

New species of Hexacladia Ashmead (Hymenoptera: Encyrtidae), a parasitoid of Tibraca limbativentris Stål (Hemiptera: Pentatomidae) Hymenoptera (Hymenoptera Encyrtidae, Encyrtidae , Encyrtidae) Hemiptera (Hemiptera Pentatomidae
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Machado, Keneson Klay Gonçalves

; Costa, Valmir Antonio

; Noyes, John

; Lemos, Raimunda Nonata Santos de

; Costa, Elizabeth Araújo

; Mondego, Janaina Marques

Revista Brasileira de Entomologia

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2024, Volume 68 N. 1 elocation e20230039

Abstract: En | Text: En | PDF: En

ABSTRACT The rice stink bug, Tibraca limbativentris Stål (Hemiptera: Pentatomidae), is a significant pest of rice cultivation in Brazil and attacks plants during both vegetative and reproductive phases. Natural enemy surveys conducted in plantations located in Arari, Miranda do Norte, Matões do Norte, Santa Rita, and Viana (state of Maranhão, Brazil) led to the discovery of a new species of parasitoid, which is described in this study. Hexacladia lemosae Costa, Noyes & Machado sp. nov. (Hymenoptera: Encyrtidae) is the first species of its genus associated with T. limbativentris and develops as a gregarious endoparasitoid in adult stink bugs, occasionally in nymphs. The parasitoid emerges from the host while host is still alive. bug Hemiptera (Hemiptera Pentatomidae, Pentatomidae , Pentatomidae) phases Arari Norte Rita state Maranhão study Costa sp nov Hymenoptera (Hymenoptera Encyrtidae T bugs nymphs alive

https://doi.org/10.1590/1806-9665-rbent-2023-0039

To be or not to B27 positive: implications for the phenotypes of axial spondyloarthritis outcomes. Data from a large multiracial cohort from the Brazilian Registry of Spondyloarthritis B B2 positive outcomes
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Resende, Gustavo Gomes

; Saad, Carla Goncalves Schahin

; Marques, Claudia Diniz Lopes

; Ribeiro, Sandra Lúcia Euzébio

; Gavi, Maria Bernadete Renoldi de Oliveira

; Yazbek, Michel Alexandre

; Marinho, Adriana de Oliveira

; Menin, Rita de Cássia

; Ochtrop, Manuella Lima Gomes

; Soares, Andressa Miozzo

; Cavalcanti, Nara Gualberto

; Carneiro, Jamille Nascimento

; Werner de Castro, Glaucio Ricardo

; Fernandes, José Mauro Carneiro

; Souza, Elziane da Cruz Ribeiro E

; Alvarenga, Corina Quental de Menezes

; Vieira, Rejane Maria Rodrigues de Abreu

; Machado, Natalia Pereira

; Ximenes, Antônio Carlos

; Gazzeta, Morgana Ohira

; Albuquerque, Cleandro Pires de

; Skare, Thelma Larocca

; Keiserman, Mauro Waldemar

; Kohem, Charles Lubianca

; Benacon, Gabriel Sarkis

; Rocha, Vítor Florêncio Santos

; Lage, Ricardo da Cruz

; Malheiro, Olivio Brito

; Golebiovski, Rywka Tenenbaum Medeiros

; Oliveira, Thauana Luiza

; Duque, Ruben Horst

; Londe, Ana Carolina

; Pinheiro, Marcelo de Medeiros

; Sampaio-Barros, Percival Degrava

Advances in Rheumatology

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2024, Volume 64 elocation 33

Abstract: En | Text: En | PDF: En

Abstract Background There is a remarkable variability in the frequency of HLA-B27 positivity in patients with spondyloarthritis (SpA), which may be associated with different clinical presentations worldwide. However, there is a lack of data considering ethnicity and sex on the evaluation of the main clinical and prognostic outcomes in mixed-race populations. The aim of this study was to evaluate the frequency of HLA-B27 and its correlation with disease parameters in a large population of patients from the Brazilian Registry of Spondyloarthritis (RBE). Methods The RBE is a multicenter, observational, prospective cohort that enrolled patients with SpA from 46 centers representing all five geographic regions of Brazil. The inclusion criteria were as follow: (1) diagnosis of axSpA by an expert rheumatologist; (2) age ≥18 years; (3) classification according to ASAS axial. The following data were collected via a standardized protocol: demographic data, disease parameters and treatment historical. Results A total of 1096 patients were included, with 73.4% HLA-B27 positivity and a mean age of 44.4 (±13.2) years. Positive HLA-B27 was significantly associated with male sex, earlier age at disease onset and diagnosis, uveitis, and family history of SpA. Conversely, negative HLA-B27 was associated with psoriasis, higher peripheral involvement and disease activity, worse quality of life and mobility. Conclusions Our data showed that HLA-B27 positivity was associated with a classic axSpA pattern quite similar to that of Caucasian axSpA patients around the world. Furthermore, its absence was associated with peripheral manifestations and worse outcomes, suggesting a relevant phenotypic difference in a highly miscegenated population. HLAB27 HLAB HLA B27 B HLA-B2 SpA, , (SpA) worldwide However mixedrace mixed race populations RBE. . (RBE) multicenter observational 4 Brazil follow 1 (1 rheumatologist 2 (2 18 ≥1 years 3 (3 axial protocol historical 109 included 734 73 73.4 444 44 44. ±13.2 132 13 (±13.2 uveitis Conversely psoriasis activity mobility world Furthermore HLAB2 B2 HLA-B (SpA (RBE ( ≥ 10 7 73. ±13. (±13. ±13 (±13 ±1 (±1 ± (±

https://doi.org/10.1186/s42358-024-00372-0

Evaluation of the efficacy of entomopathogenic nematodes on Ctenocephalides felis felis larvae (Siphonaptera: Pulicidae) Siphonaptera (Siphonaptera Pulicidae
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Souza, Ana Caroline Ferreira de

; Silva, Danielle Pereira da

; Monteiro Sobrinho, Américo de Castro

; Bittencourt, Vânia Rita Elias Pinheiro

; Bittencourt, Avelino José

; Correia, Thaís Ribeiro

; Chambarelli, Melissa Carvalho Machado do Couto

Revista Brasileira de Parasitologia Veterinária

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2024, Volume 33 N. 2 elocation e019723

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

Resumo Ctenocephalides felis felis é um ectoparasito de relevância, ampla distribuição geográfica, vetor de patógenos causadores de doenças e responsável por perdas econômicas relacionadas ao uso de produtos químicos que causam impacto ambiental e aparecimento de populações resistentes. Pesquisas com nematoides entomopatogênicos podem ser uma alternativa ao controle químico desse inseto. O presente estudo objetivou avaliar a eficácia de Heterorhabiditis bacteriophora (HP88) em larvas de C. felis em 400 μL, 600 μL e 1000 μL de suspensão contendo 120, 160 e 200 juvenis infectantes/larva e 600 μL de suspensão contendo as mesmas concentrações de Heterorhabditis indica (LPP30), divididos em dois grupos (ausência e presença de dieta) e grupo controle com três repetições contendo apenas com água destilada. No bioensaio com H. bacteriophora observou-se que os grupos com 600 μL de suspensão apresentaram melhores percentuais de mortalidade em relação aos outros volumes testados, sendo estas acima de 80% para as três concentrações. Já H. indica apresentou percentuais de mortalidades acima de 70% para as três concentrações utilizadas. Os resultados indicam que as larvas de pulga são suscetíveis a infecção in vitro por H. bacteriophora e H. indica. relevância geográfica resistentes inseto HP88 HP (HP88 C 40 60 100 120 16 20 infectanteslarva infectantes larva LPP30, LPP30 LPP , (LPP30) ausência dieta destilada H observouse observou se testados 80 70 utilizadas HP8 (HP8 4 6 10 12 1 2 LPP3 (LPP30 8 7 (HP (LPP3 (LPP

Abstract Ctenocephalides felis felis is a relevant and widely distributed ectoparasite that acts as a vector of disease-causing pathogens. Moreover, it is responsible for economic losses due the use of harmful chemicals to the environment and that favor the emergence of insecticide-resistant populations. Research on entomopathogenic nematodes may open up an alternative route to the insect chemical control. The present study aimed to evaluate the killing efficacy of Heterorhabditis bacteriophora (HP88) against C. felis larvae in 400 μL, 600 μL and 1000 μL of suspension containing 120, 160 and 200 infective juveniles/larva and 600 μL of suspension containing the same concentrations of Heterorhabditis indica (LPP30), divided into two groups (absence and presence of diet) and a control group with three replications containing only distilled water. In the bioassay with H. bacteriophora, the groups in 600 μL of suspension showed higher mortality rates than those in the other tested volumes, which were above 80% at all concentrations. On the other hand, H. indica achieved mortality rates above 70% at all concentrations used. Results indicate that flea larvae are susceptible to in vitro infection by H. bacteriophora and H. indica. diseasecausing disease causing pathogens Moreover insecticideresistant insecticide resistant populations HP88 HP (HP88 C 40 60 100 120 16 20 juvenileslarva juveniles larva LPP30, LPP30 LPP , (LPP30) absence diet water H volumes 80 hand 70 used HP8 (HP8 4 6 10 12 1 2 LPP3 (LPP30 8 7 (HP (LPP3 (LPP

https://doi.org/10.1590/s1984-29612024027

Serological and molecular diagnosis of Trypanosoma vivax on buffalos (Bubalus bubalis) and their ectoparasites in the lowlands of Maranhão, Brazil Bubalus bubalis Maranhão
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Serra, Thais Bastos Rocha

; Reis, Andrea Teles dos

; Silva, Carla Fernanda do Carmo

; Soares, Raynara Fernanda Silva

; Fernandes, Simone de Jesus

; Gonçalves, Luiz Ricardo

; Costa, Andrea Pereira da

; Machado, Rosangela Zacarias

; Nogueira, Rita de Maria Seabra

Revista Brasileira de Parasitologia Veterinária

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2024, Volume 33 N. 4 elocation e003424

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

Resumo O objetivo deste estudo foi detectar formas tripomastigotas de Trypanosoma vivax em esfregaço sanguíneo, DNA de T. vivax e anticorpos anti-T. vivax, em amostras de búfalos, criados na Baixada Maranhense, Brasil. Foram coletadas amostras de sangue de 116 búfalos e 25 espécimes de ectoparasitas. Para o diagnóstico, foi realizada a confecção de esfregaços sanguíneos a fim de observar formas compatíveis com Trypanosoma spp., a sorologia por Ensaio Imunoenzimático Indireto ((iELISA), a Imunocromatografia de fluxo lateral (Imunotest®) e o diagnóstico molecular por meio da Reação em Cadeia da Polimerase (PCR). Não foram observadas formas compatíveis com Trypanosoma spp. nos esfregaços sanguíneos. Dentre as 116 amostras de soro analisadas, 79,31% e 76,72% mostraram-se positivas nos ensaios de ELISA e teste rápido, respectivamente. Uma amostra foi positiva no teste molecular. Foram coletados 25 piolhos da espécie Haematopinus tuberculatus. Quando submetidos a PCR para a detecção do DNA de T. vivax, todos mostraram-se negativos. Os espécimes de piolhos estavam negativos para T. vivax. Não houve diferença estatística significante (p<0,05) em relação à idade e sexo dos animais e a presença de T. vivax na região. Pode-se concluir que o protozoário está circulando em rebanho bubalino da Baixada Maranhense, demostrando parasitemias crípticas. sanguíneo T antiT. antiT anti anti-T Maranhense Brasil 11 2 ectoparasitas spp iELISA, iELISA , ((iELISA) Imunotest® Imunotest (Imunotest® PCR. . (PCR) analisadas 7931 79 31 79,31 7672 76 72 76,72 mostraramse mostraram se rápido respectivamente tuberculatus p<0,05 p005 p 0 05 (p<0,05 região Podese Pode crípticas 1 ((iELISA (Imunotest (PCR 793 7 3 79,3 767 76,7 p<0,0 p00 (p<0,0 79, 76, p<0, p0 (p<0, p<0 (p<0 p< (p< (p

Abstract The aim of this study was to detect trypomastigote forms of Trypanosoma vivax, in blood smears, DNA of T. vivax and anti-T. vivax antibodies in samples from buffalos reared in the lowlands of Maranhão, Brazil. Blood samples were collected from 116 buffalos and 25 ectoparasite specimens. Blood smears were produced to diagnose forms compatible with Trypanosoma spp.; the indirect enzyme-linked immunosorbent assay (iELISA) and lateral-flow immunochromatography (Imunotest®) serological tests were used; and the polymerase chain reaction (PCR) was used to make molecular diagnoses. No forms compatible with Trypanosoma spp. were observed in blood smears. Among the 116 serum samples analyzed, 79.31% and 76.72% were positive in the ELISA and rapid tests, respectively. One sample was positive in the molecular test. Twenty-five lice of the species Haematopinus tuberculatus were collected. When subjected to PCR for detection of DNA of T. vivax, all of them were negative. The louse specimens were negative for T. vivax. There were no statistically significant differences (p < 0.05) in the presence of T. vivax in this region, in relation to the animals’ age and sex. It can be concluded that these protozoa are circulating in the buffalo herd of the lowlands of Maranhão displaying crypitc parasitemias. T antiT. antiT anti anti-T Brazil 11 2 spp enzymelinked enzyme linked iELISA (iELISA lateralflow lateral flow Imunotest® Imunotest (Imunotest® (PCR diagnoses analyzed 7931 79 31 79.31 7672 76 72 76.72 respectively test Twentyfive Twenty five p 0.05 005 0 05 region animals sex parasitemias 1 (Imunotest 793 7 3 79.3 767 76.7 0.0 00 79. 76. 0.

https://doi.org/10.1590/s1984-29612024066

10.

Práticas relacionais dos enfermeiros com a família numa unidade de cuidados intensivos cardíacos
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Machado, Ana Rita

; Antunes, Cristina

; Imaginário, Cristina

Revista de Enfermagem Referência

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dec 2023, Volume serVI N. 2 elocation e22116

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

Abstract Background: Family-centered care is an approach that addresses the needs and values of each family. Objective: To know the perceptions of nurses in the cardiac intensive care unit of a hospital center in northern Portugal about relational practices with families in an intensive care unit. Methodology: Quantitative, descriptive, correlational, and cross-sectional study with a sample of 26 nurses, 65.4% (n = 17) female. The PREFUCI-Importance and PREFUCI-Frequency scales were used. Results: The practice of "being available to clarify doubts to family members" was the practice most frequently rated by participants as Totally important and implemented Always. The mean PREFUCI total score, calculated by summing the scores of the 15 items in each scale, was 59.5 on the importance scale and 52.69 on the frequency scale. Conclusion: Participants showed positive attitudes toward the importance of PREFUCI. However, the frequency of implementation is moderate, with a positive correlation between these two variables, reflecting the need to operationalize these practices.

Resumen Marco contextual: La atención centrada en la familia es un enfoque que responde a las necesidades y los valores de cada familia. Objetivo: Conocer la percepción de los enfermeros de la Unidad de Cuidados Intensivos Cardíacos (UCIC) de un centro hospitalario de la zona norte de Portugal (CHZNP) sobre las Prácticas Relacionales de los Enfermeros y la Familia en las Unidades de Cuidados Intensivos (PREFUCI). Metodología: Estudio cuantitativo, descriptivo, correlacional y transversal. Muestra compuesta por 26 enfermeros, el 65,4% (n = 17) del sexo femenino. Se usaron las escalas PREFUCI-Importancia y PREFUCI-Frecuencia. Resultados: La práctica “Estar disponible para responder a las preguntas de los familiares” fue la más elegida por los participantes como Totalmente Importante y aplicada Siempre. La media de la puntuación global de la PREFUCI, obtenida a través de la suma de la puntuación de los 15 ítems que componen cada escala fue 59,5 en la escala Importancia y 52,69 en la escala Frecuencia. Conclusión: Los participantes mostraron una actitud positiva hacia la importancia de las PREFUCI, sin embargo, la frecuencia con la que las aplican es moderada, y existe una correlación positiva entre estas dos variables, lo que refleja la necesidad de operativizar estas prácticas.

Resumo Enquadramento: O cuidado centrado na família é uma abordagem que atende às necessidades e valores de cada família. Objetivo: Conhecer a perceção dos enfermeiros da Unidade de Cuidados Intensivos Cardíacos (UCIC) de um Centro Hospitalar da Zona Norte de Portugal (CHZNP) sobre as Práticas Relacionais dos Enfermeiros com a Família em Unidade de Cuidados Intensivos (PREFUCI). Metodologia: Estudo quantitativo, descritivo, correlacional e transversal. Amostra constituída por 26 enfermeiros, 65,4% (n = 17) do sexo feminino. Usamos as escalas PREFUCI-Importância e PREFUCI-Frequência. Resultados: A prática “Disponibilizar-se para esclarecer dúvidas aos familiares” foi a mais escolhida pelos participantes como Totalmente Importante e implementada Sempre. A média do score global da PREFUCI, obtido através da soma da pontuação dos 15 itens que compõem cada escala foi, 59,5 na escala Importância e 52,69 na escala Frequência. Conclusão: Os participantes revelaram uma atitude positiva face à importância das PREFUCI, no entanto, a frequência com que as implementam é moderada, verificando-se uma correlação positiva entre essas duas variáveis, que reflete a necessidade de operacionalização destas práticas.

https://doi.org/10.12707/rvi22116

11.

Lógica Fuzzy na determinação de fragmentos florestais potenciais para coleta de sementes
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Peluzio, Telma Machado de Oliveira

; Peluzio, João Batista Esteves

; Abreu, Karla Maria Pedra de

; Ferrari, Jéferson Luiz

; Kunz, Sustanis Horn

; Fiedler, Nilton César

; Gandine, Quênia Glória Ferreira

; Paschoa, Luciana de Souza Lorenzoni

; Moura, Marks Melo

; Moreira, Giselle Lemos

; Carvalho, Rita de Cássia Freire

; Pimentel, Stefania Marques

; Branco, Elvis Ricardo Figueira

; Peluzio, Lucas Machado

; Santos, Alexandre Rosa dos

Ciência Florestal

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sep 2023, Volume 33 N. 3 elocation e70016

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

RESUMO A floresta tropical é extremamente explorada e fragmentada, sendo imprescindível a coleta de sementes nativas, a fim de atender a crescente demanda para sua restauração e manutenção da biodiversidade. Dessa forma, objetiva-se selecionar fragmentos florestais potenciais com maior grau de conservação para a colheita de sementes, via utilização e associação da ecologia da paisagem à lógica Fuzzy. O estudo foi realizado na bacia hidrográfica do rio Itapemirim. Foram realizadas as etapas de seleção e fotointerpretação das imagens; determinação do erro; aplicação dos índices métricos de ecologia da paisagem; aplicação da lógica Fuzzy em aplicativo computacional e validação da metodologia in loco. Foram determinados 7.515 fragmentos florestais, correspondendo a 19,21% da área de estudo, com 89,53% de acertos. Os fragmentos menores que 5 ha são os mais frágeis e possuem risco de extinção, enquanto os maiores que 300 ha possuem menor risco de extinção, mesmo com o aumento da borda. Com a aplicação da lógica Fuzzy, a média ficou entre 0,15, desvio padrão de 0,24 e o coeficiente de variação em 161,73 %. O Cenário 1 (FLONA de Pacotuba) possui 10,25% de famílias, 25,92 % de gêneros e 33,62% de espécies a mais que o Cenário 2 (PEAMA Ifes Campus de Alegre), entre os indivíduos identificados. A associação das técnicas de ecologia da paisagem e lógica Fuzzy possibilitou identificar os fragmentos em maior grau de conservação, com potencial para colheita de sementes florestais. fragmentada nativas biodiversidade forma objetivase objetiva se Itapemirim imagens erro loco 7515 7 515 7.51 1921 19 21 19,21 8953 89 53 89,53 acertos extinção 30 borda 015 0 15 0,15 024 24 0,2 16173 161 73 161,7 FLONA Pacotuba 1025 10 25 10,25 famílias 2592 92 25,9 3362 33 62 33,62 PEAMA Alegre, Alegre , Alegre) identificados 751 51 7.5 192 19,2 895 8 89,5 3 01 0,1 02 0, 1617 16 161, 102 10,2 259 9 25, 336 6 33,6 75 7. 19, 89, 10, 33,

ABSTRACT The tropical forest is extremely exploited and fragmented, making it essential to collect native seeds to meet the growing demand for its restoration and maintenance of biodiversity. Thus, the objective is to select potential forest fragments with a higher degree of conservation for seed harvesting, through the use and association of landscape ecology with fuzzy logic. The study was carried out in the watershed of the Itapemirim river. The stages of selection and photointerpretation of the images were carried out; error determination; application of landscape ecology metric indices; application of fuzzy logic in a computational application and validation of the methodology in loco. 7,515 forest fragments were determined, corresponding to 19.21% of the study area, with 89.53% of hits. Fragments smaller than 5 ha are the most fragile and are at risk of extinction, while those larger than 300 ha have a lower risk of extinction, even with the increase in the edge. With the application of fuzzy logic, the mean was between 0.15, standard deviation of 0.24 and the coefficient of variation at 161.73%. Scenario 1 (FLONA of Pacotuba), has 10.25% of families, 25.92% of genera and 33.62% of species more than Scenario 2 (PEAMA Ifes Campus of Alegre), among the identified individuals. The association of landscape ecology techniques and fuzzy logic made it possible to identify fragments with a higher degree of conservation, with potential for harvesting forest seeds. fragmented biodiversity Thus river determination indices loco 7515 7 515 7,51 determined 1921 19 21 19.21 area 8953 89 53 89.53 hits extinction 30 edge 015 0 15 0.15 024 24 0.2 16173 161 73 161.73% FLONA Pacotuba, Pacotuba , Pacotuba) 1025 10 25 10.25 families 2592 92 25.92 3362 33 62 33.62 PEAMA Alegre, Alegre Alegre) individuals 751 51 7,5 192 19.2 895 8 89.5 3 01 0.1 02 0. 1617 16 161.73 102 10.2 259 9 25.9 336 6 33.6 75 7, 19. 89. 161.7 10. 25. 33. 161.

https://doi.org/10.5902/1980509870016

12.

Delayed subaponeurotic fluid collection: An unusual cause of scalp swelling
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Cristina, Catarina

; Duarte, Mariana

; Matos, Mário

; Machado, Rita

Nascer e Crescer

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sep 2023, Volume 32 N. 3 Pages 232 - 236

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

Resumo A coleção de líquido subaponevrótica tardia (CLST) é uma causa rara de edema do couro cabeludo em lactentes. A sua etiologia exata permanece desconhecida, mas está frequentemente associada a partos traumáticos ou instrumentados e à monitorização fetal com elétrodos. O diagnóstico é clínico. A CLST pode ser diferenciada de outras causas de edema do couro cabeludo através da história clínica característica e dos achados ao exame objetivo. Contudo, podem ser considerados exames laboratoriais e de imagem no diagnóstico diferencial. É descrito o caso de um lactente de sete semanas de idade que foi levado ao Serviço de Urgência de Pediatria após manifestação aguda de edema do couro cabeludo de grandes dimensões e flutuante. O parto tinha sido realizado por cesariana após indução do trabalho de parto e falha na progressão. O diagnóstico de CLST foi estabelecido após a realização de exames de imagem. A CLST é um diagnóstico muito raro, com apenas cerca de 50 casos descritos na literatura. Apesar do início agudo, é uma condição benigna, não necessitando de exames laboratoriais ou de imagem adicionais. O tratamento é conservador e a condição habitualmente resolve-se de forma espontânea.

Abstract Delayed subaponeurotic fluid collection (DSFC) is a rare cause of scalp swelling in young infants whose exact etiology remains unknown. It is often associated with traumatic or instrumental delivery or fetal electrode monitoring. The diagnosis is clinical, with DSFC being differentiated from other causes of scalp swelling based on the characteristic history and physical examination findings. However, laboratory tests or head imaging study may be considered in the differential diagnosis. Herein is presented the clinical case of a seven-week-old male infant brought to the pediatric Emergency Department with acute onset of large and fluctuant scalp swelling. He had been born by cesarean section after induction of labor and failure to progress. The diagnosis of DSFC was established after imaging studies. DSFC is a very rare diagnosis, with only about 50 cases reported in the literature. Despite its acute onset, it is a benign condition that does not require additional laboratory or imaging studies. Current treatment is conservative and the condition usually resolves spontaneously.

https://doi.org/10.25753/birthgrowthmj.v32.i3.25731

13.

National survey to Portuguese Angiology and Vascular Surgery residents - Insights into the satisfaction and limitations of the residency program
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Melo, Ryan Gouveia e

; Machado, Marta

; Gonçalves, Frederico Bastos

; Ferreira, Rita

; Nogueira, Clara

; Machado, Rui

; Pedro, Luís Mendes

Angiologia e Cirurgia Vascular

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jun 2023, Volume 19 N. 2 Pages 23 - 34

Abstract: En | Text: En | PDF: En

Abstract Introduction: Vascular Surgery is a demanding specialty with vast technological and research advances in the last decades. This has led to an increasing complexity of providing adequate training programs for the modern Vascular Surgeon. Our aim was to understand the current satisfaction rates and perceived limitations of the Vascular Surgery residency program in Portugal by performing an online survey to residents. Methods: A survey study was conducted between April and June 2021 targeting Angiology and Vascular Surgery Residents in Portugal. Residents were contacted by e-mail from the National Portuguese Society of Angiology and Vascular Surgery to answer the survey. The survey was anonymized, and all residents from the 1st to 6th year were invited to participate. The survey was carried out using the Google® Forms platform and using Portuguese language. Questions were developed with two main objectives, the first being to analyze the satisfaction rates with the current residency program and the second to understand current limitations and possible areas of improvement. Results: Overall, 33 (65%) out of 51 invited residents participated in the survey, with equally distributions regarding the year of residency. Nineteen residents were male (57.6%). Most residents considered that the current one-year General Surgery rotation should be reduced and replaced by other specialties such as Radiology. Main surgical limitations were found with open aortic surgery. However, when compared to other European countries, residents considered that the main current limitation was scientific/academic training. Most residents were satisfied with their residency and felt professional fulfillment, however, most also reported having an unhealthy work-life balance and lack of time for academic and scientific research. When comparing the survey answers between younger and older residents, older residents reported more often having considered quitting and having experienced bullying or harassment. Conclusion: The findings from this study provide insight into the perceptions of the trainees regarding current training limitations and satisfaction rates with the residency program and may provide a base for improvement and development strategies in the residency programs in Portugal.

https://doi.org/10.48750/acv538

14.

Estrutura de pensamento social de agentes comunitárias de saúde sobre violência doméstica contra a mulher
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Machado, Juliana Costa

; Santos, Charles Souza

; Gomes, Antônio Marcos Tosoli

; Boery, Rita Narriman Silva de Oliveira

; Rodrigues, Vanda Palmarella

; Vilela, Alba Benemérita Alves

Ciência & Saúde Coletiva

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jun 2023, Volume 28 N. 6 Pages 1663 - 1673

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

Resumo Este estudo objetivou descrever a estrutura representacional de agentes comunitários de saúde sobre violência doméstica contra a mulher. Pesquisa quanti-qualitativa fundamentada na Teoria das Representações Sociais na abordagem estrutural. Participaram 107 agentes comunitárias de saúde vinculadas a 18 Unidades de Saúde da Família de um município do interior da Bahia, Brasil, durante os meses de maio a agosto de 2019. A coleta de dados ocorreu por meio das técnicas de evocações livres e de centralidade: choix-par-bloc, constituição de pares de palavras e mise-en-cause. Para a análise dos dados, utilizou-se o software EVOC (Ensemble de Programmes Permettant I’analyse des Evocations), análise de similitude e análise do mise-en-cause. A estrutura representacional das profissionais se organiza a partir dos elementos centrais desrespeito e tristeza, que atribuem à representação sentidos negativos relativos a seus posicionamentos e suas repercussões. Conclui-se que a organização do pensamento social das agentes comunitárias sobre o fenômeno apresenta uma dimensão atitudinal e afetiva que fortalece a elaboração de estratégias de enfrentamento a situação de violência contra mulheres, agressores e comunidade. mulher quantiqualitativa quanti qualitativa estrutural 10 1 Bahia Brasil 2019 centralidade choixparbloc, choixparbloc choix par bloc, bloc choix-par-bloc miseencause. miseencause mise en cause. cause mise-en-cause utilizouse utilizou Ensemble Ianalyse I analyse Evocations, Evocations , Evocations) tristeza repercussões Concluise Conclui mulheres comunidade 201 20 2

Abstract This study aimed at describing community health agents’ representational structure on domestic violence against women. A quantitative-qualitative research study based on the Theory of Social Representations in its structural approach and carried out in a municipality from inland Bahia, Brazil. The community health agents participated through free evocation and centrality techniques: choix-par-bloc, constitution of word pairs and mise-en-cause, from May to August 2019. Data analysis was carried out by means of the EVOC software (Ensemble of Programs Permettant I’analyse des Evocations), similarity analysis and mise-en-cause analysis. These professionals’ representational structure is organized from the central elements of disrespect and sadness, which attribute negative meanings to the representation regarding their positions and repercussions; the other elements integrate specific information to the structure of the representations, justifying them. It is concluded that the understanding regarding organization of the community agents’ social thinking about the phenomenon allows its problematization, as well as the elaboration of prevention and coping strategies for women in situations of violence, the aggressors and the community. quantitativequalitative quantitative qualitative Bahia Brazil techniques choixparbloc, choixparbloc choix par bloc, bloc choix-par-bloc miseencause, miseencause mise en cause, cause 2019 Ensemble Ianalyse I analyse Evocations, Evocations , Evocations) professionals sadness repercussions representations them problematization 201 20 2

https://doi.org/10.1590/1413-81232023286.14592022

15.

Estrutura de pensamento social de agentes comunitárias de saúde sobre violência doméstica contra a mulher
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Machado, Juliana Costa

; Santos, Charles Souza

; Gomes, Antônio Marcos Tosoli

; Boery, Rita Narriman Silva de Oliveira

; Rodrigues, Vanda Palmarella

; Vilela, Alba Benemérita Alves

Ciência & Saúde Coletiva

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jun 2023, Volume 28 N. 6 Pages 1663 - 1673

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

https://doi.org/10.1590/1413-81232023286.14592022

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