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1.
Critical limit for phosphorus in a Red Latosol of the Brazilian Cerrado
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Hemielevski, Louise Stefanello
; Menezes, June Faria Scherrer
; Oliveira, Augusto Matias de
; Berti, Mariana Pina da Silva
; Machado, Linia Dayana Lopes
; Boldrin, Paulo Fernandes
; Cantão, Veridiana Cardozo Gonçalves
; Silva, Rodrigo Gomes
.








ABSTRACT Successive applications of phosphate fertilisers can exceed the phosphorus (P) requirements of plants and soil, resulting in surface accumulation and loss to aquatic systems, and therefore require monitoring. The aim of this study was to determine a mathematical model for the critical limit for phosphorus in the environment (CLPE) in a Red Latosol of the Cerrado, and to monitor the amount of P in the soil of 46 rural properties in the micro watershed of the Ribeirão Abóbora River. Sand was added to a dystroferric Red Latosol to simulate soils with textures of 10%, 20%, 30%, 40% and 50% clay, in order to quantify the maximum P adsorption capacity (MPAC) and determine the CLPE. Soil from 46 rural properties that make up the micro watershed of the Ribeirão Abóbora River was collected, and the P and clay content was determined. The MPAC decreased proportionally to the reduction in clay content. Th e estimating equation to determine the CLPE for the Red Latosol of the Cerrado is CLPE = 16.64 + 0.432* (% clay), which can be simplified to CLPE = 20 + 0.5* (% clay). The P content on four of the properties in the micro watershed of the Ribeirão Abóbora River is greater than the CLPE. It is therefore recommended that the use of phosphate sources be suspended until appropriate P levels return, and that close attention be paid to these properties so that P values again reach acceptable levels, and no P is transferred to the water sources.
2.
Capacitação em cuidados paliativos: uma amostra das Oficinas Itinerantes do Rio de Janeiro, Brasil
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Abstract: The article highlights the need to encourage ongoing education in palliative care. It aims to present results of the exploratory-descriptive research “Itinerant Workshops in Palliative Care”, based on Paulo Freire, conducted in health units, involving professionals and managers. An online questionnaire was used to collect data, accounting for 62 participants. Among the findings, a deficiency in professional training in palliative care stood out.
Resumo: O artigo aponta a necessidade de se estimular a educação permanente em cuidados paliativos. Objetiva apresentar resultados da pesquisa exploratório-descritiva “Oficinas Itinerantes em Cuidados Paliativos”, fundamentada em Paulo Freire, conduzida em unidades de saúde, envolvendo profissionais e gestores. Foi utilizado um questionário on-line para a coleta de dados, contabilizando 62 participantes. Dentre os achados, destacou-se uma deficiência na capacitação profissional em cuidados paliativos.
3.
ELECTROCHEMICAL CORROSION EVALUATION OF SnSb ELECTRODEPOSITED COATINGS
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Alcanfor, Ana Aline C.
; Sousa, Natalia G.
; Campos, Othon S.
; Menezes, Alan S. de
Oliveira, Edipo S. de
Abreu, Hamilton F. G. de
Casciano, Paulo N. S.
Lima Neto, Pedro de
Correia, Adriana N.



SnxSb(1-x) coatings were electrodeposited from 1ChCl:2EG on copper. The corrosion resistance of the electrodeposits was evaluated in 0.1 mol dm-3 of NaCl. The characterization was performed by scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDS), and X-ray diffraction (XRD). Voltammetric profiles showed that the electrodeposition potential shifted towards less positive values with increasing Sb3+ concentration. SEM images revealed that the coatings exhibited grains and clusters. EDS analyses showed that the Sb content increased with the Sb3+ concentration. XRD results indicated the formation of the SbSn phases such as Cu2Sb, Cu6Sn5, and Cu6(Sn,Sb)5. The potentiodynamic polarization (PP) curves showed that Sn and Sn77Sb23 presented a passive potential region, while Sn37Sb63 had an active dissolution in the electrolyte. Immersion tests were performed for 24 h and XRD results revealed Cu, Sn, SnO, SbSn and Sb2O4 phases. Considering 48 h, Cu, CuSn, SnO2 and SnSb phases were identified. The polarization resistance values of 4.60, 14.69 and 1.81 kΩ cm² were achieved for Sn, Sn77Sb23, and Sn37Sb63, respectively. The EIS results suggested that adding Sb3+ improves corrosion resistance for SnSb samples with higher Sn content. For Sn77Sb23, the charge transfer resistance was 10.5 kΩ cm², for Sn and Sn37Sb63 1.15 and 1.46 kΩ cm², respectively.
4.
Síndrome Coronariana Aguda no Brasil: Registro dos Fatores Predisponentes e Perfil Populacional em um Instituto Cardiológico Público de Referência Nacional
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Nascimento, Kaliana
; Ramadan, Hugo Ribeiro
; Baccaro, Bruno Mendonça
Bicalho, Vinicius Vaz de Sales
Ferreira, Italo Menezes
Ohe, Louis Nakayama
Santos, Vitor Sobreira Souza
Feres, Fausto
Franchini, Kleber
Timerman, Ari
Mota, Diandro Marinho


Abstract Background Acute coronary syndrome (ACS) is one of the leading causes of mortality worldwide. Knowing the predisposing factors is essential for preventing it. Objectives To describe the etiological and epidemiological characteristics of the population with ACS admitted to an emergency room in the State of São Paulo. Methods The prospective cohort study, based on electronic medical records from a public cardiology institute located in the state of São Paulo, Brazil, describes 5,580 patients hospitalized with ACS between August 2018 and October 2022. The main epidemiological characteristics, the association between confirmed ACS and risk scores, and adverse events during hospitalization and in the 30-day follow-up after hospital discharge were evaluated. The significance level was set at 5%. Results The main factors associated with ACS were hypertension (80.38%), obesity or overweight (72.47%), and previous coronary artery disease (CAD) (59.11%). In the GRACE score, 65.10% were considered low risk, while 81.34% in the TIMI and 71.16% in the HEART were identified as moderate risk. Catheterization represented 84.93% of the diagnostic methods. Clinical treatment was the strategy adopted in 46.47% of the cases. In the 30-day evolution, 3.10% presented major bleeding, 7.86% infarction/reinfarction, 5.55% stroke, and 2.53% evolved to death. Conclusion The results of the largest Brazilian ACS registry to date highlight the impact of potentially modifiable risk factors on the occurrence of ischemic events in the local population. The findings may contribute to the development of public policies aimed at preventing and controlling the burden of ischemic disease in the country.
Resumo Fundamentos A síndrome coronariana aguda (SCA) é uma das principais causas de mortalidade no mundo. Conhecer os fatores predisponentes é essencial para a prevenção desta. Objetivos Descrever as características etiológicas e epidemiológicas da população com SCA admitida em um pronto-socorro do Estado de São Paulo. Métodos A coorte prospectiva realizada com base nos registros de prontuário eletrônico de um instituto cardiológico público localizado no Estado de São Paulo descreve 5.580 pacientes internados com SCA entre agosto de 2018 e outubro de 2022. Avaliou-se as principais características epidemiológicas, a associação entre confirmação de SCA e escores de risco, eventos adversos durante o internamento e no seguimento de 30 dias após a alta hospitalar. O nível de significância foi de 5%. Resultados Os principais fatores associados a SCA foram hipertensão (80,38%), obesidade ou sobrepeso (72,47%) e doença arterial coronariana prévia (59,11%). No escore Grace, 65,10% foram considerados de baixo risco, enquanto 81,34% no TIMI e 71,16% no HEART foram identificados como risco moderado. O cateterismo representou 84,93% dos métodos diagnósticos. O tratamento clínico foi a estratégia adotada em 46,47% dos casos. Na evolução em 30 dias, 3,10% apresentaram sangramento maior, 7,86% infarto/reinfarto, 5,55% acidente vascular encefálico e 2,53% evoluíram para óbito. Conclusão Os resultados do maior registro de SCA brasileiro até o momento evidenciam o impacto dos fatores de risco potencialmente modificáveis na ocorrência de eventos isquêmicos na população local. Os achados podem contribuir para o desenvolvimento de políticas públicas visando a prevenção e controle da carga da doença isquêmica no país.
5.
Roles of Oligo(ethylene glycol) to Improve Sensing Systems
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Sensing systems are important and widely used tools for analytical determinations. The search for the synthesis of novel, low-cost, effective, and environmentally friendly sensing systems is a tendency; however, these systems still face several limitations. Oligo(ethylene glycol) (OEG) has been incorporated into sensing systems to circumvent some drawbacks. This review aims to show the roles that OEGs can perform and make them easy to access. Several articles dealing with OEG-containing sensing systems and addressing analytical applications were compiled. Each article is given on comparative tables focusing on the OEG, detection, and analytical parameters, and some notorious examples are also discussed in the text. More than ten roles of OEGs were found and commented on. These roles and their ability to advance sensing systems show that OEGs are versatile and efficient compounds. OEGs are expected to be a tool for the rational design and performance improvement of sensing systems.
6.
Ultrasound applied at low temperature on the extraction and modification of proteins from by-products of the fishing industry byproducts by products
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Robalo, Silvino Sasso
; Cargnin, Gregorio
; Silva, Leila Picolli da
; Campagnol, Paulo Cezar Bastianello
; Wagner, Roger
; Barin, Juliano Smanioto
; Brasil, Carla Cristina Bauermann
; Menezes, Cristiano Ragagnin de
; Cichoski, Alexandre José
.









RESUMO: Este estudo explorou o uso exclusivo do ultrassom (US) para extrair proteínas das espinhas dorsais da carpa-capim (Ctenopharyngodon idella) em baixas temperaturas e examinou seu impacto na hidrofobicidade, solubilidade, perfil eletroforético e níveis de sulfidrilas. As espinhas dorsais foram tratadas com 35 e 130 kHz por 20, 30 e 40 minutos a 14 ºC, resultando em duas frações de proteínas: sólida (TPS) e líquida (TPL). O US aumentou o rendimento em comparação com a fração não sonificada. TPL (35 kHz) apresentou uma redução de 16% nos níveis totais e livres de sulfidrila e um aumento de 25% na hidrofobicidade. O US induziu alterações na conformação proteica e na intensidade das bandas, especialmente entre 25 e 100 kDa para TPL a 130 kHz e abaixo de 30 kDa para TPS a 35 kHz. Este estudo demonstrou a eficácia do US na extração e na modificação de algumas propriedades das proteínas de subprodutos de peixe, facilitando assim seu emprego no desenvolvimento de produtos alimentícios inovadores. RESUMO (US carpacapim carpa capim Ctenopharyngodon idella hidrofobicidade solubilidade sulfidrilas 3 13 20 4 1 ºC (TPS TPL. . (TPL) sonificada (3 16 bandas 2 10 peixe inovadores (TPL (
ABSTRACT: This study explored the use only of ultrasound (US) for extracting proteins from grass carp (Ctenopharyngodon idella) backbones at low temperature and examined its impact on hydrophobicity, solubility, electrophoretic profile, and sulfhydryl levels. Backbones were treated with 35 and 130 kHz for 20, 30, and 40 minutes at 14 ºC, resulting in two protein fractions: solid (TPS) and liquid (TPL). US increased yield compared to the non-sonicated fraction. TPL (35 kHz) exhibited a 16% reduction in total and free sulfhydryl levels and a 25% increase in hydrophobicity. US induced protein conformation and band intensity alterations, particularly between 25 to 100 kDa for TPL at 130 kHz and below 30 kDa for TPS at 35 kHz. This study demonstrated the efficacy of US for protein extraction from fish by-products and its capacity to modify protein characteristics, facilitating the development of innovative food products. ABSTRACT (US Ctenopharyngodon idella hydrophobicity solubility profile 3 13 20 4 1 ºC fractions (TPS TPL. . (TPL) nonsonicated non sonicated fraction (3 16 alterations 2 10 byproducts by products characteristics (TPL (
7.
Reflexividade e política no texto etnográfico: representações e efeitos da escrita
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Resumo Em 2020, um ano após a realização de uma pesquisa que teve como objetivo principal analisar, comparativamente, os ciclos de greves de canavieiros, em Pernambuco, e de metalúrgicos de São Paulo e do ABC Paulista, que ocorreram em fins da década de 1970, retornamos às questões suscitadas em campo e nas entrevistas feitas com ex-sindicalistas e trabalhadores(as), para compreender os modos em que a interlocução nós-eles assumiu na formulação dos problemas de pesquisa e, nisso, os efeitos das formas de representação das nossas identidades/posições em campo e no texto científico que veio a ser publicado como resultado do projeto. Não meramente para reconhecer as implicações da autoridade etnográfica na escrita, mas para arguir em favor da fertilidade analítica da mediação do outro em nossa prática científica.
Abstract In 2020, one year after a research that had as its main objective to analyze, comparatively, the cycles of sugarcane workers’ strikes in Pernambuco, and metalworkers of São Paulo and ABC Paulista, that occurred in the late 1970’s, we returned to the questions raised in the field and in the interviews with former union members and workers to understand the ways in which the dialogue between us and them has influenced the formulation of research problems and hence the effects of the presentation of our identities/positions during the field work and in the scientific text that came to be published. Our goal is not merely to recognize the implications of ethnographic authority, but to argue in favor of the analytical fertility of this mediation with “the other” in our scientific practice.
8.
Programa Mais Médicos: caracterização da qualidade da atenção básica considerando o tipo de provimento médico
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Sales, Mozart Julio Tabosa
; Goes, Paulo Savio Angeiras de
; Carvalho, Aline Priscila Rego de
; Silva, Caio Cesar Arruda da
; Silva Junior, José Roberto da
; Silva Filho, Carlos Nobre e
; Silva, Fernando Antonio Menezes da
; Vidal, Suely Arruda
.








Resumen: El objetivo del estudio fue caracterizar la calidad de la atención primaria con base en las respuestas de profesionales y usuarios, centrándose en el tipo de médico, incluido o no en el Programa Más Médicos (PMM). Se realizó un estudio transversal aplicando el Cuestionario de Fortalecimiento de la Atención Primaria a 149 médicos y 795 usuarios de unidades básicas de salud de Pernambuco, Brasil, de febrero a noviembre del 2018. En el presente estudio, se utilizó el concepto de provisión del PMM, que preveía la asignación de profesionales médicos a zonas de vulnerabilidad social. Los médicos fueron divididos en tres subgrupos: brasileños no PMM, brasileños PMM y cubanos PMM. Se generaron puntajes medios con base en la perspectiva de los profesionales y de los usuarios mediante análisis bivariado y multivariado de los subgrupos de médicos con variables sociodemográficas, educativas y atributos de atención primaria, considerando un nivel de significancia del 5%. Los médicos cubanos del PMM presentaron los puntajes medios más altos, especialmente en el atributo orientación familiar y comunitaria (7,19), seguidos por el subgrupo de brasileños del programa (4,74). El análisis multivariado mostró significancia para los médicos cubanos, mujeres y profesionales con residencia médica. Entre los usuarios, se observó una mayor asociación con la calidad de la atención primaria en el subgrupo de médicos cubanos, con excepción de la longitudinalidad. Los resultados indican la efectividad de los médicos cubanos del PMM en la atención primaria, resaltando la necesidad de centrarse en el usuario. Los hallazgos refuerzan la importancia de utilizar herramientas de evaluación precisas e integrales en la gestión de la salud pública.
Resumo: O objetivo deste estudo foi caracterizar a qualidade da atenção básica com base nas respostas de profissionais e usuários, focando no tipo de médico - inserido ou não no Programa Mais Médicos (PMM). Realizou-se um estudo transversal aplicando o Questionário de Fortalecimento da Atenção Básica a 149 médicos e 795 usuários em unidades básicas de saúde de Pernambuco, Brasil, de fevereiro a novembro de 2018. Neste estudo, foi utilizado o conceito de provimento do PMM no qual foi previsto a destinação do profissional médico para área de vulnerabilidade social. Os médicos foram divididos em três subgrupos: brasileiros não PMM, brasileiros PMM e cubanos PMM. Foram gerados escores médios a partir da perspectiva dos profissionais e dos usuários por meio de análise bivariada e multivariada dos subgrupos dos médicos com variáveis sociodemográficas, educacionais e atributos da atenção primária, considerando-se o nível de significância de 5%. Médicos cubanos do PMM apresentaram os maiores escores médios, especialmente no atributo orientação familiar e comunitária (7,19), seguido pelo subgrupo dos brasileiros do programa (4,74). A análise multivariada mostrou significância para médicos cubanos, sexo feminino e profissionais com residência médica. Entre os usuários, observou-se maior associação com a qualidade da atenção básica no subgrupo dos médicos cubanos, com exceção da longitudinalidade. Os resultados indicam a efetividade dos médicos cubanos do PMM na atenção básica, ressaltando a necessidade de focar na centralidade do usuário. Os achados reforçam a importância de utilizar instrumentos de avaliação precisos e abrangentes na gestão da saúde pública.
Abstract: This study characterized the quality of primary care based on the responses of professionals and users, focusing on the type of physician - whether or not they were included in the More Doctors Program (PMM, acronym in Portuguese). A cross-sectional study was conducted applying the Quality and Strengthening of Primary Care Questionnaire to 149 physicians and 795 users in basic health units in Pernambuco State, Brazil, from February to November 2018. The present study used the concept of PMM provision which foresees the allocation of medical professionals to an areas of social vulnerability. Physicians were divided into three subgroups: non-PMM Brazilians, PMM Brazilians, and PMM Cubans. Mean scores were generated from the perspective of professionals and users through bivariate and multivariate analysis of the physicians’ subgroups with sociodemographic, educational and primary care attributes, considering a significance level of 5%. Cuban physicians in the PMM had the highest average scores, especially in the attribute family and community orientation (7.19), followed by the subgroup PMM Brazilians (4.74). Multivariate analysis showed significance for Cuban physicians, females, and professionals with medical residency. Among users, there was a greater association with the quality of primary care in the subgroup of Cuban physicians, except for longitudinality. Results indicate the effectiveness of PMM Cuban physicians in primary care, emphasizing the need to focus on user centrality. The findings reinforce the importance of using accurate and comprehensive assessment instruments in public health management.
9.
Mathematical models for adjustments in the quantification of ammonia volatilization from urea fertilizer applied on tropical pastures
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Longhini, Vanessa Zirondi
; Ítavo, Luís Carlos Vinhas
; Gurgel, Antonio Leandro Chaves
; Cardoso, Abmael da Silva
; Boddey, Robert Michael
; Difante, Gelson dos Santos
; Dias, Alexandre Menezes
; Ítavo, Camila Celeste Brandão Ferreira
; Silva, Gabriel de Souza Lombardi da
; Ruggieri, Ana Claudia
.










ABSTRACT: In Brazil, urea is the most used nitrogen (N) fertilizer to improve forage production. However, their excessive use can cause environmental impacts through N losses, such as ammonia (NH3) volatilization. Therefore, the current study adjusted and estimated the NH3 volatilization from urea applied on tropical pastures in three rainfall conditions using mathematical models. Data were collected from Marandu grass (Brachiaria brizantha) fertilized with 50 kg N ha-1 during wet, intermediate, and dry conditions. Ammonia volatilization was measured in five semi-open chambers for 21 days. The linear, quadratic, exponential, Gompertz, Groot, and Richards models were tested for fitting and estimating the NH3 volatilization. The Gompertz, Groot, and Richards models generated predictions similar to the observed data, with a high determination coefficient, indicating a better fit of these equations to data, with precision and accuracy. However, the Groot model was selected due to the lowest root mean square error of prediction (0.29 % total N lost as NH3). The greatest N loss as NH3 volatilization occurred in the wet, followed by intermediate and dry conditions (20.2, 17.0, and 11.3 % total N lost as NH3, respectively). Therefore, nitrogen losses as NH3 volatilization after application of 50 kg N ha-1, as urea source, are altered according to the weather conditions, reaching 20% of N added in the wet rainfall period. The Groot model is recommended for fitting and estimating the NH3 volatilization from urea applied on Marandu grass pastures in the wet and dry rainfall conditions.
RESUMO: No Brasil, a ureia é o fertilizante nitrogenado mais utilizado para melhorar a produção de forragem. No entanto, seu uso excessivo pode causar impactos ambientais por meio de perdas de nitrogênio (N), como a volatilização da amônia (NH3). Portanto, o objetivo do presente estudo foi ajustar a volatilização de NH3 da ureia aplicada em pastos tropicais em três condições de chuva utilizando modelos matemáticos. Dados foram coletados de pastos de capim-marandu (Brachiaria brizantha) adubado com 50 kg N ha-1 em condições úmidas, intermediárias e secas. A volatilização da NH3 foi medida em cinco câmaras semiabertas durante 21 dias. Os modelos, linear, quadrático, exponencial, Gompertz, Groot e Richards foram testados para ajuste e estimativa da volatilização do NH3. Os modelos de Gompertz, Groot e Richards geraram predições semelhantes aos dados observados, com alto coeficiente de determinação, indicando um melhor ajuste dessas equações aos dados, com acurácia e precisão. No entanto, o modelo Groot foi selecionado devido ao menor erro quadrático médio das predições (0,29% de N total perdido como NH3). A maior volatilização de NH3 ocorreu em condições climáticas úmida, seguido por intermediária e seca (20,2; 17,0 e 11,3% de N total perdido como NH3, respectivamente). Portanto, as perdas de N como volatilização de NH3 após a aplicação de 50 kg N ha-1, como fonte de ureia, são alteradas de acordo com as condições climáticas, atingindo a 20% do N adicionado nas condições úmidas. O modelo Groot é recomendado para ajuste e estimativa da volatilização de NH3 da ureia aplicada em pastos de capim Marandu em condições úmidas e secas.
10.
Evaluation of the public health laboratory network for tegumentary leishmaniasis in an endemic area of Brazil
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Medeiros, Fernanda Alvarenga Cardoso
; Souza Filho, Job Alves
; Pimentel, Maria Inês Fernandes
; Reis, Ilka Afonso
; Menezes-Souza, Daniel
; Silva, Aline Fagundes da
; Marcelino, Andreza Pain
.







Revista do Instituto de Medicina Tropical de São Paulo
- Journal Metrics
ABSTRACT Diagnostic networks ensure efficiency in disease diagnosis. A descriptive study evaluated the network of public health laboratories (NPHL) in Minas Gerais State, Brazil, using diagnostic results for tegumentary leishmaniasis (TL) from the laboratory management system in 2017–2020. Out of 1,369 individuals analyzed, 704 (51.4%) cases of TL were confirmed, with 610 (86.7%) by direct parasitological examination (DPE) and 94 (13.4%) by polymerase chain reaction (PCR). Notably, 25.3% of cases with DPE-negative results were PCR-positive. Consecutive diagnostic tests enhanced diagnosis of TL. NPHL-MG is a promising model for expanding similar networks and improving disease control. NPHL (NPHL State Brazil (TL 20172020 2017 2020 2017–2020 1369 1 369 1,36 analyzed 70 51.4% 514 51 4 (51.4% confirmed 61 86.7% 867 86 7 (86.7% DPE (DPE 9 13.4% 134 13 (13.4% PCR. PCR . (PCR) Notably 253 25 3 25.3 DPEnegative negative PCRpositive. PCRpositive positive. positive PCR-positive NPHLMG MG control 2017202 201 202 2017–202 136 36 1,3 51.4 5 (51.4 6 86.7 8 (86.7 13.4 (13.4 (PCR 2 25. 201720 20 2017–20 1, 51. (51. 86. (86. 13. (13. 20172 2017–2 (51 (86 (13 2017– (5 (8 (1 (
11.
Catálogo Taxonômico da Fauna do Brasil: Setting the baseline knowledge on the animal diversity in Brazil Brasil
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Boeger, Walter A.
; Valim, Michel P.
; Zaher, Hussam
; Rafael, José A.
; Forzza, Rafaela C.
; Percequillo, Alexandre R.
; Serejo, Cristiana S.
; Garraffoni, André R.S.
; Santos, Adalberto J.
Slipinski, Adam
Linzmeier, Adelita M.
Calor, Adolfo R.
Garda, Adrian A.
Kury, Adriano B.
Fernandes, Agatha C.S.
Agudo-Padrón, Aisur I.
Akama, Alberto
Silva Neto, Alberto M. da
Burbano, Alejandro L.
Menezes, Aleksandra
Pereira-Colavite, Alessandre
Anichtchenko, Alexander
Lees, Alexander C.
Bezerra, Alexandra M.R.
Domahovski, Alexandre C.
Pimenta, Alexandre D.
Aleixo, Alexandre L.P.
Marceniuk, Alexandre P.
Paula, Alexandre S. de
Somavilla, Alexandre
Specht, Alexandre
Camargo, Alexssandro
Newton, Alfred F.
Silva, Aline A.S. da
Santos, Aline B. dos
Tassi, Aline D.
Aragão, Allan C.
Santos, Allan P.M.
Migotto, Alvaro E.
Mendes, Amanda C.
Cunha, Amanda
Chagas Júnior, Amazonas
Sousa, Ana A.T. de
Pavan, Ana C.
Almeida, Ana C.S.
Peronti, Ana L.B.G.
Henriques-Oliveira, Ana L.
Prudente, Ana L.
Tourinho, Ana L.
Pes, Ana M.O.
Carmignotto, Ana P.
Wengrat, Ana P.G. da Silva
Dornellas, Ana P.S.
Molin, Anamaria Dal
Puker, Anderson
Morandini, André C.
Ferreira, André da S.
Martins, André L.
Esteves, André M.
Fernandes, André S.
Roza, André S.
Köhler, Andreas
Paladini, Andressa
Andrade, Andrey J. de
Pinto, Ângelo P.
Salles, Anna C. de A.
Gondim, Anne I.
Amaral, Antonia C.Z.
Rondón, Antonio A.A.
Brescovit, Antonio
Lofego, Antônio C.
Marques, Antonio C.
Macedo, Antonio
Andriolo, Artur
Henriques, Augusto L.
Ferreira Júnior, Augusto L.
Lima, Aurino F. de
Barros, Ávyla R. de A.
Brito, Ayrton do R.
Romera, Bárbara L.V.
Vasconcelos, Beatriz M.C. de
Frable, Benjamin W.
Santos, Bernardo F.
Ferraz, Bernardo R.
Rosa, Brunno B.
Sampaio, Brunno H.L.
Bellini, Bruno C.
Clarkson, Bruno
Oliveira, Bruno G. de
Corrêa, Caio C.D.
Martins, Caleb C.
Castro-Guedes, Camila F. de
Souto, Camilla
Bicho, Carla de L.
Cunha, Carlo M.
Barboza, Carlos A. de M.
Lucena, Carlos A.S. de
Barreto, Carlos
Santana, Carlos D.C.M. de
Agne, Carlos E.Q.
Mielke, Carlos G.C.
Caetano, Carlos H.S.
Flechtmann, Carlos H.W.
Lamas, Carlos J.E.
Rocha, Carlos
Mascarenhas, Carolina S.
Margaría, Cecilia B.
Waichert, Cecilia
Digiani, Celina
Haddad, Célio F.B.
Azevedo, Celso O.
Benetti, Cesar J.
Santos, Charles M.D. dos
Bartlett, Charles R.
Bonvicino, Cibele
Ribeiro-Costa, Cibele S.
Santos, Cinthya S.G.
Justino, Cíntia E.L.
Canedo, Clarissa
Bonecker, Claudia C.
Santos, Cláudia P.
Carvalho, Claudio J.B. de
Gonçalves, Clayton C.
Galvão, Cleber
Costa, Cleide
Oliveira, Cléo D.C. de
Schwertner, Cristiano F.
Andrade, Cristiano L.
Pereira, Cristiano M.
Sampaio, Cristiano
Dias, Cristina de O.
Lucena, Daercio A. de A.
Manfio, Daiara
Amorim, Dalton de S.
Queiroz, Dalva L. de
Queiroz, Dalva L. de
Colpani, Daniara
Abbate, Daniel
Aquino, Daniel A.
Burckhardt, Daniel
Cavallari, Daniel C.
Prado, Daniel de C. Schelesky
Praciano, Daniel L.
Basílio, Daniel S.
Bená, Daniela de C.
Toledo, Daniela G.P. de
Takiya, Daniela M.
Fernandes, Daniell R.R.
Ament, Danilo C.
Cordeiro, Danilo P.
Silva, Darliane E.
Pollock, Darren A.
Muniz, David B.
Gibson, David I.
Nogueira, David S.
Marques, Dayse W.A.
Lucatelli, Débora
Garcia, Deivys M.A.
Baêta, Délio
Ferreira, Denise N.M.
Rueda-Ramírez, Diana
Fachin, Diego A.
Souza, Diego de S.
Rodrigues, Diego F.
Pádua, Diego G. de
Barbosa, Diego N.
Dolibaina, Diego R.
Amaral, Diogo C.
Chandler, Donald S.
Maccagnan, Douglas H.B.
Caron, Edilson
Carvalho, Edrielly
Adriano, Edson A.
Abreu Júnior, Edson F. de
Pereira, Edson H.L.
Viegas, Eduarda F.G.
Carneiro, Eduardo
Colley, Eduardo
Eizirik, Eduardo
Santos, Eduardo F. dos
Shimbori, Eduardo M.
Suárez-Morales, Eduardo
Arruda, Eliane P. de
Chiquito, Elisandra A.
Lima, Élison F.B.
Castro, Elizeu B. de
Orlandin, Elton
Nascimento, Elynton A. do
Razzolini, Emanuel
Gama, Emanuel R.R.
Araujo, Enilma M. de
Nishiyama, Eric Y.
Spiessberger, Erich L.
Santos, Érika C.L. dos
Contreras, Eugenia F.
Galati, Eunice A.B.
Oliveira Junior, Evaldo C. de
Gallardo, Fabiana
Hernandes, Fabio A.
Lansac-Tôha, Fábio A.
Pitombo, Fabio B.
Dario, Fabio Di
Santos, Fábio L. dos
Mauro, Fabio
Nascimento, Fabio O. do
Olmos, Fabio
Amaral, Fabio R.
Schunck, Fabio
Godoi, Fábio S. P. de
Machado, Fabrizio M.
Barbo, Fausto E.
Agrain, Federico A.
Ribeiro, Felipe B.
Moreira, Felipe F.F.
Barbosa, Felipe F.
Silva, Fenanda S.
Cavalcanti, Fernanda F.
Straube, Fernando C.
Carbayo, Fernando
Carvalho Filho, Fernando
Zanella, Fernando C.V.
Jacinavicius, Fernando de C.
Farache, Fernando H.A.
Leivas, Fernando
Dias, Fernando M.S.
Mantellato, Fernando
Vaz-de-Mello, Fernando Z.
Gudin, Filipe M.
Albuquerque, Flávio
Molina, Flavio B.
Passos, Flávio D.
Shockley, Floyd W.
Pinheiro, Francielly F.
Mello, Francisco de A.G. de
Nascimento, Francisco E. de L.
Franco, Francisco L.
Oliveira, Francisco L. de
Melo, Francisco T. de V.
Quijano, Freddy R.B.
Salles, Frederico F.
Biffi, Gabriel
Queiroz, Gabriel C.
Bizarro, Gabriel L.
Hrycyna, Gabriela
Leviski, Gabriela
Powell, Gareth S.
Santos, Geane B. dos
Morse, Geoffrey E.
Brown, George
Mattox, George M.T.
Zimbrão, Geraldo
Carvalho, Gervásio S.
Miranda, Gil F.G.
Moraes, Gilberto J. de
Lourido, Gilcélia M.
Neves, Gilmar P.
Moreira, Gilson R.P.
Montingelli, Giovanna G.
Maurício, Giovanni N.
Marconato, Gláucia
Lopez, Guilherme E.L.
Silva, Guilherme L. da
Muricy, Guilherme
Brito, Guilherme R.R.
Garbino, Guilherme S.T.
Flores, Gustavo E.
Graciolli, Gustavo
Libardi, Gustavo S.
Proctor, Heather C.
Gil-Santana, Helcio R.
Varella, Henrique R.
Escalona, Hermes E.
Schmitz, Hermes J.
Rodrigues, Higor D.D.
Galvão Filho, Hilton de C.
Quintino, Hingrid Y.S.
Pinto, Hudson A.
Rainho, Hugo L.
Miyahira, Igor C.
Gonçalves, Igor de S.
Martins, Inês X.
Cardoso, Irene A.
Oliveira, Ismael B. de
Franz, Ismael
Fernandes, Itanna O.
Golfetti, Ivan F.
S. Campos-Filho, Ivanklin
Oliveira, Ivo de S.
Delabie, Jacques H.C.
Oliveira, Jader de
Prando, Jadila S.
Patton, James L.
Bitencourt, Jamille de A.
Silva, Janaina M.
Santos, Jandir C.
Arruda, Janine O.
Valderrama, Jefferson S.
Dalapicolla, Jeronymo
Oliveira, Jéssica P.
Hájek, Jiri
Morselli, João P.
Narita, João P.
Martin, João P.I.
Grazia, Jocélia
McHugh, Joe
Cherem, Jorge J.
Farias Júnior, José A.S.
Fernandes, Jose A.M.
Pacheco, José F.
Birindelli, José L.O.
Rezende, José M.
Avendaño, Jose M.
Duarte, José M. Barbanti
Ribeiro, José R. Inácio
Mermudes, José R.M.
Pujol-Luz, José R.
Santos, Josenilson R. dos
Câmara, Josenir T.
Teixeira, Joyce A.
Prado, Joyce R. do
Botero, Juan P.
Almeida, Julia C.
Kohler, Julia
Gonçalves, Julia P.
Beneti, Julia S.
Donahue, Julian P.
Alvim, Juliana
Almeida, Juliana C.
Segadilha, Juliana L.
Wingert, Juliana M.
Barbosa, Julianna F.
Ferrer, Juliano
Santos, Juliano F. dos
Kuabara, Kamila M.D.
Nascimento, Karine B.
Schoeninger, Karine
Campião, Karla M.
Soares, Karla
Zilch, Kássia
Barão, Kim R.
Teixeira, Larissa
Sousa, Laura D. do N.M. de
Dumas, Leandro L.
Vieira, Leandro M.
Azevedo, Leonardo H.G.
Carvalho, Leonardo S.
Souza, Leonardo S. de
Rocha, Leonardo S.G.
Bernardi, Leopoldo F.O.
Vieira, Letícia M.
Johann, Liana
Salvatierra, Lidianne
Oliveira, Livia de M.
Loureiro, Lourdes M.A. El-moor
Barreto, Luana B.
Barros, Luana M.
Lecci, Lucas
Camargos, Lucas M. de
Lima, Lucas R.C.
Almeida, Lucia M.
Martins, Luciana R.
Marinoni, Luciane
Moura, Luciano de A.
Lima, Luciano
Naka, Luciano N.
Miranda, Lucília S.
Salik, Lucy M.
Bezerra, Luis E.A.
Silveira, Luis F.
Campos, Luiz A.
Castro, Luiz A.S. de
Pinho, Luiz C.
Silveira, Luiz F.L.
Iniesta, Luiz F.M.
Tencatt, Luiz F.C.
Simone, Luiz R.L.
Malabarba, Luiz R.
Cruz, Luiza S. da
Sekerka, Lukas
Barros, Lurdiana D.
Santos, Luziany Q.
Skoracki, Maciej
Correia, Maira A.
Uchoa, Manoel A.
Andrade, Manuella F.G.
Hermes, Marcel G.
Miranda, Marcel S.
Araújo, Marcel S. de
Monné, Marcela L.
Labruna, Marcelo B.
Santis, Marcelo D. de
Duarte, Marcelo
Knoff, Marcelo
Nogueira, Marcelo
Britto, Marcelo R. de
Melo, Marcelo R.S. de
Carvalho, Marcelo R. de
Tavares, Marcelo T.
Kitahara, Marcelo V.
Justo, Marcia C.N.
Botelho, Marcia J.C.
Couri, Márcia S.
Borges-Martins, Márcio
Felix, Márcio
Oliveira, Marcio L. de
Bologna, Marco A.
Gottschalk, Marco S.
Tavares, Marcos D.S.
Lhano, Marcos G.
Bevilaqua, Marcus
Santos, Marcus T.T.
Domingues, Marcus V.
Sallum, Maria A.M.
Digiani, María C.
Santarém, Maria C.A.
Nascimento, Maria C. do
Becerril, María de los A.M.
Santos, Maria E.A. dos
Passos, Maria I. da S. dos
Felippe-Bauer, Maria L.
Cherman, Mariana A.
Terossi, Mariana
Bartz, Marie L.C.
Barbosa, Marina F. de C.
Loeb, Marina V.
Cohn-Haft, Mario
Cupello, Mario
Martins, Marlúcia B.
Christofersen, Martin L.
Bento, Matheus
Rocha, Matheus dos S.
Martins, Maurício L.
Segura, Melissa O.
Cardenas, Melissa Q.
Duarte, Mércia E.
Ivie, Michael A.
Mincarone, Michael M.
Borges, Michela
Monné, Miguel A.
Casagrande, Mirna M.
Fernandez, Monica A.
Piovesan, Mônica
Menezes, Naércio A.
Benaim, Natalia P.
Reategui, Natália S.
Pedro, Natan C.
Pecly, Nathalia H.
Ferreira Júnior, Nelson
Silva Júnior, Nelson J. da
Perioto, Nelson W.
Hamada, Neusa
Degallier, Nicolas
Chao, Ning L.
Ferla, Noeli J.
Mielke, Olaf H.H.
Evangelista, Olivia
Shibatta, Oscar A.
Oliveira, Otto M.P.
Albornoz, Pablo C.L.
Dellapé, Pablo M.
Gonçalves, Pablo R.
Shimabukuro, Paloma H.F.
Grossi, Paschoal
Rodrigues, Patrícia E. da S.
Lima, Patricia O.V.
Velazco, Paul
Santos, Paula B. dos
Araújo, Paula B.
Silva, Paula K.R.
Riccardi, Paula R.
Garcia, Paulo C. de A.
Passos, Paulo G.H.
Corgosinho, Paulo H.C.
Lucinda, Paulo
Costa, Paulo M.S.
Alves, Paulo P.
Roth, Paulo R. de O.
Coelho, Paulo R.S.
Duarte, Paulo R.M.
Carvalho, Pedro F. de
Gnaspini, Pedro
Souza-Dias, Pedro G.B.
Linardi, Pedro M.
Bartholomay, Pedro R.
Demite, Peterson R.
Bulirsch, Petr
Boll, Piter K.
Pereira, Rachel M.M.
Silva, Rafael A.P.F.
Moura, Rafael B. de
Boldrini, Rafael
Silva, Rafaela A. da
Falaschi, Rafaela L.
Cordeiro, Ralf T.S.
Mello, Ramon J.C.L.
Singer, Randal A.
Querino, Ranyse B.
Heleodoro, Raphael A.
Castilho, Raphael de C.
Constantino, Reginaldo
Guedes, Reinaldo C.
Carrenho, Renan
Gomes, Renata S.
Gregorin, Renato
Machado, Renato J.P.
Bérnils, Renato S.
Capellari, Renato S.
Silva, Ricardo B.
Kawada, Ricardo
Dias, Ricardo M.
Siewert, Ricardo
Brugnera, Ricaro
Leschen, Richard A.B.
Constantin, Robert
Robbins, Robert
Pinto, Roberta R.
Reis, Roberto E. dos
Ramos, Robson T. da C.
Cavichioli, Rodney R.
Barros, Rodolfo C. de
Caires, Rodrigo A.
Salvador, Rodrigo B.
Marques, Rodrigo C.
Araújo, Rodrigo C.
Araujo, Rodrigo de O.
Dios, Rodrigo de V.P.
Johnsson, Rodrigo
Feitosa, Rodrigo M.
Hutchings, Roger W.
Lara, Rogéria I.R.
Rossi, Rogério V.
Gerstmeier, Roland
Ochoa, Ronald
Hutchings, Rosa S.G.
Ale-Rocha, Rosaly
Rocha, Rosana M. da
Tidon, Rosana
Brito, Rosangela
Pellens, Roseli
Santos, Sabrina R. dos
Santos, Sandra D. dos
Paiva, Sandra V.
Santos, Sandro
Oliveira, Sarah S. de
Costa, Sávio C.
Gardner, Scott L.
Leal, Sebastián A. Muñoz
Aloquio, Sergio
Bonecker, Sergio L.C.
Bueno, Sergio L. de S.
Almeida, Sérgio M. de
Stampar, Sérgio N.
Andena, Sérgio R.
Posso, Sergio R.
Lima, Sheila P.
Gadelha, Sian de S.
Thiengo, Silvana C.
Cohen, Simone C.
Brandão, Simone N.
Rosa, Simone P.
Ribeiro, Síria L.B.
Letana, Sócrates D.
Santos, Sonia B. dos
Andrade, Sonia C.S.
Dávila, Stephane
Vaz, Stéphanie
Peck, Stewart B.
Christo, Susete W.
Cunha, Suzan B.Z.
Gomes, Suzete R.
Duarte, Tácio
Madeira-Ott, Taís
Marques, Taísa
Roell, Talita
Lima, Tarcilla C. de
Sepulveda, Tatiana A.
Maria, Tatiana F.
Ruschel, Tatiana P.
Rodrigues, Thaiana
Marinho, Thais A.
Almeida, Thaís M. de
Miranda, Thaís P.
Freitas, Thales R.O.
Pereira, Thalles P.L.
Zacca, Thamara
Pacheco, Thaynara L.
Martins, Thiago F.
Alvarenga, Thiago M.
Carvalho, Thiago R. de
Polizei, Thiago T.S.
McElrath, Thomas C.
Henry, Thomas
Pikart, Tiago G.
Porto, Tiago J.
Krolow, Tiago K.
Carvalho, Tiago P.
Lotufo, Tito M. da C.
Caramaschi, Ulisses
Pinheiro, Ulisses dos S.
Pardiñas, Ulyses F.J.
Maia, Valéria C.
Tavares, Valeria
Costa, Valmir A.
Amaral, Vanessa S. do
Silva, Vera C.
Wolff, Vera R. dos S.
Slobodian, Verônica
Silva, Vinícius B. da
Espíndola, Vinicius C.
Costa-Silva, Vinicius da
Bertaco, Vinicius de A.
Padula, Vinícius
Ferreira, Vinicius S.
Silva, Vitor C.P. da
Piacentini, Vítor de Q.
Sandoval-Gómez, Vivian E.
Trevine, Vivian
Sousa, Viviane R.
Sant’Anna, Vivianne B. de
Mathis, Wayne N.
Souza, Wesley de O.
Colombo, Wesley D.
Tomaszewska, Wioletta
Wosiacki, Wolmar B.
Ovando, Ximena M.C.
Leite, Yuri L.R.








ABSTRACT The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others. publications problem uptodate up date classifications context exception (CTFB http//fauna.jbrj.gov.br/, httpfaunajbrjgovbr http //fauna.jbrj.gov.br/ , jbrj gov br (http://fauna.jbrj.gov.br/) 2015 Brazil 80 specialists 1 2024 133691 133 691 133,69 125138 125 138 125,13 82.3%, 823 82 3 (82.3% 102000 102 000 102,00 7.69%, 769 7 69 (7.69% 11000 11 11,00 . 3,567 3567 567 (3,56 2,292 2292 2 292 (2,29 1,833 1833 833 (1,83 1,447 1447 447 (1,44 1000 1,00 831 (83 628 (62 606 (60 520 (52 50 users science health biology law anthropology education others http//fauna.jbrj.gov.br/ faunajbrjgovbr //fauna.jbrj.gov.br (http://fauna.jbrj.gov.br/ 201 8 202 13369 13 133,6 12513 12 125,1 82.3% (82.3 10200 10 00 102,0 7.69% 76 6 (7.69 1100 11,0 3,56 356 56 (3,5 2,29 229 29 (2,2 1,83 183 83 (1,8 1,44 144 44 (1,4 100 1,0 (8 62 (6 60 52 (5 5 http//fauna.jbrj.gov.br (http://fauna.jbrj.gov.br 20 1336 133, 1251 125, 82.3 (82. 1020 0 102, 7.69 (7.6 110 11, 3,5 35 (3, 2,2 22 (2, 1,8 18 (1, 1,4 14 4 ( 82. (82 7.6 (7. 3, (3 2, (2 (1 7. (7
12.
Addressing disruptive medical staff behavior: a 3-year experience behavior 3year year 3
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Menezes, Fernando Gatti de
; Samano, Hélio Minoru
; Oliveira, Mauro Dirlando Conte de
; Silva, Adriana Leme de Campos da
; Lopes, Carin Ferreira
; Marques, Debora da Costa
; Silveira, Amanda Lindsay da
; Colombo, Giancarlo
; Cendoroglo Neto, Miguel
.









ABSTRACT Objective: To describe the 3-year long experience of addressing disruptive events by medical staff in a private hospital. Methods: The cross-sectional study that was conducted between 2020 and 2022, involved collection, analysis, and management of suspected cases of disruptive behavior by medical staff. Results: Relevant information was collected from reports issued by health care leaders (69%), anonymous reports accessed from the health institution's intranet tool "SINAPSE" (19%), the compliance center (5%), customer attendance service (3.7%), the hospital board (2.3%), and the medical practice department (1%). Surgical specialties were responsible for 70.3% of the disruptive incidents, and the average time to outcome was 24.5 days, with most solutions involving guided education of physicians (92.7%). Conclusion: Management of disruptive behavior by medical staff is essential for the prevention of unsafe work environments and strengthening a culture of safety. Objective 3year year 3 Methods crosssectional cross sectional 202 2022 collection analysis Results 69%, 69 69% , (69%) institutions institution s SINAPSE "SINAPSE 19%, 19 19% (19%) 5%, 5 5% (5%) 3.7%, 37 3.7% 7 (3.7%) 2.3%, 23 2.3% 2 (2.3%) 1%. 1 1% . (1%) 703 70 70.3 incidents 245 24 24. days 92.7%. 927 92.7% 92 (92.7%) Conclusion safety 20 6 (69% (19% (5% 3.7 (3.7% 2.3 (2.3% (1% 70. 92.7 9 (92.7% (69 (19 (5 3. (3.7 2. (2.3 (1 92. (92.7 (6 ( (3. (2. (92. (3 (2 (92 (9
13.
An update on the mechanisms and risk factors for anesthesia-related cardiac arrest in children: a narrative review anesthesiarelated anesthesia related children
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Braz, Leandro Gobbo
; Braz, Jose Reinaldo Cerqueira
; Tiradentes, Teofilo Augusto Araújo
; Porto, Daniela de Sa Menezes
; Beserra, Cristiano Martins
; Vane, Luiz Antonio
; Nascimento Junior, Paulo do
; Modolo, Norma Sueli Pinheiro
; Braz, Mariana Gobbo
.









Abstract The relation between surgery and anesthesia safety in children and a country’sHuman Development Index (HDI) value has been described previously. The aim of this narrative review was to provide an update on the mechanisms and risk factors of Anesthesia-Related Cardiac Arrest (ARCA) in pediatric surgical patients in countries with different HDI values and over time (pre-2001 vs. 2001–2024). Electronic databases were searched up to March 2024 for studies reporting ARCA events in children. HDI values range from 0 to 1 (very-high-HDI countries: ≥ 0.800, high-HDI countries: 0.700–0.799, medium-HDI countries: 0.550–0.699, and low-HDI countries: < 0.550). Independent of time, the proportion of children who suffered perioperative Cardiac Arrest (CA) attributed to anesthesia-related causes was higher in very-high-HDI countries (50%) than in countries with HDI values less than 0.8 (15-36%), but ARCA rates were higher in countries with HDI values less than 0.8 than in very-high-HDI countries. Regardless of the HDI value, medication-related factors were the most common mechanism causing ARCA before 2001, while cardiovascular-related factors, mainly hypovolemia, and respiratory-related factors, including difficulty maintaining patent airways and adequate ventilation, were the major mechanisms in the present century. Independent of HDI value and time, a higher number of ARCA events occurred in children with heart disease and/or a history of cardiac surgery, those aged younger than one year, those with ASA physical status III-V, and those who underwent emergency surgery. Many ARCA events were determined to be preventable. The implementation of specialized pediatric anesthesiology and training programs is crucial for anesthesia safety in children. countrysHuman country sHuman (HDI previously AnesthesiaRelated Anesthesia Related (ARCA pre2001 pre 2001 (pre-200 vs 2001–2024. 20012024 2001–2024 . 2001–2024) 202 veryhighHDI very high 0800 800 0.800 highHDI 07000799 700 799 0.700–0.799 mediumHDI medium 05500699 550 699 0.550–0.699 lowHDI low 0.550. 0550 0.550 0.550) CA (CA anesthesiarelated related 50% 50 (50% 08 8 0. 1536%, 1536 15 36% , 36 (15-36%) medicationrelated medication cardiovascularrelated cardiovascular hypovolemia respiratoryrelated respiratory ventilation century andor or year IIIV, IIIV III V, V III-V preventable pre200 200 (pre-20 2001202 2001–202 20 080 80 0.80 0700079 70 79 0.700–0.79 0550069 55 69 0.550–0.69 055 0.55 5 (50 1536% 153 3 (15-36% pre20 (pre-2 200120 2001–20 2 070007 7 0.700–0.7 055006 6 0.550–0.6 05 0.5 (5 (15-36 pre2 (pre- 20012 2001–2 07000 0.700–0. 05500 0.550–0. ( (15-3 (pre 2001– 0700 0.700–0 0.550–0 (15- 070 0.700– 0.550– (15 07 0.700 (1 0.70 0.7
14.
Mental health and sleep quality issues in adolescents with chronic conditions during and after COVID-19 quarantine COVID19 COVID 19 COVID-1 COVID1 1 COVID-
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Sousa, Renan Andrews de
; Paradelas, Levi Medeiros Vieira
; Lindoso, Livia
; Campos, Reinan Tavares
; Battiferro, Rafaela Mendes
; Carneiro, Beatriz Oliveira Leão
Souza, Jean Paulo Veronesse de
Freire, Marianna Ribeiro de Menezes
Cardoso, Maria Paula Ribeiro
Strabelli, Claudia Alejandra Ayala
Silva, Clovis Artur





15.
Parathyroidectomy reduces the costs of medication in patients with secondary hyperparathyroidism
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Pereira, Gabriel Mattucci Domingues
; Liao, Matheus
; Arap, Sergio Samir
; Magnabosco, Felipe Ferraz
; Brescia, Marilia D'Elboux Guimarães
; Moyses, Rosa Maria Affonso
Custódio, Melani Ribeiro
Jorgetti, Vanda
Kowalski, Luiz Paulo
Montenegro, Fábio Luiz de Menezes





Abstract Introduction Subtotal Parathyroidectomy (S-PTx) and total Parathyroidectomy with immediate Autograft (PTx-AG) are well-established techniques for the treatment of refractory Secondary Hyperparathyroidism (SHPT), with comparable improvements in patients' quality of life and survival. However, the long-term costs after these operations may impact the choice of surgical technique. The objective of the study is to analyze the impact of surgical treatment on medication costs and whether there is any difference between medication use after each procedure, considering impacts on the health system. Material and methods Prospective and randomized study in patients with severe SHPT undergoing S-PTx and PTx-AG. Analysis of prescribed medication costs in the month before the postoperative period at 1-, 3-, 6-, 12-, and 18 months. Costs were estimated according to government payment system values. The medications of 65 patients after PTx-AG were compared with those of 24 patients after S-PTx. A comparison of the total costs of the period between 38 men and 51 women was also made. Results There were 89 evaluable cases. Surgery reduced medication costs after 12 months. The median of total drug costs in the analyzed period was R$ 8,375.00 per patient. There was no difference in costs per patient in the S-PTx group compared to the PTx-AG group. The median total costs were R$ 11,063.0 for men and R$ 7,651.0 for women (p = 0.0078). Conclusions The type of parathyroidectomy did not impact costs after surgery. In the first year after surgery, the use of calcium and calcitriol was more significant than the use of other medications. In the following months, the use of sevelamer is responsible for the highest costs. Men have higher costs in outpatient follow-up after surgery. SPTx S PTx (S-PTx PTxAG AG (PTx-AG wellestablished well established SHPT, , (SHPT) survival However longterm long term technique procedure PTxAG. AG. 1, 1 1- 3, 3 3- 6, 6 6- 12, 12- months values 2 SPTx. PTx. 5 made 8 cases R 837500 375 00 8,375.0 110630 11 063 0 11,063. 76510 7 651 7,651. p 0.0078. 00078 0.0078 . 0078 0.0078) surgery followup follow up (SHPT 83750 37 8,375. 11063 06 11,063 7651 7,651 0007 0.007 007 8375 8,375 1106 11,06 765 7,65 000 0.00 837 8,37 110 11,0 76 7,6 0.0 83 8,3 11, 7, 0. 8,
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