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Ações de combate à Covid-19 conduzidas por agentes comunitários de saúde em um município brasileiro
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Chagas, Alexandra Almeida Pinheiro

; Barçante, Joziana Muniz de Paiva

; Costa, Julia Ornellas

; Ferreira, Raquel Aparecida

Physis: Revista de Saúde Coletiva

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2024, Volume 34 elocation e34074

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

Abstract This analytical study aimed to evaluate the actions to combat COVID-19 from the perspective of community health agents (ACSs). A semi-structured questionnaire, with 21 closed questions, was used to collect the desired information. The data were tabulated, and a descriptive analysis of the information was performed using Microsoft Excel® software. During the study, there were 90 ACSs, of which 67% (60) participated in the survey. Among the respondents, 92% (55) were women, and 8% (5) were men, in the age range of 31-40 years. All the ACSs (60) mentioned the existence of cases of COVID-19 and 82% (49) reported the occurrence of deaths from this disease in their work area. In addition, 80% (48) of the agents detected suspected cases during their home visits. Concerning the work routine during the pandemic, 82% (49) of the participants declared that they maintained their activities and 98% (58) claimed changes in the work method. Despite the changes and challenges imposed by the pandemic, ACSs played an important role in containing the spread of the virus, whether through monitoring suspected and confirmed cases, or through guidance offered to the population.

Resumo Este estudo analítico teve como objetivo avaliar as ações de combate à Covid-19 na perspectiva dos agentes comunitários de saúde (ACSs). Um questionário semiestruturado em 21 questões foi utilizado para coletar as informações desejadas. Os dados foram tabulados e foi realizada uma análise descritiva das informações, utilizando o software Microsoft Excel®. O universo amostral era composto por 90 ACSs, dos quais 67% (60) participaram da pesquisa. Dentre os participantes, 92% (55) eram mulheres e 8% (5) eram homens, na faixa etária de 31 a 40 anos. Todos os ACSs (60) mencionaram a existência de casos de Covid-19 e 82% (49) relataram a ocorrência de óbitos por essa doença no seu território de atuação. Além disso, 80% (48) dos agentes detectaram casos suspeitos durante suas visitas domiciliares. Em relação à rotina de trabalho durante a pandemia, 82% (49) dos participantes afirmaram manter suas atividades e 98% (58) alegaram mudanças no método de trabalho. Apesar das mudanças e desafios impostos pela pandemia, os ACSs desempenharam importante papel na contenção da disseminação do vírus, seja por meio do monitoramento dos casos suspeitos e casos confirmados, ou através de orientações oferecidas à população.

https://doi.org/10.1590/s0103-7331202434074pt

Current landscape of clinical use of ex vivo expanded natural killer cells for cancer therapy
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Azevedo, Júlia Teixeira Cottas de

; Godoy, Juliana Aparecida Preto de

; Souza, Cláudia de

; Sielski, Micheli Severo

; Coa, Larissa Leggieri

; Barbosa Júnior, Augusto

; Kerbauy, Lucila Nassif

; Kondo, Andrea Tiemi

; Okamoto, Oswaldo Keith

; Hamerschlak, Nelson

; Kutner, José Mauro

; Paiva, Raquel de Melo Alves

einstein (São Paulo)

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2024, Volume 22 elocation eRW0612

Abstract: En | Text: En | PDF: En

ABSTRACT Natural Killer cells are immune leukocytes required for responses against tumor cells and virus-infected cells. In the last decade, natural killer cells have emerged as promising tools in cancer therapy, and clinical studies on patients treated with natural killer cells have revealed increased rates of disease-free survival. In this article, we review results from the major clinical trials that have used natural killer cells for cancer treatment, including their global distribution. We also discuss the major mechanisms of natural killer cell activation and expansion and focus on the advantages and disadvantages of each mechanism for clinical applications. Although natural killer cells can be isolated from several sources, primary natural killer cells are most commonly used in clinical trials. However, the frequency of natural killer cells available in peripheral and cord blood is low, necessitating development of methods for expansion of natural killer cells for clinical use. The development of a platform for the expansion of large-scale good manufacturing practice-compliant natural killer cells has limitations as several methods for natural killer cell activation and expansion yield conflicting results. Only techniques using feeder cells can produce large numbers of cells, allowing the “off-the-shelf” use of natural killer cells. However, advances in cell culture have supported the development of feeder-free platforms for natural killer cell expansion, which is fundamental for improving the safety of this type of cell therapy. virusinfected virus infected decade therapy diseasefree disease free survival article treatment distribution applications sources However low largescale scale practicecompliant practice compliant offtheshelf off shelf “off-the-shelf feederfree

https://doi.org/10.31744/einstein_journal/2024rw0612

Patient Blood Management Program Implementation: Comprehensive Recommendations and Practical Strategies Implementation
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Céspedes, Isabel Cristina

; Figueiredo, Maria Stella

; Hossne Junior, Nelson Americo

; Suriano, Ítalo Capraro

; Rodrigues, Rita de Cássia

; Barros, Melca Maria Oliveira

; Paiva Neto, Manoel Antonio de

; Atallah, Fernanda Chohfi

; Benini, Bárbara Burza

; Gonzalez, Adriano Miziara

; Sparapani, Fábio Veiga de Castro

; Barros Júnior, Newton de

; Carneiro, Ieda Aparecida

; Sarto, Celina Mayumi Morita

; Motoyama, Caio Sussumu de Macedo

; Sacchi, Leonardo

; Piovezan, Victor

; Almeida, Simone Luna de

; Pereira-Rufino, Laís da Silva

; Guizilini, Solange

; Rocco, Isadora Salvador

; Mansur, Nacime Salomão

; Arakaki, Jaquelina Sonoe Ota

; Santos, Antonio Alceu dos

; Panfilio, Carlos Eduardo

Brazilian Journal of Cardiovascular Surgery

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2024, Volume 39 N. 5 elocation e20240205

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: Blood transfusion is one of the most common medical practices worldwide. However, current scientific literature has shown that the immunomodulatory effects of blood transfusion are associated with an increased likelihood of infection, prolonged hospitalization, and morbimortality. Also, it means high costs for healthcare systems. Methods: In this context, acknowledging that blood transfusions are essentially heterologous cell transplantations, the use of therapeutic options has gained strength and is collectively known as the patient blood management (PBM) program. PBM is an approach based on three main pillars: (1) treating anemias and coagulopathies in an optimized manner, especially in the preoperative period; (2) optimizing perioperative hemostasis and the use of blood recovery systems to avoid the loss of the patient's blood; (3) anemia tolerance, with improved oxygen delivery and reduced oxygen demand, particularly in the postoperative period. Results: Current scientific evidence supports the effectiveness of PBM by reducing the need for blood transfusions, decreasing associated complications, and promoting more efficient and safer blood management. Thus, PBM not only improves clinical outcomes for patients but also contributes to the economic sustainability of healthcare systems. Conclusion: The aim of this review was to summarize PBM strategies in a comprehensive, evidence-based approach through a systematic and structured model for PBM implementation in tertiary hospitals. The recommendations proposed herein are from researchers and experts of a high-complexity university hospital in the network of the Sistema Único de Saúde, presenting itself as a strategy that can be followed as a guideline for PBM implementation in other settings. Introduction worldwide However infection hospitalization morbimortality Also Methods context transplantations (PBM program pillars 1 (1 manner period 2 (2 s 3 (3 tolerance demand Results complications Thus Conclusion comprehensive evidencebased hospitals highcomplexity complexity Saúde settings (

https://doi.org/10.21470/1678-9741-2024-0205

HIV serodifference: the “unsaid” in the social representations of health professionals serodifference unsaid “unsaid
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Silva, Valéria Gomes Fernandes da

; Serra, Maria Aparecida Alves de Oliveira

; Miranda, Francisco Arnoldo Nunes de

; Silva, Carlos Jordão de Assis

; Souza, Nilba Lima de

; Silva, Bruno Neves da

; Menezes, Rejane Maria Paiva de

Revista Gaúcha de Enfermagem

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2024, Volume 45 elocation e20230284

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

RESUMO Objetivo: Analisar as representações sociais na perspectiva do “não dito” de profissionais de saúde sobre a sorodiferença ao HIV. Método: Trata-se de um estudo qualitativo, fundamentado no referencial teórico-metodológico das Representações Sociais, com a Teoria do Núcleo Central e Zona Muda de Jean Claude Abric. Participaram 51 profissionais de serviços especializados da região metropolitana de uma capital do nordeste brasileiro, no período de outubro a dezembro de 2020. Aplicou-se entrevistas com a técnica de substituição da associação livre de palavras. Quanto aos procedimentos analíticos foram realizadas as análises prototípica e de similitude processadas no software Iramuteq. Resultados: Os resultados evidenciaram que o núcleo central demonstrou a presença velada de estigmas e déficit de conhecimento ao tratar da sorodiferença ao HIV, representados nas evocações preconceito, desconhecimento, medo, loucura e amor. Considerações finais: Os significados atribuídos ao núcleo central sinalizam a necessidade de capacitação dos profissionais de saúde envolvidos na rede de atenção à saúde, a fim de possibilitar a práxis do cuidado, e o enfrentamento dos estigmas que permeiam a sorodiferença e provocam o distanciamento entre parceiros e serviços de saúde. Objetivo não dito HIV Método Tratase Trata se qualitativo teóricometodológico teórico metodológico Sociais Abric 5 brasileiro 2020 Aplicouse Aplicou palavras Iramuteq Resultados preconceito desconhecimento medo amor finais cuidado 202 20 2

ABSTRACT Objective: To analyze social representations from the perspective of the silent zone of health professionals regarding HIV serodifference. Method: This is a qualitative study, based on the theoretical-methodological framework of Social Representations, with the Theory of the Central Nucleus and Mute Zone by Jean Claude Abric. 51 professionals from specialized services from the metropolitan region of a capital in the northeast of Brazil participated, from October to December 2020. Interviews were applied using the free word association replacement technique, with prototypical and similarity analyzes processed in the Iramuteq software. Results: The results showed that the central nucleus demonstrated the veiled presence of stigmas and lack of knowledge when dealing with HIV serodifference, represented by the expressions prejudice, lack of knowledge, fear, insanity, and love. Final considerations: The social representations attributed to the central core are anchored in prejudice, ignorance, fear, and insanity. Such meanings signal the need for improvements in the knowledge of health professionals involved in the health care network, in order to enable the praxis of care, and to confront the stigmas that permeate serodifference and cause distance between partners and health services. Objective Method study theoreticalmethodological theoretical methodological Representations Abric 5 participated 2020 technique software Results prejudice fear insanity love considerations ignorance network 202 20 2

RESUMEN Objetivo: Analizar las representaciones sociales desde la perspectiva de la zona silenciosa de los profesionales de la salud sobre la serodiferencia por VIH. Método: Se trata de un estudio cualitativo, basado en el marco teórico-metodológico de las Representaciones Sociales, con la Teoría del Núcleo Central y Zona Muda de Jean Claude Abric. Participaron 51 profesionales de servicios especializados de la región metropolitana de una capital del nordeste de Brasil, de octubre a diciembre de 2020. Las entrevistas se aplicaron mediante la técnica de sustitución libre de asociaciones de palabras, con análisis de prototipos y similitudes procesados en el software Iramuteq. Resultados: Los resultados mostraron que el núcleo central demostró la presencia velada de estigmas y desconocimiento al abordar la serodiferencia de VIH, representada en las evocaciones prejuicio, desconocimiento, miedo, locura y amor. Consideraciones finales: Las representaciones sociales atribuidas al núcleo central están ancladas en el prejuicio, la ignorancia, el miedo y la locura. Estos significados señalan la necesidad de entrenamiento para ampliar los conocimientos de los profesionales de la salud envueltos en la red de atención a la salud, para que sea posible la praxis del cuidado, y así se pueda enfrentar a los estigmas que permean la serodiferencia y generan distancias entre las parejas y los servicios de salud. Objetivo VIH Método cualitativo teóricometodológico teórico metodológico Sociales Abric 5 Brasil 2020 palabras Iramuteq Resultados prejuicio amor finales ignorancia cuidado 202 20 2

https://doi.org/10.1590/1983-1447.2024.20230284.en

Ações de combate à Covid-19 conduzidas por agentes comunitários de saúde em um município brasileiro Covid19 Covid 19 Covid-1 Covid1 1 Covid-
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Chagas, Alexandra Almeida Pinheiro

; Barçante, Joziana Muniz de Paiva

; Costa, Julia Ornellas

; Ferreira, Raquel Aparecida

Physis: Revista de Saúde Coletiva

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2024, Volume 34 elocation e34074

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

https://doi.org/10.1590/s0103-7331202434074pt

Safety of CoronaVac and ChAdOx1 vaccines against SARS-CoV-2 in patients with rheumatoid arthritis: data from the Brazilian multicentric study safer ChAdOx SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- arthritis SARS-CoV
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Cruz, Vitor Alves

; Guimarães, Camila

; Rêgo, Jozelia

; Machado, Ketty Lysie Libardi Lira

; Miyamoto, Samira Tatiyama

; Burian, Ana Paula Neves

; Dias, Laiza Hombre

; Pretti, Flavia Zon

; Batista, Danielle Cristina Filgueira Alves

; Mill, José Geraldo

; Oliveira, Yasmin Gurtler Pinheiro de

; Gadelha, Carolina Strauss Estevez

; Gouveia, Maria da Penha Gomes

; Moulin, Anna Carolina Simões

; Souza, Bárbara Oliveira

; Aguiar, Laura Gonçalves Rodrigues

; Vieira, Gabriel Smith Sobral

; Grillo, Luiza Lorenzoni

; Lima, Marina Deorce de

; Pasti, Laís Pizzol

; Surlo, Heitor Filipe

; Faé, Filipe

; Moulaz, Isac Ribeiro

; Macabú, Mariana de Oliveira

; Ribeiro, Priscila Dias Cardoso

; Magalhães, Vanessa de Oliveira

; Aguiar, Mariana Freitas de

; Biegelmeyer, Erika

; Peixoto;, Flávia Maria Matos Melo Campos

; Kayser, Cristiane

; Souza, Alexandre Wagner Silva de

; Castro, Charlles Heldan de Moura

; Ribeiro, Sandra Lúcia Euzébio

; Telles, Camila Maria Paiva França

; Bühring, Juliana

; Lima, Raquel Lima de

; Santos, Sérgio Henrique Oliveira Dos

; Dias, Samuel Elias Basualto

; Melo, Natália Seixas de

; Sanches, Rosely Holanda da Silva

; Boechat, Antonio Luiz

; Sartori, Natália Sarzi

; Hax, Vanessa

; Dória, Lucas Denardi

; Rezende, Rodrigo Poubel Vieira de

; Baptista, Katia Lino

; Fortes, Natália Rodrigues Querido

; Melo, Ana Karla Guedes de

; Melo, Tâmara Santos

; Vieira, Rejane Maria Rodrigues de Abreu

; Vieira, Adah Sophia Rodrigues

; Kakehasi, Adriana Maria

; Tavares, Anna Carolina Faria Moreira Gomes

; Landa, Aline Teixeira de

; Costa, Pollyana Vitoria Thomaz da

; Azevedo, Valderilio Feijó

; Martins-Filho, Olindo Assis

; Peruhype-Magalhães, Vanessa

; Pinheiro, Marcelo de Medeiros

; Monticielo, Odirlei André

; Reis-neto, Edgard Torres Dos

; Ferreira, Gilda Aparecida

; Souza, Viviane Angelina de

; Teixeira-Carvalho, Andréa

; Xavier, Ricardo Machado

; Sato, Emilia Inoue

; Valim, Valeria

; Pileggi, Gecilmara Salviato

; Silva, Nilzio Antonio da

Advances in Rheumatology

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2024, Volume 64 elocation 58

Abstract: En | Text: En | PDF: En

Abstract Background Patients with immune-mediated rheumatic diseases (IMRDs) have been prioritized for COVID-19 vaccination to mitigate the infection severity risks. Patients with rheumatoid arthritis (RA) are at a high risk of severe COVID-19 outcomes, especially those under immunosuppression or with associated comorbidities. However, few studies have assessed the safety of the COVID-19 vaccine in patients with RA. Objective To evaluate the safety of vaccines against SARS-CoV-2 in patients with RA. Methods This data are from the study “Safety and Efficacy on COVID-19 Vaccine in Rheumatic Diseases,” a Brazilian multicentric prospective phase IV study to evaluate COVID-19 vaccine in IMRDs in Brazil. Adverse events (AEs) in patients with RA of all centers were assessed after two doses of ChAdOx1 (Oxford/AstraZeneca) or CoronaVac (Sinovac/Butantan). Stratification of postvaccination AEs was performed using a diary, filled out daily and returned at the end of 28 days for each dose. Results A total of 188 patients with RA were include, 90% female. CoronaVac was used in 109 patients and ChAdOx1 in 79. Only mild AEs were observed, mainly after the first dose. The most common AEs after the first dose were pain at the injection (46,7%), headache (39,4%), arthralgia (39,4%), myalgia (30,5%) and fatigue (26,6%), and ChAdOx1 had a higher frequency of pain at the injection (66% vs 32 %, p < 0.001) arthralgia (62% vs 22%, p < 0.001) and myalgia (45% vs 20%, p < 0.001) compared to CoronaVac. The more common AEs after the second dose were pain at the injection (37%), arthralgia (31%), myalgia (23%), headache (21%) and fatigue (18%). Arthralgia (41,4% vs 25%, p = 0.02) and pain at injection (51,4% vs 27%, p = 0.001) were more common with ChAdOx1. No serious AEs were related. With Regard to RA activity level, no significant difference was observed between the three time periods for both COVID-19 vaccines. Conclusion In the comparison between the two immunizers in patients with RA, local reactions and musculoskeletal symptoms were more frequent with ChAdOx1 than with CoronaVac, especially after the first dose. In summary, the AE occurred mainly after the first dose, and were mild, like previous data from others immunizing agents in patients with rheumatoid arthritis. Vaccination did not worsen the degree of disease activity. immunemediated immune mediated (IMRDs COVID19 COVID 19 COVID-1 risks (RA outcomes comorbidities However SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- Safety Diseases, Diseases Brazil (AEs ChAdOx Oxford/AstraZeneca OxfordAstraZeneca Oxford AstraZeneca (Oxford/AstraZeneca Sinovac/Butantan. SinovacButantan Sinovac/Butantan . Sinovac Butantan (Sinovac/Butantan) diary 18 include 90 female 10 79 46,7%, 467 46,7% , 46 7 (46,7%) 39,4%, 394 39,4% 39 4 (39,4%) 30,5% 305 30 5 (30,5% 26,6%, 266 26,6% 26 6 (26,6%) 66% 66 (66 3 % 0.001 0001 0 001 62% 62 (62 22 22% 45% 45 (45 20 20% 37%, 37 37% (37%) 31%, 31 31% (31%) 23%, 23 23% (23%) 21% 21 (21% 18%. 18% (18%) 41,4% 414 41 (41,4 25 25% 0.02 002 02 51,4% 514 51 (51,4 27 27% related level summary COVID1 1 COVID- SARS-CoV (Sinovac/Butantan 9 46,7 (46,7% 39,4 (39,4% 30,5 (30,5 26,6 (26,6% (6 0.00 000 00 (4 (37% (31% (23% (21 (18% 41,4 (41, 0.0 51,4 (51, 46, (46,7 39, (39,4 30, (30, 26, (26,6 ( (37 (31 (23 (2 (18 41, (41 0. 51, (51 (46, (39, (30 (26, (3 (1 (5 (46 (39 (26

https://doi.org/10.1186/s42358-024-00397-5

Análise das políticas de Segurança Alimentar e Nutricional nos países da Comunidade dos Países de Língua Portuguesa
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Souza, Jéssica Aparecida de

; Lourenção, Luiz Felipe de Paiva

População e Sociedade

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dec 2023, Volume 40 Pages 154 - 171

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

Resumo As Políticas Públicas são essenciais para a garantia dos Direitos Humanos, como o Direito Humano à Alimentação Adequada (DHAA), que se refere a um indivíduo ter acesso a uma alimentação com qualidade, quantidade e segurança para suprir suas necessidades. Para tanto, envolve-se nesse processo a Segurança Alimentar e Nutricional (SAN) que diz respeito sobre uma alimentação segura e contínua, que respeita as fases de vida de uma pessoa e que é sustentável e permanente. O objetivo deste artigo é apresentar as principais Políticas Públicas de Segurança Alimentar e Nutricional dos países que compõem a Comunidade dos Países de Língua Portuguesa (CPLP). Realizou-se uma pesquisa documental, de caráter exploratório e qualitativo, para a coleta de dados acerca das Políticas Públicas de SAN nos países da CPLP. Os dados foram coletados de arquivos públicos, documentos oficiais, livros, artigos científicos, relatórios e legislações dos países que compõem esta comunidade. Dentre as políticas de SAN encontradas percebe-se que há fragilidades na legitimação do DHAA nesses países e que algumas políticas de fortalecimento e apoio à SAN são defasadas ou incompletas, como no âmbito da aquisição de alimentos, educação alimentar e nutricional e transferência de renda. Sendo assim, esse trabalho evidencia que há necessidade desses Estados-membros da CPLP em aprimorar e elaborar Políticas públicas efetivas e equitativas que garantam o Direito Humano à Alimentação Adequada e Segurança Alimentar e Nutricional para a população.

Abstract Public Policies are essential for the guarantee of Human Rights, such as the Human Right to Adequate Food (DHAA), which refers to an individual having access to food with quality, quantity and safety to meet their needs. To this end, Food and Nutritional Security (FNS) is involved in this process, which concerns a safe and continuous diet, which respects the stages of a person's life and which is sustainable and permanent. The objective of this article is to present the main Public Policies for Food and Nutrition Security of the countries that make up the Community of Portuguese Speaking Countries (CPLP). An exploratory and qualitative documentary research was carried out to collect data on Public FNS Policies in CPLP countries. Data were collected from public archives, official documents, books, scientific articles, reports and legislation of the countries that make up this community. Among the FNS policies found, it is clear that there are weaknesses in the legitimacy of the DHAA in these countries and that some policies to strengthen and support FNS are outdated or incomplete, such as in the context of food acquisition, food and nutrition education and income transfer. Therefore, this work shows that there is a need for these CPLP Member States to improve and develop effective and equitable public policies that guarantee the Human Right to Adequate Food and Food and Nutrition Security for the population.

https://doi.org/10.52224/21845263/rev40v3

Combined multi-channel intraluminal impedance measurement and pHmetry in the detection of gastroesophageal reflux disease in children with cystic fibrosis multichannel multi channel
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Gonçalves, Emília da Silva

; Ribeiro, José Dirceu

; Marson, Fernando Augusto Lima

; Montes, Ciro Garcia

; Ribeiro, Antônio Fernando

; Mainz, Jochen Georg

; Toro, Adyléia Aparecida Dalbo Contrera

; Zamariola, Juliana Helena

; Borgli, Daniela Souza Paiva

; Lomazi, Elizete Aparecida

; Servidoni, Maria de Fátima Corrêa Pimenta

Jornal de Pediatria

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jun 2023, Volume 99 N. 3 Pages 269 - 277

Abstract: En | Text: En | PDF: En

Abstract Objective To assess the prevalence of GERD exclusively by means of multichannel intraluminal impedanciometry associated with pH monitoring (MIIpH) and compare it with respiratory symptoms in children with CF. To compare MIIpH with pHmetry alone to perform GERD diagnosis. Methods An analytical cross-sectional study was conducted with children diagnosed with CF who underwent MIIpH. Clinical and laboratory markers, including respiratory and digestive symptoms, were used for comparative analyses. High-resolution chest computed tomography was performed on patients with symptoms of chronic lung disease. Severity was classified according to the Bhalla score. Results A total of 29 children < 10 yo (18 girls) were evaluated; 19 of whom with physiological GER and 10 with GERD. Of the children with GERD, seven had predominantly acid GER, two acid+non-acid GER, and one non-acid GER. Three patients had GERD diagnosed only by MIIpH. Bhalla scores ranged from seven to 17.75 with no significant relationship with GERD. The number of pulmonary exacerbations was associated with a decrease in esophageal clearance regardless of the position in pHmetry and MIIpH. Conclusions The prevalence of GERD was 34% in children with CF. There was no association between respiratory disease severity and GER types. MIIpH detected 30% more patients with GERD than pHmetry. (MIIpH diagnosis crosssectional cross sectional markers analyses Highresolution High resolution score 2 1 18 (1 girls evaluated acid+nonacid acidnonacid acid+non non nonacid 1775 17 75 17.7 34 types 30 ( acidnon 177 7 17. 3

https://doi.org/10.1016/j.jped.2022.11.007

What else in times of COVID-19? The role of minimally invasive autopsy for the differential diagnosis of acute respiratory failure in a case of kala-azar COVID19 COVID 19 COVID-19 kalaazar kala azar COVID1 1 COVID-1 COVID-
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Geber Júnior, João Carlos

; Monteiro, Renata Aparecida de Almeida

; Rocha, João Wilson Pedro da

; Duarte, Edson Luiz Társia

; Nicodemo, Elizabete

; Munhoz, Olavo

; Paiva, Edison Ferreira de

; Mauad, Thais

; Silva, Luiz Fernando Ferraz da

; Saldiva, Paulo Hilario Nascimento

; Dolhnikoff, Marisa

; Duarte-Neto, Amaro Nunes

Revista do Instituto de Medicina Tropical de São Paulo

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2023, Volume 65 elocation e36

Abstract: En | Text: En | PDF: En

ABSTRACT Visceral leishmaniasis (VL) is a chronic vector-borne zoonotic disease caused by trypanosomatids, considered endemic in 98 countries, mainly associated with poverty. About 50,000–90,000 cases of VL occur annually worldwide, and Brazil has the second largest number of cases in the world. The clinical picture of VL is fever, hepatosplenomegaly, and pancytopenia, progressing to death in 90% of cases due to secondary infections and multi-organ failure, if left untreated. We describe the case of a 25-year-old female who lived in the metropolitan area of Sao Paulo, who had recently taken touristic trips to several rural areas in Southeastern Brazil and was diagnosed post-mortem. During the hospitalization in a hospital reference for the treatment of COVID-19, the patient developed acute respiratory failure, with chest radiographic changes, and died due to refractory shock. The ultrasound-guided minimally invasive autopsy diagnosed VL (macrophages containing amastigote forms of Leishmania in the spleen, liver and bone marrow), as well as pneumonia and bloodstream infection by gram-negative bacilli. (VL vectorborne vector borne trypanosomatids 9 countries poverty 5000090000 50 000 90 50,000–90,00 worldwide world fever hepatosplenomegaly pancytopenia multiorgan multi organ failure untreated 25yearold yearold 25 year old Paulo postmortem. postmortem post mortem. mortem post-mortem COVID19, COVID19 COVID 19, 19 COVID-19 changes shock ultrasoundguided ultrasound guided macrophages spleen marrow, marrow , marrow) gramnegative gram negative bacilli 500009000 5 00 50,000–90,0 2 COVID1 1 COVID-1 50000900 0 50,000–90, COVID- 5000090 50,000–90 500009 50,000–9 50000 50,000– 5000 50,000 500 50,00 50,0 50,

https://doi.org/10.1590/s1678-9946202365036

10.

Vigilância à saúde da doença de Chagas em municípios endêmicos de Minas Gerais: percepção e conhecimento de profissionais da vigilância entomológica Gerais
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Souza, Izabella Cristina Alves

; Rodrigues, Fernanda Cristina Santos

; Souza, Janice Maria Borba

; Vieira, Alexandra Paiva Araújo

; Diotaiuti, Lileia Gonçalves

; Ferreira, Raquel Aparecida

Physis: Revista de Saúde Coletiva

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2023, Volume 33 elocation e33011

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

Resumo Objetivo Traçar o perfil sociodemográfico dos agentes de combate a endemias (ACEs) dos municípios que compõem a microrregional de saúde de Itaúna, Minas Gerais; e apreender a percepção dos profissionais da vigilância entomológica sobre a doença de Chagas e serviços de saúde. Metodologia Aplicou-se um questionário semiestruturado aos ACEs e foi realizado um grupo focal com os coordenadores de endemias e digitadores. Resultados Dentre os ACEs, a maioria era do sexo feminino, entre 21 e 40 anos, com ensino médio, possuindo contrato de trabalho temporário há menos de 5 anos. Foi possível apreender: as más condições de trabalho dos ACEs, destacando-se a alta rotatividade e defasagem salarial; ausência de ações de promoção à saúde relacionadas à doença de Chagas; desarticulação entre a Atenção Primária à Saúde (APS) e Vigilância à Saúde (VS); e críticas às ações de controle da doença pós-processo de descentralização da saúde. Conclusões Há urgência na concretização da legislação inerente à natureza trabalhista e às condições de trabalho dos ACEs, bem como ao planejamento conjunto das ações de APS e VS, garantindo a atenção integral por meio de ações de promoção à saúde voltadas à população, focando especialmente a doença de Chagas, consolidando o SUS. (ACEs Itaúna Gerais Aplicouse Aplicou se digitadores feminino 2 4 anos médio destacandose destacando salarial (APS VS (VS) pósprocesso pós processo população SUS (VS

Abstract Objective To trace the sociodemographic profile of endemic disease combat agents (ACEs) in the municipalities that make up the health microregion of Itaúna, Minas Gerais; and apprehend the perception of entomological surveillance professionals about Chagas disease and health services. Methodology A semi-structured questionnaire was applied to the ACEs and a focus group was held with coordinators of endemic diseases and typists. Results Among the ACEs, the majority were female, between 21 and 40 years old, with high school education, with a temporary work contract for less than 5 years. It was possible to apprehend: the poor working conditions of the ACEs, highlighting the high turnover and wage gap; absence of health promotion actions related to Chagas disease; disarticulation between Primary Health Care (PHC) and Health Surveillance (HS); and criticism of disease control actions after the health decentralization process. Conclusions There is an urgent need to implement the legislation inherent to the labor nature and working conditions of the ACEs, as well as the joint planning of PHC and SV actions, guaranteeing comprehensive care through health promotion actions aimed at the population, focusing especially on Chagas disease, consolidating the SUS. (ACEs Itaúna Gerais services semistructured semi structured typists female 2 4 old education gap (PHC HS (HS) process population SUS (HS

https://doi.org/10.1590/s0103-7331202333011

11.

Resiliência em pessoas idosas diante da pandemia COVID-19: revisão integrativa COVID19 COVID 19 COVID-19 COVID1 1 COVID-1 COVID-
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Vicente, Mateus Carneiro

; Fernandes, Daiane de Souza

; Silva, Mauriely Paiva de Alcântara e

; Silveira, Renata Cristina de Campos Pereira

; Rodrigues, Rosalina Aparecida Partezani

Acta Paulista de Enfermagem

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2023, Volume 36 elocation eAPE022032

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

Resumen Objetivo Analizar el conocimiento producido en la literatura científica sobre la resiliencia de personas mayores ante la pandemia de COVID-19. Métodos Revisión integradora de la literatura con estudios primarios publicados en su totalidad, en portugués, inglés o español, entre 2020 y 2022, en las bases de datos PubMed, EMBASE, LILACS, Web of Science y PsycINFO-APA. Se exportaron los artículos al sistema Rayyan, se leyeron los estudios seleccionados y se ingresaron en un instrumento cuyos datos extraídos fueron: autores, año, objetivo, tipo de estudio, muestra, promedio de edad, resiliencia, resultados principales y conclusión. En la evaluación crítica para determinar la calidad metodológica y nivel de evidencia, se utilizó, para estudios cualitativos, el instrumento Guidelines for Critical Review Form: Qualitative Studies , para cuantitativos, el Guideline Critical Review Form for Quantitative Studies y para estudios mixtos, el Mixed Methods Appraisal Tool . Resultados Nueve artículos publicados conformaron el análisis final. Sobre las estrategias de afrontamiento, se destacan las actividades físicas, como caminatas, Tai-chi , correr, ejercicios de resistencia y ciclismo; el uso de la tecnología de la comunicación, como juegos, páginas de videos, teleconferencias, mirar televisión y el uso de aplicaciones de comunicación y actividades recreativas, como lectura, tocar instrumentos musicales, meditación, arte de costura, jardinería y pintura y estilo de vida, mantenerse ocupado, buscar apoyo social, alimentarse de forma saludable y mantener rutinas domésticas. Conclusión Las personas mayores fueron relativamente resilientes durante la pandemia. La resiliencia fue un factor importante para mantener el bienestar y la calidad de vida de esta población, con énfasis en la práctica de actividad física y el uso de tecnologías.Open Science Framework (OSF): https://doi.org/10.17605/OSF.IO/VSBHP COVID19. COVID19 COVID 19. 19 COVID-19 totalidad portugués español 202 2022 PubMed EMBASE LILACS PsycINFOAPA. PsycINFOAPA PsycINFO APA. APA PsycINFO-APA Rayyan autores año objetivo estudio muestra edad conclusión evidencia utilizó cualitativos cuantitativos mixtos final afrontamiento físicas caminatas Taichi Tai chi correr ciclismo juegos videos teleconferencias recreativas lectura musicales meditación costura ocupado social domésticas población tecnologíasOpen tecnologías Open OSF (OSF) https//doi.org/10.17605/OSF.IO/VSBHP httpsdoiorg1017605OSFIOVSBHP httpsdoiorgOSFIOVSBHP https //doi.org/10.17605/OSF.IO/VSBHP doi org 10 17605 IO VSBHP COVID1 1 COVID-1 20 (OSF httpsdoiorg OSFIOVSBHP doiorg1017605OSFIOVSBHP doiorgOSFIOVSBHP 1760 COVID- 2 doiorg 176 17

Resumo Objetivo Analisar o conhecimento produzido na literatura científica sobre a resiliência de pessoas idosas diante da pandemia COVID-19. Método Revisão integrativa da literatura com estudos primários publicados na íntegra, em Portugues, Ingles e/ou Espanhol, entre 2020 e 2022 nas bases de dados PubMed, EMBASE, LILACS, Web of Science e PsycINFO-APA. Os artigos foram exportados para o sistema Rayyan, os estudos selecionados foram lidos e inseridos em um instrumento cujos dados extraídos foram: autores, ano, objetivo,tipo de estudo, amostra, média da idade, resiliência, principais resultados e conclusão. Na avaliação crítica para determinar a qualidade metodológica e nível de evidência, para estudos qualitativos utilizou-se o Guidelines for Critical Review Form: Qualitative Studies , para quantitativos o Guideline Critical Review Form for Quantitative Studies e estudos mistos o Mixed Methods Appraisal Tool . Resultados Correspondem à análise final dos nove artigos publicados. Sobre às estratégias de enfrentamento, destacam-se atividades físicas, sendo estas, caminhadas, Tai-chi , corridas, exercícios de resistência e ciclismo; o uso da tecnologia de comunicação, como jogos, site de videos, teleconferencias, assistir TV e o uso de aplicativos de comunicação e as atividades de lazer, como a leitura, tocar instrumentos musicais, meditação, a arte de costura, jardinagem e pintura e estilo de vida, mantendo-se ocupado, busca de apoio social, se alimentar saudável e a manutenção de rotinas domésticas. Conclusão As pessoas idosas foram relativamente resilientes durante essa pandemia. A resiliência foi fator importante para a manutenção do bem-estar e qualidade de vida dessa população, com destaque para a prática de atividade física e o uso de tecnologias. COVID19. COVID19 COVID 19. 19 COVID-19 íntegra Portugues eou ou Espanhol 202 PubMed EMBASE LILACS PsycINFOAPA. PsycINFOAPA PsycINFO APA. APA PsycINFO-APA Rayyan autores ano objetivotipo objetivo tipo estudo amostra idade conclusão evidência utilizouse utilizou enfrentamento destacamse destacam físicas estas caminhadas Taichi Tai chi corridas ciclismo jogos videos teleconferencias lazer leitura musicais meditação costura mantendose mantendo ocupado social domésticas bemestar bem estar população tecnologias COVID1 1 COVID-1 20 COVID- 2

Abstract Objective To analyze the knowledge produced in the scientific literature about older adults’ resilience in the face of the COVID-19 pandemic. Method This is an integrative literature review with primary studies published in full, in Portuguese, English and/or Spanish, between 2020 and 2022, in PubMed, EMBASE, LILACS, Web of Science and PsycINFO-APA databases. The articles were exported to the Rayyan system. The selected studies were read and entered into an instrument whose extracted data were authors, year, objective, study design, sample, mean age, resilience, main results and conclusion. In the critical assessment to determine the methodological quality and level of evidence, for qualitative studies, the Guidelines for Critical Review Form: Qualitative Studies were used, for quantitative studies, the Guideline Critical Review Form for Quantitative Studies, and mixed studies, the Mixed Methods Appraisal Tool. Results Correspond to the final analysis of the nine published articles. Regarding coping strategies, physical activities stand out, such as walking, Tai-chi, running, resistance exercises and cycling; communication technology use, such as games, video sites, teleconferences, watching TV and communication application use and leisure activities, such as reading, playing musical instruments, meditation, the art of sewing, gardening and painting and lifestyle, keeping busy, seeking social support, eating healthy, and maintaining household routines. Conclusion Older adults were relatively resilient during this pandemic. Resilience was an important factor for maintaining the well-being and quality of life of this population, with emphasis on physical activity and technology use.Open Science Framework (OSF): https://doi.org/10.17605/OSF.IO/VSBHP COVID19 COVID 19 COVID-1 pandemic full Portuguese andor or Spanish 202 2022 PubMed EMBASE LILACS PsycINFOAPA PsycINFO APA databases system authors year objective design sample age conclusion evidence used Tool strategies out walking Taichi, Taichi Tai chi, chi Tai-chi running cycling games sites teleconferences reading instruments meditation sewing lifestyle busy support healthy routines wellbeing well being population useOpen Open OSF (OSF) https//doi.org/10.17605/OSF.IO/VSBHP httpsdoiorg1017605OSFIOVSBHP httpsdoiorgOSFIOVSBHP https //doi.org/10.17605/OSF.IO/VSBHP doi org 10 17605 IO VSBHP COVID1 1 COVID- 20 (OSF httpsdoiorg OSFIOVSBHP doiorg1017605OSFIOVSBHP doiorgOSFIOVSBHP 1760 2 doiorg 176 17

https://doi.org/10.37689/acta-ape/2023ar022032

12.

Associating herpes zoster ophthalmicus with cerebral vasculitis
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Paiva, Jean Levi Ribeiro de

; Cardoso, Tânia Aparecida Marchiori de Oliveira

; Reis, Fabiano

Revista da Sociedade Brasileira de Medicina Tropical

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2023, Volume 56 elocation e0155-2023

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/0037-8682-0155-2023

13.

INSTRUMENTOS UTILIZADOS NA AVALIAÇÃO DA CAPACIDADE FUNCIONAL, FRAGILIDADE E SARCOPENIA EM IDOSOS: REVISÃO INTEGRATIVA FUNCIONAL IDOSOS
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Santos, Maria Eduarda dos

; Fernandes, Daiane de Souza

; Silva, Mauriely Paiva de Alcântara e

; Matiello, Fernanda de Brito

; Braga, Pollyanna Guimarães

; Cervantes, Elisa Rosas

; Rodrigues, Rosalina Aparecida Partezani

Cogitare Enfermagem

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2023, Volume 28 elocation e89719

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

RESUMEN Objetivo: analizar el conocimiento producido en la literatura científica sobre los instrumentos utilizados en la evaluación de la capacidad funcional, fragilidad y sarcopenia de las personas mayores. Método: revisión bibliográfica integradora, en las bases de datos Cinahl, MEDLINE/PubMed, Embase, Web of Science y Scopus, entre 2012 y 2021. Se extrajeron datos: autores, año, país de publicación, tipo de estudio, características de la muestra, objetivo, resultados e instrumentos. Además, se evaluó la calidad metodológica y el nivel de evidencia. Resultados: La muestra final incluyó 13 artículos. Los instrumentos más utilizados fueron: el índice de Lawton y Brody para evaluar la capacidad funcional; el modelo conceptual del fenotipo de fragilidad; y la conceptualización y diagnóstico del Grupo de Trabajo Europeo sobre Sarcopenia. Conclusión: La evidencia científica demostró la importancia del uso de herramientas para la detección de estas condiciones que pueden interferir con la salud de la población anciana, reforzando la necesidad de fortalecer las prácticas de atención interprofesional. Objetivo funcional mayores Método integradora Cinahl MEDLINEPubMed MEDLINE PubMed MEDLINE/PubMed Embase Scopus 201 2021 autores año publicación estudio objetivo Además Resultados 1 artículos fueron Sarcopenia Conclusión anciana interprofesional 20 202 2

RESUMO Objetivo: analisar o conhecimento produzido na literatura científica sobre os instrumentos utilizados na avaliação da capacidade funcional, fragilidade e sarcopenia do idoso. Método: revisão integrativa da literatura, nas bases de dados Cinahl, MEDLINE/PubMed, Embase, Web of Science e Scopus, de 2012-2021. Foram extraídos os dados: autores, ano, país de publicação, tipo de estudo, características da amostra, objetivo, resultados e os instrumentos. Ademais, foi realizada a avaliação da qualidade metodológica e nível de evidência. Resultados: a amostra final incluiu 13 artigos. Os instrumentos mais utilizados foram: Índice de Lawton e Brody para avaliação da capacidade funcional; modelo conceitual do fenótipo para fragilidade; e a conceituação e diagnóstico do Grupo de Trabalho Europeu da Sarcopenia. Conclusão: as evidências científicas demonstraram a importância da utilização de instrumentos para o rastreio destas condições que podem interferir na saúde da população idosa, reforçando a necessidade do fortalecimento de práticas de cuidados interprofissionais. Objetivo funcional idoso Método Cinahl MEDLINEPubMed MEDLINE PubMed MEDLINE/PubMed Embase Scopus 20122021. 20122021 2012 2021. 2021 2012-2021 autores ano publicação estudo objetivo Ademais evidência Resultados 1 artigos foram Sarcopenia Conclusão idosa interprofissionais 2012202 201 202 2012-202 201220 20 2012-20 20122 2 2012-2 2012-

ABSTRACT Objective: to analyze the knowledge produced in the scientific literature on the instruments used to assess functional capacity, frailty, and sarcopenia in older adults. Method: integrative literature review, in the Cinahl, MEDLINE/PubMed, Embase, Web of Science and Scopus databases, from 2012-2021. Data were extracted: authors, year, country of publication, type of study, sample characteristics, objective, results, and instruments. In addition, the methodological quality and level of evidence were assessed. Results: The final sample included 13 articles. The most used instruments were Lawton and Brody Index for functional capacity assessment; conceptual model of the frailty phenotype; and the conceptualization and diagnosis of the European Working Group on Sarcopenia. Conclusion: The scientific evidence demonstrated the importance of using instruments to screen for these conditions that can interfere with the health of the elderly population, reinforcing the need to strengthen interprofessional care practices. Objective adults Method review Cinahl MEDLINEPubMed MEDLINE PubMed MEDLINE/PubMed Embase databases 20122021. 20122021 2012 2021. 2021 2012-2021 extracted authors year publication study characteristics objective results addition assessed Results 1 articles assessment phenotype Sarcopenia Conclusion population practices 2012202 201 202 2012-202 201220 20 2012-20 20122 2 2012-2 2012-

https://doi.org/10.1590/ce.v28i0.89719

14.

Isolation, molecular identification, and in vitro control of Campomanesia rufa (O. Berg) Nied. endogenous bacteria Isolation identification O. O (O Berg Nied
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Mosqueira, Judith Georgette Alcalde

; Paiva, Renato

; Rivas, Eliana Borges

; Harakava, Ricardo

; Souza-Dias, Maria Aparecida Gomes

; Reis, Michele Valquíria dos

Ciência e Agrotecnologia

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2023, Volume 47 elocation e004023

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

RESUMO Campomanesia rufa (O. Berg) Nied. é uma espécie mirtácea nativa do Cerrado brasileiro. Considerada uma espécie ameaçada de extinção, a propagação in vitro de C. rufa apresenta-se como uma alternativa para sua conservação. No entanto, a falta de protocolos eficazes para a desinfecção de microrganismos endofíticos naturalmente presentes nos tecidos vegetais dificulta o sucesso da micropropagação. Neste contexto, o objetivo deste estudo foi o isolamento, a identificação molecular e o controle de bactérias endógenas de C. rufa propagadas in vitro. Produtos de PCR purificados dos isolados bacterianos foram sequenciados pelo método de Sanger. As sequências obtidas foram alinhadas com sequências homólogas usando Basic Local Alignment Search Tool (BLAST) disponível na National Centre for Biotechnology Information (NCBI). As sequências obtidas neste estudo e as sequências homólogas listadas no GenBank foram alinhadas usando o software MEGA7 para elaborar árvores filogenéticas. Avaliaram-se a sobrevivência, a altura da parte aérea e a eficiência de antibióticos (estreptomicina, ampicilina e cloranfenicol) em diferentes concentrações no meio de cultura. A ocorrência de diferentes cepas de Bacillus sp. foi observada nos tecidos vegetais. Ao testar o controle de Bacillus sp. com antibióticos, o uso de 32 mg L-1 de ampicilina causou uma redução significativa na contaminação bacteriana sem afetar a sobrevivência do explante. Por outro lado, o uso de 256 mg L-1 de estreptomicina causou a maior redução na contaminação, embora esta concentração tenha sido letal para mais de 90% dos explantes. Este estudo é o primeiro relato sobre a ocorrência de bactérias endógenas e seu controle no contexto da conservação in vitro de espécies nativas. O. O (O Berg Nied brasileiro extinção C apresentase apresenta se entanto micropropagação isolamento Sanger BLAST (BLAST NCBI. NCBI . (NCBI) MEGA filogenéticas Avaliaramse Avaliaram estreptomicina, (estreptomicina cloranfenicol cultura sp 3 L1 L 1 L- explante lado 25 90 explantes nativas (NCBI 2 9

ABSTRACT Campomanesia rufa (O. Berg) Nied. is a Myrtaceae species native to the Brazilian Cerrado. As C. rufa is considered endangered, in vitro propagation is an alternative for its conservation. However, the lack of effective disinfection protocols for endophytic microorganisms naturally present in plant tissues hinders the success of micropropagation. In this context, the objective of this study was to isolate, molecular identify, and control endogenous occurring bacteria of C. rufa propagated in vitro. Purified PCR products of bacterial isolates were sequenced by the Sanger method and aligned with homologous sequences using the Basic Local Alignment Search Tool (BLAST) available in National Centre for Biotechnology Information (NCBI) database. MEGA7 software was used to align all sequences and to draw phylogenetic trees. Survival, shoot height, and efficiency of antibiotics (streptomycin, ampicillin, and chloramphenicol) at different concentrations in the culture medium were evaluated. Different Bacillus sp. strains were observed in the plant tissues. When testing the control of Bacillus sp. with antibiotics, 32 mg L-1 ampicillin caused a significant reduction in bacterial contamination with no effect on explant survival. On the other hand, 256 mg L-1 streptomycin caused the greatest reduction in contamination but was lethal to over 90% of the explants. This study is the first report on the occurrence of endogenous bacteria and their control in the context of in vitro native species conservation. O. O (O Berg Nied Cerrado C endangered conservation However micropropagation isolate identify BLAST (BLAST NCBI (NCBI database MEGA trees Survival height streptomycin, (streptomycin chloramphenicol evaluated sp 3 L1 L 1 L- survival hand 25 90 explants 2 9

https://doi.org/10.1590/1413-7054202347004023

15.

Moradores de áreas rurais de municípios mineiros endêmicos para a doença de Chagas: ideias e concepções sobre a doença, os vetores e os serviços de saúde Chagas
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Souza, Izabella Cristina Alves de

; Rodrigues, Fernanda Cristina Santos

; Araújo, Alexandra Paiva

; Souza, Janice Maria Borba

; Diotaiuti, Liléia Gonçalves

; Ferreira, Raquel Aparecida

Cadernos Saúde Coletiva

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2023, Volume 31 N. 3 elocation e31030595

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

Resumo Introdução A vigilância da doença de Chagas (DC), baseada na participação popular, ocorre por meio da detecção e notificação de insetos suspeitos de serem vetores da DC aos Postos de Informação de Triatomíneos (PITs). Objetivo Compreender as ideias e concepções dos moradores em áreas rurais dos municípios da Microrregião de Saúde de Itaúna (MSI) em relação a aspectos relacionados à DC, seus vetores e serviços de saúde. Método Em 2016, foram realizados quatro grupos focais nos municípios da MSI. Esses grupos focais foram gravados, transcritos e analisados utilizando a técnica de análise de conteúdo. Neste processo, identificamos e categorizamos unidades de análise tanto dentro de cada grupo focal quanto entre eles. Resultados Descobrimos que há compreensão por parte de alguns moradores sobre a natureza da transmissão da DC, as características morfológicas e hábitos dos vetores, o encaminhamento do vetor para os PITs e o diagnóstico da DC. Também encontramos relatos da ausência de intervenções educacionais e de saúde relacionadas à DC. Conclusão Compreender as concepções e ideias sobre a DC das populações em áreas endêmicas é fundamental para desenvolver futuras estratégias envolvendo a participação popular. , (DC) popular PITs. . (PITs) MSI (MSI 2016 gravados conteúdo processo eles (DC (PITs 201 20 2

Abstract Background The surveillance of Chagas disease (CD) based on public participation is carried out through the detection and notification of insects suspected of being vectors of CD to Triatomine Information Posts (TIPs). Objective To understand the ideas and conceptions of residents in rural areas of the municipalities of the Micro-region of Health de Itaúna (MHI) regarding aspects related to CD, its vectors, and health services. Method In 2016, four focus groups were conducted in the municipalities of MHI. These focus groups were recorded, transcribed, and analyzed using the content analysis technique. In this process, units of analysis, both within each focus group and between them, were identified and categorized. Results It was found that some residents have a good understanding of the nature of CD transmission and of the morphological characteristics and habits of the vectors, in addition to an understanding of the forwarding of the vector to TIPs, and the diagnosis of CD. Reports of the absence of education and health interventions related to CD were also found. Conclusion Understanding the conceptions and ideas about CD of populations in endemic areas is fundamental to developing future strategies involving public participation. (CD TIPs. TIPs . (TIPs) Microregion Micro region MHI (MHI services 2016 recorded transcribed technique process them categorized (TIPs 201 20 2

https://doi.org/10.1590/1414-462x202331030595

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