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au:Pereira, Marco Aurélio

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Efeito da crioterapia na temperatura superficial do joelho em contexto de artroplastia total: Um estudo quasi-experimental
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Ribeiro, Vasco Aurélio Machado

; Machado, Maria Manuela Pereira

; Petronilho, Fernando Alberto Soares

Revista de Enfermagem Referência

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dec 2024, Volume serVI N. 3 elocation e31331

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

Abstract Background: Cryotherapy is used during the postoperative phase of total knee arthroplasty to reduce pain, inflammation, blood loss, cell metabolism, and edema. The therapeutic effects of cryotherapy are achieved when skin surface temperatures are at or below 15ºC. Objective: To determine the effect of cryotherapy on the skin surface temperature of a knee undergoing total knee arthroplasty using different interfaces. Methodology: A 1X4X6 quasi-experimental and factorial study was conducted, comparing one modality of cryotherapy (ice bag), four interfaces (Robert Jones-type bandage, tubular mesh bandage, thin pillowcase-type cloth, and non-woven compress), and six periods of cryotherapy administration (10, 20, 30, 40, 50, and 60 minutes) on a knee undergoing total knee arthroplasty. The sample consisted of 60 participants randomly assigned to one of the four experimental groups (interfaces). A total of 720 cryotherapy treatments were administered. Results: There was no decrease in skin surface temperature to therapeutic levels in any of the experimental groups. The mean values obtained were: Robert Jones-type bandage = 34.13ºC; tubular mesh bandage = 23.90ºC; thin pillowcase-type cloth = 22.84ºC, and non-woven compress = 21.92ºC. Conclusion: Under the experimental conditions studied, cryotherapy had no therapeutic effect.

Resumo Enquadramento: A crioterapia é utilizada no pós-operatório da artroplastia total (AT) do joelho, visando a diminuição da dor, processo inflamatório, perda sanguínea, metabolismo celular e contenção do edema. A crioterapia obtém efeitos terapêuticos para valores de temperatura superficial cutânea (TempSC) ≤ 15ºC. Objetivo: Avaliar o efeito da crioterapia, utilizando diferentes interfaces, sobre a TempSC do joelho da pessoa submetida a AT. Metodologia: Estudo quase-experimental, fatorial 1X4X6: uma modalidade de crioterapia (saco gelo) versus quatro interfaces - ligadura Robert Jones (LRJ), malha tubular (MT), pano fino (PF) e compressa não-tecido (CNT) - versus seis tempos de aplicação da crioterapia (10, 20, 30, 40, 50 e 60 minutos). A amostra, de conveniência, inclui 60 participantes, com distribuição aleatória por quatro grupos experimentais (interfaces). Foram realizadas 720 aplicações de crioterapia. Resultados: Em nenhum grupo experimental foi observado descida da TempSC para valores terapêuticos, obtendo-se as seguintes médias: LRJ = 34,13ºC; MT = 23,90ºC; PF = 22,84 ºC e CNT = 21,92ºC. Conclusão: Nas condições experimentais em estudo, a crioterapia não obteve efeito terapêutico.

Resumen Marco contextual: La crioterapia se utiliza en el posoperatorio de la artroplastia total (AT) de rodilla para reducir el dolor, la inflamación, la pérdida de sangre, el metabolismo celular y la contención del edema. La crioterapia consigue efectos terapéuticos para valores de temperatura de la superficie cutánea (TempSC) ≤ 15ºC. Objetivo: Evaluar el efecto de la crioterapia utilizando diferentes interfaces sobre la TempSC de la rodilla de la persona sometida a una AT. Metodología: Estudio casiexperimental, factorial 1X4X6, una modalidad de crioterapia (bolsa de hielo) frente a cuatro interfaces - vendaje Robert Jones (LRJ), malla tubular (MT), tela fina (PF) y compresa no tejida (CNT) - frente a seis tiempos de aplicación de la crioterapia (10, 20, 30, 40, 50 y 60 minutos). La muestra de conveniencia incluyó 60 participantes, asignados aleatoriamente a cuatro grupos experimentales (interfaces). Se realizaron 720 aplicaciones de crioterapia. Resultados: En ninguno de los grupos experimentales se produjo un descenso de la TempSC para valores terapéuticos y se obtuvieron las siguientes medias: LRJ = 34,13ºC; MT = 23,90ºC; PF = 22,84 ºC y CNT = 21,92ºC. Conclusión: En las condiciones experimentales estudiadas, la crioterapia no tuvo ningún efecto terapéutico.

https://doi.org/10.12707/rvi23.68.31331

Journalistic media and adolescents in the COVID-19 pandemic: a documental analysis COVID19 COVID 19 COVID-1 pandemic COVID1 1 COVID-
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Oliveira, Marcela Claudia de Paula

; Costa, Emilia Chagas

; Silva, Lygia Maria Pereira da

; Barbosa, Livia Novaes Vieira

; Barros, Mauro Virgilio Gomes de

; Mota Filho, José Henrique Cavalcanti

; Correia Junior, Marco Aurelio de Valois

Revista Paulista de Pediatria

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2024, Volume 42 elocation e2023041

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

RESUMO Objetivo: Analisar como a mídia jornalística tem descrito as questões de qualidade de vida (QV), atividade física (AF) e saúde mental (SM) de adolescentes durante a pandemia da COVID-19. Métodos: Trata-se de um estudo descritivo e qualitativo que utilizou a análise de conteúdo. Foram analisadas 62 publicações jornalísticas do total de 8.211 veiculadas pelos jornais mais lidos de cada região brasileira entre dezembro de 2019 e agosto de 2021. Resultados: Os resultados foram agrupados e avaliados em três categorias: QV (n=11), AF (n=9) e SM (n=42). No período analisado as publicações jornalísticas sugerem que os adolescentes apresentaram maior tempo de exposição a telas, contribuindo para uma alimentação inadequada, diminuição da AF e prejuízos na QV. A pandemia também contribuiu com aumento da ansiedade, depressão, solidão e medo resultantes da desorganização mental e emocional causada pela mudança abrupta de rotina. A vulnerabilidade social apresentou-se como um fator agravante nesse contexto. As mídias jornalísticas não deram a atenção necessária aos adolescentes no que se refere às consequências negativas da pandemia na QV, AF e SM. Conclusões: As reportagens analisadas mostraram que a pandemia causou diminuição na interação social, sentimentos de incerteza, medo e o aparecimento/exacerbação de sintomas de ansiedade, estresse e depressão. A vulnerabilidade social apresentou-se como mais um obstáculo a ser enfrentado nesta problemática. Objetivo , (QV) (AF (SM COVID19. COVID19 COVID 19. 19 COVID-19 Métodos Tratase Trata conteúdo 6 8211 8 211 8.21 201 2021 Resultados categorias n=11, n11 n n=11 11 (n=11) n=9 n9 9 (n=9 n=42. n42 n=42 . 42 (n=42) telas inadequada ansiedade depressão rotina apresentouse apresentou contexto Conclusões incerteza aparecimentoexacerbação aparecimento exacerbação problemática (QV COVID1 1 COVID-1 821 21 8.2 20 202 n1 n=1 (n=11 n= (n= n4 n=4 4 (n=42 COVID- 82 2 8. (n=1 (n (n=4

ABSTRACT Objective: To analyze how the journalistic media has described the issues of quality of life (QoL), physical activity (PA) and mental health (MH) of adolescents during the COVID-19 pandemic. Methods: This is a descriptive and qualitative study that used content analysis. Sixty-two journalistic publications were analyzed from a total of 8211 published by the most read newspapers in each Brazilian region between December 2019 and August 2021. Results: The results were grouped and evaluated in three categories: QoL (n=11), PA (n =9) and MH (n=42). In the analyzed period, the adolescents had more time of exposure to screens, contributing to an inadequate diet, a decrease in PA and impairments in QoL. According to the media publications, the pandemic has also contributed to an increase in anxiety, depression, loneliness and fear resulting from the mental and emotional disorganization caused by the abrupt change in routine. Social vulnerability was presented as an aggravating factor in this context. The journalistic media did not pay the necessary attention to adolescents regarding the negative consequences of the pandemic on QoL, PA and MH. Conclusions: The analyzed reports showed that the pandemic caused a decrease in social interaction, feelings of uncertainty, fear and the appearance/exacerbation of symptoms of anxiety, stress and depression. Social vulnerability was presented as another obstacle to be faced in this problem. Objective , (QoL) (PA (MH COVID19 COVID 19 COVID-1 Methods analysis Sixtytwo Sixty two 821 201 2021 Results categories n=11, n11 n n=11 11 (n=11) =9 9 n=42. n42 n=42 . 42 (n=42) period screens diet anxiety depression routine context Conclusions interaction uncertainty appearanceexacerbation appearance exacerbation problem (QoL COVID1 1 COVID- 82 20 202 n1 n=1 (n=11 = n4 n=4 4 (n=42 8 2 n= (n=1 (n=4 (n=

https://doi.org/10.1590/1984-0462/2024/42/2023041

Variability in the perception of palliative care and end-of-life care among hematology professionals from the same reference center in Bahia, Brazil: A descriptive cross-sectional study endoflife end life Bahia Brazil crosssectional cross sectional
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Paim Miranda, Diego Lopes

; Orathes Ponte Silva, Alini Maria

; Pereira Ferreira, David

; Teixeira da Silva, Laís

; Lins-Kusterer, Liliane

; Queiroz Crusoé, Edvan de

; Vieira Lima, Marianna Batista

; Aurélio Salvino, Marco

Sao Paulo Medical Journal

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2024, Volume 142 N. 4 elocation e2023225

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: There are several illness-specific cultural and system-based barriers to palliative care (PC) integration and end-of-life (EOL) care in the field of oncohematology. OBJECTIVES: This study aimed to investigate the variability in the perceptions of PC and EOL care. DESIGN AND SETTING: A cross-sectional study was conducted in the Hematology Division of our University Hospital in Salvador, Bahia, Brazil. METHODS: Twenty physicians responded to a sociodemographic questionnaire and an adaptation of clinical questionnaires used in previous studies from October to December 2022. RESULTS: The median age of the participants was 44 years, 80% of the participants identified as female, and 75% were hematologists. Participants faced a hypothetical scenario involving the treatment of a 65-year-old female with a poor prognosis acute myeloid leukemia refractory to first-line treatment. Sixty percent of the participants chose to follow other chemotherapy regimens, whereas 40% opted for PC. Next, participants considered case salvage for the patient who developed septic shock following chemotherapy and were prompted to choose their most probable conduct, and the conduct they thought would be better for the patient. Even though participants were from the same center, we found a divergence from the most probable conduct among 40% of the participants, which was due to personal convictions, legal aspects, and other physicians’ reactions. CONCLUSIONS: We found considerable differences in the perception of PC and EOL care among professionals, despite following the same protocols. The study also demonstrated variations between healthcare professionals’ beliefs and practices and persistent historical tendencies to prioritize aggressive interventions. BACKGROUND illnessspecific illness specific systembased system based (PC endoflife end life (EOL oncohematology OBJECTIVES SETTING crosssectional cross sectional Salvador Bahia Brazil METHODS 2022 RESULTS 4 years 80 75 hematologists 65yearold yearold 65 year old firstline first line regimens 40 Next center convictions aspects reactions CONCLUSIONS professionals protocols interventions 202 8 7 6 20 2

https://doi.org/10.1590/1516-3180.2023.0255.r1.29112023

Three-dimensional models of physeal fractures in the femur for the teaching of veterinary medicine Threedimensional Three dimensional
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Lucas, Kleber dos Anjos

; Kassab, Siham

; Souza, Rodrigo Gomes de

; Inpanbutr, Nongnuch

; Pereira-Sampaio, Marco Aurélio

; Carvalho, Yuri Karaccas de

Acta Cirúrgica Brasileira

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2024, Volume 39 elocation e395424

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: To develop and assess three-dimensional models of physeal fractures in dog femurs (3D MPFDF) using radiographic imaging. Methods: The study was conducted in three phases: development of 3D MPFDF; radiographic examination of the 3D MPFDF; and comparative analysis of the anatomical and radiographic features of the 3D MPFDF. Results: The base model and the 3D MPFDF achieved high fidelity in replicating the bone structures, accurately maintaining the morphological characteristics and dimensions such as length, width, and thickness, closely resembling natural bone. The radiographs of the 3D MPFDF displayed distinct radiopaque and radiolucent areas, enabling clear visualization of the various anatomical structures of the femur. However, in these radiographs, it was challenging to distinguish between the cortical and medullary regions due to the use of 99% internal padding in the printing process. Despite this limitation, the radiographs successfully demonstrated the representation of the Salter-Harris classification. Conclusions: This paper presents a pioneering project focused on technological advancement aimed at developing a method for the rapid and cost-effective production of three-printed models and radiographs of physeal fractures in dogs. Purpose threedimensional dimensional D imaging Methods phases Results length width thickness areas femur However 99 process limitation SalterHarris Salter Harris classification Conclusions costeffective cost effective threeprinted printed dogs 9

https://doi.org/10.1590/acb395424

A DECISION SUPPORT FRAMEWORK FOR PLANNING AND PRIORITIZING URBAN SUSTAINABLE DEVELOPMENT STRATEGIES UNDER UNCERTAINTY CONDITIONS: A CASE STUDY CONDITIONS
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Rodriguez, Adolfo René Santa Cruz

; Vieira, Adalberto José Tavaries

; Herpich, Marcio Ricardo

; Pereira, Juliano José de Tondas

; Santos, Marco Aurélio dos

Pesquisa Operacional

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2024, Volume 44 elocation e266177

Abstract: En | Text: En | PDF: En

ABSTRACT The study addresses decision-making under conditions of uncertainty regarding the development of public policies and sustainable development strategies in an urban region in Brazil. Based on the case study, a decision support framework for planning and prioritizing urban sustainable development strategies (SDS) under uncertainty conditions is developed. In the framework social, economic and environmental factors have been considered using a fuzzy multi-criteria comprehensive evaluation approach in order to analyze and select SDSs. Critical factors and sub-factors for SDS are identified with the active participation of a committee of experts and representatives from different sectors of civil society. As a result, a set of urban sustainable development strategies are prioritized using the Fuzzy VIKOR Method that will help local authorities to improve their decisions. The decision support-framework illustrates the combination and application of Operations Research Methods in solving a complex problem related to decision-making in public management. decisionmaking making Brazil (SDS developed social multicriteria multi criteria SDSs subfactors sub society result decisions supportframework management

https://doi.org/10.1590/0101-7438.2023.043.00266177

Santalales in the Núcleo Curucutu, Parque Estadual Serra do Mar, São Paulo State, Brazil Curucutu Mar State
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Pereira, Andreia de Abrantes

; Ramos, Jaislla Mariane Mendes

; Mayworm, Marco Aurélio Sivero

; Vaz, Leandro Matheus de Carvalho

Hoehnea

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2024, Volume 51 elocation e042024

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

RESUMO Este trabalho consiste no levantamento taxonômico da ordem Santalales no Núcleo Curucutu, Parque Estadual Serra do Mar, Estado de São Paulo, Brasil. O tratamento taxonômico inclui chave de identificação, descrições morfológicas, notas taxonômicas, fotos, distribuição geográfica e dados fenológicos. A ordem está representada por quatro espécies: Langsdorffia hypogaea Mart., Phoradendron crassifolium (Pohl ex DC.) Eichler, Phoradendron fragile Urb. e Struthanthus acuminatus (Ruiz & Pav.) Kuijt. Curucutu Mar Paulo Brasil identificação morfológicas taxonômicas fotos fenológicos espécies Mart Mart. Pohl DC. DC Eichler Urb Ruiz Pav. Pav Kuijt

ABSTRACT This paper consists in the taxonomic survey of the Santalales order in the Núcleo Curucutu, Parque Estadual Serra do Mar, São Paulo State, Brazil. The taxonomic treatment includes identification key, morphological descriptions, taxonomic notes, photographs, geographical distribution, and phenological data. The order is represented by four species: Langsdorffia hypogaea Mart., Phoradendron crassifolium (Pohl ex DC.) Eichler, Phoradendron fragile Urb., and Struthanthus acuminatus (Ruiz & Pav.) Kuijt. Curucutu Mar State Brazil key descriptions notes photographs distribution data species Mart Mart. Pohl DC. DC Eichler Urb Urb. Ruiz Pav. Pav Kuijt

https://doi.org/10.1590/2236-8906e042024

Segmental histomorphometry of the porcine ureter for use as a vascular xenograft
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Táboas, Júlia Galian Ribeiro

; Silva, Vivian Alves Pereira da

; Sampaio, Marco Aurélio Pereira

; Pereira, Aline D’Avila

; Chagas, Maurício Alves

; Figueiredo, Marcelo Abidu

Acta Cirúrgica Brasileira

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2024, Volume 39 elocation e397524

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: To histologically quantify the different tissues that make up the porcine ureter, (epithelial, connective, and muscular tissue) in the three segments labelled: cranial, middle and caudal, in order to identify the segment most compatible for use as a vascular graft. Methods: Fifteen porcine ureters were collected, divided into the three segments, and the samples were stained with hematoxylin and eosin, picrosirius red and Weigert’s resorcin-fuchsin. The immunohistochemistry technique was applied for alpha-smooth muscle actin. Collagen fibers, muscle, epithelium, and elastic fibers tissue were quantified, in the entire ureter, and divided into hemispheres, comparing the different segments. Results: When comparing hemisphere segments, significant differences were observed (p < 0.01) for collagen and muscle tissue, with the cranial segment presenting the greatest amount of these components when compared to the middle and caudal. No significant difference was observed between the segments when comparing the entire ureters. Conclusions: After comparing the segments by hemisphere, the cranial segment presented a slight advantage for use as a vascular graft due to presenting greater collagen fiber content. Purpose ureter epithelial, epithelial (epithelial connective labelled caudal Methods collected eosin Weigerts Weigert s resorcinfuchsin. resorcinfuchsin resorcin fuchsin. fuchsin resorcin-fuchsin alphasmooth alpha smooth actin epithelium quantified hemispheres Results p 0.01 001 0 01 Conclusions content 0.0 00 0.

https://doi.org/10.1590/acb397524

Posicionamento do Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia sobre o Uso do Strain Miocárdico na Rotina do Cardiologista – 2023 202 20 2
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Almeida, André Luiz Cerqueira

; Melo, Marcelo Dantas Tavares de

; Bihan, David Costa de Souza Le

; Vieira, Marcelo Luiz Campos

; Pena, José Luiz Barros

; Del Castillo, José Maria

; Abensur, Henry

; Hortegal, Renato de Aguiar

; Otto, Maria Estefania Bosco

; Piveta, Rafael Bonafim

; Dantas, Maria Rosa

; Assef, Jorge Eduardo

; Beck, Adenalva Lima de Souza

; Santo, Thais Harada Campos Espirito

; Silva, Tonnison de Oliveira

; Salemi, Vera Maria Cury

; Rocon, Camila

; Lima, Márcio Silva Miguel

; Barberato, Silvio Henrique

; Rodrigues, Ana Clara

; Rabschkowisky, Arnaldo

; Frota, Daniela do Carmo Rassi

; Gripp, Eliza de Almeida

; Barretto, Rodrigo Bellio de Mattos

; Silva, Sandra Marques e

; Cauduro, Sanderson Antonio

; Pinheiro, Aurélio Carvalho

; Araujo, Salustiano Pereira de

; Tressino, Cintia Galhardo

; Silva, Carlos Eduardo Suaide

; Monaco, Claudia Gianini

; Paiva, Marcelo Goulart

; Fisher, Cláudio Henrique

; Alves, Marco Stephan Lofrano

; Grau, Cláudia R. Pinheiro de Castro

; Santos, Maria Veronica Camara dos

; Guimarães, Isabel Cristina Britto

; Morhy, Samira Saady

; Leal, Gabriela Nunes

; Soares, Andressa Mussi

; Cruz, Cecilia Beatriz Bittencourt Viana

; Guimarães Filho, Fabio Villaça

; Assunção, Bruna Morhy Borges Leal

; Fernandes, Rafael Modesto

; Saraiva, Roberto Magalhães

; Tsutsui, Jeane Mike

; Soares, Fábio Luis de Jesus

; Falcão, Sandra Nívea dos Reis Saraiva

; Hotta, Viviane Tiemi

; Armstrong, Anderson da Costa

; Hygidio, Daniel de Andrade

; Miglioranza, Marcelo Haertel

; Camarozano, Ana Cristina

; Lopes, Marly Maria Uellendahl

; Cerci, Rodrigo Julio

; Siqueira, Maria Eduarda Menezes de

; Torreão, Jorge Andion

; Rochitte, Carlos Eduardo

; Felix, Alex

Arquivos Brasileiros de Cardiologia

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dec 2023, Volume 120 N. 12 elocation e20230646

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.36660/abc.20230646

Effects of chronic restraint stress in the prostate of prepubertal and adult rats
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Procópio, Isabella Mendes

; Ribeiro, Carina Teixeira

; Marchon, Roger Gaspar

; Costa, Waldemar Silva

; Buys-Gonçalves, Gabriela Faria

; Sampaio, Francisco José Barcellos

; Pereira-Sampaio, Marco Aurélio

; Souza, Diogo Benchimol de

Acta Cirúrgica Brasileira

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2023, Volume 38 elocation e387123

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: To investigate the effects of chronic stress in the prostate of prepubertal and adult rats. Methods: Thirty-two male rats were assigned into four groups depending on the type of treatment (control or stressed) and the age at which stress was initiated (prepubertal or adult). Restraint stress stimuli were applied for six weeks. Stressed prepubertal and adult rats evaluated immediately after the last stress stimuli were named SP and SA groups, respectively. Age-matched rats were used as control groups (CP and CA). At the end of the experiment, the rats were euthanized, and prostate morphological parameters were evaluated and statistically compared. Results: Application of stress stimuli to the SP group resulted in reduced body weight, but no prostate morphological modification was noted. The SA group showed reduced testosterone level and prostatic epithelium surface density, in comparison to CA group. Further, the prostatic lumen surface density was increased in adult stressed animals, in comparison to adult controls. Conclusions: The stress stimuli promoted changes in hormonal and morphological parameters in the prostate of adult stressed rats. Prepubertal stressed animals did not presented modifications of prostate morphology. Purpose Methods Thirtytwo Thirty two adult. . adult) weeks respectively Agematched Age matched CP CA. CA) experiment euthanized compared Results weight noted Further controls Conclusions morphology

https://doi.org/10.1590/acb387123

10.

Ultrasound in cervical traumatic neuromas after neck dissection in thyroid carcinoma patients: descriptive analysis and diagnostic accuracy patients
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Marcos, Vinicius Neves

; Danilovic, Debora Lucia Seguro

; Pereira, Fernando Linhares

; Tsunemi, Miriam Harumi

; Kulcsar, Marco Aurelio Vamondes

; Hoff, Ana Oliveira

; Domingues, Regina Barros

; Chammas, Maria Cristina

; Freitas, Ricardo Miguel Costa de

Archives of Endocrinology and Metabolism

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2023, Volume 67 N. 5 elocation e000633

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: Cervical traumatic neuromas (CTNs) may appear after lateral neck dissection for metastatic thyroid carcinoma. If they are misdiagnosed as metastatic lymph nodes (LNs) in follow-up neck ultrasound (US), unnecessary and uncomfortable fine-needle aspiration biopsy are indicated. The present study aimed to describe US features of CTNs and to assess the US performance in distinguishing CTNs from abnormal LNs. Subjects and methods: Retrospective evaluation of neck US images of 206 consecutive patients who had lateral neck dissection as a part of thyroid cancer treatment to assess CTN’s US features. Diagnostic accuracy study to evaluate US performance in distinguishing CTNs from abnormal LNs was performed. Results: Eight-six lateral neck nodules were selected for analysis: 38 CTNs and 48 abnormal LNs. CTNs with diagnostic cytology were predominantly hypoechogenic (100% vs. 45%; P = 0.008) and had shorter diameters than inconclusive cytology CTNs: short axis (0.39 cm vs. 0.50 cm; P = 0.03) and long axis (1.64 cm vs. 2.35 cm; P = 0.021). The US features with the best accuracy to distinguish CTNs from abnormal LNs were continuity with a nervous structure, hypoechogenic internal lines, short/long axis ratio ≤ 0.42, absent Doppler vascularization, fusiform morphology, and short axis ≤ 0.48 cm. Conclusion: US is a very useful method for assessing CTNs, with good performance in distinguishing CTNs from abnormal LNs. Objective (CTNs carcinoma (LNs followup follow up US, , (US) fineneedle fine needle indicated methods 20 CTN s performed Results Eightsix Eight six analysis 3 4 100% 100 (100 vs 45% 45 0.008 0008 0 008 0.39 039 39 (0.3 050 50 0.5 0.03 003 03 1.64 164 1 64 (1.6 235 2 35 2.3 0.021. 0021 0.021 . 021 0.021) structure lines shortlong 042 42 0.42 vascularization morphology 048 0.4 Conclusion (US 10 (10 0.00 000 00 0.3 (0. 05 5 0. 0.0 1.6 16 6 (1. 23 2. 002 0.02 02 04 (1 (0 1. (

https://doi.org/10.20945/2359-3997000000633

11.

Anthropometric measurements and their association with endothelial function and arterial stiffness of eutrophic individuals and with overweight
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Ferigollo, Ariélen

; Chemello, Diego

; Pavão, Tábata Pereira

; Saffi, Marco Aurélio Lumertz

; Stein, Carolina dos Santos

; Moresco, Rafael Noal

; Souza, Lucas Silva de

; Moreira, Carlos Heitor Cunha

; Signori, Luis Ulisses

; Chagas, Patrícia

Archives of Endocrinology and Metabolism

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2023, Volume 67 N. 5 elocation e000617

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: The objective of the study was to assess the association of anthropometric measurements with endothelial function and arterial stiffness of eutrophic individuals and with overweight. Subjects and methods: A cross-sectional study was carried out with individuals with body mass index (BMI) between 18.5 kg/m² and < 30 kg/m², low to intermediate global cardiovascular risk scores, and aged ≥ 18 and < 60 years. We assessed the sociodemographic data, anthropometric variables (body weight, height, circumferences of the waist [WC], neck [NC], hip [HC], sagittal abdominal diameter [SAD], [BMI], waist-to-hip ratio [WHR], and waist-to-height ratio [WHtR]), biochemical parameters (lipid profile and nitric oxide), endothelial function (flow-mediated dilation [FMD], by ultrasound), and arterial stiffness (pulse wave velocity [PWV] and the amplification index [AIx@75] by oscillometry). Thirty-six individuals were included, 18 eutrophic and 18 with overweight, with a mean age of 37.5 ± 10.2 years, mostly at low cardiovascular risk (86.1%), female (80.6%), single (52.8%), employed with formal contracts (44.4%), and with over twelve years of education (88.9%). Results: The PWV presented positive and moderate correlation with the WC (r = 0.584; P = 0.001), WHR (r = 0.513; P = 0.001), and WHtR (r = 0.590; P = 0.001), and positive and low correlation with the NC (r = 0.372; P = 0.013) and SAD (r = 0.356; P = 0.033). Moreover, no anthropometric parameter presented a correlation with the AIx@75 or the FMD percentage in the total sample. Conclusion: Our findings show that in eutrophic individuals and with overweight the WC, WHR, WHtR, SAD, and NC were positively correlated with the PWV but not to the endothelial function in the overall sample. These are hypothesis-generating findings and they should be replicated in other studies. Objective methods crosssectional cross sectional BMI (BMI 185 5 18. kgm² kgm kg m² m kg/m 3 scores 1 6 data weight height , [WC] NC, [NC] HC, HC [HC] [SAD] BMI, [BMI] waisttohip [WHR] waisttoheight [WHtR]) lipid oxide, oxide oxide) flowmediated flow mediated FMD, [FMD] ultrasound, ultrasound ultrasound) pulse [PWV AIx75 AIx 75 [AIx@75 oscillometry. oscillometry . oscillometry) Thirtysix Thirty six included 375 37 37. 102 10 2 10. 86.1%, 861 86.1% 86 (86.1%) 80.6%, 806 80.6% 80 (80.6%) 52.8%, 528 52.8% 52 8 (52.8%) 44.4%, 444 44.4% 44 4 (44.4%) 88.9%. 889 88.9% 88 9 (88.9%) Results r 0.584 0584 0 584 0.001, 0001 0.001 001 0.001) 0.513 0513 513 0.590 0590 590 0.372 0372 372 0.013 0013 013 0.356 0356 356 0.033. 0033 0.033 033 0.033) Moreover AIx@7 sample Conclusion hypothesisgenerating hypothesis generating studies [WC [NC [HC [SAD [BMI [WHR [WHtR] [FMD AIx7 7 [AIx@7 86.1 (86.1% 80.6 (80.6% 52.8 (52.8% 44.4 (44.4% 88.9 (88.9% 0.58 058 58 000 0.00 00 0.51 051 51 0.59 059 59 0.37 037 0.01 01 0.35 035 35 003 0.03 03 AIx@ [WHtR [AIx@ 86. (86.1 80. (80.6 52. (52.8 44. (44.4 88. (88.9 0.5 05 0.0 0.3 [AIx (86. (80. (52. (44. (88. 0. (86 (80 (52 (44 (88 (8 (5 (4 (

https://doi.org/10.20945/2359-3997000000617

12.

Trend of morbidity and mortality indicators due to acute diarrheal disease in children under five years old in the State of Piauí (2000–2019) 2000–2019 20002019 2000 2019 (2000–2019 2000–201 2000201 200 201 (2000–201 2000–20 200020 20 (2000–20 2000–2 20002 2 (2000–2 2000– (2000– (2000 (200 (20 (2 (
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Costa, Rafael Everton Assunção Ribeiro da

; Visgueira, Ana Raquel Lopes

; Sousa, Ranieri Flávio Viana de

; Monteiro, Kerla Joeline Lima

; Horta, Marco Aurelio Pereira

; Oliveira, Beatriz Fátima Alves de

Revista Brasileira de Saúde Materno Infantil

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2023, Volume 23 elocation e20230120

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

Resumo Objetivos: analisar a tendência de indicadores de morbimortalidade por doenças diarreicas agudas em menores de cinco anos no Piauí. Métodos: estudo ecológico com dados do Departamento de Informática do Sistema Único de Saúde. Calculou-se os indicadores taxa de internação e coeficiente de mortalidade pela doença entre 2000 e 2019. Realizou-se análise descritiva dos indicadores no período estudado e pelas macrorregiões do estado. Para análise da tendência, foi utilizado o modelo de regressão linear simples com log-transformação. As tendências foram classificadas como crescentes, decrescentes e estáveis, com nível de significância de 5%. Resultados: a média das taxas de internação foi maior na macrorregião semiárido (36,6/1000 menores de cinco anos) e menor em Teresina (14,9/1000 menores de cinco anos). A média dos coeficientes de mortalidade foi maior na macrorregião litoral (0,98/1000 nascidos vivos) e menor em Teresina (0,47/1000 nascidos vivos). Os indicadores mostraram tendência de redução em todos os locais analisados (p<0,05). Notou-se um ponto de inflexão a partir de 2009, com redução significativa das taxas de internação nas macrorregiões cerrados e semiárido. Conclusão: os indicadores de morbimortalidade por doenças diarreicas agudas em menores de cinco anos mostraram tendência de redução no Piauí entre 2000 e 2019, com diferenças das tendências entre as macrorregiões avaliadas. Objetivos Métodos Saúde Calculouse Calculou se 200 2019 Realizouse Realizou estado logtransformação. logtransformação log transformação. transformação log-transformação crescentes estáveis 5 5% Resultados 36,6/1000 3661000 36 6 1000 (36,6/100 14,9/1000 1491000 14 9 (14,9/100 anos. . 0,98/1000 0981000 0 98 (0,98/100 vivos 0,47/1000 0471000 47 (0,47/100 vivos. p<0,05. p005 p p<0,05 05 (p<0,05) Notouse Notou 2009 Conclusão avaliadas 20 201 36,6/100 366100 3 100 (36,6/10 14,9/100 149100 1 (14,9/10 0,98/100 098100 (0,98/10 0,47/100 047100 4 (0,47/10 p00 p<0,0 (p<0,05 2 36,6/10 36610 10 (36,6/1 14,9/10 14910 (14,9/1 0,98/10 09810 (0,98/1 0,47/10 04710 (0,47/1 p0 p<0, (p<0,0 36,6/1 3661 (36,6/ 14,9/1 1491 (14,9/ 0,98/1 0981 (0,98/ 0,47/1 0471 (0,47/ p<0 (p<0, 36,6/ 366 (36,6 14,9/ 149 (14,9 0,98/ 098 (0,98 0,47/ 047 (0,47 p< (p<0 36,6 (36, 14,9 (14, 0,98 09 (0,9 0,47 04 (0,4 (p< 36, (36 14, (14 0,9 (0, 0,4 (p (3 (1 0, (0 (

Abstract Objectives: to analyze the trend of morbidity and mortality indicators due to acute diarrheal diseases in children under five years old in Piauí. Methods: ecological study with data from the Information Technology Department at the Public Health System. The indicators of hospitalization rate and coefficient of mortality from the disease between 2000 and 2019 were calculated. A descriptive analysis of the indicators was carried out in the studied period and by the macro-regions in the State. For trend analysis, the simple linear regression model with log-transformation was used. Trends were classified as increasing, decreasing and stable, with a significance level of 5%. Results: the average on hospitalization rate was higher in the semi-arid macro-region (36.6/1000 children under five years old) and lower in Teresina (14.9/1000 children under five years old). The mean mortality coefficients were higher in the coastal macro-region (0.98/1000 live births) and lower in Teresina (0.47/1000 live births). The indicators showed a downward trend in all analyzed locations (p<0.05). A turning point was noted from 2009, with a significant reduction in hospitalization rates in the savanna and semi-arid macro-regions. Conclusion: indicators of morbidity and mortality due to acute diarrheal diseases in children under five years old showed a downward trend in Piauí between 2000 and 2019, with differences in trends between the evaluated macro-regions. Objectives Methods System 200 201 calculated macroregions macro regions State logtransformation log transformation used increasing stable 5 5% Results semiarid semi arid macroregion region 36.6/1000 3661000 36 6 1000 (36.6/100 14.9/1000 1491000 14 9 (14.9/100 old. . 0.98/1000 0981000 0 98 (0.98/100 births 0.47/1000 0471000 47 (0.47/100 births. p<0.05. p005 p p<0.05 05 (p<0.05) 2009 macroregions. regions. Conclusion 20 36.6/100 366100 3 100 (36.6/10 14.9/100 149100 1 (14.9/10 0.98/100 098100 (0.98/10 0.47/100 047100 4 (0.47/10 p00 p<0.0 (p<0.05 2 36.6/10 36610 10 (36.6/1 14.9/10 14910 (14.9/1 0.98/10 09810 (0.98/1 0.47/10 04710 (0.47/1 p0 p<0. (p<0.0 36.6/1 3661 (36.6/ 14.9/1 1491 (14.9/ 0.98/1 0981 (0.98/ 0.47/1 0471 (0.47/ p<0 (p<0. 36.6/ 366 (36.6 14.9/ 149 (14.9 0.98/ 098 (0.98 0.47/ 047 (0.47 p< (p<0 36.6 (36. 14.9 (14. 0.98 09 (0.9 0.47 04 (0.4 (p< 36. (36 14. (14 0.9 (0. 0.4 (p (3 (1 0. (0 (

https://doi.org/10.1590/1806-9304202300000120-en

13.

Fragmentation effects on beta diversity of fragmented and conserved landscapes: insights about homogenization and differentiation processes
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Araújo, Felipe de Carvalho

; Mendes, Carolina Njaime

; Souza, Cleber Rodrigo de

; Miranda, Kaline Fernandes

; Morelli, Mariana Caroline Moreira

; Coelho, Polyanne Aparecida

; Figueiredo, Maria Auxiliadora Pereira

; Carvalho, Warley Augusto Caldas

; Castro, Gislene Carvalho de

; Fontes, Marco Aurélio Leite

; Santos, Rubens Manoel dos

Acta Botanica Brasilica

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2022, Volume 36 elocation e2020abb0261

Abstract: En | Text: En | PDF: En

ABSTRACT Fragmentation is one of the main causes of biodiversity loss in tropical forests through consequences on their different components. Beta diversity patterns across fragments have been studied across multiple spatial scales, but comparisons with intact landscapes and in a variety of vegetation types are scarce. In order to address this issue of anthropogenic landscape disturbance, we tested two hypotheses relating to fragmentation and beta diversity: 1. Floristic homogenization at patch-level scale and 2. Floristic differentiation at landscape-level scale. The study was conducted in the Espinhaço Range biosphere reserve, Brazil. Three landscapes encompassing a broad range of vegetation types were sampled in 115 plots. Two landscapes were fragmented due to mining activities (Sabará and Brumadinho) and one is protected (Parque Estadual Serra do Rola-Moça). Results showed high overall beta diversity both between landscapes (conserved and fragmented) and vegetation types (forest, Brazilian savanna “campos rupestres”, ecotone and ironstone “canga”) with high turnover and species losses, even in highly disturbed vegetation types. The conserved landscape was most diverse in terms of richness. Thus, fragmentation effects differed from the expected with a main role of differentiation processes, and we argue that high beta diversity is not always a good predictor of ecosystem health.

https://doi.org/10.1590/0102-33062020abb0261

14.

Feeding behavior of sheep in feedlot and fed with diets containing detoxified castor cake in substitution to the soybean meal
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Pompeu, Roberto Cláudio Fernandes Franco

; Rogério, Marcos Cláudio Pinheiro

; Cândido, Magno José Duarte

; Bomfim, Marco Aurélio Delmondes

; Pereira, Elzânia Sales

; Lopes, Marcos Neves

; Araújo, Ricardo Alves de

Acta Scientiarum. Animal Sciences

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2022, Volume 44 elocation e54512

Abstract: En | Text: En | PDF: En

ABSTRACT. To evaluate the ingestive behavior of sheep confined and fed with substitution levels of soybean meal (SM) by detoxified castor cake (DCC). We adopted a completely randomized design, with four levels of substitution (0; 33; 67 and 100%) with five replicates (sheep). We estimated the percentages of total times of intake of feed, time of rumination, in ‘other activities’, in idle agreed and in idle sleeping, dividing the day into eight periods (5h00 to 8h00; 8h01 to 11h00; 11h01 to 14h00; 14h01 to 17h00; 17h01 to 20h00; 20h01 to 23h00; 23h01 to 2h00 and 2h01 to 5h00). No interaction was observed between levels of substitution of the SM by DCC and period of the day to go. However, the isolated effect period of the day, there is more time to go from 8h00 to 11h00. The time rumination was not influenced by the levels of substitution of the SM by DCC. As for the variable other activities, the level of 67% DCC was superior to that of 100%. Regarding the variables idle agreed and idle sleeping, were not observed effects of substitution levels of SM by DCC. The DCC provides no changes in the behavior of the sheep, but the period of the day exerts influence on the behavioral pattern of such animals.

https://doi.org/10.4025/actascianimsci.v44i1.54512

15.

The impact of the COVID-19 pandemic on the decrease in the use of intensive care units in the postoperative period of anatomic lung resections. A retrospective analysis
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DIAS, ISMAEL RODRIGO

; GHEFTER, MARIO CLAUDIO

; ANDRADE FILHO, PEDRO HILTON DE

; MORAIS, LILIANNE LOUISE SILVA

; MARCHETTI FILHO, MARCO AURELIO

; HIMURO, HEBERT SANTOS

; FEICHAS, RAFAEL LACERDA PEREIRA

Revista do Colégio Brasileiro de Cirurgiões

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2022, Volume 49 elocation e20223140

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

RESUMO Introdução: a pandemia de COVID-19 exigiu otimização dos fluxos institucionais hospitalares, especialmente quanto ao uso de leitos de unidade de terapia intensiva (UTI). O objetivo deste estudo foi avaliar se a individualização da indicação de recuperação pós-operatória de cirurgias pulmonares em leitos de UTI associou-se a mais complicações perioperatórias. Método: análise retrospectiva de prontuários dos pacientes submetidos a ressecções pulmonares anatômicas por câncer em hospital terciário. A amostra foi dividida em dois grupos: Grupo-I, composto pelas cirurgias realizadas entre março/2019 e fevereiro/2020, pré-pandemia, e Grupo-II, composto pelas cirurgias realizadas entre março/2020 e fevereiro/2021, período de pandemia no Brasil. Analisamos dados demográficos, riscos cirúrgicos, cirurgias realizadas, complicações pós-operatórias, tempo de UTI e de internação hospitalar. Foram adotadas medidas preventivas de COVID-19 no grupo-II. Resultados: foram incluídos 43 pacientes, 20 no grupo-I e 23 no grupo-II. Os grupos não apresentaram diferenças estatísticas quanto às variáveis demográficas basais. No grupo-I 80% dos pacientes fizeram pós-operatório em UTI, comparados a 21% do grupo-II. Houve diferença significativa na comparação de tempo médio de permanência em leito de UTI (46 horas no grupo-I versus 14 horas no grupo-II - p<0,001). Não houve diferença estatística quanto a complicações pós-operatórias entre grupos (p=0,44). Conclusões: a individualização da necessidade do uso de UTI no pós-operatório imediato de cirurgias pulmonares resultou em melhora no fluxo assistencial institucional durante a pandemia de COVID-19, de maneira segura, sem aumento na morbimortalidade cirúrgica, favorecendo a manutenção do tratamento oncológico essencial.

ABSTRACT Objective: COVID-19 pandemic required optimization of hospital institutional flow, especially regarding the use of intensive care unit (ICU) beds. The aim of this study was to assess whether the individualization of the indication for postoperative recovery from pulmonary surgery in ICU beds was associated with more perioperative complications. Method: retrospective analysis of medical records of patients undergoing anatomic lung resections for cancer in a tertiary hospital. The sample was divided into: Group-I, composed of surgeries performed between March/2019 and February/2020, pre-pandemic, and Group-II, composed of surgeries performed between March/2020 and February/2021, pandemic period in Brazil. We analyzed demographic data, surgical risks, surgeries performed, postoperative complications, length of stay in the ICU and hospital stay. Preventive measures of COVID-19 were adopted in group-II. Results: 43 patients were included, 20 in group-I and 23 in group-II. The groups did not show statistical differences regarding baseline demographic variables. In group-I, 80% of the patients underwent a postoperative period in the ICU, compared to 21% in group-II. There was a significant difference when comparing the average length of stay in an ICU bed (46 hours in group-I versus 14 hours in group-II - p<0.001). There was no statistical difference regarding postoperative complications (p=0.44). Conclusions: the individualization of the need for ICU use in the immediate postoperative period resulted in an improvement in the institutional care flow during the COVID-19 pandemic, in a safe way, without an increase in surgical morbidity and mortality, favoring the maintenance of essential cancer treatment.

https://doi.org/10.1590/0100-6991e-20223140-en

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