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Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies
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Ferreira, Juliana Carvalho

; Vianna, Arthur Oswaldo de Abreu

; Pinheiro, Bruno Valle

; Maia, Israel Silva

; Baldisserotto, Sérgio Vasconcellos

; Isola, Alexandre Marini

; Cavalcanti, Alexandre Biasi Gama, Ana Maria Casati Nogueira da Rocha, Angelo Roncalli Miranda Oliveira, Antonio Gonçalves de Serpa Neto, Ary Farias, Augusto Manoel de Carvalho Orlando, Bianca Rodrigues Esteves, Bruno da Costa Mazza, Bruno Franco Silveira, Camila de Freitas Martins Soares Carvalho, Carlos Roberto Ribeiro de Toufen Junior, Carlos Barbas, Carmen Silvia Valente Teixeira, Cassiano Silveira, Débora Dutra da Medeiros, Denise Machado Parolo, Edino Costa, Eduardo Leite Vieira Caser, Eliana Bernadete Oliveira, Ellen Pierre de Banholzer, Eric Grieger Carvalho, Erich Vidal Amorim, Fabio Ferreira Saddy, Felipe Gonçalves, Fernanda Alves Ferreira Galas, Filomena Regina Barbosa Gomes Zanatta, Giovanna Carolina Gardini Silva, Gisele Sampaio Westphal, Glauco Adrieno Matos, Gustavo Faissol Janot de Souza, João Claudio Emmerich de Silva Junior, João Manoel Valiatti, Jorge Luis dos Santos Nascimento Junior, José Ribamar do Rocco, Jose Rodolfo Hajjar, Ludhmila Abrahão Forgiarini Junior, Luiz Alberto Malbuisson, Luiz Marcelo Sá Holanda, Marcelo Alcantara Amato, Marcelo Britto Passos Park, Marcelo Oliveira, Marco Antonio da Rosa e Reis, Marco Antonio Soares Tavares, Marcos Soares Souza, Mario Henrique Dutra de Damasceno, Marta Cristina Pauleti Lira-Batista, Marta Maria da Silva Pattacini, Max Morais Assunção, Murillo Santucci Cesar de Oliveira, Neymar Elias de Franzosi, Oellen Stuani Rocco, Patricia Rieken Macedo Caruso, Pedro Silva, Pedro Leme Mendes, Pedro Vitale Duarte, Pericles Almeida Delfino Santa Neto, Renato Fabio Alberto Della Rodrigues, Ricardo Goulart Cordioli, Ricardo Luiz Palazzo, Roberta Fittipaldi Goldwasser, Rosane Pinheiro, Sabrina dos Santos Justino, Sandra Regina Nemer, Sergio Nogueira Oliveira, Vanessa Martins de Silva, Vinicius Zacarias Maldaner da Nedel, Wagner Luis Bellissimo-Rodrigues, Wanessa Teixeira Oliveira Filho, Wilson de

Critical Care Science

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2025, Volume 37 elocation e20250242en

Abstract: En | Text: En | PDF: En

ABSTRACT Mechanical ventilation can be a life-saving intervention, but its implementation requires a multidisciplinary approach, with an understanding of its indications and contraindications due to the potential for complications. The management of mechanical ventilation should be part of the curricula during clinical training; however, trainees and practicing professionals frequently report low confidence in managing mechanical ventilation, often seeking additional sources of knowledge. Review articles, consensus statements and clinical practice guidelines have become important sources of guidance in mechanical ventilation, and although clinical practice guidelines offer rigorously developed recommendations, they take a long time to develop and can address only a limited number of clinical questions. The Associação de Medicina Intensiva Brasileira and the Sociedade Brasileira de Pneumologia e Tisiologia sponsored the development of a joint statement addressing all aspects of mechanical ventilation, which was divided into 38 topics. Seventy-five experts from all regions of Brazil worked in pairs to perform scoping reviews, searching for publications on their specific topic of mechanical ventilation in the last 20 years in the highest impact factor journals in the areas of intensive care, pulmonology, and anesthesiology. Each pair produced suggestions and considerations on their topics, which were presented to the entire group in a plenary session for modification when necessary and approval. The result was a comprehensive document encompassing all aspects of mechanical ventilation to provide guidance at the bedside. In this article, we report the methodology used to produce the document and highlight the most important suggestions and considerations of the document, which has been made available to the public in Portuguese.

https://doi.org/10.62675/2965-2774.20250242-en

Validation of entrustable professional activities for use in neonatal care residency programs
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Costa, Marcia L.

; Rego, Maria Albertina Santiago

; Rodrigues, Flavia Cardoso

; Pinheiro, Sandy S.

; Deus, Marcela O.

; Moura, Alexandre S.

Jornal de Pediatria

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dec 2024, Volume 100 N. 6 Pages 627 - 632

Abstract: En | Text: En | PDF: En

Abstract Objective Define and develop a set of entrustable professional activities (EPAs) to link clinical training and assessment of the hospital components of neonatal care in neonatology medical residency programs. Methods An exploratory study was conducted in two phases using a modified Delphi approach. In the first phase, a committee of five neonatology residency program coordinators drafted an initial set of EPAs based on the national matrix of competencies and on EPAs defined by international organizations. In the second phase, a group of neonatal care physicians and medical residents rated the indispensability and clarity of the EPAs and provided comments and suggestions. Results Seven EPAs were drafted by the coordinators´ committee (n = 5) and used in the content validation process with a group (n = 37) of neonatal care physicians and medical residents. In the first Delphi round, all EPAs reached a content validity index (CVI) above 0.8. The coordinators´ committee analyzed comments and suggestions and revised the EPAs. A second Delphi round with the revised EPAs was conducted to validate and all items maintained a CVI above 0.8 for indispensability and clarity. Conclusion Seven entrustable professional activities were developed to assess residents in the hospital components of neonatal care medicine. These EPAs might contribute to implementing competency-based neonatology medical residency programs grounded in core professional activities. (EPAs approach phase organizations n 5 37 (CVI 08 0 8 0. medicine competencybased competency 3

https://doi.org/10.1016/j.jped.2024.05.003

Acesso e qualidade da alimentação: percepção da população em situação de rua
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la Cerda, Carolina Moraes Preihsner de

; Soares, Giovanna Martins e

; Pinheiro, Ana Karina Bezerra

; Lacthim, Sheila Aparecida Ferreira

; Dias, André Luiz Freitas

; Arcencio, Ricardo Alexandre

; Freitas, Giselle Lima de

Acta Paulista de Enfermagem

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2024, Volume 37 elocation eAPE02361

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

Abstract Objective To understand the perception of access to food and food quality for the street population. Methods This qualitative descriptive study was performed in a Reference Center for the Homeless Population in the south-central region of Belo Horizonte (MG). A semi-structured script was used to conduct interviews with 18 participants. Data collection occurred between December 2020 and January 2021. The thematic analysis of the material, as proposed by Bardin, made it possible to elaborate three empirical categories. Results The public interviewed was male, with a mean age of 43 years, and a mean time on the streets of 44.6 months. Access to food came from donations, meals at government institutions, and acquisition when income was available. Difficulties were reported regarding the quantity and quality of food, acquisition of meals on weekends, feelings of fear and anguish in the face of hunger, lack of food, and social stigma, which were aggravated by COVID-19. Conclusion As in this scenario of social inequalities the access to food is not guaranteed, implementing public policies of social protection is necessary to guarantee basic rights.

Resumo Objetivo Compreender a percepção do acesso e da qualidade da alimentação para a população em situação de rua. Métodos Estudo descritivo qualitativo, realizado em um Centro de Referência da População de Rua na região centro-sul de Belo Horizonte (MG). Utilizou-se roteiro semiestruturado para a realização das entrevistas de 18 participantes. A coleta de dados ocorreu entre dezembro de 2020 e janeiro de 2021. A análise temática do material, proposta por Bardin, possibilitou a elaboração de três categorias empíricas. Resultados O público entrevistado era masculino, com idade média de 43 anos e tempo médio de situação de rua de 44,6 meses. O acesso à alimentação foi proveniente das doações de alimentos, refeições em instituições governamentais e aquisições ao dispor de renda. Foram relatadas dificuldades quanto à quantidade e qualidade dos alimentos, à aquisição das refeições nos fins de semana, aos sentimentos de medo e angústia perante a fome, à falta do alimento e pelo estigma social, agravados pela COVID-19. Conclusão Diante do cenário de iniquidades sociais, o direito ao acesso à alimentação não é garantido, sendo necessária a implementação de políticas públicas de proteção social que garantam os direitos básicos.

Resumen Objetivo Comprender la percepción del acceso y de la calidad de la alimentación según personas en situación de calle. Métodos Estudio descriptivo cualitativo, realizado en un Centro de Referencia de Personas de la Calle en la región centro-sur de Belo Horizonte (Minas Gerais). Se utilizó un guion semiestructurado para realizar entrevistas a 18 participantes. La recopilación de datos se realizó entre diciembre de 2020 y enero de 2021. El análisis temático del material, propuesto por Bardin, permitió la elaboración de tres categorías empíricas. Resultados El público entrevistado era masculino, de 43 años de edad promedio y tiempo promedio de situación de calle de 44,6 meses. El acceso a la alimentación fue proveniente de donaciones de alimentos, comidas en instituciones gubernamentales y adquisiciones al disponer de ingresos. Las personas relataron dificultades con relación a la cantidad y calidad de los alimentos, a la adquisición de comida los fines de semana, a los sentimientos de miedo y angustia ante el hambre, a la falta de alimentos y al estigma social, agravados por el COVID-19. Conclusión Ante el escenario de iniquidades sociales, el derecho al acceso a la alimentación no está garantizado, por lo cual es necesario implementar políticas públicas de protección social que garanticen los derechos básicos.

https://doi.org/10.37689/acta-ape/2024ao0002361

Water adsorption isotherms and thermodynamic properties of germinated pumpkin seeds flours
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Moraes, Maria Suiane de

; Queiroz, Alexandre José de Melo

; Figueirêdo, Rossana Maria Feitosa de

; Matos, Joana D’arc Paz de

; Silva, Luís Paulo Firmino Romão da

; Santos, Francislaine Suelia dos

; Silva, Semirames do Nascimento

; Oliveira, Adolfo Pinheiro de

Revista Ciência Agronômica

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2024, Volume 55 elocation e2028373

Abstract: En | Text: En | PDF: En

ABSTRACT The use of residues resulting from the processing of agricultural products is an widely studied topic, which is justified by the need to reduce costs and by the search for productive sustainability, which has as one of its principles the full use production, reducing waste and therefore increasing the amount of products extracted per unit of area. Residual seeds, resulting from the production of fruit pulps, are rich in nutrients and with the potential to be further improved by the application of germination, increasing the protein content and the content of bioactive compounds. However, in the germination process, the product acquires a high water content, requiring immediate drying and control of the water adsorption kinetics after dehydration. Therefore, the objective of this study was to determine the water adsorption isotherms of germinated seeds flours from pumpkins of three varieties at temperatures of 15, 25 and 35 °C, to obtain the most appropriate mathematical model to describe the hygroscopic behavior and to determine the thermodynamic properties of water adsorption, through the values of the integral isosteric heat, differential entropy, differential enthalpy and Gibbs free energy for the studied conditions. The GAB and Peleg models fit the experimental data well. With increasing water activity, there was a reduction in isosteric heat and entropy. The enthalpy-entropy compensation theory was confirmed. Gibbs free energy was negative for all temperatures, increasing with increasing equilibrium water content, demonstrating that it is a spontaneous process.

https://doi.org/10.5935/1806-6690.20240011

Polidocanol-foam treatment of varicose veins: Quality-of-life impact compared to conventional surgery Polidocanolfoam Polidocanol foam veins Qualityoflife Quality life
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Sakugawa, Lissa Severo

; Portela, Felipe Soares Oliveira

; Louzada, Andressa Cristina Sposato

; Portugal, Maria Fernanda Cassino

; Teivelis, Marcelo Passos

; Mendes, Cynthia de Almeida

; Pinheiro, Lucas Lembrança

; Silva, Marcelo Fiorelli Alexandrino da

; Fioranelli, Alexandre

; Wolosker, Nelson

Clinics

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2024, Volume 79 elocation 100346

Abstract: En | Text: En | PDF: En

Abstract Background and objective: Lower limb varicose veins are a prevalent disease associated with several available treatment options, including conventional surgery and polidocanol foam sclerotherapy. However, few studies have analyzed therapeutic modality outcomes based on Patient-Reported Outcome Measures (PROMs). This large sample-size study was designed to evaluate the outcomes of polidocanol foam sclerotherapy compared to conventional surgery based on an analysis of PROMs. Methods: This was a prospective, observational, and qualitative study of 205 patients who underwent varicose vein treatment with either polidocanol foam sclerotherapy (57 patients, 90 legs) or conventional surgery (148 patients, 236 legs). Patients were preoperatively assessed and re-evaluated 30 days after the procedure using the Venous Disease Severity Score (VCSS) and specific venous disease quality-of-life questionnaires (VEINES-QoL/Sym). Results: Both treatments significantly improved VCSS and VEINES results 30 days after the procedure (p < 0.05). However, surgery promoted greater improvements in VCSS (on average 4.02-points improvement, p < 0.001), VEINES-QoL (average 8-points improvement, p < 0.001), and VEINES-Sym (average 11.66 points improvement, p < 0.001) than did sclerotherapy. Postoperative pain and aesthetic concerns about the legs were the domains of the questionnaires in which the results varied the most between the treatment modalities, with worse results for sclerotherapy. Conclusion: Both polidocanol foam sclerotherapy and conventional surgery positively impact patients’ quality of life after 30 days, but the improvement is more significant for patients who undergo conventional surgery. objective options However PatientReported Patient Reported PROMs . (PROMs) samplesize sample size Methods prospective observational 20 57 (5 9 148 (14 23 legs. reevaluated re evaluated 3 (VCSS qualityoflife VEINESQoL/Sym. VEINESQoLSym QoL/Sym QoL Sym (VEINES-QoL/Sym) Results 0.05. 005 0.05 0 05 0.05) 4.02points 402points 4.02 4 02 0.001, 0001 0.001 , 001 VEINESQoL 8points 8 VEINESSym 1166 11 66 11.6 modalities Conclusion (PROMs 2 5 ( 14 (1 VEINESQoL/Sym QoLSym (VEINES-QoL/Sym 00 0.0 02points 402 4.0 000 0.00 116 1 6 11. 0. 40 4.

https://doi.org/10.1016/j.clinsp.2024.100346

Validação da Captação de Tecido Musculoesquelético em Doador Vivo: Experiência de um Banco de Multitecidos Vivo
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Freitas Filho, Luiz Henrique de

; Neves, Cristina de Carvalho Silva

; Corsi, Carlos Alexandre Curylofo

; Cardoso, Evelyn Machado

; Silva, Nilcilene Pinheiro

; Campos, Gustavo Constantino de

Brazilian Journal of Transplantation

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2024, Volume 27 elocation e2124

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

ABSTRACT Introduction: The harvesting of musculoskeletal tissues is essential to ensure the supply of biological products of human origin with safety and clinical efficacy. The harvesting stage must undergo a validation process to guarantee the quality of the tissues. Objectives: This article describes the experience of a public human multi-tissue bank (HMTB) in validating the harvesting of musculoskeletal tissue (femoral head) from a living donor. Methods: This involves evaluating and adapting a harvesting protocol to promote excellence in the quality of tissues distributed for therapeutic and research purposes. To this end, a technical visit was carried out at another tissue bank, and meetings were held with the orthopedic service team to present and discuss the process flow. Donor screening was done by applying forms evaluating the selection and exclusion criteria. After acceptance, through the consent form, the donor’s serological tests were requested and collected. The harvesting kit, control of the temperature thermal transport box, and collecting microbiological material from the piece at the time of removal were validated. The validated harvested tissue underwent macroscopic, radiological, and microbiological evaluations to consider the process valid. The forms and other documents in the medical record were audited by the institution’s health quality and safety center. Process mapping was also carried out, targeting risks and opportunities for improvement. Results: The harvesting protocol was validated as foreseen in the action plan. The harvesting technique was performed sterilely in the operating room. Microbiological and serological analyses showed negative results, and the tissue was considered macroscopically viable. After the audit, the documentation was deemed adequate to comply with current legislation (Resolução da Diretoria Colegiada – RDC Nº 707, of July 1, 2022), and the mapping of processes guaranteed the security of harvesting and provided opportunities for improvement. Conclusion: A protocol for capturing musculoskeletal tissues in the reference service is presented, with the validation process being replicable through a fundamental tool to ensure harmlessness and safety in tissue harvesting. Introduction efficacy Objectives multitissue multi HMTB (HMTB femoral head donor Methods purposes end flow criteria acceptance form donors s collected kit box macroscopic radiological valid institutions institution center improvement Results plan room results viable audit Resolução 707 1 2022, 2022 , 2022) Conclusion presented 70 202 7 20 2

RESUMO Introdução: A captação de tecidos musculoesqueléticos é fundamental para garantir o fornecimento de produtos biológicos de origem humana com segurança e eficácia clínica. Para assegurar a qualidade desses tecidos, é essencial que a etapa de captação passe por um processo de validação. Objetivos: Este artigo descreve a experiência de um banco de multitecidos humanos (BMTHs) público na validação da captação de tecido musculoesquelético (cabeça femoral) de doador vivo. Métodos: Trata-se da avaliação e adequação de um protocolo de captação visando promover a excelência na qualidade dos tecidos distribuídos para fins terapêuticos e de pesquisa. Para isso, foram realizadas uma visita técnica em outro banco de tecidos e reuniões com a equipe do serviço de ortopedia para apresentação e discussão sobre o fluxo do processo. A triagem do doador foi conduzida por meio da aplicação de formulários, avaliando os critérios de seleção e exclusão. Após a aceitação, mediante termo de consentimento, foram solicitados os exames sorológicos do doador e, por fim, a captação. Validaram-se o kit de captação, o controle de temperatura da caixa térmica de transporte e a coleta de material microbiológico da peça no momento da retirada. Para considerar válido o processo, o tecido captado passou por avaliações macroscópicas, radiológicas e microbiológicas. Os formulários e demais documentos do prontuário foram auditados pelo Núcleo de Qualidade e Segurança em Saúde (NQSS) da instituição. Também foi realizado o mapeamento dos processos, visando os riscos e oportunidades de melhoria. Resultados: O protocolo de captação foi realizado e validado conforme previsto no plano de ação. A técnica de captação foi realizada de forma estéril no centro cirúrgico. As análises microbiológicas e sorológicas apresentaram resultados negativos e o tecido foi considerado macroscopicamente viável. Após auditoria, a documentação foi considerada adequada ao atender a legislação vigente (Resolução da Diretoria Colegiada – RDC Nº 707, de 1 de julho de 2022). Além disso, o mapeamento dos processos garantiu a segurança da captação e proporcionou oportunidades de melhoria. Conclusão: Apresenta-se um protocolo de captação de tecidos musculoesqueléticos no serviço de referência, sendo o processo de validação replicável, por meio de uma ferramenta fundamental para assegurar a inocuidade e segurança na captação de tecidos. Descritores: Doação de Tecidos; Transplante de Tecidos; Controle de Qualidade Biológica; Produtos Inócuos; Banco de Tecidos Humanos. Introdução clínica Objetivos BMTHs (BMTHs cabeça femoral vivo Métodos Tratase Trata se pesquisa isso exclusão aceitação consentimento fim Validaramse Validaram retirada macroscópicas NQSS (NQSS instituição melhoria Resultados ação cirúrgico viável auditoria Resolução 707 2022. 2022 . 2022) disso Conclusão Apresentase Apresenta referência replicável Descritores Biológica Inócuos Humanos 70 202 7 20 2

https://doi.org/10.53855/bjt.v27i1.596_port

Caracterização da vegetação do Parque Estadual Lagamar de Cananéia, Litoral Sul, Estado de São Paulo, Brasil Cananéia Sul Paulo
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Ivanauskas, Natália Macedo

; Moura, Claudio de

; Kameyama, Cíntia

; Shirasuna, Regina Tomoko

; Arzolla, Frederico Alexandre Roccia Dal Pozzo

; Costa, Janaina Pinheiro

; Kanashiro, Marina Mitsue

; Martins, Tatiana Parreiras

; Baitello, João Batista

; Aguiar, Osny Tadeu de

; Prado, Jefferson

; Simão-Bianchini, Rosângela

; Rossi, Lucia

; Fernandes, Ulisses Gonçalves

Hoehnea

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2024, Volume 51 elocation e342023

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

ABSTRACT The Atlantic Forest is a biodiversity hotspot due to its high species richness, endemicity, and threats. We characterized the phytophysiognomies and listed the vascular species of the Parque Estadual Lagamar de Cananéia (PELC). All species and habits found along the trails covered in the PELC were collected, and the phytophysiognomies were mapped by photointerpretation. We mapped eight vegetational phytophysiognomies, with Submontane Dense Ombrophilous Forest representing 53.9%, whereas Montane and Lowland forests covered 14.3% and 13.2%, respectively. The known flora of PELC is composed of 540 vascular species distributed in 122 families, with 55 species of ferns and lycophytes, two gymnosperms and 483 Angiosperms, with threatened species (20 species). The PELC has a diversity of phytophysiognomies and a high richness of species, thus confirming its importance for the conservation of the plant biodiversity of the Atlantic Forest in the State of São Paulo. endemicity threats PELC. . (PELC) collected photointerpretation 539 53 9 53.9% 143 14 3 14.3 132 13 2 13.2% respectively 54 12 families 5 lycophytes 48 Angiosperms 20 (2 species. species) Paulo (PELC 53.9 1 14. 13.2 4 ( 53. 13.

RESUMO A Mata Atlântica é um “hotspot” de biodiversidade, devido a sua elevada riqueza, endemicidade e ameaças. Caracterizamos as fitofisionomias e listamos as espécies vasculares do Parque Estadual Lagamar de Cananéia (PELC). Foram coletadas as espécies de diferentes hábitos encontradas ao longo das trilhas percorridas no PELC e o mapeamento das fitofisionomias foi feito por fotointerpretação. Mapeamos oito fitofisionomias vegetacionais, com Floresta Ombrófila Densa Submontana, representando 53,9%, enquanto as Montanas e das Terras Baixas cobriram 14,3% e 13,2%, respectivamente. A flora conhecida do PELC é composta por 540 espécies vasculares distribuídas em 122 famílias, sendo 55 espécies de Samambaias e Licófitas, duas Gimnospermas e 483 Angiospermas, com espécies em risco de extinção (20 espécies). O PELC possui fitofisionomias importantes e flora com elevada riqueza de espécies, ratificando sua importância para a conservação da biodiversidade da Mata Atlântica no Estado de São Paulo. hotspot “hotspot ameaças PELC. . (PELC) fotointerpretação vegetacionais Submontana 539 53 9 53,9% 143 14 3 14,3 132 13 2 13,2% respectivamente 54 12 famílias 5 Licófitas 48 Angiospermas 20 (2 espécies. espécies) Paulo (PELC 53,9 1 14, 13,2 4 ( 53, 13,

https://doi.org/10.1590/2236-8906e342023

“Interstitial lung abnormalities”: translation to and use in Portuguese Interstitial abnormalities abnormalities”
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Yamanari, Tassia Regina

; Auad, Ricardo Valarelli

; Mançano, Alexandre Dias

; Koenigkam-Santos, Marcel

; Santana, Pablo Rydz Pinheiro

; Souza Júnior, Arthur Soares

; Chate, Rodrigo Caruso

; Sawamura, Marcio Valente Yamada

Radiologia Brasileira

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2024, Volume 57 elocation e20230114

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

Abstract Objective: To conduct a survey on the use of the term “interstitial lung abnormalities” in radiology reports in Brazil, propose an appropriate Portuguese-language translation for the term, and provide a brief review of the literature on the topic. Materials and Methods: A survey was sent via electronic message to various radiologists in Brazil, asking about their familiarity with the term, which translation of the term they use in Portuguese, and whether they use the criteria proposed by the Fleischner Society. Results: A total of 163 responses were received, from all regions of Brazil. Although the vast majority (88%) of the respondents stated that they were familiar with the term “interstitial lung abnormalities”, there was considerable variation regarding the equivalent term they used in Portuguese. Conclusion: We suggest that the term “anormalidades pulmonares intersticiais” be used in order to standardize radiology reports and disseminate knowledge of these findings in Brazil. Objective interstitial abnormalities Brazil Portugueselanguage Portuguese language topic Methods Society Results 16 received 88% 88 (88% abnormalities, , Conclusion anormalidades intersticiais 1 8 (88 (8 (

Resumo Objetivo: Fazer um levantamento sobre o uso do termo interstitial lung abnormalities nos laudos radiológicos no Brasil, propor uma tradução para o termo e fazer uma breve revisão sobre o tema. Materiais e Métodos: Foi enviada uma pesquisa, por meio de mensagem eletrônica, para diversos radiologistas de todo o Brasil, questionando sobre a familiarização com o termo, qual tradução em português utilizam e se usam os critérios propostos pela diretriz da Sociedade Fleischner. Resultados: Foram recebidas 163 respostas de todas as regiões do Brasil e a grande maioria dos radiologistas respondeu estar familiarizado com o termo interstitial lung abnormalities (88%), mas houve grande variação em relação ao termo utilizado como tradução para o português. Conclusão: Sugerimos a padronização do termo “anormalidades pulmonares intersticiais”, a fim de uniformizar os relatórios radiológicos e difundir esta entidade no País. Objetivo tema Métodos pesquisa eletrônica Fleischner Resultados 16 88%, 88 88% , (88%) Conclusão anormalidades intersticiais, intersticiais intersticiais” País 1 8 (88% (88 (8 (

https://doi.org/10.1590/0100-3984.2023.0114-en

Abortion-related complications in Brazil: results from the World Health Organization Multi-country Survey on Abortion (MCS-A)
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Veiga Junior, Nelio Neves

; Baccaro, Luiz Francisco Cintra

; Alexandrino, Adriana Mendonça da Silva Nascimento, Alexandre Volta Andrade do Clerot, Camila Tereza Camilo Santos, Cintya Andreia do Nascimento Silva, Claudia Lucrécia de Matos Albuquerque, Claudio Lucio de Medeiros Santos, Débora Paulo Gomes, Demétrio Antonio Gonçalves da S. Araújo Junior, Édson Cunha de Vilanova, Elizabete das Chagas Teixeira, Georgina Costa Santos, Graciete Helena Nascimento dos Avelar, Guilherme Augusto Guerra Barros, Iara Elce Lopes Abboud, Jaqueline Polon Lins, Jeane Cristina Antas Silva, Joanne Thalita Pereira Lucena, Kelma H. Aguiar de Barbosa, Lara Wanderley Paes Siqueira, Lia Ferreira Caixeta Barreto de Carneiro, Luciana de Melo Freitas Nagata, Lucila Lúcio, Márcia de Oliveira Pereira Silva, Maria Cleane Rodrigues da Simões, Maria da Conceição Ribeiro Magalhães, Maria Fernanda da Mota Almeida, Mariana Viana Lira, Michelle Regina Faria Souza, Nádia Martins de Paula Papa, Rafael Martins Matos, Rafael Ribeiro Pinheiro, Renata Porto Anjos, Roberta Souza dos Jesus, Suelen Miranda de Ynturias, Tedy Roger Flores Gonçalves, Valéria Cristina Caetano, Viviane Resende de Abreu

Cadernos de Saúde Pública

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2024, Volume 40 N. 10 elocation e00010624

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

Resumo: O objetivo foi descrever a gravidade das complicações relacionadas ao aborto, os fatores relacionados às complicações, os tipos de tratamento e a experiência de atendimento no Brasil. Foi realizado um estudo transversal em vinte hospitais (dez no Distrito Federal, três em Rondônia e sete no Maranhão). Durante três meses, todos os dados de todas as mulheres tratadas por aborto/aborto espontâneo foram coletados. A gravidade das complicações foi definida de acordo com os critérios da Organização Mundial da Saúde. As mulheres com hemorragia, infecção ou lesão de órgãos foram convidadas a responder a uma entrevista sobre a experiência do atendimento. A análise estatística foi realizada usando o teste de qui-quadrado e modelos de regressão de Poisson. Entre as 1.683 mulheres incluídas, 82,5% tiveram complicações leves, 13,6% tiveram complicações moderadas, 3,2% tiveram condições potencialmente ameaçadoras à vida (PLTC, acrônimo em inglês) e 0,7% tiveram resultados maternos graves (SMO, acrônimo em inglês). A maioria das mulheres (94,2%) precisou de esvaziamento uterino. Entre elas, 91,5% precisaram de esvaziamento cirúrgico (com ou sem uso de uterotônicos) e 8,5% usaram apenas uterotônicos. O método de esvaziamento cirúrgico mais frequente foi a curetagem (66,9%), seguido pela aspiração manual a vácuo (32,3%). Os fatores associados à PLTC/SMO vs. complicações leves foram ter idade gestacional ≥ 13 semanas (razão de prevalência - RP = 3,09; intevalo de 95% de confiança - IC95%: 1,42-6,72), ter sido tratado no Maranhão (RP = 0,27; IC95%: 0,12-0,63) e em Rondônia (RP = 0,64; IC95%: 0,20-0,99). Os fatores associados às complicações moderadas vs. leves foram expulsão dos produtos da concepção antes da chegada ao serviço de saúde (RP = 2,55; IC95%: 1,64-3,96) e ter sido tratado no Maranhão (RP = 0,58; IC95%: 0,38-0,87). A maioria das mulheres que responderam à entrevista foi tratada com gentileza (95,6%), no entanto, 66,7% se sentiram estressadas e 10,1% relataram que suas preferências não foram respeitadas durante a internação. Nove em cada dez mulheres atendidas em hospitais públicos brasileiros devido a complicações relacionadas ao aborto são submetidas a algum procedimento cirúrgico, sendo o mais comum a curetagem uterina. Aproximadamente quatro em cada 100 mulheres apresentam complicações graves. É fundamental garantir o fornecimento de equipamentos para aspiração manual a vácuo e incentivar programas de educação médica continuada para aumentar a conscientização dos profissionais de saúde sobre tratamentos mais seguros para evacuação uterina.

resumen está disponible en el texto completo

Abstract: This study aimed to describe the severity of abortion-related complications, factors associated with complications, the types of management and the experience of care in Brazil. A cross-sectional study in twenty hospitals (10 in Federal District, 3 in Rondônia and 7 in Maranhão). For 3 months, all women treated for abortion/miscarriage had their data collected. The severity of complications was defined according to World Health Organization criteria. Women with hemorrhage, infection or organs injury were invited to answer an interview about experience of care. Statistical analysis was performed using chi-square test and Poisson regression models. Among 1,683 women included, 82.5% had mild complications, 13.6% had moderate complications, 3.2% had potentially life-threatening conditions (PLTC) and 0.7% had severe maternal outcomes (SMO). Most women (94.2%) required uterine evacuation. Among these, 91.5% required surgical evacuation (with or without the use of uterotonics) and 8.5% used only uterotonics. The most frequent surgical evacuation method was curettage (66.9%), followed by manual vacuum aspiration (MVA) (32.3%). Factors associated with PLTC/SMO vs mild complications were having a gestational age ≥ 13 weeks (pravlence ratio - PR = 3.09; 95% confidence interval - 95%CI: 1.42-6.72), having been treated in Maranhão (PR = 0.27; 95%CI: 0.12-0.63) and in Rondônia (PR = 0.64; 95%CI: 0.20-0.99). Factors associated with moderate vs. mild complications were expulsion of products of conception before arrival to health facility (PR = 2.55; 95%CI: 1.64-3.96) and having been treated in Maranhão (PR = 0.58; 95%CI: 0.38-0.87). Most women who responded to the interview were treated kindly (95.6%), however, 66.7% felt stressed and 10.1% reported that their preferences were not respected during hospitalization. Nine out of ten women treated in Brazilian public hospitals due to abortion-related complications undergo some surgical procedure, the most common of which is uterine curettage. Approximately four in every hundred women experience severe complications. It is essential to ensure the supply of equipment for MVA and to encourage continuing medical education programs to increase the awareness of healthcare professionals about safer treatments for uterine evacuation.

https://doi.org/10.1590/0102-311xen010624

10.

Adherence to low tidal volume in the transition to spontaneous ventilation in patients with acute respiratory failure in intensive care units in Latin America (SPIRAL): a study protocol SPIRAL (SPIRAL) (SPIRAL
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Diniz-Silva, Fabia

; Pinheiro, Bruno Valle

; Reyes, Luis Felipe

; Cavalcanti, Alexandre Biasi

; Figueredo, Belinda

; Rios, Fernando

; Machado, Flávia Ribeiro

; Preda, Gabriel

; Bugedo, Guillermo

; Maia, Israel Silva

; Silveira, Leda Tomiko Yamada da

; Herrera, Luis

; Jibaja, Manuel

; Ibarra-Estrada, Miguel

; Cestari, Mino

; Nin, Nicolás

; Roldan, Rollin

; Santos, Tiago Mendonça dos

; Veiga, Viviane Cordeiro

; Bruhn, Alejandro

; Ferreira, Juliana Carvalho

Critical Care Science

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2024, Volume 36 elocation e20240044en

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

ABSTRACT Objective: Patients with acute respiratory failure often require mechanical ventilation to reduce the work of breathing and improve gas exchange; however, this may exacerbate lung injury. Protective ventilation strategies, characterized by low tidal volumes (≤ 8mL/kg of predicted body weight) and limited plateau pressure below 30cmH2O, have shown improved outcomes in patients with acute respiratory distress syndrome. However, in the transition to spontaneous ventilation, it can be challenging to maintain tidal volume within protective levels, and it is unclear whether low tidal volumes during spontaneous ventilation impact patient outcomes. We developed a study protocol to estimate the prevalence of low tidal volume ventilation in the first 24 hours of spontaneous ventilation in patients with hypoxemic acute respiratory failure and its association with ventilator-free days and survival. Methods: We designed a multicenter, multinational, cohort study with a 28-day follow-up that will include patients with acute respiratory failure, defined as a partial oxygen pressure/fraction of inspired oxygen ratio < 300mmHg, in transition to spontaneous ventilation in intensive care units in Latin America. Results: We plan to include 422 patients in ten countries. The primary outcomes are the prevalence of low tidal volume in the first 24 hours of spontaneous ventilation and ventilator-free days on day 28. The secondary outcomes are intensive care unit and hospital mortality, incidence of asynchrony and return to controlled ventilation and sedation. Conclusion: In this study, we will assess the prevalence of low tidal volume during spontaneous ventilation and its association with clinical outcomes, which can inform clinical practice and future clinical trials. Objective exchange however injury strategies ≤ ( 8mLkg mLkg 8mL kg mL weight 30cmH2O cmHO cmH O syndrome However levels 2 ventilatorfree ventilator free survival Methods multicenter multinational 28day 28 followup follow up pressurefraction fraction 300mmHg mmHg America Results 42 countries mortality sedation Conclusion trials 4

RESUMO Objetivo: Pacientes com insuficiência respiratória aguda frequentemente necessitam de ventilação mecânica para reduzir o trabalho respiratório e melhorar a troca gasosa; no entanto, a ventilação mecânica pode exacerbar a lesão pulmonar. As estratégias de ventilação protetora, caracterizadas por baixo volume corrente (≤ 8mL/kg de peso corporal previsto) e pressão de platô limitada abaixo de 30cmH2O, mostraram melhores desfechos em pacientes com síndrome do desconforto respiratório agudo. No entanto, na transição para a ventilação espontânea, manter o volume corrente dentro dos níveis de proteção pode ser desafiador, e não está claro se o volume corrente baixo durante a ventilação espontânea afeta os desfechos dos pacientes. Desenvolvemos um protocolo de estudo para estimar a prevalência de ventilação com volume corrente baixo nas primeiras 24 horas de ventilação espontânea em pacientes com insuficiência respiratória aguda hipoxêmica e sua associação com dias livres da ventilação mecânica e sobrevida. Métodos: Desenhamos um estudo de coorte multicêntrico, multinacional, com seguimento de 28 dias, que incluirá pacientes com insuficiência respiratória aguda, definida como pressão parcial de oxigênio/fração inspirada de oxigênio < 300mmHg, em transição para ventilação espontânea em unidades de terapia intensiva na América Latina. Resultados: Pretendemos incluir 422 pacientes em 10 países. Os desfechos primários são a prevalência de baixo volume corrente nas primeiras 24 horas de ventilação espontânea e dias livres da ventilação mecânica no dia 28. Os desfechos secundários são mortalidade hospitalar e na unidade de terapia intensiva, incidência de assincronia e retorno à ventilação controlada e sedação. Conclusão: Neste estudo, avaliaremos a prevalência de volume corrente baixo durante a ventilação espontânea e sua associação com os desfechos clínicos, o que pode informar a prática clínica e futuros ensaios clínicos. Objetivo gasosa entanto pulmonar protetora ≤ ( 8mLkg mLkg 8mL kg mL previsto 30cmH2O cmHO cmH O agudo desafiador 2 sobrevida Métodos multicêntrico multinacional oxigêniofração fração 300mmHg mmHg Latina Resultados 42 1 países sedação Conclusão clínicos 4

https://doi.org/10.62675/2965-2774.20240044-en

11.

Mortality, hospitalizations, and persistence of symptoms in the outpatient setting of the first COVID-19 wave in Brazil: results of SARS-Brazil cohort study Mortality hospitalizations COVID19 COVID 19 COVID-1 Brazil SARSBrazil SARS COVID1 1 COVID-
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Fonseca, Henrique Andrade Rodrigues

; Pereira, Adriano Jose

; Nawa, Ricardo Kenji

; Sant’Anna, Viviane Aparecida Rodrigues

; Almeida, Tatiana Ferreira de

; Guimarães, Hélio Penna

; Tognon, Alexandre Pereira

; Marques, Lucas Miranda

; Silva, Lucas Santana Coelho da

; Bittencourt, Rafaela de Souza

; Gomes, Camila Pachêco

; Martins, Priscila de Aquino

; Oliveira, Aryadne Lyrio de

; Milan, Eveline Pipolo

; Dall’Orto, Frederico Toledo Campos

; Hoffman Filho, Conrado Roberto

; Almeida, Guacyra

; Hohmann, Fábio Barlem

; Moia, Diogo Duarte Fagundes

; Piano, Luciana Pereira Almeida

; Machado, Felipe Pinheiro

; Soares, Ronaldo Vicente Pereira

; Damiani, Lucas Petri

; Assis, Silvia Regina Lamas

; Amaro Junior, Edson

; Rizzo, Luiz Vicente

; Berwanger, Otávio

einstein (São Paulo)

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2024, Volume 22 elocation eAO0652

Abstract: En | Text: En | PDF: En

ABSTRACT Objective To evaluate deaths, hospitalizations, and persistence of symptoms in patients with COVID-19 after infection in an outpatient setting during the first COVID-19 wave in Brazil. Methods This prospective cohort was between April 2020 and February 2021. Hospitalized or non-hospitalized COVID-19 patients until five days after symptom onset were included. The outcomes measured were incidence of death, hospitalization, and persistence of more than two symptoms 60 days after discharge. Results Out of 1,198 patients enrolled in the study, 66.7% were hospitalized. A total of 289 patients died (1 [0.3%] non-hospitalized and 288 [36%] hospitalized). At 60 days, patients non-hospitalized during admission had more persistent symptoms (16.2%) compared to hospitalized (37.1%). The COVID-19 severity variables associated with the persistence of two or more symptoms were increased age (OR= 1.03; p=0.015), respiratory rate at hospital admission (OR= 1.11; p=0.005), length of hospital stay of more than 60 days (OR= 12.24; p=0.026), and need for intensive care unit admission (OR= 2.04; p=0.038). Conclusion COVID-19 survivors who were older, tachypneic at admission, had a hospital length of stay >60 days, and were admitted to the intensive care unit had more persistent symptoms than patients who did not require hospitalization in the early COVID-19 waves. ClinicalTrials.gov Identifier: NCT04479488. deaths hospitalizations COVID19 COVID 19 COVID-1 Brazil 202 2021 nonhospitalized non included death 6 discharge 1198 1 198 1,19 study 667 66 7 66.7 28 ( 0.3% 03 0 3 [0.3% 36% 36 [36% . hospitalized) 16.2% 162 16 2 (16.2% 37.1%. 371 37.1% 37 (37.1%) OR= OR (OR 1.03 103 p=0.015, p0015 p p=0.015 , 015 p=0.015) 1.11 111 11 p=0.005, p0005 p=0.005 005 p=0.005) 12.24 1224 12 24 p=0.026, p0026 p=0.026 026 p=0.026) 2.04 204 04 p=0.038. p0038 p=0.038 038 p=0.038) older >6 waves ClinicalTrialsgov ClinicalTrials gov Identifier NCT04479488 NCT COVID1 COVID- 20 119 1,1 66. 0.3 [0.3 [36 16.2 (16.2 37.1 (37.1% 1.0 10 p001 p=0.01 01 1.1 p000 p=0.00 00 12.2 122 p002 p=0.02 02 2.0 p003 p=0.03 > NCT0447948 1, 0. [0. [3 16. (16. 37. (37.1 1. p00 p=0.0 12. 2. NCT044794 [0 [ (16 (37. p0 p=0. NCT04479 (37 p=0 NCT0447 (3 p= NCT044 NCT04 NCT0

https://doi.org/10.31744/einstein_journal/2024ao0652

12.

IgG4-related disease—rare but you should not forget it IgG4related IgGrelated IgG4 related IgG diseaserare disease rare
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Pinheiro, Frederico Augusto Gurgel

; Pereira, Ivanio Alves de Souza, Alexandre Wagner Silva Giardini, Henrique Ayres Mayrink Cordeiro, Rafael Alves

Advances in Rheumatology

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2024, Volume 64 elocation 35

Abstract: En | Text: En | PDF: En

Abstract Immunoglobulin G4-related disease is a systemic immune-mediated disease with insidious evolution characterized by fibroinflammatory lesions over virtually any organ system. Despite the remarkable progression of knowledge, its etiology remains undefined. Due to its relapse-remitting pattern, it could accumulate irreversible damage, increasing comorbidities and mortality. This paper emphasizes key concepts for diagnosing and treating patients with this condition. G4related Grelated G4 related G immunemediated immune mediated system knowledge undefined relapseremitting relapse remitting pattern damage mortality condition

https://doi.org/10.1186/s42358-024-00374-y

13.

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

; Saad, Carla Goncalves Schahin Marques, Claudia Diniz Lopes Ribeiro, Sandra Lúcia Euzébio Gavi, Maria Bernadete Renoldi de Oliveira Yazbek, Michel Alexandre Marinho, Adriana de Oliveira Menin, Rita de Cássia Ochtrop, Manuella Lima Gomes Soares, Andressa Miozzo Cavalcanti, Nara Gualberto Carneiro, Jamille Nascimento Werner de Castro, Glaucio Ricardo Fernandes, José Mauro Carneiro Souza, Elziane da Cruz Ribeiro E Alvarenga, Corina Quental de Menezes Vieira, Rejane Maria Rodrigues de Abreu Machado, Natalia Pereira Ximenes, Antônio Carlos Gazzeta, Morgana Ohira Albuquerque, Cleandro Pires de Skare, Thelma Larocca Keiserman, Mauro Waldemar Kohem, Charles Lubianca Benacon, Gabriel Sarkis Rocha, Vítor Florêncio Santos Lage, Ricardo da Cruz Malheiro, Olivio Brito Golebiovski, Rywka Tenenbaum Medeiros Oliveira, Thauana Luiza Duque, Ruben Horst Londe, Ana Carolina Pinheiro, Marcelo de Medeiros Sampaio-Barros, Percival Degrava

Advances in Rheumatology

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2024, Volume 64 elocation 33

Abstract: En | Text: En | PDF: En

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

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

14.

Construction and validation of a scenario for sedation training in the emergency room for pediatric surgical procedures by in-situ simulation insitu situ
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SANTOS, MARCOS MACIEL CANDIDO JUSTINO DOS

; LIMA, SARA FITERMAN

; SLULLITEL, ALEXANDRE

; GIOVANAZZI, ROSEMEIRE SIMONE DELLACRODE

; LOPES NETO, FRANCISCO DIEGO NEGRÃO

; LIMA, MARJORIE DE ARAÚJO VIAN PINHEIRO

; SANTOS NETO, RENÉ SCALET DOS

; PEREIRA JÚNIOR, GERSON ALVES

Revista do Colégio Brasileiro de Cirurgiões

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2024, Volume 51 elocation e20243709

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

ABSTRACT Introduction: sedation and analgesia are fundamental procedures for children undergoing invasive interventions, and complications must be avoided during their implementation. In situ simulation allows, in turn, training in real practice environments to improve the technical and non-technical skills of professionals for such procedures. Although it is a very useful tool, it is often not used due to lack of preparation for its planning and application. Objective: develop and validate an in situ simulation scenario in pediatric emergency care using sedation to perform an invasive procedure. Method: descriptive study of construction and content validation of an in situ simulation scenario, using the Delphi method, following the following steps: 1) definition of the problem and selection of experts; 2) development of the initial document; 3) rounds for validation with analysis of responses and feedback (until consensus is reached by the Content Validation Index); 4) final report. Results: The experts indicated suggestions that were duly used and the scenario obtained, in all items, a CVI greater than 80.0%, demonstrating its high validity and reliability. By using experts to validate the scenario, their insights guarantee greater precision and reliability in scenario construction engineering. Conclusion: It is expected that this study will allow the replication of the scenario in different training contexts, facilitating and encouraging professional training based on a scenario model based on best evidence and practices. Introduction interventions implementation allows turn nontechnical non tool application Objective procedure Method method steps 1 2 document 3 until Index Index) 4 report Results obtained items 800 80 0 80.0% engineering Conclusion contexts practices 8 80.0 80.

RESUMO Introdução: a sedação e analgesia são procedimentos fundamentais para crianças submetidas a intervenções invasivas, devendo-se evitar complicações durante sua realização. A simulação in situ permite, por sua vez, capacitações nos ambientes reais de prática para aprimorar as competências técnicas e não técnicas dos profissionais para tais procedimentos. Embora seja uma ferramenta de grande utilidade, muitas vezes não é aproveitada pelo despreparo para seu planejamento e aplicação. Objetivo: elaborar e validar um cenário de simulação in situ no atendimento de urgências pediátricas com uso de sedação para realização de procedimento invasivo. Método: estudo descritivo de construção e validação de conteúdo de um cenário de simulação in situ, por meio do método Delphi, seguindo os seguintes passos: 1) definição do problema e seleção de especialistas; 2) desenvolvimento do documento inicial; 3) rodadas para validação com análise das respostas e feedback (até obtenção do consenso pelo Índice de Validação de Conteúdo); 4) relatório final. Resultados: Os especialistas indicaram sugestões devidamente aproveitadas e o cenário obteve, em todos os itens, um IVC maior que 80,0% demonstrando sua alta validade e confiabilidade. Ao usar especialistas para validar o cenário, seus insights garatem maior precisão e confiabilidade à engenharia de construção dos cenários. Conclusão: espera-se, que este estudo permita a replicação do cenário em diferentes contextos de formação facilitando e incentivando a capacitação profissional a partir de um modelo de cenário baseado em melhores evidências e práticas. Introdução invasivas devendose devendo se permite vez utilidade aplicação Objetivo invasivo Método Delphi passos 1 2 inicial 3 até Conteúdo Conteúdo) 4 final Resultados obteve itens 800 80 0 80,0 cenários Conclusão esperase, esperase espera se, espera-se práticas 8 80,

https://doi.org/10.1590/0100-6991e-20243709-en

15.

Forças em forma: uma sociologia pragmática da “violentização” da força em diferentes modalidades forma violentização “violentização
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Werneck, Alexandre

; Teixeira, Cesar Pinheiro

; Caminhas, Diogo

; Talone, Vittorio

Sociologias

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2024, Volume 26 elocation e-soc131445

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

Abstract This article aims to discuss how force appears in moments of “violentization” in social situations, that is, when defining them as “violent,” when the horizon of this delimitation is under the social representation called “urban violence.” In order to do so, we analyzed, in a symmetrized way, in four empirical materials crossed by multiple methods, the effectuation of situations related to four different relevant figures of this scenario: 1) military police officers (that make themselves as force); 2) thieves (who manage force); 3) the so-called “bandits” (who are represented as force); and 4) readers of news about police military incursions in a newspaper (who summon the force). The work joins an effort to develop a pragmatic sociology of violence. It seeks to understand how types of force and ways of deploying them in a situation define different actants and, consequently, the situations they “violentize.” violentization “violentization violent, violent “violent, urban violence so analyzed way methods scenario 1 force) 2 who 3 socalled bandits “bandits 4 force. . consequently violentize. violentize “violentize. “violent “violentize

Resumo O objetivo deste artigo é discutir as diferentes formas como a força comparece nos momentos de “violentização” de situações sociais, isto é, de definição destas como “de violência”, quando o horizonte dessa delimitação estiver imerso na representação social chamada “violência urbana”. Para tanto, analisamos de forma simetrizada em quatro materiais empíricos atravessados por múltiplas metodologias as efetivações de situações relativas a quatro diferentes figuras relevantes desse cenário: 1) policiais militares (que se fazem força); 2) ladrões (que administram a força); 3) os chamados “bandidos” (que são representados como força); e 4) leitores de notícias sobre operações policiais em um jornal (que conclamam a força). A análise se dá na continuidade do desenvolvimento de uma sociologia pragmática da violência e busca compreender como tipos de força e formas de os mobilizar em situação definem diferentes actantes e consequentemente as situações por eles violentizadas. violentização “violentização sociais violência, , violência” urbana. urbana . urbana” tanto cenário 1 que força) 2 3 bandidos “bandidos 4 força. violentizadas

Resúmen El objetivo de este artículo es discutir las diferentes formas en que la fuerza aparece en momentos de “violentización” de situaciones sociales, es decir, de definirlas como “violencia”, cuando el horizonte de esta delimitación se sumerge en la representación social denominada “violencia urbana”. Para ello, analizamos de manera simétrica en cuatro materiales empíricos atravesados por múltiples metodologías la implementación de situaciones relativas a cuatro diferentes figuras relevantes en este escenario: 1) policías militares (que ejercen la fuerza); 2) ladrones (que administran la fuerza); 3) los llamados “bandidos” (que son representados como una fuerza); y 4) lectores de noticias sobre operativos policiales en un periódico (que llaman a la fuerza). El análisis se sitúa en la continuidad del desarrollo de una sociología pragmática de la violencia y busca comprender cómo los tipos de fuerza y ??las formas de movilizarlas en situaciones definen a los diferentes actantes y, en consecuencia, las situaciones que violan. violentización “violentización sociales decir violencia, , “violencia” urbana. urbana . urbana” ello escenario 1 fuerza) 2 3 bandidos “bandidos 4 fuerza. consecuencia violan

https://doi.org/10.1590/18070337-131445

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