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ABSTRACT Objective To identify the epidemiological, spatial, and temporal pattern of TB-HIV coinfection in Brazil during the period from 2001 to 2020. Methods: Ecological study using space-time analysis techniques. It included cases of TB-HIV coinfection registered in Brazil from 2001 to 2020. The temporal trend analysis was performed using segmented regression by Joinpoint regression. For spatial analysis, Moran indices were calculated and choropleth maps were produced using TerraView and QGIS software. Results: A stable temporal trend was observed in the incidence rates of TB-HIV coinfection in Brazil during the analyzed period. In addition, high-risk areas for coinfection located in states in the North, Southeast, South, and Midwest regions were identified. Conclusion: There was stability in the incidence of TB-HIV coinfection in Brazil over the last 20 years and heterogeneous geographic distribution of risk areas for the condition.

RESUMO Objective Identificar o padrão epidemiológico, espacial e temporal da coinfecção TB-HIV no Brasil durante o período de 2001 a 2020. Métodos: Estudo ecológico com técnicas de análise espacial e temporal. Incluiu os casos de coinfecção por TB-HIV registrados no Brasil entre 2001 e 2020. A análise de tendência temporal foi realizada por meio da regressão segmentada, através do Joinpoint regression. Para a análise espacial, foram calculados os índices de Moran e construídos mapas coropléticos através dos softwares TerraView e QGIS. Resultados: Observou-se tendência temporal estável das taxas de incidência da coinfecção por TB-HIV no Brasil durante o período analisado. Adicionalmente, foram identificadas áreas de alto risco para coinfecção localizadas em estados das regiões Norte, Sudeste, Sul e Centro-Peste. Conclusão: Houve estabilidade da incidência da coinfecção TB-HIV no Brasil nos últimos 20 anos e distribuição geográfica heterogênea das áreas de risco para o agravo.

https://doi.org/10.1590/1980-549720240037

Hedonic analysis of the price of mangalarga marchador horses sold at auctions
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Marquez, Mahara Moreira

; Santos, Brenda Alves Alves dos

; Mamede, Larissa Ferreira

; Schultz, Erica Beatriz

; Silva, Natascha Almeida arques da

; Raineri, Camila

Acta Scientiarum. Animal Sciences

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2024, Volume 46 elocation e60913

Abstract: En | Text: En | PDF: En

ABSTRACT. The objective was to identify sets of relevant atributes for pricing Mangalarga Marchador horses at auctions and to estimate a hedonic pricing function. We analyzed 452 horses at 20 auctions. The studied variables were characteristics intrinsic to the animals and attributes that influence sale price, which were identified through generalized linear and logistic model analysis. For each additional prize and additional bid, the prices decreased by R$ 2110.00 and R$ 549.00 respectively. The individual’s maternal grandsire positively or negatively affected prices, from R$ - 86.70 to R$ + 35.50. Non-pregnant females were penalized in price by R$ 110.00 compared to non-castrated males. A bay coat added R$ 215.00 to prices when compared to chestnut animals. Online auctions added R$ 20.10 to prices and virtual auctions penalized prices by R$ 617.00. The gray coat devalues a sale by 48% and Seller 3 decreasing by 18%. We conclude that auction type, number of prizes, share sold, animal category, coat, seller, number of bids, and maternal grandsire influenced the prices of Mangalarga Marchador horses, and that coat and seller that influenced the probability of the animal being sold. ABSTRACT function 45 2 analysis bid R 211000 2110 00 2110.0 54900 549 549.0 respectively individuals individual s 8670 86 70 86.7 3550 35 50 35.50 Nonpregnant Non pregnant 11000 110 110.0 noncastrated non castrated males 21500 215 215.0 2010 10 20.1 61700 617 617.00 48 18 18% type prizes sold category bids 4 21100 211 0 2110. 5490 54 549. 867 8 7 86. 355 5 35.5 1100 11 110. 2150 21 215. 201 1 20. 6170 61 617.0 35. 6 617.

https://doi.org/10.4025/actascianimsci.v46i1.60913

Long-term complications and outcomes of therapeutic embolization of cerebral arteriovenous malformations: a systematic review Longterm Long term malformations
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Lúcio, Vivianne Beatriz dos Santos

; Queiroz, Vinício Rufino

; Lins, Cícero José Pacheco

; Baggio, Jussara Almeida de Oliveira

; Souza, Carlos Dornels Freire de

Sao Paulo Medical Journal

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2024, Volume 142 N. 5 elocation e2022591

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Embolization is a promising treatment strategy for cerebral arteriovenous malformations (AVMs). However, consensus regarding the main complications or long-term outcomes of embolization in AVMs remains lacking. OBJECTIVE: To characterize the most prevalent complications and long-term outcomes in patients with AVM undergoing therapeutic embolization. DESIGN AND SETTING: This systematic review was conducted at the Federal University of Alagoas, Arapiraca, Brazil. METHODS: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses criteria. Data were obtained from MEDLINE, PubMed, LILACS, and SciELO databases, which included the epidemiological profile of the population, characteristics of the proposed therapy, complications (hemorrhagic events and neurological deficits), and long-term outcomes (modified Rankin scale pre- and post-treatment, AVM recanalization, complete obliteration, and deaths). RESULTS: Overall, the analysis included 34 articles (2,799 patients). Grade III Spetzler–Martin AVMs were observed in 34.2% of cases. Notably, 39.3% of patients underwent embolization combined with radiosurgery. The most frequently reported long-term complication was hemorrhage, which occurred in 8.7% of patients at a mean follow-up period of 58.6 months. Further, 6.3% of patients exhibited neurological deficits after an average of 34.7 months. Complete obliteration was achieved in 51.4% of the cases after a mean period of 36 months. Recanalization of AVMs was observed in 3.5% of patients. Long-term death occurred in 4.0% of patients. CONCLUSION: Embolization of AVMs is an increasingly safe strategy with low long-term complications and satisfactory outcomes, especially in patients who have undergone combination therapies. SYSTEMATIC REVIEW REGISTRATION: https://www.crd.york.ac.uk/prospero/ Registration number CRD42020204867. BACKGROUND AVMs. . (AVMs) However longterm long term lacking OBJECTIVE SETTING Alagoas Arapiraca Brazil METHODS MetaAnalyses Meta Analyses criteria MEDLINE PubMed LILACS databases population therapy hemorrhagic deficits, , deficits) modified pre posttreatment, posttreatment post treatment, post-treatment recanalization deaths. deaths deaths) RESULTS Overall 3 2,799 2799 2 799 (2,79 patients) SpetzlerMartin Spetzler Martin 342 34.2 Notably 393 39 39.3 radiosurgery hemorrhage 87 8 7 8.7 followup follow up 586 58 6 58. months Further 63 6.3 347 34. 514 51 4 51.4 35 5 3.5 Longterm Long 40 0 4.0 CONCLUSION therapies REGISTRATION https//www.crd.york.ac.uk/prospero/ httpswwwcrdyorkacukprospero https //www.crd.york.ac.uk/prospero/ www crd york ac uk prospero https://www.crd.york.ac.uk/prospero CRD42020204867 CRD (AVMs 2,79 279 79 (2,7 39. 8. 6. 51. 3. 4. https//www.crd.york.ac.uk/prospero wwwcrdyorkacukprospero //www.crd.york.ac.uk/prospero CRD4202020486 2,7 27 (2, CRD420202048 2, (2 CRD42020204 ( CRD4202020 CRD420202 CRD42020 CRD4202 CRD420 CRD42 CRD4

https://doi.org/10.1590/1516-3180.2022.0591.r1.20022024

Surveillance of TB-HIV coinfection in Brazil: a space-time approach TBHIV TB HIV Brazil spacetime space time
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Santos, Beatriz Almeida

; Ribeiro, Caíque Jordan Nunes

; Santos, Allan Dantas dos

; Sousa, Álvaro Francisco Lopes de

; Siqueira, Thayane Santos

; Andrade, Lucas Almeida

; Santos, Adriano José dos

; Lima, Shirley Verônica Melo Almeida

Revista Brasileira de Epidemiologia

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2024, Volume 27 elocation e240037

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

https://doi.org/10.1590/1980-549720240037

Factors associated with burnout in military police officers in a city in Paraná
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Ribeiro, Beatriz Maria dos Santos Santiago

; Silva, Luiz Almeida da

; Scorsolini-Comin, Fabio

; Robazzi, Maria Lucia do Carmo Cruz

; Santos, Sérgio Valverde Marques dos

; Terra, Fábio de Souza

; Dalri, Rita de Cassia de Marchi Barcellos

Revista Brasileira de Enfermagem

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2024, Volume 77 N. 4 elocation e20230510

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

RESUMO Objetivo: analisar a associação entre burnout e fatores sociodemográficos, laborais, hábitos de vida e condições de saúde de policiais militares de um município do estado do Paraná, Brasil. Método: pesquisa transversal com 131 policiais militares. Os dados foram analisados por meio do software Statistical Package for the Social Sciences e do programa R. Utilizaram-se os testes qui-quadrado, exato de Fisher e Modelo Linear Generalizado de Poisson. Resultados: a maioria dos participantes (65,6%) apresentou elevado índice de burnout. Em relação aos fatores protetivos, quem realizava atividades de lazer possuía 33,6% chances de não desenvolver burnout. A conjugalidade também foi um fator protetivo. Não praticar atividade física e atividades de lazer são fatores que podem contribuir para ocorrência de burnout. Conclusões: observaram-se fatores importantes e índices elevados de burnout nos policiais investigados. Faz-se necessária a implementação de políticas públicas de saúde para redução do burnout com atenção voltada a essa categoria profissional. Objetivo sociodemográficos laborais Paraná Brasil Método 13 R Utilizaramse Utilizaram se quiquadrado, quiquadrado qui quadrado, quadrado qui-quadrado Poisson Resultados 65,6% 656 65 6 (65,6% protetivos 336 33 33,6 protetivo Conclusões observaramse observaram investigados Fazse Faz profissional 1 65,6 (65,6 3 33, 65, (65, (65 (6 (

ABSTRACT Objective: to analyze the association between burnout and sociodemographic, work factors, lifestyle habits and health conditions of military police officers in a municipality in the state of Paraná, Brazil. Method: cross-sectional research with 131 military police officers. Data were analyzed using the Statistical Package for the Social Sciences software and the R program. Chi-square, Fisher’s exact and Poisson Generalized Linear Model tests were used. Results: most participants (65.6%) had a high level of burnout. In relation to protective factors, those who carried out leisure activities had a 33.6% chance of not developing burnout. Conjugality was also a protective factor. Not practicing physical activity and leisure activities are factors that can contribute to the occurrence of burnout. Conclusions: important factors and high rates of burnout were observed in the police officers investigated. It is necessary to implement public health policies to reduce burnout with attention focused on this professional category. Objective sociodemographic Paraná Brazil Method crosssectional cross sectional 13 program Chisquare, Chisquare Chi square, square Chi-square Fishers Fisher s used Results 65.6% 656 65 6 (65.6% 336 33 33.6 factor Conclusions investigated category 1 65.6 (65.6 3 33. 65. (65. (65 (6 (

RESUMEN Objetivo: analizar la asociación entre burnout y factores sociodemográficos, laborales, hábitos de vida y condiciones de salud de policías militares en un município del estado de Paraná, Brasil. Método: investigación transversal con 131 policías militares. Los datos fueron analizados mediante el software Statistical Package for the Social Sciences y el programa R. Se utilizaron las pruebas de chi-cuadrado, exacta de Fisher y Modelo Lineal Generalizado de Poisson. Resultados: la mayoría de los participantes (65,6%) presentó un alto nivel de burnout. En relación a los factores protectores, quienes realizaban actividades de ocio tenían un 33,6% de posibilidades de no desarrollar burnout. La conyugalidad era también un factor protector. La no práctica de actividad física y actividades de ocio son factores que pueden contribuir a la aparición del burnout. Conclusiones: se observaron factores importantes y altos índices de burnout en los policías investigados. Es necesario implementar políticas de salud pública para reducir el burnout con atención centrada en esta categoría profesional. Objetivo sociodemográficos laborales Paraná Brasil Método 13 R chicuadrado, chicuadrado chi cuadrado, cuadrado chi-cuadrado Poisson Resultados 65,6% 656 65 6 (65,6% protectores 336 33 33,6 protector Conclusiones investigados profesional 1 65,6 (65,6 3 33, 65, (65, (65 (6 (

https://doi.org/10.1590/0034-7167-2023-0510

Motivação ao seguimento terapêutico das doenças cardiovasculares: revisão integrativa
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Pacheco, Haylla Simone Almeida

; Vasconcelos, Beatriz Barros de

; Brito, Leandro Cardozo dos Santos

; Freitas, Antonieldo Araújo de

; Costa, Antonio Werbert Silva da

; Borges, José Wicto Pereira

Enfermería Actual de Costa Rica

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dec 2023, N. 45 elocation 56324

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

Resumo Introdução: As doenças cardiovasculares são uma grande preocupação para a saúde mundial. A falta de seguimento terapêutico dessas doenças está associada com o alto risco de eventos cardiovasculares. Compreender os elementos que motivam essa adesão pode impulsionar a elaboração de intervenções mais efetivas. Objetivo: Identificar os elementos reguladores da motivação ao seguimento terapêutico das doenças cardiovasculares. Metodologia: Trata-se de uma revisão integrativa segundo as diretrizes de Whitemore e Knafl. Realizou-se a seleção dos artigos entre dezembro de 2020 e janeiro de 2021 nas bases de dados: LILACS, SciELO, MEDLINE e Cochrane Library, com recorte temporal de 2011 a 2021, nos idiomas português, inglês e espanhol. Foram excluídos os artigos de revisão, reflexão, guidelines, protocolos de pesquisa e artigos repetidos. 19 estudos foram selecionados. Resultados: Estudos oriundos de 12 países, mostraram os reguladores de motivação ao tratamento das doenças cardiovasculares em cinco categorias: suporte social, saúde física, autodeterminação, reguladores psicoemocionais e sistemas de cuidado. Conclusão: A motivação apresenta regulações complexas, que mobilizam e potencializam o comportamento humano. Os resultados podem direcionar a assistência de enfermagem e as ações intencionais que influenciem no seguimento terapêutico de doenças cardiovasculares, melhorando os resultados de saúde.

Resumen Introducción: Las enfermedades cardiovasculares son una preocupación importante para la salud mundial. La falta de seguimiento terapéutico de estas enfermedades se asocia con un alto riesgo de eventos cardiovasculares. Comprender los elementos que motivan esta adherencia puede impulsar el desarrollo de intervenciones más efectivas. Objetivo: Identificar los elementos reguladores de la motivación para el seguimiento terapéutico de las enfermedades cardiovasculares. Métodos: Se trata de una revisión integradora, siguiendo los lineamientos de Whitemore y Knafl. La selección de artículos se realizó entre diciembre de 2020 y enero de 2021 en las bases de datos LILACS, SciELO, MEDLINE y Cochrane Library. El marco temporal establecido para la selección fue de 2011 a 2021 y los idiomas fueron portugués, inglés y español. Se excluyeron artículos de revisión, reflexiones, guías, protocolos de investigación y artículos repetidos. Se seleccionaron 19 artículos. Resultados: Estudios de 12 países mostraron los reguladores de la motivación para el tratamiento de enfermedades cardiovasculares en cinco categorías: apoyo social, salud física, autodeterminación, reguladores psicoemocionales y sistemas de atención. Conclusión: En esencia, la motivación tiene regulaciones complejas que movilizan y mejoran el comportamiento humano. Los resultados pueden orientar los cuidados de enfermería y las acciones intencionales que influyen en el seguimiento terapéutico de las enfermedades cardiovasculares, mejorando los resultados de salud.

Abstract Introduction: Cardiovascular diseases are a major concern for global health. The lack of therapeutic follow-up for these diseases is associated with a high risk of cardiovascular events. Understanding the elements that motivate this adherence can prompt the development of more effective interventions. Objective: To identify the regulatory elements that regulate the motivation for the therapeutic follow-up of cardiovascular diseases. Methods: This is an integrative review following Whitemore and Knafl's guidelines. The articles were selected between December 2020 and January 2021 in the databases: LILACS, SciELO, MEDLINE and Cochrane Library, with a time frame from 2011 to 2021, in Portuguese, English and Spanish. Review articles, reflections, guidelines, research protocols, and repeated articles were excluded. 19 articles were selected. Results: Studies from 12 countries showed the regulators of motivation for the treatment of cardiovascular diseases in five categories: social support, physical health, self-determination, psycho-emotional regulators and care systems. Conclusion: In essence, motivation has complex regulations that mobilize and enhance human behavior. The results can guide nursing care and intentional actions that influence the therapeutic follow-up of cardiovascular diseases, improving health outcomes.

https://doi.org/10.15517/enferm.actual.cr.i45.51760

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

Neck circumference as a predictor of cardiometabolic risk and truncal obesity in people living with HIV
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Oliveira, Iara Katrynne Fonsêca

; Teixeira, Nayra do Socorro Caldas Carvalho de Almeida

; Rêgo, Beatriz de Mello Pereira

; Aires, Isabel Oliveira

; Rodrigues, Renata Rios Torres

; Araújo, Robson Eduardo da Silva

; Lima, Carlos Henrique Ribeiro

; Sousa, Rosana Rodrigues de

; Carvalho, Cecília Maria Resende Gonçalves de

; Costa, Dorcas Lamounier

; Santos, Marize Melo dos

; Paz, Suzana Maria Rebelo Sampaio da

; Paiva, Adriana de Azevedo

Nutrición Hospitalaria

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oct 2023, Volume 40 N. 5 Pages 1000 - 1008

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

Abstract Introduction: recent studies have suggested the use of neck circumference as a parameter capable of identifying risks of cardiometabolic complications and the accumulation of truncal fat caused by both antiretroviral therapy and the lifestyle of people with the human immunodeficiency virus (HIV). Objective: to investigate the relationship between neck circumference and anthropometric indicators and to assess cardiometabolic risk and truncal obesity through proposed cut-off points. Methods: cross-sectional study including 233 people with HIV. Demographic, socioeconomic, lifestyle and clinical data were collected using a structured questionnaire. The anthropometric evaluation included: weight, height, body mass index (BMI) measurements; waist (WC), neck (NC), arm and arm muscle circumferences; triceps and subscapular skinfolds and their sum. ROC curves were constructed to determine the accuracy of NC in predicting cardiometabolic risk in people living with HIV. Results: the sample was 57.5 % male, with a mean age of 38.4 years (95 % CI: 37.2-39.7 years). NC showed a positive and significant correlation with all anthropometric variables analyzed (p < 0.05), and a higher correlation strength with WC and BMI. The NC cut-off point selected as a predictor of risk of cardiac metabolic complications and truncal obesity in women was ≥ 32.4 cm, considering both WC and BMI. For men, the NC cut-off points were different when considering WC (≥ 39.6 cm) and BMI (≥ 38.1 cm) as a reference. It is worth noting that NC performed well in ROC curve analysis for men, while in women it was a poor performance. Conclusion: NC proved to be a promising indicator in the assessment of nutrition and health of people living with HIV, especially in men.

Resumen Introducción: estudios recientes han sugerido el uso de la circunferencia del cuello como parámetro capaz de identificar los riesgos de complicaciones cardiometabólicas y la acumulación de grasa troncal causados tanto por la terapia antirretroviral como por el estilo de vida de las personas con el virus de la inmunodeficiencia humana (VIH). Objetivo: investigar la relación entre la circunferencia del cuello y los indicadores antropométricos y evaluar el riesgo cardiometabólico y la obesidad troncal a través de los puntos de corte propuestos. Métodos: estudio transversal que incluyó a 233 personas con VIH. Se recogieron datos demográficos, socioeconómicos, de estilo de vida y clínicos mediante un cuestionario estructurado. La evaluación antropométrica incluyó: medidas de peso, altura, índice de masa corporal (IMC); circunferencias de cintura (CC), cuello (CN), brazo (CA) y músculo del brazo (MCB); pliegues cutáneos del tríceps y subescapular y su suma. Se construyeron curvas ROC para determinar la precisión de la CN en la predicción del riesgo cardiometabólico en personas que viven con el VIH. Resultados: el 57,5 % de la muestra eran varones, con una edad media de 38,4 años (IC 95 %: 37,2-39,7 años). La CN mostró una correlación positiva y significativa (p < 0,05) con todas las variables antropométricas analizadas, y una mayor fuerza de correlación con la CC y el IMC. El punto de corte de la CN seleccionado como predictor de riesgo de complicaciones metabólicas cardiacas y obesidad troncular en mujeres fue ≥ 32,4 cm, considerando tanto la CC como el IMC. En el caso de los hombres, los puntos de corte de la CN fueron diferentes al considerar como referencia la CC (≥ 39,6 cm) y el IMC (≥ 38,1 cm). Cabe destacar que la CN obtuvo buenos resultados en el análisis de la curva ROC en el caso de los hombres, mientras que en el de las mujeres fue deficiente. Conclusión: la CN demostró ser un indicador prometedor en la evaluación de la nutrición y la salud de las personas que viven con el VIH, especialmente en los hombres.

https://doi.org/10.20960/nh.04402

Effect of Lubricant Use on Cervicovaginal Cytology – What's the Evidence? Whats What s Evidence
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Santos, Diana Magalhães dos

; Matos, Maria Beatriz Freire Oliveira Coelho de

; Sousa, Ana Raquel Borges

; Fertusinhos, Francisco Correia de Almeida

; Pendás, Rosa Maria Couceiro

Revista Brasileira de Ginecologia e Obstetrícia

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2023, Volume 45 N. 11 Pages 724 - 728

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

Resumo Objetivo Determinar se o uso de gel lubrificante no espéculo durante o exame de citologia cervicovaginal interfere com os resultados obtidos e se diminui o desconforto relatado por pacientes. Fontes de dados Foi realizada uma revisão sistemática segundo as recomendações do Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), com pesquisa nas bases de dados Pubmed/Medline, Scielo, Cochrane Library, Embase, de artigos publicados entre janeiro de 2011 e julho de 2022. Utilizaram-se as palavras-chave citologia, espéculo, lubrificante, resultado e dor. Seleção dos estudos A pesquisa inicial resultou em 306 artigos, dos quais foram excluídos três por se encontrarem duplicados, 257 após a leitura do título e do resumo e 41 após a leitura integral. Assim, foram selecionados cinco artigos para o estudo: quatro ensaios clínicos aleatorizados e uma metanálise. Coleta de dados A seleção dos artigos foi realizada por dois investigadores. Os cinco artigos selecionados foram lidos na íntegra e submetidos a uma análise comparativa. Síntese dos dados O rastreio através da citologia cervicovaginal permite um diagnóstico precoce e redução da mortalidade associada, mas a sua realização pode estar associada a dor. Uma pequena quantidade de gel lubrificante aquoso pode ser utilizada no espéculo para diminuir o desconforto associado à realização da citologia cervicovaginal. Conclusão A utilização de gel lubrificante não está associada a alteração do resultado da citologia e diminui o desconforto associado à sua introdução na vagina. pacientes MetaAnalyses Meta Analyses PRISMA, PRISMA , (PRISMA) PubmedMedline Pubmed Medline Pubmed/Medline Scielo Library Embase 201 2022 Utilizaramse Utilizaram palavraschave palavras chave dor 30 duplicados 25 4 integral Assim estudo metanálise investigadores comparativa vagina (PRISMA 20 202 3 2

Abstract Objective To determine if the use of lubricating gel on the speculum during the cervicovaginal cytology examination interferes with the results obtained, as well as whether it reduces reported discomfort in patients. Data sources A systematic review was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, with a search in the Pubmed/Medline, Scielo, Cochrane Library, Embase databases of articles published between January 2011 and May 2022. The keywords used were cytology, speculum, lubricant, result, and pain. Selection of studies The initial search resulted in 306 articles, of which were excluded three because they were duplicates, 257 after reading the title and abstract and 41 after reading the full text. Thus, five articles were selected for the study: four randomized clinical trials and one metanalysis. Data collection The selection of articles was performed by two investigators. The 5 selected articles were read in full and submitted to a comparative analysis. Data synthesis Screening through cervicovaginal cytology allows for early diagnosis and reduction of associated mortality, but the procedure can be associated with pain. A small amount of aqueous lubricating gel in the speculum can be used to reduce the discomfort associated with performing cervicovaginal cytology. Conclusion The use of lubricating gel in the speculum does not seem to be associated with a change in the cytology result and reduces the discomfort associated with its insertion into the vagina. obtained patients MetaAnalyses Meta Analyses PRISMA (PRISMA recommendations PubmedMedline Pubmed Medline Pubmed/Medline Scielo Library 201 2022 lubricant pain 30 duplicates 25 4 text Thus study metanalysis investigators analysis mortality vagina 20 202 3 2

https://doi.org/10.1055/s-0043-1776025

10.

Full confluency, serum starvation, and roscovitine for inducing arrest in the G0/G1 phase of the cell cycle in puma skin-derived fibroblast lines confluency starvation G0G1 GG G0 G1 G G0/G skinderived skin derived G0G
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Rodrigues, Luanna Lorenna Vieira

; Moura, Yasmin Beatriz França

; Viana, João Vitor da Silva

; Oliveira, Lhara Ricarliany Medeiros de

; Praxedes, Érika Almeida

; Vieira Neto, José de Brito

; Sales, Sarah Leyenne Alves

; Silva, Herlon Victor Rodrigues

; Luciano, Maria Claudia dos Santos

; Pessoa, Claudia

; Pereira, Alexsandra Fernandes

Animal Reproduction

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2023, Volume 20 N. 1 elocation e20230017

Abstract: En | Text: En | PDF: En

Abstract The puma population is constantly decreasing, and cloning by somatic cell nuclear transfer can be used to conserve the species. One of the factors determining the success of the development of cloned embryos is the cell cycle stage of the donor cells. We evaluated the effects of full confluency (~100%), serum starvation (0.5% serum), and roscovitine (15 µM) treatments on the cell cycle synchronization in G0/G1 of puma skin-derived fibroblasts by flow cytometric analysis. Also, we assessed the effects of these synchronization methods on morphology, viability, and apoptosis levels using microscopy tools. The results showed that culturing the cells to confluence for 24 h (84.0%), 48 h (84.6%), and 72 h (84.2%) and serum starvation for 96 h (85.4%) yielded a significantly higher percentage of cells arrested in the G0/G1 (P < 0.05) phase than cells not subjected to any cell cycle synchronization method (73.9%). Nevertheless, while serum starvation reduced the percentage of viable cells, no difference was observed for the full confluence and roscovitine treatments (P > 0.05). Moreover, roscovitine for 12 h (78.6%) and 24 h (82.1%) was unable to synchronize cells in G0/G1 (P > 0.05). In summary, full confluency induces puma fibroblast cell cycle synchronization at the G0/G1 stage without affecting cell viability. These outcomes may be valuable for planning donor cells for somatic cell nuclear transfer in pumas. decreasing species ~100%, 100 ~100% , (~100%) 0.5% 05 0 5 (0.5 serum, serum) 15 (1 µM G0G1 GG G0 G1 G G0/G skinderived skin derived analysis Also morphology viability tools 2 84.0%, 840 84.0% 84 (84.0%) 4 84.6%, 846 84.6% 6 (84.6%) 7 84.2% 842 (84.2% 9 85.4% 854 85 (85.4% P 0.05 005 73.9%. 739 73.9% . 73 (73.9%) Nevertheless 0.05. Moreover 1 78.6% 786 78 (78.6% 82.1% 821 82 (82.1% summary pumas 10 ~100 (~100% 0.5 (0. ( G0G 84.0 8 (84.0% 84.6 (84.6% 84.2 (84.2 85.4 (85.4 0.0 00 73.9 (73.9% 78.6 (78.6 82.1 (82.1 ~10 (~100 0. (0 84. (84.0 (84.6 (84. 85. (85. 73. (73.9 78. (78. 82. (82. ~1 (~10 (84 (85 (73. (78 (82 ~ (~1 (8 (73 (7 (~

https://doi.org/10.1590/1984-3143-ar2023-0017

11.

Impacto do perfil ocupacional, saúde mental e religiosidade sobre depressão, ansiedade e estresse de profissionais de saúde na pandemia de COVID-19 ocupacional depressão COVID19 COVID 19 COVID-1 COVID1 1 COVID-
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Miranda, Kamila Silva de

; Santos, Leonardo Daniel Reis

; Almeida Neto, Omar Pereira de

; Raponi, Maria Beatriz Guimarães

; Scalia, Luana Araújo Macedo

Jornal Brasileiro de Psiquiatria

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2023, Volume 72 N. 4 Pages 239 - 246

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

RESUMO Objetivo: Avaliar a influência de variáveis ocupacionais e de saúde mental, religiosidade e estresse pós-traumático (TEPT) sobre depressão, ansiedade e estresse em profissionais de saúde da linha de frente da COVID-19. Métodos: Estudo observacional e seccional, realizado em hospital universitário no interior de Minas Gerais, com 151 profissionais de saúde atuantes na linha de frente da COVID-19. Utilizaram-se questionários de caracterização sociodemográfica, ocupacional e de saúde mental; religiosidade (P-DUREL); TEPT (PCL-C) e rastreio de depressão, ansiedade e estresse (DASS-21). Análises descritiva, bivariada e regressão linear múltipla foram empregadas. Resultados: Houve predomínio de participantes de sexo feminino, de cor branca, católicos, casados, de nível superior completo, com filhos, sedentários e sem histórico de doenças crônicas ou psiquiátricas. A minoria apresentou sintomas da COVID-19, teste positivo ou necessidade de isolamento. A maioria teve privação do contato com familiares e não recebeu suporte psicológico/psiquiátrico. A maioria apresentou sintomas leves ou mínimos de depressão (68,2%), ansiedade (64,9%) ou estresse (69,5%). A prevalência de sintomas de TEPT foi de 17,2%. Transtornos psiquiátricos diagnosticados previamente e presença de sintomas de TEPT foram associados a sintomas de depressão, ansiedade e estresse atuais. Escores baixos de religiosidade intrínseca foram associados a escores altos de depressão, e o sexo feminino foi associado a maiores escores de depressão e estresse. Conclusões: Durante a pandemia, sintomas de depressão, ansiedade e estresse foram comuns nessa amostra de profissionais de saúde. Os fatores associados a esses sintomas podem ser utilizados para identificar profissionais vulneráveis que precisem de suporte psicológico/psiquiátrico. Objetivo mental póstraumático pós traumático (TEPT COVID19. COVID19 COVID 19. 19 COVID-19 Métodos seccional Gerais 15 Utilizaramse Utilizaram se sociodemográfica PDUREL P DUREL (P-DUREL) PCLC PCL C (PCL-C DASS21. DASS21 DASS 21 . (DASS-21) descritiva empregadas Resultados branca católicos casados completo filhos psiquiátricas COVID19, 19, isolamento psicológicopsiquiátrico psicológico psiquiátrico psicológico/psiquiátrico 68,2%, 682 68,2% , 68 2 (68,2%) 64,9% 649 64 9 (64,9% 69,5%. 695 69,5% 69 5 (69,5%) 172 17 17,2% atuais Conclusões pandemia COVID1 1 COVID-1 (P-DUREL DASS2 (DASS-21 68,2 6 (68,2% 64,9 (64,9 69,5 (69,5% 17,2 COVID- (DASS-2 68, (68,2 64, (64, 69, (69,5 17, (DASS- (68, (64 (69, (DASS (68 (6 (69 (

ABSTRACT Objective: To evaluate the influence of occupational and mental health variables, religiosity and posttraumatic stress (PTSD) on depression, anxiety and stress in front-line healthcare professionals during the COVID-19 pandemic. Methods: An observational and cross-sectional study was conducted in a hospital in the state of Minas Gerais, Brazil, with 151 health professionals working on the front-line of COVID-19. Sociodemographic, occupational and mental health, religiosity (P-DUREL), PTSD (PCL-C) and screening for depression, anxiety and stress (DASS-21) questionnaires were used. Descriptive, bivariate and multiple linear regression were used. Results: There was a predominance of female, white, Catholic, married, complete higher education, with children, sedentary and without a history of chronic or psychiatric diseases. The minority presented symptoms of COVID-19, tested positive for the virus or needed isolation. Most of them had deprivation of contact with family members and did not receive psychological/psychiatric support. Most professionals had mild or minimal symptoms of depression (68.2%), anxiety (64.9%) or stress (69.5%). The prevalence of PTSD symptoms was 17.2%. A previous history of psychiatric disorder and the presence of PTSD symptoms were associated with current symptoms of depression, anxiety, and stress. Low intrinsic religiosity scores were associated with high depression scores and females were associated with higher depression and stress scores. Conclusions: During the pandemic, symptoms of depression, anxiety and stress were common in this sample of health professionals. The factors associated with these symptoms can be used to identify vulnerable professionals who need psychological/psychiatric support. Objective variables (PTSD frontline front line COVID19 COVID 19 COVID-1 pandemic Methods crosssectional cross sectional Gerais Brazil 15 COVID19. 19. Sociodemographic PDUREL, PDUREL P DUREL , (P-DUREL) PCLC PCL C (PCL-C DASS21 DASS 21 (DASS-21 Descriptive Results female white Catholic married education children diseases COVID19, 19, isolation psychologicalpsychiatric psychological support 68.2%, 682 68.2% 68 2 (68.2%) 64.9% 649 64 9 (64.9% 69.5%. 695 69.5% . 69 5 (69.5%) 172 17 17.2% Conclusions COVID1 1 COVID- (P-DUREL DASS2 (DASS-2 68.2 6 (68.2% 64.9 (64.9 69.5 (69.5% 17.2 (DASS- 68. (68.2 64. (64. 69. (69.5 17. (DASS (68. (64 (69. (68 (6 (69 (

https://doi.org/10.1590/0047-2085000000433

12.

Mothers’ sense of coherence and oral health-related quality of life of preschoolers: a 3-year cohort study Mothers healthrelated health related preschoolers 3year year 3
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MOREIRA-SANTOS, Letícia Fernanda

; RAMOS-JORGE, Joana

; RODRIGUES, Angélica Beatriz

; RAMOS-JORGE, Maria Letícia

; PORDEUS, Isabela Almeida

; FERNANDES, Izabella Barbosa

Brazilian Oral Research

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2023, Volume 37 elocation e013

Abstract: En | Text: En | PDF: En

Abstract The aim of the present study was to assess whether mothers’ sense of coherence (SOC) was a predictor of decline in oral health-related quality of life (OHRQoL) of preschoolers. A 3-year cohort study was conducted in Diamantina, Brazil. At baseline, 162 preschoolers aged one to three years were randomly selected from among children registered in local Primary Healthcare Units. In the first stage, mothers completed a sociodemographic questionnaire, the Brazilian version of the Early Childhood Oral Health Impact Scale (B-ECOHIS), and the Brazilian short version of the Sense of Coherence Scale (SOC-13). The total score obtained from the SOC-13 was used to select exposed and unexposed children. Clinical examinations were performed to detect the presence of dental caries, traumatic dental injury, and malocclusion. At follow-up, mothers completed the sociodemographic questionnaire and the B-ECOHIS again. The incidence of severe dental caries and adherence to the proposed treatment at baseline were evaluated. A decline in OHRQoL was considered if there was an increase in the B-ECOHIS score of at least one unit. The chi-square test and Poisson regression were performed. A total of 151 preschoolers participated in the study, among whom 37.7% showed a decline in OHRQoL. Mothers’ SOC was not associated with a negative impact on OHRQoL (RR = 1.24; 95%CI = 0.81–1.88), while the incidence of severe dental caries had a greater impact on the decline in OHRQoL (RR = 2.02; 95%CI = 1.29–3.16). Mothers’ low SOC was not a predictor of decline in the OHRQoL of preschoolers after a 3-year follow-up period. (SOC healthrelated health related (OHRQoL 3year year 3 Diamantina Brazil 16 Units stage BECOHIS, BECOHIS B ECOHIS , (B-ECOHIS) SOC13. SOC13 13 . (SOC-13) SOC-1 injury malocclusion followup, followup follow up, up again evaluated unit chisquare chi square 15 377 37 7 37.7 Mothers RR 1.24 124 1 24 95CI CI 95 0.81–1.88, 081188 0.81–1.88 0 81 88 0.81–1.88) 2.02 202 2 02 1.29–3.16. 129316 1.29–3.16 29 1.29–3.16) period (B-ECOHIS SOC1 (SOC-13 SOC- 37. 1.2 12 9 08118 0.81–1.8 8 2.0 20 12931 1.29–3.1 (SOC-1 1. 0811 0.81–1. 2. 1293 1.29–3. (SOC- 081 0.81–1 129 1.29–3 08 0.81– 1.29– 0.81 1.29 0.8 0.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0013

13.

IMPACTO-MR: um estudo brasileiro de plataforma nacional para avaliar infecções e multirresistência em unidades de terapia intensiva IMPACTOMR IMPACTO MR IMPACTO-MR
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Tomazini, Bruno M

; Nassar Jr, Antonio Paulo

; Lisboa, Thiago Costa

; Azevedo, Luciano César Pontes de

; Veiga, Viviane Cordeiro

; Catarino, Daniela Ghidetti Mangas

; Fogazzi, Debora Vacaro

; Arns, Beatriz

; Piastrelli, Filipe Teixeira

; Dietrich, Camila

; Negrelli, Karina Leal

; Jesuíno, Isabella de Andrade

; Reis, Luiz Fernando Lima

; Mattos, Renata Rodrigues de

; Pinheiro, Carla Cristina Gomes

; Luz, Mariane Nascimento

; Spadoni, Clayse Carla da Silva

; Moro, Elisângela Emilene

; Bueno, Flávia Regina

; Sampaio, Camila Santana Justo Cintra

; Silva, Débora Patrício

; Baldassare, Franca Pellison

; Silva, Ana Cecilia Alcantara

; Veiga, Thabata

; Barbante, Leticia

; Lambauer, Marianne

; Campos, Viviane Bezerra

; Santos, Elton

; Santos, Renato Hideo Nakawaga

; Laranjeiras, Ligia Nasi

; Valeis, Nanci

; Santucci, Eliana

; Miranda, Tamiris Abait

; Patrocínio, Ana Cristina Lagoeiro do

; Carvalho, Andréa de

; Sousa, Eduvirgens Maria Couto de

; Sousa, Ancelmo Honorato Ferraz de

; Malheiro, Daniel Tavares

; Bezerra, Isabella Lott

; Rodrigues, Mirian Batista

; Malicia, Julliana Chicuta

; Silva, Sabrina Souza da

; Gimenes, Bruna dos Passos

; Sesin, Guilhermo Prates

; Zavascki, Alexandre Prehn

; Sganzerla, Daniel

; Medeiros, Gregory Saraiva

; Santos, Rosa da Rosa Minho dos

; Silva, Fernanda Kelly Romeiro

; Cheno, Maysa Yukari

; Abrahão, Carolinne Ferreira

; Oliveira Junior, Haliton Alves de

; Rocha, Leonardo Lima

; Nunes Neto, Pedro Aniceto

; Pereira, Valéria Chagas

; Paciência, Luis Eduardo Miranda

; Bueno, Elaine Silva

; Caser, Eliana Bernadete

; Ribeiro, Larissa Zuqui

; Fernandes, Caio Cesar Ferreira

; Garcia, Juliana Mazzei

; Silva, Vanildes de Fátima Fernandes

; Santos, Alisson Junior dos

; Machado, Flávia Ribeiro

; Souza, Maria Aparecida de

; Ferronato, Bianca Ramos

; Urbano, Hugo Corrêa de Andrade

; Moreira, Danielle Conceição Aparecida

; Souza-Dantas, Vicente Cés de

; Duarte, Diego Meireles

; Coelho, Juliana

; Figueiredo, Rodrigo Cruvinel

; Foreque, Fernanda

; Romano, Thiago Gomes

; Cubos, Daniel

; Spirale, Vladimir Miguel

; Nogueira, Roberta Schiavon

; Maia, Israel Silva

; Zandonai, Cassio Luis

; Lovato, Wilson José

; Cerantola, Rodrigo Barbosa

; Toledo, Tatiana Gozzi Pancev

; Tomba, Pablo Oscar

; Almeida, Joyce Ramos de

; Sanches, Luciana Coelho

; Pierini, Leticia

; Cunha, Mariana

; Sousa, Michelle Tereza

; Azevedo, Bruna

; Dal-Pizzol, Felipe

; Damasio, Danusa de Castro

; Bainy, Marina Peres

; Beduhn, Dagoberta Alves Vieira

; Jatobá, Joana D’Arc Vila Nova

; Moura, Maria Tereza Farias de

; Rego, Leila Rezegue de Moraes

; Silva, Adria Vanessa da

; Oliveira, Luana Pontes

; Sodré Filho, Eliene Sá

; Santos, Silvana Soares dos

; Neves, Itallo de Lima

; Leão, Vanessa Cristina de Aquino

; Paes, João Lucidio Lobato

; Silva, Marielle Cristina Mendes

; Oliveira, Cláudio Dornas de

; Santiago, Raquel Caldeira Brant

; Paranhos, Jorge Luiz da Rocha

; Wiermann, Iany Grinezia da Silva

; Pedroso, Durval Ferreira Fonseca

; Sawada, Priscilla Yoshiko

; Prestes, Rejane Martins

; Nascimento, Glícia Cardoso

; Grion, Cintia Magalhães Carvalho

; Carrilho, Claudia Maria Dantas de Maio

; Dantas, Roberta Lacerda Almeida de Miranda

; Silva, Eliane Pereira

; Silva, Antônio Carlos da

; Oliveira, Sheila Mara Bezerra de

; Golin, Nicole Alberti

; Tregnago, Rogerio

; Lima, Valéria Paes

; Silva, Kamilla Grasielle Nunes da

; Boschi, Emerson

; Buffon, Viviane

; Machado, André Sant’Ana

; Capeletti, Leticia

; Foernges, Rafael Botelho

; Carvalho, Andréia Schubert de

; Oliveira Junior, Lúcio Couto de

; Oliveira, Daniela Cunha de

; Silva, Everton Macêdo

; Ribeiro, Julival

; Pereira, Francielle Constantino

; Salgado, Fernanda Borges

; Deutschendorf, Caroline

; Silva, Cristofer Farias da

; Gobatto, Andre Luiz Nunes

; Oliveira, Carolaine Bomfim de

; Dracoulakis, Marianna Deway Andrade

; Alvaia, Natália Oliveira Santos

; Souza, Roberta Machado de

; Araújo, Larissa Liz Cardoso de

; Melo, Rodrigo Morel Vieira de

; Passos, Luiz Carlos Santana

; Vidal, Claudia Fernanda de Lacerda

; Rodrigues, Fernanda Lopes de Albuquerque

; Kurtz, Pedro

; Shinotsuka, Cássia Righy

; Tavares, Maria Brandão

; Santana, Igor das Virgens

; Gavinho, Luciana Macedo da Silva

; Nascimento, Alaís Brito

; Pereira, Adriano J

; Cavalcanti, Alexandre Biasi

Revista Brasileira de Terapia Intensiva

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dec 2022, Volume 34 N. 4 Pages 418 - 425

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

RESUMO Objetivo: Descrever o IMPACTO-MR, um estudo brasileiro de plataforma nacional em unidades de terapia intensiva focado no impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Métodos: Descrevemos a plataforma IMPACTO-MR, seu desenvolvimento, critérios para seleção das unidades de terapia intensiva, caracterização da coleta de dados, objetivos e projetos de pesquisa futuros a serem realizados na plataforma. Resultados: Os dados principais foram coletados por meio do Epimed Monitor System® e consistiram em dados demográficos, dados de comorbidades, estado funcional, escores clínicos, diagnóstico de internação e diagnósticos secundários, dados laboratoriais, clínicos e microbiológicos e suporte de órgãos durante a internação na unidade de terapia intensiva, entre outros. De outubro de 2019 a dezembro de 2020, 33.983 pacientes de 51 unidades de terapia intensiva foram incluídos no banco de dados principal. Conclusão: A plataforma IMPACTO-MR é um banco de dados clínico brasileiro de unidades de terapia intensiva focado na pesquisa do impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Essa plataforma fornece dados para o desenvolvimento e pesquisa de unidades de terapia intensiva individuais e ensaios clínicos observacionais e prospectivos multicêntricos. Objetivo IMPACTOMR, IMPACTOMR IMPACTO MR, MR saúde Métodos Resultados System demográficos comorbidades funcional secundários laboratoriais outros 201 2020 33983 33 983 33.98 5 principal Conclusão multicêntricos 20 202 3398 3 98 33.9 2 339 9 33.

ABSTRACT Objective: To describe the IMPACTO-MR, a Brazilian nationwide intensive care unit platform study focused on the impact of health care-associated infections due to multidrug-resistant bacteria. Methods: We described the IMPACTO-MR platform, its development, criteria for intensive care unit selection, characterization of core data collection, objectives, and future research projects to be held within the platform. Results: The core data were collected using the Epimed Monitor System® and consisted of demographic data, comorbidity data, functional status, clinical scores, admission diagnosis and secondary diagnoses, laboratory, clinical, and microbiological data, and organ support during intensive care unit stay, among others. From October 2019 to December 2020, 33,983 patients from 51 intensive care units were included in the core database. Conclusion: The IMPACTO-MR platform is a nationwide Brazilian intensive care unit clinical database focused on researching the impact of health care-associated infections due to multidrug-resistant bacteria. This platform provides data for individual intensive care unit development and research and multicenter observational and prospective trials. Objective IMPACTOMR, IMPACTOMR IMPACTO MR, MR careassociated associated multidrugresistant multidrug resistant bacteria Methods selection collection objectives Results System status scores diagnoses laboratory stay others 201 2020 33983 33 983 33,98 5 Conclusion trials 20 202 3398 3 98 33,9 2 339 9 33,

https://doi.org/10.5935/0103-507x.20220209-pt

14.

RELATIONSHIP BETWEEN COMPETITION SIMULATION AND TRAINING ON STRENGTH AND DAMAGE INDICATORS IN JIU-JITSU
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Fonseca, Lillian Beatriz

; Aidar, Felipe J.

; Matos, Dihogo Gama de

; Barros, Natalie de Almeida

; Souza, Raphael Fabricio de

; Oliveira, Alan Santos

; Santos, Jymmys Lopes dos

; Cabral, Breno Guilherme de Araújo Tinoco

; Marçal, Anderson Carlos

; Reis, Victor Machado

Revista Brasileira de Medicina do Esporte

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aug 2022, Volume 28 N. 4 Pages 346 - 351

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

RESUMO Introdução: A relação entre treino e competição é muito importante e visa a preparação mais específica e adequada no Jiu-Jitsu. Problema e objetivo: Avaliar a relação entre treinamento e competição por meio de indicadores de lesão e força muscular. Métodos: A amostra do estudo incluiu nove indivíduos (22,54 ± 2,77 anos) que foram submetidos às seguintes condições: 1) simulação de treinamento e 2) simulação de competição. Resultados: Não houve diferenças significativas no teste Counter Movement Jump (CMJ). Porém, 48 horas depois do treinamento, houve indicação de valores superiores aos de pós-competição. A creatina quinase (CK) apresentou diferenças significativas de lesão muscular depois da competição com relação às demais condições e momentos (p <0,01), com alto efeito. A LDH apresentou diferenças nos momentos antes, durante e depois das condições de competição e treinamento (p < 0,05), com alto efeito. A potência dos membros superiores (PUL) teve correlação média 24 horas (> 0,55) e 48 horas (0,47) depois da intervenção. Houve alta correlação (> 0,70)com todas as condições no squat jump (SJ). A LDH teve alta correlação (> 0,70) em 48 horas. Conclusões: Houve boa correlação entre o treinamento e a simulação de competição, o que indica que o modelo de treinamento usado no estudo tende a preparar adequadamente os atletas de Jiu-Jitsu para as demandas da competição. Nível de evidência I; Estudo clínico randomizado de alta qualidade com ou sem diferença estatisticamente significante, mas com intervalos de confiança estreitos.

ABSTRACT Background: The relationship between training and competition is very important and aims at a more specific and adequate preparation in Jiu-Jitsu. Problem and objective: To evaluate the relationship between training and competition through indications of injury and muscle strength. Methods: The study sample included nine subjects (22.54 ± 2.77 years of age) who were submitted to the following two conditions: 1) training simulation and 2) competition simulation. Results: There were no significant differences in the countermovement jump (CMJ) test. However, 48 hours after training there was an indication of values higher than the post-competition ones. Creatine kinase (CK) indicated significant differences in muscle damage after competition in relation to the other conditions and moments (p <0.01) with a high effect. Lactate dehydrogenase (LDH) showed differences in the moments before, during, and after both competition and training conditions (p <0.05) with a high effect. The power of the upper limbs (PUL) showed a medium correlation at 24h (> 0.55) and 48h (0.47) after the intervention. There was high correlation (> 0.70) for all conditions in the squat jump (SJ). LDH showed a high correlation (> 0.70) at 48 hours. Conclusion: There was a good correlation between training and competition simulation, which tends to indicate that the training model used in the study properly prepare Jiu-Jitsu athletes for the demands of competition. Level of evidence I; High-quality randomized clinical trial with or without a statistically significant difference, but with narrow confidence intervals.

RESUMEN Introducción: La relación entre entrenamiento y competición es muy importante y apunta a una preparación más específica y adecuada en el Jiu-Jitsu. Problema y objetivo: Evaluar la relación entre entrenamiento y competición a través de indicadores de lesión y fuerza muscular. Métodos: La muestra del estudio incluyó a nueve individuos (22,54 ± 2,77 años) que fueron sometidos a las siguientes condiciones: 1) simulación de entrenamiento y 2) simulación de competición. Resultados: No hubo diferencias significativas en la prueba de Counter Movement Jump (CMJ). Sin embargo, hubo indicios, 48 horas después del entrenamiento, de valores superiores a los de post-competición. La creatina quinasa (CK) presentó diferencias significativas de lesión muscular tras la competición en relación con las demás condiciones y momentos (p <0,01), con un efecto elevado. La LDH presentó diferencias en los momentos previos, durante y posteriores a las condiciones de competición y entrenamiento (p <0.05), con un efecto elevado. La potencia de las extremidades superiores (PUL) tuvo una correlación media de 24 horas (> 0,55) y 48 horas (0,47) después de la intervención. En el salto, Squat Jump (SJ), hubo una alta correlación en relación a todas las condiciones (> 0,70). La LDH presentó alta correlación (> 0,70) en 48 horas. Conclusiones: Hubo una buena correlación entre el entrenamiento y la simulación de competición, lo que indica que el modelo de entrenamiento utilizado en el estudio tiende a preparar adecuadamente a los atletas de Jiu-Jitsu para las exigencias de la competición. Nivel de evidencia I;Ensayo clínico aleatorizado de alta calidad con o sin diferencia estadísticamente significativa, pero con intervalos de confianza estrechos.

https://doi.org/10.1590/1517-869220222804227912

15.

Fadiga vocal e fatores associados em professores universitários em ensino remoto
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Santos, Monique Beatriz Pereira

; Morais, Edna Pereira Gomes de

; Porto, Vanessa Fernandes de Almeida

Audiology - Communication Research

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2022, Volume 27 elocation e2707

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

RESUMO Objetivo Verificar a autopercepção da fadiga vocal e fatores associados em professores universitários em ensino remoto durante a pandemia de COVID-19. Métodos Estudo transversal, observacional, descritivo e analítico, com abordagem quantitativa com professores universitários em ensino remoto no período da pandemia de COVID-19. Os participantes, após o aceite, responderam a um questionário sociodemográfico, Questionário de Sinais e Sintomas Vocais, Protocolo Índice de Fadiga Vocal (IFV) e Protocolo Índice de Desvantagem Vocal 10 (IDF-10). A análise dos dados ocorreu por meio da estatística descritiva e inferencial. As associações entre as variáveis qualitativas foram verificadas por meio dos testes Qui-quadrado e Exato de Fisher. Já as médias do IFV e IDV-10, foram comparadas com o número de sinais e sintomas por meio do teste de Mann-Whitney. Resultados Amostra de 91 professores, maioria do gênero feminino (83,5%) e média de idade de 44,0 anos. Os professores apresentaram média de 3,8 sinais e sintomas e o escore total do IFV indicou a presença de risco para fadiga vocal, com valores compatíveis para indivíduos disfônicos. Não apresentaram desvantagem vocal. Conclusão Os professores universitários em ensino remoto se autoavaliaram apresentando risco para fadiga vocal. Entre os fatores associados ao IFV, os docentes que apresentaram mais de dois sinais e sintomas vocais tiveram maior sensação de fadiga vocal. Não foi observada autopercepção de desvantagem vocal, porém, aqueles que apresentaram mais de dois sinais e sintomas vocais tiveram pior autopercepção para desvantagem vocal.

ABSTRACT Purpose To verify the self-perception of vocal fatigue and associated factors in university professors in remote teaching during the COVID-19 pandemic. Methods Cross-sectional, observational, descriptive and analytical study, with a remote approach with university professors in teaching during the COVID-19 pandemic. After acceptance, the participants answered a sociodemographic questionnaire, the Vocal Signs and Symptoms Questionnaire, Vocal Fatigue Index Protocol and Vocal Handicap Index 10. The analysis of the data identified through descriptive and initial statistics, using the given Chi-square and Mann-Whitney tests. Associations between qualitative variables were verified using chi-square and Fisher's exact tests. The IFV and IDV-10 means were verified with the number of signs and symptoms using the Mann-Whiney test. Results Sample of 91 teachers, mostly female (83.5%), and mean age of 44.0 years. Teachers had an average of 3.8 signs and symptoms and the total core of the IFV indicated the presence of vocal risk, with values considered for dysphonic subjects. Teachers don't want vocals. Conclusion University professors in remote teaching self-assessed being at risk for vocal fatigue. Among the factors associated with IFV, professors who presented more than two vocal signs and symptoms had a greater sensation of vocal fatigue. No self-perception of voice handicap was observed, however, those who had more than two vocal signs and symptoms had worse self-perception of voice handicap.

https://doi.org/10.1590/2317-6431-2022-2707pt

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