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Strategies for expanding childhood vaccination in the Americas following the COVID-19 pandemic
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Domingues, Carla Magda Allan Santos

; Safadi, Marco Aurelio P.

; Espinal, Carlos

; Trejo Varon, Ruby

; Becerra-Posada, Francisco

; Ospina-Henao, Sebastián

Revista Panamericana de Salud Pública

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2024, Volume 48 elocation e29

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

RESUMO Objetivo. Apresentar um panorama da situação do calendário de vacinação infantil nas Américas, definir a estrutura do programa e identificar estratégias de implementação atualizadas para melhorar a cobertura vacinal depois da pandemia de COVID-19. Métodos. Um grupo de especialistas em pediatria, epidemiologia, vacinas e saúde pública e global discutiu a situação atual do calendário de vacinação infantil nas Américas, descrevendo a estrutura dos programas e identificando novas estratégias de implementação que poderiam melhorar a cobertura vacinal no contexto pós-pandemia, na sequência dos desafios impostos pela COVID-19 durante mais de dois anos. Resultados. Atualmente, as Américas enfrentam um grande risco de ressurgimento de doenças já controladas ou eliminadas. Desse modo, é importante identificar novas estratégias para conscientizar os cidadãos sobre os riscos decorrentes da queda das taxas de vacinação, sobretudo em crianças. Conclusões. É necessário adotar novas estratégias, aliadas a uma forte mobilização da população e promoção da causa pelos cidadãos, a fim de impedir que os grupos antivacinas fortaleçam sua presença na região e coloquem em risco a credibilidade do Programa Ampliado de Imunização.

RESUMEN Objetivo. Presentar un panorama general de la situación del calendario de vacunación infantil en la Región de las Américas, describir la estructura de los programas y encontrar estrategias actualizadas para su ejecución a fin de mejorar la cobertura de vacunación después de la pandemia de COVID-19. Métodos. Un grupo de expertos en pediatría, epidemiología, vacunas y salud pública y mundial analizó la situación actual del calendario de vacunación infantil en la Región de las Américas, mediante la descripción de la estructura de los programas y la búsqueda de nuevas estrategias de ejecución capaces de mejorar la cobertura de vacunación en el contexto posterior a la pandemia de COVID-19, una vez superados los desafíos planteados por esta durante más de dos años. Resultados. En este momento, en la Región de las Américas hay un riesgo alto de reaparición de enfermedades previamente controladas o eliminadas. En consecuencia, es importante contar con nuevas estrategias para la educación de salud de la ciudadanía sobre los riesgos asociados a las tasas bajas de vacunación, especialmente en la población infantil. Conclusiones. Es necesario contar con nuevas estrategias, acompañadas de una fuerte movilización de la población y una promoción por parte de la ciudadanía, para evitar que los grupos que generan mensajes antivacunas aumenten su presencia en la Región y pongan en peligro la credibilidad del Programa Ampliado de Inmunización.

ABSTRACT Objective. To provide an overview of the status of the childhood vaccination schedule in the Americas, outline program structures, and identify updated implementation strategies to improve vaccination coverage following the COVID-19 pandemic. Methods. A group of experts in pediatrics, epidemiology, vaccines, and global and public health discussed the current status of the childhood vaccination schedule in the Americas, describing the program structure and identifying new implementation strategies that have the potential to improve vaccination coverage in the post-pandemic context, after the challenges COVID-19 presented for more than two years. Results. The Americas currently face a high risk of resurgence of diseases that were previously controlled or eliminated. Therefore, it is important to find new strategies to educate citizens on the risks associated with lower vaccination rates, especially in children. Conclusions. New strategies along with strong mobilization of the population and advocacy by citizens are necessary to prevent antivaccination groups from gaining a stronger presence in the region and jeopardizing the credibility of the Expanded Program on Immunization.

https://doi.org/10.26633/rpsp.2024.29

Fatores individuais, familiares e comunitários associados ao uso de contracepção de emergência por adolescentes escolares brasileiros
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Sousa, Marco Aurélio de

; Menezes, Luana Leão

; Vieira, Ed Wilson Rodrigues

; Andrade, Gisele Nepomuceno de

; Malta, Deborah Carvalho

; Felisbino-Mendes, Mariana Santos

Cadernos de Saúde Pública

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2024, Volume 40 N. 11 elocation e00148323

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

Resumo: O objetivo foi estimar a proporção do uso de contracepção de emergência alguma vez na vida entre adolescentes escolares brasileiros e a associação de fatores individuais, familiares e comunitários com o uso. Realizou-se estudo transversal, com amostra de 38.779 adolescentes escolares brasileiros, de 13 a 17 anos, respondentes da Pesquisa Nacional de Saúde do Escolar (PeNSE) em 2019 que declararam iniciação sexual. Estimou-se a proporção do uso de contracepção de emergência alguma vez na vida e a forma de acesso ao método. As razões de proporções foram estimadas para avaliar quais os fatores associados ao uso de contracepção de emergência alguma vez na vida. A proporção de adolescentes que usou contracepção de emergência, ou que informaram o uso por seus parceiros, alguma vez na vida foi 37,9%. Quanto ao acesso à contracepção de emergência, as farmácias comerciais foram a principal forma de aquisição. Os adolescentes de 16 e 17 anos, os que procuraram por serviço de saúde no último ano, os residentes nas regiões Centro-oeste e Sudeste, e os com histórico de violência sexual usaram contracepção de emergência ou informaram o uso alguma vez na vida por seus parceiros com maior frequência. Residir na Região Sul do país esteve associado à menor proporção de adolescentes que usaram contracepção de emergência ou que informaram o uso por parceiros alguma vez na vida. A associação com fatores individuais, familiares e comunitários relacionados ao uso de contracepção de emergência pode refletir a não utilização ou falhas no uso de outros métodos contraceptivos, revelando lacunas nas políticas públicas relacionadas à saúde sexual e reprodutiva dos adolescentes no país.

Abstract: This study aimed to estimate the proportion of use of emergency contraception at least once in life among Brazilian adolescent students, as well as the association of individual, family, and community factors with use. A cross-sectional study was carried out, including 38,779 Brazilian adolescent students, aged 13 to 17 years, participating in the Brazilian National Survey of School Health (PeNSE) in 2019, who declared sexual initiation. The proportion of emergency contraception use at least once in life and the form of access to the method were estimated. Proportion ratios were estimated to assess the factors associated with the use of emergency contraception at some point in life. The proportion of adolescents who used emergency contraception, or who reported the use by their partners, at some point in their lives was 37.9%. Regarding the access to the emergency contraception, commercial pharmacies were the main source of purchase. Adolescents aged 16 and 17 years, those who sought health services in the last year, those living in the Central-West and Southeast regions, and those who had a history of sexual violence used emergency contraception or reported their partners using them at least once in their lives. Living in the South region of Brazil was associated with a lower proportion of adolescents who used emergency contraception or who reported the use by their partners at least once in their lives. The association with individual, family, and community factors related to the use of emergency contraception may reflect the non-use or failures in the use of other contraceptive methods, revealing gaps in public policies related to the sexual and reproductive health of adolescents in Brazil.

Resumen: El objetivo fue estimar la proporción de uso de anticoncepción de emergencia alguna vez entre adolescentes escolares brasileños y la asociación de factores individuales, familiares y comunitarios con su uso. Se realizó un estudio transversal, con una muestra de 38.779 adolescentes escolares brasileños, de 13 a 17 años, entrevistados en la Encuesta Nacional de Salud del Escolar (PeNSE) en el 2019 que declararon iniciación sexual. Se estimó la proporción de uso de anticoncepción de emergencia alguna vez en la vida y la forma de acceder al método. Se estimaron ratios de proporciones para evaluar qué factores estaban asociados con el uso de anticoncepción de emergencia en algún momento de la vida. La proporción de adolescentes que usaron anticoncepción de emergencia, o que reportaron el uso por parte de sus parejas, en algún momento de sus vidas fue del 37,9%. En cuanto al acceso a la anticoncepción de emergencia, las farmacias comerciales fueron la principal forma de adquisición. Los adolescentes de 16 y 17 años, los que buscaron servicios de salud en el último año, los residentes en las regiones Centro-Oeste y Sudeste y aquellos con antecedentes de violencia sexual utilizaron anticoncepción de emergencia o reportaron el uso por parte de sus parejas en algún momento de sus vidas con más frecuencia. Vivir en la región Sur del país se asoció con una menor proporción de adolescentes que utilizaron anticoncepción de emergencia o que reportaron el uso por parte de sus parejas en algún momento de sus vidas. La asociación con factores individuales, familiares y comunitarios relacionados con el uso de anticoncepción de emergencia puede reflejar la falta de uso o las fallas en el uso de otros métodos anticonceptivos, lo que revela brechas en las políticas públicas relacionadas con la salud sexual y reproductiva de los adolescentes en el país.

https://doi.org/10.1590/0102-311xpt148323

Uso do Mini-Clinical Evaluation Exercise (Mini-CEX) na residência médica: uma revisão de escopo MiniClinical Mini Clinical MiniCEX CEX (Mini-CEX médica
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Carbinatto-Paz, Alessandra Caroline Moretto

; Rezende, Aryane Marcondes

; Rosa, Marco Aurelio

; Nogueira, Vania dos Santos Nunes

Revista Brasileira de Educação Médica

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2024, Volume 48 N. 1 elocation e014

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

Resumo Introdução: Com a evolução do ensino médico para currículos baseados em competências, fez-se necessária uma readequação dos currículos e dos métodos de avaliação, com maior enfoque sobre o cenário de prática profissional e, portanto, na utilização de ferramentas como o Mini-Clinical Evaluation Exercise (Mini-CEX). Objetivo: Este estudo teve como objetivo avaliar o uso da estratégia Mini-CEX como método de avaliação nos programas de residência médica. Método: Trata-se de uma revisão de escopo, cuja estratégia de busca realizada no PubMed resultou em 578 artigos. Após aplicar a metodologia do Instituto Joanna Briggs para inclusão e exclusão, foram selecionados 24 estudos transversais. Resultado: Selecionaram-se artigos referentes a estudos realizados entre 1995 e 2021, em diversos continentes, diferentes programas de residência, e cenários ambulatorial, internação e de emergência. O Mini-CEX mostrou-se aplicável no contexto da residência médica, pois trata-se de uma avaliação observacional direta do atendimento realizado pelo médico residente nos diversos cenários de atuação, como ambulatórios, internações e emergências. Trata-se de uma avaliação com tempo de observação variando de dez a 40 minutos e que permite a abordagem de vários aspectos do atendimento médico, como anamnese, exame físico, raciocínio clínico e aconselhamento, além de possibilitar a realização de um feedback sobre o desempenho dos residentes. Conclusão: O Mini-CEX constitui uma ferramenta de fácil aplicabilidade e promove alto grau de satisfação dos envolvidos, podendo ser utilizada de forma rotineira nos programas de residência médica. Introdução competências fezse fez se portanto MiniClinical Mini Clinical MiniCEX. MiniCEX CEX . (Mini-CEX) Objetivo médica Método Tratase Trata escopo 57 exclusão 2 transversais Resultado Selecionaramse Selecionaram 199 2021 continentes ambulatorial emergência mostrouse mostrou tratase trata atuação ambulatórios emergências 4 anamnese físico aconselhamento residentes Conclusão envolvidos (Mini-CEX 5 19 202 1 20

Abstract Introduction: With the evolution of medical education towards competency-based curriculum, the need has emerged to reconfigure curriculum and assessment methods, with increased focus on the professional practice setting, thus leading to the utilization of tools such as the mini-CEX (mini-Clinical Evaluation Exam). Objective: To evaluate the use of the mini-CEX strategy as an assessment method in medical residency programs. Method: This is a scoping review, and the search performed on PubMed resulted in 578 articles. After applying the Joanna Briggs Institute methodology for inclusion and exclusion, 24 cross-sectional studies were selected. Results: The selected articles were based on studies conducted between 1995 and 2021, in various continents and in both clinical and surgical residency programs, including outpatient, inpatient, and emergency settings. The Mini-CEX was shown to be applicable in the context of medical residency, as it is an observational assessment of the care provided by the resident physician in various practice settings such as outpatient clinics, inpatient wards, and emergency departments. It involves a variable observation time ranging from 10 to 40 minutes and allows for the evaluation of various aspects of medical care, including history taking, physical examination, clinical reasoning, counseling, and provides an opportunity for providing feedback on the residents’ performance. Conclusion: The mini-CEX is a tool that is easy to implement and promotes a high degree of satisfaction among stakeholders. It could be used more routinely in medical residency programs. Introduction competencybased competency methods setting miniCEX mini CEX miniClinical Clinical Exam. Exam . Exam) Objective programs Method review 57 exclusion 2 crosssectional cross sectional Results 199 2021 MiniCEX Mini clinics wards departments 1 4 taking examination reasoning counseling residents performance Conclusion stakeholders 5 19 202 20

https://doi.org/10.1590/1981-5271v48.1-2023-0152

Properties related to communities of arbuscular mycorrhizal fungi along an altitudinal gradient in a Brazilian cloud forest
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Leal, Patrícia Lopes

; Carvalho, Fernanda de

; Souza, Cleber Rodrigo de

; Pompeu, Patrícia Vieira

; Fontes, Marco Aurélio Leite

; Santos, Rubens Manoel dos

; Silva, Carlos Alberto

; Moreira, Fatima Maria de Souza

Acta Botanica Brasilica

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2024, Volume 38 elocation e20230081

Abstract: En | Text: En | PDF: En

ABSTRACT This was the first study conducted on the diversity and abundance of arbuscular mycorrhizal fungi (AMF) species and quantification of glomalin-related soil protein (GRSP) fractions, as well as on their relationship with environmental and soil chemical and physical properties along an elevation gradient above 1000 m in a Brazilian Atlantic cloud forest. AMF diversity was assessed by examining spores extracted from soil samples collected near the roots of the 18 most common plant species in permanent plots established in the field at altitudes of 1500, 1700, 1900, and 2100 meters above sea level. Fifteen AMF species were found, most of them belonging to the families Acaulosporaceae, Glomeraeceae, and Gigasporaceae. Compositions of the AMF community varied among the altitudes; Acaulospora was the predominant genus, with six species. The total Bradford-reactive soil protein (BRSP) and the easily extractable BRSP (EE-BRSP) soil glomalin were the highest at the altitude of 2100 m (5.7 and 3.8 mg.g soil-1, respectively). Altitude and environment and soil characteristics affected the composition and diversity (Shannon index) of the AMF communities. However, the effect of altitude on AMF diversity can be estimated, indirectly, through its effect on plant diversity. (AMF glomalinrelated related GRSP (GRSP fractions 100 forest 1 1500 1700 1900 210 level found Acaulosporaceae Glomeraeceae Gigasporaceae genus Bradfordreactive Bradford reactive (BRSP EEBRSP EE (EE-BRSP 5.7 57 5 7 (5. 38 3 8 3. mgg mg g soil1, soil1 1, soil-1 respectively. respectively . respectively) Shannon index communities However estimated indirectly 10 150 170 190 21 5. (5 soil- 15 17 19 2 (

https://doi.org/10.1590/1677-941x-abb-2023-0081

III BRAZILIAN CONSENSUS STATEMENT ON ENDOSCOPIC ULTRASOUND
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PESSOA, Ricardo Rangel de Paula

; BESTETTI, Alexandre Moraes

; OLIVEIRA, Victor Lira de

; ARAUJO, Wladimir Campos de

; GUARALDI, Simone

; RODRIGUES SILVA, Rodrigo Roda

; OLIVEIRA, Francisco Antonio Araujo

; RIBEIRO, Maria Sylvia Ierardi

; CARNEIRO, Fred Olavo Aragão Andrade

; D’ASSUNÇÃO, Marco Aurélio

; MEDRADO, Bruno Frederico Oliveira Azevedo

; RETES, Felipe Alves

; PAULO, Gustavo Andrade de

; SCHNEIDER, Nutianne Camargo

; ROSSINI, Lucio Giovanni Battista

; VALLINOTO, Leonardo

; ARDENGH, Jose Celso

; COELHO NETO, Djalma Ernesto

; IDE, Edson

; SILVA, Marcos Clarencio Batista

; FRANCO, Matheus Cavalcante

; MATUGUMA, Sergio Eiji

; MOURA, Diogo Turiani Hourneaux de

; ARANTES, Vitor Nunes

; NAHOUM, Rafael

; BRUNALDI, Vitor Ottoboni

; SANTOS, Marcos Eduardo Lera dos

; CHAVES, Dalton Marques

; MICELLI-NETO, Otávio

; SALOMAO, Bruno Chaves

; MALUF-FILHO, Fauze

; LUZ, Gustavo de Oliveira

Arquivos de Gastroenterologia

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2024, Volume 61 elocation e24062

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

RESUMO Contexto: Nas últimas décadas, a ecoendoscopia evoluiu de uma ferramenta diagnóstica para uma plataforma para diversas intervenções terapêuticas. Vários avanços tecnológicos surgiram desde o último Consenso Brasileiro, demandando uma revisão e atualização das recomendações baseadas nas melhores evidências científicas. Métodos: Um grupo de 32 ecoendoscopistas renomados selecionou oito tópicos relevantes para serem discutidos a fim de gerar questões clínicas. Em seguida, foi realizada uma revisão da literatura para responder a essas perguntas com base nas evidências mais atualizadas. Resultados: Trinta e três tópicos foram formulados e votados pelos especialistas para alcançar um consenso. O Sistema de Oxford foi utilizado para classificar o nível de evidência. Conclusão: Há evidências moderadas para sustentar que a forma da agulha, calibre ou técnica de aspiração não influenciam no rendimento da amostragem tecidual guiada por ultrassom endoscópico (USE) de lesões sólidas pancreáticas. Há evidências moderadas para sustentar o uso da biópsia transcutânea guiada por USE da parede cística para diferenciar entre neoplasias císticas mucinosas e não mucinosas. Existem poucas evidências para apoiar o tratamento guiado por USE de varizes gástricas. Há um alto nível de evidência para sustentar que a drenagem biliar guiada por USE e a CPRE apresentam resultados semelhantes em pacientes com obstrução biliar maligna distal. Há um alto nível de evidência para o uso da USE no diagnóstico de cistos pancreáticos neoplásicos e na detecção de necrose antes de indicar a drenagem. Há evidências moderadas para sustentar a preferência pela gastroenterostomia guiada por USE em relação ao stent duodenal para obstrução maligna da saída gástrica em pacientes com expectativa de vida superior a 2 meses. Há um alto nível de evidência para sustentar o uso da ablação por radiofrequência no tratamento de ambos os tipos, funcionantes e não funcionantes, de tumores neuroendócrinos. Contexto décadas terapêuticas Brasileiro científicas Métodos 3 clínicas seguida atualizadas Resultados consenso Conclusão agulha (USE pancreáticas gástricas distal meses tipos neuroendócrinos

ABSTRACT Background: In the past decades, endoscopic ultrasound has developed from a diagnostic tool to a platform for many therapeutic interventions. Various technological advancements have emerged since the last Brazilian Consensus, demanding a review and update of the recommendations based on the best scientific evidence. Methods: A group of 32 renowned echoendoscopists selected eight relevant topics to be discussed to generate clinical questions. After that, a literature review was conducted to answer these questions based on the most updated evidence. Results: Thirty-three statements were formulated and voted on by the experts to reach a consensus. The Oxford System was used to grade the level of evidence. Conclusion: There is moderate evidence to support that the needle shape, gauge, or aspiration technique does not influence the yield of endoscopic ultrasound (EUS)-guided tissue sampling of pancreatic solid lesions. There is moderate evidence to support using EUS-TTNB of the cyst wall to differentiate between mucinous and non-mucinous cystic neoplasms. There is little evidence to support the EUS-guided treatment of gastric varices. There is a high level of evidence to support that EUS-guided biliary drainage and ERCP present similar outcomes in patients with distal malignant biliary obstruction. There is a high level of evidence for using EUS to diagnose neoplastic pancreatic cysts and detect necrosis before indicating drainage. There is moderate evidence to support EUS-GE over duodenal stent for malignant gastric outlet obstruction in patients with a life expectancy higher than 2 months. There is a high level of evidence to support the use of RFA in treating both functioning and non-functioning types of NET. Background decades interventions Consensus Methods 3 Results Thirtythree Thirty three consensus Conclusion shape gauge EUSguided guided lesions EUSTTNB TTNB nonmucinous non neoplasms varices EUSGE GE months nonfunctioning NET

https://doi.org/10.1590/s0004-2803.24612024-062

Thyroid surgery volume – A statement issued by the Brazilian Head and Neck Surgery Society (SBCCP) SBCCP (SBCCP
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Matos, Fatima Cristina Mendes de

; Vartanian, José Guilherme

; Barauna Neto, José Carlos

; Santos, Ary Serrano

; Machado, Achilles Alves de Levy

; Pedruzzi, Paola Andrea Galbiatti

; Neves, Murilo Catafesta das

; Hojaij, Flavio Carneiro

; Nakai, Marianne Yumi

; Viana, Aline de Oliveira Ribeiro

; Santos, Izabella Costa

; de Cicco, Rafael

; Capuzzo, Renato de Castro

; Capelli, Fábio de Aquino

; De Carlucci Junior, Dorival

; Teixeira, Gilberto Vaz

; Cavalheiro, Beatriz

; Brodskin, Fabio

; Agra, Ivan

; Dias, Fernando Luiz

; Kulcsar, Marco Aurélio

; de Melo, Giulianno Molina

Archives of Endocrinology and Metabolism

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2024, Volume 68 elocation e240064

Abstract: En | Text: En | PDF: En

https://doi.org/10.20945/2359-4292-2024-0064

Soil conditioners improve the environment for grass growth in iron mining tailings of the Fundão dam failure
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Borges, Pedro Henrique de Castro

; Silva, Aline Oliveira

; Santos, Jessé Valentim dos

; Carvalho, André Mundstock Xavier de

; Carneiro, Marco Aurélio Carbone

; Siqueira, José Oswaldo

Ciência e Agrotecnologia

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2024, Volume 48 elocation e002724

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

RESUMO Áreas impactadas pela deposição de rejeito de mineração de ferro possuem características físicas e químicas que podem dificultar o crescimento das raízes, e a aplicação de condicionadores pode ajudar a aliviar essas limitações. O objetivo foi avaliar o efeito de condicionadores de solo na melhoria do ambiente para o crescimento de gramínea em solo afetado por rejeitos de mineração de ferro. Foram realizados quatro experimentos testando proporções de condicionador (0, 5, 10, 25 e 50% v/v), em delineamento inteiramente casualizado com quatro repetições, utilizando Cynodon spp. Os condicionadores foram areia, vermiculita, serragem e composto orgânico. Foram avaliados densidade aparente, macro- e microporosidade, volume total de poros (VTP), pH, matéria orgânica (OM), capacidade de troca de cátions (CEC) e massa seca da parte aérea, raízes e total. Houve melhorias na porosidade e redução na densidade com a aplicação de vermiculita, serragem e composto; no entanto, a areia diminuiu o VTP. O pH foi reduzido com serragem e aumentou com composto. A serrage 6m e o composto aumentaram a OM. A CEC aumentou com vermiculita e composto. Os condicionadores de solo, de modo geral, mostraram-se eficazes na melhoria das condições de porosidade, redução da densidade, aumento de OM e promoção do crescimento das plantas, o que torna esta tecnologia eficiente para aplicação em rejeitos. Devido ao seu notável efeito no aumento da biomassa e na melhoria do ambiente para o crescimento de gramínea, a vermiculita pode ser recomendada para ambientes de reabilitação impactados por rejeitos de mineração de ferro ou revegetação pós-mineração. limitações 0, 0 (0 5 10 2 50 v/v, vv v/v , v v/v) repetições spp orgânico aparente macro microporosidade VTP, VTP (VTP) OM, (OM) (CEC aérea entanto m geral mostraramse mostraram se plantas pósmineração. pósmineração pós mineração. pós-mineração ( 1 (VTP (OM

ABSTRACT Areas impacted by the deposition of iron mining tailings present physical and chemical characteristics that can hinder root growth, and applying soil conditioners can help alleviate these limitations. The objective was to evaluate the effect of soil conditioners in improving the environment for the growth of grass in soil affected by iron mining tailing. Four different experiments were conducted testing conditioner proportions (0, 5, 10, 25, and 50% v/v), in a completely randomized design with four replications, using Cynodon spp. The conditioners were sand, vermiculite, sawdust, and organic compost. Bulk density, macro- and microporosity, total pore volume (VTP), pH, organic matter content (OM), cation exchange capacity (CEC), and dry mass of the aboveground, root, and total plant were evaluated. There were improvements in porosity and a reduction in density with the application of vermiculite, sawdust, and organic compost; however, sand decreased the VTP. The pH was reduced with sawdust and increased with compost. Sawdust and compost increased OM. CEC increased with vermiculite and compost. The sand and vermiculite conditioners promoted the greatest growth of Cynodon spp., with emphasis on vermiculite, which provided the greatest increases in plant biomass production. The soil conditioners, overall, proved effective in improving porosity conditions, reducing density, increasing OM, and promoting plant growth, this makes this technology efficient for application in tailings. Due to its notable effect on increasing biomass and improving the environment for grass growth, vermiculite can be recommended for rehabilitation environments impacted by iron mining tailings or for post-mining revegetation. limitations tailing 0, 0 (0 5 10 25 50 v/v, vv v/v , v v/v) replications spp macro microporosity VTP, VTP (VTP) OM (OM) CEC, (CEC) aboveground evaluated however production overall conditions postmining post revegetation ( 1 2 (VTP (OM (CEC

https://doi.org/10.1590/1413-7054202448002724

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

; Vieira, Adalberto José Tavaries

; Herpich, Marcio Ricardo

; Pereira, Juliano José de Tondas

; Santos, Marco Aurélio dos

Pesquisa Operacional

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2024, Volume 44 elocation e266177

Abstract: En | Text: En | PDF: En

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

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

Laryngeal photobiomodulation: application sites, interferences from body mass index and skin phototype photobiomodulation sites
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Plec, Elisa Meiti Ribeiro Lin

; Bacelete, Viviane Souza Bicalho

; Santos, Marco Aurélio Rocha

; Gama, Ana Cristina Côrtes

CoDAS

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2024, Volume 36 N. 5 elocation e20230333

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose Establish points on the neck, correspondent to the laryngeal topography, where to apply Low Level Light therapy (LLLT), to evaluate the incidence of light through variables such as skin phototype and body mass index (BMI). Methods This is a cross-sectional, analytical, observational study, carried out with 15 vocally healthy women, between 18 and 50 years of age, who were divided into three groups, according to BMI and skin phototype. Six anatomical reference points were established to locate the larynx and its musculature, with visual monitoring by videonasolaryngoscopy, to assess light reach (present/absent) and degree of illumination (from very weak to very strong) in the larynx during the LASER application at doses of 3J, 6J and 9J. A flexible endoscope was used for visual monitoring during the LASER application, and subsequent image analysis. Results The light reached the larynx at doses of 3J, 6J and 9J, in the anterior commissure of the vocal folds, membranous (thyroarytenoid muscle) and cartilaginous portions of the vocal fold and the cricothyroid muscle. The degree of LASER light illumination decreased in overweight and obese participants and increased in moderate brown and dark brown skin phototypes. Conclusion Data suggest that the LLLT penetrates differently according to skin phototype and BMI, being more evident in individuals with Fitzpatrick IV and V phototypes and less evident with higher BMI levels. The evidence that the LASER light reaches the larynx in specific anatomical points provides direction for the standardization of its use in voice practice. neck topography LLLT, , (LLLT) BMI. . (BMI) crosssectional, crosssectional cross sectional, sectional cross-sectional analytical study 1 women 5 age groups musculature videonasolaryngoscopy present/absent presentabsent present absent (present/absent from strong 3J J 9J analysis folds thyroarytenoid muscle levels practice (LLLT (BMI

https://doi.org/10.1590/2317-1782/20242023333en

10.

Validation of the questionnaire of olfactory disorders (QOD) for the Brazilian population QOD (QOD
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Bernardino, Amanda Beatriz Costa da Silva

; Barreto-Filho, Márcio Andrade

; Pompeu, Amanda Savieto

; Andrade, Jaqueline dos Santos

; Azevedo, Amanda Canário Andrade

; Brasil, Michelle Queiroz Aguiar

; Cedro, Mariana

; Araújo, Cintia

; Andrade, Nilvano

; Akrami, Kevan

; Scussiatto, Henrique Ochoa

; Boaventura, Viviane Sampaio

; Fornazieri, Marco Aurélio

Clinics

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2024, Volume 79 elocation 100414

Abstract: En | Text: En | PDF: En

Abstract Background The incidence of olfactory disorders has increased in recent years, mainly related to COVID-19 infection. In Brazil, over 37 million cases of COVID-19 have been reported, and approximately 10 % of those cases continue to experience olfactory disorders for more than one month. Despite the significant negative impact on well-being, there is currently no validated instrument to assess how olfactory disorders impact the quality of life in Brazil. Objectives: This study aimed to validate the Questionnaire of Olfactory Disorders (QOD) for Brazilian Portuguese. Methods: The authors first performed translation, back-translation, expert review, pre-testing, psychometric evaluation and cultural adaptation of the English version of the questionnaire. To assure linguistic and conceptual equivalence of the translated questionnaire, 126 participants from two Brazilian states and varying degrees of olfactory loss answered the QOD and the World Health Organization Quality of Life bref (WHOQOL-bref) questionnaires. The University of Pennsylvania Smell Identification Test (UPSIT®) was used to quantify the olfactory loss. Furthermore, to evaluate the reliability of the Portuguese version a test-retest was performed on a subgroup of patients. The authors observed a high Cronbach’s alpha (α = 0.86) for internal consistency of the quality of Life (QOD-QOL) statements. Findings: As expected, there was a negative correlation between QOD-QOL and UPSIT® (Spearman’s ρ = -0.275, p = 0.002), since QOL score increases and UPSIT® score decreases with worsening of olfactory function. Correlations were moderate between QOD-QOL and WHOQOL-bref mean (Spearman’s ρ = -0.374, p < 0.001) and weak to moderate between the QOD-QOL and Visual Analog Scale of the QOD regarding professional life, leisure, and private life (Spearman’s ρ = -0.316, p = 0.000; Spearman’s ρ = -0.293, p = 0.001; Spearman’s ρ = -0.261, p = 0.004; respectively). Conclusion: In conclusion, the authors have demonstrated a high internal consistency and validity of the Brazilian Portuguese version of the QOD for evaluating the quality of life in individuals with olfactory disorders. years COVID19 COVID 19 COVID-1 infection Brazil 3 reported 1 month wellbeing, wellbeing well being, being well-being Objectives (QOD Methods translation backtranslation, backtranslation back back-translation review pretesting, pretesting pre testing, testing pre-testing questionnaire 12 WHOQOLbref WHOQOL (WHOQOL-bref questionnaires UPSIT (UPSIT® Furthermore testretest test retest patients Cronbachs Cronbach s α 0.86 086 0 86 QODQOL (QOD-QOL statements Findings expected Spearmans Spearman 0.275, 0275 275 -0.275 0.002, 0002 0.002 , 002 0.002) function 0.374, 0374 374 -0.374 0.001 0001 001 leisure 0.316, 0316 316 -0.316 0.000 0000 000 0.293, 0293 293 -0.293 0.261, 0261 261 -0.261 0.004 0004 004 respectively. respectively . respectively) Conclusion conclusion COVID1 COVID- (UPSIT 0.8 08 8 0.275 027 27 -0.27 0.00 00 0.374 037 -0.37 0.316 031 31 -0.31 0.293 029 29 -0.29 0.261 026 26 -0.26 0. 0.27 02 2 -0.2 0.0 0.37 03 -0.3 0.31 0.29 0.26 0.2 -0. 0.3 -0 -

https://doi.org/10.1016/j.clinsp.2024.100414

11.

Brazilian Consensus on the Application of Thermal Ablation for Treatment of Thyroid Nodules: A Task Force Statement by the Brazilian Society of Interventional Radiology and Endovascular Surgery (SOBRICE), Brazilian Society of Head and Neck Surgery (SBCCP), and Brazilian Society of Endocrinology and Metabolism (SBEM) Nodules SOBRICE, SOBRICE , (SOBRICE) SBCCP, SBCCP (SBCCP) SBEM (SBEM (SOBRICE (SBCCP
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Santos, Gustavo Philippi de los

; Kulcsar, Marco Aurélio Vamondes

; Capelli, Fabio de Aquino

; Steck, Jose Higino

; Fernandes, Klecius Leite

; Mesa Junior, Cleo Otaviano

; Motta-Leal-Filho, Joaquim Mauricio da

; Scheffel, Rafael Selbach

; Vaisman, Fernanda

; Martins, Guilherme Lopes Pinheiro

; Szejnfeld, Denis

; Amoedo, Mauricio Kauark

; Menezes, Marcos Roberto de

; Rahal Junior, Antonio

; Matos, Leandro Luongo

Archives of Endocrinology and Metabolism

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2024, Volume 68 elocation e230263

Abstract: En | Text: En | PDF: En

ABSTRACT There is increasing interest in ultrasound-guided ablation treatments for thyroid diseases, including benign and malignant ones. Surgeons, radiologists, and endocrinologists carry out these treatments, and various organizations within these specialties have recently released multiple international consensus statements and clinical practice standards. The aim of the present consensus statement is to provide guidance, cohesion, and standardization of best practices for thermal ablation procedures of thyroid nodules. The statement includes the indications for these procedures, preprocedural evaluations, technical aspects of the procedures, posttreatment care, follow-up, complications, and training recommendations. This document was written by a panel of specialists from the Brazilian Society of Interventional Radiology and Endovascular Surgery (SOBRICE), the Brazilian Society of Head and Neck Surgery (SBCCP), and the Brazilian Society of Endocrinology and Metabolism (SBEM). The statement does not aim to provide criteria for assessing the capability of specialists to perform the procedure. Instead, it aims to promote the standardization of best practices to reduce potential adverse outcomes. Additionally, it strives to enhance the delivery of high-quality care and the widespread adoption of these technologies on a national level. The recommendations collectively serve as a guidebook for applying best practices in thyroid ablation. ultrasoundguided ultrasound guided diseases ones Surgeons radiologists standards guidance cohesion nodules evaluations followup, followup follow up, up follow-up complications SOBRICE, SOBRICE , (SOBRICE) SBCCP, SBCCP (SBCCP) SBEM. SBEM . (SBEM) procedure Instead outcomes Additionally highquality high quality level (SOBRICE (SBCCP (SBEM

https://doi.org/10.20945/2359-4292-2023-0263

12.

Contagem Absoluta de Linfócitos: um Preditor de PCR Sérica Positiva para o Trypanosoma cruzi em Pacientes com Chagas Submetidos ao Transplante Cardíaco Linfócitos
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Wolf, Plínio José Whitaker

; Finger, Marco Aurelio

; Rossi Neto, João Manoel

; Santos, Carolina Casadei

; Mattos, Victor Bemfica de Mello

; Rossi, Raphael

; Damiani, Lucas Petri

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 6 elocation e20230588

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

Resumo Fundamento É desconhecido se a linfopenia é fator de risco para a reativação da doença de Chagas no transplante cardíaco (TxC), como recentemente descrito na reativação de citomegalovírus em pacientes transplantados. Objetivo Avaliar se a linfopenia no perioperatório do TxC está relacionada à parasitemia precoce pelo Trypanosoma cruzi. Métodos Amostra analisada (janeiro de 2014 a janeiro de 2023) em estudo observacional e retrospectivo. A parasitemia foi avaliada nos primeiros 3 meses após o TxC por meio da reação em cadeia da polimerase sérica (PCR) e comparada com a contagem total de linfócitos no perioperatório do TxC por curvas ROC. Comparadas características de base com a PCR Chagas por modelos de risco proporcionais de Cox independentes. Nível de significância adotado de 5%. Resultados Amostra (n = 35) apresentou idade média de 52,5 ± 8,1 anos e PCR Chagas positiva em 22 pacientes (62,8%). As médias dos menores valores de linfócitos nos primeiros 14 dias do TxC foram 398 ± 189 e 755 ± 303 células/mm3 em pacientes com e sem parasitemia nos 3 meses após o TxC, respectivamente (área sob a curva = 0,857; intervalo de confiança de 95%: 0,996 a 0,718, sensibilidade e especificidade de 83,3% e 86,4%). Determinado valor de corte inferior a 550 linfócitos/mm3 como fator de risco para presença de parasitemia. Pacientes com linfócitos < 550 unidades/mm3 nos primeiros 14 dias do pós-TxC apresentaram PCR positiva em 80% dos casos. Para cada aumento de 100 linfócitos/mm3, o risco de positividade da PCR é reduzido em 26% (razão de riscos = 0,74; intervalo de confiança de 95%: 0,59 a 0,93, p = 0,009). Conclusão Houve associação entre a linfopenia no perioperatório do TxC com a parasitemia precoce pelo T. cruzi detectada por PCR. , (TxC) transplantados 201 2023 retrospectivo (PCR ROC independentes 5 5% n 35 525 52 52, 81 8 1 8, 2 62,8%. 628 62,8% . 62 (62,8%) 39 18 75 30 célulasmm3 célulasmm células mm3 mm células/mm área 0,857 0857 0 857 95% 95 0996 996 0,99 0718 718 0,718 833 83 83,3 86,4%. 864 86,4% 86 4 86,4%) 55 linfócitosmm3 linfócitosmm linfócitos/mm unidadesmm3 unidadesmm unidades unidades/mm pósTxC pós 80 casos 10 26 razão 0,74 074 74 059 59 0,5 093 93 0,93 0,009. 0009 0,009 009 0,009) T (TxC 20 202 62,8 6 (62,8% 7 0,85 085 85 9 099 99 0,9 071 71 0,71 83, 86,4 0,7 07 05 0, 09 000 0,00 00 62, (62,8 0,8 08 86, 0,0 (62, (62 (6 (

Abstract Background It is unknown whether lymphopenia is a risk factor for the reactivation of Chagas disease in heart transplantation (HTx), as recently described in the reactivation of cytomegalovirus in transplant patients. Objective To evaluate whether lymphopenia in the perioperative period of heart transplantation is related to early Trypanosoma cruzi parasitemia. Methods This observational, retrospective study analyzed a sample from January 2014 to January 2023). Parasitemia was evaluated in the first 3 months after HTx using serum polymerase chain reaction (PCR) and compared with the total lymphocyte count in the perioperative period of HTx using receiver operating characteristic curves. Baseline characteristics were compared with PCR for Chagas using independent Cox proportional hazards models. A significance level of 5% was adopted. Results The sample (n = 35) had a mean age of 52.5 ± 8.1 years, and 22 patients (62.8%) had positive PCR for Chagas. The mean lowest lymphocyte values in the first 14 days after HTx were 398 ± 189 and 755 ± 303 cells/mm3 in patients with and without parasitemia, respectively, within 3 months after HTx (area under the curve = 0.857; 95% confidence interval: 0.996 to 0.718, sensitivity and specificity of 83.3% and 86.4%). A cutoff value of less than 550 lymphocytes/mm3 was determined as a risk factor for the presence of parasitemia. Patients with lymphocytes < 550 units/mm3 in the first 14 days after HTx presented positive PCR in 80% of cases. For every increase of 100 lymphocytes/mm3, the risk of PCR positivity was reduced by 26% (hazard rate ratio = 0.74; 95% confidence interval: 0.59 to 0.93, p = 0.009). Conclusion There was an association between lymphopenia in the perioperative period of HTx and early T. cruzi parasitemia detected by PCR. HTx, , (HTx) observational 201 2023. 2023 . 2023) (PCR curves models 5 adopted n 35 525 52 52. 81 8 1 8. years 2 62.8% 628 62 (62.8% 39 18 75 30 cellsmm3 cellsmm cells mm3 mm cells/mm respectively area 0.857 0857 0 857 95 interval 0996 996 0.99 0718 718 0.718 833 83 83.3 86.4%. 864 86.4% 86 4 86.4%) 55 lymphocytesmm3 lymphocytesmm lymphocytes/mm unitsmm3 unitsmm units units/mm 80 cases 10 26 hazard 0.74 074 74 059 59 0.5 093 93 0.93 0.009. 0009 0.009 009 0.009) T (HTx 20 202 62.8 6 (62.8 7 0.85 085 85 9 099 99 0.9 071 71 0.71 83. 86.4 0.7 07 05 0. 09 000 0.00 00 62. (62. 0.8 08 86. 0.0 (62 (6 (

https://doi.org/10.36660/abc.20230588

13.

Fatores individuais, familiares e comunitários associados ao uso de contracepção de emergência por adolescentes escolares brasileiros individuais
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Sousa, Marco Aurélio de

; Menezes, Luana Leão

; Vieira, Ed Wilson Rodrigues

; Andrade, Gisele Nepomuceno de

; Malta, Deborah Carvalho

; Felisbino-Mendes, Mariana Santos

Cadernos de Saúde Pública

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2024, Volume 40 N. 11 elocation e00148323

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

https://doi.org/10.1590/0102-311xpt148323

14.

LEVELS OF EVIDENCE IN ONCOLOGIC-ORTHOPEDIC STUDIES - ACTA ORTOP BRAS (1993-2022) ONCOLOGICORTHOPEDIC ONCOLOGIC ORTHOPEDIC 19932022 1993 2022 (1993-2022 1993202 199 202 (1993-202 199320 19 20 (1993-20 19932 1 2 (1993-2 (1993- (1993 (199 (19 (1 (
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Guedes, Alex

; Sousa, Ângelo Rebouças Fernandes Curvelo

; Santana, Marco Aurélio Santos

; Guedes, Aparecida Aguiar Lima

; Becker, Ricardo Gehrke

; Camargo, Olavo Pires de

Acta Ortopédica Brasileira

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2024, Volume 32 N. 5 elocation e285265

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

RESUMO Objetivos: identificar estudos oncológico-ortopédicos publicados na Acta Ortopédica Brasileira ( Acta Ortop Bras ) ao longo de três décadas; classificá-los quanto ao tipo e nível de evidência (NE); observar a concordância interavaliadores na classificação dos estudos; analisar os trabalhos retrospectivamente, de acordo com níveis de evidência; e traçar os perfis evolutivos das evidências no período avaliado. Métodos: Realizou-se análises descritivas com frequências absolutas e relativas dos estudos publicados entre 1993 e 2022. A concordância interavaliadores foi analisada pela porcentagem de concordância e estatística Kappa (IC95%). A interpretação da magnitude da concordância foi realizada de acordo com Landis & Koch. A associação entre classificações e período de publicação foi analisada pelo teste exato de Fisher. As análises foram realizadas no programa R (significância de 5%). Resultados: foram selecionados 69 de um total de 1349 artigos; houve associação significativa entre tipo de estudo, metodologia estatística e NE com período de publicação (p < 0,05); a concordância interavaliadores quanto ao NE foi de 92,8%. Conclusões: Os estudos oncológico-ortopédicos corresponderam a 5,1% de todos os artigos publicados. Quanto ao NE, 80% foram estudos NE IV e V, apesar da evolução observada entre a primeira e a última década (decréscimo de estudos NE V e aumento de NE II, III e IV). Nível de Evidência III, Estudo Retrospectivo Comparativo. Objetivos oncológicoortopédicos oncológico ortopédicos décadas classificálos classificá los (NE) retrospectivamente avaliado Métodos Realizouse Realizou se 199 2022 IC95%. IC95 IC IC95% . (IC95%) Koch Fisher significância 5%. 5 5% 5%) Resultados 6 134 estudo p 0,05 005 0 05 0,05) 928 92 8 92,8% Conclusões 51 1 5,1 80 decréscimo II IV. IV) Comparativo (NE 19 202 IC9 (IC95% 13 0,0 00 9 92,8 5, 20 (IC95 0, 92, 2 (IC9 (IC

ABSTRACT Objectives: to identify oncological-orthopedic studies published in Acta Ortopédica Brasileira over three decades; to classify them according to the type and level of evidence (LE); to observe the inter-rater agreement in the classification of studies; to analyze the studies retrospectively, according to levels of evidence; and to outline the evolution of the evidence in the study period. Methods: Descriptive analyses were performed with absolute and relative frequencies of studies published between 1993 and 2022. Inter-rater agreement was analyzed by percentage of agreement and Kappa statistic (95%CI). The interpretation of the magnitude of the agreement was performed according to Landis & Koch. The association between classifications and publication period was analyzed using Fisher’s exact test. The analyses were performed using the R program (significance of 5%). Results: 69/1349 papers were selected; there was a significant association between type of study, statistical methodology, and LE with publication period (p < 0.05); inter-rater agreement regarding LE was 92.8%. Conclusions: Oncological-orthopedic studies accounted for 5.1% of all published papers. Regarding the LE, 80% were NE IV and V studies, despite the evolution observed between the first and last decade (decrease in LE V studies and increase in LE II, III and IV). Level of Evidence III, Retrospective Comparative Study. Objectives oncologicalorthopedic oncological orthopedic decades (LE) interrater inter rater retrospectively Methods 199 2022 Interrater Inter 95%CI. 95CI CI 95%CI . 95 (95%CI) Koch Fishers Fisher s test significance 5%. 5 5% 5%) Results 691349 69 1349 69/134 selected methodology p 0.05 005 0 05 0.05) 928 92 8 92.8% Conclusions Oncologicalorthopedic Oncological 51 1 5.1 80 decrease II IV. IV) Study (LE 19 202 9 (95%CI 69134 6 134 69/13 0.0 00 92.8 5. 20 6913 13 69/1 0. 92. 2 691 69/

https://doi.org/10.1590/1413-785220243205e285265

15.

Diretriz Brasileira sobre a Saúde Cardiovascular no Climatério e na Menopausa – 2024 202 20 2
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Oliveira, Gláucia Maria Moraes de

; Almeida, Maria Cristina Costa de

; Arcelus, Carolina María Artucio

; Neto Espíndola, Larissa

; Rivera, Maria Alayde Mendonça

; Silva-Filho, Agnaldo Lopes da

; Marques-Santos, Celi

; Fernandes, César Eduardo

; Albuquerque, Carlos Japhet da Matta

; Freire, Claudia Maria Vilas

; Izar, Maria Cristina de Oliveira

; Costa, Maria Elizabeth Navegantes Caetano

; Castro, Marildes Luiza de

; Lemke, Viviana de Mello Guzzo

; Lucena, Alexandre Jorge Gomes de

; Brandão, Andréa Araujo

; Macedo, Ariane Vieira Scarlatelli

; Polanczyk, Carisi Anne

; Lantieri, Carla Janice Baister

; Nahas, Eliana Petri

; Alexandre, Elizabeth Regina Giunco

; Campana, Erika Maria Gonçalves

; Bragança, Érika Olivier Vilela

; Colombo, Fernanda Marciano Consolim

; Barbosa, Imara Correia de Queiroz

; Rivera, Ivan Romero

; Kulak, Jaime

; Moura, Lidia Ana Zytynski

; Pompei, Luciano de Mello

; Baccaro, Luiz Francisco Cintra

; Barbosa, Marcia Melo

; Rodrigues, Marcio Alexandre Hipólito

; Albernaz, Marco Aurelio

; Decoud, Maria Sotera Paniagua de

; Paiva, Maria Sanali Moura de Oliveira

; Sanchez-Zambrano, Martha Beatriz

; Campos, Milena dos Santos Barros

; Acevedo, Monica

; Ramirez, Monica Susana

; Souza, Olga Ferreira de

; Medeiros, Orlando Otávio de

; Carvalho, Regina Coeli Marques de

; Machado, Rogerio Bonassi

; Silva, Sheyla Cristina Tonheiro Ferro da

; Rodrigues, Thais de Carvalho Vieira

; Avila, Walkiria Samuel

; Costa-Paiva, Lucia Helena Simões da

; Wender, Maria Celeste Osorio

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2024, Volume 121 N. 7 elocation e20240478

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.36660/abc.20240478

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