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RESUMO Objetivo As infecções sexualmente transmissíveis (IST) afetam desproporcionalmente as mulheres trans e travestis (MTT), que muitas vezes não têm acesso a cuidados de saúde devido ao estigma e à discriminação. Descrevemos a abordagem e a metodologia de um estudo que investigou a prevalência de sífilis, HIV, hepatite A, B e C, Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT) e papilomavírus humano (HPV) entre as MTT, bem como seu conhecimento e percepção sobre a sífilis, para melhor as políticas para redução de IST nessa população vulnerável. Métodos: TransOdara foi um estudo multicêntrico, transversal, realizado em cinco capitais das principais regiões brasileiras entre dezembro de 2019 e julho de 2021. Mulheres autoidentificadas como mulheres trans ou travestis, com idade >18 anos, foram recrutadas usando respondent-driven sampling, após uma fase de pesquisa formativa. Responderam a um questionário conduzido por entrevistadoras. Foi oferecida consulta médica, com exame físico, e solicitou-se que fornecessem amostras de vários locais para detectar as IST citadas. Quando indicado e consentido, foram iniciadas a vacinação e o tratamento. Resultados: Foram recrutadas 1.317 participantes nos cinco locais de estudo: Campo Grande (n=181, 13,7%), Manaus (n=340, 25,8%), Porto Alegre (n=192, 14,6%), Salvador (n= =201, 15,3%) e São Paulo (n=403, 30,6%). O período de recrutamento variou em cada local em razão de restrições logísticas impostas pela pandemia de COVID-19. Conclusão: Apesar dos enormes desafios colocados pela ocorrência simultânea da pandemia da COVID-19 e do trabalho de campo dirigido a uma população vulnerabilizada e dispersa, o projeto TransOdara foi eficazmente implementado. As adversidades não impediram que mais de 1.300 mulheres trans e travestis tenham sido entrevistadas e testadas em meio a uma epidemia de tal magnitude que perturbou os serviços de saúde e os projetos de pesquisa no Brasil e no mundo. (IST MTT , (MTT) discriminação sífilis HIV A C NG, NG (NG) CT (CT HPV (HPV vulnerável Métodos multicêntrico transversal 201 2021 18 >1 anos respondentdriven respondent driven sampling formativa entrevistadoras médica físico solicitouse solicitou se citadas consentido tratamento Resultados 1317 1 317 1.31 n=181, n181 n 181 (n=181 13,7%, 137 13,7% 13 7 13,7%) n=340, n340 340 (n=340 25,8%, 258 25,8% 25 8 25,8%) n=192, n192 192 (n=192 14,6%, 146 14,6% 14 6 14,6%) n= (n =201 15,3% 153 15 3 n=403, n403 403 (n=403 30,6%. 306 30,6% . 30 30,6%) COVID19. COVID19 COVID 19. 19 Conclusão COVID-1 dispersa implementado 1300 300 1.30 mundo (MTT (NG 20 202 > 131 31 1.3 n=181 n18 (n=18 13,7 n=340 n34 34 (n=34 25,8 2 n=192 n19 (n=19 14,6 =20 15,3 n=403 n40 40 (n=40 30,6 COVID1 COVID- 130 1. n=18 n1 (n=1 13, n=34 n3 (n=3 25, n=19 14, =2 15, n=40 n4 4 (n=4 30, n=1 n=3 = n=4

ABSTRACT Objective Sexually transmitted infections (STIs) disproportionately affect transgender women and travestis (TGW), who often lack access to healthcare due to stigma and discrimination. We describe the approach and methodology of a study investigating the prevalence of syphilis, HIV, hepatitis A, B, and C, Neisseria gonorrhoeae (NG), Chlamydia trachomatis (CT), and human papillomavirus (HPV) among TGW, as well as their knowledge and perceptions regarding syphilis, to better inform policies to curb STIs among this vulnerable population. Methods: TransOdara was a multicentric, cross-sectional study conducted among TGW in five capital cities from major Brazilian regions between December 2019 and July 2021. Self-identified transgender women and travestis aged >18 years were recruited using respondent-driven sampling after a qualitative formative phase, completed an interviewer-led questionnaire, were offered a physical examination, and were also asked to provide samples from multiple sites to detect various STIs, starting vaccination and treatment when indicated. Results: A total of 1,317 participants were recruited from the five study locations: Campo Grande (n=181, 13.7%), Manaus (n=340, 25.8%), Porto Alegre (n=192, 14.6%), Salvador (n=201, 15.3%), and São Paulo (n=403, 30.6%). The recruitment period varied at each study location due to logistic constraints imposed by the COVID-19 pandemic. Conclusion: Despite the enormous challenges posed by the co-occurrence of the COVID-19 pandemic and field work targeting a vulnerable, elusive, and scattered population, the TransOdara project has been effectively implemented. Caveats did not preclude 1,300 TGW from being interviewed and tested, amid a significant epidemic that disrupted health services and research projects in Brazil and worldwide. (STIs , (TGW) discrimination syphilis HIV B C NG, NG (NG) CT, CT (CT) HPV (HPV population Methods multicentric crosssectional cross sectional 201 2021 Selfidentified Self identified 18 >1 respondentdriven respondent driven phase interviewerled interviewer led questionnaire examination indicated Results 1317 1 317 1,31 locations n=181, n181 n 181 (n=181 13.7%, 137 13.7% 13 7 13.7%) n=340, n340 340 (n=340 25.8%, 258 25.8% 25 8 25.8%) n=192, n192 192 (n=192 14.6%, 146 14.6% 14 6 14.6%) n=201, n201 (n=201 15.3%, 153 15.3% 15 3 15.3%) n=403, n403 403 (n=403 30.6%. 306 30.6% . 30 30.6%) COVID19 COVID 19 COVID-1 Conclusion cooccurrence co occurrence elusive implemented 1300 300 1,30 tested worldwide (TGW (NG (CT 20 202 > 131 31 1,3 n=181 n18 (n=18 13.7 n=340 n34 34 (n=34 25.8 2 n=192 n19 (n=19 14.6 n=201 n20 (n=20 15.3 n=403 n40 40 (n=40 30.6 COVID1 COVID- 130 1, n=18 n1 (n=1 13. n=34 n3 (n=3 25. n=19 14. n=20 n2 (n=2 15. n=40 n4 4 (n=4 30. n=1 (n= n=3 n=2 n=4 n= (n

https://doi.org/10.1590/1980-549720240002.supl.1

Difficulties and advances in access to and use of health services by transgender women and travestis in Brazil
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Pinheiro, Thiago Félix

; Carvalho, Paula Galdino Cardin de

; Nolasco, Gabriel

; Santos, Lorruan Alves dos

; Veras, Maria Amélia de Sousa Mascena

Revista Brasileira de Epidemiologia

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2024, Volume 27 Suppl. 1 elocation e240007.supl.1

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

RESUMO Objetivo: Compreender as narrativas de Mulheres Trans e Travestis (MTT) de quatro cidades brasileiras acerca do acesso e do uso de serviços de saúde. Métodos: Estudo qualitativo realizado no âmbito do projeto TransOdara, pesquisa transversal multicêntrica de métodos mistos, conduzida entre 2019 e 2021. São analisadas 52 entrevistas em profundidade com MTT em Manaus, Campo Grande, Porto Alegre e São Paulo. O tratamento analítico foi orientado pela hermenêutica filosófica. Resultados: Relatos de discriminação, estigmatização e patologização reafirmam as dificuldades enfrentadas por MTT na busca por cuidado com a saúde. A recorrência do desrespeito ao nome social/retificado revela obstáculos ao reconhecimento das identidades trans e, em alguns casos, a intenção de inibir a transexualidade-travestilidade. Outras dificuldades decorrem de ações que desconsideram as especificidades de saúde das MTT ou as condições sociais precárias que afetam algumas delas. No entanto, a partir de experiências de respeito e atendimento adequado, as participantes identificam uma mudança em curso, que se expressa em uma maior disponibilidade de serviços e na melhoria da assistência. Há uma expectativa de continuidade da ampliação de serviços, tecnologias e capacitação dos/as profissionais de saúde. Conclusão: A mudança identificada tem sido empreendida na interface das políticas públicas de saúde com o ativismo LGBT+ e a produção de conhecimento acerca das questões de saúde das MTT. Os avanços empreendidos, ainda que insuficientes para mudar o cenário da histórica exclusão vivida por elas nos serviços de saúde, apontam caminhos promissores na melhoria de suas condições de saúde. Objetivo (MTT Métodos TransOdara mistos 201 2021 5 Manaus Grande Paulo filosófica Resultados discriminação socialretificado social retificado casos transexualidadetravestilidade. transexualidadetravestilidade transexualidade travestilidade. travestilidade transexualidade-travestilidade delas entanto adequado curso assistência dosas dos Conclusão LGBT empreendidos 20 202 2

ABSTRACT Objective: To understand the narratives of transgender women and travestis (TGW) from four Brazilian cities regarding access to and use of health services. Methods: Qualitative study carried out within the scope of the TransOdara project, cross-sectional multicenter mixed methods research conducted between 2019-2021. Fifty-two in-depth interviews with TGW in Manaus, Campo Grande, Porto Alegre and São Paulo were analyzed. The analysis was guided by philosophical hermeneutics. Results: Reports of discrimination, stigmatization and pathologization reiterate the difficulties faced by TGW in seeking healthcare. The recurrence of disrespect for the social/corrected name reveals obstacles to the recognition of transgender identities and, in some cases, the intention of inhibiting transsexuality-travestilidade. Other difficulties arise from actions that disregard the health specificities of TGW or the precarious social conditions that affect some of them. On the other hand, based on experiences of respect and adequate care, participants identify an ongoing change, which is expressed in greater availability of services and improved assistance. There is an expectation of continued expansion of services, technologies and training of health professionals. Conclusions: The identified change has been undertaken at the interface of public health policies with LGBT+ activism and the production of knowledge about TGW health needs. Although the identified advances are insufficient to change the scenario of the historical exclusion experienced by TGW in health services, they point to promising ways to improve their health conditions. Objective (TGW Methods project crosssectional cross sectional 20192021. 20192021 2019 2021. 2021 2019-2021 Fiftytwo Fifty two indepth depth Manaus Grande analyzed hermeneutics Results discrimination healthcare socialcorrected corrected cases transsexualitytravestilidade. transsexualitytravestilidade transsexuality travestilidade. travestilidade transsexuality-travestilidade them hand care assistance professionals Conclusions LGBT needs 2019202 201 202 2019-202 201920 20 2019-20 20192 2 2019-2 2019-

https://doi.org/10.1590/1980-549720240007.supl.1

Daily Chlorhexidine Bath for Health Care Associated Infection Prevention (CLEAN-IT): protocol for a multicenter cluster randomized crossover open-label trial CLEANIT CLEAN IT (CLEAN-IT) openlabel open label (CLEAN-IT
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Tomazini, Bruno Martins

; Veiga, Thabata Silva

; Santos, Renato Hideo Nakagawa

; Campos, Viviane Bezerra

; Tokunaga, Samira Martins

; Santos, Elton Sousa

; Barbante, Leticia Galvão

; Maia, Renato da Costa

; Negrelli, Karina Leal

; Valeis, Nanci

; Santucci, Eliana Vieira

; Laranjeira, Ligia Nasi

; Medrado Jr, Fernando Azevedo

; Lisboa, Thiago Costa

; Besen, Bruno Adler Maccagnan Pinheiro

; Nassar Junior, Antônio Paulo

; Veiga, Viviane Cordeiro

; Pereira, Adriano José

; Cavalcanti, Alexandre Biasi

Critical Care Science

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2024, Volume 36 elocation e20240053en

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

RESUMO Fundamentos Pacientes críticos têm maior risco de infecções relacionadas à assistência à saúde devido ao uso de vários dispositivos (infecção da corrente sanguínea associada a cateter central, infecção do trato urinário associada ao cateter e pneumonia associada à ventilação mecânica), o que representa uma ameaça significativa para essa população. Entre as várias estratégias, o banho diário com digluconato de clorexidina, um antisséptico solúvel em água, foi estudado como intervenção para diminuir a incidência de infecções relacionadas à assistência à saúde na unidade de terapia intensiva; no entanto, sua capacidade de reduzir todas as infecções relacionadas à assistência à saúde devido a vários dispositivos não está clara. Desenhamos o estudo Daily Chlorhexidine Bath for Health Care Associated Infection Prevention (CLEAN-IT) para avaliar se o banho diário com digluconato de clorexidina reduz a incidência de infecções relacionadas à assistência à saúde em pacientes críticos em comparação com o banho de água e sabão. Métodos O estudo CLEAN-IT é um estudo clínico multicêntrico, aberto, randomizado e em cluster com cruzamentos. Todos os pacientes adultos admitidos nas unidades de terapia intensiva participantes serão incluídos no estudo. Cada grupo (unidade de terapia intensiva) será randomizado para realizar o banho inicial com digluconato de clorexidina ou banho de água e sabão com cruzamento por um período de 3 a 6 meses, dependendo do momento de entrada de cada centro no estudo, com um período de washout de 1 mês entre os banhos com digluconato de clorexidina e as transições para os banhos de água e sabão. O desfecho primário é a incidência de infecções relacionadas à assistência à saúde devido a dispositivos. Os desfechos secundários são a incidência de cada infecção específica relacionada à assistência à saúde, as taxas de coleções microbiológicas positivas para microrganismos multirresistentes, o uso de antibióticos, o tempo de internação na unidade de terapia intensiva e no hospital e a mortalidade na unidade de terapia intensiva e no hospital. Conclusão O estudo CLEAN-IT será usado para estudar intervenções viáveis e acessíveis que possam reduzir a incidência de infecções relacionadas à assistência à saúde em pacientes em estado crítico. central mecânica, mecânica , mecânica) população estratégias entanto clara CLEANIT CLEAN IT (CLEAN-IT multicêntrico aberto cruzamentos meses multirresistentes antibióticos crítico

ABSTRACT Background Critically ill patients are at increased risk of health care-associated infections due to various devices (central line-associated bloodstream infection, catheter-associated urinary tract infection, and ventilator-associated pneumonia), which pose a significant threat to this population. Among several strategies, daily bathing with chlorhexidine digluconate, a water-soluble antiseptic, has been studied as an intervention to decrease the incidence of health care-associated infections in the intensive care unit; however, its ability to reduce all health care-associated infections due to various devices is unclear. We designed the Daily Chlorhexidine Bath for Health Care Associated Infection Prevention (CLEAN-IT) trial to assess whether daily chlorhexidine digluconate bathing reduces the incidence of health care-associated infections in critically ill patients compared with soap and water bathing. Methods The CLEAN-IT trial is a multicenter, open-label, cluster randomized crossover clinical trial. All adult patients admitted to the participating intensive care units will be included in the trial. Each cluster (intensive care unit) will be randomized to perform either initial chlorhexidine digluconate bathing or soap and water bathing with crossover for a period of 3 to 6 months, depending on the time of each center’s entrance to the study, with a 1-month washout period between chlorhexidine digluconate bathing and soap and water bathing transitions. The primary outcome is the incidence of health care-associated infections due to devices. The secondary outcomes are the incidence of each specific health care-associated infection, rates of microbiological cultures positive for multidrug-resistant pathogens, antibiotic use, intensive care unit and hospital length of stay, and intensive care unit and hospital mortality. Conclusion The CLEAN-IT trial will be used to study feasible and affordable interventions that might reduce the health care-associated infection burden in critically ill patients. careassociated associated central lineassociated line catheterassociated catheter ventilatorassociated ventilator pneumonia, pneumonia , pneumonia) population strategies watersoluble soluble antiseptic however unclear CLEANIT CLEAN IT (CLEAN-IT multicenter openlabel, openlabel open label, label open-label months centers center s 1month month 1 transitions multidrugresistant multidrug resistant pathogens use stay mortality

https://doi.org/10.62675/2965-2774.20240053-en

Effects of the TIV-Disinfect educational intervention in pediatric units: a quasi-experimental study TIVDisinfect TIV Disinfect units quasiexperimental quasi experimental
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Bitencourt, Aline de Souza

; Silva, Thiago Lopes

; Souza, Sabrina de

; Moura, Jefferson Wildes da Silva

; Santos, Luciano Marques dos

; Silva, Bianka Sousa Martins

; Dalcin, Camila Biazus

; Rocha, Patrícia Kuerten

Revista Gaúcha de Enfermagem

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2024, Volume 45 N. spe1 elocation e20230237

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

RESUMO Objetivo: Verificar o efeito da intervenção educativa TIV-Disinfect (Terapia Intravenosa-Desinfetar) no conhecimento de profissionais de enfermagem de Unidades de Internação Pediátrica. Método: Estudo quase-experimental, com amostra dependente de 65 profissionais de enfermagem de Unidades de Internação Pediátrica. Utilizou-se questionário com questões objetivas quanto a desinfecção de dispositivos venosos, aplicado como pré e pós-teste. Coleta realizada em dois Hospitais Públicos do Sul do Brasil, entre abril e julho de 2022. Para análise de dados, utilizou-se estatística descritiva e teste de McNemar. Resultados: Verificou-se diferença estatisticamente significativa entre o pré e o pós-teste quanto às variáveis sobre desinfecção passiva, desinfetantes e materiais recomendados, fricção e secagem. Notou-se frequência menor de alternativas incorretas após a intervenção. Conclusão: A intervenção educativa teve efeito positivo. Observou-se melhores resultados no conhecimento dos profissionais de enfermagem acerca do saber sobre desinfecção de dispositivos venosos, assim como permitiu reforçar conhecimentos já consolidados dos profissionais. Esta intervenção pode ser utilizada como ferramenta para atualização e/ou formação continuada de profissionais de enfermagem, visando a segurança do paciente pediátrico e da prática assistencial. Objetivo TIVDisinfect TIV Disinfect Terapia IntravenosaDesinfetar Intravenosa Desinfetar Intravenosa-Desinfetar Pediátrica Método quaseexperimental, quaseexperimental quase experimental, experimental quase-experimental 6 Utilizouse Utilizou se venosos pósteste. pósteste pós teste. Brasil 2022 dados utilizouse utilizou McNemar Resultados Verificouse Verificou passiva recomendados secagem Notouse Notou Conclusão positivo Observouse Observou eou ou assistencial 202 20 2

ABSTRACT Objective: To verify the effect of the educational intervention TIV-Disinfect (Intravenous Therapy-Disinfect) on the knowledge of nursing professionals in pediatric inpatient units. Method: Quasi-experimental study, with a dependent sample of 65 nursing professionals from pediatric inpatient units. A questionnaire with objective questions regarding the disinfection of venous devices was used, and pre- and post-tests were applied. Data collection was conducted in two public hospitals in southern Brazil, between April and July 2022. For data analysis, descriptive statistics and McNemar's test were used. Results: There was a statistically significant difference between the pre- and post-tests regarding variables of passive disinfection, and recommended antiseptics and materials, rubbing and drying. A lower frequency of incorrect alternatives was noted after the intervention. Conclusion: The educational intervention had a positive effect. Better results were observed in the knowledge of nursing professionals regarding the disinfection of venous devices, as well as allowing the professionals to reinforce already consolidated knowledge. This intervention can be used as a tool for updating and/or continuing training of nursing professionals, aiming at the safety of pediatric patients and care practices. Objective TIVDisinfect TIV Disinfect Intravenous TherapyDisinfect Therapy Therapy-Disinfect units Method Quasiexperimental Quasi experimental study 6 pre posttests post tests applied Brazil 2022 analysis McNemars McNemar s Results materials drying Conclusion andor or practices 202 20 2

RESUMEN Objetivo: Verificar el efecto de la intervención educativa TIV-Disinfect (Terapia Intravenosa-Desinfección) en el conocimiento de los profesionales de enfermería de Unidades de Internación Pediátrica. Método: Estudio cuasiexperimental, con una muestra dependiente de 65 profesionales de enfermería de Unidades de Internación Pediátrica. Se utilizó un cuestionario con preguntas objetivas sobre la desinfección de dispositivos venosos, aplicado como pre y post test. Recolección realizada en dos Hospitales Públicos del Sur de Brasil, entre abril y julio de 2022. Para el análisis de los datos se utilizó estadística descriptiva y prueba de McNemar. Resultados: Hubo diferencia estadísticamente significativa entre el pre y postest en cuanto a las variables sobre desinfección pasiva, desinfectantes y materiales recomendados, fricción y secado. Se observó una menor frecuencia de alternativas incorrectas después de la intervención. Conclusión: La intervención educativa tuvo un efecto positivo. Se observaron mejores resultados en el conocimiento de los profesionales de enfermería sobre la desinfección de dispositivos venosos, además de permitir a los profesionales reforzar conocimientos ya consolidados. Esta intervención puede ser utilizada como herramienta de actualización y/o capacitación continua de los profesionales de enfermería, visando la seguridad de los pacientes pediátricos y de las prácticas de cuidado. Objetivo TIVDisinfect TIV Disinfect Terapia IntravenosaDesinfección Intravenosa Desinfección Intravenosa-Desinfección Pediátrica Método cuasiexperimental 6 venosos test Brasil 2022 McNemar Resultados pasiva recomendados secado Conclusión positivo consolidados yo o cuidado 202 20 2

https://doi.org/10.1590/1983-1447.2024.20230237.en

Diretriz de Tomografia Computadorizada e Ressonância Magnética Cardiovascular da Sociedade Brasileira de Cardiologia e do Colégio Brasileiro de Radiologia – 2024 202 20 2
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Magalhães, Tiago Augusto

; Carneiro, Adriano Camargo de Castro

; Moreira, Valéria de Melo

; Trad, Henrique Simão

; Lopes, Marly Maria Uellendahl

; Cerci, Rodrigo Julio

; Nacif, Marcelo Souto

; Schvartzman, Paulo R.

; Chagas, Antônio Carlos Palandrini

; Costa, Isabela Bispo Santos da Silva

; Schmidt, André

; Shiozaki, Afonso Akio

; Montenegro, Sérgio Tavares

; Piegas, Leopoldo Soares

; Zapparoli, Marcelo

; Nicolau, José Carlos

; Fernandes, Fabio

; Hadlich, Marcelo Souza

; Ghorayeb, Nabil

; Mesquita, Evandro Tinoco

; Gonçalves, Luiz Flávio Galvão

; Ramires, Felix José Alvarez

; Fernandes, Juliano de Lara

; Schwartzmann, Pedro Vellosa

; Rassi, Salvador

; Torreão, Jorge Andion

; Mateos, José Carlos Pachón

; Beck-da-Silva, Luiz

; Silva, Marly Conceição

; Liberato, Gabriela

; Oliveira, Gláucia Maria Moraes de

; Feitosa Filho, Gilson Soares

; Carvalho, Hilka dos Santos Moraes de

; Markman Filho, Brivaldo

; Rocha, Ricardo Paulo de Sousa

; Azevedo Filho, Clerio Francisco de

; Taratsoutchi, Flávio

; Coelho-Filho, Otavio Rizzi

; Kalil Filho, Roberto

; Hajjar, Ludhmila Abrahão

; Ishikawa, Walther Yoshiharu

; Melo, Cíntia Acosta

; Jatene, Ieda Biscegli

; Albuquerque, Andrei Skromov de

; Rimkus, Carolina de Medeiros

; Silva, Paulo Savoia Dias da

; Vieira, Thiago Dieb Ristum

; Jatene, Fabio Biscegli

; Azevedo, Guilherme Sant Anna Antunes de

; Santos, Raul D.

; Monte, Guilherme Urpia

; Ramires, José Antonio Franchini

; Bittencourt, Marcio Sommer

; Avezum, Alvaro

; Silva, Leonardo Sara da

; Abizaid, Alexandre

; Gottlieb, Ilan

; Precoma, Dalton Bertolim

; Szarf, Gilberto

; Sousa, Antônio Carlos Sobral

; Pinto, Ibraim Masciarelli Francisco

; Medeiros, Fábio de Morais

; Caramelli, Bruno

; Parga Filho, José Rodrigues

; Santos, Tiago Senra Garcia dos

; Prazeres, Carlos Eduardo Elias dos

; Lopes, Marcelo Antonio Cartaxo Queiroga

; Avila, Luiz Francisco Rodrigues de

; Scanavacca, Mauricio Ibrahim

; Gowdak, Luis Henrique Wolff

; Barberato, Silvio Henrique

; Nomura, Cesar Higa

; Rochitte, Carlos Eduardo

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 9 elocation e20240608

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.36660/abc.20240608

Electromyographic Analysis of Core Muscles During front Plank Exercises Using the trx® System at Different Heights trx
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Santos, Felipe Rodrigues Alves

; Macêdo, Andreia Sousa

; Oliveira, Laynne Rodrigues de

; Santos, Lázaro Antônio dos

; Bernardino Júnior, Roberto

; Fidale, Thiago Montes

; Arantes, Franciel José

; Lizardo, Frederico Balbino

Brazilian Archives of Biology and Technology

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2024, Volume 67 elocation e24240153

Abstract: En | Text: En | PDF: En

Abstract The importance and popularity of core training call for ongoing adjustments in exercise selection, overload, and progression to optimize workout outcomes. This study aimed to compare core muscle electromyographic activity during a 45-second isometric contraction under the front plank exercise with a Total-body Resistance Exercise (TRX®) system attached to the upper limbs at varying heights above the ground: a) 10 cm (FP-TRX10); b) 35 cm (FP-TRX35); c) 60 cm (FP-TRX60); and d) 85 cm (FP-TRX85). Twelve physically active male volunteers (mean age: 23.58 ± 2.58 years; mean weight: 75.29 ± 4.23 kg; mean height: 177.04 ± 4.96 cm; mean body fat: 11.57 ± 2.63%), without neuromuscular disorders, participated. Electromyographic signals were recorded from the rectus abdominis (RA), external oblique (EO), internal oblique (IO), erector spinae (ES), and multifidus muscles. Maximum values (root mean square [RMS]) were normalized to maximum voluntary isometric contraction. Statistical analysis was conducted using GraphPad Prism software. Results indicated significantly higher electromyographic activity in the RA, EO, IO, and ES muscles (p < 0.05) during the FP-TRX10 exercise compared to FP-TRX85, with ES muscle activity significantly higher (p < 0.05) in FP-TRX10 than FP-TRX60. Lower TRX® system heights (e.g., FP-TRX10) elicited greater electromyographic activity in most core muscles, highlighting height as a crucial exercise progression factor. FP-TRX10 could represent an advanced step in core training, transitioning from the highest (FP-TRX85) to the lowest point (FP-TRX10) for optimal progression. selection overload outcomes 45second second 45 Totalbody Total TRX (TRX® ground 1 FPTRX10 FPTRX FP TRX10 b 3 FPTRX35 TRX35 (FP-TRX35) c 6 FPTRX60 TRX60 (FP-TRX60) d 8 FPTRX85. FPTRX85 TRX85 . age 2358 23 58 23.5 258 2 2.5 years weight 7529 75 29 75.2 423 4 4.2 kg 17704 177 04 177.0 496 96 4.9 fat 1157 11 57 11.5 2.63%, 263 2.63% , 63 2.63%) disorders participated RA (RA) EO (EO) IO (IO) ES, (ES) root RMS [RMS] software p 0.05 005 0 05 FP-TRX1 FPTRX85, TRX85, FP-TRX85 FPTRX60. TRX60. FP-TRX60 e.g., eg e g (e.g. factor (FP-TRX85 (FP-TRX10 (TRX FPTRX1 TRX1 FPTRX3 TRX3 (FP-TRX35 FPTRX6 TRX6 (FP-TRX60 FPTRX8 TRX8 235 5 23. 25 2. 752 7 75. 42 4. 1770 17 177. 49 9 115 11. 26 2.63 (RA (EO (IO (ES [RMS 0.0 00 FP-TRX FP-TRX8 FP-TRX6 e.g. (e.g (FP-TRX8 (FP-TRX1 (FP-TRX3 (FP-TRX6 2.6 0. e.g (FP-TRX

https://doi.org/10.1590/1678-4324-2024240153

Difficulties and advances in access to and use of health services by transgender women and travestis in Brazil
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Pinheiro, Thiago Félix

; Carvalho, Paula Galdino Cardin de

; Nolasco, Gabriel

; Santos, Lorruan Alves dos

; Veras, Maria Amélia de Sousa Mascena

Revista Brasileira de Epidemiologia

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2024, Volume 27 Suppl. 1 elocation e240007.supl.1

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

https://doi.org/10.1590/1980-549720240007.supl.1

Comparação dos casos de beribéri entre indígenas e não indígenas, Brasil, 2013 a 2018 Brasil 201 20 2
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Assunção, Anne Karine Martins

; Branco, Maria dos Remédios Freitas Carvalho

; Santos, Thiago de Sousa

; Costa, Silmery da Silva Brito

; Dias Júnior, José de Jesus

; Frota, Maria Tereza Borges Araújo

; Oliveira, Bruno Luciano Carneiro Alves de

; Santos, Alcione Miranda dos

Ciência & Saúde Coletiva

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jul 2023, Volume 28 N. 7 Pages 1993 - 2002

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

Resumo O beribéri é a manifestação clínica da deficiência grave e prolongada de tiamina (vitamina B1). Doença negligenciada que acomete a população de baixa renda, em situação de insegurança alimentar e nutricional. O objetivo do estudo foi comparar casos de beribéri em indígenas com casos em não indígenas no Brasil. Trata-se de estudo transversal de casos notificados de beribéri no período de 2013 a 2018, no formulário do SUS (FormSUS) do Ministério da Saúde. Foram comparados os casos em indígenas e em não indígenas pelo teste qui-quadrado ou teste exato de Fisher com nível de significância de p < 0,05. No período estudado foram notificados no país 414 casos de beribéri, sendo 210 (50,7%) indígenas. Referiram consumo de bebidas alcoólicas 58,1% dos indígenas e 71,6% dos não-indígenas (p = 0,004); adicionalmente, 71,0% dos indígenas consumiam caxiri (bebida alcoólica tradicional fermentada). Relataram fazer esforço físico diário 76,1% dos indígenas e 40,2% dos não-indígenas (p <0 ,001). Conclui-se que o beribéri no país acomete mais indígenas e está relacionado ao consumo de álcool e ao esforço físico. vitamina B1. B1 B . B1) renda nutricional Brasil Tratase Trata se 201 2018 FormSUS (FormSUS Saúde quiquadrado qui quadrado 005 0 05 0,05 41 21 50,7% 507 50 7 (50,7% 581 58 1 58,1 716 71 6 71,6 nãoindígenas 0,004 0004 004 0,004) adicionalmente 710 71,0 bebida fermentada. fermentada fermentada) 761 76 76,1 402 40 2 40,2 ,001. 001 ,001 ,001) Concluise Conclui 20 00 0,0 4 50,7 5 (50,7 58, 71, 0,00 000 76, 40, ,00 0, 50, (50, ,0 (50 , (5 (

Abstract Beriberi is the clinical manifestation of severe and prolonged thiamine (vitamin B1) deficiency. It is a neglected disease that affects low-income populations facing food and nutrition insecurity. The aim of this study was to compare cases of beriberi among indigenous and non-indigenous people in Brazil. We conducted a cross-sectional study using data on cases of beriberi during the period July 2013-September 2018 derived from beriberi notification forms available on the FormSUS platform. Cases in indigenous and non-indigenous patients were compared using the chi-squared test or Fisher’s exact test, adopting a significance level of 0.05. A total of 414 cases of beriberi were reported in the country during the study period, 210 of which (50.7%) were among indigenous people. Alcohol consumption was reported by 58.1% of the indigenous patients and 71.6% of the non-indigenous patients (p = 0.004); 71.0% of the indigenous patients reported that they consumed caxiri, a traditional alcoholic drink. Daily physical exertion was reported by 76.1% of the indigenous patients and 40.2% of the non-indigenous patients (p < 0.001). It is concluded that beriberi disproportionately affects indigenous people and is associated with alcohol consumption and physical exertion. vitamin B1 B deficiency lowincome low income insecurity nonindigenous non Brazil crosssectional cross sectional 2013September September 2013 201 platform chisquared chi squared Fishers Fisher s 005 0 05 0.05 41 21 50.7% 507 50 7 (50.7% 581 58 1 58.1 716 71 6 71.6 p 0.004 0004 004 0.004) 710 71.0 caxiri drink 761 76 76.1 402 40 2 40.2 0.001. 0001 0.001 . 001 0.001) 20 00 0.0 4 50.7 5 (50.7 58. 71. 0.00 000 76. 40. 0. 50. (50. (50 (5 (

https://doi.org/10.1590/1413-81232023287.16422022

10.

Prejudice impairing quality of life in sickle cell disease patients in a developing country: faces of suffering country
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Rodrigues, Camila Freitas de Andrade

; Rodrigues, Thiago Alves

; Oliveira, Eduardo José Silva Gomes de

; Garcia, João Batista Santos

; Cartágenes, Maria do Socorro de Sousa

Hematology, Transfusion and Cell Therapy

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jul 2023, Volume 45 Suppl. 2 Pages S3 - S10

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: The perception of prejudice against, and stigmatization of, sickle cell disease (SCD) leads the patient to perceive a different treatment, due to the disease stigma and maybe related to a worse quality of life (QoL). Objectives: Describe and evaluate the perception of the prejudice against the disease and its impact on the quality of life of patients with sickle cell disease. Methods: This is a cross-sectional study conducted between March 2019 and February 2020, with patients diagnosed with SCD. Patients were questioned about the perception of prejudice in any kind of situation, choosing between “Yes” or “No”, not differentiating situations related to prejudice. To assess the QoL and impact of the disease, the volunteers answered a version of the SF-36 questionnaire translated and validated into Brazilian Portuguese. Results: In this study, 113 patients with SCD were followed up, 92% were classified as HbSS and the rest, divided between HbSC and HbS-β-0. Regarding the SF-36, the worst scores were in the summary of the physical components (mean 48.19 ± 21.51) and the physical aspect had the lowest mean (30.75 ± €42.65). When questioned if they had already perceived any kind of prejudice, including the SCD, 32.74% answered “Yes”. For this comparison, there was a significant difference in the summary of the physical and mental components, with worse QoL for those who had already suffered prejudice. Conclusion: Patients diagnosed with SCD who reported perception of prejudice had statistically significant worse QoL, revealing the negative impact, that might lead to sadness and social isolation. Introduction (SCD treatment QoL. . (QoL) Objectives Methods crosssectional cross sectional 201 2020 situation Yes “Yes No, No , “No” SF36 SF 36 SF-3 Portuguese Results 11 up 92 rest HbSβ0. HbSβ0 HbSβ HbS β 0. 0 HbS-β-0 SF36, 36, 4819 48 19 48.1 21.51 2151 21 51 30.75 3075 30 75 (30.7 €42.65. 4265 €42.65 42 65 €42.65) 3274 32 74 32.74 Yes. comparison Conclusion isolation (QoL 20 202 “No SF3 3 SF- 1 9 HbS-β- 481 4 48. 21.5 215 2 5 30.7 307 7 (30. 426 €42.6 6 327 32.7 HbS-β 21. 30. (30 €42. 32. (3 €42 ( €4 €

https://doi.org/10.1016/j.htct.2021.06.002

11.

Comparação dos casos de beribéri entre indígenas e não indígenas, Brasil, 2013 a 2018
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Assunção, Anne Karine Martins

; Branco, Maria dos Remédios Freitas Carvalho

; Santos, Thiago de Sousa

; Costa, Silmery da Silva Brito

; Dias Júnior, José de Jesus

; Frota, Maria Tereza Borges Araújo

; Oliveira, Bruno Luciano Carneiro Alves de

; Santos, Alcione Miranda dos

Ciência & Saúde Coletiva

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jul 2023, Volume 28 N. 7 Pages 1993 - 2002

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

https://doi.org/10.1590/1413-81232023287.16422022

12.

PCR identification of lactic acid bacteria populations in corn silage inoculated with lyophilised or activated Lactobacillus buchneri
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Santos, Ana Paula Maia dos

; Santos, Edson Mauro

; Silva de Oliveira, Juliana

; Garcia Leal de Araújo, Gherman

; de Moura Zanine, Anderson

; Araújo Pinho, Ricardo Martins

; Costa do Nascimento, Thiago Vinicius

; Fernandes Perazzo, Alexandre

; Ferreira, Daniele de Jesus

; da Silva Macedo, Alberto Jefferson

; de Sousa Santos, Francisco Naysson

Revista de la Facultad de Ciencias Agrarias. Universidad Nacional de Cuyo

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jun 2023, Volume 55 N. 1 Pages 115 - 125

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

Resumen Este estudio tuvo como objetivo evaluar el efecto de la inoculación con L. buchneri liofilizado y/o activado sobre las poblaciones de bacterias de ácido láctico en ensilajes de maíz. Los tratamientos experimentales consistieron en ensilaje de maíz sin aditivo y ensilaje con los inoculantes L. buchneri 1 × 10 5 ufc/g, aplicados según las recomendaciones del fabricante (1 g/tonelada de forraje) en las formas de inoculante liofilizado e inoculante preactivado. Se identificaron aislados purificados de ensilajes de maíz con y sin inocu lación, y el 93% de los aislados correspondieron a bacterias de ácido láctico de la especie L. plantarum. Entre los aislados no se detectaron bacterias de la especie L. buchneri. La aplicación de L. buchneri liofilizado o activado en la masa ensilada promueve un aumento considerable de la población de bacterias de ácido lácticas en los ensilajes de maíz durante todo el período de fermentación.

Abstract This study aimed to evaluate the effect of inoculation with lyophilised and/or activated Lactobacillus buchneri on lactic acid bacteria populations in corn silage. Experimental treatments consisted of corn silage without additives or silage with the inoculants of L. buchneri (1 x 10 5 cfu/g) applied according to the manufacturer’s recommendations (1 g/tonne fodder) in the forms of the lyophilised inoculant and pre-activated inoculant. Purified isolates from corn silage with and without the inoculant were identified, and 93% of the isolates corresponded to the lactic acid bacteria of the species Lactobacillus plantarum. Among the isolates, no bacteria of the species L. buchneri were detected. The application of lyophilised or activated L. buchneri improved the microbiological profile and reduced ethanol production in corn silage, even without being identified among the isolates captured 70 days after ensilage.

13.

Ciência da disseminação e implementação em países de língua portuguesa: por que considerar? portuguesa considerar
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Sala, Danila Cristina Paquier

; Okuno, Meiry Fernanda Pinto

; Buccini, Gabriela

; Hankins, Jane Silva

; Câmara, Alice Barros

; Vieira, Ana Claudia

; Horta, Ana Lucia de Moraes

; Varela, Andrea Liliana Vesga

; Trapé, Carla Andrea

; Treichel, Carlos Alberto dos Santos

; Luizaga, Carolina Terra de Moraes

; Oliveira, Cintia de Freitas

; Luquine Jr, Cézar D

; Bonfim, Daiana

; Melo, Daiane Sousa

; Fatori, Daniel

; Bernardo, Debora

; Silva, Flávio Dias

; Paiva Neto, Francisco Timbó de

; Sousa, Girliani Silva de

; Relvas, Gláubia Rocha Barbosa

; Eshriqui, Ilana

; Chavez, Leidy Janeth Erazo

; Almeida, Leticia Yamawaka de

; Godoi, Lídia Pereira da Silva

; Belotti, Lorrayne

; Corrêa, Lucas Hernandes

; Cordeiro, Luciana

; Hespanhol, Luiz

; Juskevicius, Luize Fábrega

; Padoveze, Maria Clara

; Bueno, Mariana

; Siqueira, Marina Martins

; Bortoli, Maritsa Carla de

; Louvison, Marília Cristina Prado

; Cardoso, Marília Mastrocolla de Almeida

; Becker, Natália

; Tanaka, Oswaldo Yoshimi

; Costa, Paula Cristina Pereira da

; Bomfim, Rafael Aiello

; Luz, Reginaldo Adalberto

; Gimbel, Sarah

; Dias, Sónia

; Castral, Thaíla Corrêa

; Domingos, Thiago da Silva

; Baumann, Ana A.

Acta Paulista de Enfermagem

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2023, Volume 36 Suppl. 1 elocation eEDT01

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.37689/acta-ape/2023edtspe01

14.

Coxsackievirus A6 strains causing an outbreak of hand-foot-and-mouth disease in Northeastern Brazil in 2018
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Luchs, Adriana

; Azevedo, Lais Sampaio de

; Souza, Ellen Viana de

; Medeiros, Roberta Salzone

; Souza, Yasmin França Viana Pires de

; Teixeira, Dalane Loudal Florentino

; Carneiro, Thiago Franco de Oliveira

; Alencar, Gabriela Maria Fernandes de

; Morais, Fernanda Lúcia de Sousa Leite

; Pinto, Diana de Fátima Alves

; Okay, Thelma Suely

; Yamamoto, Lidia

; Morais, Vanessa dos Santos

; Araújo, Emerson Luiz Lima

; Leal, Elcio

; Costa, Antonio Charlys da

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e16

Abstract: En | Text: En | PDF: En

ABSTRACT Hand-foot-and-mouth disease (HFMD) is a highly contagious viral disease commonly associated to Enteroviruses (EV). During 2018, Brazil faced massive HFMD outbreaks spread across the country. This study aimed to characterize the EV responsible for the HFMD outbreak that occurred in Paraiba State, Brazilian Northeastern region, in 2018, followed by a phylogenetic analysis to detail information on its genetic diversity. A total of 49 serum samples (one from each patient) collected from children ≤ 15 years old, clinically diagnosed with HFMD were tested for EV using conventional RT-PCR and RT-qPCR. EV infection was confirmed in 71.4% (35/49) of samples. The mean and median ages were 1.83 years and one year old, respectively. Twenty-two EV-positive samples were successfully sequenced and classified as EV-A species; 13 samples were also identified with the CV-A6 genotype. The phylogenetic analysis (VP1 region) of three samples revealed that the detected CV-A6 strains belonged to sub-lineage D3. The CV-A6 strains detected here clustered with strains from South America, Europe and West Asia strains that were also involved in HFMD cases during the 2017-2018 seasons, in addition to the previously detected Brazilian CV-A6 strains from 2012 to 2017, suggesting a global co-circulation of a set of different CV-A6 strains introduced in the country at different times. The growing circulation of the emerging CV-A6 associated with HFMD, together with the detection of more severe cases worldwide, suggests the need for a more intense surveillance system of HFMD in Brazil. In addition, this investigation was performed exclusively on serum samples, and the analysis of whole blood samples should be considered and could have shown advantages when employed in the diagnosis of enteroviral HFMD outbreaks.

https://doi.org/10.1590/s1678-9946202264016

15.

Forage performance and cattle production as a function of the seasonality of a Brazilian tropical region
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Feitosa, Odimar de Sousa

; Leite, Rubson da Costa

; Alexandrino, Emerson

; Pires, Thiago de Jesus Saboia

; Oliveira, Leonardo Bernardes Taverny de

; Paula Neto, Joaquim José de

; Santos, Antonio Clementino dos

Acta Scientiarum. Animal Sciences

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2022, Volume 44 elocation e53779

Abstract: En | Text: En | PDF: En

ABSTRACT. This study aimed to evaluate forage yield, tiller population density, canopy height, nutritional value as well as cattle performance in alternate stocking from three tropical forage cultivars. The experiment followed a randomized block design, in a 3 x 3 factorial scheme with three replications. Three forage cultivars (Marandu, Massai and Xaraés) distributed in nine hectares were evaluated in three dry season periods (transition wet/dry, dry, and end of dry season), with repeated measures over time. The following variables were evaluated: canopy height, leaf: stem ratio, forage mass, leaf mass, stem mass and dead material mass. Total digestible nutrients, crude protein and in vitro dry mass digestibility were evaluated regarding forage nutrition. Animal performance, using 36 eleven-month-old animals (half-blood Nelore), was evaluated by the daily average gain and weight gain by area. During pre-grazing, canopy height presented interaction among forage cultivars and the evaluated periods. The average daily gain showed no interaction among cultivars and period of the year the similarity in animal performance among the cultivars Marandu and Massai show that the Massai grass can be used as an alternative for forage diversification under an alternate management system.

https://doi.org/10.4025/actascianimsci.v44i1.53779

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