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au:Silva, Ana Marcia Rodrigues da

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The effects of multidimensional well-being growth on poverty and inequality in Brazil over the periods of 2004-2008 and 2016-2019 wellbeing well being 20042008 2004 2008 2004-200 20162019 2016 2019 2016-201 2004200 200 2004-20 2016201 201 2016-20 200420 20 2004-2 201620 2016-2 20042 2 2004- 20162 2016-
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NEVES, OTAVIO JUNIO FARIA

; SILVA, ANA MÁRCIA RODRIGUES DA

Brazilian Journal of Political Economy

Journal Metrics
- Sobre o periódico
- SciELO Analytics

apr 2023, Volume 43 N. 2 Pages 358 - 379

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

RESUMO Por meio deste trabalho objetiva-se analisar os efeitos do crescimento do bem-estar multidimensional na pobreza e desigualdade do Brasil nos períodos de 2004-2008 e 2016-2019. Empiricamente, são utilizadas as metodologias de Kakwani e Pernia (2000), Kakwani, Khandker e Son (2004) e a decomposição de Shapley. Os resultados mostraram que houve diminuição da pobreza multidimensional entre 2004 e 2008 e um aumento entre 2016 e 2019. O crescimento do bem-estar multidimensional no segundo período foi antipobre. Com a decomposição constatou-se que, enquanto o crescimento do bem-estar multidimensional contribuiu para a redução da pobreza entre 2004 e 2008, entre 2016 e 2019 a concentração contribuiu para a elevação da pobreza. objetivase objetiva se bemestar bem estar 20042008 2004-200 20162019. 20162019 2016-2019 Empiricamente 2000, 2000 , (2000) (2004 Shapley 200 201 antipobre constatouse constatou 2004200 2004-20 2016201 2016-201 (2000 (200 20 200420 2004-2 201620 2016-20 (20 2 20042 2004- 20162 2016-2 (2 2016- (

ABSTRACT This study aims to analyze the effects of multidimensional well-being growth on poverty and inequality in Brazil over the periods of 2004-2008 and 2016-2019. Empirically, the methodologies of Kakwani and Pernia (2000), Kakwani, Khandker, and Son (2004), and Shapley’s decomposition are used. The results have demonstrated that a decrease in multidimensional poverty happened between 2004 and 2008, and an increase happened between 2016 and -2019. The growth in multidimensional well-being in the second period has been anti-poor. With the decomposition, it was found that while multidimensional well-being growth contributed to poverty reduction between 2004 and2008, between 2016 and 2019 the concentration contributed to an increase in poverty. wellbeing well being 20042008 2008 2004-200 20162019. 20162019 2019. 2016-2019 Empirically 2000, 2000 , (2000) Khandker 2004, (2004) Shapleys Shapley s used 200 201 -2019 antipoor. antipoor anti poor. poor anti-poor and2008 2004200 2004-20 2016201 2016-201 (2000 (2004 20 -201 and200 200420 2004-2 201620 2016-20 (200 2 -20 and20 20042 2004- 20162 2016-2 (20 -2 and2 2016- (2 - (

https://doi.org/10.1590/0101-31572023-3428

Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
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LOUREDO, Brendo Vinicius Rodrigues

; CURADO, Maria Paula

; PENAFORT, Paulo Victor Mendes

; DE ARRUDA, José Alcides Almeida

; ABREU, Lucas Guimarães

; MESQUITA, Ricardo Alves

; PINTO-JÚNIOR, Décio dos Santos

; ABRAHÃO, Aline Corrêa

; ANDRADE, Bruno Augusto Benevenuto de

; AGOSTINI, Michelle

; MORAES, Renata Mendonça

; ANBINDER, Ana Lia

; DOURADO, Pedro Henrique Silva

; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos

; PIRES, Fábio Ramoa

; BORDIGNON, Natalia Cristina Trentin

; GONDAK, Rogério Oliveira

; DE OLIVEIRA, Marcia Gaiger

; CARRARD, Vinicius Coelho

; MARTINS, Manoela Domingues

; SOUSA-NETO, Sebastião Silvério

; ARANTES, Diego Antônio Costa

; MENDONÇA, Elismauro Francisco

; CIESLAK-SANCHES, Silvia Roberta

; ANTUNES, Daniella Moraes

; AMARAL-SILVA, Gleyson Kleber do

; MANIERI, Patricia Rubia

; RAMALHO, Luciana Maria Pedreira

; DOS SANTOS, Jean Nunes

; LEONEL, Augusto César Leal da Silva

; PEREZ, Danyel Elias da Cruz

; VERHEUL, Hannah Carmem Carlos Ribeiro Silva

; BARROSO, Keila Martha Amorim

; RODRIGUES, Flávia Luiza Santos

; GONZAGA, Amanda Katarinny Goes

; FERNANDES, Romana Renery

; DE SOUZA, Lélia Batista

; SOUZA, Lucas Lacerda de

; PONTES, Flávia Sirotheau Corrêa

; PONTES, Hélder Antônio Rebelo

; SILVA, Caroline Alfaia

; CÂMARA, Jeconias

; LIBÓRIO-KIMURA, Tatiana Nayara

; SANTOS-SILVA, Alan Roger

; LOPES, Márcio Ajudarte

; ALMEIDA, Oslei Paes de

; ROMAÑACH, Mário José

; VARGAS, Pablo Agustin

Brazilian Oral Research

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 37 elocation e126

Abstract: En | Text: En | PDF: En

Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System. (OMPLs SCC. . (SCC) crosssectional cross sectional North, North (North Northeast CentralWest, CentralWest Central West, West Central-West South. South South) 201 120010 120 010 120,01 20102019, 20102019 , (2010-2019) 69 6 9 6.9 8,321 8321 8 321 (8,32 0.8%, 08 0 (0.8% 95 cases, 4.9%, 49 4 (4.9% 5971 5 971 5,97 1.2%, 12 1 2 (1.2% 1399 399 1,39 Brazils s 64.5%, 645 64.5% 64 (64.5%) located men years level consumption group nonCaucasian non formercurrent former users Institute 99 9.9 Therefore System (SCC 20 12001 01 120,0 2010201 (2010-2019 6. 8,32 832 32 (8,3 0.8% (0.8 4.9% (4.9 597 97 5,9 1.2% (1.2 139 39 1,3 64.5 (64.5% 9. 1200 120, 201020 (2010-201 8,3 83 3 (8, 0.8 (0. 4.9 (4. 59 5, 1.2 (1. 13 1, 64. (64.5 20102 (2010-20 8, (8 0. (0 4. (4 1. (1 (64. (2010-2 ( (64 (2010- (6 (2010 (201 (20 (2

https://doi.org/10.1590/1807-3107bor-2023.vol37.0126

Improvement of the properties of hardboard with heat treatment application
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Costa, Laíze Jorge da

; Paula, Edgley Alves de Oliveira

; Melo, Rafael Rodolfo de

; Scatolino, Mario Vanoli

; Albuquerque, Felipe Bento de

; Oliveira, Ramona Rodrigues Amaro de

; Souza, Joana Alice Galdino de

; Silva, Ana Karla Vieira da

; Santos, Márcia Ellen Chagas dos

; Rodolfo Junior, Francisco

Matéria (Rio de Janeiro)

Journal Metrics
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2023, Volume 28 N. 1 elocation e20220291

Abstract: En | Text: En | PDF: En

ABSTRACT The attempt to face the limitations of wood-based materials, especially concerning the relationship with water, is still a considerable gap in research on this subject. The present work proposes the accomplishment of thermal treatment in fiberboard-type hardboard, using different temperatures and times, to evaluate the effect on the physical-mechanical properties. The parameters of the heat treatment were temperatures of 120 and 160 °C and times of 20 and 40 min. The hardboards were individually heat treated in a kiln. The characterization was performed from physical tests such as bulk density, moisture content, water absorption (2 and 24 h), thickness swelling (2 and 24 h); and mechanical properties of flexural strength. The treatment with a temperature of 160 °C for 40 min showed the lowest values of water absorption in 24 h (34%). Thickness swelling was lower compared to control, for all the treatments applied. Regarding flexural strength, the treatment that adopted the 160 °C for 20 min showed the highest MOR value (26.3 MPa). In general, the performance of heat treatments positively influenced the physical and mechanical properties of the hardboards, being an interesting alternative in the development of products for applications in internal environments. woodbased wood based materials subject fiberboardtype fiberboard type hardboard physicalmechanical 12 16 C 2 4 kiln density content ( h, , h) strength 34%. 34 34% . (34%) control applied 26.3 263 26 3 (26. MPa. MPa MPa) general environments 1 (34% 26. (26 (34 (3

https://doi.org/10.1590/1517-7076-rmat-2022-0291

Lifestyle factors in patients with chronic neuropathic pain after COVID-19: a cross-sectional study COVID19 COVID 19 COVID-19 crosssectional cross sectional COVID1 1 COVID-1 COVID-
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Barbosa, Weltton Augusto da Silva

; Dias, Lilian Chessa

; Cunha, Ana Marcia Rodrigues

; Foss, Marcos Dall Aglio

; Condi, Paulo Rafael

; Martins, Marielza Regina Ismael

BrJP

Journal Metrics
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oct 2022, Volume 5 N. 4 Pages 354 - 358

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

RESUMO JUSTIFICATIVA E OBJETIVOS: O estilo de vida após uma restrição social causada pela pandemia do COVID-19 apontou a influência sobre quadros de dores crônicas. O objetivo deste estudo foi identificar fatores relacionados ao estilo de vida de pacientes com dor neuropática crônica após infecção de COVID-19. MÉTODOS: Trata-se de um estudo analítico observacional transversal com 62 indivíduos diagnosticados com dor crônica neuropática e vinculados a uma Clínica de Dor. Foram aplicadas fichas com dados sociodemográficos, as quais foram avaliadas por meio da escala de dor Neuropathic Symptoms and Signs Pain Scale (S-LANSS) e do Questionário de Estilo de Vida Fantástico (FLQ), respectivamente, que fornecem uma ampla gama de informações em relação aos comportamentos que caracterizam o estilo de vida. RESULTADOS: A amostra foi composta por 62 participantes, com média de idade de 56,2±12,9 anos, predomínio de mulheres (60%), pessoas casadas (64%) e com filhos (80%). A S-LANSS revelou 48 pacientes (77%) com mecanismos neuropáticos no exame de sensibilidade, 80%(n=50) relataram alodinia somente na área dolorida. Quase 80% dos pacientes apresentaram estilo de vida regular (n=48), com os componentes de atividade e nutrição sendo autopercebidos negativamente. CONCLUSÃO: No presente estudo, os pacientes com dor crônica neuropática mostraram que o nível de atividade e a presença de álcool comprometeram seu estilo de vida. Estes componentes são aspectos do estilo de vida desses pacientes que devem ser entendidos e validados, a fim de se pensar em estratégias de enfrentamento que possam influenciar novas formas de abordagem e organização de serviços. DESTAQUE O estilo de vida de pacientes com dor crônica foi alterado pós-COVID. OBJETIVOS COVID19 COVID 19 COVID-1 crônicas COVID19. 19. MÉTODOS Tratase Trata 6 Dor sociodemográficos SLANSS S LANSS (S-LANSS FLQ, FLQ , (FLQ) respectivamente RESULTADOS participantes 562129 56 2 12 9 56,2±12, anos 60%, 60 60% (60%) 64% 64 (64% 80%. 80 . (80%) 4 77% 77 (77% sensibilidade 80%n=50 80n50 n n=50 50 80%(n=50 dolorida n=48, n48 n=48 (n=48) negativamente CONCLUSÃO validados serviços pósCOVID. pósCOVID pós COVID. pós-COVID COVID1 1 COVID- (FLQ 56212 5 56,2±12 (60% (64 8 (80% 7 (77 80%n=5 80n5 n50 n=5 80%(n=5 n4 n=4 (n=48 5621 56,2±1 (60 (6 (80 (7 80%n= 80n n5 n= 80%(n= (n=4 562 56,2± ( (8 80%n 80%(n (n= 56,2 (n 56,

ABSTRACT BACKGROUND AND OBJECTIVES: Lifestyle after a social restriction caused by the COVID-19 pandemic pointed to influence on chronic pain scenarios. The aim of this study was to identify lifestyle factors related to patients with chronic neuropathic pain after COVID-19 infection. METHODS: This is a cross-sectional observational analytical study with 62 patients diagnosed with chronic neuropathic pain and belonging to a Pain Clinic, where a form with sociodemo-graphic data was applied and they were evaluated using the Neuropathic Symptoms and Signs Pain Scale (S-LANSS) and the Fantastic Lifestyle Questionnaire (FLQ), respectively, which provides a wide range of information regarding lifestyle behaviors. RESULTS: The sample was composed of 62 participants, mean age 56.2±12.9 years, predominance of women (60%), married people (64%) and with children (80%). S-LANSS revealed 48 patients (77%) with neuropathic mechanisms on sensitivity examination, 80%(n=50) reported allodynia only in the painful area. Almost 80% of patients had regular lifestyle (n=48), with the activity and nutrition components being self-perceived negatively. CONCLUSION: In the present study, patients with chronic neuropathic pain showed that the level of activity and the presence of alcohol compromised their lifestyle. These components are aspects of these patients lifestyle that must be understood and validated in order to think of countering strategies that can influence new forms of approach and organization of services. HIGHLIGHTS The lifestyle of chronic pain patients was altered post-COVID. OBJECTIVES COVID19 COVID 19 COVID-1 scenarios infection METHODS crosssectional cross sectional 6 Clinic sociodemographic sociodemo graphic SLANSS S LANSS (S-LANSS FLQ, FLQ , (FLQ) respectively behaviors RESULTS participants 562129 56 2 12 9 56.2±12. years 60%, 60 60% (60%) 64% 64 (64% 80%. 80 . (80%) 4 77% 77 (77% examination 80%n=50 80n50 n n=50 50 80%(n=50 area n=48, n48 n=48 (n=48) selfperceived self perceived negatively CONCLUSION services postCOVID. postCOVID post COVID. post-COVID COVID1 1 COVID- (FLQ 56212 5 56.2±12 (60% (64 8 (80% 7 (77 80%n=5 80n5 n50 n=5 80%(n=5 n4 n=4 (n=48 5621 56.2±1 (60 (6 (80 (7 80%n= 80n n5 n= 80%(n= (n=4 562 56.2± ( (8 80%n 80%(n (n= 56.2 (n 56.

https://doi.org/10.5935/2595-0118.20220058-en

Health-Related Quality of Life Reported by Patients With Chagas Disease: A Systematic Review of Qualitative Evidence With GRADE Recommendations
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Silva, Whesley Tanor

; Oliveira, Lucas Frois Fernandes

; Xavier, Diego Mendes

; Figueiredo, Pedro Henrique Scheidt

; Lacerda, Ana Cristina Rodrigues

; Mendonça, Vanessa Amaral

; Ávila, Matheus Ribeiro

; Ferreira Júnior, Cláudio Luiz

; Lima, Márcia Maria Oliveira

; Mediano, Mauro Felippe Felix

; Rocha, Manoel Otávio da Costa

; Costa, Henrique Silveira

Revista da Sociedade Brasileira de Medicina Tropical

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2022, Volume 55 elocation e0377-2022

Abstract: En | Text: En | PDF: En

ABSTRACT Patients with Chagas disease have reduced health-related quality of life (HRQoL). Hence, we aimed to identify the factors that mostly affected their HRQoL. This was a systematic review of qualitative studies. The Latin American and Caribbean Health Sciences Literature, Medical Literature Analysis and Retrieval System Online, Excerpta Medica Database, Web of Science, and SciVerse Scopus databases were searched for relevant studies without language or date restrictions. The search and data analysis were performed by independent reviewers; all qualitative studies that reported the factors that had an impact on the HRQoL of patients with Chagas disease were included. The risk of bias was assessed using the Critical Appraisal Skills Program Qualitative Study Checklist; confidence in the evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative approach. Five studies were included in this review: four in Brazil and one in California, United States, with immigrants from Central and South America. The sample consisted of 207 patients with chronic Chagas disease. Stigma, physical limitations, work absenteeism, emotional or mental aspects, fear of treatment, and fear of the future had the strongest impact on the HRQoL. All items showed moderate confidence except for fear of treatment (low confidence). The physical, emotional, mental, and cultural aspects affected the HRQoL of patients with chronic Chagas disease. Identification of these factors is important in the development of strategies aimed at improving the HRQoL of this population.

https://doi.org/10.1590/0037-8682-0377-2022

Determinantes da Capacidade Funcional em Pacientes com Doença de Chagas
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Silva, Whesley Tanor

; Costa, Henrique Silveira

; Figueiredo, Pedro Henrique Scheidt

; Lima, Márcia Maria Oliveira

; Lima, Vanessa Pereira

; Costa, Fábio Silva Martins da

; Ávila, Matheus Ribeiro

; Mendonça, Vanessa Amaral

; Lacerda, Ana Cristina Rodrigues

; Nunes, Maria Carmo Pereira

; Rocha, Manoel Otávio Costa

Arquivos Brasileiros de Cardiologia

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nov 2021, Volume 117 N. 5 Pages 934 - 941

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

Resumo Fundamento: A doença de Chagas leva à redução da capacidade funcional. Entretanto, o estágio em que o comprometimento funcional é detectável permanece obscuro. Objetivos: O presente estudo teve como objetivo comparar a capacidade funcional de pacientes em diferentes estágios da doença de Chagas e de indivíduos saudáveis e verificar os determinantes do consumo de oxigênio de pico (VO2pico). Métodos: Em um estudo transversal, foram selecionados 160 indivíduos, 35 saudáveis e 125 com doença de Chagas. No grupo chagásico, 61 (49%) estavam na forma indeterminada da doença, 45 (36%) com cardiomiopatia chagásica (CC) e função cardíaca preservada e 19 (15%) com disfunção cardíaca e CC dilatada. Os dados foram analisados por meio de análise de regressão univariada e multivariada. A significância estatística foi fixada em 5%. Resultados: Pacientes na forma indeterminada da doença apresentaram capacidade funcional semelhante a indivíduos saudáveis (p> 0,05). Pacientes com ChC e função cardíaca preservada apresentaram VO2pico menor que os pacientes na forma indeterminada (p <0,05), mas apresentaram valores de VO2pico semelhantes ao ChC dilatado (p = 0,46). A idade, sexo masculino, classe funcional da NYHA, pressão arterial diastólica, razão entre a velocidade do fluxo transmitral diastólico precoce e a velocidade anular mitral diastólica precoce, a fração de ejeção do ventrículo esquerdo (FEVE) e o diâmetro diastólico final do ventrículo esquerdo foram associados à capacidade funcional. Porém, apenas idade, sexo masculino, FEVE e classe funcional da NYHA permaneceram associados ao VO2pico no modelo final (R2 ajustado = 0,60). Conclusão: Pacientes com CC apresentam menor capacidade funcional do que pacientes na forma indeterminada. FEVE, idade, sexo masculino e classe funcional da NYHA foram determinantes do VO2pico em pacientes com doença de Chagas.

Abstract Background: Chagas disease leads to reduced functional capacity. However, the stage at which functional impairment is detectable remains unclear. Objectives: The present study was addressed to compare the functional capacity of patients at different stages of Chagas disease and healthy individuals and to verify the determinants of peak oxygen uptake (VO2peak). Methods: In a cross-sectional study, 160 individuals were selected, 35 healthy and 125 with Chagas disease. In the Chagasic group, 61 (49%) were in the indeterminate form of the disease, 45 (36%) with Chagas cardiomyopathy (ChC) and preserved cardiac function and 19 (15%) with cardiac dysfunction and dilated ChC. The data were analyzed using univariate and multivariate regression analysis. Statistical significance was set at 5%. Results: Patients in the indeterminate form of disease showed similar functional capacity to healthy individuals (p>0.05). Patients with ChC and preserved cardiac function had lower VO2peak than patients in the indeterminate form (p<0.05), but showed similar VO2peak values than dilated ChC (p=0.46). The age, male sex, NYHA functional class, diastolic blood pressure, ratio of the early diastolic transmitral flow velocity to early diastolic mitral annular velocity, left ventricular ejection fraction (LVEF) and left ventricular end-diastolic diameter were associated with functional capacity. However, only age, male sex, LVEF and NYHA functional class, remained associated with VO2peak in the final model (adjusted R2=0.60). Conclusion: Patients with ChC had lower functional capacity than patients in the indeterminate form. LVEF, age, male sex and NYHA functional class were determinants with VO2peak in patients with Chagas disease.

https://doi.org/10.36660/abc.20200462 3 downloads

A rare presentation of central granular cell odontogenic tumor
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Sander Koth, Valesca

; Colussi da Silva, João Antônio

; Homem de Carvalho, Ana Luísa

; Rodrigues Payeras, Marcia

; dal Moro Maito, Fábio Luiz

Revista Estomatológica Herediana

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apr 2021, Volume 31 N. 2 Pages 125 - 130

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

SUMMARY The central granular cell odontogenic tumor (CGCOT) is a rarely seen neoplasm of odontogenic origin with a predilection for mandible of middle aged women. The lesion shows slow growing and radiographic feature of a radiolucent unilocular lesion with a radiopaque border. The present study aims to report a new case of CGCOT with an atypical involvement of anterior maxilla. Clinical exam showed swelling of the hard palate and the vestibular area of left canine and pre-molar of maxilla. Cone beam computed tomography showed a hypodense unilocular well delimited lesion extending from central left incisive to left pre-molar region. Histopathological analysis showed granular eosinophilic cells and islands of odontogenic epithelium and positive immunostaining for CK14, vimentin, CD68, Ki67 and S-100, which established the diagnosis of CGCOT. The patient is under follow-up without recurrence for sixteen months.

RESÚMEN El tumor odontogénico de células granulares central (TOCGC) es una neoplasia odontogénica rara con predilección por la mandíbula de las mujeres de edad mediana. La lesión muestra un crecimiento lento y una característica radiográfica de una lesión radiolúcida unilocuclar con bordes escleróticos. El objetivo del presente estudio es reportar un nuevo caso de TOCGC con envolvimiento atípico del maxilar anterior. El examen clínico mostró aumento de volumen del paladar duro y el área vestibular del canino izquierdo y premolar del maxilar superior. La tomografía computarizada de haz cónico mostró una lesión unilocular hipodensa bien delimitada que se extendía del incisivo central izquierdo a la región premolar izquierda. El análisis histopatológico mostró células eosinofílicas granulares e islas de epitelio odontogénico e inmunotinción positiva para CK14, vimentina, CD68, Ki67 y S-100, lo que estableció el diagnóstico de TOCGC. El paciente está en seguimiento sin recidiva durante dieciséis meses.

https://doi.org/10.20453/reh.v31i2.3973

Factors associated with Leishmania infection in dogs and geospatial analysis in the Sertão of Paraíba, Northeast Brazil
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Braz, Beatriz Maria de Almeida

; Leite, Denny Parente de Sá Barreto Maia

; Silva, Raizza Barros Sousa

; Silva, Maria Luana Cristiny Rodrigues da

; Azevedo, Ana Clara de França Silva

; Martins Filho, Erotides

; Ramalho, Walter Massa

; Melo, Marcia Almeida de

Revista Brasileira de Parasitologia Veterinária

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2021, Volume 30 N. 2 elocation e023620

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

Resumo A leishmaniose visceral (LV) é uma zoonose com distribuição mundial de grande impacto na saúde pública. O objetivo deste estudo foi verificar a prevalência da infecção canina por Leishmania infantum, os fatores associados à infecção e sua distribuição espacial no município de Mãe D’Água, na região do Sertão da Paraíba, Nordeste do Brasil. Amostras de sangue foram coletadas de 150 cães para diagnóstico pelos ensaios DPP®, ELISA-S7®, ELISA-EIE® e qPCR. A prevalência foi calculada considerando-se a positividade em pelo menos dois testes. O SaTScan® foi utilizado para a análise espacial. A prevalência da infecção canina com Leishmania foi de 18,6% (28/150), sendo a zona rural identificada como fator de risco (Odds Ratio (OR) = 2,93). A permanência do cão solto durante a noite (OR = 0,33) e a vermifugação (OR = 0,30) foram classificadas como fatores de proteção. Um cluster de risco foi formado na região Norte da área urbana. Mãe D’Água apresentou um padrão de transmissão ativa na área rural, porém medidas de controle da LVC também precisam ser realizadas na área urbana para evitar casos humanos e a dispersão da doença na zona de risco.

Abstract Visceral leishmaniasis (VL) is a zoonosis with a worldwide distribution that has a major impact on public health. The aim of this study was to verify the prevalence of canine infection by Leishmania infantum, the factors associated with the infection and its spatial distribution in the municipality of Mãe D’Água, in the Sertão region of Paraíba State, Northeast Brazil. Blood samples were collected from 150 dogs for diagnosis by the DPP®, ELISA-S7®, ELISA-EIE® and qPCR assays. The prevalence was calculated considering the positivity in at least two tests. SaTScan® was used for spatial analysis. The prevalence of canine infection with Leishmania was 18.6% (28/150), with the rural area being identified as a risk factor (Odds Ratio (OR) = 2.93). The permanence of the dog loose during the night (OR = 0.33) and deworming (OR = 0.30) were identified as protective factors. A risk cluster was formed in the northern region of the urban area. Mãe D’Água showed a pattern of active transmission in the rural area, but VL control measures also need to be carried out in the urban area to prevent human cases and the spread of the disease in the risk zone.

https://doi.org/10.1590/s1984-29612021047 257 downloads

Gait speed and functional performance in elderly women with knee osteoarthritis
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Oliveira, Rayanne Crislaynne Silva

; Inocêncio, Ana Vitória Morais

; Shirahige, Lívia

; Rodrigues, Marco Aurelio Benedetti

; Vasconcelos, Cinthia Rodrigues

; Pedrosa, Marcia Alessandra Carneiro

Fisioterapia em Movimento

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2021, Volume 34 elocation e34120

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

Resumo Introdução: A osteoartrite de joelho (OJ) é uma doença degenerativa e inflamatória que causa incapacidade musculoesquelética, acarretando limitação de atividades funcionais como a marcha. Objetivo: Avaliar a relação entre velocidade da marcha e desempenho funcional em idosas com OJ. Métodos: Trinta e oito idosas foram divididas em grupo com osteoartrite de joelho (GOAJ) (n = 24, 68 ± 4,42) e grupo controle (GC) (n = 14, 66,35 ± 3,54) e avaliadas quanto à velocidade da marcha, utilizando o sistema Qualisys, e quanto ao desempenho funcional através de um checklist da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Resultados: GOAJ apresentou menor velocidade da marcha (p = 0,004) e pior desempenho funcional nas categorias da CIF d4500 (andar distâncias curtas), d4501 (andar distâncias longas), d4502 (andar em superfícies diferentes) e d4503 (andar contornando obstáculos) em comparação ao GC (p < 0,05). Ao associar velocidade da marcha e desempenho funcional do GOAJ, encontrou-se diferenças nas categorias d4500 (p = 0,019) e d4501 (p = 0,035), mas não em relação às categorias d4502 (p = 0,511) e d4503 (p = 0,076). Velocidade da marcha correlacionou-se negativamente com d4500 (rho = - 0,585, p = 0,003), d4501 (rho = -0,552, p = 0,005) e d4502 (rho = -0,548, p = 0,006). Conclusão: Existe relação entre velocidade da marcha e desempenho funcional de idosas com OJ quanto às atividades de andar distâncias curtas e longas e sobre superfícies diferentes; no entanto, a velocidade da marcha parece não interferir na atividade de andar contornando obstáculos.

Abstract Introduction: Knee osteoarthritis is a degenerative and inflammatory disease that causes skeletal muscle dysfunction and induces limitation of functional activities, such as gait. Objective: To assess the relationship between gait speed and functional performance in elderly women with knee osteoarthritis. Methods: 38 elderly women were divided into two groups: knee osteoarthritis group (KOAG) (n = 24, 68 ± 4.42) and control group (CG) (n = 14, 66.35 ± 3.54). Gait speed data was assessed through Qualisys system and functional performance through a checklist of the International Classification of Functioning, Disability and Health (ICF). Results: Comparing with CG (p < 0.05), KOAG patients had lower gait speed (p = 0.004) and worse functional performance in d4500 (walking short distances), d4501 (walking long distances), d4502 (walking on different surfaces), and d4503 (walking around obstacles) ICF categories. By associating gait speed and functional performance in KOAG, significant differences were found in the d4500 (p = 0.019) and d4501 (p = 0.035) categories, but none for either the d4502 (p = 0.511) or d4503 (p = 0.076) categories. Gait speed was negatively correlated with d4500 (rho = -0.585, p = 0.003), d4501 (rho= -0.552, p = 0.005), and d4502 (rho = -0,548, p = 0,006). Conclusion: Gait speed is related to functional performance in elderly women with knee osteoarthritis for the activities of walking short distances, walking long distances, and walking on different surfaces. However, it seems that gait speed is not related to walking around obstacles.

https://doi.org/10.1590/fm.2021.34120

10.

Dupla jornada de trabalho na enfermagem: dificuldades enfrentadas no mercado de trabalho e cotidiano laboral
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Soares, Samira Silva Santos

; Lisboa, Marcia Tereza Luz

; Queiroz, Ana Beatriz Azevedo

; Silva, Karla Gualberto

; Leite, Jandra Cibele Rodrigues de Abrantes Pereira

; Souza, Norma Valéria Dantas de Oliveira

Escola Anna Nery

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2021, Volume 25 N. 3 elocation e20200380

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

Resumo Objetivo compreender por meio da lexicografia básica os vocabulários mais frequentes expressos por trabalhadores de enfermagem sobre a experiência de ter uma dupla jornada de trabalho. Método pesquisa qualitativa, realizada com 30 trabalhadores de enfermagem com dupla jornada de trabalho captados pela técnica snowball, entre janeiro e março de 2019, na cidade de Eunápolis, Bahia, Brasil. Os dados foram obtidos por meio de uma entrevista semiestruturada, processados com o auxílio do software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ®). A partir da nuvem de palavras deu-se a análise lexical. Resultado os léxicos mais frequentes identificados no corpus foram “não” e “gente”. Conclusão e implicações para a prática os vários “nãos” evocados pelos participantes apontam que a experiência de trabalho é marcada por negatividade, restrições e sofrimento, fato que coloca em risco a saúde dessa “gente”, ou seja, desse coletivo profissional, suas relações sociais e até mesmo a qualidade da assistência prestada ao cliente. A compreensão desse contexto é fundamental para produzir reflexões que contribuam para a construção de políticas públicas voltadas à valorização e proteção dos trabalhadores de enfermagem bem como para reforçar a indispensável necessidade da enfermagem se fortalecer como classe trabalhadora.

Abstract Objective To understand, through basic lexicography, the most frequent words expressed by nurses on the experience of working double shifts. Method A qualitative research study carried out with 30 nurses working double shifts, captured by the snowball technique, between January and March 2019, in the city of Eunápolis, state of Bahia, Brazil. Data was obtained through a semi-structured interview and processed with the aid of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ®) software. From the word cloud, lexical analysis took place. Result The most frequent words identified in the corpus were “no” and “we”. Conclusion and implications for practice The many “nos” evoked by the participants point out that the experience is marked by negativity, restrictions and suffering, a fact that puts the health of the “we” at risk, that is, of this professional group, their social relationships, and even the quality of the assistance provided to the customer. Understanding this context is essential to produce reflections that contribute to the creation of public policies aimed at valuing and protecting nurses, as well as to reinforce the indispensable need for Nursing to strengthen as a working class.

Resumen Objetivo Comprender, a través de la lexicografía básica, los vocabularios más frecuentes expresados por los trabajadores de enfermería sobre la experiencia de tener una doble jornada laboral. Método Investigación cualitativa, realizada con 30 trabajadores de enfermería con doble jornada capturada por la técnica de bola de nieve, entre enero y marzo de 2019, en la ciudad de Eunápolis, Bahía, Brasil. Los datos se obtuvieron a través de una entrevista semiestructurada, procesada con la ayuda del software Interface de pour pour Analyzes Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ®). A partir de la nube de palabras, se realizó el análisis léxico. Resultado Los léxicos más frecuentes identificados en el corpus fueron “no” y “personas”. Conclusión e implicaciones para la práctica los distintos “no” evocados por los participantes señalan que la experiencia laboral está marcada por la negatividad, las restricciones y el sufrimiento, hecho que pone en riesgo la salud de estas “personas”, es decir, de este grupo professional, su relaciones sociales e incluso la calidad de la asistencia prestada al cliente. Comprender este contexto es fundamental para producir reflexiones que contribuyan a la construcción de políticas públicas orientadas a la valoración y protección de los trabajadores de enfermeira, así como a reforzar la indispensable necesidad de que la enfermería se fortalezca como clase trabajadora.

https://doi.org/10.1590/2177-9465-ean-2020-0380 763 downloads

11.

Dupla jornada de trabalho na enfermagem: dificuldades enfrentadas no mercado de trabalho e cotidiano laboral
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Soares, Samira Silva Santos

; Lisboa, Marcia Tereza Luz

; Queiroz, Ana Beatriz Azevedo

; Silva, Karla Gualberto

; Leite, Jandra Cibele Rodrigues de Abrantes Pereira

; Souza, Norma Valéria Dantas de Oliveira

Escola Anna Nery

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2021, Volume 25 N. 3 elocation e20200380

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

https://doi.org/10.1590/2177-9465-ean-2020-0380 158 downloads

12.

The Program for Biodiversity Research in Brazil: The role of regional networks for biodiversity knowledge, dissemination, and conservation
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ROSA, CLARISSA

; BACCARO, FABRICIO

; CRONEMBERGER, CECILIA

; HIPÓLITO, JULIANA

; BARROS, CLAUDIA FRANCA

; RODRIGUES, DOMINGOS DE JESUS

; NECKEL-OLIVEIRA, SELVINO

; OVERBECK, GERHARD E.

; DRECHSLER-SANTOS, ELISANDRO RICARDO

; ANJOS, MARCELO RODRIGUES DOS

; FERREGUETTI, ÁTILLA C.

; AKAMA, ALBERTO

; MARTINS, MARLÚCIA BONIFÁCIO

; TOMAS, WALFRIDO MORAES

; SANTOS, SANDRA APARECIDA

; FERREIRA, VANDA LÚCIA

; CUNHA, CATIA NUNES DA

; PENHA, JERRY

; PINHO, JOÃO BATISTA DE

; SALIS, SUZANA MARIA

; DORIA, CAROLINA RODRIGUES DA COSTA

; PILLAR, VALÉRIO D.

; PODGAISKI, LUCIANA R.

; MENIN, MARCELO

; BÍGIO, NARCÍSIO COSTA

; ARAGÓN, SUSAN

; MANZATTO, ANGELO GILBERTO

; VÉLEZ-MARTIN, EDUARDO

; SILVA, ANA CAROLINA BORGES LINS E

; IZZO, THIAGO JUNQUEIRA

; MORTATI, AMANDA FREDERICO

; GIACOMIN, LEANDRO LACERDA

; ALMEIDA, THAÍS ELIAS

; ANDRÉ, THIAGO

; SILVEIRA, MARIA AUREA PINHEIRO DE ALMEIDA

; SILVEIRA, ANTÔNIO LAFFAYETE PIRES DA

; MESSIAS, MARILUCE REZENDE

; MARQUES, MARCIA C.M.

; PADIAL, ANDRE ANDRIAN

; MARQUES, RENATO

; BITAR, YOUSZEF O.C.

; SILVEIRA, MARCOS

; MORATO, ELDER FERREIRA

; PAGOTTO, RUBIANI DE CÁSSIA

; STRUSSMANN, CHRISTINE

; MACHADO, RICARDO BOMFIM

; AGUIAR, LUDMILLA MOURA DE SOUZA

; FERNANDES, GERALDO WILSON

; OKI, YUMI

; NOVAIS, SAMUEL

; FERREIRA, GUILHERME BRAGA

; BARBOSA, FLÁVIA RODRIGUES

; OCHOA, ANA C.

; MANGIONE, ANTONIO M.

; GATICA, AILIN

; CARRIZO, MARÍA CELINA

; RETTA, LUCÍA MARTINEZ

; JOFRÉ, LAURA E.

; CASTILLO, LUCIANA L.

; NEME, ANDREA M.

; RUEDA, CARLA

; TOLEDO, JOSÉ JULIO DE

; GRELLE, CARLOS EDUARDO VIVEIROS

; VALE, MARIANA M.

; VIEIRA, MARCUS VINICIUS

; CERQUEIRA, RUI

; HIGASHIKAWA, EMÍLIO MANABU

; MENDONÇA, FERNANDO PEREIRA DE

; GUERREIRO, QUÊZIA LEANDRO DE MOURA

; BANHOS, AUREO

; HERO, JEAN-MARC

; KOBLITZ, RODRIGO

; COLLEVATTI, ROSANE GARCIA

; SILVEIRA, LUÍS FÁBIO

; VASCONCELOS, HERALDO L.

; VIEIRA, CECÍLIA RODRIGUES

; COLLI, GUARINO RINALDI

; CECHIN, SONIA ZANINI

; SANTOS, TIAGO GOMES DOS

; FONTANA, CARLA S.

; JARENKOW, JOÃO A.

; MALABARBA, LUIZ R.

; RUEDA, MARTA P.

; ARAUJO, PUBLIO A.

; PALOMO, LUCAS

; ITURRE, MARTA C.

; BERGALLO, HELENA GODOY

; MAGNUSSON, WILLIAM E.

Anais da Academia Brasileira de Ciências

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2021, Volume 93 N. 2 elocation e20201604

Abstract: En | Text: En | PDF: En

Abstract The Program for Biodiversity Research (PPBio) is an innovative program designed to integrate all biodiversity research stakeholders. Operating since 2004, it has installed long-term ecological research sites throughout Brazil and its logic has been applied in some other southern-hemisphere countries. The program supports all aspects of research necessary to understand biodiversity and the processes that affect it. There are presently 161 sampling sites (see some of them at Supplementary Appendix), most of which use a standardized methodology that allows comparisons across biomes and through time. To date, there are about 1200 publications associated with PPBio that cover topics ranging from natural history to genetics and species distributions. Most of the field data and metadata are available through PPBio web sites or DataONE. Metadata is available for researchers that intend to explore the different faces of Brazilian biodiversity spatio-temporal variation, as well as for managers intending to improve conservation strategies. The Program also fostered, directly and indirectly, local technical capacity building, and supported the training of hundreds of undergraduate and graduate students. The main challenge is maintaining the long-term funding necessary to understand biodiversity patterns and processes under pressure from global environmental changes.

https://doi.org/10.1590/0001-3765202120201604 1034 downloads

13.

DUPLA JORNADA DE TRABALHO NA ENFERMAGEM: PARADIGMA DA PROSPERIDADE OU REFLEXO DO MODELO NEOLIBERAL?
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Soares, Samira Silva Santos

; Lisboa, Márcia Tereza Luz

; Queiroz, Ana Beatriz Azevedo

; Silva, Karla Gualberto

; Leite, Jandra Cibele Rodrigues de Abrantes Pereira

; Souza, Norma Valéria Dantas de Oliveira

Revista Baiana de Enfermagem

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2021, Volume 35 elocation e38745

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

Objective to understand the reasons that support the practice of double working hours in nursing. Method qualitative research, conducted with 30 nursing workers with double working hours practiced in public and/or private sector institutions, in nursing care and/or management activities, recruited by the snowball technique, between January and March 2019, in Eunápolis, Bahia, Brazil. Data were collected by applying a questionnaire and semi-structured interview, processed by Iramuteq® and submitted to lexical analysis through Descending Hierarchical Classification. Results two classes emerged: The precariousness of nursing work; and Aspirations and needs of nursing workers. Final Thoughts the practice of double working hours in nursing is related to the strong influence of the neoliberal model on the nursing work process, which does not offer the worker adequate material remuneration according to the activities performed and is also related to the cultural issue resulting from the ease of reconciling multiple jobs.

Objetivo entender las razones que apoyan la práctica de doble jornada laboral en enfermería. Método investigación cualitativa, realizada con 30 trabajadores de enfermería con doble jornada de trabajo practicada en instituciones del sector público y/o privado, en cuidados de enfermería y/o actividades de gestión, captadas por la técnica de bola de nieve, entre enero y marzo de 2019, en Eunápolis, Bahía, Brasil. Los datos se recopilaron aplicando un cuestionario y una entrevista semiestructurada, procesada por Iramuteq® y sometidas a análisis léxicos a través de la Clasificación Jerárquica Descendente. Resultados surgieron dos clases: La precariedad del trabajo de enfermería; y aspiraciones y necesidades de los trabajadores de enfermería. Consideraciones finales la práctica de la doble jornada de trabajo en enfermería está relacionada con la fuerte influencia del modelo neoliberal en el proceso de trabajo de enfermería, que no ofrece al trabajador una remuneración material adecuada de acuerdo con las actividades realizadas y también está relacionada con la cuestión cultural resultante de la facilidad de conciliación de múltiples puestos de trabajo.

Objetivo compreender os motivos que sustentam a prática da dupla jornada de trabalho na enfermagem. Método pesquisa qualitativa, realizada com 30 trabalhadores de enfermagem com dupla jornada de trabalho praticada em instituições do setor público e/ou privado, em atividades assistenciais e/ou gerenciais de enfermagem, captados pela técnica snowball, entre janeiro e março de 2019, em Eunápolis, Bahia, Brasil. Os dados foram coletados mediante aplicação de questionário e entrevista semiestruturada, processados pelo Iramuteq® e submetidos à análise lexical via Classificação Hierárquica Descendente. Resultados emergiram duas classes: A precarização do trabalho de enfermagem; e Aspirações e necessidades dos trabalhadores de enfermagem. Considerações Finais a prática da dupla jornada de trabalho na enfermagem está relacionada à forte influência do modelo neoliberal sobre o processo de trabalho da enfermagem, que não oferece ao trabalhador a retribuição material adequada em função das atividades desempenhadas e também se relaciona à questão cultural decorrente da facilidade de conciliar múltiplos empregos.

https://doi.org/10.18471/rbe.v35.38745 78 downloads

14.

COVID-19: The question of genetic diversity and therapeutic intervention approaches
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Figueiredo, David Livingstone Alves

; Ximenez, João Paulo Bianchi

; Seiva, Fábio Rodrigues Ferreira

; Panis, Carolina

; Bezerra, Rafael dos Santos

; Ferrasa, Adriano

; Cecchini, Alessandra Lourenço

; Medeiros, Alexandra Ivo de

; Almeida, Ana Marisa Fusco

; Ramão, Anelisa

; Boldt, Angelica Beate Winter

; Moya, Carla Fredrichsen

; Chin, Chung Man

; Paula, Daniel de

; Rech, Daniel

; Gradia, Daniela Fiori

; Malheiros, Danielle

; Venturini, Danielle

; Tavares, Eliandro Reis

; Carraro, Emerson

; Ribeiro, Enilze Maria de Souza Fonseca

; Pereira, Evani Marques

; Tuon, Felipe Francisco

; Follador, Franciele Aní Caovilla

; Fernandes, Glaura Scantamburlo Alves

; Volpato, Hélito

; Cólus, Ilce Mara de Syllos

; Oliveira, Jaqueline Carvalho de

; Rodrigues, Jean Henrique da Silva

; Santos, Jean Leandro dos

; Visentainer, Jeane Eliete Laguila

; Brandi, Juliana Cristina

; Serpeloni, Juliana Mara

; Bonini, Juliana Sartori

; Oliveira, Karen Brajão de

; Fiorentin, Karine

; Lucio, Léia Carolina

; Faccin-Galhardi, Ligia Carla

; Ferreto, Lirane Elize Defante

; Lioni, Lucy Megumi Yamauchi

; Consolaro, Marcia Edilaine Lopes

; Vicari, Marcelo Ricardo

; Arbex, Marcos Abdo

; Pileggi, Marcos

; Watanabe, Maria Angelica Ehara

; Costa, Maria Antônia Ramos

; Giannini, Maria José S. Mendes

; Amarante, Marla Karine

; Khalil, Najeh Maissar

; Lima Neto, Quirino Alves de

; Herai, Roberto H.

; Guembarovski, Roberta Losi

; Shinsato, Rogério N.

; Mainardes, Rubiana Mara

; Giuliatti, Silvana

; Yamada-Ogatta, Sueli Fumie

; Gerber, Viviane Knuppel de Quadros

; Pavanelli, Wander Rogério

; Silva, Weber Claudio da

; Petzl-Erler, Maria Luiza

; Valente, Valeria

; Soares, Christiane Pienna

; Cavalli, Luciane Regina

; Silva Jr, Wilson Araujo

Genetics and Molecular Biology

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2021, Volume 44 N. 1 elocation e20200452

Abstract: En | Text: En | PDF: En

Abstract Coronavirus disease 2019 (COVID-19), caused by the Severe Acute Respiratory Syndrome Coronavirus type 2 (SARS-CoV-2), is the largest pandemic in modern history with very high infection rates and considerable mortality. The disease, which emerged in China’s Wuhan province, had its first reported case on December 29, 2019, and spread rapidly worldwide. On March 11, 2020, the World Health Organization (WHO) declared the COVID-19 outbreak a pandemic and global health emergency. Since the outbreak, efforts to develop COVID-19 vaccines, engineer new drugs, and evaluate existing ones for drug repurposing have been intensively undertaken to find ways to control this pandemic. COVID-19 therapeutic strategies aim to impair molecular pathways involved in the virus entrance and replication or interfere in the patients’ overreaction and immunopathology. Moreover, nanotechnology could be an approach to boost the activity of new drugs. Several COVID-19 vaccine candidates have received emergency-use or full authorization in one or more countries, and others are being developed and tested. This review assesses the different strategies currently proposed to control COVID-19 and the issues or limitations imposed on some approaches by the human and viral genetic variability.

https://doi.org/10.1590/1678-4685-gmb-2020-0452

15.

The perceptions of physical therapists about facilitators and challenges in the use of different tools for resistance training in COPD patients: a mixed-method study
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Freire, Ana Paula Coelho Figueira

; Uzeloto, Juliana Souza

; Silva, Bruna Spolador de Alencar

; Franco, Marcia Rodrigues Costa

; Ramos, Dionei

; Ramos, Ercy Mara Cipulo

Fisioterapia e Pesquisa

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sep 2019, Volume 26 N. 3 Pages 275 - 284

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

RESUMO O objetivo do estudo foi quantificar e analisar qualitativamente a percepção de fisioterapeutas sobre facilitadores e barreiras no uso de diferentes ferramentas para treinamento resistido em pacientes com doença pulmonar obstrutiva crônica (DPOC). O método utilizado foi desenvolvido em um centro de reabilitação. Seis fisioterapeutas que participaram como terapeutas de um ensaio clínico randomizado foram entrevistados. O protocolo consistiu na avaliação de três ferramentas para treinamento resistido: tubos elásticos, bandas elásticas e treinamento convencional com equipamentos de musculação. Depois da finalização do ensaio clínico randomizado, os fisioterapeutas foram convidados a participar de um grupo focal para análise qualitativa e responder questionário fechado para análise quantitativa. Os profissionais opinaram sobre vantagens e desvantagens de cada uma das três ferramentas na prática clínica. A análise do grupo focal resultou em oito temas: insegurança em relação à carga e manuseio das ferramentas; implementação de tratamento domiciliar; melhorias para ferramentas; vantagens e desvantagens das ferramentas; incidência de lesões com ferramentas elásticas; preferência dos pacientes; e particularidades de cada ferramenta. Fisioterapeutas apontaram diferentes barreiras e facilitadores para o treinamento resistido. Características das ferramentas - como custo, portabilidade, manuseio, praticidade e percepção do paciente e fisioterapeuta - foram citadas como fatores que influenciam a prática clínica. Na análise quantitativa, nenhuma diferença foi observada quando comparados os escores para cada instrumento. As três ferramentas são aplicáveis na prática clínica do fisioterapeuta. Adicionalmente, as características e particularidades de cada uma delas devem ser consideradas.

ABSTRACT This study sought to quantify and qualitatively analyze the perception of physical therapists about facilitators and the challenges in the use of different types of tools for resistance training in chronic obstructive pulmonary disease (COPD) patients. This was a mixed-model study with qualitative analysis developed in a rehabilitation center. Six physical therapists who performed a randomized clinical trial were interviewed. The protocol consisted of the evaluation of three types of resistance training: elastic tubes, elastic bands, and training with conventional weight machines. After completion of the randomized trial, therapists were invited to participate in a focus group to collect qualitative data. Physical therapists also answered a quantitative questionnaire containing closed questions. The main outcome measures were the opinion of physical therapists about the advantages and disadvantages in clinical practice of each of the analyzed tools. The focus group analysis resulted in eight themes: Insecurities regarding load and handling tools, implementation of home-based treatment, improvements of tools, advantages and disadvantages of tools, incidence of injuries with elastic tools, patient’s preferences, and particularities of the tools. Physical therapists pointed out different challenges and facilitators for resistance training. Characteristics of the tools such as costs, portability, handling and practicality were cited as factors that influence clinical practice. In the quantitative analysis, no differences were observed when comparing the scores of each instrument. The three tools analyzed are applicable and feasible in the clinical practice of physical therapists; moreover, they present different characteristics and particularities that should be considered, such as cost, clinical applicability, portability and perception of the patient and therapists.

RESUMEN El objetivo del estudio fue cuantificar y analizar cualitativamente la percepción de fisioterapeutas sobre facilitadores y barreras en el uso de diferentes herramientas de entrenamiento de resistencia en pacientes con enfermedad pulmonar obstructiva crónica (EPOC). El método utilizado fue desarrollado en un centro de rehabilitación. Seis profesionales que participaron como terapeutas en un ensayo clínico aleatorizado fueron entrevistados. El protocolo consistió en la evaluación de tres herramientas de entrenamiento de resistencia: tubos elásticos, bandas elásticas y entrenamiento convencional con equipo de entrenamiento con pesas. Después del ensayo clínico aleatorizado, se invitó a los fisioterapeutas a participar en un grupo focal para análisis cualitativo y a responder un cuestionario cerrado para análisis cuantitativo. Los profesionales opinaron sobre las ventajas y desventajas de cada una de las tres herramientas en la práctica clínica. El análisis del grupo resultó en ocho temas: falta de fiabilidad en lo referente a la carga y al manejo de las herramientas; puesta en práctica del tratamiento domiciliario; mejoras en las herramientas; ventajas y desventajas de las herramientas; incidencia de lesiones con las herramientas elásticas; preferencia de los pacientes; particularidades de cada herramienta. Los fisioterapeutas señalaron diferentes barreras y facilitadores para el entrenamiento de resistencia. Características de la herramienta - como costo, portabilidad, manejo, practicidad y percepción del paciente y del fisioterapeuta - fueron mencionadas como factores que influyen en la práctica clínica. En el análisis cuantitativo no se observaron diferencias de puntaje entre los instrumentos. Las tres herramientas son aplicables en la práctica clínica del fisioterapeuta. Además, se deben considerar las características y particularidades de cada una de ellas.

https://doi.org/10.1590/1809-2950/18013926032019 2601 downloads

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