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‘Uma parte de mim sabia que isso aconteceria um dia’: vivências de jovens com HIV/aids
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Fonseca, Beatriz Sousa da

; Rodrigues, Thamires Fernandes Cardoso da Silva

; Silva, Guilherme Malaquias

; Pimenta, Rosangela Aparecida

; Silva, Marcelo da

; Furtado, Marcela Demitto

; Merino, Maria de Fátima Garcia Lopes

Saúde em Debate

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jun 2024, Volume 48 N. 141 elocation e8986

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

ABSTRACT This study was aimed at understanding the social representations of young people living with HIV. This is a qualitative study, based on the Social Representations Theory, carried out with 16 young people in outpatient follow-up. Data were collected between May and October 2022, through semi-structured interviews. For data processing, the lexical analysis technique was used, operationalized with the aid of the IRAMUTEQ software. The representation strongly associated with the diagnosis of HIV is related to lack of knowledge, prejudice and acceptance, also presenting positive elements such as a new beginning. Classes: Positive diagnosis for HIV: the new ‘me’; HIV in the face of ignorance and stigma; and Interpersonal relationships: dialogue, acceptance and respect necessary for young people. It was understood that the social representations of young people with HIV reflect their condition in society. The data show that there are different ways of experiencing HIV, often represented by fragility, resignation, and other times by strengthening. In order to minimize the vulnerability of young people to exposure to HIV and the risks of living with stigma and social prejudice, it is necessary to adopt strategies to raise awareness about the disease and to expand the dissemination of public policies that cover this topic.

RESUMO O objetivo deste estudo foi compreender as representações sociais de jovens que vivem com o HIV. Estudo qualitativo, ancorado na Teoria das Representações Sociais, realizado com 16 jovens em acompanhamento ambulatorial. Os dados foram coletados entre maio e outubro de 2022, por meio de entrevista semiestruturada. Para o tratamento dos dados, empregou-se a técnica de análise lexical, operacionalizada com o auxílio do software Iramuteq. A representação fortemente associada ao diagnóstico de HIV está relacionada ao desconhecimento, preconceito e aceitação, apresentando, também, elementos positivos como recomeço. Classes: Diagnóstico positivo para o HIV: o ‘eu’ de agora; HIV em face do desconhecimento e do estigma; e Relações interpessoais: diálogo, acolhimento e respeito necessários aos jovens. Compreendeu-se que as representações sociais dos jovens com HIV refletem a sua condição na sociedade. Os dados deste estudo mostram que existem formas distintas de vivenciar o HIV, muitas vezes representadas pela fragilidade, pela resignação, e outras, pelo fortalecimento. A fim de minimizar a vulnerabilidade do jovem à exposição ao HIV e aos riscos de conviver com o estigma e preconceito social, fazem-se necessárias a adoção de estratégias de conscientização da sociedade sobre a doença e a ampliação da divulgação de políticas públicas que abarcam essa temática.

https://doi.org/10.1590/2358-289820241418986p

‘Uma parte de mim sabia que isso aconteceria um dia’: vivências de jovens com HIV/aids Uma dia dia’ HIVaids HIV aids
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Fonseca, Beatriz Sousa da

; Rodrigues, Thamires Fernandes Cardoso da Silva

; Silva, Guilherme Malaquias

; Pimenta, Rosangela Aparecida

; Silva, Marcelo da

; Furtado, Marcela Demitto

; Merino, Maria de Fátima Garcia Lopes

Saúde em Debate

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jun 2024, Volume 48 N. 141 elocation e8986

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

https://doi.org/10.1590/2358-289820241418986p

[SciELO Preprints] - Guidelines on the Diagnosis and Treatment of Hypertrophic Cardiomyopathy – 2024
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Fernandes, Fabio Simões, Marcus V. Correia, Edileide de Barros Marcondes-Braga, Fabiana G. Coelho-Filho, Otavio Rizzi Mesquita, Cláudio Tinoco Mathias-Junior, Wilson Rochitte, Carlos Eduardo Ramires, Felix José Alvarez Alves, Silvia Marinho Martins Montera, Marcelo Westerlund Lopes, Renato Delascio Oliveira-Junior, Mucio Tavares Scolari, Fernando L. Avila, Walkiria Samuel Canesin, Manoel Fernandes Bacal, Fernando Bocchi, Edimar Alcides Moura, Lídia Ana Zytynski Saad, Eduardo Benchimol Scanavacca, Mauricio I. Valdigem, Bruno Pereira Cano , Manuel Nicolas Abizaid , Alexandre Ribeiro, Henrique Barbosa Lemos-Neto, Pedro Alves Ribeiro, Gustavo Calado de Aguiar Jatene, Fabio Biscegli Dias, Ricardo Ribeiro Beck-da-Silva, Luis Rohde, Luis Eduardo P. Bittencourt, Marcelo Imbroinise Pereira, Alexandre Krieger, José Eduardo Villacorta, Humberto Martins, Wolney de Andrade Figueiredo-Neto, José Albuquerque de Cardoso , Juliano Novaes Pastore, Carlos Alberto Jatene, Ieda Biscegli Tanaka, Ana Cristina Sayuri Hotta, Viviane Tiemi Romano, Minna Moreira Dias Albuquerque, Denilson Campos de Mourilhe-Rocha, Ricardo Hajjar, Ludhmila Abrahão Brito, Fabio Sandoli de Caramelli , Bruno Calderaro, Daniela Farsky, Pedro Silvio Colafranceschi , Alexandre Siciliano Pinto, Ibraim Masciarelli Vieira , Marcelo Luiz Campos Danzmann, Luiz Claudio Barberato , Silvio Henrique Mady, Charles Martinelli-Filho, Martino Torbey , Ana Flavia Malheiros Schwartzmann, Pedro Vellosa Macedo, Ariane Vieira Scarlatelli Ferreira , Silvia Moreira Ayub Schmidt, Andre Melo , Marcelo Dantas Tavares de Lima-Filho, Moysés Oliveira Sposito, Andrei C. Brito, Flavio de Souza Biolo, Andreia Madrini-Junior, Vagner Rizk, Stéphanie Itala Mesquita, Evandro Tinoco

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Publication date: 2024-04-08

Abstract: Pt Es En

A cardiomiopatia hipertrófica (CMH) é uma forma de doença do músculo cardíaco de causa genética, caracterizada pela hipertrofia das paredes ventriculares. O diagnóstico requer detecção por métodos de imagem (Ecocardiograma ou Ressonância Magnética Cardíaca) de qualquer segmento da parede do ventrículo esquerdo com espessura > 15 mm, sem outra causa provável. A análise genética permite identificar mutações de genes codificantes de diferentes estruturas do sarcômero responsáveis pelo desenvolvimento da CMH em cerca de 60% dos casos, permitindo o rastreio de familiares e aconselhamento genético, como parte importante do manejo dos pacientes e familiares. Vários conceitos sobre a CMH foram recentemente revistos, incluindo sua prevalência de 1 em 250 indivíduos, não sendo, portanto, uma doença rara, mas subdiagnosticada. A vasta maioria dos pacientes é assintomática. Naqueles sintomáticos, a obstrução do trato de saída do ventrículo esquerdo (OTSVE) é o principal distúrbio responsável pelos sintomas, devendo-se investigar a sua presença em todos os casos. Naqueles em que o ecocardiograma em repouso ou com Manobra de Valsalva não detecta gradiente intraventricular significativo (> 30 mmHg), devem ser submetidos à ecocardiografia com esforço físico para detecção da OTSVE.   Pacientes com sintomas limitantes e grave OTSVE, refratários ao uso de betabloqueadores e verapamil, devem receber terapias de redução septal ou uso de novas drogas inibidoras da miosina cardíaca. Por fim, os pacientes adequadamente identificados com risco aumentado de morta súbita podem receber medida profilática com implante de cardiodesfibrilador implantável (CDI).

La miocardiopatía hipertrófica (MCH) es una forma de enfermedad cardíaca de origen genético, caracterizada por el engrosamiento de las paredes ventriculares. El diagnóstico requiere la detección mediante métodos de imagen (Ecocardiograma o Resonancia Magnética Cardíaca) que muestren algún segmento de la pared ventricular izquierda con un grosor > 15 mm, sin otra causa probable. El análisis genético permite identificar mutaciones en genes que codifican diferentes estructuras del sarcómero responsables del desarrollo de la MCH en aproximadamente el 60% de los casos, lo que permite el tamizaje de familiares y el asesoramiento genético, como parte importante del manejo de pacientes y familiares. Varios conceptos sobre la MCH han sido revisados recientemente, incluida su prevalencia de 1 entre 250 individuos, por lo tanto, no es una enfermedad rara, sino subdiagnosticada. La gran mayoría de los pacientes son asintomáticos. En los casos sintomáticos, la obstrucción del tracto de salida ventricular izquierdo (TSVI) es el trastorno principal responsable de los síntomas, y su presencia debe investigarse en todos los casos. En aquellos en los que el ecocardiograma en reposo o la maniobra de Valsalva no detecta un gradiente intraventricular significativo (> 30 mmHg), deben someterse a ecocardiografía de esfuerzo para detectar la obstrucción del TSVI. Los pacientes con síntomas limitantes y obstrucción grave del TSVI, refractarios al uso de betabloqueantes y verapamilo, deben recibir terapias de reducción septal o usar nuevos medicamentos inhibidores de la miosina cardíaca. Finalmente, los pacientes adecuadamente identificados con un riesgo aumentado de muerte súbita pueden recibir medidas profilácticas con el implante de un cardioversor-desfibrilador implantable (CDI).

Hypertrophic cardiomyopathy (HCM) is a form of genetically caused heart muscle disease, characterized by the thickening of the ventricular walls. Diagnosis requires detection through imaging methods (Echocardiogram or Cardiac Magnetic Resonance) showing any segment of the left ventricular wall with a thickness > 15 mm, without any other probable cause. Genetic analysis allows the identification of mutations in genes encoding different structures of the sarcomere responsible for the development of HCM in about 60% of cases, enabling screening of family members and genetic counseling, as an important part of patient and family management. Several concepts about HCM have recently been reviewed, including its prevalence of 1 in 250 individuals, hence not a rare but rather underdiagnosed disease. The vast majority of patients are asymptomatic. In symptomatic cases, obstruction of the left ventricular outflow tract (LVOT) is the primary disorder responsible for symptoms, and its presence should be investigated in all cases. In those where resting echocardiogram or Valsalva maneuver does not detect significant intraventricular gradient (> 30 mmHg), they should undergo stress echocardiography to detect LVOT obstruction. Patients with limiting symptoms and severe LVOT obstruction, refractory to beta-blockers and verapamil, should receive septal reduction therapies or use new drugs inhibiting cardiac myosin. Finally, appropriately identified patients at increased risk of sudden death may receive prophylactic measure with implantable cardioverter-defibrillator (ICD) implantation.

https://doi.org/10.1590/SciELOPreprints.8394

Perfil e percurso profissional de egressos dos cursos de mestrado e doutorado da Fundação Oswaldo Cruz (2013-2020)
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Deslandes, Suely

; Pina, Joviana Quintes Avanci

; Pinto, Liana Wernersbach

; Delgado, Isabella Fernandes

; Silva, Cosme Marcelo Furtado Passos da

Cadernos de Saúde Pública

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2024, Volume 40 N. 2 elocation e00209222

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

Resumen: El objetivo del estudio es analizar el perfil de egresados e identificar factores asociados al desempeño positivo relacionado a la trayectoria de formación e inserción profesional entre aquellos que concluyeron cursos presenciales de maestría y doctorado académico de la Fundación Oswaldo Cruz (Brasil). Participaron del estudio 2.462 egresados (1.402 de maestría y 1.060 de doctorado) que contestaron el cuestionario de manera digital, con preguntas sobre el perfil del egresado y la inserción profesional antes del ingreso al curso y tras su conclusión. Se creó una medida sobre “desempeño positivo tras el curso”. Los resultados muestran que los egresados de la maestría con un impacto positivo del curso tienden a ser hombres; tener especialización antes de ingresar al curso; tener trabajo remunerado tras concluir el curso en las áreas de investigación, educación, asistencia y gestión; y ser funcionario público. Se evidencia el siguiente perfil en el doctorado: egresados con trabajo remunerado tras el término del curso en las áreas de investigación o educación; contratados bajo un régimen jurídico único o un contrato temporal de persona jurídica; y con publicación científica o patente. La evaluación/seguimiento de egresados se debe establecer como una importante política pública educativa, incorporada en el proceso de autoevaluación institucional, lo que permite revisar direcciones y prioridades en la agenda educativa y pedagógica de la institución.

Abstract: This study aims to analyze the profile of graduates and identify factors associated with positive performance regarding training and professional insertion among those who have completed face-to-face master’s and doctoral courses at the Oswaldo Cruz Foundation (Brazil). A total of 2,462 graduates participated in the study (1,402 master’s and 1,060 doctoral graduates), who answered a digital questionnaire containing questions about individual characteristics and professional insertion before entering the course and after completion. A measure on “positive post-course performance” was created. The results show that Master’s graduates with a positive impact from the course tend to be men; to have a specialization degree before entering the course; to have paid employment after finishing the course in the areas of research, education, assistance, and management; and to be civil servants. In the Doctorate, the following profile is evident: graduates with paid employment after finishing the course in the areas of research or education; hired under a single legal regime or temporary contract as a legal entity; and with a scientific publication or patent. Evaluating/monitoring graduates must be established as an important public educational policy, incorporated into the institutional self-evaluation process, which makes it possible to review directions and priorities in the institution’s educational and pedagogical agenda.

Resumo: O objetivo do estudo é analisar o perfil de egressos e identificar fatores associados ao desempenho positivo relativo à trajetória de formação e de inserção profissional entre aqueles que concluíram cursos presenciais de mestrado e doutorado acadêmico da Fundação Oswaldo Cruz (Brasil). Participaram do estudo 2.462 egressos (1.402 de mestrado e 1.060 de doutorado) que responderam um questionário digital, contendo questões sobre perfil do egresso e inserção profissional antes do ingresso no curso e após a conclusão. Foi criada uma medida sobre “desempenho positivo pós-curso”. Os resultados revelam que egressos de mestrado com impacto positivo do curso tendem a ser homens; ter especialização antes de ingressar no curso; ter emprego remunerado após o término do curso nas áreas de pesquisa, educação, assistência e gestão; e ser servidor público. No doutorado o seguinte perfil é evidenciado: egressos com emprego remunerado após o término do curso nas áreas de pesquisa ou educação; contratados por Regime Jurídico Único ou contrato temporário de pessoa jurídica; e com publicação científica ou patente. A avaliação/acompanhamento de egressos deve se instaurar como uma importante política pública educacional, incorporada no processo de autoavaliação institucional, o que possibilita rever rumos e prioridades na agenda educacional e pedagógica da instituição.

https://doi.org/10.1590/0102-311xpt209222

Factors associated with interprofessional collaboration in Primary Health Care: a multilevel analysis
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Vasconcelos, Jader

; Probst, Livia Fernandes

; Silva, Jaqueline Alcântara Marcelino da

; Costa, Marcelo Viana da

; Higashijima, Marcia Naomi Santos

; Santos, Mara Lisiane de Moraes dos

; Souza, Albert Schiaveto de

; Carli, Alessandro Diogo De

Ciência & Saúde Coletiva

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2024, Volume 29 N. 1 elocation e10572022

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

Abstract Working with an interprofessional focus is increasingly necessary, in view of the growing complexity of the population’s health needs. This study aims to assess interprofessional collaboration and the teamwork climate in primary health care (PHC) and determine whether there is a relationship between these two variables. The AITCS-II instrument was used to measure interprofessional collaboration, while to diagnose teamwork climate, the ECTE instrument was used, a version adapted to the SUS context of the Teamwork Climate Inventory instrument. These two instruments were applied online together with a questionnaire for the sociodemographic characterization of the 544 participants, who belonged to 97 Family Health Strategy (FHS) teams in a Brazilian municipality. The obtained data were submitted to a multilevel analysis. A positive correlation was observed between interprofessional collaboration and three of the four teamwork climate factors. The better the work climate, the better the interprofessional collaboration in the corresponding team, and this characteristic stands out in relation to other individual analyzed characteristics.

Resumo Trabalhar com foco interprofissional é cada vez mais necessário, tendo em vista a crescente complexidade das necessidades de saúde da população. Este estudo tem como objetivo avaliar a colaboração interprofissional e o clima de trabalho em equipe na atenção primária à saúde (APS) e verificar possível relação entre estas duas variáveis. Para mensurar a colaboração interprofissional foi utilizado o instrumento AITCS-II, enquanto para o diagnóstico do clima de trabalho em equipe foi utilizado o instrumento ECTE, versão adaptada para o contexto SUS do instrumento Teamwork Climate Inventory. Esses dois instrumentos foram aplicados on-line juntamente com um questionário para caracterização sociodemográfica dos 544 participantes, pertencentes a 97 equipes da Estratégia Saúde da Família (ESF) de um município brasileiro. Os dados obtidos foram submetidos a uma análise multinível. Foi observada uma correlação positiva entre a colaboração interprofissional e três dos quatro fatores do clima de trabalho em equipe. Quanto melhor o clima de trabalho, melhor a colaboração interprofissional na equipe correspondente, e essa característica se destaca em relação às demais características individuais analisadas.

https://doi.org/10.1590/1413-81232024291.10572022

Retrospective analysis of 1,203 cases of referral to a quaternary vascular surgery outpatient clinic within the Unified Health System, São Paulo, Brazil 1203 1 203 1,20 System Paulo 120 20 1,2 12 2 1,
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Portela, Felipe Soares Oliveira

; Rossetti, Carlos Augusto

; Souza, Thulio Fernandes de

; Magnani, Arthur Souza

; Silva, Marcelo Fiorelli Alexandrino da

; Portugal, Maria Fernanda Cassino

; Teivelis, Marcelo Passos

; Wolosker, Nelson

; Mendes, Cynthia de Almeida

einstein (São Paulo)

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2024, Volume 22 elocation eAO0676

Abstract: En | Text: En | PDF: En

ABSTRACT Objective Consequently, in this study, we aimed to evaluate 1,203 cases of referral to a quaternary vascular surgical service, in São Paulo, Brazil, over a 6-year period, to assess the appropriate need for referral; in addition to the prevalence of surgical indications. Methods In this retrospective analysis, we reviewed the institutional records of participants referred from Basic Healthcare Units to a vascular surgical service inside the Brazilian Unified Health System, between May 2015 and December 2020. Demographic and clinical data were collected. The participants were stratified, as per the reason for referral to the vascular surgical service, previous imaging studies, and surgical treatment indications. Referral appropriateness and complementary examinations were evaluated for each disease cohort. Finally, the prevalence of cases requiring surgical treatment was defined as the outcome measure. Results Of the 1,203 referrals evaluated, venous disease was the main reason for referral (53%), followed by peripheral arterial disease (19.4%). A considerable proportion of participants had been referred without complementary imaging or after a long duration of undergoing an examination. Referrals were regarded as inappropriate in 517 (43%) cases. Of these, 32 cases (6.2%) had been referred to the vascular surgical service, as the incorrect specialty. The percentage of referred participants who ultimately underwent surgical treatment was 39.92%. Carotid (18%) and peripheral arterial diseases (18.4%) were correlated with a lower prevalence of surgical treatments. Conclusion The rate of referral appropriateness to specialized vascular care from primary care settings was low. This may represent a subutilization of quaternary surgical services, with low rates of surgical treatment. Consequently study 1203 1 203 1,20 Paulo Brazil 6year year 6 period indications analysis System 201 2020 collected stratified studies cohort Finally measure 53%, 53 53% , (53%) 19.4%. 194 19.4% . 19 4 (19.4%) examination 51 43% 43 (43% these 3 6.2% 62 2 (6.2% specialty 3992 39 92 39.92% 18% 18 (18% 18.4% 184 (18.4% treatments services 120 20 1,2 202 5 (53% 19.4 (19.4% (43 6.2 (6.2 399 9 39.92 (18 18.4 (18.4 12 1, (53 19. (19.4 (4 6. (6. 39.9 (1 18. (18. (5 (19. ( (6 39. (19

https://doi.org/10.31744/einstein_journal/2024ao0676

Factors associated with interprofessional collaboration in Primary Health Care: a multilevel analysis Care
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Vasconcelos, Jader

; Probst, Livia Fernandes

; Silva, Jaqueline Alcântara Marcelino da

; Costa, Marcelo Viana da

; Higashijima, Marcia Naomi Santos

; Santos, Mara Lisiane de Moraes dos

; Souza, Albert Schiaveto de

; Carli, Alessandro Diogo De

Ciência & Saúde Coletiva

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2024, Volume 29 N. 1 elocation e10572022

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

https://doi.org/10.1590/1413-81232024291.10572022

Diretriz sobre Diagnóstico e Tratamento da Cardiomiopatia Hipertrófica – 2024 202 20 2
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Fernandes, Fabio

; Simões, Marcus V.

; Correia, Edileide de Barros

; Marcondes-Braga, Fabiana Goulart

; Coelho-Filho, Otavio Rizzi

; Mesquita, Cláudio Tinoco

; Mathias Junior, Wilson

; Antunes, Murillo de Oliveira

; Arteaga-Fernández, Edmundo

; Rochitte, Carlos Eduardo

; Ramires, Felix José Alvarez

; Alves, Silvia Marinho Martins

; Montera, Marcelo Westerlund

; Lopes, Renato Delascio

; Oliveira Junior, Mucio Tavares de

; Scolari, Fernando Luis

; Avila, Walkiria Samuel

; Canesin, Manoel Fernandes

; Bocchi, Edimar Alcides

; Bacal, Fernando

; Moura, Lidia Zytynski

; Saad, Eduardo Benchimol

; Scanavacca, Mauricio Ibrahim

; Valdigem, Bruno Pereira

; Cano, Manuel Nicolas

; Abizaid, Alexandre Antonio Cunha

; Ribeiro, Henrique Barbosa

; Lemos Neto, Pedro Alves

; Ribeiro, Gustavo Calado de Aguiar

; Jatene, Fabio Biscegli

; Dias, Ricardo Ribeiro

; Beck-da-Silva, Luis

; Rohde, Luis Eduardo Paim

; Bittencourt, Marcelo Imbroinise

; Pereira, Alexandre da Costa

; Krieger, José Eduardo

; Villacorta Junior, Humberto

; Martins, Wolney de Andrade

; Figueiredo Neto, José Albuquerque de

; Cardoso, Juliano Novaes

; Pastore, Carlos Alberto

; Jatene, Ieda Biscegli

; Tanaka, Ana Cristina Sayuri

; Hotta, Viviane Tiemi

; Romano, Minna Moreira Dias

; Albuquerque, Denilson Campos de

; Mourilhe-Rocha, Ricardo

; Hajjar, Ludhmila Abrahão

; Brito Junior, Fabio Sandoli de

; Caramelli, Bruno

; Calderaro, Daniela

; Farsky, Pedro Silvio

; Colafranceschi, Alexandre Siciliano

; Pinto, Ibraim Masciarelli Francisco

; Vieira, Marcelo Luiz Campos

; Danzmann, Luiz Claudio

; Barberato, Silvio Henrique

; Mady, Charles

; Martinelli Filho, Martino

; Torbey, Ana Flavia Malheiros

; Schwartzmann, Pedro Vellosa

; Macedo, Ariane Vieira Scarlatelli

; Ferreira, Silvia Moreira Ayub

; Schmidt, Andre

; Melo, Marcelo Dantas Tavares de

; Lima Filho, Moysés Oliveira

; Sposito, Andrei C.

; Brito, Flávio de Souza

; Biolo, Andreia

; Madrini Junior, Vagner

; Rizk, Stephanie Itala

; Mesquita, Evandro Tinoco

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 7 elocation e202400415

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.36660/abc.20240415

Diretriz Brasileira de Ergometria em População Adulta – 2024 202 20 2
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Carvalho, Tales de

; Freitas, Odilon Gariglio Alvarenga de

; Chalela, William Azem

; Hossri, Carlos Alberto Cordeiro

; Milani, Mauricio

; Buglia, Susimeire

; Precoma, Dalton Bertolim

; Falcão, Andréa Maria Gomes Marinho

; Mastrocola, Luiz Eduardo

; Castro, Iran

; Albuquerque, Pedro Ferreira de

; Coutinho, Ricardo Quental

; Brito, Fabio Sandoli de

; Alves, Josmar de Castro

; Serra, Salvador Manoel

; Santos, Mauro Augusto dos

; Colombo, Clea Simone Sabino de Souza

; Stein, Ricardo

; Herdy, Artur Haddad

; Silveira, Anderson Donelli da

; Castro, Claudia Lucia Barros de

; Silva, Miguel Morita Fernandes da

; Meneghello, Romeu Sergio

; Ritt, Luiz Eduardo Fonteles

; Malafaia, Felipe Lopes

; Marinucci, Leonardo Filipe Benedeti

; Pena, José Luiz Barros

; Almeida, Antônio Eduardo Monteiro de

; Vieira, Marcelo Luiz Campos

; Stier Júnior, Arnaldo Laffitte

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 3 elocation e20240110

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.36660/abc.20240110

10.

Brazilian Psychiatric Association treatment guidelines for generalized anxiety disorder: perspectives on pharmacological and psychotherapeutic approaches disorder
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Baldaçara, Leonardo

; Paschoal, Ana Beatriz

; Pinto, Aldo Felipe

; Loureiro, Fabiano Franca

; Antonio, Luiz Antonio Vesco Gaiotto

; Veiga, Diogo de Lacerda

; Almeida, Thales Marcon

; dos Santos, Diogo Cesar

; Malloy-Diniz, Leandro Fernandes

; de Mello, Marcelo Feijó

; de Mello, Andrea Feijó

; Sanches, Marsal

; Gandarela, Lucas Marques

; Bernik, Márcio Antonini

; Nardi, Antonio E.

; da Silva, Antônio Geraldo

; Uchida, Ricardo R.

Brazilian Journal of Psychiatry

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2024, Volume 46 elocation e20233235

Abstract: En | Text: En | PDF: En

Generalized anxiety disorder is a highly prevalent mental disorder. Previous data indicate that more than 18 million Brazilians suffer from this condition. Traditionally, generalized anxiety disorder has been considered a mild mental health disorder, despite its links to lower life expectancy, cardiovascular disease, and suicide. The aim of this article is to combine elements of systematic and critical reviews to produce a synthesis of the best evidence about generalized anxiety disorder treatment. Systematic reviews, meta-analyses, and randomized controlled trials were included. The descriptor used in the search was “generalized anxiety disorder,” which resulted in 4,860 articles and seven other studies, of which 59 were selected. Antidepressants and benzodiazepines were indicated, as was pregabalin, and atypical antipsychotics, such as quetiapine, have been studied. Individual cognitive behavior therapy (third wave) has proven effective. There is extensive literature on many effective treatments for generalized anxiety disorder. The present review summarizes the therapeutic possibilities, emphasizing those available in Brazil. Further studies are needed to compare other available medications, assess psychotherapies and new treatments in greater depth, as well as to assess the ideal duration of therapy. Registration number: PROSPERO CRD42021288323. 1 condition Traditionally expectancy disease suicide treatment metaanalyses, metaanalyses meta analyses, analyses meta-analyses included 4860 4 860 4,86 5 selected indicated pregabalin antipsychotics quetiapine studied third wave possibilities Brazil medications depth number CRD42021288323 CRD 486 86 4,8 CRD4202128832 48 8 4, CRD420212883 CRD42021288 CRD4202128 CRD420212 CRD42021 CRD4202 CRD420 CRD42 CRD4

https://doi.org/10.47626/1516-4446-2023-3235

11.

Comparison of seven different RT-qPCR for diagnostic of Foot-and-Mouth disease virus RTqPCR RT qPCR FootandMouth Foot and Mouth
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Fonseca Junior, Antonio Augusto

; Laguardia-Nascimento, Mateus

; Ferreira, Amanda Petrina Scotá

; Silva, René Ribeiro da

; Rivetti Júnior, Anselmo Vasconcelos

; Camargos, Marcelo Fernandes

Ciência Animal Brasileira

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2024, Volume 25 elocation 76304E

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

Resumo O diagnóstico rápido e preciso de surtos de febre aftosa é crucial para conter a rápida transmissão de seu agente causador, o vírus da febre aftosa (FMDV), que representa uma ameaça significativa ao gado do país. Este estudo teve como objetivo realizar uma análise comparativa de vários métodos de RT-qPCR para a detecção do FMDV. Os métodos avaliados para a região 3D demonstraram sensibilidade e especificidade semelhantes. No entanto, foram observadas diferenças notáveis em amostras com baixa concentração de RNA. Embora esses métodos possam ser utilizados de forma intercambiável com resultados consistentes ao lidar com um grande número de amostras enviadas ao laboratório para identificar um surto, variações sutis podem assumir importância ao trabalhar com uma quantidade limitada de amostras contendo baixas cópias de RNA do FMDV. causador FMDV, FMDV , (FMDV) país RTqPCR RT qPCR D semelhantes entanto surto (FMDV

Abstract The prompt and accurate diagnosis of foot-and-mouth disease outbreaks is crucial to curb the swift transmission of its causative agent, the foot-and-mouth disease virus (FMDV), which poses a substantial threat to the nation’s livestock. This study aimed to perform a comparative analysis of various RT-qPCR methods for the detection of FMDV. The methods evaluated for the 3D region demonstrated similar sensitivity and specificity. Nevertheless, noticeable distinctions emerged in samples with low RNA concentration. While these methods can be interchangeably utilized with consistent outcomes when handling a large number of samples sent to the laboratory to pinpoint an outbreak, minor variations may assume significance when working with a limited quantity of samples containing low FMDV RNA copies. footandmouth foot mouth agent FMDV, , (FMDV) nations nation s livestock RTqPCR RT qPCR D specificity Nevertheless concentration outbreak copies (FMDV

https://doi.org/10.1590/1809-6891v25e-76304e

12.

Perfil e percurso profissional de egressos dos cursos de mestrado e doutorado da Fundação Oswaldo Cruz (2013-2020) 20132020 2013 2020 (2013-2020 2013202 201 202 (2013-202 201320 20 (2013-20 20132 2 (2013-2 (2013- (2013 (201 (20 (2 (
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Deslandes, Suely

; Pina, Joviana Quintes Avanci

; Pinto, Liana Wernersbach

; Delgado, Isabella Fernandes

; Silva, Cosme Marcelo Furtado Passos da

Cadernos de Saúde Pública

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2024, Volume 40 N. 2 elocation e00209222

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

https://doi.org/10.1590/0102-311xpt209222

13.

Assessing the Knowledge of Parents and Guardians about Dental Trauma in Children During the COVID-19 Pandemic: A Pilot Study COVID19 COVID 19 COVID-1 Pandemic COVID1 1 COVID-
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Castro, Marcelo Fernandes de

; Caetano, Nicole

; Moraes, Patrícia Rodrigues

; Molina, Renata Cristiane da Silva

; Oliveira, Jasiel de

; Tanaka, Marcia H.

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2024, Volume 24 elocation e230109

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To evaluate the knowledge of parents or guardians about dental trauma in children during the COVID-19 pandemic. Material and Methods: After signing the Free and Informed Consent, the children's parents answer the online questionnaires about dental trauma during the COVID-19 pandemic. The data was analyzed using Kruskal-Wallis and Mann-Whitney tests. Results: Of a total of 89 questionnaires, only 84 were answered, and 75.3% experienced dentoalveolar trauma, of which 65.5% exhibited fractures. Most affected teeth (92.2%) were deciduous, and 7.8% were permanent. Furthermore, 53.73% of the trauma involved anterior teeth, only 7.46% affected posterior teeth, and 4.48% included anterior and posterior teeth. Most participants (74.2%) had never received information about dental trauma, and 25.8% had received prior instruction. Many (74%) did not take the affected tooth or fragment to the emergency room. Following the accidents, 38.2% feared brushing their children's teeth, and 28.1% did not. Conclusion: Dentoalveolar trauma in children is common and occurs more often at home or school. Dental trauma affected the deciduous teeth, especially the anterior teeth. Many parents lack knowledge on how to respond to and care for dental trauma in children. Providing informative guidance to parents and guardians is essential for preventing and managing childhood dental injuries, even during the COVID-19 pandemic. Objective COVID19 COVID 19 COVID-1 pandemic Methods Consent childrens s KruskalWallis Kruskal Wallis MannWhitney Mann Whitney tests Results 8 answered 753 75 3 75.3 655 65 5 65.5 fractures 92.2% 922 92 2 (92.2% 78 7 7.8 permanent Furthermore 5373 53 73 53.73 746 46 7.46 448 4 48 4.48 74.2% 742 74 (74.2% 258 25 25.8 instruction 74% (74% room accidents 382 38 38.2 281 28 1 28.1 Conclusion school injuries COVID1 COVID- 75. 6 65. 92.2 9 (92.2 7. 537 53.7 7.4 44 4.4 74.2 (74.2 25. (74 38. 28. 92. (92. 53. 4. 74. (74. (7 (92 ( (9

https://doi.org/10.1590/pboci.2024.084

14.

D-limonene in the postharvest of 'THB' papaya Dlimonene D limonene THB 'THB
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Patrício, Flavia Figueira de Souza

; Simon, Cátia Aparecida

; Paradizo, Wilgner Fernandes

; Sigismondi, Luciano Rastoldo

; Pereira, Leandro Demetrio Becattini

; Schmildt, Edilson Romais

; Silva, Marcelo Barreto da

; Kuhlcamp, Karin Tesch

; Santana, Enilton Nascimento de

; Dousseau-Arantes, Sara

Pesquisa Agropecuária Brasileira

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2024, Volume 59 elocation e03426

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

Resumo O objetivo deste trabalho foi verificar se o D-limoneno apresenta ação inibitória sobre o crescimento micelial de Colletotrichum spp. e atividade antimicrobiana contra Enterococcus faecium e Escherichia coli, bem como avaliar o efeito de suas concentrações na desinfestação do mamão no processo de pós-colheita. Para os testes in vitro, os fungos foram isolados de mamões infectados com antracnose. Para tanto, pedaços dos frutos foram desinfestados e transferidos para placas de Petri. Outro teste foi realizado in vitro para avaliação da atividade bactericida, tendo-se adicionado D-limoneno à suspensão de bactérias em teste. Foram avaliadas a qualidade físico-química dos frutos e a incidência de doenças. A aplicação de D-limoneno inibiu o crescimento micelial de Colletotrichum spp. in vitro, com efeito crescente com o aumento da concentração aplicada e efeito decrescente com o tempo da aplicação do produto. O D-limoneno foi eficaz na inibição de E. faecium e E. coli. Não houve interação significativa entre as doses de D-limoneno e o tempo de armazenamento quanto à qualidade dos frutos e à incidência de doenças nos estudos ex vitro. O D-limoneno pode ser utilizado na aplicação pós-colheita do mamão, por não afetar a qualidade dos frutos e por controlar o crescimento de fitopatógenos in vitro. Dlimoneno D limoneno spp coli póscolheita. póscolheita pós colheita. colheita antracnose tanto Petri bactericida tendose tendo físicoquímica físico química produto E

Abstract The objective of this work was to verify if D-limonene in vitro presents inhibitory action on the mycelial growth of Colletotrichum spp. and antimicrobial activity against Enterococcus faecium and Escherichia coli, as well as to evaluate the effect of its concentrations on papaya disinfestation in the post-harvest process. For the in vitro tests, fungi were isolated from papaya fruit infected with anthracnose. For this, fruit fragments were disinfected and transferred to Petri dishes. Another test was carried out in vitro, to evaluate bactericidal activity, by for adding D-limonene to the suspension of the tested bacteria. Fruit physicochemical quality and disease incidence were evaluated. The application of D-limonene inhibited the mycelial growth of Colletotrichum spp. in vitro, with an increasing effect at increasing concentrations and a decreasing effect with time of product application. D-limonene was effective in inhibiting E. faecium and E. coli. There was no significant interaction between D-limonene rates and storage time for fruit quality or for disease incidence in ex vitro studies. D-limonene can be applied to papaya at postharvest, as it does not affect fruit quality and controls the growth of phytopathogens in vitro. Dlimonene D limonene spp coli postharvest post harvest process tests anthracnose dishes bacteria evaluated E studies

https://doi.org/10.1590/s1678-3921.pab2024.v59.03426

15.

Development and Characterization of Polystyrene Eco-composites Reinforced with Australian Royal Palm (Archontophoenix alexandrae) Stem Fibers Ecocomposites Eco composites Archontophoenix alexandrae
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Grossi, Mariana Oliveira

; Silvério, Débora Fernandes

; Gomes, Raiane Ribeiro Machado

; Lavall, Rodrigo Lassarote

; Silva, Cláudio Mudado

; Arêdes, Stéphani Caroline de Lana

; Costa, Marcelo Moreira da

; Oliveira, Cassiano Rodrigues de

Floresta e Ambiente

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2024, Volume 31 N. 3 elocation e20230045

Abstract: En | Text: En | PDF: En

Abstract Given escalating environmental concerns and stricter regulations, there’s a pressing need for sustainable materials. Eco-composites, which blend natural fibers with polymer matrices for reinforcement, are gaining traction. This study stands out by employing Australian royal palm stem fibers within a polystyrene matrix for eco-composites. The research involved assessing thermal stability, quantifying lignin/carbohydrate content, and measuring moisture levels. Scanning electron microscopy was utilized to examine fiber structure. Results from evaluations of thermal and mechanical properties underscore the high-performance reinforcement potential of Australian royal palm fibers, suggesting their suitability for various eco-composite applications. Beyond meeting the demand for sustainable materials, this project introduces an innovative use of these fibers, broadening their potential applications and advocating for greener, socially responsible industry practices. regulations theres there s materials Ecocomposites, Ecocomposites Eco composites, composites Eco-composites traction ecocomposites. ecocomposites eco composites. eco-composites stability lignincarbohydrate lignin carbohydrate content levels structure highperformance high performance ecocomposite composite greener practices

https://doi.org/10.1590/2179-8087-floram-2023-0045

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