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au:Silva, Michele Ribeiro da

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Structured respiratory physiotherapy protocol for resolution of atelectasis in pediatric intensive care
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Camassuti, Patrícia Aparecida Silva

; Johnston, Cíntia

; Carvalho, Werther Brunow de

; Luglio, Michele

; Araújo, Orlei Ribeiro de

; Morrow, Brenda

Clinics

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2024, Volume 79 elocation 100494

Abstract: En | Text: En | PDF: En

Abstract Children are at higher risk of atelectasis due to their anatomical and physiological particularities. Several physiotherapy techniques are used to treat atelectasis, but only four studies cite methods in pediatric patients undergoing Invasive Mechanical Ventilation (IMV). The objective of this study was to evaluate the Structured Respiratory Physiotherapy Protocol (SRPP) for airway clearance and lung reexpansion for infants on IMV with atelectasis. This is a prospective study including 30 infants (mean ± standard deviation age 8.9 ± 8.0 months; weight 7.5 ± 3.0 kg; BMI 15.8 ± 1.6 kg/cm2 and IMV duration 7.7 ± 4.3 days). The sample was randomized into a Control Group (CG), which received routine physiotherapy, and an Intervention Group (IG), submitted to SRPP (postural drainage, mechanical thoracic vibration, manual hyperinflation, stretching of the accessory respiratory muscles, and functional positioning). Both groups were evaluated before and after physiotherapy for respiratory effort using the Wood Downes Score (WD) and pulmonary aeration using lung ultrasonography (Lung Ultrasound Score ‒ LUS). The outcome of the intervention was evaluated by the magnitude of the effect by the Hedges' g test [(small (0.2 < Hedges' g < 0.5), moderate (0.5 < Hedges' g < 0.8) and large (Hedges' g > 0.8) effects]. There were large within-group effects on the reduction of WD in the CG after intervention in both the CG (Hedges' g = -1.53) and IG (Hedges' g = -2.2). There was a moderate effect on LUS reduction in the CG (Hedges' g = -0.64) and a large effect on IG (Hedges' g = -1.88). This study has shown that the SRPP appears to be safe and may be effective in improving airway clearance and lung reexpansion in children on IMV with atelectasis. particularities IMV. . (IMV) (SRPP 3 mean 89 8 9 8. 80 0 months 75 7 5 7. 3. kg 158 15 15. 16 1 6 1. kgcm2 kgcm cm2 cm kg/cm 77 43 4 4. days. days days) CG, , (CG) IG, (IG) postural drainage vibration hyperinflation muscles positioning. positioning positioning) (WD Lung LUS. LUS) Hedges small 0.2 02 2 (0. 0.5, 05 0.5 0.5) 0.8 08 (Hedges effects. effects] withingroup within group 1.53 153 53 -1.53 2.2. 22 2.2 -2.2) 0.64 064 64 -0.64 1.88. 188 1.88 88 -1.88) (IMV (CG (IG 0. (0 1.5 -1.5 2. -2.2 0.6 06 -0.6 18 1.8 -1.88 ( -1. -2. -0. -1.8 -1 -2 -0 -

https://doi.org/10.1016/j.clinsp.2024.100494

Analysis of the thermomechanical behavior of different concretes with vermiculite and submitted to elevated temperatures
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Carvalho, Aldo Ribeiro de

; Casali, Arthur Henrique Gasparete

; Silva Júnior, Gilber da

; Pita, Romário Parreira

; Farage, Michele Cristina Resende

; Oliveira, Thaís Mayra de

REM - International Engineering Journal

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2024, Volume 77 N. 3 elocation e230079

Abstract: En | Text: En | PDF: En

Abstract At high temperatures, concrete may exhibit adverse mechanical behavior that compromises the safety of structures. Thus, it is necessary to study and develop concrete that can obtain greater performance in situations of exposure to high temperatures. In this regard, the present study investigates the replacement of 25% of sand by expanded vermiculite in different types of concrete and its performance when subjected to room temperature and punctual temperatures, of little content in literature, such as 200°C, 400°C and 800°C. This study also innovates by proposing the evaluation of prototypes exposed to high temperatures exclusively according to the perspectives of Brazilian technical standards, without resorting to international guidelines. Thus, the consistencies of the mixtures were determined and analyzed, as well as physical and mechanical tests that were carried out with the produced concrete. Among the results found are: vermiculite reduces the workability of the concrete mixture; vermiculite is not recommended for high-performance concrete, as it can significantly reduce its mechanical properties; in general terms, concrete that has a design strength of 50 MPa benefits from replacing the fines aggregate with vermiculite. From 400°C of exposure, all of the concrete samples showed cracks. The spalling phenomenon was also noticed in some specimens. The developed concrete samples cannot be characterized as lightweight concrete according to Brazilian standards, but o can be recommended as structural concrete given that their apparent specific mass is greater than 2000 kg/m3. structures Thus regard 25 literature 200C C 200 200°C 400C 400 800C 800 800°C standards guidelines analyzed are mixture highperformance properties terms 5 cracks specimens kgm3 kgm kg m3 m kg/m3 2 20 40 80 kg/m 4 8

https://doi.org/10.1590/0370-44672023770079

Variação da percepção do consumo de frutas em adolescentes: um ensaio comunitário controlado randomizado em Duque de Caxias – RJ adolescentes
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Pessoa, Lidiane da Silva

; Sgambato, Michele Ribeiro

; Cunha, Diana Barbosa

; Sichieri, Rosely

; Verly Junior, Eliseu

Cadernos Saúde Coletiva

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2023, Volume 31 N. 2 elocation e31020196

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

Resumo Introdução A autoavaliação do consumo é um dos fatores determinantes para adoção de uma alimentação adequada e saudável. Objetivo Avaliar o efeito de uma intervenção nutricional na percepção do consumo de frutas em adolescentes. Método Trata-se de um ensaio comunitário randomizado controlado de base escolar. A intervenção consistiu em ações integradas de prevenção primária (nas escolas) e secundária (nos domicílios). Os participantes foram classificados em otimistas e não otimistas em relação à percepção do consumo de frutas combinando duas variáveis: frequência de consumo e autoavaliação da quantidade consumida. O efeito da intervenção foi testado por modelo de regressão logística com efeitos aleatórios. Resultados A frequência de otimistas na linha de base foi 19,1% e 18,5% nos grupos controle e intervenção, e 17,5% e 17,6% pós-intervenção, respectivamente (p=0,743 para interação grupo*tempo, e p=0,802 no modelo ajustado pela cor da pele). A prevalência de otimistas foi maior entre os meninos, entre aqueles que avaliaram sua alimentação como excelente/muito boa, com menor frequência de consumo de refrigerante e de biscoito, e entre aqueles que relataram realizar café da manhã ou almoço com os pais nunca ou quase nunca. Conclusão Não houve efeito da intervenção na mudança de percepção quanto ao consumo de frutas. saudável adolescentes Tratase Trata se escolar nas escolas domicílios. domicílios . domicílios) variáveis consumida aleatórios 191 19 1 19,1 185 18 5 18,5 175 17 17,5 176 6 17,6 pósintervenção, pósintervenção pós pós-intervenção p=0,743 p0743 p 0 743 (p=0,74 grupotempo grupo tempo grupo*tempo p0802 802 p=0,80 pele. pele pele) meninos excelentemuito excelente muito boa biscoito 19, 18, 17, p=0,74 p074 74 (p=0,7 p080 80 p=0,8 p=0,7 p07 7 (p=0, p08 8 p=0, p0 (p=0 p=0 (p= p= (p

Abstract Background Self-perception about food consumption plays an important role in moving toward a healthy diet. Objective To assess the effect of a nutritional intervention on the perception of fruit consumption in adolescents. Method A community-based randomized trial was carried out. The intervention consisted of integrated actions of primary prevention (at school) and secondary prevention (at home), both encouraging the participants to adopt healthy eating habits through playful activities. The participants were classified as either “optimistic” or “non-optimistic” according to their reported fruit consumption and self-perception about the amount of fruit consumption. The intervention effect was tested using random-effects logistic regression. Results The frequency of optimistic individuals at baseline was 19.1% and 18.5% in the control and intervention groups, and 17.5% and 17.6% at the end of the study (p = 0,743 for the group*time interaction and 0,802 when adjusted for race). The prevalence of optimism was higher in males, in participants who considered their overall diet quality very good or excellent, among those with the lowest frequency of soda and cookie consumption, and in participants who rarely reported sharing mealtime with their parents. Conclusion The school-based intervention did not affect the change in perception regarding fruit intake. Selfperception Self adolescents communitybased community based out school home, home , home) activities “optimistic nonoptimistic non “non-optimistic selfperception self randomeffects random effects regression 191 19 1 19.1 185 18 5 18.5 groups 175 17 17.5 176 6 17.6 p 0743 0 743 0,74 grouptime group time 0802 802 0,80 race. race . race) males excellent parents schoolbased intake 19. 18. 17. 074 74 0,7 080 80 0,8 07 7 0, 08 8

https://doi.org/10.1590/1414-462x202331020196

Cryopreservation of Genipa americana seeds
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Souza, Rafaela Ribeiro de

; Paiva, Patrícia Duarte de Oliveira

; Freitas, Rodrigo Therezan de

; Silva, Diogo Pedrosa Corrêa da

; Reis, Michele Valquíria dos

; Nery, Fernanda Carlota

; Paiva, Renato

Revista Ciência Agronômica

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2023, Volume 54 elocation e20228531

Abstract: En | Text: En | PDF: En

ABSTRACT Genipa americana L. is a forest species of high socioeconomic potential. However, predatory extractivism actions threaten its existence, making it necessary to adopt conservationist practices. G. americana seeds show sensitivity to desiccation and cooling, making it unfeasible for conservation by conventional methods. Thus, cryopreservation is an promising alternative for the long-term conservation of species that produce unorthodox seeds, such as the genipap. In this sense, the objective was to cryopreservation of seeds of G. americana and to evaluate the effects of desiccation and freezing on germination and establishment of seedlings. Initially, seeds were dehydrated in silica gel 0, 16, 18, 20, 22 and 24 h, and then were cryopreserved in liquid nitrogen (LN) (-196 °C) during 24 h. After thawing, the viability and germination were analyzed. Dehydrated and non-cryopreserved seeds were also analyzed. The silica gel desiccation caused a reduction in viability and germination of the seeds of G. americana. The initial seed water content was so high (47%) that storage in LN (+LN) without prior dehydration treatment resulted in seed mortality. It was verified that, the dehydration in silica gel for the minimum time 20 h (corresponding to 14% water content) provides greater freezing tolerance, allowing the successful cryopreservation. Silica gel dehydration followed by immersion in LN was shown to be highly efficient for cryopreservation of seeds of G. americana, besides germinatio after thawing, high survival rates (100%) were obtained, with growth and normal establishment of the seedlings after acclimatization. L potential However existence practices G cooling methods Thus longterm long term genipap sense Initially 0 16 18 2 (LN 196 (-19 °C C thawing analyzed noncryopreserved non 47% 47 (47% +LN (+LN mortality corresponding 14 tolerance 100% 100 (100% obtained acclimatization 1 19 (-1 4 (47 10 (100 (- (4 (10 ( (1

https://doi.org/10.5935/1806-6690.20230045

Reducing care time after implementing protocols for acute ischemic stroke: a systematic review stroke
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Leite, Karina Fonseca de Souza

; Santos, Samuel Ribeiro dos

; Andrade, Rubia Laine de Paula

; Faria, Mariana Gaspar Botelho Funari de

; Saita, Nanci Michele

; Arcêncio, Ricardo Alexandre

; Isaac, Igor Simões da Silva

; Rezende, Carlos Eduardo Menezes de

; Villa, Tereza Cristina Scatena

; Pontes Neto, Octavio Marques

; Monroe, Aline Aparecida

Arquivos de Neuro-Psiquiatria

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jul 2022, Volume 80 N. 7 Pages 725 - 740

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

Resumo Antecedentes O tratamento do acidente vascular cerebral (AVC) isquêmico com terapia de reperfusão requer rápido atendimento e reconhecimento dos sintomas. Objetivo Analisar a efetividade da implementação de protocolos para AVC isquêmico agudo na redução do tempo de atendimento. Métodos Revisão sistemática realizada com estudos primários em português, inglês e espanhol publicados entre 2011 e 2020. Critérios de inclusão: a população do estudo foi constituída por pessoas com AVC isquêmico agudo e estudos que apresentassem resultados sobre a efetividade da implantação de protocolos no tempo de atendimento. A pesquisa bibliográfica foi realizada em junho de 2020 nas bases de dados LILACS, MEDLINE, Embase, Scopus, CINAHL, Academic Search Premier e SocINDEX. A seleção dos artigos e a extração dos dados foram feitas por dois revisores independentes; a síntese dos resultados foi feita de forma narrativa. A qualidade metodológica dos artigos foi avaliada por meio de instrumentos do Joanna Briggs Institute. Resultados Foram encontradas 11.226 publicações, das quais 35 foram incluídas no estudo. Apenas um estudo relatou melhora no tempo início dos sintomas-porta após a implementação do protocolo, no entanto, foi efetiva na melhora dos tempos porta-imagem, imagem-agulha, porta-agulha e início dos sintomas-agulha. A principal limitação encontrada nos artigos diz respeito à falta de clareza quanto à população de estudo. Conclusões Vários avanços foram identificados no atendimento intra-hospitalar com implantação de protocolo; porém, é necessário melhorar o tempo de reconhecimento dos sintomas do AVC entre aqueles que têm o primeiro contato com a pessoa acometida e entre os profissionais envolvidos com o atendimento pré-hospitalar. (AVC português 201 inclusão 202 LILACS MEDLINE Embase Scopus CINAHL SocINDEX independentes narrativa Institute 11226 11 226 11.22 publicações 3 sintomasporta porta protocolo entanto portaimagem, portaimagem imagem, imagem porta-imagem imagemagulha, imagemagulha agulha, agulha imagem-agulha portaagulha sintomasagulha. sintomasagulha agulha. sintomas-agulha intrahospitalar intra hospitalar porém préhospitalar. préhospitalar pré hospitalar. pré-hospitalar 20 1122 1 22 11.2 2 112 11.

Abstract Background The treatment of acute ischemic stroke with cerebral reperfusion therapy requires rapid care and recognition of symptoms. Objective To analyze the effectiveness of implementing protocols for acute ischemic stroke in reducing care time. Methods Systematic review, which was performed with primary studies in Portuguese, English, and Spanish published between 2011 and 2020. Inclusion criteria: study population should comprise people with acute ischemic stroke and studies should present results on the effectiveness of using urgent care protocols in reducing care time. The bibliographic search was conducted in June 2020 in the LILACS, MEDLINE, Embase, Scopus, CINAHL, Academic Search Premier, and SocINDEX databases. The articles were selected, and data were extracted by two independent reviewers; the synthesis of the results was performed narratively. The methodological quality of articles was evaluated through specific instruments proposed by the Joanna Briggs Institute. Results A total of 11,226 publications were found, of which 35 were included in the study. Only one study reported improvement in the symptoms-onset-to-door time after protocol implementation. The effectiveness of the therapeutic approach protocols for ischemic stroke was identified in improving door-to-image, image-to-needle, door-to-needle and symptoms-onset-to-needle times. The main limitation found in the articles concerned the lack of clarity in relation to the study population. Conclusions Several advances have been identified in in-hospital care with protocol implementation; however, it is necessary to improve the recognition time of stroke symptoms among those who have the first contact with the person affected by the stroke and among the professionals involved with the prehospital care. review Portuguese English 201 criteria 202 LILACS MEDLINE Embase Scopus CINAHL Premier databases selected reviewers narratively Institute 11226 11 226 11,22 3 symptomsonsettodoor onset door implementation doortoimage, doortoimage image, image door-to-image imagetoneedle, imagetoneedle needle, needle image-to-needle doortoneedle symptomsonsettoneedle times inhospital hospital however 20 1122 1 22 11,2 2 112 11,

https://doi.org/10.1055/s-0042-1755194

Evaluation of fatigue and quality of life of colorectal cancer patients in chemotherapy
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Silva, Rafaela Costa

; Gonçalves, Michele Carla

; Mendes, Amanda Silva

; Cardoso, Mariana Rosa Ribeiro

; Nicolussi, Adriana Cristina

Revista Gaúcha de Enfermagem

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2022, Volume 43 elocation e20210123

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

RESUMO Objetivo: Avaliar a fadiga e a qualidade de vida relacionada à saúde de pacientes com câncer colorretal em quimioterapia. Método: estudo descritivo, realizado com 69 pacientes entre janeiro a setembro/2019, em um hospital público de Minas Gerais. Instrumentos utilizados: questionário sociodemográfico e clínico, Quality of Life Questionnaire-Core30 e Escala de Fadiga de Piper, analisados segundo medidas de frequência, média e desvio padrão pelo softwarePSPP. Resultados: A maioria era mulheres, acima de 60 anos, casadas, aposentadas, donas de casa, com médio nível de escolaridade. Os escores de estado geral de saúde, das funções social, física, emocional e desempenho de papel foram considerados satisfatórios (médias50-70), da função cognitiva foi boa (média>70); sintomas mais prevalentes foram perda de apetite, fadiga, dor e insônia. Quanto à fadiga, todas as dimensões tiveram média <4, considerado fadiga leve. Conclusão: A qualidade de vida apresentou escores satisfatórios e a fadiga foi classificada como leve nos pacientes em quimioterapia.

ABSTRACT Objective: To evaluate fatigue and health-related quality of life of colorectal cancer patients undergoing chemotherapy. Method: Descriptive study conducted with 69 patients between January and September/2019 in a public hospital in Minas Gerais. Instruments used: sociodemographic and clinical questionnaire, Quality of Life Questionnaire-Core30 and Piper Fatigue Scale, analyzed according to measures of frequency, mean and standard deviation by the software PSPP. Results: Most patients were women over 60 years old, married, retired and housewives, with an average level of education. The scores of general health status, social, physical, emotional and role functioning were considered satisfactory (means 50 to 70), cognitive function was good (mean higher than 70); the most prevalent symptoms were loss of appetite, fatigue, pain and insomnia. As for fatigue, all dimensions had a mean value <4, considered mild fatigue. Conclusion: Quality of life had satisfactory scores and fatigue was classified as mild in patients undergoing chemotherapy.

RESUMEN Objetivo: Evaluar la fatiga y la calidad de vida relacionada con la salud de los pacientes con cáncer colorrectal sometidos a quimioterapia. Método: Estudio descriptivo, realizado con 69 pacientes entre Enero y Septiembre/2019 en un hospital público de Minas Gerais. Instrumentos utilizados: cuestionario sociodemográfico y clínico, Quality of Life Questionnaire-Core30 y Piper Fatigue Scale, analizados según medidas de frecuencia, media y desviación estándar por el software PSPP. Resultados: La mayoría eran mujeres, mayores de 40 años, casadas, jubiladas y amas de casa, con un nivel medio de educación. Los puntajes del estado general de salud, las funciones social, física, emocional y desempeño del papel se consideraron satisfactorias (media 50 a 70), la función cognitiva fue buena (media superior a 70); los síntomas más prevalentes fueron pérdida de apetito, fatiga, dolor e insomnio. En cuanto a la fatiga, todas las dimensiones tienen una media de <4, considerada fatiga leve. Conclusión: La calidad de vida presentaba puntuaciones satisfactorias y la fatiga se clasificó como leve en pacientes sometidos a quimioterapia.

https://doi.org/10.1590/1983-1447.2022.20210123.en

Fatal Brazilian spotted fever in a healthy military man during field training in Rio de Janeiro city, southeastern Brazil
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Pacheco-Silva, Ana Beatriz

; Martins, Ezequias Batista

; López, Angie Jeannine Rios

; Detepo, Paula João Tomas

; Mamani, Roxana Flores

; Japiassú, André Miguel

; Lupi, Otilia

; Mendes, Tulio Vieira

; Pina-Costa, Anielle de

; Calvet, Guilherme Amaral

; Bressan, Clarisse da Silveira

; Silva, Michele Fernanda Borges da

; Ogino, Liana Lumi

; Assis, Matheus Ribeiro da Silva

; Marques, Amanda Meneleu

; Dias, Cristina Maria Giordano

; Borchert, Juliana Mildward

; Lemos, Elba Regina Sampaio de

; Brasil, Patrícia

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e77

Abstract: En | Text: En | PDF: En

ABSTRACT Brazilian spotted fever, a zoonotic disease transmitted by ticks, is caused by Rickettsia rickettsii. We report a fulminant case of this zoonosis in a healthy 46-year-old military man in the urban region of Rio de Janeiro city, in October, 2021. Ticks and capybaras (Amblyomma sculptum, Hydrochoerus hydrochaeris, respectively) were identified in the military fields, pointing to the participation of this large synanthropic rodent, recognized as an efficient amplifier host of Rickettsia rickettsii in Brazil. As the military population is considered a risk group for spotted fever, it is necessary to alert health professionals to the importance of the early detection of the disease and its adequate management, mainly in populations that are particularly at risk of exposure to ticks, in order to avoid fatal outcomes.

https://doi.org/10.1590/s1678-9946202264077

Atualização dos parâmetros de aquisição do Programa Nacional de Alimentação Escolar com base no Guia Alimentar para a População Brasileira
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Canella, Daniela Silva

; Bandeira, Luisete

; Oliveira, Michele Lessa de

; Castro, Solange

; Pereira, Alessandra da Silva

; Bandoni, Daniel Henrique

; Castro, Inês Rugani Ribeiro de

Cadernos de Saúde Pública

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2021, Volume 37 Suppl. 1 elocation e00151420

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

O Guia Alimentar para a População Brasileira é reconhecido como um potente indutor de políticas públicas de alimentação e nutrição. Nessa perspectiva, este artigo apresenta o percurso metodológico e as evidências que subsidiaram a elaboração dos novos parâmetros de aquisição de alimentos do Programa Nacional de Alimentação Escolar (PNAE). Tal elaboração envolveu as análises de: (1) participação dos recursos federais utilizados para compra de alimentos, agrupados segundo a classificação NOVA, empregada no Guia Alimentar para a População Brasileira, pelo conjunto de municípios brasileiros e segundo classificação da execução (positiva ou negativa); (2) cardápios mensais de referência que foram elaborados seguindo recomendações do Guia Alimentar para a População Brasileira; (3) aquisição de alimentos por amostra de 525 municípios, envolvendo a participação relativa dos grupos de alimentos (segundo a NOVA) no total de gastos e de energia e a qualidade nutricional dos alimentos adquiridos; e (4) alimentos ultraprocessados que não devem ser ofertados no ambiente escolar. Foi proposta a adoção dos seguintes parâmetros para participação dos grupos de alimentos em relação ao total de recursos federais empregados na compra de alimentos: ≥ 75% de recursos para alimentos in natura ou minimamente processados; < 20% para alimentos processados ou ultraprocessados e < 5% para ingredientes culinários processados e a ampliação da lista de alimentos cuja aquisição com recursos federais do PNAE é proibida. Esse processo subsidiou a elaboração da Resolução CD/FNDE nº 6, de 8 de maio de 2020, que dispõe sobre o atendimento da alimentação escolar aos alunos da educação básica no âmbito do PNAE.

The Dietary Guidelines for the Brazilian Population is acknowledged as a powerful inducer of public food and nutrition policies. In this perspective, this article presents the methodological path and evidence that supported the elaboration of the new parameters of food acquisition of the Brazilian National School Feeding Program (PNAE). This elaboration involved the analyses of: (1) participation of federal resources used to purchase food, grouped according to the NOVA classification, used in Dietary Guidelines for the Brazilian Population, by the set of Brazilian municipalities and according to the classification of the execution (positive or negative); (2) monthly reference menus that were prepared following Dietary Guidelines for the Brazilian Population recommendations; (3) analysis of food acquisition by the sampling of 525 municipalities, involving the relative participation of food groups (according to NOVA) in total expenditures and energy and nutritional quality of purchased foods; and (4) analysis of ultra-processed foods that should not be offered in the school environment. We proposed the adoption of the following parameters for the participation of food groups in relation to the total federal resources used in the purchase of food: ≥ 75% of resources for fresh or minimally processed foods; < 20% for processed or ultra-processed foods and < 5% for processed culinary ingredients, as well as the expansion of the list of foods whose acquisition with federal resources from PNAE is prohibited. This process supported the elaboration of Resolution CD/FNDE n. 6 of May 8, 2020, which provides for the attendance of school feeding to primary education students within the PNAE.

La Guía Alimentaria para la Población Brasileña está reconocida como un potente inductor de políticas públicas de alimentación y nutrición. Desde esta perspectiva, este artículo presenta la trayectoria metodológica y evidencias que apoyaron la elaboración de los nuevos parámetros de adquisición de alimentos del Programa Nacional de Alimentación Escolar (PNAE). Tal elaboración implicó los análisis de: (1) participación de los recursos federales utilizados para la compra de alimentos, agrupados según la clasificación NOVA, empleada en el Guía Alimentaria para la Población Brasileña, por el conjunto de municipios brasileños, y según la clasificación de la ejecución (positiva o negativa); (2) menús mensuales de referencia que fueron elaborados siguiendo recomendaciones del Guía Alimentaria para la Población Brasileña; (3) adquisición de alimentos mediante una muestra de 525 municipios, implicando la participación relativa de los grupos de alimentos (según NOVA) en el total de gastos y de energía, así como la calidad nutricional de los alimentos adquiridos; y (4) alimentos ultraprocesados que no deben ser ofrecidos en el entorno escolar. Se propuso la adopción de los siguientes parámetros para la participación de los grupos de alimentos, en relación con el total de recursos federales empleados en la compra de alimentos: ≥ 75% de recursos para alimentos in natura o mínimamente procesados; < 20% para alimentos procesados o ultraprocesados, y < 5% para ingredientes culinarios procesados, así como la ampliación de la lista de alimentos, cuya adquisición con recursos federales del PNAE está prohibida. Este proceso apoyó la elaboración de la Resolución CD/FNDE nº 6, del 8 de mayo de 2020, que organiza la atención de la alimentación escolar a alumnos de educación básica en el ámbito del PNAE.

https://doi.org/10.1590/0102-311x00151420

Atualização dos parâmetros de aquisição do Programa Nacional de Alimentação Escolar com base no Guia Alimentar para a População Brasileira
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Canella, Daniela Silva

; Bandeira, Luisete

; Oliveira, Michele Lessa de

; Castro, Solange

; Pereira, Alessandra da Silva

; Bandoni, Daniel Henrique

; Castro, Inês Rugani Ribeiro de

Cadernos de Saúde Pública

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2021, Volume 37 Suppl. 1 elocation e00151420

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

https://doi.org/10.1590/0102-311x00151420

10.

Differences in children and adolescents with SARS-CoV-2 infection: a cohort study in a Brazilian tertiary referral hospital
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Marques, Heloisa Helena de Sousa

; Pereira, Maria Fernanda Badue

; Santos, Angélica Carreira dos

; Fink, Thais Toledo

; Paula, Camila Sanson Yoshino de

; Litvinov, Nadia

; Schvartsman, Claudio

; Delgado, Artur Figueiredo

; Gibelli, Maria Augusta Bento Cicaroni

; Carvalho, Werther Brunow de

; Odone Filho, Vicente

; Tannuri, Uenis

; Carneiro-Sampaio, Magda

; Grisi, Sandra

; Duarte, Alberto José da Silva

; Antonangelo, Leila

; Francisco, Rossana Pucineli Vieira

; Okay, Thelma Suely

; Batisttella, Linamara Rizzo

; Carvalho, Carlos Roberto Ribeiro de

; Brentani, Alexandra Valéria Maria

; Silva, Clovis Artur

; Eisencraft, Adriana Pasmanik

; Rossi Junior, Alfio

; Fante, Alice Lima

; Cora, Aline Pivetta

; Reis, Amelia Gorete A. de Costa

; Ferrer, Ana Paula Scoleze

; Andrade, Anarella Penha Meirelles de

; Watanabe, Andreia

; Gonçalves, Angelina Maria Freire

; Waetge, Aurora Rosaria Pagliara

; Silva, Camila Altenfelder

; Ceneviva, Carina

; Lazari, Carolina dos Santos

; Abellan, Deipara Monteiro

; Santos, Emilly Henrique dos

; Sabino, Ester Cerdeira

; Bianchini, Fabíola Roberta Marim

; Alcantara, Flávio Ferraz de Paes

; Ramos, Gabriel Frizzo

; Leal, Gabriela Nunes

; Rodriguez, Isadora Souza

; Pinho, João Renato Rebello

; Carneiro, Jorge David Avaizoglou

; Paz, Jose Albino

; Ferreira, Juliana Carvalho

; Ferranti, Juliana Ferreira

; Ferreira, Juliana de Oliveira Achili

; Framil, Juliana Valéria de Souza

; Silva, Katia Regina da

; Kanunfre, Kelly Aparecida

; Bastos, Karina Lucio de Medeiros

; Galleti, Karine Vusberg

; Cristofani, Lilian Maria

; Suzuki, Lisa

; Campos, Lucia Maria Arruda

; Perondi, Maria Beatriz de Moliterno

; Diniz, Maria de Fatima Rodrigues

; Fonseca, Maria Fernanda Mota

; Cordon, Mariana Nutti de Almeida

; Pissolato, Mariana

; Peres, Marina Silva

; Garanito, Marlene Pereira

; Imamura, Marta

; Dorna, Mayra de Barros

; Luglio, Michele

; Rocha, Mussya Cisotto

; Aikawa, Nadia Emi

; Degaspare, Natalia Viu

; Sakita, Neusa Keico

; Udsen, Nicole Lee

; Scudeller, Paula Gobi

; Gaiolla, Paula Vieira de Vincenzi

; Severini, Rafael da Silva Giannasi

; Rodrigues, Regina Maria

; Toma, Ricardo Katsuya

; Paula, Ricardo Iunis Citrangulo de

; Palmeira, Patricia

; Forsait, Silvana

; Farhat, Sylvia Costa Lima

; Sakano, Tânia Miyuki Shimoda

; Koch, Vera Hermina Kalika

; Cobello Junior, Vilson

Clinics

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2021, Volume 76 elocation e3488

Abstract: En | Text: En | PDF: En

OBJECTIVES: To compare demographic/clinical/laboratory/treatments and outcomes among children and adolescents with laboratory-confirmed coronavirus disease 2019 (COVID-19). METHODS: This was a cross-sectional study that included patients diagnosed with pediatric COVID-19 (aged <18 years) between April 11, 2020 and April 22, 2021. During this period, 102/5,951 (1.7%) of all admissions occurred in neonates, children, and adolescents. Furthermore, 3,962 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection samples were processed in patients aged <18 years, and laboratory-confirmed COVID-19 occurred in 155 (4%) inpatients and outpatients. Six/155 pediatric patients were excluded from the study. Therefore, the final group included 149 children and adolescents (n=97 inpatients and 52 outpatients) with positive SARS-CoV-2 results. RESULTS: The frequencies of sore throat, anosmia, dysgeusia, headache, myalgia, nausea, lymphopenia, pre-existing chronic conditions, immunosuppressive conditions, and autoimmune diseases were significantly reduced in children and adolescents (p<0.05). Likewise, the frequencies of enoxaparin use (p=0.037), current immunosuppressant use (p=0.008), vasoactive agents (p=0.045), arterial hypotension (p<0.001), and shock (p=0.024) were significantly lower in children than in adolescents. Logistic regression analysis showed that adolescents with laboratory-confirmed COVID-19 had increased odds ratios (ORs) for sore throat (OR 13.054; 95% confidence interval [CI] 2.750-61.977; p=0.001), nausea (OR 8.875; 95% CI 1.660-47.446; p=0.011), and lymphopenia (OR 3.575; 95% CI 1.355-9.430; p=0.010), but also had less hospitalizations (OR 0.355; 95% CI 0.138-0.916; p=0.032). The additional logistic regression analysis on patients with preexisting chronic conditions (n=108) showed that death as an outcome was significantly associated with pediatric severe acute respiratory syndrome (SARS) (OR 22.300; 95% CI 2.341-212.421; p=0.007) and multisystem inflammatory syndrome in children (MIS-C) (OR 11.261; 95% CI 1.189-106. 581; p=0.035). CONCLUSIONS: Half of the laboratory-confirmed COVID-19 cases occurred in adolescents. Individuals belonging to this age group had an acute systemic involvement of SARS-CoV-2 infection. Pediatric SARS and MIS-C were the most important factors associated with the mortality rate in pediatric chronic conditions with COVID-19.

https://doi.org/10.6061/clinics/2021/e3488

11.

Temperature and GA3 on ROS and cytogenetic stability during in vitro cultivation of strelitzia zygotic embryos
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Figueiredo, Júnia Rafael Mendonça

; Paiva, Patrícia Duarte de Oliveira

; Silva, Diogo Pedrosa Corrêa da

; Paiva, Renato

; Souza, Rafaela Ribeiro

; Reis, Michele Valquíria dos

Ciência e Agrotecnologia

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2021, Volume 45 elocation e020220

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

RESUMO As espécies tropicais podem exigir temperaturas mais altas e maiores concentração de reguladores de crescimento para o desenvolvimento in vitro. Em função dessas condições afetarem o metabolismo vegetal, o objetivo foi identificar como diferentes temperaturas na sala de crescimento e concentrações de giberelinas podem afetar os embriões no desenvolvimento in vitro de estrelícia, analisando o efeito sobre EROS e a estabilidade citogenética. Os embriões zigóticos foram cultivados em meio MS suplementado com 0, 5, 10 e 20 µM de GA3 e mantidos em sala de crescimento sob temperaturas de 25 °C, 30/25 °C e 30 °C. Após 60 dias, observou-se maior germinação dos embriões (72%) e comprimento das brotações (3,14 cm) em meio adicionado com 20 µM de GA3. Nessa concentração, houve um aumento na atividade da redutase do nitrato sem alterar a estabilidade citogenética. A temperatura influenciou apenas o comprimento da parte aérea e da raiz, que foram maiores a 25 °C. A 30 °C, a atividade de SOD e APX aumentou em comparação com o tratamento a 25 °C. Assim, a adição de 20 µM de GA3 ao meio de cultura e temperatura de 25 °C na sala de crescimento deve ser utilizada para cultura de embriões zigóticos de estrelitzia.

ABSTRACT Tropical species may require higher temperatures as well as higher growth regulator concentrations for in vitro development. Since these conditions may affect plant metabolism, the objective of this study was to identify how different temperatures and gibberellin concentrations may affect the in vitro development of strelitzia embryos, analyzing the effect on ROS and cytogenetic stability. Zygotic embryos were cultivated on MS medium supplemented with 5, 10 and 20 µM GA3 under temperatures of 25 °C, 30/25 °C and 30 °C. After 60 days, higher embryonic germination rate (72%) and shoot length of plantlets (3.14 cm) were observed on medium containing 20 µM gibberellic acid (GA3). At this concentration, there was an increase in nitrate reductase activity with no change in the cytogenetic stability. The temperature influenced only shoot and root lengths, which were highest at 25 °C. At 30 °C, superoxide dismutase (SOD) and ascorbate peroxidase (APX) activities increased compared with those at 25 °C. Thus, the addition of 20 µM GA3 to the culture medium and a temperature of 25 °C in the growth room should be used for zygotic embryo culture of strelitzia.

https://doi.org/10.1590/1413-7054202145020220 520 downloads

12.

Síndrome do desconforto respiratório agudo associada à COVID-19 tratada com DEXametasona (CoDEX): delineamento e justificativa de um estudo randomizado
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Tomazini, Bruno Martins

; Maia, Israel Silva

; Bueno, Flavia Regina

; Silva, Maria Vitoria Aparecida Oliveira

; Baldassare, Franca Pellison

; Costa, Eduardo Leite Vieira

; Moura, Ricardo Antonio Bonifácio

; Honorato, Michele Ouriques

; Costa, André Nathan

; Cavalcanti, Alexandre Biasi

; Rosa, Regis Goulart

; Avezum, Álvaro

; Veiga, Viviane Cordeiro

; Lopes, Renato Delascio

; Damiani, Lucas Petri

; Machado, Flávia Ribeiro

; Berwanger, Otavio

; Azevedo, Luciano César Pontes de

Revista Brasileira de Terapia Intensiva

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sep 2020, Volume 32 N. 3 Pages 354 - 362

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

RESUMO Objetivo: A infecção causada pelo coronavírus da síndrome respiratória aguda grave 2 (SARS-CoV-2) disseminou-se por todo o mundo e foi categorizada como pandemia. As manifestações mais comuns da infecção pelo SARS-CoV-2 (doença pelo coronavírus 2019 - COVID-19) se referem a uma pneumonia viral com graus variáveis de comprometimento respiratório e até 40% dos pacientes hospitalizados, que podem desenvolver uma síndrome do desconforto respiratório agudo. Diferentes ensaios clínicos avaliaram o papel dos corticosteroides na síndrome do desconforto respiratório agudo não relacionada com COVID-19, obtendo resultados conflitantes. Delineamos o presente estudo para avaliar a eficácia da administração endovenosa precoce de dexametasona no número de dias vivo e sem ventilação mecânica nos 28 dias após a randomização, em pacientes adultos com quadro moderado ou grave de síndrome do desconforto respiratório agudo causada por COVID-19 provável ou confirmada. Métodos: Este é um ensaio pragmático, prospectivo, randomizado, estratificado, multicêntrico, aberto e controlado que incluirá 350 pacientes com quadro inicial (menos de 48 horas antes da randomização) de síndrome do desconforto respiratório agudo moderada ou grave, definida segundo os critérios de Berlim, causada por COVID-19. Os pacientes elegíveis serão alocados de forma aleatória para tratamento padrão mais dexametasona (Grupo Intervenção) ou tratamento padrão sem dexametasona (Grupo Controle). Os pacientes no Grupo Intervenção receberão dexametasona 20mg por via endovenosa uma vez ao dia, por 5 dias, e, a seguir, dexametasona por via endovenosa 10mg ao dia por mais 5 dias, ou até receber alta da unidade de terapia intensiva, o que ocorrer antes. O desfecho primário será o número de dias livres de ventilação mecânica nos 28 dias após a randomização, definido como o número de dias vivo e livres de ventilação mecânica invasiva. Os desfechos secundários serão a taxa de mortalidade por todas as causas no dia 28, a condição clínica no dia 15 avaliada com utilização de uma escala ordinal de seis níveis, a duração da ventilação mecânica desde a randomização até o dia 28, a avaliação com o Sequential Organ Failure Assessment Score após 48 horas, 72 horas e 7 dias, e o número de dias fora da unidade de terapia intensiva nos 28 dias após a randomização.

Abstract Objective: The infection caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spreads worldwide and is considered a pandemic. The most common manifestation of SARS-CoV-2 infection (coronavirus disease 2019 - COVID-19) is viral pneumonia with varying degrees of respiratory compromise and up to 40% of hospitalized patients might develop acute respiratory distress syndrome. Several clinical trials evaluated the role of corticosteroids in non-COVID-19 acute respiratory distress syndrome with conflicting results. We designed a trial to evaluate the effectiveness of early intravenous dexamethasone administration on the number of days alive and free of mechanical ventilation within 28 days after randomization in adult patients with moderate or severe acute respiratory distress syndrome due to confirmed or probable COVID-19. Methods: This is a pragmatic, prospective, randomized, stratified, multicenter, open-label, controlled trial including 350 patients with early-onset (less than 48 hours before randomization) moderate or severe acute respiratory distress syndrome, defined by the Berlin criteria, due to COVID-19. Eligible patients will be randomly allocated to either standard treatment plus dexamethasone (Intervention Group) or standard treatment without dexamethasone (Control Group). Patients in the intervention group will receive dexamethasone 20mg intravenous once daily for 5 days, followed by dexamethasone 10mg IV once daily for additional 5 days or until intensive care unit discharge, whichever occurs first. The primary outcome is ventilator-free days within 28 days after randomization, defined as days alive and free from invasive mechanical ventilation. Secondary outcomes are all-cause mortality rates at day 28, evaluation of the clinical status at day 15 assessed with a 6-level ordinal scale, mechanical ventilation duration from randomization to day 28, Sequential Organ Failure Assessment Score evaluation at 48 hours, 72 hours and 7 days and intensive care unit -free days within 28.

https://doi.org/10.5935/0103-507x.20200063 10508 downloads

13.

The increase of atherogenic index on fatty acids composition as a consequence of trans fat acids reduction in industrialized foods: the Brazilian scenery
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Silva, Nathalia Ribeiro Ferreira da

; Perez, Victor Haber

; Ferreira, Karla Silva

; Silveira, Thays da Costa

; Silva, Michele Bezerra

Brazilian Journal of Food Technology

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2020, Volume 23 elocation e2019268

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

Resumo O uso de gorduras com baixo ponto de fusão é atraente para a indústria de alimentos, pois contribui para melhorar as características de textura, cor e estabilidade dos alimentos. Essas gorduras são obtidas a partir de óleos vegetais por meio de processos como hidrogenação ou interesterificação. No entanto, o processo de hidrogenação parcial leva à formação de gordura trans. Em diversos países, vêm ocorrendo ações no sentido de eliminar a presença do ácido graxo elaídico (C18:1t) dos alimentos industrializados. Esse ácido graxo trans e o ácido graxo saturado palmítico (C16:0) são comprovadamente aterogênicos. O objetivo deste trabalho foi avaliar a composição de ácidos graxos de 39 tipos de alimentos comercializados no Brasil, incluindo biscoitos, salgadinhos, bolachas, macarrão instantâneo, sanduíches e pizzas congeladas, mistura para preparo de alimentos, pipoca de micro-ondas, margarinas, requeijões e massa de pastel. Os lipídios foram extraídos, e seus FAMES- Fatty Acid Methyl Esters, identificados por cromatografia gasosa. Os ácidos graxos encontrados em maior quantidade foram oleico, linoleico e palmítico, enquanto os ácidos graxos trans foram detectados em 51,3% das amostras. Por outro lado, em alguns alimentos a gordura trans foi reduzida, mas foram observados aumentos no teor de ácido palmítico (C16:0), justificáveis pela adição de óleo de palma e de seus derivados, que podem ser usados em misturas interesterificadas ou podem compor diretamente formulações de alimentos industrializados, mesmo sem interesterificação. Governos e organizações em prol da saúde humana devem atentar para o fato de que o uso de ácidos graxos aterogênicos não é uma alternativa saudável. Os consumidores devem, portanto, ser alertados para o risco do consumo de alimentos contendo essas gorduras, até que as indústrias de alimentos sejam proibidas de utilizá-las ou encontrem alternativas mais saudáveis para a fabricação dos alimentos.

Abstract The use of fats with a low melting point is attractive to the food industry, as it contributes to improving the texture, color and stability characteristics of the food. These fats are obtained from vegetable oils through some processes such as hydrogenation or interesterification. However, the partial hydrogenation process leads to the formation of trans fat. In several countries, actions have been taken to eliminate the presence of elaidic acid, a trans fatty acid (C18: 1t) from processed foods. This trans fatty acid and palmitic acid, a common saturated fatty acid (C16: 0) are proven to be atherogenic. The aim of this work was to evaluate the composition of fatty acids of 39 types of commercialized foods in Brazil, including cookies, snacks, wafers, instant noodles, frozen sandwiches and pizzas, mixtures for food preparation, microwave popcorn, margarines, spreadable cheeses and pastry dough. The lipids were extracted and their Fatty Acid Methyl Esters (FAMEs) identified by Gas-Chromatography (GC). The fatty acids found in greater quantity were oleic, linoleic and palmitic acids; whereas the trans fatty acids were detected in 51.3% of the samples. On the other hand, when trans fast were reduced in some foods, it could be observed increases in the palmitic acid (C16:0) content. This high content of palmitic acid is justified by the addition of palm oil and its derivatives, which can be used in interesterified oil mixtures or can be directly used in industrialized food formulations, even without interesterification. Governments and organizations in favor of human health should be aware that the use of dietary fatty acids which compromise the atherogenic index is not a healthy alternative. Consumers should therefore be alerted to the risk of consuming foods containing these fats until the food industry is banned from using them or finds healthier alternatives for making food.

https://doi.org/10.1590/1981-6723.26819 489 downloads

14.

HELICOBACTER PYLORI INFECTION AND GASTRIC CANCER PRECURSOR LESIONS: PREVALENCE AND ASSOCIATED FACTORS IN A REFERENCE LABORATORY IN SOUTHEASTERN BRAZIL
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RODRIGUES, Michele Fernandes

; GUERRA, Maximiliano Ribeiro

; ALVARENGA, Angélica Vilela Rodrigues de

; SOUZA, Danillo Zeferino de Oliveira

; COSTA, Rafaella Angélica Vieira e Silva

; CUPOLILO, Sônia Maria Neumann

Arquivos de Gastroenterologia

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oct 2019, Volume 56 N. 4 Pages 419 - 424

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

RESUMO CONTEXTO: A infecção por Helicobacter pylori é o fator de risco mais importante para atrofia gástrica e metaplasia intestinal, ambas consideradas lesões precursoras do câncer gástrico. Portanto, a investigação da ocorrência de infecção por H. pylori, das lesões precursoras e dos fatores associados orienta a adoção de estratégias específicas para o controle deste tipo de câncer. OBJETIVO: Avaliar a prevalência de infecção por H. pylori em pacientes submetidos à endoscopia digestiva alta, bem como a prevalência de metaplasia intestinal, atrofia e inflamação crônica e a associação destas com a infecção por H. pylori. MÉTODOS: Foi realizado um estudo retrospectivo com base em laudos de biópsias endoscópicas gástricas realizadas em laboratório privado afiliado ao Sistema Único de Saúde (SUS). Os pacientes foram avaliados quanto à idade, sexo e tipo de serviço de saúde. As amostras foram avaliadas quanto à presença de H. pylori e também de inflamação crônica, metaplasia intestinal e atrofia glandular. RESULTADOS: Do total de 4.604 pacientes (idade média de 51±16,6), 63,9% eram do sexo feminino e 63,1% provenientes de serviços de saúde privado. A prevalência de infecção por H. pylori foi de 31,7% (n=1.459) e o percentual de infecção foi significativamente maior nos pacientes do serviço público de saúde (42,0%) em relação aos pacientes do serviço privado de saúde (25,6%). Entre os pacientes com H. pylori (+), foi observado maior percentual de metaplasia intestinal (17,7% vs 13,3%) e atrofia glandular (17,6% vs 6,9%) quando comparados aos H. pylori (-) (P<0,01). Dos pacientes H. pylori (+) com pelo menos um tipo de lesão precursora (n=418), 161 (38,5%) apresentaram metaplasia e inflamação crônica, 160 (38,3%) apresentaram atrofia e inflamação crônica e, finalmente, 97 (23,2%) apresentaram metaplasia, atrofia e inflamação crônica simultaneamente. CONCLUSÃO: O presente estudo reforça a associação da infecção por H. pylori com lesões precursoras de câncer gástrico em uma população brasileira, enfatizando a importância de medidas de prevenção de infecção, bem como o tratamento de pacientes infectados, principalmente em regiões com níveis socioeconômicos mais baixos que apresentam maior prevalência de infecção por H. pylori.

ABSTRACT BACKGROUND: Helicobacter pylori infection is the most important risk factor for gastric atrophy and intestinal metaplasia, both considered gastric cancer precursor lesions. Therefore, the investigation of the occurrence of H. pylori infection, precursor lesions and associated factors guides the adoption of specific strategies for the control this type of cancer. OBJECTIVE: To evaluate the prevalence of H. pylori infection in patients undergoing upper digestive endoscopy, as well as the prevalence of intestinal metaplasia, atrophy and chronic inflammation and their association with H. pylori infection. METHODS: A retrospective study was performed based on reports of gastric endoscopic biopsies performed in a private laboratory affiliated to the Brazilian Public Health System (SUS). Patients were evaluated for age, gender and type of health service. The samples were evaluated for the presence of H. pylori, and also of chronic inflammation, intestinal metaplasia and glandular atrophy. RESULTS: Of a total of 4,604 patients (mean age 51±16.6), 63.9% were female and 63.1% coming from private health care service. The prevalence of H. pylori infection was 31.7% (n=1,459), and the percentage of infection was significantly higher in patients from public health service (42.0%) in relation to patients from private health service (25.6%). Among H. pylori (+) patients, a higher percentage of intestinal metaplasia (17.7% vs 13.3%) and glandular atrophy (17.6% vs 6.9%) were observed when compared to those H. pylori (-) (P<0.01). From the patients H. pylori (+) with at least one type of precursor lesion (n=418), 161 (38.5%) had metaplasia and chronic inflammation, 160 (38.3%) had atrophy and chronic inflammation and finally 97 (23.2%) presented metaplasia, atrophy and chronic inflammation simultaneously. CONCLUSION: The present study reinforces the association of H. pylori infection with gastric cancer precursor lesions in a Brazilian population, emphasizing the importance of infection prevention measures, as well as the treatment of infected patients, especially in regions with lower socioeconomic levels that show a higher prevalence of infection by H. pylori.

https://doi.org/10.1590/s0004-2803.201900000-84 2308 downloads

15.

Useful terms for nursing practice in the care of people with leprosy
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Oliveira, Michele Dias da Silva

; Lima, Juliana de Oliveira Roque e

; Garcia, Telma Ribeiro

; Bachion, Maria Márcia

Revista Brasileira de Enfermagem

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2019, Volume 72 N. 3 Pages 744 - 752

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

RESUMO Objetivos: Identificar termos úteis à prática de enfermagem na atenção a pessoas com hanseníase e realizar mapeamento cruzado entre os termos identificados e a CIPE®. Método: Estudo descritivo, documental, que incluiu publicações do Ministério da Saúde na área de hanseníase, editadas entre 2002 e 2017. Realizou-se a extração e normalização de termos identificados nessas publicações e, em seguida, o mapeamento cruzado desses termos com os da CIPE® versão 2015, para identificação de termos constantes e não constantes nessa terminologia. Resultados: Foram extraídos 1.177 termos, dos quais 26,76% eram iguais, 4,59% semelhantes, 4,26% mais amplos, 19,62% mais restritos do que os da CIPE®, e 44,77% totalmente diferentes dos termos daquela terminologia. Conclusões: O grande número de termos identificados e que não constam da CIPE® evidenciam a necessidade de sua ampliação para contemplar os fenômenos da prática clínica de modo mais efetivo, e permitir melhor representação da atenção de enfermagem a pessoas com hanseníase.

ABSTRACT Objectives: To identify useful terms for nursing practice in the care of people with leprosy and to cross-mapp the identified terms with the ICNP® terms. Method: A descriptive, documentary study that included publications of the Ministry of Health in the area of leprosy launched between 2002 and 2017. The terms identified in these publications were extracted and underwent a normalization proces and then, were cross-mapped with terms of the ICNP® version 2015 for the identification of constant and non-constant terms in this terminology. Results: In total, were extracted 1,177 terms, of which 26.76% were equal, 4.59% similar, 4.26% were broader, 19.62% were more restricted, and 44.77% were totally different from the ICNP® terms. Conclusions: The large number of terms identified and not included in the ICNP® show the need for its expansion in order to contemplate the phenomena of clinical practice more effectively and allow better representation of nursing care for people with leprosy.

RESUMEN Objetivos: Identificar los términos útiles a la práctica de enfermería en la atención a personas con lepra y realizar mapeo cruzado entre los términos identificados y la CIPE®. Método: Estudio descriptivo, documental, que incluyó publicaciones del Ministerio de Salud en el área de lepra, editadas entre 2002 y 2017. Se realizó la extracción y normalización de términos identificados en esas publicaciones y, a continuación, el mapeo cruzado de estos términos con los de la CIPE® versión 2015 para la identificación de términos constantes y no constantes en esa terminología. Resultados: Se extrajeron 1.177 términos, de los cuales el 26,76% eran iguales, 4,59% similares, 4,26% más amplios, 19,62% más restringidos y 44,77% totalmente diferentes de los términos de la CIPE®. Conclusiones: El gran número de términos identificados y que no constan de la CIPE® evidencia la necesidad de su ampliación para contemplar de modo más efectivo, los fenómenos de la práctica clínica, y permitir mejor representación de la atención de enfermería a personas con lepra.

https://doi.org/10.1590/0034-7167-2017-0684 1876 downloads

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