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Abstract We predicted miRNAs with regulatory impact on NFKB1 and TRAF6 gene expression and selected the miR-194-5p, miR-124-3p, miR-9-5p, and miR-340-5p and their target genes for expression analyses on CD14+ monocytes from rheumatoid arthritis (RA) patients and healthy controls. Additionally, we evaluated the influence of genes and miRNA expression on RA patients’ cytokine levels. No difference was observed in genes or miRNAs expression when compared to healthy controls and RA patients or clinical parameters. However, we found a significant difference between miR-194-5p and miR-9-5p levels (FC=-2.31; p=0.031; FC=-3.05;p=0.031, respectively) and non-prednisone users as compared to prednisone using patients. We conducted correlation analyses to identify the strength of the relationship between expression data and cytokine plasma levels. We observed a moderate positive correlation between miR-124-3p expression and IL-6 plasma levels (r=0.46; p=0.033). In addition, overexpression of miRNAs was concomitant to TRAF6 and NFKB1 genes as indicated by correlation analyses: TRAF6 and miR-194-5p (r=0.60;p<0.001) and miR-9-5p (r=0.63;p<0.001) and NFKB1 and miR-194-5p (r=0.72;p<0.001), miR-9-5p (r=0.72;p<0.001) and miR-340-5p (r=0.61;p<0.001). NFKB1 and TRAF6 genes and miRNAs monocyte expression do not appear to be related to RA but showed a significant difference in different groups of RA therapy. In addition, increased levels of miRNAs can be linked to concomitant overexpression of TRAF6 and NFKB1 in monocytes and act as its regulators. NFKB TRAF miR1945p, miR1945p miRp miR 194 5p, 5p p miR1243p, miR1243p 124 3p, 3p miR95p, miR95p 9 miR3405p 340 CD14 CD (RA Additionally parameters However FC=2.31 FC231 FC FC= 2.31 2 31 (FC=-2.31 p=0.031 p0031 0 031 FC=3.05p=0.031, FC305p0031 FCp 3.05 p=0.031, 3 05 FC=-3.05;p=0.031 respectively nonprednisone non IL6 IL 6 IL- r=0.46 r046 r 46 (r=0.46 p=0.033. p0033 p=0.033 . 033 p=0.033) addition r=0.60p<0.001 r060p0001 rp r=0.60 p<0.001 60 001 (r=0.60;p<0.001 r=0.63p<0.001 r063p0001 r=0.63 63 (r=0.63;p<0.001 r=0.72p<0.001, r072p0001 r=0.72 , 72 r=0.72p<0.001 (r=0.72;p<0.001 r=0.61p<0.001. r061p0001 r=0.61 61 (r=0.61;p<0.001) therapy regulators 19 12 34 CD1 FC=2.3 FC23 231 2.3 (FC=-2.3 p=0.03 p003 03 05p FC=3.05p=0.031 FC305p003 305 3.0 FC=-3.05;p=0.03 r=0.4 r04 4 (r=0.4 60p r=0.60p<0.00 r060p000 r060 r=0.6 p0001 p<0.00 00 (r=0.60;p<0.00 63p r=0.63p<0.00 r063p000 r063 (r=0.63;p<0.00 72p r072p000 r072 r=0.7 7 r=0.72p<0.00 (r=0.72;p<0.00 61p r=0.61p<0.001 r061p000 r061 (r=0.61;p<0.001 1 FC=2. FC2 23 2. (FC=-2. p=0.0 p00 FC=3.05p=0.03 FC305p00 30 3. FC=-3.05;p=0.0 r=0. r0 (r=0. r=0.60p<0.0 r060p00 r06 p000 p<0.0 (r=0.60;p<0.0 r=0.63p<0.0 r063p00 (r=0.63;p<0.0 r072p00 r07 r=0.72p<0.0 (r=0.72;p<0.0 r=0.61p<0.00 r061p00 (r=0.61;p<0.00 FC=2 (FC=-2 p=0. p0 FC=3.05p=0.0 FC305p0 FC=-3.05;p=0. r=0 (r=0 r=0.60p<0. r060p0 p<0. (r=0.60;p<0. r=0.63p<0. r063p0 (r=0.63;p<0. r072p0 r=0.72p<0. (r=0.72;p<0. r=0.61p<0.0 r061p0 (r=0.61;p<0.0 (FC=- p=0 FC=3.05p=0. FC305p FC=-3.05;p=0 r= (r= r=0.60p<0 r060p p<0 (r=0.60;p<0 r=0.63p<0 r063p (r=0.63;p<0 r072p r=0.72p<0 (r=0.72;p<0 r=0.61p<0. r061p (r=0.61;p<0. (FC= p= FC=3.05p=0 FC=-3.05;p= (r r=0.60p< p< (r=0.60;p< r=0.63p< (r=0.63;p< r=0.72p< (r=0.72;p< r=0.61p<0 (r=0.61;p<0 (FC FC=3.05p= FC=-3.05;p r=0.60p (r=0.60;p r=0.63p (r=0.63;p r=0.72p (r=0.72;p r=0.61p< (r=0.61;p< FC=3.05p r=0.61p (r=0.61;p

https://doi.org/10.1590/1678-4685-gmb-2023-0235

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

INFLUENCE OF ANTHROPIC DISTURBANCE IN STRUCTURE OF PLANT POPULATIONS ALONG AN ELEVATION GRADIENT IN CAATINGA REGION
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Lopes, Sergio de Faria

; Ramos, Maiara Bezerra

; Almeida, Humberto Araújo de

; Almeida, Gilbevan Ramos de

; Silva, Fernanda Kelly Gomes da

; Pinto, Anderson Silva

Revista Árvore

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2024, Volume 48 elocation e4803

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

RESUMO Gradientes de elevação são modelos úteis para testar como a variação de fatores abióticos e perturbações antrópicas modulam a estrutura populacional de espécies vegetais. Apesar da pequena amplitude de altitude, as serras da região semiárida do Brasil estão sujeitas a diferentes níveis de pressão antrópica. Nós investigamos se os parâmetros estruturais de duas espécies (Croton blanchetianus Baill. e Cenostigma piyramidele (Tul.) Gagnon & G.P. Lewis) com ampla distribuição na Caatinga variam ao longo de um gradiente de elevação. Estabelecemos 45 parcelas em três níveis de elevação. A seguir foram calculados abundância, porcentagem de indivíduos perfilhados, número de perfilhos, diâmetro médio, altura média, área basal e biomassa aérea em cada parcela. Além disso, registramos seis métricas de Distúrbio Antrópico Crônico (DAC) em cada parcela. Testamos se os parâmetros das espécies diferiam entre os níveis de elevação e avaliamos a influência do DAC nos parâmetros estruturais de cada espécie. A abundância, a porcentagem de indivíduos perfilhados e o número de perfilhos foram maiores na base do gradiente para as duas espécies. As métricas do DAC influenciaram significativamente a abundância e o número de perfilhos, mostrando que há aumento destes parâmetros nas áreas mais perturbadas. A elevada capacidade de regeneração de espécies de florestas secas proporciona resiliência; no entanto, pode contribuir para a proliferação de populações de espécies generalistas tolerantes a ambientes com valores altos de CAD. O estudo destaca observações relevantes relacionadas à ecologia e distribuição das populações de plantas da Caatinga, principalmente relacionadas ao gradiente de elevação reconhecido como importantes refúgios de biodiversidade nesta região do Brasil. vegetais altitude antrópica Croton Baill Tul. Tul (Tul. GP G P G.P Lewis 4 médio média parcela disso (DAC espécie perturbadas resiliência entanto CAD (Tul

ABSTRACT Elevation gradients are useful models for testing how the variation of abiotic factors and anthropogenic disturbance modulate the population structure of plant species. Despite the small range of elevation, mountains in the semi-arid region of Brazil are subject to different levels of anthropic pressure. We investigated whether structural parameters of two species (Croton blanchetianus Baill. and Cenostigma pyramidale (Tul.) Gagnon & G.P. Lewis) with wide distribution in Caatinga, vary along an elevation gradient. We established 45 plots on three elevation levels. Next, we calculated abundance, percentage of tiller individuals, number of tillers, average diameter, average height, basal area, and above-ground biomass in each plot. Additionally, we recorded six metrics of chronic anthropogenic disturbance (CAD) in each plot. We tested whether species parameters differed between elevation levels and evaluated the influence of CAD on the structural parameters of each species. Abundance, percentage of tiller individuals, and number of tillers were higher at the gradient base for the two species. The metrics of CAD significantly influenced abundance and number of tillers, showing that there is an increase in these parameters in the most disturbing areas. The high capacity for regrowth of dry forest species provides resilience; however, it can contribute to proliferating populations of generalist species tolerant to environments with high rates of CAD. The study highlights relevant observations related to the ecology and distribution of plant populations in the Caatinga, mainly related to elevation gradient recognized as important refuges of biodiversity in this region of Brazil. semiarid semi arid pressure Croton Baill Tul. Tul (Tul. GP G P G.P Lewis Caatinga 4 Next individuals diameter height area aboveground above ground plot Additionally (CAD Abundance areas resilience however (Tul

https://doi.org/10.53661/1806-9088202448263640

Inflammation and all-cause mortality in patients undergoing peritoneal dialysis allcause all cause
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Oliveira Júnior, Wander Valadares de

; Giarola, Luciane Teixeira Passos

; Ferreira, Letícia Gonçalves Resende

; Schettini, Isabella Viana Gomes

; Turani, Sylvia Dias

; Oliveira, Arlindo Ribeiro de

; Marinho, Maria Aparecida Silva

; Pinto, Sérgio Wyton Lima

; Barros-Pinheiro, Melina

; Figueiredo, Roberta Carvalho de

; Rios, Danyelle Romana Alves

einstein (São Paulo)

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2024, Volume 22 elocation eAO0627

Abstract: En | Text: En | PDF: En

ABSTRACT Objective This study aimed to evaluate inflammatory biomarkers in patients undergoing peritoneal dialysis and investigate their association with all-cause mortality or transfer to hemodialysis. Methods This prospective cohort study included 43 patients undergoing peritoneal dialysis. Plasma levels of cytokines were measured using flow cytometry and capture enzyme-linked immunosorbent assay. Biomarkers were categorized based on their respective median values. Survival analysis was conducted using the Kaplan-Meier estimator, considering two outcomes: all-cause mortality and transfer to hemodialysis. Results After adjusting for confounding factors, plasma levels above the median of the levels of CCL2 and plasma, as well as below the median of TNF-α, and the median of dialysate IL-17 levels, were associated with an increased risk of experiencing the specified outcomes after approximately 16 months of follow-up. Conclusion These findings suggest that inflammatory biomarkers may be a valuable tool for predicting all-cause mortality and transfer to hemodialysis in patients undergoing peritoneal dialysis. allcause all cause 4 enzymelinked enzyme linked assay values KaplanMeier Kaplan Meier estimator factors CCL TNFα, TNFα TNF α, α TNF-α IL17 IL 17 IL-1 1 followup. followup follow up. up follow-up IL1 IL-

https://doi.org/10.31744/einstein_journal/2024ao0627

The impact of a breast cancer diagnosis on marital outcomes and factors associated with divorce and separation
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Werutsky, Gustavo

; Lopes, Mahira

; Jesus, Rafaela Gomes de

; Gazola, Antonia Angeli

; Pellegrini, Rodrigo Azevedo

; Rebelatto, Taiane Francieli

; Freitas, Laura von Wallwitz

; Heck, Ana Paula

; Silva, Arthur Ferreira da

; Rodrigues, Matheus Füehr

; Gössling, Gustavo

; Giacomazzi, Juliana

; Rocha, Matheus Soares

; Rosa, Daniela Dornelles

; Barrios, Carlos Henrique

; Cronemberger, Eduardo Henrique

; Queiroz, Geraldo Silva

; Bines, José

; Simon, Sérgio Daniel

; Fay, Andre Poisl

Revista Brasileira de Ginecologia e Obstetrícia

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2024, Volume 46 elocation e-rbgo60

Abstract: En | Text: En | PDF: En

Abstract Objective To analyze marital outcomes, divorce or separation, and its association with demographic, socioeconomic, and clinicopathological factors among breast cancer (BC) survivors after 2-years of diagnosis. Methods We performed a retrospective analysis of marital status at baseline and at years 1 and 2 of follow-up of women aged ≥ 18 years diagnosed with invasive BC participating in the AMAZONA III (GBECAM0115) study. The BC diagnosis occurred between January 2016 and March 2018 at 23 institutions in Brazil. Results Of the 2974 women enrolled in AMAZONA III, 599 were married or living under common law at baseline. Divorce or separation occurred in 35 (5.8%) patients at 2 years of follow-up. In the multivariate analysis, public health insurance coverage was associated with a higher risk of marital status change (8.25% vs. 2.79%, RR 3.09, 95% CI 1.39 - 7.03, p = 0.007). Women who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation (8.1% vs. 4.49%, RR 1.97, 95 CI 1.04 – 3.72, p = 0.0366) than those who underwent breast-conserving surgery. Conclusion Women covered by the public health system and those who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation. This evidence further supports the idea that long-term marital stability is associated with a complex interplay between socioeconomic conditions and stressors, such as BC diagnosis and treatment. ClinicalTrials Registration: NCT02663973. outcomes demographic (BC 2years followup follow up GBECAM0115 GBECAM (GBECAM0115 study 201 Brazil 297 59 3 5.8% 58 5 8 (5.8% followup. up. 8.25% 825 25 (8.25 vs 279 79 2.79% 309 09 3.09 139 39 1.3 703 7 03 7.03 0.007. 0007 0.007 . 0 007 0.007) skinsparing skin sparing 8.1% 81 (8.1 449 4 49 4.49% 197 97 1.97 9 104 04 1.0 372 72 3.72 0.0366 00366 0366 breastconserving conserving surgery longterm long term stressors treatment Registration NCT02663973 NCT GBECAM011 (GBECAM011 20 29 5.8 (5.8 8.25 82 (8.2 27 2.79 30 3.0 13 1. 70 7.0 000 0.00 00 8.1 (8. 44 4.49 19 1.9 10 37 3.7 0.036 0036 036 NCT0266397 GBECAM01 (GBECAM01 5. (5. 8.2 2.7 3. 7. 0.0 8. (8 4.4 0.03 003 NCT026639 GBECAM0 (GBECAM0 (5 2. 0. ( 4. NCT02663 (GBECAM NCT0266 NCT026 NCT02 NCT0

https://doi.org/10.61622/rbgo/2024rbgo60

VATICAN (Ventilator-Associated Tracheobronchitis Initiative to Conduct Antibiotic Evaluation): protocol for a multicenter randomized open-label trial of watchful waiting versus antimicrobial therapy for ventilator-associated tracheobronchitis VentilatorAssociated Ventilator Associated Evaluation Evaluation) openlabel open label ventilatorassociated ventilator associated
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Tomazini, Bruno Martins

; Besen, Bruno Adler Maccagnan Pinheiro

; Dietrich, Camila

; Gandara, Ana Paula Rossi

; Silva, Debora Patrícia

; Pinheiro, Carla Cristina Gomes

; Luz, Mariane Nascimento

; Mattos, Renata Rodrigues de

; Reis, Luiz Fernando Lima

; Roepke, Roberta Muriel Longo

; Duarte, Carlos Sérgio Luna Gomes

; Nassar Júnior, Antônio Paulo

; Veiga, Viviane Cordeiro

; Arns, Beatriz

; Nascimento, Giovanna Marssola

; Pereira, Adriano José

; Cavalcanti, Alexandre Biasi

; Machado, Flávia Ribeiro

; Azevedo, Luciano Cesar Pontes

Critical Care Science

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2024, Volume 36 elocation e20240029en

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

RESUMO Contexto A traqueobronquite associada ao ventilador é uma condição comum entre pacientes ventilados invasivamente em unidades de terapia intensiva, para a qual se desconhece atualmente a melhor estratégia de tratamento. Desenhamos o estudo VATICAN (Ventilator-Associated Tracheobronchitis Initiative to Conduct Antibiotic Evaluation) para avaliar se uma estratégia de tratamento antibiótico de espera vigilante não é inferior ao tratamento antibiótico de rotina para traqueobronquite associada ao ventilador em relação aos dias sem ventilador mecânico. Métodos O VATICAN é um estudo randomizado, controlado, aberto e multicêntrico de não inferioridade. Os pacientes com suspeita de traqueobronquite associada ao ventilador sem evidência de pneumonia associada ao ventilador ou instabilidade hemodinâmica devido a uma provável infecção serão designados para uma estratégia de espera vigilante, sem administração profilática de antimicrobianos contra traqueobronquite associada ao ventilador e prescrição de antimicrobianos somente em casos de pneumonia associada ao ventilador, sepse ou choque séptico, ou outro diagnóstico infeccioso, ou para uma estratégia de tratamento antimicrobiano de rotina por 7 dias. O desfecho primário será o número de dias sem ventilador mecânico em 28 dias, e um desfecho secundário importante será a sobrevida sem pneumonia associada ao ventilador. Por meio de uma estrutura de intenção de tratar com análise de sensibilidade por protocolo, a análise do desfecho primário abordará a não inferioridade com margem de 20%, o que se traduz em uma diferença de 1,5 dia sem ventilador. Outras análises seguirão uma estrutura de análise de superioridade. Conclusão O VATICAN seguirá todos os padrões éticos nacionais e internacionais. O objetivo é publicar o estudo em um periódico geral de alta visibilidade e apresentá-lo em conferências de cuidados intensivos e doenças infecciosas para divulgação. Estes resultados provavelmente serão imediatamente aplicáveis à beira do leito após a conclusão do estudo e fornecerão informações com baixo risco de viés para o desenvolvimento de diretrizes. intensiva VentilatorAssociated Ventilator Associated Evaluation randomizado controlado séptico infeccioso 2 protocolo 20 20% 15 1 5 1, superioridade internacionais apresentálo apresentá lo divulgação diretrizes

ABSTRACT Background Ventilator-associated tracheobronchitis is a common condition among invasively ventilated patients in intensive care units, for which the best treatment strategy is currently unknown. We designed the VATICAN (Ventilator-Associated Tracheobronchitis Initiative to Conduct Antibiotic Evaluation) trial to assess whether a watchful waiting antibiotic treatment strategy is noninferior to routine antibiotic treatment for ventilator-associated tracheobronchitis regarding days free of mechanical ventilation. Methods VATICAN is a randomized, controlled, open-label, multicenter noninferiority trial. Patients with suspected ventilator-associated tracheobronchitis without evidence of ventilator-associated pneumonia or hemodynamic instability due to probable infection will be assigned to either a watchful waiting strategy, without antimicrobial administration for ventilator-associated tracheobronchitis and prescription of antimicrobials only in cases of ventilator-associated pneumonia, sepsis or septic shock, or another infectious diagnosis, or to a routine antimicrobial treatment strategy for seven days. The primary outcome will be mechanical ventilation-free days at 28 days, and a key secondary outcome will be ventilator-associated pneumonia-free survival. Through an intention-to-treat framework with a per-protocol sensitivity analysis, the primary outcome analysis will address noninferiority with a 20% margin, which translates to a 1.5 difference in ventilator-free days. Other analyses will follow a superiority analysis framework. Conclusion The VATICAN trial will follow all national and international ethical standards. We aim to publish the trial in a high-visibility general journal and present it at critical care and infectious disease conferences for dissemination. These results will likely be immediately applicable to the bedside upon trial completion and will provide information with a low risk of bias for guideline development. Ventilatorassociated Ventilator associated units unknown VentilatorAssociated Associated Evaluation ventilatorassociated ventilator ventilation randomized controlled openlabel, openlabel open label, label open-label shock diagnosis ventilationfree 2 pneumoniafree survival intentiontotreat intention treat perprotocol per protocol 20 margin 15 1 5 1. ventilatorfree standards highvisibility high visibility dissemination development

https://doi.org/10.62675/2965-2774.20240029-en

Effectiveness and Safety of Direct-Acting Antivirals in the Treatment of Chronic Hepatitis C: A Real-life Study in Northeastern Brazil DirectActing Direct Acting C Reallife Real life
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Hyppolito, Elodie Bomfim

; Ramos Jr, Alberto Novaes

; Teixeira, Larissa Peixoto

; Bezerra, Arthur Machado

; Mendes, Lucas Arruda

; Silva, Taynara Lais

; Lima, José Milton de Castro

; Arruda, Érico Antonio Gomes de

; Guerra, Eder Janes

; Tavares, Maria Macedo Saraiva

; Lima, Carlos Eduardo Pereira

; Esmeraldo, Ticiana Mota

; Pessoa, Francisco Sérgio Rangel de Paula

; Pierre, Alessandra Maria Montalverne

; Pereira, Karla Brandão

; Araújo Filho, Antônio Haroldo

; Linhares, Lívia Melo Carone

; Ferreira, Anderson Fuentes

; Pires Neto, Roberto da Justa

Revista da Sociedade Brasileira de Medicina Tropical

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2024, Volume 57 elocation e00423-2024

Abstract: En | Text: En | PDF: En

ABSTRACT Background: This study aimed to evaluate the effectiveness and safety of direct-acting antivirals (DAAs) for hepatitis C treatment by measuring sustained virologic response (SVR) and serious adverse events to help design effective interventions for reducing disease prevalence. Methods: This was a retrospective, observational, real-life study of patients with chronic hepatitis C receiving DAA treatment in the state of Ceará, Brazil. Data were collected in REDCap and analyzed using R® software by the Student's t, chi-square, and Fisher’s exact tests, with a significance level of 5%. Results: In this study, 1075 patients who were diagnosed with hepatitis C infection between October 2015 and October 2023 were included. The mean age of the participants was 56.6 ± 11 years and 60.2% were men. The sample included 51 HIV-infected patients (6.6%), 166 (15,4%) liver transplant recipients, 34 (3,1%) kidney transplant recipients, and 446 patients with cirrhosis (41.4%). The overall SVR rate was 96.4%. The sofosbuvir/daclatasvir/ribavirin regimen used in 354 (32.9%) patients achieved an SVR of 96%. The cure rate was 96.5%, with a lower SVR in patients with cirrhosis (93.4%) than in those with less severe fibrosis (97.9%) (p=0.0015). Serious adverse events associated with ribavirin use occurred in 3.5% of patients. Conclusions: DAA treatment for hepatitis C achieved SVR in real life in all patient profiles, including transplant recipients, HIV carriers, and patients with cirrhosis. Although these drugs are safe, a few decompensated patients with cirrhosis died during treatment. Background directacting direct acting DAAs (DAAs (SVR prevalence Methods retrospective observational reallife Ceará Brazil R Students Student s t chisquare, chisquare chi square, square chi-square Fishers Fisher tests 5 5% Results 107 201 202 566 56 6 56. 1 602 60 2 60.2 men HIVinfected infected 6.6%, 66 6.6% , (6.6%) 16 15,4% 154 15 4 (15,4% recipients 3 3,1% 31 (3,1% 44 41.4%. 414 41.4% . 41 (41.4%) 964 96 96.4% sofosbuvirdaclatasvirribavirin sofosbuvir daclatasvir 35 32.9% 329 32 9 (32.9% 96% 965 96.5% 93.4% 934 93 (93.4% 97.9% 979 97 (97.9% p=0.0015. p00015 p p=0.0015 0 0015 (p=0.0015) 3.5 Conclusions profiles carriers safe 10 20 60. 6.6 (6.6% 15,4 (15,4 3,1 (3,1 41.4 (41.4% 96.4 32.9 (32.9 96.5 93.4 (93.4 97.9 (97.9 p0001 p=0.001 001 (p=0.0015 3. 6. (6.6 15, (15, 3, (3, 41. (41.4 96. 32. (32. 93. (93. 97. (97. p000 p=0.00 00 (p=0.001 (6. (15 (3 (41. (32 (93 (97 p00 p=0.0 (p=0.00 (6 (1 ( (41 (9 p0 p=0. (p=0.0 (4 p=0 (p=0. p= (p=0 (p= (p

https://doi.org/10.1590/0037-8682-0192-2024

Safety of CoronaVac and ChAdOx1 vaccines against SARS-CoV-2 in patients with rheumatoid arthritis: data from the Brazilian multicentric study safer ChAdOx SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- arthritis SARS-CoV
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Cruz, Vitor Alves

; Guimarães, Camila

; Rêgo, Jozelia

; Machado, Ketty Lysie Libardi Lira

; Miyamoto, Samira Tatiyama

; Burian, Ana Paula Neves

; Dias, Laiza Hombre

; Pretti, Flavia Zon

; Batista, Danielle Cristina Filgueira Alves

; Mill, José Geraldo

; Oliveira, Yasmin Gurtler Pinheiro de

; Gadelha, Carolina Strauss Estevez

; Gouveia, Maria da Penha Gomes

; Moulin, Anna Carolina Simões

; Souza, Bárbara Oliveira

; Aguiar, Laura Gonçalves Rodrigues

; Vieira, Gabriel Smith Sobral

; Grillo, Luiza Lorenzoni

; Lima, Marina Deorce de

; Pasti, Laís Pizzol

; Surlo, Heitor Filipe

; Faé, Filipe

; Moulaz, Isac Ribeiro

; Macabú, Mariana de Oliveira

; Ribeiro, Priscila Dias Cardoso

; Magalhães, Vanessa de Oliveira

; Aguiar, Mariana Freitas de

; Biegelmeyer, Erika

; Peixoto;, Flávia Maria Matos Melo Campos

; Kayser, Cristiane

; Souza, Alexandre Wagner Silva de

; Castro, Charlles Heldan de Moura

; Ribeiro, Sandra Lúcia Euzébio

; Telles, Camila Maria Paiva França

; Bühring, Juliana

; Lima, Raquel Lima de

; Santos, Sérgio Henrique Oliveira Dos

; Dias, Samuel Elias Basualto

; Melo, Natália Seixas de

; Sanches, Rosely Holanda da Silva

; Boechat, Antonio Luiz

; Sartori, Natália Sarzi

; Hax, Vanessa

; Dória, Lucas Denardi

; Rezende, Rodrigo Poubel Vieira de

; Baptista, Katia Lino

; Fortes, Natália Rodrigues Querido

; Melo, Ana Karla Guedes de

; Melo, Tâmara Santos

; Vieira, Rejane Maria Rodrigues de Abreu

; Vieira, Adah Sophia Rodrigues

; Kakehasi, Adriana Maria

; Tavares, Anna Carolina Faria Moreira Gomes

; Landa, Aline Teixeira de

; Costa, Pollyana Vitoria Thomaz da

; Azevedo, Valderilio Feijó

; Martins-Filho, Olindo Assis

; Peruhype-Magalhães, Vanessa

; Pinheiro, Marcelo de Medeiros

; Monticielo, Odirlei André

; Reis-neto, Edgard Torres Dos

; Ferreira, Gilda Aparecida

; Souza, Viviane Angelina de

; Teixeira-Carvalho, Andréa

; Xavier, Ricardo Machado

; Sato, Emilia Inoue

; Valim, Valeria

; Pileggi, Gecilmara Salviato

; Silva, Nilzio Antonio da

Advances in Rheumatology

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2024, Volume 64 elocation 58

Abstract: En | Text: En | PDF: En

Abstract Background Patients with immune-mediated rheumatic diseases (IMRDs) have been prioritized for COVID-19 vaccination to mitigate the infection severity risks. Patients with rheumatoid arthritis (RA) are at a high risk of severe COVID-19 outcomes, especially those under immunosuppression or with associated comorbidities. However, few studies have assessed the safety of the COVID-19 vaccine in patients with RA. Objective To evaluate the safety of vaccines against SARS-CoV-2 in patients with RA. Methods This data are from the study “Safety and Efficacy on COVID-19 Vaccine in Rheumatic Diseases,” a Brazilian multicentric prospective phase IV study to evaluate COVID-19 vaccine in IMRDs in Brazil. Adverse events (AEs) in patients with RA of all centers were assessed after two doses of ChAdOx1 (Oxford/AstraZeneca) or CoronaVac (Sinovac/Butantan). Stratification of postvaccination AEs was performed using a diary, filled out daily and returned at the end of 28 days for each dose. Results A total of 188 patients with RA were include, 90% female. CoronaVac was used in 109 patients and ChAdOx1 in 79. Only mild AEs were observed, mainly after the first dose. The most common AEs after the first dose were pain at the injection (46,7%), headache (39,4%), arthralgia (39,4%), myalgia (30,5%) and fatigue (26,6%), and ChAdOx1 had a higher frequency of pain at the injection (66% vs 32 %, p < 0.001) arthralgia (62% vs 22%, p < 0.001) and myalgia (45% vs 20%, p < 0.001) compared to CoronaVac. The more common AEs after the second dose were pain at the injection (37%), arthralgia (31%), myalgia (23%), headache (21%) and fatigue (18%). Arthralgia (41,4% vs 25%, p = 0.02) and pain at injection (51,4% vs 27%, p = 0.001) were more common with ChAdOx1. No serious AEs were related. With Regard to RA activity level, no significant difference was observed between the three time periods for both COVID-19 vaccines. Conclusion In the comparison between the two immunizers in patients with RA, local reactions and musculoskeletal symptoms were more frequent with ChAdOx1 than with CoronaVac, especially after the first dose. In summary, the AE occurred mainly after the first dose, and were mild, like previous data from others immunizing agents in patients with rheumatoid arthritis. Vaccination did not worsen the degree of disease activity. immunemediated immune mediated (IMRDs COVID19 COVID 19 COVID-1 risks (RA outcomes comorbidities However SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- Safety Diseases, Diseases Brazil (AEs ChAdOx Oxford/AstraZeneca OxfordAstraZeneca Oxford AstraZeneca (Oxford/AstraZeneca Sinovac/Butantan. SinovacButantan Sinovac/Butantan . Sinovac Butantan (Sinovac/Butantan) diary 18 include 90 female 10 79 46,7%, 467 46,7% , 46 7 (46,7%) 39,4%, 394 39,4% 39 4 (39,4%) 30,5% 305 30 5 (30,5% 26,6%, 266 26,6% 26 6 (26,6%) 66% 66 (66 3 % 0.001 0001 0 001 62% 62 (62 22 22% 45% 45 (45 20 20% 37%, 37 37% (37%) 31%, 31 31% (31%) 23%, 23 23% (23%) 21% 21 (21% 18%. 18% (18%) 41,4% 414 41 (41,4 25 25% 0.02 002 02 51,4% 514 51 (51,4 27 27% related level summary COVID1 1 COVID- SARS-CoV (Sinovac/Butantan 9 46,7 (46,7% 39,4 (39,4% 30,5 (30,5 26,6 (26,6% (6 0.00 000 00 (4 (37% (31% (23% (21 (18% 41,4 (41, 0.0 51,4 (51, 46, (46,7 39, (39,4 30, (30, 26, (26,6 ( (37 (31 (23 (2 (18 41, (41 0. 51, (51 (46, (39, (30 (26, (3 (1 (5 (46 (39 (26

https://doi.org/10.1186/s42358-024-00397-5

Ensino médico on-line durante a pandemia em diferentes países online on line
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Menezes Junior, Antônio da Silva

; Farinha, Anna Karlla Gomes Moreira

; Diniz, Paulo Sérgio Machado

Revista Brasileira de Educação Médica

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2023, Volume 47 N. 2 elocation e064

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

Resumo: Introdução: Ao final de 2019, um dos grandes desafios do século XXI veio à tona e atingiu o mundo todo. O longo período de isolamento levou as pessoas a se adaptar a uma nova forma de trabalho e estudo. A mesma medida foi adotada pelos cursos de Medicina, o que resultou em novas metodologias de aprendizagem. Objetivo: Este estudo teve como objetivo analisar, por meio de uma revisão integrativa, dados referentes ao processo de adaptação da educação médica on-line durante a pandemia. Método: Trata-se de uma revisão integrativa de literatura em que se utilizaram os dados das seguintes plataformas: PubMed, Biblioteca Virtual em Saúde (BVS), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Capes), Scientific Electronic Library Online (SciELO) e Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS). A pesquisa teve início em julho de 2021. Resultado: Inicialmente, com a aplicação dos critérios de inclusão, obteve-se um total de 841 artigos oriundos das bases de dados selecionadas. Após a exclusão de artigos duplicados, esse número foi reduzido a 242 artigos. Após a aplicação dos critérios de exclusão, chegou-se a 22 artigos selecionados para o estudo. Conclusão: Como a Medicina é um curso prático em sua maioria, é fundamental o contato físico dos estudantes com os pacientes, de modo a desenvolver habilidades essenciais para um médico de qualidade, tanto em técnicas da semiologia médica como na desenvoltura da relação médico-paciente. Porém, a necessidade de um modo de aprendizagem surgiu com a pandemia, e o ensino não podia parar. Diante dos pontos levantados na literatura pesquisada, o senso comum seria a aplicação de um método de ensino híbrido - on-line e presencial - (visando à otimização de tempo e ao rompimento de barreiras geográficas, sem deixar de lado a importância da prática clínica), excepcionalmente on-line (quando houver situações extraordinárias, a exemplo da pandemia de Covid-19) ou somente presencial (em regiões onde é inviável a aplicação do e-learning). Resumo Introdução 2019 todo Objetivo analisar online on line Método Tratase Trata plataformas PubMed BVS, BVS , (BVS) Capes, Capes (Capes) SciELO (SciELO LatinoAmericana Latino Americana LILACS. LILACS . (LILACS) 2021 Resultado Inicialmente inclusão obtevese obteve 84 selecionadas duplicados 24 chegouse chegou 2 Conclusão maioria pacientes qualidade médicopaciente. médicopaciente paciente. paciente médico-paciente Porém parar pesquisada visando geográficas clínica, clínica clínica) quando extraordinárias Covid19 Covid 19 Covid-19 elearning. elearning learning e-learning) 201 (BVS (Capes (LILACS 202 8 Covid1 1 Covid-1 e-learning 20 Covid-

Abstract: Introduction: At the end of 2019, one of the great challenges of the 21st century emerged, affecting the whole world. The long period in isolation made people adapt to the way they work and study, and this same measure was taken in the medical course, bringing new methodologies and learning. Objective: To analyze, through an Integrative Review, data on how the process of adapting online medical education was carried out during the pandemic. Methods: This is an Integrative Literature Review and data search was conducted in the PubMed, Virtual Health Library (BVS), Coordination for the Improvement of Higher Education Personnel (CAPES), Scientific Electronic Library Online (SCIELO) and Latin American and Caribbean Literature on Health Sciences (LILACS) databases. The search began in July 2021. Results: Initially, with the application of the inclusion criteria, a total of 841 articles were obtained from the selected databases. After excluding duplicate articles, this number was reduced to 242 articles. After applying the exclusion criteria, 22 articles were selected for the study. Conclusion: It is known that Medicine is mostly a practical course, the physical contact of students with patients is essential to develop essential skills for a quality physician, both in medical semiology techniques and in the skills necessary to establish the doctor-patient relationship. However, the need for a way of learning arose with the pandemic and teaching could not stop. In view of the points raised in the literature research, the common sense would be the application of a hybrid teaching method - online and face-to-face - (aimed at optimizing time and breaking geographic barriers, without neglecting the importance of clinical practice), exceptionally online (when there are extraordinary situations, such as the COVID-19 pandemic) or only in person (in regions where the application of e-learning is not feasible). Abstract Introduction 2019 st emerged world study course Objective analyze Methods PubMed BVS, BVS , (BVS) CAPES, CAPES (CAPES) SCIELO (SCIELO LILACS (LILACS databases 2021 Results Initially criteria 84 24 2 Conclusion physician doctorpatient doctor patient relationship However stop research facetoface face aimed barriers practice, practice practice) when situations COVID19 COVID 19 COVID-1 elearning e feasible. feasible . feasible) 201 (BVS (CAPES 202 8 COVID1 1 COVID- 20

https://doi.org/10.1590/1981-5271v47.2-2022-0394

10.

Posicionamento sobre Doença Isquêmica do Coração – A Mulher no Centro do Cuidado – 2023 202 20 2
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Oliveira, Gláucia Maria Moraes de

; Almeida, Maria Cristina Costa de

; Rassi, Daniela do Carmo

; Bragança, Érika Olivier Vilela

; Moura, Lidia Zytynski

; Arrais, Magaly

; Campos, Milena dos Santos Barros

; Lemke, Viviana Guzzo

; Avila, Walkiria Samuel

; Lucena, Alexandre Jorge Gomes de

; Almeida, André Luiz Cerqueira de

; Brandão, Andréa Araujo

; Ferreira, Andrea Dumsch de Aragon

; Biolo, Andreia

; Macedo, Ariane Vieira Scarlatelli

; Falcão, Breno de Alencar Araripe

; Polanczyk, Carisi Anne

; Lantieri, Carla Janice Baister

; Marques-Santos, Celi

; Freire, Claudia Maria Vilas

; Pellegrini, Denise

; Alexandre, Elizabeth Regina Giunco

; Braga, Fabiana Goulart Marcondes

; Oliveira, Fabiana Michelle Feitosa de

; Cintra, Fatima Dumas

; Costa, Isabela Bispo Santos da Silva

; Silva, José Sérgio Nascimento

; Carreira, Lara Terra F.

; Magalhães, Lucelia Batista Neves Cunha

; Matos, Luciana Diniz Nagem Janot de

; Assad, Marcelo Heitor Vieira

; Barbosa, Marcia M.

; Silva, Marconi Gomes da

; Rivera, Maria Alayde Mendonça

; Izar, Maria Cristina de Oliveira

; Costa, Maria Elizabeth Navegantes Caetano

; Paiva, Maria Sanali Moura de Oliveira

; Castro, Marildes Luiza de

; Uellendahl, Marly

; Oliveira Junior, Mucio Tavares de

; Souza, Olga Ferreira de

; Costa, Ricardo Alves da

; Coutinho, Ricardo Quental

; Silva, Sheyla Cristina Tonheiro Ferro da

; Martins, Sílvia Marinho

; Brandão, Simone Cristina Soares

; Buglia, Susimeire

; Barbosa, Tatiana Maia Jorge de Ulhôa

; Nascimento, Thais Aguiar do

; Vieira, Thais

; Campagnucci, Valquíria Pelisser

; Chagas, Antonio Carlos Palandri

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 7 elocation e20230303

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.36660/abc.20230303

11.

Uma Revisão sobre Instrumentos de Avaliação do Burnout na Segurança Pública
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Esteves, Germano Gabriel Lima

; Zanini, Daniela Sacramento

; Melo, Giulia Veiga de Leite Ribeiro

; Pereira Júnior, Sebastião Venâncio

; Oliveira, Sérgio Eduardo Silva de

; Corrêa, Felipe Minotto

; Fonseca, Wladimir Rodrigues da

; Nascimento, Thiago Gomes

; Barbosa, Lara Letícia Pinto

; Macedo, Francisco Guilherme Lima

; Faiad, Cristiane

Psico-USF

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2023, Volume 28 N. 2 Pages 281 - 294

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

Resumen El objetivo fue mapear los instrumentos utilizados en la evaluación del síndrome de Burnout en profesionales de la seguridad pública, indicando los aspectos psicométricos, muestras y variables asociadas. Se seleccionaron diecinueve estudios de las bases de datos buscadas (PsycINFO, PubMED y Google Scholar). Los resultados indicaron el uso de los instrumentos MBI-GS, MBI-HSS, BM-S, CBI y CESQT, pero solo uno de los instrumentos mostró evidencia de validez en este contexto. El Burnout se encuentra asociado con variables personales, organizacionales y específicas. La comparación de estudios e índices fue limitada debido a la falta de estandarización. La ausencia de evidencia de validez y estandarización de resultados conduce a problemas como la falta de soporte empírico para las puntuaciones y la dificultad para comparar estudios. Los datos revelan limitaciones en la evaluación de los niveles de burnout utilizados en el contexto de la seguridad pública, ya que las medidas no presentan evidencia de validez para este contexto, lo que apunta a la necesidad de realizar investigaciones en el área. pública psicométricos asociadas PsycINFO, PsycINFO (PsycINFO Scholar. Scholar . Scholar) MBIGS, MBIGS MBI GS, GS MBI-GS MBIHSS, MBIHSS HSS, HSS MBI-HSS BMS, BMS BM S, S BM-S CESQT personales específicas área

Resumo Objetivou-se mapear os instrumentos utilizados na avaliação da síndrome de Burnout em profissionais da segurança pública, indicando os aspectos psicométricos, amostras e variáveis associadas. Foram selecionados 19 estudos nas bases de dados pesquisadas (PsycINFO, PubMED e Google Scholar). Os resultados indicaram a utilização dos instrumentos MBI-GS, MBI-HSS, BM-S, CBI e CESQT, mas apenas um dos instrumentos apresentou evidência de validade nesse contexto. Constatou-se a associação do Burnout com variáveis pessoais, organizacionais e específicas. A comparação dos estudos e dos índices de Burnout foi limitada devido à falta de padronização. A ausência de evidências de validade e de padronização dos resultados acarreta problemas como a falta de suporte empírico das pontuações e dificuldade na comparação dos estudos. Os dados revelam limitações na avaliação dos níveis de Burnout utilizadas no contexto de segurança pública, uma vez que as medidas não apresentam evidências de validade para esse contexto, indicando a necessidade de pesquisas na área. Objetivouse Objetivou se pública psicométricos associadas 1 PsycINFO, PsycINFO (PsycINFO Scholar. Scholar . Scholar) MBIGS, MBIGS MBI GS, GS MBI-GS MBIHSS, MBIHSS HSS, HSS MBI-HSS BMS, BMS BM S, S BM-S CESQT Constatouse Constatou pessoais específicas área

Abstract Aimed to map the instruments used in evaluating Burnout syndrome in public security professionals, indicating the psychometric aspects, samples, and associated variables. Nineteen studies were selected from the searched databases (PsycINFO, PubMED and Google Scholar). Results indicated that the instruments MBI-GS, MBI-HSS, BM-S, CBI and CESQT, but only one of the instruments showed evidence of validity in this context. Burnout was associated with personal, organizational, and specific variables. Comparison of studies and Burnout indices was limited due to the lack of standardization. The absence of evidence of validity and standardization of results leads to problems such as the lack of empirical support for the scores and difficulty in comparing studies. The data reveal limitations in the assessment of burnout levels used in the context of public safety, as the measures do not present validity evidence for this context, pointing to the need for research in the area. professionals aspects samples variables PsycINFO, PsycINFO (PsycINFO Scholar. Scholar . Scholar) MBIGS, MBIGS MBI GS, GS MBI-GS MBIHSS, MBIHSS HSS, HSS MBI-HSS BMS, BMS BM S, S BM-S CESQT personal organizational safety area

https://doi.org/10.1590/1413-82712023280206

12.

Genotypic selection of pre-clultivars of carioca and early carioca beans for the Agreste-Sertão of Pernambuco, Brazil
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Nascimento, Maxwel Rodrigues

; Santos, Paulo Ricardo dos

; Costa, Antônio Félix da

; Daher, Rogério Figueiredo

; Oliveira, Tâmara Rebecca Albuquerque de

; Souza, Alexandre Gomes de

; Costa, Kleyton Danilo da Silva

; Silva, Katiane da Rosa Gomes da

; Araújo, Emmanuelle Rodrigues

; Santana, Sérgio Rogério Alves de

; Silva, José Wilson da

Ciência Rural

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2023, Volume 53 N. 6 elocation e20220031

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

RESUMO: A interação genótipo x ambiente representa um grande desafio na identificação e seleção de genótipos responsivos às diversas condições de clima e solo. O objetivo deste trabalho foi avaliar e selecionar pré-cultivares de feijão carioca e feijão carioca precoce com base na adaptabilidade, estabilidade e produtividade de grãos. Na safra 2014 foram conduzidos dois ensaios regionais de competição no estado de Pernambuco: feijão carioca (14 genótipos em Arcoverde, Belém de São Francisco, Caruaru e São João) e feijão carioca precoce (11 genótipos em Araripina, Arcoverde e Caruaru) e na safra de 2015 com feijão carioca precoce (11 genótipos, em Araripina, Arcoverde e Brejão). Os parâmetros foram estimados por meio de modelos mistos e a seleção foi realizada pelo método da Média Harmônica do Desempenho Relativo dos Valores Genéticos (MHPRVG), adotando-se três estratégias: i) seleção com base no valor genético predito, sem interação; ii) seleção com base no valor genético predito, considerando cada local; iii) seleção simultânea quanto à produtividade de grãos, adaptabilidade e estabilidade. Observou-se que os ambientes influenciaram na expressão fenotípica dos genótipos de feijão carioca e carioca precoce, configurando adaptação específica. Os genótipos BRS Notável, BRS Estilo e BRS Pérola, de feijão carioca, e CNFC 15875, BRS Notável e CNFC 15630, de feijão carioca precoce, apresentaram os melhores desempenhos nos ambientes testados, considerando-se, simultaneamente, a adaptabilidade a diferentes condições edafoclimáticas, estabilidade de desempenho e produtividade de grãos.

ABSTRACT: Genotype x environment interactions represent a major challenge in identifying and selecting genotypes responsive to different climate and soil conditions. This research evaluated and selected pre-cultivars of carioca bean and early carioca bean based on adaptability, stability, and grain yield. In the 2014 crop season, two regional competition trials were conducted in the state of Pernambuco: carioca beans (14 genotypes in Arcoverde, Belém de São Francisco, Caruaru and São João) and early carioca beans (11 genotypes in Araripina, Arcoverde, and Caruaru) and, in the 2015 crop season, with early carioca beans (11 genotypes in Araripina, Arcoverde, and Brejão). Parameters were estimated by mixed models, and the selection was performed using the Harmonic Mean of Relative Performance of Genetic Values (HMRPGV) method following three strategies: i) selection based on predicted genetic value with no interaction; ii) selection according to predicted genetic value considering each location; and iii) simultaneous selection for grain yield, adaptability, and stability. The environments influenced the phenotypic expression of the carioca and early carioca bean genotypes, representing a specific adaptation. The genotypes BRS Notável, BRS Estilo and BRS Pérola, of carioca beans, and CNFC 15875, BRS Notável and CNFC 15630, of early carioca beans, had the best results in the environments tested, regarding, simultaneously, adaptability to different soil and climate conditions, performance stability, and grain yield.

https://doi.org/10.1590/0103-8478cr20220031

13.

Researcher management and cooperation: challenges in Brazilian research organizations from the perspective of microfoundations
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Moreno, Marina Gomes Murta

; Silva, Sérgio Luis da

Journal of technology management & innovation

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dec 2022, Volume 17 N. 4 Pages 77 - 89

Abstract: En | Text: En | PDF: En

Abstract: In this work, we explore the dynamics of microfoundations dimensions (individuals, processes and structures) of research organizations (ROs) in order to diagnose the challenges faced by researcher management in Brazilian ROs and improve cooperative actions. To this end, analytical variables were defined from the theoretical fields of management (people and microfoundations) and research-industry cooperation, and applied in three exploratory-descriptive case studies. The results show that the effectiveness of research-industry cooperation depends on paradigm shift and long-term actions, such as the implementation of a collaborative organizational culture and the prioritization of innovative governance. Furthermore, the development of these capacities is hampered by the low maturity of career development processes, structural and financial-budgetary constraints. This research contributes to theoretical development, establishing constructs from the ROs specificities and proposing initial relationships among the analytical variables structured. For practice, we highlight the organizational diagnosis and actions for a better cooperative performance of ROs.

14.

[SciELO Preprints] - ONLINE MEDICAL EDUCATION AND ITS LEVELS BETWEEN COUNTRIES WITH DIFFERENT HUMAN DEVELOPMENT INDICES
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Menezes Junior, Antonio da Silva Farinha, Anna Karlla Gomes Moreira Diniz, Paulo Sérgio Machado Resende , Aline Lazara

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Publication date: 2022-10-31

Abstract: En Es Pt

The objective of this study is to analyze, through an Integrative Review, the process of adapting online medical education at graduation, pointing out similarities and differences between countries with different Human Development Index. At the end of 2019, the biggest challenge of the 21st century came to light, reaching the world with COVID-19, high contagion and little information, social isolation measures and new forms of teaching had to be adapted because teaching was essential. Medicine is mostly a practical course, physical contact between students and patients is essential for the development of essential skills. In view of the points raised in the research literature, the consensual would be the application of a hybrid teaching method - online and face-to-face with a view to optimizing time and breaking geographical barriers, despite the importance of clinical practice.

El objetivo de este estudio es analizar, a través de una Revisión Integrativa, el proceso de adaptación de la educación médica en línea en la graduación, señalando similitudes y diferencias entre países con diferente Índice de Desarrollo Humano. A finales de 2019 salió a la luz el mayor desafío del siglo XXI, llegar al mundo con el COVID-19, alto contagio y poca información, las medidas de aislamiento social y las nuevas formas de enseñanza tuvieron que adaptarse. La medicina es un curso práctico, el contacto físico entre estudiantes y pacientes es esencial para el desarrollo de habilidades. En vista la literatura de investigación, lo consensuado sería la aplicación de un método de enseñanza híbrido - online y presencial con vistas a optimizar el tiempo y romper las barreras geográficas, a pesar de la importancia de la práctica clínica.

O objetivo deste estudo é analisar através de uma Revisão Integrativa, o processo de adaptação da educação médica online na graduação, pontuando semelhanças e diferenças entre países com Índice de Desenvolvimento Humano diferentes.  Ao final de 2019, o maior desafio do século XXI veio à tona, atingindo o mundo com a covid-19, alto contágio e poucas informações, medidas de isolamento social e novas formas de ensino tiveram que ser adaptadas pois o ensino era imprescindível.  A medicina é um curso prático em sua maioria, é essencial o contato físico entre estudantes e pacientes, para o desenvolvendo habilidades essenciais.  Diante dos pontos levantados na literatura pesquisa o consensual seria a aplicação de um método de ensino híbrido - online e presencial visando a otimização de tempo e rompimento de barreiras geográficas, não obstante a importância da prática clínica.  

https://doi.org/10.1590/SciELOPreprints.4940

15.

CLINICAL AND EPIDEMIOLOGICAL EVALUATION OF COMPLICATIONS ASSOCIATED WITH GALLSTONES IN A TERTIARY HOSPITAL
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AGUIAR, Ridson Guilherme Parente de

; SOUZA JÚNIOR, Francisco Emanoel Albuquerque de

; ROCHA JÚNIOR, José Leonardo Gomes

; PESSOA, Francisco Sérgio Rangel de Paula

; SILVA, Leidiane Pinho da

; CARMO, Gardênia Costa do

Arquivos de Gastroenterologia

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sep 2022, Volume 59 N. 3 Pages 352 - 357

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

RESUMO Contexto: A litíase biliar pode ser definida como a presença de cálculo ou barro biliar na vesícula e/ou nos ductos biliares. A doença pode ser assintomática ou sintomática, podendo levar a complicações e, consequentemente, a um pior prognóstico, como colecistite aguda, coledocolitíase, colangite e pancreatite aguda. O risco de complicações aumenta após o primeiro episódio de cólica biliar. Objetivo: Avaliação clínica-epidemiológica dos pacientes internados em enfermaria de gastroenterologia de um hospital terciário, com complicações relacionadas à litíase biliar. Métodos: Foram avaliados 158 pacientes internados no período de 1º de janeiro de 2013 a 24 de fevereiro de 2021, por meio de análise de relatório de alta e prontuário. Resultados: Houve uma predominância do sexo feminino (76,6%), e a média de idade dos pacientes foi de 51,6 anos. Homens eram significativamente mais velhos que as mulheres (P=0,005). A maioria (57,6%) apresentava alguma comorbidade, sendo as mais frequentes: hipertensão arterial sistêmica, diabetes mellitus e obesidade. A média de tempo de internação foi de 24 dias, sendo significativamente maior para os homens (P=0,046), mas sem relação direta com a idade (P=0,414). A complicação mais frequente foi a coledocolitíase, e 55,7% dos pacientes sem colecistectomia prévia apresentaram relato de cólica biliar antes da internação, em média, 1,5 anos antes. Histórico de colecistectomia prévia estava presente em 17,1% dos avaliados. Ultrassonografia abdominal, seguida de colangiorressonância magnética foram os exames complementares mais frequentemente realizados para definição diagnóstica. Em relação às medidas terapêuticas, a colangiopancreatografia endoscópica retrógrada (CPRE) foi necessária em 47,3% dos pacientes sem colecistectomia prévia e 81,4% dos pacientes com colecistectomia prévia. Dos pacientes ainda não colecistectomizados, 84% deles puderam ser submetidos ao procedimento antes da alta. Conclusão: Houve predomínio do sexo feminino. Os homens foram significativamente mais velhos do que as mulheres e tiveram uma permanência hospitalar consideravelmente mais longa. A complicação mais frequente foi a coledocolitíase, e cerca de metade dos pacientes relatou cólica biliar prévia. A CPRE foi necessária para a maioria dos pacientes.

ABSTRACT Background: Gallstones are the presence of bile clay in the gallbladder or bile ducts. The disease can be asymptomatic or symptomatic and can lead to complications and consequently a worse prognosis, such as acute cholecystitis, choledocholithiasis, cholangitis, and acute pancreatitis. The risk of complications increases after the first episode of biliary colic. Objective: A clinical-epidemiological evaluation of patients admitted to a gastroenterology ward of a tertiary care hospital with gallstone-related complications. Methods: We evaluated 158 patients admitted through discharge reports and medical records analysis from January 1, 2013, to February 24, 2021. Results: The female sex was predominant (76.6%), and the mean age of patients was 51.6 years. Men were significantly older than women (P=0.005). Most (57.6%) had some comorbidity, the most frequent being systemic arterial hypertension, diabetes mellitus, and obesity. The mean hospitalization time was 24 days, significantly longer in men (P=0.046) but without a direct relationship with age (P=0.414). The most frequent complication was choledocholithiasis, and 55.7% of patients without previous cholecystectomy had a report of biliary colic before admission, on average 1.5 years previously. A history of a prior cholecystectomy was present in 17.1% of those evaluated. Abdominal ultrasonography followed by magnetic resonance cholangiography was the most frequently performed exam for diagnostic definition. Regarding therapeutic measures, endoscopic retrograde cholangiopancreatography was necessary for 47.3% of patients without previous cholecystectomy and 81.4% of patients who have already had a cholecystectomy. Among patients not yet cholecystectomized, 84% underwent the procedure before discharge. Conclusion: The female patients were predominant. Men were significantly older than women and had more extended hospital stays. The most frequent complication was choledocholithiasis, and around half of the patients reported previous biliary colic. endoscopic retrograde cholangiopancreatography has been necessary for the majority of the patients.

https://doi.org/10.1590/s0004-2803.202203000-64

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