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Changes in the prevalence of severe anxiety and depression symptoms and the associated factors in adults living in Manaus: a comparison of two cross-sectional studies conducted in 2015 and 2019 Manaus crosssectional cross sectional 201 20 2
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Lima, Vanessa Gomes

; Silva, Marcus Tolentino

; Tiguman, Gustavo Magno Baldin

; Galvão, Taís Freire

Sao Paulo Medical Journal

Journal Metrics
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2025, Volume 143 N. 1 elocation e2023424

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Emotional distress increases, also affected by the setting. OBJECTIVE: To estimate changes in prevalence of severe anxiety and depressive symptoms and associated factors. DESIGN AND SETTING: This cross-sectional study included adults living in Manaus selected through a three-stage probability sampling in 2015 and 2019. METHODS: This is an analysis of two surveys conducted. The outcomes were assessed by Generalized Anxiety Disorder 7-item (≥ 15 points) and Patient Health Questionnaire 9-item (≥ 20), and changes were tested by chi-square goodness-of-fit. Prevalence ratios (PR) with 95% confidence intervals (95%CI) were calculated by Poisson regression. RESULTS: Severe anxiety symptoms increased from 3.3% (95%CI = 2.7–3.9) in 2015 (n = 3,479) to 8.7% (95%CI = 7.5–9.8) in 2019 (n = 2,321); severe depressive symptoms changed from 2.5% (95%CI = 2.0–3.0) to 8.5% (95%CI = 7.3–9.6). Variations were more pronounced in social vulnerability (P < 0.05). Outcomes were higher in women (anxiety: PR = 1.27; 95%CI = 1.20–1.34, depression: PR = 1.35; 95%CI = 1.27–1.44), low-income individuals (anxiety: PR = 1.90; 95%CI = 1.20–3.00, depression: PR = 1.98; 95%CI = 1.22–3.19), less educated individuals (anxiety: PR = 2.20; 95%CI = 1.16–4.18, depression: PR = 2.37; 95%CI = 1.23–4.60), and individuals with poor health status (anxiety: PR = 9.06; 95%CI = 6.72–12.21, depression: PR = 8.99; 95%CI = 6.67–12.12). CONCLUSION: Severe anxiety and depression tripled in Manaus, potentially reflecting Brazilian socioeconomic crises. BACKGROUND increases setting OBJECTIVE factors SETTING crosssectional cross sectional threestage three stage 201 METHODS conducted 7item item 7 ≥ ( 1 points 9item 9 20, 20 , 20) chisquare chi square goodnessoffit. goodnessoffit goodness fit. fit goodness-of-fit (PR 95 95CI CI regression RESULTS 33 3 3.3 2.7–3.9 2739 2 n 3,479 3479 479 87 8 8.7 7.5–9.8 7598 5 2,321 2321 321 2,321) 25 2.5 2.0–3.0 2030 0 85 8.5 7.3–9.6. 7396 7.3–9.6 . 6 7.3–9.6) P 0.05. 005 0.05 05 0.05) (anxiety 1.27 127 27 120134 34 1.20–1.34 1.35 135 35 1.27–1.44, 127144 1.27–1.44 44 1.27–1.44) lowincome low income 1.90 190 90 120300 00 1.20–3.00 1.98 198 98 1.22–3.19, 122319 1.22–3.19 22 19 1.22–3.19) 2.20 220 116418 16 4 18 1.16–4.18 2.37 237 37 1.23–4.60, 123460 1.23–4.60 23 60 1.23–4.60) 9.06 906 06 6721221 72 12 21 6.72–12.21 8.99 899 99 6.67–12.12. 6671212 6.67–12.12 67 6.67–12.12) CONCLUSION crises 3. 2.7–3. 273 3,47 347 47 8. 7.5–9. 759 2,32 232 32 2. 2.0–3. 203 739 7.3–9. 0.0 1.2 12013 1.20–1.3 1.3 13 12714 1.27–1.4 1.9 12030 1.20–3.0 12231 1.22–3.1 2.2 11641 1.16–4.1 2.3 12346 1.23–4.6 9.0 672122 6.72–12.2 8.9 89 667121 6.67–12.1 2.7–3 3,4 7.5–9 75 2,3 2.0–3 73 7.3–9 0. 1. 1201 1.20–1. 1271 1.27–1. 1203 1.20–3. 1223 1.22–3. 1164 1.16–4. 1234 1.23–4. 9. 67212 6.72–12. 66712 6.67–12. 2.7– 3, 7.5– 2, 2.0– 7.3– 120 1.20–1 1.27–1 1.20–3 122 1.22–3 116 1.16–4 123 1.23–4 6721 6.72–12 6671 6.67–12 2.7 7.5 2.0 7.3 1.20– 1.27– 1.22– 11 1.16– 1.23– 672 6.72–1 667 6.67–1 7. 1.20 1.22 1.16 1.23 6.72– 66 6.67– 1.1 6.72 6.67 6.7 6.6 6.

https://doi.org/10.1590/1516-3180.2023.0424.r1.03072024

Prevalence of antidepressant use in Brazil: a systematic review with meta-analysis Brazil metaanalysis meta analysis
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Tiguman, Gustavo Magno Baldin

; Hoefler, Rogério

; Silva, Marcus Tolentino

; Lima, Vanessa Gomes

; Ribeiro-Vaz, Inês

; Galvão, Taís Freire

Brazilian Journal of Psychiatry

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2024, Volume 46 elocation e20233095

Abstract: En | Text: En | PDF: En

Objectives: To estimate the prevalence of antidepressant use in Brazil. Methods: We conducted a systematic review with searches in MEDLINE, Embase, Scopus, LILACS, and SciELO up to May 2023. Two researchers independently selected studies, extracted data, and assessed the methodological quality. We pooled the prevalence of antidepressant use using meta-analyses of proportions (Freeman-Tukey transformation) and estimated heterogeneity by the I2 statistic. OR meta-analyses of antidepressant use by sex were calculated (men as reference) and between-study variation was explored by meta-regressions. Results: Out of 3,299 records retrieved, 23 studies published in 28 reports were included, with a total of 75,061 participants. The overall prevalence of antidepressant use was 4.0% (95%CI 2.7-5.6%; I2 = 98.5%). Use of antidepressants in the previous 3 days was higher in women (12.0%; 95%CI 9.5-15.1%; I2 = 0%) than men (4.6%; 95%CI 3.1-6.8%; I2 = 0%) (p < 0.001; OR = 2.82; 95%CI 1.72-4.62). Gender differences were particularly higher for antidepressant use in the previous year (women: 2.3%; 95%CI 1.6-3.1; I2 = 37.6% vs. men: 0.5%; 95%CI 0.2-1.0%; I2 = 0%, p < 0.001; OR = 4.18; 95%CI 2.10-8.30). Between-study variation in the overall prevalence of antidepressant use significantly increased with mean participant age (p = 0.035; residual I2 = 0%; regression coefficient = 0.003). Conclusion: Four out of every 100 Brazilians used antidepressants in this 3-decade assessment. Use increased with age and was more prevalent in women compared to men. Registration number: PROSPERO CRD42022345332. Objectives Brazil Methods MEDLINE Embase Scopus LILACS 2023 data quality metaanalyses meta analyses FreemanTukey Freeman Tukey transformation I statistic reference betweenstudy between study metaregressions. metaregressions regressions. regressions meta-regressions Results 3299 299 3,29 retrieved 2 included 75061 75 061 75,06 participants 40 4 0 4.0 95CI CI 95 2.75.6% 2756 2.7 5.6% 7 5 6 2.7-5.6% 98.5%. 985 98.5% . 98 98.5%) 12.0% 120 12 (12.0% 9.515.1% 95151 9.5 15.1% 9 15 1 9.5-15.1% 0% 4.6% 46 (4.6% 3.16.8% 3168 3.1 6.8% 8 3.1-6.8% 0.001 0001 001 2.82 282 82 1.724.62. 172462 1.72 4.62 72 62 1.72-4.62) (women 2.3% 1.63.1 1631 1.6 1.6-3.1 376 37 37.6 vs 0.5% 05 0.21.0% 0210 0.2 1.0% 0.2-1.0% 4.18 418 18 2.108.30. 210830 2.10 8.30 10 30 2.10-8.30) Betweenstudy Between 0.035 0035 035 0.003. 0003 0.003 003 0.003) Conclusion 3decade decade assessment number CRD42022345332 CRD 202 329 29 3,2 7506 06 75,0 4. 2.75.6 275 27 2. 56 5.6 2.7-5.6 98.5 12.0 (12.0 515 9.515.1 9515 9. 151 15.1 9.5-15.1 4.6 (4.6 16 3.16.8 316 31 3. 68 6.8 3.1-6.8 0.00 000 00 2.8 724 1.724.62 17246 172 1.7 462 1.72-4.62 2.3 63 1.63. 163 1. 1.6-3. 37. 0.5 21 0.21.0 021 02 0. 1.0 0.2-1.0 4.1 41 108 2.108.30 21083 210 2.1 830 8.3 2.10-8.30 0.03 03 CRD4202234533 20 32 3, 750 75, 2.75. 5. 2.7-5. 98. 12. (12. 51 9.515. 951 15. 9.5-15. (4. 3.16. 6. 3.1-6. 0.0 1.724.6 1724 17 1.72-4.6 1.63 1.6-3 0.21. 0.2-1. 2.108.3 2108 83 8. 2.10-8.3 CRD420223453 2.75 2.7-5 (12 9.515 9.5-15 (4 3.16 3.1-6 1.724. 1.72-4. 1.6- 0.21 0.2-1 2.108. 2.10-8. CRD42022345 2.7- (1 9.51 9.5-1 ( 3.1- 1.724 1.72-4 0.2- 2.108 2.10-8 CRD4202234 9.5- 1.72- 2.10- CRD420223 CRD42022 CRD4202 CRD420 CRD42 CRD4

https://doi.org/10.47626/1516-4446-2023-3095

Rapid detection of Phaeocytostroma sacchari in sugarcane using conventional polymerase chain reaction
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Melo, Jordana Alves da Silva

; Abreu, Vanessa Pereira de

; Teles, Thiago Augusto Sampaio

; Cunha, Marcos Gomes da

Pesquisa Agropecuária Tropical

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2024, Volume 54 elocation e78370

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

RESUMO Doenças causadas por fungos associadas a condições climáticas adversas são uma das principais causas da queda na produção de cana-de-açúcar. Objetivou-se desenvolver um protocolo para identificação rápida de Phaeocytostroma sacchari, agente causal da podridão da casca de cana-de-açúcar. Sequências de referência de três regiões de DNA de P. sacchari, sendo região espaçadora transcrita interna, grande subunidade ribossômica e fator de elongação da tradução 1-alfa (TEFl-α), foram analisadas por meio de desenhos de primers específicos. Os primers gerados que se alinharam em sua totalidade com P. sacchari foram selecionados e sintetizados. Ensaios baseados na reação em cadeia de polimerase (PCR) foram realizados para verificar a especificidade do primer, utilizando-se isolados de P. sacchari e 10 espécies de outros gêneros. Dois conjuntos de primers que amplificam a região TEF-la (PsFl/Psfl e PsF2/PsR2) demonstraram alta especificidade e sensibilidade na detecção de P. sacchari com PCR convencional, o que permitirá o levantamento em larga escala do patógeno na cultura de cana-de-açúcar. canadeaçúcar. canadeaçúcar cana açúcar. açúcar cana-de-açúcar Objetivouse Objetivou P interna 1alfa alfa 1 TEFlα, TEFlα TEFl α , (TEFl-α) específicos sintetizados (PCR primer utilizandose utilizando gêneros TEFla TEF la PsFl/Psfl PsFlPsfl PsFl Psfl PsF2/PsR2 PsF2PsR2 PsFPsR PsF2 PsR2 PsF PsR convencional (TEFl-α PsF2/PsR PsF2PsR

ABSTRACT Diseases caused by fungi associated with adverse weather conditions are one of the main causes of decreases in sugarcane production. This study aimed to develop a protocol for a fast identification of Phaeocytostroma sacchari, which is the causal agent of bark rot in sugarcane. The reference sequences of three DNA regions of P. sacchari, namely internal transcribed spacer, ribosomal large subunit and translation elongation factor 1-alpha (TEFl-α), were analyzed with specific primers design. The specific primers generated that aligned in their entirety with P. sacchari were selected and synthesized. Polymerase chain reaction (PCR) assays were performed to confirm the primer specificity, using P. sacchari isolates and 10 species of other genera. Two sets of primers that amplify the TEF-1α region (PsFl/Psfl and PsF2/PsR2) showed a high specificity and sensitivity in detecting P. sacchari using conventional PCR, what will allow large-scale surveys of this pathogen in sugarcane crops. production P spacer 1alpha alpha 1 TEFlα, TEFlα TEFl α , (TEFl-α) design synthesized PCR (PCR genera TEF1α TEFα TEF 1α PsFl/Psfl PsFlPsfl PsFl Psfl PsF2/PsR2 PsF2PsR2 PsFPsR PsF2 PsR2 PsF PsR largescale scale crops (TEFl-α PsF2/PsR PsF2PsR

https://doi.org/10.1590/1983-40632024v5478370

Internal corrosion prevention in slurry pipelines using nitrogen gas: a case study gas
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Torres, Ayron Silva Guimarães

; Lins, Vanessa de Freitas Cunha

; Mattioli, Gabriela Goes

; Brandao, Paulo Roberto Gomes

REM - International Engineering Journal

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2024, Volume 77 N. 2 elocation e210002

Abstract: En | Text: En | PDF: En

Abstract The transport capacity of the slurry pipelines is related to the internal roughness of the pipe. Thus, the application of corrosion protection methods is of fundamental importance, both in the operational phase and in times of temporary shutdown. In addition, corrosion also affects the service life of the duct. The studied pipeline was hibernated with nitrogen using the ABNT NBR 15280-2 standard as a reference and remained hibernated for 3.5 years. Chemical, mineralogical, and microstructural analyses were carried out on samples of materials removed from the pipeline interior during the hibernation period. The most striking phase found was magnetite, with botrioidal morphology, formed by the oxidation of steel in the pipeline. After reactivation, the pipeline was inspected by smart pigs with ultrasound and MFL technologies. It was found that the corroded regions are more concentrated in the initial kilometers of the sections, where important depths of corrosion were also observed, as well as higher rates of corrosion and erosion, which show the influence of the operational phase in the development of the pipeline corrosive process and wear. Thus, the application of the nitrogen hibernation process in long-distance pipelines proved to be feasible for long periods of time. However, improvements are suggested in this article to make the process more robust. pipe Thus importance shutdown addition duct 152802 15280 2 15280- 35 3 5 3. years Chemical mineralogical period magnetite morphology reactivation technologies sections observed erosion wear longdistance distance time However robust 1528 152 15 1

https://doi.org/10.1590/0370-44672021770002

IMPACT OF AN EDUCATIONAL INTERVENTION ON PATIENT IDENTIFICATION ADHERENCE BY NURSING PROFESSIONALS
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Voltan, Pamela

; Roscani, Alessandra Nazareth Cainé Pereira

; Santiago, Flávia Cristina Dario Sanduchi

; Silva, Juliany Lino Gomes

; Vilas-Boas, Vanessa Aparecida

Texto & Contexto - Enfermagem

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2024, Volume 33 elocation e20230174

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

RESUMO Objetivo: verificar o impacto de estratégias educacionais digitais na adesão dos profissionais de enfermagem à identificação do paciente, assim como a aceitação destas estratégias por parte dos profissionais. Método: estudo piloto de pré e pós-intervenção desenvolvido em um hospital de ensino público de uma cidade do interior do estado de São Paulo, Brasil, realizado entre março e setembro do ano de 2022, em três fases: 1) pré-intervenção - auditorias da pulseira de identificação à beira-leito, elaboração e planejamento das estratégias educacionais; 2) intervenção - treinamento online de curta duração oferecido aos profissionais de enfermagem; 3) pós-intervenção - repetição de auditorias. Para análise comparativa entre as fases, foi utilizado o teste qui-quadrado de Pearson e o teste exato de Fisher com nível de significância de 5%. Resultados: foram auditados 166 leitos com alta taxa de adesão ao uso de pulseira de identificação, de acordo com as normas, e a presença de placas de identificação (> 80%) tanto no período pré quanto pós-intervenção, com aumento significativo dos pacientes que identificaram que os profissionais conferiam a pulseira (p=0,0410) durante a assistência. Os participantes avaliaram positivamente as estratégias utilizadas, embora tenha sido registrada baixa adesão ao treinamento. Conclusão: houve um impacto positivo na adesão à identificação do paciente, porém estratégias gerenciais e motivacionais serão necessárias para viabilizar ações futuras de implementação do treinamento online. Objetivo paciente Método pósintervenção pós Paulo Brasil 2022 fases 1 préintervenção beiraleito, beiraleito beira leito, leito beira-leito 2 3 quiquadrado qui quadrado 5 5% Resultados 16 normas > ( 80% 80 pósintervenção, intervenção, p=0,0410 p00410 p 0 0410 (p=0,0410 assistência utilizadas Conclusão 202 8 p=0,041 p0041 041 (p=0,041 20 p=0,04 p004 04 (p=0,04 p=0,0 p00 (p=0,0 p=0, p0 (p=0, p=0 (p=0 p= (p= (p

ABSTRACT Objective: to verify the impact of digital educational strategies on nursing professionals’ adherence to patient identification as well as the acceptance of these strategies by professionals. Method: this is a pre and post-intervention pilot study developed in a public teaching hospital in a city in the countryside of the state of São Paulo, Brazil, carried out between March and September 2022, in three phases: 1) pre-intervention - audits of identification wristband at the bedside, elaboration and planning of educational strategies; 2) intervention - short-term online training offered to nursing professionals; 3) post-intervention - repeat audits. For comparative analysis between phases, Pearson’s chi-square test and Fisher’s exact test were used with a significance level of 5%. Results: a total of 166 beds were audited with a high rate of adherence to the use of identification wristbands, in accordance with standards, and the presence of identification plates (> 80%) both in the pre- and post-intervention period, with a significant increase in patients who identified that professionals checked wristband (p=0.0410) during care. Participants positively assessed the strategies used, although low adherence to training was recorded. Conclusion: there was a positive impact on adherence to patient identification, but management and motivational strategies will be necessary to enable future actions to implement online training. Objective Method postintervention post Paulo Brazil 2022 phases 1 preintervention bedside 2 shortterm short term 3 Pearsons Pearson s chisquare chi square Fishers Fisher 5 5% Results 16 wristbands standards > ( 80% 80 period p=0.0410 p00410 p 0 0410 (p=0.0410 care recorded Conclusion 202 8 p=0.041 p0041 041 (p=0.041 20 p=0.04 p004 04 (p=0.04 p=0.0 p00 (p=0.0 p=0. p0 (p=0. p=0 (p=0 p= (p= (p

RESUMEN Objetivo: verificar el impacto de las estrategias educativas digitales en la adherencia de los profesionales de enfermería a la identificación de pacientes, así como la aceptación de estas estrategias por parte de los profesionales. Método: estudio piloto pre y posintervención desarrollado en un hospital público docente de una ciudad del interior del estado de São Paulo, Brasil, realizado entre marzo y septiembre de 2022, en tres fases: 1) preintervención - auditorías del brazalete de identificación a pie de cama, elaboración y planificación de estrategias educativas; 2) intervención - formación en línea de corta duración ofrecida a profesionales de enfermería; 3) posintervención - repetición de auditorías. Para el análisis comparativo entre fases, se utilizó la prueba chi-cuadrado de Pearson y la prueba exacta de Fisher con un nivel de significancia del 5%. Resultados: 166 camas fueron auditadas con un alto índice de adherencia al uso de brazaletes de identificación, de acuerdo con las normas, y la presencia de placas de identificación (> 80%) tanto en el período pre como posintervención, con un aumento significativo en pacientes que identificaron que los profesionales revisaban la pulsera (p=0,0410) durante la asistencia. Los participantes evaluaron positivamente las estrategias utilizadas, aunque se registró baja adherencia al entrenamiento. Conclusión: hubo un impacto positivo en la adherencia a la identificación de pacientes, pero serán necesarias estrategias de gestión y motivación que permitan acciones futuras para implementar la capacitación en línea. Objetivo Método Paulo Brasil 2022 fases 1 cama 2 3 chicuadrado chi cuadrado 5 5% Resultados 16 normas > ( 80% 80 p=0,0410 p00410 p 0 0410 (p=0,0410 asistencia utilizadas entrenamiento Conclusión 202 8 p=0,041 p0041 041 (p=0,041 20 p=0,04 p004 04 (p=0,04 p=0,0 p00 (p=0,0 p=0, p0 (p=0, p=0 (p=0 p= (p= (p

https://doi.org/10.1590/1980-265x-tce-2023-0174en

Thermogenic preworkout supplement induces alveolar bone loss in a rat model of tooth movement via RANK/RANKL/OPG pathway RANKRANKLOPG RANK RANKL OPG
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CAVALCANTE, Gurgiane Rodrigues Gurgel

; MORENO, Mariana Cabral

; PIRIH, Flavia Queiroz

; SOARES, Vanessa de Paula

; SILVEIRA, Éricka Janine Dantas da

; SILVA, José Sandro Pereira da

; PEREIRA, Hallissa Simplício Gomes

; KLEIN, Katherine Pennington

; LOPES, Maria Luiza Diniz de Sousa

; ARAUJO, Aurigena Antunes de

; MARTINS, Agnes Andrade

; LINS, Ruthinéia Diógenes Alves Uchôa

Brazilian Oral Research

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2024, Volume 38 elocation e131

Abstract: En | Text: En | PDF: En

Abstract The aim of this study was to investigate the effect of thermogenic supplementation on the bone tissue of rats subjected to orthodontic movement. A total of 38 male Wistar rats underwent orthodontic movement of the left permanent maxillary first molars for 21 days. The rats were assigned to three groups: Control group: water; Thermogenic 1: C4 Beta Pump thermogenic; or Thermogenic 2: PRE-HD/Pre-workout. Micro-computed tomography (micro-CT) was used to investigate the dynamic changes in the microstructure of alveolar bone during orthodontic tooth movement in rats. Histopathologic analysis was performed by hematoxylin and eosin (H&E) staining, whereas tartrate-resistant acid phosphatase (TRAP) was employed for osteoclast count. Maxillary tissue was collected and evaluated by immunohistochemistry for receptor activator of NF-κB (RANK), receptor activator of NF-κB ligand (RANKL), and osteoprotegerin (OPG). The Thermogenic 2 group exhibited a significantly lower percentage of bone volume fraction (BV/TV) (68.21% ± 17.70%) compared to the control (86.84% + 12.91%) and Thermogenic 1 groups (86.84% + 15.94%) (p < 0.05). The control group had a significantly higher mean orthodontic movement in the mesial direction (0.2143 mm + 0.1513 mm) than the Thermogenic 2 group (0.0420 mm + 0.05215 mm) (p < 0.05). The Thermogenic 2 and Thermogenic 1 groups showed a stronger immunostaining for RANKL when compared to the control group (p < 0.05). The supplementation used in the Thermogenic 2 group (PRE-HD/Pre-workout) induced alveolar bone loss in rats subjected to orthodontic movement, which can be related to the regulation of the RANK/RANKL/OPG signaling pathway. This suggests the influence of thermogenic supplements on bone metabolism seems to depend on their composition. 3 days water C PREHD/Preworkout. PREHDPreworkout PRE HD/Pre workout. HD Pre workout PRE-HD/Pre-workout Microcomputed Micro computed microCT micro CT (micro-CT H&E HE H E (H&E staining tartrateresistant tartrate resistant TRAP (TRAP count NFκB NF κB RANK, RANK , (RANK) RANKL, (RANKL) OPG. OPG . (OPG) BV/TV BVTV BV TV (BV/TV 68.21% 6821 68 (68.21 17.70% 1770 17 70 86.84% 8684 86 84 (86.84 12.91% 1291 12 91 15.94% 1594 15 94 p 0.05. 005 0.05 0 05 0.05) 0.2143 02143 2143 (0.214 01513 1513 0.151 0.0420 00420 0420 (0.042 005215 05215 0.0521 PREHD/Preworkout (PRE-HD/Pre-workout RANKRANKLOPG pathway composition PREHD Preworkout HDPre (RANK (RANKL (OPG 68.21 682 6 (68.2 17.70 177 7 86.84 868 8 (86.8 12.91 129 9 15.94 159 00 0.0 0.214 0214 214 (0.21 0151 151 0.15 0.042 0042 042 (0.04 00521 0521 0.052 68.2 (68. 17.7 86.8 (86. 12.9 15.9 0. 0.21 021 (0.2 015 0.1 0.04 004 04 (0.0 0052 052 68. (68 17. 86. (86 12. 15. 0.2 02 (0. 01 (6 (8 (0 (

https://doi.org/10.1590/1807-3107bor-2024.vol38.0131

Analysis of variables that can interfere with clinical outcomes of patients presented with vocal or swallowing complaints
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Dornelas, Rodrigo

; Silva, Kelly da

; Brendim, Mariana Pinheiro

; Silveira, Livia Oliveira

; Barretto, Renata Barros Sá

; Fontes, Gabriela Eduarda Nicásio Gomes

; Santos, Beatriz Ferreira dos

; Ribeiro, Vanessa Veis

; Guedes-Granzotti, Raphaela Barroso

Revista CEFAC

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2024, Volume 26 N. 3 elocation e7923

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

RESUMO Objetivo: analisar as variáveis sociodemográficas que podem interferir no desfecho de casos clínicos de pacientes com queixas de voz ou deglutição. Métodos: estudo observacional, transversal, descritivo e retrospectivo. Foram analisados os prontuários de pessoas maiores de 18 anos atendidas na Clínica de Voz do Serviço de Fonoaudiologia do Hospital Universitário do Rio de Janeiro de 2010 a 2018. Foram incluídos 81 prontuários, sendo 47 de participantes do gênero feminino e 34 do masculino. Os pacientes foram divididos quanto a três tipos de desfecho: alta, desligamento e abandono. As variáveis sociodemográficas estudadas foram gênero, estado civil, escolaridade, renda, ser ou não profissional da voz e queixa principal. Para análise dos resultados, foram contabilizadas as frequências relativa e absoluta e, para análise inferencial, foi utilizado o teste Qui-Quadrado de Pearson (nível de significância de 5%). Resultados: as variáveis sociodemográficas não estiveram significantemente associadas aos desfechos estudados quando não se considerou o tipo de queixa (de voz ou de deglutição) de forma separada. Especificamente, observou-se uma frequência significativamente maior de pacientes com queixa de voz e que receberam alta fonoaudiológica (p=0,020). Nestes pacientes, houve associação significativa entre a frequência maior de pacientes que abandonaram a terapia e que possuíam renda de até um salário-mínimo (p=0,041). Não houve associações significativas nas pessoas com queixas de deglutição e as variáveis sociodemográfica estudadas. Conclusão: o desfecho mais frequente foi o abandono ao tratamento. Neste estudo, a baixa renda familiar esteve associada ao abandono do tratamento por pacientes com queixa de voz. Pacientes com queixas de deglutição apresentaram menor frequência de abandono ao tratamento e menos alta do que pacientes com queixas de voz. Objetivo Métodos observacional transversal retrospectivo 1 201 2018 8 4 3 masculino civil escolaridade principal resultados inferencial QuiQuadrado Qui Quadrado nível 5%. 5 5% . 5%) Resultados separada Especificamente observouse observou p=0,020. p0020 p p=0,020 0 020 (p=0,020) saláriomínimo salário mínimo p=0,041. p0041 p=0,041 041 (p=0,041) Conclusão 20 p002 p=0,02 02 (p=0,020 p004 p=0,04 04 (p=0,041 2 p00 p=0,0 (p=0,02 (p=0,04 p0 p=0, (p=0,0 p=0 (p=0, p= (p=0 (p= (p

ABSTRACT Purpose: to analyze sociodemographic variables that may interfere with the clinical outcome of patients with voice or swallowing complaints. Methods: a descriptive, retrospective, cross-sectional, observational study in which the medical records of patients above 18 years old treated at the Voice Clinic of the Speech-Language-Hearing Service of the Rio de Janeiro University Hospital between 2010 and 2018, were analyzed, including 81 medical records - 47 from females and 34 from males. Patients were divided according to three types of outcomes, namely: discharge, dismissal, and abandonment. The sociodemographic variables were sex, marital status, education level, income, whether they were occupational voice users, and the main complaint. The relative and absolute frequencies were calculated to analyze the results, and the Pearson´s chi-square test was used for inferential analysis (significance level of 5%). Results: sociodemographic variables were not significantly associated with the outcomes when the type of complaint (voice or swallowing) was not considered, separately. The study found a significantly higher frequency of patients with voice complaints who were discharged from speech-language-hearing therapy (p = 0.020). The higher frequency of such patients who abandoned therapy was significantly associated with an income of up to one minimum wage (p = 0.041). People with swallowing complaints were not significantly associated with sociodemographic variables. Conclusion: the most frequent outcome was treatment abandonment. In this study, low family income was associated with treatment abandonment by patients with voice complaints. Patients with swallowing complaints had a lower frequency of treatment abandonment and discharge than patients with voice complaints. Purpose Methods descriptive retrospective crosssectional, crosssectional cross sectional, sectional cross-sectional 1 SpeechLanguageHearing Speech Language Hearing 201 2018 analyzed 8 4 3 males namely dismissal sex status users results Pearsons Pearson s chisquare chi square significance 5%. 5 5% . 5%) Results considered separately speechlanguagehearing speech language hearing p 0.020. 0020 0.020 0 020 0.020) 0.041. 0041 0.041 041 0.041) Conclusion 20 002 0.02 02 004 0.04 04 2 00 0.0 0.

https://doi.org/10.1590/1982-0216/20242637923

Compressive strength and environmental performance of blended cements with waste marble dust
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Zani, Matheus Carreiro

; Pasolini, Matheus

; Pinheiro, Sayonara Maria de Moraes

; Gomes, Vanessa

; Silva, Maristela Gomes da

Revista IBRACON de Estruturas e Materiais

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2024, Volume 17 N. 1 elocation e17101

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

Resumo A substituição de filer calcário por resíduo de serragem de mármore é uma das alternativas, em escala regional, para estimular a circularidade e reduzir os impactos ambientais do beneficiamento de rochas ornamentais. Este artigo investigou seis cimentos compostos a partir da combinação de materiais cimentícios suplementares, filer calcário ou resíduo de serragem de mármore, com um fator clínquer de 50%. A resistência à compressão foi avaliada nas idades de 3, 7, 28 e 91 dias, com base nos critérios da ABNT NBR 16697:2018. A eficiência cimentícia foi determinada aos 7 e 28 dias de idade e a intensidade de emissões de gases de efeito estufa (GEE) de cada cimento também foi calculada. A sinergia entre as adições minerais possibilitou a redução do fator clínquer e das emissões de gases de efeito estufa dos cimentos estudados, ao mesmo tempo em que assegurou o atendimento de exigências de desempenho mecânico do mercado de construção. alternativas regional ornamentais suplementares 50 50% 3 2 9 166972018. 166972018 16697 2018. 2018 16697:2018 GEE (GEE calculada estudados construção 5 16697201 1669 201 16697:201 1669720 166 20 16697:20 166972 16 16697:2 1 16697:

Abstract Replacing limestone filler by waste marble dust is one of the paths to explore, at a regional level, to stimulate circularity and reduce environmental burdens of ornamental stone processing. This study investigated six blended cements which combined supplementary cementitious materials (SCMs) and limestone filler or waste marble dust, with a clinker factor of 50%. Compressive strength was determined at 3, 7, 28 and 91 days and evaluated based on the criteria standardized in ABNT NBR 16697:2018. The cementing efficiency at 7 and 28 days of the set of mineral admixtures used and greenhouse gas (GHG) emissions intensity of each cement were also calculated. The synergy between the combinations reduced the clinker factor and cement GHG emissions, whilst preserving the mechanical performance required by the construction market. explore level processing SCMs (SCMs 50 50% 3 2 9 166972018. 166972018 16697 2018. 2018 16697:2018 (GHG calculated market 5 16697201 1669 201 16697:201 1669720 166 20 16697:20 166972 16 16697:2 1 16697:

https://doi.org/10.1590/s1983-41952024000100001

Food preference of Phylloicus sp. (Insecta: Trichoptera): experimental study with plant species from the Cerrado sp Insecta (Insecta Trichoptera Trichoptera)
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Almeida, Vanessa Silva de

; Brito, Janaina Gomes de

; Leite, João Batista Araújo

; Pereira, Aline Alves

; Brasil, Leandro Schlemmer

Biota Neotropica

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2024, Volume 24 N. 2 elocation e20241613

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

Resumo Os insetos aquáticos do gênero Phylloicus desempenham um papel essencial nos ecossistemas aquáticos, fragmentando folhas e contribuindo para a ciclagem de nutrientes nos riachos. Por isso, esse gênero é frequentemente utilizado em experimentos de laboratório. No entanto, em regiões de Cerrado como o Araguaia, esses trabalhos são inviáveis por não se conhecer aspectos básicos como a sua preferência alimentar por plantas locais. Por isso, nosso objetivo é responder quais são as espécies vegetais nativas da região do Araguaia preferidas para a alimentação de Phylloicus. Fizemos um trabalho experimental comparando o consumo de três espécies vegetais nativas do Cerrado: Casearia sylvestris, Astronium fraxinifolium e Ficus guaranítica pelos Phylloicus. Para avaliar as diferenças no consumo, realizamos uma Análise de Variância. Os resultados obtidos revelaram que as larvas de Phylloicus demonstraram preferência alimentar por Casearia sylvestris (F = 9.71; p = 0.004). Esse achado ajudará no desenvolvimento de futuros trabalhos experimentais utilizando Phylloicus na região do Araguaia, uma vez que é essencial o conhecimento da preferência alimentar dos animais utilizados nos experimentos para sua manutenção em laboratório. riachos isso laboratório entanto locais Variância F 9.71 971 9 71 0.004. 0004 0.004 . 0 004 0.004) 9.7 97 7 000 0.00 00 9. 0.0 0.

Abstract The aquatic insects of the genus Phylloicus play a crucial role in aquatic ecosystems, shredding leaves and contributing to nutrient cycling in streams. Therefore, this genus is often used in laboratory experiments. However, in Cerrado regions such as Araguaia, these studies are impractical due to a lack of knowledge about basic aspects, such as their feeding preferences for local plants. Hence, our objective is to determine the native plant species in the Araguaia region preferred as food by Phylloicus. We conducted an experimental study comparing the consumption of three native Cerrado plant species: Casearia sylvestris, Astronium fraxinifolium, and Ficus guaranítica by Phylloicus. To assess differences in consumption, we performed an Analysis of Variance. The results revealed that Phylloicus larvae exhibited a feeding preference for Casearia sylvestris (F = 9.71; p = 0.004). This finding will contribute to the development of future experimental studies using Phylloicus in the Araguaia region, as understanding the feeding preferences of animals used in experiments is essential for their maintenance in the laboratory. ecosystems streams Therefore However aspects plants Hence fraxinifolium Variance F 9.71 971 9 71 0.004. 0004 0.004 . 0 004 0.004) 9.7 97 7 000 0.00 00 9. 0.0 0.

https://doi.org/10.1590/1676-0611-bn-2024-1613

10.

PEOPLE WITH ACQUIRED PHYSICAL DISABILITIES: FROM ACTIVITIES OF LIVING TO REHABILITATION NURSING CARE DISABILITIES
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Pereira, Rute Salomé da Silva

; Cruz, Vanessa Vianna

; Lourenço, Marisa da Conceição Gomes

; Machado, Wiliam César Alves

; Schoeller, Soraia Dornelles

; Martins, Maria Manuela

Texto & Contexto - Enfermagem

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2024, Volume 33 elocation e20230362

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

RESUMO Objetivo: descrever as vivências das pessoas com deficiência física adquirida face às Atividades de Vida e indagar sobre quais as áreas de atenção de cuidados de enfermagem de reabilitação. Método: pesquisa qualitativa, baseada na fenomenologia descritiva, que explorou as vivências de 27 pessoas com deficiência física adquirida em Portugal, através de uma amostragem em bola de neve. Para a análise de dados recorremos ao software ATLAS.ti 9 e seguimos o processo de codificação de Strauss e Corbin tendo como referencial teórico de enfermagem o Modelo de Atividades de Vida de Roper, Logan e Tierney. Resultados: as atividades de vida surgiram como tema central, revelando desafios enfrentados pelas pessoas com deficiência física adquirida. De acordo com o modelo teórico, todas as atividades de vida foram identificadas nas vivências dos participantes, com exceção da atividade de vida Respirar. Destacam-se dificuldades de acessibilidade no espaço público, nas instalações sanitárias inadequadamente preparadas para atender às necessidades das pessoas, nos locais de trabalho e lazer, bem como nos serviços de saúde e seus equipamentos de diagnóstico. Isto resulta na perda de independência, de autonomia e na restrição de direitos fundamentais. Acrescem os desafios na comunicação e na vivência do processo de adaptação à deficiência como um período de luto e renascimento, caracterizado por diferentes fases emocionais. Conclusão: As vivências das pessoas com deficiência física adquirida e as suas necessidades individuais relativas às atividades de vida devem ser consideradas para fornecer cuidados de enfermagem de reabilitação que promovam a qualidade de vida e o bem viver. Objetivo Método qualitativa descritiva 2 Portugal neve ATLASti ATLAS ti Roper Tierney Resultados central participantes Respirar Destacamse Destacam se público lazer diagnóstico independência fundamentais renascimento emocionais Conclusão viver

ABSTRACT Objective to describe the experiences of people with acquired physical disabilities regarding Activities of Living and to investigate the areas of attention in rehabilitation nursing care. Method qualitative research, based on descriptive phenomenology, which explored the experiences of 27 people with acquired physical disabilities in Portugal, through snowball sampling. Data analysis was conducted using the ATLAS.ti 9 software, following the coding process of Strauss and Corbin, using the theoretical nursing framework of the Roper-Logan-Tierney Model of Nursing Based on Activities of Living. Results Activities of Living emerged as a central theme, revealing challenges faced by people with acquired physical disabilities. According to the theoretical model, all Activities of Living were identified in the participants' experiences, except for the Breathing activity. Accessibility challenges in public spaces were highlighted, with sanitary facilities inadequately prepared to meet people' needs in workplaces and leisure venues, as well as in the healthcare services and in relation to their diagnostic equipment. This results in the loss of independence, autonomy, and restriction of fundamental rights. Additionally, challenges in communication and experiencing the adaptation process to disability as a period of mourning and rebirth were noted, characterized by different emotional phases. Conclusion The experiences of people with acquired physical disabilities and their individual needs regarding Activities of Living should be considered to provide rehabilitation nursing care that promotes quality of life and well-being. research phenomenology 2 Portugal sampling ATLASti ATLAS ti software Corbin RoperLoganTierney Roper Logan Tierney theme model participants activity highlighted venues equipment independence autonomy rights Additionally noted phases wellbeing. wellbeing being. being well-being

RESUMEN Objetivo Describir las experiencias de las personas con discapacidad física adquirida enfrentando las Actividades de la Vida y explorar cuáles son las áreas de atención de los cuidados de enfermería de rehabilitación. Método Investigación cualitativa, basada en la fenomenología descriptiva, que exploró las experiencias de 27 personas con discapacidad física adquirida en Portugal, a través de un muestreo tipo bola de nieve. Para el análisis de datos, se utilizó el software ATLAS.ti 9 y se siguió el proceso de codificación de Strauss y Corbin, con el Modelo de Actividades de la Vida de Roper, Logan y Tierney como marco teórico de enfermería. Resultados Las actividades de vida surgieron como tema central, revelando los desafíos enfrentados por las personas con discapacidad física adquirida. De acuerdo con el modelo teórico, todas las actividades de vida fueron identificadas en las experiencias de los participantes, excepto la actividad de vida de Respirar. Se destacan las dificultades de accesibilidad en el espacio público, en las instalaciones sanitarias inadecuadamente preparadas para satisfacer las necesidades de las personas, en los lugares de trabajo y ocio, así como en los servicios de salud y en sus equipos de diagnóstico. Esto resulta en la pérdida de independencia, de autonomía y la restricción de derechos fundamentales. Se suman los desafíos en la comunicación y en la experiencia del proceso de adaptación a la discapacidad como un período de duelo y renacimiento, caracterizado por diferentes fases emocionales. Conclusión Las experiencias de las personas con discapacidad física adquirida y sus necesidades individuales, en relación con las actividades de vida, deben ser consideradas para proporcionar cuidados de enfermería de rehabilitación que promuevan la calidad de vida y el bienestar. cualitativa descriptiva 2 Portugal nieve datos ATLASti ATLAS ti Corbin Roper central participantes Respirar público ocio diagnóstico independencia fundamentales renacimiento emocionales individuales bienestar

https://doi.org/10.1590/1980-265x-tce-2023-0362en

11.

VELOCIDADE DA MARCHA ASSOCIADA AOS FATORES CLÍNICOS EM IDOSOS NA ATENÇÃO PRIMÁRIA À SAÚDE: REVISÃO INTEGRATIVA SAÚDE
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Spekalski, Midiã Vanessa dos Santos

; Boldt, Paola

; Domingues, Maria Paula Santos

; Silva, Juliane Gomes da

; Hammerschmidt, Karina Silveira de Almeida

; Lenardt, Maria Helena

; Betiolli, Susanne Elero

Cogitare Enfermagem

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2024, Volume 29 elocation e92975

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

RESUMO Objetivo: analisar a produção científica nacional e internacional sobre a velocidade da marcha associada aos sinais, sintomas e fatores clínicos em pessoas idosas da atenção primária à saúde. Método: revisão integrativa de literatura realizada em cinco fontes de dados (Biblioteca Virtual em Saúde, Embase, Web of Science, Cumulative Index To Nursing And Allied Health Literature (CINAHL) e PubMed) com publicações do período de janeiro de 2017 até junho de 2023. Resultados: 13 publicações que atenderam aos critérios de elegibilidade, com predomínio de estudos no idioma inglês. Estudos evidenciaram que a velocidade da marcha reduzida está associada com fraturas (p<0,05), demência (p<0,01), doenças cardiovasculares (p<0,001) e neuropsiquiátricas (p<0,01), quedas (p<0,05) e polifarmácia (p<0,001). Conclusão: alteração no padrão da velocidade de marcha em pessoas idosas está relacionada a diversos fatores clínicos, reforçando a necessidade de novos estudos e o papel norteador da equipe de enfermagem geriátrica na saúde da pessoa idosa. Objetivo sinais Método Biblioteca Saúde Embase Science CINAHL (CINAHL PubMed 201 2023 Resultados 1 elegibilidade inglês p<0,05, p005 p p<0,05 , 0 05 p<0,01, p001 p<0,01 01 (p<0,01) p<0,001 p0001 001 (p<0,001 (p<0,05 p<0,001. . Conclusão idosa 20 202 p00 p<0,0 (p<0,01 p<0,00 p000 00 (p<0,00 (p<0,0 2 p0 p<0, (p<0, p<0 (p<0 p< (p< (p

ABSTRACT Objective: to analyze national and international scientific production on gait speed associated with signs, symptoms, and clinical factors in elderly people in primary health care. Method: integrative literature review carried out in five data sources (Virtual Health Library, Embase, Web of Science, Cumulative Index To Nursing And Allied Health Literature (CINAHL), and PubMed) with publications from January 2017 to June 2023. Results: 13 publications met the eligibility criteria, with a predominance of studies in English. Studies indicated that reduced gait speed is associated with fractures (p<0.05), dementia (p<0.01), cardiovascular (p<0.001) and neuropsychiatric (p<0.01) diseases, falls (p<0.05) and polypharmacy (p<0.001). Conclusion: altered gait speed patterns in the older people are related to various clinical factors, reinforcing the need for further studies and the guiding role of the geriatric nursing team in the health of the older person. Objective signs symptoms care Method Virtual Library Embase Science CINAHL, CINAHL , (CINAHL) PubMed 201 2023 Results 1 criteria English p<0.05, p005 p p<0.05 0 05 p<0.01, p001 p<0.01 01 p<0.001 p0001 001 (p<0.001 (p<0.01 diseases (p<0.05 p<0.001. . Conclusion person (CINAHL 20 202 p00 p<0.0 p<0.00 p000 00 (p<0.00 (p<0.0 2 p0 p<0. (p<0. p<0 (p<0 p< (p< (p

RESUMEN Objetivo: analizar la producción científica nacional e internacional sobre la velocidad de la marcha asociada a signos, síntomas y factores clínicos en personas mayores en atención primaria de salud. Método: revisión bibliográfica integradora realizada en cinco fuentes de datos (Virtual Health Library, Embase, Web of Science, Cumulative Index To Nursing And Allied Health Literature (CINAHL) y PubMed) con publicaciones desde enero de 2017 hasta junio de 2023. Resultados: 13 publicaciones que cumplían los criterios de elegibilidad, con predominio de estudios en inglés. Los estudios han demostrado que la reducción de la velocidad de la marcha se asocia con fracturas (p<0,05), demencia (p<0,01), enfermedades cardiovasculares (p<0,001) y neuropsiquiátricas (p<0,01), caídas (p<0,05) y polifarmacia (p<0,001). Conclusión: la alteración de los patrones de velocidad de la marcha en ancianos está relacionada con diversos factores clínicos, lo que refuerza la necesidad de nuevos estudios y el papel orientador del equipo de enfermería geriátrica en la salud de los ancianos. Objetivo signos Método Virtual Library Embase Science CINAHL (CINAHL PubMed 201 2023 Resultados 1 elegibilidad inglés p<0,05, p005 p p<0,05 , 0 05 p<0,01, p001 p<0,01 01 (p<0,01) p<0,001 p0001 001 (p<0,001 (p<0,05 p<0,001. . Conclusión 20 202 p00 p<0,0 (p<0,01 p<0,00 p000 00 (p<0,00 (p<0,0 2 p0 p<0, (p<0, p<0 (p<0 p< (p< (p

https://doi.org/10.1590/ce.v29i0.92975

12.

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

13.

Validation of the Brazilian Portuguese language version of the facial feminization surgery outcomes evaluation the Brazilian Portuguese language version of the FFSOE
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Soledade, Vanessa Silva

; Sena, Ludimila Sobreira

; Patrocínio, Lucas Gomes

Brazilian Journal of Otorhinolaryngology

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2024, Volume 90 N. 6 elocation 101483

Abstract: En | Text: En | PDF: En

Abstract Objective: To translate and validate the Facial Feminization Surgery Outcomes Evaluation in Brazilian Portuguese. Methods: A standard back-translation method was applied to obtain the final Brazilian Portuguese language version. In total, 21 Brazilian native Portuguese speakers transgender women with surgical intent and 21 Brazilian native Portuguese speakers transgender women without surgical intent were included in the study. The FFSOE was administered to both groups and all patients underwent a test-retest two weeks later. Results: The FFSOE showed a high internal consistency with Cronbach’s alpha greater than 0.8. The test-retest reliability was high with repeated measures being highly correlated in all items, except for item 3, where the difference was significant (p = 0.027). Conclusion: The FFSOE showed reliability, internal consistency and reproducibility in the evaluations. It is easy to understand and quick to apply, making it a simple tool for pre- and post-operative assessment in facial feminization surgeries. The Oxford 2011 Levels of Evidence: Level 4. Objective Methods backtranslation back translation version total 2 study testretest test retest later Results Cronbachs Cronbach s 08 0 8 0.8 items 3 p 0.027. 0027 0.027 . 027 0.027) Conclusion evaluations apply pre postoperative post operative surgeries 201 Evidence 4 0. 002 0.02 02 20 00 0.0

https://doi.org/10.1016/j.bjorl.2024.101483

14.

Elaboração de um protocolo de classificação de risco para pacientes oncológicos em Cuidados Paliativos Domiciliares
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Souza, Flavia Navi de

; Silva, Vanessa Gomes da

; Silva, Alexandre Sousa da

Saúde em Debate

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sep 2023, Volume 47 N. 138 Pages 707 - 716

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

RESUMO Os serviços de Cuidados Paliativos Domiciliares especializados no tratamento de pacientes oncológicos têm como objetivo identificar e controlar sintomas físicos, psicossociais e espirituais em domicílio. Alguns desafios encontrados são a complexidade de sintomas, a sobrevida reduzida dos pacientes com câncer avançado e limitações do sistema de saúde. Para estratificar a prioridade de atendimento dos pacientes com câncer avançado em Cuidados Paliativos Domiciliares, foi elaborado um protocolo de classificação de risco. Este artigo é um relato de experiência sobre o processo de elaboração de um protocolo de classificação de risco para pacientes com câncer avançado atendidos em um serviço de Cuidados Paliativos Domiciliares no Rio de Janeiro. A etapa inicial envolveu reuniões da equipe da Assistência Domiciliar de um hospital oncológico e buscas estruturadas na literatura. Depois, foram listadas as situações clínicas de manejo mais complexo no domicílio, chamadas de sinais e sintomas de alerta: dor, falta de ar, náuseas/ vômitos, sangramento e confusão mental aguda. Elaborou-se um protocolo de avaliação e classificação de risco com cinco categorias/cores, para determinar a prioridade de atendimento dos pacientes. O sistema de triagem desenvolvido possui fácil aplicabilidade e requer um treinamento breve do profissional de saúde para que possa ser utilizado durante os atendimentos domiciliares. físicos domicílio Janeiro literatura Depois alerta dor ar náuseas vômitos aguda Elaborouse Elaborou se categoriascores categorias cores categorias/cores domiciliares

ABSTRACT Home-based Palliative Care services specialized in the treatment of cancer patients aim to identify and control physical, psychosocial, and spiritual symptoms at home. Some challenges encountered are the complexity of symptoms, reduced survival of patients with advanced cancer, and limitations of the health care system. To stratify the priority of care for patients with advanced cancer in home Palliative Care, a risk classification protocol was developed. This article is an experience report on the process of creating a risk classification protocol for patients with advanced cancer treated at a home Palliative Care service in Rio de Janeiro. The initial stage involved meetings of the home care team at an oncology hospital and structured searches in the literature. Afterwards, the clinical situations of more complex management at home were listed and named as warning signs and symptoms: pain, shortness of breath, nausea/ vomiting, bleeding, and acute mental confusion. An assessment and triage protocol was developed with five categories/colors to determine the priority of patient care. The developed triage system has easy applicability and requires a brief training of the health professional so that it can be used during home visits. Homebased Home based physical psychosocial Janeiro literature Afterwards pain breath nausea vomiting bleeding confusion categoriescolors categories colors visits

https://doi.org/10.1590/0103-1104202313824

15.

Elaboração de um protocolo de classificação de risco para pacientes oncológicos em Cuidados Paliativos Domiciliares
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Souza, Flavia Navi de

; Silva, Vanessa Gomes da

; Silva, Alexandre Sousa da

Saúde em Debate

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sep 2023, Volume 47 N. 138 Pages 707 - 716

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

https://doi.org/10.1590/0103-1104202313824

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