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Manually prepared lamellae for Descemet stripping endothelial keratoplasty (Pachy-DSEK): comparison of four dissection depths PachyDSEK Pachy DSEK (Pachy-DSEK) (Pachy-DSEK
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Bertino, Pedro

; Magalhães, Renata Soares

; Souza Junior, Carlos Jose de

; Maranhão, Lucio de Vieira Leite

; Prazeres, Tatiana Moura Bastos

Arquivos Brasileiros de Oftalmologia

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2024, Volume 87 N. 3 elocation e2022-0076

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

RESUMO Objetivo: Comparar quatro profundidades de dissecção manual usadas no preparo de lamelas para transplante endotelial. Métodos: Córneas humanas de treinamento disponibilizadas foram randomizadas em quatro grupos: Pachy-100 (profundidade de incisão = espessura corneana central - margem de segurança de 100 µm), Pachy-50 (margem de segurança de 50 µm), Pachy-0 (sem margem de segurança) e Pachy+50 (profundidade de incisão = espessura corneana central + 50 µm). Todas as lamelas foram dissecadas através um método padronizado e já publicado (Pachy-DSEK). As espessuras das lamelas (centro, zona de 3,0mm e zona de 6,0mm) foram medidas com tomografia de coerência óptica. A razão de espessura centro-periferia foi calculada aos 3,0 e 6,0 mm de diâmetro. Resultados: Perfuração endotelial ocorreu apenas no grupo Pachy+50 (n=3, 30%). A espessura central da lamela nos grupos Pachy-100, Pachy-50, Pachy-0 e Pachy+50 foi de 185 ± 42 µm, 122 ± 29 µm, 114 ± 29 µm, e 58 ± 31 µm, respectivamente (p<0,001). As razões C/P aos 3,0 e 6,0 mm foram de 0,97 ± 0,06 e 0,92 ± 0,14, respectivamente. Os parâmetros de características do doador não se correlacionaram com os resultados de espessura de lamela. A profundidade planejada de incisão se correlacionou com a maioria dos parâmetros de espessura de lamela (p<0,001). A espessura de lamela se correlacionou negativamente com a profundidade planejada da incisão (p<0.001, r=-0,580). O melhor resultado foi observado no grupo Pachy-0, em que 75% das lamelas mediram abaixo de 130 µm e não houve perfuração endotelial. Conclusão: Através de um método padronizado de dissecção, a maioria das lamelas endoteliais apresentou uma configuração planar. O planejamento de profundidade de incisão igual à espessura corneana central resultou em alta porcentagem de lamelas ultrafinas sem ocorrência de perfuração. Objetivo Métodos Pachy100 Pachy Pachy-10 10 , µm) Pachy50 Pachy-5 5 Pachy0 0 Pachy- Pachy+5 µm. . PachyDSEK. PachyDSEK DSEK (Pachy-DSEK) centro, centro (centro 30mm 3 0mm 6,0mm 60mm 6 óptica centroperiferia periferia 30 3, 60 6, diâmetro Resultados n=3, n3 n (n=3 30%. 30% 30%) Pachy100, 100, Pachy50, 50, 18 4 12 2 11 p<0,001. p0001 p p<0,001 001 (p<0,001) CP C P 097 97 0,9 006 06 0,0 092 92 014 14 0,14 p<0.001, (p<0.001 r=0,580. r0580 r r= 0,580 580 r=-0,580) Pachy0, 0, 75 13 Conclusão planar Pachy10 Pachy-1 1 Pachy5 Pachy+ (Pachy-DSEK n=3 (n= p000 p<0,00 00 (p<0,001 09 9 01 0,1 p<0.001 (p<0.00 r=0,580 r058 0580 0,58 r=-0,580 7 Pachy1 n= (n p00 p<0,0 (p<0,00 p<0.00 (p<0.0 r=0,58 r05 058 0,5 r=-0,58 p0 p<0, (p<0,0 p<0.0 (p<0. r=0,5 r0 05 r=-0,5 p<0 (p<0, p<0. (p<0 r=0, r=-0, p< (p< r=0 r=-0 (p r=-

ABSTRACT Purpose: This study aimed to compare four depths of manual dissection for the preparation of Descemet stripping endothelial keratoplasty lamellae. Methods: Eye bank corneas were randomized into four groups according to dissection depths: Pachy-100 (incision depth = central corneal thickness-safety margin of 100 µm), Pachy-50 (safety margin of 50 µm), Pachy-0 (no safety margin), and Pachy+50 (incision depth = central corneal thickness + 50 µm). All endothelial lamellae were prepared using a standardized method of manual dissection (Pachy-DSEK). The central, paracentral (3.0-mm zone), and peripheral (6.0-mm zone) lamella thicknesses and incision depths were measured by optical coherence tomography. The 3.0-mm and 6.0-mm zone central-to-peripheral thickness ratios were calculated. Results: Endothelial perforation occurred only in the Pachy+50 group (n=3, 30%). Central lamella’s thickness in Pachy-100, Pachy-50, Pachy-0, and Pachy+50 groups measured 185 ± 42 µm, 122 ± 29 µm, 114 ± 29 µm, and 58 ± 31 µm, respectively (p<0.001). The overall 3.0- and 6.0-mm C/P ratios were 0.97 ± 0.06 and 0.92 ± 0.14, respectively. Preoperative donor characteristics were not correlated with most thickness outcomes. The planned incision depth correlated significantly with most lamella’s thickness parameters (p<0.001). The overall thickness of the lamella negatively correlated with the planned incision depth (p<0.001, r=-0.580). The best outcome was found in the Pachy-0 group, as 75% of the lamellae measured <130 µm and there was no endothelial perforation. Conclusions: By using a standardized method of dissection, most manually prepared lamellae presented a planar shape. Setting the incision depth to the central corneal thickness did not result in endothelial perforation and a high percentage of ultrathin lamellae was achieved. Purpose Methods Pachy100 Pachy Pachy-10 thicknesssafety 10 , µm) Pachy50 Pachy-5 5 Pachy0 0 Pachy- margin, margin) Pachy+5 µm. . PachyDSEK. PachyDSEK DSEK (Pachy-DSEK) 3.0mm 30mm mm 3.0 3 zone, 6.0mm 60mm 6.0 6 tomography centraltoperipheral calculated Results n=3, n3 n (n=3 30%. 30 30% 30%) lamellas s Pachy100, 100, Pachy50, 50, Pachy0, 0, 18 4 12 2 11 p<0.001. p0001 p p<0.001 001 (p<0.001) CP C P 097 97 0.9 006 06 0.0 092 92 014 14 0.14 outcomes p<0.001, (p<0.001 r=0.580. r0580 r r= 0.580 580 r=-0.580) 75 130 <13 Conclusions shape achieved Pachy10 Pachy-1 1 Pachy5 Pachy+ (Pachy-DSEK 0mm 3. 60 6. n=3 (n= p000 p<0.00 00 09 9 0. 01 0.1 (p<0.00 r=0.580 r058 0580 0.58 r=-0.580 7 13 <1 Pachy1 n= (n p00 p<0.0 (p<0.0 r=0.58 r05 058 0.5 r=-0.58 < p0 p<0. (p<0. r=0.5 r0 05 r=-0.5 p<0 (p<0 r=0. r=-0. p< (p< r=0 r=-0 (p r=-

https://doi.org/10.5935/0004-2749.2022-0076

Diretrizes Brasileiras de Medidas da Pressão Arterial Dentro e Fora do Consultório – 2023 202 20 2
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Feitosa, Audes Diogenes de Magalhães

; Barroso, Weimar Kunz Sebba

; Mion Junior, Decio

; Nobre, Fernando

; Mota-Gomes, Marco Antonio

; Jardim, Paulo Cesar Brandão Veiga

; Amodeo, Celso

; Oliveira, Adriana Camargo

; Alessi, Alexandre

; Sousa, Ana Luiza Lima

; Brandão, Andréa Araujo

; Pio-Abreu, Andrea

; Sposito, Andrei C.

; Pierin, Angela Maria Geraldo

; Paiva, Annelise Machado Gomes de

; Spinelli, Antonio Carlos de Souza

; Machado, Carlos Alberto

; Poli-de-Figueiredo, Carlos Eduardo

; Rodrigues, Cibele Isaac Saad

; Forjaz, Claudia Lucia de Moraes

; Sampaio, Diogo Pereira Santos

; Barbosa, Eduardo Costa Duarte

; Freitas, Elizabete Viana de

; Cestario, Elizabeth do Espirito Santo

; Muxfeldt, Elizabeth Silaid

; Lima Júnior, Emilton

; Campana, Erika Maria Gonçalves

; Feitosa, Fabiana Gomes Aragão Magalhães

; Consolim-Colombo, Fernanda Marciano

; Almeida, Fernando Antônio de

; Silva, Giovanio Vieira da

; Moreno Júnior, Heitor

; Finimundi, Helius Carlos

; Guimarães, Isabel Cristina Britto

; Gemelli, João Roberto

; Barreto-Filho, José Augusto Soares

; Vilela-Martin, José Fernando

; Ribeiro, José Marcio

; Yugar-Toledo, Juan Carlos

; Magalhães, Lucélia Batista Neves Cunha

; Drager, Luciano F.

; Bortolotto, Luiz Aparecido

; Alves, Marco Antonio de Melo

; Malachias, Marcus Vinícius Bolívar

; Neves, Mario Fritsch Toros

; Santos, Mayara Cedrim

; Dinamarco, Nelson

; Moreira Filho, Osni

; Passarelli Júnior, Oswaldo

; Vitorino, Priscila Valverde de Oliveira

; Miranda, Roberto Dischinger

; Bezerra, Rodrigo

; Pedrosa, Rodrigo Pinto

; Paula, Rogerio Baumgratz de

; Okawa, Rogério Toshiro Passos

; Póvoa, Rui Manuel dos Santos

; Fuchs, Sandra C.

; Lima, Sandro Gonçalves de

; Inuzuka, Sayuri

; Ferreira-Filho, Sebastião Rodrigues

; Fillho, Silvio Hock de Paffer

; Jardim, Thiago de Souza Veiga

; Guimarães Neto, Vanildo da Silva

; Koch, Vera Hermina Kalika

; Gusmão, Waléria Dantas Pereira

; Oigman, Wille

; Nadruz Junior, Wilson

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 4 elocation e20240113

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.36660/abc.20240113

Development and mechanical-functional validation of 3D-printed laparoscopic forceps mechanicalfunctional mechanical functional 3Dprinted Dprinted 3D printed D
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CUNHA, CARLOS MAGNO QUEIROZ DA

; CAMPELO, ANA PAULA BOMFIM SOARES

; SALES, LUCAS BUFFAT

; ARY, IAN BARROS LEAL MALVEIRA

; GOMES, JOSÉ WALTER FEITOSA

; CAMPELO, MÁRCIO WILKER SOARES

Revista do Colégio Brasileiro de Cirurgiões

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2024, Volume 51 elocation e20243619

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

RESUMO Introdução: a impressão em 3 dimensões permitiu o desenvolvimento de manufaturas aditivas únicas e acessíveis, inclusive na prototipagem e produção de pinças cirúrgicas. Objetivo: Demonstrar o desenvolvimento, a impressão em 3D e a validação mecânico-funcional de pinça laparoscópica do tipo apreensão. Métodos: a pinça foi desenhada em programa de computador e impressa em 3 dimensões com filamento de ácido poliláctico (PLA) e acrescida de 5 parafusos para melhor efeito de alavanca. Foram realizadas aferições de tamanho e peso, bem como testes mecânicos-funcionais de preensão e rotação em laboratório com simulador validado. Resultados: denominada “Easylap”, a pinça pesou 48 gramas, mediu 43 cm e foi impressa em 8 peças, levando em média 12 horas para sua produção. Ela permitiu a simulação das características funcionais de pinça laparoscópicas de apreensão, além de mecanismo de rotação e travamento por cremalheira. Porém sua força é reduzida devido ao material utilizado. Conclusão: é possível desenvolver pinça laparoscópica plástica de apreensão através de impressão em 3 dimensões. Introdução acessíveis cirúrgicas Objetivo D mecânicofuncional mecânico funcional Métodos PLA (PLA alavanca peso mecânicosfuncionais mecânicos validado Resultados Easylap, Easylap , “Easylap” 4 gramas peças 1 cremalheira utilizado Conclusão “Easylap

ABSTRACT Introduction: 3-dimensional printing has enabled the development of unique and affordable additive manufacturing, including the prototyping and production of surgical forceps. Objective: demonstrate the development, 3D printing and mechanical-functional validation of a laparoscopic grasping forceps. Methods: the clamp was designed using a computer program and printed in 3 dimensions with polylactic acid (PLA) filament and added 5 screws for better leverage. Size and weight measurements were carried out, as well as mechanicalfunctional grip and rotation tests in the laboratory with a validated simulator. Results: Called “Easylap”, the clamp weighed 48 grams, measured 43cm and was printed in 8 pieces, taking an average of 12 hours to produce. It allowed the simulation of the functional characteristics of laparoscopic pressure forceps, in addition to the rotation and rack locking mechanism. However, its strength is reduced due to the material used. Conclusion: It is possible to develop plastic laparoscopic grasping forceps through 3-dimensional printing. Introduction 3dimensional dimensional manufacturing Objective D mechanical Methods PLA (PLA leverage out simulator Results Easylap, Easylap , “Easylap” 4 grams cm pieces 1 produce mechanism However used Conclusion “Easylap

https://doi.org/10.1590/0100-6991e-20243619-en

Advanced glycation end products consumption and the decline of functional capacity in patients with Parkinson's disease: Cross-sectional study Parkinsons Parkinson s disease Crosssectional Cross sectional
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Almeida, Jenifer Kristina Alves de

; Brech, Guilherme Carlos

; Luna, Natália Mariana Silva

; Iborra, Rodrigo Tallada

; Soares-Junior, Jose Maria

; Baracat, Edmund Chada

; Greve, Júlia Maria D'Andrea

; Alonso, Angélica Castilho

; Machado-Lima, Adriana

Clinics

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2024, Volume 79 elocation 100320

Abstract: En | Text: En | PDF: En

Abstract Introduction Advanced Glycation End-Products (AGEs) are a diverse group of highly reactive molecules that play a vital role in the development of neurodegenerative disorders, such as Parkinson's Disease (PD), leading to a decline in functional and cognitive capacity. The objective of this study was to assess the intake and quantification of AGEs in individuals with PD and to correlate them with their functional and cognitive abilities. Methods This was a cross-sectional study involving 20 PD patients and 20 non-PD individuals as the Control group (C). The autofluorescence reader was used to evaluate skin AGEs, while food recall was used to quantify AGEs consumed for three different days. The Montreal Cognitive Assessment, Short Physical Performance Battery, and handgrip tests were used. PD patients demonstrated greater impairment in functional capacity compared to the control group. Results Dominant Handgrip (p = 0.02) and motor performance, in the sit and stand test (p = 0.01) and Short Physical Performance Battery (SPPB) (p = 0.01) were inferior in PD patients than the control group. Although PD patients tended to consume less AGEs than the control group, AGE intake was negatively correlated with handgrip strength in individuals with PD (r = -0.59; p < 0.05). Conclusion PD patients had lower strength and functional capacity, suggesting that the effects of AGEs might be exacerbated during chronic diseases like Parkinson's. EndProducts End Products (AGEs disorders Parkinsons Parkinson s PD, , (PD) abilities crosssectional cross sectional 2 nonPD non C. C . (C) days Assessment 0.02 002 0 02 performance 0.01 001 01 SPPB (SPPB r 0.59 059 59 -0.59 0.05. 005 0.05 05 0.05) Parkinsons. s. (PD (C 0.0 00 0.5 5 -0.5 0. -0. -0 -

https://doi.org/10.1016/j.clinsp.2023.100320

Importance of muscle strength to maintain mobility, but not to maintain postural balance in older women: Cross-sectional study mobility women Crosssectional Cross sectional
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Evangelista, Roberta Alexandra Gonçalves de Toledo

; Evangelista, Alexandre Lopes

; Ernandes, Rita de Cássia

; Brech, Guilherme Carlos

; Silva, Reinaldo Nonato da

; Lino, Matheus Henrique dos Santos

; Bocalini, Danilo Sales

; Graaf, Myriam de

; Mochizuki, Luis

; Soares-Junior, Jose Maria

; Baracat, Edmund Chada

; Greve, Júlia Maria D'Andréa

; Garcez-Leme, Luiz Eugênio

; Alonso, Angelica Castilho

Clinics

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2024, Volume 79 elocation 100504

Abstract: En | Text: En | PDF: En

Abstract Background Acknowledging the relationship between postural control and muscle strength in lower limbs is important to find persons with high fall risk and to design fall prevention exercise programs. Objective To investigate the connection between knee muscle strength, semi-static postural balance, and functional mobility in irregularly active older women. Methods One hundred and ten older women aged 60 to 85 years underwent a semi-static postural balance test in a force and functional mobility measured by Timed Up & Go (TUG) with and without Cognitive Tasks (CT). Muscle strength of the knee was assessed by isokinetic dynamometry at 60°/s. Results A negative correlation between the functional mobility (TUG with and without CT) and the muscular strength of the knee was observed. Regarding semi-static balance, there was a low negative correlation with peak torque corrected for body weight of the extensors with the following variables with eyes open: Mean Velocity Dominant limb (D) (r = -0.19; p = 0.03); and anteroposterior range Non-Dominant limb (ND) (r = -0.19; p = 0.04); with eyes closed: mediolateral range ND limb (r = -0.21; p = 0.02) and Mean Velocity ND limb (r = -0.18; p = 0.05). Conclusions This study found that better functional mobility was associated with greater muscle strength in the knee in elderly women. There were weak negative correlations between knee extensor strength and some measures of semi-static postural balance, suggesting that different motor control actions are required to maintain semi-static balance and mobility. In the case of semi-static balance, a lower level of muscle response is required than in functional mobility. programs semistatic semi static 6 8 TUG CT. CT . (CT) 60s s 60°/s observed open D (D r 0.19 019 0 19 -0.19 0.03 003 03 0.03) NonDominant Non (ND 0.04 004 04 0.04) closed 0.21 021 21 -0.21 0.02 002 02 0.18 018 18 -0.18 0.05. 005 0.05 05 0.05) (CT 0.1 01 1 -0.1 0.0 00 0.2 2 -0.2 0. -0. -0 -

https://doi.org/10.1016/j.clinsp.2024.100504

Impact of streptozotocin-induced diabetes on experimental masseter pain in rats streptozotocininduced streptozotocin induced
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COSTA, Yuri Martins

; HERCULIANI, Clarissa Carolina Fernandes

; SOARES, Flávia Fonseca Carvalho

; AZEVEDO, Michelle de Campos Soriani

; CONTI, Paulo César Rodrigues

; DIONÍSIO, Thiago José

; OLIVEIRA, Gabriela de Moraes

; FARIA, Flávio Augusto Cardoso de

; SANTOS, Carlos Ferreira

; GARLET, Gustavo Pompermaier

; BONJARDIM, Leonardo Rigoldi

Brazilian Oral Research

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2024, Volume 38 elocation e073

Abstract: En | Text: En | PDF: En

Abstract This study aimed to assess the influence of streptozotocin (STZ)-induced diabetes on the nociceptive behavior evoked by the injection of hypertonic saline (HS) into the masseter muscle of rats. Forty male rats were equally divided into four groups: a) isotonic saline control, which received 0.9% isotonic saline (IS), (Ctrl-IS); b) hypertonic saline control, which received 5% HS (Ctrl-HS); c) STZ-induced diabetic, which received IS, (STZ-IS); d) STZ-induced diabetic, which received HS (STZ-HS). Experimental diabetes was induced by a single intraperitoneal injection of STZ at dose of 60 mg/kg dissolved in 0.1 M citrate buffer, and 100 μL of HS or IS were injected into the left masseter to measure the nociceptive behavior. Later on, muscle RNA was extracted to measure the relative expression of the following cytokines: cyclooxygenase-2 (COX-2), tumor necrosis factor (TNF-α), and interleukins (IL)-1β, -2, -6, and -10. One-way analysis of variance (ANOVA) was applied to the data (p < 0.050). We observed a main effect of group on the nociceptive response (ANOVA: F = 11.60, p < 0.001), where the Ctrl-HS group presented the highest response (p < 0.001). However, nociceptive response was similar among the Ctrl-IS, STZ-IS, and STZ-HS group (p > 0.050). In addition, the highest relative gene expression of TNF-α and IL-6 was found in the masseter of control rats following experimental muscle pain (p < 0.050). In conclusion, the loss of somatosensory function can be observed in deep orofacial tissues of STZ-induced diabetic rats. STZinduced (HS groups 09 0 9 0.9 , (IS) CtrlIS Ctrl (Ctrl-IS) b 5 CtrlHS (Ctrl-HS) c STZIS (STZ-IS) d STZHS. STZHS . (STZ-HS) 6 mgkg mg kg 01 1 0. buffer 10 cytokines cyclooxygenase2 cyclooxygenase 2 cyclooxygenase- COX2, COX2 COX (COX-2) TNFα, TNFα TNF α (TNF-α) IL1β, IL1β ILβ IL 1β, 1β β (IL)-1β 2, -2 6, -6 10. -10 Oneway One way ANOVA (ANOVA 0.050. 0050 0.050 050 0.050) 1160 11 11.60 0.001, 0001 0.001 001 0.001) 0.001. However CtrlIS, Ctrl-IS STZIS, STZ-IS addition IL6 IL- conclusion (IS (Ctrl-IS (Ctrl-HS (STZ-IS (STZ-HS (COX-2 (TNF-α - -1 005 0.05 05 116 11.6 000 0.00 00 (COX- 0.0 11. (COX

https://doi.org/10.1590/1807-3107bor-2024.vol38.0073

A gestão orgânica de conflitos desenvolvida em empreendimentos formados por mulheres da economia solidária: uma análise pós-colonialista sobre uma prática feminista de autogestão solidária póscolonialista pós colonialista
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Soares, Maria de Nazaré Moraes

; Rebouças, Sílvia Maria Dias Pedro

; Lázaro, José Carlos

Cadernos EBAPE.BR

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2024, Volume 22 N. 3 elocation e2023-0010

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

Resumo Esta pesquisa surge dos estudos das práticas de gestão de mulheres, de Martin (1993), contudo se articula no lugar da autogestão da Rede de Economia Solidária e Feminista (RESF). Por isso, foi desenvolvido, ao longo do texto, um novo construto para identificar algumas práticas que se performatizam na economia solidária (ES), nomeadas de práticas feministas de autogestão (Bauhardt, 2014; Faria, 2017; Vieta, 2015). O objetivo é analisar uma das ações observadas em campo: a gestão orgânica de conflitos. Os principais aportes teóricos para mediar a discussão partem da abordagem de Martin (1993), da perspectiva da racionalidade substantiva em Ramos (1989), dos estudos sobre conflitos nas organizações em Guerardi (2009) e Putnam (2010), bem como da visão pós-colonialista que adere ao contexto das mulheres na ES (Lugones, 2008; Mohanty, 2006). A coleta de dados se vale de entrevistas semiestruturadas com mulheres da RESF e da observação direta e indireta em campo, entre 2018 e 2021. A perspectiva adotada para a análise dos dados é a da história oral com base em análise crítica do discurso (Meihy, 2002; Wodak, 2004). Os resultados apontam para os seguintes achados: não ocultação do conflito nos processos de autogestão, conflito gerido de forma orgânica sob uma comunicação intensa e gestão do conflito como processo de aprendizagem que prioriza experiências e diferenças. Para as mulheres, o conflito não é demérito; em vez disso, ele é gerido de forma a fortalecer laços de reciprocidade entre os membros dos empreendimentos solidários. 1993, 1993 , (1993) RESF. . (RESF) isso desenvolvido texto ES, (ES) Bauhardt, Bauhardt (Bauhardt 2014 Faria 2017 Vieta 2015. 2015 2015) campo 1989, 1989 (1989) 2009 (2009 2010, 2010 (2010) póscolonialista pós colonialista Lugones, Lugones (Lugones 2008 Mohanty 2006. 2006 2006) 201 2021 Meihy, Meihy (Meihy 2002 Wodak 2004. 2004 2004) achados diferenças demérito disso solidários 199 (1993 (RESF (ES 198 (1989 200 (200 (2010 20 202 19 (199 (198 (20 (201 2 1 (19 (2 (1 (

Abstract This research arises from Martin’s (1993) studies of women’s management practices.However, it is articulated from the place of self-management within the scope of the Solidarity and Feminist Economy Network (SFEN). Therefore, a new construct to identify some practices that are performed in the Solidarity Economy (SE) was developed:feminist practices of self-management (Bauhardt, 2014; Faria, 2017; Vieta, 2015). The objective is to analyze one of the practices observed in the field: the organic management of conflicts. The main theoretical contributions used to mediate the discussion depart from Martin’s approach (1993), from the perspective of substantive rationality in Ramos (1989), from studies on conflicts in organizations in Guerardi (2009) and Putnam (2010), as well as the postcolonialistview that adheres to the context of women in higher education (Lugones, 2008; Mohanty, 2006). Data collection is based on semi-structured interviews with women from the SFEN and direct and indirect observation in the field between 2018 and 2021. The perspective adopted for data analysis is an oral history based on critical discourse analysis (Meihy, 2002; Wodak, 2004). The results point to the following findings: non-concealment of conflict in self-management processes, organically managed conflict based on intense communication, and conflict management as a learning process that prioritizes experiences and differences. For women, conflict is not a demerit. On the contrary, it is managed in such a way as to strengthen reciprocal ties between members of solidarity enterprises. Martins Martin s 1993 (1993 womens practicesHowever However practices.However selfmanagement self SFEN. . (SFEN) Therefore SE (SE developedfeminist developed feminist Bauhardt, Bauhardt (Bauhardt 2014 Faria 2017 Vieta 2015. 2015 2015) 1993, , 1989, 1989 (1989) 2009 (2009 2010, 2010 (2010) Lugones, Lugones (Lugones 2008 Mohanty 2006. 2006 2006) semistructured semi structured 201 2021 Meihy, Meihy (Meihy 2002 Wodak 2004. 2004 2004) findings nonconcealment non concealment processes communication differences demerit contrary enterprises 199 (199 (SFEN 198 (1989 200 (200 (2010 20 202 19 (19 (198 (20 (201 2 1 (1 (2 (

Resumen Esta investigación surge de los estudios de Martin (1993) sobre las prácticas de gestión de las mujeres, sin embargo, se articula desde el lugar de la autogestión en el ámbito de la Red de Economía Solidaria y Feminista (RESF). Por ello, se desarrolla a lo largo de la investigación un nuevo constructo para identificar algunas prácticas que se realizan en la Economía Solidaria (ES), denominadas prácticas feministas de autogestión (Bauhardt, 2014; Faria, 2017; Vieta, 2015). El objetivo es analizar una de las prácticas observadas en campo: la gestión orgánica de los conflictos. Los principales aportes teóricos utilizados para mediar la discusión parten del enfoque de Martin (1993), de la perspectiva de la racionalidad sustantiva de Ramos (1989), de los estudios sobre conflictos en las organizaciones de Guerardi (2009) y Putnam (2010), así como de la visión poscolonialista que se adhiere al contexto de la mujer en la educación superior (Lugones, 2008; Mohanty, 2006). La recolección de datos se basa en entrevistas semiestructuradas con mujeres de la RESF y observación directa e indirecta en campo entre 2018 y 2021. La perspectiva adoptada para el análisis de datos es la de la historia oral basada en el análisis crítico del discurso (Meihy, 2002; Wodak, 2004). Los resultados apuntan a los siguientes hallazgos: no ocultamiento del conflicto en los procesos de autogestión, conflicto manejado orgánicamente basado en una comunicación intensa y la gestión del conflicto como un proceso de aprendizaje que prioriza las experiencias y las diferencias. Para las mujeres, el conflicto no es un demérito, por el contrario, se maneja de tal manera que se fortalezcan los lazos de reciprocidad entre integrantes de empresas solidarias. 1993 (1993 embargo RESF. . (RESF) ello ES, ES , (ES) Bauhardt, Bauhardt (Bauhardt 2014 Faria 2017 Vieta 2015. 2015 2015) 1993, 1989, 1989 (1989) 2009 (2009 2010, 2010 (2010) Lugones, Lugones (Lugones 2008 Mohanty 2006. 2006 2006) 201 2021 Meihy, Meihy (Meihy 2002 Wodak 2004. 2004 2004) hallazgos diferencias demérito contrario solidarias 199 (199 (RESF (ES 198 (1989 200 (200 (2010 20 202 19 (19 (198 (20 (201 2 1 (1 (2 (

https://doi.org/10.1590/1679-395120230010

The decline in postural balance has a negative impact on the performance of functional tasks in individuals with Parkinson's Disease Parkinsons Parkinson s
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Luna, Natália Mariana Silva

; Bobbio, Tatiana Godoy

; Graaf, Myriam de

; Greve, Júlia Maria D'Andrea

; Ernandes, Rita de Cássia

; Dias, Aluane Silva

; Lino, Matheus Henrique dos Santos

; Soares-Junior, Jose Maria

; Baracat, Edmund Chada

; Mochizuki, Luis

; Brech, Guilherme Carlos

; Alonso, Angelica Castilho

Clinics

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2024, Volume 79 elocation 100382

Abstract: En | Text: En | PDF: En

Abstract Introduction An accurate assessment of balance problems is critical for decreasing the risk of falling in patients with Parkinson's Disease (PD). Reliable diagnostic tools such as Computerized Dynamic Posturography (CDP) are not feasible for the clinical setting. Therefore, the present study's aim was to assess the correlation between the clinical Balance Evaluation Systems Test (BESTest) and CDP. Methods 20 male older adults with Parkinson's Disease (PD) were included in this study. Participants first executed the Sit-To-Stand (STS), Step/Quick turn (SQT), and Step Up and Over (SUO) tests on a Balance Master® force platform, followed by a clinical balance evaluation using the BESTest. Results Four outcomes of the CDP were negatively correlated with one or more BESTest domains or total BESTest score: STS sway velocity was negatively correlated with the anticipatory postural adjustment (p = 0.02) and sensory orientation (p = 0.01) domains. SQT turn time was negatively correlated with biomechanical restriction (for turns to the left, p = 0.01, and right, p = 0.03, respectively), postural response (p = 0.01, p = 0.01), dynamic balance during gait (p = 0.007, p = 0.001), and total score (p = 0.02, p = 0.01). Step over time to the right in SUP was negatively correlated with the limits of the stability domain (p = 0.002) and total BESTest score (p = 0.020). SUO impact index was negatively correlated with the anticipatory postural adjustment domain (p = 0.01). Conclusion This study shows that several BESTest domains are significantly correlated with CDP outcomes, demonstrating that the BESTest can be used as a more clinically feasible alternative for computerized posturography, without loss of information. Parkinsons Parkinson s PD. PD . (CDP setting Therefore studys (BESTest 2 (PD SitToStand Sit To Stand STS, , (STS) StepQuick Quick SQT, (SQT) (SUO Master platform 0.02 002 0 02 0.01 001 01 left 003 03 0.03 respectively, respectively respectively) 0007 007 0.007 0.001, 0001 0.001 0.001) 0.01. 0.002 0002 0.020. 0020 0.020 020 0.020) posturography information (STS (SQT 0.0 00 000 0.00 0.

https://doi.org/10.1016/j.clinsp.2024.100382

To be or not to B27 positive: implications for the phenotypes of axial spondyloarthritis outcomes. Data from a large multiracial cohort from the Brazilian Registry of Spondyloarthritis B B2 positive outcomes
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Resende, Gustavo Gomes

; Saad, Carla Goncalves Schahin

; Marques, Claudia Diniz Lopes

; Ribeiro, Sandra Lúcia Euzébio

; Gavi, Maria Bernadete Renoldi de Oliveira

; Yazbek, Michel Alexandre

; Marinho, Adriana de Oliveira

; Menin, Rita de Cássia

; Ochtrop, Manuella Lima Gomes

; Soares, Andressa Miozzo

; Cavalcanti, Nara Gualberto

; Carneiro, Jamille Nascimento

; Werner de Castro, Glaucio Ricardo

; Fernandes, José Mauro Carneiro

; Souza, Elziane da Cruz Ribeiro E

; Alvarenga, Corina Quental de Menezes

; Vieira, Rejane Maria Rodrigues de Abreu

; Machado, Natalia Pereira

; Ximenes, Antônio Carlos

; Gazzeta, Morgana Ohira

; Albuquerque, Cleandro Pires de

; Skare, Thelma Larocca

; Keiserman, Mauro Waldemar

; Kohem, Charles Lubianca

; Benacon, Gabriel Sarkis

; Rocha, Vítor Florêncio Santos

; Lage, Ricardo da Cruz

; Malheiro, Olivio Brito

; Golebiovski, Rywka Tenenbaum Medeiros

; Oliveira, Thauana Luiza

; Duque, Ruben Horst

; Londe, Ana Carolina

; Pinheiro, Marcelo de Medeiros

; Sampaio-Barros, Percival Degrava

Advances in Rheumatology

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2024, Volume 64 elocation 33

Abstract: En | Text: En | PDF: En

Abstract Background There is a remarkable variability in the frequency of HLA-B27 positivity in patients with spondyloarthritis (SpA), which may be associated with different clinical presentations worldwide. However, there is a lack of data considering ethnicity and sex on the evaluation of the main clinical and prognostic outcomes in mixed-race populations. The aim of this study was to evaluate the frequency of HLA-B27 and its correlation with disease parameters in a large population of patients from the Brazilian Registry of Spondyloarthritis (RBE). Methods The RBE is a multicenter, observational, prospective cohort that enrolled patients with SpA from 46 centers representing all five geographic regions of Brazil. The inclusion criteria were as follow: (1) diagnosis of axSpA by an expert rheumatologist; (2) age ≥18 years; (3) classification according to ASAS axial. The following data were collected via a standardized protocol: demographic data, disease parameters and treatment historical. Results A total of 1096 patients were included, with 73.4% HLA-B27 positivity and a mean age of 44.4 (±13.2) years. Positive HLA-B27 was significantly associated with male sex, earlier age at disease onset and diagnosis, uveitis, and family history of SpA. Conversely, negative HLA-B27 was associated with psoriasis, higher peripheral involvement and disease activity, worse quality of life and mobility. Conclusions Our data showed that HLA-B27 positivity was associated with a classic axSpA pattern quite similar to that of Caucasian axSpA patients around the world. Furthermore, its absence was associated with peripheral manifestations and worse outcomes, suggesting a relevant phenotypic difference in a highly miscegenated population. HLAB27 HLAB HLA B27 B HLA-B2 SpA, , (SpA) worldwide However mixedrace mixed race populations RBE. . (RBE) multicenter observational 4 Brazil follow 1 (1 rheumatologist 2 (2 18 ≥1 years 3 (3 axial protocol historical 109 included 734 73 73.4 444 44 44. ±13.2 132 13 (±13.2 uveitis Conversely psoriasis activity mobility world Furthermore HLAB2 B2 HLA-B (SpA (RBE ( ≥ 10 7 73. ±13. (±13. ±13 (±13 ±1 (±1 ± (±

https://doi.org/10.1186/s42358-024-00372-0

10.

Multifactorial assessment of braking time predictors in a driving simulator among older adults according to gender
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Biase, Maria Eugenia Mayr De

; Alonso, Angelica Castilho

; Silva, Reinaldo Nonato da

; Soares, Sara Moutinho

; Canonica, Alexandra Carolina

; Belini, Alessandra Pricila dos Reis

; Soares-Junior, Jose Maria

; Baracat, Edmund Chada

; Busse, Alexandre Leopold

; Jacob-Filho, Wilson

; Brech, Guilherme Carlos

; Greve, Júlia Maria D’Andrea

Clinics

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2024, Volume 79 elocation 100405

Abstract: En | Text: En | PDF: En

Abstract Context: Vehicle driving depends on the integration of motor, visual, and cognitive skills to respond appropriately to different situations that occur in traffic. Objectives: To analyze a model of performance predictor for braking time in the driving simulator, using a battery of tests divided by gender. Methods: Selected were 100 male drivers with a mean age of 72.6 ± 5.7 years. Sociode-mographic variables, braking time in the driving simulator, and motor, visual, and cognitive skills were evaluated. Results: Comparing genders, men were older than women (p = 0.002) and had longer driving times (p = 0.001). Men had more strength in hand grip (p ≤ 0.001). In the linear regression analysis, the model explained 68 % of the braking time in men and 50.8 % in women. In the stepwise multiple linear regression analysis, the variable that remained in the model was the strength of the right plantar flexors, which explained 13 % of the braking time in women and men, and the cognitive variables explained 38.9 %. Conclusion: Sociodemographic, motor, visual, and cognitive variables, explained a substantial portion of the variability in braking time for both older women and men, the specific variables driving this performance differed between the sexes. For older women, factors such as muscle strength emerged as critical determinants of braking ability, highlighting the importance of physical health in maintaining driving skills. On the other hand, cognitive conditions emerged as the primary predictor of braking performance in older men, underscoring the role of mental acuity and decision-making processes in safe driving. Context motor visual traffic Objectives simulator gender Methods 10 726 72 6 72. 57 5 7 5. years Sociodemographic Sociode mographic evaluated Results genders p 0.002 0002 0 002 0.001. 0001 0.001 . 001 0.001) analysis 508 50 8 50. flexors 1 389 38 9 38. Conclusion sexes ability decisionmaking decision making 0.00 000 00 3 0.0 0.

https://doi.org/10.1016/j.clinsp.2024.100405

11.

Task force of the Brazilian Society of Otology — evaluation and management of peripheral facial palsy
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Pauna, Henrique Furlan

; Silva, Vagner Antonio Rodrigues

; Lavinsky, Joel

; Hyppolito, Miguel Angelo

; Vianna, Melissa Ferreira

; Gouveia, Mariana de Carvalho Leal

; Monsanto, Rafael da Costa

; Polanski, José Fernando

; Silva, Maurício Noschang Lopes da

; Soares, Vítor Yamashiro Rocha

; Sampaio, André Luiz Lopes

; Zanini, Raul Vitor Rossi

; Abrahão, Nicolau M.

; Guimarães, Guilherme Correa

; Chone, Carlos Takahiro

; Castilho, Arthur Menino

Brazilian Journal of Otorhinolaryngology

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2024, Volume 90 N. 3 elocation 101374

Abstract: En | Text: En | PDF: En

Abstract Objective To review key evidence-based recommendations for the diagnosis and treatment of peripheral facial palsy in children and adults. Methods Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese on peripheral facial palsy were eligible for inclusion. The American College of Physicians’ guideline grading system and the American Thyroid Association’s guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions. Results The topics were divided into 2 main parts: (1) Evaluation and diagnosis of facial palsy: electrophysiologic tests, idiopathic facial palsy, Ramsay Hunt syndrome, traumatic peripheral facial palsy, recurrent peripheral facial palsy, facial nerve tumors, and peripheral facial palsy in children; and (2) Rehabilitation procedures: surgical decompression of the facial nerve, facial nerve grafting, surgical treatment of long-term peripheral facial palsy, and non-surgical rehabilitation of the facial nerve. Conclusions Peripheral facial palsy is a condition of diverse etiology. Treatment should be individualized according to the cause of facial nerve dysfunction, but the literature presents better evidence-based recommendations for systemic corticosteroid therapy. evidencebased based adults methods search citations studies inclusion Physicians Associations Association s interventions parts 1 (1 tests syndrome tumors (2 procedures grafting longterm long term nonsurgical non etiology dysfunction therapy (

https://doi.org/10.1016/j.bjorl.2023.101374

12.

Análise das Notificações Recebidas pela Central de Transplantes do Estado de Roraima de 2017 a 2021 201 202 20 2
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Oliveira, Lidiane Cristina Santiago de

; Mendes, Larissa Lima Araújo

; Brum, Matheus Dantas

; Lima, Mykaelle Soares

; Lobo, Ana Carolina Ferrer

; França, Jéssica Anne Pereira Corrêa

; Santos Junior, Carlos Henrique dos

; Mota, Lueli Evelin Leite

; Maia Neto, Geraldo Pereira

; Araújo, José Egberg Santos de

; Rabelo, Matilde Nascimento

; Paz, Thaís Lorena Pereira da

; Lustosa, Victor Hugo Souza

; Santos, Bárbara Carvalho dos

; Linhares, Marcelo Moura

Brazilian Journal of Transplantation

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2024, Volume 27 elocation e1724

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

RESUMO Objetivos: Analisar as notificações de morte encefálica (ME) recebidas pela Central de Transplantes (CET) do estado de Roraima (RR) de 2017 a 2021. Métodos: Trata-se de estudo transversal, quantitativo e observacional no qual foram analisadas todas as notificações recebidas pela CET no período de 2017 a 2021, resultando em 120 pacientes, dos seguintes centros de saúde: Hospital Geral de Roraima (HGR), Hospital Confederação Nacional das Cooperativas Médicas (UNIMED), Hospital da Criança Santo Antônio (HCSA), Hospital das Clínicas (HC) e Hospital Lotty Íris (HLI). Os dados foram coletados do sistema de gerenciamento de dados da central e repassados para a ficha de coleta desenvolvida pela pesquisadora. Resultados: Este estudo analisou 119 notificações após a exclusão de uma devido a dados conflitantes. Houve predominância do sexo masculino (58%), com trauma cranioencefálico sendo a causa mais frequente de ME. Ao todo, foram realizadas seis captações de órgãos, todas no HGR. Este estudo não encontrou associações significativas entre a captação de órgãos e sexo, idade, local de internação e ano. Conclusão: Há grandes desafios em relação à doação de órgãos em RR, com uma taxa de captação baixa ao longo de 5 anos. Apenas o HGR obteve sucesso em realizar captações de órgãos, diferentemente de outros hospitais notificadores. São necessárias melhorias, destacando a importância de se realizarem mais estudos para uma análise mais aprofundada dos dados. Objetivos ME (ME (CET RR (RR 201 2021 Métodos Tratase Trata transversal 12 pacientes saúde HGR, , (HGR) UNIMED, UNIMED (UNIMED) HCSA, HCSA (HCSA) HC (HC HLI. HLI . (HLI) pesquisadora Resultados 11 conflitantes 58%, 58 58% (58%) todo idade ano Conclusão anos notificadores melhorias 20 202 1 (HGR (UNIMED (HCSA (HLI (58% 2 (58 (5 (

ABSTRACT Objectives: To analyze brain death (BD) notifications received by Central de Transplantes (CET) in the state of Roraima (RR) from 2017 to 2021. Methods: This is a cross-sectional, quantitative, and observational study, where all notifications received by CET from 2017 to 2021 were analyzed, resulting in 120 patients from health the following centers: Hospital Geral de Roraima (HGR), Hospital Confederação Nacional das Cooperativas Médicas (UNIMED), Hospital da Criança Santo Antônio (HCSA), Hospital das Clínicas (HC), and Hospital Lotty Íris (HLI). The data were collected from the center’s data management system and passed on to the collection form developed by the researcher. Results: This study analyzed 119 notifications after excluding one due to conflicting data. There was a predominance of males (58%), with traumatic brain injury being the most frequent cause of BD. Six organ harvestings were carried out, all at the HGR. This study found no significant associations between organ procurement and sex, age, place of hospitalization, and year. Conclusion: There are considerable challenges concerning organ donation in RR, with a low uptake rate over five years. Only the HGR successfully carried out organ harvesting, while other reporting hospitals were unsuccessful. Improvements are needed, highlighting the importance of more studies for a more in-depth data analysis. Objectives BD (BD (CET RR (RR 201 Methods crosssectional, crosssectional cross sectional, sectional cross-sectional quantitative 202 12 centers HGR, , (HGR) UNIMED, UNIMED (UNIMED) HCSA, HCSA (HCSA) HC, HC (HC) HLI. HLI . (HLI) center s researcher Results 11 58%, 58 58% (58%) sex age hospitalization year Conclusion years harvesting unsuccessful needed indepth depth analysis 20 1 (HGR (UNIMED (HCSA (HC (HLI 5 (58% 2 (58 (5 (

https://doi.org/10.53855/bjt.v27i1.548_port

13.

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

14.

Biomechanical behavior of three maxillary expanders in cleft lip and palate: a finite element study palate
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Patiño, Angela Maria Bautista

; Rodrigues, Monise de Paula

; Pessoa, Roberto Sales

; Rubinsky, Salomón Yezioro

; Kim, Ki Beom

; Soares, Carlos José

; Almeida, Guilherme de Araújo

Brazilian Oral Research

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2024, Volume 38 elocation e010

Abstract: En | Text: En | PDF: En

Abstract: This study evaluated the stress distribution in the dentoalveolar and palatal bone structures during maxillary expansion in a 17-year-old male patient with bilateral cleft lip and palate (BCLP) using expanders with dental (HYRAX) and skeletal anchorage (MARPE). For the generation of the specific finite element models, cone-beam computed tomography was used, and the DICOM files were exported to Mimics 3-Matic (Materialise) and Patran (MSC Software) software. Three specific three-dimensional models were generated: A) HYRAX: conventional four-banded hyrax screw (9 mm); B) MARPE-DS: 3 miniscrews (1.8 mm diameter – 5.4 mm length) and four-banded dental anchorage; and C) MARPE-NoDS: 3 miniscrews without dental anchorage. Maxillary expansion was simulated by activating the expanders transversely 1 mm on the "X" axis. HYRAX resulted in higher levels of deformation predominantly in the dentoalveolar region. MARPE-DS showed stress in the dentoalveolar region and mainly in the center of the palatal region, at approximately 4,000 με. MARPE-NoDS exhibited evident stress only in the palatal region. High stress levels in the root anchoring teeth were observed for HYRAX and MARPE-DS. In contrast, MARPE-NoDS cause stress on the tooth structure. The stress distribution from the expanders used in the BLCP showed asymmetric expansive behavior. During the initial activation phase of expansion, the HYRAX and MARPE-DS models produced similarly high strain at the dentoalveolar structures and upper posterior teeth displacement. The MARPE-NoDS model showed restricted strain on the palate. Abstract 17yearold yearold 17 year old BCLP (BCLP (HYRAX MARPE. MARPE . (MARPE) conebeam cone beam 3Matic Matic Materialise (Materialise MSC Software software threedimensional three dimensional generated A fourbanded four banded 9 ( mm) B MARPEDS DS 1.8 18 8 (1. 54 5 4 5. length C MARPENoDS NoDS X "X axis 4000 000 4,00 με MARPEDS. DS. contrast structure behavior displacement (MARPE 1. (1 400 00 4,0 40 0 4,

https://doi.org/10.1590/1807-3107bor-2024.vol38.0010

15.

Achados incomuns em ressonância magnética de pacientes com implantes mamários
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SOARES, IGOR MOURA

; CAMMAROTA, MARCELA CAETANO

; CAMELO, ROSIMARA EVA FERREIRA ALMEIDA

; GOMES, SAULO FRANCISCO DE ASSIS

; VILELA, MARCELA SANTOS

; DAHER, JOSÉ CARLOS

Revista Brasileira de Cirurgia Plástica

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2024, Volume 39 N. 2 elocation e0922

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

■ RESUMO Introdução: O implante de prótese mamárias é uma das cirurgias mais realizadas no mundo. Ao longo do tempo, diversos materiais foram utilizados com objetivo de reconstituir o volume mamário. Apesar das melhorias técnicas, cirúrgicas e da segurança dos implantes atuais, os pacientes são confrontados com potenciais complicações “não usuais”: rupturas intracapsulares e extracapsulares, hematomas tardios e deformidade de contorno, silicone intralinfonodal ou herniação da cápsula fibrosa. A ressonância magnética (RMN) é a modalidade de imagem mais útil para investigação dessas complicações. Método: Trata-se de uma série de casos em que foram levantadas alterações ditas “não usuais”, pela baixa frequência ou ausência na citação da literatura, após cirurgias de inclusão de prótese de silicone. Os dados foram coletados da experiência pessoal da clínica privada de um dos autores, na cidade de Brasília-DF, entre abril de 2015 e março de 2023. Resultados: Foram um total de 211 pacientes avaliados, e foram encontradas alterações menos frequentes nas RMN de 12 pacientes (5,68%), das quais: 5 com volumosa quantidade de líquido pericapsular, 3 com granuloma capsular, 1 seroma tardio com conteúdo hemorrágico,1 rotura intra e extracapsular, 1 nódulo junto à cápsula fibrosa do implante, 2 linfonodopatia axilar ipsilateral, 1 silicone intralinfonodal, 1 edema do músculo peitoral, 2 tumor desmoide e 1 herniação da cápsula fibrosa. Conclusão: Estima-se que existam 50 milhões de mulheres com próteses de mama no mundo. Com base nesse dado, o número de complicações ditas “não usuais” passa a ser um desafio diagnóstico para o cirurgião plástico e o radiologista. Introdução mundo tempo mamário técnicas atuais não usuais extracapsulares contorno (RMN Método Tratase Trata se usuais, , literatura autores BrasíliaDF, BrasíliaDF Brasília DF, DF Brasília-DF 201 2023 Resultados 21 avaliados 5,68%, 568 5,68% 68 (5,68%) quais pericapsular capsular hemorrágico1 hemorrágico hemorrágico, extracapsular ipsilateral peitoral Conclusão Estimase Estima dado radiologista 20 202 56 5,68 6 (5,68% 5,6 (5,68 5, (5,6 (5, (5 (

■ ABSTRACT Introduction: Breast prosthesis implantation is one of the most performed surgeries in the world. Over time, different materials were used to reconstitute breast volume. Despite technical and surgical improvements and the safety of current implants, patients are faced with potential “unusual” complications: intracapsular and extracapsular ruptures, late hematomas and contour deformity, intra-nodal silicone, or herniation of the fibrous capsule. Magnetic resonance imaging (MRI) is the most useful imaging modality for investigating these complications. Method: This is a series of cases in which so-called “unusual” changes were reported, due to their low frequency or lack of mention in the literature, after surgeries to include a silicone prosthesis. The data were collected from the personal experience of one of the authors in his private clinic, in the city of Brasília-DF, between April 2015 and March 2023. Results: A total of 211 patients were evaluated, and less frequent changes were found in the MRI of 12 patients (5.68%), of which: 5 with a large amount of pericapsular fluid, 3 with capsular granuloma, 1 late seroma with hemorrhagic content, 1 intra and extracapsular rupture, 1 nodule close to the implant’s fibrous capsule, 2 axillary lymph node disease ipsilateral, 1 intra-nodal silicone, 1 pectoral muscle edema, 2 desmoid tumor and 1 herniation of the fibrous capsule. Conclusion: It is estimated that there are 50 million women with breast implants in the world. Based on this data, the number of so-called “unusual” complications becomes a diagnostic challenge for the plastic surgeon and radiologist. Introduction world time volume unusual “unusual ruptures deformity intranodal nodal capsule (MRI Method socalled so called reported literature clinic BrasíliaDF, BrasíliaDF Brasília DF, DF Brasília-DF 201 2023 Results 21 evaluated 5.68%, 568 5.68% , 68 (5.68%) fluid granuloma content rupture implant s ipsilateral edema Conclusion radiologist 20 202 56 5.68 6 (5.68% 5.6 (5.68 5. (5.6 (5. (5 (

https://doi.org/10.5935/2177-1235.2024rbcp0922-pt

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