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Abstract Introduction: Multicenter research initiatives in Brazilian dialysis centers are scarce. We described the recruitment and implementation phases of the SARC-HD study, aimed at investigating sarcopenia and its impact on adverse clinical outcomes. Methods: The SARC-HD is a cohort study being conducted with patients on hemodialysis in Brazil. The recruitment phase was defined as the period from the invitation to the center until the start of patient enrollment, whereas the implementation phase lasted from then until the completion of enrollment and baseline data collection. Upon implementation, a structured questionnaire was distributed to collect feedback from principal investigators. Results: 21 centers from three Brazilian regions consented to participate, with two dropping out. Ten principal investigators oversaw the 19 sites. Nine centers (47%) were funded entirely by health insurance companies. A total of 1525 patients were screened for eligibility and 1008 were enrolled, with a 66.1% recruitment rate. Recruitment and baseline data collection took 12 [interquartile range: 5–15] weeks. Qualitative content analysis identified barriers such as a lack of infrastructure and logistics for research. Facilitators included the management and organization of the steering committee. Data collection challenges were mainly reported with the subjective 7-point global assessment and the international physical activity questionnaire. The main challenge for the ongoing maintenance phase will be the lack of standardized information in electronic health records. Conclusions: The recruitment and implementation phases of the multicenter SARC-HD study were feasible. Barriers and facilitators identified by principal investigators may help future multicenter initiatives to integrate research-related tasks into clinical routine, facilitating successful experiences. Introduction scarce SARCHD SARC HD outcomes Methods Brazil Results 2 participate out 1 sites 47% 47 (47% companies 152 100 enrolled 661 66 66.1 rate interquartile range 5–15 515 5 15 weeks committee 7point point 7 records Conclusions feasible researchrelated related routine experiences 4 (47 10 6 66. 5–1 51 (4 5– (

Resumo Introdução: Pesquisa multicêntrica em centros de diálise brasileiros são escassas. Descrevemos as fases de recrutamento e implementação do estudo SARC-HD, visando investigar a sarcopenia e seu impacto em desfechos clínicos adversos. Métodos: O SARC-HD é um estudo de coorte realizado com pacientes em hemodiálise no Brasil. A fase de recrutamento foi considerada o período entre convite ao centro e início da inclusão de pacientes, enquanto a fase de implementação durou a partir de então até a conclusão do recrutamento e coleta de dados basais. Após a implementação, um questionário estruturado foi distribuído para coletar feedback dos principais pesquisadores. Resultados: 21 centros de três regiões brasileiras consentiram em participar, com duas desistências. Dez pesquisadores principais supervisionaram 19 locais. Nove centros (47%) eram totalmente financiados por planos de saúde. 1525 pacientes foram avaliados para elegibilidade e 1008 foram incluídos, com taxa de recrutamento de 66,1%. Recrutamento e coleta de dados basais levaram 12 semanas [intervalo interquartil: 5–15]. A análise qualitativa de conteúdo identificou barreiras como falta de infraestrutura e logística para pesquisa. Os facilitadores incluíram gestão e organização do comitê gestor. Os desafios da coleta de dados foram relatados principalmente quanto à avaliação global subjetiva de 7 pontos e o questionário internacional de atividade física. O principal desafio para a fase de manutenção será a falta de informações padronizadas nos prontuários eletrônicos. Conclusões: As fases de recrutamento e implementação do estudo multicêntrico SARC-HD foram viáveis. Barreiras e facilitadores identificados pelos pesquisadores principais podem auxiliar futuras iniciativas multicêntricas a integrar tarefas relacionadas à pesquisa na rotina clínica, facilitando experiências bem-sucedidas. Introdução escassas SARCHD, SARCHD SARC HD, HD adversos Métodos Brasil Resultados 2 participar desistências 1 locais 47% 47 (47% saúde 152 100 incluídos 661 66 66,1% intervalo interquartil 5–15. 515 5–15 . 5 15 5–15] gestor física eletrônicos Conclusões viáveis clínica bemsucedidas. bemsucedidas bem sucedidas. sucedidas bem-sucedidas 4 (47 10 6 66,1 51 5–1 (4 66, 5– (

https://doi.org/10.1590/2175-8239-jbn-2024-0009en

The high biodiversity of benthic organisms in a coastal ecosystem revealed by an integrative approach
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Amaral, A. Cecília Z.

; Cunha, Beatriz P.

; Checon, Helio H.

; Godoy, Angélica S. de

; Silva, Camila F. da

; Corte, Guilherme N.

; Nogueira, João M. de M.

; Fukuda, Marcelo V.

; Steiner, Tatiana M.

; Kawauchi, Gisele Y.

; Turra, Alexander

; Denadai, Márcia R.

; Ferreira, Luciane

; Mendonça, Joel B. de

; Tavares, Marcos

; Leite, Fosca P. P.

; Costa, Mariana F. B.

; Siqueira, Silvana G. L.

; Vieira, Leandro M.

; Dias, Gustavo M.

; Teixeira, Joyce A.

; Rocha, Rosana M.

; Gusmão, Luciana C.

; Borges, Michela

; Alitto, Renata

; Machado, Fabrizio M.

; Passos, Flávio D.

; Cunha, Carlo M.

; Simone, Luiz R.L.

; Araujo, Ana Paula G.

; Carbayo, Fernando

; Bahia, Juliana

; Bulnes, Verónica N.

; Castello-Branco, Cristiana

; Hajdu, Eduardo

; Vilas-Boas, Ana Carolina

; Garraffoni, André R. S.

; Schockaert, Ernest

; Fonseca, Gustavo

; Domenico, Maikon Di

; Curini-Galletti, Marco

; Sørensen, Martin V.

; Hochberg, Rick

; Oliveira, Ana Julia F. C. de

; Zampieri, Bruna Del B.

; Chinelatto, Roberta M.

; Migotto, Alvaro E.

Biota Neotropica

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2024, Volume 24 N. 2 elocation e20231583

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

Resumo O aumento da modificação dos habitats e da perda de espécies demanda esforços consistentes para descrever e compreender os padrões de biodiversidade. O programa BIOTA/FAPESP foi criado nesse contexto e é uma iniciativa de sucesso para promover estudos em biodiversidade e conservação no Brasil. O BIOTA/Araçá é um projeto interdisciplinar que promoveu uma avaliação detalhada da biodiversidade da Baía do Araçá, um ecossistema costeiro localizado ao Norte do estado de São Paulo, Sudeste do Brasil. A baía engloba múltiplos habitats, tais como praias, manguezais, costões rochosos, e uma planície de maré, e também fornece importantes serviços ecossistêmicos. Infelizmente, a baía está sujeita à conflitos sócio-ambientais complexos que contrastam demandas econômicas, sociais e ambientais (i.e. a expansão das atividades do porto vizinho vs. a pesca artesanal de pequena escala e a proteção da biodiversidade). O presente estudo apresenta um levantamento das espécies bentônicas que ocorrem nos diferentes habitats da Baía do Araçá, incluindo dados obtidos durante o projeto BIOTA/Araçá e de investigações realizadas anteriormente na área. As espécies bentônicas desempenham um papel importante no ambiente marinho, e estudar a diversidade desses organismos que vivem associados ao fundo é indispensável para compreender o funcionamento do meio ambiente. A macrofauna, meiofauna, e microorganismos associados aos fundos consolidado e inconsolidado foram listados, e informações adicionais foram fornecidas para cada espécie, tais como a distribuição geográfica e nos habitats. O checklist inclui 826 espécies, quase 70% registradas durante o projeto BIOTA/Araçá. Os taxa mais especiosos foram os anelídeos (225 spp.), moluscos (194 spp.), e crustáceos (177 spp.). Entre as espécies bentônicas listadas, sete são endêmicas da Baía do Araçá, 14 são consideradas ameaçadas de extinção, e sete são exploradas economicamente. A baía é a localidade tipo de vários taxa, e 11 novas espécies bentônicas foram descritas com base em espécimes amostrados durante o projeto. Este projeto mostra a importância da Baía do Araçá como um ambiente de riqueza biológica única e demonstra a necessidade de esforços para a sua conservação considerando as atuais ameaças. BIOTAFAPESP BIOTA FAPESP Brasil BIOTAAraçá Paulo praias manguezais rochosos maré ecossistêmicos Infelizmente sócioambientais sócio econômicas i.e. ie i (i.e vs . biodiversidade) área marinho macrofauna meiofauna listados espécie 82 70 225 (22 spp., spp spp. , spp.) 194 (19 177 (17 spp.. listadas 1 extinção economicamente ameaças i.e 8 7 22 (2 19 (1 17 2 (

Abstract Increasing habitat modification and species loss demand consistent efforts to describe and understand biodiversity patterns. The BIOTA/FAPESP Program was created in this context and it has been a successful initiative to promote studies on biodiversity and conservation in Brazil. The BIOTA/Araçá is an interdisciplinary project that provided a detailed evaluation of the biodiversity of Araçá Bay, a coastal seascape located on the North coast of the state of São Paulo, Southeast Brazil. The bay encompasses multiple habitats, such as beaches, mangroves, rocky shores, and a tidal flat, and provides important ecosystem services. Unfortunately, the bay is the subject of complex social-environmental conflicts that oppose economic, social, and environmental demands (i.e., the expansion of neighboring harbor activities vs. small-scale artisanal fisheries and protection of biodiversity). The present study presents a survey of the benthic species occurring in the different habitats of Araçá Bay, including data obtained during the BIOTA/Araçá project and previous assessments of the area. The benthic species play an important role in marine environments and studying the diversity of these organisms that live associated with the bottom is indispensable for comprehending the environment’s functioning. The macrofauna, meiofauna, and microorganisms associated with soft and hard bottom were listed, and additional information, such as the habitat and geographical distribution, were provided for each species. The checklist includes 826 species, almost 70% recorded during the BIOTA/Araçá project. The most speciose taxa were the annelids (225 spp.), mollusks (194 spp.), and crustaceans (177 spp.). Seven benthic species are endemic to Araçá Bay, 14 are considered threatened, and seven are economically exploited. Furthermore, the bay is the type locality of many taxa, and 11 new benthic species were described based on specimens sampled during the project. This project shows the importance of Araçá Bay as a unique biologically rich environment and highlights the need for conservation efforts in light of the current threats. patterns BIOTAFAPESP BIOTA FAPESP Brazil BIOTAAraçá Paulo beaches mangroves shores flat services Unfortunately socialenvironmental social economic i.e., ie i e (i.e. vs smallscale small scale biodiversity. . biodiversity) area s functioning macrofauna meiofauna listed information distribution 82 70 225 (22 spp., spp spp. , spp.) 194 (19 177 (17 spp.. 1 threatened exploited Furthermore threats i.e. (i.e 8 7 22 (2 19 (1 17 i.e 2 (

https://doi.org/10.1590/1676-0611-bn-2023-1583

Exploring the frequency of a TP53 polyadenylation signal variant in tumor DNA from patients diagnosed with lung adenocarcinomas, sarcomas and uterine leiomyomas TP TP5 adenocarcinomas
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Vieira, Igor Araujo

; Viola, Guilherme Danielski

; Pezzi, Eduarda Heidrich

; Kowalski, Thayne Woycinck

; Fernandes, Bruna Vieira

; Andreis, Tiago Finger

; Bom, Natascha

; Sonnenstrahl, Giulianna

; Rocha, Yasminne Marinho de Araújo

; Corrêa, Bruno da Silveira

; Donatti, Luiza Mezzomo

; Sant’Anna, Gabriela dos Santos

; Corleta, Helena von Eye

; Brum, Ilma Simoni

; Rosset, Clévia

; Vianna, Fernanda Sales Luiz

; Macedo, Gabriel S.

; Palmero, Edenir Inez

; Ashton-Prolla, Patricia

Genetics and Molecular Biology

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2023, Volume 46 N. 3 elocation e20230133

Abstract: En | Text: En | PDF: En

Abstract The TP53 3’UTR variant rs78378222 A>C has been detected in different tumor types as a somatic alteration that reduces p53 expression through modification of polyadenylation and miRNA regulation. Its prevalence is not yet known in all tumors. Herein, we examine tumor tissue prevalence of rs7837822 in Brazilian cohorts of patients from south and southeast regions diagnosed with lung adenocarcinoma (LUAD, n=586), sarcoma (SARC, n=188) and uterine leiomyoma (ULM, n=41). The minor allele (C) was identified in heterozygosity in 6/586 LUAD tumors (prevalence = 1.02 %) and none of the SARC and ULM samples. Additionally, next generation sequencing analysis revealed that all variant-positive tumors (n=4) with sample availability had additional pathogenic or likely pathogenic somatic variants in the TP53 coding regions. Among them, 3/4 (75 %) had the same pathogenic or likely pathogenic sequence variant (allele frequency <0.05 in tumor DNA) namely c.751A>C (p.Ile251Leu). Our results indicate a low somatic prevalence of rs78378222 in LUAD, ULM and SARC tumors from Brazilian patients, which suggests that no further analysis of this variant in the specific studied regions of Brazil is warranted. However, these findings should not exclude tumor molecular testing of this TP53 3’UTR functional variant for different populations. TP TP5 3UTR UTR 3 rs AC A C p p5 regulation Herein rs783782 (LUAD n=586, n586 n n=586 , 586 n=586) SARC, (SARC n=188 n188 188 ULM, (ULM n=41. n41 n=41 . 41 n=41) (C 6586 6 6/58 102 1 02 1.0 % samples Additionally variantpositive positive n=4 n4 4 (n=4 them 34 3/ 75 (7 005 0 05 <0.0 DNA c751AC cAC c 751A p.Ile251Leu. pIle251Leu pIleLeu p.Ile251Leu Ile251Leu Ile Leu (p.Ile251Leu) warranted However populations rs78378 n58 n=58 58 n=18 n18 18 658 6/5 10 1. n= (n= 7 ( 00 <0. pIle IleLeu (p.Ile251Leu rs7837 n5 n=5 5 n=1 n1 65 6/ (n <0 rs783 < rs78 rs7

https://doi.org/10.1590/1678-4685-gmb-2023-0133

Synthesizing the connections between environmental disturbances and zoonotic spillover
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ELLWANGER, JOEL HENRIQUE

; FEARNSIDE, PHILIP MARTIN

; ZILIOTTO, MARINA

; VALVERDE-VILLEGAS, JACQUELINE MARÍA

; VEIGA, ANA BEATRIZ G. DA

; VIEIRA, GUSTAVO F.

; BACH, EVELISE

; CARDOSO, JÁDER C.

; MÜLLER, NÍCOLAS FELIPE D.

; LOPES, GABRIEL

; CAESAR, LÍLIAN

; KULMANN-LEAL, BRUNA

; KAMINSKI, VALÉRIA L.

; SILVEIRA, ETIELE S.

; SPILKI, FERNANDO R.

; WEBER, MATHEUS N.

; ALMEIDA, SABRINA E. DE MATOS

; HORA, VANUSA P. DA

; CHIES, JOSÉ ARTUR B.

Anais da Academia Brasileira de Ciências

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2022, Volume 94 elocation e20211530

Abstract: En | Text: En | PDF: En

Abstract Zoonotic spillover is a phenomenon characterized by the transfer of pathogens between different animal species. Most human emerging infectious diseases originate from non-human animals, and human-related environmental disturbances are the driving forces of the emergence of new human pathogens. Synthesizing the sequence of basic events involved in the emergence of new human pathogens is important for guiding the understanding, identification, and description of key aspects of human activities that can be changed to prevent new outbreaks, epidemics, and pandemics. This review synthesizes the connections between environmental disturbances and increased risk of spillover events based on the One Health perspective. Anthropogenic disturbances in the environment (e.g., deforestation, habitat fragmentation, biodiversity loss, wildlife exploitation) lead to changes in ecological niches, reduction of the dilution effect, increased contact between humans and other animals, changes in the incidence and load of pathogens in animal populations, and alterations in the abiotic factors of landscapes. These phenomena can increase the risk of spillover events and, potentially, facilitate new infectious disease outbreaks. Using Brazil as a study model, this review brings a discussion concerning anthropogenic activities in the Amazon region and their potential impacts on spillover risk and spread of emerging diseases in this region.

https://doi.org/10.1590/0001-3765202220211530

COVID-19 in the Perioperative Period of Cardiovascular Surgery: the Brazilian Experience
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Gomes, Walter J.

; Rocco, Isadora

; Pimentel, Wallace S.

; Pinheiro, Aislan H. B.

; Souza, Paulo M. S.

; Costa, Luiz A. A.

; Teixeira, Marjory M. P.

; Ohashi, Leonardo P.

; Bublitz, Caroline

; Begot, Isis

; Moreira, Rita Simone L

; Hossne Jr, Nelson A.

; Vargas, Guilherme F.

; Branco, João Nelson R.

; Teles, Carlos A.

; Medeiros, Eduardo A. S.

; Sáfadi, Camila

; Rampinelli, Amândio

; Moratelli Neto, Leopoldo

; Rosado, Anderson Rosa

; Mesacasa, Franciele Kuhn

; Capriata, Ismael Escobar

; Segalote, Rodrigo Coelho

; Palmieri, Deborah Louize da Rocha Vianna

; Jardim, Amanda Cristina Mendes

; Vianna, Diego Sarty

; Coutinho, Joaquim Henrique de Souza Aguiar

; Jazbik, João Carlos

; Coutinho, Henrique Madureira da Rocha

; Kikuta, Gustavo

; Almeida, Zely Sant'Anna Marotti de

; Feguri, Gibran Roder

; Lima, Paulo Ruiz Lucio de

; Franco, Anna Carolina

; Borges, Danilo de Cerqueira

; Cruz, Felipe Ramos Honorato De La

; Croti, Ulisses Alexandre

; Borim, Bruna Cury

; Marchi, Carlos Henrique De

; Goraieb, Lilian

; Postigo, Karolyne Barroca Sanches

; Jucá, Fabiano Gonçalves

; Oliveira, Fátima Rosane de Almeida

; Souza, Rafael Bezerra de

; Zilli, Alexandre Cabral

; Mas, Raul Gaston Sanchez

; Bettiati Junior, Luiz Carlos

; Tranchesi, Ricardo

; Bertini Jr, Ayrton

; Franco, Leandro Vieira

; Fernandes, Priscila

; Oliveira, Fabiana

; Moraes Jr, Roberto

; Araújo, Thiago Cavalcanti Vila Nova de

; Braga, Otávio Penna

; Pedrosa Sobrinho, Antônio Cavalcanti

; Teixeira, Roberta Tavares Barreto

; Camboim, Irla Lavor Lucena

; Gomes, Eduardo Nascimento

; Reis, Pedro Horigushi

; Garcia, Luara Piovan

; Scorsioni, Nelson Henrique Goes

; Lago, Roberto

; Guizilini, Solange

Brazilian Journal of Cardiovascular Surgery

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dec 2021, Volume 36 N. 6 Pages 725 - 735

Abstract: En | Text: En | PDF: En

Abstract Introduction: We investigated the clinical course and outcomes of patients submitted to cardiovascular surgery in Brazil and who had developed symptoms/signs of coronavirus disease 2019 (COVID-19) in the perioperative period. Methods: A retrospective multicenter study including 104 patients who were allocated in three groups according to time of positive real time reverse transcriptase-polymerase chain reaction (RT-PCR) for the SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2): group 1, patients who underwent cardiac surgery > 10 days after positive RT-PCR; group 2, patients with a positive RT-PCR within 10 days before or after surgery; group 3, patients who presented positive RT-PCR > 10 days after surgery. The primary outcome was mortality and secondary outcomes were postoperative complications, intensive care unit (ICU) length of stay, and postoperative days of hospitalization. Results: The three groups were similar with respect to age, the European System of Cardiac Operative Risk Evaluation score, and comorbidities, except hypertension. Postoperative complications and death were significantly higher in groups 2 and 3 than in group 1, and no significant difference between groups 2 and 3 was seen. Group 2 showed a high prevalence of surgery performed as an urgent procedure. Although no significant differences were observed in ICU length of stay, total postoperative hospitalization time was significantly higher in group 3 than in groups 1 and 2. Conclusion: COVID-19 affecting the postoperative period of patients who underwent cardiovascular surgery is associated with a higher rate of morbidity and mortality. Delaying procedures in RT-PCR-positive patients may help reduce risks of perioperative complications and death.

https://doi.org/10.21470/1678-9741-2021-0960

Guideline of the Brazilian Society of Cardiology on Telemedicine in Cardiology - 2019
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Lopes, Marcelo Antônio Cartaxo Queiroga

; Oliveira, Gláucia Maria Moraes de

; Ribeiro, Antonio Luiz Pinho

; Pinto, Fausto J.

; Rey, Helena Cramer Veiga

; Zimerman, Leandro Ioschpe

; Rochitte, Carlos Eduardo

; Bacal, Fernando

; Polanczyk, Carisi Anne

; Halperin, Cidio

; Araújo, Edson Correia

; Mesquita, Evandro Tinoco

; Arruda, José Airton

; Rohde, Luis Eduardo Paim

; Grinberg, Max

; Moretti, Miguel

; Caramori, Paulo Ricardo Avancini

; Botelho, Roberto Vieira

; Brandão, Andréa Araújo

; Hajjar, Ludhmila Abrahão

; Santos, Alexandre Fonseca

; Colafranceschi, Alexandre Siciliano

; Etges, Ana Paula Beck da Silva

; Marino, Bárbara Campos Abreu

; Zanotto, Bruna Stella

; Nascimento, Bruno Ramos

; Medeiros, Cesar Rocha

; Santos, Daniel Vitor de Vasconcelos

; Cook, Daniela Matos Arrowsmith

; Antoniolli, Eduardo

; Souza Filho, Erito Marques de

; Fernandes, Fábio

; Gandour, Fabio

; Fernandez, Francisco

; Souza, Germano Emilio Conceição

; Weigert, Guilherme de Souza

; Castro, Iran

; Cade, Jamil Ribeiro

; Figueiredo Neto, José Albuquerque de

; Fernandes, Juliano de Lara

; Hadlich, Marcelo Souza

; Oliveira, Marco Antonio Praça

; Alkmim, Maria Beatriz

; Paixão, Maria Cristina da

; Prudente, Maurício Lopes

; Aguiar Netto, Miguel A. S.

; Marcolino, Milena Soriano

; Oliveira, Monica Amorim de

; Simonelli, Osvaldo

; Lemos Neto, Pedro A.

; Rosa, Priscila Raupp da

; Figueira, Renato Minelli

; Cury, Roberto Caldeira

; Almeida, Rodrigo Coelho

; Lima, Sandra Regina Franco

; Barberato, Silvio Henrique

; Constancio, Thiago Inocêncio

; Rezende, Wladimir Fernandes de

Arquivos Brasileiros de Cardiologia

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nov 2019, Volume 113 N. 5 Pages 1006 - 1056

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

https://doi.org/10.5935/abc.20190205 5274 downloads

Lytic bacteriophages as a potential alternative to control Staphylococcus aureus
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Leite, Juliana Almeida

; Pereira, Hyago Passe

; Borges, Cristiano Amâncio Vieira

; Alves, Bruna Rios Coelho

; Ramos, Alessandra Isis Alves Pinheiro

; Martins, Marta Fonseca

; Arcuri, Edna Froeder

Pesquisa Agropecuária Brasileira

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2019, Volume 54 elocation e00917

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

Resumo: O objetivo deste trabalho foi caracterizar bacteriófagos autóctones e determinar sua atividade lítica em Staphylococcus aureus. Seis fagos foram isolados de água de lavagem de pisos de estábulos por meio do enriquecimento de cultura com três estirpes de S. aureus. Todos os fagos foram caracterizados pela digestão do DNA com enzimas de restrição e pelo sequenciamento do fragmento de DNA que codifica a endolisina. Cada fago foi testado contra 100 estirpes de S. aureus isoladas de casos de mastite bovina e de produtos lácteos pelo método de lise em placa. Sequências do gene de endolisina apresentaram alta conservação, com mais de 99% de similaridade a nível do nucleotídeo entre os fagos isolados. Foram identificados três domínios envolvidos no reconhecimento e na lise da parede celular bacteriana. Dois bacteriófagos isolados de estábulos apresentam alta atividade lítica em S. aureus, em ampla gama de estirpes, o que indica seu potencial para estudos de fagoterapia em gado leiteiro ou como agente de controle biológico para produtos lácteos.

Abstract: The objective of this work was to characterize autochthonous bacteriophages and to determine their lytic activity on Staphylococcus aureus. Six phages were isolated from dairy barn flush water through enrichment cultures with three S. aureus strains. All phages were characterized by DNA digestion by restriction enzymes and sequencing of the DNA fragment encoding endolysin. Each phage was tested against 100 S. aureus strains isolated from bovine mastitis and from dairy products using the lysis-plate method. The sequences of the endolysin gene were highly conserved, with nucleotide similarity higher than 99% among the isolated phages. Three domains involved in the recognition and lysis of the bacterial cell wall were identified. Two bacteriophages isolated from the dairy barns present high lytic activity on S. aureus, on a wide range of host strains, indicating their potential for studies on phage therapy in dairy cattle or as a biological control agent for dairy products.

https://doi.org/10.1590/s1678-3921.pab2019.v54.00917 1489 downloads

Alkaline phosphatase: reference interval transference from CALIPER to a pediatric Brazilian population
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Fontes, Rosita

; Cavalari, Emanuela

; Vieira Neto, Leonardo

; Shrank, Yolanda

; Santos, Antonio S.

; Gomes, Dalva Margareth

; Pinheiro, Maria Fernanda C.

; Araujo, Paula Bruna M. C.

Jornal Brasileiro de Patologia e Medicina Laboratorial

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jul 2018, Volume 54 N. 4 Pages 227 - 231

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

RESUMO Introdução: A interpretação de exames laboratoriais necessita de intervalos de referência (IR) que podem variar entre diferentes populações. Para o diagnóstico de hipofosfatasia, deve-se determinar limites inferiores do IR da fosfatase alcalina (FA). Objetivo: Transferir os resultados de IR da FA obtidos pela Canadian Laboratory Initiative in Pediatric Reference Intervals (CALIPER) em crianças e adolescentes, ajustados para a população brasileira. Métodos: Analisaram-se as dosagens de FA de 1690 indivíduos (1 a 18 anos). Subgrupos do CALIPER e diretrizes do Clinical and Laboratory Standards Institute (CLSI) foram utilizados. Os critérios de inclusão foram pacientes com função hepática, renal, exames do metabolismo ósseo e hemograma normais; já os de exclusão, hospitalização, baixo peso, uso de drogas interferentes na dosagem de FA e pacientes com mais de três solicitações de FA. Os IR seriam considerados válidos se mais de 90% dos pacientes se encontrassem dentro dos IR do CALIPER. Resultado: Os resultados dos IR de FA (UI/l) obtidos foram: 149-301 para ambos os sexos entre 1-9 anos; 127-326 para ambos os sexos entre 10-12 anos; 62-212 para meninas e 129-437 para meninos entre 13-14 anos; 52-120 para meninas e 78-268 para meninos entre 15-16 anos; 45-97 para meninas e 40-129 para meninos entre 17-18 anos de idade. Em 92,4% dos pacientes os resultados eram comparáveis com os do CALIPER. Conclusão: Os resultados demonstraram que os IR de FA para crianças e adolescentes brasileiras são comparáveis com o estudo CALIPER em 92,4% dos pacientes e podem ser utilizados para essa população.

ABSTRACT Introduction: Interpreting laboratory tests requires reference intervals (RI) that may vary between different populations. For the diagnosis of hypophosphatasia (HPP), lower limits of alkaline phosphatase (ALP) levels must be determined. Objective: To transfer the RI findings for ALP obtained by the Canadian Laboratory Initiative in Pediatric Reference Intervals (CALIPER) in children and adolescents, adjusted for the Brazilian population. Methods: The ALP measures from 1690 subjects (aging from 1-18 years) were analyzed. The CALIPER subgroups and the Clinical and Laboratory Standards Institute (CLSI) guideline were used for validation. Inclusion criteria were patients with normal range of hepatic and renal function, bone metabolism, and blood counts. Exclusion criteria were hospitalization, low weight, and use of drugs that could interfere in the ALP measurement and patients in with more than three orders for ALP measuring test. The RI obtained were considered valid if more than 90% of patients were whitin of the CALIPER RI. Results: The ALP RI results (IU/l) obtained were: 149-301 for both sexes aged 1-9 years; 127-326 for both sexes aged 10-12 years; 62-212 for girls and 129-437 for boys aged 13-14 years; 52-120 for girls and 78-268 for boys aged 15-16 years; 45-97 for girls and 40-129 for boys aged 17-18 years. In 92.4% of the patients, the results were comparable with those of the CALIPER study. Conclusion: The results demonstrated that the ALP RI for Brazilian children and adolescents are comparable to the CALIPER study in 92.4% of the patients and can be used for this population.

https://doi.org/10.5935/1676-2444.20180039 1993 downloads

Natural Organic Acid as Green Catalyst for Xanthenones Synthesis: Methodology, Mechanism and Calcium Channel Blocking Activity
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Terra, Bruna S.

; Osorio, Aura M. B.

; Oliveira, Aline de

; Santos, Rebeca P. M.

; Mouro, Andressa P.

; Araújo, Natália F. de

; Silva, Cameron C. da

; Martins, Felipe T.

; Vieira, Luciene B.

; Bonaventura, Daniella

; Abreu, Heitor A. de

; Alcântara, Antonio F. C.

; Fátima, Ângelo de

Journal of the Brazilian Chemical Society

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dec 2017, Volume 28 N. 12 Pages 2313 - 2325

Abstract: En | Text: En | PDF: En

Xanthenones were synthesized via one-pot tricomponent reaction, under solvent-free conditions, using aldehydes, phenolic and cyclic 1,3-dicarbonyl compounds. Natural organic acids (NOAs), compounds present in many living metabolisms, were used as potential green catalysts. NOA are considered to be more eco-friendly and user-friendly alternative to traditional methodologies. Optimization studies showed that oxalic acid was the best NOA catalyst for such reaction furnishing the xanthenones with up to 93% of yield. Theoretical calculations were performed to evaluate this reaction mechanism and regioselectivity. The results showed that the regiospecificity of this three-component reaction is kinetically and thermodynamically controlled by the addition of β-naphthol C2, instead of C10, to the aldehyde. Our results also disclosed two xanthenones as novel calcium channels blockers. Eco-friendly reaction conditions, easy workup procedure, short reaction times and good yields are some of the advantages of our methodology.

https://doi.org/10.21577/0103-5053.20170082 1409 downloads

10.

Sphygmomanometers and thermometers as potential fomites of Staphylococcus haemolyticus: biofilm formation in the presence of antibiotics
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Sued, Bruna Pinto Ribeiro

; Pereira, Paula Marcele Afonso

; Faria, Yuri Vieira

; Ramos, Juliana Nunes

; Binatti, Vanessa Batista

; Santos, Kátia Regina Netto dos

; Seabra, Sérgio Henrique

; Hirata Júnior, Raphael

; Vieira, Verônica Viana

; Mattos-Guaraldi, Ana Luíza

; Pereira, José Augusto Adler

Memórias do Instituto Oswaldo Cruz

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mar 2017, Volume 112 N. 3 Pages 188 - 195

Abstract: En | Text: En | PDF: En

BACKGROUND The association between Staphylococcus haemolyticus and severe nosocomial infections is increasing. However, the extent to which fomites contribute to the dissemination of this pathogen through patients and hospital wards remains unknown. OBJECTIVES In the present study, sphygmomanometers and thermometers were evaluated as potential fomites of oxacillin-resistant S. haemolyticus (ORSH). The influence of oxacillin and vancomycin on biofilm formation by ORSH strains isolated from fomites was also investigated. METHODS The presence of ORSH on swabs taken from fomite surfaces in a Brazilian hospital was assessed using standard microbiological procedures. Antibiotic susceptibility profiles were determined by the disk diffusion method, and clonal distribution was assessed in pulsed-field gel electrophoresis (PFGE) assays. Minimum inhibitory concentrations (MICs) of oxacillin and vancomycin were evaluated via the broth microdilution method. Polymerase chain reaction (PCR) assays were performed to detect the mecA and icaAD genes. ORSH strains grown in media containing 1/4 MIC of vancomycin or oxacillin were investigated for slime production and biofilm formation on glass, polystyrene and polyurethane catheter surfaces. FINDINGS ORSH strains comprising five distinct PFGE types were isolated from sphygmomanometers (n = 5) and a thermometer (n = 1) used in intensive care units and surgical wards. ORSH strains isolated from fomites showed susceptibility to only linezolid and vancomycin and were characterised as multi-drug resistant (MDR). Slime production, biofilm formation and the survival of sessile bacteria differed and were independent of the presence of the icaAD and mecA genes, PFGE type and subtype. Vancomycin and oxacillin did not inhibit biofilm formation by vancomycin-susceptible ORSH strains on abiotic surfaces, including on the catheter surface. Enhanced biofilm formation was observed in some situations. Moreover, a sub-lethal dose of vancomycin induced biofilm formation by an ORSH strain on polystyrene. MAIN CONCLUSIONS Sphygmomanometers and thermometers are fomites for the transmission of ORSH. A sub-lethal dose of vancomycin may favor biofilm formation by ORSH on fomites and catheter surfaces.

https://doi.org/10.1590/0074-02760160381 1711 downloads

11.

Effects of non-invasive ventilation and posture on chest wall volumes and motion in patients with amyotrophic lateral sclerosis: a case series
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Magalhães, Cristiana M.

; Fregonezi, Guilherme A.

; Vidigal-Lopes, Mauro

; Vieira, Bruna S. P. P.

; Vieira, Danielle S. R.

; Parreira, Verônica F.

Brazilian Journal of Physical Therapy

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aug 2016, Volume 20 N. 4 Pages 336 - 344

Abstract: En | Text: En | PDF: En

ABSTRACT Background The effects of non-invasive ventilation (NIV) on the breathing pattern and thoracoabdominal motion of patients with amyotrophic lateral sclerosis (ALS) are unknown. Objectives 1) To analyze the influence of NIV on chest wall volumes and motion assessed by optoelectronic plethysmography in ALS patients and 2) to compare these parameters in the supine and sitting positions to those of healthy individuals (without NIV). Method Nine ALS patients were evaluated in the supine position using NIV. In addition, the ALS patients and nine healthy individuals were evaluated in both sitting and supine positions. Statistical analysis was performed using the paired Student t-test or Wilcoxon test and the Student t-test for independent samples or Mann-Whitney U test. Results Chest wall volume increased significantly with NIV, mean volume=0.43 (SD=0.16)L versus 0.57 (SD=0.19)L (p=0.04). No significant changes were observed for the pulmonary rib cage, abdominal rib cage, or abdominal contribution. The index of the shortening velocity of the diaphragmatic muscle, mean=0.15 (SD=0.05)L/s versus 0.21 (SD=0.05)L/s (p<0.01), and abdominal muscles, mean=0.09 (SD=0.02)L/s versus 0.14 (SD=0.06)L/s (p<0.01), increased during NIV. Comparisons between the supine and sitting positions showed similar changes in chest wall motion in both groups. However, the ALS patients presented a significantly lower contribution of the abdomen in the supine position compared with the controls, mean=56 (SD=13) versus 69 (SD=10) (p=0.02). Conclusions NIV improved chest wall volumes without changing the contribution of the chest wall compartment in ALS patients. In the supine position, ALS patients had a lower contribution of the abdomen, which may indicate early diaphragmatic dysfunction.

https://doi.org/10.1590/bjpt-rbf.2014.0164 1867 downloads

12.

Morfologia das glândulas salivares de Glironia venusta Thomas, 1912 (Didelphimorphia)
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Vieira, Bruna S.

; Schuingues, Cristiano O.

; Lima, Mendelson G. de

; Martins, Daniele S.

; Costa, Gerlane M.

Pesquisa Veterinária Brasileira

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feb 2015, Volume 35 N. 2 Pages 199 - 207

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

O objetivo deste trabalho foi descrever a morfologia das glândulas salivares de Glironia venusta. Foi utilizado um exemplar coletado no resgate de fauna da Usina Hidroeletrica Teles Pires. Este foi fixado com solução de formaldeído a 10%. Para a análise macroscópica, as glândulas foram dissecadas e fotografadas in situ e para a microscopia foram retirados fragmentos das glândulas. Estes foram desidratados em concentrações crescentes de álcool, diafanizados em xilol, inclusos em parafina e corados com HE. G. venusta apresentou as glândulas mandibulares, parótidas, sublinguais, labiais e zigomáticas. As mandibulares se mostraram como estruturas alongadas, constituídas por lobos não septados e localizadas na porção anterior da região cervical. De formato triangular, a parótida estava localizada na depressão do masseter, ventral à cartilagem auricular. As sublinguais encontravam-se ventrais ao ramo da mandíbula, caudais ao digástrico. Foi observado na porção dorsoposterior à comissura labial, dorsal ao músculo orbicular da boca, as glândulas labiais, que apresentaram formato de "U". Já as glândulas zigomáticas acompanhavam a forma da porção anterior do arco zigomático, na margem infraorbital. As glândulas mandibulares e sublinguais apresentaram ácinos do tipo mucosos, com alguns ácinos serosos. A parótida era constituída por ácinos puramente serosos. Na glândula labial foi observado ácinos do tipo mistos ou seromucosos. Para a glândula zigomática não foi possível a realização da análise microscópica devido problemas de procedimento histológico. As características das glândulas salivares observadas em G. venusta se assemelham a de outros mamíferos onívoros, entretanto, apresentaram pequenas diferenças no que se refere à sua localização e forma.

The aim of this study was to describe the morphology of the salivary glands of Glironia venusta. A sample of G. venusta was collected in fauna rescue of hidroelectric usine of Teles Pires was used. This exemplar was fixed with formaldehyde solution 10%. For macroscopic analysis, the glands were dissected and photographed in situ and for the microscopy fragments of the glands were removed, that were dehydrated in increasing alcohol concentrations, diaphanizated in xylene, included in paraffin and stained with hematoxylin and eosin. G. venusta presented the mandibular, parotid, sublingual, labial and zygomatic glands. The mandible is shown as elongated structures, composed of non-septated lobes and located in the anterior cervical region. With a triangular format, the parotid was located in the depression of the masseter, ventral an auricular cartilage. The sublingual were located ventral to the mandible, caudal to the digastric muscle. In the posterior dorsal portion, until the labial commissure, dorsal to the orbicularis muscle of mouth was observed the labial glands, which showed a "U" shape. The zygomatic glands was accompanied the shape of the anterior portion of the zygomatic arch at the infraorbital margin. The mandibulars and sublinguals glands showed acini of mucous type, with some serous acini. The parotid one was made up purely by serous acini. In the labial gland was observed acini of mixed types mixed or seromucosous. Related the zygomatic gland was not possible to perform the microscopic analysis because of histological proceeding problems. Characteristics of the salivary glands observed in G. venusta resemble other omnivores mammals, but showed small differences as regards their location and shape.

https://doi.org/10.1590/S0100-736X2015000200018 7005 downloads

13.

DETERMINAÇÃO DE Cd E Pb EM AMOSTRAS DE GOMA XANTANA POR GF AAS
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Souza, Alexander O. de

; Pereira, Camila C.

; Jado, Bruna M.

; Oreste, Eliézer Q.

; Vieira, Mariana A.

; Ribeiro, Anderson S.

; Vendruscolo, Claire T.

; Nunes, Adriane M.

Química Nova

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feb 2015, Volume 38 N. 2 Pages 209 - 213

Abstract: Pt | Text: Pt | PDF: Pt

This paper describes the evaluation of a method for determination of Cd and Pb in xanthan gum samples by Graphite Furnace Atomic Absorption Spectrometry (GF AAS) using NH4H2PO4 as the chemical modifier. The sample preparation was performed using a reflux system adapted in the digestion tubes. With this system it was possible to increase the temperature of the digester block above the boiling point of the reaction medium, preventing loss of analyte and excessive evaporation of acids during heating. Samples were digested with HNO3 for 3 h in a digester block at 220 ºC. The limits of detection for Cd and Pb were 2.2 and 33.8 ng g-1, respectively. The RSDs for both analytes were, on average, lower than 5.0% and accuracy was verified by recovery tests, yielding values in the 83-100% range.

https://doi.org/10.5935/0100-4042.20140298 2044 downloads

14.

Fração de ejeção e volumes do ventrículo esquerdo medidos com eco 3D e com tomografia ultra-rápida
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Vieira, Marcelo Luiz Campos

; Nomura, César H.

; Tranchesi Junior, Bernardino

; Oliveira, Wercules A. de

; Naccarato, Gustavo

; Serpa, Bruna S.

; Passos, Rodrigo B. D.

; Funari, Marcelo B. G.

; Fischer, Cláudio H.

; Morhy, Samira S.

Arquivos Brasileiros de Cardiologia

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apr 2009, Volume 92 N. 4 Pages 294 - 301

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

FUNDAMENTO: O ecocardiograma tridimensional em tempo real (ECO 3D) e a tomografia computadorizada ultra-rápida (CT) são dois novos métodos de análise da fração de ejeção e dos volumes do VE. OBJETIVO: Comparar as medidas da FEVE e dos volumes do VE aferidos pelo ECO 3D e pela CT ultra-rápida. MÉTODOS: Foram estudados pelo ECO 3D e pela CT ultra-rápida de 64 cortes, 39 pacientes consecutivos (27 homens, média etária de 57±12 anos). Foram analisados: FEVE e volumes do VE. Análise estatística: coeficiente de correlação (r: Pearson), teste de Bland & Altman, teste de regressão linear, 95 % IC, p<0,05. RESULTADOS: Medidas do ECO 3D: a FEVE variou de 56,1 a 78,6 (65,5±5,58)%; volume diastólico final variou de 49,6 a 178,2 (87±27,8)ml; volume sistólico final variou de 11,4 a 78 (33,1±13,6)ml. Medidas da CT: a FEVE variou de 53 a 86 (67,8±7,78)%; volume diastólico final variou de 51 a 186 (106,5±30,3) ml; volume sistólico final variou de 7 a 72 (35,5±13,4)ml. As correlações entre ECO 3D e CT foram: FEVE (r: 0,7888, p<0,0001, 95% IC 0,6301 a 0,8843); volume diastólico final (r: 0,7695, p<0,0001, 95% IC 0,5995 a 0,8730); volume sistólico final (r: 0,8119, p<0,0001, 95% IC 0,6673 a 0,8975). CONCLUSÃO: Nesta série, foi observada boa correlação entre as medidas da FEVE e entre os volumes ventriculares aferidos pelo ECO3D e pela CT ultra-rápida de 64 cortes.

BACKGROUND: Real-time three-dimensional echocargiography (RT-3D-Echo) and ultrafast computed tomography (CT) are two novel methods for the analysis of LV ejection fraction and volumes. OBJECTIVE: To compare LVEF and volume measurements as obtained using RT-3D-Echo and ultrafast CT. METHODS: Thirty nine consecutive patients (27 men, mean age of 57±12 years) were studied using RT-3D-Echo and 64-slice ultrafast CT. LVEF and LV volumes were analyzed. Statistical analysis: coefficient of correlation (r: Pearson), Bland-Altman analysis, linear regression analysis, 95% CI, p<0.05. RESULTS: RT-3D-Echo measurements: LVEF ranged from 56.1 to 78.6 (65.5±5.58)%; end-diastolic volume ranged from 49.6 to 178.2 (87±27.8) ml; end-systolic volume ranged from 11.4 to 78 (33.1±13.6) ml. CT scan measurements: LVEF ranged from 53 to 86% (67.8±7.78); end-diastolic volume ranged from 51 to 186 (106.5±30.3) ml; end-systolic volume ranged from 7 to 72 (35.5±13.4)ml. Correlations between RT-3D-Echo and CT were: LVEF (r: 0.7888, p<0.0001, 95% CI 0.6301 to 0.8843); end-diastolic volume (r: 0.7695, p<0.0001, 95% CI 0.5995 to 0.8730); end-systolic volume (r: 0.8119, p<0.0001, 95% CI 0.6673 to 0.8975). CONCLUSION: Good correlation between LVEF and ventricular volume parameters as measured by RT-3D-Echo and 64-slice ultrafast CT was found in the present case series.

FUNDAMENTO: La ecocardiografía tridimensional en tiempo real (Eco-3DTR) y la tomografía computarizada ultrarrápida (TC ultrarrápida) son dos nuevos métodos de análisis de la fracción de eyección (FE) y de los volúmenes del ventrículo izquierdo (VI). OBJETIVO: Comparar las mediciones de la fracción de eyección del ventrículo izquierdo (FEVI) y de los volúmenes del VI apurados por la Eco-3DTR y por la TC ultrarrápida. MÉTODOS: Se estudiaron, mediante la Eco-3DTR y la TC ultrarrápida de 64 cortes, a 39 pacientes consecutivos (27 varones, promedio de edad de 57±12 años). Se analizaron: FEVI y volúmenes del VI. Análisis estadístico: coeficiente de correlación (r: Pearson), prueba de Bland & Altman, prueba de regresión lineal, 95 % IC, p<0,05. RESULTADOS: Valores de la Eco-3DTR: variación de la FEVI de 56,1 a 78,6 (65,5±5,58)%; variación del volumen diastólico final de 49,6 a 178,2 (87±27,8)mL; variación del volumen sistólico final de 11,4 a 78 (33,1±13,6)mL. Valores de la TC ultrarrápida: variación de la FEVI de 53 a 86 (67,8±7,78)%; variación del volumen diastólico final de 51 a 186 (106,5±30,3) mL; variación del volumen sistólico final de 7 a 72 (35,5±13,4) mL. Las correlaciones entre la Eco-3DTR y la TC ultrarrápida fueron: FEVI (r: 0,7888, p<0,0001, 95% IC 0,6301 a 0,8843); volumen diastólico final (r: 0,7695, p<0,0001, 95% IC 0,5995 a 0,8730); volumen sistólico final (r: 0,8119, p<0,0001, 95% IC 0,6673 a 0,8975). CONCLUSIÓN: En esta serie, se observó una buena correlación entre las mediciones de la FEVI y entre los volúmenes ventriculares apurados por la Eco-3DTR y por la TC ultrarrápida de 64 cortes.

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15.

Fatores de risco para queimaduras e choque elétrico em crianças no ambiente domiciliar
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Moreira, Bruna F. Corrêa

; Almeida, Paulo C.

; Oriá, Mônica O. B.

; Vieira, Luiza Jane Eyre de S.

; Ximenes, Lorena Barbosa

Reme: Revista Mineira de Enfermagem

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mar 2008, Volume 12 N. 1 Pages 86 - 91

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

INTRODUCTION: Burns and electric shock are severe accidents that can cause irreversible results and death. OBJECTIVE: This study intended to identify mothers' opinions about risk factors in the household associated with burns and shock to which children are exposed. We also verified the correlation between demographic variables and risk factors for burns and shock. METHOD: This is a descriptive study, using a quantitative approach. We conducted household visits, involving 87 families with children aged 1 to 6 years old, who had attended the nursery care center, in Fortaleza, state of Ceará, Brazil, during 2004 to 2006, talking to them and filling out a thematic form. RESULTS: Saucepans within the reach of children were the most significant burn risk factor referred by mothers (34) and by the researcher (64). For electric shock, exposed electric outlets were said to be the most important risk factor by mothers (33) and by the researcher (53). CONCLUSION: Nurses should inform family members how to prevent accidents, therefore reducing accidents in childhood.

INTRODUCCIÓN: Las quemaduras y choques eléctricos son accidentes graves que pueden tener consecuencias irreversibles e incluso llevar a la muerte. OBJETIVO: Identificar la presencia de factores de riesgo para quemaduras y choques eléctricos, según las madres y el investigador, en niños de primera infancia y analizar si tales riesgos están vinculados a los datos sociodemográficos. MÉTODO: se trata de un estudio descriptivo con enfoque cuantitativo. Se visitaron 87 familias en sus domicilios con niños entre uno y seis años que iban a una guardería en Fortaleza, Estado de Ceará. El estudio se realizó entre los años 2004 y 2006 con un formulario que trataba del asunto. RESULTADOS: el factor de riesgo más mencionado, tanto por las madres como por el investigador, fue para quemaduras las ollas y para choques eléctricos las tomas eléctricas o enchufes no protegidos al alcance de los niños. CONCLUSIÓN: enfermería debe orientar a los familiares cómo prevenir accidentes, minimizando los riesgos de accidentes en la infancia.

INTRODUÇÃO: Queimaduras e choque elétrico são acidentes graves que podem causar seqüelas irreversíveis ou a morte. OBJETIVO: Identificar a presença de fatores de riscos para queimaduras e choque elétrico, na opinião das mães e do pesquisador, em crianças da primeira infância, e verificar a associação com os dados sociodemográficos das mães. MÉTODO: Estudo descritivo e abordagem quantitativa. Foram realizadas visitas domiciliares a 87 famílias de crianças de entre 1 e 6 anos que freqüentavam creche, em Fortaleza-CE, no período de 2004-2006, utilizando um formulário sobre o tema. RESULTADOS: O fator de risco mais citado para queimaduras, observado pelas mães (34) e pelo pesquisador (64), foi: panelas ao alcance das crianças, observado pelas mães (34) e pelo pesquisador (64); para choque, o fator de risco mais observado pelas mães (33) e pelo pesquisador (53) foi tomada elétrica não protegida e ao alcance das crianças, observado pelas mães (33) e pelo pesquisador (53). CONCLUSÃO: A enfermagem deve orientar familiares na prevenção de acidentes, minimizando os riscos de acidentes na infância.

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