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RESUMO Este artigo discute a Vigilância Popular em Saúde (VPS) como estratégia emancipatória de luta e defesa da vida ante o agronegócio na Chapada do Apodi, no Ceará. Trata-se de uma pesquisa-ação com representantes da academia, dos movimentos sociais, de entidades, organizações comunitárias e trabalhadores do Sistema Único de Saúde. Foi realizada uma oficina territorial cujo material produzido foi avaliado pela análise de conteúdo auxiliado pelo software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRaMuTeQ). A oficina destacou a necessidade de fortalecimento da luta comunitária no território pela vida, envolvendo o problema dos agrotóxicos e o papel das mulheres. A organização comunitária alia-se à atuação dos movimentos populares, evidenciando que as associações são pontos fundamentais e estratégicos nas articulações das comunidades para a reivindicação de direitos, por meio de quintais produtivos, por exemplo. Foram observados indicadores de VPS associados aos impactos do agronegócio, como a elevada mortandade de abelhas. Diante da expansão do agronegócio na região, a VPS pode continuar sendo uma importante ação na promoção de territórios mais saudáveis e sustentáveis na Chapada do Apodi. (VPS Apodi Ceará Tratase Trata se pesquisaação pesquisa academia sociais entidades IRaMuTeQ. IRaMuTeQ . (IRaMuTeQ) mulheres aliase alia populares direitos produtivos exemplo abelhas região (IRaMuTeQ

ABSTRACT This article discusses Popular Health Surveillance (PHS) as an emancipatory strategy for fighting and defending life against agribusiness in Chapada do Apodi, Ceará. This is an action research with representatives from academia, social movements, entities, community organizations and workers of the Unified Health System. A territorial workshop was carried out whose material produced was evaluated by content analysis aided by the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRaMuTeQ) software. The workshop highlighted the need to strengthen the community struggle in the territory for life, involving the problem of pesticides and the role of women. Community organization allies itself with the work of popular movements, showing that associations are fundamental and strategic points in the articulations of communities for claiming rights, through productive backyards, for example. Indicators of PHS associated with the impacts of agribusiness were observed, such as the high mortality of bees. Faced with the expansion of agribusiness in the region, PHS can continue to be an important action in promoting healthier and more sustainable territories in Chapada do Apodi. (PHS Apodi Ceará academia movements entities System IRaMuTeQ (IRaMuTeQ software women rights backyards example observed bees region

https://doi.org/10.1590/2358-28982024e18715p

Big Data-Planetary Health approach for evaluating the Brazilian Dengue Control Program
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Xavier, Fernando

; Barbosa, Gerson Laurindo

; Marques, Cristiano Corrêa de Azevedo

; Saraiva, Antonio Mauro

Revista de Saúde Pública

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2024, Volume 58 elocation 17

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

RESUMO OBJETIVO Integrar os conceitos de Saúde Planetária e Big Data ao modelo de Donabedian, para avaliar o Programa de Combate à Dengue no estado de São Paulo. MÉTODOS Foram adotados métodos de Ciência de Dados para integração e análise de dados relacionados à dengue, agregando o contexto aos componentes de estrutura e de resultado do modelo de Donabedian. Esses dados, considerando o período de 2010 a 2019, foram coletados de fontes como Datasus, Instituto Brasileiro de Geografia e Estatística (IBGE), WorldClim e MapBiomas, e integrados em um Data Warehouse. Para a identificação de grupos com contextos similares, foi utilizado o algoritmo K-means. Em seguida, foram realizadas análises estatísticas e visualizações espaciais dos grupos, considerando variáveis socioeconômicas, demográficas, solo, estrutura de saúde e casos de dengue. RESULTADOS Com o uso das variáveis climáticas, o algoritmo K-means identificou quatro grupos de municípios com características similares. A comparação dos seus indicadores revelou certos padrões nos municípios com pior desempenho quanto aos resultados de casos de dengue. Embora tivessem melhores condições econômicas, eles tinham menor número médio de agentes comunitários e de unidades básicas de saúde por habitante. Dessa forma, as condições econômicas não refletiram em melhor estrutura de saúde nos três indicadores avaliados. Outra característica desses municípios é a urbanização. Os municípios de pior desempenho tinham maior taxa de população urbana e de modificações antrópicas relacionadas à urbanização. CONCLUSÕES Por meio desta metodologia, foi possível identificar importantes deficiências nas condições para a execução do programa de combate à dengue no estado de São Paulo. A integração de diversas bases de dados e a utilização de métodos de Ciência de Dados permitiram a avaliação do programa em larga escala, considerando o contexto em que as ações são executadas. Dessa forma, a gestão pública pode utilizar as informações coletadas para planejar ações e investir de acordo com as deficiências de cada local.

ABSTRACT OBJECTIVE This study aims to integrate the concepts of planetary health and big data into the Donabedian model to evaluate the Brazilian dengue control program in the state of São Paulo. METHODS Data science methods were used to integrate and analyze dengue-related data, adding context to the structure and outcome components of the Donabedian model. This data, considering the period from 2010 to 2019, was collected from sources such as Department of Informatics of the Unified Health System (DATASUS), the Brazilian Institute of Geography and Statistics (IBGE), WorldClim, and MapBiomas. These data were integrated into a Data Warehouse. K-means algorithm was used to identify groups with similar contexts. Then, statistical analyses and spatial visualizations of the groups were performed, considering socioeconomic and demographic variables, soil, health structure, and dengue cases. OUTCOMES Using climate variables, the K-means algorithm identified four groups of municipalities with similar characteristics. The comparison of their indicators revealed certain patterns in the municipalities with the worst performance in terms of dengue case outcomes. Although presenting better economic conditions, these municipalities held a lower average number of community healthcare agents and basic health units per inhabitant. Thus, economic conditions did not reflect better health structure among the three studied indicators. Another characteristic of these municipalities is urbanization. The worst performing municipalities presented a higher rate of urban population and human activity related to urbanization. CONCLUSIONS This methodology identified important deficiencies in the implementation of the dengue control program in the state of São Paulo. The integration of several databases and the use of Data Science methods allowed the evaluation of the program on a large scale, considering the context in which activities are conducted. These data can be used by the public administration to plan actions and invest according to the deficiencies of each location.

https://doi.org/10.11606/s1518-8787.2024058005491

Vigilância Popular em Saúde: luta emancipatória pela vida ante o agronegócio na Chapada do Apodi-CE
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Carneiro, Fernando Ferreira

; Diógenes, Saulo da Silva

; Xavier, Antônia Márcia

; Araújo, Reginaldo Ferreira de

; Cavalcante, Leandro Vieira

; Maia, Aline de Sousa

; Teixeira, Ana Cláudia de Araújo

Saúde em Debate

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2024, Volume 48 N. spe1 elocation e8715

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

https://doi.org/10.1590/2358-28982024e18715p

Survival Analysis in Adult Heart Transplantation: Experience from a Brazilian Single Center Transplantation
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Ferraz, Diogo Luiz de Magalhães

; Cunha, Cristiano Berardo Carneiro da

; Figueira, Fernando Augusto Marinho dos Santos

; Silva, Igor Tiago Correia

; Monteiro, Verônica Soares

; Carneiro, Rodrigo Moreno Dias

; Castro, Bruna Gomes de

; Requião, Mariana Barreto

; Oliveira, Victor de França

; Silva, Patrícia Jaqueline Xavier da

; Tchaick, Rodrigo Mezzalira

; Furtado, Ana Flávia Paiva

; Silva Filha, Maria de Fátima Oliveira da

; Souza, Renato Correia Fernandes de

; Mello, Maria Julia Gonçalves de

; Gallindo, Rodrigo Melo

Brazilian Journal of Cardiovascular Surgery

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2024, Volume 39 N. 5 elocation e20230394

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: Heart transplantation is the gold standard for advanced heart failure treatment. This study examines the survival rates and risk factors for early mortality in adult heart transplant recipients at a Brazilian center. Methods: This retrospective cohort study involved 255 adult heart transplant patients from a single center in Brazil. Data were collected from medical records and databases including three defined periods (2012-2015, 2016-2019, and 2020-2022). Statistical analysis employed Kaplan-Meier survival curves, Cox proportional hazards analysis for 30-day mortality risk factors, and Log-rank tests. Results: The recipients were mostly male (74.9%), and the mean age was 46.6 years. Main causes of heart failure were idiopathic dilated cardiomyopathy (33.9%), Chagas cardiomyopathy (18%), and ischemic cardiomyopathy (14.3%). The study revealed an overall survival of 68.1% at one year, 58% at five years, and 40.8% at 10 years after heart transplantation. Survivalimproved significantly over time, combining the most recent periods (2016 to 2022) it was 73.2% in the first year and 63% in five years. The main risk factors for 30-day mortality were longer time on cardiopulmonary bypass, the initial period of transplants (2012 to 2015), older age of the donor, and nutritional status of the donor (overweight or obese). The main causes of death within 30 days post-transplant were infection and primary graft dysfunction. Conclusion: The survival analysis by period demonstrated that the increased surgical volume, coupled with the team’s experience and modifications to the immunosuppression protocol, contributed to the improved early and mid-term outcomes. Introduction treatment Methods 25 Brazil 20122015, 20122015 2012 2015, 2015 (2012-2015 20162019, 20162019 2016 2019, 2019 2016-2019 20202022. 20202022 2020 2022 . 2020-2022) KaplanMeier Kaplan Meier curves 30day day Logrank Log rank tests Results 74.9%, 749 74.9% , 74 9 (74.9%) 466 46 6 46. 33.9%, 339 33.9% 33 (33.9%) 18%, 18 18% (18%) 14.3%. 143 14.3% 14 3 (14.3%) 681 68 1 68.1 58 408 40 8 40.8 (201 732 73 2 73.2 63 bypass 2015) overweight obese. obese obese) posttransplant post dysfunction Conclusion volume teams team s protocol midterm mid term outcomes 2012201 201 (2012-201 2016201 2016-201 2020202 202 2020-2022 74.9 7 (74.9% 4 33.9 (33.9% (18% 14.3 (14.3% 68. 5 40. (20 73. 201220 20 (2012-20 201620 2016-20 202020 2020-202 74. (74.9 33. (33.9 (18 14. (14.3 (2 20122 (2012-2 20162 2016-2 20202 2020-20 (74. (33. (1 (14. ( (2012- 2016- 2020-2 (74 (33 (14 2020- (7 (3

https://doi.org/10.21470/1678-9741-2023-0394

Homologous equivalence study of immunogenicity after third dose of Covid-19 vaccine (recombinant) with an interval of six months after the second dose, comparing the interval of eight and 12 weeks between the first two doses Covid19 Covid 19 Covid-1 recombinant (recombinant 1 Covid1 Covid-
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Vianna, Clarice Monteiro

; da Silva e Sá, Gloria Regina

; Seid, Maria Vitória Hadland

; Camacho, Luiz Antonio Bastos

; Xavier, Janaína Reis

; da Gama, Vitor Cardoso

; de Castro, Thalita da Matta

; dos Santos, Ewerton Alves Portela

; de Almeida, Camila Dias

; Cruz, Robson Leite de Souza

; Siqueira, Marilda

; Maia, Maria de Lourdes de Sousa

; Ferroco, Clara Lucy de Vasconcellos

; de Araújo, Mia Ferreira

; Tort, Luis Fernando López

; Caetano, Braulia Costa

Memórias do Instituto Oswaldo Cruz

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2024, Volume 119 elocation e240094

Abstract: En | Text: En | PDF: En

BACKGROUND In response to the coronavirus disease 2019 (Covid-19) pandemic, Brazil authorised the Astra Zeneca/Fiocruz vaccine in January 2021. As the Delta variant emerged in May 2021, interval between vaccine doses was adjusted. By September 2021, the Brazilian National Immunisation Program recommended a booster dose for individuals over 70, and later expanded the recommendation to all adults. OBJECTIVES Assess the equivalence of IgG antibody response against the Covid-19 S protein before and approximately 28 days after the third dose of a Covid-19 recombinant vaccine. Two groups received initial two doses with intervals of eight and 12 weeks. METHODS This is a phase IV clinical study, uncontrolled, non-randomised. The study proposes calculating the ratio of geometric means titres (GMT) 28 days after the third dose, with a target ratio of confidence interval (CI) between 0.77 and 1.3. FINDINGS In the primary endpoint, there was no equivalence between the eight- and 12-week intervals with a slight variation favouring the eight-week group. Post-third dose, both groups showed increases titres at 28 days, three months, six months and 12 months. Both groups responded similarly to Delta and Omicron BA.1, with a more significant increase for Delta. MAIN CONCLUSIONS The study showed strong and consistent immune response in all age groups receiving the Covid-19 recombinant vaccine. Third dose elicited an increase in GMT by at least three times aligned with Ministry of Health strategies emphasising Bio-Manguinhos crucial role in pandemic control in the country. 201 Covid19 Covid 19 (Covid-19 ZenecaFiocruz Zeneca Fiocruz 2021 adjusted 70 adults Covid-1 2 1 weeks uncontrolled nonrandomised. nonrandomised non randomised. randomised non-randomised (GMT CI (CI 077 0 77 0.7 13 3 1.3 endpoint 12week week eightweek group Postthird Post BA1 BA BA.1 BioManguinhos Bio Manguinhos country 20 Covid1 (Covid-1 202 7 Covid- 07 0. 1. BA. (Covid- (Covid

https://doi.org/10.1590/0074-02760240094

Big Data-Planetary Health approach for evaluating the Brazilian Dengue Control Program DataPlanetary Data Planetary
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Xavier, Fernando

; Barbosa, Gerson Laurindo

; Marques, Cristiano Corrêa de Azevedo

; Saraiva, Antonio Mauro

Revista de Saúde Pública

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2024, Volume 58 elocation 17

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

https://doi.org/10.11606/s1518-8787.2024058005491

Estatística Cardiovascular – Brasil 2023 202 20 2
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Oliveira, Gláucia Maria Moraes de

; Brant, Luisa Campos Caldeira

; Polanczyk, Carisi Anne

; Malta, Deborah Carvalho

; Biolo, Andreia

; Nascimento, Bruno Ramos

; Souza, Maria de Fatima Marinho de

; Lorenzo, Andrea Rocha De

; Fagundes Júnior, Antonio Aurélio de Paiva

; Schaan, Beatriz D.

; Silva, Christina Grüne de Souza e

; Castilho, Fábio Morato de

; Cesena, Fernando Henpin Yue

; Soares, Gabriel Porto

; Xavier Junior, Gesner Francisco

; Barreto Filho, Jose Augusto Soares

; Passaglia, Luiz Guilherme

; Pinto Filho, Marcelo Martins

; Machline-Carrion, M. Julia

; Bittencourt, Marcio Sommer

; Pontes Neto, Octavio M.

; Villela, Paolo Blanco

; Teixeira, Renato Azeredo

; Stein, Ricardo

; Sampaio, Roney Orismar

; Gaziano, Thomaz A.

; Perel, Pablo

; Roth, Gregory A.

; Ribeiro, Antonio Luiz Pinho

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 2 elocation e20240079

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.36660/abc.20240079

Diagnosis and management of acute promyelocytic leukemia: Brazilian consensus guidelines 2024 on behalf of the Brazilian Association of Hematology, Hemotherapy and Cellular Therapy leukemia 202 Hematology 20 2
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Figueiredo-Pontes, Lorena Lobo de

; Catto, Luiz Fernando Bazzo

; Chauffaille, Maria de Lourdes Lopes Ferrari

; Pagnano, Katia Borgia Barbosa

; Madeira, Maria Isabel Ayrosa

; Nunes, Elenaide Coutinho

; Hamerschlak, Nelson

; Silva, Marcela Cavalcante de Andrade

; Carneiro, Thiago Xavier

; Bortolheiro, Teresa Cristina

; Freitas, Tiago Thalles de

; Bittencourt, Rosane Isabel

; Fagundes, Evandro Maranhão

; Rego, Eduardo Magalhães

Hematology, Transfusion and Cell Therapy

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2024, Volume 46 N. 4 Pages 553 - 569

Abstract: En | Text: En | PDF: En

ABSTRACT Improvements in clinical assessment have occurred since the last published recommendations on the diagnosis and treatment of acute promyelocytic leukemia in 2013. Here, a committee of specialists of the Brazilian Association of Hematology, Hemotherapy and Cellular Therapy presents a comprehensive review on the current knowledge, focusing on the advances in diagnosis, risk assessment, and frontline and salvage therapy. The concept of urgent diagnosis is explored as well as the management of critical situations such as coagulopathy and differentiation syndrome. Recent adjustments in risk stratification based on white blood cell counts only are presented together with the incorporation of chemo-free regimens for non-high-risk patients. Special conditions such as acute promyelocytic leukemia in children, the elderly and pregnant women are discussed. Finally, acute promyelocytic leukemia is presented as a highly curable disease because of the real possibility of targeted therapy towards differentiation, and, paradoxically, as a serious and urgent condition that deserves prompt recognition and management to avoid early mortality. 2013 Here Hematology knowledge syndrome chemofree chemo free nonhighrisk non high patients children discussed Finally paradoxically mortality 201 20 2

https://doi.org/10.1016/j.htct.2024.05.002

Deep Cervical-thoracic Osteolipoma Near the Brachial Plexus – Case Report and Literature Review Cervicalthoracic Cervical thoracic
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Freitas, Leonardo Furtado

; Duarte, Márcio Luís

; Xavier, Fernando Silva

; Assunção, Fernanda Boldrini

; Mathias Júnior, Luis Roberto

; Scoppetta, Thiago Luiz Pereira Donoso

Revista Brasileira de Ortopedia

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2024, Volume 59 Suppl. 1 Pages 60 - 64

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

Resumo O osteolipoma é uma rara variante benigna do lipoma e constitui menos de 1% de todos os lipomas, se apresentando como uma massa indolor bem circunscrita. É um tumor conhecido por ocorrer em várias regiões, comumente intraósseas ou adjacente ao tecido ósseo, cuja patogênese ainda não está clara. Os exames de imagem são úteis em sua avaliação e, principalmente, no planejamento cirúrgico, que consiste na exérese tumoral. Contudo, o diagnóstico definitivo do osteolipoma é realizado pelo exame histopatológico. Apesar de benigno, o osteolipoma pode comprimir estruturas ao seu redor, levando a importante sintomatologia como neste caso relatado em que está em contato com o plexo braquial. 1 lipomas circunscrita regiões ósseo clara principalmente cirúrgico tumoral Contudo histopatológico benigno redor braquial

Abstract Osteolipoma is a rare benign variant of lipoma and constitutes less than 1% of all lipomas, presenting as a well-circumscribed painless mass. It is a tumor known to occur in several regions, usually intraosseous or adjacent to bone tissue, whose pathogenesis is still unclear. Imaging exams are useful in their evaluation and, mainly, in surgical planning, which consists of tumor excision. However, the definitive diagnosis of osteolipoma is made by histopathological examination. Although benign, osteolipomas can compress surrounding structures, leading to important symptomatology, as in this case reported in which it is in contact with the brachial plexus. 1 lipomas wellcircumscribed well circumscribed mass regions tissue unclear mainly planning excision However examination structures symptomatology plexus

https://doi.org/10.1055/s-0042-1748967

10.

Analysis of polio vaccination status in a cohort of live births in 2017 and 2018 in Brazilian cities: a national vaccination coverage survey 201 cities 20 2
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Franco, Alessandra Lucchesi de Menezes Xavier

; França, Ana Paula

; Moraes, José Cássio de

; Ribeiro, Manoel Carlos Sampaio de Almeida

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231303

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

RESUMO Objetivo Descrever a situação vacinal contra poliomielite em 26 capitais, Distrito Federal e 12 municípios do Brasil, em crianças nascidas em 2017 e 2018. Métodos Inquérito domiciliar de base populacional realizado de 2020 a 2022, em que se avaliou a cobertura vacinal da poliomielite em crianças, considerando doses válidas, aplicadas e oportunas por municípios. Resultados Foram coletados dados de 37.801 crianças. A cobertura vacinal de esquema completo de doses válidas foi de 87,5% (IC95% 86,2;88,7), caindo para 79,6% (IC95% 78,1;81,0), considerando a dose de reforço. A taxa de abandono foi de 4,5% para esquema completo, e de 11,7% no primeiro reforço. Não houve correlação entre a realização de campanha e as elevadas coberturas. Conclusão A cobertura vacinal de esquema completo e no primeiro reforço não atingiu a meta de 95,0%. Diferenças regionais e a associação das coberturas vacinais com indicadores sociais devem ser consideradas nas estratégias de aumento da cobertura. 2 capitais 1 Brasil 201 2018 202 2022 37801 37 801 37.80 875 87 5 87,5 IC95% IC95 IC (IC95 86,288,7, 862887 86,2 88,7 , 86 88 7 86,2;88,7) 796 79 6 79,6 78,181,0, 781810 78,1 81,0 78 81 0 78,1;81,0) 45 4 4,5 117 11 11,7 950 95 95,0% 20 3780 3 80 37.8 8 87, IC9 (IC9 288 86,288,7 86288 862 86, 887 88, 86,2;88,7 79, 181 78,181,0 78181 781 78, 810 81, 78,1;81,0 4, 11, 9 95,0 378 37. (IC 28 86,288, 8628 86,2;88, 18 78,181, 7818 78,1;81, 95, 86,288 86,2;88 78,181 78,1;81 86,28 86,2;8 78,18 78,1;8 86,2; 78,1;

ABSTRACT Objective To describe the polio vaccination status in 26 state capitals, the Federal District, and 12 municipalities in Brazil, among children born between 2017 and 2018. Methods This was a population-based household survey conducted from 2020 to 2022, which assessed polio vaccination coverage in children, considering valid, administered, and timely doses by municipality. Results Data were collected from 37,801 children. Vaccination coverage for the complete valid dose schedule was 87.5% (95%CI 86.2;88.7), dropping to 79.6% (95%CI 78.1;81.0), when the booster dose was considered. The dropout rate was 4.5% for the complete schedule, and 11.7% for the first booster. There was no correlation between campaign implementation and high coverage. Conclusion Vaccination coverage for the complete valid dose schedule and the first booster did not meet the 95.0% target. Regional disparities and the association between vaccination coverage and social indicators should be taken into consideration in strategies to increase coverage. 2 capitals District 1 Brazil 201 2018 populationbased population based 202 2022 administered municipality 37801 37 801 37,80 875 87 5 87.5 95%CI 95CI CI 95 86.288.7, 862887 86.2 88.7 , 86 88 7 86.2;88.7) 796 79 6 79.6 78.181.0, 781810 78.1 81.0 78 81 0 78.1;81.0) considered 45 4 4.5 117 11 11.7 950 95.0 target 20 3780 3 80 37,8 8 87. 9 288 86.288.7 86288 862 86. 887 88. 86.2;88.7 79. 181 78.181.0 78181 781 78. 810 81. 78.1;81.0 4. 11. 95. 378 37, 28 86.288. 8628 86.2;88. 18 78.181. 7818 78.1;81. 86.288 86.2;88 78.181 78.1;81 86.28 86.2;8 78.18 78.1;8 86.2; 78.1;

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231303.en

11.

[SciELO Preprints] - Cardiovascular Statistics – Brazil 2023
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Oliveira, Gláucia Maria Moraes de Brant, Luisa Campos Caldeira Polanczyk, Carisi Anne Malta, Deborah Carvalho Biolo, Andreia Nascimento, Bruno Ramos Souza, Maria de Fatima Marinho de Lorenzo, Andrea Rocha De Fagundes Júnior, Antonio Aurélio de Paiva Schaan, Beatriz D. Silva, Christina Grüne de Souza e Castilho, Fábio Morato de Cesena, Fernando Henpin Yue Soares, Gabriel Porto Xavier Junior, Gesner Francisco Barreto-Filho, Jose Augusto Soares Passaglia, Luiz Guilherme Pinto-Filho, Marcelo Martins Machline-Carrion, M. Julia Bittencourt, Marcio Sommer Pontes Neto, Octavio M. Villela, Paolo Blanco Teixeira, Renato Azeredo Stein, Ricardo Sampaio, Roney Orismar Gaziano, Thomaz A. Perel, Pablo Roth, Gregory A. Ribeiro, Antonio Luiz Pinho

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Publication date: 2023-12-14

Abstract: En Pt

The publication Cardiovascular Statistics – Brazil aims to provide an annual compilation of data and research on the epidemiology of CVDs in Brazil.  The report integrates official statistics from the Brazilian Ministry of Health and other governmental entities alongside data from the GBD project, coordinated by the IHME at the University of Washington. Additionally, it incorporates data derived from various sources and scientific studies, including cohorts and registries, that relate to CVDs and their associated risk factors. This publication is intended for a wide range of individuals, including researchers, clinicians, patients, healthcare policymakers, media professionals, the general public, and other interested parties seeking extensive national data about heart disease and stroke.  Volunteer researchers from various Brazilian universities and research institutions carry out the project. The group is led by a five-member steering committee (ALPR, CAP, DCM, GMMO, and LCCB). The Brazilian Society of Cardiology fully supports this initiative, and the project receives collaborative support from the GBD Brazil Network and an International Committee (GAR, PP, and TAG) from both the IHME/University of Washington (GAR) and the World Heart Federation (PP and TAG). 

A publicação Estatística Cardiovascular – Brasil tem por objetivo fornecer uma compilação anual dos dados e das pesquisas sobre a epidemiologia das DCV no Brasil.  Este documento integra as estatísticas oficiais do Ministério da Saúde do Brasil e outras entidades governamentais ao lado de dados do projeto GBD, coordenado pelo IHME da Universidade de Washington. Além disso, incorpora dados derivados de várias fontes e estudos científicos, inclusive coortes e registros, relacionados às DCV e fatores de risco associados. Esta publicação destina-se a um público variado, incluindo pesquisadores, clínicos, pacientes, formuladores de políticas de saúde, profissionais da mídia, o público em geral e todos aqueles que buscam dados nacionais abrangentes sobre DCV e acidente vascular cerebral. Pesquisadores voluntários de várias universidades e instituições de pesquisa brasileiros realizaram este projeto. O grupo é liderado por um comitê diretivo com cinco membros (ALPR, CAP, DCM, GMMO e LCCB). A Sociedade Brasileira de Cardiologia apoia integralmente esta iniciativa e o projeto recebe colaboração da Rede GBD Brasil1 e do GBD International Committee (GAR, PP e TAG) do IHME/Universidade de Washington (GAR) e da World Heart Federation (PP e TAG). 

https://doi.org/10.1590/SciELOPreprints.7707

12.

Equity program: strategies on clinical studies as an aggregating potential program
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Crusoe, Edvan de Queiroz

; Hallack Neto, Abrahão Elias

; Nantes, Deise Ferreira

; Ribeiro, Eduardo Flavio Oliveira

; Pinto, Fernando Monteiro Correia

; Bortolini, Jaisson Andre Pagnoncelli

; Maciel, James Farley Rafael

; Marques Junior, Jose Francisco Comenalli

; Corrêa, Lorena Costa

; Capra, Marcelo Eduardo Zanella

; Carvalho, Maria do Perpétuo Socorro Sampaio

; Melo, Nelcivone Soares de

; Quintas, Rafaela Vasques de Oliveira

; Carneiro, Thiago Xavier

; Laforga, Violete Petitto

; Cunha, Renato Luiz Guerino

Hematology, Transfusion and Cell Therapy

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dec 2023, Volume 45 N. 4 Pages 417 - 418

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.htct.2023.07.001

13.

Cierre de la orejuela izquierda frente a anticoagulantes orales en FA e implante de stents coronarios. Registro DESAFIO
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López-Mínguez, José Ramón

; Suárez-Corchuelo, Estrella

; López-Tejero, Sergio

; Nombela-Franco, Luis

; Freixa-Rofastes, Xavier

; Bastos-Fernández, Guillermo

; Millán-Álvarez, Xavier

; Moreno-Gómez, Raúl

; Fernández-Díaz, José Antonio

; Amat-Santos, Ignacio

; Benito-González, Tomás

; Alfonso-Manterola, Fernando

; Salinas-Sanguino, Pablo

; Cepas-Guillén, Pedro

; Arzamendi, Dabit

; Cruz-González, Ignacio

; Nogales-Asensio, Juan Manuel

REC: Interventional Cardiology

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dec 2023, Volume 5 N. 4 Pages 287 - 296

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

RESUMEN Introducción y objetivos: El tratamiento de los pacientes con fibrilación auricular no valvular (FANV) que requieren implante de stents coronarios es un desafío. El objetivo del estudio fue investigar si el cierre de la orejuela izquierda (COI) podría ser una opción posible y beneficiosa para estos pacientes. Para ello, se analiza el impacto del COI más tratamiento antiagregante plaquetario (AP) en comparación con la combinación de anticoagulantes orales (ACO), incluidos los ACO directos, y tratamiento AP en los resultados a largo plazo de estos pacientes Métodos: Se analizaron los resultados de 207 pacientes con FANV sometidos consecutivamente a implante de stents coronarios. Recibieron ACO 146 pacientes (74 acenocumarol, 71 ACO de acción directa) y en 61 se realizó COI. La mediana de seguimiento fue de 35 meses. Los pacientes también recibieron tratamiento AP por prescripción de su cardiólogo. El estudio recibió la debida supervisión ética. Resultados: La edad (media: 75,7 años) y el antecedente de accidente vascular cerebral fueron similares en ambos grupos, aunque el grupo de COI presentó más características desfavorables (antecedente de enfermedad de las arterias coronarias [CHA2DS2-VASc], antecedente de hemorragias significativas [BARC ≥ 2] y HAS-BLED). La aparición de acontecimientos adversos graves (muerte, accidente vascular cerebral, accidente isquémico transitorio, hemorragia grave) y cardiovasculares graves (muerte de causa cardiaca, accidente vascular cerebral, accidente isquémico transitorio, infarto de miocardio) fue significativamente mayor en el grupo de ACO que en el de COI: 19,75 frente a 9,06% (HR = 2,18; p = 0,008) y 6,37 frente a 1,91% (HR = 3,34; p = 0,037), respectivamente. Conclusiones: La combinación de COI y tratamiento AP en pacientes con FANV conlleva mejor pronóstico clínico a largo plazo que el tratamiento con ACO y terapia AP, a pesar de las características basales desfavorables del grupo de COI.

ABSTRACT Introduction and objectives: The treatment of patients with non-valvular atrial fibrillation (NVAF) who need coronary stenting is challenging. The objective of the study was to determine whether left atrial appendage occlusion (LAAO) could be a feasible option and benefit these patients. To this end, we studied the impact of LAAO plus antiplatelet drugs vs oral anticoagulants (OAC) (including direct OAC) plus antiplatelet drugs in these patients' long-term outcomes. Methods: The results of 207 consecutive patients with NVAF who underwent coronary stenting were analyzed. A total of 146 patients were treated with OAC (75 with acenocoumarol, 71 with direct OAC) while 61 underwent LAAO. The median follow-up was 35 months. Patients also received antiplatelet therapy as prescribed by their cardiologist. The study received the proper ethical oversight. Results: Age (mean 75.7 years), and the past medical history of stroke were similar in both groups. However, the LAAO group had more unfavorable characteristics (history of coronary artery disease [CHA2DS2-VASc], and significant bleeding [BARC ≥ 2] and HAS-BLED). The occurrence of major adverse events (death, stroke/transient ischemic events, major bleeding) and major cardiovascular events (cardiac death, stroke/transient ischemic attack, and myocardial infarction) were significantly higher in the OAC group compared to the LAAO group: 19.75% vs 9.06% (HR, 2.18; P = .008) and 6.37% vs 1.91% (HR, 3.34; P = .037), respectively. Conclusions: In patients with NVAF undergoing coronary stenting, LAAO plus antiplatelet therapy produced better long-term outcomes compared to treatment with OAC plus antiplatelet therapy despite the unfavorable baseline characteristics of the LAAO group.

https://doi.org/10.24875/recic.m23000386

14.

Registro español de intervencionismo en cardiopatías congénitas. II informe oficial de la ACI-SEC y el GTH-SECPCC (2021)
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Ballesteros Tejerizo, Fernando

; Coserría Sánchez, Félix

; Freixa, Xavier

; Amat-Santos, Ignacio J

; Balbacid Domingo, Enrique

; Betrián Blasco, Pedro

; Blanco Mata, Roberto

; Carrasco, José Ignacio

; del Cerro Marín, María Jesús

; Flores Fernández, Marta

; Gómez Jaume, Alfredo

; Insa Albert, Beatriz

; Navalón Pérez, Miguel José

; Ojeda Pineda, Soledad

; Rueda Núñez, Fernando

; Sánchez Gila, Joaquín

; Sanz-Ruiz, Ricardo

; Zabala Argüelles, Juan Ignacio

REC: Interventional Cardiology

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sep 2023, Volume 5 N. 3 Pages 185 - 192

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

RESUMEN Introducción y objetivos: La Asociación de Cardiología Intervencionista de la Sociedad Española de Cardiología (ACI-SEC) y el Grupo de Trabajo de Hemodinámica de la Sociedad Española de Cardiología Pediátrica y Cardiopatías Congénitas (GTH-SECPCC) presentan su informe anual de actividad hemodinámica en cardiopatías congénitas correspondiente al año 2021. Métodos: Se invitó a participar a los centros españoles con laboratorio de hemodinámica y actividad intervencionista en cardiopatías congénitas. La recogida de datos fue telemática y su análisis lo efectuó una empresa externa junto con miembros de la ACI-SEC y el GTH-SECPCC. Resultados: Participaron 16 centros (15 públicos y 1 privado) que acumulan 34 salas de hemodinámica con actividad en cardiopatías congénitas, 7 (20,5%) de ellas con dedicación exclusiva a pacientes pediátricos. Se registraron 1.094 estudios diagnósticos (5,1% más que en 2020) y 1.553 cateterismos intervencionistas (6,4% más que en 2020). Las técnicas más frecuentes fueron el cierre de comunicación interauricular (336 casos), la angioplastia de ramas pulmonares (231 casos) y el cierre de ductus (228 casos). Respecto al año anterior se incrementaron significativamente las técnicas de implantación de válvulas percutáneas (29,3%), cierre de ductus (20,6%) y angioplastia aórtica (12,8%). La tasa de éxito en los procedimientos intervencionistas fue del 95%, con una tasa de complicaciones mayores del 2,7% y una mortalidad intrahospitalaria del 0,2%. Conclusiones: Este trabajo es la segunda publicación del Registro Español de Intervencionismo en Cardiopatías Congénitas. Se ha constatado un aumento significativo de los procedimientos diagnósticos y terapéuticos, destacando el incremento en la implantación de válvulas percutáneas, el cierre de ductus y la angioplastia aórtica. La mayoría de las técnicas intervencionistas siguen demostrando excelentes datos de seguridad y eficacia.

ABSTRACT Introduction and objectives: This is the 2021 annual activity report from the Interventional Cardiology Association of the Spanish Society of Cardiology (ACI-SEC), and the Interventional Working Group of the Spanish Society of Pediatric Cardiology (GTH-SECPCC). Methods: All Spanish centers with cath lab capabilities and interventional activity in congenital heart diseases were invited to participate. Data were collected online, analyzed by an external company, and ACI-SEC and GTH-SECPCC members. Results: A total of 16 centers participated 15 public and 1 private including 34 cath labs with experience in congenital heart diseases, 7 of them (20.5%) exclusively dedicated to pediatric patients. A total of 1094 diagnostic studies (4.5% more than 2020) and 1553 interventional catheterizations (5.8% more than 2020) were registered. The most common procedures were atrial septal defect closure (336 cases), pulmonary branch artery angioplasty (231 cases), and percutaneous closure of the patent ductus arteriosus (228 cases). Interventional procedures were considered successful in 95% of the cases with rates of major procedural complication and in-hospital mortality of 2.7% and 0.2%, respectively. Conclusions: This is the second Spanish Cardiac Catheterization in Congenital Heart Diseases Registry report. A significant increase of diagnostic and interventional procedures was reported with a special increase of percutaneous valve implantation, ductus arteriosus closure, and aortic angioplasty. Most interventional techniques continue to demonstrate excellent safety and efficacy outcomes.

https://doi.org/10.24875/recic.m23000366

15.

Chronic exertional compartment syndrome
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Duarte, Márcio Luís

; Pereira da Silva, André de Queiroz

; da Silva Xavier, Fernando

; Masson de Almeida Prado, José Luiz

Medicina (Buenos Aires)

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aug 2023, Volume 83 N. 3 Pages 497 - 497

Abstract: En | Text: En | PDF: En

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