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Abstract Background Since the advent of 18F-2-fluoro-2-deoxy-D-glucose ([18F]FDG, henceforth, FDG) in the 1970s as a neurochemical tracer, FDG positron emission tomography (PET) has been used for research in dementia and to help diagnose dementing neurodegenerative disorders. However, FDG PET is still unavailable in most centers, especially those in low- and middle-income countries, and there is limited data on biomarkers from patients in diverse populations, such Latin Americans. Objective To analyze the main indications and how the use of FDG PET helped improve the diagnosis of dementia in a specialized center in Recife, one of the largest cities in Northeastern Brazil. Methods We retrospectively analyzed data from 62 individuals under follow-up at our center between 2018 and 2023 who had a clinical diagnosis of dementia or mild cognitive impairment and underwent FDG PET scans. Results In 21/29 (72.4%) patients, FDG PET helped investigate the types of atypical neurodegenerative dementias; in 14/24 (58.3%), it clarified the clinical question in the investigation of early-onset dementia syndromes; and, in 9 cases, it was performed to differentiate between degenerative and non-degenerative dementias. Conclusion These numbers may set the foundation for further longitudinal analyses and collaborative studies including participants from Northeastern Brazil.

https://doi.org/10.1055/s-0045-1808086

Effects of physical training on the quality of life of patients with post-COVID-19 condition
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Barbosa de Lira, Andreane Daniele

; Tulio, Alexandra Ignes Bruni

; Bobato, Heloísa Rodrigues Alves

; Gomes, Regina Helena Senff

; Motter, Arlete Ana

Fisioterapia em Movimento

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2025, Volume 38 elocation e38115

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

Abstract Introduction: Post-COVID-19 condition has a significant impact on the quality of life (QOL) of the affected individuals. Objective: To describe the effects of a pulmonary rehabilitation (PR) program on the health-related quality of life (HRQOL) of patients with post-COVID-19 condition and understand the aspects relevant to their quality of life. Methods: This is a quasi-experimental study, using an interrupted time series design, involving adult men and women with a history of hospitalization due to SARS-CoV-2 and post-COVID-19 condition who were referred for PR between February 2021 and December 2022. Participants were assessed pre- and post-PR for clinical information, quality of life (using the Nottingham Health Profile - NHP), overall peripheral muscle strength (dynamometry), and dyspnea during activities of daily living ADLs) (mMRC scale). Results: Thirty-nine individuals participated in the study, 22 (56.4%) of whom were women, with a mean age of 55.8 (± 9.98) years. The most common persistent symptoms were fatigue (64.1%), dyspnea (59%), memory impairment (30.8%), and pain (28.2%). Of the six NHP domains, five showed significant improvement after the intervention. The median total NHP score decreased from 11 points pre-PR to 6 points post-PR (p < 0.001). Dynamometry and mMRC scores also exhibited statistically significant improvements after PR. Conclusion: Individuals with post-COVID-19 condition experience important impairments in HRQOL, across physical, emotional, social, and sleep-related domains. Pulmonary rehabilitation, through physical training, produced positive effects by improving QOL, increasing overall peripheral muscle strength, and reducing dyspnea during ADLs.

Resumo Introdução: A síndrome pós-COVID-19 tem impacto significativo na qualidade de vida dos indivíduos acometidos. Objetivo: Descrever os efeitos de um programa de reabilitação pulmonar (RP) sobre a qualidade de vida relacionada à saúde (QVRS) de pacientes com síndrome pós-COVID-19 e compreender os aspectos pertinentes à qualidade de vida destes pacientes. Métodos: Trata-se de um estudo quase-experimental, do tipo série de tempo interrompida, com adultos de ambos os sexos, com histórico de internação pelo SARS-CoV-2 e síndrome pós-COVID-19, encaminhados para RP entre fevereiro/2021 e dezembro/2022. Os participantes foram avaliados quanto às informações clínicas, qualidade de vida (Perfil de Saúde de Nottingham - PSN), força muscular periférica global (dinamometria) e dispneia às atividades de vida diária (escala mMRC) pré e pós-RP. Resultados: Participaram do estudo 39 sujeitos, sendo 22 (56,4%) do sexo feminino, com idade média de 55,8 (+ 9,98) anos. As principais queixas persistentes foram fadiga (64,1%), dispneia (59%), alteração de memória (30,8%) e dor (28,2%). Dos seis domínios do PSN, cinco apresentaram melhora significativa pós-intervenção. A mediana do escore total do PSN foi de 11 pontos no pré para 6 pontos no pós-RP (p < 0,001). Dinamometria e mMRC também apresentaram diferença estatística significativas pós-RP. Conclusão: Indivíduos com síndrome pós-COVID-19 apresentam alterações importantes na QVRS, evidenciadas por alterações físicas, emocionais, sociais e do sono. A RP, por meio do treinamento físico, demonstrou efeitos positivos na melhoria da qualidade de vida e também sobre o ganho de força muscular periférica global, e redução da dispneia às atividades de vida diária.

https://doi.org/10.1590/fm.2025.38115

Post-COVID-19 syndrome and obesity: findings in a sample referred for pulmonary rehabilitation
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Barbosa de Lira, Andreane Daniele

; Luz Assolari, Isabella

; Tulio, Alexandra Ignes Bruni

; Bobato, Heloísa Rodrigues Alves

; Gomes, Regina Helena Senff

; Motter, Arlete Ana

Fisioterapia em Movimento

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2025, Volume 38 elocation e38114

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

Abstract Introduction: Post-COVID-19 condition refers to persistent symptoms following SARS-CoV-2 infection. Objective: Investigate the profile of patients with post-COVID-19 condition, classified as obese and non-obese according to body mass index (BMI), and determine whether obe-se individuals present with worse clinical and functional status. Methods: A cross-sectional observational study with adults of both sexes who have a history of hospitalization for SARS-CoV-2 infection and post-COVID-19 condition, referred for pulmonary rehabilitation between August 2020 and October 2022. The data were obtained from physiotherapy assessments. Participants were classified as obese or non-obese, and evaluated in terms of their health history, length of hospital stay, dyspnea during activities of daily living (ADLs), and respiratory muscle strength. Results: A total of 54 individuals participated in the study, mostly women, with an average age of 55 years. The majority were obese (75.9%), sedentary, white, and worked in retail or civil construction. There was no association between obesity and the variables hypertension (p = 0.057), diabetes (p = 0.113), dyspnea (p = 0.368), or fatigue (p = 0.750). Length of hospital stay (p = 0.592), days in the intensive care unit (p = 0.478), days on invasive mechanical ventilation (0.075), modified Medical Research Council scale - mMRC (p = 0.633), and maximum inspiratory (p = 0.625) and expiratory pressure (p = 0.967) were not influenced by obesity. Conclusion: Although participants with obesity were more likely to require pulmonary rehabilitation due to post-COVID-19 condition, they did not exhibit worse clinical and functional status on assessment of health history, length of hospital stay, dyspnea in activities of daily living, and respiratory muscle strength.

Resumo Introdução: A síndrome pós-COVID-19 refere-se aos sintomas persistentes após infecção pelo SARS-CoV-2. Objetivo: Investigar o perfil dos pacientes com síndrome pós-COVID-19, classificados conforme o índice de massa corporal (IMC) em obesos e não obesos, e verificar se indivíduos obesos apresentam pior condição clínica e funcional. Métodos: Trata- se de um estudo observacional transversal com adultos de ambos os sexos, com histórico de internação pelo SARS-CoV-2 e síndrome pós-COVID-19, encaminhados para reabilitação pulmonar entre agosto/2020 e outubro/2022. Os dados se originaram de avaliação fisioterapêutica. Os participantes foram classificados em obesos e não obesos, avaliados quanto ao histórico de saúde, período de internação, dispneia às atividades de vida diária e força muscular respiratória. Resultados: Participaram do estudo 54 sujeitos, sobretudo mulheres, com média de idade acima de 55 anos, majoritariamente obesos (75,9%), sedentários, da raça branca, profissionais do comércio e construção civil. Não identificou-se associação significativa entre ser obeso e as variáveis hipertensão (p = 0,057), diabetes (p = 0,113), dispneia (p = 0,368) e fadiga (p = 0,750). As variáveis dias de internamento (p = 0,592), dias de unidade de terapia intensiva (p = 0,478), dias de ventilação mecânica invasiva (0,075), escala do Medical Research Council modificada (p = 0,633), pressão inspiratória máxima (p = 0,625) e pressão expiratória máxima (p = 0,967) não foram influenciadas pela obesidade. Conclusão: Os participantes obesos foram mais propensos a necessitar de reabilitação pulmonar devido à síndrome pós-COVID-19. Entretanto, não apresentaram piores condições clínicas e funcionais na avaliação quanto ao histórico de saúde, período de internação hospitalar, dispneia às atividades de vida diária e força muscular respiratória.

https://doi.org/10.1590/fm.2025.38114

Trabalho, saúde mental, qualidade de vida e suporte social de agentes comunitários de saúde durante e pós-pandemia de COVID-19 sob o recorte de gênero
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Albuquerque, Grayce Alencar

; Ferreira, Regina Glaucia Lucena Aguiar

; Aguiar, Andréa Silvia Walter de

; Campelo, Isabella Lima Barbosa

; Dias, Maria Socorro de Araújo

; Vieira-Meyer, Anya Pimentel Gomes Fernandes

Cadernos de Saúde Pública

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2025, Volume 41 N. 6 elocation e00168824

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

This study aimed to evaluate the mental health, quality of life, social support, and activities by community health workers (CHW) during and after a health crisis under a gender perspective. This multicenter, quantitative, longitudinal study was carried out in eight municipalities in the Brazilian Northeast in 2021 and 2023 with 705 CHW who were paired by propensity score matching, answered a validated questionnaire, and were analyzed under the focus of gender (men and women), time (during and after the COVID-19 pandemic), and interactions between them. The effect of time stemmed from the violence in the territories, developed activities, anxiety about the virus, mental health, and quality of life. The effect of gender stemmed from the reduction of social support (friends) in female CHW and greater performance of home visits and activities of the health in schools program by CHW. The interaction between gender and time stemmed from the reduction of violence against female CHW and an increase in the male gender between the studied periods. Although men and women share the same dilemmas and difficulties in exercising CHW, gender implications fall on female professionals, who show greater physical and emotional exhaustion and susceptibility to illness, especially in times of health crises.

Esse estudo objetivou avaliar a saúde mental, qualidade de vida, suporte social e atividades desenvolvidas por agentes comunitários de saúde (ACS) durante e após uma crise sanitária, sob o recorte de gênero. Estudo multicêntrico, quantitativo, longitudinal, realizado em oito cidades do Nordeste brasileiro, nos anos 2021 e 2023, com 705 ACS pareados por meio do propensity score matching, que responderam a questionários validados, analisados sob o recorte de gênero (masculino e feminino), tempo (durante e após a pandemia de COVID-19) e interação entre estes. Efeito do tempo foi observado frente à violência nos territórios, atividades desenvolvidas, ansiedade para o coronavírus, saúde mental e qualidade de vida. Identificou-se efeito do gênero na redução do suporte social (amigos) em ACS mulheres e maior realização de visitas domiciliares e atividades do Programa Saúde nas Escolas por ACS homens. Interação entre gênero e tempo foi observada por meio da redução de violência contra ACS do gênero feminino e aumento no gênero masculino entre os tempos estudados. Embora homens e mulheres compartilhem os mesmos dilemas e dificuldades no exercício da função ACS, recai sobre as profissionais femininas as implicações do gênero, havendo neste público, maior desgaste físico e emocional e maior susceptibilidade ao adoecimento, especialmente em momentos de crises sanitárias.

Este estudio tuvo como objetivo evaluar la salud mental, la calidad de vida, el apoyo social y las actividades desarrolladas por los agentes comunitarios de salud (ACS) durante y después de una crisis sanitaria bajo la perspectiva de género. Se trata de un estudio multicéntrico, cuantitativo, longitudinal, realizado en ocho ciudades del Noreste de Brasil en los años 2021 y 2023, con 705 ACS emparejados mediante propensity score matching, que respondieron cuestionarios validados, analizados bajo el género (masculino y femenino), tiempo (durante y después de la pandemia de la COVID-19) e interacción entre ellos. Se observó efecto del tiempo frente a la violencia en los territorios, en las actividades desarrolladas, en la ansiedad por el coronavirus, en la salud mental y en la calidad de vida. Se identificó el efecto del género en la reducción del apoyo social (amigos) en las mujeres ACS y mayor desempeño de las visitas domiciliarias y actividades del Programa de Salud Escolar por parte de los ACS hombres. Se observó interacción entre género y tiempo mediante la reducción de la violencia contra ACS del género femenino e incremento en el género masculino entre el período estudiado. Aunque hombres y mujeres comparten los mismos dilemas y dificultades en el ejercicio de la función de ACS, las implicaciones de género recaen en las mujeres profesionales al presentar mayor desgaste físico y emocional y mayor susceptibilidad a la enfermedad, especialmente en tiempos de crisis sanitarias.

https://doi.org/10.1590/0102-311xpt168824

Trabalho, saúde mental, qualidade de vida e suporte social de agentes comunitários de saúde durante e pós-pandemia de COVID-19 sob o recorte de gênero
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Albuquerque, Grayce Alencar

; Ferreira, Regina Glaucia Lucena Aguiar

; Aguiar, Andréa Silvia Walter de

; Campelo, Isabella Lima Barbosa

; Dias, Maria Socorro de Araújo

; Vieira-Meyer, Anya Pimentel Gomes Fernandes

Cadernos de Saúde Pública

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2025, Volume 41 N. 6 elocation e00168824

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

https://doi.org/10.1590/0102-311xpt168824

Simulated performance of a tractor equipped with two types of tyre under two levels of soil moisture
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Silva, João Pedro Rodrigues da

; Souza, Cristiano Márcio Alves de

; Orlando, Roberto Carlos

; Barbosa, Jackson Antônio

; Bahia, Tainara Regina Cerutti Torres

Revista Ciência Agronômica

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2025, Volume 56 elocation e202292763

Abstract: En | Text: En | PDF: En

ABSTRACT Due to the importance of grain production, and the need to work the soil under limited moisture, the aim of this study was to develop computer software to predict the tractive capacity of wheeled tractors for two types of tyre, the effect of different inflation pressures and levels of soil moisture. A mathematical model was developed to predict the tractive capacity of a 4 x 2 AFT tractor. Software was developed and tested by comparing the computational data with those from tests of a working tractor in the field. The parameters under evaluation were drawbar force and front and rear drive wheel slip. At both moisture levels, the bias tyres had the lowest front to rear slip ratio at the lower pressure; the ratios were similar when equipped with radial tyres. The bias tyres show maximum force at a slip ratio of 1.09 at the higher pressure and 1.03 at the lower, while for the radial tyres the ratio was 1.05 at the higher pressure and 1.07 at the lower. Software was developed to process data from the model, with the results used for estimating the tractive force of the tractor. The tractive force was overestimated by the model, which needs further adjustment for direct application in the field.

https://doi.org/10.5935/1806-6690.20250022

Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies
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Ferreira, Juliana Carvalho

; Vianna, Arthur Oswaldo de Abreu

; Pinheiro, Bruno Valle

; Maia, Israel Silva

; Baldisserotto, Sérgio Vasconcellos

; Isola, Alexandre Marini

; Cavalcanti, Alexandre Biasi Gama, Ana Maria Casati Nogueira da Rocha, Angelo Roncalli Miranda Oliveira, Antonio Gonçalves de Serpa Neto, Ary Farias, Augusto Manoel de Carvalho Orlando, Bianca Rodrigues Esteves, Bruno da Costa Mazza, Bruno Franco Silveira, Camila de Freitas Martins Soares Carvalho, Carlos Roberto Ribeiro de Toufen Junior, Carlos Barbas, Carmen Silvia Valente Teixeira, Cassiano Silveira, Débora Dutra da Medeiros, Denise Machado Parolo, Edino Costa, Eduardo Leite Vieira Caser, Eliana Bernadete Oliveira, Ellen Pierre de Banholzer, Eric Grieger Carvalho, Erich Vidal Amorim, Fabio Ferreira Saddy, Felipe Gonçalves, Fernanda Alves Ferreira Galas, Filomena Regina Barbosa Gomes Zanatta, Giovanna Carolina Gardini Silva, Gisele Sampaio Westphal, Glauco Adrieno Matos, Gustavo Faissol Janot de Souza, João Claudio Emmerich de Silva Junior, João Manoel Valiatti, Jorge Luis dos Santos Nascimento Junior, José Ribamar do Rocco, Jose Rodolfo Hajjar, Ludhmila Abrahão Forgiarini Junior, Luiz Alberto Malbuisson, Luiz Marcelo Sá Holanda, Marcelo Alcantara Amato, Marcelo Britto Passos Park, Marcelo Oliveira, Marco Antonio da Rosa e Reis, Marco Antonio Soares Tavares, Marcos Soares Souza, Mario Henrique Dutra de Damasceno, Marta Cristina Pauleti Lira-Batista, Marta Maria da Silva Pattacini, Max Morais Assunção, Murillo Santucci Cesar de Oliveira, Neymar Elias de Franzosi, Oellen Stuani Rocco, Patricia Rieken Macedo Caruso, Pedro Silva, Pedro Leme Mendes, Pedro Vitale Duarte, Pericles Almeida Delfino Santa Neto, Renato Fabio Alberto Della Rodrigues, Ricardo Goulart Cordioli, Ricardo Luiz Palazzo, Roberta Fittipaldi Goldwasser, Rosane Pinheiro, Sabrina dos Santos Justino, Sandra Regina Nemer, Sergio Nogueira Oliveira, Vanessa Martins de Silva, Vinicius Zacarias Maldaner da Nedel, Wagner Luis Bellissimo-Rodrigues, Wanessa Teixeira Oliveira Filho, Wilson de

Critical Care Science

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2025, Volume 37 elocation e20250242en

Abstract: En | Text: En | PDF: En

ABSTRACT Mechanical ventilation can be a life-saving intervention, but its implementation requires a multidisciplinary approach, with an understanding of its indications and contraindications due to the potential for complications. The management of mechanical ventilation should be part of the curricula during clinical training; however, trainees and practicing professionals frequently report low confidence in managing mechanical ventilation, often seeking additional sources of knowledge. Review articles, consensus statements and clinical practice guidelines have become important sources of guidance in mechanical ventilation, and although clinical practice guidelines offer rigorously developed recommendations, they take a long time to develop and can address only a limited number of clinical questions. The Associação de Medicina Intensiva Brasileira and the Sociedade Brasileira de Pneumologia e Tisiologia sponsored the development of a joint statement addressing all aspects of mechanical ventilation, which was divided into 38 topics. Seventy-five experts from all regions of Brazil worked in pairs to perform scoping reviews, searching for publications on their specific topic of mechanical ventilation in the last 20 years in the highest impact factor journals in the areas of intensive care, pulmonology, and anesthesiology. Each pair produced suggestions and considerations on their topics, which were presented to the entire group in a plenary session for modification when necessary and approval. The result was a comprehensive document encompassing all aspects of mechanical ventilation to provide guidance at the bedside. In this article, we report the methodology used to produce the document and highlight the most important suggestions and considerations of the document, which has been made available to the public in Portuguese.

https://doi.org/10.62675/2965-2774.20250242-en

Sistemas de microfone remoto em crianças e adolescentes com transtorno do espectro autista: revisão de escopo
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Vital, Bianca Stephany Barbosa

; Santos, Karen Melissa Gonzaga dos

; Araújo, Aryelly Dayane da Silva Nunes

; Brazorotto, Joseli Soares

; Jacob, Regina Tangerino de Souza

; Taveira, Karinna Veríssimo Meira

; Balen, Sheila Andreoli

CoDAS

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2025, Volume 37 N. 2 elocation e20230310

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

RESUMO Objetivo Mapear a literatura acerca do uso do Sistema de Microfone Remoto (SMR) em crianças e adolescentes com Transtorno do Espectro Autista (TEA). Método Revisão de Escopo com recomendações do Instituto Joanna Briggs e do checklist PRISMA-ScR. Foi realizada busca nas bases de dados: Pubmed, Embase, Scopus, Web of Science, Lilacs e na literatura cinzenta Google Scholar e ProQuest, além de listas de referências dos estudos incluídos e consulta a experts. Foram incluídos estudos de intervenção, com crianças e adolescentes com TEA que fizeram uso do SMR, sem restrição de gênero, idioma, idade, tempo de publicação, etnia ou localização geográfica. Resultados Foram identificados 709 estudos na fase 1. Após a leitura de 14 textos completos com elegibilidade, oito estudos foram elegíveis. Os estudos foram heterogêneos quanto ao modelo do SMR (individual ou em campo), dos testes aplicados, período e local de intervenção. Constatou-se favorecimento da percepção de fala com melhora na interação social, comportamento, atenção e memória auditiva, tolerância ao ruído e redução do estresse, além de modificação na atividade neural a partir da avaliação eletrofisiológica. Conclusão O uso do SMR apresentou benefícios na percepção de fala, interação social e comportamento de adolescentes e crianças com TEA. Há necessidade de mais estudos para definir protocolos e parâmetros de indicação nesta população.

ABSTRACT Purpose To map the literature on the use of the Remote Microphone System (RMS) in children and adolescents with Autism Spectrum Disorder (ASD). Methods Scoping Review following the Joanna Briggs Institute recommendations and PRISMA-ScR checklist. Search was carried out in the databases: PubMed, Embase, Scopus, Web of Science, Lilacs, and gray literature, including Google Scholar and ProQuest, as well as reference lists of included studies and expert consultations. Intervention studies with children and adolescents with ASD using RMS were included, without gender, language, age, publication time, ethnicity, or geographical location restrictions. Results 709 studies were identified in phase 1. After reviewing 14 full texts with eligibility, eight studies were eligible. Studies were heterogeneous in the RMS model (personal or free field), applied tests, intervention period, and location. Improvement in speech perception, social interaction, behavior, attention, auditory memory, noise tolerance, stress reduction, and modification in neural activity through electrophysiological evaluation were observed. Conclusion Using RMS demonstrated benefits in speech perception, social interaction, and behavior in adolescents and children with ASD. Further studies are needed to define protocols and indication parameters in this population.

https://doi.org/10.1590/2317-1782/e20230310pt

Operating performance of an agricultural tractor fitted with two types of tyres under two types of terrain
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Bahia, Tainara Regina Cerutti Torres

; Souza, Cristiano Marcio Alves de

; Barbosa, Jackson Antonio

; Orlando, Roberto Carlos

Revista Ciência Agronômica

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2025, Volume 56 elocation e202292749

Abstract: En | Text: En | PDF: En

ABSTRACT The correct use of tyres on agricultural tractors, in respect of the terrain and the type and internal pressure of the tyre, are factors that influence the performance of the tractor. The aim of the present study was to evaluate the operating performance of an agricultural tractor fitted with two types of traction device (radial and diagonal tyres) at different pressures, and operating on soil with two levels of moisture. The experiment was conducted on a dystrophic Red Yellow Argisol, with tests to evaluate the performance of the tyres under specific working conditions. Tractive power and tractive force, wheel slip and fuel consumption were evaluated. For each of the conditions under evaluation, the radial configuration showed better performance than the diagonal configuration, the effect being more significant at the lower pressure and under low soil moisture. The use of radial tyres led to an increase in traction capacity and drawbar power, with a reduction in fuel consumption, especially at higher slip rates.

https://doi.org/10.5935/1806-6690.20250011

10.

Efeitos da reabilitação pulmonar em pacientes com síndrome pós-COVID-19 aguda: estudo quase-experimental*
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Tulio, Alexandra Ignes Bruni

; de Lira, Andreane Daniele Barbosa

; Bobato, Heloísa Rodrigues Alves

; Gomes, Regina Helena Senff

; Motter, Arlete Ana

Cogitare Enfermagem

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2025, Volume 30 elocation e95867

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

RESUMO Objetivo: verificar os efeitos de um programa de reabilitação pulmonar sobre a dispneia, capacidade funcional e grau de independência funcional em pacientes com Síndrome pós-COVID-19 aguda. Método: estudo quase-experimental realizado no período de agosto de 2020 a outubro de 2022, em um hospital de Curitiba, Paraná, Brasil. Foram avaliados 49 participantes, antes e após a reabilitação, pelos instrumentos, escala de dispneia, teste de caminhada de seis minutos e Índice de Barthel. A comparação entre os momentos foi realizada com testes não paramétricos (Wilcoxon e Sinal). Resultados: observaram-se melhoras significativas da dispneia, na capacidade funcional e independência, constatadas pelos instrumentos utilizados (p < 0,001). Conclusão: o estudo evidenciou os benefícios da reabilitação pulmonar personalizada em pacientes com Síndrome pós-COVID-19, ressaltando a importância de integrar esses programas no cuidado contínuo para reduzir a sobrecarga dos sistemas de saúde. Mais pesquisas são necessárias para otimizar o manejo desta condição e garantir a assistência adequada aos pacientes.

RESUMEN Objetivo: verificar los efectos de un programa de rehabilitación pulmonar sobre la disnea, la capacidad funcional y el grado de independencia funcional en pacientes con síndrome agudo postCOVID-19. Método: Estudio cuasiexperimental realizado entre agosto de 2020 y octubre de 2022 en un hospital de Curitiba, Paraná, Brasil. Un total de 49 participantes fueron evaluados antes y después de la rehabilitación utilizando la escala de disnea, la prueba de la marcha de seis minutos y el Índice de Barthel. La comparación entre los puntos temporales se realizó mediante pruebas no paramétricas (Wilcoxon y Sinal). Resultados: se produjeron mejoras significativas de la disnea, la capacidad funcional y la independencia, comprobadas por los instrumentos utilizados (p < 0,001). Conclusión: el estudio puso de relieve los beneficios de la rehabilitación pulmonar personalizada en pacientes con síndrome post-COVID-19, destacando la importancia de integrar estos programas en la atención continuada para reducir la carga de los sistemas sanitarios. Es necesario seguir investigando para optimizar el tratamiento de esta afección y garantizar una atención adecuada a los pacientes.

ABSTRACT Objective: to verify the effects of a pulmonary rehabilitation program on dyspnea, functional capacity, and degree of functional independence in patients with acute post-COVID-19 syndrome. Method: This is a quasi-experimental study carried out from August 2020 to October 2022 in a hospital in Curitiba, Paraná, Brazil. A total of 49 participants were assessed before and after rehabilitation using the dyspnea scale, the six-minute walk test, and the Barthel Index. The moments were compared using non-parametric tests (Wilcoxon and Sign). Results: There were significant improvements in dyspnea, functional capacity, and independence, as shown by the instruments used (p < 0.001). Conclusion: The study highlighted the benefits of personalized pulmonary rehabilitation in patients with post-COVID-19 syndrome, underscoring the importance of integrating these programs into the continuum of care to reduce the burden on health systems. More research is needed to optimize the management of this condition and ensure adequate care for patients.

https://doi.org/10.1590/ce.v30i0.95867

11.

Sociodemographic profile of patients treated by the Hemodynamics and Interventional Cardiology Service from Hospital São Paulo-Brazil
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Generozo, Solange Regina

; Tallo, Fernando Sabia

; Pires-Oliveira, Marcelo

; Braga Filho, Carlos Eduardo

; Yamamoto, Joyce Umbelino da Silva

; Sassi, Lucas de Oliveira

; de Novais, Maykon Anderson Pires

; Barbosa, Adriano Henrique Pereira

; Caricati-Neto, Afonso

; Lopes, Renato Delascio

; Menezes-Rodrigues, Francisco Sandro

Revista da Associação Médica Brasileira

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2025, Volume 71 N. 2 elocation e20250127

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: Ischemic heart disease and acute myocardial infarction are the main causes of death and morbidity worldwide. It has been proposed that knowledge of the profile of patients treated allows the development of more effective strategies to improve adherence to treatment and consequently the best clinical results. The aim of this study was to develop a descriptive and observational study to identify and describe the sociodemographic profile of patients treated by the medical complex of Hemodynamics and Interventional Cardiology Service of Hospital São Paulo from Escola Paulista de Medicina/Universidade Federal de São Paulo. METHODS: This study was performed on 3,593 patients from the Hemodynamics and Interventional Cardiology Service/Hospital São Paulo/Escola Paulista de Medicina/Universidade Federal de São Paulo complex between July 1, 2020, and October 30, 2022. Using data collected on the REDCap platform, variables, such as gender, age group, ethnicity, education level, and origin of the patients, were analyzed. RESULTS: Of the total patients (3,593), 60.1% were male, 59.18% were older adults, 66.34% belonged to White race, and 33.69% had incomplete primary education. Geographically, most patients were from the capital of São Paulo State (76.46%), with a smaller proportion coming from the greater São Paulo area (16.77%) and other regions. CONCLUSION: Understanding the sociodemographic profile of patients treated by the medical complex of Hemodynamics and Interventional Cardiology Service/Hospital São Paulo/Escola Paulista de Medicina/Universidade Federal de São Paulo will be fundamental for developing more effective and personalized medical intervention strategies, aiming to increase treatment adherence and improve the quality of care provided. These data may also be useful for other medical centers in Brazil and other parts of the world.

https://doi.org/10.1590/1806-9282.20250127

12.

Psoas muscle abscess as initial manifestation of disseminated tuberculosis in a previously healthy man: a case report
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Moreira Barbosa, Pedro Henrique

; Martins, Ezequias Batista

; McBenedict, Billy

; Vargas Vilte, Remberto Maurício de La Cruz

; Oliveira de Moura Ronchini, Karla Regina

; Chilinque Zambão da Silva, Natalia

; Pinheiro, Patrícia Yvonne Maciel

; de Oliveira Vieira, Thais

; Villar, Bianca Balzano de la Fuente

Revista do Instituto de Medicina Tropical de São Paulo

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2025, Volume 67 elocation e25

Abstract: En | Text: En | PDF: En

ABSTRACT Psoas muscle abscess is an insidious disease, with varied clinical manifestations and a challenging diagnosis. This pathology has been more frequently identified due to the increased availability of high-quality radiological imaging, such as computed tomography. In Brazil, Mycobacterium tuberculosis is the most common secondary etiologic agent of psoas abscess. We report the case of a 28-year-old immunocompetent man diagnosed with disseminated tuberculosis, affecting the lungs, lumbar spine, and psoas muscle, leading to permanent locomotion sequelae. This case is very relevant for osteoarticular complaints, as low back pain and limping were the initial symptoms. Diagnosis was confirmed by ultrasound-guided percutaneous drainage of the psoas muscle abscess and detection of the M. tuberculosis complex via Xpert MTB/RIF. A 12-month treatment with antitubercular drugs was effective.

https://doi.org/10.1590/s1678-9946202567025

13.

Vulvar ulcers secondary to aortic angiosarcoma in a patient with misdiagnosed cancer of unknown primary origin*☆
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Miyashiro, Denis

; Domingues, Regina Barros

; Barbosa, Malu Viter da Rosa

; Santi, Claudia Giuli

; Nico, Marcello Menta Simonsen

; Sanches, José Antonio

Anais Brasileiros de Dermatologia

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2025, Volume 100 N. 2 elocation 202407008

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.abd.2024.07.008

14.

Sexual and reproductive health of adolescents and young people: identification of demands and experiences based on a qualitative study in communities in five Brazilian cities
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Monteiro, Simone Souza

; Leal, Andréa Fachel

; Barbosa, Regina Maria

; Magno, Laio

; Neves, André Luiz Machado das

; Honorato, Isabelle Brambilla

; Knauth, Daniela Riva

Cadernos de Saúde Pública

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2025, Volume 41 N. 4 elocation e00047824

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

Este artigo analisa as experiências e demandas juvenis relativas à saúde sexual e reprodutiva. Trata-se de um estudo qualitativo no qual foram utilizadas as técnicas de observação etnográfica, entrevista semiestruturada e grupo focal. Integraram a pesquisa 139 homens e mulheres, de 15 a 24 anos, moradores de cinco comunidades brasileiras de baixa renda, localizadas em Porto Alegre, São Paulo, Rio de Janeiro, Manaus e Salvador. Ao analisar as experiências e demandas juvenis relativas à saúde sexual e reprodutiva, incluindo o teste de HIV, considera-se que apesar das especificidades regionais, os(as) entrevistados(as) compartilham perspectivas semelhantes em relação à utilização de serviços públicos de saúde locais. Predominam as queixas de demora no atendimento e a carência de profissionais. No âmbito individual, os jovens enfrentam dificuldades em acessar informações e serviços de saúde devido a barreiras como a falta de conhecimento sobre seus direitos, a vergonha e o estigma associados a questões de saúde sexual e reprodutiva, além do receio do resultado positivo nos testes de HIV. A falta de diálogo e orientação sobre sexualidade e saúde na família também contribuem para essa vulnerabilidade. No âmbito programático, o descompasso entre as condições e a dinâmica de trabalho das unidades de saúde e as demandas de adolescentes e jovens, somados ao despreparo dos profissionais de saúde na abordagem de questões específicas dessa população, são apontados como obstáculos. Conclui-se que faltam espaços regulares de aprendizagem e diálogo sobre sexualidade, prevenção e cuidado para o segmento juvenil, decorrente da ausência de investimentos na atenção pública em saúde e na formação profissional.

This article analyzes the experiences and demands of young people regarding sexual and reproductive health. This is a qualitative study that used ethnographic observation, semi-structured interviews, and focus groups. It assessed 139 male and female participants aged 15 to 24 years living in five low-income Brazilian communities located in Porto Alegre, São Paulo, Rio de Janeiro, Manaus, and Salvador. When analyzing the experiences and demands of young people regarding sexual and reproductive health, including HIV testing, despite regional specificities, the interviewees share similar perspectives regarding the use of local public health services. Complaints about long waiting times for care and insufficient professionals were emphasized by the interviewees. At an individual level, young people have trouble accessing health information and services due to barriers such as poor knowledge about their rights, shame, and stigma associated with sexual and reproductive health issues, as well as fear of testing positive for HIV. The lack of dialogue and guidance on sexuality and health in the family also contributes to this vulnerability. At a programmatic level, discrepancies between the working conditions and dynamics of health units and the demands of adolescents and young people, associated with poor preparation of health professionals to address specific issues of this population, are highlighted as obstacles. This study concluded that there is a lack of regular spaces for learning and dialogue about sexuality, prevention, and care for the youth due to absent investment in public health care and professional training.

Este artículo analiza las experiencias y demandas de la juventud relacionadas con la salud sexual y reproductiva. Se trata de un estudio cualitativo en el que se utilizaron las técnicas de observación etnográfica, la entrevista semiestructurada y el grupo focal. En esta investigación participaron 139 hombres y mujeres, de entre 15 y 24 años de edad, que viven en cinco comunidades brasileñas de bajos ingresos ubicadas en Porto Alegre, São Paulo, Río de Janeiro, Manaos y Salvador. El análisis de las experiencias y las demandas de la juventud relacionadas con la salud sexual y reproductiva, incluidas las pruebas del VIH, permite constatar que los y las encuestados/as comparten perspectivas similares con respecto al uso de los servicios de salud pública locales a pesar de las especificidades regionales. Predominan las quejas por retraso en la atención y falta de profesionales. Los obstáculos a que los jóvenes enfrentan individualmente para acceder a la información y los servicios sanitarios están relacionados con la falta de conocimiento sobre sus derechos, la vergüenza y el estigma asociado con los problemas de salud sexual y reproductiva, así como el temor a un resultado positivo de la prueba del VIH. La falta de diálogo y de orientación sobre sexualidad y salud en la familia también contribuye a esta vulnerabilidad. Los obstáculos en el ámbito programático están relacionados con el desajuste entre las condiciones y dinámicas laborales de las unidades sanitarias y las demandas de los adolescentes y jóvenes, así como la falta de preparación de los profesionales de la salud para abordar temas específicos de esta población. Se concluye que faltan espacios regulares de aprendizaje y diálogo sobre sexualidad, prevención y atención a la juventud, debido a la falta de inversiones en salud pública y en formación profesional.

https://doi.org/10.1590/0102-311xen047824

15.

Sexual and reproductive health of adolescents and young people: identification of demands and experiences based on a qualitative study in communities in five Brazilian cities
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Monteiro, Simone Souza

; Leal, Andréa Fachel

; Barbosa, Regina Maria

; Magno, Laio

; Neves, André Luiz Machado das

; Honorato, Isabelle Brambilla

; Knauth, Daniela Riva

Cadernos de Saúde Pública

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2025, Volume 41 N. 4 elocation e00047824

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

https://doi.org/10.1590/0102-311xen047824

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