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RESUMO OBJETIVO Estimar a soroprevalência de anticorpos do vírus SARS-CoV-2 em escolares de quatro a 14 anos de idade residentes no município de São Paulo, segundo variáveis clínicas, demográficas, epidemiológicas e sociais, durante o período de fechamento das escolas como medida de controle da covid-19. MÉTODOS Realizou-se um inquérito sorológico em setembro de 2020 com amostra aleatória estratificada por tipo de rede de ensino (pública municipal, pública estadual e privada). Foi coletada amostra de sangue venoso utilizando-se o teste de imunoensaio de fluxo lateral da fabricante Wondfo para detecção de anticorpos totais contra o vírus SARS-CoV-2. Aplicaram-se questionários semiestruturados para o levantamento de dados clínicos, demográficos, sociais e epidemiológicos. RESULTADOS A soroprevalência de anticorpos do vírus SARS-CoV-2 em escolares foi de 16,6% (IC95% 15,4–17,8). O estudo encontrou soroprevalências mais elevadas na rede pública municipal (18,5%; IC95% 16,6–20,6) e estadual (16,2%; IC95% 14,4–18,2) em relação à rede privada (11,7; IC95% 10,0–13,7) e entre escolares da raça/cor preta e parda (18,4%; IC95% 16,8–20,2) e no estrato social mais vulnerável (18,5%; IC95% 16,9–20,2). A pesquisa identificou menores soroprevalências nos escolares que relataram seguir as medidas recomendadas de proteção contra a covid-19. CONCLUSÃO A soroprevalência de anticorpos contra o vírus SARS-CoV-2 atinge principalmente os escolares socialmente mais vulneráveis. Este estudo pode contribuir para embasar políticas públicas que reforcem a importância da suspensão das aulas presenciais e da necessidade de estratégias de medidas de proteção e acompanhamento do status sorológico daqueles que ainda não foram contemplados no calendário vacinal.

ABSTRACT OBJECTIVE To estimate seroprevalence of SARS-CoV-2 antibodies in schoolchildren aged 4 to 14 years living in the city of São Paulo, according to clinical, demographic, epidemiological, and social variables, during the school closure period as a measure against covid-19 spread. METHODS A serological survey was made in September 2020 with a random sample stratified by school system (municipal public, state public and private) type. A venous blood sample was collected using the Wondfo SARS-CoV-2 Antibody Test (lateral flow method) for detection of total SARS-CoV-2 virus antibodies. Semi-structured questionnaires were applied to collect clinical, demographic, social, and epidemiological data. RESULTS Seroprevalence of SARS-CoV-2 antibodies in schoolchildren was of 16.6% (95%CI 15.4–17.8). The study found higher seroprevalence in the municipal (18.5%; 95%CI 16.6–20.6) and state (16.2%; 95%CI 14.4–18.2) public school systems compared to the private school system (11.7; 95%CI 10.0–13.7), among black and brown students (18.4%; 95%CI 16.8–20.2) and in the most vulnerable social stratum (18.5 %;95%CI 16.9–20.2). Lower seroprevalence was identified in schoolchildren who reported following the recommended protective measures against covid-19. CONCLUSION Seroprevalence of SARS-CoV-2 antibodies is found mainly in the most socially vulnerable schoolchildren. This study can contribute to support public policies that reinforce the importance of suspending face-to-face classes and developing strategies aimed at protective measures and monitoring of the serological status of those who have not yet been included in the vaccination schedule.

https://doi.org/10.11606/s1518-8787.2023057004782

Vascular complications in 305 severely ill patients with COVID-19: a cohort study
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Correia, Rebeca Mangabeira

; Santos, Brena Costa

; Carvalho, Ana Alyra Garcia

; Areias, Libnah Leal

; Kuramoto, Danielle Akemi Bergara

; Pereda, Mariana Raffo

; Aidar, Ana Laura e Silva

; Clezar, Caroline Nicacio Bessa

; Reicher, Marcello Erich

; Amorim, Jorge Eduardo de

; Flumignan, Ronald Luiz Gomes

; Nakano, Luis Carlos Uta

Sao Paulo Medical Journal

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2023, Volume 141 N. 5 elocation e2022171

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Although an association has been made between coronavirus disease 2019 (COVID-19) and microvascular disease, data on vascular complications (other than venous thromboembolism) are sparse. OBJECTIVE: To investigate the vascular complications in severely ill patients hospitalized with COVID-19 and their association with all-cause mortality. DESIGN AND SETTING: This cohort study was conducted at the Universidade Federal de São Paulo, Brazil. METHODS: All 305 consecutive patients diagnosed with COVID-19 and hospitalized in the intensive care unit (ICU) of a tertiary university hospital from April 2 to July 17, 2021, were included and followed up for 30 days. RESULTS: Of these, 193 (63.3%) were male, and the mean age was 59.9 years (standard deviation = 14.34). The mortality rate was 56.3% (172 patients), and 72 (23.6%) patients developed at least one vascular complication during the follow-up period. Vascular complications were more prevalent in the non-survivors (28.5%) than in the survivors (17.3%) group and included disseminated intravascular coagulation (DIC, 10.8%), deep vein thrombosis (8.2%), acrocyanosis (7.5%), and necrosis of the extremities (2%). DIC (adjusted odds ratio (aOR) 2.30, 95% confidence interval (CI) 1.01–5.24, P = 0.046) and acrocyanosis (aOR 5.21, 95% CI 1.48–18.27, P = 0.009) were significantly more prevalent in the non-survivors than in the survivors group. CONCLUSION: Vascular complications in critically ill COVID-19 patients are common (23.6%) and can be closely related to the mortality rate (56.3%) until 30 days after ICU admission. Macrovascular complications have direct implications for mortality, which is the main outcome of the management of COVID-19. REGISTRATION: RBR-4qjzh7 (https://ensaiosclinicos.gov.br/rg/RBR-4qjzh7).

https://doi.org/10.1590/1516-3180.2022.0171.r2.17102022

Seroprevalence of SARS-CoV-2 antibodies in schoolchildren in the city of São Paulo, 2020
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Kamioka, Gabriela Akemi

; Madalosso, Geraldine

; Albuquerque, José Olimpio Moura de

; Costa, Selma Anequini

; Ferreira, Paula Bisordi

; Sato, Ana Paula Sayuri

; Glasser, Paula Regina

; Pino, Francisco Alberto

; Burihan, Patrícia Carla Piragibe Ramos

; Carvalho, Ana Carolina Aguiar de

; Amorim, Ana Beatriz Pagliaro

; Cavazzana, Cinthya Luzia

; Aires, Caroline Cotrim

; Kataoka, Ana Paula Arruda Geraldes

; Savani, Elisa San Martin Mouriz

; Bessa, Thirsa Alvares Franco

; Aguiar, Breno Souza de

; Failla, Marcelo Antunes

; Santos, Edson Aparecido dos

; Brito, Edjane Maria Torreão

; Santos, Maria Cristina Honório dos

; Caldeira, Luiz Artur Vieira

; Silva, Solange Maria Saboia e

; Zamarco, Luiz Carlos

; Fonseca, Sandra Maria Sabino

; Lima, Marcia Maria de Cerqueira

; Marques, Ivanilda Argenau

; Mauro, Athenê Maria de Marco França

; Masi, Eduardo de

Revista de Saúde Pública

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2023, Volume 57 elocation 6s

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

https://doi.org/10.11606/s1518-8787.2023057004782

Changes in functional mobility of patients with solid tumors after discharge from intensive care unit
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Costa, Carolina da Silva Tavares

; Bessa, Camila Martins de

; Gutierrez, Ana Cristina Machado Leão

; Santos, Tiago Eduardo dos

; Bergmann, Anke

; Silva, Gustavo Telles da

Fisioterapia e Pesquisa

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2023, Volume 30 elocation e22009623en

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

ABSTRACT This study aimed to analyze changes in the level of functional mobility (FM) between patients with solid tumors discharged from intensive care units (ICU) and hospital discharge and the possible factors associated with FM recovery. This is a retrospective cohort study based on the analysis of medical records of patients with solid tumors who were discharged from an oncology ICU from January 1, 2018 to February 28, 2020. The primary outcome was the change in FM after ICU discharge, considering the difference between the final score at ICU discharge and the final score at hospital discharge, estimated by the ICU Mobility Scale (IMS). The association between continuous variables and outcomes was performed by univariate linear regression analysis. In total, 65 patients with a median age of 61.4 years (interquartile range - IQR 54-69) were included. The mean length of hospital stay after discharge from the ICU was 19.0 days (±24.04). The mean IMS score at ICU discharge was 2.62 (±2.56) and the mean IMS score at hospital discharge was 6.08 (±3.26). Patients who underwent surgery to treat the primary tumor had a score 1.89 higher compared to those who did not undergo surgery (p=0.048). Therefore, we observed improvement in FM in patients with solid tumors between ICU discharge and hospital discharge, and patients who underwent surgery showed better FM.

RESUMEN Este estudio tuvo como objetivo analizar los cambios en la movilidad funcional (MF) de pacientes con tumores sólidos entre el alta de la unidad de cuidados intensivos (UCI) y el alta del hospital, y los posibles factores asociados con la recuperación de la MF. Se trata de un estudio de cohorte retrospectivo realizado desde el análisis de historias clínicas de pacientes con tumores sólidos que fueron dados de alta de la UCI oncológica entre el 1 de enero de 2018 y el 28 de febrero de 2020. El resultado primario fue el cambio en la MF después del alta de la UCI considerando la diferencia entre la puntuación final al alta de la UCI y la puntuación final al alta del hospital, que se calculó mediante la ICU mobility scale (IMS). La asociación entre las variables continuas y los resultados se realizó mediante análisis de regresión lineal univariante. Se incluyeron un total de 65 pacientes con mediana de edad de 61,4 años (rango intercuartílico -RIC 54-69). La estancia media de hospitalización tras el alta de la UCI fue de 19,0 días (±24,04). La puntuación media de IMS al alta de la UCI fue de 2,62 (±2,56), y la del alta del hospital 6,08 (±3,26). Los pacientes que se sometieron a cirugía para tratar el tumor primario tuvieron una puntuación 1,89 veces mayor en comparación con los que no se sometieron a tratamiento quirúrgico (p=0,048). Se concluye que hubo una mejoría en la MF en pacientes con tumores sólidos entre el alta de la UCI y el alta del hospital, y los pacientes sometidos a cirugía mostraron una mejor recuperación de la MF.

RESUMO Este estudo teve como objetivo analisar as mudanças na mobilidade funcional (MF) de pacientes com tumores sólidos entre a alta da unidade de terapia intensiva (UTI) e a alta hospitalar e os possíveis fatores associados à recuperação da MF. Trata-se de um estudo de coorte retrospectivo baseado na análise de prontuários de pacientes com tumores sólidos que receberam alta da UTI de uma unidade oncológica entre 1º de janeiro de 2018 e 28 de fevereiro de 2020. O desfecho primário foi a mudança na MF após a alta da UTI considerando a diferença entre a pontuação final na alta da UTI e a pontuação final na alta hospitalar, calculada através da ICU mobility scale (IMS). A associação entre as variáveis contínuas e os desfechos foi realizada por meio da análise de regressão linear univariada. No total, foram incluídos 65 pacientes com idade mediana de 61,4 anos (variação interquartil - IQR 54-69). O tempo médio de internação após a alta da UTI foi de 19,0 dias (±24,04). A pontuação média da IMS no momento da alta da UTI foi de 2,62 (±2,56), e a pontuação média da IMS no momento da alta hospitalar foi de 6,08 (±3,26). Os pacientes que realizaram cirurgia para o tratamento do tumor primário tiveram uma pontuação 1,89 vez maior em comparação aos que não foram submetidos a tratamento cirúrgico (p=0,048). Concluindo, foi observada melhora da MF em pacientes com tumores sólidos entre a alta da UTI e a alta hospitalar, e os pacientes submetidos à cirurgia apresentaram uma melhor recuperação da MF.

https://doi.org/10.1590/1809-2950/e22009623en

Is it safe to resume large scale in-person medical meetings?
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Gomes, Cristiano M.

; Souza, Julia Duarte de

; Anzolch, Karin M. J.

; Henriques, João Victor T.

; Nogueira, Lucas

; Pimentel, Eduardo

; Fernandes, Roni de C.

; Canalini, Alfredo F.

; Bessa Jr., José de

International braz j urol

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oct 2022, Volume 48 N. 5 Pages 857 - 863

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2022.0210

Analysis of Patients Undergoing Colonoscopies and the Importance of Exam Quality for Colorectal Cancer Screening
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Furlanetto, Marcos Venícios

; Zwierzikowski, Jaqueline Alves

; Bertoldo, Carolina Fischer

; Wistuba, Guilherme Andretta Sotto Maior

; Tashima, Eduardo Issao Brand

; Vieira, Ana Helena Bessa Gonçalves

; Invitti, Henrique Luckow

; Brenner, Antonio Sérgio

Journal of Coloproctology (Rio de Janeiro)

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mar 2022, Volume 42 N. 1 Pages 14 - 19

Abstract: En | Text: En | PDF: En

Summary Objective To determine the impact of the quality of colonoscopy examination for colorectal cancer screening. Methods Retrospective observational study ofmedical records from patients treated at the endoscopy and colonoscopy service of Hospital Universitário Evangélico Mackenzie (Curitiba, PR, Brazil) from January 2019 to January 2020. Results The analysis was based on 337 medical records from patients with adenomas identified during colonoscopy, and 1,385 medical records from patients without adenomas. The estimated occurrence rate of diagnosis of adenoma during colonoscopy in the target population of the study was of 19.6%, with a 95% confidence interval ranging from 17.7 to 21.5%. Of the 337 patients with adenoma, 136 (40.4%) presented the advanced form. Statistical analysis indicated a significant association between the quality of colonoscopy preparation and test completion. Conclusion The quality of colonoscopy images is a critical factor for colorectal cancer screening, as it leads to higher rates of adenoma detection and test completion.

https://doi.org/10.1055/s-0042-1742309

Water column use by reef fishes of different color patterns
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Anjos, Luísa E. F. dos

; Gawryszewski, Felipe M.

; Bessa, Eduardo

Neotropical Ichthyology

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2022, Volume 20 N. 1 elocation e210101

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

RESUMO A cor nos animais responde a pressões seletivas e media a relação entre organismo e ambiente. Peixes recifais têm a maior variedade de tipos de células de pigmento. Essa variedade de padrões de coloração pode funcionar como camuflagem e estar relacionada ao uso espacial. Nós testamos a hipótese de que a coloração dos peixes recifais está relacionada à ocupação do estrato da coluna d’água. Previmos que animais sedentários conectados ao fundo aproveitam a semelhança ao fundo ou padrões disruptivos; espécies demersais mais móveis aplicam coloração disruptiva ou deslumbramento de movimento; e que espécies pelágicas tendem a apresentar corpos prateados. Classificamos os padrões de coloração e categorizamos o uso do estrato da coluna d’água para os peixes recifais brasileiros no FishBase. Nossas análises confirmaram que quebras de contorno irregulares, sugerindo coloração disruptiva, ocorrem em espécies bentônicas e que a cor prateada prevaleceu no estrato pelágico. Nossos dados brutos sugeriram uma maior frequência de listras contrastantes, típicas do deslumbramento de movimento, em espécies demersais. Mas a considerável incerteza dessas estimativas não confirmou esse padrão. A coloração dos peixes recifais está correlacionada com a ocupação de diferentes estratos da coluna d’água. Isso pode ser interpretado como peixes sendo adaptados a estes habitats, explicando em parte a riqueza de padrões de coloração entre eles.

ABSTRACT Color in animals responds to selective pressures and mediates the relationship between organism and environment. Reef fishes have the amplest variety of pigment cell types. This color patterns’ variety may function as camouflage and be related to spatial use. We tested the hypothesis that the coloration of reef fish relates to water column stratum occupation. We predicted that sedentary animals connected to the background take advantage of background matching or disruptive patterns; more mobile demersal species apply disruptive coloration or motion-dazzle; and that pelagic species tend to have silvery bodies. We classified color patterns and categorized the water column stratum use for the Brazilian reef fishes in FishBase. Our analyses confirmed that irregular contrasting contour breaks, suggestive of disruptive coloration, occurs in benthic species and that silvering color was more prevalent in the pelagic stratum. Our raw data suggested a higher frequency of contrasting regular stripes, typical of motion-dazzle, in demersal species. However, the considerable uncertainty around estimates did not confirm this pattern. Reef fishes coloration is correlated to occupation of different strata in the water column. This can be interpreted as fishes being adapted to these habitats and partially explaining the richness of color patterns among them.

https://doi.org/10.1590/1982-0224-2021-0101

Produção e avaliação de microconcretos com rejeito de minério de ferro para a fabricação de componentes construtivos
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Bessa, Sofia Araújo Lima

; Miranda, Mariana Alves

; Arruda, Eduardo Archetti Martins

; Bezerra, Augusto Cesar da Silva

; Sacht, Helenice Maria

Matéria (Rio de Janeiro)

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2022, Volume 27 N. 2 elocation e13175

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

RESUMO O estado de Minas Gerais é o maior produtor de minério de ferro e, consequentemente, de rejeito de minério de ferro (RMF) do Brasil. Esta atividade de grande impacto ambiental está no centro das discussões políticas e sociais atuais devido aos desastres com rompimento de barragens ocorridos nas cidades de Mariana (2015) e de Brumadinho (2019), ambas mineiras. Estes eventos põem em discussão os métodos de descarte do RMF e coloca em destaque a possibilidade de um uso mais sustentável para este resíduo. Uma das alternativas é a utilização do RMF como insumo na fabricação de componentes da construção civil. Este trabalho avaliou a viabilidade do uso de RMF como agregado miúdo em microconcretos para a produção de elementos vazados. Para isso, o RMF foi caracterizado por meio de ensaios físicos e químicos. A dosagem do microconcreto foi realizada com base no método ABCP com fc28 = 25 MPa e abatimento do tronco de cone entre 80 e 100 mm. Para a análise mecânica do microconcreto, foram moldados corpos de prova (10x20 cm) cilíndricos e realizados ensaios de resistência à compressão, absorção e índice de vazios, após 28 dias de cura. Para obter parâmetros de durabilidade, foram realizados ensaios de carbonatação natural aos 60, 120 e 180 dias, carbonatação acelerada aos 28 e 56 dias (teor de CO2 = 5%; Umidade Relativa = 65%), além de ensaio de ataque ácido (solução H2SO4 a 5%). O estudo apontou para a viabilidade da substituição do agregado miúdo por RMF na produção de microconcretos para elementos vazados, sem prejuízo para a sua durabilidade.

ABSTRACT The Minas Gerais state is the largest producer of iron ore and, as a result, iron ore tailings (IOT) of Brazil. This activity has a great environmental impact and it is currently the subject of political and social discussions in Brazil, due to disasters with disruption of mining dams that occurred in the cities of Mariana (2015) and Brumadinho (2019), both cities of Minas Gerais. These events bring into discussion the currents methods of IOT disposal and highlight the possibility of a more sustainable use of mining tailings. One of the sustainable alternatives is the use of IOT as an input in the manufacture of civil construction components. In this way, this paper aimed to evaluate the feasibility of using iron ore tailing as fine aggregate in microconcretes for the production of hollow elements (brick vents). Thus, the IOT was characterized through physical and chemical tests. The dosage of microconcrete was performed based on ABCP method with fc28= 25 MPa and the slump test between 80 e 100mm. For the mechanical analysis of the microconcrete, cylindrical specimens (10x20cm) were molded and tests were executed on them, such as compression and flexure strength, water absorption and void ratio. after 28 days curing. To obtain durability parameters, was performed natural carbonation tests at 60, 120 and 180 days, accelerated carbonation tests at 28 and 56 days (CO2 content = 5%; relative humidity (RH) = 65%), and acid attack test (H2SO4 solution content = 5%). The research indicates the feasibility of replacing of the fine aggregate by IOT in the production of microconcretes for hollow elements (brick vents) confection without prejudice to its durability.

https://doi.org/10.1590/s1517-707620220002.1375

Vascular complications in 305 severely ill patients with COVID-19: a cohort study
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Correia, Rebeca Mangabeira

; Santos, Brena Costa

; Carvalho, Ana Alyra Garcia

; Areias, Libnah Leal

; Kuramoto, Danielle Akemi Bergara

; Pereda, Mariana Raffo

; Aidar, Ana Laura e Silva

; Clezar, Caroline Nicacio Bessa

; Reicher, Marcello Erich

; Amorim, Jorge Eduardo de

; Flumignan, Ronald Luiz Gomes

; Nakano, Luis Carlos Uta

Sao Paulo Medical Journal

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2022, N. ahead

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1516-3180.2022.0171.r2.17102022

10.

Uma interface entre a teoria da justiça de John Rawls e a justiça restaurativa como política criminal
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Bessa, Ana Carla Coelho

; Santiago, Nestor Eduardo Araruna

Sequência (Florianópolis)

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2022, Volume 43 N. 92 elocation e70556

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

Abstract The article aims to investigate how the Theory of Justice proposed by John Rawls can contribute to the theoretical development of Restorative Justice as a criminal policy capable of optimizing the judicial care of members of a Democratic State. In the methodology, the descriptive analysis of the principles of Restorative Justice arranged in Resolution No. 12/2002 of the United Nations Economic and Social Council and the universal principles proposed by Rawls in his theory was used. In conclusion, it is observed that the basic principles of freedom and equality emphasized in Rawls’ Theory of Justice offer a philosophical basis capable of contributing to the theory of restorative justice seen as a policy of judicial provision of a Democratic State to its members, which takes place through participation, cooperation and integration in criminal justice.

Resumo O artigo objetiva investigar como a Teoria da Justiça proposta por John Rawls pode contribuir para o desenvolvimento teórico da Justiça Restaurativa como política criminal capaz de otimizar o atendimento judicial dos membros de um Estado Democrático. Na metodologia, realizou-se uma análise descritiva dos princípios da Justiça Restaurativa dispostos na Resolução n. 12/2002 do Conselho Econômico e Social das Nações Unidas em interface com os princípios universais propostos por Rawls em sua teoria. Em conclusão, observa-se que os princípios básicos da liberdade e da igualdade enfatizados na Teoria da Justiça de Rawls oferecem uma base filosófica capaz de contribuir com a teoria da Justiça Restaurativa vista como política de prestação jurisdicional de um Estado Democrático aos seus membros, que se realiza por meio da participação, cooperação e integração dos atores processuais na Justiça Criminal.

https://doi.org/10.5007/2177-7055.2022.e70556

11.

Association between Attention Deficit Hyperactivity Disorder and lower urinary tract symptoms in children and adolescents in a community setting
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Vasconcelos, Mônica Maria de Almeida

; Bastos Netto, José Murillo

; Arana, Isaac Eduardo

; Teixeira, Isabela Benevenuto

; Lima, Eleonora Moreira

; Carvalho, Tânia Antunes

; Bessa Junior, José de

; Mrad, Flávia Cristina de Carvalho

International braz j urol

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oct 2021, Volume 47 N. 5 Pages 969 - 978

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: The present study aims to investigate the prevalence of lower tract urinary symptoms (LUTS) and symptoms of attention-deficit/hyperactivity disorder (ADHD) in children and adolescents and their association in a community setting using validated scoring instruments. Materials and Methods: A cross-sectional study was carried out from February 2015 to December 2019, during which the parents or guardians of 431 children and adolescents from 5 to 13 years of age, attending a general pediatric outpatient clinic were interviewed. Results: The prevalence of ADHD symptoms and LUTS were 19.9% and 17.9%, respectively. Of the 82 children and adolescents with ADHD, 28% (23) had LUTS (OR 2.31, 95% CI 1.28 to 3.75, p=0.008). Mean total DVSS score in children in the group of children presenting ADHD symptom was significantly higher than those without ADHD symptom (10.2±4.85 vs. 4.9±2.95, p=0.002). Urgency prevailed among LUTS as the most frequent symptom reported by patients with ADHD symptoms (p=0.004). Analyzing all subscales of the DVSS, the items “When your child wants to pee, can't he wait? “Your child holds the pee by crossing his legs, crouching or dancing?” were higher in those with ADHD symptoms (p=0.01 and 0.02, respectively). Functional constipation was present in 36.4% of children with LUTS and 20.7% without LUTS (OR 4.3 95% CI 1-5.3 p=0.001). Conclusion: Children and adolescents with ADHD symptoms are 2.3 times more likely to have LUTS. The combined type of ADHD was the most prevalent among them.

https://doi.org/10.1590/s1677-5538.ibju.2020.0978 177 downloads

12.

Quality of life in enuretic children
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Rangel, Raquel A.

; Seabra, Carolina Ribeiro

; Ferrarez, Carlos Eduardo P. F.

; Soares, Josana L.

; Choi, Mauro

; Cotta, Robert Gomes

; Figueiredo, Andre Avarese de

; Bessa Jr., José de

; Murillo B. Netto, Jose

International braz j urol

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jun 2021, Volume 47 N. 3 Pages 535 - 541

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: Nocturnal enuresis is a highly incident chronic disorder that generates countless problems to the child and their parents. Bed-wetting has significant negative impacts on self-esteem and the performance of children. The aim of the current study is to assess the quality of life of enuretic children, as well as its association to sex and age. Patients and Methods: Thirty-nine enuretic children (23 boys) and 49 healthy children (27 boys) without any history of previous treatment for enuresis or voiding dysfunction were included. Age ranged between 6 and 11 years old. The “AUQEI” questionnaire was applied in a private environment to all children by the same researcher (psychologist) to evaluate quality of life. Results: Enuretic children displayed loss in quality of life when compared to non-enuretic (35.9% of enuretic x 16.3% of non-enuretic, p=0.035). They were mostly affected in their daily activities (p=0.02). No significant differences were found in the association of sex and gender with quality of life. These results suggest that, children with nocturnal enuresis have 2.87 times more chances of having loss in quality of life compared to non-enuretic. Conclusions: Enuresis has a great impact in quality of life of children. This impact is not related to the age or sex of the child.

https://doi.org/10.1590/s1677-5538.ibju.2020.0308 367 downloads

13.

Prevalence evolution of SARS-CoV-2 infection in the city of São Paulo, 2020–2021
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Albuquerque, José Olimpio Moura de

; Kamioka, Gabriela Akemi

; Madalosso, Geraldine

; Costa, Selma Anequini

; Ferreira, Paula Bisordi

; Pino, Francisco Alberto

; Sato, Ana Paula Sayuri

; Carvalho, Ana Carolina Aguiar de

; Amorim, Ana Beatriz Pagliaro

; Aires, Caroline Cotrim

; Kataoka, Ana Paula Arruda Geraldes

; Savani, Elisa San Martin Mouriz

; Bessa, Thirsa Alvares Franco

; Aguiar, Breno Souza de

; Failla, Marcelo Antunes

; Santos, Edson Aparecido dos

; Brito, Edjane Maria Torreão

; Santos, Maria Cristina Honório dos

; Silva, Solange Maria Saboia e

; Caldeira, Luiz Artur Vieira

; Zamarco, Luiz Carlos

; Fonseca, Sandra Maria Sabino

; Lima, Marcia Maria de Cerqueira

; Marques, Ivanilda Argenau

; Silva, Fabiana Érica Vilanova da

; Glasser, Paula Regina

; Burihan, Patrícia Carla Piragibe Ramos

; Cavazzana, Cinthya Luzia

; Mello, Debora Silva de

; Pellini, Alessandra Cristina Guedes

; Nishio, Fernando Yoshiki

; Kian, Fernanda Miyashiro

; Braga, Elza de Santana

; Bertelli, Nilza Maria Piassi

; Fracini, Wagner

; Gonçalves, Marcelo Dell Áquila

; Zular, Paulete Secco

; Piva, Regiane de Santana

; Masi, Eduardo

Revista de Saúde Pública

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2021, Volume 55 elocation 62

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE To estimate the evolution of the prevalence of SARS-CoV-2 virus infection among residents aged 18 years or over in the municipality of São Paulo. METHODS This is a population-based household survey conducted every 15 days, between June and September 2020, and January and February 2021. In total, the study comprised 11 phases. The presence of antibodies against SARS-CoV-2 was identified in venous blood using a lateral flow test, Wondfo Biotech. In the last phase, the researchers combined it with an immunoenzymatic test, Euroimmun. The participants also answered a semi-structured questionnaire on sociodemographic and economic factors, and on social distancing measures. Prevalence estimates and the 95% confidence interval were estimated according to regions, Human Development Index, sex, age group, ethnicity, education, income, and variables associated with risk or prevention of infection. To compare the frequencies among the categories of each variable, the chi-square test with Rao-Scott correction was used, considering a significance level of 5%. RESULTS In total, 23,397 individuals were interviewed and had their samples collected. The estimated prevalence of antibodies against SARS-CoV-2 ranged from 9.7% (95%CI: 7.9–11.8%) to 25.0% (95%CI: 21.7–28.7). The prevalence of individuals with antibodies against the virus was higher among black and brown people, people with lower schooling and income, and among residents of regions with lower Human Development Index. The lowest prevalences were associated with recommended measures of disease protection. The proportion of asymptomatic infection was 45.1%. CONCLUSION The estimated prevalence of the infection was lower than the cumulative incidence variation, except for the last phase of the study. The differences in prevalence estimates observed among subpopulations showed social inequality as a risk of infection. The lower prevalence observed among those who could follow prevention measures reinforce the need to maintain social distancing measures as a way to prevent SARS-CoV-2 infection.

https://doi.org/10.11606/s1518-8787.2021055003970

14.

Prevalence evolution of SARS-CoV-2 infection in the city of São Paulo, 2020–2021
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Albuquerque, José Olimpio Moura de

; Kamioka, Gabriela Akemi

; Madalosso, Geraldine

; Costa, Selma Anequini

; Ferreira, Paula Bisordi

; Pino, Francisco Alberto

; Sato, Ana Paula Sayuri

; Carvalho, Ana Carolina Aguiar de

; Amorim, Ana Beatriz Pagliaro

; Aires, Caroline Cotrim

; Kataoka, Ana Paula Arruda Geraldes

; Savani, Elisa San Martin Mouriz

; Bessa, Thirsa Alvares Franco

; Aguiar, Breno Souza de

; Failla, Marcelo Antunes

; Santos, Edson Aparecido dos

; Brito, Edjane Maria Torreão

; Santos, Maria Cristina Honório dos

; Silva, Solange Maria Saboia e

; Caldeira, Luiz Artur Vieira

; Zamarco, Luiz Carlos

; Fonseca, Sandra Maria Sabino

; Lima, Marcia Maria de Cerqueira

; Marques, Ivanilda Argenau

; Silva, Fabiana Érica Vilanova da

; Glasser, Paula Regina

; Burihan, Patrícia Carla Piragibe Ramos

; Cavazzana, Cinthya Luzia

; Mello, Debora Silva de

; Pellini, Alessandra Cristina Guedes

; Nishio, Fernando Yoshiki

; Kian, Fernanda Miyashiro

; Braga, Elza de Santana

; Bertelli, Nilza Maria Piassi

; Fracini, Wagner

; Gonçalves, Marcelo Dell Áquila

; Zular, Paulete Secco

; Piva, Regiane de Santana

; Masi, Eduardo

Revista de Saúde Pública

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2021, Volume 55 elocation 62

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2021055003970 43 downloads

15.

Prevalence of priapism in individuals with sickle cell disease and implications on male sexual function
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Alvaia, Mateus Andrade

; Maia, Heros Aureliano Antunes da Silva

; Nelli, Alana de Medeiros

; Guimarães, Carina Oliveira Silva

; Carvalho, Evanilda Souza de Santana

; Netto, José Murillo Bastos

; Miranda, Eduardo de Paula

; Gomes, Cristiano Mendes

; Bessa Júnior, José de

einstein (São Paulo)

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2020, Volume 18 elocation eAO5070

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

RESUMO Objetivo Avaliar aspectos epidemiológicos do priapismo em pacientes com doença falciforme e o impacto desses aspectos na função sexual de adultos. Métodos Trata-se de estudo transversal, que incluiu indivíduos com doença falciforme acompanhados em um centro de referência. Os participantes responderam a um questionário estruturado acerca das características sociodemográficas e eventos de priapismo. A função sexual foi avaliada por meio de dois instrumentos validados, a Escala de Rigidez de Ereção e um sobre satisfação com a vida sexual. Resultados Foram entrevistados 64 indivíduos com média de idade de 12 (7-28) anos. A prevalência de priapismo foi de 35,9% (23/64). O episódio mais precoce ocorreu aos 2 anos de idade e o mais tardio, aos 42 anos. A projeção estatística foi de que 71,1% desses sujeitos teriam pelo menos um episódio de priapismo ao longo da vida. Pacientes adultos com episódios de priapismo (10/23) apresentaram função erétil significativamente pior Escala de Rigidez de Ereção de 2 [1-3]; p=0,01 e estavam menos satisfeitos com a vida sexual 3 [3-5]; p=0,02. Conclusão O priapismo manifesta-se desde a infância, e episódios graves estão associados a dano cavernoso, prejuízo na qualidade da ereção e menor satisfação sexual.

ABSTRACT Objective To evaluate epidemiological aspects of priapism in patients with sickle cell disease, and these aspects impact on adult sexual function. Methods This was a cross-sectional study including individuals with sickle cell disease who were evaluated at a reference center for sickle cell. Participants completed a structured questionnaire about their sociodemographic characteristics and priapism events. Sexual function was assessed using validated two instruments, the Erection Hardness Score and one about the sex life satisfaction. Results Sixty-four individuals with median aged of 12 (7 to 28) years were interviewed. The prevalence of priapism was 35.9% (23/64). The earliest priapism episode occurred at 2 years of age and the latest at 42 years. The statistical projection was that 71.1% of individuals of the study would have at least one episode of priapism throughout life. Patients with episodes of priapism (10/23) had significantly worse erectile function Erection Hardness Score of 2 [1-3]; p=0.01 and were less satisfied with sexual life 3 [3-5]; p=0.02. Conclusion Priapism is usually present in childhood, and severe episodes are associated with cavernous damage, impairment in the quality of the erection, and lower sexual satisfaction.

https://doi.org/10.31744/einstein_journal/2020ao5070 1069 downloads

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