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Inequalities in the association between adherence to the Mediterranean diet and physical fitness in the young population during the COVID-19 lockdown
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Brazo-Sayavera, Javier

; Crochemore-Silva, Inácio

; Bizzozero-Peroni, Bruno

; González-Gálvez, Noelia

; de Camargo, Edina María

; López-Gil, José Francisco

Nutrición Hospitalaria

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apr 2023, Volume 40 N. 2 Pages 391 - 399

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

Abstract Objective: this study analyzed the association between adherence to the Mediterranean diet and proxy-reported physical fitness among Spanish and Brazilian youths during the COVID-19 lockdown according to several inequality indicators. Methods: we conducted a cross-sectional study with parents and guardians of children and adolescents from Spain and Brazil. The evaluation process was through the use of online questionnaires. Adherence to the Mediterranean diet was assessed using the Mediterranean Diet Quality Index in Children and Adolescents. Proxy-reported physical fitness was determined using the International Fitness Scale. Inequality indicators (gender, nationality, socioeconomic status, and parents/guardians' education level) were evaluated with a survey completed by the participants' parents/guardians. Binary logistic regression models estimated the association between adherence to the Mediterranean diet and proxy-reported physical fitness, with stratification according to inequality variables. A total sample of 1099 Spanish and Brazilian individuals (47.6% girls, aged 3 to 17 years) were included in the analysis. Results: compared to the "improvement needed to Mediterranean diet" category, the "optimal Mediterranean diet" group was significantly associated with "very good" physical fitness in boys (OR = 1.5; 95 % CI: 1.0-2.1) and in participants with parents/legal guardians' education level without university studies (OR = 1.5; 95 % CI: 1.0-2.4). Conclusions: gender and parents/guardians' education level plays a significant role in the association between the "optimal Mediterranean Diet" and "very good" physical fitness level in Spanish and Brazilian children and adolescents. Future prospective studies are needed to investigate the role of inequality indicators in this relationship.

Resumen Objetivo: este estudio analizó la asociación entre la adherencia a la dieta mediterránea y la aptitud física autoinformada entre jóvenes españoles y brasileños durante el confinamiento de COVID-19 según varios indicadores de desigualdad. Métodos: se realizó un estudio transversal con padres y tutores de niños y adolescentes de España y Brasil. El proceso de evaluación fue a través del uso de cuestionarios online. La adherencia a la dieta mediterránea se evaluó mediante el Índice de Calidad de la Dieta Mediterránea en Niños y Adolescentes. La aptitud física declarada por los padres se determinó mediante la Escala Internacional de Aptitud Física. Los indicadores de desigualdad (género, nacionalidad, estatus socioeconómico y nivel educativo de los padres/tutores) se evaluaron con una encuesta completada por los padres/tutores de los participantes. Los modelos de regresión logística binaria estimaron la asociación entre la adherencia a la dieta mediterránea y la aptitud física informada por los progenitores, estratificando según las variables de desigualdad. Se incluyó en el análisis una muestra total de 1099 individuos españoles y brasileños (47,6 % niñas, de 3 a 17 años). Resultados: en comparación con la categoría de "necesidad de mejorar la dieta mediterránea", la de "dieta mediterránea óptima" se asoció significativamente con una aptitud física "muy buena" en los chicos (OR = 1,5; IC del 95 %: 1,0-2,1) y en los participantes con nivel educativo de los padres/tutores sin estudios universitarios (OR = 1,5; IC del 95 %: 1,0-2,4). Conclusiones: el género y el nivel educativo de los padres/tutores legales desempeñan un papel significativo en la asociación entre la "dieta mediterránea óptima" y el nivel de condición física "muy bueno" en niños y adolescentes españoles y brasileños. Se necesitan futuros estudios prospectivos para investigar el papel de los indicadores de desigualdad en esta relación.

https://doi.org/10.20960/nh.04225

Are parental physical activity and social support associated with adolescents’ meeting physical activity recommendations?
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Camargo, Edina Maria de

; López-Gil, José Francisco

; Piola, Thiago Silva

; Mota, Jorge

; Campos, Wagner de

Revista de Saúde Pública

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2023, Volume 57 elocation 30

Abstract: En | Text: En | PDF: En

ABSTRACT OBJECTIVE To verify whether parental physical activity and social support are associated with adolescents meeting physical activity recommendations. METHODS This is a cross-sectional study that selected 1,390 adolescents (59.6% girls) from Curitiba, Paraná, Brazil. The IPAQ (International Physical Activity Questionnaire), QAFA (Physical Activity Questionnaire for Adolescents), and ASAFA (Social Support for Physical Activity Practice in Adolescents) questionnaires were applied. Binary logistic regression was used to test the relationship among the study variables. RESULTS For boys, having parents who “always attend” (OR = 1.96; 95%CI: 1.16–3.32) and having parents or legal guardians who meet the PA recommendations (OR = 2.78; 95%CI: 1.76–4.38) were associated with meeting the PA recommendations. Odds were greater after adjusting for socioeconomic status (OR = 3.47; 95%CI: 1.73–6.96) and schooling level (OR = 4.20; 95%CI: 1.96–9.02). For girls, those with parents or legal guardians who “sometimes encourage them” (OR = 0.61; 95%CI: 0.37–0.98) had lower odds of meeting PA recommendations. These odds were higher after adjusting for socioeconomic status (OR = 2.11; 95%CI: 1.36–3.29) and schooling level (OR = 4.30; 95%CI: 2.41–7.69). CONCLUSIONS Boys and girls were more likely to meet PA recommendations daily by having parents who meet PA recommendations than by receiving parental social support. These results could help establish future interventions aimed at modifying behaviors related to PA in adolescents.

https://doi.org/10.11606/s1518-8787.2023057004362

Are parental physical activity and social support associated with adolescents’ meeting physical activity recommendations?
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Camargo, Edina Maria de

; López-Gil, José Francisco

; Piola, Thiago Silva

; Mota, Jorge

; Campos, Wagner de

Revista de Saúde Pública

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2023, Volume 57 elocation 30

Abstract: En | Text: En | PDF: En

https://doi.org/10.11606/s1518-8787.2023057004362

Influence of bioceramic intracanal medication on the bond strength of bioceramic root canal sealer
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ESCOBAR, Patrícia Maria

; SILVA-SOUSA, Alice Corrêa

; CAMARGO, Rafael Verardino de

; SIMÕES-CARVALHO, Marco

; SILVA-SOUSA, Yara Teresinha

; MAZZI-CHAVES, Jardel Francisco

; DE-DEUS, Gustavo

; SOUSA-NETO, Manoel Damião

Brazilian Oral Research

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2023, Volume 37 elocation e056

Abstract: En | Text: En | PDF: En

Abstract To investigate the influence of the remaining volume of a new intracanal medication based on bioceramic compounds on the bond strength (BS) and formation of an adhesive interface between calcium silicate-based and epoxy resin-based root canal sealers. For this purpose, the specimens were distributed according to the intracanal medication (n = 26): Bio-C Temp (BCT) and Ultracal XS (UXS). The roots were scanned in microCT, and after 7 days, the medication was removed. Then a new scan was performed to evaluate the volume of medication remaining. Subsequently, 40 specimens were redistributed into 2 subgroups (n = 10) and filled according to the sealer used: AH Plus (AHP) and Bio-C Sealer (BCS), to assess the bond strength by using the push-out test, and the adhesive interface by confocal laser fluorescence microscopy (CLSM) and scanning electron microscopy (SEM). The t test showed a smaller remainder of BCT (1.77 ± 0.86) compared with UXS (10.47 ± 5.78), irrespective of the root third evaluated. The BS showed that teeth with BCT + BCS had higher bond strength values (3.70 ± 1.22) when compared to the other groups: BCT + AHP (2.15 ± 1.07), UXS + BCS (3.18 ± 1.09) and UXS + AHP (2.11 ± 1.02) (p<0.001). The cervical third had higher BS when compared with the middle and apical thirds (p < 0.001), and higher number of adhesive failures. The adhesive interface in SEM and CLSM images showed better adaptation for the association between BCT + BCS. Intracanal medication and silicate-based endodontic sealer appeared to interact chemically by forming a biomineralizing layer, allowing for an increase in the bond strength and forming an adhesive interface between the materials, with no or less gap formation.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0056

Chemsex and its repercussions on the health of men who have sex with men (MSM): a global health perspective
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Sousa, Alvaro Francisco Lopes de

; Camargo, Emerson Lucas Silva

; Mendes, Isabel Amélia Costa

Revista Brasileira de Enfermagem

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2023, Volume 76 N. 3 elocation e20230004

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

ABSTRACT Objectives: to discuss the repercussions of chemsex on the health of men who have sex with men (MSM), contextualizing it in a global health scenario and pointing out the implications for nursing care. Methods: theoretical-reflexive study based on scientific literature and concepts related to global health. Results: we present the epidemiology of the chemsex phenomenon, the main demands of the field, the reasons why it has become a global public health problem, and the implications for nursing practice. Final Considerations: chemsex is growing in all age groups of MSM and is globally benefiting from location-based applications to gain magnitude, finding an important potential audience in the migrant population. Nursing structures can help accelerate the proposal and implementation of biomedical and behavioral measures to address chemsex in its entirety, qualifying care and inducing teamwork with interprofessional collaboration.

RESUMEN Objetivos: discutir las repercusiones de chemsex en la salud de hombres que tienen sexo con hombres (HSH), contextualizándolas en un escenario de salud global y señalando las implicaciones para los cuidados de enfermería. Métodos: estudio teórico-reflexivo fundamentado en la literatura científica y en los conceptos relacionados con la salud global. Resultados: presentamos la epidemiología del fenómeno chemsex , las principales demandas del campo, los motivos por los cuales se ha convertido en un problema de salud pública global y las implicaciones para la actuación de enfermería. Consideraciones Finales: el chemsex está aumentando en todos los segmentos de edad de HSH y globalmente está beneficiándose de aplicaciones basadas en la geolocalización para aumentar su magnitud, encontrando en la población migrante un importante público potencial. Las estructuras de enfermería pueden ayudar a acelerar la propuesta e implementación global de medidas biomédicas y conductuales para abordar el chemsex en su totalidad, que califiquen el cuidado e induzcan al trabajo en equipo con colaboración interprofesional.

RESUMO Objetivos: discutir as repercussões do chemsex na saúde de homens que fazem sexo com homens (HSH), contextualizando-a num cenário de saúde global e apontando as implicações para os cuidados da enfermagem. Métodos: estudo teórico-reflexivo fundamentado na literatura cientifica e nos conceitos relacionados a saúde global. Resultados: apresentamos a epidemiologia do fenômeno chemsex , as principais demandas do campo, os motivos pelo qual tornou-se um problema de saúde pública global e as implicações para a atuação da enfermagem. Considerações Finais: o chemsex vem crescendo em todos os segmentos etários de HSH e globalmente vem se beneficiando dos aplicativos baseado em geolocalização para ganhar magnitude, encontrando na população migrante, um importante público em potencial. Estruturas de enfermagem podem ajudar a acelerar a propor e implementar globalmente medidas biomédicas e comportamentais de enfrentamento ao chemsex em sua totalidade, que qualifiquem o cuidado e induzam ao trabalho em equipe com colaboração interprofissional.

https://doi.org/10.1590/0034-7167-2023-0004

Impact of access cavities on root canal preparation, restorative protocol quality, and fracture resistance of teeth
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PRADO, Heitor Silva

; PETEAN, Igor Bassi Ferreira

; FRANCO, Natália Junqueira Saud

; CAMARGO, Rafael Verardino

; CARVALHO, Kleber Kildare Teodoro de

; MAZZI-CHAVES, Jardel Francisco

; LOPES-OLHÊ, Fabiane Carneiro

; SILVA-SOUSA, Yara Teresinha Corrêa

; SOUZA-GABRIEL, Aline Evangelista

; SOUSA-NETO, Manoel Damião

Brazilian Oral Research

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2023, Volume 37 elocation e096

Abstract: En | Text: En | PDF: En

Abstract The survival of endodontically treated teeth depends on the remaining tooth structure. The aim of this study was to evaluate the impact of different access cavities on root canal preparation, restorative protocol, and fracture resistance of endodontically treated teeth. Fifty-six mandibular molars were divided into control (n=8) and experimental (n=16) groups according to access cavity: Traditional, Conservative, and Truss; and redistributed (n=8) according to instrumentation protocols: Reciproc Blue and R-motion. After, teeth were scanned in micro-CT and then filled and redistributed according to composite resin restoration (n=8): Filtek One BulkFill and Filtek Z350. A new micro-CT scan was performed to analyze the restorative material. Then, samples were submitted to fracture resistance testing and the failure pattern was determined. Data were analyzed using paired T-test, ANOVA, Tukey, and chi-square tests (α=0.05). In Truss, R-Motion promoted less transportation in different thirds of root canals. Higher percentages of voids (5.05%) and filling material (11.7%) were observed in Truss. Fracture resistance values were higher for the control group, followed by Truss, Conservative, and Traditional. The predominant failure pattern was type-II. In Truss, reciprocating instruments with smaller taper showed less canal transportation. Also, Truss provided higher values of fracture resistance, although it presented a higher percentage of voids and remaining filling material. Thus, in Truss, reciprocating files with smaller taper showed less canal transportation, and these cavities provided higher values of fracture resistance, although it presented a higher percentage of voids and remaining filling material.

https://doi.org/10.1590/1807-3107bor-2023.vol37.0096

The SISBIOTA-Diptera Brazilian Network: A long-term survey of Diptera from unexplored Brazilian Western Arc of Amazon, Cerrado, and Pantanal
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Lamas, Carlos José Einicker

; Fachin, Diego Aguilar

; Falaschi, Rafaela Lopes

; Alcantara, Daniel Máximo Correa de

; Ale-Rocha, Rosaly

; Amorim, Dalton de Souza

; Araújo, Maíra Xavier

; Ascendino, Sharlene

; Baldassio, Letícia

; Bellodi, Carolina Ferraz

; Bravo, Freddy

; Calhau, Julia

; Capellari, Renato Soares

; Carmo-Neto, Antonio Marcelino do

; Cegolin, Bianca Melo

; Couri, Márcia Souto

; Carvalho, Claudio José Barros de

; Dios, Rodrigo de Vilhena Perez

; Falcon, Aida Vanessa Gomez

; Fusari, Livia Maria

; Garcia, Carolina de Almeida

; Gil-Azevedo, Leonardo Henrique

; Gomes, Marina Morim

; Graciolli, Gustavo

; Gudin, Filipe Macedo

; Henriques, Augusto Loureiro

; Krolow, Tiago Kütter

; Mendes, Luanna Layla

; Limeira-de-Oliveira, Francisco

; Maia, Valéria Cid

; Marinoni, Luciane

; Mello, Ramon Luciano

; Mello-Patiu, Cátia Antunes de

; Morales, Mírian Nunes

; Oliveira, Sarah Siqueira

; Patiu, Claudemir

; Proença, Barbara

; Pujol-Luz, Cristiane Vieira de Assis

; Pujol-Luz, José Roberto

; Rafael, José Albertino

; Riccardi, Paula Raile

; Rodrigues, João Paulo Vinicios

; Roque, Fabio de Oliveira

; Sallum, Maria Anice Mureb

; Santis, Marcelo Domingos de

; Santos, Charles Morphy Dias dos

; Santos, Josenilson Rodrigues dos

; Savaris, Marcoandre

; Shimabukuro, Paloma Helena Fernandes

; Silva, Vera Cristina

; Schelesky-Prado, Daniel de Castro

; Silva-Neto, Alberto Moreira da

; Camargo, Alexssandro

; Sousa, Viviane Rodrigues de

; Urso-Guimarães, Maria Virginia

; Wiedenbrug, Sofia

; Yamaguchi, Carolina

; Nihei, Silvio Shigueo

Revista Brasileira de Entomologia

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2023, Volume 67 N. 4 elocation e20230051

Abstract: En | Text: En | PDF: En

ABSTRACT The SISBIOTA-BRASIL was a three-year multimillion-dollar research program of the Brazilian government to document plants and animals in endangered/understudied areas and biomes in Brazil. Distributional patterns and the historical events that generated them are extensively unknown regarding Brazilian fauna and flora. This deficiency hinders the development of conservation policies and the understanding of evolutionary processes. Conservation decisions depend on precise knowledge of the taxonomy and geographic distribution of species. Given such a premise, we proposed to research the diversity of Diptera of the Brazilian western arc of Amazon, Cerrado, and Pantanal in the states of Mato Grosso, Mato Grosso do Sul, and Rondônia. Three important biomes of the South American continent characterize these Brazilian states: Amazon forest, Cerrado (Brazilian Savannah), and Pantanal. Besides their ecological relevance, these biomes historically lack intensive entomological surveys. Therefore, they are much underrepresented in the Brazilian natural history collections and in the scientific literature, which is further aggravated by the fact that these areas are being exponentially and rapidly converted to commercial lands. Our project involved over 90 collaborators from 24 different Brazilian institutions and one from Colombia among researchers, postdocs, graduate and undergraduate students, and technicians. We processed and analyzed nearly 300,000 specimens from ~60 families of Diptera collected with a large variety of methods in the sampled areas. Here, we provide a detailed overview of the genera and species diversity of 41 families treated. Our results point to a total of 2,130 species and 514 genera compiled and identified for the three states altogether, with an increase of 41% and 29% in the numbers of species and genera known for the three states combined, respectively. Overall, the 10 most species-rich families were Tachinidae, Cecidomyiidae, Tabanidae, Psychodidae, Sarcophagidae, Stratiomyidae, Bombyliidae, Syrphidae, Tephritidae, and Asilidae. The 10 most diverse in the number of genera were Tachinidae, Stratiomyidae, Asilidae, Mycetophilidae, Syrphidae, Tabanidae, Muscidae, Dolichopodidae, Sarcophagidae, and Chloropidae. So far, 111 scientific papers were published regarding taxonomic, phylogenetic, and biogeographical aspects of the studied families, with the description of 101 new species and three new genera. We expect that additional publications will result from this investigation because several specimens are now curated and being researched by specialists.

https://doi.org/10.1590/1806-9665-rbent-2023-0051

Repercussion of the COVID-19 pandemic on the lives and work of ICU nursing technicians
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Vieira, Katia Maria Rosa

; Vieira Junior, Francisco Ubaldo

; Bittencourt, Zélia Zilda Lourenço de Camargo

Revista Gaúcha de Enfermagem

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2023, Volume 44 elocation e20230071

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

ABSTRACT Objective: To investigate the impact of the COVID-19 pandemic on personal dimensions and its relationship with the work context of nursing technicians who worked in ICUs. Method: A cross-sectional mixed-method study (convergent parallel). A total of 229 nursing technicians from intensive care units participated and responded a questionnaire. The study was conducted using the IRaMuTeQ software for lexicographic verification and similarity analysis of the corpus and the Minitab 19 software for comparison between means and logistic regression. Results: Fear was found that the biggest impact on the lives of nursing technicians. The professionals experienced stress and anxiety as a consequence of the fear of Coronavirus infection and its transmission to their families. Conclusion: The pandemic affected the daily personal lives of nursing technicians, in the same work context, in different ways.

RESUMEN Objetivo: Investigar el impacto de la pandemia de la COVID-19 en las dimensiones personales y su relación con el contexto de trabajo de los técnicos de enfermería que actuaban en las UTI. Método: Estudio transversal de carácter mixto (paralelo convergente). Participaron 229 técnicos de enfermería de unidades de cuidados intensivos que respondieron un cuestionario. El estudio mixto se realizó con la ayuda del software IRaMuTeQ para verificación lexicográfica y análisis de similitud del corpus y el software Minitab 19 para comparación entre medias y regresión logística. Resultados: Se constató que la mayor repercusión en la vida de los técnicos de enfermería fue el miedo. Los profesionales tenían estrés y ansiedad como consecuencia del miedo a la contaminación por el Coronavirus y la diseminación a los familiares. Conclusión: La pandemia afectó el cotidiano personal de los técnicos de enfermería, en el mismo contexto de trabajo, de formas diversas.

RESUMO Objetivo: Investigar a repercussão da pandemia da COVID-19 nas dimensões pessoais e sua relação com o contexto laboral dos técnicos de enfermagem que atuaram em unidades de terapia intensiva. Método: Pesquisa transversal de natureza mista (paralelo convergente). Participaram 229 técnicos de enfermagem de unidades de terapia intensiva que responderam um questionário. O estudo foi realizado com auxílio do software IRaMuTeQ para verificação lexicográfica e análise de similitude do corpus e o software Minitab 19 para comparação entre médias e regressão logística. Resultados: Verificou-se que a maior repercussão na vida dos técnicos de enfermagem foi o medo. Os profissionais apresentaram estresse e ansiedade que se configuraram como desdobramento do medo de contaminação pelo Coronavírus e disseminação para familiares. Conclusão: A pandemia afetou de formas distintas o cotidiano de vida pessoal dos técnicos de enfermagem, inseridos no mesmo contexto laboral.

https://doi.org/10.1590/1983-1447.2023.20230071.en

Glymphatic system, sleep, and shift work: a new paradigm in occupational and mental health? system sleep work health
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Camargo, Einstein Francisco

; Nóbrega, Otávio Toledo

Dementia & Neuropsychologia

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2023, Volume 17 elocation e20220077

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1980-5764-dn-2022-0077

10.

Puberty and parturition on the antral follicle count of female Nelore beef cattle
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Pfeifer, Luiz Francisco Machado

; Oliveira Júnior, Jair Sábio de

; Seneda, Marcelo Marcondes

; Camargo, Higor Souza de

; Morotti, Fábio

; Andrade, Evelyn Rabelo

; Moreira, Elizângela Mirian

; Andrade, Jéssica Souza

; Silva, George Moreira da

; Porto, Marlos Oliveira

; Cavali, Jucilene

Pesquisa Agropecuária Brasileira

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2023, Volume 58 elocation e03140

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

Resumo O objetivo deste trabalho foi avaliar se a puberdade e o parto alteram a contagem de folículos antrais (CFA) em fêmeas Nelore (Bos indicus) de corte. Foram realizados dois experimentos para comparar a CFA entre os períodos pré-púbere e púbere e entre os períodos pré-púbere e pós-parto. A CFA e a concentração folicular não diferiram entre os períodos pré-púbere e púbere. Entretanto, a área ovariana foi maior após a puberdade. Além disso, a CFA e a área do ovário foram maiores no período pós-parto quando comparado ao pré-púbere. Portanto, a CFA não é afetada pela puberdade de novilhas Nelore, mas aumenta significativamente quando as novilhas pré-púberes se tornam vacas. (CFA Bos indicus corte prépúbere pré pósparto. pósparto pós parto. Entretanto disso prépúbere. Portanto prépúberes púberes vacas

Abstract The objective of this work was to investigate whether puberty and parturition alter the antral follicle count (AFC) in female Nelore (Bos indicus) beef cattle. Two experiments were carried out to compare AFC between the prepubertal and pubertal periods and between the prepubertal and postpartum periods. AFC and follicle concentrations did not differ between the prepubertal and pubertal periods. However, the ovarian area increased after puberty. In addition, AFC and the ovarian area were greater in the postpartum than in the prepubertal period. Therefore, AFC is not affected by the puberty of Nelore heifers, but increases significantly when the prepubertal heifers become cows. (AFC Bos indicus cattle However addition period Therefore cows

https://doi.org/10.1590/s1678-3921.pab2023.v58.03140

11.

Anesthetic considerations in patients with implantable devices and chronic pain surgery
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Camargo-Cárdenas, Francisco Javier

; Valencia-Cataño, Alejandra

; Vargas, Juan Felipe

Colombian Journal of Anestesiology

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jun 2022, Volume 50 N. 2 elocation e302

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

Resumen Cada vez es más común el empleo de técnicas invasivas avanzadas para el control del dolor crónico en paciente con múltiples comorbilidades. La neuro-modulación ofrece una nueva alternativa de manejo, que involucra la infusión de uno o más medicamentos en el espacio epidural o intratecal a través de una bomba de infusión totalmente implantable. También incluye la estimulación espinal, una técnica mínimamente invasiva que consiste en el posicionamiento de electrodos en el espacio epidural, conectados a un generador de pulso que se implanta subcutáneo y genera pulsos que buscan suprimir el estímulo nocivo. En este artículo se hará la descripción de las consideraciones anestésicas que se deben tener con sistemas de liberación de medicamentos implantables, dispositivos de estimulación medular y de nervio periférico. Adicionalmente, pueden aparecer pacientes portadores de dispositivos de neuromodulación eléctrica o medicamentosa que deben recibir anestesia para someterse a cirugía por razones diferentes a su patología de dolor crónico y deben conocerse sus implicaciones anestésicas. Por lo anterior, es importante conocer y estar familiarizados con los componentes básicos de dichos dispositivos: funcionamiento, medicamentos que utilizan y las potenciales complicaciones que se puedan tener con estos en el contexto perioperatorio, para garantizar un manejo adecuado y la seguridad del paciente.

Abstract The use of advanced invasive techniques for the control of chronic pain in patients with multiple comorbidities is becoming increasingly common. Neuromodulation offers a new management alternative involving the infusion of one or more drugs into the epidural or intrathecal space through a fully implantable infusion pump. It also involves spinal stimulation, a minimally invasive technique in which electrodes are positioned in the epidural space and connected to a pulse generator that is implanted subcutaneously and generates pulses designed to suppress the noxious stimulus. This article will describe the anesthetic considerations in cases of implantable drug delivery systems, and spinal and peripheral nerve stimulation devices. Additionally, patients with electrical or drug neuromodulation devices may present to anesthetic practice for surgical indications unrelated to their chronic pain pathology. Hence the importance of being familiar with the basic components of these devices, how they work, what drugs they use and the potential associated complications in the perioperative context, in order to ensure proper management and patient safety.

https://doi.org/10.5554/22562087.e989 119 downloads

12.

“I’m gonna lose my strength, I’m gonna seize and die, And all that Jazz”! Neurological diseases in jazz legends
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Germiniani, Francisco Manoel Branco

; Camargo, Carlos Henrique Ferreira

; Coutinho, Léo

; Teive, Hélio Afonso Ghizoni

Arquivos de Neuro-Psiquiatria

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apr 2022, Volume 80 N. 4 Pages 444 - 447

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

RESUMO Embora o jazz seja um estilo musical que prima pela improvisação e pelo virtuosismo, não é isento de drama e tragédia, e as biografias dos músicos de jazz e a sua morte estão repletas de dificuldades sinistras e terríveis. Alguns desenvolveriam doenças crônicas e fatais. São brevemente discutidas as doenças neurológicas que afligiram os seguintes seis compositores e músicos, todos eles considerados lendas do jazz: Charles Mingus, diagnosticado com esclerose lateral amiotrófica; Lester Young e Charlie Parker, ambos com neurosífilis; Thelonius Monk, que teve uma possível demência frontotemporal; George Gershwin, que morreu em decorrência de glioma cerebral; e Cole Porter, que desenvolveu dor de membro fantasma após uma amputação. A associação do estilo de vida com o abuso de drogas, particularmente álcool e heroína, além de promiscuidade sexual, contribuiu para o desenvolvimento de uma série de doenças, por exemplo, a sífilis. Também descrevemos algumas fatalidades, como doenças neurodegenerativas e glioma cerebral.

ABSTRACT Even though jazz is a musical style that excels in improvisation and virtuosity, it is not without its share of anecdotes, drama, and downright tragedy, and the biographies of jazz musicians and their demise are fraught with ominous and dire straits. Unsurprisingly, some would develop chronic and fatal diseases. The neurological diseases that afflicted the following six composers and musicians, all of whom are considered jazz legends, are briefly discussed: Charles Mingus, diagnosed with amyotrophic lateral sclerosis; Lester Young and Charlie Parker, both diagnosed with neurosyphilis; Thelonius Monk, who had possible frontotemporal dementia; George Gershwin, who died as a result of brain glioma; and Cole Porter, who developed phantom limb pain following an amputation. The association of lifestyles, with drug abuse, particularly alcohol and heroin, in addition to great sexual promiscuity factors contributed to the development of a series of diseases such as syphilis. In addition, we also described some fatalities such as neurodegenerative diseases and cerebral glioma.

https://doi.org/10.1590/0004-282x-anp-2021-0067

13.

Functionality and disease severity in spinocerebellar ataxias
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CRUZ, Geanison Castro da

; ZONTA, Marise Bueno

; MUNHOZ, Renato Puppi

; MELLO, Neliana Maria de

; MEIRA, Alex Tiburtino

; NUNES, Maria Cristina de Alencar

; ARANHA, Naiara Talita Guimarães

; CAMARGO, Carlos Henrique Ferreira

; LOPES NETO, Francisco Diego Negrão

; TEIVE, Hélio Afonso Ghizoni

Arquivos de Neuro-Psiquiatria

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feb 2022, Volume 80 N. 2 Pages 137 - 144

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

RESUMO Antecedentes: As ataxias espinocerebelares (SCA) são um grupo de doenças neurodegenerativas caracterizadas pela deterioração do equilíbrio e da funcionalidade, que tende a acompanhar a progressão da doença. Não existe uma ligação estabelecida entre os marcadores clínicos formais de gravidade e escores funcionais e de equilíbrio que possam orientar as equipes de reabilitação. Objetivo: Avaliar a relação entre escalas funcionais e de gravidade da ataxia, buscando identificar pontos de corte para a perda funcional relacionados aos escores de gravidade e aos patamares de Risco de Quedas. Métodos: Uma amostra consecutiva de 89 pacientes com diagnóstico molecular de SCA (31-SCA2 e 58-SCA3) foram avaliados para funcionalidade MIF-AVDs (Medida de independência funcional-Atividades da vida diária) e Lawton-AIVDs (Atividades instrumentais da vida diária), equilíbrio (EEB-escala de Equilíbrio de Berg), e gravidade da ataxia (SARA-escala para avaliação e graduação de ataxia). Resultados: Os principais pontos de corte de deficiência foram: com 12 pontos no SARA começa a necessidade de supervisão para MIF-AVDs e com 14 pontos no SARA começa a necessidade de supervisão para Lawton-AIVDs. Os primeiros itens a necessitar de assistência foram “expressão” e “compras”, respectivamente. Com 20 pontos no SARA os pacientes eram dependentes em todos os itens MIF/LAWTON. O item com maior impacto na discriminação entre dependentes e independentes foi “meio de transporte” na Lawton e o domínio “locomoção” na MIF. O escore médio no SARA foi de 9,9 pontos para pacientes classificados com baixo risco na EEB, 17,4 para médio risco e 25,2 para alto risco. Conclusões: A análise da correlação entre a gravidade da ataxia e as escalas funcionais pode ser um importante guia no entendimento da progressão da dependência funcional em indivíduos com SCA.

ABSTRACT Background: Spinocerebellar ataxias (SCAs) are a group of neurodegenerative diseases characterized by deterioration of balance and functionality that tends to follow disease progression. There is no established link between formal clinical markers for severity and functional/balance scores that could guide rehabilitation teams. Objective: To evaluate the relationship between functional scales and ataxia severity in order to identify cutoff landmarks for functional loss and estimate the mean SARA (Scale for Assessment and Rating of Ataxia) score for the risk ratings for falls on the BBS (Berg Balance Scale). Methods: Consecutive patients with a molecular diagnosis of SCA (total 89: 31 with SCA2 and 58 with SCA3) were assessed for functionality FIM-ADL (Functional Independence Measure-activities of daily living and Lawton-IADL (instrumental activities of daily living), balance (BBS) and disease severity (SARA). Results: The main disability cutoff landmarks were that the need for supervision for FIM-ADL starts with 12 points on SARA and the need for supervision for Lawton-IADL starts with 14 points on SARA. The first items to require assistance were “expression” and “shopping”, respectively. At 20 points on SARA, patients were dependent on all FIM and Lawton items. The item with the greatest impact on distinguishing dependents from independents was “means of transport” in Lawton-IADL and the domain “locomotion” in FIM-ADL. The mean SARA score for patients classified as low risk in the BBS was 9.9 points, and it was 17.4 for medium risk and 25.2 for high risk. Conclusions: Analysis on the correlation between the severity of ataxia and functional scales can form an important guide for understanding the progression of functional dependence among individuals with SCAs.

https://doi.org/10.1590/0004-282x-anp-2020-0580

14.

Coarctação de aorta abdominal justarrenal associada à hipertensão renovascular e claudicação incapacitante: tratamento utilizando ponte ilíaco-birrenal e técnica “paving and cracking”
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Corrêa, Mateus Picada

; Lemanski, Francisco Costa Beber

; Saleh, Jaber Nashat

; Noel, Rafael Stevan

; Puton, Renan Camargo

; Bajerski, Julio Cesar

Jornal Vascular Brasileiro

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2022, Volume 21 elocation e20200175

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

Resumo Coarctação da aorta abdominal é uma causa rara de claudicação de membros inferiores e hipertensão refratária. O tratamento é complexo e exige conhecimento de diversas técnicas de reconstrução vascular. Apresentamos um caso de coarctação ao nível das artérias renais, seu tratamento e revisão da literatura. Paciente feminina, 65 anos, com hipertensão refratária desde os 35 anos, utilizando cinco medicações anti-hipertensivas em dose máxima. Pressão arterial média de 260/180mmHg e claudicação incapacitante (menos de 20 metros) bilateral. Angiotomografia computadorizada demonstrou coarctação de aorta justarrenal de 4 mm de maior diâmetro, calcificação circunferencial no local da estenose e tortuosidade da aorta infrarrenal. Foi submetida a tratamento híbrido, com ponte ilíaco-birrenal e implante de stent Advanta V12 no local da estenose. A paciente evoluiu satisfatoriamente e, 60 dias depois da cirurgia, apresentava-se com uma pressão arterial de 140/80mmHg, em uso de apenas duas medicações anti-hipertensivas e sem claudicação.

Abstract Coarctation of the abdominal aorta is a rare etiology of intermittent claudication and refractory hypertension. Treatment is complex and requires knowledge of several vascular reconstruction techniques. We report a case of aortic coarctation at the level of the renal arteries, describing its treatment and presenting a literature review. Female patient, 65 years old, with refractory hypertension since the age of 35, using five antihypertensive medications at maximum doses. Blood pressure was 260/180mmHg and she had disabling claudication (less than 20 meters). Computed tomography angiography showed a 4mm coarctation in the juxtarenal aorta, with circumferential calcification at the stenosis site, and tortuous infrarenal aorta. Hybrid repair was performed with an iliac-birenal bypass and implantation of an Advanta V12 stent at the stenosis site. The patient’s postoperative course was satisfactory, she was free from claudication, and her blood pressure 60 days after surgery was 140/80mmHg, taking two antihypertensive medications.

https://doi.org/10.1590/1677-5449.200175

15.

Morphogenetic and structural traits of Ipyporã grass subjected to nitrogen fertilization rates under intermittent grazing
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Camargo, Francisco Carlos

; Difante, Gelson dos Santos

; Montagner, Denise Baptaglin

; Euclides, Valéria Pacheco Batista

; Taira, Carolina de Arruda Queiroz

; Gurgel, Antonio Leandro Chaves

; Souza, Daniele Lopes de

Ciência Rural

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2022, Volume 52 N. 5 elocation e20201074

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

RESUMO: O objetivo foi avaliar os efeitos das doses anuais de 100 e 200 kg ha-1 de nitrogênio (N) sobre as características morfogênicas e estruturais do capim-ipyporã, em lotação intermitente durante as estações do ano. O delineamento experimental foi em blocos ao acaso, com dois tratamentos e três repetições de área. Os pastos de capim-ipyporã foram submetidos ao pastejo por bovinos de corte. Foram avaliadas as características morfogênicas e estruturais do dossel forrageiro por meio da técnica de perfilhos marcados. Também foi avaliado o acúmulo de forragem e a densidade populacional de perfilhos (DPP). Foi observada interação significativa (P < 0,05) das doses de N e estações do ano para o período de descanso (PD), duração de vida das folhas (DVF), filocrono, taxa de alongamento de colmos (TAlC) e comprimento final das folhas (CFF). Durante o inverno, o PD foi menor (40 vs 50 dias) nos pastos adubados com 200 kg ha-1 de N. Em contra partida, no inverno, os pastos adubados com 100 kg ha-1 de N apresentaram maiores valores para DVF, filocrono e TAlC, e menores para o CFF. Não foi observado efeito isolado de doses de N (P > 0,05) para as taxas de acúmulo de forragem; de aparecimento, alongamento e de senescência de folhas, relação folha:colmo e para a DPP. No entanto, o efeito das estações foi significativo para estas variáveis, com os maiores valores observados durante a primavera e verão. O uso de 200 kg ha-1 de N para pastos de capim-ipyporã promove redução da estacionalidade de produção da forrageira.

ABSTRACT: This study examined the effects of annual nitrogen (N) rates of 100 and 200 kg ha-1 on the morphogenetic and structural traits of Ipyporã grass (Brachiaria brizantha × Brachiaria ruziziensis) under intermittent grazing during the seasons of the year. The experiment was laid out in a randomized-block design with two treatments and three area replicates. Ipyporã grass pastures were grazed by beef cattle. Morphogenetic and structural traits of the forage canopy were evaluated using the marked-tiller technique. Forage accumulation and tiller density (TD) were also evaluated. Significant interaction effects (P < 0.05) between N rates and seasons were observed for the rest period, leaf lifespan (LLS), phyllochron, stem elongation rate (SER) and final leaf length (FLL). During winter, the rest period was shorter (40 vs. 50 days) in the pastures fertilized with 200 kg ha-1 N. Conversely, in winter, the pastures fertilized with 100 kg ha-1 N showed higher LLS, SER and phyllochron values, but lower FLL values. There was no isolated effect of N rates (P > 0.05) on forage accumulation rate; leaf appearance, elongation or senescence rates; leaf:stem ratio; or TD. However, the effect of seasons was significant for these variables, with the highest values occurring during spring and summer. The use of 200 kg ha-1 N in Ipyporã grass pastures reduces the seasonality of forage production.

https://doi.org/10.1590/0103-8478cr20201074 96 downloads

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