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Impact of Telemedicine use on clinical care indicators of pediatric intensive care units: protocol for a cluster randomized clinical trial
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Silva, Mariana Motta Dias da

; Klever, Emanuele König

; Rocha, Jacqueline Castro da

; Silva, Gabriela de Oliveira Laguna

; Amorim, Jerusa da Rocha de

; Dode, Andressa Dutra

; Simionato, Bárbara Marina

; Cunha, Luciane Gomes da

; Zaupa, Ana Paula Berni

; Krauzer, João Ronaldo Mafalda

; Pires, Aristóteles de Almeida

; Cabral, Felipe Cezar

; Moreira, Tais de Campos

; Constant, Hilda Maria Rodrigues Moleda

Critical Care Science

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sep 2023, Volume 35 N. 3 Pages 266 - 272

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

ABSTRACT The objective of this study is to present the protocol of a cluster randomized clinical trial to be conducted through the TeleICU project - Qualification of Intensive Care by Telemedicine. The study will consist of a cluster randomized clinical trial, open label, in pediatric intensive care units, with an allocation ratio of 1:1, to compare the intervention group (support of Telemedicine for patients admitted to the pediatric intensive care unit) with a control group (pediatric intensive care unit usual care). The study proposed to select 16 pediatric intensive care units, including 100 participants per site, with a total of 1,600 participants. The intervention group will receive telerounds from Monday to Friday and will have specialists and continuing education activities available. The primary outcome measure will be the length of stay in the pediatric intensive care unit, defined as the difference between the date of discharge of the participant and the date of admission to the intensive care unit. The secondary outcomes will be mortality rate, invasive mechanical ventilation-free days, days using antibiotics, days using vasoactive drugs and days using sedoanalgesia. This study will be conducted in accordance with Resolution 466/12 of the National Health Council, with approval by the Research Ethics Committee of the institutions involved. The present study has the potential to reproduce studies on Telemedicine in intensive care and may make important contributions to care in intensive care units in Brazil and other settings. If Telemedicine shows positive clinical care results compared to conventional treatment, more pediatric patients may benefit. ClinicalTrials.gov registry: NCT05260710

RESUMO O objetivo deste estudo será apresentar o protocolo de um ensaio clínico randomizado em cluster a ser realizado por meio do projeto TeleUTI - Qualificação da Assistência em Terapia Intensiva por Telemedicina. O estudo consistirá em um ensaio clínico randomizado por cluster, open label, em unidades de terapia intensiva pediátricas, com proporção de alocação de 1:1, com o intuito de comparar o grupo de intervenção (apoio da telemedicina para os pacientes internados na unidade de terapia intensiva pediátrica) com um grupo controle (cuidados habituais da unidade de terapia intensiva pediátrica). O estudo se propõe a selecionar 16 unidades de terapia intensiva pediátricas, incluindo 100 participantes por local, com o total de 1.600 participantes. O grupo intervenção receberá telerounds de segunda-feira a sexta-feira e terá à disposição especialistas e atividades de educação continuada. O desfecho primário a ser avaliado será o tempo de permanência nas unidades de terapia intensiva pediátricas, definido pela diferença entre a data de alta do participante com a data de admissão na unidade de terapia intensiva. Os desfechos secundários serão: taxa de mortalidade; dias livres de ventilação mecânica, dias de uso de antibióticos, dias de uso de drogas vasoativas e dias de uso de sedoanalgesia. Este estudo será conduzido em conformidade com a resolução 466/12 do Conselho Nacional de Saúde, com aprovação pelo Comitê de Ética em Pesquisa das instituições hospitalares envolvidas. O trabalho tem o potencial de reproduzir estudos sobre Telemedicina em cuidados intensivos, podendo trazer contribuições importantes ao atendimento em unidades de terapia intensiva no Brasil e em outras realidades. Se a Telemedicina mostrar resultados clínicos assistenciais positivos em relação ao tratamento convencional, mais pacientes pediátricos poderão ser beneficiados. Registro ClinicalTrials.gov: NCT05260710

https://doi.org/10.5935/2965-2774.20230223-en

Brassinosteroid application increases tomato tolerance to salinity by changing the effects of stress on membrane integrity and gas exchange
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Maia Júnior, Sebastião de Oliveira

; Andrade, Jailma Ribeiro de

; Nascimento, Ronaldo do

; Lima, Robson Felipe de

; Bezerra, Carlos Vailan de Castro

; Ferreira, Vilma Marques

Acta Scientiarum. Agronomy

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2022, Volume 44 elocation e55647

Abstract: En | Text: En | PDF: En

ABSTRACT. Salinity is one of the environmental stresses that most cause losses in agricultural systems, including tomato production. Brassinosteroids, such as epibrassinolide (EBL), have multiple actions in essential processes in plants. Thus, the objective of this study was to evaluate the contributions of EBL to the growth, physiology, and production of tomato plants under salinity. The experiment was conducted in a factorial scheme, with five levels of water salinity (0.5 [the control], 1.5, 3.0, 4.5, and 6.0 dS m-1) and two concentrations of EBL (0 and 10-6 M). Salt stress reduced tomato growth, relative water content, membrane integrity, gas exchange, and fruit production. However, the exogenous application of EBL attenuated the adverse effects, partially improving these characteristics at all salinity levels. EBL reduced electrolyte leakage and increased membrane integrity and relative water content in control and stressed plants. Additionally, it increased the content of photosynthetic pigments, stomatal conductance, transpiration, and photosynthesis, which led to higher leaf dry mass production, fruit transverse diameter, and production per plant. Therefore, our results confirmed that foliar application of EBL improved the characteristics of stressed and non-stressed tomato plants.

https://doi.org/10.4025/actasciagron.v44i1.55647

Digestibility, ingestive behavior, and nitrogen balance in goat kids fed a diet containing dehydrated passion fruit residue
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Galvão, Jocasta Meira

; Silva, Thadeu Mariniello

; Silva, Willian Pereira

; Pimentel, Paulo Roberto Silveira

; Lima, Anny Graycy Vasconcelos de Oliveira

; Nascimento, Thiago Vinicius Costa

; Ribeiro, Rebeca Dantas Xavier

; Silva Júnior, Jarbas Miguel da

; Castro, Daniela Pionorio Vilaronga

; Bezerra, Leilson Rocha

; Oliveira, Ronaldo Lopes

Revista Brasileira de Zootecnia

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2021, Volume 50 elocation e20200165

Abstract: En | Text: En | PDF: En

ABSTRACT The objective was to determine the optimal dehydrated passion fruit pulp replacing ground corn in diets for goat kids. We used 24 crossbred castrated goat kids with initial body weight of 26.6±0.3 kg. The experimental period was 23 days, with 15 days of adjustment and acclimatization (mostly to the installation and diet). Kids were distributed in a randomized experimental design with four treatments of 0, 80, 160, or 240 g/kg of dehydrated passion fruit residue as a supplementary inclusion in the dry matter (DM) content of the diet. The statistical model considered the fixed effect of the included amount of residue from dehydrated passion fruit. Analysis of variance was conducted using the PROC GLM of SAS. Intakes of DM and total digestible nutrients (TDN) were not affected by residue inclusion. However, neutral detergent fiber (NDF) intake increased linearly. The inclusion linearly decreased intake of ether extract (EE) and non-fibrous carbohydrates (NFC). Crude protein (CP) intake was quadratically affected, with a greater value under treatment of 160 g/kg passion fruit. Dry matter and NFC digestibility decreased linearly with the amount of passion fruit included in diet. Fecal N and total N excretion values (in g/d and %N intake) increased linearly. Nitrogen balance and N retained values showed a quadratic increase, with greater values under the 160 g/kg inclusion. Time spent ruminating, DM and NDF eating efficiency, and g DM/bolus chewed were affected quadratically by inclusion of passion fruit residue. The replacement of ground corn with dehydrated passion fruit residue at a level of 160 g/kg is recommended for diets of goat kids to improve their NDF and CP intake and their N balance without affecting DM and TDN intakes.

https://doi.org/10.37496/rbz5020200165 267 downloads

Atualização das Diretrizes em Cardiogeriatria da Sociedade Brasileira de Cardiologia – 2019
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Feitosa Filho, Gilson Soares

; Peixoto, José Maria

; Pinheiro, José Elias Soares

; Afiune Neto, Abrahão

; Albuquerque, Afonso Luiz Tavares de

; Cattani, Álvaro César

; Nussbacher, Amit

; Camarano, Ana Amelia

; Sichinels, Angela Hermínia

; Sousa, Antonio Carlos Sobral

; Alencar Filho, Aristóteles Comte de

; Gravina, Claudia F.

; Sobral Filho, Dario Celestino

; Pitthan, Eduardo

; Costa, Elisa Franco de Assis

; Duarte, Elizabeth da Rosa

; Freitas, Elizabete Viana de

; Moriguchi, Emilio Hideyuki

; Mesquita, Evandro Tinoco

; Fernandes, Fábio

; Fuchs, Felipe Costa

; Feitosa, Gilson Soares

; Pierre, Humberto

; Pereira Filho, Ilnei

; Helber, Izo

; Borges, Jairo Lins

; Garcia, Jéssica Myrian de Amorim

; Souza, José Antonio Gordillo de

; Zanon, José Carlos da Costa

; Alves, Josmar de Castro

; Mohallem, Kalil Lays

; Chaves, Laura Mariana de Siqueira Mendonça

; Moura, Lídia Ana Zytynski

; Silva, Márcia Cristina Amélia da

; Toledo, Maria Alice de Vilhena

; Assunção, Maria Elisa Lucena Sales de Melo

; Wajngarten, Mauricio

; Gonçalves, Mauro José Oliveira

; Lopes, Neuza Helena Moreira

; Rodrigues, Nezilour Lobato

; Toscano, Paulo Roberto Pereira

; Rousseff, Pedro

; Maia, Ricardo Antonio Rosado

; Franken, Roberto Alexandre

; Miranda, Roberto Dischinger

; Gamarski, Roberto

; Rosa, Ronaldo Fernandes

; Santos, Silvio Carlos de Moraes

; Galera, Siulmara Cristina

; Grespan, Stela Maris da Silva

; Silva, Teresa Cristina Rogerio da

; Esteves, William Antonio de Magalhães

Arquivos Brasileiros de Cardiologia

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may 2019, Volume 112 N. 5 Pages 649 - 705

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

https://doi.org/10.5935/abc.20190086 15622 downloads

Um rosto na areia: o sujeito em Foucault
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Campos, Tamara de Souza

; Castro, Ronaldo Oliveira de

Tempo Social

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dec 2017, Volume 29 N. 3 Pages 313 - 331

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

Resumo Com base na crítica de Spivak a Foucault, discute-se a questão do sujeito na obra de Foucault, a fim de mostrar sua conexão com a perspectiva estruturalista que visava a superar o primado do sujeito autoconsciente nas Ciências humanas recorrendo a estruturas inconscientes como fundamento da explicação. Sustenta-se que essa perspectiva “antiantropocêntrica” permanece presente na obra do autor no período de Vigiar e punir e A vontade de saber. Por fim, propõe-se que as alterações na abordagem de Foucault no início dos anos de 1980 decorriam de uma tentativa de escapar de impasses que a recusa à perspectiva do sujeito soberano e autoconsciente teria acarretado.

Abstract Based on a critique of Spivak to Foucault, the article discusses the question of the subject in Foucault’s work showing its connection to the structuralist perspective aimed to overcome the primacy of the individual self in the human sciences using unconscious structures as the foundation of explanation. It is argued that this perspective not “anthropocentric” remains present in the work of the author in the Discipline and punish period and The history of sexuality, vol. 1: An introduction and, finally, it is proposed that the changes in Foucault’s approach in the early 1980s resulted from an attempt to escape impasses that refusing the prospect of sovereign and self-conscious subject would caused.

https://doi.org/10.11606/0103-2070.ts.2017.117546 2001 downloads

Amitriptyline, clomipramine, and maprotiline attenuate the inflammatory response by inhibiting neutrophil migration and mast cell degranulation
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Gurgel, José Alves

; Lima-Júnior, Roberto César Pereira

; Rabelo, Cristiano Oliveira

; Pessoa, Breno Bezerra Gomes Pinho

; Brito, Gerly Anne Castro

; Ribeiro, Ronaldo Albuquerque

Brazilian Journal of Psychiatry

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dec 2013, Volume 35 N. 4 Pages 387 - 392

Abstract: En | Text: En | PDF: En

Objective: Despite the recognized anti-inflammatory potential of heterocyclic antidepressants, the mechanisms concerning their modulating effects are not completely known. Thus, we evaluated the anti-inflammatory effect of amitriptyline, clomipramine, and maprotiline and the possible modulating properties of these drugs on neutrophil migration and mast cell degranulation. Methods: The hind paw edema and air-pouch models of inflammation were used. Male Wistar rats were treated with saline, amitriptyline, clomipramine or maprotiline (10, 30, or 90 mg/kg, per os [p.o.]) 1 h before the injection of carrageenan (300 μg/0.1 mL/paw) or dextran (500 μg/0.1 mL/paw). Then, edema formation was measured hourly. Neutrophil migration to carrageenan (500 μg/pouch) and N-formyl-methionyl-leucyl-phenylalanine (fMLP) (10-6 M/mL/pouch) was also investigated in 6-day-old air-pouch cavities. Compound 48/80-induced mast cell degranulation was assessed in the mesenteric tissues of antidepressant-treated rats. Results: All tested antidepressants prevented both carrageenan- and dextran-induced edema. The anti-inflammatory effect of these drugs partially depends on the modulation of neutrophil migration, since they significantly counteracted the chemotactic response of both carrageenan and fMLP (p < 0.01). Furthermore, amitriptyline, clomipramine and maprotiline inhibited compound 48/80-induced mast cell degranulation (p < 0.001). Conclusions: These results suggest an important anti-inflammatory role of heterocyclic antidepressants, which is dependent on the modulation of neutrophil migration and mast cell stabilization.

https://doi.org/10.1590/1516-4446-2012-0977 3737 downloads

Efeito antifúngico de tinturas de própolis e romã sobre espécies de Candida
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Dantas de Almeida, Leopoldina de Fátima

; Wanderley Cavalcanti, Yuri

; Lira Júnior, Ronaldo

; de Oliveira Lima, Edeltrudes

; Dias de Castro, Ricardo

Revista Cubana de Estomatología

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jun 2012, Volume 49 N. 2 Pages 99 - 106

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

A utilização de produtos naturais na odontologia tem se mostrado como uma fonte alternativa no combate às patologias orais, incluindo as infecções fúngicas, causadas, geralmente, por Candida spp. Avaliar a ação antifúngica de tinturas de própolis Apis milifera e romã Punica granatum sobre Candida albicans (ATCC 76618), Candida krusei (ATCC 6538) e Candida tropicalis (ATCC 13803). A ação antifúngica das tinturas foi avaliada pelo método da Concentração Inibitória Mínima em meio de cultura sólido Ágar Saburaud Dextrose (Difco®). Foram confeccionados poços, com 6 mm de diâmetro, destinados a inserção de 50 µL das tinturas. Foram avaliadas seis concentrações seriadas das tinturas, sendo a concentração inicial para a tintura de própolis 200 mg/mL e 300 mg/mL a concentração inicial para a tintura de romã. Posteriormente, as placas de Petri foram incubadas em estufa bacteriológica por 48 h a 37 ºC. A análise dos dados para a Concentração Inibitória Mínima foi feita através da mensuração dos halos de inibição, sendo considerados quando iguais ou superiores a 10 mm de diâmetro. Para a tintura de romã observou-se que as Concentração Inibitória Mínima sobre Candida albicans, Candida krusei e Candida tropicalis foram 9,37 mg/mL, 9,37 mg/mL e 18,75 mg/mL, respectivamente. Em relação à tintura da própolis, constatou-se que apenas em sua forma pura apresentou ação antifúngica sobre Candida krusei e Candida tropicalis, entretanto a mesma ação não foi observada sobre Candida albicans. As tinturas avaliadas apresentam ação antifúngica sobre as cepas avaliadas, exceto a tintura da própolis sobre Candida albicans.

The use of natural products in Dentistry has been shown as an alternative source against oral diseases, including fungi infections, generally caused by Candida spp. The aim was to evaluate the antifungal action of tinctures from propolis (Apis milifera) and from pomegranate (Punica granatum) on Candida albicans (ATCC 76618), Candida krusei (ATCC 6538) and Candida tropicalis (ATCC 13803). The antifungal activity of tinctures was evaluated by Minimum Inhibitory Concentration method on Saburaud Dextrose Agar (Difco®). Six wells were confectioned, with 6 mm of diameter, to the insertion of 50 µL of tinctures. Six serial concentrations were evaluated, been 200 mg/mL the initial concentration for tincture from propolis and 300 mg/mL the initial concentration for tincture from pomegranate. Later, the Petri plates were incubated in bacteriological incubator for 48 h on 37 ºC. Data analysis for Minimum Inhibitory Concentration was conducted by measurement of inhibition zones, been considered inhibited when equal or bigger than 10 mm of diameter. For tincture from pomegranate, was verified that the Minimum Inhibitory Concentration on Candida albicans, Candida krusei and Candida tropicalis were 9.37 mg/mL, 9.37 mg/mL and 18.75 mg/mL, respectively. For tinctures from propolis, the antifungal action was verified only in pure concentration on Candida krusei and Candida tropicalis, but it was not observed on Candida albicans. The tinctures from pomegranate and propolis had antifungal activity on evaluated strains, except for tincture from propolis on Candida albicans.

Se ha demostrado que el uso de productos naturales en Estomatología es una fuente alternativa contra las enfermedades orales, incluyendo las infecciones micóticas, generalmente causadas por Candida spp. El objetivo de este trabajo fue evaluar la acción antimicótica de las tinturas a partir del propóleo (Apis milifera) y a partir de pomegranate (Punica granatum) sobre Candida albicans (ATCC 76618), Candida krusei (ATCC 6538) y Candida tropicalis (TCC 13803). La actividad antimicótica de las tinturas fue evaluada por el método Minimum Inhibitory Concentration en Aagar Dextrosa Saburaud (Difco®). Se crearon 6 orificios con un diámetro de 6 mm para la inserción de 50 µL de tinturas. Se evaluaron 6 concentraciones seriadas donde la concentración inicial para las tinturas a partir de propóleo fue de 200 mg/mL y de 300 mg/mL como concentración inicial para la tintura a partir de pomegranate. Posteriormente, los discos de Petri fueron incubados durante 48 h a 37ºC. El análisis de los datos para Minimum Inhibitory Concentration fue realizado midiendo las zonas de inhibición, se consideró inhibición cuando es igual o mayor de 10 mm de diámetro. En el caso de la tintura de pomegranate, se comprobó que la Minimum Inhibitory Concentration en Candida albicans, Candida krusei y Candida tropicalis fueron de 9,37 mg/mL, 9,37 mg/mL y 18,75 mg/mL respectivamente. Para las tinturas a base de propóleo, la acción antimicótica fue verificada solo en la concentración pura sobre Candida krusei y Candida tropicalis, pero no fue observada en Candida albicans. Las tinturas a base de pomegranate y propóleo tuvieron actividad antimicótica sobre las cepas evaluadas, excepto en el caso de la tintura a base de propóleo sobre Candida albicans.

224 downloads

Pleuropericardial cyst torsion: case report
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Kang, Davi Wen Wei

; Corpa, Maria Carolina Ercoli

; Racy, Marcelo de Castro Jorge

; Baroni, Ronaldo Hueb

; Engel, Fabiano Cataldi

; Andrade Filho, Laert de Oliveira

; Bueno, Marco Aurélio Scarpinella

einstein (São Paulo)

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jun 2010, Volume 8 N. 2 Pages 228 - 231

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

RESUMO Cistos pericárdicos constituem 12-18% de todas as massas mediastinais. Geralmente, são assintomáticos e detectados incidentalmente, podendo manifestar sintomas quando alcançam um tamanho aumentado. Na maioria das vezes, estão situados no seio cardiofrênico direito, mas podem ocupar outra localização no mediastino. Neste artigo, relatamos uma torção de cisto pleuropericárdico após esforço físico, uma complicação raríssima dessa condição, cujo diagnóstico foi realizado por meio da tomografia computadorizada do tórax e confirmado posteriormente por videotoracoscopia.

ABSTRACT Pericardial cysts account for 12-18% of all mediastinal masses. They are usually asymptomatic and incidentally detected. However, when large, they can cause symptoms. Most pericardial cysts are located in the right cardiophrenic angle, but they can be anywhere in the mediastinum. We reported a pleuropericardial cyst torsion after physical stress, a very rare complication of this condition. The diagnosis was made by computed tomography and confirmed by video-assisted thoracoscopy.

https://doi.org/10.1590/s1679-45082010rc937 2315 downloads

Em busca dos fundamentos: Auerbach como uma das fontes da crítica literária no Brasil
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Castro, Ronaldo Oliveira de

Revista Brasileira de Ciências Sociais

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jun 2008, Volume 23 N. 67 Pages 173 - 177

Abstract: Pt | Text: Pt | PDF: Pt

4764 downloads

10.

Modelo experimental de artroscopia do quadril em cadáveres de recém-nascidos
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Oliveira, Ronaldo Silva de

; Leite, José Alberto Dias

; Patrocínio, Régia Maria do Socorro Vidal

; Castro, Juvêncio Oliveira Araújo de

; Santana, Mariana Gonçalves de

Acta Ortopédica Brasileira

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2005, Volume 13 N. 2 Pages 86 - 90

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

O quadril apresenta anatomia e topografia complexa onde procedimentos diagnósticos são freqüentemente pouco elucidativos, entretanto, o artroscópio possibilitou o acesso direto à articulação. As indicações crescem a cada ano, mas em crianças são restritas. Com objetivo de desenvolver um modelo experimental de treinamento do método em quadril e verificar danos a estruturas submetidas à tração durante a artroscopia, realizamos o estudo. Utilizando 20 cadáveres de recém-nascidos, foi testada a possibilidade de realizar esse procedimento. Seis fetos representaram o projeto piloto, servindo para desenvolver o modelo de pesquisa e catorze o estudo principal. Em todos os fetos, realizou-se o procedimento através dos portais ântero-lateral e lateral e a análise histomorfológica das estruturas do quadril. Os portais lateral e o ântero-lateral ofereceram boa segurança, sendo possível identificar a maior parte das estruturas anatômicas intra-articulares através da artroscopia. Através de um só acesso não foi possível visualizar toda a articulação. A artroscopia do quadril tem técnica difícil, mas factível em cadáveres de recém-nascidos com peso superior a 1700g e não foram encontradas lesões macroscópicas ou histológicas sobre as estruturas estudadas em fetos submetidos a uma tração de até 88 N.

The hip presents a complex topography and anatomy. Diagnostic procedures are generally not very helpful. However, direct access to the joint was made possible by the use of arthroscopy. Surgical indications for its use are becoming more frequent year after year. Usage in children is still not very common. This paper is aimed at developing an experimental model of hip arthroscopy. Damages resulting from its use in structures subjected to traction were evaluated. Twenty newborn cadavers were used to test the feasibility of the procedure. Six fetuses were used during the pilot project for the development of a research model. The remainder fourteen fetuses were used during the main study. Antero lateral and lateral ports were used for surgical access to the hip. Histomorphological studies of the hip structures were carried out in each case. Lateral and antero-lateral ports offered safe access and adequate viewing of most intra-articular anatomical structures through arthroscopy. It was not possible to see all structures through just one port. Hip arthroscopy is not an easy procedure although feasible in newborn cadavers weighing more than 1700 g. No macroscopic or histological lesions were identified in fetuses submitted to traction of up to 88 N.

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11.

Narrativa e invenção: a nação e a aparência
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Castro, Ronaldo Oliveira de

Physis: Revista de Saúde Coletiva

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jun 2004, Volume 14 N. 1 Pages 153 - 162

Abstract: Pt | Text: Pt | PDF: Pt

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12.

Narrativa e invenção: a nação e a aparência
Facebook Twitter

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LinkedIn
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- SciELO Analytics

Castro, Ronaldo Oliveira de

Physis: Revista de Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2004, Volume 14 N. 1 Pages 153 - 162

Abstract: Pt | Text: Pt | PDF: Pt

1745 downloads

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