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1.
Políticas públicas de desenvolvimento regional na Amazônia Ocidental: O caso das Áreas de Livre Comércio
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RESUMO A região Norte do Brasil apresenta índices de desenvolvimento inferiores comparativamente a outras regiões do país. Por essa razão, foram implementadas políticas públicas específicas para a região com o propósito de reduzir as desigualdades socioeconômicas e melhorar a integração regional. Neste contexto, o objetivo principal desta investigação é compreender os efeitos da política pública de Áreas de Livre Comércio (ALCs) nos municípios da Amazônia Ocidental Brasileira. Em particular, analisam-se os impactos sobre várias variáveis socioeconômicas relevantes e eventuais efeitos de spillover sobre os municípios próximos, recorrendo a técnica de Análise Exploratória de Dados Espaciais. Os resultados evidenciam que o rendimento per capita aumentou nos municípios de ALCs, mas também ao nível nacional e na Amazônia Ocidental Brasileira; que existem diferenças intrarregionais quanto aos impactos sobre as variáveis socioeconômicas; e que, em geral, a política pública pouco contribuiu para o desenvolvimento socioeconômico e para a integração regional dos municípios de ALCs.
ABSTRACT The Northern region of Brazil has lower development rates compared to other regions of the country. For this reason, specific public policies have been implemented in the region with the purpose of reducing socioeconomic inequalities and improving regional integration. In this context, the main objective of this research is to understand the effects of the public policy of Free Trade Areas (FTAs) in the municipalities of the Brazilian Western Amazon. In particular, the impacts on various relevant socioeconomic variables and potential spillover effects on neighboring municipalities are analyzed using Exploratory Spatial Data Analysis techniques. The results show that per capita income increased in the FTA municipalities, as well as at the national and Western Amazon levels. There are intra-regional differences in the impacts on socioeconomic variables, and overall, the public policy has contributed little to the socioeconomic development and regional integration of FTA municipalities.
2.
Petrosectomia Subtotal - A experiência de um Centro Hospitalar Terciário
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Branco, Pedro
; Morais, Catarina Pimentel
; Guincho, Joana
; Colaço, Tiago
; Castelhano, Luís
; Correia, Filipe
; Santos, Ricardo
; Pereira, Sílvia
; Escada, Pedro
.
Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
- Journal Metrics
Abstract Introduction: Subtotal Petrosectomy (SPT) is an effective and definitive solution in cases of recurrent chronic otitis media. The expansion of its indications demonstrates its usefulness and safety in resolving various challenging otologic pathologies. Materials and Methods: A retrospective study of 25 patients (26 ears) who underwent SPT was conducted. Data regarding the indication, surgical procedures performed, complications, and clinical outcomes were collected. Results: Fourteen (n=14) patients with cholesteatomatous chronic otitis media (COM) were proposed for SPT due to recurrence. None of these patients (n=0) had useful hearing. Five (n=5) had facial palsy. The second most frequent indication (n=10) was COM associated with profound sensorineural hearing loss, and cochlear implantation was performed simultaneously in these cases. None (n=0) had facial palsy or disease recurrence. Other indications included tympanomastoid paraganglioma (n=1), anatomical factors in cochlear implant surgery (n=2), and intracochlear schwannoma (n=1). During the follow-up period (mean = 25 months), no signs or symptoms of recurrence were observed in these patients. Complications occurred in four cases, skin fistulization of SPT cavity (1), electrode array extrusion (1) and postoperative infection of the PST cavity (2). Conclusion: PST has proven to be a safe and effective surgical technique. PST with simultaneous cochlear implantation is a viable option for patients with COM. Surgical treatment with PST for COM should be considered when a poor audiological outcome is expected in a Canal Wall Down (CWD) mastoidectomy.
Resumo Introdução: A Petrosectomia Subtotal (PST) é uma solução eficaz e definitiva em várias patologias otológicas de difícil tratamento e pressupõe a exclusão do ouvido médio. Esta revela-se particularmente útil nestes casos, pois apresenta uma baixa taxa de complicações comparativamente a outras opções cirúrgicas. Material e Métodos: Estudo retrospetivo de 25 doentes (26 ouvidos) submetidos a PST. Foram recolhidos dados relativos à indicação, procedimentos cirúrgicos realizados, complicações e evolução clínica. Resultados: Catorze (n=14) doentes foram propostos para PST por recidiva de otite média crónica (OMC) colesteatomatosa. Nenhum destes doentes apresentava audição útil. Cinco (n=5) tinham parésia facial como complicação desta doença. A segunda indicação mais frequente (n=10) foi a surdez neurossensorial profunda com OMC não coleateatomatosa, a tímpano fechado. Em todos os casos foi realizada implantação coclear no mesmo tempo cirúrgico. Paraganglioma timpanomastoideu (n=1), fatores anatómicos na cirurgia de implantação coclear (n=2) e schwannoma intracoclear (n=1) constituíram as outras indicações. No follow up (x̅ = 25 meses) desses doentes, não foram observados sinais ou sintomas de recorrência. Foram registadas como complicações (n=4): fistulização da cavidade à pele (1), extrusão de elétrodo do Implante Coclear (1) e infeção pós-operatória da cavidade de PST (2). Conclusão: A PST demonstrou ser uma técnica cirúrgica segura e eficaz na doença otológica de difícil tratamento, mesmo quando associada com a implantação coclear no mesmo tempo cirúrgico. O tratamento cirúrgico com PST de uma OMC deve ser considerado quando se prevê um fraco resultado audiométrico numa mastoidectomia Canal Wall Down (CWD)
3.
Música para os Seus Ouvidos: Um Caso de Alucinose Musical Idiopática
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Abstract Musical hallucinosis is a disease with a poorly understood pathophysiology, in which hearing loss and mood disorders can be triggering factors. Although there is no consensual approach, psychoeducation plays a central role. We present the clinical case of an 84-year-old woman with hearing loss and depressive disorder reactive to her husband's role as a caregiver. Four days after the introduction of antidepressant medication she developed auditory musical hallucinosis, where she listened to songs from her childhood continuously throughout the day. These complaints remained despite the interruption of the antidepressant and the prescription of antipsychotics. After screening for organic pathologies, psychoeducation was initiated, focusing on increasing social activity and auditory stimuli and optimizing co-morbid pathologies. The patient had a favorable evolution and almost complete resolution of the complaints.
Resumo A alucinose musical é uma doença com fisiopatologia mal-esclarecida, na qual a hipoacusia e as patologias do humor poderão ser fatores desencadeantes. Apesar de não existir uma abordagem terapêutica consensual, a psicoeducação desempenha um papel fulcral. Apresenta-se o caso de uma mulher de 84 anos de idade com hipoacusia e perturbação depressiva reativa ao papel de cuidadora do marido. Quatro dias após introdução de medicação antidepressiva iniciou quadro de alucinose musical auditiva, onde ouvia músicas da sua infância de forma contínua, ao longo do dia. Estas queixas mantiveram-se apesar da interrupção da terapêutica antidepressiva e mostraram-se refratárias à toma de antipsicóticos. Após despiste de patologias orgânicas foi iniciada psicoeducação, com enfoque no aumento da atividade social e estímulos auditivos e otimização das patologias co-mórbidas, tendo a doente apresentado evolução favorável e resolução quase completa das queixas.
4.
Unfractionated heparin in ruptured aortic aneurysms - narrative review
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Ribeiro, Tiago F.
; Correia, Ricardo
; Bento, Rita
; Pais, Fábio
; Ferreira, Rita Soares
; Gonçalves, Frederico Bastos
; Amaral, Carlos
; Ferreira, Maria Emília
.
Abstract Introduction: Portuguese estimates point out that nearly 20% of aortic aneurysms are treated in a ruptured setting, with in-hospital mortality reaching up to 50%. Although unfractionated heparin (UFH) is routine during elective surgery, this technical point is debatable when treating ruptured aneurysms. The authors aimed to review the literature on the topic of intraoperative heparinization with UFH within the intraoperative period of ruptured aortic aneurysms. Methods: A MEDLINE and Scopus database search using the terms “unfractionated heparin," “aortic aneurysm," and “ruptured aortic aneurysm” was performed. No time or language limitations were imposed. The last search was run in July 2023. Manuscripts were considered irrespective of study design. Additional articles of scientific interest for the purpose of this non-systematic review were included by cross-referencing. Results: In the rupture setting, UFH usage rates have widely varied throughout time and geographical sites, and they are reported to be as low as 16%. Overall, the evidence of UFH in clinical practice in this scenario is limited. Notwithstanding, there is some evidence from observational studies of an increased pro-coagulant activity in this clinical scenario, favoring a theoretical physiologic benefit. A prospective, non-randomized study of 131 OSR patients found that patients treated with UFH had improved 30-day survival (84% vs 67%, P=0.001). Non-significant differences in blood product usage were noted. Therefore, societal guideline recommendations about intraoperative UFH in ruptured aortic aneurysms are often missing. Conclusion: UFH may potentially reduce death after open repair of rAAA. These findings should be carefully interpreted, as the evidence is scarce and heterogeneous and only portrays open repair.
5.
Predicting the Need for Blood Transfusions in Cardiac Surgery: A Comparison between Machine Learning Algorithms and Established Risk Scores in the Brazilian Population Surgery
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Cunha, Cristiano Berardo Carneiro da
; Lima, Tiago Pessoa Ferreira de
; Ferraz, Diogo Luiz de Magalhães
; Silva, Igor Tiago Correia
; Santiago, Matheus Kennedy Dionisio
; Sena, Gabrielle Ribeiro
; Monteiro, Verônica Soares
; Andrade, Lívia Barbosa
.
Brazilian Journal of Cardiovascular Surgery
- Journal Metrics
ABSTRACT Introduction: Blood transfusion is a common practice in cardiac surgery, despite its well-known negative effects. To mitigate blood transfusion-associated risks, identifying patients who are at higher risk of needing this procedure is crucial. Widely used risk scores to predict the need for blood transfusions have yielded unsatisfactory results when validated for the Brazilian population. Methods: In this retrospective study, machine learning (ML) algorithms were compared to predict the need for blood transfusions in a cohort of 495 cardiac surgery patients treated at a Brazilian reference service between 2019 and 2021. The performance of the models was evaluated using various metrics, including the area under the curve (AUC), and compared to the commonly used Transfusion Risk and Clinical Knowledge (TRACK) and Transfusion Risk Understanding Scoring Tool (TRUST) scoring systems. Results: The study found that the model had the highest performance, achieving an AUC of 0.7350 (confidence interval [CI]: 0.7203 to 0.7497). Importantly, all ML algorithms performed significantly better than the commonly used TRACK and TRUST scoring systems. TRACK had an AUC of 0.6757 (CI: 0.6609 to 0.6906), while TRUST had an AUC of 0.6622 (CI: 0.6473 to 0.6906). Conclusion: The findings of this study suggest that ML algorithms may offer a more accurate prediction of the need for blood transfusions than the traditional scoring systems and could enhance the accuracy of predicting blood transfusion requirements in cardiac surgery patients. Further research could focus on optimizing and refining ML algorithms to improve their accuracy and make them more suitable for clinical use. Introduction wellknown well known effects transfusionassociated associated risks crucial population Methods (ML 49 201 2021 metrics AUC, , (AUC) (TRACK (TRUST Results 07350 0 7350 0.735 confidence CI [CI] 07203 7203 0.720 0.7497. 07497 0.7497 . 7497 0.7497) Importantly 06757 6757 0.675 (CI 06609 6609 0.660 0.6906, 06906 0.6906 6906 0.6906) 06622 6622 0.662 06473 6473 0.647 0.6906. Conclusion use 4 20 202 (AUC 0735 735 0.73 [CI 0720 720 0.72 0749 0.749 749 0675 675 0.67 0660 660 0.66 0690 0.690 690 0662 662 0647 647 0.64 2 073 73 0.7 072 72 074 0.74 74 067 67 0.6 066 66 069 0.69 69 064 64 07 7 0. 06 6
6.
Soil microbiological attributes under the cultivation of Pennisetum purpureum genotypes
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Silva, Euzanyr Gomes da
; Santos, Wellington Leal dos
; Oliveira, João Tiago Correia
; Rocha, Alexandre Tavares da
; Moreira, Keila Aparecida
.
ABSTRACT This study aimed to evaluate the biological quality of soil under the influence of different genotypes of elephant grass in the agreste region, which has a climate that marks the transition between a humid climate with a dry season and the semi-arid climate of the north-eastern hinterland. The study was conducted at the Experimental Farm of the Universidade Federal Rural de Pernambuco, Garanhuns, PE, Brazil. The treatments comprised a combination of two elephant grass cultivars (Elefante B and Mott), two irrigation regimes (with and without irrigation), and two climatic periods (dry and rainy). Biological indicators, microbial biomass carbon, soil basal respiration, metabolic quotient, enzymatic activity of soil β-glucosidase, acid and alkaline phosphatase, arylsulfatase, urease, and the hydrolytic determination of fluorescein diacetate were evaluated. The Mott genotype showed superior results, attributed to the biological indicators studied at different times and irrigation management, even during periods of drought, and Mott grass had significant effects microbial activities. This genotype constitutes one of the alternatives for soil quality in semiarid regions, with advantageous biomass and soil microbial activity, thus presenting the greatest complexity in biological attributes with microorganisms tolerant to climate change. region semi arid northeastern north eastern hinterland Pernambuco Garanhuns PE Brazil Elefante Mott, , Mott) irrigation, irrigation) rainy. rainy . rainy) carbon respiration quotient βglucosidase, βglucosidase β glucosidase, glucosidase β-glucosidase phosphatase arylsulfatase urease evaluated results management drought activities regions change
7.
Catálogo Taxonômico da Fauna do Brasil: Setting the baseline knowledge on the animal diversity in Brazil Brasil
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Boeger, Walter A.
; Valim, Michel P.
; Zaher, Hussam
; Rafael, José A.
; Forzza, Rafaela C.
; Percequillo, Alexandre R.
; Serejo, Cristiana S.
; Garraffoni, André R.S.
; Santos, Adalberto J.
; Slipinski, Adam
; Linzmeier, Adelita M.
; Calor, Adolfo R.
; Garda, Adrian A.
; Kury, Adriano B.
; Fernandes, Agatha C.S.
; Agudo-Padrón, Aisur I.
; Akama, Alberto
; Silva Neto, Alberto M. da
; Burbano, Alejandro L.
; Menezes, Aleksandra
; Pereira-Colavite, Alessandre
; Anichtchenko, Alexander
; Lees, Alexander C.
; Bezerra, Alexandra M.R.
; Domahovski, Alexandre C.
; Pimenta, Alexandre D.
; Aleixo, Alexandre L.P.
; Marceniuk, Alexandre P.
; Paula, Alexandre S. de
; Somavilla, Alexandre
; Specht, Alexandre
; Camargo, Alexssandro
; Newton, Alfred F.
; Silva, Aline A.S. da
; Santos, Aline B. dos
; Tassi, Aline D.
; Aragão, Allan C.
; Santos, Allan P.M.
; Migotto, Alvaro E.
; Mendes, Amanda C.
; Cunha, Amanda
; Chagas Júnior, Amazonas
; Sousa, Ana A.T. de
; Pavan, Ana C.
; Almeida, Ana C.S.
; Peronti, Ana L.B.G.
; Henriques-Oliveira, Ana L.
; Prudente, Ana L.
; Tourinho, Ana L.
; Pes, Ana M.O.
; Carmignotto, Ana P.
; Wengrat, Ana P.G. da Silva
; Dornellas, Ana P.S.
; Molin, Anamaria Dal
; Puker, Anderson
; Morandini, André C.
; Ferreira, André da S.
; Martins, André L.
; Esteves, André M.
; Fernandes, André S.
; Roza, André S.
; Köhler, Andreas
; Paladini, Andressa
; Andrade, Andrey J. de
; Pinto, Ângelo P.
; Salles, Anna C. de A.
; Gondim, Anne I.
; Amaral, Antonia C.Z.
; Rondón, Antonio A.A.
; Brescovit, Antonio
; Lofego, Antônio C.
; Marques, Antonio C.
; Macedo, Antonio
; Andriolo, Artur
; Henriques, Augusto L.
; Ferreira Júnior, Augusto L.
; Lima, Aurino F. de
; Barros, Ávyla R. de A.
; Brito, Ayrton do R.
; Romera, Bárbara L.V.
; Vasconcelos, Beatriz M.C. de
; Frable, Benjamin W.
; Santos, Bernardo F.
; Ferraz, Bernardo R.
; Rosa, Brunno B.
; Sampaio, Brunno H.L.
; Bellini, Bruno C.
; Clarkson, Bruno
; Oliveira, Bruno G. de
; Corrêa, Caio C.D.
; Martins, Caleb C.
; Castro-Guedes, Camila F. de
; Souto, Camilla
; Bicho, Carla de L.
; Cunha, Carlo M.
; Barboza, Carlos A. de M.
; Lucena, Carlos A.S. de
; Barreto, Carlos
; Santana, Carlos D.C.M. de
; Agne, Carlos E.Q.
; Mielke, Carlos G.C.
; Caetano, Carlos H.S.
; Flechtmann, Carlos H.W.
; Lamas, Carlos J.E.
; Rocha, Carlos
; Mascarenhas, Carolina S.
; Margaría, Cecilia B.
; Waichert, Cecilia
; Digiani, Celina
; Haddad, Célio F.B.
; Azevedo, Celso O.
; Benetti, Cesar J.
; Santos, Charles M.D. dos
; Bartlett, Charles R.
; Bonvicino, Cibele
; Ribeiro-Costa, Cibele S.
; Santos, Cinthya S.G.
; Justino, Cíntia E.L.
; Canedo, Clarissa
; Bonecker, Claudia C.
; Santos, Cláudia P.
; Carvalho, Claudio J.B. de
; Gonçalves, Clayton C.
; Galvão, Cleber
; Costa, Cleide
; Oliveira, Cléo D.C. de
; Schwertner, Cristiano F.
; Andrade, Cristiano L.
; Pereira, Cristiano M.
; Sampaio, Cristiano
; Dias, Cristina de O.
; Lucena, Daercio A. de A.
; Manfio, Daiara
; Amorim, Dalton de S.
; Queiroz, Dalva L. de
; Queiroz, Dalva L. de
; Colpani, Daniara
; Abbate, Daniel
; Aquino, Daniel A.
; Burckhardt, Daniel
; Cavallari, Daniel C.
; Prado, Daniel de C. Schelesky
; Praciano, Daniel L.
; Basílio, Daniel S.
; Bená, Daniela de C.
; Toledo, Daniela G.P. de
; Takiya, Daniela M.
; Fernandes, Daniell R.R.
; Ament, Danilo C.
; Cordeiro, Danilo P.
; Silva, Darliane E.
; Pollock, Darren A.
; Muniz, David B.
; Gibson, David I.
; Nogueira, David S.
; Marques, Dayse W.A.
; Lucatelli, Débora
; Garcia, Deivys M.A.
; Baêta, Délio
; Ferreira, Denise N.M.
; Rueda-Ramírez, Diana
; Fachin, Diego A.
; Souza, Diego de S.
; Rodrigues, Diego F.
; Pádua, Diego G. de
; Barbosa, Diego N.
; Dolibaina, Diego R.
; Amaral, Diogo C.
; Chandler, Donald S.
; Maccagnan, Douglas H.B.
; Caron, Edilson
; Carvalho, Edrielly
; Adriano, Edson A.
; Abreu Júnior, Edson F. de
; Pereira, Edson H.L.
; Viegas, Eduarda F.G.
; Carneiro, Eduardo
; Colley, Eduardo
; Eizirik, Eduardo
; Santos, Eduardo F. dos
; Shimbori, Eduardo M.
; Suárez-Morales, Eduardo
; Arruda, Eliane P. de
; Chiquito, Elisandra A.
; Lima, Élison F.B.
; Castro, Elizeu B. de
; Orlandin, Elton
; Nascimento, Elynton A. do
; Razzolini, Emanuel
; Gama, Emanuel R.R.
; Araujo, Enilma M. de
; Nishiyama, Eric Y.
; Spiessberger, Erich L.
; Santos, Érika C.L. dos
; Contreras, Eugenia F.
; Galati, Eunice A.B.
; Oliveira Junior, Evaldo C. de
; Gallardo, Fabiana
; Hernandes, Fabio A.
; Lansac-Tôha, Fábio A.
; Pitombo, Fabio B.
; Dario, Fabio Di
; Santos, Fábio L. dos
; Mauro, Fabio
; Nascimento, Fabio O. do
; Olmos, Fabio
; Amaral, Fabio R.
; Schunck, Fabio
; Godoi, Fábio S. P. de
; Machado, Fabrizio M.
; Barbo, Fausto E.
; Agrain, Federico A.
; Ribeiro, Felipe B.
; Moreira, Felipe F.F.
; Barbosa, Felipe F.
; Silva, Fenanda S.
; Cavalcanti, Fernanda F.
; Straube, Fernando C.
; Carbayo, Fernando
; Carvalho Filho, Fernando
; Zanella, Fernando C.V.
; Jacinavicius, Fernando de C.
; Farache, Fernando H.A.
; Leivas, Fernando
; Dias, Fernando M.S.
; Mantellato, Fernando
; Vaz-de-Mello, Fernando Z.
; Gudin, Filipe M.
; Albuquerque, Flávio
; Molina, Flavio B.
; Passos, Flávio D.
; Shockley, Floyd W.
; Pinheiro, Francielly F.
; Mello, Francisco de A.G. de
; Nascimento, Francisco E. de L.
; Franco, Francisco L.
; Oliveira, Francisco L. de
; Melo, Francisco T. de V.
; Quijano, Freddy R.B.
; Salles, Frederico F.
; Biffi, Gabriel
; Queiroz, Gabriel C.
; Bizarro, Gabriel L.
; Hrycyna, Gabriela
; Leviski, Gabriela
; Powell, Gareth S.
; Santos, Geane B. dos
; Morse, Geoffrey E.
; Brown, George
; Mattox, George M.T.
; Zimbrão, Geraldo
; Carvalho, Gervásio S.
; Miranda, Gil F.G.
; Moraes, Gilberto J. de
; Lourido, Gilcélia M.
; Neves, Gilmar P.
; Moreira, Gilson R.P.
; Montingelli, Giovanna G.
; Maurício, Giovanni N.
; Marconato, Gláucia
; Lopez, Guilherme E.L.
; Silva, Guilherme L. da
; Muricy, Guilherme
; Brito, Guilherme R.R.
; Garbino, Guilherme S.T.
; Flores, Gustavo E.
; Graciolli, Gustavo
; Libardi, Gustavo S.
; Proctor, Heather C.
; Gil-Santana, Helcio R.
; Varella, Henrique R.
; Escalona, Hermes E.
; Schmitz, Hermes J.
; Rodrigues, Higor D.D.
; Galvão Filho, Hilton de C.
; Quintino, Hingrid Y.S.
; Pinto, Hudson A.
; Rainho, Hugo L.
; Miyahira, Igor C.
; Gonçalves, Igor de S.
; Martins, Inês X.
; Cardoso, Irene A.
; Oliveira, Ismael B. de
; Franz, Ismael
; Fernandes, Itanna O.
; Golfetti, Ivan F.
; S. Campos-Filho, Ivanklin
; Oliveira, Ivo de S.
; Delabie, Jacques H.C.
; Oliveira, Jader de
; Prando, Jadila S.
; Patton, James L.
; Bitencourt, Jamille de A.
; Silva, Janaina M.
; Santos, Jandir C.
; Arruda, Janine O.
; Valderrama, Jefferson S.
; Dalapicolla, Jeronymo
; Oliveira, Jéssica P.
; Hájek, Jiri
; Morselli, João P.
; Narita, João P.
; Martin, João P.I.
; Grazia, Jocélia
; McHugh, Joe
; Cherem, Jorge J.
; Farias Júnior, José A.S.
; Fernandes, Jose A.M.
; Pacheco, José F.
; Birindelli, José L.O.
; Rezende, José M.
; Avendaño, Jose M.
; Duarte, José M. Barbanti
; Ribeiro, José R. Inácio
; Mermudes, José R.M.
; Pujol-Luz, José R.
; Santos, Josenilson R. dos
; Câmara, Josenir T.
; Teixeira, Joyce A.
; Prado, Joyce R. do
; Botero, Juan P.
; Almeida, Julia C.
; Kohler, Julia
; Gonçalves, Julia P.
; Beneti, Julia S.
; Donahue, Julian P.
; Alvim, Juliana
; Almeida, Juliana C.
; Segadilha, Juliana L.
; Wingert, Juliana M.
; Barbosa, Julianna F.
; Ferrer, Juliano
; Santos, Juliano F. dos
; Kuabara, Kamila M.D.
; Nascimento, Karine B.
; Schoeninger, Karine
; Campião, Karla M.
; Soares, Karla
; Zilch, Kássia
; Barão, Kim R.
; Teixeira, Larissa
; Sousa, Laura D. do N.M. de
; Dumas, Leandro L.
; Vieira, Leandro M.
; Azevedo, Leonardo H.G.
; Carvalho, Leonardo S.
; Souza, Leonardo S. de
; Rocha, Leonardo S.G.
; Bernardi, Leopoldo F.O.
; Vieira, Letícia M.
; Johann, Liana
; Salvatierra, Lidianne
; Oliveira, Livia de M.
; Loureiro, Lourdes M.A. El-moor
; Barreto, Luana B.
; Barros, Luana M.
; Lecci, Lucas
; Camargos, Lucas M. de
; Lima, Lucas R.C.
; Almeida, Lucia M.
; Martins, Luciana R.
; Marinoni, Luciane
; Moura, Luciano de A.
; Lima, Luciano
; Naka, Luciano N.
; Miranda, Lucília S.
; Salik, Lucy M.
; Bezerra, Luis E.A.
; Silveira, Luis F.
; Campos, Luiz A.
; Castro, Luiz A.S. de
; Pinho, Luiz C.
; Silveira, Luiz F.L.
; Iniesta, Luiz F.M.
; Tencatt, Luiz F.C.
; Simone, Luiz R.L.
; Malabarba, Luiz R.
; Cruz, Luiza S. da
; Sekerka, Lukas
; Barros, Lurdiana D.
; Santos, Luziany Q.
; Skoracki, Maciej
; Correia, Maira A.
; Uchoa, Manoel A.
; Andrade, Manuella F.G.
; Hermes, Marcel G.
; Miranda, Marcel S.
; Araújo, Marcel S. de
; Monné, Marcela L.
; Labruna, Marcelo B.
; Santis, Marcelo D. de
; Duarte, Marcelo
; Knoff, Marcelo
; Nogueira, Marcelo
; Britto, Marcelo R. de
; Melo, Marcelo R.S. de
; Carvalho, Marcelo R. de
; Tavares, Marcelo T.
; Kitahara, Marcelo V.
; Justo, Marcia C.N.
; Botelho, Marcia J.C.
; Couri, Márcia S.
; Borges-Martins, Márcio
; Felix, Márcio
; Oliveira, Marcio L. de
; Bologna, Marco A.
; Gottschalk, Marco S.
; Tavares, Marcos D.S.
; Lhano, Marcos G.
; Bevilaqua, Marcus
; Santos, Marcus T.T.
; Domingues, Marcus V.
; Sallum, Maria A.M.
; Digiani, María C.
; Santarém, Maria C.A.
; Nascimento, Maria C. do
; Becerril, María de los A.M.
; Santos, Maria E.A. dos
; Passos, Maria I. da S. dos
; Felippe-Bauer, Maria L.
; Cherman, Mariana A.
; Terossi, Mariana
; Bartz, Marie L.C.
; Barbosa, Marina F. de C.
; Loeb, Marina V.
; Cohn-Haft, Mario
; Cupello, Mario
; Martins, Marlúcia B.
; Christofersen, Martin L.
; Bento, Matheus
; Rocha, Matheus dos S.
; Martins, Maurício L.
; Segura, Melissa O.
; Cardenas, Melissa Q.
; Duarte, Mércia E.
; Ivie, Michael A.
; Mincarone, Michael M.
; Borges, Michela
; Monné, Miguel A.
; Casagrande, Mirna M.
; Fernandez, Monica A.
; Piovesan, Mônica
; Menezes, Naércio A.
; Benaim, Natalia P.
; Reategui, Natália S.
; Pedro, Natan C.
; Pecly, Nathalia H.
; Ferreira Júnior, Nelson
; Silva Júnior, Nelson J. da
; Perioto, Nelson W.
; Hamada, Neusa
; Degallier, Nicolas
; Chao, Ning L.
; Ferla, Noeli J.
; Mielke, Olaf H.H.
; Evangelista, Olivia
; Shibatta, Oscar A.
; Oliveira, Otto M.P.
; Albornoz, Pablo C.L.
; Dellapé, Pablo M.
; Gonçalves, Pablo R.
; Shimabukuro, Paloma H.F.
; Grossi, Paschoal
; Rodrigues, Patrícia E. da S.
; Lima, Patricia O.V.
; Velazco, Paul
; Santos, Paula B. dos
; Araújo, Paula B.
; Silva, Paula K.R.
; Riccardi, Paula R.
; Garcia, Paulo C. de A.
; Passos, Paulo G.H.
; Corgosinho, Paulo H.C.
; Lucinda, Paulo
; Costa, Paulo M.S.
; Alves, Paulo P.
; Roth, Paulo R. de O.
; Coelho, Paulo R.S.
; Duarte, Paulo R.M.
; Carvalho, Pedro F. de
; Gnaspini, Pedro
; Souza-Dias, Pedro G.B.
; Linardi, Pedro M.
; Bartholomay, Pedro R.
; Demite, Peterson R.
; Bulirsch, Petr
; Boll, Piter K.
; Pereira, Rachel M.M.
; Silva, Rafael A.P.F.
; Moura, Rafael B. de
; Boldrini, Rafael
; Silva, Rafaela A. da
; Falaschi, Rafaela L.
; Cordeiro, Ralf T.S.
; Mello, Ramon J.C.L.
; Singer, Randal A.
; Querino, Ranyse B.
; Heleodoro, Raphael A.
; Castilho, Raphael de C.
; Constantino, Reginaldo
; Guedes, Reinaldo C.
; Carrenho, Renan
; Gomes, Renata S.
; Gregorin, Renato
; Machado, Renato J.P.
; Bérnils, Renato S.
; Capellari, Renato S.
; Silva, Ricardo B.
; Kawada, Ricardo
; Dias, Ricardo M.
; Siewert, Ricardo
; Brugnera, Ricaro
; Leschen, Richard A.B.
; Constantin, Robert
; Robbins, Robert
; Pinto, Roberta R.
; Reis, Roberto E. dos
; Ramos, Robson T. da C.
; Cavichioli, Rodney R.
; Barros, Rodolfo C. de
; Caires, Rodrigo A.
; Salvador, Rodrigo B.
; Marques, Rodrigo C.
; Araújo, Rodrigo C.
; Araujo, Rodrigo de O.
; Dios, Rodrigo de V.P.
; Johnsson, Rodrigo
; Feitosa, Rodrigo M.
; Hutchings, Roger W.
; Lara, Rogéria I.R.
; Rossi, Rogério V.
; Gerstmeier, Roland
; Ochoa, Ronald
; Hutchings, Rosa S.G.
; Ale-Rocha, Rosaly
; Rocha, Rosana M. da
; Tidon, Rosana
; Brito, Rosangela
; Pellens, Roseli
; Santos, Sabrina R. dos
; Santos, Sandra D. dos
; Paiva, Sandra V.
; Santos, Sandro
; Oliveira, Sarah S. de
; Costa, Sávio C.
; Gardner, Scott L.
; Leal, Sebastián A. Muñoz
; Aloquio, Sergio
; Bonecker, Sergio L.C.
; Bueno, Sergio L. de S.
; Almeida, Sérgio M. de
; Stampar, Sérgio N.
; Andena, Sérgio R.
; Posso, Sergio R.
; Lima, Sheila P.
; Gadelha, Sian de S.
; Thiengo, Silvana C.
; Cohen, Simone C.
; Brandão, Simone N.
; Rosa, Simone P.
; Ribeiro, Síria L.B.
; Letana, Sócrates D.
; Santos, Sonia B. dos
; Andrade, Sonia C.S.
; Dávila, Stephane
; Vaz, Stéphanie
; Peck, Stewart B.
; Christo, Susete W.
; Cunha, Suzan B.Z.
; Gomes, Suzete R.
; Duarte, Tácio
; Madeira-Ott, Taís
; Marques, Taísa
; Roell, Talita
; Lima, Tarcilla C. de
; Sepulveda, Tatiana A.
; Maria, Tatiana F.
; Ruschel, Tatiana P.
; Rodrigues, Thaiana
; Marinho, Thais A.
; Almeida, Thaís M. de
; Miranda, Thaís P.
; Freitas, Thales R.O.
; Pereira, Thalles P.L.
; Zacca, Thamara
; Pacheco, Thaynara L.
; Martins, Thiago F.
; Alvarenga, Thiago M.
; Carvalho, Thiago R. de
; Polizei, Thiago T.S.
; McElrath, Thomas C.
; Henry, Thomas
; Pikart, Tiago G.
; Porto, Tiago J.
; Krolow, Tiago K.
; Carvalho, Tiago P.
; Lotufo, Tito M. da C.
; Caramaschi, Ulisses
; Pinheiro, Ulisses dos S.
; Pardiñas, Ulyses F.J.
; Maia, Valéria C.
; Tavares, Valeria
; Costa, Valmir A.
; Amaral, Vanessa S. do
; Silva, Vera C.
; Wolff, Vera R. dos S.
; Slobodian, Verônica
; Silva, Vinícius B. da
; Espíndola, Vinicius C.
; Costa-Silva, Vinicius da
; Bertaco, Vinicius de A.
; Padula, Vinícius
; Ferreira, Vinicius S.
; Silva, Vitor C.P. da
; Piacentini, Vítor de Q.
; Sandoval-Gómez, Vivian E.
; Trevine, Vivian
; Sousa, Viviane R.
; Sant’Anna, Vivianne B. de
; Mathis, Wayne N.
; Souza, Wesley de O.
; Colombo, Wesley D.
; Tomaszewska, Wioletta
; Wosiacki, Wolmar B.
; Ovando, Ximena M.C.
; Leite, Yuri L.R.
.
ABSTRACT The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others. publications problem uptodate up date classifications context exception (CTFB http//fauna.jbrj.gov.br/, httpfaunajbrjgovbr http //fauna.jbrj.gov.br/ , jbrj gov br (http://fauna.jbrj.gov.br/) 2015 Brazil 80 specialists 1 2024 133691 133 691 133,69 125138 125 138 125,13 82.3%, 823 82 3 (82.3% 102000 102 000 102,00 7.69%, 769 7 69 (7.69% 11000 11 11,00 . 3,567 3567 567 (3,56 2,292 2292 2 292 (2,29 1,833 1833 833 (1,83 1,447 1447 447 (1,44 1000 1,00 831 (83 628 (62 606 (60 520 (52 50 users science health biology law anthropology education others http//fauna.jbrj.gov.br/ faunajbrjgovbr //fauna.jbrj.gov.br (http://fauna.jbrj.gov.br/ 201 8 202 13369 13 133,6 12513 12 125,1 82.3% (82.3 10200 10 00 102,0 7.69% 76 6 (7.69 1100 11,0 3,56 356 56 (3,5 2,29 229 29 (2,2 1,83 183 83 (1,8 1,44 144 44 (1,4 100 1,0 (8 62 (6 60 52 (5 5 http//fauna.jbrj.gov.br (http://fauna.jbrj.gov.br 20 1336 133, 1251 125, 82.3 (82. 1020 0 102, 7.69 (7.6 110 11, 3,5 35 (3, 2,2 22 (2, 1,8 18 (1, 1,4 14 4 ( 82. (82 7.6 (7. 3, (3 2, (2 (1 7. (7
8.
Survival Analysis in Adult Heart Transplantation: Experience from a Brazilian Single Center Transplantation
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Ferraz, Diogo Luiz de Magalhães
; Cunha, Cristiano Berardo Carneiro da
; Figueira, Fernando Augusto Marinho dos Santos
; Silva, Igor Tiago Correia
; Monteiro, Verônica Soares
; Carneiro, Rodrigo Moreno Dias
; Castro, Bruna Gomes de
; Requião, Mariana Barreto
; Oliveira, Victor de França
; Silva, Patrícia Jaqueline Xavier da
; Tchaick, Rodrigo Mezzalira
; Furtado, Ana Flávia Paiva
; Silva Filha, Maria de Fátima Oliveira da
; Souza, Renato Correia Fernandes de
; Mello, Maria Julia Gonçalves de
; Gallindo, Rodrigo Melo
.
Brazilian Journal of Cardiovascular Surgery
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ABSTRACT Introduction: Heart transplantation is the gold standard for advanced heart failure treatment. This study examines the survival rates and risk factors for early mortality in adult heart transplant recipients at a Brazilian center. Methods: This retrospective cohort study involved 255 adult heart transplant patients from a single center in Brazil. Data were collected from medical records and databases including three defined periods (2012-2015, 2016-2019, and 2020-2022). Statistical analysis employed Kaplan-Meier survival curves, Cox proportional hazards analysis for 30-day mortality risk factors, and Log-rank tests. Results: The recipients were mostly male (74.9%), and the mean age was 46.6 years. Main causes of heart failure were idiopathic dilated cardiomyopathy (33.9%), Chagas cardiomyopathy (18%), and ischemic cardiomyopathy (14.3%). The study revealed an overall survival of 68.1% at one year, 58% at five years, and 40.8% at 10 years after heart transplantation. Survivalimproved significantly over time, combining the most recent periods (2016 to 2022) it was 73.2% in the first year and 63% in five years. The main risk factors for 30-day mortality were longer time on cardiopulmonary bypass, the initial period of transplants (2012 to 2015), older age of the donor, and nutritional status of the donor (overweight or obese). The main causes of death within 30 days post-transplant were infection and primary graft dysfunction. Conclusion: The survival analysis by period demonstrated that the increased surgical volume, coupled with the team’s experience and modifications to the immunosuppression protocol, contributed to the improved early and mid-term outcomes. Introduction treatment Methods 25 Brazil 20122015, 20122015 2012 2015, 2015 (2012-2015 20162019, 20162019 2016 2019, 2019 2016-2019 20202022. 20202022 2020 2022 . 2020-2022) KaplanMeier Kaplan Meier curves 30day day Logrank Log rank tests Results 74.9%, 749 74.9% , 74 9 (74.9%) 466 46 6 46. 33.9%, 339 33.9% 33 (33.9%) 18%, 18 18% (18%) 14.3%. 143 14.3% 14 3 (14.3%) 681 68 1 68.1 58 408 40 8 40.8 (201 732 73 2 73.2 63 bypass 2015) overweight obese. obese obese) posttransplant post dysfunction Conclusion volume teams team s protocol midterm mid term outcomes 2012201 201 (2012-201 2016201 2016-201 2020202 202 2020-2022 74.9 7 (74.9% 4 33.9 (33.9% (18% 14.3 (14.3% 68. 5 40. (20 73. 201220 20 (2012-20 201620 2016-20 202020 2020-202 74. (74.9 33. (33.9 (18 14. (14.3 (2 20122 (2012-2 20162 2016-2 20202 2020-20 (74. (33. (1 (14. ( (2012- 2016- 2020-2 (74 (33 (14 2020- (7 (3
9.
[SciELO Preprints] - The Segmentation, Targeting and Positioning Marketing Model applied to Scientific Health Research
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Abstract:
En
Currently, in the scientific health research (SHR) field, there is a narrow focus in the pursuit of highly ranked journals with higher impact factors, based on citation models and journal ratings. This limitation often leads to undervalue the relevance of scientific studies by prioritizing citation impact. This limitation is a direct result of the funding needs inherent in the fields of natural sciences and engineering, where investments in equipment and infrastructures are considerably higher compared to other research areas. In the present article, the authors aimed to contribute to SHR by combining Marketing concepts, particularly the Segmentation, Targeting, and Positioning model (STP Marketing model), to the development of scientific research projects in the healthcare sector. By applying these concepts in research projects design and researchers career progression, a more comprehensive understanding can be achieved of how individuals or institutes are perceived. Furthermore, the implementation of effective STP Marketing strategies will enable researchers and institutes to gain a competitive advantage in the market by treating articles as products that require strategic positioning in a highly competitive environment. Ultimately, researchers should keep in mind that their ultimate audience is the journals audience they are targeting, as their objective is to publish in a journal that aligns with their specific goals.
10.
Sinonasal malignancies: a retrospective review of a tertiary center experience
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Gani, Kaamil
; Colaço, Tiago
; Castelhano, Luís
; Correia, Filipe
; Gilberto, Nélson
; Reis, Luís Roque dos
; Escada, Pedro
.
Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
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Abstract Objectives: To characterize demographics, presentation, histologic types, treatment and survival of patients with sinonasal malignancies diagnosed at a tertiary hospital center in Portugal. Study design: Retrospective study. Material and methods: Review of clinical records from January 2012 to December 2021. Results: Nineteen patients were included, with male predominance (57.9%) and a mean age at diagnosis of 66.7 ± 9.8 years. The most common presenting symptoms were nasal obstruction and epistaxis (47.4%). Squamous cell carcinoma was the most common histologic subtype (21.1%). Primary surgical therapy was preferred comparative to nonsurgical therapy (84.2% VS 15.8%). Nine patients were submitted to external approach, while 7 patients underwent endonasal endoscopic treatment. The mean follow-up time was 26.9 ± 20.6 months. Five-year overall survival was 53.5% and disease-free survival was 62.8%. Conclusion: In this study prognosis was stage and treatment-dependent, and endoscopic approach was safe and effective in carefully selected patients.
Resumo Objetivos: Caracterizar a demografia, apresentação, tipos histológicos, tratamento e sobrevida de doentes com tumores malignos nasossinusais diagnosticados num centro hospitalar terciário em Portugal. Desenho do estudo: Estudo retrospetivo. Materiais e métodos: Revisão de registos clínicos de janeiro de 2012 a dezembro de 2021. Resultados: Foram incluídos 19 pacientes, com predomínio do género masculino (57,9%) e uma idade média ao diagnóstico de 66,7 ± 9,8 anos. Os sintomas de apresentação mais comuns foram a obstrução nasal e a epistáxis (47,4%). O carcinoma pavimentocelular foi o subtipo histológico mais frequente (21,1%). Houve um predomínio do tratamento cirúrgico primário comparativamente ao tratamento não cirúrgico (84,2% VS 15,8%). Nove doentes foram submetidos a uma abordagem externa, enquanto em 7 a abordagem foi endoscópica endonasal. O tempo médio de seguimento dos doentes foi de 26,9 ± 20,6 meses. A sobrevida global aos 5 anos foi de 53,5% e a sobrevida livre de doença foi de 62,8%. Conclusões: Neste estudo o prognóstico foi dependente do estadio da doença e da modalidade terapêutica, e, a abordagem endoscópica endonasal foi segura e eficaz em doentes devidamente selecionados.
11.
Tratamento Ambulatorial de Levosimedana por 6 Horas como Ponte para Transplante Cardíaco
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Gonçalves, António Valentim
; Reis, João Pedro
; Timóteo, Ana Teresa
; Soares, Rui
; Pereira-da-Silva, Tiago
; Gomes, Valdemar
; Moreira, Rita Ilhão
; Pombo, Delmira
; Carvalho, Tiago
; Correia, Catarina
; Santos, Claudia
; Ferreira, Rui Cruz
.
12.
Validation of Blood Transfusion Risk Scores (TRACK and TRUST) in a Cardiac Surgery Service in Brazil TRACK TRUST
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Cunha, Cristiano Berardo Carneiro da
; Monteiro, Verônica Soares
; Ferraz, Diogo Luiz de Magalhães
; Tchaick, Rodrigo Mezzalira
; Carvalho Júnior, Jeú Delmondes de
; Silva, Igor Tiago Correia
; Figueira, Fernando Augusto Marinho dos Santos
; Andrade, Lívia Barbosa
.
ABSTRACT Introduction: Transfusion of red blood cells is recurrent in cardiac surgery despite the well-established deleterious effects. Identifying patients with higher chances of requiring blood transfusion is essential to apply strategic preventive measures to reduce such chances, considering the restricted availability of this product. The most used risk scores to predict blood transfusion are the Transfusion Risk and Clinical Knowledge (TRACK) and Transfusion Risk Understanding Scoring Tool (TRUST). However, these scores were not validated for the Brazilian population. The objective of this study was to assess the accuracy of TRACK and TRUST scores in estimating the need for postoperative transfusion of red blood cell concentrates (TRBCC) after cardiac surgery. Methods: A clinical retrospective study was conducted using the database of a Brazilian reference service composed of patients operated between November 2019 and September 2021. Scores were compared using Mann-Whitney U test. Hosmer-Lemeshow goodness of fit test assessed calibration of the scores. Accuracy was assessed using the area under the receiver operating characteristic curve (AUC). All analyses considered a level of significance of 5%. The study was approved by the research ethics committee (CAAE 55577421.4.0000.5201). Results: This study assessed 498 patients. Only the TRACK score presented good calibration (P=0.238; TRUST P=0.034). AUC of TRACK was 0.678 (95% confidence interval 0.63 to 0.73; P<0.001), showing a significant accuracy. Conclusion: Between the scores analyzed, only the TRACK score showed a good calibration, but low accuracy, to predict postoperative TRBCC after cardiac surgery. Introduction wellestablished well established effects product (TRACK TRUST. . (TRUST) However population (TRBCC Methods 201 2021 MannWhitney Mann Whitney HosmerLemeshow Hosmer Lemeshow AUC. (AUC) 5 5% CAAE 55577421.4.0000.5201. 55577421400005201 55577421.4.0000.5201 55577421 4 0000 5201 55577421.4.0000.5201) Results 49 P=0.238 P0238 P 0 238 (P=0.238 P=0.034. P0034 P=0.034 034 P=0.034) 0678 678 0.67 95% 95 (95 063 63 0.6 0.73 073 73 P<0.001, P0001 P<0.001 , 001 P<0.001) Conclusion analyzed (TRUST 20 202 (AUC 5557742140000520 55577421.4.0000.520 5557742 000 520 P=0.23 P023 23 (P=0.23 P003 P=0.03 03 067 67 9 (9 06 6 0. 0.7 07 7 P000 P<0.00 00 2 555774214000052 55577421.4.0000.52 555774 52 P=0.2 P02 (P=0.2 P00 P=0.0 ( P<0.0 55577421400005 55577421.4.0000.5 55577 P=0. P0 (P=0. P<0. 5557742140000 55577421.4.0000. 5557 P=0 (P=0 P<0 555774214000 55577421.4.0000 555 P= (P= P< 55577421400 55577421.4.000 55 (P 5557742140 55577421.4.00 555774214 55577421.4.0 55577421.4. 55577421.4 55577421.
13.
AGRICULTURAL TRACTOR: INFLUENCE TO GEAR SELECTION ON ENERGY DEMAND AND COSTS IN SUGARCANE TRANSSHIPMENT TRACTOR
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Lopes, Arthur G. C.
; Marques Filho, Aldir C.
; Correia, Tiago P. da S.
; Firmino, Paulo C.
; Silva, Paulo R. A.
.
ABSTRACT Sugarcane is one of Brazil's leading crops, and the transshipment harvesting operation represents a significant portion of operating costs. Among the primary machines used in harvesting is the tractor-transshipment set, with considerable energy demands. This study focused on evaluating the gear selection effect in an agricultural tractor on operational performance and costs during the sugarcane transshipment operation. The treatments consisted of four operational work gears at different engine speeds: r1 – 1150 rpm, r2 – 1230 rpm, r3 – 1360 rpm, and r4 – 1500 rpm on the engine. The analyzed variables were volumetric and specific fuel consumption, operational efficiency, and operational cost. The variables were adapted from ASABE (2011) methodology, and the data were submitted to parametric statistics and regression analysis. The rotation engine selection in tractors directly affected fuel consumption with positive angular coefficients and r2 between 0.92-0.96. Fuel consumption reduces by 37.5%, adopting 1150 rpm compared to 1500 rpm rotation. The highest rotation (1500 rpm - r4) increased the volumetric and productive fuel consumption, enabling savings up to reduced fuel cost by 1.08 US$ ha -1 . Thus, training sugarcane transshipment operators is essential to optimize the production process efficiency and reduce costs. Brazils Brazil s crops tractortransshipment set demands speeds r 115 123 136 150 2011 (2011 methodology analysis 0.920.96. 092096 0.92 0.96. 0 92 96 0.92-0.96 375 37 5 37.5% (150 108 1 08 1.0 US Thus 11 12 13 15 201 (201 920 0.920.96 09209 092 0.9 096 0.96 9 0.92-0.9 3 37.5 (15 10 1. 20 (20 0.920.9 0920 09 0. 0.92-0. 37. (1 2 (2 0.920. 0.92-0 ( 0.920 0.92-
14.
Avaliação do Programa Criança Feliz: um estudo randomizado em 30 municípios brasileiros
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Santos, Iná S.
; Munhoz, Tiago N.
; Barcelos, Raquel Siqueira
; Blumenberg, Cauane
; Bortolotto, Caroline Cardozo
; Matijasevich, Alicia
; Salum, Cristiane
; Santos Júnior, Hernane Guimarães dos
; Marques, Letícia
; Correia, Luciano
; Souza, Marta Rovery de
; Lira, Pedro Israel Cabral de
; Pereira, Vitor
; Victora, Cesar G.
.
Resumo O Programa Criança Feliz (PCF) atinge 1,4 milhão de crianças brasileiras menores de três anos com visitas domiciliares visando o desenvolvimento neuropsicomotor. Com base em modelo conceitual, avaliou-se implementação e impacto do PCF em estudo randomizado, em 30 municípios. Ao todo 3.242 crianças foram alocadas para o grupo intervenção (GI) ou controle (GC), sendo 80,0% acompanhadas prospectivamente durante três anos. O desenvolvimento foi avaliado pelo Ages and Stages Questionnaire (ASQ3). Análises por intenção de tratar mostraram escores médios de 203,3 no GI e 201,3 no GC. Análises adicionais com variáveis instrumentais e emparelhamento por escores de propensão tampouco mostraram efeito, uma vez que o número de contatos recebidos não esteve associado aos escores ASQ3. Tampouco foi observado impacto sobre estimulação, interações responsivas ou atributos psicológicos das crianças. As visitas foram interrompidas durante 12 meses devido à COVID-19, sendo substituídas por contatos virtuais. O estudo de implementação revelou baixa cobertura no GI, contaminação do GC, deficiências na gestão e baixa qualidade das visitas em muitos municípios. O estudo não demonstrou impacto do PCF implementado sob condições de rotina e fornece elementos para seu aprimoramento.
Abstract The Happy Child Program (Programa Criança Feliz - PCF, in Portuguese) reaches 1.4 million Brazilian children under three years of age with home visits aimed at promoting neuropsychomotor development. Based on a conceptual model, PCF implementation and impact were evaluated in a randomized study in 30 municipalities. A total of 3,242 children were allocated to the intervention (IG) or control (CG) group, 80.0% of whom were prospectively followed up from late 2018 to late 2021. Development was assessed by the Ages and Stages Questionnaire (ASQ3). During the three-year study period, visits were replaced by virtual contacts for an average of 12 months due to COVID-19. At the endline survey, intent-to-treat analyses showed mean scores of 203.3 in the IG and 201.3 in the CG. Additional analyses using instrumental variables and propensity scores matching also showed no effect, since the number of contacts with the program was not associated with ASQ3 scores. No impact was observed on stimulation, responsive interactions or psychological attributes of children. The implementation study revealed low coverage in the IG, contamination of the CG, deficiencies in management and low quality of visits in many municipalities. The study did not demonstrate an impact of PCF implemented under routine conditions, but provides elements for its improvement.
15.
Schwannoma vestibular: experiência do Hospital de Egas Moniz entre 2007 e 2021
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Branco, Pedro
; Colaço, Tiago
; Oliveira, João Pedro
; Castelhano, Luís
; Correia, Filipe
; Pereira, Sílvia
; Marques, Luís
; Escada, Pedro
.
Revista Portuguesa Otorrinolaringologia e Cirurgia de Cabeça e Pescoço
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Abstract Objective: To report the experience of a tertiary center in the diagnostic approach, therapeutic decision and follow-up of patients with sporadic vestibular schwannoma. Material and Methods: Retrospective study of patients with sporadic vestibular schwannoma followed at Hospital Egas Moniz between 2007 and 2021. Demographic and clinical data, tumor classification, treatment decision and outcomes of 79 patients were collected from clinical records and the following outcomes analyzed: tumor resection; hearing loss; and degree of facial paralysis. Results: 28% of the operated patients had a total or near-total resection of the tumor and 72% a subtotal resection. In 7 of each 8 retrosigmoid surgeries resulted in cophosis. Same result occurs in 2 of the 3 middle fossa approaches. No difference was found in the prevalence of facial paralysis between the various surgical approaches. Conclusion: This is one of the largest series reported nationally. The outcomes evaluated are similar to published international series.
Resumo Objectivo: Reportar a experiência dum centro terciário na abordagem diagnóstica, decisão, terapêutica e seguimento dos doentes com schwannoma vestibular esporádico. Material e Métodos: Estudo retrospetivo dos doentes com schwannoma vestibular esporádico, seguidos no Hospital Egas Moniz entre 2007 e 2021. Foram recolhidos os dados demográficos, clínicos, classificação dos tumores, decisão do tratamento e resultados de 79 doentes e analisados os seguintes outcomes: grau de resseção do tumor; perda auditiva; e grau de paralisia facial. Resultados: 28% dos doentes operados tiveram uma resseção completa ou quase completa do tumor e 72% uma resseção subtotal. 7 em cada 8 doentes operados por via retrosigmoideia ficaram cofóticos, assim como 2 dos 3 doentes por via da fossa média. Não foi encontrada diferença na prevalência da paralisia facial entre as várias abordagens cirúrgicas. Conclusão: Esta é uma das maiores séries reportadas a nível nacional. Os outcomes obtidos são semelhantes aos de séries internacionais publicadas.
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