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[SciELO Preprints] - Guidelines on the Diagnosis and Treatment of Hypertrophic Cardiomyopathy – 2024
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Fernandes, Fabio Simões, Marcus V. Correia, Edileide de Barros Marcondes-Braga, Fabiana G. Coelho-Filho, Otavio Rizzi Mesquita, Cláudio Tinoco Mathias-Junior, Wilson Rochitte, Carlos Eduardo Ramires, Felix José Alvarez Alves, Silvia Marinho Martins Montera, Marcelo Westerlund Lopes, Renato Delascio Oliveira-Junior, Mucio Tavares Scolari, Fernando L. Avila, Walkiria Samuel Canesin, Manoel Fernandes Bacal, Fernando Bocchi, Edimar Alcides Moura, Lídia Ana Zytynski Saad, Eduardo Benchimol Scanavacca, Mauricio I. Valdigem, Bruno Pereira Cano , Manuel Nicolas Abizaid , Alexandre Ribeiro, Henrique Barbosa Lemos-Neto, Pedro Alves Ribeiro, Gustavo Calado de Aguiar Jatene, Fabio Biscegli Dias, Ricardo Ribeiro Beck-da-Silva, Luis Rohde, Luis Eduardo P. Bittencourt, Marcelo Imbroinise Pereira, Alexandre Krieger, José Eduardo Villacorta, Humberto Martins, Wolney de Andrade Figueiredo-Neto, José Albuquerque de Cardoso , Juliano Novaes Pastore, Carlos Alberto Jatene, Ieda Biscegli Tanaka, Ana Cristina Sayuri Hotta, Viviane Tiemi Romano, Minna Moreira Dias Albuquerque, Denilson Campos de Mourilhe-Rocha, Ricardo Hajjar, Ludhmila Abrahão Brito, Fabio Sandoli de Caramelli , Bruno Calderaro, Daniela Farsky, Pedro Silvio Colafranceschi , Alexandre Siciliano Pinto, Ibraim Masciarelli Vieira , Marcelo Luiz Campos Danzmann, Luiz Claudio Barberato , Silvio Henrique Mady, Charles Martinelli-Filho, Martino Torbey , Ana Flavia Malheiros Schwartzmann, Pedro Vellosa Macedo, Ariane Vieira Scarlatelli Ferreira , Silvia Moreira Ayub Schmidt, Andre Melo , Marcelo Dantas Tavares de Lima-Filho, Moysés Oliveira Sposito, Andrei C. Brito, Flavio de Souza Biolo, Andreia Madrini-Junior, Vagner Rizk, Stéphanie Itala Mesquita, Evandro Tinoco

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Publication date: 2024-04-08

Abstract: Pt Es En

A cardiomiopatia hipertrófica (CMH) é uma forma de doença do músculo cardíaco de causa genética, caracterizada pela hipertrofia das paredes ventriculares. O diagnóstico requer detecção por métodos de imagem (Ecocardiograma ou Ressonância Magnética Cardíaca) de qualquer segmento da parede do ventrículo esquerdo com espessura > 15 mm, sem outra causa provável. A análise genética permite identificar mutações de genes codificantes de diferentes estruturas do sarcômero responsáveis pelo desenvolvimento da CMH em cerca de 60% dos casos, permitindo o rastreio de familiares e aconselhamento genético, como parte importante do manejo dos pacientes e familiares. Vários conceitos sobre a CMH foram recentemente revistos, incluindo sua prevalência de 1 em 250 indivíduos, não sendo, portanto, uma doença rara, mas subdiagnosticada. A vasta maioria dos pacientes é assintomática. Naqueles sintomáticos, a obstrução do trato de saída do ventrículo esquerdo (OTSVE) é o principal distúrbio responsável pelos sintomas, devendo-se investigar a sua presença em todos os casos. Naqueles em que o ecocardiograma em repouso ou com Manobra de Valsalva não detecta gradiente intraventricular significativo (> 30 mmHg), devem ser submetidos à ecocardiografia com esforço físico para detecção da OTSVE.   Pacientes com sintomas limitantes e grave OTSVE, refratários ao uso de betabloqueadores e verapamil, devem receber terapias de redução septal ou uso de novas drogas inibidoras da miosina cardíaca. Por fim, os pacientes adequadamente identificados com risco aumentado de morta súbita podem receber medida profilática com implante de cardiodesfibrilador implantável (CDI).

La miocardiopatía hipertrófica (MCH) es una forma de enfermedad cardíaca de origen genético, caracterizada por el engrosamiento de las paredes ventriculares. El diagnóstico requiere la detección mediante métodos de imagen (Ecocardiograma o Resonancia Magnética Cardíaca) que muestren algún segmento de la pared ventricular izquierda con un grosor > 15 mm, sin otra causa probable. El análisis genético permite identificar mutaciones en genes que codifican diferentes estructuras del sarcómero responsables del desarrollo de la MCH en aproximadamente el 60% de los casos, lo que permite el tamizaje de familiares y el asesoramiento genético, como parte importante del manejo de pacientes y familiares. Varios conceptos sobre la MCH han sido revisados recientemente, incluida su prevalencia de 1 entre 250 individuos, por lo tanto, no es una enfermedad rara, sino subdiagnosticada. La gran mayoría de los pacientes son asintomáticos. En los casos sintomáticos, la obstrucción del tracto de salida ventricular izquierdo (TSVI) es el trastorno principal responsable de los síntomas, y su presencia debe investigarse en todos los casos. En aquellos en los que el ecocardiograma en reposo o la maniobra de Valsalva no detecta un gradiente intraventricular significativo (> 30 mmHg), deben someterse a ecocardiografía de esfuerzo para detectar la obstrucción del TSVI. Los pacientes con síntomas limitantes y obstrucción grave del TSVI, refractarios al uso de betabloqueantes y verapamilo, deben recibir terapias de reducción septal o usar nuevos medicamentos inhibidores de la miosina cardíaca. Finalmente, los pacientes adecuadamente identificados con un riesgo aumentado de muerte súbita pueden recibir medidas profilácticas con el implante de un cardioversor-desfibrilador implantable (CDI).

Hypertrophic cardiomyopathy (HCM) is a form of genetically caused heart muscle disease, characterized by the thickening of the ventricular walls. Diagnosis requires detection through imaging methods (Echocardiogram or Cardiac Magnetic Resonance) showing any segment of the left ventricular wall with a thickness > 15 mm, without any other probable cause. Genetic analysis allows the identification of mutations in genes encoding different structures of the sarcomere responsible for the development of HCM in about 60% of cases, enabling screening of family members and genetic counseling, as an important part of patient and family management. Several concepts about HCM have recently been reviewed, including its prevalence of 1 in 250 individuals, hence not a rare but rather underdiagnosed disease. The vast majority of patients are asymptomatic. In symptomatic cases, obstruction of the left ventricular outflow tract (LVOT) is the primary disorder responsible for symptoms, and its presence should be investigated in all cases. In those where resting echocardiogram or Valsalva maneuver does not detect significant intraventricular gradient (> 30 mmHg), they should undergo stress echocardiography to detect LVOT obstruction. Patients with limiting symptoms and severe LVOT obstruction, refractory to beta-blockers and verapamil, should receive septal reduction therapies or use new drugs inhibiting cardiac myosin. Finally, appropriately identified patients at increased risk of sudden death may receive prophylactic measure with implantable cardioverter-defibrillator (ICD) implantation.

https://doi.org/10.1590/SciELOPreprints.8394

Organic and mineral fertilization determining the agronomic performance of sunflower cultivars and soil chemical attributes
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Silva, Weslian V. da

; Taveira, José H. da S.

; Fernandes, Patrick B.

; Silva, Patrícia C.

; Costa, Ana B. G. da

; Costa, Carolina M.

; Giongo, Pedro R.

; Corioletti, Níbia S. D.

; Gurgel, Antonio L. C.

Revista Brasileira de Engenharia Agrícola e Ambiental

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dec 2023, Volume 27 N. 12 Pages 927 - 933

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

ABSTRACT This study aimed to verify the effect of the application of filter cake, via soil and in association with mineral fertilization, on sunflower cultivars (Helianthus annuus L.) and the chemical properties of the soil. The experimental design used was randomized blocks in a 3 × 2 factorial scheme with six replicates, totaling 36 experimental units. Three sunflower cultivars (Sany 66, Nusol 4140, and Nusol 4170) and two fertilization strategies (mineral fertilization with and without filter cake) were used. Resorting to the filter cake increased the oil concentration in Sany 66. Mineral fertilization did not significantly affect achene production, with mean values being 2561.58 kg ha-1. However, including filter cake resulted in a 21% increase in phosphorus (P) content in the 0-0.20 m soil layer in sunflower crops of the Nusol 4140 variety. Therefore, fertilization with filter cake, in combination with chemical fertilizers or alone, can be an effective strategy to increase soil P content and oil concentration in sunflower cultivation.

RESUMO Este estudo teve como objetivo verificar o efeito da aplicação de torta de filtro, via solo e em associação com a fertilização mineral, em cultivares de girassol (Helianthus annuus L.) e nas propriedades químicas do solo. O delineamento experimental utilizado foi em blocos casualizados, em esquema fatorial 3 × 2, com seis repetições, totalizando 36 unidades experimentais. Foram utilizadas três cultivares de girassol (Sany 66, Nusol 4140 e Nusol 4170) e duas estratégias de fertilização (fertilização mineral com e sem torta de filtro). O uso da torta de filtro aumentou a concentração de óleo na cultivar Sany 66. A fertilização mineral não afetou a produção de aquênios, sendo obtido valores médios de 2561,58 kg ha-1. No entanto, a inclusão da torta de filtro resultou em um aumento de 21% no teor de fósforo (P) na camada de solo de 0-0,20 m em cultivos de girassol da variedade Nusol 4140. Portanto, a fertilização com torta de filtro, em combinação com fertilizantes químicos ou isoladamente, pode ser uma estratégia eficaz para aumentar o teor de P no solo e a concentração de óleo no cultivo de girassol.

https://doi.org/10.1590/1807-1929/agriambi.v27n12p927-933

Saúde mental de agentes comunitários de saúde no contexto da COVID-19
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Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Farias, Sidney Feitoza

; Forte, Franklin Delano Soares

; Costa, Milena Silva

; Guimarães, José Maria Ximenes

; Morais, Ana Patrícia Pereira

; Oliveira, André Luiz Sá de

; Silva Júnior, Fernando José Guedes da

; Nascimento, Elaine Ferreira do

; Vasconcelos, Maristela Inês Osawa

; Dias, Maria Socorro de Araújo

; Oliveira, Felipe Proenço de

; Machado, Maria de Fátima Antero Sousa

; Castro, Marcia C.

; Yousafzai, Aisha Khizar

Ciência & Saúde Coletiva

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2023, Volume 28 N. 8 Pages 2363 - 2376

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

Resumo O objetivo deste estudo foi analisar os fatores relacionados à saúde mental dos agentes comunitários de saúde (ACS) no contexto da COVID-19. Participaram 1.935 ACS de quatro capitais nordestinas e de quatro cidades do interior do Ceará. Foram coletados dados sociodemográficos e profissiográficos; SRQ-20; WHOQOL-Bref; exposição à violência; Escala de Autoeficácia Geral (EAEG); Escala Multidimensional de Suporte Social Percebido (MSPSS); informações relacionadas à COVID-19 e Escala de Ansiedade para Coronavírus (EAC). 40,5% exibiram SRQ > 7, sinalizando altos níveis de transtornos mentais comuns (TMC)/problemas de saúde mental. Utilizou-se a regressão linear múltiplas (backward). Observou-se que o aumento de risco de TCM foi influenciado pelos seguintes fatores: exposição à violência; EAC; não saber se teve COVID-19; desconhecer as variáveis que diminuíam o risco; os domínios físico e psicológico do WHOQOL-Bref; não ter aumento da jornada de trabalho; e não ter tido COVID-19. Os dados revelam a dinâmica multidimensional da saúde mental e ajudam a compreender a relação entre violência comunitária, COVID-19, qualidade de vida, idade e tempo de atuação na ESF com a saúde mental dos ACS.

Abstract This study aimed to analyze the factors related to the mental health of Community Health Workers (ACS) in the COVID-19 context. A total of 1,935 ACS from four Northeastern capitals and four cities in the inland region of Ceará participated. The following data were collected: sociodemographic; professional; SRQ-20; WHOQOL-Bref, exposure to violence, General Self-Efficacy Scale (EAEG), Multidimensional Scale of Perceived Social Support (MSPSS), COVID-19-related information, and the coronavirus anxiety scale (EAC). Approximately 40.5% had SRQ > 7, signaling high levels of Common Mental Disorders (CMD)/mental health issues. We adopted the Multiple linear (backward) regression. We observed that the increased risk of CMD was influenced by exposure to violence, EAC, not knowing they had COVID-19, not knowing the variables that reduced the risk, the physical and psychological domains of the WHOQOL-Bref, not having increased working hours, and not having had COVID-19. The data reveal the multidimensional dynamics of mental health and help understand the relationship between community violence, COVID-19, quality of life, age, and ESF working time with the mental health of ACS.

https://doi.org/10.1590/1413-81232023288.06462023

Community health workers perspective on the COVID-19 impact on primary health care in Northeastern Brazil
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Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Forte, Franklin Delano Soares

; Guimarães, José Maria Ximenes

; Farias, Sidney Feitoza

; Oliveira, André Luiz Sá de

; Dias, Maria Socorro de Araújo

; Monteiro, Claudete Ferreira de Souza

; Guedes da Silva Júnior, Fernando José

; Morais, Ana Patrícia Pereira

; Moreira, Maria Rosilene Candido

; Castro, Márcia C.

; Yousafzai, Aisha Khizar

Cadernos de Saúde Pública

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2023, Volume 39 N. 7 elocation e00007223

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

Resumo: Este artigo avalia as repercussões da pandemia da COVID-19 no cotidiano de trabalho da equipe da Estratégia Saúde da Família (ESF) em diversos municípios do Nordeste brasileiro, na perspectiva dos agentes comunitários de saúde (ACS). Um questionário estruturado foi utilizado para coletar informações sobre a COVID-19, atividades dos ACS e equipes da ESF em 2021. Participaram 1.935 ACS de quatro capitais (Fortaleza - Ceará, João Pessoa - Paraíba, Recife - Pernambuco e Teresina - Piauí) e quatro cidades do interior (Crato, Juazeiro do Norte, Barbalha e Sobral, Ceará). A idade média dos ACS era de 46,25±8,54 anos, sendo a maioria mulheres (82,42%). Muitos (39,92%) estavam infectados com COVID-19, dos quais 70,78% acreditavam ter sido infectados no ambiente de trabalho. Ao todo, 77,82% definiam seu papel como linha de frente no combate à COVID-19, 16,07% relataram receber treinamento para a COVID-19 e 13,74% tinham acesso a equipamentos de proteção suficientes contra a COVID-19. A maioria (90,27%) acredita que suas rotinas de trabalho foram modificadas pela pandemia, fortalecendo o espírito de equipe (41,46%) ou enfraquecendo-o (44,41%). Houve uma redução na promoção da saúde nas escolas (75,66%) e na frequência de visitas domiciliares (60,55%), de grupos específicos na comunidade (93,96%) e outros serviços comunitários locais (66,01%). Nos municípios avaliados, observou-se uma heterogeneidade significativa em relação à resposta à pandemia de COVID-19, possivelmente associada à falta de coordenação do Governo Federal. A pandemia levou a uma reconfiguração dos sistemas locais de saúde, fluxos de trabalho e protocolos de atenção primária para as equipes da ESF. A importância do Sistema Único de Saúde (SUS) e seu potencial de reorganização durante as crises devem ser reconhecidos, preservando-se os avanços alcançados até o momento.

Resumen: Este artículo evalúa las repercusiones de la pandemia de COVID-19 en el trabajo cotidiano del equipo de la Estrategia Salud de la Familia (ESF) en diversos municipios del Nordeste brasileño, desde la perspectiva de los agentes comunitarios de salud (ACS). Se utilizó un cuestionario estructurado para recopilar información sobre COVID-19, actividades de los ACS y equipos de la ESF en el 2021. Participaron 1.935 ACS de cuatro capitales (Fortaleza - Ceará, João Pessoa - Paraíba, Recife - Pernambuco y Teresina - Piauí) y cuatro ciudades del interior (Crato, Juazeiro do Norte, Barbalha y Sobral - Ceará). La edad media de los ACS era de 46,25±8,54 años, y la mayoría eran mujeres (82,42%). Muchos (39,92%) estaban infectados con COVID-19, de los cuales el 70,78% creía haberse contagiado en el entorno laboral. En total, el 77,82% definió su papel como línea de frente en el combate a la COVID-19, el 16,07% informó haber recibido capacitación para la COVID-19 y el 13,74% tuvo acceso a equipos de protección suficiente contra la COVID-19. La mayoría (90,27%) cree que sus rutinas de trabajo se vieron modificadas por la pandemia, fortaleciendo el espíritu de equipo (41,46%) o debilitándolo (44,41%). Hubo una reducción en la promoción de la salud en las escuelas (75,66%) y en la frecuencia de las visitas domiciliarias (60,55%), de grupos específicos en la comunidad (93,96%) y otros servicios comunitarios locales (66,01%). En los municipios analizados, se observó una heterogeneidad significativa con relación a la respuesta a la pandemia de COVID-19, posiblemente asociada a la falta de coordinación del Gobierno Federal. La pandemia condujo a una reconfiguración de los sistemas locales de salud, los flujos de trabajo y los protocolos de atención primaria para los equipos de la ESF. Se debe reconocer la importancia del Sistema Único de Salud y (SUS) su capacidad de reorganización durante las crisis, preservando los avances logrados hasta el momento.

Abstract: This article evaluates the COVID-19 pandemic impacts on the Family Health Strategy (FHS) team’s work routines across a range of northeast Brazilian cities as perceived by community health workers (CHW). Data on COVID-19, CHW activities, and FHS teams were collected in 2021 by a structured questionnaire. A total of 1,935 CHWs from four state capitals (Fortaleza - Ceará State, João Pessoa - Paraíba State, Recife - Pernambuco State, Teresina - Piauí State) and four hinterland cities (Crato, Juazeiro do Norte, Barbalha, Sobral - Ceará State) participated in the study. Most CHWs were women (82.42%), with mean age 46.25±8.54 years. Many (39.92%) were infected with COVID-19, of which 70.78% believed they were infected in the workplace. A total of 77.82% defined their role as frontline in the fight against COVID-19, 16.07% reported receiving training for COVID-19, and 13.74% had access to sufficient protective equipment. Most (90.27%) believed their work routines were modified by the pandemic, either strengthening (41.46%) or weakening (44.41%) the team spirit. Home visits (60.55%), health promotion actions in schools (75.66%) and in specific community groups (93.96%), and other on-site community services (66.01%) showed a reduction in frequency. The sampled cities revealed a significant heterogeneity regarding responses to the COVID-19 pandemic, possibly associated with a lack of coordination by the Federal Government. Regardless of context, the pandemic led to a reconfiguration of local health systems, workflows, and primary care protocols for FHS teams. The importance of the Brazilian Unified National Health System (SUS) and its potential for reorganization during crisis should be acknowledged while preserving the headway made thus far.

https://doi.org/10.1590/0102-311xen007223

Saúde mental de agentes comunitários de saúde no contexto da COVID-19
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Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Farias, Sidney Feitoza

; Forte, Franklin Delano Soares

; Costa, Milena Silva

; Guimarães, José Maria Ximenes

; Morais, Ana Patrícia Pereira

; Oliveira, André Luiz Sá de

; Silva Júnior, Fernando José Guedes da

; Nascimento, Elaine Ferreira do

; Vasconcelos, Maristela Inês Osawa

; Dias, Maria Socorro de Araújo

; Oliveira, Felipe Proenço de

; Machado, Maria de Fátima Antero Sousa

; Castro, Marcia C.

; Yousafzai, Aisha Khizar

Ciência & Saúde Coletiva

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2023, Volume 28 N. 8 Pages 2363 - 2376

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

https://doi.org/10.1590/1413-81232023288.06462023

Multidisciplinary Scientific Cruises for Environmental Characterization in the Santos Basin – Methods and Sampling Design
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Moreira, Daniel L.

; Dalto, Adriana G.

; Figueiredo JR, Alberto G.

; Valerio, Aline M.

; Detoni, Amalia M. S.

; Bonecker, Ana C. T.

; Signori, Camila N.

; Namiki, Cláudia

; Sasaki, Dalton K.

; Pupo, Daniel V.

; Silva, Danilo A.

; Kutner, Deborah S.

; Duque-Castaño, Diana C.

; Marcon, Eduardo H.

; Gallotta, Fabiana D. C.

; Paula, Fabiana S.

; Gallucci, Fabiane

; Roque, Gabriela C. F.

; Campos, Giulia S.

; Fonseca, Gustavo

; Mattos, Gustavo

; Lavrado, Helena P.

; Silveira, Ilson C. A. da

; Costa, Jessica O.

; Santos Filho, João R. dos

; Carneiro, Juliane C.

; Moreira, Julio C.F.

; Rozo, Laura

; Araujo, Leandro F.M.

; Lazzari, Letícia

; Silva, Letícia O. da

; Michelazzo, Luan S.

; Fernandes, Luciano F.

; Dottori, Marcelo

; Araújo Jr., Marcus A. G. de

; Chuqui, Mateus G.

; Ceccopieri, Milena

; Borges-Silva, Milton

; Kampel, Milton

; Bergo, Natascha M.

; Silva, Paulo V. M.

; Tura, Pedro M.

; Moura, Rafael B. de

; Romano, Renato G.

; Martins, Renato P.

; Carreira, Renato S.

; Toledo, Rodrigo G.A.

; Bonecker, Sérgio L.C.

; Disaró, Sibelle T.

; Rodrigues, Silvana V.

; Corbisier, Thais N.

; Vicente, Thaisa M.

; Paiva, Vitor G. de

; Pellizari, Vivian H.

; Belo, Wellington C.

; Brandini, Frederico P.

; Sousa, Silvia H.M

Ocean and Coastal Research

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2023, Volume 71 Suppl. 3 elocation e23022

Abstract: En | Text: En | PDF: En

Abstract The Santos Basin (SB) is the main petroliferous basin in the Brazilian continental margin and one of the most studied marine areas in Brazil. However, historical data suggest that new efforts should be carried out to acquire quantitative biological data, especially in the deep sea, to establish the baseline of essential ocean variables in different ecosystems for future monitoring programs. The Brazilian energy company Petrobras planned and executed 24 oceanographic cruises over a period of 2 years to assess the benthic (SANSED cruise) and pelagic (SANAGU cruise) systems of the SB (356 days at sea in 2019 and 2021/2022). These efforts were part of the Santos Project, which comprised a comprehensive environmental study aimed at investigating benthic and pelagic variables to characterize ecology, biogeochemistry, thermohaline properties of water masses, and ocean circulation patterns, geomorphology, and sedimentology, as well as organic and inorganic chemistry. Here we present the detailed sampling designs and the field methods employed on board, during the SB scientific cruises. All sampling protocols were based on standardized approaches. For the benthos analyses, triplicate sediment samples were performed using a GOMEX-type box corer (0.25 m²) or a large modified Van Veen grab (0.75 m²) at 100 stations ranging from 25 to 2400 m depth. At each station, 25 geochemical and physico-chemical parameters were analyzed in addition to micro-, meio-, and macrofauna and living foraminifera samples. For the pelagic system, 60 stations were selected to investigate the plankton community, ranging in size from pico- to macroplankton, through vertical, horizontal, and oblique net hauls (20, 200, and 500 μm mesh size), as well as 25 biogeochemical parameters collected with an aid of a CTD-rosette sampler. Part of this scientific information also serves the Regional Environmental Characterization Project (PCR-BS) in support of Petrobras’ Santos Basin drilling licensing process led by the Brazilian Environmental Agency – IBAMA. This project contributes to the sustainable development of the SB, in line with the guidelines of the United Nations Decade of Ocean Science for Sustainable Development.

https://doi.org/10.1590/2675-2824071.22072dlm

Community health workers perspective on the COVID-19 impact on primary health care in Northeastern Brazil
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Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Forte, Franklin Delano Soares

; Guimarães, José Maria Ximenes

; Farias, Sidney Feitoza

; Oliveira, André Luiz Sá de

; Dias, Maria Socorro de Araújo

; Monteiro, Claudete Ferreira de Souza

; Guedes da Silva Júnior, Fernando José

; Morais, Ana Patrícia Pereira

; Moreira, Maria Rosilene Candido

; Castro, Márcia C.

; Yousafzai, Aisha Khizar

Cadernos de Saúde Pública

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2023, Volume 39 N. 7 elocation e00007223

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

https://doi.org/10.1590/0102-311xen007223

BIOMARCADORES MOLECULARES DE DOENÇAS HUMANAS: CONCEITOS FUNDAMENTAIS, MODELOS DE ESTUDO E APLICAÇÕES CLÍNICAS
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Zamora-Obando, Hans R.

; Godoy, Adriana T.

; Amaral, Alan G.

; Mesquita, Alessandra de S.

; Simões, Bruna Eduarda S.

; Reis, Heloise O.

; Rocha, Isabela

; Dallaqua, Matheus

; Baptistão, Mariana

; Fernandes, Milena Cristina V.

; Lima, Monica F.

; Simionato, Ana Valéria C.

Química Nova

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sep 2022, Volume 45 N. 9 Pages 1098 - 1113

Abstract: Pt | Text: Pt | PDF: Pt

Molecular biomarkers correspond to all endogenous or exogenous biomolecules, whose presence or alteration in metabolic pathways indicate the response of a biological system to a disturbance caused by internal or external factors. The search for biomarkers has allowed deepening the knowledge of complex pathophysiological mechanisms of diseases, interactions with potential drugs, and the improvement of diagnostic and therapeutic tests, establishing itself as a central point in personalized medicine. In addition, the development of the omics sciences has fostered an increasing exploration in this field of research. This review presents essential and relevant concepts in biomarker research, explores the various definitions and classifications of biomarkers according to their purpose, the critical aspects to be considered in experimental design, the primary employed study models (in vivo, in vitro, and in silico) and the factors that have hindered their ultimate implementation. Finally, important, and current clinical and pharmacological research areas in which biomarker research play a central role are presented.

https://doi.org/10.21577/0100-4042.20170905

Phosphoric acid containing proanthocyanidin enhances bond stability of resin/dentin interface
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Rey, Yumi C. Del

; Palma-Dibb, Regina G.

; França, Rodrigo

; Paula-Silva, Francisco W.G.

; Guedes, Débora F.C.

; Fiuza, Cristina

; Fernandes, Ana C.B.C.J.

; Faraoni, Juliana J.

; Roselino, Lourenço M.R.

Brazilian Dental Journal

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aug 2022, Volume 33 N. 4 Pages 62 - 70

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

Resumo A proantocianidina (PA) é um biomodificador dentinário promissor devido a sua capacidade de estabilizar as fibrilas colágenas contra a degradação por metaloproteinases da matriz (MMPs); no entanto, o protocolo mais eficaz para a incorporação de PA em procedimentos adesivos ainda não está claro. Este estudo avaliou o efeito da biomodificação da dentina com um condicionador ácido contendo PA na atividade de MMPs, morfologia da interface adesiva e resistência à microtração resina-dentina. Molares humanos extraídos foram lixados para exposição da dentina e condicionados com ácido por 15 s de acordo com os grupos: EXP - ácido fosfórico experimental; EXP+PA - ácido fosfórico experimental com 10% PA; TE - sistema total-etch; SE - sistema self-etch. As amostras foram restauradas com resina composta e armazenadas em água destilada (37ºC). A atividade de MMP e morfologia da interface foram analisadas após 24 h por zimografia in situ (n=6) e microscopia eletrônica de varredura (n=3), respectivamente. A resistência à microtração resina-dentina (μTBS) foi avaliada após 24 horas e 6 meses de armazenamento (n=6). Atividade de MMP detectada na dentina condicionada foi significativamente maior em comparação com a dentina não tratada (p <0,05), mas não houve diferenças entre os diferentes ácidos. Tags e microtags de resina, indicativos de uma penetração adequada do sistema adesivo nos túbulos e microtúbulos dentinários, foram observadas ao longo da camada híbrida em todos os grupos. Não houve diferença entre os valores de μTBS de 24 h e 6 meses para EXP+PA; além disso, EXP+PA apresentou maiores valores de μTBS após 6 meses em comparação com TE e EXP (p <0,05). Os resultados sugerem que a biomodificação por 15 s não foi suficiente para reduzir significativamente a atividade de MMP; apesar disso, EXP + PA foi capaz de melhorar a estabilidade da interface resina-dentina em comparação com sistemas total- e self-etch comerciais.

Abstract Proanthocyanidin (PA) is a promising dentin biomodifier due to its ability to stabilize collagen fibrils against degradation by matrix metalloproteinases (MMPs); however, the most effective protocol to incorporate PA into bonding procedures is still unclear. This study evaluated the effect of dentin biomodification with a PA acid etchant on MMP activity, adhesive interface morphology and resin-dentin microtensile bond strength. Sound extracted human molars were flattened to expose dentin and acid-etched for 15 s according to the groups: EXP - experimental phosphoric acid; EXP+PA - experimental phosphoric acid 10% PA; TE - total-etching system; SE - self-etching system. Samples were restored with composite resin and stored in distilled water (37ºC). MMP activity and interface morphology were analyzed after 24 h by in situ zymography (n=6) and scanning electron microscopy (n=3), respectively. The resin-dentin microtensile bond strength (μTBS) was evaluated after 24 h and 6 months storage (n=6). Significantly higher MMP activity was detected in etched dentin compared with untreated dentin (p<0.05), but no difference among acid groups was found. Resin tags and microtags, indicative of proper adhesive system penetration in dentinal tubules and microtubules, were observed along the hybrid layer in all groups. There was no difference in μTBS between 24 h and 6 months for EXP+PA; moreover, it showed higher long-term μTBS compared with TE and EXP (p<0.05). The results suggest that 15 s of biomodification was not sufficient to significantly reduce MMP activity; nonetheless, EXP+PA was still able to improve resin-dentin bond stability compared with total- and self-etching commercial systems.

https://doi.org/10.1590/0103-6440202203941

10.

ESTUDO ONE-POT DA APLICAÇÃO DO CATALISADOR DE GRUBBS DE PRIMEIRA GERAÇÃO EM REAÇÕES DE METÁTESE DA PIPERINA E EUGENOL: A INFLUÊNCIA DA LIGAÇÃO DUPLA TERMINAL
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Costa, Ana K. B.

; Fernandes, Kerlane A.

; Vieira, Vanessa B.

; França, Aline A. C.

; Lima, Wanessa A.

; Almeida, Pedro M. de

; Matos, José M. E. de

; Neto, Benedito S. L.

; Sá, José L. S.

; Martins, Francielle A.

Química Nova

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aug 2022, Volume 45 N. 8 Pages 929 - 934

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

In this paper, the piperine (PIP) and eugenol (EUG) organic compounds were used as substrates in olefin metathesis reactions catalyzed by first-generation Grubbs catalyst (G1) - [RuCl2(PCy3)2(=CHPh)], Cy is cyclohexyl and Ph is phenyl, in a one-pot system. The reactions occurred at 50 ºC, for 24, 48, or 96 h using the two substrates simultaneously in the ratio Ru:PIP:EUG of 1:1:1 and 1:10:10 mol. The results were evaluated by GC-MS, discussed in terms of the electronic and steric characteristics of the G1, and the structural proprieties of the substrates. In the Ru:PIP:EUG ratio of 1:1:1 mol, a dimeric species was observed for the olefin metathesis of EUG, in all time studied and in an additional experiment at 70 ºC for 48 h. When the Ru:PIP:EUG ratio was 1:10:10 mol, this dimer was not observed. Isomerization processes also were observed at all temperatures and catalyst:substrates ratio. The reaction yield increased with the raise of substrates amount. There was no cross-metathesis reaction. This fact was attributed to the chelating effect of the double coordination of the PIP to the catalyst.

https://doi.org/10.21577/0100-4042.20170901

11.

OBSERVAÇÃO DE HOMODÍMERO DO TIPO BIS-1,3-BENZODIOXONA SINTETIZADO VIA METÁTESE DE OLEFINAS DA PIPERINA CATALISADA POR PRÉ-CATALISADORES DE RU(II) NÃO COMERCIAIS
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Fernandes, Kerlane A.

; França, Aline Aparecida C.

; Costa, Ana Karina B.

; Silva, Eliada A. da

; Lima-Neto, Benedito dos S.

; Batista, Nouga C.

; Sá, José Luiz S.

Química Nova

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jul 2022, Volume 45 N. 7 Pages 777 - 781

Abstract: Pt | Text: Pt | PDF: Pt

LN-1 and LN-2 are two Ru(II) complexes coordinated to the phosphine and amines simultaneously, each with two chlorides. PPh3 is the phosphine and the amine is piperidine (LN-1) and perhydroazepine (LN-2). The two compounds are complexes five-coordinated square pyramidal geometry, with the amine in the axial plane. LN-1 and LN-2 were tested for the first time as initiator for piperine self-metathesis olefin. The system variables chosen to this study were the reactional time (24, 48 and 72 h), catalyst:substrate ratio (1:1 and 1:10 mol) and temperature (25 e 50 ºC). Results were analyzed by GC-ME. None olefin metathesis product was noted in the experiments to 25 ºC for until 72 h, in any catalyst:substrate ration. However, to 50 ºC for 72 h, olefin metathesis product from piperine was observed. LN-1 presented yield of c.a. 29% of product in the mixture and LN-2 were c.a. 39%. The product is interesting and unheard, it has two 1,3-benzildiaxine groups, interleaved for one unsaturated carbon chain. In the experiments with catalyst:substrate ratio of 1:10 mol there was no product formation. The results were discussed in function of the electronic and steric properties of the ancillary ligand of LN1 and LN-2.

https://doi.org/10.21577/0100-4042.20170878

12.

Effect of adsorbents on diets with corn contaminated by mycotoxins on the productive performance and health of broilers
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Fernandes, Jovanir Inês Müller

; Baldo, Jessiane Sauer

; Ferreira, Ana Clara Polo

; Schuroff, Juliana Schulter

; Reuter, Anderson Henrique

; Salinas, Bruna Carolina Druzian

Acta Scientiarum. Animal Sciences

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2022, Volume 44 elocation e53575

Abstract: En | Text: En | PDF: En

ABSTRACT. A total of 1,296 broiler chicken were housed, distributed in a completely randomized design with 6 treatments and 6 repetitions. The treatments consisted of a control diet formulated with corn considered adequate and without the addition of adsorbent, a diet formulated with corn naturally contaminated with mycotoxin (CCM) and four diets formulated with CCM and added with different commercial adsorbents. At the end of the first week and at 21 days of age of the birds, it was observed that the control diet resulted in greater (p < 0.05) live weight and weight gain in relation to the inclusion of CCM. The relative weight of the liver was lower for the control group compared to the groups receiving a diet with CCM and CCM + ads D. The relative weight of the proventriculus and cloacal bursa was lower for the control group compared to those who received a diet with CCM + ads B and CCM + ads C. There was no significant effect (p > 0.05) of the diets on the analysis of serum biochemistry and the occurrence of fatty and hydropic degeneration in the liver of broilers. The use of adsorbents can mitigate the harmful effects of mycotoxins, however, these products have specific binding capacity to the type of mycotoxin present in food.

https://doi.org/10.4025/actascianimsci.v44i1.53575

13.

Seed germination of a myrmecochorous plant endemic to the Brazilian semiarid region: the wolf is not so bad
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Fagundes, Marcilio

; Silva, Ana Paula Mota Fernandes

; Mayrink, Bruno Henrique Silva

; Figueiredo, Luiz Henrique Arimura

; Jorge, Alessandre Custódio

; Gomes, Ingrid Lara Vieira

Acta Botanica Brasilica

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2022, Volume 36 elocation e20220093

Abstract: En | Text: En | PDF: En

ABSTRACT Studies about seed dispersal and germination are important to understand patterns of plant distribution and abundance, and help establish strategies for environmental conservation. We evaluated the role of two different dispersers, the ant Atta laevigata and the maned wolf Chrysocyon brachyurus, in the germination of Copaifera arenicola seeds, a characteristically myrmecochorous plant species. Germination was evaluated for seeds subjected to four treatments: (1) seeds manipulated by the ant, (2) seeds ingested by the maned wolf, (3) seeds that had the elaiosome removed manually, and (4) seeds with elaiosome (unmanipulated seeds). Seeds manipulated by the ant and seeds that had the elaiosome removed manually required less time to germinate and had higher germination percentages (98.6% and 95.8%, respectively) than the other treatments. However, seeds ingested by the maned wolf also had a high germination percentage (87.7%), above that of unmanipulated seeds (34.7%). Probably, elaiosomes of unmanipulated seeds and small remnants of this structure that resist digestion by maned wolf can decrease to some extent seed germination. We argue that dispersal of C. arenicola seeds by the ant and by the maned wolf result in different patterns of seed distribution in the environment and that they have complementary roles in structuring plant populations.

https://doi.org/10.1590/1677-941x-abb-2022-0093

14.

TRANSCRIAÇÃO E CRÍTICA LITERÁRIA – HAROLDO DE CAMPOS E O PAPEL EPISTÊMICO DO ÍCONE
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Fernandes, Ana

; Queiroz, João

Cadernos de Tradução

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2022, Volume 42 elocation e85828

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

Abstract What function can the phenomenon of creative translation, iconic translation, or transcreation play among different forms of criticism? We will examine this topic within the scope of the division proposed by Umberto Eco, and its relationship to Haroldo de Campos’ thesis of “creative translation as criticism” – “if translation is a privileged form of critical reading, it will be through it that readers will be able to lead other poets, amateurs and students of literature to penetrate the heart of the artistic text, in its most intimate mechanisms and gears”. We will explore this thesis through the operational notion of icon, developed by C. S. Peirce (pos-1903), and an examination of John Donne’s transcreation, by Augusto de Campos. In our approach, transcreation is an icon of relations. It reveals, through a typically diagrammatic operation, a multilevel system of constraints. Our approach suggests an epistemic perspective for the icon, disregarded by Haroldo, capable of relocating his thesis in an unexplored theoretical setting.

Resumo Que papel o fenômeno da tradução criativa, tradução icônica, ou transcriação, pode ter entre diversas formas de crítica? Vamos examinar esta questão no escopo da divisão sugerida por Umberto Eco, e sua relação com a tese de Haroldo de Campos de “tradução como crítica” – “se a tradução é uma forma privilegiada de leitura crítica, será através dela que se poderão conduzir outros poetas, amadores e estudantes de literatura à penetração no âmago do texto artístico, nos seus mecanismos e engrenagens mais íntimos”. Exploramos essa tese através da noção operacional do ícone, e de ícone diagramático, desenvolvida por C. S. Peirce, e do exame da transcriação do poema “The Expiration”, de John Donne, por Augusto de Campos. Em nossa abordagem, a transcriação é um ícone de relações. Ela revela, através de uma operação tipicamente diagramática, um sistema multinível de restrições. Nossa abordagem sugere uma perspectiva epistêmica para o ícone, desconsiderada por Haroldo, capaz de re-situar sua tese em um cenário teórico ainda inexplorado.

https://doi.org/10.5007/2175-7968.2022.e85828

15.

Suplementação de Vitamina D Induz Remodelação Cardíaca em Ratos: Associação com a Proteína de Interação com a Tiorredoxina e a Tiorredoxina
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Santos, Priscila P. dos

; Rafacho, Bruna P. M.

; Gonçalves, Andrea F.

; Pires, Vanessa C. M.

; Roscani, Meliza G.

; Azevedo, Paula S.

; Polegato, Bertha F.

; Minicucci, Marcos F.

; Fernandes, Ana Angélica H.

; Tanni, Suzana E.

; Zornoff, Leonardo A. M.

; Paiva, Sergio A. R. de

Arquivos Brasileiros de Cardiologia

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nov 2021, Volume 116 N. 5 Pages 970 - 978

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

Resumo Fundamento: A vitamina D (VD) tem um importante papel na função cardíaca. No entanto, a vitamina exerce uma curva “dose-resposta” bifásica na fisiopatologia cardiovascular e pode causar efeitos deletérios, mesmo em doses não tóxicas. A VD exerce suas funções celulares ligando-se ao seu receptor. Ainda, a expressão da proteína de interação com a tiorredoxina (TXNIP) é positivamente regulada pela VD. A TXNIP modula diferentes visa de sinalização celular que podem ser importantes para a remodelação cardíaca. Objetivos: Avaliar se a suplementação com VD leva à remodelação cardíaca, e se a TXNIP e a tiorredoxina (Trx) estão associadas com esse processo. Métodos: Duzentos e cinquenta ratos Wistar machos foram alocados em três grupos: controle (C, n=21), sem suplementação com VD; VD3 (n = 22) e VD10 (n=21), suplementados com 3,000 e 10,000 UI de VD/ kg de ração, respectivamente, por dois meses. Os grupos foram comparados por análise de variância (ANOVA) com um fator e teste post hoc de Holm-Sidak (variáveis com distribuição normal), ou pelo teste de Kruskal-Wallis e análise post-hoc de Dunn. O nível de significância para todos os testes foi de 5%. Resultados: A expressão de TXNIP foi mais alta e a atividade do Trx foi mais baixa no grupo VD10. Os animais que receberam suplementação com VD apresentaram aumento de hidroperóxido lipídico e diminuição de superóxido dismutase e glutationa peroxidase. A proteína Bcl-2 foi mais baixa no grupo VD10. Observou-se uma diminuição na β-oxidação de ácidos graxos, no ciclo do ácido tricarboxílico, na cadeia transportadora de elétrons, e um aumento na via glicolítica. Conclusão: A suplementação com VD levou à remodelação cardíaca e esse processo pode ser modulado por TXNIP e Trx, e consequentemente por estresse oxidativo.

Abstract Background: Vitamin D (VD) has been shown to play an important role in cardiac function. However, this vitamin exerts a biphasic “dose response” curve in cardiovascular pathophysiology and may cause deleterious effects, even in non-toxic doses. VD exerts its cellular functions by binding to VD receptor. Additionally, it was identified that the thioredoxin-interacting protein (TXNIP) expression is positively regulated by VD. TXNIP modulate different cell signaling pathways that may be important for cardiac remodeling. Objective: To evaluate whether VD supplementation lead to cardiac remodeling and if TXNIP and thioredoxin (Trx) proteins are associated with the process. Methods: A total of 250 Male Wistar rats were allocated into three groups: control (C, n=21), with no VD supplementation; VD3 (n = 22) and VD10 (n=21), supplemented with 3,000 and 10,000 IU of VD/ kg of chow respectively, for two months. The groups were compared by one-way analysis of variance (ANOVA) and Holm-Sidak post hoc analysis, (variables with normal distribution), or by Kruskal-Wallis test and Dunn's test post hoc analysis. The significance level for all tests was 5%. Results: TXNIP protein expression was higher and Trx activity was lower in VD10. The animals supplemented with VD showed increased lipid hydroperoxide and decreased superoxide dismutase and glutathione peroxidase. The protein Bcl-2 was lower in VD10. There was a decrease in fatty acid β-oxidation, tricarboxylic acid cycle and electron transport chain with shift to increase in glycolytic pathway. Conclusion: VD supplementation led to cardiac remodeling and this process may be modulated by TXNIP and Trx proteins and consequently oxidative stress.

https://doi.org/10.36660/abc.20190633 352 downloads

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