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ABSTRACT Objective: To update the recommendations to support decisions regarding the pharmacological treatment of patients hospitalized with COVID-19 in Brazil. Methods: Experts, including representatives of the Ministry of Health and methodologists, created this guideline. The method used for the rapid development of guidelines was based on the adoption and/or adaptation of existing international guidelines (GRADE ADOLOPMENT) and supported by the e-COVID-19 RecMap platform. The quality of the evidence and the preparation of the recommendations followed the GRADE method. Results: Twenty-one recommendations were generated, including strong recommendations for the use of corticosteroids in patients using supplemental oxygen and conditional recommendations for the use of tocilizumab and baricitinib for patients on supplemental oxygen or on noninvasive ventilation and anticoagulants to prevent thromboembolism. Due to suspension of use authorization, it was not possible to make recommendations regarding the use of casirivimab + imdevimab. Strong recommendations against the use of azithromycin in patients without suspected bacterial infection, hydroxychloroquine, convalescent plasma, colchicine, and lopinavir + ritonavir and conditional recommendations against the use of ivermectin and remdesivir were made. Conclusion: New recommendations for the treatment of hospitalized patients with COVID-19 were generated, such as those for tocilizumab and baricitinib. Corticosteroids and prophylaxis for thromboembolism are still recommended, the latter with conditional recommendation. Several drugs were considered ineffective and should not be used to provide the best treatment according to the principles of evidence-based medicine and to promote resource economy.

RESUMO Objetivo: Atualizar as recomendações para embasar as decisões para o tratamento farmacológico de pacientes hospitalizados com COVID-19 no Brasil. Métodos: A elaboração desta diretriz foi feita por especialistas, incluindo representantes do Ministério da Saúde e metodologistas. O método utilizado para o desenvolvimento rápido de diretrizes baseou-se na adoção e/ou adaptação de diretrizes internacionais existentes (GRADE ADOLOPMENT) e contou com o apoio da plataforma e-COVID-19 RecMap. A qualidade das evidências e a elaboração das recomendações seguiram o método GRADE. Resultados: Chegaram-se a 21 recomendações, incluindo recomendações fortes quanto ao uso de corticosteroides em pacientes em uso de oxigênio suplementar e recomendações condicionais para o uso de tocilizumabe e baricitinibe, em pacientes com oxigênio suplementar ou ventilação não invasiva, e de anticoagulantes, para prevenção de tromboembolismo. Devido à suspensão da autorização de uso, não foi possível fazer recomendações para o tratamento com casirivimabe + imdevimabe. Foram feitas recomendações fortes contra o uso de azitromicina em pacientes sem suspeita de infecção bacteriana, hidroxicloroquina, plasma convalescente, colchicina e lopinavir + ritonavir, além de recomendações condicionais contra o uso de ivermectina e rendesivir. Conclusão: Foram criadas novas recomendações para o tratamento de pacientes hospitalizados com COVID-19, como as recomendações de tocilizumabe e baricitinibe. Ainda são recomendados corticosteroides e profilaxia contra tromboembolismo, esta em caráter condicional. Vários medicamentos foram considerados ineficazes e não devem ser usados, no intuito de proporcionar o melhor tratamento segundo os princípios da medicina baseada em evidências e promover a economia de recursos.

https://doi.org/10.5935/2965-2774.20230136-en

Electrical Conductivity and Nitrogen:Potassium Ratios from Nutrigation in the Quality of Zucchini Fruits
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Pacheco, Adriano Bicioni

; Duarte, Sergio Nascimento

; Charles, Thaís da Silva

; Nascimento, Jéssica Garcia

; Simões, Ana Laura Toledo

; Campos Júnior, José Eustáquio

; Almeida, Alex Nunes de

; Ricardo, Hugo de Carvalho

; Lopes, Tárcio Rocha

; Jesus, Fernanda Lamede Ferreira de

; Lisboa, Cristiane Fernandes

Brazilian Archives of Biology and Technology

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2023, Volume 66 elocation e23210845

Abstract: En | Text: En | PDF: En

Abstract The demands of high-quality zucchini fruits by the consumer market make studies regarding the improvement of cultivation systems, such as plant nutrition and salinity tolerance. Considering the demands of the consumer market for the high quality of zucchini fruits, it is necessary studies regarding the improvement of production systems for this improvement, such as nutrition and salinity tolerance to plant. Thus, this study aimed to evaluate the zucchini fruits quality characteristics, grown in soilless, under N:K ratios, and levels of electrical conductivity of the nutrient solution. The experiment was conducted in a protected environment in pots with 8.2 dm3 of volumetric capacity filled with commercial substrate. The trial design adopted was randomized blocks, with three replicates, in a 5x3 factorial scheme, with five levels of electrical conductivity (1.0; 2.0; 3.0; 4.0; and 5.0 dS m-1) and three N:K ratios (2:1; 1:1; and 1:2), both in the nutrient solution. The application of the nutrient solution was by fertigation through drip irrigation. Throughout the experiment, variables related to fruit quality and total plant biomass production were analyzed. The increase of the electrical conductivity in the nutrient solution provided an increase in the values of fruits organoleptic properties. Regarding the nutrient solution N:K ratios, the 1:2 ratio provided larger fruits and a higher percentage of water.

https://doi.org/10.1590/1678-4324-2023210845

SPACE-TEMPORAL DYNAMICS OF ENDEMIC TREE SPECIES IN SECONDARY FOREST IN THE ATLANTIC FOREST DOMAIN IN BRAZIL
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Luz, Ana Laura da Silva

; Reis, Maria das Graças Ferreira

; Reis, Geraldo Gonçalves dos

; Volpato, Margarete Marin Lordelo

; Caliman, Jônio Pizzol

; Silva, Cátia Cardoso da

; Terto, Rennan Salviano

Revista Árvore

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2023, Volume 47 elocation e4726

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

ABSTRACT Understanding the dynamics of endemic tree component species based on natural regeneration (NR) and adult trees (AT) is essential for formulating conservation strategies for protecting these species. The objective of the present study was to identify endemic species in a preserved area of secondary forest in the Atlantic Forest domain in Brazil and to evaluate their dynamics over 24 years. Based on inventories carried out from 1992 to 2016 of the NR (diameter at breast height - dbh ≤ 5 cm) and of the AT (dbh ≥ 5 cm) in ten sites with different characteristics (physiographic, edaphic, and successional), it was possible to, initially, identify 58 species classified as endemic to Brazil (EBR) and/or those exclusive to the Brazilian Atlantic Forest (EAF), among the 226 species in the entire survey. Subsequently, this classification was reassessed based on updated information on its occurrence, and only 38 of these species were maintained as endemic to Brazil and/or to the Atlantic Forest. Some species were recorded in the AT and NR strata, in different sites, throughout the study period, while others occurred in only one level (AT or NR), some with low abundance. Among these endemic species, eight are included in the endangered species lists, and 15 can be classified as rare, as there was only one individual in the survey. Considering the two arboreal strata it was observed that some species were abundant in the forest in all inventories and several sites, while others went throughout the study period with few individuals and, in some cases, disappeared due to mortality. These results contribute to understanding the factors that can affect the local abundance of endemic species over time, allowing the definition of conservation actions for protecting these vulnerable species, thus avoiding their extinction.

RESUMO A compreensão da dinâmica das espécies endêmicas do componente arbóreo, com base na regeneração natural (RN) e nas árvores adultas (AA) é fundamental para a formulação de estratégias de conservação dessas espécies. O objetivo do presente estudo foi identificar as espécies endêmicas em uma área preservada de floresta secundária, no domínio da Mata Atlântica, no Brasil, e avaliar sua dinâmica ao longo de 24 anos. Com base em inventários realizados de 1992 a 2016 da RN (diâmetro à altura do peito - dap ≤ 5cm) e das AA (dap ≥ 5 cm), em dez locais com diferentes características (fisiográficas, edáficas e sucessionais), foi possível identificar 58 espécies classificadas como endêmicas do Brasil e/ou àquelas exclusivas da Mata Atlântica brasileira, dentre as 226 espécies de todo o levantamento. Posteriormente, essa classificação foi reavaliada a partir de informações atualizadas de sua ocorrência, sendo que apenas 38 dessas espécies permaneceram como endêmicas do Brasil e/ou da Mata Atlântica. Algumas espécies foram registradas na AA e na RN, em diversos locais, em todo o período do estudo, enquanto outras ocorreram em apenas um nível (AA ou RN), inclusive com baixa abundância. Dentre essas espécies endêmicas, oito estão incluídas em listas de espécies ameaçadas de extinção e 15 podem ser classificadas como raras (apresentaram apenas um indivíduo). Considerando os dois estratos arbóreos, foi observado que algumas espécies permaneceram na floresta em todos os inventários, enquanto outras ingressaram ao longo do período do estudo, com poucos indivíduos, inclusive com elevada mortalidade, deixando de ocorrer na área. Esses resultados contribuem para o entendimento dos fatores que podem afetar a abundância local de espécies endêmicas ao longo do tempo, permitindo a definição de ações de conservação para proteger essas espécies vulneráveis, evitando assim, a sua extinção.

https://doi.org/10.1590/1806-908820230000026

Teoria da mudança para implementação de apoio matricial em saúde mental
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Treichel, Carlos Alberto dos Santos

; Silva, Michelle Chanchetti

; Presotto, Rodrigo Fernando

; Leme, Kaleb Eliel Ferreira

; Reis, Maria Fernanda Lirani dos

; Amorim, Sulamita Gonzaga Silva

; Lourencetti, Ana Laura Salomé

; Saidel, Maria Giovana Borges

; Campos, Rosana Teresa Onocko

Acta Paulista de Enfermagem

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2023, Volume 36 Suppl. 1 elocation eAPESPE022473

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

Resumo Objetivo Descrever o processo de elaboração da theory of change para implementação do Apoio Matricial em um município paulista de médio porte e refletir sobre contribuições dessa abordagem para o planejamento e avaliação dessa intervenção considerando as potencialidades e desafios a partir de sua execução no formato remoto. Métodos Estudo qualitativo realizado por meio de oficinas participativas e construção de narrativas com trabalhadores e gestores da Rede de Atenção Psicossocial seguindo as recomendações de um guia para o desenvolvimento de theory of change em intervenções complexas. Resultados A implementação do Apoio Matricial configura um dos três resultados distais que culminam na possibilidade de estabelecer a lógica do cuidado compartilhado relacionando-se à ativação da rede intersetorial e a implementação de um Comitê de Educação Permanente. Ainda foram reconhecidos componentes externos que deveriam ser garantidos pelo contexto organizacional para o efetivo alcance de alguns resultados intermediários e de longo prazo. Conclusão A elaboração da theory of change foi efetiva em delimitar objetivos e componentes da implementação a partir da perspectiva dos atores envolvidos, estabelecendo indicadores para seu monitoramento e avaliação a partir das condições do contexto e possibilitando o direcionamento de esforços dos trabalhadores para sua consolidação. remoto complexas relacionandose relacionando se Permanente prazo envolvidos consolidação

Resumen Objetivo Describir el proceso de elaboración de la theory of change para implementar el apoyo matricial en un municipio paulista de medio porte y reflexionar sobre las contribuciones de este enfoque para la planificación y evaluación de esta intervención, considerando las posibilidades y desafíos a partir de su ejecución en formato remoto. Métodos Estudio cualitativo realizado por medio de talleres participativos y construcción de narrativas con trabajadores y gerentes de la Red de Atención Psicosocial, siguiendo las recomendaciones de una guía para la elaboración de la theory of change en intervenciones complejas. Resultados La implementación del apoyo matricial configura uno de los tres resultados distales que culminan en la posibilidad de establecer la lógica del cuidado compartido y se relaciona con la activación de la red intersectorial y la implementación de un Comité de Educación Permanente. Además, se reconocieron componentes externos que deberían estar garantizados por el contexto organizacional para llegar a algunos resultados intermedios y de largo plazo. Conclusión La elaboración de la theory of change fue efectiva para definir objetivos y componentes de la implementación a partir de la perspectiva de los actores involucrados, lo que permitió establecer indicadores para su monitoreo y evaluación a partir de las condiciones del contexto y orientar los esfuerzos de los trabajadores para su consolidación. intervención remoto Psicosocial complejas Permanente Además plazo involucrados consolidación

Abstract Objective To describe the process of development of the theory of change for the implementation of Matrix Support in a medium-sized municipality in São Paulo and to reflect on the contributions of this approach to the planning and evaluation of this intervention, considering the potentialities and challenges from its execution remotely. Methods Qualitative study performed through participatory workshops and construction of narratives with workers and managers of the Psychosocial Care Network following the recommendations of a guide for the development of the theory of change in complex interventions. Results The implementation of Matrix Support configures one of the three distal results that culminate in the possibility of establishing the logic of shared care related to the activation of intersectoral network and the implementation of a Continuing Education Committee. External components that should be guaranteed by the organizational context for the effective achievement of some intermediate and long-term results were also recognized. Conclusion The development of the theory of change was effective in delimiting objectives and implementation components from the perspective of the actors involved, establishing indicators for its monitoring and evaluation based on context conditions, and enabling the direction of workers’ efforts towards its consolidation. mediumsized medium sized intervention remotely interventions Committee longterm long term recognized involved conditions consolidation

https://doi.org/10.37689/acta-ape/2023aospe022473

The rise and fall of live online music event consumption during the pandemic: an analysis from the perspective of practice theory
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Ferreira, Frederico Leocádio

; Christino, Juliana Maria Magalhães

; Cardoso, Laura de Oliveira

; Noronha, Ana Luíza Silva

Cadernos EBAPE.BR

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jun 2022, Volume 20 N. 3 Pages 401 - 416

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

Resumo O fenômeno de assistir lives musicais popularizou-se durante a pandemia do COVID-19, enquanto um ato de lazer dentro de casa. Durante três meses elas pertenceram à rotina de brasileiros e estrangeiros, para então perder audiência de forma exponencial. Essa trajetória é o objeto de pesquisa desse trabalho, estudada sob o prisma da teoria da prática, o qual buscou entender os elementos formadores dessa prática de consumo, sua sincronia com outras práticas do cotidiano, bem como fenômenos externos que atuam na consolidação (ou não) de uma prática. Para tal, foram coletadas entrevistas em profundidade com 24 praticantes, sendo os resultados analisados por meio de uma análise temática. Os achados dão pistas sobre os motivos pelos quais a prática decaiu, com destaque para a sobreposição de práticas pertencentes à rotina criada no isolamento social pelos praticantes, e redução da originalidade (entendimento) inicial de lives mais intimistas, que se perdem em meio à busca por inovações na prática. Possíveis desdobramentos sobre o futuro das lives pós pandemia, contribuições teóricas e gerenciais também são discutidos.

Abstract The phenomenon of watching live online music events became popular during the COVID-19 pandemic as a leisure activity practiced at home while social distancing. For 3 months, they were part of the routine of Brazilians and foreigners, before exponentially losing their audience. This trajectory is the object of research for this paper, studied under the prism of practice theory to understand the elements that form this consumption practice, its synchrony with other everyday practices, and external phenomena that act in the consolidation (or not) of a practice. In-depth interviews were conducted with 24 practitioners, and the results were analyzed through a thematic analysis. The findings provide clues as to why the practice declined, emphasizing the overlapping of practices belonging to the routine created during social distancing and the reduction of the initial originality (understanding) of more intimate lives that get lost in the search for innovations in practice. Possible developments in the future of post-pandemic live events and theoretical and managerial contributions are also discussed.

Resumen El fenómeno de ver lives musicales se hizo popular durante la pandemia de COVID-19, como un acto de ocio en casa. Durante tres meses pertenecieron a la rutina de brasileños y extranjeros, y luego perdieron su audiencia de manera exponencial. Esta trayectoria es el objeto de investigación de este trabajo, estudiada bajo el prisma de la teoría de la práctica, que buscó comprender los elementos que forman esta práctica de consumo, su sincronía con otras prácticas cotidianas, así como los fenómenos externos que actúan en la consolidación (o no) de una práctica. Para ello, se realizaron entrevistas en profundidad a 24 practicantes, y los resultados se analizaron mediante un análisis temático. Los hallazgos dan pistas sobre las razones por las que la práctica declinó, con énfasis en la superposición de prácticas pertenecientes a la rutina creada en el aislamiento social por los practicantes, y la reducción de la originalidad (opinión) inicial de lives más intimistas, que se pierden en medio de la búsqueda de innovaciones en la práctica. También se discuten los posibles desarrollos sobre el futuro de las lives pospandemia y las contribuciones teóricas y gerenciales.

https://doi.org/10.1590/1679-395120210014x

Seroprevalence and hematological abnormalities associated with Ehrlichia canis in dogs referred to a veterinary teaching hospital in central-western Brazil
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Paula, Warley Vieira de Freitas

; Taques, Ísis Indaiara Gonçalves Granjeiro

; Miranda, Vanessa Carvalho

; Barreto, Ana Laura Gonçalves

; Paula, Luiza Gabriella Ferreira de

; Martins, Danieli Brolo

; Damasceno, Adilson Donizeti

; Muñoz-Leal, Sebastián

; Sevá, Anaiá da Paixão

; Dantas-Torres, Filipe

; Aguiar, Daniel Moura de

; Krawczak, Felipe da Silva

Ciência Rural

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2022, Volume 52 N. 2 elocation e20201131

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

RESUMO: Carrapatos são importantes parasitos de cães nos trópicos, onde patógenos transmitidos por carrapatos são altamente prevalentes, especialmente em áreas onde as medidas de controle de carrapatos são frequentemente negligenciadas. O estudo investigou a soroprevalência e as anormalidades hematológicas associadas à Ehrlichia canis em cães encaminhados para um hospital veterinário-escola no Centro-oeste do Brasil. Dos 264 cães testados para anticorpos anti-Ehrlichia canis por meio da reação de imunofluorescência indireta (RIFI), 59.1% (156/264) foram positivos. A soropositividade foi associada significativamente à anemia e trombocitopenia, isoladamente ou em combinação, e à leucopenia. Por outro lado, não houve diferenças quanto à soroprevalência segundo sexo, raça e idade. Este estudo demonstrou que cães encaminhados a um hospital veterinário-escola na região Centro-oeste do Brasil são altamente expostos à E. canis, e que cães soropositivos têm maior probabilidade de apresentar alterações hematológicas, principalmente anemia, trombocitopenia e leucopenia. Para o nosso conhecimento, este é o primeiro estudo sobre a detecção de anticorpos anti-E. canis por meio da RIFI em cães do estado de Goiás. Essas descobertas destacam a necessidade de aumentar a conscientização entre os proprietários de cães em relação às medidas de controle do carrapato no Centro-oeste do Brasil, em última análise, para reduzir o risco de exposição ao E. canis e outros patógenos transmitidos por carrapatos.

ABSTRACT: Ticks are significant parasites of dogs in the tropics, where tick-borne pathogens are highly prevalent, especially in areas where tick control measures are frequently neglected. This study investigated the seroprevalence and hematological abnormalities associated with Ehrlichia canis in dogs referred to a veterinary teaching hospital in Central-western Brazil. Out of 264 dogs tested for anti-Ehrlichia canis antibodies by an indirect immunofluorescence assay (IFA), 59.1% (156/264) were positive. Seropositivity was significantly associated to anemia and thrombocytopenia, alone or in combination, and to leukopenia. Conversely, there were no differences in terms of seroprevalence according to sex, breed and age. This study demonstrated that dogs referred to a veterinary teaching hospital in Central-western Brazil are highly exposed to E. canis and that seropositive dogs are more likely to present hematological abnormalities, particularly anemia, thrombocytopenia and leukopenia. To our knowledge, this is the first study on detection of anti-E. canis antibodies by means of IFA among dogs in the state of Goiás. These findings highlighted the need for increasing awareness among dog owners regarding tick control measures in Central-western Brazil, ultimately to reduce the risk of exposure to E. canis and other tick-borne pathogens.

https://doi.org/10.1590/0103-8478cr20201131 160 downloads

Recommendations for evaluation and diagnosis of extra-glandular manifestations of primary sjogren syndrome: results of an epidemiologic systematic review/ meta-analysis and a consensus guideline from the Brazilian Society of Rheumatology (articular, pulmonary and renal)
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Trevisani, Virginia Fernandes Moça

; Pugliesi, Alisson

; Pasoto, Sandra Gofinet

; Lopes, Maria Lucia Lemos

; Guedes, Lissiane Karine Noronha

; Miyamoto, Samira Tatiyama

; Fernandes, Marilena Leal Mesquita Silvestre

; Fialho, Sonia Cristina de Magalhães Souza

; Pinheiro, Aysa César

; Santos, Laura Caldas dos

; Appenzeller, Simone

; Fidelix, Tania

; Ribeiro, Sandra Lúcia Euzébio

; Brito, Danielle Christinne Soares Egypto de

; Libório-Kimura, Tatiana Nayara

; Santos, Maria Carmen Lopes Ferreira Silva

; Cantali, Diego Ustárroz

; Gennari, Juliana D’Agostino

; Civile, Vinicius Tassoni

; Pinto, Ana Carolina Pereira Nunes

; Rocha-Filho, César Ramos

; Oliveira, Fabiola Reis

; Rocha, Aline Pereira da

; Valim, Valeria

Advances in Rheumatology

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2022, Volume 62 elocation 18

Abstract: En | Text: En | PDF: En

Abstract Sjogren’s Syndrome (SS) is an autoimmune disease characterized by lymphocytic infiltration of the exocrine glands and other organs, associated with sicca syndrome but also with systemic involvement with varying degrees of severity. Despite their importance, these systemic manifestations are not routinely evaluated and there is no homogenous approach to their diagnosis or evaluation. To close this gap, a panel of experts from the Brazilian Society of Rheumatology conducted a systematic review and meta-analysis on the identification of epidemiologic and clinical features of these manifestations and made recommendations based on the findings. Agreement between the experts was achieved using the Delphi method. The first part of this guideline summarizes the most important topics, and 11 recommendations are provided for the articular, pulmonary, and renal care of SS patients.

https://doi.org/10.1186/s42358-022-00248-1

Recommendations for evaluation and diagnosis of extra-glandular manifestations of primary Sjögren syndrome: results of an epidemiologic systematic review/ meta-analysis and a consensus guideline from the Brazilian society of rheumatology (hepatic, gastrointestinal and pancreatic)
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Trevisani, Virginia Fernandes Moça

; Pinheiro, Aysa César

; Fialho, Sonia Cristina de Magalhães Souza

; Fernandes, Marilena Leal Mesquita Silvestre

; Pugliesi, Alisson

; Pasoto, Sandra Gofinet

; Lopes, Maria Lucia Lemos

; Guedes, Lissiane Karine Noronha

; Miyamoto, Samira Tatiyama

; Santos, Laura Caldas dos

; Appenzeller, Simone

; Fidelix, Tania

; Ribeiro, Sandra Lúcia Euzébio

; Brito, Danielle Christinne Soares Egypto de

; Libório-Kimura, Tatiana Nayara

; Santos, Maria Carmen Lopes Ferreira Silva

; Cantali, Diego Ustárroz

; Gennari, Juliana D.’Agostino

; Capobianco, Karina Gatz

; Civile, Vinicius Tassoni

; Pinto, Ana Carolina Pereira Nunes

; Rocha, Aline Pereira da

; Rocha Filho, César Ramos

; Oliveira, Fabiola Reis

; Valim, Valeria

Advances in Rheumatology

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2022, Volume 62 elocation 35

Abstract: En | Text: En | PDF: En

Abstract Sjogren's syndrome (SS) is an autoimmune disease characterized by lymphocytic infiltration of the exocrine glands and other organs, associated with sicca syndrome but also with systemic involvement with varying degrees of severity. Despite their importance, some systemic manifestations, mainly liver, gastrointestinal, and pancreatic are not routinely evaluated. To address these manifestations, the Sjögren's Syndrome Committee of the Brazilian Society of Rheumatology conducted a broad systematic review of the literature on studies investigating prevalence and diagnosis of these symptoms in Sjogren´s patients and made recommendations based on the findings. Agreement between the experts was achieved using the Delphi method. This is the second part of this guideline, providing 6 recommendations for liver, gastrointestinal, and pancreatic care of SS patients.

https://doi.org/10.1186/s42358-022-00267-y

Variation in population and reproductive parameters of the amphipods, Cymadusa filosa Savigny, 1816 and Sunamphitoe pelagica (H. Milne Edwards, 1830), associated with Sargassum beds in an historically impacted bay
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Vicente, Vanessa Silva

; Mansur, Karine Ferreira Ribeiro

; Longo, Pedro Augusto dos Santos

; Olivino, Ana Laura Lorenço

; Leite, Fosca Pedini Pereira

Nauplius

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2021, Volume 29 elocation e2021041

Abstract: En | Text: En | PDF: En

Abstract The aim of this study is to investigate if Sargassum-associated herbivorous amphipods Cymadusa filosa Savigny, 1816 and Sunamphitoe pelagica (H. Milne Edwards, 1830) present differences in their population parameters at sites located at different distances from a state marina, which is the main source of pollution (especially heavy metals) in an impacted bay. The study was conducted at four beach sites within Flamengo Bay, Ubatuba municipality, northern coast of São Paulo State, Brazil. The beaches are Lamberto and Ribeira close to the pollution source and Flamengo and Santa Rita, which are more distant. We observed the predominance of juveniles in the populations of C. filosa and S. pelagica, followed by females, with the sex ratio for both species being favored toward females, and the highest densities of individuals were observed during the summer. Sunamphitoe pelagica presented lower density, smaller ovigerous females and egg volumes at Lamberto beach, indicating a possible higher sensitivity to metal pollution for this species. Cymadusa filosa showed no clear alteration of density, number of ovigerous females and egg volumes between sites. Our results emphasize the importance of studying the life history and reproductive parameters of herbivorous amphipods, showing how these parameters can be altered in contaminated areas.

https://doi.org/10.1590/2358-2936e2021041 63 downloads

10.

2021 recommendations of the Brazilian Society of Rheumatology for the gynecological and obstetric care of patients with Sjogren’s syndrome
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Oliveira, Fabiola Reis

; Valim, Valeria

; Pasoto, Sandra Gofinet

; Fernandes, Marilena Leal Mesquita Silvestre

; Lopes, Maria Lucia Lemos

; Souza Fialho, Sonia Cristina de Magalhães

; Pinheiro, Aysa César

; Santos, Laura Caldas dos

; Appenzeller, Simone

; Fidelix, Tania

; Ribeiro, Sandra Lucia Euzébio

; Brito, Danielle Christinne Soares Egypto de

; Libório, Tatiana

; Santos, Maria Carmen Lopes Ferreira Silva

; Tanure, Leandro

; Gennari, Juliana DAgostino

; Civile, Vinicius Tassoni

; Pinto, Ana Carolina Pereira Nunes

; Rocha Filho, César Ramos

; Miyamoto, Samira Tatiyama

; Guedes, Lissiane Karine Noronha

; Pugliesi, Alisson

; Trevisani, Virginia Fernandes Moça

Advances in Rheumatology

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2021, Volume 61 elocation 54

Abstract: En | Text: En | PDF: En

Abstract Sjogren’s syndrome (SS) is an autoimmune disease characterized by lymphocytic infiltration of the exocrine glands and other organs. Women with SS often experience gynecological symptoms due to the disease and need extra care regarding their sexual activity, reproductive health and during pregnancy, conditions that are not properly conducted in the clinical practice. To cover this gap, a panel of experts from the Brazilian Society of Rheumatology conducted a systematic review and meta-analysis on the identification of symptoms, diagnosis, monitoring, prognosis, and treatment of these manifestations. A Focus Group meeting was held and included experts in the field and methodologists, based on a previously developed script, with themes related to the objective of the study. The most important topics were summarized and 11 recommendations were provided.

https://doi.org/10.1186/s42358-021-00208-1 54 downloads

11.

Contraception and reproductive planning from the perspective of women with sickle cell disease
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Pedrosa, Evelyne Nascimento

; Corrêa, Maria Suely Medeiros

; Ferreira, Ana Laura Carneiro Gomes

; Sousa, Caroline Eloisa da Silva

; Silva, Rayane Alves da

; Souza, Ariani Impieri

Revista Gaúcha de Enfermagem

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2021, Volume 42 elocation e20200109

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

RESUMO Objetivo Compreender as percepções de mulheres com doença falciforme (DF) sobre planejamento reprodutivo em serviço público de saúde. Método Estudo qualitativo onde foram entrevistadas 15 mulheres com DF atendidas em um hospital público em Recife, entre agosto/2018 e maio/2019. Foi empregada a técnica de análise de conteúdo temática de Bardin. Resultados As mulheres tinham entre 25 e 38 anos, eram casadas e de baixa escolaridade. Após a análise emergiram quatro categorias temáticas: informações sobre contracepção, uso de contraceptivos, sentimento sobre gestação e consulta ginecológica. Observou-se que a mulher com DF sofre influência de fatores como medo da gestação, falta de informação sobre planejamento reprodutivo, influência do parceiro e do profissional de saúde e dificuldades de acesso ao serviço de saúde. Considerações finais Os relatos demonstram que os profissionais de saúde precisam melhorar a forma como à informação chega à paciente de modo a oferecer uma prática profissional mais satisfatória.

ABSTRACT Objective To understand the perceptions of women with sickle cell disease (SCD) about reproductive planning in a public health service. Method This is a qualitative study conducted with 15 women with SCD attended at a public hospital in Recife, between August 2018 and May 2019. Bardin’s content analysis technique was used. Results The women were between 25 and 38 years old, married, and had low education. After the analysis, four thematic categories emerged: information about contraception, use of contraceptive methods, feelings about pregnancy, and gynecological consultation. It was found that women with SCD are influenced by factors such as fear of complications during pregnancy, lack of information on reproductive planning, partners and health professional opinion, and difficulties in health service access. Final considerations The reports demonstrate that health workers need to improve the way through which information reaches the patient, to offer a more satisfactory professional practice.

RESUMEN Objetivo Comprender las percepciones de las mujeres con anemia de células falciformes (AF) sobre la planificación reproductiva en un servicio de salud pública. Método Estudio cualitativo donde se atendió a 15 mujeres con AF en un hospital público de Recife, entre agosto de 2018 y mayo de 2019. Se utilizó la técnica de análisis de contenido temático de Bardin. Resultados Las mujeres tenían entre 25 y 38 años, estaban casadas y tenían baja escolaridad. El análisis generó cuatro categorías temáticas: información sobre anticoncepción, uso de anticonceptivos, sentimientos sobre el embarazo y consulta ginecológica. Se observó que las mujeres con AF son influenciadas por factores como el miedo del embarazo, la falta de información sobre planificación reproductiva, la influencia de su pareja y del profesional de la salud, y dificultades para acceder al servicio de salud. Consideraciones finales Los informes demuestran que los profesionales de la salud necesitan mejorar la forma en que la información llega al paciente para ofrecer una práctica profesional más satisfactoria.

https://doi.org/10.1590/1983-1447.2021.20200109 178 downloads

12.

Diretriz Brasileira de Cardio-oncologia – 2020
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Hajjar, Ludhmila Abrahão

; Costa, Isabela Bispo Santos da Silva da

; Lopes, Marcelo Antônio Cartaxo Queiroga

; Hoff, Paulo Marcelo Gehm

; Diz, Maria Del Pilar Estevez

; Fonseca, Silvia Moulin Ribeiro

; Bittar, Cristina Salvadori

; Rehder, Marília Harumi Higuchi dos Santos

; Rizk, Stephanie Itala

; Almeida, Dirceu Rodrigues

; Fernandes, Gustavo dos Santos

; Beck-da-Silva, Luís

; Campos, Carlos Augusto Homem de Magalhães

; Montera, Marcelo Westerlund

; Alves, Sílvia Marinho Martins

; Fukushima, Júlia Tizue

; Santos, Maria Verônica Câmara dos

; Negrão, Carlos Eduardo

; Silva, Thiago Liguori Feliciano da

; Ferreira, Silvia Moreira Ayub

; Malachias, Marcus Vinicius Bolivar

; Moreira, Maria da Consolação Vieira

; Valente Neto, Manuel Maria Ramos

; Fonseca, Veronica Cristina Quiroga

; Soeiro, Maria Carolina Feres de Almeida

; Alves, Juliana Barbosa Sobral

; Silva, Carolina Maria Pinto Domingues Carvalho

; Sbano, João

; Pavanello, Ricardo

; Pinto, Ibraim Masciarelli F.

; Simão, Antônio Felipe

; Dracoulakis, Marianna Deway Andrade

; Hoff, Ana Oliveira

; Assunção, Bruna Morhy Borges Leal

; Novis, Yana

; Testa, Laura

; Alencar Filho, Aristóteles Comte de

; Cruz, Cecília Beatriz Bittencourt Viana

; Pereira, Juliana

; Garcia, Diego Ribeiro

; Nomura, Cesar Higa

; Rochitte, Carlos Eduardo

; Macedo, Ariane Vieira Scarlatelli

; Marcatti, Patricia Tavares Felipe

; Mathias Junior, Wilson

; Wiermann, Evanius Garcia

; Val, Renata do

; Freitas, Helano

; Coutinho, Anelisa

; Mathias, Clarissa Maria de Cerqueira

; Vieira, Fernando Meton de Alencar Camara

; Sasse, André Deeke

; Rocha, Vanderson

; Ramires, José Antônio Franchini

; Kalil Filho, Roberto

Arquivos Brasileiros de Cardiologia

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nov 2020, Volume 115 N. 5 Pages 1006 - 1043

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

https://doi.org/10.36660/abc.20201006 4180 downloads

13.

Triatoma brasiliensis Neiva, 1911 and Triatoma pseudomaculata Corrêa and Espínola, 1964 (Hemiptera, Reduviidae, Triatominae) in rural communities in Northeast Brazil
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Ferreira, Ana Laura da Silva

; Santana, Maricélia de Aquino

; Santos, Luan Victor Brandão dos

; Monteiro, Daniel Pereira

; Campos, José Henrique Furtado

; Sena, Layara Larice Jesuíno

; Mendonça, Vagner José

Revista do Instituto de Medicina Tropical de São Paulo

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2020, Volume 62 elocation e74

Abstract: En | Text: En | PDF: En

ABSTRACT Chagas disease is an important endemic morbidity in Latin America affecting millions of people in the American continent. It is caused by the protozoan Trypanosoma cruzi, and transmitted through the feces of the insect vector belonging to the subfamily Triatominae. The present conducted an entomological survey of triatomines and analyzed entomological indicators, such as the rate of infestation, colonization, triatomine density and natural infection in rural communities in the municipality of Campinas do Piaui, Piaui State, in the Northeast region of Brazil. Data on the search of triatomines performed in 167 domiciliary units (DUs), harvested during the period of February to July 2019, in 12 rural communities were analyzed. The capture of triatomines occurred in all studied communities, being 76 the number of positive DUs, of the 167 surveyed, presenting a global rate of infestation of 45.51%. Two triatomines species were collected: Triatoma brasiliensis (98.49%) and T. pseudomaculata (1.51%), the first was found in the domiciliary and peridomiciliary areas, while the second was captured only in peridomiciliary areas. The index of colonization was 17.1%. Natural infection was observed only in 5.44% of T. brasiliensis samples. The entomological survey was conducted in rural communities, showingthe risk of transmission of Chagas disease to the local population, requiring continuous entomological surveillance and vector control.

https://doi.org/10.1590/s1678-9946202062074 609 downloads

14.

Recommendations from the Brazilian society of rheumatology for the diagnosis of Sjögren's syndrome (Part I): glandular manifestations (systematic review)
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Trevisani, Virginia Fernandes Moça

; Pasoto, Sandra Gofinet

; Fernandes, Marilena Leal Mesquita Silvestre

; Lopes, Maria Lucia Lemos

; Fialho, Sonia Cristina de Magalhães Souza

; Pinheiro, Aysa César

; Santos, Laura Caldas dos

; Appenzeller, Simone

; Fidelix, Tania

; Ribeiro, Sandra Lucia Euzébio

; Brito, Danielle Christinne Soares Egypto de

; Libório, Tatiana

; Santos, Maria Carmen Lopes Ferreira Silva

; Tanure, Leandro

; Gennari, Juliana D Agostino

; Civile, Vinicius Tassoni

; Pinto, Ana Carolina Pereira Nunes

; Oliveira, Fabiola Reis

; Sousa, Jaqueline Martins de

; Miyamoto, Samira Tatiyama

; Valim, Valeria

Advances in Rheumatology

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2019, Volume 59 elocation 58

Abstract: En | Text: En | PDF: En

Abstract Background: Primary Sjögren's syndrome (pSS) is a systemic immune-mediated disease whose main characteristic is exocrine gland inflammation and, subsequent reduction in tear and saliva production. A delayed diagnosis is common due to the nonspecific clinical manifestations of disease. The aim of the present study was to develop recommendations for the diagnosis of glandular manifestations of pSS based on evidence and expert opinion. Main body of the abstract: We conducted a systematic literature review to retrieve the best evidence available on the accuracy of diagnostic tests for pSS. We also held two in-person meetings with experts (rheumatologists, pathologists, ophthalmologists and dentists) to establish their level of agreement using the Delphi method. Ultimately, we generated 18 recommendations that aim to facilitate the diagnosis of the glandular manifestations of pSS. Conclusion: The diagnosis of glandular manifestations of pSS is complex and multidisciplinary. It requires specific knowledge in the field of ophthalmology, immunology, pathology and imaging, making it compulsory for the rheumatologist to work with professionals from these different areas in order to improve accuracy and early diagnosis. Glandular dysfunction tests, ANA, RF, Anti-Ro, protein electrophoresis, urinalysis, blood count, C-Reactive protein, complement, testing for syphilis and viruses (HCV, HIV) and SGUS should be investigated when dryness or systemic manifestation are present. Minor salivary gland biopsy is recommended for all anti-Ro negative or incomplete criteria cases.

https://doi.org/10.1186/s42358-019-0102-8 878 downloads

15.

Custos da busca pelo diagnóstico da tuberculose: impacto na economia familiar
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Ferreira, Ana Lúcia da Silva

; Nogueira, Laura Maria Vidal

; Sá, Antônia Margareth Moita

; Ozela, Claudia dos Santos

Revista Cuidarte

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dec 2018, Volume 9 N. 3 Pages 2400 - 2412

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

Abstract Introduction Tuberculosis continues to be a serious public health problem. Its diagnosis and treatment generate economic difficulties as its care requires significant costs for the patient and their family. Therefore, the objective of this study was to calculate the costs of searching for tuberculosis diagnosis for symptomatic respiratory patients and their relatives at a Health School Center in Belém, Pará. Materials and Methods Quantitative, cross-sectional study with 40 symptomatic respiratory patients. Collection of socioeconomic data and costs of disease diagnosis was used as an instrument. A descriptive analysis was conducted, with a distribution of frequencies and measures added to the averages, standard deviation, and chi-squared tests with a significance level of 5%. Results There was a reduction in working hours per day after the onset of respiratory symptoms and loss of employment by 20%, which had an impact on the average reduction in income. Direct and indirect costs were responsible for the loss of 1 to 20% of family income. Discussion The search for tuberculosis diagnosis has been shown to overburden family budgets, which may lead the patient to postpone the search for diagnosis in health services. Conclusions The search for a tuberculosis diagnosis represents a significant expense for patients and their families. This disease is related to a socio-economic vulnerability because although the diagnosis is offered in the public health network, costs are borne by families.

Resumen Introducción La tuberculosis continúa siendo un grave problema de salud pública, el diagnóstico y tratamiento genera dificultad económica, pues su cuidado exige costos importantes al enfermo y a la familia. Por ello, el objetivo del presente estudio fue calcular los costos de la búsqueda de diagnóstico de la tuberculosis para pacientes sintomáticos respiratorios y sus familiares en un Centro de Salud Escuela en Belém, Pará. Materiales y Métodos Estudio cuantitativo, transversal, con 40 pacientes sintomáticos respiratorios. Se utilizó como instrumento la recolección de datos socioeconómicos y los costos del diagnóstico de la enfermedad. Se realizó un análisis descriptivo, con distribución de frecuencias y medidas sumadas de los promedios, desviación estándar y pruebas de chi cuadrado, con un nivel de significancia del 5%. Resultados Hubo reducción de las horas de trabajo por día después de la aparición de los síntomas respiratorios y pérdida del empleo en un 20%, lo que influyó en la reducción media del ingreso. Los costos directos e indirectos fueron responsables por la pérdida del 1 al 20% del ingreso familiar. Discusión Se demostró que la búsqueda del diagnóstico de la tuberculosis sobrecarga los presupuestos familiares, lo que puede llevar a que el paciente posponga la búsqueda del diagnóstico en los servicios de salud. Conclusiones La búsqueda del diagnóstico de la tuberculosis representa un gasto importante para los pacientes y sus familiares. La enfermedad está relacionada con la vulnerabilidad socioeconómica puesto que, aunque el diagnóstico se ofrece en la red pública de salud, los costos recaen en las familias.

Resumo Introdução A tuberculose persiste como um grave problema de saúde pública, o diagnóstico e tratamento ocasiona dificuldade econômica ao cuidado, pois determina relevantes custos ao doente e à família, assim o objetivo foi estimar custos da busca pelo diagnóstico da tuberculose para sintomáticos respiratórios e seus familiares em um Centro de Saúde Escola em Belém, Pará. Materiais e Métodos Estudo quantitativo, transversal, com 40 sintomáticos respiratórios. Utilizado instrumento de coleta de dados socioeconômicos e custos do diagnóstico da doença. Análise descritiva, com distribuição de frequências e medidas sumárias de médias e desvio padrão e testes qui-quadrado, com nível de significância de 5%. Resultados Houve redução das horas de trabalho/dia após o aparecimento dos sintomas respiratórios e perda do emprego em 20%, repercutindo em redução média da renda. Os custos diretos e indiretos foram responsáveis pela perda de 1 a 20% da renda familiar. Discussão Demonstrando que a busca pelo diagnóstico da tuberculose sobrecarrega os orçamentos familiares, com isso pode haver a demora em procurar os serviços de saúde. Conclusão A busca pelo diagnóstico de tuberculose representa ônus importante para pacientes e familiares. A doença é ligada a vulnerabilidade socioeconômica, embora as ações para diagnóstico sejam ofertadas na rede pública, os custos recaem sobre as famílias.

https://doi.org/10.15649/cuidarte.v9i3.536 53 downloads

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