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au:Ferreira, Gabriela Souza Assis

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Gestão do absenteísmo na Atenção Primária em cidade brasileira de médio porte
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Morais, Rinaldo Macedo de

; Sisdelli, Marina Fröner

; Ferreira, Gabriela Souza Assis

; Costa, André Lucirton

Interface - Comunicação, Saúde, Educação

Journal Metrics
- Sobre o periódico
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2023, Volume 27 elocation e220197

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

Resumo Sob a ótica do absenteísmo, este artigo descreve e analisa o processo de agendamento e atendimento de consultas médicas para o município de Ribeirão Preto, SP, Brasil. A partir dos mapas dos processos de agendamento e atendimento na Atenção Primária à Saúde (APS), foram realizadas entrevistas com coordenações da Secretaria Municipal de Saúde e gerentes de Unidades Básicas de Saúde (UBS) e Unidades de Saúde da Família (USF). Em uma abordagem qualitativa, foram identificadas as características, peculiaridades e possibilidades de estruturação no agendamento e atendimento à população. Os resultados são apresentados de modo analítico nos seguintes tópicos temáticos: gestão da agenda, acolhimento, tecnologias de informação e comunicação, modelo de unidade, pronto atendimento, infraestrutura e recursos humanos. Os resultados deste trabalho poderão auxiliar gestores municipais em processos de avaliação e melhoria contínua na rede de APS.

Resumen Bajo la óptica del ausentismo, este artículo describe y analiza el proceso de solicitud y realización de consultas médicas para el municipio de Ribeirão Preto Estado de São Paulo Brasil. A partir de los mapas de los procesos de solicitud y realización de consultas en la Atención Primaria de la Salud (APS), se realizaron entrevistas con coordinaciones de la Secretaría Municipal de Salud y gerentes de unidades básicas de salud (UBS) y unidades de salud de la familia (USF). En un abordaje cualitativo, se identificaron las características, peculiaridades y posibilidades de estructuración en la solicitud de consultas y atención a la población. Los resultados se presentan de modo analítico en los tópicos temáticos siguientes: gestión de la agenda, acogida, tecnologías de información y comunicación, modelo de unidad, urgencias, infraestructura y recursos humanos. Los resultados de ese trabajo podrán ayudar a gestores municipales en procesos de evaluación y mejora continua en la red de APS.

Abstract Through the lens of absenteeism, this article describes and analyzes the consultation scheduling and appointment process in Ribeirão Preto, São Paulo, Brazil. Based on primary health care scheduling and appointment process maps, we conducted interviews with coordinators of the Municipal Health Department and managers of primary care clinics and family health clinics. Adopting a qualitative approach, we identified the characteristics, peculiarities, and possibilities related to the organization of scheduling and appointments. The results are presented under the following thematic categories: schedule management, welcoming, information and communication technologies, unit model, urgent care, and infrastructure and human resources. The results of this work can help local health managers in implementing evaluation processes and the continuous improvement in primary care services.

https://doi.org/10.1590/interface.220197

Gestão do absenteísmo na Atenção Primária em cidade brasileira de médio porte
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Morais, Rinaldo Macedo de

; Sisdelli, Marina Fröner

; Ferreira, Gabriela Souza Assis

; Costa, André Lucirton

Interface - Comunicação, Saúde, Educação

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 27 elocation e220197

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

https://doi.org/10.1590/interface.220197

Construção e análise de indicadores de desempenho do acesso à atenção especializada do SUS
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Ferreira, Gabriela Souza Assis

; Salgado Junior, Wilson

; Costa, André Lucirton

Saúde em Debate

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dec 2019, Volume 43 N. 123 Pages 1003 - 1014

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

RESUMO Este estudo objetiva identificar informações a serem utilizadas para analisar o desempenho do acesso à atenção secundária à saúde. Foram analisados os acessos à especialidade de cirurgia digestiva do Hospital Estadual de Ribeirão Preto (HERP) e do Hospital Estadual de Américo Brasiliense (HEAB). Foram entrevistados 31 atores, em 16 organizações de saúde, com o objetivo de identificar indicadores de desempenho. Os indicadores identificados para ambos foram: ‘distribuição de vagas por município’, ‘situação após a primeira consulta’ e ‘Pedidos de Interconsulta (PI)’. No acesso ao HERP, acrescentou-se o ‘tempo para triagem’. Os dados para análise foram extraídos do Sistema de Apoio a Regulação Assistencial (Sara), utilizado somente no acesso ao HERP; e o sistema do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto (módulo Athos), utilizado em ambos. Essas informações podem ser úteis para caracterizar os processos, compará-los e auxiliar na identificação de oportunidades de melhoria, tornando-os mais transparentes aos envolvidos. O acesso eficiente permite o uso racional de recursos e a ampliação do acesso dos pacientes aos serviços, uma vez que possibilita redução de desperdício, ociosidade e tempo de espera.

ABSTRACT This study aims to identify information to be used in order to analyze the performance of access to secondary health care. The accesses to the specialty of digestive surgery of the Ribeirão Preto State Hospital (HERP) and the Américo Brasiliense State Hospital (HEAB) were analyzed. Thirty-one actors, in 16 health organizations, were interviewed, with the purpose of identifying performance indicators. The indicators identified for both were: ‘distribution of vacancies by municipality’, ‘situation after the first consultation’ and ‘requests for consultation (PI)’. In access to HERP, the ‘time for screening’ was added. The data for analysis were extracted from the Assistance Regulation Support System (Sara), used only to access the HERP; and the system of the Clinical Hospital of Ribeirão Preto Medical School (Athos module), used in both. This information can be useful for characterizing processes, comparing them and assist in the identification of improvement opportunities by making them more transparent to those involved. Efficient access allows rational use of resources and increased patient access to services, as it enables reduction of waste, idleness and waiting time.

https://doi.org/10.1590/0103-1104201912302

Construção e análise de indicadores de desempenho do acesso à atenção especializada do SUS
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Ferreira, Gabriela Souza Assis

; Salgado Junior, Wilson

; Costa, André Lucirton

Saúde em Debate

Journal Metrics
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oct 2019, Volume 43 N. 123 Pages 1003 - 1014

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

https://doi.org/10.1590/0103-1104201912302 695 downloads

Replacement of wheat bran with spineless cactus in sugarcane-based diets for steers
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Conceição, Maria Gabriela da

; Ferreira, Marcelo de Andrade

; Campos, José Maurício de Souza

; Silva, Janaina de Lima

; Detmann, Edenio

; Siqueira, Michelle Christina Bernardo de

; Barros, Leonardo José Assis de

; Costa, Cleber Thiago Ferreira

Revista Brasileira de Zootecnia

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apr 2016, Volume 45 N. 4 Pages 158 - 164

Abstract: En | Text: En | PDF: En

ABSTRACT The effect of replacing wheat bran with spineless cactus (0, 25, 50, 75, and 100%) in sugar cane-based diets on the intake of nutrients, feeding behavior, and rumen digestibility of steers was assessed using digested samples collected from the omasum. Five crossbred steers (1/2 Holstein-Zebu) were fitted with cannulas in the rumen and then assigned to a 5 × 5 Latin square design. Samples of omasal digesta were collected for three days. Rumen was evacuated via the rumen cannula to determine the rumen pool of dry matter (DM), neutral detergent fiber (NDF), indigestible NDF (iNDF), intake (ki), passage (kp) and degradation (NDF) rates, and the passage of iNDF (kpi). Nutrient intake displayed a quadratic effect, with maximum intakes of DM (5.73 kg d−1), non-fiber carbohydrates (NFC, 4.63 kg d−1), and digestible organic matter (DOM, 3.45 kg d−1) estimated at the replacement levels of 54.63, 60.00, and 43.17%, respectively. The replacement levels showed no effect on feeding, rumination, or idle times. There was a linear increase in the total apparent and ruminal digestibility of CP as the spineless cactus content in the diet was increased. There was no effect on total and partial digestibilities of OM and NDF or on intestinal digestibility of CP. No effect was observed on the rumen pool of DM, NDF, or iNDF. Furthermore, ki, kp, NDF degradation, and iNDF passage rates displayed a quadratic effect, with higher concentrations estimated for replacement levels of 56.07, 56.12, 59.00, and 55.20%, respectively. Replacing 55% wheat bran with spineless cactus in sugar cane-based diets is recommended.

https://doi.org/10.1590/S1806-92902016000400003 11443 downloads

ERICA: prevalence of metabolic syndrome in Brazilian adolescents
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Kuschnir, Maria Cristina C

; Bloch, Katia Vergetti

; Szklo, Moyses

; Klein, Carlos Henrique

; Barufaldi, Laura Augusta

; Abreu, Gabriela de Azevedo

; Schaan, Beatriz

; Veiga, Gloria Valeria da

; Silva, Thiago Luiz Nogueira da

; Vasconcellos, Maurício T L de

; Moraes, Ana Júlia Pantoja de

; Oliveira, Ana Mayra Andrade de

; Tavares, Bruno Mendes

; Oliveira, Cecília Lacroix de

; Cunha, Cristiane de Freitas

; Giannini, Denise Tavares

; Belfort, Dilson Rodrigues

; Santos, Eduardo Lima

; Leon, Elisa Brosina de

; Oliveira, Elizabete Regina Araújo

; Fujimori, Elizabeth

; Borges, Ana Luíza

; Magliano, Erika da Silva

; Vasconcelos, Francisco de Assis Guedes

; Azevedo, George Dantas

; Brunken, Gisela Soares

; Guimarães, Isabel Cristina Britto

; Faria Neto, José Rocha

; Oliveira, Juliana Souza

; Carvalho, Kenia Mara B de

; Gonçalves, Luis Gonzaga de Oliveira

; Monteiro, Maria Inês

; Santos, Marize M

; Muniz, Pascoal Torres

; Jardim, Paulo César B Veiga

; Ferreira, Pedro Antônio Muniz

; Montenegro Jr, Renan Magalhães

; Gurgel, Ricardo Queiroz

; Vianna, Rodrigo Pinheiro

; Vasconcelos, Sandra Mary

; Martins, Stella Maris Seixas

; Goldberg, Tamara Beres Lederer

Revista de Saúde Pública

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2016, Volume 50 Suppl. 1 elocation 11s

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

RESUMO OBJETIVO Determinar a prevalência de síndrome metabólica e de seus componentes em adolescentes brasileiros. MÉTODOS Foram avaliados 37.504 adolescentes, participantes do Estudo de Riscos Cardiovasculares em Adolescentes (ERICA), estudo transversal de âmbito nacional e de base escolar. Os adolescentes, de 12 a 17 anos de idade, residiam em municípios com mais de 100 mil habitantes. A amostra foi estratificada e conglomerada em escolas e turmas. Os critérios da International Diabetes Federation foram utilizados para definir síndrome metabólica. Prevalências de síndrome metabólica foram estimadas segundo sexo, faixa etária, tipo de escola e estado nutricional. RESULTADOS Dos 37.504 adolescentes, 50,2% eram do sexo feminino; 54,3% tinham de 15 a 17 anos e 73,3% estudavam em escolas públicas. A prevalência nacional de síndrome metabólica foi 2,6% (IC95% 2,3-2,9), discretamente maior no sexo masculino e naqueles de 15 a 17 anos na maioria das macrorregiões. A prevalência foi a maior nos residentes na macrorregião Sul, nas adolescentes mais jovens e nos adolescentes mais velhos. A prevalência foi maior nas escolas públicas (2,8% [IC95% 2,4-3,2]) que nas escolas privadas (1,9% [IC95% 1,4-2,4]) e nos adolescentes obesos em comparação aos não obesos. As combinações de componentes mais frequentes, respondendo por 3/4 das combinações, foram: circunferência de cintura elevada, HDL-colesterol baixo e pressão arterial elevada, seguida de circunferência da cintura elevada, lipoproteína de alta densidade (HDL-c) baixo e triglicerídeos elevados, e wpor circunferência da cintura elevada, HDL baixa e triacilgliceróis e pressão arterial elevados. A HDL baixa foi o segundo componente mais frequente, mas a maior prevalência de síndrome metabólica (26,8%) foi observada na presença de triglicerídeos elevado. CONCLUSÕES O ERICA é o primeiro estudo nacional a apresentar prevalências de síndrome metabólica e descrever a participação dos seus componentes. Apesar de a prevalência da síndrome metabólica ter sido baixa, as altas prevalências de alguns componentes e de participação de outros na composição da síndrome torna importante o diagnóstico precoce de tais alterações, mesmo que não agrupadas na síndrome metabólica.

ABSTRACT OBJECTIVE To determine the prevalence of metabolic syndrome and its components in Brazilian adolescents. METHODS We evaluated 37,504 adolescents who were participants in the Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional, school-based, national study. The adolescents, aged from 12 to 17 years, lived in cities with populations greater than 100,000 inhabitants. The sample was stratified and clustered into schools and classes. The criteria set out by the International Diabetes Federation were used to define metabolic syndrome. Prevalences of metabolic syndrome were estimated according to sex, age group, school type and nutritional status. RESULTS Of the 37,504 adolescents who were evaluated: 50.2% were female; 54.3% were aged from 15 to 17 years, and 73.3% were from public schools. The prevalence of metabolic syndrome was 2.6% (95%CI 2.3-2.9), slightly higher in males and in those aged from 15 to 17 years in most macro-regions. The prevalence was the highest in residents from the South macro-region, in the younger female adolescents and in the older male adolescents. The prevalence was higher in public schools (2.8% [95%CI 2.4-3.2]), when compared with private schools (1.9% [95%CI 1.4-2.4]) and higher in obese adolescents when compared with nonobese ones. The most common combinations of components, referring to 3/4 of combinations, were: enlarged waist circumference (WC), low HDL-cholesterol (HDL-c) and high blood pressure; followed by enlarged WC, low HDL-c and high triglycerides; and enlarged WC, low HDL-c, high triglycerides and blood pressure. Low HDL was the second most frequent component, but the highest prevalence of metabolic syndrome (26.8%) was observed in the presence of high triglycerides. CONCLUSIONS ERICA is the first Brazilian nation-wide study to present the prevalence of metabolic syndrome and describe the role of its components. Despite the prevalence of Metabolic Syndrome being low, the high prevalences of some components and participation of others in the syndrome composition shows the importance of early diagnosis of this changes, even if not grouped within the metabolic syndrome.

https://doi.org/10.1590/s01518-8787.2016050006701 1789 downloads

ERICA: prevalences of hypertension and obesity in Brazilian adolescents
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Bloch, Katia Vergetti

; Klein, Carlos Henrique

; Szklo, Moyses

; Kuschnir, Maria Cristina C

; Abreu, Gabriela de Azevedo

; Barufaldi, Laura Augusta

; Veiga, Gloria Valeria da

; Schaan, Beatriz

; Silva, Thiago Luiz Nogueira da

; Moraes, Ana Julia Pantoja

; Oliveira, Ana Mayra Andrade de

; Tavares, Bruno Mendes

; Magliano, Erika da Silva

; Oliveira, Cecília Lacroix de

; Cunha, Cristiane de Freitas

; Giannini, Denise Tavares

; Belfort, Dilson Rodrigues

; Santos, Eduardo Lima

; Leon, Elisa Brosina de

; Oliveira, Elizabete Regina Araújo

; Fujimori, Elizabeth

; Borges, Ana Luíza

; Vasconcelos, Francisco de Assis Guedes

; Azevedo, George Dantas

; Brunken, Gisela Soares

; Guimarães, Isabel Cristina Britto

; Faria Neto, José Rocha

; Oliveira, Juliana Souza

; Carvalho, Kenia Mara B. de

; Gonçalves, Luis Gonzaga de Oliveira

; Monteiro, Maria Inês

; Santos, Marize M.

; Jardim, Paulo César B. Veiga

; Ferreira, Pedro Antônio Muniz

; Montenegro Jr., Renan Magalhães

; Gurgel, Ricardo Queiroz

; Vianna, Rodrigo Pinheiro

; Vasconcelos, Sandra Mary

; Goldberg, Tamara Beres Lederer

Revista de Saúde Pública

Journal Metrics
- Sobre o periódico
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2016, Volume 50 Suppl. 1 elocation 9s

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

RESUMO OBJETIVO Estimar as prevalências de hipertensão arterial e obesidade e a fração atribuível populacional de hipertensão arterial devida à obesidade em adolescentes brasileiros. MÉTODOS Foram avaliados dados dos participantes do Estudo de Riscos Cardiovasculares em Adolescentes, estudo seccional l nacional de base escolar. A amostra foi dividida em 32 estratos geográficos e conglomerados de escolas e turmas, com representatividade nacional, macrorregional e de capitais. Obesidade foi classificada pelo índice de massa corporal segundo idade e sexo. Considerou-se hipertensão arterial a média da pressão arterial sistólica ou diastólica maior ou igual ao percentil 95 da curva de referência. Foram estimadas prevalências e intervalos de confiança de 95% (IC95%) de hipertensão arterial e de obesidade, nacionais e nas macrorregiões do País, por sexo e grupo etário, assim como as frações de hipertensão atribuíveis à obesidade na população. RESULTADOS Foram avaliados 73.399 estudantes, 55,4% do sexo feminino, com média de idade 14,7 anos (DP = 1,6). A prevalência de hipertensão arterial foi 9,6% (IC95% 9,0-10,3); sendo as mais baixas observadas nas regiões Norte, 8,4% (IC95% 7,7-9,2) e Nordeste, 8,4% (IC95% 7,6-9,2) e a mais alta na região Sul, 12,5% (IC95% 11,0-14,2). A prevalência de obesidade foi 8,4% (IC95% 7,9-8,9), mais baixa na região Norte e mais alta na Sul. As prevalências de hipertensão arterial e obesidade foram maiores no sexo masculino. Adolescentes com obesidade tiveram prevalência de hipertensão arterial mais elevada, 28,4% (IC95% 25,5-31,2), do que aqueles com sobrepeso, 15,4% (IC95% 13,8-17,0), ou eutróficos, 6,3% (IC95% 5,6-7,0). A fração de hipertensão arterial atribuível à obesidade foi de 17,8%. CONCLUSÕES O ERICA foi o primeiro estudo brasileiro com representatividade nacional a estimar a prevalência de hipertensão arterial aferida em adolescentes. A fração da prevalência de hipertensão arterial atribuível à obesidade mostrou que cerca de 1/5 dos hipertensos poderiam não ser hipertensos se não fossem obesos.

ABSTRACT OBJECTIVE To estimate the prevalence of arterial hypertension and obesity and the population attributable fraction of hypertension that is due to obesity in Brazilian adolescents. METHODS Data from participants in the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA), which was the first national school-based, cross-section study performed in Brazil were evaluated. The sample was divided into 32 geographical strata and clusters from 32 schools and classes, with regional and national representation. Obesity was classified using the body mass index according to age and sex. Arterial hypertension was defined when the average systolic or diastolic blood pressure was greater than or equal to the 95th percentile of the reference curve. Prevalences and 95% confidence intervals (95%CI) of arterial hypertension and obesity, both on a national basis and in the macro-regions of Brazil, were estimated by sex and age group, as were the fractions of hypertension attributable to obesity in the population. RESULTS We evaluated 73,399 students, 55.4% female, with an average age of 14.7 years (SD = 1.6). The prevalence of hypertension was 9.6% (95%CI 9.0-10.3); with the lowest being in the North, 8.4% (95%CI 7.7-9.2) and Northeast regions, 8.4% (95%CI 7.6-9.2), and the highest being in the South, 12.5% (95%CI 11.0-14.2). The prevalence of obesity was 8.4% (95%CI 7.9-8.9), which was lower in the North region and higher in the South region. The prevalences of arterial hypertension and obesity were higher in males. Obese adolescents presented a higher prevalence of hypertension, 28.4% (95%CI 25.5-31.2), than overweight adolescents, 15.4% (95%CI 17.0-13.8), or eutrophic adolescents, 6.3% (95%CI 5.6-7.0). The fraction of hypertension attributable to obesity was 17.8%. CONCLUSIONS ERICA was the first nationally representative Brazilian study providing prevalence estimates of hypertension in adolescents. Regional and sex differences were observed. The study indicates that the control of obesity would lower the prevalence of hypertension among Brazilian adolescents by 1/5.

https://doi.org/10.1590/s01518-8787.2016050006685 1511 downloads

ERICA: prevalences of hypertension and obesity in Brazilian adolescents
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Bloch, Katia Vergetti

; Klein, Carlos Henrique

; Szklo, Moyses

; Kuschnir, Maria Cristina C

; Abreu, Gabriela de Azevedo

; Barufaldi, Laura Augusta

; Veiga, Gloria Valeria da

; Schaan, Beatriz

; Silva, Thiago Luiz Nogueira da

; Moraes, Ana Julia Pantoja

; Oliveira, Ana Mayra Andrade de

; Tavares, Bruno Mendes

; Magliano, Erika da Silva

; Oliveira, Cecília Lacroix de

; Cunha, Cristiane de Freitas

; Giannini, Denise Tavares

; Belfort, Dilson Rodrigues

; Santos, Eduardo Lima

; Leon, Elisa Brosina de

; Oliveira, Elizabete Regina Araújo

; Fujimori, Elizabeth

; Borges, Ana Luíza

; Vasconcelos, Francisco de Assis Guedes

; Azevedo, George Dantas

; Brunken, Gisela Soares

; Guimarães, Isabel Cristina Britto

; Faria Neto, José Rocha

; Oliveira, Juliana Souza

; Carvalho, Kenia Mara B. de

; Gonçalves, Luis Gonzaga de Oliveira

; Monteiro, Maria Inês

; Santos, Marize M.

; Jardim, Paulo César B. Veiga

; Ferreira, Pedro Antônio Muniz

; Montenegro Jr., Renan Magalhães

; Gurgel, Ricardo Queiroz

; Vianna, Rodrigo Pinheiro

; Vasconcelos, Sandra Mary

; Goldberg, Tamara Beres Lederer

Revista de Saúde Pública

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2016, Volume 50 Suppl. 1 elocation 9s

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

https://doi.org/10.1590/s01518-8787.2016050006685 18629 downloads

ERICA: prevalence of metabolic syndrome in Brazilian adolescents
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Kuschnir, Maria Cristina C

; Bloch, Katia Vergetti

; Szklo, Moyses

; Klein, Carlos Henrique

; Barufaldi, Laura Augusta

; Abreu, Gabriela de Azevedo

; Schaan, Beatriz

; Veiga, Gloria Valeria da

; Silva, Thiago Luiz Nogueira da

; Vasconcellos, Maurício T L de

; Moraes, Ana Júlia Pantoja de

; Oliveira, Ana Mayra Andrade de

; Tavares, Bruno Mendes

; Oliveira, Cecília Lacroix de

; Cunha, Cristiane de Freitas

; Giannini, Denise Tavares

; Belfort, Dilson Rodrigues

; Santos, Eduardo Lima

; Leon, Elisa Brosina de

; Oliveira, Elizabete Regina Araújo

; Fujimori, Elizabeth

; Borges, Ana Luíza

; Magliano, Erika da Silva

; Vasconcelos, Francisco de Assis Guedes

; Azevedo, George Dantas

; Brunken, Gisela Soares

; Guimarães, Isabel Cristina Britto

; Faria Neto, José Rocha

; Oliveira, Juliana Souza

; Carvalho, Kenia Mara B de

; Gonçalves, Luis Gonzaga de Oliveira

; Monteiro, Maria Inês

; Santos, Marize M

; Muniz, Pascoal Torres

; Jardim, Paulo César B Veiga

; Ferreira, Pedro Antônio Muniz

; Montenegro Jr, Renan Magalhães

; Gurgel, Ricardo Queiroz

; Vianna, Rodrigo Pinheiro

; Vasconcelos, Sandra Mary

; Martins, Stella Maris Seixas

; Goldberg, Tamara Beres Lederer

Revista de Saúde Pública

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2016, Volume 50 Suppl. 1 elocation 11s

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

https://doi.org/10.1590/s01518-8787.2016050006701 11875 downloads

10.

Detection of Ehrlichia canis in domestic cats in the central-western region of Brazil
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Braga, Ísis Assis

; Santos, Luana Gabriela Ferreira dos

; Ramos, Dirceu Guilherme de Souza

; Melo, Andréia Lima Tomé

; Mestre, Gustavo Leandro da Cruz

; Aguiar, Daniel Moura de

Brazilian Journal of Microbiology

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jun 2014, Volume 45 N. 2 Pages 641 - 645

Abstract: En | Text: En | PDF: En

Ehrlichiosis is a worldwide distributed disease caused by different bacteria of the Ehrlichia genus that are transmitted by arthropod vectors. Its occurrence in dogs is considered endemic in several regions of Brazil. Regarding cats, however, few studies have been done and, consequently, there is not enough data available. In order to detect Ehrlichia spp. in cats from the central-western region of Brazil, blood and serum samples were collected from a regional population of 212 individuals originated from the cities of Cuiabá and Várzea Grande. These animals were tested by the Immunofluorescence Assay (IFA) and the Polymerase Chain Reaction (PCR) designed to amplify a 409 bp fragment of the dsb gene. The results obtained show that 88 (41.5%) cats were seropositive by IFA and 20 (9.4%) cats were positive by PCR. The partial DNA sequence obtained from PCR products yielded twenty samples that were found to match perfectly the Ehrlichia canis sequences deposited on GenBank. The natural transmission of Ehrlichia in cats has not been fully established. Furthermore, tick infestation was not observed in the evaluated cats and was not observed any association between age, gender and positivity of cats in both tests. The present study reports the first serological and molecular detection of E. canis in domestic cats located in the endemic area previously mentioned.

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