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au:Ferreira-Alves, Ana Carolina

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Development of mulch films from biodegradable polymer and agro-industrial waste
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França, Railha Antunes de

; Rosa, Ana Carolina Ferreira dos Santos

; Braz, Cristiano José de Farias

; Barbosa, Renata

; Alves, Tatianny Soares

Polímeros

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2024, Volume 34 N. 1 elocation e20230042

Abstract: En | Text: En | PDF: En

Abstract Plasticulture improves crop quality and yield through polymeric films, but their improper disposal harms the environment due to humidity and contamination. This study aimed to develop biodegradable mulch films using soybean and peanut hulls and poly (butylene-adipate-co-terephthalate) (PBAT). The residues were characterized by thermogravimetric analysis and mulch films were evaluated by water absorption, contact angle and mechanical properties. The thermal behavior of the residues indicated stability below 200ºC. The agro-waste improved hydrophobicity but increased the water absorption values of the films by up to 18.5x (PBAT/SH5 after 14 days). Micrographs obtained by scanning electron microscopy indicated an important distribution of residue particles and formation of agglomerates, leading to lower mechanical performance. The study found that agro-industrial residues in powder form can be added to the polymeric matrix to produce biodegradable mulch films through traditional processing techniques. This approach has the potential to contribute to a more sustainable production system.

https://doi.org/10.1590/0104-1428.20230043

Efficacy, Safety, and Acceptability of Misoprostol in the Treatment of Incomplete Miscarriage: A Systematic Review and Meta-analysis
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Silva, Thiago Menezes da

; Araujo, Moema Alves Guerra de

; Simões, Ana Carolina Zimmermann

; Oliveira, Ronnier de

; Medeiros, Kleyton Santos de

; Sarmento, Ayane Cristine

; Medeiros, Robinson Dias de

; Costa, Ana Paula Ferreira

; Gonçalves, Ana Katherine

Revista Brasileira de Ginecologia e Obstetrícia

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dec 2023, Volume 45 N. 12 Pages 808 - 817

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

Abstract Objective To assess the efficacy, safety, and acceptability of misoprostol in the treatment of incomplete miscarriage. Data sources The PubMed, Scopus, Embase, Web of Science, Cochrane Library, and Clinical Trials databases (clinicaltrials.gov) were searched for the relevant articles, and search strategies were developed using a combination of thematic Medical Subject Headings terms and text words. The last search was conducted on July 4, 2022. No language restrictions were applied. Selection of studies Randomized clinical trials with patients of gestational age up to 6/7 weeks with a diagnosis of incomplete abortion and who were managed with at least 1 of the 3 types of treatment studied were included. A total of 8,087 studies were screened. Data collection Data were synthesized using the statistical package Review Manager V.5.1 (The Cochrane Collaboration, Oxford, United Kingdom). For dichotomous outcomes, the odds ratio (OR) and 95% confidence interval (CI) were derived for each study. Heterogeneity between the trial results was evaluated using the standard test, I2 statistic. Data synthesis When comparing misoprostol with medical vacuum aspiration (MVA), the rate of complete abortion was higher in the MVA group (OR = 0.16; 95%CI = 0.07–0.36). Hemorrhage or heavy bleeding was more common in the misoprostol group (OR = 3.00; 95%CI = 1.96–4.59), but pain after treatment was more common in patients treated with MVA (OR = 0.65; 95%CI = 0.52–0.80). No statistically significant differences were observed in the general acceptability of the treatments. Conclusion Misoprostol has been determined as a safe option with good acceptance by patients.

Resumo Objetivo Avaliar a eficácia, segurança e aceitabilidade do misoprostol no tratamento do aborto incompleto. Fontes de dados Os bancos de dados PubMed, Scopus, Embase, Web of Science, Cochrane Library e bancos de dados de Ensaios Clínicos (clinicaltrials.gov) foram pesquisados para os artigos relevantes, e estratégias de busca foram desenvolvidas usando uma combinação de termos temáticos de Medical Subject Headings e palavras de texto. A última pesquisa foi realizada em 4 de julho de 2022. Nenhuma restrição de idioma foi aplicada. Seleção dos estudos Foram incluídos ensaios clínicos randomizados com pacientes com idade gestacional até 6/7 semanas com diagnóstico de aborto incompleto e que foram manejadas com pelo menos um dos três tipos de tratamento estudados. Um total de 8.087 estudos foram selecionados. Coleta de dados Os dados foram sintetizados usando o pacote estatístico Review Manager V.5.1 (The Cochrane Collaboration, Oxford, United Kingdom). Para resultados dicotômicos, o odds ratio (OR, na sigla em inglês) e o intervalo de confiança (IC) de 95% foram derivados para cada estudo. A heterogeneidade entre os resultados do ensaio foi avaliada usando o teste padrão, estatística I2. Síntese dos dados Ao comparar misoprostol com aspiração a vácuo médico (MVA, na sigla em inglês), a taxa de aborto completo foi maior no grupo MVA (OR = 0,16; IC95% = 0,07–0,36). Hemorragia ou sangramento intenso foi mais comum no grupo do misoprostol (OR = 3,00; 95%CI = 1,96–4,59), mas a dor após o tratamento foi mais comum em pacientes tratados com MVA (OR = 0,65; 95%CI = 0,52–0,80). Não foram observadas diferenças estatisticamente significativas na aceitabilidade geral dos tratamentos. Conclusão O misoprostol tem se mostrado uma opção segura e com boa aceitação pelos pacientes.

https://doi.org/10.1055/s-0043-1776029

Uma disseção muito complicada: um caso clínico
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Tavares, Carolina

; Pinto, Vanda

; Figueiredo, Adriana

; Fidalgo, Helena

; Alves, Gonçalo

; Garci, Ana Catarina

; Ferreira, Maria Emília

Angiologia e Cirurgia Vascular

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jun 2023, Volume 19 N. 2 Pages 46 - 50

Abstract: Pt | Text: Pt | PDF: Pt

Resumo Introdução: A disseção aórtica aguda tipo B (DAAB) é uma síndrome aórtica aguda que apresenta elevada taxa de mortalidade. Atualmente, na fase aguda, preconiza-se o tratamento médico nos casos de DAAB não complicada, ficando a cirurgia reservada para os casos de DAAB complicada (rutura, síndrome de malperfusão, dor/hipertensão refratária, expansão rápida ou progressão proximal/distal). A cirurgia endovascular, por apresentar taxas de morbi-mortalidade francamente inferiores à cirurgia aberta, está recomendada sempre que possível. Caso clínico: Apresentamos um caso de DAAB complicada de falso aneurisma, rotura e malperfusão visceral, submetida de urgência a tratamento endovascular (TEVAR + PETTICOAT) e drenagem torácica. O pós-operatório foi complicado de AVC isquémico do hemisfério direito, com recuperação quase completa dos défices durante o internamento. A angio-TC de controlo, aos 2 meses, mostrou exclusão do falso aneurisma, expansão do verdadeiro lúmen (com adequada perfusão das artérias viscerais) e trombose parcial do falso lúmen (exceto em focos de preenchimento retrógrado à custa de artérias lombares e intercostais).

https://doi.org/10.48750/acv.500

Uma disseção muito complicada: um caso clínico
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Tavares, Carolina

; Pinto, Vanda

; Figueiredo, Adriana

; Fidalgo, Helena

; Alves, Gonçalo

; Garci, Ana Catarina

; Ferreira, Maria Emília

Angiologia e Cirurgia Vascular

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jun 2023, Volume 19 N. 2 Pages 98 - 102

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.48750/acv.500

Ribosomal, mitochondrial and bacterial (Wolbachia) reference sequences for Dipetalonema gracile obtained from a wild pied tamarin (Saguinus bicolor) host in Manaus, Brazil
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COSTA, Carlos Henrique Aguiar

; CRAINEY, James Lee

; VICENTE, Ana Carolina Paulo

; CONGA, David Fernandez

; GORDO, Marcelo

; LUZ, Sérgio Luiz Bessa

; DIAS, Cindy Alves

; SILVA, Túllio Romão Ribeiro da

; FERREIRA, Caroline Coelho

; NAVA, Alessandra Ferreira Dales

Acta Amazonica

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jun 2023, Volume 53 N. 2 Pages 130 - 140

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

ABSTRACT The primates that inhabit the rainforest surrounding the city of Manaus (Amazonas, Brazil) have long been recognised as potentially important reservoirs of emerging and re-emerging infectious diseases (ERIDs). PCR amplification of filarial sequences from wild-caught Simulium oyapockense has been used to incriminate potentially important Amazon-region ERID bridge vectors by showing they had previously fed on non-human primates. The broader use of filarial parasite sequences for the incrimination of biting insects as potentially important zoonotic disease vectors is limited by a paucity of primate-derived filarial parasite reference sequences which can be matched to the PCR amplified sequences obtained from insect-vector vectors. Here we have used shotgun sequencing to obtain reference data from an adult Dipetalonema gracile parasite which was found infecting a wild pied tamarin (Saguinus bicolor) in a peripheral region of Manaus. We report the parasite´s complete mitochondrial genome (which is 13,647 base pairs in length), 894,846 base pairs of its Wolbachia genome and 6,426 base pairs of its ribosomal DNA locus (spanning from the start of its 18S subunit to the end of its 28S subunit). Despite being critically endangered, S. bicolor is commonly encountered around the periphery of Manaus and in urban forest fragments. The reported sequences may be a useful reference tool for identifying ERID bridge vectors and potentially provide some insights into the amount and the nature of contact between primate pathogen reservoirs and the residents of Manaus.

RESUMO Os primatas que habitam a floresta tropical ao redor da cidade de Manaus (Amazonas, Brasil) há muito são reconhecidos como reservatórios potencialmente importantes de doenças infecciosas emergentes e reemergentes. Sequências de DNA de parasitas filariais detectadas por PCR em amostras de Simulium oyapockense foram usadas para demonstrar que eles haviam se alimentado anteriormente de primatas não humanos e, dessa maneira, incriminar vetores-ponte da região amazônica. O uso mais amplo de detecção de parasitas filariais para a incriminação de vetores-ponte é limitado por uma escassez de sequências referência de parasitas filarias obtidas de hospedeiros. Aqui nós usamos o sequenciamento tipo shotgun para obter dados de referência de um parasita adulto Dipetalonema gracile encontrado infectando um sauim-de-coleira, Saguinus bicolor no entorno de Manaus. Relatamos o genoma mitocondrial completo do parasita (que tem 13.647 pares de bases de comprimento), 894.846 pares de bases de seu genoma de Wolbachia e 6.426 pares de bases de seu locus de DNA ribossômico (desde o início de sua subunidade 18S até o final de sua subunidade 28S). Apesar de criticamente ameaçado, S. bicolor é comumente encontrado no entorno de Manaus e em fragmentos florestais urbanos. As sequências relatadas podem ser uma ferramenta de referência útil para identificar vetores ponte e potencialmente fornecer algumas informações sobre o contato entre reservatórios de patógenos de primatas e os moradores de Manaus.

https://doi.org/10.1590/1809-4392202201741

Association of smartphone addiction with pain, sleep, anxiety, and depression in university students
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Paul, Vanessa Cristina Godoi de

; Neves, Ana Carolina das

; Oliveira, Giani Alves de

; Antonio, Ana Carolina Ferreira Tsunoda Del

; Antonio, Tiago Tsunoda Del

; Jassi, Fabrício José

Fisioterapia em Movimento

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2023, Volume 36 elocation e36110

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

Abstract Introduction: Smartphone use has become a popular social communication phenomenon worldwide. Its excessive use can compromise daily routines and habits, which is associated with sleep disorders, stress, anxiety and pain. Therefore, the university student stands out, as they has a lifestyle in which it is necessary to reconcile daily activities with curriculum activities, aggravating psychosocial factors. Objective: To investigate whether smartphone addiction influences sleep quality, anxiety, depression and pain in university students. Methods: We carried out an analytical cross-sectional study. For data collection, the following self-administered questionnaires were used: Smartphone Addiction Inventory (SPAI-BR), to assess smartphone dependence; Pittsburgh Sleep Quality Index (PSQI), to evaluate sleep quality; Hospital Anxiety and Depression Scale, to assess anxiety and depression (HADS), where it was subdivided into HADS-A for anxiety and HADS-D for depression; and Numeric Rating Scale (NRS) to determine physical pain intensity. The sample consisted of 301 university students studying physiotherapy and physical education at the State University of Northern Paraná (UENP). They were divided according to the score obtained in the SPAI-BR between the “regular” group (up to 6 points) and “predisposed” to smartphone dependence (7 or more points). Results: The comparisons were statistically significant in favor of the regular group: the predisposed group obtained a higher score for the questionnaires used with an average NRS of 2.37 points, average HADS-D of 9.05 points and average HADS-A of 6.01 points. Differences between groups were statistically significant: NRS, p = 0.018; HADS-A, p = 0.001; HADS-D p = 0.001; and PSQI, p = 0.001. Conclusion: The university students analyzed in this study classified as predisposed were more prone to being addicted to their smartphone, and they were more likely to have anxiety, with a worse quality of sleep and with a greater intensity of pain.

Resumo Introdução: O uso de smartphones se tornou um fenômeno social mundialmente popular de comunicação. Seu uso excessivo pode comprometer as rotinas e hábitos diários, que estão associados aos distúrbios do sono, estresse, ansiedade, algias; logo, destaca-se o universitário, que apresenta um estilo de vida em que é preciso conciliar as atividades diárias com as curriculares, agravando fatores psicossociais. Objetivo: Investigar se a dependência do uso de smartphone influencia a qualidade de sono e os níveis de ansiedade, depressão e dor em universitários. Métodos: Trata-se de um estudo transversal analítico. Para a coleta dos dados foram utilizados os questionários autoaplicáveis Inventário de Dependências do Smartphone (SPAI-BR), Escala de Pittsburgh (PSQI), Escala Hospitalar de Ansiedade e Depressão (HADS), sendo este subdividido em HADS-A (ansiedade) e HADS-D (depressão), e Escala Numérica da Dor (END). A amostra foi composta por 301 universitários da Universidade Estadual do Norte do Paraná, dos cursos de fisioterapia e educação física. Os estudantes foram divididos de acordo com o escore obtido no SPAI-BR entre grupo regular (até 6 pontos) e pré-disposto à dependência do uso de smartphone (7 ou mais pontos). Resultados: As comparações foram estatisticamente significativas a favor do grupo regular; sendo assim, o grupo pré-disposto obteve uma pontuação pior nos questionários utilizados, sendo a média END de 2,37 pontos, a média HADS-D de 9,05 e a média HADS-A de 6,01. Os valores de intensidade de dor entre os grupos foram de p = 0,018; HADS-A: p = 0,001; HADS-D: p = 0,001; PSQI: p= 0,001. Conclusão: Os universitários classificados como pré- dispostos apresentaram uma maior propensão à dependência do smartphone, além de maior chance de terem ansiedade com uma pior qualidade de sono e maior intensidade de dor.

https://doi.org/10.1590/fm.2023.36110

Intake and apparent nutrient digestibility, ruminal parameters, and nitrogen balance of lambs fed with corn and forage-free diets with sodium bicarbonate
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Vicente, Ana Carolina Silva

; Carlis, Matheus Sousa de Paula

; Santos, Isabela Jorge dos

; Silva, Adrielly Lais Alves da

; Dias Junior, Paulo César Gonzales

; Eckermann, Nathalia Rubio

; Souza, Terezinha Teixeira de

; Polizel, Daniel Montanher

; Baggio, Marcelo

; Biava, Janaina Socolovski

; Pires, Alexandre Vaz

; Ferreira, Evandro Maia

Ciência Rural

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2023, Volume 53 N. 9 elocation e20220406

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

ABSTRACT: This study evaluated forage-free diets supplemented with sodium bicarbonate (SB) based on ground flint corn on intake, apparent nutrient digestibility, ruminal parameters, and N balance. Four rumen-cannulatedDorper × Santa Inês lambs, with a body weight of 43.4 ± 0.85 kg (mean ± standard deviation) were used. The experimental design was a 4×4 Latin square. Each experimental period lasted 21 days. Experimental diets were: positive control, a diet without SB containing 400 g/kg DM of soybean hulls (CONT), and three diets based on ground flint corn, containing 10 (10SB), 20 (20SB) or 30 (30SB) g/kg DM of SB. Intake of neutral and acid detergent fiber was greater for CONT (P < 0.01) when compared to SB. Intake and apparent nutrient digestibility of dry and organic matter, ether extract, and crude protein did not differ. Intake (P = 0.01) and digestibility (P < 0.01) of non-fiber carbohydrates were greater for SB diets and neutral detergent fiber digestibility was greater (P = 0.03) for CONT. The total digestible nutrients and metabolizable energy were greater for SB (P = 0.04). Rumen concentrations of acetate (P < 0.01), isobutyrate (P < 0.01), butyrate (P < 0.01), isovalerate (P < 0.01), and total short-chain fatty acids (P < 0.01) were greater for CONT. Ruminal pH showed a quadratic (P = 0.05) response to SB levels, with greater values for 20SB. Sodium bicarbonate was efficient in increasing ruminal pH at the level of 20 g/kg DM without interfering with the intake and apparent nutrient digestibility characteristics.

RESUMO: O presente estudo avaliou a suplementação de bicarbonato de sódio (BS) em dietas sem forragem à base de milho moído sobre o consumo e a digestibilidade aparente dos nutrientes, os parâmetros ruminais e o balanço de N. Foram utilizados quatro cordeiros Dorper × Santa Inês, com um peso corporal inicial de 43,4 ± 0,85 kg (média ± desvio padrão). O delineamento experimental foi quadrado latino 4×4. Cada período experimental durou 21 dias. As dietas experimentais foram: controle positivo, sem BS, contendo 400 g/kg de MS de casca de soja (CONT) e três dietas à base de milho moído, sem casca de soja, contendo 10 (10BS), 20 (20BS) ou 30 (30BS) g/kg de MS de BS. O consumo de fibra em detergente neutro e ácido foi maior (P < 0,01)para o CONT quando comparado com BS. O consumo e a digestibilidade aparente da matéria seca, matéria orgânica, extrato etéreo e proteína bruta não diferiram entre os tratamentos. O consumo (P = 0,01) e digestibilidade (P < 0,01) dos carboidratos não fibrosos foram superiores para as dietas contendo BS e a digestibilidade da fibra em detergente neutro foi maior para o CONT. Os teores de nutrientes digestivos totais e energia metabolizável foram superiores para as dietas contendo BS (P = 0,04). A concentração ruminal de acetato (P < 0,01), isobutirato (P < 0,01), butirato (P < 0,01), isovalerato (P < 0,01) e ácidos graxos totais de cadeia curta (P < 0,01) foram mais elevadas para o CONT. O pHruminal apresentou resposta quadrática (P = 0,05) em relação aos níveis de BS, sendo observado maior pH para os animais alimentados com a dieta 20BS. O BS foi eficiente em aumentar o pHruminal no teor de 20 g/kg MS sem interferir no consumo e na digestibilidade aparente dos nutrientes. Portanto, 20 g/kg de MS é a dose indicada de BS em dietas sem forragem para terminação de cordeiros em confinamento.

https://doi.org/10.1590/0103-8478cr20220406

Diretriz da SBC sobre Diagnóstico e Tratamento de Pacientes com Cardiomiopatia da Doença de Chagas – 2023
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Marin-Neto, José Antonio

; Rassi Jr, Anis

; Oliveira, Gláucia Maria Moraes

; Correia, Luís Claudio Lemos

; Ramos Júnior, Alberto Novaes

; Luquetti, Alejandro Ostermayer

; Hasslocher-Moreno, Alejandro Marcel

; Sousa, Andréa Silvestre de

; Paola, Angelo Amato Vincenzo de

; Sousa, Antônio Carlos Sobral

; Ribeiro, Antonio Luiz Pinho

; Correia Filho, Dalmo

; Souza, Dilma do Socorro Moraes de

; Cunha-Neto, Edecio

; Ramires, Felix Jose Alvarez

; Bacal, Fernando

; Nunes, Maria do Carmo Pereira

; Martinelli Filho, Martino

; Scanavacca, Maurício Ibrahim

; Saraiva, Roberto Magalhães

; Oliveira Júnior, Wilson Alves de

; Lorga-Filho, Adalberto Menezes

; Guimarães, Adriana de Jesus Benevides de Almeida

; Braga, Adriana Lopes Latado

; Oliveira, Adriana Sarmento de

; Sarabanda, Alvaro Valentim Lima

; Pinto, Ana Yecê das Neves

; Carmo, Andre Assis Lopes do

; Schmidt, Andre

; Costa, Andréa Rodrigues da

; Ianni, Barbara Maria

; Markman Filho, Brivaldo

; Rochitte, Carlos Eduardo

; Macêdo, Carolina Thé

; Mady, Charles

; Chevillard, Christophe

; Virgens, Cláudio Marcelo Bittencourt das

; Castro, Cleudson Nery de

; Britto, Constança Felicia De Paoli de Carvalho

; Pisani, Cristiano

; Rassi, Daniela do Carmo

; Sobral Filho, Dário Celestino

; Almeida, Dirceu Rodrigues de

; Bocchi, Edimar Alcides

; Mesquita, Evandro Tinoco

; Mendes, Fernanda de Souza Nogueira Sardinha

; Gondim, Francisca Tatiana Pereira

; Silva, Gilberto Marcelo Sperandio da

; Peixoto, Giselle de Lima

; Lima, Gustavo Glotz de

; Veloso, Henrique Horta

; Moreira, Henrique Turin

; Lopes, Hugo Bellotti

; Pinto, Ibraim Masciarelli Francisco

; Ferreira, João Marcos Bemfica Barbosa

; Nunes, João Paulo Silva

; Barreto-Filho, José Augusto Soares

; Saraiva, José Francisco Kerr

; Lannes-Vieira, Joseli

; Oliveira, Joselina Luzia Menezes

; Armaganijan, Luciana Vidal

; Martins, Luiz Cláudio

; Sangenis, Luiz Henrique Conde

; Barbosa, Marco Paulo Tomaz

; Almeida-Santos, Marcos Antonio

; Simões, Marcos Vinicius

; Yasuda, Maria Aparecida Shikanai

; Moreira, Maria da Consolação Vieira

; Higuchi, Maria de Lourdes

; Monteiro, Maria Rita de Cassia Costa

; Mediano, Mauro Felippe Felix

; Lima, Mayara Maia

; Oliveira, Maykon Tavares de

; Romano, Minna Moreira Dias

; Araujo, Nadjar Nitz Silva Lociks de

; Medeiros, Paulo de Tarso Jorge

; Alves, Renato Vieira

; Teixeira, Ricardo Alkmim

; Pedrosa, Roberto Coury

; Aras Junior, Roque

; Torres, Rosalia Morais

; Povoa, Rui Manoel dos Santos

; Rassi, Sergio Gabriel

; Alves, Silvia Marinho Martins

; Tavares, Suelene Brito do Nascimento

; Palmeira, Swamy Lima

; Silva Júnior, Telêmaco Luiz da

; Rodrigues, Thiago da Rocha

; Madrini Junior, Vagner

; Brant, Veruska Maia da Costa

; Dutra, Walderez Ornelas

; Dias, João Carlos Pinto

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 6 elocation e20230269

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

https://doi.org/10.36660/abc.20230269

Maternal-fetal outcomes of women with hypertensive disorders of pregnancy
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Xavier, Ivete Matias

; Simões, Ana Carolina Zimmermann

; Oliveira, Ronnier de

; Barros, Yasha Emerenciano

; Sarmento, Ayane Cristine Alves

; Medeiros, Kleyton Santos de

; Costa, Ana Paula Ferreira

; Korkes, Henri

; Gonçalves, Ana Katherine

Revista da Associação Médica Brasileira

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2023, Volume 69 N. 6 elocation e20230060

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: The objective of this study was to determine adverse maternal and perinatal outcomes in pregnant women with hypertensive disorders of pregnancy. METHODS: An analytical cross-sectional study was conducted on women admitted with hypertensive disorders of pregnancies to a university maternity hospital from August 2020 to August 2022. Data were collected using a pretested structured questionnaire. Variables associated with adverse maternal and perinatal outcomes were compared using multivariable binomial regression. RESULTS: Of 501 women with pregnancies, 2, 35, 14, and 49% had eclampsia, preeclampsia, chronic hypertension, and gestational hypertension, respectively. Women with preeclampsia/eclampsia had significantly higher risks of cesarean section (79.4 vs. 65%; adjusted RR, 2,139; 95%CI, 1,386–3,302; p=0.001) and preterm delivery at <34 weeks’ gestation (20.5 vs. 6%; adjusted RR, 2.5; 95%CI, 1.19–5.25; p=0.01) than those of women with chronic/gestational hypertension. Risks of prolonged maternal hospitalization (43.9 vs. 27.1%), neonatal intensive care unit admission (30.7 vs. 19.8%), and perinatal mortality (23.5 vs. 11.2%) were higher among women with preeclampsia/eclampsia. CONCLUSIONS: Women with preeclampsia/eclampsia had a higher risk of adverse maternal and neonatal outcomes than those with chronic or gestational hypertension. This major maternity care center requires strategies for preventing and managing preeclampsia/eclampsia to improve pregnancy outcomes.

https://doi.org/10.1590/1806-9282.20230060

10.

COVID-19 outcomes in people living with HIV: Peering through the waves
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Sales, Thaís Lorenna Souza

; Souza-Silva, Maíra Viana Rego

; Delfino-Pereira, Polianna

; Neves, João Victor Baroni

; Sacioto, Manuela Furtado

; Assis, Vivian Costa Morais de

; Duani, Helena

; Oliveira, Neimy Ramos de

; Sampaio, Natália da Cunha Severino

; Ramos, Lucas Emanuel Ferreira

; Schwarzbold, Alexandre Vargas

; Jorge, Alzira de Oliveira

; Scotton, Ana Luiza Bahia Alves

; Castro, Bruno Mateus de

; Silva, Carla Thais Cândida Alves da

; Ramos, Carolina Marques

; Anschau, Fernando

; Botoni, Fernando Antonio

; Grizende, Genna Maira Santos

; Nascimento, Guilherme Fagundes

; Ruschel, Karen Brasil

; Menezes, Luanna Silva Monteiro

; Castro, Luís César de

; Nasi, Luiz Antônio

; Carneiro, Marcelo

; Godoy, Mariana Frizzo de

; Nogueira, Matheus Carvalho Alves

; Guimarães Júnior, Milton Henriques

; Ziegelmann, Patricia Klarmann

; Almeida, Rafaela Charão de

; Francisco, Saionara Cristina

; Silveira Neto, Sidney Teodoro

; Araújo, Silvia Ferreira

; Avelino-Silva, Thiago Junqueira

; Aliberti, Márlon Juliano Romero

; Pires, Magda Carvalho

; Silva, Eduardo Sérgio da

; Marcolino, Milena Soriano

Clinics

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2023, Volume 78 elocation 100223

Abstract: En | Text: En | PDF: En

Abstract Objective To evaluate clinical characteristics and outcomes of COVID-19 patients infected with HIV, and to compare with a paired sample without HIV infection. Methods This is a substudy of a Brazilian multicentric cohort that comprised two periods (2020 and 2021). Data was obtained through the retrospective review of medical records. Primary outcomes were admission to the intensive care unit, invasive mechanical ventilation, and death. Patients with HIV and controls were matched for age, sex, number of comorbidities, and hospital of origin using the technique of propensity score matching (up to 4:1). They were compared using the Chi-Square or Fisher's Exact tests for categorical variables and the Wilcoxon for numerical variables. Results Throughout the study, 17,101 COVID-19 patients were hospitalized, and 130 (0.76%) of those were infected with HIV. The median age was 54 (IQR: 43.0;64.0) years in 2020 and 53 (IQR: 46.0;63.5) years in 2021, with a predominance of females in both periods. People Living with HIV (PLHIV) and their controls showed similar prevalence for admission to the ICU and invasive mechanical ventilation requirement in the two periods, with no significant differences. In 2020, in-hospital mortality was higher in the PLHIV compared to the controls (27.9% vs. 17.7%; p = 0.049), but there was no difference in mortality between groups in 2021 (25.0% vs. 25.1%; p > 0.999). Conclusions Our results reiterate that PLHIV were at higher risk of COVID-19 mortality in the early stages of the pandemic, however, this finding did not sustain in 2021, when the mortality rate is similar to the control group.

https://doi.org/10.1016/j.clinsp.2023.100223

11.

ANALYSIS AND CORRESPONDENCE BETWEEN THE ENTITIES OF THE EUROPEANA DATA MODEL, IFLA LRM, AND BIBFRAME CONCEPTUAL MODELS
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Oliveira, Rhuan Henrique Alves de

; Gil, Luana Carolina de Castro

; Arakaki, Ana Carolina Simionato

; Castro, Fabiano Ferreira de

Encontros Bibli

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2023, Volume 28 elocation e92822

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

ABSTRACT Objective: To propose the harmonization between the EDM, BIBFRAME, and IFLA LRM models with the purpose of analyzing the equivalence of entities to enable the interoperability between systems that use these conceptual models as a basis. Method: This research is characterized as exploratory and descriptive with a qualitative approach, in which a bibliographic survey was used to identify the studies already carried out on the topic. In addition, the analysis of entities was based on the methodology substantiated by Pierre et al. (1999), Taniguchi (2018), Arakaki (2019), and Carrasco (2019). Results: From the analysis of the models, six ontological categories of entities were identified: (i) Intellectual Content, (ii) Subject, (iii) Concrete Unit, (iv) Agent, (v) Space-time, and (vi) Reification. Consistent equivalences were observed between the entities, their functionalities, and terminology in most categories, except for the entities of the Intellectual Content category and the structuring of the Concrete Unit category. Conclusions: It was concluded that the most notable difference between the models was expressed in the Intellectual Content category, and that, because they are based on the cataloging tradition, the IFLA LRM and BIBFRAME models have functionally equivalent entities, while the EDM model, focused on the cultural heritage object itself, does not have any entity that may be mapped in this category. Likewise, a structural difference was found in the Concrete Unit category, in which the EDM model makes a distinction between the object itself and its digital representation, whereas such a distinction occurs in the Intellectual Content category for the IFLA LRM and BIBFRAME models.

RESUMO Objetivo: objetiva-se propor a harmonização entre os modelos EDM, BIBFRAME e IFLA LRM, com o propósito de analisar a equivalência de entidades para possibilitar a interoperabilidade entre sistemas que utilizam como base esses modelos conceituais. Método: esta pesquisa se caracteriza como de natureza exploratória e descritiva com abordagem qualitativa, na qual utiliza-se do levantamento bibliográfico para a identificação dos estudos já realizados a respeito da temática. Além disso, para a análise de entidades, pauta-se na metodologia fundamentada por Pierre et al. (1999), Taniguchi (2018), Arakaki (2019) e Carrasco (2019). Resultados: a partir da análise dos modelos, foram identificadas seis categorias ontológicas de entidades: (i) Conteúdo Intelectual; (ii) Assunto; (iii) Unidade Concreta; (iv) Agente; (v) Espaço-tempo, e (vi) Reificação. Observou-se equivalências consistentes entre as entidades, suas funcionalidades e terminologia na maior parte das categorias, tendo como exceção as entidades da categoria Conteúdo Intelectual e a estruturação da categoria Unidade Concreta. Conclusões: conclui-se que a diferença mais notável entre os modelos se expressa na categoria Conteúdo Intelectual, e que o IFLA LRM e o BIBFRAME por serem modelos fundamentados na tradição catalográfica têm entidades funcionalmente equivalentes, ao passo que o EDM, como modelo voltado ao objeto de patrimônio cultural em si, não possui nenhuma entidade que possa ser mapeada nessa categoria, Outrossim,constatou-se há uma diferença estrutural na categoria Unidade Concreta, onde o EDM faz uma distinção entre o objeto em si e sua representação digital, ao passo que nos modelos IFLA LRM e BIBFRAME, tal distinção ocorre na categoria Conteúdo Intelectual.

https://doi.org/10.5007/1518-2924.2023.e92822/54068

12.

Efficacy of iSupport-Brasil for unpaid caregivers of people living with dementia: protocol for a randomized and controlled clinical trial
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Gratão, Aline Cristina Martins

; Cardoso, Anabel Machado

; Ottaviani, Ana Carolina

; Campos, Camila Rafael Ferreira

; Oliveira, Déborah Cristina de

; Monteiro, Diana Quirino

; Barham, Elizabeth Joan

; Orlandi, Fabiana de Souza

; Barbosa, Gustavo Carrijo

; Cruz, Keila Cristianne Trindade da

; Corrêa, Larissa

; Rocha, Luana Aparecida da

; Alves, Ludmyla Caroline de Souza

; Maciel, Luiza Barros

; Nico, Lucélia Silva

; Hoffmann, Maria Cristina Corrêa Lopes

; Pavarini, Sofia Cristina Iost

Dementia & Neuropsychologia

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2023, Volume 17 elocation e20230040

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

ABSTRACT. Unpaid caregivers of people living with dementia tend to suffer mental health problems as a result of the negative effects associated with the care tasks. Thus, psychosocial interventions for this population group are necessary. iSupport is an online support program for caregivers that was created by the World Health Organization. Objective: To describe the design of a randomized clinical trial to measure the efficacy of the iSupport-Brasil version on caregivers’ mental health and well-being. Methods: The participants will be randomized into Intervention Group (IG) (n=195) and Control Group (CG) (n=195). For three months, the IG will access the iSupport-Brasil platform, the CG will enter the electronic page of the Brazilian Alzheimer’s Association, and both groups will be emailed the preliminary version of the “Guia de cuidados para a pessoa idosa” e-book (a guide to providing care to the elderly) from the Ministry of Health. The data will be collected at three moments: baseline, and three and six months after the beginning of the intervention. Results: It is expected that it will be possible to provide diverse validity evidence about iSupport-Brasil as an online and free intervention alternative, as a preventive means and as a way to promote mental health among caregivers of people living with dementia. Conclusion: Through the evaluation protocol of this randomized clinical trial on the effects of the iSupport-Brasil program, it may become a reference for countries that plan to adapt and improve the iSupport program using digital health solutions.

RESUMO. Cuidadores informais de pessoas que vivem com demência tendem a sofrer problemas de saúde mental como resultado dos efeitos negativos associados às tarefas de cuidado. Assim, intervenções psicossociais para essa população são necessárias. O iSupport é um programa de apoio online para cuidadores criado pela Organização Mundial da Saúde. Objetivo: Descrever o desenho de um ensaio clínico randomizado para medir a eficácia da versão iSupport-Brasil na saúde mental e no bem-estar de cuidadores. Métodos: Os participantes serão randomizados em Grupo Intervenção (GI) (n=195) e Grupo Controle (GC) (n=195). Durante três meses, o GI acessará a plataforma iSupport-Brasil, o CG entrará na página eletrônica da Associação Brasileira de Alzheimer e ambos os grupos receberão por e-mail a versão preliminar do e-book Guia de cuidados para a pessoa idosa, do Ministério da Saúde. Os dados serão coletados em três momentos: linha de base, três e seis meses após o início da intervenção. Resultados: Espera-se que seja possível fornecer diversas evidências sobre os efeitos do iSupport-Brasil como alternativa de intervenção online e gratuita, de forma a promover a saúde mental entre os cuidadores de pessoas que vivem com demência. Conclusão: O protocolo de avaliação deste ensaio clínico randomizado sobre os efeitos do programa iSupport-Brasil pode se tornar uma referência para os países que planejam adaptar e melhorar esta intervenção, usando soluções digitais de saúde.

https://doi.org/10.1590/1980-5764-dn-2023-0040

13.

Food product preparation from the vinification of 'BRS Violeta' by-products
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Nogueira, Tuany Yuri Kuboyama

; Shimizu-Marin, Victoria Diniz

; Gonçales, Ana Carolina

; Prado, Heloíza Ferreira Alves do

; Silva, Roberto da

; Lago-Vanzela, Ellen Silva

Pesquisa Agropecuária Brasileira

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2023, Volume 58 elocation e03119

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

Abstract The objective of this work was to manufacture pizza dough, truffle, and cake using the paste of a by-product from the vinification of 'BRS Violeta' grape, as well as to determine some bromatological characteristics of these products. The by-product was pressed to remove excess must and crushed to obtain the paste. The paste, pasteurized at 80°C for 3 min and frozen at -18°C, was characterized for total phenolic compounds (TPC), total monomeric anthocyanins (TMA), and dietary fiber. The food products were characterized for the following parameters: moisture, energy value, and protein, lipid, ash, dietary fiber, total carbohydrates, and TPC contents. The contents found in the paste were: 326 mg GAE 100 g-1, for TPC; 185 mg mv35diglc 100g-1, for TMA; and 10 g 100 g-1, for dietary fibers. Based on the centesimal compositions of the food products, the pizza dough and truffle can be considered as a source of fiber and protein, respectively. The products show TPC contents between 51 and 63 mg GAE 100 g-1. It is possible to prepare food products of good nutritional quality, using grape by-product paste, to minimize waste in the field.

Resumo O objetivo deste trabalho foi elaborar massa de pizza, bombom tipo trufa e bolo, a partir da pasta de coproduto da vinificação da uva 'BRS Violeta', bem como determinar algumas características bromatológicas desses produtos. O coproduto foi prensado, para retirada do excesso de mosto, e triturado para obtenção da pasta. A pasta, pasteurizada a 80°C por 3 min e congelada a -18°C, foi caracterizada quanto aos compostos fenólicos totais (CFT), às antocianinas monoméricas totais (AMT) e à fibra alimentar. Os produtos alimentícios foram caracterizados quanto aos seguintes parâmetros: umidade, valor energético, e teores de proteínas, lipídios, cinzas, fibras alimentares, carboidratos totais e CFT. Os teores encontrados na pasta foram: o de CFT foi 326 mg GAE 100 g-1; o de AMT foi 185 mg mv35diglc 100 g-1; e o de fibra alimentar foi 10 g 100 g- 1. Com base nas composições centesimais dos produtos alimentícios, a massa de pizza e a trufa são consideradas fontes de fibras e proteínas, respectivamente. Os produtos apresentam teor de CFT entre 51 e 63 mg GAE 100 g-1. É possível preparar produtos alimentícios de boa qualidade nutricional a partir de pasta de coproduto de uva, para minimizar o desperdício no campo.

https://doi.org/10.1590/s1678-3921.pab2023.v58.03119

14.

Precision irrigation trends and perspectives: a review perspectives
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Gundim, Alice da Silva

; Melo, Verônica Gaspar Martins Leite de

; Coelho, Rubens Duarte

; Silva, Janderson Pedro da

; Rocha, Marcos Paulo Alves da

; França, Ana Carolina Ferreira

; Conceição, Ana Michele Pereira da

Ciência Rural

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2023, Volume 53 N. 8 elocation e20220155

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

RESUMO: Nas últimas décadas pesquisas voltadas à irrigação de precisão, impulsionadas pelas mudanças climáticas, desenvolveram uma infinidade de estratégias, métodos e tecnologias para reduzir o consumo de água em projetos de irrigação, para adaptação à crescente ocorrência de escassez de água, secas agrícolas e competição entre os setores agrícolas e industriais pelo uso da água. Nesta conjuntura, a adoção de práticas de economia e aplicação de água, implica em uma abordagem multidisciplinar para a quantificação precisa das necessidades de água das culturas, sob diversas práticas de disponibilidade e manejo da água. Dessa forma, este artigo de revisão tem como objetivo apresentar uma revisão sobre as tecnologias e novas tendências no contexto da irrigação de precisão, as perspectivas futuras e analisar criticamente noções e meios para manter altos índices de produtividade da terra e da água, que minimizem o consumo de água irracional a nível de campo. RESUMO precisão climáticas estratégias conjuntura culturas forma campo

ABSTRACT: In recent decades, research on precision irrigation driven by climate change has developed a multitude of strategies, methods and technologies to reduce water consumption in irrigation projects and to adapt to the increasing occurrence of water scarcity, agricultural droughts and competition between agricultural and industrial sectors for the use of water. In this context, the adoption of water-saving and application practices implies a multidisciplinary approach to accurately quantify the water needs of crops under different water availability and management practices. Thus, this review article presented a review of technologies and new trends in the context of precision irrigation, future perspectives and critically analyze notions and means to maintain high levels of land and water productivity, which minimize irrational water consumption at the field level. ABSTRACT decades strategies scarcity watersaving saving Thus productivity level

https://doi.org/10.1590/0103-8478cr20220155

15.

The possible mediating relationship promoted by the self-efficacy of breastfeeding associated with the Kangaroo Method on indicators of exclusive breastfeeding
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Souza, Rayany Cristina de

; Wolkers, Paula Carolina Bejo

; Pereira, Leandro Alves

; Romão, Rejane Sousa

; Medeiros, Eliziane Santos

; Ferreira, Daniela Marques de Lima Mota

; Rinaldi, Ana Elisa Madalena

; Azevedo, Vivian Mara Gonçalves de Oliveira

Jornal de Pediatria

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sep 2022, Volume 98 N. 5 Pages 540 - 544

Abstract: En | Text: En | PDF: En

Abstract Objective Assess the mediating role of breastfeeding self-efficacy in the association between the Kangaroo Neonatal Intermediate Care Unit and exclusive breastfeeding. Method Cross-sectional study nested in a cohort, carried out in the Neonatal Unit of a Brazilian university hospital between September 2018 and March 2020. The sample consisted of 114 newborns weighing ≤1800 g and their mothers who were divided into those who participated in the first and second stages of the Kangaroo Method and those who only passed through the first stage, categorized as the Conventional group. To assess the self-efficacy of breastfeeding, the Breastfeeding Self Efficacy Scale - Short-Form was used. The Mann-Whitney test was used to compare the breastfeeding self-efficacy score between the groups, and Fisher's exact test to compare rates of exclusive breastfeeding. The adjusted structural equation model was used to check for the mediating effect of breastfeeding self-efficacy. The significance level adopted was 5%. Results The kangaroo group had a higher rate of exclusive breastfeeding at hospital discharge (p= 0.000). There was a positive association between having remained in the kangaroo (p= 0.003) and the breastfeeding self-efficacy score (p= 0.025) with the rate of exclusive breastfeeding at hospital discharge. Breastfeeding self-efficacy did not act as a mediator. Conclusion The self-efficacy of breastfeeding and the stay of the low birth weight newborn baby in the kangaroo unit acted positively and independently in exclusive breastfeeding, and the self-efficacy of breastfeeding did not act as a mediator in this association.

https://doi.org/10.1016/j.jped.2021.12.011

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