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Robotic partial nephrectomy for large renal Leiomyoma: first case report
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Franco, Antonio

; Rogers, Devin

; Pandolfo, Savio D.

; Manfredi, Celeste

; Ditonno, Francesco

; Imbimbo, Ciro

; Sio, Marco De

; Nunzio, Cosimo De

; Autorino, Riccardo

International braz j urol

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oct 2023, Volume 49 N. 5 Pages 648 - 649

Abstract: En | Text: En | PDF: En

ABSTRACT Aim: Renal leiomyoma is a rare benign mesenchymal tumor arising from the smooth muscle cells of the kidney. Renal capsule is its most common location (1). Large tumor may require surgical excision which can be challenging in case of proximity to major vessels (2). Indications of robotic partial nephrectomy (RPN) have exponentially expanded over the past few years (3). We aim to report a case of large renal leiomyoma successfully managed with RPN. Methods: A 59-year-old female patient with BMI 51 presented with chief complaint of abdominal discomfort. The patient underwent a CT scan that revealed a massive circumscribed exophytic complex solid cystic mass of 4.5 × 7.7 × 6.2 cm, arising from the lower pole of right kidney and abutting the inferior vena cava. RENAL score was 11ah (high complexity). Past surgical history included mid-urethral sling, breast reduction, and hysterectomy with salpingectomy. Preoperative creatinine and eGFR were 0.9 (mg/dL) and 77 (mL/min), respectively. A robotic excision of this mass was successfully performed by using Da Vinci Xi platform. Main steps of the procedure are illustrated in the present video. Results: Dissection and isolation of the tumor were carefully performed after identifying key anatomical structures such as the ureter, the IVC and the renal hilum. Intraoperative ultrasound was used to confirm the margins of the mass. The renal artery was clamped and then the tumor was resected/enucleated. Renal parenchyma was re-approximated with a single layer of interrupted CT-1 Vicryl 0 with sliding clip technique. Warm ischemia time was 19 min. Estimated blood loss (EBL) was 250 ml. Operative time was 165 min. No intraoperative complications occurred. No drain was placed. Patient was discharged on postoperative day 2. Post-operative hypotension was managed with fluid bolus. Postoperative creatinine and eGFR were 1,0 (mg/dL) and 69 (mL/min/1.72m2), respectively. Pathology revealed a leiomyoma of genital stromal origin with hyalinization and calcification. Conclusions: To the best of our knowledge, this is the first description of RPN for the management of a large (about 8 cm) renal leiomyoma. Robotic assisted surgery allows to expand the indications of minimally invasive conservative renal surgery whose feasibility becomes even more clinically significant in case of benign masses which can be managed without sacrificing healthy renal parenchyma.

https://doi.org/10.1590/s1677-5538.ibju.2023.0205

Métodos de extracción, funcionalidad y bioactividad de saponinas de Yucca: una revisión
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Góngora-Chi, Guadalupe Johanna

; Lizardi-Mendoza, Jaime

; López-Franco, Yolanda Leticia

; López-Mata, Marco Antonio

; Quihui-Cota, Luis

Biotecnia

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apr 2023, Volume 25 N. 1 Pages 147 - 155

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

Resumen Las saponinas son metabolitos secundarios producidos naturalmente por las plantas debido al estrés biótico. Las plantas del género Yucca se consideran fuente de saponinas, particularmente de glucósidos esteroidales. Debido a su estructura química, son moléculas con diversas propiedades funcionales y con actividad biológica. Este documento explora de manera crítica los procesos tecnológicos reportados para la obtención de saponinas y extractos con saponinas de diversas especies del género Yucca, así como sus propiedades, bioactividad y aplicaciones actuales. Se considera que los extractos con saponinas de yuca presentan un potencial de uso a nivel industrial en diversas áreas, particularmente en tecnología de alimentos, salud y agropecuaria.

Abstract Saponins are secondary metabolites produced naturally by plants in response to biotic stress. Plants of the Yucca genus are considered a source of saponins, particularly steroidal glycosides. Due to their chemical structure, they are molecules with diverse functional properties and biological activities. This review critically explores the reported technological procedures to obtain saponins and saponin rich extracts from species of the Yucca genus, as well as their properties, bioactivity, and current applications. Yucca saponin extracts are considered to have potential for industrial application in various areas, particularly in food technology, health and agriculture.

https://doi.org/10.18633/biotecnia.v25i1.1800

Translation, Validity and Internal Consistency of the Quality of Dying and Death Questionnaire for Brazilian families of patients that died from cancer: a cross-sectional and methodological study
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Paiva, Bianca Sakamoto Ribeiro

; Valentino, Talita Caroline de Oliveira

; Mingardi, Mirella

; Oliveira, Marco Antonio de

; Franco, Julia Onishi

; Salerno, Michelle Couto

; Palocci, Helena

; Melo, Tais Cruz de

; Paiva, Carlos Eduardo

Sao Paulo Medical Journal

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2023, Volume 141 N. 4 elocation e202285

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: The Quality of Dying and Death Questionnaire (QoDD) may prove to be an important evaluation tool in the Brazilian context, and, therefore, can contribute to a more precise evaluation of the dying and death process, improving and guiding the end-of-life patient care. OBJECTIVE: To translate and cross-culturally adapt the QoDD into Brazilian Portuguese and measure its validity (convergent and known-groups) and internal consistency DESIGN AND SETTING: A cross-sectional, methodological study was conducted at the Hospital de Câncer de Barretos, Brazil METHODS: A total of 78 family caregivers participated in this study. Semantic, cultural, and conceptual equivalences were evaluated using the content validity index. The construct validity was assessed through convergent validation and known groups analysis [presence of family members at the place of death; feel at peace with dying; and place of death (hospital versus home; hospital versus Palliative Care)]. Internal consistency was evaluated using Cronbach's alpha. RESULTS: The questionnaire was translated into Brazilian Portuguese and presented evidence of a clear understanding of its content. Cronbach's alpha values were ≥ 0.70, except for the domains of treatment preference (α = 0.686) and general concerns (α = 0.599). The convergent validity confirmed a part of the previously hypothesized correlations between the Palliative Care Outcome Scale-Brazil (POS-Br) total scores and the QoDD domain scores. The QoDD-Br domains could distinguish the patients who died in palliative care and general wards. CONCLUSION: The QoDD-Br is a culturally adapted valid instrument, and may be used to assess the quality of death of cancer patients.

https://doi.org/10.1590/1516-3180.2022.0085.r2.09082022

Code infarction initiative of Bajio region, during the pandemic by COVID-19 in a reconversion hospital
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Villar-Valencia, Cristian Adrián

; Hernández-González, Martha Alicia

; Borrayo-Sánchez, Gabriela

; Celis-Quintal, Juan German

; Solorio-Meza, Sergio Eduardo

; Medina-Torres, Oscar Samuel

; Gutiérrez-Galván, Maraí Xochitl

; Rodríguez-Martínez, Braulio

; Prado-Rodríguez, Luis Humberto

; Vázquez-Morones, Ana Laura

; Alatoma-Medina, Juan Pablo

; Hernández-Estala, Jorge

; Patiño-Amaya, Aristóteles

; Magdaleno-Serrano, Hugo Ivan

; Rodríguez-Déniz, Carmen

; Arellano-Sotelo, Hugo

; Nava-Hernández, Guillermo

; Ramírez-Vázquez, Ricardo

; Chimal-Flores, Marco Antonio

; Alegría-Peredia, Emiliano

; Ramos-González, Gerardo Rubén

; Pérez-Benítez, Rigoberto

; Bermúdez-Acévez, Erik

; Valencia-Martínez, Hypatia

; Segovia-Solís, Hugo

; López-Varela, Manuel

; Monroy-Córdoba, Doryan

; Marmolejo-López, Adriana

; Báez-Montes, Alfredo

; Hernández-Cerqueda, Fabián

; Nolasco-Muñoz, Luis Ricardo

; Vargas-Ramírez, Luis Manuel

; Celis-Quintal, Juan German

; Bernal-Ruíz, Enrique Alfredo

; Delgado-Sánchez, Anabella

; Sánchez-López, José Manuel

; Bautista-López, Germán Ramón

; Acevedo-Gómez, Pablo Francisco

; Acuña-Valerio, Jorge Francisco

; González-Ortíz, Oracio

; Hernández-Padilla, Adolfo Asahel

; Solórzano-Vázquez, Marco Alejandro

; Franco-Herrera, Noel

; González, Luis Jonathan

; Reyes-Álvarez, José Miguel

; Salinas-Cavazos, Iván Rosendo

; Tiscareño-Villanueva, Ashby Daniel

; Vidrio-Villaseñor, Ramiro

; Fernández-Yáñez, Gabriel

; Meza, Ma. Guadalupe

; Nucamendi-Solórzano, Freeman Issac

; Sandoval-Uribe, José de Jesús

; Sotelo-García, Luis David

; Zamoaya-Paz, Luis Carlos

; Espriu, Donovan Fernando

; García-Rodríguez, Román

; López-Ibarra, Daniel Eugenio

; López-Valencia, Andrea Janeth

; Villar-Valencia, Cristian Adrián

; Navarro-Pérez-Macedo, Javier

Cardiovascular and metabolic science

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sep 2022, Volume 33 N. 3 Pages 97 - 105

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

Abstract: Introduction: Acute myocardial infarction has a high prevalence and possibility of death if timely care is not given. It is possible that treatment could be delayed during a health crisis such as the COVID-19 pandemic. Objective: The objective of this study was to evaluate the impact of the COVID-19 pandemic on the function of the infarction code in the High Specialty Medical Unit of our institution. The medical indicators of acute coronary ischemic syndrome with ST-segment elevation were compared at two times: before the COVID-19 pandemic and during it. Material and methods: An ambispective, analytical, comparative cohort study was conducted, comparing the periods of February-September 2019 and February-September 2020, in the High Specialty Medical Unit, Centro Médico del Bajío number 1, Instituto Mexicano del Seguro Social, Leon, Guanajuato, Mexico. All patients older than 18 years with clinical, electrocardiographic, and enzymatic data of acute coronary ischemic syndrome, accepted in the medical network as infarction code registered in the National Registry of Acute Coronary Ischemic Syndromes (RENASCA) electronic case report form were included in the study. Results: The independent samples t-test was used to determine the impact of the infarction code initiative based on the reperfusion therapies performed, the door-to-needle, the door-to-balloon time, and the ischemia time. There was a significant difference in the reperfusion strategy, with greater thrombolysis during the COVID-19 pandemic (57.4% versus 72.6%, odds ratio [OR] 1.97, 95% confidence interval [CI] 0.49-0.82, p < 0.001), as well as reperfusion criteria (21.03% versus 35.37%, OR 2.05, 95% CI 0.53-0.80, p < 0.0001). Mortality was not different between the time periods. Conclusions: The COVID-19 pandemic has not impacted operation of the infarction code in the High Specialty Medical Unit Centro Médico del Bajío number 1 because the medical indicators of acute coronary ischemic syndrome with ST-segment elevation did not change.

resumen está disponible en el texto completo

https://doi.org/10.35366/107622

Evolução e Estado Atual das Práticas de Implante Transcateter de Válvula Aórtica na América Latina – Estudo WRITTEN LATAM
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Bernardi, Fernando Luiz de Melo

; Ribeiro, Henrique Barbosa

; Nombela-Franco, Luis

; Cerrato, Enrico

; Maluenda, Gabriel

; Nazif, Tamim

; Lemos, Pedro Alves

; Sztejfman, Matias

; Lamelas, Pablo

; Echeverri, Dario

; Lopes, Marcelo Antonio Cartaxo Queiroga

; Brito Jr, Fábio Sândoli de

; Abizaid, Alexandre A.

; Mangione, José A.

; Eltchaninoff, Helene

; Søndergaard, Lars

; Rodes-Cabau, Josep

Arquivos Brasileiros de Cardiologia

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jun 2022, Volume 118 N. 6 Pages 1085 - 1096

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

Resumo Fundamento: Implante transcateter de valva aórtica (TAVI) é um procedimento adotado em todo o mundo e suas práticas evoluem rapidamente. Variações regionais e temporais são esperadas. Objetivo: Comparar a prática de TAVI na América Latina com aquela no resto do mundo e avaliar suas mudanças na América Latina de 2015 a 2020. Método: A pesquisa foi realizada em centros de TAVI em todo o mundo entre março e setembro de 2015, e novamente nos centros latino-americanos entre julho de 2019 e janeiro de 2020. As seguintes questões foram abordadas: i) informação geral sobre os centros; ii) avaliação pré-TAVI; iii) técnicas do procedimento; iv) conduta pós-TAVI; v) seguimento. As respostas da pesquisa dos centros latino-americanos em 2015 (LATAM15) foram comparadas àquelas dos centros no resto do mundo (WORLD15) e ainda àquelas da pesquisa dos centros latino-americanos de 2020 (LATAM20). Adotou-se o nível de significância de 5% na análise estatística. Resultados: 250 centros participaram da pesquisa em 2015 (LATAM15=29; WORLD15=221) e 46 na avaliação LATAM20. No total, foram 73.707 procedimentos, sendo que os centros WORLD15 realizaram, em média, 6 e 3 vezes mais procedimentos do que os centros LATAM15 e LATAM20, respectivamente. Os centros latino-americanos realizaram menor número de TAVI minimalista do que os do restante do mundo, mas aumentaram significativamente os procedimentos menos invasivos após 5 anos. Quanto à assistência pós-procedimento, observaram-se menor tempo de telemetria e de manutenção do marca-passo temporário, além de menor uso de terapia dupla antiplaquetária nos centros LATAM20. Conclusão: A despeito do volume de procedimentos ainda significativamente menor, muitos aspectos da prática de TAVI nos centros latino-americanos evoluíram recentemente, acompanhando a tendência dos centros dos países desenvolvidos.

Abstract Background: Transcatheter aortic valve replacement (TAVR) is a worldwide adopted procedure with rapidly evolving practices. Regional and temporal variations are expected to be found. Objective: To compare TAVR practice in Latin America with that around the world and to assess its changes in Latin America from 2015 to 2020. Methods: A survey was applied to global TAVR centers between March and September 2015, and again to Latin-American centers between July 2019 and January 2020. The survey consisted of questions addressing: i) center’s general information; ii) pre-TAVR evaluation; iii) procedural techniques; iv) post-TAVR management; v) follow-up. Answers from the 2015 survey of Latin-American centers (LATAM15) were compared with those of other centers around the world (WORLD15) and with the 2020 updated Latin-American survey (LATAM20). A 5% level of significance was adopted for statistical analysis. Results: 250 centers participated in the 2015 survey (LATAM15=29; WORLD15=221) and 46 in the LATAM20. Combined centers experience accounted for 73 707 procedures, with WORLD15 centers performing, on average, 6- and 3-times more procedures than LATAM15 and LATAM20 centers, respectively. LATAM centers performed less minimalistic TAVR than WORLD15 centers, but there was a significant increase in less invasive procedures after 5 years in Latin-American centers. For postprocedural care, a lower period of telemetry and maintenance of temporary pacing wire, along with less utilization of dual antiplatelet therapy was observed in LATAM20 centers. Conclusion: Despite still having a much lower number of procedures, many aspects of TAVR practice in Latin-American centers have evolved in recent years, followingthe trend observed in developed country centers.

https://doi.org/10.36660/abc.20210327

Descriptores MAC en la detección temprana del cáncer cervical usando técnicas de procesamiento de imágenes
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Salinas Franco, Ramon Adrian

; Palermo Coelho, Guilherme

; Sergio Martins, Paulo

; de Carvalho, Marco Antonio

Revista Cubana de Ciencias Informáticas

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mar 2022, Volume 16 N. 1 Pages 1 - 16

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

ABSTRACT Cervical cancer is a global public health problem. Much progress has been made to improve its early detection. Despite Brazil’s efforts to reduce mortality indicators from this disease, they are still not sufficient compared to progress in other countries. The objective of this study is to present descriptors of the characteristics used in Malignity Associated Changes (MAC) in cervical cells for early detection of cervical cancer using Image Processing, Computer-Assisted. As a result, the 400 most used MAC descriptors were identified and their accuracy was calculated to be 86,94%. A naive Bayes net classifier was used. The potential of computational tracking technologies that can assist in the early identification of cervical cell anomalies and improve CCU tracking capabilities in Brazil and Latin American countries was evidenced.

RESUMEN El cáncer de cuello uterino cervical (CCU) es un problema de salud pública mundial. Se han logrado avances para mejorar su detección temprana. Sin embargo, en Brasil no han sido suficientes los esfuerzos por reducir los indicadores de mortalidad a causa de esta enfermedad en comparación con los avances de otros países. El objetivo de este estudio es presentar descriptores de las características utilizadas en los cambios asociados a la malignidad (MAC) en células del cuello uterino para la detección precoz del cáncer cervical mediante técnicas de procesamiento de imagen asistido por computador o procesamiento digital de imágenes (DIP). Como resultado, se identificaron los 400 descriptores MAC más utilizados en la literatura y se calculó que su precisión era del 86,94%. Se utilizó un programa informático clasificador de redes de Bayes. Se evidenció el potencial de las tecnologías computacionales en el auxilio del rastreo de CCU en Brasil y países de América Latina.

Fast surveillance response reveals the introduction of a new yellow fever virus sub-lineage in 2021, in Minas Gerais, Brazil
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Andrade, Miguel Souza

; Campos, Fabrício Souza

; Oliveira, Cirilo Henrique de

; Oliveira, Ramon Silva

; Campos, Aline Alves Scarpellini

; Almeida, Marco Antônio Barreto de

; Fonseca, Vagner de Souza

; Simonini-Teixeira, Danilo

; Sevá, Anaiá da Paixão

; Temponi, Andrea Oliveira Dias

; Magalhães, Fernando Maria

; Chaves, Danielle Costa Capistrano

; Pereira, Maira Alves

; Lamounier, Ludmila Oliveira

; Menezes, Givaldo Gomes de

; Aquino-Teixeira, Sandy Micaele

; Gonçalves-dos-Santos, Maria Eduarda

; Bernal-Valle, Sofía

; Müller, Nicolas Felipe Drumm

; Cardoso, Jader da Cruz

; Santos, Edmilson dos

; Mares-Guia, Maria Angélica

; Albuquerque, George Rêgo

; Romano, Alessandro Pecego Martins

; Franco, Ana Cláudia

; Ribeiro, Bergmann Morais

; Roehe, Paulo Michel

; Abreu, Filipe Vieira Santos de

Memórias do Instituto Oswaldo Cruz

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2022, Volume 117 elocation e220127

Abstract: En | Text: En | PDF: En

BACKGROUND In Brazil, the yellow fever virus (YFV) is maintained in a sylvatic cycle involving wild mosquitoes and non-human primates (NHPs). The virus is endemic to the Amazon region; however, waves of epidemic expansion reaching other Brazilian states sporadically occur, eventually causing spillovers to humans. OBJECTIVES To report a surveillance effort that led to the first confirmation of YFV in NHPs in the state of Minas Gerais (MG), Southeast region, in 2021. METHODS A surveillance network was created, encompassing the technology of smartphone applications and coordinated actions of several research institutions and health services to monitor and investigate NHP epizootics. FINDINGS When alerts were spread through the network, samples from NHPs were collected and YFV infection confirmed by reverse transcription-quantitative polymerase chain reaction (RT-qPCR) and genome sequencing at an interval of only 10 days. Near-complete genomes were generated using the Nanopore MinION sequencer. Phylogenetic analysis indicated that viral genomes were related to the South American genotype I, clustering with a genome detected in the Amazon region (state of Pará) in 2017, named YFVPA/MG sub-lineage. Fast YFV confirmation potentialised vaccination campaigns. MAIN CONCLUSIONS A new YFV introduction was detected in MG 6 years after the beginning of the major outbreak reported in the state (2015-2018). The YFV strain was not related to the sub-lineages previously reported in MG. No human cases have been reported, suggesting the importance of coordinated surveillance of NHPs using available technologies and supporting laboratories to ensure a quick response and implementation of contingency measures to avoid YFV spillover to humans.

https://doi.org/10.1590/0074-02760220127

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Paiva, Bianca Sakamoto Ribeiro

; Valentino, Talita Caroline de Oliveira

; Mingardi, Mirella

; Oliveira, Marco Antonio de

; Franco, Julia Onishi

; Salerno, Michelle Couto

; Palocci, Helena

; Melo, Tais Cruz de

; Paiva, Carlos Eduardo

Sao Paulo Medical Journal

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2022, N. ahead

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1516-3180.2022.0085.r2.09082022

Diretrizes Brasileiras de Hipertensão Arterial – 2020
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Barroso, Weimar Kunz Sebba

; Rodrigues, Cibele Isaac Saad

; Bortolotto, Luiz Aparecido

; Mota-Gomes, Marco Antônio

; Brandão, Andréa Araujo

; Feitosa, Audes Diógenes de Magalhães

; Machado, Carlos Alberto

; Poli-de-Figueiredo, Carlos Eduardo

; Amodeo, Celso

; Mion Júnior, Décio

; Barbosa, Eduardo Costa Duarte

; Nobre, Fernando

; Guimarães, Isabel Cristina Britto

; Vilela-Martin, José Fernando

; Yugar-Toledo, Juan Carlos

; Magalhães, Maria Eliane Campos

; Neves, Mário Fritsch Toros

; Jardim, Paulo César Brandão Veiga

; Miranda, Roberto Dischinger

; Póvoa, Rui Manuel dos Santos

; Fuchs, Sandra C

; Alessi, Alexandre

; Lucena, Alexandre Jorge Gomes de

; Avezum, Alvaro

; Sousa, Ana Luiza Lima

; Pio-Abreu, Andrea

; Sposito, Andrei Carvalho

; Pierin, Angela Maria Geraldo

; Paiva, Annelise Machado Gomes de

; Spinelli, Antonio Carlos de Souza

; Nogueira, Armando da Rocha

; Dinamarco, Nelson

; Eibel, Bruna

; Forjaz, Cláudia Lúcia de Moraes

; Zanini, Claudia Regina de Oliveira

; Souza, Cristiane Bueno de

; Souza, Dilma do Socorro Moraes de

; Nilson, Eduardo Augusto Fernandes

; Costa, Elisa Franco de Assis

; Freitas, Elizabete Viana de

; Duarte, Elizabeth da Rosa

; Muxfeldt, Elizabeth Silaid

; Lima Júnior, Emilton

; Campana, Erika Maria Gonçalves

; Cesarino, Evandro José

; Marques, Fabiana

; Argenta, Fábio

; Consolim-Colombo, Fernanda Marciano

; Baptista, Fernanda Spadotto

; Almeida, Fernando Antonio de

; Borelli, Flávio Antonio de Oliveira

; Fuchs, Flávio Danni

; Plavnik, Frida Liane

; Salles, Gil Fernando

; Feitosa, Gilson Soares

; Silva, Giovanio Vieira da

; Guerra, Grazia Maria

; Moreno Júnior, Heitor

; Finimundi, Helius Carlos

; Back, Isabela de Carlos

; Oliveira Filho, João Bosco de

; Gemelli, João Roberto

; Mill, José Geraldo

; Ribeiro, José Marcio

; Lotaif, Leda A. Daud

; Costa, Lilian Soares da

; Magalhães, Lucélia Batista Neves Cunha

; Drager, Luciano Ferreira

; Martin, Luis Cuadrado

; Scala, Luiz César Nazário

; Almeida, Madson Q.

; Gowdak, Marcia Maria Godoy

; Klein, Marcia Regina Simas Torres

; Malachias, Marcus Vinícius Bolívar

; Kuschnir, Maria Cristina Caetano

; Pinheiro, Maria Eliete

; Borba, Mario Henrique Elesbão de

; Moreira Filho, Osni

; Passarelli Júnior, Oswaldo

; Coelho, Otavio Rizzi

; Vitorino, Priscila Valverde de Oliveira

; Ribeiro Junior, Renault Mattos

; Esporcatte, Roberto

; Franco, Roberto

; Pedrosa, Rodrigo

; Mulinari, Rogerio Andrade

; Paula, Rogério Baumgratz de

; Okawa, Rogério Toshiro Passos

; Rosa, Ronaldo Fernandes

; Amaral, Sandra Lia do

; Ferreira-Filho, Sebastião R.

; Kaiser, Sergio Emanuel

; Jardim, Thiago de Souza Veiga

; Guimarães, Vanildo

; Koch, Vera H.

; Oigman, Wille

; Nadruz, Wilson

Arquivos Brasileiros de Cardiologia

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mar 2021, Volume 116 N. 3 Pages 516 - 658

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

https://doi.org/10.36660/abc.20201238 10948 downloads

10.

COVID-19 in northeast Brazil: first year of the pandemic and uncertainties to come
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Kerr, Ligia Regina Franco Sansigolo

; Kendall, Carl

; Almeida, Rosa Lívia Freitas de

; Ichihara, Maria Yury

; Aquino, Estela Maria L

; Silva, Antônio Augusto Moura da

; Ximenes, Ricardo Arraes de Alencar

; Albuquerque, Maria de Fatima Pessoa Militão de

; Almeida-Filho, Naomar

; Souza, Rafael Felipe

; Brandão Filho, Sinval Pinto

; Souza, Wayner Vieira de

; Barreto, Maurício Lima

Revista de Saúde Pública

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2021, Volume 55 elocation 35

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

RESUMO OBJETIVO Analisar a epidemia da covid-19 na região Nordeste do Brasil, uma das mais atingidas por essa virose. MÉTODOS Os dados oficiais para covid-19 dos estados do Nordeste são referentes ao período de março de 2020 a março de 2021. A análise para capitais e estados da série do acumulado semanal de casos e de óbitos confirmados foi feita com emprego do aplicativo JoinPoint Trend Analysis. RESULTADOS Em um ano, o Nordeste acumulou 22,9% dos casos e 21,5% dos óbitos do país pela covid-19. No início da pandemia, todos os estados apresentaram um crescimento sustentável de casos, primeiro nas capitais e depois interior. Em seguida, observam-se decréscimos em todos os estados e suas capitais, porém muitos permanecem com números elevados. Em meados do segundo semestre de 2020, o número de casos começa a crescer nos estados e suas capitais, alguns em velocidade explosiva, em especial no final de 2020 e início de 2021. Padrão similar é observado para os óbitos, os quais ultrapassaram ou aproximam-se do teto observado na primeira onda, na qual todas as capitais e estados do Nordeste adotaram intensas medidas de isolamento. Fortaleza, Recife e Teresina atingiram os maiores índices de isolamento de todas as capitais, perto de 0,60. Esse índice decresce, com tendência leve de crescimento até final de dezembro, voltando a decrescer. Com exceção de Fortaleza e Salvador, as demais capitais caíram para menos de 0,40. CONCLUSÃO O Nordeste brasileiro e o país estão em uma situação sanitária, social e econômica cada vez mais complexa. É necessário acelerar o processo de vacinação e manter as medidas não farmacológicas – constante uso de máscaras faciais, medidas de distanciamento e cuidados de higiene –, além de políticas de proteção aos trabalhadores que perderam as suas rendas e subsídios aos pequenos empresários.

ABSTRACT OBJECTIVE To analyze the epidemic of COVID-19 in northeastern Brazil, one of the regions most affected by the virus. METHODS The official data for COVID-19, from March 2020 to March 2021 in the states of the Northeast Region (NE), were used. The analysis of capital cities and states for accumulated weekly cases and confirmed deaths was made using the JoinPoint Trend Analysis application. RESULTS In one year, the Northeast region reported 22.9% of the cases and 21.5% of the deaths in the country due to COVID-19. At the beginning of the pandemic, all states showed a growing number of cases, first in the capitals and then in the interior. Following this wave, decreases are observed in all states and their capitals, but with many still reporting a large number of cases. In the middle of the 2nd semester of 2020 the number of cases begins to increase again simultaneously in states and their capitals—some at explosive speed—especially in late 2020 and early 2021. A similar pattern is observed in deaths, which exceed or approach the peak seen in the first wave. In the first wave, all capitals and northeastern states adopted intense isolation measures. Fortaleza, Recife and Teresina reached the highest isolation index of all capitals, close to 0.60. This index decreases, with a slight growth trend until the end of December. With the exception of Fortaleza and Salvador, the other capitals fell to less than 0.40. CONCLUSION The Brazilian NE and the country are in increasingly complicated health, social and economic situations. It is necessary to speed up vaccinations and maintain non-pharmacological measures: face masks, social distancing measures and hygiene care, in addition to policies to protect workers who have lost their incomes and to subsidize small business owners.

https://doi.org/10.11606/s1518-8787.2021055003728 589 downloads

11.

COVID-19 in northeast Brazil: first year of the pandemic and uncertainties to come
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Kerr, Ligia Regina Franco Sansigolo

; Kendall, Carl

; Almeida, Rosa Lívia Freitas de

; Ichihara, Maria Yury

; Aquino, Estela Maria L

; Silva, Antônio Augusto Moura da

; Ximenes, Ricardo Arraes de Alencar

; Albuquerque, Maria de Fatima Pessoa Militão de

; Almeida-Filho, Naomar

; Souza, Rafael Felipe

; Brandão Filho, Sinval Pinto

; Souza, Wayner Vieira de

; Barreto, Maurício Lima

Revista de Saúde Pública

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2021, Volume 55 elocation 35

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

https://doi.org/10.11606/s1518-8787.2021055003728

12.

Desarrollo sostenible del trabajador a través del trabajo decente
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Ojeda-Pérez, Fabián

; García-Bueno, Marco César

; González-Franco, Rubén Antonio

Sociedad y Economía

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dec 2019, N. 38 Pages 89 - 104

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

Resumen El objetivo en la presente investigación es diseñar un modelo del desarrollo sostenible del trabajador desde la perspectiva del trabajo decente y los derechos humanos, con base en la agenda 2030 para el desarrollo sostenible, que permita erradicar los problemas sociales, económicos y ambientales. Es una investigación de tipo documental con alcance explicativo, realizada mediante el análisis de artículos científicos y publicaciones de organismos internacionales. Es necesario que el trabajador tenga acceso a un empleo digno y decente, ya que, a través de este puede participar equitativamente en la riqueza generada, así como acceder a servicios de salud y educación con calidad y sistemas de seguridad social, para que alcance una vida digna y de autorrealización plena, a través del tiempo. Que al ser el desarrollo sostenible parte de los derechos fundamentales para el trabajador, la constitución les otorga protección jurídica y obliga al gobierno a garantizarlos.

Abstract The objective of the following research is to design a model of sustainable worker development from the perspective of decent work and human rights, based on the 2030 agenda for sustainable development, to eradicate social, economic and environmental problems. It is a documentary research with explanatory scope, carried out through the analysis of scientific articles and publications of international organizations. It is necessary for workers to have access to dignified and decent employment, since through it, they can participate equitably in the wealth generated, as well as obtaining access to quality healthcare and education services, and social security systems alike, and thus attaining a dignified life and self-realization, through time. Since sustainable development is part of the fundamental rights of the worker, the Constitution grants them legal protection and obliges the government to guarantee them.

https://doi.org/10.25100/sye.v0i38.8026 3171 downloads

13.

Structure and content of the maternal representations of Mexican teenagers during their first pregnancy
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Franco-Ramírez, Julieta Armida

; Cabrera-Pivaral, Carlos Enrique

; Zárate-Guerrero, Gabriel

; Franco-Chávez, Sergio Alberto

; Covarrubias-Bermúdez, María de los Ángeles

; Zavala-González, Marco Antonio

Revista Brasileira de Saúde Materno Infantil

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dec 2019, Volume 19 N. 4 Pages 897 - 906

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

Abstract Objectives: understand the structure and content of the maternal representations of Mexican teenagers during their first pregnancy. Methods: a study was carried out with qualitative methodology based on the concept of maternal representation and the theory of social representations with 30 adolescents who attended prenatal control at the Civil Hospital of Guadalajara "Fray Antonio Alcalde", in Jalisco, Mexico. The participants were interviewed with the consent of their tutors. Classical content analysis techniques were used to obtain codes and thematic categories to develop a conceptual map that explains maternal representations. Results: the maternal representation was identified: "Pregnant but reunited, a legitimated bad decision", which was composed of social meanings towards adolescent pregnancy, family dynamics, expectations towards motherhood, and the feelings experienced by the adolescent during the pregnancy. The content of the representations was heterogeneous for most of the identified categories; however, it is identified that the desire for pregnancy guides the expectations of the adolescent about her future way of being as a mother. Conclusions: the desire of women for pregnancy, the level of participation of the couple, and the social meanings of adolescent pregnancy, have an outstanding role in the development of models of maternal representations.

Resumen Objetivos: comprender la estructura y contenido de las representaciones maternas de adolescentes mexicanas durante su primer embarazo. Métodos: se llevó a cabo un estudio con metodología cualitativa basado en el concepto de representación materna y la teoría de las representaciones sociales con 30 adolescentes que asistieron a control prenatal al Hospital Civil de Guadalajara “Fray Antonio Alcalde”, ubicado en Jalisco, México. Las participantes fueron entrevistadas con previo consentimiento de sus tutores. Se utilizaron técnicas de análisis de contenido clásico para obtener códigos y categorías temáticas para desarrollar un mapa conceptual que explique las representaciones maternas. Resultados: se identificó la representación materna: “Embarazada pero juntada, una mala decisión legitimada”, la cual se compuso de significados sociales hacia el embarazo adolescente, la dinámica familiar, las expectativas hacia la maternidad, y los sentimientos vividos por la adolescentedurante el embarazo. El contenido de la representación materna fue heterogéneo, empero, se identificó que el deseo por el embarazo guía las expectativas de la adolescente sobre su futura manera de ser madre. Conclusiones: el deseo de la mujer por el embarazo, el nivel de participación de la pareja, y los significados sociales del embarazo adolescente, tienen un papel sobresaliente en el desarrollo de las representaciones maternas.

https://doi.org/10.1590/1806-93042019000400009 2034 downloads

14.

Guideline of the Brazilian Society of Cardiology on Telemedicine in Cardiology - 2019
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Lopes, Marcelo Antônio Cartaxo Queiroga

; Oliveira, Gláucia Maria Moraes de

; Ribeiro, Antonio Luiz Pinho

; Pinto, Fausto J.

; Rey, Helena Cramer Veiga

; Zimerman, Leandro Ioschpe

; Rochitte, Carlos Eduardo

; Bacal, Fernando

; Polanczyk, Carisi Anne

; Halperin, Cidio

; Araújo, Edson Correia

; Mesquita, Evandro Tinoco

; Arruda, José Airton

; Rohde, Luis Eduardo Paim

; Grinberg, Max

; Moretti, Miguel

; Caramori, Paulo Ricardo Avancini

; Botelho, Roberto Vieira

; Brandão, Andréa Araújo

; Hajjar, Ludhmila Abrahão

; Santos, Alexandre Fonseca

; Colafranceschi, Alexandre Siciliano

; Etges, Ana Paula Beck da Silva

; Marino, Bárbara Campos Abreu

; Zanotto, Bruna Stella

; Nascimento, Bruno Ramos

; Medeiros, Cesar Rocha

; Santos, Daniel Vitor de Vasconcelos

; Cook, Daniela Matos Arrowsmith

; Antoniolli, Eduardo

; Souza Filho, Erito Marques de

; Fernandes, Fábio

; Gandour, Fabio

; Fernandez, Francisco

; Souza, Germano Emilio Conceição

; Weigert, Guilherme de Souza

; Castro, Iran

; Cade, Jamil Ribeiro

; Figueiredo Neto, José Albuquerque de

; Fernandes, Juliano de Lara

; Hadlich, Marcelo Souza

; Oliveira, Marco Antonio Praça

; Alkmim, Maria Beatriz

; Paixão, Maria Cristina da

; Prudente, Maurício Lopes

; Aguiar Netto, Miguel A. S.

; Marcolino, Milena Soriano

; Oliveira, Monica Amorim de

; Simonelli, Osvaldo

; Lemos Neto, Pedro A.

; Rosa, Priscila Raupp da

; Figueira, Renato Minelli

; Cury, Roberto Caldeira

; Almeida, Rodrigo Coelho

; Lima, Sandra Regina Franco

; Barberato, Silvio Henrique

; Constancio, Thiago Inocêncio

; Rezende, Wladimir Fernandes de

Arquivos Brasileiros de Cardiologia

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nov 2019, Volume 113 N. 5 Pages 1006 - 1056

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

https://doi.org/10.5935/abc.20190205 5274 downloads

15.

Economic viability of a thermal blanket produced from asphalt waste used in roof covering
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Medeiros, Mágilla Feitosa

; Franco, Marco Antonio Cortellazzi

; Klepa, Rogério Bonette

; Santana, José Carlos Curvelo

Matéria (Rio de Janeiro)

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2019, Volume 24 N. 4 elocation e12511

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

RESUMO Este trabalho apresenta os resultados obtidos em um projeto de construção civil, no qual se dimensiona a isolação térmica do telhado de uma pousada na região de São Joaquim, SC, considerada uma das regiões mais frias do Brasil. Propôs-se o uso de um isolante produzido à base de asfalto reciclado, apontando sua eficiência de isolação térmica e viabilidade econômica com relação aos isolantes comumente usados pela construção civil brasileira. Os resultados obtidos demonstraram que a manta de asfalto reciclado reduz a perda de calor do telhado entre 68 e 72% e o seu custo com material é de duas a cinco vezes menor que as demais mantas estudadas. Além disso, o material do qual o produto é feito é mais ecológico do que as demais mantas térmicas. Assim, este projeto mostrou que o uso da manta de asfalto reciclado é viável economicamente, além de ser muito mais eficiente do que as mantas comercializadas atualmente no Brasil.

ABSTRACT This work shows the results obtained in a civil construction project, in which the thermal insulation of an inn’s roof is measured in são joaquim, sc, which is considered to be one of the coldest regions in brazil. it was proposed the use of an insulator produced with recycled asphalt, indicating its thermal insulation efficiency and economic viability in relation to the insulators commonly used by brazilian civil construction. the results showed that the recycled asphalt blanket reduces the roof heat loss between 68 and 72% and its material cost is two to five times smaller in relation to the other blankets studied. in addition, the material from which the product is made is more environmentally friendly than other thermal blankets. thus, this project showed that the recycled asphalt blanket use is economically viable, besides being much more efficient than the blankets currently commercialized in brazil.

https://doi.org/10.1590/s1517-707620190004.0836 833 downloads

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