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BACKGROUND During routine Coronavirus disease 2019 (COVID-19) diagnosis, an unusually high viral load was detected by reverse transcription real-time polymerase chain reaction (RT-qPCR) in a nasopharyngeal swab sample collected from a patient with respiratory and neurological symptoms who rapidly succumbed to the disease. Therefore we sought to characterise the infection. OBJECTIVES We aimed to determine and characterise the etiological agent responsible for the poor outcome. METHODS Classical virological methods, such as plaque assay and plaque reduction neutralisation test combined with amplicon-based sequencing, as well as a viral metagenomic approach, were performed to characterise the etiological agents of the infection. FINDINGS Plaque assay revealed two distinct plaque phenotypes, suggesting either the presence of two severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) strains or a productive coinfection of two different species of virus. Amplicon-based sequencing did not support the presence of any SARS-CoV-2 genetic variants that would explain the high viral load and suggested the presence of a single SARS-CoV-2 strain. Nonetheless, the viral metagenomic analysis revealed that Coronaviridae and Herpesviridae were the predominant virus families within the sample. This finding was confirmed by a plaque reduction neutralisation test and PCR. MAIN CONCLUSIONS We characterised a productive coinfection of SARS-CoV-2 and Herpes simplex virus 1 (HSV-1) in a patient with severe symptoms that succumbed to the disease. Although we cannot establish the causal relationship between the coinfection and the severity of the clinical case, this work serves as a warning for future studies focused on the interplay between SARS-CoV-2 and HSV-1 coinfection and COVID-19 severity.

https://doi.org/10.1590/0074-02760210176

Comment on the study Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the Bypass Registry that was presented at the 46th Congress of the Brazilian Society of Cardiovascular Surgery, Nova Lima, BH, Brazil, April 5 and 6, 2019
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Dallan, Luís Alberto O.

; Paez, Rodrigo Pereira

; Hossne Junior, Nelson Américo

; Santo, José Amalth do Espírito

; Berwanger, Otavio

; Santos, Renato Hideo Nakagawa

; Kalil, Renato Abdala Karam

; Jatene, Fabio B.

; Cavalcanti, Alexandre Biasi

; Zilli, Alexandre Cabral

; Bettiati Jr, Luiz Carlos

; Figueira, Fernando Augusto Marinho dos Santos

; D’Azevedo, Stephanie Steremberg Pires

; Soares, Marcelo José Ferreira

; Fernandes, Marcio Pimentel

; Ardito, Roberto Vito

; Bogdan, Renata Andrea Barberio

; Campagnucci, Valquíria Pelisser

; Nakasako, Diana

; Rodrigues, Clarissa Garcia

; Rodrigues Junior, Anilton Bezerra

; Cascudo, Marcelo Matos

; Atik, Fernando Antibas

; Lima, Elson Borges

; Nina, Vinicius José da Silva

; Heluy, Renato Albuquerque

; Azeredo, Lisandro Gonçalves

; Henrique Junior, Odilon Silva

; Mendonça, José Teles de

; Silva, Katharina Kelly de Oliveira Gama

; Pandolfo, Marcelo

; Lima Júnior, José Dantas de

; Faria, Renato Max

; Santos, Jonas Gonçalves dos

; Coelho, Guilherme Henrique Biachi

; Pereira, Sergio Nunes

; Senger, Roberta

; Buffolo, Enio

; Caputi, Guido Marco

; Oliveira, Juliana Aparecida Borges de

; Gomes, Walter J.

Brazilian Journal of Cardiovascular Surgery

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aug 2019, Volume 34 N. 4 Pages 504 - 506

Abstract: En | Text: En | PDF: En

https://doi.org/10.21470/1678-9741-2019-0606 335 downloads

Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry
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Paez, Rodrigo Pereira

; Hossne Junior, Nelson Américo

; Santo, José Amalth do Espírito

; Berwanger, Otavio

; Santos, Renato Hideo Nakagawa

; Kalil, Renato Abdala Karam

; Jatene, Fabio B.

; Cavalcanti, Alexandre Biasi

; Zilli, Alexandre Cabral

; Bettiati Jr, Luiz Carlos

; Figueira, Fernando Augusto Marinho dos Santos

; D'Azevedo, Stephanie Steremberg Pires

; Soares, Marcelo José Ferreira

; Fernandes, Marcio Pimentel

; Ardito, Roberto Vito

; Bogdan, Renata Andrea Barberio

; Campagnucci, Valquíria Pelisser

; Nakasako, Diana

; Rodrigues, Clarissa Garcia

; Rodrigues Junior, Anilton Bezerra

; Cascudo, Marcelo Matos

; Atik, Fernando Antibas

; Lima, Elson Borges

; Nina, Vinicius José da Silva

; Heluy, Renato Albuquerque

; Azeredo, Lisandro Gonçalves

; Henrique Junior, Odilon Silva

; Mendonça, José Teles de

; Silva, Katharina Kelly de Oliveira Gama

; Pandolfo, Marcelo

; Lima Júnior, José Dantas de

; Faria, Renato Max

; Santos, Jonas Gonçalves dos

; Coelho, Guilherme Henrique Biachi

; Pereira, Sergio Nunes

; Senger, Roberta

; Buffolo, Enio

; Caputi, Guido Marco

; Oliveira, Juliana Aparecida Borges de

; Gomes, Walter J.

Brazilian Journal of Cardiovascular Surgery

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apr 2019, Volume 34 N. 2 Pages 142 - 148

Abstract: En | Text: En | PDF: En

Abstract Introduction: Coronary artery bypass grafting (CABG) is the most frequently performed heart surgery in Brazil. Recent international guidelines recommend that national societies establish a database on the practice and results of CABG. In anticipation of the recommendation, the BYPASS Registry was introduced in 2015. Objective: To analyze the profile, risk factors and outcomes of patients undergoing CABG in Brazil, as well as to examine the predominant surgical strategy, based on the data included in the BYPASS Registry. Methods: A cross-sectional study of 2292 patients undergoing CABG surgery and cataloged in the BYPASS Registry up to November 2018. Demographic data, clinical presentation, operative variables, and postoperative hospital outcomes were analyzed. Results: Patients referred to CABG in Brazil are predominantly male (71%), with prior myocardial infarction in 41.1% of cases, diabetes in 42.5%, and ejection fraction lower than 40% in 9.7%. The Heart Team indicated surgery in 32.9% of the cases. Most of the patients underwent cardiopulmonary bypass (87%), and cardioplegia was the strategy of myocardial protection chosen in 95.2% of the cases. The left internal thoracic artery was used as a graft in 91% of the cases; the right internal thoracic artery, in 5.6%; and the radial artery in 1.1%. The saphenous vein graft was used in 84.1% of the patients, being the only graft employed in 7.7% of the patients. The median number of coronary vessels treated was 3. Operative mortality was 2.8%, and the incidence of cerebrovascular accident was 1.2%. Conclusion: CABG data in Brazil provided by the BYPASS Registry analysis are representative of our national reality and practice. This database constitutes an important reference for indications and comparisons of therapeutic procedures, as well as to propose subsequent models to improve patient safety and the quality of surgical practice in the country.

https://doi.org/10.21470/1678-9741-2018-0313 1270 downloads

Developing skills learning in obstetric nursing: approaches between theory and practice
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Lima, Maria de Fátima Gomes

; Pequeno, Alice Maria Correia

; Rodrigues, Dafne Paiva

; Carneiro, Cleide

; Morais, Ana Patrícia Pereira

; Negreiros, Francisca Diana da Silva

Revista Brasileira de Enfermagem

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oct 2017, Volume 70 N. 5 Pages 1054 - 1060

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

ABSTRACT Objective: To analyze the development of professional skills in an obstetric nursing graduate course. Method: Qualitative research, applying semi-structured interviews with 11 students in the obstetric nursing specialization at the State University of Ceará. Data was submitted to thematic review. Results: According to the subjects, the course offers the development of skills to strengthen and expand the range of activities in obstetric nursing. Despite relying on previous knowledge and experience acquired by the students, there is a gap between the content taught and internship practice, presented as challenges and difficulties faced by the students. The findings suggest a need for curricular revision, incorporating active teaching-learning methodologies, to overcome the disjunction between theory and practice. Final considerations: Students are part of a corpus that is potentially implicated in the construction and transformation of thoughts and values set forth by educational and health institutions, and it is necessary to make changes in political and social organizations, with a focus on providing comprehensive and egalitarian care to the population.

RESUMEN Objetivo: Analizar el desarrollo de competencias profesionales en curso de posgrado en Enfermería Obstétrica. Método: Investigación cualitativa, aplicando entrevista semiestructurada a 11 egresados de especialización en Enfermería Obstétrica de la Universidade Estadual do Ceará. Datos sometidos a análisis temático. Resultados: Según visión de los sujetos, el curso brinda desarrollo de competencias que refuerzan y amplían el campo de actuación de la enfermería obstétrica. Aun recurriendo a conocimientos y experiencias previas del alumnado, existe distancia entre los contenidos dictados y la práctica de pasantías, considerados desafíos y dificultades enfrentadas por los egresados. Hallazgos sugieren revisión curricular, incorporando metodologías activas de enseñanza-aprendizaje, superando fragmentaciones teórico-prácticas. Consideraciones finales: Los egresados constituyen un corpus potencialmente implicado en construir y transformar pensamientos y valores de instituciones de salud y enseñanza, necesarios para el cambio en las organizaciones políticas y sociales, apuntando a una atención integral e igualitaria de la población.

RESUMO Objetivo: Analisar o desenvolvimento de competências profissionais em curso de pós-graduação em Enfermagem Obstétrica. Método: Pesquisa qualitativa, utilizando entrevista semiestruturada com 11 egressos da especialização em Enfermagem Obstétrica da Universidade Estadual do Ceará. Dados submetidos à análise temática. Resultados: Na ótica dos sujeitos, o curso confere o desenvolvimento de competências que fortalecem e ampliam o campo de atuação da enfermagem obstétrica. Embora resgate o conhecimento prévio dos discentes e as experiências vivenciadas, há distanciamento entre conteúdos ministrados e a prática de estágios, apresentados como desafios e dificuldades enfrentadas pelos egressos. Os achados sugerem revisão curricular, incorporando as metodologias ativas de ensino-aprendizagem, superando a fragmentação entre teoria e prática. Considerações finais: Os egressos se constituem em um corpus potencialmente implicado na construção e transformação de pensamentos e valores das instituições de saúde e ensino, necessários às mudanças nas organizações políticas e sociais, visando atendimento integral e igualitário à população.

https://doi.org/10.1590/0034-7167-2016-0665 21 downloads

Developing skills learning in obstetric nursing: approaches between theory and practice
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Lima, Maria de Fátima Gomes

; Pequeno, Alice Maria Correia

; Rodrigues, Dafne Paiva

; Carneiro, Cleide

; Morais, Ana Patrícia Pereira

; Negreiros, Francisca Diana da Silva

Revista Brasileira de Enfermagem

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oct 2017, Volume 70 N. 5 Pages 1054 - 1060

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

https://doi.org/10.1590/0034-7167-2016-0665 8060 downloads

The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients
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Gomes, Walter J.

; Moreira, Rita Simone

; Zilli, Alexandre Cabral

; Bettiati Jr, Luiz Carlos

; Figueira, Fernando Augusto Marinho dos Santos

; D' Azevedo, Stephanie Steremberg Pires

; Soares, Marcelo José Ferreira

; Fernandes, Marcio Pimentel

; Ardito, Roberto Vito

; Bogdan, Renata Andrea Barberio

; Campagnucci, Valquíria Pelisser

; Nakasako, Diana

; Kalil, Renato Abdala Karam

; Rodrigues, Clarissa Garcia

; Rodrigues Junior, Anilton Bezerra

; Cascudo, Marcelo Matos

; Atik, Fernando Antibas

; Lima, Elson Borges

; Nina, Vinicius José da Silva

; Heluy, Renato Albuquerque

; Azeredo, Lisandro Gonçalves

; Henrique Junior, Odilon Silva

; Mendonça, José Teles de

; Silva, Katharina Kelly de Oliveira Gama

; Pandolfo, Marcelo

; Lima Júnior, José Dantas de

; Faria, Renato Max

; Santos, Jonas Gonçalves dos

; Paez, Rodrigo Pereira

; Coelho, Guilherme Henrique Biachi

; Pereira, Sergio Nunes

; Senger, Roberta

; Buffolo, Enio

; Caputi, Guido Marco

; Santo, José Amalth do Espírito

; Oliveira, Juliana Aparecida Borges de

; Berwanger, Otavio

; Cavalcanti, Alexandre Biasi

; Jatene, Fabio B.

Brazilian Journal of Cardiovascular Surgery

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apr 2017, Volume 32 N. 2 Pages 71 - 76

Abstract: En | Text: En | PDF: En

Abstract Objective: To report the early results of the BYPASS project - the Brazilian registrY of adult Patient undergoing cArdiovaScular Surgery - a national, observational, prospective, and longitudinal follow-up registry, aiming to chart a profile of patients undergoing cardiovascular surgery in Brazil, assessing the data harvested from the initial 1,722 patients. Methods: Data collection involved institutions throughout the whole country, comprising 17 centers in 4 regions: Southeast (8), Northeast (5), South (3), and Center-West (1). The study population consists of patients over 18 years of age, and the types of operations recorded were: coronary artery bypass graft (CABG), mitral valve, aortic valve (either conventional or transcatheter), surgical correction of atrial fibrillation, cardiac transplantation, mechanical circulatory support and congenital heart diseases in adults. Results: 83.1% of patients came from the public health system (SUS), 9.6% from the supplemental (private insurance) healthcare systems; and 7.3% from private (out-of -pocket) clinic. Male patients comprised 66%, 30% were diabetics, 46% had dyslipidemia, 28% previously sustained a myocardial infarction, and 9.4% underwent prior cardiovascular surgery. Patients underwent coronary artery bypass surgery were 54.1% and 31.5% to valve surgery, either isolated or combined. The overall postoperative mortality up to the 7th postoperative day was 4%; for CABG was 2.6%, and for valve operations, 4.4%. Conclusion: This first report outlines the consecution of the Brazilian surgical cardiac database, intended to serve primarily as a tool for providing information for clinical improvement and patient safety and constitute a basis for production of research protocols.

https://doi.org/10.21470/1678-9741-2017-0053 1883 downloads

Productivity versus workloads in the nursing working environment
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Carvalho, Deciane Pintanela de

; Rocha, Laurelize Pereira

; Tomaschewski-Barlem, Jamila Geri

; Barlem, Edison Luiz Devos

; Cecagno, Diana

; Dalmolin, Graziele de Lima

Revista da Escola de Enfermagem da USP

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2017, Volume 51 elocation e03301

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

ABSTRACT Objective To analyze the association between the productivity loss of nursing workers and workloads in a teaching hospital. Method Descriptive study with a quantitative approach, conducted with nursing workers. A structured data collection instrument and the Work Limitations Questionnaire were used. Data analysis was performed using descriptive and analytical statistics, with the Kruskal Wallis test and the Spearman rank correlation. Results A total of 211 nursing workers participated in the study. They had an average of 6.38% of lost productivity; 75% of nursing technicians showed 9.57% of productivity loss, followed by nurses (8.75%) and nursing aides (8.50%). The units presenting the highest productivity loss were surgical clinic (8.81%), and medical clinic (8.58%). The rate of productivity loss was significantly associated with chemical loads (p=0.044) and with mechanical loads (p=0.041). Conclusion Workers presented productivity loss and work limitations associated with workloads, which shows they have difficulty performing the activities in part of the work time.

RESUMEN Objetivo Analizar la asociación entre la pérdida de productividad de los trabajadores de la enfermería y las cargas de trabajo en un Hospital Universitario. Método Estudio descriptivo con abordaje cuantitativo, llevado a cabo con trabajadores de enfermería. Se utilizó un instrumento de recolección de datos estructurado y el Work Limitations Questionnaire. El análisis de datos ocurrió por medio de estadística descriptiva y analítica, con las pruebas Kruskal Wallis y correlación de Rho de Spearmam. Resultados Participaron en el estudio 211 trabajadores de la enfermería. Los trabajadores presentaron promedio del 6,38% de productividad perdida, el 75% de los técnicos de enfermería tuvieron el 9,57% de pérdida de productividad, seguido de los enfermeros (el 8,75%) y auxiliares de enfermería (el 8,50%). Las Unidades que presentaron mayor productividad perdida fueron Clínica Quirúrgica (8,81%) y Clínica Médica (8,58%). El índice de pérdida de productividad presentó asociación significativa con las cargas químicas (p=0,044) y con las cargas mecánicas (p=0,041). Conclusión Los trabajadores presentaron pérdida de productividad y limitaciones para el trabajo asociadas con las cargas de trabajo, lo que demuestra que tienen dificultad para la realización de las actividades en parte del tiempo laboral.

RESUMO Objetivo Analisar a associação entre a perda de produtividade dos trabalhadores da enfermagem e as cargas de trabalho em um Hospital Universitário. Método Estudo descritivo com abordagem quantitativa, realizado com trabalhadores de enfermagem. Utilizou-se de um instrumento de coleta de dados estruturado e o Work Limitations Questionnaire. A análise de dados ocorreu por meio de estatística descritiva e analítica, com os testes Kruskal Wallis e correlação de Rho de Spearmam. Resultados Participaram do estudo 211 trabalhadores da enfermagem. Os trabalhadores apresentaram média de 6,38% de produtividade perdida, 75% dos técnicos de enfermagem possuíram 9,57% de perda de produtividade, seguido dos enfermeiros (8,75%) e auxiliares de enfermagem (8,50%). As Unidades que apresentaram maior produtividade perdida foram Clínica Cirúrgica (8,81%) e Clínica Médica (8,58%). O índice de perda de produtividade apresentou associação significativa com as cargas químicas (p=0,044) e com as cargas mecânicas (p=0,041). Conclusão Os trabalhadores apresentaram perda de produtividade e limitações para o trabalho associadas às cargas de trabalho, o que demonstra que possuem dificuldade para a realização das atividades em parte do tempo de trabalho.

https://doi.org/10.1590/s1980-220x2017028903301 60 downloads

Productivity versus workloads in the nursing working environment
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Carvalho, Deciane Pintanela de

; Rocha, Laurelize Pereira

; Tomaschewski-Barlem, Jamila Geri

; Barlem, Edison Luiz Devos

; Cecagno, Diana

; Dalmolin, Graziele de Lima

Revista da Escola de Enfermagem da USP

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2017, Volume 51 elocation e03301

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

https://doi.org/10.1590/s1980-220x2017028903301 3768 downloads

Redes de Atenção à Saúde: a percepção dos médicos trabalhando em serviços de urgência
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Lima, Diana Pereira

; Leite, Maísa Tavares de Souza

; Caldeira, Antônio Prates

Saúde em Debate

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mar 2015, Volume 39 N. 104 Pages 65 - 75

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

Objetivou-se conhecer a percepção de médicos em serviços de urgência sobre as Redes de Atenção à Saúde. Trata-se de pesquisa qualitativa, com referencial fenomenológico. O estudo foi realizado em três hospitais de uma capital brasileira. Os participantes foram médicos dos hospitais e plantonistas do Serviço de Atendimento Móvel de Urgência (Samu). Destacaram-se as dimensões: particularidades do médico da urgência, (des)integração e constituição das redes, movimentos do paciente na rede assistencial e interposição no ato profissional. As percepções suscitam a necessidade de intervenções que alinhem conceitos inerentes à organização em redes da atenção à concepção vivida na prática.

It was aimed to know the perception of physicians in emergency departments on health care networks. This is a qualitative study, with phenomenological reference. The study was conducted in three hospitals of a Brazilian capital. Participants were doctors from the hospitals and physicians on duty of the Mobile Emergency Care Service (Samu). Stood out the dimensions: particularities of emergency physicians, (dis)integration and constitution of networks, movements of patients into the health care network and interposition in the professional act. The perceptions raise the need for interventions that align concepts inherent to the organization in health care networks to the conception experienced in practice.

https://doi.org/10.1590/0103-110420151040348 3730 downloads

10.

Redes de Atenção à Saúde: a percepção dos médicos trabalhando em serviços de urgência
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Lima, Diana Pereira

; Leite, Maísa Tavares de Souza

; Caldeira, Antônio Prates

Saúde em Debate

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mar 2015, Volume 39 N. 104 Pages 65 - 75

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

https://doi.org/10.1590/0103-110420151040348 203 downloads

11.

Dietary patterns in pregnancy and birth weight
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Coelho, Natália de Lima Pereira

; Cunha, Diana Barbosa

; Esteves, Ana Paula Pereira

; Lacerda, Elisa Maria de Aquino

; Theme Filha, Mariza Miranda

Revista de Saúde Pública

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2015, Volume 49 elocation 62

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

OBJETIVO Analisar se padrões de consumo alimentar durante o terceiro trimestre gestacional estão associados ao peso ao nascer.MÉTODOS Estudo longitudinal realizado nos municípios de Petrópolis e Queimados, RJ, entre 2007 e 2008. Foram analisados dados da primeira e segunda onda de seguimento de uma coorte prospectiva. O consumo alimentar de 1.298 gestantes foi aferido por meio de questionário de frequência alimentar semiquantitativo. Os padrões alimentares foram obtidos por análise fatorial exploratória, utilizando o método de rotação Varimax. Aplicou-se modelo de regressão linear multivariado para estimar a associação entre padrões de consumo alimentar e peso ao nascer.RESULTADOS Foram identificados quatro padrões de consumo, que explicam 36,4% da variabilidade, compostos da seguinte forma: (1) padrão prudente, composto por leite, iogurte, queijo, frutas e suco natural, biscoito sem recheio e carne de frango/boi/peixe/fígado, que explica 14,9% do consumo; (2) padrão tradicional, composto por feijão, arroz, vegetais, pães, manteiga/margarina e açúcar, que explica 8,8% da variação do consumo; (3) padrão ocidental, composto por batata/aipim/inhame, macarrão, farinha/farofa/angu, pizza/hambúrguer/pastel, refrigerante/refresco e carne de porco/salsicha/linguiça/ovo, que explica 6,9% da variância; e (4) padrão lanche, composto por biscoito recheado, biscoitos tipo salgadinhos, chocolate e achocolatado, que explica 5,7% da variabilidade de consumo. O padrão alimentar lanche associou-se positivamente com o peso ao nascer (β = 56,64; p = 0,04) em gestantes adolescentes.CONCLUSÕES Para as gestantes adolescentes, quanto maior a adesão ao padrão alimentar lanche durante a gestação, maior o peso ao nascer do bebê.

OBJECTIVE To analyze if dietary patterns during the third gestational trimester are associated with birth weight.METHODS Longitudinal study conducted in the cities of Petropolis and Queimados, Rio de Janeiro (RJ), Southeastern Brazil, between 2007 and 2008. We analyzed data from the first and second follow-up wave of a prospective cohort. Food consumption of 1,298 pregnant women was assessed using a semi-quantitative questionnaire about food frequency. Dietary patterns were obtained by exploratory factor analysis, using the Varimax rotation method. We also applied the multivariate linear regression model to estimate the association between food consumption patterns and birth weight.RESULTS Four patterns of consumption – which explain 36.4% of the variability – were identified and divided as follows: (1) prudent pattern (milk, yogurt, cheese, fruit and fresh-fruit juice, cracker, and chicken/beef/fish/liver), which explained 14.9% of the consumption; (2) traditional pattern, consisting of beans, rice, vegetables, breads, butter/margarine and sugar, which explained 8.8% of the variation in consumption; (3) Western pattern (potato/cassava/yams, macaroni, flour/farofa/grits, pizza/hamburger/deep fried pastries, soft drinks/cool drinks and pork/sausages/egg), which accounts for 6.9% of the variance; and (4) snack pattern (sandwich cookie, salty snacks, chocolate, and chocolate drink mix), which explains 5.7% of the consumption variability. The snack dietary pattern was positively associated with birth weight (β = 56.64; p = 0.04) in pregnant adolescents.CONCLUSIONS For pregnant adolescents, the greater the adherence to snack pattern during pregnancy, the greater the baby’s birth weight.

https://doi.org/10.1590/S0034-8910.2015049005403 7145 downloads

12.

Dietary patterns in pregnancy and birth weight
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Coelho, Natália de Lima Pereira

; Cunha, Diana Barbosa

; Esteves, Ana Paula Pereira

; Lacerda, Elisa Maria de Aquino

; Theme Filha, Mariza Miranda

Revista de Saúde Pública

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2015, Volume 49 elocation 62

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

https://doi.org/10.1590/S0034-8910.2015049005403 1621 downloads

13.

Desempenho zootécnico de girinos de rã-touro com diferentes níveis de proteína e energia digestíveis
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Seixas Filho, José Teixeira de

; Navarro, Rodrigo Diana

; Pereira, Marcelo Maia

; Mello, Sílvia Conceição Reis Pereira

; Lanna, Eduardo Arruda Teixeira

; Lima, Jorge Luiz Pereira

Revista Brasileira de Saúde e Produção Animal

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dec 2012, Volume 13 N. 4 Pages 1112 - 1120

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

A partir dos valores de digestibilidade de alguns ingredientes foram propostas dietas, com diferentes níveis de proteína e energia digestíveis, em esquema fatorial 3 x 3, destinadas a girinos de rã-touro para avaliar o desempenho zootécnico. O experimento, com duração de 60 dias, foi conduzido com 810 girinos, oriundos da mesma desova, distribuídos em 27 caixas de polipropileno, em uma densidade de 1girino/L. O delineamento experimental foi um esquema fatorial com três níveis de proteína digestível (27; 31 e 35%) e três níveis de energia digestível (2.700; 2.800 e 2.900kcal/kg) com três réplicas. Os parâmetros avaliados aos 60 dias foram ganho de peso, consumo da dieta, consumo em proteína da dieta, conversão alimentar, taxa de eficiência proteica e índice de sobrevivência. Os resultados foram submetidos à análise de variância e ao teste de Duncan (95% de precisão). Os resultados encontrados não apresentaram interação entre proteína e energia digestível para nenhum parâmetro avaliado. Em relação à proteína digestível, foram verificadas diferenças nos parâmetros consumo em proteína da dieta e taxa de eficiência proteica (TEP), o que demonstra ineficiência das dietas com altos valores proteicos. Deve-se oferecer aos girinos de rã-touro dietas com 27% de proteína digestível, por apresentarem melhor resultado para taxa de eficiência proteica e para consumo em proteína da dieta.

From the digestibility values of some ingredients, it was proposed diets with different levels of digestible protein and energy, in a 3x3 factorial design for bullfrog tadpoles, aiming at evaluate the zootechnical performance. The experiment was conducted during 60 days with 810 tadpoles from the same spawning distributed into 27 polypropylene boxes at a density of 1 tadpole/L. The experimental design consisted of a factorial arrangement with three levels of digestible protein (27; 31 and 35%) and three levels of digestible energy (2700; 2800 and 2900kcal/kg) with three repetitions. Parameters evaluated at 60 days were weight gain, feed intake, dietary protein intake, feed conversion, protein efficiency rate and survival rate. Results were subjected to analysis of variance and Duncan test (95% accuracy), and presented no interaction between digestible protein and digestible energy for any parameter evaluated. As for the digestible protein, significant differences were detected in the dietary protein intake, and protein efficiency rate, evidencing inefficiency of diets with high protein values. Bullfrog tadpoles should be given diets with 27% digestible protein by having the best result for the protein efficiency rate and for the dietary protein intake, with the lowest value and similar to other levels among evaluated parameters.

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14.

Detecção de metalo-beta-lactamase em Pseudomonas aeruginosa isoladas de pacientes hospitalizados em Goiânia, Estado de Goiás
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Gonçalves, Diana Christina Pereira Santos

; Lima, Ana Beatriz Mori

; Leão, Lara Stefania Netto de Oliveira

; Carmo Filho, José Rodrigues do

; Pimenta, Fabiana Cristina

; Vieira, José Daniel Gonçalves

Revista da Sociedade Brasileira de Medicina Tropical

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aug 2009, Volume 42 N. 4 Pages 411 - 414

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

Pseudomonas aeruginosa é uma bactéria frequentemente isolada no ambiente hospitalar. Este estudo teve como objetivo avaliar o perfil de suscetibilidade de Pseudomonas aeruginosa previamente isoladas de pacientes internados em um hospital de Goiânia (Goiás-Brasil); realizar a triagem fenotípica para a produção de metalo-beta-lactamase e detectar os genes das mesmas pela técnica de "Polimerase Chain Reaction". Foram avaliadas 75 Pseudomonas aeruginosa isoladas no período de janeiro de 2005 a janeiro de 2007. A identificação bioquímica foi realizada pelo sistema API 20E® e o antibiograma pelo método de Kirby-Bauer. Entre os 62 isolados que foram resistentes ao imipenem e à ceftazidima, 35 (56,4%) apresentaram produção de metalo-beta-lactamase e em 26 (74,3%) destes, foi detectado o gene blaSPM-1. A frequência de Pseudomonas aeruginosa produtoras de metalo-beta-lactamase sugere um maior controle da disseminação de resistência no ambiente hospitalar.

Pseudomonas aeruginosa is a bacterium frequently isolated from hospital environments. This study had the aims of evaluating the susceptibility profile of Pseudomonas aeruginosa previously isolated from patients in a hospital in Goiânia (Goiás, Brazil), performing phenotypic screening for metallo-beta-lactamase production and detecting its genes using the polymerase chain reaction technique. Seventy-five 75 Pseudomonas aeruginosa isolates were evaluated between January 2005 and January 2007. Biochemical identification was performed using the API 20E® system and an antibiogram was produced using the Kirby-Bauer method. Among the 62 isolates that were resistant to imipenem and ceftazidime, 35 (56.4%) produced metallo-beta-lactamase, while 26 (74.3%) showed the blaSPM-1 gene. The frequency of Pseudomonas aeruginosa that produces metallo-beta-lactamase suggests that greater control over the dissemination of resistance in hospital environments is needed.

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15.

Utilização de resíduos da indústria de couro como fonte nitrogenada para o capim-elefante
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Oliveira, Diana Quintão Lima de

; Carvalho, Kele Tatiane Gomes

; Bastos, Ana Rosa Ribeiro

; Oliveira, Luiz Carlos Alves de

; Marques, João José Granate de Sá e Melo

; Nascimento, Robervone Severina de Melo Pereira do

Revista Brasileira de Ciência do Solo

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feb 2008, Volume 32 N. 1 Pages 417 - 424

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

Uma grande variedade de produtos tóxicos é emitida durante o processo de tratamento do couro nos curtumes que usam o cromo III para obter o couro wet blue. O resíduo sólido (raspas e aparas) contém cerca de 3 % de Cr III, que representa um sério problema ambiental e não tem, atualmente, destino adequado. O resíduo de couro após extração de Cr (colágeno) foi utilizado como fonte nitrogenada para o capim-elefante (Pennisetum purpureum Schum cv. Napier), em um Latossolo Vermelho-Amarelo, aplicando-se quatro doses do colágeno (4, 8, 16 e 32 t ha-1) e três tratamentos adicionais (testemunha; adubação com N mineral e resíduo de couro wet blue- sem a extração do Cr). O colágeno é uma boa fonte nitrogenada alternativa para crescimento do capim-elefante até a dose de 16 t ha-1. O resíduo de couro wet blue não disponibilizou N durante o cultivo de capim-elefante. Isso mostra que a extração do Cr utilizando-se o ácido fosfórico é fundamental para uso do rejeito de couro como fonte nitrogenada na agricultura. A aplicação do colágeno supriu a necessidade de N para plantas de capim-elefante, semelhantemente à adubação com N mineral.

Large amounts of solid wastes are produced in tanneries, which use chromium (III) to obtain wet blue leather hides. The solid residues (leather scraps and strips) contain around 3 % chromium (III), which represent a serious environmental problem and, presently, have no adequate destination. The leather waste after chromium extraction (collagen) was used as a nitrogen source for elephantgrass- Pennisetum purpureum Schum cv. Napier. Four doses of collagen (4, 8, 16, and 32 t ha-1) and three additional treatments (control; mineral fertilizer N; and wet blue leather residue without Cr extraction) were used. Collagen as alternative nitrogen source has a positive effect on elephantgrass growth at rates up to 16 t ha-1. Little N became available to elephantgrass plants after application of wet blue leather residues. These results show that the phosphoric acid extraction of chromium is necessary if leather waste is to be used as a nitrogen source in agriculture. The application of collagen supplied the N need of elephantgrass plants, similarly to mineral N fertilization.

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