Search | SciELO

Abstract Introduction: Treatment decision in patients with asymptomatic carotid artery stenosis (ACS) is a matter of current debate with a recent shift towards isolated best medical treatment (BMT) as treatment of choice in most patients. However, poor medical compliance is one of the main constraints to the success of BMT. We hypothesized that more invasive treatment approaches can influence how patients perceive the severity of their illness and hence, treatment compliance. Methods: A cross-sectional study was performed including patients with asymptomatic >50% carotid artery stenosis (NASCET method) followed-up as outpatients in a Vascular Surgery department from January 2017 to December 2021. Optimal BMT was defined according to the European Society of Vascular Surgery Carotid Atherosclerotic Disease 2023 guidelines. Demographic and risk factor patient data was attained and subsequently a Portuguese translation of the Morisky medication-taking adherence scale (MMAS-4) questionnaire was given to all patients. Several additional questions developed by our group were also applied. Results: A total of 320 patients were identified (186 under BMT alone and 134 submitted to BMT and carotid endarterectomy - CEA). Most patients were male in both groups (75%) and the mean age was similar. Furthermore, patients undergoing CEA presented higher rates of current smoking (51.4% vs 15.9%; p<0.001) and lower rates of antiplatelet (80.0% vs. 92.8%; p=0.029) and statin (78.6% vs. 94.2%; p=0.007) prescription. Patients in the CEA group also presented with significantly lower medical compliance (40.3% vs. 24.5%, p<0.001) despite being more aware of their current medication´s name and therapeutic purpose. Conclusion: In conclusion, physicians seem to be more aggressive in controlling risk factors in BMT-only patients when compared to CEA-submitted patients. However, patients subjected to CEA may be more aware of ACS, despite having poorer medical adherence.

https://doi.org/10.48750/acv.568

Condições de trabalho e biossegurança dos profissionais de saúde e trabalhadores invisíveis da saúde no contexto da COVID-19 no Brasil
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Machado, Maria Helena

; Coelho, Maria Carlota de Rezende

; Pereira, Everson Justino

; Telles, Alexandre Oliveira

; Soares Neto, Joaquim José

; Ximenes Neto, Francisco Rosemiro Guimarães

; Guimarães-Teixeira, Eleny

; Bembele, João Niquice

; Silva, Luciana Guedes da

; Vargas, Filipe Leonel

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

oct 2023, Volume 28 N. 10 Pages 2809 - 2822

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

Resumo O artigo versa sobre as condições de trabalho na saúde no contexto da pandemia no Brasil. Trata-se de estudo transversal que utilizou dados de recorte das pesquisas “Condições de trabalho dos profissionais de saúde no contexto da Covid-19 no Brasil” e “Os Trabalhadores invisíveis da saúde: condições de trabalho e saúde mental no contexto da Covid-19 no Brasil”, objetivando conhecer as condições de trabalho e a biossegurança desses dois contingentes profissionais distintos e desiguais, socialmente. A análise dos dados comprova que as condições de trabalho foram extremamente afetas em função da infraestrutura inadequada, trabalho extenuante, biossegurança em risco, exaustão, medo da contaminação e da morte, fortes sinais de esgotamento físico e mental entre os trabalhadores. Aponta também para discriminação e desigualdades de direitos sociais e de valorização profissional que demarcam os mundos do trabalho apontados nas pesquisas, enfatizando as profundas desigualdades existentes no Brasil e em suas regiões. Conclui-se mostrando a importância de formulação de políticas públicas no âmbito da gestão do trabalho no SUS que assegurem a proteção, valorização e redução das desigualdades apontadas no artigo.

Abstract The present article addresses the work conditions in health in the context of the COVID-19 pandemic in Brazil. This is a cross-sectional study that used data from the surveys “Working conditions of healthcare professionals in the context of Covid-19 in Brazil” and “Invisible healthcare workers: work conditions and mental health in the context of Covid-19 in Brazil”, seeking to better understand the working conditions and biosafety of these two distinct and socially unequal professional contingents. Data analysis proves that work conditions were extremely affected due to inadequate infrastructures, strenuous work, biosecurity at risk, exhaustion, fear of contamination and death, strong signs of physical and mental exhaustion, among workers. It also points out the discrimination and inequalities of social rights and professional development that mark the worlds of work highlighted in the surveys, emphasizing the profound inequalities that exist in Brazil and in its regions. It concludes by showing the importance of formulating public policies within the scope of work management in SUS, which ensures the protection, appreciation and reduction of inequalities pointed out in this article.

https://doi.org/10.1590/1413-812320232810.10072023

Transformações no mundo do trabalho em saúde: os(as) trabalhadores(as) e desafios futuros
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Machado, Maria Helena

; Campos, Francisco

; Haddad, Ana Estela

; Santos Neto, Pedro Miguel dos

; Machado, Antônio Vieira

; Santana, Vanessa Gabrielle Diniz

; Marengue, Helena da Conceição Ouana

; Santos, Renato Penha de Oliveira

; Mauaie, Clara Cacilda

; Freire, Neyson Pinheiro

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

oct 2023, Volume 28 N. 10 Pages 2773 - 2784

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

Resumo O artigo versa sobre o mundo do trabalho da saúde, especialmente no SUS no contexto da pandemia no Brasil. O artigo utilizou dados das pesquisas “Condições de trabalho dos profissionais de saúde no contexto da COVID-19 no Brasil” e “Os trabalhadores invisíveis da saúde: condições de trabalho e saúde mental no contexto da COVID-19 no Brasil”. A análise dos dados comprova que a pandemia evidenciou problemas estruturais existentes no âmbito do Sistema Único de Saúde, envolvendo a gestão da FTS o que pode ser interpretado como mais um dos reflexos das desigualdades socioeconômicas já existentes no país. Destacam-se: a reduzida oferta de educação permanente, a regulação do cuidado híbrido, precarização, desproteção no ambiente de trabalho, frágil biossegurança levando a trágicas taxas de adoecimento e mortes de trabalhadores da saúde. Conclui mostrando a importância de formulação de políticas públicas no âmbito da gestão da educação e do trabalho no SUS que assegurem a discussão sobre cuidado híbrido como nova forma de atuar sem perder qualidade, a necessidade de se rever questões referentes a: educação permanente, proteção, valorização e redução das desigualdades apontadas entre os contingentes profissionais analisados nesse artigo.

Abstract This article addresses the world of healthcare work, especially in the Brazilian Unified Healthcare System (SUS) in the context of the COVID-19 pandemic in Brazil. This study used data from the following surveys: “Working conditions of health professionals in the context of COVID-19 in Brazil” and “The Invisible health workers: working conditions and mental health in the context of COVID-19 in Brazil”. Data analysis proves that the pandemic highlighted existing structural problems within SUS, involving the issue of healthcare workforce (HWF) management, which can be interpreted as another reflection of the socioeconomic inequalities that already exist in the country. This article highlights: the reduced provision of permanent education, the regulation of hybrid care, precariousness, a lack of protection in the work environment, as well as fragile biosecurity leading to tragic rates of illness and death of health workers. Our study concludes by showing the importance of formulating public policies in the scope of education and work management in SUS that ensure the discussion on hybrid care as a new way of acting without losing quality, together with the need to review issues related to permanent education, protection, valuation, and reduction of inequalities pointed out among the professional contingents analyzed in this article.

https://doi.org/10.1590/1413-812320232810.10702023

Long-term oncological and surgical outcomes after Video Endoscopic Inguinal Lymphadenectomy (VEIL) in patients with penile cancer
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Tobias-Machado, Marcos

; Ornellas, Antonio A.

; Hidaka, Alexandre K.

; Medina, Luis G.

; Mattos, Pablo A. L.

; Besio, Ruben S.

; Abreu, Diego

; Castro, Pedro R.

; Nishimoto, Ricardo H.

; Astigueta, Juan

; Dourado, Aurus

; Machado, Roberto D.

; Magnabosco, Wesley J.

; Corona-Montes, Victor

; Villoldo, Gustavo M.

; Zampolli, Hamilton C.

; Taha, Anis

; Auad, Pericles R.

; Faria, Eliney F.

; Arantes, Paulo B. O.

; Tavares, Alessandro

; Nascimento, Francisco S. M. S.

; Brazão Jr., Eder S.

; Rocha, Maurício M.

; Costa, Walter H.

; Panico, Vinicius

; Reis, Leonardo O.

; Almeida-Carrera, Roberto J.

; Silva, Rafael C.

; Zequi, Stênio C.

; Calixto, José R. R.

; Sotelo, Rene

International braz j urol

Journal Metrics
- Sobre o periódico
- SciELO Analytics

oct 2023, Volume 49 N. 5 Pages 580 - 589

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To report outcomes from the largest multicenter series of penile cancer patients undergoing video endoscopic inguinal lymphadenectomy (VEIL). Materials and Methods: Retrospective multicenter analysis. Authors of 21 centers from the Penile Cancer Collaborative Coalition-Latin America (PeC-LA) were included. All centers performed the procedure following the same previously described standardized technique. Inclusion criteria included penile cancer patients with no palpable lymph nodes and intermediate/high-risk disease and those with non-fixed palpable lymph nodes less than 4 cm in diameter. Categorical variables are shown as percentages and frequencies whereas continuous variables as mean and range. Results: From 2006 to 2020, 210 VEIL procedures were performed in 105 patients. Mean age was 58 (45-68) years old. Mean operative time was 90 minutes (60-120). Mean lymph node yield was 10 nodes (6-16). Complication rate was 15.7%, including severe complications in 1.9% of procedures. Lymphatic and skin complications were noted in 8.6 and 4.8% of patients, respectively. Histopathological analysis revealed lymph node involvement in 26.7% of patients with non-palpable nodes. Inguinal recurrence was observed in 2.8% of patients. 10y- overall survival was 74.2% and 10-y cancer specific survival was 84.8%. CSS for pN0, pN1, pN2 and pN3 were 100%, 82.4%, 72.7% and 9.1%, respectively. Conclusion: VEIL seems to offer appropriate long term oncological control with minimal morbidity. In the absence of non-invasive stratification measures such as dynamic sentinel node biopsy, VEIL emerged as the alternative for the management of non-bulky lymph nodes in penile cancer.

https://doi.org/10.1590/s1677-5538.ibju.2023.0065

Transformações no mundo do trabalho em saúde: os(as) trabalhadores(as) e desafios futuros
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Machado, Maria Helena

; Campos, Francisco

; Haddad, Ana Estela

; Santos Neto, Pedro Miguel dos

; Machado, Antônio Vieira

; Santana, Vanessa Gabrielle Diniz

; Marengue, Helena da Conceição Ouana

; Santos, Renato Penha de Oliveira

; Mauaie, Clara Cacilda

; Freire, Neyson Pinheiro

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

oct 2023, Volume 28 N. 10 Pages 2773 - 2784

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

https://doi.org/10.1590/1413-812320232810.10702023

Condições de trabalho e biossegurança dos profissionais de saúde e trabalhadores invisíveis da saúde no contexto da COVID-19 no Brasil
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Machado, Maria Helena

; Coelho, Maria Carlota de Rezende

; Pereira, Everson Justino

; Telles, Alexandre Oliveira

; Soares Neto, Joaquim José

; Ximenes Neto, Francisco Rosemiro Guimarães

; Guimarães-Teixeira, Eleny

; Bembele, João Niquice

; Silva, Luciana Guedes da

; Vargas, Filipe Leonel

Ciência & Saúde Coletiva

Journal Metrics
- Sobre o periódico
- SciELO Analytics

oct 2023, Volume 28 N. 10 Pages 2809 - 2822

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

https://doi.org/10.1590/1413-812320232810.10072023

Surgical thrombectomy after large vessel ischaemic stroke - a case report
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Peixoto, João

; Brandão, Pedro

; Coelho, Andreia

; Fernandes, Luís

; Machado, Marta

; Basílio, Francisco

; Canedo, Alexandra

Angiologia e Cirurgia Vascular

Journal Metrics
- Sobre o periódico
- SciELO Analytics

sep 2023, Volume 19 N. 3 Pages 198 - 200

Abstract: En | Text: En | PDF: En

Abstract Background: Endovascular mechanical thrombectomy (MT) changed acute ischaemic stroke management and is considered the standard of care for patients with proximal anterior circulation occlusion. MT improves functional independence, without an increase in mortality. Despite its advantages, up to 20% of patients treated with MT do not have successful recanalization, leading to poor clinical outcome. We present a case of an acute ischaemic stroke of the anterior circulation due to occlusion of the common carotid artery successfully submitted to surgical thrombectomy after failed MT. Case report: A 43-year-old male, with prior history of diabetes, hypertension, dyslipidaemia and heart failure was admitted at the emergency unit with acute bilateral lower limb ischaemia, due to cardioembolic phenomena. He was submitted to bilateral femoral thrombectomy and started endovenous unfractionated heparin. On the fifth postoperative day he developed sudden depression of cognitive status and left side hemiplegia of brachial predominance. Computed tomography angiography revealed an occlusion of brachiocephalic trunk, right subclavian artery and common carotid artery, preserving its branches. MT, performed by interventional neuroradiology, was unsuccessful (no recanalization or clinical improvement). After multidisciplinary discussion, the patient underwent urgent surgical thrombectomy through carotid and transaxillary approaches. Postoperatively, the patient’s mental status and left sided motor function recovered progressively over time. Three months after, patient maintains anticoagulation with warfarin, without neurological sequalae. Conclusion: The low rate of recanalization and poor clinical outcome after MT failure underlines the need for alternative rescue approaches. Surgical thrombectomy could represent a lifeline. More studies are needed to corroborate its efficacy in patients with anterior circulation acute ischaemic stroke.

https://doi.org/10.48750/acv.541

Doença Quística Adventicial Venosa - O Que Sabemos?
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Peixoto, João

; Brandão, Pedro

; Castro-Ferreira, Ricardo

; Semião, Carolina

; Fernandes, Luís

; Machado, Marta

; Basílio, Francisco

; Canedo, Alexandra

Angiologia e Cirurgia Vascular

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2023, Volume 19 N. 2 Pages 35 - 38

Abstract: Pt | Text: Pt | PDF: Pt

Resumo A doença quística adventicial é uma patologia que afeta principalmente o leito arterial, porém, em raros casos pode envolver o sistema venoso. O objetivo desta revisão foi padronizar a marcha diagnóstica, tratamento e vigilância de doentes com suspeita de doença quística adventicial venosa. Para cumprir os objetivos supracitados, uma revisão narrativa sumarizando os principais achados da literatura usando as bases de dados PUBMED e EMBASE foi feita. Um total de 33 artigos foram selecionados traduzindo-se num total de 41 casos de vACD. Após analise dos dados, foi possível concluir que o vaso mais frequentemente atingido é a veia femoral comum, e a maior parte dos doentes refere edema unilateral de membro com tempo de evolução variável. Quando perante um doente com edema unilateral de membro, em que a TVP foi excluída, é necessário proceder a outros meios complementares de diagnóstico de forma a confirmar, ou excluir, a vACD.

https://doi.org/10.48750/acv.511

Doença Quística Adventicial Venosa - O Que Sabemos?
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Peixoto, João

; Brandão, Pedro

; Castro-Ferreira, Ricardo

; Semião, Carolina

; Fernandes, Luís

; Machado, Marta

; Basílio, Francisco

; Canedo, Alexandra

Angiologia e Cirurgia Vascular

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2023, Volume 19 N. 2 Pages 87 - 90

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.48750/acv.511

10.

Brazilian consensus for diagnosis, management and treatment of hereditary transthyretin amyloidosis with peripheral neuropathy: second edition
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Pinto, Marcus Vinicius

; França Jr, Marcondes Cavalcante

; Gonçalves, Marcus Vinicius Magno

; Machado-Costa, Marcela Câmara

; Freitas, Marcos Raimundo Gomes de

; Gondim, Francisco de Assis Aquino

; Marrone, Carlo Domenico

; Martinez, Alberto Rolim Muro

; Moreira, Carolina Lavigne

; Nascimento, Osvaldo J. M.

; Covaleski, Anna Paula Paranhos

; Oliveira, Acary Souza Bulle de

; Pupe, Camila Castelo Branco

; Rodrigues, Marcia Maria Jardim

; Rotta, Francisco Tellechea

; Scola, Rosana Herminia

; Marques Jr, Wilson

; Waddington-Cruz, Márcia

Arquivos de Neuro-Psiquiatria

Journal Metrics
- Sobre o periódico
- SciELO Analytics

mar 2023, Volume 81 N. 3 Pages 308 - 321

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

Abstract Hereditary transthyretin amyloidosis with peripheral neuropathy (ATTRv-PN) is an autosomal dominant inherited sensorimotor and autonomic polyneuropathy with over 130 pathogenic variants identified in the TTR gene. Hereditary transthyretin amyloidosis with peripheral neuropathy is a disabling, progressive and life-threatening genetic condition that leads to death in ~ 10 years if untreated. The prospects for ATTRv-PN have changed in the last decades, as it has become a treatable neuropathy. In addition to liver transplantation, initiated in 1990, there are now at least 3 drugs approved in many countries, including Brazil, and many more are being developed. The first Brazilian consensus on ATTRv-PN was held in the city of Fortaleza, Brazil, in June 2017. Given the new advances in the area over the last 5 years, the Peripheral Neuropathy Scientific Department of the Brazilian Academy of Neurology organized a second edition of the consensus. Each panelist was responsible for reviewing the literature and updating a section of the previous paper. Thereafter, the 18 panelists got together virtually after careful review of the draft, discussed each section of the text, and reached a consensus for the final version of the manuscript.

Resumo Polineuropatia amiloidótica familiar associada a transtirretina (ATTRv-PN) é uma polineuropatia sensitivo-motora e autonômica hereditária autossômica dominante com mais de 130 variantes patogênicas já identificadas no gene TTR. A ATTRv-PN é uma condição genética debilitante, progressiva e que ameaça a vida, levando à morte em ~ 10 anos se não for tratada. Nas últimas décadas, a ATTRv-PN se tornou uma neuropatia tratável. Além do transplante de fígado, iniciado em 1990, temos agora 3 medicamentos modificadores de doença aprovados em muitos países, incluindo o Brasil, e muitas outras medicações estão em desenvolvimento. O primeiro consenso brasileiro em ATTRv-PN foi realizado em Fortaleza em junho de 2017. Devido aos novos avanços nesta área nos últimos 5 anos, o Departamento Científico de Neuropatias Periféricas da Academia Brasileira de Neurologia organizou uma segunda edição do consenso. Cada panelista ficou responsável por rever a literatura e atualizar uma parte do manuscrito. Finalmente, os 18 panelistas se reuniram virtualmente após revisão da primeira versão, discutiram cada parte do artigo e chegaram a um consenso sobre a versão final do manuscrito.

https://doi.org/10.1055/s-0043-1764412

11.

PERORAL ENDOSCOPIC MYOTOMY FOR ACHALASIA: SAFETY PROFILE, COMPLICATIONS AND RESULTS OF 94 PATIENTS
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

PRADO JUNIOR, Francisco Paulo Ponte

; MACHADO, Ivens Filizola Soares

; PRADO, Maria Paula Lopes Ponte

; LEITE, Renato Bruno Cavalcante

; GURGEL, Samuel Magalhães

; GOMES, José Walter Feitosa

; GARCIA, José Huygens Parente

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 36 elocation e1784

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

ABSTRACT BACKGROUND: Achalasia is an esophageal motility disorder, with clinical presentation of dysphagia and regurgitation. This is a chronic condition with no cure. Current treatment options aim to reduce lower esophageal sphincter tone by pharmacological, endoscopic or surgical means, with the aim of improving patients’ symptoms. Peroral endoscopic myotomy (POEM) is an alternative endoscopic surgery to Heller cardiomyotomy, in which the procedure is performed orally, by endoscopy, offering efficacy comparable to surgical myotomy, with relative ease and minimal invasion, without external incisions. AIMS: To study the safety of POEM by analyzing its results, adverse events and perioperative complications and the main ways to overcome them, in addition to evaluating the effectiveness of the procedure and the short-term postoperative quality of life. METHODS: A qualitative and quantitative, observational and cross-sectional study that analyzed patients who underwent the POEM in a reference center, from December 2016 to December 2022, maintaining the technical standard of pre-, peri- and postoperative protocol. RESULTS: A total of 94 patients were included in the study, and only three had postoperative complications. The average early postoperative Eckardt score was 0.93 and the late 1.40, with a mean improvement of 7.1 in early results and 6.63 in late results (p<0.05). CONCLUSIONS: POEM can be reproduced with an excellent safety profile, significant relief of symptoms and improvement in esophageal emptying, and in quality of life.

RESUMO RACIONAL: A acalasia é uma desordem da motilidade esofágica, com apresentação clínica de disfagia e regurgitação, uma condição crônica sem cura. As opções de tratamentos atuais visam reduzir o tônus do esfíncter esofagiano inferior (EEI) por meios farmacológicos, endoscópicos ou cirúrgicos, com o objetivo de aliviar os sintomas dos pacientes. A miotomia endoscópica peroral, sigla do inglês (POEM) é uma cirurgia endoscópica alternativa à cardiomiotomia a Heller (CH), em que a miotomia é realizada por via oral, por endoscopia, oferecendo eficácia comparável a miotomia cirúrgica, com relativa facilidade e mínima invasão, sem incisões externas. OBJETIVOS: Analisar a segurança do POEM analisando seus resultados, eventos adversos, complicações perioperatórias e suas principais formas de contorná-los, além de avaliar a eficácia do procedimento e a qualidade de vida pós-operatória, em curto prazo. MÉTODOS: Estudo qualitativo e quantitativo, observacional e transversal avaliando pacientes que realizaram o POEM em um centro de referência, entre dezembro de 2016 até dezembro de 2022, mantendo padrão técnico de preparo pré, peri e pós-operatório. RESULTADOS: Foram incluídos no estudo 94 pacientes e apenas 3 apresentaram complicações pós-operátorias. O escore de Eckardt médio precoce pós-operatório foi de 0,93 e o tardio de 1,40, com melhora média de 7,1 em resultados precoces e de 6,63 em resultados tardios (p<0,05). CONCLUSÕES: O POEM pode ser reproduzido com excelente perfil de segurança, alívio significativo dos sintomas e melhora do esvaziamento do esôfago, oferecendo melhora na qualidade de vida.

https://doi.org/10.1590/0102-672020230066e1784

12.

CA 15-3, CRP, and LDH correlates with prognostic parameters in canine mammary neoplasms
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Pinheiro, Breno Queiroz

; Magalhães, Francisco Felipe de

; Alves, Francisco Wesley da Silva

; Silva, Isaac Neto Goes

; Faustino, Augusto Manuel Rodrigues

; Silva, Lúcia Daniel Machado da

Animal Reproduction

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 20 N. 1 elocation e20220086

Abstract: En | Text: En | PDF: En

Abstract The identification of putative prognostic factors in canine mammary neoplasms (CMNs) has been focused on tissue-specific biomarkers, but the serum biomarkers, including cancer antigen 15-3 (CA 15-3), c-reactive protein (CRP), and lactate dehydrogenase (LDH) have been demonstrated to display clinical application in cases of CMNs. The aim of the study was to evaluate the levels of these serum biomarkers and their association with well-established prognostic factors in CMNs. Samples from 15 female canines with CMNs and 15 clinically healthy ones were collected. The results were evaluated using the Tukey’s, Pearson, or Spearman tests. The cut-off point, sensitivity, specificity, and area under curve (AUC) were evaluated using the receiver operating characteristic (ROC) curve analysis in a logistic regression model (P<0.05). The levels of CA 15-3, CRP and LDH were significantly higher in the serum of female dogs with CMNs compared to the healthy ones. Moreover, these factors were positively correlated with ulceration, tumor size, histopathological grade, metastatic lymph node, and clinical staging. Female dogs with CMNs were found to exhibit highest serum levels of CA 15-3, CRP, and LDH. Therefore, they can be applied to improve the efficacy of the diagnosis and prognostic evaluation in casas of CMNs.

https://doi.org/10.1590/1984-3143-ar2022-0086

13.

Ichthyofauna on the move: fish colonization and spread through the São Francisco Interbasin Water Transfer Project
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Silva, Augusto Luís Bentinho

; Galvão, Giancarlo Arraes

; Rocha, Aline Alves Ferreira da

; Gutierre, Silvia Maria Millan

; Santos, Geiza Rodrigues dos

; Costa, Bruno Dourado Fernandes da

; Pereira, Luiz Cezar Machado

; Nicola, Patricia Avello

Neotropical Ichthyology

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 21 N. 1 elocation e220016

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

Abstract Projects on river basin integration are keen social-economical drivers in dry regions like the Brazilian semiarid, however, there are concerning ecological impacts implied in those projects. In a long-term analysis, ichthyofauna colonization and spread through the East Axis of the São Francisco River Integration Project (SFIP) was monitored to assess possible impacts on the receiving Paraíba River basin. The fish were collected semiannually (2012 to 2021) from 19 sites in the São Francisco (SF) and Paraíba (PB) basins. A total of 69 fish species were recorded, with distinct fish assemblages between SF (n = 50), PB (n = 35), and the SFIP artificial reservoirs (n = 25). The SFIP reservoirs were colonized by species from the donor basin (SF). In a pioneer finding, Anchoviella vaillanti was recorded for the first time in the receiving basin and it is in the process of establishment. The two SF species that reached PB through the SFIP canals (A. vaillanti and Moenkhausia costae) may be using their year-round reproduction and wide diet to successful spread and colonize the new environment. Since we detected species with potential to reach the receiving basin and became invasives, the implementation of barriers to contain their spread are recommended.

Resumo Projetos de integração de bacias hidrográficas são socialmente importantes em regiões como o semiárido brasileiro, porém há impactos ecológicos preocupantes implícitos nesses grandes projetos de infraestrutura. A colonização e dispersão da ictiofauna pelo Eixo Leste do Projeto de Integração do Rio São Francisco (PISF) foi monitorada para avaliar possíveis impactos na bacia receptora do rio Paraíba do Norte. Os peixes foram coletados semestralmente (2012 a 2021) em 19 locais das bacias do São Francisco (SF) e Paraíba (PB). Foram registradas 69 espécies de peixes, sendo 50 nos pontos do SF, 25 nos reservatórios artificiais ao longo do PISF e 35 nos pontos do PB. As assembleias de peixes das bacias do SF, PB e dos reservatórios do PISF foram significativamente distintas. Os reservatórios do PISF foram colonizados por espécies provenientes da bacia doadora (SF). Anchoviella vaillanti foi registrada pela primeira vez na bacia receptora do PB e está em processo de estabelecimento. As duas espécies do SF que chegaram ao PB pelos canais do PISF (A. vaillanti e Moenkhausia costae) apresentaram dieta e estratégias reprodutivas que permitem o sucesso na disseminação e colonização. Uma vez que foram detectadas espécies com potencial de atingir a bacia receptora, recomenda-se o monitoramento e manejo contínuos.

https://doi.org/10.1590/1982-0224-2022-0016

14.

Um Tributo ao Patriarcado
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Silva, Janaína Lima Penalva da

; Tavares, Francisco Mata Machado

; Okado, Lucas Toshiaki Archangelo

Revista Estudos Feministas

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 31 N. 1 elocation e82480

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

Abstract: Departing from a dialogue between critical tax theory and the new fiscal sociology, this article finds a peculiar kind of gender-based discrimination, which takes place in Brazilian tax legislation. The interpretation of data concerning Brazilian income tax on alimony, under the light of the norms about tax imposition or exoneration related to the matter - which seems to compromise even the permanent austerity agenda that defines the country´s fiscal regime - suggests that the State could be renouncing to revenues in order to achieve the single effect of submitting women to a higher burden when compared to man, and to foster a familiar arrangement in which men should be divorced and exempted of their offspring´s caring duties, while women that are mothers of children or teenagers should be married to their fathers.

Resumen: A partir de un diálogo entre la teoría crítica de la tributación y la crítica feminista del derecho, este artículo identifica un tipo peculiar de discriminación de género que se da en la legislación tributaria brasileña. La interpretación de los datos sobre el impuesto sobre la renta que grava la pensión alimenticia en Brasil, en comparación con las reglas de tributación y exención tributaria relacionadas con el tema, sugiere la plausibilidad de la hipótesis de que el Estado renuncia a la recaudación de ingresos, comprometiendo incluso la agenda de austeridad permanente que define el régimen tributario del país, con el único efecto de imponer a las mujeres el deber de pagar más impuestos que los hombres y promover un arreglo familiar en el que las madres de niños y adolescentes estén casadas con sus padres, mientras que los padres reciben incentivos para divorciarse y ser relevados del cuidado de sus hijos.

Resumo: A partir de um diálogo entre a teoria crítica da tributação e a nova sociologia fiscal, neste artigo, identifica-se um tipo peculiar de discriminação de gênero que tem lugar na legislação tributária brasileira. A interpretação de dados sobre o imposto de renda incidente em pensões alimentícias no Brasil, em cotejo com as normas de imposição e exoneração fiscal referentes ao tema, sugere a plausibilidade da hipótese de que o Estado renuncia à arrecadação de receitas, comprometendo até mesmo a agenda de austeridade permanente que define o regime fiscal do país, com o único efeito de impor às mulheres o dever de pagar mais impostos do que homens e de promover um arranjo familiar em que é vantajoso economicamente para o homem divorciar-se e eximir-se ou reduzir o cuidado diário com os filhos, enquanto se estimula fiscalmente a manutenção das mulheres em união matrimonial com os pais de suas filhas e filhos.

https://doi.org/10.1590/1806-9584-2023v31n182480

15.

Posicionamento Brasileiro sobre Síndrome da Quilomicronemia Familiar – 2023
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Izar, Maria Cristina de Oliveira

; Santos Filho, Raul Dias dos

; Assad, Marcelo Heitor Vieira

; Chagas, Antonio Carlos Palandri

; Toledo Júnior, Alceu de Oliveira

; Nogueira, Ana Cláudia Cavalcante

; Souto, Ana Cristina Carneiro Fernandes

; Lottenberg, Ana Maria

; Chacra, Ana Paula Marte

; Ferreira, Carlos Eduardo dos Santos

; Lourenço, Charles Marques

; Valerio, Cynthia Melissa

; Cintra, Dennys Esper

; Fonseca, Francisco Antonio Helfenstein

; Campana, Gustavo Aguiar

; Bianco, Henrique Tria

; Lima, Josivan Gomes de

; Castelo, Maria Helane Costa Gurgel

; Scartezini, Marileia

; Moretti, Miguel Antonio

; Barreto, Natasha Slhessarenko Fraife

; Maia, Rayana Elias

; Montenegro Junior, Renan Magalhães

; Alves, Renato Jorge

; Figueiredo, Roberta Marcondes Machado

; Fock, Rodrigo Ambrosio

; Martinez, Tânia Leme da Rocha

; Giraldez, Viviane Zorzanelli Rocha

Arquivos Brasileiros de Cardiologia

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 120 N. 4 elocation e20230203

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

https://doi.org/10.36660/abc.20230203

Showing

itens per page

Page of 45 Next

Select one or more results

All Alphabetic

Results

Comparative chart Download CSV

Statistics of

Send result

To*

Use ; (semicolon) to insert more emails.

Send to email

This page

Selected records

All references (max. 300)

Your email

Subject

Comments

Export format:

RIS (for EndNote, ProCite, Reference Manager, RefWorks, Citavi, etc.)

BibTeX

Citation

CSV (for Excel, etc)

Export:

This page

Selected itens

All references (max. 2000)

Sem resultados

No documents were found for your search

Glossary and search help

You can enrich your search in a very simple way. Use the search indexes combined with the connectors (AND or OR) and specify more your search.

For example, if you want to search for articles about
cases of dengue in Brasil in 2015, use:
ti:dengue and publication_year:2015 and aff_country:Brasil

See below the complete list of search indexes that can be used:

Index code	Element
ti	article title
au	author
kw	article keywords
subject	subject (title words, abstract and keywords)
ab	abstract
ta	journal short title (e.g. Cad. Saúde Pública)
journal_title	journal full title (e.g. Cadernos de Saúde Pública)
la	publication language code (e.g. pt - Portuguese, es - Spanish)
type	document type
pid	publication identifier
publication_year	publication year of publication
sponsor	sponsor
aff_country	country code of the author's affiliation
aff_institution	author affiliation institution
volume	article volume
issue	article issue
elocation	elocation
doi	DOI number
issn	journal ISSN
in	SciELO colection code (e.g. scl - Brasil, col - Colômbia)
use_license	article usage license code

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
Email: scielo@scielo.org

All the contents of this site www.scielo.br, except where otherwise noted, is licensed under a Creative Commons Attribution License.
more »