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1.
Comunidades de pertencimento, desinformação e antagonismo: processos interacionais em grupos antivacina no Telegram no Brasil
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Maia, Lídia Raquel Herculano
; Massarani, Luisa
; Santos Júnior, Marcelo Alves dos
; Oliveira, Thaiane
.




Abstract In this article, we analyze the interactional processes in anti-vaccine groups on Telegram in Brazil. Using descriptors associated with the vaccine topic and vaccine criticism, we identified seven groups that addressed the vaccine issue from January to March 2021, the first months of vaccination against Covid-19 in Brazil. Using the Grounded Theory method, we conducted a qualitative analysis of the conversations held in the studied groups. The results show that these interactions are centered around three main axes that reveal: 1) the formation of a sense of community, involving processes of mutual aid, recognition of peers, deliberations about the group and the anti-vaccine network, testimonials, and emotional support; 2) the process of elaborating an identity marked out by difference in relation to alterity; 3) the management of hesitancy and dissent processes, which can result in group ruptures. The understanding of these processes, from the perspective of the Brazilian context, aims to contribute to the development of strategies to combat misinformation regarding health and vaccines.
Resumo Neste artigo, analisamos os processos interacionais presentes em grupos antivacina no Telegram no Brasil. Usando descritores associados ao tema da vacina e à contestação vacinal, identificamos sete grupos que abordaram a questão vacinal de janeiro a março de 2021, período que corresponde aos primeiros meses da vacinação contra a Covid-19 no Brasil. Utilizando o método da Teoria Fundamentada, realizamos uma análise qualitativa das conversas tecidas nos grupos estudados. Os resultados mostram que essas interações estão centradas em três eixos principais que revelam: 1) a formação de um senso de comunidade, envolvendo processos de ajuda mútua, reconhecimento de pares, deliberações sobre o grupo e a rede antivacina, testemunhais e suporte afetivo; 2) o processo de elaboração de uma identidade marcada pela diferença em relação à alteridade; e 3) o gerenciamento de processos de hesitação e dissenso, que podem resultar em rupturas no grupo. A compreensão desses processos, a partir do contexto brasileiro, visa contribuir com o desenvolvimento de estratégias de enfrentamento da desinformação quanto à saúde e vacinas.
2.
Comparative finite element analyses of stress exerted on the dentin by intraradicular posts
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Dettogne, Erica Feleti Lorençon
; Toubes, Kênia Maria Pereira Soares de
; Morgan, Luis Fernando dos Santos Alves
; Seraidarian, Paulo Isaías
; Maia, Lucas Moreira
; Silveira, Frank Ferreira
.






Resumo Objetivo: a quantidade de dentina remanescente e a posição do dente na arcada dentária são cruciais para determinar se um pino intrarradicular deve ser utilizado. O objetivo deste estudo foi comparar a distribuição de tensões na dentina radicular de um dente tratado endodonticamente reabilitado com pino de fibra de vidro fresado CAD/CAM (MP), pino de metal fundido (CMP) ou pino pré-fabricado (PP) com ou sem suporte de férula, por meio do método dos elementos finitos. Materiais e métodos: um incisivo central superior humano foi selecionado, escaneado e tratado endodonticamente. O canal foi então preparado para colocação de pinos e digitalizado novamente para a fabricação de pinos digitais. As geometrias dos MP e CMP foram baseadas nas medidas feitas pelo escaneamento digital do canal radicular, enquanto a geometria dos PP foi determinada por desenhos técnicos fornecidos pelo fabricante, levando em consideração o preparo do espaço do pino para o cimento. Foram estabelecidos seis modelos digitais: MP1 com suporte de férula, MP2 sem suporte de férula; CMP1 com suporte de férula, CMP2 sem suporte de férula; PP1 com suporte de férula e PP2 sem suporte de férula. A simulação foi realizada pelo método dos elementos finitos. Resultados: As forças oblíquas foram identificadas como mais relevantes para o elemento metálico em comparação com as forças verticais. A presença de férula foi considerada fator de proteção para a estrutura dentária remanescente. Quando a férula estava ausente, as tensões foram distribuídas de maneira mais uniforme em MP em comparação com CMP e PP. Pinos com maior módulo de elasticidade foram associados a tensões maiores e desiguais na dentina radicular, o que poderia predispor o dente a fraturas. Conclusões: quanto ao conjunto de restauração como um todo, pode-se concluir que a distribuição de tensões na dentina radicular foi distribuída de maneira mais uniforme no pino fresado do que nos outros pinos quando a férula estava totalmente ausente, e as forças oblíquas foram mais prejudiciais a estrutura dentária do que as forças verticais e que a presença da férula foi um fator de proteção para a estrutura dentária remanescente.
Abstract The amount of residual dentin thickness and tooth position in the dental arch is crucial to determine whether an intraradicular post should be used. This study aimed to compare stress distribution on the root dentin of an endodontically treated tooth rehabilitated with CAD/CAM milled glass fiber posts (MP), cast metal posts (CMP), or prefabricated posts (PP) with or without ferrule support, using the finite element method. Materials and methods: A human upper central incisor was selected, scanned, and treated endodontically. The canal was then prepared for post-placement and scanned again for the fabrication of digital posts. The geometries of MP and CMP were based on the measurements made by digital scanning of the root canal. In contrast, the geometry of PP was determined by technical drawings provided by the manufacturer, taking into account the post-space preparation and the cement. Six digital models were established: MP1 with ferrule support, MP2 without ferrule support; CMP1 with ferrule support, CMP2 without ferrule support; PP1 with ferrule support, and PP2 without ferrule support. The simulation was performed using the finite element method. Results: Oblique forces were identified as more relevant to the metallic element compared to vertical forces. The presence of a ferrule was considered a protective factor for the remaining tooth structure. When the ferrule was absent, stresses were more evenly distributed in MP compared to CMP and PP. Posts with a higher modulus of elasticity were associated with higher and unequal stresses in the root dentin, which could predispose the tooth to fractures. Conclusions: As for the restoration set as a whole, it can be concluded that stress distribution on the root dentin was more evenly distributed on the milled post than on the other posts when a ferrule was absent, and the oblique forces were more detrimental to the tooth structure than vertical forces and that ferrule support was a protective factor for the remaining tooth structure. Clinical significance: The results of the study provide valuable information on how different types of intraradicular posts and the presence of a ferrule affect the stress distribution in dentin. In the absence of a ferrule, milled and customized computer-aided design/computer-aided manufacturing (CAD/CAM) glass fiber posts can exhibit better fracture resistance and adhesion strength than prefabricated fiberglass posts and metal posts.
3.
Vertical transmission of HIV to neonates in a reference hospital in Northeastern Brazil from 2013 to 2017 201 20 2
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Figueredo, Vaneça Santos Leal
; Monteiro, Denise Leite Maia
Batista, Rosângela Fernandes Lucena
Gama, Mônica Elinor Alves
Campos, Aline Santos Furtado
Pinto, Adna Gesarone Carvalho Ferreira

Revista do Instituto de Medicina Tropical de São Paulo
- Journal Metrics
ABSTRACT The aim of this study was to estimate the rate of Mother-to-child Transmission (MTCT) of HIV to neonates in a reference university hospital in Sao Luis city, the capital of Maranhao State (MA), evaluating MTCT-associated factors. A retrospective cohort study based on data from the Notifiable Diseases Data System (SINAN) was carried out and included all HIV-exposed neonates notified from 2013 to 2017 by the university hospital. The study population comprised 725 HIV-exposed neonates, of whom 672 neonates were exposed and uninfected, and 53 were exposed and infected. The estimated rate of MTCT in the period of 2013 to 2017 was 7.3%. Most pregnant women were ≥ 20 years old (86.9%), reported ≥ 8 years of schooling (53.2%), reported full-time or independent paid work (46.9%) and were residents in other cities of the state (61.7%). Regarding healthcare, 86.3% received prenatal care, 74.6% received Antiretroviral Therapy (ART) as prophylaxis during pregnancy, 81.8% received ART prophylaxis during childbirth and 78.1% underwent cesarean section. Among the neonates, 92.8% received ART prophylaxis and 94.3% were not breastfed. Despite these variables, the 7.3% MTCT rate found in this study makes it clear that the interventions recommended by the Ministry of Health were not fully adopted. Mothertochild Mother child (MTCT city MA, MA , (MA) MTCTassociated associated factors SINAN (SINAN HIVexposed 201 72 67 uninfected 5 infected 73 7 3 2 86.9%, 869 86.9% 86 9 (86.9%) 53.2%, 532 53.2% (53.2%) fulltime full time 46.9% 469 46 (46.9% 61.7%. 617 61.7% . 61 (61.7%) healthcare 863 86.3 care 746 74 6 74.6 (ART pregnancy 818 81 81.8 781 78 1 78.1 section 928 92 92.8 943 94 94.3 breastfed variables 7.3 adopted (MA 86.9 (86.9% 53.2 (53.2% 46.9 4 (46.9 61.7 (61.7% 86. 74. 81. 78. 92. 94. 7. (86.9 53. (53.2 46. (46. 61. (61.7 (86. (53. (46 (61. (86 (53 (4 (61 (8 (5 ( (6
4.
The Challenges of Implementing a Text Message Intervention to Promote Behavioral Change in Primary Care Patients With Hypertension and Diabetes
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Oliveira, João Antonio de Queiroz
; Cimini, Christiane
; Almeida, Vania
; Maia, Junia Xavier
; Resende, Raissa Eda
; Gualberto, Leticia Alves
; Santos, Pedro Henrique Lauar
; Gomes, Paulo R.
; Bonisson, Leonardo
; Paixão, Maria Cristina
; Costa, Janaina Moutinho
; Cardoso, Clareci Silva
; Santo, Karla
; Ribeiro, Antonio
; Martins, Maria Auxiliadora
; Marcolino, Milena S.
.
















International Journal of Cardiovascular Sciences
- Journal Metrics
Abstract Background Controlling blood pressure and glycemic levels is a challenge that requires innovative solutions. Objective To assess the feasibility of implementing a text message intervention among low-income primary care patients, as well as to assess self-reported behavioral change. Methods A set of 200 text messages was developed on healthy eating, physical activity, adherence, and motivation. Participants from Vale do Mucuri, MG, Brazil diagnosed with diabetes or hypertension or undergoing screening for those diseases, received 5 to 8 messages per week for 6 months. They answered a questionnaire to report their satisfaction and behavioral changes. Results Of the 136 patients, 117 (86.0%) answered the questionnaire. Most reported that the messages were very useful (86.3%), easy to understand (90.6%), and were very helpful for behavioral change (65.0%); 84.6% reported that they had started eating healthier. The most frequent reported lifestyle changes were: improved diet quality (85.5%), reduced portions (65.8%), and weight loss (56.4%). The majority of patients shared the messages (60.7%) with family or other acquaintances, considered the number of messages to be adequate (89.7%) and would recommend the program to others (95.7%). Conclusion An intervention based on text messages to promote behavioral change in patients with hypertension or diabetes in primary care is feasible in low-resource settings. Future studies are needed to assess the program’s long-term effects on clinical outcomes. solutions lowincome low income selfreported self 20 activity adherence motivation Mucuri MG diseases months 13 11 86.0% 860 86 0 (86.0% 86.3%, 863 86.3% , 3 (86.3%) 90.6%, 906 90.6% 90 (90.6%) 65.0% 650 65 (65.0%) 846 84 84.6 healthier 85.5%, 855 85.5% 85 (85.5%) 65.8%, 658 65.8% (65.8%) 56.4%. 564 56.4% . 56 4 (56.4%) 60.7% 607 60 7 (60.7% acquaintances 89.7% 897 89 (89.7% 95.7%. 957 95.7% 95 (95.7%) lowresource resource settings programs s longterm long term outcomes 2 1 86.0 (86.0 86.3 (86.3% 90.6 9 (90.6% 65.0 (65.0% 84. 85.5 (85.5% 65.8 (65.8% 56.4 (56.4% 60.7 (60.7 89.7 (89.7 95.7 (95.7% 86. (86. (86.3 90. (90.6 65. (65.0 85. (85.5 (65.8 56. (56.4 60. (60. 89. (89. 95. (95.7 (86 (90. (65. (85. (56. (60 (89 (95. (8 (90 (65 (85 (56 (6 (95 ( (9 (5
5.
Diretriz da SBC sobre Diagnóstico e Tratamento de Pacientes com Cardiomiopatia da Doença de Chagas – 2023 202 20 2
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Marin-Neto, José Antonio
; Rassi Jr, Anis
; Oliveira, Gláucia Maria Moraes
; Correia, Luís Claudio Lemos
; Ramos Júnior, Alberto Novaes
; Luquetti, Alejandro Ostermayer
; Hasslocher-Moreno, Alejandro Marcel
; Sousa, Andréa Silvestre de
; Paola, Angelo Amato Vincenzo de
; Sousa, Antônio Carlos Sobral
; Ribeiro, Antonio Luiz Pinho
; Correia Filho, Dalmo
; Souza, Dilma do Socorro Moraes de
; Cunha-Neto, Edecio
; Ramires, Felix Jose Alvarez
; Bacal, Fernando
; Nunes, Maria do Carmo Pereira
; Martinelli Filho, Martino
; Scanavacca, Maurício Ibrahim
; Saraiva, Roberto Magalhães
; Oliveira Júnior, Wilson Alves de
; Lorga-Filho, Adalberto Menezes
; Guimarães, Adriana de Jesus Benevides de Almeida
; Braga, Adriana Lopes Latado
; Oliveira, Adriana Sarmento de
; Sarabanda, Alvaro Valentim Lima
; Pinto, Ana Yecê das Neves
; Carmo, Andre Assis Lopes do
; Schmidt, Andre
; Costa, Andréa Rodrigues da
; Ianni, Barbara Maria
; Markman Filho, Brivaldo
; Rochitte, Carlos Eduardo
; Macêdo, Carolina Thé
; Mady, Charles
; Chevillard, Christophe
; Virgens, Cláudio Marcelo Bittencourt das
; Castro, Cleudson Nery de
; Britto, Constança Felicia De Paoli de Carvalho
; Pisani, Cristiano
; Rassi, Daniela do Carmo
; Sobral Filho, Dário Celestino
; Almeida, Dirceu Rodrigues de
; Bocchi, Edimar Alcides
; Mesquita, Evandro Tinoco
; Mendes, Fernanda de Souza Nogueira Sardinha
; Gondim, Francisca Tatiana Pereira
; Silva, Gilberto Marcelo Sperandio da
; Peixoto, Giselle de Lima
; Lima, Gustavo Glotz de
; Veloso, Henrique Horta
; Moreira, Henrique Turin
; Lopes, Hugo Bellotti
; Pinto, Ibraim Masciarelli Francisco
; Ferreira, João Marcos Bemfica Barbosa
; Nunes, João Paulo Silva
; Barreto-Filho, José Augusto Soares
; Saraiva, José Francisco Kerr
; Lannes-Vieira, Joseli
; Oliveira, Joselina Luzia Menezes
; Armaganijan, Luciana Vidal
; Martins, Luiz Cláudio
; Sangenis, Luiz Henrique Conde
; Barbosa, Marco Paulo Tomaz
; Almeida-Santos, Marcos Antonio
; Simões, Marcos Vinicius
; Yasuda, Maria Aparecida Shikanai
; Moreira, Maria da Consolação Vieira
; Higuchi, Maria de Lourdes
; Monteiro, Maria Rita de Cassia Costa
; Mediano, Mauro Felippe Felix
; Lima, Mayara Maia
; Oliveira, Maykon Tavares de
; Romano, Minna Moreira Dias
; Araujo, Nadjar Nitz Silva Lociks de
; Medeiros, Paulo de Tarso Jorge
; Alves, Renato Vieira
; Teixeira, Ricardo Alkmim
; Pedrosa, Roberto Coury
; Aras Junior, Roque
; Torres, Rosalia Morais
; Povoa, Rui Manoel dos Santos
; Rassi, Sergio Gabriel
; Alves, Silvia Marinho Martins
; Tavares, Suelene Brito do Nascimento
; Palmeira, Swamy Lima
; Silva Júnior, Telêmaco Luiz da
; Rodrigues, Thiago da Rocha
; Madrini Junior, Vagner
; Brant, Veruska Maia da Costa
; Dutra, Walderez Ornelas
; Dias, João Carlos Pinto
.




























































































6.
Intake and apparent nutrient digestibility, ruminal parameters, and nitrogen balance of lambs fed with corn and forage-free diets with sodium bicarbonate digestibility parameters foragefree forage free
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Vicente, Ana Carolina Silva
; Carlis, Matheus Sousa de Paula
; Santos, Isabela Jorge dos
; Silva, Adrielly Lais Alves da
; Dias Junior, Paulo César Gonzales
; Eckermann, Nathalia Rubio
; Souza, Terezinha Teixeira de
; Polizel, Daniel Montanher
; Baggio, Marcelo
; Biava, Janaina Socolovski
; Pires, Alexandre Vaz
Ferreira, Evandro Maia










RESUMO: O presente estudo avaliou a suplementação de bicarbonato de sódio (BS) em dietas sem forragem à base de milho moído sobre o consumo e a digestibilidade aparente dos nutrientes, os parâmetros ruminais e o balanço de N. Foram utilizados quatro cordeiros Dorper × Santa Inês, com um peso corporal inicial de 43,4 ± 0,85 kg (média ± desvio padrão). O delineamento experimental foi quadrado latino 4×4. Cada período experimental durou 21 dias. As dietas experimentais foram: controle positivo, sem BS, contendo 400 g/kg de MS de casca de soja (CONT) e três dietas à base de milho moído, sem casca de soja, contendo 10 (10BS), 20 (20BS) ou 30 (30BS) g/kg de MS de BS. O consumo de fibra em detergente neutro e ácido foi maior (P < 0,01)para o CONT quando comparado com BS. O consumo e a digestibilidade aparente da matéria seca, matéria orgânica, extrato etéreo e proteína bruta não diferiram entre os tratamentos. O consumo (P = 0,01) e digestibilidade (P < 0,01) dos carboidratos não fibrosos foram superiores para as dietas contendo BS e a digestibilidade da fibra em detergente neutro foi maior para o CONT. Os teores de nutrientes digestivos totais e energia metabolizável foram superiores para as dietas contendo BS (P = 0,04). A concentração ruminal de acetato (P < 0,01), isobutirato (P < 0,01), butirato (P < 0,01), isovalerato (P < 0,01) e ácidos graxos totais de cadeia curta (P < 0,01) foram mais elevadas para o CONT. O pHruminal apresentou resposta quadrática (P = 0,05) em relação aos níveis de BS, sendo observado maior pH para os animais alimentados com a dieta 20BS. O BS foi eficiente em aumentar o pHruminal no teor de 20 g/kg MS sem interferir no consumo e na digestibilidade aparente dos nutrientes. Portanto, 20 g/kg de MS é a dose indicada de BS em dietas sem forragem para terminação de cordeiros em confinamento. RESUMO (BS N Inês 434 43 4 43, 085 0 85 0,8 média padrão. padrão . padrão) 44 4×4 2 dias positivo 40 gkg g (CONT 1 10BS, 10BS , (10BS) 20BS (20BS 3 30BS (30BS P 0,01para 001para 0,01 01 seca orgânica tratamentos 001 0,04. 004 0,04 04 0,04) 0,01, 0,05 005 05 Portanto confinamento 08 8 0, 4× (10BS 01para 0,0 00
ABSTRACT: This study evaluated forage-free diets supplemented with sodium bicarbonate (SB) based on ground flint corn on intake, apparent nutrient digestibility, ruminal parameters, and N balance. Four rumen-cannulatedDorper × Santa Inês lambs, with a body weight of 43.4 ± 0.85 kg (mean ± standard deviation) were used. The experimental design was a 4×4 Latin square. Each experimental period lasted 21 days. Experimental diets were: positive control, a diet without SB containing 400 g/kg DM of soybean hulls (CONT), and three diets based on ground flint corn, containing 10 (10SB), 20 (20SB) or 30 (30SB) g/kg DM of SB. Intake of neutral and acid detergent fiber was greater for CONT (P < 0.01) when compared to SB. Intake and apparent nutrient digestibility of dry and organic matter, ether extract, and crude protein did not differ. Intake (P = 0.01) and digestibility (P < 0.01) of non-fiber carbohydrates were greater for SB diets and neutral detergent fiber digestibility was greater (P = 0.03) for CONT. The total digestible nutrients and metabolizable energy were greater for SB (P = 0.04). Rumen concentrations of acetate (P < 0.01), isobutyrate (P < 0.01), butyrate (P < 0.01), isovalerate (P < 0.01), and total short-chain fatty acids (P < 0.01) were greater for CONT. Ruminal pH showed a quadratic (P = 0.05) response to SB levels, with greater values for 20SB. Sodium bicarbonate was efficient in increasing ruminal pH at the level of 20 g/kg DM without interfering with the intake and apparent nutrient digestibility characteristics. ABSTRACT foragefree forage free (SB parameters balance rumencannulatedDorper rumen cannulatedDorper lambs 434 43 4 43. 085 0 85 0.8 mean deviation used 44 4× square 2 days control 40 gkg g CONT, , (CONT) 1 10SB, 10SB (10SB) 20SB (20SB 3 30SB (30SB P 0.01 001 01 matter extract differ nonfiber non 0.03 003 03 0.04. 004 0.04 . 04 0.04) 0.01, shortchain short chain 0.05 005 05 levels characteristics 08 8 0. (CONT (10SB 0.0 00
7.
Trabalho a céu aberto: passado, presente e futuro sobre exposição ocupacional ao calor
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Abstract Given the current climate change and high-temperature impact on human health, especially due to global warming, actions for heat prevention focused on outdoor workers are relevant. This essay presents the results of recent research and highlights technological innovations for heat monitoring in Brazil. Also, it reflects on the future of outdoor work given climate change. Outdoor work is generally characterized as heavy, leading to higher metabolic heat production. However, Occupational Safety and Health have made few efforts to find alternatives to minimize or eliminate heat impact on workers. Moreover, the worker’s protection alternatives are reduced. WBGT Monitor is presented as a technological innovation for remote heat monitoring in outdoor environments. Despite the control measures provided to workers subjected to heat, global warming demands innovative interventions and special exposure controls at outdoor workplaces. Thus, an increased commitment to knowledge production to elaborate or improve public policy is desirable.
Resumo Considerando as mudanças climáticas e o impacto das temperaturas elevadas na saúde humana, especialmente devido ao aquecimento global, são relevantes as ações de prevenção ao calor voltadas aos trabalhadores que laboram a céu aberto. Neste ensaio, são apresentados resultados de recentes pesquisas, bem como destacadas inovações tecnológicas para monitoramento do calor no Brasil. Também são expostas reflexões sobre o futuro do trabalho a céu aberto diante das mudanças climáticas. O trabalho a céu aberto é em geral caracterizado por atividades pesadas, que geram elevado calor metabólico. Contudo, são escassos os esforços no campo da Saúde e Segurança do Trabalho para a busca de alternativas que minimizem ou eliminem os efeitos do calor para os trabalhadores. Além disso, as alternativas de proteção dos trabalhadores são reduzidas. O Monitor IBUTG é apresentado como inovação tecnológica de monitoramento remoto do calor em ambiente a céu aberto. Apesar das medidas de controle previstas em lei para proteção dos trabalhadores submetidos ao calor, em razão do aquecimento global, serão necessários intervenções inovadoras e controles especiais da exposição ao calor nos ambientes externos. Portanto, é desejável maior empenho na produção de conhecimento com vistas a fomentar a elaboração ou o aprimoramento de políticas públicas.
8.
IMPACTO-MR: um estudo brasileiro de plataforma nacional para avaliar infecções e multirresistência em unidades de terapia intensiva IMPACTOMR IMPACTO MR IMPACTO-MR
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Tomazini, Bruno M
; Nassar Jr, Antonio Paulo
; Lisboa, Thiago Costa
; Azevedo, Luciano César Pontes de
; Veiga, Viviane Cordeiro
; Catarino, Daniela Ghidetti Mangas
; Fogazzi, Debora Vacaro
; Arns, Beatriz
; Piastrelli, Filipe Teixeira
; Dietrich, Camila
; Negrelli, Karina Leal
Jesuíno, Isabella de Andrade
Reis, Luiz Fernando Lima
Mattos, Renata Rodrigues de
Pinheiro, Carla Cristina Gomes
Luz, Mariane Nascimento
Spadoni, Clayse Carla da Silva
Moro, Elisângela Emilene
Bueno, Flávia Regina
Sampaio, Camila Santana Justo Cintra
Silva, Débora Patrício
Baldassare, Franca Pellison
Silva, Ana Cecilia Alcantara
Veiga, Thabata
Barbante, Leticia
Lambauer, Marianne
Campos, Viviane Bezerra
Santos, Elton
Santos, Renato Hideo Nakawaga
Laranjeiras, Ligia Nasi
Valeis, Nanci
Santucci, Eliana
Miranda, Tamiris Abait
Patrocínio, Ana Cristina Lagoeiro do
Carvalho, Andréa de
Sousa, Eduvirgens Maria Couto de
Sousa, Ancelmo Honorato Ferraz de
Malheiro, Daniel Tavares
Bezerra, Isabella Lott
Rodrigues, Mirian Batista
Malicia, Julliana Chicuta
Silva, Sabrina Souza da
Gimenes, Bruna dos Passos
Sesin, Guilhermo Prates
Zavascki, Alexandre Prehn
Sganzerla, Daniel
Medeiros, Gregory Saraiva
Santos, Rosa da Rosa Minho dos
Silva, Fernanda Kelly Romeiro
Cheno, Maysa Yukari
Abrahão, Carolinne Ferreira
Oliveira Junior, Haliton Alves de
Rocha, Leonardo Lima
Nunes Neto, Pedro Aniceto
Pereira, Valéria Chagas
Paciência, Luis Eduardo Miranda
Bueno, Elaine Silva
Caser, Eliana Bernadete
Ribeiro, Larissa Zuqui
Fernandes, Caio Cesar Ferreira
Garcia, Juliana Mazzei
Silva, Vanildes de Fátima Fernandes
Santos, Alisson Junior dos
Machado, Flávia Ribeiro
Souza, Maria Aparecida de
Ferronato, Bianca Ramos
Urbano, Hugo Corrêa de Andrade
Moreira, Danielle Conceição Aparecida
Souza-Dantas, Vicente Cés de
Duarte, Diego Meireles
Coelho, Juliana
Figueiredo, Rodrigo Cruvinel
Foreque, Fernanda
Romano, Thiago Gomes
Cubos, Daniel
Spirale, Vladimir Miguel
Nogueira, Roberta Schiavon
Maia, Israel Silva
Zandonai, Cassio Luis
Lovato, Wilson José
Cerantola, Rodrigo Barbosa
Toledo, Tatiana Gozzi Pancev
Tomba, Pablo Oscar
Almeida, Joyce Ramos de
Sanches, Luciana Coelho
Pierini, Leticia
Cunha, Mariana
Sousa, Michelle Tereza
Azevedo, Bruna
Dal-Pizzol, Felipe
Damasio, Danusa de Castro
Bainy, Marina Peres
Beduhn, Dagoberta Alves Vieira
Jatobá, Joana D’Arc Vila Nova
Moura, Maria Tereza Farias de
Rego, Leila Rezegue de Moraes
Silva, Adria Vanessa da
Oliveira, Luana Pontes
Sodré Filho, Eliene Sá
Santos, Silvana Soares dos
Neves, Itallo de Lima
Leão, Vanessa Cristina de Aquino
Paes, João Lucidio Lobato
Silva, Marielle Cristina Mendes
Oliveira, Cláudio Dornas de
Santiago, Raquel Caldeira Brant
Paranhos, Jorge Luiz da Rocha
Wiermann, Iany Grinezia da Silva
Pedroso, Durval Ferreira Fonseca
Sawada, Priscilla Yoshiko
Prestes, Rejane Martins
Nascimento, Glícia Cardoso
Grion, Cintia Magalhães Carvalho
Carrilho, Claudia Maria Dantas de Maio
Dantas, Roberta Lacerda Almeida de Miranda
Silva, Eliane Pereira
Silva, Antônio Carlos da
Oliveira, Sheila Mara Bezerra de
Golin, Nicole Alberti
Tregnago, Rogerio
Lima, Valéria Paes
Silva, Kamilla Grasielle Nunes da
Boschi, Emerson
Buffon, Viviane
Machado, André Sant’Ana
Capeletti, Leticia
Foernges, Rafael Botelho
Carvalho, Andréia Schubert de
Oliveira Junior, Lúcio Couto de
Oliveira, Daniela Cunha de
Silva, Everton Macêdo
Ribeiro, Julival
Pereira, Francielle Constantino
Salgado, Fernanda Borges
Deutschendorf, Caroline
Silva, Cristofer Farias da
Gobatto, Andre Luiz Nunes
Oliveira, Carolaine Bomfim de
Dracoulakis, Marianna Deway Andrade
Alvaia, Natália Oliveira Santos
Souza, Roberta Machado de
Araújo, Larissa Liz Cardoso de
Melo, Rodrigo Morel Vieira de
Passos, Luiz Carlos Santana
Vidal, Claudia Fernanda de Lacerda
Rodrigues, Fernanda Lopes de Albuquerque
Kurtz, Pedro
Shinotsuka, Cássia Righy
Tavares, Maria Brandão
Santana, Igor das Virgens
Gavinho, Luciana Macedo da Silva
Nascimento, Alaís Brito
Pereira, Adriano J
Cavalcanti, Alexandre Biasi










RESUMO Objetivo: Descrever o IMPACTO-MR, um estudo brasileiro de plataforma nacional em unidades de terapia intensiva focado no impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Métodos: Descrevemos a plataforma IMPACTO-MR, seu desenvolvimento, critérios para seleção das unidades de terapia intensiva, caracterização da coleta de dados, objetivos e projetos de pesquisa futuros a serem realizados na plataforma. Resultados: Os dados principais foram coletados por meio do Epimed Monitor System® e consistiram em dados demográficos, dados de comorbidades, estado funcional, escores clínicos, diagnóstico de internação e diagnósticos secundários, dados laboratoriais, clínicos e microbiológicos e suporte de órgãos durante a internação na unidade de terapia intensiva, entre outros. De outubro de 2019 a dezembro de 2020, 33.983 pacientes de 51 unidades de terapia intensiva foram incluídos no banco de dados principal. Conclusão: A plataforma IMPACTO-MR é um banco de dados clínico brasileiro de unidades de terapia intensiva focado na pesquisa do impacto das infecções por bactérias multirresistentes relacionadas à assistência à saúde. Essa plataforma fornece dados para o desenvolvimento e pesquisa de unidades de terapia intensiva individuais e ensaios clínicos observacionais e prospectivos multicêntricos. Objetivo IMPACTOMR, IMPACTOMR IMPACTO MR, MR saúde Métodos Resultados System demográficos comorbidades funcional secundários laboratoriais outros 201 2020 33983 33 983 33.98 5 principal Conclusão multicêntricos 20 202 3398 3 98 33.9 2 339 9 33.
ABSTRACT Objective: To describe the IMPACTO-MR, a Brazilian nationwide intensive care unit platform study focused on the impact of health care-associated infections due to multidrug-resistant bacteria. Methods: We described the IMPACTO-MR platform, its development, criteria for intensive care unit selection, characterization of core data collection, objectives, and future research projects to be held within the platform. Results: The core data were collected using the Epimed Monitor System® and consisted of demographic data, comorbidity data, functional status, clinical scores, admission diagnosis and secondary diagnoses, laboratory, clinical, and microbiological data, and organ support during intensive care unit stay, among others. From October 2019 to December 2020, 33,983 patients from 51 intensive care units were included in the core database. Conclusion: The IMPACTO-MR platform is a nationwide Brazilian intensive care unit clinical database focused on researching the impact of health care-associated infections due to multidrug-resistant bacteria. This platform provides data for individual intensive care unit development and research and multicenter observational and prospective trials. Objective IMPACTOMR, IMPACTOMR IMPACTO MR, MR careassociated associated multidrugresistant multidrug resistant bacteria Methods selection collection objectives Results System status scores diagnoses laboratory stay others 201 2020 33983 33 983 33,98 5 Conclusion trials 20 202 3398 3 98 33,9 2 339 9 33,
9.
[SciELO Preprints] - Guideline of the Brazilian Society of Cardiology on Diagnosis and Treatment of Patients with Chagas Disease Cardiomyopathy
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Marin-Neto, José Antonio
Rassi Jr., Anis
Moraes Oliveira, Gláucia M.
Lemos Correia, Luís Claudio
Novaes Ramos Jr., Alberto
Hasslocher-Moreno, Alejandro Marcel
Luquetti Ostermayer, Alejandro
Sousa, Andréa Silvestre de
Amato Vincenzo de Paola, Angelo
Sobral de Sousa, Antonio Carlos
Pinho Ribeiro, Antonio Luiz
Correia Filho, Dalmo
Moraes de Souza, Dilma do Socorro
Cunha-Neto, Edecio
J. A. Ramires, Felix
Bacal, Fernando
Pereira Nunes, Maria do Carmo
Martinelli Filho, Martino
Ibrahim Scanavacca, Maurício
Magalhães Saraiva, Roberto
Alves de Oliveira Júnior, Wilson
M. Lorga-Filho, Adalberto
de Jesus Benevides de Almeida Guimarães, Adriana
Lopes Latado Braga, Adriana
Sarmento de Oliveira, Adriana
V. L. Sarabanda, Alvaro
Yecê das Neves Pinto, Ana
Assis Lopes do Carmo, André
Schmidt, André
Costa, Andréa Rodrigues da
Ianni, Barbara Maria
Markman Filho, Brivaldo
Eduardo Rochitte, Carlos
Thé Macedo, Carolina
Mady, Charles
Chevillard, Christophe
Bittencourt das Virgens, Cláudio Marcelo
Nery de Castro, Cleudson
De Paoli de Carvalho Britto, Constança Felícia
Pisani, Cristiano
do Carmo Rassi, Daniela
C. Sobral Filho, Dario
Rodrigues Almeida, Dirceu
A. Bocchi, Edimar
T. Mesquita, Evandro
de Souza Nogueira Sardinha Mendes, Fernanda
Pereira, Francisca Tatiana
Sperandio da Silva, Gilberto Marcelo
de Lima Peixoto, Giselle
Glotz de Lima, Gustavo
H. Veloso, Henrique
Turin Moreira, Henrique
Bellotti Lopes, Hugo
Masciarelli Francisco Pinto, Ibraim
Pinto Dias, João Carlos
Bemfica, João Marcos
Silva-Nunes, João Paulo
Soares Barreto-Filho, José Augusto
Kerr Saraiva, José Francisco
Lannes-Vieira, Joseli
Menezes Oliveira, Joselina Luzia
V. Armaganijan, Luciana
Martins, Luiz Cláudio
C. Sangenis, Luiz Henrique
Barbosa, Marco Paulo
Almeida-Santos, Marcos Antônio
Simões, Marcos Vinicius
Shikanai-Yasuda, Maria Aparecida
Vieira Moreira, Maria da Consolação
Higuchi, Maria de Lourdes
Costa Monteiro, Maria Rita de Cássia
Felix Mediano, Mauro Felippe
Maia Lima, Mayara
T. Oliveira, Maykon
Moreira Dias Romano , Minna
Nitz, Nadjar
de Tarso Jorge Medeiros, Paulo
Vieira Alves, Renato
Alkmim Teixeira, Ricardo
Coury Pedrosa, Roberto
Aras, Roque
Morais Torres, Rosália
dos Santos Povoa, Rui Manoel
Rassi, Sérgio Gabriel
Salles Xavier, Sérgio
Marinho Martins Alves , Silvia
B. N. Tavares, Suelene
Lima Palmeira, Swamy
da Silva Junior, Telêmaco Luiz
da Rocha Rodrigues, Thiago
Madrini Junior, Vagner
Maia da Costa , Veruska
Dutra, Walderez
This guideline aimed to update the concepts and formulate the standards of conduct and scientific evidence that support them, regarding the diagnosis and treatment of the Cardiomyopathy of Chagas disease, with special emphasis on the rationality base that supported it.nbsp;
Chagas disease in the 21st century maintains an epidemiological pattern of endemicity in 21 Latin American countries. Researchers and managers from endemic and non-endemic countries point to the need to adopt comprehensive public health policies to effectively control the interhuman transmission of T. cruzi infection, and to obtain an optimized level of care for already infected individuals, focusing on diagnostic and therapeutic opportunistic opportunities.
nbsp;
Pathogenic and pathophysiological mechanisms of the Cardiomyopathy of Chagas disease were revisited after in-depth updating and the notion that necrosis and fibrosis are stimulated by tissue parasitic persistence and adverse immune reaction, as fundamental mechanisms, assisted by autonomic and microvascular disorders, was well established. Some of them have recently formed potential targets of therapies.nbsp;
The natural history of the acute and chronic phases was reviewed, with enhancement for oral transmission, indeterminate form and chronic syndromes. Recent meta-analyses of observational studies have estimated the risk of evolution from acute and indeterminate forms and mortality after chronic cardiomyopathy. Therapeutic approaches applicable to individuals with Indeterminate form of Chagas disease were specifically addressed. All methods to detect structural and/or functional alterations with various cardiac imaging techniques were also reviewed, with recommendations for use in various clinical scenarios. Mortality risk stratification based on the Rassi score, with recent studies of its application, was complemented by methods that detect myocardial fibrosis.nbsp;
The current methodology for etiological diagnosis and the consequent implications of trypanonomic treatment deserved a comprehensive and in-depth approach. Also the treatment of patients at risk or with heart failure, arrhythmias and thromboembolic events, based on pharmacological and complementary resources, received special attention. Additional chapters supported the conducts applicable to several special contexts, including t. cruzi/HIV co-infection, risk during surgeries, in pregnant women, in the reactivation of infection after heart transplantation, and others.nbsp; nbsp;nbsp;
Finally, two chapters of great social significance, addressing the structuring of specialized services to care for individuals with the Cardiomyopathy of Chagas disease, and reviewing the concepts of severe heart disease and its medical-labor implications completed this guideline.
Esta diretriz teve como objetivo principal atualizar os conceitos e formular as normas de conduta e evidências científicas que as suportam, quanto ao diagnóstico e tratamento da CDC, com especial ênfase na base de racionalidade que a embasou.
A DC no século XXI mantém padrão epidemiológico de endemicidade em 21 países da América Latina. Investigadores e gestores de países endêmicos e não endêmicos indigitam a necessidade de se adotarem políticas abrangentes, de saúde pública, para controle eficaz da transmissão inter-humanos da infecção pelo T. cruzi, e obter-se nível otimizado de atendimento aos indivíduos já infectados, com foco em oportunização diagnóstica e terapêutica.
Mecanismos patogênicos e fisiopatológicos da CDC foram revisitados após atualização aprofundada e ficou bem consolidada a noção de que necrose e fibrose sejam estimuladas pela persistência parasitária tissular e reação imune adversa, como mecanismos fundamentais, coadjuvados por distúrbios autonômicos e microvasculares. Alguns deles recentemente constituíram alvos potenciais de terapêuticas.
A história natural das fases aguda e crônica foi revista, com realce para a transmissão oral, a forma indeterminada e as síndromes crônicas. Metanálises recentes de estudos observacionais estimaram o risco de evolução a partir das formas aguda e indeterminada e de mortalidade após instalação da cardiomiopatia crônica. Condutas terapêuticas aplicáveis aos indivíduos com a FIDC foram abordadas especificamente. Todos os métodos para detectar alterações estruturais e/ou funcionais com variadas técnicas de imageamento cardíaco também foram revisados, com recomendações de uso nos vários cenários clínicos. Estratificação de risco de mortalidade fundamentada no escore de Rassi, com estudos recentes de sua aplicação, foi complementada por métodos que detectam fibrose miocárdica.
A metodologia atual para diagnóstico etiológico e as consequentes implicações do tratamento tripanossomicida mereceram enfoque abrangente e aprofundado. Também o tratamento de pacientes em risco ou com insuficiência cardíaca, arritmias e eventos tromboembólicos, baseado em recursos farmacológicos e complementares, recebeu especial atenção. Capítulos suplementares subsidiaram as condutas aplicáveis a diversos contextos especiais, entre eles o da co-infecção por T. cruzi/HIV, risco durante cirurgias, em grávidas, na reativação da infecção após transplante cardíacos, e outros.nbsp;nbsp;nbsp;
Por fim, dois capítulos de grande significado social, abordando a estruturação de serviços especializados para atendimento aos indivíduos com a CDC, e revisando os conceitos de cardiopatia grave e suas implicações médico-trabalhistas completaram esta diretriz.nbsp;
10.
First case report of monkeypox in Brazil: clinical manifestations and differential diagnosis with sexually transmitted infections
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Lima, Evelyn Lepka de
; Barra, Luiz Alberto Costa
; Borges, Luciana Marques Sansão
; Medeiros, Lucas Alberto
; Tomishige, Marcia Y. S.
; Santos, Lucas de Souza Loureiro Abbud
; Silva, Anderson José Dias da
; Rodrigues, Camila Cristina Martini
Azevedo, Luiz Cesar Fernandes de
Villas-Boas, Lucy Santos
Silva, Camila Alves Maia da
Coletti, Thaís Moura
Manuli, Erika R.
Claro, Ingra Morales
Romano, Camila Malta
Ramundo, Mariana Severo
Moutinho, Tomas
Sabino, Ester Cerdeira
Lindoso, José Angelo Lauletta
Figueiredo-Mello, Claudia







Revista do Instituto de Medicina Tropical de São Paulo
- Journal Metrics
ABSTRACT In 2022, an outbreak of monkeypox is being reported in non-endemic areas, with unusual clinical manifestations. The detailed clinical description of the first patient that received the diagnosis of monkeypox in Brazil is reported here, whose clinical manifestations can easily lead to misdiagnosis of sexually transmitted infections. A 41 years old male presented to an emergency room with a vesicular rash with eight days of evolution. He had traveled to Portugal and Spain and reported non-penetrative sexual involvement with three different male individuals. On the third day of symptoms, he sought medical care and received empirical treatment directed to sexually transmitted infections. As the symptoms did not improve, he sought medical attention at an infectious disease referral center presenting, on admission, an ulcerated penile lesion with central necrotic crusts, a disseminated pleomorphic skin rash and an oropharyngeal ulcer. The monkeypox diagnosis was suspected due to the characteristics of the lesions and the history of intimate contact with casual partners, and it was later confirmed by sequencing the almost complete monkeypox genome. The patient was hospitalized for pain control, which required opiate administration. He developed a secondary bacterial infection on the penile lesions, which were treated with oral antibiotics. He was discharged after 14 days, with lesions in process of re-epithelialization. Given the current outbreak, we must consider the possibility of monkeypox in patients with suggestive lesions, anywhere on the body (including the genitals), added to an epidemiological link or history of intimate contact with strangers or casual partners.
11.
Shotgun metagenomic sequencing of the first case of monkeypox virus in Brazil, 2022
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Claro, Ingra Morales
; Romano, Camila Malta
; Candido, Darlan da Silva
; Lima, Evelyn Lepka de
; Lindoso, José Angelo Lauletta
; Ramundo, Mariana Severo
; Moreira, Filipe Romero Rebello
; Barra, Luiz Alberto Costa
Borges, Luciana Marques Sansão
Medeiros, Lucas Alberto
Tomishige, Marcia Y. S.
Moutinho, Tomas
Silva, Anderson José Dias da
Rodrigues, Camila Cristina Martini
Azevedo, Luiz Cesar Fernandes de
Villas-Boas, Lucy Santos
Silva, Camila Alves Maia da
Coletti, Thaís Moura
Manuli, Erika R.
O’Toole, Aine
Quick, Joshua
Loman, Nicholas
Rambaut, Andrew
Faria, Nuno R.
Figueiredo-Mello, Claudia
Sabino, Ester Cerdeira







Revista do Instituto de Medicina Tropical de São Paulo
- Journal Metrics
ABSTRACT Monkeypox virus (MPXV), a zoonotic virus endemic to the African continent, has been reported in 33 non-endemic countries since May 2022. We report an almost complete genome of the first confirmed case of MPXV in Brazil. Shotgun metagenomic sequencing was completed in 18 hours, from DNA extraction to consensus sequence generation.
12.
Incomplete Petrosphenoidal Foramen: Morphological and Morphometric Analysis and the Proposal of a Classification Study in Brazilian Dry Skulls
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Martinez de Oliveira, Kennedy
Gonçalves de Souza, Severino Denício
Liberti, Edson Aparecido
das Chagas Benevenuto, Gabriel
Maia de Faria, Gustavo
Ferreira de Almeida, Ana Clara
Camillato e Silva, Ana Clara
Gonçalves, Giuliano Roberto
Pereira Reis, Yuri
Magalhães, Walteir Alves
Landim de Almeida, Valério
Satiro Oliveira, Maísa de Fátima
Grecco, Leandro Henrique
Nicolato, Arthur Adolfo
Alves dos-Reis, Fabíola
SUMMARY: The complete petrosphenoidal foramen, or canal, is an eventual and atavistic bony formation at the boundary between the posterior and middle cranial fossa, by occurrence of ossification of the superior petrosphenoidal ligament. This ligament ossification, which has important clinical and surgical significance, can be complete or incomplete, in variable degrees, and is associated with the passageway of neurovascular structures, such as the abducens nerve and the inferior petrosal sinus. This study, conducted with 175 dry skulls that belong to the University of São Paulo’s collection (USP), São Paulo, Brazil, established criteria for a morphological classification of the incomplete petrosphenoid foramen in nine types. In addition, anatomical parameters were established for the morphometric determination of two diameters: the Oblique Diameter (ObDi) and the Maximum Transverse Diameter (MTD). Thus, of the 175 skulls, 146 (83.42 %) presented some of the incomplete forms of the petrosphenoid foramen, and 43 skulls (29.45 %), due to their conservation characteristics, were habilitated to the morphological study, in the classification and in the morphometry (the types I and II of our classification). The type II (incomplete foramen with bony projections of the petrosal tubercle, of the margin of the dorsum of the hypophyseal fossa or of the posterior clinoid process with a distance between them greater than 1mm) and type V (incomplete foramen with a bony projection only in one of the referential structures - posterior clinoid process) were the most common in this study (50 % of the 86 hemiskulls). Morphometry was attributed only to the types: I selar (incomplete foramen with bony projections from the petrosal tubercle and the margin of the dorsum of the hypophyseal fossa with a distance between them less than or equal to 1mm) and to the type II of this classification. The type I selar (9.3 % of the 43 skulls) resulted in an average of 3.25 mm of MTD and 4.63 mm, on average, of ObDi. The type II (25.58 % of the 43 skulls) showed, on average, 4.93 mm of MTD and 7.01 mm of ObDi.
RESUMEN: El foramen o canal petroesfenoidal completo es una formación ósea eventual y atávica en el límite entre las fosas craneal posterior y media, por osificación del ligamento petroesfenoidal superior. Esta osificación del ligamento, que tiene un importante significado clínico y quirúrgico, puede ser completa o incompleta, en grados variables, y está asociada al paso de estructuras neurovasculares, como el nervio abducente y el seno petroso inferior. Este estudio se realizó en 175 cráneos secos pertenecientes a la colección de la Universidad de São Paulo (USP), São Paulo, Brasil. Se establecieron criterios para una clasificación morfológica del foramen petrosfenoidal incompleto en nueve tipos. Además, se establecieron parámetros anatómicos para la determinación morfométrica de dos diámetros: el Diámetro Oblicuo (ObDi) y el Diámetro Transversal Máximo (MTD). Así, de los 175 cráneos, 146 (83,42 %) presentaron alguna de las formas incompletas del foramen petrosfenoidal, y 43 cráneos (29,45 %), por sus características de conservación, fueron habilitados para el estudio morfológico, en la clasificación y en la morfometría (los tipos I y II de nuestra clasificación). El Tipo II (foramen incompleto con proyecciones óseas del tubérculo petroso, del margen del dorso de la fosa hipofisaria o del proceso clinoides posterior con una distancia entre ellos mayor de 1 mm) y el Tipo V (foramen incompleto con proyección ósea solamente en una de las estructuras referenciales - proceso clinoides posterior) fueron los más comunes en este estudio (50 % de los 86 hemiscráneos). La morfometría se atribuyó únicamente al Tipo I selar (foramen incompleto con proyecciones óseas desde el tubérculo petroso y el margen del dorso de la fosa hipofisaria con una distancia entre ellos menor o igual a 1mm) y al Tipo II de esta clasificación. El Tipo I selar (9,3 % de los 43 cráneos) resultó en un promedio de 3,25 mm de MTD y 4,63 mm, en promedio, de ObDi. El Tipo II (25,58 % de los 43 cráneos) mostró, en promedio, 4,93 mm de MTD y 7,01 mm de ObDi.
13.
Pregnancy has no significant impact on the prognosis of differentiated thyroid cancer
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Nobre, Gabriela Maia
; Tramontin, Mariana Yoshii
; Treistman, Natalia
; Alves Junior, Paulo Alonso
; Andrade, Fernanda Accioly
; Bulzico, Daniel Alves
; Corbo, Rossana
; Vaisman, Fernanda
.








ABSTRACT Objective: To evaluate the impact of pregnancy on differentiated thyroid carcinomas (DTC) behavior Subjects and methods: Retrospective study of patients diagnosed with DTC before or during pregnancy and treated with standard therapy. In women diagnosed with DTC before pregnancy, we evaluated the occurrence of progression according to categories of response to therapy based on imaging and non-stimulated thyroglobulin (TG) levels. Results: Of 96 analyzed patients, 76 became pregnant after DTC treatment and 20 were diagnosed with DTC during pregnancy. Among women who became pregnant after a DTC diagnosis, no difference was observed regarding response to therapy before and after pregnancy. Disease progression after pregnancy was documented in six of these patients, while seven of them presented progression before pregnancy but were only treated after delivery. Patients with DTC diagnosed during pregnancy had a higher rate of distant metastases at diagnosis (30%) compared with the patients who became pregnant after DTC diagnosis (9.2%, p = 0.01). Conclusion: Pregnancy had no impact on the natural course of DTC. Disease progression after pregnancy was limited and probably related to more aggressive disease and higher risk stratification at diagnosis. Still, mild disease progression may have occurred asymptomatically in some patients.
https://doi.org/10.20945/2359-3997000000413
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14.
Diretrizes da Sociedade Brasileira de Cardiologia sobre Angina Instável e Infarto Agudo do Miocárdio sem Supradesnível do Segmento ST – 2021
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Nicolau, José Carlos
; Feitosa Filho, Gilson Soares
; Petriz, João Luiz
; Furtado, Remo Holanda de Mendonça
; Précoma, Dalton Bertolim
; Lemke, Walmor
; Lopes, Renato Delascio
; Timerman, Ari
; Marin Neto, José A.
; Bezerra Neto, Luiz
; Gomes, Bruno Ferraz de Oliveira
; Santos, Eduardo Cavalcanti Lapa
; Piegas, Leopoldo Soares
; Soeiro, Alexandre de Matos
; Negri, Alexandre Jorge de Andrade
; Franci, Andre
; Markman Filho, Brivaldo
; Baccaro, Bruno Mendonça
; Montenegro, Carlos Eduardo Lucena
; Rochitte, Carlos Eduardo
; Barbosa, Carlos José Dornas Gonçalves
; Virgens, Cláudio Marcelo Bittencourt das
; Stefanini, Edson
; Manenti, Euler Roberto Fernandes
; Lima, Felipe Gallego
; Monteiro Júnior, Francisco das Chagas
; Correa Filho, Harry
; Pena, Henrique Patrus Mundim
; Pinto, Ibraim Masciarelli Francisco
; Falcão, João Luiz de Alencar Araripe
; Sena, Joberto Pinheiro
; Peixoto, José Maria
; Souza, Juliana Ascenção de
; Silva, Leonardo Sara da
; Maia, Lilia Nigro
; Ohe, Louis Nakayama
; Baracioli, Luciano Moreira
; Dallan, Luís Alberto de Oliveira
; Dallan, Luis Augusto Palma
Mattos, Luiz Alberto Piva e
Bodanese, Luiz Carlos
Ritt, Luiz Eduardo Fonteles
Canesin, Manoel Fernandes
Rivas, Marcelo Bueno da Silva
Franken, Marcelo
Magalhães, Marcos José Gomes
Oliveira Júnior, Múcio Tavares de
Filgueiras Filho, Nivaldo Menezes
Dutra, Oscar Pereira
Coelho, Otávio Rizzi
Leães, Paulo Ernesto
Rossi, Paulo Roberto Ferreira
Soares, Paulo Rogério
Lemos Neto, Pedro Alves
Farsky, Pedro Silvio
Cavalcanti, Rafael Rebêlo C.
Alves, Renato Jorge
Kalil, Renato Abdala Karam
Esporcatte, Roberto
Marino, Roberto Luiz
Giraldez, Roberto Rocha Corrêa Veiga
Meneghelo, Romeu Sérgio
Lima, Ronaldo de Souza Leão
Ramos, Rui Fernando
Falcão, Sandra Nivea dos Reis Saraiva
Dalçóquio, Talia Falcão
Lemke, Viviana de Mello Guzzo
Chalela, William Azem
Mathias Júnior, Wilson






































https://doi.org/10.36660/abc.20210180
3052 downloads
15.
Cannabinoids in Neurology - Position paper from Scientific Departments from Brazilian Academy of Neurology
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BRUCKI, Sonia Maria Dozzi
; ADONI, Tarso
; ALMEIDA, Carlos Mauricio Oliveira
; ANDRADE, Daniel Ciampi de
; ANGHINAH, Renato
; BARBOSA, Luciana Mendonça
; BAZAN, Rodrigo
; CARVALHO, Alzira Alves de Siqueira
; CARVALHO, William
; CHRISTO, Paulo Pereira
; COLETTA, Marcus Della
; CONFORTO, Adriana Bastos
; CORREA-NETO, Ylmar
; ENGELHARDT, Eliasz
; FRANÇA JUNIOR, Marcondes Cavalcante
; FRANCO, Clelia
; VON GLEHN, Felipe
; GOMES, Helio Rodrigues
; HOULY, Caroline Gomes de Barros
; KAUP, Alexandre Ottoni
; KOWACS, Fernando
; KANASHIRO, Aline
; LOPES, Victor Gonçalves
; MAIA, Débora
; MANREZA, Maria
; MARTINEZ, Alberto Rolim Muro
; MARTINEZ, Sandra Cristina Gonçalves
; NADER, Saulo Nardy
; NEVES, Luciana de Oliveira
; OKAMOTO, Ivan Hideyo
; OLIVEIRA, Rogério Adas Ayres de
; PEIXOTO, Fabiano de Melo
; PEREIRA, Cristiana Borges
; SABA, Roberta Arb
; SAMPAIO, Leticia Pereira de Brito
; SCHILLING, Lucas Porcello
; SILVA, Marcus Tulius Teixeira
; SILVA, Emanuelle Roberta
; SMID, Jerusa
; SOARES, Cristiane Nascimento
; SOBREIRA-NETO, Manoel
; SOUSA, Nise Alessandra de Carvalho
; SOUZA, Leonardo Cruz de
; TEIVE, Hélio Afonso Ghizoni
; TERRA, Vera Cristina
; VALE, Matheus
; VIEIRA, Vitor Mendes Grise
; ZANOTELI, Edmar
; PRADO, Gilmar
.

















































RESUMO Os canabinoides compreendem os endocanabinoides, fitocanabinoides e os canabinoides sintéticos e desempenham ações no sistema nervoso central e periférico. Uma quantidade enorme de publicações tem sido lançada nos últimos anos, embora a cannabis seja conhecida por milênios. Os Departamentos Científicos da Academia Brasileira de Neurologia descreveram as evidências do uso médico em suas áreas. A literatura está em constantes mudanças e possíveis novas evidências podem surgir nos próximos dias ou meses. A prescrição dessas substâncias deve ser discutida com os pacientes e suas famílias, com conhecimento sobre eventos adversos e sua eficácia.
ABSTRACT Cannabinoids comprehend endocannabinoids, phytocannabinoids, and synthetic cannabinoids, with actions both in the central and peripherical nervous systems. A considerable amount of publications have been made in recent years, although cannabis has been known for over a thousand years. Scientific Departments from the Brazilian Academy of Neurology described evidence for medical use in their areas. Literature is constantly changing, and possible new evidence can emerge in the next days or months. Prescription of these substances must be discussed with patients and their families, with knowledge about adverse events and their efficacy.
https://doi.org/10.1590/0004-282x-anp-2020-0432
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