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A implementação da Política de Saúde do Homem no estado do Rio de Janeiro, Brasil: desafios e perspectivas
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Lyra, Jorge

; Medrado, Benedito

; Campos, Daniel de Souza

; Fonseca, Vanessa do Nascimento

; Nascimento, Marcos

Interface - Comunicação, Saúde, Educação

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dec 2025, Volume 29 Suppl. 1 elocation e240373

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

Considerando las dimensiones continentales del territorio brasileño y sus particularidades regionales, este artículo presenta análisis producidos sobre la implementación de la política de salud del hombre en el estado de Río de Janeiro. Se trata de un recorte de investigación multicéntrica nacional de abordaje cualitativo cuyo diseño metodológico incluyó la realización de entrevistas narrativas con gestores(as), trabajadores(as) de la salud y la población masculina en general. El estudio señala el poco conocimiento por parte de la población de la existencia de una política de salud enfocada en los hombres; experiencias consideradas exitosas en el envolvimiento de los hombres en los cuidados de salud coexisten con desafíos en su proceso de implementación, relacionados con dificultades estructurales provenientes de crisis administrativas y financieras en el estado y de la violencia urbana; y la necesidad de incorporación de una perspectiva interseccional, intersectorial e interinstitucional para puesta en operación de los ejes propuestos por la PNAISH.

Considering Brazil’s continental dimensions and regional particularities, this article presents analyses of the implementation of the National Policy for Comprehensive Men's Health Care (PNAISH) in the state of Rio de Janeiro. The study is part of a qualitative national multicenter study whose research design included narrative interviews with managers, health workers and the general male population. The findings reveal limited awareness of the existence of a men’s health policy among the population, that successful experiences involving men in health care coexist with implementation challenges related to structural weaknesses arising from state administrative and financial crises and urban violence, and the need to adopt an intersectional, intersectoral and interinstitutional approach to operationalize the core components of the PNAISH.

Considerando as dimensões continentais do território brasileiro e suas particularidades regionais, este artigo apresenta análises produzidas sobre a implementação da política de saúde do homem no estado do Rio de Janeiro. Trata-se de um recorte de pesquisa multicêntrica nacional de abordagem qualitativa cujo desenho metodológico incluiu a realização de entrevistas narrativas com gestore(a)s e, trabalhadore(a)s da saúde e população masculina em geral. O estudo aponta o pouco conhecimento por parte da população da existência de uma política de saúde voltada para homens; que experiências consideradas exitosas no envolvimento dos homens nos cuidados em saúde coexistem com desafios no seu processo de implementação, relacionados a dificuldades estruturais oriundas de crises administrativas e financeiras no estado e da violência urbana; e a necessidade de incorporar uma perspectiva interseccional, intersetorial e interinstitucional para operacionalização dos eixos propostos pela Política Nacional de Atenção Integral à Saúde do Homem.

https://doi.org/10.1590/interface.240373

I Brazilian guideline on hypertension in dialysis of the Brazilian Society of Nephrology
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Rodrigues, Cibele Isaac Saad

; Ferreira-Filho, Sebastião Rodrigues

; Moura, Ana Flávia de Souza

; Poli-de-Figueiredo, Carlos Eduardo

; Silva, Dirceu Reis da

; Polacchini, Fernanda Salomão Gorayeb

; Almeida, Fernando Antônio de

; Pinheiro, Maria Eliete

; Bezerra, Rodrigo

; Paula, Rogério Baumgratz de

; Peixoto, Aldo José

; Figueiredo, Ana Elizabeth Prado Lima

; Feitosa, Audes Diógenes Magalhães

; Machado, Carlos Alberto

; Amodeo, Celso

; Mion Junior, Décio

; Muxfeldt, Elizabeth Silaid

; Silva, Giovanio Vieira da

; Moura-Neto, José Andrade

; Pazeli Júnior, José Muniz

; Lotaif, Leda Daud

; Drager, Luciano F.

; Martín, Luis Cuadrado

; Bortolotto, Luiz Aparecido

; Bastos, Marcus Gomes

; Malachias, Marcus Vinícius Bolívar

; Moreira, Marcos Vinícius Paiva Cavalcanti

; Canziani, Maria Eugenia Fernandes

; Miranda, Roberto Dischinger

; Franco, Roberto Jorge da Silva

; Pecoits Filho, Roberto

; Mulinari, Rogerio Andrade

; Elias, Rosilene Motta

; Barroso, Weimar Kunz Sebba

; Nadruz, Wilson

Brazilian Journal of Nephrology

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mar 2025, Volume 47 N. 1 elocation e20240033

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

Resumo A hipertensão arterial em pacientes em diálise (HAD) tem alta prevalência, de pelo menos 80% ou mais, e seu manejo na prática do nefrologista ocorre de forma heterogênea e, frequentemente, empírica. Saber definir, conhecer a fisiopatologia, diagnosticar, acompanhar e tratar com mudanças no estilo de vida, e adequar os medicamentos anti-hipertensivos para alcançar a meta de pressão arterial (PA) recomendada, com vistas à redução da morbidade e mortalidade, requerem conhecimentos e abordagens específicos nos contextos da hemodiálise (HD) e da diálise peritoneal (DP). Este documento é a primeira diretriz da Sociedade Brasileira de Nefrologia, elaborada pelos departamentos de Hipertensão e de Diálise, que visa orientar os médicos que prestam assistência em centros de diálise a como manejar pacientes com HAD, de forma integral e individualizada, com base no julgamento crítico das melhores evidências científicas disponíveis e, quando essas são escassas ou indisponíveis, indicar a opinião de especialistas. Os diferentes temas abordados envolvem: a definição (PA pré-HD ≥ 140/90 mmHg e PA pós-HD ≥ 130/80 mmHg), epidemiologia e fisiopatologia; diagnóstico da HAD preferencialmente com medidas da PA fora do ambiente de diálise (PA ≥ 130/80 mmHg); avaliação complementar; metas pressóricas; tratamento não medicamentoso; uso dos anti-hipertensivos mais adequados; situações especiais; e complicações da HAD, predominantemente as cardiovasculares.

Abstract Hypertension in dialysis patients (HTND) has a high prevalence, affecting at least 80% or more of patients, and its management in the nephrology practice is heterogeneous and often empirical. Knowing how to define, understand the pathophysiology, diagnose, monitor and treat with lifestyle changes, and adjust antihypertensive drugs to achieve the recommended blood pressure (BP) target - to reduce morbidity and mortality - requires specific knowledge and approaches within the contexts of hemodialysis (HD) and peritoneal dialysis (PD). This document is the first guideline of the Brazilian Society of Nephrology, developed by the departments of Hypertension and Dialysis. It aims to guide physicians who provide care in dialysis centers on how to manage patients with HTND, in a comprehensive and individualized manner, based on the critical appraisal of the best available scientific evidence. When such evidence is scarce or unavailable, the opinion of specialists should be recommended. The different topics covered include HTND definition (pre-HD BP ≥ 140/90 mmHg and post-HD BP ≥ 130/80 mmHg), epidemiology, and pathophysiology; diagnosis of HTND preferably with BP measurements outside the dialysis setting (BP ≥ 130/80 mmHg); complementary assessment; blood pressure targets; non-pharmacological treatment; use of the most appropriate antihypertensive medications; special situations; and complications of HTND, predominantly cardiovascular ones.

https://doi.org/10.1590/2175-8239-jbn-2024-0033en

Redução dos Níveis de Insulina em Pacientes com Doença de Chagas Aguda na Amazônia Brasileira Tratados com Benznidazol
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Barbosa-Ferreira, João Marcos

; Ortiz, Jessica Vanina

; Pessoa, Fernanda Gallinaro

; Barbosa, Maria das Graças Vale

; Guerra, Jorge Augusto de Oliveira

; Couceiro, Kátia do Nascimento

; Silva, Mônica Regina Hosannah Silva e Monteiro, Matheus Martins Fonseca, Keila Cardoso Barbosa Ramires, Felix Alvarez Ianni, Barbara Maria Mady, Charles Fernandes, Fábio

Arquivos Brasileiros de Cardiologia

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2025, Volume 122 N. 5 elocation e20240621

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

Resumo Fundamento Na região Amazônica, observou-se um aumento considerável no número de casos de doença de Chagas aguda (DCA), resultando em alterações eletrocardiográficas e ecocardiográficas. Os principais mecanismos fisiopatológicos da cardiomiopatia chagásica (CC) incluem a disfunção microvascular, a disfunção do Sistema Nervoso Autônomo (SNA), a agressão direta do parasita e a atividade inflamatória. A doença de Chagas (DC) é um ótimo exemplo de cardiomiopatia inflamatória, capaz de influenciar alterações nos parâmetros metabólicos e no SNA. Há uma escassez de estudos que abordam a medição dos níveis de adipocitocina e insulina em indivíduos com DCA. Objetivo Avaliar os níveis de adiponectina, leptina e insulina antes e após o tratamento da DCA com benznidazol e estabelecer correlações com o SNA e a função cardíaca. Métodos Foram incluídos 28 indivíduos, os quais foram divididos em: grupo controle (GC), com 15 indivíduos, e grupo com DCA, com 13 indivíduos. Todos os indivíduos foram submetidos a um ECG padrão de 12 derivações, ecocardiografia transtorácica completa, avaliação da função autonômica e dos níveis séricos de adiponectina, insulina e leptina. Foi adotado um nível de significância de 5% (valor de p < 0,05). Resultados Os níveis de insulina foram mais baixos no grupo com DCA em comparação com o grupo controle, tanto antes quanto após o tratamento, e apresentaram redução na fase pós-tratamento em comparação com a fase pré-tratamento. Não houve diferença nos níveis de adipocitocinas, leptina e adiponectina entre os grupos. Conclusão Os níveis de insulina foram mais baixos no grupo com DCA em comparação com o grupo controle, tanto antes quanto após o tratamento, e apresentaram redução na fase pós-tratamento em comparação com a fase pré-tratamento. Os níveis de adipocitocinas e insulina não apresentaram correlação significativa com os parâmetros de função cardíaca e do SNA.

Abstract Background In the Amazon region, there has been a significant increase in the number of acute Chagas disease (ACD) leading to electrocardiographic and echocardiographic abnormalities. The main pathophysiological mechanisms involved in Chagas cardiomyopathy (CCM) are microvascular dysfunction, Autonomic Nervous System (ANS) dysfunction, direct parasite aggression, and inflammatory activity. Chagas disease (CD) is a perfect example of inflammatory cardiomyopathy that might influence changes in metabolic parameters and ANS. Studies on the measurement of adipocytokines and insulin levels in humans with ACD are scarce. Objective To evaluate adiponectin, leptin and insulin levels before and after the treatment of ACD with benznidazole and to correlate with ANS and cardiac function. Methods Twenty-eight subjects were divided into groups: control group (CG), with 15 subjects, and ACD group, with 13 subjects. All subjects underwent a standard 12-lead ECG, comprehensive transthoracic echocardiographic, evaluation of autonomic function and serum adiponectin, insulin and leptin levels. A level of significance of 5% (p-value < 0,05) was used. Results Insulin levels were lower in the ACD group both before and after the treatment when compared to the control group and lower in the post-treatment phase when compared to the pre-treatment phase. Adipocytokine, leptin and adiponectin levels showed no differences between groups. Conclusion Insulin levels were lower in the ACD group both before and after the treatment when compared to the control group and lower in the post-treatment phase when compared to the pre-treatment phase. There was no significant correlation between adipocytokine and insulin levels with cardiac function and the ANS parameters.

https://doi.org/10.36660/abc.20240621

ASSOCIATION BETWEEN AFFECTIVE TEMPERAMENT AND MORBID OBESITY IN BARIATRIC SURGERY CANDIDATES: A CASE-CONTROL STUDY
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MOUSFI, Alexandre Karam Joaquim

; MAUER, Sivan

; NASSIF, Paulo Afonso Nunes

; SIGWALT, Marcos Fabiano

; CUENCA, Ronaldo Mafia

; TORRES, Orlando Jorge Martins

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2025, Volume 38 elocation e1884

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

RESUMO RACIONAL: Os temperamentos afetivos fazem parte do espectro dos transtornos do humor e compreendem os conceitos de hipertimia, distimia e ciclotimia. Vários estudos demonstraram uma forte relação entre obesidade e transtornos do humor. OBJETIVOS: O objetivo do presente estudo foi avaliar a frequência de temperamentos afetivos em indivíduos com obesidade mórbida e controles e estabelecer uma possível associação entre temperamentos afetivos e obesidade mórbida. MÉTODOS: O estudo avaliou 106 casos (obesos mórbidos) e 100 controles (não obesos). Para avaliar os temperamentos afetivos foi aplicada a escala TEMPS-Rio de Janeiro. Os sintomas depressivos foram avaliados pela Escala de Avaliação de Depressão de Hamilton, os sintomas de ansiedade pela Escala de Avaliação de Ansiedade de Hamilton e os sintomas maníacos pela Escala de Avaliação de Mania de Young. Para análise univariada e multivariada foram ajustados modelos de Regressão Logística. RESULTADOS: A presença de pelo menos um temperamento afetivo foi de 74,5% no grupo de obesos mórbidos e de 63% no grupo de não obesos. Na comparação entre os dois grupos, a análise estatística do subgrupo etário dos indivíduos com 50 anos ou mais mostrou uma razão de chances de 2,56 (1,07-6,09) para o temperamento hipertímico. CONCLUSÕES: Na faixa etária de 50 anos ou mais, os casos de obesidade mórbida são significativamente mais prováveis (2,56 vezes) de ocorrer em indivíduos com temperamento hipertímico. Entre os três tipos de temperamentos afetivos avaliados, apenas a hipertimia poderia ser fator de risco para obesidade mórbida.

ABSTRACT BACKGROUND: Affective temperaments are part of the spectrum of mood disorders and comprise the concepts of hyperthymia, dysthymia and cyclothymia. Numerous studies have demonstrated a strong relationship between obesity and mood disorders. AIMS: The objective of the present study was to evaluate the frequency of affective temperaments in morbidly obese individuals and controls and to establish a possible association between affective temperaments and morbid obesity. METHODS: The study evaluated 106 cases (morbidly obese) and one hundred controls (non-obese). To assess affective temperaments, the Temperament Evaluation in Memphis Pisa and San Diego - Rio de Janeiro TEMPS-Rio de Janeiro scale was applied. Depressive symptoms were assessed using the Hamilton Depression Rating Scale, anxiety symptoms using the Hamilton Anxiety Rating Scale and manic symptoms using the Young Mania Rating Scale. For univariate and multivariate analysis, logistic regression models were adjusted. RESULTS: The presence of at least one affective temperament was 74.5% in the morbidly obese group and 63% in the non-obese group. When comparing the two groups, the statistical analysis of the age subgroup of individuals aged 50 years or over showed an odds ratio of 2.56 (1.07-6.09) for hyperthymic temperament. CONCLUSIONS: In the age group of 50 years or more, cases of morbid obesity are significantly more likely (2.56 times) to occur in individuals with a hyperthymic temperament. Among the three types of affective temperaments evaluated, only hyperthymia could be a risk factor for morbid obesity.

https://doi.org/10.1590/0102-67202025000015e1884

Socio-emotional competency matrix in nursing education: undergraduate student perspectives
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Leal, Laura Andrian

; Henriques, Silvia Helena

; Cruchinho, Paulo Jorge Marcos

; Silva, Iasmin Gabrielli da

; Gleriano, Josué Souza

; Cassiano, Carolina

Revista Latino-Americana de Enfermagem

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2025, Volume 33 elocation e4482

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

Objetivo construir uma proposta de matriz de competências socioemocionais para discentes de graduação em enfermagem. Método estudo exploratório, descritivo com abordagem qualitativa. Participaram 57 discentes de enfermagem de uma Instituição de Ensino Superior pública. Utilizou-se a técnica de grupo focal e para interpretação dos dados, a análise temática indutiva. Resultados seis competências socioemocionais foram identificadas: Comunicação Assertiva; Receptividade; Adaptabilidade; Trabalho em Equipe; Inteligência Emocional e Liderança Compartilhada. Além disso, o reconhecimento de comportamentos/atitudes associados tornou possível construir uma matriz. Estratégias para o desenvolvimento das competências foram citadas, como: acolhimento dos docentes, participação em ligas acadêmicas, projetos de pesquisa e oficinas como iniciativas da pós-graduação. Conclusão a matriz de competências socioemocionais para discentes de enfermagem deve auxiliar gestores de saúde e centros formadores na elaboração de projetos pedagógicos orientados para formação baseada em competências.

Objective to develop a socioemotional competency matrix proposal for undergraduate nursing students. Method this exploratory, descriptive study used a qualitative approach. Fifty-seven nursing students from a public higher education institution participated. Data were collected through focus groups and analyzed using inductive thematic analysis. Results six socioemotional competencies were identified: Assertive Communication, Receptivity, Adaptability, Teamwork, Emotional Intelligence, and Shared Leadership. Additionally, recognizing associated behaviors/attitudes enabled the construction of the matrix. Strategies for competency development were mentioned, such as teacher support, participation in academic leagues, research projects, and workshops as initiatives from graduate programs. Conclusion the socio-emotional competency matrix for nursing students should assist health care managers and training centers in designing competency-based educational projects.

Objetivo crear una propuesta de matriz de competencias socioemocionales para estudiantes de grado en enfermería. Método estudio exploratorio, descriptivo con enfoque cualitativo. Participaron 57 estudiantes de enfermería de una Institución de Educación Superior pública. Se utilizó la técnica de grupo focal y para la interpretación de los datos se utilizó el análisis temático inductivo. Resultados se identificaron seis competencias socioemocionales: Comunicación Asertiva; Receptividad; Adaptabilidad; Trabajo en equipo; Inteligencia Emocional y Liderazgo Compartido. Además, el reconocimiento de comportamientos/actitudes asociados permitió crear una matriz. Se mencionaron estrategias para desarrollar las competencias, tales como: recepción de los docentes, participar en ligas académicas, proyectos de investigación y talleres como iniciativas de posgrado. Conclusión la matriz de competencias socioemocionales para estudiantes de enfermería debe ayudar a los gestores de salud y a las instituciones de formación a desarrollar proyectos pedagógicos orientados a la formación basada en competencias.

https://doi.org/10.1590/1518-8345.7489.4482

Evaluation of the Uncertainty in the Measurement of Nanoparticle Size and Concentration by Single Particle Inductively Coupled Plasma Mass Spectrometry Technique
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Geraldes, Adriana N.

; Hortellani, Marcos A.

; Rostelato, Maria Elisa C. M. Sarkis, Jorge E. S.

Journal of the Brazilian Chemical Society

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2025, Volume 36 N. 5 elocation e-20250011

Abstract: En | Text: En | PDF: En

Single-particle inductively coupled plasma-mass spectrometry (sp-ICP-MS) is a powerful technique that enables the simultaneous measurement of nanoparticle size and the quantification of metal-containing nanoparticles at real concentrations. These measurements are critical for understanding the potential uses of nanoparticles in various fields. However, sp-ICP-MS is not yet considered a mature methodology. Standardization is necessary, particularly in assessing the reliability of size distribution measurements. This study aims to standardize sp-ICP-MS by assessing the reliability of size distribution measurements for polyvinylpyrrolidone-coated silver nanoparticles and quantifying the input quantities contributing to uncertainties. The uncertainties in calibration, repeatability, and trueness were evaluated based on the thresholds defined by International Organization for Standardization (ISO) standards. Calibration uncertainty was found to be 8.1%, while repeatability was 0.04%, both within the stipulated range of less than 10%. The expanded uncertainty was calculated to be 17%, with a 95% coverage probability for the reference material. Limits of detection (LOD) and quantification (LOQ) for dissolved concentration, particles per mL, and size were determined to be 0.37 μg L–1, 97.5 particles mL–1, and 24.6 nm, respectively. These results demonstrate that the reliability and repeatability of sp-ICP-MS meet ISO-defined thresholds, suggesting that with further standardization, sp-ICP-MS could become a reliable methodology for nanoparticle analysis.

https://doi.org/10.21577/0103-5053.20250011

Joint statement on evidence-based practices in mechanical ventilation: suggestions from two Brazilian medical societies
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Ferreira, Juliana Carvalho

; Vianna, Arthur Oswaldo de Abreu

; Pinheiro, Bruno Valle

; Maia, Israel Silva

; Baldisserotto, Sérgio Vasconcellos

; Isola, Alexandre Marini

; Cavalcanti, Alexandre Biasi Gama, Ana Maria Casati Nogueira da Rocha, Angelo Roncalli Miranda Oliveira, Antonio Gonçalves de Serpa Neto, Ary Farias, Augusto Manoel de Carvalho Orlando, Bianca Rodrigues Esteves, Bruno da Costa Mazza, Bruno Franco Silveira, Camila de Freitas Martins Soares Carvalho, Carlos Roberto Ribeiro de Toufen Junior, Carlos Barbas, Carmen Silvia Valente Teixeira, Cassiano Silveira, Débora Dutra da Medeiros, Denise Machado Parolo, Edino Costa, Eduardo Leite Vieira Caser, Eliana Bernadete Oliveira, Ellen Pierre de Banholzer, Eric Grieger Carvalho, Erich Vidal Amorim, Fabio Ferreira Saddy, Felipe Gonçalves, Fernanda Alves Ferreira Galas, Filomena Regina Barbosa Gomes Zanatta, Giovanna Carolina Gardini Silva, Gisele Sampaio Westphal, Glauco Adrieno Matos, Gustavo Faissol Janot de Souza, João Claudio Emmerich de Silva Junior, João Manoel Valiatti, Jorge Luis dos Santos Nascimento Junior, José Ribamar do Rocco, Jose Rodolfo Hajjar, Ludhmila Abrahão Forgiarini Junior, Luiz Alberto Malbuisson, Luiz Marcelo Sá Holanda, Marcelo Alcantara Amato, Marcelo Britto Passos Park, Marcelo Oliveira, Marco Antonio da Rosa e Reis, Marco Antonio Soares Tavares, Marcos Soares Souza, Mario Henrique Dutra de Damasceno, Marta Cristina Pauleti Lira-Batista, Marta Maria da Silva Pattacini, Max Morais Assunção, Murillo Santucci Cesar de Oliveira, Neymar Elias de Franzosi, Oellen Stuani Rocco, Patricia Rieken Macedo Caruso, Pedro Silva, Pedro Leme Mendes, Pedro Vitale Duarte, Pericles Almeida Delfino Santa Neto, Renato Fabio Alberto Della Rodrigues, Ricardo Goulart Cordioli, Ricardo Luiz Palazzo, Roberta Fittipaldi Goldwasser, Rosane Pinheiro, Sabrina dos Santos Justino, Sandra Regina Nemer, Sergio Nogueira Oliveira, Vanessa Martins de Silva, Vinicius Zacarias Maldaner da Nedel, Wagner Luis Bellissimo-Rodrigues, Wanessa Teixeira Oliveira Filho, Wilson de

Critical Care Science

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2025, Volume 37 elocation e20250242en

Abstract: En | Text: En | PDF: En

ABSTRACT Mechanical ventilation can be a life-saving intervention, but its implementation requires a multidisciplinary approach, with an understanding of its indications and contraindications due to the potential for complications. The management of mechanical ventilation should be part of the curricula during clinical training; however, trainees and practicing professionals frequently report low confidence in managing mechanical ventilation, often seeking additional sources of knowledge. Review articles, consensus statements and clinical practice guidelines have become important sources of guidance in mechanical ventilation, and although clinical practice guidelines offer rigorously developed recommendations, they take a long time to develop and can address only a limited number of clinical questions. The Associação de Medicina Intensiva Brasileira and the Sociedade Brasileira de Pneumologia e Tisiologia sponsored the development of a joint statement addressing all aspects of mechanical ventilation, which was divided into 38 topics. Seventy-five experts from all regions of Brazil worked in pairs to perform scoping reviews, searching for publications on their specific topic of mechanical ventilation in the last 20 years in the highest impact factor journals in the areas of intensive care, pulmonology, and anesthesiology. Each pair produced suggestions and considerations on their topics, which were presented to the entire group in a plenary session for modification when necessary and approval. The result was a comprehensive document encompassing all aspects of mechanical ventilation to provide guidance at the bedside. In this article, we report the methodology used to produce the document and highlight the most important suggestions and considerations of the document, which has been made available to the public in Portuguese.

https://doi.org/10.62675/2965-2774.20250242-en

Amphisbaenians and lizards of the Pernambuco Endemism Center: species richness, sampling gaps, and conservation status in one of the most threatened regions of the Atlantic Forest
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DUBEUX, MARCOS JORGE M.

; SOUZA, UBIRATÃ F.

; LOURENÇO-DE-MORAES, RICARDO

; PEREIRA-FILHO, GENTIL A.

; SALES, RAUL F.D.

; DELFIM, FAGNER R.

; FRANÇA, FREDERICO GUSTAVO R.

; FREITAS, MARCO ANTÔNIO DE

; ÁVILA, ROBSON WALDEMAR

; LION, MARÍLIA B.

; FREIRE, ELIZA MARIA X.

; TORQUATO, SELMA

; MOURA, GERALDO JORGE B. DE

; GARDA, ADRIAN ANTONIO

; MESQUITA, DANIEL O.

; MOTT, TAMÍ

; NUNES, PEDRO M. SALES

Anais da Academia Brasileira de Ciências

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2025, Volume 97 N. 1 elocation e20240284

Abstract: En | Text: En | PDF: En

Abstract In this study, we integrated data from more than 30 years of inventories available in the main herpetological collections of the Pernambuco Endemism Center (PEC), northern Atlantic Forest. We aimed to reduce the Wallacean shortfall of amphisbaenians and lizards (non-snake squamates) in the region, to provide distribution maps of all species, and to direct future survey efforts and conservation strategies in one of the most threatened portions of the Atlantic Forest. The species list was based exclusively on records associated with vouchers from localities in the PEC and transition zones. We recorded 50 species of non-snake squamates in the PEC, distributed across 97 municipalities in four states. Among the species registered in the PEC, seven are topotypical, five are endemic and three are considered threatened with extinction. Only 35% of the municipalities in the PEC have at least one individual deposited in the herpetological collections analyzed and of these only 35% have more than ten species registered. The most representative areas are concentrated in the coastal portion of the PEC, and arranged in four main zones. These zones mainly overlap with areas close to state capitals and around some of the PEC’s protected areas.

https://doi.org/10.1590/0001-3765202520240284

Construction of a middle-range nursing theory for transpersonal home care
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Tonin, Luana

; Lacerda, Maria Ribeiro

; Diogo, Paula Manuela Jorge

; Brandão, Marcos Antônio Gomes

; Wall, Marilene Loewen

; Vale, Paulo Roberto Lima Falcão do

Revista Brasileira de Enfermagem

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2025, Volume 78 N. 1 elocation e20240200

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

RESUMO Objetivos: descrever o desenvolvimento de uma teoria de enfermagem de médio alcance para o cuidado transpessoal domiciliar. Métodos: trata-se de estudo teórico, que utilizou análise de conceito, síntese de afirmação e derivação. Combinou estratégias de dedução teórica com indução, a partir de revisão da literatura e análise de conceito. Resultados: o conceito central foi derivado do referencial teórico da Ciência do Cuidado Unitário de Jean Watson. A síntese das afirmações entre os conceitos conduziu à elaboração da teoria de médio alcance. Foram construídos 14 pressupostos e dez proposições, além de um diagrama representativo da teoria de médio alcance. Considerações Finais: a teoria construída é destinada a contribuir para os cuidados domiciliares, abrangendo as necessidades fisiológicas, psicológicas, socioculturais, desenvolvimentais e espirituais. A validação teórica e empírica é sugerida para confirmar, refutar ou renovar os conceitos, pressupostos e proposições da teoria.

ABSTRACT Objectives: to describe the development of a middle-range nursing theory for transpersonal home care. Methods: this is a theoretical study that used concept analysis, statement synthesis and derivation. It combined theoretical deduction strategies with induction, based on literature review and concept analysis. Results: the central concept was derived from Jean Watson’s Unitary Care Science theoretical framework. The synthesis of the statements between the concepts led to the elaboration of a middle-range theory. Fourteen assumptions and ten propositions were constructed, in addition to a diagram representing the middle-range theory. Final Considerations: the constructed theory is intended to contribute to home care, covering physiological, psychological, sociocultural, developmental and spiritual needs. Theoretical and empirical validation is suggested to confirm, refute or renew the theory concepts, assumptions and propositions.

RESUMEN Objetivos: describir el desarrollo de una teoría de enfermería de rango medio para el cuidado transpersonal domiciliario. Métodos: se trata de un estudio teórico, que utilizó análisis de conceptos, síntesis y derivación de enunciados. Combinó estrategias de deducción teórica con inducción, basadas en revisión de literatura y análisis de conceptos. Resultados: el concepto central se derivó del marco teórico de la Ciencia del Cuidado Unitario de Jean Watson. La síntesis de enunciados entre conceptos condujo a la elaboración de la teoría de rango medio. Se construyeron 14 supuestos y diez proposiciones, además de un diagrama que representa la teoría de rango medio. Consideraciones Finales: la teoría construida pretende contribuir al cuidado domiciliario, cubriendo necesidades fisiológicas, psicológicas, socioculturales, de desarrollo y espirituales. Se sugiere validación teórica y empírica para confirmar, refutar o renovar los conceptos, supuestos y proposiciones de la teoría.

https://doi.org/10.1590/0034-7167-2024-0200

10.

Safety of two-dose schedule of COVID-19 adsorbed inactivated vaccine (CoronaVac; Sinovac/Butantan) and heterologous additional doses of mRNA BNT162b2 (Pfizer/BioNTech) in immunocompromised and immunocompetent individuals
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Miyaji, Karina Takesaki

; Ibrahim, Karim Yaqub

; Infante, Vanessa

; Moreira, Raquel Megale

; Santos, Carolina Ferreira dos Belizário, Juliana de Cássia Pinto, Maria Isabel de Moraes Marinho, Ana Karolina Barreto Berselli Pereira, Juliana Marquezi Mello, Liliane Saraiva de Silva, Vitor Gabriel Lopes da Sato, Paula Keiko Strabelli, Tânia Mara Varejão Ragiotto, Lucas Pacheco, Pedro Henrique Theotonio de Mesquita Braga, Patricia Emilia Loch, Ana Paula Precioso, Alexander Roberto Sartori, Ana Marli Christovam França, João Ítalo Lima, Marcos Alves de Ando, Mauricio Cesar Sampaio Rodrigues, Camila Cristina Martini Song, Alice Tung Wan Lara, Amanda Nazareth Belizário, Ana Cristina Lima, Anna Helena Simões Bortulucci de Zanetti, Ariane Cristina Barboza Paulo, Audrey Rose da Silveira Amancio de Rosa, Barbara Miranda dos Santos Moraes, Bruna Del Guerra de Carvalho Oliveira, Bruna Ribeiro de Picone, Camila de Melo Aranda, Carolina Sanches Troli, Carolinne Paioli Kokron, Cristina M. Terrabuio, Debora Raquel Benedita Abdala, Edson David Neto, Elias Nakanishi, Érika Yoshie Shimoda Lima, Fabiana Mascarenhas Souza Firmino, Fabio Batista Santos, Fernanda Barone Alves dos Bacal, Fernando Fatobene, Giancarlo Santana, Jaqueline Oliveira Kalil, Jorge Barbosa, Julia Gonçalves, Leandro Peres Otuyama, Leonardo Jun Pierrotti, Ligia Camera Compte, Livia Caroline Mariano Marinho, Livia Chaer, Livia Netto Seguro, Luis Fernando Azevedo, Luiz Sergio Ueda, Márcia Aiko Terreri, Maria Teresa Barros, Myrthes Anna Maragna Toledo Grecco, Octávio Sejas, Odeli Nicole Encinas Musqueira, Priscila Tavares Ito, Raquel Keiko de Luca Teixeira, Samia Silveira Souza Fidalgo, Serafim Costa, Silvia Figueiredo Campos, Silvia Vidal Fernandes, Tamiris Hinsching Rocha, Vanderson Geraldo Coelho, Vivian Caso

Revista do Instituto de Medicina Tropical de São Paulo

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2025, Volume 67 elocation e2

Abstract: En | Text: En | PDF: En

ABSTRACT Immunocompromised individuals were considered high-risk for severe disease due to SARS COV-2 infection. This study aimed to describe the safety of two doses of COVID-19 adsorbed inactivated vaccine (CoronaVac; Sinovac/Butantan), followed by additional doses of mRNA BNT162b2 (Pfizer/BioNTech) in immunocompromised (IC) adults, compared to immunocompetent/healthy (H) individuals. This phase 4, multicenter, open label study included solid organ transplant and hematopoietic stem cell transplant recipients, cancer patients and people with inborn errors of immunity with defects in antibody production, rheumatic, end-stage chronic kidney or liver disease, who were enrolled in the IC group. Participants received two doses of CoronaVac and additional doses of mRNA BNT162b2. Adverse reactions (AR) data were collected within seven days after each vaccination. Serious adverse events and of special interest (AESI) were monitored throughout the study. We included 241 immunocompromised and 100 immunocompetent subjects. Arthralgia, fatigue, myalgia, and nausea were more frequent in the IC group after CoronaVac. Following the first additional dose of mRNA BNT162, pain, induration, and tenderness at injection site, fatigue and myalgia were more frequent in the H group. A heart transplant recipient had a graft rejection temporally associated with the second CoronaVac dose, but there was no literature evidence of causal association. Four cases of AESI were considered related to the vaccine: three erythema multiforme after CoronaVac, all in IC participants, and one paresthesia after mRNA, in a H participant. Our findings were comparable to other studies that evaluated the safety of COVID-19 vaccines in different immunocompromised populations. Both vaccines were safe for immunocompromised participants.

https://doi.org/10.1590/s1678-9946202567002

11.

Innovation in organizational and educational strategies for undergraduate/graduate nursing: a qualitative approach
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Silva, Marcelle Miranda da

; Thiago, Thayna de Assis Barros S.

; Baixinho, Cristina Rosa Soares Lavareda

; Cruchinho, Paulo Jorge Marcos

; Rossi, Bárbara Menezes Couto de Oliveira Santi

; Silva, Ítalo Rodolfo

; Campos, Juliana Faria

Revista Brasileira de Enfermagem

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2025, Volume 78 N. 2 elocation e20240278

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

RESUMO Objetivos: analisar a abordagem da inovação nas estratégias organizacionais e de ensino de graduação e pós-graduação em enfermagem na perspectiva dos discentes. Métodos: estudo qualitativo, descritivo, desenvolvido com 19 participantes, incluindo alunos de iniciação científica, de pós-graduação Stricto Sensu e egressos de um mesmo programa de pós-graduação acadêmico no Rio de Janeiro. Foram aplicadas entrevistas semiestruturadas e realizada análise temática, respeitando-se os aspectos éticos. Resultados: três categorias foram desenvolvidas: Desenho do currículo e técnicas de ensino e pesquisa; Avaliação de ensino e ambiente de aprendizagem; Cultura de inovação e resultados esperados. Essas categorias englobaram estratégias para impulsionar a inovação, com ênfase em mudanças nos currículos e nas técnicas de ensino, visando fomentar o pensamento crítico, as competências de resolução de problemas e a prática baseada em evidências. Considerações Finais: as estratégias destacadas incluem: formação interdisciplinar, utilização de ferramentas de inovação, catalisadores para a tradução do conhecimento, capacitação docente e participação dos alunos no ecossistema de inovação.

RESUMEN Objetivos: analizar el enfoque de la innovación en las estrategias organizacionales y de enseñanza de pregrado y posgrado en enfermería desde la perspectiva de los estudiantes. Métodos: estudio cualitativo, descriptivo, desarrollado con 19 participantes, incluyendo estudiantes de iniciación científica, de posgrado Stricto Sensu y egresados de un mismo programa de posgrado académico en Río de Janeiro. Se realizaron entrevistas semiestructuradas y un análisis temático, respetando los aspectos éticos. Resultados: se desarrollaron tres categorías: Diseño curricular y técnicas de enseñanza e investigación; Evaluación de la enseñanza y del entorno de aprendizaje; Cultura de innovación y resultados esperados. Estas categorías abarcaron estrategias para impulsar la innovación, con énfasis en cambios en los currículos y en las técnicas de enseñanza, buscando fomentar el pensamiento crítico, las competencias para la resolución de problemas y la práctica basada en evidencia. Consideraciones Finales: las estrategias destacadas incluyen la formación interdisciplinaria, el uso de herramientas de innovación, catalizadores para la traducción del conocimiento, la capacitación docente y la participación de los estudiantes en el ecosistema de innovación.

ABSTRACT Objectives: to analyze the approach to innovation in organizational and educational strategies for undergraduate and graduate nursing from the perspective of students. Methods: this qualitative, descriptive study was conducted with 19 participants, including scientific initiation students, Stricto Sensu graduate students, and alumni from a single academic postgraduate program in Rio de Janeiro. Semi-structured interviews were conducted, and thematic analysis was performed while adhering to ethical guidelines. Results: three categories emerged: Curriculum Design and Teaching and Research Techniques; Teaching Evaluation and Learning Environment; and Culture of Innovation and Expected Outcomes. These categories encompassed strategies aimed at driving innovation, with a focus on curricular and teaching method changes to foster critical thinking, problem-solving skills, and evidence-based practice. Final Considerations: highlighted strategies include interdisciplinary training, the utilization of innovative tools, catalysts for knowledge translation, faculty training, and student engagement within the innovation ecosystem.

https://doi.org/10.1590/0034-7167-2024-0278

12.

A implementação da Política de Saúde do Homem no estado do Rio de Janeiro, Brasil: desafios e perspectivas
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Lyra, Jorge

; Medrado, Benedito

; Campos, Daniel de Souza

; Fonseca, Vanessa do Nascimento

; Nascimento, Marcos

Interface - Comunicação, Saúde, Educação

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2025, Volume 29 Suppl. 1 elocation e240373

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

https://doi.org/10.1590/interface.240373

13.

Threats and Overcoming Behaviors Experienced by Women Entrepreneurs
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Nassif, Vania Maria Jorge

; Hashimoto, Marcos

; Borges Junior, Cândido Vieira

; Lima, Edmilson de Oliveira

; Falce, Jefferson Lopes La

BAR - Brazilian Administration Review

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2025, Volume 22 N. 1 elocation e240157

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: this article aims to identify threats experienced by women entrepreneurs and describe the behaviors they use to overcome them so they can continue developing their businesses. Methods: the research is qualitative, exploratory in nature, and semi-structured interviews were used for data collection. Sixty-five entrepreneurs in the Network of Women Entrepreneurs in Brazil participated in the study. Using the Atlas.ti software, a lexicographic analysis identified three types of threats (role conflicts, affective, and patriarchy) and three overcoming behaviors (dialogue and negotiation, use of male vigor network, and resilience). Results: the findings describe the adverse, hostile, and embarrassing conditions women entrepreneurs face in running their businesses and suggest a typology of threats and behaviors to overcome such conditions. Conclusions: this study contributes to the body of research on female entrepreneurship by identifying categories of threats unique to women entrepreneurs. A more comprehensive understanding of this reality contributes not only to better individual actions but also to inspiring the creation of public policies to help women in the continuity and survival of their businesses.

https://doi.org/10.1590/1807-7692bar2025240157

14.

A Revolução de 1930 no romance brasileiro
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Vinícius Teixeira, Marcos

Alea: Estudos Neolatinos

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2025, Volume 27 N. 2 elocation e68365

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

Abstract In 20th century Brazilian literature, the 1930 Revolution is represented in different works. In fictional prose, there are important novels, such as S. Bernardo, by Graciliano Ramos; João Ternura, by Aníbal Machado; Olhai os lírios do campo, by Erico Verissimo; and O país do carnaval by de Jorge Amado. Historians have always addressed the 1930 Revolution as an event that reorganized Brazil’s political power without promoting a relevant social change. Despite that, literary criticism has never studied its presence in Brazilian fiction, even though that historical event is repeatedly mentioned in texts written by scholars. This paper explores how the 1930 Revolution is represented in the four novels mentioned above while also seeking to bring them closer together based on historical time. In order to do so, we used studies by Candido (1969; 2000), Lafetá (2000; 2004), Fausto (1997), and Camargo (1983), among others.

Resumo Na literatura brasileira do século XX, há uma série de livros nos quais a Revolução de 1930 aparece representada. Na prosa ficcional, encontramos romances importantes como S. Bernardo, de Graciliano Ramos, João Ternura, de Aníbal Machado, Olhai os lírios do campo, de Erico Verissimo, e O país do carnaval, de Jorge Amado. Sempre abordada pelos historiadores como um acontecimento que reorganizou o poder político brasileiro, sem realizar uma mudança relevante nas camadas sociais, a presença da revolução na ficção brasileira não tem sido estudada pela crítica literária, embora a menção do fato histórico seja recorrente nos textos de estudiosos. O propósito deste trabalho é investigar a representação da Revolução de 1930 nos quatro romances mencionados, buscando também aproximá-los em função do tempo histórico. Para a realização desse trabalho, recorremos aos estudos de Candido (1969; 2000), Lafetá (2000; 2004), Fausto (1997), e Camargo (1983), entre outros.

Resumen En la literatura brasileña del siglo XX, la Revolución de 1930 aparece representada en una serie de libros. En la prosa de ficción, encontramos novelas importantes, como S. Bernardo, de Graciliano Ramos, João Ternura, de Aníbal Machado, Olhai os lírios do campo, de Erico Verissimo y O país do carnaval, de Jorge Amado. Siempre abordada por los historiadores como un evento que reorganizó el poder político brasileño, sin realizar un cambio relevante en los estratos sociales, la presencia de la revolución en la ficción brasileña no ha sido estudiada por la crítica literaria, aunque la mención del hecho histórico sea recurrente en los textos de los especialistas. El objetivo de este trabajo es investigar la representación de la Revolución de 1930 en las cuatro novelas mencionadas, buscando también aproximarlas en función del tiempo histórico. Para la realización de este trabajo, fueron utilizados los estudios de Candido (1969; 2000), Lafetá (2000; 2004), Fausto (1997); Camargo (1983), entre otros.

https://doi.org/10.1590/1517-106x/2025e68365

15.

Efecto de abonos orgánicos complementados con fertilizantes foliares químicos sobre la morfología del cultivo Hibiscus esculentus Linn en la Amazonía ecuatoriana
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Muñoz-Rengifo, Julio César

; Alba Rojas, Jorge Luis

; Freile Almeida, Jorge

; Heredia Rengifo, Marcos Gerardo

; Torres Navarrete, Segundo Bolier

Siembra

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dec 2024, Volume 11 N. 2 elocation e5790

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

Abstract Okra (Hibiscus esculentus) is an annual herbaceous and non-traditional vegetable with high nutritional value and health benefits. Despite its importance, the lack of information on its cultivation in this region has led many Amazonian farmers to manage it empirically, combining foliar chemical fertilizers with organic fertilizers without a scientific basis for determining the most suitable combination. In this context, the objective of this research was to evaluate the impact of applying compost and chicken manure combined with foliar chemical fertilizers (Stimufol and Kristalon) on the development of aerial morphological traits of Hibiscus esculentus crops under field conditions in the Amazonian region of Ecuador. The experiment was conducted at the Experimental Center for Amazonian Research and Production of the Universidad Estatal Amazónica, using a completely randomized block design with two factors: organic fertilization and chemical foliar fertilization. Key morphological variables of the crop were evaluated, such as plant height, stem base diameter, number of leaves, petiole length, and leaf length and width. The results showed that plants treated with organic compost and chemical fertilizer Stimufol showed a significant increase in all morphological measurements compared to the other treatments. Finally, the combination of Stimufol and compost plays a crucial role in the development of okra's morphological attributes, while the absence of this treatment did not affect said attributes.

Resumen La okra (Hibiscus esculentus) es una planta herbácea anual y hortaliza "no tradicional" de gran valor nutricional y beneficios para la salud. A pesar de su importancia, la falta de información sobre su cultivo en esta región ha llevado a muchos agricultores amazónicos a gestionarla de forma empírica, combinando fertilizantes químicos foliares con abonos orgánicos sin una base científica para determinar la combinación más adecuada. En este contexto, el objetivo de esta investigación fue evaluar el impacto de la aplicación de compost y gallinaza combinado con fertilizantes químicos foliares Stimufol y Kristalon en el desarrollo de los rasgos morfológicos aéreos del cultivo Hibiscus esculentus, en condiciones de campo, en la región amazónica de Ecuador. El experimento se llevó a cabo en el Centro Experimental de Investigación y Producción Amazónica de la Universidad Estatal Amazónica, utilizando un diseño de bloque completamente al azar con dos factores: fertilización orgánica y fertilización foliar química. Se evaluaron variables morfológicas clave del cultivo, como altura de la planta, diámetro en la base del tallo, número de hojas, longitud del peciolo, longitud y ancho de la hoja. Los resultados demostraron que las plantas tratadas con abono orgánico compost y fertilizante químico Stimufol mostraron un notable incremento en todas las mediciones morfológicas en comparación con los otros tratamientos. Finalmente, la combinación de Stimufol y compost juega un papel esencial en el desarrollo de los atributos morfológicos de la okra, mientras que la falta de este tratamiento no tuvo efecto en dichos atributos.

https://doi.org/10.29166/siembra.v11i2.5790

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