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1.
Post-acute COVID-19 in three doses vaccinated autoimmune rheumatic diseases patients: frequency and pattern of this condition
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Silva, Clovis Artur
; Kupa, Leonard de Vinci Kanda
; Medeiros-Ribeiro, Ana Cristina
; Pasoto, Sandra Gofinet
; Saad, Carla Gonçalves Schahin
; Yuki, Emily Figueiredo Neves
; Landim, Joaquim Ivo Vasques Dantas
; Léda, Victor Hugo Ferreira e
; Correia, Luisa Sacchi de Camargo
; Sartori, Artur Fonseca
; Martins, Carolina Campagnoli Machado Freire
; Ribeiro, Carolina Torres
; Waridel, Filipe
; Martins, Victor Adriano de Oliveira
; Shinjo, Samuel Katsuyuki
; Andrade, Danieli Castro Oliveira
; Sampaio-Barros, Percival Degrava
; Borba Neto, Eduardo Ferreira
; Aikawa, Nadia Emi
; Bonfa, Eloisa
.
Abstract Background Data on post-acute COVID-19 in autoimmune rheumatic diseases (ARD) are scarce, focusing on a single disease, with variable definitions of this condition and time of vaccination. The aim of this study was to evaluate the frequency and pattern of post-acute COVID-19 in vaccinated patients with ARD using established diagnosis criteria. Methods Retrospective evaluation of a prospective cohort of 108 ARD patients and 32 non-ARD controls, diagnosed with SARS-CoV-2 infection (RT-PCR/antigen test) after the third dose of the CoronaVac vaccine. Post-acute COVID-19 (≥ 4 weeks and > 12 weeks of SARS-CoV-2 symptoms) were registered according to the established international criteria. Results ARD patients and non-ARD controls, balanced for age and sex, had high and comparable frequencies of ≥ 4 weeks post-acute COVID-19 (58.3% vs. 53.1%, p = 0.6854) and > 12 weeks post-acute COVID-19 (39.8% vs. 46.9%, p = 0.5419). Regarding ≥ 4 weeks post-acute COVID-19, frequencies of ≥ 3 symptoms were similar in ARD and non-ARD controls (54% vs. 41.2%, p = 0.7886), and this was also similar in > 12 weeks post-acute COVID-19 (68.3% vs. 88.2%, p = 0.1322). Further analysis of the risk factors for ≥ 4 weeks post-acute COVID-19 in ARD patients revealed that age, sex, clinical severity of COVID-19, reinfection, and autoimmune diseases were not associated with this condition (p > 0.05). The clinical manifestations of post-acute COVID-19 were similar in both groups (p > 0.05), with fatigue and memory loss being the most frequent manifestations. Conclusion We provide novel data demonstrating that immune/inflammatory ARD disturbances after third dose vaccination do not seem to be a major determinant of post-acute COVID-19 since its pattern is very similar to that of the general population. Clinical Trials platform (NCT04754698).
2.
Impact of the COVID-19 pandemic in the treatment of patients with acromegaly in a tertiary center: a wake-up call on the importance of telemedicine
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Nunes, Rafaela de Jesus
; Masullo, Lais Farias
; Lira, Matheus Zaian Rodrigues de Fonseca
; Leite, Cíntia Maria Gomes
; Gomes, Thierry Mendes
; Fontenele, Eveline Gadelha Pereira
; Quidute, Ana Rosa Pinto
; Martins, Manoel Ricardo Alves
.
ABSTRACT Objective: The COVID-19 pandemic has profoundly disrupted health care worldwide. We aimed to evaluate the impact of the first COVID-19 wave on the treatment of our patients with acromegaly. Subjects and methods: A standard questionnaire was systematically applied to all patients and included questions on general health status, whether all laboratory workup had been done, common signs and symptoms of acromegaly, treatment adherence, and previous COVID-19 symptoms and diagnosis. Results: We attempted to contact 136 patients with acromegaly at regular follow-up at our institution and contacted 101 of them successfully. In all, 37% of the patients reported symptoms of acromegaly, which was more common among women. A total of 27 patients were lost to follow-up (including 19 who interrupted treatment during the pandemic) mainly for fear of becoming infected by the SARS-CoV-2. Of these, 24 resumed follow-up after our contact. Conclusions: The current COVID-19 pandemic has strongly impacted the follow-up of patients with acromegaly. Telemedicine can be an important tool to maintain regular treatment in the current or future pandemics.
3.
IMPACTO-MR: um estudo brasileiro de plataforma nacional para avaliar infecções e multirresistência em unidades de terapia intensiva
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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
.
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.
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.
4.
Fatores relacionados à dependência do smartphone em adolescentes de uma região do Nordeste brasileiro
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Nunes, Paula Pessoa de Brito
; Abdon, Ana Paula Vasconcellos
; Brito, Claudiana Batista de
; Silva, Francisco Valter Miranda
; Santos, Ionara Conceição Araújo
; Martins, Daniele de Queiroz
; Meira, Phelipe Maia Fonseca
; Frota, Mirna Albuquerque
.
Resumo Há relatos de efeitos adversos na saúde física e mental dos adolescentes associados ao uso excessivo do smartphone. O objetivo deste artigo é avaliar a dependência do smartphone e os fatores relacionados em adolescentes de uma região do Nordeste brasileiro. Trata-se de estudo transversal realizado em seis Escolas Estaduais de Educação Profissional (EEEPs), na cidade de Fortaleza, Ceará, Brasil, desenvolvido entre setembro e outubro de 2019. Participaram 286 adolescentes, entre 15 e 19 anos, que responderam cinco instrumentos de coleta. Análises bivariada e multivariada foram utilizadas para avaliar os fatores relacionados ao desfecho, pelo SPSS versão 23.0. A dependência do smartphone apresentou prevalência de 70,3%, e mostrava associação com menor idade (OR=0,583; p=0,001), menos horas de sono (OR=0,715; p=0,020), mais tempo de uso no final de semana (OR=1,115; p=0,015), queixa de dor cervical (OR=2,206; p=0,020) e suspeita de transtorno mental comum (OR=1,272; p=0,000). Evidenciou-se elevada dependência do smartphone nos adolescentes da amostra, relacionada a múltiplos fatores. Alerta-se para a importância de campanhas educativas que orientem os adolescentes, pais, educadores e profissionais de saúde para os riscos do uso excessivo de smartphones à saúde dos adolescentes.
Abstract Adverse effects on the physical and mental health of adolescents associated with excessive smartphone use have been reported. This paper aims to assess adolescent smartphone addiction and related factors in a region in Northeastern Brazil. This cross-sectional study was carried out in six State-run Professional Education Schools in Fortaleza, Ceará, Brazil, from September to October 2019 with 286 adolescents aged 15-19 years who completed five data collection instruments. Bivariate and multivariate analyses were performed to assess factors related to the outcome using SPSS version 23.0. Smartphone addiction prevalence rate was 70,3% and was associated with being underage (OR=0,583; p=0,001), fewer sleep hours (OR=0,715; p=0,020), longer use on weekends (OR=1,115; p=0,015), cervical pain (OR=2,206; p=0,020), and suspected common mental disorder (OR=1,272; p=0,000). A high smartphone addiction level was observed among adolescents in the sample and was related to multiple factors. Attention should be drawn to the importance of educational campaigns to guide adolescents, parents, educators, and health professionals about the risks of excessive smartphone use to the health of adolescents.
https://doi.org/10.1590/1413-81232021267.08872021
548 downloads
5.
Multisystem inflammatory syndrome in children (MIS-C) during SARS-CoV-2 pandemic in Brazil: a multicenter, prospective cohort study
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Lima-Setta, Fernanda
; Magalhães-Barbosa, Maria Clara de
; Rodrigues-Santos, Gustavo
; Figueiredo, Elaine Augusta das Neves
; Jacques, Melissa de Lorena
; Zeitel, Raquel de Seixas
; Sapolnik, Roberto
; Borges, Cibelle Teixeira da Siva
; Lanziotti, Vanessa Soares
; Castro, Roberta Esteves Vieira de
; Bellinat, Ana Paula Novaes
; Silva, Thiago Peres da
; Oliveira, Felipe Rezende Caino de
; Reis, Bárbara Carvalho Santos dos
; Castro, Natália Almeida de Arnaldo Silva Rodriguez
; Macedo, João Henrique Garcia Cobas
; Scarlato, Ana Carolina Cabral Pinheiro
; Riveiro, Paula Marins
; Mota, Isabele Coelho Fonseca da
; Lorenzo, Vivian Botelho
; Lucena, Natalia Martins Lima de
; Azevedo, Zina Maria Almeida de
; Cunha, Antonio José L.A.
; Prata-Barbosa, Arnaldo
.
Abstract Objective To describe the clinical, laboratory, and radiological characteristics, as well as the outcomes of children with MIS-C. Method Multicenter, prospective cohort study, conducted in 17 pediatric intensive care units in five states in Brazil, from March to July 2020. Patients from 1 month to 19 years who met the MIS-C diagnostic criteria were included consecutively. Results Fifty-six patients were included, with the following conditions: Kawasaki-like disease (n = 26), incomplete Kawasaki disease (n = 16), acute cardiac dysfunction (n = 10), toxic shock syndrome (n = 3), and macrophage activation syndrome (n = 1). Median age was 6.2 years (IQR 2.4−10.3), 70% were boys, 59% were non-whites, 20% had comorbidities, 48% reported a contact with COVID-19 cases, and 55% had a recent SARS-CoV-2 infection confirmed by RT-PCR and/or serology. Gastrointestinal symptoms were present in 71%, shock symptoms in 59%, and severe respiratory symptoms in less than 20%. -Dimer was increased in 80% and cardiac dysfunction markers in more than 75%. Treatment included immunoglobulin (89%); corticosteroids, antibiotics, and enoxaparin in about 50%; and oseltamivir and antifungal therapy in less than 10%. Only 11% needed invasive mechanical ventilation, with a median duration of five days (IQR 5–6.5). The median length of PICU stay was six days (IQR 5–11), and one death occurred (1.8%). Conclusions Most characteristics of the present MIS-C patients were similar to that of other cohorts. The present results may contribute to a broader understanding of SARS-CoV-2 infection in children and its short-term consequences. Long-term multidisciplinary follow-up is needed, since it is not known whether these patients will have chronic cardiac impairment or other sequelae.
https://doi.org/10.1016/j.jped.2020.10.008
281 downloads
6.
Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS
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Freitas, Flavio Geraldo Rezende de
; Hammond, Naomi
; Li, Yang
; Azevedo, Luciano Cesar Pontes de
; Cavalcanti, Alexandre Biasi
; Taniguchi, Leandro
; Gobatto, André
; Japiassú, André Miguel
; Bafi, Antonio Tonete
; Mazza, Bruno Franco
; Noritomi, Danilo Teixeira
; Dal-Pizzol, Felipe
; Bozza, Fernando
; Salluh, Jorge Ibrahin Figueira
; Westphal, Glauco Adrieno
; Soares, Márcio
; Assunção, Murillo Santucci César de
; Lisboa, Thiago
; Lobo, Suzana Margarete Ajeje
; Barbosa, Achilles Rohlfs
; Ventura, Adriana Fonseca
; Souza, Ailson Faria de
; Silva, Alexandre Francisco
; Toledo, Alexandre
; Reis, Aline
; Cembranel, Allan
; Rea Neto, Alvaro
; Gut, Ana Lúcia
; Justo, Ana Patricia Pierre
; Santos, Ana Paula
; Albuquerque, André Campos D. de
; Scazufka, André
; Rodrigues, Antonio Babo
; Fernandino, Bruno Bonaccorsi
; Silva, Bruno Goncalves
; Vidal, Bruno Sarno
; Pinheiro, Bruno Valle
; Pinto, Bruno Vilela Costa
; Feijo, Carlos Augusto Ramos
; Abreu Filho, Carlos de
; Bosso, Carlos Eduardo da Costa Nunes
; Moreira, Carlos Eduardo Nassif
; Ramos, Carlos Henrique Ferreira
; Tavares, Carmen
; Arantes, Cidamaiá
; Grion, Cintia
; Mendes, Ciro Leite
; Kmohan, Claudio
; Piras, Claudio
; Castro, Cristine Pilati Pileggi
; Lins, Cyntia
; Beraldo, Daniel
; Fontes, Daniel
; Boni, Daniela
; Castiglioni, Débora
; Paisani, Denise de Moraes
; Pedroso, Durval Ferreira Fonseca
; Mattos, Ederson Roberto
; Brito Sobrinho, Edgar de
; Troncoso, Edgar M. V.
; Rodrigues Filho, Edison Moraes
; Nogueira, Eduardo Enrico Ferrari
; Ferreira, Eduardo Leme
; Pacheco, Eduardo Souza
; Jodar, Euzebio
; Ferreira, Evandro L. A.
; Araujo, Fabiana Fernandes de
; Trevisol, Fabiana Schuelter
; Amorim, Fábio Ferreira
; Giannini, Fabio Poianas
; Santos, Fabrício Primitivo Matos
; Buarque, Fátima
; Lima, Felipe Gallego
; Costa, Fernando Antonio Alvares da
; Sad, Fernando Cesar dos Anjos
; Aranha, Fernando G.
; Ganem, Fernando
; Callil, Flavio
; Costa Filho, Francisco Flávio
; Dall´Arto, Frederico Toledo Campo
; Moreno, Geovani
; Friedman, Gilberto
; Moralez, Giulliana Martines
; Silva, Guilherme Abdalla da
; Costa, Guilherme
; Cavalcanti, Guilherme Silva
; Cavalcanti, Guilherme Silva
; Betônico, Gustavo Navarro
; Betônico, Gustavo Navarro
; Reis, Hélder
; Araujo, Helia Beatriz N.
; Hortiz Júnior, Helio Anjos
; Guimaraes, Helio Penna
; Urbano, Hugo
; Maia, Israel
; Santiago Filho, Ivan Lopes
; Farhat Júnior, Jamil
; Alvarez, Janu Rangel
; Passos, Joel Tavares
; Paranhos, Jorge Eduardo da Rocha
; Marques, José Aurelio
; Moreira Filho, José Gonçalves
; Andrade, Jose Neto
; Sobrinho, José Onofre de C
; Bezerra, Jose Terceiro de Paiva
; Alves, Juliana Apolônio
; Ferreira, Juliana
; Gomes, Jussara
; Sato, Karina Midori
; Gerent, Karine
; Teixeira, Kathia Margarida Costa
; Conde, Katia Aparecida Pessoa
; Martins, Laércia Ferreira
; Figueirêdo, Lanese
; Rezegue, Leila
; Tcherniacovsk, Leonardo
; Ferraz, Leone Oliveira
; Cavalcante, Liane
; Rabelo, Ligia
; Miilher, Lilian
; Garcia, Lisiane
; Tannous, Luana
; Hajjar, Ludhmila Abrahão
; Paciência, Luís Eduardo Miranda
; Cruz Neto, Luiz Monteiro da
; Bley, Macia Valeria
; Sousa, Marcelo Ferreira
; Puga, Marcelo Lourencini
; Romano, Marcelo Luz Pereira
; Nobrega, Marciano
; Arbex, Marcio
; Rodrigues, Márcio Leite
; Guerreiro, Márcio Osório
; Rocha, Marcone
; Alves, Maria Angela Pangoni
; Alves, Maria Angela Pangoni
; Rosa, Maria Doroti
; Dias, Mariza D’Agostino
; Martins, Miquéias
; Oliveira, Mirella de
; Moretti, Miriane Melo Silveira
; Matsui, Mirna
; Messender, Octavio
; Santarém, Orlando Luís de Andrade
; Silveira, Patricio Júnior Henrique da
; Vassallo, Paula Frizera
; Antoniazzi, Paulo
; Gottardo, Paulo César
; Correia, Paulo
; Ferreira, Paulo
; Torres, Paulo
; Silva, Pedro Gabrile M. de Barros e
; Foernges, Rafael
; Gomes, Rafael
; Moraes, Rafael
; Nonato filho, Raimundo
; Borba, Renato Luis
; Gomes, Renato V
; Cordioli, Ricardo
; Lima, Ricardo
; López, Ricardo Pérez
; Gargioni, Ricardo Rath de Oliveira
; Rosenblat, Richard
; Souza, Roberta Machado de
; Almeida, Roberto
; Narciso, Roberto Camargo
; Marco, Roberto
; waltrick, Roberto
; Biondi, Rodrigo
; Figueiredo, Rodrigo
; Dutra, Rodrigo Santana
; Batista, Roseane
; Felipe, Rouge
; Franco, Rubens Sergio da Silva
; Houly, Sandra
; Faria, Sara Socorro
; Pinto, Sergio Felix
; Luzzi, Sergio
; Sant’ana, Sergio
; Fernandes, Sergio Sonego
; Yamada, Sérgio
; Zajac, Sérgio
; Vaz, Sidiner Mesquita
; Bezerra, Silvia Aparecida Bezerra
; Farhat, Tatiana Bueno Tardivo
; Santos, Thiago Martins
; Smith, Tiago
; Silva, Ulysses V. A.
; Damasceno, Valnei Bento
; Nobre, Vandack
; Dantas, Vicente Cés de Souza
; Irineu, Vivian Menezes
; Bogado, Viviane
; Nedel, Wagner
; Campos Filho, Walther
; Dantas, Weidson
; Viana, William
; Oliveira Filho, Wilson de
; Delgadinho, Wilson Martins
; Finfer, Simon
; Machado, Flavia Ribeiro
.
RESUMO Objetivo: Descrever as práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras e compará-las com as de outros países participantes do estudo Fluid-TRIPS. Métodos: Este foi um estudo observacional transversal, prospectivo e internacional, de uma amostra de conveniência de unidades de terapia intensiva de 27 países (inclusive o Brasil), com utilização da base de dados Fluid-TRIPS compilada em 2014. Descrevemos os padrões de ressuscitação volêmica utilizados no Brasil em comparação com os de outros países e identificamos os fatores associados com a escolha dos fluidos. Resultados: No dia do estudo, foram incluídos 3.214 pacientes do Brasil e 3.493 pacientes de outros países, dos quais, respectivamente, 16,1% e 26,8% (p < 0,001) receberam fluidos. A principal indicação para ressuscitação volêmica foi comprometimento da perfusão e/ou baixo débito cardíaco (Brasil 71,7% versus outros países 56,4%; p < 0,001). No Brasil, a percentagem de pacientes que receberam soluções cristaloides foi mais elevada (97,7% versus 76,8%; p < 0,001), e solução de cloreto de sódio a 0,9% foi o cristaloide mais comumente utilizado (62,5% versus 27,1%; p < 0,001). A análise multivariada sugeriu que os níveis de albumina se associaram com o uso tanto de cristaloides quanto de coloides, enquanto o tipo de prescritor dos fluidos se associou apenas com o uso de cristaloides. Conclusão: Nossos resultados sugerem que cristaloides são usados mais frequentemente do que coloides para ressuscitação no Brasil, e essa discrepância, em termos de frequências, é mais elevada do que em outros países. A solução de cloreto de sódio 0,9% foi o cristaloide mais frequentemente prescrito. Os níveis de albumina sérica e o tipo de prescritor de fluidos foram os fatores associados com a escolha de cristaloides ou coloides para a prescrição de fluidos.
Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.
https://doi.org/10.5935/0103-507x.20210028
273 downloads
7.
Fatores relacionados à dependência do smartphone em adolescentes de uma região do Nordeste brasileiro
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Nunes, Paula Pessoa de Brito
; Abdon, Ana Paula Vasconcellos
; Brito, Claudiana Batista de
; Silva, Francisco Valter Miranda
; Santos, Ionara Conceição Araújo
; Martins, Daniele de Queiroz
; Meira, Phelipe Maia Fonseca
; Frota, Mirna Albuquerque
.
Resumo Há relatos de efeitos adversos na saúde física e mental dos adolescentes associados ao uso excessivo do smartphone. O objetivo deste artigo é avaliar a dependência do smartphone e os fatores relacionados em adolescentes de uma região do Nordeste brasileiro. Trata-se de estudo transversal realizado em seis Escolas Estaduais de Educação Profissional (EEEPs), na cidade de Fortaleza, Ceará, Brasil, desenvolvido entre setembro e outubro de 2019. Participaram 286 adolescentes, entre 15 e 19 anos, que responderam cinco instrumentos de coleta. Análises bivariada e multivariada foram utilizadas para avaliar os fatores relacionados ao desfecho, pelo SPSS versão 23.0. A dependência do smartphone apresentou prevalência de 70,3%, e mostrava associação com menor idade (OR=0,583; p=0,001), menos horas de sono (OR=0,715; p=0,020), mais tempo de uso no final de semana (OR=1,115; p=0,015), queixa de dor cervical (OR=2,206; p=0,020) e suspeita de transtorno mental comum (OR=1,272; p=0,000). Evidenciou-se elevada dependência do smartphone nos adolescentes da amostra, relacionada a múltiplos fatores. Alerta-se para a importância de campanhas educativas que orientem os adolescentes, pais, educadores e profissionais de saúde para os riscos do uso excessivo de smartphones à saúde dos adolescentes.
Abstract Adverse effects on the physical and mental health of adolescents associated with excessive smartphone use have been reported. This paper aims to assess adolescent smartphone addiction and related factors in a region in Northeastern Brazil. This cross-sectional study was carried out in six State-run Professional Education Schools in Fortaleza, Ceará, Brazil, from September to October 2019 with 286 adolescents aged 15-19 years who completed five data collection instruments. Bivariate and multivariate analyses were performed to assess factors related to the outcome using SPSS version 23.0. Smartphone addiction prevalence rate was 70,3% and was associated with being underage (OR=0,583; p=0,001), fewer sleep hours (OR=0,715; p=0,020), longer use on weekends (OR=1,115; p=0,015), cervical pain (OR=2,206; p=0,020), and suspected common mental disorder (OR=1,272; p=0,000). A high smartphone addiction level was observed among adolescents in the sample and was related to multiple factors. Attention should be drawn to the importance of educational campaigns to guide adolescents, parents, educators, and health professionals about the risks of excessive smartphone use to the health of adolescents.
8.
Medidas regulatórias de proteção da alimentação adequada e saudável no Brasil: uma análise de 20 anos
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Pereira, Tatiane Nunes
; Gomes, Fabio da Silva
; Carvalho, Camila Maranha Paes de
; Martins, Ana Paula Bortoletto
; Duran, Ana Clara da Fonseca Leitão
; Hassan, Bruna Kulik
; Cruz, Joana Indjaian
; Mais, Laís Amaral
; Ferraz, Mariana de Araujo
; Mialon, Mélissa
; Johns, Paula
; Bandeira, Luisete Moraes
.
Medidas regulatórias estão entre as estratégias de promoção da alimentação adequada e saudável preconizadas pela Política Nacional de Alimentação e Nutrição (PNAN). Embora outras ações de promoção da alimentação adequada e saudável tenham avançado no Brasil, essas medidas progridem lentamente. O objetivo do trabalho é identificar e descrever fatores relacionados ao desenvolvimento e à implementação das principais medidas regulatórias de proteção da alimentação adequada e saudável no Brasil nos últimos 20 anos. É um estudo qualitativo documental que avaliou algumas medidas regulatórias de proteção à alimentação adequada e saudável federais, propostas ou em discussão, entre 1999 e 2020. São elas: regulação da publicidade de alimentos; regulação da comercialização de alimentos no ambiente escolar; implantação da rotulagem nutricional frontal obrigatória de alimentos; e tributação de bebidas adoçadas. A maioria das barreiras identificadas foram estratégias de atividade política corporativa protagonizadas pelo setor privado, principalmente, pela indústria de alimentos. Dentre as estratégias de atividade política corporativa utilizadas em diversas etapas dos processos políticos destacam-se: ações judiciais contra a ação do Estado; substituição de políticas sugerindo alternativas voluntárias ou inefetivas; oposição, fragmentação e desestabilização, com busca de apoio da comunidade. No período estudado, nenhuma das medidas foi aprovada. Diante desse cenário, os obstáculos para aprovação das medidas regulatórias de proteção a alimentação adequada e saudável necessitam ser superados no Brasil.
Regulatory measures are among the strategies for the promotion of adequate and healthy diet recommended by the Brazilian National Food and Nutrition Policy (PNAN). Although other actions in the promotion of adequate and healthy diet have made strides in Brazil, regulatory measures have made slow progress. The study aimed to identify and describe factors related to the development and implementation of the principal regulatory measures for the protection of adequate and healthy diet in Brazil in the last 20 years. This qualitative document study assessed a series of federal regulatory measures for the protection of adequate and healthy diet proposed or in discussion from 1999 to 2020. They include the regulation of food advertising, regulation of food product marketing in schools, implementation of mandatory front-of-package labeling on foods, and taxation of sugary drinks. Most of the barriers identified were strategies in corporate political activity led by the private sector, especially by the food industry. The Corporate political activity practices used in the various stages of policy processes include legal actions against the State, substitution of policies (suggesting voluntary or ineffective alternatives), opposition, fragmentation, and destabilization with attempts at support from the community. During the study period, none of the measures was approved. Given this scenario, barriers to the approval of regulatory measures for the protection of adequate and healthy diet need to be overcome in Brazil.
Las medidas regulatorias están entre las estrategias de promoción de la alimentación adecuada y saludable, preconizadas por la Política Nacional de Alimentación y Nutrición (PNAN). A pesar de que otras acciones de promoción de la alimentación adecuada y saludable hayan avanzado en Brasil, esas medidas progresan lentamente. El objetivo del estudio es identificar y describir factores relacionados con el desarrollo y la implementación de las principales medidas regulatorias de protección de la alimentación adecuada y saludable en Brasil durante los últimos 20 años. Se trata de un estudio cualitativo documental, que evaluó algunas medidas regulatorias de protección a las alimentación adecuada y saludable federales, propuestas o en discusión, entre 1999 y 2020. Son las siguientes: regulación de la publicidad de alimentos; regulación de la comercialización de alimentos en el entorno escolar; implementación del etiquetado nutricional frontal obligatorio de alimentos; y tributación de bebidas azucaradas. La mayoría de las barreras identificadas fueron estrategias de actividade política corporativa, protagonizadas por el sector privado, principalmente, por la industria de alimentos. Entre las estrategias de actividade política corporativa utilizadas en diversas etapas de los procesos políticos se destacan: acciones judiciales contra la acción del Estado; sustitución de políticas sugiriendo alternativas voluntarias o inefectivas; oposición, fragmentación y desestabilización, con búsqueda de apoyo de la comunidad. En el periodo estudiado, ninguna de las medidas fue aprobada. Ante este escenario, en Brasil, se necesitan superar los obstáculos para la aprobación de las medidas regulatorias de protección a la alimentación adecuada y saludable.
9.
Medidas regulatórias de proteção da alimentação adequada e saudável no Brasil: uma análise de 20 anos
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Pereira, Tatiane Nunes
; Gomes, Fabio da Silva
; Carvalho, Camila Maranha Paes de
; Martins, Ana Paula Bortoletto
; Duran, Ana Clara da Fonseca Leitão
; Hassan, Bruna Kulik
; Cruz, Joana Indjaian
; Mais, Laís Amaral
; Ferraz, Mariana de Araujo
; Mialon, Mélissa
; Johns, Paula
; Bandeira, Luisete Moraes
.
Medidas regulatórias estão entre as estratégias de promoção da alimentação adequada e saudável preconizadas pela Política Nacional de Alimentação e Nutrição (PNAN). Embora outras ações de promoção da alimentação adequada e saudável tenham avançado no Brasil, essas medidas progridem lentamente. O objetivo do trabalho é identificar e descrever fatores relacionados ao desenvolvimento e à implementação das principais medidas regulatórias de proteção da alimentação adequada e saudável no Brasil nos últimos 20 anos. É um estudo qualitativo documental que avaliou algumas medidas regulatórias de proteção à alimentação adequada e saudável federais, propostas ou em discussão, entre 1999 e 2020. São elas: regulação da publicidade de alimentos; regulação da comercialização de alimentos no ambiente escolar; implantação da rotulagem nutricional frontal obrigatória de alimentos; e tributação de bebidas adoçadas. A maioria das barreiras identificadas foram estratégias de atividade política corporativa protagonizadas pelo setor privado, principalmente, pela indústria de alimentos. Dentre as estratégias de atividade política corporativa utilizadas em diversas etapas dos processos políticos destacam-se: ações judiciais contra a ação do Estado; substituição de políticas sugerindo alternativas voluntárias ou inefetivas; oposição, fragmentação e desestabilização, com busca de apoio da comunidade. No período estudado, nenhuma das medidas foi aprovada. Diante desse cenário, os obstáculos para aprovação das medidas regulatórias de proteção a alimentação adequada e saudável necessitam ser superados no Brasil.
Regulatory measures are among the strategies for the promotion of adequate and healthy diet recommended by the Brazilian National Food and Nutrition Policy (PNAN). Although other actions in the promotion of adequate and healthy diet have made strides in Brazil, regulatory measures have made slow progress. The study aimed to identify and describe factors related to the development and implementation of the principal regulatory measures for the protection of adequate and healthy diet in Brazil in the last 20 years. This qualitative document study assessed a series of federal regulatory measures for the protection of adequate and healthy diet proposed or in discussion from 1999 to 2020. They include the regulation of food advertising, regulation of food product marketing in schools, implementation of mandatory front-of-package labeling on foods, and taxation of sugary drinks. Most of the barriers identified were strategies in corporate political activity led by the private sector, especially by the food industry. The Corporate political activity practices used in the various stages of policy processes include legal actions against the State, substitution of policies (suggesting voluntary or ineffective alternatives), opposition, fragmentation, and destabilization with attempts at support from the community. During the study period, none of the measures was approved. Given this scenario, barriers to the approval of regulatory measures for the protection of adequate and healthy diet need to be overcome in Brazil.
Las medidas regulatorias están entre las estrategias de promoción de la alimentación adecuada y saludable, preconizadas por la Política Nacional de Alimentación y Nutrición (PNAN). A pesar de que otras acciones de promoción de la alimentación adecuada y saludable hayan avanzado en Brasil, esas medidas progresan lentamente. El objetivo del estudio es identificar y describir factores relacionados con el desarrollo y la implementación de las principales medidas regulatorias de protección de la alimentación adecuada y saludable en Brasil durante los últimos 20 años. Se trata de un estudio cualitativo documental, que evaluó algunas medidas regulatorias de protección a las alimentación adecuada y saludable federales, propuestas o en discusión, entre 1999 y 2020. Son las siguientes: regulación de la publicidad de alimentos; regulación de la comercialización de alimentos en el entorno escolar; implementación del etiquetado nutricional frontal obligatorio de alimentos; y tributación de bebidas azucaradas. La mayoría de las barreras identificadas fueron estrategias de actividade política corporativa, protagonizadas por el sector privado, principalmente, por la industria de alimentos. Entre las estrategias de actividade política corporativa utilizadas en diversas etapas de los procesos políticos se destacan: acciones judiciales contra la acción del Estado; sustitución de políticas sugiriendo alternativas voluntarias o inefectivas; oposición, fragmentación y desestabilización, con búsqueda de apoyo de la comunidad. En el periodo estudiado, ninguna de las medidas fue aprobada. Ante este escenario, en Brasil, se necesitan superar los obstáculos para la aprobación de las medidas regulatorias de protección a la alimentación adecuada y saludable.
10.
Calcium partition in Minas Padrão cheese and its bioaccessibility during ripening time
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PEREIRA, João Pablo Fortes
; MAGESTE, Ana Carolina
; CAMPOS, Náira da Silva
; SOUSA, Rafael Arromba de
; FRANCISQUINI, Júlia d’Almeida
; PERRONE, Ítalo Tuler
; CARVALHO, Antônio Fernandes de
; NUNES, Renato Moreira
; MARTINS, Marta Fonseca
; SILVA, Paulo Henrique da Fonseca da
.
Abstract Nutritionally, cheese and other dairy products have been highlighted especially as a calcium source. Access to minerals is dependent on variables related to diet, lifestyle, and also the health status. This study aimed to evaluate the bioaccessibility and calcium partition in Minas Padrão cheese over its ripening period for experimentally obtained samples. The cheese of the study has been manufactured using two different technologies (A and B). Also to evaluate the evolution of pH over cheese ripening and the influence of calcium partitions in its bioaccessibility along the cheese ripening period. The mean values found for total calcium content were (549 mg⋅100 g-1 – A and 644 mg⋅100 g-1 – B). For calcium in the aqueous phase on average 460 mg⋅100 g-1 – A and 404 mg⋅100 g-1 – B. These and other changes found are possibly due to physicochemical and biochemical changes, especially with respect to pH variations. Calcium bioaccessibility decreased in the beginning and then incresed in the end of the ripening period. The results obtained in this work hopefully may allow further studies and the development of products in which calcium bioaccessibility might be indicated on the product`s label accordingly to its ripening time.
https://doi.org/10.1590/fst.12518
536 downloads
11.
Impact of Traumatic Dental Injuries on Oral Health-Related Quality of Life of Preschool Children and Their Families Attending a Dental Trauma Care Program
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Milani, Ana Julia
; Alves, Nathalia Fonseca
; Espirito-Santo, Tiago Martins do
; Ribeiro, Luciana Gonçalves
; Ammari, Michele Mikael
; Antunes, Leonardo Santos
; Antunes, Lívia Azeredo Alves
.
Introdução: Os traumatismos dentários (TD) constituem um problema de saúde pública. Objetivo: O objetivo deste estudo foi detectar o impacto do TD na qualidade de vida relacionada à saúde bucal (QVRSB) de crianças e seus familiares assistidos em Programa de Atendimento ao Traumatismo Dentário (PATD) e avaliar a propriedade psicométrica de um instrumento de QVRSB nessa população. Método: Um estudo do tipo transversal incluindo uma amostra não probabilística de crianças de 2 6 anos de um período de 5 anos de coleta foi realizado. Utilizouse a classificação de Andreasen para avaliar os TD e a versão brasileira do Early Childhood Oral Health Impact Scale (ECOHIS) para detectar o impacto sobre a QVRSB. Baseado no teste de Kolmogorov-Smirnov, o teste t Student foi aplicado para comparar as médias de impacto nos casos de TD complicados e não complicados considerando p < 0,05. Resultados: A amostra final contou com 146 crianças (média de idade de 4,31 ± 1,68). A busca por tratamento foi mediada em 90% dos casos e 56,7% dos TD ocorreram em tecido de suporte. O ECOHIS apresentou propriedades satisfatórias na população empregada (± de Cronbach = 0,83 e teste-reteste/ICC = 0,79). A média do ECOHIS foi 6,79 ± 8,64 na escala total, 4,29 ± 6,46 na subescala criança e 2,50 ± 3,06 na subescala família. Os TD complicados apresentaram maiores escores na escala total (p = 0,036), subescala criança (p = 0,038), domínio sintoma (p = 0,049), domínio função (p = 0,030). Conclusões: O instrumento utilizado foi satisfatório e pode detectar que os TD complicados geraram impacto negativo na QVRSB de crianças e sua família.
Background: Traumatic dental injury (TDI) constitutes a public health problem. - Objective: The objective of this study was to detect the impact of TDI on oral health-related quality of life (OHRQoL) of preschool children in a dental trauma care program and to evaluate the psychometric properties of the OHRQoL instrument in this population. - Methods: A cross-sectional study including a nonprobabilistic sample of 2- to 6-year-old children from a 5-year collection period was performed. We used Andreasen s classification to evaluate TDI and the Brazilian version of the Early Childhood Oral Health Impact Scale (ECOHIS) to assess OHRQoL. Based on the Kolmogorov-Smirnov test, Student s t test was applied to compare the means of impact in the cases of complicated and uncomplicated TDI considering a p value <0.05. - Results: The final sample was composed of 146 children (mean age 4.31 ± 1.68 years). The search for treatment was 90% mediated and 56.7% TDI was in support of tissue. The ECOHIS had satisfactory properties (Cronbach s ± = 0.83 and test-retest/intraclass correlation coefficient = 0.79). The ECOHIS mean was 6.79 ± 8.64 for the total scale, 4.29 ± 6.46 for the child subscale, and 2.50 ± 3.06 for the family subscale. Complicated TDI had a greater impact on OHRQoL in total score ( p = 0.036), child subscale ( p = 0.038), symptoms domain ( p = 0.049), and function domain ( p = 0.030). - Conclusions: The OHRQoL instrument was satisfactory. It was detected that complicated TDI impacts negatively on the OHRQoL of children and their families.
https://doi.org/10.1159/000501525
687 downloads
12.
Multidrug-resistant Klebsiella pneumoniae: genetic diversity, mechanisms of resistance to polymyxins and clinical outcomes in a tertiary teaching hospital in Brazil
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Boszczowski, Icaro
; Salomão, Matias Chiarastelli
; Moura, Maria Luísa
; Freire, Maristela Pinheiro
; Guimarães, Thais
; Cury, Ana Paula
; Rossi, Flávia
; Rizek, Camila Fonseca
; Martins, Roberta Cristina Ruedas
; Costa, Silvia Figueiredo
.
Revista do Instituto de Medicina Tropical de São Paulo
- Journal Metrics
ABSTRACT Increased resistance to polymyxin in Klebsiella pneumoniae (ColRKP) has been observed. Molecular epidemiology, as well as the clinical impact of these difficult to treat pathogens need to be better characterized. We present the clinical outcomes of 28 patients infected by ColRKP in a tertiary hospital. Isolates with MIC >2 by Vitek 2 were confirmed by the microdilution broth test. Polymerase chain reaction (PCR) was performed for blaKPC, blaNDM, blaOXA-48 and blamcr-1 genes in the isolates, and Whole Genome Sequencing (WGS) was performed in six isolates. Seventeen (61%) patients were female and the mean age was 50 years old. In-hospital and 30-day mortality were 64% (18/28) and 53% (15/28), respectively. Central line-associated bloodstream infection in addition to bacteremia episodes due to other sources were the most frequent (61%). Mean APACHE and Charlson comorbidity index were 16 and 5, respectively. Twenty patients (71%) received at least one active drug and ten (35%) received two drugs: tigecycline 46% (13/28); amikacin 21% (6/28) and fosfomycin 3% (1 case). Twenty-six out of 28 tested cases were positive for blaKPC. Eight different clusters were identified. Four STs were detected (ST11, ST23, ST340, and ST437). Mutations on pmrA, arnB, udg, and yciM genes were present in all six isolates submitted to WGS; lpxMand mgrB mutations were also detected in all but one isolate. In conclusion, we observed resistance to polymyxin in severely ill patients mostly from intensive care units and/or immunosuppressed patients with high mortality rates in whom a diversity of ColRKP clusters was identified and might indicate selective pressure.
https://doi.org/10.1590/s1678-9946201961029
2559 downloads
13.
Analysis of the adaptability of black bean cultivars by means of quantile regression
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Barroso, Laís Mayara Azevedo
; Nascimento, Moysés
; Barili, Leiri Daiane
; Nascimento, Ana Carolina Campana
; Vale, Naine Martins do
; Silva, Fabyano Fonseca e
; Carneiro, José Eustáquio de Souza
.
RESUMO: Neste estudo objetivou-se utilizar a regressão quantílica (RQ) para caracterizar o efeito do parâmetro de adaptabilidade ao longo de toda a distribuição da variável produtividade em cultivares de feijão preto lançadas por diferentes instituições nacionais de pesquisa nos últimos 50 anos. Para tanto utilizou-se 40 cultivares desenvolvidas pelos programas brasileiros de melhoramento genético entre os anos de 1959 a 2013. Inicialmente foram ajustados modelos de RQ considerando três quantis (τ=0,2, 0,5, 0,8). Posteriormente, com os intervalos de confiança verificou-se que os modelos quantílicos τ=0,2 e 0,8 (RQ0,2 e RQ0,8) apresentaram diferenças quanto ao parâmetro de adaptabilidade e produtividade média. Finalmente, por meio do agrupamento das cultivares em um dos dois grupos definidos a partir de RQ0,2 e RQ0,8, constatou-se que as cultivares mais novas foram associadas ao quantil τ = 0,8, ou seja, aquelas com maiores produtividades e mais responsivas as condições ambientais indicando que o melhoramento ao longo dos últimos 50 anos possibilitou o incremento tanto na produtividade quanto na adaptabilidade das cultivares.
ABSTRACT: The aim of this study was to use quantile regression (QR) to characterize the effect of the adaptability parameter throughout the distribution of the productivity variable on black bean cultivars launched by different national research institutes (research centers) over the last 50 years. For this purpose, 40 cultivars developed by Brazilian genetic improvement programs between 1959 and 2013 were used. Initially, QR models were adjusted considering three quantiles (τ = 0.2, 0.5 and 0.8). Subsequently, with the confidence intervals, quantile models τ = 0.2 and 0.8 (QR0.2 and QR0.8) showed differences regarding the parameter of adaptability and average productivity. Finally, by grouping the cultivars into one of the two groups defined from QR0.2 and QR0.8, it was reported that the younger cultivars were associated to the quantile τ = 0.8, i.e., those with higher yields and more responsive conditions indicating that genetic improvement over the last 50 years resulted in an increase in both the productivity and the adaptability of cultivars.
https://doi.org/10.1590/0103-8478cr20180045
803 downloads
14.
Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,
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Caldas, Jamil Pedro de Siqueira
; Millen, Fernanda de Castro
; Camargo, Juliana Fernandes de
; Castro, Paula Almeida Cavalcanti
; Camilo, Ana Letícia da Fonseca
; Marba, Sérgio Tadeu Martins
.
Resumo Objetivo: Avaliar a efetividade de um programa de medidas para prevenção de hipotermia à admissão em recém-nascidos pré-termo de muito baixo peso. Métodos: Estudo de intervenção com coleta retrospectiva de dados em unidade neonatal terciária que incluiu todos os recém-nascidos pré-termo de muito baixo peso (< 1.500 g) nascidos e admitidos na unidade. Foram comparados dois períodos: antes da intervenção PI - 01/01/2012 a 28/02/2014 e depois da intervenção PII - 01/04/2014 a 30/11/2016. O mês de março de 2014 foi o início da intervenção. Em PI as medidas em sala de parto foram: recepção em berço de calor radiante, portas sempre fechadas, uso de saco plástico corporal, colocação de dupla touca (plástico e malha) na cabeça, temperatura ambiental entre 24-27 ºC e transporte em incubadora aquecida (36-37,0 ºC). No PII reforçou-se a não abertura do saco plástico durante toda reanimação mesmo que avançada e dados antropométricos e cuidados rotineiros realizados na unidade de internação. Variáveis maternas, de parto e neonatais foram comparadas entre os dois períodos. Hipotermia à admissão foi considerada quando temperatura axilar < 36,0 ºC. Resultados parciais foram apresentados e discutidos com a equipe semestralmente. Resultados: A incidência da Hipotermia à admissão diminuiu significativamente em PII (37,2 x14,2%, p < 0,0001) e a mediana de temperatura foi mais elevada (36,1x36,5º C, p < 0,001). Houve aumento significativo do número de crianças transportadas com oxigênio em PII (49,5 x 75,5%, p < 0,0001). Não houve diferenças para peso ao nascer e idade gestacional. Conclusão: Houve redução acentuada de Hipotermia à admissão e melhora na mediana da temperatura de admissão hospitalar em recém-nascidos pré-termo de muito baixo peso após implantação do protocolo.
Abstract Objective: To evaluate the effectiveness of a thermoregulation bundle for preventing admission hypothermia in very low-birth weight preterm infants. Methods: Interventional study with retrospective evaluation of data undertaken in a tertiary neonatal unit including all very low-birth weight preterm infants (<1500 g) born at and admitted to the unit. Two periods were compared: before intervention (PI; 01/01/2012 to 02/28/2014_ and after intervention (PII; 04/01/2014 to 11/30/2016). The intervention started in March 2014. At PI procedures in the delivery room were: placement in a crib with a radiant heat source, doors always closed, polyethylene body plastic bag, double cap (plastic and cotton mesh), room temperature between 24 to 27 ºC and transport to neonatal unit in a pre-heated incubator (36-37.0 ºC). At PII, there was a reinforcement on not opening the plastic bag during the entire resuscitation process, even at an advanced stage, and the anthropometric measures and routine care were performed in the neonatal unit. Maternal, delivery, and neonatal variables were compared. Admission hypothermia was considered when admission axillary temperature was <36.0 ºC. Periodic results were shown to the team every six months and results were discussed. Results: The incidence of admission hypothermia was reduced significantly in PII (37.2 vs. 14.2%, p < 0.0001) and admission temperature medians were higher (36.1 vs. 36.5 ºC, p < 0.001). At PII, there was an increase in the number of infants transported with oxygen (49.5 vs. 75.5%, p < 0.0001). No differences were observed regarding birth weight and gestational age. Conclusion: There was a very important reduction in admission hypothermia incidence and a higher median admission temperature after continued protocol implementation.
https://doi.org/10.1016/j.jped.2017.06.016
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Histopathological aspects of the liver of free-living and farmed bullfrogs (Lithobates catesbeianus)
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Seixas Filho, José Teixeira de
; Camargo Filho, Claudio Barberini
; Pereira, Marcelo Maia
; Martins, Ana Maria Cristina Rebello Pinto da Fonseca
; Ribeiro Filho, Oswaldo Pinto
; Mello, Sílvia Conceição Reis Pereira
; Cassiano, Luara Lucena
; Hipolito, Marcio
.
ABSTRACT The objective of this study was to compare the histopathological aspects of the liver of free-living and farmed bullfrogs (Lithobates catesbeianus). Thirty liver samples were collected from young and adult bullfrogs in the states of Minas Gerais and Rio de Janeiro, Brazil. Marked blood congestion and even hemorrhage and a large number of melanomacrophages were observed in most of the livers from free-living bullfrogs. Additionally, hepatocytes showed cytoplasmic eosinophilia and some showed nuclear hypertrophy and presence of microvesicular steatosis; small foci of infiltrates of mononuclear cells were observed in some samples, as well as a thicker capsule. In the farmed bullfrogs, cytoplasmic rarefaction was normal. Morphologically, unlike the livers of animals reared on farms, the livers of free-living animals did not show any evidence of protein-mineral deficiency, characterized by cytoplasmic vacuolation and a larger number of melanomacrophages, suggesting greater aggression to the liver parenchyma, probably due to environmental toxicity. Free-living bullfrogs feed on proteins of better biological value, derived from animals preyed in the natural environment.
https://doi.org/10.1590/s1806-92902017000400001
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