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Acute kidney injury: the experience of a tertiary center of Pediatric Nephrology injury
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Figueiredo, Carolina Silva

; Rocha, Ana Margarida Neto da

; Silva, Liane Maria Correia Rodrigues da Costa Nogueira

; Faria, Maria do Sameiro Pinto César de

; Tavares, Teresa Maria Tavares Vieira da Costa

; Mota, Maria da Conceição Oliveira Costa

Brazilian Journal of Nephrology

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sep 2024, Volume 46 N. 3 elocation e20240012

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

ABSTRACT Introduction: Acute kidney injury (AKI) is an abrupt deterioration of kidney function. The incidence of pediatric AKI is increasing worldwide, both in critically and non-critically ill settings. We aimed to characterize the presentation, etiology, evolution, and outcome of AKI in pediatric patients admitted to a tertiary care center. Methods: We performed a retrospective observational single-center study of patients aged 29 days to 17 years and 365 days admitted to our Pediatric Nephrology Unit from January 2012 to December 2021, with the diagnosis of AKI. AKI severity was categorized according to Kidney Disease Improving Global Outcomes (KDIGO) criteria. The outcomes considered were death or sequelae (proteinuria, hypertension, or changes in renal function at 3 to 6 months follow-up assessments). Results: Forty-six patients with a median age of 13.0 (3.5–15.5) years were included. About half of the patients (n = 24, 52.2%) had an identifiable risk factor for the development of AKI. Thirteen patients (28.3%) were anuric, and all of those were categorized as AKI KDIGO stage 3 (p < 0.001). Almost one quarter (n = 10, 21.7%) of patients required renal replacement therapy. Approximately 60% of patients (n = 26) had at least one sequelae, with proteinuria being the most common (n = 15, 38.5%; median (P25–75) urinary protein-to-creatinine ratio 0.30 (0.27–0.44) mg/mg), followed by reduced glomerular filtration rate (GFR) (n = 11, 27.5%; median (P25–75) GFR 75 (62–83) mL/min/1.73 m2). Conclusions: Pediatric AKI is associated with substantial morbidity, with potential for proteinuria development and renal function impairment and a relevant impact on long-term prognosis. Introduction (AKI worldwide noncritically non settings presentation etiology evolution center Methods singlecenter single 2 1 36 201 2021 (KDIGO criteria proteinuria, (proteinuria hypertension followup follow up assessments. assessments . assessments) Results Fortysix Forty six 130 13 0 13. 3.5–15.5 35155 5 15 (3.5–15.5 included n 24 52.2% 522 52 28.3% 283 28 (28.3% anuric p 0.001. 0001 0.001 001 0.001) 10 21.7% 217 21 7 therapy 60 26 38.5% 385 38 P25–75 P2575 P P25 (P25–75 proteintocreatinine protein creatinine 030 30 0.3 0.27–0.44 027044 27 44 (0.27–0.44 mg/mg, mgmg mg/mg , mg mg/mg) (GFR 11 27.5% 275 62–83 6283 62 83 (62–83 mLmin173 mLmin mL min 73 mL/min/1.7 m2. m2 m m2) Conclusions morbidity longterm long term prognosis 20 202 3.5–15. 3515 (3.5–15. 52.2 28.3 (28.3 000 0.00 00 21.7 38.5 P25–7 P257 P2 (P25–7 03 0. 0.27–0.4 02704 4 (0.27–0.4 27.5 62–8 628 8 (62–8 mLmin17 mL/min/1. 3.5–15 351 (3.5–15 52. 28. (28. 0.0 21. 38. P25– (P25– 0.27–0. 0270 (0.27–0. 27. 62– (62– mLmin1 mL/min/1 3.5–1 35 (3.5–1 (28 (P25 0.27–0 027 (0.27–0 (62 mL/min/ 3.5– (3.5– (2 (P2 0.27– 02 (0.27– (6 mL/min 3.5 (3.5 ( (P 0.27 (0.27 3. (3. 0.2 (0.2 (3 (0. (0

RESUMO Introdução: Insuficiência renal aguda (IRA) é uma deterioração abrupta da função renal. A incidência de IRA pediátrica está aumentando em todo o mundo, em ambientes críticos e não críticos. Nosso objetivo foi caracterizar apresentação, etiologia, evolução e desfechos da IRA em pacientes pediátricos internados em um centro de atendimento terciário. Métodos: Realizamos estudo retrospectivo observacional de centro único de pacientes com idade entre 29 dias a 17 anos e 365 dias internados em nossa Unidade de Nefrologia Pediátrica, de janeiro de 2012 a dezembro de 2021, com diagnóstico de IRA. A gravidade da IRA foi categorizada de acordo com os critérios do Kidney Disease Improving Global Outcomes (KDIGO). Os desfechos considerados foram óbito ou sequelas (proteinúria, hipertensão ou alterações na função renal em avaliações de acompanhamento de 3 a 6 meses). Resultados: Incluímos 46 pacientes com idade mediana de 13,0 (3,5–15,5) anos. Cerca de metade (n = 24; 52,2%) apresentou um fator de risco identificável para o desenvolvimento de IRA. Treze pacientes (28,3%) eram anúricos; todos foram classificados como IRA KDIGO 3 (p < 0,001). Quase um quarto (n = 10; 21,7%) dos pacientes necessitaram de terapia renal substitutiva. Aproximadamente 60% (n = 26) apresentou pelo menos uma sequela, sendo proteinúria a mais comum (n = 15; 38,5%; mediana (P25–75) da relação proteína/creatinina urinária 0,30 (0,27–0,44) mg/mg), seguida de taxa de filtração glomerular (TFG) reduzida (n = 11; 27,5%; mediana (P25–75) da TFG 75 (62–83) mL/min/1,73 m2). Conclusões: A IRA pediátrica está associada à morbidade substancial, com potencial para desenvolvimento de proteinúria e comprometimento da função renal e impacto relevante no prognóstico de longo prazo. Introdução (IRA mundo apresentação etiologia terciário Métodos 2 1 36 Pediátrica 201 2021 KDIGO. . (KDIGO) proteinúria, (proteinúria meses. meses meses) Resultados 4 130 13 0 13, 3,5–15,5 35155 5 15 (3,5–15,5 n 24 52,2% 522 52 28,3% 283 28 (28,3% anúricos p 0,001. 0001 0,001 001 0,001) 10 21,7% 217 21 7 substitutiva 60 26 sequela 38,5% 385 38 P25–75 P2575 P P25 (P25–75 proteínacreatinina proteína creatinina 030 30 0,3 0,27–0,44 027044 27 44 (0,27–0,44 mg/mg, mgmg mg/mg , mg mg/mg) (TFG 11 27,5% 275 62–83 6283 62 83 (62–83 mLmin173 mLmin mL min 73 mL/min/1,7 m2. m2 m m2) Conclusões substancial prazo 20 202 (KDIGO 3,5–15, 3515 (3,5–15, 52,2 28,3 (28,3 000 0,00 00 21,7 38,5 P25–7 P257 P2 (P25–7 03 0, 0,27–0,4 02704 (0,27–0,4 27,5 62–8 628 8 (62–8 mLmin17 mL/min/1, 3,5–15 351 (3,5–15 52, 28, (28, 0,0 21, 38, P25– (P25– 0,27–0, 0270 (0,27–0, 27, 62– (62– mLmin1 mL/min/1 3,5–1 35 (3,5–1 (28 (P25 0,27–0 027 (0,27–0 (62 mL/min/ 3,5– (3,5– (2 (P2 0,27– 02 (0,27– (6 mL/min 3,5 (3,5 ( (P 0,27 (0,27 3, (3, 0,2 (0,2 (3 (0, (0

https://doi.org/10.1590/2175-8239-jbn-2024-0012en

Dupilumab in pediatric atopic dermatitis: real-world evidence from two national centers
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Rosa, Gilberto P. da

; Amoedo, Patrícia

; Matos, Pedro

; Pedrosa, Ana

; Nogueira, Ana

; Vilarinho, Catarina

; Mota, Fernando

; Cruz, Maria J.

; Azevedo, Filomena

; Mota, Alberto

Portuguese Journal of Dermatology and Venereology

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jun 2024, Volume 82 N. 2 Pages 99 - 103

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

Abstract Objective: The use of dupilumab in children with atopic dermatitis (AD) demonstrated clinical efficacy in clinical trials. Nevertheless, real-world evidence is still limited. We aim to provide data on this matter regarding a Portuguese pediatric population. Methods: Retrospective analysis of patients with AD below the age of 18 treated with dupilumab in two Portuguese hospitals. Data regarding previous therapies, activity scores, and adverse reactions were collected. Results: Thirty patients were included in the analysis (19 male patients, 63%), with a median age of 14 years (2-17 years). The median follow-up after starting treatment was 80 weeks. The median baseline Eczema Area and Severity Index (EASI) score was 32.3. Sixty percent of patients achieved EASI-90 and 77% EASI-75 at week 16 (n = 30); 79% EASI-90 and 92% EASI-75 at week 52 (n = 24); 64% EASI-90 and 82% EASI-75 at week 104 (n = 11); and 75% EASI-90 and 100% EASI-75 at week 132 (n = 4). Regarding adverse reactions, four patients (12%) presented facial erythema and two patients had eosinophilia above 2000/μL and conjunctivitis. In five patients (17%), there was a need for a dose increase, with treatment failure occurring in two patients (7%). Conclusion: Our data corroborated the evidence from clinical trials, highlighting the maintained efficacy and adequate safety profile of dupilumab in this age group.

Resumo Objetivo: O uso de dupilumab em crianças com dermatite atópica (DA) demonstrou eficácia clínica em ensaios clínicos. No entanto, a evidência do mundo real é ainda limitada. Este trabalho pretende fornecer dados relativos a este domínio, numa população pediátrica portuguesa. Métodos: Análise retrospetiva de doentes com DA com idade inferior a 18 anos, tratados com dupilumab, em dois hospitais portugueses. Foram recolhidos dados sobre terapêuticas prévias, scores de atividade e reações adversas. Resultados: Trinta doentes foram incluídos na análise (19 doentes do sexo masculino, 63%), com uma mediana de idades de 14 anos (2-17 anos). O seguimento mediano após o início do tratamento foi de 80 semanas. O score EASI basal mediano foi de 32,3. Sessenta por cento dos doentes alcançaram EASI-90 e 77% EASI-75 na semana 16 (n = 30); 79% EASI-90 e 92% EASI-75 na semana 52 (n = 24); 64% EASI-90 e 82% EASI-75 na semana 104 (n = 11); 75% EASI-90 e 100% EASI-75 na semana 132 (n = 4). Em relação a reações adversas, 4 doentes (12%) apresentaram eritema facial e 2 doentes eosinofilia superior a 2000/μL e conjuntivite. Em 5 doentes (17%), houve necessidade de aumento de dose, com falência do tratamento em 2 doentes (7%). Conclusão: O tratamento com Dupilumab na DA em idade pediátrica num ambiente de mundo real corroborou os dados dos ensaios clínicos, destacando a eficácia mantida e o perfil de segurança adequado neste grupo etário.

https://doi.org/10.24875/pjdv.24000002

Anti-glomerular basement membrane disease in children: can Sars-Cov-2 be a trigger? Antiglomerular Anti glomerular children SarsCov2 SarsCov Sars Cov 2 Sars-Cov- trigger Sars-Cov
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Azevedo, André Costa

; Grilo, Ricardo Domingos

; Rodrigues, Ana Patrícia

; Losa, Ana

; Correia-Costa, Liane

; Teixeira, Ana

; Rocha, Liliana

; Matos, Paula

; Costa, Teresa

; Faria, Maria Sameiro

; Mota, Conceição

Brazilian Journal of Nephrology

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jun 2024, Volume 46 N. 2 elocation e20230120

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

https://doi.org/10.1590/2175-8239-jbn-2023-0120en

Fatores associados ao homicídio de mulheres no Brasil, segundo raça/cor, 2016-2020
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Nery, Mona Gizelle Dreger

; Nery, Felipe Souza Dreger

; Pereira, Sheila Regina dos Santos

; Cavalcante, Lara Aguiar

; Gomes, Beatriz Mota

; Teles, Ana Cláudia Oliveira

; Luiz, Olinda do Carmo

; Araújo, Edna Maria de

Ciência & Saúde Coletiva

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2024, Volume 29 N. 3 elocation e10202023

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

https://doi.org/10.1590/1413-81232024293.10202023

Quality of life of older adults in Family Health Strategy: a cross-sectional study Strategy crosssectional cross sectional
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Batista, Ilaise Brilhante

; Mota, Annah Thereza

; Blanco, Ana Luiza

; Marinho, Jéssica da Silva

; Guimarães, Maria Sortênia Alves

; Ribeiro, Andréia Queiroz

; Nunes, Daniella Pires

Sao Paulo Medical Journal

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2024, Volume 142 N. 1 elocation e2022445

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: With the increase in the older adult population, it is essential to identify the living and health conditions that can impact the quality of life of these individuals. OBJECTIVES: To identify the domains and factors associated with the quality of life of older adults under the Family Health Strategy program. DESIGN AND SETTING: This was a cross-sectional analytical study was conducted in the municipality of Palmas, Tocantins, Brazil. METHODS: We assessed 449 older adults enrolled in the Family Health Strategy program. Data were collected between April and July, 2018. World Health Organization Quality of Life Assessment (WHOQOL-OLD) was used to assess the quality of life (QoL) and multiple linear regression was used to estimate the factors associated with QoL. RESULTS: The QoL domain with the highest score was death and dying (mean = 70.4), and the lowest score was for sensory functions (mean = 61.0 points). The factors associated with QoL were single marital status (β = -4.55; P = 0.014), level of independence for daily living activities (β = 4.92; P < 0.001), self-assessment of regular health (β = 5.35; P < 0.001), and poor health (β = -8.67; P < 0.001). CONCLUSION: The death and dying domain of QoL presented the highest score. Marital status, impairment in daily activities, and health self-assessment were associated with QoL. BACKGROUND population individuals OBJECTIVES program SETTING crosssectional cross sectional Palmas Tocantins Brazil METHODS 44 July 2018 WHOQOLOLD WHOQOL OLD (WHOQOL-OLD (QoL RESULTS mean 70.4, 704 70.4 , 70 4 70.4) 610 61 0 61. points. points . points) β 4.55 455 55 -4.55 0.014, 0014 0.014 014 0.014) 4.92 492 92 0.001, 0001 0.001 001 0.001) selfassessment self assessment 5.35 535 5 35 8.67 867 8 67 -8.67 0.001. CONCLUSION 201 70. 7 6 4.5 45 -4.5 0.01 01 4.9 49 9 000 0.00 00 5.3 53 3 8.6 86 -8.6 20 4. -4. 0.0 5. 8. -8. 2 -4 0. -8 -

https://doi.org/10.1590/1516-3180.2022.0445.r1.24042023

Validation and calibration of the Food Consumption Frequency Questionnaire for pregnant women
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Brito, Sheila Monteiro

; Santana, Jerusa da Mota

; Pereira, Marcos

; Santos, Djanilson Barbosa

; Oliveira, Ana Marlucia

Sao Paulo Medical Journal

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2024, Volume 142 N. 2 elocation e2023059

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Few food frequency questionnaires (FFQ) have been validated for pregnant women, particularly those in small- and medium-sized cities in different regions of Brazil. OBJECTIVES: To validate and calibrate a semiquantitative FFQ for pregnant women. DESIGN AND SETTING: The study was validated with a sample of 50 pregnant women (≥ 18 years) enrolled in Brazilian prenatal services. METHODS: An FFQ and a 24-hour recall were used to evaluate dietary intake. Dietary variables were tested for normality and log-converted when asymmetrical. Pearson's Correlation Coefficient was used to validate the questionnaire. Linear regression was applied to extract calibration factors. All variables underlying the consumption analysis were adjusted for energy. RESULTS: The mean age of the pregnant women was 26 years ± 6.2 years; 58% were in their first trimester, and 30% were identified as overweight/obese. The Pearson correlation analysis results indicated that the FFQ overestimated energy and nutrient intake, whose coefficients ranged from −0.15 (monounsaturated fat) to 0.50 (carbohydrate). Adjusting for energy reduced the mean values of intake coefficients, which now ranged from −0.33 (sodium) to 0.96 (folate). The calibration analysis results indicated variation in the coefficients from −0.23 (sodium) to 1.00 (folate). Calibration produced satisfactory coefficients for the FFQ compared with the reference standard for energy, macronutrients, monounsaturated fat, cholesterol, vitamins B12/C, folate, sodium, iron, and calcium. CONCLUSIONS: After validating and calibrating tests, we observed that the FFQ was adequately accurate for assessing the food consumption of the pregnant women in this study. BACKGROUND (FFQ small mediumsized medium sized Brazil OBJECTIVES SETTING 5 ≥ ( 1 services METHODS 24hour hour 24 logconverted log converted asymmetrical Pearsons s questionnaire factors RESULTS 2 62 6 6. 58 trimester 30 overweightobese overweight obese overweight/obese 015 0 15 −0.1 fat 050 0.5 carbohydrate. carbohydrate . (carbohydrate) 033 33 −0.3 sodium (sodium 096 96 0.9 folate. folate (folate) 023 23 −0.2 100 00 1.0 macronutrients cholesterol B12C BC B12 C B B12/C iron calcium CONCLUSIONS tests 3 01 −0. 05 0. (carbohydrate 03 09 9 (folate 02 10 1. B1 −0 −

https://doi.org/10.1590/1516-3180.2023.0059.r2.190523

Fatores associados ao homicídio de mulheres no Brasil, segundo raça/cor, 2016-2020 Brasil raçacor raça cor raça/cor 20162020 2016 2020 2016-202 2016202 201 202 2016-20 201620 20 2016-2 20162 2 2016-
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Nery, Mona Gizelle Dreger

; Nery, Felipe Souza Dreger

; Pereira, Sheila Regina dos Santos

; Cavalcante, Lara Aguiar

; Gomes, Beatriz Mota

; Teles, Ana Cláudia Oliveira

; Luiz, Olinda do Carmo

; Araújo, Edna Maria de

Ciência & Saúde Coletiva

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2024, Volume 29 N. 3 elocation e10202023

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

Abstract This ecological, time-trend study examined rates of homicide against women residing in Brazil, by state and race/colour, from 2016 to 2020, by performing. Multiple analysis by regression model on longitudinal data. During the study period, 20,405 homicides of women were recorded in Brazil. Standardised homicides rates were higher among black women (6.1/100,000) than among white women (3.4/100,000). From 2016 to 2020, rates decreased 25.2%, from 4.7 deaths per 100,000 women in 2016 to 3.5 in 2020, with a statistically significant downward trend among both black and white women. Statistically significant inverse relationships were found between female homicide rates and HDI, illiteracy rate and proportion of ill-defined causes. The average homicide rate decreased in 2019 and 2020, as compared with 2016. Despite the decreasing time trend in homicide rates for both black and white women, they differed substantially by race, with worse outcomes for black women. ecological timetrend Brazil racecolour race colour race/colour 201 2020 performing data period 20405 20 405 20,40 6.1/100,000 61100000 6 1 100 000 (6.1/100,000 3.4/100,000. 34100000 3.4/100,000 . 3 4 (3.4/100,000) 252 25 2 25.2% 47 7 4. 100000 100,00 35 5 3. HDI illdefined ill defined causes 202 2040 40 20,4 6.1/100,00 6110000 10 00 (6.1/100,00 3410000 3.4/100,00 (3.4/100,000 25.2 10000 100,0 204 20, 6.1/100,0 611000 0 (6.1/100,0 341000 3.4/100,0 (3.4/100,00 25. 1000 100, 6.1/100, 61100 (6.1/100, 34100 3.4/100, (3.4/100,0 6.1/100 6110 (6.1/100 3410 3.4/100 (3.4/100, 6.1/10 611 (6.1/10 341 3.4/10 (3.4/100 6.1/1 61 (6.1/1 34 3.4/1 (3.4/10 6.1/ (6.1/ 3.4/ (3.4/1 6.1 (6.1 3.4 (3.4/ 6. (6. (3.4 (6 (3. ( (3

Resumo O objetivo deste estudo é avaliar as taxas de homicídios contra mulheres residentes no Brasil, segundo unidades da federação e raça/cor, no período de 2016 a 2020. Trata-se de um estudo ecológico de tendência temporal. Foi realizada análise múltipla adotando-se modelo de regressão para dados longitudinais. No período, ocorreram no Brasil 20.405 homicídios de mulheres e as taxas padronizadas mostraram que as mulheres negras (6,1/100.000) apresentaram as maiores taxas, em comparação às brancas (3,4/100.000). O Brasil apresentou queda de 25,2% de 2016 a 2020. A taxa de homicídio variou de 4,7 mortes por 100 mil mulheres em 2016 para 3,5 em 2020, mas a tendência decrescente e estatisticamente significante foi observada nas taxas de mulheres negras e brancas. As variáveis IDH, taxa de analfabetismo e proporção de causas mal definidas apresentaram uma relação inversa e estatisticamente significante com as taxas de homicídio de mulheres. Nos anos de 2019 e 2020 houve uma diminuição da taxa média de homicídio em relação ao ano de 2016. Apesar do decrescimento na evolução temporal das taxas para negras e brancas, houve diferenças raciais importantes nos homicídios de mulheres, com piores resultados para as mulheres negras. raçacor raça cor raça/cor 201 Tratase Trata se adotandose adotando longitudinais 20405 20 405 20.40 6,1/100.000 61100000 6 1 000 (6,1/100.000 3,4/100.000. 34100000 3,4/100.000 . 3 4 (3,4/100.000) 252 25 2 25,2 47 7 4, 10 35 5 3, IDH 202 2040 40 20.4 6,1/100.00 6110000 00 (6,1/100.00 3410000 3,4/100.00 (3,4/100.000 25, 204 20. 6,1/100.0 611000 0 (6,1/100.0 341000 3,4/100.0 (3,4/100.00 6,1/100. 61100 (6,1/100. 34100 3,4/100. (3,4/100.0 6,1/100 6110 (6,1/100 3410 3,4/100 (3,4/100. 6,1/10 611 (6,1/10 341 3,4/10 (3,4/100 6,1/1 61 (6,1/1 34 3,4/1 (3,4/10 6,1/ (6,1/ 3,4/ (3,4/1 6,1 (6,1 3,4 (3,4/ 6, (6, (3,4 (6 (3, ( (3

https://doi.org/10.1590/1413-81232024293.10202023

Which purchase do I deserve? Understanding self-gift and purchase dimensions deserve selfgift self gift
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Victor, Caio

; Gerhard, Felipe

; Peñaloza, Verónica

; Mota, Marcio de Oliveira

; Freitas, Ana Augusta Ferreira

RAM. Revista de Administração Mackenzie

Journal Metrics
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2024, Volume 25 N. 3 elocation eRAMG240136

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

Abstract Purpose: This study sought to compare the behavior of self-gifting among the purchase dimensions. Specifically, we sought to identify which type of purchase is preferable in this phenomenon and how the predecessor moment can regulate and boost the donation of appropriate gifts for themselves. Originality/value: This study differs from previous research by simultaneously comparing the purchase dimensions (material-experiential and ordinary-extraordinary) and the moments preceding the purchase in the act of self-gifting. The findings indicate that donating ordinary possessions is essential for realizing the symbolic self-communication of the consumer who gives himself. Design/methodology/approach: Two sequential experimental design studies between subjects were carried out, with a non-probabilistic sample of 414 respondents. Data were analyzed using analysis of variance (one-way ANOVA). Findings: The results showed that ordinary material purchases led to a greater attitude towards self-gift, even though the literature suggested that extraordinary experiential purchases were preferable. In sequence, the concept of proportionality indicates that individuals seek to give themselves a gift regardless of the moment before the purchase. Consumers regulate their self-gifting based on the previously lived moment. In ordinary predecessor events, individuals seek to reward themselves with ordinary purchases, while in landmark predecessor events, individuals seek to reward themselves with extraordinary purchases. Purpose selfgifting self gifting Specifically Originality/value Originalityvalue Originality value materialexperiential ordinaryextraordinary ordinary-extraordinary selfgifting. gifting. selfcommunication communication himself Design/methodology/approach Designmethodologyapproach Design methodology approach out nonprobabilistic non probabilistic 41 respondents oneway one way ANOVA. ANOVA . ANOVA) Findings selfgift, selfgift gift, self-gift sequence events 4

Resumo Objetivo: Este estudo buscou comparar o comportamento de se autopresentear entre as dimensões de compra. Especificamente, buscou-se identificar que tipo de compra é preferível nesse fenômeno e como o momento antecessor pode regular e impulsionar a doação de presentes apropriados para si. Originalidade/valor: Este estudo se diferencia de pesquisas anteriores ao comparar, simultaneamente, as dimensões de compra (material-experiencial e ordinária-extraordinária) e os momentos antecessores à compra no ato de se autopresentear. Os achados apontam que a doação de possessões ordinárias é essencial para a realização da autocomunicação simbólica do consumidor que se autopresenteia. Design/metodologia/abordagem: Foram realizados dois estudos sequenciais de desenho experimental between-subject, com uma amostra não probabilística de 414 respondentes ao todo. Os dados foram analisados através da análise de variância (ANOVA one-way). Resultados: Os resultados evidenciaram que as compras materiais ordinárias conduziram uma maior atitude de autopresentear, apesar de a literatura indicar que as compras experienciais extraordinárias seriam preferíveis. Em sequência, o conceito de proporcionalidade indicou que, independentemente do momento antecessor à compra, os indivíduos buscam se autopresentear. Os consumidores regulam seu autopresentear com base no momento anterior vivido. Em eventos ordinários antecessores, os indivíduos buscam se recompensar com compras ordinárias, enquanto em eventos marcantes antecessores, os indivíduos buscam se recompensar com compras extraordinárias. Objetivo Especificamente buscouse si Originalidade/valor Originalidadevalor Originalidade valor simultaneamente materialexperiencial material experiencial ordináriaextraordinária ordinária extraordinária ordinária-extraordinária autopresenteia Design/metodologia/abordagem Designmetodologiaabordagem Design metodologia abordagem betweensubject, betweensubject between subject, subject between-subject 41 todo ANOVA oneway. oneway one way . one-way) Resultados preferíveis sequência vivido 4 one-way

https://doi.org/10.1590/1678-6971/eramg240136

Post-partum weight retention in Northeastern Brazilian women: a prospective NISAMI cohort study Postpartum Post partum women
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Brito, Sheila Monteiro

; Santana, Jerusa da Mota

; Pereira, Marcos

; Santos, Djanilson Barbosa

; Oliveira, Ana Marlucia

Sao Paulo Medical Journal

Journal Metrics
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2024, Volume 142 N. 2 elocation e2023084

Abstract: En | Text: En | PDF: En

ABSTRACT BACKGROUND: Weight retention during the post-partum period is associated with excessive weight gain. OBJECTIVES: To investigate factors associated with maternal weight retention at six months post-partum (PPWR). DESIGN AND SETTING: A prospective cohort study was conducted with 127 women monitored using prenatal services. METHODS: The outcome variable was represented by post-partum maternal weight retention and calculated as the difference between the mother’s weight at sixth month post-partum and her pregestational weight. RESULTS: The mean age of the pregnant women was 26.7 ± 5.25 years old, and the post-partum maternal weight retention was 46.5%. The proximal determinants showed a direct association with PPWR after adjusting for the distal and intermediate variables: excessive gestational weight gain (odds ratio [OR]:3.34; confidence interval [CI]:1.16–9.59), greater adhesion to dietary intake pattern 2 (composed of red meats and derivatives, eggs, industrialized foods, and coffee) (OR:2.70; CI:1.16–6.32), and the absence of exclusive maternal breastfeeding in the first month (OR:3.40; CI:1.27–9.12), as well as primiparity (OR:2.36; CI:1.00–5.55), an intermediate determinant. Insufficient weight gain in pregnancy was inversely associated with the outcome (OR:0.35; CI:0.31–0.93). CONCLUSIONS: Among the hierarchical determinants, proximal factors were interrelated with maternal weight retention, indicating that excessive total weight gain, an inadequate dietary intake pattern, and the absence of exclusive maternal breastfeeding in the first month of life work as dampeners of the return to pre-gestational weight. Prepartum and post-partum care interventions can contribute to reducing excess weight in women. BACKGROUND postpartum post partum OBJECTIVES PPWR. . (PPWR) SETTING 12 services METHODS mothers mother s RESULTS 267 26 7 26. 525 5 25 5.2 old 465 46 46.5% variables odds OR3.34 OR334 OR 3.34 3 34 [OR]:3.34 CI1.16–9.59, CI116959 CI 1.16–9.59 , 1 16 9 59 [CI]:1.16–9.59) composed derivatives eggs foods coffee OR2.70 OR270 2.70 70 (OR:2.70 CI1.16–6.32, CI116632 1.16–6.32 6 32 CI:1.16–6.32) OR3.40 OR340 3.40 40 (OR:3.40 CI1.27–9.12, CI127912 1.27–9.12 27 CI:1.27–9.12) OR2.36 OR236 2.36 36 (OR:2.36 CI1.00–5.55, CI100555 1.00–5.55 00 55 CI:1.00–5.55) determinant OR0.35 OR035 0.35 0 35 (OR:0.35 CI0.31–0.93. CI031093 0.31–0.93 31 93 CI:0.31–0.93) CONCLUSIONS pre (PPWR 52 5. 4 46.5 OR3 OR3.3 OR33 334 3.3 [OR]:3.3 CI1 CI1.16–9.59 CI11695 116959 1.16–9.5 [CI]:1.16–9.59 OR2 OR2.7 OR27 270 2.7 (OR:2.7 CI1.16–6.32 CI11663 116632 1.16–6.3 CI:1.16–6.32 OR3.4 OR34 340 3.4 (OR:3.4 CI1.27–9.12 CI12791 127912 1.27–9.1 CI:1.27–9.12 OR2.3 OR23 236 2.3 (OR:2.3 CI1.00–5.55 CI10055 100555 1.00–5.5 CI:1.00–5.55 OR0 OR0.3 OR03 035 0.3 (OR:0.3 CI0 CI0.31–0.93 CI03109 031093 0.31–0.9 CI:0.31–0.93 46. OR3. 33 3. [OR]:3. CI1.16–9.5 CI1169 11695 1.16–9. [CI]:1.16–9.5 OR2. 2. (OR:2. CI1.16–6.3 CI1166 11663 1.16–6. CI:1.16–6.3 (OR:3. CI1.27–9.1 CI1279 12791 1.27–9. CI:1.27–9.1 23 CI1.00–5.5 CI1005 10055 1.00–5. CI:1.00–5.5 OR0. 03 0. (OR:0. CI0.31–0.9 CI0310 03109 0.31–0. CI:0.31–0.9 [OR]:3 CI1.16–9. CI116 1169 1.16–9 [CI]:1.16–9. (OR:2 CI1.16–6. 1166 1.16–6 CI:1.16–6. (OR:3 CI1.27–9. CI127 1279 1.27–9 CI:1.27–9. CI1.00–5. CI100 1005 1.00–5 CI:1.00–5. (OR:0 CI0.31–0. CI031 0310 0.31–0 CI:0.31–0. [OR]: CI1.16–9 CI11 116 1.16– [CI]:1.16–9 (OR: CI1.16–6 CI:1.16–6 CI1.27–9 CI12 1.27– CI:1.27–9 CI1.00–5 CI10 100 1.00– CI:1.00–5 CI0.31–0 CI03 031 0.31– CI:0.31–0 [OR] CI1.16– 11 1.16 [CI]:1.16– (OR CI:1.16– CI1.27– 1.27 CI:1.27– CI1.00– 10 1.00 CI:1.00– CI0.31– 0.31 CI:0.31– [OR CI1.16 1.1 [CI]:1.16 CI:1.16 CI1.27 1.2 CI:1.27 CI1.00 1.0 CI:1.00 CI0.31 CI:0.31 CI1.1 1. [CI]:1.1 CI:1.1 CI1.2 CI:1.2 CI1.0 CI:1.0 CI0.3 CI:0.3 CI1. [CI]:1. CI:1. CI0. CI:0. [CI]:1 CI:1 CI:0 [CI]: CI: [CI] [CI

https://doi.org/10.1590/1516-3180.2023.0084.r1.010623

10.

Diretrizes Brasileiras de Medidas da Pressão Arterial Dentro e Fora do Consultório – 2023 202 20 2
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Feitosa, Audes Diogenes de Magalhães

; Barroso, Weimar Kunz Sebba

; Mion Junior, Decio

; Nobre, Fernando

; Mota-Gomes, Marco Antonio

; Jardim, Paulo Cesar Brandão Veiga

; Amodeo, Celso

; Oliveira, Adriana Camargo

; Alessi, Alexandre

; Sousa, Ana Luiza Lima

; Brandão, Andréa Araujo

; Pio-Abreu, Andrea

; Sposito, Andrei C.

; Pierin, Angela Maria Geraldo

; Paiva, Annelise Machado Gomes de

; Spinelli, Antonio Carlos de Souza

; Machado, Carlos Alberto

; Poli-de-Figueiredo, Carlos Eduardo

; Rodrigues, Cibele Isaac Saad

; Forjaz, Claudia Lucia de Moraes

; Sampaio, Diogo Pereira Santos

; Barbosa, Eduardo Costa Duarte

; Freitas, Elizabete Viana de

; Cestario, Elizabeth do Espirito Santo

; Muxfeldt, Elizabeth Silaid

; Lima Júnior, Emilton

; Campana, Erika Maria Gonçalves

; Feitosa, Fabiana Gomes Aragão Magalhães

; Consolim-Colombo, Fernanda Marciano

; Almeida, Fernando Antônio de

; Silva, Giovanio Vieira da

; Moreno Júnior, Heitor

; Finimundi, Helius Carlos

; Guimarães, Isabel Cristina Britto

; Gemelli, João Roberto

; Barreto-Filho, José Augusto Soares

; Vilela-Martin, José Fernando

; Ribeiro, José Marcio

; Yugar-Toledo, Juan Carlos

; Magalhães, Lucélia Batista Neves Cunha

; Drager, Luciano F.

; Bortolotto, Luiz Aparecido

; Alves, Marco Antonio de Melo

; Malachias, Marcus Vinícius Bolívar

; Neves, Mario Fritsch Toros

; Santos, Mayara Cedrim

; Dinamarco, Nelson

; Moreira Filho, Osni

; Passarelli Júnior, Oswaldo

; Vitorino, Priscila Valverde de Oliveira

; Miranda, Roberto Dischinger

; Bezerra, Rodrigo

; Pedrosa, Rodrigo Pinto

; Paula, Rogerio Baumgratz de

; Okawa, Rogério Toshiro Passos

; Póvoa, Rui Manuel dos Santos

; Fuchs, Sandra C.

; Lima, Sandro Gonçalves de

; Inuzuka, Sayuri

; Ferreira-Filho, Sebastião Rodrigues

; Fillho, Silvio Hock de Paffer

; Jardim, Thiago de Souza Veiga

; Guimarães Neto, Vanildo da Silva

; Koch, Vera Hermina Kalika

; Gusmão, Waléria Dantas Pereira

; Oigman, Wille

; Nadruz Junior, Wilson

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 4 elocation e20240113

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

https://doi.org/10.36660/abc.20240113

11.

Factors influencing the positivity of diagnostic tests for congenital syphilis
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Ribeiro, Rodrigo Soares

; Sasaki, Natália Sperli Geraldes Marin dos Santos

; Queiroz, Alessandra Marinela de Abreu

; Ferreira, Ana Cecília Mota

; Segura, Gabriela de Souza

; Santos, Maria de Lourdes Sperli Geraldes

; Souza, Lara Helk de

; Lourenção, Luciano Garcia

Revista da Associação Médica Brasileira

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2024, Volume 70 N. 5 elocation e20231006

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: The objective of this study was to analyze the factors that influence the positivity of treponemal and non-treponemal tests in cases of congenital syphilis. METHODS: This cross-sectional and correlational study was carried out from the analysis of the database of Disease and Notification Information System (SINAN, in Portuguese) using the data obtained through the Epidemiological Surveillance Group 29, with 639 notifications of congenital syphilis between 2007 and 2018. The data were analyzed by a descriptive and inferential analysis from logistic regression with a significance level of 5% (p≤0.05). RESULTS: The positivity of the treponemal test was higher by 4.5 times in infants living in rural areas and 19.6 times among those whose mothers obtained the diagnosis of syphilis after birth. The treponemal test showed positivity 3.2 times higher for the variable “having been diagnosed between 2007 and 2015” and 5.5 times higher for the variable “having been diagnosed with maternal syphilis in the postpartum period.” CONCLUSION: This study shows that testing during prenatal care is essential for early diagnosis and prevention of syphilis complications. OBJECTIVE nontreponemal non METHODS crosssectional cross sectional SINAN, SINAN (SINAN Portuguese 29 63 200 2018 5 p≤0.05. p005 p p≤0.05 . 0 05 (p≤0.05) RESULTS 45 4 4. 196 19 6 19. birth 32 3 2 3. having 2015 55 5. period. period CONCLUSION complications 20 201 p00 p≤0.0 (p≤0.05 1 p0 p≤0. (p≤0.0 p≤0 (p≤0. p≤ (p≤0 (p≤ (p

https://doi.org/10.1590/1806-9282.20231006

12.

Percepção de cuidadores de pré-escolares com TEA sobre seu comportamento e desempenho ocupacional durante a pandemia da COVID-19 préescolares pré escolares COVID19 COVID 19 COVID-1 COVID1 1 COVID-
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Silva, Maene Pinheiro

; Souza, Rosangela Gomes da Mota de

; Oliveira, Karina Ferreira de

; Cardoso, Ana Amélia

; Magalhães, Lívia de Castro

Cadernos Brasileiros de Terapia Ocupacional

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2024, Volume 32 elocation e3590

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

Abstract Introduction Children with Autism Spectrum Disorder (ASD) face behavioral, sensory processing, cognitive, and language challenges that affect their ability to perform activities of daily living (ADL) and necessitate access to educational, therapeutic, and health services. The COVID-19 pandemic limited access to these essential services, exacerbating the challenges faced by this vulnerable population due to imposed social distancing measures. Objective To explore the perceptions of parent caregivers of preschoolers with ASD regarding their children’s behavior and performance in ADL during the COVID-19 pandemic. Method This cross-sectional, descriptive study utilized both quantitative and qualitative approaches, interviewing 60 caregivers of preschoolers with ASD. Participants were asked about any observed changes in their child’s behavior and ability to engage in ADL during the pandemic. Child characterization involved the Autism Classification System of Functioning: Social Communication (ACSF:SC), the Pediatric Evaluation of Disability Inventory - Computer Adaptive Test (PEDI-CAT), and the Sensory Profile 2 (SP-2). Interviews were documented, with 15 recorded and transcribed for thematic content analysis. Results Participants included 43 mothers, 15 couples, and two fathers, totaling 60 children, of whom 46 (76.7%) were boys aged between 3 and 5 years (mean age 53.6 ±10.18 months). Caregivers reported changes in behavior and performance in ADL, predominantly noting deterioration. Increases in stereotypic behaviors, rigidity, and hyperfocus were observed, along with decreased participation in ADL. While the presence of caregivers benefited some children, it also led to reported stress, particularly among mothers. Conclusion The study found a predominant trend of deteriorating behavior and performance in ADL among children with ASD during the pandemic, based on caregiver reports. (ASD behavioral processing cognitive (ADL educational therapeutic services COVID19 COVID 19 COVID-1 measures childrens s crosssectional, crosssectional cross sectional, sectional cross-sectional approaches 6 childs child Functioning ACSFSC, ACSFSC ACSF SC , (ACSF:SC) PEDICAT, PEDICAT PEDI CAT (PEDI-CAT) SP2. SP2 SP . (SP-2) documented 1 analysis 4 mothers couples fathers 76.7% 767 76 7 (76.7% mean 536 53 53. 1018 10 18 ±10.1 months. months months) deterioration behaviors rigidity stress reports COVID1 COVID- (ACSF:SC (PEDI-CAT (SP-2 76.7 (76.7 101 ±10. (SP- 76. (76. ±10 (SP (76 ±1 (7 ± (

Resumo Introdução Crianças com Transtorno do Espectro Autista (TEA) podem apresentar questões comportamentais, no processamento sensorial, na cognição e na linguagem, que afetam seu desempenho ocupacional, necessitando de acesso a serviços escolares, terapêuticos e de saúde. O acesso a esses serviços esteve restrito durante a pandemia de COVID-19, tornando essa população particularmente ainda mais vulnerável às restrições sociais impostas à época. Objetivo Descrever a percepção dos pais cuidadores de pré-escolares com TEA acerca do comportamento e desempenho ocupacional de seus filhos durante a pandemia da COVID-19. Método Estudo transversal, descritivo, quantitativo e qualitativo baseado em entrevistas com 60 cuidadores de pré-escolares com TEA. Os participantes responderam à seguinte pergunta: Você está notando alguma diferença no comportamento e desempenho da criança durante a pandemia? Para caracterização das crianças, foram utilizados o Sistema de Classificação de Funcionalidade no Autismo: Comunicação Social (ACSF:SC), o Inventário de Avaliação Pediátrica de Incapacidade - Teste Adaptativo de Computador (PEDI-CAT) e o Perfil Sensorial 2 (SP-2). Todas as entrevistas foram anotadas e 15 delas foram gravadas e transcritas. O material foi submetido à análise temática de conteúdo. Resultados Foram entrevistadas 43 mães, 15 casais e dois pais de crianças com TEA. Das 60 crianças, 46 (76,7%) eram meninos, com idade de 3 a 5 anos (53,6 ±10,18 meses). Os cuidadores perceberam mudanças no comportamento e desempenho ocupacional, com prevalência de relatos de piora. Houve aumento nas estereotipias, rigidez e hiperfoco, bem como menor engajamento nas atividades cotidianas. A presença dos cuidadores beneficiou algumas crianças, mas há relato de estresse, especialmente por parte das mães. Conclusão Houve variação nos relatos, com maior tendência à piora no comportamento e desempenho ocupacional das crianças com TEA. (TEA comportamentais sensorial linguagem escolares saúde COVID19, COVID19 COVID 19, 19 COVID-19 época préescolares pré COVID19. 19. transversal descritivo 6 pergunta Autismo ACSFSC, ACSFSC ACSF SC , (ACSF:SC) PEDICAT PEDI CAT (PEDI-CAT SP2. SP2 SP . (SP-2) 1 transcritas conteúdo 4 mães 76,7% 767 76 7 (76,7% meninos 53,6 536 53 (53, 1018 10 18 ±10,1 meses. meses meses) estereotipias hiperfoco cotidianas estresse COVID1 COVID-1 (ACSF:SC (SP-2 76,7 (76,7 53, (53 101 ±10, COVID- (SP- 76, (76, (5 ±10 (SP (76 ( ±1 (7 ±

https://doi.org/10.1590/2526-8910.ctoao275935901

13.

Segurança dos profissionais de saúde que atuaram na linha de frente da pandemia por covid-19 no Brasil covid19 covid 19 covid-1 covid1 1 covid-
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Pavão, Ana Luiza Braz

; Martins, Mônica Silva

; Gouvêa, Carla Simone Duarte de

; Noronha, Marina Ferreira

; Mota, Jurema Corrêa da

; Duarte, Sabrina da Costa Machado

; Moura, Maria de Lourdes de Oliveira

; Grabois, Victor

Trabalho, Educação e Saúde

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2024, Volume 22 elocation e02399238

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

Resumen El objetivo de este estudio fue evaluar la seguridad de los profesionales de la salud que actuaron en la lucha contra la pandemia de COVID-19 en 2020 en los servicios de salud brasileños. Entre junio y septiembre de 2020 se realizó una encuesta en línea con profesionales de la salud de instituciones públicas y privadas brasileñas, basada en la evaluación y gestión del riesgo de exposición de los trabajadores de la salud en el contexto del virus COVID-19, de la Organización Mundial de la Salud, y se analizaron 2.832 registros. Raza/color y categoría profesional fueron variables relacionadas con el aumento de casos de COVID-19 entre profesionales. Los que se autodeclararon no blancos, técnicos y auxiliares de enfermería tuvieron una mayor probabilidad de resultados positivos, lo que indica una mayor susceptibilidad a la infección relacionada con el nivel socioeconómico y/o categoría profesional y un papel desempeñado en la atención al paciente. Las variables estructura de las unidades de salud, ubicación, prueba y disponibilidad de equipo de protección personal se relacionaron con el grado de riesgo de contraer la enfermedad. Se destaca la importancia de garantizar insumos y equipos a los profesionales de la salud, especialmente en un contexto pandémico y entre aquellos con bajo nivel socioeconómico que trabajan en primera línea. Los riesgos en situaciones de emergencia y escasez deben ser monitoreados prospectivamente, ajustándose a las iniciativas de seguridad del paciente. COVID19 COVID 19 COVID-1 202 brasileños brasileñas COVID19, 19, Salud 2832 2 832 2.83 registros Razacolor Raza color blancos positivos yo o paciente ubicación enfermedad prospectivamente COVID1 1 COVID- 20 283 83 2.8 28 8 2.

Abstract The objective of this study was to evaluate the safety of health professionals who worked in the fight against the COVID-19 pandemic in 2020 in Brazilian health services. An online survey was conducted between June and September 2020, with health professionals from Brazilian public and private institutions, based on the Health workers exposure risk assessment and management in the context of COVID-19 virus, from the World Health Organization, and 2,832 records were analyzed. Race/color and professional category were variables related to the increase of covid-19 cases among professionals. Those who self-declared themselves non-white, technical and nursing assistants had a higher chance of positive results, indicating a higher susceptibility to infection related to socioeconomic level and/or professional category and a role played in patient care. The variables structure of the health units, location, test and availability of personal protective equipment were related to the degree of risk of contracting the disease. The importance of ensuring inputs and equipment to health professionals is highlighted, especially in a pandemic context and among those with low socioeconomic level who work on the front line. Risks in emergency and scarcity situations should be prospectively monitored, adjusting to patient safety initiatives. COVID19 COVID 19 COVID-1 202 services institutions virus Organization 2832 2 832 2,83 analyzed Racecolor Race color covid19 covid covid-1 selfdeclared self declared nonwhite, nonwhite non white, white non-white results andor or care units location disease highlighted line monitored initiatives COVID1 1 COVID- 20 283 83 2,8 covid1 covid- 28 8 2,

Resumo Objetivou-se avaliar a segurança dos profissionais de saúde que atuaram no combate à pandemia de covid-19 em 2020 nos serviços de saúde brasileiros. Realizou-se inquérito on line, conduzido entre junho e setembro de 2020, com profissionais de saúde de instituições públicas e privadas brasileiras, com base no questionário Health workers exposure risk assessment and management in the context of COVID-19 virus, da Organização Mundial de Saúde, sendo analisados 2.832 registros. Raça/cor e categoria profissional foram variáveis relacionadas ao aumento de casos de covid-19 dentre os profissionais. Os que se autodeclararam não brancos, técnicos e auxiliares de enfermagem tiveram chance maior de resultado positivo, indicando maior suscetibilidade à infecção relacionada ao nível socioeconômico e/ou categoria profissional e papel desempenhado no cuidado ao paciente. As variáveis estrutura das unidades de saúde, localização, teste e disponibilidade de equipamentos de proteção individual relacionaram-se ao grau de risco de contrair a doença. Ressalta-se a importância da garantia de insumos e equipamentos aos profissionais de saúde, sobretudo em um contexto pandêmico e entre aqueles com baixo nível socioeconômico que atuam na linha de frente. Riscos em situações de emergência e escassez devem ser prospectivamente monitorados, ajustando-se às iniciativas no tocante à segurança do paciente. Objetivouse Objetivou covid19 covid 19 covid-1 202 brasileiros Realizouse Realizou line brasileiras COVID19 COVID COVID-1 virus Saúde 2832 2 832 2.83 registros Raçacor Raça cor brancos positivo eou ou paciente localização relacionaramse relacionaram doença Ressaltase Ressalta frente monitorados ajustandose ajustando covid1 1 covid- 20 COVID1 COVID- 283 83 2.8 28 8 2.

https://doi.org/10.1590/1981-7746-ojs2399

14.

An Experimental Approach for Correlation of the Magnetic Barkhausen Noise to Microstructural Changes and Residual Stress in Welding Joints
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Liskevych, Olga

; Fiorin, Ana Paula Favero

; Almeida, Elton Mesquita de

; Feijó, Gabriel Fracalossi

; Oliveira, Rogério Lima Mota de

; Macêdo, Marcelo Camargo Severo de

Soldagem & Inspeção

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2024, Volume 29 elocation e2908

Abstract: En | Text: En | PDF: En

Abstract Accurate measurement of the residual stress in welded joints is still a major challenge for both welding quality control and non-destructive testing. One of the most recent and innovative magnetic techniques for this purpose, known as Magnetic Barkhausen Noise (MBN), is based on the reorganization of magnetic domains (regions with uniform magnetic orientations) in the presence of a varying magnetic field in the studied ferromagnetic material. A significant difficulty in using this method for the analysis of welded joints lies in evaluating of the contribution that each altered material property induces in the resulting noise signal. Therefore, the objective of this study was to correlate the MBN signal with the typical changes that occur in the weld bead and its specific regions during the welding process applied to ASTM A36 steel. Thus, the root mean square (RMS) value of the signal was correlated with micro- and macrostructural changes in the joint, as well as with hardness and residual stress state, including its tensile and compressive magnitudes, demonstrating to be an effective non-destructive tool for characterizing of welded structures. nondestructive non destructive testing purpose MBN, , (MBN) orientations Therefore A3 steel Thus RMS (RMS micro joint state magnitudes structures (MBN

https://doi.org/10.1590/0104-9224/si29.08

15.

Sleep quality and falls in middle-aged and older adults: ELSI-Brazil study middleaged middle aged adults ELSIBrazil ELSI Brazil
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Santos, André Pereira dos

; Cordeiro, Jéssica Fernanda Correa

; Abdalla, Pedro Pugliesi

; Bohn, Lucimere

; Sebastião, Emerson

; Silva, Leonardo Santos Lopes da

; Tasinafo Júnior, Márcio Fernando

; Venturini, Ana Cláudia Rossini

; Andaki, Alynne Christian Ribeiro

; Mendes, Edmar Lacerda

; Marcos-Pardo, Pablo Jorge

; Mota, Jorge

; Machado, Dalmo Roberto Lopes

Revista da Escola de Enfermagem da USP

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2024, Volume 58 elocation e20240027

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

RESUMO Objetivo: Verificar a associação entre baixa qualidade do sono autorrelatada (BQS) e quedas em adultos de meia-idade e idosos a cada meia década de vida. Método: Um estudo transversal foi conduzido utilizando dados da primeira onda (2015–2016) do Estudo Longitudinal Brasileiro do Envelhecimento (ELSI-Brasil), que é nacionalmente representativo. A população consistiu em 8.950 participantes que foram alocados em oito grupos etários: 50–54, 55–59, 60–64, 65–69, 70–74, 75–79, 80–84 e ≥ 85 anos. Os questionários utilizados incluíram qualidade do sono autorrelatada e o Questionário Internacional de Atividade Física versão curta. O teste exato de Fisher seguido pela análise de regressão logística binária foi conduzida para identificar a razão de chances da BQS para ocorrência de queda, controlando por variáveis de confusão. Resultados: Pessoas com idades entre 50 e 105 anos (63,6 ± 10,2 anos), sendo 57,0% do sexo feminino e 43,0% do sexo masculino, participaram deste estudo. No geral, 21,5% dos participantes experimentaram pelo menos uma queda. A frequência relativa de participantes classificados como tendo BQS ou alta permaneceu constante em cada meia década de vida. A BQS exibiu uma OR (p < 0,05) notável para quedas em grupos etários até 84 anos, mesmo após o ajuste para variáveis de confusão. Conclusão: A BQS está significativamente associada a uma maior ocorrência de queda em adultos com mais de 50 anos, mas não para ≥ 85 anos, independentemente do sexo e do nível de atividade física. Objetivo (BQS meiaidade idade vida Método 2015–2016 20152016 2015 2016 (2015–2016 ELSIBrasil, ELSIBrasil ELSI Brasil , (ELSI-Brasil) representativo 8950 8 950 8.95 5054 54 50–54 5559 55 59 55–59 6064 60 64 60–64 6569 65 69 65–69 7074 70 74 70–74 7579 75 79 75–79 8084 80 80–8 curta confusão Resultados 5 10 63,6 636 63 6 (63, 102 2 10, anos) 570 57 0 57,0 430 43 43,0 masculino geral 215 21 21,5 p 0,05 005 05 Conclusão física 2015–201 2015201 201 (2015–201 (ELSI-Brasil 895 95 8.9 505 50–5 555 55–5 606 60–6 656 65–6 707 7 70–7 757 75–7 808 80– 1 63, (63 57, 4 43, 21, 0,0 00 2015–20 201520 20 (2015–20 89 9 8. 50– 55– 60– 65– 70– 75– (6 0, 2015–2 20152 (2015–2 ( 2015– (2015– (2015 (201 (20 (2

RESUMEN Objetivo: Verificar la asociación entre la baja calidad del sueño autorreportada (BCS) y las caídas en adultos de mediana edad y mayores cada media década de vida. Método: Se realizó un estudio transversal utilizando datos de la primera oleada (2015–2016) del Estudio Longitudinal Brasileño sobre el Envejecimiento (ELSI-Brasil), que es representativo a nivel nacional. La muestra consistió en 8,950 participantes que fueron asignados a ocho grupos de edad: 50–54, 55–59, 60–64, 65–69, 70–74, 75–79, 80–84 y ≥ 85 años. Los cuestionarios utilizados incluyeron calidad del sueño autorreportada y el Cuestionario Internacional de Actividad Física versión corta. Se realizó una prueba exacta de Fisher seguida por un análisis de regresión logística binaria para identificar la razón de probabilidades de la calidad del sueño para la ocurrencia de caídas, controlando las variables de confusión. Resultados: Participaron en este estudio individuos con edades entre 50 y 105 años (63,6 ± 10,2 años), siendo el 57,0% mujeres y el 43,0% hombres. En general, el 21,5% de los participantes experimentaron al menos una caída. La frecuencia relativa de participantes clasificados como con alta calidad de sueño o baja calidad de sueño (BCS) se mantuvo constante a lo largo de cada media década de vida. La BCS mostró un OR (p < 0,05) notable para las caídas en grupos de edad hasta los 84 años, incluso después de ajustar por variables de confusión. Conclusión: La BCS está significativamente asociada con una mayor ocurrencia de caídas en adultos mayores de 50 años, pero no para ≥ 85 años, independientemente del sexo y del nivel de actividad física. Objetivo (BCS vida Método 2015–2016 20152016 2015 2016 (2015–2016 ELSIBrasil, ELSIBrasil ELSI Brasil , (ELSI-Brasil) nacional 8950 8 950 8,95 5054 54 50–54 5559 55 59 55–59 6064 60 64 60–64 6569 65 69 65–69 7074 70 74 70–74 7579 75 79 75–79 8084 80 80–8 corta confusión Resultados 5 10 63,6 636 63 6 (63, 102 2 10, años) 570 57 0 57,0 430 43 43,0 hombres general 215 21 21,5 caída p 0,05 005 05 Conclusión física 2015–201 2015201 201 (2015–201 (ELSI-Brasil 895 95 8,9 505 50–5 555 55–5 606 60–6 656 65–6 707 7 70–7 757 75–7 808 80– 1 63, (63 57, 4 43, 21, 0,0 00 2015–20 201520 20 (2015–20 89 9 8, 50– 55– 60– 65– 70– 75– (6 0, 2015–2 20152 (2015–2 ( 2015– (2015– (2015 (201 (20 (2

ABSTRACT Objective: To verify the association between low self-reported sleep quality (LSQ) and fall in middle-aged and older adults every half-decade of life. Method: A cross-sectional study was conducted using data from the first wave (2015–2016) of the Brazilian Longitudinal Study of Aging (ELSI-Brazil), which is nationally representative. The sample consisted of 8,950 participants who were allocated into eight age groups: 50–54, 55–59, 60–64, 65–69, 70–74, 75–79, 80–84, and ≥ 85 years. The questionnaires used included self-reported sleep quality and the International Physical Activity Questionnaire short version. Fisher’s exact test followed by binary logistic regression analysis was performed to identify the odds ratio of sleep quality for fall occurrence, controlled for confounding variables. Results: Individuals aged 50–105 years (63.6 ± 10.2 years), 57.0% females and 43.0% males, participated in this study. Overall, 21.5% of participants experienced at least one fall. The relative frequency of participants classified as having high or LSQ remained constant across each half-decade of life. The LSQ exhibited a statistically significant OR (p < 0.05) for falls across age groups up to 84, even after accounting for confounding variables. Conclusion: LSQ is significantly associated with an increased occurrence of fall in adults aged >50 years, but not for ≥ 85 years regardless of sex and physical activity level. Objective selfreported self reported (LSQ middleaged middle halfdecade half decade life Method crosssectional cross sectional 2015–2016 20152016 2015 2016 (2015–2016 ELSIBrazil, ELSIBrazil ELSI Brazil , (ELSI-Brazil) representative 8950 8 950 8,95 5054 50 54 50–54 5559 55 59 55–59 6064 60 64 60–64 6569 65 69 65–69 7074 70 74 70–74 7579 75 79 75–79 8084 80 84 80–84 version Fishers Fisher s variables Results 50105 105 50–10 63.6 636 63 6 (63. 102 10 2 10. years) 570 57 0 57.0 430 43 43.0 males Overall 215 21 5 21.5 p 0.05 005 05 Conclusion >5 level 2015–201 2015201 201 (2015–201 (ELSI-Brazil 895 95 8,9 505 50–5 555 55–5 606 60–6 656 65–6 707 7 70–7 757 75–7 808 80–8 5010 50–1 63. (63 1 57. 4 43. 21. 0.0 00 > 2015–20 201520 20 (2015–20 89 9 8, 50– 55– 60– 65– 70– 75– 80– 501 (6 0. 2015–2 20152 (2015–2 ( 2015– (2015– (2015 (201 (20 (2

https://doi.org/10.1590/1980-220x-reeusp-2024-0027en

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