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Objetivo: investigar la prevalencia de lesiones cutáneas y factores asociados con el uso de respiradores N95 en profesionales de la salud de Brasil. Método: estudio transversal realizado con 11.368 profesionales de la salud en el que se empleó un método de muestreo dirigido por encuestados adaptado para entornos en línea. Se ejecutaron análisis univariados y multivariados para investigar la asociación entre la variable “lesiones cutáneas por utilizar respiradores N95” y sexo, categoría profesional, lugar de trabajo, capacitación, diagnóstico de COVID-19 y disponibilidad de suficiente provisión de Equipo de Protección Personal de buena calidad. Resultados: la prevalencia de lesiones cutáneas fue del 61,8%. Las mujeres fueron 1,203 veces (IC 95%: 1,154-1,255) más propensas a desarrollar lesiones que los hombres. La probabilidad de lesiones cutáneas en psicólogos (RP=0,805; IC 95%: 0,678-0,956) y dentistas (RP=0,884; IC 95%: 0,788-0,992) fue menor en comparación con la encontrada en los profesionales de Enfermería. Los profesionales con diagnóstico positivo de COVID-19 y que trabajan en la Unidad de Cuidados Intensivos son más propensos a sufrir lesiones cutáneas (RP=1,074; IC 95%: 1,042-1,107); (RP=1,203; IC 95%: 1,168-1,241), respectivamente, Conclusión: la prevalencia de lesiones cutáneas causadas por utilizar respiradores N95 fue del 61,8% y estuvo asociada al sexo femenino, a la categoría profesional, al lugar de trabajo, a la capacitación, a diagnóstico de COVID-19 y a la disponibilidad de suficiente provisión de Equipo de Protección Personal de buena calidad.

Objective: to investigate the prevalence of skin lesions and factors associated with the use of N95 respirators among health professionals in Brazil. Method: cross-sectional study conducted with 11,368 health professionals using a respondent-driven sampling method adapted for online environments. Univariate and multivariate analyses were performed to investigate the association between the “skin lesions with the use of N95 respirators” variable and gender, professional category, workplace, training, COVID-19 diagnosis, and availability of sufficient and high-quality Personal Protective Equipment. Results: the prevalence of skin lesions was 61.8%. Women were 1.203 times (95% CI: 1.154-1.255) more likely to develop a lesion than men. The chances of skin lesions in psychologists (PR=0.805; 95% CI: 0.678-0.956) and dentists (PR=0.884; 95% CI: 0.788-0.992), were lower when compared to Nursing professionals. Professionals with a positive COVID-19 diagnosis and working in the Intensive Care Unit have an increased chance of presenting skin lesions (PR=1.074; 95% CI: 1.042-1.107); (PR=1.203; 95% CI: 1.168-1.241), respectively. Conclusion: the prevalence of skin lesions caused by the use of N95 respirators was 61.8% and was associated with female gender, professional category, workplace, training, COVID-19 diagnosis, and availability of sufficient and highquality Personal Protective Equipment.

Objetivo: investigar a prevalência de lesões de pele e fatores associados ao uso de respiradores N95 entre profissionais de saúde no Brasil. Método: estudo transversal realizado com 11.368 profissionais de saúde por meio de um método de amostragem dirigido por respondentes adaptado para ambientes online. Análises univariadas e multivariadas foram realizadas para investigar a associação entre a variável “lesão de pele com uso de respirador N95” e sexo, categoria profissional, local de trabalho, treinamento, diagnóstico de COVID-19 e disponibilidade suficiente de equipamentos de proteção individual de qualidade. Resultados: a prevalência de lesões cutâneas foi de 61,8%. As mulheres foram 1,203 vezes (IC 95%: 1.154-1.255) mais propensas a desenvolver uma lesão do que os homens. As chances de lesão de pele em psicólogos (RP=0,805; IC 95%: 0,678-0,956) e dentistas (RP=0,884; IC 95%: 0,788-0,992) foram menores quando comparados aos profissionais de Enfermagem. Profissionais com diagnóstico positivo para COVID-19 e que trabalham em Unidade de Cuidados Intensivos têm maior chance de apresentar lesões de pele (RP=1,074; IC 95%: 1,042-1,107); (RP=1,203; IC 95%: 1,168- 1,241), respectivamente. Conclusão: a prevalência de lesões de pele causadas pelo uso do respirador N95 foi de 61,8% e esteve associada ao sexo feminino, categoria profissional, local de trabalho, treinamento, diagnóstico de COVID-19 e disponibilidade suficiente de equipamentos de proteção individual de qualidade.

https://doi.org/10.1590/1518-8345.5937.3761

The Effect of Different Stimulation Rates on Brainstem Auditory-Evoked-Potential Responses
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Andrade, Kelly Cristina Lira de

; Frizzo, Ana Cláudia Figueiredo

; Oliveira, Katielle Menezes de

; Pinheiro, Natália dos Santos

; Marques, Maria Cecilia dos Santos

; Carnaúba, Aline Tenório Lins

; Costa, Klinger Vagner Teixeira

; Menezes, Pedro de Lemos

International Archives of Otorhinolaryngology

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jun 2023, Volume 27 N. 2 Pages 248 - 255

Abstract: En | Text: En | PDF: En

Abstract Introduction Auditory-evoked potentials are influenced by several factors, including polarity, filter, stimulus intensity and stimulation rate. The presentation of higher rates of stimuli per second enables the collection of a greater number of responses in a given period of time, promoting a shorter testing time; however, the collected recordings are subject to changes related to wave morphology. Objectives To compare the brainstem auditory-evoked-potential responses with click stimulus with the most commonly used stimulation rates in the clinical practice. Methods The present cross-sectional analytical study was performed with fifteen participants of both genders and normal hearing thresholds. The brainstem auditoryevoked potential was performed at four different stimulation rates (21.1, 26.7, and 27.7 stimuli/s, and a rate determined based on a mathematical calculation using the a measurement of the transmission frequency of the power grid at the time of the examination). Results We observed that the rate of 21.1 stimuli/s showed the highest amplitudes for waves I, III, and V when compared with the other rates. The rate of 26.7 stimuli/s, when compared with 27.7 stimuli/s, showed a higher amplitude for wave V. The latency if wave V was significantly lower with the rate of 21.1 stimuli/s than with 27.7 stimuli/s. Conclusions The stimulation rate interferes with wave latencies and amplitudes; its decrease from 27.7 to 21.1 stimuli/s decreases the latency of wave V and increases the amplitues and improves the morphology of waves I, III and V. In addition, we found evidence that suggests an improvement in the visualization of wave III by adjusting the stimulation rate based on a measurement of the local transmission frequency of the power grid.

https://doi.org/10.1055/s-0043-1768210

Política de Saúde Bucal no Brasil: transformações e rupturas entre 2018-2021
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Santos, Lília Paula de Souza

; Lima, Ana Maria Freire de Souza

; Chaves, Sônia Cristina Lima

; Vilela, Débora Maria Oliveira Cruz

; Valente, Ana Paula Portugal Chagas

; Rossi, Thaís Regis Aranha

Ciência & Saúde Coletiva

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may 2023, Volume 28 N. 5 Pages 1575 - 1587

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

Resumo Analisou-se a implementação da Política de Saúde Bucal no Brasil no período 2018-2021, através das ações institucionais, implantação dos serviços, resultados alcançados e financiamento federal. Estudo de monitoramento, a partir da análise documental e de dados secundários, obtidos em sites institucionais, sistemas de informações governamentais e notícias publicadas por entidades odontológicas. Todos os indicadores de resultados monitorados apresentaram expressiva redução dos valores entre 2020-2021, com agravamento desde 2018, como a cobertura da primeira consulta odontológica e ação coletiva de escovação dental supervisionada, que chegou a 1,8% e 0,02% em 2021, respectivamente. Observa-se uma queda do financiamento federal nos anos 2018-2019 (8,45%), com crescimento em 2020 (59,53%) e nova diminuição em 2021 (5,18%). O período analisado foi marcado por crise econômica e política, agravadas pela crise sanitária, decorrente da pandemia do COVID-19. Contexto que influenciou o funcionamento dos serviços de saúde no Brasil. No caso particular da saúde bucal, verificou-se progressiva e acentuada redução dos resultados, ainda que a implantação dos serviços de atenção básica e especializada tenha se mantido estável.

Abstract This study analyzed the implementation of Brazil’s National Oral Health Policy during the period 2018-2021, covering institutional actions, implementation of public dental services, results achieved, and federal funding. We conducted a retrospective descriptive study using documentary analysis and secondary data obtained from institutional websites, government information systems, and reports published by dental organizations. The findings show a significant reduction in funding between 2020 and 2021 and declining performance against indicators since 2018, such as coverage of first dental appointments and group supervised tooth brushing, which stood at 1.8% and 0.02%, respectively, in 2021. Federal funding dropped in 2018 and 2019 (8.45%), followed by an increase in 2020 (59.53%) and decrease in 2021 (-5.18%). The study period was marked by economic and political crises aggravated by the COVID-19 pandemic. This context influenced the functioning of health services in Brazil. There was a sharp reduction in performance against oral health indicators, while performance in primary health care and specialized care services remained stable.

https://doi.org/10.1590/1413-81232023285.14002022

Política de Saúde Bucal no Brasil: transformações e rupturas entre 2018-2021
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Santos, Lília Paula de Souza

; Lima, Ana Maria Freire de Souza

; Chaves, Sônia Cristina Lima

; Vilela, Débora Maria Oliveira Cruz

; Valente, Ana Paula Portugal Chagas

; Rossi, Thaís Regis Aranha

Ciência & Saúde Coletiva

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may 2023, Volume 28 N. 5 Pages 1575 - 1587

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

https://doi.org/10.1590/1413-81232023285.14002022

A Inteligência Artificial na divisão leste-oeste
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Ruiz, Isadora Maria Roseiro

; Oliveira, Cristina Godoy Bernardo de

Estudos Avançados

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jan 2023, Volume 37 N. 107 Pages 387 - 394

Abstract: Pt | Text: Pt | PDF: Pt

https://doi.org/10.1590/s0103-4014.2023.37107.026

Conhecimento de mulheres que fazem sexo com mulheres sobre Infecções Sexualmente Transmissíveis e Aids
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Parenti, Ana Beatriz Henrique

; Ignácio, Mariana Alice de Oliveira

; Buesso, Thayná Santos

; Almeida, Margareth Aparecida Santini de

; Parada, Cristina Maria Garcia de Lima

; Duarte, Marli Teresinha Cassamassimo

Ciência & Saúde Coletiva

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jan 2023, Volume 28 N. 1 Pages 303 - 303

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

Resumo O objetivo deste artigo é estudar o conhecimento de mulheres que fazem sexo com mulheres sobre Infecções Sexualmente Transmissíveis e Aids. Estudo transversal com 260 mulheres, sendo 81 mulheres que fazem sexo com mulheres ou com mulheres e homens (MSM) e 179 mulheres que fazem sexo exclusivamente com homens (MSH). Dados obtidos entre 2019 e 2020, por meio de aplicação de formulário e de instrumentos validados. Para estudar a associação entre parceria sexual e nível de conhecimento sobre Infecções Sexualmente Transmissíveis e Aids foram ajustados modelos de regressão múltipla de Cox, sendo significativas as associações com p<0,05. A mediana do percentual de acerto das questões foi inferior entre às MSM quando comparadas às das MSH [68% (18-96) vs 75% (14-96); p=0,023]. Fazer sexo com mulher [RP=2,36 (1,07-5,21); p=0,033] e escolaridade menor que 11 anos de estudo [RP=2,64 (1,12-6,21); p=0,026] associaram-se independentemente ao baixo conhecimento. As MSM apresentaram menor nível de conhecimento sobre Infecções Sexualmente Transmissíveis e Aids do que as MSH, assim como a menor escolaridade associou-se independentemente a esse desfecho.

Abstract This article aims to study the knowledge of women who have sex with women about Sexually Transmitted Infections and AIDS. Cross-sectional study of 260 women, 81 women who either have sex with women or with men and women (WSW) and 179 women who have sex exclusively with men (WSM). Data were collected in 2019/2020 by means of a form and validated instruments. To study the association between sexual partnership and level of knowledge about Sexually Transmitted Infections and AIDS, multiple Cox regression models were adjusted, producing significant associations of p<0,05. The median percentage of correct answers was lower among WSW when compared to WSM [68% (18-96) vs 75% (14-96); p=0.023]. Having sex with woman [PR=2.36 (1.07-5.21); p=0.033] and less than 11 years of schooling [PR=2.64 (1.12-6.21); p=0.026] were independently associated with low knowledge. WSW had a lower level of knowledge about Sexually Transmitted Infections and AIDS than WSM, and lower education was independently associated with this finding.

https://doi.org/10.1590/1413-81232023281.09882022

Conhecimento de mulheres que fazem sexo com mulheres sobre Infecções Sexualmente Transmissíveis e Aids
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Parenti, Ana Beatriz Henrique

; Ignácio, Mariana Alice de Oliveira

; Buesso, Thayná Santos

; Almeida, Margareth Aparecida Santini de

; Parada, Cristina Maria Garcia de Lima

; Duarte, Marli Teresinha Cassamassimo

Ciência & Saúde Coletiva

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jan 2023, Volume 28 N. 1 Pages 303 - 303

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

https://doi.org/10.1590/1413-81232023281.09882022

Association between enhanced recovery after surgery protocol compliance and clinical complications: a cohort study
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Máximo, Maria Ana

; Santos, Daniel

; Félix-Oliveira, Afonso

; Pereira, Marta

; Carmona, Cristina

Brazilian Journal of Anesthesiology

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jan 2023, Volume 73 N. 1 Pages 25 - 35

Abstract: En | Text: En | PDF: En

Abstract Background Enhanced Recovery After Surgery (ERAS) protocol is composed by evidence-based interventions that aim to improve recovery through a reduction in surgical stress response. Although ERAS protocols have been introduced across the globe, exhaustive implementation is not as common. We aimed to study the ERAS protocol compliance in colorectal surgery, assessing the relationship between compliance and postoperative complications. Methods A single-center cohort study was conducted. All consecutive patients admitted to elective colorectal surgery were included. We assessed study endpoints according to ERAS protocol perioperative compliance score above 75%. Our primary endpoint was a composite of postoperative events, which includes in-hospital postoperative complications and need for reoperation after 30 days and need for readmission after discharge. Secondary endpoints were surgery-to-discharge time, postoperative use of only non-opioid adjuvants and the individual components of the primary endpoint. Results A total of 224 colorectal patients were included. The primary endpoint occurred in 59.2% (n = 58) of non-compliant patients comparing to 34.1% (n = 43) in compliant patients. In univariate analysis, compliance to ERAS protocol had an inferior risk for the primary endpoint (p< 0.001). In a logistic regression model, compliance was independently associated with a reduced risk for the primary endpoint with a odds-ratio of 0.42 (95% CI 0.23-0.75, p= 0.004). Conclusion Compliance with the ERAS protocol is associated with less complications, a reduced surgery-to-discharge time and use of only non-opioid adjuvants in the postoperative period. More studies are needed to target the most appropriate compliance goal.

https://doi.org/10.1016/j.bjane.2021.08.018

Encapsulation of benznidazole in nanostructured lipid carriers and increased trypanocidal activity in a resistant Trypanosoma cruzi strain
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Silva, Flávia Lidiane Oliveira da

; Marques, Maria Betânia de Freitas

; Yoshida, Maria Irene

; Mussel, Wagner da Nova

; Silveira, João Vinícios Wirbitzki da

; Barroso, Poliana Ribeiro

; Kato, Kelly Cristina

; Martins, Helen Rodrigues

; Carneiro, Guilherme

Brazilian Journal of Pharmaceutical Sciences

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2023, Volume 59 elocation e22111

Abstract: En | Text: En | PDF: En

Abstract Chagas disease is a neglected parasitic disease caused by Trypanosoma cruzi, whose treatment has remained unsatisfactory for over 50 years, given that it is limited to two drugs. Benznidazole (BZN) is an efficient antichagasic drug used as the first choice, although its poor water-solubility, irregular oral absorption, low efficacy in the chronic phase, and various associated adverse effects are limiting factors for treatment. Incorporating drugs with such characteristics into nanostructured lipid carriers (NLC) is a promising alternative to overcome these limiting obstacles, enhancing drug efficacy and bioavailability while reducing toxicity. Therefore, this study proposed NLC-BZN formulations in different compositions prepared by hot-melt homogenization followed by ultrasound, and the optimized formulation was characterized by FTIR, DRX, DSC, and thermogravimetry. Biological activities included in vitro membrane toxicity (red blood cells), fibroblast cell cytotoxicity, and trypanocidal activity against epimastigotes of the Colombian strain of T. cruzi. The optimized NLC-BZN had a small size (110 nm), negative zeta potential (-18.0 mV), and high encapsulation (1.64% of drug loading), as shown by infrared spectroscopy, X-ray diffraction, and thermal analysis. The NLC-BZN also promoted lower in vitro membrane toxicity (<3% hemolysis), and 50% cytotoxic concentration (CC50) for NLC-BZN in L929 fibroblast cells (110.7 µg/mL) was twice the value as the free BZN (51.3 µg/mL). Our findings showed that the NLC-BZN had higher trypanocidal activity than free BZN against the epimastigotes of the resistant Colombian strain, and this novel NLC-BZN formulation proved to be a promising tool in treating Chagas disease and considered suitable for oral and parenteral administration.

https://doi.org/10.1590/s2175-97902023e22111

10.

Feminization of science: female pioneering in the healthcare area
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Marquini, Gisele Vissoci

; Oliveira, Letícia Maria de

; Takano, Claudia Cristina

; Dias, Marcia Maria

; Silva, Eduarda Vilela

; Nunes, Ana Beatriz Amorim

; Bella, Zsuzsanna Ilona Katalin de Jármy-Di

; Sartori, Marair Gracio Ferreira

Revista da Associação Médica Brasileira

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2023, Volume 69 N. 6 elocation e20221009

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/1806-9282.20221009

11.

Ultrasound in cervical traumatic neuromas after neck dissection in thyroid carcinoma patients: descriptive analysis and diagnostic accuracy
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Marcos, Vinicius Neves

; Danilovic, Debora Lucia Seguro

; Pereira, Fernando Linhares

; Tsunemi, Miriam Harumi

; Kulcsar, Marco Aurelio Vamondes

; Hoff, Ana Oliveira

; Domingues, Regina Barros

; Chammas, Maria Cristina

; Freitas, Ricardo Miguel Costa de

Archives of Endocrinology and Metabolism

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2023, Volume 67 N. 5 elocation e000633

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: Cervical traumatic neuromas (CTNs) may appear after lateral neck dissection for metastatic thyroid carcinoma. If they are misdiagnosed as metastatic lymph nodes (LNs) in follow-up neck ultrasound (US), unnecessary and uncomfortable fine-needle aspiration biopsy are indicated. The present study aimed to describe US features of CTNs and to assess the US performance in distinguishing CTNs from abnormal LNs. Subjects and methods: Retrospective evaluation of neck US images of 206 consecutive patients who had lateral neck dissection as a part of thyroid cancer treatment to assess CTN’s US features. Diagnostic accuracy study to evaluate US performance in distinguishing CTNs from abnormal LNs was performed. Results: Eight-six lateral neck nodules were selected for analysis: 38 CTNs and 48 abnormal LNs. CTNs with diagnostic cytology were predominantly hypoechogenic (100% vs. 45%; P = 0.008) and had shorter diameters than inconclusive cytology CTNs: short axis (0.39 cm vs. 0.50 cm; P = 0.03) and long axis (1.64 cm vs. 2.35 cm; P = 0.021). The US features with the best accuracy to distinguish CTNs from abnormal LNs were continuity with a nervous structure, hypoechogenic internal lines, short/long axis ratio ≤ 0.42, absent Doppler vascularization, fusiform morphology, and short axis ≤ 0.48 cm. Conclusion: US is a very useful method for assessing CTNs, with good performance in distinguishing CTNs from abnormal LNs.

https://doi.org/10.20945/2359-3997000000633

12.

Feline leishmaniosis: hematological and biochemical analysis
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Silva, Diogo Tiago da

; Alves, Maria Luana

; Spada, Júlio Cesar Pereira

; Leonel, João Augusto Franco

; Vioti, Geovanna

; Benassi, Julia Cristina

; Carregaro, Valéria Maria Lara

; Alves-Martin, Maria Fernanda

; Starke-Buzetti, Wilma Aparecida

; Oliveira, Trícia Maria Ferreira de Sousa

Revista Brasileira de Parasitologia Veterinária

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2023, Volume 32 N. 2 elocation e003823

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

Resumo Cento e sessenta e seis gatos de dois abrigos foram submetidos ao diagnóstico de Leishmania spp. por ensaio imunoenzimático (ELISA), imunofluorescência indireta (RIFI), reação em cadeia pela polimerase convencional (cPCR) e quantitativa (qPCR) e métodos parasitológicos (PA). Destes, 15% (25/166), 53,6% (89/166), 3,6% (06/166) e 1,8% (03/166) foram positivos por ELISA, RIFI, as duas PCRs e PA, respectivamente. O sequenciamento dos produtos amplificados da PCR ITS-1 foi 100% idêntico à Leishmania infantum. Após o inquérito, 12 gatos foram selecionados para compor dois grupos para análises de hematologia e bioquímica: 6 gatos positivos para L. infantum (G1) e 6 gatos Leishmania spp. negativos (G2). Todos os gatos foram negativos para o vírus da imunodeficiência felina (FIV) e o da leucemia felina (FeLV). Foi observada uma diminuição na contagem de plaquetas e uma hiperproteinemia e hipoalbuminemia significativas em gatos positivos (p<0,05). Esses resultados sugerem que, em áreas endêmicas, os gatos com sinais clínicos de leishmaniose felina (tais como lesões dermatológicas, perda de peso e/ou linfonodos aumentados), associados a alterações hematológicas e bioquímicas, como contagem reduzida de plaquetas e hiperproteinemia com hipoalbuminemia, devem ser testados para leishmaniose felina.

Abstract One hundred and sixty-six cats from two animal shelters were subjected to enzyme-linked immunosorbent assay (ELISA), indirect immunofluorescence antibody test (IFAT), conventional polymerase chain reaction (cPCR), quantitative PCR (qPCR) and parasitological tests (PA) for the diagnosis of Leishmania spp. Among them, 15% (25/166), 53.6% (89/166), 3.6% (06/166) and 1.8% (03/166) were positive by ELISA, IFAT, both PCRs and PA, respectively. The sequencing of ITS-1 PCR amplicons revealed a 100% match with Leishmania infantum. After the Leishmania spp. survey, 12 cats were selected and divided into two groups for clinical, hematological, and biochemical analysis: six L. infantum positive cats (G1) and six Leishmania spp. negative cats (G2). All the cats were negative for feline immunodeficiency virus (FIV) and feline leukemia virus (FeLV). A statistical analysis indicated significantly low platelet counts and significant hyperproteinemia associated with hypoalbuminemia in positive cats (p<0.05). Our results suggest that in endemic areas, cats with clinical signs of feline leishmaniosis (such as skin lesions, weight loss and/or enlarged lymph nodes) and that exhibit hematological and biochemical changes, such as low platelet counts and hyperproteinemia with hypoalbuminemia, should be tested for Leishmania spp. infection.

https://doi.org/10.1590/s1984-29612023035

13.

Adaptation And Use of the Papworth Haemostasis Checklist - Clinical Outcomes Analysis at Hospital Estadual Mário Covas
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Poltronieri, Pedro Borghesi

; Freitas, Andrea Cristina Oliveira

; Batista, Caroline Hamati Rosa

; Luz, Jorge Luiz Ribeiro da

; Barbosa, Mayara Baschiera

; Gonçalves, Ricardo Siqueira

; Smanio, Maria Carolina Martins

; Pires, Adilson Casemiro

Brazilian Journal of Cardiovascular Surgery

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2023, Volume 38 N. 4 elocation e20220305

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: Postoperative bleeding is one of the main causes of complications in cardiovascular surgery, which highlights the importance of ensuring adequate intraoperative hemostasis, providing a better patient outcome. This study aimed to improve the prevention of postoperative bleeding in the Cardiovascular Surgery Department of the Hospital Estadual Mário Covas (Santo André, Brazil) using an adapted version of the Papworth Haemostasis Checklist to assess the impact of this standardization on bleeding rate, postoperative complications, reoperation, and mortality. Methods: This is a non-randomized controlled clinical trial, whose non-probabilistic sample consisted of patients undergoing cardiac surgery in the abovementioned service within a two-year interval. The Papworth Haemostasis Checklist was adapted to the Brazilian laboratory parameters and the questions were translated into Portuguese. This checklist was used before the surgeon started the chest wall closure. Patients were followed up until 30 days after surgery. A P-value < 0.05 was considered statistically relevant. Results: This study included 200 patients. After the checklist, a reduction in 24-hour drain output, postoperative complications, and reoperation was observed, although statistical significance was not reached. Finally, there was a significant reduction in the number of deaths (8 vs. 2; P=0.05). Conclusion: The use of the adapted checklist in our hospital proved to be an effective intervention to improve the prevention of postoperative bleeding, with a direct impact in the number of deaths in the study period. The reduction in deaths was possible thanks to the reduction in the bleeding rate, postoperative complications, and reoperations for bleeding.

https://doi.org/10.21470/1678-9741-2022-0305

14.

Posicionamento Brasileiro sobre Síndrome da Quilomicronemia Familiar – 2023
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Izar, Maria Cristina de Oliveira

; Santos Filho, Raul Dias dos

; Assad, Marcelo Heitor Vieira

; Chagas, Antonio Carlos Palandri

; Toledo Júnior, Alceu de Oliveira

; Nogueira, Ana Cláudia Cavalcante

; Souto, Ana Cristina Carneiro Fernandes

; Lottenberg, Ana Maria

; Chacra, Ana Paula Marte

; Ferreira, Carlos Eduardo dos Santos

; Lourenço, Charles Marques

; Valerio, Cynthia Melissa

; Cintra, Dennys Esper

; Fonseca, Francisco Antonio Helfenstein

; Campana, Gustavo Aguiar

; Bianco, Henrique Tria

; Lima, Josivan Gomes de

; Castelo, Maria Helane Costa Gurgel

; Scartezini, Marileia

; Moretti, Miguel Antonio

; Barreto, Natasha Slhessarenko Fraife

; Maia, Rayana Elias

; Montenegro Junior, Renan Magalhães

; Alves, Renato Jorge

; Figueiredo, Roberta Marcondes Machado

; Fock, Rodrigo Ambrosio

; Martinez, Tânia Leme da Rocha

; Giraldez, Viviane Zorzanelli Rocha

Arquivos Brasileiros de Cardiologia

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2023, Volume 120 N. 4 elocation e20230203

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

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

15.

Cana-de-Açúcar e Café na Região Extremo Sul da Bahia, Brasil: Uma Análise Espaço-Temporal e dos Fatores Socioeconômicos
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Almeida, Regiane de Oliveira

; Cruz, Thyane Viana da

; Crepaldi, Maria Otávia

; Silva, Leonardo Thompson da

; Sousa, Ana Cristina de

; Cerqueira, Everton Mateus dos Santos

; Sena, Anderson

Sociedade & Natureza

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2023, Volume 35 elocation e66851

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

Abstract The região extremo sul da Bahia (RESB - Extreme Southern Region of Bahia) has agricultural aptitude for several crops and has already been subjected to the expansion of sugarcane and coffee. Thus, this work analyzes the spatial and temporal dynamics of sugarcane and coffee monocultures in the RESB and their relationship with socioeconomic indices. The methodology consists of collection and analysis of data from the Instituto Brasileiro de Geografia e Estatística (IBGE), which is the main provider of geographic information and statistics in Brazil, the Companhia Nacional de Abastecimento (CONAB), which is responsible for providing technical information to support decision-making regarding the elaboration of policies aimed at agriculture and the Atlas Brasil platform. Data were collected regarding the planted area and the amount of sugarcane and coffee produced in the region between 1988 and 2019. To understand the relationship between expansion and socioeconomic factors, data related to gross domestic product (GDP) and municipal human development index (MHDI) were collected. This study identified the main sugarcane-producing municipalities (Caravelas, Mucuri, Medeiros Neto, Nova Viçosa, Lajedão, Ibirapuã and Santa Cruz Cabrália) and coffee (Prado, Itamaraju, Porto Seguro, Eunapolis, Teixeira de Freitas and Itabela). The expansion of these crops presents economic importance for the region, but presents a little contribution to the improvement of the various factors that make up the MHDI of the municipalities. This study concluded that the expansion of these crops changed the agricultural matrix of the region due to its specialization in the production of these crops to the detriment of others such as cocoa, for example.

Resumo A Região Extremo Sul da Bahia (RESB) possui aptidão agrícola para diversas culturas e já foi sujeita à expansão da cana-de-açúcar e do café. Assim, esse trabalho analisa a dinâmica espacial e temporal das monoculturas da cana-de-açúcar e do café na RESB e sua relação com índices socioeconômicos. A metodologia consiste em coleta e análise dos dados junto ao Instituto Brasileiro de Geografia e Estatística (IBGE), que é o principal provedor de informações geográficas e estatísticas do Brasil, a Companhia Nacional de Abastecimento (CONAB), que é responsável por fornecer informações técnicas para apoiar a tomada de decisão sobre a elaboração de políticas voltadas para a agricultura, e a Plataforma Atlas Brasil. Foram coletados dados sobre a área plantada e a quantidade produzida de cana-de-açúcar e de café na região entre os anos 1988 e 2019. Para compreender a relação entre a expansão e os fatores socioeconômicos, foram levantados dados referentes ao Produto Interno Bruto (PIB) e Índice de Desenvolvimento Humano Municipal (IDHM). Este trabalho identificou os principais municípios produtores de cana-de-açúcar (Caravelas, Mucuri, Medeiros Neto, Nova Viçosa, Lajedão, Ibirapuã e Santa Cruz Cabrália) e de café (Prado, Itamaraju, Porto Seguro, Eunápolis, Teixeira de Freitas e Itabela), e a expansão desses cultivos apresenta importância econômica para a região, porém apresenta pouca contribuição para a melhoria dos diversos fatores que compõem o IDHM dos municípios. Esse estudo concluiu que a expansão desses cultivos alterou a matriz agrícola da região devido a sua especialização na produção desses cultivos em detrimento de outros como o cacau, por exemplo.

https://doi.org/10.14393/sn-v35-2023-66851

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