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au:PEREIRA, WALTER CARLOS

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Patient Acceptance of Telemedicine in Urogynecology Consultations – A Cross-Sectional Study Performed at a Brazilian Public Institution
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Macharet, Débora Vianna D'Almeida Lucas

; Mendes, Leonardo Nogueira

; Oliveira, Walter Carlos Santos de

; Pereira, Gláucia Miranda Varella

; Monteiro, Marilene Vale de Castro

Revista Brasileira de Ginecologia e Obstetrícia

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aug 2022, Volume 44 N. 8 Pages 755 - 760

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

Resumo Objetivo Avaliar aceitação da telemedicina e determinar seus fatores associados em uma clínica de uroginecologia de um hospital público brasileiro. Métodos Trata-se de estudo transversal realizado entre junho e novembro de 2020. Foram recrutadas pacientes que tiveram seus atendimentos eletivos adiados devido à pandemia de doença do coronavírus 2019 (coronavirus disease 2019, COVID-19, em inglês). As variáveis consideradas para a aceitação da telemedicina foram: diagnóstico uroginecológico, idade, escolaridade, local de residência, acesso à internet, tipo de dispositivo, frequência do uso da internet, e uso de plataformas de redes sociais. As variáveis categóricas foras descritas na forma de suas frequências absoluta e relativa. A associação entre essas variáveis foi avaliada por meio do teste exato de Fisher e análises uni e multivariada, e a aceitação da telemedicina foi considerada a variável dependente. Resultados Um total de 225 pacientes foram listadas, e 182 concordaram em participar. A idade média das participantes foi de 59 anos; 81,3% delas tinham acesso à internet, e 87,3% aceitaram a telemedicina. Observaram-se associações estatisticamente significativas entre a aceitação e maior escolaridade (p< 0,01), acesso à internet (p< 0,01), uso diário da internet (p< 0,01), acesso por celular próprio (p< 0,01), e acesso da própria residência (p< 0,01). Nas análises uni e multivariada, somente alto nível de escolaridade esteve associado à aceitação da telemedicina (razão de probabilidades ajustada: 4,82; intervalo de confiança de 95% = 1,59–14,65). Conclusão A maioria das pacientes atendidas em um hospital público de um país em desenvolvimento concordaram com a telemedicina. Acesso à internet e nível de escolaridade foram fatores associados à aceitação da telemedicina nessa população.

Abstract Objective To evaluate the acceptance of telemedicine and determine its associated factors in an urogynecology outpatient clinic of a public hospital in Brazil. Methods The present was a cross-sectional study performed between June and November 2020. The included patients had their elective appointments postponed due to the coronavirus disease 2019 (COVID-19) pandemic. The variables considered regarding the acceptance of telemedicine were: urogynecologic diagnosis, age, level of schooling, place of residence, access to the internet, type of device used, frequency of internet use, and use of social media platforms. The categorical variables were described by their absolute and relative frequencies. The association among variables was evaluated through the Fisher exact test, and univariate and multivariate analyses, considering the acceptance of telemedicine as the dependent variable. Results A total of 225 patients were listed, and 182 agreed to participate. The mean age was 59 years old, 81.3% of the patients had access to the internet, and 87.3% of them accepted telemedicine. There were statistically significant associations regarding the acceptance of telemedicine and high levels of schooling (p< 0.01), internet access (p< 0.01), daily use of the internet (p< 0.01), access through personal mobile phone (p< 0.01), and access through the participant's own residence (p< 0.01). In the univariate and multivariate analyses, only high levels of schooling were associated with the acceptance of telemedicine (Adjusted odds ratio: 4.82; 95% confidence interval = 1.59–14.65). Conclusion Most of the urogynecology patients of a public hospital in a developing country accepted telemedicine. Internet access and level of schooling were the factors associated with the acceptance of telemedicine in urogynecology.

https://doi.org/10.1055/s-0042-1748971

Urban production of kale (Brassica oleracea var. acephala) in Brazil: survey of diseases and factors that contribute to their outbreak
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Silva, Kercio Estevam da

; Correa, Elida Barbosa

; Silva, Edvania Abidon

; Pereira, Walter Efrain

; Silva, Julio Carlos Pereira da

; Medeiros, Flávio Henrique Vasconcelos de

Summa Phytopathologica

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jan 2022, Volume 48 N. 1 Pages 17 - 24

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

RESUMO A couve (Brassica oleracea var. acephala) é geralmente produzida por agricultores urbanos no Brasil, mas existem poucos estudos sobre a diversidade e manejo das doenças para produção sustentável em cultivos urbanos. Neste estudo, foi verificada a ocorrência de doenças na couve em cultivos urbanos de duas regiões do Brasil, representando as condições climáticas de Cwa (Lavras MG) e Aw (Campina Grande PB) pela classificação de Köppen Geiger e os fatores que contribuem para a ocorrência das enfermidades. Os produtores foram visitados semanalmente em cada região por oito meses e foi realizado o levantamento das doenças, bem como as principais táticas de manejo aplicadas pelos agricultores de cada município. Em ambas as regiões, o oídio (Erysiphe polygoni) e a podridão negra (Xanthomonas campestris pv. campestris) foram as doenças predominantes. A umidade relativa e alta temperatura foram os fatores ambientais que contribuíram para o aumento das doenças. O manejo com cobertura vegetal contribuiu para diminuir o oídio e para manter a podridão negra. Consequentemente, o cultivo intensivo de couve proporcionou um aumento da severidade da podridão negra. Esses resultados mostram a importância de recomendações adequadas de táticas de manejo utilizadas na agricultura urbana visando o controle de doenças da couve de acordo com as condições climáticas da área.

ABSTRACT Kale (Brassica oleracea var. acephala) is mostly produced by urban growers in Brazil, but little is known about the diversity and the management of diseases for sustainable urban agriculture. The present study investigated the occurrence of diseases in the urban cultivation of kale in two regions of Brazil, representing the climate conditions Cwa (Lavras - MG) and Aw (Campina Grande - PB) according to Köppen Geiger classification, as well as the factors that contribute to such occurrence. Growers in each region were visited every week during eight months while a survey was carried out on the diseases and the major crop management practices. In both regions, powdery mildew (Erysiphe polygoni) and black rot (Xanthomonas campestris pv. campestris) were the prevalent diseases. Relative humidity and high temperature were the environmental factors that contributed to increase the diseases. Management using straw mulch favored powdery mildew reduction and black rot maintenance. Consequently, kale intensive production resulted in higher black rot severity. These results demonstrated the importance of proper recommendations on management practices for urban agriculture with the aim of controlling kale diseases according to the climate conditions in the region.

https://doi.org/10.1590/0100-5405/194018

‘Tropical Sunki’ mandarin and hybrid citrus rootstocks under ‘Pera’ sweet orange in cohesive soil and As climate without irrigation
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Ribeiro, Lucas de Oliveira

; Costa, Danilo Pereira

; Ledo, Carlos Alberto da Silva

; Carvalho, Luciana Marques de

; Carvalho, Hélio Wilson Lemos de

; Soares Filho, Walter dos Santos

; Girardi, Eduardo Augusto

Bragantia

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2021, Volume 80 elocation e1321

Abstract: En | Text: En | PDF: En

ABSTRACT The search for alternative rootstocks to the ‘Rangpur’ lime tree is a challenge to the sustainability of citrus in the Tabuleiros Costeiros (Coastal Tablelands) of Northeastern Brazil. New varieties should meet high drought tolerance with water deficit, cohesive soils, resistance to citrus diseases and inducing high production of fruit. In this work, the performance of ‘Pera’ sweet orange was evaluated on ‘Tropical Sunki’ mandarin and 27 hybrid citrus rootstocks in Umbaúba, Sergipe. A local selection of the ‘Rangpur’ lime was the control. Planting was in 2013 at tree spacing of 6.0 × 3.0 m, without irrigation. Tree size, fruit yield and quality, tree survival rate and graft-compatibility were assessed until 2019. Experimental design was completely randomized blocks with 29 treatments, three replicates and four plants in the plot. Two selection indices were applied to the data to assist in decision making. The ‘Tropical Sunki’ mandarin induced similar cumulative fruit yield in relation to the ‘Rangpur’ lime, suggesting a good drought tolerance of the former rootstock. The TSKC × (LCR × TR) - 073 induced slightly lower productivity, compensated by higher productive efficiency and higher concentration of soluble solids, whereas LCR × TR - 001 and HTR - 166 were highly efficient dwarfing rootstocks. The multiplicative and the rank sum indices showed high correlation, both classifying ‘Tropical Sunki’ mandarin, ‘Santa Cruz Rangpur’ lime, LVK × LCR - 010 and - 038, HTR - 127, in addition to the three aforementioned hybrids, as superior to the local selection of ‘Rangpur’ lime.

https://doi.org/10.1590/1678-4499.20200407 682 downloads

Physiological changes in soybean cultivated with soil remineralizer in the Cerrado under variable water regimes
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Pereira, Lucas Felisberto

; Ribeiro Junior, Walter Quadros

; Ramos, Maria Lucrécia Gerosa

; Santos, Nicolas Zendonadi dos

; Soares, Guilherme Filgueiras

; Casari, Raphael Augusto das Chagas Noqueli

; Muller, Onno

; Tavares, Cássio Jardim

; Martins, Éder de Souza

; Rascher, Uwe

; Guimarães, Cristiane Andréa de Lima

; Pereira, André Ferreira

; Mertz-Henning, Liliane Márcia

; Sousa, Carlos Antonio Ferreira de

Pesquisa Agropecuária Brasileira

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2021, Volume 56 elocation e01455

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

Resumo: O objetivo deste trabalho foi avaliar a influência do remineralizador de solo finos de mica xisto (FMS) na fisiologia, na produtividade e na qualidade de grãos de soja (Glycine max) em diferentes regimes hídricos (RHs), no Cerrado brasileiro. O experimento foi conduzido em condições de campo durante dois anos, tendo-se utilizado quatro RHs e três tratamentos: mica xisto, adubação convencional e controle. Em 2017 e 2018, foram avaliados os seguintes RHs: RH1, RH2, RH3 e RH4, que correspondiam ao valor médio de 100, 65, 44 e 28% da reposição da evapotranspiração da cultura, respectivamente. A fotossíntese, a condutância estomática, a transpiração, a concentração interna de CO2, o rendimento quântico efetivo do fotossistema II (FSII) (Fv’/Fm’), o rendimento quântico (FSII) (ᶲFSII) e a taxa de transporte de elétrons reduziram em função do avanço da fase fenológica da soja e da redução do RH. A qualidade dos grãos foi afetada apenas pelo RH. O mica xisto foi estatisticamente semelhante à adubação convencional e ao controle em 2017 e 2018. A produtividade reduziu devido à antecipação da idade fenológica da soja e do RH, mas não houve diferenças entre os três tratamentos em 2017 e 2018. A redução da produtividade da soja é atribuída ao fechamento estomático, à perda da capacidade fotoprotetora e aos danos ao maquinário fotossintético causados pela seca.

Abstract: The objective of this work was to evaluate the influence of the soil remineralizer fine-graded mica schist (FMS) on soybean (Glycine max) physiology, yield, and grain quality under different water regimes (WRs) in the Brazilian Cerrado. The experiment was conducted under field conditions for two years, using four WRs and three treatments: mica schist, conventional fertilization, and control. In 2017 and 2018, the following WRs were evaluated: WR1, WR2, WR3, and WR4, corresponding to a mean value of 100, 65, 44, and 28% of crop evapotranspiration replacement, respectively. Photosynthesis, stomatal conductance, transpiration, internal CO2 concentration, effective quantum yield of photosystem II (PSII) (Fv’/Fm’), quantum yield (PSII) (ᶲFSII), and electron transport rate reduced as a function of the advanced phenological stage of soybean and the reduction in WR. Grain quality was only affected by the WR. The mica schist was statistically similar to conventional fertilization and the control in 2017 and 2018. Yield decreased due to the anticipation of soybean phenological age and WR, but there were no differences between the three treatments in 2017 and 2018. The reduction in soybean yield is attributed to stomatal closure, loss of photoprotective capacity, and damage to the photosynthetic machinery caused by drought.

https://doi.org/10.1590/s1678-3921.pab2021.v56.01455 114 downloads

Effect of thermal treatment variables on the thermogravimetric properties of eucalypt wood
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Soratto, Déborah Nava

; Silva, Carlos Miguel Simões da

; Vital, Benedito Rocha

; Carneiro, Angélica de Cássia Oliveira

; Bianche, Juliana Jerásio

; Boschetti, Walter Torezani Neto

; Freitas, Thaís Pereira

; Ferreira, Juliana Ceccato

Maderas. Ciencia y tecnología

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apr 2020, Volume 22 N. 2 Pages 241 - 250

Abstract: En | Text: En | PDF: En

Abstract: Thermal treatments have the effect of reducing the hygroscopicity and improving the resistance to microbiological attack of wood by the degradation of its chemical constituents. During the treatments, the mass of the wood is reduced, a factor that can affect the quality of the materials according to their use. The objective was to verify the effect of the thermal treatment variables on the thermogravimetric properties and the chemical composition of Eucalyptus grandis. The treatments were carried out in a vacuum oven with three atmosphere conditions - vacuum; N2; vacuum+N2 at temperatures of 140, 180 and 220 °C for 6 hours. It was observed that the mass loss during treatments differed only according to the temperatures used. The extractive content, total lignin and holocellulose presented significant changes only at 220°C in all three atmospheres. In the thermogravimetric analysis, the greatest value of residual mass was found in the treatment that used nitrogen and 220 °C, thus demonstrating that this treatment was more invasive, leading to the conclusion that the vacuum application can help to reduce the degradation of the constituents of the eucalypt wood. Wood, which can lead to the production of thermally treated wood without great losses in the mechanical properties.

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Nonparametric indices for the selection of hybrid citrus as rootstocks grafted with 'Valência' sweet Orange
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Costa, Danilo Pereira

; Ribeiro, Lucas de Oliveira

; Coelho Filho, Maurício Antônio

; Ledo, Carlos Alberto da Silva

; Stuchi, Eduardo Sanches

; Girardi, Eduardo Augusto

; Gesteira, Abelmon da Silva

; Soares Filho, Walter dos Santos

Pesquisa Agropecuária Brasileira

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2020, Volume 55 elocation e01592

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

Resumo: O objetivo deste trabalho foi avaliar cinco índices de seleção não paramétricos para a seleção de citros híbridos como porta-enxertos, enxertados com laranjeira 'Valência', com base em atributos horticulturais relevantes para a indústria de processamento de suco. Avaliaram-se 46 porta-enxertos em delineamento de blocos ao acaso, com três repetições e cinco plantas na parcela, no período de 2009-2015, em cultivo de sequeiro. As médias das variáveis altura de planta, produção acumulada de frutos, eficiência produtiva de frutos, concentração de sólidos solúveis totais, rendimento de suco e tolerância à seca foram utilizadas para calcular os seguintes índices: multiplicativo (IEi), soma de classificação (IMMi), distância genótipo-ideótipo (DiI) e ranqueamento (IRKi, baseado em médias simples; e IRKii, baseado em normalização linear). Os índices foram eficientes em classificar os híbridos em relação ao desempenho geral. A correlação de Spearman mostrou alta similaridade entre a maioria dos índices não paramétricos, notadamente entre IRKi e IRKii. Os índices de ranqueamento, principalmente o IRKii, fornecem uma classificação mais coerente dos híbridos, o que permite a seleção de porta-enxertos mais produtivos e tolerantes à seca, para a produção de frutas de alta qualidade para processamento.

Abstract: The objective of this work was to evaluate five nonparametric selection indices for the selection of hybrid citrus rootstocks grafted with 'Valência' sweet orange, using horticultural traits relevant for the juice processing industry. Forty-six rootstocks were evaluated in a randomized complete block design, with three replicates and five trees in the plot, in the period from 2009-2015, in a rainfed cultivation. The means of the variables plant height, accumulated fruit yield, fruit yield efficiency, total soluble solids concentration, juice yield, and drought-tolerance were used to calculate the following indices: multiplicative index (IEi), sum of classification (IMMi), genotype-ideotype distance (DiI), and ranking indices (IRKi, based on simple means; and IRKii, based on linear normalization). The indices were efficient to classify the hybrids in relation to general performance. Spearman’s correlation showed a high similarity between most nonparametric indices, notably between IRKi and IRKii. The ranking indices, mainly IRKii, provide a more coherent classification of the hybrids, which allows of the selection of more productive and drought-tolerant rootstocks to produce high-quality fruit for processing.

https://doi.org/10.1590/s1678-3921.pab2020.v55.01592 480 downloads

Comment on the study Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the Bypass Registry that was presented at the 46th Congress of the Brazilian Society of Cardiovascular Surgery, Nova Lima, BH, Brazil, April 5 and 6, 2019
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Dallan, Luís Alberto O.

; Paez, Rodrigo Pereira

; Hossne Junior, Nelson Américo

; Santo, José Amalth do Espírito

; Berwanger, Otavio

; Santos, Renato Hideo Nakagawa

; Kalil, Renato Abdala Karam

; Jatene, Fabio B.

; Cavalcanti, Alexandre Biasi

; Zilli, Alexandre Cabral

; Bettiati Jr, Luiz Carlos

; Figueira, Fernando Augusto Marinho dos Santos

; D’Azevedo, Stephanie Steremberg Pires

; Soares, Marcelo José Ferreira

; Fernandes, Marcio Pimentel

; Ardito, Roberto Vito

; Bogdan, Renata Andrea Barberio

; Campagnucci, Valquíria Pelisser

; Nakasako, Diana

; Rodrigues, Clarissa Garcia

; Rodrigues Junior, Anilton Bezerra

; Cascudo, Marcelo Matos

; Atik, Fernando Antibas

; Lima, Elson Borges

; Nina, Vinicius José da Silva

; Heluy, Renato Albuquerque

; Azeredo, Lisandro Gonçalves

; Henrique Junior, Odilon Silva

; Mendonça, José Teles de

; Silva, Katharina Kelly de Oliveira Gama

; Pandolfo, Marcelo

; Lima Júnior, José Dantas de

; Faria, Renato Max

; Santos, Jonas Gonçalves dos

; Coelho, Guilherme Henrique Biachi

; Pereira, Sergio Nunes

; Senger, Roberta

; Buffolo, Enio

; Caputi, Guido Marco

; Oliveira, Juliana Aparecida Borges de

; Gomes, Walter J.

Brazilian Journal of Cardiovascular Surgery

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aug 2019, Volume 34 N. 4 Pages 504 - 506

Abstract: En | Text: En | PDF: En

https://doi.org/10.21470/1678-9741-2019-0606 335 downloads

Coronary Artery Bypass Surgery in Brazil: Analysis of the National Reality Through the BYPASS Registry
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Paez, Rodrigo Pereira

; Hossne Junior, Nelson Américo

; Santo, José Amalth do Espírito

; Berwanger, Otavio

; Santos, Renato Hideo Nakagawa

; Kalil, Renato Abdala Karam

; Jatene, Fabio B.

; Cavalcanti, Alexandre Biasi

; Zilli, Alexandre Cabral

; Bettiati Jr, Luiz Carlos

; Figueira, Fernando Augusto Marinho dos Santos

; D'Azevedo, Stephanie Steremberg Pires

; Soares, Marcelo José Ferreira

; Fernandes, Marcio Pimentel

; Ardito, Roberto Vito

; Bogdan, Renata Andrea Barberio

; Campagnucci, Valquíria Pelisser

; Nakasako, Diana

; Rodrigues, Clarissa Garcia

; Rodrigues Junior, Anilton Bezerra

; Cascudo, Marcelo Matos

; Atik, Fernando Antibas

; Lima, Elson Borges

; Nina, Vinicius José da Silva

; Heluy, Renato Albuquerque

; Azeredo, Lisandro Gonçalves

; Henrique Junior, Odilon Silva

; Mendonça, José Teles de

; Silva, Katharina Kelly de Oliveira Gama

; Pandolfo, Marcelo

; Lima Júnior, José Dantas de

; Faria, Renato Max

; Santos, Jonas Gonçalves dos

; Coelho, Guilherme Henrique Biachi

; Pereira, Sergio Nunes

; Senger, Roberta

; Buffolo, Enio

; Caputi, Guido Marco

; Oliveira, Juliana Aparecida Borges de

; Gomes, Walter J.

Brazilian Journal of Cardiovascular Surgery

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apr 2019, Volume 34 N. 2 Pages 142 - 148

Abstract: En | Text: En | PDF: En

Abstract Introduction: Coronary artery bypass grafting (CABG) is the most frequently performed heart surgery in Brazil. Recent international guidelines recommend that national societies establish a database on the practice and results of CABG. In anticipation of the recommendation, the BYPASS Registry was introduced in 2015. Objective: To analyze the profile, risk factors and outcomes of patients undergoing CABG in Brazil, as well as to examine the predominant surgical strategy, based on the data included in the BYPASS Registry. Methods: A cross-sectional study of 2292 patients undergoing CABG surgery and cataloged in the BYPASS Registry up to November 2018. Demographic data, clinical presentation, operative variables, and postoperative hospital outcomes were analyzed. Results: Patients referred to CABG in Brazil are predominantly male (71%), with prior myocardial infarction in 41.1% of cases, diabetes in 42.5%, and ejection fraction lower than 40% in 9.7%. The Heart Team indicated surgery in 32.9% of the cases. Most of the patients underwent cardiopulmonary bypass (87%), and cardioplegia was the strategy of myocardial protection chosen in 95.2% of the cases. The left internal thoracic artery was used as a graft in 91% of the cases; the right internal thoracic artery, in 5.6%; and the radial artery in 1.1%. The saphenous vein graft was used in 84.1% of the patients, being the only graft employed in 7.7% of the patients. The median number of coronary vessels treated was 3. Operative mortality was 2.8%, and the incidence of cerebrovascular accident was 1.2%. Conclusion: CABG data in Brazil provided by the BYPASS Registry analysis are representative of our national reality and practice. This database constitutes an important reference for indications and comparisons of therapeutic procedures, as well as to propose subsequent models to improve patient safety and the quality of surgical practice in the country.

https://doi.org/10.21470/1678-9741-2018-0313 1270 downloads

The Brazilian Registry of Adult Patient Undergoing Cardiovascular Surgery, the BYPASS Project: Results of the First 1,722 Patients
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Gomes, Walter J.

; Moreira, Rita Simone

; Zilli, Alexandre Cabral

; Bettiati Jr, Luiz Carlos

; Figueira, Fernando Augusto Marinho dos Santos

; D' Azevedo, Stephanie Steremberg Pires

; Soares, Marcelo José Ferreira

; Fernandes, Marcio Pimentel

; Ardito, Roberto Vito

; Bogdan, Renata Andrea Barberio

; Campagnucci, Valquíria Pelisser

; Nakasako, Diana

; Kalil, Renato Abdala Karam

; Rodrigues, Clarissa Garcia

; Rodrigues Junior, Anilton Bezerra

; Cascudo, Marcelo Matos

; Atik, Fernando Antibas

; Lima, Elson Borges

; Nina, Vinicius José da Silva

; Heluy, Renato Albuquerque

; Azeredo, Lisandro Gonçalves

; Henrique Junior, Odilon Silva

; Mendonça, José Teles de

; Silva, Katharina Kelly de Oliveira Gama

; Pandolfo, Marcelo

; Lima Júnior, José Dantas de

; Faria, Renato Max

; Santos, Jonas Gonçalves dos

; Paez, Rodrigo Pereira

; Coelho, Guilherme Henrique Biachi

; Pereira, Sergio Nunes

; Senger, Roberta

; Buffolo, Enio

; Caputi, Guido Marco

; Santo, José Amalth do Espírito

; Oliveira, Juliana Aparecida Borges de

; Berwanger, Otavio

; Cavalcanti, Alexandre Biasi

; Jatene, Fabio B.

Brazilian Journal of Cardiovascular Surgery

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apr 2017, Volume 32 N. 2 Pages 71 - 76

Abstract: En | Text: En | PDF: En

Abstract Objective: To report the early results of the BYPASS project - the Brazilian registrY of adult Patient undergoing cArdiovaScular Surgery - a national, observational, prospective, and longitudinal follow-up registry, aiming to chart a profile of patients undergoing cardiovascular surgery in Brazil, assessing the data harvested from the initial 1,722 patients. Methods: Data collection involved institutions throughout the whole country, comprising 17 centers in 4 regions: Southeast (8), Northeast (5), South (3), and Center-West (1). The study population consists of patients over 18 years of age, and the types of operations recorded were: coronary artery bypass graft (CABG), mitral valve, aortic valve (either conventional or transcatheter), surgical correction of atrial fibrillation, cardiac transplantation, mechanical circulatory support and congenital heart diseases in adults. Results: 83.1% of patients came from the public health system (SUS), 9.6% from the supplemental (private insurance) healthcare systems; and 7.3% from private (out-of -pocket) clinic. Male patients comprised 66%, 30% were diabetics, 46% had dyslipidemia, 28% previously sustained a myocardial infarction, and 9.4% underwent prior cardiovascular surgery. Patients underwent coronary artery bypass surgery were 54.1% and 31.5% to valve surgery, either isolated or combined. The overall postoperative mortality up to the 7th postoperative day was 4%; for CABG was 2.6%, and for valve operations, 4.4%. Conclusion: This first report outlines the consecution of the Brazilian surgical cardiac database, intended to serve primarily as a tool for providing information for clinical improvement and patient safety and constitute a basis for production of research protocols.

https://doi.org/10.21470/1678-9741-2017-0053 1883 downloads

10.

No correlation was observed between vitamin D levels and disability of patients with multiple sclerosis between latitudes 18° and 30° South
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Fragoso, Yara Dadalti

; Adoni, Tarso

; Alves-Leon, Soniza Vieira

; Apostolos-Pereira, Samira L.

; Arruda, Walter Oleschko

; Brooks, Joseph B. Bidin

; Cal, Henrique S. Rodrigues

; Damasceno, Carlos A. Albuquerque

; Gama, Paulo Diniz

; Goncalves, Marcus V. Magno

; Jesus, Carlos A. da Silva de

; Machado, Suzana C. Nunes

; Mansur, Letícia Fezer

; Matta, Andre P. da Cunha

; Mendes, Maria Fernanda

; Morales, Rogerio Rizo

; Nobrega-Jr, Adaucto Wanderley da

; Parolin, Monica K. Fiuza

; Peres, Mario Pietro

; Ribeiro, Marlise de Castro

; Ruocco, Heloisa Helena

; Scherpenhuijzen, Simone

; Siquinelli, Fabio

; Stoney, Patrick N.

; Varela, Daniel Lima

; Eboni, Audred Cristina Biondo

; Spessotto, Caroline Vieira

; Rocha, Elisa Teixeira da

; Lacerda, Pamela Emanuele

Arquivos de Neuro-Psiquiatria

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jan 2017, Volume 75 N. 1 Pages 3 - 8

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

RESUMO Objetivo: Vitamina D assumiu um papel central na pesquisa e tratamento da esclerose múltipla (EM). O objetivo deste estudo foi avaliar os níveis séricos de vitamina D de pacientes com EM e controles que residem em uma área tropical. Métodos: Foram analisados dados de 535 pacientes com EM e 350 indivíduos controle em 14 cidades próximas ao Trópico de Capricórnio. Resultados: O valor médio da determinação de 25-OH vitamina D foi 26,07 ± 10,27 ng/mL para controles e 28,03 ± 12,19 ng/mL para pacientes com EM. Não houve correlação entre os níveis de vitamina D e o grau de incapacidade ao longo da duração da doença. Conclusão: Pelo menos na região que cerca o Trópico de Capricórnio, os níveis séricos de vitamina D estão entre valores de 20 a 30 ng/mL tanto para controles quanto para pacientes com EM.

ABSTRACT Objective: Vitamin D has taken center stage in research and treatment of multiple sclerosis (MS). The objective of the present study was to assess the serum vitamin D levels of a large population of patients with MS and controls living in a restricted tropical area. Methods: Data from 535 patients with MS and 350 control subjects were obtained from 14 cities around the Tropic of Capricorn. Results: The mean serum 25-OH vitamin D level was 26.07 ± 10.27 ng/mL for the control subjects, and 28.03 ± 12.19 ng/mL for patients with MS. No correlation was observed between vitamin D levels and the disability of patients over the disease duration. Conclusion: At least for the region around the Tropic of Capricorn, serum levels of vitamin D typically are within the range of 20 to 30 ng/mL for controls and patients with MS.

https://doi.org/10.1590/0004-282x20160173 3011 downloads

11.

Preenchimento facial com Polimetilmetacrilato em pacientes que vivem com a síndrome da imunodeficiência adquirida (AIDS)
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MARTINS, WALTER HENRIQUE

; PESSÔA, KARINA VIVIANI DE OLIVEIRA

; MARTINS, MARCOS ALBERTO

; SILVA, MARILIZA HENRIQUE DA

; PEREIRA FILHO, GERSON VILHENA

; ABREU, LUIZ CARLOS DE

Revista Brasileira de Cirurgia Plástica

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jun 2016, Volume 31 N. 2 Pages 216 - 228

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

ABSTRACT Introduction: Patients with acquired immunodeficiency syndrome (AIDS) who use highly active antiretroviral therapy (HAART) can develop lipodystrophy syndrome, for which facial filling with polymethylmethacrylate is a treatment option. The objective is to analyze the procedure of facial filling and evaluate patients in relation to their perception, discomfort, revelation of the diagnosis to third parties, expectation concerning facial filling, and satisfaction with the treatment outcome and its impact on their lives. Methods: Sixty-three patients who underwent facial filling were evaluated. Procedures performed between January and July 2009 were assessed, the records of the patients were analyzed, and the outpatient lipodystrophy protocol of the STD/AIDS and Viral Hepatitis Municipal Program of São Bernardo do Campo was used. Results: All the 63 patients who agreed to participate in the research completed the study. Only 6 patients (9.5%) were from other municipalities, while 57 patients (90.5%) were residents of São Bernardo. Of the patients, 68.2% were men and 100% were Caucasian. The mean age of the patients was 49.7 years. Human immunodeficiency virus was diagnosed 11.5 years prior on average, with 10-year average use of HAART and 3.8-year average time of facial lipoatrophy. Most of the patients used stavudine and/or efavirenz. The patients themselves felt more uncomfortable with facial changes. Among the patients, 85.7% did not reveal the diagnosis to third parties. Conclusion: All of the patients were satisfied or very satisfied with the result obtained, which had a favorable impact on their lives. The filling surgical procedure had no adverse effects.

RESUMO Introdução: Pacientes que vivem com síndrome da imunodeficiência adquirida (AIDS) em uso da Terapia Antirretroviral de Alta Potência (TARV) são suscetíveis a desenvolver síndrome lipodistrófica. O preenchimento facial com polimetilmetacrilato é opção de tratamento. O objetivo é analisar o procedimento de preenchimento facial e avaliar os pacientes em relação à percepção, incômodo, revelação do diagnóstico, expectativa quanto ao preenchimento e a satisfação e impacto em suas vidas. Métodos: Análise em 63 pacientes submetidos ao preenchimento facial. Foram realizados procedimentos, analisados prontuários dos pacientes e o Protocolo do Ambulatório de Lipodistrofia do Programa Municipal de doenças sexualmente transmissíveis (DST)/AIDS e Hepatites Virais de São Bernardo do Campo, atendidos no período de janeiro a julho de 2009. Resultados: Todos os 63 pacientes iniciais que concordaram em participar da pesquisa permaneceram até o término deste trabalho. Apenas seis pacientes (9,5%) eram de origem de outros municípios, enquanto 57 pacientes (90,5%) eram moradores de São Bernardo. 68,2% eram homens e 100% brancos. A média das idades foi 49,7 anos. Em média, o Vírus da Imunodeficiência Humana (HIV) foi diagnosticado há 11,5 anos, com tempo médio de uso de TARV por 10 anos e tempo médio de lipoatrofia facial de 3,8 anos. A maioria fez uso de Estavudina e/ou Efavirenz. Quem ficava mais desconfortável com as alterações na face eram os próprios pacientes. 85,7% não revelaram o diagnóstico para terceiros. 100% dos pacientes ficaram satisfeitos ou muito satisfeitos com o resultado obtido. Conclusão: 100% dos pacientes ficaram satisfeitos ou muito satisfeitos com o resultado obtido. Em 100% dos casos houve um impacto favorável na vida. Não houve efeitos adversos ao procedimento cirúrgico de preenchimento.

https://doi.org/10.5935/2177-1235.2016rbcp0035

12.

DIAGNÓSTICO DA QUALIDADE DE MAÇÃS NO MERCADO VAREJISTA BRASILEIRO
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ARGENTA, LUIZ CARLOS

; VIEIRA, MARCELO JOSÉ

; SOUZA, FRANCIELLE DE

; PEREIRA, WALTER SÉRGIO PINTO

; EDAGI, FERNANDO KAZUHIRO

Revista Brasileira de Fruticultura

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mar 2015, Volume 37 N. 1 Pages 48 - 63

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

Este estudo foi realizado para analisar a qualidade e o preço de maçãs no mercado varejista brasileiro. Amostras de maçãs cv. Gala, Fuji e Red Delicious foram coletadas mensalmente entre março de 2010 e janeiro de 2011, em 20 supermercados de Curitiba, São Paulo, Belo Horizonte, Rio de Janeiro e Recife. Quatro supermercados de cada cidade foram previamente selecionados e definidos como locais de amostragem das maçãs ao longo dos 11 meses. A Categoria (escala 1 para máxima qualidade a 3 para mínima qualidade) das maçãs foi determinada pela análise da qualidade externa (coloração, severidade de danos fisiológicos, mecânicos, por fungos, insetos, granizo, etc.) de acordo com normas legais do MAPA. A categoria média das maçãs expostas nos supermercados aumentou ao longo do ano de 1,6 a 2,0 para ‘Gala’, de 1,8 a 2,4 para ‘Fuji’ e de 1,4 a 1,8 para ‘Red Delicious’. A perda da qualidade dos frutos no período, entre as datas de empacotamento e de exposição aos consumidores, foi evidente em todos os meses e cultivares. A depreciada qualidade externa das maçãs expostas nos supermercados foi associada a altas incidências de danos mecânicos e podridões, que variaram de 13 a 50% e 1 a 20%, respectivamente, dependendo da cultivar e do mês de análise. A firmeza da polpa das maçãs diminuiu de março a julho para níveis inferiores a 12 lb e então tendeu a aumentar a patamares de aproximadamente 14 a 15 lb de novembro a janeiro, dependendo da cultivar. Variações dos preços e da qualidade ao longo do ano indicaram que o preço das maçãs nas gôndolas dos mercados é mais influenciado pela sazonalidade ou pressão de oferta que pela qualidade das maçãs. O preço das maçãs variou entre as regiões de comercialização de forma similar para as três cultivares. Dados evidenciam que o tempo médio entre a data de embalagem dos frutos e sua exposição nas gôndolas dos mercados é de 17 e 28 dias para maçãs ‘Gala’ e ‘Fuji’, respectivamente.

The aim of this study was to evaluate the quality and price of apples in the Brazilian retailer market. Samples of Gala, Fuji and Red Delicious apples were collected monthly between March of 2010 and January of 2011 in 20 supermarkets in Curitiba, São Paulo, Belo Horizonte, Rio de Janeiro and Recife. Four supermarkets in each city were previously selected and defined as sources of apple samples for the 11 months of the study. The Category (scale 1 to 3) of the apples was defined by external fruit quality (color; severity of physiological, mechanical, fungus, insect and hail damage, etc) according to the legal standards of MAPA. Category 1 and 3 represent the highest and lowest fruit quality standards, respectively. The average Category of the apples in the supermarkets increased during the year from 1.6 to 2.0 for ‘Gala’, from 1.8 to 2.4 for ‘Fuji’ and from 1.4 to 1.8 for ‘Red Delicious’. The loss of quality in the period between the packing and the exposure of the fruits in the supermarket was evident in all 11 months and varieties. The decrease of the external quality in the apples at the supermarket was associated with high incidence of mechanical damages and decay that ranged between 13 to 50% and 1 to 20%, respectively, depending of the variety and the month of evaluation. The flesh firmness of the apples decreased between March and July for levels below 12 lb and tended to increase to levels close to 14 and 15 lb between November and January depending of the variety. The standards of price and quality fluctuation along the year indicate that the retail price of the apple is more influenced by the seasonality or the pressure of sales than by the quality of the fruit. The variation of apple prices among regions was similar for the three varieties. Data indicated that average period between packing and supermarket exposure is 17 and 28 days for ‘Gala’ and ‘Fuji’ apples, respectively.

https://doi.org/10.1590/0100-2945-047/14 2453 downloads

13.

O PROCESSO DE CONSTRUÇÃO DO CURRÍCULO NO MESTRADO PROFISSIONAL EM SAÚDE DA FAMÍLIA
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Machado, Maria de Fátima Antero Sousa

; Vieira, Neiva Francenely Cunha

; Hortale, Virginia Alonso

; Vieira-Meyer, Anya Pimentel Gomes Fernandes

; Morais, Ana Patrícia Pereira

; Aguiar, Andréa Silvia Walter de

; Gomes, Annatália Meneses de Amorim

; Silva, Geórgia Sibele Nogueira da

; Coimbra, Liberata Campos

; Dias, Maria Socorro de Araújo

; Vasconcelos, Maristela Inês Osawa

; Moreira, Carlos Otávio Fiuza

; Tomaz, José Batista Cisne

; Forte, Franklin Delano Soares

; Monteiro, Claudete Ferreira de Souza

Trabalho, Educação e Saúde

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2015, Volume 13 Suppl. 2 Pages 39 - 52

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

Resumo Trata-se de uma reflexão sobre o processo de desenvolvimento do currículo do curso de Mestrado Profissional em Saúde da Família, oferecido pela Rede Nordeste de Formação em Saúde da Família. Foram atores desse processo docentes de instituições de ensino e pesquisa, federais e estaduais. A construção do currículo, com duração de dois anos, incluiu a formação do Grupo de Desenvolvimento Curricular, responsável pelo desenho do curso e pela formação dos seus docentes. Discutem-se as etapas desse processo tendo como referência as bases pedagógicas que nortearam o desenho do currículo, com ênfase na formação de profissionais da saúde na modalidade mestrado profissional. Espera-se que a divulgação dessa experiência inovadora no âmbito da formação stricto sensu contribua para que outras experiências possam não somente ser pensadas e implementadas, mas também divulgadas.

Abstract This is a reflection on the process of developing the curriculum for the Professional Master's Degree in Family Health course offered by Northeast Training in Family Health Network. Professors from federal and state educational and research institutions participated in this process. The construction of the curriculum, that took two years to be completed, included the creation of the Curriculum Development Group, which was put in charge of designing the course and training its professors. The steps of this process were discussed with reference to the educational bases that guided the curriculum design, with emphasis on training health professionals in the professional master's degree mode. It is hoped that the dissemination of this innovative experience within the scope of stricto sensu training will contribute to other experiences not only being designed and implemented, but also disclosed.

Resumen Se trata de una reflexión sobre el proceso de desarrollo del currículo del curso de Maestría Profesional en Salud de la Familia, realizado por la Red Nordeste de Formación en Salud de la Familia. Los actores de este proceso fueron docentes de instituciones de enseñanza e investigación, federales y estatales. La construcción del currículo, con duración de dos años, incluyó la formación del Grupo de Desarrollo Curricular, responsable del diseño del curso y de la formación de sus docentes. Se discuten las etapas de este proceso teniendo como referencia las bases pedagógicas que orientaron el diseño del currículo, con énfasis en la formación de profesionales de la salud en la modalidad maestría profesional. Se espera que la divulgación de esta experiencia innovadora en el ámbito de la formación stricto sensu contribuya para que otras experiencias puedan no solamente ser pensadas e implementadas, sino también divulgadas.

https://doi.org/10.1590/1981-7746-sip00079 1890 downloads

14.

Oocyst shedding by green-winged-saltator (Saltator similis) in the diagnostic of coccidiosis and Isospora similisi n. sp. (Apicomplexa: Eimeriidae)
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Coelho, Cleide Domingues

; Berto, Bruno Pereira

; Neves, Daniel Medeiros

; Oliveira, Vinícius Modesto de

; Flausino, Walter

; Lopes, Carlos Wilson Gomes

Revista Brasileira de Parasitologia Veterinária

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mar 2013, Volume 22 N. 1 Pages 64 - 70

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

A periodicidade diurna é um fenômeno que tem sido observado em coccídios do gênero Isosporaparasitas de pássaros, os quais eliminam uma maior quantidade de oocistos ao entardecer. O objetivo deste estudo foi determinar a periodicidade de eliminação de oocistos pelas fezes no trinca-ferro-verdadeiroSaltator similis, e sua utilização no diagnóstico da coccidiose. Foram colhidas 220 amostras fecais de aves oriundas de apreensões do tráfico de animais silvestres e mantidas na quarentena do CETAS∕IBAMA, nos períodos da manhã e ao entardecer, de maio a novembro de 2010. Observou-se que 1,82% das amostras colhidas no período da manhã foram positivas, enquanto que 31,36% das amostras colhidas foram positivas ao entardecer, onde o maior número de oocistos foi observado no período da tarde. Portanto, concluiu-se que a colheita de amostras ao entardecer oferece maior confiabilidade para o diagnóstico da coccidiose. Além disso, descreve-se um novo coccídio do trinca-ferro-verdadeiro S. similis. Isospora similisi n. sp. possui oocistos esféricos a subesféricos, 27,5 × 25,9 µm, com parede dupla e lisa, ∼1,2 µm. A micrópila e o resíduo do oocisto estão ausentes, porém pequenos grânulos estão presentes. Os esporocistos são elipsóides ou levemente ovóides, 17,4 × 12,2 µm. Os corpos de Stieda e substieda estão presentes. O resíduo do esporocisto está presente e os esporozoítos possuem um corpo refrátil posterior e um núcleo. Esta é a quarta espécie isosporóide descrita de S. similise a sexta descrição na família Cardinalidae.

Diurnal periodicity is a phenomenon that has been observed in coccidian of Isospora parasites of passerines, which have been eliminated great number of oocysts at dusk. The objective of this study was to evaluate the occurrence of periodicity of oocysts presence in the green-winged-saltator Saltator similis, and its use in the diagnosis of coccidiosis in wild birds in captivity. A total of 220 fecal samples were collected from birds, apprehended from illegal trading and kept in quarantine in CETAS∕IBAMA, in the morning and late afternoon, from May to November 2010. It was observed that 1.82% of the samples collected in the morning were positive, while 31.36% of samples were positive in the late afternoon. In addition, the number of oocysts shed was greater in the afternoon. Therefore, it was concluded that the sampling in the late afternoon provided greater reliability for the diagnosis of coccidiosis in green-winged-saltators. Moreover, in this study a new isosporoid coccidian parasite from the green-winged-saltator S. similis was observed and is herein described. Isospora similisi n. sp. oocysts are spheroidal to sub-spheroidal, 27.5 × 25.9 µm, with a smooth and bi-layered wall, ∼1.2 mm. Micropyle and oocyst residuum are absent, but splinter-like or comma-like granules are present. Sporocysts are ellipsoidal or slightly ovoidal, 17.4 × 12.2 mm. A stieda body and substieda body are present. The sporocyst residuum is composed of granules of different sizes. Sporozoites are vermiform with a single refractile body and a nucleus. This is the fourth description of an isosporoid coccidium infecting S. similis and the sixth description from Cardinalidae.

https://doi.org/10.1590/S1984-29612013000100012 3365 downloads

15.

Memory retrieval improvement by Heteropterys aphrodisiaca in aging rats
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Galvão, Suzana Maria Pereira

; Mendes, Fúlvio Rieli

; Oliveira, Maria Gabriela Menezes de

; Mattei, Rita

; Mello, João Carlos Palazzo de

; Roman Júnior, Walter Antonio

; Carlini, Elisaldo de Araújo

Brazilian Journal of Pharmaceutical Sciences

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dec 2011, Volume 47 N. 4 Pages 825 - 832

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

Existem poucos dados disponíveis sobre as propriedades farmacológicas da Heteropterys aphrodisiaca O. Mach. (Malpighiaceae), nativa da região do pantanal brasileiro. O presente estudo investigou o efeito do tratamento oral com um extrato de H. aphrodisiaca (BST0298) sobre a memória e aprendizagem de ratos jovens (3-6 meses) e idosos (21-23 meses) e comparou a atividade antioxidante in vitro de três lotes, coletados em diferentes anos. Melhora quanto ao número de sessões necessárias para aprender a tarefa foi observada no teste de discriminação direita/esquerda em ratos idosos tratados por 45 dias com doses de 25 mg/kg (7,0 ± 0,5; p=0,005) e 50 mg/kg (7,6 ± 0,6; p=0,012) comparados com ratos idosos controle (11,0 ± 1,6). Por outro lado, o pré-tratamento com o extrato não melhorou o desempenho de camundongos tratados com escopolamina no teste da esquiva passiva. Em relação à avaliação da atividade antioxidante in vitro pelo teste do malonodialdeído, os três lotes analisados apresentaram atividade antioxidante semelhante. Os flavonóides astilbina, isoastilbina e neoastilbina foram isolados do extrato e podem contribuir para a atividade biológica. Estes resultados sugerem que a administração repetida de H. aphrodisiaca melhora a memória e aprendizagem provavelmente por um mecanismo não muscarínico.

Few data exists about the pharmacological properties of Heteropterys aphrodisiaca O. Mach. (Malpighiaceae), which is native to the scrubland regions of Brazil. The present study investigated the effects of oral treatment with H. aphrodisiaca extract (BST0298) on the learning and memory of young (3-6 months) and aged (21-23 months) rats, and compared the in vitro antioxidant activity of three lots collected in different years. An improvement in the number of sessions to learn the task was observed in the left/right discrimination test in aged rats treated for 45 days with 25 mg/kg (7.0 ± 0.5; p=0.005) or 50 mg/kg (7.6 ± 0.6; p=0.012) compared with control old rats (11.0 ± 1.6). On the other hand, pre-treatment did not improve the performance of scopolamine-treated mice in the passive avoidance test. The in vitro malondialdehyde test showed that all three different extracts presented similar antioxidant activity. The flavonoids astilbin, isoastilbin and neoastilbin were isolated from the extract and may contribute to the biological activity. These results suggest that repeated treatment with H. aphrodisiaca improves learning and memory, probably by a non-muscarinic mechanism.

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