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Abstract Objective: to describe the incomplete filling out of the profession/occupation variable in the flu-like syndrome, severe acute respiratory syndrome and mortality databases in Brazil. Methods: descriptive study with secondary data from flu-like syndrome (FLS), severe acute respiratory syndrome (SARS) and mortality databases (SIM). We calculeted the absolute and relative filling frequencies of the profession/occupation variable according to State, gender, regions, and federative units, for 2020 and 2021. Results: we found a 94.7% incompleteness on the FLS database, 97.7% of missing profession/occupation data on the SARS, and 17.0% on the SIM database. Incompleteness frequency was above 91.0% in all Brazilian regions for FLS and SARS. Incompleteness on the mortality database was over 13.0%. All federative units presented incompleteness above 90.0% for FLS, 74.0% for SARS, and 6.8% for mortality in all genders. Higher levels of missing data were found in the states of Amapá for FLS (98.1%), Rio Grande do Sul for SARS and Alagoas (45.0%) for mortality (99.4%). Conclusions: all databases showed a high incompleteness of the profession/occupation variable. We recommend an articulation between the Ministry of Health, Ministry of Labor and workers’ representations to solve this lack of data on occupation/profession in public databases.

Resumo Objetivo: descrever a incompletude da informação sobre profissão/ocupação nas bases de dados de síndrome respiratória aguda grave (SRAG), síndrome gripal (SG) e no Sistema de Informações sobre Mortalidade (SIM) no Brasil. Métodos: estudo descritivo utilizando os bancos de dados de SRAG, SG e SIM. Calcularam-se percentuais de incompletude na variável profissão/ocupação segundo sexo, macrorregiões e unidades da federação, em 2020-2021. Resultados: o percentual de incompletude foi de 94,7% no banco de SG; 97,7% no de SRAG; e 17,0% no SIM. Em todas as macrorregiões a incompletude foi superior a 91,0% nos bancos de SG e SRAG; e superior a 13,0% no SIM. Todas as unidades da federação apresentaram percentuais de incompletude acima de 90,0% para SG; de 74,0% para SRAG; e de 6,8% para óbitos. Amapá apresentou maior percentual de incompletude na base de dados de SG (98,1%); Rio Grande do Sul (99,4%) na de SRAG; e Alagoas (45,0%) no SIM. Conclusões: observaram-se elevados percentuais de incompletude da variável profissão/ocupação nos sistemas de informação estudados. Recomenda-se uma articulação intersetorial, envolvendo representantes dos governos e dos trabalhadores, para formulação de estratégias que contornem a falta de informação sobre ocupação/profissão nas bases de dados relevantes para a vigilância em saúde.

https://doi.org/10.1590/2317-6369/24622pt2023v48edepi15

Narrativa brasileira de autoria feminina contemporânea: breves apontamentos
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Pereira, Maria do Rosário A.

Cuadernos del Centro de Estudios en Diseño y Comunicación. Ensayos

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jun 2022, N. 107 Pages 167 - 185

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

Abstract The purpose of this article is to make some considerations, in the light of gender studies and feminist criticism, about three novels by contemporary Brazilian authors: Quarenta dias (2014), by Maria Valéria Rezende, which problematizes female aging in society; A vida invisível de Eurídice Gusmão (2016), by Martha Batalha, who narrates the experiences of two sisters in the 1940s, dealing with the “woman’s destiny” and the implications of following it or not; and Com armas sonolentas (2018), by Carola Saavedra, which addresses problematic motherhood, I mean, women who are mothers but regret it, even though they sometimes live with dubious feelings, such as guilt.

Resumen El propósito de este artículo es hacer algunas consideraciones, a la luz de los estudios de género y la crítica feminista, acerca de tres novelas de autores brasileños contemporáneos: Quarenta dias (2014), de Maria Valéria Rezende, que problematiza el envejecimiento femenino en la sociedad; A vida invisível de Eurídice Gusmão (2016), de Martha Batalha, que narra las experiencias de dos hermanas en la década de 1940, quienes se enfrentan con el “destino de mujer” y las implicaciones de seguirlo o no; y Com armas sonolentas (2018), de Carola Saavedra, que aborda la maternidad problemática, es decir, las mujeres que son madres pero se arrepienten, aunque a veces vivan con sentimientos dudosos, como la culpa.

Resumo O objetivo deste artigo é tecer algumas considerações, à luz dos estudos de gênero e da crítica feminista, sobre três romances de autoras brasileiras contemporâneas: Quarenta dias (2014), de Maria Valéria Rezende, que problematiza o envelhecimento feminino na sociedade; A vida invisível de Eurídice Gusmão (2016), de Martha Batalha, que narra as vivências de duas irmãs nos anos de 1940, às voltas com o “destino de mulher” e as implicações de segui-lo ou não; e Com armas sonolentas (2018), de Carola Saavedra, que aborda a maternidade problemática, isto é, mulheres que são mães mas se arrependem, ainda que convivam, por vezes, com sentimentos dúbios, como a culpa.

https://doi.org/10.18682/cdc.vi107.4208 18 downloads

[SciELO Preprints] - What can we learn with the data we didn’t have? The case of the variable profession/ occupation on flu-like syndrome, severe acute respiratory syndrome and mortality databases in Brazil
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Santos, Cleber Ferreira, Vanessa Melo Cavalcante, João Roberto Ribeiro, Patricia Canto Castro, Hermano Albuquerque de Gutierrez, Adriana Coser Pereira, Ingrid D’avilla Freire Nehab, Marcio Fernandes Moura, Maria Martha Duque de Perissé, André Reynaldo Santos

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Publication date: 2022-02-09

Abstract: En Pt

Objective: To describe the completeness of the profession/ occupation on flu-like syndrome, severe acute respiratory syndrome and mortality databases in Brazil between 2020 and 2021 Methods: the absolute and relative frequencies of the completeness of the variable occupation were calculated for each state for the between 2020 and 2021. Results: For the study period, there was 94.83% incompleteness for notifications of Flu-like syndrome, 97.73% for notified cases of SARS and 17.06% for deaths from all causes. Conclusions: We recommend an articulation between the Ministry of Health, Ministry of Labor and Welfare and workers' representations, such as councils and unions, to solve the problem of lack of data on occupation/profession in public databases.

Objetivo: descrever o preenchimento da variável profissão/ocupação nos bancos de dados do Sistema de Informação de Mortalidade (SIM), de Síndrome Respiratória Aguda Grave (SRAG) e Síndrome Gripal (SG) entre 2020 e 2021 no Brasil. Métodos: foram calculadas as frequências absolutas e relativas do preenchimento da variável profissão/ocupação por Unidade da Federação para cada base de dados durante o período de estudo. Resultados: Para o período de estudo, verificou-se 94,83% de incompletude para as notificações de SG, 97,73% para casos notificados de SRAG e 17,06% para óbitos por todas as causas. Conclusões: Recomendamos uma articulação entre o Ministério da Saúde, Ministério do Trabalho e Previdência e representações de trabalhadores, como conselhos e sindicatos para formulação de estratégias para contornar o problema da falta de dados de ocupação/profissão nos bancos de dados públicos.

https://doi.org/10.1590/SciELOPreprints.3560

[SciELO Preprints] - Multisystem Inflammatory Syndrome in Children: sectional study of cases and factors associated with deaths during COVID-19 pandemic in Brazil, 2020
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de Almeida Relvas-Brandt, Laís Gava, Caroline Sindeaux Camelo, Fernanda Bertollo Gomes Porto, Victor Fernandes Santos Alves, Ronaldo Santos Correa Da Costa, Marcela Maria Deotti Carvalho, Sandra Madeleine Ikeda do Carmo, Greice Fontana Sutile Tardetti Fantinato, Francieli Yoshito Wada, Marcelo Myrna Meneses Brandão e Mendes, Yluska Gonçalves Vieira, Martha Bugarin Steenhouwer, Roselle Magalhães Pereira Castello Branco, Klebia Câmara dos Santos, Maria Verônica Romero Rivera, Ivan Nicoloso, Luiz Henrique Palazzi Safadi , Marco Aurelio Maria de Assis, Dalva

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Publication date: 2021-09-20

Abstract: En Pt

Objective: To describe the clinical-epidemiological profile of Multisystem Inflammatory Syndrome in Children (MIS-C) cases and to identify factors associated with MIS-C deaths in Brazil, 2020. Methods: Cross-sectional study, based on MIS-C national monitoring database in Brazil, 2020. Simple and multiple logistic regression was performed to estimate crude and adjusted odds ratios (OR). Results: The median age of cases (n=652) was 5 years, 57.1% were male, 52.0% were brown race/color and 6.4% died. The odds of death was greater among those who presented O2 saturation <95% (ORa=4.35 – 95%CI 1.69;11.20) and altered result of urea (ORa=5.18 – 95%CI 1.91;14.04); lower in the absence of cutaneous lesion such as rash (ORa=0.23 – 95%CI 0.09;0.62), with the use of anticoagulants (ORa=0.32 – 95%CI 0.12;0.89) and of immunoglobulins (ORa=0.38 – 95%CI 0.15;1.01). Conclusion: Fatality rates was higher among cases that presented O2 saturation<95% and altered urea, and lower among those with cutaneous lesion, who used immunoglobulins and anticoagulants.

Objetivo: Caracterizar o perfil clínico-epidemiológico da síndrome inflamatória multissistêmica pediátrica temporalmente associada à COVID-19 (SIM-P) e identificar fatores associados aos óbitos de SIM-P no Brasil, 2020. Métodos: Estudo seccional, utilizando dados do monitoramento nacional da SIM-P. Empregou-se regressão logística para estimar razões de chances (ORs, odds ratios) brutas e ajustadas. Resultados: Os casos (n=652) apresentaram idade mediana de 5 anos; 57,1% eram do sexo masculino e 52,0% de raça/cor da pele parda; 6,4% evoluíram a óbito. A chance de óbito foi significativamente maior nos que apresentaram saturação de O2<95% (ORa=4,35 – IC95% 1,69;11,20) e resultado alterado de ureia (ORa=5,18 – IC95% 1,91;14,04); e menor na ausência de manchas vermelhas pelo corpo (ORa=0,23 – IC95% 0,09;0,62), com uso de anticoagulantes (ORa=0,32 – IC95% 0,12;0,89) e imunoglobulinas (ORa=0,38 – IC95% 0,15;1,01). Conclusão: A letalidade foi maior entre casos que apresentaram saturação de O2<95% e ureia alterada; e menor nos que apresentaram manchas vermelhas, usaram imunoglobulinas e anticoagulantes.

https://doi.org/10.1590/s1679-49742021000400005

[SciELO Preprints] - Aspects related to positivity for schistosomiasis: a cross-sectional study in a low prevalence area in the state of Alagoas, Brazil, 2020
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Santos, Israel Gomes de Amorim Bezerra, Letícia Pereira Cirilo, Tatyane Martins Silva, Laryssa Oliveira Machado, João Paulo Vieira Lima, Pedro Dantas Souza, Martha Rejane Bispo Gomes, Sheilla da Conceição Silva, Glória Isabel Lisboa da Damasceno, Ivisson Abreu Alencar, Vitória Jordana Bezerra Carvalho, Mikaelly Maria Vieira de Ramos, Rosália Elen Santos Gomes, Dharliton Soares Paz, Wandklebson Silva da Santos Júnior, Edmilson Genuíno Alves, Luiz Carlos Brayner, Fábio André

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Publication date: 2021-01-07

Abstract: En Pt

Objective: To analyze aspects related to positivity for schistosomiasis in an area of low prevalence in Brazil. Methods: Cross-sectional study, carried out in the first half of 2020, where proportion of positivity was analyzed according to the number of Kato-Katz slides, the diagnostic performance of the test and the creation of a positivity estimation factor from the data of the Information from the Schistosomiasis Surveillance and Control Program (SISPCE). Results: 2,088 slides from 348 individuals were analyzed, with proportion of positivity of 11.8%, 26.7% and 31.0% for 1, 4 and 6 slides analyzed, respectively. There was excellent agreement (Kappa = 0.91) between the reading of 4 and 6 slides. An underreporting of 2.1 times was estimated in the SISPCE data. Conclusion: Increasing the number of blades increased the positivity of Kato-Katz, which can contribute to maximize the control of the disease as a public health problem.

Objetivo: Analisar aspectos relacionados com a positividade para esquistossomose em área de baixa prevalência, no Brasil. Métodos: Estudo transversal, realizado no primeiro semestre de 2020, quando foram analisadas a proporção de positividade, em função do número de lâminas de Kato-Katz, o desempenho diagnóstico do teste e a estimação da positividade a partir dos dados do Sistema de Informação do Programa de Vigilância e Controle da Esquistossomose (SISPCE). Resultados: Foram analisadas 2.088 lâminas de 348 indivíduos, sendo a proporção de positividade de 11,8%, 26,7% e 31,0% para 1, 4 e 6 lâminas analisadas, respectivamente. Houve concordância excelente (índice Kappa = 0,91) na comparação entre as leituras de 4 e 6 lâminas. Foi estimada subnotificação de 2,1 vezes nos dados do SISPCE. Conclusão: Ampliar o número de lâminas aumentou a positividade do Kato-Katz, o que pode contribuir para maximizar o controle da doença enquanto problema de Saúde Pública.

https://doi.org/10.1590/S1679-49742021000200005

Síndrome inflamatória multissistêmica pediátrica: estudo seccional dos casos e fatores associados aos óbitos durante a pandemia de COVID-19 no Brasil, 2020
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Relvas-Brandt, Laís de Almeida

; Gava, Caroline

; Camelo, Fernanda Sindeaux

; Porto, Victor Bertollo Gomes

; Alves, Ronaldo Fernandes Santos

; Costa, Marcela Santos Correa Da

; Carvalho, Sandra Maria Deotti

; Carmo, Greice Madeleine Ikeda do

; Fantinato, Francieli Fontana Sutile Tardetti

; Wada, Marcelo Yoshito

; Mendes, Yluska Myrna Meneses Brandão e

; Vieira, Martha Gonçalves

; Steenhouwer, Roselle Bugarin

; Branco, Klebia Magalhães Pereira Castello

; Santos, Maria Verônica Câmara dos

; Rivera, Ivan Romero

; Nicoloso, Luiz Henrique

; Safadi, Marco Aurelio Palazzi

; Assis, Dalva Maria de

Epidemiologia e Serviços de Saúde

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2021, Volume 30 N. 4 elocation e2021267

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

Resumo Objetivo Caracterizar o perfil clínico-epidemiológico da síndrome inflamatória multissistêmica pediátrica temporalmente associada à COVID-19 (SIM-P) e identificar fatores associados aos óbitos de SIM-P no Brasil, 2020. Métodos Estudo seccional, utilizando dados do monitoramento nacional da SIM-P. Empregou-se regressão logística para estimar razões de chances (OR, odds ratios ) brutas e ajustadas. Resultados Os casos (n=652) apresentaram mediana de idade de 5 anos; 57,1% eram do sexo masculino e 52,0% de raça/cor da pele parda; 6,4% evoluíram a óbito. A chance de óbito foi significativamente maior nos que apresentaram saturação de O2<95% (ORa=4,35 – IC95% 1,69;11,20) e resultado alterado de ureia (ORa=5,18 – IC95% 1,91;14,04); e menor na ausência de manchas vermelhas pelo corpo (ORa=0,23 – IC95% 0,09;0,62), com uso de anticoagulantes (ORa=0,32 – IC95% 0,12;0,89) e imunoglobulinas (ORa=0,38 – IC95% 0,15;1,01). Conclusão A letalidade foi maior entre casos que apresentaram saturação de O2<95% e ureia alterada; e menor nos que apresentaram manchas vermelhas, usaram imunoglobulinas e anticoagulantes.

Abstract Objective To characterize the clinical-epidemiological profile of multisystem inflammatory syndrome in children temporally associated with COVID-19 (MIS-C), and to identify factors associated with MIS-C deaths in Brazil, 2020. Methods This was a cross-sectional study, using national MIS-C monitoring data. Logistical regression was performed to estimate crude and adjusted odds ratios (OR). Results Median case (n=652) age was 5 years, 57.1% were male, 52.0% were of brown race/skin color and 6.4% died. Likelihood of death was greater among those who presented O2 saturation <95% (ORa=4.35 – 95%CI 1.69;11.20) and altered urea results (ORa=5.18 – 95%CI 1.91;14.04); likelihood of death was lower when red skin blotches were not present (ORa=0.23 – 95%CI 0.09;0.62), when anticoagulants were used (ORa=0.32 – 95%CI 0.12;0.89) and when immunoglobulins were used (ORa=0.38 – 95%CI 0.15;1.01). Conclusion Fatality ratios were higher among cases that presented O2 saturation <95% and altered urea results. Fatality ratios were lower among those with red skin blotches, and those who used immunoglobulins and anticoagulants.

Resumen Objetivo Caracterizar el perfil clínico-epidemiológico de los casos por síndrome inflamatorio multisistémico pediátrico asociado temporalmente a la COVID-19 (SIM-PedS) e identificar factores asociados a los óbitos por SIM-PedS en Brasil, 2020. Métodos Estudio transversal basado en datos del monitoreo nacional de la SIM-PedS, Brasil, 2020. Se utilizó regresión logística para estimar razones de probabilidades brutas y ajustadas (OR, odds ratio). Resultados Los casos (n=652) presentaron edad mediana de 5 años, 57,1% eran hombres, 52,0% de raza/color pardo y 6,4% falleció. La probabilidad de muerte fue significativamente mayor entre aquellos con saturación de O2<95% (ORa=4,35 – IC95%1,69;11,20) y resultado alterado de urea (ORa=5,18 – IC95% 1,91;14,04); menor en ausencia de manchas rojas como erupción (ORa=0,23 – IC95% 0,09;0,62), con uso de anticoagulantes (ORa=0,32 – IC95% 0,12;0,89) e inmunoglobulinas (ORa=0,38 – IC95%0,15;1,01). Conclusión La letalidad fue mayor entre casos que presentaron saturación de O2<95% y urea alterada, y menor entre aquellos con manchas rojas, que usaron inmunoglobulinas y anticoagulantes.

https://doi.org/10.1590/s1679-49742021000400005 105 downloads

Síndrome inflamatória multissistêmica pediátrica: estudo seccional dos casos e fatores associados aos óbitos durante a pandemia de COVID-19 no Brasil, 2020
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Relvas-Brandt, Laís de Almeida

; Gava, Caroline

; Camelo, Fernanda Sindeaux

; Porto, Victor Bertollo Gomes

; Alves, Ronaldo Fernandes Santos

; Costa, Marcela Santos Correa Da

; Carvalho, Sandra Maria Deotti

; Carmo, Greice Madeleine Ikeda do

; Fantinato, Francieli Fontana Sutile Tardetti

; Wada, Marcelo Yoshito

; Mendes, Yluska Myrna Meneses Brandão e

; Vieira, Martha Gonçalves

; Steenhouwer, Roselle Bugarin

; Branco, Klebia Magalhães Pereira Castello

; Santos, Maria Verônica Câmara dos

; Rivera, Ivan Romero

; Nicoloso, Luiz Henrique

; Safadi, Marco Aurelio Palazzi

; Assis, Dalva Maria de

Epidemiologia e Serviços de Saúde

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2021, Volume 30 N. 4 elocation e2021267

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

https://doi.org/10.1590/s1679-49742021000400005

Aspectos relacionados com a positividade para a esquistossomose: estudo transversal em área de baixa prevalência em Alagoas, 2020
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Santos, Israel Gomes de Amorim

; Bezerra, Letícia Pereira

; Cirilo, Tatyane Martins

; Silva, Laryssa Oliveira

; Machado, João Paulo Vieira

; Lima, Pedro Dantas

; Souza, Martha Rejane Bispo

; Gomes, Sheilla da Conceição

; Silva, Glória Isabel Lisboa da

; Damasceno, Ivisson Abreu

; Alencar, Vitória Jordana Bezerra

; Carvalho, Mikaelly Maria Vieira de

; Ramos, Rosália Elen Santos

; Gomes, Dharliton Soares

; Paz, Wandklebson Silva da

; Santos Júnior, Edmilson Genuíno

; Alves, Luiz Carlos

; Brayner, Fábio André

Epidemiologia e Serviços de Saúde

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2021, Volume 30 N. 2 elocation e2020520

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

Resumo Objetivo: Analisar aspectos relacionados com a positividade para esquistossomose em área de baixa prevalência, no Brasil. Métodos: Estudo transversal, realizado no primeiro semestre de 2020, quando foram analisadas a proporção de positividade, em função do número de lâminas de Kato-Katz, o desempenho diagnóstico do teste e a estimação da positividade a partir dos dados do Sistema de Informação do Programa de Vigilância e Controle da Esquistossomose (SISPCE). Resultados: Foram analisadas 2.088 lâminas de 348 indivíduos, sendo a proporção de positividade de 11,8%, 26,7% e 31,0% para 1, 4 e 6 lâminas analisadas, respectivamente. Houve concordância excelente (índice Kappa = 0,91) na comparação entre as leituras de 4 e 6 lâminas. Foi estimada subnotificação de 2,1 vezes nos dados do SISPCE. Conclusão: Ampliar o número de lâminas aumentou a positividade do Kato-Katz, o que pode contribuir para maximizar o controle da doença enquanto problema de Saúde Pública.

Abstract Objective: To analyze aspects related to schistosomiasis positivity in an area of low prevalence in Brazil. Methods: This was a cross-sectional study, carried out in the first half of 2020, where we analyzed the proportion of positivity, according to the number of Kato-Katz slides, the diagnostic performance of the test and positivity estimates based on data from the Schistosomiasis Surveillance and Control Program Information System (SISPCE). Results: 2,088 slides from 348 individuals were analyzed, with proportion of positivity of 11.8%, 26.7% and 31.0% for 1, 4 and 6 slides analyzed, respectively. There was excellent agreement (Kappa = 0.91) between the readings of 4 and 6 slides. The SISPCE data was estimated to be underreported by up to 2.1 times. Conclusion: Increasing the number of slides increased Kato-Katz positivity, which can contribute to maximizing the control of the disease as a Public Health problem.

Resumen Objetivo: Analizar aspectos relacionados con la positividad para esquistosomiasis en área de baja prevalencia en Brasil. Métodos: Estudio transversal, realizado en el primer semestre de 2020, donde se analizó la proporción de positividad según el número de portaobjetos de Kato-Katz, el rendimiento diagnóstico de la prueba y la creación de un factor de estimación de positividad a partir de los datos del Sistema de Información del Programa de Vigilancia y Control de la Esquistosomiasis (SISPCE). Resultados: Se analizaron 2.088 láminas de 348 individuos, con proporción de positividad del 11,8%, 26,7% y 31,0% para 1, 4 y 6 láminas analizadas, respectivamente. Hubo una excelente concordancia (Kappa = 0,91) en la comparación entre la lectura de 4 y 6 láminas. Se estimó un subregistro de 2,1 veces en los datos del SISPCE. Conclusión: Aumentar el número de muestras aumentó la positividad de Kato-Katz, lo que puede contribuir a maximizar el control de la enfermedad como problema de Salud Pública.

https://doi.org/10.1590/s1679-49742021000200005 413 downloads

Aspectos relacionados com a positividade para a esquistossomose: estudo transversal em área de baixa prevalência em Alagoas, 2020
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Santos, Israel Gomes de Amorim

; Bezerra, Letícia Pereira

; Cirilo, Tatyane Martins

; Silva, Laryssa Oliveira

; Machado, João Paulo Vieira

; Lima, Pedro Dantas

; Souza, Martha Rejane Bispo

; Gomes, Sheilla da Conceição

; Silva, Glória Isabel Lisboa da

; Damasceno, Ivisson Abreu

; Alencar, Vitória Jordana Bezerra

; Carvalho, Mikaelly Maria Vieira de

; Ramos, Rosália Elen Santos

; Gomes, Dharliton Soares

; Paz, Wandklebson Silva da

; Santos Júnior, Edmilson Genuíno

; Alves, Luiz Carlos

; Brayner, Fábio André

Epidemiologia e Serviços de Saúde

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2021, Volume 30 N. 2 elocation e2020520

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

https://doi.org/10.1590/s1679-49742021000200005

10.

Recomendaciones para el uso de la hormona de crecimiento humana recombinante en pacientes pediátricos de talla baja en Colombia
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Pinzón Serrano, Estefanía

; López, Vladimir González

; Toro-Ramos, Martin

; Oliver, Jesús Argente

; Garzón, Liliana Barrero

; Duarte, Fredy Mendivelso

; González, Nancy Yomayusa

; Salazar, Camila Céspedes

; Escobar, Oscar

; Ventura, Paola Duran

; Patiño, Angélica González

; Rodríguez, Sandra Roa

; Linares, Juan Llano

; Rivera, Juan López

; Saldarriaga, Johana Correa

; Espejo, Jennyfer Monroy

; VelásquezRodríguez, Ana

; Gaviria, Natalia Mejía

; Ramírez, Claudia Heredia

; Izquierdo, Adriana Lema

; Zuccardi, María Urueña

; Ochoa, Nayive Gil

; Barrera, Carolina Rojas

; Campos, Diana Bareño

; Hernández, Mónica Fernández

; Zapata, Liliana Mejía

; Ronderos, Catalina Forero

; Flechas, Paola Pedraza

; Rhoades, Audrey Matallana

; Mosquera, Mario Angulo

; Cárdenas, María Suarez

; Villa, Alvaro Arango

; Pereira, Marcela Fama

; Osorio, Samantha Muñoz

; Espitia, Martha Páez

; Miranda, Ángelo López

; Rodríguez, Johanna Vargas

; Amaya, Diego Ruíz

; Gaona, Luis Laverde

; Torres, Giovana Manrique

; Tobón, Andrea Castro

; Acosta, Dora Romero

; Gutiérrez, Ana Castillo

; Gómez, Olga Gómez

; Padilla, Eduardo Low

; Peña, Juan Acevedo

Revista Colombiana de Nefrología

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jun 2020, Volume 7 N. 1 Pages 149 - 177

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

resumen está disponible en el texto completo

Abstract In Colombia there are no guidelines for diagnosis and management of patients with short stature and for the use of recombinant human growth hormone, mainly caused by the diversity of training centers in pediatric endocrinology. In response to this situation, the Asociación Colegio Colombiana de Endocrinología Pediátrica leds the first colombian short stature expert committee in order to standardize the use of human recombinant growth hormone. This work had the participation and endorsement of a consortium of clinical experts representing the Sociedad Colombiana de Pediatría, Secretaría Distrital de Salud de Bogotá- Subred Integrada de Servicios de Salud Suroccidente, Fundación Universitaria Sanitas, Universidad de los Andes and some public and private health institutions in the country, in addition to the participation of methodological experts from the Instituto Global de Excelencia Clínica Keralty. By reviewing the literature and with the best available evidence, we proposed to unify definitions, a diagnostic algorithm, biochemical and dynamic tests with their reference parameters, a description of the considerations about growth hormone use among the indications approved by regulatory agency for medications and food in Colombia and finally a proposal for an informed consent and a medication fact sheet available for parents and patients.

https://doi.org/10.22265/acnef.7.1.375 1793 downloads

11.

New epidemiological profile of schistosomiasis from an area of low prevalence in Brazil
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Santos, Israel Gomes de Amorim

; Bezerra, Letícia Pereira

; Cirilo, Tatyane Martins

; Silva, Laryssa Oliveira

; Machado, João Paulo Vieira

; Lima, Pedro Dantas

; Bispo, Martha Rejane Souza

; Gomes, Sheilla da Conceição

; Silva, Glória Isabel Lisboa da

; Alencar, Vitória Jordana Bezerra

; Damasceno, Ivisson Abreu

; Carvalho, Mikaelly Maria Vieira de

; Gomes, Dharliton Soares

; Ramos, Rosália Elen Santos

; Santos Júnior, Edmilson Genuíno

; Alves, Luiz Carlos

; Brayner, Fábio André

Revista da Sociedade Brasileira de Medicina Tropical

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2020, Volume 53 elocation e20200335

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION: Schistosomiasis, caused by infection from Schistosoma mansoni, is a disease that represents an important public health problem for Brazil, especially for states in the Northeast region. Thus, the aim of this study is to present a new epidemiological profile for the disease in a municipality with low prevalence in the state of Alagoas, Brazil. METHODS: A cross-sectional study was conducted through a coproparasitological and malacological survey. A structured questionnaire was applied to the study participants to survey possible risk factors and a spatial analysis (kernel density) was used to measure the risk of infection. RESULTS: Of the 347 participants, 106 (30.5%) were infected by Schistosoma mansoni, most of them from the urban area of the municipality (68.9%; 73/106). A 3-fold risk of infection was found for individuals living in the urban area and a risk of 2.15 times for self-declared farmers. Biomphalaria glabrata and B. straminea were the species found in the municipality, but no animals were diagnosed as infected by the parasite. Spatial analysis showed a random distribution of vectors and human cases of the disease, and the formation of two clusters of human cases in the urban area was seen. CONCLUSIONS: A new epidemiological profile for schistosomiasis from S. mansoni infection was presented in a municipality of low endemicity: a high proportion of positive individuals in the urban area; presence of snails without positive diagnosis for S. mansoni infection; random distribution of vectors and human cases; and absence of association between classical risk factors and human infection.

https://doi.org/10.1590/0037-8682-0335-2020 501 downloads

12.

Presencia de micotoxinas en preparados y colados comerciales para lactantes en el área metropolitana de Asunción, Paraguay
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Arrúa, Andrea Alejandra

; Arrúa, Pablo David

; Moura Mendes, Juliana

; Paulo Ferreira, Francisco

; Fernández Ríos, Danilo

; Ulke, María Gabriela

; Quezada, Martha Yolanda

; Moreno Lara, Josefina

; Cazal, Cinthia

; Pereira, Mónica Belén

; Mellid, Marcos

; Peralta López, Inocencia

; Kholi, Man Mohan

Pediatría (Asunción)

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aug 2019, Volume 46 N. 2 Pages 97 - 102

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

ABSTRACT Introduction: Mycotoxicoses are diseases caused by mycotoxins, secondary toxic metabolites produced by filamentous fungi. Infants are especially susceptible to this type of toxins due to the anatomical and functional immaturity of their digestive and immune systems, which is related to the amount of food eaten and their weight. Objective: To determine the presence of mycotoxins in foods for infants sold in pharmacies and supermarkets in the Metropolitan Area. Materials and methods: 66 units of products from six different brands of imported commercial sweet and salty preparations and strained foods from pharmacies and supermarkets in the Metropolitan Area were randomly collected. Subsequently, they were analyzed by the enzyme-linked immunoaffinity test (ELISA). The variance analysis and the subsequent comparison of means of mycotoxin concentrations were performed using the Tukey test (95% CI), with the InfoStat® statistic. Results: The prevalent mycotoxins were aflatoxins (AF) and T-2 Toxin, which were present in 39% of the sample units analyzed, both in preparations and in strains. In third order of importance we detected Ochratoxin A (OTA) in 18% of the units. Fourth, deoxinivalenol (DON) products were detected in 4%. There were significant differences between the preparations and the strains, with the strains having the highest concentration levels of all the mycotoxins studied. Conclusions: Variable levels of AF, OTA, T-2 and DON were found in infant foods marketed in the Metropolitan Area. The strains showed a higher average concentrations of mycotoxins in all the products analyzed. Both AF and OTA exceeded the maximum limits allowed by international standards.

RESUMEN Introducción: Las micotoxicosis son enfermedades producidas por micotoxinas, metabolitos secundarios tóxicos producidos por hongos filamentosos. Los lactantes son especialmente susceptibles a este tipo de toxinas debido a la inmadurez anatómica y funcional de sus sistemas digestivo e inmune, lo que se refleja en la relación entre la cantidad de alimento ingerida y su peso. Objetivo: Determinar la presencia de micotoxinas en alimentos para lactantes comercializados en farmacias y supermercados del Área Metropolitana. Materiales y métodos: Se colectaron al azar 66 unidades de productos de seis marcas diferentes de preparados y colados comerciales importados, dulces y salados, de farmacias y supermercados del Área Metropolitana. Posteriormente, fueron analizados mediante el ensayo de inmunoafinidad ligado a enzimas (ELISA). Se realizó el análisis de varianza y la posterior comparación de medias de las concentraciones de micotoxinas mediante la prueba de Tukey (IC= 95%), con el estadístico InfoStat®. Resultados: Las micotoxinas prevalentes fueron aflatoxinas (AF) y Toxina T2, que se presentaron en 39% de las unidades muestrales analizadas, tanto en preparados como en colados. En tercer orden de importancia se encuentra ocratoxina A (OTA), detectada en 18% de las mismas. En cuarto lugar, deoxinivalenol (DON) se detectó en 4% los productos. Se presentaron diferencias significativas entre los preparados y los colados, siendo los colados los que en media presentaron niveles más altos de concentraciones de todas las micotoxinas estudiadas. Conclusiones: Se constataron niveles variables de AF, OTA, T2 y DON en los alimentos para lactantes comercializados en el Área Metropolitana. Los colados presentaron concentraciones más elevadas de micotoxinas en media en todos los productos analizados. Tanto AF como OTA superaron los límites máximos permitidos por las normas internacionales.

https://doi.org/10.31698/ped.46022019005 687 downloads

13.

Molecular and serological characterization of Leptospira kirschneri serogroup Pomona isolated from a human case in a Brazilian rural area
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Balassiano, Ilana Teruszkin

; Vital-Brazil, Juliana Magalhães

; Ramos, Tatiane Mendes Varela

; Timm, Loeci Natalina

; Pereira, Martha Maria

Revista da Sociedade Brasileira de Medicina Tropical

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jun 2017, Volume 50 N. 3 Pages 396 - 398

Abstract: En | Text: En | PDF: En

Abstract INTRODUCTION: Leptospirosis is an important health concern in Brazil. Currently, information on the epidemiology of the disease in the rural areas of the country is lacking. METHODS: Serological and molecular techniques were used to characterize a clinical isolate of Leptospira. RESULTS: The strain CLEP 00060, isolated from a 59-year-old man in a rural area of Rio Grande do Sul state, Brazil, was identified as belonging to L. kirschneri serogroup Pomona serovar Mozdok. CONCLUSIONS: This study contributes to the local epidemiological knowledge of leptospirosis, prevention of the disease by vaccines, and improvements in its diagnosis.

https://doi.org/10.1590/0037-8682-0445-2016 830 downloads

14.

A systematic review of East African-Indian family of Mycobacterium tuberculosis in Brazil
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Duarte, Tonya Azevedo

; Nery, Joilda Silva

; Boechat, Neio

; Pereira, Susan Martins

; Simonsen, Vera

; Oliveira, Martha

; Gomes, Maria Gabriela Miranda

; Penha-Gonçalves, Carlos

; Barreto, Mauricio Lima

; Barbosa, Theolis

Brazilian Journal of Infectious Diseases

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jun 2017, Volume 21 N. 3 Pages 317 - 324

Abstract: En | Text: En | PDF: En

ABSTRACT Introduction: The Mycobacterium tuberculosis East African-Indian (EAI) spoligotyping family (belonging to lineage 1, Indo-Oceanic, defined by the region of deletion RD239) is distributed worldwide, but is more prevalent in Southeast Asia, India, and East Africa. Studies in Latin America have rarely identified EAI. In this study, we describe the occurrence of the EAI family in Brazil. Methods: EAI was identified in a systematic literature review of genetic diversity studies pertaining to M. tuberculosis in Brazil, as well as in a survey conducted in Salvador, Bahia, located in the northeastern region of this country. Results: The EAI6-BGD1 spoligotyping family and the EAI5 Spoligotype International Type (SIT) 1983 clade were the most frequently reported, with wide distribution of this particular clade described in Brazil. The distribution of other EAI spoligotyping patterns with broader worldwide distribution was restricted to the southeastern region of the country. Conclusions: EAI may be endemic at a low frequency in Brazil, with some clades indicating increased fitness with respect to this population.

https://doi.org/10.1016/j.bjid.2017.01.005 1035 downloads

15.

BRS 331 - Early cycle double-haploid wheat cultivar
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Scheeren, Pedro Luiz

; Caierão, Eduardo

; Silva, Márcio Só e

; Eichelberger, Luiz

; Nascimento Júnior, Alfredo do

; Guarienti, Eliana Maria

; Miranda, Martha Zavariz de

; Castro, Ricardo Lima de

; Costamilan, Leila

; Santana, Flávio Martins

; Maciel, João Leodato Nunes

; Lima¹, Maria Imaculada Pontes Moreira

; Pires, João Leonardo Fernandes

; Lau, Douglas

; Pereira, Paulo Roberto Valle da Silva

; Cunha, Gilberto Rocca da

Crop Breeding and Applied Biotechnology

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mar 2017, Volume 17 N. 1 Pages 63 - 66

Abstract: En | Text: En | PDF: En

Abstract The wheat cultivar ‘BRS 331’ was developed by Embrapa. It results from an interspecific cross between wheat and maize by double-hapolid method. ‘BRS 331’ shows solid stem in the base of the plant, short leaves and super-early cycle to maturity. It is classified as bread wheat in all of the regions that is recommended in the States of Rio Grande do Sul, Paraná and Santa Catarina, Brazil.

https://doi.org/10.1590/1984-70332017v17n1c10 716 downloads

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