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Abstract Objective To evaluate clinical characteristics and outcomes of COVID-19 patients infected with HIV, and to compare with a paired sample without HIV infection. Methods This is a substudy of a Brazilian multicentric cohort that comprised two periods (2020 and 2021). Data was obtained through the retrospective review of medical records. Primary outcomes were admission to the intensive care unit, invasive mechanical ventilation, and death. Patients with HIV and controls were matched for age, sex, number of comorbidities, and hospital of origin using the technique of propensity score matching (up to 4:1). They were compared using the Chi-Square or Fisher's Exact tests for categorical variables and the Wilcoxon for numerical variables. Results Throughout the study, 17,101 COVID-19 patients were hospitalized, and 130 (0.76%) of those were infected with HIV. The median age was 54 (IQR: 43.0;64.0) years in 2020 and 53 (IQR: 46.0;63.5) years in 2021, with a predominance of females in both periods. People Living with HIV (PLHIV) and their controls showed similar prevalence for admission to the ICU and invasive mechanical ventilation requirement in the two periods, with no significant differences. In 2020, in-hospital mortality was higher in the PLHIV compared to the controls (27.9% vs. 17.7%; p = 0.049), but there was no difference in mortality between groups in 2021 (25.0% vs. 25.1%; p > 0.999). Conclusions Our results reiterate that PLHIV were at higher risk of COVID-19 mortality in the early stages of the pandemic, however, this finding did not sustain in 2021, when the mortality rate is similar to the control group.

https://doi.org/10.1016/j.clinsp.2023.100223

Vallecular varicose lesion: A rare etiology for upper aerodigestive tract hemorrhage lesion
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Costa, Elaine

; Domene, Vinícius

; Fernandes, Yuri Costa Farago

; Brito, Thiago Pires

; Semenzati, Graziela de Oliveira

; Crespo, Agrício Nubiato

Brazilian Journal of Otorhinolaryngology

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2023, Volume 89 N. 6 elocation 101330

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.bjorl.2023.101330

Coxsackievirus A6 strains causing an outbreak of hand-foot-and-mouth disease in Northeastern Brazil in 2018
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Luchs, Adriana

; Azevedo, Lais Sampaio de

; Souza, Ellen Viana de

; Medeiros, Roberta Salzone

; Souza, Yasmin França Viana Pires de

; Teixeira, Dalane Loudal Florentino

; Carneiro, Thiago Franco de Oliveira

; Alencar, Gabriela Maria Fernandes de

; Morais, Fernanda Lúcia de Sousa Leite

; Pinto, Diana de Fátima Alves

; Okay, Thelma Suely

; Yamamoto, Lidia

; Morais, Vanessa dos Santos

; Araújo, Emerson Luiz Lima

; Leal, Elcio

; Costa, Antonio Charlys da

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e16

Abstract: En | Text: En | PDF: En

ABSTRACT Hand-foot-and-mouth disease (HFMD) is a highly contagious viral disease commonly associated to Enteroviruses (EV). During 2018, Brazil faced massive HFMD outbreaks spread across the country. This study aimed to characterize the EV responsible for the HFMD outbreak that occurred in Paraiba State, Brazilian Northeastern region, in 2018, followed by a phylogenetic analysis to detail information on its genetic diversity. A total of 49 serum samples (one from each patient) collected from children ≤ 15 years old, clinically diagnosed with HFMD were tested for EV using conventional RT-PCR and RT-qPCR. EV infection was confirmed in 71.4% (35/49) of samples. The mean and median ages were 1.83 years and one year old, respectively. Twenty-two EV-positive samples were successfully sequenced and classified as EV-A species; 13 samples were also identified with the CV-A6 genotype. The phylogenetic analysis (VP1 region) of three samples revealed that the detected CV-A6 strains belonged to sub-lineage D3. The CV-A6 strains detected here clustered with strains from South America, Europe and West Asia strains that were also involved in HFMD cases during the 2017-2018 seasons, in addition to the previously detected Brazilian CV-A6 strains from 2012 to 2017, suggesting a global co-circulation of a set of different CV-A6 strains introduced in the country at different times. The growing circulation of the emerging CV-A6 associated with HFMD, together with the detection of more severe cases worldwide, suggests the need for a more intense surveillance system of HFMD in Brazil. In addition, this investigation was performed exclusively on serum samples, and the analysis of whole blood samples should be considered and could have shown advantages when employed in the diagnosis of enteroviral HFMD outbreaks.

https://doi.org/10.1590/s1678-9946202264016

Trombose de veia porta não associada à cirrose – desafio terapêutico
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Sarquis, Lucas Mansano

; Trintinalha, Paula de Oliveira

; Michaelis, Wilson

; Santos Filho, Antonio Lacerda

; Yokoyama, Rogerio Akira

; Michaelis, Thiago

; Smaniotto, Adriana Pires

; Oliveira, Mariana Santos

Jornal Vascular Brasileiro

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2022, Volume 21 elocation e20210013

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

Resumo A trombose de veia porta (TVP) é uma doença na qual ocorre trombose desde os ramos intra-hepáticos da veia porta, podendo se estender até a veia esplênica e/ou veia mesentérica superior, estando associada, na maioria das vezes, à cirrose hepática. A TVP não associada a cirrose é rara. O objetivo deste artigo foi relatar dois casos de TVP não associados à cirrose, que foram tratados com anticoagulação e tiveram evolução clínica satisfatória.

Abstract Portal vein thrombosis (PVT) is a disease in which thrombosis occurs from the intrahepatic branches of the portal vein, and may extend to the splenic vein and/or superior mesenteric vein. It is most often associated with liver cirrhosis. PVT not associated with cirrhosis is rare. The aim of this article is to report two cases of PVT in which it was not associated with cirrhosis. Both were treated with anticoagulation and clinical progress afterwards was good.

https://doi.org/10.1590/1677-5449.210013

Ex vivo Retrieval of Mature Oocytes for Fertility Preservation in a Patient with Bilateral Borderline Ovarian Tumor
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Carvalho, Bruno Ramalho de

; Cintra, Geórgia Fontes

; Franceschi, Taise Moura

; Cabral, Íris de Oliveira

; Resende, Leandro Santos de Araújo

; Gumz, Brenda Pires

; Pinto, Thiago David Alves

Revista Brasileira de Ginecologia e Obstetrícia

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mar 2021, Volume 43 N. 3 Pages 225 - 231

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

Resumo Relatamos um caso de obtenção ex vivo de óvulos, guiada por ultrassonografia, para preservação da fertilidade em uma mulher com tumor ovariano borderline bilateral, para quem a recuperação transvaginal convencional foi considerada insegura, devido ao aumento do risco de disseminação de célulasmalignas. Foi realizada estimulação ovariana com gonadotrofinas. A cirurgia foi agendada de acordo com a resposta ovariana à estimulação gonadotrófica exógena; após ooforectomia por laparoscopia, ~ 37 horas após a maturação folicular, procedeu-se à recuperação extracorpórea de oócitos. Umtotal de 20 folículos ovarianos foi aspirado e 16 complexos cumulus foramobtidos, resultando na vitrificação de 12 oócitos maduros e de 3 oócitos imaturos amadurecidos in vitro. Nosso resultado enfatiza a viabilidade da recuperação ex vivo de oócitos maduros após estimulação ovariana controlada para mulheres com alto risco de disseminação maligna pela captação oocitária realizada convencionalmente pela via transvaginal.

Abstract We report a case of ultrasound-guided ex vivo oocyte retrieval for fertility preservation in a woman with bilateral borderline ovarian tumor, for whom conventional transvaginal oocyte retrieval was deemed unsafe because of the increased risk of malignant cell spillage. Ovarian stimulation with gonadotropins was performed. Surgery was scheduled according to the ovarian response to exogenous gonadotropic stimulation; oophorectomized specimens were obtained by laparoscopy, and oocyte retrieval was performed ~ 37 hours after the ovulatory trigger. The sum of 20 ovarian follicles were aspirated, and 16 oocytes were obtained.We performed vitrification of 12 metaphase II oocytes and 3 oocytes matured in vitro. Our result emphasizes the viability of ex vivo mature oocyte retrieval after controlled ovarian stimulation for those with high risk of malignant dissemination by conventional approach.

https://doi.org/10.1055/s-0040-1718436 144 downloads

Prevalence of symptoms of COVID-19 in the state of Rio Grande do Sul: results of a population-based study with 18,000 participants
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Mesenburg, Marilia Arndt

; Hallal, Pedro Curi

; Menezes, Ana Maria Baptista

; Barros, Aluísio J D

; Horta, Bernardo Lessa

; Hartwig, Fernando Pires

; Jacques, Nadege

; Pellanda, Lucia Campos

; Zelmanowicz, Alice de Medeiros

; Vergani, Daiane Oliveira Pereira

; Ries, Edi Franciele

; Harter, Jenifer

; Martínez-Mesa, Jeovany

; Carneiro, Marcelo

; Estima, Sonara Lucia

; Heck, Thiago Gomes

; Silveira, Mariangela Freitas da

Revista de Saúde Pública

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2021, Volume 55 elocation 82

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

RESUMO OBJETIVO Avaliar prevalência de relato de sintomas característicos de covid-19 entre indivíduos com e sem anticorpos e identificar aqueles com maior capacidade de predição da presença de anticorpos contra o SARS-CoV-2. MÉTODOS O presente estudo usa dados coletados nas fases de 5 a 8 do Epicovid-19-RS. A presença de anticorpos contra o SARS-CoV-2 foi avaliada por um teste rápido. Avaliou-se também a ocorrência dos sintomas tosse, febre, palpitações, dor de garganta, dificuldade para respirar, alterações no paladar e olfato, vômito, diarreia, dor no corpo, tremedeira e dor de cabeça, desde março de 2020. Então, calculou-se a capacidade de predição dos sintomas avaliados em relação a presença de anticorpos. RESULTADOS Nas fases de 5 a 8, 18 mil indivíduos foram entrevistados e 181 apresentaram anticorpos contra covid-19. A proporção de indivíduos assintomáticos foi de 19,9% entre participantes com anticorpos e 49,7% entre aqueles sem anticorpos. Todos os sintomas foram relatados com maior frequência por indivíduos com presença de anticorpos. A divisão da prevalência de sintomas entre indivíduos com anticorpos pela prevalência entre indivíduos sem anticorpos evidenciou as seguintes razões de prevalência: para alterações de olfato ou paladar (9,1), febre (4,2), tremedeira (3,9), dificuldade respiratória (3,2) e tosse (2,8 vezes). Anosmia e febre foram os sintomas com maior capacidade de predizer a presença de anticorpos. CONCLUSÃO A prevalência de sintomas foi maior entre indivíduos com anticorpos contra SARS-CoV-2. A proporção de indivíduos assintomáticos foi baixa. Alteração de olfato ou paladar e febre foram os sintomas que mais predizem a presença de anticorpos. Esses resultados podem auxiliar a identificação de casos prováveis, contribuindo para o diagnóstico clínico e triagem de pacientes para testagem e orientação de isolamento em casos positivos, especialmente em cenários de escassez de testes diagnósticos de covid-19.

ABSTRACT OBJECTIVE To evaluate the prevalence of reports of symptoms of COVID-19 among individuals with and without antibodies and identify those with greater capability to predict the presence of antibodies against SARS-CoV-2. METHODS The study uses data collected in phases 5 to 8 of Epicovid-19-RS. The presence of antibodies against SARS-CoV-2 was evaluated by a rapid test. The occurrence of cough, fever, palpitations, sore throat, difficulty breathing, changes in taste and smell, vomiting, diarrhea, body pain, shaking, and headache since March 2020 was also evaluated. Then, the capability to predict the evaluated symptoms concerning the presence of antibodies was calculated. RESULTS A total of 18,000 individuals were interviewed and 181 had antibodies against COVID-19 in phases 5 to 8. The proportion of asymptomatic individuals was 19.9% among participants with antibodies and 49.7% among those without antibodies. All symptoms were reported more frequently by individuals with antibodies. The division of the prevalence of symptoms among individuals with antibodies by the prevalence among individuals without antibodies showed the following prevalence ratios: for changes in smell or taste (9.1), fever (4.2), tremors (3.9), breathing difficulty (3.2) and cough (2.8 times). Anosmia and fever were the symptoms with a greater capability to predict the presence of antibodies. CONCLUSION The prevalence of symptoms was higher among individuals with antibodies against SARS-CoV-2. The proportion of asymptomatic individuals was low. Altered smell or taste and fever were the symptoms that most predict the presence of antibodies. These results can help to identify probable cases, contributing to the clinical diagnosis and screening of patients for testing and isolation guidance in positive cases, especially in scenarios of the scarcity of diagnostic COVID-19 tests.

https://doi.org/10.11606/s1518-8787.2021055004030

Prevalence of symptoms of COVID-19 in the state of Rio Grande do Sul: results of a population-based study with 18,000 participants
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Mesenburg, Marilia Arndt

; Hallal, Pedro Curi

; Menezes, Ana Maria Baptista

; Barros, Aluísio J D

; Horta, Bernardo Lessa

; Hartwig, Fernando Pires

; Jacques, Nadege

; Pellanda, Lucia Campos

; Zelmanowicz, Alice de Medeiros

; Vergani, Daiane Oliveira Pereira

; Ries, Edi Franciele

; Harter, Jenifer

; Martínez-Mesa, Jeovany

; Carneiro, Marcelo

; Estima, Sonara Lucia

; Heck, Thiago Gomes

; Silveira, Mariangela Freitas da

Revista de Saúde Pública

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2021, Volume 55 elocation 82

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

https://doi.org/10.11606/s1518-8787.2021055004030

Fatores associados ao sofrimento psíquico de agentes penitenciários do estado do Rio de Janeiro, Brasil
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Bezerra, Claudia de Magalhães

; Assis, Simone Gonçalves de

; Constantino, Patricia

; Pires, Thiago Oliveira

Revista Brasileira de Saúde Ocupacional

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2021, Volume 46 elocation e17

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

Resumo Objetivos: analisar o sofrimento psíquico de agentes penitenciários do estado do Rio de Janeiro e apontar os fatores a ele associados no âmbito social, destacando o ambiente de trabalho. Métodos: estudo quantitativo e qualitativo. As unidades prisionais foram selecionadas por meio da amostragem estratificada. Utilizou-se a escala de sofrimento psíquico Self-Reported Questionnaire (SRQ20) e uma escala de apoio social. Variáveis explicativas foram relacionadas tanto ao perfil profissional como aos fatores de âmbito social e do trabalho e foram utilizados modelos de regressão logística (stepwise). Resultados: participaram 217 homens e 100 mulheres, em nove unidades prisionais femininas e masculinas. A prevalência de sofrimento psíquico foi de 27,7%, sem diferenças segundo o gênero. Os sintomas mais frequentes foram: dormir mal (53,0%) e sentir-se nervoso, tenso ou agitado (52,0%). Entre os possíveis fatores que propiciam o sofrimento psíquico, estão: relacionamento interpessoal entre agentes e presos; ameaças constantes; superlotação; poucos profissionais e sobrecarga de trabalho. E entre os possíveis fatores protetores, estão: praticar alguma religião; ter apoio social; contar com a compreensão dos colegas; ter o reconhecimento de seu trabalho e relacionar-se bem com superiores. Conclusão: a superlotação e a insalubridade do ambiente trazem consequências negativas para a saúde mental dos trabalhadores; no entanto, formas de apoio social e valorização profissional podem protegê-los.

Abstract Objectives: to analyze the psychological suffering of prison agents in the state of Rio de Janeiro, Brazil, and to point out the social factors associated with it, especially in the work environment. Methods: this is a quantitative and qualitative study. Prison units were selected using stratified sampling. We used the Self-Reported Questionnaire (SRQ20) and a social support scale. Explanatory variables were related to both the professional profile as well as the social and work scope factors, and we employed logistic regression models (stepwise). Results: in total, 217 men and 100 women from nine female and male prison units participated. The prevalence of psychological distress was 27.7%, with no gender differences. The most frequent symptoms were sleeping poorly (53.0%) and feeling nervous, tense or agitated (52.0%). Among the possible factors that lead to psychological distress are interpersonal relationships between agents and prisoners; constant threats; overcrowded cells; few professionals and work overload. Among the possible protective factors are practicing a religion; having social support; relying on the co-workers’ understanding; being recognized for their work and having a good relationship with their superiors. Conclusion: overcrowding and unhealthy environment produce negative consequences on worker’s mental health. However, forms of social support and professional enhancement can protect them.

https://doi.org/10.1590/2317-6369000038218 249 downloads

Insect (Hexapoda) diversity in the oceanic archipelago of Fernando de Noronha, Brazil: updated taxonomic checklist and new records
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Rafael, José Albertino

; Limeira-de-Oliveira, Francisco

; Hutchings, Roger William

; Miranda, Gil Felipe Gonçalves

; Silva Neto, Alberto Moreira da

; Somavilla, Alexandre

; Camargo, Alexssandro

; Asenjo, Angélico

; Pinto, Ângelo Parise

; Bello, Ayr de Moura

; Dalmorra, Camila

; Mello-Patiu, Cátia Antunes de

; Carvalho, Claudio José Barros de

; Takiya, Daniela Maeda

; Parizotto, Daniele Regina

; Marques, Dayse Willkenia Almeida

; Cavalheiro, Denis de Oliveira

; Mendes, Diego Matheus de Mello

; Zeppelini, Douglas

; Carneiro, Eduardo

; Lima, Élison Fabrício Bezerra

; Lima, Estevam Cipriano Araújo de

; Godoi, Fabio Siqueira Pitaluga de

; Pessoa, Felipe Arley Costa

; Vaz-de-Mello, Fernando Zagury

; Sosa-Duque, Francisco José

; Flores, Heloísa Fernandes

; Fernandes, Itanna Oliveira

; Silva-Júnior, José Osvaldo

; Gomes, Lucas Roberto Pereira

; Monné, Marcela Laura

; Castro, Marcelo Cutrim Moreira de

; Silva, Marcelo Peixoto Gomes da

; Couri, Márcia Souto

; Gottschalk, Marco Silva

; Soares, Matheus Mickael Mota

; Monné, Miguel Angel

; Rafael, Miriam Silva

; Casagrande, Mirna Martins

; Mielke, Olaf Hermann Hendrik

; Grossi, Paschoal Coelho

; Pinto, Paula Jéssica Costa

; Bartholomay, Pedro Reck

; Sobral, Rafael

; Heleodoro, Raphael Aquino

; Machado, Renato José Pires

; Corrêa, Robson Crepes

; Hutchings, Rosa Sá Gomes

; Ale-Rocha, Rosaly

; Santos, Sandra Duque dos

; Lima, Sheila Pereira de

; Mahlmann, Thiago

; Silva, Vera Cristina

; Fernandes, Daniell Rodrigo Rodrigues

Revista Brasileira de Entomologia

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2020, Volume 64 N. 3 elocation e20200052

Abstract: En | Text: En | PDF: En

ABSTRACT Hexapods, commonly known as insects, are a neglected taxonomic group in the Fernando de Noronha archipelago, with unanswered questions about their species richness and the ecological processes in which they are involved (e.g., colonization, introduction, establishment, and extinction). Herein, we provide an updated Hexapod checklist with current nomenclatural combinations. The entomofauna of the Fernando de Noronha archipelago is currently composed of 453 species in 21 orders. The orders, and their respective number of species, are: Blattaria (9), Coleoptera (118), Collembola (29), Dermaptera (3), Diplura (1), Diptera (134), Embioptera (1), Hemiptera (29), Hymenoptera (59), Isoptera (2), Lepidoptera (25), Mantodea (1), Neuroptera (3), Odonata (5), Orthoptera (11), Phasmatodea (1), Phthiraptera (6), Psocoptera (3), Siphonaptera (1), Thysanoptera (10), and Zygentoma (2). The archipelago has 263 new taxon records (family + genera + species). Thirty-eight species (3.39%) were described from local specimens and most of them are likely endemic species. This study more than doubles our knowledge (from the previous 190 records) of the entomofauna in this large Brazilian archipelago. This study also provides a baseline for studies on its conservation status and for implementing future environmental management programs.

https://doi.org/10.1590/1806-9665-rbent-2020-0052 2462 downloads

10.

Serosurvey of Rickettsia spp. in cats from a Brazilian spotted fever-endemic area
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Mendes, Juliana Cristina Rebonato

; Kmetiuk, Louise Bach

; Martins, Camila Marinelli

; Canavessi, Aurea Maria Oliveira

; Jimenez, Tatiana

; Pellizzaro, Maysa

; Martins, Thiago Fernandes

; Morikawa, Vivien Midori

; Santos, Andrea Pires dos

; Labruna, Marcelo Bahia

; Biondo, Alexander Welker

Revista Brasileira de Parasitologia Veterinária

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dec 2019, Volume 28 N. 4 Pages 713 - 721

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

Resumo Espécies de Rickettsia têm sido responsáveis por doenças transmitidas por carrapatos no mundo, a maioria mantida por hospedeiros amplificadores, como as capivaras em áreas endêmicas no Brasil. A Universidade de São Paulo, em Piracicaba, no sudeste do Brasil, é uma área endêmica para a Febre Maculosa Brasileira (FMB), com alta densidade de capivaras e Amblyomma spp., e com casos humanos confirmados. Além de capivaras, a universidade também possui gatos em um abrigo e de vida livre. Assim, o objetivo deste estudo foi determinar a prevalência e as características associadas com exposição à Rickettsia rickettsii, Rickettsia parkeri e Rickettsia felis em gatos de área endêmica para a FMB. Dos 51 gatos amostrados, 23/35 (65,7%) do abrigo e 5/16 (31,2%) de vida livre foram positivos (títulos ≥ 64) para pelo menos uma Rickettsia spp. Carrapatos estiveram presentes em 3/16 (18,8%) gatos de vida livre, representados por Amblyomma spp., ninfas de Amblyomma sculptum e adultos de Rhipicephalus sanguineus sensu lato. Apesar de compartilharem o ambiente com capivaras, os gatos amostrados foram igualmente ou menos expostos à infecção riquetsial do que os gatos com proprietário em outras áreas endêmicas, podendo ser usados como sentinelas para exposição humana à riquétsias nessas áreas.

Abstract Rickettsia spp. bacteria are responsible for tick-borne diseases worldwide, mostly maintained by rickettsial amplifiers capybaras in Brazilian endemic areas. The campus of the University of São Paulo, in southeastern Brazil, is an area endemic for Brazilian spotted fever (BSF), with high density of capybaras and Amblyomma spp., along with confirmed human cases. Besides capybaras, the university has also an in-campus high population of sheltered and free-roaming cats. Accordingly, the aim of this study was to determine the prevalence and characteristics associated with Rickettsia rickettsii, Rickettsia parkeri and Rickettsia felis exposure among cats in a BSF-endemic area. Out of 51 cats sampled, 23/35 shelter (65.7%) and 5/16 free-roaming (31.2%) were positive (titers ≥ 64) for at least one Rickettsia species. Ticks species were present in 3/16 free-roaming cats (18.8%), consisting of Amblyomma spp., nymphs of Amblyomma sculptum and adult Rhipicephalus sanguineus sensu lato. Despite sharing the capybaras environment, the seropositivity among the free-roaming and shelter cats was lower than owned cats in other endemic areas. Whether equally or less exposed to rickettsial infection, compared with owned cats in endemic areas, free-roaming and shelter cats may be used as environmental sentinels for human exposure to rickettsiae in such areas.

https://doi.org/10.1590/s1984-29612019092 789 downloads

11.

Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Elderly
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Gonçalves, Sandra Elisa Adami Batista

; Ribeiro, Andreza Alice Feitosa

; Hirose, Erika Yuri

; Santos, Fabio Pires de Souza

; Ferreira, Flávia Munhoz

; Koch, Ludmila de Oliveira Muniz

; Tanaka, Márcia

; Souza, Mayara Santos de

; Souza, Polianna Mara Rodrigues

; Gonçalves, Thiago Jose Martins

; Pereira, Andrea Z

einstein (São Paulo)

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2019, Volume 17 N. 2 elocation eAE4340

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

RESUMO O Consenso Brasileiro de Nutrição em Transplante de Células-Tronco Hematopoiéticas: Idoso foi elaborado com a participação de nutricionistas, médicos nutrólogos e médicos hematologistas de 15 centros brasileiros referência em transplante de células-tronco hematopoiéticas, com o objetivo de salientar a importância do estado nutricional e da composição corporal durante o tratamento, bem como as principais características relacionadas à avaliação nutricional do paciente. As intenções, ao se estabelecer o consenso, foram aprimorar e padronizar a terapia nutricional durante o transplante de células-tronco hematopoiéticas. O consenso foi aprovado pela Sociedade Brasileira de Transplante de Médula Óssea.

ABSTRACT The Brazilian Nutritional Consensus in Hematopoietic Stem Cell Transplantation: Elderly was elaborated by nutritionists, nutrologists and hematologists physicians from 15 Brazilians reference centers in hematopoietic stem cell transplantation, in order to emphasize the importancy of nutritional status and the body composition during the treatment, as well as the main characteristics related to patient’s nutritional assessment. Establishing the consensus, we intended to improve and standardize the nutritional therapy during the hematopoietic stem cell transplantation. The Consensus was approved by the Brazilian Society of Bone Marrow Transplantation.

https://doi.org/10.31744/einstein_journal/2019ae4340 3417 downloads

12.

Atividade física e pressão arterial em crianças obesas
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de Freitas, André Everton

; Queiroz Veiga Sales, Bernardo

; Braga, Eduardo José

; Barroso Zogheib, Nassur

; Lins de Barros, Márcio Vinícius

; de Oliveira, Thiago Henrique

; Komatsuzaki, Flávia

; de Oliveira Pires, Flávio

; Alves Lamounier, Joel

Educación Física y Ciencia

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dec 2016, Volume 18 N. 2

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

Objetivo: o presente estudo tem como objetivo avaliar o efeito crônico de um programa de atividade física nos valores de pressão arterial basal de escolares de seis a nove anos com sobrepeso e obesidade das escolas públicas do município de Ouro Preto, Minas Gerais. Método: Trata-se de um estudo clínico aleatorizado de intervenção, quase-experimental, duplo-cego, pragmático, tendo como unidade de estudo o indivíduo. Foram alocadas por aleatorização inconsciente em dois grupos: o grupo-intervenção (n=40) submetido à atividade física três vezes por semana de 50 minutos de duração e o grupo-controle (n=39) e acompanhados por quatro meses. A intensidade do exercício foi determinada por meio de espirometria de circuito aberto. A pressão arterial foi aferida três vezes, consecutivamente e a media foi utilizada. Setenta e nove crianças participaram do estudo intervencional. Resultado: Após a intervenção, não foram evidenciados efeitos significativos de um programa regular de atividade física sobre os níveis basais da Pressão Arterial de crianças obesas entre 6 e 9 anos. Conclusão: No presente estudo, não foram evidenciados efeitos significativos de um programa regular de atividade física sobre os níveis basais da Pressão Arterial de crianças obesas entre 6 e 9 anos.

This study aimed to evaluate the chronic effect of an exercise program in resting blood pressure values of school children aged six to nine years old with overweight and obesity in public schools of the city of OuroPreto, Minas Gerais - Brazil, comparing the systolic and diastolic blood pressure of these students before and after an intervention program. Method: This is a randomized clinical study of intervention, quasi-experimental, double-blind, pragmatic, with the study of the individual unit. Seventy-nine children participated in the interventional study and were considered a convenient sample. These subjects were allocated by randomization into two groups: the intervention group (n = 40) and the control group (n = 39) practised physical activity three times a week for 50 minutes and were followed for 4 months. The exercise intensity was determined by open-circuit spirometry. Blood pressure was measured three times consecutively and the average was used. Results: After the intervention, there was no evidence of significant chronic effects of a regular program of exercises on basal levels of blood pressure of obese children between 6 and 9 years old. Conclusion: In this study, there was no evidence of significant effects from a program of regular physical activity on basal levels of blood pressure of obese children between 6 and 9 years old.

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13.

Declínio da mobilidade dos pacientes internados em unidade de terapia intensiva
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Jesus, Fábio Santos de

; Paim, Daniel de Macedo

; Brito, Juliana de Oliveira

; Barros, Idiel de Araujo

; Nogueira, Thiago Barbosa

; Martinez, Bruno Prata

; Pires, Thiago Queiroz

Revista Brasileira de Terapia Intensiva

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jun 2016, Volume 28 N. 2 Pages 114 - 119

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

RESUMO Objetivo: Avaliar a variação da mobilidade durante a internação em unidade de terapia intensiva e sua associação com mortalidade hospitalar. Métodos: Estudo prospectivo realizado em uma unidade de terapia intensiva. Os critérios de inclusão foram pacientes admitidos com escore de independência para transferência cama-cadeira e locomoção ≥ 4 cada um, baseado na escala Medida de Independência Funcional. Foram excluídos aqueles pacientes que apresentaram parada cardiorrespiratória e/ou evoluíram a óbito durante a internação. Para mensuração da perda de mobilidade calculou-se o valor obtido na alta, subtraído daquele obtido na admissão, o qual foi posteriormente dividido pelo escore da admissão e registrado em porcentual. Resultados: Na comparação dos dois domínios avaliados, foi observada perda de mobilidade durante a internação de 14,3% (p < 0,001). A perda foi maior nos pacientes internados por mais de 48 horas na unidade (p < 0,02) e naqueles que usaram drogas vasopressoras (p = 0,041). Não houve diferença na perda de mobilidade na comparação das variáveis paciente idoso (p = 0,332), motivo de internação (p = 0,265), SAPS 3 (p = 0,224), uso de ventilação mecânica (p = 0,117) e óbito (p = 0,063). Conclusão: Houve declínio de mobilidade durante a internação na unidade de terapia intensiva. Este foi maior nos pacientes que ficaram mais que 48 horas na unidade e nos que usaram drogas vasopressoras, sendo necessária a identificação dos fatores causais e prognósticos deste declínio.

ABSTRACT Objective: To evaluate the variation in mobility during hospitalization in an intensive care unit and its association with hospital mortality. Methods: This prospective study was conducted in an intensive care unit. The inclusion criteria included patients admitted with an independence score of ≥ 4 for both bed-chair transfer and locomotion, with the score based on the Functional Independence Measure. Patients with cardiac arrest and/or those who died during hospitalization were excluded. To measure the loss of mobility, the value obtained at discharge was calculated and subtracted from the value obtained on admission, which was then divided by the admission score and recorded as a percentage. Results: The comparison of these two variables indicated that the loss of mobility during hospitalization was 14.3% (p < 0.001). Loss of mobility was greater in patients hospitalized for more than 48 hours in the intensive care unit (p < 0.02) and in patients who used vasopressor drugs (p = 0.041). However, the comparison between subjects aged 60 years or older and those younger than 60 years indicated no significant differences in the loss of mobility (p = 0.332), reason for hospitalization (p = 0.265), SAPS 3 score (p = 0.224), use of mechanical ventilation (p = 0.117), or hospital mortality (p = 0.063). Conclusion: There was loss of mobility during hospitalization in the intensive care unit. This loss was greater in patients who were hospitalized for more than 48 hours and in those who used vasopressors; however, the causal and prognostic factors associated with this decline need to be elucidated.

https://doi.org/10.5935/0103-507X.20160025 7475 downloads

14.

Violência Física Perpetrada por Ciúmes no Namoro de Adolescentes: Um recorte de Gênero em Dez Capitais Brasileiras
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Oliveira, Queiti Batista Moreira

; Assis, Simone Gonçalves de

; Njaine, Kathie

; Pires, Thiago de Oliveira

Psicologia: Teoria e Pesquisa

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2016, Volume 32 N. 3 elocation e32323

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

RESUMO A violência entre namorados adolescentes vem ganhando visibilidade no âmbito científico, configurando-se como problema de saúde pública. Este estudo quanti-qualitativo investiga como questões de gênero permeiam a violência física perpetrada no namoro entre adolescentes. Realizou-se inquérito epidemiológico com 3.205 adolescentes (idades de 15 a 19 anos), estudantes do 2º ano do Ensino Médio de escolas públicas e privadas de 10 capitais brasileiras. Entrevistas grupais e individuais foram também realizadas com 519 participantes. Humilhações e agressões entre namorados foram consideradas graves, entretanto, infidelidade e ciúme destacaram-se como disruptores de conflitos e brigas, refletindo normas de gênero tradicionais legitimadoras da violência. Destaca-se a necessidade de ações voltadas à desconstrução de estereótipos de gênero e à problematização da banalização da violência entre adolescentes.

ABSTRACT Adolescent dating violence has been gaining visibility in the scientific realm over the past three decades, being considered as a public health issue. This quantitative and qualitative study investigates gender influences in physical dating violence among Brazilian adolescents. A survey was conducted with 3,205 adolescents (15-19 years old) from 2nd year of high school of public and private schools in 10 Brazilian cities. Group and individual interviews were also conducted with 519 participants. Although humiliations e aggression between lovers were considered serious by most teenagers, infidelity and jealousy stood out as disruptors of conflicts and fights, reflecting traditional gender norms that legitimize violence. Programs aimed at deconstructing gender stereotypes and questioning the banalization of violence among adolescents are needed.

https://doi.org/10.1590/0102-3772e32323 5729 downloads

15.

Effects of downhill walking training on aerobic and neuromuscular fitness of young adults
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Lima, Leonardo Coelho Rabello de

; Oliveira, Thiago Pires de

; Oliveira, Felipe Bruno Dias de

; Santos, Fernanda FioravantiAzank dos

; Assumpção, Claudio de Oliveira

; Greco, Camila Coelho

; Denadai, Benedito Sérgio

Revista Brasileira de Cineantropometria & Desempenho Humano

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oct 2015, Volume 17 N. 5 Pages 539 - 549

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

Resumo O treinamento excêntrico de baixa intensidade e alto volume vem sendo adotado para desenvolver a força e a potência muscular. O objetivo deste estudo foi comparar os efeitos do treinamento de caminhada em declive e em plano, em parâmetros de força de membros inferiores e consumo máximo de oxigênio de indivíduos ativos. Dezoito adultos foram separados em grupos de treinamento em plano (GTP - n = 9) em declive (GTD - n = 9). Ambos realizaram um programa de treinamento de 4 semanas. O GTP realizou sete sessões semanais de caminhada no plano, enquanto o GTD caminhou em declive (-16%). Uma semana antes e uma semana após o treinamento, foram medidos o consumo máximo de oxigênio, área de secção transversa músculo-óssea e o pico de torque isométrico dos extensores do joelho e flexores plantares dos participantes. Interação significante grupo-tempo foi identificada apenas para a área de secção transversa dos flexores plantares, demonstrando aumentos para o grupo GTD (112,6 ± 28,9 cm2vs. 115,9 ± 29 cm2), mas não para o GTP (94,9 ± 23,3 cm2vs. 94,6 ± 228 cm2). O consumo máximo de oxigênio permaneceu inalterado após o treinamento para ambos os grupos e o pico de torque isométrico aumentou significantemente após o treinamento para ambos os grupos. Concluímos, então, que um treinamento de caminhada em declive de curto prazo parece não ser eficiente na promoção de melhoras significativas de parâmetros cardiorrespiratórios de adultos jovens, embora seja efetivo no incremento de algumas variáveis relacionadas à aptidão neuromuscular.

Abstract Eccentric exercise training using low intensity-high volume approach has been performed to improve maximal muscle strength and power. The aim of this study was to compare the effects of short-term downhill walking and level walking training on lower limb strength and maximal oxygen uptake of active individuals. Eighteen young adults were divided into level walking group (n = 9) or downhill walking training group (n = 9). Both groups performed a four-week training program. The level walking group performed seven level walking sessions per week, while the downhill walking group walked downhill (-16%) in the same weekly frequency. One week before and one week after the training protocol, maximal oxygen uptake, muscle-bone cross-sectional area and isometric peak torque of knee extensors and plantar flexors were assessed for both groups. A significant group vs. time interaction was found only for cross sectional area of plantar flexors (PF), showing increases for the downhill walking group (112.6 ± 28.9 cm2 vs. 115.9 ± 29 cm2) but not for the level walking group (94.9 ± 23.3 cm2vs. 94.6 ± 228 cm2). Maximal oxygen uptake remained unaltered after training for both groups and IPT was increased after training for both groups. It was concluded that short-term downhill walking training does not seem to be efficient in promoting improvements in cardiorrespiratory fitness of young adults. However, it seems to promote gains in some variables related to neuromuscular fitness.

https://doi.org/10.5007/1980-0037.2015v17n5p539 1281 downloads

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