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Abstract The use of computational simulation techniques is an important tool for the coffee harvesting issues, particularly the finite element method. The method is widely used in the structural analysis of agricultural machinery, as well as in the analysis of the stresses and vibrations of coffee branches and peduncles during the harvesting process. The present study aimed to develop three-dimensional finite element models of the plagiotropic branches of the Catuaí Vermelho variety of Arabica coffee in different positions along the orthotropic branches of the plant; considering high-fidelity models. Additionally, by considering the branches’ experimental properties (physical-mechanical), the natural frequencies and vibration modes of the branches were determined by means of computer simulations. First, the geometric properties of the coffee branches were obtained by means of two images taken using a professional camera to obtain the input data of the virtual simulation. For the mechanical properties, it was used a semi-analytical digital scale, to obtain the mass of the specimens. The modulus of elasticity was determined using a universal testing machine. The variability in the simulated natural frequencies could be identified, which was on the order of 30% for the first frequency, regardless of the position of the branch in the plant. These values were lower for the other frequencies. Linear regression fits showed a coefficient of determination, and correlation tests were used to verify the relationship between the values obtained numerically and experimentally, which were validated by using experimental data using the modal analysis techniques.

https://doi.org/10.1590/1678-4324-2024220331

Impact of vertical positioning on lung aeration among mechanically ventilated intensive care unit patients: a randomized crossover clinical trial
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Neves, Douglas

; Marques Filho, Paulo Ricardo

; Townsend, Raquel da Silva

; Rodrigues, Cristiano dos Santos

; Tagliari, Luciana

; Madeira, Laura Cordeiro

; Mattioni, Mariana Fensterseifer

; Camillis, Márcio Luiz Ferreira de

; Leães, Clarissa Garcia Soares

; Andrade, Juliana Mara Stormovski de

; Robinson, Caroline Cabral

; Sganzerla, Daniel

; Drehmer, Laura

; Costa, Denis Fernandes Madruga da

; Machado, André Sant’Ana

; Rosa, Regis Goulart

; Lago, Pedro Dal

Critical Care Science

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dec 2023, Volume 35 N. 4 Pages 367 - 376

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

ABSTRACT Objective: To assess the impact of different vertical positions on lung aeration in patients receiving invasive mechanical ventilation. Methods: An open-label randomized crossover clinical trial was conducted between January and July 2020. Adults receiving invasive mechanical ventilation for > 24 hours and < 7 days with hemodynamic, respiratory and neurological stability were randomly assigned at a 1:1 ratio to the sitting position followed by passive orthostasis condition or the passive orthostasis followed by the sitting position condition. The primary outcome was lung aeration assessed using the lung ultrasound score (score ranges from 0 [better] to 36 [worse]). Results: A total of 186 subjects were screened; of these subjects, 19 were enrolled (57.8% male; mean age, 73.2 years). All participants were assigned to receive at least one verticalization protocol. Passive orthostasis resulted in mean lung ultrasound scores that did not differ significantly from the sitting position (11.0 versus 13.7; mean difference, -2.7; [95%CI -6.1 to 0.71; p = 0.11). Adverse events occurred in three subjects in the passive orthostasis group and in one in the sitting position group (p = 0.99). Conclusion: This analysis did not find significant differences in lung aeration between the sitting and passive orthostasis groups. A randomized crossover clinical trial assessing the impact of vertical positioning on lung aeration in patients receiving invasive mechanical ventilation is feasible. Unfortunately, the study was interrupted due to the need to treat COVID-19 patients. ClinicalTrials.gov registry: NCT04176445

RESUMO Objetivo: Avaliar o impacto de diferentes posicionamentos verticais na aeração pulmonar em pacientes em ventilação mecânica invasiva. Métodos: Trata-se de ensaio clínico aberto, randomizado e transversal, realizado entre janeiro e julho de 2020. Adultos em ventilação mecânica invasiva por mais de 24 horas e menos de 7 dias com estabilidade hemodinâmica, respiratória e neurológica foram distribuídos aleatoriamente em uma proporção de 1:1 à postura sentada seguida da condição de ortostatismo passivo ou o ortostatismo passivo seguido de postura sentada. O desfecho primário foi a aeração pulmonar avaliada pelo lung ultrasound score. O escore varia de zero (melhor) a 36 (pior). Resultados: Foram selecionados 186 indivíduos; destes, 19 foram incluídos (57,8% do sexo masculino; média idade de 73,2 anos). Todos os participantes foram selecionados para receber pelo menos um protocolo de verticalização. O ortostatismo passivo resultou em escores médios de aeração pulmonar por ultrassonografia que não diferiram significativamente da postura sentada (11,0 versus 13,7; diferença média, -2,7; IC95% -6,1 a 0,71; p = 0,11). Ocorreram eventos adversos em três indivíduos no grupo ortostatismo passivo e em um no grupo postura sentada (p = 0,99). Conclusão: Esta análise não encontrou diferenças significativas na aeração pulmonar entre os grupos ortostatismo passivo e postura sentada. É factível conduzir um estudo clínico transversal randomizado para avaliar o impacto do posicionamento vertical na aeração pulmonar em pacientes em ventilação mecânica invasiva. Infelizmente, o estudo foi interrompido devido à necessidade de tratar pacientes com COVID-19. Registro ClinicalTrials.gov: NCT04176445

https://doi.org/10.5935/2965-2774.20230069-en

Perfil docente inclusivo en la Escuela Normal Rural Ricardo Flores Magón
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Martínez Chairez, Guadalupe Iván

; Viramontes Campos, Otoniel

; Gómez Catillo, Rosa Isela

RIDE. Revista Iberoamericana para la Investigación y el Desarrollo Educativo

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dec 2023, Volume 14 N. 27 elocation e511

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

Resumen El estudio se llevó a cabo en la Escuela Normal Rural Ricardo Flores Magón (ENRRFM) durante el ciclo escolar 2021-2022, con la participación de 120 alumnas que cursaban el séptimo semestre de la Licenciatura en Educación Primaria y Preescolar, así como 20 docentes de la institución. El paradigma que guio este estudio fue el pragmático, utilizando un método mixto y una estrategia concurrente transformadora. El objetivo fue analizar cómo favorecer el Perfil Docente Inclusivo (PDI) en las estudiantes de la ENRRFM. Entre los hallazgos, se encontró que el 48% de la muestra se percibe con un grado satisfactorio en el desarrollo de prácticas profesionales inclusivas, mientras que el 34% se considera en un nivel idóneo y el 12% en un nivel regular. El 51% de las participantes manifestó no contar con una preparación satisfactoria para implementar la evaluación formativa e inclusiva durante el periodo de prácticas profesionales. Para favorecer el PDI, se establece que es indispensable contar con docentes capacitados y actualizados en cuanto a la educación inclusiva en la institución. Además, se sugiere la implementación de talleres y/o diplomados sobre el Diseño Universal del Aprendizaje (DUA). También es fundamental que las prácticas profesionales brinden la oportunidad de conocer e interactuar en diferentes contextos, para que las alumnas se acerquen a realidades e implementen acciones con el fin de que la visión inclusiva y la empatía surjan a partir de la experiencia de estar inmersas en estos escenarios.

Abstract The study was implemented at the Ricardo Flores Magón Rural Normal School (ENRRFM) during the 2021-2022 school year, in which 120 students who were in the seventh semester of the Bachelor's Degree in Elementary and Preschool Education participated, as well as 20 teachers from the institution. The paradigm that guided it is the pragmatic one with a mixed method and a transformative sequential design, the objective was to promote the Inclusive Teaching Profile (PDI) in the in the students of the ENRRFM. Among the findings, 48% of the sample perceive themselves as having a satisfactory degree in the development of inclusive professional practices, while 34% consider themselves to be at an ideal level, and 12% to be regular. 51% state that they do not have a satisfactory preparation to be able to implement the formative and inclusive evaluation during the period of professional practices. To promote the PDI, it is stipulated that it is essential to have trained and updated teachers in the institution in terms of inclusive education, in addition to implementing workshops and/or courses related to the Universal Design for Learning (DUA), it is also essential that professional practices give the opportunity to get to know and interact in different contexts so that students get closer to realities and implement actions so that an inclusive vision and empathy arise from the experience of being immersed in these scenarios.

Resumo O estudo foi realizado na Escola Normal Rural Ricardo Flores Magón (ENRRFM) durante o ano letivo 2021-2022, com a participação de 120 alunos que estavam no sétimo semestre do Bacharelado em Educação Primária e Pré-Escolar, bem como 20 professores da instituição. O paradigma que orientou este estudo foi o pragmático, utilizando um método misto e uma estratégia concorrente transformadora. O objetivo foi analisar como favorecer o Perfil Docente Inclusivo (PDI) nos alunos do ENRRFM. Dentre os achados, constatou-se que 48% da amostra percebem-se com grau satisfatório no desenvolvimento de práticas profissionais inclusivas, enquanto 34% se consideram em nível ideal e 12% em nível regular. 51% dos participantes afirmaram não ter tido uma preparação satisfatória para implementar a avaliação formativa e inclusiva durante o período de prática profissional. Para favorecer o PDI, estabelece-se que é imprescindível a existência de professores capacitados e atualizados em educação inclusiva na instituição. Além disso, sugere-se a implementação de workshops e/ou cursos de graduação em Universal Learning Design (DUA). Também é essencial que as práticas profissionais proporcionem a oportunidade de aprender e interagir em diferentes contextos, para que os alunos se aproximem das realidades e implementem ações para que emerjam uma visão inclusiva e empática da experiência de estar imerso nesses cenários.

https://doi.org/10.23913/ride.v14i27.1549

Lógica Fuzzy na determinação de fragmentos florestais potenciais para coleta de sementes
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Peluzio, Telma Machado de Oliveira

; Peluzio, João Batista Esteves

; Abreu, Karla Maria Pedra de

; Ferrari, Jéferson Luiz

; Kunz, Sustanis Horn

; Fiedler, Nilton César

; Gandine, Quênia Glória Ferreira

; Paschoa, Luciana de Souza Lorenzoni

; Moura, Marks Melo

; Moreira, Giselle Lemos

; Carvalho, Rita de Cássia Freire

; Pimentel, Stefania Marques

; Branco, Elvis Ricardo Figueira

; Peluzio, Lucas Machado

; Santos, Alexandre Rosa dos

Ciência Florestal

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sep 2023, Volume 33 N. 3 elocation e70016

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

ABSTRACT The tropical forest is extremely exploited and fragmented, making it essential to collect native seeds to meet the growing demand for its restoration and maintenance of biodiversity. Thus, the objective is to select potential forest fragments with a higher degree of conservation for seed harvesting, through the use and association of landscape ecology with fuzzy logic. The study was carried out in the watershed of the Itapemirim river. The stages of selection and photointerpretation of the images were carried out; error determination; application of landscape ecology metric indices; application of fuzzy logic in a computational application and validation of the methodology in loco. 7,515 forest fragments were determined, corresponding to 19.21% of the study area, with 89.53% of hits. Fragments smaller than 5 ha are the most fragile and are at risk of extinction, while those larger than 300 ha have a lower risk of extinction, even with the increase in the edge. With the application of fuzzy logic, the mean was between 0.15, standard deviation of 0.24 and the coefficient of variation at 161.73%. Scenario 1 (FLONA of Pacotuba), has 10.25% of families, 25.92% of genera and 33.62% of species more than Scenario 2 (PEAMA Ifes Campus of Alegre), among the identified individuals. The association of landscape ecology techniques and fuzzy logic made it possible to identify fragments with a higher degree of conservation, with potential for harvesting forest seeds.

RESUMO A floresta tropical é extremamente explorada e fragmentada, sendo imprescindível a coleta de sementes nativas, a fim de atender a crescente demanda para sua restauração e manutenção da biodiversidade. Dessa forma, objetiva-se selecionar fragmentos florestais potenciais com maior grau de conservação para a colheita de sementes, via utilização e associação da ecologia da paisagem à lógica Fuzzy. O estudo foi realizado na bacia hidrográfica do rio Itapemirim. Foram realizadas as etapas de seleção e fotointerpretação das imagens; determinação do erro; aplicação dos índices métricos de ecologia da paisagem; aplicação da lógica Fuzzy em aplicativo computacional e validação da metodologia in loco. Foram determinados 7.515 fragmentos florestais, correspondendo a 19,21% da área de estudo, com 89,53% de acertos. Os fragmentos menores que 5 ha são os mais frágeis e possuem risco de extinção, enquanto os maiores que 300 ha possuem menor risco de extinção, mesmo com o aumento da borda. Com a aplicação da lógica Fuzzy, a média ficou entre 0,15, desvio padrão de 0,24 e o coeficiente de variação em 161,73 %. O Cenário 1 (FLONA de Pacotuba) possui 10,25% de famílias, 25,92 % de gêneros e 33,62% de espécies a mais que o Cenário 2 (PEAMA Ifes Campus de Alegre), entre os indivíduos identificados. A associação das técnicas de ecologia da paisagem e lógica Fuzzy possibilitou identificar os fragmentos em maior grau de conservação, com potencial para colheita de sementes florestais.

https://doi.org/10.5902/1980509870016

The II Brazilian Guidelines for the pharmacological treatment of patients hospitalized with COVID-19 Joint Guidelines of the Associação Brasileira de Medicina de Emergência, Associação de Medicina Intensiva Brasileira, Associação Médica Brasileira, Sociedade Brasileira de Angiologia e Cirurgia Vascular, Sociedade Brasileira de Infectologia, Sociedade Brasileira de Pneumologia e Tisiologia and Sociedade Brasileira de Reumatologia
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Falavigna, Maicon

; Araujo, Cintia Laura Pereira de

; Barbosa, Alexandre Naime

; Belli, Karlyse Claudino

; Colpani, Verônica

; Dal-Pizzol, Felipe

; Silva, Rosemeri Maurici da

; Azevedo, Luciano César Pontes de

; Dias, Maria Beatriz Souza

; Amaral, José Luiz Gomes do

; Dorneles, Gilson Pires

; Ferreira, Juliana Carvalho

; Freitas, Ana Paula da Rocha

; Gräf, Débora Dalmas

; Guimarães, Hélio Penna

; Lobo, Suzana Margareth Ajeje

; Machado, Flávia Ribeiro

; Nunes, Michelle Silva

; Oliveira, Maura Salaroli de

; Parahiba, Suena Medeiros

; Rosa, Regis Goulart

; Santos, Vania Cristina Canuto

; Sobreira, Marcone Lima

; Veiga, Viviane Cordeiro

; Xavier, Ricardo Machado

; Zavascki, Alexandre Prehn

; Stein, Cinara

; Carvalho, Carlos Roberto Ribeiro de

Critical Care Science

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sep 2023, Volume 35 N. 3 Pages 243 - 255

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

ABSTRACT Objective: To update the recommendations to support decisions regarding the pharmacological treatment of patients hospitalized with COVID-19 in Brazil. Methods: Experts, including representatives of the Ministry of Health and methodologists, created this guideline. The method used for the rapid development of guidelines was based on the adoption and/or adaptation of existing international guidelines (GRADE ADOLOPMENT) and supported by the e-COVID-19 RecMap platform. The quality of the evidence and the preparation of the recommendations followed the GRADE method. Results: Twenty-one recommendations were generated, including strong recommendations for the use of corticosteroids in patients using supplemental oxygen and conditional recommendations for the use of tocilizumab and baricitinib for patients on supplemental oxygen or on noninvasive ventilation and anticoagulants to prevent thromboembolism. Due to suspension of use authorization, it was not possible to make recommendations regarding the use of casirivimab + imdevimab. Strong recommendations against the use of azithromycin in patients without suspected bacterial infection, hydroxychloroquine, convalescent plasma, colchicine, and lopinavir + ritonavir and conditional recommendations against the use of ivermectin and remdesivir were made. Conclusion: New recommendations for the treatment of hospitalized patients with COVID-19 were generated, such as those for tocilizumab and baricitinib. Corticosteroids and prophylaxis for thromboembolism are still recommended, the latter with conditional recommendation. Several drugs were considered ineffective and should not be used to provide the best treatment according to the principles of evidence-based medicine and to promote resource economy.

RESUMO Objetivo: Atualizar as recomendações para embasar as decisões para o tratamento farmacológico de pacientes hospitalizados com COVID-19 no Brasil. Métodos: A elaboração desta diretriz foi feita por especialistas, incluindo representantes do Ministério da Saúde e metodologistas. O método utilizado para o desenvolvimento rápido de diretrizes baseou-se na adoção e/ou adaptação de diretrizes internacionais existentes (GRADE ADOLOPMENT) e contou com o apoio da plataforma e-COVID-19 RecMap. A qualidade das evidências e a elaboração das recomendações seguiram o método GRADE. Resultados: Chegaram-se a 21 recomendações, incluindo recomendações fortes quanto ao uso de corticosteroides em pacientes em uso de oxigênio suplementar e recomendações condicionais para o uso de tocilizumabe e baricitinibe, em pacientes com oxigênio suplementar ou ventilação não invasiva, e de anticoagulantes, para prevenção de tromboembolismo. Devido à suspensão da autorização de uso, não foi possível fazer recomendações para o tratamento com casirivimabe + imdevimabe. Foram feitas recomendações fortes contra o uso de azitromicina em pacientes sem suspeita de infecção bacteriana, hidroxicloroquina, plasma convalescente, colchicina e lopinavir + ritonavir, além de recomendações condicionais contra o uso de ivermectina e rendesivir. Conclusão: Foram criadas novas recomendações para o tratamento de pacientes hospitalizados com COVID-19, como as recomendações de tocilizumabe e baricitinibe. Ainda são recomendados corticosteroides e profilaxia contra tromboembolismo, esta em caráter condicional. Vários medicamentos foram considerados ineficazes e não devem ser usados, no intuito de proporcionar o melhor tratamento segundo os princípios da medicina baseada em evidências e promover a economia de recursos.

https://doi.org/10.5935/2965-2774.20230136-en

Analysis of pH, calcium ion release, and energy dispersive spectroscopy of a bioceramic root canal dressing
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Capitanio, Bárbara Luzia

; Hashizume, Lina Naomi

; Kuga, Milton Carlos

; Oliveira, Eliane Cristina Gulin de

; Rosa, Ricardo Abreu da

; Só, Gabriel Barcelos

; Só, Marcus Vinicius Reis

Brazilian Dental Journal

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aug 2023, Volume 34 N. 4 Pages 54 - 61

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

Abstract This study compared the pH and calcium ion release of calcium silicate- (Bio-C Temp) and calcium hydroxide-based (Ultracal XS) medications. Intracanal remnants of both medications were also evaluated using SEM-EDS after the removal protocol. Thirty-five bovine teeth were prepared. Fifteen were filled with Bio-C Temp and 15 with Ultracal XS. Five remained without intracanal medication (control group). Five samples from each experimental time (i.e.. 24, 72, and 168 hours) were used to measure pH and calcium ions release using a digital pH meter and microplate reader, respectively. Afterward, the peaks of the chemical elements composing both medications were analyzed in SEM-EDS. One-way ANOVA and Tukey's post hoc test analyzed the pH and calcium ion release data. Student's t-test compared the medications in each experimental time. SEM-EDS described the percentage of chemical elements in the samples. Bio-C Temp and Ultracal XS showed a significant pH increase from 24 to 168 hours (p<0.05). Ultracal XS showed a higher pH value at 24 hours than Bio-C Temp (p<0.05) but were similar at 72 and 168h (p > 0.05). Calcium ion release did not depend on the experimental period (p > 0.05). Bio-C Temp showed lower calcium ions release than Ultracal XS at 24 hours (p<0.05). SEM-EDS analyses showed the remains of both medications, but the concentration of Si, Al, and W ions was present only in the calcium silicate-based medication. Bio-C Temp presented alkaline pH and a satisfactory calcium ion release over the time. The remaining of both medications were present after the protocols for paste removal.

Resumo Este estudo comparou o pH e a liberação de íons cálcio de medicações intracanais a à base de silicato de cálcio (Bio-C Temp) e à base de hidróxido de cálcio (Ultracal XS). Remanescentes de ambas as medicações também foram avaliados usando microscopia eletrônica de varredura e espectroscopia de dispersão de energia após o protocolo de remoção. Trinta e cinco dentes bovinos foram preparados. Quinze dentes foram preenchidos com Bio-C Temp e 15 com Ultracal XS. Cinco permaneceram sem medicação intracanal (grupo controle). Cinco amostras de cada tempo experimental (ou seja, 24, 72 e 168 horas) foram usadas para medir o pH e a liberação de íons de cálcio usando um medidor de pH digital e um leitor de microplacas, respectivamente. Em seguida, os picos dos elementos químicos que compõem os dois medicamentos foram analisados em microscopia eletrônica de varredura e por espectroscopia de dispersão de energia. Os testes One-way ANOVA e post hoc de Tukey analisaram os dados de pH e liberação de íons cálcio. O teste t de Student comparou as medicações em cada tempo experimental. A microscopia eletrônica de varredura e a espectroscopia de dispersão de energia descreveu a porcentagem de elementos químicos nas amostras. O Bio-C Temp e o Ultracal XS mostraram um aumento significativo de pH de 24 a 168 horas (p<0,05). O Ultracal XS apresentou um valor de pH mais alto em 24 horas do que o Bio-C Temp (p<0,05), mas foi semelhante em 72 e 168h (p > 0,05). A liberação de íons cálcio não dependeu do período experimental (p> 0,05). O Bio-C Temp apresentou menor liberação de íons de cálcio do que Ultracal XS em 24 horas (p<0,05). As análises de microscopia eletrônica de varredura e espectroscopia de dispersão de energia mostraram remanescentes de ambas as medicações, mas a concentração de íons Si, Al e W estavam presentes apenas na medicação à base de silicato de cálcio. O Bio-C Temp apresentou pH alcalino e maior liberação de íons cálcio. Remanescentes de ambas as medicações estiveram presentes após os protocolos de remoção da pasta.

https://doi.org/10.1590/0103-6440202305506

Presión arterial en recién nacidos sanos de término y pretérmino tardío en la Ciudad de México
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Medina-Zamora, Rosa L.

; Hernández-Benítez, Rodrigo

; Vidaña-Pérez, Dèsirée

; Iglesias-Leboreiro, José

; Bernárdez-Zapata, Isabel

; Saldaña-Vargas, Ricardo

; Ocampo-Vázquez, Celia M.

; Cenoz-Acero, Daniela

Archivos de cardiología de México

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jun 2023, Volume 93 N. 2 Pages 149 - 155

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

Resumen Objetivo: Describir medidas de presión arterial sistólica (PAS), diastólica (PAD) y media (PAM) en recién nacidos sanos de término y pretérmino tardío para establecer parámetros de normalidad. Método: Estudio transversal realizado en el cunero fisiológico del Hospital Español, Ciudad de México. Se incluyeron 551 pacientes recién nacidos sanos. Las tomas de PA fueron realizadas dentro de las primeras 48 horas de vida con método oscilométrico. Posterior a la evaluación de normalidad, se realizó un análisis descriptivo de la población y cálculo de percentiles (25, 50 y 75) específicos para cada semana de gestación. Todos los análisis fueron realizados en STATA v14.2. Resultados: Los recién nacidos de sexo masculino tuvieron un valor medio de PAS de 64.6 mmHg en la semana 35 de gestación, este valor aumentó a 69.8 mmHg en la semana 40. El valor de la PAD fue de 42.6 mmHg en la semana 35 de gestación, disminuyendo a 40.8 mmHg para la semana 40. Los valores medios de PAS en los recién nacidos de sexo femenino fueron de 65.5 mmHg en la semana 35, teniendo un incremento a 73.5 mmHg en la semana 40. El valor de la PAD en la semana 35 de gestación fue 38 mmHg, incrementando a 41.3 mmHg en la semana 40. Conclusiones: Los valores de PA en recién nacidos sanos se modifican con la edad gestacional y el sexo. Estos resultados pueden servir como referencia para otros médicos ubicados en países o ciudades con alturas similares a la Ciudad de México.

Abstract Objective: Describe the measurements of systolic, diastolic and mean blood pressure in healthy term and late preterm newborns to establish normal values. Methods: Cross-sectional study carried out in the nursery of the Hospital Español, located in Mexico City. A sample of 551 healthy newborns were included in the study. Blood pressure (BP) measurements were taken within the first 48 hours of life with the oscillometric method. After the evaluation of normality, a descriptive analysis of the population and calculation of percentiles (25, 50 and 75) specific for each week of gestation was performed. All analyzes were performed in STATA v14.2. Results: Male newborns had a mean SBP value of 64.6 mmHg at week 35 of gestation, this value increased to 69.8 mmHg at week 40; the systolic blood pressure (SBP) value was 42.6 mmHg at week 35 of gestation, which decreased to 40.8 mmHg at week 40. The mean SBP values in female newborns were 65.5 mmHg at week 35, increasing to 73.5 mmHg at week 40; the diastolic blood pressure (DBP) value at week 35 of gestation was 38 mmHg, increasing to 41.3 mmHg at week 40. Conclusions: The BP values in healthy newborns are modified by the gestational age and sex of the patients. These results can serve as a reference for other physicians located in countries or cities with a similar altitude than the one in Mexico City.

https://doi.org/10.24875/acm.21000160

Aptitud clínica en residentes de medicina familiar; una aproximación hacia su evaluación. Diseño multicéntrico
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Leyva González, Félix Arturo

; Gómez Arteaga, Gress Marissell

; Gómez Clavelina, Francisco Javier F.

; Degollado Bardales, Lilia

; Aguirre García, María del Carmen

; Vega Mendoza, Santa

; Guerrero Hernández, Rosa Elvia

; Ceja Aladro, Alicia

; Martínez Ángeles, Jesús

; Beltrán Lagunes, Luis

; González Domínguez, Ricardo

; Hernández Hernández, Miguel Ángel

; González Salinas, Consuelo

; Leyva Salas, Rosalba Isabel

; Gómez Arteaga, Martha Angélica

; Cruz Avelar, Agles

; Contreras Angulo, David Alejandro

; Angulo Bernal, Nancy Beatriz

Investigación en educación médica

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jun 2023, Volume 12 N. 46 Pages 40 - 56

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

RESUMEN Introducción En México, esta indagación hasta donde se tiene conocimiento representa el primer trabajo multicéntrico que estudia el grado de desarrollo de la aptitud clínica en cuatro Unidades de medicina familiar del Sector Salud. Por consiguiente, la interrogante de investigación es ¿Cuál es el grado de desarrollo de la aptitud clínica en tres instituciones de salud?. Este estudio proveerá conocimientos que permitirán emprender investigaciones en las cuales se ensayen estrategias educativas que propicien el desarrollo de esta aptitud. Objetivo Determinar el grado de desarrollo de la aptitud clínica en residentes de medicina familiar de cuatro sedes académicas. Método Diseño prospectivo, transversal, observacional y multicéntrico. Se estudió toda la matrícula del ciclo académico 2019-2020 con consentimiento informado. Se construyó un instrumento que evaluó la variable “aptitud clínica” mediante ocho indicadores y 182 ítems; la validez conceptual, de contenido y confiabilidad se valoró por cinco médicos familiares con experiencia docente y en investigación educativa. Resultados De las cuatro sedes, las calificaciones globales más altas en los indicadores fueron alcanzadas por los R1 de la Unidad de Medicina Familiar # 20 del Instituto Mexicano del Seguro Social (UMF20 IMSS), R2 y R3 del Hospital General de Zona # 1 (HGZMF1 IMSS). Los R1 de la UMF20 alcanzaron los más altos puntajes en 3/8 indicadores. Los R2 y R3 del HGZMF1 lograron las más altas puntuaciones en 2/8 indicadores. Se estimaron diferencias entre R1 (n=46), entre R2 (n=47) y entre R3 (n=40) de las cuatro sedes por indicador y no se encontraron diferencias estadísticas significativas en ningún caso. Conclusiones El grado de desarrollo de la aptitud clínica se puede considerar de nivel medio en las cuatro sedes académicas. Esto en parte se puede explicar a que el instrumento exploró situaciones clínicas problematizadas, que exigieron del residente la reflexión crítica de su experiencia clínica antecedente.

ABSTRACT Introduction In Mexico, this inquiry to the best of our knowledge represents the first multicenter work that studies the degree of development of clinical aptitude in four Family Medicine Units of the Health Sector. Therefore, the research question is : What is the degree of development of clinical aptitude in three health institutions? This study will provide knowledge that will allow undertaking researches in which educational strategies that propitiate the development of this aptitude are tested. Objective To determine the degree of development of clinical aptitude in family medicine residents from four academic sites. Method Prospective, cross-sectional, observational and multicenter design. The entire enrollment of the 2019-2020 academic year was studied with informed consent. An instrument was constructed that assessed the variable "clinical aptitude" by means of eight indicators and 182 items; conceptual, content and reliability validity was assessed by five family physicians with teaching and educational research experience. Results Of the four sites, the highest overall scores on the indicators were achieved by the R1 of the Family Medicine Unit # 20 of the Mexican Social Security Institute (UMF20 IMSS), R2 and R3 of the General Zone Hospital # 1 (HGZMF1 IMSS). UMF20 R1s achieved the highest scores on 3/8 indicators. The R2s and R3s of HGZMF1 achieved the highest scores on 2/8 indicators. Differences were estimated between R1s (n=46), between R2s (n=47) and between R3s (n=40) of the four sites by indicator and no significant statistical differences were found in any case. Conclusions The degree of development of clinical aptitude can be considered medium level in the four academic sites. This can be partly explained by the fact that the instrument explored problematic clinical situations, which required the resident to reflect critically on his previous clinical experience.

https://doi.org/10.22201/fm.20075057e.2023.46.22479

The bycatch of piramutaba, Brachyplatystoma vaillantii industrial fishing in a salinity and depth gradient in the Amazon estuary, Brazil
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MARCENIUK, Alexandre Pires

; SOARES, Bruno Eleres

; ROTUNDO, Matheus Marcos

; CAIRES, Rodrigo Antunes

; ROSA, Ricardo de Souza

; SANTOS, Wagner César Rosa dos

; CORDEIRO, Ana Patrícia Barros

; ROMÃO JUNIOR, João Gomes

; AKAMA, Alberto

; WOSIACKI, Wolmar Benjamin

; KLAUTAU, Alex Garcia Cavalleiro de Macedo

; CINTRA, Israel Hidenburgo Aniceto

; BARTHEM, Ronaldo

Acta Amazonica

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jun 2023, Volume 53 N. 2 Pages 93 - 106

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

ABSTRACT The piramutaba, Brachyplatystoma vaillantii is a freshwater catfish that is the most abundant fishery resource in the Amazon estuary. Piramutaba trawling is done on industrial fishing scale and is characterized by the presence of many freshwater and marine bycatch species, with and without commercial value. Here we describe the bycatch of the industrial fishery of piramutaba in the Amazon estuary and evaluate the relationship of two important environmental factors, depth and salinity, with the accidental capture of freshwater and marine fishes in the Amazon estuary in the rainy and dry seasons. We identified 21 cartilaginous fish species (19.1% freshwater and 80.9% marine) and 125 bony fish species (25.6% freshwater and 74.4% marine). The bycatch included 64 species without commercial value (43% of all bycatch species), which are always discarded. Freshwater and estuarine fishes exhibited significantly higher abundances in shallower environments, while marine fishes were similarly abundant along the entire depth gradient. On the contrary, the abundance of freshwater fishes significantly decreased, and that of estuarine and marine fishes significantly increased with increasing salinity. Regarding the conservation status of the bycatch species, one is classified as vulnerable (VU), and seven as critically endangered (CR). The information on the bycatch of piramutaba fishery in the Amazon estuary is important to subsidize regional fisheries policies and the management of protected areas.

RESUMO A piramutaba, Brachyplatystoma vaillantii é um bagre de água doce que representa o recurso pesqueiro mais abundante no estuário amazônico. O arrasto da piramutaba é feito em escala industrial, caracterizado pela presença de muitas espécies de água doce e marinha capturadas de forma incidental, com e sem valor comercial. Aqui descrevemos a captura incidental da pesca industrial de piramutaba no estuário amazônico e avaliamos a relação de dois fatores ambientais, profundidade e salinidade, com a captura incidental de espécies de água doce e marinhas nas estações chuvosa e seca. Identificamos 21 espécies de peixes cartilaginosos (19,1% de água doce e 80,9% marinhos) e 125 espécies de peixes ósseos (25,6% de água doce e 74,4% marinhos). A captura incidental incluiu 64 espécies sem valor comercial (43% de todas as espécies capturadas) que sempre são descartadas. Os peixes de água doce e estuarinos exibiram abundâncias significativamente maiores em ambientes mais rasos, enquanto os peixes marinhos foram igualmente abundantes ao longo de todo o gradiente de profundidade. Inversamente, a abundância de peixes de água doce diminuiu significativamente, e a de peixes estuarinos e marinhos aumentou significativamente em salinidades maiores. Em relação ao estado de conservação das espécies capturadas, uma é reconhecida como vulnerável (VU) e sete como criticamente ameaçadas (CR). As informações sobre a captura incidental da pesca da piramutaba no estuário amazônico são fundaentais para subsidiar políticas pesqueiras regionais e gestão de áreas protegidas.

https://doi.org/10.1590/1809-4392202200342

10.

Síntesis de nanopartículas CU-AG sobre titanio como cátodo para la reducción electroquímica de nitrato en soluciones acuosas
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Allcca-Castillo, Yenny M.

; Martins de Godoi, Denis Ricardo

; Jauja Ccana, Victor R.

; Sánchez-Sánchez, Carlos M.

; La Rosa-Toro Gómez, Adolfo

Revista de la Sociedad Química del Perú

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apr 2023, Volume 89 N. 2 Pages 153 - 168

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

ABSTRACT Nitrate pollution poses a significant challenge to both the environment and human health. This study focuses on exploring the electrochemical reduction of nitrate (ERN) has been studied using new cathodes based on Cu-Ag nanoparticles coated onto titanium (Cu-Ag /Ti). The nanoparticles were synthesized by galvanic displacement technique. These were characterized by DLS, UV-Vis analysis. For its use as a cathode, pretreated titanium plates were coated with Cu-Ag nanoparticles. These cathodes were characterized by FE-SEM, EDS analysis and electrochemical measurements. The FE-SEM imagery revealed spherical shapes with an averages size of ≤ 100nm, displaying signs of stability even after 40 hours of reaction. The EDS analysis indicated an atomic composition ratio of 6/1 (Cu/Ag). Electrochemical characterization demonstrated superior electrocatalysis in the proposed cathode evaluated in solution of 100mg L-1 NO3-N + 0,03 M Na2SO4 as a supporting electrolyte, IrOx/Ti as counter electrode and Ag/AgCl (3 M) as reference electrode. By chronopotentiometry was compared Ti, Cu/Ti, Cu-Ag /Ti (N1 y N2) with a current density 20 mA cm-2 over 5 hours of reaction to. REN 1-cell reactor with 40 mA cm-2 by Ti, Cu-Ag /Ti (N1 y N2) cathodes for 3,5 hours was 22, 62, 28, 28, 38, 58 and 47, 61 reduced %NO3-N respectively.

RESUMEN La contaminación por nitrato constituye una seria problemática medioambiental y de salud humana. En este estudio, se investigó la Reducción Electroquímica de Nitrato (REN) mediante el desarrollo de nuevos cátodos basados en nanopartículas de Cu-Ag recubiertas sobre Titanio (Cu-Ag /Ti). Las nanopartículas se sintetizaron utilizando la técnica de desplazamiento galvánico y se caracterizaron mediante espectroscopía UV- Vis y dispersión de luz dinámica (DLS). La preparación del cátodo consistió en recubrir con las nanopartículas una placa de titanio pretratado y se caracterizó mediante microscopía electrónica de barrido de emisión de campo (FE-SEM), espectroscopía de energía dispersiva (EDS) y medidas electroquímicas. Las imágenes FE-SEM mostraron partículas esféricas de tamaño menores ≤ 100 nm, con indicios de estabilidad después de 40 horas de reacción. La composición atómica determinada por EDS fue de 6/1 (Cu/Ag). La caracterización electroquímica mostró una mayor electrocatálisis en el cátodo propuesto evaluado en solución de 100 mg L-1 NO3-N + 0,03 M Na2SO4, contraelectrodo IrOx/Ti, electrodo de referencia Ag/AgCl (3 M). Mediante cronopotenciometría con densidad de corriente 20 mA cm-2 durante 5 horas, se compararon los cátodos: placa de Titanio (Ti), nanopartículas de Cu sobre Titanio (Cu/Ti) y Cu-Ag /Ti-N2. La REN evaluada con Ti, Cu/Ti, Cu-Ag /Ti (N1 y N2) a 40 mA cm-2, reactor de 1-celda de 50 mL por 3,5 horas se obtuvo una reducción de %NO3-N en 22,62, 28,28, 38,58 y 47,61% respectivamente.

https://doi.org/10.37761/rsqp.v89i2.431

11.

Does Postpartum Hypopituitarism Influence the Craniofacial Pattern? A Case-Control Study with Sheehan’s Syndrome Patients
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Cavalcante, Davi de Sá

; Quidute, Ana Rosa Pinto

; Martins, Manoel Ricardo Alves

; Carvalho, Francisco Samuel Rodrigues

; Cid, Adília Mirela Pereira

; Silva, Paulo Goberlanio de Barros

; Aguiar, Andrea Silvia Walter de

; Ribeiro, Thyciana Rodrigues

; Costa, Fábio Wildson Gurgel

International journal of odontostomatology

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mar 2023, Volume 17 N. 1 Pages 38 - 45

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

RESUMEN: Este estudio tuvo como objetivo evaluar los aspectos morfológicos craneofaciales de los pacientes con síndrome de Sheehan (SHS). Se realizó un estudio observacional con 19 mujeres diagnosticadas con SHS y 19 controles asociados por edad y sexo. Se obtuvieron radiografías cefalométricas laterales y se analizaron 30 medidas lineales y angulares mediante el software Radiocef Studio 2. La edad media de los pacientes fue de 65,47 ± 10,19 años. Los principales hallazgos fueron proposición maxilar (52,63 %) y mandíbula (52,63 %) con respecto a la base del cráneo, prognatismo mandibular en 73,68 %, patrón de crecimiento profundo en 42,1 %, aumento del plano mandibular en 36,84 % y reducción de la altura facial anterior. El grupo SHS mostró diferencias estadísticamente significativas en SNB (p=0,026), N-Me (p=0,006), longitud del paladar blando (p=0,011) y Ena-Me (p<0,001) en comparación con los controles. El análisis de la puntuación de la desviación estándar reveló valores alterados en relación con las longitudes maxilares y mandibulares totales. El SHS mostró una morfología craneofacial alterada, caracterizada por prognatismo maxilomandibular, tipo braquifacial, aumento del plano mandibular y reducción de la longitud del velo del paladar. Este estudio informa hallazgos novedosos en SHS.

ABSTRACT: This study aimed to assess the craniofacial morphologic aspects of Sheehan’s syndrome (SHS) patients.An observational study was performed with 19 women diagnosed with SHS and 19 controls matched by age and sex. Lateral cephalometric radiographs were obtained, and 30 linear and angular measurements were analyzed using the Radiocef Studio 2 software. The mean age of patients was 65.47 ± 10.19 years. The main findings were propositioned maxilla (52.63 %) and mandible (52.63 %) relative to the cranial base, mandibular prognathism in 73.68 %, deep growth pattern in 42.1 %, increased mandibular plane in 36.84 %, and reduction in anterior facial height. The SHS group showed statistically significant differences in SNB (p=0.026), N-Me (p=0.006), soft palate length (p=0.011), and Ena-Me (p<0.001) in comparison with controls. The standard deviation score analysis revealed altered values in relation to total maxillary and mandibular lengths. SHS showed altered craniofacial morphology, characterized by maxillo- mandibular prognathism, brachyfacial type, increased mandibular plane, and reduction in soft palate length. This study reports novel findings in SHS.

12.

Genotypic selection of pre-clultivars of carioca and early carioca beans for the Agreste-Sertão of Pernambuco, Brazil
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Nascimento, Maxwel Rodrigues

; Santos, Paulo Ricardo dos

; Costa, Antônio Félix da

; Daher, Rogério Figueiredo

; Oliveira, Tâmara Rebecca Albuquerque de

; Souza, Alexandre Gomes de

; Costa, Kleyton Danilo da Silva

; Silva, Katiane da Rosa Gomes da

; Araújo, Emmanuelle Rodrigues

; Santana, Sérgio Rogério Alves de

; Silva, José Wilson da

Ciência Rural

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2023, Volume 53 N. 6 elocation e20220031

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

RESUMO: A interação genótipo x ambiente representa um grande desafio na identificação e seleção de genótipos responsivos às diversas condições de clima e solo. O objetivo deste trabalho foi avaliar e selecionar pré-cultivares de feijão carioca e feijão carioca precoce com base na adaptabilidade, estabilidade e produtividade de grãos. Na safra 2014 foram conduzidos dois ensaios regionais de competição no estado de Pernambuco: feijão carioca (14 genótipos em Arcoverde, Belém de São Francisco, Caruaru e São João) e feijão carioca precoce (11 genótipos em Araripina, Arcoverde e Caruaru) e na safra de 2015 com feijão carioca precoce (11 genótipos, em Araripina, Arcoverde e Brejão). Os parâmetros foram estimados por meio de modelos mistos e a seleção foi realizada pelo método da Média Harmônica do Desempenho Relativo dos Valores Genéticos (MHPRVG), adotando-se três estratégias: i) seleção com base no valor genético predito, sem interação; ii) seleção com base no valor genético predito, considerando cada local; iii) seleção simultânea quanto à produtividade de grãos, adaptabilidade e estabilidade. Observou-se que os ambientes influenciaram na expressão fenotípica dos genótipos de feijão carioca e carioca precoce, configurando adaptação específica. Os genótipos BRS Notável, BRS Estilo e BRS Pérola, de feijão carioca, e CNFC 15875, BRS Notável e CNFC 15630, de feijão carioca precoce, apresentaram os melhores desempenhos nos ambientes testados, considerando-se, simultaneamente, a adaptabilidade a diferentes condições edafoclimáticas, estabilidade de desempenho e produtividade de grãos.

ABSTRACT: Genotype x environment interactions represent a major challenge in identifying and selecting genotypes responsive to different climate and soil conditions. This research evaluated and selected pre-cultivars of carioca bean and early carioca bean based on adaptability, stability, and grain yield. In the 2014 crop season, two regional competition trials were conducted in the state of Pernambuco: carioca beans (14 genotypes in Arcoverde, Belém de São Francisco, Caruaru and São João) and early carioca beans (11 genotypes in Araripina, Arcoverde, and Caruaru) and, in the 2015 crop season, with early carioca beans (11 genotypes in Araripina, Arcoverde, and Brejão). Parameters were estimated by mixed models, and the selection was performed using the Harmonic Mean of Relative Performance of Genetic Values (HMRPGV) method following three strategies: i) selection based on predicted genetic value with no interaction; ii) selection according to predicted genetic value considering each location; and iii) simultaneous selection for grain yield, adaptability, and stability. The environments influenced the phenotypic expression of the carioca and early carioca bean genotypes, representing a specific adaptation. The genotypes BRS Notável, BRS Estilo and BRS Pérola, of carioca beans, and CNFC 15875, BRS Notável and CNFC 15630, of early carioca beans, had the best results in the environments tested, regarding, simultaneously, adaptability to different soil and climate conditions, performance stability, and grain yield.

https://doi.org/10.1590/0103-8478cr20220031

13.

Nivel de ansiedad según el trimestre del embarazo en un establecimiento de salud de atención primaria
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Salgado Contreras, Ricardo Michael

; Torres Chauca, María Luisa

; Salazar Campos, Rosa Martha

; Bolívar Renón, Jenny Luz

; Quispe Alosilla, Yolanda

; Chilipio Chiclla, Marco Antonio

Ginecología y obstetricia de México

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2023, Volume 91 N. 7 Pages 469 - 478

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

Resumen OBJETIVO: Determinar el nivel de ansiedad de las embarazadas conforme al trimestre de la gestación. MATERIALES Y MÉTODOS: Estudio observacional, correlacional y transversal efectuado en mujeres en curso del primer, segundo y tercer trimestre del embarazo atendidas en el Centro de Salud Base San Martín de Porres, Lima, Perú, entre diciembre de 2021 y febrero de 2022, a quienes se les aplicó el instrumento de tamizaje de ansiedad prenatal (Perinatal Anxiety Screening Scale [PASS]) y su variación según el trimestre del embarazo con las pruebas de χ2, Kruskall-Wallis y ANOVA. RESULTADOS: Se estudiaron 153 pacientes en los tres trimestres del embarazo en quienes se encontró: ansiedad prenatal en el 69.9% (n = 107); ansiedad leve en 45.8% (n = 70) y ansiedad moderada-severa en 24.2% (n = 37). El porcentaje es mayor de 100% porque no en todos los trimestres se encontraron síntomas depresivos. Solo 30.1% (n = 46) de las embarazadas no tuvieron síntomas de ansiedad prenatal. La puntuación de ansiedad global mostró un comportamiento diferente según el trimestre de gestación (ANOVA: p = 0,006), con predominio de mayor ansiedad en el primer trimestre seguido del tercero. La comparación por parejas solo mostró diferencias significativas en la puntuación de ansiedad entre el primer y el tercer trimestre (test de Tukey: p > 0.05). CONCLUSIONES: Más de la mitad de las embarazadas cursó con ansiedad, sobre todo en el primer y tercer trimestre y menor en el segundo.

Abstract OBJECTIVE: To determine the anxiety level of pregnant women according to the trimester of gestation. MATERIALS AND METHODS: Observational, analytical and prospective study of a random sample of pregnant women attended in a first level facility of the Ministry of Health (MINSA). Anxiety was assessed with the Perinatal Anxiety Screening Scale (PASS) and its variation according to the trimester of pregnancy with the χ2, Kruskall-Wallis and ANOVA tests. RESULTS: The prevalence of anxiety during pregnancy was 69.9% (n = 107) in a sample of 153 patients. Except for the social anxiety dimension (p > 0.05), significant differences were found in the scores of the anxiety dimensions by trimester. They were highest in the first, followed by the third trimester (p < 0.05). The global anxiety score showed different behavior by trimester of pregnancy (ANOVA: p = 0.006), with predominance of higher anxiety in the first trimester followed by the third trimester. Comparison by couples only showed significant differences in anxiety score between the first and third trimester (Tukey test: p > 0.05). CONCLUSIONS: More than half of the pregnant women had anxiety, especially in the first and third trimester and less in the second trimester.

https://doi.org/10.24245/gom.v91i7.8163

14.

Does bisphenol A (BPA) participates in the pathogenesis of Polycystic Ovary Syndrome (PCOS)?
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Urbanetz, Lorena Ana Mercedes Lara

; Soares Junior, José Maria

; Maciel, Gustavo Arantes Rosa

; Simões, Ricardo dos Santos

; Baracat, Maria Cândida Pinheiro

; Baracat, Edmund Chada

Clinics

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2023, Volume 78 elocation 100310

Abstract: En | Text: En | PDF: En

Abstract PCOS is an endocrine disorder characterized by chronic anovulation, hyperandrogenism, and polycystic ovaries. Its etiology is uncertain. It is debated whether BPA would be a component of the environmental factor in the etiology of PCOS. Contamination by BPA can occur from food packaging (exposure during the diet) and through skin absorption and/or inhalation. It can be transferred to the fetus via the placenta or to the infant via breast milk, and it can be found in follicular fluid, fetal serum, and amniotic fluid. The phenolic structure of BPA allows it to interact with Estrogen Receptors (ERs) through genomic signaling, in which BPA binds to nuclear ERα or Erβ, or through nongenomic signaling by binding to membrane ERs, prompting a rapid and intense response. With daily and constant exposure, BPA's tendency to bioaccumulate and its ability to activate nongenomic signaling pathways can alter women's metabolic and reproductive function, leading to hyperandrogenism, insulin resistance, obesity, atherogenic dyslipidemia, chronic inflammatory state, and anovulation and favoring PCOS. The harmful changes caused by BPA can be passed on to future generations without the need for additional exposure because of epigenetic modifications. Not only high BPA levels can produce harmful effects, but at low levels, BPA may be harmful when exposure occurs during the most vulnerable periods, such as the fetal and neonatal periods, as well as during the prepubertal age causing an early accumulation of BPA in the body. Learning how BPA participates in the pathogenesis of PCOS poses a challenge and further studies should be conducted.

https://doi.org/10.1016/j.clinsp.2023.100310

15.

Emotional, hyperactivity and inattention problems in adolescents with immunocompromising chronic diseases during the COVID-19 pandemic
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Campos, Reinan T.

; Lindoso, Livia

; Sousa, Renan A. de

; Helito, Alberto C.

; Ihara, Bianca P.

; Strabelli, Claudia A.A.

; Paradelas, Levi M.V.

; Carneiro, Beatriz O.L.

; Cardoso, Maria Paula R.

; Souza, Jean Paulo V. de

; Freire, Marianna R. de M.

; Astley, Camilla

; Laurentino, Moisés F.

; Buscatti, Izabel M.

; Kozu, Katia

; Aikawa, Nadia E.

; Sallum, Adriana M.E.

; Ferreira, Juliana CO.

; Simon, Juliana R.

; Viana, Vivianne S.L.

; Queiroz, Ligia B.

; Gualano, Bruno

; Roschel, Hamilton

; Pereira, Rosa Maria R.

; Toma, Ricardo K.

; Watanabe, Andréia

; Grangeiro, Patricia M.

; Casella, Caio B.

; Farhat, Sylvia C.

; Polanczyk, Guilherme V.

; Campos, Lucia Maria A.

; Silva, Clovis A.

Clinics

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2023, Volume 78 elocation 100167

Abstract: En | Text: En | PDF: En

Abstract Objective: To assess factors associated with emotional changes and Hyperactivity/Inattention (HI) motivated by COVID-19 quarantine in adolescents with immunocompromising diseases. Methods: A cross-sectional study included 343 adolescents with immunocompromising diseases and 108 healthy adolescents. Online questionnaires were answered including socio-demographic data and self-rated healthcare routine during COVID-19 quarantine and validated surveys: Strengths and Difficulties Questionnaire (SDQ), Pittsburgh Sleep Quality Index (PSQI), Pediatric Quality of Life Inventory 4.0 (PedsQL4.0). Results: The frequencies of abnormal emotional SDQ scores from adolescents with chronic diseases were similar to those of healthy subjects (110/343 [32%] vs. 38/108 [35%], p = 0.548), as well as abnormal hyperactivity/inattention SDQ scores (79/343 [23%] vs. 29/108 [27%], p = 0.417). Logistic regression analysis of independent variables associated with abnormal emotional scores from adolescents with chronic diseases showed: female sex (Odds Ratio [OR = 3.76]; 95% Confidence Interval (95% CI) 2.00–7.05; p < 0.001), poor sleep quality (OR = 2.05; 95% CI 1.08–3.88; p = 0.028) and intrafamilial violence during pandemic (OR = 2.17; 95% CI 1.12–4.19; p = 0.021) as independently associated with abnormal emotional scores, whereas total PedsQL score was inversely associated with abnormal emotional scores (OR = 0.95; 95% CI 0.93–0.96; p < 0.0001). Logistic regression analysis associated with abnormal HI scores from patients evidenced that total PedsQL score (OR = 0.97; 95% CI 0.95–0.99; p = 0.010], changes in medical appointments during the pandemic (OR = 0.39; 95% CI 0.19–0.79; p = 0.021), and reliable COVID-19 information (OR = 0.35; 95% CI 0.16–0.77; p = 0.026) remained inversely associated with abnormal HI scores. Conclusion: The present study showed emotional and HI disturbances in adolescents with chronic immunosuppressive diseases during the COVID-19 pandemic. It reinforces the need to promptly implement a longitudinal program to protect the mental health of adolescents with and without chronic illnesses during future pandemics.

https://doi.org/10.1016/j.clinsp.2023.100167

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Glossary and search help

You can enrich your search in a very simple way. Use the search indexes combined with the connectors (AND or OR) and specify more your search.

For example, if you want to search for articles about
cases of dengue in Brasil in 2015, use:
ti:dengue and publication_year:2015 and aff_country:Brasil

See below the complete list of search indexes that can be used:

Index code	Element
ti	article title
au	author
kw	article keywords
subject	subject (title words, abstract and keywords)
ab	abstract
ta	journal short title (e.g. Cad. Saúde Pública)
journal_title	journal full title (e.g. Cadernos de Saúde Pública)
la	publication language code (e.g. pt - Portuguese, es - Spanish)
type	document type
pid	publication identifier
publication_year	publication year of publication
sponsor	sponsor
aff_country	country code of the author's affiliation
aff_institution	author affiliation institution
volume	article volume
issue	article issue
elocation	elocation
doi	DOI number
issn	journal ISSN
in	SciELO colection code (e.g. scl - Brasil, col - Colômbia)
use_license	article usage license code

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