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The economic value of sustainability of the integrated crop-livestock system in relation to conventional systems
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Simili, Flávia Fernanda

; Mendonça, Gabriela Geraldi

; Gameiro, Augusto Hauber

; Augusto, Jeferson Garcia

; Oliveira, Joyce Graziella

; Menegatto, Leonardo Sartori

; Santos, David Ferreira Lopes

Revista Brasileira de Zootecnia

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2023, Volume 52 elocation e20220052

Abstract: En | Text: En | PDF: En

ABSTRACT The objective of this study was to evaluate the potential of improving the economic value of integrated crop-livestock systems (ICLS) compared to conventional systems specialized in monoculture. The experimental area was 16.02 ha, divided into 18 paddocks of 0.89 ha each, organized in a randomized block design, with three replicates and six models of production systems: crop system [corn ( Zea mays ) grain production], livestock system (beef cattle under grazing conditions), and four ICLS, identified as: ICLS-1, corn integrated with Marandu palisadegrass [ Urochloa brizantha (Hoechst. ex A. Rich.) R.D. Webster cv. Marandu (syn. Brachiaria brizantha cv. Marandu] sown simultaneously without herbicide; ICLS-2, corn and Marandu palisadegrass sown simultaneously with herbicide; ICLS-3, corn and Marandu palisadegrass with lagged sowing; and ICLS-4, corn and Marandu palisadegrass sown simultaneously, with herbicide in rows and between-rows of corn. We demonstrated the economic impact analysis combined with the risk optimization and discounted cash flow techniques based on Monte Carlo simulation, considering price and productivity uncertainties. The indicators of added value and return on investment of ICLS had an economic advantage compared with conventional systems. It was also found that ICLS needed a smaller operational area than conventional systems for the economic break-even point. Integrated systems provide lower financial and operational risk levels and greater economic value per hectare compared with conventional systems specialized in monoculture.

https://doi.org/10.37496/rbz5220220052

O POTENCIAL DA XANTONA NATURAL α-MANGOSTINA NO DESENVOLVIMENTO DE NOVOS AGENTES ANTI-INFECCIOSOS: UMA REVISÃO αMANGOSTINA α MANGOSTINA ANTIINFECCIOSOS ANTI INFECCIOSOS ANTI-INFECCIOSOS
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Pinto, Douglas Chaves de Alcântara

; Souza, Gabriela Alves de

; Pitasse-Santos, Paulo

; Velez, Afonso Santine M. M.

; Decote-Ricardo, Debora

; Santos, Debora Regina Lopes dos

; Freire-de-Lima, Leonardo

; Freire-de-Lima, Célio G.

; Lima, Marco Edilson Freire de

Química Nova

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2023, Volume 46 N. 1 Pages 77 - 94

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

The mangosteen (Garcinia mangostana, Linn.) is a tropical fruit cultivated in the tropical forests of Southeast Asian countries. It is recognized as the queen of fruits due to its unique color, aroma, and flavor. It has been used for centuries in Southeastern Asian traditional medicine for the treatment of various diseases. Many functional molecules with high medicinal value are obtained from the pericarp of mangosteen fruit, whose major constituent is xanthone α-mangostin. Several studies have been carried out over the last decades to further investigate and understand the pharmacological properties associated with the plant and its main chemical constituents, belonging to the class of xanthones. In addition, numerous in vitro and in vivo studies related to mangosteen have been published, indicating its importance and its potential application in medicinal chemistry. Prenylated xanthones, which include α-mangostin, are secondary metabolites particularly common in plants belonging to the Clusiaceae family. These substances have been intensively investigated for their potential as biologically active agents. This article describes a critical analysis of published data related to the properties of α-mangostin, aiming to provide a more detailed view of its potential as a chemotherapeutic agent for the prevention and treatment of infectious diseases. Garcinia mangostana Linn. Linn countries color aroma flavor diseases αmangostin. αmangostin α mangostin. mangostin α-mangostin constituents xanthones addition chemistry αmangostin, mangostin, family agents

https://doi.org/10.21577/0100-4042.20170954

Circumflex Coronary Artery Fistula Draining into Coronary Sinus
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Silva, Gabriela Carvalho

; Silva, Diana Patricia Lamprea Sepulveda

; Tenorio, Euclides

; Santos Filho, Edmilson Cardoso dos

; Oliveira, Fabiana Michelle Feitosa de

; Torres, João Henrique de Andrade

; Correia, Patrícia Eduardo Teles

; Ferreira, Clístanes Lucas Henrique

; Silva, Petrus Thiago Jorge Lopes da

; Moraes, Fernando

Brazilian Journal of Cardiovascular Surgery

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oct 2022, Volume 37 N. 5 Pages 776 - 779

Abstract: En | Text: En | PDF: En

ABSTRACT Coronary artery fistula draining into the coronary sinus is a rare vascular malformation, and its diagnosis and clinical manifestations usually occur late. We describe the case of a 72-year-old female patient with dyspnea on exertion (New York Heart Association Class III) associated with palpitations. The transthoracic echocardiogram showed significant tricuspid insufficiency. Cardiac catheterization showed aneurysm of the circumflex coronary artery and fistula of this artery draining into the coronary sinus. The patient underwent fistula ligation and tricuspid valve repair, with excellent surgical results.

https://doi.org/10.21470/1678-9741-2021-0254

Machine Learning na Medicina: Revisão e Aplicabilidade
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Paixão, Gabriela Miana de Mattos

; Santos, Bruno Campos

; Araujo, Rodrigo Martins de

; Ribeiro, Manoel Horta

; Moraes, Jermana Lopes de

; Ribeiro, Antonio L.

Arquivos Brasileiros de Cardiologia

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jan 2022, Volume 118 N. 1 Pages 95 - 102

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

https://doi.org/10.36660/abc.20200596

Programas de intervenção para crianças, adolescentes e pais a vivenciar o cancro parental: scoping review
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Sousa, Ana Filipa Domingues

; Rodrigues, Joana Filipa Cunha

; Dias, Maria João Graça Silva Neves

; Santos, Diana Gabriela Simões Marques

; Ferreira, Maria Margarida da Silva Reis dos Santos

; Lomba, Maria de Lurdes Lopes de Freitas

Escola Anna Nery

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2022, Volume 26 elocation e20210359

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

Resumo Objetivos mapear programas de intervenção para crianças, adolescentes e pais, ou díade (doentes oncológicos e filhos) a vivenciar o cancro parental. Método scoping review segundo a metodologia recomendada pelo Joanna Briggs Institute (JBI) e o Preferred Reporting Items for Systematic Reviews - Scoping Reviews (PRISMA-ScR). Resultados foram identificados 29 programas de intervenção: 13 dirigidos à díade, 11 a crianças e adolescentes e 5 dirigidos aos pais. Dos programas identificados, 10 não especificam a tipologia das intervenções propostas, 9 referenciam intervenções psicoeducacionais, 7 referenciam intervenções educacionais e 3 referenciam intervenções do tipo psicossocial. Conclusão e Implicações para a prática verificou-se que a maioria dos programas identificados se dirige à díade crianças/adolescentes e pais. As caraterísticas dos programas e das intervenções diferem entre estudos, no entanto as intervenções psicoeducacionais são as mais prevalentes. O mapeamento de programas de intervenção e promoção da adaptação ao cancro parental contribui para a síntese da evidência existente sobre esta temática, conhecimento sobre as intervenções desenvolvidas e resultados obtidos, consciencializando os profissionais de saúde, nomeadamente enfermeiros, e decisores da área da saúde para a relevância da sua implementação na prática clínica, tendo em vista a qualidade dos cuidados de enfermagem prestados a essas famílias.

Abstract Objectives to map intervention programs for children, adolescents and parents, or binomial (oncology patients and children) experiencing parental cancer. Method this scoping review was carried out according to the methodology recommended by Joanna Briggs Institute (JBI) and the Preferred Reporting Items for Systematic Reviews - Scoping Reviews (PRISMA-ScR). Results a total of 29 intervention programs were identified: 13 directed to the binomial, 11 to children and adolescents and 5 to parents. Of all the identified programs, 10 do not specify the typology of proposed interventions, 9 refer to psychoeducational interventions, 7 refer to educational interventions and 3 refer to psychosocial type interventions. Conclusion and implications for practice it was verified that most of the programs identified are directed to children/adolescents and parents. The characteristics of programs and interventions differ between studies; however, the psychoeducational interventions are the most prevalent. The mapping of intervention programs and promotion of adaptation to parental cancer contributes to the synthesis of existing evidence on this theme, knowledge about interventions developed and the obtained results, raising awareness among health professionals, namely nurses, and decision makers in the health area for relevance of its implementation in clinical practice, considering the quality of nursing care provided to these families.

Resumen Objetivos mapear programas de intervención para niños, adolescentes y padres, o díada (pacientes oncológicos y niños) que padecen cáncer paternal. Método scoping review según la metodología recomendada por Joanna Briggs Institute (JBI) y el Preferred Reporting Items for Systematic Reviews - Scoping Reviews (PRISMA-ScR). Resultados de identificaron 29 programas de intervención: 13 dirigidos a díada, 11 a niños y adolescentes y 5 a padres. De los programas identificados, 10 no especifican tipología de intervenciones propuestas, 9 refieren intervenciones psicoeducativas, 7 intervenciones educativas y 3 intervenciones psicosocial. Conclusión e implicaciones para la práctica se ha verificado que la mayoría de los programas identificados están dirigidos a díada niños/adolescentes y padres. Las características de los programas y las intervenciones difieren entre los estudios, sin embargo, las intervenciones psicoeducativas son más frecuentes. El mapeo de programas de intervención y promoción de la adaptación al cáncer parental contribuye a la síntesis de evidencia existente sobre este tema, el conocimiento sobre intervenciones desarrolladas y resultados obtenidos, sensibilizando profesionales de salud, a saber, enfermeros y tomadores de decisiones en el área de la salud por relevancia de su implementación en la práctica clínica, dada la calidad de los cuidados de enfermería prestados a estas familias.

https://doi.org/10.1590/2177-9465-ean-2021-0359

Perfil de usuários de um serviço de estomaterapia: análise de cluster
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Santos, Fabiane Lopes dos

; Castanheira, Janaína Sena

; Mota, Marina Soares

; Brum, Aline Neutzling

; Barlem, Jamila Geri Tomaschewski

; Paloski, Gabriela do Rosário

Escola Anna Nery

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2022, Volume 26 elocation e20210307

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

Resumo Objetivo Analisar o perfil das pessoas com estomias intestinais e/ou urinárias acompanhadas em serviço de estomaterapia, conforme variáveis sociodemográficas e clínicas. Método Trata-se de um estudo transversal, realizado com 90 usuários do serviço de estomaterapia. A coleta foi realizada de janeiro a fevereiro de 2020, por meio de dois instrumentos: COH-QOL-Ostomy, adaptado e traduzido para o contexto brasileiro; e City of Hope Quality of Life – Ostomy Questionnaire, instrumento original com questionário elaborado pelas próprias pesquisadoras, contemplando os aspectos sociodemográfico e clínico. Esses dados foram transferidos e organizados no Software Statistical Package for the Social Science, versão 22. Resultados Foram identificados quatro grupos distintos. No cluster 1, o grupo possui de duas a três complicações associadas ao estoma e 52,9% possuem colostomia. No cluster 2, 45% não apresentam nenhuma complicação e 70% têm urostomia. Já no cluster 3, a totalidade do grupo apresenta uma complicação e colostomia. E no cluster 4, nenhum participante do grupo apresenta complicação e todos têm colostomia. Conclusão e implicações para a prática O estudo proporcionou a geração de dados que podem auxiliar no planejamento do trabalho desenvolvido pelas equipes de saúde junto aos pacientes estomizados.

Abstract Objective To analyze the profile of people with intestinal and/or urinary ostomies followed up in a stomatherapy service, according to sociodemographic and clinical variables. Method This is a cross-sectional study, carried out with 90 users of the stomatherapy service. Data collection was carried out from January to February 2020, using two instruments: COH-QOL-Ostomy, adapted and translated to the Brazilian context; and City of Hope Quality of Life – Ostomy Questionnaire, an original instrument with a questionnaire prepared by the researchers themselves, considering the sociodemographic and clinical aspects. These data were transferred and organized in the Statistical Package for Social Science Software, version 22. Results Four distinct clusters were identified. In cluster 1, the group has two to three complications associated with the stoma and 52.9% have a colostomy. In cluster 2, 45% have no complications and 70% have urostomy. In cluster 3, the entire group presents a complication and colostomy. And in cluster 4, none of the participants in the group have complications and all have a colostomy. Conclusion and implications for practice The study provided the generation of data that can help in planning the work developed by the health teams with ostomy patients.

Resumen Objetivo Analizar el perfil de las personas con ostomías intestinales y/o urinarias seguidas en un servicio de estomaterapia, según variables sociodemográficas y clínicas. Método Se trata de un estudio transversal, realizado con 90 usuarios del servicio de Estomaterapia. La recolección de datos se realizó de enero a febrero de 2020, utilizando dos instrumentos: COH-QOL-Ostomy, adaptado y traducido al contexto brasileño; y City of Hope Quality of Life – Ostomy Questionnaire, instrumento original con cuestionario elaborado por las propias investigadoras, considerando aspectos sociodemográficos y clínicos. Estos datos se transfirieron y organizaron en Software Statistical Package for the Social Science, versión 22. Resultados Se identificaron cuatro clústeres distintos. En el clúster 1, el grupo tiene de dos a tres complicaciones asociadas con estoma y el 52,9% tiene una colostomía. En el grupo 2, el 45% no presenta complicaciones y el 70% tiene urostomía. En el clúster 3, todo el grupo presenta complicación y colostomía. Y en el clúster 4, ninguno de los participantes del grupo tiene complicaciones y todos tienen una colostomía. Conclusión e implicaciones para la práctica El estudio generó datos que pueden ayudar a planificar el trabajo que desarrollan los equipos de salud con pacientes ostomizados.

https://doi.org/10.1590/2177-9465-ean-2021-0307

Persea americana Mill.: Evaluation of cytogenotoxicity and phytochemical prospection of leaf extracts
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Pastura, Danilo Giovanni Narciso

; Sousa, Jaqueline das Virgens

; Silva, Mayara Christine

; Matos, Aline Ferreira

; Santos, Hataânderson Luiz Cabral dos

; Pereira, Gabriela Lopes

; Rocha, Ellen Borges da

; Alves, Raphael Santiago

; Bastos, Leonardo de Oliveira

; Pires, Lucas de Oliveira

; Castro, Rosane Nora

; Borba, Helcio Resende

; Lima, Viviane Moreira de

Brazilian Journal of Pharmaceutical Sciences

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2022, Volume 58 elocation e19261

Abstract: En | Text: En | PDF: En

Abstract Persea americana Mill., belonging to the family Lauraceae, is noteworthy for the large amount of ethnopharmacological information in its regard, attributing to it many and varied medicinal properties. The tea and alcoholic extracts made from its leaves are used in folk medicine to treat various ailments. This study was designed to analyze the cytogenotoxicity and underlying chemistry of aqueous and hydroalcoholic extracts of avocado leaves, using the Allium cepa and micronucleus tests. The results obtained by applying the experimental models demonstrate that the extracts did not have a genotoxic effect at any of the concentrations analyzed, and even demonstrated a certain protective effect, possibly due to the presence of flavonoids and phenols, both of which are antioxidant substances. However, the extracts did present a cytotoxic effect. There were numerous karyorrhectic cells and those with nuclear alterations related to cell death. At the highest concentrations, it was possible to observe cytoplasmic alterations and binucleated cells. The extracts also caused a significant reduction in the number of cells undergoing division. These effects can be a response to the phytochemical agents present in the extracts. The results suggest that the extracts contain bioactive components that deserve further studies related to cancer therapies.

https://doi.org/10.1590/s2175-97902022e19261

EXPERIENCING PARENTAL CANCER: A CASE STUDY WITH APPLICATION OF NEUMAN’S MODEL
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Sousa, Ana Filipa Domingues

; Santos, Diana Gabriela Simões Marques

; Costeira, Cristina Raquel Baptista

; Ferreira, Maria Margarida da Silva Reis dos Santos

; Lomba, Maria de Lurdes Lopes de Freitas

Texto & Contexto - Enfermagem

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2022, Volume 31 elocation e20220201

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

RESUMO Objetivo compreender à luz do Modelo de Sistemas de Betty Neuman, a experiência de uma mulher-mãe a vivenciar uma situação de cancro; identificar as necessidades da mulher-mãe e prescrever intervenções de enfermagem em linguagem classificada. Método estudo de caso do tipo qualitativo, de uma mulher-mãe de um adolescente, a vivenciar cancro. Colheita de dados realizada em Coimbra, Portugal, em 2021, através de entrevista semiestruturada, apoiada por um guião fundamentado no Modelo de Betty Neuman. Tratamento de dados realizado com base na análise de conteúdo categorial. Resultados a análise do discurso da mãe possibilitou identificar categorias concordantes com as variáveis do modelo: fisiológicas, psicológicas, socioculturais, espirituais e desenvolvimentais. As dificuldades mais expressas pela mãe foram o medo, alterações provocadas pela doença e o desempenho do papel parental. Os diagnósticos de enfermagem foram definidos com base nos focos “aceitação do estado de saúde”, “medo”, “papel parental” e “coping familiar”, associando-os às respetivas intervenções de enfermagem. As intervenções focaram-se no apoio e na educação. Conclusão o modelo teórico contribuiu para compreender e identificar as necessidades da mãe a experienciar o cancro parental, facilitando a prescrição de intervenções de enfermagem em linguagem classificada. O modelo mostrou-se pertinente para futuras intervenções em pais a vivenciar situações semelhantes.

ABSTRACT Objective to understand, in the light of Betty Neuman’s Systems Model, the experience of a woman-mother with cancer, and identify the woman-mother’s needs and prescribe nursing interventions in classified language. Method a qualitative case study of a woman-mother of a teenager experiencing cancer. Data collection carried out in Coimbra, Portugal, in 2021, through a semi-structured interview, supported by a script based on Betty Neuman’s Systems Model. Data processing performed based on categorical content analysis. Results the analysis of a mother’s speech made it possible to identify categories in agreement with the model variables: physiological, psychological, sociocultural, spiritual and developmental. The difficulties most expressed by the mother were fear, changes caused by the disease and parental role performance. The nursing diagnoses were defined based on the focuses “acceptance of health status”, “fear”, “parental role” and “family coping”, associating them with the respective nursing interventions. Interventions focused on support and education. Conclusion the theoretical model contributed to understanding and identifying the needs of a mother experiencing parental cancer, facilitating the prescription of nursing interventions in classified language. The model proved to be relevant for future interventions in parents experiencing similar situations.

RESUMEN Objetivo comprender, a la luz del Modelo de Sistemas de Betty Neuman, la experiencia de una mujer-madre que vive una situación de cáncer, e identificar las necesidades de la mujer-madre y prescribir intervenciones de enfermería en lenguaje clasificado. Método estudio de caso cualitativo de una mujer-madre de un adolescente en proceso de cáncer. Recopilación de datos realizada en Coimbra, Portugal, en 2021, a través de una entrevista semiestructurada, apoyada en un guión basado en el Modelo Betty Neuman. El procesamiento de datos fue realizado en base al análisis de contenido categórico. Resultados el análisis del discurso de la madre permitió identificar categorías de acuerdo con las variables del modelo: fisiológicas, psicológicas, socioculturales, espirituales y de desarrollo. Las dificultades más expresadas por la madre fueron el miedo, los cambios provocados por la enfermedad y el desempeño del rol parental. Los diagnósticos de enfermería fueron definidos a partir de los enfoques “aceptación del estado de salud”, “miedo”, “rol de los padres” y “afrontamiento familiar”, asociándolos a las respectivas intervenciones de enfermería. Las intervenciones centradas en el apoyo y la educación. Conclusión el modelo teórico contribuyó a la comprensión e identificación de las necesidades de las madres con cáncer parental, facilitando la prescripción de intervenciones de enfermería en lenguaje clasificado. El modelo demostró ser relevante para futuras intervenciones en padres que experimentan situaciones similares.

https://doi.org/10.1590/1980-265x-tce-2022-0201en

A case study of an adolescent according to A Model of Children’s Adjustment to Parental Cancer
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Sousa, Ana Filipa Domingues

; Santos, Diana Gabriela Simões Marques

; Costeira, Cristina Raquel Baptista

; Ferreira, Maria Margarida da Silva Reis dos Santos

; Lomba, Maria de Lurdes Lopes de Freitas

Revista da Escola de Enfermagem da USP

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2022, Volume 56 elocation e20220188

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

RESUMO Objetivo: descrever e analisar experiência de um adolescente a vivenciar cancro parental, fundamentado no Modelo Teórico do Ajuste dos Adolescentes ao Cancro Parental, e prescrever intervenções de enfermagem em linguagem classificada. Método: estudo de caso único, tipo qualitativo, de adolescente de 16 anos de idade a vivenciar cancro da mãe. Analisou-se uma entrevista semiestruturada, baseada em um roteiro concetualizado pelo modelo teórico selecionado. Tratamento de dados ocorreu através de análise de conteúdo. Obteve-se autorização da Comissão de Ética TI 25/2020. Resultados: a análise da entrevista do adolescente permitiu identificar categorias concordantes com as variáveis do modelo. As dimensões de ajuste psicossocial e sintomas de resposta ao estress, como performance acadêmica e sintomas somáticos, foram reconhecidas no processo de ajuste do adolescente. As intervenções de enfermagem serão focadas na educação e apoio. Conclusão o modelo teórico contribuiu para avaliar as necessidades do adolescente a vivenciar cancro parental, permitindo prescrever intervenções de enfermagem em linguagem classificada que considerem variáveis moderadoras e mediadoras, promovendo-se o ajuste. O modelo demonstrou ser adequado para futuras intervenções a adolescentes a experienciar situações semelhantes.

ABSTRACT Objective: To describe and analyze the experience of an adolescent experiencing parental cancer, based on A Model of Children’s Adjustment to Parental Cancer, and to prescribe nursing interventions in classified language. Method: This is a single case study, qualitative, of a 16-year-old adolescent experiencing maternal cancer. We analyzed a semi-structured interview, based on a script conceptualized by the selected theoretical model. Data processing took place through content analysis. Authorization was obtained from the Research Ethics Committee TI 25/2020. Results: The analysis of the adolescent’s interview allowed identifying categories in agreement with the model variables. Psychosocial adjustment dimensions and stress response symptoms, such as academic performance and somatic symptoms, were recognized in the adolescent’s adjustment process. Nursing interventions will focus on education and support. Conclusion: The theoretical model contributed to assess the needs of adolescents experiencing parental cancer, allowing nursing interventions to be prescribed in classified language that consider moderating and mediating variables, promoting adjustment. The model proved to be suitable for future interventions for adolescents experiencing similar situations.

RESUMEN Objetivo: Describir y analizar la experiencia de un adolescente con cáncer en los padres, a partir del Modelo Teórico de Adaptación del Adolescente al Cáncer en los Padres, y prescribir intervenciones de enfermería en lenguaje clasificado. Método: Estudio de caso único, cualitativo, de una adolescente de 16 años con cáncer materno. Se analizó una entrevista semiestructurada, a partir de un guión conceptualizado por el modelo teórico seleccionado. El procesamiento de datos se llevó a cabo a través del análisis de contenido. Se obtuvo autorización del Comité de Ética TI 25/2020. Resultados: El análisis de la entrevista adolescente permitió la identificación de categorías de acuerdo con las variables del modelo. En el proceso de ajuste del adolescente se reconocieron dimensiones de ajuste psicosocial y síntomas de respuesta al estrés, como rendimiento académico y síntomas somáticos. Las intervenciones de enfermería se centrarán en la educación y el apoyo. Conclusión: El modelo teórico contribuyó para evaluar las necesidades de los adolescentes que experimentan cáncer en los padres, permitiendo que las intervenciones de enfermería sean prescritas en un lenguaje clasificado que considere variables moderadoras y mediadoras, promoviendo el ajuste. El modelo demostró ser adecuado para futuras intervenciones con adolescentes en situaciones similares.

https://doi.org/10.1590/1980-220x-reeusp-2022-0188en

10.

NECESSIDADES DE LOCOMOÇÃO E CUIDADO CORPORAL ASSOCIADOS À INCAPACIDADE FUNCIONAL DE IDOSOS: DIAGNÓSTICOS DE ENFERMAGEM CIPE®
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Morais, Yanne Jannine Gomes Araújo

; Silva, Deysianne Ferreira da

; Santos, Geovana Cristiane Viana

; Brasil, Maria Hellena Ferreira

; Gomes, Gabriela Lisieux Lima

; Oliveira, Fabiana Maria Rodrigues Lopes de

Cogitare Enfermagem

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2021, Volume 26 elocation e75913

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

RESUMO Objetivo: identificar associação entre diagnósticos de enfermagem relacionados à locomoção e ao cuidado corporal com incapacidade funcional em idosos hospitalizados. Método: estudo descritivo, transversal, realizado com 100 idosos em um hospital público, da Paraíba – Brasil, no ano de 2019. Utilizou-se instrumento semiestruturado e Índice de Barthel, sendo elencados diagnósticos a partir da CIPE®. A análise de dados utilizou a estatística descritiva. Resultados: a escala é composta por 17 itens distribuídos em sete domínios: Tratamento Medicamentoso, Assistência Pré-natal, Intervenção Baseada no Senso Comum, Entendimento das Recomendações com Apoio Familiar, Estilo de Vida, Intervenção Dietética e Cuidado de Si. A consistência interna dos domínios pelo alfa de Cronbach variou de 0,527 a 0,597. Conclusão: os diagnósticos identificados fornecem subsídios para planejamento e implementação de cuidados de enfermagem visando menor tempo de hospitalização, prevenindo desfechos desfavoráveis à saúde e garantindo assistência integral e individualizada para a população.

ABSTRACT Objective: to identify the association of Nursing diagnoses related to locomotion and body care with functional disability in hospitalized older adults. Method: a descriptive and cross-sectional study conducted in 2019 with 100 older adults in a public hospital from Paraíba, Brazil. A semi-structured instrument and the Barthel Index were used, with diagnoses being listed from the ICNP©. Descriptive statistics was used for data analysis. Results: total dependence was associated with Impaired ability to perform oral hygiene, Impaired ability to perform hygiene, and Impaired mobility in bed. Severe dependence was associated with Impaired ability to perform oral hygiene, Impaired ability to perform hygiene, Impaired ability to dress, Impaired mobility, and Impaired mobility in bed. Conclusion: the diagnoses identified provide support for planning and implementing Nursing care aimed at shorter hospitalization times, preventing unfavorable health outcomes and ensuring comprehensive and individualized care for the population.

RESUMEN Objetivo: identificar la asociación entre diagnósticos de Enfermería relacionados a la locomoción y al cuidado corporal con incapacidad funcional en adultos mayores hospitalizados. Métodos: estudio descriptivo y transversal, realizado en el año 2019 con 100 adultos mayores en un hospital público de Paraíba – Brasil. Se utilizó un instrumento semiestructurado y el Índice de Barthel, y los diagnósticos se listaron a partir de la clasificación CIPE®. Para el análisis de los dados se utilizó estadística descriptiva. Resultados: la dependencia total se mostró asociada con Capacidad perjudicada para la higiene oral, Capacidad perjudicada para la higiene y Confinado a la cama. La dependencia grave estuvo asociada con Capacidad perjudicada para la higiene oral, Capacidad perjudicada para la higiene, Capacidad perjudicada para vestirse, Movilidad perjudicada y Confinado a la cama. Conclusión: los diagnósticos identificados proporcionan apoyos para planificar e implementar medidas de atención de Enfermería con vistas a reducir los tiempos de hospitalización, previniendo así consecuencias desfavorables para la salud y garantizando asistencia integral e individualizada para la población.

https://doi.org/10.5380/ce.v26i0.75913 20 downloads

11.

Chronic use of hydroxychloroquine did not protect against COVID-19 in a large cohort of patients with rheumatic diseases in Brazil
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Pileggi, Gecilmara Salviato

; Ferreira, Gilda Aparecida

; Gomides Reis, Ana Paula Monteiro

; Reis Neto, Edgard Torres

; Abreu, Mirhelen Mendes

; Albuquerque, Cleandro Pires

; Araújo, Nafice Costa

; Bacchiega, Ana Beatriz

; Bianchi, Dante Valdetaro

; Bica, Blanca

; Bonfa, Eloisa Duarte

; Borba, Eduardo Ferreira

; Brito, Danielle Christinne Soares Egypto

; Duarte, Ângela Luzia Branco Pinto

; Santo, Rafaela Cavalheiro Espírito

; Fernandes, Paula Reale

; Guimarães, Mariana Peixoto

; Gomes, Kirla Wagner Poti

; Kakehasi, Adriana Maria

; Klumb, Evandro Mendes

; Lanna, Cristina Costa Duarte

; Marques, Claudia Diniz Lopes

; Monticielo, Odirlei André

; Mota, Licia Maria Henrique

; Munhoz, Gabriela Araújo

; Paiva, Eduardo Santos

; Pereira, Helena Lucia Alves

; Provenza, José Roberto

; Ribeiro, Sandra Lucia Euzébio

; Rocha Junior, Laurindo Ferreira

; Sampaio, Camila Santana Justo Cintra

; Sampaio, Vanderson Souza

; Sato, Emília Inoue

; Skare, Thelma

; de Souza, Viviane Angelina

; Valim, Valeria

; Lacerda, Marcus Vinícius Guimarães

; Xavier, Ricardo Machado

; Pinheiro, Marcelo Medeiros

Advances in Rheumatology

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2021, Volume 61 elocation 60

Abstract: En | Text: En | PDF: En

Abstract Background: There is a lack of information on the role of chronic use of hydroxychloroquine during the SARS-CoV-2 outbreak. Our aim was to compare the occurrence of COVID-19 between rheumatic disease patients on hydroxychloroquine with individuals from the same household not taking the drug during the first 8 weeks of community viral transmission in Brazil. Methods: This baseline cross-sectional analysis is part of a 24-week observational multi-center study involving 22 Brazilian academic outpatient centers. All information regarding COVID-19 symptoms, epidemiological, clinical, and demographic data were recorded on a specific web-based platform using telephone calls from physicians and medical students. COVID-19 was defined according to the Brazilian Ministry of Health (BMH) criteria. Mann-Whitney, Chi-square and Exact Fisher tests were used for statistical analysis and two binary Final Logistic Regression Model by Wald test were developed using a backward-stepwise method for the presence of COVID-19. Results: From March 29th to May 17st, 2020, a total of 10,443 participants were enrolled, including 5166 (53.9%) rheumatic disease patients, of whom 82.5% had systemic erythematosus lupus, 7.8% rheumatoid arthritis, 3.7% Sjögren’s syndrome and 0.8% systemic sclerosis. In total, 1822 (19.1%) participants reported flu symptoms within the 30 days prior to enrollment, of which 3.1% fulfilled the BMH criteria, but with no significant difference between rheumatic disease patients (4.03%) and controls (3.25%). After adjustments for multiple confounders, the main risk factor significantly associated with a COVID-19 diagnosis was lung disease (OR 1.63; 95% CI 1.03-2.58); and for rheumatic disease patients were diagnosis of systemic sclerosis (OR 2.8; 95% CI 1.19-6.63) and glucocorticoids above 10 mg/ day (OR 2.05; 95% CI 1.31-3.19). In addition, a recent influenza vaccination had a protective effect (OR 0.674; 95% CI 0.46-0.98). Conclusion: Patients with rheumatic disease on hydroxychloroquine presented a similar occurrence of COVID-19 to household cohabitants, suggesting a lack of any protective role against SARS-CoV-2 infection. Trial registration Brazilian Registry of Clinical Trials (ReBEC; RBR - 9KTWX6).

https://doi.org/10.1186/s42358-021-00217-0 22 downloads

12.

Ocupações no Espírito Santo em 2016: a adolescência, o protesto e as práticas formativas
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Groppo, Luís Antonio

; Taquetti, Camila Lopes

; Silva, Gabriela Santos

; Moraes, Lívia de Cássia Godoi

Educação & Realidade

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2021, Volume 46 N. 4 elocation e108059

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

Resumo: Como parte de uma pesquisa nacional, o artigo interpreta a história das ocupações estudantis no Espírito Santo (ES) em 2016, a partir de relatos colhidos em oito entrevistas com jovens que ocuparam escolas, com base nas categorias geração, juventude e subjetivação política. Se identifica o perfil predominantemente popular e feminino das e dos ocupas, as características do movimento no ES e os impactos das ocupações para quem participou delas. As ocupações, em especial por meio de suas práticas formativas, impactaram decisivamente na trajetória escolar de tais jovens, assim como influenciaram certa continuidade de sua atuação na esfera política.

Abstract: As part of a national research, this paper aims to interpret the history of student occupations in Espírito Santo (ES), Brazil in 2016 from reports collected with 8 young people who occupied schools, taking into consideration the categories: generation, youth and political subjectivity. The predominantly popular and feminine profile of the occupiers, the characteristics of the movement in ES and the impacts of the occupations for those who participated in them were identified. Occupations, especially in terms of formative practices, had a decisive impact on the school trajectory of these young people and influenced a certain continuity of their action in the political sphere.

https://doi.org/10.1590/2175-6236108059

13.

Impacto do consumo de alimentos ultraprocessados na saúde de crianças, adolescentes e adultos: revisão de escopo
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Louzada, Maria Laura da Costa

; Costa, Caroline dos Santos

; Souza, Thays Nascimento

; Cruz, Gabriela Lopes da

; Levy, Renata Bertazzi

; Monteiro, Carlos Augusto

Cadernos de Saúde Pública

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2021, Volume 37 Suppl. 1 elocation e00323020

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

O objetivo deste trabalho foi realizar uma revisão de escopo da literatura acerca da associação entre o consumo de alimentos ultraprocessados e desfechos em saúde. A busca foi realizada nas bases PubMed, Web of Science e LILACS. Foram elegíveis os estudos que avaliaram a associação entre o consumo de alimentos ultraprocessados identificados com base na classificação NOVA e os desfechos em saúde. O processo de revisão resultou na seleção de 63 estudos, os quais foram analisados em termos de qualidade com base em ferramenta do Instituto Nacional de Saúde dos Estados Unidos. Os desfechos encontrados incluíram indicadores de obesidade, marcadores de risco metabólico, diabetes, doenças cardiovasculares, câncer, asma, depressão, fragilidade, doenças gastrointestinais e mortalidade. A evidência foi particularmente consistente para obesidade (ou indicadores relacionados a ela) em adultos, cuja associação com o consumo de ultraprocessados foi demonstrada, com efeito dose-resposta, em estudos transversais com amostras representativas de cinco países, em quatro grandes estudos de coorte e em um ensaio clínico randomizado. Grandes estudos de coorte também encontraram associação significativa entre o consumo de alimentos ultraprocessados e o risco de doenças cardiovasculares, diabetes e câncer, mesmo após ajuste para obesidade. Dois estudos de coorte demonstraram associação do consumo de alimentos ultraprocessados com depressão e quatro estudos de coorte com mortalidade por todas as causas. Esta revisão sumarizou os resultados de trabalhos que descreveram a associação entre o consumo de alimentos ultraprocessados e as diversas doenças crônicas não transmissíveis e seus fatores de risco, o que traz importantes implicações para a saúde pública.

The aim of this study was to conduct a literature scope review of the association between the consumption of ultra-processed foods and health outcomes. The search was carried out in the PubMed, Web of Science and LILACS databases. Studies that assessed the association between the consumption of ultra-processed foods, identified on the NOVA classification, and health outcomes were eligible. The review process resulted in the selection of 63 studies, which were analyzed in terms of quality using a tool from the National Institutes of Health. The outcomes found included obesity, metabolic risk markers, diabetes, cardiovascular diseases, cancer, asthma, depression, frailty, gastrointestinal diseases and mortality indicators. The evidence was particularly consistent for obesity (or indicators related to it) in adults, whose association with the consumption of ultra-processed foods was demonstrated, with dose-response effect, in cross-sectional studies with representative samples from five countries, in four large cohort studies and in a randomized clinical trial. Large cohort studies have also found a significant association between the consumption of ultra-processed foods and the risk of cardiovascular diseases, diabetes and cancer - even after adjusting for obesity. Two cohort studies have shown an association of ultra-processed foods consumption with depression and four cohort studies with all-cause mortality. This review summarized the studies’ results that described the association between the consumption of ultra-processed foods and various non-communicable diseases and their risk factors, which has important implications for public health.

El objetivo de este estudio fue realizar una revisión de alcance de la literatura sobre la asociación entre el consumo de alimentos ultraprocesados y los resultados de salud. La búsqueda se realizó en las bases de datos PubMed, Web of Science y LILACS. Fueron elegibles los estudios que evaluaron la asociación entre el consumo de alimentos ultraprocesados identificados según la clasificación NOVA y los resultados de salud. El proceso de revisión resultó en la selección de 63 estudios, cuya calidad se analizó con base en una herramienta delo Instituto Nacional de Salud de Estados Unidos Los resultados encontrados incluyeron indicadores de obesidad, marcadores de riesgo metabólico, diabetes, enfermedad cardiovascular, cáncer, asma, depresión, fragilidad, enfermedad gastrointestinal y mortalidad. La evidencia fue particularmente consistente para la obesidad (o indicadores relacionados con ella) en adultos, cuya asociación con el consumo de alimentos ultraprocesados se demostró, con un efecto dosis-respuesta, en estudios transversales con muestras representativas de cinco países, en cuatro grandes estudios de cohortes y en un ensayo clínico aleatorizado. Grandes estudios de cohortes también encontraron una asociación significativa entre el consumo de alimentos ultraprocesados y el riesgo de enfermedades cardiovasculares, diabetes y cáncer, incluso después de ajustar la obesidad. Dos estudios de cohortes mostraron una asociación entre el consumo de alimentos ultraprocesados y la depresión y cuatro estudios de cohortes con mortalidad por todas las causas. Esta revisión resumió los resultados de estudios que describieron la asociación entre el consumo de alimentos ultraprocesados y las diversas enfermedades crónicas no transmisibles y sus factores de riesgo, lo que tiene importantes implicaciones para la salud pública.

https://doi.org/10.1590/0102-311x00323020

14.

Impacto do consumo de alimentos ultraprocessados na saúde de crianças, adolescentes e adultos: revisão de escopo
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Louzada, Maria Laura da Costa

; Costa, Caroline dos Santos

; Souza, Thays Nascimento

; Cruz, Gabriela Lopes da

; Levy, Renata Bertazzi

; Monteiro, Carlos Augusto

Cadernos de Saúde Pública

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2021, Volume 37 Suppl. 1 elocation e00323020

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

https://doi.org/10.1590/0102-311x00323020

15.

Analysis of Conduction Intervals in Normal Electrophysiological Studies: Establishment of Reference Values the Brazilian Population
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Leiria, Tiago Luiz Luz

; Santos, Catarine Benta Lopes dos

; Sant'anna, Roberto Tofani

; Trombetta, Julia Santana

; Osterkamp, Gabriela

; Kruse, Marcelo Lapa

; Pires, Leonardo Martins

; Lima, Gustavo Glotz

International Journal of Cardiovascular Sciences

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oct 2020, Volume 33 N. 5 Pages 488 - 494

Abstract: En | Text: En | PDF: En

Abstract Background In the investigation of cardiac rhythm disorders, a normal electrophysiological (EPS) study is associated with a favorable prognosis. One of the normality criteria is established by conduction intervals within expected range. Objective To establish reference values in EPS for the intracavitary conduction intervals (PA, AH and HV) in a Brazilian population. Methods A retrospective cohort study of the first 1,500 patients submitted to EPS ablation was performed at Instituto de Cardiologia do Rio Grande do Sul, Brazil. The EPS was considered normal if the test was performed for diagnostic purpose; absence of induced arrhythmias; and conduction intervals within the expected range. The REDCap software was used for data collection and management, and the SPSS Statistics 22.0 used for data analysis. Continuous variables were compared with Student's t-test for independent samples and categorical variables with the chi-square test (X 2 ). Values of p ≤ 0.05 were considered significant. Results A total of 124 (8.3%) with EPS considered normal were included; mean age was 52 ± 21 years, and 63 were male. The mean values in milliseconds of PA, AH and HV were 23 ± 9, 88 ± 25 and 44 ± 7, respectively. The PA, AH, and HV percentile ranges were 13 - 25, 81-107 and 40 - 52, respectively. When the patients were divided into three age groups (1 to 18 years, 19 to 64 years and 65 or more), we observed that the group of older patients had significantly higher values of PA, AH and HV compared with younger patients. Conclusion This study showed that intracavitary conduction intervals in a sample of the Brazilian population were similar to previously published studies. Elderly patients tend to have higher values of intracavitary conduction intervals in EPS. Future studies including broader age ranges could enable the acquisition of more reliable and reproducible reference values. (Int J Cardiovasc Sci. 2020; [online].ahead print, PP.0-0)

https://doi.org/10.36660/ijcs.20180087 506 downloads

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