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1.
Artificial intelligence to growth stresses predicting in Eucalyptus clones using dendrometric variables and wood density
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Monteiro, Thiago Campos
; Araújo Júnior, Carlos Alberto
; dos Santos, Jean Henrique
; Cardoso Silva, Thiago
; Magalhães do Nascimento, Thiago
; Ferraresso Conti Junior, José Luiz
; Monteiro de Matos, Jorge Luis
; Klitzke, Ricardo Jorge
; Pereira da Rocha, Márcio
.
Abstract: Eucalyptus planted forests contribute to maximizing lumber production but problems such as longitudinal growth strain can negatively influence the quality of the products. Knowing dendrometric variables and wood properties can help in the prediction of longitudinal growth strain, mainly with the help of artificial intelligence. Thus, the aim of this research was to evaluate the use of artificial neural networks to predict longitudinal growth strain in Eucalyptus trees based on dendrometric variables, spacing between trees and wood density. The longitudinal growth strain was measured in trees of four Eucalyptus clones planted in three spacings. The diameter and height of each tree were measured. The basic wood density was determined. Artificial neural networks were used to estimate longitudinal growth strain as a function of dendrometric variables, tree spacing and wood density. The results showed that the artificial neural networks presented good results for training and validation, with most of them resulting in high correlation coefficient values. The trained artificial neural networks showed a correlation coefficient above 0,56. Artificial neural networks showed that the variables clone and basic wood density were the ones that most contributed to the prediction of longitudinal growth strain. On the other hand, the spacing between trees, the height of the tree and the diameter at breast height were not relevant to predict growth stresses.
2.
O USO DE MÉTODOS ESTATÍSTICOS NA PESQUISA CIENTÍFICA EM TURISMO NO BRASIL
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SANTOS, GLAUBER EDUARDO DE OLIVEIRA
; BÍSCARO, VINÍCIUS ROCHA
; SILVA, MARINA MONTEIRO DA
; DORO, JOÃO RICARDO LOPES
.
RESUMO: Ainda que o número de pesquisas qualitativas nos periódicos científicos internacionais de turismo esteja crescendo, as pesquisas quantitativas são claramente predominantes. Partindo dessa constatação preliminar, o presente artigo objetiva examinar o uso de métodos estatísticos para a análise de dados nas pesquisas em turismo no Brasil. Este trabalho examinou o uso de métodos estatísticos inferenciais ou multivariados para a análise de dados nas pesquisas publicadas na forma de artigos em três dos principais periódicos científicos brasileiros de turismo - Revista Brasileira de Pesquisa em Turismo (RBTUR), Revista Turismo em Análise (RTA) e Revista Turismo - Visão e Ação (RTVA). Foram selecionados todos os artigos publicados ao longo de dois períodos distintos de sete anos cada: o inicial (1990-96) e o mais recente (2012- 18). Os métodos utilizados foram retratados por meio de estatísticas descritivas. Os resultados mostram que a pesquisa brasileira faz pouco uso de métodos estatísticos avançados em comparação com a prática corrente nos principais periódicos científicos internacionais da área. Ademais, a lista de métodos estatísticos mais frequentes revela uma tendência de aprimoramento e complexidade metodológica da pesquisa em turismo no país. Os métodos atualmente mais empregados são aqueles relacionados à análise de variáveis latentes, como a análise fatorial e a modelagem de equações estruturais. Por outro lado, uma vasta gama de alternativas metodológicas não tem sido explorada. Dessa forma, a pesquisa aponta para a existência de diversas oportunidades de inovação e aprimoramento metodológico das pesquisas em turismo no Brasil.
ABSTRACT: Although the number of papers and qualitative research in international scientific tourism journals is growing, quantitative research is clearly predominant. Based on this preliminary finding, this article examines the use of quantitative methods in tourism research in Brazil. It focuses on the use of inferential or multivariate statistical methods for data analysis described in articles published in three of the leading Brazilian tourism journals - Revista Brasileira de Pesquisa em Turismo (RBTUR), Revista Turismo em Análise (RTA) and Revista Turismo - Visão e Ação (RTVA). All articles published within two separate seven-year periods were selected for analysis: 1990 - 1996, and 2012 - 2018. The methods employed by the selected articles were reported using descriptive statistics. The results show that the use of advanced statistical methods in Brazilian research is lower than that of the main international scientific journals in the area. However, the list of most frequent statistical methods used shows that the tourism research in the country is improving and increasing in methodological complexity. The methods most used are those related to the analysis of latent variables, such as factorial analysis and structural equation modeling. On the other hand, a wide range of methodological alternatives has not been explored. This research points to the existence of various opportunities for innovation and methodological improvement of tourism research in Brazil.
RESUMEN: Aunque el número de investigaciones cualitativas en revistas internacionales de turismo científico está creciendo, la investigación cuantitativa es claramente predominante. Con base en este hallazgo preliminar, el presente artículo tiene como objetivo examinar el uso de métodos cuantitativos en la investigación turística en Brasil. Este documento examinó el uso de métodos estadísticos inferenciales o multivariados para el análisis de datos en investigaciones publicadas en forma de artículos en tres de las principales revistas de turismo de Brasil: Revista Brasileña de Turismo (RBTUR), Revista de Turismo en Análisis (RTA) y Revista de Turismo - Visión y Acción (RTVA). Todos los artículos publicados en dos períodos distintos de siete años fueron seleccionados para su análisis: el período inicial (1990-96) y el más reciente (2012-18). Los métodos empleados por los artículos seleccionados se informaron mediante el uso de estadísticas descriptivas. Los resultados muestran que la investigación brasileña hace poco uso de métodos estadísticos avanzados en comparación con la práctica actual en las principales revistas científicas internacionales en el área. Además, la lista de los métodos estadísticos más frecuentes revela una tendencia hacia la mejora y la complejidad metodológica de la investigación turística en el país. Los métodos utilizados actualmente son los relacionados con el análisis de variables latentes, como el análisis factorial y el modelado de ecuaciones estructurales. Por otro lado, no se ha explorado una amplia gama de alternativas metodológicas. Por lo tanto, la investigación apunta a la existencia de varias oportunidades para la innovación y la mejora metodológica de la investigación turística en Brasil.
https://doi.org/10.14210/rtva.v23n1.p110-131
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3.
Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS
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Freitas, Flavio Geraldo Rezende de
; Hammond, Naomi
; Li, Yang
; Azevedo, Luciano Cesar Pontes de
; Cavalcanti, Alexandre Biasi
; Taniguchi, Leandro
; Gobatto, André
; Japiassú, André Miguel
; Bafi, Antonio Tonete
; Mazza, Bruno Franco
; Noritomi, Danilo Teixeira
; Dal-Pizzol, Felipe
; Bozza, Fernando
; Salluh, Jorge Ibrahin Figueira
; Westphal, Glauco Adrieno
; Soares, Márcio
; Assunção, Murillo Santucci César de
; Lisboa, Thiago
; Lobo, Suzana Margarete Ajeje
; Barbosa, Achilles Rohlfs
; Ventura, Adriana Fonseca
; Souza, Ailson Faria de
; Silva, Alexandre Francisco
; Toledo, Alexandre
; Reis, Aline
; Cembranel, Allan
; Rea Neto, Alvaro
; Gut, Ana Lúcia
; Justo, Ana Patricia Pierre
; Santos, Ana Paula
; Albuquerque, André Campos D. de
; Scazufka, André
; Rodrigues, Antonio Babo
; Fernandino, Bruno Bonaccorsi
; Silva, Bruno Goncalves
; Vidal, Bruno Sarno
; Pinheiro, Bruno Valle
; Pinto, Bruno Vilela Costa
; Feijo, Carlos Augusto Ramos
; Abreu Filho, Carlos de
; Bosso, Carlos Eduardo da Costa Nunes
; Moreira, Carlos Eduardo Nassif
; Ramos, Carlos Henrique Ferreira
; Tavares, Carmen
; Arantes, Cidamaiá
; Grion, Cintia
; Mendes, Ciro Leite
; Kmohan, Claudio
; Piras, Claudio
; Castro, Cristine Pilati Pileggi
; Lins, Cyntia
; Beraldo, Daniel
; Fontes, Daniel
; Boni, Daniela
; Castiglioni, Débora
; Paisani, Denise de Moraes
; Pedroso, Durval Ferreira Fonseca
; Mattos, Ederson Roberto
; Brito Sobrinho, Edgar de
; Troncoso, Edgar M. V.
; Rodrigues Filho, Edison Moraes
; Nogueira, Eduardo Enrico Ferrari
; Ferreira, Eduardo Leme
; Pacheco, Eduardo Souza
; Jodar, Euzebio
; Ferreira, Evandro L. A.
; Araujo, Fabiana Fernandes de
; Trevisol, Fabiana Schuelter
; Amorim, Fábio Ferreira
; Giannini, Fabio Poianas
; Santos, Fabrício Primitivo Matos
; Buarque, Fátima
; Lima, Felipe Gallego
; Costa, Fernando Antonio Alvares da
; Sad, Fernando Cesar dos Anjos
; Aranha, Fernando G.
; Ganem, Fernando
; Callil, Flavio
; Costa Filho, Francisco Flávio
; Dall´Arto, Frederico Toledo Campo
; Moreno, Geovani
; Friedman, Gilberto
; Moralez, Giulliana Martines
; Silva, Guilherme Abdalla da
; Costa, Guilherme
; Cavalcanti, Guilherme Silva
; Cavalcanti, Guilherme Silva
; Betônico, Gustavo Navarro
; Betônico, Gustavo Navarro
; Reis, Hélder
; Araujo, Helia Beatriz N.
; Hortiz Júnior, Helio Anjos
; Guimaraes, Helio Penna
; Urbano, Hugo
; Maia, Israel
; Santiago Filho, Ivan Lopes
; Farhat Júnior, Jamil
; Alvarez, Janu Rangel
; Passos, Joel Tavares
; Paranhos, Jorge Eduardo da Rocha
; Marques, José Aurelio
; Moreira Filho, José Gonçalves
; Andrade, Jose Neto
; Sobrinho, José Onofre de C
; Bezerra, Jose Terceiro de Paiva
; Alves, Juliana Apolônio
; Ferreira, Juliana
; Gomes, Jussara
; Sato, Karina Midori
; Gerent, Karine
; Teixeira, Kathia Margarida Costa
; Conde, Katia Aparecida Pessoa
; Martins, Laércia Ferreira
; Figueirêdo, Lanese
; Rezegue, Leila
; Tcherniacovsk, Leonardo
; Ferraz, Leone Oliveira
; Cavalcante, Liane
; Rabelo, Ligia
; Miilher, Lilian
; Garcia, Lisiane
; Tannous, Luana
; Hajjar, Ludhmila Abrahão
; Paciência, Luís Eduardo Miranda
; Cruz Neto, Luiz Monteiro da
; Bley, Macia Valeria
; Sousa, Marcelo Ferreira
; Puga, Marcelo Lourencini
; Romano, Marcelo Luz Pereira
; Nobrega, Marciano
; Arbex, Marcio
; Rodrigues, Márcio Leite
; Guerreiro, Márcio Osório
; Rocha, Marcone
; Alves, Maria Angela Pangoni
; Alves, Maria Angela Pangoni
; Rosa, Maria Doroti
; Dias, Mariza D’Agostino
; Martins, Miquéias
; Oliveira, Mirella de
; Moretti, Miriane Melo Silveira
; Matsui, Mirna
; Messender, Octavio
; Santarém, Orlando Luís de Andrade
; Silveira, Patricio Júnior Henrique da
; Vassallo, Paula Frizera
; Antoniazzi, Paulo
; Gottardo, Paulo César
; Correia, Paulo
; Ferreira, Paulo
; Torres, Paulo
; Silva, Pedro Gabrile M. de Barros e
; Foernges, Rafael
; Gomes, Rafael
; Moraes, Rafael
; Nonato filho, Raimundo
; Borba, Renato Luis
; Gomes, Renato V
; Cordioli, Ricardo
; Lima, Ricardo
; López, Ricardo Pérez
; Gargioni, Ricardo Rath de Oliveira
; Rosenblat, Richard
; Souza, Roberta Machado de
; Almeida, Roberto
; Narciso, Roberto Camargo
; Marco, Roberto
; waltrick, Roberto
; Biondi, Rodrigo
; Figueiredo, Rodrigo
; Dutra, Rodrigo Santana
; Batista, Roseane
; Felipe, Rouge
; Franco, Rubens Sergio da Silva
; Houly, Sandra
; Faria, Sara Socorro
; Pinto, Sergio Felix
; Luzzi, Sergio
; Sant’ana, Sergio
; Fernandes, Sergio Sonego
; Yamada, Sérgio
; Zajac, Sérgio
; Vaz, Sidiner Mesquita
; Bezerra, Silvia Aparecida Bezerra
; Farhat, Tatiana Bueno Tardivo
; Santos, Thiago Martins
; Smith, Tiago
; Silva, Ulysses V. A.
; Damasceno, Valnei Bento
; Nobre, Vandack
; Dantas, Vicente Cés de Souza
; Irineu, Vivian Menezes
; Bogado, Viviane
; Nedel, Wagner
; Campos Filho, Walther
; Dantas, Weidson
; Viana, William
; Oliveira Filho, Wilson de
; Delgadinho, Wilson Martins
; Finfer, Simon
; Machado, Flavia Ribeiro
.
RESUMO Objetivo: Descrever as práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras e compará-las com as de outros países participantes do estudo Fluid-TRIPS. Métodos: Este foi um estudo observacional transversal, prospectivo e internacional, de uma amostra de conveniência de unidades de terapia intensiva de 27 países (inclusive o Brasil), com utilização da base de dados Fluid-TRIPS compilada em 2014. Descrevemos os padrões de ressuscitação volêmica utilizados no Brasil em comparação com os de outros países e identificamos os fatores associados com a escolha dos fluidos. Resultados: No dia do estudo, foram incluídos 3.214 pacientes do Brasil e 3.493 pacientes de outros países, dos quais, respectivamente, 16,1% e 26,8% (p < 0,001) receberam fluidos. A principal indicação para ressuscitação volêmica foi comprometimento da perfusão e/ou baixo débito cardíaco (Brasil 71,7% versus outros países 56,4%; p < 0,001). No Brasil, a percentagem de pacientes que receberam soluções cristaloides foi mais elevada (97,7% versus 76,8%; p < 0,001), e solução de cloreto de sódio a 0,9% foi o cristaloide mais comumente utilizado (62,5% versus 27,1%; p < 0,001). A análise multivariada sugeriu que os níveis de albumina se associaram com o uso tanto de cristaloides quanto de coloides, enquanto o tipo de prescritor dos fluidos se associou apenas com o uso de cristaloides. Conclusão: Nossos resultados sugerem que cristaloides são usados mais frequentemente do que coloides para ressuscitação no Brasil, e essa discrepância, em termos de frequências, é mais elevada do que em outros países. A solução de cloreto de sódio 0,9% foi o cristaloide mais frequentemente prescrito. Os níveis de albumina sérica e o tipo de prescritor de fluidos foram os fatores associados com a escolha de cristaloides ou coloides para a prescrição de fluidos.
Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.
https://doi.org/10.5935/0103-507x.20210028
273 downloads
4.
Effect of soil class and moisture on the depth of pupation and pupal viability of Bactrocera carambolae Drew & Hancock (1994)
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Amaral, Eric Joel Ferreira do
; Sousa, Maria do Socorro Miranda de
; Santos, Jhulie Emille Veloso dos
; Costa, Lauane Monteiro
; Melém Júnior, Nagib Jorge
; Toledo, José Julio de
; Adaime, Ricardo
.
Abstract Bactrocera carambolae is a quarantine pest present in Brazil and today represents the main phytosanitary barrier to the export of the fresh fruits produced in the country. The effect of soil classes and moisture on the pupation depth and pupal viability of this insect was evaluated. Soils with three textural classes (sandy, sandy clay loam and clay loam) and four moisture levels (0%, 30%, 60% and 90% of field capacity of each soil) were used, for a total of 12 treatments with six repetitions. The pupation depths varied from the surface to 5 cm. The soil class was the most significant variable regarding the pupal development of B. carambolae. The moisture level did not have a significant effect on the pupation depth or pupal emergence, but there was a strong effect of the interaction of soil texture and moisture on the pupal viability, with an increase in emergence with higher moisture in the clay loam and sandy clay loam soils.
https://doi.org/10.1590/1806-9665-rbent-2020-0075
452 downloads
5.
Estudo de avaliabilidade do Programa Multicêntrico de Qualificação Profissional em Atenção Domiciliar a Distância (PMQPAD)
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Colussi, Claudia Flemming
; Hellmann, Fernando
; Verdi, Marta
; Serapioni, Mauro
; Savassi, Leonardo Cançado Monteiro
; Ferreira, Diego Diz
; Charneski, Eliane Ricardo
; Massignam, Fernando Mendes
; Santos, Luana Silvestre dos
; Baibich, Maria Esther Souza
.
Resumo: Com a implantação da atenção domiciliar no âmbito do Sistema Único de Saúde (SUS), diante da necessidade de capacitação de gestores e profissionais, criou-se o Programa Multicêntrico de Qualificação Profissional em Atenção Domiciliar a Distância (PMQPAD) numa parceria entre a Universidade Aberta do SUS e a Coordenação Geral de Atenção Domiciliar do Ministério da Saúde. Por meio de cursos de especialização, aperfeiçoamento e autoinstrucionais, o programa teve grande capilaridade e alcance no país, com quase 300 mil matrículas distribuídas em todos os estados brasileiros. O objetivo do presente estudo foi estruturar um modelo avaliativo do PMQPAD, por meio de um estudo de avaliabilidade, com a participação dos gestores do programa. Foi utilizada a metodologia desenvolvida por Thurston & Ramaliu, cujas etapas permitiram descrever o programa, representá-lo por meio de um modelo lógico e desenvolver uma matriz avaliativa. Foram realizadas análise documental, entrevistas semiestruturadas e oficinas de consenso para validação do modelo. O processo resultou no desenvolvimento de três matrizes avaliativas, uma para cada modalidade de curso do programa, com quatro dimensões de análise em comum (Características do curso e recursos educacionais; Aspectos institucionais; Resultados; Impactos). Os indicadores avaliativos tiveram, como fontes de dados primários, os alunos, os tutores e os gestores do curso. O estudo contou com a participação dos stakeholders e mostrou-se apropriado para o desenvolvimento da proposta avaliativa. Destaca-se o potencial de utilização das matrizes avaliativas desenvolvidas para a avaliação de outros programas de formação a distância no âmbito do SUS.
Abstract: With the implementation of home care in the Brazilian Unified National Health System (SUS), the need to train administrators and health workers led to the creation of the Multicenter Program for Professional Qualification in Distance Home Care (PMQPAD) in a partnership between the SUS Open University and the General Coordinating Division for Home Care, of the Brazilian Ministry of Health. Through courses in specialization, improvement, and self-instruction, the program achieved wide capillarity and scope in the country, with nearly 300,000 enrollments across all states of Brazil. The current study aimed to structure a model to assess the PMQPAD through an evaluability study with participation by the program’s administrators. We used the methodology developed by Thurston & Ramaliu, the stages of which allowed describing the program, representing it with a log frame model, and developing a evaluation matrix. We conducted document analysis, semi-structured interviews, and consensus workshops for the model’s validation. The process resulted in the development of three evaluation matrices, one for each of the program’s course modalities, with four analytical dimensions in common (Course characteristics and educational resources; Institutional aspects; Results; Impacts). The primary data sources for the evaluation indicators were the students, tutors, and administrators. The study drew on stakeholders’ participation and proved appropriate for the development of the evaluation proposal. The results highlight the potential for use of evaluation matrices developed for the assessment of other distance training programs under the SUS.
Resumen: Con la implantación de la atención domiciliaria en el ámbito del Sistema Único de Salud (SUS), ante la necesidad de la capacitación de gestores y profesionales, se creó el Programa Multicéntrico de Cualificación Profesional en Atención Domiciliaria a Distancia (PMQPAD), en una colaboración entre la Universidad Abierta del SUS y la Coordinación General de Atención Domiciliaria del Ministerio de Salud de Brasil. A través de cursos de especialización, perfeccionamiento y de autoaprendizaje, el programa tuvo una gran capilaridad y alcance en el país, con casi 300 mil matrículas, distribuidas por todos los estados brasileños. El objetivo del presente estudio fue estructurar un modelo evaluativo del PMQPAD, a través de un estudio de disponibilidad, con la participación de los gestores del programa. Se utilizó la metodología desarrollada por Thurston & Ramaliu, cuyas etapas permitieron describir el programa, representarlo a través de un modelo lógico, y desarrollar una matriz evaluativa. Se realizó un análisis documental, entrevistas semiestructuradas y talleres de consenso para la validación del modelo. El proceso resultó en el desarrollo de tres matrices evaluativas, una para cada modalidad de curso del programa, con cuatro dimensiones de análisis en común (Características del curso y recursos educacionales; Aspectos institucionales; Resultados; Impactos). Los indicadores evaluativos tuvieron como fuentes de datos primarios los alumnos, los tutores y los gestores del curso. El estudio contó con la participación de los stakeholders, y se mostró apropiado para el desarrollo de la propuesta evaluativa. Se destaca el potencial de utilización de las matrices evaluativas desarrolladas para la evaluación de otros programas de formación a distancia en el ámbito del SUS.
6.
Exome sequencing and targeted gene panels: a simulated comparison of diagnostic yield using data from 158 patients with rare diseases
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Quaio, Caio Robledo D’Angioli Costa
; Obando, María José Rivadeneira
; Perazzio, Sandro Felix
; Dutra, Aurelio Pimenta
; Chung, Christine Hsiaoyun
; Moreira, Caroline Monaco
; Novo Filho, Gil Monteiro
; Sacramento-Bobotis, Patricia Rossi
; Penna, Michele Groenner
; Souza, Rafaela Rogerio Floriano de
; Cintra, Vivian Pedigone
; Carnavalli, Juliana Emilia Prior
; Silva, Rafael Alves da
; Santos, Monize Nakamoto Provisor
; Paixão, Daniele
; Baratela, Wagner Antonio da Rosa
; Olivati, Caroline
; Spolador, Gustavo Marquezani
; Pintao, Maria Carolina
; Fornari, Alexandre Ricardo dos Santos
; Burger, Matheus
; Ramalho, Rodrigo Fernandes
; Pereira, Otavio Jose Eulalio
; Ferreira, Elisa Napolitano e
; Mitne-Neto, Miguel
; Kim, Chong Ae
.
Abstract Next-generation sequencing (NGS) has altered clinical genetic testing by widening the access to molecular diagnosis of genetically determined rare diseases. However, physicians may face difficulties selecting the best diagnostic approach. Our goal is to estimate the rate of possible molecular diagnoses missed by different targeted gene panels using data from a cohort of patients with rare genetic diseases diagnosed with exome sequencing (ES). For this purpose, we simulated a comparison between different targeted gene panels and ES: the list of genes harboring clinically relevant variants from 158 patients was used to estimate the theoretical rate of diagnoses missed by NGS panels from 53 different NGS panels from eight different laboratories. Panels presented a mean rate of missed diagnoses of 64% (range 14%-100%) compared to ES, representing an average predicted sensitivity of 36%. Metabolic abnormalities represented the group with highest mean of missed diagnoses (86%), while seizure represented the group with lowest mean (46%). Focused gene panels are restricted in covering select sets of genes implicated in specific diseases and they may miss molecular diagnoses of rare diseases compared to ES. However, their role in genetic diagnosis remains important especially for well-known genetic diseases with established genetic locus heterogeneity.
https://doi.org/10.1590/1678-4685-gmb-2021-0061
205 downloads
7.
Métodos de alimentação e evolução do peso de recém-nascidos com microcefalia congênita por Zika Vírus
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Medeiros, Andréa Monteiro Correia
; Jardim-Botelho, Anne
; Santos, Emanuele Mariano de Souza
; Lopes, Aline de Siqueira Alves
; Santos, Felipe Batista
; Sá, Thalyta Prata Leite de
; Barreto, Íkaro Daniel Carvalho
; Santos, Cliomar Alves dos
; Cuevas, Luis Eduardo
; Gurgel, Ricardo Queiroz
.
RESUMO Objetivo investigar a forma de oferta de dieta, conforme os diversos métodos de alimentação, e descrever o ganho de peso em recém-nascidos com microcefalia relacionada ao Zika Vírus, comparando-os com recém-nascidos sem microcefalia. Método estudo de coorte retrospectivo com caso controle aninhado. Informações sobre idade gestacional, peso e métodos de alimentação (seio materno, sonda nasogástrica/orogástrica, mamadeira e copo) foram coletadas em prontuários de 43 recém-nascidos com microcefalia por Zika Vírus, equiparados conforme idade gestacional com 43 recém-nascidos sem acometimentos (grupo controle), em uma maternidade de referência no Nordeste do Brasil. Os dados foram coletados desde o nascimento até a alta hospitalar. As medidas de desfecho foram pesos (ao nascer e na alta), velocidade de ganho de peso, tempo de internação e métodos de alimentação. Resultados O grupo com microcefalia apresentou menores pesos ao nascer (D=-1,67; p<0,001), inclusive com maior probabilidade de serem baixo peso (Phi=0,687; p<0,001), e no momento da alta (D=-0,87; p=0,006), do que o controle. O grupo com microcefalia também apresentou maior velocidade de ganho de peso (D=0,77; p=0,006), embora com métodos alimentares semelhantes ao grupo controle, incluindo a aceitação do seio materno, de forma exclusiva (34,9%) ou complementada (58,1%). Conclusão recém-nascidos com microcefalia relacionada ao Zika Vírus utilizaram métodos alimentares semelhantes, incluindo seio materno, aos do grupo sem acometimento. Quanto ao peso, apresentaram valores menores ao nascimento e na alta, apesar de terem um crescimento precoce pós-natal mais rápido que aqueles sem microcefalia.
ABSTRACT Purpose Investigate the form of diet offer, according to the different feeding methods, and describe the weight gain in newborns with microcephaly related to Zika Virus, comparing them with newborns without microcephaly. Methods Retrospective cohort with nested case-control study. Information on gestational age, weight and feeding methods (maternal breast, nasogastric/orogastric tube, bottle and cup) were collected from medical records of 43 newborns with microcephaly due to Zika Virus, matched according to gestational age with 43 newborns without involvement (control group), in a reference maternity hospital in northeastern Brazil. Data were collected from birth to hospital discharge. Outcome measures were weights (at birth and at discharge), weight gain speed, length of hospital stay and feeding methods. Results The microcephaly group had lower weights at birth (D=-1.67; p<0.001), even more likely to be underweight (Phi=0.687; p<0.001), and at discharge (D=-0.87; p=0.006), than the control group. The microcephaly group also showed a higher rate of weight gain (D=0.77; p=0.006), although with eating methods similar to the control group, including acceptance of the mother’s breast, exclusively (34.9%) or complemented (58.1%). Conclusion Newborns with Zika Virus-related microcephaly used similar feeding methods, including maternal breast, to those in the non-affected group. As for weight, they showed lower values at birth and at discharge, despite having a faster postnatal early growth than those without microcephaly.
https://doi.org/10.1590/2317-6431-2020-2395
561 downloads
8.
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
.
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
9.
Estudo de avaliabilidade do Programa Multicêntrico de Qualificação Profissional em Atenção Domiciliar a Distância (PMQPAD)
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Colussi, Claudia Flemming
; Hellmann, Fernando
; Verdi, Marta
; Serapioni, Mauro
; Savassi, Leonardo Cançado Monteiro
; Ferreira, Diego Diz
; Charneski, Eliane Ricardo
; Massignam, Fernando Mendes
; Santos, Luana Silvestre dos
; Baibich, Maria Esther Souza
.
Resumo: Com a implantação da atenção domiciliar no âmbito do Sistema Único de Saúde (SUS), diante da necessidade de capacitação de gestores e profissionais, criou-se o Programa Multicêntrico de Qualificação Profissional em Atenção Domiciliar a Distância (PMQPAD) numa parceria entre a Universidade Aberta do SUS e a Coordenação Geral de Atenção Domiciliar do Ministério da Saúde. Por meio de cursos de especialização, aperfeiçoamento e autoinstrucionais, o programa teve grande capilaridade e alcance no país, com quase 300 mil matrículas distribuídas em todos os estados brasileiros. O objetivo do presente estudo foi estruturar um modelo avaliativo do PMQPAD, por meio de um estudo de avaliabilidade, com a participação dos gestores do programa. Foi utilizada a metodologia desenvolvida por Thurston & Ramaliu, cujas etapas permitiram descrever o programa, representá-lo por meio de um modelo lógico e desenvolver uma matriz avaliativa. Foram realizadas análise documental, entrevistas semiestruturadas e oficinas de consenso para validação do modelo. O processo resultou no desenvolvimento de três matrizes avaliativas, uma para cada modalidade de curso do programa, com quatro dimensões de análise em comum (Características do curso e recursos educacionais; Aspectos institucionais; Resultados; Impactos). Os indicadores avaliativos tiveram, como fontes de dados primários, os alunos, os tutores e os gestores do curso. O estudo contou com a participação dos stakeholders e mostrou-se apropriado para o desenvolvimento da proposta avaliativa. Destaca-se o potencial de utilização das matrizes avaliativas desenvolvidas para a avaliação de outros programas de formação a distância no âmbito do SUS.
Abstract: With the implementation of home care in the Brazilian Unified National Health System (SUS), the need to train administrators and health workers led to the creation of the Multicenter Program for Professional Qualification in Distance Home Care (PMQPAD) in a partnership between the SUS Open University and the General Coordinating Division for Home Care, of the Brazilian Ministry of Health. Through courses in specialization, improvement, and self-instruction, the program achieved wide capillarity and scope in the country, with nearly 300,000 enrollments across all states of Brazil. The current study aimed to structure a model to assess the PMQPAD through an evaluability study with participation by the program’s administrators. We used the methodology developed by Thurston & Ramaliu, the stages of which allowed describing the program, representing it with a log frame model, and developing a evaluation matrix. We conducted document analysis, semi-structured interviews, and consensus workshops for the model’s validation. The process resulted in the development of three evaluation matrices, one for each of the program’s course modalities, with four analytical dimensions in common (Course characteristics and educational resources; Institutional aspects; Results; Impacts). The primary data sources for the evaluation indicators were the students, tutors, and administrators. The study drew on stakeholders’ participation and proved appropriate for the development of the evaluation proposal. The results highlight the potential for use of evaluation matrices developed for the assessment of other distance training programs under the SUS.
Resumen: Con la implantación de la atención domiciliaria en el ámbito del Sistema Único de Salud (SUS), ante la necesidad de la capacitación de gestores y profesionales, se creó el Programa Multicéntrico de Cualificación Profesional en Atención Domiciliaria a Distancia (PMQPAD), en una colaboración entre la Universidad Abierta del SUS y la Coordinación General de Atención Domiciliaria del Ministerio de Salud de Brasil. A través de cursos de especialización, perfeccionamiento y de autoaprendizaje, el programa tuvo una gran capilaridad y alcance en el país, con casi 300 mil matrículas, distribuidas por todos los estados brasileños. El objetivo del presente estudio fue estructurar un modelo evaluativo del PMQPAD, a través de un estudio de disponibilidad, con la participación de los gestores del programa. Se utilizó la metodología desarrollada por Thurston & Ramaliu, cuyas etapas permitieron describir el programa, representarlo a través de un modelo lógico, y desarrollar una matriz evaluativa. Se realizó un análisis documental, entrevistas semiestructuradas y talleres de consenso para la validación del modelo. El proceso resultó en el desarrollo de tres matrices evaluativas, una para cada modalidad de curso del programa, con cuatro dimensiones de análisis en común (Características del curso y recursos educacionales; Aspectos institucionales; Resultados; Impactos). Los indicadores evaluativos tuvieron como fuentes de datos primarios los alumnos, los tutores y los gestores del curso. El estudio contó con la participación de los stakeholders, y se mostró apropiado para el desarrollo de la propuesta evaluativa. Se destaca el potencial de utilización de las matrices evaluativas desarrolladas para la evaluación de otros programas de formación a distancia en el ámbito del SUS.
https://doi.org/10.1590/0102-311x00081920
93 downloads
10.
Efeitos da estimulação gustativa na prontidão oral e estados comportamentais de recém-nascidos
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Medeiros, Andréa Monteiro Correia
; Nascimento Santi, Vinicius do
; Santos, Felipe Batista
; Sá, Thalyta Prata Leite de
; Barreto, Íkaro Daniel Carvalho
; Aquino, Luana Ramos de
; Alves, Stella Andrade
; Nascimento, Rogeris Kayque Barreto do
; Gurgel, Ricardo Queiroz
.
RESUMO Objetivo investigar e comparar comportamentos específicos de prontidão oral e estados comportamentais de recém-nascidos a termo (RNT) e pré-termo (RNPT), a partir da estimulação gustativa (água e sacarose). Métodos estudo experimental, analítico, duplo-cego, caso controle. Participaram 152 recém-nascidos de uma maternidade pública, sendo 68 a termo e 84 pré-termo, subdivididos conforme estímulo gustativo (água ou sacarose). O teste durou 15 minutos, dividido em três períodos de cinco minutos. Foram analisados estados comportamentais e comportamentos específicos. Resultados foram observadas diferenças significativas, comparando os estímulos, com maior tempo nos comportamentos mão-boca direita (p=0,042) e esquerda (p=0,037), e diminuição no tempo de sono (p=0,019) nos RNT estimulados com sacarose. Nos RNPT houve maior tempo de sucção de mão direita (p=0,043) e esquerda (p=0,001) e de sucção (p<0,001), com aumento no tempo de alerta (p=0,025), quando estimulados com sacarose. Houve diminuição de tempo de agitação (p=0,018) em RNPT estimulados com água. RNT apresentaram maior tempo em sono do que os RNPT (p=0,032). A estimulação da sacarose no estado alerta foi mais evidente em RNPT (p=0,047). Conclusão A sacarose eliciou respostas motoras referentes à prontidão para alimentação e estado comportamental favorável para alimentação, independentemente da idade gestacional. Os achados são importantes para a clínica fonoaudiológica, possibilitando ampliar condutas de estimulação da alimentação.
ABSTRACT Purpose To investigate and compare specific oral readiness behavior and behavioral states of term newborns (TNB) and preterm newborns (PTNB) based on taste stimulation (water and sucrose). Methods Experimental, analytical, double-blind, case-control study: 152 newborns from a public maternity hospital participated, 68 of them were term newborns and 84,preterm , divided according to taste stimulus (water or sucrose). The test lasted 15 minutes, divided into three periods of 5 minutes. We evaluated behavioral states and specific behaviors. Results We observed significant difference by comparing stimulations and longer periods of right (p=0.042) and left (p=0.037) hand suction for mouth behavior, shorter sleeping periods (p=0.019) in TNB stimulated with sucrose. In PTNB, we observed longer periods of right hand (p=0.043) and left hand (p=0.001) suction, suction (p<0.001) and alert state (p=0.025) when stimulated with sucrose. We found a decrease in agitation (p=0.018) in PTNB stimulated with water. The TNB were asleep for longer periods of time than PTBN (p=0.032). Sucrose stimulation in alert state is more evident in PTNB (p=0.047). Conclusion Sucrose elicited motor responses related to food readiness and favorable behavioral status for food regardless of gestational age. The findings are important for the speech therapy clinic, enabling broader feeding stimulation approaches.
https://doi.org/10.1590/2317-6431-2020-2413
156 downloads
11.
Differences in children and adolescents with SARS-CoV-2 infection: a cohort study in a Brazilian tertiary referral hospital
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Marques, Heloisa Helena de Sousa
; Pereira, Maria Fernanda Badue
; Santos, Angélica Carreira dos
; Fink, Thais Toledo
; Paula, Camila Sanson Yoshino de
; Litvinov, Nadia
; Schvartsman, Claudio
; Delgado, Artur Figueiredo
; Gibelli, Maria Augusta Bento Cicaroni
; Carvalho, Werther Brunow de
; Odone Filho, Vicente
; Tannuri, Uenis
; Carneiro-Sampaio, Magda
; Grisi, Sandra
; Duarte, Alberto José da Silva
; Antonangelo, Leila
; Francisco, Rossana Pucineli Vieira
; Okay, Thelma Suely
; Batisttella, Linamara Rizzo
; Carvalho, Carlos Roberto Ribeiro de
; Brentani, Alexandra Valéria Maria
; Silva, Clovis Artur
; Eisencraft, Adriana Pasmanik
; Rossi Junior, Alfio
; Fante, Alice Lima
; Cora, Aline Pivetta
; Reis, Amelia Gorete A. de Costa
; Ferrer, Ana Paula Scoleze
; Andrade, Anarella Penha Meirelles de
; Watanabe, Andreia
; Gonçalves, Angelina Maria Freire
; Waetge, Aurora Rosaria Pagliara
; Silva, Camila Altenfelder
; Ceneviva, Carina
; Lazari, Carolina dos Santos
; Abellan, Deipara Monteiro
; Santos, Emilly Henrique dos
; Sabino, Ester Cerdeira
; Bianchini, Fabíola Roberta Marim
; Alcantara, Flávio Ferraz de Paes
; Ramos, Gabriel Frizzo
; Leal, Gabriela Nunes
; Rodriguez, Isadora Souza
; Pinho, João Renato Rebello
; Carneiro, Jorge David Avaizoglou
; Paz, Jose Albino
; Ferreira, Juliana Carvalho
; Ferranti, Juliana Ferreira
; Ferreira, Juliana de Oliveira Achili
; Framil, Juliana Valéria de Souza
; Silva, Katia Regina da
; Kanunfre, Kelly Aparecida
; Bastos, Karina Lucio de Medeiros
; Galleti, Karine Vusberg
; Cristofani, Lilian Maria
; Suzuki, Lisa
; Campos, Lucia Maria Arruda
; Perondi, Maria Beatriz de Moliterno
; Diniz, Maria de Fatima Rodrigues
; Fonseca, Maria Fernanda Mota
; Cordon, Mariana Nutti de Almeida
; Pissolato, Mariana
; Peres, Marina Silva
; Garanito, Marlene Pereira
; Imamura, Marta
; Dorna, Mayra de Barros
; Luglio, Michele
; Rocha, Mussya Cisotto
; Aikawa, Nadia Emi
; Degaspare, Natalia Viu
; Sakita, Neusa Keico
; Udsen, Nicole Lee
; Scudeller, Paula Gobi
; Gaiolla, Paula Vieira de Vincenzi
; Severini, Rafael da Silva Giannasi
; Rodrigues, Regina Maria
; Toma, Ricardo Katsuya
; Paula, Ricardo Iunis Citrangulo de
; Palmeira, Patricia
; Forsait, Silvana
; Farhat, Sylvia Costa Lima
; Sakano, Tânia Miyuki Shimoda
; Koch, Vera Hermina Kalika
; Cobello Junior, Vilson
.
OBJECTIVES: To compare demographic/clinical/laboratory/treatments and outcomes among children and adolescents with laboratory-confirmed coronavirus disease 2019 (COVID-19). METHODS: This was a cross-sectional study that included patients diagnosed with pediatric COVID-19 (aged <18 years) between April 11, 2020 and April 22, 2021. During this period, 102/5,951 (1.7%) of all admissions occurred in neonates, children, and adolescents. Furthermore, 3,962 severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection samples were processed in patients aged <18 years, and laboratory-confirmed COVID-19 occurred in 155 (4%) inpatients and outpatients. Six/155 pediatric patients were excluded from the study. Therefore, the final group included 149 children and adolescents (n=97 inpatients and 52 outpatients) with positive SARS-CoV-2 results. RESULTS: The frequencies of sore throat, anosmia, dysgeusia, headache, myalgia, nausea, lymphopenia, pre-existing chronic conditions, immunosuppressive conditions, and autoimmune diseases were significantly reduced in children and adolescents (p<0.05). Likewise, the frequencies of enoxaparin use (p=0.037), current immunosuppressant use (p=0.008), vasoactive agents (p=0.045), arterial hypotension (p<0.001), and shock (p=0.024) were significantly lower in children than in adolescents. Logistic regression analysis showed that adolescents with laboratory-confirmed COVID-19 had increased odds ratios (ORs) for sore throat (OR 13.054; 95% confidence interval [CI] 2.750-61.977; p=0.001), nausea (OR 8.875; 95% CI 1.660-47.446; p=0.011), and lymphopenia (OR 3.575; 95% CI 1.355-9.430; p=0.010), but also had less hospitalizations (OR 0.355; 95% CI 0.138-0.916; p=0.032). The additional logistic regression analysis on patients with preexisting chronic conditions (n=108) showed that death as an outcome was significantly associated with pediatric severe acute respiratory syndrome (SARS) (OR 22.300; 95% CI 2.341-212.421; p=0.007) and multisystem inflammatory syndrome in children (MIS-C) (OR 11.261; 95% CI 1.189-106. 581; p=0.035). CONCLUSIONS: Half of the laboratory-confirmed COVID-19 cases occurred in adolescents. Individuals belonging to this age group had an acute systemic involvement of SARS-CoV-2 infection. Pediatric SARS and MIS-C were the most important factors associated with the mortality rate in pediatric chronic conditions with COVID-19.
12.
Revisiting hydroxychloroquine and chloroquine for patients with chronic immunity-mediated inflammatory rheumatic diseases
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Reis Neto, Edgard Torres dos
; Kakehasi, Adriana Maria
; Pinheiro, Marcelo de Medeiros
; Ferreira, Gilda Aparecida
; Marques, Cláudia Diniz Lopes
; Mota, Licia Maria Henrique da
; Paiva, Eduardo dos Santos
; Pileggi, Gecilmara Cristina Salviato
; Sato, Emília Inoue
; Reis, Ana Paula Monteiro Gomides
; Xavier, Ricardo Machado
; Provenza, José Roberto
.
Abstract Hydroxychloroquine and chloroquine, also known as antimalarial drugs, are widely used in the treatment of rheumatic diseases and have recently become the focus of attention because of the ongoing COVID-19 pandemic. Rheumatologists have been using antimalarials to manage patients with chronic immune-mediated inflammatory rheumatic diseases for decades. It is an appropriate time to review their immunomodulatory and anti-inflammatory mechanisms impact on disease activity and survival of systemic lupus erythematosus patient, including antiplatelet effect, metabolic and lipid benefits. We also discuss possible adverse effects, adding a practical and comprehensive approach to monitoring rheumatic patients during treatment with these drugs.
https://doi.org/10.1186/s42358-020-00134-8
2393 downloads
13.
Coronary Artery Bypass Graft Surgery Improves Survival Without Increasing the Risk of Stroke in Patients with Ischemic Heart Failure in Comparison to Percutaneous Coronary Intervention: A Meta-Analysis With 54,173 Patients
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Sá, Michel Pompeu Barros Oliveira
; Perazzo, Álvaro Monteiro
; Saragiotto, Felipe Augusto Santos
; Cavalcanti, Luiz Rafael Pereira
; Almeida Neto, Antônio Carlos Escorel
; Campos, Jéssica Cordeiro Siqueira
; Braga, Paulo Guilherme Bezerra
; Rayol, Sérgio da Costa
; Diniz, Roberto Gouvea Silva
; Sá, Frederico Browne Correia Araújo
; Lima, Ricardo Carvalho
.
Brazilian Journal of Cardiovascular Surgery
- Journal Metrics
Abstract Objective: To evaluate whether there is any difference on the results of patients treated with coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) in the setting of ischemic heart failure (HF). Methods: Databases (MEDLINE, Embase, Cochrane Controlled Trials Register [CENTRAL/CCTR], ClinicalTrials.gov, Scientific Electronic Library Online [SciELO], Literatura Latino-americana e do Caribe em Ciências da Saúde [LILACS], and Google Scholar) were searched for studies published until February 2019. Main outcomes of interest were mortality, myocardial infarction, repeat revascularization, and stroke. Results: The search yielded 5,775 studies for inclusion. Of these, 20 articles were analyzed, and their data were extracted. The total number of patients included was 54,173, and those underwent CABG (N=29,075) or PCI (N=25098). The hazard ratios (HRs) for mortality (HR 0.763; 95% confidence interval [CI] 0.678-0.859; P<0.001), myocardial infarction (HR 0.481; 95% CI 0.365-0.633; P<0.001), and repeat revascularization (HR 0.321; 95% CI 0.241-0.428; P<0.001) were lower in the CABG group than in the PCI group. The HR for stroke showed no statistically significant difference between the groups (random effect model: HR 0.879; 95% CI 0.625-1.237; P=0.459). Conclusion: This meta-analysis found that CABG surgery remains the best option for patients with ischemic HF, without increase in the risk of stroke.
https://doi.org/10.21470/1678-9741-2019-0170
574 downloads
14.
Impact of Prosthesis-Patient Mismatch on 1-Year Outcomes after Transcatheter Aortic Valve Implantation: Meta-analysis of 71,106 Patients
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Sá, Michel Pompeu Barros Oliveira
; Cavalcanti, Luiz Rafael Pereira
; Sarargiotto, Felipe Augusto Santos
; Perazzo, Álvaro Monteiro
; Rayol, Sérgio da Costa
; Diniz, Roberto Gouveia Silva
; Sá, Frederico Browne Correia Araújo
; Menezes, Alexandre Motta
; Lima, Ricardo Carvalho
.
Brazilian Journal of Cardiovascular Surgery
- Journal Metrics
Abstract Objectives: This study sought to evaluate the impact of prosthesis-patient mismatch (PPM) on the risk of early-term mortality after transcatheter aortic valve implantation (TAVI). Methods: Databases (Medical Literature Analysis and Retrieval System Online [MEDLINE], Excerpta Medica dataBASE [EMBASE], Cochrane Controlled Trials Register [CENTRAL/CCTR], ClinicalTrials.gov, Scientific Electronic Library Online [SciELO], Latin American and Caribbean Literature on Health Sciences [LILACS], and Google Scholar) were searched for studies published until February 2019. PPM after TAVI was defined as moderate if the indexed effective orifice area (iEOA) was between 0.85 cm2/m2 and 0.65 cm2/m2 and as severe if iEOA ≤ 0.65 cm2/m2. Results: The search yielded 1,092 studies for inclusion. Of these, 18 articles were analyzed, and their data extracted. The total number of patients included who underwent TAVI was 71,106. The incidence of PPM after TAVI was 36.3% (25,846 with PPM and 45,260 without PPM). One-year mortality was not increased in patients with any PPM (odds ratio [OR] 1.021, 95% confidence interval [CI] 0.979-1.065, P=0.338) neither in those with moderate PPM (OR 0.980, 95% CI 0.933-1.029, P=0.423). Severe PPM was separately associated with high risk (OR 1.109, 95% CI 1.041-1.181, P=0.001). Conclusion: The presence of severe PPM after TAVI increased early-term mortality. Although moderate PPM seemed harmless, the findings of this study cannot not rule out the possibility of it being detrimental, since there are other registries that did not address this issue yet.
https://doi.org/10.21470/1678-9741-2019-0073
453 downloads
15.
Medidas antropométricas orofaciais em recém-nascidos a termo
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Medeiros, Andréa Monteiro Correia
; Santos, Késsya Crislayne Ferreira
; Santi, Vinícius do Nascimento
; Santos, Felipe Batista
; Sereno, Berta Raika de Sousa
; Santana, Alline Rosiane Santos de
; Sá, Thalyta Prata Leite de
; Barreto, Íkaro Daniel de Carvalho
; Cattoni, Débora Martins
; Gurgel, Ricardo Queiroz
.
RESUMO Objetivo Descrever e comparar as medidas antropométricas e as proporções orofaciais de recém-nascidos (RNs) a termo saudáveis, segundo o sexo, de uma maternidade pública do estado de Sergipe, Nordeste do Brasil. Método Estudo randomizado descritivo e analítico. Participaram 46 RNs a termo e saudáveis, de ambos os sexos, selecionados aleatoriamente. Foi utilizado paquímetro digital para tomadas das medidas (em milímetros), com os RNs em posição supina e lábios ocluídos. Quatro pesquisadores foram previamente treinados, com cada RN sendo medido duas vezes por uma mesma dupla destes. Os dados foram descritos por meio de frequências simples e percentuais. As diferenças de média foram avaliadas através do Teste de Mann-Whitney, com significância de 5%. Associações foram avaliadas através do teste Exato de Fisher. Foram calculados tamanhos de efeitos D de Cohen. Resultados Foram obtidas diferenças entre os grupos para as medidas antropométricas: terços da face médio (glabela-subnasal ou g-sn) e inferior (subnasal-gnátio ou sn-gn); e alturas do filtro (subnasal-labial superior ou sn-ls), dos lábios superior (subnasal-estômio ou sn-sto) e inferior (estômio-gnátio ou sto-gn), sempre maiores no sexo masculino. As proporções orofaciais estudadas não apresentaram diferenças entre sexos. Conclusão O estudo apontou presença de disformismo sexual para as medidas da face ao nascimento na população nascida em Aracaju, Sergipe.
ABSTRACT Purpose To describe and compare the anthropometric measurements and the orofacial proportions of healthy term newborns (NB) according to sex, from a public maternity hospital in the state of Sergipe, northeastern Brazil. Methods Descriptive and analytical randomized study was carried out. The participants included were 46 randomly selected healthy and full-term RNs of both sexes. A digital caliper was used to measure measurements (in millimeters) with the NB supine and occluded lips. Twice different, previously trained researchers measured each NB. Data were described using simple and percentage frequencies. The mean differences were assessed using the Mann-Whitney test, with a significance of 5%. Associations evaluated by the Fisher Exact test, and Cohen D size effects were calculated. Results Differences were found between the groups for the anthropometric measurements: midface third height (glabella-subnasal or sn-g) and bottom (subnasal-gnathion or sn-gn); and filter heights (upper-lip subnasal or sn-ls), the upper lips (subnasal-estomus or sn-sto), and lower (stomatal-gnathion or sto-gn), which was always greater in males. The orofacial proportions studied did not show differences between sexes. Conclusion The study showed the presence of sexual dimorphism for the measures of the face at birth in the population born in Aracaju, Sergipe.
https://doi.org/10.1590/2317-1782/20192018261
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