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[SciELO Preprints] - Relationship between ultrasound measurement of quadriceps muscle and nutritional status in ICU patients in a high-complexity trauma care hospital
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Danziato-Neto, Milton Alves Caldas, Priscilla Sousa Santos Rêgo, Juliana Magalhães da Cunha Carioca, Antonio Augusto Ferreira Câmara, Cristiane Rodrigues Silva

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Publication date: 2024-01-04

Abstract: En

Introduction Muscle mass assessment of critically ill patients is essential to be part of the nutritional diagnosis in hospital care. Thus, the evaluation of more specific techniques for that purpose is needed. The present study aimed to investigate the association of quadriceps muscle thickness (QMT), measured by ultrasound (US), with the nutritional status of critically ill patients in a referral high-complexity trauma care hospital. Methods A cross-sectional observational study was conducted in the intensive care units (ICUs) in a tertiary hospital in Brazil. The sample comprised 30 critically ill trauma patients admitted between February and March 2022. The methodology involved evaluating muscle mass and comparing nutritional status through mid-upper arm circumference measurements and US assessments. Specifically, the QMT was quantified using US at a predefined site between the iliac crest and the proximal border of the patella. Results The Kruskal-Wallis test indicated variability in QMT between the nutritional status groups, with statistical significance reached after excluding the overweight group (H(2) = 7.532, p = 0.023). The moderate malnutrition group exhibited notably lower QMT. Sensitivity analyses using bootstrap and Monte Carlo methods showed moderate trends toward significance. A positive correlation was found between QMT and mid-upper arm circumference adequacy (p < 0.05), demonstrating fair to moderate correlation (rs = 0.531). Conclusion Significant changes in QMT were detected by ultrasound assessment in moderate malnutrition patients compared to patients of other nutritional statuses. Ultrasound may be a valuable technique for monitoring muscle integrity in critically ill patients.

https://doi.org/10.1590/SciELOPreprints.7782

Traveling Wave-Based Fault Location for Gas Insulated Substations
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Marcelo, Diogo Gonzaga

; Silva, Clailton Leopoldo da

; Martins, Rafael

; Castioni, Júlio Cezar Oliveira

; Lambert-Torres, Germano

; Ribeiro Junior, Ronny Francis

; Campos, Mateus Mendes

; Areias, Isac Antônio dos Santos

; Assunção, Frederico de Oliveira

; Silva, Luiz Eduardo Borges da

Brazilian Archives of Biology and Technology

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2024, Volume 67 elocation e24230514

Abstract: En | Text: En | PDF: En

Abstract With the growing demand for solutions to prevent and resolve faults in gas-insulated substations that affect the operation of the electrical system, a fault simulation laboratory for gas-insulated substations was developed to develop solutions for monitoring and locating these faults. The laboratory is composed of instruments for a fault location system based on traveling wave theory. The laboratory also has computational programs for fault simulation control and signal acquisition, in addition to having tools to analyze the data. The results were obtained through tests carried out that confirmed the laboratory's ability to simulate the operation of faults in gas-insulated substations, which allowed demonstrating the capacity of the fault location system using the theory of traveling waves.

https://doi.org/10.1590/1678-4324-2024230514

Mathematical models for adjustments in the quantification of ammonia volatilization from urea fertilizer applied on tropical pastures
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Longhini, Vanessa Zirondi

; Ítavo, Luís Carlos Vinhas

; Gurgel, Antonio Leandro Chaves

; Cardoso, Abmael da Silva

; Boddey, Robert Michael

; Difante, Gelson dos Santos

; Dias, Alexandre Menezes

; Ítavo, Camila Celeste Brandão Ferreira

; Silva, Gabriel de Souza Lombardi da

; Ruggieri, Ana Claudia

Ciência Rural

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2024, Volume 54 N. 5 elocation e20230230

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

ABSTRACT: In Brazil, urea is the most used nitrogen (N) fertilizer to improve forage production. However, their excessive use can cause environmental impacts through N losses, such as ammonia (NH3) volatilization. Therefore, the current study adjusted and estimated the NH3 volatilization from urea applied on tropical pastures in three rainfall conditions using mathematical models. Data were collected from Marandu grass (Brachiaria brizantha) fertilized with 50 kg N ha-1 during wet, intermediate, and dry conditions. Ammonia volatilization was measured in five semi-open chambers for 21 days. The linear, quadratic, exponential, Gompertz, Groot, and Richards models were tested for fitting and estimating the NH3 volatilization. The Gompertz, Groot, and Richards models generated predictions similar to the observed data, with a high determination coefficient, indicating a better fit of these equations to data, with precision and accuracy. However, the Groot model was selected due to the lowest root mean square error of prediction (0.29 % total N lost as NH3). The greatest N loss as NH3 volatilization occurred in the wet, followed by intermediate and dry conditions (20.2, 17.0, and 11.3 % total N lost as NH3, respectively). Therefore, nitrogen losses as NH3 volatilization after application of 50 kg N ha-1, as urea source, are altered according to the weather conditions, reaching 20% of N added in the wet rainfall period. The Groot model is recommended for fitting and estimating the NH3 volatilization from urea applied on Marandu grass pastures in the wet and dry rainfall conditions.

RESUMO: No Brasil, a ureia é o fertilizante nitrogenado mais utilizado para melhorar a produção de forragem. No entanto, seu uso excessivo pode causar impactos ambientais por meio de perdas de nitrogênio (N), como a volatilização da amônia (NH3). Portanto, o objetivo do presente estudo foi ajustar a volatilização de NH3 da ureia aplicada em pastos tropicais em três condições de chuva utilizando modelos matemáticos. Dados foram coletados de pastos de capim-marandu (Brachiaria brizantha) adubado com 50 kg N ha-1 em condições úmidas, intermediárias e secas. A volatilização da NH3 foi medida em cinco câmaras semiabertas durante 21 dias. Os modelos, linear, quadrático, exponencial, Gompertz, Groot e Richards foram testados para ajuste e estimativa da volatilização do NH3. Os modelos de Gompertz, Groot e Richards geraram predições semelhantes aos dados observados, com alto coeficiente de determinação, indicando um melhor ajuste dessas equações aos dados, com acurácia e precisão. No entanto, o modelo Groot foi selecionado devido ao menor erro quadrático médio das predições (0,29% de N total perdido como NH3). A maior volatilização de NH3 ocorreu em condições climáticas úmida, seguido por intermediária e seca (20,2; 17,0 e 11,3% de N total perdido como NH3, respectivamente). Portanto, as perdas de N como volatilização de NH3 após a aplicação de 50 kg N ha-1, como fonte de ureia, são alteradas de acordo com as condições climáticas, atingindo a 20% do N adicionado nas condições úmidas. O modelo Groot é recomendado para ajuste e estimativa da volatilização de NH3 da ureia aplicada em pastos de capim Marandu em condições úmidas e secas.

https://doi.org/10.1590/0103-8478cr20230230

Chemical quality and bioactive compounds of sweet potatoes under phosphate fertilization
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Oliveira, Pablo H. de A.

; Oliveira, Anna K. S. de

; Coêlho, Ester dos S.

; Silva, Valécia N. S. e

; Lopes, Welder de A. R.

; Santos, Gisele L. dos

; Ribeiro, João E. da S.

; Silva, Antonio G. C. da

; Santos Júnior, José T. dos

; Barros Júnior, Aurélio P.

; Silveira, Lindomar M. da

Revista Brasileira de Engenharia Agrícola e Ambiental

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2024, Volume 28 N. 1 elocation e274451

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

ABSTRACT Sweet potato is among the most important food crops in the world. Due to its high genetic diversity, this species has cultivars that can respond in different ways depending on mineral fertilization. Among the nutrients, phosphorus is related to physiological and biochemical processes that can influence the final quality of the product. This study aimed to assess the influence of P doses on the quality and bioactive compounds of sweet potato cultivars - Paraná, BRS Amélia, and BRS Cuia. The pH, soluble solids (SS), titratable acidity (TA), SS/TA ratio, soluble sugars, and the bioactive compounds - flavonoids, anthocyanins, and carotenoids - were evaluated. The P doses influenced sweet potato cultivars. The dose of 120 kg ha-1 promoted increments in the parameters pH, SS, TA, and SS/TA ratio for the cultivar BRS Cuia. The same dose promoted an increase in total soluble sugars for the cultivar BRS Amélia. P dose of 240 kg ha-1 promoted higher levels of flavonoids and anthocyanins in the cultivar Paraná, and there was an increase in carotenoid content at the dose of 60 kg ha-1.

RESUMO A batata-doce está entre as culturas alimentícias mais importantes do mundo. Por apresentar alta diversidade genética, essa espécie possui cultivares que podem responder de maneiras diferentes em função da adubação mineral. Dentre os nutrientes, o fósforo está relacionado com processos fisiológicos e bioquímicos que podem influenciar na qualidade final do produto. Este estudo teve como objetivo avaliar a influência de doses de P na qualidade e compostos bioativos de cultivares de batata-doce - Paraná, BRS Amélia e BRS Cuia. Foram avaliados o pH, sólidos solúveis (SS), acidez titulável (AT), relação SS/AT, açúcares solúveis e os compostos bioativos - flavonoides, antocianinas e carotenoides. As doses de P influenciaram as cultivares de batata-doce. A dose de 120 kg ha-1 promoveu incrementos nos parâmetros pH, SS, AT e relação SS/AT para a cultivar BRS Cuia. A mesma dose promoveu incrementos nos açúcares solúveis totais para a cultivar BRS Amélia. A dose de 240 kg ha-1 promoveu maiores teores de flavonoides e antocianinas na cultivar Paraná, e houve aumento no teor de carotenoides na dose de 60 kg ha-1.

https://doi.org/10.1590/1807-1929/agriambi.v28n1e274451

Impact of harvest delay on the physiological and sanitary quality of Sorghum sp. seeds
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Martins, Antonio Guimarães

; Zuffo, Alan Mario

; Barrozo, Leandra Matos

; Mezzomo, Ricardo

; Silva, Francisco Charles dos Santos

; Steiner, Fabio

; Santos, Raianara Andrade dos

; Alves, Charline Zaratin

Revista Ciência Agronômica

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2024, Volume 55 elocation e20238802

Abstract: En | Text: En | PDF: En

ABSTRACT Harvest delay can alter the physiological and sanitary quality of sorghum seeds due to the longer exposure time of seeds to adverse environmental conditions in the field. In this study, we investigated the impact of delayed Sorghum sp. harvest on the physiological and sanitary quality of seeds in four hybrids grown in the tropical soil of the Brazilian Cerrado region. Plants from four Sorghum sp. hybrids (IPA SUDAN 4202, BRS 658, BRS 810, and BRS 373) were grown and submitted to four seed harvest periods (0, 7, 14, and 21 days after stage 9 - seed physiological maturity). The treatments were arranged in a completely randomized block design in a 4 × 4 factorial, with four replicates. At each harvest period, the thousand-seed weight, water content, first count of the germination test, germination, seedling emergence, emergence speed index, seedling dry matter, accelerated aging, electrical conductivity, and sanitary quality of seeds were determined. Seeds of higher physiological and sanitary quality of the IPA SUDAN 4202 and BRS 658 sorghum hybrids can be obtained when the harvest is carried out up to 7 days after the physiological maturity stage. However, the delay in seed harvesting at 14 and 21 days after physiological maturity results in a higher incidence of Colletotrichum sp., Curvularia sp., Rhizoctonia sp., and Alternaria sp. on the seeds of these hybrids. Delaying the harvest of sorghum seeds from 7 days after the physiological maturity stage compromises seed vigor and viability and increases the incidence of pathogens.

https://doi.org/10.5935/1806-6690.20230068

Fatores associados a incapacidade funcional após acidente vascular cerebral isquêmico
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Sales, Rilary Silva

; Moraes, Mariana de Almeida

; Muniz, Ludimila Santos

; Jesus, Pedro Antônio de

; Ribeiro, Laís Silva

; Mussi, Fernanda Carneiro

Acta Paulista de Enfermagem

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2024, Volume 37 elocation eAPE00601

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

Abstract Objective To assess the functional disability level and identify associated factors in people after Ischemic Cerebral Vascular Accident. Methods A prospective cohort, carried out in a reference hospital in neurology with 224 people with ischemic stroke. Data collection took place between March and October 2019. Participants were followed up during hospitalization, when sociodemographic and clinical variables were collected using specific instruments and contacted after 90 days, by telephone call, to apply the Modified Barthel Index. In the analysis, descriptive statistics and Pearson’s chi-square test were applied. Statistical significance of 5% was adopted. Results Most had some degree of functional disability (58.5%), with 29.5% having moderate dependence and 29.0% having severe dependence. The variables being female (p=0.011), time of arrival at the reference hospital greater than or equal to 4.5 hours (p=0.017), previous stroke (p=0.031), not having undergone thrombolysis (p=0.023), having high blood pressure (p=0.032) and greater severity estimated by the National Institute of Health Stroke Scale (p=0.000) were associated with a higher disability level. Conclusion Moderate to severe dependence predominated. The severity of the event, previous event, hypertension, non-submission to thrombolysis, delay in arriving at the hospital and female gender were associated with a higher functional disability level.

Resumen Objetivo Evaluar el nivel de incapacidad funcional e identificar los factores asociados en las personas después de un accidente cerebrovascular isquémico. Métodos Cohorte prospectiva, realizada en un hospital de referencia en neurología, con 224 personas con accidente cerebrovascular isquémico. La recopilación de datos se llevó a cabo entre marzo y octubre de 2019. Se acompañó a los participantes durante la internación, momento en que se recopilaron las variables sociodemográficas y clínicas mediante la utilización de instrumentos específicos, y se los contactó 90 días después, por teléfono, para aplicar el Índice de Barthel modificado. En el análisis se aplicó estadística descriptiva y la prueba χ2 de Pearson. Se adoptó significación estadística de 5 %. Resultados La mayoría presentó algún nivel de incapacidad funcional (58,5 %), de los cuales el 29,5 % presentó dependencia moderada y el 29,0 % dependencia severa o grave. Las siguientes variables fueron asociadas a un mayor nivel de incapacidad: sexo femenino (p=0,011), tiempo de llegada al hospital de referencia mayor o igual a 4,5 h (p=0,017), accidente cerebrovascular previo (p=0,031), no haber realizado trombólisis (p=0,023), tener hipertensión arterial (p=0,032) y mayor gravedad estimada por la National Institute of Health Stroke Scale (p=0,000). Conclusión Predominó la dependencia de moderada a grave. La gravedad del evento, evento previo, hipertensión, no realización de trombólisis, retraso de la llegada al hospital y sexo femenino fueron las variables asociadas a un mayor nivel de incapacidad funcional.

Resumo Objetivo Avaliar o nível de incapacidade funcional e identificar os fatores associados em pessoas após Acidente Vascular Cerebral Isquêmico. Métodos Coorte prospectiva, realizada em hospital de referência em neurologia, com 224 pessoas com acidente vascular cerebral isquêmico. A coleta de dados ocorreu entre março a outubro de 2019. Os participantes foram acompanhados durante a internação, quando as variáveis sociodemográficas e clínicas foram levantadas empregando-se instrumentos específicos e contatados após 90 dias, por ligação telefônica, para aplicação do Índice de Barthel modificado. Na análise, aplicou-se estatística descritiva e o teste Qui-quadrado de Pearson. Adotou-se significância estatística de 5%. Resultados A maioria apresentou algum grau de incapacidade funcional (58,5%), sendo que 29,5% apresentaram dependência moderada e 29,0% severa ou grave. As variáveis sexo feminino (p=0,011), tempo de chegada ao hospital de referência maior ou igual a 4,5h (p=0,017), Acidente vascular cerebral prévio (p=0,031), não ter realizado trombólise (p=0,023), ter hipertensão arterial (p=0,032) e maior gravidade estimada pela National Institute of Health Stroke Scale (p=0,000) foram associadas a maior nível de incapacidade. Conclusão Predominou a dependência de moderada a grave. A gravidade do evento, evento prévio, hipertensão, não submissão à trombólise, retardo à chegada ao hospital e sexo feminino foram associados a maior nível de incapacidade funcional.

https://doi.org/10.37689/acta-ape/2024ao000601

Recognize the epidemiological and geospatial profile of the Mobile Emergency Care Service: a strategy to optimize response time
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de Oliveira Santos, Inácia Jordana

; Delgado Milani, Renata

; da Silva Júnior, José Antonio

; de Sousa Sobrinho, Antônio Gomes

; da Silva Peixoto, Filipe

; Cosme do Nascimento, Ellany Gurgel

Revista Cubana de Información en Ciencias de la Salud

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2024, Volume 35 elocation e2455

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

ABSTRACT Epidemiological, cross-sectional, descriptive, retrospective study of a quantitative nature, to trace the epidemiological and geospatial profile of the occurrences assisted by the Mobile Emergency Care Service. For that purpose, secondary data from the documents of the Mobile Emergency Care Service of a city in the interior of Rio Grande do Norte were used, considering the frequency of the variables: sex, age group, nature of occurrences, days of the week, ambulance sent, removal inter-hospital care and patient destination. Of the 363 occurrences, most were due to clinical causes, followed by traumatic, psychiatric, and gynecological/obstetric causes, with an emphasis on cardiovascular diseases and transport accidents. aged 19 to 59 years and over 60 years, with the Basic Support Unit providing the majority of care. Among the calls for clinical causes, women stood out, while for traumatic and psychiatric causes, men. The information contributes to the organization and planning of the service and the understanding of the morbidity profile. The geographic distribution highlights the need for integration between health agencies, for the institution of preventive actions, and the redirection of human and financial resources.

RESUMEN Estudio epidemiológico, transversal, descriptivo, retrospectivo, de carácter cuantitativo que tiene como objetivo trazar el perfil epidemiológico y geoespacial de los incidentes atendidos por el Servicio Móvil de Atención de Urgencias. Para ello se utilizan datos secundarios de dos documentos del Servicio Móvil de Atención de Emergencias de un municipio del interior de Rio Grande do Norte; considera la frecuencia de las variables: sexo, edad, naturaleza de los eventos, días de la semana, ambulancia enviada, retiro interhospitalario y destino del paciente. De los 363 sucesos, la mayoría se debió a causas clínicas, seguidas de causas traumáticas, psiquiátricas y ginecológicas/obstétricas, incluidas las enfermedades cardiovasculares y los accidentes de transporte. La frecuencia de ocurrencia fue ligeramente mayor en individuos masculinos con predominio de mujeres y edades entre los 19 y 59 años y mayores de 60 años; la Unidad Básica de Apoyo fue la responsable de la mayoría de los servicios. Entre los lesionados por causas clínicas destacan las mujeres, mientras que los hombres tienen causas traumáticas y psiquiátricas. Esta información contribuye a la organización y planificación de los servicios y a la comprensión del perfil de morbilidad. La distribución geográfica resalta la necesidad de integración entre las organizaciones de salud para implementar acciones preventivas y redireccionar recursos humanos y financieros.

Motivação ao seguimento terapêutico das doenças cardiovasculares: revisão integrativa
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Pacheco, Haylla Simone Almeida

; Vasconcelos, Beatriz Barros de

; Brito, Leandro Cardozo dos Santos

; Freitas, Antonieldo Araújo de

; Costa, Antonio Werbert Silva da

; Borges, José Wicto Pereira

Enfermería Actual de Costa Rica

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dec 2023, N. 45 elocation 56324

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

Resumo Introdução: As doenças cardiovasculares são uma grande preocupação para a saúde mundial. A falta de seguimento terapêutico dessas doenças está associada com o alto risco de eventos cardiovasculares. Compreender os elementos que motivam essa adesão pode impulsionar a elaboração de intervenções mais efetivas. Objetivo: Identificar os elementos reguladores da motivação ao seguimento terapêutico das doenças cardiovasculares. Metodologia: Trata-se de uma revisão integrativa segundo as diretrizes de Whitemore e Knafl. Realizou-se a seleção dos artigos entre dezembro de 2020 e janeiro de 2021 nas bases de dados: LILACS, SciELO, MEDLINE e Cochrane Library, com recorte temporal de 2011 a 2021, nos idiomas português, inglês e espanhol. Foram excluídos os artigos de revisão, reflexão, guidelines, protocolos de pesquisa e artigos repetidos. 19 estudos foram selecionados. Resultados: Estudos oriundos de 12 países, mostraram os reguladores de motivação ao tratamento das doenças cardiovasculares em cinco categorias: suporte social, saúde física, autodeterminação, reguladores psicoemocionais e sistemas de cuidado. Conclusão: A motivação apresenta regulações complexas, que mobilizam e potencializam o comportamento humano. Os resultados podem direcionar a assistência de enfermagem e as ações intencionais que influenciem no seguimento terapêutico de doenças cardiovasculares, melhorando os resultados de saúde.

Resumen Introducción: Las enfermedades cardiovasculares son una preocupación importante para la salud mundial. La falta de seguimiento terapéutico de estas enfermedades se asocia con un alto riesgo de eventos cardiovasculares. Comprender los elementos que motivan esta adherencia puede impulsar el desarrollo de intervenciones más efectivas. Objetivo: Identificar los elementos reguladores de la motivación para el seguimiento terapéutico de las enfermedades cardiovasculares. Métodos: Se trata de una revisión integradora, siguiendo los lineamientos de Whitemore y Knafl. La selección de artículos se realizó entre diciembre de 2020 y enero de 2021 en las bases de datos LILACS, SciELO, MEDLINE y Cochrane Library. El marco temporal establecido para la selección fue de 2011 a 2021 y los idiomas fueron portugués, inglés y español. Se excluyeron artículos de revisión, reflexiones, guías, protocolos de investigación y artículos repetidos. Se seleccionaron 19 artículos. Resultados: Estudios de 12 países mostraron los reguladores de la motivación para el tratamiento de enfermedades cardiovasculares en cinco categorías: apoyo social, salud física, autodeterminación, reguladores psicoemocionales y sistemas de atención. Conclusión: En esencia, la motivación tiene regulaciones complejas que movilizan y mejoran el comportamiento humano. Los resultados pueden orientar los cuidados de enfermería y las acciones intencionales que influyen en el seguimiento terapéutico de las enfermedades cardiovasculares, mejorando los resultados de salud.

Abstract Introduction: Cardiovascular diseases are a major concern for global health. The lack of therapeutic follow-up for these diseases is associated with a high risk of cardiovascular events. Understanding the elements that motivate this adherence can prompt the development of more effective interventions. Objective: To identify the regulatory elements that regulate the motivation for the therapeutic follow-up of cardiovascular diseases. Methods: This is an integrative review following Whitemore and Knafl's guidelines. The articles were selected between December 2020 and January 2021 in the databases: LILACS, SciELO, MEDLINE and Cochrane Library, with a time frame from 2011 to 2021, in Portuguese, English and Spanish. Review articles, reflections, guidelines, research protocols, and repeated articles were excluded. 19 articles were selected. Results: Studies from 12 countries showed the regulators of motivation for the treatment of cardiovascular diseases in five categories: social support, physical health, self-determination, psycho-emotional regulators and care systems. Conclusion: In essence, motivation has complex regulations that mobilize and enhance human behavior. The results can guide nursing care and intentional actions that influence the therapeutic follow-up of cardiovascular diseases, improving health outcomes.

https://doi.org/10.15517/enferm.actual.cr.i45.51760

Posicionamento do Departamento de Imagem Cardiovascular da Sociedade Brasileira de Cardiologia sobre o Uso do Strain Miocárdico na Rotina do Cardiologista – 2023
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Almeida, André Luiz Cerqueira

; Melo, Marcelo Dantas Tavares de

; Bihan, David Costa de Souza Le

; Vieira, Marcelo Luiz Campos

; Pena, José Luiz Barros

; Del Castillo, José Maria

; Abensur, Henry

; Hortegal, Renato de Aguiar

; Otto, Maria Estefania Bosco

; Piveta, Rafael Bonafim

; Dantas, Maria Rosa

; Assef, Jorge Eduardo

; Beck, Adenalva Lima de Souza

; Santo, Thais Harada Campos Espirito

; Silva, Tonnison de Oliveira

; Salemi, Vera Maria Cury

; Rocon, Camila

; Lima, Márcio Silva Miguel

; Barberato, Silvio Henrique

; Rodrigues, Ana Clara

; Rabschkowisky, Arnaldo

; Frota, Daniela do Carmo Rassi

; Gripp, Eliza de Almeida

; Barretto, Rodrigo Bellio de Mattos

; Silva, Sandra Marques e

; Cauduro, Sanderson Antonio

; Pinheiro, Aurélio Carvalho

; Araujo, Salustiano Pereira de

; Tressino, Cintia Galhardo

; Silva, Carlos Eduardo Suaide

; Monaco, Claudia Gianini

; Paiva, Marcelo Goulart

; Fisher, Cláudio Henrique

; Alves, Marco Stephan Lofrano

; Grau, Cláudia R. Pinheiro de Castro

; Santos, Maria Veronica Camara dos

; Guimarães, Isabel Cristina Britto

; Morhy, Samira Saady

; Leal, Gabriela Nunes

; Soares, Andressa Mussi

; Cruz, Cecilia Beatriz Bittencourt Viana

; Guimarães Filho, Fabio Villaça

; Assunção, Bruna Morhy Borges Leal

; Fernandes, Rafael Modesto

; Saraiva, Roberto Magalhães

; Tsutsui, Jeane Mike

; Soares, Fábio Luis de Jesus

; Falcão, Sandra Nívea dos Reis Saraiva

; Hotta, Viviane Tiemi

; Armstrong, Anderson da Costa

; Hygidio, Daniel de Andrade

; Miglioranza, Marcelo Haertel

; Camarozano, Ana Cristina

; Lopes, Marly Maria Uellendahl

; Cerci, Rodrigo Julio

; Siqueira, Maria Eduarda Menezes de

; Torreão, Jorge Andion

; Rochitte, Carlos Eduardo

; Felix, Alex

Arquivos Brasileiros de Cardiologia

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dec 2023, Volume 120 N. 12 elocation e20230646

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

https://doi.org/10.36660/abc.20230646

10.

Perfil e essencialidade da Enfermagem no contexto da pandemia da COVID-19
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Santos, Betânia Maria Pereira dos

; Gomes, Antonio Marcos Freire

; Lourenção, Luciano Garcia

; Cunha, Isabel Cristina Kowal Olm

; Cavalcanti, Aurilene Josefa Cartaxo de Arruda

; Silva, Manoel Carlos Neri da

; Lopes Neto, David

; Freire, Neyson Pinheiro

Ciência & Saúde Coletiva

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oct 2023, Volume 28 N. 10 Pages 2785 - 2796

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

Resumo A pesquisa tem por objetivo descrever o perfil sociodemográfico e de saúde dos profissionais de enfermagem no contexto da pandemia da COVID-19 e propõe uma análise reflexiva sobre a essencialidade da categoria frente às demandas intrínsecas dos pacientes e do sistema de saúde brasileiro, especialmente, no contexto da emergência de saúde pública deflagrada pelo avanço exponencial do vírus SARS-CoV-2. O estudo revela a relação entre as injustiças históricas e os diferentes tipos de desigualdade que afetam e causam a vulnerabilidade da profissão, com fulcro na apresentação de potenciais perspectivas decorrentes desse processo histórico e dos acontecimentos recentes.

Abstract The present study aims to describe the sociodemographic and health profile of nursing professionals in the context of the COVID-19 pandemic and propose a reflective analysis on the essentiality of the category facing the intrinsic demands of patients and the Brazilian health system, especially in the context of the public health emergency triggered by the exponential advance of the SARS-CoV-2 virus. This study reveals the relationship between historical injustices and the different types of inequality that impacted and caused the vulnerability of the profession, with an emphasis on the presentation of potential perspectives arising from this historical process and recent events.

https://doi.org/10.1590/1413-812320232810.09772023

11.

A precarização jurídica das relações de trabalho como fator de sofrimento das(os) trabalhadoras(es) no setor da saúde durante a pandemia de COVID-19
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Militão, João Batista dos Santos

; Maior, Jorge Luiz Souto

; Silva, Luís Fernando

; Barbosa, Swedenberger do Nascimento

; Machado, Maria Helena

; Gomes, Antônio Marcos Freire

; Barreto, José Cláudio Silva

; Aguiar Filho, Wilson

Ciência & Saúde Coletiva

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oct 2023, Volume 28 N. 10 Pages 2797 - 2807

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

Resumo O artigo analisou o processo de precarização das relações de trabalho no setor da saúde, demonstrando como essa situação gerou sofrimento dos trabalhadores. O texto buscou registrar como a adoção institucional das concepções econômicas neoliberais, de redução das políticas sociais de Estado, acopladas a um histórico de rejeição cultural aos direitos trabalhistas, proporcionou a atração dos mecanismos de precarização do trabalho, notadamente, a terceirização da mão de obra e da prestação de serviços. No segundo momento, o texto aponta as impropriedades jurídicas cometidas, apresentando as consequências da fragilização do vínculo jurídico nas condições de trabalho desses trabalhadores, principalmente no que se refere às jornadas de trabalho e a remuneração, destacando-se, também, o quanto a disseminação desses vínculos representou um fator de rebaixamento geral dos salários e direitos trabalhistas e previdenciários no setor. Foram apresentados, ainda, dados das pesquisas da Fiocruz sobre condições de trabalho durante a pandemia. Conclui mostrando a urgência de se resgatarem os institutos jurídicos trabalhistas que foram abandonados no percurso histórico estudado, para direcionar a novo rumo as políticas públicas na saúde.

Abstract The present article analyzed the process of precarious work relations in the health sector, demonstrating how this situation generated illness and suffering among workers. The text sought to register how the institutional adoption of neoliberal economic conceptions, of the reduction of State social policies, coupled with a history of cultural rejection of labor rights, provided the attraction of mechanisms of precarious work for the public sector, notably, the outsourcing of labor and the provision of services. In a second moment, the text points out the legal improprieties committed, presenting the consequences of the weakening of the legal bond in the working conditions of these workers, mainly regarding working hours and remuneration, also highlighting how much the dissemination of these links represented a factor of a general reduction in wages and labor and social security rights in the sector. Data from Fiocruz surveys on working conditions during the pandemic were also presented. The article concludes by showing the urgency of rescuing the legal labor institutes that were abandoned in the historical path studied in order to guide the public health policies in a new direction.

https://doi.org/10.1590/1413-812320232810.10212023

12.

Brazilian Society of Otology task force - Otosclerosis: evaluation and treatment
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Silva, Vagner Antonio Rodrigues

; Pauna, Henrique Furlan

; Lavinsky, Joel

; Guimarães, Guilherme Corrêa

; Abrahão, Nicolau Moreira

; Massuda, Eduardo Tanaka

; Vianna, Melissa Ferreira

; Yudi Ikino, Cláudio Márcio

; Santos, Vanessa Mazanek

; Polanski, José Fernando

; Silva, Maurício Noschang Lopes da

; Sampaio, André Luiz Lopes

; Zanini, Raul Vitor Rossi

; Lourençone, Luiz Fernando Manzoni

; Denaro, Mariana Moreira de Castro

; Calil, Daniela Bortoloti

; Chone, Carlos Takahiro

; Castilho, Arthur Menino

Brazilian Journal of Otorhinolaryngology

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oct 2023, Volume 89 N. 5 elocation 101303

Abstract: En | Text: En | PDF: En

Abstract Objectives: To review and provide evidence-based recommendations for the diagnosis and treatment of otosclerosis. Methods: Task force members were educated on knowledge synthesis methods, including electronic database search, review and selection of relevant citations, and critical appraisal of selected studies. Articles written in English or Portuguese on otosclerosis were eligible for inclusion. The American College of Physicians’ guideline grading system and the American Thyroid Association’s guideline criteria were used for critical appraisal of evidence and recommendations for therapeutic interventions. Results: The topics were divided into 2 parts: 1) Diagnosis – audiologic and radiologic; 2) Treatment – hearing AIDS, pharmacological therapy, stapes surgery, and implantable devices - bone-anchored devices, active middle ear implants, and Cochlear Implants (CI). Conclusions: The pathophysiology of otosclerosis has not yet been fully elucidated, but environmental factors and unidentified genes are likely to play a significant role in it. Women with otosclerosis are not at increased risk of worsening clinical condition due to the use of contraceptives or during pregnancy. Drug treatment has shown little benefit. If the patient does not want to undergo stapedotomy, the use of hearing aids is well indicated. Implantable systems should be indicated only in rare cases, and the CI should be indicated in cases of profound deafness.

https://doi.org/10.1016/j.bjorl.2023.101303

13.

Perfil e essencialidade da Enfermagem no contexto da pandemia da COVID-19
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Santos, Betânia Maria Pereira dos

; Gomes, Antonio Marcos Freire

; Lourenção, Luciano Garcia

; Cunha, Isabel Cristina Kowal Olm

; Cavalcanti, Aurilene Josefa Cartaxo de Arruda

; Silva, Manoel Carlos Neri da

; Lopes Neto, David

; Freire, Neyson Pinheiro

Ciência & Saúde Coletiva

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oct 2023, Volume 28 N. 10 Pages 2785 - 2796

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

https://doi.org/10.1590/1413-812320232810.09772023

14.

A precarização jurídica das relações de trabalho como fator de sofrimento das(os) trabalhadoras(es) no setor da saúde durante a pandemia de COVID-19
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Militão, João Batista dos Santos

; Maior, Jorge Luiz Souto

; Silva, Luís Fernando

; Barbosa, Swedenberger do Nascimento

; Machado, Maria Helena

; Gomes, Antônio Marcos Freire

; Barreto, José Cláudio Silva

; Aguiar Filho, Wilson

Ciência & Saúde Coletiva

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oct 2023, Volume 28 N. 10 Pages 2797 - 2807

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

https://doi.org/10.1590/1413-812320232810.10212023

15.

Predictive histopathological factors of nodal metastasis in penile cancer
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Campos, Marcos Adriano Garcia

; Teixeira Júnior, Antonio Augusto Lima

; Calixto, José de Ribamar Rodrigues

; Larges, Joyce Santos

; Pinho, Jaqueline Diniz

; Silva, Gyl Eanes Barros

International braz j urol

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oct 2023, Volume 49 N. 5 Pages 628 - 636

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2022.0640

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