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Ozone disinfection for viruses with applications in healthcare environments: a scoping review
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IRIE, Milena Suemi

; DIETRICH, Lia

; SOUZA, Gabriela Leite de

; SOARES, Priscilla Barbosa Ferreira

; MOURA, Camilla Christian Gomes

; SILVA, Gisele Rodrigues da

; PARANHOS, Luiz Renato

Brazilian Oral Research

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2022, Volume 36 elocation e006

Abstract: En | Text: En | PDF: En

Abstract The aim of this scoping review was to provide sufficient information about the effectiveness of ozone gas in virus inactivation of surfaces and objects under different environmental conditions. The review was performed according to the list of PRISMA SrC recommendations and the JBI Manual for Evidence Synthesis for Scoping Reviews. The review was registered in Open Science Framework (OSF). EMBASE (Ovid), Lilacs, LIVIVO, MEDLINE (PubMed), SciELO, Scopus and Web of Science were primary sources, and “gray literature” was searched in OpenGray and OpenThesis. A study was included if it reported primary data on the effect of ozone gas application for vehicle-borne and airborne virus inactivation. No language or publication date restriction was applied. The search was conduct on July 1, 2020. A total of 16,120 studies were screened, and after exclusion of noneligible studies, fifteen studies fulfilled all selection criteria. Application of ozone gas varied in terms of concentration, ozone exposure period and the devices used to generate ozone gas. Twelve studies showed positive results for inactivation of different virus types, including bacteriophages, SARS-CoV-2 surrogates and other vehicle-borne viruses. Most of the studies were classified as unclear regarding sponsorship status. Although most of the population has not yet been vaccinated against COVID-19, disinfection of environments, surfaces, and objects is an essential prevention strategy to control the spread of this disease. The results of this Scoping Review demonstrate that ozone gas is promising for viral disinfection of surfaces.

https://doi.org/10.1590/1807-3107bor-2022.vol36.0006

Whole-plant soybean ensiling with chitosan and homolactic microbial inoculant: fermentative profile, aerobic stability, and sheep intake and digestibility
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Gandra, Jefferson Rodrigues

; Del Valle, Tiago Antônio

; Pause, Alzira Gabriela da Silva

; Pedrini, Cibeli Almeida

; Oliveira, Euclides Reuter de

; Goes, Rafael Henrique de Tonissi e Buschinelli de

; Oliveira, Kelly Mari Pires de

; Batista, Jamille Débora de Oliveira

; Antonio, Giovani

; Noia, Isabelle Zocolaro

; Acosta, Anderson

Revista Brasileira de Saúde e Produção Animal

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2022, Volume 23 elocation e2220502022

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

ABSTRACT This study aimed to evaluate the effects of chitosan and homolactic microbial inoculant on fermentative losses, chemical composition, fermentative profile, and aerobic stability of whole-plant soybean silage (WPSS). Additionally, it was evaluated nutrients intake and digestibility of sheep fed increasing levels of WPSS. Thirty experimental silos were randomly allocated to one of the following treatments: 1) CON: control, WPSS without additives; 2) LPPA: WPSS with Lactobacillus plantarum and Pediococcus acidilactici; and 3) CHI: chitosan, WPSS with 5 g/kg of chitosan. Ten male sheep were used to evaluate increasing dietary levels of WPSS: 0, 200, 400, 600, and 800 g/kg of diet dry matter (DM). Additives increased silage lactic acid bacteria and decreased the count of mold and yeast, gas, and total losses. Silages treated with additives had lower pH, NH3-N, and ethanol concentrations and higher lactic and propionic acids relative to CON. LPPA-treated silos showed higher organic matter and non-fiber carbohydrates content than CHI-ones. Additives increased the aerobic stability of WPSS. The addition of WPSS in sheep diets linearly increased nutrients intake and digestibility. Chitosan and LPPA improve WPSS fermentation, aerobic stability, and nutritional value. The WPSS in substitution to Cynodon hay increases sheep feed intake and nutrients digestibility.

RESUMO Este estudo objetivou avaliar os efeitos da adição de quitosana e inoculante homolático sobre as perdas fermentativas, composição química, perfil fermentativo e estabilidade aeróbia da silagem de planta inteira de soja (SPIS). Em adição, foi avaliado o consumo e a digestibilidade de nutrientes em ovinos alimentados com dietas contendo níveis crescentes de SPIS. Trinta silos experimentais foram aleatoriamente alocados a um dos seguintes tratamentos: 1) CON: controle, SPIS sem aditivos; 2) LPPA: SPIS com Lactobacillus plantarum e Pediococcus acidilactici; e 3) QUI: quitosana, SPIS com 5 g/kg de quitosana. Dez ovinos machos foram usados para avaliar os níveis dietéticos de SPIS: 0, 200, 400, 600 e 800 g/kg da matéria seca (MS). Os aditivos aumentaram a contagem de bactérias láticas e reduziram a contagem de fungos e leveduras e as perdas fermentativas totais da SPIS. Silagens tratadas com aditivos tiveram menores pH, N-NH3 e etanol e maiores concentrações de ácido lático e propiônico, quando comparadas ao tratamento controle. Silos tratados com LPPA apresentaram maiores teores de matéria orgânica e carboidratos não fibrosos do que aqueles do tratamento QUI. Os aditivos aumentaram a estabilidade aeróbia da SPIS. A adição de SPIS na dieta de ovinos aumentou linearmente o consumo e a digestibilidade dos nutrientes. Quitosana e inoculante microbiano homolático melhoram a fermentação, estabilidade aeróbia e o valor nutricional da SPIS. A substituição de feno de Cynodon por SIPS aumenta o consumo e a digestibilidade dos nutrientes em ovinos.

https://doi.org/10.1590/s1519-99402220502022

Neonatal visits in the first week of life in primary care: low prevalence and related factors
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Oscar, Marina Cecília Belotti

; Simão, Delma Aurélia da Silva

; Ribeiro, Gabriela de Cássia

; Vieira, Ed Wilson Rodrigues

Revista Brasileira de Enfermagem

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2022, Volume 75 N. 4 elocation e20210295

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

RESUMO Objetivos: identificar a prevalência e fatores relacionados ao acesso à consulta neonatal na primeira semana de vida no Brasil. Métodos: análise de dados secundários de inquérito nacional transversal com 14.133 mães usuárias de serviços de atenção primária. Utilizou-se qui-quadrado de Pearson para analisar a prevalência de acesso a consulta e regressão de Poisson para analisar fatores relacionados, considerando razão de prevalência (RP) e intervalos de confiança (IC95%). Resultados: a prevalência de acesso foi de 63,0% no Brasil. Filhos de mães com idade entre 30-39 anos (RP=1,065; IC=1,029-1,103) e de mães solo (RP=1,021; IC=1,00-1,042) tiveram maior prevalência de acesso. Crianças da região Norte apresentaram menor prevalência de acesso em relação a crianças das demais regiões. Conclusões: identificamos baixa prevalência de acesso a consulta neonatal na primeira semana de vida nos serviços de atenção primária e, dentre os fatores relacionados, identificamos a região de residência e a idade e estado civil materno.

ABSTRACT Objectives: to identify the prevalence of and factors related to access to neonatal consultation in the first week of life, in Brazil. Methods: a secondary data analysis from a national cross-sectional survey involving 14,133 mothers from primary care services. Pearson chi-square was used to analyze the prevalence of access to appointment and Poisson regression to analyze related factors, considering prevalence ratio (PR) and confidence intervals (95%CI). Results: the prevalence of healthcare visits was 63.0% in Brazil. Children of mothers, aged 30-39 years (PR=1.065; CI=1.029-1.103), and of single mothers (PR=1.021; CI=1.00-1.042) had higher prevalence of access. Children from the northern region of Brazil had a lower prevalence of healthcare visits compared to children from other regions. Conclusions: low prevalence of access to neonatal visits was identified in the first week of life in primary care services; the region of residence, maternal age, and marital status were identified among the related factors.

RESUMEN Objetivos: identificar la prevalencia y los factores relacionados de acceso a la consulta neonatal en la primera semana de vida en el Brasil. Métodos: análisis de datos secundarios de investigación nacional transversal con 14.133 madres que usan los servicios de atención primaria. Se utilizó qui-cuadrado de Pearson para analizar la prevalencia del acceso a la consulta y la regresión de Poisson para analizar los factores relacionados, considerando la razón de prevalencia (RP) e intervalos de confianza (IC95%). Resultados: a prevalencia de acceso fue de 63,0% en Brasil. Hijos de madres con edad entre 30-39 años (RP=1,065; IC=1,029-1,103) y de madres solteras (RP=1,021; IC=1,00-1,042) tuvieron mayor prevalencia de acceso. Niños de la región Norte presentaron menor prevalencia de acceso en relación a los niños de las demás regiones. Conclusiones: identificamos baja prevalencia de acceso a la consulta neonatal en la primera semana de vida en los servicios de atención primaria y entre los factores relacionados, identificamos la región de residencia, la edad y el estado civil materno.

https://doi.org/10.1590/0034-7167-2021-0295

Nutritional value of Brazilian mangrove mussel (Mytella falcata) burger supplemented with refined or herb salts
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LIRA, Giselda Macena

; LOPEZ, Ana Maria Queijeiro

; NANES, Gabriela Marques de Farias

; SANTOS, Caroliny Fenandes de Melo

; RAMOS, Gabriela Mendonça

; Silva, Fernanda Geny Calheiros

; Guedes, Cíntia Karla Rodrigues do Monte

; NASCIMENTO, Ticiano Gomes do

Food Science and Technology

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2022, Volume 42 elocation e06621

Abstract: En | Text: En | PDF: En

Abstract The mangrove mussel Mytella falcata (d'Orbigny, 1846), synonym of M. charruana (d'Orbigny, 1842), has a good nutritional, functional and low cost value. The effect of refined or herb salts in the preparation of sururu burger was evaluated through the determination of proximate composition, cholesterol content, fatty acid profile and acceptability index. In herbs, phenols were evaluated. In both formulations, the protein content was above the minimum limit (15%) required by the Food Brazilian law, while the fat percentage was lower than the stablished (5%). Due to oxidation reactions, the total cholesterol content in the preparations supplemented with refined salt was significant lower (p ≤ 0.05) than that in the burgers without salt supplementation or with the herb salt. The fatty acids were more preserved in the preparation with herb salt, once the herbs are rich in phenols with high antioxidant capacity. Oregano had a significant higher content of total phenols (p ≤ 0.05), compared to rosemary and parsley. In relation to the flavor, as the Brazilian public is more adapted to more salty formulations, the acceptability index of the formulation with refined salt was significantly higher (p ≤ 0.05).

https://doi.org/10.1590/fst.06621

Checklist of the dipterofauna (Insecta) from Roraima, Brazil, with special reference to the Brazilian Ecological Station of Maracá
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Riccardi, Paula Raile

; Fachin, Diego Aguilar

; Ale-Rocha, Rosaly

; Amaral, Edna Maria

; Amorim, Dalton de Souza

; Gil-Azevedo, Leonardo Henrique

; Capellari, Renato Soares

; Carmo, Daniel Dias Dornelas do

; Carvalho, Claudio José Barros de

; Ferro, Gustavo Borges

; Flores, Heloísa Fernandes

; Gomes, Lucas Roberto Pereira

; Gottschalk, Marco Silva

; Lamas, Carlos José Einicker

; Lampert, Silvana

; Marinho, Marco Antonio Tonus

; Marques, Dayse Willkenia Almeida

; Mello, Ramon Luciano

; Mello-Patiu, Cátia Antunes de

; Menezes, Marco Antônio

; Morales, Mírian Nunes

; Oliveira, Sarah Siqueira de

; Pereira, Thalles Platiny Lavinscky

; Pereira-Colavite, Alessandre

; Pirani, Gabriela

; Rafael, José Albertino

; Santos, Josenilson Rodrigues dos

; Savaris, Marcoandre

; Schelesky-Prado, Daniel de Castro

; Silva, Vera Cristina

; Sousa, Viviane Rodrigues de

; Urso-Guimarães, Maria Virginia

; Vargas, Laura Viana

; Yamaguchi, Carolina

; Falaschi, Rafaela Lopes

Papéis Avulsos de Zoologia

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2022, Volume 62 elocation e202262014

Abstract: En | Text: En | PDF: En

Abstract Roraima is a Brazilian state located in the northern portion of the Amazon basin, with few studies regarding its biodiversity. The Ecological Station of Maracá (Brazil, state of Roraima) harbors the third largest Brazilian pluvial island and is composed of a transitional landscape of savanna and Amazon rainforest components. Despite its ecological importance and strategic localization, few studies covered the dipterofauna of this locality. An updated checklist addressing 41 families of true flies (Diptera) occurring in Roraima is presented based on the literature and the specimens collected during a field expedition that occurred in 2015. This checklist brings several improvements such as new records of 165 taxa to the state of Roraima, 29 taxa to Brazil, and 259 morphotypes, mostly likely representing undescribed species.

https://doi.org/10.11606/1807-0205/2022.62.014

O Coração de Pacientes Pediátricos com COVID-19: Novos Insights a Partir de um Estudo Ecocardiográfico Sistemático em um Hospital Terciário no Brasil
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Diniz, Maria de Fátima Rodrigues

; Cardoso, Maira Freire

; Sawamura, Karen Saori Shiraishi

; Menezes, Carolina Rocha Brito

; Lianza, Alessandro Cavalcanti

; Pereira, Maria Fernanda Badue

; Litvinov, Nadia

; Ferranti, Juliana Ferreira

; Forsait, Silvana

; Watanabe, Andreia

; Farhat, Sylvia Costa Lima

; Aikawa, Nadia Emi

; Campos, Lucia Maria Arruda

; Delgado, Artur Figueiredo

; Carneiro-Sampaio, Magda

; Carvalho, Werther Brunow de

; Silva, Clovis Artur

; Leal, Gabriela Nunes

Arquivos Brasileiros de Cardiologia

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nov 2021, Volume 117 N. 5 Pages 954 - 964

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

Abstract Background COVID-19 pandemic represents a huge burden to the health system in the world. Although pediatric COVID-19 patients have been relatively spared compared with adults, recent reports showed an increasing number of critically ill patients with multisystemic inflammatory syndrome in children (MIS-c), with marked cardiovascular impairment. Nevertheless, little is known about the relationship between cardiac abnormalities and inflammatory and coagulation biomarkers. Objectives to investigate echocardiographic abnormalities in pediatric patients with COVID-19 admitted to tertiary hospital. Methods this was a retrospective longitudinal study, based on the review of medical records and echocardiograms of patients (0-19 years) admitted to a tertiary hospital between March 30 and June 30, 2020. For statistical analysis, the significance level was set at 5% (p < 0.05). Results Forty-eight patients were enrolled, 73% with preexisting diseases, 20 (41.7%) with MIS-c. Median age was 7.5 (0-18.6) years; 27 (56.2%) were male. Median duration of hospitalization was 15.4 (2-92) days and seven (14.6%) patients died. A total of 70 echocardiograms were performed; 66.7% patients were scanned only once and 33.3% multiple times. Twenty-three (48%) patients showed echocardiographic abnormalities: eight (16.6%) left ventricle (LV) systolic dysfunction, six (12.5%) right ventricle (RV) systolic dysfunction and 12 (25%) coronary dilatation (Z-score>+2.5). Echocardiographic abnormalities were significantly associated with MIS-c, admission to the pediatric intensive care unit, multiple organ dysfunction, ventilatory/vasoactive support, and death (p<0.05). Significantly higher d-dimer (ng/mL) levels were detected in patients with LV dysfunction [16733(4157-115668) vs. 2406.5(190-95040)], RV dysfunction [25769(3422-115668) vs. 2803.5(190-95040)] and coronary artery dilation [9652.5(921-115668) vs. 2724(190- 95040)] (p<0.05). Conclusion Echocardiographic abnormalities in COVID-19 pediatric patients were frequent and associated with worse clinical outcomes. Exacerbation of the inflammation and coagulation pathways may play an important role in cardiovascular injury in those patients.

Resumo Fundamento A pandemia da COVID-19 representa uma enorme carga para o sistema de saúde do mundo. Apesar de pacientes pediátricos terem sido relativamente poupados em comparação a adultos, estudos recentes mostraram um número crescente de pacientes críticos com Síndrome Inflamatória Multisistêmica Pediátrica (SIM-P) com disfunção cardiovascular importante. No entanto, pouco se conhece a respeito da relação entre anormalidades cardíacas e biomarcadores inflamatórios e de coagulação. Objetivos Investigar anormalidades ecocardiográficas em pacientes pediátricos com COVID-19 admitidos em um hospital terciário. Métodos Este foi um estudo longitudinal retrospectivo, baseado na revisão de prontuários médicos e ecocardiogramas de pacientes (0-19 anos) admitidos em um hospital terciário entre 30 de março e 30 de junho de 2020. Para a análise estatística, o nível de significância foi estabelecido em 5% (p<0,05). Resultados Foram incluídos 48 pacientes, 73% com doenças pré-existentes, 20 (41,7%) com SIM-P. A idade mediana foi 7,5 (0-18,6) anos; 27 (56,2%) eram do sexo masculino. A duração mediana de internação foi 15,4 (2-92) dias e sete (14,6%) pacientes morreram. Um total de 70 ecocardiografias foram realizadas, 66,7% submeteram-se ao exame somente uma vez, e 33,3% várias vezes. Vinte e três (48%) pacientes apresentaram anormalidades no ecocardiograma: oito (16.6%) disfunção sistólica do ventrículo esquerdo, seis (12.5%) disfunção sistólica do ventrículo direito, e 12 (25%) dilatação da artéria coronária (Z-score>+2,5). Anormalidades ecocardiográficas foram significativamente associadas com SIM-P, admissão na unidade de terapia intensiva pediátrica, suporte ventilatório/vasoativo, e morte ( p <0,05). Níveis significativamente mais altos de d-dímero (ng/mL) foram detectados em pacientes com disfunção ventricular esquerda [16733(4157-115668) vs. 2406.5(190-95040)], disfunção ventricular direita [25769(3422-115668) vs. 2803.5(190-95040)] e dilatação da artéria coronária [9652.5(921-115668) vs. 2724(190- 95040)] (p<0,05). Conclusão Anormalidades ecocardiográficas eram frequentes nos pacientes pediátricos com COVID-19 e associadas com piores desfechos clínicos. Exacerbação das vias de inflamação e coagulação pode exercer um importante papel na lesão cardiovascular nesses pacientes.

https://doi.org/10.36660/abc.20200920

MAJOR DEPRESSIVE DISORDER IS ASSOCIATED WITH TYPE 2 DIABETES IN PATIENTS WITH CHRONIC HEPATITIS C INFECTION
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CUNHA, Luciana Rodrigues da

; CASTRO, Maria Carolina Magalhães de

; DUARTE, Gabriela Silva

; NASCIMENTO, Graziela Cançado e

; ROCHA, Gifone Aguiar

; SILVA, Luciana Diniz

Arquivos de Gastroenterologia

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oct 2021, Volume 58 N. 4 Pages 476 - 482

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

ABSTRACT BACKGROUND: Major depressive disorder (MDD) is commonly reported in patients with chronic hepatitis C (CHC); however, the factors behind the co-occurrence of these conditions have not been completely clarified yet. OBJECTIVE: We aimed to evaluate the frequency of mental disorders in CHC patients and to investigate variables associated with MDD. METHODS: CHC patients (n=151) attending a referral Centre for hepatitis were evaluated using the Mini-International Neuropsychiatry Interview and the Cut-Annoyed-Guilty-Eye (CAGE) Questionnaire. Multivariate analysis was used to evaluate independent covariates associated with current MDD. RESULTS: Seventy-six (50.3%) patients had, at least, one current psychiatric diagnosis with MDD (33.1%) being the most common. Current MDD was independently associated with age (≤50 yr.) (OR=2.57; 95%CI=1.25-5.29; P=0.01) and type 2 diabetes mellitus (OR=2.80, 95%CI=1.17-6.70; P=0.02). Cirrhosis was associated with type 2 diabetes mellitus (OR=5.09; 95%CI=1.73-15.04; P=0.03) and current alcohol abuse/dependence (OR=2.54; 95%CI=1.04-6.22; P=0.04). DISCUSSION: MDD is associated with type 2 diabetes in CHC patients. Even in the direct-acting antivirals (DAAs) era, characterized by great perspectives for the first ample cure of a chronic viral infection, we should ensure that the screening for psychiatric disorders takes place in the course of routine clinical care of patients chronically infected with hepatitis C virus.

RESUMO CONTEXTO: O transtorno depressivo maior (TDM) é comumente detectado em pacientes com hepatite C crônica. Entretanto, fatores potencialmente associados à coocorrência destas condições não são completamente conhecidos. OBJETIVO: Avaliar a frequência de transtornos mentais em pacientes com hepatite C crônica e investigar variáveis associadas ao TDM. MÉTODOS: Pacientes com hepatite C crônica (n=151) atendidos em um centro de referência para hepatite foram avaliados usando o Mini-International Neuropsychiatry Interview e o questionário Cut-Annoyed-Guilty-Eye (CAGE). Análise multivariada foi usada para avaliar as covariáveis independentes associadas ao TDM atual. RESULTADOS: Setenta e seis (50,3%) pacientes apresentaram pelo menos um diagnóstico psiquiátrico atual; dentre eles destaca-se o TDM (33,1%). TDM atual foi independentemente associado à idade (≤50 anos) (OR=2,57; IC95% = 1,25-5,29; P=0,01) e diabetes mellitus tipo 2 (OR=2,80, IC95% = 1,17-6,70; P=0,02). Cirrose foi associada ao diabetes mellitus tipo 2 (OR=5,09; IC95% = 1,73-15,04; P=0,03) e abuso/dependência de álcool atual (OR=2,54; IC95% = 1,04-6,22; P=0,04). DISCUSSÃO: TDM está associado a diabetes tipo 2 em pacientes com hepatite C crônica. Em vigência da era dos antivirais de ação direta, caracterizada por grandes perspectivas para a primeira cura ampla de uma infecção viral crônica, devemos assegurar que a triagem dos transtornos psiquiátricos ocorra durante o atendimento clínico de rotina de pacientes com infecção crônica pelo vírus da hepatite C.

https://doi.org/10.1590/s0004-2803.202100000-86

Caos, organização e criatividade: revisão integrativa sobre as Redes de Atenção à Saúde
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Tofani, Luís Fernando Nogueira

; Furtado, Lumena Almeida Castro

; Guimarães, Cristian Fabiano

; Feliciano, Deize Graziele Conceição Ferreira

; Silva, Gabriela Rodrigues da

; Bragagnolo, Larissa Maria

; Andreazza, Rosemarie

; Chioro, Arthur

Ciência & Saúde Coletiva

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oct 2021, Volume 26 N. 10 Pages 4769 - 4782

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

Abstract Since 2010, the organization of the Brazilian Unified Health System has as its main model the Health Care Networks, based on the Integrated Health Service Networks recommended by the Pan American Health Organization. This study aims to analyze the scientific production on Health Care Networks the integrative literature review method. The research was conducted in databases using the descriptors: Health Care Network and its counterparts in Portuguese and Spanish. A total of 27 articles were selected, including conceptual studies, case reports, implementation analyses and evaluation studies. The analysis of the publications evidenced five cores of meaning: the Health Care Network paradigm; Primary Care as network coordinator; regionalization, networks and regional governance; network care; and challenges for implementation. The results of this review point to two central questions: how to overcome the fragmentation of care, ensuring integrality, composing health care networks from distinct theoretical conceptions? And how can the production of care networks impact inter-federative relations, the financing process, the access to the system and the quality of health care processes?

Resumo A partir de 2010 a organização do Sistema Único de Saúde tem como principal modelo as Redes de Atenção à Saúde (RAS), fundamentadas nas Redes Integradas de Serviços de Saúde preconizadas pela Organização Panamericana de Saúde. Este estudo tem como objetivo analisar a produção científica sobre as RAS através do método de revisão integrativa da literatura. A pesquisa deu-se em bases de dados utilizando-se dos descritores: Rede de Atenção à Saúde e seus congêneres em inglês e espanhol. Foram selecionados 27 artigos incluindo estudos conceituais, relatos de casos, análises de implementação e estudos de avaliação. A análise das publicações evidenciou cinco núcleos de sentido: O paradigma das RAS; A Atenção Básica como coordenadora das RAS; Regionalização, redes e governança regional; O cuidado em rede; e, Desafios para implementação das RAS. Os resultados dessa revisão apontam para duas questões centrais: Como superar a fragmentação do cuidado, garantindo a integralidade, compondo as redes de atenção à saúde a partir de concepções teóricas distintas? E, como a produção das redes de cuidado pode impactar nas relações interfederativas, no processo de financiamento, no acesso ao sistema e na qualidade dos processos de cuidado em saúde?

https://doi.org/10.1590/1413-812320212610.26102020

Sweet’s syndrome during induction chemotherapy for acute myeloid leukemia – case report and mini review
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Fonseca, Gabriela Spacek da

; Pinto, Ana Flávia Dinardi Alves

; Silveira, Sândala Cristina Fernandes

; Silva, João Henrique do Amaral e

; Silva, Vanessa Afonso da

; Oliveira, Leonardo Rodrigues de

Hematology, Transfusion and Cell Therapy

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sep 2021, Volume 43 N. 3 Pages 374 - 376

Abstract: En | Text: En | PDF: En

https://doi.org/10.1016/j.htct.2020.05.007

10.

Médicos e hiperutilizadores de baixo risco em emergências: implicações éticas
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Silva, Gabriela Rodrigues da

; Feliciano, Deize Graziele Conceição Ferreira

; Chioro, Arthur

Revista Bioética

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jul 2021, Volume 29 N. 3 Pages 567 - 577

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

Abstract There is an increasing demand for Emergency Department (ED) services from frequent users with problems of low clinical complexity. The overuse of ED poses several ethical-professional dilemmas for physicians and other medical staff. The study analyzes the ethical implications that emerge from the relationship between physicians and low-risk frequent users in a university hospital. This is a qualitative research developed through semi-structured interviews with physicians and low-risk frequent users and ethnographic observation in the field. It was observed that medical staff tend to stigmatize the demand of frequent patients. They, on the other hand, are satisfied with the physicians but discontent with primary health care and specialized outpatient care. It is concluded that the overuse generates ethicalprofessional conflicts, especially due to the stigmatization of these users by physicians. Nevertheless, frequent users are satisfied with the service, which motivates them to continue using it often.

Resumo É crescente a demanda de usuários com problemas de baixa complexidade clínica que procuram serviços hospitalares de urgência e emergência frequentemente. Essa hiperutilização dos serviços impõe dilemas éticos aos médicos e demais profissionais. O presente estudo analisa as implicações éticas do encontro entre médicos e usuários hiperutilizadores em uma unidade universitária. Trata-se de pesquisa qualitativa desenvolvida por meio de entrevistas semiestruturadas com médicos e pacientes hiperutilizadores de baixo risco clínico e observação de campo etnográfica. Observou-se que os profissionais tendem a estigmatizar a demanda desses usuários. Já os usuários demonstram satisfação com os médicos, mas descontentamento com a atenção básica e especializada ambulatorial. Conclui-se que a hiperutilização gera conflitos ético-profissionais decorrentes sobretudo da estigmatização dos pacientes pelos médicos. Apesar disso, os hiperutilizadores se sentem satisfeitos com o atendimento, o que os motiva a continuar frequentando os serviços com frequência.

Resumen Existe una demanda creciente de usuarios con problemas de baja complejidad clínica que frecuentemente buscan servicios hospitalarios de urgencia y emergencia. El uso excesivo de SUH impone varios dilemas éticos a los servicios, médicos y otros profesionales. El estudio examina las implicaciones éticas que surgen del encuentro entre médicos y pacientes hiperfrecuentadores de bajo riesgo clínico en un SUH universitario. Es una investigación cualitativa desarrollada a través de entrevistas semiestructuradas con médicos y pacientes hiperfrecuentadores de bajo riesgo clínico y observación de campo del tipo etnográfico. Se observó que los médicos tienden a estigmatizar la demanda del hiperfrecuentador. Los pacientes, por otro lado, muestran satisfacción con los médicos y refuerzan el descontento con la atención básica de salud y los servicios ambulatorios especializados. Se concluye que el uso excesivo del SUH genera conflictos en el ejercicio ético-profesional, principalmente como resultado de la estigmatización de estos pacientes por parte de los médicos. A pesar de esto, los hiperfrecuentadores están satisfechos con el servicio, lo que los motiva a convertirse en grandes usuarios.

https://doi.org/10.1590/1983-80422021293492

11.

The relationship between level of education and moral judgment toward who abuse drugs
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Donatti Gallassi, Andrea

; Oliveira, Karina Diniz

; Silva, Maria de Nazareth Rodrigues Malcher de Oliveira

; Machado, Isabela Alves

; Wagner, Gabriela Arantes

Ciência & Saúde Coletiva

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jun 2021, Volume 26 N. 6 Pages 2335 - 2343

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

Resumo Verificar as diferenças do julgamento moral em relação às pessoas que abusam de drogas de acordo com a escolaridade dos participantes. Parte brasileira de um estudo multicêntrico. N=180 indivíduos de uma comunidade em Brasília, DF, Brasil. Dados descritivos foram coletados por questionário que incluía dados sóciodemográfico, escolaridade e o histórico de uso de drogas. Os participantes eram predominantemente mulheres, de meia idade, casados, empregados, religiosos e com ensino médio; participantes com escolaridade superior consideraram abusadores de álcool, maconha, cocaína e crack importantes como qualquer outra pessoa; a maioria com menor nível educacional conhecia alguém que usava drogas, mas nenhuma associação foi encontrada quanto ao uso de drogas e a escolaridade; no modelo de regressão logística não ajustada, associações positivas foram encontradas entre o ensino superior e “quem usa drogas são tão importantes quanto qualquer outra pessoa” para todas as drogas estudadas; Depois de ajustado, a associação permaneceu apenas para a maconha (para todos os dados p <0,05). A escolaridade pode ajudar a reduzir o estigma associado aos usuários de drogas; políticas públicas podem minimizar os danos sociais causados por tais visões estigmatizadas.

Abstract The aim of the present study is to verify the differences of the moral judgment toward the people who abuse drugs according to the schooling of the participants. This is the Brazilian part of a multicentric study. N=180 individuals in a community in Brasília, DF, Brazil; following consent, descriptive data were collected by anonymous interviewer-administered questionnaire that included socio-demographic, educational level and the history of drug use. Participants were predominantly females, middle-aged, married, employed, religious, with high school education; higher schooling considered alcohol abusers, marijuana, cocaine and crack are important as anyone else; the majority with lower education level knew someone who used drugs, but no association was found regarding drug use and schooling; in the unadjusted logistic regression model, positive associations were found between higher schooling and ‘who use drugs are as important as anyone else’ for all drugs studied; after adjusted, the association remained only for marijuana (all p<0.05). The negative attitude surrounding drugs issue can be an important obstacle. The results suggest that education can help to reduce the stigma associated; public policies would be important to minimizing social harm caused by stigmatized visions of drug users.

https://doi.org/10.1590/1413-81232021266.26392018

12.

The relationship between level of education and moral judgment toward who abuse drugs
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Donatti Gallassi, Andrea

; Oliveira, Karina Diniz

; Silva, Maria de Nazareth Rodrigues Malcher de Oliveira

; Machado, Isabela Alves

; Wagner, Gabriela Arantes

Ciência & Saúde Coletiva

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jun 2021, Volume 26 N. 6 Pages 2335 - 2343

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

https://doi.org/10.1590/1413-81232021266.26392018

13.

[SciELO Preprints] - Science and SUS in daily life: reflections on media coverage during the COVID-19 pandemic in Brazil
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Souza, Sheila Rodrigues de Santos, Leonor Maria Pacheco Barreto, Ivana Cristina de Holanda Cunha Angulo-Tuesta, Antonia Andrade, Luiz Odorico Monteiro de Sanchez, Mauro Niskier Silva, Gabriela Oliveira da

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Publication date: 2021-05-14

Abstract: En Pt

Media coverage about science and the Unified Health System (SUS) during COVID-19 is analyzed, in the light of the computerized society. These subjects are daily in the media, justified by the population's interest in the exploration of scientific themes and in SUS-s actions to tackle the pandemic. Today the Information and Communication Technologies are new actors providing space for debate; the need to propose quick responses to an increasingly connected society are emerging. The growing presence and appreciation of scientific evidence, the importance and challenges of SUS in the media are highlighted, despite the interest of part of society in spreading false news that generate misinformation on the network. In addition to reporting on actions to prevent the spread of COVID-19, scientists are daily demanded by the media, to produce robust narratives, to disseminate scientific knowledge that prove successful sanitary measures, to offer clarifications regarding distorted or fanciful information and to disseminate SUS´s responses to face this health and humanitarian crisis. Staying present in the media should be a goal for scientists, scientific societies and SUS leaders, with the clarity of the importance of disseminating science, combating obscurantism and expanding popular support for our universal health system.

Analisa-se a cobertura midiática sobre ciência e Sistema Único de Saúde (SUS) durante a COVID- 19, à luz da sociedade informatizada. Nota-se a presença dessas pautas no cotidiano, justificada pelo interesse da população na exploração dos temas científicos e na atuação do SUS no enfrentamento à pandemia. Hoje, diante do grande espaço de debates proporcionado pelas Tecnologias da Informação e Comunicação, surgem novos atores e necessidades de proposição de respostas rápidas a uma sociedade cada vez mais conectada. Ressalta-se a crescente presença e valorização de evidências científicas, da importância e dos desafios do SUS na mídia, apesar do interesse de parcela da sociedade em difundir notícias falsas que geram desinformação na rede. Ademais de informar sobre ações para evitar a propagação da COVID-19, cientistas cotidianamente são demandados pela mídia, para produzir narrativas robustas, divulgar conhecimentos científicos que comprovam medidas sanitárias exitosas, oferecer esclarecimentos a respeito de informações distorcidas ou fantasiosas e divulgar as respostas do SUS diante desta crise sanitária e humanitária. Manter-se presente na mídia deve ser uma meta para cientistas, sociedades científicas e lideranças do SUS, com a clareza da importância de disseminar a ciência, combater o obscurantismo e ampliar a sustentação popular ao nosso sistema universal de saúde.

https://doi.org/10.1590/SciELOPreprints.2309

14.

Effect of the inoculation of phosphate solubilizing microorganisms and arbuscular mycorrhizal fungi in Eugenia dysenterica plants grown on different substrates
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Silva Rodrigues Cabral, Juliana

; Almeida Ceribeli, Maria Gabriela

; de Assis, Kerlley Cristina

; Guimarães Silva, Fabiano

; Carneiro, Joana Junqueira

; Ribeiro de Souza, Tenille

; Carbone Carneiro, Marco Aurélio

; Souchie, Edson Luiz

Biotecnología Vegetal

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mar 2021, Volume 21 N. 1 Pages 62 - 73

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

RESUMEN Los microorganismos solubilizadores de fosfato (PSM) y los hongos micorrízicos arbusculares (HMA) representan estrategias alternativas para reducir el costo y aumentar la producción de plántulas de cagaita (Eugenia dysenterica) asociadas a diferentes sustratos. Este estudio tuvo como objetivo evaluar el efecto de la inoculación de PSM y HMA en diferentes sustratos para el cultivo de cagaita (Eugenia dysenterica). El experimento se instaló con un diseño completamente al azar, utilizando un esquema factorial 4 × 2, con cuatro tratamientos de inoculación (PSM, HMA, PSM + HMA y Control - ausencia de inoculación), y dos sustratos de suelo (sustrato arenoso puro y sustrato mixto). Los sustratos y microorganismos influyeron en el crecimiento de las plántulas de cagaita. El sustrato puro propició un mejor desempeño de los parámetros de crecimiento de las plantas. En este sustrato, las plántulas de cagaita presentaron mayor diámetro de tallo, masa fresca y seca de brotes, volumen de raíz y masa seca de la raíz. El cultivo de plántulas en sustrato puro inoculadas con HMA y PSM proporcionó mayor contenido de Mo en las hojas. El mayor volumen de raíces de plántulas de cagaita se obtuvo con la inoculación de PSM. Un sustrato arenoso parece ser el más adecuado para el cultivo de plántulas de cagaita. Además, la coinoculación proporciona un mayor contenido de Fe, Mg y K en las hojas, como mostró este trabajo.

ABSTRACT Phosphate solubilizing microorganisms (PSM) and arbuscular mycorrhizal fungi (AMF) represent alternative strategies to reduce the cost and increase the production of cagaita (Eugenia dysenterica) seedlings associated with different substrates. This study aimed to assess the effect of inoculating PSM and AMF in different substrates for cagaita (Eugenia dysenterica) culturing. The experiment was installed with a completely randomized design, using a 4 × 2 factorial scheme, with four inoculation treatments (PSM, AMF, PSM + AMF, and Control - absence of inoculation), and two soils substrates (pure sandy substrate and mixed substrate). The substrates and microorganism had influence in cagaita seedling growth. The pure substrate conferred better performance of plant growth parameters. In this substrate, cagaita seedlings had higher stem diameter, shoot fresh and dry weight, root volume and root dry weight. The cultivation of seedlings in pure substrate inoculated with AMF and PSM provided greater Mo content in the leaves. The higher root volume of cagaita seedlings was obtained with the inoculation of PSM. A sandy substrate seems to be the most adequate for the cultivation of cagaita seedlings. In addition, co-inoculation provides higher Fe, Mg, and K content in the leaves, as this work showed.

15.

O Coração de Pacientes Pediátricos com COVID-19: Novos Insights a Partir de um Estudo Ecocardiográfico Sistemático em um Hospital Terciário no Brasil
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Diniz, Maria de Fátima Rodrigues

; Cardoso, Maira Freire

; Sawamura, Karen Saori Shiraishi

; Menezes, Carolina Rocha Brito

; Lianza, Alessandro Cavalcanti

; Pereira, Maria Fernanda Badue

; Litvinov, Nadia

; Ferranti, Juliana Ferreira

; Forsait, Silvana

; Watanabe, Andreia

; Farhat, Sylvia Costa Lima

; Aikawa, Nadia Emi

; Campos, Lucia Maria Arruda

; Delgado, Artur Figueiredo

; Carneiro-Sampaio, Magda

; Carvalho, Werther Brunow de

; Silva, Clovis Artur

; Leal, Gabriela Nunes

Arquivos Brasileiros de Cardiologia

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2021, N. ahead

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

https://doi.org/10.36660/abc.20200920

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