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A satisfação dos estudantes de enfermagem com as práticas clínicas simuladas
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Marques, Rita

; Néné, Manuela

; Silva, Isabel Santos

; Mendes, Carla

; Sales, Leila

; Lucas, Isabel

Revista de Enfermagem Referência

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dec 2023, Volume serVI N. 2 elocation e22024

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

Abstract Background: Simulated clinical experiences, also known as simulated clinical practices or simulation, are dynamic and challenging training activities that occur in a controlled environment using scenarios that recreate real-life clinical practice. Objective: To examine nursing students’ satisfaction with simulated clinical experiences. Methodology: This quantitative descriptive-correlational study was conducted with 223 nursing students, using the Escala de Satisfação com as Experiências Clínicas Simuladas (ESECS; Satisfaction with Simulated Clinical Experiences Scale), which includes the Practical, Cognitive, and Realism dimensions. Results: The total mean of global satisfaction with the simulated clinical experiences was 7.501 on a scale of 1 to 10. The socio-demographic characteristics and course year and contents were not predictors of satisfaction. On average, students were more satisfied with the Cognitive dimension and less satisfied with the Realism dimension. Conclusion: Students are satisfied with simulated clinical experiences and understand their importance for acquiring skills and improving their ability to respond during clinical teachings in real-life contexts. For this reason, the theoretical, scientific, and practical investment in this teaching strategy is highly relevant.

Resumen Marco contextual: Las prácticas clínicas simuladas, denominadas experiencias clínicas simuladas o simulación, son un proceso de formación dinámico y desafiante que tiene lugar en un entorno controlado y que utiliza escenarios que recrean la realidad clínica. Objetivo: Estudiar la satisfacción de los estudiantes de enfermería con las prácticas clínicas simuladas. Metodología: Estudio descriptivo-correlacional con enfoque cuantitativo, con una muestra de 223 estudiantes de enfermería. Se aplicó la Escala de Satisfacción con las Experiencias Clínicas Simuladas (ESECS), que consta de las siguientes dimensiones: práctica, cognitiva y realismo. Resultados: La satisfacción global media con las prácticas clínicas simuladas fue de 7,501 en una escala del 1 al 10. Las características sociodemográficas, el año de estudio y los contenidos no predijeron la satisfacción. De media, los estudiantes se mostraron más satisfechos en la dimensión cognitiva y menos satisfechos en la dimensión realismo. Conclusión: Los estudiantes se muestran satisfechos con las prácticas clínicas simuladas y son conscientes de su importancia para el aprendizaje, la adquisición de habilidades y una mayor capacidad de respuesta en la enseñanza clínica en un contexto real. Esto refuerza la pertinencia de la inversión teórica, científica y práctica en esta estrategia pedagógica.

Resumo Enquadramento: As práticas clínicas simuladas, designadas por experiências clínicas simuladas ou simulação, são um processo formativo dinâmico e desafiador que decorre em ambiente controlado com recurso a cenários que recriam a realidade clínica. Objetivo: Estudar a satisfação dos estudantes de enfermagem com as práticas clínicas simuladas. Metodologia: Estudo descritivo-correlacional de abordagem quantitativa, com uma amostra de 223 estudantes de enfermagem. Aplicada a Escala de Satisfação com as Experiências Clínicas Simuladas (ESECS), constituída pelas dimensões: prática, cognitiva e realismo. Resultados: A satisfação média global com as práticas clínicas simuladas, foi de 7,501 na escala de 1-10. As características sociodemográficas, ano curricular e conteúdos, não foram preditivos da satisfação. Os estudantes apresentam-se em média mais satisfeitos na dimensão cognitiva e menos satisfeitos na dimensão realismo. Conclusão: Os estudantes apresentam-se satisfeitos com as práticas clínicas simuladas percecionando a sua importância para a aprendizagem, na aquisição de competências e maior capacidade de resposta no ensino clínico em contexto real. Tal reforça a pertinência do investimento, teórico, científico e prático, nesta estratégia de ensino.

https://doi.org/10.12707/rvi22024

Doença Cardiovascular Aterosclerótica, Necessidades não Satisfeitas, e Inclisiran
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Ferreira, Jorge

; Palma, Isabel

; Moura, José Pereira de

; Gouveia, Miguel

; Corte-Real, Ana Luísa

; Silva, Alberto Mello e

Medicina Interna

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dec 2023, Volume 30 N. 4 Pages 30 - 38

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

Abstract The leading cause of death and disability worldwide are due to atherosclerotic cardiovascular disease (ASCVD), entailing a heavy economic impact, in Portugal corresponding to 1% of the gross domestic product. The development and progression of ASCVD are closely related to hypercholesterolaemia, with high LDL-C levels being its most important and easily modifiable risk factor. Reducing LDL-C has been shown to decrease the incidence of cardiovascular events and European recommendations advocate LDL-C target values according to the patient's cardiovascular risk. The risk of hypercholesterolaemia is cumulative, making it relevant to reduce LDL-C as early as possible. Despite the efficacy and safety demonstrated by several existing lipid-lowering therapies, in the real world most patients do not achieve the recommended lipid values. Several limita-tions to adequate lipid control have been pointed out, namely the low adherence of patients to treatment. Inclisiran is the first drug to inhibit PCSK9 synthesis through RNA small interference mechanism. With a subcutaneous administration every six months after initial and 3-month dose, it allows a LDL-C reduction higher than 50%, with a good safety profile. The advantage of its long duration of action will potentially overcome the low compliance of patients to treat-ment and increase the effectiveness in reducing LDL-C, which may translate into a reduction in morbidity and mortality from ASCVD and its high economic impact.

Resumo A doença cardiovascular aterosclerótica (DCVA) lidera as principais causas de morte e incapacidade a nível mundial, acarretando um pesado impacto económico, correspondente a 1% do produto interno bruto em Portugal. O desenvolvimento e progressão da DCVA encontra-se em estreita relação com a hipercolesterolemia, sendo que níveis elevados de C-LDL são o seu fator de risco mais importante e facilmente modificável. A redução do C-LDL provou diminuir a incidência de eventos cardiovasculares e as recomendações europeias advogam valores alvo de C-LDL de acordo com o risco cardiovascular do doente. O risco da hipercolesterolemia é cumulativo, tornando-se relevante a redução do C-LDL o mais precocemente possível. Apesar da eficácia e segurança demonstrada pelas diversas terapêuticas hipolipemiantes existentes, no mundo real a maioria dos doentes não atinge os valores lipídicos recomendados. Várias limitações ao adequado controlo lipídico foram apontadas, nomeadamente a baixa adesão dos doentes ao tratamento. Inclisiran é o primeiro fármaco que permite inibir a síntese de PCSK9 através do mecanismo de RNA de interferência. Com uma administração subcutânea semestral, após administração nos dias 1 e 90, possibilita uma redução do C-LDL superior a 50%, com bom perfil de segurança. A vantagem da sua longa duração de ação permitirá potencialmente contornar a baixa adesão dos doentes ao tratamento e aumentar a efetividade na redução do C-LDL, que se poderá traduzir na redução da morbi-mortalidade por DCVA e do seu elevado impacto económico.

https://doi.org/10.24950/rspmi.1603

Firefighters under alert: psychological morbidity, empathy and alexithymia between firefighters and non-firefighters
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Rodrigues, Fabiana

; Bártolo, Ana

; Santos, Isabel M.

; Pereira, Anabela

; Silva, Carlos F.

Psicologia

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dec 2023, Volume 37 N. 2 Pages 1 - 9

Abstract: En | Text: En | PDF: En

Abstract Firefighters have high exposure to traumatic events and have an increased risk of developing symptoms related to trauma. The current study assessed the psychological morbidity, empathy and alexithymia of volunteer firefighters compared to career firefighters and to non-firefighter comparators from the general population. Group differences were assessed using multivariate comparisons and univariate tests and discriminant analysis for individual measures. A total of 1062 individuals completed the protocol. Considering firefighters as the focus of analysis, data suggested that both career and volunteer firefighters presented higher trauma than the comparison group. In subscales of empathy, compared to the comparison group, career firefighters scored higher on the perspective-taking scale, while firefighters showed less personal discomfort and less fantasy. Firefighters showed less alexithymia, in the outward-oriented style of thinking than the comparison group. The findings suggest the need for more prevention and treatment efforts for firefighters, with the introduction of educational and therapeutic interventions.

https://doi.org/10.17575/psicologia.1835

Endoscopic Approach to Duodenal Adenomas in Familial Adenomatous Polyposis: A Retrospective Cohort
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Garcia, Joana Lemos

; Rosa, Isadora

; Silva, João Pereira da

; Lage, Pedro

; Claro, Isabel

GE-Portuguese Journal of Gastroenterology

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dec 2023, Volume 30 N. 6 Pages 28 - 34

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

Resumo Introdução: Mais de 90% dos doentes com Polipose Adenomatosa Familiar (PAF) desenvolvem adenomas duodenais. Objetivo: Avaliar a eficácia e segurança da excisão endoscópica de adenomas duodenais em doentes com PAF. Métodos: Incluídos todos os doentes com PAF submetidos a terapêutica endoscópica de adenomas duodenais ≥10 mm entre janeiro/2010-fevereiro/2021. Resultados: Em 151 famílias com PAF, incluídos 22 doentes (50 lesões): 54.5% mulheres; mediana do follow-up 12.3 (IQR: 6.0-19.0) anos. Primeira endoscopia terapêutica (resseção de pólipos duodenais ≥10 mm) ocorreu numa mediana de idades 41.0 (IQR: 33.0-58.2) anos.Em 54.5% dos casos, foi necessária uma nova endoscopia terapêutica. Dimensão mediana do maior adenoma: 15 mm (IQR: 10-18 mm); resseção realizada em piecemeal em 63.1% e em bloco nos restantes. Em dois casos, a resseção endoscópica foi incompleta (fibrose em local de resseção prévia:1; posicionamento:1). Complicações em 6.3% das lesões ressecadas (4 doentes): 2 imediatas (hemorragia e perfuração, manejadas endoscopicamente); 4 na primeira semana (1 hemorragia controlada endoscopicamente, 2 pancreatites ligeiras tratadas conservadoramente, 1 perfuração com necessidade de cirurgia; as duas últimas após ampulectomia). A avaliação histológica revelou adenomas com displasia de baixo grau em 90.1%; nenhum adenocarcinoma. Um doente com doença Spigelman IV não controlável endoscopicamente realizou duodenopancreatectomia (sem cancro). Conclusão: A vigilância e tratamento endoscópicos de adenomas duodenais em doentes com PAF revelaram-se seguros e eficazes na prevenção de cancro duodenal.

Abstract Introduction: Over 90% of the patients with familial adenomatous polyposis (FAP) will develop duodenal adenomas. Aim: The aim of this study was to evaluate the effectiveness and safety of endoscopic excision of large duodenal adenomas in FAP patients. Methods: All FAP patients from a familial risk clinic submitted to endoscopic therapy for duodenal adenomas ≥10 mm between January 2010 and February 2021 were included. Results: From 151 FAP families, 22 patients (50 lesions) were included: 54.5% female; median follow-up 8.5 (IQR: 5.8-12.3) years after the first endoscopy. First therapeutic endoscopy occurred at a median age of 41.0 years (IQR: 33.0-58.2). Repeat therapeutic endoscopy was required in 54.5% of patients. Median size of the largest adenoma was 15 mm (IQR: 10-18 mm); resection was piece-meal in 63.1% and en bloc in the remaining. In 2 cases, the resection was incomplete (fibrosis due to previous resection and difficult positioning). Complications occurred in 6.3% of the resected lesions (4 patients): 2 immediate (bleeding, perforation); 4 in the first week (1 bleeding, 2 mild pancreatitis, 1 perforation requiring surgery; the latter two after ampullectomy). Histology revealed low-grade dysplasia adenomas in 90.1%; no adenocarcinomas were found. One patient with Spigelman stage IV disease not amenable to endoscopic control underwent elective duodenopancreatectomy (without duodenal cancer). Conclusion: Endoscopic surveillance and treatment of duodenal adenomas in FAP patients was safe and effective in the prevention of duodenal cancer.

https://doi.org/10.1159/000527209

Calciphylaxis: a rare cause of limb ulcer - a case report
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Cunha, Roberto

; Silva, Manuel

; Carneiro, Vitor

; Sousa, Pedro

; Correia, Mafalda

; Vieira, Isabel

; Cássio, Isabel

; Oliveira, Nelson

; Dias, Emanuel

Angiologia e Cirurgia Vascular

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dec 2023, Volume 19 N. 4 Pages 235 - 238

Abstract: En | Text: En | PDF: En

Abstract Background: Calciphylaxis is a rare disease with a poor prognosis predominantly found in end-stage renal disease patients treated with dialysis. This pathology most commonly presents with painful non-healing ulcers, predisposing to high risk of sepsis and death. The authors present a case of bilateral leg ulcers due to calciphylaxis. Case report: A 40-year-old female patient presented with painful ulcers in both lower limbs, for two months. She had a history of end-stage renal disease, morbid obesity, severe hypertension, arterial fibrillation and secondary hyperparathyroidism. Duplex examination releveled biphasic curves in the foot arteries. The ankle-brachial index was carried out with a result of 1.1, obtaining a WIFi stage of 3 (2/0/2). Venous disease was excluded. A biopsy was obtained, revealing small thick-walled vessels with dystrophic calcification of the intima and media. After surgical debridement, antibiotics directed at the superimposed infection were administered and local wound care with chemical debridement was performed. The ulcers healed completely after 8 weeks and there was no recurrence after 6 months. Conclusion: The diagnosis is made by clinical and histological findings. Treatment involves a multidisciplinary approach with medical treatment and wound care. Drugs such as sodium thiosulphate and cinacalcet have shown good results in the healing of ulcers. Vascular surgeons, as they often deal with patients with leg ulcers, should be aware of calciphylaxis as a differential diagnosis when vascular disease is excluded.

https://doi.org/10.48750/acv.546

Pseudoaneurysm after partial nephrectomy managed by selective angiographic embolization - a case report
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Cunha, Roberto

; Silva, Manuel

; Sousa, Pedro

; Correia, Mafalda

; Vieira, Isabel

; Cássio, Isabel

; Oliveira, Nelson

; Dias, Emanuel

Angiologia e Cirurgia Vascular

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dec 2023, Volume 19 N. 4 Pages 244 - 245

Abstract: En | Text: En | PDF: En

Abstract Introduction: Partial nephrectomy is considered the gold standard treatment for many renal tumors when technically feasible. Renal artery pseudoaneurysm and arteriovenous fistulas are rare life-threatening complications that occur more frequently after laparoscopic rather than open partial nephrectomy. Case report: The authors present a case of a 67-year-old female patient with persistent hematuria due to a renal pseudoaneurysm after partial laparoscopic nephrectomy is presented. The patient underwent selective embolization of the pseudoaneurysm using Conclusion: Arterial lesions after partial nephrectomy may be amenable to embolization with the advantage of renal parenchyma and function preservation, by comparison with more invasive interventions such as total nephrectomy. Active surveillance of patients after laparoscopic partial nephrectomy should be performed.

https://doi.org/10.48750/acv.557

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

O comportamento familiar pode afetar o desempenho escolar e aspirações futuras dos estudantes de raças distintas?
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Oliveira, Felipe Resende

; Raposo, Isabel Pessoa de Arruda

; Silva, José Lucas Barros Amâncio da

Economia e Sociedade

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dec 2023, Volume 32 N. 3 Pages 669 - 689

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

Abstract The study investigates the extent to which the sources of school performance inequalities and educational expectations by race / color are the result of socioeconomic disadvantages, the heterogeneity of parenting styles or whether they result from unobservable residual factors. The analyzes use data from the Fundaj (2013) research that provides information on race, future educational aspirations, and a longitudinal evaluation of the student’s school performance. The identification strategy uses the method of propensity score matching (PSM). The results show that the educational disparities between students of the 6th grade of Recife, who declare themselves to be black or of another ethnic group, persist in terms of failure and expectation of entering higher education, even after conditioning in a broad control of observables, suggesting that the source of these disparities stem from factors not observable in the analysis. Despite the fact that families of black students are more actively involved in the school monitoring of their children than families of non-black students, this greater involvement has not been enough to neutralize educational inequalities by race/color. Black students have higher failure rates than their non-black peers and lower expectations of access to higher education by about 5 percentage points, statistically significant differences at 5%.

Resumo Esse artigo investiga em que medida as fontes de desigualdades do desempenho escolar e de expectativas educacionais por raça/cor são resultantes de desvantagens socioeconômicas, da heterogeneidade de estilos parentais ou se advêm de fatores residuais não observáveis. As análises utilizam dados da pesquisa Fundaj que disponibiliza informações relativas à raça/cor, aspirações educacionais futuras e uma avaliação longitudinal do desempenho escolar. A estratégia de identificação utiliza o método de Propensity Score Matching. Os resultados mostram que as disparidades educacionais entre estudantes do 6º ano do ensino fundamental da rede pública do Recife, que se declaram pretos ou de outra raça/cor, persistem em termos de reprovação e expectativa de ingresso ao ensino superior, mesmo após o condicionamento em um amplo controle de observáveis, sugerindo que a fonte dessas disparidades decorre de fatores não observáveis na análise. Apesar das famílias de estudantes pretos se engajarem mais ativamente no acompanhamento escolar de seus filhos do que familiares de estudantes não-pretos, esse maior envolvimento não tem sido suficiente para neutralizar as desigualdades educacionais por raça/cor. Alunos pretos possuem taxas de reprovação maiores do que seus colegas não-pretos e menores expectativas de acesso ao ensino superior em cerca de 5 pontos percentuais, diferenças estatisticamente significantes a 5%.

https://doi.org/10.1590/1982-3533.2023v32n3art07

Avaliação da taxa de obstrução do modelo físico reduzido na área de ensaio na mesa d’água
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Custódio, Maria Isabel Pedrosa

; Imai, Cesar

; Silva, Fernando Vitor Marques da

; Shimomura, Alessandra Rodrigues Prata

; Lukiantchuki, Marieli Azoia

Ambiente Construído

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dec 2023, Volume 23 N. 4 Pages 105 - 120

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

Abstract The water table apparatus allows the qualitative visualization of natural ventilation in reduced physical models. The quality of the results depends on several parameters, such as the obstruction rate of the reduced physical model in the test area. However, there is a lack of scientific research that analyzes the influence of this rate on the quality of results. The objective of this article is to qualitatively evaluate the fluid behavior at different values of clogging rate of the reduced physical model of the test area on the water table. The research method was divided into four stages: model selection; construction of reduced physical models; experimental tests on the water table and simulations of Computational Fluid Dynamics. In general, the behavior of the fluid in the experimental and simulation results is similar. However, the models with low and high obstruction rates present difficulties in handling and visualizing the behavior of the fluid. Thus, it is concluded that frontal obstruction rates (in cross section) between 24.14% and 30.49% and in-plan obstruction rates between 4.16% and 3.26% showed better performance. However, it is not possible to determine an exact scale for carrying out tests, as the scale will vary according to the proportions of the model to be studied.

Resumo Amesa d’água possibilita a visualização qualitativa da ventilação natural em modelos físicos reduzidos. A qualidade dos resultados depende de diversos parâmetros, tais como a taxa de obstrução do modelo físico reduzido na área de ensaio. No entanto, faltam pesquisas científicas que analisam a influência dessa taxa na qualidade dos resultados. O objetivo do artigo é avaliar, qualitativamente, o comportamento do fluido para diferentes valores de taxa de obstrução do modelo físico reduzido na área de ensaio da mesa d’água. O método foi dividido em quatro etapas: seleção dos modelos; construção dos modelos físicos reduzidos; ensaios na mesa d’água e simulações Computational Fluid Dynamics (CFD). De forma geral, o comportamento do fluido nos experimentos e nas simulações são similares. No entanto, os modelos com baixa e alta taxa de obstrução apresentam dificuldade de manipulação e visualização do comportamento do fluido. Nota-se que as taxas de obstrução entre 24,14% e 30,49% (corte) e as taxas entre 4,16% e 3,26% (planta) apresentaram melhor desempenho. Entretanto, não foi possível determinar uma escala exata para os ensaios, pois esta irá variar conforme proporções do modelo a ser estudado.

https://doi.org/10.1590/s1678-86212023000400693

10.

Componentes psicosociales que repercuten en el desempeño laboral de los administradores públicos: la realidad ecuatoriana
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Contreras-Paredes, Elena Isabel

; Pincay Aguilar, Iván Leonardo

; Burgos-Silva, Norma Emperatriz

; Donoso Reinoso, Hugo Nelson

Revista Universidad y Sociedad

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dec 2023, Volume 15 N. 6 Pages 101 - 109

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

RESUMEN El presente trabajo se orienta hacia la determinar los componentes psicosociales que afectan al desempeño laboral en los administradores públicos de Ecuador, para ello se ha planteado una investigación cuyo proceso metodológico implica la revisión bibliográfica, es así que se procedió a la indagación en las bases: Dialnet, Scopus, Latindex, Scielo, Ebsco, Redalyc de donde se obtuvieron 8 artículos, que por su relevancia fueron seleccionados. Los resultados de la revisión permitieron identificar coincidencias entre los factores estresores siendo estos el clima organizacional, estructura organizacional, territorio organizacional, tecnología, influencia del líder, falta de cohesión y respaldo del grupo, sin embargo se mencionan otros aspecto como, el conocimiento de otro idioma, calidad de servicio exigido, horarios extendidos, sobrecarga de actividades en otras áreas, edad de colaborador, tiempo en el cargo, grado de responsabilidad, entre otros, que son importantes según el tipo de actividad de la entidad pública y la actividad del administrador.

ABSTRACT The present work is oriented towards determining the psychosocial components that affect job performance in public administrators in Ecuador, for this an investigation has been proposed whose methodological process implies the bibliographic review, so that the investigation was carried out in the bases: Dialnet, Scopus, Latindex, Scielo, Ebsco, Redalyc from which 8 articles were obtained, which were selected due to their relevance. The results of the review allowed to identify coincidences between the stressors, these being the organizational climate, organizational structure, organizational territory, technology, leader influence, lack of cohesion and group support, however other aspects are mentioned, such as knowledge of another language, quality of service required, extended hours, overload of activities in other areas, age of collaborator, time in office, degree of responsibility, among others, which are important depending on the type of activity of the public entity and the activity of the administrator.

11.

Diabetes mellitus tipo 2 e pandemia COVID-19: qual o impacto?
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Lopes, Nina

; Mina, Isabel

; Gonçalves, Maria João

; Fonseca, Clara Barros

; Henriques, Manuel Amaral

; Outeirinho, Conceição

; Pereira, Paulo Lima

; Silva, Mariana Cruz

; Costa, Rodrigo

; Calafate, Ana

Revista Portuguesa de Medicina Geral e Familiar

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oct 2023, Volume 39 N. 5 Pages 406 - 412

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

Abstract Introduction: Diabetes mellitus is one of the main causes of morbi-mortality worldwide. In this study, we aim to verify if the COVID-19 pandemic had repercussions on the metabolic and cardiovascular control of patients with type 2 diabetes at USF Garcia de Orta, from ACeS Porto-Ocidental. Methods: Cross-sectional observational analytical study. The study’s population consists of patients registered at the USF GO with the diagnosis of DM (ICPC-2 code T89 and T90) in the list of active problems. After applying inclusion and exclusion criteria, the sample was obtained by simple randomization. Glycated hemoglobin (HbA1c), LDL-cholesterol, body mass index (BMI), systolic (BP) and diastolic (DP) blood pressure values recorded in a pre-pandemic period were compared with those in a pandemic period. Results: The sample consisted of 218 patients, with a mean age of 70.9 ± 11.1 years. The median of HbA1c (6.75 vs 6.80) and LDL-cholesterol (82.80 vs 91.60) was lower in the pandemic period. The opposite was verified in relation to the BMI, with the highest median in the pandemic period (27.03 vs 26.87). Only the analysis of cholesterol-LDL obtained a statistically significant result. On average, the values of BP (134.06 vs 133.41) and DP (77.97 vs 76.59) were higher in the pandemic period compared to the pre-pandemic period, although without statistical significance. Discussion: With the exception of BMI, BP and DP, there was an improvement in the pandemic period. In the literature found, there are contradictory results on the impact of the pandemic on the variables studied. These results may reflect the quality of the teleconsultations carried out during the pandemic period and/or the effort of diabetics to maintain healthy habits. Conclusion: We cannot conclude that, in the period evaluated, the COVID-19 pandemic had a negative impact on the metabolic and cardiovascular control of patients with DM2 in our population.

Resumo Introdução: A diabetes mellitus é uma das principais causas de morbimortalidade em todo o mundo. Pretende-se verificar se a pandemia COVID-19 teve repercussões no controlo metabólico e cardiovascular dos doentes com diabetes mellitus tipo 2 (DM2) da USF Garcia de Orta (GO), do ACeS Porto Ocidental. Método: Estudo observacional, transversal, analítico. A população do estudo corresponde aos utentes inscritos na USF GO com o diagnóstico de DM (código T89 e T90 da ICPC-2) na lista de problemas ativos. Depois de aplicados os critérios de inclusão e exclusão obteve-se a amostra por aleatorização simples. Foram comparados valores de hemoglobina glicada (HbA1c), colesterol-LDL, índice de massa corporal (IMC), pressão arterial sistólica (PAs) e diastólica (PAd), registados num período pré-pandémico com os de um período pandémico. Resultados: A amostra foi de 218 pacientes, com média de idades de 70,9 ±11,1 anos. Na amostra a mediana de HbA1c (6,75 vs 6,80) e do colesterol-LDL (82,80 vs 91,60) foi inferior no período pandémico. Verificando-se o oposto em relação ao IMC, com a mediana superior no período pandémico (27,03 vs 26,87). Apenas na análise do colesterol-LDL se obteve um resultado estatisticamente significativo. Na análise do controlo tensional, em média, os valores de PAs (134.06 vs 133.41) e PAd (77.97 vs 76.59) foram superiores no período pandémico face ao pré-pandémico, mas sem significado estatístico. Discussão: No estudo encontrou-se, à exceção do IMC, da PAs e da PAd, uma melhoria dos valores no período pandémico. Em relação ao impacto da pandemia nas variáveis estudadas estão descritos na literatura resultados contraditórios. Estes resultados podem refletir a qualidade das teleconsultas realizadas no período pandémico e/ou no esforço dos diabéticos por manter hábitos saudáveis. Conclusão: Não se pode afirmar que, no período avaliado, a pandemia COVID-19 teve impacto negativo no controlo metabólico e cardiovascular dos pacientes com DM2 da população estudada.

https://doi.org/10.32385/rpmgf.v39i5.13504

12.

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

13.

Neck circumference as a predictor of cardiometabolic risk and truncal obesity in people living with HIV
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Oliveira, Iara Katrynne Fonsêca

; Teixeira, Nayra do Socorro Caldas Carvalho de Almeida

; Rêgo, Beatriz de Mello Pereira

; Aires, Isabel Oliveira

; Rodrigues, Renata Rios Torres

; Araújo, Robson Eduardo da Silva

; Lima, Carlos Henrique Ribeiro

; Sousa, Rosana Rodrigues de

; Carvalho, Cecília Maria Resende Gonçalves de

; Costa, Dorcas Lamounier

; Santos, Marize Melo dos

; Paz, Suzana Maria Rebelo Sampaio da

; Paiva, Adriana de Azevedo

Nutrición Hospitalaria

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oct 2023, Volume 40 N. 5 Pages 1000 - 1008

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

Abstract Introduction: recent studies have suggested the use of neck circumference as a parameter capable of identifying risks of cardiometabolic complications and the accumulation of truncal fat caused by both antiretroviral therapy and the lifestyle of people with the human immunodeficiency virus (HIV). Objective: to investigate the relationship between neck circumference and anthropometric indicators and to assess cardiometabolic risk and truncal obesity through proposed cut-off points. Methods: cross-sectional study including 233 people with HIV. Demographic, socioeconomic, lifestyle and clinical data were collected using a structured questionnaire. The anthropometric evaluation included: weight, height, body mass index (BMI) measurements; waist (WC), neck (NC), arm and arm muscle circumferences; triceps and subscapular skinfolds and their sum. ROC curves were constructed to determine the accuracy of NC in predicting cardiometabolic risk in people living with HIV. Results: the sample was 57.5 % male, with a mean age of 38.4 years (95 % CI: 37.2-39.7 years). NC showed a positive and significant correlation with all anthropometric variables analyzed (p < 0.05), and a higher correlation strength with WC and BMI. The NC cut-off point selected as a predictor of risk of cardiac metabolic complications and truncal obesity in women was ≥ 32.4 cm, considering both WC and BMI. For men, the NC cut-off points were different when considering WC (≥ 39.6 cm) and BMI (≥ 38.1 cm) as a reference. It is worth noting that NC performed well in ROC curve analysis for men, while in women it was a poor performance. Conclusion: NC proved to be a promising indicator in the assessment of nutrition and health of people living with HIV, especially in men.

Resumen Introducción: estudios recientes han sugerido el uso de la circunferencia del cuello como parámetro capaz de identificar los riesgos de complicaciones cardiometabólicas y la acumulación de grasa troncal causados tanto por la terapia antirretroviral como por el estilo de vida de las personas con el virus de la inmunodeficiencia humana (VIH). Objetivo: investigar la relación entre la circunferencia del cuello y los indicadores antropométricos y evaluar el riesgo cardiometabólico y la obesidad troncal a través de los puntos de corte propuestos. Métodos: estudio transversal que incluyó a 233 personas con VIH. Se recogieron datos demográficos, socioeconómicos, de estilo de vida y clínicos mediante un cuestionario estructurado. La evaluación antropométrica incluyó: medidas de peso, altura, índice de masa corporal (IMC); circunferencias de cintura (CC), cuello (CN), brazo (CA) y músculo del brazo (MCB); pliegues cutáneos del tríceps y subescapular y su suma. Se construyeron curvas ROC para determinar la precisión de la CN en la predicción del riesgo cardiometabólico en personas que viven con el VIH. Resultados: el 57,5 % de la muestra eran varones, con una edad media de 38,4 años (IC 95 %: 37,2-39,7 años). La CN mostró una correlación positiva y significativa (p < 0,05) con todas las variables antropométricas analizadas, y una mayor fuerza de correlación con la CC y el IMC. El punto de corte de la CN seleccionado como predictor de riesgo de complicaciones metabólicas cardiacas y obesidad troncular en mujeres fue ≥ 32,4 cm, considerando tanto la CC como el IMC. En el caso de los hombres, los puntos de corte de la CN fueron diferentes al considerar como referencia la CC (≥ 39,6 cm) y el IMC (≥ 38,1 cm). Cabe destacar que la CN obtuvo buenos resultados en el análisis de la curva ROC en el caso de los hombres, mientras que en el de las mujeres fue deficiente. Conclusión: la CN demostró ser un indicador prometedor en la evaluación de la nutrición y la salud de las personas que viven con el VIH, especialmente en los hombres.

https://doi.org/10.20960/nh.04402

14.

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

Journal Metrics
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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

15.

Correlation of ulcerated plaque image with intraoperative findings
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Cunha, Roberto

; Silva, Manuel

; Sousa, Pedro

; Correia, Mafalda

; Vieira, Isabel

; Cássio, Isabel

; Oliveira, Nelson

; Dias, Emanuel

Angiologia e Cirurgia Vascular

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sep 2023, Volume 19 N. 3 Pages 201 - 201

Abstract: En | Text: En | PDF: En

https://doi.org/10.48750/acv.545

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