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Videolaparoscopic prostatectomy in porcine model for training residents
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Suartz, Caio Vinicius; Pedrenho Neto, Rubens; Pellanda, Anderson Bruno; Andrade, Hiury Silva; Srougi, Victor; Arap, Marco Antonio; Mitre, Anuar Ibrahim; Srougi, Miguel; Nahas, William Carlos; Duarte, Ricardo Jordão.

International braz j urol

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dec 2021, Volume 47 N. 6 Pages 1274 - 1276

Abstract: En | Text: En

ABSTRACT Introduction: Surgical training models prepare the resident for a more ethical surgical practice as well as providing a less steep learning curve. In urology, there are well-known models of pyeloplasty simulation, urethro-vesical anastomosis and nephrectomy, which have helped in the training of urology residents (1–3). Learning laparoscopic prostatectomy is a difficult surgery and requires advanced surgical skill from the surgeon (4), requires operate without a direct view of the surgical field in a two-dimensional space and with longer instruments (5). Laparoscopic prostatectomy step by step makes the surgeon's learning curve less difficult, lead to less intraoperative complications, such as blood loss, while also enabling shorter operative time and less positive surgical margins (6). The objective of surgical models is to simulate surgical procedures in a reliable way thus preparing the surgeon for his daily practice, surgical simulations in animal models have been described to compensate for inadequate clinical exposure (7). The canine model of prostate cancer has many similarities with humans. Despite trying to develop a model that is as credible as possible, there are ethical issues in several countries, such as Brazil, that do not allow the use of live dogs for scientific experimentation and there is a difficulty in not standardizing the animals used (8, 9). The swine surgical training model is widely known, accepted and used as a valuable tool in the teaching of new surgeons (10). The porcine video laparoscopic prostatectomy model allows the urologist in training to exercise the skills required in a real surgical situation, practicing them in a single session (10). We will present an experimental model in pigs for training urology residents in laparoscopic radical prostatectomy with current techniques (11–13). The limitations found are that the prostate has no limits as well defined as in humans, the urethra is long and coiled, the fat surrounding the pelvic organs is scarce and there is no postoperative follow-up for evaluating functionality after the procedure, as well as the effectiveness of the surgery with surgical margins. However, it is similar in surgical model presented, it is reproducible and can provide a realistic simulation environment to the beginner surgeon. Material and Methods: In this paper, according to the institutional protocol approved by the institutional ethics and research committee FMUSP n° 964/2017 and protocol was in accordance with current international regulations for the use of animals in Research: Reporting In Vivo Experiments (ARRIVE) guide. Ten male pigs weighing 20 to 22kg were used. The animals were anesthetized with a combination of Telazol (5mg/kg), Xylazine (1.5mg/kg), Cetamine (22mg/kg) and Atropine (0.04mg/kg) for orotracheal intubation followed by Isoflurane (2%). Animals were euthanized at the end of the procedure with a lethal dose of KCl (2mEq/kg). The trocar insertion points were marked using the epigastric vessels and umbilical region as reference points. Initially, urethral catheterization was performed using a hydrophilic Nitinol guidewire, followed by a perineal incision to dissect the tortuous urethra of the porcine model. A malleable urethral catheter 8Fr was inserted into their bladder. The animal was placed in the Trendelenburg position inserted and 12mm trocars were inserted in its umbilical region, utilizing 10mm in the surgeon's dominant hand, 5mm in his non-dominant hand of the surgeon, and 5mm in the first assistant's trocar. The surgeon replicates the steps performed in a laparoscopic radical prostatectomy in humans, including the bladder catheterization, dissection of the anterior bladder plane, the vesicular and prostatic dissection, the suture of the dorsal venous plexus, a prostatectomy, an urethral vesical anast omosis, as well as the waterproof test, even including the performing of surgical steps using current concepts of anterior urethral suspension as the reconstruction of the posterior plane of the rhabdosphincter. Results: All steps of surgery could be reproduced in all ten porcine cases. No significant bleeding was observed and the surgical time was gradually reduced fifty percent from case one to last cases. Conclusions: The porcine model allowed the surgeon to replicate all the steps usually performed in a laparoscopic radical prostatectomy. The junior surgeons are better prepared to such difficult surgery. However, further studies will be necessary to prove the impact of the animal model presented in urological clinical practice.

https://doi.org/10.1590/s1677-5538.ibju.2021.0139

Acesso à Terapia de Reperfusão e Mortalidade em Mulheres com Infarto Agudo do Miocárdio com Supradesnivelamento do Segmento ST: Registro VICTIM
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Oliveira, Jussiely Cunha; Barros, Mayse Pereira Souza; Barreto, Ikaro Daniel de Carvalho; Silva Filho, Rubens Cruz; Andrade, Volfanio Araújo; Oliveira, André de Melo; Lima, Ticiane Clair Remacre Munareto; Oliveira, Jeferson Cunha; Arcelino, Larissa Andreline Maia; Oliveira, Laís Costa Souza; Santana-Santos, Eduesley; Almeida-Santos, Marcos Antônio; Sousa, Antônio Carlos; Barreto Filho, José Augusto Soares.

Arquivos Brasileiros de Cardiologia

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apr 2021, Volume 116 N. 4 Pages 695 - 703

Abstract Background: Myocardial reperfusion is a fundamental part of the treatment for ST elevation myocardial infarction (STEMI) and is responsible for reducing morbidity and mortality in affected patients. However, reperfusion rates are usually lower and mortality rates higher in women compared to men. Objectives: To evaluate the prevalence of the use of reperfusion therapies among women and men with STEMI in hospitals where percutaneous coronary intervention (PCI) is available in the state of Sergipe. Methods: This is a cross-sectional study that used data from the VICTIM Register. Patients diagnosed with STEMI admitted to the four hospitals (one public and three private) where PCI is available in the state of Sergipe were evaluated, from December 2014 to June 2018. A multivariate analysis with adjusted model using mortality as a dependent variable was made. In all analyses, the level of significance adopted was 5% (p < 0.05). Results: A total of 878 volunteers with a confirmed diagnosis of STEMI, of which 33.4% were women, were included in the study. Only 53.3% of the patients underwent myocardial reperfusion (134 women versus 334 men). Fibrinolysis was performed only in 2.3% of all patients (1.7% of women versus 2.6% of men; p = 0.422). The rate of primary PCI was lower (44% versus 54.5%; p = 0.003) and hospital mortality was higher (16.1% versus 6.7%; p < 0.001) in women than in men. Conclusion: Women have significantly lower rates of primary PCI and higher hospital mortality. Reperfusion rates were low in both sexes and there was a clear underutilization of thrombolytic agents.

Resumo Fundamento: A reperfusão miocárdica é parte fundamental do tratamento para infarto agudo do miocárdio com supradesnivelamento de ST (IAMCSST) e é responsável por reduzir morbimortalidade no paciente acometido. No entanto, as taxas de reperfusão são geralmente mais baixas e as taxas de mortalidade mais altas em mulheres que em homens. Objetivos: Avaliar a prevalência do uso de terapias de reperfusão em mulheres e homens com IAMCSST nos hospitais com capacidade para realizar intervenção coronariana percutânea (ICP) no estado de Sergipe. Métodos: Trata-se de estudo transversal que utilizou dados do Registro VICTIM. Foram avaliados pacientes com diagnóstico de IAMCSST admitidos nos quatro hospitais com capacidade para realizar ICP no estado de Sergipe, sendo um público e três privados, no período de dezembro de 2014 a junho de 2018. Foi aplicada análise multivariada com modelo ajustado utilizando mortalidade como variável dependente. Em todas as análises, o nível de significância adotado foi de 5% (p<0,05). Resultados: Foram incluídos 878 voluntários com diagnóstico confirmado de IAMCSST, dos quais 33,4% eram mulheres. Apenas 53,3% dos pacientes foram submetidos à reperfusão miocárdica (134 mulheres versus 334 homens). A fibrinólise foi realizada somente em 2,3% de todos os pacientes (1,7% das mulheres versus 2,6% dos homens; p=0,422). Nas mulheres, a taxa de ICP primária foi menor (44% versus 54,5%; p=0,003) e a mortalidade hospitalar foi maior (16,1% versus 6,7%; p<0,001) que nos homens. Conclusão: As mulheres apresentam taxas significativamente menores de ICP primária e significativamente maiores de mortalidade hospitalar que os homens. A taxa de reperfusão em ambos os gêneros foi baixa e houve nítida subutilização de agentes trombolíticos.

https://doi.org/10.36660/abc.20190468

Práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras: uma análise secundária do estudo Fluid-TRIPS
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Freitas, Flavio Geraldo Rezende de; Hammond, Naomi; Li, Yang; Azevedo, Luciano Cesar Pontes de; Cavalcanti, Alexandre Biasi; Taniguchi, Leandro; Gobatto, André; Japiassú, André Miguel; Bafi, Antonio Tonete; Mazza, Bruno Franco; Noritomi, Danilo Teixeira; Dal-Pizzol, Felipe; Bozza, Fernando; Salluh, Jorge Ibrahin Figueira; Westphal, Glauco Adrieno; Soares, Márcio; Assunção, Murillo Santucci César de; Lisboa, Thiago; Lobo, Suzana Margarete Ajeje; Barbosa, Achilles Rohlfs; Ventura, Adriana Fonseca; Souza, Ailson Faria de; Silva, Alexandre Francisco; Toledo, Alexandre; Reis, Aline; Cembranel, Allan; Rea Neto, Alvaro; Gut, Ana Lúcia; Justo, Ana Patricia Pierre; Santos, Ana Paula; Albuquerque, André Campos D. de; Scazufka, André; Rodrigues, Antonio Babo; Fernandino, Bruno Bonaccorsi; Silva, Bruno Goncalves; Vidal, Bruno Sarno; Pinheiro, Bruno Valle; Pinto, Bruno Vilela Costa; Feijo, Carlos Augusto Ramos; Abreu Filho, Carlos de; Bosso, Carlos Eduardo da Costa Nunes; Moreira, Carlos Eduardo Nassif; Ramos, Carlos Henrique Ferreira; Tavares, Carmen; Arantes, Cidamaiá; Grion, Cintia; Mendes, Ciro Leite; Kmohan, Claudio; Piras, Claudio; Castro, Cristine Pilati Pileggi; Lins, Cyntia; Beraldo, Daniel; Fontes, Daniel; Boni, Daniela; Castiglioni, Débora; Paisani, Denise de Moraes; Pedroso, Durval Ferreira Fonseca; Mattos, Ederson Roberto; Brito Sobrinho, Edgar de; Troncoso, Edgar M. V.; Rodrigues Filho, Edison Moraes; Nogueira, Eduardo Enrico Ferrari; Ferreira, Eduardo Leme; Pacheco, Eduardo Souza; Jodar, Euzebio; Ferreira, Evandro L. A.; Araujo, Fabiana Fernandes de; Trevisol, Fabiana Schuelter; Amorim, Fábio Ferreira; Giannini, Fabio Poianas; Santos, Fabrício Primitivo Matos; Buarque, Fátima; Lima, Felipe Gallego; Costa, Fernando Antonio Alvares da; Sad, Fernando Cesar dos Anjos; Aranha, Fernando G.; Ganem, Fernando; Callil, Flavio; Costa Filho, Francisco Flávio; Dall´Arto, Frederico Toledo Campo; Moreno, Geovani; Friedman, Gilberto; Moralez, Giulliana Martines; Silva, Guilherme Abdalla da; Costa, Guilherme; Cavalcanti, Guilherme Silva; Cavalcanti, Guilherme Silva; Betônico, Gustavo Navarro; Betônico, Gustavo Navarro; Reis, Hélder; Araujo, Helia Beatriz N.; Hortiz Júnior, Helio Anjos; Guimaraes, Helio Penna; Urbano, Hugo; Maia, Israel; Santiago Filho, Ivan Lopes; Farhat Júnior, Jamil; Alvarez, Janu Rangel; Passos, Joel Tavares; Paranhos, Jorge Eduardo da Rocha; Marques, José Aurelio; Moreira Filho, José Gonçalves; Andrade, Jose Neto; Sobrinho, José Onofre de C; Bezerra, Jose Terceiro de Paiva; Alves, Juliana Apolônio; Ferreira, Juliana; Gomes, Jussara; Sato, Karina Midori; Gerent, Karine; Teixeira, Kathia Margarida Costa; Conde, Katia Aparecida Pessoa; Martins, Laércia Ferreira; Figueirêdo, Lanese; Rezegue, Leila; Tcherniacovsk, Leonardo; Ferraz, Leone Oliveira; Cavalcante, Liane; Rabelo, Ligia; Miilher, Lilian; Garcia, Lisiane; Tannous, Luana; Hajjar, Ludhmila Abrahão; Paciência, Luís Eduardo Miranda; Cruz Neto, Luiz Monteiro da; Bley, Macia Valeria; Sousa, Marcelo Ferreira; Puga, Marcelo Lourencini; Romano, Marcelo Luz Pereira; Nobrega, Marciano; Arbex, Marcio; Rodrigues, Márcio Leite; Guerreiro, Márcio Osório; Rocha, Marcone; Alves, Maria Angela Pangoni; Alves, Maria Angela Pangoni; Rosa, Maria Doroti; Dias, Mariza D’Agostino; Martins, Miquéias; Oliveira, Mirella de; Moretti, Miriane Melo Silveira; Matsui, Mirna; Messender, Octavio; Santarém, Orlando Luís de Andrade; Silveira, Patricio Júnior Henrique da; Vassallo, Paula Frizera; Antoniazzi, Paulo; Gottardo, Paulo César; Correia, Paulo; Ferreira, Paulo; Torres, Paulo; Silva, Pedro Gabrile M. de Barros e; Foernges, Rafael; Gomes, Rafael; Moraes, Rafael; Nonato filho, Raimundo; Borba, Renato Luis; Gomes, Renato V; Cordioli, Ricardo; Lima, Ricardo; López, Ricardo Pérez; Gargioni, Ricardo Rath de Oliveira; Rosenblat, Richard; Souza, Roberta Machado de; Almeida, Roberto; Narciso, Roberto Camargo; Marco, Roberto; waltrick, Roberto; Biondi, Rodrigo; Figueiredo, Rodrigo; Dutra, Rodrigo Santana; Batista, Roseane; Felipe, Rouge; Franco, Rubens Sergio da Silva; Houly, Sandra; Faria, Sara Socorro; Pinto, Sergio Felix; Luzzi, Sergio; Sant’ana, Sergio; Fernandes, Sergio Sonego; Yamada, Sérgio; Zajac, Sérgio; Vaz, Sidiner Mesquita; Bezerra, Silvia Aparecida Bezerra; Farhat, Tatiana Bueno Tardivo; Santos, Thiago Martins; Smith, Tiago; Silva, Ulysses V. A.; Damasceno, Valnei Bento; Nobre, Vandack; Dantas, Vicente Cés de Souza; Irineu, Vivian Menezes; Bogado, Viviane; Nedel, Wagner; Campos Filho, Walther; Dantas, Weidson; Viana, William; Oliveira Filho, Wilson de; Delgadinho, Wilson Martins; Finfer, Simon; Machado, Flavia Ribeiro.

Revista Brasileira de Terapia Intensiva

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apr 2021, Volume 33 N. 2 Pages 206 - 218

Abstract: En Pt | Text: En Pt

Abstract Objective: To describe fluid resuscitation practices in Brazilian intensive care units and to compare them with those of other countries participating in the Fluid-TRIPS. Methods: This was a prospective, international, cross-sectional, observational study in a convenience sample of intensive care units in 27 countries (including Brazil) using the Fluid-TRIPS database compiled in 2014. We described the patterns of fluid resuscitation use in Brazil compared with those in other countries and identified the factors associated with fluid choice. Results: On the study day, 3,214 patients in Brazil and 3,493 patients in other countries were included, of whom 16.1% and 26.8% (p < 0.001) received fluids, respectively. The main indication for fluid resuscitation was impaired perfusion and/or low cardiac output (Brazil: 71.7% versus other countries: 56.4%, p < 0.001). In Brazil, the percentage of patients receiving crystalloid solutions was higher (97.7% versus 76.8%, p < 0.001), and 0.9% sodium chloride was the most commonly used crystalloid (62.5% versus 27.1%, p < 0.001). The multivariable analysis suggested that the albumin levels were associated with the use of both crystalloids and colloids, whereas the type of fluid prescriber was associated with crystalloid use only. Conclusion: Our results suggest that crystalloids are more frequently used than colloids for fluid resuscitation in Brazil, and this discrepancy in frequencies is higher than that in other countries. Sodium chloride (0.9%) was the crystalloid most commonly prescribed. Serum albumin levels and the type of fluid prescriber were the factors associated with the choice of crystalloids or colloids for fluid resuscitation.

RESUMO Objetivo: Descrever as práticas de ressuscitação volêmica em unidades de terapia intensiva brasileiras e compará-las com as de outros países participantes do estudo Fluid-TRIPS. Métodos: Este foi um estudo observacional transversal, prospectivo e internacional, de uma amostra de conveniência de unidades de terapia intensiva de 27 países (inclusive o Brasil), com utilização da base de dados Fluid-TRIPS compilada em 2014. Descrevemos os padrões de ressuscitação volêmica utilizados no Brasil em comparação com os de outros países e identificamos os fatores associados com a escolha dos fluidos. Resultados: No dia do estudo, foram incluídos 3.214 pacientes do Brasil e 3.493 pacientes de outros países, dos quais, respectivamente, 16,1% e 26,8% (p < 0,001) receberam fluidos. A principal indicação para ressuscitação volêmica foi comprometimento da perfusão e/ou baixo débito cardíaco (Brasil 71,7% versus outros países 56,4%; p < 0,001). No Brasil, a percentagem de pacientes que receberam soluções cristaloides foi mais elevada (97,7% versus 76,8%; p < 0,001), e solução de cloreto de sódio a 0,9% foi o cristaloide mais comumente utilizado (62,5% versus 27,1%; p < 0,001). A análise multivariada sugeriu que os níveis de albumina se associaram com o uso tanto de cristaloides quanto de coloides, enquanto o tipo de prescritor dos fluidos se associou apenas com o uso de cristaloides. Conclusão: Nossos resultados sugerem que cristaloides são usados mais frequentemente do que coloides para ressuscitação no Brasil, e essa discrepância, em termos de frequências, é mais elevada do que em outros países. A solução de cloreto de sódio 0,9% foi o cristaloide mais frequentemente prescrito. Os níveis de albumina sérica e o tipo de prescritor de fluidos foram os fatores associados com a escolha de cristaloides ou coloides para a prescrição de fluidos.

https://doi.org/10.5935/0103-507x.20210028

Colonization by Panstrongylus megistus (Hemiptera, Reduviidae, Triatominae) in an urban park in the city of São Paulo
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Silva, Rubens Antonio da; Estevão, Vera Aparecida Oliveira; Duarte, Agnaldo Nepomuceno; Maria, Priscilla Cipolini.

Revista da Sociedade Brasileira de Medicina Tropical

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2021, Volume 54 elocation e03302020

Abstract: En | Text: En

Abstract INTRODUCTION: This communication reports on the occurrence of colonization by Panstrongylus megistus in an urban park in the municipality of São Paulo, Brazil. METHODS: Entomological research includes active search for vectors based on notifications by the population and identification and examination of insects. RESULTS: A colony of triatomines was found to be associated with enclosed birds. CONCLUSIONS: The occurrence of P. megistus has already been reported in the city of São Paulo; however, reports of colonization by this species provide evidence of its potential for the occupation of artificial ecotopes, which may pose a risk to the human population.

https://doi.org/10.1590/0037-8682-0330-2020

Brazilian recommendations for the use of nonsteroidal anti-inflammatory drugs in patients with axial spondyloarthritis
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Lage, Ricardo da Cruz; Marques, Claudia Diniz Lopes; Oliveira, Thauana Luiza; Resende, Gustavo Gomes; Kohem, Charles Lubianca; Saad, Carla Gonçalves; Ximenes, Antônio Carlos; Gonçalves, Célio Roberto; Bianchi, Washington Alves; Meirelles, Eduardo de Souza; Keiserman, Mauro Waldemar; Chiereghin, Adriano; Campanholo, Cristiano Barbosa; Lyrio, André Marun; Schainberg, Cláudia Goldenstein; Pieruccetti, Lenise Brandao; Yazbek, Michel Alexandre; Palominos, Penelope Esther; Goncalves, Rafaela Silva Guimarães; Assad, Rodrigo Luppino; Bonfiglioli, Rubens; Lima, Sônia Maria Alvarenga Anti Loduca; Carneiro, Sueli; Azevedo, Valderílio Feijó; Albuquerque, Cleandro Pires; Bernardo, Wanderley Marques; Sampaio-Barros, Percival Degrava; Pinheiro, Marcelo de Medeiros.

Advances in Rheumatology

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2021, Volume 61 elocation 4

Abstract: En | Text: En

Abstract Spondyloarthritis (SpA) is a group of chronic inflammatory systemic diseases characterized by axial and/or peripheral joints inflammation, as well as extra-articular manifestations. Over some decades, nonsteroidal anti-inflammatory drugs (NSAIDs) have been the basis for the pharmacological treatment of patients with axial spondyloarthritis (axSpA). However, the emergence of the immunobiologic agents brought up the discussion about the role of NSAIDs in the management of these patients. The objective of this guideline is to provide recommendations for the use of NSAIDs for the treatment of axSpA. A panel of experts from the Brazilian Society of Rheumatology conducted a systematic review and meta-analysis of randomized clinical trials for 15 predefined questions. The Grading of Recommendations, Assessment, Development and Evaluation methodology to assess the quality of evidence and formulate recommendations were used, and at least 70% agreement of the voting panel was needed. Fourteen recommendations for the use of NSAIDs in the treatment of patients with axSpA were elaborated. The purpose of these recommendations is to support clinicians’ decision making, without taking out his/her autonomy when prescribing for an individual patient.

https://doi.org/10.1186/s42358-020-00160-6

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 2): UPDATE ON TREATMENT
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BARCHI, Leandro Cardoso; RAMOS, Marcus Fernando Kodama Pertille; DIAS, André Roncon; FORONES, Nora Manoukian; CARVALHO, Marineide Prudêncio de; CASTRO, Osvaldo Antonio Prado; KASSAB, Paulo; COSTA-JÚNIOR, Wilson Luiz da; WESTON, Antônio Carlos; ZILBERSTEIN, Bruno; Ferraz, Álvaro Antônio Bandeira; ZeideCharruf, Amir; Brandalise, André; Silva, André Maciel da; Alves, Barlon; Marins, Carlos Augusto Martinez; Malheiros, Carlos Alberto; Leite, Celso Vieira; Bresciani, Claudio José Caldas; Szor, Daniel; Mucerino, Donato Roberto; Wohnrath, Durval R.; JirjossIlias, Elias; Martins Filho, Euclides Dias; PinatelLopasso, Fabio; Coimbra, Felipe José Fernandez; Felippe, Fernando E. Cruz; Tomasisch, Flávio Daniel Saavedra; Takeda, Flavio Roberto; Ishak, Geraldo; Laporte, Gustavo Andreazza; Silva, Herbeth José Toledo; Cecconello, Ivan; Rodrigues, Joaquim José Gama; Grande, José Carlos Del; Lourenço, Laércio Gomes; Motta, Leonardo Milhomem da; Ferraz, Leonardo Rocha; Moreira, Luis Fernando; Lopes, Luis Roberto; Toneto, Marcelo Garcia; Mester, Marcelo; Rodrigues, Marco Antônio Gonçalves; Franciss, Maurice Youssef; AdamiAndreollo, Nelson; Corletta, Oly Campos; Yagi, Osmar Kenji; Malafaia, Osvaldo; Assumpção, Paulo Pimentel; Savassi-Rocha, Paulo Roberto; Colleoni Neto, Ramiro; Oliveira, Rodrigo Jose de; AissarSallun, Rubens Antonio; Weschenfelder, Rui; Oliveira, Saint Clair Vieira de; Abreu, Thiago Boechat de; Castria, Tiago Biachi de; Ribeiro Junior, Ulysses; Barra, Williams; Freitas Júnior, Wilson Rodrigues de.

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2021, Volume 34 N. 1 elocation e1563

Abstract: En Pt | Text: En Pt

ABSTRACT Background : The II Brazilian Consensus on Gastric Cancer of the Brazilian Gastric Cancer Association BGCA (Part 1) was recently published. On this occasion, countless specialists working in the treatment of this disease expressed their opinion in the face of the statements presented. Aim : To present the BGCA Guidelines (Part 2) regarding indications for surgical treatment, operative techniques, extension of resection and multimodal treatment. Methods: To formulate these guidelines, the authors carried out an extensive and current review regarding each declaration present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases initially with the following descriptors: gastric cancer, gastrectomy, lymphadenectomy, multimodal treatment. In addition, each statement was classified according to the level of evidence and degree of recommendation. Results : Of the 43 statements present in this study, 11 (25,6%) were classified with level of evidence A, 20 (46,5%) B and 12 (27,9%) C. Regarding the degree of recommendation, 18 (41,9%) statements obtained grade of recommendation 1, 14 (32,6%) 2a, 10 (23,3%) 2b e one (2,3%) 3. Conclusion : The guidelines complement of the guidelines presented here allows surgeons and oncologists who work to combat gastric cancer to offer the best possible treatment, according to the local conditions available.

RESUMO Racional: O II Consenso Brasileiro de Câncer Gástrico da Associação Brasileira de Câncer Gástrico ABCG (Parte 1) foi recentemente publicado. Nesta ocasião inúmeros especialistas que atuam no tratamento desta doença expressaram suas opiniões diante declarações apresentadas. Objetivo: Apresentar as Diretrizes da ABCG (Parte 2) quanto às indicações de tratamento cirúrgico, técnicas operatórias, extensão de ressecção e terapia combinada. Métodos: Para formulação destas diretrizes os autores realizaram extensa e atual revisão referente a cada declaração presente no II Consenso, utilizando as bases Medline/PubMed, Cochrane Library e SciELO, inicialmente com os seguintes descritores: câncer gástrico, gastrectomia, linfadenectomia, terapia combinada. Ainda, cada declaração foi classificada de acordo com o nível de evidência e grau de recomendação. Resultados: Das 43 declarações presentes neste estudo, 11 (25,6%) foram classificadas com nível de evidência A, 20 (46,5%) B e 12 (27,9%) C. Quanto ao grau de recomendação, 18 (41,9%) declarações obtiveram grau de recomendação 1, 14 (32,6%) 2a, 10 (23,3%) 2b e um (2,3%) 3. Conclusão: O complemento das diretrizes aqui presentes possibilita que cirurgiões e oncologistas que atuam no combate ao câncer gástrico possam oferecer o melhor tratamento possível, de acordo com as condições locais disponíveis.

https://doi.org/10.1590/0102-672020210001e1563

Colonization of Panstrongylus megistus (Hemiptera:Reduvidae:Triatominae) in an urban area and its association with Didelphis marsupialis in the metropolitan region of São Paulo
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Silva, Rubens Antonio da; Zaicaner, Raquel; Rosa, Mariangela Palma; Aun, Graciela Cristina Granizo; Muniz, Júlio César; Magalhães, Alon Carlos; Pereira, Creusa; Pena, Amanda Rosa; Santos, Maysa Flexa dos; Estevão, Vera Aparecida Oliveira; Duarte, Agnaldo Nepomuceno.

Revista da Sociedade Brasileira de Medicina Tropical

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2021, Volume 54 elocation e0471-2020

Abstract: En | Text: En

Abstract INTRODUCTION: This communication reports the colonization of Panstrongylus megistus in an urban area of the municipality of Taboão da Serra in the metropolitan region of São Paulo. METHODS: After receiving a notification from the population, entomological research comprising active search, collection, identification, and examination of triatomines was conducted. Wild animals were captured and examined. RESULTS: A colony of triatomines was found to be associated with dogs in the backyard of the property. CONCLUSIONS: The colonization of P. megistus shows the potential for their occupation of artificial ecotopes, which may pose a risk to the human population.

https://doi.org/10.1590/0037-8682-0471-2020

Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil
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Silva, Rubens Antonio da; Wanderley, Dalva Marli Valério; Forsyth, Colin; Leite, Ruth Moreira; Luna, Expedito José de Albuquerque; Carneiro Júnior, Nivaldo; Shikanai-Yasuda, Maria Aparecida.

Revista do Instituto de Medicina Tropical de São Paulo

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2020, Volume 62 elocation e39

Abstract: En | Text: En

ABSTRACT In this study which is part of a research project on Chagas disease (CD) among Bolivian immigrants in Sao Paulo, we describe socioeconomic characteristics, knowledge of CD and implications for acess to health care. We applied a structured questionnaire to a sample of 472 Bolivian adults (> 18 years) living in Sao Paulo and enrolled at the Barra Funda School Health Center. Participants’ median age was 28.5 years, 75.0% were from the Bolivian department of La Paz, and >90% worked in the garment industry. Respondents had lived in Sao Paulo for a median of 5.8 years. Only 169 (35.8%) were familiar with CD, while roughly half (50.4%) had lived in natural materials houses in Bolivia, 225 (47.7%) indicated familiarity with the vector, 23.9% had seen the vector in their homes in Bolivia, and 6.4% reported having been bitten by a triatomine bug. Factors associated with awareness of CD were analyzed by chi square tests, and those with p values <0.25 were included in a multivariable logistic regression model. In the multivariable logistic regression analysis, having a relative with CD (OR=4.3, 95% CI=1.5-12.0), having lived in a house with mud or wood walls (OR=0.4, 95% CI=0.2-0.8), and having heard of the triatomine bug, or vinchuca, (OR=10.0, 95% CI=5.1-19.5) were significantly associated with awareness of CD. This study shows a low familiarity with CD among Bolivian migrants living in Sao Paulo, Brazil. Raising awareness of the disease through specific communication strategies should be an essential component of public health programs to reduce the burden of CD in this and other vulnerable populations.

https://doi.org/10.1590/s1678-9946202062039

The Brazilian Society of Rheumatology guidelines for axial spondyloarthritis – 2019
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Resende, Gustavo Gomes; Meirelles, Eduardo de Souza; Marques, Cláudia Diniz Lopes; Chiereghin, Adriano; Lyrio, Andre Marun; Ximenes, Antônio Carlos; Saad, Carla Gonçalves; Gonçalves, Célio Roberto; Kohem, Charles Lubianca; Schainberg, Cláudia Goldenstein; Campanholo, Cristiano Barbosa; Bueno Filho, Júlio Silvio de Sousa; Pieruccetti, Lenise Brandao; Keiserman, Mauro Waldemar; Yazbek, Michel Alexandre; Palominos, Penelope Esther; Goncalves, Rafaela Silva Guimarães; Lage, Ricardo da Cruz; Assad, Rodrigo Luppino; Bonfiglioli, Rubens; Anti, Sônia Maria Alvarenga; Carneiro, Sueli; Oliveira, Thauana Luíza; Azevedo, Valderílio Feijó; Bianchi, Washington Alves; Bernardo, Wanderley Marques; Pinheiro, Marcelo de Medeiros; Sampaio-Barros, Percival Degrava.

Advances in Rheumatology

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2020, Volume 60 elocation 19

Abstract: En | Text: En

Abstract Spondyloarthritis is a group of chronic inflammatory systemic diseases characterized by axial and/or peripheral joints inflammation, as well as extra-articular manifestations. The classification axial spondyloarthritis is adopted when the spine and/or the sacroiliac joints are predominantly involved. This version of recommendations replaces the previous guidelines published in May 2013. A systematic literature review was performed, and two hundred thirty-seven studies were selected and used to formulate 29 recommendations answering 15 clinical questions, which were divided into four sections: diagnosis, non-pharmacological therapy, conventional drug therapy and biological therapy. For each recommendation the level of evidence supporting (highest available), the strength grade according to Oxford, and the degree of expert agreement (inter-rater reliability) is informed. These guidelines bring evidence-based information on clinical management of axial SpA patients, including, diagnosis, treatment, and prognosis.

https://doi.org/10.1186/s42358-020-0116-2

10.

Planting of Seedlings and Direct Seeding with Different Inputs in Pioneer Species in the Southeastern Amazon
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Silva, Antônio Carlos Silveiro; Rondon Neto, Rubens Marques; Ribeiro Júnior, Norberto Gomes; Veiga, Jessica Borges da; Caioni, Charles; Claudino, Wesley Vicente.

Floresta e Ambiente

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2020, Volume 27 N. 2 elocation e20190084

Abstract: En | Text: En

Abstract The main objectives of the study were to determine which was the best implantation of forest method between direct seeding and planting of seedlings, the use of Slow Release Fertilizer (SRF) and hydrogel in the pioneer species Schizolobium parahyba var. amazonicum and Senegalia polyphylla, and the use of morphometric indices, such as slenderness of trunk and canopy, to assist in growth evaluation. Generalized Linear Model (GLM) and Principal Component Analysis (PCA) were used as the main methods. The morphometric indices, plus the variables height, trunk and canopy diameter, provided complementary information on the morphological growth pattern of the plant. For both species, both direct seeding and planting of seedlings promoted good results in the growth variables, with the planting of seedlings showing better results in Senegalia, however, not enough statistical clarity for Schizolobium. Regarding inputs, the SRF promoted the best results and therefore this fertilizer was recommended for a complementary input in forest implantation.

https://doi.org/10.1590/2179-8087.008419

11.

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 1): AN UPDATE ON DIAGNOSIS, STAGING, ENDOSCOPIC TREATMENT AND FOLLOW-UP
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BARCHI, Leandro Cardoso; RAMOS, Marcus Fernando Kodama Pertille; YAGI, Osmar Kenji; MUCERINO, Donato Roberto; BRESCIANI, Claudio José Caldas; RIBEIRO JÚNIOR, Ulysses; ANDREOLLO, Nelson Adami; ASSUMPÇÃO, Paulo Pimentel; WESTON, Antônio Carlos; COLLEONI NETO, Ramiro; ZILBERSTEIN, Bruno; Ferraz, Álvaro Antônio Bandeira; Charruf, Amir Zeide; Dias, André Roncon; Brandalise, André; Silva, André Maciel da; Alves, Barlon; Malheiros, Carlos Alberto; Marins, Carlos Augusto Martinez; Leite, Celso Vieira; Szor, Daniel; Wohnrath, Durval R.; Ilias, Elias Jirjoss; Martins Filho, Euclides Dias; Lopasso, Fabio Pinatel; Coimbra, Felipe José Fernandez; Felippe, Fernando E. Cruz; Tomasisch, Flávio Daniel Saavedra; Takeda, Flavio Roberto; Ishak, Geraldo; Laporte, Gustavo Andreazza; Silva, Herbeth José Toledo; Cecconello, Ivan; Rodrigues, Joaquim José Gama; Grande, José Carlos Del; Lourenço, Laércio Gomes; Motta, Leonardo Milhomem da; Ferraz, Leonardo Rocha; Moreira, Luis Fernando; Lopes, Luis Roberto; Toneto, Marcelo Garcia; Mester, Marcelo; Rodrigues, Marco Antônio Gonçalves; Carvalho, Marineide Prudêncio de; Franciss, Maurice Youssef; Forones, Nora Manoukian; Corletta, Oly Campos; Castro, Osvaldo Antonio Prado; Malafaia, Osvaldo; Kassab, Paulo; Savassi-Rocha, Paulo Roberto; Oliveira, Rodrigo Jose de; Sallun, Rubens Antonio Aissar; Weschenfelder, Rui; Oliveira, Saint Clair Vieira de; Abreu, Thiago Boechat de; Castria, Tiago Biachi de; Barra, Williams; Costa Júnior, Wilson Luiz da; Freitas Júnior, Wilson Rodrigues de.

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2020, Volume 33 N. 3 elocation e1535

Abstract: En Pt | Text: En Pt

ABSTRACT Background: The II Brazilian Consensus on Gastric Cancer by the Brazilian Gastric Cancer Association (ABCG) was recently published. On this occasion, several experts in gastric cancer expressed their opinion before the statements presented. Aim: To present the ABCG Guidelines (part 1) regarding the diagnosis, staging, endoscopic treatment and follow-up of gastric cancer patients. Methods: To forge these Guidelines, the authors carried out an extensive and current review regarding each statement present in the II Consensus, using the Medline/PubMed, Cochrane Library and SciELO databases with the following descriptors: gastric cancer, staging, endoscopic treatment and follow-up. In addition, each statement was classified according to the level of evidence and degree of recommendation. Results: Of the 24 statements, two (8.3%) were classified with level of evidence A, 11 (45.8%) with B and 11 (45.8%) with C. As for the degree of recommendation, six (25%) statements obtained grade of recommendation 1, nine (37.5%) recommendation 2a, six (25%) 2b and three (12.5%) grade 3. Conclusion: The guidelines presented here are intended to assist professionals working in the fight against gastric cancer with relevant and current information, granting them to be applied in the daily medical practice.

RESUMO Racional: O II Consenso Brasileiro de Câncer Gástrico da Associação Brasileira de Câncer Gástrico (ABCG) foi recentemente publicado. Nesta ocasião, inúmeros especialistas que atuam no tratamento desta doença expressaram sua opinião diante declarações apresentadas. Objetivo: Apresentar as Diretrizes da ABCG (Parte 1) quanto ao diagnóstico, estadiamento, tratamento endoscópico e seguimento dos pacientes com câncer gástrico. Métodos: Para formulação destas Diretrizes os autores realizaram extensa e atual revisão referente a cada declaração presente no II Consenso, utilizando as bases Medline/PubMed, Cochrane Library e SciELO com os seguintes descritores: câncer gástrico, estadiamento, tratamento endoscópico e seguimento. Ainda, cada declaração foi classificada de acordo com o nível de evidência e grau de recomendação. Resultados: Das 24 declarações, duas (8,3%) foram classificadas com nível de evidência A, 11 (45,8%) B e 11 (45,8%) C. Quanto ao grau de recomendação, seis (25%) declarações obtiveram grau de recomendação 1, nove (37,5%) grau 2a, seis (25%) 2b e três (12,5%) 3. Conclusão: As diretrizes aqui presentes têm a finalidade de auxiliar os profissionais que atuam no combate ao câncer gástrico com informações relevantes e atuais, permitindo que sejam aplicadas na prática médica diária.

https://doi.org/10.1590/0102-672020200003e1535

12.

II BRAZILIAN CONSENSUS ON GASTRIC CANCER BY THE BRAZILIAN GASTRIC CANCER ASSOCIATION
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BARCHI, Leandro Cardoso; RAMOS, Marcus Fernando Kodama Pertille; DIAS, André Roncon; ANDREOLLO, Nelson Adami; WESTON, Antônio Carlos; LOURENÇO, Laércio Gomes; MALHEIROS, Carlos Alberto; KASSAB, Paulo; ZILBERSTEIN, Bruno; Ferraz, Álvaro Antônio Bandeira; Charruf, Amir Zeide; Brandalise, André; Silva, André Maciel da; Alves, Barlon; Marins, Carlos Augusto Martinez; Leite, Celso Vieira; Bresciani, Claudio José Caldas; Szor, Daniel; Mucerino, Donato Roberto; Wohnrath, Durval R.; Ilias, Elias Jirjoss; Martins Filho, Euclides Dias; Lopasso, Fabio Pinatel; Coimbra, Felipe José Fernandez; Felippe, Fernando E. Cruz; Tomasisch, Flávio Daniel Saavedra; Takeda, Flavio Roberto; Ishak, Geraldo; Laporte, Gustavo Andreazza; Silva, Herbeth José Toledo; Cecconello, Ivan; Rodrigues, Joaquim José Gama; Grande, José Carlos Del; Motta, Leonardo Milhomem da; Ferraz, Leonardo Rocha; Moreira, Luis Fernando; Lopes, Luis Roberto; Toneto, Marcelo Garcia; Mester, Marcelo; Rodrigues, Marco Antônio Gonçalves; Carvalho, Marineide Prudêncio de; Franciss, Maurice Youssef; Forones, Nora Manoukian; Corletta, Oly Campos; Yagi, Osmar Kenji; Castro, Osvaldo Antonio Prado; Malafaia, Osvaldo; Assumpção, Paulo Pimentel; Savassi-Rocha, Paulo Roberto; Colleoni Neto, Ramiro; Oliveira, Rodrigo Jose de; Sallun, Rubens Antonio Aissar; Weschenfelder, Rui; Oliveira, Saint Clair Vieira de; Abreu, Thiago Boechat de; Castria, Tiago Biachi de; Ribeiro Junior, Ulysses; Barra, Williams; Costa Júnior, Wilson Luiz da; Freitas Júnior, Wilson Rodrigues de.

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2020, Volume 33 N. 2 elocation e1514

Abstract: En Pt | Text: En Pt

ABSTRACT Background: Since the publication of the first Brazilian Consensus on Gastric Cancer (GC) in 2012 carried out by the Brazilian Gastric Cancer Association, new concepts on diagnosis, staging, treatment and follow-up have been incorporated. Aim: This new consensus is to promote an update to professionals working in the fight against GC and to provide guidelines for the management of patients with this condition. Methods: Fifty-nine experts answered 67 statements regarding the diagnosis, staging, treatment and prognosis of GC with five possible alternatives: 1) fully agree; 2) partially agree; 3) undecided; 4) disagree and 5) strongly disagree A consensus was adopted when at least 80% of the sum of the answers “fully agree” and “partially agree” was reached. This article presents only the responses of the participating experts. Comments on each statement, as well as a literature review, will be presented in future publications. Results: Of the 67 statements, there was consensus in 50 (74%). In 10 declarations, there was 100% agreement. Conclusion: The gastric cancer treatment has evolved considerably in recent years. This consensus gathers consolidated principles in the last decades, new knowledge acquired recently, as well as promising perspectives on the management of this disease.

RESUMO Racional: Desde a publicação do primeiro Consenso Brasileiro sobre Câncer Gástrico em 2012 realizado pela Associação Brasileira de Câncer Gástrico (ABCG), novos conceitos sobre o diagnóstico, estadiamento, tratamento e seguimento foram incorporados. Objetivo: Promover uma atualização aos profissionais que atuam no combate ao câncer gástrico (CG) e fornecer diretrizes quanto ao manejo dos pacientes portadores desta afecção. Métodos: Cinquenta e nove especialistas responderam 67 declarações sobre o diagnóstico, estadiamento, tratamento e prognóstico do CG com cinco alternativas possíveis: 1) concordo plenamente; 2) concordo parcialmente; 3) indeciso; 4) discordo e 5) discordo fortemente. Foi considerado consenso a concordância de pelo menos 80% da soma das respostas “concordo plenamente” e “concordo parcialmente”. Este artigo apresenta apenas as respostas dos especialistas participantes. Os comentários sobre cada declaração, assim como uma revisão da literatura serão apresentados em publicações futuras. Resultados: Das 67 declarações, houve consenso em 50 (74%). Em 10 declarações, houve concordância de 100%. Conclusão: O tratamento do câncer gástrico evoluiu consideravelmente nos últimos anos. Este consenso reúne princípios consolidados nas últimas décadas, novos conhecimentos adquiridos recentemente, assim como perspectivas promissoras sobre o manejo desta doença.

https://doi.org/10.1590/0102-672020190001e1514

13.

Synovial fluid as an auxiliary diagnostic tool for different stages of canine visceral leishmaniasis
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Rennó, Mário César; Vasconcellos, Amanda Otoni; Santos, Rogerio Rodrigues; Silva, Rodrigo Otávio Silveira; Carneiro, Rubens Antônio; Paes, Paulo Ricardo de Oliveira.

Ciência Rural

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2019, Volume 49 N. 5 elocation e20190023

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

ABSTRACT: Leishmaniasis represents a complex of chronic diseases with a broad geographic distribution and a high significance in public health worldwide. The varied clinical signs in conjunction with the low sensitivity and specificity of canine visceral leishmaniasis (CVL) detection methods make diagnosis of the disease complex. Among the several available laboratory tests, studies have suggested that the detection of parasites in synovial fluid (SF) is a good auxiliary tool in the diagnosis of CVL. However, no study has evaluated the influence of the clinical stage of CVL in the detection of Leishmania sp. in SF. This study aimed to evaluate the detection of Leishmania sp. amastigotes in the SF of dogs at different stages of the disease. The negative control group (G1) comprised 12 dogs that tested negative for CVL. Thirty-six other dogs, tested serologically positive for CVL, were divided into two groups: Group 2 (G2), which included animals at stage II of the disease (moderate; n=18), and Group 3 (G3) included animals at stage III of the disease (severe; n=18). The analysis of SF revealed the presence of parasites in six (33.3%) dogs from G2 and in 16 (88.9%) dogs from G3 (p=0.0437). The present research suggested that SF analysis is of high value as a supplementary tool in the diagnosis of CVL. As a new finding, the present study also indicated that this test has a higher sensitivity in animals presenting with more severe stage of the disease.

RESUMO: As leishmanioses representam um complexo de doenças de caráter crônico de alta importância na saúde pública mundial e com distribuição geográfica ampla. A apresentação clínica variada e a baixa sensibilidade e especificidade de alguns métodos para a detecção da doença tornam complexo o diagnóstico da leishmainiose visceral canina (LVC). Entre os diversos testes laboratóriais disponíveis, estudos tem sugerido que a pesquisa de parasitos no líquido sinovial (LS) pode ser uma ferramenta auxiliar no diagnóstico da LVC. Apesar disso, inexistem estudos avaliando a relação entre o estágio clínico da doença e a detecção de Leishmania sp. no LS. Dessa forma, o presente trabalho teve como objetivo avaliar a detecção de amastigotas de Leishmania sp. no LS de cães acometidos por diferentes estádios da doença. Foram avaliados 48 cães, sendo 12 negativos para LVC (grupo controle negativo, G1) e 36 soropositivos. O grupo 2 (doença moderada, G2) incluiu animais classificados no estádio II da doença, enquanto o grupo 3 (doença grave, G3) abrangeu animais classificados em estádio III. Na análise do líquido sinovial dos cães, o parasito foi visualizado em seis (33,3%) cães do G2 e 16 (88,9)% dos cães de G3 (p=0.0437). O presente trabalho sugere que a análise do LS apresenta alto valor como ferramenta suplementar no diagnóstico da LVC. Em adição, o presente estudo indica, pela primeira vez, que o teste apresenta uma sensibilidade maior em animais que apresentam a forma grave da doença.

https://doi.org/10.1590/0103-8478cr20190023

14.

Occurrences of triatomines (Hemiptera: Reduviidae) and first reports of Panstrongylus geniculatus in urban environments in the city of Sao Paulo, Brazil
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Ceretti-Junior, Walter; Vendrami, Daniel Pagotto; Matos-Junior, Marco Otavio de; Rimoldi-Ribeiro, Aline; Alvarez, Julia Vono; Marques, Sandro; Duarte, Agnaldo Nepomuceno; Silva, Rubens Antonio da; Rosa, João Aristeu da; Marrelli, Mauro Toledo.

Revista do Instituto de Medicina Tropical de São Paulo

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2018, Volume 60 elocation e33

Abstract: En | Text: En

ABSTRACT This note reports on occurrences of triatomine species in the city of Sao Paulo, Brazil, registered between 1988 and 2017. Records of triatomines captured in Sao Paulo are based on specimens received spontaneously from Health Surveillance Centers, Health Centers and Zoonosis Control Centers in the city as well as from citizens. Species were identified morphologically at the Public Health Entomology Laboratory, Faculty of Public Health, University of Sao Paulo, where the triatomines, which are vectors of Chagas disease, were tested for Trypanosoma cruzi infection. The first reported occurrence of triatomine bugs in urban Sao Paulo was in 1988. The specimen, which was captured in Jardim Sao Luiz district, was from the genus Panstrongylus and was registered as Panstrongylus sp. but was not sexed. Since this first recorded occurrence, the following species have been found in the city: Panstrongylus geniculatus (2 occurrences), P. megistus (15 occurrences), Triatoma infestans (1 occurrence) and T. sordida (3 occurrences). In this paper, the importance of reporting occurrences of triatomine bugs in the city of Sao Paulo, one of the largest metropolis in the world, is discussed with an emphasis on P. megistus. The occurrences discussed here indicate the importance of entomological surveillance for these vectors even in urban centers although the possibility of vector transmission of Chagas disease in these centers is very low.

https://doi.org/10.1590/s1678-9946201860033

15.

ATLETAS DE TAEKWONDO TÊM MELHOR CONTROLE POSTURAL DO QUE ATLETAS DE HANDEBOL E FUTEBOL AMERICANO
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Shirabe, Nelson Akio; Silva, Rubens Alexandre da; Oliveira, Márcio Rogério; Nowotny, Alexandre Henrique; Sturion, Leandro Amaral; Gil, André Wilson de Oliveira; Andraus, Rodrigo Antonio Carvalho; Carvalho, Adriana Paula Fontana.

Revista Brasileira de Medicina do Esporte

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dec 2017, Volume 23 N. 6 Pages 473 - 476

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ABSTRACT Introduction: Postural control is an important prerequisite for an athlete’s performance in sport. In addition, the postural control system contributes to injury prevention. Deficits in this system can lead to body instability and overload of musculoskeletal structures generating dysfunction and pain. Objectives: The purpose of this study was to evaluate postural control in three different sports modalities: taekwondo, handball, and American football. Methods: All athletes performed a one-legged stance/balance test on a force platform in the right and left lower limbs. Three tests of thirty seconds each were performed with eyes open. The mean of the three tests was used to measure the parameters of postural control, pressure center and velocity of anteroposterior and mediolateral displacements. Results: Significant differences were observed among the three groups in all analyzed parameters (P=<0.04). Post-hoc analysis revealed that taekwondo athletes had better postural control (P=<0.035) of lower limbs compared to the other two modalities. There were no significant differences between handball and American football. Conclusion: Taekwondo athletes have better postural control during the one-legged stance/balance test than handball and American football athletes.

RESUMO Introdução: O controle postural é um pré-requisito importante para o desempenho do atleta no esporte. Além disso, o sistema de controle postural contribui para a prevenção de lesões. Déficits nesse sistema podem levar a instabilidade corporal e sobrecarga das estruturas musculoesqueléticas, gerando disfunção e dor. Objetivos: A proposta deste estudo foi avaliar o controle postural em três diferentes modalidades esportivas: taekwondo, handebol e futebol americano. Métodos: Todos os atletas executaram o teste de equilíbrio unipodal sobre uma plataforma de força nos membros inferiores direito e esquerdo. Foram realizados três testes de trinta segundos cada, com os olhos abertos. A média dos três testes foi utilizada para mensurar os parâmetros de controle postural, centro de pressão e velocidade dos deslocamentos anteroposteriores e mediolaterais. Resultados: Diferenças significativas foram observadas entre os três grupos em todos os parâmetros analisados (P = <0,04). A análise post hoc revelou que os atletas de taekwondo tiveram melhor controle postural (P = < 0,035) dos membros inferiores em comparação com as outras duas modalidades. Não foram observadas diferenças significativas entre o handebol e o futebol americano. Conclusão: Os atletas do taekwondo têm melhor controle postural durante o teste de equilíbrio unipodal do que os atletas do handebol e do futebol americano.

RESUMEN Introducción: El control postural es un prerrequisito importante para el desempeño del atleta en el deporte. Además, el sistema de control postural contribuye a la prevención de lesiones. Los déficit en este sistema pueden llevar a la inestabilidad corporal y sobrecarga de las estructuras musculoesqueléticas, generando disfunción y dolor. Objetivos: La propuesta de este estudio fue evaluar el control postural en tres diferentes modalidades deportivas: taekwondo, handball y fútbol americano. Métodos: Todos los atletas ejecutaron la prueba de equilibrio unipodal sobre una plataforma de fuerza en los miembros inferiores derecho e izquierdo. Se realizaron tres pruebas de treinta segundos para cada una, con los ojos abiertos. El promedio de las tres pruebas se utilizó para medir los parámetros de control postural, centro de presión y velocidad de los desplazamientos anteroposteriores y mediolaterales. Resultados: Diferencias significativas se observaron entre los tres grupos en todos los parámetros analizados (P = < 0,04). El análisis post hoc reveló que los atletas de taekwondo tuvieron mejor control postural (P = <0,035) de las extremidades inferiores en comparación con las otras dos modalidades. No se observaron diferencias significativas entre el handball y el fútbol americano. Conclusión: Los atletas del taekwondo tienen mejor control postural durante la prueba de equilibrio unipodal que los atletas del handball y del fútbol americano.

https://doi.org/10.1590/1517-869220172306170049

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