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Trombocitemia essencial incipiente: caso clínico
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Costa-Freitas, Tiago

; Tavares, Pedro Filipe

; Silva, Leonor Ferreira da

; Braga, Madalena

; Pereira, Nuno Mendanha

; Malheiro, Felicidade

; Fernandes, Gustavo

; Magalhães, Miguel

Revista Portuguesa de Medicina Geral e Familiar

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feb 2024, Volume 40 N. 1 Pages 83 - 87

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

Resumo Introdução: A trombocitemia essencial (TE) é uma condição pouco comum e assintomática na maioria dos casos. No entanto, podem surgir sintomas como cefaleias, síncope, vertigem, dor torácica, eritromelalgia e distúrbios visuais transitórios. Os eventos hemorrágicos e tromboembólicos são os grandes riscos desta patologia. O objetivo da partilha deste caso clínico é alertar para uma patologia rara que pode passar despercebida e causar eventos potencialmente graves. Descrição do caso: Sexo feminino, 43 anos, raça caucasiana, antecedentes de hepatite B crónica, sem antecedentes cirúrgicos nem medicação habitual, incluindo método contracetivo hormonal. Recorreu a consulta com queixas de enfartamento precoce, dispepsia e epigastralgia com três dias de evolução, negando alterações do trânsito intestinal, características das fezes, náuseas ou vómitos. Exame físico e endoscopia digestiva alta recente sem alterações de relevo. Foi consultado o estudo analítico que a utente realizava regularmente no hospital, verificando-se que o valor do número de plaquetas se encontrava consistentemente a rondar os 500.000/uL desde há três anos. Pediu-se ecografia abdominal que descrevia trombose parcial da veia porta e do seu ramo esquerdo. A doente foi medicada com enoxaparina 60 mg 12h/12 h. Foi realizado angio-TC abdominal, estudo pró-trombótico e estudo genético e iniciou varfarina 5 mg 1x/dia, inicialmente sobreposta com enoxaparina 60 mg 12/12h. O angio-TC viria a confirmar a trombose da veia porta e confirmou-se positiva a mutação JAK2 V617F. Assumido o diagnóstico de TE e iniciado tratamento citorredutor com hidroxiureia 500 mg em dias alternados. Comentário: Este caso chama a atenção pelo excesso de plaquetas secundário à TE, ainda que ligeiramente acima do valor de referência, ter originado uma trombose da veia porta. Pretende-se alertar os médicos de família para a importância de realizar um estudo atento, valorizando pequenas variações sustentadas fora dos intervalos da normalidade e fazer uma referenciação correta e atempada quando necessário.

Abstract Introduction: Essential thrombocythemia (ET) is an asymptomatic rare condition in most cases. Nonetheless, symptoms like headache, syncope, vertigo, thoracic pain, erythromelalgia, and transient visual disturbances may surge. The major concerns of this pathology are hemorrhagic and thromboembolic events. The aim of sharing this case report is to alert for the existence of this rare pathology that can go unnoticed and cause potentially serious events. Case description: Female, 43-year-old, Caucasian. Background of chronic B hepatitis, without surgical background nor usual medication, including the contraceptive pill. She appealed to a medical appointment with an early feeling of fullness when eating, dyspepsia, and epigastric pain in the last three days. She denied changes in intestinal habits, feces characteristics, nausea, or vomiting. Physical examination and recent upper endoscopic study were normal. The hospital medical record was examined, verifying that platelet levels were consistently rounding 500,000/uL for the past three years. An abdominal ultrasonography was requested, and it described a partial portal vein and left branch thrombosis. The patient started enoxaparin 60 mg every 12 hours. It was conducted an abdominal angiotomography, prothrombotic, and genetic study, including the JAK2 V617F mutation. The patient started warfarin 5 mg one time daily, initially overlaid with enoxaparin 60 mg 12h/12h. The abdominal angiotomography would confirm the portal vein thrombosis and the JAK2 V617F mutation study was positive. It was assumed the diagnosis of ET and was initiated cytoreductive therapy with hydroxyurea 500 mg on alternated days. Comment: This case report shows that the excessive platelet count, secondary to ET, even if slightly above the reference value, caused a portal vein thrombosis. We aim to alert family physicians to the importance of doing a careful study, valuing little sustained variations out of the normal intervals, and referring correctly and promptly when necessary.

https://doi.org/10.32385/rpmgf.v40i1.13605

Autoimmune hepatitis and primary biliary cholangitis overlap syndrome after COVID-19
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Cunha-Silva, Marlone

; França, Eloy Vianey Carvalho de

; Greca, Raquel Dias

; Mazo, Daniel Ferraz de Campos

; Costa, Larissa Bastos Eloy da

; Moraes, Priscilla Brito Sena de

; Veiga, Clauber Teles

; Assis-Mendonça, Guilherme Rossi

; Boin, Ilka de Fátima Santana Ferreira

; Stucchi, Raquel Silveira Bello

; Sevá-Pereira, Tiago

Autopsy and Case Reports

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2023, Volume 13 elocation e2023422

Abstract: En | Text: En | PDF: En

ABSTRACT COVID-19 is commonly associated with high serum levels of pro-inflammatory cytokines, and the post-infection status can disturb self-tolerance and trigger autoimmune responses. We are reporting a 45-year-old male who was admitted with fatigue, jaundice, elevated liver enzymes (with cholestatic pattern), and acute kidney injury two weeks after recovering from a mild SARS-CoV-2 infection. Serologies for viral hepatitis and anti-mitochondrial antibody were negative, while anti-nuclear and anti-smooth muscle antibodies were positive. There were no signs of chronic liver disease, and a magnetic resonance cholangiography showed no dilatation of biliary ducts. Histologic evaluation of the liver evidenced numerous foci of lobular necrosis without ductopenia or portal biliary reaction. Considering the autoantibody profile and histologic changes, the medical team started oral prednisone, but there was a suboptimal biochemical response in the outpatient follow-up. Two months later, a second liver biopsy was performed and revealed non-suppurative destructive chronic cholangitis, extensive areas of confluent necrosis with hepatocytes regenerating into pseudorosettes, and numerous plasma cells. According to the Paris Criteria, the patient was then diagnosed with an autoimmune hepatitis-primary biliary cholangitis overlap syndrome (AIH-PBC-OS). After adding azathioprine and ursodeoxycholic acid to the treatment, there was a satisfactory response. This is the second worldwide report of an AIH-PBC-OS triggered by COVID-19, but the first case with a negative anti-mitochondrial antibody. In this setting, histologic evaluation of the liver by an experienced pathologist is a hallmark of achieving the diagnosis and correctly treat the patient.

https://doi.org/10.4322/acr.2023.422

Production of Polycaprolactone/Atorvastatin Films for Drug Delivery Application
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Pereira, Debora Baptista

; Patricio, Beatriz Ferreira de Carvalho

; Silva, Talita Goulart da

; Almeida, Hellen Regina Oliveira de

; Chaves, Marcelo Henrique da Cunha

; Sarcinelli, Michelle Alvares

; Rocha, Helvécio Vinícius Antunes

; Mendonça, Tiago dos Santos

; Sales, Tiago José Bandeira

; Mendonça, Roberta Helena

Materials Research

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2023, Volume 26 Suppl. 1 elocation e20220492

Abstract: En | Text: En | PDF: En

Developing biomaterials for tissue regeneration is a promising alternative for the recovery of various tissues, including bone. Atorvastatin (ATV) has a series of beneficial effects which includes bone anabolism, vasodilating, and anti-inflammatory actions. The main objective of this work was to produce and characterize polycaprolactone (PCL) matrices incorporated with ATV. Samples were prepared by the solvent casting technique. Scanning electron microscopy (SEM), X-Ray diffraction (XRD), Fourier transform infrared spectrometry (FTIR), thermogravimetric analysis (TGA), differential scanning calorimetry (DSC) and in vitro release studies were performed. FTIR analysis showed that no chemical bonds were formed between PCL and ATV. SEM analysis showed that the amount of ATV affects sample morphology. According to XRD and thermal analysis, the main ATV characteristics were maintained. The studies showed that PCL/ATV samples release the drug in a prolonged way since its release reaches around 50% after 15000 minutes of analysis and the model that showed the best fit for the studied matrices was the Higuchi model, with a correlation coefficient above 0.95.

https://doi.org/10.1590/1980-5373-mr-2022-0492

Feline leishmaniosis: hematological and biochemical analysis
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Silva, Diogo Tiago da

; Alves, Maria Luana

; Spada, Júlio Cesar Pereira

; Leonel, João Augusto Franco

; Vioti, Geovanna

; Benassi, Julia Cristina

; Carregaro, Valéria Maria Lara

; Alves-Martin, Maria Fernanda

; Starke-Buzetti, Wilma Aparecida

; Oliveira, Trícia Maria Ferreira de Sousa

Revista Brasileira de Parasitologia Veterinária

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2023, Volume 32 N. 2 elocation e003823

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

Abstract One hundred and sixty-six cats from two animal shelters were subjected to enzyme-linked immunosorbent assay (ELISA), indirect immunofluorescence antibody test (IFAT), conventional polymerase chain reaction (cPCR), quantitative PCR (qPCR) and parasitological tests (PA) for the diagnosis of Leishmania spp. Among them, 15% (25/166), 53.6% (89/166), 3.6% (06/166) and 1.8% (03/166) were positive by ELISA, IFAT, both PCRs and PA, respectively. The sequencing of ITS-1 PCR amplicons revealed a 100% match with Leishmania infantum. After the Leishmania spp. survey, 12 cats were selected and divided into two groups for clinical, hematological, and biochemical analysis: six L. infantum positive cats (G1) and six Leishmania spp. negative cats (G2). All the cats were negative for feline immunodeficiency virus (FIV) and feline leukemia virus (FeLV). A statistical analysis indicated significantly low platelet counts and significant hyperproteinemia associated with hypoalbuminemia in positive cats (p<0.05). Our results suggest that in endemic areas, cats with clinical signs of feline leishmaniosis (such as skin lesions, weight loss and/or enlarged lymph nodes) and that exhibit hematological and biochemical changes, such as low platelet counts and hyperproteinemia with hypoalbuminemia, should be tested for Leishmania spp. infection.

Resumo Cento e sessenta e seis gatos de dois abrigos foram submetidos ao diagnóstico de Leishmania spp. por ensaio imunoenzimático (ELISA), imunofluorescência indireta (RIFI), reação em cadeia pela polimerase convencional (cPCR) e quantitativa (qPCR) e métodos parasitológicos (PA). Destes, 15% (25/166), 53,6% (89/166), 3,6% (06/166) e 1,8% (03/166) foram positivos por ELISA, RIFI, as duas PCRs e PA, respectivamente. O sequenciamento dos produtos amplificados da PCR ITS-1 foi 100% idêntico à Leishmania infantum. Após o inquérito, 12 gatos foram selecionados para compor dois grupos para análises de hematologia e bioquímica: 6 gatos positivos para L. infantum (G1) e 6 gatos Leishmania spp. negativos (G2). Todos os gatos foram negativos para o vírus da imunodeficiência felina (FIV) e o da leucemia felina (FeLV). Foi observada uma diminuição na contagem de plaquetas e uma hiperproteinemia e hipoalbuminemia significativas em gatos positivos (p<0,05). Esses resultados sugerem que, em áreas endêmicas, os gatos com sinais clínicos de leishmaniose felina (tais como lesões dermatológicas, perda de peso e/ou linfonodos aumentados), associados a alterações hematológicas e bioquímicas, como contagem reduzida de plaquetas e hiperproteinemia com hipoalbuminemia, devem ser testados para leishmaniose felina.

https://doi.org/10.1590/s1984-29612023035

Physiological and anatomical responses of Eugenia dysenterica to glyphosate
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Azevedo, Lícia Priscila Nogueira

; Rocha, Tiago Borges

; Gonçalves, Flavia Barreira

; Ribeiro, Ana Beatriz Nunes

; Aires, Victorina Bispo

; Erasmo, Eduardo Andrea Lemus

; Silva, Kellen Lagares Ferreira

Rodriguésia

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2023, Volume 74 elocation e01172022

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

Abstract Brazil is among the countries that most use pesticides in the world. These chemicals cause undesirable changes in ecosystems, particularly the contamination of non-target native forest species through drift. The nuisances caused by pesticides go beyond environmental damage and include public health problems. The objective of this work was to evaluate the effects of glyphosate on leaf gas exchange, photosynthetic pigments and morphoanatomy of seedlings of Eugenia dysenterica. The visual toxicity, physiological and morphoanatomical characteristics of E. dysenterica, when exposed to concentrations of 0, 550, 1110 and 2220 g a.e. ha-1 of glyphosate, were analyzed. The results indicate that the herbicide caused toxicity in the leaves in all treatments. Reductions in photosynthesis (A), stomatal conductance (gs), and transpiration (E) at 47 DAA, were also identified. Glyphosate caused damage to the anatomical structures of E. dysenterica leaves. From the data analyzed it is possible to affirm that plants of E. dysenterica are sensitive to the action of glyphosate. Visible symptoms such as chlorosis and necrosis in the leaf edge are indicators that can be used by rural communities as a warning of the risk of contamination.

Resumo O Brasil está entre os países que mais utiliza agrotóxicos no mundo. Essas substâncias químicas provocam modificações indesejáveis nos ecossistemas, destacando a contaminação de espécies florestais nativas não alvo, através da deriva. Os transtornos causados pelos agrotóxicos extrapolam os danos ambientais, sendo considerados problema de saúde pública. O objetivo deste trabalho foi avaliar os efeitos do glifosato nas trocas gasosas foliares, pigmentos fotossintéticos e morfoanatomia de plântulas de Eugenia dysenterica. Foram analisadas a toxicidade visual, as características fisiológicas e morfoanatômicas de E. dysenterica, expostas a concentrações de 0, 550, 1110 e 2220 g a.e. ha-1 do glifosato. Os resultados apontam que o herbicida causou toxicidade nas folhas em todos os tratamentos. Redução da fotossíntese (A), condutância estomática (gs) e da transpiração (E) aos 47 DAA, também foram identificados. O glifosato causou danos às estruturas anatômicas das folhas de E. dysenterica. Diante dos dados analisados é possível afirmar que plantas de E. dysenterica são sensíveis a ação do glifosato. Sintomas visíveis como clorose e necrose na borda foliar são indicadores que podem ser utilizados pelas comunidades rurais como alerta do risco de contaminação.

https://doi.org/10.1590/2175-7860202374036

Risk factors for death and illness severity in vaccinated versus unvaccinated COVID-2019 inpatients: a retrospective cohort study
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Costa, Guilherme Jorge

; Silva Junior, José Roberto da

; Silva, Caio Cesar Arruda da

; Lima, Tiago Pessoa Ferreira de

; Costa, Mariana Menezes

; Sousa, Marcos Henrique Oliveira

; Costa, Gabriela Carla dos Santos

; Costa Júnior, José Iran

; Sales, Mozart Júlio Tabosa

Jornal Brasileiro de Pneumologia

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2023, Volume 49 N. 4 elocation e20230145

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

ABSTRACT Objective: To determine the clinical profile of COVID-19 inpatients who were vaccinated prior to hospitalization and to compare the risk factors for death and the 28-day survival rate of between those inpatients vaccinated with one, two, or three doses and unvaccinated COVID-19 inpatients. Methods: This was a retrospective observational cohort study involving COVID-19 patients admitted to a referral hospital in the city of Recife, Brazil, between July of 2020 and June of 2022. Results: The sample comprised 1,921 inpatients, 996 of whom (50.8%) were vaccinated prior to hospitalization. After adjusting the mortality risk for vaccinated patients, those undergoing invasive mechanical ventilation (IMV) had the highest mortality risk (adjusted OR [aOR] = 7.4; 95% CI, 3.8-14.1; p < 0.001), followed by patients > 80 years of age (aOR = 7.3; 95% CI, 3.4-15.4; p < 0.001), and those needing vasopressors (aOR = 5.6; 95% CI, 2.9-10.9; p < 0.001). After adjusting the mortality risk for all patients, having received three vaccine doses (aOR = 0.06; 95% CI, 0.03-0.11; p < 0.001) was the most important protective factor against death. There were progressive benefits of vaccination, reducing the frequency of ICU admissions, use for IMV, and death (respectively, from 44.9%, 39.0% and 39.9% after the first dose to 16.7%, 6.2% and 4.4% after the third dose), as well as significant improvements in survival after each subsequent dose (p < 0.001). Conclusions: Vaccines were effective in reducing illness severity and death in this cohort of COVID-19 inpatients, and the administration of additional doses conferred them with accumulative vaccine protection.

RESUMO Objetivo: Traçar o perfil clínico de pacientes internados com COVID-19 que haviam sido vacinados antes da hospitalização e comparar os fatores de risco para óbito e a taxa de sobrevida em 28 dias entre esses internados vacinados com uma, duas ou três doses e pacientes internados com COVID-19 não vacinados. Métodos: Estudo de coorte observacional retrospectivo envolvendo pacientes com COVID-19 internados em um hospital de referência na cidade do Recife (PE) entre julho de 2020 e junho de 2022. Resultados: A amostra foi composta por 1.921 pacientes internados, dos quais 996 (50,8%) haviam sido vacinados antes da hospitalização. Após ajuste do risco de mortalidade para os pacientes vacinados, aqueles submetidos à ventilação mecânica invasiva (VMI) apresentaram o maior risco de mortalidade (OR ajustada [ORa] = 7,4; IC95%: 3,8-14,1; p < 0,001), seguidos pelos pacientes > 80 anos (ORa = 7,3; IC95%: 3,4-15,4; p < 0,001) e aqueles que necessitam de vasopressores (ORa = 5,6; IC95%: 2,9-10,9; p < 0,001). Após ajuste do risco de mortalidade para todos os pacientes, o recebimento de três doses de vacina (ORa = 0,06; IC95%: 0,03-0,11; p < 0,001) foi o fator de proteção mais importante contra o óbito. Houve benefícios progressivos da vacinação, com redução da frequência de internações em UTI, de uso de VMI e de óbitos (de 44,9%, 39,0% e 39,9% após a primeira dose para 16,7%, 6,2% e 4,4% após a terceira dose, respectivamente), bem como melhora significativa na sobrevida após cada dose subsequente (p < 0,001). Conclusões: As vacinas foram efetivas na redução da gravidade da doença e dos óbitos nesta coorte de pacientes internados com COVID-19, e a aplicação de doses adicionais conferiu-lhes proteção vacinal cumulativa.

https://doi.org/10.36416/1806-3756/e20230145

Proximal and mineral composition of native fish species from Amazonas, Brazil
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Souza, Antônio Fábio Lopes de

; Silva, Antonio José Inhamuns da

; Barai, Alexandre Augusto

; Rufino, João Paulo Ferreira

; Costa, Tiago Viana da

Acta Scientiarum. Animal Sciences

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2023, Volume 45 elocation e61884

Abstract: En | Text: En | PDF: En

ABSTRACT. For decades, researches were developed about the diversity of fishes in the Amazon basin and their consumption by the people. In this context, an important gap identified was a lack of information about the nutritional composition of some of the main Amazon fish species consumed and traded. Front this, the objective of this study was to evaluate the chemical composition and mineral content of filets from 10 fish species with the highest landing volume in Amazonas State. The fish species selected were curimatã, jaraqui, mapará, matrinxã, pacu, piramutaba, sardinha, surubim, tambaqui and tucunaré. Were collected 20 samples (fishes) from each species according to the hydrological cycles of the region (20 samples in the flood and 20 samples in drought). Ten fish samples were processed to determine the proximal composition and 10 fish samples were used to determine mineral content (macro and micro minerals). The proximal composition of fish species analysed varied widely between species and seasons, with an emphasis on moisture and lipid content. Fishes in the flood season presented higher content of nutrients than drought season. This result also was observed in the minerals profile, where fishes in the flood season presented the highest (p < 0.05) minerals content.

https://doi.org/10.4025/actascianimsci.v45i1.61884

O que mudou entre os períodos de pico e de platô durante a primeira onda do SARS-CoV-2? Estudo multicêntrico português em unidades de cuidados intensivos
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Pereira, Rui Antunes

; Sousa, Marta

; Cidade, José Pedro

; Melo, Luís

; Lopes, Diogo

; Ventura, Sara

; Aragão, Irene

; Lima Neto, Raul Miguel de Freitas

; Molinos, Elena

; Marques, Ana

; Cardoso, Nelson

; Marino, Flávio

; Monteiro, Filipa Brás

; Oliveira, Ana Pinho

; Silva, Rogério C

; Real, André Miguel Neto

; Banheiro, Bruno Sarmento

; Reis, Renato

; Adão-Serrano, Maria

; Cracium, Ana

; Valadas, Ana

; Ribeiro, João Miguel

; Póvoa, Pedro

; Tapadinhas, Camila

; Mendes, Vítor

; Coelho, Luís

; Maia, Raquel

; Freitas, Paulo Telles

; Ferreira, Isabel Amorim

; Ramires, Tiago

; Val-Flores, Luís Silva

; Cascão, Mariana

; Alves, Rita

; Rodeia, Simão C

; Barrigoto, Cleide

; Cardiga, Rosa

; Silva, Maria João Ferreira da

; Vale, Bruno

; Fonseca, Tatiana

; Rios, Ana Lúcia

; Camões, João

; Pérez, Danay

; Cabral, Susana

; Ribeiro, Maria Inês

; Mendes, João João

; Gouveia, João

; Fernandes, Susana Mendes

Revista Brasileira de Terapia Intensiva

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dec 2022, Volume 34 N. 4 Pages 433 - 442

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

ABSTRACT Objective: To analyze and compare COVID-19 patient characteristics, clinical management and outcomes between the peak and plateau periods of the first pandemic wave in Portugal. Methods: This was a multicentric ambispective cohort study including consecutive severe COVID-19 patients between March and August 2020 from 16 Portuguese intensive care units. The peak and plateau periods, respectively, weeks 10 - 16 and 17 - 34, were defined. Results: Five hundred forty-one adult patients with a median age of 65 [57 - 74] years, mostly male (71.2%), were included. There were no significant differences in median age (p = 0.3), Simplified Acute Physiology Score II (40 versus 39; p = 0.8), partial arterial oxygen pressure/fraction of inspired oxygen ratio (139 versus 136; p = 0.6), antibiotic therapy (57% versus 64%; p = 0.2) at admission, or 28-day mortality (24.4% versus 22.8%; p = 0.7) between the peak and plateau periods. During the peak period, patients had fewer comorbidities (1 [0 - 3] versus 2 [0 - 5]; p = 0.002) and presented a higher use of vasopressors (47% versus 36%; p < 0.001) and invasive mechanical ventilation (58.1 versus 49.2%; p < 0.001) at admission, prone positioning (45% versus 36%; p = 0.04), and hydroxychloroquine (59% versus 10%; p < 0.001) and lopinavir/ritonavir (41% versus 10%; p < 0.001) prescriptions. However, a greater use of high-flow nasal cannulas (5% versus 16%, p < 0.001) on admission, remdesivir (0.3% versus 15%; p < 0.001) and corticosteroid (29% versus 52%, p < 0.001) therapy, and a shorter ICU length of stay (12 days versus 8, p < 0.001) were observed during the plateau. Conclusion: There were significant changes in patient comorbidities, intensive care unit therapies and length of stay between the peak and plateau periods of the first COVID-19 wave.

RESUMO Objetivo: Analisar e comparar as características de pacientes críticos com a COVID-19, a abordagem clínica e os resultados entre os períodos de pico e de platô na primeira onda pandêmica em Portugal. Métodos: Este foi um estudo de coorte multicêntrico ambispectivo, que incluiu pacientes consecutivos com a forma grave da COVID-19 entre março e agosto de 2020 de 16 unidades de terapia intensiva portuguesas. Definiram-se as semanas 10 - 16 e 17 - 34 como os períodos de pico e platô. Resultados: Incluíram-se 541 pacientes adultos com mediana de idade de 65 [57 - 74] anos, a maioria do sexo masculino (71,2%). Não houve diferenças significativas na mediana de idade (p = 0,3), no Simplified Acute Physiology Score II (40 versus 39; p = 0,8), na pressão parcial de oxigênio/fração inspirada de oxigênio (139 versus 136; p = 0,6), na terapia com antibióticos na admissão (57% versus 64%; p = 0,2) ou na mortalidade aos 28 dias (24,4% versus 22,8%; p = 0,7) entre o período de pico e platô. Durante o período de pico, os pacientes tiveram menos comorbidades (1 [0 - 3] versus 2 [0 - 5]; p = 0,002); fizeram mais uso de vasopressores (47% versus 36%; p < 0,001) e ventilação mecânica invasiva na admissão (58,1% versus 49,2%; p < 0,001), e tiveram mais prescrição de hidroxicloroquina (59% versus 10%; p < 0,001), lopinavir/ritonavir (41% versus 10%; p < 0,001) e posição prona (45% versus 36%; p = 0,04). Entretanto, durante o platô, observou-se maior uso de cânulas nasais de alto fluxo (5% versus 16%; p < 0,001) na admissão, remdesivir (0,3% versus 15%; p < 0,001) e corticosteroides (29% versus 52%; p < 0,001), além de menor tempo de internação na unidade de terapia intensiva (12 versus 8 dias; p < 0,001). Conclusão: Houve mudanças significativas nas comorbidades dos pacientes, nos tratamentos da unidade de terapia intensiva e no tempo de internação entre os períodos de pico e platô na primeira onda da COVID-19.

https://doi.org/10.5935/0103-507x.20210037-pt

Analysis of the Influence of Abdominal Obesity on Systemic Arterial Hypertension and on the Lipid Profile on Cardiometabolic Risk Stratification in Adult Women
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Cavalcanti, Iury Matheus Lima

; Nascimento, Cristian Rodrigues do

; Tenório, Pedro Pereira

; Araújo, Tiago Ferreira da Silva

International Journal of Cardiovascular Sciences

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oct 2022, Volume 35 N. 5 Pages 625 - 634

Abstract: En | Text: En | PDF: En

Abstract Background: Obesity is a public health problem and has been associated with the development of metabolic disorders that have a strong relationship with the onset of cardiovascular diseases (CVD). Objective: The objective was to analyze the influence of abdominal obesity (AO) on systemic arterial hypertension (SAH) and on the lipid profile in cardiovascular risk stratification in adult women. Methods: Altogether, 91 women participated in the research. Lifestyle information was collected, in addition to the analysis of clinical measures of cardiovascular risk and biochemical parameters. Unpaired Student's t-test, logistic regression, and Pearson's correlation were performed for data analysis, with a value of p <0.05 considered significant. Results: The prevalence of AO was 62.6%. Logistic regression showed that AO increased the chance of developing SAH by 2.9-fold. The same behavior was observed in the TG/HDL-c lipid ratio (3.93 ± 0.3 vs. 2.16 ± 0.2), representing an 82% increase in obese women. The present study also demonstrated that the best anthropometric parameter to analyze cardiovascular risk in the studied population was the waist/height ratio (AUC = 0.707). Conclusions: It can therefore be concluded that AO plays a significant role in the development of SAH and changes in lipid values that predict increased cardiovascular risk, configuring a strong influence factor for CVD.

https://doi.org/10.36660/ijcs.20200415

10.

Analysis of ocular emergencies in a reference eye center in Brazil
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Araújo, Tiago de Assis Clemente de

; Melo, Caio Rodrigo de Oliveira

; Mendes, Larissa Paz

; Higino, Taciana Mirely Maciel

; Rocha, Camilla Silva da

; Sabino, Laura Patrícia Ferreira

; Santos, Michel Bittencourt

Arquivos Brasileiros de Oftalmologia

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aug 2022, Volume 85 N. 4 Pages 377 - 381

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

RESUMO Objetivo: Determinar a incidência de emergências oculares em um centro oftalmológico de referência no Brasil. Métodos: O banco de dados de prontuários da Fundação Altino Ventura, Recife, Brasil, foi analisado retrospectivamente e incluiu pacientes atendidos, entre janeiro de 2017 e janeiro de 2018, na sala de emergência oftalmológica. Foram excluídos os prontuários com dados incompletos e com quadros ambulatoriais. Apenas o primeiro atendimento na emergência foi considerado para análise. Resultados: Em um ano, 134.788 pacientes (idade média de 38,7 ± 22 anos [0-99 anos]) foram admitidos na emergência da Fundação Altino Ventura. Os diagnósticos mais frequentes foram conjuntivite (52.732 casos [37,3%]), blefarite (7.213 casos [5,1%]) e corpo estranho na córnea/conjuntiva (6.925 casos [4,9%]). Corpo estranho na córnea/conjuntiva e trauma ocular foram cerca de 8 vezes e 2 vezes mais incidente em indivíduos do sexo masculino, respectivamente (p<0,001 em ambos). Triquíase e blefarite afetaram ~2 vezes mais pacientes do sexo feminino, respectivamente (p<0,001 em ambos). Corpo estranho na córnea/conjuntiva e trauma ocular afetaram mais pacientes em idade produtiva (>15 anos), enquanto úlcera, blefarite e triquíase da córnea afetaram mais pacientes idosos. Todos os grupamentos de diagnóstico (doenças infecciosas, trauma ocular, corpos estranhos, retinopatias, doenças das pálpebras, doenças da córnea, crise glaucomatosa e doenças neurooftalmológicas) foram mais incidentes na primavera (valor de p<0,001). Conclusão: As emergências oftalmológicas mais comuns no presente estudo foram as doenças infecciosas e o corpo estranho. Porém, a incidência das emergências oculares são fluências pela faixa etária e gênero do paciente, além da época do ano.

ABSTRACT Purpose: To determine the incidence of ocular emergencies and patient profiles in a public health eye center in Brazil. Methods: The medical record database of the Fundação Altino Ventura, Recife, Brazil was retrospectively analyzed and included all patients assisted at the ophthalmic emergency room between January 2017 and January 2018. Medical records with incomplete data and outpatient complaints were excluded. For records with multiple visits, only the initial visit was considered. Results: In 1 year, 134,788 patients (mean age at admission: 38.7 ± 22 years; range: 0-99 years) were admitted at the emergency room of the Fundação Altino Ventura. The most frequent diagnoses were conjunctivitis (52,732 cases; 37.3%), blepharitis (7,213 cases; 5.1%), and corneal/conjunctival foreign body (6,925 cases; 4.9%). Corneal/conjunctival foreign body and ocular trauma had an eight- and two-fold higher incidence in male patients, respectively (both p<0.001). Female patients presented a two-fold higher incidence of trichiasis and blepharitis than males (p<0.001). Corneal/conjunctival foreign body and ocular trauma affected more patients in a productive age (>15 years), while corneal ulcers, blepharitis, and trichiasis affected more elderly patients. All diagnostic clusters (e.g., infectious diseases, ocular trauma, foreign bodies, retinopathies, eyelid disorders, corneal diseases, glaucomatous crisis, and neuroophthalmological diseases) were more common during the spring season (p<0.001). Conclusion: The most common ocular emergencies in the present study were infectious diseases and foreign body. However, the incidence of ophthalmological emergencies was influenced by the age and sex of patients, as well as the time of the year.

https://doi.org/10.5935/0004-2749.20220016

11.

[SciELO Preprints] - Occurrence records and metadata for sand flies (Diptera, Psychodidae, Phlebotominae) collected in the lands of indigenous people in the Brazilian Amazon
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Shimabukuro, Paloma Helena Fernandes Alves, Daniel Rocha Cangussu Barros, Jéssica Adalia Costa Nascimento, Luiz Otavio Cordeiro Baton, Luke Anthony Freire, Maíra Posteraro Silva, Manoel Edson Medeiros da Assis, Mauro Diego Gobira Guimarães de Morais, Sofia Ferreira Costa, Tiago Silva da Alves, Veracilda Ribeiro Moreno, Eduardo Stramandinoli

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Publication date: 2022-04-01

Abstract: En

In order to contribute to knowledge of the epidemiology of American cutaneous leishmaniasis (ACL) among indigenous people living in sylvatic regions, we studied the sand fly fauna collected in areas of disease transmission in the Brazilian Amazon. Our two datasets reported here are comprised of occurrence data for sand flies from the Suruwaha Indigenous Land in the state of Amazonas collected between 2012-1013, and the Wajãpi Indigenous Land in the state of Amapá collected between 2013-2014. Sand flies were collected using unbaited CDC-like light traps at various sites within each study area and were identified to species-level by taxonomists with expertise in Amazonian fauna. A total of 4,646 records are reported: 1,428 from the Suruwaha and 3,218 from the Wajãpi. These records will contribute to a better understanding of ACL transmission dynamics, as well as the distribution of insect vectors, in these areas.

https://doi.org/10.1590/SciELOPreprints.3879

12.

O campo da democracia digital brasileira: uma análise cientométrica de artigos publicados entre 1999 e 2020
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Sampaio, Rafael Cardoso

; Freitas, Christiana Soares de

; Kleina, Nilton Cesar Monastier

; Marioto, Djiovanni Jonas França

; Nichols, Bruno Washington

; Silva, Tiago Philippini Ferreira Borges da

; Alison, Murilo Brum

; Bozza, Gabriel Alexandre

; Hausen, Victor

Revista Brasileira de Ciência Política

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2022, N. 37 elocation e250615

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

Resumo: Este artigo investiga a produção acadêmica em periódicos sobre a democracia digital no Brasil. Foi realizada uma busca automatizada no Google Scholar e DOAJ por palavras-chave e, após a filtragem manual, o corpus empírico resultou em 502 artigos. Estes artigos foram avaliados com base em análise de conteúdo, buscando identificar as principais características dos autores, assim como as abordagens teóricas e empíricas. Depois, as referências foram avaliadas através da análise de redes. Os resultados evidenciam a hegemonia dos campos da comunicação e da ciência política, um predomínio de análises sobre a esfera civil não organizada e o uso dos conceitos de participação e deliberação. A maioria dos artigos é empírica, faz uso da técnica de análise de conteúdo e privilegia a avaliação de websites e mídias sociais. Concluímos argumentando pela existência de um campo da democracia digital.

Abstract: This article investigates academic production on e-democracy in Brazilian journals. An automated search was performed on Google Scholar and DOAJ for keywords and, after manual filtering, resulted in an empirical corpus of 502 articles. Content analysis of these articles identified the main characteristics of the authors and the theoretical and empirical approaches to the subject. Network analysis analyzed relationships among references. The results show that these studies are largely conducted within the fields of communication and political science, that they tend to focus on the non-organized civil sphere, and that they often mobilize the concepts of participation and deliberation. Most of the articles are empirical using content analysis to examine websites and social media. We conclude by defending the construction of e-democracy as an academic field in Brazil.

https://doi.org/10.1590/0103-3352.2022.37.250615

13.

Reproducibility of an endurance test for master swimmers
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Silva, Ezequiel Soares da

; Silva, Francivaldo Santos da

; Fonseca, Ivana Alice Teixeira

; Silva, Marcelo Henrique Alves Ferreira da

; Knackfuss, Maria Irany

; Cardoso, Glêbia Alexa

; Barbosa, Tiago Manoel Cabral dos Santos

; Costa, Adalberto Veronese da

Motriz: Revista de Educação Física

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2022, Volume 28 elocation e10220007621

Abstract: En | Text: En | PDF: En

Abstract Aim: This study aimed to verify the reproducibility of an endurance test for master swimmers. Methods: Seventeen male swimmers, aged from 30 to 50 years (35.06 ± 5.36), weight (78.71 ± 13.06 kg), height (174.35 ± 0.07 cm), participated in this study. The participants underwent the Progressive Swim Test (PSwT), which corresponds to swimming progressively to exhaustion in a 25-meter pool, guided by the recording of sound signals indicating the swimming rhythm. We verified the following variables: heart rate before the test (BHR) and right after the end of the test (AHR), followed by the rate of perceived exertion (RPE) and a total of laps performed (SN - swimming number). For comparison between the three days of tests, the one-way repeated measures ANOVA with Tukey's Post-Hoc was performed. Relative reproducibility was performed by the r test and the intraclass correlation coefficient (ICC). Absolute reproducibility was determined using the coefficient of variation (CV) and the confidence interval (CI). Results: The results showed high reproducibility in (PSwT) in master swimmers in the analyzed variables of intergroup and intragroup with relative reproducibility of r > 0.60 and ICC > 0.70 and absolute reproducibility with CI 95% (lower −1.10 and upper 0.99) and CV < 10%. Most of the cases were within the limits of agreement of the Bland-Altman tests, all variables were considered a level of significance with (p <0.05). Conclusion: The Progressive Swim Test (PSwT) is a reproducible instrument in the assessment of endurance in master swimmers.

https://doi.org/10.1590/s1980-657420220007621

14.

Photosynthetically active radiation intensity used as an extended photoperiod to increase quality in basil seedlings
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Mello, Bruna Finotti Fonseca Reis de

; Batista, Thiago Barbosa

; Binotti, Flávio Ferreira da Silva

; Costa, Edilson

; Binotti, Eliana Duarte Cardoso

; Zoz, Tiago

; Moreira, Loryelle de Jesus

; Paterlini, Allan

Acta Scientiarum. Agronomy

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2022, Volume 44 elocation e55284

Abstract: En | Text: En | PDF: En

ABSTRACT. The use of a protected environment for vegetable seedling production has become one of the best alternatives to minimize the adverse micrometeorological effects of the external environment and guarantee quality and production throughout the year. Inside the protected environment, it is essential to study the physiological responses of plants to the wavelength, periodicity, intensity, and direction of light in the photosynthetic process. Thus, the aim of this study was to investigate the effect of different intensities of photosynthetically active radiation (PAR) used as an extended photoperiod in a greenhouse on the production of basil seedlings. A completely randomized design, in a 2 × 4 factorial scheme, with four replications of 20 seedlings per plot was used. Two basil varieties, sweet basil (green color) and purple basil (purple color), were evaluated under three intensities of supplementary PAR, which were 375, 411, and 438 µmol m-2 s-1, and control, in the absence of supplementary PAR. The seedling height, stem diameter, shoot dry matter, root dry matter, total dry matter, leaf area, ratio between plant height and stem diameter, ratio between plant height and shoot dry matter, ratio between shoot dry matter and root dry matter, and Dickson quality index were evaluated. Results show that higher intensities of PAR used as an extended photoperiod favor the quality of basil seedlings produced in a protected environment.

https://doi.org/10.4025/actasciagron.v44i1.55284

15.

Detection of Treponema pallidum in whole blood samples of patients with syphilis by the polymerase chain reaction
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Queiroz, Júlio Henrique Ferreira de Sá

; Correa, Maisa Estopa

; Ferreira, Tiago da Silva

; Marques, Michele Ferreira

; Barbosa, Marcelo dos Santos

; Marchioro, Silvana Beutinger

; Simionatto, Simone

Revista do Instituto de Medicina Tropical de São Paulo

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2022, Volume 64 elocation e75

Abstract: En | Text: En | PDF: En

ABSTRACT Syphilis is caused by the bacterium Treponema pallidum. The diagnosis is based on clinical data and serological analysis; however, the sensitivity and specificity of such tests may vary depending on the type of test and stage of the infection. In order to overcome this premise, this study utilized the polymerase chain reaction (PCR) for the detection of T. pallidum DNA in whole blood samples of patients with syphilis. The blood samples from patients with or without symptoms of syphilis, but with positive results in enzyme-linked immunosorbent assay (ELISA), were included in this study. A venereal disease research laboratory (VDRL) test was performed for all collected sera samples. For PCR, the T. pallidum DNA was extracted from the collected blood samples and a specific primer set was designed to amplify 131 nucleotides of polA (Tp0105). The specificity of the primers was evaluated with the DNA of 17 different pathogens. From a total of 314 blood samples reactive in ELISA, 58.2% (183/314) of the samples were reactive in the VDRL test. In the PCR, 54% (168/314) of the ELISA-reactive samples were positive. In both tests (VDRL and PCR) 104 samples were positive. Of 104 positive samples for both tests, 71 were at the latent stage. Based on these results, it can be concluded that PCR with the designed set of primers can be utilized as a diagnostic method for T. pallidum detection in blood samples of patients with syphilis, especially those with latent infection. In addition, it can be utilized as a supplement for serological methods to improve the diagnosis of syphilis.

https://doi.org/10.1590/s1678-9946202264075

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