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Resumo Objetivo: Estabelecer protocolo para realização de autópsias minimamente invasivas (AMIs) na detecção de óbitos por arboviroses e relatar dados preliminares desse protocolo no Ceará, Brasil. Métodos: Médicos patologistas foram treinados em AMI. Resultados: Estabeleceu-se protocolo para AMI, definindo-se critérios para amostras a serem coletadas, suas formas de armazenamento e diagnóstico, segundo o tipo de amostra biológica; em três meses, foram realizadas 43 AMIs, das quais 21 (48,8%) chegaram ao Serviço de Verificação de Óbito (SVO) com hipótese diagnóstica de alguma arbovirose e sete (16,3%) foram confirmados (seis de chikungunya; uma de dengue); também foram confirmados casos de covid-19 (n = 9), tuberculose (n = 5), meningite (n = 4), criptococose (n = 1), doença de Creutzfeldt-Jakob (n = 1), neoplasia de mama (n = 1) e raiva humana (n = 1). Conclusão: O protocolo implantado permitiu a captação de um maior número de óbitos suspeitos de arboviroses, além da confirmação de outras patologias de interesse da vigilância.

Abstract Objective: To create a protocol for performing minimally invasive autopsies (MIA) in detecting deaths from arboviruses and report preliminary data from its application in Ceará state, Brazil. Methods: Training was provided to medical pathologists on MIA. Results: A protocol was established for performing MIA, defining criteria for sample collection, storage methods, and diagnoses to be carried out according to the type of biological sample; 43 MIAs were performed in three months. Of these, 21 (48.8%) arrived at the Death Verification Service (SVO) with arboviruses as a diagnostic hypothesis, and seven (16.3%) were confirmed (six chikungunya cases and one dengue case); cases of COVID-19 (n = 9), tuberculosis (n = 5), meningitis (n = 4), cryptococcosis (n = 1), Creutzfeldt-Jakob disease (n = 1), breast cancer (n = 1), and human rabies (n = 1) were also confirmed. Conclusion: The protocol implemented enabled identification of a larger number of suspected arbovirus-related deaths, as well as confirmation of other diseases of interest for surveillance.

Resumen Objetivo: Estabelecer un protocolo utilizado para la realización de autopsias mínimamente invasivas (AMI) para la detección de muertes por arbovirus y presentar datos preliminares de este protocolo en Ceará, Brasil. Métodos: Se llevó a cabo la capacitación de médicos patólogos en AMI. Resultados: Se estableció un protocolo para la realización de AMI, que define los criterios para la toma de muestras, métodos de almacenamiento y diagnóstico; en tres meses se realizaron 43 AMI; de estas, 21 (48,8%) llegaron al Servicio de Verificación de Óbito (SVO) con una hipótesis diagnóstica de alguna arbovirosis y siete (16,3%) fueron confirmadas (seis casos de chikungunya y uno de dengue); también se confirmaron casos de Covid-19 (n = 9), tuberculosis (n = 5), meningitis (n = 4), criptococosis (n = 1), enfermedad de Creutzfeldt-Jakob (n = 1), neoplasia de mama (n = 1) y rabia humana (n = 1). Conclusión: El protocolo implementado permitió la identificación de un mayor número de muertes sospechosas de arbovirus, además de la confirmación de otras patologías de interés.

https://doi.org/10.1590/s2237-96222024v33e2024008.en

Best linear unbiased prediction in combination with path analysis in processing grapes
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Rodrigues, Cinthia Souza

; Moura, Mara Fernandes

; Oliveira, Geovani Luciano de

; Silva, Marlon Jocimar Rodrigues da

; Tecchio, Marco Antonio

Scientia Agricola

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2024, Volume 81 elocation e20220218

Abstract: En | Text: En | PDF: En

ABSTRACT The knowledge of correlations between multiple characteristics in plant breeding leads to more effective selection strategies. The path analysis allows refining these correlations and partitioning them into direct and indirect effects on the main variable. The path analysis becomes more effective when based on predicted genotypic values rather than phenotypic values. The objective was to evaluate correlations between the main agronomic characteristics of grapevine cultivation and their direct and indirect effects on yield per plant to improve selection strategies to reach superior progenies. A randomized complete block design was installed using four cultivars and two rootstocks, five repetitions, and plots of four plants. Data from three crop seasons were analyzed from a mixed model and genetic correlations were subject to the path analysis. A high and positive significant correlation was found between average fruit production and the number of clusters per plant. On the other hand, the average production per plant showed a low correlation to cluster width and height per grapevine. Wider and higher berries tend to increase berry fresh mass and therefore increase the contents of soluble solids and reducing sugars. Among the features, the number of clusters per plant has the strongest direct effect on fruit production in grape cultivars. Berry fresh mass, berry length, and berry width were indirectly influenced by the number of clusters and showed high heritability compared to yield and number of clusters. These characteristics could be used in indirect selection. variable progenies rootstocks repetitions plants hand sugars features length

https://doi.org/10.1590/1678-992x-2022-0218

Comparative analysis of Santa Inês and Dorper crossbred sheep: productive and reproductive efficacy in the semi-arid sheep semiarid semi arid
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Brandão, Júlio César de Araújo Bezerra

; Cartaxo, Felipe Queiroga

; Pinto, Maria do Socorro de Caldas

; Targino, Luciano Campos

; Gomes, Rayane Nunes

; Souza, Daniela Dourado Romão de

; Cardoso, André Filipe Monteiro

; Morais, Larissa Kellen da Cunha

; Farias, Carolina Araújo

; Ramos, João Paulo de Farias

Ciência Animal Brasileira

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2024, Volume 25 elocation 75817E

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

Abstract This study evaluated the productive and reproductive performances of Santa Inês sheep and their Dorper crossbreeds during the lactation period amidst the dry season in the semi-arid region of Paraíba, Brazil. Conducted at the experimental goat farm of the State University of Paraíba (UEPB), Campus IV, Catolé do Rocha, the investigation included a cohort of 24 ewes (12 Santa Inês and 12 Dorper crossbreeds [comprising 87.5% Dorper and 12.5% Santa Inês]) and 30 lambs (10 males and 20 females). Observations were recorded from birth and continued at 30-day intervals up to 90 days. Using a two-way ANOVA with a 2 x 2 factorial design (two genetic groups and two sexes), the study monitored both ewes and lambs. The animals adhered to traditional regional management, grazing in paddocks by day and secured in shelters by dusk. The study found that both Santa Inês and Dorper crossbred ewes produced similar quantities of milk (P=0.8310) for the first 60 days of lactation. There was no discernible effect of the ewes’ genetic backgrounds on their live weights, body condition scores at lambing, throughout the subsequent 30, 60, and 90 days of lactation, or on the overall productive efficiency and total weight of weaned lambs per ewe. In contrast, Dorper lambs demonstrated a higher weaning weight (P=0.0349) and greater weight gain (P=0.0403). The study also noted that the sex of the lambs did not notably influence their performance within the first 90 days of suckling. semiarid semi arid Brazil UEPB, UEPB , (UEPB) IV Rocha (1 1 comprising 875 87 5 87.5 125 12.5 Inês] 3 10 females. females . females) 30day 9 twoway way sexes, sexes sexes) management dusk P=0.8310 P08310 P 0 8310 (P=0.8310 6 weights lambing ewe contrast P=0.0349 P00349 0349 (P=0.0349 P=0.0403. P00403 P=0.0403 0403 (P=0.0403) suckling (UEPB ( 8 87. 12. P=0.831 P0831 831 (P=0.831 P=0.034 P0034 034 (P=0.034 P0040 P=0.040 040 (P=0.0403 P=0.83 P083 83 (P=0.83 P=0.03 P003 03 (P=0.03 P004 P=0.04 04 (P=0.040 P=0.8 P08 (P=0.8 P=0.0 P00 (P=0.0 (P=0.04 P=0. P0 (P=0. P=0 (P=0 P= (P= (P

Resumo Objetivou-se avaliar o desempenho produtivo e reprodutivo de ovinos da raça Santa Inês e mestiços da raça Dorper criados em sistema tradicional de produção durante a fase de amamentação na época seca do ano no semiárido paraibano. O experimento foi conduzido no Setor de Caprinovinocultura da Universidade Estadual da Paraíba/UEPB/Campus-IV, Catolé do Rocha/PB. Foram utilizadas 24 ovelhas multíparas, sendo 12 da raça Santa Inês e 12 mestiças da raça Dorper (87,5% Dorper + 12,5% Santa Inês) paridas com 30 ovinos jovens, sendo 10 machos e 20 fêmeas. O período experimental se iniciou no momento do parto e os dados foram coletados ao nascimento, aos 30, 60 e 90 dias de idade. Foi utilizada análise de variância para as ovelhas e para os cordeiros esquema fatorial 2 x 2 (dois grupos genéticos e dois sexos). Os cordeiros permaneceram com suas mães em piquetes durante o dia e à noite no aprisco, manejo tradicional da região. As ovelhas Santa Inês e mestiças Dorper produziram quantidades de leite semelhantes (P=0,8310) até os 60 dias de lactação. O grupo genético das ovelhas não influenciou os pesos vivos e escore de corporal ao parto, 30, 60 e 90 dias de lactação, como também a eficiência produtiva e peso total de crias desmamadas por ovelha. Os cordeiros e cordeiras Dorper apresentaram maiores pesos vivos (P=0,0349) e ganhos de peso (P=0,0403), por outro lado, o sexo dos ovinos jovens não influenciou o desempenho até os 90 dias de amamentação. Objetivouse Objetivou paraibano Paraíba/UEPB/CampusIV, ParaíbaUEPBCampusIV Paraíba/UEPB/Campus IV, Paraíba UEPB Campus IV Paraíba/UEPB/Campus-IV RochaPB Rocha PB Rocha/PB multíparas 1 87,5% 875 87 5 (87,5 125 12,5 3 fêmeas nascimento 6 9 idade sexos. sexos . sexos) aprisco região P=0,8310 P08310 P 0 8310 (P=0,8310 lactação ovelha P=0,0349 P00349 0349 (P=0,0349 P=0,0403, P00403 P=0,0403 , 0403 (P=0,0403) lado CampusIV Paraíba/UEPB/CampusIV ParaíbaUEPBCampus 87,5 8 (87, 12, P=0,831 P0831 831 (P=0,831 P=0,034 P0034 034 (P=0,034 P0040 P=0,040 040 (P=0,0403 87, (87 P=0,83 P083 83 (P=0,83 P=0,03 P003 03 (P=0,03 P004 P=0,04 04 (P=0,040 (8 P=0,8 P08 (P=0,8 P=0,0 P00 (P=0,0 (P=0,04 ( P=0, P0 (P=0, P=0 (P=0 P= (P= (P

https://doi.org/10.1590/1809-6891v25e-75817e

Erosivity index based on climatological norms from 1991 to 2020 for the state of Rio Grande do Sul 199 202 19 20 1 2
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Back, Álvaro José

; Souza, Gabriel da Silva

; Galatto, Sérgio Luciano

; Mazurana, Michael

RBRH

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2024, Volume 29 elocation e4

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

ABSTRACT Water erosion is one of the main cause of soil degradation and the pollution of water resources. The aim of the present study is to update and evaluate the seasonal variation of the erosivity index and the Modified Fournier Index as a tool to predict rain erosivity for the state of Rio Grande do Sul. A series of monthly average rainfall data was used from 112 rainfall stations based on the Climatological Norms of the period between 1991 and 2020. Based on 16 regression equations, the values of the Modified Fournier Index (MFI) and the EI30 index were estimated, assessing their spatial and seasonal variation. Results show a strong seasonal variation with greater erosivity in the months of April, October and December. The EI30 varied between 3500 and 12500 MJ, ha-1 h-1 year-1. A significant spatial variation could be observed, with an increase in values in the east-west direction. resources Sul 11 199 2020 1 equations MFI (MFI EI EI3 estimated April December 350 1250 MJ ha1 ha ha- h1 h h- year1. year1 year 1. year-1 observed eastwest east west direction 19 202 35 125 year- 20 3 12 2

RESUMO A erosão hídrica é uma das principais causas de degradação de solos e poluição dos recursos hídricos. Este trabalho teve como objetivo atualizar e avaliar a variação sazonal do índice de erosividade e do Índice de Fournier Modificado como ferramenta para prever a erosividade das chuvas para o estado de Rio Grande do Sul. Foram usadas as séries de dados de precipitação média mensal tendo como base as Normais Climatológicas do período de 1991 a 2020 de 112 estações pluviométricas. Com base em 16 equações de regressão formam estimados os valores dos Índices de Fournier Modificado (IFM) e do índice EI30, avaliando-se sua variação espacial e sazonal. Os resultados mostram uma forte variação sazonal, com maiores erosividades nos meses de abril, outubro e dezembro. O EI30 variou entre 3.500 a 12.500 MJ mm ha-1 h-1 ano-1. Observou-se uma marcante variação espacial, com aumento dos valores no sentido leste a oeste. hídricos Sul 199 202 11 pluviométricas 1 IFM (IFM EI avaliandose avaliando se abril dezembro EI3 3500 3 500 3.50 12500 12 12.50 ha1 ha ha- h1 h h- ano1. ano1 ano 1. ano-1 Observouse Observou oeste 19 20 350 50 3.5 1250 12.5 ano- 2 35 5 3. 125 12.

https://doi.org/10.1590/2318-0331.292420230135

Diretrizes Brasileiras de Medidas da Pressão Arterial Dentro e Fora do Consultório – 2023 202 20 2
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Feitosa, Audes Diogenes de Magalhães

; Barroso, Weimar Kunz Sebba

; Mion Junior, Decio

; Nobre, Fernando

; Mota-Gomes, Marco Antonio

; Jardim, Paulo Cesar Brandão Veiga

; Amodeo, Celso

; Oliveira, Adriana Camargo

; Alessi, Alexandre

; Sousa, Ana Luiza Lima

; Brandão, Andréa Araujo

; Pio-Abreu, Andrea

; Sposito, Andrei C.

; Pierin, Angela Maria Geraldo

; Paiva, Annelise Machado Gomes de

; Spinelli, Antonio Carlos de Souza

; Machado, Carlos Alberto

; Poli-de-Figueiredo, Carlos Eduardo

; Rodrigues, Cibele Isaac Saad

; Forjaz, Claudia Lucia de Moraes

; Sampaio, Diogo Pereira Santos

; Barbosa, Eduardo Costa Duarte

; Freitas, Elizabete Viana de

; Cestario, Elizabeth do Espirito Santo

; Muxfeldt, Elizabeth Silaid

; Lima Júnior, Emilton

; Campana, Erika Maria Gonçalves

; Feitosa, Fabiana Gomes Aragão Magalhães

; Consolim-Colombo, Fernanda Marciano

; Almeida, Fernando Antônio de

; Silva, Giovanio Vieira da

; Moreno Júnior, Heitor

; Finimundi, Helius Carlos

; Guimarães, Isabel Cristina Britto

; Gemelli, João Roberto

; Barreto-Filho, José Augusto Soares

; Vilela-Martin, José Fernando

; Ribeiro, José Marcio

; Yugar-Toledo, Juan Carlos

; Magalhães, Lucélia Batista Neves Cunha

; Drager, Luciano F.

; Bortolotto, Luiz Aparecido

; Alves, Marco Antonio de Melo

; Malachias, Marcus Vinícius Bolívar

; Neves, Mario Fritsch Toros

; Santos, Mayara Cedrim

; Dinamarco, Nelson

; Moreira Filho, Osni

; Passarelli Júnior, Oswaldo

; Vitorino, Priscila Valverde de Oliveira

; Miranda, Roberto Dischinger

; Bezerra, Rodrigo

; Pedrosa, Rodrigo Pinto

; Paula, Rogerio Baumgratz de

; Okawa, Rogério Toshiro Passos

; Póvoa, Rui Manuel dos Santos

; Fuchs, Sandra C.

; Lima, Sandro Gonçalves de

; Inuzuka, Sayuri

; Ferreira-Filho, Sebastião Rodrigues

; Fillho, Silvio Hock de Paffer

; Jardim, Thiago de Souza Veiga

; Guimarães Neto, Vanildo da Silva

; Koch, Vera Hermina Kalika

; Gusmão, Waléria Dantas Pereira

; Oigman, Wille

; Nadruz Junior, Wilson

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 N. 4 elocation e20240113

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

https://doi.org/10.36660/abc.20240113

Factors influencing the positivity of diagnostic tests for congenital syphilis
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Ribeiro, Rodrigo Soares

; Sasaki, Natália Sperli Geraldes Marin dos Santos

; Queiroz, Alessandra Marinela de Abreu

; Ferreira, Ana Cecília Mota

; Segura, Gabriela de Souza

; Santos, Maria de Lourdes Sperli Geraldes

; Souza, Lara Helk de

; Lourenção, Luciano Garcia

Revista da Associação Médica Brasileira

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2024, Volume 70 N. 5 elocation e20231006

Abstract: En | Text: En | PDF: En

SUMMARY OBJECTIVE: The objective of this study was to analyze the factors that influence the positivity of treponemal and non-treponemal tests in cases of congenital syphilis. METHODS: This cross-sectional and correlational study was carried out from the analysis of the database of Disease and Notification Information System (SINAN, in Portuguese) using the data obtained through the Epidemiological Surveillance Group 29, with 639 notifications of congenital syphilis between 2007 and 2018. The data were analyzed by a descriptive and inferential analysis from logistic regression with a significance level of 5% (p≤0.05). RESULTS: The positivity of the treponemal test was higher by 4.5 times in infants living in rural areas and 19.6 times among those whose mothers obtained the diagnosis of syphilis after birth. The treponemal test showed positivity 3.2 times higher for the variable “having been diagnosed between 2007 and 2015” and 5.5 times higher for the variable “having been diagnosed with maternal syphilis in the postpartum period.” CONCLUSION: This study shows that testing during prenatal care is essential for early diagnosis and prevention of syphilis complications. OBJECTIVE nontreponemal non METHODS crosssectional cross sectional SINAN, SINAN (SINAN Portuguese 29 63 200 2018 5 p≤0.05. p005 p p≤0.05 . 0 05 (p≤0.05) RESULTS 45 4 4. 196 19 6 19. birth 32 3 2 3. having 2015 55 5. period. period CONCLUSION complications 20 201 p00 p≤0.0 (p≤0.05 1 p0 p≤0. (p≤0.0 p≤0 (p≤0. p≤ (p≤0 (p≤ (p

https://doi.org/10.1590/1806-9282.20231006

Factors associated with antepartum pilgrimage at a reference maternity hospital in Ceará
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Mesquita, Annita de Lima

; Rodrigues, Hillary Bastos Vasconcelos

; Ferreira, Uly Reis

; Domingos, Maria Aparecida Ferreira

; Oliveira, Bruno Luciano Carneiro Alves de

; Cardoso, Alexandrina Maria Ramos

; Biazus-Dalcin, Camila

; Aquino, Priscila de Souza

Revista da Escola de Enfermagem da USP

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2024, Volume 58 elocation e20230012

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

RESUMEN Objetivo: Identificar factores asociados a la peregrinación anteparto en mujeres embarazadas en Fortaleza, Ceará, Brasil. Método: Estudio transversal con 300 puérperas de una maternidad de referencia estatal, realizado de marzo de 2020 a enero de 2021. Se estimó la frecuencia de peregrinación según características socioeconómicas y de atención prenatal. Análisis con Prueba de Chi-Cuadrado de Pearson variables seleccionadas para regresión de Poisson ajustada. Resultados: La frecuencia de peregrinación anteparto a más de un servicio de salud fue del 34,3%. Desconocer la maternidad de referencia (1,16; IC95%: 1,04–1,30) y no vivir cerca de la maternidad de referencia (1,16; IC95%: 1,03–1,31) se asociaron con la ocurrencia de peregrinación entre las mujeres. Las características personales y la atención prenatal no se asociaron. Conclusión: Hubo asociación entre la peregrinación anteparto y el desconocimiento de la maternidad de referencia y vivir lejos de esa maternidad, lo que requiere una mejor comunicación del equipo y garantizar un acceso más fácil a los servicios de atención obstétrica a través de la implementación efectiva de la regionalización de la atención materna. Objetivo Fortaleza Ceará Brasil Método 30 estatal 202 2021 ChiCuadrado Chi Cuadrado ajustada Resultados 343 34 3 34,3% 1,16 116 1 16 (1,16 IC95% IC95 IC 1,04–1,30 104130 04 1,03–1,31 103131 03 31 Conclusión materna 20 34,3 1,1 11 (1,1 IC9 1,04–1,3 10413 0 1,03–1,3 10313 2 34, 1, (1, 1,04–1, 1041 1,03–1, 1031 (1 1,04–1 104 1,03–1 103 ( 1,04– 10 1,03– 1,04 1,03 1,0

ABSTRACT Objective: To identify factors associated with antepartum pilgrimage in pregnant women in Fortaleza, Ceará, Brazil. Method: A cross-sectional study with 300 postpartum women from a state reference maternity hospital, carried out from March 2020 to January 2021. The frequency of pilgrimage was estimated according to socioeconomic characteristics and prenatal care. Analysis with Pearson’s chi-square test selected variables for adjusted Poisson regression. Results: The frequency of antepartum pilgrimage to more than one health service was 34.3%. Not knowing the reference maternity hospital (1.16; 95%CI: 1.04–1.30) and not living close to the reference maternity hospital (1.16; 95%CI: 1.03–1.31) were associated with the occurrence of pilgrimage among women. Personal characteristics and prenatal care were not associated. Conclusion: There was an association between antepartum pilgrimage and lack of knowledge of the reference maternity hospital and residence far from that maternity hospital, which requires better team communication and the guarantee of easier access to obstetric care services, through effective implementation of regionalization of maternal care. Objective Fortaleza Ceará Brazil Method crosssectional cross sectional 30 202 2021 Pearsons Pearson s chisquare chi square regression Results 343 34 3 34.3% 1.16 116 1 16 (1.16 95%CI 95CI CI 95 1.04–1.30 104130 04 1.03–1.31 103131 03 31 Conclusion services 20 34.3 1.1 11 (1.1 9 1.04–1.3 10413 0 1.03–1.3 10313 2 34. 1. (1. 1.04–1. 1041 1.03–1. 1031 (1 1.04–1 104 1.03–1 103 ( 1.04– 10 1.03– 1.04 1.03 1.0

RESUMO Objetivo: Identificar fatores associados à peregrinação anteparto em gestantes de Fortaleza, Ceará, Brasil. Método: Estudo transversal com 300 puérperas de uma maternidade de referência estadual, realizado de março de 2020 a janeiro de 2021. Foi estimada a frequência da peregrinação segundo características socioeconômicas e de assistência pré-natal. Análises com o Teste Qui-Quadrado de Pearson selecionaram variáveis para a regressão de Poisson ajustada. Resultados: A frequência de peregrinação anteparto por mais de um serviço de saúde foi de 34,3%. Não conhecer a maternidade de referência (1,16; IC95% 1,04–1,30) e não residir próximo à maternidade de referência (1,16; IC95%: 1,03–1,31) estiveram associados à ocorrência de peregrinação entre as mulheres. Características pessoais e de assistência pré-natal não se mostraram associadas. Conclusão: Verificou-se associação da peregrinação anteparto com o desconhecimento da maternidade de referência e com a residência distante dessa maternidade, o que requer melhor comunicação da equipe e a garantia de acesso facilitado aos serviços de assistência obstétrica por meio da implementação eficaz da regionalização dos cuidados maternos. Objetivo Fortaleza Ceará Brasil Método 30 estadual 202 2021 prénatal. prénatal pré natal. natal QuiQuadrado Qui Quadrado ajustada Resultados 343 34 3 34,3% 1,16 116 1 16 (1,16 IC95 IC 1,04–1,30 104130 04 1,03–1,31 103131 03 31 mulheres associadas Conclusão Verificouse Verificou maternos 20 34,3 1,1 11 (1,1 IC9 1,04–1,3 10413 0 1,03–1,3 10313 2 34, 1, (1, 1,04–1, 1041 1,03–1, 1031 (1 1,04–1 104 1,03–1 103 ( 1,04– 10 1,03– 1,04 1,03 1,0

https://doi.org/10.1590/1980-220x-reeusp-2023-0012en

MEDICINES FOR MANAGING LOWER PAIN IN PATIENTS WITH FAILED BACK SURGERY SYNDROME TREATED WITH NEUROMODULATION
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Guerra, Leonardo Mousinho

; Oliveira, Wilker Herkson de Almeida

; Rodrigues, Luciano Miller Reis

; Lopes, Fernanda Amate

; Cesar, André Evaristo Marcondes

; Souza, Rafael Carboni de

Coluna/Columna

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2024, Volume 23 N. 1 elocation e271651

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

Resumen: Objetivo: Comparar el uso de fármacos para el control de la lumbalgia en el pre y posoperatorio en pacientes con Síndrome de Cirugía Fallida de Columna (FBSS) sometidos a neuromodulación. Métodos: Estudio observacional retrospectivo analizando las historias clínicas de pacientes con FBSS que se sometieron a neuromodulación, seguidos en consulta externa de 2018 a 2020. Se evaluaron las características de los pacientes; el uso de medicamentos; calidad de vida a través de los resultados del Cuestionario Short Form 36 Health Survey Questionnaire (SF-36) y la capacidad funcional mediante el Oswestry Disability Index (ODI) en los períodos prequirúrgico y posquirúrgico (06 meses, 01 año). El criterio para establecer la significación estadística fue p≤0,05. Resultados: se evaluaron 56 pacientes. Hubo una reducción en el uso de medicamentos para el control del dolor después de la institución de la neuromodulación, incluso en la clase de opioides (d = 0,81). También se observó una mejora en las puntuaciones del ODI (p<0,001) y en todos los dominios del SF-36 (p<0,02) en los períodos postoperatorios investigados. Conclusión: Los datos sugieren que la neuromodulación tuvo un impacto positivo en el dolor de espalda en términos de reducción del uso de medicamentos, mejorando la capacidad funcional y la calidad de vida. Nivel de Evidencia IV; Estudio Retrospectivo, Observacional. Resumen Objetivo (FBSS Métodos 201 2020 3 SF36 SF (SF-36 (ODI 06 (0 meses 0 año. año . año) p005 p 05 p≤0,05 Resultados 5 d 0,81. 081 0,81 81 0,81) p<0,001 p0001 001 (p<0,001 SF-3 p<0,02 p002 02 (p<0,02 investigados Conclusión IV Retrospectivo Observacional 20 202 SF3 (SF-3 ( p00 p≤0,0 08 0,8 8 p<0,00 p000 00 (p<0,00 SF- p<0,0 (p<0,0 2 (SF- p0 p≤0, 0, p<0, (p<0, (SF p≤0 p<0 (p<0 p≤ p< (p< (p

ABSTRACT Objective: To compare the use of drugs to control low back pain in the pre- and postoperative periods among patients with Failed Back Surgery Syndrome (FBSS) undergoing neuromodulation. Methods: Retrospective observational study analyzing the medical records of patients with FBSS who underwent neuromodulation, followed up in an outpatient clinic from 2018 to 2020. The characteristics of the patients were evaluated: the use of medications, quality of life through the results of the Short Form 36 Health Survey Questionnaire (SF-36), and functional capacity using the Oswestry Disability Index (ODI) in the pre-surgical and post-surgical periods (06 months, 01 year). The criterion for establishing statistical significance was p≤0.05. Results: 56 patients were evaluated. There was a reduction in the use of pain control drugs after the institution of neuromodulation, including in the opioid class (d=0.81). An improvement was also observed in the ODI scores (p<0.001) and all the SF-36 domains (p<0.02) in the postoperative periods investigated. Conclusion: The data suggest that neuromodulation positively impacted back pain by reducing medication use and improving functional capacity and quality of life. Level of Evidence IV; Retrospective, Observational Study. Objective pre (FBSS Methods 201 2020 evaluated medications 3 SF36, SF36 SF , (SF-36) (ODI presurgical surgical postsurgical post 06 (0 months 0 year. year . year) p005 p 05 p≤0.05 Results 5 d=0.81. d081 d d=0.81 81 (d=0.81) p<0.001 p0001 001 (p<0.001 SF-3 p<0.02 p002 02 (p<0.02 investigated Conclusion IV Study 20 202 SF3 (SF-36 ( p00 p≤0.0 d08 d=0.8 8 (d=0.81 p<0.00 p000 00 (p<0.00 SF- p<0.0 (p<0.0 2 (SF-3 p0 p≤0. d0 d=0. (d=0.8 p<0. (p<0. (SF- p≤0 d=0 (d=0. p<0 (p<0 (SF p≤ d= (d=0 p< (p< (d= (p (d

Resumo: Objetivo: Comparar o uso de medicamentos para o controle da dor lombar nos períodos pré e pós-operatórios entre pacientes com Síndrome da Falha da Cirurgia na Coluna (FBSS) submetidos à neuromodulação. Métodos: Estudo observacional retrospectivo de análise de prontuários dos pacientes com FBSS submetidos à neuromodulação, acompanhados ambulatorialmente no período de 2018 a 2020. Foram avaliadas as características dos pacientes; o uso de medicamentos; a qualidade de vida através dos resultados do Questionário Short Form 36 Health Survey Questionnaire (SF- 36) e a capacidade funcional utilizando o Oswestry Disability Index (ODI) nos períodos pré-cirúrgico e pós-cirúrgicos (06 meses, 01 ano). O critério para estabelecer significância estatística foi valores de p≤0,05. Resultados: Foram avaliados 56 pacientes. Verificou-se redução do uso de medicamentos para o controle da dor após a instituição da neuromodulação, inclusive na classe dos opioides (d=0,81). Observou-se ainda melhora nos escores do ODI (p<0,001) e de todos os domínios do SF-36 (p<0,02) nos períodos pós-operatórios investigados. Conclusão: Os dados sugerem que a neuromodulação teve impacto positivo na dor de coluna em termos de redução no uso de medicamentos, melhora da capacidade funcional e da qualidade de vida. Nível de Evidência IV; Estudo Retrospectivo, Observacional. Resumo Objetivo pósoperatórios pós operatórios (FBSS Métodos 201 2020 3 SF (SF (ODI précirúrgico cirúrgico póscirúrgicos cirúrgicos 06 (0 meses 0 ano. ano . ano) p005 p 05 p≤0,05 Resultados 5 Verificouse Verificou se d=0,81. d081 d d=0,81 81 (d=0,81) Observouse Observou p<0,001 p0001 001 (p<0,001 SF36 SF-3 p<0,02 p002 02 (p<0,02 investigados Conclusão IV Retrospectivo Observacional 20 202 ( p00 p≤0,0 d08 d=0,8 8 (d=0,81 p<0,00 p000 00 (p<0,00 SF3 SF- p<0,0 (p<0,0 2 p0 p≤0, d0 d=0, (d=0,8 p<0, (p<0, p≤0 d=0 (d=0, p<0 (p<0 p≤ d= (d=0 p< (p< (d= (p (d

https://doi.org/10.1590/s1808-185120242301271651

Clínicas Populares de Saúde a partir da perspectiva de empresários e de representantes da classe médica
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Sousa, Marina do Nascimento

; Oliveira, Bruno Luciano Carneiro Alves de

; Alves, Maria Teresa Seabra Soares de Britto e

; Andrietta, Lucas Salvador

; Carvalho, Ruth Helena de Souza Britto Ferreira de

Saúde e Sociedade

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2024, Volume 33 N. 2 elocation e230426pt

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

Resumo Este artigo pretende compreender a perspectiva de empresários de Clínicas Populares de Saúde (CPS) e representantes da classe médica sobre serviços ofertados pelo setor; impactos decorrentes da pandemia covid-19; e futuro do mercado de trabalho médico. Trata-se de pesquisa qualitativa, da área de saúde coletiva, com enfoque nas representações sociais. Foram realizadas entrevistas semiestruturadas, entre março e julho de 2021, com quatro empresários locais e três representantes de classe médica de uma cidade da região Nordeste do Brasil. As CPS ofertam serviços assistenciais restritos a consultas e exames e com estratégias de lógica financeirizada; se apresentam como “alternativa” ao SUS, uma suposta “lacuna” entre planos de saúde privados e serviços públicos, e como “novo” trabalho médico. As empresas ofertam consultas com especialistas a preços “populares” e sem fila de espera. A assistência prestada é restrita e os profissionais não têm garantia de direitos trabalhistas. Para os entrevistados, o acesso à saúde representa acessibilidade geográfica e temporal de serviço a preço reduzido. O direito universal à saúde e princípios do SUS são confrontados com a defesa da autonomia dos clientes e dos profissionais visando suas necessidades: saúde e trabalho. (CPS setor covid19 covid 19 covid-19 médico Tratase Trata qualitativa coletiva sociais semiestruturadas 2021 Brasil financeirizada alternativa “alternativa lacuna “lacuna públicos novo “novo populares “populares espera trabalhistas entrevistados reduzido necessidades covid1 1 covid-1 202 covid- 20 2

Abstract The objective is to understand the perspective of entrepreneurs from Popular Health Clinics (PHC) and representatives of the medical profession on services offered by the sector; impacts resulting from the COVID-19 pandemic; and future of the medical job market. This is a qualitative research, in the area of collective health, focused on social representations. Semi-structured interviews were carried out, from March to July 2021, with four local entrepreneurs and three representatives of the medical profession from a municipality in the Northeast region of Brazil. PHC offer assistance services restricted to consultations and exams and with financialized logic strategies. The PHC are presented as an “alternative” to the SUS, a supposed “gap” between private health plans and public services, and as a “new” medical work. Companies offer consultations with specialists at “popular” prices and without a waiting list. The assistance provided is restricted and professionals have no guarantee of labor rights. For those interviewed, access to healthcare represents geographic and temporal accessibility of services at a reduced price. The universal right to health and SUS principles are confronted with the defense of the autonomy of clients and professionals targeting their needs: health and work. (PHC sector COVID19 COVID 19 COVID-1 pandemic market research representations Semistructured Semi structured out 2021 Brazil strategies alternative “alternative gap “gap new “new work popular “popular list rights interviewed price needs COVID1 1 COVID- 202 20 2

https://doi.org/10.1590/s0104-12902024230426pt

10.

Cross-cultural adaptation and psychometric properties of the Iowa-Netherlands Comparison Orientation Measure for the Brazilian context Crosscultural Cross cultural IowaNetherlands Iowa Netherlands
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Veleda, Gessyka Wanglon

; Seoane, Giulia Rodrigues

; Ezequiel, Gabriely Ribeiro

; Ferreira, Caroline Machado

; de Figueiredo, Vera Lúcia Marques

; Meyer, Tharso de Souza

; Araújo, Jaciana Marlova Gonçalves

; Rizo, Luciana

; de Azevedo Cardoso, Taiane

; de Aguiar, Kyara Rodrigues

; Souza, Luciano Dias de Mattos

Trends in Psychiatry and Psychotherapy

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2024, Volume 46 elocation e20220573

Abstract: En | Text: En | PDF: En

Abstract Introduction The Iowa-Netherlands Comparison Orientation Measure (INCOM) was developed to measure individual differences in social comparison orientation and has been widely used in research and various different settings. Objectives The aim of this study was to adapt the online version of the INCOM and to evaluate its psychometric parameters when applied to a Brazilian population of university students. Methods The procedures were divided into two steps: step 1 – cross-cultural adaptation and analysis of content validity, and step 2 – assessment of psychometric characteristics. Step 1 comprised the processes of translation, evaluation by an expert committee, evaluation by the target population, and back-translation. For step 2, 1,065 university students were recruited and then factor analysis, analysis of reliability, and analysis of validity based on external measures were performed. Results The adaptation process yielded satisfactory results, including good indicators of content validity. Exploratory factor analysis revealed a two-dimensional structure and adequate factor loadings, except for item 11, which was excluded from the final version. Additionally, the final version of the scale had adequate fit indices (χ2 = 148.45, degrees of freedom [df] = 26; p < 0.001; root mean square error of approximation [RMSEA] = 0.06; comparative fit index [CFI] = 0.99; and Tucker-Lewis index [TLI] = 0.98). Evidence of reliability (Cronbach’s alpha = 0.83) was observed and there were positive correlations with negative affect (r = 0.36) and negative correlations with positive affect and self-esteem (r = -0.15; r = -0.41, respectively). Conclusion The Brazilian version of the INCOM presents satisfactory psychometric parameters and can thus be used to measure social comparison orientation. IowaNetherlands Iowa Netherlands (INCOM settings steps crosscultural cross cultural characteristics translation committee backtranslation. backtranslation back translation. back-translation 1065 065 1,06 performed results twodimensional dimensional loadings 11 Additionally χ2 χ (χ 14845 148 45 148.45 df [df 26 0.001 0001 0 001 RMSEA [RMSEA 0.06 006 06 CFI [CFI 0.99 099 99 TuckerLewis Tucker Lewis TLI [TLI 0.98. 098 0.98 . 98 0.98) Cronbachs Cronbach s 0.83 083 83 0.36 036 36 selfesteem self esteem 0.15 015 15 -0.15 0.41, 041 41 -0.41 respectively. respectively respectively) 106 1,0 1484 14 4 148.4 0.00 000 00 0.0 0.9 09 9 0.8 08 8 0.3 03 3 0.1 01 -0.1 0.41 04 -0.4 10 1, 148. 0. -0. 0.4 -0 -

https://doi.org/10.47626/2237-6089-2022-0573

11.

Usefulness of minimally invasive autopsy in the diagnosis of arboviruses to increase the sensitivity of the Epidemiological Surveillance System in Ceará, Brazil Ceará
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Almeida, Livia Mendes de

; Melo, Deborah Nunes de

; Silva, Manuella Mendonça da

; Souza, Pedro Mansueto Melo de

; Silva, Fernanda Kézia de Sousa

; Coelho, Tania Mara Silva

; Lima, Shirlene Telmos Silva de

; Mota, Anacelia Gomes de Matos

; Monteiro, Renata Aparecida de Almeida

; Saldiva, Paulo Hilario Nascimento

; Oliveira, Geraldo Gileno de Sá

; Cavalcanti, Luciano Pamplona de Góes

Epidemiologia e Serviços de Saúde

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2024, Volume 33 elocation e2024008

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

https://doi.org/10.1590/s2237-96222024v33e2024008.en

12.

Emulgels Containing Propolis and Curcumin for the Treatment of Mastitis and Umbilical Cord Healing
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Santos, Rafaela Said dos

; Campanholi, Katieli da Silva Souza

; Bispo, Amanda Sandes

; Caetano, Wilker

; Pozza, Magali Soares dos Santos

; Perez, Henrique Leal

; Bruschi, Marcos Luciano

Brazilian Archives of Biology and Technology

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2024, Volume 67 elocation e24230951

Abstract: En | Text: En | PDF: En

Abstract Brazil is a large sheep and cow producer, and the development of new strategies for the treatment of lamb umbilical cord healing as well as the bovine mastitis is very important. The aim of this study was to develop emulgels containing propolis, curcumin and andiroba oil for the treatment of mastitis and umbilical cord healing in animals. The formulations were composed of poly (acrylic acid) derivative (Carbopol 974P or polycarbophil), Brazilian green propolis extract, curcumin, and andiroba oil. The systems were investigated as the activity on umbilical cord healing of newborn lambs, and evaluation of the prevention of mastitis in dairy cows. The emulgels effectively promoted umbilical cord healing, preventing infections. Moreover, they were effective for reducing the somatic cell count a health indicator for mammary glands in cows. These findings suggest that these formulations can potentially treat cattle mastitis and improve lambs' umbilical cord healing. producer important animals acrylic acid Carbopol P polycarbophil, polycarbophil , polycarbophil) extract lambs cows infections Moreover

https://doi.org/10.1590/1678-4324-2024230951

13.

Clínicas Populares de Saúde a partir da perspectiva de empresários e de representantes da classe médica
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Sousa, Marina do Nascimento

; Oliveira, Bruno Luciano Carneiro Alves de

; Alves, Maria Teresa Seabra Soares de Britto e

; Andrietta, Lucas Salvador

; Carvalho, Ruth Helena de Souza Britto Ferreira de

Saúde e Sociedade

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2024, Volume 33 N. 2 elocation e230426pt

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

https://doi.org/10.1590/s0104-12902024230426pt

14.

Morte em vida de Severina: uma cartografia do cuidado com as pessoas (com deficiência)
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Sousa, Matias Aidan Cunha de

; Sampaio, Juliana

; Barbosa, Daniella de Souza

; Menezes, Tarcisio Almeida

; Gomes, Luciano Bezerra

; Peixoto, Daniele Alves

Saúde e Sociedade

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2024, Volume 33 N. 2 elocation e230230pt

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

Abstract This article analyzes the access to health care that produces vulnerability, as well as the resistance strategies of users. The study, resulting from qualitative research with a cartographic approach, uses the concept-tool “guide-user” to analyze the trajectory of a 48-year-old woman, with visual impairment, accompanied in research at a specialized center in rehabilitation in the municipality of João Pessoa, Paraíba, Brazil. Between October 2020 and April 2021, 12 virtual meetings were held with the user and two interviews with service professionals, recorded in field diaries. The analysis generated the following interpretation axes: Several Deaths in Life, Severina; The fabrication of a Severina body: marks of a prescriptive health of living; and Severina insists on life, in her production of living networks of care. It was evidenced that the organization of health care directed at certain groups of people leads to the production of vulnerabilities and promotes death (or even many deaths) during life. At the same time, possibilities for the construction of other flows were identified, in which it would be possible to constitute, for themselves, means of breaking with what is structured for our routes, allowing to produce holes in the walls.

Resumo Neste artigo, analisa-se o acesso ao cuidado da saúde que produz vulnerabilidades, bem como as estratégias de resistência de usuários(as). No estudo, fruto de pesquisa qualitativa com abordagem cartográfica, recorre-se ao conceito-ferramenta “usuária-guia”, ao analisar a trajetória de uma mulher de 48 anos de idade com deficiência visual, acompanhada em pesquisa num centro especializado em reabilitação da cidade de João Pessoa, Paraíba, Brasil. Entre outubro de 2020 e abril de 2021, foram realizados 12 encontros virtuais com a usuária e duas entrevistas com profissionais do serviço, registrados em diários de campo. A análise gerou os seguintes eixos de interpretação: Várias mortes em vida, Severina; A fabricação de um corpo Severina: marcas de uma saúde prescritora do viver; e Teima a vida Severina, em sua produção de redes vivas de cuidado. Evidenciou-se que a organização da atenção à saúde direcionada a certos grupos leva à produção de vulnerabilidades e promove a morte (ou mesmo muitas mortes) em vida. Ao mesmo tempo, identificaram-se possibilidades de construção de outros fluxos, em que seria possível constituir, para si, meios de romper com o que se estrutura para nossas rotas, permitindo produzir furos nos muros.

https://doi.org/10.1590/s0104-12902024230230pt

15.

Performance of Recombinant Nucleocapsid Protein-Based Constructs for Serological Diagnosis of SARS-CoV-2 Infection ProteinBased Protein Based SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- SARS-CoV
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Oliveira, Natasha Rodrigues de

; Santos, Francisco Denis Souza

; Seixas Neto, Amilton Clair Pinto

; Barbosa, Liana Nunes

; Bilhalva, Miguel Andrade

; Costa, Ana Vitória

; Donassolo, Rafael Amaral

; Rodrigues, Rafael Rodrigues

; Alves, Mariliana Luiza Ferreira

; Ferreira, Marcos Roberto Alves

; Moreira Júnior, Clóvis

; Lacerda, Marcus Vinícius Guimarães de

; Melo, Gisely Cardoso de

; Dellagostin, Odir Antônio

; McBride, Alan John Alexander

; Pinto, Luciano da Silva

; Moreira, Ângela Nunes

; Conceição, Fabrício Rochedo

Brazilian Archives of Biology and Technology

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2024, Volume 67 elocation e24230196

Abstract: En | Text: En | PDF: En

Abstract Since the inception of COVID-19 pandemic, there has been a challenging race for the development of precise diagnostic tests. Specific SARS-CoV-2 serological assays are the main tools used to estimate the rate of past infections or herd immunity in epidemiological studies, in addition to being helpful in guiding public health management policies. In this study, an in-house ELISA based on the construct of SARS-CoV-2 nucleocapsid (N) proteins, named rCoV2, rCoV4, and rCoV7, showed diagnostic performance for the detection of IgG antibodies. Sensitivity was evaluated in serum samples from patients with mild to moderate or severe COVID-19 infections, which were collected at different time points, while specificity was evaluated using pre-pandemic sera. In samples from mild to moderate cases obtained ≥16 days after the onset of symptoms, the sensitivities for rCoV2, rCoV4, and rCoV7 were 66.7%, 75%, and 77.8%, respectively. For samples from severe cases, the sensitivity was above 80% for all constructs. All proteins showed high specificity (94-98%). Overall, rCoV7 (C-terminus N-protein portion) showed better diagnostic performance, with 62.3% sensitivity in moderate and severe cases and 96.6% specificity. The SARS-CoV-2 ELISA using N-protein-based constructs could be a promisor tool for investigate the epidemiology of COVID-19 and monitor population-level serosurveillance. COVID19 COVID 19 COVID-1 pandemic tests SARSCoV2 SARSCoV SARS CoV 2 SARS-CoV- studies policies study inhouse house N (N rCoV2 rCoV rCoV4 antibodies points prepandemic pre sera 16 ≥1 symptoms 667 66 7 66.7% 75 75% 778 77 8 77.8% respectively 80 9498%. 9498 94 98% . 98 (94-98%) Overall Cterminus C terminus Nprotein protein portion 623 62 3 62.3 966 96 6 96.6 Nproteinbased populationlevel population level serosurveillance COVID1 1 COVID- SARS-CoV ≥ 66.7 77.8 9498% 949 9 (94-98% 62. 96. 66. 77. (94-98 (94-9 (94- (94 (9 (

https://doi.org/10.1590/1678-4324-2024230196

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