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Abstract Working with an interprofessional focus is increasingly necessary, in view of the growing complexity of the population’s health needs. This study aims to assess interprofessional collaboration and the teamwork climate in primary health care (PHC) and determine whether there is a relationship between these two variables. The AITCS-II instrument was used to measure interprofessional collaboration, while to diagnose teamwork climate, the ECTE instrument was used, a version adapted to the SUS context of the Teamwork Climate Inventory instrument. These two instruments were applied online together with a questionnaire for the sociodemographic characterization of the 544 participants, who belonged to 97 Family Health Strategy (FHS) teams in a Brazilian municipality. The obtained data were submitted to a multilevel analysis. A positive correlation was observed between interprofessional collaboration and three of the four teamwork climate factors. The better the work climate, the better the interprofessional collaboration in the corresponding team, and this characteristic stands out in relation to other individual analyzed characteristics. necessary populations population s needs PHC (PHC variables AITCSII AITCS II 54 participants 9 FHS (FHS municipality analysis factors team characteristics 5

Resumo Trabalhar com foco interprofissional é cada vez mais necessário, tendo em vista a crescente complexidade das necessidades de saúde da população. Este estudo tem como objetivo avaliar a colaboração interprofissional e o clima de trabalho em equipe na atenção primária à saúde (APS) e verificar possível relação entre estas duas variáveis. Para mensurar a colaboração interprofissional foi utilizado o instrumento AITCS-II, enquanto para o diagnóstico do clima de trabalho em equipe foi utilizado o instrumento ECTE, versão adaptada para o contexto SUS do instrumento Teamwork Climate Inventory. Esses dois instrumentos foram aplicados on-line juntamente com um questionário para caracterização sociodemográfica dos 544 participantes, pertencentes a 97 equipes da Estratégia Saúde da Família (ESF) de um município brasileiro. Os dados obtidos foram submetidos a uma análise multinível. Foi observada uma correlação positiva entre a colaboração interprofissional e três dos quatro fatores do clima de trabalho em equipe. Quanto melhor o clima de trabalho, melhor a colaboração interprofissional na equipe correspondente, e essa característica se destaca em relação às demais características individuais analisadas. necessário população APS (APS variáveis AITCSII, AITCSII AITCS II, II AITCS-II ECTE Inventory online on line 54 participantes 9 ESF (ESF brasileiro multinível correspondente analisadas 5

https://doi.org/10.1590/1413-81232024291.10572022

INIBIDORES DO FOTOSSISTEMA II: UMA PERSPECTIVA ALELOQUÍMICA II
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Silva, Anthony da

; Souza, Jéssica M. de

; Pádua, Geilly Mara S. de

; Santos, Arielly Celestino Rodrigues

; Vasconcelos, Leonardo G. de

; Dall’Óglio, Evandro Luiz

; Bellete, Barbara S.

; Veiga, Thiago André M.

; Vieira, Lucas C. C.

; Sampaio, Olívia M.

Química Nova

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2024, Volume 47 N. 2 elocation e-20230097

Abstract: Pt | Text: Pt | PDF: Pt

The process of photosynthesis involves the absorption of light energy by photosynthetic pigments found in the thylakoid membrane of chloroplasts in order to produce chemical energy. In the presence of photosynthetic inhibitors, plant development is affected mainly by the reduction of the electron chain, which leads to growth inhibition. In this context, chlorophyll a (Chl a) fluorescence is an important technique used to identify the effects of inhibitors on the photosynthetic apparatus employing the JIP-test, which correlates the Chl a fluorescence transient to biophysical parameters, providing valuable information about the efficiency of photosystems I and II. Natural products have been highlighted as photosynthesis inhibitors due to the continued use of synthetic herbicides, which leads to the development of invasive plants resistant to these pesticides, in addition to the toxicity caused to humans and the environment. Thus, this review describes the main applications of extracts and isolated secondary metabolites obtained from plants and microorganisms in the investigation of electron transport inhibition on photosystem II. chain context JIPtest, JIPtest JIP test, test JIP-test parameters II herbicides pesticides environment Thus

https://doi.org/10.21577/0100-4042.20230097

Compliance Analysis of the Dental Care Service Provided to Pregnant Women in Primary Health Care
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Nogueira, Paula Molina

; Fonseca, Isabela Oliveira Mourão

; Ferreira, Raquel Conceição

; Vasconcelos, Mara

; Zina, Lívia Guimarães

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2024, Volume 24 elocation e220093

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To analyze oral health services for pregnant women in the primary health care of a Brazilian metropolis, based on the performance of dentists who integrate these services. Material and Methods: Exploratory, descriptive and cross-sectional study was conducted through qualitative and quantitative approaches. A semi-structured questionnaire was used for data collection. This study was conducted in a Brazilian metropolis and included all dentists working in primary health care. The compliance analysis was performed considering access, adherence, group activity and individual dental care dimensions. Open questions were analyzed using the content analysis method and the closed questions were performed using frequency estimates. Bivariate statistics (Chi-square, Fisher's Exact Test, α<0.05) were analyzed through STATA. Results: 260 dentists agreed to participate in this study. Strategies to facilitate the scheduling of pregnant women to dental treatment occur in 93.9% of oral health teams, the main one being the scheduling and/or referral performed by the family health team. In terms of access and adherence to treatment, all variables in these dimensions showed relevant compliance results. The group activity dimension presented moderate compliance percentages, whereas individual care obtained high results, except for referral to radiography. Conclusion: The oral health service was compliant regarding access and adherence to treatment, but showed limitations in individual care and collective activities. Recommendations include improving oral health team coverage and permanent education programs. Objective Methods Exploratory crosssectional cross sectional approaches semistructured semi structured collection estimates Chisquare, Chisquare Chi square, square (Chi-square Fishers Fisher s Test α<0.05 α005 α 0 05 STATA Results 26 939 93 9 93.9 teams andor or results percentages radiography Conclusion activities programs α<0.0 α00 2 93. α<0. α0 α<0 α<

https://doi.org/10.1590/pboci.2024.069

Factors associated with interprofessional collaboration in Primary Health Care: a multilevel analysis
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Vasconcelos, Jader

; Probst, Livia Fernandes

; Silva, Jaqueline Alcântara Marcelino da

; Costa, Marcelo Viana da

; Higashijima, Marcia Naomi Santos

; Santos, Mara Lisiane de Moraes dos

; Souza, Albert Schiaveto de

; Carli, Alessandro Diogo De

Ciência & Saúde Coletiva

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2024, Volume 29 N. 1 elocation e10572022

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

https://doi.org/10.1590/1413-81232024291.10572022

Brazilian consensus recommendations on the diagnosis and treatment of autoimmune encephalitis in the adult and pediatric populations
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Dutra, Lívia Almeida

; Silva, Pedro Victor de Castro

; Ferreira, João Henrique Fregadolli

; Marques, Alexandre Coelho

; Toso, Fabio Fieni

; Vasconcelos, Claudia Cristina Ferreira

; Brum, Doralina Guimarães

; Pereira, Samira Luisa dos Apóstolos

; Adoni, Tarso

; Rocha, Leticia Januzi de Almeida

; Sampaio, Leticia Pereira de Brito

; Sousa, Nise Alessandra de Carvalho

; Paolilo, Renata Barbosa

; Pizzol, Angélica Dal

; Costa, Bruna Klein da

; Disserol, Caio César Diniz

; Pupe, Camila

; Valle, Daniel Almeida do

; Diniz, Denise Sisterolli

; Abrantes, Fabiano Ferreira de

; Schmidt, Felipe da Rocha

; Cendes, Fernando

; Oliveira, Francisco Tomaz Meneses de

; Martins, Gabriela Joca

; Silva, Guilherme Diogo

; Lin, Katia

; Pinto, Lécio Figueira

; Santos, Mara Lúcia Schimtz Ferreira

; Gonçalves, Marcus Vinícius Magno

; Krueger, Mariana Braatz

; Haziot, Michel Elyas Jung

; Barsottini, Orlando Graziani Povoas

; Nascimento, Osvaldo José Moreira do

; Nóbrega, Paulo Ribeiro

; Proveti, Priscilla Mara

; Castilhos, Raphael Machado do

; Daccach, Vanessa

; Glehn, Felipe von

Arquivos de Neuro-Psiquiatria

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2024, Volume 82 N. 7 elocation s00441788586

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

Abstract Background Autoimmune encephalitis (AIE) is a group of inflammatory diseases characterized by the presence of antibodies against neuronal and glial antigens, leading to subacute psychiatric symptoms, memory complaints, and movement disorders. The patients are predominantly young, and delays in treatment are associated with worse prognosis. Objective With the support of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, ABN) and the Brazilian Society of Child Neurology (Sociedade Brasileira de Neurologia Infantil, SBNI), a consensus on the diagnosis and treatment of AIE in Brazil was developed using the Delphi method. Methods A total of 25 panelists, including adult and child neurologists, participated in the study. Results The panelists agreed that patients fulfilling criteria for possible AIE should be screened for antineuronal antibodies in the serum and cerebrospinal fluid (CSF) using the tissue-based assay (TBA) and cell-based assay (CBA) techniques. Children should also be screened for anti-myelin oligodendrocyte glucoprotein antibodies (anti-MOG). Treatment should be started within the first 4 weeks of symptoms. The first-line option is methylprednisolone plus intravenous immunoglobulin (IVIG) or plasmapheresis, the second-line includes rituximab and/or cyclophosphamide, while third-line treatment options are bortezomib and tocilizumab. Most seizures in AIE are symptomatic, and antiseizure medications may be weaned after the acute stage. In anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis, the panelists have agreed that oral immunosuppressant agents should not be used. Patients should be evaluated at the acute and postacute stages using functional and cognitive scales, such as the Mini-Mental State Examination (MMSE), the Montreal Cognitive Assessment (MoCA), the Modified Rankin Scale (mRS), and the Clinical Assessment Scale in Autoimmune Encephalitis (CASE). Conclusion The present study provides tangible evidence for the effective management of AIE patients within the Brazilian healthcare system. (AIE antigens symptoms complaints disorders young prognosis Academia ABN Sociedade Infantil SBNI, SBNI , SBNI) method 2 neurologists CSF (CSF tissuebased tissue based TBA (TBA cellbased cell CBA (CBA techniques antimyelin anti myelin antiMOG. antiMOG MOG . (anti-MOG) firstline line IVIG (IVIG plasmapheresis secondline second andor cyclophosphamide thirdline third tocilizumab symptomatic stage antiNmethylDaspartate N methyl D aspartate antiNMDAR NMDAR (anti-NMDAR used scales MiniMental Mini Mental MMSE, MMSE (MMSE) MoCA, MoCA (MoCA) mRS, mRS (mRS) CASE. CASE (CASE) system (anti-MOG (MMSE (MoCA (mRS (CASE

Resumo Antecedentes Encefalites autoimunes (EAIs) são um grupo de doenças inflamatórias caracterizadas pela presença de anticorpos contra antígenos neuronais e gliais, que ocasionam sintomas psiquiátricos subagudos, queixas de memória e distúrbios anormais do movimento. A maioria dos pacientes é jovem, e o atraso no tratamento está associado a pior prognóstico. Objetivo Com o apoio da Academia Brasileira de Neurologia (ABN) e da Sociedade Brasileira de Neurologia Infantil (SBNI), desenvolvemos um consenso sobre o diagnóstico e o tratamento da EAIs no Brasil utilizando a metodologia Delphi. Métodos Um total de 25 especialistas, incluindo neurologistas e neurologistas infantis, foram convidados a participar. Resultados Os especialistas concordaram que os pacientes com critérios de possíveis EAIs devem ser submetidos ao rastreio de anticorpos antineuronais no soro e no líquido cefalorraquidiano (LCR) por meio das técnicas de ensaio baseado em tecidos (tissue-based assay, TBA, em inglês) e ensaio baseado em células (cell-based assay, CBA, em inglês). As crianças também devem ser submetidas ao rastreio de de anticorpo contra a glicoproteína da mielina de oligodendrócitos (anti-myelin oligodendrocyte glycoprotein, anti-MOG, em inglês). O tratamento deve ser iniciado dentro das primeiras 4 semanas dos sintomas, sendo as opções de primeira linha metilprednisolona combinada com imunoglobulina intravenosa (IGIV) ou plasmaférese. O tratamento de segunda linha inclui rituximabe e ciclofosfamida. Bortezomib e tocilizumab são opções de tratamento de terceira linha. A maioria das crises epilépticas nas EAIs são sintomáticas, e os fármacos anticrise podem ser desmamadas após a fase aguda. Em relação à encefalite antirreceptor de N-metil-D-aspartato (anti-N-methyl-D-aspartate receptor, anti-NMDAR, em inglês), os especialistas concordaram que agentes imunossupressores orais não devem ser usados. Os pacientes devem ser avaliados na fase aguda e pós-aguda mediante escalas funcionais e cognitivas, como Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Modified Rankin Scale (mRS), e Clinical Assessment Scale in Autoimmune Encephalitis (CASE). Conclusão Esta pesquisa oferece evidências tangíveis do manejo efetivo de pacientes com EAIs no sistema de saúde Brasileiro. (EAIs gliais subagudos movimento jovem prognóstico ABN (ABN SBNI, SBNI , (SBNI) Delphi 2 infantis participar LCR (LCR tissuebased tissue based assay TBA inglês cellbased cell CBA inglês. . antimyelin anti myelin glycoprotein antiMOG, antiMOG MOG, MOG anti-MOG IGIV (IGIV plasmaférese ciclofosfamida sintomáticas NmetilDaspartato N metil D aspartato antiNmethylDaspartate methyl aspartate receptor antiNMDAR, antiNMDAR NMDAR, NMDAR anti-NMDAR inglês, usados pósaguda pós cognitivas MiniMental Mini Mental MMSE, MMSE (MMSE) MoCA, MoCA (MoCA) mRS, mRS (mRS) CASE. CASE (CASE) Brasileiro (SBNI (MMSE (MoCA (mRS (CASE

https://doi.org/10.1055/s-0044-1788586

Teorização sobre os limites à inserção da saúde bucal na Estratégia Saúde da Família
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Pinheiro, Elisa Lopes

; Vasconcelos, Mara

; Gomes, Viviane Elisângela

; Mattos, Flávio de Freitas

; Andrade, Caroline Pereira Sutani

; Amaral, João Henrique Lara

Ciência & Saúde Coletiva

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apr 2023, Volume 28 N. 4 Pages 1139 - 1150

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

Abstract This study aimed to theorize, by means of social actors’ conception, about the reasons for the non-inclusion of oral health in the Family Health Strategy (FHS) in the city of Juiz de Fora, Minas Gerais, Brazil. This is a qualitative, exploratory, descriptive, and analytical study based on the grounded theory methodology and the National Oral Health Policy. Eleven interviews were performed with public managers, delegates who participate in the municipal health council, and dental surgeons who belong to the public health service. The theorization of the study was created through the data analysis process, which resulted in “a consequence of the dominant disease-centered oral health care model” as the main category. Data were categorized according to a methodological framework. The health concept set forth by local social actors contributed to the non-inclusion of oral healthcare teams (OHTs) in the FHS. This theorization identified the origins of the studied phenomenon and can aid in future policy decision-making carried out by local social actors. theorize conception noninclusion non inclusion FHS (FHS Fora Gerais Brazil qualitative exploratory descriptive Policy managers council service process diseasecentered disease centered model category framework OHTs (OHTs decisionmaking decision making

Resumo Este estudo objetivou construir teorização a partir da concepção de atores sociais acerca das razões da não inserção da atenção à saúde bucal na Estratégia de Saúde da Família (ESF) no município de Juiz de Fora, Minas Gerais. Trata-se de um estudo qualitativo, fundamentado no referencial teórico construído com base na Política Nacional de Saúde Bucal e metodológico na Teoria Fundamentada nos Dados (TFD). Foram realizadas 11 entrevistas intensivas com atores sociais da gestão, do controle social e cirurgiões-dentistas do serviço público do município. Os dados foram categorizados segundo a TFD e a partir do processo de análise dos dados, construiu-se a teorização do estudo e obteve-se como categoria central “Consequência de uma concepção hegemônica doença-centrada da saúde para o modelo de atenção à saúde bucal”. A concepção de saúde dos atores sociais do município contribuiu para a não inserção da atenção à saúde bucal na ESF. A teorização permitiu a identificação da origem das condições do fenômeno estudado e poderá contribuir para tomada de decisões dos atores sociais em futuras ações políticas. ESF (ESF Fora Gerais Tratase Trata se qualitativo TFD. . (TFD) 1 gestão cirurgiõesdentistas cirurgiões dentistas construiuse construiu obtevese obteve Consequência doençacentrada doença centrada bucal. bucal” políticas (TFD

https://doi.org/10.1590/1413-81232023284.12502022

Development of elephant grass in response to irrigation with different levels of domestic sewage
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Fernandes, José Normand Vieira

; Dantas, Mara Suyane Marques

; Azevedo, Benito Moreira de

; Fernandes, Carlos Newdmar Vieira

; Vasconcelos, Denise Vieira

; Araújo, Isabel Cristina da Silva

Revista Ciência Agronômica

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2023, Volume 54 elocation e20217846

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

ABSTRACT The agricultural use of alternative water sources of inferior quality, such as reusing the water from domestic sewage, is seen as one way of increasing water availability, in addition to allowing the reuse of nutrients and organic matter, thereby helping to maintain the fertility and productivity of the soil. The aim of this study, therefore, was to evaluate growth, productivity and nutrition in elephant grass irrigated with different combinations of treated domestic effluent and well water. The experimental design was of randomised blocks, with six treatments and four replications, containing 10 plants in each plot. The treatments comprised five combinations of treated domestic effluent (TDE) and well water (WW): T1 (100% WW), T2 (25% TDE + 75% WW), T3 (50% TDE + 50% WW), T4 (75% TDE + 25% WW), T5 (100% TDE), and an additional treatment (T6) of 100% well water + a mineral fertiliser (NPK) recommended for elephant grass. The following variables were analysed: number of leaves, stem diameter, number of tillers, plant height, leaf area, fresh and dry weight of the leaves and stems, fresh and dry weight production, and the macronutrient content of the aerial part of the plant. The treatments applying the greatest levels of TDE had the closest mean values to those obtained under the conventional treatment, while the treatments applying 50% or more TDE were statistically equal by Tukey’s test (p < 0.05) to the conventional treatment. quality sewage availability matter soil study therefore growth blocks replications 1 plot (TDE WW (WW) T 100 (100 WW, , WW) 25 (25 75 50 (50 (75 TDE, TDE) T6 (T6 NPK (NPK analysed diameter tillers height area stems production Tukeys Tukey s p 0.05 005 0 05 (WW (10 2 (2 7 5 (5 (7 (T 0.0 00 (1 ( 0.

RESUMO A utilização agrícola de fontes alternativas de água de qualidade inferior, tais como o reuso de águas de esgotos de origem doméstica, surge como opção para ampliar a disponibilidade hídrica, além de proporcionar o reaproveitamento de nutrientes e matéria orgânica, auxiliando na manutenção da fertilidade e produtividade do solo. Nesse contexto objetivou-se com este trabalho avaliar o crescimento, a produtividade e a nutrição do capim elefante irrigado com diferentes combinações de aplicação do esgoto doméstico tratado e água de poço. O delineamento experimental utilizado foi em blocos ao acaso, com seis tratamentos e quatro repetições, contendo 10 plantas em cada parcela. Os tratamentos consistiram em cinco combinações de aplicação do efluente doméstico tratado (EDT) e água de poço (AP): T1 (100% AP), T2 (25% EDT + 75% AP), T3 (50% EDT + 50% AP), T4 (75% EDT + 25% AP), T5 (100% EDT) e um tratamento adicional (T6) irrigado 100% com água de poço + adubação mineral (N-P-K) recomendada para o capim elefante. As variáveis analisadas foram: número de folhas, diâmetro do colmo, número de perfilhos, altura da planta, área foliar, massa fresca e seca da folha e do colmo, produtividades de massa fresca e seca, e o teor de macronutrientes na parte aérea da planta. Os tratamentos com maiores quantidades de EDT aplicado na irrigação foram os que mais se aproximaram das obtidas no tratamento cultivado convencionalmente, sendo os tratamentos com 50% ou mais de EDT estatisticamente iguais ao tratamento com cultivo convencional pelo teste de Tukey (p < 0,05). inferior doméstica hídrica orgânica solo objetivouse objetivou crescimento acaso repetições 1 parcela (EDT AP (AP) T 100 (100 AP, , AP) 25 (25 75 50 (50 (75 T6 (T6 NPK N P K (N-P-K folhas colmo perfilhos planta foliar convencionalmente p 0,05. 005 0,05 . 0 05 0,05) (AP (10 2 (2 7 5 (5 (7 (T 00 0,0 (1 ( 0,

https://doi.org/10.5935/1806-6690.20230017

Management of water deficit in the irrigated production of the green pepper
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Sousa, Alfredo Mendonça de

; Azevedo, Benito Moreira de

; Vasconcelos, Denise Vieira

; Dantas, Mara Suyane Marques

; Viana, Thales Vinícius de Araújo

Revista Ciência Agronômica

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2023, Volume 54 elocation e20228414

Abstract: En | Text: En | PDF: En

ABSTRACT Information on irrigation management is essential for achieving satisfactory results when cultivating the green pepper. The aim of this study, therefore, was to evaluate the effects of water deficit, which varies according to phenological stage, on the production, growth and physiology of a crop of green peppers. The experimental design was completely randomised, with seven treatments, four repetitions, and plots comprising two plants. The treatments consisted of replacing the water demand during phenological phases I, II, III and IV (in terms of percentage ETc): T1 - 100%/I, 100%/II, 100%/III and 100%/IV; T2 - 100%/I, 75%/II, 100%/III and 75%/IV; T3 - 100%/I, 75%/II, 75%/III and 75%/IV; T4 - 100%/I, 75%/II, 75%/III and 50%/IV; T5 - 100%/I, 50%/II, 75%/III and 50%/IV; T6 - 100%/I, 50%/II, 50%/III and 50%/IV; T7 - 100%/I, 50%/II, 50%/III and 25%/IV. The plants were grown in the field under drip irrigation. The following variables were analysed: plant height; stem diameter, leaf area, shoot dry weight, number of fruits per plant, soluble solids, fruit length, fruit diameter, fruit weight, productivity, relative chlorophyll index, gas exchange, and water use efficiency. Compared to T1, management based on T2, T3 and T4 did not reduce expression of the vast majority of the vegetative variables or of gas exchange. The water deficit from T2 can be employed without any significant reduction in productivity and affords water savings of 12.5% in relation to T1. T1 and T2 give the highest values for water use efficiency. Management based on T1 and T2 is therefore recommended for cultivating the green pepper under field conditions. study stage production peppers randomised repetitions I II ETc ETc) T 100I 100 100%/I 100II 100%/II 100III 100%/IV 100IV 75II 75 75%/II 75%/IV 75IV 75III 50%/IV 50IV 50 50II 50%/II 50III 25IV 25 25%/IV analysed height diameter area weight solids length index exchange efficiency 125 12 5 12.5 conditions 10 7 2 1 12.

https://doi.org/10.5935/1806-6690.20230055

Teorização sobre os limites à inserção da saúde bucal na Estratégia Saúde da Família
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Pinheiro, Elisa Lopes

; Vasconcelos, Mara

; Gomes, Viviane Elisângela

; Mattos, Flávio de Freitas

; Andrade, Caroline Pereira Sutani

; Amaral, João Henrique Lara

Ciência & Saúde Coletiva

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2023, Volume 28 N. 4 Pages 1139 - 1150

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

https://doi.org/10.1590/1413-81232023284.12502022

10.

Hearing aid effectiveness on patients with chronic tinnitus and associated hearing loss
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Simonetti, Patricia

; Vasconcelos, Laura Garcia

; Gândara, Mara Rocha

; Lezirovitz, Karina

; Medeiros, Ítalo Roberto Torres de

; Oiticica, Jeanne

Brazilian Journal of Otorhinolaryngology

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dec 2022, Volume 88 Pages 164 - 170

Abstract: En | Text: En | PDF: En

Abstract Objective: Our study aimed to measure the effectiveness of using HA in reducing the disturbance caused by tinnitus. Methods: Study was designed as a within-subjects clinical trial. Nineteen patients with chronic tinnitus and untreated sensorineural hearing loss were under counseling, HA fitting and 6 months follow-up. Tinnitus assessment was performed with Tinnitus Handicap Inventory (THI), Visual Analog Scale (VAS), pitch and loudness matching, and Minimum Masking Level measurements (MML). Results: following 6 months of HA use, a reduction in reported tinnitus and hearing handicap scales scores was observed both statistically and clinically. The pitch and loudness matching, as well as MML at the baseline and final evaluation were compared. MML’s thresholds reduced significantly after 6 months of HA use. Conclusion: Our study has provided evidence that HA fitting is a valuable treatment strategy for chronic tinnitus relief and associated hearing loss subtype of patient. Level of evidence: 3. Objective Methods withinsubjects within subjects trial counseling followup. followup follow up. up follow-up THI, THI , (THI) VAS, VAS (VAS) matching MML. . (MML) Results use clinically compared MMLs s Conclusion patient 3 (THI (VAS (MML

https://doi.org/10.1016/j.bjorl.2022.03.002

11.

Educational hypermedia on embracement and obstetric risk classification: content validation and usability classification
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Soares, Francisco Mayron Morais

; Mesquita, Kirley Kethellen Batista

; Mendes, Igor Cordeiro

; Nunes, Rodrigo da Silva

; Araújo Filho, João de Deus de

; Fonseca, Luciana Mara Monti

; Torres, Gilson Vasconcelos

; Miranda, Francisco Arnoldo Nunes de

Revista Gaúcha de Enfermagem

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2022, Volume 43 N. spe elocation e20220108

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

RESUMEN Objetivo Validar el contenido y la utilidad de la hipermedia educativa sobre el acolchado y la clasificación del riesgo obstétrico. Métodos Estudio metodológico, desarrollo del modelo de diseño instruccional básico, realizado en cinco etapas. Participaron 22 jueces para validar el contenido y la usabilidad. Para el análisis se utilizó el Índice de Validez de Contenido, la Escala de Usabilidad del Sistema y la prueba binomial. Resultados En el contenido se obtuvo un Índice de Validez de Contenido de 0,96 y para la usabilidad se obtuvo un 91,9. En la evaluación global, todos los requisitos obtuvieron un 0,98 de índice. Conclusión La hipermedia educativa desarrollada presenta evidencia de validez y se constituye como recurso innovador para el proceso de enseñanza y aprendizaje en Enfermería. obstétrico metodológico básico etapas 2 binomial 096 0 96 0,9 919 91 9 91,9 global 098 98 índice Enfermería 09 0, 91,

ABSTRACT Objective To validate the content and usability of educational hypermedia about embracement and obstetric risk classification. Methods Methodological study, development by the basic instructional design model, conducted in five stages. Twenty-two judges participated to validate the content and usability. For the analysis, the Content Validity Index, the System Usability Scale, and the binomial test were used. Results In the content it was obtained a Content Validity Index of 0.96 and for and usability it was obtained 91.9. In the overall evaluation, all requirements obtained an index of 0.98. Conclusion The educational hypermedia developed presents evidence of validity and constitutes an innovative resource for the teaching and learning process in Nursing. classification study model stages Twentytwo Twenty two analysis Scale used 096 0 96 0.9 919 91 9 91.9 evaluation 098 98 0.98 Nursing 09 0. 91.

RESUMO Objetivo Validar o conteúdo e usabilidade de hipermídia educativa sobre acolhimento e classificação de risco obstétrico. Métodos Estudo metodológico, desenvolvimento pelo modelo de design instrucional básico, realizado em cinco etapas. Participaram 22 juízes para validar conteúdo e usabilidade. Para a análise, foram utilizados o Índice de Validade de Conteúdo a System Usability Scale e o teste binomial. Resultados No conteúdo obtiveram um Índice de Validade de Conteúdo de 0,96 e para e usabilidade obteve-se 91,9. Na avaliação global, todos os requisitos obtiveram 0,98 de índice. Conclusão: A hipermídia educativa desenvolvida apresenta evidência de validade e se constitui como recurso inovador para o processo de ensino e aprendizagem em Enfermagem. obstétrico metodológico básico etapas 2 análise binomial 096 0 96 0,9 obtevese obteve 919 91 9 91,9 global 098 98 índice Conclusão Enfermagem 09 0, 91,

https://doi.org/10.1590/1983-1447.2022.20220108.en

12.

The effect of educational technology use to guide parturient women's companions: a randomized controlled study
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Silva, Laise Ramos e

; Vasconcelos, Camila Teixeira Moreira

; Nicolau, Ana Izabel de Oliveira

; Teles, Liana Mara Rocha

; Ribeiro, Gabriela Lima

; Damasceno, Ana Kelve de Castro

Revista da Escola de Enfermagem da USP

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2021, Volume 55 elocation e03666

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

RESUMO Objetivo: Avaliar a atuação do acompanhante no processo de parturição, comparando a influência da utilização de uma tecnologia educativa. Método: Ensaio clínico randomizado controlado uni-cego, em que 73 participantes foram divididos em dois grupos, sendo 35 no grupo intervenção e 38 no grupo comparação. Para a análise dos grupos, foram utilizados os testes qui-quadrado e Fisher nas variáveis categóricas e o teste t de Student ou Mann-Whitney nas variáveis contínuas. Resultados: Na comparação da vivência e do apoio prestado, verificou-se que não houve diferença entre os grupos em relação ao nível de apoio (p=0,48) e à satisfação com a experiência de acompanhar o processo de parto (p=0,19). Contudo, houve diferença quanto à insegurança em acompanhar (p=0,00) e à preocupação em relação ao estado de saúde da parturiente (p= 0,00). Conclusão: Os acompanhantes que receberam a intervenção com a tecnologia educativa foram mais propícios à utilização de ações de apoio físico, emocional e de intermediação. Registro de Ensaios Clínicos Brasileiros UTN:U1111-1231-8695.

ABSTRACT Objective: To evaluate the companion's role during the labor and delivery processes, comparing the influence of the use of an educational technology. Method: A single-blind randomized controlled study, in which 73 participants were divided into two groups, 35 in the intervention group and 38 in the comparison group. To analyze the groups the chi-square and the Fisher's exact tests were used in categorical variables and the Student's t-test or the Mann-Whitney test in continuous variables. Results: When comparing the experience and the support provided, it was found that there was no difference between the groups in relation to the level of support (p=0.48) and satisfaction with the experience of monitoring the delivery process (p=0.19). However, there was a difference regarding insecurity in monitoring (p=0.00) and concern regarding the parturient health status (p=0.00). Conclusion: The companions who received the intervention with educational technology were more likely to use physical, emotional and intermediation support actions. Registry of Brazilian Clinical Trials UTN: U1111-1231-8695.

RESUMEN Objetivo: Evaluar la actuación del acompañante en el proceso del parto, comparando la influencia de la utilización de una tecnología educacional. Método: Se trata de un ensayo clínico controlado y aleatorio simple ciego en el que 73 participantes se dividieron en dos grupos, 35 en el grupo de intervención y 38 en el grupo de comparación. Para el análisis de los grupos, se utilizaron las pruebas de chi-cuadrado y Fisher en las variables categóricas y la prueba t de Student o la de Mann-Whitney en las variables continuas. Resultados: En la comparación de la vivencia y del apoyo prestado, se comprobó que no había diferencias entre los grupos en cuanto al nivel de apoyo (p=0,48) y a la satisfacción con la experiencia del seguimiento del proceso del parto (p=0,19). Por otro lado, se encontraron diferencias con relación a la inseguridad del seguimiento (p=0,00) y a la preocupación por el estado de salud de la parturienta (p=0,00). Conclusión: Los acompañantes que recibieron la intervención con la tecnología educacional estaban más inclinados a valerse de acciones de apoyo físico, emocional y de intermediación. Registro de Ensayos Clínicos Brasileños UTN:U1111-1231-8695.

https://doi.org/10.1590/s1980-220x2019022903666 467 downloads

13.

Oral follicular lymphoid hyperplasia: clinicopathologic of a case series
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Severo, Mara Luana B.

; França, Glória Maria

; Demeda, Clarissa F.

; Vasconcelos, Roseane C.

; Costa, Antônio de Lisboa L.

; Pinto, Leão P.

; Silveira, Éricka Janine D.

; Santos, Pedro Paulo A.

Jornal Brasileiro de Patologia e Medicina Laboratorial

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2021, Volume 57 elocation e3162021

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

RESUMEN La hiperplasia folicular linfoide (HFL) es una proliferación linfoide reactiva que puede simular linfomas, tanto clínica como histológicamente. El objetivo de este estudio fue investigar las características clínicas, morfológicas e inmunohistoquímicas de una serie de casos de HFL en la cavidad oral y discutir importantes aspectos diagnósticos y diagnósticos diferenciales en relación con los linfomas foliculares. Un análisis retrospectivo de los registros de una base de datos de 38 años reveló nueve casos diagnosticados como HFL de la cavidad oral. La edad de los pacientes osciló entre 8 y 44 años. La mayoría de las lesiones se localizaron en la mucosa oral y la presencia de un nódulo indoloro fue el hallazgo clínico más común. El análisis histopatológico reveló proliferación de células linfoides dispuestas en patrón folicular, presentando folículos primarios y secundarios con centro germinal y zona del manto, con evidencia de macrófagos que contenían cuerpos apoptóticos en su interior, así como evidencia de figuras de mitosis típicas. Observamos el área interfolicular, los linfocitos, los macrófagos e las islas epimioepiteliales. El análisis inmunohistoquímico reveló positividad de folículos linfoides para CD20, CD68, CD3 y linfoma de células B2 (Bcl-2). La presentación clínica de HFL y las evidencias histopatológicas de folículos linfáticos que muestran centros germinales indistintos con una zona del manto mal definida pueden ser un problema debido a la similitud con el linfoma folicular.

https://doi.org/10.5935/1676-2444.20210047 1 downloads

14.

Evaluation of Satisfaction of Adolescents Treated by Dental Students
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Coelho, Carolina Reis Fernandes

; Pedrosa, Fernanda Ribeiro

; Zina, Lívia Guimarães

; Mattos, Flávio de Freitas

; Martins, Renata de Castro

; Amaral, João Henrique Lara do

; Palmier, Andrea Clemente

; Vasconcelos, Mara

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2021, Volume 21 elocation e0045

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To evaluate the satisfaction of adolescents undergoing dental treatment between 2016 and 2018 at the Dental School of the Federal University of Minas Gerais (FAO UFMG). Material and Methods: A descriptive cross-sectional study using the Oral Health Services Satisfaction Assessment Questionnaire (QASSaB). The structured questionnaire has eleven questions divided among the dimensions: dentist / patient relationship, relationship with other professionals, effectiveness, accessibility/availability, technical-scientific quality, cleanliness and physical environment, acceptability, effectiveness/resolution, each with five response options. Descriptive data analysis was performed using absolute and relative frequencies. Results: A total of 145 adolescents participated in this study, 60 males and 85 females; 74.85% of adolescents rated dental treatment received as excellent, 76.7% reported having no symptoms after treatment, 46.2% considered it easy/very easy to get treatment, 65.6% reported that waiting time was short/very short, 90% considered dental equipment modern/very modern, 98% regarded the cleanliness of the waiting room and bathrooms as being excellent, 83.4% reported that they always received an explanation about the treatment, and 51.57% were totally satisfied with the appearance of the treated teeth and their chewing capacity. Conclusion: It was possible to observe that the adolescents, users of FAO UFMG, were satisfied with the service in the studied dimensions: human relations, effectiveness, accessibility/availability, technical-scientific quality, physical environment/cleanliness, acceptability and resolvability/effectiveness.

https://doi.org/10.1590/pboci.2021.009 394 downloads

15.

Risco ambiental gerado pelo uso de antibióticos no setor de internamento pediátrico hospitalar
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Guerra, José Angelo

; Dziedzic, Mauricio

; Oliveira, Cintia Mara Ribas de

; Vasconcelos, Eliane Carvalho de

; Carvalho Filho, Marco Aurélio da Silva

Engenharia Sanitaria e Ambiental

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aug 2020, Volume 25 N. 4 Pages 573 - 581

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

RESUMO Os efluentes hospitalares sempre foram fonte de preocupação pela poluição microbiológica, mas somente com o aumento na detecção de antibióticos em águas de rios surgiu a necessidade de se avaliar o risco ambiental gerado pelos efluentes de hospitais. Nesse contexto, foi realizada uma avaliação de risco ambiental (ARA) para 19 antibióticos utilizados em um serviço de internamento pediátrico hospitalar pelo período de 36 meses (junho de 2013 a maio de 2016). O principal objetivo deste estudo foi estimar o risco ambiental associado ao padrão de uso dos antibióticos selecionados lançados na rede de esgoto. A ferramenta utilizada para a avaliação de risco foi a concentração ambiental prevista (CAP), Fase I e Fase II (EMeA, 2006). Foram levantados os dados de população, dispensação e administração dos antibióticos para o cálculo da CAP, e valores de referência da concentração ambiental prevista em que não se observam efeitos (CAPNE) foram obtidos de fontes na literatura. O quociente de risco (QR) usado para caracterizar o risco foi obtido por meio da razão CAP/CAPNE. Apenas quatro antibióticos apresentaram QR abaixo do limiar de nível alto (QR < 1), enquanto os outros 15 antibióticos apresentaram valores de QR considerados de alto potencial de dano ambiental, tendo-se verificado os valores mais elevados para ceftriaxona, piperaciclina, tazobactam, ciprofloxacino, vancomicina e oxacilina. Os resultados evidenciaram que existe risco substancial de danos ambientais associado à descarga dessas substâncias no efluente, consistindo em preocupação ambiental significativa com relação ao padrão de consumo de antibióticos no setor de internamento pediátrico hospitalar.

ABSTRACT Hospital effluents have always been a source of concern for microbiological pollution, but only with the increase in the detection of antibiotics in river waters has there been a need to evaluate the environmental risk generated by hospital effluents. In this context, an environmental risk assessment (ERA) was carried out for 19 antibiotics used in a pediatric inpatient hospital ward for a period of 36 months (June 2013 to May 2016). The main objective of this study was to estimate the environmental risk associated with the use of the selected antibiotics released into the sewage system. The tool used for risk assessment was the Predicted Environmental Concentration (PEC) Phase I and Phase II (EMeA, 2006). Data on population, dispensation, and administration of antibiotics were collected for the calculation of the PEC, reference values of the Predicted no Effect Concentration (PNEC), were obtained from sources in the literature. The Risk Characterization Ratio (RCR), used to characterize the risk, was obtained through the PEC/PNEC ratio. Only four antibiotics presented values below the high-level threshold (RCR < 1), the other fifteen antibiotics presented RCR values corresponding to a high potential for environmental damage, with the highest values being observed for ceftriaxone, piperacycline, tazobactam, ciprofloxacin, vancomycin, and oxacillin. The results showed that there is substantial risk of environmental damage associated with the discharge of these substances into the effluent, representing a significant environmental concern regarding the pattern of antibiotic consumption in hospital pediatric wards.

https://doi.org/10.1590/s1413-41522020183893 904 downloads

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