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PROBLEMAS ARITMÉTICOS COMO ELEMENTOS DA MATEMÁTICA DO ENSINO
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Bertini, Luciane de Fatima

; Valente, Wagner Rodrigues

Cadernos CEDES

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dec 2021, Volume 41 N. 115 Pages 230 - 238

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

RESUMO Este texto trata do tema da formação de professores que ensinam matemática em perspectiva histórica, tendo como interesse a matemática presente na formação docente e no ensino. De modo mais específico, intenta-se responder à pergunta: Como os problemas aritméticos se constituíram em um dos elementos que articulam a matemática da formação de professores e a do ensino escolar? As conclusões revelam os processos e dinâmicas estabelecidos entre uma matemática a ensinar e uma matemática para ensinar, ambas constituintes de uma matemática do ensino.

ABSTRACT This text discusses the formation of mathematics teachers from a historical perspective, focusing on the mathematics present in teacher training, as well as in the teaching activity. More specifically, we aim at answering the question: How did arithmetic problems become one of the elements that articulate the mathematics in teacher training and in school teaching? The conclusion reveals the processes and dynamics established between the mathematics to teach and the mathematics for teaching, both of which are part of a mathematics of teaching.

https://doi.org/10.1590/cc245623 273 downloads

Common mental disorders and patient-reported swallowing disorders following total laryngectomy
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Batista, Emykaelly Kauanne Lima

; Soares, Jaims Franklin Ribeiro

; Alves, Giorvan Anderson dos Santos

; Pessoa, Luciane Spinelli de Figueiredo

; Andrade, Wagner Teobaldo Lopes de

; Lucena, Vivian Lisboa de

; Pernambuco, Leandro

Revista CEFAC

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2021, Volume 23 N. 6 elocation e8921

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: the aim of this study was to analyze the relationship between patient-reported swallowing disorders and common mental disorders after total laryngectomy. Methods: fourteen patients of both genders and aged 66 ± 8.63 years were assessed after total laryngectomy. They were all asked about the perception of swallowing disorders and answered the Self-Reporting Questionnaire. Patients with swallowing complaints also answered the MD Anderson Dysphagia Inventory. The mean difference between groups was evaluated using the Mann-Whitney test, with a significance level of 5%. Results: the median of Self-Reporting Questionnaire total score was 3.00 [interquartile range: 0.00-5.00] and did not reflect the presence of common mental disorders. Five volunteers (35.7%) self-reported swallowing disorders and had a worse, although not significant (p = 0.15), performance on the Self-Reporting Questionnaire. The MD Anderson Dysphagia Inventory indicated a limitation in the quality of life, with a greater impact of swallowing disorders in the emotional domain [median = 53.30; interquartile range: 33.30-74.95]. Conclusion: common mental disorders are not related to patient-reported swallowing disorders following total laryngectomy. However, patients with swallowing complaints had a negative impact on their quality of life, especially in the emotional domain.

https://doi.org/10.1590/1982-0216/20212368921 50 downloads

COMVC-19: A Program to protect healthcare workers’ mental health during the COVID-19 Pandemic. What we have learned
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Fukuti, Pedro

; Uchôa, Caroline Louise Mesquita

; Mazzoco, Marina Flaborea

; Cruz, Isabella D'Andrea Garcia da

; Echegaray, Mariana V.F.

; Humes, Eduardo de Castro

; Silveira, Júlia Belizário

; Santi, Talita Di

; Miguel, Euripedes Constantino

; Corchs, Felipe

; Fatori, Daniel

; Campello, Guilherme

; Oliveira, Gabriel M. de

; Argolo, Felipe C.

; Ferreira, Felipe de M.

; Machado, Gustavo

; Argeu, Adriana

; Oliveira, Graça Maria Ramos de

; Serafim, Antônio de Pádua

; Siqueira, Luciana de Lima

; Rossi, Luciane de

; Rios, Izabel Cristina

; Oliveira, Talita Rodrigues de

; Antoniazzi, Leilane C. K.

; Gagliotti, Daniel Augusto Mori

; Abelama Neto, Emílio

; Oliveira Junior, Paulo Novais de

; Correia, Aline Villalobo

; Gonçalves, Luca Schilling

; Tortato, Liana Silva

; Busato, Wagner Machado Moraes

; Guimarães-Fernandes, Flávio

; Alves, Marcos

; Leite Netto, Oswaldo Ferreira

; Schoueri, Patrícia de Campos Lindenberg

; Roque, Márcio de Assis

; Merlin, Silvia Stahl

; Boer, Giovana Cardoso Machado

; Sallet, Paulo Clemente

; Malbergier, André

; Spedo, Mariana Abrahão

; Kamitsuji, Carla Satie

; Faria, Elizabeth de

; Moreira, Moacyr Vergara de Godoy

; Kaufman, Arthur

; Abdo, Carmita

; Scanavino, Marco de Tubino

; Lancman, Selma

; Tavares, Hermano

; Polanczyk, Guilherme

; Brunoni, André R.

; Forlenza, Orestes V.

; Barros-Filho, Tarcísio Eloy Pessoa de

Clinics

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2021, Volume 76 elocation e2631

Abstract: En | Text: En | PDF: En

OBJECTIVE: In 2020, the COVID-19 pandemic brought a work and stress overload to healthcare workers, increasing their vulnerability to mental health impairments. In response, the authors created the COMVC-19 program. The program offered preventive actions and mental health treatment for the 22,000 workers of The Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP). This paper aims to describe its implementation and share what we have learned from this experience. METHODS: Workers were able to easily access the program through a 24/7 hotline. Additionally, a mobile phone app that screened for signs and symptoms of emotional distress and offered psychoeducation and/or referral to treatment was made available. Data from both these sources as well as any subsequent psychiatric evaluations were collected. RESULTS: The first 20 weeks of our project revealed that most participants were female, and part of the nursing staff working directly with COVID-19 patients. The most frequently reported symptoms were: anxiety, depression and sleep disturbances. The most common diagnoses were Adjustment, Anxiety, and Mood disorders. CONCLUSIONS: Implementing a mental health program in a multimodal intervention was feasible in a major quaternary public hospital. Our data also suggests that preventive actions should primarily be aimed at anxiety and depression symptoms, with a particular focus on the nursing staff.

https://doi.org/10.6061/clinics/2021/e2631

Saber profissional do professor que ensina matemática: discussões teórico-metodológicas de uma pesquisa coletiva em perspectiva histórica matemática teóricometodológicas teórico metodológicas
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Valente, Wagner Rodrigues

; Bertini, Luciane de Fatima

; Morais, Rosilda dos Santos

Revista Brasileira de História da Educação

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2021, Volume 21 elocation e161

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

Resumen: Este artículo tiene por finalidad elaborar una sistematización y discusiones llevadas a cabo a partir del estudio de una de las referencias teóricas y metodológicas que constituyen un proyecto de investigación colectiva: ‘¿Qué contribuciones hace el análisis de este estudio a la investigación histórica sobre el conocimiento profesional del maestro que enseña matemáticas?’ Se consideraron cuatro categorías en el análisis e el alcance de las discusiones llevadas a cabo sobre el marco: relaciones pasado-presente; papel de los expertos en la elaboración de saberes; relaciones entre campo disciplinar y campo profesional; articulaciones entre profesionalización/saberes/formación docente. El resultado apunta a una ampliación del propio referencial analizado lo que permite una mejor conformación del objeto de investigación del proyecto colectivo que se convierte en el saber profesional del profesor que enseña matemáticas. Resumen colectiva Qué matemáticas matemáticas? marco pasadopresente pasado presente pasado-presente saberes profesionalizaciónsaberesformación profesionalización formación docente

Abstract: This paper aims to elaborate a systematization of discussions carried out from the study of one of the theoretical-methodological frameworks that constitute a collective research project. We ask: ‘What contributions does the professional knowledge analysis of the teacher who teaches mathematics give to research?’ Four categories of analysis were considered in the scope of the discussions carried out on the framework: past-present relations; role of experts in the knowledge elaboration; relations between the disciplinary and professional field; articulations between professionalization/knowledge/teacher training.The result points to an enlargement of the analyzed referential itself, enabling a better conformation of the research object of the collective project that turns to the professional knowledge of the teacher who teaches mathematics. Abstract theoreticalmethodological theoretical methodological ask What research? framework pastpresent past present elaboration field professionalizationknowledgeteacher professionalization trainingThe training The itself

Resumo: Este artigo tem por finalidade elaborar uma sistematização das discussões realizadas, a partir do estudo de uma das referências teórico-metodológicas constituintes de um projeto coletivo de pesquisa. Interrogamos: ‘Que contribuições a análise desse estudo dá à pesquisa histórica sobre o saber profissional do professor que ensina matemática?’ Foram consideradas quatro categorias de análise no âmbito das discussões realizadas sobre o referencial: relações passado-presente; papel dos experts na elaboração de saberes; relações entre campo disciplinar e campo profissional; articulações entre profissionalização/saberes/formação docente. O resultado aponta para um alargamento do próprio referencial analisado possibilitando melhor conformação do objeto de pesquisa do projeto coletivo que se volta ao saber profissional do professor que ensina matemática. Resumo teóricometodológicas teórico metodológicas Interrogamos Que matemática matemática? passadopresente passado presente passado-presente saberes profissionalizaçãosaberesformação profissionalização formação docente

https://doi.org/10.4025/rbhe.v21.2021.e161

Lacaziosis: immunohistochemical evaluation of elements of the humoral response in cutaneous lesions
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Kanashiro-Galo, Luciane

; Alexandre, Ariane Fernandes

; Tafuri, Wagner Luiz

; Barboza, Tânia Cristina

; Quaresma, Juarez Antonio Simões

; Brito, Arival Cardoso de

; Nascimento, Gabriela Yasmin Francisca da Silva do

; Santos Filho, Antonio Marques dos

; Sotto, Mirian Nacagami

; Pagliari, Carla

Revista do Instituto de Medicina Tropical de São Paulo

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2020, Volume 62 elocation e75

Abstract: En | Text: En | PDF: En

ABSTRACT Lacaziosis is a cutaneous mycosis caused by the fungus Lacazia loboi, described in different countries of Latin America and prevalent in the Amazon region. The ineffective immune response against the agent seems to be related to a Th2 pattern of cytokines. There are few reports exploring elements of the humoral response in these lesions. Our aim was to investigate some elements focusing on B cells, plasma cells and local expression of IgG and IgM antibodies. Forty skin biopsies of lower limbs were selected. The diagnosis of lacaziosis was based on direct mycological examination and histological analysis. The visualization of fungal cells was improved by using Gridley’s staining. An immunohistochemical protocol was performed to detect the expression of B cells, plasma cells, IgG and IgM. A double staining was performed to explore the presence of yeasts in the cytoplasm of keratinocytes, using an anti-AE1 AE3 antibody over Gridley’s staining. The inflammatory infiltrate consisted of macrophages, multinucleated giant cells, lymphocytes, and fibrosis. Fungal cells were frequent in the stratum corneum and in both, the dermis and, in 50% of the specimens, also in the epidermis. Cells expressing IgG were more abundant when compared to cells expressing IgM. B cells and the presence of IgG might indicate that the humoral response promotes a Th2 immune response resulting in an anti-inflammatory phenotype. Our results lead us to suggest a possible role of B cells and immunoglobulins in the mechanisms of lacaziosis pathogenesis.

https://doi.org/10.1590/s1678-9946202062075 365 downloads

Resposta para: Comparação entre técnicas de higiene brônquica em pacientes mecanicamente ventilados: ensaio clínico randomizado
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Naue, Wagner da Silva

; Herve, Bruno Barcelos

; Vieira, Fernando Nataniel

; Deponti, Gracieli Nadalon

; Martins, Luciane de Fraga

; Dias, Alexandre Simões

; Vieira, Silvia Regina Rios

Revista Brasileira de Terapia Intensiva

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dec 2019, Volume 31 N. 4 Pages 596 - 597

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

https://doi.org/10.5935/0103-507x.20190081 569 downloads

Comparação entre técnicas de higiene brônquica em pacientes mecanicamente ventilados: ensaio clínico randomizado
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Naue, Wagner da Silva

; Herve, Bruno Barcelos

; Vieira, Fernando Nataniel

; Deponti, Gracieli Nadalon

; Martins, Luciane de Fraga

; Dias, Alexandre Simões

; Vieira, Silvia Regina Rios

Revista Brasileira de Terapia Intensiva

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mar 2019, Volume 31 N. 1 Pages 39 - 46

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

RESUMO Objetivo: Comparar a eficiência das técnicas de vibrocompressão e hiperinsuflação com ventilador mecânico de forma isolada e a associação das duas técnicas (hiperinsuflação com ventilador mecânico + vibrocompressão), na quantidade de secreção aspirada e na alteração de parâmetros hemodinâmicos e pulmonares. Métodos: Ensaio clínico randomizado com pacientes críticos em ventilação mecânica, realizado na unidade de terapia intensiva de um hospital universitário. Os pacientes foram randomizados para receber uma das técnicas de higiene brônquica por 10 minutos (vibrocompressão, ou hiperinsuflação com ventilador mecânico, ou hiperinsuflação com ventilador mecânico + vibrocompressão). Após, foram novamente randomizados para receber inicialmente a técnica (previamente randomizada) ou apenas a aspiração isolada. Foram analisados o peso de secreção aspirada (em gramas), dados de mecânica ventilatória e cardiopulmonares, antes e após a aplicação das técnicas. A frequência de reintubação traqueal, o tempo de ventilação mecânica e a mortalidade, também foram avaliados. Resultados: Foram incluídos 93 pacientes (29 vibrocompressão, 32 hiperinsuflação com ventilador mecânico e 32 hiperinsuflação com ventilador mecânico + vibrocompressão) em ventilação mecânica por mais de 24 horas. O grupo hiperinsuflação com ventilador mecânico + vibrocompressão foi o único que apresentou aumento significativo da secreção aspirada, quando comparado a aspiração isolada 0,7g (0,1 - 2,5g) versus 0,2g (0,0 - 0,6g), com valor de p = 0,006. Conclusão: Quando comparada à aspiração isolada, a associação das técnicas hiperinsuflação com ventilador mecânico + vibrocompressão foi mais eficiente na quantidade de secreção aspirada.

ABSTRACT Objective: To compare the effects of vibrocompression and hyperinflation with mechanical ventilator techniques alone and in combination (hyperinflation with mechanical ventilator + vibrocompression) on the amount of aspirated secretion and the change in hemodynamic and pulmonary parameters. Methods: A randomized clinical trial with critically ill patients on mechanical ventilation conducted in the intensive care unit of a university hospital. The patients were randomly allocated to receive one of the bronchial hygiene techniques for 10 minutes (vibrocompression or hyperinflation with mechanical ventilator or hyperinflation with mechanical ventilator + vibrocompression). Afterwards, the patients were again randomly allocated to receive either the previous randomly allocated technique or only tracheal aspiration. The weight of aspirated secretions (in grams), ventilatory mechanics and cardiopulmonary data before and after the application of the techniques were analyzed. The tracheal reintubation frequency and time and mortality on mechanical ventilation were also evaluated. Results: A total of 93 patients (29 vibrocompression, 32 hyperinflation with mechanical ventilator and 32 hyperinflation with mechanical ventilator + vibrocompression) on mechanical ventilation for more than 24 hours were included. The hyperinflation with mechanical ventilator + vibrocompression group was the only one that presented a significant increase in aspirated secretions compared to tracheal aspiration alone [0.7g (0.1 - 2.5g) versus 0.2g (0.0 - 0.6g), p value = 0.006]. Conclusion: Compared to tracheal aspiration alone, the combination of hyperinflation with mechanical ventilator + vibrocompression techniques was most efficient for increasing the amount of aspirated secretions.

https://doi.org/10.5935/0103-507x.20190005 5300 downloads

Health-related quality of life of adolescents with type 1 diabetes mellitus
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Souza, Maria Amélia de

; Freitas, Roberto Wagner Junior Freire de

; Lima, Luciane Soares de

; Santos, Manoel Antônio dos

; Zanetti, Maria Lúcia

; Damasceno, Marta Maria Coelho

Revista Latino-Americana de Enfermagem

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2019, Volume 27 elocation e3210

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

Objetivo: avaliar a qualidade de vida relacionada à saúde de adolescentes com diabetes mellitus tipo 1, associando-a às variáveis sociodemográficas, clínicas e bioquímicas. Método: estudo transversal, com 92 adolescentes com diabetes mellitus tipo 1. Utilizou-se formulário contendo variáveis sociodemográficas, clínicas e bioquímicas, e o Instrumento Qualidade de Vida para Jovens Diabéticos. Para análise utilizou-se estatística descritiva e regressão logística. Resultados: em relação às variáveis sociodemográficas, a classe econômica mostrou diferenças estatisticamente significantes entre os escores da Qualidade de Vida Relacionada à Saúde total (p-valor =0,02) e o domínio impacto (p-valor =0,009). No entanto, o domínio impacto se mostrou mais comprometido. As complicações relacionadas à doença (p-valor =0,004), número de internações (p-valor =0,01), número de aplicações diárias de insulina (p-valor =0,02), hemoglobina glicada (p-valor =0,002) e de triglicerídeos (p-valor =0,03) mostraram-se relacionadas ao maior prejuízo da qualidade de vida relacionada à saúde total e maior insatisfação. Conclusão: adolescentes do sexo masculino, solteiros, com menor nível de escolaridade e com níveis elevados de hemoglobina glicada apresentaram maiores chances de terem qualidade de vida relacionada à saúde rebaixada.

Objective: To evaluate the health-related quality of life of adolescents with type 1 diabetes mellitus, associating it with socio-demographic, clinical and biochemical variables. Method: Cross-sectional study with 92 adolescents with type 1 diabetes mellitus. A form containing socio-demographic, clinical and biochemical variables was used, as well as the Diabetes Quality of Life for Youths questionnaire. Descriptive statistics and logistic regression were used for analysis. Results: Regarding socio-demographic variables, economic class showed statistically significant differences in relation to total Health Related Quality of Life (p-value =0.02) and the impact domain (p-value =0.009). However, the impact domain was more compromised. Diabetes-related complications (p-value =0.004), number of hospitalizations (p-value =0.01), number of daily insulin injections (p-value =0.02), glycated hemoglobin (p-value =0.002) and triglycerides (p-value =0.03) were associated with greater impairment of quality of life related to total health and greater dissatisfaction. Conclusion: Single male adolescents with lower level of education and high glycated hemoglobin levels were more likely to have lower health-related quality of life.

Objetivo: evaluar la calidad de vida relacionada con la salud de los adolescentes con diabetes mellitus tipo 1, asociándola con variables sociodemográficas, clínicas y bioquímicas. Método: estudio transversal con 92 adolescentes con diabetes mellitus tipo 1. Se utilizó un formulario que contenía variables sociodemográficas, clínicas y bioquímicas, así como el Instrumento Calidad de Vida para Jóvenes Diabéticos. Para el análisis, se utilizaron estadística descriptiva y regresión logística. Resultados: con respecto a las variables sociodemográficas, la clase económica mostró diferencias estadísticamente significativas entre los puntajes de la Calidad de vida Relacionada con la Salud total (p-valor =0,02) y el dominio de impacto (p-valor =0,009). Sin embargo, el dominio impacto resultó estar más comprometido. Las complicaciones relacionadas con la enfermedad (p-valor =0,004), número de hospitalizaciones (p-valor =0,01), número de aplicaciones diarias de insulina (p-valor =0,02), hemoglobina glucosilada (p-valor =0,002) y de triglicéridos (p-valor =0,03) se relacionaron con un mayor deterioro de la calidad de vida relacionado con la salud total y una mayor insatisfacción. Conclusión: los adolescentes varones solteros con un nivel educativo más bajo y niveles de hemoglobina glucosilada altos tenían más probabilidades de tener una calidad de vida más baja debido a la salud.

https://doi.org/10.1590/1518-8345.2961.3210 5115 downloads

Health-related quality of life of adolescents with type 1 diabetes mellitus
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Souza, Maria Amélia de

; Freitas, Roberto Wagner Junior Freire de

; Lima, Luciane Soares de

; Santos, Manoel Antônio dos

; Zanetti, Maria Lúcia

; Damasceno, Marta Maria Coelho

Revista Latino-Americana de Enfermagem

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2019, Volume 27 elocation e3210

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

https://doi.org/10.1590/1518-8345.2961.3210 4 downloads

10.

Variation in the Hearing Threshold in Women during the Menstrual Cycle
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Souza, Dayse da Silva

; Luckwu, Brunna

; Andrade, Wagner Teobaldo Lopes de

; Pessoa, Luciane Spinelli de Figueiredo

; Nascimento, João Agnaldo do

; Rosa, Marine Raquel Diniz da

International Archives of Otorhinolaryngology

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oct 2017, Volume 21 N. 4 Pages 323 - 328

Abstract: En | Text: En | PDF: En

Abstract Introduction The hormonal changes that occur during the menstrual cycle and their relationship with hearing problems have been studied. However, they have not been well explained. Objective The objective of our study is to investigate the variation in hearing thresholds in women during the menstrual cycle. Method We conducted a cohort and longitudinal study. It was composed of 30 volunteers, aged 18-39 years old, of which 20 were women during the phases of the menstrual cycle and 10 were men (control group) who underwent audiometry and impedance exams, to correlate the possible audiological changes in each phase of the menstrual cycle. Results There were significant changes in hearing thresholds observed during the menstrual cycle phases in the group of women who used hormonal contraceptives and the group who did not use such contraceptives. Improved hearing thresholds were observed in the late follicular phase in the group who did not use hormonal contraceptives and the hearing thresholds at high frequencies were better. Throughout the menstrual cycle phases, the mean variation was 3.6 db HL between weeks in the group who used hormonal contraceptives and 4.09 db HL in the group who did not use them. Conclusions The present study found that there may be a relationship between hearing changes and hormonal fluctuations during the menstrual cycle based on changes in the hearing thresholds of women. In addition, this study suggests that estrogen has an otoprotective effect on hearing, since the best hearing thresholds were found when estrogen was at its maximum peak.

https://doi.org/10.1055/s-0037-1598601 670 downloads

11.

Reconstrução de couro cabeludo com retalho supragaleal: uma boa opção para grandes avulsões de escalpo supragaleal
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MARQUES, PATRICIA DE AZEVEDO

; MATZENBACHER, CAIO ARTHUR WAGNER

; SIQUEIRA, LUCIANE PEREIRA FLORES

; COSTA, BRUNO ANDRADE PAULINO DA

; SILVA, DANILO DEBS PROCÓPIO

; MARTINS, DULCE MARIA FONSECA SOARES

Revista Brasileira de Cirurgia Plástica

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sep 2017, Volume 32 N. 3 Pages 435 - 440

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

ABSTRACT The treatment of large scalp defects remains a big challenge, even though several therapeutic options are available. According to localization, size and depth of injury, and patient’s characteristics, the plastic surgeon may use techniques such as skin graft, tissue expanders, local or free flaps. Microsurgery has revolutionized reconstructive plastic surgery and is the gold standard for more complex cases. However, it is available only in large centers. Using the simplest technique is a broadly accepted concept that should be applied to scalp wounds as well. In this paper, we report a case of trauma of a 4 year-old child who lost approximate one third of the scalp including pericranium areas, that it is possible to reconstruct the scalp by rotating a supragaleal flap followed by a skin graft over the galea. This is an easily reproducible technique with a short learning curve, and therefore is an interesting option for large scalp injuries. challenge localization injury patients patient s characteristics expanders flaps cases However centers well paper yearold year old areas galea curve injuries

RESUMO O tratamento de grandes defeitos no couro cabeludo permanece um desafio, a despeito de muitas opções terapêuticas. De acordo com a localização, tamanho e profundidade da lesão, assim como características do paciente, o cirurgião plástico poderá optar dentre inúmeras técnicas com graus variados de complexidade, como enxertos de pele, expansores teciduais, retalhos locais ou livres, entre outras. A microcirurgia revolucionou a cirurgia plástica reparadora e se configura como padrão ouro de tratamento em casos complexos, no entanto, está disponível apenas nos grandes centros. Observando essa limitação, devemos nos ater ao preceito da escada reconstrutora, que prioriza uso da técnica mais simples possível e também deve ser aplicada em casos de ferimentos de escalpo. Nesse artigo demonstramos, em um caso de traumatismo numa menina de 4 anos de idade com perda de aproximadamente um terço do escalpo incluindo áreas de pericrânio, que é possível a reconstrução do couro cabeludo com a rotação de um retalho supragaleal seguida de enxertia de pele parcial sobre a gálea. Essa é uma técnica reprodutível e com curta curva de aprendizado, sendo uma opção bastante interessante para esses casos. desafio terapêuticas localização lesão paciente complexidade teciduais livres outras complexos entanto centros limitação reconstrutora demonstramos pericrânio gálea aprendizado

https://doi.org/10.5935/2177-1235.2017rbcp0071

12.

Construção e estudo de evidências de validade da Escala de Avaliação Docente
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SILVA, MÔNIA APARECIDA DA

; MACHADO, WAGNER DE LARA

; PILOTTO, LUCIANE MARIA

; BACKES, BÁRBARA

; ZANON, REGINA BASSO

; MACHADO, PATRÍCIA VASCONCELOS

; ZOLTOWSKI, ANA PAULA COUTO

; VIEIRA, REBECA VERAS DE ANDRADE

; ENDRES, RENATA GIULIANI

; FRANCALANCI, MARTINA

; OLIVEIRA, VICTOR ADRIEL DE JESUS

; KRUG, JEFFERSON SILVA

; BANDEIRA, DENISE RUSCHEL

Revista Brasileira de Educação

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jul 2017, Volume 22 N. 70 Pages 690 - 707

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

RESUMO Este estudo objetivou apresentar a construção da Escala de Avaliação Docente (EADoc) e suas evidências de validade. A escala foi desenvolvida com base em uma revisão de literatura e de entrevistas com estudantes de graduação. A EADoc foi avaliada por dez juízes quanto a evidências de validade de conteúdo, com subsequente análise de evidências de validade de construto e fidedignidade. A matriz de correlação tetracórica foi submetida a análises fatoriais exploratórias, e o método Hull foi usado para a decisão do número de dimensões a serem retidas. Foram conduzidas análises de teoria de resposta ao item (TRI), pelo modelo rating scale, que excluiu sete itens. O índice Kaiser-Meyer-Olkin (KMO) e o teste de esfericidade de Bartlett indicaram a fatorabilidade da matriz de correlações policóricas dos itens. O método Hull apontou a retenção de um fator, com autovalor de 15,49. As medidas de fidedignidade para o fator foram de α=0,96 e ω =0,95. Considera-se que a EADoc pode auxiliar na avaliação de práticas da educação superior no Brasil.

ABSTRACT The objective of this study was to present the construction of the Teaching Assessment Scale (TAS) and the validity evidence for it. This scale was developed through a literature review and interviews with graduate students. The evidence for content validity of the TAS was evaluated by ten referees, and this was followed by the analysis of the evidence for construct validity and reliability. The tetrachoric correlation matrix was submitted for exploratory factorial analysis, and the Hull method was used to decide the number of dimensions to be retained. Item response theory (IRT) analysis was performed using the rating scale model with the result that seven items needed to be excluded. The Kaiser-Meyer-Olkin (KMO) index and Bartlett’s Test of Sphericity indicated that the polychoric correlation matrix was factorable. The Hull method suggested the retention of a factor, with the eigenvalue of 15.49. The factor’s reliability measures were α = 0.96 and ω = 0.95. As a result, the TAS is considered helpful in evaluating higher education teaching methods in Brazil.

RESUMEN En este estudio se presentan los procesos de construcción de la Escala de Evaluación Docente y sus pruebas de validez. La escala fue desarrollada a partir de una revisión de la literatura y entrevistas con estudiantes de pregrado. La escala fue sometida a diez jueces para investigar evidencias de validez de contenido, seguido por el análisis de evidencias de validez de constructo y fiabilidad. La matriz de correlaciones tetracóricas se sometió a análisis factorial exploratorio y el método HULL se utilizó para decidir el número de dimensiones a ser retenidas. Se realizaron los análisis de Teoría de Respuesta a los Ítems (TRI) por el modelo de escala de clasificación y se excluyeron siete ítems. El índice Kaiser-Meyer-Olkin (KMO) y la prueba de esfericidad de Bartlett y el índice de KMO indica la factorabilidad de la matriz de correlaciones policóricas de ítems. El método HULL indicó la retención de un factor con el valor propio de 15,49. Las medidas de fiabilidad para el factor fueron α=0,96 y ω =0,95. Se considera que la escala puede ayudar en la evaluación de las prácticas de enseñanza superior en Brasil.

https://doi.org/10.1590/s1413-24782017227035 3622 downloads

13.

Cost-utility analysis of methylphenidate treatment for children and adolescents with ADHD in Brazil
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Maia, Carlos R.

; Stella, Steffan F.

; Wagner, Flavia

; Pianca, Thiago G.

; Krieger, Fernanda V.

; Cruz, Luciane N.

; Polanczyk, Guilherme V.

; Rohde, Luís A.

; Polanczyk, Carísi A.

Brazilian Journal of Psychiatry

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mar 2016, Volume 38 N. 1 Pages 30 - 38

Abstract: En | Text: En | PDF: En

Objective: To perform a cost-utility analysis on the treatment of attention deficit hyperactivity disorder (ADHD) with methylphenidate immediate-release (MPH-IR) in children and adolescents from Brazil. Method: A Markov model was constructed to compare MPH-IR vs. no treatment. A 24-week naturalistic study was conducted to collect transition probabilities and utility data. Effectiveness was expressed as quality-adjusted life-years (QALY), and costs reported in 2014 international dollars (I$). The perspective was the Brazilian Unified Health System as payer, and the time horizon was 6 years. Results: Of 171 patients, 73 provided information at baseline, and 56 at week 24. Considering the MPH-IR monthly cost of I$ 38, the incremental cost-effectiveness ratio (ICER) of treatment was I$ 9,103/QALY for children and I$ 11,883/QALY for adolescents. In two-way sensitivity analysis, considering one Gross National Product per capita (I$ 11,530) as willingness-to-pay, a cost of no-treatment lower than I$ 45/month would render MPH-IR a cost-saving strategy. Discussion: MPH-IR treatment of children and adolescents is cost-effective for ADHD patients from the Brazilian public health system perspective. Both patients and the healthcare system might benefit from such a strategy. Trial registration number: NCT01705613.

https://doi.org/10.1590/1516-4446-2014-1516 3317 downloads

14.

Incidence rate of modifying or discontinuing first combined antiretroviral therapy regimen due to toxicity during the first year of treatment stratified by age
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Torres, Thiago Silva

; Cardoso, Sandra Wagner

; Velasque, Luciane S.

; Veloso, Valdilea G.

; Grinsztejn, Beatriz

Brazilian Journal of Infectious Diseases

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jan 2014, Volume 18 N. 1 Pages 34 - 41

Abstract: En | Text: En | PDF: En

Toxicity is the most frequently reported reason for modifying or discontinuing the first combined antiretroviral therapy regimens, and it can cause significant morbidity, poor quality of life and also can be an important barrier to adherence, ultimately resulting in treatment failure and viral resistance. Elderly patients with HIV/AIDS (≥50 years) may have a different profile in terms of treatment modification due to higher incidence of comorbidities and polypharmacy. The aim of this study was to describe the incidence of modifying or discontinuing first combined antiretroviral therapy regimen due to toxicity (TOX-MOD) during the first year of treatment at the IPEC – FIOCRUZ HIV/AIDS cohort, Rio de Janeiro, Brazil, stratified by age. Demographic, clinical and treatment characteristics from antiretroviral-naïve patients who first received combined antiretroviral therapy between Jan/1996 and Dec/2010 were collected. Incidence rate and confidence interval of each event were estimated using quasipoisson model. To estimate hazard ratio (HR) of TOX-MOD during the first year of combined antiretroviral therapy Cox's proportional hazards regression was applied. Overall, 1558 patients were included; 957 (61.4%), 420 (27.0%) and 181 (11.6%) were aged <40, 40–49, and ≥50 years, respectively. 239 (15.3%) events that led to any modifying or discontinuing within the first year of treatment were observed; 228 (95.4%) of these were TOX-MOD, corresponding to an incidence rate of 16.6/100 PY (95% CI: 14.6–18.9). The most frequent TOX-MOD during first combined antiretroviral therapy regimen were hematologic (59; 26.3%), central nervous system (47; 20.9%), rash (42; 19.1%) and gastrointestinal (GI) (38; 16.7%). In multivariate analysis, incidence ratio of TOX-MOD during the first year of combined antiretroviral therapy progressively increases with age, albeit not reaching statistical significance. This profile was maintained after adjusting the model for sex, combined antiretroviral therapy regimen and year of combined antiretroviral therapy initiation. These results are important because not only patients are living longer and aging with HIV, but also new diagnoses are being made among the elderly. Prospective studies are needed to evaluate the safety profile of first line combined antiretroviral therapy on elderly individuals, especially in resource-limited countries, where initial regimens are mostly NNRTI-based.

https://doi.org/10.1016/j.bjid.2013.04.005 1550 downloads

15.

Aging with HIV: an overview of an urban cohort in Rio de Janeiro (Brazil) across decades of life
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Torres, Thiago Silva

; Cardoso, Sandra Wagner

; Velasque, Luciane de Souza

; Marins, Luana Monteiro Spindola

; Oliveira, Marília Santini de

; Veloso, Valdilea Gonçalves

; Grinsztejn, Beatriz

Brazilian Journal of Infectious Diseases

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jun 2013, Volume 17 N. 3 Pages 324 - 331

Abstract: En | Text: En | PDF: En

The introduction of highly active antiretroviral therapy during the 1990s was crucial to the decline in the rates of morbidity and death related to the acquired immunodeficiency syndrome (AIDS) and turned human immunodeficiency virus (HIV) infection into a chronic condition. Consequently, the HIV/AIDS population is becoming older. The aim of this study was to describe the immunological, clinical and comorbidity profile of an urban cohort of patients with HIV/AIDS followed up at Instituto de Pesquisa Clinica Evandro Chagas, Oswaldo Cruz Foundation in Rio de Janeiro, Brazil. Retrospective data from 2307 patients during January 1st, 2008 and December 31st, 2008 were collected. For continuous variables, Cuzick's non-parametric test was used. For categorical variables, the Cochran-Armitage non-parametric test for tendency was used. For all tests, the threshold for statistical significance was set at 5%. In 2008, 1023 (44.3%), 823 (35.7%), 352 (15.3%) and 109 (4.7%) were aged 18-39, 40-49, 50-59 and >60 years-old, respectively. Older and elderly patients (>40 years) were more likely to have viral suppression than younger patients (18-39 years) (p 0.001). No significant difference in the latest CD4+ T lymphocyte count in the different age strata was observed, although elderly patients (> 50 years) had lower CD4+ T lymphocyte nadir (p 0.02). The number of comorbidities increased with age and the same pattern was observed for the majority of the comorbidities, including diabetes mellitus, dyslipidemia, hypertension, cardiovascular diseases, erectile dysfunction, HCV, renal dysfunction and also for non-AIDSrelated cancers (p 0.001). With the survival increase associated to successful antiretroviral therapy and with the increasing new infections among elderly group, the burden associated to the diagnosis and treatment of the non-AIDS related HIV comorbidities will grow. Longitudinal studies on the impact of aging on the HIV/AIDS population are still necessary, especially in resource-limited countries.

https://doi.org/10.1016/j.bjid.2012.10.024 2809 downloads Cited 3 times in SciELO

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