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ABSTRACT The focus of this case report is to technically describe a noninvasive diagnostic evaluation of bow Hunter's syndrome using a dynamic computed tomography angiography protocol and discuss its advantages. In addition, we aimed to exemplify the quality of the study by presenting images of a 3D-printed model generated to help plan the surgical treatment for the patient. The dynamic computed tomography angiography protocol consisted of a first image acquisition with the patient in the anatomic position of the head and neck. This was followed by a second acquisition with the head and neck rotated to the side that triggered the symptoms, with technical parameters similar to the first acquisition. The acquired images were used to print a 3D model to better depict the findings for the surgical team. The dynamic computed tomography angiography protocol developed in this study helped visualize the vertebrobasilar arterial anatomy, detect vertebral artery stenosis produced by head and neck rotation, depict the structure responsible for artery stenosis (e.g., bony structure or membranes), and study possible complications of the disease (e.g., posterior cerebral circulation infarction). Additionally, the 3D-printed model better illustrated the findings of stenosis, aiding in surgical planning. In conclusion, dynamic computed tomography angiography for the evaluation of bow Hunter's syndrome is a feasible noninvasive technique that can be used as an alternative to traditional diagnostic methods. Hunters Hunter s advantages addition 3Dprinted Dprinted printed D symptoms team anatomy rotation e.g., eg e g (e.g. membranes, membranes , membranes) infarction. infarction . infarction) Additionally planning conclusion methods e.g. (e.g e.g

https://doi.org/10.31744/einstein_journal/2024rc0582

Desafios da Psicologia Indígena no atendimento a estudantes universitários
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Assis, Érica Soares

; Gonçalves, Leandro Pires

; Rodrigues, Flávio Henrique

; Vilharva, Kellen Natalice

; Barros, Nelson Filice de

Estudos de Psicologia (Campinas)

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2024, Volume 41 elocation e230095

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

Abstract Objective This article aims to discuss the approach of indigenous psychology in the care of indigenous students in a university framework. Method Using a qualitative method, this article presents a case study detailing the formation trajectory of the Rede de Escuta e Desaprendizagens Étnico-Subjetivas (Network of Ethno-Subjective Listen-ing and Unlearning) to review the application of the principles of indigenous psychology in sup-porting indigenous students and their families at Universidade Estadual de Campinas (Unicamp, State University of Campinas), Brazil. Results The study highlighted the need to recognize different epistemologies for respectful therapeutic connections. Challenges were faced in the application of practices aligned with indigenous psychology, emphasizing co-authorship in sessions, valuing patients’ perspectives, and continuous unlearning. The study of the cultural elements of the ethnicities involved proved crucial to avoid the pathologization of indigenous worldviews and subjectivities. Conclusion Indigenous psychology presents itself as a tool for the changes in the cultural struggles, highlighting the gap in clinical approaches and the urgent need for further studies to develop personalized interven-tions for the care of the diverse indigenous ethnicities. framework method ÉtnicoSubjetivas Étnico Subjetivas Network EthnoSubjective Ethno Subjective Listening Listen ing Unlearning supporting sup porting Unicamp, Unicamp (Unicamp Campinas, , Campinas) Brazil connections coauthorship co authorship sessions patients perspectives unlearning subjectivities struggles interventions interven tions

Resumo Objetivo Este artigo tem como objetivo discutir a abordagem da psicologia indígena no cuidado de estudantes indígenas em contexto universitário. Método Utilizando o método qualitativo, este artigo apresenta um estudo de caso detalhando a trajetória de formação da Rede de Escuta e Desaprendizagens Étnico-Subjetivas, para analisar a aplicação dos pressupostos da psicologia indígena no suporte a estudantes indígenas e seus familiares na Universidade Estadual de Campinas. Resultados Evidenciou-se a necessidade de reconhecer diferentes epistemologias para uma conexão terapêutica respeitosa. Foram observados desafios na aplicação de práticas alinhadas com a psicologia indígena, destacando a coautoria nas sessões, a valorização das perspectivas dos pacientes e as desaprendizagens contínuas. O estudo dos elementos culturais das etnias envolvidas mostrou-se crucial para evitar a patologização das cosmovisões e subjetividades indígenas. Conclusão A psicologia indígena apresenta-se como um vetor de mudança nas disputas de narrativas culturais, destacando a lacuna na abordagem clínica e a necessidade urgente de estudos para desenvolver intervenções personalizadas para o atendimento das diferentes etnias indígenas. universitário qualitativo ÉtnicoSubjetivas, ÉtnicoSubjetivas Étnico Subjetivas, Subjetivas Étnico-Subjetivas Campinas Evidenciouse Evidenciou se respeitosa sessões contínuas mostrouse mostrou apresentase

https://doi.org/10.1590/1982-0275202441e230095pt

Cardiac iron overload evaluation in thalassaemic patients using T2* magnetic resonance imaging following chelation therapy: a multicentre cross-sectional study T2 T therapy crosssectional cross sectional
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Chapchap, Eduardo Cerello

; Silva, Murilo Marques Almeida

; Assis, Reijane Alves de

; Kerbauy, Lucila Nassif

; Diniz, Michelli da Silva

; Rosemberg, Laércio Alberto

; Loggetto, Sandra Regina

; Araujo, Aderson da Silva

; Fabron Junior, Antonio

; Verissimo, Monica Pinheiro de Almeida

; Baldanzi, Giorgio Roberto

; Esposito, Breno Pannia

; Tricta, Fernando

; Steagall, Merula Emmanoel Anargyrou

; Vellozo, Claudia Ângela Galleni Di Sessa

; Fertrin, Kleber Yotsumoto

; Baroni, Ronaldo Hueb

; Hamerschlak, Nelson

Hematology, Transfusion and Cell Therapy

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Mar 2023, Volume 45 Nº 1 Páginas 7 - 15

Resumo: En | Texto: En | PDF: En

Abstract Introduction Magnetic resonance imaging (MRI) T2* technique is used to assess iron overload in the heart, liver and pancreas of thalassaemic patients. Optimal iron chelation and expected tissue iron response rates remain under investigation. The objective of this study was to analyse serum ferritin and the iron concentration in the heart, liver and pancreas measured by MRI T2*/R2* during regular chelation therapy in a real-world cohort of patients with thalassemia. Methods We evaluated thalassaemic patients ≥ 7 years old undergoing chelation/transfusion therapy by MRI and assessed serum ferritin at baseline and follow-up from 2004-2011. Results We evaluated 136 patients, 92% major thalassaemic, with a median age of 18 years, and median baseline ferritin 2.033ng/ml (range: 59-14,123). Iron overload distribution was: liver (99%), pancreas (74%) and heart (36%). After a median of 1.2 years of follow-up, the iron overload in the myocardium reduced from 2,63 Fe mg/g to 2,05 (p 0.003). The optimal R2* pancreas cut-off was 148 Hertz, achieving 78% sensitivity and 73% specificity. However, when combining the R2* pancreas cut off ≤ 50 Hertz and a ferritin ≤ 1222 ng/ml, we could reach a negative predictive value (NPV) of 98% for cardiac siderosis. Only 28% were undergoing combined chelation at baseline assessment, which increased up to 50% on follow up evaluation. Conclusions Chelation therapy significantly reduced cardiac siderosis in thalassaemic patients. In patients with moderate/severe liver iron concentration undergoing chelation therapy, ferritin levels and myocardium iron improved earlier than the liver siderosis. (MRI T2 T investigation T2R2 TR R2 R T2*/R2 realworld real world thalassemia chelationtransfusion transfusion followup 20042011. 20042011 2004 2011. 2011 2004-2011 13 92 1 2033ngml ngml 2 033ng ml ng range (range 5914,123. 5914123 59 14,123 . 14 123 59-14,123) 99%, 99 99% , (99%) 74% 74 (74% 36%. 36 36% (36%) 12 1. followup, up, 263 63 2,6 mgg mg g 205 05 2,0 p 0.003. 0003 0.003 0 003 0.003) cutoff 78 73 specificity However 5 122 ng/ml NPV (NPV 98 28 assessment evaluation moderatesevere moderate severe T2R T2*/R 2004201 200 201 2004-201 9 5914 5914,123 591412 14123 14,12 59-14,123 (99% (74 3 (36% 26 6 2, 20 000 0.00 00 200420 2004-20 591 5914,12 59141 1412 14,1 59-14,12 (99 (7 (36 0.0 20042 2004-2 5914,1 141 14, 59-14,1 (9 ( (3 0. 2004- 5914, 59-14, 59-14 59-1 59-

https://doi.org/10.1016/j.htct.2021.01.014

GASTRIC NEUROENDOCRINE TUMOR: WHEN SURGICAL TREATMENT IS INDICATED? TUMOR INDICATED
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Assis Filho, Ademar Caetano

; Tercioti Junior, Valdir

; Andreollo, Nelson Adami

; Ferrer, José Antonio Possatto

; Coelho Neto, João de Souza

; Lopes, Luiz Roberto

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

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2023, Volume 36 elocation e1768

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

ABSTRACT BACKGROUND: Gastric neuroendocrine tumors are a heterogeneous group of neoplasms that produce bioactive substances. Their treatment varies according to staging and classification, using endoscopic techniques, open surgery, chemotherapy, radiotherapy, and drugs analogous to somatostatin. AIMS: To identify and review cases of gastric neuroendocrine neoplasia submitted to surgical treatment. METHODS: Review of surgically treated patients from 1983 to 2018. RESULTS: Fifteen patients were included, predominantly female (73.33%), with a mean age of 55.93 years. The most common symptom was epigastric pain (93.3%), and the mean time of symptom onset was 10.07 months. The preoperative upper digestive endoscopy (UDE) indicated a predominance of cases with 0 to 1 lesion (60%), sizing ≥1.5 cm (40%), located in the gastric antrum (53.33%), with ulceration (60%), and Borrmann III (33.33%) classification. The assessment of the surgical specimen indicated a predominance of invasive neuroendocrine tumors (60%), with angiolymphatic invasion in most cases (80%). Immunohistochemistry for chromogranin A was positive in 60% of cases and for synaptophysin in 66.7%, with a predominant Ki-67 index between 0 and 2%. Metastasis was observed in 20% of patients. The surgical procedure most performed was subtotal gastrectomy with Roux-en-Y reconstruction (53.3%). Tumor recurrence occurred in 20% of cases and a new treatment was required in 26.67%. CONCLUSIONS: Gastric neuroendocrine tumors have a low incidence in the general population, and surgical treatment is indicated for advanced lesions. The study of its management gains importance in view of the specificities of each case and the need for adequate conduct to prevent recurrences and complications. BACKGROUND substances classification techniques surgery chemotherapy radiotherapy somatostatin AIMS METHODS 198 2018 RESULTS included 73.33%, 7333 73.33% , 73 33 (73.33%) 5593 55 93 55.9 years 93.3%, 933 93.3% 3 (93.3%) 1007 10 07 10.0 months UDE (UDE 60%, 60 (60%) 15 5 ≥1. 40%, 40 40% (40%) 53.33%, 5333 53.33% 53 (53.33%) 33.33% 3333 (33.33% 80%. 80 80% . (80%) 667 66 7 66.7% Ki67 Ki 67 Ki-6 2 2% 20 RouxenY Roux en Y 53.3%. 533 53.3% (53.3%) 2667 26 26.67% CONCLUSIONS population lesions complications 19 201 733 73.33 (73.33% 559 9 55. 93.3 (93.3% 100 10. 6 (60% ≥1 4 (40% 53.33 (53.33% 33.33 333 (33.33 8 (80% 66.7 Ki6 Ki- 53.3 (53.3% 266 26.67 73.3 (73.33 93. (93.3 (60 ≥ (40 (53.33 33.3 (33.3 (80 66. 53. (53.3 26.6 73. (73.3 (93. (6 (4 33. (33. (8 (53. 26. (73. (93 ( (33 (53 (73 (9 (3 (5 (7

RESUMO RACIONAL: Os tumores neuroendócrinos gástricos são um grupo heterogêneo de neoplasias produtoras de substâncias bioativas, sendo o seu tratamento variável de acordo com o estadiamento e a classificação, sendo utilizadas técnicas endoscópicas, cirurgias abertas, quimioterapia, radioterapia e fármacos análogos da somatostatina. OBJETIVOS: Identificar e revisar os casos de neoplasia neuroendócrina gástrica submetidos a tratamento cirúrgico. MÉTODOS: Revisão os doentes tratados cirurgicamente de 1983 e 2018. RESULTADOS: Foram incluídos 15 pacientes, com predomínio do sexo feminino (73,33%) e média de idade de 55,93 anos. O sintoma mais comum foi a epigastralgia (93,3%) e o tempo médio do início dos sintomas foi de 10,07 meses. A endoscopia digestiva pré-operatória indicou predomínio de casos com 0 a 1 lesões (60%), de tamanho ≥ 1,5 cm (40%), localizadas em antro gástrico (53,33%), com ulceração (60%), Borrmann 3 (33,33%). A avaliação da peça cirúrgica indicou um predomínio de tumores neuroendócrinos invasivos (60%), com invasão angiolinfática na maioria dos casos (80%). A imuno-histoquímica para cromogranina A foi positiva em 60% dos casos e para sinaptofisina em 66,7%, com índice de Ki-67 predominante entre 0 e 2%. Metástases foram observadas em 20% dos casos. O procedimento cirúrgico mais utilizado foi a gastrectomia subtotal com reconstrução em Y de Roux (53,3%). Recidiva tumoral ocorreu em 20% dos casos e novo tratamento foi necessário em 26,67% dos casos. CONCLUSÕES: Os tumores neuroendócrinos gástricos apresentam baixa incidência na população em geral, e o tratamento cirúrgico está indicado nas lesões avançadas. O estudo de seu manejo ganha importância frente às especificidades de cada caso e a necessidade de conduta adequada para a prevenção de recidivas e complicações. RACIONAL bioativas classificação endoscópicas abertas quimioterapia somatostatina OBJETIVOS MÉTODOS 198 2018 RESULTADOS pacientes 73,33% 7333 73 33 (73,33% 5593 55 93 55,9 anos 93,3% 933 (93,3% 1007 10 07 10,0 meses préoperatória pré operatória 60%, 60 , (60%) 5 1, 40%, 40 40% (40%) 53,33%, 5333 53,33% 53 (53,33%) 33,33%. 3333 33,33% . (33,33%) 80%. 80 80% (80%) imunohistoquímica imuno histoquímica 667 66 7 66,7% Ki67 Ki 67 Ki-6 2 2% 20 53,3%. 533 53,3% (53,3%) 2667 26 26,67 CONCLUSÕES geral avançadas complicações 19 201 73,33 733 (73,33 559 9 55, 93,3 (93,3 100 10, 6 (60% 4 (40% 53,33 (53,33% 333 33,33 (33,33% 8 (80% 66,7 Ki6 Ki- 53,3 (53,3% 266 26,6 73,3 (73,3 93, (93, (60 (40 (53,33 33,3 (33,33 (80 66, 53, (53,3 26, 73, (73, (93 (6 (4 33, (33,3 (8 (53, (73 (9 ( (33, (53 (7 (33 (5 (3

https://doi.org/10.1590/0102-672020230050e1768

A framework to evaluate and compare synthetic streamflow scenario generation models
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Treistman, Felipe

; Penna, Débora Dias Jardim

; Khenayfis, Lucas de Souza

; Cavalcante, Nelson Bernardo Rodrigues

; Souza Filho, Francisco de Assis de

; Rocha, Renan Vieira

; Estácio, Ályson Brayner

; Rolim, Larissa Zaira Rafael

; Pontes Filho, João Dehon de Araújo

; Porto, Victor Costa

; Guimarães, Sullyandro Oliveira

; Pessanha, José Francisco Moreira

; Almeida, Victor Andrade de

; Chan, Priscilla Dafne Shu

; Lappicy, Thiago

; Lima, Carlos Henrique Ribeiro

; Detzel, Daniel Henrique Marco

; Bessa, Marcelo Rodrigues

RBRH

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2023, Volume 28 elocation e43

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

ABSTRACT Synthetic streamflow scenario generation is particularly important in countries like Brazil, where hydroelectric power generation plays a key role and properly handling the uncertainty of future streamflow is crucial. This paper showcases a collaborative effort within the Brazilian electrical sector to enhance streamflow scenario models, focusing on horizons up to one year. Five institutions proposed diverse methodologies, and their effectiveness was evaluated using a comparative framework. The results reveal the strengths and areas for improvement in each model. GHCen emerged as the top performer, excelling in both short-term and moving average analyses, while the PARX model demonstrated superior performance in specific regions. The PAR(p)-A, which is the official methodology in Brazil, was the second-best model in the moving average analysis. This research offers valuable insights for countries facing similar hydrothermal scheduling and scenario generation challenges. Brazil crucial models year methodologies framework performer shortterm short term analyses regions PARpA, PARpA PAR p A, A PAR(p)-A secondbest second best analysis challenges

RESUMO A geração de cenários sintéticos de vazões afluentes é particularmente importante em países como o Brasil, onde a geração de energia hidrelétrica desempenha um papel fundamental e é crucial lidar adequadamente com a incerteza da vazão futura. Este artigo apresenta um esforço colaborativo do setor elétrico brasileiro para aprimorar os modelos de geração de cenários de vazão, com foco em horizontes de até um ano. Cinco instituições propuseram metodologias diversas e a sua eficácia foi avaliada através de uma avaliação comparativa estruturada. Os resultados revelam os pontos fortes e as áreas de possíveis aprimoramentos em cada modelo. O modelo GHCen apresentou o melhor desempenho, destacando-se nas análises de curto prazo e de média móvel, enquanto o modelo PARX demonstrou desempenho superior em regiões específicas do Brasil. O PAR(p)-A, metodologia oficial no Brasil, foi o segundo melhor modelo na análise de médias móveis. Este artigo oferece informações valiosas para países que enfrentam desafios semelhantes de programação hidrotérmica e geração de cenários. Brasil futura ano estruturada destacandose destacando se móvel PARpA, PARpA PAR p A, PAR(p)-A móveis

https://doi.org/10.1590/2318-0331.282320230115

Competencia de la persona profesional de enfermería en la unidad de trauma
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Leal, Rebeca Cavalcanti

; Alexandre, Ana Carla Silva

; Silva, Dayanne Caroline de Assis

; Farias, Deisyane Naiady Oliveira de

; Galindo Neto, Nelson Miguel

; Oliveira, Lúcia Raiza Feitosa Alves de

Enfermería Actual de Costa Rica

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Dez 2022, Nº 43 elocation 51311

Resumo: Es Pt En | Texto: Es Pt En | PDF: Es | PDF: Pt | PDF: En

RESUMEN Objetivo: Analizar la competencia profesional del personal de enfermería en la unidad de trauma. Metodología: Investigación cuantitativa, descriptiva y transversal, que fue desarrollada con 47 profesionales de enfermería. Este grupo se desempeñaba en cuatro sectores de riesgo de la unidad de trauma de un hospital público en el noreste de Brasil. Se aplicó un cuestionario validado sobre la competencia profesional del personal de enfermería en emergencias, compuesto por módulos y dominios, entre ellos variables sociodemográficas, formación profesional, caso ficticio y autoevaluación de las acciones diarias correspondientes a la realidad laboral. La recolección de datos se realizó de julio a septiembre de 2019. Para el análisis de datos, se utilizó estadística descriptiva, el software SPSS y la prueba de chi-cuadrado. Para verificar la significancia, se adoptó un valor de p<0.05. Resultados: Se observó que la mayoría de personas participantes eran del sexo femenino, especialistas y tenían más de una relación laboral. En cuanto a los dominios ''relaciones de trabajo'' y ''práctica profesional'', las personas participantes se autoevaluaron como ''muy competentes'' o ''extremadamente competentes'' en todas las acciones que retratan la realidad de trabajo en que están insertas. En el dominio ''excelencia profesional'', la acción ''participa periódicamente en simulación realista en emergencias'' fue la única evaluada como ''poco competente''. En el caso ficticio, en las tres declaraciones, más de la mitad de las personas participantes calificó el comportamiento de la persona profesional en enfermería como ''extremadamente competente'', ''muy competente'' o ''competente''. Conclusión: La mayoría de profesionales en enfermería no juzgaron correctamente las acciones realizadas por la persona enfermera en el caso ficticio, aunque se autoevaluaron como competentes en las acciones que realizan diariamente. Por lo tanto, el estudio plantea la necesidad de que el servicio invierta en educación permanente vinculada al compromiso profesional para garantizar una atención de alta calidad.

RESUMO Objetivo: Analisar a competência profissional do enfermeiro na unidade de trauma. Metodologia: Pesquisa quantitativa, descritiva e transversal, desenvolvida com 47 enfermeiros que atuavam em quatro setores da unidade de trauma do hospital público no nordeste brasileiro. Aplicou-se questionário validado sobre a competência profissional do enfermeiro em emergências composto por variáveis sociodemográficas, de formação profissional, um caso fictício e autoavaliação das ações diárias correspondente à realidade do trabalho. A coleta de dados foi realizada nos meses de julho a setembro de 2019. Para análise dos dados, utilizou estatísticas descritivas, o software SPSS e teste do qui-quadrado, para verificar significância adotou-se valor de p<0,05. Resultados: Observou-se que a maioria dos enfermeiros eram do sexo feminino, especialistas e possuíam mais de um vínculo empregatício. Referente aos domínios ''Relações de Trabalho'' e ''Prática Profissional'', os enfermeiros se autoavaliaram como ''muito competente'' ou ''extremamente competente'' em todas as ações que retratam a realidade de trabalho na qual estavam inseridos. No domínio ''Excelência profissional'' a ação ''Participa de simulação realística em emergências periodicamente'' foi a única avaliada como ''pouco competente''. No caso fictício, nas três afirmativas, mais da metade dos enfermeiros julgaram como ''extremamente competente'', ''muito competente'' ou ''competente'' a conduta do enfermeiro no caso. Conclusão: A maioria dos enfermeiros não julgaram corretamente as ações realizadas pelo enfermeiro no caso fictício, mesmo se autoavaliando como competentes nas ações que desempenham diariamente. Sendo assim, o estudo levanta a necessidade do serviço de investir em educação permanente atrelado ao empenho profissional para garantir cuidados de alta qualidade.

ABSTRACT Aim: To analyze the professional competence of nurses in trauma units. Methods: This was a quantitative, descriptive and cross-sectional study developed with 47 nurses who work in four areas of the trauma unit of a public hospital in the Northeast of Brazil. A validated Likert Scale questionnaire was applied to evaluate the professional competence of nurses during emergencies; this scale included sociodemographic variables, professional training, a fictitious case, and a self-assessment of daily activities related to the reality of work. The data collection was carried out from July to September 2019. To analyze the data, the researchers employed descriptive statistics or the SPSS software and a qui-square test to verify the significance using a p value of <0.05. Results: It was observed that the majority of the nurses were female specialists who had more than one employment relationship. Regarding the domains ''Work Relations'' and ''Professional Practice'', the nurses assessed themselves as ''highly competent'' or ''extremely competent'' in all the actions that portray the reality of work in which they are immersed. In the ''Professional Excellence'' domain, the action ''periodically participates in realistic simulation in emergencies'' was the only one evaluated as ''little competent''. In the fictitious case, across all three statements, more than half of the nurses rated the nurse's behavior in the case as ''extremely competent'', ''very competent'', or ''competent''. Conclusion: Most of the nurses do not correctly judge the actions performed by the nurse in a fictitious case, even when they self-assess themselves as competent in the actions they perform daily. The study also raises the need for the service to invest in permanent professional training endeavor to guarantee competent labor and high-quality care.

https://doi.org/10.15517/enferm.actual.cr.v0i43.46049

Efeito das políticas de provimento ao cargo de diretor na gestão escolar
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Assis, Bruno Sendra de

; Marconi, Nelson

Revista de Administração Pública

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Ago 2021, Volume 55 Nº 4 Páginas 881 - 922

Resumo: Pt En Es | Texto: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo A liderança do diretor escolar constitui um dos fatores centrais para garantir um ambiente educacional adequado ao processo de ensino-aprendizagem. No entanto, ainda há poucos estudos que analisam os determinantes da atuação do diretor. O presente estudo avaliou o potencial efeito das políticas de seleção de diretores sobre a percepção do corpo docente em relação à liderança e ao clima escolar. Os fatores foram criados a partir das respostas aos questionários de contexto aplicados do Sistema Nacional de Avaliação da Educação Básica (Saeb) de 2013 e de 2015. Também foram analisadas as legislações de provimento ao cargo de diretor nos 26 estados e no Distrito Federal. Os resultados apontaram uma diferença estatisticamente significante entre o grupo de escolas que realizou o “concurso público apenas” e o “processo seletivo e eleição”, em relação ao grupo que adotou a modalidade de “indicação apenas”. Todavia, a alta variação observada nos coeficientes de clima e de liderança entre os entes federados evidencia que o contexto local afeta a percepção do corpo docente sobre estas variáveis. Isso demonstra que, além do processo seletivo, é importante considerar as características de cada localidade para a seleção dos profissionais com as competências e as habilidades apropriadas aos desafios do cargo, que possam vir a contribuir com melhores resultados educacionais dos estudantes.

Abstract Leadership by a school principal is one of the key factors for ensuring an educational environment conducive to the teaching-learning process. Nevertheless, only a handful of studies have analyzed the determinants of principals’ performance. This study evaluated the potential effect of principal selection policies on teacher perceptions of principal leadership and school climate. The factors were created based on responses to the National Basic Education Assessment System (Sistema Nacional de Avaliação da Educação Básica - Saeb) contextual questionnaires applied in 2013 and 2015. The legislation for filling school principal positions in the 26 states and the Federal District was also analyzed. The results showed a statistically significant difference between the group of schools that carried out “civil service examination only” and “selection process and election” compared to the group that adopted the “appointment only” modality. However, the high variation observed in the climate and leadership coefficients between the federative entities reveals that the local context affects teacher perceptions of these variables. This demonstrates that in addition to the selection process, it is important to consider each locality’s characteristics to select professionals with competencies and skills appropriate to the position’s challenges, which may contribute to better educational outcomes for students.

Resumen El liderazgo del director escolar es uno de los factores centrales para asegurar un ambiente educativo apropiado al proceso de enseñanza-aprendizaje. Sin embargo, aún son pocos los estudios que analizan los determinantes del desempeño del director. El presente estudio evaluó el efecto potencial de las políticas de selección de directores sobre la percepción del profesorado en relación con el liderazgo y el clima escolar. Los factores se crearon a partir de las respuestas a los cuestionarios contextuales aplicados por el Sistema Nacional de Evaluación de la Educación Básica (Saeb) de 2013 y 2015. También se analizó la legislación que reglamenta el cargo de director en los 26 estados brasileños y el Distrito Federal. Los resultados mostraron una diferencia estadísticamente significativa entre el grupo de escuelas que realizó el “concurso público” y el “proceso de selección y elección”, en relación con el grupo que adoptó la modalidad de “nominación política”. Sin embargo, la alta variación observada en los coeficientes de clima y liderazgo entre las entidades federativas evidencia que el contexto local afecta la percepción del cuerpo docente sobre estas variables. Por lo tanto, además del proceso de selección, es importante considerar las características de cada localidad para la selección de profesionales con las competencias y habilidades adecuadas a los desafíos del puesto, que pueden contribuir a mejores resultados educativos para los estudiantes.

https://doi.org/10.1590/0034-761220190470 300 downloads

Diretrizes Brasileiras de Hipertensão Arterial – 2020
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Barroso, Weimar Kunz Sebba

; Rodrigues, Cibele Isaac Saad

; Bortolotto, Luiz Aparecido

; Mota-Gomes, Marco Antônio

; Brandão, Andréa Araujo

; Feitosa, Audes Diógenes de Magalhães

; Machado, Carlos Alberto

; Poli-de-Figueiredo, Carlos Eduardo

; Amodeo, Celso

; Mion Júnior, Décio

; Barbosa, Eduardo Costa Duarte

; Nobre, Fernando

; Guimarães, Isabel Cristina Britto

; Vilela-Martin, José Fernando

; Yugar-Toledo, Juan Carlos

; Magalhães, Maria Eliane Campos

; Neves, Mário Fritsch Toros

; Jardim, Paulo César Brandão Veiga

; Miranda, Roberto Dischinger

; Póvoa, Rui Manuel dos Santos

; Fuchs, Sandra C

; Alessi, Alexandre

; Lucena, Alexandre Jorge Gomes de

; Avezum, Alvaro

; Sousa, Ana Luiza Lima

; Pio-Abreu, Andrea

; Sposito, Andrei Carvalho

; Pierin, Angela Maria Geraldo

; Paiva, Annelise Machado Gomes de

; Spinelli, Antonio Carlos de Souza

; Nogueira, Armando da Rocha

; Dinamarco, Nelson

; Eibel, Bruna

; Forjaz, Cláudia Lúcia de Moraes

; Zanini, Claudia Regina de Oliveira

; Souza, Cristiane Bueno de

; Souza, Dilma do Socorro Moraes de

; Nilson, Eduardo Augusto Fernandes

; Costa, Elisa Franco de Assis

; Freitas, Elizabete Viana de

; Duarte, Elizabeth da Rosa

; Muxfeldt, Elizabeth Silaid

; Lima Júnior, Emilton

; Campana, Erika Maria Gonçalves

; Cesarino, Evandro José

; Marques, Fabiana

; Argenta, Fábio

; Consolim-Colombo, Fernanda Marciano

; Baptista, Fernanda Spadotto

; Almeida, Fernando Antonio de

; Borelli, Flávio Antonio de Oliveira

; Fuchs, Flávio Danni

; Plavnik, Frida Liane

; Salles, Gil Fernando

; Feitosa, Gilson Soares

; Silva, Giovanio Vieira da

; Guerra, Grazia Maria

; Moreno Júnior, Heitor

; Finimundi, Helius Carlos

; Back, Isabela de Carlos

; Oliveira Filho, João Bosco de

; Gemelli, João Roberto

; Mill, José Geraldo

; Ribeiro, José Marcio

; Lotaif, Leda A. Daud

; Costa, Lilian Soares da

; Magalhães, Lucélia Batista Neves Cunha

; Drager, Luciano Ferreira

; Martin, Luis Cuadrado

; Scala, Luiz César Nazário

; Almeida, Madson Q.

; Gowdak, Marcia Maria Godoy

; Klein, Marcia Regina Simas Torres

; Malachias, Marcus Vinícius Bolívar

; Kuschnir, Maria Cristina Caetano

; Pinheiro, Maria Eliete

; Borba, Mario Henrique Elesbão de

; Moreira Filho, Osni

; Passarelli Júnior, Oswaldo

; Coelho, Otavio Rizzi

; Vitorino, Priscila Valverde de Oliveira

; Ribeiro Junior, Renault Mattos

; Esporcatte, Roberto

; Franco, Roberto

; Pedrosa, Rodrigo

; Mulinari, Rogerio Andrade

; Paula, Rogério Baumgratz de

; Okawa, Rogério Toshiro Passos

; Rosa, Ronaldo Fernandes

; Amaral, Sandra Lia do

; Ferreira-Filho, Sebastião R.

; Kaiser, Sergio Emanuel

; Jardim, Thiago de Souza Veiga

; Guimarães, Vanildo

; Koch, Vera H.

; Oigman, Wille

; Nadruz, Wilson

Arquivos Brasileiros de Cardiologia

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Mar 2021, Volume 116 Nº 3 Páginas 516 - 658

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36660/abc.20201238 10948 downloads

Interaction Between Energy Distribution Systems and Urban Afforestation in the Metropolitan Region of Belo Horizonte
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Braga, Rafael Malfitano

; Braga, Francisco de Assis

; Venturin, Nelson

; Souza, Marina Moura de

Floresta e Ambiente

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2021, Volume 28 Nº 1 elocation e20200044

Resumo: En | Texto: En | PDF: En

Abstract Urban growth promotes changes in the environment and in the quality of life. Urban afforestation enables environmental services. But afforestation requires planning and maintenance to avoid conflicts with other urban equipment. The objective of this work was to analyze the interaction between urban afforestation and energy distribution systems in the Metropolitan Region of Belo Horizonte. The state-owned energy concessionaire’s database was used, seeking to analyze the relationship between the history of outages in energy supply and the environmental factors associated with the fact, in the period between 2010 and 2015. It was found that the most relevant factors were the type of electrical energy distribution system (bare or isolated) and the maintenance (pruning) of the trees. The size of the tree and the strength of the wood are decisive in defining the demand for maintenance pruning to ensure a harmonious relationship between the trees and the electrical energy distribution system.

https://doi.org/10.1590/2179-8087-floram-2020-0044 668 downloads

10.

Spatial distribution of human visceral leishmaniasis cases in Cametá, Pará, Eastern Amazon, Brazil
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Miranda, Claudia do Socorro Carvalho

; Bonito, Jorge

; Oliveira, Rafael Aleixo Coelho de

; Guedes, Juan Andrade

; Santos, Conceição

; Oliveira, João Sérgio de Sousa

; Filgueiras, Tainara Garcia

; Oliveira, Francisco de Assis

; Filgueiras, Tainã Garcia

; Gonçalves, Nelson Veiga

Revista da Sociedade Brasileira de Medicina Tropical

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2021, Volume 54 elocation e0220-2021

Resumo: En | Texto: En | PDF: En

Abstract INTRODUCTION: Human visceral leishmaniasis is considered a major public health problem in the municipality of Cametá, Pará, Brazil. METHODS: This ecological study was conducted using data obtained from official Brazilian agencies. Spatial analysis of the variables was performed using the kernel interpolation technique and the bivariate Global Moran’s Index. RESULTS: The spatial distribution of the disease was not homogeneous, and it was associated with socio-environmental risk factors and public policies. CONCLUSIONS: Different relationships were observed between the variables studied and disease occurrence.

https://doi.org/10.1590/0037-8682-0220-2021

11.

SARS-CoV-2 and arbovirus infection: a rapid systematic review
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Milby, Keilla Martins

; Atallah, Alvaro Nagib

; Rocha-Filho, César Ramos

; Pinto, Ana Carolina Pereira Nunes

; Rocha, Aline Pereira da

; Reis, Felipe Sebastião de Assis

; Carvas Junior, Nelson

; Civile, Vinicius Tassoni

; Santos, Rodolfo Rodrigo Pereira

; Ferla, Laura Jantsch

; Trevisani, Giulia Fernandes Moça

; Ramalho, Gabriel Sodré

; Puga, Maria Eduarda dos Santos

; Trevisani, Virgínia Fernandes Moça

Sao Paulo Medical Journal

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Dez 2020, Volume 138 Nº 6 Páginas 498 - 504

Resumo: En | Texto: En | PDF: En

ABSTRACT BACKGROUND: The numbers of cases of arboviral diseases have increased in tropical and subtropical regions while the coronavirus disease (COVID-19) pandemic overwhelms healthcare systems worldwide. The clinical manifestations of arboviral diseases, especially dengue fever, can be very similar to COVID-19, and misdiagnoses are still a reality. In the meantime, outcomes for patients and healthcare systems in situations of possible syndemic have not yet been clarified. OBJECTIVE: We set out to conduct a systematic review to understand and summarize the evidence relating to clinical manifestations, disease severity and prognoses among patients coinfected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and arboviruses. METHODS: We conducted a rapid systematic review with meta-analysis, on prospective and retrospective cohorts, case-control studies and case series of patients with confirmed diagnoses of SARS-CoV-2 and arboviral infection. We followed the Cochrane Handbook recommendations. We searched EMBASE, MEDLINE, Cochrane Library, LILACS, Scopus and Web of Science to identify published, ongoing and unpublished studies. We planned to extract data and assess the risk of bias and the certainty of evidence of the studies included, using the Quality in Prognosis Studies tool and the Grading of Recommendations Assessment. RESULTS: We were able to retrieve 2,407 citations using the search strategy, but none of the studies fulfilled the inclusion criteria. CONCLUSION: The clinical presentations, disease severity and prognoses of patients coinfected with SARS-CoV-2 and arboviruses remain unclear. Further prospective studies are necessary in order to provide useful information for clinical decision-making processes. Protocol registration number in the PROSPERO database: CRD42020183460

https://doi.org/10.1590/1516-3180.2020.0422.08092020 1325 downloads

12.

COVID-19 and patients with immune-mediated inflammatory diseases undergoing pharmacological treatments: a rapid living systematic review
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Rocha, Aline Pereira da

; Atallah, Álvaro Nagib

; Pinto, Ana Carolina Pereira Nunes

; Rocha-Filho, César Ramos

; Milby, Keilla Martins

; Civile, Vinicius Tassoni

; Carvas Junior, Nelson

; Reis, Felipe Sebastião de Assis

; Ferla, Laura Jantsch

; Ramalho, Gabriel Sodré

; Trevisani, Giulia Fernandes Moça

; Puga, Maria Eduarda dos Santos

; Trevisani, Virgínia Fernandes Moça

Sao Paulo Medical Journal

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Dez 2020, Volume 138 Nº 6 Páginas 515 - 520

Resumo: En | Texto: En | PDF: En

ABSTRACT BACKGROUND: Patients with immune-mediated inflammatory diseases (IMID) are at increased risk of infection. OBJECTIVE: To assess whether patients undergoing pharmacological treatment for IMID present higher risk of worse outcomes when diagnosed with COVID-19. DESIGN AND SETTING: Rapid systematic review conducted in the medical school of the Federal University of São Paulo (SP), Brazil. METHODS: We searched CENTRAL, MEDLINE, EMBASE, LILACS, SCOPUS, Web of Science, L·OVE, ClinicalTrials.gov and WHO-ICTRP for studies evaluating patients diagnosed with COVID-19 who were undergoing pharmacological treatment for IMID. Two authors selected studies, extracted data and assessed risk of bias and certainty of evidence, following the Cochrane recommendations. RESULTS: We identified 1,498 references, from which one cohort study was included. This compared patients with and without rheumatic diseases (RD) who all had been diagnosed with COVID-19. Those with RD seemed to have higher chances of hospitalization and mortality, but no statistical difference was detected between the groups: hospitalization: odds ratio (OR) 1.17; 95% confidence interval (CI) 0.6 to 2.29; mortality rate: OR 1.53; 95% CI 0.33 to 7.11 (very low certainty of evidence). Patients with RD were three times more likely to require admission to intensive care units (ICUs), with invasive mechanical ventilation (IMV), than those without RD: OR 3.72; 95% CI 1.35 to 10.26 (for both outcomes; very low certainty of evidence). CONCLUSION: Patients undergoing pharmacological treatment for IMID seem to present higher chances of requiring admission to ICUs, with IMV. Additional high-quality studies are needed to analyze the effects of different treatments for IMID.

https://doi.org/10.1590/1516-3180.2020.0421.r2.10092020 1116 downloads

13.

[SciELO Preprints] - SARS-COV-2 AND ARBOVIRUS INFECTIONS: PROTOCOL FOR A RAPID LIVING SYSTEMATIC REVIEW
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Milby, Keilla Martins Atallah, Alvaro Nagib Rocha-Filho, César Ramos Pinto, Ana Carolina Pereira Nunes Rocha, Aline Pereira da Reis, Felipe Sebastião de Assis Carvas Junior, Nelson Civile, Vinicius Tassoni Santos, Rodolfo Rodrigo Pereira Ferla, Laura Jantsch Trevisani, Giulia Fernandes Moça Ramalho, Gabriel Sodré Trevisani, Virgínia Fernandes Moça

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Data de publicação: 2020-05-09

Resumo: En

Context and objective: While cases of COVID-19 disease increase daily worldwide, outbreaks of arboviral infections have affected health systems of countries in tropical regions. The outcomes for patients and health systems of a possible syndemic are not clarified yet. Thus, we aim to systematically review the literature searching for evidence that describes the clinical presentation, severity and prognostic of SARS-CoV-2 and Arboviral coinfection. Design and setting: Protocol for a rapid living systematic review, that will follow the Cochrane Handbook for Systematic Reviews recommendations. We will include prospective and retrospective cohort, case-control studies and case series of patients with confirmed diagnosis of SARS-CoV-2 and Arboviral infection. We will perform the search strategy with no language restrictions on Medline via PubMed, Embase via Elsevier, Cochrane Library - Cochrane Central Register of Controlled Trials (CENTRAL), Portal Regional BVS - LILACS, Scopus and WebOfScience to identify published, ongoing, and unpublished studies. The selection and extraction will be performed by two authors. We will perform the critical appraisal of included studies with the Newcastle-Ottawa Scale and the certainty of evidence will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE).    

https://doi.org/10.1590/SciELOPreprints.346

14.

[SciELO Preprints] - Telehealth interventions in the context of the COVID-19 pandemic: Protocol for a scoping review
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Puga, Maria Eduarda dos Santos Reis, Felipe Sebastião de Assis Milby, Keilla Martins Pinto, Ana Carolina Pereira Nunes Rocha-Filho, César Ramos Rocha, Aline Pereira da Carvas Junior, Nelson Civile, Vinicius Tassoni Santos, Rodolfo Rodrigo Pereira Ramalho, Gabriel Sodré Trevisani, Giulia Fernandes Moça Ferla, Laura Jantsch Puga, Maria Eduarda dos Santos Atallah, Alvaro Nagib Trevisani, Virgínia Fernandes Moça

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Data de publicação: 2020-05-06

Resumo: En

CONTEXT AND OBJECTIVE: The current health crisis due to COVID-19 is forcing us to profoundly rethink our social organizations and practices in health. While there is no effective treatment for the virus, staying home and social isolation are the control measures recommended by health authorities. The aim of this study is to perform a scoping review in order to summarize the current evidence in telehealth for COVID-19. METHODS: This study is a protocol to describe the rationale, hypothesis and planned methods of our scoping review. We will include randomized controlled trials (RCTs), observational cohort studies, case-control studies, cross-sectional studies, qualitative studies, and/or case series that describe telehealth interventions applied or developed to respond to COVID-19. We will search Medline via PubMed, Embase via Elsevier, Cochrane Library - Cochrane Central Register of Controlled Trials (CENTRAL), Portal Regional BVS - LILACS, and Scopus. We will include studies performed since December 2019 with no language restrictions. We will use the Risk of Bias tool and the Newcastle-Ottawa Scale to perform the critical appraisal of included studies. We will assess the certainty of evidence using the Grading of Recommendations Assessment, Development and Evaluation (GRADE).

https://doi.org/10.1590/SciELOPreprints.353

15.

[SciELO Preprints] - Pharmacological interventions for COVID-19: Protocol for a Rapid Living Systematic Review with network meta-analysis
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Puga, Maria Eduarda dos Santos Pinto, Ana Carolina Pereira Nunes Rocha, Aline Pereira da Milby, Keilla Martins Rocha-Filho, César Ramos Reis, Felipe Sebastião de Assis Carvas Junior, Nelson Civile, Vinicius Tassoni Santos, Rodolfo Rodrigo Pereira Trevisani, Giulia Fernandes Moça Ferla, Laura Jantsch Ramalho, Gabriel Sodré Puga, Maria Eduarda dos Santos Trevisani, Virgínia Fernandes Moça Atallah, Alvaro Nagib

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Data de publicação: 2020-05-06

Resumo: En

CONTEXT AND OBJECTIVE: Coronavirus disease 2019 (COVID-19) has emerged in China in December 2019 and rapidly spread. Although extraordinary efforts have been made on research regarding pharmacological interventions, none have proven effective. This is the protocol for a rapid living systematic review that aims to compare the effectiveness and safety of different pharmacological interventions for the treatment of COVID-19. METHODS: rapid living systematic review methodology with Network Meta-Analysis following the recommendations of Cochrane Handbook. We will include randomized controlled trials (RCT) and quasi-RCTs that evaluate single and/or combined pharmacological interventions at any dose for the treatment of COVID-19. We will search Medline via PubMed, Embase via Elsevier, Cochrane Library - Cochrane Central Register of Controlled Trials (CENTRAL), Portal Regional BVS - LILACS, Scopus and WebofScience to identify potentially eligible studies. No language restrictions will be used in the selection. We will perform the critical appraisal of included studies with the Risk of Bias tool and the certainty of evidence will be evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE).

https://doi.org/10.1590/SciELOPreprints.348

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