Pesquisa | SciELO

RESUMO Objetivo: Avaliar a sazonalidade da bronquiolite aguda no Brasil durante a temporada 2020–2022 e compará-la com a das temporadas anteriores. Métodos: Os dados de incidência de internações por bronquiolite aguda em lactentes <1 ano de idade foram obtidos do Departamento de Informática da base de dados da Saúde Pública Brasileira para o período entre 2016 e 2022. Esses dados também foram analisados por macrorregiões do Brasil (Norte, Nordeste, Sudeste, Sul e Centro-Oeste). Para descrever características sazonais e de tendência ao longo do tempo, utilizamos o Modelo de Médias Móveis Integradas Autorregressivas Sazonais. Resultados: Em comparação com o período pré-COVID-19, a incidência de hospitalizações relacionadas com bronquiolite aguda diminuiu 97% durante as intervenções não farmacológicas (março de 2020 – agosto de 2021), mas aumentou 95% após a flexibilização das intervenções não farmacológicas (setembro de 2021 – dezembro de 2022), resultando no aumento geral de 16%. Durante o período pré-COVID-19, as hospitalizações por bronquiolite aguda seguiram um padrão sazonal, que foi interrompido em 2020–2021, mas recuperaram-se em 2022, com um pico ocorrido em maio, aproximadamente 4% superior ao pico pré-COVID-19. Conclusões: Este estudo ressalta a influência significativa das intervenções contra a COVID-19 nas hospitalizações por bronquiolite aguda no Brasil. A restauração de um padrão sazonal em 2022 sublinha a interação entre as medidas de saúde pública e a dinâmica das doenças respiratórias em crianças pequenas. Objetivo 20202022 2020–202 comparála compará la anteriores Métodos 1 < 201 Norte, Norte (Norte Nordeste Sudeste CentroOeste. CentroOeste Centro Oeste . Centro-Oeste) tempo Sazonais Resultados préCOVID19, préCOVID19 préCOVID pré COVID 19, 19 pré-COVID-19 97 março 202 2021, , 2021) 95 setembro 2022) 16 16% 20202021 2020–2021 recuperaramse recuperaram se maio 4 préCOVID19. 19. Conclusões COVID19 COVID-1 pequenas 2020202 2020–20 20 Centro-Oeste préCOVID1 pré-COVID-1 9 COVID1 COVID- 202020 2020–2 2 pré-COVID- 20202 2020– pré-COVID

ABSTRACT Objective: To evaluate the seasonality of acute bronchiolitis in Brazil during the 2020–2022 season and compare it with the previous seasons. Methods: Data from the incidence of hospitalizations due to acute bronchiolitis in infants <1 year of age were obtained from the Department of Informatics of the Brazilian Public Health database for the period between 2016 and 2022. These data were also analyzed by macro-regions of Brazil (North, Northeast, Southeast, South, and Midwest). To describe seasonal and trend characteristics over time, we used the Seasonal Autoregressive Integrated Moving Averages Model. Results: Compared to the pre-COVID-19 period, the incidence of hospitalizations related to acute bronchiolitis decreased by 97% during non-pharmacological interventions (March 2020 – August 2021) but increased by 95% after non-pharmacological interventions relaxation (September 2021 – December 2022), resulting in a 16% overall increase. During the pre-COVID-19 period, hospitalizations for acute bronchiolitis followed a seasonal pattern, which was disrupted in 2020–2021 but recovered in 2022, with a peak occurring in May, approximately 4% higher than the pre-COVID-19 peak. Conclusions: This study underscores the significant influence of COVID-19 interventions on acute bronchiolitis hospitalizations in Brazil. The restoration of a seasonal pattern in 2022 highlights the interplay between public health measures and respiratory illness dynamics in young children. Objective 20202022 2020–202 seasons Methods 1 < 201 macroregions macro regions North, North (North Northeast Southeast South Midwest. Midwest . Midwest) time Model Results preCOVID19 preCOVID pre COVID 19 pre-COVID-1 97 nonpharmacological non pharmacological March 202 95 September , 2022) 16 increase 20202021 May 4 Conclusions COVID19 COVID-1 children 2020202 2020–20 20 preCOVID1 pre-COVID- 9 COVID1 COVID- 202020 2020–2 2 pre-COVID 20202 2020–

https://doi.org/10.1590/1984-0462/2025/43/2023203

Convergencias y divergencias en las trayectorias profesionales de docentes de Educación Media Técnico-Profesional que estudian pedagogía
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Castro Soto, Cristóbal

; Arancibia Herrera, Marcelo

Pensamiento educativo

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Abr 2024, Volume 61 Nº 1

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

Abstract: This study examines the career trajectories of three secondary technical-vocational education teachers in Chile who decided to study pedagogy while working in technical high schools. Unlike the traditional teacher training path, these professionals entered the workforce before formalizing their pedagogical education, offering a unique perspective on their professional development. The analysis focuses on identifying points of convergence and divergence in their trajectories, using biographical narratives to uncover key moments, motivations, and vocational shifts. The results revealed positive previous educational experiences and an early attraction to teaching as common points, while differences were found in the paths taken before entering teaching. Unlike conventionally trained teachers, these professionals approach pedagogy with a clear understanding of their formative process, underscoring the importance of tailoring teacher training programs to their specific needs. Thus, this study offers an insightful perspective on the professional development of technical-vocational education teachers, suggesting ways to enrich training processes in this educational field.

Resumen: Este estudio examina las trayectorias profesionales de tres docentes de Educación Media Técnico-Profesional (EMTP) en Chile que decidieron estudiar pedagogía mientras ejercían la docencia en liceos técnicos. A diferencia de la ruta tradicional de formación docente, estos profesionales primero ingresaron al campo laboral antes de formalizar su educación pedagógica, ofreciendo una perspectiva única sobre su desarrollo profesional. El análisis se centra en identificar puntos de convergencia y divergencia en sus trayectorias, utilizando relatos biográficos para desentrañar momentos clave, motivaciones y giros vocacionales. Los resultados revelaron experiencias educativas previas positivas y una atracción temprana hacia la docencia como puntos comunes, mientras que las diferencias radicaron en los recorridos previos a su ingreso a la enseñanza. A diferencia de los docentes formados convencionalmente, estos profesionales abordan la pedagogía con una comprensión clara de su proceso formativo, subrayando la importancia de adaptar los programas de formación docente a sus necesidades específicas. Así, este estudio ofrece una perspectiva reveladora sobre el desarrollo profesional de los docentes de EMTP, sugiriendo vías para enriquecer los procesos de formación en este ámbito educativo.

https://doi.org/10.7764/pel.61.1.2023.3

Incidencia de diabetes gestacional en Chile durante el periodo 2001-2022
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González-Ortiz, Marcelo

; Cisterna, Marjorie

; Henning, Renate

; Cisterna, Carla

; Castro, Patricio

; Escudero, Carlos

; Vergara-Barra, Pablo

; Huerta, Patricia

Revista chilena de obstetricia y ginecología

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Abr 2024, Volume 89 Nº 2 Páginas 100 - 108

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

Resumen Introducción: La diabetes mellitus gestacional (DG) se define como una hiperglucemia que se diagnostica por primera vez durante la gestación. Objetivo: Describir la incidencia de diabetes gestacional (DG) durante el periodo 2001-2022 en Chile. Método: Estudio observacional, descriptivo, ecológico y longitudinal. Se incluyeron los egresos hospitalarios consignados como diabetes durante el embarazo y DG en el periodo 2001-2022, de la base de datos del Departamento de Estadística e Información en Salud. Se determinó la incidencia de DG por la cantidad de partos institucionalizados, para cada año. Se analizaron la tendencia en el periodo y las diferencias entre regiones. Resultados: Se determinó un aumento de 2,615 casos de DG por 1000 partos atendidos por año en el periodo 2001-2022. En particular, en el periodo 2016-2022 la incidencia aumentó hasta 6,746 casos de DG por 1000 partos por año. En el año 2022, la región de La Araucanía presentó una incidencia de 284,4 casos por 1000 partos, lo que representa un aumento del 503% en relación con la incidencia media nacional (56,5 casos por 1000 partos). Conclusiones: Se demuestra un aumento significativo de la DG, en especial desde 2016. La situación en La Araucanía podría relacionarse con los niveles de pobreza multidimensional.

Abstract Introduction: Gestational diabetes mellitus (GDM) is defined as hyperglycemia first diagnosed during pregnancy. Objetive: To describe the incidence of gestational diabetes (GD) during the period 2001-2022 in Chile. Method: Observational, descriptive, ecological, longitudinal study. Hospital records of diabetes during pregnancy and GD in the period 2001-2022 were included, from the database of the Department of Statistics and Health Information. The incidence of GD was determined by the number of births, for each year. Trends in the period and differences between regions were analysed. Results: The results show an increase of 2.615 GD cases per 1000 births per year in the period 2001-2022. Particularly, in the period 2016-2022 the incidence increased to 6.746 cases of GD per 1000 births per year. In 2022, La Araucanía region presented an incidence of 284.4 cases per 1000 births, which represents an increase of 503% in relation to the mean national incidence (56.5 cases per 1000 births). Conclusions: A significant increase in DG is demonstrated, especially since 2016. The situation in La Araucanía could be related to the levels of multidimensional poverty.

https://doi.org/10.24875/rechog.23000113

Performance Evaluation of Geometrically Different Pediatric Arterial Cannulae in a Pediatric Cardiopulmonary Bypass Model
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Carvalho, Gabriela B. de O.

; Caneo, Luiz Fernando

; Matte, Gregory

; Cruz, Caio Henrique de A.

; Silva, Everton Neri da

; Carletto, Luciana P.

; Castro, Ana Vitória C. X. de

; Silva, Betina G. Madueño

; Policarpo, Valéria C.

; Cestari, Idágene A.

; Jatene, Fabio B

; Jatene, Marcelo Biscegli

Brazilian Journal of Cardiovascular Surgery

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2024, Volume 39 Nº 1 elocation e20230110

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To define a reference chart comparing pressure drop vs. flow generated by a set of arterial cannulae currently utilized in cardiopulmonary bypass conditions in pediatric surgery. Methods: Cannulae from two manufacturers were selected considering their design and outer and inner diameters. Cannula performance was evaluated in terms of pressure drop vs. flow during simulated cardiopulmonary bypass conditions. The experimental circuits consisted of a Jostra HL-20 roller pump, a Quadrox-i pediatric oxygenator (Maquet Cardiopulmonary AG, Rastatt, Germany), and a custom pediatric tubing set. The circuit was primed with lactated Ringer’s solution only (first condition) and with human packed red blood cells added (second condition) to achieve a hematocrit of 30%. Cannula sizes 8 to 16 Fr were inserted into the cardiopulmonary bypass circuit with a “Y” connector. The flow was adjusted in 100 ml/min increments within typical flow ranges for each cannula. Pre-cannula and post-cannula pressures were measured to calculate the pressure drop. Results: Utilizing a pressure drop limit of 100 mmHg, our results suggest a recommended flow limit of 500, 900, 1400, 2600, and 3100 mL/min for Braile arterial cannulae sizes 8, 10, 12, 14, and 16 Fr, respectively. For Medtronic DLP arterial cannulae sizes 8, 10, 12, 14, and 16 Fr, the recommended flow limit is 600, 1100, 1700, 2700, and 3300 mL/min, respectively. Conclusion: This study reinforces discrepancies in pressure drop between cannulae of the same diameter supplied by different manufacturers and the importance of independent translational research to evaluate components’ performance. Objective vs surgery Methods diameters HL20 HL 20 HL-2 pump Quadroxi Quadrox i Maquet AG Rastatt Germany, Germany , Germany) Ringers Ringer s first condition second 30 30% 1 Y “Y connector 10 mlmin ml min cannula Precannula Pre postcannula post Results mmHg 500 900 1400 2600 310 mLmin mL 12 14 respectively 600 1100 1700 2700 330 Conclusion components HL2 2 HL- 3 50 90 140 260 31 60 110 170 270 33 5 9 26 6 11 17 27

https://doi.org/10.21470/1678-9741-2023-0110

3D implant of copolyamide associated with thermoplastic elastomer (PCTPE) for tracheal repair in rabbits (Oryctolagus cuniculus): preliminary study D PCTPE (PCTPE Oryctolagus cuniculus cuniculus)
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Rein, Ariadne

; Costa, Marcelo Carrijo da

; Montanhin, Gabriel

; Fernandes, Gustavo

; Leite, Marcella Dall’ Agnol

; Carra, Gabriel João Unger

; Vasconcelos, Rosemeri de Oliveira

; Dias, Luís Gustavo Gosuen Gonçalves

; Rocha, Thiago André Salvitti de Sá

; Moraes, Paola Castro

Ciência Animal Brasileira

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2024, Volume 25 elocation 76225E

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

Abstract Large segmental tracheal defects can pose a serious clinical challenge owing to the lack of suitable substitutes for reconstructive surgery. Polymeric biomaterials are widely used in medicine. However, the implantation of biomaterials triggers a series of biological events, and material biocompatibility is of paramount importance in regenerative medicine. The objective of this study was to evaluate the use of a copolyamide associated with thermoplastic elastomer (PCTPE) in 3D-printed prostheses for repairing partial tracheal defects in rabbits. Sixteen male New Zealand White rabbits were used, and partial tracheal defects were created in the ventral region from the 4th to the 8th tracheal ring. The animals were subdivided into groups (n=4) based on the time of euthanasia, scheduled at seven days (G7), 15 days (G15), 30 days (G30), and 60 days (G60). Histopathological analysis with hematoxylin and eosin staining revealed that the 3D implant of PCTPE exhibited a foreign body reaction, and inflammation persisted for up to 60 days. Histochemistry with picrosirius red revealed a tendency for a greater amount of type I collagen to accumulate in the early stages of inflammation, whereas type III collagen was predominant in later evaluation periods. These findings suggest an exacerbated and inadequate tissue-material interface reaction and perpetuation of the inflammatory process. surgery medicine However events (PCTPE 3Dprinted Dprinted printed D th ring n=4 n4 n 4 (n=4 euthanasia G7, G7 G , (G7) 1 G15, G15 (G15) 3 G30, G30 (G30) 6 G60. G60 . (G60) periods tissuematerial tissue process n= (n= (G7 G1 (G15 G3 (G30 G6 (G60 (n (G (G1 (G3 (G6

Resumo Defeitos de grandes segmentos traqueais podem apresentar sério problema clínico, devido à ausência de substitutos na cirurgia reconstrutiva. Os biomateriais poliméricos estão entre os mais utilizados na medicina. Entretanto, a implantação de um biomaterial desencadeia uma série de eventos biológicos e a biocompatibilidade do material é de extrema importância para a medicina regenerativa. Objetivou-se com este estudo avaliar o uso da copoliamida associada ao elastômero termoplástico (PCTPE) em próteses impressas em 3D para reparação de defeitos parciais da traqueia de coelhos. Foram utilizados 16 coelhos machos da raça Nova Zelândia Branco, submetidos à criação de um defeito parcial de traqueia na região ventral do 4º ao 8º anel traqueal. Os animais foram subdivididos (n=4) de acordo com o momento das eutanásias, programadas com intervalo de sete (G7), quinze (G15), trinta (G30) e sessenta dias (G60). A análise histopatológica por hematoxilina e eosina (HE) revelou que o implante 3D de PCTPE apresentou reação do tipo corpo estranho e a inflamação persistiu até os 60 dias de avaliação. A histoquímica de picrosirius vermelho revelou tendência de maior quantidade de colágeno tipo I nos tempos iniciais de inflamação, enquanto o colágeno tipo III foi predominante nos períodos tardios de avaliação. Pode-se sugerir reação exacerbada e não adequada da interface tecido-material e perpetuação do processo inflamatório. clínico reconstrutiva Entretanto regenerativa Objetivouse Objetivou se (PCTPE D 1 Branco º traqueal n=4 n4 n 4 (n=4 eutanásias G7, G7 G , (G7) G15, G15 (G15) G30 (G30 G60. G60 . (G60) HE (HE 6 avaliação Podese Pode tecidomaterial tecido inflamatório n= (n= (G7 G1 (G15 G3 (G3 G6 (G60 (n (G (G1 (G6

https://doi.org/10.1590/1809-6891v25e-76225e

Impact of Conservation Processes on the Lipid Profile and Immunological Factors IL-10 and TGF-β1 in Whey Separated from Discarded Human Milk IL10 IL 10 IL-1 TGFβ1 TGFβ TGF β1 β TGF-β IL1 1 IL-
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Alves, Eloize S.

; Castro, Matheus C.

; Saqueti, Bruno H. F.

; Manin, Luciana P.

; Alencar, Josiane B.

; Zacarias, Joana M. V.

; Bruni, Andressa R. S.

; Madrona, Grasiele S.

; Visentainer, Jeane E. L.

; Cristianini, Marcelo

; Santos, Oscar O.

; Visentainer, Jesui V.

Journal of the Brazilian Chemical Society

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2024, Volume 35 Nº 1 elocation e-20230102

Resumo: En | Texto: En | PDF: En

Reuse made by the separation of whey can reduce the waste of human milk. However, the authors are not aware of the literature on treatments in human whey, made available by pasteurization holder, freeze-drying, spray drying, and high hydrostatic pressure. In this context, the present study applied treatments to human whey and evaluated their lipid and immunological quality. Among the results, a different formation in the triacylglycerol profile was evidenced after the application of spray drying and high hydrostatic pressure, while pasteurization and freeze-drying presented ion intensity close to the control human whey. In addition, pasteurization proved to be adequate for lipid nutritional quality and transformation factor-β1 (TGF-β1) concentration, while an increase in interleukin-10 (IL-10) levels was promoted, between 73 and 80%, after freeze-drying, spray drying, and high hydrostatic pressure. Through the principal component analysis, it is noteworthy that the processes presented divergences in terms of the effects caused, with similarity only between pasteurization and freeze-drying in the composition of fatty acids. However, it was observed that all processes were able to maintain the nutrients. Nevertheless, it is relevant to consider individual characteristics presented and the interest in the desired quality, which can be promising as a complementary product to infant feeding. milk However holder freezedrying, freezedrying freeze pressure context results addition factorβ1 factorβ factor β1 β factor-β TGFβ1 TGFβ TGF (TGF-β1 concentration interleukin10 interleukin 10 interleukin-1 IL10 IL (IL-10 promoted 7 80 80% analysis caused acids nutrients Nevertheless feeding (TGF-β interleukin1 1 interleukin- IL1 (IL-1 8 (IL- (IL

https://doi.org/10.21577/0103-5053.20230102

Psychoactive substance consumption after the Fundão dam mine tailing disaster in Minas Gerais State, Brazil State
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Miranda, Elaine Silva

; Dell'Aringa, Marcelo

; Costa, Everaldo Alves da

; Piazza, Thais

; Corte, Francesco Della

; Ragazzoni, Luca

; Barone-Adesi, Francesco

; Andrade, Carla Lourenço Tavares de

; Osorio-de-Castro, Claudia Garcia Serpa

Cadernos de Saúde Pública

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2024, Volume 40 Nº 3 elocation e00237022

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

Resumen: Los desastres provocan cambios en la morbilidad, mortalidad y en el uso de medicamentos. Brasil es líder en la producción de minerales con grandes costos ambientales. Los desechos mineros se almacenan en represas y las roturas de dichas represas han causado grandes desastres. Investigamos el consumo de medicamentos psicoactivos en municipios afectados por el desastre de la presa de Fundão, en Minas Gerais. Se realizó un estudio ecológico sobre el consumo de medicamentos, con base en datos de compras públicas y distribución en farmacias privadas minoristas de Minas Gerais. El consumo (en número de dosis diarias definidas/100.000 habitantes por día) se analizó descriptivamente en ocho municipios, estratificados según el nivel de consumo durante un período de 25 meses. Se realizaron seis comparaciones de los valores medios de consumo para los dos conjuntos de datos de los períodos anterior y posterior al desastre. Se calculó el consumo medio de medicamentos antes y después del evento y se añadieron las tendencias lineales. Los datos de compras públicas mostraron altos niveles de consumo. Solo el comercio minorista farmacéutico presentó diferencias significativas entre los estratos en el período anterior al desastre frente a dos períodos posteriores al desastre. Los municipios más pequeños presentaron un aumento en el consumo a partir del 15º mes después del desastre. El clonazepam lideró el consumo en el comercio minorista farmacéutico, seguido de la fluoxetina. Los medicamentos presentaron una tendencia al alza después del desastre. La elevada oferta pública puede haber afectado los patrones de consumo significativo de medicamentos psicoactivos; sin embargo, se observaron aumentos en el comercio privado, lo que sugiere cambios en los patrones de uso después del desastre. La disminución del consumo inmediatamente después del evento probablemente relacionada con un menor comportamiento de búsqueda de cuidados por parte de la población, y los aumentos significativos posteriores pueden reflejar las consecuencias económicas del desastre. Resumen morbilidad ambientales Fundão Gerais definidas100000 definidas 100 000 definidas/100.00 día 2 meses lineales º fluoxetina embargo privado población definidas10000 10 00 definidas/100.0 definidas1000 1 0 definidas/100. definidas100 definidas/100 definidas10 definidas/10 definidas1 definidas/1 definidas/

Abstract: Disasters cause changes in morbidity, mortality, and medicine use. Brazil is one of the main producers of mineral ores at great environmental cost. Mine tailings are stored in dams and ruptures have led to major disasters. We investigated the consumption of psychoactive medicines in the municipalities affected by the Fundão dam disaster in Minas Gerais State. An ecological study was carried out on drug consumption, estimated using public purchases in Minas Gerais and dispensing data from private retail pharmacies. Consumption (in number of defined daily doses/100,000 inhabitants per day) was analyzed descriptively in eight municipalities, stratified according to consumption level during a 25-month period. Six comparisons of mean consumption values for both data sets were done for pre- and post-disaster periods. The means of medicine consumption before and after the event were plotted and linear trends were added. Public purchase data evinced high consumption levels. Only pharmaceutical retail showed significant differences between the strata in the pre-disaster versus two post-disaster periods. Smaller municipalities showed an increase in consumption 15 months after the disaster. Clonazepam led the way in pharmaceutical retail consumption, followed by fluoxetine. Medicines showed an upward trend after the disaster. The high public provision may have stifled significant consumption patterns of psychoactive drugs; however, peak consumption were observed in private retail, suggesting a modification in use patterns after the disaster. The decrease in consumption immediately after the event was probably related to lower care-seeking behavior on the part of the population, and significant peaks after the disaster may reflect economic consequences of it. Abstract morbidity mortality cost disasters State pharmacies doses100000 doses 100 000 doses/100,00 day 25month month 25 period pre postdisaster post periods added levels predisaster 1 fluoxetine drugs however careseeking care seeking population it doses10000 10 00 doses/100,0 2 doses1000 0 doses/100, doses100 doses/100 doses10 doses/10 doses1 doses/1 doses/

Resumo: Os desastres provocam alterações na morbidade, mortalidade e no uso de medicamentos. O Brasil é líder na produção de minérios com grande custo ambiental. Os rejeitos de mineração são armazenados em barragens e as rupturas dessas barragens têm causados grandes desastres. Investigamos o consumo de medicamentos psicoativos em municípios atingidos pelo desastre da Barragem de Fundão, em Minas Gerais. Foi realizado um estudo ecológico sobre o consumo de medicamentos, com base em dados de compras públicas e distribuição de farmácias privadas do varejo de Minas Gerais. O consumo (em número de doses diárias definidas/100 mil habitantes por dia) foi analisado descritivamente em oito municípios, estratificados segundo o nível de consumo durante um período de 25 meses. Foram feitas seis comparações de valores médios de consumo para os dois conjuntos de dados dos períodos pré- e pós-desastre. Foram calculadas as médias de consumo de medicamentos antes e depois do evento e adicionadas tendências lineares. Os dados de compras públicas mostraram elevados níveis de consumo. Apenas o varejo farmacêutico apresentou diferenças significativas entre os estratos no período pré-desastre versus dois períodos pós-desastre. Municípios menores apresentaram aumento no consumo a partir do 15º mês após o desastre. Clonazepam liderou o consumo no varejo farmacêutico, seguido pela fluoxetina. Os medicamentos apresentaram tendência de alta após o desastre. A elevada oferta pública pode ter afetado os padrões de consumo significativo de medicamentos psicoativos; no entanto, foram observados aumentos no comércio privado, sugerindo alterações nos padrões de uso após o desastre. A diminuição do consumo imediatamente após o evento estava provavelmente relacionada a um menor comportamento de procura de cuidados por parte da população e os aumentos significativos posteriores podem refletir as consequências econômicas do desastre. Resumo morbidade ambiental Fundão Gerais definidas100 definidas 100 definidas/10 dia 2 meses pré pósdesastre. pósdesastre pós pós-desastre lineares prédesastre º fluoxetina entanto privado definidas10 10 definidas/1 definidas1 1 definidas/

https://doi.org/10.1590/0102-311xen237022

Checklist of the species of the Order Characiformes (Teleostei: Ostariophysi) Teleostei (Teleostei Ostariophysi
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Toledo-Piza, Mônica

; Baena, Eduardo G.

; Dagosta, Fernando C. P.

; Menezes, Naércio A.

; Ândrade, Marcelo

; Benine, Ricardo C.

; Bertaco, Vinicius A.

; Birindelli, José Luís O.

; Boden, Gert

; Buckup, Paulo A.

; Camelier, Priscila

; Carvalho, Fernando R. de

; Castro, Ricardo M. C.

; Chuctaya, Junior

; Decru, Eva

; Derijst, Eddy

; Dillman, Casey B.

; Ferreira, Katiane M.

; Merxem, Dimitri G.

; Giovannetti, Victor

; Hirschmann, Alice

; Jégu, Michel

; Jerep, Fernando C.

; Langeani, Francisco

; Lima, Flávio C. T.

; Lucena, Carlos A. S.

; Lucena, Zilda Margarete S.

; Malabarba, Luiz R.

; Malabarba, Maria Cláudia S. L.

; Marinho, Manoela M. F.

; Mathubara, Kleber

; Mattox, George M. T.

; Melo, Bruno F.

; Moelants, Tuur

; Moreira, Cristiano R.

; Musschoot, Tobias

; Netto-Ferreira, André L.

; Ota, Rafaela P.

; Oyakawa, Osvaldo T.

; Pavanelli, Carla S.

; Reis, Roberto E.

; Santos, Osmar

; Serra, Jane Piton

; Silva, Gabriel S. C.

; Silva-Oliveira, Cárlison

; Souza-Lima, Rosana

; Vari, Richard P.

; Zanata, Angela M.

Neotropical Ichthyology

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2024, Volume 22 Nº 1 elocation e230086

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

Abstract A checklist of recent and fossil fishes of the Order Characiformes is presented herein and believed to be complete through 2022. A total of 47 collaborators checked and provided information about their taxa of expertise. The list is arranged in alphabetical order by family and then genus and includes all available synonyms. From a total of 3,087 species group names and 527 genus group names, 2,334 species are currently treated as valid, and assigned to 301 genera and 24 families. This total includes 25 species known only from the fossil record, of which 21 are assigned to eight extant families and four are Incertae sedis in Characiformes, but does not include five species based on fossil which were wrongly treated in Characiformes. The status of 79 nominal species remains unresolved. When there are two competing hypotheses about the validity of a name, one of them is chosen and the alternate interpretation is provided in the remark section of that name. Distributional summaries are presented as numbers that correspond to areas for which there is a record of occurrence of the species. A list of unavailable names is provided at the end since some of those names may need additional research to certify their status. 2022 4 expertise synonyms 3087 3 087 3,08 52 2334 2 334 2,33 valid 30 7 unresolved name 202 308 08 3,0 5 233 33 2,3 20 0 3, 23 2,

Resumo Uma lista de peixes recentes e fósseis da Ordem Characiformes é apresentada e acredita-se que a lista esteja completa até 2022. Ao todo, 47 colaboradores verificaram e forneceram informações sobre táxons de sua especialidade. A lista está organizada em ordem alfabética por família e em seguida gênero e inclui todos os sinônimos disponíveis. De um total de 3.087 nomes de grupos de espécies e 527 nomes de grupos de gêneros, 2.334 espécies são atualmente tratadas como válidas e atribuídas a 301 gêneros e 24 famílias. Este total inclui 25 espécies fósseis, das quais 21 são incluídas em oito famílias recentes e quatro são Incertae sedis em Characiformes, mas não inclui cinco espécies baseadas em fósseis que foram incorretamente consideradas como Characiformes. O status de 79 espécies nominais permanece não resolvido. Quando há duas hipóteses concorrentes sobre a validade de um nome, uma delas é escolhida e a interpretação alternativa é fornecida na seção de comentários do nome em questão. Dados sobre distribuição geográfica são apresentados através de números que correspondem a regiões para as quais há registro de ocorrência da espécie. Uma lista de nomes indisponíveis foi listada no final do texto, pois alguns desses nomes precisam ser mais bem investigados para certificar seu status. acreditase acredita se 2022 todo 4 especialidade disponíveis 3087 3 087 3.08 52 2334 2 334 2.33 30 7 resolvido questão espécie texto 202 308 08 3.0 5 233 33 2.3 20 0 3. 23 2.

https://doi.org/10.1590/1982-0224-2023-0086

Clinical Presentation and Risk Factors for Molar-Incisor and Second Primary Molar Hypomineralization: A Cross-Sectional Study MolarIncisor Incisor Hypomineralization CrossSectional Cross Sectional
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Rosa, Thamirys da Costa

; Silva, Fernanda Mafei Felix da

; Vieira, Fernanda Gabriela de Fátima

; Vieira, Alexandre Rezende

; Gonçalves, Andrea Fonseca

; Costa, Marcelo de Castro

; Neves, Aline de Almeida

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2024, Volume 24 elocation e230066

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To identify the clinical presentation of molar incisor hypomineralization (MIH) and hypomineralization of second primary molars (HSPM), including the distribution patterns of presence and severity of lesions, and to investigate the association of risk factors during the pre-and postnatal period with the presence of lesions. Material and Methods: This cross-sectional study was conducted with 160 individuals (72 with MIH/HSPM and 88 without lesions). The symmetry analysis regarding the presence and severity of MIH/HSPM was evaluated in pairs of homologous and opposite teeth. Sociodemographic and medical information was obtained using a detailed questionnaire. Data were analyzed by means of chi-square tests, Student’s t-test, and logistic regression (p<0.05). Results: Symmetry of presence and severity of hypomineralization lesions were present in homologous permanent teeth in 53.8% and 70.5% of cases, respectively, with statistically significant results only for the symmetrical pattern of severity of MIH lesions in the maxillary first molars (p=0.016) and mandibular first molars (p=0.02). Otherwise, a non-symmetric presence was statistically significant in homologous second primary molars (p=0.002) and opposite primary and permanent teeth (p≤0.001). An association between MIH/HSPM and systemic diseases during pregnancy and children medication was found (p<0.05); however, no evidence was found between these and MIH/HSPM severity. Conclusion: The symmetric pattern of severity of MIH lesions was statistically significant in permanent homologous teeth. Risk factors during pre and postnatal periods may be related to MIH/HSPM; however, these do not seem to interact with severity. Objective (MIH HSPM, HSPM , (HSPM) preand Methods crosssectional cross sectional 16 72 (7 MIHHSPM 8 . lesions) questionnaire chisquare chi square tests Students Student s ttest, ttest t test, test t-test p<0.05. p005 p p<0.05 0 05 (p<0.05) Results 538 53 53.8 705 70 5 70.5 cases respectively p=0.016 p0016 016 (p=0.016 p=0.02. p002 p=0.02 02 (p=0.02) Otherwise nonsymmetric non p=0.002 p0002 002 (p=0.002 p≤0.001. p0001 p≤0.001 001 (p≤0.001) however Conclusion (HSPM 1 7 ( p00 p<0.0 (p<0.05 53. 70. p=0.01 p001 01 (p=0.01 p=0.0 (p=0.02 p=0.00 p000 00 (p=0.00 p≤0.00 (p≤0.001 p0 p<0. (p<0.0 (p=0.0 p=0. p≤0.0 (p≤0.00 p<0 (p<0. (p=0. p=0 p≤0. (p≤0.0 p< (p<0 (p=0 p= p≤0 (p≤0. (p< (p= p≤ (p≤0 (p (p≤

https://doi.org/10.1590/pboci.2024.072

10.

To be or not to B27 positive: implications for the phenotypes of axial spondyloarthritis outcomes. Data from a large multiracial cohort from the Brazilian Registry of Spondyloarthritis B B2 positive outcomes
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Resende, Gustavo Gomes

; Saad, Carla Goncalves Schahin

; Marques, Claudia Diniz Lopes

; Ribeiro, Sandra Lúcia Euzébio

; Gavi, Maria Bernadete Renoldi de Oliveira

; Yazbek, Michel Alexandre

; Marinho, Adriana de Oliveira

; Menin, Rita de Cássia

; Ochtrop, Manuella Lima Gomes

; Soares, Andressa Miozzo

; Cavalcanti, Nara Gualberto

; Carneiro, Jamille Nascimento

; Werner de Castro, Glaucio Ricardo

; Fernandes, José Mauro Carneiro

; Souza, Elziane da Cruz Ribeiro E

; Alvarenga, Corina Quental de Menezes

; Vieira, Rejane Maria Rodrigues de Abreu

; Machado, Natalia Pereira

; Ximenes, Antônio Carlos

; Gazzeta, Morgana Ohira

; Albuquerque, Cleandro Pires de

; Skare, Thelma Larocca

; Keiserman, Mauro Waldemar

; Kohem, Charles Lubianca

; Benacon, Gabriel Sarkis

; Rocha, Vítor Florêncio Santos

; Lage, Ricardo da Cruz

; Malheiro, Olivio Brito

; Golebiovski, Rywka Tenenbaum Medeiros

; Oliveira, Thauana Luiza

; Duque, Ruben Horst

; Londe, Ana Carolina

; Pinheiro, Marcelo de Medeiros

; Sampaio-Barros, Percival Degrava

Advances in Rheumatology

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2024, Volume 64 elocation 33

Resumo: En | Texto: En | PDF: En

Abstract Background There is a remarkable variability in the frequency of HLA-B27 positivity in patients with spondyloarthritis (SpA), which may be associated with different clinical presentations worldwide. However, there is a lack of data considering ethnicity and sex on the evaluation of the main clinical and prognostic outcomes in mixed-race populations. The aim of this study was to evaluate the frequency of HLA-B27 and its correlation with disease parameters in a large population of patients from the Brazilian Registry of Spondyloarthritis (RBE). Methods The RBE is a multicenter, observational, prospective cohort that enrolled patients with SpA from 46 centers representing all five geographic regions of Brazil. The inclusion criteria were as follow: (1) diagnosis of axSpA by an expert rheumatologist; (2) age ≥18 years; (3) classification according to ASAS axial. The following data were collected via a standardized protocol: demographic data, disease parameters and treatment historical. Results A total of 1096 patients were included, with 73.4% HLA-B27 positivity and a mean age of 44.4 (±13.2) years. Positive HLA-B27 was significantly associated with male sex, earlier age at disease onset and diagnosis, uveitis, and family history of SpA. Conversely, negative HLA-B27 was associated with psoriasis, higher peripheral involvement and disease activity, worse quality of life and mobility. Conclusions Our data showed that HLA-B27 positivity was associated with a classic axSpA pattern quite similar to that of Caucasian axSpA patients around the world. Furthermore, its absence was associated with peripheral manifestations and worse outcomes, suggesting a relevant phenotypic difference in a highly miscegenated population. HLAB27 HLAB HLA B27 B HLA-B2 SpA, , (SpA) worldwide However mixedrace mixed race populations RBE. . (RBE) multicenter observational 4 Brazil follow 1 (1 rheumatologist 2 (2 18 ≥1 years 3 (3 axial protocol historical 109 included 734 73 73.4 444 44 44. ±13.2 132 13 (±13.2 uveitis Conversely psoriasis activity mobility world Furthermore HLAB2 B2 HLA-B (SpA (RBE ( ≥ 10 7 73. ±13. (±13. ±13 (±13 ±1 (±1 ± (±

https://doi.org/10.1186/s42358-024-00372-0

11.

Relaciones entre concepciones y competencias TIC: estudio de nueve secuencias didácticas de profesores Chilenos TIC
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Arancibia-herrera, Marcelo

; Castro-Appelhanz, María-Jesús

; Sigerson, Andrew

Educação e Pesquisa

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2024, Volume 50 elocation e260125

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

Abstract Studying teachers’ conceptions of learning and teaching with the use of technology represents a crucial challenge to improve pedagogical practices. Worldwide, the model of Competency-based Teacher Education has gained prominence; in this model, digital information and communication technologies (ICT) have taken on an important role. The present study seeks to establish relations between conceptions on learning and teaching and the Technological Competencies demonstrated in the didactic sequences of nine Chilean teachers who work in different school contexts. To this end, in-depth interviews were carried out, along with analyses of didactic sequences (recorded classes) of the nine teachers and content analysis of the Chilean Ministry of Education’s document “ICT competencies for the teaching profession” (2011). Through phenomenographic analysis, the first result was to identify and classify the teachers based on different preferred conceptions of learning and teaching (Socio/Constructivist, Constructivist/Individual, and Direct/Transmissive). As a second result, relations were established between these groups of teachers and their practices in which ICT competencies from the ministerial document aforementioned can be identified. Finally, the study allowed to associate the presence of the ICT competencies proposed in the ministerial document with the teachers in the group whose preferred conception was Constructivist/Individual, pointing to the conclusion that this conception is based on the theoretical approach underpinning the public policy expressed in said document. Worldwide Competencybased Competency prominence (ICT role contexts end indepth depth out recorded classes Educations s profession 2011. 2011 . (2011) Socio/Constructivist, SocioConstructivist Socio Constructivist (Socio/Constructivist ConstructivistIndividual Individual Constructivist/Individual Direct/Transmissive. DirectTransmissive Direct/Transmissive Direct Transmissive Direct/Transmissive) identified Finally 201 (2011 Socio/Constructivist 20 (201 2 (20 (2 (

Resumen Estudiar las concepciones sobre aprender y enseñar con tecnología en profesores se presenta como desafío indispensable para la mejora de las prácticas pedagógicas. A nivel mundial ha ganado preminencia el modelo de Formación Docente centrado en Competencias, en el cual las Tecnologías Digitales de la Información y la Comunicación cobran un valor relevante. El presente estudio buscó establecer relaciones entre las concepciones sobre aprender y enseñar y las Competencias Tecnológicas evidenciadas en las secuencias didácticas de nueve profesores chilenos que se desempeñan en diferentes contextos escolares. Para esto se realizaron entrevistas en profundidad, análisis de secuencias didácticas (clases grabadas) de los nueve profesores y análisis de contenido del documento “ Competencias TIC para la profesión docente” del Ministerio de Educación chileno (2011). Mediante el análisis fenomenográfico se logró como primer resultado identificar y clasificar a los profesores en diferentes concepciones preferentes sobre aprender y enseñar (Socio/Constructivista, Constructivista/Individual y Directa/transmisiva). Como segundo resultado se estableció relaciones relevantes entre estos grupos de profesores con la ejecución en sus prácticas en las cuales se identifican algunas competencias TIC que son destacadas en el documento Ministerial para el uso pedagógico de las TIC. Finalmente, el estudio permitió asociar la presencia de las competencias TIC propuestas en el documento Ministerial con los profesores del grupo de concepción preferente Constructivista/Individual, lo que permite concluir que allí radica el enfoque teórico que da fundamento a la política pública expresada en dicho documento. pedagógicas relevante escolares profundidad clases grabadas docente 2011. 2011 . (2011) Socio/Constructivista, SocioConstructivista Socio Constructivista (Socio/Constructivista ConstructivistaIndividual Individual Directa/transmisiva. Directatransmisiva Directa/transmisiva Directa transmisiva Directa/transmisiva) Finalmente 201 (2011 Socio/Constructivista 20 (201 2 (20 (2 (

https://doi.org/10.1590/s1678-4634202450260125es

12.

Multimodal analgesia versus patient-controlled analgesia in the management of acute postoperative spinal pain: systematic review and meta-analysis patientcontrolled patient controlled pain metaanalysis meta analysis
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Deligne, Lucas de Melo Castro

; Pinheiro, Guilherme Baldez

; Peres, Marcelo de Oliveira

; Castilho, André Moreira

BrJP

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2024, Volume 7 elocation e20230096

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

ABSTRACT BACKGROUND AND OBJECTIVES: Spine diseases have a high annual prevalence and are the main causes of years lived with disability and chronic pain. Among the postoperative analgesic control options, patient-controlled analgesia (PCA) and multimodal analgesia (MMA) have shown good clinical results. This meta-analysis seeks new evidence to help in the treatment of acute postoperative pain in patients undergoing spinal surgery. CONTENTS: The following databases were used: Cochrane Central Register of Controlled Trials, Medline and Embase. Studies that compared two post-surgical analgesic interventions were included; MMA and PCA. The parameters evaluated were: analgesic effect; opioid consumption; length of hospital stay; and adverse effects. Registration of the systematic review protocol: (PROSPERO CRD42023446627). There was no statistical difference when assessing analgesic improvement comparing MMA to PCA (MD -0.12 [-0.41, 0.17] 95%CI with p=0.69). There was a statistical difference, with lower opioid consumption in MMA compared to PCA (MD -3.04 [-3.69, -2.39] 95%CI with p=0.0002). Statistically significant difference regarding length of hospital stay in favor of MMA (MD -13.17 [-16.98, -9.36] 95%CI with p=0.00001), and significantly lower incidence of nausea and vomiting in patients undergoing MMA in compared to PCA (OR 0.26 [0.11, -0.64] 95%CI with p=0.003). CONCLUSION: MMA was equivalent to PCA in the treatment of acute postoperative spinal pain, with the significant clinical advantage and safety of lower amounts of infused opioids, shorter hospital stay and lower incidence of adverse effects. OBJECTIVES options patientcontrolled patient controlled (PCA (MMA results metaanalysis meta analysis surgery CONTENTS used Trials Embase postsurgical post surgical included effect effects protocol PROSPERO CRD42023446627. CRD42023446627 CRD . CRD42023446627) MD 0.12 012 0 12 -0.1 0.41, 041 41 [-0.41 0.17 017 17 95CI CI 95 p=0.69. p069 p p=0.69 69 p=0.69) 3.04 304 3 04 -3.0 3.69, 369 [-3.69 2.39 239 2 39 -2.39 p=0.0002. p00002 p=0.0002 0002 p=0.0002) 13.17 1317 13 -13.1 16.98, 1698 16 98 [-16.98 9.36 936 9 36 -9.36 p=0.00001, p000001 p=0.00001 , 00001 p=0.00001) OR 026 26 0.2 0.11, 011 11 [0.11 0.64 064 64 -0.64 p=0.003. p0003 p=0.003 003 p=0.003) CONCLUSION opioids CRD4202344662 0.1 01 1 -0. 0.41 4 [-0.4 p06 p=0.6 6 3.0 30 -3. 3.69 [-3.6 2.3 23 -2.3 p0000 p=0.000 000 13.1 131 -13. 16.98 169 [-16.9 9.3 93 -9.3 p00000 p=0.0000 0000 02 0. 0.11 [0.1 0.6 06 -0.6 p000 p=0.00 00 CRD420234466 -0 0.4 [-0. p0 p=0. 3. -3 3.6 [-3. 2. -2. 13. -13 16.9 [-16. 9. -9. [0. p00 p=0.0 CRD42023446 - [-0 p=0 [-3 -2 -1 16. [-16 -9 [0 CRD4202344 [- p= [-1 [ CRD420234 CRD42023 CRD4202 CRD420 CRD42 CRD4

RESUMO JUSTIFICATIVA E OBJETIVOS: As doenças da coluna apresentam alta prevalência anual e são as principais causas de anos vividos com incapacidade e de cronificação da dor. Dentre as opções de controle analgésico pós-operatória, a analgesia controlada pelo paciente (ACP) e a analgesia multimodal (AMM) apresentam bons resultados clínicos. O objetivo deste estudo foi buscar novas evidências que auxiliem no tratamento da dor aguda no pós-operatório do paciente submetido à cirurgia da coluna. CONTEÚDO: As bases de dados utilizadas: Cochrane Central Register of Controlled Trials, Medline e Embase. Foram incluídos estudos que compararam duas intervenções analgésicas pós-cirúrgicas; AMM e ACP. Os parâmetros avaliados foram: efeito analgésico; consumo de opioide; tempo de internação hospitalar e efeitos adversos. Registro do protocolo de revisão sistemática: (PROSPERO CRD42023446627). Não houve diferença estatística quando avaliadas a melhora analgésica comparando a AMM à ACP (MD -0,12 [-0,41, 0,17] 95%CI com p=0,69). Houve diferença estatística, com menor consumo de opioide na AMM em comparação à ACP (MD -3,04 [-3,69, -2,39] 95%IC com p=0,0002). Diferença estatística significativa com relação ao tempo de permanência hospitalar a favor da AMM (MD -13,17 [-16,98, -9,36] 95%IC com p=0,00001), e incidência significativamente menor de náuseas e vômitos nos pacientes submetidos a AMM em comparação a ACP (OR 0,26 [0,11, -0,64] 95%IC com p=0,003). CONCLUSÃO: A AMM foi equivalente à ACP no tratamento da dor aguda pós-operatória da coluna, com a significativa vantagem clínica e a segurança de menores quantidades de opioides infundidos, menor tempo de internação hospitalar e menor incidência de efeitos adversos. OBJETIVOS pósoperatória, pósoperatória pós operatória, operatória (ACP (AMM clínicos pósoperatório operatório CONTEÚDO utilizadas Trials Embase póscirúrgicas cirúrgicas pós-cirúrgicas foram adversos sistemática PROSPERO CRD42023446627. CRD42023446627 CRD . CRD42023446627) MD 0,12 012 0 12 -0,1 0,41, 041 41 [-0,41 0,17 017 17 95CI CI 95 p=0,69. p069 p p=0,69 69 p=0,69) 3,04 304 3 04 -3,0 3,69, 369 [-3,69 2,39 239 2 39 -2,39 95IC IC p=0,0002. p00002 p=0,0002 0002 p=0,0002) 13,17 1317 13 -13,1 16,98, 1698 16 98 [-16,98 9,36 936 9 36 -9,36 p=0,00001, p000001 p=0,00001 , 00001 p=0,00001) OR 026 26 0,2 0,11, 011 11 [0,11 0,64 064 64 -0,64 p=0,003. p0003 p=0,003 003 p=0,003) CONCLUSÃO infundidos CRD4202344662 0,1 01 1 -0, 0,41 4 [-0,4 p06 p=0,6 6 3,0 30 -3, 3,69 [-3,6 2,3 23 -2,3 p0000 p=0,000 000 13,1 131 -13, 16,98 169 [-16,9 9,3 93 -9,3 p00000 p=0,0000 0000 02 0, 0,11 [0,1 0,6 06 -0,6 p000 p=0,00 00 CRD420234466 -0 0,4 [-0, p0 p=0, 3, -3 3,6 [-3, 2, -2, 13, -13 16,9 [-16, 9, -9, [0, p00 p=0,0 CRD42023446 - [-0 p=0 [-3 -2 -1 16, [-16 -9 [0 CRD4202344 [- p= [-1 [ CRD420234 CRD42023 CRD4202 CRD420 CRD42 CRD4

https://doi.org/10.5935/2595-0118.20230096-en

13.

Flap of the sternocephalicus muscle in the repair of a partial defect in the trachea of a rabbit (Oryctolagus cuniculus) Oryctolagus cuniculus
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Fernandes, Gustavo

; Rein, Ariadne

; Montanhim, Gabriel Luiz

; Costa, Marcelo Carrijo da

; Leite, Marcella Dall’Agnol

; Soares, Nicolle Pereira

; Moraes, Paola Castro

Acta Cirúrgica Brasileira

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2024, Volume 39 elocation e390324

Resumo: En | Texto: En | PDF: En

ABSTRACT Purpose: The current study aimed at evaluating the repair of a partial defect of the trachea with a muscle flap, an advanced technique that employs combined suture patterns. Methods: Sixteen healthy male New Zealand white rabbits were used as an experimental model. A partial defect in the trachea within the ventral region of the fourth to eighth tracheal ring was created. Subsequently, repair was initiated with a flap of the sternocephalicus muscle. The animals were divided into four groups for postoperative evaluation using clinical, tracheoscopic, and histopathological analyses. Each group was separated according to the time of euthanasia, programmed at interval of seven (G7), 15 (G15), 30 (G30), and 60 days (G60). Results: One animal from the G60 group died, whereas the other animals had good surgical recovery without serious changes in the breathing pattern. The major clinical signs observed were stridor and coughing. Tracheoscopy revealed secretions in the tracheal lumen, exuberant granulation, and stenosis. Histopathological analysis showed growth of the ciliary respiratory epithelium at the flap site 30 days after implantation. Conclusions: Partial repair showed satisfactory results owing to the anatomical location of the muscle, adequate vascular support, and structural and physiological maintenance without serious changes in the respiratory system. Purpose patterns Methods model created Subsequently tracheoscopic analyses euthanasia G7, G7 G , (G7) 1 G15, G15 (G15) 3 G30, G30 (G30) 6 G60. . (G60) Results G6 died pattern coughing lumen granulation stenosis implantation Conclusions support system (G7 G1 (G15 G3 (G30 (G60 (G (G1 (G3 (G6

https://doi.org/10.1590/acb390324

14.

Parturientes adolescentes em Cruzeiro do Sul, Acre, Brasil: características socioeconômicas e obstétricas Sul Acre Brasil
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Damasceno, Ana Alice de Araújo

; Cardoso, Marly Augusto

; Matijasevich, Alicia

; Lourenço, Bárbara Hatzlhoffer

; Abanto, Jenny

; Malta, Maíra Barreto

; Ferreira, Marcelo Urbano

; Neves, Paulo Augusto Ribeiro

; Damasceno, Ana Alice

; Silva, Bruno Pereira da

; Souza, Rodrigo Medeiros de

; Ladeia-Andrade, Simone

; Castro, Márcia Caldas de

Ciência & Saúde Coletiva

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2024, Volume 29 Nº 1 elocation e02812023

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

Abstract The present study aimed to investigate the socioeconomic and obstetric characteristics of adolescent mothers and the complications they cause to maternal and neonatal health. This baseline data analysis of the MINA-Brazil birth cohort was conducted in the municipality of Cruzeiro do Sul, state of Acre, Brazil. The chi-square test was used to compare characteristics of adolescent and adult postpartum women, and multiple Poisson regression models with robust variance were used to assess associated factors. Among the postpartum women, 26.2% (95%CI: 24.0-28.4) were adolescents. Factors associated with childbirth in adolescence included: nine years or less of schooling (adjPR:1.36; 95%CI: 1.14-1.61), belongs to the lowest quartiles of the wealth index (1st quartile: adjPR:1.40; 95%CI: 1.08-1.80) (2nd quartile: adjPR:1.37; 95%CI: 1.08-1.74), primigravidae (adjPR:3.69; 95%CI: 2.98-4.57), low pre-pregnancy BMI (adjPR:1.28; CI95%: 1.04-1.57), urinary tract infection during pregnancy (adjPR:1.25; CI95%: 1.07-1.46) and less than six prenatal consultations (adjPR:1.42; 95%CI: 1.21-1.66). Poverty, little schooling, primigravidae, low pre-pregnancy BMI, urinary tract infection during pregnancy and few prenatal consultations were associated with childbirth during adolescence in a municipality in the Northern region of Brazil. health MINABrazil MINA Brazil Sul Acre chisquare chi square women factors 262 26 2 26.2 95%CI 95CI CI 95 (95%CI 24.028.4 240284 24.0 28.4 24 0 28 4 24.0-28.4 adolescents included adjPR1.36 adjPR136 adjPR 1.36 1 36 (adjPR:1.36 1.141.61, 114161 1.14 1.61 , 14 61 1.14-1.61) 1st st quartile adjPR1.40 adjPR140 1.40 40 adjPR:1.40 1.081.80 108180 1.08 1.80 08 80 1.08-1.80 2nd nd adjPR1.37 adjPR137 1.37 37 adjPR:1.37 1.081.74, 108174 1.74 74 1.08-1.74) adjPR3.69 adjPR369 3.69 3 69 (adjPR:3.69 2.984.57, 298457 2.98 4.57 98 57 2.98-4.57) prepregnancy pre adjPR1.28 adjPR128 1.28 (adjPR:1.28 CI95% CI95 1.041.57, 104157 1.04 1.57 04 1.04-1.57) adjPR1.25 adjPR125 1.25 25 (adjPR:1.25 1.071.46 107146 1.07 1.46 07 46 1.07-1.46 adjPR1.42 adjPR142 1.42 42 (adjPR:1.42 1.211.66. 121166 1.21 1.66 . 21 66 1.21-1.66) Poverty 26. 9 028 24.028. 24028 240 24. 284 28. 24.0-28. adjPR1 adjPR1.3 adjPR13 136 1.3 (adjPR:1.3 141 1.141.61 11416 114 1.1 161 1.6 6 1.14-1.61 adjPR1.4 adjPR14 140 1.4 adjPR:1.4 081 1.081.8 10818 108 1.0 180 1.8 8 1.08-1.8 137 adjPR:1.3 1.081.74 10817 174 1.7 7 1.08-1.74 adjPR3 adjPR3.6 adjPR36 369 3.6 (adjPR:3.6 984 2.984.57 29845 298 2.9 457 4.5 5 2.98-4.57 adjPR1.2 adjPR12 128 1.2 (adjPR:1.2 CI9 041 1.041.57 10415 104 157 1.5 1.04-1.57 125 071 1.071.4 10714 107 146 1.07-1.4 142 (adjPR:1.4 211 1.211.66 12116 121 166 1.21-1.66 02 24.028 2402 24.0-28 adjPR1. 13 1. (adjPR:1. 1.141.6 1141 11 16 1.14-1.6 adjPR:1. 1.081. 1081 10 18 1.08-1. 1.081.7 17 1.08-1.7 adjPR3. 3. (adjPR:3. 2.984.5 2984 29 2. 45 4. 2.98-4.5 12 1.041.5 1041 15 1.04-1.5 1.071. 1071 1.07-1. 1.211.6 1211 1.21-1.6 24.02 24.0-2 (adjPR:1 1.141. 1.14-1. adjPR:1 1.081 1.08-1 (adjPR:3 2.984. 2.98-4. 1.041. 1.04-1. 1.071 1.07-1 1.211. 1.21-1. 24.0- (adjPR: 1.141 1.14-1 adjPR: 1.08- 2.984 2.98-4 1.041 1.04-1 1.07- 1.211 1.21-1 (adjPR 1.14- 2.98- 1.04- 1.21-

Resumo O objetivo do estudo foi investigar as características socioeconômicas e obstétricas de parturientes adolescentes e suas complicações sobre a saúde materna e neonatal. Trata-se de uma análise de dados da linha de base da coorte de nascimentos MINA-Brasil conduzida no município de Cruzeiro do Sul, estado do Acre. Utilizou-se teste qui-quadrado para comparar características das puérperas adolescentes com as adultas e modelos múltiplos de regressão de Poisson com variância robusta para avaliar fatores associados. Entre as puérperas estudadas, 26,2% (IC95%: 24,0-28,4) eram adolescentes. Os fatores associados ao parto na adolescência foram ter nove anos ou menos de estudo (RPaj:1,36; IC95%: 1,14-1,61), pertencer aos menores quartis do índice de riqueza (1° quartil: RPaj:1,40; IC95%: 1,08-1,80) (2° quartil: RPaj:1,37; IC95%: 1,08-1,74), ser primigesta (RPaj:3,69; IC95%: 2,98-4,57), baixo IMC pré-gestacional (RPaj:1,28; IC95%: 1,04-1,57), infecção urinária na gravidez (RPaj:1,25; IC95%: 1,07-1,46) e menos de seis consultas de pré-natal (RPaj:1,42; IC95%: 1,21-1,66). Pobreza, baixa escolaridade, primigestação, baixo IMC pré-gestacional, infecção urinária na gestação e menor número de consultas de pré-natal foram associados ao parto na adolescência em município da região Norte do Brasil. neonatal Tratase Trata se MINABrasil MINA Brasil Sul Acre Utilizouse Utilizou quiquadrado qui quadrado estudadas 262 26 2 26,2 IC95% IC95 IC (IC95% 24,028,4 240284 24,0 28,4 24 0 28 4 24,0-28,4 RPaj1,36 RPaj136 RPaj 1,36 1 36 (RPaj:1,36 1,141,61, 114161 1,14 1,61 , 14 61 1,14-1,61) 1° (1 quartil RPaj1,40 RPaj140 1,40 40 RPaj:1,40 1,081,80 108180 1,08 1,80 08 80 1,08-1,80 2° (2 RPaj1,37 RPaj137 1,37 37 RPaj:1,37 1,081,74, 108174 1,74 74 1,08-1,74) RPaj3,69 RPaj369 3,69 3 69 (RPaj:3,69 2,984,57, 298457 2,98 4,57 98 57 2,98-4,57) prégestacional pré gestacional RPaj1,28 RPaj128 1,28 (RPaj:1,28 1,041,57, 104157 1,04 1,57 04 1,04-1,57) RPaj1,25 RPaj125 1,25 25 (RPaj:1,25 1,071,46 107146 1,07 1,46 07 46 1,07-1,46 prénatal natal RPaj1,42 RPaj142 1,42 42 (RPaj:1,42 1,211,66. 121166 1,21 1,66 . 21 66 1,21-1,66) Pobreza escolaridade primigestação prégestacional, gestacional, 26, IC9 (IC95 028 24,028, 24028 240 24, 284 28, 24,0-28, RPaj1 RPaj1,3 RPaj13 136 1,3 (RPaj:1,3 141 1,141,61 11416 114 1,1 161 1,6 6 1,14-1,61 ( RPaj1,4 RPaj14 140 1,4 RPaj:1,4 081 1,081,8 10818 108 1,0 180 1,8 8 1,08-1,8 137 RPaj:1,3 1,081,74 10817 174 1,7 7 1,08-1,74 RPaj3 RPaj3,6 RPaj36 369 3,6 (RPaj:3,6 984 2,984,57 29845 298 2,9 457 4,5 9 5 2,98-4,57 RPaj1,2 RPaj12 128 1,2 (RPaj:1,2 041 1,041,57 10415 104 157 1,5 1,04-1,57 125 071 1,071,4 10714 107 146 1,07-1,4 142 (RPaj:1,4 211 1,211,66 12116 121 166 1,21-1,66 (IC9 02 24,028 2402 24,0-28 RPaj1, 13 1, (RPaj:1, 1,141,6 1141 11 16 1,14-1,6 RPaj:1, 1,081, 1081 10 18 1,08-1, 1,081,7 17 1,08-1,7 RPaj3, 3, (RPaj:3, 2,984,5 2984 29 2, 45 4, 2,98-4,5 12 1,041,5 1041 15 1,04-1,5 1,071, 1071 1,07-1, 1,211,6 1211 1,21-1,6 (IC 24,02 24,0-2 (RPaj:1 1,141, 1,14-1, RPaj:1 1,081 1,08-1 (RPaj:3 2,984, 2,98-4, 1,041, 1,04-1, 1,071 1,07-1 1,211, 1,21-1, 24,0- (RPaj: 1,141 1,14-1 RPaj: 1,08- 2,984 2,98-4 1,041 1,04-1 1,07- 1,211 1,21-1 (RPaj 1,14- 2,98- 1,04- 1,21-

https://doi.org/10.1590/1413-81232024291.02812023

15.

Diretriz Brasileira de Ergometria em População Adulta – 2024 202 20 2
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2024, Volume 121 Nº 3 elocation e20240110

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https://doi.org/10.36660/abc.20240110

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