Pesquisa | SciELO

Resumo A leucemia linfoblástica aguda (LLA) é a causa mais comum de neoplasia em idade pediátrica. Excluindo os tumores musculoesqueléticos, a LLA é uma das neoplasias mais frequentemente associadas a sintomas osteomusculares na apresentação inicial. Muitas das crianças com LLA são inicialmente referenciadas à Ortopedia, pelo que é necessário um elevado grau de suspeição para evitar o atraso do diagnóstico. Os autores relatam dois casos de crianças com diagnóstico presumível de infeção osteoarticular cuja evolução clínica levou ao diagnóstico de doença linfoproliferativa.

Abstract Acute lymphoblastic leukemia (ALL) is the most common cause of malignancy in pediatric age. With the exception of musculoskeletal tumors, ALL is one of the malignancies most commonly associated with musculoskeletal symptoms at initial presentation. Some children with ALL are initially referred to Orthopedics for diagnostic evaluation, and a high index of clinical suspicion is required to avoid diagnostic delay. The authors report two cases of children initially diagnosed with a presumed osteoarticular infection, but whose clinical evolution led to the diagnosis of lymphoproliferative disease.

https://doi.org/10.25753/birthgrowthmj.v33.i3.26515

When vitamin supplementation would make all the difference
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Carvalho, Clara Picão de

; Carmo, Filipa

; Martins, Rosa

; Matos, Eugénia

; Torres, Erica

; Rebelo, Mónica

Nascer e Crescer

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Jun 2024, Volume 33 Nº 2 Páginas 127 - 132

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

Abstract Introduction: Dietary intake is insufficient to provide adequate levels of vitamin D during the first year of life and supplementation is required. The main function of calcitriol is to regulate calcium-phosphorus metabolism. Its deficiency can lead to hypocalcemia with severe clinical manifestations. Case Report: A six-month-old melanodermic female infant, exclusively breastfed until five months of age without cholecalciferol supplementation, was admitted for respiratory distress that progressed to severe bradycardia requiring resuscitation. Cardiac ultrasound was compatible with dilated cardiomyopathy, and the girl was admitted to the Intensive Care Unit. She later developed seizures, and neuroimaging was compatible with hypoxic-ischemic encephalopathy. Laboratory studies revealed hypovitaminosis D and hypocalcemia. Replacement therapy was initiated. Due to lack of improvement and poor prognosis, palliative care was provided, and the patient eventually died. Discussion/Conclusions: Vitamin D supplementation in the first year of life is essential to prevent calcium-phosphorus metabolism disorders and secondary cardiomyopathy, cardiogenic shock, and even death.

Resumo Introdução: A alimentação é insuficiente para garantir níveis adequados de vitamina D no primeiro ano de vida, sendo necessária suplementação. A principal função do calcitriol é regular o metabolismo fosfo-cálcico. O seu défice pode resultar em hipocalcemia com manifestações clínicas graves. Caso Clínico: Uma lactente de seis meses do sexo feminino, melanodérmica, sob aleitamento materno exclusivo até aos cinco meses sem suplementação com colecalciferol, foi admitida por dificuldade respiratória que progrediu para episódios de bradicardia grave com necessidade de reanimação. O ecocardiograma mostrou miocardiopatia dilatada e a lactente foi internada na Unidade de Cuidados Intensivos. Teve vários episódios convulsivos e a avaliação neuroimagiológica foi sugestiva de encefalopatia hipóxico-isquémica. Analiticamente, tinha hipovitaminose D e hipocalcemia. Foi iniciada terapêutica de reposição, mas devido à ausência de melhoria e ao mau prognóstico, foram oferecidos cuidados paliativos e a lactente acabou por falecer. Discussão/Conclusão: A suplementação com vitamina D durante o primeiro ano de vida é essencial para prevenir alterações do metabolismo fosfo-cálcico associadas a miocardiopatia, choque cardiogénico e até morte.

https://doi.org/10.25753/birthgrowthmj.v33.i2.28345

Fasting glucose: a cardiometabolic indicator for subclinical atherosclerosis on excess weight adolescents glucose
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Medeiros, Camila M.

; Medeiros, Carla CM.

; Olinda, Ricardo A.

; Vianna, Rodrigo P.T.

; Simões, Monica O.S.

; Medeiros, Marília M.

; Carvalho, Danielle F. de

Jornal de Pediatria

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Jun 2024, Volume 100 Nº 3 Páginas 305 - 310

Resumo: En | Texto: En | PDF: En

Abstract Objective: To build a model based on cardiometabolic indicators that allow the identification of overweight adolescents at higher risk of subclinical atherosclerotic disease (SAD). Methods: Cross-sectional study involving 161 adolescents with a body mass index ≥ + 1 z-Score, aged 10 to 19 years. Carotid intima-media complex thickness (IMT) was evaluated using ultrasound to assess subclinical atherosclerotic disease. Cardiometabolic indicators evaluated included nutritional status, central adiposity, blood pressure, lipidic profile, glycemic profile, as well as age and sex. Data was presented using measures of central tendency and dispersion, as well as absolute and relative frequency. The relationship between IMT measurement (outcome variable) and other variables (independent variables) was assessed using Pearson or Spearman correlation, followed by multiple regression modeling with Gamma distribution to analyze predictors of IMT. Statistical analysis was performed using SPSS and R software, considering a significance level of 5 %. Results: It was observed that 23.7 % had Carotid thickening, and the prevalence of abnormal fasting glucose was the lowest. Age and fasting glucose were identified as predictors of IMT increase, with IMT decreasing with age by approximately 1 % per year and increasing with glucose by around 0.24 % per mg/dL. Conclusion: The adolescent at higher risk is younger with higher fasting glycemia levels. Objective SAD. SAD . (SAD) Methods Crosssectional Cross sectional 16 zScore, zScore z Score, Score z-Score years intimamedia intima media (IMT status adiposity pressure profile sex dispersion frequency outcome variable independent correlation software Results 237 23 7 23. thickening lowest increase 024 0 24 0.2 mgdL mg dL mg/dL Conclusion levels (SAD 2 02 0.

https://doi.org/10.1016/j.jped.2023.11.010

The effectiveness of parasacral transcutaneous electrical nerve stimulation in the treatment of monosymptomatic enuresis in children and adolescents: a systematic review adolescents
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Dutra, Melissa Faria

; Bessa Junior, José de

; Almeida, Emerson Coelho Luiz de

; Lima, Eleonora Moreira

; Vasconcelos, Mônica Maria de Almeida

; Mrad, Flávia Cristina de Carvalho

International braz j urol

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Abr 2024, Volume 50 Nº 2 Páginas 136 - 151

Resumo: En | Texto: En | PDF: En

ABSTRACT Background: Parasacral Transcutaneous Electrical Nerve Stimulation (PTENS) is a treatment used in enuresis refractory to first-line treatment. This review aimed to evaluate the effectiveness of PTENS in treating monosymptomatic enuresis (MNE) in children and adolescents. Methods: The study followed the Preferred Reporting Items for Systematic (PRISMA) guidelines. The search was carried out in the following databases: MEDLINE (via PubMed), Web of Science, SCOPUS, Central Cochrane Library and Physiotherapy Evidence Database (PEDro). The selected studies were randomized clinical trials (RCTs). The "Risk of Bias tool for randomized trials" and the "Risk of Bias VISualization" were used to analyze the risk of bias. Results: Of the 624 studies selected, four RCTs were eligible. Three included 146 children and adolescents aged between six and 16.3 years and used similar PTENS protocols with a frequency of 10 Hz, pulse duration of 700 µs and 20 minutes three times/week. One study enrolled 52 patients aged seven to 14 years used PTENS at home, with a pulse duration of 200 µs and 20 to 60 minutes twice/day. Risk of bias was observed in three studies due to results’ randomization and measurement. Two studies showed a partial response with a reduction in wet nights, one a complete response in 27% of patients, and one showed no improvement. Conclusion: PTENS reduces wet nights’ frequency but does not cure them, except in 27% of patients in one study. Limited RCTs and data heterogeneity are limitations. Background (PTENS firstline first line MNE (MNE Methods PRISMA (PRISMA guidelines databases via PubMed, PubMed , PubMed) Science SCOPUS PEDro. PEDro . (PEDro) RCTs. (RCTs) VISualization Results 62 eligible 163 16 3 16. 1 Hz 70 2 timesweek times week times/week 5 home 6 twiceday twice day twice/day results measurement nights 27 improvement Conclusion them limitations (PEDro (RCTs 7

https://doi.org/10.1590/s1677-5538.ibju.2023.0618

Translation, cross-cultural adaptation and validation of the Short Screening Instrument for Psychological Problems in Enuresis for use in Brazil (SSIPPE-Br) Translation crosscultural cross cultural SSIPPEBr SSIPPE Br (SSIPPE-Br
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Dias, Gláucia Cristina Medeiros

; Vasconcelos, Mônica Maria de Almeida

; Bastos Netto, José Murillo

; Miranda, Débora Marques de

; Lima, Eleonora Moreira

; Silva, Ana Cristina Simões e

; Moreira, Janaina Matos

; Mrad, Flávia Cristina de Carvalho

Jornal de Pediatria

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Abr 2024, Volume 100 Nº 2 Páginas 218 - 225

Resumo: En | Texto: En | PDF: En

Abstract Objective: Enuresis is associated with attentional and emotional comorbidities in 20 to 30 % of cases. The Short Screening Instrument for Psychological Problems in Enuresis (SSIPPE) is a questionnaire that allows the initial screening of these comorbidities. This study aimed to translate, culturally adapt, and validate the SSIPPE for Brazilian children and adolescents (SSIPPE-Br). Methods: Six steps were performed for translation and cross-cultural adaptation: translation, synthesis of translations, back-translation, preparation of the pre-final version of the translated instrument, test of comprehensibility of the pre-final version of the tool, and elaboration of the instrument cross-culturally adapted for Brazil, named 13-itens version SSIPPE-Br. To validate the SSIPPE-Br, a cross-sectional study was carried out, in which the validated Brazilian version of the Child and Adolescent Behavior Inventory (CABI) was used. Results: Validation was performed on 127 children and adolescents with a mean age of 9.7 ± 2.8 years, 48 % male. The reliability was estimated using Cronbach’s alpha, ranging from 0.86 to 0.89, indicating good internal consistency. The factorial analysis had a good agreement adjustment (KMO 0.755, Bartlett’s test < 0.001) and explained 70.5 % of the data variability. In the reproducibility analysis, the Kappa coefficient ranged from 0.94 to 1, which can be considered almost perfect. A highly significant (p-value < 0.001) and direct correlation existed between the three SSIPPE-Br domains and all evaluated CABI domains. Conclusion: The SSIPPE-Br is a valid and reliable tool for emotional problems screening and ADHD symptoms in children and adolescents with enuresis whose first language is Brazilian Portuguese. Objective 2 3 cases (SSIPPE translate adapt SSIPPEBr. SSIPPEBr Br . (SSIPPE-Br) Methods crosscultural cross cultural adaptation translations backtranslation, backtranslation back back-translation prefinal pre final crossculturally Brazil 13itens itens 13 Br. SSIPPEBr, Br, crosssectional sectional out (CABI used Results 12 97 9 7 9. 28 8 2. years 4 male Cronbachs Cronbach s alpha 086 0 86 0.8 089 89 0.89 consistency KMO 0755 755 0.755 Bartletts Bartlett 0.001 0001 001 705 70 5 70. variability 094 94 0.9 1 perfect pvalue p value Conclusion Portuguese (SSIPPE-Br 08 0. 075 75 0.75 0.00 000 00 09 07 0.7 0.0

https://doi.org/10.1016/j.jped.2023.11.001

Análise do desempenho dos serviços de saúde em um grupo de municípios vulneráveis
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Carvalho, Carolina de Campos

; Viacava, Francisco

; Oliveira, Ricardo Antunes Dantas de

; Martins, Mônica

Ciência & Saúde Coletiva

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2024, Volume 29 Nº 7 elocation e03202024

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

Abstract This work was a descriptive study that analyzed the performance of health services in 112 municipalities (g100) characterized by more than 80,000 inhabitants, low public revenue, and socioeconomic vulnerability. Based on the Projeto de Avaliação de Desempenho do Sistema de Saúde, 31 indicators of funding, resources, access, effectiveness, acceptability, and appropriateness were selected for the period of 2017-2020, and were compared to the variations of each year’s indicators year on year. In 2020, an increase in funding, especially SUS transfers (31.6%), was observed. The availability of hospital beds had been decreasing between 2017 and 2019, but began to increase again in 2020; likewise, the availability of health professionals also showed a slight increase. A decline was observed in cervical and breast cancer screening exams of nearly 40% (2020), as well as a decrease in surgical procedures, such as cataracts and angioplasties. The hospitalizations due to conditions manageable by primary care were 15.8% in 2020, 14.1% lower than in 2019. A 55.8% increase in mortality due to diabetes and greater tuberculosis treatment non-adherence was also observed. The pandemic context calls for caution when interpreting results, which highlight access barriers and postponements of proper health care.

Resumo Estudo descritivo que analisou o desempenho dos serviços de saúde de um grupo de 112 municípios denominado g100 caracterizado por mais de 80 mil habitantes, baixa receita pública e vulnerabilidade socioeconômica. Do Projeto de Avaliação de Desempenho do Sistema de Saúde, foram selecionados 31 indicadores de financiamento, recursos, acesso, efetividade, aceitabilidade e adequação, para o período 2017-2020, e comparadas variações de cada ano em relação ao anterior. Em 2020, houve aumento no aporte financeiro, especialmente por transferências SUS (31,6%). A disponibilidade de leitos vinha decaindo entre 2017 e 2019, aumentou em 2020 e a oferta de profissionais de saúde apresentou leve aumento. Houve redução nos exames de rastreamento de câncer de colo do útero e mama de quase 40% (2020), e reduções de internações cirúrgicas, como cataratas e angioplastias. O percentual de internações por condições sensíveis à atenção primária foi 15,8% em 2020, 14,1% menor do que em 2019. Houve aumento de 55,8% na mortalidade por diabetes e maior abandono do tratamento de tuberculose. O contexto pandêmico exige cautela na interpretação de resultados, que apontam para barreiras de acesso e postergação na prestação de cuidados.

https://doi.org/10.1590/1413-81232024297.03202024

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

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.

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,

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

Diretriz Brasileira sobre a Saúde Cardiovascular no Climatério e na Menopausa – 2024 202 20 2
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Oliveira, Gláucia Maria Moraes de

; Almeida, Maria Cristina Costa de

; Arcelus, Carolina María Artucio

; Neto Espíndola, Larissa

; Rivera, Maria Alayde Mendonça

; Silva-Filho, Agnaldo Lopes da

; Marques-Santos, Celi

; Fernandes, César Eduardo

; Albuquerque, Carlos Japhet da Matta

; Freire, Claudia Maria Vilas

; Izar, Maria Cristina de Oliveira

; Costa, Maria Elizabeth Navegantes Caetano

; Castro, Marildes Luiza de

; Lemke, Viviana de Mello Guzzo

; Lucena, Alexandre Jorge Gomes de

; Brandão, Andréa Araujo

; Macedo, Ariane Vieira Scarlatelli

; Polanczyk, Carisi Anne

; Lantieri, Carla Janice Baister

; Nahas, Eliana Petri

; Alexandre, Elizabeth Regina Giunco

; Campana, Erika Maria Gonçalves

; Bragança, Érika Olivier Vilela

; Colombo, Fernanda Marciano Consolim

; Barbosa, Imara Correia de Queiroz

; Rivera, Ivan Romero

; Kulak, Jaime

; Moura, Lidia Ana Zytynski

; Pompei, Luciano de Mello

; Baccaro, Luiz Francisco Cintra

; Barbosa, Marcia Melo

; Rodrigues, Marcio Alexandre Hipólito

; Albernaz, Marco Aurelio

; Decoud, Maria Sotera Paniagua de

; Paiva, Maria Sanali Moura de Oliveira

; Sanchez-Zambrano, Martha Beatriz

; Campos, Milena dos Santos Barros

; Acevedo, Monica

; Ramirez, Monica Susana

; Souza, Olga Ferreira de

; Medeiros, Orlando Otávio de

; Carvalho, Regina Coeli Marques de

; Machado, Rogerio Bonassi

; Silva, Sheyla Cristina Tonheiro Ferro da

; Rodrigues, Thais de Carvalho Vieira

; Avila, Walkiria Samuel

; Costa-Paiva, Lucia Helena Simões da

; Wender, Maria Celeste Osorio

Arquivos Brasileiros de Cardiologia

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2024, Volume 121 Nº 7 elocation e20240478

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

https://doi.org/10.36660/abc.20240478

10.

MODELING ABOVEGROUND CARBON STOCK UNDER THE FOREST CANOPY INFLUENCE
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Gomide, Lucas Rezende

; Páscoa, Kalill José Viana da

; Silva, Caio Eduardo Vieira Alcantara

; Miranda, Evandro Nunes

; Carvalho, Mônica Canaan

; Scolforo, José Roberto Soares

; Mello, Carlos Rogerio de

Revista Árvore

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2024, Volume 48 elocation e4826

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

RESUMO A dominância, tamanho e posição sociológica das espécies arbóreas são aspectos cruciais para os padrões naturais das florestas, fornecendo informações de grande relevância. Esses padrões podem ser influenciados por uma série de fatores. Assim, o objetivo deste estudo foi avaliar o uso de variáveis espectrais, hidrológicas e geográficas para estimar o estoque de carbono acima do solo (AGC) em quatro estratos de dossel definidos por percentis diamétricos em um remanescente de Mata Atlântica brasileira. Utilizamos técnicas de aprendizado de máquina (Random Forest - RF + Algoritmo Genético - GA) e Regressão Linear Múltipla (MLR) para modelar o AGC. Nossos resultados indicam uma alta variação nos valores de AGC nas parcelas, variando de 0,37 a 467,71 MgC.ha-1, com média de 77,4 MgC.ha-1. Os conjuntos formados por árvores nos percentis 30, 60 e 90 contribuíram, respectivamente, com 97,32%, 87,74% e 52,02% do AGC total. As variáveis espectrais e hidrológicas se associam à área basal para explicar o estoque de AGC. Nossas descobertas comprovam a eficácia de ambos os métodos na obtenção de estimativas precisas de carbono e na geração de um conjunto de dados otimizado. Árvores no percentil 30 representam uma parte menor do AGC total, e a remoção dessas árvores não interfere na relação entre AGC e variáveis espectrais. dominância florestas relevância fatores Assim (AGC brasileira Random GA MLR (MLR parcelas 037 0 37 0,3 46771 467 71 467,7 MgC.ha1, MgCha1 MgCha MgC.ha 1, MgC ha 1 MgC.ha-1 774 77 4 77, MgC.ha1. 1. 6 9 contribuíram respectivamente 9732 97 32 97,32% 8774 87 74 87,74 5202 52 02 52,02 total otimizado 3 03 0, 4677 46 7 467, ha1 MgC.ha1 MgC.ha- 973 97,32 877 8 87,7 520 5 52,0 97,3 87, 52, 97,

ABSTRACT The dominance, size, and sociological position of tree species are essential components of natural forest patterns, providing critical information for understandinh forest dynamics. These patterns can be influenced by a variety of factors. This study aimed to evaluate the effectiveness of using spectral, hydrological, and geographical variables to estimate aboveground carbon stock (AGC) across four canopy strata, defined by diametric percentiles, in a Brazilian Atlantic Forest remnant. Our methodology, which employed machine learning techniques (Random Forest - RF + Genetic Algorithm - GA) and Multiple Linear Regression (MLR) to model AGC, proved to be highly efficient, as evidenced by our results. We observed a wide range of AGC values, from 0.37 to 467.71 MgC.ha-1, with an average of 77.4 MgC.ha-1. Trees in the 30th, 60th, and 90th percentiles contributed, respectively, 97.32%, 87.74%, and 52.02% of the total AGC. Spectral and hydrological variables combined with basal area explain AGC stock. Our findings demonstrate the robustness of machine learning techniques and MLR methods in obtaining accurate carbon estimates and generating an optimized dataset. Trees within the 30th percentile represent a smaller portion of the total AGC, and their removal does not interfere with the relationship between AGC and spectral variables. dominance size dynamics factors (AGC strata remnant methodology Random GA (MLR efficient results values 037 0 37 0.3 46771 467 71 467.7 MgC.ha1, MgCha1 MgCha MgC.ha 1, MgC ha 1 MgC.ha-1 774 77 4 77. MgC.ha1. 1. th 60th contributed respectively 9732 97 32 97.32% 8774 87 74 87.74% 5202 52 02 52.02 dataset 03 3 0. 4677 46 7 467. ha1 MgC.ha1 MgC.ha- 973 9 97.32 877 8 87.74 520 5 52.0 97.3 87.7 52. 97. 87.

https://doi.org/10.53661/1806-9088202448263778

11.

INOVAÇÃO NA EDUCAÇÃO? EXPERIÊNCIAS E CONTROVÉRSIAS EDUCAÇÃO
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Kassar, Monica de Carvalho Magalhães

; Oliveira, Regina Tereza Cestari de

Cadernos CEDES

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2024, Volume 44 Nº 123 Páginas 134 - 140

Resumo: Pt | Texto: Pt | PDF: Pt

https://doi.org/10.1590/cc273159

12.

Low grip strength and gait speed as markers of dependence regarding basic activities of daily living: the FIBRA study living
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Marincolo, Juliana Carvalho Segato

; Assumpção, Daniela de

; Santimaria, Mariana Reis

; Aprahamian, Ivan

; Yassuda, Mônica Sanches

; Neri, Anita Liberalesso

; Corona, Ligiana Pires

; Borim, Flávia Silva Arbex

einstein (São Paulo)

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2024, Volume 22 elocation eAO0637

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective To determine whether low muscle strength and low gait speed increase the risk of disability related to basic activities of daily living in community-dwelling older adults. Methods A longitudinal study (9 years of follow-up) was conducted with 390 older adults who were independent in basic activities of daily living at baseline and answered the Katz Index at follow-up. Associations were determined using Pearson’s χ2 test with a 5% significance level and logistic regression analysis. Results Increases in prevalence between baseline and follow-up were observed for low muscle strength (17.5%-38.2%), slow gait speed (26.0%-81.1%), and functional dependence (10.8%-26.6%). At follow-up, 11.7% of the participants had concomitant functional dependence, slow gait speed, and low muscle strength. Slow gait speed remained a predictor of dependence in basic activities of daily living (odds ratio=1.90; 95% confidence interval=1.06-3.41). Conclusion Slow gait speed is a predictor of functional dependence, constituting an important variable for screening functional decline. communitydwelling community dwelling 9 ( followup follow up 39 followup. up. Pearsons Pearson s χ 5 analysis 17.5%38.2%, 175382 17.5% 38.2% , 17 38 2 (17.5%-38.2%) 26.0%81.1%, 260811 26.0% 81.1% 26 0 81 1 (26.0%-81.1%) 10.8%26.6%. 108266 10.8% 26.6% . 10 8 6 (10.8%-26.6%) followup, up, 117 11 7 11.7 odds ratio=1.90 ratio190 ratio 90 95 interval=1.063.41. interval106341 interval interval=1.06 3.41 06 3 41 interval=1.06-3.41) decline 17.5%38.2% 17538 175 17.5 382 38.2 (17.5%-38.2% 26.0%81.1% 26081 260 26.0 811 81.1 (26.0%-81.1% 10.8%26.6% 10826 108 10.8 266 26.6 (10.8%-26.6% 11. ratio=1.9 ratio19 063 interval=1.063.41 interval10634 interval106 interval=1.0 341 3.4 4 interval=1.06-3.41 17.5%38.2 1753 17. 38. (17.5%-38.2 26.0%81.1 2608 26. 81. (26.0%-81.1 10.8%26.6 1082 10. (10.8%-26.6 ratio=1. ratio1 interval=1.063.4 interval1063 interval10 interval=1. 34 3. interval=1.06-3.4 17.5%38. (17.5%-38. 26.0%81. (26.0%-81. 10.8%26. (10.8%-26. ratio=1 interval=1.063. interval1 interval=1 interval=1.06-3. 17.5%38 (17.5%-38 26.0%81 (26.0%-81 10.8%26 (10.8%-26 ratio= interval=1.063 interval= interval=1.06-3 17.5%3 (17.5%-3 26.0%8 (26.0%-8 10.8%2 (10.8%-2 interval=1.06- (17.5%- (26.0%- (10.8%- (17.5% (26.0% (10.8% (17.5 (26.0 (10.8 (17. (26. (10. (17 (26 (10 (1 (2

https://doi.org/10.31744/einstein_journal/2024ao0637

13.

Análise do desempenho dos serviços de saúde em um grupo de municípios vulneráveis
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Carvalho, Carolina de Campos

; Viacava, Francisco

; Oliveira, Ricardo Antunes Dantas de

; Martins, Mônica

Ciência & Saúde Coletiva

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2024, Volume 29 Nº 7 elocation e03202024

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

https://doi.org/10.1590/1413-81232024297.03202024

14.

Sedation and its Potential Risks in Children with Autism Spectrum Due to Drug Overlaps: A Critical Review Overlaps
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Alonso, Herculano Ramirez Floro

; Heimer, Mônica Vilela

; Calado, Rafael Vrijdags

; Silva, João Victor Farias da

; Lins, Renata Matos Lamenha

; Romão, Dayse Andrade

; Pugliesi, Daniela Maria Carvalho

; Santos Junior, Valdeci Elias dos

Pesquisa Brasileira em Odontopediatria e Clínica Integrada

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2024, Volume 24 elocation e220170

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective: To analyse pharmacological overlap in patients with autism spectrum disorder (ASD) under conscious sedation in a dental office environment, identifying any potential risks and complications. Material and Methods: A critical review was conducted by selecting articles from online databases (Pubmed and Lilacs), using a search algorithm and eligibility criteria. The Medscape® platform was used to verify interactions between drugs commonly used by patients with ASD and medications used for sedation in paediatric dentistry. Results: Due to their polydrug use, children with ASD are at risk of complications, namely Serotonin Syndrome (SS), Neuroleptic Malignant Syndrome (NMS), increase or decrease of the QT interval (QTi) and Torsade de Pointes (TdP), due to pre-existence of metabolic syndrome, deepening the sedation level or even leading to a decrease in the sedative capacity of the drugs used. Conclusion: It is essential to assess better drug interaction in ASD patients submitted to sedation. The severity of the disorder and the need for sedation for dental treatment are directly proportional. However, increases in sedative doses tend to increase risks and complications in children with ASD. Objective (ASD environment Methods Pubmed Lilacs, Lilacs , Lilacs) criteria Medscape dentistry Results use SS, SS (SS) NMS, NMS (NMS) QTi (QTi TdP, TdP (TdP) preexistence pre existence syndrome Conclusion proportional However (SS (NMS (TdP

https://doi.org/10.1590/pboci.2024.053

15.

Aquatic therapy in congenital malformation during the use of external fixator for bone lengthening: It is possible? lengthening possible
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Castro, Caio Roberto Aparecido de Paschoal

; Kakihata, Alessandra Mitie

; Barros, Carla Borges Fleuri de

; Gonçalves, Monica

; Souza, Beatriz Carvalho de

; Silva, Larissa Soares da

; Braga, Douglas Martins

Clinics

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2024, Volume 79 elocation 100416

Resumo: En | Texto: En | PDF: En

Abstract Objectives: The objective of this study is to describe the rehabilitation of individuals with Congenital Malformations (CMF) during the use of an External Fixator (EF) in Aquatic Therapy (AT) and to analyze the association between diagnosis, EF type and location with rehabilitation process outcomes, surgical intervention, and adverse effects. Methods: This retrospective study included 29 medical records from which the personal and rehabilitation data of the patient were collected. The AT used was described and the outcome variables were associated. The medical records were selected by screening the database of the CMF clinic at the AACD. The inclusion criteria were participants with CMF who used EF treated between 2011 and 2019 of both genders and without age restriction. The exclusion criteria were incomplete medical record data or not undergoing AT while using EF. The extracted data included diagnosis, gender, age, EF type and location, objective of the surgery, adverse events, surgical interventions, time of rehabilitation in AT, physiotherapeutic objectives, and rehabilitation process outcomes in AT. Results: The mean age of the participants was 12.1 ± 3.99 years, with male predominance (55 %) and hemimelia cases (37 %). The most used EF was circular (51 %), located in the femur (37 %), and the main objective of surgery was bone lengthening (52 %). The most recurrent adverse effect was infection (62 %) and 76 % completed AT. There was no association between the variables analyzed. Conclusions: It was possible to describe CMF rehabilitation with EF in AT. There was no association between the variables analyzed. Objectives (CMF (EF (AT diagnosis intervention effects Methods 2 collected associated AACD 201 restriction gender events interventions objectives Results 121 12 1 12. 399 3 99 3.9 years 55 (5 37 (3 %. . 51 %, , 52 62 (6 7 analyzed Conclusions 20 39 9 3. 5 ( 6

https://doi.org/10.1016/j.clinsp.2024.100416

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