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Instructional material on the management of altered speech related to velopharyngeal dysfunction
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Dutka, Jeniffer de Cássia Rillo
; Prearo, Gabriela Aparecida
; Polzin, Ana Caroline Zentil
; Corrêa, Camila de Castro
; Pegoraro-Krook, Maria Inês
; Maximino, Luciana Paula
.
ABSTRACT Purpose: to develop and evaluate an instructional material addressing steps and strategies in speech-language therapy for the treatment of speech disorders related to velopharyngeal dysfunction (VPD). Methods: a research taking place in three phases: 1) Planning and development of the material; 2) Evaluation of the material by speech-language therapists; and 3) Application of the material to undergraduate students of Speech-Language Therapy followed by an assessment of their understanding of the topic before and after viewing the material. Inferential statistics were presented by applying the Wilcoxon test to compare responses before and after exposure to the material, considering the level of significance less than or equal to p<0.05. Results: the content of the modules included: Velopharyngeal function during speech and VPD; Velopharyngeal sufficiency; Training of “modified breath and plosion” in speech; Training with sounds; and Tips for conducting speech-language therapy. In the second phase, five speech-language therapists evaluated the material from satisfactory to excellent, making suggestions that helped to improve it. As to the third phase, the average percentage of correct answers presented a significant increase of 23% after the students viewed the material (p=<0.001). Conclusion: the instructional material had its content and format evaluated from satisfactory to excellent by professionals; viewing by undergraduate students of Speech-Language Therapy increased their knowledge on the subject. Purpose speechlanguage language VPD. VPD . (VPD) Methods phases 1 2 3 SpeechLanguage Speech Language p005 p 0 05 p<0.05 Results included sufficiency modified plosion sounds phase it 23 p=<0.001. p0001 p=<0.001 001 (p=<0.001) Conclusion professionals subject (VPD p00 p<0.0 p000 p=<0.00 00 (p=<0.001 p0 p<0. p=<0.0 (p=<0.00 p<0 p=<0. (p=<0.0 p< p=<0 (p=<0. p=< (p=<0 p= (p=< (p= (p
2.
Soil loss and runoff in southern Brazil in conservation systems: a long-term experiment systems longterm long term
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Dambros, Liana
; Lima, Luciana da Silva Corrêa
; Barros, Claudia Alessandra Peixoto de
; Cassol, Elemar Antonino
.
ABSTRACT. Brazil has high soil loss rates due to its tropical and subtropical climate characteristics. In this sense, soil use and management practices may minimize such losses. In this study, experimental plots were monitored for eight years in southern Brazil during natural rainfall events. Treatments were as follows: I) bare soil under conventional tillage, II) barley-oat/ soybeans succession under conventional tillage, III) oat-lupine-vetch/ maize succession under conventional tillage, IV) barley-oat/ soybeans succession under no-tillage, and V) oat-lupine-vetch/ maize succession under no-tillage. Data on rainfall amount and erosivity indices (EI30, EI20, and EI10) were subjected to regression analyses, evaluating the effects of climatic variables on soil and water losses. We could also analyze crop species, conventional and no-tillage systems, and winter and summer seasons. The highest soil and water losses occurred in treatments under conventional tillage. In addition, soybeans treatments increased soil and water losses. Maize under no-tillage was the most efficient practice, as it had soil losses (3.4 times) and water losses (1.5 times) lower than soybeans under conventional tillage. Rainfall amounts and EI30 were better correlated with soil and water losses in conventional tillage treatments. However, EI10 could better explain the soil losses from the conservationist treatment. ABSTRACT characteristics sense study events follows I II barleyoat/ barleyoat barley oat/ oat barley-oat III oatlupinevetch/ oatlupinevetch lupine vetch/ vetch oat-lupine-vetch IV notillage, notillage no V notillage. EI30, EI (EI30 EI20 analyses species systems seasons addition practice 3.4 34 3 4 (3. times 1.5 15 1 5 (1. EI3 However EI1 treatment (EI3 EI2 3. (3 1. (1 (EI (
3.
Tolerância à dessecação de sementes de Butia eriospatha (Mart. Ex Drude) Becc. Mart. Mart (Mart Drude Becc
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Dambros, Vanessa Giseli
; Lopes, Betel Cavalcante
; Corrêa, Bruno Jan Schramm
; Sá, Alexandra Cristina Schatz
; Soares, Carolina Rafaela Barroco
; Flores, Andressa Vasconcelos
; Oliveira, Luciana Magda
.
RESUMO Os baixos valores de germinação encontrados na literatura para Butia eriospatha podem ser reflexo da fisiologia das sementes da espécie, que além de apresentarem dormência podem ter comportamento recalcitrante em relação à secagem e ao armazenamento. Diante disso, objetivou-se com o trabalho classificar as sementes da espécie quanto à tolerância à dessecação, utilizando métodos de secagem rápida e lenta, e definir os teores de água crítico e letal. As sementes foram coletadas em Lages/SC, beneficiadas e imediatamente foi realizado teste de viabilidade (teste de tetrazólio) e determinado o teor de água. As sementes foram submetidas ao protocolo proposto por Hong e Ellis (1996), com adaptações em relação aos métodos de secagem. Foram usadas secagens por métodos rápidos (estufa e sílica gel) e lento (cloreto de magnésio). Foram definidas, ainda, as umidades crítica e letal, por meio de secagem lenta a teores de 18%, 16%, 14%, 12% e 10%. Conclui-se que as sementes de Butia eriospatha são classificadas como recalcitrantes, e os valores de umidade próximos a 14% como crítico e a 10% como letal. armazenamento disso objetivouse objetivou se dessecação letal LagesSC Lages SC Lages/SC tetrazólio 1996, 1996 , (1996) estufa gel cloreto magnésio. magnésio . magnésio) definidas ainda 18 18% 16 16% 14 12 10 Concluise Conclui recalcitrantes 199 (1996 1 19 (199 (19 (1 (
ABSTRACT The low germination values found in the literature for Butia eriospatha may reflect the physiology of the specie's seeds, which, in addition to having dormancy, may have a recalcitrant behavior in relation to drying and storage. Therefore, the objective of this work was to classify the seeds as to desiccation tolerance, using fast and slow drying methods, and to define the critical and lethal water contents. Seeds were collected in Lages/SC, processed and immediately tested for viability (tetrazolium test) and water content determined. The seeds were submitted to the protocol proposed by Hong and Ellis (1996), with adaptations in relation to the drying methods. Drying by fast (oven and silica gel) and slow (Magnesium Chloride) methods were used. The critical and lethal moistures were also defined by means of slow drying (Magnesium Chloride) at levels of 18%, 16%, 14%, 12% and 10%. It is concluded that Butia eriospatha seeds are classified as recalcitrant, and moisture values close to 14% as critical and 10% as lethal. species specie s which dormancy storage Therefore tolerance contents LagesSC Lages SC Lages/SC tetrazolium test determined 1996, 1996 , (1996) oven gel Magnesium Chloride used 18 18% 16 16% 14 12 10 199 (1996 1 19 (199 (19 (1 (
4.
Lung cancer screening in Brazil: recommendations from the Brazilian Society of Thoracic Surgery, Brazilian Thoracic Association, and Brazilian College of Radiology and Diagnostic Imaging Brazil Surgery Association
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Pereira, Luiz Fernando Ferreira
; Santos, Ricardo Sales dos
; Bonomi, Daniel Oliveira
; Franceschini, Juliana
; Santoro, Ilka Lopes
; Miotto, André
; Sousa, Thiago Lins Fagundes de
; Chate, Rodrigo Caruso
; Hochhegger, Bruno
; Gomes Neto, Artur
; Schneider, Airton
; Araújo Neto, César Augusto de
; Escuissato, Dante Luiz
; Prado, Gustavo Faibischew
; Costa-Silva, Luciana
; Zamboni, Mauro Musa
; Ghefter, Mario Claudio
; Corrêa, Paulo César Rodrigues Pinto
; Torres, Pedro Paulo Teixeira e Silva
; Mussi, Ricardo Kalaf
; Muglia, Valdair Francisco
; Godoy, Irma de
; Bernardo, Wanderley Marques
.
RESUMO O câncer de pulmão (CP) é uma das neoplasias mais comuns e letais no Brasil, e apenas 15% dos pacientes são diagnosticados nos estágios iniciais. O tabagismo persiste como o responsável por mais de 85% de todos os casos. O rastreamento do CP (RCP) por meio da TC de baixa dosagem de radiação (TCBD) reduz a mortalidade do CP em 20%, e, quando combinado com a cessação do tabagismo, essa redução chega a 38%. Na última década, diversos países adotaram o RCP como recomendação de saúde populacional. No Brasil, embora ainda incipiente, a discussão sobre o tema é cada vez mais ampla e necessária. Com o intuito de aumentar o conhecimento e estimular o debate sobre o RCP, a Sociedade Brasileira de Cirurgia Torácica, a Sociedade Brasileira de Pneumologia e Tisiologia e o Colégio Brasileiro de Radiologia e Diagnóstico por Imagem constituíram um painel de especialistas para elaborar as recomendações para o RCP. As recomendações aqui apresentadas foram baseadas em revisão narrativa da literatura, com ênfase em grandes estudos populacionais, em revisões sistemáticas e em recomendações de diretrizes internacionais, sendo construídas após ampla discussão pelo grupo de especialistas. Os temas revisados foram os seguintes: porque rastrear, considerações gerais sobre tabagismo, epidemiologia do CP, critérios de elegibilidade, achados incidentais, lesões granulomatosas, modelos probabilísticos, requisitos mínimos da TCBD, aquisições volumétricas, riscos do rastreamento, estrutura mínima e papel da equipe multidisciplinar, conduta segundo o Lung CT Screening Reporting and Data System (Lung-RADS), custos vs. benefícios e perspectivas do rastreamento. (CP Brasil 15 iniciais 85 casos (RCP TCBD (TCBD 20 20% 38 38% década populacional incipiente necessária Torácica literatura populacionais internacionais seguintes rastrear elegibilidade incidentais granulomatosas probabilísticos volumétricas multidisciplinar LungRADS, LungRADS RADS , (Lung-RADS) vs 1 8 2 3 (Lung-RADS
ABSTRACT Although lung cancer (LC) is one of the most common and lethal tumors, only 15% of patients are diagnosed at an early stage. Smoking is still responsible for more than 85% of cases. Lung cancer screening (LCS) with low-dose CT (LDCT) reduces LC-related mortality by 20%, and that reduction reaches 38% when LCS by LDCT is combined with smoking cessation. In the last decade, a number of countries have adopted population-based LCS as a public health recommendation. Albeit still incipient, discussion on this topic in Brazil is becoming increasingly broad and necessary. With the aim of increasing knowledge and stimulating debate on LCS, the Brazilian Society of Thoracic Surgery, the Brazilian Thoracic Association, and the Brazilian College of Radiology and Diagnostic Imaging convened a panel of experts to prepare recommendations for LCS in Brazil. The recommendations presented here were based on a narrative review of the literature, with an emphasis on large population-based studies, systematic reviews, and the recommendations of international guidelines, and were developed after extensive discussion by the panel of experts. The following topics were reviewed: reasons for screening; general considerations about smoking; epidemiology of LC; eligibility criteria; incidental findings; granulomatous lesions; probabilistic models; minimum requirements for LDCT; volumetric acquisition; risks of screening; minimum structure and role of the multidisciplinary team; practice according to the Lung CT Screening Reporting and Data System; costs versus benefits of screening; and future perspectives for LCS. LC (LC tumors 15 stage 85 cases (LCS lowdose low dose (LDCT LCrelated related 20 20% 38 cessation decade populationbased population recommendation incipient necessary Surgery Association literature studies reviews guidelines reviewed criteria findings lesions models acquisition team System 1 8 2 3
5.
Use of electrical impedance tomography to set positive end-expiratory pressure in a pediatric patient with severe acute respiratory distress syndrome endexpiratory end expiratory
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Frade, Marcela Lopes
; Vale, Luciana Assis Pires Andrade
; Corrêa, Letícia Candançan
; Rossi, Felipe de Souza
; Terra, Celso de Moraes
; Colleti Junior, José
.
6.
Postoperative intensive care allocation and mortality in high-risk surgical patients: evidence from a low- and middle-income country cohort highrisk high risk patients low middleincome middle income
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Stahlschmidt, Adriene
; Passos, Sávio Cavalcante
; Cardoso, Guilherme Roloff
; Schuh, Gabriela Jungblut
; Silva Neto, Paulo Corrêa da
; Castro, Stela Maris de Jezus
; Stefani, Luciana Cadore
.
Abstract Background The escalation of surgeries for high-risk patients in Low- and Middle-Income Countries (LMICs) lacks evidence on the positive impact of Intensive Care Unit (ICU) admission and lacks universal criteria for allocation. This study explores the link between postoperative ICU allocation and mortality in high-risk patients within a LMIC. Additionally, it assesses the Ex-Care risk model's utility in guiding postoperative allocation decisions. Methods A secondary analysis was conducted in a cohort of high-risk surgical patients from a 800-bed university-affiliated teaching hospital in Southern Brazil (July 2017 to January 2020). Inclusion criteria encompassed 1431 inpatients with Ex-Care Model-assessed all-cause postoperative 30-day mortality risk exceeding 5%. The study compared 30-day mortality outcomes between those allocated to the ICU and the Postanesthetic Care Unit (PACU). Outcomes were also assessed based on Ex-Care risk model classes. Results Among 1431 high-risk patients, 250 (17.47%) were directed to the ICU, resulting in 28% in-hospital 30-day mortality, compared to 8.9% in the PACU. However, ICU allocation showed no independent effect on mortality (RR = 0.91; 95% CI 0.68‒1.20). Patients in the highest Ex-Care risk class (Class IV) exhibited a substantial association with mortality (RR = 2.11; 95% CI 1.54-2.90) and were more frequently admitted to the ICU (23.3% vs. 13.1%). Conclusion Patients in the highest Ex-Care risk class and those with complications faced elevated mortality risk, irrespective of allocation. Addressing the unmet need for adaptable postoperative care for high-risk patients outside the ICU is crucial in LMICs. Further research is essential to refine criteria and elucidate the utility of risk assessment tools like the Ex-Care model in assisting allocation decisions. highrisk high Low MiddleIncome Middle Income LMICs (LMICs (ICU LMIC Additionally ExCare Ex models s decisions 800bed bed 800 universityaffiliated university affiliated July 201 2020. 2020 . 2020) 143 Modelassessed Model allcause all cause 30day day 30 5 5% PACU (PACU) classes 25 17.47% 1747 17 47 (17.47% 28 inhospital 89 8 9 8.9 However RR 0.91 091 0 91 95 0.68‒1.20. 068120 0.68‒1.20 68 1 20 0.68‒1.20) Class IV 2.11 211 2 11 1.542.90 154290 1.54 2.90 54 90 1.54-2.90 23.3% 233 23 3 (23.3 vs 13.1%. 131 13.1% 13 13.1%) 80 202 14 (PACU 17.47 174 4 (17.47 8. 0.9 09 06812 0.68‒1.2 6 2.1 21 542 1.542.9 15429 154 1.5 290 2.9 1.54-2.9 23.3 (23. 13.1 17.4 (17.4 0. 0681 0.68‒1. 2. 1.542. 1542 15 1. 29 1.54-2. 23. (23 13. 17. (17. 068 0.68‒1 1.542 1.54-2 (2 (17 06 0.68‒ 1.54- ( (1 0.68 0.6
7.
Catálogo Taxonômico da Fauna do Brasil: Setting the baseline knowledge on the animal diversity in Brazil Brasil
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Boeger, Walter A.
; Valim, Michel P.
; Zaher, Hussam
; Rafael, José A.
; Forzza, Rafaela C.
; Percequillo, Alexandre R.
; Serejo, Cristiana S.
; Garraffoni, André R.S.
; Santos, Adalberto J.
; Slipinski, Adam
; Linzmeier, Adelita M.
; Calor, Adolfo R.
; Garda, Adrian A.
; Kury, Adriano B.
; Fernandes, Agatha C.S.
; Agudo-Padrón, Aisur I.
; Akama, Alberto
; Silva Neto, Alberto M. da
; Burbano, Alejandro L.
; Menezes, Aleksandra
; Pereira-Colavite, Alessandre
; Anichtchenko, Alexander
; Lees, Alexander C.
; Bezerra, Alexandra M.R.
; Domahovski, Alexandre C.
; Pimenta, Alexandre D.
; Aleixo, Alexandre L.P.
; Marceniuk, Alexandre P.
; Paula, Alexandre S. de
; Somavilla, Alexandre
; Specht, Alexandre
; Camargo, Alexssandro
; Newton, Alfred F.
; Silva, Aline A.S. da
; Santos, Aline B. dos
; Tassi, Aline D.
; Aragão, Allan C.
; Santos, Allan P.M.
; Migotto, Alvaro E.
; Mendes, Amanda C.
; Cunha, Amanda
; Chagas Júnior, Amazonas
; Sousa, Ana A.T. de
; Pavan, Ana C.
; Almeida, Ana C.S.
; Peronti, Ana L.B.G.
; Henriques-Oliveira, Ana L.
; Prudente, Ana L.
; Tourinho, Ana L.
; Pes, Ana M.O.
; Carmignotto, Ana P.
; Wengrat, Ana P.G. da Silva
; Dornellas, Ana P.S.
; Molin, Anamaria Dal
; Puker, Anderson
; Morandini, André C.
; Ferreira, André da S.
; Martins, André L.
; Esteves, André M.
; Fernandes, André S.
; Roza, André S.
; Köhler, Andreas
; Paladini, Andressa
; Andrade, Andrey J. de
; Pinto, Ângelo P.
; Salles, Anna C. de A.
; Gondim, Anne I.
; Amaral, Antonia C.Z.
; Rondón, Antonio A.A.
; Brescovit, Antonio
; Lofego, Antônio C.
; Marques, Antonio C.
; Macedo, Antonio
; Andriolo, Artur
; Henriques, Augusto L.
; Ferreira Júnior, Augusto L.
; Lima, Aurino F. de
; Barros, Ávyla R. de A.
; Brito, Ayrton do R.
; Romera, Bárbara L.V.
; Vasconcelos, Beatriz M.C. de
; Frable, Benjamin W.
; Santos, Bernardo F.
; Ferraz, Bernardo R.
; Rosa, Brunno B.
; Sampaio, Brunno H.L.
; Bellini, Bruno C.
; Clarkson, Bruno
; Oliveira, Bruno G. de
; Corrêa, Caio C.D.
; Martins, Caleb C.
; Castro-Guedes, Camila F. de
; Souto, Camilla
; Bicho, Carla de L.
; Cunha, Carlo M.
; Barboza, Carlos A. de M.
; Lucena, Carlos A.S. de
; Barreto, Carlos
; Santana, Carlos D.C.M. de
; Agne, Carlos E.Q.
; Mielke, Carlos G.C.
; Caetano, Carlos H.S.
; Flechtmann, Carlos H.W.
; Lamas, Carlos J.E.
; Rocha, Carlos
; Mascarenhas, Carolina S.
; Margaría, Cecilia B.
; Waichert, Cecilia
; Digiani, Celina
; Haddad, Célio F.B.
; Azevedo, Celso O.
; Benetti, Cesar J.
; Santos, Charles M.D. dos
; Bartlett, Charles R.
; Bonvicino, Cibele
; Ribeiro-Costa, Cibele S.
; Santos, Cinthya S.G.
; Justino, Cíntia E.L.
; Canedo, Clarissa
; Bonecker, Claudia C.
; Santos, Cláudia P.
; Carvalho, Claudio J.B. de
; Gonçalves, Clayton C.
; Galvão, Cleber
; Costa, Cleide
; Oliveira, Cléo D.C. de
; Schwertner, Cristiano F.
; Andrade, Cristiano L.
; Pereira, Cristiano M.
; Sampaio, Cristiano
; Dias, Cristina de O.
; Lucena, Daercio A. de A.
; Manfio, Daiara
; Amorim, Dalton de S.
; Queiroz, Dalva L. de
; Queiroz, Dalva L. de
; Colpani, Daniara
; Abbate, Daniel
; Aquino, Daniel A.
; Burckhardt, Daniel
; Cavallari, Daniel C.
; Prado, Daniel de C. Schelesky
; Praciano, Daniel L.
; Basílio, Daniel S.
; Bená, Daniela de C.
; Toledo, Daniela G.P. de
; Takiya, Daniela M.
; Fernandes, Daniell R.R.
; Ament, Danilo C.
; Cordeiro, Danilo P.
; Silva, Darliane E.
; Pollock, Darren A.
; Muniz, David B.
; Gibson, David I.
; Nogueira, David S.
; Marques, Dayse W.A.
; Lucatelli, Débora
; Garcia, Deivys M.A.
; Baêta, Délio
; Ferreira, Denise N.M.
; Rueda-Ramírez, Diana
; Fachin, Diego A.
; Souza, Diego de S.
; Rodrigues, Diego F.
; Pádua, Diego G. de
; Barbosa, Diego N.
; Dolibaina, Diego R.
; Amaral, Diogo C.
; Chandler, Donald S.
; Maccagnan, Douglas H.B.
; Caron, Edilson
; Carvalho, Edrielly
; Adriano, Edson A.
; Abreu Júnior, Edson F. de
; Pereira, Edson H.L.
; Viegas, Eduarda F.G.
; Carneiro, Eduardo
; Colley, Eduardo
; Eizirik, Eduardo
; Santos, Eduardo F. dos
; Shimbori, Eduardo M.
; Suárez-Morales, Eduardo
; Arruda, Eliane P. de
; Chiquito, Elisandra A.
; Lima, Élison F.B.
; Castro, Elizeu B. de
; Orlandin, Elton
; Nascimento, Elynton A. do
; Razzolini, Emanuel
; Gama, Emanuel R.R.
; Araujo, Enilma M. de
; Nishiyama, Eric Y.
; Spiessberger, Erich L.
; Santos, Érika C.L. dos
; Contreras, Eugenia F.
; Galati, Eunice A.B.
; Oliveira Junior, Evaldo C. de
; Gallardo, Fabiana
; Hernandes, Fabio A.
; Lansac-Tôha, Fábio A.
; Pitombo, Fabio B.
; Dario, Fabio Di
; Santos, Fábio L. dos
; Mauro, Fabio
; Nascimento, Fabio O. do
; Olmos, Fabio
; Amaral, Fabio R.
; Schunck, Fabio
; Godoi, Fábio S. P. de
; Machado, Fabrizio M.
; Barbo, Fausto E.
; Agrain, Federico A.
; Ribeiro, Felipe B.
; Moreira, Felipe F.F.
; Barbosa, Felipe F.
; Silva, Fenanda S.
; Cavalcanti, Fernanda F.
; Straube, Fernando C.
; Carbayo, Fernando
; Carvalho Filho, Fernando
; Zanella, Fernando C.V.
; Jacinavicius, Fernando de C.
; Farache, Fernando H.A.
; Leivas, Fernando
; Dias, Fernando M.S.
; Mantellato, Fernando
; Vaz-de-Mello, Fernando Z.
; Gudin, Filipe M.
; Albuquerque, Flávio
; Molina, Flavio B.
; Passos, Flávio D.
; Shockley, Floyd W.
; Pinheiro, Francielly F.
; Mello, Francisco de A.G. de
; Nascimento, Francisco E. de L.
; Franco, Francisco L.
; Oliveira, Francisco L. de
; Melo, Francisco T. de V.
; Quijano, Freddy R.B.
; Salles, Frederico F.
; Biffi, Gabriel
; Queiroz, Gabriel C.
; Bizarro, Gabriel L.
; Hrycyna, Gabriela
; Leviski, Gabriela
; Powell, Gareth S.
; Santos, Geane B. dos
; Morse, Geoffrey E.
; Brown, George
; Mattox, George M.T.
; Zimbrão, Geraldo
; Carvalho, Gervásio S.
; Miranda, Gil F.G.
; Moraes, Gilberto J. de
; Lourido, Gilcélia M.
; Neves, Gilmar P.
; Moreira, Gilson R.P.
; Montingelli, Giovanna G.
; Maurício, Giovanni N.
; Marconato, Gláucia
; Lopez, Guilherme E.L.
; Silva, Guilherme L. da
; Muricy, Guilherme
; Brito, Guilherme R.R.
; Garbino, Guilherme S.T.
; Flores, Gustavo E.
; Graciolli, Gustavo
; Libardi, Gustavo S.
; Proctor, Heather C.
; Gil-Santana, Helcio R.
; Varella, Henrique R.
; Escalona, Hermes E.
; Schmitz, Hermes J.
; Rodrigues, Higor D.D.
; Galvão Filho, Hilton de C.
; Quintino, Hingrid Y.S.
; Pinto, Hudson A.
; Rainho, Hugo L.
; Miyahira, Igor C.
; Gonçalves, Igor de S.
; Martins, Inês X.
; Cardoso, Irene A.
; Oliveira, Ismael B. de
; Franz, Ismael
; Fernandes, Itanna O.
; Golfetti, Ivan F.
; S. Campos-Filho, Ivanklin
; Oliveira, Ivo de S.
; Delabie, Jacques H.C.
; Oliveira, Jader de
; Prando, Jadila S.
; Patton, James L.
; Bitencourt, Jamille de A.
; Silva, Janaina M.
; Santos, Jandir C.
; Arruda, Janine O.
; Valderrama, Jefferson S.
; Dalapicolla, Jeronymo
; Oliveira, Jéssica P.
; Hájek, Jiri
; Morselli, João P.
; Narita, João P.
; Martin, João P.I.
; Grazia, Jocélia
; McHugh, Joe
; Cherem, Jorge J.
; Farias Júnior, José A.S.
; Fernandes, Jose A.M.
; Pacheco, José F.
; Birindelli, José L.O.
; Rezende, José M.
; Avendaño, Jose M.
; Duarte, José M. Barbanti
; Ribeiro, José R. Inácio
; Mermudes, José R.M.
; Pujol-Luz, José R.
; Santos, Josenilson R. dos
; Câmara, Josenir T.
; Teixeira, Joyce A.
; Prado, Joyce R. do
; Botero, Juan P.
; Almeida, Julia C.
; Kohler, Julia
; Gonçalves, Julia P.
; Beneti, Julia S.
; Donahue, Julian P.
; Alvim, Juliana
; Almeida, Juliana C.
; Segadilha, Juliana L.
; Wingert, Juliana M.
; Barbosa, Julianna F.
; Ferrer, Juliano
; Santos, Juliano F. dos
; Kuabara, Kamila M.D.
; Nascimento, Karine B.
; Schoeninger, Karine
; Campião, Karla M.
; Soares, Karla
; Zilch, Kássia
; Barão, Kim R.
; Teixeira, Larissa
; Sousa, Laura D. do N.M. de
; Dumas, Leandro L.
; Vieira, Leandro M.
; Azevedo, Leonardo H.G.
; Carvalho, Leonardo S.
; Souza, Leonardo S. de
; Rocha, Leonardo S.G.
; Bernardi, Leopoldo F.O.
; Vieira, Letícia M.
; Johann, Liana
; Salvatierra, Lidianne
; Oliveira, Livia de M.
; Loureiro, Lourdes M.A. El-moor
; Barreto, Luana B.
; Barros, Luana M.
; Lecci, Lucas
; Camargos, Lucas M. de
; Lima, Lucas R.C.
; Almeida, Lucia M.
; Martins, Luciana R.
; Marinoni, Luciane
; Moura, Luciano de A.
; Lima, Luciano
; Naka, Luciano N.
; Miranda, Lucília S.
; Salik, Lucy M.
; Bezerra, Luis E.A.
; Silveira, Luis F.
; Campos, Luiz A.
; Castro, Luiz A.S. de
; Pinho, Luiz C.
; Silveira, Luiz F.L.
; Iniesta, Luiz F.M.
; Tencatt, Luiz F.C.
; Simone, Luiz R.L.
; Malabarba, Luiz R.
; Cruz, Luiza S. da
; Sekerka, Lukas
; Barros, Lurdiana D.
; Santos, Luziany Q.
; Skoracki, Maciej
; Correia, Maira A.
; Uchoa, Manoel A.
; Andrade, Manuella F.G.
; Hermes, Marcel G.
; Miranda, Marcel S.
; Araújo, Marcel S. de
; Monné, Marcela L.
; Labruna, Marcelo B.
; Santis, Marcelo D. de
; Duarte, Marcelo
; Knoff, Marcelo
; Nogueira, Marcelo
; Britto, Marcelo R. de
; Melo, Marcelo R.S. de
; Carvalho, Marcelo R. de
; Tavares, Marcelo T.
; Kitahara, Marcelo V.
; Justo, Marcia C.N.
; Botelho, Marcia J.C.
; Couri, Márcia S.
; Borges-Martins, Márcio
; Felix, Márcio
; Oliveira, Marcio L. de
; Bologna, Marco A.
; Gottschalk, Marco S.
; Tavares, Marcos D.S.
; Lhano, Marcos G.
; Bevilaqua, Marcus
; Santos, Marcus T.T.
; Domingues, Marcus V.
; Sallum, Maria A.M.
; Digiani, María C.
; Santarém, Maria C.A.
; Nascimento, Maria C. do
; Becerril, María de los A.M.
; Santos, Maria E.A. dos
; Passos, Maria I. da S. dos
; Felippe-Bauer, Maria L.
; Cherman, Mariana A.
; Terossi, Mariana
; Bartz, Marie L.C.
; Barbosa, Marina F. de C.
; Loeb, Marina V.
; Cohn-Haft, Mario
; Cupello, Mario
; Martins, Marlúcia B.
; Christofersen, Martin L.
; Bento, Matheus
; Rocha, Matheus dos S.
; Martins, Maurício L.
; Segura, Melissa O.
; Cardenas, Melissa Q.
; Duarte, Mércia E.
; Ivie, Michael A.
; Mincarone, Michael M.
; Borges, Michela
; Monné, Miguel A.
; Casagrande, Mirna M.
; Fernandez, Monica A.
; Piovesan, Mônica
; Menezes, Naércio A.
; Benaim, Natalia P.
; Reategui, Natália S.
; Pedro, Natan C.
; Pecly, Nathalia H.
; Ferreira Júnior, Nelson
; Silva Júnior, Nelson J. da
; Perioto, Nelson W.
; Hamada, Neusa
; Degallier, Nicolas
; Chao, Ning L.
; Ferla, Noeli J.
; Mielke, Olaf H.H.
; Evangelista, Olivia
; Shibatta, Oscar A.
; Oliveira, Otto M.P.
; Albornoz, Pablo C.L.
; Dellapé, Pablo M.
; Gonçalves, Pablo R.
; Shimabukuro, Paloma H.F.
; Grossi, Paschoal
; Rodrigues, Patrícia E. da S.
; Lima, Patricia O.V.
; Velazco, Paul
; Santos, Paula B. dos
; Araújo, Paula B.
; Silva, Paula K.R.
; Riccardi, Paula R.
; Garcia, Paulo C. de A.
; Passos, Paulo G.H.
; Corgosinho, Paulo H.C.
; Lucinda, Paulo
; Costa, Paulo M.S.
; Alves, Paulo P.
; Roth, Paulo R. de O.
; Coelho, Paulo R.S.
; Duarte, Paulo R.M.
; Carvalho, Pedro F. de
; Gnaspini, Pedro
; Souza-Dias, Pedro G.B.
; Linardi, Pedro M.
; Bartholomay, Pedro R.
; Demite, Peterson R.
; Bulirsch, Petr
; Boll, Piter K.
; Pereira, Rachel M.M.
; Silva, Rafael A.P.F.
; Moura, Rafael B. de
; Boldrini, Rafael
; Silva, Rafaela A. da
; Falaschi, Rafaela L.
; Cordeiro, Ralf T.S.
; Mello, Ramon J.C.L.
; Singer, Randal A.
; Querino, Ranyse B.
; Heleodoro, Raphael A.
; Castilho, Raphael de C.
; Constantino, Reginaldo
; Guedes, Reinaldo C.
; Carrenho, Renan
; Gomes, Renata S.
; Gregorin, Renato
; Machado, Renato J.P.
; Bérnils, Renato S.
; Capellari, Renato S.
; Silva, Ricardo B.
; Kawada, Ricardo
; Dias, Ricardo M.
; Siewert, Ricardo
; Brugnera, Ricaro
; Leschen, Richard A.B.
; Constantin, Robert
; Robbins, Robert
; Pinto, Roberta R.
; Reis, Roberto E. dos
; Ramos, Robson T. da C.
; Cavichioli, Rodney R.
; Barros, Rodolfo C. de
; Caires, Rodrigo A.
; Salvador, Rodrigo B.
; Marques, Rodrigo C.
; Araújo, Rodrigo C.
; Araujo, Rodrigo de O.
; Dios, Rodrigo de V.P.
; Johnsson, Rodrigo
; Feitosa, Rodrigo M.
; Hutchings, Roger W.
; Lara, Rogéria I.R.
; Rossi, Rogério V.
; Gerstmeier, Roland
; Ochoa, Ronald
; Hutchings, Rosa S.G.
; Ale-Rocha, Rosaly
; Rocha, Rosana M. da
; Tidon, Rosana
; Brito, Rosangela
; Pellens, Roseli
; Santos, Sabrina R. dos
; Santos, Sandra D. dos
; Paiva, Sandra V.
; Santos, Sandro
; Oliveira, Sarah S. de
; Costa, Sávio C.
; Gardner, Scott L.
; Leal, Sebastián A. Muñoz
; Aloquio, Sergio
; Bonecker, Sergio L.C.
; Bueno, Sergio L. de S.
; Almeida, Sérgio M. de
; Stampar, Sérgio N.
; Andena, Sérgio R.
; Posso, Sergio R.
; Lima, Sheila P.
; Gadelha, Sian de S.
; Thiengo, Silvana C.
; Cohen, Simone C.
; Brandão, Simone N.
; Rosa, Simone P.
; Ribeiro, Síria L.B.
; Letana, Sócrates D.
; Santos, Sonia B. dos
; Andrade, Sonia C.S.
; Dávila, Stephane
; Vaz, Stéphanie
; Peck, Stewart B.
; Christo, Susete W.
; Cunha, Suzan B.Z.
; Gomes, Suzete R.
; Duarte, Tácio
; Madeira-Ott, Taís
; Marques, Taísa
; Roell, Talita
; Lima, Tarcilla C. de
; Sepulveda, Tatiana A.
; Maria, Tatiana F.
; Ruschel, Tatiana P.
; Rodrigues, Thaiana
; Marinho, Thais A.
; Almeida, Thaís M. de
; Miranda, Thaís P.
; Freitas, Thales R.O.
; Pereira, Thalles P.L.
; Zacca, Thamara
; Pacheco, Thaynara L.
; Martins, Thiago F.
; Alvarenga, Thiago M.
; Carvalho, Thiago R. de
; Polizei, Thiago T.S.
; McElrath, Thomas C.
; Henry, Thomas
; Pikart, Tiago G.
; Porto, Tiago J.
; Krolow, Tiago K.
; Carvalho, Tiago P.
; Lotufo, Tito M. da C.
; Caramaschi, Ulisses
; Pinheiro, Ulisses dos S.
; Pardiñas, Ulyses F.J.
; Maia, Valéria C.
; Tavares, Valeria
; Costa, Valmir A.
; Amaral, Vanessa S. do
; Silva, Vera C.
; Wolff, Vera R. dos S.
; Slobodian, Verônica
; Silva, Vinícius B. da
; Espíndola, Vinicius C.
; Costa-Silva, Vinicius da
; Bertaco, Vinicius de A.
; Padula, Vinícius
; Ferreira, Vinicius S.
; Silva, Vitor C.P. da
; Piacentini, Vítor de Q.
; Sandoval-Gómez, Vivian E.
; Trevine, Vivian
; Sousa, Viviane R.
; Sant’Anna, Vivianne B. de
; Mathis, Wayne N.
; Souza, Wesley de O.
; Colombo, Wesley D.
; Tomaszewska, Wioletta
; Wosiacki, Wolmar B.
; Ovando, Ximena M.C.
; Leite, Yuri L.R.
.
ABSTRACT The limited temporal completeness and taxonomic accuracy of species lists, made available in a traditional manner in scientific publications, has always represented a problem. These lists are invariably limited to a few taxonomic groups and do not represent up-to-date knowledge of all species and classifications. In this context, the Brazilian megadiverse fauna is no exception, and the Catálogo Taxonômico da Fauna do Brasil (CTFB) (http://fauna.jbrj.gov.br/), made public in 2015, represents a database on biodiversity anchored on a list of valid and expertly recognized scientific names of animals in Brazil. The CTFB is updated in near real time by a team of more than 800 specialists. By January 1, 2024, the CTFB compiled 133,691 nominal species, with 125,138 that were considered valid. Most of the valid species were arthropods (82.3%, with more than 102,000 species) and chordates (7.69%, with over 11,000 species). These taxa were followed by a cluster composed of Mollusca (3,567 species), Platyhelminthes (2,292 species), Annelida (1,833 species), and Nematoda (1,447 species). All remaining groups had less than 1,000 species reported in Brazil, with Cnidaria (831 species), Porifera (628 species), Rotifera (606 species), and Bryozoa (520 species) representing those with more than 500 species. Analysis of the CTFB database can facilitate and direct efforts towards the discovery of new species in Brazil, but it is also fundamental in providing the best available list of valid nominal species to users, including those in science, health, conservation efforts, and any initiative involving animals. The importance of the CTFB is evidenced by the elevated number of citations in the scientific literature in diverse areas of biology, law, anthropology, education, forensic science, and veterinary science, among others. publications problem uptodate up date classifications context exception (CTFB http//fauna.jbrj.gov.br/, httpfaunajbrjgovbr http //fauna.jbrj.gov.br/ , jbrj gov br (http://fauna.jbrj.gov.br/) 2015 Brazil 80 specialists 1 2024 133691 133 691 133,69 125138 125 138 125,13 82.3%, 823 82 3 (82.3% 102000 102 000 102,00 7.69%, 769 7 69 (7.69% 11000 11 11,00 . 3,567 3567 567 (3,56 2,292 2292 2 292 (2,29 1,833 1833 833 (1,83 1,447 1447 447 (1,44 1000 1,00 831 (83 628 (62 606 (60 520 (52 50 users science health biology law anthropology education others http//fauna.jbrj.gov.br/ faunajbrjgovbr //fauna.jbrj.gov.br (http://fauna.jbrj.gov.br/ 201 8 202 13369 13 133,6 12513 12 125,1 82.3% (82.3 10200 10 00 102,0 7.69% 76 6 (7.69 1100 11,0 3,56 356 56 (3,5 2,29 229 29 (2,2 1,83 183 83 (1,8 1,44 144 44 (1,4 100 1,0 (8 62 (6 60 52 (5 5 http//fauna.jbrj.gov.br (http://fauna.jbrj.gov.br 20 1336 133, 1251 125, 82.3 (82. 1020 0 102, 7.69 (7.6 110 11, 3,5 35 (3, 2,2 22 (2, 1,8 18 (1, 1,4 14 4 ( 82. (82 7.6 (7. 3, (3 2, (2 (1 7. (7
8.
Bisphosphonate-associated jaw osteonecrosis in the treatment of rheumatoid arthritis Bisphosphonateassociated Bisphosphonate associated
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RESUMO Esta revisão de literatura teve como objetivo levantar a relação da artrite reumatóide com a osteonecrose mandibular associada a bifosfonatos. Os artigos foram coletados no Pubmed, Bireme, Cochrane e Scielo entre os anos de 2000 e 2023, os artigos que continham hipóteses de correlação com o tema ou que continham relatos de casos (inclusão de publicações entre 2005 e 2019) onde a osteonecrose surgiu durante tratamento para artrite reumatóide foram incluídos. O levantamento permitiu uma avaliação do perfil do paciente com artrite reumatóide, bem como consequências ósseas frente uso de metotrexato e bifosfonatos por via oral e opções de tratamento; bem como sucesso de técnicas conservadoras e cirúrgicas frente uma osteonecrose mandibular. Embora a relação da osteonecrose mandibular e a artrite reumatóide não seja completamente compreendida podemos concluir que o cirurgião-dentista e o reumatologista devem estar sempre em comunicação a fim de tratar a osteonecrose mandibular da melhor forma possível, bem como prevenir seu aparecimento. Pubmed Bireme 200 2023 inclusão 2019 incluídos cirurgiãodentista cirurgião dentista possível aparecimento 20 202 201 2
ABSTRACT This literature review aimed to raise the relationship between rheumatoid arthritis and mandibular osteonecrosis associated with bisphosphonates. The articles were collected in Pubmed, Bireme, Cochrane and Scielo between the years 2000 and 2023, the articles that contained hypotheses of correlation with the theme or that contained case reports (inclusion of publications between 2005 and 2019) where osteonecrosis appeared during treatment for rheumatoid arthritis were included. The survey allowed an assessment of the profile of the patient with rheumatoid arthritis, as well as the bone consequences of the use of oral methotrexate and bisphosphonates and treatment options; as well as the success of conservative and surgical techniques against mandibular osteonecrosis. Although the relationship between mandibular osteonecrosis and rheumatoid arthritis is not completely understood, we can conclude that the dental surgeon and the rheumatologist must always be in communication in order to treat mandibular osteonecrosis in the best possible way, as well as prevent its onset. Pubmed Bireme 200 2023 inclusion 2019 included options understood way onset 20 202 201 2
9.
Elaboration and validity of admission and discharge checklists in Neonatal Intensive Care Units
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Galvão Diniz, Catharine
; Regne, Giulia Ribeiro Schettino
; Silva, Daniela Cristina Zica
; Corrêa, Allana dos Reis
; Mata, Luciana Regina Ferreira da
; Manzo, Bruna Figueiredo
.
RESUMO Objetivo: Elaborar e validar o conteúdo de checklists para a admissão e alta seguras em Unidades de Terapia Intensiva Neonatal. Métodos: Estudo metodológico, realizado entre 2018 e 2020, em quatro etapas: 1) revisão de literatura; 2) construção dos checklists; 3) validação de conteúdo por 32 enfermeiros especialistas em neonatologia de diferentes estados brasileiros, predominantemente da região Sudeste; 4) elaboração da versão final dos instrumentos. A validação se deu por meio de escala tipo Likert. Foram aceitos itens com Índice de Validade de Conteúdo igual ou superior a 0,90. Para análise dos dados, utilizou-se estatística descritiva. Resultados: Foram construídos e validados os conteúdos de dois checklists: um para admissão, com 18 itens, e outro para alta, com sete itens. Para o de admissão, 41,03% dos itens foram validados na primeira rodada, 33,33%, na segunda, e 23,08%, na terceira. Um item foi excluído por não atingir Índice de Validade de Conteúdo mínimo (>0,90). Para o checklist de alta, todos os itens obtiveram ICV ≥ 0,90, sendo 64,7% validados na primeira rodada e, 35,3%, na segunda rodada. Nenhum item foi excluído. Conclusão: O conteúdo dos checklists de segurança do paciente para a admissão e alta em Unidades de Terapia Intensiva Neonatal foi considerado válido. Objetivo Métodos metodológico 201 2020 etapas 1 literatura 2 3 brasileiros Sudeste 4 instrumentos Likert 090 0 90 0,90 dados utilizouse utilizou descritiva Resultados 4103 41 03 41,03 3333 33 33,33% 2308 23 08 23,08% terceira >0,90. >0,90 . (>0,90) 647 64 7 64,7 353 35 35,3% Conclusão válido 20 202 09 9 0,9 410 41,0 333 33,33 230 23,08 >0,9 (>0,90 6 64, 35,3 0, 41, 33,3 23,0 >0, (>0,9 35, 33, 23, >0 (>0, > (>0 (> (
ABSTRACT Objective: To develop and validate the content of checklists for safe admission and discharge in Neonatal Intensive Care Units. Methods: A methodological study conducted between 2018 and 2020 in four stages: 1) literature review; 2) checklist construction; 3) content validity by 32 neonatal nursing specialists from different Brazilian states, predominantly from the southeastern region; 4) development of the final version of the instruments. Validity was performed using a Likert-type scale. Items with a Content Validity Index of 0.90 or higher were accepted. Descriptive statistics were used for data analysis. Results: The contents of two checklists were constructed and validated: one for admission, with 18 items, and another for discharge, with seven items. For the admission checklist, 41.03% of items were validated in the first round, 33.33%, in the second, and 23.08%, in the third. One item was excluded for not achieving the minimum Content Validity Index (>0.90). For the discharge checklist, all items achieved a CVI ≥ 0.90, with 64.7% validated in the first round and 35.3% in the second round. No items were excluded. Conclusion: The content of patient safety checklists for admission and discharge in Neonatal Intensive Care Units was considered valid. Objective Methods 201 202 stages 1 review 2 construction 3 states region 4 instruments Likerttype Likert type scale 090 0 90 0.9 accepted analysis Results 4103 41 03 41.03 3333 33 33.33% 2308 23 08 23.08% third >0.90. >0.90 . (>0.90) 647 64 7 64.7 353 35 35.3 Conclusion valid 20 09 9 0. 410 41.0 333 33.33 230 23.08 >0.9 (>0.90 6 64. 35. 41. 33.3 23.0 >0. (>0.9 33. 23. >0 (>0. > (>0 (> (
RESUMEN Objetivo: Elaborar y validar el contenido de listas de verificación para la admisión y el alta seguras en Unidades de Cuidados Intensivos Neonatales. Métodos: Estudio metodológico realizado entre 2018 y 2020 en cuatro etapas: 1) revisión de la literatura; 2) construcción de las listas de verificación; 3) validación de contenido por 32 enfermeros especialistas en neonatología de diferentes estados brasileños, predominantemente de la región Sudeste; 4) elaboración de la versión final de los instrumentos. La validación se realizó mediante una escala Likert. Se aceptaron ítems con un Índice de Validez de Contenido igual o superior a 0,90. Se utilizó estadística descriptiva para el análisis de los datos. Resultados: Se construyeron y validaron los contenidos de dos listas de verificación: una para la admisión, con 18 ítems, y otra para el alta, con siete ítems. Para la lista de verificación de admisión, el 41,03% de los ítems fueron validados en la primera ronda, el 33,33%, en la segunda, y el 23,08%, en la tercera. Un ítem fue excluido por no alcanzar el Índice de Validez de Contenido mínimo (>0,90). Para la lista de verificación de alta, todos los ítems obtuvieron un IVC ≥ 0,90, con un 64,7% validados en la primera ronda y un 35,3% en la segunda ronda. Ningún ítem fue excluido. Conclusión: Se consideró válido el contenido de las listas de verificación de seguridad del paciente para la admisión y el alta en Unidades de Cuidados Intensivos Neonatales. Objetivo Neonatales Métodos 201 202 etapas 1 literatura 2 3 brasileños Sudeste 4 instrumentos Likert 090 0 90 0,90 datos Resultados 4103 41 03 41,03 3333 33 33,33% 2308 23 08 23,08% tercera >0,90. >0,90 . (>0,90) 647 64 7 64,7 353 35 35,3 Conclusión 20 09 9 0,9 410 41,0 333 33,33 230 23,08 >0,9 (>0,90 6 64, 35, 0, 41, 33,3 23,0 >0, (>0,9 33, 23, >0 (>0, > (>0 (> (
10.
Development of a convolutional neural network for diagnosing osteoarthritis, trained with knee radiographs from the ELSA-Brasil Musculoskeletal osteoarthritis ELSABrasil ELSA Brasil
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Domingues, Júlio Guerra
; Araujo, Daniella Castro
; Costa-Silva, Luciana
; Machado, Alexei Manso Corrêa
; Machado, Luciana Andrade Carneiro
; Veloso, Adriano Alonso
; Barreto, Sandhi Maria
; Telles, Rosa Weiss
.
Resumo Objetivo: Desenvolver um modelo computacional - rede neural convolucional (RNC) - treinado com radiografias da linha de base do Estudo Longitudinal de Saúde do Adulto Musculoesquelético (ELSA-Brasil Musculoesquelético), para a classificação automática de osteoartrite dos joelhos. Materiais e Métodos: Trata-se de um estudo transversal abrangendo todos os exames da linha de base do ELSA-Brasil Musculoesquelético (5.660 radiografias dos joelhos em incidência posteroanterior). Os exames foram interpretados por médico radiologista com treinamento específico e calibração previamente publicada. Resultados: A RNC desenvolvida apresentou área sob a curva característica de operação do receptor de 0,866 (IC 95%: 0,842-0,882). O modelo pode ser calibrado para alcançar, não simultaneamente, valores máximos de 0,907 para acurácia, 0,938 para sensibilidade e 0,994 para especificidade. Conclusão: A RNC desenvolvida pode ser utilizada como ferramenta de triagem, reduzindo o número total de exames avaliados pelos radiologistas do estudo, e/ou como ferramenta de segunda leitura, contribuindo com a redução de possíveis erros de interpretação. Objetivo (RNC ELSABrasil ELSA Brasil Musculoesquelético, , Musculoesquelético) Métodos Tratase Trata se 5.660 5660 5 660 (5.66 posteroanterior. posteroanterior . posteroanterior) publicada Resultados 0866 0 866 0,86 IC 95% 95 0,8420,882. 08420882 0,842 0,882 842 882 0,842-0,882) alcançar simultaneamente 0907 907 0,90 acurácia 0938 938 0,93 0994 994 0,99 especificidade Conclusão triagem eou ou leitura interpretação 5.66 566 66 (5.6 086 86 0,8 9 8420 0,8420,882 0842088 0842 0,84 0882 0,88 84 88 0,842-0,882 090 90 0,9 093 93 099 99 5.6 56 6 (5. 08 8 0, 0,8420,88 084208 084 088 0,842-0,88 09 5. (5 0,8420,8 08420 0,842-0,8 ( 0,8420, 0,842-0, 0,8420 0,842-0 0,842-
Abstract Objective: To develop a convolutional neural network (CNN) model, trained with the Brazilian “Estudo Longitudinal de Saúde do Adulto Musculoesquelético” (ELSA-Brasil MSK, Longitudinal Study of Adult Health, Musculoskeletal) baseline radiographic examinations, for the automated classification of knee osteoarthritis. Materials and Methods: This was a cross-sectional study carried out with 5,660 baseline posteroanterior knee radiographs from the ELSA-Brasil MSK database (5,660 baseline posteroanterior knee radiographs). The examinations were interpreted by a radiologist with specific training, and the calibration was as established previously. Results: The CNN presented an area under the receiver operating characteristic curve of 0.866 (95% CI: 0.842-0.882). The model can be optimized to achieve, not simultaneously, maximum values of 0.907 for accuracy, 0.938 for sensitivity, and 0.994 for specificity. Conclusion: The proposed CNN can be used as a screening tool, reducing the total number of examinations evaluated by the radiologists of the study, and as a double-reading tool, contributing to the reduction of possible interpretation errors. Objective (CNN Estudo Musculoesquelético ELSABrasil ELSA Brasil Health Musculoskeletal osteoarthritis Methods crosssectional cross sectional 5660 5 660 5,66 (5,66 radiographs. . radiographs) training previously Results 0866 0 866 0.86 95% 95 (95 CI 0.8420.882. 08420882 0.842 0.882 842 882 0.842-0.882) achieve simultaneously 0907 907 0.90 accuracy 0938 938 0.93 sensitivity 0994 994 0.99 specificity Conclusion tool doublereading double reading errors 566 66 5,6 (5,6 086 86 0.8 9 (9 8420 0.8420.882 0842088 0842 0.84 0882 0.88 84 88 0.842-0.882 090 90 0.9 093 93 099 99 56 6 5, (5, 08 8 0. ( 0.8420.88 084208 084 088 0.842-0.88 09 (5 0.8420.8 08420 0.842-0.8 0.8420. 0.842-0. 0.8420 0.842-0 0.842-
11.
Case for diagnosis. Vascular malformations, hemihypertrophy and macrodactyly: Proteus syndrome diagnosis malformations macrodactyly
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Barbosa, Bárbara Elias do Carmo
; Alfredo, Melissa de Almeida Corrêa
; Abbade, Luciana Patrícia Fernandes
; Miot, Hélio Amante
.
12.
Assessment of websites on cleft lip and palate in Brazilian Portuguese
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Corrêa, Camila de Castro
; Lobo, Fernanda Souza
; Benito, Ana Luiza Vieira
; Silva, Maria Clara Luciano
; Pirola-Picinato, Melissa
; Maximino, Luciana Paula
; Cavalheiro, Maria Gabriela
.
ABSTRACT Purpose: this study aimed at assessing the legibility, reliability, usability and coverage of websites on cleft lip and/or palate (CL/P) in Brazilian Portuguese and providing a global comparison. Methods: in order to evaluate the obtained data, four protocols were used, i.e., the Website Coverage Protocol, the legibility (by means of the COH METRIX PORT), the reliability (Discern Protocol), and the usability (by means of the System Usability Scale). Results: 98 websites were included with average legibility scoring of 31.6±11.7, rated as a hard readability level. Coverage average scoring was 19.9±3.79 from a total of 35 points. As for reliability, average scoring was 43.2±6.51 points, rated as acceptable. The usability scoring was 24.8±2.18 points, rated as the worst imaginable one. Conclusion: therefore, the assessed Brazilian websites on CL/P were rated difficult for legibility, requiring high-school level of education, restricted coverage and acceptable reliability, in addition to the low usability. The results were similar to those of websites from other countries, except for the legibility aspect, which was lower for Brazilian websites. Purpose andor or CLP CL P (CL/P comparison Methods data used ie i e i.e. Protocol by PORT, PORT , PORT) Discern Protocol) Scale. Scale . Scale) Results 9 316117 31 6 11 7 31.6±11.7 199379 19 3 79 19.9±3.7 points 432651 43 2 51 43.2±6.5 248218 24 8 18 24.8±2.1 one Conclusion therefore highschool high school education countries aspect i.e 31611 1 31.6±11. 19937 19.9±3. 43265 4 5 43.2±6. 24821 24.8±2. 3161 31.6±11 1993 19.9±3 4326 43.2±6 2482 24.8±2 316 31.6±1 199 19.9± 432 43.2± 248 24.8± 31.6± 19.9 43.2 24.8 31.6 19. 43. 24. 31.
13.
Contribution of public oral pathology services to the diagnosis of oral and oropharyngeal cancer in Brazil
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LOUREDO, Brendo Vinicius Rodrigues
; CURADO, Maria Paula
; PENAFORT, Paulo Victor Mendes
; DE ARRUDA, José Alcides Almeida
; ABREU, Lucas Guimarães
; MESQUITA, Ricardo Alves
; PINTO-JÚNIOR, Décio dos Santos
; ABRAHÃO, Aline Corrêa
; ANDRADE, Bruno Augusto Benevenuto de
; AGOSTINI, Michelle
; MORAES, Renata Mendonça
; ANBINDER, Ana Lia
; DOURADO, Pedro Henrique Silva
; SANTOS, Teresa Cristina Ribeiro Bartholomeu dos
; PIRES, Fábio Ramoa
; BORDIGNON, Natalia Cristina Trentin
; GONDAK, Rogério Oliveira
; DE OLIVEIRA, Marcia Gaiger
; CARRARD, Vinicius Coelho
; MARTINS, Manoela Domingues
; SOUSA-NETO, Sebastião Silvério
; ARANTES, Diego Antônio Costa
; MENDONÇA, Elismauro Francisco
; CIESLAK-SANCHES, Silvia Roberta
; ANTUNES, Daniella Moraes
; AMARAL-SILVA, Gleyson Kleber do
; MANIERI, Patricia Rubia
; RAMALHO, Luciana Maria Pedreira
; DOS SANTOS, Jean Nunes
; LEONEL, Augusto César Leal da Silva
; PEREZ, Danyel Elias da Cruz
; VERHEUL, Hannah Carmem Carlos Ribeiro Silva
; BARROSO, Keila Martha Amorim
; RODRIGUES, Flávia Luiza Santos
; GONZAGA, Amanda Katarinny Goes
; FERNANDES, Romana Renery
; DE SOUZA, Lélia Batista
; SOUZA, Lucas Lacerda de
; PONTES, Flávia Sirotheau Corrêa
; PONTES, Hélder Antônio Rebelo
; SILVA, Caroline Alfaia
; CÂMARA, Jeconias
; LIBÓRIO-KIMURA, Tatiana Nayara
; SANTOS-SILVA, Alan Roger
; LOPES, Márcio Ajudarte
; ALMEIDA, Oslei Paes de
; ROMAÑACH, Mário José
; VARGAS, Pablo Agustin
.
Abstract This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients’ histopathological records. Of the 120,010 oral and maxillofacial biopsies (2010-2019), 6.9% (8,321 cases) were diagnosed as lip (0.8%, 951 cases), oral cavity (4.9%, 5,971 cases), and oropharyngeal (1.2%, 1,399 cases) SCCs. Most cases were from Brazil’s Southeast (64.5%), where six of the OMPLs analyzed are located. The predominant profile of patients with lip and oral cavity SCC was Caucasian men, with a mean age over 60 years, low schooling level, and a previous history of heavy tobacco consumption. In the oropharyngeal group, the majority were non-Caucasian men, with a mean age under 60 years, had a low education level, and were former/current tobacco and alcohol users. According to data from the Brazilian National Cancer Institute, approximately 9.9% of the total lip, oral cavity, and oropharyngeal SCCs reported over the last decade in Brazil may have been diagnosed at the OMPLs included in the current study. Therefore, this data confirms the contribution of public OMPLs with respect to the important diagnostic support they provide to the oral healthcare services extended by the Brazilian Public Health System. (OMPLs SCC. . (SCC) crosssectional cross sectional North, North (North Northeast CentralWest, CentralWest Central West, West Central-West South. South South) 201 120010 120 010 120,01 20102019, 20102019 , (2010-2019) 69 6 9 6.9 8,321 8321 8 321 (8,32 0.8%, 08 0 (0.8% 95 cases, 4.9%, 49 4 (4.9% 5971 5 971 5,97 1.2%, 12 1 2 (1.2% 1399 399 1,39 Brazils s 64.5%, 645 64.5% 64 (64.5%) located men years level consumption group nonCaucasian non formercurrent former users Institute 99 9.9 Therefore System (SCC 20 12001 01 120,0 2010201 (2010-2019 6. 8,32 832 32 (8,3 0.8% (0.8 4.9% (4.9 597 97 5,9 1.2% (1.2 139 39 1,3 64.5 (64.5% 9. 1200 120, 201020 (2010-201 8,3 83 3 (8, 0.8 (0. 4.9 (4. 59 5, 1.2 (1. 13 1, 64. (64.5 20102 (2010-20 8, (8 0. (0 4. (4 1. (1 (64. (2010-2 ( (64 (2010- (6 (2010 (201 (20 (2
14.
Pressure injury after COVID-19 treated with adjuvant laser therapy: a case study COVID19 COVID 19 COVID-1 therapy COVID1 1 COVID-
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Lucena, Amália de Fátima
; Pinto, Luciana Ramos Corrêa
; Disconzi, Mitieli Vizcaychipi
; Fabris, Márcia
; Mazui, Beatriz Hoppen
; Riquinho, Deise Lisboa
.
RESUMEN Objetivo: Informar tratamento adyuvante con terapia láser en un paciente con lesión por presión después de COVID-19. Método: Estudio de caso realizado en el ambulatorio de un hospital universitário del sur de Brasil. Resultados: El diagnóstico de enfermería de lesión por presión fue principalmente listado. Se evaluó el resultado de la cicatrización de la herida: segunda intención y cuatro indicadores clínicos: Granulación, Disminución del tamaño de la herida, Formación de cicatrices y Exudato. Se implementaron intervenciones de enfermería, lo que condujo a la evolución satisfactoria del caso. Conclusión: El uso de la terapia láser y la evaluación de resultados e indicadores en el seguimiento ambulatorio de pacientes com lesión por presión, debido a COVID-19, demostraron ser precisos para lapráctica clínica, mejorando la seguridad y lacalidad de la atención. Objetivo COVID19. COVID19 COVID 19. 19 COVID-19 Método Brasil Resultados listado herida clínicos Granulación Exudato Conclusión COVID19, 19, clínica atención COVID1 1 COVID-1 COVID-
ABSTRACT Objective: To report adjuvant laser therapy treatament in a pressure injury patient after COVID-19. Method: A case report carried out at the ambulatory of a universitary hospital in southern Brazil. Results: The nursing diagnosis of pressure injury was primarily listed. The result Wound Healing: secondary intention was used, as well as four clinical indicators: granulation, decreased wound size, scar formation and exudate were evaluated. Nursing interventions were implemented which led to a satisfactory evolution of the case. Conclusion: Using laser therapy and the results evaluation and indicators in the follow up of a patient with pressure injury due to COVID-19 showed up as an accurate tool to clinical practice, improving patient safety and quality care. Objective COVID19. COVID19 COVID 19. 19 Method Brazil Results listed Healing used granulation size evaluated Conclusion COVID-1 practice care COVID1 1 COVID-
RESUMO Objetivo: Relatar o tratamento por laserterapia adjuvante em paciente com lesão por pressão após COVID-19. Método: Estudo de caso realizado no ambulatório de um hospital universitário no Sul do Brasil. Resultados: Elencou-se prioritariamente o diagnóstico de enfermagem Lesão por Pressão. O resultado Cicatrização das feridas: segunda intenção e quatro indicadores clínicos: Granulação, Tamanho da ferida diminuído, Formação de cicatriz e Exsudato foi avaliado. Foram implementadas intervenções de enfermagem, que levaram à evolução satisfatória do caso. Conclusão: A utilização da laserterapia e a avaliação dos resultados e indicadores no acompanhamento ambulatorial da paciente com lesão por pressão, em decorrência da COVID-19, mostrou-se acurada à prática clínica, aprimorando a segurança e qualidade do cuidado. Objetivo COVID19. COVID19 COVID 19. 19 COVID-19 Método Brasil Resultados Elencouse Elencou se Pressão feridas clínicos Granulação diminuído avaliado Conclusão COVID19, 19, mostrouse mostrou clínica cuidado COVID1 1 COVID-1 COVID-
15.
Prevalência de aneurismas viscerais raros em 92.833 angiotomografias (2005-2021) 92833 92 833 92.83 20052021 2005 2021 (2005-2021 9283 9 83 92.8 2005202 200 202 (2005-202 928 8 92. 200520 20 (2005-20 20052 2 (2005-2 (2005- (2005 (200 (20 (2 (
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Belczak, Sergio Quilici
; Silva, Nathalia Almeida Cardoso da
; Nora, Matheus Toledo
; Chadud, Paula Ribeiro do Prado
; Benetti, Luciana Helena
; Corrêa, Camila de Freitas
; Tchibana, Adriano
; Aun, Ricardo
.
Resumo Contexto Ainda são incomuns os estudos de prevalência de aneurismas viscerais raros, e os poucos estudos que focalizaram esses aneurismas observam taxas de prevalência em grupos de pacientes com aneurismas viscerais, mas pouco se conhece sobre a sua prevalência na população geral. Objetivos Avaliar a prevalência de aneurismas viscerais raros em angiotomografias realizadas para diagnóstico e seguimento de pacientes com diferentes patologias vasculares. Métodos Este estudo transversal partiu do acesso a todos os laudos de angiotomografias realizadas entre janeiro de 2005 e julho de 2021 em hospital privado de excelência situado na cidade de São Paulo. Foi utilizado um programa de mecanismo de busca de laudos pré-indexados, cuja base de dados é o Sistema de Informação Radiológica (RIS), para acesso aos laudos de pacientes com aneurismas intra-abdominais. Resultados Foram acessados laudos de angiotomografias de 92.883 pacientes, dos quais 2.597 (2,795%) apresentavam aneurismas intra-abdominais, sendo 937 (1,063%) viscerais, incluindo 158 (0,171%) aneurismas viscerais raros, mais frequente entre homens e nos seguintes segmentos: tronco celíaco (0,098%), artéria mesentérica superior (0,033%), artéria gástrica esquerda (0,010%), artéria pancreático-duodenal (0,009%), artéria gastroduodenal (0,005%) e arco pancreático (0,004%). Prevalências menores foram encontradas em outros diferentes segmentos. Achados adicionais revelaram taxa de concomitância de aneurismas viscerais raros com outros aneurismas intra-abdominais entre 11,11% e 66,67%. Conclusões A prevalência de aneurismas viscerais raros em ampla população submetida a angiotomografias foi de 0,171%, com maior comprometimento nos pacientes do sexo masculino. geral vasculares 200 202 Paulo préindexados, préindexados pré indexados, indexados pré-indexados RIS, RIS , (RIS) intraabdominais. intraabdominais intra abdominais. abdominais 92883 92 883 92.88 2597 2 597 2.59 2,795% 2795 795 (2,795% intraabdominais, abdominais, 93 1,063% 1063 1 063 (1,063% 15 0,171% 0171 0 171 (0,171% segmentos 0,098%, 0098 0,098% 098 (0,098%) 0,033%, 0033 0,033% 033 (0,033%) 0,010%, 0010 0,010% 010 (0,010%) pancreáticoduodenal duodenal 0,009%, 0009 0,009% 009 (0,009%) 0,005% 0005 005 (0,005% 0,004%. 0004 0,004% . 004 (0,004%) 1111 11 11,11 6667 66 67 66,67% masculino 20 (RIS 9288 9 88 92.8 259 59 2.5 2,795 279 79 (2,795 1,063 106 06 (1,063 0,171 017 17 (0,171 0,098 09 (0,098% 003 0,033 03 (0,033% 001 0,010 01 (0,010% 000 0,009 00 (0,009% 0,005 (0,005 0,004 (0,004% 111 11,1 666 6 66,67 928 8 92. 25 5 2. 2,79 27 7 (2,79 1,06 10 (1,06 0,17 (0,17 0,09 (0,098 0,03 (0,033 0,01 (0,010 0,00 (0,009 (0,00 (0,004 11, 66,6 2,7 (2,7 1,0 (1,0 0,1 (0,1 0,0 (0,09 (0,03 (0,01 (0,0 66, 2, (2, 1, (1, 0, (0, (2 (1 (0 (
Abstract Background Studies on the prevalence of rare visceral aneurysms are still scarce and the few studies that have focused on these aneurysms present prevalence rates in groups of patients with visceral aneurysms, but little is known about their prevalence in the general population. Objectives To assess the prevalence of rare visceral aneurysms on CAT scans performed for diagnosis and follow-up of patients with other vascular pathologies. Methods This cross-sectional study began by accessing all reports from CAT scans performed between January 2005 and July 2021 at a private hospital of excellence located in the city of São Paulo. A software program for pre-indexed reports was used to search the Radiological Information System (RIS) database to identify reports of patients with intra-abdominal aneurysms. Results CAT scan reports from 92,883 patients were accessed. Of these, 2,597 (2.795%) showed intra-abdominal aneurysms, 937 (1.063%) of which were visceral, including 158 (0.171%) rare visceral aneurysms, which were more frequent among male patients and in the following segments: celiac trunk (0.098%), superior mesenteric (0.033%), left gastric (0.010%), pancreatic-duodenal (0.009%), and gastroduodenal arteries (0.005%) and the pancreatic arch (0.004%). Lower prevalence was found in other segments. Additional findings revealed concomitance of rare visceral aneurysms with other intra-abdominal aneurysms ranging from 11.11% to 66.67%. Conclusions The prevalence of rare visceral aneurysms in a large population undergoing CAT scan was 0.171%, with greater involvement in male patients. followup follow up pathologies crosssectional cross sectional 200 202 Paulo preindexed pre indexed RIS (RIS intraabdominal intra abdominal 92883 92 883 92,88 accessed 2597 2 597 2,59 2.795% 2795 795 (2.795% 93 1.063% 1063 1 063 (1.063% 15 0.171% 0171 0 171 (0.171% segments 0.098%, 0098 0.098% , 098 (0.098%) 0.033%, 0033 0.033% 033 (0.033%) 0.010%, 0010 0.010% 010 (0.010%) pancreaticduodenal duodenal 0.009%, 0009 0.009% 009 (0.009%) 0.005% 0005 005 (0.005% 0.004%. 0004 0.004% . 004 (0.004%) 1111 11 11.11 6667 66 67 66.67% 20 9288 9 88 92,8 259 59 2,5 2.795 279 79 (2.795 1.063 106 06 (1.063 0.171 017 17 (0.171 0.098 09 (0.098% 003 0.033 03 (0.033% 001 0.010 01 (0.010% 000 0.009 00 (0.009% 0.005 (0.005 0.004 (0.004% 111 11.1 666 6 66.67 928 8 92, 25 5 2, 2.79 27 7 (2.79 1.06 10 (1.06 0.17 (0.17 0.09 (0.098 0.03 (0.033 0.01 (0.010 0.00 (0.009 (0.00 (0.004 11. 66.6 2.7 (2.7 1.0 (1.0 0.1 (0.1 0.0 (0.09 (0.03 (0.01 (0.0 66. 2. (2. 1. (1. 0. (0. (2 (1 (0 (
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